Lingkar lengan atas, indeks massa tubuh, dan tinggi fundus ibu hamil sebagai prediktor berat badan lahir

https://doi.org/10.22146/ijcn.49314

Weni Kurdanti(1*), Tri Mei Khasana(2), Lastmi Wayansari(3)

(1) Jurusan Gizi, Politeknik Kesehatan Kementerian Kesehatan Yogyakarta
(2) Program Studi S1 Ilmu Gizi, Fakultas Ilmu Kesehatan Universitas Respati Yogyakarta
(3) Jurusan Gizi, Politeknik Kesehatan Kementerian Kesehatan Yogyakarta
(*) Corresponding Author

Abstract


Upper arm circumference, body mass index, and fundal height of pregnant women to estimate birth weight

Background: Accuracy of estimated infant’s birth weight is one of the most important measurements at the beginning of labor. Some anthropometric measures of pregnant women are upper arm circumference (MUAC) as a screening tool for chronic energy deficiency, body mass index (BMI) for assessment of chronic energy deficiency status, and indicators of fundal height to estimate birth weight. However, many studies with varying results are related to the accuracy of estimated birth weight.

Objective: The study aimed to compare the capacity of MUAC, BMI, and fundal height indicators in predicting birth weight.

Methods: The type of research is a cross-sectional study carried out at the Sadewa Maternal and Child Hospital in Yogyakarta in June-August 2018 with a 376 sample. The independent variables were MUAC, BMI, and fundal height, and the dependent variable is birth weight. Bivariate analysis using Pearson correlation and AUC and ROC curve tests.

Results: There is a relationship between BMI and the fundal height of pregnant women with birth weight. The AUC BMI value (AUC=0.519) was found to be the highest compared to the MUAC (AUC=0.496) and fundal height (AUC=0.466) measurements.

Conclusions: Pre-pregnancy BMI had a better capacity for predicting birth weight than MUAC and fundal height.


Keywords


BMI; fundal height; low birth weight; MUAC; pregnant women

Full Text:

