Nutritional Risk Factors of Low Birth Weight Among poor Rural Mothers from Maharashtra, India.

Rao, Shobha

doi:10.15226/jnhfs.2017.001104

Cited by 4 publications

(6 citation statements)

References 17 publications

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“…Both mean birth weight and length at birth increased as maternal nutritional status improved from lower tertile to higher tertile for each indicator. Differences observed in mean birth weight for babies of mothers in the lower and higher tertile were similar to those reported from a study in rural areas of Maharashtra [ 21 ]. However, there aren’t any studies reporting the association of maternal HC with that of stunting at birth.…”

Section: Discussionsupporting

confidence: 87%

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Compromised maternal nutritional status in early pregnancy and its relation to the birth size in young rural Indian mothers

Gokhale

Rao²

2021

BMC Nutr

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Background Low birth weight is highly prevalent in rural India. As a chronic undernutrition problem, poor birth outcomes are closely related to various nutritional factors more prominently the poor maternal anthropometry at conception. The purpose of the study was to identify how compromised maternal nutritional status in early pregnancy affects the birth size of rural Indian mothers. Methods It was a prospective observational study on singleton pregnant women (n = 204) from 14 villages in Mulshi Taluka of Pune District, Maharashtra, India. Maternal weight (Wt), height (Ht), body fat percent (BF%), head circumference (HC), and sitting height (SHT) were measured at early pregnancy (< 13 weeks of gestation) and infants’ weight and length were measured within 24 h of birth. Groups means were tested using a ‘t’ test while the trend in means was tested using ANOVA. Results Mothers were young (21.46 ± 2.09 yrs), thin (46.46 ± 6.1 kg), short (153.39 ± 5.79 cm), and poorly nourished (19.74 ± 2.41 kg/m2). Mean birth weight was low (2655 ± 507 g) and prevalence of LBW and stunting at birth was highest among mothers in the lower tertile of each of the anthropometric indicators. In particular, stunting was significantly higher for mothers in lower tertile compared to higher tertile of Wt (44.6 Vs 64.6%) and was also true for HC (43.7 Vs 60.6%). Risk for LBW and stunting at birth was almost similar and was significant (p < 0.01) for mothers in the lower tertile of Wt, Ht, BMI, SHT, HC, and BF% as compared to those in the higher tertile of these measurements. Conclusion All the anthropometric indicators of current undernutrition at first trimester as well as that in utero reflected by smaller HC, impose risk for LBW and stunting at birth especially among young rural mothers.

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Section: Discussionsupporting

confidence: 87%

“…The tape was placed on the widest part of the forehead and around the widest part of the back of the head while measuring. The body fat % was measured using an analyzer HBF 210 Omron Corporation validated and used in other Indian studies [ 21 , 22 ] as well.…”

Section: Methodsmentioning

confidence: 99%

Compromised maternal nutritional status in early pregnancy and its relation to the birth size in young rural Indian mothers

Gokhale

Rao²

2021

BMC Nutr

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“…A study done by Shobha Rao at rural hospital Talegaon, Maharashtra, observed that 32% mothers have BMI was below 18.5%. 11 The study revealed that out of 350 mothers 94 (26.9%) mothers were short stature having height <145 cm, in this study there was significant correlation between maternal height and birth weight of baby. But in study done by Ayesha khan in Lyari General Hospital, Karachi found that in 37% patient with LBW, maternal height was less than five feet.…”

Section: Discussionmentioning

confidence: 48%

A study to assess clinico-epidemiological profile and outcome of low birth weight babies admitted to neonatal intensive care unit of a tertiary care hospital

Sanadhya

Asif

Meena

et al. 2021

Int J Contemp Pediatr

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Background: Low birth weight (LBW) contributes substantially to neonatal, infant and childhood morbidity as well as mortality. Across the world neonatal mortality is 20 times more likely for low birth weight babies compared to heavier babies (>2.5 kg). Proportion of LBW babies at birth in Rajasthan is 14%. The present study is proposed to explore the determinants of LBW in babies admitted at tertiary care hospital. The objective of the study was to study the clinic-epidemiological profile and outcome of LBW neonates; to study various factors associated with LBW.Methods: This study was a hospital based descriptive cross-sectional study, carried out at NICU of MBGH, R.N.T Medical College, Udaipur, Rajasthan. The study population comprised of all LBW babies delivered in medical college attached hospital and admitted in NICU, for duration of one year from September 2019 to august 2020. Total 350 babies were enrolled in study as per calculated sample size.Results: LBW was found to be associated with low maternal age, low level of mother education, maternal anemia, less BMI, stature of mothers, number of ANC visits, poor maternal weight gain during pregnancy, per-capita income, etc. Most common cause of mortality was found in LBW was septicemia and of morbidity was RDS.Conclusions: The identified risk factors in our study were modifiable and many were preventable. Maternal age, education of mothers, nutrition of mothers, anaemia status, number of ANC visits by mothers are preventable causes. Demographic profile, socio-economic status; many medical and obstetric factors are modifiable.

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“…However, they were attending CHBH for antenatal care because they were deemed to be at risk during pregnancy due to comorbidities such as hypertension, diabetes or HIV. Research highlights that individual factors, such as maternal nutritional status, dietary practices and maternal behaviours such as smoking contribute to poor foetal growth and low birth weight (Bailey & Byrom, 2007 ; He et al, 2018 ; Kataoka et al, 2018 ; Rao & Raje, 2017 ; Sharma & Mishra, 2014 ). Based on this and our findings, we suggest that father involvement alone, especially in the context of low marriage and cohabitation rates and high unemployment and poverty, is not sufficient to improve birth weight.…”

Section: Discussionmentioning

confidence: 99%

Father involvement, maternal depression and child nutritional outcomes in Soweto, South Africa

Drysdale

Slemming

Makusha

et al. 2021

Maternal & Child Nutrition

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Father involvement in South Africa is low, despite evidence that it can improve maternal and child health and wellbeing. Within a larger randomised controlled trial, we assessed whether father involvement during and after pregnancy increased birth weight and exclusive breastfeeding through improved maternal mental health. At 6‐week postnatal, mothers completed questionnaires on birth, feeding practices, social support, father involvement and postnatal depression. Father involvement during pregnancy was measured by their attendance at antenatal care and the study intervention, whereas postnatal involvement was measured by attendance at antenatal care and type of paternal support provided. Structural equation modelling was used to identify associations between father involvement, maternal depression, low birth weight and exclusive breastfeeding. Among the 212 mother–baby pairs, father involvement was very low with only 43%, 33% and 1% of partners attending early ultrasound, antenatal care and the birth of the child, respectively. Twenty‐nine percent of the mothers showed signs of depression during pregnancy, compared with 7% after birth. Eighteen percent of the infants were born low birth weight, and 57% of mothers reported exclusively breastfeeding at 6 weeks. Father involvement was directly associated with postnatal depression, but it did not directly or indirectly impact exclusive breastfeeding or low birth weight. We conclude that postnatal father involvement can improve postnatal maternal depression and that men would benefit from specific guidance on how they can support mothers during and after pregnancy.

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Nutritional Risk Factors of Low Birth Weight Among poor Rural Mothers from Maharashtra, India.

Cited by 4 publications

References 17 publications

Compromised maternal nutritional status in early pregnancy and its relation to the birth size in young rural Indian mothers

Compromised maternal nutritional status in early pregnancy and its relation to the birth size in young rural Indian mothers

A study to assess clinico-epidemiological profile and outcome of low birth weight babies admitted to neonatal intensive care unit of a tertiary care hospital

Father involvement, maternal depression and child nutritional outcomes in Soweto, South Africa

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