Determinants of very low birth weight in India: The National Family Health Survey – 4

Scaria, Liss Maria; Soman, Biju; George, Babu; Ahamed, Zulfikar; Hariharan, Sankar Vaikom; Jeemon, Panniyammakal

doi:10.12688/wellcomeopenres.17463.1

Cited by 3 publications

(4 citation statements)

References 41 publications

(39 reference statements)

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“…Studies found about 4% decline in LBW from NFHS-3 to NFHS-4 due to a significant improvement of maternal health in India since 2005 by national-level health programs, but no such improvement of LBW was found between NFHS-4 and NFHS-5 [ 12 , 19 – 21 ]. According to the findings of a study on NFHS-4, LBW was influenced by a low family wealth index, lower maternal education, and delivery at home, emphasising the need for region-specific identification of linked factors responsible for LBW and strategies to address them [ 22 , 23 ]. Hence, it is crucial to investigate what the region-specific contributing factors are for the lack of progress in LBW between NFHS-4 and NFHS-5.…”

Section: Introductionmentioning

confidence: 99%

Regional with urban–rural variation in low birth weight and its determinants of Indian children: findings from National Family Health Survey 5 data

Kundu,

Ghosh,

Chhetri

et al. 2023

BMC Pregnancy Childbirth

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Background Low birth weight is a key indicator for child health, especially a concern in low-middle-income countries. However, health and medically-related reforms are being actively implemented in some middle-income countries like India. Identifying low birth weight (LBW) babies with their determinants across the whole country is essential to formulate regional and area-specific interventions. The objective of this study was to find out the burden and determinants of LBW on the regional and residential (rural–urban) divisions of India. Methods The present study was based on the NFHS-5 dataset (2019–21), a nationally representative survey in India. A total of 209,223 births were included in this study. A newborn weighing less than 2500 g was considered as LBW. According to the objectives, we used frequency distribution, chi-square test and binary logistic regression analysis for analysing the data. Results About 18.24% of the babies were LBW in India, significantly higher in rural areas than in urban areas (18.58% vs 17.36%). Regionally prevalence was more frequent in western (20.63%) and central (20.16%) rural areas. Regarding maternal concerns, in the eastern and southern regions of India, mothers aged 25–34 were less likely to have LBW children than mothers aged 35–49 years. It was found that the risk of LBW was more likely among the children born out of unintended pregnancies in almost all regions except for eastern part. In rural India, women who delivered children at home were more likely to have LBW children in India (AOR = 1.19, CI: 1.12–1.28, p < 0.001) and its central, northern, and southern regions than those who gave birth in institutions. The study indicates that LBW coexists with lower maternal education levels and poor household wealth index across all regions. About 58% and 57% of cumulative effects of independent variables on LBW can be distinguished in urban and rural India, respectively. Conclusions Targeted-specific strategies need to be undertaken as per region and geographical variations. Then only India should be able to decline LBW as proposed by National Health Policy.

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Section: Introductionmentioning

confidence: 99%

Regional with urban–rural variation in low birth weight and its determinants of Indian children: findings from National Family Health Survey 5 data

Kundu,

Ghosh,

Chhetri

et al. 2023

BMC Pregnancy Childbirth

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“…Incidence of LBW babies in India is 15.8% [3]. We found 104 LBW babies among 360 babies, that is, 28.9%.…”

Section: Discussionmentioning

confidence: 66%

“…This is 9% in the case of Latin America [2]. India contributes about 15.8% of the incidence of LBW [3].…”

Section: Introductionmentioning

confidence: 99%

Factors Associated With Low Birth Weight Baby: A Cross-Sectional Study in a Tertiary Care Hospital

