Background. The study wants to find out the characteristics of pregnancies, deliveries and newborns with low birth weight (LBW) compared to the newborns with birth weight of 2500 g and more, in respect with the specific situation of twins.
Methods and Results. Records of antenatal clinics and maternity hospitals about 5500 children born within strictly given time limit of 16 months during the years 1991-1992 to mothers with permanent habitation in Brno were evaluated. The children and their families have been participating on still running prospective longitudinal study ELSPAC aimed to finding the determinants of the healthy development. The low birth weight occurred in 5.42 % of children. There were altogether 48 pairs of twins, the low birth weight occurred in 52.6 % of them.
Compared to mothers who delivered the children with birth weight of 2500 g and more, the mothers of children with low birth weight entered the prenatal care later, with less consultations, had more complications both during their pregnancies and the deliveries and their children showed more often different kinds of neonatal morbidity. The mothers of twins were cooperating with antenatal clinics better than other mothers of children with low birth weight. On the other hand, they were suffering from anaemia and hypertension more often than mothers of single children. Comparison of the somatic and functional signs has shown that the twins were less handicapped than whole set of the newborns with low birth weight. The twins with low birth weight constituted 16.7 % of the set.
Conclusions. The research of the Brno newborn population shows the quantitative differences of risks that influenced the courses and the results of the pregnancies which ended by deliveries of children with low birth weight. Results are compared with those of children delivered with the birth weight of 2500 g and more.
birth weight, risky factors, twins, single children, anthropology, of newborn, neonatal morbidity.