Methodology Research design- Exploratory survey method Approach- Non experimental Setting of the study- Ngong sub-district hospital

ospital Population- mothers of LBW babies Sample - mothers of LBW babies from selected hospital Sample Size- 100 Sampling technique non probability convenient sample

Variable Independent Variable factors leading to low birth weight babies Dependent Variable low birth babies

Research tool Code number: ............. Section 1 / demographic variable

1- Age of the mother Below 18 years 18-22 years 23-27 years 27-32 years 33 years & above 2- Religion Christianity Muslim Any other specify............................ [ ] [ [ ] ] [ [ [ [ ] ] ] ] [ ]

3- Occupation Housewife Business Service Labourer Any other specify........................... [ ] [ ] [ [ ] ] [ ]

4- Monthly family income in Rupees (Rs) Below 5000 5001-10,000 10,001-15,000 15,001- 20,000 20.001 and above 5- Type of family Nuclear family Joint family Separate 6- Marital status of mother? Married Unmarried Widow Divorced 7- Habits of the mother? Smoking Drinking alcohol [ [ ] ] [ [ [ [ ] ] ] ] [ ] [ ] [ ] [ ] [ [ ] ] [ [ ] ]

 Tobacco Chewing misri None

] [ ]

8- History of abortion Yes No 9- Gestational age of the new born in weeks Less than 37 weeks More than 37 weeks Section 2 / maternal factors effecting prenatal [ ] [ ] [ [ ] ]

1- What was your age at the time of marriage? Below 18 years 18-22 years 23-27 years 27-32 years 33 years & above [ [ [ [ ] ] ] ] [ ]

2- What was your age at the time of the present delivery? Below 18 years 18-22 years 23-27 years 27-32 years 33 years & above [ [ [ [ ] ] ] ] [ ]

3- Did you register in a hospital when you were pregnant? Yes If yes, when? 1st trimester 2nd trimester 3rd trimester No [ [ [ [ ] ] ] ] [ ]

4- How many times you had antenatal check up? One Two Three [ [ ] ] [ ]

5- Did you take medicines during pregnancy? Yes No If yes, which? Iron and folic acid tablets Calcium tablets Antiemetic/ analgesi c Any other specify .. 6- Did you take iron tablets during pregnancy? Yes No [ [ ] ] [ ] [ ] [ ] [ [ ] ]

7- Have you taken TT injection during pregnancy? Yes No [ [ ] ]

8- How many times have you taken TT injection during pregnancy? One Two Three Nil [ [ [ [ ] ] ] ]

9- Did you have any of following medical disorder during pregnancy? Yes No If yes, which of the followings have you suffered? Hypertension Heart disease Any other .. [ [ [ ] ] ] [ [ ] ]

10- Did you have any of the following complication during pregnancy? Bleeding Fever Increasing blood pressure Anemia edema Any other No [ [ ] ] [ [ [ ] ] ] [ [ ] ]

11- Did you have pregnancy with more than one baby like twin? Yes No [ [ ] ]

12- What was the interval between previous pregnancy and present pregnancy? One year Two years Three years or more 13- What was your normal meal pattern? Twice a day Thrice a day Four times a day More than four times a day 14- Did your intake have increased during pregnancy? Yes No [ [ ] ] [ [ [ ] ] ] [ ] [ [ ] ] [ ]

15- What was the weight gain during the present pregnancy? 8 kg 9-10 kg 11-12kg 13-15 kg [ ] [ ] [ [ ] ]

16- How many hours did you use to sleep during pregnancy? 8 hours sleep at night, and 2 hours at noon 6 hours sleep at night, and 2 hours at noon [ [ ] ]

 6 hours sleep at night without rest at noon

17- Is there history of low birth weight in your family? Yes No [ [ ] ]

18- Did you experience nausea and vomiting during pregnancy? Yes No [ [ ] ]

19- In your daily activities, which one had you done during pregnancy? Cooking, Sweeping, washing, cleaning. Lifting heavy weight Pushing or pulling heavy weight Standing on foot for long time Any other activities 20- Have you experience any psychological trauma during pregnancy? Yes No [ [ ] ] [ ] [ ] [ ] [ [ ] ]