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Di Indonesia, prevalensi KEK pada ibu hamil meningkat dari 16,9% pada tahun 2018 menjadi 17% pada tahun 2023. Padahal, dalam rangka menekan angka KEK pada ibu hamil, pemerintah Indonesia sejak tahun 2014 menerapkan program intervensi gizi bagi ibu hamil diantaranya mengimplementasikan pemberian makanan tambahan sesuai bahan pangan lokal, pemberian tablet TTD, dan kelas ibu hamil. Meskipun program gizi dan kesehatan ibu telah lama diimplementasikan di Indonesia, masalah KEK pada ibu hamil masih menjadi salah satu bentuk malnutrisi yang belum tertangani secara efektif. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan risiiko KEK pada ibu hamil berdasarkan data SKI 2023. Desain penelitian ini adalah cross sectional dengan sampel ibu hamil yang berada pada kehamilan trimester 3 dan menggunakan uji regresi logsitik sederhana untuk analisis bivariat. Dari 5.055 ibu hamil yang berhasil disurvey, terdapat 1.383 data yang eligible untuk digunakan dalam penelitian ini. Hasil penelitian ini terdapat 153 (11,1%) ibu hamil dengan risiko KEK. Provinsi dengan kasus ibu hamil risiko KEK terbanyak di Indonesia adalah Jawa Tengah sebanyak 103 kasus (7,2%) sedangkan provinsi dengan kasus terendah adaalah Papua Pegunungan sebanyak 3 kasus (0,2%). Status sosial ekonomi keluarga terendah (OR 2,13; 95% CI 1,28 – 3,54), konsumsi buah ≤ 3 kali per bulan (OR 0,26; 95% CI 1,15 – 5,94), dan mengalami stres (OR 3,17; 95% CI 1,03 – 9,75) adalah faktor risiko yang berasosiasi dengan risiko KEK pada ibu hamil. Selain itu, faktor yang menunjukkan protektif terhadap risiko KEK pada ibu hamil adalah berumur > 35 tahun (OR 0,37; 95% CI 0,18 – 0,76). Oleh karena itu, program bantuan bagi keluarga ibu hamil miskin mampu mendukung pencegahan risiko KEK pada ibu hamil.
In Indonesia, the prevalence of CED among pregnant women increased from 16.9% in 2018 to 17% in 2023. In fact, in order to reduce the rate of CED in pregnant women, the Indonesian government since 2014 has implemented nutrition intervention programmes for pregnant women including implementing supplementary feeding according to local food ingredients, providing TTD tablets, and pregnant women's classes. Although nutrition and maternal health programmes have long been implemented in Indonesia, the problem of CED in pregnant women is still one of the forms of malnutrition that has not been effectively addressed. This study aims to determine the factors associated with the risk of CED in pregnant women based on SKI 2023 data. The design of this study was cross sectional with a sample of pregnant women who were in the 3rd trimester of pregnancy and used simple logistic regression test for bivariate analysis. Of the 5,055 pregnant women surveyed, 1,393 were eligible to be used in this study. The results of this study showed that there were 153 (11.1%) pregnant women at risk of CED. The province with the most cases of pregnant women at risk of CED in Indonesia was Central Java with 103 cases (7.2%) while the province with the lowest cases was Papua Mountains with 3 cases (0.2%). Lowest family socioeconomic status (OR 2.13; 95% CI 1.28 - 3.54), fruit consumption ≤ 3 times per month (OR 0.26; 95% CI 1.15 - 5.94), and experiencing stress (OR 3.17; 95% CI 1.03 - 9.75) were risk factors associated with the risk of CED in pregnant women. In addition, the factor that showed protective against the risk of CED in pregnant women was being > 35 years old (OR 0.37; 95% CI 0.18 - 0.76). Therefore, the assistance programme for families of poor pregnant women can support the prevention of the risk of CED in pregnant women.
WHO estimates that there are 8 million people with Down syndrome in the world he specific cause is not yet known, but pregnancy by mothers over the age 35 years of high risk of having Down syndrome children. In mothers over 35 years of age, the incidence increases to 1 in 300 births. Meanwhile, for mothers over 40 years of age, the incidence increases drastically, reaching 1 in 10 births. This study aims to determine the relationship between maternal age at pregnancy and the incidence of Down syndrome in children aged 0-59 months in Indonesia based on 2018 Riskesdas data. t is necessary to educate productive women about the risks of pregnancy at old age
Energy and other nutrients need are increase during pregnancy, especially in the third trimester of pregnancy. Malnutrition is not just a lack of food but also a combination of several factors such as inadequate consumption of protein, energy and micronutrients, the presence of infectious diseases, inadequate health services, poor water and sanitation. Pregnant women with poor nutritional status will experience nutritional problems such as chronic energy deficiency (CED). Pregnant women who have a risk of CED are having mid upper arm circumference (MUAC) < 23.5 cm. Pregnant women who are at risk of CED are expected to have LBW babies. The purpose of this study was to determine the related factors of chronic energy deficiency risk on pregnant women in Indonesia. This study used a cross-sectional design using secondary data from basic health research in 2018. The sample of this study was 3,341 respondents of third trimester pregnant women. Data were analyzed using Cox Regression to determine the prevalence ratio (PR) the related factors of chronic energy deficiency with a Confident Interval (CI95%) to see significance. The prevalence of CED risk on pregnant women in Indonesia is 14.9%. The results of multivariat analysis showed that the related factors of CED risk were number of family members > 4 peoples ( PR 1.388; CI95% 1.1611.661), rural residance (PR 1.337; CI95% 1.111-1.608), multigravida (PR 0.604; CI95% 0.503-0.726) and grandemultigravida (PR 0.722; CI95% 0.515-1.011). It is recomendet that the goverment provide nutrition consultasy services at the public health center, counseling by midwives in village, limiting the number of children in the community started with labor and empowering communities especially in rural areas.
Kata kunci: Suplemen besi. Tablet Tambah Darah, BBLR
Based on Riskesdas 2018, the proportion of LBW in Indonesia is 6.3% with the highest number of cases in West Java Province. Iron deficiency in pregnant women can cause restricted fetal growth, prematur birth or LBW. This study aims to look at the relationship between compliance with iron supplement consumption during pregnancy with LBW after controlling for all confounding variables. The method used in this study is case control with a ratio of 1: 3. The research sample is derived from secondary data used from the 2018 Basic Health Research in West Java Province. The number of cases for this study were 180 samples and 540 controls. The covariate variables in this study were maternal age during pregnancy, education level, work status, area of residence, history of hypertension, complications, smoking status, passive smoking status and gestational age at delivery. The relationship of variables was assessed by bivariate and multivariate analysis. The results showed no significant relationship (p> 0.05) with a 1.268 times greater chance of risk for mothers who consumed less iron supplements than 90 tablets to deliver LBW babies (OR = 1.268 95% CI 0.87-1.847) after covariate controlled variable.
Key words: Iron Supplementation, Low Birth Weight
