西巴布亚Fakfak公立医院低出生体重婴儿患病率的危险因素

D. Dian
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Fakfak District Hospital as the only referral hospital in West Papua Fakfak district still has many problems related to cases of low birth weight babies.\nObjective: To know the risk factors of LBW prevalence based on maternal age, gestational age, parity, hemoglobin levels, premature rupture of membranes (PROM), and preeclampsia in Fakfak public hospital, West Papua.\nMethods : This study is an observational analytic with cross sectional study in Fakfak public hospital during April 2021 till October 2021. Purposive sampling method used to obtain the samples from medical records that fit to inclusion and exclusion criteria (N=418). Data was analyzed with SPSS statistic for Mac used Chi-square test and logistic regression method.  The significant level of the test was p < 0,05.\nResults: A total of 418 newborn were included during study period. 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摘要

背景:印度尼西亚婴儿死亡率高与低出生体重婴儿有关,这是公共卫生部门的一个问题。低体重婴儿面临一些健康问题,如在出生头六天出现的各种疾病,并可能经历发育和生长受损等长期问题。这与母亲孕期的危险因素是分不开的。西巴布亚省占印度尼西亚LBW病例的23.8%。Fakfak地区医院是西巴布亚唯一的转诊医院,Fakfak地区仍然存在许多与低出生体重婴儿有关的问题。目的:了解西帕亚省Fakfak公立医院产妇年龄、胎龄、胎次、血红蛋白水平、胎膜早破(PROM)和先兆子痫的危险因素。方法:本研究采用横断面研究的观察性分析方法,于2021年4月至2021年10月在Fakfak公立医院进行。采用目的抽样方法,从符合纳入和排除标准的病历中抽取样本(N=418)。数据采用SPSS统计分析,Mac采用卡方检验和logistic回归方法。检验的显著性水平为p < 0.05。结果:研究期间共纳入新生儿418例。胎龄(p= 0000) (OR 7,23, CI95% 1,13-10,4)、胎膜早破(PROM) p= 0000 (p< 0.05)或14,23 (CI95% 7,7-26,2)、血红蛋白水平(p= 0000) (OR 3,47 CI95% 1,99-6,03)、先兆子痫(p= 0000) (OR 9,76 CI95% 5,39-17,6)。回归检验在4个变量上均有显著性结果。结论:胎龄、胎膜早破、血红蛋白水平和先兆子痫是导致西巴布亚新几内亚Fakfak公立医院LBW流行的重要危险因素。
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Risk Factor of Low-Birth-Weight Baby Prevalence at Fakfak Public Hospital West Papua
Background: The high number of infant mortality rate in Indonesia relate to Low Birth Weight (LBW) babies that be a problem of public health sector. LBW babies are facing several health problems such as various diseases that arise in the first six days of life, and can experience long-term problems such as impaired development and growth. This is inseparable from the mother's risk factors during pregnancy. West Papua Province contributes 23.8% of LBW cases in Indonesia. Fakfak District Hospital as the only referral hospital in West Papua Fakfak district still has many problems related to cases of low birth weight babies. Objective: To know the risk factors of LBW prevalence based on maternal age, gestational age, parity, hemoglobin levels, premature rupture of membranes (PROM), and preeclampsia in Fakfak public hospital, West Papua. Methods : This study is an observational analytic with cross sectional study in Fakfak public hospital during April 2021 till October 2021. Purposive sampling method used to obtain the samples from medical records that fit to inclusion and exclusion criteria (N=418). Data was analyzed with SPSS statistic for Mac used Chi-square test and logistic regression method.  The significant level of the test was p < 0,05. Results: A total of 418 newborn were included during study period. There were significant results in gestasional age (p=0,000) (OR 7,23, CI95% 1,13-10,4), premature rupture of membranes (PROM) p=0,000 (p<0,05) OR 14,23 (CI95% 7,7-26,2), hemoglobin levels (p=0,000) (OR 3,47 CI95% 1,99-6,03), preeclampsia (p=0,000) (OR 9,76 CI95% 5,39-17,6). The regression test showed significant result at four variables. Conclusion : Gestational age, PROM, hemoglobin levels, and preeclampsia are risk factors that significant lead to LBW prevalence in Fakfak public hospital, West Papua.
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