scholarly journals The relationship between the different low birth weight strata of newborns with infant mortality and the influence of the main health determinants in the extreme south of Brazil

2019 ◽  
Vol 17 (1) ◽  
Author(s):  
Cássia Simeão Vilanova ◽  
Vânia Naomi Hirakata ◽  
Viviane Costa de Souza Buriol ◽  
Marina Nunes ◽  
Marcelo Zubaran Goldani ◽  
...  

Abstract Background Low birth weight (LBW) newborns present different health outcomes when classified in different birth weight strata. This study evaluated the relationship of birth weight with Infant mortality (IM) through the influence of biological, social, and health care factors in a time series. Methods Retrospective cohort study with data collected from Information Systems (Live Births and Mortality). The mortality trends were performed for each birth weight stratum: extremely low, < 1000 g; very low, 1000–1499 g; low, 1500–2499 g; insufficient, 2500–2999 g; adequate, 3000–3900 g; and macrosomia, > 4000 g. Chi-square tests analyzed IM rates. Sequential Poisson regression analyzed the impact of the determinant factors. Results A total of 277,982 newborns were included in the study and 2088 died before their first year. There was a tendency for a decrease in mortality in all strata of weight. With the exception of macrosomics, all other strata had a higher risk for IM when compared with adequate birth weight. Extremely LBW newborns presented higher risk for mortality when born in a public hospital. A higher percentage of infant deaths were associated with lower maternal age and lower schooling for all strata. Prenatal care with less than three visits demonstrated a risk for IM in low, insufficient, and adequate birth weight strata. The cesarean section was a protective factor for IM in Extremely and Very LBW strata and it was a risk factor in adequate birth weight stratum. Conclusions LBW had a greater association with IM, especially those children of younger mothers and those born in public hospitals.

Masker Medika ◽  
2020 ◽  
Vol 8 (1) ◽  
pp. 21-26
Author(s):  
Arda Suryadinata Suryadinata

Pendahuluan: Pada usia balita seseorang lebih sering terkena penyakit dibandingkan orang dewasa. Hal ini disebabkan sistem pertahanan tubuh pada balita terhadap penyakit infeksi masih dalam tahap perkembangan dan mudah untuk terkena penyakit dan salah satunya adalah Infeksi Saluran Pernapasan Akut (ISPA) yang merupakan penyakit menular melalui udara yang sering terjadi pada anak dan menjadi salah satu penyebab kematian tersering pada anak di dunia. Salah satu faktor yang dapat menyebabkan terjadinya ISPA pada balita ialah berat badan lahir rendah dan status imunisasi. Berdasarkan data wilayah kerjapuskesmas Tanjung Baru pada periode Januari-Desember 2018 menyebutkan bahwa sebanyak 150 balita yang menderita ISPA. Tujuan penelitian: untuk mengetahui hubungan Berat Badan Lahir Rendah dan Status imunisasi lengkap dengan kejadian ISPA di Wilayah Kerja UPTD Puskesmas Tanjung Baru Ogan Komering Ulu. Metode Penelitian: yaitu analitik dengan pendekatan cross sectional dengan populasi adalah ibu di UPTD Puskesmas Tanjung Baru Kabupaten OKU yang berjumlah 53 orang, analisa data dengan uji statistik Chi-Square, dengan derajat kepercayaan 95%. Didapatkan Ada hubungan yang bermakna antara berat badan lahir rendah dengan kejadian ISPA dengan p value 0,011 < 0,050. Serta ada hubungan yang bermakna antara Status Imunisasi dengan Kejadian ISPAdengan p value 0,016 < 0,05.   At the age of a toddler a person is more often affected by the disease than an adult. This is due to the body's defense system in infants against infectious diseases that are still in the developmental stages and are easy to contract the disease and one of them is Acute Respiratory Infection (ARI) which is an infectious disease through the air that often occurs in children and is one of the most common causes of death in children. child in the world. One of the factors that can cause ARI in infants is low birth weight and immunization status. Based on data from the Tanjung Baru puskesmas in the January-December 2018 period, 150 150 toddlers suffer from ARI. This study aims to determine the relationship between low birth weight and complete immunization status with the incidence of ARI in the working area of the UPTD Puskesmas Tanjung Baru, East Baturaja Subdistrict, Ogan Komering Ulu Regency in 2019. The method used is analytic with cross sectional approach and the population is mothers with children under five. and have KMS in UPTD Puskesmas Tanjung Baru OKU Regency, totaling 53 people. Which was analyzed by Chi-Square statistical test, with 95% confidence level. There was a significant relationship between low birth weight with the incidence of ARI with p value 0.011 <0.050. And there is a significant relationship between Immunization Status and the incidence of ARI with p value 0.016 <0.05.


