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Hubungan antara bayi berat lahir rendah dengan kematian neonatal dini di kabupaten Subang tahun 2005
Budi Subiantoro; Pembimbing: Asri C. Adisasmita; Penguji: Kusharisupeni, Soedibjo Sastroasmoro, Bambang Murdoto
T-4068
Depok : FKM UI, 2014
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Dhora Yufita Nurfitriani; Pembimbing: Milla Herdayati; Penguji: Besral, Sabarinah, Enny Ekasari, Mutmainah Indriyati
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ABSTRAK Nama : Dhora Yufita Nurfitriani Program Studi : S2 Ilmu Kesehatan Masyarakat Judul : Hubungan Anemia Pada Ibu Hamil Dengan Kejadian Bayi Berat Lahir Rendah (BBLR) Di RSUD KiSA Kota Depok Tahun 2022 Pembimbing : DR.Milla Herdayati,SKM,MSi Anemia selama kehamilan merupakan masalah kesehatan utama yang terkait dengan BBLR. Kejadian kelahiran BBLR di negara berkembang sebesar 95,6%, merupakan salah satu penyebab terbesar kematian neonatal di Indonesia. Berat Badan Lahir Rendah (BBLR) adalah berat badan saat lahir kurang dari 2500 gram, merupakan sindrom kompleks yang mencakup kelahiran premature, bayi kecil untuk usia kehamilan (Small for gestational age = SGA) atau kombinasi antara keduanya. BBLR dikaitkan dengan kematian janin dan neonatal serta morbiditas, menghambat pertumbuhan dan perkembangan, beresiko stunting serta meningkatkan risiko penyakit tidak menular di kemudian hari. Tujuan penelitian ini adalah untuk melihat pengaruh anemia pada ibu hamil terhadap BBLR, dengan desain penelitian case control. Desain penelitian ini menggunakan data rekam medis RSUD KiSA Kota Depok, populasi penelitian ini adalah ibu yang melahirkan di RSUD KiSA Kota Depok Tahun 2022. Sampel penelitian terdiri dari 72 ibu yang melahirkan dengan BBLR sebagai kasus dan 72 ibu yang melahirkan dengan BBL normal (> 2500grm) sebagai kontrol. Hasil penelitian proporsi Anemia pada ibu hamil lebih banyak pada kelompok BBLR (43,1%) daripada yang tidak BBLR (22,2%). Dari hasil penelitian ini dapat disimpulkan bahwa terdapat hubungan yang signifikan antara anemia ibu hamil dengan kejadian BBLR dengan nilai P-value 0,001. (95% CI 1.88 – 13.04). Ibu yang menderita anemia pada kehamilan memiliki resiko 4,96 kali untuk mengalami BBLR dibandingkan dengan ibu hamil yang tidak anemia, setelah dikontrol variable paritas, usia kehamilan dan hipertensi. Saran dari penelitian ini diharapkan program pencegahan dan penanggulangan anemia ibu hamil dapat lebih di tingkatkan oleh pemerintah daerah baik dari sisi kebijakan, penganggaran maupun dalam hal monitoring dan evaluasinya. Dengan memfokuskan pencegahan anemia pada ibu dengan paritas beresiko tinggi, ibu dengan resiko persalinan preterm dan ibu dengan hipertensi. Kata kunci: BBLR, Bayi Berat Lahir Rendah, Anemia dalam kehamilan, Kota Depok
ABSTRACT Name : Dhora Yufita Nurfitriani Study Program : Master of Public Health Sciences Tittle : The Relationship between Anemia in Pregnancy and the Incidence of Low Birth Weight (LBW) at Kisa Hospital, Depok City in 2022 Counsellor : DR.Milla Herdayati,SKM,MSi ……… Anemia during pregnancy is a major health problem associated with LBW. The incidence of LBW births in developing countries is 95.6%, LBW is one of the causes of neonatal death in Indonesia. Low Birth Weight (LBW) is weight at birth less than 2500 grams, is a complex syndrome that includes premature birth, a small baby for gestational age (SGA) or a combination of the two. LBW is associated with fetal and neonatal death and morbidity, inhibits growth and development and increases the risk of non-communicable diseases in later life. The