scholarly journals FAKTOR RISIKO BAYI BERAT LAHIR RENDAH DITINJAU DARI KUALITAS PELAYANAN KESEHATAN DAN FAKTOR KEHAMILAN (Studi di Puskesmas Margorejo dan Puskesmas Juwana di Kabupaten Pati)

2018 ◽  
Vol 12 (1) ◽  
pp. 41-50
Author(s):  
Aeda Ernawati
Keyword(s):  
Health Care ◽  
Pregnant Women ◽  
Gestational Age ◽  
Health Workers ◽  
Hyperemesis Gravidarum ◽  
Risk Estimation ◽  
Maternal Weight ◽  
Chi Square ◽  
Gestational Age At Birth ◽  
Age At Birth

ENGLISHQuality of health care and pregnancy factors affect the development of the fetus. The purpose of this study is to analyze the quality of health care and pregnancy factors on the incidence of Low Birth Weight (LBW) including: antenatal completeness, the frequency of antenatal, maternal weight during pregnancy, a history of hyperemesis gravidarum, and gestational age at birth. This study uses case control design with sample of 32 cases and 32 controls. Statistical test uses chi square and risk estimation uses odds ratios. The results show that antenatal completeness (OR = 4.911 and p = 0.009), gestational age at birth (OR = 4.592 and p = 0.010) and hyperemesis gravidarum experienced by the mother during pregnancy (OR = 4.200 and p = 0.029) are risk factors of LBW in Public Health Center Juwana and Margorejo. The cooperation among health workers is needed to improve knowledge of pregnant women regarding the importance of completed antenatal care. In addition, it is important to raise awareness for pregnant women about the problems during pregnancy so that the problems can be addressed immediately. INDONESIAKualitas pelayanan kesehatan dan faktor kehamilan berpengaruh terhadap pertumbuhan dan perkembangan janin. Tujuan penelitian ini adalah untuk menganalisis faktor kualitas pelayanan kesehatan dan faktor kehamilan terhadap kejadian Berat Bayi Lahir Rendah (BBLR) yang meliputi: kelengkapan pemeriksaan antenatal, frekuensi pemeriksaan antenatal, kenaikan berat badan ibu saat hamil, riwayat hiperemesis gravidarum, dan umur kehamilan pada saat bayi lahir. Penelitian ini menggunakan desain kasus kontrol dengan jumlah sampel masing-masing 32 responden. Uji statistik menggunakan chi square dan estimasi risiko menggunakan odd rasio. Hasil penelitian menunjukkan kelengkapan pemeriksaan antenatal (OR = 4,911 dan p = 0,009), umur kehamilan saat bayi dilahirkan (OR = 4,592 dan p = 0,010) dan hiperemesis gravidarum yang dialami ibu selama hamil (OR = 4,200 dan p = 0,029) menjadi faktor risiko kejadian BBLR di Puskesmas Juwana dan Puskesmas Margorejo. Perlu kerja sama semua tenaga kesehatan untuk meningkatkan informasi kepada ibu hamil tentang pentingnya pemeriksaan antenatal secara lengkap serta memotivasi ibu hamil dan keluarganya untuk meningkatkan kepekaan terhadap masalah yang dihadapi selama kehamilan sehingga jika ada masalah dapat segera diatasi.

Intra-uterine physical growth in schizophrenia: evidence confirming excess of premature birth

2000 ◽  
Vol 30 (3) ◽  
pp. 597-604 ◽  
Author(s):  
M. ICHIKI ◽  
H. KUNUGI ◽  
N. TAKEI ◽  
R. M. MURRAY ◽  
H. BABA ◽  
...  
Keyword(s):  
Gestational Age ◽  
Odds Ratio ◽  
Physical Growth ◽  
Maternal Weight ◽  
Contentious Issue ◽  
Significant Difference ◽  
Healthy Siblings ◽  
Gestational Age At Birth ◽  
And Child Health ◽  
Age At Birth

