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Chronic Energy Deficiency (CED) in pregnant women remains a health problem in Indonesia, including in Sleman District. CED can be overcome through the provision of supplementary foods (PMT) based on local foods that are high in energy and protein. This study aims to determine the effectiveness of local PMT on upper arm circumference (UAC) in pregnant women with CED. The study design used an analytical observational approach with a cross-sectional approach. The sampling technique used in this study was total sampling, involving 47 pregnant women with CEM who received local PMT for at least 90 days in 2024 at the Cangkringan and Sleman Community Health Centers. The secondary data in this study were the results of LILA measurements before and after the provision of local PMT. The Wilcoxon Signed Test was used to analyze the difference in LILA. The results showed that the median LILA before PMT administration was 22 cm and after PMT administration was 23.6 cm, with an increase of 1.6 cm. There was a significant difference between LILA before and after local PMT administration (p = 0.000). After local PMT administration, 51.06% of pregnant women had LILA > 23.5 cm. It is hoped that further research can explore the intake of pregnant women with KEK during local PMT administration as additional data to examine the effectiveness of local PMT on LILA in pregnant women with KEK.

Background: The prevalence of Chronic Energy Deficiency (CED) among pregnant women in West Papua remains very high, reaching 40.7%. The provision of manufactured supplementary food (PMT) in the form of biscuits often faces challenges due to low compliance caused by monotonous taste and nausea-triggering flavors. Sweet potato (Petatas) is a potential local food source with an energy content of 123 kcal/100g that could serve as an alternative PMT. Objective: To analyze the acceptability (taste, color, aroma, and texture) of sweet potato-based PMT products among pregnant women with CED. Methods: A quantitative study with a cross-sectional design was conducted from September to October 2025 at the Ransiki Health Center. The sample consisted of 22 pregnant women with CED. The research instrument used a 5-point hedonic scale questionnaire. Results: Respondent characteristics were dominated by the ideal age range of 20-35 years (81.8%) and low family income (63.6%). The acceptability test results showed high overall acceptance with an average score of 4.23 (Highly Liked). The color attribute obtained the highest score (4.27), followed by taste (4.18), texture (4.18), and aroma (4.14). Conclusion: Sweet potato-based PMT products have excellent acceptability and significant potential to be integrated into local nutritional intervention programs for pregnant women with CED.

Pregnant women with Chronic Energy Deficiency (KEK) are in a condition that can affect the health of both the mother and the fetus. KEK in pregnant women increases the risk of Low Birth Weight (LBW) babies, premature birth, maternal and infant mortality. Various efforts have been made to address KEK during pregnancy, yet its prevalence remains high. The aim of this community service is to improve the knowledge and nutritional fulfillment of pregnant women with KEK, as well as the prevention and management of KEK, through education for pregnant women with KEK and also explaining how to improve the nutrition of pregnant women. The target of this community service activity is pregnant women with KEK at the UPTD Camplong Health Center. The implementation of community service was carried out using a quasi-experimental approach with a pre-test and post-test design in the form of questionnaires for all pregnant women. The goal of this activity is to increase pregnant women's knowledge about KEK and balanced nutrition fulfillment. The results and benefits obtained from this community service activity include educating about fulfilling a balanced diet and improving nutrition, as well as increasing knowledge and insight for the community, especially pregnant women with KEK. The conclusion of this community service activity is that education and assistance can be an effective strategy to improve the health of pregnant women with KEK.