purpose of this study was to see the effect of anemia in pregnant women on LBW, with a case control study design. This study used medical record data at KiSA Hospital, Depok City, the population of this study were mothers who gave birth to babies at KiSA Hospital, Depok City, in 2022. This study used medical record data at KiSA Hospital, Depok City, the population of this study were mothers who gave birth at KiSA Hospital, Depok City in 2022. The study sample consisted of 72 mothers who gave birth with LBW as cases and 72 mothers who gave birth with normal BBL (> 2500grm). ) as a control. The results of the study showed that the proportion of anemia in pregnant women was higher in the LBW group (43.1%) than those who were not LBW (22.2%). From the results of this study it can be concluded that there is a significant relationship between anemia in pregnant women and the incidence of LBW with a P-value of 0.001. (95% CI 1.88 – 13.04). Mothers who suffer from anemia in pregnancy have a 4.96 times the risk of experiencing LBW compared to pregnant women who are not anemic, after controlling for parity, gestational age and hypertension variables. Suggestions from this study are that it is hoped that the program for preventing and overcoming anemia in pregnant women can be further improved by the regional government both in terms of policy, budgeting and in terms of monitoring and evaluation. By focusing on prevention of anemia in women with high-risk parity, women with a risk of preterm delivery and mothers with hypertension. Key words: LBW, Low Birth Weight, Anemia in pregnancy, Depok City
T-6759
Depok : FKM-UI, 2023
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Elin Marlina; Pembimbing: Milla Herdyati; Penguji: Mieke Savitri, Dewi Dmayanti
Abstrak:
Bayi Berat Lahir Rendah (BBLR) merupakan penyebab kematian bayi dan neonatal di berbagai negara, terutama negara berkembang termasuk Indonesia. Angka kejadian BBLR berdasarkan hasil laporan Riskesdas tahun 2010 adalah 11,1% dan provinsi Jawa Barat adalah 10,9%. Data SDKI tahun 2012 menyebutkan bahwa Angka Kematian Bayi (AKB) 32 per 1000 kelahiran hidup dengan penyebab tertinggi adalah BBLR dan Prematuritas. Data kelahiran BBLR di Kota Cimahi menunjukan peningkatan pada tiga tahun terkhir Penelitian ini menggunakan desain kasus kontrol dengan sumber data sekunder yang didapat dari catatan kohort ibu, laporan persalinan, register pasien. Faktor risiko terjadinya BBLR yang menjadi variabel dalam penelitian ini adalah faktor karakterisktik ibu, nutrisi dan pemeriksaan ANC. Hasil penelitian menunjukan adanya hubungan bermakna pada variabel faktor nutrisi, riwayat penyakit dan pemeriksaan ANC.
Low birth weighted baby is a cause of infant morality and neonatal all over the world. Particularly in develop country, including Indonesia. The number of low birth weighted baby based from the results of riskesdas report in 2010 is 11,1% and West Java Province is 10,9%. Data from SDKI in 2012 tells that the numbers of infant morality (AKB) 32 per 1000 birth of a baby with the highest cause are low birth weighted babies and prematurity. Data of low birth weighted baby in Cimahi city increased in the last three years of the research using case-control design with source of secondary data obtained from cohorts of mothers data, labor report, and registers patiens. the risk of low birth weighted baby becomes variable in this research is the characteristic factors of mother, nutrition and Ante Natal Care examination. The research showed a significant to the variabel nutritional factors, desease history and Antenatal Care examination.
