scholarly journals Hubungan Kategori Berat Badan Lahir Rendah dengan Nilai Apgar di RSUP Dr. M. Djamil Padang Periode Januari-Desember 2013

2016 ◽  
Vol 5 (1) ◽  
Author(s):  
Ebill Fuji Edison ◽  
Eva Chundrayetti Chundrayetti ◽  
Eti Yerizel

AbstrakBerat Badan Lahir Rendah (BBLR) adalah berat lahir < 2500 gram. BBLR merupakan prediktor utama angka kesakitan dan kematian bayi. Salah satu faktor yang dipengaruhi oleh berat lahir rendah adalah nilai Apgar. Nilai Apgar adalah hasil penilaian status atau evaluasi keadaan bayi lahir pada 1 dan 5 menit pertama Tujuan penelitian ini adalah menentukan hubungan BBLR dengan nilai Apgar. Penelitian analitik ini mengumpulkan data retrospektif rekam medis BBLR di RSUP Dr. M. Djamil Padang periode Januari-Desember 2013. Berat lahir dibagi menjadi 3 kategori, yaitu BBLR, BBLSR, BBLASR. Nilai Apgar dibagi menjadi 3 kategori yaitu, normal, asfiksia sedang, asfiksia berat. Data yang diperoleh dianalisis dengan menggunakan uji chi-square. Dari 111 kasus bayi BBLR, didapatkan kasus BBLR (81,3%), BBLSR (15,3%), BBLASR (3,6%). Dari nilai Apgar menit ke-1 didapatkan nilai apgar normal (58,6%), asfiksia sedang (29,7%), asfiksia berat (11,7%). Pada nilai Apgar menit ke-5 didapatkan nilai Apgar normal (75,7%), asfiksia sedang (22,5%), asfiksia berat (1,8%). Analisis bivariat chi-square menunjukkan nilai Apgar menit ke-1 memiliki hubungan yang signifikan dengan berat lahir rendah (p=0,035). Nilai Apgar menit ke-5 tidak memiliki hubungan dengan berat lahir rendah (p=0,285).Kata kunci: berat badan lahir rendah, nilai Apgar1Mahasiswa FK Unand, 2Bagian Pulmonologi FK Unand, 3Bagian Patologi Anatomi FK UnandAbstractLow Birth Weight (LBW) is a birth weight < 2500 gram. LBW is a major predictor of infant morbidity and mortality. LBW  is a factor that can affect Apgar score. Apgar score is a test to assess baby’s condition at 1st minute and 5th minuteafter birth. The objective of this study was to determine the relationship between low birth weight and Apgar score. This analytic research by obtaining retrospective data from medical records of LBW babies at RSUP Dr. M. Djamil Padang from January until December 2013. Birth weight was devided into three categories; BBLR, BBLSR, BBLASR. Apgar score  was divided into three categories; normal/vigorous baby, light asphyxia and severe asphyxia.  Among 111 cases of LBW, BBLR (81.3%), BBLSR (15.3%), BBLASR (3.6%) were found in this study. Normal Apgar score (58.6%), Light asphyxia (29.7%), and severe asphyxia (11.7%) were found in 1st minute Apgar score. Normal Apgar score (75.7%), light asphyxia (22.5%), and severe asphyxia (1.8%) were found in 1st minute Apgar score. Chi-square test showed 5th minute of Apgar score was statistically significant to LBW (p=0.035). Chi square test showed 5th minute of Apgar score was not statistically significant to LBW (p=0.285).Keywords: low birth weight, Apgar score

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. 


