scholarly journals Riwayat KEK dan anemia pada ibu hamil tidak berhubungan dengan kejadian stunting pada anak usia 6-23 bulan di Kecamatan Sedayu, Bantul, Yogyakarta

Author(s):  
Kristiana Tri Warsini ◽  
Hamam Hadi ◽  
Detty Siti Nurdiati

<p><strong>ABSTRACT</strong></p><p><em><strong>Background</strong>: Quality of human resource was built since human being was in the womb. Pregnant mother’s health had signifi cant impact on fetus. Pregnant mother’s with anemia and CED would surely have significant impact on the fetus in their womb because it would make low birth weight. If a child with low birth weight can not catch up grow, it was highly possible that they would suffer from stunting. </em></p><p><em><strong>Objectives</strong>: The aim of this study was to identify the relationship between nutritional status of pregnant mother with stunting in children 6-23 age month in Sedayu, Bantul, Yogyakarta.</em></p><p><em><strong>Methods</strong>: It was observational study with case-control design. The number of samples were 252 children aged 6-23 months. All of stunting children aged 6-23 months in Sedayu subdistrict were selected as samples. Cases and controls samples were matching based on age. Data were collected using structured questionnaire to fi nd out the identity of the children aged 6-23 month, identity of respondents, the nutritional status of the children aged 6-23 month, the history of nutritional status of the pregnant mothers’ and sociodemographic. Anthropometric measurement used microtoise to fi nd out parent’s height, infantometer to find out children length, semi-quantitative food frequency questionnaire (SQ-FFQ) and food models were used as instrument. The data was analyzed using univariate analysis, bivariate analysis with chisquare</em><br /><em>test, and multivariate analysis with multiple logistic regression.</em></p><p><em><strong>Results</strong>: The bivariate analysis showed that anemic history during pregnancy was the risk factor of stunting, but it was not statistically signifi cant (p=0.13, OR:1.5, 95% CI:0.85-2.73). The CED history during pregnancy was not the risk factor of the stunting incident (p=0.23, OR:0.7, 95% CI:0.37-1.31). Other factors related to the stunting incidence were mother’s height (p=0.01, OR:2.04, 95% CI:1.14-3.65), the history of low birth weight (p=0.03, OR:3.03, 95% CI:1.09-8.33), and food insecurity (p=0.04, OR:2.7, 95% CI:1.04-7.00). The multivariate analysis showed that mother’s height was correlated with the stunting incidence in Sedayu subdistrict.</em></p><p><em><strong>Conclusion</strong>: Factors that influence the incidence of stunting in children aged 6-23 month were pregnant mother with anemia, history of low birth weight, food insecurity, and stunted mother. Stunted mother was associated with the incidence of stunting. </em></p><p><strong>KEYWORDS</strong><em>: anemia, CED, growth disorder, pregnant women, risk factors</em></p><p><br /><strong>ABSTRAK</strong></p><p><em><strong>Latar belakang</strong>: Kualitas sumber daya manusia terbentuk sejak dalam kandungan. Kesehatan ibu saat hamil akan sangat mempengaruhi kesehatan janin yang dikandungnya. Ibu hamil yang anemia dan menderita kekurangan energi kronis (KEK) tentu akan mempengaruhi kesehatan janin yang dikandungnya, karena akan menyebabkan bayi lahir dengan berat yang rendah. Bila tidak bisa tumbuh kejar, bayi BBLR kemungkinan besar akan menderita stunting. </em></p><p><em><strong>Tujuan</strong>: Untuk mengetahui hubungan antara status gizi ibu saat hamil dengan kejadian stunting pada anak usia 6-23 bulan di Kecamatan Sedayu, Kabupaten Bantul.</em></p><p><em><strong>Metode</strong>: Penelitian ini merupakan penelitian observasional dengan desain case-control. Jumlah sampel penelitian sebanyak 252 anak berusia 6-23 bulan yang berasal dari 4 desa di Kecamatan Sedayu. Semua anak stunting usia 6-23 bulan diambil sebagai sampel, dengan matching umur kasus dan kontrol. Pengambilan data menggunakan kuesioner terstruktur untuk mengetahui identitas anak usia 6-23 bulan, identitas responden, status gizi anak usia 6-23 bulan, riwayat status gizi ibu saat hamil, dan data sosiodemografi. Pengukuran antropometri terhadap tinggi badan orang tua dengan microtoise dan panjang badan anak dengan infantometer serta untuk SQ-FFQ menggunakan food model. Data dianalisis dengan menggunakan analisis univariat (deskriptif), bivariat (chi-square), dan multivariat (regresi logistik).</em></p><p><em><strong>Hasil</strong>: Hasil bivariat menunjukkan riwayat anemia saat hamil merupakan faktor risiko terjadinya stunting tetapi secara statistik tidak signifikan (p=0,13, OR=1,5, 95%CI=0,85-2,73). Riwayat KEK saat hamil bukan faktor risiko terhadap kejadian stunting (p=0,23, OR=0,7, 95% CI=0,37-1,31). Faktor lain yang berhubungan</em><br /><em>dengan kejadian stunting adalah tinggi badan ibu (p=0,01, OR=2,04, 95% CI=1,14-3,65), riwayat BBLR (p=0,03, OR=3,03, 95% CI=1,09-8,33), dan rawan pangan (p=0,04, OR=2,7, 95% CI=1,04-7,00). Hasil analisis multivariat adalah tinggi badan ibu berhubungan dengan kejadian stunting di Kecamatan Sedayu, Bantul, Yogyakarta.</em></p><p><em><strong>Kesimpulan</strong>: Faktor yang mempengaruhi kejadian stunting adalah ibu hamil yang menderita anemia, mempunyai riwayat BBLR, rumah tangga rawan pangan dan tinggi badan ibu yang kurang. Pada analisis multivariat yang berhubungan dengan kejadian stunting adalah tinggi badan ibu yang kurang. </em></p><p><strong>KATA KUNCI</strong><em>: anemia, KEK, stunting, ibu hamil, faktor risiko</em></p>

