Factors affecting neonatal birth weight in Sidotopo Wetan Health Centre: A cross-sectional study

Birth weight serves as an indicator of a newborn’s health status. It is associated with mortality rate in the first year, developmental problems in childhood and risk of various diseases in adulthood. Even in modern era, it continues to be a health concern globally, especially in developing countries. In Indonesia, the prevalence of low birth weight has increased from 2013 to 2018, swaying further from the national target. Low birth weight is often caused by insufficient nutrients supplied by the mother to the fetus. In Indonesia, chronic energy deficiency status is diagnosed in the first antenatal care visit by measuring maternal middle-upper arm circumference with a cut-off point of 23.5cm. Meanwhile, iron level is measured via assessing hemoglobin level will be measured in the first antenatal care visit and in trimester III. This study aims to describe the factors that may influence neonatal birth weight. It is a quantitative study with a cross sectional approach conducted at Sidotopo Wetan Public Health Centre. 97 samples are collected from medical records and analysed using bivariate correlative test. Result shows that maternal age (0.20), chronic energy deficiency status (0.026) and antenatal care visit minimal of 4 times (0.49) increase the risk of low-birth-weight incidence. On the other hand, educational level, maternal parity and anemia status does not acts as risks. In conclusion, maternal age, energy status and visits to antenatal care acts as risk factors in causing low birth weight.

Pemberian Makanan Tambahan pada Ibu Hamil KEK di Puskesmas Karya Wanita Pekanbaru

Chronic Energy Deficiency in pregnant women is a condition of pregnant women due to an imbalance in the intake of energy and protein nutrients, so that the substances the body needs are not fulfilled. Incident chronic energy deficiency in pregnant women have a risk of abortion, bleeding, prolonged labor, infection, low birth weight baby, birth defects, and causes of death indirectly. An attemt to resolve the incidence of malnutrition in pregnant women in chronic energy deficiency with supplementary food. Type of qualitative research. Research informants were pregnant women chronic energy deficiency, nutrition staff, midwives, health promotion officers, and cadres. Research results are the knowledge of pregnant women in chronic energy deficiency about supplementary feeding is stil lacking, the attitudes of pregnant women in chronic energy deficiency and their husband’s support about supplementary feeding are already good, compliance of pregnant women in chronic energy deficiency is still lacking, acceptance of pregnant women in chronic energy deficiency about supplementary feeding is stil lacking, delivery of information when counseling needs to be improved by using the contemporary method, distribution of supplementary feeding for Puskesmas officers in collaboration with cadres. Advice doing technical guidance to health workers about supplementary feeding, health workers increase again in providing information related to supplementary feeding, provide information using digital media such as video, made a special trick of setting an alarm as a reminder to consume supplementary feeding, make derivate technical guidelines from the ministry of helath according to conditions in the field.

Factors Related to Chronic Energy Deficiency among Pregnant Women

Background: Chronic energy deficiency (CED) is a condition where the mother suffers from a chronic (chronic) calorie and protein deficiency (malnutrition) which results in health problems in women of reproductive age and in pregnant women (pregnant women). Objective: This study aims to determine the factors associated with chronic energy deficiency (CED) in pregnant women at the Gunung Kaler Public Health Center, Tangerang Regency in 2019. Methodology: This study used a cross-sectional design. The sampling technique used cluster sampling. The population was 286 people and the sample in this study was 167 people. The research instrument consisted of a questionnaire about knowledge of CED in pregnant women. Results: The results of this study indicate that there was a significant relationship between knowledge with p value = (0.06), history of disease with p value = (0.001), and parity with p value = (0.009) against Chronic Energy Deficiency (CED) in pregnant women, and there is no significant relationship between family income with a value of p = (0.482) and education with a value of p = (0.745) on Chronic Energy Deficiency (CED) in pregnant women. Conclusions and Suggestions: It is hoped that the Gunung Kaler Health Center will provide counseling related to CED with a variety of interesting methods. CED, Knowledge, Medical History, Parity, Education, Family Income

