scholarly journals High parity and chronic energy deficiency increase risk for low birth weight in Situbondo District

2017 ◽  
Vol 5 (1) ◽  
pp. 28
Author(s):  
Dyah Ekowati ◽  
Luh Seri Ani ◽  
I Gusti Ayu Trisna Windiani

Background and purpose: The prevalence of low birth weight (LBW) in Situbondo District increased from 2.79% in 2008 to 5.85% in 2014. The highest prevalence in 2015 was found in Bungatan Subdistrict (11%). This study aims to determine risk factors of LBW in Bungatan Subdistrict, Situbondo.Methods: A case control study was conducted in Bungatan Subdistrict. A total of 60 infants born at the Bungatan Community Health Centre were included in the study. Cases were infants with LBW and controls were those with normal birth weight. All infants born with LBW were taken as cases (20 infants) while 40 controls were selected using a systematic random sampling. Data were collected from February to March 2016. Data were analysed using bivariate and multivariate technique with logistic regression test.Results: The majority of respondents were unemployed (80%), aged between 20-35 years during the pregnancy (53.33%), with parity of ≤3 (66.67%), low education level (61.67%), anemia during the pregnancy (68.33%), good nutritional status (75.00%), poor nutrition intake during the pregnancy (51.67%) and without pre-eclampsia (88.33%). Parity of >3 increased the risk of LBW (AOR=6.4; 95%CI 1.66 - 24.75). Chronic energy deficiency increased the risk of LBW (AOR=5.6; 95%CI 1.41-22.57).Conclusions: Parity of more than three and chronic energy deficiency increase the risk for LBW in Bungatan Community Health Centre, Situbondo District.

Author(s):  
Dyah Ekowati ◽  
L. Seri Ani ◽  
IGA. Trisna Windiani

Background and purpose: The prevalence of low birth weight (LBW) in Situbondo District increased from 2.79% in 2008 to 5.85% in 2014. The highest prevalence in 2015 was found in Bungatan Subdistrict (11%). This study aims to determine risk factors of LBW in Bungatan Subdistrict, Situbondo.Methods: A case control study was conducted in Bungatan Subdistrict. A total of 60 infants born at the Bungatan Community Health Centre were included in the study. Cases were infants with LBW and controls were those with normal birth weight. All infants born with LBW were taken as cases (20 infants) while 40 controls were selected using a systematic random sampling. Data were collected from February to March 2016. Data were analysed using bivariate and multivariate with logistic regression test.Results: The majority of respondents were unemployed (80%), aged between 20-35 years during the pregnancy (53.33%), with parity of ?3 (66.67%), low education level (61.67%), anemia during the pregnancy (68.33%), good nutritional status (75.00%), poor nutrition intake during the pregnancy (51.67%) and without pre-eclampsia (88.33%). Parity of >3 increased the risk of LBW (AOR=6.4; 95%CI 1.66 - 24.75). Chronic energy deficiency increased the risk of LBW (AOR=5.6; 95%CI 1.41-22.57).Conclusions: Parity of more than three and chronic energy deficiency increase the risk for LBW in Bungatan Community Health Centre, Situbondo District.


2022 ◽  
Vol 13 (1) ◽  
pp. 266-272
Author(s):  
Lila Amila ◽  
Ezrin Syariman bin Roslan ◽  
Nabila ◽  
Widati Fatmaningrum

Birth weight serves as an indicator of a newborn’s health status. It is associated with mortality rate in the first year, developmental problems in childhood and risk of various diseases in adulthood. Even in modern era, it continues to be a health concern globally, especially in developing countries. In Indonesia, the prevalence of low birth weight has increased from 2013 to 2018, swaying further from the national target. Low birth weight is often caused by insufficient nutrients supplied by the mother to the fetus. In Indonesia, chronic energy deficiency status is diagnosed in the first antenatal care visit by measuring maternal middle-upper arm circumference with a cut-off point of 23.5cm. Meanwhile, iron level is measured via assessing hemoglobin level will be measured in the first antenatal care visit and in trimester III. This study aims to describe the factors that may influence neonatal birth weight. It is a quantitative study with a cross sectional approach conducted at Sidotopo Wetan Public Health Centre. 97 samples are collected from medical records and analysed using bivariate correlative test. Result shows that maternal age (0.20), chronic energy deficiency status (0.026) and antenatal care visit minimal of 4 times (0.49) increase the risk of low-birth-weight incidence. On the other hand, educational level, maternal parity and anemia status does not acts as risks. In conclusion, maternal age, energy status and visits to antenatal care acts as risk factors in causing low birth weight.


