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"ABSTRAKBerat badan lahir bayi merupakan salah satu indikator bayi bertahan hidup. Bayidengan berat lahir rendah (BBLR) memiliki risiko yang tinggi untuk mengalamikematian di usia neonatal. Ibu hamil yang melakukan antenatal care dengan baikakan memiliki risiko yang semakin rendah untuk melahirkan bayi dengan beratlahir rendah. Papua merupakan salah satu propinsi yang memiliki angka ibu tidakmelakukan antenatal care cukup tinggi bila dibandingkan dengan propinsi lain diIndonesia. Tujuan dari penelitian ini adalah untuk mengetahui hubunganpelaksanaan ANC dengan berat lahir bayi dan meningkatkan kesadaranmasyarakat mengenai pentingnya memeriksakan kehamilan. Metode penelitianadalah studi potong lintang dengan consecutive sampling kepada subjek yaituanak berusia 0-60 bulan dan ibu sebagai responden di daerah PegununganJayawijaya, Papua. Data didapatkan melalui wawancara yang kemudian dianalisisdengan uji Chi square. Hasil dari penelitian ini adalah tidak ada hubunganfrekuensi antenatal care dengan berat lahir bayi (p = 1,000), tidak ada hubungankelengkapan antenatal care dengan berat lahir bayi (p = 0,561). Perlu dilakukanpenelitian yang lebih baik untuk mengetahui keterbatasan pelaksanaan antenatalcare di Papua

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ABSTRACTBirth weight indicates survival rate of babies. Babies with low birth weight are atrisk of mortality at neonatal age. Pregnant women who do the antenatal care wellwill have least risks of giving birth to a baby with low birth weight. The number ofmothers without antenatal care in Papua is likely higher than most of theprovinces in Indonesia. The aim of this research is to know the correlationbetween the antenatal care implimentation and the birth weight, and also to raisepeople?s awareness of the importance of antenatal care. This research is usingcross sectional study with consecutive sampling to the subjects, which arechildren aged 0-60 months and mothers, as the respondent in Jayawijaya, Papua.Data were obtained through interviews, which were later analyzed with Chisquare test. As a result of this research, there are no correlation between thefrequency of antenatal care and birth weight (p = 1,000), no relevancy betweenthe completeness of antenatal care and birth weight (p = 0,561). Further andbetter research is needed to find out the limited implementation of antenatal carein Papua."

"ABSTRAKPenelitian ini merupakan analisis data sekunder Survei Demografi dan Kesehatan Indonesia 2007. Rancangan penelitian adalah kasus kontrol tidak berpadanan. Jumlah sampel 2500 orang terdiri dari 500 orang ibu yang melahirkan bayi dengan BBLR (kasus) dan 2000 orang ibu yang melahirkan bayi dengan berat badan normal (kontrol).Hasil penelitian menunjukkan bahwa ibu hamil yang menerima kualitas pelayanan antenatal yang buruk kemungkinan berisiko melahirkan BBLR 2,22 kali dibandingkan dengan ibu hamil yang menerima kualitas pelayanan antenatal yang baik setelah dikontrol pendidikan ibu. Variabel lain yang terbukti signifikan berhubungan adalah jenis kelamin, umur ibu, pendidikan ibu, paritas, dan komplikasi kehamilan.

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ABSTRACT

This study is depth analysis data of IDHS 2007. The design of this study is nonmatching case-control with, the number of sample was 2500 that consisted of 500 mothers who gave birth with LBW as a case group birth and 2000 mothers who gave birth normal weight.

The result of this study showed that mothers who utilized bad (low) quality of ANC had the tendency to have LBW 2.22 times higher compared to mothers who utilized good quality ANC, controllod by education?s mother. Significant variabel with LBW occurence statistically is baby gender, mother?s age, mother?s education, parity, complication during pregnancy."

