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ORIGINAL ARTICLE
Year : 2018  |  Volume : 45  |  Issue : 3  |  Page : 129-135

Maternal predictors of low birth weights: Audit of data of delivery room register at a Tertiary Health Center of Sub-Himalayan Region


1 Department of Community Medicine, Dr. Rajendra Prasad Government Medical College, Kangra at Tanda, Himachal Pradesh, India
2 Department of Community Medicine, ESIC Medical College and Hospital, Faridabad, Haryana, India
3 Department of Obstetrics and Gynecology, Dr. Rajendra Prasad Government Medical College, Kangra at Tanda, Himachal Pradesh, India

Correspondence Address:
Dr. Mitasha Singh
Department of Community Medicine, ESIC Medical College and Hospital, Faridabad, Haryana
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jss.JSS_16_18

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Background: Birth weight is an indicator of social and economic development of any country. It predicts the status of women of country and the resources invested in them so that they deliver healthy child. The proportion of low birth weight (LBW) has reduced in India in the past few decades; however, we have still a long way to go. Objective: We aimed to conduct an audit of retrospective data from the records of labor room of a Tertiary Care Center of Dr. Rajendra Prasad Government Medical College, Kangra at Tanda, Himachal Pradesh. Methodology: A retrospective data mining of records of the labor room wards (delivery rooms) was conducted from January to June 2016 at Tertiary Care Center of Dr. Rajendra Prasad Government Medical College, Kangra at Tanda, Himachal Pradesh. LBW was our outcome of interest. Results: Out of the total 3738 deliveries conducted, 1251 (33.46%) of babies born were LBW, and there were 100 intrauterine deaths and 12 stillbirths with a total of 112 (2.9%) deaths. Age, height of mother, backward caste, history of pregnancy-induced hypertension, preterm delivery, one living child of mother, multiple fetuses, and cesarean section in current pregnancy were significant predictors after controlling for confounders. Conclusion: The higher proportion of LBW in tertiary center as compared to state-level data shows that secondary prevention in the form of early identification of high-risk cases, and timely referral to higher centers is functioning well in this part of the country. However, the community-based primary prevention efforts are still given a low preference.


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