Maternal mortality remains a challenge in Indonesia, and one contributing factor is chronic malnutrition (CED), which impacts pregnancy, childbirth, the postpartum period, and the newborn. The 2022 registration report shows that of the 3,249,203 pregnant women whose MUAC was measured, 283,833 had a MUAC of less than 23.5 cm (at risk of CED), meaning 8.7% of these pregnant women were at risk of CED. In the Brebes area, the 2022 report recorded 3,475 pregnant women with CED. At the Bantarkawung Community Health Center in 2023, there were 36 cases of preeclampsia, 22 cases of transverse lie, 107 cases of CED, and anemia. Objective: Provide comprehensive midwifery care in accordance with standards of care for pregnant women, women giving birth, newborns, postpartum women, and family planning. Research method: Qualitative descriptive method, the type of research approach used in this study is a comprehensive case study approach. Results: Comprehensive care was provided to Mrs. R who suffered from chronic energy deficiency, and was successfully overcome. Delivery was carried out by caesarean section, the baby was born normally, and the postpartum period went smoothly, and the mother chose a contraceptive method, namely a three-monthly birth control injection. Conclusion: Comprehensive obstetric care has been proven effective in overcoming chronic energy deficiency, ensuring a safe delivery, a normal baby born, a normal postpartum period, and compliance with contraceptive methods.

The pregnancy period is a crucial time for ensuring the health of the mother and fetus through the provision of balanced nutrition. However, nutritional issues such as anemia and chronic energy deficiency (CED) are still commonly found among pregnant women. The use of local nutritious foods, such as moringa leaves (Moringa oleifera), can be a potential solution to support nutritional needs. This community service activity aims to improve the knowledge and skills of pregnant women in preparing healthy menus and balanced eating patterns using moringa leaves. The activity was carried out through interactive lectures, coaching on menu preparation, cooking demonstrations of moringa leaf dishes, and evaluation through pre-tests and post-tests. The participants were pregnant women in the working area of the Wara Selatan Health Center in Palopo City, totaling 25 people. The results showed an increase in participants' nutritional knowledge, with an average pre-test score of 55 rising to 82 in the post-test. Participants were also able to prepare a balanced daily menu based on moringa leaves and produce several processed products, including moringa soup, moringa fritters, and moringa pudding. It can be concluded that the healthy menu coaching activity using local moringa leaves effectively improves the knowledge and skills of pregnant women regarding balanced nutrition. The use of local foods such as moringa leaves has the potential to support the improvement of maternal nutritional status in a simple, economical, and sustainable manner.

Chronic Energy Deficiency (CED) in pregnant women is a nutritional problem that has serious impacts on the health of both the mother and the fetus, such as increased risk of preterm birth, low birth weight, and labor complications. In Jambi City, CED cases have continued to rise year by year. This study aims to identify the determinants of CED among pregnant women in the working area of Putri Ayu Public Health Center, Jambi City. This study employed a quantitative approach with an analytical observational design using a cross-sectional method. The sample consisted of 82 pregnant women selected through purposive sampling. Data were collected using questionnaires and anthropometric measurements using MUAC. Data were analyzed using the Chi-Square test to examine the relationship between independent variables and the incidence of CED. The study found that the prevalence of Chronic Energy Deficiency (CED) among pregnant women was 28%. Statistical analysis revealed that infectious diseases (p=0.000), personal hygiene (p=0.009), environmental sanitation (p=0.037), education (p=0.004), occupation (p=0.000), and income (p=0.040) were significantly associated with CED in pregnant women. There is a significant relationship between infectious diseases, personal hygiene, environmental sanitation, education, occupation, and income with Chronic Energy Deficiency (CED) in pregnant women at Putri Ayu Public Health Center, Jambi City. It is expected that efforts to address chronic energy deficiency (CED) among pregnant women at Putri Ayu Public Health Center can be carried out through an integrated approach, including improvements in personal hygiene, environmental sanitation, prevention of infectious diseases, as well as enhancement of education, employment, and family income.

