scholarly journals Socio-Demographic and Nutritional Determinants of Birth Weight in Coastal Areas

Author(s):  
Juminten Saimin ◽  
Amalia N Azizah ◽  
Satrio Wicaksono

Abstract Objective :  To identify socio-demographic and nutritional determinant associated with birth weight in coastal areas. Method : A cross sectional study using simple random sampling method. Data of labour in coastal areas of Kendari City was analyzed. Total of 215 women who aterm delivery in Community Health Centre of Mata, Nambo and Abeli on January to December 2016 were included in this study. Birth weight was examined in association with independent variable as maternal age, education, occupation, husband’s job, parity, antenatal care, iron tablets consumption and upper arm circumference. Results : Most participants were aged 20-25 years old, primary education, as housewife, multiparity and husband work as self-employed. There was 8.9% low birth weight in coastal areas. Maternal age, education and ANC visits were significantly associated with birth weight (p < 0.05). Consumption of iron tablets and upper arm circumference were significantly associated with birth weight (p < 0.05). Conclusion :Maternal age, education and ANC visits were socio-demographic determinant that associated with birth weight. Iron tablets consumption and upper arm circumference were nutritional determinant that significantly associated with birth weight. Keywords : age, antenatal care, birth weight, education, iron tablets, upper arm circumference   Abstrak Tujuan :Mengidentifikasi determinan sosio-demografik dan gizi yang berhubungan dengan berat badan lahir bayi di daerah pesisir. Metode :Penelitian potong lintangdengan pengambilan sampel secara simple random sampling. Dilakukan analisis terhadap 215 ibu hamil yang melahirkan bayi cukup bulan di wilayah kerja Puskesmas Mata, Nambo dan Abelipada bulan Januari sampai Desember 2016. Varia beli independen berupa usia ibu, tingkat pendidikan, pekerjaan, pekerjaan suami, paritas, antenatal care, konsumsi tablet besi dan ukuran lingkar lengan atas. Hasil :Responden terbanyak berusia 20-25tahun, berpendidikan rendah, bekerja sebagai ibu rumah tangga, multiparitas dan pekerjaan suami wiraswasta. Terdapat8,9% bayi BBLR. Terdapat hubungan yang bermakna antara usia ibu, tingkat pendidikan dan ANC dengan BBL (p < 0.05). Terdapat hubungan yang bermakna antara konsumsi tablet besi dan ukuran LILA dengan BBL (p < 0.05). Kesimpulan :Determinan sosio-demografik yang berhubungan dengan BBL adalah usia, tingkat pendidikan, dan ANC. Sedangkan determinan gizi yang berhubungan dengan BBL adalah konsumsi tablet besi dan ukuran LILA. Kata kunci: ANC, BBL, LILA, pendidikan, tablet besi, usia

2019 ◽  
Vol 6 (1) ◽  
pp. 7-16
Author(s):  
Eny Pemilu Kusparlina

Low Birth Weight incidence is caused by several factors including maternal age <20/> 35 years and LILA <23.5 cm. The results of the preliminary study at the TawangrejoCommunity Health Center in the City of Madiun, from 2016 there were 20 Low Birth Weightwhile in January-June 2017 there were 24 Low Birth Weight. The problem of this study isthe increase in the incidence of Low Birth Weight.To analyze the relationship between age and maternal nutritional status based on thesize of the upper arm circumference with the type of Low Birth Weight.This study is an analytical cross-sectional study with a population of all infants withbirth weight less than 2500 gram in January-April 2011 taken by simple random sampling of23 infants. Data sourced from secondary data in the form of medical records. Theindependent variables of maternal age and nutritional status based on the size of the upperarm circumference and the dependent variable type Low Birth Weight were then analyzedusing the Fisher Exact test.This study showed that the majority (69.6%) of mothers giving birth in the agecategory were not safe, causing premature Low Birth Weight (38.5%) and Low Birth Weightat term (61.5%). And most (65.1%) mothers gave birth in the category of Lack of ChronicEnergy, causing premature Low Birth Weight (38.5%) and Low Birth Weight dismatured(61.5%). From the Fisher Exact test results obtained value p = 0.011 for age and p = 0.024for LILA size with a significance level of α = 0.05, because p <α then H1 is accepted.This study has a relationship between age and maternal nutritional status based on thesize of the upper arm circumference with the type of Low Birth Weight. Pregnant and givingbirth at an unsafe age and Lack of Chronic Energy tend to give birth to babies with LowBirth Weight. From the research conducted, it is expected that health workers will furtherimprove health promotion by carrying out prevention through early detection of pregnancyby early ANC examination with the 7T standard.


