scholarly journals PROGRAM PEMBERIAN MAKANAN TAMBAHAN:STUDI KASUS PADA IBU HAMIL DENGAN KURANG ENERGI KRONIS DI PUSKESMAS CEBONGAN SALATIGA

2019 ◽  
Vol 10 (1) ◽  
pp. 111
Author(s):  
Gelora Mangalik ◽  
R. Trikoriyanto Koritelu ◽  
Mirna Wala Amah ◽  
Rananda Junezar ◽  
Omega Peggy I. Kbarek ◽  
...  
Keyword(s):  
Pregnant Woman ◽  
Pregnant Women ◽  
Growth And Development ◽  
Economic Conditions ◽  
Vulnerable Groups ◽  
Nutritional Deficiencies ◽  
Complementary Foods ◽  
Arm Circumference ◽  
Mid Upper Arm Circumference ◽  
Infant’S Growth

Ibu hamil adalah kelompok yang rentan mengalami masalah kesehatan diantaranya kekurangan gizi. Kekurangan gizi pada ibu hamil banyak terjadi di negara-negara  berkembang yang  meliputi kurang energi kronis (KEK)  maupun kekurangan zat gizi mikro. Ibu hamil dengan KEK dapat berpengaruh terhadap proses pertumbuhan janin serta dapat menyebabkan keguguran, bayi berat lahir rendah (BBLR), kematian neonatal, anemia pada bayi dan asfiksia intra partum. Bayi yang lahir dalam kondisi BBLR mempunyai risiko gangguan pada pertumbuhan dan perkembangannya serta mengalami kekurangan gizi. Penelitian ini bertujuan untuk menganalisis program pemberian makanan tambahan pada ibu hamil dengan KEK di Puskesmas Cebongan Salatiga. Hasil penelitian ini menunjukkan sasaran program pemberian makanan tambahan ditujukan bagi ibu hamil yang terdeteksi memiliki lingkar lengan atas (LILA) < 23,5 cm dan diprioritaskan bagi ibu dengan kondisi ekonomi rendah . Ibu hamil yang memiliki ukuran LILA  dibawah 23.5 cm (KEK) berjumlah 17 orang dan ibu hamil yang mendapatkan makanan tambahan (MT) berupa biskuit sejumlah 20 orang. Evaluasi program PMT adalah pendistribusian PMT belum optimal, kurangnya kesadaran ibu hamil untuk melakukan pemeriksaan kesehatan dan makanan tambahan tidak dihabiskan oleh ibu hamil. Kata Kunci: Ibu Hamil, Kurang Energi Kronik, Pemberian Makanan Tambahan AbstractPregnant women are vulnerable groups that is susceptible to have health problems including malnutrition. Nutritional deficiencies in pregnant women occur in many developing countries which include chronic energi deficiency (CED)  and micronutrients deficiency. Pregnant women with CED can affect the growth of the fetus and can cause miscarriages, low birth weight (LBW), neonatal mortality, anemia in infants and intrapartum asphyxia. LBW has a risk to inhibit infant’s growth and development and to have  malnutrition. The aim of this study was to analyze complementary foods giving program  for pregnant women with CED at Cebongan Health Center in Salatiga. The result of this study showed that target of complementary foods giving program are pregnant woman who have mid-upper arm circumference (MUAC) <23.5 cm and prioritized for woman with low economic conditions. There are 17 pregnant woman have MUAC <23.5 cm and 20 pregnant woman get the complementary food. The evaluation of the complementary foods giving program  were  the distribution is not optimal, lack of awareness of pregnant women to do medical examination, and complementary foods did not finish by pregnant woman. Keywords: Chronic Energi Deficiency, Complementary Foods Giving Program,Pregnant woman

Description of Pregnant Women's Nutritional Status Based on The Mid-Upper Arm Circumference in Sundari Medan General Hospital In 2019

2019 ◽  
Vol 3 (3) ◽  
Author(s):  
David Franli ◽  
Makmur Sitepu ◽  
Hotma Partogi Pasaribu ◽  
Sake Juli Martina
Keyword(s):  
Nutritional Status ◽  
Pregnant Women ◽  
General Hospital ◽  
Upper Arm ◽  
Cross Sectional ◽  
Arm Circumference ◽  
Energy Stores ◽  
Cross Sectional Design ◽  
Mid Upper Arm Circumference ◽  
Observational Descriptive Study

