Abstract Ref Number = APCP1007
NUTRITIONAL PROFILE AT BIRTH IN NEONATAL UNIT, NATIONAL GENERAL HOSPITAL DR CIPTO MANGUNKUSUMO ,A PRELIMINARY STUDY
PutriMaharaniTristanita Marsubrin,Hana Christyanti
RSCM Divisi Perinatologi Departemen Ilmu Kesehatan Anak RSCM Divisi perinatologi Departemen Ilmu Kesehatan Anak
Background : It is important to asses nutritional status at early life since it will predict later developmental outcome. Preterm neonates are very vulnerable to have growth faltering so monitoring nutritional status is essential. Therefore, this study was conducted to observe nutritional assessment profile and risk factors affecting nutritional status of newborn in Cipto Mangunkusumo hospital.
Material : A retrospective study to determine the factors that influence nutritional status among preterm neonates was conducted. A total of 100 infants, gestational age between 32-35 weeks, was recruited at General Hospital Cipto Mangunkusumo among December 2017-March 2018. The measurement of nutritional status at birth and risk factors of mothers was taken by medical record. Neonate nutritional assessment was defined based on weight, length and head circumference plotted to fenton growth chart. Gestational age was defined by ballard score. Risk factors developing small gestational age during pregnancy include haemorrhagic antepartum, gestational diabetes melitus, high risk of infection, systemic lupus eritematous, preterm premature rupture of membran, and gestational hypertension were analyzed.
Results : There were 25% small gestational age babies, which consist of 45.8% of that was symmetrical SGA. Gestational hypertention and severe pre-eclampsia was correlated with a higher incidence of small gestational age. The risk factors associated wih SGA among 32-35 weeks is gestational hypertention and severe pre-eclampsia ( prevalence ratio = 2.19 , CI 95% = 1.174 – 8.106 , p = 0.022 )
Conclusions : The prevalence of small gestational age in Cipto Mangunkusumo hospital is 25%. Gestational hypertention and severe pre-eclampsia was the only factor associated with higher incidence of small gestational age.
Keywords: nutritional status preterm babies pre-eclampsia