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


2020 ◽  
Vol 5 (2) ◽  
pp. 85-88
Author(s):  
Lina Astuty

Research: Pre-eclampsia is a disease with signs of hypertension, edema, and proteinuria arising from pregnancy. This disease generally occurs in the third trimester of pregnancy, but can occur earlier, for example in hydatidiform mole (Wiknjosastro, 2005: 282). Preeclampsia and Eclampsia are one of the main causes of maternal mortality in Indonesia. The incidence of preeclampsia ranges from 5-15% of all pregnancies in the world. Based on the 2003 Indonesian Demographic and Health Survey (IDHS), the incidence of preeclampsia in Indonesia is estimated at 3.4–8.5%. The research method used analytical observational method through a case control approach, which is an analytical study concerning how risk factors are studied using a retrospective approach. In other words, the effect is identified now, then the risk factor is identified as having existed or occurred in the past. Research Results The results of the significance test using the Chi-Square test showed a significant relationship to the occurrence of low birth weight (LBW) in mothers with preeclampsia. This is indicated by the value of p = 0.000 which is smaller than α = 0.05, so Ho is rejected. While the results of the calculation of the Odds Ratio show that preeclampsia is one of the causes of LBW, this is indicated by the OR value of 3.028. Conclusion: There is a relationship between preeclampsia and low birth weight in dr. Soedarso Pontianak in 2018 with a probability value (ρ) = 0.000.


Author(s):  
Devika V. Desai ◽  
Nigamananda Mishra ◽  
Gayatri V. Savani

Background: It has been since antiquity that the importance of amniotic fluid and fetal growth with perinatal outcome is being documented. But the lacunae lies in studying the relationship between borderline amniotic fluid and perinatal outcome. The following study was undertaken to provide recent data that would help predict perinatal outcome in borderline AFI pregnancies.Methods: About 144 patients were considered in the study OPD/IPD patients in obstetrics and gynecology department in Bhabha Atomic Research Centre and Hospital, with about 72 cases with borderline amniotic fluid index (5-8 cm) and controls with amniotic fluid index ≥9-25 cm. Patients were selected and subjected to history taking, examination, ultrasound test with doppler studies and perinatal outcome documented over a period of one year.Results: The incidence of borderline AFI in my study was 16%. 58% were primigravidas. Meconium stained liquor was found in 18% cases compared to 7% controls. Low birth weight was found in 12.5% cases and 2.7% in controls. On applying statistical test analysis chi square test, it was found that borderline amniotic fluid index in relation to presence of meconium stained amniotic fluid and low birth weight, p value was found to be statistically significant (<0.05).Conclusions: Borderline amniotic fluid and perinatal outcome had significant relationship in terms of meconium stained liquor and birth weight while rest had no significance. Thus, borderline amniotic fluid patients require vigilant fetal surveillance.


2021 ◽  
Vol 8 (4) ◽  
pp. 616
Author(s):  
Safaa A. M. Ahmed ◽  
Mohammed A. O. Ali ◽  
Esraa A. A. Mahgoub ◽  
Mohammed Nimir ◽  
Elfatih M. Malik

Background: This study aimed to assess the admission pattern and outcome of neonates managed in the neonatal intensive care unit (NICU) in a Sudanese hospital.Methods: This hospital-based retrospective study was conducted in the NICU of Saad Abu Elella Teaching Hospital in Khartoum, Sudan. Data was collected from medical records of 207 neonates using an extraction form. Chi-square test and binary logistic regression were used in analysis.Results: Most of the neonates were term, and 43% of them had a birth weight less than 2.5 kg. Moreover, the most common morbidities among them were sepsis, respiratory distress syndrome, neonatal jaundice and asphyxia, and the mortality rate was 15%. Additionally, the birth weight, gestational age, the need for resuscitations, direct breast feeding and being beside mother were found to be significantly associated with the studied outcome.Conclusions: Majority of causes of neonatal morbidity and mortality in our study were preventable diseases. Therefore, interventions to improve services in the NICU are highly needed to improve the outcomes.