Karakteristik Ibu Hamil Dengan KEK Di PUSKESMAS Sumberberas Banyuwangi 2021

One of the causes of maternal death is Chronic Energy Deficiency. Pregnant women who are at risk for chronic energy deficiency can be seen from the measurement of the upper arm circumference which is less than 23.5 cm. Based on data from the World Health Organization (WHO) in 2016, pregnant women who suffered from CED were 629 mothers (73.2 percent) of all maternal deaths and had a risk of death 20 times greater than mothers with normal. sez in pregnant women can be caused by the characteristics of pregnant women consisting of age, education and parity. This research method is descriptive, this research was conducted to determine the characteristics of age, education and parity of pregnant women with Chronic Energy Deficiency in PUSKESMAS Sumberberas Muncar Village Banyuwangi. This study uses a total sampling technique where all the data of population members are used as a sample of 30 people. The data collection technique in this study was by using secondary data through a study of documentation of medical records or registers of pregnant women who experienced (Chronic Energy Deficiency) for the period January-August 2021 at PKM Sumberberas. The results of this study are the characteristics of pregnant women with the most in PUSKESMAS Sumberberas at the age of 20-35 years as many as 23 people (76.6%), the most parity characteristics are multiparas as many as 19 people (63.3%), the most educational characteristics in junior high school / equivalent high school as many as 27 (90%) where age, parity and education are one of the factors that affect the incidence of CED in pregnant women. Efforts to deal with pregnant women with sez are by providing additional food to pregnant women, providing adequate food in the household, counseling about the importance of meeting the nutritional needs of pregnancy and changing eating habits or patterns to suit the needs of the pregnant woman's body. Keywords: characteristics, Chronic Energy Deficiency, pregnant mother Abstrak Salah satu penyebab kematian Ibu yaitu Kekurangan Energi Kronik (KEK). Ibu hamil yang berisiko mengalami kekurangan energi kronis dapat dilihat dari pengukuran lingkar lengan atas (LILA) yang kurang dari 23,5 cm. Berdasarkan data dari World Health Organization (WHO) pada tahun 2016, ibu hamil yang menderita KEK yaitu sebanyak 629 ibu (73,2 persen) hingga dari seluruh kematian ibu dan memiliki risiko kematian 20 kali lebih besar dari ibu dengan LILA normal. KEK pada ibu hamil bisa disebabkan karena faktor karakteristik ibu hamil yang terdiri dari usia, pendidikan dan paritasnya. Metode penelitian ini adalah deskriptif, penelitian ini dilakukan untuk mengetahui karakteristik umur, pendidikan dan paritas ibu hamil dengan Kekurangan Energi Kronik (KEK) di PUSKESMAS Desa Sumberberas Muncar Banyuwangi. penelitian ini menggunakan teknik total sampling dimana seluruh data anggota populasi dijadikan sebagai sampel yang berjumlah 30 orang. Tehnik pengumpulan data pada penelitian ini adalah dengan cara menggunakan data sekunder melalui studi dokumentasi catatan rekam medik atau register ibu hamil yang mengalami KEK (Kekurangan Energi Kronis) periode bulan januari-agustus 2021 di PKM sumberberas. Hasil penelitian ini yaitu karakteristik ibu hamil dengan KEK terbanyak di PUSKESMAS sumberberas pada umur 20-35 tahun sebanyak 23 orang (76,6%), karakteristik paritas terbanyak adalah pada multipara sebanyak 19 orang (63,3%), karakteristik pendidikan terbanyak pada SMP/SMA sederajat sebanyak 27 (90%) dimana umur, paritas dan pendidikan merupakan salah satu faktor yang mempengaruhi kejadian KEK pada ibu hamil. Upaya penanganan untuk ibu hamil dengan KEK yaitu dengan pemberian makanan tambahan (PMT) pada ibu hamil, ketersediaan pangan yang memadai di rumah tangga, penyuluhan mengenai pentingnya memenuhi kebutuhan nutrisi kehamilan dan perubahan kebiasaan atau pola makan agar sesuai dengan kebutuhan tubuh ibu hamil. Kata kunci: ibu hamil, karakteristik, kurang energi kronis

GAMBARAN LUARAN BAYI PADA IBU DENGAN RIWAYAT KEKURANGAN ENERGI KRONIS (KEK) DI WILAYAH KERJA PUSKESMAS SADANANYA TAHUN 2020