"Dewasa ini sekitar 45% kematian bayi terjadi pada bayi berumur kurang dari satu bulan, dan 20% kematian bayi tersebut disebabkan oleh Berat Badan Lahir Rendah (BBLR) (Depkes, 1996). Dilihat dari segi kesehatan masyarakat BBLR turut berperan di dalam menentukan sukses tidaknya pembentukan generasi mendatang (Population Report, 1998), karena BBLR dapat mengakibatkan tumbuh kembang bayi dan anak terhambat, serta menimbulkan gangguan kesehatan pada bayi yang dilahirkan. Banyak upaya yang dilakukan untuk mengurangi risiko BBLR, antara lain dengan meningkatkan pelayanan antenatal care (ANC).Tujuan penelitian ini adalah untuk mengetahui gambaran terjadinya BBLR yang berhubungan dengan frekuensi ANC, pemberian vaksinasi tetanus toxoid, pemberian tablet besi, tinggi fundus uteri, berat badan ibu, tinggi badan ibu, tekanan darah ibu, umur ibu, pendidikan ibu, lingkar lengan atas ibu, kadar Hb ibu, paritas, jarak kehamilan, dan jenis kelamin bayi.Penelitian ini merupakan studi observasional dari data sekunder laporan data maternal perinatal dasar RSUP dr. Hasan Sadikin Bandung tahun 2000. Rancangan penelitian yang digunakan adalah cross sectional dengan sampel penelitian sebanyak 863 ibu yang melahirkan tunggal dan cukup umur selama tahun 2000. Analisis yang digunakan adalah univariat, bivariat dengan uji chi square dan multi variat dengan uji regresi logistik.Hasil penelitian ini menunjukkan bahwa kejadian BBLR dari 863 kelahiran tunggal dan cukup umur adalah sebanyak 53 kelahiran (6,1%), sedangkan kejadian BBLR dan total populasi yaitu dari 2684 kelahiran, termasuk tunggal, kembar prematur dan cukup umur, sebanyak 462 kelahiran (17,2%). Hasil penelitian univariat menunjukkan bahwa yang frekuensi ANCnya tidak adekuat sebesar 14,63%, tinggi fundus uteri yang tidak normal adalah sebesar 34,62%, tinggi badan kurang dari 145 cm sebesar 14,75%, tekanan darah tidak normal sebesar 12, 42%, paritas > 4 sebesar 8,9%. Hasil analisis statistik menunjukkan bahwa ada hubungan yang bermakna antara variabel tersebut dengan kejadian BBLR (p < 0,05), sedangkan variabeI vaksinasi tetanus toxoid, berat badan ibu, umur ibu, pendidikan ibu, LLA ibu, kadar Hb ibu, jarak kehamilan, dan jenis kelamin bayi tidak mempunyai hubungan yang bermakna.Variabel tablet tablet besi tidak dapat dianalisis karena datanya kurang bervariasi. Dari model regresi logistik diketahui ternyata variabel yang paling besar peranannya terhadap kejadian BBLR adalah frekuensi ANC, tinggi fundus uteri, dan tekanan darah ibu, sedangkan yang paling kuat hubungannya dengan kejadian BBLR adalah tinggi fundus uteri, dengan OR 15,46 ( CI 95 % ).Disarankan agar rumah sakit melakukan pemantauan yang ketat terhadap ibu yang terdeteksi mempunyai risiko BBLR, dan menyiapkan ruangan bersalin khusus dengan sarana yang lengkap untuk persalinan BBLR Untuk petugas lapangan atau penyuluh kesehatan, agar dapat menyebarluaskan informasi mengenai tanda-tanda yang menunjukkan BBLR, serta memberikan informasi mengenai penanganan kejadian BBLR Bagi praktisi kesehatan terutama bidan praktek swasta, agar dapat melakukan deteksi dini kejadian BBLR.

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Nowadays about 45% infant mortality occurs to infant in the age less than 1 month, and 20% as stated above caused by low birth weight (LBW) (Depkes, 1996). From the view of public health, LBW has its role to determine the successful future generation formation (Population Report, 1998), because LBW can cause retardation to child growth, also can cause health birth infant problem. There are efforts had been done to reduce LBW risk, such as increase antenatal care (ANC).

This research aim is to know the description LBW occurred which related to the frequency of ANC, tetanus toxoid vaccination, iron tablet distribution, fundus uteri height, mother's weight, mother's height, mother's blood pressure, mother's age, mother's education, mother's upper arm circumference, mother's Hemoglobin level, parity, interval of pregnancy, and infant gender.

