scholarly journals Faktor Risiko Umur, Paritas, dan Lingkar Lengan Atas Ibu Hamil terhadap Kejadian Berat Badan Lahir Rendah

2020 ◽  
pp. 31-38
Author(s):  
Nurhayati Nurhayati ◽  
Sitti Hadriyanti Hamang ◽  
Halida Thamrin

Bayi dengan Berat Badan Lahir Rendah (BBLR) merupakan salah satu faktor risiko yang berkontribusi terhadap kematian bayi khususnya pada masa perinatal. Prevalensi BBLR diperkirakan 15% dari seluruh kelahiran di dunia dan lebih sering terjadi di negara-negara berkembang, angka kematiannya 35 kali lebih tinggi dibanding pada bayi dengan berat badan lahir lebih dari 2500 gram. Penelitian ini akan dilaksanakan di Rumah Sakit Ibu dan Anak Siti Fatimah Makassar (RSKDIA), penelitian ini bertujuan untuk memperoleh informasi mengenai faktor risiko ibu hamil dengan kejadian bayi berat lahir rendah (BBLR) di RSKDIA Siti Fatimah Makassar. Jenis penelitian yang digunakan adalah survey analitik dengan pendekatan case control study. Besar sampel yang diperoleh dengan menggunakan uji hipotesis sampel dan didapatkan sampel sebesar 67 kasus dan perbandingan besar sampel kasus dan kontrol adalah 1:1 sehingga total sampel adalah 134 ibu melahirkan. Penarikan sampel dilakukan dengan teknik purposive sampling dengan memperhatikan kriteria inklusi dan eksklusi. Data di analisis dengan memakai tabel 2 x 2 dan odds rasio. Hasil penelitian menunjukkan bahwa  berisiko tapi tidak terdapat hubungan yang bermakna antara umur ibu dan paritas ibu dengan kejadian BBLR, berisiko dan terdapat hubungan yang bermakna antara lingkar lengan atas ibu, kadar haemoglobin ibu selama hamil dan status sosial ekonomi dengan kejadian BBLR. Disarankan kepada ibu dengan umur kurang dari 20 tahun dan lebih dari 35 tahun agar pada masa kehamilannya melakukan pemeriksaan kehamilan sedini mungkin secara teratur untuk memantau pertumbuhan dan perkembangan janinnya dan kepada petugas kesehatan agar memberikan penyuluhan tentang pentingnya pemenuhan gizi selama kehamilan LBW prevalence is estimated to be 15% of all births in the world and more common in developing countries, the mortality rate is 35 times higher than in infants weighing more than 2500 grams. This research will be conducted at Maternal and Child Hospital Siti Fatimah Makassar, this research aims to obtain information about risk factors of pregnant women with low birth weight babies (BBLR) in RSKDIA Siti Fatimah Makassar. The type of research used is analytic survey with case control study approach. The sample size was obtained by using the sample hypothesis test and the sample was 67 cases and the comparison of case and control sample was 1: 1 so the total sample was 134 mothers giving birth. Sampling was done by purposive sampling technique by considering inclusion and exclusion criteria. Data were analyzed using 2 x 2 tables and Odds Ratio. The results showed that there was a significant and significant influence between maternal upper arm circumference with LBW incidence, risky but not significant between mother age and LBW incidence, not risky and not significant but protective factor between mother parity with BBLR event. It is suggested to mother with age < 20 years and> 35 years old so that during pregnancy do check as early.

