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

2013 ◽  
Vol 1 (1) ◽  
Author(s):  
Janson Simanjuntak ◽  
Joice M. M. Sondakh ◽  
Freddy Wagey

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

Author(s):  
Priyanka D. Jogia ◽  
Kaushik K. Lodhiya

Background: Low birth weight is a major public health problem in India. Amongst several factors affecting birth weight, the two crucial factors are demographic characteristics of mothers and utilisation of antenatal care services. Identification of these bottlenecks will help in forming suitable strategies to mitigate the problem of low birth weight in developing countries.Methods: This was a cross-sectional study conducted in a medical college hospital of Gujarat. All the mothers admitted in maternity ward for delivery during July 2017 and had given informed consent, were involved in the study. Interview consisted of demographic characteristic of mothers, utilisation of antenatal services and records of pregnancy outcome. Data were entered in excel 2010 and analysed using Epi info 7.2. Strength of association between LBW and risk factors was obtained using odds ratio test.Results: Majority of the mothers had registered for antenatal care within the first trimester (78%) and had taken minimum of four ANC visits (93%). One fifth (18%) of the mothers had babies weighing less than 2.5 kgs. Lower education status of mothers, multigravida, and mothers with less than four ANC visits, preterm births and female foetus were significantly at higher risk of low birth weight as compared to their counterparts.Conclusions: The factors determining LBW were lower education status of mothers, multigravidity, inadequate ANC visits, preterm births and female sex of foetus. We recommend that increasing the education status of masses, particularly of females and ensuring adequate ANC utilisation will reduce the problem of LBW. 


Jurnal Biota ◽  
2019 ◽  
Vol 5 (1) ◽  
pp. 24-29
Author(s):  
Ristya Sylva Imannia ◽  
Budiono Budiono ◽  
Baksono Winardi

Low Birth Weight (LBW) contributes to 60% to 80% of all neonatal and infant deaths in Indonesia whilst globally, prevalence of LBW is 15.5%, amounting to approximately 20 million LBW infants born each year. According to several previous studies, factors closely related with the incidence of LBW are high birth rates, shorter birth intervals, and low frequency of Antenatal Care (ANC) examinations. The objective of this study was to determine the correlation between parity, birth interval, and the frequency of ANC towards the incidence of LBW babies. This retrospective cross-sectional study using simple random sampling involved 95 mothers in RSUD Dr. Mohammad Soewandhie Surabaya between January and July 2016. Data was collected using medical records and analyzed using logistic regression test with p < 0.05. The result of this research showed there was no correlations between parity and incidence of LBW babies (p=0.162) nor between birth interval and incidence of LBW babies (p=0.574). There was a correlation between frequency of ANC and incidence of LBW babies (p=0.006). The physician should further improve early detection for LBW babies by monitoring high-risk pregnancy mothers routinely.


F1000Research ◽  
2021 ◽  
Vol 10 ◽  
pp. 402
Author(s):  
Emmanuel Biracyaza ◽  
Samuel Habimana ◽  
Donat Rusengamihigo ◽  
Heather Evans

Background: Low birth weight (LBW) remains the global unfinished agenda in most countries of the world especially in low- and middle-income countries. LBW subsequently has harmful effects on the lifestyle, psychosocial and physiological development of the child. Although it is known that antenatal care (ANC) visits are important interventions contributing to prediction of newborn birth weight, little has been conducted on effect of ANC visits on birth weight in Rwanda. This study aimed at determining the association between regular ANC visits and risk of LBW among newborns in Rwanda. Methods: A cross-sectional study design was conducted to analyse the effects of ANC on LBW using the 2014/2015 Rwanda Demographic Health Survey. Associations of socio-demographic, socio-economic, and individual factors of the mother with LBW newborns were performed using bivariate and multiple logistic regression analyses. Results: Prevalences of LBW and macrosomia were 5.8% and 17.6%, respectively. Newborns delivered from mothers attending fewer than four ANC visits were at almost three-times greater risk of having LBW [aOR=2.8; 95%CI (1.5–5.4), p=0.002] compared to those whose mothers attending four or more ANC visits. Residing in a rural area for pregnant women was significantly associated with LBW [aOR=1.1; 95%CI (0.7–1.6), p=0.008]. Maternal characteristics, such as anemia, predicted an increase in LBW [aOR=3.5; 95%CI (1.5–5.4), p<0.001]. Those who received no nutritional counseling [aOR=2.5; 95%CI (2–8.5), p<0.001] and who were not told about maternal complications [aOR=3.3; 95%CI (1.5–6.6), p=0.003] were more prone to deliver newborns with LBW than those who received them. Pregnant women who received iron and folic acid were less likely to have LBW newborns [aOR=0.5; 95%CI (0.3–0.9), p=0.015]. Conclusion: ANC visits significantly contributed to reducing the incidence of LBW. This study underscores the need for early, comprehensive, and high-quality ANC services to prevent LBW in Rwanda.


