Factors affecting neonatal birth weight in Sidotopo Wetan Health Centre: A cross-sectional study

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.

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

Public Health and Preventive Medicine Archive ◽

10.24843/phpma.2017.v05.i01.p06 ◽

2017 ◽

pp. 35

Author(s):

Dyah Ekowati ◽

L. Seri Ani ◽

IGA. Trisna Windiani

Keyword(s):

Birth Weight ◽

Low Birth Weight ◽

Community Health ◽

Health Centre ◽

Community Health Centre ◽

Energy Deficiency ◽

Normal Birth ◽

Chronic Energy Deficiency ◽

Increase Risk ◽

Nutrition Intake

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.

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Kepatuhan Kunjungan Antenatal Care Berdasarkan Faktor Maternal

Jurnal SMART Kebidanan ◽

10.34310/sjkb.v7i1.339 ◽

2020 ◽

Vol 7 (1) ◽

pp. 29

Author(s):

Natiqotul Fatkhiyah ◽

Sri Tanjung Rejeki ◽

Dwi Atmoko

Keyword(s):

Antenatal Care ◽

Pregnant Women ◽

Health Centre ◽

P Value ◽

Chi Square ◽

Cross Sectional ◽

Pregnancy And Childbirth ◽

Antenatal Care Visit ◽

Care Visit ◽

In Pregnancy

ABSTRAK Salah satu penyebab Angka Kematian Ibu (AKI) adalah komplikasi dalam kehamilan maupun persalinan. Komplikasi kehamilan dan persalinan dapat dicegah dengan pemeriksaan antenatal care (ANC) secara teratur. ANC merupakan kunjungan ibu hamil dengan tenaga kesehatan untuk mendapatkan pelayanan kehamilan sesuai dengan standar yang ditetapkan. Data yang diperoleh dari puskesmas Slawi bulan Januari-Juni tahun 2019 untuk cakupan kunjungan K1 sebanyak 82,1% dan cakupan K4 sebanyak 79%.Tujuan penelitian ini untuk mengetahui kepatuhan kunjungan ANC berdasarkan faktor determinan maternal. Penelitian ini menggunakan penelitian kuantitatif dengan pendekatan cross sectional. Sampel pada penelitian sejumlah 30 ibu hamil menggunakan teknik accidental sampling dan analisis data menggunakan uji chi square. Hasil penelitian menunjukan mayoritas usia ibu reproduktif sebesar 66,67%, status multigravida (kehamilan kedua dan ketiga) sebesar 66.67%, kehamilan normal (60%) dan telah memenuhi standar K1 sebesar 83.33% dan memenuhi standar K4 sebesar 86.67%. Ada hubungan antara usia ibu hamil dengan dengan kepatuhan kunjungan ANC (p value 0,02) dan ada hubungan status paritas dengan kepatuhan kunjungan ANC (p value 0,04) dan tidak ada hubungan komplikasi kehamilan dengan kepatuhan kunjungan ANC.Kata kunci : ibu hamil; kepatuhan; antenatal care ANTENATAL CARE VISIT COMPLIANCE BASED ON MATERNAL FACTORS ABSTRACTOne of the causes of maternal mortality is complications in pregnancy and childbirth. Pregnancy and childbirth complications can be prevented by regular antenatal care visit. ANC is a visit of pregnant women with health workers to get health service in accordance with established standards. Data obtained from Slawi Health Centre in January-June 2019 for coverage of Phase 1 visits was 82.1% and phase 4 coverage was 79%. The objevtive of this study was to determine the regularity of ANC based on maternal determinants. This study was quantitative research with a cross sectional approach. The number of respondents was 30 pregnant women by using accidental sampling technique. The study was conducted in January-March 2020. Bivariate analysis used chi square test. The results showed that pregnant women who did ANC regularly amounted to 86.67%. The results showed that there was a relationship between age with antenatal care visit because the p value was 0.02, there was a relationship between parity with antenatal care visit with p value 0.04, and there was no relationship between pregnancy diagnosis with antenatal care visit because the p value was 0.08. Pregnant women are expected to perform ANC regularly for early detection of complications in pregnancy. Keywords: pregnant women; compliance; antenatal care