This research is observational study by secondary data analyzed. Secondary data is taken from the audit maternal prenatal dr. Hasan Sadikin General Hospital Bandung in year 2000. The design used in this study is cross sectional with 863 mothers who deliver single baby and mature during year 2000. The analysis of this research is using univariate, bivariate with chi square test and multivariate with logistic regression test.

The research showed that from 863 single and mature births, 53 infants are LBW (6,1%), while L13W from total of population from 2684 births, including single, preterm twin and mature, are 462 births (17,2%). The result of univariate test showed that the inadequate ANC are 14,63%, abnormal fundus uteri height are 34,62%, less than 145 cm height are 14,75%, abnormal blood pressure are 12,42%, parity > 4 are 8,9%. The result of statistics analysis showed that there is meaningful relationship between stated variables with LBW (p< 0,005), while tetanus toxoid vaccination, mother's weight, mother's age, mother's education, mother's upper arm circumference, mother's hemoglobin content, spacing of pregnancy, and infant gender, are not related to LBW and the ferrum distribution cannot analyzed because the data is not representatives to analyzed. From the logistic regression is known that the determinant factor to LBW is ANC frequency, fundus uteri height, and mother's blood pressure.

It is suggested that hospital carry out the tight supervision to LBW detected mother, and preparing special delivery room with fully equipped for LBW delivery. Health worker is hoped to spread out the information about the LBW symptom, also spread out the information about taking care of LBW. For the private health practitioners especially private midwife, it is necessary to detect LBW early, and refer immediately if there is no ability to deliver LBW infant."

"Komplikasi persalinan merupakan penyebab langsung kematian ibu. Berat badan lahir rendah (BBLR) terus menjadi masalah kesehatan masyarakat global. Kunjungan antenatal menjadi faktor penting terjadinya komplikasi persalinan dan BBLR. Penelitian kunjungan antenatal, komplikasi persalinan, dan BBLR banyak dilakukan dengan beragam metode statistik. Tujuan penelitian menghasilkan evidence based recommendation kepada pemegang program berdasarkan perbandingan hasil analisis tiga alternatif pilihan metode statistik tentang pengaruh kunjungan antenatal terhadap komplikasi persalinan dan BBLR. Penelitian ini merupakan penelitian kuantitatif dengan desain studi cross-sectional. Sumber data berasal dari Survei Demografi Kesehatan Indonesia (SDKI) 2017. Sampel penelitian sebagian wanita usia subur berusia 15-49 tahun yang melahirkan anak terakhir dalam 5 tahun terakhir sebanyak 12.035 responden. Variabel dependen: komplikasi persalinan dan BBLR, variabel independen: kunjungan antenatal. Analisis data menggunakan regresi logistik, cox, dan poisson dengan varians robust. Hasil penelitian menunjukkan bahwa prevalensi komplikasi persalinan (47,40%) dan BBLR (6,56%). Kunjungan antenatal terbukti secara statistik berpengaruh terhadap komplikasi persalinan dan BBLR di Indonesia. Wanita yang melakukan kunjungan antenatal <8 kali berisiko 1,2 kali lebih besar untuk mengalami komplikasi persalinan dan berisiko 5,48 kali lebih besar untuk melahirkan bayi BBLR dibandingkan dengan wanita yang melakukan kunjungan ≥8 kali, persebaran dan kualitas sesuai. Berdasarkan perbandingan dari ketiga metode statistik, pada komplikasi persalinan sebagai contoh kasus dengan prevalensi tinggi, regresi cox maupun poisson dengan varians robust merupakan alternatif pilihan metode statistik yang lebih baik dibanding regresi logistik. Ukuran asosiasi PR lebih tepat digunakan daripada OR karena tidak overestimate. Sementara pada BBLR sebagai kasus dengan prevalensi rendah, ukuran asosiasi PR maupun OR dapat digunakan keduanya karena menghasilkan nilai yang hampir sama.

