THE The Relationship Between Hemoglobin Levels of Pregnant Mothers and Low Birth Weight at Dr. Moewardi Regional Hospital Surakarta

Authors

  • Aisya Fikritama Department of Child Health, Sebelas Maret University, Surakarta, Indonesia
  • Otniel Liandoro Medical Study Program, Faculty of Medicine, Sebelas Maret University, Surakarta, Indonesia
  • Pitra Sekarhandini Department of Pediatric, Dr. Moewardi Regional Hospital, Surakarta, Indonesia
  • Pridania Vidya Department of Pediatric, Dr. Moewardi Regional Hospital, Surakarta, Indonesia

DOI:

https://doi.org/10.26911/thejmch.2024.09.05.05

Abstract

Background: Anemia is one of the nutritional problems commonly encountered in pregnant women. The World Health Organization (WHO) states that approximately 37% of pregnant women worldwide experience anemia. This condition reduces the amount of oxygen and nutrient supply available in the mother's blood, which can disrupt the development and growth of the fetus. The growth disturbances in the fetus can be evaluated through anthropometric examinations, such as measuring the birth weight of the baby. This study aims to determine the relationship between hemoglobin levels in pregnant women and the incidence of low birth weight.

Subjects and Method: A cross-sectional study was conducted at Dr. Moewardi Regional Hospital in Surakarta from May to July 2024. A total of 68 pragnant women selected for this study. The dependent variable was newborn baby weight. The independent variable was hemoglobin levels of pregnant women in the third trimester. The data obtained from patient medical records. The data analyzed using a multiple logistic regression.   

Results: Low Hb levels (anemia) increase the incidence of LBW. Pregnant women with low Hb levels (anemia) have a 2.30 times greater risk of experiencing LBW compared to pregnant women with normal HB levels, but this result was not statistically significant (OR= 2.30; 95% CI = 0.14 to 38.63; p = 0.563).

Conclusion: Low Hb levels increase the incidence of LBW, but it is not statistically.

Keywords:

anemia, hemoglobin, anthropometry, birth weight

References

Devi NKY, Yanti NLGP, Prihatiningsih D (2023). Perbedaan kadar hemoglobin sebelum dan sesudah pemberian tablet fe pada ibu hamil trimester iii (The difference in hemoglobin levels before and after the administration of iron tablets in third-trimester pregnant women). Jurnal Riset Kesehatan Nasional, 7(2): 140–149. doi: https://doi.org/10.37294/jrkn.v7i2.514

Ernawati A (2017). Masalah gizi pada ibu hamil (Nutritional problems in pregnant women). Jurnal Litbang: Media Informasi Penelitian, Pengembangan dan IPTEK, 13(1): 60–69. doi: https://doi.org/10.33658/jl.v13i1.93

Fajriana A, Buanasita A (2018). Faktor risiko yang berhubungan dengan kejadian bayi berat lahir rendah di Kecamatan Semampir Surabaya (Risk factors associated with the incidence of low birth weight infants in Semampir District, Surabaya). Media Gizi Indonesia, 13(1): 71-80. doi: https://doi.org/10.20473/mgi.v13i1.7180

Hamalding H, Oka IA, Fitriani SI (2023). Hubungan status gizi ibu hamil dengan berat badan lahir rendah (bblr) di Rumah Sakit ST. Madyang Kota Palopo (The relationship between maternal nutritional status and low birth weight (LBW) at ST. Madyang Hospital in Palopo City). UNM Environmental Journals, 6(3): 52–58. doi: https://doi.org/10.26858/uej.v6i3

Kementrian Kesehatan RI (2023) Profil kesehatan Indonesia 2022 (Indonesia Health Profile 2022). Jakarta: Kementerian Kesehatan Republik Indonesia.

Khairunnisa L, Wiyati PS, Adespon DA (2019). Hubungan anemia selama hamil dengan berat badan lahir bayi (The relationship between anemia during pregnancy and the birth weight of the baby). Jurnal Kedokteran Diponegoro (Diponegoro Medical Journal), 8(2): 792-801. doi: https://doi.org/10.14710/dmj.v8i2.23800

Lusi A, Artawan IM, Padmosiwi WI (2019). Hubungan kadar hemoglobin ibu hamil dengan kejadian bayi berat lahir rendah di RSUD. Prof. Dr. W. Z, Johannes Kupang (The relationship between maternal hemoglobin levels and the incidence of low birth weight infants at RSUD. Prof. Dr. W. Z, Johannes Kupang). Cendana Medical Journal, 7(1): 144–148. doi: https://doi.org/10.35508/cmj.v7i1.1499