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Socio-economic determinants of low birth weight in Bangladesh: A multivariate approach

Bangladesh Medical Research Council Bulletin ◽

10.3329/bmrcb.v34i3.1857 ◽

1970 ◽

Vol 34 (3) ◽

pp. 81-86 ◽

Cited By ~ 21

Author(s):

Selina Khatun ◽

Mahmudur Rahman

Keyword(s):

Birth Weight ◽

Low Birth Weight ◽

Antenatal Care ◽

Economic Status ◽

Stepwise Logistic Regression ◽

Normal Birth Weight ◽

Normal Birth ◽

Antenatal Care Visit ◽

Care Visit ◽

Mother’S Age

Though the health situation of Bangladesh has improved substantially over the years, the low birth weight (LBW) rate is still pretty high. The principal focus of this study was to ascertain the significant determinants for LBW. One hundred and eight LBW babies were compared with 357 normal birth weight babies. Out of 20 possible risk variables analyzed, 9 were found significant when studied separately. Mother's age, education, occupation, yearly income, gravid status, gestational age at first visit, number of antenatal care visit attended, quality of antenatal care received and pre-delivery body mass index had significantly associated with the incidence of LBW. Using the stepwise logistic regression, mother's age (p < 0.001), education (p < 0.02), number of antenatal care visit attended (p < 0.001, OR=29.386) and yearly income (p < 0.001, OR=3.379) created the best model, which predicted 86.1% and 94.4% of the LBW babies and normal birth weight babies respectively. Maternal age, educational level and economic status play an important role in the incidence of low birth weight.Keywords: Bangladesh; low birth weight; socio-economicOnline: 29-1-2009DOI: 10.3329/bmrcb.v34i3.1857Bangladesh Med Res Counc Bull 2008; 34: 81-86

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Risk factors for low birth weight infants in East Nusa Tenggara

Public Health and Preventive Medicine Archive ◽

10.15562/phpma.v5i1.40 ◽

2017 ◽

Vol 5 (1) ◽

pp. 39

Author(s):

Khrispina Owa ◽

I Wayan Gede Artawan Eka Putra ◽

I Gusti Ayu Trisna Windiani

Keyword(s):

Risk Factors ◽

Birth Weight ◽

Low Birth Weight ◽

Antenatal Care ◽

Malaria Infection ◽

Birth Spacing ◽

Energy Deficiency ◽

Chronic Energy Deficiency ◽

Dietary Restrictions

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.

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

Public Health and Preventive Medicine Archive ◽

10.15562/phpma.v5i1.38 ◽

2017 ◽

Vol 5 (1) ◽

pp. 28

Author(s):

Dyah Ekowati ◽

Luh Seri Ani ◽

I Gusti Ayu Trisna Windiani

Keyword(s):

Birth Weight ◽

Low Birth Weight ◽

Community Health ◽

Health Centre ◽

Community Health Centre ◽

Energy Deficiency ◽

Normal Birth ◽

Multivariate Technique ◽

Chronic Energy Deficiency ◽

Increase Risk

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.

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Risk factors for low birth weight infants in East Nusa Tenggara

Public Health and Preventive Medicine Archive ◽

10.24843/phpma.2017.v05.i01.p08 ◽

2017 ◽

pp. 49

Author(s):

Khrispina Owa ◽

I.W.G. Artawan Eka Putra ◽

I.G.A Trisna Windiani

Keyword(s):

Risk Factors ◽

Birth Weight ◽

Low Birth Weight ◽

Antenatal Care ◽

Malaria Infection ◽

Birth Spacing ◽

Energy Deficiency ◽

Chronic Energy Deficiency ◽

Dietary Restrictions

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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HUBUNGAN BBLR DAN ASI EKSLUSIF DENGAN KEJADIAN STUNTING DI PUSKESMAS LIMA PULUH PEKANBARU

Jurnal Endurance ◽

10.22216/jen.v3i1.1767 ◽

2018 ◽

Vol 3 (1) ◽

pp. 131

Author(s):

Lidia Fitri

Keyword(s):

