DETERMINANTS OF LOW BIRTH WEIGHT AMONG UNDER- 5 CHILDREN IN A RURAL AREA OF WEST BENGAL.

  • Dr. Aparajita Dasgupta Prof. and Head of the Dept. of P.S.M, AIIH&PH, Kolkata.
  • Dr. Ishita Sarkar Junior Resident,M.D. Community Medicine , AIIH&PH, Kolkata
  • Dr. Bhaskar Shahbabu Junior Resident,MD Community Medicine PGT, AIIH&PH, Kolkata
  • Dr. Sudipta Das Junior Resident, M.D. Community Medicine , AIIH&PH, Kolkata.
  • Dr. Malay Kumar Das Junior Resident, M.D. Community Medicine PGT, AIIH&PH, Kolkata.
  • Dr. Kaushik Sarkar Junior Resident, M.D. Community Medicine PGT, AIIH&PH, Kolkata
Keywords: Low birth weight, univariate analysis, multiple logistic regression

Abstract

Objectives: Birth weight is one of the most important determinants of neonatal and infant survival. A cross-sectional clinic-based retrospective study was conducted in a rural area of West Bengal with the aim of finding out the magnitude of low birth weight among Under-5 children and to elicit its determinants.

Method: The present study was undertaken in the immunization clinics of rural health centers of Singur Block which is under the rural field practice area of All India Institute of Hygiene & Public Health, Kolkata. All Under-5 children who came for immunization during the study period were taken as the study population. Data were collected by interviewing the mother with the help of a predesigned and pretested schedule and from the previous antenatal records.

Results: The proportion of low birth weight (<2500 g) was 23.3%. Firstly a univariate analysis was done. The variables which were found to be significant were entered into the multiple logistic regression model. P-value of <0.05 was considered significant. The significant variables in the multivariate analysis were poor weight gain during pregnancy, anemia, and preterm gestation with Adjusted Odds Ratio (Confidence Interval) 5.22(1.94-14.05), 2.94(1.19-7.26) and 4.18(1.4-12.45) respectively.

Conclusion: Proper Antenatal care, adequate dietary intake, sufficient consumption of IFA tablets, and timely treatment of anemia and hypertension during pregnancy can go a long way to address the problem of low birth weight among rural children.

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References

1. World Health Organization, International statistical classification of diseases and related health problems, tenth revision, World Health Organization, Geneva, 1992.
2. Park K. Textbook of Preventive and Social Medicine: Maternal and child health. 23rd edition, Banarasidas Bhanot, 2015,pp.535-537.
3. Paul VK, Deorari AK, Singh M. Management of Low Birth Weight Babies: IAP Text Book of Pediatrics: 2nd edition, Jaypee Brothers Medical Publishers Pvt. Ltd,2002, pp. 60-61.
4. Gopalan C. Low Birth Weight: Significance and Implications: Nutrition in Children Developing Country Concerns: Edited: Sachdev HPS, Choudhury P. Dept. of Pediatrics, Maulana Azad Medical College New Delhi, 1994,pp.1-33.
5. Blanc AK, Wardlaw T. Monitoring low birth weight: an evaluation of international estimates and an updated estimation procedure, Bulletin WHO, 83 (3), March 2005.
6. Data Gaps for Low Birth Weight - The Global Nutrition Report. http://www.who.int/nutrition/topics/nutrition_globaltargets2025/en/, accessed March 10, 2015.
7. Dasgupta A, Basu R. Determinants of low birth weight in a Block of Hooghly, West Bengal: A multivariate analysis, Int J Biol Med Res. 2011; 2(4): 838 – 842
8. NFHS 3 Report. International Institute for Population Sciences. National Family Health Survey (NFHS-3), 2005–06: India: Volume I. Mumbai, India: IIPS; 2007. Available from http://www.rchiips.org/nfhs/report.shtml.
9. Biswas R, Dasgupta A, Sinha RN, Chaudhury RN. An Epidemiological Study of Low Birth Weight Newborns in the district of Puruliya, West Bengal. Indian J Public Health Apr-Jun 2008;52(2):65-71.
10. Balaji K, Sankar S, Balaji N. Low Birth Weight of Newborns: Magnitude of the Problem Seen in a 100 Bed Hospital of a Rural Area in Vellore District, Tamil Nadu (India).Indian J Com Med April 2010,35(2):362-364.
11. Negi KS, Kandpal SD, Kukreti M. Epidemiological factors affecting Low Birth Weight. J K Science Jan-Mar 2006;8(1):31-4.
12. Dowding VM. A new assessment of the effect of birth order and socioeconomic class on birth weight.Br Med J 1981; 282:683-686.
13. Kramer, M.S., 'Determinants of Low Birth Weight: Methodological assessment and meta-analysis', Bulletin of the World Health Organization, vol. 65, no. 5, 1987, pp. 663–737.
14. Manna N, Sarkar J, Baur B, Basu G, Bandyopadhyay. Socio-Biological Determinants of Low Birth Weight: a community-based study from rural field practice area of Medical College, Kolkata, West Bengal (India), IOSR Journal of Dental and Medical Sciences (IOSR-JDMS)e-ISSN: 2279-0853, p-ISSN: 2279-0861. Volume 4, Issue 4 (Jan.- Feb. 2013), pp. 33-39.
How to Cite
1.
Dasgupta A, Sarkar I, Shahbabu B, Das S, Das MK, Sarkar K. DETERMINANTS OF LOW BIRTH WEIGHT AMONG UNDER- 5 CHILDREN IN A RURAL AREA OF WEST BENGAL. Med. res. chronicles [Internet]. 2015Apr.15 [cited 2024Nov.25];2(2):209-16. Available from: https://medrech.com/index.php/medrech/article/view/73
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Original Research Article