Maternal determinants of low birth weight- a record-based study from a tertiary care centre in central India

Background: Birth weight is a major determinant of child’s health and nutrition. There are various factors which determine birth weight like maternal age, parity, socio economic status etc. A new born weighing less than 2.5 kg is classified as a low birth weight (LBW) baby. Low birth weight can be prevented by improving health status and socio-economic status of the community, improving antenatal care and also by providing proper health education. Methods: A record-based study was carried out in a tertiary care facility of central India. Labour room records from January 2021 to December 2021 were reviewed. The details on birth weight, gender, gestational age, parity, and mode of delivery were obtained and recorded. The data obtained was entered in Microsoft office excel software. Statistical analysis was carried out with the help of open Epi. Results: Out of 4266 records which were studied 46.65% mothers were in the age group 21-25 years and 53.52% were multiparas. The proportion of LBW was found to be 41.30%. LBW was found to have a significant association between age of mother, parity, residence and gender of the baby. Conclusions: In this study, sociodemographic factors, maternal age and multiparity has contributed substantially to LBW. Hospitals should inform pregnant women about the importance of appropriate age at conception. It is high time to discuss the aftereffects of older maternal age in detail and to focus more on biological components underlying these associations.

HIV/AIDS awareness among hospital employees.

The present cross sectional study was carried out to assess the basic knowledge and attitude of class III and Class IV hospital employees (n = 250) regarding HIV/AIDS. Of the 250 study subjects 232(92.8) had heard or read about AIDS. Chief sources of information were television, newspapers and doctors. Though the study subjects had some factual knowledge about HIV/AIDS, certain misconceptions and myths persisted. They were also found to have a biased and negative attitude towards people with AIDS. 223(96.1%) study subjects said that they would like to learn more about HIV/AIDS. The results of this study indicate that action is needed to increase the level of knowledge of this group so that they reject biased information and myths relating to AIDS and thus carry out their duties effectively and help in forming an enlightened opinion against AIDS.

AIDS: knowledge and attitudes of university students in Nagpur.

The present cross section-I study was conducted on university students to assess the basic level of knowledge regarding AIDS. Mean score obtained by the Science students related to various aspects of AIDS was significantly higher as compared to Arts and Commerce students 94.4% Science students and 86.7%. Arts and Commerce students expressed their desire to learn more about AIDS. This study has identified considerable extent of knowledge and positive attitudes amongst Science students, but Arts and Commerce students had indequate and poor knowledge. The results of this study show that there is a need of effective health education campaign for this high risk group of individuals which will help them to develop the skills to act on their knowledge and communicate it to others.

Low birth weight and associated maternal factors in an urban area.

OBJECTIVE: To study the prevalence of low birth weight (LBW) and its association with maternal factors. DESIGN: Cohort study. SETTING: Urban community. SUBJECTS: Cohort of 210 pregnant women. RESULTS: The LBW prevalence was 30.3%. On multivariate analyses the maternal factors significantly associated with LBW were anemia (OR-4.81), low socioeconomic status (OR-3.96), short birth interval (OR-3.84), tobacco exposure (OR-3.14), height (OR-2.78), maternal age (OR-2.68), body mass index (OR-2.02), and primiparity (OR 1.58). CONCLUSIONS: Anemia, low socioeconomic status, short stature, short birth interval. Tobacco exposure, low maternal age, low body mass index, and primiparity are significantly risk factors for LBW.