2018 ◽  
pp. 13-18
Author(s):  
Frienty Sherlla Mareta Lubis ◽  
Risya Cilmiaty ◽  
Adi Magna

ABSTRAK Stunting merupakan salah satu masalah gizi yang utama pada anak di Indonesia. Stunting menjadi masalah yang serius karena dikaitkan dengan kualitas sumberdaya manusia di kemudian hari. Anak dengan BBLR(Berat Badan Lahir Rendah) beresiko lebih tinggi menjadi stunting. Tujuan untuk mengetahui hubungan antara IMD (Inisiasi Menyusu Dini), dan BBLR dengan stunting pada anak usia 12-24 bulan dengan berat badan lahir rendah. Jenis penelitian adalah observasional analitik dengan menggunakan desain penelitian cross-sectional. Subjek penelitian ditentukan dengan purposive sampling. Subjek terdiri dari 82 balita yang berusia 12-24 bulan dengan BBLR di 2 kecamatan di Kota Surakarta. Pengumpulan data dilakukan dengan wawancara langsung dan pengukuran antropometri. Uji statistik Chi-square digunakan untuk menganalisis hubungan antara variabel IMD dengan stunting dan uji Anova digunakan untuk menganalisis hubungan antara variabel BBLR dengan stunting. Hasil: IMD tidak berhubungan signifikan dengan kejadian stunting (X² = 0,286, p = 0,593), berat badan lahir rendah (BBLR) berhubungan signifikan dengan kejadian stunting pada α 10 % ( F = 1,561, p = 0,087). Kesimpulan: ada hubungan antara Berat Badan Lahir Rendah dengan Kejadian Stunting.   Kata kunci: Stunting, IMD, BBLR     ABSTRACT Stunting is one of the main nutritional problems in children in Indonesia. Stunting becomes a serious problem because it is associated with the quality of human resources in the future. Children with LBW (Low Birth Weight) are at higher risk of becoming stunting. Objective: To know the relationship between IMD, and LBW with stunting in children aged 12-24 months with low birth weight. The type of research is observational analytic by using cross-sectional research design. Research subject is determined by purposive sampling. Subject consisted of 82 children aged 12-24 months with LBW in 2 districts in Surakarta. Data collection is done by direct interview and anthropometry measurement. Chi-square statistical test is used to analyze the relationship between IMD variable with stunting and Anova test is used to analyze the relationship between LBW variable with stunting. The result: IMD was not significantly associated with stunting incidence (X² = 0.286, p = 0,593), low birth weight (LBW) was significantly associated with stunting incidence at α 10% (F = 1.561, p = 0.087). Conclusion: there is a relationship between Low Birth Weight with Stunting Event.   Keywords: Stunting, IMD, BBLR


2018 ◽  
Vol 6 (1) ◽  
Author(s):  
Sri Aminingsih ◽  
Nadiya Istiqomah

Background: Smoking affects blood circulation and makes mothers and babies exposedto hazardous chemicals. Every time a mother smokes, her baby gets less oxygen.Nicotine in cigarettes decreases blood flow to the placenta. At the same time carbonmonoxide (CO) lowers the amount of oxygen carried by blood. In addition, there are toxicchemicals that usually interfere the development of infants (Rahmalia, 2009). Apreliminary study conducted by the author at the Maternity House of Sri Panuntun, PedanKlaten District, there were 30 babies born in August to September 2017, revealed thatthere were 6 babies suffered from low birth weight, while 24 babies have normal birthweight.The purpose: Describing the relationship of pregnant women passive smokers with theincidence of Low Birth Weight was the aim of this study.The subjects : The population in this study was all mothers who gave birth at MaternityMother Sri Panuntun Klaten in January-March 2018 accounted for 55 respondents.The results: The result of this research by using Pearson Chi-Square correlation testobtained p = 0.000.The conclusion: There was a positive correlation between pregnant women who arepassive smokers with the incidence of low birth weight babies.Keywords: Pregnant women, Passive smokers, Low birth weight babies.


