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Maternal anthropometric measurements and other factors: relation with birth weight of neonates

  • Tabrizi, Fatemeh Moghaddam (Department of Studies in Food Science and Nutrition, University of Mysore) ;
  • Saraswathi, G. (Department of Studies in Food Science and Nutrition, University of Mysore)
  • Received : 2011.05.04
  • Accepted : 2011.07.16
  • Published : 2012.04.30

Abstract

The objective of this study was to examine the influence of anthropometric measurements of pregnant women, gestational weight gain, fundal height, and maternal factors, namely age, education, family income, parity along with maternal hemoglobin, on birth weight of neonates. A cross sectional study was performed in Khoy City in north west of Iran. Four hundred and fifty healthy pregnant women in the age between 16-40 years were selected for this study from seven health urban centers and one referral hospital. Findings showed that the mean age, height, fundal height, maternal weight, and gestational weight gain during pregnancy were 26.1 years, 159.1 cm, 32.9 cm, 72.0 kg, 11.8 kg respectively. The mean birth weight of neonates was 3.2 kg and 11% of neonates showed low birth weight. Age, family income, maternal height, weight, gestational weight gain and fundal height were significantly associated with birth weight of neonates. Using binary logistic regression analysis, fundal height, maternal hemoglobin, family income and gestational weight gain of pregnant women could be considered as predictive factors of birth weight of neonates.

