Association Between Chronic Energy Deficiency in Pregnant Women and Low Birth Weight Incidence in Terusan Tengah Health Center Area

Authors

  • Nanik Isnaeni Institut Teknologi Sains dan Kesehatan Rs. dr. Soepraoen Malang
  • Raden Maria Veronika Widiatrilupi Institut Teknologi Sains dan Kesehatan Rs. dr. Soepraoen Malang

DOI:

https://doi.org/10.59680/medika.v3i3.2317

Keywords:

Chronic Energy Deficiency, LBW, LILA, Nutritional Status, Pregnant Women

Abstract

Low Birth Weight (LBW) remains a major public health concern in Indonesia, with a national prevalence of 6.2. One of the primary contributing factors is Chronic Energy Deficiency (CED) among pregnant women, which is indicated by an Upper Arm Circumference (MUAC) of less than 23.5 cm. Preliminary data from the Terusan Tengah Community Health Center (UPT) revealed that the prevalence of CED among pregnant women reached 22.5, while LBW incidence was 14.8, both exceeding national figures. This study aimed to examine the association between CED in pregnant women and the occurrence of LBW in the Terusan Tengah Health Center working area. An analytical observational design with a cross-sectional approach was employed, conducted from January to March 2024. The population included all mothers who delivered within the study area, with a total sampling technique applied. A sample of 30 respondents who met the inclusion criteria was analyzed. The independent variable was maternal nutritional status based on MUAC measurements, while the dependent variable was infant birth weight. Data collection involved MUAC measurement using a standard tape, neonatal weighing with a digital scale, and structured interviews. Data were analyzed using univariate and bivariate methods, 

References

Abera, M., Gebremariam, T., & Belachew, T. (2021). Prevalence and associated factors of low birth weight among neonates in Ethiopia: A systematic review and meta-analysis. BMC Pregnancy and Childbirth, 21(1), 1–14. https://doi.org/10.1186/s12884-021-03908-0

Agustina, R., Prafiantini, E., & Huriyati, E. (2021). Maternal nutritional status and birth outcomes in Indonesia: A systematic review. Nutrients, 13(11), 3952. https://doi.org/10.3390/nu13113952

Badan Penelitian dan Pengembangan Kesehatan. (2021). Hasil riset kesehatan dasar (Riskesdas) tahun 2021. Kementerian Kesehatan RI.

Bhutta, Z. A., Das, J. K., Rizvi, A., Gaffey, M. F., Walker, N., Horton, S., Black, R. E. (2022). Evidence-based interventions for improvement of maternal and child nutrition: What can be done and at what cost? The Lancet, 399(10326), 452–466. https://doi.org/10.1016/S0140-6736(21)02418-0

Christian, P., Smith, E. R., & Zaidi, A. (2021). Addressing inequities in the global burden of maternal undernutrition: The role of targeting. BMJ Global Health, 6(3), e004186. https://doi.org/10.1136/bmjgh-2019-002186

Dahlan, M. S. (2019). Statistik untuk kedokteran dan kesehatan: Deskriptif, bivariat, dan multivariat (Edisi ke-7). Epidemiologi Indonesia.

Darma, S., Yunitasari, E., & Pradanie, R. (2022). The relationship between chronic energy deficiency in pregnant women and low birth weight in Indonesia. Journal of Public Health Research, 11(2), 2312–2318. https://doi.org/10.4081/jphr.2022.2312

Darnton-Hill, I., & Mkparu, U. C. (2021). Micronutrient deficiencies in pregnancy in low- and middle-income countries. Nutrients, 13(11), 3801. https://doi.org/10.3390/nu13113801

Dharma, K. K. (2021). Metodologi penelitian keperawatan: Panduan melaksanakan dan menerapkan hasil penelitian (Edisi ke-3). Trans Info Media.

Hastono, S. P. (2021). Analisis data kesehatan: Basic data analysis for health research training. Fakultas Kesehatan Masyarakat Universitas Indonesia.

Kementerian Kesehatan Republik Indonesia. (2020). Pedoman pelayanan antenatal terpadu (Edisi ke-2). Direktorat Bina Kesehatan Ibu.