Author(s):  
Zulfikar Ahmad ◽  
Siti Surya Indah Nurdin

Preeclampsia is one of the major causes of maternal, fetal and neonatal morbidity and mortality. The research aimed at investigating the risk factor of the preeclampsia incident in Mother and Child Hospital Siti Khadijah Gorontalo. The research used the case control study design. Case samples are mothers who suffer from preeclampsia, while control samples are mothers who did not experience preeclampsia during pregnancy. The total sample of 78 people The results of this study indicate that risk factors for the incidence of preeclampsia include socioeconomic status (OR = 3,976, CI%: 1,399 - 11,301), maternal education (OR = 4,396, 95% CI: 1,518 - 12,374), and history preeclampsia (OR = 8,441, 95% CI: 1,469 - 48,501). Maternal occupation, maternal age, history of hypertension, and parity are not risk factors for the incidence of preeclampsia. The most influential factor on the incidence of preeclampsia is the history of preeclampsia.Preeklampsia merupakan salah satu penyebab morbiditas dan mortalitas pada ibu, janin dan neonatal. Penelitian ini bertujuan untuk mengetahui faktor yang berhubungan dengan kejadian preeklampsia di RSIA Siti Khadijah Gorontalo. Penelitian ini menggunakan desain Case Control Study. Populasi penelitian adalah semua ibu melahirkan selama tahun 2019 di RSIA Siti Khadijah Gorontalo. Sampel kasus merupakan ibu yang menderita preklamsia, sedangkan sampel kontrol merupakan ibu yang tidak mengalami preeklampsia saat hamil. Jumlah sampel sebanyak 78 orang Hasil penelitian ini menunjukkan bahwa faktor risiko terhadap kejadian preeklampsia meliputi status sosial ekonomi (OR = 3,976, CI %: 1,399 – 11,301), pendidikan ibu (OR = 4,396, CI 95% : 1,518 – 12,374), dan riwayat preeklampsia (OR = 8,441, CI 95%: 1,469 – 48,501). Pekerjaan ibu, usia ibu, riwayat hipertensi, dan paritas bukan faktor risiko terhadap kejadian preeklampsia. Faktor yang paling berpengaruh terhadap kejadian preeklampsia adalah riwayat preeklampsia.


2020 ◽  
pp. 14-23
Author(s):  
Sitti Hadriyanti Hamang ◽  
Nurhayati Nurhayati

Bayi dengan Berat Badan Lahir Rendah (BBLR) merupakan salah satu faktor risiko yang berkontribusi terhadap kematian bayi khususnya pada masa perinatal. Prevalensi BBLR diperkirakan 15% dari seluruh kelahiran di dunia dan lebih sering terjadi di negara-negara berkembang, angka kematiannya 35 kali lebih tinggi dibanding pada bayi dengan berat badan lahir lebih dari 2500 gram. Penelitian ini akan dilaksanakan di Rumah Sakit Ibu dan Anak Siti Fatimah Makassar, penelitian ini bertujuan untuk memperoleh informasi mengenai faktor risiko ibu hamil dengan kejadian bayi berat lahir rendah(BBLR) di RSKDIA Siti Fatimah Makassar. Jenis penelitian yang digunakan adalah survey analitik dengan pendekatan case control study. Besar sampel yang diperoleh dengan menggunakan uji hipotesis sampel dan didapatkan sampel sebesar 67 kasus dan perbandingan besar sampel kasus dan kontrol adalah 1:1 sehingga total sampel adalah 134 ibu melahirkan. Penarikan sampel dilakukan dengan teknik purposive sampling dengan memperhatikan kriteria inklusi dan eksklusi. Data di analisis dengan memakai tabel 2 x 2 dan Odds Rasio. Hasil penelitian menunjukkan bahwa  berisiko tapi tidak terdapat hubungan yang bermakna antara umur ibu dan paritas ibu dengan kejadian BBLR, berisiko dan terdapat hubungan yang bermakna antara lingkar lengan atas ibu, kadar haemoglobin ibu selama hamil dan status sosial ekonomi dengan kejadian BBLR. Disarankan kepada ibu dengan umur < 20 tahun dan > 35 tahun agar pada masa kehamilannya melakukan pemeriksaan kehamilan sedini mungkin secara teratur untuk memantau pertumbuhan dan perkembangan janinnya dan kepada petugas kesehatan agar memberikan penyuluhan tentang pentingnya pemenuhan gizi selama kehamilan. Babies with low birth weight (LBW) are one of the risk factors that contribute to infant mortality, especially in the perinatal period. The prevalence of LBW is estimated at 15% of all births in the world and more often in developing countries, the mortality rate is 35 times higher than in babies with birth weight more than 2500 grams. This research will be conducted at the Siti Fatimah Makassar Mother and Child Hospital, this study aims to obtain information about the risk factors of pregnant women with the incidence of low birth weight babies (LBW) at RSKDIA Siti Fatimah Makassar. The type of research used is an analytical survey with a case control study approach. The sample size was obtained by using a sample hypothesis test and a sample of 67 cases was obtained and the comparison of the case and control sample size was 1: 1 so that the total sample was 134 mothers giving birth. Sampling is done by purposive sampling technique by taking into account the inclusion and exclusion criteria. Data is analyzed by using 2 x 2 tables and Odds Ratios. The results showed that risky but no significant relationship between maternal age and maternal parity with LBW incidence was risky and there was a significant relationship between arm circumference over the mother, maternal hemoglobin levels during pregnancy and socioeconomic status with the incidence of LBW. It is recommended for mothers aged <20 years and> 35 years so that during pregnancy they carry out prenatal checkups as early as possible regularly to monitor the growth and development of their fetus and to health workers to provide information about the importance of fulfilling nutrition during pregnancy.