2020 ◽  
Vol 2020 ◽  
pp. 1-7 ◽  
Author(s):  
Saneep Shrestha ◽  
Sandeep Shrestha ◽  
Upasana Shakya Shrestha ◽  
Kamala Gyawali

Background. Low birth weight (LBW) is defined as the birth weight of live born infants below 2500 g, regardless of gestational age. It is a public health problem caused by factors that are potentially modifiable. The purpose of this study was to determine the socioeconomic, obstetric, and maternal factors associated with LBW in Lumbini Provincial Hospital, Nepal. Methods. The study was conducted using case control study design with 1 : 2 case control ratio. A total of 105 cases and 210 controls were taken in this study. Data were entered on Epi data software version 3.1 and exported to Statistical Package for Social Science (SPSS) software version 25 for analysis. Characteristics of the sample were described using mean and standard deviation. Bivariate analysis was done to assess the association between dependent and independent variables. The ultimate measure of association was odds ratio. Variables found to be associated with bivariate analysis were entered into a multivariable logistic regression model to identify predictors of LBW. Results. The mean age of the participants was 25.98 years with ±4.40 standard deviation. Mothers with literate educational background (AOR 0.32, 95% CI 0.13–0.81), housewife (AOR 2.63, 95% CI 1.11–6.20), vaginal mode of delivery (AOR 0.45, 95% CI 0.25–0.82), gestational age <37 weeks (AOR 2.51, 95% CI 1.15–5.48), history of LBW (AOR 5.12, 95% CI 1.93–13.60), and maternal weight <50 kilograms (AOR 2.23, 95% CI 1.23–4.02) were significantly associated with LBW. Conclusion. Educational and occupational status, mode of delivery, gestational age, maternal weight, and history of LBW were found to be independent predictors of LBW. There is need of developing coordination with education sector for increasing educational status of mothers and adolescent girls. Social determinants of health need to be considered while developing interventional programs. Similarly, interventional programs need to be developed considering identified predictors of low birth weight.


2016 ◽  
Vol 5 (2) ◽  
Author(s):  
Yulia Efni ◽  
Rizanda Machmud ◽  
Dian Pertiwi

