Health Status > Infants

LOW BIRTH WEIGHT

In 2003, 324,064 infants were born at low birth weight (less than 2,500 grams, or 5 pounds 8 ounces); this represented 7.9 percent of all live births. The percentage of newborns born at low birth weight has risen steadily from a low of 6.7 percent in 1984 and is currently at the highest level recorded in the past three decades.

Low birth weight rates differ by maternal age, with mothers younger than 15 and older than 45 years of age most likely to deliver low birth weight infants. Much of the incidence of low birth weight among older mothers is due to an increase in the proportion of multiple births. Multiple births are much more likely to be low birth weight than are singletons: in 2003, 58.2 percent of all multiple births were low birth weight. The increased frequency of multiple births among older mothers is largely due to the increasing use of assisted reproductive technologies and the fact that older mothers are also more likely than younger mothers to conceive multiples naturally. Although the increase in multiple births is a contributing factor to the increase in low birth weight rates, low birth weight also increased among singleton deliveries.

The low birth weight rate among non-Hispanic Black infants (13.6 percent) has not declined significantly since 1991. The rates among non-Hispanic White and Hispanic infants were considerably lower in 2003 (7.0 and 6.7 percent, respectively). The rate of low birth weight among infants born to smokers was substantially higher than among nonsmokers (12.4 versus 7.7 percent) in 2003. This significant differential has been consistently observed among both non-Hispanic Black and non-Hispanic White infants. Other factors associated with increased risk of low birth weight include maternal poverty and low levels of educational attainment.

Low birth weight is one of the leading causes of neonatal mortality. Low birth weight infants are more likely to experience long-term disability or to die during the first year of life than are infants of normal weight.

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Child Health USA 2005 is not copyrighted. Readers are free to duplicate and use all or part of the information contained on this page. Suggested Citation: U.S. Department of Health and Human Services, Health Resources and Services Administration, Maternal and Child Health Bureau. Child Health USA 2005. Rockville, Maryland: U.S. Department of Health and Human Services, 2005.