DETERMINAN BERAT BADAN LAHIR RENDAH DI MALUKU UTARA
DOI:
https://doi.org/10.31004/prepotif.v8i3.38171Keywords:
BBLR, Determinan, Maluku UtaraAbstract
Berat Badan Lahir Rendah (BBLR) adalah berat bayi saat dilahirkan kurang dari 2500 gram, tanpa melihat usia kehamilan. BBLR merupakan masalah kesehatan masyarakat yang menjadi perhatian seluruh dunia terkait dampak jangka pendek dan jangka panjang yang ditimbulkannya. Berbagai dampak buruk penyakit dan kelainan muncul di sepanjang masa kehidupan, yaitu sejak bayi, anak-anak, remaja, hingga dewasa. Mengidentifikasi determinan BBLR sangat penting guna membantu upaya promotif-preventif terutama di bidang pelayanan kebidanan dan perawatan bayi baru lahir. Tujuan penelitian ini yaitu untuk menganalisis determinan BBLR di Provinsi Maluku Utara. Desain penelitian ini adalah observasional analitik dengan rancangan cross sectional. Sampel penelitian berjumlah 1.856 sampel. Data penelitian diperoleh dari sumber data sekunder catatan rekam medis. Analisis data yang dilakukan terdiri atas analisis univariat, bivariat, dan multivariat dengan program pengolah data SPSS. Hasil penelitian menunjukkan bahwa variabel yang berhubungan dalam meningkatkan risiko BBLR adalah paritas 1 (p value=0,011; OR=1,81; 95%CI:1,15-3,86), usia gestasi <37 minggu (p value<0,001; OR=566,22; 95%CI:110,36-2905,14), anemia (p value<0,001; OR=7,74; 95%CI:5,45-10,99), kehamilan kembar (p value<0,001; OR=23,73; 95%CI:11,97-47,03), dan Perawatan Antenatal (PAN) <4 kali (p value<0,001; OR=2,43; 95%CI:1,76-3,35). Sementara variabel yang menurunkan risiko BBLR adalah usia ibu. Dari hasil analisis multivariat, didapatkan bahwa usia gestasi <37 minggu merupakan variabel yang meningkatkan risiko BBLR paling besar (OR=434,27; 95%CI:80,14-2303,40). Simpulan dari penelitian ini adalah determinan yang berhubungan dalam meningkatkan risiko BBLR adalah paritas 1, usia gestasi <37 minggu, anemia, kehamilan kembar, dan PAN <4 kali.References
Afaya, A., Afaya, R. A., Azongo, T. B., Yakong, V. N., Konlan, K. D., Agbinku, E., Agyabeng-Fandoh, E., Akokre, R., Karim, J. F., Salia, S. M., & Ayanore, M. A. (2021). Maternal risk factors and neonatal outcomes associated with low birth weight in a secondary referral hospital in Ghana. Heliyon, 7(5), e06962.
https://doi.org/10.1016/j.heliyon.2021.e06962
Balitbangkes. 2019. Laporan Nasional Riskesdas 2018. Lembaga Penerbit Badan Penelitian dan Pengembangan Kesehatan. Jakarta. xiii + 628 hal. ISBN 978-602-373-118-3. Diakses dari: http://repository.litbang.kemkes.go.id/3514/
Damayanti, T., Gunanegara, R. F., Hidayat, M. (2022). Faktor-Faktor yang Memengaruhi Berat Badan Lahir Rendah di Rumah Sakit Khusus Ibu dan Anak Kota Bandung Periode Januari-Desember 2019. Journal of Medicine and Health. 2022; 4(2), 131-44. https://doi.org/10.28932/jmh.v4i2.3734
Deriba, B. S., & Jemal, K. (2021). Determinants of Low Birth Weight Among Women Who Gave Birth at Public Health Facilities in North Shewa Zone: Unmatched Case-Control Study. INQUIRY: The Journal of Health Care Organization, Provision, and Financing, 58, 00469580211047199. https://doi.org/10.1177/00469580211047199
Diabelková, J., Rimárová, K., Urdzík, P., Dorko, E., Houžvi?ková, A., Andraš?íková, Š., & Drabiš?ák, E. (2022). Risk factors associated with low birth weight. Cent Eur J Public Health, 30, S43-S49. https://doi.org/10.21101/cejph.a6883
Figueiredo, A. C., Gomes-Filho, I. S., Silva, R. B., Pereira, P. P., Mata, F. A. D., Lyrio, A., Souza, E. S., Cruz, S. S., & Pereira, M. G. (2018). Maternal anemia and low birth weight: a systematic review and meta-analysis. Nutrients, 10(5), 601.