Birth Weight ◽

Low Birth Weight ◽

Exclusive Breastfeeding ◽

Health Centre ◽

Sampling Technique ◽

P Value ◽

Not Given ◽

Cross Sectional ◽

Analysis Study

Stunting is one of the long-term indicators for malnutrition. Stunting prevalence in Indonesia about 37.2%. Babies born with low birth weight is 10.2% and the achievement of exclusive breastfeeding is 30.2%. Survey in Limapuluh Health Centre Pekanbaru, from 18 children who perform measurements, obtained 13 infants suffered stunting. The result of interviews showed that three of them were born with low birth weight (BBLR) and five are not given exclusive breastfeeding. This research is to find-out the correlation between low birth weight (BBLR) and exclusive breastfeeding with stunting in Limapuluh Health Centre Pekanbaru in 2017. This study was a quantitative analysis study used cross sectional strategy. Population consists of 300 people, sample consists of 75 people by accidental sampling technique. Analysis using univariat and bivariate. The result were 25 infant (33,3%) are stunting, 22 infant (29,3%) with low birth weight (BBLR) and not given exclusive breastfeeding are 55 infant (73,3%). There was a significant association between low birth weight (BBLR) with stunting was obtained p value 0.000 and association between exclusive breastfeeding with stunting was obtained p value 0.021 its mean p<0,05. There is a relationship between BBLR and exclusive breastfeeding with stunting events, the Ha accepted. Stunting merupakan salah satu indikasi buruknya status gizi pada anak. Prevalensi stunting di Indonesia sebesar 37,2%. Angka kejadian bayi dengan BBLR sebanyak 10,2% dan pencapaian ASI ekslusif 30,2%. Survey di Puskesmas Lima Puluh kota Pekanbaru Provinsi Riau didapatkan dari 18 orang balita yang di ukur, 13 orang diantaranya mengalami stunting. Hasil wawancara memperlihatkan bahwa 3 orang diantaranya lahir dengan BBLR dan 5 orang tidak diberikan ASI ekslusif. Tujuan penelitian untuk mengetahui hubungan berat badan lahir rendah (BBLR) dan ASI ekslusif dengan kejadian stunting di Puskesmas Lima Puluh Pekanbaru. Jenis penelitian analitik kuantitatif dengan desain cross sectional. Populasi berjumlah 300 orang balita, sampel 75 responden dengan teknik accidental sampling. Analisis data secara univariat dan bivariat. Hasil penelitian diperoleh sebanyak 25 orang (33,3%) balita mengalami stunting, balita dengan BBLR sebanyak 22 orang (29,3%) dan yang tidak diberikan ASI ekslusif sebanyak 55 orang (73,3%). Ada hubungan yang bermakna antara berat badan lahir rendah (BBLR) dengan kejadian stunting dimana p value 0.000 dan terdapat hubungan antara pemberian ASI ekslusif dengan kejadian stunting diperoleh nilai p value 0.021 artinya p<0,05. Dapat disimpulkan terdapat hubungan antara BBLR dan ASI eklusif dengan kejadian stunting, maka Ha diterima.

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THE ANALYSIS OF LOW BIRTH WEIGHT INFANTS IN SINGKAWANG CITY

Jurnal Kesehatan Prima ◽

10.32807/jkp.v12i1.94 ◽

2018 ◽

Vol 12 (1) ◽

pp. 61

Author(s):

U. Evi Nasla Nasla

Keyword(s):

Birth Weight ◽

Low Birth Weight ◽

Antenatal Care ◽

Total Sample ◽

Low Birth Weight Infants ◽

Chi Square ◽

Cross Sectional ◽

Arm Circumference ◽

Newborn Weight ◽

Chi Square Test

Abstract: The efforts of decreasing the infant mortality is focused on the causes of infant’s death. One of them is the lowest Birth Weight that can be prevented through a quality and comprehensive antenatal care. The factors that affect the occurrence of low birth weight (LBW) in Singkawang city is age, parity, range of pregnancy, arm circumference, antenatal care, anemia history, newborn weight. The objective study was to determine the factors that affect the occurrence of LBW in Singkawang in 2015. This research employed analytical survey research design with retrospectively approach with cross sectional design. The sample used is the case of newborn with LBW as many as 105 with a ratio of 1: 1 with a total sample of 210 babies. The sample was random sampling. The data analysis used Chi Square and logistic regression test. Chi Square test results showed that there was a significant relationship between age, arm circumference, antenatal care of anemia (p = 0.005, p = 0.013, p = 0.020, p = 0.003) with the incidence of LBW. And there was no significant correlation between parity and range of pregnancy (p = 0.805, p = 0.766). This research is expected to be the basis of evaluating the occurrence of LBW thus it can be detected earlier.Keywords: Age; Parity; Antenatal Care; Arm Circumference; Anemia history; Lowest Birt Weight.