Kementerian Kesehatan Republik Indonesia. (2022). Profil kesehatan Indonesia tahun 2021. Kementerian Kesehatan RI.

Kementerian Kesehatan Republik Indonesia. (2023). Buku saku pemantauan status gizi dan indikator kinerja gizi tahun 2022. Direktorat Gizi Masyarakat.

Lassi, Z. S., Padhani, Z. A., Rabbani, A., Rind, F., Salam, R. A., Das, J. K., & Bhutta, Z. A. (2021). Impact of dietary interventions during pregnancy on maternal, neonatal, and child outcomes in low- and middle-income countries. Nutrients, 13(2), 531. https://doi.org/10.3390/nu13020531

Lestari, P., Megasari, M., & Kusumawati, Y. (2023). Chronic energy deficiency and low birth weight: A case-control study in primary health care. International Journal of Environmental Research and Public Health, 20(4), 3156. https://doi.org/10.3390/ijerph20043156

Marlenywati, M., Handayani, D., & Nurdiana, N. (2021). Hubungan status gizi ibu hamil dengan kejadian bayi berat lahir rendah di Indonesia: Tinjauan literatur. Jurnal Kesehatan Masyarakat, 17(2), 245–254.

Notoatmodjo, S. (2018). Metodologi penelitian kesehatan (Edisi revisi). Rineka Cipta.

Ota, E., Haruna, M., Suzuki, M., Anh, D. D., Tho, L. H., Tam, N. T. T., & Mori, R. (2021). Maternal body mass index and gestational weight gain and their association with perinatal outcomes in Vietnam. BMC Pregnancy and Childbirth, 21(1), 1–11. https://doi.org/10.1186/s12884-021-03637-4

Prawirohardjo, S. (2021). Ilmu kebidanan Sarwono Prawirohardjo (Edisi ke-5). PT Bina Pustaka Sarwono Prawirohardjo.

Ramakrishnan, U., Imhoff-Kunsch, B., & Martorell, R. (2021). Maternal nutrition interventions to improve maternal, newborn, and child health outcomes. Nestle Nutrition Institute Workshop Series, 93, 71–80. https://doi.org/10.1159/000354942

Sari, W. P., Wulandari, D., & Utami, F. P. (2022). The correlation between maternal mid-upper arm circumference and low birth weight incidence in Indonesia: A meta-analysis. Journal of Maternal and Child Health, 7(3), 312–321. https://doi.org/10.26911/thejmch.2022.07.03.08

Sastroasmoro, S., & Ismael, S. (2020). Dasar-dasar metodologi penelitian klinis (Edisi ke-6). Sagung Seto.

Sugiyono. (2019). Metode penelitian kuantitatif, kualitatif, dan R&D (Edisi ke-2). Alfabeta.

Sulistiyowati, N., & Siswanto, S. (2023). Determinan kekurangan energi kronik pada ibu hamil di Indonesia: Analisis data Riskesdas 2018. Media Penelitian dan Pengembangan Kesehatan, 33(1), 45–56. https://doi.org/10.22435/mpk.v33i1.6224

United Nations Children’s Fund (UNICEF) & World Health Organization (WHO). (2022). Low birthweight: Country, regional and global estimates. UNICEF.

World Health Organization. (2021). WHO recommendations on antenatal care for a positive pregnancy experience. WHO Press.

Yoseph, A., Gebrehiwot, T. G., Mamo, T. T., & Alebel, A. (2022). Magnitude of low birth weight and associated factors among newborns delivered in Ethiopian health facilities: A systematic review and meta-analysis. Italian Journal of Pediatrics, 48(1), 1–15. https://doi.org/10.1186/s13052-022-01206-0

Downloads

Published

2025-08-31

How to Cite

Nanik Isnaeni, & Raden Maria Veronika Widiatrilupi. (2025). Association Between Chronic Energy Deficiency in Pregnant Women and Low Birth Weight Incidence in Terusan Tengah Health Center Area. Jurnal Medika Nusantara, 3(3), 246–260. https://doi.org/10.59680/medika.v3i3.2317