HUBUNGAN BODY MASS INDEX (BMI) IBU HAMIL DENGAN PENAMBAHAN BERAT BADAN SELAMA KEHAMILAN DI PMB BD. W KAB. BANDUNG BARAT TAHUN 2021

Masalah gizi seimbang di Indonesia masih merupakan masalah yang cukup berat. Pada hakikatnya berpangkal pada keadaan ekonomi yang kurang dan terbatasnya pengetahuan tentang nilai gizi dan makanan yang ada. Kekurangan atau kelebihan makanan pada masa hamil dapat berakibat kurang baik bagi ibu, janin yang dikandung serta jalannya persalinan. Oleh karena itu, perhatian terhadap gizi dan pengawasan berat badan (BB) selama hamil merupakan salah satu hal penting dalam pengawasan kesehatan pada masa hamil. Untuk mengetahui “ Hubungan status gizi ibu sebelum hamil dengan penambahan berat badan selama hamil”. Jenis penelitian yang digunakan adalah hasil desain penelitian deskriftif yang bertujuan untuk mengetahui hubungan status gizi ibu sebelum hamil dengan penambahan berat badan selama hamil. Populasi ibu hamil trimester III di wilayah kerja PMB Bidan W yaitu sebanyak 55 orang yang berkunjung ke PMB Bidan W. Untuk mendapatkan jumlah responden peneliti melakukan pengumpulan dengan tekhnik rancangan penelitian Cross Sectional Study dengan seluruh ibu hamil trimester III. Kemudian peneliti akan menghitung menggunakan rumus BMI yaitu Berat (badan dalam kg) : Kuadrat tinggi badan (dalam ukuran meter). BMI = (BB) / (TB) x (TB). Dilanjutkan dengan analisa data melalui beberapa tahap yang dimulai dengan editing, coding, tabulasi.Hasil : Hasil penelitian yang didapatkan Dari 55 responden status gizi ibu hamil bahwa hampir setengah dari responden status gizi ibu hamil dengan kategori normal sebanyak 22 orang dengan presentasi 40%. Dari 55 responden penambahan berat badan ibu selama hamil bahwa hampir setengah dari responden penambahan berat badan dengan kategori baik sebanyak 20 orang presentasi 36,4%. Ada hubungan status gizi ibu sebelum hamil dengan penambahan berat badan selama hamil di PMB Bd Warsah Kabupaten Bandung Barat. Hal tersebut dapat dibuktikan dengan hasil uji statistik menggunakan Chi – square dalam penelitian ini menunjukkan p = ,000 < 0,05.The problem of balanced nutrition in Indonesia is still a serious problem. Essentially stems from a lack of economic conditions and limited knowledge about nutrition in Indonesia. Lack or excess of food during pregnancy can have a negative effect on the mother, the fetus and the course of delivery. Therefore, attention to nutrition and control of body weight (BB) during pregnancy is of the important things in health surveillance during pregnancy. To determine the relationship between maternal nutritional status before pregnancy and weight gain during pregnancy. The type of research used is the result of a descriptive research design that aims to determine the relationship between maternal nutritional status before pregnancy and weight gain during pregnancy. The population of thitd trimester III pregnant women in the PMB Midwife W working area, west bandung district, was 55 people. To get the number of respondents, the research was was collected using a cross sectional study design technique with all 3 trimester pregnant women checking their weight and height.Then The researcher will calculate using BMI formula, namely body weight (in kg) : height squared (in maters). Followed by data analysis through several stages starting with editing, coding, tabulation. The results of the study obtained from 55 respondents of the nutritional status of pregnant women that almost half of the respondents of the nutritional status of pregnant women in the normal category were 22 people with a presentation of 40%. Of the 55 respondents who gained weight in the good category, 20 people had a percentage of 36.4%. There is a relationship between maternal nutritional status before preganancy at PMB Midwife W West Bandung Regency. This can be proven by the results of stastical test using Chi – square in this study showing p =, 000 < 0.05

PENGETAHUAN IBU HAMIL TENTANG GIZI SELAMA KEHAMILAN DI DESA SIALANG JAYA KECAMATAN RAMBAH KABUPATEN ROKAN HULU TAHUN 2021

Nutrition is a process of using food that is consumed normally. Nutrition in pregnancy is a healthy and balanced diet that must be consumed during pregnancy. Assessment of the nutritional status of pregnant women can be known by the presence of weight gain during pregnancy, measuring the upper arm circumference (LILA), and measuring Hb. Nutrition plays a major role in maternal and child health. Poor maternal nutritional status will affect growth and development during pregnancy. The benefits of balanced nutrition during pregnancy are meeting the nutritional needs of the mother and fetus, achieving nutritional status under normal circumstances. Maternal weight before pregnancy and weight gain during pregnancy is less (underweight) or more (overweight) than normal will make pregnancy a risk (low risk). This study aims to determine the knowledge of pregnant women about nutrition during pregnancy in Sialang Jaya Village in 2021, the research method used is a descriptive method with a cross sectional research design. The population in this study were pregnant women, with a sample of 30 respondents. Sampling using Total Sampling. In this study, the measuring instrument used was in the form of a questionnaire as many as 20, while the data analysis was carried out by univariate analysis which resulted in a frequency distribution. The results showed that based on the knowledge of 30 respondents who had good knowledge as many as 3 respondents (10.0%), 13 respondents with sufficient knowledge (43.3%), and those with less knowledge were 14 respondents (46.7%). The conclusion from the research conducted by researchers is that the average knowledge of pregnant women about nutrition during pregnancy in Sialang Jaya Village 2021 is less knowledgeable. To increase knowledge, pregnant women should get information directly from health workers, social media, the environment and others related to pregnant women.

