Jangid Sunil, Chauhan Pooja, Mehta Vaibhav, Patel Mitali, Mahyavanshi Darshan, Das Vatte Katte
Department of Community Medicine, Assistant Professor, NAMO Medical Education and Research Institute, Sayli Road, Silvassa, UT of DNH and DD, India.
Department of Community Medicine, Associate Professor, NAMO Medical Education and Research Institute, Sayli Road, Silvassa, UT of DNH and DD, India.
Indian J Community Med. 2024 Mar-Apr;49(2):375-379. doi: 10.4103/ijcm.ijcm_916_22. Epub 2024 Mar 7.
The world is not on track to meet the World Health Assembly (WHA) global target on Low Birth Weight (LBW). To estimate the prevalence and to identify the associated determinants of LBW among the newborns.
We conducted a cross-sectional study among the 364 mothers registered under the all government health facilities of Dadra & Nagar Haveli (DNH) during November 2021 to January 2022.
The prevalence of LBW was found to be 39%. On uni-variable logistic regression, live in relationship, caste, weight of mother, Body Mass Index (BMI), weight gain <5 kg in 2nd and 3rd trimester, high-risk pregnancy, complication present in previous pregnancy and preterm delivery, while on multi-variable logistic regression, weight gain <5 kg in 2nd and 3rd trimester (AOR 2, 95% CI 1.007-4.2) and having high-risk pregnancy (AOR 2, 95% CI 1.1-3.0) were found to be the significant predictors of LBW among the newborns.
We conclude from the study that the prevalence of low birth weight among the newborn was high. There is a need to address maternal and child health issues like low birth weight, malnutrition and high-risk pregnancy under the RMNCAH+N program through various effective interventions. Future research should evaluate the feasibility of collaborative activities between RMNCAH+N program and the UNICEF in India.
全球未能实现世界卫生大会（WHA）关于低出生体重（LBW）的全球目标。旨在估计新生儿低出生体重的患病率，并确定其相关决定因素。
我们于2021年11月至2022年1月期间，对在达德拉和纳加尔哈维利（DNH）所有政府卫生设施登记的364名母亲进行了一项横断面研究。
发现低出生体重的患病率为39%。单变量逻辑回归显示，同居关系、种姓、母亲体重、体重指数（BMI）、孕中期和孕晚期体重增加<5千克、高危妊娠、既往妊娠并发症和早产与低出生体重有关；而多变量逻辑回归显示，孕中期和孕晚期体重增加<5千克（调整后比值比[AOR]为2，95%置信区间[CI]为1.007 - 4.2）和高危妊娠（AOR为2，95%CI为1.1 - 3.0）是新生儿低出生体重的重要预测因素。
我们从该研究得出结论，新生儿低出生体重的患病率很高。需要通过各种有效干预措施，在生殖、孕产妇、新生儿、儿童和青少年卫生与营养（RMNCAH+N）计划下解决低出生体重、营养不良和高危妊娠等母婴健康问题。未来的研究应评估RMNCAH+N计划与联合国儿童基金会在印度开展合作活动的可行性。