Marini, Solechah SA, Fathullah DM, Suryani N, Yulidasari F, Setiawan MI, Rahayu A (2023). Hubungan usia ibu, kadar hemoglobin, dan status KEK saat kehamilan dengan berat badan lahir bayi (The relationship between maternal age, hemoglobin levels, and CED status during pregnancy with newborn birth weight). Ghidza: Jurnal Gizi dan Kesehatan, 7(2): 296–304. doi: https://doi.org/10.22487/ghidza.v7i2.1009

Martini DE, Rini EJS, Kusbiantoro D, Susanti I (2023). Korelasi paparan asap rokok dengan kejadian anemia pada kehamilan (The correlation between cigarette smoke exposure and the incidence of anemia during pregnancy). Jurnal Media Komunikasi Ilmu Kesehatan, 15(3): 106–113. doi: https://doi.org/https://doi.org/10. 38040/js.v15i3.840

Martinus FD, Bintang MR, Sari RN (2023). Hubungan usia ibu, paritas, dan jarak kehamilan pada ibu hamil dengan kejadian bayi berat lahir rendah (BBLR) di Rumah Sakit Charis Medika Batam tahun 2021 (The relationship between maternal age, parity, and interpregnancy interval in pregnant women with the incidence of low birth weight (LBW) at Charis Medika Hospital Batam in 2021). Zona Kedokteran: Program Studi Pendidikan Dokter Universitas Batam, 13(1): 295–305. doi: https://doi.org/10.37776/zked.v1s3i1.1149

Minasi A, Susaldi, Nurhalimah I, Imas N, Gresica S, Candra Y (2021). Faktor yang mempengaruhi kejadian anemia pada ibu hamil (Factors that influence the occurrence of anemia in pregnant women). Open Access Jakarta Journal of Health Sciences, 1(2): 57–63. doi: https://doi.org/10.53801/oajjhs.v1i3.21

Mulianisaa R, Tunggal T, Suhrawardi (2021). Studi literatur hubungan anemia dan KEK pada ibu hamil dengan kejadian BBLR (Literature study of the relationship between anemia and chronic energy deficiency with the incidence of low weight birth). Jurnal Kebidanan Bestari, 5(2): 149-157. doi: https://doi.org/10.31964/jkb.v5i2.81

Nuryani, Handayani AM (2022). Hubungan lingkar lengan atas (LiLA), hemoglobin (Hb), dan asupan Fe terhadap berat badan lahir bayi (The relationship between upper arm circumference, hemoglobin, and iron intake on birth weight)., Poltekita: Jurnal Ilmu Kesehatan, 16(2): 228–234. doi: https://doi.org/10.33860/jik.v16i2.1255

Pemerintah Provinsi Jawa Tengah (2020). Rencana aksi daerah tujuan pembangunan berkelanjutan (TPB)/ sustainable development goals (SGDs) (Regional action plan for sustainable development goals (SDGs) in Central Java Province). Provinsi Jawa Tengah. Semarang: Pemerintah Provinsi Jawa Tengah.

Pertiwi WE, Annissa, Polwandari F (2022). Faktor tidak langsung penyebab kejadian bayi berat lahir rendah (BBLR) (Indirect factors causing low birth weight in infants). Jurnal Ilmu Kesehatan Masyarakat, 11(02): 151–159. doi: https://doi.org/10.33221/jikm.v11i02.1058.

Pitriani T, Nurvinanda, Lestari IP (2023). Faktor-faktor yang berhubungan dengan meningkatnya kejadian bayi dengan berat badan lahir rendah (BBLR) (Factors associated with the increased incidence of low birth weight infants). Jurnal Penelitian Perawat Profesional, 5(4): 1597–1608. doi: https://doi.org/10.37287/jppp.v5i4.1884.

Puspitaningrum EM (2018). Hubungan status gizi ibu hamil dengan kejadian berat badan lahir rendah (BBLR) di RSIA ANNISA kota Jambi tahun 2018 (The relationship between the nutritional status of pregnant women and the incidence of low birth weight (LBW) at RSIA ANNISA in Jambi city in 2018). Scientia Journal, 7(2): 1–7. doi: https://doi.org/10.5281/scj.v7i2.67

Putri MAP, Habibah N, Swastini IGAAP (2022). Gambaran kadar hemoglobin pada ibu hamil di wilayah kerja Puskesmas Tampaksiring I (The description of hemoglobin levels in pregnant woman in work area of Puskesmas Tampaksiring I). Jurnal Meditory, 10(2): 128-138. doi: https://doi.org/10.33992/meditory.v10i2.2191

Riskesdas Kementrian Kesehatan RI (2018). Laporan Nasional Riskesdas 2018 (National Riskesdas Report 2018). Jakarta: Lembaga Penerbit Balitbangkes.