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S-8369
Depok : FKM-UI, 2014
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Oster Suriani Simarmata; Pembimbing: Kemal Nazaruddin Siregar; Penguji: Ahmad Syafiq, Luknis Sabri, Muhammad Ilhamy Setyadi, Julianty Pradono
T-3172
Depok : FKM-UI, 2010
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Vivi Anggraini; Pembimbing: Sudijanto Kamso; Penguji: Mieke Savitri, Nining Sriningsih
S-8129
Depok : FKMUI, 2014
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Endah Pujiastuti; Pembimbing: Sudarto Ronoatmodjo; Penguji: Tri Yunis Miko Wahyono, Mieke Savitri, Euis Saadah Hernawati, Mugia Bayu Rahardja
T-4508
Depok : FKM-UI, 2015
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Indah Aliyah Muthi; Pembimbing: Tri Yunis Miko Wahyono; Penguji: Yovsyah, Esum Sumini
Abstrak:
Kejadian BBLR di Kab. Kuningan cenderung mengalami peningkatan dari tahun 2016-2018. RSUD 45 Kab. Kuningan merupakan Rumah Sakit rujukan dan memiliki kejadian BBLR cukup tinggi, menduduki peringkat ke 2 dari 10 besar penyakit pada tahun 2017. Penelitian ini bertujuan untuk mengetahui gambaran faktor-faktor yang berhubungan dengan kejadian BBLR dan mengetahui hubungan faktor ibu, faktor obstetrik, faktor janin dan faktor dominan yang berhubungan dengan kejadian BBLR. Jenis penelitian adalah kuantitatif menggunakan desain case control. Penelitian dilakukan dengan melihat data sekunder berupa rekam medis pasien. Jumlah sampel sebanyak 192 dengan perbandingan 1:1, sehingga total sampel sebanyak 384. Analisis data menggunakan analisis univariat, analisis bivariat dengan uji statistic Chi Square dan analisis multivariat menggunakan Regresi Logistik Ganda. Hasil penelitian menunjukkan terdapat hubungan antara jarak persalinan, usia kehamilan, komplikasi kehamilan dan bayi kembar dengan kejadian BBLR dan tidak ada hubungan antara penyakit kronis, paritas dan jenis kelamin dengan kejadian BBLR. Kata kunci: Berat Badan Lahir Rendah, Ibu Hamil Low Birth Weight incidence in Kuningan Regency tends to increase from 2016-2018. Regional General Hospital 45 Kuningan District is a referral hospital and has a high incidence of LBW, ranked 2nd out of the top 10 diseases in 2017. This study aims to describe the factors related to LBW incidence and find out the relationship between maternal factors, obstetric factors, fetal factors and dominant factors associated with LBW incidence. This type of research is quantitative using a case control research design. The study was conducted by looking at secondary data in the form of patient medical records. The number of samples is 192 with a ratio of 1:1, so the total sample is 384. Analysis of the data using univariate analysis, bivariate analysis with Chi Square statistical tests and multivariate analysis using Multiple Logistic Regression. The results showed that there was a correlation between labor distance, gestational age, pregnancy complications and twins with the incidence of LBW and there was no relationship between chronic disease, parity and sex with LBW incidence. Key words: Low Birth Weight, Pregnant Women
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S-9966
Depok : FKM-UI, 2019
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Nita Merzalia; Pembimbing: Ahmad Syafiq; Penguji: Sandra Fikawati, Tria Astika Endah Permatasari, Yuliyana
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Bayi merupakan bagian dari anak dimana Angka Kematian Bayi (AKB) dijadikan sebagai salah satu indikator yang dapat digunakan untuk mengetahui derajat kesehatan masyarakat, mengukur tingkat perekonomian dan sosial pada suatu wilayah. Mereka adalah aset yang akan menjadi generasi penerus bangsa. Untuk menghasilkan anak yang berkualitas, tentunya mereka harus dipelihara secara optimal dari sejak dalam kandungan. Berat Badan Lahir Rendah (BBLR) merupakan bayi yang baru lahir dengan berat badan < 2500 gram tanpa memandang usia kehamilan. BBLR berdampak dalam jangka pendek maupun jangka panjang yang dapat menyebabkan morbiditas dan mortalitas bagi bayi tersebut. Prevalensi BBLR di Indonesia menurut WHO berkisar 5-10% dan menyebabkan 60-80% kematian bayi dengan risiko kematian meningkat 20 kali lipat dibandingkan bayi dengan berat badan lahir normal. Berdasarkan hasil SSGI tahun 2021, proporsi kejadian BBLR di Indonesia sebesar 6,6%. Untuk wilayah Sumatera, Provinsi Kepulauan Bangka