Background : The maternal mortality rate in the world is about 303,000 out of 91.45/100,000 KH (WHO, 2022). In ASEAN, the maternal mortality rate in developing countries is 250 per 100,000 (ASEAN Secretariat, 2022). In Indonesia, the maternal mortality rate in 2022 is 183/100,000 KH (Indonesian Ministry of Health, 2022). In Central Java Province, the maternal mortality rate in 2022 was 76,93/100,000 KH (Central Java Health Office, 2022). In Brebes Regency, the maternal mortality rate in 2022 was around 105 cases (Brebes Health Office, 2022). Kaliwadas Health Center in 2022 recorded 1 case of maternal mortality (Health Profile of Kaliwadas Health Center in 2022). Objective : Provide comprehensive midwifery care for pregnant women, maternity, newborns, postpartum and family planning (KB) using the Varney and SOAP management approaches. Research Methods: The method used in this research is a qualitative descriptive method with a comprehensive case study approach. Results : Pregnancy midwifery care that has been given to Mrs. Y aged 20 years with Chronic Energy Deficiency and CPD has been given management according to the needs of the mother, In labor, newborn, postpartum until family planning Mrs. Y did not have complications and there were no gaps between theory and practice. Conclusion: Comprehensive midwifery care given to Mrs. F with Chronic Energy Deficiency (SEZ) and CPD has been carried out in accordance with Standard Operating Procedures (SOP) with the condition of the mother and baby is good.

Chronic Energy Deficiency (CED) is a manifestation of malnutrition characterized by an inadequate energy intake over a prolonged period in pregnant women, resulting in adverse health outcomes due to a relative or absolute deficiency of one or more essential nutrients. The 2023 SKI results indicate that malnutrition among pregnant women remains a problem, with nearly 3 out of 10 pregnant women experiencing anemia and 17% at risk of CED. According to data from the Jambi City Health Office, Putri Ayu Public Health Center (Puskesmas Putri Ayu) has the highest number of CED cases, with 67 affected pregnant women. The main objective of this study is to explain the underlying factors contributing to the high prevalence of Chronic Energy Deficiency (CED) and to inform the development of evidence-based health interventions aimed at reducing this condition. This study employed a quantitative research method with a case-control design. The sampling technique used was purposive total sampling, involving 78 pregnant women in the Putri Ayu Public Health Center area, Jambi City. Data collection was conducted in October 2024, using a questionnaire as the research instrument. Data were analyzed using the chi-square test. The results showed a significant relationship between CED and parity (p=0.034), anemia (p=0.013), attitude (p=0.000), and the role of health workers (p=0.000). No significant relationship was found between CED and age (p=1.000), pregnancy spacing (p=0.615), and knowledge (p=0.359) in pregnant women. The findings indicate that parity, anemia, attitude, and the role of health workers are significantly associated with the occurrence of CED in pregnant women, while age, pregnancy spacing, and knowledge are not significantly associated.

Chronic Energy Deficiency (CED) in pregnant women can cause children born with cognitive decline, risk of stunting, and risk of chronic diseases in adults. The problem of pregnant women in CED is caused by low nutritional intake. Pregnant women with anemia are at 4.13 times greater risk of giving birth to children with short birth length compared to mothers who are not anemic. CED in pregnant women can cause risks and complications including anemia, bleeding, maternal weight does not increase normally and contracting infectious diseases. CED in pregnant women can affect the growth process of the fetus and can cause miscarriage, abortion, stillbirth, neonatal death, congenital defects, anemia in infants, intrapartum asphyxia, and low birth weight (LBW). Based on a survey conducted at the Cendana Putih Health Center, 45 pregnant women experienced CED (12.4%) in 2023. The problems that occur can be overcome by holding a collaborative program that can improve the health of pregnant women. This program can be used to address problems appropriately, namely by empowering pregnant women and cadres through GerCep CED. The design used in this program is community service activities carried out in the form of education in the form of providing pocket books and conducting direct counseling during the schedule of pregnant women's classes and assistance in making PMT from local food ingredients. The conclusion of this activity is that participants who initially had a low level of knowledge of KEK in pregnant women became more knowledgeable about KEK in pregnant women.

Risk factors for pregnancy that cause complications and maternal death include chronic energy deficiency and anemia. The pregnancy rate for pregnant women with chronic energy deficiency at the Bumiayu Community Health Center in 2022 is 56 cases, while the incidence of anemia at the Bumiayu Community Health Center is 22 cases. Research method: the method used in this research is a qualitative descriptive method with a comprehensive case study approach. Comprehensive midwifery care for Mrs S found early pregnancy problems, namely chronic energy deficiency and anemia. The delivery was carried out normally vaginally and the baby was born normally. During the postpartum and birth control period, no complications were found. Comprehensive midwifery care for Mrs S with chronic energy deficiency and anemia was in accordance with midwifery care and no complications occurred.

