Risk factors for maternal anaemia and low birth weight in pregnant women living in rural India: a prospective cohort study.
Public Health
; 151: 63-73, 2017 Oct.
Article
em En
| MEDLINE
| ID: mdl-28743049
ABSTRACT
OBJECTIVE:
The aim of this prospective study was to estimate the prevalence and risk factors for maternal anaemia and low birth weight (LBW) in pregnant women living in Maharashtra state, India. STUDYDESIGN:
This is a prospective study.METHODS:
Women between 3 and 5 months of pregnancy were recruited from 34 villages based in Maharashtra state. Baseline data collection, anthropometric measurements and blood investigations were performed. Participants were followed-up to record birth weight.RESULTS:
In total, 303 women were eligible, and 287 (95%) provided data. 77% were anaemic, defined as haemoglobin less than 11.0 g/dl at the time of recruitment, with a mean corpuscular volume of 80.5 fl/cell (standard deviation 7.22, range 53.4-93.8). The increased risk of anaemia was seen in women with consanguineous marriages (odds ratio [OR] 2.41, 95% confidence interval [CI] 1.16-5.01, P = 0.01) after adjustment for potential confounding factors. Postdelivery data from full-term singleton live births demonstrated a 7% prevalence of LBW. Consanguineous marriage was a major risk factor for LBW (OR 4.10, 95% CI 1.25-13.41, P = 0.02). The presence of maternal anaemia during 3-5 months of pregnancy was associated with lower risk of LBW (unadjusted OR 0.34, 95% CI 0.13-0.92, P = 0.03).CONCLUSION:
About 30% of our study participants were in a consanguineous marriage, which was identified as a potentially avoidable risk factor for both anaemia and LBW.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
População Rural
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Recém-Nascido de Baixo Peso
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Anemia
Tipo de estudo:
Etiology_studies
/
Observational_studies
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Prevalence_studies
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Prognostic_studies
/
Risk_factors_studies
Aspecto:
Determinantes_sociais_saude
Limite:
Adolescent
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Adult
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Female
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Humans
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Newborn
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Pregnancy
País/Região como assunto:
Asia
Idioma:
En
Revista:
Public Health
Ano de publicação:
2017
Tipo de documento:
Article