2020 ◽  
Vol 6 (3) ◽  
pp. 277-281
Author(s):  
Sitti Fatimah ◽  
Ulfa Fatmasaanti

Background Maternal and child health efforts are efforts in the health sector related to the service and maintenance of pregnant women, childbirth, breastfeeding, infants, and toddlers and preschoolers. The mode of delivery is a number of methods chosen by the mother who delivered and by the health worker who handled it. Mochtar divides the type of labor according to the way labor is divided into two categories, normal (spontaneous) labor, which is the birth of the baby behind the head with the mother's own power and abnormal delivery, namely labor with the help of a tool or through the abdominal wall by caesarean surgery. Purpose to find out the factors of labor in pregnant women. Methods This type of research is analytic observational cross-sectional study of women giving birth at the Sibulue puskesmas in the period from December 2019 to February 2020 with a large sample of 67 women giving birth. Data obtained from medical records The results of this study indicate abnormal labor with actions related to the incidence of severe asphyxia (p = 0,000; CI: 1.19-2.06) and Low Birth Weight (p = 0,000; CI: 1.28-2.05). Number of Antenatal Care Examination <4 times associated with the abnormal labor process Action (p = 0.046; CI: 1.04-1.46) Conclusion in this study is the relationship between the delivery process with Antenatal Care examination on the outcome of labor with the incidence of severe asphyxia and Low Birth Weight. Abnormal deliveries with complications occur in women with Antenatal examination <4 times. Suggestions for health care workers to further increase the early detection of risk factors in pregnant women by actively monitoring women during pregnancy.  Keywords: antenatal examination, type of labor, maternal mother  ABSTRAK  Latar Belakang Upaya kesehatan ibu dan anak adalah upaya bidang kesehatan terkait pelayanan dan pemeliharaan ibu hamil, bersalin, menyusui, bayi, dan anak balita serta anak prasekolah. Cara persalinan adalah beberapa metode yang dipilih oleh ibu yang melakukan persalinan maupun oleh tenaga kesehatan yang menanganinya. Mochtar membagi jenis persalinan menurut cara persalinan berdasarkan dua kategori, persalinan normal (spontan) yaitu proses lahirnya bayi letak belakang kepala dengan tenaga ibu sendiri dan persalinan abnormal, yaitu persalinan dengan bantuan alat atau melalui dinding perut dengan cara operasi caesarea.  Penelitian ini bertujuan untuk mengetahu factor proses persalinan pada Ibu hamil.  Metode Jenis penelitian ini analitik observatif cross-sectional terhadap wanita yang melahirkan di puskesmas Sibulue pada periode bulan desember 2019 hingga Februari 2020 dengan besar sampel 67 wanita yang melahirkan. Data diperoleh dari catatan medis.  Hasil penelitian ini menunjukan persalinan abnormal dengan tindakan berhubungan dengan kejadian Asfiksia Berat (p=0,000; CI: 1.19-2.06) dan Berat  badan Lahir Rendah (p=0,000; CI: 1.28-2.05). Jumlah Pemeriksaan Antenatal care <4 Kali berhubungan dengan proses persalinan abnormal Tindakan (p=0,046; CI: 1.04-1.46).  Kesimpulan pada penelitian ini adanya hubungaan proses persalinan dengan pemeriksaan Antenatal Care pada hasil persalinan dengan kejadian asfiksia berat dan Berat Badan Lahir Rendah . Persalinan abnormal dengan komplikasi terjadi pada ibu dengan pemeriksaan Antenatal <4 kali. Saran bagi petugas pelayanan kesehatan agar lebih meningkatkan deteksi dini faktor risiko pada ibu hamil dengan pemantauan secara aktif pada ibu semasa hamil.  Kata Kunci : Pemeriksaan antenatal, jenis persalinan, ibu hamil


2021 ◽  
Vol 8 ◽  
pp. 2333794X2110196
Author(s):  
Sitotaw Molla Mekonnen ◽  
Daniel Mengistu Bekele ◽  
Fikrtemariam Abebe Fenta ◽  
Addisu Dabi Wake

