Impact of the integrated child development services (ICDS) on maternal nutrition and birth weight in rural Varanasi.
OBJECTIVE
To evaluate the impact of ICDS on maternal nutrition and birth weight.


METHODS
28 ICDS and 21 non-ICDS villages in two adjoining blocks of Varanasi.


METHODS
5289 pregnancies were registered during 1987-1993 in these two blocks. In the ICDS block 916 and 1453 nutrition supplemented and unsupplemented, respectively and 1748 of the non-ICDS live births with weight recorded within 48 h formed the study subjects.


RESULTS
The ICDS supplemented mothers gained 100g more in pregnancy and birth weight was higher by 58 g (p < 0.05) as compared to unsupplemented ICDS mothers. Birth weight in unsupplemented ICDS areas was 25g higher as compared to non ICDS area. ICDS supplemented women had a significantly smaller proportion of low birth weight babies (14.4%) compared to ICDS unsupplemented (20.4%) and non-ICDS women (26.3%). The corresponding prevalence of preterm births was 2.0, 2.4 and 4.3%, respectively (P < 0.001). Multiple regression analysis showed that increased wight gain in pregnancy, length of gestation, caloric intake and term hemoglobin were significantly associated with birth weight. However, the length of gestation was not influenced by factors improving the birth weight.


CONCLUSIONS
Undernourished pregnant women are benefitted by late pregnancy nutrition supplement
Agarwal
K N
KN
Department of Pediatrics, Institute of Medical Sciences, Varanasi - 221 005 and University College of Medical Sciences, Delhi 110 095, India. kna_noida@hotmail.com
Agarwal
D K
DK
Agarwal
A
A
Rai
S
S
Prasad
R
R
Agarwal
S
S
Singh
T B
TB
D000328:Adult; D001724:Birth Weight; D002662:Child Health Services / Q000458:organization & administration*; D002675:Child, Preschool; D003191:Comprehensive Health Care / Q000458:organization & administration*; D019587:Dietary Supplements; D005260:Female; D006801:Humans; D007194:India; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D009747:Nutritional Physiological Phenomena; D011247:Pregnancy; D015397:Program Evaluation; D019035:Rural Health Services / Q000458:organization & administration*