https://doi.org/10.3390/nu10050601
Gebregzabiherher, Y., Haftu, A., Weldemariam, S., & Gebrehiwet, H. (2017). The prevalence and risk factors for low birth weight among term newborns in Adwa General Hospital, Northern Ethiopia. Obstetrics and gynecology international, 2017.
https://doi.org/10.1155/2017/2149156
Gebrehawerya, T., Gebreslasie, K., Admasu, E., & Gebremedhin, M. (2018). Determinants of low birth weight among mothers who gave birth in Debremarkos referral hospital, Debremarkos town, east Gojam, Amhara region, Ethiopia. Neonat Pediatr Med, 4(1), 145. https://doi.org/10.4172/2572-4983.1000145
Hauque, M. O., Azim, M. A. U., Zahir, K. M., Parvez, M., Hossain, S. Z., & Saha, A. K. (2022). Pattern of intrauterine growth retardation among low birth weight neonates. BIRDEM Medical Journal, 12(3), 177-181. https://doi.org/10.3329/birdem.v12i3.61686
Inpresari, I., & Pertiwi, W. E. (2021). Determinan Kejadian Berat Bayi Lahir Rendah. Jurnal Kesehatan Reproduksi, 7(3), 141-149. https://doi.org/10.22146/jkr.50967
Islam, M. M., Ababneh, F., Akter, T., & Khan, H. R. (2020). Prevalence and risk factors for low birth weight in Jordan and its association with under-five mortality: a population-based analysis. East Mediterr Health J, 26(10), 1273-1284.
https://doi.org/10.26719/emhj.20.096
Kelele, D., Sirait, R. W., & Riwu, Y. R. (2022). Factors Related to the Incidence of Low Birth Weight (LBW). Journal of Health and Behavioral Science, 4(1), 130-143. https://doi.org/10.35508/jhbs.v4i1.5115
Kemenkes RI. 2014. Buku Ajar Kesehatan Ibu dan Anak. Kementerian Kesehatan Republik Indonesia. Jakarta. xxx + 322 hal. ISBN 978-602-235-808-4. Diakses dari: http://bppsdmk.kemkes.go.id/pusdiksdmk/wp-content/uploads/2017/10/02Buku-KIA-06-10-2015-small.pdf
Kemenkes RI. 2022. Profil Kesehatan Indonesia 2021. Kementerian Kesehatan Republik Indonesia. Jakarta. xxix + 209 hal. Diakses dari:
https://www.kemkes.go.id/downloads/resources/download/pusdatin/profil-kesehatan-indonesia/Profil-Kesehatan-2021.pdf
Mingude, A. B., Gebretsadik, W., Misker, D., & Woldeamanuel, G. G. (2020). Determinants of low birth weight among live birth newborns delivered at public hospitals in Gamo Gofa Zone, South Ethiopia: Unmatched case control study. SAGE open medicine, 8, 2050312120940544. https://doi.org/10.1177/2050312120940544
Mulu, G. B., Gebremichael, B., Desta, K. W., Kebede, M. K., Aynalem, Y. A., Getahun, M. B. (2020). Determinants of Low Birth Weight Among Newborns Delivered in Public Hospitals in Addis Ababa, Ethiopia: Case-Control Study. Pediatric Health, Medicine and Therapeutics 2020:11, 119-126. https://doi.org/10.2147/PHMT.S246008
Negrato, C. A., & Gomes, M. B. (2013). Low birth weight: causes and consequences. Diabetology & metabolic syndrome, 5(1), 1-8. https://doi.org/10.1186/1758-5996-5-49
