Maternal risk factors for low birth weight newborn in Thailand

T Chumnijarakij, T Nuchprayoon, S Chitinand, Y Onthuam, N Quamkul, N Dusitsin
1992 Asian Journal of Medical and Clinical Sciences Original   unpublished
Low Birth Weight is a multi-factorial public health problem which is overwhelmingly high in developing countries. This study was carried out to estimate the magnitude of Low Birth Weight (LBW) at a Tertiary care hospital and identify the obstetric risk factors associated with LBW. Methods: This was a retrospective study. It was carried out in the Dr Prabharak Kore Charitable hospital which is the largest multi-facility hospital of the Belgaum district, Karnataka, South India. After obtaining
more » ... mission from hospital authority, records of all mothers and their singleton live births occurring during the period from 1st April-September 31st, 2012 were scrutinized from the delivery/birth registers. Data were analyzed using SPSS (16.0 Version). Descriptive statistics, Chi square and adjusted Odds Ratio were calculated and p value <0.05 considered significant. Results: A total of 1758 deliveries were conducted during the study period; of them 1653(94.02%) were singleton live births. Mean birth weight was 2629.34±577.90 grams. LBW was observed among 27.95% newborns and 21.42% were born prematurely. Previous history of still birth, maternal high risk category and hypertensive disorders in the present pregnancy were found to be the independent significant risk factors for LBW. Each of the three factors carried more than two times risk for LBW. Conclusions: Almost 28.00 percent newborns were LBWs. Previous adverse pregnancy outcome and hypertensive disorders in the present pregnancy were the significant risk factors. Proper antenatal care to identify, monitor and timely management of risk factors will eventually help to reduce prevalence of LBW.