Masalah gizi di Indonesia masih merupakan masalah kesehatan masyarakat yang utama Salah satu masalah kekurangan gizi di Indonesia yaitu Kekurangan Energi Kronis (KEK). KEK adalah keadaan seseorang yang menderita kekurangan makanan yang berlangsung menahun (kronis) yang ditandai dengan lingkar lengan atas (LILA) < 23,5 cm sehingga mengakibatkan timbulnya gangguan kesehatan. KEK selama hamil akan menimbulkan masalah, salah satunya dapat mempengaruhi proses pertumbuhan janin yang dapat menimbulkan abortus, bayi lahir mati, kematian neonatal, cacat bawaan, anemia pada bayi, asfiksia intra partum, lahir dengan bayi berat lahir rendah (BBLR). Penelitian ini adalah untuk mengetahui Gambaran Luaran Bayi Pada Ibu Dengan Riwayat Kekurangan Energi Kronis (KEK) Di Wilayah Kerja Puskesmas Sadananya, Tahun 2020. Menggunakan penelitian deskriptif dengan uji SPSS. Ibu hamil yang mengalami KEK di dapatkan yang mengalami abortus, sebanyak 5 orang (33,3 %), ibu hamil yang mengalami KEK di dapatkan yang mengalami bayi lahir mati tidak ada, ibu hamil yang mengalami KEK di dapatkan bayi yang mengalami kematian neonatal tidak ada, ibu hamil yang mengalami KEK di dapatkan bayi yang mengalami asfiksia, sebanyak 1 orang (6,7 %), ibu hamil yang mengalami KEK di dapatkan bayi yang mengalami BBLR, sebanyak 9 orang (60,0 %), ibu hamil yang mengalami KEK di dapatkan bayi yang mengalami kelainan kongenital, sebanyak 1 orang (6,7 %) Berdasarkan hasil penelitian dapat disimpulkan bahwa luaran bayi pada ibu hamil yang mengalami KEK sebagian besar tidak beresiko hanya beberapa kejadian saja yang memang terdapat resiko yaitu abortus dan BBLR.Dengan adanya penelitian ini diharapkan kejadian KEK terhadap ibu hamil bisa teratasi dengan baik dan tidak lagi menimbulkan berbagai macam masalah bagi bayi.Nutrition problems in Indonesia are still a major public health problem. One of the problems of malnutrition in Indonesia is Chronic Energy Deficiency (CED). CED is a condition of a person who suffers from a chronic (chronic) shortage of food characterized by a circumference of the upper arm (CUA) <23.5 cm, resulting in health problems. CED during pregnancy will cause problems, one of which can affect the process of fetal growth which can cause abortion, stillbirth, neonatal death, congenital defects, anemia in infants, intra-partum asphyxia, birth with low birth weight babie (LBW). This study was to find out the description of infant outcome in mothers with a history of chronic energy deficiency (CED) in Sadananya Community Health Center working area, 2020. Using descriptive research with SPSS test It is found that there are 5 Pregnant women (33.3%) having CED had abortion. 70 (100%) babies were born alive to mothers who have CED. There are 70 (100%) babies were born alive from mothers who have CED. There is one mother with CED gets baby with asphyxia (6.7%). There are 9 pregnant women (60.0%) pregnant women with CED gets babies with LBW. There is one pregnant woman with CED (6.7%) had baby with congenital defect. Based on the results of the study, it can be concluded that the infant output in pregnant women who have CED is mostly not at risk. Only a few cases do have a risk, namely abortion and LBW. This research is expected to resolve the case of CED in pregnant women properly and there will be no longer various kinds of problems for babies.

RELATIONSHIP BETWEEN DIET CHRONIC ENERGY LACK IN PREGNANT WOMEN IN TRIMESTER

Chronic lack of energy can occur in pregnant women in the first trimester. Because in the first trimester, the mother's appetite generally decreases, due to frequent nausea and vomiting (morning sickness). Nutrition of pregnant women is influenced by several factors, one of which is diet. This study aims to determine the relationship between diet and Chronic Energy Deficiency in first trimester pregnant women at Pagurawan Health Center, Batu Bara Regency in 2020. This type of research is a quantitative research with a descriptive correlation design with a cross sectional approach. The type of data used is primary data and secondary data collected using a questionnaire sheet and then processed and analyzed using the chi-square test.The results showed that through statistical tests using the chi-square test, the p-value was 0.018 <0.05. It is also known that the OR value = 0.090, meaning that Pregnant who have a poor diet are 0.09 times more at risk of suffering from CED compared to Pregnant who have a good diet. The conclusion is that there is a relationship between diet and Chronic Energy Deficiency in first trimester pregnant women at the Pagurawan Health Center, Batu Bara Regency in 2020. So it is hoped that pregnant women will maintain a healthy diet and eat nutritious food so that nutrition during pregnancy is fulfilled.