An implementation intervention to increase the routine provision of antenatal care addressing gestational weight gain: study protocol for a stepped-wedge cluster trial

Background Weight gain during pregnancy that is outside of recommended levels is associated with a range of adverse outcomes for the mother and child, including gestational diabetes, pre-eclampsia, preterm birth, and obesity. Internationally, 60–80% of pregnant women report gaining weight outside of recommended levels. While guideline recommendations and RCT evidence support the provision of antenatal care that supports healthy gestational weight gain, less than 10% of health professionals routinely weigh pregnant women; discuss weight gain, diet, and physical activity; and provide a referral for additional support. This study aims to determine the effectiveness of an implementation intervention in increasing the provision of recommended gestational weight gain care by maternity services. Methods A stepped-wedge controlled trial, with a staggered implementation intervention, will be conducted across maternity services in three health sectors in New South Wales, Australia. The implementation intervention will consist of evidence-based, locally-tailored strategies including guidelines and procedures, reminders and prompts, leadership support, champions, training, and monitoring and feedback. Primary outcome measures will be the proportion of women who report receiving (i) assessment of gestational weight gain; (ii) advice on gestational weight gain, dietary intake, and physical activity; and (iii) offer of referral to a telephone coaching service or local dietetics service. Measurement of outcomes will occur via telephone interviews with a random sample of women who attend antenatal appointments each week. Economic analyses will be undertaken to assess the cost, cost-consequence, cost-effectiveness, and budget impact of the implementation intervention. Receipt of all care elements, acceptance of referral, weight gain during pregnancy, diet quality, and physical activity will be measured as secondary outcomes. Process measures including acceptability, adoption, fidelity, and reach will be reported. Discussion This will be the first controlled trial to evaluate the effectiveness of a implementation intervention in improving antenatal care that addresses gestational weight gain. The findings will inform decision-making by maternity services and policy agencies and, if the intervention is demonstrated to be effective, could be applied at scale to benefit the health of women and children across Australia and internationally. Trial registration Australian and New Zealand Clinical Trials Registry, ACTRN12621000054819. Registered on 22 January 2021

Clinical Observation of Effects of Prepregnancy Body Mass Index and Weight Gain during Pregnancy on Neonatal Weight and Delivery Outcome

Objective. The increase of BMI before pregnancy and during pregnancy will lead to hypertensive disorder in pregnancy (HDP) and abnormal glycolipid metabolism, as well as increase the risk of neonatal weight abnormalities and adverse pregnancy outcome. This study retrospectively analyzed the clinical data of 358 women who were admitted to the obstetrics department of our hospital from January 2018 to July 2019. And the relationship between prepregnancy BMI, BMI increase during pregnancy and delivery methods, postpartum hemorrhage, neonatal weight, premature delivery, neonatal asphyxia, gestational diabetes mellitus (GDM), and hypertension during pregnancy (HDP) was observed and compared. The results show that both high BMI before pregnancy and excessive weight gain during pregnancy can lead to the incidence of abnormal birth weight and adverse birth outcome increase. Therefore, in order to reduce the incidence of neonatal weight abnormalities and adverse birth outcomes and to prevent the adverse effects during pregnancy and postpartum, clinically, obese women should be guided to eat according to reasonable diet and exercise to control their weight.

Association of maternal total cholesterol with SGA or LGA birth at term: The Japan Environment and Children's Study

Context Maternal cholesterol is important for fetal development. Whether maternal serum total cholesterol (maternal TC) levels in mid-pregnancy are associated with small- (SGA) or large- (LGA) for-gestational-age independent of pre-pregnancy body mass index (BMI) and weight gain during pregnancy is inconclusive. Objective To prospectively investigate the association between maternal TC in mid-pregnancy and SGA or LGA. Design and Setting The Japan Environment and Children’s Study is a nationwide prospective birth cohort study in Japan. Participants A total of 37,449 non-diabetic, non-hypertensive mothers with singleton birth at term without congenital abnormalities. Outcome Measures Birth weight for the gestational age &lt;10 percentile and ≥90 percentile were respectively defined as SGA and LGA by the Japanese neonatal anthropometric charts. Results The mean gestational age at blood sampling was 22.7±4.0 weeks. After adjustment for maternal age, sex of child, parity, weight gain during pregnancy, pre-pregnancy BMI, smoking, alcohol drinking, blood glucose levels, household income, and Study Areas, one standard deviation decrement of maternal TC was linearly associated with SGA [odds ratio (OR): 95% confidence intervals (CI) = 1.20: 1.15-1.25]. In contrast, one standard deviation increment of maternal TC was linearly associated with LGA [OR: 95% CI = 1.13: 1.09-1.16]. Associations did not differ according to pre-pregnancy BMI and gestational weight gain (p for interaction&gt;0.20). Conclusion Maternal TC levels in mid-pregnancy were associated with SGA or LGA in Japanese. Maternal TC in mid-pregnancy may help to predict SGA and LGA. Favorable maternal lipid profiles for fetal development must be explored.