2018 ◽  
Vol 9 (1) ◽  
Author(s):  
Nurul Kamariyah ◽  
Musyarofah Musyarofah

the relationship of the upper arm circumference pregnant women with birth weight Artiningsih BPS Surabaya. Most women experience upper arm circumference is less than the normal limit . Based on preliminary data from 15 pregnant women found 10 women experience MUAC less than the normal limit . 5 women experience LILA normal limits . The purpose of analyzing the relationship of the upper arm circumference pregnant women with birth weight Artiningsih BPS Surabaya . This study uses an analytical method with cross sectional approach . Population is all mothers giving birth are recorded in BPS Artiningsih Surabaya by 33 respondents total sample of 30 respondents . Mechanical sampling probability sampling with simple random sampling . Using independent variable circumference of the upper arm , the dependent variable birth weight . The instrument uses secondary data then analyzed by Spearman Rank = 0.05 which means there is a connection upper arm circumference pregnant women with birth weight in BPS Artiningsih Surabay. The results showed 33 pregnant women most ( 66.7 % ) upper arm circumference is less , and most ( 54.1 % ) gave birth to babies with low birth weight , as well as the results of Spearman Rank p = 0.000 less than Conclusions LILA increasingly normal pregnant women increasingly gained normal birth weight . expected to pregnant women who have a MUAC <23.5 cm were able to increase the consumption of better nutrition.


2019 ◽  
Vol 4 (2) ◽  
pp. 235
Author(s):  
Dian Sari

<p><em>Pulmonary Tuberculosis is one of the infectious diseases that become the main problem of Indonesian society. Based on a survey conducted at Andalas Public Health Centre obtained PMO (supervisor taking medicine) TB Lungless provide support to the patient of Pulmonary TB.. This study aims to determine the relationship of knowledge and attitude with the support of family as the PMO of Pulmonary TB patients. The study was conducted at the Andalas Public Health Centre Padang in 2017. The type of descriptive analytic research using a cross-sectional approach with a sample of 59 people taken from a population of 145 people PMO using simple random sampling systematic techniques. The results showed that 27.1% of PMO was not good at providing support, 32.2% knowledge was low, and 37.3% had a negative attitude. Chi-square test concluded that there is a significant correlation between knowledge (p = 0,036), and attitude (p = 0,000), with family support as PMO in Public health centre working area Andalas Padang of the year 2017. The result of this research can be used as a reference in improving TB program Lung so it can reduce the incidence of Pulmonary TB in Public health centre working area Andalas Padang.</em><em></em></p><p> </p><p><em>Tuberkulosis Paru merupakan salah satu penyakit menular yang menjadi masalah utama masyarakat Indonesia. Berdasarkan survei yang dilakukan di Puskesmas Andalas Kota Padang didapatkan sebahagian PMO (pengawas minum obat) TB Paru kurang memberikan dukungan kepada penderita TB Paru. Penelitian ini bertujuan untuk mengetahui hubungan pengetahuan dan sikap dengan dukungan keluarga sebagai PMO penderita TB Paru.Penelitian dilakukan di Wilayah Kerja Puskesmas Andalas Padang Tahun 2017. Jenis penelitian deskriptif analitik dengan menggunakan pendekatan cross sectionaldengan sampel sebanyak 59 orang yang diambil dari populasi 145 orang PMO menggunakan teknik sistematik simple random sampling. Hasil penelitian menunjukkan 27,1% PMO kurang baik dalam memberikan dukungan, 32,2% pengetahuan rendah, dan 37,3% mempunyai sikap negatif. Uji chi-square disimpulkan bahwa terdapat hubungan yang signifikan antara pengetahuan (p= 0,036), dan sikap (p=0,000), dengan dukungan keluarga sebagai PMO di Wilayah kerja Puskesmas Andalas Padang Tahun 2017. Hasil penelitian ini dapat dijadikan referensi dalam meningkatkan program TB Paru sehingga dapat menurunkan angka kejadian TB Paru di Wilayah Kerja Puskesmas Andalas Padang</em></p>


2018 ◽  
Vol 6 (1) ◽  
pp. 37
Author(s):  
Nadhifa Anwar Maulinda ◽  
Tutik Rusdyati