Belitung memiliki proporsi BBLR di atas angka nasional (7,5%). Sedangkan se-Provinsi Kepulauan Bangka Belitung, Kabupaten Belitung memiliki prevalensi tertinggi selama 3 (tiga) tahun berturut-turut, yaitu tahun 2020-2022 (berkisar 6,59%-7,69%) dan masih berada di atas target Indikator Kinerja Gizi Masyarakat tahun 2022 yang ditetapkan dari Kementerian Kesehatan RI sebesar 3,8%. Selain itu, BBLR juga merupakan faktor penyumbang angka kematian neonatus terbesar di Kabupaten Belitung dalam rentang waktu tersebut. Penelitian ini bertujuan untuk mengetahui determinan kejadian BBLR di Kabupaten Belitung tahun 2022 dengan desain penelitian cross-sectional dan total 310 sampel berdasarkan kriteria inklusi dan ekslusi. Penelitian ini menggunakan data primer yang berasal dari kohort ibu tahun 2022 dengan kejadian BBLR sebagai variabel dependen dan variabel independen terdiri dari : faktor ibu (umur ibu, paritas, jarak kehamilan), faktor kehamilan (komplikasi kehamilan dan umur kehamilan), faktor gizi (penambahan berat badan selama hamil, kadar Hb, risiko KEK) dan faktor layanan ANC (jumlah kunjungan ANC, kualitas layanan ANC, komposit pelayanan ANC). Analisis bivariat menggunakan uji kai kuadrat dan analisis multivariat menggunakan uji regresi logistik ganda. Hasil penelitian menunjukkan prevalensi kejadian BBLR di kabupaten Belitung sebesar 10,6%. Analisis bivariat menunjukkan ada hubungan yang signifikan antara umur ibu, jarak kehamilan, penambahan berat badan selama hamil, kadar Hb, risiko KEK, komplikasi kehamilan, umur kehamilan, jumlah kunjungan ANC dan kualitas layanan ANC dengan kejadian BBLR. Variabel yang paling dominan terhadap kejadian BBLR adalah umur kehamilan dan komplikasi kehamilan.
Babies are part of children where the Infant Mortality Rate (IMR) is used as an indicator that can be used to determine the level of public health, measure the economic and social level in an area. They are assets who will become the nation's next generation, so their quality of life must be a priority. To produce quality children, of course children must be cared for optimally from the time they are in the womb. Low Birth Weight (LBW)is a newborn baby with a body weight < 2500 grams regardless of gestational age. LBW has short-term and long-term impacts that can cause morbidity and mortality for the baby. The prevalence of LBW in Indonesia according to WHO is around 5-10% and causes 60-80% of infant deaths with the risk of death increasing 20 times compared to babies with normal birth weight. Based on the 2021 SSGI results, the proportion of LBW incidents in Indonesia is 6.6%. For the Sumatra region, the Bangka Belitung Islands Province has a LBW proportion above the national figure (7.5%). Meanwhile, in the Bangka Belitung Islands province, Belitung Regency has the highest prevalence for 3 (three) consecutive years, namely 2020-2022 (range 6.59%-7.69%) and is still above the Community Nutrition Performance Indicator target in 2022 set by the Indonesian Ministry of Health at 3.8%. Apart from that, LBW is also a contributing factor to the largest neonatal mortality rate in Belitung Regency in that time period. StudyThis aims to determine the determinants of the incidence of LBW in Belitung Regency in 2022 with a cross-sectional research design and a total of 310 samples based on inclusion and exclusion criteria. This study uses primary data originating from the 2022 cohort of mothers with the incidence of LBW as the dependent variable and independent variables consisting of: maternal factors (maternal age, parity, pregnancy interval), pregnancy factors (pregnancy complications and gestational age), nutritional factors (additional weight during pregnancy, Hb levels, risk of CED) and ANC service factors (number of ANC visits, ANC service quality, ANC service composite). Bivariate analysis uses the chi-square test and multivariate analysis uses the multiple logistic regression test. The research results show that the prevalence of LBW in Belitung district is 10.6%. Bivariate analysis showed that there was a significant relationship between maternal age, pregnancy spacing, weight gain during pregnancy, Hb levels, risk of CED, pregnancy complications, gestational age, number of ANC visits and quality of ANC services with the incidence of LBW. The most dominant variables in the incidence of LBW are gestational age and pregnancy complications.
