A Study of Factors Associated with Low Birth Weight in a Tertiary Care Centre in Rural South India

ABSTRACT

Low birth weight (LBW) is a significant indicator of child survival and future morbidity in any community all over the world. It has reduced considerably in developing countries due to improved living conditions and better care of women and adolescent girls. However, in developing countries, it is still an important cause of child mortality and morbidity. LBW is typically multifactorial at different levels such as maternal, fetal, and environmental factors. Objectives: The objectives are as follows (1) To assess the prevalence of LBW in a tertiary care setting in a rural area and (2) to determine various sociodemographic factors associated with LBW and degree of association of each. Materials and Methods: A record based study was conducted at Adichunchanagiri Hospital and Research Centre, wherein all singleton live births data for 1 year (January 1, 2016–December 31, 2016) were accessed from the MRD section of AH and RC. All available data were analyzed using percentages, odds ratio, and Multivariate analysis. Results: Overall, the prevalence of LBW was 15.89% (194 LBW out of 1221 live births). Female babies (17.12%), Teenage mothers (19.37%), Rural residence (15.94%), Maternal Hypertension (21%), and Shorter spacing between pregnancies (17.47%), and Preterm (62%) were some associated factors with LBW. Of all the above risk factors, teenage mothers, spacing, and gestational age were found to be statistically significantly associated with LBW. Conclusions: Although declining in most communities, LBW still remains unacceptably high in many undeveloped regions. It requires a multi-pronged approach by a team of dedicated professionals to reduce this problem afflicting mankind.