MMR (WHO) in 2022 will reach 91.46/100,000 live births. MMR in Indonesia (2021) 7,389/100,000 KH. Brebes MMR in (2021) is 105 cases and IMR is 259 cases in 2022. Data from the Kaliwadas Health Center in (2022) is 1 case and IMR (2022) is 0 cases. In WHO (2021), there are (73.2%) pregnant women with CED. And in Bebes there will be 64 cases of pregnant women with Chronic Energy Deficiency (KEK) in 2022. Objective: To provide comprehensive care for pregnant women, giving birth, newborns, postpartum and family planning. Research method: Qualitative descriptive research method with a case study approach. Results: Midwifery care during Mrs. N from the results of Mrs. N experienced chronic energy deficiency KEK and was given treatment and care according to his needs. Furthermore, on the third visit, the results of Mrs. N no longer experiences chronic energy deficiencies. Birth of Mrs. N was assisted in accordance with the standards for midwifery services for childbirth (APN). Neonatal Visits and Newborn Visits I to III Baby Mrs. N experienced no complications and neither did postpartum visits I to IV. Family planning midwifery care Mrs. N is a 3-month injectable contraceptive. Conclusion: Comprehensive midwifery care has been provided to Mrs. N with KEK is in accordance with obstetric services and there are no complications.

Background: The global maternal mortality rate (MMR) in 2022 is 91.46 per 100,000 live births with the cause of death being bleeding while the indirect causes of maternal mortality are during pregnancy wheere many pregnant women experience nutritional problems such as Chornic Energi Deficiency ( CHD) and Nutritional Anemia at 8.43% (WHO, 2022). The maternal mortality rate in ASEAN is 235 per 100,000 live births with the majority of causes of death being bleeding (ASEAN Secretariat, 2022). Until now, the maternal mortality rate in Indonesia alone in 2020 was 91.45/100,000 live births. In 2021, maternal mortality will increase to 305/100,000 live births. Meanwhile, in 2022, the maternal mortality rate will decrease by 230/100,000 live births. Within a period of 3 years, the causes of maternal death included Covid 19, bleeding, hypertension in pregnancy, and heart disease (Ministry of Health of the Republic of Indonesia, 2022). The maternal mortality rate in Central Java in 2020 was 84.6/100,000 live births, in 2021 it will be 199/100,000 live births. In 2022 there will be a decrease to 98.6/100,000 live births, hypertension in pregnancy and bleeding are still the cases of death in that year (Central Health Office, 2022). Brebes Regency shows that the maternal mortality rate in 2020 was 62 cases. In 2021 there were 105 cases and in 2022 there was a decrease to 50 cases with the causes of death being bleeding, hypertension, infection and heart disorders (Brebes District Health Office, 2021) Objective: Reduce maternal and infant morbidity and mortality rates in Brebes Regency, especially the Bumiayu Community Health Center area Conclusion: After providing comprehensive midwifery care to Mrs. S aged 32 years with Chronic Energy Deficiency (KEK) at BPM Mrs. The R working area of the Bumiayu Community Health Center from the third trimester of pregnancy, childbirth, newborns, postpartum and family planning is in good condition.

The impact of Chronic Energy Deficiency (CED) on pregnant women includes a higher risk of delivering low birth weight (LBW) infants. This research employs a quantitative approach using a cross-sectional study design. The population and sample size consist of 42 individuals. Questionnaires are used for data collection. Data analysis employs the chi-square test. The results of the data analysis indicate a significant relationship between compliance in consuming supplementary food and weight gain among pregnant women with CED at Ratte Health Center, Tana Toraja Regency, with a p-value of 0.002, which is smaller than the α value of 0.05. It is recommended that health centers establish regular education programs focused on the nutritional needs of pregnant women with CED. Through these educational sessions, pregnant women can receive accurate and relevant information about the importance of supplementary food and its impact on health.

