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Bariatric surgery is effective in treating obesity and type 2 diabetes mellitus (T2DM); however, pregnancy occurring within 12–24 months after surgery carries significant risks. This report presents a complex pregnancy case in a patient with a history of sleeve gastrectomy, post-hemithyroidectomy hypothyroidism, and T2DM. A 29-year-old primigravida conceived 2 months after undergoing sleeve gastrectomy, which successfully induced T2DM remission, with HbA1c decreasing from 11% to 5.5%. Although glycemic control and euthyroid status were maintained throughout pregnancy, the patient developed severe preeclampsia at 35–36 weeks of gestation, complicated by intrauterine growth restriction (IUGR) and oligohydramnios. An emergency cesarean section delivered a male infant weighing 2000 grams with Apgar scores of 8 and 9 at the first and fifth minutes, respectively. The neonate required 14 days of NICU care due to respiratory distress syndrome, respiratory failure, and hyperbilirubinemia. Maternal gestational weight gain was suboptimal at only 4 kg, below the recommended range for pregnant women with obesity. This case highlights the importance of adhering to the recommended surgery-to-conception interval following bariatric surgery. Early pregnancy after surgery, combined with multiple metabolic comorbidities, may contribute to adverse maternal and neonatal outcomes. Multidisciplinary management, comprehensive nutritional monitoring, and optimization of comorbidities before conception are essential to improve pregnancy outcomes in this population.

Low Birth Weight (LBW) refers to infants born with a birth weight of less than 2,500 grams and remains an important issue in neonatal health due to its association with increased neonatal morbidity and mortality. To analyze the determinants of LBW based on primary studies published from 2021 to 2026. A literature review was conducted using the PRISMA approach. Article searches were performed through PubMed, Google Scholar, Scopus, ScienceDirect, and ProQuest using the keywords low birth weight, determinant factors, risk factors, BBLR, and faktor risiko with Boolean operators AND/OR. The inclusion criteria were primary studies, full-text availability, publication in Indonesian or English, and publication years from 2021 to 2026. A total of 20 articles were included, consisting of 15 international articles and 5 national sources. The review showed that LBW is influenced by interrelated maternal, nutritional, obstetric, and sociodemographic factors during pregnancy. The most dominant factors included multiple pregnancy with an adjusted OR of 21.74, maternal food insecurity with an AOR of 6.85, maternal hemoglobin level <11 g/dL with an AOR of 5.21, lack of iron-folic acid supplementation with an AOR of 4.17, maternal age ≤20 years with an AOR of 3.42, pregnancy interval <1 year with an adjusted OR of 2.92, missed antenatal care visits with an AOR of 2.74, smoking during pregnancy with an OR of 2.18, and maternal hypertension with an AOR of 1.94. LBW is influenced by multiple interrelated factors; therefore, efforts to reduce its incidence should focus on evidence-based interventions, particularly through optimizing antenatal care services, improving maternal nutritional status, and early detection of pregnancy.

This community service program aims to strengthen the strategic role of Posyandu (Integrated Health Post) as a center for family health education through the innovation of its educational functions. Previously, Posyandu operations in the community tended to be limited to routine basic health services, such as weight monitoring and nutritional status recording, while the crucial aspect of health education remained suboptimal. This limitation has contributed to a lack of public understanding regarding healthy lifestyles and the prevention of chronic diseases or stunting. The methods implemented in this program included problem identification through observation, health socialization and education, specialized training for Posyandu cadres to enhance their communication capacity, and direct mentoring during activity implementation. The results demonstrated a significant increase in family knowledge regarding balanced nutrition and clean and healthy living behaviors (PHBS). Furthermore, Posyandu cadres became more active and skilled in delivering health information communicatively to the community. This program demonstrates that by strengthening its educational function, Posyandu can transform into an effective and sustainable family health learning center, significantly impacting the improvement of community health standards at the frontline level.

Teenage pregnancy remains a reproductive health issue in Indonesia, including in Batam City. According to data from the Batam City Health Office in 2024, there were 18 cases of teenage pregnancy (0.06%) with the Lubuk Baja Health Center being one of the highest areas. Pregnant teenagers are at high risk of complications such as anemia, malnutrition, and low birth weight (LBW), which contribute to high rates of maternal and infant morbidity. This study used a descriptive method with a case study approach on Ny. S, an 18-year-old teenager with a pregnancy in the Lubuk Baja Health Center area of Batam City in 2025. Data collection was conducted through interviews, observations, physical examinations, and SOAP documentation following the 7-step Varney obstetric management. The findings revealed that Ny. S experienced mild complaints such as nausea, reduced appetite, and anxiety about her pregnancy. After three visits, the mother's complaints decreased, appetite improved, anxiety decreased, and nutritional status was within normal limits. Comprehensive midwifery care with a biopsychosocial approach was proven effective in improving both the physical and mental health of pregnant teenagers and preventing pregnancy complications.

