:: Volume 23, Issue 2 (Scientific Journal of Kurdistan University of Medical Sciences 2018) ::
SJKU 2018, 23(2): 46-56 Back to browse issues page
Investigation of the factors related to low birth weight in the south of Iran: a case-control study
Afsaneh Rajizadeh 1, Shoeib Samimi Dr2, Mohsen Momeni Dr * 3
1- Health Services Management Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.
2- Jiroft University of Medical Sciences, Jiroft, Kerman, Iran.
3- Assistant Professor Department of Community Medicine, Social Determinants of Health Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran. , m.momeni@kmu.ac.ir
Abstract:   (482 Views)
Background and Aim: Since birth weight is one of the most important health indicators, we decided to investigate the factors related to the low birth weight (LBW) of the infants in the south of Kerman Province.
Material and Method: This case-control study included 300 cases of neonates in Jiroft City. 150 neonates with low birth weight (less than 2500 g) were placed in the case group and our control group included 150 neonates with normal birth weights. Data were extracted from the health documents of the neonates and categorized into four groups including demographic data of the parents, pregnancy data, parental risk behaviors and infant characteristics. Using  SPSS software version 20, data were analyzed by single and multivariate logistic regression.
Results: Single-variable regression analysis showed the possibility of having LBW neonate was higher in the mothers over 35 years of age, or with a history of illness, smoking and drug abuse compared to the neonates in other groups. Also, poor care, old age of fathers and high maternal weight were associated with an increased rate of LBW. Multivariate regression analysis revealed a significant difference between all the above - mentioned variables except the age of the fathers, in relation to LBW of the neonates. In addition, low birth weight was more likely in the babies born through cesarean section and neonates born to the mothers with high school diploma compared to the neonates in other groups.
Conclusion: Prevention of pregnancy at an older age, mothers' education about avoiding drug use and smoking, as well as prenatal care are suitable measures for prevention of LBW.
Keywords: Low birth weight, Pregnancy, Birth weight, Risk factor.
 