Pregnancy is a process in a woman's life, where major changes occur in her physical, mental and social aspects. These changes cannot be separated from the factors that influence them, namely physical factors, psychological factors and environmental, social, cultural and economic factors. One of the nutritional problems of pregnant women is chronic energy deficiency (KEK). Chronic energy deficiency (KEK) is a nutritional problem caused by a lack of food intake over a long period of time, a matter of years. Datar City Health Center is one of the agencies that provides health services for the local community and helps resolve problems with the health and nutritional development of mothers and children to prevent problems with malnutrition in pregnant women. The aim of the research is to make it easier for agencies to manage data and obtain complete information about the nutritional status of pregnant women. From 20 data, 3 groups were obtained, Cluster 1 had 4 data on the nutritional status of pregnant women, Cluster 2 had 4 data on the nutritional status of pregnant women and Cluster 3 had 12 data on the nutritional status of pregnant women. And the largest group obtained was cluster 3 with the data group on the nutritional status of pregnant women found in the gestational age group (X), namely 14-27 weeks old, with screening results (Y) namely adequate nutrition, and the causal factors (Z) that occurred were economic factors

The Maternal Mortality Rate (MMR) in Tegal Regency in 2022 reached a high number, namely 27 cases, 13 of which occurred during the postpartum period, 10 cases during pregnancy, 4 cases during childbirth. Based on data obtained from the Lebaksiu Community Health Center from September to October 2023, there were no maternal and infant deaths. The number of pregnant women at high risk was 115 cases. These include pregnant women with breech presentation, Chronic Energy Deficiency (CED), age < 20 years, age > 35 years, child spacing < 2, history of CS, TB < 145 cm, HBSAg (+), HIV (+), anemia, history asthma, grand multipara, history of abortion, history of PEB and syphilis (+). The aim of this study was to examine obstetric cases with breech presentation and CED. This research uses a case study approach. The research subject was pregnant mother Mrs. S is 24 years old with breech presentation and CED. Data was taken from September to November 2023. Data was taken using interviews, observation and documentation, the results during the subject's pregnancy were successful in making the pregnancy normal. However, during labor, fetal hypoxia was experienced, so collaboration was carried out with the doctor, after management was carried out according to the doctor's advice, the fetal condition was normal and a SC delivery was carried out. During the postpartum period and the newborn is in normal and healthy condition. Suggestion: it is hoped that if a similar case is found there needs to be collaboration with doctors during pregnancy until postpartum, apart from that it is necessary to involve the family during pregnancy until postpartum.  

Research background: Chronic Energy Shortage (KEK) is still a problem in Indonesia. Women and children are the groups at highest risk of experiencing Chronic Energy Deficiency (CED). Currently Chronic Energy Deficiency (CED) is a concern for the government and health workers, because a woman of childbearing age (WUS) who experiences CED has a high risk of giving birth to a child who will also experience CED in the future. The aim of the research is to identify study characteristics of the incidence of CED pregnant women at the Kotabaru Community Health Center. The research method uses quantitative descriptive. The population is all 30 KEK pregnant women at the Kotabaru Community Health Center in October – December November 2023. The sample was taken using a total sampling technique of 30 people. Data were analyzed univariately. The results of the research were that age characteristics were the most common in the risk category with a percentage of 66.7%. Parity characteristics were most common in the multiparous group at 50%. The characteristics of pregnancy spacing in the risk category were 56.7% and the highest level of education among respondents was at the middle level, namely 40%.    

Chronic energy deficiency is a condition of pregnant women who suffer from a long-term (chronic) lack of food with the emergence of various health problems in pregnant women. The aim of this research is to determine the relationship between the knowledge and attitudes of pregnant women and the incidence of chronic energy deficiency at the Labuhan Deli Community Health Center, Labuhan Deli District, Deli Serdang Regency, Deli Serdang Regency. Quantitative design using cross sectional. The population in this study was pregnant women, totaling 42 respondents. Data analysis uses univariate, bivariate analysis. The results of this study show that there is a relationship between the knowledge and attitudes of pregnant women and the incidence of chronic energy deficiency at the Labuhan Deli Community Health Center, Labuhan Deli District, Deli Serdang Regency, Deli Serdang Regency in 2023. Suggestions are given for research and for research sites and for institutions Education about CED for pregnant women.