Keywords

References

  1. UNICEF. Progress for Children: A Report Card on Nutrition. Other Nutrition Indicators, Low Birthweight. New York: UNICEF; 2006.
  2. Godfrey KM, Barker DJ. Fetal nutrition and adult disease. Am J Clin Nutr 2000;71:1344S-1352S. https://doi.org/10.1093/ajcn/71.5.1344s
  3. Boucher BJ. Determinants of size at birth. QJM 2002;95:331-3. https://doi.org/10.1093/qjmed/95.5.331
  4. Joseph KS, Kramer MS. Recent trends in infant mortality rates and proportions of low-birth-weight live births in Canada. CMAJ 1997;157:535-41.
  5. Whitaker AH, Van Rossem R, Feldman JF, Schonfeld IS, Pinto-Martin JA, Tore C, Shaffer D, Paneth N. Psychiatric outcomes in low-birth-weight children at age 6 years: relation to neonatal cranial ultrasound abnormalities. Arch Gen Psychiatry 1997;54:847-56. https://doi.org/10.1001/archpsyc.1997.01830210091012
  6. Fraser AM, Brockert JE, Ward RH. Association of young maternal age with adverse reproductive outcomes. N Engl J Med 1995;332:1113-7. https://doi.org/10.1056/NEJM199504273321701
  7. Lee KS, Ferguson RM, Corpuz M, Gartner LM. Maternal age and incidence of low birth weight at term: a population study. Am J Obstet Gynecol 1988;158:84-9. https://doi.org/10.1016/0002-9378(88)90783-1
  8. Abrams B, Newman V. Small-for-gestational-age birth: maternal predictors and comparison with risk factors of spontaneous preterm delivery in the same cohort. Am J Obstet Gynecol 1991;164:785-90. https://doi.org/10.1016/0002-9378(91)90516-T
  9. Karim E, Mascie-Taylor CG. The association between birthweight, sociodemographic variables and maternal anthropometry in an urban sample from Dhaka, Bangladesh. Ann Hum Biol 1997;24:387-401. https://doi.org/10.1080/03014469700005152
  10. Osrin D, de L Costello AM. Maternal nutrition and fetal growth: practical issues in international health. Semin Neonatol 2000;5:209-19. https://doi.org/10.1053/siny.2000.0024
  11. Neggers Y, Goldenberg RL, Cliver SP, Hoffman HJ, Cutter GR. The relationship between maternal and neonatal anthropometric measurements in term newborns. Obstet Gynecol 1995;85:192-6. https://doi.org/10.1016/0029-7844(94)00364-J
  12. Mavalankar DV, Trivedi CC, Gray RH. Maternal weight, height and risk of poor pregnancy outcome in Ahmedabad, India. Indian Pediatr 1994;31:1205-12.
  13. Mathews F, Youngman L, Neil A. Maternal circulating nutrient concentrations in pregnancy: implications for birth and placental weights of term infants. Am J Clin Nutr 2004;79:103-10. https://doi.org/10.1093/ajcn/79.1.103
  14. Abrams B, Altman SL, Pickett KE. Pregnancy weight gain: still controversial. Am J Clin Nutr 2000;71:1233S-1241S. https://doi.org/10.1093/ajcn/71.5.1233s
  15. Sachdev HP. Low birth weight in South Asia. Int J Diabetes Dev Ctries 2001;21:13-3.
  16. Young PV. Scientific Social Surveys and Research. Englewood Cliffs, NJ: Prentice-Hall; 1987. p.186.
  17. Report of a WHO Expert Committee. WHO Technical Report Series, No. 854. Geneva: World Health Organization; 1995.
  18. Gammon A, Baker SJ. Studies in methods of haemoglobin estimation suitable for use in public health programmes. Indian J Med Res 1977;65:150-6.
  19. MacLeod S, Kiely JL. The effects of maternal age and parity on birthweight: a population-based study in New York City. Int J Gynaecol Obstet 1988;26:11-9. https://doi.org/10.1016/0020-7292(88)90191-9
  20. Rondo PH, Maia Filho NL, Valverde KK. Symphysis-fundal height and size at birth. Int J Gynaecol Obstet 2003;81:53-4. https://doi.org/10.1016/S0020-7292(02)00407-1
  21. Deshmukh JS, Motghare DD, Zodpey SP, Wadhva SK. Low birth weight and associated maternal factors in an urban area. Indian Pediatr 1998;35:33-6.
  22. Heude B, Thiebaugeorges O, Goua V, Forhan A, Kaminski M, Foliguet B, Schweitzer M, Magnin G, Charles MA; EDEN Mother-Child Cohort Study Group. Pre-pregnancy body mass index and weight gain during pregnancy: relations with gestational diabetes and hypertension, and birth outcomes. Matern Child Health J 2012;16:355-63. https://doi.org/10.1007/s10995-011-0741-9
  23. Li YM, Chang TK. Maternal demographic and psyhosocial factors associated with low birth weight in eastern Taiwan. Kaohsiung J Med Sci 2005;21:502-10. https://doi.org/10.1016/S1607-551X(09)70158-5
  24. Celik Y, Younis MZ. Effects of antenatal care services on birthweight: importance of model specification and empirical procedure used in estimating the marginal productivity of health inputs. J Med Syst 2007;31:197-204. https://doi.org/10.1007/s10916-007-9055-2
  25. Morrison J, Williams GM, Najman JM, Andersen MJ. The influence of paternal height and weight on birth-weight. Aust N Z J Obstet Gynaecol 1991;31:114-6. https://doi.org/10.1111/j.1479-828X.1991.tb01795.x
  26. Zhang X, Cnattingius S, Platt RW, Joseph KS, Kramer MS. Are babies born to short, primiparous, or thin mothers "normally" or "abnormally" small? J Pediatr 2007;150:603-7. https://doi.org/10.1016/j.jpeds.2007.01.048
  27. Jeffery BS, Pattinson RC, Makin J. Symphysis-fundal measurement as a predictor of low birthweight. Early Hum Dev 2001;63:97-102. https://doi.org/10.1016/S0378-3782(01)00145-1
  28. Dare FO, Ademowore AS, Ifaturoti OO, Nganwuchu A. The value of symphysio-fundal height/abdominal girth measurements in predicting fetal weight. Int J Gynaecol Obstet 1990;31:243-8. https://doi.org/10.1016/0020-7292(90)91018-L
  29. Merchant SS, Momin IA, Sewani AA, Zuberi NF. Effect of prepregnancy body mass index and gestational weight gain on birth weight. J Pak Med Assoc 1999;49:23-5.
  30. Steer P, Alam MA, Wadsworth J, Welch A. Relation between maternal haemoglobin concentration and birth weight in different ethnic groups. BMJ 1995;310:489-91. https://doi.org/10.1136/bmj.310.6978.489
  31. Malhotra M, Sharma JB, Batra S, Sharma S, Murthy NS, Arora R. Maternal and perinatal outcome in varying degrees of anemia. Int J Gynaecol Obstet 2002;79:93-100. https://doi.org/10.1016/S0020-7292(02)00225-4
  32. Yazdani M, Tadbiri M, Shakeri S. Maternal hemoglobin level, prematurity, and low birth weight. Int J Gynaecol Obstet 2004;85:163-4. https://doi.org/10.1016/j.ijgo.2003.07.004
  33. Yekta Z, Ayatollahi H, Porali R, Farzin A. The effect of prepregnancy body mass index and gestational weight gain on pregnancy outcomes in urban care settings in Urmia-Iran. BMC Pregnancy Childbirth 2006;6:15. https://doi.org/10.1186/1471-2393-6-15
  34. Elshibly EM, Schmalisch G. The effect of maternal anthropometric characteristics and social factors on gestational age and birth weight in Sudanese newborn infants. BMC Public Health 2008;8:244. https://doi.org/10.1186/1471-2458-8-244
  35. Jafari F, Eftekhar H, Pourreza A, Mousavi J. Socio-economic and medical determinants of low birth weight in Iran: 20 years after establishment of a primary healthcare network. Public Health 2010;124:153-8. https://doi.org/10.1016/j.puhe.2010.02.003
  36. Neggers Y, Goldenberg RL. Some thoughts on body mass index, micronutrient intakes and pregnancy outcome. J Nutr 2003;133:1737S-1740S. https://doi.org/10.1093/jn/133.5.1737S
  37. Abrams B, Newman V, Key T, Parker J. Maternal weight gain and preterm delivery. Obstet Gynecol 1989;74:577-83.
  38. Institute of Medicine. Nutrition During Pregnancy. Washington, D.C.: National Academy Press; 1990.

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