Abstract:
Background: Low birth weight (LBW), defined as less than 2,500 grams, remains a significant public health concern globally, with multiple maternal factors influencing neonatal outcomes. Specific Background: Although LBW neonates can survive and thrive, inadequate maternal knowledge about its risk factors can contribute to preventable cases. Knowledge Gap: Limited studies in Iraq assess maternal awareness regarding LBW causes, especially in the context of sociodemographic variables. Aims: This study aimed to evaluate mothers’ knowledge of LBW risk factors during pregnancy at the Maternal and Pediatric Hospital in Diwaniyah, Iraq. Results: Among 64 mothers aged 18–45, most demonstrated fair knowledge (mean = 1.92) regarding LBW risk factors. Notably, 40.6% exhibited good knowledge on daily activities, but 35.9% had low awareness of medication-related risks. Age showed a significant correlation with knowledge (p = 0.011), while academic achievement and economic status did not. Novelty: This study uniquely identifies age—not education or income—as a significant determinant of maternal knowledge on LBW, challenging traditional assumptions about health literacy. Implications: Findings underscore the need for targeted, age-sensitive educational interventions to improve maternal awareness and reduce LBW incidence, regardless of socioeconomic status or educational background.
Highlighhts:
Low birth weight linked to maternal knowledge gaps.
Assess mothers’ awareness of LBW risk factors.
Most mothers had fair knowledge; age influenced awareness.
Keywords: Assessment, Mothers, Knowledge, Risk Factors, Pregnancy, Low Birth Weight
References
D. E. Ballot, T. F. Chirwa, and P. A. Cooper, "Determinants of survival in very low birth weight neonates in a public sector hospital in Johannesburg," BMC pediatrics, vol. 10, pp. 1-11, 2010.
A. Dalal, S. Chauhan, and D. Bala, "Epidemiological determinants of low birth weight in Ahmedabad city: A facility-based case-control study," 2014.
M. Perry, F. Becerra, J. Kavanagh, A. Serre, E. Vargas, and V. Becerril, "Community-based interventions for improving maternal health and for reducing maternal health inequalities in high-income countries: a systematic map of research," Globalization and health, vol. 10, pp. 1-12, 2014.
F. Anjum, T. Javed, M. F. Afzal, and G. A. Sheikh, "Maternal risk factors associated with low birth weight: A case-control study," Annals of King Edward Medical University, vol. 17, pp. 223-223, 2011.
S. Anthony, L. den Ouden, R. Brand, P. Verloove-Vanhorick, and J. B. Gravenhorst, "Changes in perinatal care and survival in very preterm and extremely preterm infants in The Netherlands between 1983 and 1995," European Journal of Obstetrics & Gynecology and Reproductive Biology, vol. 112, pp. 170-177, 2004.
A. Bhatti, S. Naz, E. Majid, and N. Bhatti, "Maternal risk factors associated with low birth weight babies," Medical channel, vol. 16, pp. 334-338, 2010.
W. M. Callaghan, M. F. MacDorman, S. A. Rasmussen, C. Qin, and E. M. Lackritz, "The contribution of preterm birth to infant mortality rates in the United States," Pediatrics, vol. 118, pp. 1566-1573, 2006.
T. J. Cole, Y. Statnikov, S. Santhakumaran, H. Pan, N. Modi, N. D. A. Unit, et al., "Birth weight and longitudinal growth in infants born below 32 weeks’ gestation: a UK population study," Archives of disease in childhood-fetal and neonatal edition, vol. 99, pp. F34-F40, 2014.
O. S. E.-D. Al-Madhoun, A. O. A. Hasira, S. A. Hegazy, and S. S. Abu-Naser, "Low Birth Weight Prediction Using JNN," 2020.
S. Ganesh Kumar, H. Harsha Kumar, S. Jayaram, and M. Kotian, "Determinants of low birth weight: a case control study in a district hospital in Karnataka," The Indian Journal of Pediatrics, vol. 77, pp. 87-89, 2010.
Y. Memon, S. Sheikh, and A. Memon, "Maternal risk factors affecting birth weight of newborn," JLUMHS, vol. 94, 2005.
I. Zainel, H. Abdul-Ra'aoof, and A. Tiryag, "Mothers' knowledge and attitudes towards her children with neonatal jaundice: A cross-sectional study," Health Education and Health Promotion, vol. 10, pp. 565-570, 2022.
H. Demelash, A. Motbainor, D. Nigatu, K. Gashaw, and A. Melese, "Risk factors for low birth weight in Bale zone hospitals, South-East Ethiopia: a case–control study," BMC pregnancy and childbirth, vol. 15, pp. 1-10, 2015.
H. M. Sabty, S. B. Dawood, and A. M. Tiryag, "Nurses’ knowledge and practices on influenza vaccination for pregnant women," Jurnal Kebidanan Midwiferia, vol. 10, pp. 50-59, 2024.
M. Khan, M. Arbab, M. Murad, M. Khan, and S. Abdullah, "Study of factors affecting and causing low birth weight," Journal of scientific research, vol. 6, pp. 387-394, 2014.