Chronic energy deficiency (CED) in pregnant women can also be interpreted as a situation when pregnant women have insufficient energy intake for a long period of time, causing the pregnant woman to gain less weight and can disrupt the health of the mother and fetus she is carrying. CED in pregnant women can trigger various health problems, such as anemia, respiratory tract infections, metabolic disorders, and increase the risk of complications during childbirth. The aim of this research was to determine the consumption pattern of Ferros (Fe) tablets among pregnant women who experience chronic energy deficiency (KEK) at the Kurra Health Center, Tana Toraja Regency. This research method is quantitative with a cross-sectional research design. The population in this study were 31 pregnant women who experienced Chronic Energy Deficiency (CED) at the Kurra Health Center, Tana Toraja Regency and the sample in this study were 31 pregnant women who experienced Chronic Energy Deficiency (KEK) at the Kurra Health Center, Tana Toraja Regency. pregnant mother. The sampling technique used in this research is total sampling where the researcher will take the entire population. This research was processed using a computerized system with the help of the SPSS program. The data analysis method used is statistical test analysis with a statistical test (chi-square) to determine the consumption pattern of Ferros (Fe) tablets in pregnant women who experience chronic energy deficiency (KEK), where if a p value of 0.000 < 0.05 is obtained, it can be interpreted as significant. Therefore, it is recognized that the pattern of consumption of Ferros (Fe) tablets in pregnant women who experience chronic energy deficiency (KEK)

This service is an academic activity that has a definite theme and program in a condition where the activity partners are aligned with the implementation of research programs and community service. From the data obtained by researchers, the research location really needs to improve nutrition because there are still many children affected by stunting and pregnant women who suffer from chronic energy deficiency (CED) and so the research location was chosen as a Stunting Prevention center for approximately 45 days. So that the community in Lembang and the community health center implement the Happy Kitchen to Prevent Stunting. This research aims to support the community to participate and involve active participation from the community, government, health institutions and related stakeholders to achieve maximum results in preventing stunting in Lembang Rindingallo. The research subjects are the people at the research location. Data collection techniques in this research are observation, interviews and documentation. The method used in this research is providing education, providing healthy food through the Dapur Bahagia Prevent Stunting program for children who fall into the stunting group and pregnant women with KEK. One of the work programs that we implement is Stunting Prevention. Through this work program, it is hoped that with the Happy Kitchen program to prevent stunting, the needs and health of children affected by stunting and pregnant women with KEK in Lembang Ridingallo can be prevented.

Background: Based on data from the World Health Organization for 2021, it is stated that the number of maternal deaths in the world reaches 830 people every day caused by complications of pregnancy or childbirth and most maternal deaths occur in developing countries including Indonesia. AKI in Indonesia in 2021 will reach 830 people. At the UPTD Puskesmas Cibugel, it was recorded that the number of pregnant women with CED in 2022 was 47 out of 359 people with a percentage of 13.2%. Objective: to determine the factors associated with Chronic Energy Deficiency (CED) in Pregnant Women at the UPTD Health Center Cibugel, Sumedang Regency in 2023. Design: quantitative study using a cross-sectional survey approach. The study population was 32 pregnant women in the working area of the UPTD Puskesmas Cibugel in the period April - May 2023. The sample technique used total sampling. Results: there is a relationship between health conditions (nutrition status) and KEK in pregnant women. There is a relationship between age and CED in pregnant women and there is no relationship between parity and CED in pregnant women. Conclusion: factors associated with the incidence of CED include nutritional status and age. Meanwhile, parity has no relationship with the occurrence of KEK. It is recommended to increase cooperation in efforts to prevent and reduce KEK in pregnant women through cross-programs and cross-sectors.