Association Between Maternal Nutritional Status During Pregnancy and Infant Birth Weight: A Cross-Sectional Study
Keywords:
Maternal Nutritional Status, Pregnancy, Birth Weight, Low Birth Weight, Cross-Sectional StudyAbstract
Background: Maternal nutritional status during pregnancy plays a fundamental role in fetal growth and is a major determinant of infant birth weight. Poor maternal nutrition increases the risk of low birth weight (LBW), which remains a significant public health concern due to its association with neonatal morbidity, mortality, impaired growth, and long-term health complications. Understanding the relationship between maternal nutritional status and birth weight is essential for strengthening maternal and child health interventions.
Research Objective: This study aimed to determine the association between maternal nutritional status during pregnancy and infant birth weight in the working area of the Tamalanrea Community Health Center, Makassar.
Methods: A quantitative study with a cross-sectional design was conducted in July 2025. The study included 25 mothers selected through purposive sampling. Secondary data were obtained from maternal and child health records and medical records at the Tamalanrea Community Health Center. Maternal nutritional status was categorized as good or poor, while infant birth weight was classified as normal birth weight or low birth weight. Descriptive statistics were used for univariate analysis, and the Chi-square test was performed to assess the association between variables at a significance level of p < 0.05.
Results: Among the respondents, 60.0% had good nutritional status, while 40.0% had poor nutritional status. Most infants (68.0%) were born with normal birth weight, whereas 32.0% had low birth weight. The Chi-square analysis revealed a statistically significant association between maternal nutritional status and infant birth weight (p = 0.021). Mothers with poor nutritional status were more likely to deliver low birth weight infants than mothers with adequate nutritional status.
Conclusion: Maternal nutritional status during pregnancy is significantly associated with infant birth weight. Strengthening nutritional screening, nutrition education, and routine antenatal care is essential to improve maternal nutritional status and reduce the incidence of low birth weight.
Downloads
References
Lin, S., Li, J., Yan, X., Pei, L., & Shang, X. (2023). Maternal pesticide exposure and risk of preterm birth: A systematic review and meta-analysis. Environment International, 178, 108043. https://doi.org/https://doi.org/10.1016/j.envint.2023.108043
Mahmassani, H. A., Switkowski, K. M., Scott, T. M., Johnson, E. J., Rifas-Shiman, S. L., Oken, E., & Jacques, P. F. (2022). Maternal diet quality during pregnancy and child cognition and behavior in a US cohort. The American Journal of Clinical Nutrition, 115(1), 128–141. https://doi.org/https://doi.org/10.1093/ajcn/nqab325
Moreira de Andrade, A., Alves Ramalho, A., Andrade Martins, F., Rafael Valentim-Silva, J., & Jorge Koifman, R. (2023). Use of antianemics in prenatal care: A population cohort from a capital city in the North region of Brazil. Preventive Medicine Reports, 36, 102501. https://doi.org/https://doi.org/10.1016/j.pmedr.2023.102501
Noronha, G. A. de, Kale, P. L., Torres, T. Z. G. de, Vasconcelos, J. C. P. L., Kuschnir, M. C. C., Cavalcanti, M. de L. T., Costa, A. J. L., & Szklo, M. (2021). Birth weight, life course factors and excess weight among schoolchildren in Niterói, Rio de Janeiro, Brazil in 2010. Jornal de Pediatria, 97(5), 531–539. https://doi.org/https://doi.org/10.1016/j.jped.2020.10.012
Quansah, D. Y., & Boateng, D. (2020). Maternal dietary diversity and pattern during pregnancy is associated with low infant birth weight in the Cape Coast metropolitan hospital, Ghana: A hospital based cross-sectional study. Heliyon, 6(5), e03923. https://doi.org/https://doi.org/10.1016/j.heliyon.2020.e03923
Quijano-Ruiz, A., & Faytong-Haro, M. (2021). Maternal sexual empowerment and sexual and reproductive outcomes among female adolescents: Evidence from a cross-sectional study in Ecuador. SSM - Population Health, 14, 100782. https://doi.org/https://doi.org/10.1016/j.ssmph.2021.100782
Rahman, S. M., Malin Igra, A., Essig, J. Y., Ekström, E.-C., Dreij, K., Trask, M., Lindh, C., Arifeen, S. El, Rahman, A., Krais, A. M., & Kippler, M. (2023). Polycyclic aromatic hydrocarbon (PAH) exposure during pregnancy and child anthropometry from birth to 10 years of age: Sex-specific evidence from a cohort study in rural Bangladesh. Environmental Research, 227, 115787. https://doi.org/https://doi.org/10.1016/j.envres.2023.115787