Mukherjee,

Ghatak,

Ghosh

et al. 2023

Asian J Pharm Clin Res

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Objectives: Low birth weight (LBW) is a challenging multifaceted public health problem due to its association with increased risk of morbidity and mortality of infants. Both community and institution-based studies are needed to find out the lacunae regarding the occurrence of LBW babies so that effective strategies which are relevant to the local conditions can be adopted for its prevention. We conducted this study to estimate the prevalence and determine the factors associated with LBW in the live-born infants delivered in a tertiary care hospital. Methods: This was an observational and cross-sectional questionnaire-based study done in the Department of Pharmacology and Department of Gynecology and Obstetrics in this tertiary care hospital. Mothers who gave birth to their baby in the Obstetrics Ward were included in the study. The subjects underwent a face-to-face interview using a suitably designed and validated questionnaire and the data were collected. Results: A total of 360 subjects were interviewed. About 34.7% of mothers were below 20 years of age. The majority of the mothers had education up to secondary level (58.33%) and were housewife (82.22%). About 58.2% of mothers belonged to a family size of 5–10 members. Among the 104 LBW infants, 63.46% were small for date and 36.54% were pre-term. The mean weight of the newborn was 2.54 kg. Maternal age, number of family members, number of anti-natal care visits, anemia and maternal weight gain during pregnancy were associated with LBW (p<0.05). No significant differences were found among the newborns with and without LBW regarding variables such as religion, family type, maternal addiction, previous abortion, and tetanus toxoid taken by the mother. Conclusion: As LBW is the major cause of perinatal morbidity and mortality, every step should be taken for its prevention. In this regard, proper maternal education for antenatal care and regular visits to antenatal care clinics should be done. Field workers may help to impart correct knowledge of diet through proper health education besides providing other advices such as delaying the age of the first child, birth spacing, and family planning services utilization.

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“…LBW is defined as birth weight below 2,500 grams, and it is a significant public health problem in India as well as throughout the world. Infants weighing less than 1,500 grams are considered as VLBW, and it is associated with significant morbidity and mortality rates [ 29 ]. Even though there is a global decline in the child mortality rate, India's infant mortality rate remains higher than 30 per 1,000 live births.…”

Section: Reviewmentioning

confidence: 99%

Unlocking the Potential: A Systematic Literature Review on the Impact of Donor Human Milk on Infant Health Outcomes

Kashyap,

Choudhari

2024

Cureus

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Human mother milk is considered the most healthy and best source of nutrition for both premature and full-term infants, as it possesses many health benefits and is associated with its consumption. Some of the mothers are not able to produce an adequate quantity of milk to meet the required needs of the infants, particularly in cases involving premature births or facing challenges in breastfeeding. Especially for the most vulnerable premature infants, donor human milk (DHM) provides a helpful bridge for effective breastfeeding. Even with the advancement in baby formulas, no other dietary source can match the bioactive matrix of benefits found in human breast milk. This literature review discusses the risks associated with prematurity and explores the use of DHM in the care of premature infants. It helps prevent substantial preterm complications, especially necrotizing enterocolitis, bronchopulmonary dysplasia, and late-onset sepsis, which are more commonly seen in infants who are given formulated milk made from cow's milk. It gives insights into the benefits of DHM, such as immunological and nutritional benefits, which is a basic infant’s need. When medical distress prevents mothers from producing enough breast milk for their infants, pasteurized human donor breast milk should be made accessible as an alternative feeding option to ensure infants remain healthy and nourished. A systematic literature search was conducted using PubMed and Google Scholar databases and other sources. A total of 104 articles were searched, of which 35 were included after identification, filters were applied, eligibility was checked, and references out of scope were excluded. Human milk banking should be incorporated into programs encouraging breastfeeding, highlighting lactation in mothers and only using DHM when required.

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Determinants of very low birth weight in India: The National Family Health Survey – 4

Cited by 3 publications

References 41 publications

Regional with urban–rural variation in low birth weight and its determinants of Indian children: findings from National Family Health Survey 5 data

Regional with urban–rural variation in low birth weight and its determinants of Indian children: findings from National Family Health Survey 5 data

Factors Associated With Low Birth Weight Baby: A Cross-Sectional Study in a Tertiary Care Hospital

Unlocking the Potential: A Systematic Literature Review on the Impact of Donor Human Milk on Infant Health Outcomes

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