The health of pregnant and breastfeeding women is a crucial determinant of the quality of future generations, particularly during the first 1,000 days of life. However, nutritional problems, such as deficiencies in iron, protein, and essential vitamins, remain prevalent in many regions, especially in rural areas. These conditions may increase the risk of anemia, impaired fetal growth, and reduced maternal and child health outcomes. This community service program aimed to improve the nutritional status as well as the knowledge and awareness of pregnant and breastfeeding women regarding the importance of balanced nutrition in Sukorejo Village, Bojonegoro Regency. The program was implemented through the provision of free balanced nutritious meals tailored to the nutritional needs of pregnant and breastfeeding women, accompanied by health education activities, including counseling sessions and interactive discussions on healthy dietary patterns, food hygiene, and anemia prevention. Program evaluation was conducted through participatory observation and participant feedback. The results indicated an improvement in participants’ understanding of balanced nutrition and positive behavioral changes in daily food selection and consumption. This community service initiative is expected to serve as a sustainable model for improving maternal and child health and preventing nutritional problems at the village level.

Stunting is a major public health problem that reflects chronic malnutrition and adversely affects children’s physical growth, cognitive development, and future productivity. The first 1,000 days of life represent a critical window during which stunting develops and determines long-term health outcomes. This study aims to review evidence on the determinants of childhood stunting and the effectiveness of prevention interventions within public health policy frameworks in Indonesia.A literature review was conducted using peer-reviewed articles, policy documents, and national reports published in the last decade. The literature was analyzed to identify key risk factors, intervention strategies, and policy impacts on stunting reduc-tion.The findings show that stunting is primarily driven by inadequate dietary intake, low socioeconomic status, limited caregiver nutrition knowledge, and poor access to health and sanitation services. National data indicate a decline in stunting prevalence in Indonesia from 24.4% in 2021 to 21.6% in 2022. Evidence consistently highlights that integrated interventions targeting the first 1,000 days of life, including maternal nutrition improvement, breastfeeding promotion, appropriate complementary feeding, and multisectoral collaboration, are effective in reducing stunting.In conclusion, reducing childhood stunting requires sustained, integrated, and policy-based interventions that prioritize early-life nutrition to improve human capital and support long-term national development.

Toddlers are a critical age group 0–59 months who require optimal nutritional intake to support physical and cognitive growth and development. The quality of toddler feeding patterns is influenced by family socioeconomic factors, including income, education, and parental occupation. This study aims to analyze the relationship between family socioeconomic status and toddler feeding patterns in the working area of the Saritani Community Health Center, Boalemo Regency. This study used an observational design with a cross-sectional approach and involved 40 respondents selected using purposive sampling. Data were collected through structured questionnaires, interviews, observations, and secondary data from the Community Health Center, then analyzed using the Chi-Square test with a significance level of p < 0.05 . Results: Most families have middle (45%) and low (40%) socioeconomic status. Good feeding patterns are received by 55% of toddlers, while 45% have inadequate feeding patterns. The analysis shows a significant relationship between family socioeconomic status and toddler feeding patterns (p = 0.043). Families with low incomes and limited maternal education tend to provide food with less than optimal variety and nutritional content. Conclusion: Family socioeconomic status has a significant influence on toddler feeding patterns in Saritani.

Infant nutritional status is an important indicator of child health that is influenced by various factors, including maternal characteristics. Maternal education is often considered to play a role in determining infant care and feeding practices. This study aims to analyze the relationship between the mother's education level and infant nutritional status. The study uses a quantitative approach with a cross-sectional analytical observational design. The study sample consisted of 30 mothers and infants aged 0–12 months selected using purposive sampling. Maternal education level was categorized as elementary, secondary, and higher education, while infant nutritional status was determined based on anthropometric indicators according to WHO standards and the position of the Health Card (KMS). Data analysis was performed bivariately using Spearman's rho correlation test with a significance level of p < 0.05. The results of the study indicate that there is no significant relationship between the mother's level of education and the nutritional status of the infant (p = 0.575; r = −0.098). The correlation coefficient value indicates a very weak and statistically insignificant relationship. The conclusion of this study indicates that the mother's education level is not a factor directly related to the nutritional status of infants. The nutritional status of infants is likely to be more influenced by other more proximal factors, such as feeding practices, the quality and quantity of food intake, the child's health condition, and the family's environmental and socioeconomic factors.

