Volume 7, Issue 2 (Spring 2019)                   Iran J Health Sci 2019, 7(2): 9-18 | Back to browse issues page


XML Print


Iran University of Medical Sciences, Rafsanjan, Iran , parvinkhalili61@yahoo.com
Abstract:   (2849 Views)
Background: Low birth weight (LBW) is an effective factor in neonatal mortality and morbidity. Growth retardation and subsequent chronic diseases are other complications of LBW. The goal of the present study was to determine the prevalence and related factors of LBW in Rafsanjan city in 2016.
Methods: This cross-sectional study investigated existing data of all live births born in Niknafas Rafsanjan Maternity Hospital, the main maternity hospital in the city, and other delivery centers, from March 2016 to 2017. The information was analyzed in two stages using univariable, and multivariable logistic regression model, to control the effect of confounding variables.
Results: The prevalence of LBW was 9.7% in Iranian population of which 4.5% had a gestational age of 37 weeks and more. In non-Iranian population (Afghan), the prevalence of LBW was 13.8%, and the percent of gestational age of 37 and more with weight under 2500 gram was 6.7. The main risk factor was gestational age under 37(OR= 38.38). Other important variables in this study that had significant effects after controlling for the confounding were age over 35 years (OR= 1.485), addiction (OR= 4.057), Abortion history (OR= 1.2), Place of living  (Village vs. city) (OR=0.93), Maternal educational Level (OR= 1.85), infant’s gender (Boy vs. girl) (OR= 0.74), and delivery type (OR=1.39)
Conclusion:  Despite the provided health services, there was found a high prevalence of LBW, so delivering quality healthcare for all pregnant women and screening for high-risk pregnancies, such as, prevention of premature delivery, educational interventions, and quality healthcare for high risk groups and beside, more research on the recognition of other risk factors can have important role in LBW prevention.
Full-Text [PDF 485 kb]   (1413 Downloads)    