2017 ◽  
Vol 4 (1) ◽  
pp. 16
Author(s):  
Ika Fitria Ayuningtyas ◽  
Hafifah Wijayanti

Background : Pregnant mothers’ nutritional status is partly influenced by knowledge level. Early study signaled that there were 47,25 % of pregnant mothers who suffered Chronic Energy Deficiency and the result of interviews found out that 7 out of 10 pregnant mothers had insufficient understanding about nutritional need. This fact encouraged the researcher to hold a study about the knowledge level of second term pregnant mothers about nutritional need in Sanden Community Health Center, Bantul, Yogyakarta Objective : To uncover the knowledge level of second term pregnant mothers about nutritional intake need in Sanden Community Health Center, Bantul, Yogyakarta Method : This was a quantitative descriptive study. Population in this study was Second Term pregnant mothers who underwent pregnancy examination in Sanden Community Health Center, Bantul, Yogyakarta, during June – July 2014. 30 respondents were sorted with Incidental Sampling technique. Data collecting used primary data and the instrument used was closed questionnaire. Result : This study finally categorized the knowledge level of pregnant mothers in Good category (33,3 %), Sufficient category (60,0 %), and Poor category (6,7 %). Conclusion : The knowledge level of second term pregnant mothers about nutritional need were categorized as enough so that it is recommended that pregnant mothers improve their understanding about nutritional need during pregnancy. Suggestion : Midwives in Community Health Centre are supposed  to hold dissemination about nutritional need during pregnancy so that it may prevent any Chronic Energy Deficiency.


Author(s):  
Pushpa Tiwari

Background: Anemia is a major health issue affecting both developing and developed countries worldwide. In the developing countries, poverty, gender bias and lack of education about the importance of a balanced and iron-rich diet contribute to anemia. According to WHO anemia is present when the hemoglobin percentage is less than 11 gm per dl during pregnancy. The birth weight of an infant is the most important determinant of its chance of survival health growth and development. The prevalence of low birth weight (LBW) is higher in Asia than elsewhere. Low birth weight is a major determinant of mortality, morbidity and disability in infancy and childhood and has a long term impact on health outcomes in adult life. The purpose of this study was to assess the relationship between maternal hemoglobin concentration with neonatal birth weight.Methods: This was a descriptive study. Details were collected from ante-natal records of women, attending 10 numbers of Maternal and Child health clinics run by Tata Steel Family Initiatives Foundation for urban poor community in and around Jamshedpur. This study was done over a period of 7 months from May 2018 to November 2018. Data was collected retrospectively after women had delivered. A sample size of 511 women was taken as a part of the survey.Results: Analysis of the data shows that anemia was associated with a significantly increase risk of low birth weight (<2500 gm). In our study it was found that Hb level in 3rd trimester had more impact on birth weight than in 1st trimester.Conclusions: Maternal anemia was significantly associated with effect on birth weight. Effort should be directed towards awareness of women regarding prevention of anemia so that their pre pregnancy hemoglobin level is normal and babies born are of normal birth weight. 


2017 ◽  
Vol 5 (1) ◽  
pp. 39
Author(s):  
Khrispina Owa ◽  
I Wayan Gede Artawan Eka Putra ◽  
I Gusti Ayu Trisna Windiani

Background and purpose: Low birth weight (LBW) is a major cause of neonatal and infant mortality. The Indonesian Demographic and Health Survey indicated that neonatal mortality rate in East Nusa Tenggara was 26 per 1000 live births, 15% of which were caused by low birth weight. This study aims to understand the relationship between age of mother, birth spacing, chronic energy deficiency, presence of concomitant diseases, employment status, anemia, quality of antenatal care and traditional dietary restrictions on the incidence of LBW in Ende District, East Nusa Tenggara.Methods: A case control study was conducted at Ende District in 2015, with a total of 156 respondents. Cases were mothers giving birth to LBW infant (<2500 gram) and controls were mothers giving birth to normal weight infant (≥2500 gram). Case and control ratio was 1:1. Data were obtained from antenatal care records and interviews. Data were analysed using bivariate analysis and multivariate with logistic regression.Results: This study found that risk factors of LBW include age of mother <20 or ≥35 years (AOR=6.8; 95%CI: 1.87-25.0), traditional dietary restrictions (AOR=6.7; 95%CI: 1.71-26.8), birth spacing <2 years (AOR=6.5; 95%CI: 1.78-24.2), chronic energy deficiency (AOR=5.3; 95%CI: 1.38-21.0), being employe (AOR=4.6; 95%CI: 1.44-14.9), anemia (AOR=4.2; 95%CI: 1.37-13.1), malaria infection (AOR=3.9; 95%CI: 1.21-12.7) and low quality of antenatal care (AOR=3.5; 95%CI: 1.11-11.3).Conclusions: Age of mother <20 or ≥35 years, traditional dietary restrictions, birth spacing <2 years, chronic energy deficiency, maternal occupation, anemia, malaria infection and low quality of antenatal care are risk factors for LBW in the District of Ende.