Ro A, Goldberg RE, Kane JB (2019). Racial and ethnic patterning of low birth weight, normal birth weight, and macrosomia. Preventive Medicine, 118: 196–204. Available at: https://doi.org/10.1016/j.ypmed.2018.10.012

Setyawati R, Arifin NAW (2022). Hubungan kadar hemoglobin ibu hamil dengan berat bayi lahir (literature review) (The relationship between maternal hemoglobin levels and birth weight (literature review)). Jurnal Health Sains, 3(3): 489–494. doi: https://doi.org/10.46799/jhs.v3i3.454 27236927

Sheerwood, L. (2018). Fisiologi Manusia dari Sel Ke Sistem (Human Physiology from Cell to System). Edisi 9. Jakarta : ECG, 456.

Silaban VF, Masniar, Masna, Marwani (2024). Hubungan usia kehamilan, jarak kehamilan dan komplikasi kehamilan, antenatal care dengan kejadian bayi berat lahir rendah (BBLR) (The relationship between gestational age, interpregnancy interval, pregnancy complications, antenatal care, and the incidence of low birth weight (LBW)). MAHESA, 4(6): 2344–2353. doi: https//doi.org/10.33024/mahesa.v4i6.14497.

Sinaga PNF (2020). Faktor-faktor yang mempengaruhi kejadian anemia pada ibu hamil trimester III di wilayah kerja Puskesmas Medan Johor tahun 2019 (Factors affecting the incidence of anemia in third-trimester pregnant women in the working area of Puskesmas Medan Johor in 2019). Jurnal Ilmiah Kohesi, 4(4): 67–81. doi: https://kohesi.sciencemakarioz.org/index.php/JIK/article/view/189

Stephen G, Mgongo M, Hashim TH, Katanga J, Pedersen BS, Msuya SE (2018). Anemia in pregnancy: prevalence, risk factors, and adverse perinatal outcomes in Northern Tanzania. Anemia, 2018(1): 1846280. doi: https://doi.org/10.1155/2018/1846280.

Tampubolon R, Dary, Widyatama AK (2023). Hubungan kadar hemoglobin ibu hamil dengan berat badan lahir bayi (Corellation between maternal hemoglobin level with baby birth weight) Jurnal Penelitian Keperawatan, 9(1): 59–67. doi: https://doi.org/10.32660/jpk.v9i1.650

Tarigan N, Simanjuntak RR, Nainggolan O (2023). Maternal age at birth and low birth weight (LBW) in Indonesia (Analysis of Riskesdas 2018). Gizi Indonesia, 46(1): 1–10. doi: https://doi.org/10.36457/gizindo.v46i1.694

WHO (2011). Haemoglobin concentrations for the diagnosis of anaemia and assessment of severity. Geneva, Switzerland: World Health Organization, 1–6.

Wulandari AF, Sutrisminah E, Susiloningtyas I (2021). Literature review: Dampak anemia defisiensi besi pada ibu hamil (The impact of iron deficiency anemia on pregnant women). Jurnal Ilmiah PANNMED (Pharmacist, Analyst, Nurse, Nutrition, Midwivery, Environment, Dentist), 16(3): 692–698. doi: https://doi.org/10.36911/pannmed.v16i3.1219.

Xiong J, Zhou W, Huang S, Xu K, Xu Y, He X (2023). Maternal anaemia and birth weight: a cross-sectional study from Jiangxi Province, China". Family practice, 40(56): 722–727. doi: https://doi.org/10.1093/fampra/cmac148

Yuwana NRDA, Mahmudiono T, Rifqi MA (2022). Faktor-faktor yang berhubungan dengan kejadian bayi berat lahir rendah (BBLR) di Indonesia berdasarkan analisa data sekunder SDKI tahun 2017 (Factors associated with low birth weight (LBW) in Indonesia based secondary data analysis of Indonesia demograghic and health survey 2017). Media Gizi Kesmas, 11(2): 451–457. doi: https://doi.org/10.20473/mgk.v11i2.2022.451457.

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Published

2024-09-16

How to Cite

Fikritama, A., Liandoro, O., Sekarhandini, P., & Vidya, P. (2024). THE The Relationship Between Hemoglobin Levels of Pregnant Mothers and Low Birth Weight at Dr. Moewardi Regional Hospital Surakarta. Journal of Maternal and Child Health, 9(5), 802–812. https://doi.org/10.26911/thejmch.2024.09.05.05

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