Risk factors for maternal anaemia and low birth weight in pregnant women living in rural India: a prospective cohort study

Objective: The aim of this prospective study was to estimate the prevalence and risk factors for maternal anaemia and low birth weight in pregnant women living in Maharashtra state, India. Study design: Prospective study Methods: Women between 3 to 5 months of pregnancy were recruited from 34 vi...

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Main Authors: Ahankari, Anand S., Myles, Puja R., Dixit, J.V., Tata, Laila J., Fogarty, Andrew W.
Format: Article
Published: Elsevier 2017
Subjects:
Online Access:https://eprints.nottingham.ac.uk/44179/
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author Ahankari, Anand S.
Myles, Puja R.
Dixit, J.V.
Tata, Laila J.
Fogarty, Andrew W.
author_facet Ahankari, Anand S.
Myles, Puja R.
Dixit, J.V.
Tata, Laila J.
Fogarty, Andrew W.
author_sort Ahankari, Anand S.
building Nottingham Research Data Repository
collection Online Access
description Objective: The aim of this prospective study was to estimate the prevalence and risk factors for maternal anaemia and low birth weight in pregnant women living in Maharashtra state, India. Study design: Prospective study Methods: Women between 3 to 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 (MCV) of 80.5 fl/cell, (standard deviation: 7.22, range: 53.4 to 93.8). Increased risk of anaemia was seen in women with consanguineous marriages (odds ratio (OR): 2.41, 95% Confidence Interval (CI): 1.16 to 5.01, p=0.01) after adjustment for potential confounding factors. Post-delivery data from full-term singleton live births demonstrated a 7% prevalence of low birth weight. Consanguineous marriage was a major risk for low birth weight (OR: 4.10, 95% CI: 1.25 to 13.41, p=0.02). The presence of maternal anaemia during 3 to 5 months of pregnancy was associated with lower risk of low birth weight (unadjusted OR: 0.34, 95% CI: 0.13 to 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 low birth weight.
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spelling nottingham-441792020-05-04T19:54:57Z https://eprints.nottingham.ac.uk/44179/ Risk factors for maternal anaemia and low birth weight in pregnant women living in rural India: a prospective cohort study Ahankari, Anand S. Myles, Puja R. Dixit, J.V. Tata, Laila J. Fogarty, Andrew W. Objective: The aim of this prospective study was to estimate the prevalence and risk factors for maternal anaemia and low birth weight in pregnant women living in Maharashtra state, India. Study design: Prospective study Methods: Women between 3 to 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 (MCV) of 80.5 fl/cell, (standard deviation: 7.22, range: 53.4 to 93.8). Increased risk of anaemia was seen in women with consanguineous marriages (odds ratio (OR): 2.41, 95% Confidence Interval (CI): 1.16 to 5.01, p=0.01) after adjustment for potential confounding factors. Post-delivery data from full-term singleton live births demonstrated a 7% prevalence of low birth weight. Consanguineous marriage was a major risk for low birth weight (OR: 4.10, 95% CI: 1.25 to 13.41, p=0.02). The presence of maternal anaemia during 3 to 5 months of pregnancy was associated with lower risk of low birth weight (unadjusted OR: 0.34, 95% CI: 0.13 to 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 low birth weight. Elsevier 2017-10 Article PeerReviewed Ahankari, Anand S., Myles, Puja R., Dixit, J.V., Tata, Laila J. and Fogarty, Andrew W. (2017) Risk factors for maternal anaemia and low birth weight in pregnant women living in rural India: a prospective cohort study. Public Health, 151 . pp. 63-73. ISSN 0033-3506 Pregnancy Anaemia Low birth weight Consanguineous marriage India https://www.sciencedirect.com/science/article/pii/S0033350617302263 doi:10.1016/j.puhe.2017.06.023 doi:10.1016/j.puhe.2017.06.023
spellingShingle Pregnancy
Anaemia
Low birth weight
Consanguineous marriage
India
Ahankari, Anand S.
Myles, Puja R.
Dixit, J.V.
Tata, Laila J.
Fogarty, Andrew W.
Risk factors for maternal anaemia and low birth weight in pregnant women living in rural India: a prospective cohort study
title Risk factors for maternal anaemia and low birth weight in pregnant women living in rural India: a prospective cohort study
title_full Risk factors for maternal anaemia and low birth weight in pregnant women living in rural India: a prospective cohort study
title_fullStr Risk factors for maternal anaemia and low birth weight in pregnant women living in rural India: a prospective cohort study
title_full_unstemmed Risk factors for maternal anaemia and low birth weight in pregnant women living in rural India: a prospective cohort study
title_short Risk factors for maternal anaemia and low birth weight in pregnant women living in rural India: a prospective cohort study
title_sort risk factors for maternal anaemia and low birth weight in pregnant women living in rural india: a prospective cohort study
topic Pregnancy
Anaemia
Low birth weight
Consanguineous marriage
India
url https://eprints.nottingham.ac.uk/44179/
https://eprints.nottingham.ac.uk/44179/
https://eprints.nottingham.ac.uk/44179/