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Gambaran Faktor Risiko Bayi Berat Lahir Rendah yang Dirawat di RSUP DR. M. Djamil Padang

Jurnal Ilmu Kesehatan Indonesia ◽

10.25077/jikesi.v1i3.20 ◽

2021 ◽

Vol 1 (3) ◽

pp. 239-245

Author(s):

Katelino Marpaung ◽

Husna Yetti ◽

Defrin Defrin

Keyword(s):

Risk Factors ◽

Socioeconomic Status ◽

Birth Weight ◽

Low Birth Weight ◽

Antenatal Care ◽

Low Socioeconomic Status ◽

Simple Random Sampling ◽

Educational Status ◽

Cross Sectional ◽

Low Socioeconomic

Abstrak Latar Belakang. Bayi Berat Lahir Rendah (BBLR) adalah bayi yang mempunyai berat lahir kurang dari 2500 gram yang ditimbang pada saat setelah lahir. Saat ini BBLR menjadi salah satu penyebab kematian neonatus terbanyak di Kota Padang. Banyak faktor yang dapat memengaruhi kejadian bayi berat lahir rendah, seperti usia ibu, paritas, jarak kehamilan, status gizi, antenatal care, anemia, pendidikan, sosial ekonomi, penyakit saat hamil, plasenta previa, solusio plasenta, kelainan kongenital, dan kehamilan ganda. Objektif. Penelitian ini bertujuan untuk mengetahui gambaran faktor risiko bayi berat lahir rendah yang dirawat di RSUP Dr. M. Djamil Padang pada periode 1 Januari – 31 Desembar tahun 2019. Metode. Penelitian ini merupakan penelitian deskriptif dengan desain penelitian cross-sectional. Teknik pengambilan sampel yang digunakan adalah simple random sampling dengan jumlah sampel sebanyak 71 sampel. Hasil. Hasil penelitian didapatkan beberapa faktor risiko sebagai berikut : usia ibu berisiko (28,17%), paritas nullipara (35,21%), jarak kehamilan berisiko (8,45%), riwayat antenatal care berisiko (4,23%), ibu anemia (33,80%), status pendidikan rendah (73,24%), status sosial ekonomi rendah (54,93%), penyakit saat hamil (76,06%), kelainan plasenta (5,63%), kelainan kongenital (8,45%), dan kehamilan ganda (22,54%). Kesimpulan. Faktor risiko yang paling banyak terjadi pada bayi berat lahir rendah adalah penyakit saat hamil, status pendidikan rendah, dan status sosial ekonomi rendah. Kata kunci: BBLR, faktor risiko, neonatus Abstract Background. Low Birth Weight (LBW) baby is when the infant is weighed less than 2500 grams at the time after birth. Low Birth Weight baby is one of the leading causes of neonates deaths in Padang. There are several factors causing LBW babies, such as maternal age, parity, space between pregnancy, nutrition, antenatal care, anemia, low educational status, low socioeconomic status, disease during pregnancy, placenta previa, placenta abruption, congenital abnormality, and multiple pregnancies. Objective.This study was aimed to describe the risk factors of LBW babies who were treated at RSUP Dr. M. Djamil Padang from 1st January – 31st December 2019. Methods. This study was a descriptive study with a cross-sectional design. Seventy-one samples were selected by simple random sampling. Results. The results of the study describe risk factors of LBW babies as follows mother with threatening age (28.17%), nullipara parity (35.21%), the distance of hazardous pregnancies (8.45%), nutritional status of underweight (12.68%), history of risky antenatal care ( 4.23%), maternal anemia (33.80%), low educational status (73.24%), low socioeconomic status (54.93%), illness during pregnancy (76.06%), placental disorders (5.63) %), congenital abnormalities (8.45%), and multiple pregnancies (22.54%). Conclusion. The most critical risk factors for low birth weight babies are illness during pregnancy, low education status, and low socioeconomic status. Keywords: low birth weight baby, risk factors, neonates