ABSTRAKKehamilan postterm adalah kehamilan yang berlangsung 42 minggu atau lebih. Usia ibu merupakan faktor risiko yang berkontribusi terjadinya persalinan postterm terkait dengan kesiapan alat reproduksi. Paritas ibu merupakan faktor lain yang mempengaruhi kejadian persalinan postterm. Data dari RSIA Arafah Anwar Medika Sukodono Kabupaten Sidoarjo menyebutkan terdapat 57,89% ibu bersalin mengalami postterm. Penelitian ini bertujuan untuk mengetahui hubungan antara usia, paritas ibu bersalin dengan kejadian persalinan postterm di RSIA Arafah Anwar Medika Sukodono Kabupaten Sidoarjo. Penelitian ini merupakan jenis penelitian kuantitatif dengan metode observasional dengan pendekatan cross-sectional. Data penelitian ini diperoleh dari rekam medik ibu bersalin yang melahirkan di RSIA Arafah Anwar Medika Sukodono Kabupaten Sidoarjo tahun 2013 dengan besar sampel sebanyak 218 ibu bersalin. Pengambilan sampel menggunakan metode simple random sampling. Analisis data menggunakan uji Fisher Exact. Hasil penelitian menunjukkan mayoritas usia ibu 20-35 tahun (86,7%),  paritas tidak berisiko (91,7%), kejadian tidak postterm (85,3%), persalinan postterm terjadi pada ibu berusia <20 dan >35 tahun (20,7%) dan persalinan postterm terjadi pada paritas berisiko (38,9%). Tidak ada hubungan antara usia ibu bersalin dengan kejadian persalinan postterm (p = 0,234; RR = 1,50; 95%CI = 0,68<RR<3,34) dan ada hubungan paritas dengan kejadian persalinan postterm (p = 0,008; RR = 3,11; 95%CI = 1,57<RR<6,17). Kesimpulan penelitian, bahwa tidak ada hubungan antara usia ibu dengan kejadian persalinan postterm dan ada hubungan paritas dengan kejadian persalinan postterm. Saran penelitian, meningkatkan penyuluhan kepada masyarakat tentang reproduksi sehat dan menggalakkan program KB. Kata Kunci: usia, paritas, persalinan, postterm  ABSTRACTPostterm pregnancy is a pregnancy that lasted 42 weeks or more. Maternal age and mother parity are  risk factor that contributes to postterm labour associated with reproductive readiness. The first data in RSIA Arafah Anwar Medika Sukodono obtained 57.89% postterm maternal experience. This study aims to determine the relationship between age, maternal parity with the incidence of postterm delivery in RSIA Arafah Anwar Medika Sukodono. This research was a kind of quantitative research with observational method with cross-sectional approach. The research data was obtained from the medical records of mothers who gave birth in the maternity RSIA Arafah Anwar Medika Sukodono in 2013 with 218 maternal samples. Sampling collecting tecnique was simple random sampling. The data were analyzed by Fisher exact test statistic. The research results shows that a majority of maternal age 20-35 years (86.7%),  parity was not at risk (91.7%), incidence not postterm delivery (85.3%), postterm delivery occurs in mothers aged <20 and> 35 years (20.7%), and postterm deliveries occurring at risk parity (38.9%). The result of statistic test showed no relation of maternal age with postterm labour (p = 0.234; RR = 1.50; 95%CI = 0.68<RR<3.34) and relation of parity with postterm delivery (p = 0.008; RR = 3.11; 95%CI = 1.57<RR<6.17). The conclusion of this study were no relationships between age with postterm labour and a significant relationships between parity with postterm labour. It is expected to increase public outreach on healthy reproduction and promote family planning programs. Keywords: age, parity, maternal, postterm


2020 ◽  
Vol 3 (2) ◽  
Author(s):  
Nurmah Rachman ◽  
Dian Irawati Rusman

Kematian ibu dapat dicegah dengan menerapkan antenatal care secara tepat. Penelitian ini bertujuan untuk mengetahui hubungan dukungan keluarga dengan kunjungan antenatal care pada ibu hamil. Penelitian ini menggunakan desain cross sectional yang dilaksanakan di wilayah kerja Puskesmas Sentani, Jayapura pada bulan Februari 2020. Populasi penelitian adalah ibu hamil yang berada di wilayah kerja Puskesmas Sentani dengan jumlah sampel sebesar 111 orang yang dipilih menggunakan teknik simple random sampling. Pengambilan data menggunakan kuesioner dengan subjek penelitian adalah ibu hamil yang memenuhi kriteria inklusi. Analisis data uji chi square dengan tingkat kemaknaan α


