Predictors of Low Birth Weight Infants in the North West Province of Iran: a Case-control Study

Authors

1 Vice-Chancellery for Food and Drug, Maragheh University of Medical Sciences, Maragheh, Iran.

2 Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran & Road Traffic Injury Research Center, Department of Statistics & Epidemiology, Tabriz University of Medical Sciences, Tabriz, Iran.

3 Student Research Committee, School of Nutrition, Tabriz University of Medical Sciences, Tabriz, Iran

4 School of Pharmacy and Medical Sciences, Sansom Institute for Health Research, University of South Australia, South Australia, Australia.

5 Nutrition Research Center, School of Nutrition, Tabriz University of Medical Sciences, Tabriz, Iran.

6 Health Sciences Research Center, Faculty of Health, Mazandaran University of Medical Sciences, Sari, Iran.

7 Department of Community Medicine, School of Medicine, Alborz University of Medical Sciences, Karaj, Iran

8 Health Management Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran.

Abstract

Background: Ninety-five percent of low birth weight infants are born in developing countries. This study was aimed to assess the predictors of low birth in East Azerbaijan, North-west province of Iran.
Materials and Methods: The study was conducted through a hospital based case–control design involving 49 women delivering low birth weight infants and 98 delivering normal weight infants. The data analysis was using SPSS-13 software with bivariate and multivariate methods.
Results: There was a significant positive association between maternal chronological and marriage ages with low birth weight infants (P <0.05). Additionally, there was negative association between maternal weight prior to pregnancy and low birth weight (P <0.05). Interestingly, larger families of more than four members had higher probability for low birth weight infants in comparison to the families with less than four members (OR = 2.86, 95% CI: 1.09-7.47; P-value: 0.032). According to the multivariate logistic regression independent factors associated with low birth weight include higher maternal chronological age (OR = 1.88, 95% CI: 1.29 - 2.75; P-value: 0.001) and marriage age (OR = 4.97, 95% CI: 1.97 - 12.50; P-value: 0.001) and increase in maternal weight prior to pregnancy (OR = 0.60, 95% CI: 0.42 - 0.86; P-value: 0.006).
Conclusion: Major risk predictors of low birth weight in the Iranian female population were maternal age other than 25-30 at delivery, young maternal marriage age and lower maternal weight before pregnancy.

Keywords