Balanced Nutrition Education and Strengthening Mothers' Participation in Posyandu Activities to Improve Toddler Nutritional Status Toddler nutrition continues to be a key focus in public health initiatives. Mothers' diet and active use of health services, particularly integrated health posts (Posyandu), are two factors that influence the nutritional status of toddlers. To help improve children's nutritional status, this community service project aims to strengthen mothers' involvement in Posyandu activities and raise their awareness of balanced nutrition. Thirty mothers of toddlers were targeted for this project, which was implemented in the Campalagian Community Health Center (Puskesmas) working area. Mothers were encouraged to actively participate in Posyandu activities through mentoring and education on balanced nutrition through counseling and interactive conversations. Mothers' attendance at Posyandu activities was monitored, and knowledge gains were measured using pre- and post-tests. The study found that mothers' average knowledge scores increased from 60 to 82, and mothers' attendance at Posyandu activities increased from 65% to 85%. This project demonstrates that balanced nutrition education and strengthening mothers' participation in Posyandu activities are effective in increasing mothers' knowledge and involvement, potentially supporting efforts to improve and prevent nutritional problems in toddlers on a sustainable basis.

Puberty in girls is a developmental stage where sexual maturation occurs as a manifestation of reproductive ability, marked by the first menstruation (menarche), a form of primary sexual maturity in girls. The purpose of this study was to determine whether there is a relationship between nutritional status and maternal menarche history with early menarche in elementary school students in grades 4-6 at SDN 01 Nagrak Gunung Putri Bogor in September 2025. This research was a quantitative, observational analytical study using a cross-sectional approach. It was conducted at SDN 01 Nagrak Gunung Putri Bogor from August to September 2025 with a sample of 49 respondents. Univariate and bivariate data analysis used the Chi-Square Test. The results showed a relationship between nutritional status and early menarche (p-value = 0.001 and OR = 3.7) and maternal menarche history with early menarche (p-value = 0.000 and OR = 7.3). The study concluded that there is a relationship between maternal nutritional status and menarche history with early menarche. It is recommended that SDN 01 Nagrak Gunung Putri Bogor collaborate with the nearest community health center and the Health College to conduct outreach activities on reproductive health.

Pregnancy is a crucial period that requires special attention to maternal nutritional status, including the prevention of anemia through the consumption of Multiple Micronutrient Supplements (MMS). Compliance with MMS consumption remains a challenge due to physical, psychological, and social factors. This study aims to analyze the role of Posyandu cadres as peer support in improving compliance with MMS consumption and preventing anemia in pregnant women in the Bongo II Community Health Center, Boalemo Regency. The study used a pre-experimental one-group pretest-posttest design with a total sample of 20 pregnant women. Peer support interventions in the form of education, motivation, reminders, and routine monitoring were carried out for 4 weeks. Data were collected through questionnaires, MMS consumption records, and hemoglobin level examinations, then analyzed using the Wilcoxon test and paired t-test. The results showed a significant increase in the mean score of MMS consumption compliance from 61.2 to 80.5 (p = 0.002) and the mean hemoglobin level from 10.7 g/dL to 11.4 g/dL (p = 0.014). This finding confirms the effectiveness of peer support by Posyandu cadres in increasing compliance with MMS consumption and improving anemia status.

This study aims to analyze hematocrit values ​​using a micro method with capillary blood samples in pregnant women with anemia at the Sidodadi Kisaran Barat Community Health Center. This study is a descriptive study with a cross-sectional approach involving 15 pregnant women as respondents. Data collection was carried out through hematocrit laboratory examinations and data collection of respondent characteristics. The results showed that 60% of respondents had hematocrit levels below normal values, while 40% of respondents had hematocrit levels within normal limits. Low hematocrit levels in pregnant women are influenced by several factors, including age, education level, employment status, and level of knowledge about anemia during pregnancy. This condition has the potential to increase the risk of pregnancy complications if not optimally managed. Therefore, it is recommended that health workers continue to increase educational efforts regarding anemia prevention, the importance of regular pregnancy check-ups, and encourage pregnant women to maintain a balanced nutritional consumption pattern and adequate iron intake to support maternal and fetal health.