M. A. Mohammad, H. H. Abdul-Ra’aoof, K. A. Razzaq Manahi, and A. M. Tiryag, "Parents’ Knowledge and Attitudes toward Testicular Torsion," Bahrain Medical Bulletin, vol. 46, 2024.
D. Yadav, U. Chaudhary, and N. Shrestha, "Risk factors associated with low birth weight," 2011.
M. Jabbar, M. Mohammad, and A. Tiryag, "Changes in male reproductive hormones in patients with COVID-19," Georgian Medical News, vol. 342, pp. 42-46, 2023.
H. Joshi, S. Subba, S. Dabral, S. Dwivedi, D. Kumar, and S. Singh, "Risk factors associated with low birth weight in newborns," Indian Journal of Community Medicine, vol. 30, p. 142, 2005.
M. A. Mohammad, A. Y. Al-Timary, and A. M. Tiryag, "Safety of Tubeless Double Access Percutaneous Nephrolithotomy Compared to Single Access Approach," Bahrain Medical Bulletin, vol. 45, 2023.
I. Siramaneerat, F. Agushybana, and Y. Meebunmak, "Maternal risk factors associated with low birth weight in Indonesia," The Open Public Health Journal, vol. 11, 2018.
M. Mohammad, F. Jassim, and A. Tiryag, "Retrograde Intrarenal Lithotripsy Using Disposable Flexible Ureteroscope," Georgian Medical News, vol. 348, pp. 44-46, 2024.
B. Ali, A. Haque, H. Sultana, K. Hossain, and M. Abbas, "Risk Factors of Low Birth Weight among Rural Women: Knowledge Assessment."
M. A. Mohammad, F. A. Jassim, and A. M. Tiryag, "Single-use flexible ureteroscope for the treatment of renal stone," Revista Latinoamericana de Hipertension, vol. 18, 2023.
S. N. Vigod, L. Villegas, C. L. Dennis, and L. E. Ross, "Prevalence and risk factors for postpartum depression among women with preterm and low‐birth‐weight infants: a systematic review," BJOG: An International Journal of Obstetrics & Gynaecology, vol. 117, pp. 540-550, 2010.
S. Ghaderighahfarokhi, J. Sadeghifar, and M. Mozafari, "A model to predict low birth weight infants and affecting factors using data mining techniques," Journal of Basic Research in Medical Sciences, vol. 5, pp. 1-8, 2018.
Y. D. Hingankar, B. Thool, and V. Taksande, "Assess the Prevalence of Low-Birth-Weight Babies and Its Risk Factors among Postnatal Mothers in Wardha District," Journal of Evolution of Medical and Dental Sciences, vol. 10, pp. 3094-3099, 2021.
F. A. Jassim, A. M. Tiryag, and S. S. Issa, "Effect of bad habits on the growth of school students: A cross-sectional study," Indonesian Journal on Health Science and Medicine, vol. 1, pp. 10-21070, 2024.
S. Lutfia and S. Al Farizi, "Maternal risk factors for low birth weight infants: A systematic review study," World Journal of Advanced Research and Reviews, vol. 21, pp. 1548-1554, 2024.
S. S. Hamid, A. F. Kareem, A. M. Tiryag, and H. H. Abdul-Ra’aoof, "A Study Regarding the Basic Anatomy and Physiology of the Eye among Nursing Students: A Cross-Sectional Study: Studi Mengenai Anatomi dan Fisiologi Dasar Mata di Kalangan Mahasiswa Keperawatan: Sebuah Studi Cross-Sectional," Indonesian Journal on Health Science and Medicine, vol. 2, 2025.
A. M. Tiryag and H. H. Atiyah, "Nurses' knowledge toward obesity in al-Basra city," Annals of the Romanian Society for Cell Biology, vol. 25, pp. 4667-4673, 2021
V. R. Chomitz, L. W. Cheung, and E. Lieberman, "The role of lifestyle in preventing low birth weight," The future of children, pp. 121-138, 1995.
S. Fredericks, "Support during pregnancy for women at increased risk of low birthweight babies," 2003.
A. M. Tiryag and H. H. Atiyah, "Nurses’ knowledge toward bariatric surgery at surgical wards at teaching hospitals in Al-Basra city," Indian Journal of Forensic Medicine & Toxicology, vol. 15, pp. 5152-5159, 2021
I. U. Takai, M. Bukar, and B. M. Audu, "A prospective study of maternal risk factors for low birth weight babies in Maiduguri, North-Eastern Nigeria," Nigerian Journal of Basic and Clinical Sciences, vol. 11, pp. 89-98, 2014.
A. P. Dasanayake, "Poor periodontal health of the pregnant woman as a risk factor for low birth weight," Annals of periodontology, vol. 3, pp. 206-212, 1998.
C. Schuler, G. E. Ntow, and F. Agbozo, "Mothers' experiences with neonatal care for low birth weight infants at home; A qualitative study in the Hohoe Municipality, Ghana," Journal of Pediatric Nursing, vol. 45, pp. e44-e52, 2019.
E. S. Astuti, N. Nursalam, S. R. Devy, and R. Etika, "Knowledge, family support and self-reliance capital when caring for low birth weight babies," 2019.