Shobana, S (2022) Maternal Risk Factors Associated with term Low Birth Weight Neonates. Masters thesis, Madras Medical College, Chennai.
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Abstract
INTRODUCTION Birth weight of a newborn baby is an important entity to be noted during the postnatal period. It is a single most determinant for survival, growth and development of an infant. It is used directly and indirectly as an indicator of quality of antenatal care of mother. World Health Organization (WHO) defined Low Birth Weight (LBW) as a weight at birth less than 5.5lbs or 2500g. LBW is considered to be a significant public health concern globally and nationally. It is associated with both short term and long term complications. It is a major predictor of prenatal mortality. It is also found that low birth weight babies are at high risk of developing non communicable diseases like diabetes and cardiac diseases later in their lives. In order to prevent low birth weight the health care must be affordable, accessible and appropriate for all pregnant women. AIM OF THE STUDY: To evaluate the maternal risk factors associated with term low birth weight neonates METHODOLOGY: It's a cross sectional study. The study population will be selected based upon the inclusion and exclusion criteria. A pre designed proforma is prepared to collect information needed for the study. The birth weight of the babies are recorded within one hour of the birth using salter's weighing machine. Informed consent will be taken from the study population who are willing to participate. Mothers are interviewed within 24 hours of birth and the available medical records are reviewed. The factors taken into account include age, education, occupation, socio economic class (according to modified kuppusamy scale), gravida, birth spacing, booking status, number of ante natal visits, associated medical illness, pregnancy weight gain (assesed from the twelfth week to term gestation), nutritional status (assesed using BMI with the weight at 37-40 weeks), iron supplementation. Mothers who are not willing to participate and those who doesn't meet the inclusion criteria are excluded from the study. RESULTS: Low birth weight is one amongst the main life threatening neonatal complications after pregnancy. Numerous risk factors are recognized – primigravida, anemia, PIH, Poor pre pregnancy weight, reduced antenatal visits, poor weight gain during pregnancy; however its incidence is usually unpredictable. Adequate antepartum care, early identification of risk factors will facilitate to some extent. Treatment in the main depends on the maternal nutrition and regular antenatal visits. Timely identification and management ideally in an exceedingly tertiary care centre, applicable use of blood and blood products for correction of anaemia will considerably reduce neonatal morbidity and mortality. CONCLUSION: Randomised controlled trials of appropriate power are mandatory to evaluate interventions (for example diet, vitamin supplements and evidence based therapy) to prevent low birth weight. Studies are vital to define the optimal timing of delivery in women with any risk factors. Data regarding maternal determinants are limited. Studies are necessary to determine maternal and foetal predisposing factors in the management of low birth weight.
| Item Type: | Thesis (Masters) |
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| Additional Information: | 221916896 |
| Uncontrolled Keywords: | Maternal Risk Factors, Associated, term Low Birth Weight Neonates. |
| Subjects: | MEDICAL > Obstetrics and Gynaecology > MEDICAL > Obstetrics and Gynaecology |
| Depositing User: | Subramani R |
| Date Deposited: | 17 Apr 2022 07:09 |
| Last Modified: | 29 Nov 2023 03:43 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/19308 |
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