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ISSN: 2395 - 0471

Original Article

1 Department of Community Medicine and

Public Health, Institute of Medicine, 4 Deans Office, Institute of Medicine, Tribhuvan University, 2 Valley College of
Technical Sciences, Purbanchal University, 3 CIST College, Pokhara University, Baneswor, Tribhuvan Uni versity, Kathmandu, Nepal.
*Corresponding author email: ka runa 201@gma i l .com

Received: 21st Feb 2015, Accepted: 10th Mar 2015.

ABSTRACT

KEYWORDS:

INTRODUCTION

Int J Clin and Biomed Res. 2015;1(2): 12-18

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A Prospective Cohort Study On Incidence And Risk Factors For Low Birth Weight Among Institutional Deliveries In Kathmandu, Nepal

MATERIALS AND METHODS

Shakya Karuna Let al.

RESULTS

STATISTICAL ANALYSIS

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Shakya Karuna Let al.

A Prospective Cohort Study On Incidence And Risk Factors For Low Birth Weight Among Institutional Deliveries In Kathmandu, Nepal

Table 1. Risk estimates of maternal anthropometry, food restriction and obstetric history factor to LBW
Maternal risk factors

Weight (kg)
<45
45
Height (cm)
<145
145
BMI (kg/m2)
<18.5
18.5
Food restriction
No
Yes
History on LBW
No
Yes
History of preterm
No
Yes

Newborn weight
LBW
No. (%)
N=151
114 (76.5)
37 (7.0)
N=151
33 (25.6)
118 (21.5)
N=151
25 (61.0)
126 (19.8)
N=151
133(22.4)
18(21.4)
N=97
52 (21.1)
45 (19.1)
N=52
47 (19.9)
5 (45.5)

NBW
No. (%)
N=526
35 (23.5)
491 (93.0)
N=526
96 (74.4)
430 (78.5)
N=526
16 (39.0)
510 (80.2)
N=526
460(77.6)
66(78.6)
N=386
195 (78.9)
191 (80.9)
N=195
189 (80.1)
6 (54.5)

Total
No. (%)
N=677
149
528
N=677
129
548
N=677
41
636
N=677
593
84
N=483
247
236
N=247
236
11

P value

RR
for LBW

0.000

10.92 (7.90-15.08)
Ref

0.320

1.19 (0.85-1.66)
Ref

0.000

3.08 (2.30-4.12)
Ref

0.837

1.05 (0.68-1.62)

0.000

0.30 (0.18-.50)
Ref

0.042

0.44 (0.23-0.88)
Ref

Table 2. Risk estimation of Institutional care during pregnancy factors to LBW


Risk factors

Gravida
Primigravida
M ultigravida
Parity
Primiparity
M ultiparity
ANC visits (times)
<4
4
Iron (tabs)
<180
180

Newborn weight
LBW
No. (%)
N=151
99 (23.0)
52 (21.1)
N=52
48 (21.7)
4 (15.4)
N=151
7 (17.1)
144 (22.6)
N=151
46 (20.4)
100 (23.7)

Int J Clin and Biomed Res. 2015;1(2): 12-18

NBW
No. (%)
N=526
331 (77.0)
195 (78.9)
N=195
173 (78.3)
22 (84.6)
N=526
34 (82.9)
492 (77.4)
N=526
180 (79.6)
322 (76.3)

Total
No. (%)
N=677
430
247
N=247
221
26
N=677
41
636
N=677
226
422

P value

RR
for LBW

0.553

1.09 (0.81-1.47)
Ref

0.454

1.41 (0.55-3.6)
Ref

0.406

0.75 (0.38-1.50)
Ref

0.837

0.86 (0.63-1.17)
Ref

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A Prospective Cohort Study On Incidence And Risk Factors For Low Birth Weight Among Institutional Deliveries In Kathmandu, Nepal

Shakya Karuna Let al.

Table 3. Binary logistic regression analysis of maternal


anthropometry and obstetric history

Sig.

Factors

95% CI for
EXP (B)

Exp
(B)

Lower Upper
Maternal weight (<45/45) kg

0.00

50.27 28.08

90.00

Maternal height (<145/145) cm 0.13

0.60

0.30

1.17

BMI (<18.5/18.5)

0.55

0.76

0.31

1.86

History on LBW (No/Yes)

0.08

7.05

0.88

56.54

History on preterm (No/Yes)

0.64

0.62

0.08

4.58

Table 4. Linear regression of maternal weight and LBW


(coefficients)

Unstandardized
Coef f icients
Model

Std.
Error

3.89

0.21

Maternal
weight
-0.08
(<45/45)kg

0.00

(Constant)

Standard
ized
Coef f icie
nts

95% CI f or B
t

Sig.

B eta

-0.57

DISCUSSION

Lower

Uppe
r

18.96

0.00

3.49

4.29

-17.91

0.00

-0.09

-0.07

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A Prospective Cohort Study On Incidence And Risk Factors For Low Birth Weight Among Institutional Deliveries In Kathmandu, Nepal

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A Prospective Cohort Study On Incidence And Risk Factors For Low Birth Weight Among Institutional Deliveries In Kathmandu, Nepal

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REFERENCES

CONCLUSION

ACKNOWLEDGEMENT

CONFLICT OF INTEREST

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A Prospective Cohort Study On Incidence And Risk Factors For Low Birth Weight Among Institutional Deliveries In Kathmandu, Nepal

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