Necrotizing enterocolitis (NEC) remains to be the most critical and frequent gastrointestinal disorder understood in neonatal intensive care units (NICU). The presented study was intended to assess the prevalence of NEC and associated factors among enteral Fed preterm and low birth weight neonates. Institution based retrospective cross-sectional study was conducted on 350 enteral Fed preterm and low birth weight neonates who were admitted at selected public hospitals of Addis Ababa from March 25/2020 to May 10/2020. The data were collected through neonates’ medical record chart review. A total of 350 participants were enrolled in to the study with the response rate of 99.43%. One hundred eighty-four (52.6%) of them were male. The majority 123 (35.1%) of them were (32 + 1 to 34) weeks gestational age. The prevalence of NEC was (25.4%) (n = 89, [95% CI; 21.1, 30.0]). Being ≤28 weeks gestational age (AOR = 3.94, 95% CI [2.67, 9.97]), being (28 + 1 to 32 weeks) gestational age (AOR = 3.65, 95% CI [2.21, 8.31]), birth weight of 1000 to 1499 g (AOR = 2.29, 95% CI [1.22, 4.33]), APGAR score ≤3 (AOR = 2.34, 95% CI [1.32, 4.16]), prolonged labor (AOR = 2.21, 95% CI [1.35, 6.38]), maternal chronic disease particularly hypertension (AOR = 3.2, 95% CI [1.70, 5.90]), chorioamnionitis (AOR = 4.8, 95% CI [3.9, 13]), failure to breath/resuscitated (AOR = 2.1, 95% CI [1.7, 4.4]), CPAP ventilation (AOR = 3.7, 95% CI [1.50, 12.70]), mixed milk (AOR = 3.58, 95% CI [2.16, 9.32]) were factors significantly associated with NEC. Finally, the prevalence of NEC in the study area was high. So that, initiating the programs that could minimize this problem is required to avoid the substantial morbidity and mortality associated with NEC.


BMJ Open ◽  
2012 ◽  
Vol 2 (1) ◽  
pp. e000327 ◽  
Author(s):  
Ryosuke Sato ◽  
Hiroshi Watanabe ◽  
Kenji Shirai ◽  
Shigeru Ohki ◽  
Rieko Genma ◽  
...  

2017 ◽  
Vol 15 (2) ◽  
pp. 169-173 ◽  
Author(s):  
Kamal Prasad Kandel ◽  
Sindhu Kafle

Background: Babies with a birth weight of less than 2500 grams, irrespective of the period of their gestation are termed as Low Birth Weight (LBW) babies. Despite consistent efforts to improve the quality of maternal and child health, more than twenty million low birth-weight (LBW) babies are born every year throughout the world. Though, the health situation of Nepal has improved substantially over the years, the low birth-weight (LBW) rate is still high. The objective of this study was to assess the proportion of low birth weight and identify the associated factors for low birth weight in a live born infant among the institutionally delivered newborns. Methods: A hospital based cross sectional study was conducted in Obstetrics and Gynaecology ward of Bharatpur hospital, Bharatpur, from 17th September to 4th October , 2012. Altogether 480 respondents were taken and respondents were mothers who had delivered newborns in Bharatpur hospital.Results: A total of 480 births occurred during the study period, of which 480 met the study criteria. Among which 9.4% were low birth weight and 90.6% were normal birth weight .Overall mean birth weight was found to be 2.96 kg. Out of total 9.4% newborns were weighing less than 2.50 kg and mean birth weight 2.96kg. Conclusions: This study suggests that there were several factors interplaying which lead to LBW babies; which are age of mother at delivery,weight gain by mother during pregnancy, short, low body mass index and hyperemesis gravidarum was the strongest predictor in this study.


2018 ◽  
Vol 6 (2) ◽  
pp. 58-65
Author(s):  
Junu Shrestha ◽  
Rami Shrestha ◽  
Sonam Gurung