Cytokine ◽  
2015 ◽  
Vol 76 (2) ◽  
pp. 138-143 ◽  
Author(s):  
Bing Wan ◽  
Hao Zhang ◽  
Haiyan Fu ◽  
Yikun Chen ◽  
Liping Yang ◽  
...  

Author(s):  
Rekiku Fikre ◽  
Samuel Ejeta ◽  
Taye Gari ◽  
Akalewold Alemayhu

Abstract Background Globally over 2.6 million pregnancy ends with stillbirth annually. Despite this fact, only a few sherds of evidence were available about factors associated with stillbirth in Ethiopia. Therefore, the study aimed to spot factors related to stillbirth among women who gave birth at Hawassa University Comprehensive Specialized Hospital Hawassa, Sidama Ethiopia, 2019. Methods Facility-based unmatched case-control study was conducted at Hawassa University Comprehensive Specialized Hospital. Cases were selected using simple random sampling technique and controls were recruited to the study consecutively after every case selection with case to control ratio of 1 to 3. Data were coded and entered into Epi-data version 3.1 and exported to SPSS version 24 for analysis. Results A total of 106 cases and 318 controls were included in the study. Number of antenatal care visit [AOR = 0.38, 95% CI (0.15, 0.95)], lack of partograph utilization [AOR = 4.1 95% CI (2.04, 10.5)], prolonged labor [AOR = 6.5, 95% CI (2.9, 14.4)], obstructed labor [AOR = 3.5, 95% CI (1.5, 9.4)], and congenital defect [AOR = 9.7, 95% CI (4.08, 23.0)] were significantly associated with stillbirth. Conclusion Absence of partograph utilization, prolonged labor, obstructed labor, antepartum hemorrhage and congenital anomaly were found to have positive association with stillbirth.


Author(s):  
Annibal Sabino ◽  
Eduardo de Souza ◽  
Ana Goulart ◽  
Adriana Lima ◽  
Nelson Sass

Objective To evaluate whether the presence of maternal blood pressure reduces the risks of morbidity, perinatal mortality and morbidity at 24 months of age in very low birth weight infants (VLBWIs) compared with a control group. Methods A retrospective, observational, case-control study. Total 49 VLBWIs were allocated to the study group, called the maternal arterial hypertension group (AHG), and matched with 44 in the control group (CG). The infants were assessed during hospitalization and at 12 and 24 months corrected age at a specialized clinic. For the assessment of growth, the World Health Organization (WHO) Anthro software (Geneva, 2006) was used, and for the psychomotor assessment, the Denver II test was used. Results In relation to the antenatal variables, the infants of the AHG had more centralized circulation assessed by Doppler, received more corticosteroids and magnesium sulfate, and were born by cesarean section more frequently. In terms of the postnatal and in-hospital outcomes, the AHG had a higher gestational age at birth (30.7 versus 29.6 weeks) and a lower frequency of 5-minute Apgar scores of less than 7 (26.5% versus 52.3%). The CG had a higher rate of pulmonary dysplasia (30.2% versus 8.3%). There were no differences in terms of hospital mortality, complications, somatic growth and functional problems at 24 months of corrected age. Conclusion The presence of maternal hypertension, especially preeclampsia, was not a protective factor against morbidity, mortality and evolution in VLBWIs aged up to 24 months. Therefore, the clinical practice should be focused on prolonging the pregnancy for as long as possible in these conditions as well.


