title: Maternal risk factors associated with term low birth weight neonates: a matched-pair case control study.
abstract: OBJECTIVE
  To study maternal risk factors associated with full term low birth weight (LBW) neonates.
  
  
  METHODS
  Matched pair case control study.
  
  
  METHODS
  Multicenter study including 2 medical colleges and 1 civil hospital, between July 2009 to December 2009.
  
  
  METHODS
  Of 2382 neonates screened, 274 full term LBW babies (of 638) and 274 pair matched controls (of 1744) were included in the study. 364 LBW babies were excluded because of premature delivery/gestational age not known (314), unavailability of suitable matched controls (18), and insufficient data (32).
  
  
  METHODS
  Maternal factors including birth spacing, height, pre-delivery weight and pregnancy weight gain, age, parity, educational and economic status, type of family, antenatal care (ANC), maternal exposure to tobacco, hypertension and anemia were studied.
  
  
  RESULTS
  Birth spacing <36 months, maternal height ≤ 145 cm, pre-delivery weight ≤ 55 kg, pregnancy weight gain <6 kg, exposure to tobacco, inadequate antenatal care, maternal hypertension, low socio-economic status, maternal anemia and less maternal education were associated with delivery of a low birth weight infants. Conditional logistic regression analysis showed that significant risk factors associated with low birth weight were inadequate ANC (OR-4.98, 95% CI-2.64 to 9.39), maternal weight before delivery ≤ 55 kg (OR-4.81, 95% CI-2.53 to 9.15) and height ≤ 145 cm (OR-4.13, 95% CI-2.04 to 8.37).
  
  
  CONCLUSIONS
  Maternal malnutrition, inadequate antenatal care and poor weight gain during pregnancy are significant predictors for delivery of a low birth weight neonate.
authors: Department of Community Medicine, NDMVPS Medical College, Nashik, India. sachinmumbare2000@yahoo.com
authors: Sachin S
authors: SS
authors: Mumbare
authors: Girish
authors: G
authors: Maindarkar
authors: Rajesh
authors: R
authors: Darade
authors: Surekha
authors: S
authors: Yenge
authors: Madhav Kumar
authors: MK
authors: Tolani
authors: Kiran
authors: K
authors: Patole
mesh_terms: D016022:Case-Control Studies; D005260:Female; D005317:Fetal Growth Retardation / Q000453:epidemiology / Q000209:etiology*; D006801:Humans; D007194:India / Q000453:epidemiology; D007230:Infant, Low Birth Weight; D007231:Infant, Newborn; D016015:Logistic Models; D018811:Maternal Exposure / Q000706:statistics & numerical data; D011247:Pregnancy; D011295:Prenatal Care; D012307:Risk Factors; D047929:Term Birth; D015430:Weight Gain