Preterm delivery but not intrauterine growth retardation is associated with young maternal age among primiparae in rural Nepal.

Pregnancy during adolescence is associated with adverse birth outcomes, including preterm delivery and low birthweight. The nutrient availability to the fetus may be limited if the mother is still growing. This research aims to study the effects of pregnancy during adolescence in a nutritionally poor environment in rural Nepal.

Risk of flood-related mortality in Nepal.

In July 1993, severe flooding devastated Sarlahi district in Nepal. The next month, a follow-up study of a large population cohort was undertaken. The study is unique in that a prospective research database was used to verify residency prior to the flood and to confirm vital status afterwards.

Risk factors for early infant mortality in Sarlahi district, Nepal.

Objectives: Early infant mortality has not declined as rapidly as child mortality in many countries. Identification of risk factors for early infant mortality may help inform the design of intervention strategies.

Methods: Over the period 1994-97, 15,469 live-born, singleton infants in rural Nepal were followed to 24 weeks of age to identify risk factors for mortality within 0-7 days, 8-28 days, and 4-24 weeks after the birth.

Effects of maternal micronutrient supplementation on fetal loss and infant mortality: a cluster-randomized trial in Nepal.

Background: We previously reported that maternal micronutrient supplementation in rural Nepal decreased low birth weight by approximately 15%.

Objective: We examined the effect of daily maternal micronutrient supplementation on fetal loss and infant mortality.

Design: The study was a double-blind, cluster-randomized, controlled trial among 4926 pregnant women and their 4130 infants in rural Nepal.

Effects of alternative maternal micronutrient supplements on low birth weight in rural Nepal: double blind randomised community trial.

Objective: To assess the impact on birth size and risk of low birth weight of alternative combinations of micronutrients given to pregnant women.

Design: Double blind cluster randomised controlled trial.

Setting: Rural community in south eastern Nepal.

Risk of death following pregnancy in rural Nepal.

Objective: To investigate the length of time following pregnancy during which the risk of mortality was elevated among women in rural Nepal.

Methods: An analysis was performed of prospective data on women participating in the control group of a large, population-based trial. Weekly visits were made for three years to 14805 women aged 14-45 years.