AbstrakAda beberapa faktor risiko yang meningkatkan angka kejadian pneumonia di negara berkembang yaitu: kurangnya pemberian Air Susu Ibu (ASI) eksklusif, gizi buruk, polusi udara dalam ruangan, Bayi Berat Lahir Rendah (BBLR) dan kurangnya imunisasi campak. Tujuan penelitian ini adalah menentukan faktor risiko yang berhubungan dengan kejadian pneumonia pada balita di Kelurahan Air Tawar Barat, Kota Padang. Penelitian ini menggunakan desain case control study, sampel terdiri dari 27 case dan 27 control. Data dikumpulkan dengan wawancara terpimpin serta melihat data rekam medik dan dianalisis dengan uji chi-square. Hasil penelitian  mendapatkan balita pada kelompok kasus yang tidak mendapatkan ASI eksklusif (81,5%), paparan asap rokok (74,1%), riwayat bayi berat lahir rendah (3,7%), tidak mendapatkan imunisasi campak (40,7%) dan gizi kurang (25,9%). Hasil analisis bivariat menunjukkan terdapat hubungan yang bermakna antara status gizi dengan kejadian pneumonia (p=0,022; OR=9,1; 95%CI=1,034-80,089), sedangkan pemberian ASI eksklusif, paparan asap rokok, riwayat bayi berat lahir rendah dan imunisasi campak tidak terdapat hubungan yang bermakna terhadap pneumonia.Kata kunci: balita, faktor risiko, pneumonia AbstractPneumonia in developing countries are associated to the risk factors such as: lack of exclusive breastfeeding, malnutrition, indoor air pollution, low birth weight and lack of measles vaccinations. The objective of this study was to determine the risk factors associated on the occurrence of pneumonia among the children under five years of age in Air Tawar Barat district, Padang City. This study used case control study  to the 27 cases and 27 control. The data were collected by guided interview and the medical records, than was analyzed by chi-square.test. The results of this study obtanined in the group of cases based on the low exclusive breastfeeding rates (81.5%), exposure to cigarette smoke (74.1%), a history of low birth weight (3.7%), did not get measles vaccinations (40.7%) and malnutrition (25.9%). The result of bivariate analysis shows the significant relationship between nutritional status on the occurrence of pneumonia (p=0.022; OR=9.1; 95% CI=1.034-80.089). The exclusive breastfeeding, exposure to cigarette smoke, a history of low birth weight and measles vaccinations are not significantly related to the occurrence of pneumonia. Keywords: children under five years of age, risk factors, pneumonia


2019 ◽  
Author(s):  
Nigusse Obse Nebi ◽  
Tolossa Eticha Chaka ◽  
Tilaye Workineh Abebe ◽  
Ephrem Mannekulih M

Abstract Back ground: Low birth weight is the major predictor of prenatal mortality and morbidity world wide. It has been defined by the World Health Organization as weight at birth of less than 2,500 grams irrespective of their age. Rate of low birth weight is still high in developing countries like Ethiopia particularly Oromia regional state where adequate primary health care services for maternal and child health are not universally available to all the populations. It is therefore imperative to identify risk factors for low birth weight in various communities in order to come up with feasible intervention strategies to minimize the problem. Methods: Facility based case-control study design was conducted from June-1/2017 to April-30/2018 on 318 mothers with singleton and full term neonates (108 case to 210 control). Semi structured interviewer administered and pretested questionnaire was used by trained data collectors working in delivery ward. The data were entered and analyzed statistical software. Descriptive and bivariate analysis was done. Result The mean maternal age of all study participants was 26.7 years with [SD of 4.8] with mean age for mothers of cases was 25.5 years and for controls was 27.4 years. In bivariet analysis residency being rural (AOR= 1.95 with 95% CI (1.0-3.48), parity ≥2 (AOR= 3.45 (1.89-6.32), number of antenatal care attendance ˂4 visits (AOR= 0.40(0.218-0.73)), birth interval ˂24 moths (AOR= 2.68 (1.45-4.94), history of hypertension (AOR= 0.39(0.18-0.87) and maternal MUAC ˂21cm (AOR=0.38 (0.159-0.91) were found to be statistically significant. Conclusions Variables that were found to have a statically significant relationship with low birth weight were residency being rural, occupation, parity ≥2 & birth interval ≤24months, number of antenatal care attendance ˂4 visits, history of hypertension and maternal MUAC ˂21cm were found to be statistically significant. Key phrases:- Low bith weight, maternal risk factor


2017 ◽  
Vol 56 (12) ◽  
pp. 1537-1541 ◽  
Author(s):  
Mari Tanaka ◽  
Sachio Iwanari ◽  
Yasushi Tsujimoto ◽  
Keisuke Taniguchi ◽  
Koichiro Hagihara ◽  
...  

