THE EFFECT OF INSUFFICIENT IRON CONSUMPTION DURING PREGNANCY ON THE RISK OF LOW BIRTH WEIGHT IN RSUD KOTA DEPOK AND BEKASI
DOI:
https://doi.org/10.22159/ajpcr.2017.v10s5.23108Keywords:
Anemia, Low birth weight, Iron tablets, PregnancyAbstract
Objective: The purpose of this study was to investigate the effect of low consumption of iron tablets during pregnancy on the risk of low birth weight. This case–control study included 56 women who gave birth to infants weighing <2500 g in RSUD Kota Depok and Bekasi. The control group consisted of 112 mothers who gave birth to infants weighing ≥ 2500 g.
Methods: This study was performed from September 2015 to December 2015. Data were collected from patient's medical records and via structured interviews with questionnaires.
Results: We found that, among the study participants, 73.2% were aged 20-35 years, 76.2% had a gestational age ≥37 weeks, 61.3% had 1-3 children parity, time from previous delivery was >2 years in 53.6%, 95.2% did not complete antenatal examinations, 95.8% had a body weight of ≥40 kg before pregnancy, 91.1% showed a ≥5 kg increase in body weight during pregnancy, 45.8% had a high school education, 88.7% were housewives, hemoglobin level was ≥11 g/dL in 63.1%, and 53.0% did not consume heme-containing food daily. Only 53% of the participants consumed an adequate amount of iron, whereas the remaining 47% consumed less than the recommended amount of iron. Bivariate tests revealed that women who consumed an inadequate amount of iron during pregnancy had a 6.08-fold higher risk of low birth weight than women who consumed an adequate amount of iron during pregnancy.
Conclusions: The strongest risk factor for low birth weight was inadequate consumption of iron during pregnancy (odds ratio [OR] = 5.87; 95%, CI: 2.76-12.49) followed by inadequate gestational age (OR = 4.27; 95%, CI: 2.76-12.49).
Downloads
References
Badan Pusat Statistik. Survei Demografi dan Kesehatan Indonesia 2012. Jakarta: Badan Pusat Statistik; 2012.
Carrera JM, Carbonel X, Fabre E. Recommendation and Guidelines for Perinatal Medicine. Barcelona: Matres Mundi; 2007.
United Nations Children’s Fund and World Health Organization. Low Birthweight: Country, Regional and Global Estimates. New York: UNICEF; 2004.
Valero De Bernabé J, Soriano T, Albaladejo R, Juarranz M, Calle ME, MartÃnez D, et al. Risk factors for low birth weight: A review. Eur J Obstet Gynecol Reprod Biol 2004;116(1):3-15.
Haider BA, Olofin I, Wang M, Spiegelman D, Ezzati M, Fawzi WW. Anaemia, prenatal iron use, and risk of adverse pregnancy outcomes: Systematic review and meta-analysis. BMJ 2013;346:1-19.
Dibley MJ, Titaley CR, d’Este C, Agho K. Iron and folic acid supplements in pregnancy improve child survival in Indonesia. Am J Clin Nutr 2012;95:1-11.
Habib F, Alabdin EH, Alenazy M, Nooh R. Compliance to iron supplementation during pregnancy. J Obstet Gynaecol 2009;29(6):487-92.
Restu S, Dasuki D, Nurdiati RD. The influence of iron supplementation in pregnant women to the occurrence of Low Birth Weight (LBW) babies in Pali, Central Sulawesi. J Med Sci 2014;46(1):41-51.
Manuaba AC, Manuaba IB, Manuaba IB. Ilmu Kebidanan, Penyakit Kandungan dan KB Untuk Pendidikan Bidan. 2nd ed. Jakarta: EGC; 2010.
Sharma M, Mishra S. Effects of maternal health and nutrition on birth weight of infant. Int J Sci Res 2012;3(6):856-8.
Elshibly EM, Schmalisch G. Relationship between maternal and newborn anthropometric measurements in Sudan. Pediatr Int 2009;51(3):326-31.
Ghimire RH, Ghimire S. Maternal and fetal outcome following severe anaemia in pregnancy: Results from nobel medical college teaching hospital, Biratnagar, Nepal. J Nobel Med Coll 2012;2(1):22-6.
Sharma SR, Giri S, Timalsina U, Bhandari SS, Basyal B, Wagle K, et al. Low birth weight at term and its determinants in a tertiary hospital of Nepal: A case-control study. PLoS One 2015;10(4):e0123962.
Fourn L, Ducic S, Séguin L. Factors associated with low birth weight: A multivariate analysis. Sante 1999;9(1):7-11.
Sistiarani C. Faktor Maternal dan Kualitas Pelayanan Antenatal Yang Berisiko Terhadap Kejadian Berat Badan Lahir Rendah (BBLR). Thesis. Semarang: Universitas Diponegoro; 2008.
Published
How to Cite
Issue
Section
The publication is licensed under CC By and is open access. Copyright is with author and allowed to retain publishing rights without restrictions.