Low birth weight

Low birth weight (LBW) is defined by the World Health Organization (WHO) as a birth weight of less than 2,500g (5lbs 8oz) and very low birth weight is defined as birth weight of less than 1,500g. Low birth weight babies generally fall into two groups: those born before term (37 weeks) and those who are small for their age. Low birth weight babies have a higher chance of infant mortality, morbidity and impaired cognitive development, alongside other health issues, compared with babies of normal birth weight. It can also lead to poorer health in later life, and is associated with coronary heart disease and diabetes in adulthood.

Picture of a baby in arms

At a population level there are inequalities in low birth weight and a high proportion of low birth weight births could indicate lifestyle issues of the mothers and/or issues with the maternity services.

This indicator is in line with the government's direction for public health on starting well through early intervention and prevention. It has also been included in the Department of Health business plan within the context of addressing issues of premature mortality, avoidable ill-health, and inequalities in health, particularly in relation to child poverty.

There is a strong association between LBW and the deprivation status of the mother. Reducing the number of babies of LBW is therefore important in breaking the inter-generational cycle of health inequality. Other factors which have an impact on LBW are the general health of the mother, smoking status, nutrition, drug or alcohol use during pregnancy, and socio-economic position. The age of the mother is also important, with teenage mothers more likely to have a LBW baby.

The WHO definition of low birth weight mainly serves for comparative health statistics and is not appropriate for clinical care. 

Key findings for Lancashire-14

Low birth weight of term babies (2016)

  • In Lancashire-12, 2.8% of all live births at term are low birth weight, this is similar to the England rate (2.8%).
  • Across the Lancashire-12 districts, in Burnley the percentage of all live births at term with low birth weight (4.5%) is higher than the England rate.
  • In Blackburn with Darwen the percentage of all live births at term with low birth weight (5.1%) is higher than the England rate (third highest in England) whilst the Blackpool rate (3.5%) is similar to the England rate.
  • Between 2005 and 2016, in Blackburn with Darwen, Blackpool and Lancashire-12 there has been no significant change in the percentage of all live births at term with low birth weight. 

Low birth weight of all babies (2015)

  • In Lancashire-12, 8.0% of still and live births of all babies are low birth weight; this is significantly worse than England (7.4%).
  • In Blackburn with Darwen the rate is 10.2%, significantly above the England rate.
  • In Blackpool 7.5% of still and live births are of low birth weight; this is similar to the England rate.

Very low birth weight of all babies (2015)

  • In Lancashire-12, 1.4% of still and live births of all babies are very low birth weight; this is similar to England (1.3%).
  • Both Blackburn with Darwen (1.4%) and Blackpool (1.1%) are also similar to England.

For county and unitary data and further information please see below

For district data and full functionality of the Public Health Outcomes Framework tool please visit the web page

Page updated April 2018