Background. Many studies have suggested a possible aetiological role for obstetric complications in the development of schizophrenia. We focused on prenatal physical growth in schizophrenia, a contentious issue in the literature.Methods. We compared gestational age at birth, birth weight (BW) and birth head circumference (BHC) between 312 schizophrenics and 517 controls, and between 187 schizophrenics and their matched healthy siblings. Information on obstetric histories was obtained from the Maternal and Child Health Handbooks (i.e. contemporaneous records).Results. Gestational age at birth was significantly earlier in the schizophrenics than in the controls (P = 0·017). Pre-term birth (gestational age of 36 weeks or less) was more common in schizophrenics than in controls (8·0% v. 3·4%, P = 0·005, odds ratio 2·5). Low BW (2500 g or less) was more frequent in schizophrenics than in controls (9·6% v. 4·6%, P = 0·005, odds ratio 2·2). The schizophrenics had significantly lighter BW (P = 0·0003) and tended to have smaller BHC (P = 0·081) compared with controls. However, multiple regression analysis showed that there was no significant difference in BW or BHC between the schizophrenics and controls when gestational age and maternal weight were controlled. There was no significant difference in BW or BHC between schizophrenics and their siblings, although the schizophrenics tended to be born at earlier gestational age than their siblings.Conclusions. Our results suggest that prematurity at birth is associated with a risk of developing schizophrenia in adulthood. When gestational age and maternal body weight were allowed for, there was no evidence that schizophrenics tend to have lower mean BW or smaller BHC.

scholarly journals Black American Maternal Prenatal Choline, Offspring Gestational Age at Birth, and Developmental Predisposition to Mental Illness

2020 ◽  
Author(s):  
Sharon K Hunter ◽  
M Camille Hoffman ◽  
Lizbeth McCarthy ◽  
Angelo D’Alessandro ◽  
Anna Wyrwa ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Gestational Age ◽  
Black Americans ◽  
Mental Illnesses ◽  
Black American ◽  
American Women ◽  
Black American Women ◽  
Increased Risk ◽  
Gestational Age At Birth ◽  
Age At Birth

Abstract Black Americans have increased risk for schizophrenia and other mental illnesses with prenatal origins. Prenatal choline promotes infant brain development and behavioral outcomes, but choline has not been specifically assessed in Black Americans. Pregnant women (N = 183, N = 25 Black Americans) enrolled in a study of prenatal stressors and interactions with prenatal choline. Black American women had lower 16-week gestation plasma choline than Whites. Lower choline was not related to obesity, income, or metabolic genotypes. Pregnant women in rural Uganda have higher choline levels than Black American women. Black Americans’ lower choline was associated with higher hair cortisol, indicative of higher stress. Lower maternal choline was associated with offsprings’ lower gestational age at birth and with decreased auditory P50 inhibition, a marker of inhibitory neuron development. Behavioral development was assessed on the Infant Behavior Questionnaire-R-SF (IBQ-R) at 3 months. Lower Black American maternal gestational choline was associated with lower infant IBQ-R Orienting/Regulation, indicating decreased attention and relation to caregivers. Additional evidence for developmental effects of choline in Black Americans comes from a randomized clinical trial of gestational phosphatidylcholine supplementation versus placebo that included 15 Black Americans. Phosphatidylcholine increased gestational age at birth and newborn P50 inhibition and decreased Social Withdrawn and Attention problems at 40 months of age in Black Americans’ offspring compared to placebo. Inhibitory and behavioral deficits associated with lower prenatal choline in offspring of Black American women indicate potential developmental predispositions to later mental illnesses that might be ameliorated by prenatal choline or phosphatidylcholine supplementation.

