Trends and predictors of birth weight in Chilean children

M L Garmendia1, S Mondschein2, B Montiel3

  • 1Institute of Nutrition and Food Technology, University of Chile, Santiago, Chile.

Public Health
|March 20, 2021
PubMed

Insights

Maternal nutritional status, including pre-pregnancy body mass index and gestational weight gain, significantly impacts birth weight. Strategies focusing on healthy maternal weight and preventing gestational diabetes and pre-eclampsia are crucial for normal birth outcomes.

Area of Science:

  • Public Health
  • Obstetrics
  • Neonatology

Background:

  • Birth weight is a critical indicator of fetal health and future well-being.
  • Identifying factors influencing birth weight is essential for developing effective maternal and child health strategies.

Purpose of the Study:

  • To analyze birth weight trends in a Chilean hospital from 2002 to 2015.
  • To identify prenatal care factors associated with low and high birth weight.

Main Methods:

  • Secondary analysis of 78,931 single birth records from a Santiago, Chile hospital (2002-2015).
  • Evaluation of sociodemographic, clinical, obstetric, lifestyle, and anthropometric variables.
  • Classification and regression tree methodology and logistic regression were employed.

Main Results:

  • Average birth weight was 3316g; preterm births increased, while post-term births decreased.
  • Key predictors for small for gestational age neonates included pregestational BMI <28 kg/m², gestational weight gain <17 kg, and pre-eclampsia.
  • Predictors for large for gestational age neonates included BMI ≥28 kg/m², gestational weight gain ≥17 kg, and gestational diabetes.

Conclusions:

  • Maternal nutritional status is the most significant factor influencing birth weight.
  • Interventions should focus on achieving normal pre-pregnancy maternal weight, recommended gestational weight gain, and managing gestational diabetes and pre-eclampsia.
Abstract

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