Anglz Bayi Bent Lahir Rendah (BBLR) di Indonesia maslh cukup tinggi. Keadaan
BBLR meningkatkan risiko kematian dan kesakitan perinatal & bayi. 'Iujuan penelitian
lmtuk mengetahui lmbnngan antara perawatan antenatal (pemerisaan kohamilan
pertama Kali, frekuensi pemeriksaan, komumsi tablet besi) dan bayi berat _lahtr rendah
dengan mengontrol faktor jenis kelamin bayi, usia ibu melahirkan, pendidikan ibn,
paritas, jarak kelahix-an dan riwayat abortus.
Dinin penelitian adalah kann kontrol tidal; berpadanan menggunakan data has Survei
Demograli dan Kesehatan Indonesia 1997 (SDKI 1997) dengan jnmlah kann 748 dan
kontrol 1496 bayi kelahiran tunggal.
Hasil penelitian menemukan bahwa pemeriksaan kehamilan pertama kali pada trimester
II atau III mempunyai risiko BBLR 1.29 kali sesudah mengontrol usia ibn melahirkan,
pendidikan ibu dan jarak kelahiran. Frelmemi pemeriluaan kehamilan < 4 kali
mempunyai ritiko BBLR 1.81 kali sesudah mengontrol mia ibn melahlrlun dan jarak
kelahiran. Konsumsi < 90 tablet besi mempnnyai rixlko BBLR 189 semdah
mengontrol frekuensi pemeriksaan kehamilan, usia ibn melahirkan, pendidikan ibn dan
jarak kelahiran. Risiko atrlbut pemeriksaan kehamllan pertama kali 225 %, frelmensl
pemeriksaankehami1an44.8 % dan konxnmsitablet besi 47.1 %.
Bordasarkan hasil penelitian disarankan: 1). memantau pengadaan dan diztribusi tablet
best secara teratur 2). menzmbahkan pertanyaan tentang tekanan darah, TB, BB dan
status anemia ibu pada knesioner SDH 3). melaknkan penyuluhan tentang reproduksi
sehat bagi remaja putri dan ibn muda dengan pesan utama usia menikah/melahirkan &
pengatmnan jan-ak kelahiran 4). menganalisis data basil SDIC[terbarn.
Abstract Low birth weight rate is still high. Low birth weight increased the risk of perinatal and
infant mortality and morbidity. This study aims to know the relation between antenatal
care (first visit, frequency, iron pill consumption) and low birth weight controlling for
infant?s gender, maternal age, maternal education, parity, birth space and history of
abortion. 5
The study design is unmatched case-control nsed Indonesia Demographic and Health
Survey 1997 (IDHS 1997) data wherein 748 cases and 1496 controls were selected among
singleton infants were carried out in IDHS 1997-
This study found: the mother of cases have 1.29 times having first visit at the second or
third trimester of pregnancy compared to the controls controlling for maternal age,
maternal education and birth space. The mother of cases have 1.81 tlmes having visit
frequency less than 4 times compared to controls controlling for maternal age and birth
space. The mother of cases have 1.89 times having iron pill consumption less than 90 pill
compared to the controls controlling for visit frequency, maternal age, maternal education
and birth space. The attributable risk of first visit was 22.5 %, visit freqneudy was 44.8 %
and iron pill consumption was 47.1 %.
This study recommend: 1). to control for the availability and distribution of iron pill 2).
to add other questions into IDRS questionnaire, eg. maternal blood tension, height, weight
and anemia?s status 3). to give informations for girls and young mothers about the
reproduction health with the main messages are marriage age/birth age and birth space
4). to analyze the last IDHS data.