BMJ Open ◽  
2020 ◽  
Vol 10 (10) ◽  
pp. e036162
Author(s):  
Md Mostaured Ali Khan ◽  
Md Golam Mustagir ◽  
Md Rafiqul Islam ◽  
Md Sharif Kaikobad ◽  
Hafiz TA Khan

ObjectiveThis study is concerned with helping to improve the health and care of newborn babies in Bangladesh by exploring adverse maternal circumstances and assessing whether these are contributing towards low birth weight (LBW) in neonates.Study designs and settingsData were drawn and analysed from the Bangladesh Demographic and Health Survey, 2014. Any association between LBW and adverse maternal circumstances were assessed using a Chi-square test with determinants of LBW identified by multivariate logistic regression analysis.ParticipantsThe study is based on 4728 children aged below 5 years and born to women from selected households.ResultsThe rate of LBW was around 19.9% (199 per 1000 live births) with the highest level found in the Sylhet region (26.2%). The rate was even higher in rural areas (20.8%) and among illiterate mothers (26.6%). Several adverse maternal circumstances of the women included in the survey were found to be significant for increasing the likelihood of giving birth to LBW babies. These circumstances included the women being underweight (adjusted odds ratio (AOR) 1.26, 95% CI 1.06 to 1.49); having unwanted births (AOR 1.22, 95% CI 1.03 to 1.44); had previous pregnancies terminated (AOR 1.28, 95% CI 1.05 to 1.57); were victims of intimate partner violence (AOR 1.23, 95% CI 1.05 to 1.45) and taking antenatal care <4 times (AOR 1.23, 95% CI 1.03 to 1.48). Other important risk factors that were revealed included age at birth <18 years (AOR 1.42, 95% CI 1.11 to 1.83) and intervals between the number of births <24 months (AOR 1.25, 95% CI 1.01 to 1.55). When taking multiple fertility behaviours together such as, the ages of the women at birth (<18 years with interval <24 months (AOR 1.26, 95% CI 1.02 to 1.57) and birth order (>3 with interval <24 months (AOR 1.68, 95% CI 1.18 to 2.37), then the risk of having LBW babies significantly increased.ConclusionThis study finds that adverse maternal circumstances combined with high-risk fertility behaviours are significantly associated with LBW in neonates. This situation could severely impede progress in Bangladesh towards achieving the sustainable development goal concerned with the healthcare of newborns.


2020 ◽  
Author(s):  
Alhassan Sibdow Abukari ◽  
Shamsudeen Mohammed ◽  
Nathaniel Awuni ◽  
Ibrahim Yakubu ◽  
Adam Yakubu ◽  
...  

Abstract Background: Apgar score remains the most effective measure of newborn health outcomes in the first few minutes of delivery and it is useful in diagnosing perinatal asphyxia and metabolic acidosis. Methods: This retrospective cross-sectional study was conducted at the Baptist Medical Centre in the North East Region of Ghana. For the period January 1 to December 31 2018, we extracted information on 3011 women who delivered at the facility from birth records. Binary logistic regression models were used to determine the factors associated with low fifth minute Apgar score, preterm low fifth minute Apgar score, and term low fifth minute Apgar score.Results :Nearly half of the participants had experienced 2 to 5 pregnancies (47.1%) and had given birth to 2 to 5 children (47.7%). Most of the women delivered at 37 weeks gestation or more (87.6%), attended 1 to 4 antenatal care visits (53.2%), and received 1 to 3 doses of sulfadoxine-pyrimethamine (70.9%). The majority of the newborns weighed 2.5kg or more at birth (90.7%), were delivered through the vagina (79.8%), and a little over half of them (51.40%) were males. After adjusting for potential confounders, we found evidence that multigravid women were 0.67 (95% CI 0.49 - 0.90) times less likely to deliver a child with low fifth minute Apgar score while delivery at less than 37 weeks gestation, birth weight of less than 2.5kg, and caesarean delivery were associated with increased odds of low fifth minute Apgar score. For infants born at term, being born to a multigravid mother was protective against low fifth minute Apgar score while delivery through caesarean section increased the odds of low fifth minute Apgar score among this group of newborns. Among preterm infants, our study found strong evidence that those born with low birth weight (<2.5kg) had about 4 times the odds of suffering low fifth minute Apgar score compared to those with normal birth weight.Conclusion:In designing interventions to improve the survival and the Apgar score of newborns, measures to properly diagnose and prevent preterm delivery and low birth weight should be of great concern.


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.


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