Hubungan Frekuensi Kunjungan Antenatal Care (ANC) dengan Berat Badan Bayi Lahir di Wilayah Kerja HDSS Sleman

Isthafaina Dea Fairuz, Aviria Ermamilia, S.Gz, M.Gizi, RD

2023 | Skripsi | GIZI KESEHATAN

Latar Belakang : Berat badan lahir merupakan cerminan kecukupan gizi ibu selama hamil dan indikator status kesehatan bayi lahir. Berat bayi lahir dikategorikan rendah (BBLR) apabila kurang dari 2500 gram. Salah satu upaya untuk mencegah BBLR adalah antenatal care (ANC) yang disarankan minimal enam kali. Di masa pandemi, pelayanan dan akses fasilitas kesehatan terbatas sehingga angka kunjungan ibu hamil ke fasilitas kesehatan cenderung menurun. 

Tujuan : Mengetahui hubungan antara frekuensi kunjungan ANC dengan berat badan lahir bayi di wilayah kerja HDSS Sleman selama pandemi Covid-19

Metode : Observasional analitik dengan desain cross-sectional. Analisis bivariat yang digunakan  fisher’s exact. Subjek merupakan ibu dengan baduta yang tinggal di wilayah kerja HDSS Sleman. 

Hasil : Angka kejadian BBLR sebesar 5,9%. 83,3% Ibu melakukan dua kali atau lebih kunjungan ANC di trimester satu, 97,1% Ibu melakukan satu kali atau lebih kunjungan ANC di trimester dua dan 92,2% melakukan kunjungan ANC di trimester tiga sebanyak tiga kali atau lebih dan 77,5 % Ibu telah memenuhi standar minimal enam kali kunjungan pemeriksaan kehamilan menggunakan pola 2-1-3. Selain itu, 71,6% pernah berkunjung ke dokter pada trimester satu dan tiga, 20,6% memilih kombinasi puskesmas dan klinik bidan untuk ANC dan 74,5% tidak mengalami kendala dalam melakukan ANC. Frekuensi ANC tidak berhubungan dengan berat badan lahir bayi

Kesimpulan :  Tidak ada hubungan antara frekuensi kunjungan antenatal care dengan berat badan lahir bayi dengan nilai p 0,333.

Background : Birth weight is a reflection of the nutritional adequacy of the mother during pregnancy and an indicator of the health status of the newborn. The baby's birth weight is categorized as low birth weight (LBW) if it is less than 2500 grams. One of the efforts to prevent LBW is antenatal care (ANC) which is recommended at least six times. During a pandemic, services and access to thealth facilities were limited so that the number of visits by pregnant women to health facilities tended to decrease.

Purpose : Knowing about the relationship of antenatal care (ANC) frequency with the birth weight in the HDSS working area during Covid-19 pandemic. 

Method : Analytical observational with cross-sectional design. Bivariate analysis used fisher's exact. The subject is a mother with a children under two years who lives in the Sleman HDSS work area.

Results : The incidence of LBW was 5.9%. 83.3% Mothers made two or more ANC visits in the first trimester, 97.1% Mothers made one or more ANC visits in the second trimester and 92.2% made three or more ANC visits in the third trimester and 77, 5% of mothers have met the minimum standard of six antenatal care visits using a 2-1-3 pattern. In addition, 71.6% had visited a doctor in the first and third trimesters, 20.6% chose a combination of a puskesmas and a midwife's clinic for ANC and 74.5% had no problems in carrying out ANC. The frequency of ANC is not related to the baby's birth weight

Conclusion : There is no relationship between the frequency of antenatal care visits and the baby's birth weight with a p value of 0.333.

Kata Kunci : antenatal care , berat badan lahir bayi, Covid-19