Gambaran kejadian bayi berat lahir rendah pada ibu usia reproduktif dan usia berisiko di poned
DOI: https://doi.org/10.56922/mchc.v4i7.1155
LBW Reproductive Age Risk Age
Abstract
Background: Maternal mortality rates and infant mortality rates are very important indicators, with cases in Indonesia still relatively high. Low birth weight (LBW), defined as a birth weight of less than 2500 grams, remains one of the leading causes of infant mortality, accounting for 38.85% of total infant deaths in Indonesia.
Purpose: To provide an overview of LBW cases among women of reproductive age (20-35 years) and women of high-risk age (<20 years or >35 years) at PONED.
Methods: A descriptive cross-sectional study using secondary data from birth records with a sample of 95 live births. Conducted from November 2018 to February 2019.
Results: Of the 7 LBW cases (7.4% of total births), 6 cases (8%) occurred in women of reproductive age and 1 case (6%) in women of high-risk age. This study shows a higher prevalence of LBW in the reproductive age group, which is counterintuitive compared to the general literature that identifies high-risk age as the main risk factor. This is most likely influenced by the numerical dominance of the reproductive age group in the sample, as well as the role of unmeasured confounding factors such as double burden, chronic fatigue, and socioeconomic disparities that affect access to and quality of antenatal care.
Conclusion: This study concludes that LBW can occur in both age groups, but in this context, it is more prevalent in mothers of reproductive age. Therefore, a holistic screening approach that focuses on maternal age, as well as improving the quality of comprehensive antenatal care, is very important to reduce the incidence of LBW and improve the health of mothers and babies.
Downloads
References
Aini, Y. N., & Kurniawan, F. E. (2023). The Maternal Sociodemographic Determinants of Low Birth Weight in Indonesia. Jurnal Kesehatan Masyarakat, 18(4), 536-545.
Al-Haddabi, R., Al-Bash, M., Al-Mabaihsi, N., Al-Maqbali, N., Al-Dhughaishi, T., & Abu-Heija, A. (2014). Obstetric and perinatal outcomes of teenage pregnant women attending a tertiary teaching hospital in Oman. Oman Medical Journal, 29(6), 399.
Barbuscia, A., Martikainen, P., Myrskylä, M., Remes, H., Somigliana, E., Klemetti, R., & Goisis, A. (2020). Maternal age and risk of low birth weight and premature birth in children conceived through medically assisted reproduction. Evidence from Finnish population registers. Human Reproduction, 35(1), 212-220.
Black, R. E., Victora, C. G., Walker, S. P., Bhutta, Z. A., Christian, P., De Onis, M., & Uauy, R. (2013). Maternal and child undernutrition and overweight in low-income and middle-income countries. The lancet, 382(9890), 427-451.
Goisis, A., Remes, H., Barclay, K., Martikainen, P., & Myrskylä, M. (2017). Advanced maternal age and the risk of low birth weight and preterm delivery: a within-family analysis using Finnish population registers. American journal of epidemiology, 186(11), 1219-1226.
Indarti, J., Prasetya, D. E., Sandi, H., Rahmadi, I., & Surya, R. (2021). Obstetric and Perinatal Characteristics of Teenage Pregnancies: An Analysis of Five-Year Period in dr. Cipto Mangunkusumo Hospital, Jakarta. eJournal Kedokteran Indonesia, 18-18.
Kangbai, D. M., Bandoh, D. A., Manu, A., Kangbai, J. Y., Kenu, E., & Addo-Lartey, A. (2022). Socio-economic determinants of maternal health care utilization in Kailahun District, Sierra Leone, 2020. BMC pregnancy and childbirth, 22(1), 276.
