Browsing by Author "Gupta, Sweta Kumari"
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Publication Maternal Smoking during Pregnancy and its Association with Low Birth Weight(Nepal Paediatric Society (JNPS), 2022) Shrestha, Manju; Mandal, Anju; Gupta, Sweta Kumari; Baidya, ManishAbstract: Introduction: Maternal smoking has been an important risk factor for low birth weight (LBW), preterm birth as well as small for gestational age. In this study, we try to analyze the association of maternal smoking during the different stages of pregnancy with outcome of birth weight. Methods: This is a cross-sectional hospital-based study, which was undertaken comprising of 1240 singleton live born baby in a Tertiary Care Teaching Hospital, Nepal. The enrollment occurred between June 2012 and May 2016 (Four years) among mothers who smoked any time during the current pregnancy. Based on the amount of smoking, the mothers with cigarette smoking were divided into four groups which includes: preconception, the first trimester, second trimester and third trimester. The data analyses were performed using Logistic regression and 95% confidence interval along with p-value. A p-value < 0.05 was considered statistically significant. Results: Of a total of 1240 singleton births, 328 (26.5%) were LBW. Among them, 149 (12.1%) of the mothers reported smoking during pregnancy. When compared with the nonsmoking groups, all the maternal smoking groups had higher incidences of LBW infants, especially when the mothers smoked > 10 cigarettes / day and during any stage of conception. Conclusions: Smoking during pregnancy is associated with an increased incidence of LBW among the infants. In addition, the newborns of mothers who smoked >10 cigarettes / day were most susceptible to having LBW, irrespective of the stage of pregnancy during which the mothers smoked.Publication Socio Economic and Maternal Reproductive factors affecting Low Birth Weight Babies in Central Nepal(Nepal Paediatric Society (JNPS), 2016) Shrestha, Manju; Gupta, Sweta Kumari; Sharmah, Bhawani Kant; Baidya, ManishAbstract: Introduction: Low Birth weight is one of the most sensitive and reliable predictors of health and also an essential determinant of mortality, morbidity and disability in infancy and childhood. Globally, about one sixth of all newborns are low birth weight (LBW <2500 grams), which is the single most important underlying risk factors for neonatal deaths. It is estimated that 18 million babies are born with Low Birth Weight and half of them are born in south Asia. Over three – quarters of newborns death in Nepal occur in LBW babies. The estimates of prevalence of LBW in Nepal have ranged from 14% in community based studies to 32% in hospital based ones, overall being 27%.Objectives were to study the various socioeconomic and maternal reproductive factors related to low birth weight babies in Central regional part of Nepal. Material and Methods: Cross-sectional and observational study was undertaken from October 2012 to September 2014 comprising of 350 singleton live born baby admitted in NICU of Tertiary Care Teaching Hospital, Chitwan. Results: The common risks factors for LBW were significantly associated with low socio- economic status, maternal age, maternal education, occupation of mother, maternal smoking, maternal alcohol intake, number of ANC visit with significant p-value of <0.05. Conclusion: LBW mostly associated with maternal factors can be addressed directly by improving the socioeconomic factors (maternal age, educational level and economic status) and health status of pregnant women by supplementations, family planning services and female education.