scholarly journals PREDIKTOR DETERMINAN BERAT BADAN LAHIR BAYI DI WILAYAH KERJA PUSKESMAS LINGKAR TIMUR KOTA BENGKULU TAHUN 2011

2018 ◽  
Vol 5 (1) ◽  
pp. 07-12
Author(s):  
Tetes Wahyu Witradharma

Nutrition for pregnant women is very influential on the fetus. Poor maternal nutritional status before conception and during pregnancy will lead to low birth weight infants (LBW), fetal brain growth retardation, anemia on fetus, susceptible to infectious diseases and abortion. The aim is to determine determinant predictor of infant birth weight in Puskesmas Lingkar Timur Area Bengkulu City 2011. This study used cross sectional by analytic approach. The sample were 88 people. Data obtained in  Puskesmas Lingkar Timur Area Bengkulu City from January to February 2011. Data research used secondary data which consisted of weight gain of pregnant women TM2, TM3, MUAC, Hb, iron (Fe), infant birth weight that obtained from the register book KIA BPS in Puskesmas Lingkar Timur Area Bengkulu City. Significant value of MUAC 0.0005 (p <0.05) and significant value of Hb 0.0005 (p <0.05). This study shows that MUAC and Hb are determinant predictor of weight infants. Therefore it is necessary for the promotion of research results that can be followed by monitoring nutrient intake and nutritional status  in pregnant women.

2021 ◽  
Vol 3 (1) ◽  
pp. 42-50
Author(s):  
Asfarina Puspanagara ◽  
Yulia Nur Khayati

Low Birth Weight (LBW) is the first cause of infant mortality in West Java. Babies born with LBW need to get serious treatment, because in these conditions babies are easily distracted. Factors that influence the occurrence of LBW are age, nutritional status, pregnancy distance and maternal parity (Manuba, 2010). The purpose of this study was to determine the relationship between maternal nutritional status and the incidence of low birth weight (LBW). This study used a descriptive analytic using a cross sectional approach. The research was conducted in August 2020 - December 2020 at RSIA dr. Djoko Pramono. The sample of this study were all deliveries at RSIA dr. Djoko Pramono from August-16 October 2020, totaling 182. Data collection techniques with secondary data were arranged using a master table. The results of the study were analyzed bivariately using the chi Square test. Based on the results of statistical analysis with chi square, it was found that there was a significant relationship between nutritional status and the incidence of LBW, with a p value of 0.000 (<0.05), OR = 16.684. Women because they will conceive and give birth and so that there is no further deficiency of pregnancy status, so as to reduce the level of morbidity and mortality of infants. Abstrak Bayi dengan Berat Badan Lahir Rendah (BBLR) merupakan penyebab pertama kematian bayi di Jawa Barat. Bayi yang lahir dengan BBLR perlu mendapatkan penanganan yang serius, karena pada kondisi tersebut bayi mudah sekali mengalami gangguan. Faktor yang mempengaruhi terjadinya BBLR yaitu umur, status gizi, jarak kehamilan dan paritas ibu (Manuba, 2010). Tujuan penelitian ini untuk mengetahuiubungan status gizi ibu dengan kejadian Berat Badan Lahir Rendah (BBLR). Penelitian ini menggunakan desain diskriptif analitik dengan menggunakan pendekatan cross sectional. Populasi Penelitian ini adalah ibu bersalin pada Agustus 2020 – Desember 2020 di RSIA dr. Djoko Pramono. Sampel penelitian ini adalah seluruh ibu bersalin di RSIA dr. Djoko Pramono dari bulan Agustus-16 Oktober 2020 yang berjumlah 182. Teknik pengumpulan data dengan data sekunder yang disusun menggunakan master table dan dianalisis menggunakan chi square. Hasil Penelitian terdapat hubungan yang signifikan antara status gizi dengan kejadian BBLR, dengan hasil p value 0.000 (< 0,05) OR = 16,684.  Saran bagi pasien yaitu diharapkan untuk pasien agar lebih maksimal memperhatikan asupan makanan (status gizi) terutama .


2020 ◽  
Vol 7 (11) ◽  
pp. 1712
Author(s):  
Brinda Prasanna Kumar ◽  
Adarsh E. ◽  
Sahana G.

