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ORIGINAL ARTICLE Table of Contents   
Year : 2019  |  Volume : 44  |  Issue : 2  |  Page : 97-101
Antenatal risk scoring scale for predication of low birth weight and its validity


1 Krishna Institute of Nursing Sciences, Karad, Maharashtra, India
2 Department of Community Medicine, Krishna Institute of Medical Sciences, Deemed to be University, Karad, Maharashtra, India
3 Department of Obstetrics and Gynaecology, Krishna Institute of Medical Sciences, Deemed to be University, Karad, Maharashtra, India

Correspondence Address:
Prof. Avinash Hindurao Salunkhe
“Gajanan Prasad” Near Malai Bungalow Scheme, Koyana Vasaha, Malakapur Karad, Satara - 415 539, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijcm.IJCM_263_18

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Background: Prediction of low birth weight (LBW) early during pregnancy may prevent LBW by appropriate interventions. Aims/Objective: The aim of the study is to develop an antenatal risk scoring scale for prediction of LBW. Subject and Methods: Routine and in-depth information on diet, occupation, and rest was collected from November 1, 2013, to November 13, 2015. A cohort of 1876 and subset of 380 pregnant women attending Krishna Hospital Karad, Maharashtra, India. Statistical Analysis: Multivariate analysis and relative risks (RRs) were found out by SPSS version 16 and tested on a separate set of 251 mothers. Results: The frequency of meals of <4, hard work <6 h of sleep and illiteracy, antenatal morbidity, <10 kg weight gain, <40 kg maternal weight, and anemia during the first trimester were the risk factors identified from subset and cohort, respectively. Based on their RRs, a new scoring system with a total score of 24 and cutoff “12” was identified by using receiver operating characteristics (ROC) curve analysis with 98.6% sensitivity and 41.1% specificity as tested on 251-independent individuals. The second cutoff of “15” score was identified based on the prevalence of LBW in babies of these 251 mothers. Conclusions: The identification of low-, moderate-, and high-risk of LBW was possible at <12, between 12 and 15, and >15 scores, respectively, with good sensitivity and specificity.


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