PDF


References

  1. Lawn JE, Blencowe H, Oza S, You D, Lee AC, Cousens SN, et al. Every newborn: progress, priorities, and potential beyond survival. Lancet. 2014;384(9938):189-205. doi: 10.1016/S0140-6736(14)60496-7
  2. Kemenkes RI. Kesehatan dalam kerangka Sustainable Development Goals (SDGs). [series online] 2015 [cited 22 Des 2017]. Available from: URL: http://sdgs.bappenas.go.id/wp-content/uploads/2017/09/Kesehatan-Dalam-Kerangka-SDGs.pdf
  3. Kementerian Kesehatan RI. Profil kesehatan Indonesia tahun 2019. Jakarta: Kementerian Kesehatan RI; 2020.
  4. Wardlaw T, You D, Hug L, Amouzou A, Newby H. UNICEF report: enormous progress in child survival but greater focus on newborns urgently needed. Reprod Health. 2014;11:82. doi: 10.1186/1742-4755-11-82
  5. Kemenkes RI. Profil kesehatan Indonesia tahun 2016. Jakarta: Kementerian Kesehatan RI; 2017.
  6. Kalsum U, Sutrisna B, Djuwita R, Achadi EL, Jahari AB. A new alternative indicator for chronic energy deficiency in women of childbearing age in Indonesia. Health Science Indones. 2014;5(2):54-59.
  7. Morse K, Williams A, Gardosi J. Fetal growth screening by fundal height measurement. Best Pract Res Clin Obstet Gynaecol. 2009;23(6):809-18. doi: 10.1016/j.bpobgyn.2009.09.004
  8. Nindrea RD. Perbedaan taksiran berat badan janin menurut formula perhitungan berat badan lahir bayi. Jurnal Ipteks Terapan. 2017;11(1):36-42. doi: 10.22216/jit.2017.v11i1.1389
  9. Rianti E, Aminah S. Deviasi taksiran berat janin pada metode Johnson-Toshack, formula sederhana dan formula dare. Jurnal Kesehatan. 2017;8(2):235-9. doi: 10.26630/jk.v8i2.496
  10. Santjaka HI, Walin, Handayani R. Studi ketepatan taksiran berat janin berdasarkan statistik dan tinggi fundus uteri. Bidan Prada: Jurnal Ilmiah Kebidanan. 2011;2(1):21-34.
  11. Ariyani DE, Achadi EL, Irawati A. Validitas lingkar lengan atas mendeteksi risiko kekurangan energi kronis pada wanita indonesia. Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal). 2012;7(2):83-90. doi: 10.21109/kesmas.v7i2.67
  12. Supariasa IDN, Bakri B, Fajar I. Penilaian status gizi. Jakarta: EGC; 2002.
  13. Herawati. Lingkar lengan atas (LILA), indeks status gizi lainnya, dan faktor-faktor ibu serta hubungannya dengan berat badan bayi lahir di Kecamatan Gabus Wetan dan Sliyeng, Kabupaten Inderamayu, Jawa Barat 1990-1993 [Thesis]. Jakarta: FKM UI; 1993.
  14. Kementerian Kesehatan RI. Riset Kesehatan Dasar (Riskesdas) 2013. [series online] 2013 [cited 26 October 2018]. Available from: URL: https://www.kemkes.go.id/resources/download/general/Hasil%20Riskesdas%202013.pdf
  15. Gibson RS. Principle of nutrition asessment. New York: Oxford University Press; 2005.
  16. World Health Organisation (WHO). Low birth weight, regional and global estimates. New York: WHO-Dept of Reproductive Health Research; 2004.
  17. Yongky, Hardinsyah, Wiknjosastro G, Sukandar D. Analisis pertambahan berat badan ibu hamil berdasarkan status sosial ekonomi dan status gizi serta hubungannya dengan berat bayi baru lahir. [Disertasi]. Bogor: Institut Pertanian Bogor; 2007.
  18. Worthington R, William SR. Nutrition throughout the life cycle, fourth edition. Singapore: McGraw-Hill Book Co; 2000.
  19. Neggers Y, Goldenberg RL. Some thoughts on body mass index, micronutrient intakes and pregnancy outcome. J Nutr. 2003;133:1737S–40S. doi: 10.1093/jn/133.5.1737S
  20. Enomoto K, Aoki S, Toma R, Fujiwara K, Sakamaki K, Hirahara F. Pregnancy outcomes based on pre-pregnancy body mass index in Japanese women. PLoS One. 2016;11(6):e0157081. doi: 10.1371/journal.pone.0157081
  21. Goldstein RF, Abell SK, Ranasinha S, Misso M, Boyle JA, Teede HJ. Association of gestational weight gain with maternal and infant outcomes: a systematic review and meta-analysis. JAMA. 2017;317(21):2207-25. doi: 10.1001/jama.2017.3635
  22. Siega-Riz AM, Viswanathan M, Moos MK, Deierlein A, Mumford S, Lohr KN. A systematic review of outcomes of maternal weight gain according to the Institute of Medicine recommendations: birthweight, fetal growth, and postpartum weight retention. Am J Obstet Gynecol. 2009;201(4):339.e1-14. doi: 10.1016/j.ajog.2009.07.002
  23. Xiong C, Zhou A, Cao Z, Zhang Y, Qiu L, Zhang B, et al. Association of pre-pregnancy body mass index, gestational weight gain with cesarean section in term deliveries of China. Sci Rep. 2016;6:37168. doi: 10.1038/srep37168
  24. Mumbare SS, Maindarkar G, Darade R, Yenge S, Tolani MK, Patole K. Maternal risk factors associated with term low birth weight neonates: a matched-pair case control study. Indian Pediatr. 2012;49(1):25-8. doi: 10.1007/s13312-012-0010-z
  25. Demelash H, Motbainor A, Nigatu D, Gashaw K, Melese A. Risk factors for low birth weight in Bale zone hospitals, South-East Ethiopia: a case-control study. BMC Pregnancy Childbirth. 2015;15:264. doi: 10.1186/s12884-015-0677-y
  26. Mohanty C, Prasad R, Srikanth Reddy A, Ghosh JK, Singh TB, Das BK. Maternal anthropometry as predictors of low birth weight. J Trop Pediatr. 2006;52(1):24-9. doi: 10.1093/tropej/fmi059
  27. Putri AR, Al Muqsith. Hubungan lingkar lengan atas ibu hamil dengan berat badan lahir bayi di Rumah Sakit Umum Cut Meutia Kabupaten Aceh Utara dan Rumah Sakit Tk Iv Im.07.01 Lhokseumawe tahun 2015. Averrous. 2016;2(1):1-7. doi: 10.29103/averrous.v2i1.399
  28. Nurcahyani DA, Trihandini I. Kehamilan yang tidak diinginkan dan berat badan lahir bayi. Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal). 2013;7(8):354-9. doi: 10.21109/kesmas.v7i8.21
  29. Assefa N, Berhane Y, Worku A. Wealth status, mid upper arm circumference (MUAC) and antenatal care (ANC) are determinants for low birth weight in Kersa, Ethiopia. PLoS One. 2012;7(6):e39957. doi: 10.1371/journal.pone.0039957
  30. Horta BL, Barros FC, Lima NP, Assunção MCF, Santos IS, Victoria CG, et al. Maternal anthropometry: trends and inequalities in four population-based birth cohorts in Pelotas, Brazil, 1982-2015. International Journal of Epidemiology. 2019;48(Suppl 1):i26-i36. doi: 10.1093/ije/dyy278
  31. Ota E, Haruna M, Suzuki M, Anh DD, et al. Maternal body mass index and gestational weight gain and their association with perinatal outcomes in Viet Nam. Bull World Health Organ. 2011;89(2):127-36. doi: 10.2471/BLT.10.077982
  32. Headen I, Cohen AK, Mujahid M, Abrams B. The accuracy of self-reported pregnancy-related weight: a systematic review. Obes Rev. 2017;18(3):350-69. doi: 10.1111/obr.12486



DOI: https://doi.org/10.22146/ijcn.49314

Article Metrics

Abstract views : 6293 | views : 15314

Refbacks

  • There are currently no refbacks.


Bookmark and Share


Copyright (c) 2020 Jurnal Gizi Klinik Indonesia

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Jurnal Gizi Klinik Indonesia (JGKI) Indexed by:
 
  

  free web stats View My Stats