ABSTRACT
To study the association of maternal risk factors with pregnancy wastage, a prospective study was conducted for a period of one year among 305 pregnant rural women registered with fifty Anganwadi centres in field practice area of Department of Community Medicine, GMC Jammu. All the potential participants were interviewed in person using semi-structured, pre-tested proformae and evaluated clinically. All pregnant women were then followed to study the outcome in terms of abortion, live birth or still birth. Various maternal risk factors like anaemia, Hypertension, Ante partum Haemorrhage, Albuminuria, Glucosuria were studied and their association with pregnancy wastage was analysed using chi-square test. Out of 305 pregnancies followed, 43(14.1%) ended in pregnancy loss i.e. 34 abortions and 9 still births. Pregnancy wastage was statistically significantly associated with anaemia, H.T., APH and Glucosuria. Anaemia was found to independently affect adverse pregnancy outcome on multivariate analysis. Pregnancy wastage in our set up is mainly due to preventable and treatable risk factors which should be taken care of to prevent the wastage.
ABSTRACT
A community based prospective study was conducted to find the association of maternal bio-social determinants with birth weight in urban slums. A random sample of 50 AWCs (7 AWC from each zone) catering the population of urban slums and constituting about 25% of the total was taken giving due representation to all zones. 303 expectant mothers registered with AWCs in their third trimester (>28 weeks of gestation) were followed till 7 days after delivery. The incidence of low birth weight in the study group was 23.1. The average birth weight of low birth weight babies was 1.98 + 0.47, while that in the normal birth weight of babies was 2.73 + 0.20.It was found that factors such as low maternal age, height, parity and occupation of mother are significantly associated with low birth weight babies.