{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T02:36:03Z","timestamp":1792031763617,"version":"4.4.0"},"reference-count":23,"publisher":"Public Library of Science (PLoS)","issue":"12","license":[{"start":{"date-parts":[[2020,12,31]],"date-time":"2020-12-31T00:00:00Z","timestamp":1609372800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"\n Objective<\/jats:title>\n Low birth weight (LBW) is a serious public health problem in low- and middle-income countries and a leading cause of death in the first month of life. In India, about 18% of children are born with LBW (<2500 grams) in 2015\u201316. In this study, we aim to examine the influence of maternal factors and socio-demographic covariates on LBW in Indian children.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n Data were drawn from the fourth round of the National Family Health Survey (NFHS-4), conducted in 2015\u201316. A cross-sectional study was designed using a stratified two-stage sampling technique. Cross-tabulation, Pearson\u2019s chi-squared test, and multivariate logistic regression analyses were employed to assess the impact of maternal factors and other covariates on children\u2019s LBW.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Of total participants (n = 147,762), 17.5% of children were found to be born with LBW. The study revealed that women who had prior experience of stillbirth (Adjusted odds ratio [AOR]: 1.20, 95% CI: 1.04\u20131.38) and any sign of pregnancy complications (AOR: 1.08, 95% CI: 1.05\u20131.11) were more likely to have LBW children, even after adjusting for a range of covariates. Maternal food diversity was found to a protective factor against children\u2019s LBW. Women with underweight and anemic condition were associated with an increased likelihood of LBW children. Regarding maternity care, women who attended \u22654 ANC visits (AOR: 0.84, 95% CI: 0.80\u20130.88), took iron tablets\/syrup during pregnancy (AOR: 0.94, 95% CI: 0.90\u20130.98), and delivered in a public health facility (AOR: 0.84, 95% CI: 0.79\u20130.88) were less likely to have LBW babies. Besides, various socio-demographic factors such as place of residence, caste, religion, education, wealth quintile, and geographical region were significantly associated with LBW of children.<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Interventions are needed for adequate ANC utilization, improvement in public facility-based delivery, providing iron supplementation, and uptake of balanced energy-protein diet among pregnant mothers. Besides, special attention should be given to the socio-economically disadvantaged women to address adverse pregnancy and birth outcomes including LBW.<\/jats:p>\n <\/jats:sec>","DOI":"10.1371\/journal.pone.0244562","type":"journal-article","created":{"date-parts":[[2020,12,31]],"date-time":"2020-12-31T14:08:56Z","timestamp":1609423736000},"page":"e0244562","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":53,"title":["Maternal determinants of low birth weight among Indian children: Evidence from the National Family Health Survey-4, 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