Rana, M. S., Billah, S. M., Moinuddin, M., Bakkar Siddique, M. A., & Khan, M. M. H. (2023). Exploring the factors contributing to increase in facility child births in Bangladesh between 2004 and 2017–2018. Heliyon, 9(5), e15875. https://doi.org/https://doi.org/10.1016/j.heliyon.2023.e15875
Sathi, N. J., Ahammed, B., Alam, K., Hashmi, R., Lee, K. Y., & Keramat, S. A. (2022). Socioeconomic inequalities in low birth weight in South Asia: A comparative analysis using Demographic and Health Surveys. SSM - Population Health, 20, 101248. https://doi.org/https://doi.org/10.1016/j.ssmph.2022.101248
Shaun, M. M. A., Nizum, M. W. R., & Munny, S. (2023). Determinants of meeting the minimum acceptable diet among children aged 6 to 23 months in Bangladesh: Evidence from a national representative cross-sectional study. Heliyon, 9(6), e17560. https://doi.org/https://doi.org/10.1016/j.heliyon.2023.e17560
Shi, L., Jia, J., Li, C., Zhao, C., Li, T., Shi, H., & Zhang, X. (2020). Relationship between preterm, low birth weight and early childhood caries: a meta-analysis of the case–control and cross-sectional study. Bioscience Reports, 40(8). https://doi.org/https://doi.org/10.1042/BSR20200870
Shinde, S., Wang, D., Yussuf, M. H., Mwanyika-Sando, M., Aboud, S., & Fawzi, W. W. (2022). Micronutrient Supplementation for Pregnant and Lactating Women to Improve Maternal and Infant Nutritional Status in Low- and Middle-Income Countries: Protocol for a Systematic Review and Meta-analysis. JMIR Research Protocols, 11(8). https://doi.org/https://doi.org/10.2196/40134
Shrivastava, R., Singhal, M., Gupta, M., & Joshi, A. (2023). Development of an Artificial Intelligence–Guided Citizen-Centric Predictive Model for the Uptake of Maternal Health Services Among Pregnant Women Living in Urban Slum Settings in India: Protocol for a Cross-sectional Study With a Mixed Methods Design. JMIR Research Protocols, 12. https://doi.org/https://doi.org/10.2196/35452
Signes-Pastor, A. J., Notario-Barandiaran, L., Guill, M., Madan, J., Baker, E., Jackson, B., & Karagas, M. R. (2023). Prenatal exposure to metal mixtures and lung function in children from the New Hampshire birth cohort study. Environmental Research, 238, 117234. https://doi.org/https://doi.org/10.1016/j.envres.2023.117234
Sume, B. W. (2023). Fetal malnutrition and associated factors among newborn babies delivered at Debre Markos Comprehensive Specialized Hospital, Ethiopia. International Journal of Africa Nursing Sciences, 18, 100543. https://doi.org/https://doi.org/10.1016/j.ijans.2023.100543
Sun, J., Liu, X., Zhao, M., Magnussen, C. G., & Xi, B. (2023). Dose–response association between maternal smoking during pregnancy and the risk of infant death: a nationwide, population-based, retrospective cohort study. EClinicalMedicine, 57, 101858. https://doi.org/https://doi.org/10.1016/j.eclinm.2023.101858
Tesfa, S., Aderaw, Z., Tesfaye, A., Abebe, H., & Tsehay, T. (2022). Maternal nutritional knowledge, practice and their associated factors during pregnancy in Addis sub city health centers, Addis Ababa, Ethiopia. International Journal of Africa Nursing Sciences, 17, 100482. https://doi.org/https://doi.org/10.1016/j.ijans.2022.100482
Tesfaye, A., Sisay, G., Kabthymer, R. H., & Tesfaye, T. (2022). Under-nutrition and associated factors among pregnant women in public health care hospitals of Gedeo Zone, southern Ethiopia: A cross-sectional study. Heliyon, 8(5), e09511. https://doi.org/https://doi.org/10.1016/j.heliyon.2022.e09511
Thoma, M. E., De Silva, D. A., Kim, J., Hodges, L., & Guthrie, J. (2023). Breastfeeding Initiation Trends by Special Supplemental Nutrition Program for Women, Infants, and Children Participation and Race/Ethnicity Among Medicaid Births. Journal of Nutrition Education and Behavior, 55(3), 170–181. https://doi.org/https://doi.org/10.1016/j.jneb.2022.09.006
Ueno, H. M., Higurashi, S., Shimomura, Y., Wakui, R., Matsuura, H., Shiota, M., Kubouchi, H., Yamamura, J., Toba, Y., & Kobayashi, T. (2020). Association of DHA Concentration in Human Breast Milk with Maternal Diet and Use of Supplements: A Cross-Sectional Analysis of Data from the Japanese Human Milk Study Cohort. Current Developments in Nutrition, 4(7), nzaa105. https://doi.org/https://doi.org/10.1093/cdn/nzaa105