Introduction. Chronic energy deficieny (CED) is a condition of a body characterized by low body weight and low energy stores, possibly limited physical capacity due to deprivation of food over a long period time. Ministry of Health ( Kemenkes) showed that in 2015, 305 out of 100.000 death of pregnant women is realated to malnutriotion and CED. Objective. The aim of this study is to determine the overview of pregnant women nutritional status based on mid-upper arm circumference (MUAC) in Sundari Medan General Hospital. Method. The study was an observational descriptive study with a cross sectional design. The samples of this study consists of pregnant women from Sundari Medan Genaral Hospital, who had fulilled the inclusion and esclusion criteria by total sampling. Results.. Among 60 samples, the prevalance of Non-CED woman (85%) was found higher than the mild malnutrition (15%). Conclusion. Prevalance of CED pregnant women was found higher in risky age, middle educated and high income family.  

scholarly journals Assessing Malnutrition in Pregnant Women Using the Dietary Diversity Score and the Mid-Upper Arm Circumference: A Cross-Sectional Study, Zambia

2020 ◽  
Vol 11 (07) ◽  
pp. 912-925
Author(s):  
Sebean Mayimbo ◽  
Clara Maphosa Haruzivishe ◽  
Concepta Kwaleyela ◽  
Bwembya Phoebe ◽  
Ellen Chirwa ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Dietary Diversity ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Upper Arm ◽  
Cross Sectional ◽  
Dietary Diversity Score ◽  
Arm Circumference ◽  
Mid Upper Arm Circumference

scholarly journals Mid-upper arm circumference in pregnant women and its relation to birth weight

1998 ◽  
Vol 32 (2) ◽  
pp. 112-117 ◽  
Author(s):  
Anamaría E. Ricalde ◽  
Gustavo Velásquez-Meléndez ◽  
Ana Cristina d'A. Tanaka ◽  
Arnaldo A.F. de Siqueira
Keyword(s):  
Birth Weight ◽  
Pregnant Women ◽  
Gestational Age ◽  
Head Circumference ◽  
Upper Arm ◽  
Maternal Nutritional Status ◽  
Arm Circumference ◽  
Mother’S Age ◽  
Mid Upper Arm Circumference ◽  
Pregnancy Weight

OBJECTIVE: In order to determine the relationship between some maternal anthropometric indicators and birth weight, crown-heel length and newborn's head circumference, 92 pregnant women were followed through at the prenatal service of hospital in S. Paulo, Brazil. MATERIAL AND METHOD: The following variables were established for the mother: weight, height, mid-upper arm circumference, pre-pregnancy weight, gestational weight gain and Quetelet's index. For the newborn the following variables were recorded: birth weight, crown-heel length, head circumference and gestational age by Dubowitz's method. RESULTS: Significant associations were noted between gestational age and newborn variables. In addition, maternal mid-arm circumference (MUAC) and pre-pregnancy weight were found to be positively correlated to birth weight (r=0.399; r=0.378, respectively). The multivariate linear regression shows that gestational age, mother's arm circumference and pre-pregnancy weight continue to be significant predictors of birth weight. On the other hand, only gestational age and mother's age was associated with crown-heel length. Similarly MUAC was significantly associated with crown-heel length (r= 0.306; P=0.0030). CONCLUSION: Maternal mid-upper arm circumference is a potential indicator of maternal nutritional status. It could be used in association with other anthropometric measurements, instead of pre-pregnancy weight, as an alternative indicator to assess women at risk of poor pregnancy outcome.

Maternal Body Mass Index (BMI) and Mid-Upper Arm Circumference (MUAC) in Early Pregnancy as Predictors of Low Birth Weight Infants

2018 ◽  
Vol 24 (8) ◽  
pp. 6203-6205
Author(s):  
Yoga Dwi Oktavianda ◽  
Syahru Ramadhan ◽  
Thalia Mufida ◽  
Ummul Mukminin ◽  
Rima Irwinda
Keyword(s):  
Body Mass Index ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Nutritional Status ◽  
Pregnant Women ◽  
Early Pregnancy ◽  
Upper Arm ◽  
Maternal Nutritional Status ◽  
Arm Circumference ◽  
Mid Upper Arm Circumference

