A retrospective review of low-birth-weight cases in a tertiary care hospital in Shimla district of Himachal Pradesh

Rakesh Sharma, Pancham Kumar, Ambika Sood, Vipin Roach


Background: Low birth weight (LBW) is a serious public health problem and a leading cause of death in the first month of life. The present study aimed to study the trends of low birth weight in Shimla district of Himachal Pradesh, India.

Methods: Retrospective review of records of Kamla Nehru Hospital, Shimla covering the period January 2016 to December 2020 was done. The total number of low-birth-weight babies each year were retrieved.

Results: A total of 34769 live births took place in Kamla Nehru Hospital, Shimla from 2016 to 2020. Among the total live births, 8479 (24.39%) were having low birth weight (<2500 gm) while 26290 (75.61%) were having normal birth weight (>2500 gm). Out of total 8479 LBW Babies, 7148 (84.3%) were LBW (<2500 gm),1167 (13.76%) were very low birth weight (1000-1500 gm) and 164 (1.93%) were of extremely low birth weight There was continuous decrease in low birth weight from 35.14% in 2016 to 17.51% in 2019. After that it start increasing slightly to 18.9% in 2020.

Conclusions: Over the span of five years, there was continuous decrease in incidence of LBW. Nutritional education during pregnancy and proper Antenatal care (ANC) services needs to be addressed to reduce prevalence of LBW in Himachal Pradesh


Trends, Low birth weight, Kamla Nehru Hospital, Shimla

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WHO. International statistical classification of diseases and relatedhealth problems, tenth revision, 2nd ed. World Health Organization. 2004. Available at: Accessed on 10 May 2021.

Quinn JA, Munoz FM, Gonik B, Frau L, Cutland C, Mallet-Moore T et al. Brighton Collaboration Preterm Birth Working GroupPreterm birth: Case definition & guidelines for data collection, analysis, andpresentation of immunisation safety data. Vaccine. 2016;34(49):6047-56.

Kramer MS. Determinants of low birth weight: methodological assessment andmeta-analysis. Bull World Health Organ. 1987;65(5):663-737.

Badshah S, Mason L, McKelvie K, Payne R, Lisboa PJ. Risk factors for lowbirthweight in the public-hospitals at Peshawar, NWFP-Pakistan. BMC PubHealth. 2008;8:197.

Zaveri A, Paul P, Saha J, Barman B, Chouhan P. Correction: Maternal determinants of low birth weight among Indian children: Evidence from the National Family Health Survey-4, 2015-16. PLOS ONE. 2021;16(4):e0250140.

FHB, Ministry of Health. Strategies to promote optimal fetal growth and minimize the prevalence ofLBW in Sri Lanka: health sector response: Family Health Bureau ministry of health. 2013.

Blencowe H, Krasevec J, de Onis M. National, regional, and worldwide estimates of low birthweight in 2015, with trends from 2000: a systematic analysis. Lancet Glob Health. 2019;7(7):e849-60.

Bhat BV, Adhisivam B. Trends and Outcome of Low Birth Weight (LBW) Infants in India. Indian J Pediatr. 2013;80(1):60-2.

Kumari N, Algur K, Chokhandre PK, Salve PS. Low birth weight among tribal in India: Evidence from National Family Health Survey-4. Clinical Epidemiology and Global Health. 2021;9:360-6.

Jain V, Singhal A. Catch up growth in low birth weight infants: striking a healthy balance. Rev Endocr Metab Disord. 2012;13(2):141-7.

Lawn JE, Davidge R, Paul VK, Soon BT. Care for the preterm baby. Reprod Health ,2013;10(1): S5.

UNICEF. Low birth weight estimates levels and trends. Available at: sources/unicef-who-low-birthweight-estimates-levels-and-trends-2000-2015/ Accessed on 17 June 2021.

Kim D, Saad A. The social determinants of infant mortality and birthoutcomes in western developed nations: across country systematic review.Int J Environ Res Public Health. 2013;10(6):2296-335.