Received: Oct 24, 2017     Accepted: Apr 9, 2018
 
Keywords: Low birth weight, Pregnancy, Birth weight, Risk factor.
Full-Text [PDF 835 kb]   (151 Downloads)    
Type of Study: Research | Subject: General
Received: 2018/05/31 | Accepted: 2018/05/31 | Published: 2018/05/31
References
1. Mărginean C, Mărginean CO, Bănescu C, Meliţ L, Tripon F, Iancu M. Impact of demographic, genetic, and bioimpedance factors on gestational weight gain and birth weight in a Romanian population. Medicine (Baltimore) 2016; 95: e4098. [DOI:10.1097/MD.0000000000004098]
2. World Health Organization (WHO). Global Nutrition Targets 2025: Low birth weight policy brief. WHO 2014: 1–8.
3. Momeni M, Esfandyarpour R, Danaei M. The neglected sociobehavioral risk factors of low birth weight. Soc Determ Heal 2016; 1: 97–103.
4. Unicef. Undernourishment in the womb can lead to diminished potential and predisposes infants to early death. New York: United Nations Children's Fund; 2014. Available from: http://data.unicef.org/nutrition/low-birthweight.
5. Momeni M, Danaei M, Kermani AJN, Bakhshandeh M, Foroodnia S, Mahmoudabadi Z, et al. Prevalence and risk factors of low birth weight in the Southeast of Iran. Int J Prev Med 2017; 8: 12. [DOI:10.4103/ijpvm.IJPVM_112_16]
6. Mathews TJ, MacDorman MF. Infant mortality statistics from the 2004 period linked birth/infant death data set. Natl Vital Stat Rep. 2007; 55: 1-32.
7. Barker DJP. The developmental origins of chronic adult disease. Acta Paediatr 2004; 93: 26–33. [DOI:10.1111/j.1651-2227.2004.tb00236.x]
8. Morrison KM, Ramsingh L, Gunn E, Streiner D, Van Lieshout R, Boyle M, et al. Cardiometabolic health in adults born premature with extremely low birth weight. Pediatrics 2016; 138: e20160515. [DOI:10.1542/peds.2016-0515]
9. Stein LJ, Cowart BJ, Beauchamp GK. Salty taste acceptance by infants and young children is related to birth weight: longitudinal analysis of infants within the normal birth weight range. Eur J Clin Nutr 2006; 60: 272. [DOI:10.1038/sj.ejcn.1602312]
10. Abel KM, Wicks S, Susser ES, Dalman C, Pedersen MG, Mortensen PB, et al. Birth weight, schizophrenia, and adult mental disorder: is risk confined to the smallest babies?. Arch Gen Psychiatry 2010; 67: 923–30. [DOI:10.1001/archgenpsychiatry.2010.100]
11. Slemming W, Bello B, Saloojee H, Richter L. Maternal risk exposure during pregnancy and infant birth weight. Early Hum Dev 2016; 99: 31–6. [DOI:10.1016/j.earlhumdev.2016.03.012]
12. Asefa F, Nemomsa D. Gestational weight gain and its associated factors in Harari Regional State: Institution based cross-sectional study, Eastern Ethiopia. Reprod Health 2016; 13: 101. [DOI:10.1186/s12978-016-0225-x]
13. Robinson O, Martínez D, Aurrekoetxea JJ, Estarlich M, Somoano AF, Í-iguez C, et al. The association between passive and active tobacco smoke exposure and child weight status among Spanish children. Obesity 2016; 24: 1767–77. [DOI:10.1002/oby.21558]
14. Płotka J, Narkowicz S, Polkowska Ż, Biziuk M, Namieśnik J. Effects of addictive substances during pregnancy and infancy and their analysis in biological materials. Rev Environ Contam Toxicol 2014; 227: 55-77. [DOI:10.1007/978-3-319-01327-5_2]
15. Kramer MS. Determinants of low birth weight: methodological assessment and meta-analysis. Bull World Health Organ 1987; 65: 663.
16. Kheirouri S, Alizadeh M. Impact of Prenatal Maternal Factors and Birth Order on the Anthropometric Status of Newborns in Iran. J Biosoc Sci 2017; 49: 251–64. [DOI:10.1017/S0021932016000353]
17. Mohammad K, Kassab M, Gamble J, Creedy DK, Foster J. Factors associated with birth weight inequalities in Jordan. Int Nurs Rev 2014; 61: 435–40. [DOI:10.1111/inr.12120]
18. Tootoonchi P. Low birth weight among newborn infants at Tehran hospitals. Iran J Pediatr 2007; 17: 186–92. [In Persian]
19. Canto MJ, Reus A, Cortés S, Ojeda F. Pregnancy outcome in a Spanish population of women beyond age 40 delivered above 32 weeks' gestation. J Matern Neonatal Med 2012; 25: 461–6. [DOI:10.3109/14767058.2011.629246]
20. Fukuda S, Tanaka Y, Harada K, Saruwatari A, Kitaoka K, Odani K, et al. High Maternal Age and Low Pre-Pregnancy Body Mass Index Correlate with Lower Birth Weight of Male Infants. Tohoku J Exp Med 2017; 241: 117–23. [DOI:10.1620/tjem.241.117]
21. Pereira PP da S, Da Mata FAF, Figueiredo ACG, de Andrade KRC, Pereira MG. Maternal active smoking during pregnancy and low birth weight in the americas: A systematic review and meta-analysis. Nicotine Tob Res 2017; 19: 497–505. [DOI:10.1093/ntr/ntw228]
22. Dharashivkar S, Wasser L, Baumgartner RN, King JC, Winters SJ. Obesity, maternal smoking and SHBG in neonates. Diabetol Metab Syndr 2016; 8: 1–7. [DOI:10.1186/s13098-016-0158-0]
23. Chen ZY, Yao Y. A synergistic negative effect of gestational smoke-exposure and small litter size on rat placental efficiency, vascularisation and angiogenic factors mRNA expression. PLoS One 2017; 12: 1–11. [DOI:10.1371/journal.pone.0181348]
24. Haugen M, Brantsæter AL, Winkvist A, Lissner L, Alexander J, Oftedal B, et al. Associations of pre-pregnancy body mass index and gestational weight gain with pregnancy outcome and postpartum weight retention: a prospective observational cohort study. BMC Pregnancy Childbirth 2014; 14: 201. [DOI:10.1186/1471-2393-14-201]
25. Mcdonald SD, Han Z, Mulla S, Lutsiv O, Lee T. High Gestational Weight Gain and the Risk of Preterm Birth and Low Birth Weight : A Systematic Review and Meta-Analysis. J Obstet Gynaecol Can 2011; 33: 1223-33. [DOI:10.1016/S1701-2163(16)35107-6]
26. Shah PS. Paternal factors and low birthweight, preterm, and small for gestational age births: a systematic review. Am J Obstet Gynecol 2010; 202: 103–23. [DOI:10.1016/j.ajog.2009.08.026]
27. Abel EL, Kruger M, Burd L. Effects of Maternal and Paternal Age on Caucasian and Native American Preterm Births and Birth Weights. Amer J Perinatol 2002;19:49–54. [DOI:10.1055/s-2002-20173]
28. Ramasamy R, Chiba K, Butler P, Lamb DJ. Male biological clock: a critical analysis of advanced paternal age. Fertil Steril 2015;103:1402–6. [DOI:10.1016/j.fertnstert.2015.03.011]
29. Pinzón-Rondón ÁM, Gutiérrez-Pinzon V, Madri-an-Navia H, Amin J, Aguilera-Otalvaro P, Hoyos-Martínez A. Low birth weight and prenatal care in Colombia: a cross-sectional study. BMC Pregnancy Childbirth 2015; 15: 118. [DOI:10.1186/s12884-015-0541-0]
30. Dai LL, Mao YY, Luo XM, Shen YP. Prenatal care in combination with maternal educational level has a synergetic effect on the risk of neonatal low birth weight: New findings in a retrospective cohort study in Kunshan City, China. PLoS One 2014; 9: 1–13. [DOI:10.1371/journal.pone.0113377]



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