T-7028
Depok : FKM UI, 2024
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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Rizqi Firdiana Lubis; Pembimbing: Ahmad Syafiq; Penguji: Sandra Fikawati, Dhora Yufita N
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Penelitian ini dilatar belakangi oleh perbedaan proporsi kejadian Bayi Berat Lahir Rendah (BBLR) berdasarkan tingkat konsumsi Tablet Tambah Darah (TTD). Kejadian BBLR diketahui lebih tinggi pada ibu hamil yang tidak mengkonsumsi TTD sesuai anjuran, sehingga menimbulkan dugaan adanya hubungan antara konsumsi TTD dengan berat badan lahir bayi. Namun, sejumlah penelitian sebelumnya menunjukkan hasil yang tidak konsisten terkait hubungan ini. Tujuan penelitian ini adalah untuk menganalisis hubungan antara konsumsi TTD selama kehamilan dengan berat badan bayi saat lahir. Desain studi yang digunakan adalah cross-sectional dengan pendekatan analisis data sekunder yang bersumber dari Survei Kesehatan Indonesia (SKI) tahun 2023. Sampel penelitian mencakup 51.797 ibu yang dalam lima tahun terakhir melahirkan bayi hidup dan tercatat pernah menerima atau membeli TTD selama kehamilan. Rata-rata berat badan lahir bayi adalah 3.101 gram, sedangkan rata-rata konsumsi TTD oleh ibu hamil sebanyak 70 tablet, masih di bawah rekomendasi pemerintah. Hasil analisis menunjukkan nilai korelasi (r) sebesar 0,007 dan p-value 0,126, yang menandakan tidak adanya hubungan signifikan antara konsumsi TTD dengan berat badan lahir bayi. Variabel lain seperti kepemilikan jaminan kesehatan dan paparan asap rokok juga tidak menunjukkan hubungan signifikan. Namun, faktor seperti pendidikan ibu, paritas, tempat tinggal, risiko kehamilan, kunjungan ANC, dan usia kehamilan saat pertama kali mendapat TTD menunjukkan hubungan yang signifikan.Kata kunci: Informasi, information literacy, information skills
This study was motivated by differences in the proportion of Low Birth Weight (LBW) cases based on the level of iron supplementation consumption. LBW incidence was found to be higher among pregnant women who did not consume iron supplementation according to recommendations, raising the assumption that there may be a relationship between supplementation consumption and infant birth weight. However, several previous studies have shown inconsistent results regarding this association. The aim of this study was to analyze the relationship between iron supplementation consumption during pregnancy and infant birth weight. The study used a cross-sectional design with a secondary data analysis approach, utilizing data from the 2023 Indonesia Health Survey. The sample included 51,797 mothers who had delivered a live baby in the past five years and were recorded as having received or purchased iron supplementation during pregnancy. The average birth weight of the infants was 3,101 grams, while the average TTD consumption among pregnant women was 70 tablets, still below the government's recommended amount. The analysis results showed a correlation coefficient (r) of 0.007 and a p-value of 0.126, indicating no significant relationship between iron supplementation consumption and infant birth weight. Other variables such as health insurance ownership and exposure to cigarette smoke also showed no significant relationship. However, factors such as maternal education, parity, place of residence, pregnancy risk, ANC visits, and gestational age at first TTD intake showed significant associations.