Kementerian Kesehatan Republik Indonesia. (2018). Laporan Nasional Riskesdas 2018. https://repository.badankebijakan.kemkes.go.id/id/eprint/3514/
Kementerian Kesehatan Republik Indonesia. (2024). Buku Kinerja Kementerian Kesehatan Republik Indonesia Tahun 2022 – 2023. Diakses dari: https://kemkes.go.id/id/buku-kinerja-kementerian-kesehatan-republik-indonesia-tahun-2022---2023
Komisi Nasional Perempuan. (2019). Pengabaian Hak Reproduksi dan Seksual: Ancaman bagi Keselamatan dan Hak Hidup Perempuan dan Anak Perempuan IndonesiaKertas Kebijakan Komnas Perempuan untuk Pemenuhan Hak Reproduksi dan Seksual dan 10 Risalah Kebijakan. Diakses dari: https://komnasperempuan.go.id/kertas-posisi-detail/pengabaian-hak-reproduksi-dan-seksual-ancaman-bagi-keselamatan-dan-hak-hidup-perempuan-dan-anak-perempuan-indonesia-kertas-kebijakan-komnas-perempuan-untuk-pemenuhan-hak-reproduksi-dan-seksual-dan-10-risalah-kebijakan
Kravchenko, Е. N., Shevlyukovа, Т. P., Beznoshchenko, G. B., & Bulatovа, I. А. (2024). Problems of teenage pregnancy: obstetric and perinatal outcomes. Perm Medical Journal, 41(2), 52-60.
Laksono, A. D., Wulandari, R. D., Rohmah, N., Rukmini, R., & Tumaji, T. (2023). Regional disparities in hospital utilisation in Indonesia: a cross-sectional analysis data from the 2018 Indonesian Basic Health Survey. BMJ open, 13(1), e064532.
Lee, J. T., McPake, B., Putri, L. P., Anindya, K., Puspandari, D. A., & Marthias, T. (2023). The effect of health insurance and socioeconomic status on women’s choice in birth attendant and place of delivery across regions in Indonesia: a multinomial logit analysis. BMJ Global Health, 8(1).
Leftwich, H. K., & Alves, M. V. (2017). Adolescent pregnancy. Pediatric Clinics of North America, 64(2), 381-388.
Mubasyiroh, R., Tejayanti, T., & Senewe, F. P. (2016). Hubungan kematangan reproduksi dan usia saat melahirkan dengan kejadian bayi berat lahir rendah (BBLR) di Indonesia tahun 2010. Indonesian Journal of Reproductive Health, 7(2), 109-118.
Ngandu, C. B., Momberg, D., Magan, A., Chola, L., Norris, S. A., & Said-Mohamed, R. (2020). The association between household socio-economic status, maternal socio-demographic characteristics and adverse birth and infant growth outcomes in sub-Saharan Africa: a systematic review. Journal of developmental origins of health and disease, 11(4), 317-334.
Partington, S. N., Steber, D. L., Blair, K. A., & Cisler, R. A. (2009). Second births to teenage mothers: risk factors for low birth weight and preterm birth. Perspectives on Sexual and Reproductive Health, 41(2), 101-109.
Sari, I. P., Sucirahayu, C. A., Hafilda, S. A., Sari, S. N., Safithri, V., Fitria, F., & Hasyim, H. (2023). Faktor penyebab angka Kematian ibu dan Angka Kematian bayi serta strategi penurunan kasus (studi kasus di negara berkembang): Sistematic Review. Prepotif: Jurnal Kesehatan Masyarakat, 7(3), 16578-16593.
Silaen, M., Rahayu, S., Aryanti, I., Prasetyo, A., Wahyuni, S., Wahyono, T. T., & Marannu, B. (2025). Health and socio-economic factors as determinants of antenatal care service access in Indonesia. Clinical Epidemiology and Global Health, 102010.
Silaen, M., Rahayu, S., Aryanti, I., Prasetyo, A., Wahyuni, S., Wahyono, T. T., & Marannu, B. (2025). Health and socio-economic factors as determinants of antenatal care service access in Indonesia. Clinical Epidemiology and Global Health, 102010.
Singh, P., Singh, K. K., & Singh, P. (2021). Maternal health care service utilization among young married women in India, 1992–2016: trends and determinants. BMC Pregnancy and Childbirth, 21(1), 122.
Suparmi, S., Afifah, T., Masitoh, S., Oktarina, O., Sulistiyowati, N., Nugraheny, E., & Mahmudah, L. (2023). Socioeconomic difference and adequate antenatal care in Indonesia: Evidence from a nationwide household survey. Open Access Macedonian Journal of Medical Sciences, 11(E), 348-353.
Tekelab, T., Chojenta, C., Smith, R., & Loxton, D. (2019). The impact of antenatal care on neonatal mortality in sub-Saharan Africa: A systematic review and meta-analysis. PloS one, 14(9), e0222566.
Downloads
Published
Issue
Section
License
Copyright (c) 2025 THE JOURNAL OF Mother and Child Health Concerns
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
