Tugas 2 Abstrak Jurnal Internasional.docx

ANNISA RUSDI (1810104288) E

JURNAL INTERNASIONAL 1. Maternal associated factors of low birth weight: a hospital based cross-sectional mixed study in Tigray, Northern Ethiopia (Faktor maternal yang berhubungan dengan kejadian berat badan lahir rendah di rumah sakit Tigray, Ethiopia Utara dengan studi cross-sectional) A. Peneliti : Meresa Gebremedhin et al. BMC Pregnancy and Childbirth B. Tahun : 2015 C. Volume : 4 D. Abstract Background: Birth weight is an important determinant of child survival and development. So far, the prevalence and traditional maternal feeding practice correlates of low birth weight have not been explored well in Ethiopia. Therefore, the purpose of this study was to determine the prevalence and associated factors of low birth weight among mothers who delivered at governmental hospitals, Northern, Ethiopia. Methods: A cross-sectional mixed study design was carried out in 3 zonal hospitals among 308 mothers and their respective live born baby consecutively using interviewer administered piloted questionnaire and 3 focus group discussions were conducted for the qualitative part. The mothers were interviewed and assessed within 6 hours of delivery; all babies were weighed on standard beam balance from Aug 2 to Sep 12. Data were entered, cleaned and analyzed using SPSS version 16.0. Bivariate and multivariate logistic regression was employed to identify the predictors at p < 0.05. For the qualitative study design, following iterative hearing of the discussions verbatim interpretation was done & categorized in to themes and finally triangulated with the quantitative results. Results: The prevalence of low birth weight was found to be 14.6 % (95 % CI = 12.56-16.61) and the mean and standard deviations of the birth weights were 3094.9 ± 587.6 grams. Low birth weight was associated with rural place of residence (AOR = 4.34 (95 % CI = 1.99-9.48)), preterm birth/gestational age less than 37 weeks (AOR = 18.5 (95 % CI = 4.94-69.4)), presence of any chronic medical illness (AOR = 5.3 (95 % CI = 1.12-25.45) and maternal weight <50 kg (AOR = 2.26 (95 % CI = 1.06-4.80)). It was found that tradition of selection and preference of nutritionally poor food items during pregnancy was deep-rooted in the community. Conclusion: The prevalence of low birth weight was found to be high and it was associated with rural place of residence, gestational age <37 wks, presence of any chronic medical illness & maternal weight <50 kg. Emphasis should be given to nutritional counseling and disease specific ANC provision by skilled health professionals; Discussions with the community and religious leaders are mandatory aspect on the tradition of feeding of pregnant mothers

ANNISA RUSDI (1810104288) E to tackle the problem. This study also calls for community based further studies. Keywords: Low birth weight, Maternal factors, Tigray, Northern Ethiopia 2. Study of maternal risk factors for low birth weight neonates: a case–control study (Faktor resiko maternal pada kejadian berat badan lahir rendah dengan studi casecontrol) A. Peneliti : Manisha L Bendhari B. Tahun : 2015 C. Volume : 4 D. Abstract Background: Low birth weight (LBW) is an important indicator of reproductive health and general health status of population. Weight at birth is directly influenced by general level of health status of the mother. The maternal risk factors are biologically and socially interrelated; most are, however, modifiable, which vary from one area to another, depending on geographic, socioeconomic, and cultural factors. Objectives: This study was undertaken to evaluate maternal risk factors associated with LBW neonates. Materials and Methods: A case–control study was conducted in a tertiary care government hospital in Solapur, Maharashtra. A total of 220 cases (vaginal delivery or cesarean delivery) and 220 controls who delivered a live-born singleton baby without congenital malformation enrolled within 1 day of delivery. Mothers who had multiple births were excluded. All babies were weighed within 24 h after the birth. The information was gathered from the maternal health records and interviewing the mothers of these infants. Results: The mean age of mothers in case group was 22.6 years and that of controls was 23.92 years. Mean weight gain during pregnancy of mothers in case group was 4.2 kg and that of controls was 5.9 kg. Mean weight of the newborn of cases and controls was 1664.97 and 2548.35 g, respectively. Spacing <2 years between this and last pregnancy, pregnancy-induced hypertension, tobacco exposure, lower socioeconomic status (class IV+V), prepregnancy weight <45 kg, late antenatal care (ANC) registration were identified as significant risk factors for LBW neonates. Significant association was found between maternal education (illiterate/primary), prematurity, cesarean delivery, age of mother <20 or >30 years, height <145 cm, maternal occupation (laborer), nuclear family, primigravida, anemia, inadequate ANC, and LBW. Conclusion: Health education, socioeconomic development, maternal nutrition, and increasing the use of health services during pregnancy are all important factors for reducing LBW.