This study was motivated by differences in the proportion of Low Birth Weight (LBW) cases based on the level of iron supplementation consumption. LBW incidence was found to be higher among pregnant women who did not consume iron supplementation according to recommendations, raising the assumption that there may be a relationship between supplementation consumption and infant birth weight. However, several previous studies have shown inconsistent results regarding this association. The aim of this study was to analyze the relationship between iron supplementation consumption during pregnancy and infant birth weight. The study used a cross-sectional design with a secondary data analysis approach, utilizing data from the 2023 Indonesia Health Survey. The sample included 51,797 mothers who had delivered a live baby in the past five years and were recorded as having received or purchased iron supplementation during pregnancy. The average birth weight of the infants was 3,101 grams, while the average TTD consumption among pregnant women was 70 tablets, still below the government's recommended amount. The analysis results showed a correlation coefficient (r) of 0.007 and a p-value of 0.126, indicating no significant relationship between iron supplementation consumption and infant birth weight. Other variables such as health insurance ownership and exposure to cigarette smoke also showed no significant relationship. However, factors such as maternal education, parity, place of residence, pregnancy risk, ANC visits, and gestational age at first TTD intake showed significant associations.
S-12070
Depok : FKM UI, 2025
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Haflina Syofianti; Pembimbing: Ahmad Syafiq; Penguji: Luknis Sabri, Kusharisupeni, Rustam Effendi, Sarimawar Djaja
Abstrak:
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Kelahiran Bayi Barat Lahir Rendah (BBLR) erat kaitannya dengan gizi ibu hamil khususnya anemia dan Kurang Energi Kronis (KEK). Penelitian ini bertujuan mengetahui pengaruh risiko KEK pada ibu hamil dan faktor lainnya terhadap BBLR di Kabupaten Sawahlunto-Sinjunjung tahun 2007. Penelitian ini merupakan analisis data sekunder, jumlah sampel 228, desain kasus kontrol. Kasus adalah BBLR dan kontrol adalah Bayi Berat Lahir Normal (BBLN). Analisis bivariat dengan uji chi square dan analisis multivariat rnenggunakan multiple logistic regression. Hasil penelitian ditemukan pengaruh risiko KEK, Ante Natalcare (ANC) dan umur terhadap BBLR. Faktor yang paling domimn mempengaruhi BBLR adalah ibu hamil dengan risiko KEK (OR 4,8; 95% Cl 2,48-9,42), artinya ibu hamil dengan risiko KBK (LILA <23,5cm) berpeluang 4,8 kali melahirkan BBLR dibandingkan dengan ibu hamil tanpa risiko KEK (LILA >23,5cm) setelah dikontrol ANC dan umur ibu. Dengan mencegah risiko KEK dapat mengurangi kelahiran BBLR dan kematian bayi, disarankan kepada dinas kesehatan meningkatkan deteksi dini ibu hamil risiko KEK melalui ANC, mcningkatkan KIE kepada masyarakat, penanganan yang tepat, komitmen dalam evaluasi program dan feedback laporan, advokasi dengan Pemda, DPRD dan instansi terkait.
Low birth weight (LBW) really involved to the mother nutrient especially anemia and chronic malnutrition risk. The purpose of this research is to know the risk of chronic malnutrition influenced on pregnancy and another factor to LBW at district Sawahlunto-Sijunjung on 2007. This research was performed by secondary data analysis with case controls design with minimum sample amount was specified 228, Data were with chi square and multiple logistic regression. The observational result indicated there are influence on chronic malnutrition risk on pregnancy, ANC and mother age to LBW. The most dominant factor which is influence to LBW is chronic malnutrition risk on pregnancy with odds ratio 4,8 (95% Cl 2,48 - 9,42), it's mean is pregnancy with chronic malnutrition will face the risk 4,8 times to LBW compare to pregnancy with out risk chronic malnutrition after ANC and mother age controlled To avoid and settles chronic malnutrition risk on pregnancy which is expected could to reduce LBW and presses infant mortality. Recommend health district office to mothers to perform early detection on risk of chronic malnutrition on pregnancy passes through ANC, increasing elucidation (communication, information and education) to community, by performing the right treatment, commitment in evaluates program and feedback on regularly report, Advocate to Government, others institution.
T-2827
Depok : FKM-UI, 2008
S2 - Tesis Pusat Informasi Kesehatan Masyarakat
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