2014 ◽  
Vol 1 (1) ◽  
Author(s):  
Lusyta Puri Ardhiyanti

Jampersal dimaksudkan untuk menghilangkan hambatan finansial bagi ibu hamil untuk mendapatkan pelayanan kesehatan yang didalamnya termasuk pemeriksaan kehamilan, pelayanan persalinan, pelayanan nifas termasuk KB pasca salin dan pelayanan bayi baru lahir (BBL) (Kemenkes RI, 2011). Cakupan atau target K1 dan K4 yang diharapkan berkisar antara 80-95%, sebaliknya standar cakupan ibu hamil yang ditoleransi mangkirnya (default toleration) normalnya berkisar 5-20%, bila standar cakupan pelayanan dan toleransi mangkir ini tidak terpenuhi, maka pada dasarnya program ANC sangat jelek dan tidak terkendali (Depkes RI, 2008). Jenis penelitianadalah analitik observasional melalui pendekatan cross sectional. Populasi sebanyak 52 ibu hamil Trimester III sedangkan sampelnya sebanyak 46 ibu hamil Trimester III yang berkunjung ke BPM Ny Sofa,S.ST Mancar Peterongan Jombang. Pengambilan sampel secara probability sampling dengan tehnik simple random sampling. Data diolah dengan software SPSS didapatkan hasil analisis dengan uji Chi-Square diperoleh nilai Probabilitas sebesar ρ = 0.001 < 0,05. Sehingga hal ini menunjukkan bahwa H0 ditolak berarti ada hubungan antara pemanfaatan program pelayanan Jaminan Persalinan (Jampersal) dengan pencapaian cakupan K4 (AntenatalCare) dengan tingkat keeratan sebesar 0,427 hal ini menunjukkan bahwa tingkat keeratannya cukup kuat. Sehingga alasan inilah yang menjadikan bahwa dengan adanya program pelayanan jaminan persalinan secara tidak langsung dapat meningkatkan pencapaian cakupan K4 (Antenatal Care) sekaligus untuk menilai keberhasilan program Jampersal ini.


2021 ◽  
Vol 11 (2) ◽  
pp. 331-335
Author(s):  
Surendra Nath Soren ◽  
Partha Sarathi Sahu

: 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.


Author(s):  
Leny

ABSTRAK Menurut World Health Organization (WHO), memperkirakan kematian ibu sebanyak 500.000 kematian setiap tahun,  99% diantaranya terjadi di negara berkembang. Faktor-faktor yang  mempengaruhi frekuensi pemeriksaan kehamilan antara lain paritas ibu, usia ibu, pengetahuan, sikap, ekonomi, sosial budaya, dukungan keluarga, keadaan  geografis dan  informasi ibu mengenai frekuensi pemeriksaan kehamilan. Tujuan Penelitian ini adalah untuk mengetahui hubungan antara umur dan paritas dengan frekuensi pemeriksaan kehamilan di Klinik Budi Mulia Medika Palembang Tahun 2018. Desain penelitian ini adalah survei analitik dengan pendekatan cross sectional. Populasi Penelitian adalah seluruh ibu hamil trimester III yang memeriksakan kehamilan di Klinik Budi Mulia Medika Palembang Tahun 2018. Sampel yang diambil secara simple random sampling  dengan jumlah sampel 164 responden. Hasil analisa univariat menujukkan hasil analisa bivariat menggunakan uji statistik Chi-square yang membandingkan p value dengan tingkat kemaknaan α (0,005) menunjukkan bahwa ada hubungan yang bermakna antara umur dengan frekuensi pemeriksaan kehamilan dimana p value (0,0043) lebih kecil dari α (0,005) dan ada hubungan bermakna antara paritas ibu dengan frekuensi pemeriksaan kehamilan dimana p value (0,0017) lebih kecil dari α (0,005). Pelayanan pemeriksaan kehamilan (Antenatal Care) yang tujuan utamanya adalah mencegah komplikasi obstetrik dan memastikan bahwa komplikasi dideteksi sedini mungkin serta ditangani secara memadai, sehinggga diharapkan dapat menurunkan angka kejadian morbiditas dan mortalitas pada ibu maupun janin. Kata Kunci         : Frekuensi Pemeriksaan Kehamilan, Umur, Paritas   ABSTRACT According to the World Health Organization (WHO), estimating maternal deaths is 500,000 deaths every year, 99% of which occur in developing countries. Factors that influence the frequency of prenatal care include maternal parity, maternal age, knowledge, attitudes, economy, socio-culture, family support, geographical conditions and maternal information regarding the frequency of antenatal care. The purpose of this study was to determine the relationship between age and parity with the frequency of antenatal care at the Budi Mulia Medika Palembang Clinic in 2018. The design of this study was an analytical survey with a cross sectional approach. The study population was all trimester III pregnant women who examined pregnancy at the Budi Mulia Medika Palembang Clinic in 2018. The samples were taken by simple random sampling with a sample of 164 respondents. The results of univariate analysis showed the results of bivariate analysis using the Chi-square statistical test that compares p value with significance level α (0.005) shows that there is a significant relationship between age and frequency of antenatal care where p value (0.0043) is smaller than α (0.005) and there is a significant relationship between maternal parity and frequency of antenatal care, where p value (0.0017) is smaller than α (0.005). Antenatal Care services whose main purpose is to prevent obstetric complications and ensure that complications are detected as early as possible and handled adequately, so that they are expected to reduce the incidence of morbidity and mortality in both mother and fetus Keywords    : Frequency of Pregnancy Examination, Age, Parity


