Kunjungan antenatal care dan dukungan keluarga berhubungan dengan kekurangan energi kronik
DOI: https://doi.org/10.56922/pti.v6i2.3709
Antenatal Care Chronic Energy Deficiency Family Support independent midwifery practice Pregnancy
Abstract
Background: Chronic energy deficiency (CED) during pregnancy can disrupt the mother’s nutritional reserves and fetal growth. Antenatal care (ANC) visits and family support are modifiable factors related to healthcare and the household.
Purpose: To analyze the crude association between ANC visits and family support and the incidence of KEK among pregnant women.
Method: This focused secondary analysis used data from a 2024 parent study involving 100 pregnant women who received care at a midwife’s private practice. KEK was defined as an upper arm circumference <23.5 cm. ANC visits were categorized as 0–3 times and >3 times; family support was categorized as absent and present. The p-value for the chi-square test refers to the parent study, while the crude prevalence ratio (PR) and 95% confidence interval (CI) were calculated from the available 2×2 frequency table.
Results: Eccentricity was reported in 33.0% of respondents. The proportion of eccentricity was higher among mothers with 0–3 ANC visits compared to those with >3 visits (46.7% vs. 12.5%; PR=3.73; 95% CI: 1.57–8.85; p<0.001). KEK was also higher among mothers without family support than among those who received support (55.6% vs. 20.3%; PR = 2.74; 95% CI: 1.55–4.82; p < 0.001).
Conclusion: Limited ANC visits and a lack of family support are associated with a higher prevalence of stunting. The findings support strengthening nutritional screening, scheduled ANC follow-ups, and counseling that involves the family. A cross-sectional design and unadjusted analysis cannot be used to draw conclusions about cause-and-effect relationships.
Keywords: Antenatal Care; Chronic Energy Deficiency; Family Support; Independent Midwifery Practice; Pregnancy.
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