2017 ◽  
Vol 33 (7) ◽  
pp. 317
Author(s):  
Dwi Andayani ◽  
Ova Emilia ◽  
Djauhar Ismail

Purpose This study aimed to determine the effect of the implementation of the antenatal class toward exclusive breastfeeding.Methods The research was a case-control study with a quantitative approach. This research was also supported by a qualitative approach which aimed to complement and reinforce the results obtained from the quantitative data. Sample cases were 135 exclusive breastfeeding infants aged 6-12 months, and the control sample were 135 not exclusive breastfeeding infants aged 6-12 month. Data analysis used the McNemar and conditional logistic regression tests with significance level of p = <0.05 and 95% confidence interval.Results Bivariate analysis showed that antenatal class affected exclusive breastfeeding p = 0.026 and OR = 1.80 (95% CI: 1.03 to 3.24). In the results of multivariate analysis after controlling by including support of her husband and the ANC p = 0.03 and OR = 1.86 (95% CI: 1.05 to 3.30). Mothers who attended antenatal class have exclusive breastfeeding rate 1.86 times higher compared to mothers who did not attend the antenatal class.Conclusion The antenatal class can directly affect exclusive breastfeeding, in spite of controlling the support of her husband and the ANC.


2016 ◽  
Vol 6 (3) ◽  
pp. 215
Author(s):  
Annibal Tagliaferri Sabino ◽  
Eduardo de Souza ◽  
Ana Lucia Goulart ◽  
Adriana Martins de Lima ◽  
Nelson Sass

2013 ◽  
Vol 142 (4) ◽  
pp. 820-825 ◽  
Author(s):  
R. BASSAL ◽  
A. REISFELD ◽  
I. NISSAN ◽  
V. AGMON ◽  
D. TARAN ◽  
...  

SUMMARYThis matched case-control study investigated the risk factors for sporadicSalmonellaInfantis infection in 263 affected children and 263 age-, gender- and neighbourhood-matched controls. Information about exposure to potential risk factors was obtained via telephone interview and evaluated by conditional logistic regression analysis. Age groups ⩽1 year (n = 77) and >1 year (n = 186) were analysed separately. Of those aged ⩽1 year, breastfeeding was a significant protective factor against infection [matched odds ratio (mOR) 0·24, 95% confidence interval (CI) 0·10–0·59,P < 0·01]. In the older group, consumption of eggs (mOR 1·87, 95% CI 1·00–3·49,P = 0·05) was a significant risk factor and thawing chicken in water (mOR 2·55, 95% CI 0·94–6·91,P = 0·07) was borderline risk factor, while consumption of carrots (mOR 0·46, 95% CI 0·26–0·83,P < 0·01), drinking tap water (mOR 0·44, 95% CI 0·22–0·85,P = 0·02), religious lifestyle (mOR 0·40, 95% CI 0·21–0·74,P < 0·01) and having a high number of children in the household (mOR 0·72, 95% CI 0·58–0·88,P < 0·01) were significant protective factors. Consumers should avoid eating undercooked eggs and food handlers should be educated regarding proper handling and cooking of eggs. Breastfeeding should be strongly encouraged by public health authorities. The public must be educated on stringent hygiene practices, especially proper cooking of eggs to reduce infection rates.


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