Role of Maternal Factors in Low Birth Weight

Abstract

Role of Maternal Factors in Low Birth Weight Peran Faktor Ibu dalam Kejadian Berat Bayi Lahir Rendah Gita S. Candijaya 1 , Edihan Mardjuki 2 , Edward Surjono 3 1 Faculty of Medicine and Health Science 2 Department of Obstetrics and Gynecology 3 Department of Pediatrics Faculty of Medicine and Science Universitas Katolik Atma Jaya Jakarta Abstract Abstrak Objective: To determine the correlation between body mass index, age, parity, gestational weight gain and low Tujuan: Mengetahui apakah terdapat hubungan antara indeks massa tubuh, usia, paritas, dan pertambahan berat birth weight at Atma Jaya Hospital in 2016-2019. badan ibu hamil terhadap kejadian berat bayi rendah di Methods: This was a cross-sectional study of 111 sample medical records of pregnant women who gave birth at Atma Jaya Hospital in 2016-2019 and met the inclusion and exclusion criteria. Data management was performed using the Chi-square test and multivariate logistic regression test. Result: Most of the mothers were in the group with normal BMI (60.4%), the G1 age group (21-29 years old) (45.9%), the low multiparity group (parity 1-3 times) (57.7%). The analysis showed that there was a signifi cant relationship between parity group grand multipara (p=0.028; OR=5.206; 95% CI=1.195-22.686) with the incidence of LBW. There was no signifi cant relationship between BMI group lean (p=0.303; OR=1.646; 95% CI=0.638-4.246), group normal (p=0.532), group fat (p=0.440; OR=1.957; 95% CI=0.35710.737), maternal age group G1 (p=0.141), group G2

(p=0.587; OR=1.327; 95% CI=0.478-3.687), group G3

(p=0.111; OR=0.262; 95% CI=0.050-1.360), parity group

nulliparity (p=0.494; OR=0.669; 95% CI=0.212-2.117), group

low multiparity (p=0.051), and gestational weight gain

group low (p=0.955; OR=1.028; 95% CI=0.396-2.667), group

normal (p=0.986), group high (p=0.897; OR=0.917; 95%

CI=0.245-3.424) with the incidence of LBW. Conclusions: There is a signifi cant relationship between parity with the incidence of low birth weight. There is no relationship between body mass index, age, and gestational weight gain with the incidence of low birth weight. Keywords: age, BMI, gestational weight gain, LBW, parity. Rumah Sakit Atma Jaya tahun 2016-2019. Metode: Penelitian ini merupakan penelitian analitik potong lintang dengan menggunakan rekam medis sebanyak 111 sampel ibu hamil yang melangsungkan persalinan di RS Atma Jaya pada tahun 2016-2019 dan memenuhi kriteria inklusi dan eksklusi. Pengelolaan data dilakukan dengan menggunakan uji Chi-square dan uji regresi logistik multivariat. Hasil: Didapatkan sebagian besar ibu berada pada kelompok dengan indeks massa tubuh normal (60,4%), kelompok usia G1 (21-29 tahun) (45,9%), kelompok paritas low multiparity (paritas 1-3 kali) (57,7%), dan kelompok pertambahan berat badan normal (47,7%). Hasil analisis menunjukkan terdapat hubungan antara paritas kelompok grand multipara (p=0,028; OR=5,206; 95% CI=1,195-22,686) terhadap kejadian BBLR. Tidak terdapat hubungan signifi kan antara indeks massa tubuh kelompok kurus (p=0,303; OR=1,646; 95% CI=0,638-4,246), kelompok normal (p=0,532), kelompok gemuk (p=0, 440; OR=1, 957; 95% CI=0, 357-10.737), usia ibu hamil kelompok G1 (p=0,141), kelompok G2 (p=0,587; OR=1,327; 95% CI=0,478-3,687), usia kelompok G3 (p=0,111; OR=0,262; 95% CI=0, 0501,360), paritas kelompok nulliparity (p=0,494; OR=0,669;

95% CI=0,212-2,117), kelompok low multiparity (p=0.051),

pertambahan berat badan ibu hamil kelompok kurang

(p=0.955; OR=1.028; 95% CI=0.396-2.667), kelompok sesuai

(p=0.986), dan kelompok lebih (p=0.897; OR=0.917; 95%

CI=0.245-3.424) dengan kejadian BBLR. Kesimpulan: Terdapat hubungan yang signifi kan

antara paritas dengan kejadian berat bayi lahir rendah. Tidak terdapat hubungan antara indeks massa tubuh, usia, dan pertambahan berat badan ibu hamil dengan kejadian berat bayi lahir rendah. Kata kunci: BBLR, IMT, paritas, pertambahan berat badan, usia.