Unisa, S., Dhillon, P., Anand, E., Sahoo, H., & Agarwal, P. K. (2022). Data quality of birthweight reporting in India: Evidence from cross-sectional surveys and service statistics. SSM - Population Health, 19, 101220. https://doi.org/https://doi.org/10.1016/j.ssmph.2022.101220
Victora, J. D., Silveira, M. F., Tonial, C. T., Victora, C. G., Barros, F. C., Horta, B. L., Santos, I. S. dos, Bassani, D. G., Garcia, P. C. R., Scheeren, M., Fiori, H. H., Matijasevich, A., Barros, A. J. D., Bertoldi, A. D., Wehrmeister, F. C., Gonçalves, H., Murray, J., Rodrigues, L. T., Assumpção, M. C., … Hallal, P. R. C. (2020). Prevalence, mortality and risk factors associated with very low birth weight preterm infants: an analysis of 33 years. Jornal de Pediatria, 96(3), 327–332. https://doi.org/https://doi.org/10.1016/j.jped.2018.10.011
Vural, M., Koc, E., Evliyaoglu, O., Acar, H. C., Aydin, A. F., Kucukgergin, C., Apaydin, G., Erginoz, E., Babazade, X., Sharifova, S., Perk, Y., Satar, M., Buyukkurt, S., Simsek, H., Eroglu, C., Yetkinel, S., Saygili Karagol, B., Karasahin, K. E., Celik, H. T., … Tunc, T. (2021). Iodine status of Turkish pregnant women and their offspring: A national cross-sectional survey. Journal of Trace Elements in Medicine and Biology, 63, 126664. https://doi.org/https://doi.org/10.1016/j.jtemb.2020.126664
Waits, A., Guo, C.-Y., & Chien, L.-Y. (2021). Inadequate gestational weight gain contributes to increasing rates of low birth weight in Taiwan: 2011–2016 nationwide surveys. Taiwanese Journal of Obstetrics and Gynecology, 60(5), 857–862. https://doi.org/https://doi.org/10.1016/j.tjog.2021.07.013
Wang, G., Tang, W.-Y., Wills-Karp, M., Ji, H., Bartell, T. R., Ji, Y., Hong, X., Pearson, C., Cheng, T. L., & Wang, X. (2021). A Nonlinear Relation Between Maternal Red Blood Cell Manganese Concentrations and Child Blood Pressure at Age 6–12 y: A Prospective Birth Cohort Study. The Journal of Nutrition, 151(3), 570–578. https://doi.org/https://doi.org/10.1093/jn/nxaa368
Wang, W.-C., Zou, S.-M., Ding, Z., & Fang, J.-Y. (2023). Nutritional knowledge, attitude and practices among pregnant females in 2020 Shenzhen China: A cross-sectional study. Preventive Medicine Reports, 32, 102155. https://doi.org/https://doi.org/10.1016/j.pmedr.2023.102155
Wang, Y.-X., Li, Y., Rich-Edwards, J. W., Florio, A. A., Shan, Z., Wang, S., Manson, J. E., Mukamal, K. J., Rimm, E. B., & Chavarro, J. E. (2022). Associations of birth weight and later life lifestyle factors with risk of cardiovascular disease in the USA: A prospective cohort study. EClinicalMedicine, 51, 101570. https://doi.org/https://doi.org/10.1016/j.eclinm.2022.101570
Wang, Z., Nagy, R. A., Groen, H., Cantineau, A. E. P., van Oers, A. M., van Dammen, L., Wekker, V., Roseboom, T. J., Mol, B. W. J., Tietge, U. J. F., & Hoek, A. (2021). Preconception insulin resistance and neonatal birth weight in women with obesity: role of bile acids. Reproductive BioMedicine Online, 43(5), 931–939. https://doi.org/https://doi.org/10.1016/j.rbmo.2021.08.005
Weiler, H. A., Attar, A., Farahnak, Z., Sotunde, O. F., Razaghi, M., Gharibeh, N., Khamessan, A., & Vanstone, C. A. (2022). Vitamin D Status of Infants of Mothers with Gestational Diabetes: Status at Birth and a Randomized Controlled Trial of Vitamin D Supplementation across Infancy. The Journal of Nutrition, 152(11), 2441–2450. https://doi.org/https://doi.org/10.1093/jn/nxac194
Young, M. F., Faerber, E. C., Mehta, R. V, Ranjan, S., Shetty, S. A., Ramakrishnan, U., Rangiah, K., Bose, B., Devi, S., Dwarkanath, P., Kurpad, A. V, Taneja, S., & Martorell, R. (2023). Maternal nutritional status and milk volume and composition in India: an observational study. The American Journal of Clinical Nutrition, 117(4), 830–837. https://doi.org/https://doi.org/10.1016/j.ajcnut.2023.02.002
Zhang, B., Xu, K., Mi, B., Liu, H., Wang, Y., Huo, Y., Ma, L., Liu, D., Jing, H., Liu, J., Cao, S., Dang, S., & Yan, H. (2023). Maternal Dietary Inflammatory Potential and Offspring Birth Outcomes in a Chinese Population. The Journal of Nutrition, 153(5), 1512–1523. https://doi.org/https://doi.org/10.1016/j.tjnut.2023.03.006
Zhang, L., Zhang, T., Liu, H.-J., Xing, D.-Q., Zhao, Y.-N., Zhang, Y.-B., & Li, Y. (2023). Body composition in healthy singleton term infants using the three-dimensional photonic scanning method: A multicenter cross-sectional study. Nutrition, 116, 112169. https://doi.org/https://doi.org/10.1016/j.nut.2023.112169
Downloads
Published
How to Cite
Issue
Section
License

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.