Low Birth Weight (LBW) remains a critical global health issue that significantly contributes to neonatal morbidity and mortality, particularly in developing countries such as Indonesia. The main challenge in addressing LBW lies in its complex and multifactorial risk profile, which involves biological, social, environmental, and healthcare-related determinants. This study aims to analyze and synthesize the risk factors associated with LBW based on recent scientific literature. A literature review method was applied by searching articles from Portal Garuda, DOAJ, PubMed, and Google Scholar published between 2020 and 2025 using relevant keywords. The findings indicate that maternal age, interpregnancy interval, nutritional status, anemia, preeclampsia, infections, socioeconomic conditions, environmental exposure, and the quality of antenatal care are significant determinants of LBW. The synthesis of evidence confirms that LBW is influenced by the interaction of multiple individual and healthcare system factors rather than a single cause. In conclusion, this study highlights the urgent need to strengthen antenatal care services, improve maternal nutritional status, control maternal diseases during pregnancy, and implement community-based promotive and preventive strategies as key efforts to reduce the incidence of LBW.

Prelabor rupture of membranes (PROM) remains one of the most frequently encountered obstetric complications and continues to contribute substantially to maternal and neonatal morbidity and mortality. Numerous factors have been associated with PROM; however, the available evidence presents considerable variation, highlighting the need to re-evaluate these determinants using recent empirical findings. This review aims to identify and synthesize the principal factors influencing PROM based on ten studies published within the last five years. A systematic search was conducted across PubMed, Scopus, Web of Science, and Google Scholar using predefined keywords, followed by screening through established eligibility criteria. Relevant data from each study including study design, geographical setting, assessed risk factors, and statistical outcomes such as odds ratios or relative risks  were extracted and compared. The review indicates that reproductive and urinary tract infections, inadequate nutritional status, high-risk obstetric history, and short interpregnancy intervals consistently emerge as major determinants. Social factors and the quality of antenatal services were also shown to heighten the likelihood of PROM. Overall, the findings emphasize that PROM arises from a combination of medical and non-medical influences, reinforcing the need for preventive strategies that adopt a comprehensive and integrated approach.

Stunting in toddlers is a chronic nutritional problem caused by lack of nutritional intake due to feeding that does not meet basic needs. UNICEF data in 2024 shows that the infant mortality rate for toddlers is 48 per 1,000 live births and the neonatal mortality rate is 23 per 1,000 live births. Conditions that cause mortality and morbidity in infants and toddlers include malnutrition, sepsis, pneumonia, and premature birth (WHO, 2023). Factors that cause stunting include nutrition, health, environment, and socio-economy, such as malnutrition in pregnant women and children, recurrent infections, poor sanitation, and limited access to health services and nutritious food (Sari, 2023). The effects of stunting include brain development inhibitions, weakened immune systems, delayed psychosocial and motor development, and suboptimal physical growth. Based on a preliminary study at the Sungai Raya Dalam Health Center, there were 134 children under five who were stunted. This study aims to determine the relationship between maternal nutritional status during pregnancy and the incidence of stunting in toddlers aged 0–24 months. The research design used case control with a retrospective approach, involving 58 mothers with toddlers aged 0–24 months. The results showed that mothers with nutritional status with KELK had a higher risk of giving birth to stunted toddlers (72.7%) compared to mothers with good nutritional status (19.1%). The Fisher Exact test yielded a value of p = 0.000 (p < 0.05), which means that there is a significant relationship between the nutritional status of pregnant women and the incidence of stunting.

Anemia in pregnant women is a health problem that contributes significantly to Low Birth Weight (BBLR), a serious issue in Indonesia with a prevalence exceeding 15% according to WHO, and is a major contributor to the high Neonatal Mortality Rate. This study aims to examine the relationship between anemia in pregnant women and the incidence of BBLR at the Sungai Durian Health Center, Sintang Regency. Using a case control analytical research design with secondary data from medical records in 2024, the sample used was 116 respondents, consisting of 58 pregnant women with BBLR babies as the case group and 58 pregnant women with normal birth weight babies (BBLN) as the control group, which were taken by total sampling technique. Data analysis was carried out using the Chi-Square test and the Odds Ratio (OR) with a significance level of 95%. The results of the study show that the incidence rate of BBLR at the Sungai Durian Health Center in 2024 is 25.8%, and the incidence of anemia in pregnant women is 46.6%. Statistical tests showed a significant relationship between anemia in pregnant women and the incidence of BBLR (p < 0.05). Pregnant women with anemia had a 21.758 times greater risk of giving birth to a BBLR baby compared to non-anemic mothers (OR=21.758; CI 95% = 1.45–7.08). The study concluded that there was a relationship between the nutritional status of pregnant women and the incidence of preeclampsia at the Sungai Durian Sintang Health Center.