2021 ◽  
Vol 2 (3) ◽  
pp. 80-85
Author(s):  
Arie Alfina Mahmudian ◽  
Dian Aby Restanty ◽  
Sugijati Sugijati

KEK (Chronic Energy Deficiency) is a condition of the mother suffering from lack of calories and protein (malnutrition) that lasts chronic (chronic) at risk of causing complications in the mother one of which is anemia gravidarum. Anemia in pregnancy is a decrease in Hb levels, so that the carrying capacity of oxygen for the needs of vital organs in the mother and fetus is reduced. The purpose of this study is to determine the relationship of KEK with anemia gravidarum in mothers with low birth weigth history. The correlation analytic research design is a case control study approach, the population is 68 mothers with low birth weight history, using simple random sampling technique, the sample is calculated using Slovin formula, the number of 58 low birth weight history mothers fulfills the inclusion criteria. The research instrument used observation sheets to look at secondary data on cohorts of pregnant women, data analysis using the chi square test obtained a p value of 0, 001 means that p <0.05 indicates the relationship of KEK with anemia gravidarum in women with low birth weight history with a close relationship is sufficient. The value of the Contingency Coefficient in the Chronic Energy Deficiency variable is 0.39, which means that the relationship between KEK and anemia gravidarum is sufficient. The Odds Ratio (OR) value in the Chronic Energy Deficiency variable is 6.9, which means that pregnant women with nutritional status of Chronic Energy Deficiency have a 6.9 times greater risk of anemia during pregnancy than those who are not. Inadequate nutritional needs have a greater risk of anemia during pregnancy and the risk of giving birth to Low Birth Weight Babies. Researchers suggest providing counseling to women of adolescence, women of childbearing age and especially pregnant women so that they can add more information about the importance of nutritional status in pregnant women, the dangers of anemia during pregnancy and also the importance of consuming blood booster tablets during pregnancy. So that it is expected to reduce the incidence of anemia pregnant women case and low birth weight history.


Author(s):  
Khrispina Owa ◽  
I.W.G. Artawan Eka Putra ◽  
I.G.A Trisna Windiani

Background and purpose: Low birth weight (LBW) is a major cause of neonatal and infant mortality. The Indonesian Demographic and Health Survey indicated that neonatal mortality rate in East Nusa Tenggara was 26 per 1000 live births, 15% of which were caused by low birth weight. This study aims to understand the relationship between age of mother, birth spacing, chronic energy deficiency, presence of concomitant diseases, employment status, anemia, quality of antenatal care and traditional dietary restrictions on the incidence of LBW in Ende District, East Nusa Tenggara.Methods: A case control study was conducted at Ende District in 2015, with a total of 156 respondents. Cases were mothers giving birth to LBW infant (<2500 gram) and controls were mothers giving birth to normal weight infant (?2500 gram). Case and control ratio was 1:1. Data were obtained from antenatal care records and interviews. Data were analysed using bivariate analysis and multivariate with logistic regression.Results: This study found that risk factors of LBW include age of mother <20 or ?35 years (AOR=6.8; 95%CI: 1.87-25.0), traditional dietary restrictions (AOR=6.7; 95%CI: 1.71-26.8), birth spacing <2 years (AOR=6.5; 95%CI: 1.78-24.2), chronic energy deficiency (AOR=5.3; 95%CI: 1.38-21.0), employed (AOR=4.6; 95%CI: 1.44-14.9), anemia (AOR=4.2; 95%CI: 1.37-13.1), malaria infection (AOR=3.9; 95%CI: 1.21-12.7) and low quality of antenatal care (AOR=3.5; 95%CI: 1.11-11.3).Conclusions: Age of mother <20 or ?35 years, traditional dietary restrictions, birth spacing <2 years, chronic energy deficiency, maternal occupation, anemia, malaria infection and low quality of antenatal care are risk factors for LBW in the District of Ende.


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