ASSOCIATION BETWEEN LOW BIRTH WEIGHT AND MODE OF DELIVERY IN TERM PREGNANCY
Date Issued
2025-10
Author(s)
Arta Islami Zulfiu
Nurdzan Asani Ajeti
Besa Islami Pocesta
Abstract
Introduction: Low birth weight (LBW), defined as a birth weight of less than 2500 grams, regardless of gestational age. Globally, it is estimated that 15-20 % of all births, or 20 million newborns annually, are low birth weight infants. It remains a significant public health concern due to its association with increased neonatal morbidity and mortality. The mode of delivery is frequently influenced by fetal condition, maternal health, and the availability of institutional resources. Understanding the relationship
between LBW and delivery method is essential because such cases are common, and
decision making must balance clinical urgency with resource availability.
57
XXX Takim profesional mjekësor
Aim: The aim of the study was to find out the association between low birth weight
and mode of delivery in a term pregnancy.
Material and methods: This was a cross-sectional study conducted at the Special Hospital
for Obstetrics and Gynaecology “Mother Teresa”, Cair, Skopje, North Macedonia, from January 2024 to September 2024. Data were collected from the hospital register of pregnant women in our population who delivered full-term infants ( 37 0/7 - 41 0/7 weeks of gestation) with a birth weight of less than 2500 grams. The newborns were weighed immediately after birth.
Results: During the study period from January 2024 to September 2024 total number of
birth was 2677. 102 ( 3.8 %) newborns weighed less than 2500 g. Parity was less than two in 73 %. 50 % were primigravida. In 67% maternal age was from 18 to 24 years old. The majority (87%) of the mothers didn't have any comorbidity, 13% suffered from comorbidity. 61 babies were born by cesarean section (CS), and 41 were delivered by normal vaginal delivery. Of the total number of cesarean sections, 42 were primary cesarian section, 15 were with repeat cesarean section and 4 were with third cesarian section.
Conclusion: Caesarean section should not be routinely recommended solely based on low birth weight. Delivery mode decisions must be individualized and guided by obstetric indications such as fetal distress, abnormal presentation, or maternal complications. This approach minimizes unnecessary surgical risks while ensuring optimal maternal and neonatal outcomes. Careful clinical assessment and resource considerations are essential in managing pregnancies complicated by low birth weight unless there are other obstetric indications.
between LBW and delivery method is essential because such cases are common, and
decision making must balance clinical urgency with resource availability.
57
XXX Takim profesional mjekësor
Aim: The aim of the study was to find out the association between low birth weight
and mode of delivery in a term pregnancy.
Material and methods: This was a cross-sectional study conducted at the Special Hospital
for Obstetrics and Gynaecology “Mother Teresa”, Cair, Skopje, North Macedonia, from January 2024 to September 2024. Data were collected from the hospital register of pregnant women in our population who delivered full-term infants ( 37 0/7 - 41 0/7 weeks of gestation) with a birth weight of less than 2500 grams. The newborns were weighed immediately after birth.
Results: During the study period from January 2024 to September 2024 total number of
birth was 2677. 102 ( 3.8 %) newborns weighed less than 2500 g. Parity was less than two in 73 %. 50 % were primigravida. In 67% maternal age was from 18 to 24 years old. The majority (87%) of the mothers didn't have any comorbidity, 13% suffered from comorbidity. 61 babies were born by cesarean section (CS), and 41 were delivered by normal vaginal delivery. Of the total number of cesarean sections, 42 were primary cesarian section, 15 were with repeat cesarean section and 4 were with third cesarian section.
Conclusion: Caesarean section should not be routinely recommended solely based on low birth weight. Delivery mode decisions must be individualized and guided by obstetric indications such as fetal distress, abnormal presentation, or maternal complications. This approach minimizes unnecessary surgical risks while ensuring optimal maternal and neonatal outcomes. Careful clinical assessment and resource considerations are essential in managing pregnancies complicated by low birth weight unless there are other obstetric indications.
File(s)![Thumbnail Image]()
Loading...
Name
Libri-i-abstrakteve-struge-2025.pdf
Size
2.2 MB
Format
Adobe PDF
Checksum
(MD5):83b612cafb22d5fe341ba857ced6d83c