2020 ◽  
Vol 14 (2) ◽  
pp. 101
Author(s):  
Aisyah Apriliciciliana Aryani ◽  
Besral Besral

Background: Based on Metro City Health Office reports, there was an increase in the proportion of LBW cases from 75 cases per 1.000 live births in 2015 to 87 cases per 1.000 live births in 2016. Metro City Health Service stated that one of the causes was the low level of maternal knowledge, especially regarding the consumption of balanced nutrition during pregnancy. This study aimed to investigate the relationship between the level of maternal knowledge and Low Birth Weight (LBW). Method: The study design was case-control, where low birth weight as a case and normal weight as a control. Study sample was 102, consisting of 51 cases and 51 control. Dependent variable was low birth weight, independent variable was the level of maternal knowledge. Data was obtained by interviewing the mothers, and secondary data was collected from community health center records. Data was analysed by bivariate and multivariate analysis. Results: Bivariate analysis showed that the OR level of maternal knowledge was 2,598 (95% CI: 1,126-5,995). The results of multivariate analysis showed that OR level of maternal knowledge was 2,646 (95% CI: 1,092-6,410). Conclusion: Mother's level of knowledge is a risk factor for LBW in Metro City.


PEDIATRICS ◽  
1981 ◽  
Vol 68 (5) ◽  
pp. 684-690
Author(s):  
John M. Leventhal

To determine whether the findings of case-control studies of risk factors for child abuse may have been biased because of inattention to scientific principles of research design, 22 case-control studies were reviewed investigating either of two risk factors: (1) prematurity or low birth weight of the abused child or (2) young maternal age of the mother of the abused child. Each study was examined to determine compliance with seven methodologic standards that would minimize bias or distortion of the results. No study satisfied all seven standards. Two standards, choice of a specific control group and adjustment for differences in clinical and demographic susceptibility factors, most often affected the results. Studies complying with both of these standards indicated that prematurity or low birth weight is not a risk factor for abuse and that young maternal age at the birth of the abused child is likely to be a risk factor. Few studies complied with the standard concerned with avoidance of detection bias; this failure may have a major effect on the direction of the results of certain studies. Previous case-control studies of child abuse have important methodologic flaws that can affect the validity of the results. The standards presented should be helpful in planning methodologically rigorous studies.


2018 ◽  
Vol 28 (3) ◽  
pp. 191-200
Author(s):  
Indri Yunita Suryaputri ◽  
Nurillah Amaliah ◽  
Bunga Christitha Rosha ◽  
Kencana Sari

AbstractThe level of infant mortality and morbidity in Indonesia still high. The factor that is one of the causes of neonatal death is Low Birth Weight (LBW). Therefore, knowing the practices of early initiation breast feeding, exclusive breast feeding, and child feeding of children with normal nutritional status who had low birth weight history is very important. This research is a qualitative study part of growth and development cohort study held in Kota Bogor in 2017. In-depth interviews were conducted to 12 informants of mothers who have children with normal nutritional status (WAZ/WHZ) who at birth had a history of low birth weight. The results showed that most of the informants did not practice early breast-feeding initiation. However, the practice of feeding shows that the frequency of feeding to children tends to be in accordance with recommendation from the WHO. Promotion and education are very necessary to be done for mothers and families to support the success of initial breast feeding practices, exclusive breast-feeding appropriate and varied frequency for low birth weight children. AbstrakTingkat morbiditas dan mortalitas bayi di Indonesia masih tinggi. Faktor yang menjadi salah satu penyebab kematian neonatus ialah Bayi Berat Lahir Rendah (BBLR). Oleh karena itu, mengetahui praktik Inisasi Menyusui Dini (IMD) dan pemberian Air Susu Ibu (ASI) esklusif serta pola pemberian makan pada bayi di bawah dua tahun (baduta) dengan status gizi normal yang mempunyai riwayat BBLR sangatlah penting. Penelitian ini merupakan penelitian kualitatif bagian dari penelitian kohor tumbuh kembang anak (TKA) tahun 2017 di Kota Bogor. Penelitian dilakukan dengan cara wawancara mendalam terhadap 12 informan ibu yang memiliki anak baduta dengan status gizi normal (BB/U dan BB/TB) yang pada saat lahir mempunyai riwayat berat badan lahir rendah. Hasil penelitian menunjukkan bahwa sebagian besar informan tidak melakukan IMD. Namun pada praktik pemberian makanan memperlihatkan bahwa frekuensi pemberian makan kepada anak cenderung sesuai dengan anjuran dari WHO. Promosi dan edukasi amat perlu dilakukan pada ibu dan keluarga untuk mendukung keberhasilan praktik IMD, pemberian ASI eksklusif, pemberian makanan dengan frekuensi sesuai dan beragam pada anak BBLR.


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