Low birth weight is one of the determinants of infant mortality, morbidity, and disability, which can even have an impact on the future. Several studies have suggested that the condition of low birth weight (LBW) infants is influenced by the lack of maternal nutritional status in early pregnancy. Moreover, the prevalence of malnutrition in Indonesia is still high. Therefore, this study attempted to analyze the relationship of maternal nutritional status in early pregnancy as a predictor of LBW infants. Using a cross-sectional study design, this study involved 62 pregnant patients aged 20–35 years who had antenatal visits and a term delivery at Puskesmas Kecamatan Cakung. The measurements of body mass index (BMI) and mid-upper arm circumference (MUAC) in early pregnancy are used to determine the maternal nutritional status. Pregnant women with BMI <18.5 or MUAC <23.5 cm are considered to have less nutritional status. Meanwhile, LBW infants are defined as babies with birth weight <2500 grams. This study proves that the risk of birth of LBW infants is increased in pregnant women with BMI <18.5 (underweight) (OR 5.37) and less MUAC (OR 20.4).

scholarly journals Mid upper arm circumference in pregnant women and its relationship with birth weight

2021 ◽  
Vol 11 (2) ◽  
pp. 331-335
Author(s):  
Surendra Nath Soren ◽  
Partha Sarathi Sahu
Keyword(s):  
Birth Weight ◽  
Pregnant Women ◽  
Linear Regression Analysis ◽  
Care Facility ◽  
Health Care Facility ◽  
Cross Sectional Study ◽  
Upper Arm ◽  
Cross Sectional ◽  
Arm Circumference ◽  
Mid Upper Arm Circumference

: Mid upper arm circumference (MUAC) is considered as a good indicator of maternal nutritional status in pregnant women. Very few studies have been done to establish a relationship between MUAC and birth weight of newborn. This study was carried out to analyze the relationship between MUAC and birth weight of newborn in a tertiary health care facility.This cross sectional study was conducted in 240term pregnant women. MUAC was measured to the nearest millimeters using a non-stretchable tape at the midpoint between acromian process and olecranon process. Newborn baby weight was measured within 24 hrs of birth. The association between MUAC and birth weight was established by linear regression analysis.The mean of MUAC among pregnant women delivering LBW was 21.68±2.27 cm which was significantly low (p&#60;0.001) compared to women delivering normal babies (23.47±2.56 cm). There wasa positive correlation(r=0.32;p&#60;0.05)between MUAC and birth weight of newborn.The cut off value of MUAC for the prediction of LBW in our study was found to be 22.59 cm with 62.77% sensitivity and 71.55% specificity.Among the various maternal factors for the prediction of LBW, mid-upper arm circumference (MUAC) can be correlated with birth weight outcome effectively.

scholarly journals Assessing malnutrition in pregnant women using the Dietary Diversity Score and the Mid-Upper Arm Circumference: A cross-sectional study, Zambia

2020 ◽  
Author(s):  
Sebean Mayimbo ◽  
Clara Maphosa Haruzivishe ◽  
Concepta Kwaleyela ◽  
Phoebe Bwembya ◽  
Ellen Chirwa ◽  
...  
Keyword(s):  
Nutritional Status ◽  
Pregnant Women ◽  
Nutrient Intake ◽  
Sampling Method ◽  
Dietary Diversity ◽  
Upper Arm ◽  
Cross Sectional ◽  
Dietary Diversity Score ◽  
Arm Circumference ◽  
Mid Upper Arm Circumference