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HUBUNGAN JUMLAH PEMERIKSAAN ANTENATAL DENGAN HASIL KEHAMILAN DAN PERSALINAN DI RSUP PROF. DR. R.D. KANDOU MANADO

Jurnal e-Biomedik ◽

10.35790/ebm.1.1.2013.4624 ◽

2013 ◽

Vol 1 (1) ◽

Author(s):

Janson Simanjuntak ◽

Joice M. M. Sondakh ◽

Freddy Wagey

Keyword(s):

Birth Weight ◽

Low Birth Weight ◽

Antenatal Care ◽

Care Delivery ◽

Cross Sectional Study ◽

Operative Delivery ◽

Cross Sectional ◽

Perinatal Deaths ◽

Delivery Outcome ◽

North Sulawesi

Abstract: Maternal and perinatal mortality rate in Indonesia is still high. The most cause of maternal and perinatal deaths related to pregnancy and complication of pregnancy can be prevented. Adequate antenatal care is an important factor in reducing maternal and perinatal deaths. This is an analytic observasional cross-sectional study of 2268 women delivered and 2305 neonates born at Prof.Dr.R.D.Kandou Manado hospital was used. Data is collected from medical record. This study shows that number of antenatal care <4 times is significantly associated with the incidence of severe asphyxia (p=0,003; PR: 2,047; 95% CI: 1,29-3,25) and low birth weight (p=0,000; PR: 1,713; 95% CI: 1,32-2,23). The number of antenatal care >4 times is significantly associated with operative delivery (p=0,001), this is due to Prof.Dr.R.D.Kandou Manado hospital is a referral hospital in North Sulawesi, many samples in this study are women with complicated pregnancy (26,7%). Pregnancy with complications is significantly related to operative delivery (p=0,000; PR: 1,962; 95% CI: 1,77-2,17). Conclusion is number of antenatal care <4 times relates and increases the risk of incidence of asphyxia and low birth weight, while women with operative delivery are likely to have history of antenatal care visit more (>4 times) during pregnancy. Keywords: antenatal care, delivery outcome, pregnancy outcome. Abstrak: Angka kematian ibu dan perinatal di Indonesia masih tinggi. Sebagian besar penyebab kematian ibu dan perinatal yang berhubungan dengan kehamilan dan komplikasi kehamilan dapat dicegah.Pemeriksaan antenatal yang adekuat merupakan faktor penting dalam menurunkan angka kematian ibu dan perinatal. Jenis penelitian ini adalah analitik observatif cross-sectionalterhadap 2268 ibu yang melahirkan di RSUP Prof.Dr.R.D.Kandou Manado dan 2305 bayi yang dilahirkan. Data diperoleh dari catatan medis.Hasil penelitian ini menunjukkan jumlah pemeriksaan antenatal <4 kali berhubungan dengan kejadian asfiksia berat (p=0,003; PR: 2,047; 95% CI: 1,29-3,25) danBBLR (p=0,000; PR: 1,713; 95% CI: 1,32-2,23). Jumlah pemeriksaan antenatal >4 kali berhubungan dengan persalinan tindakan (p=0,001), hal ini disebabkan RSUP Prof.Dr.R.D.Kandou Manado merupakan rumah sakit rujukan di Sulawesi Utara sehingga banyak sampel pada penelitian ini adalah ibu-ibu dengan kehamilan dengan komplikasi (26,7%). Kehamilan dengan komplikasi berhubungan dengan persalinan tindakan (p=0,000; PR: 1,962; 95% CI: 1,77-2,17). Kesimpulan penelitian ini menunjukkan bahwa jumlah pemeriksaan antenatal <4 kali berhubungan dan meningkatkan risiko kejadian asfiksia berat dan BBLR, sementara itu wanita yang melakukan persalinan tindakan cenderung memiliki riwayat melakukan pemeriksaan antenatal lebih banyak (>4 kali) selama kehamilan. Kata kunci:hasil kehamilan, hasil persalinan, pemeriksaan antenatal

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