ANNISA RUSDI (1810104288) E Key words: Low birth weight, maternal risk factors, case–control study

3. Maternal factors associated with low birth weight: a case control study in rural Kerala (Faktor ibu berhubungan dengan berat lahir rendah: studi kasus kontrol di pedesaan Kerala) A. Peneliti : Anant Pawar B. Tahun : 2017 C. Volume : 4 D. Abstract Background: Low birth weight (LBW) continues to remain a major public health problem worldwide. There are numerous factors contributing to LBW both maternal and foetal. The maternal risk factors are biologically and socially interrelated. The mortality of low birth weight can be reduced if the maternal risk factors are detected early and managed by simple techniques. This study was conducted to study the maternal risk factors associated with low birth weight. Methods: A retrospective record based case control study was conducted. Retrospective data collection was done using registers from medical record section of Obstetrics and Gynaecology department. After applying exclusion criteria and checking for completeness of records, we selected 60 cases and 124 matched controls. Data was entered in Microsoft excel and analyzed using SPSS version 16. Students ‘t’ test, chi-square test and odds ratio were used to find out the factors associated with low birth weight. Results: In the present study, 60 cases and 124 controls were studied. Mean age of mothers in the case group was 24.4±4.7 yrs. and in the control group was 24.8±4.42 yrs. Mean weight of the cases was 62.5±6.89 kg and of the controls was 65.04±7.16 kg. A total of 35% of the cases and 20% of the controls suffered from pregnancy related diseases. Conclusions: Maternal factors like Socio-economic status, weight, haemoglobin and parity were significantly associated with LBW. Maternal diseases like hypertension, diabetes can result in LBW baby. Keywords: Maternal factors, Low birth weight, Kerala

4. Risk factors for low birth weight in Bale zone hospitals, South-East Ethiopia : a case–control study (Faktor risiko pada kejadian berat badan lahir rendah di rumah sakit Bale zone, Etiopia Tenggara dengan studi kasus-kontrol) A. Peneliti : Habtamu Damelash et al. B. Tahun : 2015 C. Volume/hal : 15/264

ANNISA RUSDI (1810104288) E D. Abstract Background: Low birth weight (LBW) is closely associated with foetal and neonatal mortality and morbidity, inhibite growth and cognitive development and resulted chronic diseases later in life. Many factors affect foetal growth and thus, the birth weight. These factors operate to various extents in different environments and cultures. The prevalence of low birth weight in the study area is the highest in the country. To the investigator’s knowledge in Bale Zone, no study has yet been done to elucidate the risk factors for low birth weight using case control study design. This study was aimed to identify the risk factors of low birth weight in Bale zone hospitals. Methods: A case–control study design was applied from April 1st to August 30th, 2013. A total of 387 mothers (136 cases and 272 controls) were interviewed using structured and pretested questionnaire by trained data collectors working in delivery ward. For each case, two consecutive controls were included in the study. All cases and controls were mothers with singleton birth, full term babies, no diabetes mellitus and no hypertensive. The data were entered and analyzed using SPSS version 16.0 statistical package. The association between the independent variables and dependent variable (birth weight) was evaluated through bivariate and multiple logistic regression analyses. Result: Maternal age at delivery <20 years (adjusted odds ratio (AOR) = 3; 95 % confidence interval (CI) = 1.65–5.73), monthly income <26 United States Dollarr (USD) (AOR = 3.8; 95 % CI = 1.54–9.41), lack of formal education (AOR = 6; 95 % CI = 1.34–26.90), being merchant (AOR = 0.1; 95 %CI = 0.02–0.52) and residing in rural area (AOR = 2.1; 95 % CI = 1.04–4.33) were socio-economic variables associated with low birth weight. Maternal risk factors like occurrence of health problems during pregnancy (AOR = 6.3; 95 % CI = 2.75–14.48), maternal body mass index <18 kg/m2 (AOR = 6.7; 95 % CI = 1.21–37.14), maternal height <1.5m (AOR = 3.7; 95 % CI = 1.22–11.28), inter-pregnancy interval <2 years (AOR = 3; 95 % CI = 1.58–6.31], absence of antenatal care (OR = 2.9; 95 % CI = 1.23–6.94) and history of khat chewing (AOR = 6.4; 95 % CI = 2.42–17.10) and environmental factors such as using firewood for cooking (AOR = 2.7; 95 % CI = 1.01–7.17), using kerosene for cooking (AOR = 8.9; 95 % CI = 2.54–31.11), wash hands with water only (AOR = 2.2; 95 % CI = 1.30–3.90) and not having separate kitchen room (AOR = 2.6; 95 % CI = 1.36–4.85) were associated with low birth weight. Conclusion: Women who residing in rural area, faced health problems during current pregnancy, had no antenatal care follow-up and use firewood as energy source were found to be more likely to give low birth weight babies. Improving a mother’s awareness and practice for a healthy pregnancy needs to be emphasized to reverse LBW related problems. Keywords: Maternal risk factors, Low birth weight, Environmental risk factors, Socio economic risk factors

