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Abstract

Antenatal care (ANC) is a compulsory program in Indonesia with minimally 4 times visits, unfortunately, regular Antenatal care visit at Kanjillo health center, South Sulawesi, Indonesia is still low. Most of the Low Birth Weight (LBW) cases in Indonesia happened in a rural-areas, where most of the women conducted the first visit ANC on the third trimester. This study aimed to determine the cut-off point of mother’s last trimester pregnancy weight for predicting as well as preventing low birthweight outcomes in the community. The research design was cross-sectional with secondary data taken from the Kanjilo health center, with 150 pregnant mothers visited the health center in 2019, as samples. Anthropometric measurements were used to determine the pregnancy weight in the last trimester as well as the weight of the baby born. Univariate, bivariate, multivariate analysis as well as Receiving Operation Characteristic (ROC) analysis was used. Cut off point of 60.5 kg of pregnancy weight in the third trimester of pregnancy and 0.919 AUC can predict low birth weight. To confirm this method, validation should be done in the community setting in several rural areas.

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Bahasa Abstract

Antenatal Care (ANC) merupakan program wajib di Indonesia dengan kunjungan minimal 4 kali, sayangnya kunjungan ANC rutin di Puskesmas Kanjillo, Sulawesi Selatan, Indonesia masih rendah. Sebagian besar Berat Bayi Lahir Rendah (BBLR) di Indonesia lahir di daerah pedesaan, dimana sebagian besar ibu melakukan kunjungan ANC pertama kalinya pada trimester ketiga. Penelitian ini bertujuan untuk menentukan titik potong berat badan ibu hamil trimester terakhir untuk memprediksi serta mencegah hasil BBLR di masyarakat. Desain penelitian menggunakan cross sectional dengan data sekunder diambil dari Puskesmas Kanjilo, dengan jumlah sampel 150 ibu hamil yang berkunjung ke Puskesmas pada tahun 2019. Pengukuran antropometri digunakan untuk mengetahui berat badan kehamilan pada trimester terakhir serta berat badan bayi yang dilahirkan. Analisis yang digunakan adalah univariat, bivariat, multivariat serta analisis Receiving Operation Characteristic (ROC). Titik potong berat badan kehamilan pada trimester ketiga kehamilan didapatkan 60,5 kg dan 0,919 pada Area Under Curve (AUC) dapat memprediksi berat badan lahir rendah. Untuk mengkonfirmasi metode ini, validasi harus dilakukan di lingkungan masyarakat di beberapa daerah pedesaan.

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