Oktriyanto, O., Rahardja, M. B., FN, D. N., Amrullah, H., Pujihasvuty, R., & PN, M. M. (2022). Determinants of Low Birth Weight in Indonesia. KEMAS: Jurnal Kesehatan Masyarakat, 17(4), 583-593. https://doi.org/10.15294/kemas.v17i4.33365
Paramitasari, N., Salimo, H., & Murti, B. (2018). The effect of biological, social, economic, and nutritional factors on low birth weight: A new path analysis evidence from Madiun Hospital, East Java, Indonesia. Journal of Maternal and Child Health, 3(3), 166-175. https://doi.org/10.26911/thejmch.2018.03.03.01
Prawirohardjo, S. 2020. Ilmu Kebidanan. Ed. 4, Cet. 3. Jakarta: PT Bina Pustaka. xxiv + 982 hal.
Rahmati, S., Delpishe, A., Azami, M., Ahmadi, M. R. H., & Sayehmiri, K. (2017). Maternal Anemia during pregnancy and infant low birth weight: A systematic review and Meta-analysis. International journal of reproductive biomedicine, 15(3), 125. PMID: 28580444. Diakses dari:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5447828/pdf/ijrb-15-125.pdf
Rifai, N. A., Abdullah, M. T., & Russeng, S. S. (2020). Risk factors of low birth weight in Prof. Dr. HM Anwar Makkatutu Bantaeng general hospital in 2019. Enfermería Clínica, 30, 465-468. https://doi.org/10.1016/j.enfcli.2019.10.122
Santos, E. J. N., Lima, E. N., Reis, J. D. R., Silva, J. R. S., Andrade, A. D. S. A., & de Aragão Batista, M. V. (2022). Prevalence and maternal risk factors of congenital malformations in newborns from Sergipe, Northeastern Brazil. ABCS Health Sciences. https://doi.org/10.7322/abcshs.2020066.1515
Sari, I., & Sari, J. I. (2022). Risk Factors Associated with The Incidence of Low Birth Weight (LBW) at Haji Makassar Hospital in January-December 2018. Journal of Health Sciences, 15(02), 111-119. https://doi.org/10.33086/jhs.v15i02.2534
Sari, Y. A. P., Wahiduddin, W., Ansariadi, A., Bustan, N., Russeng, S. S., Sirajuddin, S., & Wijaya, E. (2022). Determinants of Low Birth Weight Occurrence in Bahteramas Regional General Hospital, Southeast Sulawesi Province, Indonesia. Open Access Macedonian Journal of Medical Sciences, 10(E), 1107-1113.
https://doi.org/10.3889/oamjms.2022.9403
Srimiyati, S., & Ajul, K. (2021). Determinan Risiko Terjadinya Bayi Berat Lahir Rendah. Journal of Telenursing (JOTING), 3(1), 334-346.
https://doi.org/10.31539/joting.v3i1.2279
Wardlaw, T. M. (Ed.). (2004). Low birthweight: country, regional and global estimates. UNICEF. Diakses dari: https://apps.who.int/iris/handle/10665/43184
WHO. 2014. Global Nutrition Targets 2025: Low Birth Weight Policy Brief. World Health Organization. Geneva, Switzerland. 1-4 hal.
Diakses dari: https://apps.who.int/iris/rest/bitstreams/665585/retrieve
Widiyanto, J., & Lismawati, G. (2019). Maternal age and anemia are risk factors of low birthweight of newborn. Enfermeria clinica, 29, 94-97.
https://doi.org/10.1016/j.enfcli.2018.11.010
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