Background: It is well established that maternal body mass index (BMI) and haemoglobin (Hb) level has an impact on foetal growth. Various studies have concluded that intrauterine growth as reflected by the Ponderal index (PI) is strongly influenced by various maternal factors. Therefore, we undertake this study to address the evidence gap to establish the strength of association between maternal nutritional status as indicated by her pre-pregnancy BMI and haemoglobin levels and neonatal PI.Methods: A hospital based cross-sectional, observational study was conducted that included 236 normal newborns and their mothers. A predesigned questionnaire was used to collect relevant socio-demographic data and obstetric history. Details regarding the maternal pre-pregnancy weight were collected from antenatal records, maternal height was measured and BMI was calculated. Neonatal birth weight and recumbent length was measured. PI was calculated and co-related with the maternal BMI and haemoglobin values.Results: 11.9% of the mothers were underweight and 51.3% had normal BMI. Majority of the mothers (62.7%) had normal Hb levels and 0.4% were found to have severe anemia (Hb <7 mg/dl). We saw a significant positive correlation (p<0.05) between BMI and birth weight, BMI and PI that is, with decrease in BMI there was a significant decrease in the birth weight and PI of the newborn. There was no significant correlation between haemoglobin level and PI.Conclusions: Our study showed a positive association between maternal pre-pregnancy BMI and birth weight, BMI and PI. Therefore, interventions aimed at improving the nutritional status of the mother have a direct impact on the foetal growth outcomes.


2020 ◽  
Vol 1 (1) ◽  
pp. 16
Author(s):  
Hatijar Hatijar

Low birth weight babies are babies born with a weight less than 2500 grams. LBW (low birth weight) affects the high mortality rate in infants and is at risk of experiencing obstacles in growth and development. LBW is generally caused due to lack of nutrition and nutritional needs from mother to fetus while pregnant women aged less than 20 years and more than 35 years have the risk of giving birth to LBW. The purpose of this study is to determine the risk factors that cause LBW based on maternal age and nutritional status. The research method used was observational with a cross sectional study approach. The sampling technique was random sampling at the Regional Haji Makassar General Hospital in the January to July 2015 period with a total sample of 65 people. Analysis using the Chi Square Test. The results showed that there was a relationship between maternal age, nutritional status of LBW with a value (p value = 0.00 <α = 0.05). Maternal age and nutritional status are factors that influence low birth weight where the results of the study indicate that there is a relationship between maternal age and nutritional status on the incidence of low birth weight. To reduce the incidence of low birth weight, it is necessary to increase counseling about the causes of low birth weight babies by health workers, especially midwives to pregnant women to prevent the risk of low birth weight birth.


2018 ◽  
Vol 24 (8) ◽  
pp. 6203-6205
Author(s):  
Yoga Dwi Oktavianda ◽  
Syahru Ramadhan ◽  
Thalia Mufida ◽  
Ummul Mukminin ◽  
Rima Irwinda

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).


2021 ◽  
Author(s):  
Devdatt Pitale

Abstract Introduction: Nutrition during pregnancy plays an important role for an optimum outcome of pregnancy. Women may be malnourished even before they become pregnant and this may further adversely affect the pregnancy. Maternal undernutrition can lead to poor intrauterine growth and low weight of the baby at birth. Moreover, the leading causes for maternal deaths like hemorrhage and infection are related directly or indirectly to nutrition. Aim of the Study: To study the impact of existing food habits on pregnancy outcome in a south Indian population. Materials and Methods: This prospective study was conducted at a tertiary health care and research institute in India. From the antenatal clinic, 350 women who satisfied the following inclusion and exclusion criteria were admitted to the study. Results: The majority of pregnant women belonged to the age group of 21-25 yrs (47%) followed by the 26-30 yrs age group (40%).The number of teenage pregnancies was 30 (8%) whereas 5% of pregnant women belong the age group of 31-35 yrs.83% of the study population belonged to the low socioeconomic class. Majority of the babies (66%) had the birth weight in the range of 2.5-2.9 kgs. 29 % of babies had birth weight in the range of 3-3.5 kgs. There was a significant association (p value < 0.05) between the socioeconomic status of the mother, parity and her calorie intake. The present study found a statistically significant association between the maternal nutritional status, the birth weight of the baby and the need for NICU admission (p value < 0.05). Conclusion: Maternal food habits have an impact on the pregnancy outcome. Maternal food habits are influenced by many factors like socioeconomic status, parity, social food taboos and pregnancy itself. The pregnancy outcomes like birth weight, need for NICU admission and postnatal complications are influenced by maternal nutritional status.


2020 ◽  
Author(s):  
Sebean Mayimbo ◽  
Clara Maphosa Haruzivishe ◽  
Concepta Kwaleyela ◽  
Phoebe Bwembya ◽  
Ellen Chirwa ◽  
...  

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.