Low Birth Weight (LBW) is one of the leading causes of neonatal mortality and contributes to an increased risk of growth and developmental disorders in later life. Maternal nutritional status during pregnancy and the utilization of antenatal health services are important factors influencing fetal growth and development. Pregnant women with poor nutritional status are at higher risk of delivering low birth weight infants due to insufficient intake of essential nutrients required during pregnancy. In addition, inadequate utilization of antenatal care services may result in delayed detection and management of pregnancy-related complications. This study aimed to determine the relationship between maternal nutritional status and the utilization of health services with the incidence of LBW. The research employed an observational analytic design with a cross-sectional approach. The study population consisted of all women who delivered in the working area of Puskesmas X in 2026. A total of 80 respondents were selected using purposive sampling. Data were collected from maternal and child health (MCH) books and medical records and analyzed using the Chi-square test. The results showed a significant relationship between maternal nutritional status and the incidence of LBW (p=0.002), as well as between the utilization of health services and the incidence of LBW (p=0.004). It can be concluded that maternal nutritional status and compliance with antenatal visits are significantly associated with LBW, highlighting the need to improve nutritional monitoring and the quality of antenatal care services.

Background: Maternal mortality rate (MMR) in Indonesia remains a serious problem, with preeclampsia as one of its main causes. Based on data from Sungai Durian Primary Health Center in 2024, there were 60 cases of preeclampsia (6%) as well as an increasing trend of cases and variations in the nutritional status of pregnant women. Objective: This study aims to determine the relationship between the nutritional status of pregnant women and the incidence of preeclampsia at Sungai Durian Primary Health Center, Sintang. Methods: This is a quantitative research study with a cross-sectional design. Data were collected using observation sheets from medical record data, specifically data on pregnant women with nutritional status and preeclampsia, with a population of 555 pregnant women and a sample size of 232 women. Data analysis was performed using the Spearman Rank test. Results: There were 59 cases (25.4%) of mild preeclampsia and 104 cases (44.8%) of severe preeclampsia. There were variations in the nutritional status of pregnant women: 35 women (15.1%) were undernourished, 132 women (56.9%) had normal nutrition, 25 women (10.3%) were overweight, 24 women (10.3%) had obesity class I, and 16 women (6.9%) had obesity class II. The Spearman Rank test results showed p 0.000 (<0.05), concluding that there is a significant relationship between the nutritional status of pregnant women and the incidence of preeclampsia. Conclusion: There is a relationship between the nutritional status of pregnant women and the incidence of preeclampsia at Sungai Durian Primary Health Center, Sintang.

Nutrition is crucial for children's growth and development. A mother's ability to serve food dishes can affect nutrition knowledge, economic status, and family income. This study aims to determine if there is a correlation between maternal knowledge and the nutritional needs of children aged 1-4 years in Indrapuri Public Health Center. The study used a correlational analytical design with a cross- sectional approach. The sample consisted of 60 respondents, chosen using the total sampling technique. The research was conducted from April 30 to May 26, 2025. Data was analyzed using univariate and bivariate analyses with the Chi-square test. The results showed that out of 60 respondents, most of the respondents were in the lower category of maternal knowledge level, with 57 respondents (95.0%), and 3 respondents (5.0%) were in the acceptable category. Fisher's Exact Test gave a p- value = 0.558 >0.005. These findings indicated no correlation between maternal knowledge levels and the nutritional needs of children. It is expected that the Public Health Center and health officials provide counseling to mothers on the importance of healthy food and nutritional knowledge from the Integrated Health Service Center (Posyandu).

Preeclampsia is a pregnancy complication that contributes significantly to maternal and perinatal morbidity and mortality, especially in developing countries. Despite various preventive measures, preeclampsia is still frequently found at the primary health care level. This study aims to analyze the factors influencing the incidence of preeclampsia in pregnant women at the Tiley Care Community Health Center. This study used an observational analytical design with a cross-sectional approach. The study population was all pregnant women who visited antenatal care at the Tiley Care Community Health Center, with a sample of 60 respondents selected using a total sampling technique. Data were collected through a review of medical records and KIA books, then analyzed univariately and bivariately using the Chi-Square test with a significance level of α = 0.05. The results showed that maternal age, history of hypertension, nutritional status based on body mass index, and adherence to antenatal care visits had a statistically significant relationship with the incidence of preeclampsia. Meanwhile, parity did not show a significant relationship with the incidence of preeclampsia. This study concluded that the incidence of preeclampsia is influenced by various maternal factors and maternal health behaviors during pregnancy. These findings underscore the importance of implementing risk-based antenatal care through early screening, ongoing monitoring, and increased adherence to antenatal care visits as a preventative measure for preeclampsia at the primary healthcare level.