References
1. Rich-Edwards JW, Buka SL, Brennan RT, Earls F. Diverging associations of maternal age with low birthweight for black and white mothers. International journal of epidemiology. 2003;32(1):83-90. [DOI:10.1093/ije/dyg008] [PMID]
2. Nazari F, Vaisi Z, Sayehmiri K, Vaisani Y, Esteki T. Prevalence and trends of low birth weight in Iran: A systematic review and. Advances in Nursing & Midwifery. 2013;22(79):45-52.
3. Mirzarahimi M, Hazrati S, Ahmadi P, Alijahan R. Prevalence and risk factors for low birth weight in Ardabil, Iran. Iranian Journal of Neonatology IJN. 2013;4(1):18-23.
4. Ramakrishnan U. Nutrition and low birth weight: from research to practice. The American journal of clinical nutrition. 2004;79(1):17-21. [DOI:10.1093/ajcn/79.1.17] [PMID]
5. Jafari F, Eftekhar H, Pourreza A, Mousavi J. Socio-economic and medical determinants of low birth weight in Iran: 20 years after establishment of a primary healthcare network. Public health. 2010;124(3):153-8. [DOI:10.1016/j.puhe.2010.02.003] [PMID]
6. Shan X, Chen F, Wang W, Zhao J, Teng Y, Wu M, et al. Secular trends of low birthweight and macrosomia and related maternal factors in Beijing, China: a longitudinal trend analysis. BMC pregnancy and childbirth. 2014;14:105. [DOI:10.1186/1471-2393-14-105] [PMID] [PMCID]
7. Sutan R, Mohtar M, Mahat AN, Tamil AM. Determinant of low birth weight infants: A matched case control study. Open Journal of Preventive Medicine. 2014; 4(3):91-99. [DOI:10.4236/ojpm.2014.43013]
8. Safari M, Samiee A, Salehi F, Ahmadi SN, Ahmadi SS. The prevalence and related factors of low birth weight. International Journal of Epidemiologic Research. 2016;3(3):214-21.
9. de Bernabé JV, Soriano T, Albaladejo R, Juarranz M, Calle MaE, Martı́nez D, et al. Risk factors for low birth weight: a review. European Journal of Obstetrics and Gynecology and Reproductive Biology. 2004;116(1):3-15. [DOI:10.1016/j.ejogrb.2004.03.007] [PMID]
10. Momeni M, Danaei M, Kermani AJN, Bakhshandeh M, Foroodnia S, Mahmoudabadi Z, et al. Prevalence and risk factors of low birth weight in the Southeast of Iran. International journal of preventive medicine. 2017; 8(1):12. [DOI:10.4103/ijpvm.IJPVM_112_16] [PMID] [PMCID]
11. Golestan M, Akhavan Karbasi S, Fallah R. Prevalence and risk factors for low birth weight in Yazd, Iran. Singapore medical journal. 2011;52(10):730-3.
12. Roudbari M, Yaghmaei M, Soheili M. Prevalence and risk factors of low-birth-weight infants in Zahedan, Islamic Republic of Iran. Eastern Mediterranean Health Journal. 2007;13(4):838-45.
13. Moradi-Lakeh M, Namiranian N. Increasing trend of low birth weight in rural areas of iran: a warning. Iranian journal of pediatrics. 2013;23(1):123-4.
14. Badshah S, Mason L, McKelvie K, Payne R, Lisboa PJ. Risk factors for low birthweight in the public-hospitals at Peshawar, NWFP-Pakistan. BMC public health. 2008;8(1):197. [DOI:10.1186/1471-2458-8-197] [PMID] [PMCID]
15. Suzuki K, Tanaka T, Kondo N, Minai J, Sato M, Yamagata Z. Is maternal smoking during early pregnancy a risk factor for all low birth weight infants? Journal of epidemiology. 2008;18(3):89-96. [DOI:10.2188/jea.JE2007415] [PMID] [PMCID]
16. Chaman R, Amiri M, Raei M, Ajami M-E, Sadeghian A, Khosravi A. Low birth weight and its related risk factors in Northeast Iran. Iranian journal of pediatrics. 2013; 23(6):701.
17. Rezaeian M, Goujani R, Sheikh Fathollahi M, Vaziri Nejad R, Manshori A, Razi S. A comparative study on prevalence of preterm birth and low birth weight in Iranians and Afghans races in Rafsanjan Nik-nafs hospital in 2011-2012. Journal of Rafsanjan University of Medical Sciences. 2014;13(1):67-82. [In Persian]
18. Zeyghami B, Parisay Z. َA Study on Correlation of Mother's Risk Factors with Low Birth Weight of Newborns at a Multiple Regression Model in Kohghiloyeh and Boyerahmad Province in 2004-2005. Armaghane danesh. 2006;10(4):37-45. [In Persian]
19. Delaram M. The incidence and related factors of low birth weight. Iran Journal of Nursing. 2010;23(64):29-36. [In Persian]
20. Vazirinejad R, Khalili P, Rezaeian M, Jamalizadeh A, Puorkarami A. The impact of exposure to pesticides on the risk of gastrointestinal cancer among pistachio farmers; a case-control study. 2015; 4(4):205-212. [DOI:10.18869/acadpub.johe.4.4.205]
21. Chiu Y-H, Williams PL, Gillman MW, Gaskins AJ, Mínguez-Alarcón L, Souter I, et al. Association Between Pesticide Residue Intake From Consumption of Fruits and Vegetables and Pregnancy Outcomes Among Women Undergoing Infertility Treatment With Assisted Reproductive Technology. JAMA internal medicine. 2018;178(1):17-26. [DOI:10.1001/jamainternmed.2017.5038] [PMID] [PMCID]
22. Vazirinejad R, Tajik S, Shamsizadeh A. Occupational Exposure to pesticides and spontaneous abortion among female pistachio farmers: a case-control study. Journal of Occupational Health and Epidemiology. 2012; 1(2): 67-74. [DOI:10.18869/acadpub.johe.1.2.67]
23. Zahed Pasha Y, Esmaeili MR, Haji Ahmadi M, et al. Effect of risk factors on low birth weight neonates. J Babol University Med Sci. 2004;22(6):18-24. [In Persian]
24. Yadav, D. K., Chaudhary, U., & Shrestha, N. Risk factors associated with low birth weight. J Nepal Health Res Counc. 2011 9(19), 159-164.‌
25. Nobile CG, Raffaele G, Altomare C, Pavia M. Influence of maternal and social factors as predictors of low birth weight in Italy. BMC public health. 2007;7(1):192. [DOI:10.1186/1471-2458-7-192] [PMID] [PMCID]

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.