EDUKASI PENCEGAHAN STUNTING BAGI KELUARGA PENERIMA MANFAAT BANTUAN SOSIAL KAMPUNG POLAY KECAMATAN GAPURA

The success of the program to combat and reduce the number of stunting sufferers cannot be separated from the cooperation of all parties, as well as the support of all levels of society to promote stunting prevention. This reduction in the stunting rate also involves a conditional cash transfer program that provides a positive side in providing assistance and health services to Pregnant Women with Chronic Energy Deficiency (KEK), children under two years old and Toddlers. One of the government programs that is carried out continuously in reducing stunting rates in Indonesia is the conditional cash transfer program where the conditional cash transfer program is a social protection program that provides conditional cash assistance to beneficiary families who are required to carry out the terms and conditions that have been set. These requirements and conditions are contained in the Regulation of the Minister of Social Affairs which discusses the rights and obligations that must be carried out by the beneficiary. Health and nutrition campaigns and education for the community also need to be done, one of the things that can be done is to improve prevention and care services for children who have nutritional problems, special and sustainable handling needs to be done.

PENGEMBANGAN BROWNIES KUKUS TEPUNG TALAS-KECAMBAH KACANG HIJAU DAN UBI UNGU KUKUS (TALAHIBU) UNTUK IBU HAMIL KURANG ENERGI KRONIK (KEK)

Background: The prevalence of pregnant women with a risk of Chronic Energy Deficiency (CED) is quite high (24.2%). CED in pregnant women requires additional feeding interventions (PMT). Brownies enriched with taro flour–mung bean sprouts and purple sweet potato (TALAHIBU) were chosen as it is an energy-dense product and expected to have preferred organoleptic value and energy as PMT. Objectives: To determine the phenolic antioxidant content of the best TALAHIBU formula and to determine the serving size of TALAHIBU. Methodology: This factorial experimental study used a randomized block design (RBD) with 2 factors, consisting of taro flour-mung bean sprout proportion and the percentage of added fine steamed sweet potato. Organoleptic variable analysis used Friedman test continued with 5% Multiple Appeal Test. The best treatment combination was chosen, continued with Proximate and phenolic test then energy calculations. Results: The best treatment was TALAHIBU G2J2 with water content of 23.94% BW; ash content 3.16% bb; fat 25.7% BW; carbohydrates 45.57% bb; protein 1.63% bb; energy 419.83kcal; and phenolic antioxidant 19,1 mg/g. Conclusion: The best product TALAHIBU is suitable PMT for pregnant women with CED by serving 5 slice brownies per day.

Status Gizi pada Ibu Hamil Anemia terhadap Lingkar Perut Janin

The maternal mortality rate (MMR) in Indonesia is 359 per 100,000 live births. MMR in the study area reached 100 per 100,000 live births. Causes of maternal death include bleeding, anemia, and chronic energy deficiency (KEK). In pregnant women, the main cause of death is bleeding. This study aims to determine the relationship between the nutritional status of anemic pregnant women and the growth of fetal abdominal circumference. The research design was analytic observational using cross-sectional with a sample size of 30 people. Sampling technique with purposive sampling. The duration of the study was three months starting from February to May. Data analysis using chisquare test. The results showed that the highest level of nutritional status of respondents was 18 people (60.0 %). Most of the growth in fetal abdominal circumference did not match each examination using ultrasound (USG), namely 17 (56.7%), 23 (76.7%), 27 (90.0%). The results of statistical tests of nutritional status in anemic pregnant women on the growth of fetal abdominal circumference showed a value of p = 0.048 on ultrasound I, p = 0.031 on ultrasound II, and p = 0.010 on ultrasound III (p < = 0.05). This shows that there is a relationship between the nutritional status of anemic pregnant women and the growth of fetal abdominal circumference.