2020 ◽  
Author(s):  
Dorothy T Chisare ◽  
Simbarashe Takuva ◽  
Tariro J. Basera ◽  
Natasha Khamisa ◽  
Jacqueline Witthuhn

Abstract Background In Zimbabwe, almost 25% of infants are born with low birth weight (LBW). LBW accounts for over half of the neonatal deaths in the country. Anaemia during pregnancy has been inconsistently associated with an increased risk of LBW. However, very little data is available from countries where HIV prevalence is high, wherein HIV is also known to be a common risk factor to LBW. This study examined the relationship between maternal anaemia and LBW among HIV-infected pregnant women in Zimbabwe. Methods This was a secondary data analysis of the 2015 Zimbabwe Demography and Health Survey. Data for 809 HIV positive women aged 15-49 years and their infants from all live births preceding the survey by 5 years were included in the study. Modified-Poisson regression methods were used to determine the association between anaemia and LBW while adjusting for other risk factors. Results The prevalence of maternal anaemia and LBW among the HIV-infected pregnant women was 42.3% (n=342) and 16.3% (n =132) respectively. The prevalence of LBW was14.6% (n=50) and 17.6% (n=82) among anaemic and non-anaemic HIV positive women respectively (p=0.264). HIV infected pregnant women with anaemia had a 25% less chance of giving birth to infants with LBW compared to HIV infected mothers without anaemia, however, the association was not statistically significant (RR 0.75; 95% CI 0.53- 1.05). Conclusions The findings demonstrate a high prevalence of anaemia and LBW among HIV infected pregnant women. Nonetheless, maternal anaemia was not associated with LBW. There is a need for adapted monitoring of HIV-positive pregnant women and affordable improved nutrition during antenatal care to reduce the risk of LBW infants and maternal anaemia levels. Further research examining the relationship between maternal anaemia and LBW among HIV positive pregnant women whilst factoring in the role of ART and the severity of anaemia is required.


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.


2010 ◽  
Vol 104 (6) ◽  
pp. 842-848 ◽  
Author(s):  
Hanna Olausson ◽  
Marie Löf ◽  
Kerstin Brismar ◽  
Elisabet Forsum ◽  
Annica Sohlström

Maternal nutritional status, e.g. body weight and composition, is associated with fetal growth. It has been suggested that the insulin-like growth factor (IGF) system may be a mediator of this relationship. In twenty-three healthy Swedish women, we studied (1) the relationships before and during pregnancy between maternal serum concentrations of IGF-I and IGF binding protein-1 (IGFBP-1) and maternal body weight and composition; (2) interactions between serum concentrations of IGF-I (before and in early pregnancy) and maternal nutritional status in relation to infant birth weight. We found that serum IGF-I during pregnancy was positively correlated with maternal body weight (r 0·47–0·56) and fat-free body weight (r 0·61–0·65), whereas serum IGFBP-1 was negatively correlated with maternal body weight (r − 0·44 to − 0·69) and body fat (r − 0·64 to − 0·76) before and during pregnancy. Women with a lower body fat content (%) before pregnancy had greater increases in serum IGFBP-1 during pregnancy than women with a higher prepregnant body fat content (%). In addition, significant fractions of the variation in corrected infant birth weight were explained by variables related to the maternal nutritional status when these were combined with serum concentrations of IGF-I in gestational week 14 (adjusted r2 0·25–0·44, P = 0·001–0·021), but not when they were combined with such concentrations before pregnancy (adjusted r2 0·11–0·12, P = 0·105–0·121). These results suggest mechanisms by which the IGF system may be a mediator between maternal nutritional status and fetal growth.


2016 ◽  
Vol 5 (1) ◽  
pp. 14-19 ◽  
Author(s):  
Retni Retni ◽  
Ani Margawati ◽  
Bagoes Widjanarko

Introduction. Teenage pregnancy at risk of having a baby with low birth weight (LBW). This happens because of the condition of the mother is still in the growth, physical development is not perfect so it can be detrimental to the health of mother and fetus. The research objective is to analyze the effect of nutritional status and nutrient intake of mothers of low birth weight in pregnancy adolescence.Methods:  The study design was observational with prospective cohort approach.The subject is the population of third trimester pregnant women aged 16-19 years amounted to 27 people. The nutritional status measured by antropometry. Nutrient intake was measured by 24-hour food recall method. Data were analyzed by calculating the relative riskResults: 66,7% had a protein energy malnutrition, 51,9% had less weight gain during pregnancy, and 59,3% are anemic. The mean intake of energy, protein, folic acid, iron, zinc, vitamin A and C are in not enough categories. The relative risk test showed that less weight gain during pregnancy (RR= 3,71;95% CI 1,34-10,25, low energy intake (RR =6.03; 95% CI 5,68-898,64), low protein (RR= 13,00;95% CI 1,97-85,45), low folic acid (RR = 13,00;95% CI 1,97-85,45), low iron (RR= 4,00;95% CI 1,71-9,34) at risk of having low birth weight. Conclusions: Pregnant women-adolescence with less weight gain during pregnancy, energy protein malnutrition and low energy, protein, folic acid and iron intake at risk of having low birth weight.


Sign in / Sign up

Export Citation Format

Share Document