2017 ◽  
Vol 1 (4) ◽  
pp. 300
Author(s):  
Eriza Wahyuhandani ◽  
Trias Mahmudiono

Background : Giving the complementary foods is the determinant of optimal growth in children. A preliminary study in Telaga Biru Health centre showed that 10 out of 15 mothers has given her baby complementary food in early time, due to unknown factors, 3 out of 10 mothers who did were caused by working. It can be assumed that there is an influence of knowledge and mother’s work with early  complimentary food giving. Objective : The goal of this research was to examine the relationship between the knowledge and the work of the mothers of 0-6 months aged babies towards giving early complementary foods in Telaga Biru Health centre, Pontianak.Methods: This is an observational analytic study with cross-sectional study design. The research population was all mothers whose babies ranged between 0-6 months in age within the work area of Telaga Biru Community Health Center of Pontianak City. Samples were obtained using simple random sampling technique with total 64 respondents. Statistic test used was linier regression with (α=0.05).Results: The result of the research showed that there was no relationship between the mother’s work through early complementary foods giving ( p=0.525), but in addition, there was a relationship between the knowledge through with early complementary feeding giving (p=0.003). This situation is evidence by the mother who has low knowledge, 69.2% giving thier baby complementary food in early time. The mother who has moderate knowledge, 33.3% giving their baby complementary food in early time, and the mother who has good knowledge was only 12.5% giving their baby complementary food in early time. Conclusion: The knowledge of mothers affects the early giving of complimentary food in breastfeeding. The higher the mother’s knowledge, the lesser likely the mother will give the early food complimentary in breastfeeding because mothers will apply their knowledge in giving the right food pattern for the babies. Therefore, it is needed to increase the level of knowledge of mothers to give the right complimentary food suited to the babies’ growth.ABSTRAKLatar Belakang: Pemberian makanan pendamping ASI merupakan salah satu faktor yang dapat mengoptimalkan tumbuh kembang anak. Hasil  studi  pendahuluan di puskesmas Telaga Biru Kota Pontianak menunjukan bahwa 10 dari 15 ibu telah memberikan MP-ASI secara dini kepada bayi karena faktor ketidaktahuan serta 3 diantara 10 ibu tersebut merupakan ibu bekerja. Dapat diasumsikan bahwa pengetahuan dan pekerjaan ibu mempengaruhi pemberian MP- ASI dini.Tujuan: Mengetahui hubungan pengetahuan dan pekerjaan ibu dengan pemberian makanan pendamping ASI secara dini di wilayah kerja Puskesmas Telaga Biru kota Pontianak.Metode: Jenis penelitian observasional analitik dengan rancangan penelitian cross sectional. Populasi penelitian yaitu seluruh ibu yang mempunyai bayi usia 0-6 bulan di wilayah kerja Puskesmas Telaga Biru Kota Pontianak. Sample diambil dengan teknik simple random sampling dengan besar sampel sebanyak 64 orang. Uji statistik yang digunakan adalah regresi linier (α=0,05).Hasil : Hasil penelitian menunjukkan bahwa tidak terdapat hubungan antara pekerjaan ibu dengan pemberian MP-ASI dini(P = 0,525 > 0,05), namun terdapat hubungan antara pengetahuan ibu dengan pemberian MP-ASI dini (P = 0,003 < 0,05). Hal ini dilihat dari ibu yang berpengetahuan kurang   69,2%   memberikan MP-ASI dini. Ibu yang berpengetahuan cukup 33,30% memberikan MP-ASI dini, dan ibu yang berpengetahuan baik hanya 12,5% memberikan MP-ASI dini.            .Kesimpulan: Pengetahuan ibu berpengaruh terhadap pemberian MP-ASI dini. Semakin baik pengetahuan maka ibu tidak akan memberikan MP-ASI dini karena ibu akan menerapkan pengetahuannya dalam membentuk pola makan yang benar pada bayi. Oleh karena itu diperlukan upaya peningkatan pengetahuan kepada ibu mengenai cara pemberian MP-ASI yang tepat.


2018 ◽  
Vol 12 (1) ◽  
pp. 61
Author(s):  
U. Evi Nasla Nasla

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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