2020 ◽  
Vol 2 (1) ◽  
pp. 22-26
Author(s):  
Anjar Astuti ◽  
Yanik Muyassaroh ◽  
Murti Ani

One of the nutritional problems faced by children under five in the world, especially in developing countries is stunting. The problem of stunting in infants can have an impact on intellectual decline, increase the risk of non-communicable diseases, giving birth to babies with low birth weight and the risk of degenerative diseases in the future. So it is necessary to take preventative measures in order to reduce the stunting prevalence rate that is increasing every year. The purpose of this study: to determine the relationship between maternal pregnancy history and the history of the baby's birth to the incidence of stunting in infants. Research methods: using a retrospective cohort design with a sample of 85 mothers who have stunting toddlers. Results: Analysis of data using the chi square test of birth length (p = 0,000 0.05) has a relationship with the incidence of stunting while anemia during pregnancy (p = 0.212 0.05), chronic energy shortages during pregnancy (p = 0.837 0.05) and low birth weight (p = 0.297 0.05) had no relationship with the incidence of stunting. Conclusion: there was no significant relationship between maternal pregnancy history (Anemia and KEK), history of birth of the baby (LBW) and nutritional care patterns (accuracy of breastfeeding MP) with the incidence of stunting in infants. There is a significant relationship between the history of the birth of a baby (length of body birth) can cause stunting in infants. Suggestion: the results of this study can be taken into consideration to conduct early intervention appropriately to reduce the stunting rate in Blora Regency. Keywords: History of maternal pregnancy, history of baby's birth, toddler stunting. 


2004 ◽  
Vol 14 (8) ◽  
pp. 619-620 ◽  
Author(s):  
J.R. Petrini ◽  
R. Russell ◽  
M. Davidoff ◽  
K. Poschman ◽  
N. Green ◽  
...  

2021 ◽  
Vol 3 (1) ◽  
pp. 39-46
Author(s):  
Ida Royani ◽  
Nasrudin Andi Mappaware ◽  
Sidrah Darma ◽  
Nurfadhillah Khalid ◽  
Dian Fahmi Utami

Introduction: The nutritional status of pregnant women has a significant impact on the fetus's health and development. Low birth weight can be caused by womb growth problems. Research in Nepal shows that babies with low birth weight have a higher risk of becoming stunted. West Sulawesi is the most populous province in Central Indonesia, with a population of 39.7%. In Mamuju District, West Sulawesi, the relationship between stunted babies and maternal nutritional status during pregnancy was investigated. Methods: Cross sectional analytic survey with a retrospective approach. Data processing using the chi square test. The population in this study was 20.039 people. Total sampling was used to collect nutritional status data of children under the age of five in West Sulawesi province from February to June 2020. In this study, 88 people were sampled, all of whom were mothers of stunted children aged 2 to 5 Years old and who had a KIA book during pregnancy. Results: The results of statistical tests showed that the p value of nutritional status with BMI and LILA 0.000 and the p value of HB levels 0.066. There was a link between pregnant women's nutritional status and LILA, but not between HB levels and stunting. Conclusion: The conclusion of this study is that there is a relationship between the nutritional status of pregnant women based on BMI and LILA and the incidence of stunting in Mamuju Regency, West Sulawesi Province.