ANNISA RUSDI (1810104288) E

5. Recent trends, risk factors, and disparities in low birth weight in California, 2005– 2014: a retrospective study (Tren terbaru, faktor risiko, dan disparitas berat badan lahir rendah di California, 2005–2014: penelitian retrospektif) A. Peneliti : Anura W. G. Ratnasiri et al. B. Tahun : 2017 C. Volume : 4 D. Abstract Background: Low birth weight (LBW) is a leading risk factor for infant morbidity and mortality in the United States. There are large disparities in the prevalence of LBW by race and ethnicity, especially between African American and White women. Despite extensive research, the practice of clinical and public health, and policies devoted to reducing the number of LBW infants, the prevalence of LBW has remained unacceptably and consistently high. There have been few detailed studies identifying the factors associated with LBW in California, which is home to a highly diverse population. The aim of this study is to investigate recent trends in the prevalence of LBW infants (measured as a percentage) and to identify risk factors and disparities associated with LBW in California. Methods: A retrospective cohort study included data on 5,267,519 births recorded in the California Birth Statistical Master Files for the period 2005– 2014. These data included maternal characteristics, health behaviors, information on health insurance, prenatal care use, and parity. Logistic regression models identified significant risk factors associated with LBW. Using gestational age based on obstetric estimates (OA), small for gestational age (SGA), appropriate for gestational age (AGA) and large for gestational age (LGA) infants were identified for the periods 2007–2014. Results: The number of LBW infants declined, from 37,603 in 2005 to 33,447 in 2014. However, the prevalence of LBW did not change significantly (6.9% in 2005 to 6.7% in 2014). The mean maternal age at first delivery increased from 25.7 years in 2005 to 27.2 years in 2014. The adjusted odds ratio showed that women aged 40 to 54 years were twice as likely to have an LBW infant as women in the 20 to 24 age group. African American women had a persistent 2.4-fold greater prevalence of having an LBW infant compared with white women. Maternal age was a significant risk factor for LBW regardless of maternal race and ethnicity or education level. During the period 2017–2014, 5.4% of the singleton births at 23–41 weeks based on OE of gestational age were SGA infants (preterm SGA + term SGA). While all the preterm SGA infants were LBW, both preterm AGA and term SGA infants had a higher prevalence of LBW.

ANNISA RUSDI (1810104288) E Conclusions: In California, during the 10 years from 2005 to 2014, there was no significant decline in the prevalence of LBW. However, maternal age was a significant risk factor for LBW regardless of maternal race and ethnicity or education level. Therefore, there may be opportunities to reduce the prevalence of LBW by reducing disparities and improving birth outcomes for women of advanced maternal age. Keywords: Low birth weight, Preterm birth, Prenatal care, Advance maternal age, Maternal health, Health behavior, Small for gestational age