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Nurul Azmi Eka Rinie; Fiky Jayanti; Puji Lestari; Ayi Hernani Putri; Rusni Masnina

Jurnal Ilmu Kesehatan dan Gizi 2026 Pusat Riset dan Inovasi Nasional

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.

Elly Dwi Wahyuni; Junengsih, Junengsih; Jehanara, Jehanara; Ani Kusumastuti

Journal of Health Sciences, Public Health and Pharmacy 2025 International Forum of Researchers and Lecturers

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.

Hajar Hajar; Hasnia Hasnia; Inez Vravty Lestari; Herawaty Herawaty; Sumarni Syam

Jurnal Inovasi Riset Ilmu Kesehatan 2025 Pusat Riset dan Inovasi Nasional

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.

Lina Fitriani; Rosita; Nunung Erviany; Dyah Tahir

Manfaat : Jurnal Pengabdian Pada Masyarakat Indonesia 2025 Asosiasi Riset Ilmu Tanaman Dan Hewan Indonesia

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.

Elsenja Putri Pawaris

Jurnal Ilmu Kesehatan dan Gizi 2025 Pusat Riset dan Inovasi Nasional

Exclusive breastfeeding for the first six months of an infant's life is an important practice that supports child growth and development. The purpose of this study was to examine the relationship between internal maternal factors and breastfeeding patterns. The study was conducted using a cross sectional study design. The study was conducted at Puskesmas Putat Jaya Surabaya with a sample of 63 mothers with infants <6 months who provide direct breastfeeding to their babies. Data were obtained from questionnaires, weight measurement using digital scales and height using microtoice. Data were processed using chi square test. The test results showed that there was a significant relationship between maternal knowledge with proper colostrum feeding (p = 0.002), parity with breastfeeding frequency (p = 0.002) and maternal nutritional status with breastfeeding frequency (p = 0.001). While other variables in this study showed no significant relationship. It can be concluded that there is a relationship between maternal knowledge and proper colostrum feeding and there is a significant relationship between parity and nutritional status with the frequency of breastfeeding. Suggestions for the need for education as an increase in knowledge and maintaining a diet to increase the success of breastfeeding.

Andy Amir; M. Ridwan; Arnild Augina Mekarisce; Aini Zulaikah

International Journal of Medicine and Health 2022 Lembaga Pengembangan Kinerja Dosen

One of the stunting locations in East Tanjung Jabung Regency is located in Geragai Sub-district, Pandan Lagan Village. According to data from the Puskesmas in 2019, the incidence of stunting in Pandan Lagan Village was 35 toddlers, in 2020 it was 17 stunting children out of a total of 70 children in Pandan Lagan Village. The purpose of this study was to determine the relationship between maternal nutritional status, history of maternal conditions, and maternal knowledge about 1000 HPK with the incidence of stunting in Pandan Lagan Village. This type of research is quantitative research, using a cross-sectional approach. The number of samples to be studied with the Lemeshow Formula is 45 respondents. The dependent variable is stunting and the independent variables are maternal nutritional status (pre-pregnant maternal BMI and weight gain during pregnancy), history of maternal conditions (maternal age during pregnancy, birth spacing), and maternal knowledge about 1000 HPK. The research instrument used a questionnaire sheet, then the data was processed through data editing, data coding, data entry, data cleaning, and data processing, then analyzed univariate, bivariate with a chi-square test, and multivariate with multiple logistic regression test. Based on the results of the study, there is a relationship between pre-pregnancy maternal BMI with a risk of 4,464 times, weight gain with a risk of 3,75 times, maternal age during pregnancy with a risk of 3,0 times, and spacing of babies with a risk of 2,444 times with the incidence of stunting. There is no relationship between maternal knowledge about 1000 HPK and the incidence of stunting with a p-value = 0,114, and it is known that the pre-pregnancy mother's BMI variable is the variable that has the greatest influence on infants with stunting nutritional status (odds ratio = 15,943). For this reason, it is expected to be more intensive in educating couples of childbearing age, pre-pregnant mothers, or early on to adolescent girls to pay attention to factors that affect stunted children, especially to have an ideal BMI so that it will reduce the risk of having children with stunted nutritional status.    

Devi Lukiana; Titin Eka Sugiatini

International Journal of Medicine and Health 2022 Lembaga Pengembangan Kinerja Dosen

Background : Health problems in the preconception period include anemia, obesity and chronic lack of energy. In Indonesia, cases of Chronic Energy Deficiency are caused by lack of nutritional intake such as energy and protein, so that the nutrients needed by the body are not fulfilled. To prevent the risk of Chronic Energy Deficiency in pregnant women before pregnancy, women of childbearing age must have good nutrition. Maternal nutritional status before pregnancy has a significant influence on the incidence of LBW. Knowledge of nutrition plays an important role in fulfilling one's nutritional adequacy. The level of knowledge will encourage a person to have optimal abilities in the form of knowledge and attitudes. Objective : Knowing the effect of preconception nutrition counseling on the knowledge and attitudes of women of childbearing age. Methods : Quasi experimental with one group pretest-posttest design. The sample in this study was some women of childbearing age who were married in the preconception period from July to September 2022 in Sanggar Buana Village, Seputih Banyak District, Central Lampung as many as 81 people, the sampling technique was purposive sampling. Results : Most of them have knowledge of WUS before being given counseling that is enough 64.2% and after 85.2% have good knowledge. Attitudes before being given counseling were mostly negative 55.6% and afterward were positive 97.5%. There is an effect of preconception nutrition counseling on the knowledge and attitudes of women of childbearing age (p value 0.000). Conclusions and Suggestions: There is an effect of preconception nutrition counseling on the knowledge and attitudes of women of childbearing age. Health services are expected to provide education and counseling, especially regarding preconception nutrition