Association of maternal determinants with low birth weight babies in tea garden workers of Assam. Issue 5 (15th March 2020) - Kumar, Shashi Nandar
Abstract: Aim: This study was aimed to evaluate the association of maternal determinants with birth weight (BW) of babies in tea garden workers (TGW) and housewives (HW). Methods: A total of 175 subjects were recruited from Assam Medical College, Dibrugarh, India. In this cross‐sectional study, maternal determinants, BW of babies and placental weight were explored in TGW ( n = 102) and HW ( n = 73). These factors were assessed and correlated by logistic regression models. Results: A higher incidence of low birth weight (LBW) was found in mothers working in the tea garden (48.04%) as compared to HW (10.96%). Activity of plucking of leaves in tea garden by women had a higher risk for LBW babies (adjusted odd ratio [AOR] 4.33, 95% confidence interval [CI] 1.38–13.57, P = 0.012) and decreased placental weight (AOR 11.42, 95% CI 1.18–126.02, P = 0.036) as compared to HW considered as reference group. Women who worked continuously in the tea garden during 9 months of pregnancy also revealed an elevated risk for LBW (AOR 5.32, 95% CI 1.34–21.09, P = 0.017). Conclusion: This study suggests the activity of plucking of tea leaves by women is associated with LBW of babies and decreased placental weight. Particularly, if mothers worked continuously in the tea garden during 9 months of pregnancy, it also increased the risk of delivering LBW babies. This exploratory study provides an important platform for further prospective studies, which could be focused on the potential consequences of maternal occupational exposures during pregnancy on fetal development.