Abstract Ref Number = APCP828
MATERNAL SOCIO-DEMOGRAPHIC-CULTURAL FACTORS ANALYSIS IN LOW BIRTH WEIGHT AT KUPANG, EAST NUSA TENGGARA, INDONESIA
Simplicia Maria Anggrahini,Irwanto Idris,Ahmad Suryawan
Department of Child Health Faculty of Medicine Dr Soetomo Hospital Universitas Airlangga Surabaya Department of Child Health, Faculty of Medicine Dr Soetomo Hospital, Universitas Airlangga Surabaya
Background : Birth weight is a major determinant of survival, physical growth and mental development of an infant. The risk factors of low birth weight (LBW) include clinical/medical problems, and no less important is the socio-demographic-cultural factors of the mother. Data from basic health survey 2013, LBW in East Nusa Tenggara attained 15 % . There are limited studies on socio-demographic-cultural risk factors, beliefs and practices in prenatal care seeking and as it was local-specific matter. The aim of this study was to investigate the influence of maternal environmental factors on LBW.
Material : A case-control study was conducted on post-partum mothers with infant birthweight of < 2500 grams and > 2500 grams at Kupang, November 2016 – May 2017. Having spontaneous childbirth, singleton infants, and have received integrated ANC were eligible, while mothers give birth to twisted umbilical cord, placental weight <500 grams, infant with congenital defect, and incomplete medical records were excluded from the study. Maternal socio-demographic factors (age, education, family income, marital status, family stucture, knowledge about pregnancy) and cultural (non-standart ANC, remain in heavy workload) were evaluated by questioner. Statistical analysis using multivariate logistic regression, with p < 0,05 as the significancy.
Results : There were 50 mothers in each study groups. Majority were belongs to 20-35 years age group (84%), had high level of education (62%), low family income (61%), legitimate marital status (61%), and had nuclear family pattern (64%). The family income, marital status and ANC were not significant, while mother’s age (p=0.029), education level (p=0,002), knowledge about pregnancy (p=0.006), living within extended family (0.001), and still in heavy workload during pregnancy (0.023) were signifantly affected LBW.
Conclusions : Prevention of LBW might be considered with socio-demographic factors and local belief about pregnancy.
Keywords: socio-demographic-cultural factors family stucture low birth weight