Low birth weight babies less than 2500 grams are at risk of slower growth and development than normal birth weight babies, and are at risk of developing hypertension, heart disease and diabetes in adulthood. Several theories and research results state that LBW is caused by anemia of pregnant women, mother's KEK status, mother's BMI status, maternal height, weight gain during pregnancy, maternal age, parity, pregnancy distance, ANC, maternal occupation, and mother's education.The purpose of this study is to analyze the determinants of LBW events in UPTD Puskesmas Manggari Kuningan District in 2018-2019. The research method used a case control design with inclusion criteria including mothers with live births, last babies, and single babies. The sample studied was 93 people, consisting of 31 cases and 62 controls. Data from the maternal cohort register and the KIA handbook were analyzed univariate, bivariate, and multivariate. The results of the bivariate analysis showed that the incidence of LBW was significantly associated (95% CI) with anemia of first trimester pregnant women (p = 0.002), anemia of third trimester pregnant women (p = 0.000), maternal KEK status (p = 0.001), maternal weight gain. during pregnancy (p = 0.00), pregnancy distance (p = 0.005), and maternal education (p = 0.011). Multivariate analysis showed that the incidence of LBW is influenced by anemia of third trimester pregnant women (OR = 25.247), mother's KEK status (OR = 10.212), maternal BMI status (OR = 0.066), and pregnancy distance (OR = 6.934). Conclusion: The anemia status variable for pregnant women in trimester III is more dominant in influencing the incidence of LBW (OR = 25.247).