Background: Stillbirth contributes significantly to perinatal mortality. This study was conducted with aim to determine various factors associated with it and to define the causes of stillbirth according to relevant condition at birth.Materials and Methods :This is prospective cross-sectional study conducted in the Department of Obstetrics and Gynaecology of Manipal Teaching Hospital from July 2015 to June 2017. All cases of stillbirth occurring during antenatal or intrapartum period after 28 weeks of gestation or fetus weighing 1000 grams or more were included. Detailed demographic parameters were noted. After delivery, fetus, placenta, umbilical cord and amniotic fluid were noted in detail. Data was entered in SPSS version 16 and analysis done.Results: The stillbirth rate was 22 per 1000 births. Low educational level of women, lack of antenatal care, multiparous status, gestational age less than 34 weeks, low birth weight and male gender of fetus were found to be significantly associated with stillbirths. The cause of fetal death could be identified according to relevant condition at death in 84% of cases. Only in 16%, the cause of stillbirth was not identified. Intrauterine growth restriction was the commonest cause of stillbirth (22%), followed by congenital anomalies (15%) and hypertensive disorders of pregnancy (14%). Other causes were abruptio (7%), intrapartum asphyxia (7%) and rupture uterus (5%). Other minor causes were anemia, diabetes, cord prolapse and amniotic fluid abnormalities.Conclusion :Low level of education, lack of quality antenatal care, multiparity, low gestational age and birth weight and male sex of fetus were factors associated with stillbirth. The cause of stillbirth was identified in most of the cases and largely was due to intrauterine growth restriction.Journal of Nobel Medical CollegeVolume 6, Number 2, Issue 11, July-December 2017, 58-65


2020 ◽  
Vol 11 (2) ◽  
pp. 37-42
Author(s):  
Firdausi Ramadhani ◽  
Yanti Hz. Hano

Penelitian ini bertujuan untuk mengetahui beberapa faktor yang berhubungan dengan kejadian bayi Bayi Berat Badan Lahir Rendah (BBLR) di Wilayah Kerja Puskesmas Limboto Kabupaten Gorontalo. Metode yang digunakan adalah  Observasional Analitik dengan pendekatan cross sectional study. Populasi adalah seluruh ibu yang melahirkan berjumlah 853 responden, dengan Sampel yaitu sebanyak 202 responden. Teknik pengambilan sampel menggunakan tekhnik Purposive Sampling. Analisis data menggunakan uji Chi Square. Hasil penelitian menunjukkan proporsi bayi Berat Badan Lahir Rendah (BBLR) 34 responden (16,8%) dan bayi Berat Badan Lahir Normal (BBLN) 168 responden (83,2%). Hasil bivariat didapatkan bahwa ada hubungan pengetahuan (p-value 0,044), pendapatan keluarga (p-value 0,029) dengan kejadian bayi Berat Badan Lahir Rendah (BBLR). Sedangkan, jumlah paritas (p value 0,523),  jarak kehamilan (p-value 0,659), dan Kekurangan Energi Kronik (KEK) (p-value 0,637) tidak memiliki hubungan yang bermakna secara statisti dengan kejadian bayi Berat Badan Lahir Rendah (BBLR).    This study aims to determine several factors associated with the incidence of low birth weight babies (LBW) in the Limboto Health Center, Gorontalo District. The method used is analytic observational with a cross sectional study approach. The population was all mothers who gave birth totaling 853 respondents, with a sample of 202 respondents. The sampling technique used purposive sampling technique. The results showed that the proportion of Low Birth Weight (LBW) babies was 34 respondents (16.8%) and Normal Birth Weight (BBLN) babies were 168 respondents (83.2%). The bivariate results showed that there was a relationship between knowledge (p value 0.044), family income (p value 0.029) with the incidence of low birth weight babies (LBW). Meanwhile, the parity (p value 0.523), pregnancy distance (p-value 0.659), and Chronic Energy Deficiency (P-value 0.637) did not have a statistically significant relationship with the incidence of Low Birth Weight (LBW).


2017 ◽  
Vol 24 (08) ◽  
pp. 1176-1180
Author(s):  
Brig® Khalid Mehmood ◽  
Ijaz Ali ◽  
Syed Hyder Raza

Objectives: To determine the proportion of LBW Babies among those deliveredat DHQ Hospital Mirpur. Study design: Descriptive cross sectional study. Setting: DHQ hospitalMirpur AJK. Duration of study: January 2013-May 2013. Sample size: 459 deliveries. Studypopulation: women reporting in Peads OPD of DHQ hospital Mirpur AJ&K with their babiesduring study period. Sampling technique: Convenience method. Data collection tool: Datacollection Performa. Data analysis: SPSS version 14.0.Results: Out of 459 deliveriesconducted at Divisional Head Quarter hospital Mirpur, 149 cases of low birth weight babies(<2500gms) whereas the rest 310 had normal birth weight. Frequency of Low Birth Weight inmale new born babies was high, i.e ratio of male babies were 55% (82) out of 149 individualswhile females were 45% (67). Less than 37 weeks of gestational age, 37% (55) were pretermbabies and 37 – 42 weeks of gestational age, 63% (94) were full term babies.


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