HUBUNGAN UMUR DAN PARITAS IBU DENGAN KEJADIAN HIPEREMESIS GRAVIDARUM DI RUMAH SAKIT UMUM PUSAT Dr. MOHAMMAD HOESIN PALEMBANG TAHUN 2011

2019 ◽  
Vol 2 (1) ◽  
Author(s):  
Wahyu Ida Muliana Wahyu Ida Muliana
Keyword(s):  
Pregnant Women ◽  
Medical Record ◽  
Random Sampling ◽  
Hyperemesis Gravidarum ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Systematic Random Sampling ◽  
Pregnancy And Childbirth ◽  
Chi Square Test

ABSTRACT Hyperemesis Gravidarum marked excessive nausea and vomiting in pregnant women at a young age. WHO estimates that 536,000 women died from direct complications of pregnancy and childbirth. One complication of pregnancy is Hyperemesis Gravidarum. Hyperemesis Gravidarum in the world has been estimated to occur in 1-2% of pregnant. According to data from the Medical Record of Dr. Mohammad Hoesin Palembang Hospital, the incidence of Hyperemesis Gravidarum in 2011 there were 72 people of 661 pregnant women. The purpose of this reseach was to determine the relationship between maternal age and parity with Hyperemesis Gravidarum in Dr. Mohammad Hoesin Palembang Hospital 2011. The Design of this reseach used Cross Sectional by analytic approach survey. The population of this reseach are all of mother who gestational ≤ 16 weeks (four months) in the Installation of Obstetrics and Gynecology, Dr. Mohammad Hoesin Palembang Hospital in January to December of 2011 with the sample of 661 people which taken by systematic random sampling and the reseach was conducted from 17 April to 24 April 2012.  Each variable that was observed in tests using Chi-Square test with a (0.05).  The results of this study showed that 5.9% of mothers with hyperemesis gravidarum, 21.8% of mothers with high risk age, and 30.0% primigravida. Chi-Square test showed no significant relationship between age (p value = 0.000) and parity (p value = 0.000) with the incidence of hyperemesis gravidarum. Expected to the Hospital to be implemented properly instructed how to provide counseling to pregnant women about pregnancy and childbirth, as well as provide confidence that the nausea and vomiting is a symptom of physiology in pregnancy.   ABSTRAK Hiperemesis Gravidarum ditandai mual dan muntah yang berlebihan terjadi pada ibu hamil di usia muda. WHO memperkirakan 536.000 perempuan meninggal dunia akibat langsung dari komplikasi kehamilan dan persalinan. Salah satu komplikasi kehamilan adalah Hiperemesis Gravidarum. Insiden Hiperemesis Gravidarum di dunia telah diperkirakan terjadi pada 1-2% wanita hamil. Menurut data dari Medical Record Rumah Sakit Umum Pusat Dr. Mohammad Hoesin Palembang, angka kejadian Hiperemesis Gravidarum pada tahun 2011 terdapat 72 orang dari 661 ibu hamil. Tujuan penelitian ini adalah untuk mengetahui hubungan antara umur dan paritas ibu dengan kejadian Hiperemesis Gravidarum pada ibu di Rumah Sakit Umum Pusat Dr. Mohammad Hoesin Palembang tahun 2011. Desain Penelitian ini menggunakan survei analitik dengan pendekatan Cross Sectional. Populasi penelitian ini adalah dengan umur kehamilan ≤ 16 minggu (4 bulan) yang pernah dirawat inap di Instalasi Kebidanan dan Penyakit Kandungan Rumah Sakit Umum Pusat Dr. Mohammad Hoesin Palembang pada bulan Januari-Desember tahun 2011 dengan jumlah sample 661 orang yang diambil secara systematic Random Sampling (secara acak sistematis) dan penelitian ini dilakukan dari tanggal 17 April sampai dengan 24 April 2012. Masing-masing variabel yang diteliti di uji dengan menggunakan uji Chi-Square dengan a (0,05). Hasil penelitian ini menunjukkan bahwa 5,9% ibu mengalami hiperemesis gravidarum, 21,8% ibu dengan umur resiko tinggi, dan 30,0% ibu primigravida. Uji Chi-Square menunjukkan ada hubungan yang bermakna antara umur (p value = 0,000) dan paritas (p value = 0,000) dengan kejadian hiperemesis gravidarum. Diharapkan dapat menjadi masukan bagi pihak Rumah Sakit agar dilaksanakan penyuluhan dengan cara memberikan konseling terhadap ibu hamil tentang kehamilan dan persalinan, serta memberikan keyakinan bahwa mual muntah merupakan gejala fisiologi pada kehamilan.

