Evaluation of Factors of Low Birth Weight Deliveries: A Cross Sectional Study
Shrijana Karki1, Vivechana Shakya2
1Department of Nursing, Shree Birendra Hospital, Chhauni, Kathmandu.
Insights
Maternal dietary intake and micronutrient supplementation significantly impact infant birth weight. Addressing these factors during antenatal care can reduce the incidence of low birth weight (LBW) babies.
Area of Science:
- Obstetrics and Gynecology
- Neonatology
- Maternal and Child Health
Background:
- Low birth weight (LBW) presents a significant challenge to infant survival and healthy development.
- LBW is a primary determinant of infant morbidity, mortality, and childhood disability.
- Various maternal and newborn factors contribute to LBW, necessitating further investigation.
Purpose of the Study:
- To assess the contributing factors of low birth weight (LBW) among deliveries at a tertiary hospital.
- To identify key maternal and newborn variables associated with LBW.
- To inform strategies for reducing LBW rates.
Main Methods:
- A cross-sectional analytical study was conducted with 203 mothers delivering LBW babies.
- Purposive sampling was employed, with data collected via self-structured questionnaires.
- Data analysis involved descriptive statistics and independent sample t-tests using SPSS version 20.
Main Results:
- Increased maternal dietary intake and consumption of folic acid, iron-folic acid, and calcium supplements were associated with higher mean birth weights (p<0.01, p<0.05).
- Hypertension during pregnancy (p<0.01), infant sex (p=0.05), and gestational age at birth (p<0.01) also showed significant associations with birth weight.
- Maternal factors and micronutrient intake significantly influence birth outcomes.
Conclusions:
- Inadequate dietary intake and insufficient micronutrient supplementation are major contributors to LBW.
- Addressing maternal factors and ensuring adequate nutrition during pregnancy can help reduce LBW deliveries.
- Emphasis on health teaching and counseling regarding nutrition and supplementation during antenatal care is crucial for preventing LBW.
Background:
Low birth weight is the most serious challenge for infant survival, healthy growth and development. It is the major determinant of the infant morbidity, mortality and disability in childhood. Different maternal and newborn factors contribute to Low birth weight. Hence, this study aims to assess the factors of low birth weight among deliveries at a tertiary hospital.
Methods:
A cross sectional analytical study was conducted among 203 postnatal mothers who had delivered low birth weight babies in Patan hospital from 1st September to 30th November 2019.Purposive sampling technique was used to select the sample for the study. Interview was conducted using a self-structured questionnaire. Data were analyzed with SPSS version 20 using descriptive and independent sample t-test to identify factors of Low birth weight.
Results:
Increased amount of dietary intake, consumption of folic acid tablet, iron and folic acid tablet (p<0.01,CI:95%), calcium tablet(p<0.05) and hypertension during pregnancy(p<0.01) can make significant differences in the mean birth weight of the baby. Similar difference was observed with the sex of baby (p=0.05)and gestational age at birth(p<0.01).
Conclusions:
Less dietary intake and micronutrients supplements are largely responsible for the Low birth weight. Possible maternal factors can be eliminated in order to reduce Low birth weight deliveries. Therefore, emphasis should be given on these factors while providing antenatal care via health teaching and counseling to mothers.
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