Abstract Background One of the easiest and effective ways of predicting under nutrition is to use the Dietary Diversity Score (DDS) and the mid-upper arm circumference (MUAC). The dietary diversity score is a qualitative measure of food consumption reflecting an individual’s access to different food items and therefore is a proxy indicator of the nutritional status. The aim of the study was to assess whether the DDS and MUAC can be used to assess the nutritional status of pregnant women attending antenatal. Methods A cross-sectional survey was conducted at Chilenje level I Hospital in a township located in Lusaka city, Lusaka province. The study employed quantitative methods to collect and analyse data on the dietary patterns and if this can be used to assess the nutritional status of individuals 24 hours preceding the survey. Health facilities were selected using random sampling method and systematic sampling method was used to select a sample of 299 pregnant women. An interview schedule was used to collect data. Logistic regression was used to establish associations between DDS and MUAC. Results In this study, 44% of the women were in the lowest dietary diversity category, which indicates inadequate nutrient intake, 31% in the medium category and 24% in the high intake. Maternal weight was associated with a 0.08 cm increase in MUAC (95% CI; 0.74 – 0.93) and this was statistically significant. Marital status and age (95% CI; 0.83 – 0.93) were significantly associated with an increase in MUAC in the univariate analysis but when adjusted for other confounders this was not significant (95% CI; 0.81 – 1.00). Consumption of organ meat was associated with a 0.21cm increase in MUAC (95% CI; 0.04 - 0.97). Conclusion The study results indicated that 44% of the women had inadequate nutrient intake, indicating that the dietary diversity score can be used to predict malnutrition in pregnant women. The mid upper was negatively correlated with the 24hour dietary diversity score implying that we might not rely on this measurement to assess the nutritional status. Key words Dietary Diversity Score, Malnutrition, Mid Upper Arm Circumference, Pregnant women, Antenatal.

scholarly journals Hubungan Antropometri Ibu Hamil (Berat Badan, Lingkar Atas, Tinggi Fundus Uteri) dengan Reflek Fisiologi Bayi Baru Lahir Normal

2016 ◽  
Vol 1 (2) ◽  
pp. 88
Author(s):  
Halimatussakdiah Halimatussakdiah ◽  
Ampera Miko
Keyword(s):  
Body Weight ◽  
Pregnant Women ◽  
Public Hospital ◽  
Delivery Room ◽  
P Value ◽  
Upper Arm ◽  
Cross Sectional ◽  
Arm Circumference ◽  
Mid Upper Arm Circumference ◽  
Banda Aceh

Maternal Mortality is mostly caused by bleeding (32 %), hypertension during pregnancy (25 %). Infection (5 %), long parturition  5 %),  and chronic energy deficiency (27.66 %). The objective of this research was to find out of correlation Between Maternal  Anthropometry  (Body Weight, Mid Upper Arm Circumference, Fundal Height) And Reflex physiology Of Normal Newborn Babies In delivery room  of Regional Public Hospital Of Meuraxa Banda  Aceh. The research was conducted from September 4 to September 22, 2016. The descriptive  correlation design with cross sectional study approach was used in this research. There were thirty  research sample that were chosen by using accidental sampling method. The result of this research indicated that were was  no correlation between body Weight of pregnant woman with reflex physiology of their normal Newborn Babies In Delivery Room  Of Regional Public Hospital of Meuraxa Banda  Aceh (p Value 0.174). There was a correlation Between Mid Upper Arm Circumference (MUAC) of pregnant women with reflex physiology of their normal Newborn Babies (p Value 0.020). There was also  a correlation between fundal height with reflex physiology of their normal Newborn Babies (p Value 0.000). Based on those result, it is suggest that the pregnant women should pay nurse attention to their health by doing regular check -ups during  pregnancy in order to prevent any complication. It is also suggested that the health worker keep enhancing the medical service, such us the measurement of body weight, MUAC and fundal height. Keywords: Anthropometry, reflex physiology, normal newborn babies

scholarly journals Relationships between excessive gestational weight gain and energy and macronutrient intake in pregnant women

2020 ◽  
Vol 48 (8) ◽  
pp. 030006052093380
Author(s):  
Cosmin Rugină ◽  
Cristina Oana Mărginean ◽  
Lorena Elena Meliţ ◽  
Dana Valentina Giga ◽  
Viviana Modi ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Protective Factor ◽  
Macronutrient Intake ◽  
Upper Arm ◽  
Skin Fold Thickness ◽  
Gestational Weight ◽  
Excessive Gestational Weight Gain ◽  
Skin Fold ◽  
Arm Circumference ◽  
Mid Upper Arm Circumference