2019 ◽  
Vol 13 (1) ◽  
Author(s):  
Lisnawati Lisnawati ◽  
Nindy Nadyar Humairah ◽  
Arie Maineny

ABSTRACT Preeclampsia is defined as the development of hypertension and proteinuria after 20 weeks of pregnancy. This research aims to determine the relationship between preeclampsia and LBW in Anutapura Hospital Palu. This research is a case-control research. The population was 186 infants and 93 infants LBW as samples, matching at 37, 38, 39, and 40 weeks gestation. The results showed that preeclampsia mothers gave birth to 16 LBW babies (64%) and 9 non LBW babies (36%). While non preeclampsia mothers gave birth to  77 LBW babies (47.8%) and 84 non LBW babies (52.2%). The mean BBL in preeclampsia mothers was 2232,00gr, whereas for non preeclampsia mothers was 2363,04gr. Based on the results of the chi-square test p-value = 0.197 (0.197> 0.05). As conclusion, despite the prevalence of high LBW in preeclampsia mothers, there is no significant effect between preeclampsia and LBW babies. It is recommended that further analysis of other maternal factors be carried out for the incidence of LBW in Anutapura Hospital Palu.Keywords: Preeclampsia and Low Birth Weight


PEDIATRICS ◽  
1988 ◽  
Vol 81 (4) ◽  
pp. 542-548
Author(s):  
Paul H. Wise ◽  
Lewis R. First ◽  
George A. Lamb ◽  
Milton Kotelchuck ◽  
D. W. Chen ◽  
...  

In this study, the determinants of an apparent increase in the infant mortality rate of an urban population with high access to tertiary neonatal care are reviewed. For a 4-year period (1980 to 1983), all infant deaths (n = 422) of the 32,329 births to residents of the City of Boston were analyzed through linked vital statistics data and a review of medical records. A significant increase in the infant mortality rate occurred in 1982 due to increases in three components of the infant mortality rate: the birth rate of very low birth weight infants (&lt;1,500 g), the neonatal mortality rate of normal birth weight infants (≥2,500 g), and the mortality rate of infants dying during the postneonatal period (28 to 365 days). These increases were associated with inadequate levels of prenatal care. Although transient, the impact of the observed alterations in these infant mortality rate components was enhanced by a more long-standing phenomenon: the stabilization of mortality rates for low birth weight infants. This stabilization allowed the increases in other component rates to be expressed more fully than in previous years. In this report a mechanism is shown whereby fully regionalized neonatal care ultimately may confer to the infant mortality rate a heightened sensitivity to socioeconomic conditions and levels of adequate prenatal care.


2016 ◽  
Vol 8 (2) ◽  
pp. 157-162
Author(s):  
Richa Saxena ◽  
Sonal Jain

ABSTRACT Aim The present state-of-art study is an attempt to decipher how adversely the air pollution and its constituents affect the fate of a developing fetus. This involves a detailed study on criteria pollutant and its impact on various pregnancy outcomes, i.e., low birth weight, premature birth, intrauterine growth retardation, and reduction in fetus size. Materials and methods All the concerned research and review papers from the virtual dataset were segregated and have been studied specifically. Results In relevance to the specific pollutants, the particulate matter (PM) seems to be greatly responsible for causing neonatal deaths and high infant mortality rates, whereas the exposure to nitrogen dioxide (NO2) reveals low-birth-weight fetus. Proceeding further, sulfur dioxide (SO2) greatly targets expectant mothers in the second and last trimesters of pregnancy, resulting in low-birth-weight fetuses. The impact of carbon monoxide (CO) during pregnancy was also studied and found to be responsible for structural malformations. Active and passive smoking both boost pregnancy complications in terms of ectopic pregnancy, low birth weight, and infant mortality. Discussion Very few studies have been reported that reveal the dependency of pollutant exposure and reproductive outcomes. One strong interpretation is not sufficient enough to meet the complexity related to plethora of information. Due to variation in the number of factors like spatial and temporal variation, maternal thresholds, period of pregnancy, period of exposure, etc., the extrapolation of result is multifaceted. Different epidemiological studies with different adaptation in methodology report diverse consequences. Conclusion The evidence is satisfactory enough to reveal that the most potent pollutant seems to be PM. The detailed biologic mechanism regarding how these pollutants find their way to placental membrane and disturb the fetal destiny is still vague. The review suggests that reproductive awareness programs should be initiated by the government and policy analysts should be done to lessen the increasing economic burden on human health. How to cite this article Saxena R, Jain S. Adverse Effects of Pollutants on Expectant Mothers—From Womb to Grave: A Retrospective Review. J South Asian Feder Obst Gynae 2016;8(2):157-162.


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