Accuracy of Mothers' Perception of Birth Size to Predict Birth Weight Data in Bangladesh

Overview

Journal Matern Child Health J

Specialty Health Services

Date 2024 Aug 23

PMID 39177722

Authors

Jahidur Rahman Khan

K Shuvo Bakar

Nabil Awan

Olav Muurlink

Nusrat Homaira

Affiliations

Soon will be listed here.

Abstract

Objectives: The prevalence of low birth weight (LBW) is an important indicator of child health and wellbeing. However, in many countries, decisions regarding care and treatment are often based on mothers' perceptions of their children's birth size due to a lack of objective birth weight data. Additionally, birth weight data that is self-reported or recorded often encounters the issue of heaping. This study assesses the concordance between the perceived birth size and the reported or recorded birth weight. We also investigate how the presence of heaped birth weight data affects this concordance, as well as the relationship between concordance and various sociodemographic factors.

Methods: We examined 4,641 birth records reported in the 2019 Bangladesh Multiple Indicator Cluster Survey. The sensitivity-specificity analysis was performed to assess perceived birth size's ability to predict LBW, while Cohen's Kappa statistic assessed reliability. We used the kernel smoothing technique to correct heaping of birth weight data, as well as a multivariable multinomial logistic model to assess factors associated with concordance.

Results: Maternally-perceived birth size exhibited a low sensitivity (63.5%) and positive predictive value (52.6%) for predicting LBW, but a high specificity (90.1%) and negative predictive value (93.4%). There was 86.1% agreement between birth size and birth weight-based classifications (Kappa = 0.49, indicating moderate agreement). Smoothed birth weight data did not improve agreement (83.4%, Kappa = 0.45). Of the sociodemographic factors, early marriage was positively associated with discordance (i.e., overestimation).

Conclusions: An important consideration when calculating the LBW prevalence is that maternally perceived birth size is not an optimal proxy for birth weight. Focus should be placed on encouraging institutional births and educating community health workers and young mothers about the significance of measuring and recording birth weight.

References

Acharya P, Adhikari S, Adhikari T . Mother's perception of size at birth is a weak predictor of low birth weight: Evidence from Nepal Demographic and Health Survey. PLoS One. 2023; 18(1):e0280788. PMC: 9873179. DOI: 10.1371/journal.pone.0280788. View

Belachew A, Tewabe T . Neonatal sepsis and its association with birth weight and gestational age among admitted neonates in Ethiopia: systematic review and meta-analysis. BMC Pediatr. 2020; 20(1):55. PMC: 7001294. DOI: 10.1186/s12887-020-1949-x. View

Blanc A, Wardlaw T . Monitoring low birth weight: an evaluation of international estimates and an updated estimation procedure. Bull World Health Organ. 2005; 83(3):178-85. PMC: 2624216. DOI: /S0042-96862005000300010. View

Bohnert K, Breslau N . Stability of psychiatric outcomes of low birth weight: a longitudinal investigation. Arch Gen Psychiatry. 2008; 65(9):1080-6. DOI: 10.1001/archpsyc.65.9.1080. View

Channon A . Can mothers judge the size of their newborn? Assessing the determinants of a mother's perception of a baby's size at birth. J Biosoc Sci. 2011; 43(5):555-73. DOI: 10.1017/S0021932011000198. View

Class Q, Rickert M, Lichtenstein P, DOnofrio B . Birth weight, physical morbidity, and mortality: a population-based sibling-comparison study. Am J Epidemiol. 2013; 179(5):550-8. PMC: 3927978. DOI: 10.1093/aje/kwt304. View

Ediriweera D, Dilina N, Perera U, Flores F, Samita S . Risk of low birth weight on adulthood hypertension - evidence from a tertiary care hospital in a South Asian country, Sri Lanka: a retrospective cohort study. BMC Public Health. 2017; 17(1):358. PMC: 5404310. DOI: 10.1186/s12889-017-4268-x. View

Hack M, Schluchter M, Cartar L, Rahman M . Blood pressure among very low birth weight (<1.5 kg) young adults. Pediatr Res. 2005; 58(4):677-84. DOI: 10.1203/01.PDR.0000180551.93470.56. View

Hilaire M, Andrianou X, Lenglet A, Ariti C, Charles K, Buitenhuis S . Growth and neurodevelopment in low birth weight versus normal birth weight infants from birth to 24 months, born in an obstetric emergency hospital in Haiti, a prospective cohort study. BMC Pediatr. 2021; 21(1):143. PMC: 7988959. DOI: 10.1186/s12887-021-02605-3. View

10.

Islam M . Can maternal recalled birth size be used as a proxy measure of birth weight? An evaluation based on a population health survey in Oman. Matern Child Health J. 2013; 18(6):1462-70. DOI: 10.1007/s10995-013-1386-7. View

11.

Khan J, Islam M, Awan N, Muurlink O . Analysis of low birth weight and its co-variants in Bangladesh based on a sub-sample from nationally representative survey. BMC Pediatr. 2018; 18(1):100. PMC: 5840696. DOI: 10.1186/s12887-018-1068-0. View

12.

Landis J, Koch G . The measurement of observer agreement for categorical data. Biometrics. 1977; 33(1):159-74. View

13.

Mbuagbaw L, Gofin R . Can recall of birth size be used as a measure of birthweight in Cameroon?. Paediatr Perinat Epidemiol. 2010; 24(4):383-9. DOI: 10.1111/j.1365-3016.2010.01128.x. View

14.

Taylor H, Minich N, Klein N, Hack M . Longitudinal outcomes of very low birth weight: neuropsychological findings. J Int Neuropsychol Soc. 2004; 10(2):149-63. DOI: 10.1017/S1355617704102038. View