Objective This study aimed to compare energy and macronutrient intake, birth weight, and anthropometric parameters (mid-upper arm circumference or tricipital skin-fold thickness) between women who had adequate and excessive gestational weight gain (GWG) during pregnancy. Methods We studied 115 pregnant women and divided them according to GWG into two groups: adequate GWG (n = 49) and excessive GWG (n = 66). We assessed the medical history, clinical examinations, and dietary habits through a detailed 7-day dietary recall using myfitnesspal software. Results Weight, body mass index, mid-upper arm circumference, and tricipital skin-fold thickness were significantly higher at the time of delivery in women with excessive GWG compared with those with adequate GWG. A lipid-based diet was a risk factor for excessive GWG (relative risk: 1.488, 95% confidence interval: 1.112–1.991), whereas a protein-based diet was a protective factor (relative risk: 0.6723, 95% confidence interval: 0.4431–1.020). We found no significant relationship between a carbohydrate-based diet and GWG. The total energy intake was significantly higher in the excessive GWG group than in the adequate GWG group. Conclusions Mainly a lipid-based diet in pregnant women might represent a risk factor for excessive GWG. However, a protein-based diet is a protective factor for excessive GWG.

scholarly journals Validitas Lingkar Lengan Atas Mendeteksi Risiko Kekurangan Energi Kronis pada Wanita Indonesia

2012 ◽  
Vol 7 (2) ◽  
pp. 83
Author(s):  
Diny Eva Ariyani ◽  
Endang Laksmining Achadi ◽  
Anies Irawati
Keyword(s):  
Body Mass Index ◽  
Pregnant Women ◽  
Body Mass ◽  
P Value ◽  
Adult Women ◽  
Upper Arm ◽  
Energy Deficiency ◽  
Chronic Energy Deficiency ◽  
Arm Circumference ◽  
Mid Upper Arm Circumference

Lingkar lengan atas (LiLA) telah digunakan sebagai indikator proksi terhadap risiko kekurangan energi kronis (KEK) untuk ibu hamil di Indonesia karena tidak terdapat data berat badan prahamil pada sebagian besar ibu hamil. Selama ini, ambang batas LiLA yang digunakan adalah 23,5 cm. Penelitian ini bertujuan untuk menguji validitas LiLA terhadap indeks massa tubuh (IMT) yang merupakan indikator yang lebih baik untuk mengetahui status gizi wanita dewasa. Penelitian ini menggunakan data Riset Kesehatan Dasar tahun 2007 pada perempuan dewasa usia 20 – 45 tahun di seluruh Indonesia. Hasil penelitian ini ialah ambang batas LiLA yang paling optimal untuk mendeteksi risiko KEK di Indonesia berada pada titik 24,95 cm (Se = 85%; Sp = 75%). Terdapat perbedaan ambang batas antarprovinsi tetapi tidak lebih dari 2 cm, terendah di Provinsi Nusa Tenggara Timur (23,95 cm) dan tertinggi di Provinsi Sulawesi Utara dan Gorontalo (25,95 cm). LiLA mempunyai korelasi yang kuat (r = 0,67; nilai p < 0,000) dengan IMT. Direkomendasikan untuk menggunakan ambang batas LiLA 24,95 cm untuk mendeteksi risiko KEK wanita usia 20 – 45 tahun, sementara23,5 cm untuk outcome kehamilan, yaitu morbiditas dan mortalitas bayi.Kata kunci: Lingkar lengan atas, indeks massa tubuh, kekurangan energi kronisAbstractMid-upper arm circumference has been used in Indonesia as an proxy indicator of chronic energy malnutrition risk for pregnant women because there isn’t any data of prepregnancy weight in most of pregnant women. The boundary used was 23,5 cm. The objective of the study is to validate the currentboundary related to body mass index (BMI) indicator, which is believed as a better indicator in identifying women nutritional status. The study is using Riset Kesehatan Dasar 2007 data on Indonesian adult women aged 20 – 45 years old. The study found the boundary is 24,95 cm for detecting chronic energy malnutrition risk among adult women (Se = 85%; Sp = 75%). There are differences among provinces but not more than 2 cm, the lowest is in Nusa Tenggara Timur (23,95 cm) and the highest is in North Sulawesi and Gorontalo (25,95 cm). Mid upper arm circumference has a strong relationto BMI (r = 0,67; p value < 0,000). It is recommended to use mid-upper arm circumference boundary 24,95 cm to detect chronic energy malnutrition on 20 – 45 years old women and 23,5 cm to pregnancy outcome, baby morbidity, and mortality.Key words: Mid-upper arm circumference, body mass index, chronic energy deficiency

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