Despite the enormous role of Low Birthweight in neonatal mortality and morbidity as well as adolescent and adult morbidity, no clinical attempt is made to predict the possibility of a LBW neonate. A study conducted in Cleveland, Ohio proposed a Four-factor scale (low family functioning, stressful events, Quetelet’s Index, cigarette smoking) which predicted LBW with 65% sensitivity, 84% specificity and 42% positive predictive value. The need for such a scale in the Indian context was strongly felt and the present study undertaken.