scholarly journals Prenatal household air pollutant exposure is associated with reduced size and gestational age at birth among a cohort of Ghanaian infants

2021 ◽  
Vol 155 ◽  
pp. 106659
Author(s):  
Ashlinn K. Quinn ◽  
Irene Apewe Adjei ◽  
Kenneth Ayuurebobi Ae-Ngibise ◽  
Oscar Agyei ◽  
Ellen Abrafi Boamah-Kaali ◽  
...  
Keyword(s):  
Gestational Age ◽  
Air Pollutant ◽  
Gestational Age At Birth ◽  
Age At Birth

Coeliac disease presenting atypically: A much wider spectrum

2021 ◽  
pp. 004947552199134
Author(s):  
Avinash Lomash ◽  
Abhinaya Venkatakrishnan ◽  
Meenakshi Bothra ◽  
Bhavna Dhingra ◽  
Praveen Kumar ◽  
...  
Keyword(s):  
Coeliac Disease ◽  
Gestational Age ◽  
Dermatitis Herpetiformis ◽  
Mode Of Delivery ◽  
Gastrointestinal Symptoms ◽  
Stunted Growth ◽  
Significant Difference ◽  
High Index Of Suspicion ◽  
Gestational Age At Birth ◽  
Age At Birth

Atypical coeliac disease in young children is frequently missed when it presents atypically as non-gastrointestinal presentations to different specialties. There was a greater delay (54 months) in establishing the diagnosis in those with atypical coeliac disease (p < 0.001). No difference was observed in the mode of delivery or duration of breast feeding, but significant difference was observed between gestational age at birth (p < 0.001). Most cases showed stunted growth and underweight. Irritability, anaemia, rickets, dermatitis herpetiformis, alopecia and intussusception were other common predictors of atypical coeliac disease. Because of a myriad spectrum of non-gastrointestinal symptoms, at any age with diverse presentation, a high index of suspicion is therefore required.

scholarly journals Maternal biological age assessed in early pregnancy is associated with gestational age at birth

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Eva E. Lancaster ◽  
Dana M. Lapato ◽  
Colleen Jackson-Cook ◽  
Jerome F. Strauss ◽  
Roxann Roberson-Nay ◽  
...  
Keyword(s):  
Risk Factors ◽  
Preterm Birth ◽  
Early Pregnancy ◽  
Gestational Age ◽  
Cellular Aging ◽  
Biological Age ◽  
Potential Candidate ◽  
A Genome ◽  
Gestational Age At Birth ◽  
Age At Birth

AbstractMaternal age is an established predictor of preterm birth independent of other recognized risk factors. The use of chronological age makes the assumption that individuals age at a similar rate. Therefore, it does not capture interindividual differences that may exist due to genetic background and environmental exposures. As a result, there is a need to identify biomarkers that more closely index the rate of cellular aging. One potential candidate is biological age (BA) estimated by the DNA methylome. This study investigated whether maternal BA, estimated in either early and/or late pregnancy, predicts gestational age at birth. BA was estimated from a genome-wide DNA methylation platform using the Horvath algorithm. Linear regression methods assessed the relationship between BA and pregnancy outcomes, including gestational age at birth and prenatal perceived stress, in a primary and replication cohort. Prenatal BA estimates from early pregnancy explained variance in gestational age at birth above and beyond the influence of other recognized preterm birth risk factors. Sensitivity analyses indicated that this signal was driven primarily by self-identified African American participants. This predictive relationship was sensitive to small variations in the BA estimation algorithm. Benefits and limitations of using BA in translational research and clinical applications for preterm birth are considered.

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