Publisher

UNISAYOGYAUNISAYOGYA

Journal JHeS (Journal of Health Studies)JHeS (Journal of Health Studies) Abstract

Indonesia has the second-highest prevalence of low birth weight (LBW) babies in ASEAN countries. Various factors contribute to this high incidence. This study examined the association between gestational weight gain (GWG), pre-pregnancy body mass index (BMI), and antenatal care (ANC) visits frequency towards LBW in a region of Indonesia with a high prevalence of LBW. This is an analytical observational study using cross-sectional design with utilizing medical records data, conducted in June-August 2022. We analyzed 78 medical records of pregnant women who gave term-singleton birth. Main independent variables were gestational weight gain, pre-pregnancy BMI, and ANC frequency. Data analysis was performed using statistical package program, including descriptive statistics, bivariate and multivariate analyses to explore associations between those factors and LBW occurrence. The mean of infant birth weight was 3115.4± 465.2 grams. Low birth weight proportion was 11.5%. More than 90% of subjects follow frequency of ANC visits for K1 and K4, but only a third of participants meet K6 ANC visit recommendation. Approximately half of the subjects (48.7%) had inadequate GWG. Bivariate analysis revealed a strong association between insufficient GWG and LBW (OR = 10.4, 95% CI = 1.233–87.74, p=0.013). However, pre-pregnancy BMI and ANC frequency showed no association with LBW. Inadequate gestational weight gain is significantly linked to an elevated risk of LBW. Emphasizing the appropriate quantity of ANC visits and regular monitoring of maternal weight gain throughout pregnancy is crucial to mitigate the risk of LBW.

Conclusion

This study found a higher prevalence of LBW among full-term infants compared to the national target.The findings indicate that inadequate gestational weight gain is associated with an increased risk of LBW.No significant association was observed between the frequency of ANC visits or pre-pregnancy BMI and the risk of LBW.These results highlight the importance of emphasizing adequate GWG during ANC consultations and educating mothers on the necessity of monitoring weight gain and consuming adequate nutrition throughout pregnancy.

Future Research

Berdasarkan temuan penelitian ini, beberapa saran penelitian lanjutan dapat diajukan. Pertama, penelitian lebih lanjut perlu dilakukan untuk mengeksplorasi faktor-faktor lain yang mungkin berkontribusi terhadap LBW di wilayah dengan prevalensi tinggi, seperti status sosial ekonomi, pola makan, dan akses terhadap layanan kesehatan yang berkualitas. Kedua, studi intervensi yang dirancang untuk meningkatkan praktik pemantauan berat badan ibu selama kehamilan dan memberikan edukasi gizi yang tepat perlu diimplementasikan dan dievaluasi efektivitasnya. Ketiga, penelitian kualitatif dapat dilakukan untuk memahami lebih dalam persepsi dan pengalaman ibu mengenai ANC, serta hambatan yang mereka hadapi dalam mengakses layanan ANC yang komprehensif. Penelitian-penelitian ini diharapkan dapat memberikan informasi yang lebih komprehensif dan mendalam mengenai faktor-faktor yang mempengaruhi LBW, serta membantu dalam merumuskan strategi intervensi yang lebih efektif untuk mengurangi angka kejadian LBW di Indonesia.

References

1. Addressing barriers to maternal nutrition in low‐ and middle‐income countries: A... doi.org/10.1111/mcn.12508Addressing barriers to maternal nutrition in lowyAAAa and middleyAAAaincome countries A doi 10 1111 mcn 12508

Metadata

File size	374.37 KB
Pages	10
DMCA	Report