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Childbirth complications are a direct cause of maternal death. Low birth weight (LBW) continues to be a global public health problem. The antenatal care visits is an important factor in occurrence of birth complications and LBW. Research on the frequency of antenatal visits, birth complications, and LBW has been carried out using various statistical methods. The purpose of the study is to produce evidence-based recommendations for the program based on a comparison of the results of the analysis of three alternative statistical methods for Indonesia regarding the influence of the of antenatal visits on birth complications and LBW. This study is a quantitative study with a cross-sectional study design. The data comes from the 2017 Indonesian Demographic Health Survey (IDHS). The sample of this study included 12,035 respondents of women of childbearing aged 15-49 years who gave birth to their last child in the last 5 years. Dependent variables: birth complications and LBW, independent variables: frequency of antenatal care. Data analysis uses logistic regression, Cox, and Poisson regression with robust variance. The results showed that the prevalence of birth complications (47.40%) and LBW (6.56%). The antenatal care visits had been statistically proven to influence childbirth complications and LBW in Indonesia. Women who had <8 antenatal visits had a 1.2 times greater risk of experiencing birth complications and a 5.48 times greater risk of giving birth to an LBW baby compared to women who had ≥8 visits, appropriate of distribution and quality of antenatal care. Based on a comparison of the three statistical methods, for childbirth complications as an example of cases with high prevalence, Cox or Poisson regression with robust variance is a better alternative choice of statistical method than logistic regression. The PR measure of association is more appropriate to use than OR because it does not overestimate. Meanwhile, for LBW as a case with low prevalence, both PR and OR association measures can be used because they produce almost the same values."

"ABSTRAKNama : Nenty SeptianaProgram Studi : Magister Ilmu Keperawatan Anak Fakultas Ilmu KeperawatanJudul : Pengaruh Perawatan Metode Kanguru yang Dilakukan oleh Ayah dan Ibu terhadap Lama Tidur Tenang Bayi Berat Lahir Rendah Gangguan tidur yang dialami oleh BBLR akibat banyaknya stimulus selama perawatan akan menggangu proses perkembangan dan kematangan otak bayi. Selama ini perawatan metode kanguru PMK hanya dilakukan oleh ibu. Tujuan penelitian ini mengetahui pengaruh PMK yang dilakukan oleh ayah dan ibu terhadap lama tidur tenang bayi berat lahir rendah BBLR . Rancangan penelitian ini menggunakan post test-only nonequivalent control group dengan 16 BBLR yang dirawat di tiga rumah sakit di Banda Aceh. Pengambilan sampel dilakukan secara consecutive sampling. Analisis menggunakan uji Paired t-test. Tidak terdapat perbedaan lama tidur tenang BBLR selama dilakukan perawatan metode kanguru oleh ibu dan ayah dengan nilai p=0,77. PMK bisa dilakukan oleh ibu ataupun ayah sehingga keterikatan antara ibu/ayah dan anak akan meningkat, tidur tenang BBLR akan lebih lama, dan PMK dapat dilanjutkan di rumah dengan adanya dukungan keluarga.

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ABSTRACTName Nenty SeptianaStudy Programme Postgraduate Programme Faculty of NursingTitle The Effect of Kangaroo Care Performed by Fathers and Mothers on Length of Quiet Sleep on Low Birth Weight BabiesSleep disturbances experienced by low birth weight baby may disrupt the process of neural development and maturity of the babies rsquo brain due to various stimuli during their care. To date, kangaroo care is only performed by the mothers. The purpose of this study to identify the effect of kangaroo care performed by fathers and mothers on length of quiet sleep of low birth weight LBW babies. The research design was post test only nonequivalent control group using a consecutive sampling technique with 16 respondents of low birth weight babies hospitalized in three hospitals in Banda Aceh. Statistical analysis using Paired t test. There is no significant difference between the duration of quiet sleep of LBW babies given kangaroo care performed by fathers and mothers p value 0,77 . Kangaroo care can be done by either fathers or mothers so that the emotional attachment between babies and their mother or father will be deepened, quiet sleep period of LBW babies will be extended, and can be continued at home with their family support. "

"Bayi berat lahir rendah (BBLR) di Kabupaten Bogor merupakan masalah yang penting. Prevalensi BBLR selama 2 tahun terakhir di Kabupaten Bogor cenderung meningkat. Kecamatan Jasinga tercatat sebagai penyumbang kasus tertinggi selama 3 tahun terakhir.  Penelitian ini bertujuan untuk mengetahui hubungan kualitas pelayanan antenatal (berdasarkan frekuensi kunjungan dan pemeriksaan rutin) dengan kejadian BBLR di wilayah kerja Puskesmas Jasinga. Desain penelitian ini adalah kasus kontrol. Populasi studi adalah ibu melahirkan pada periode 1 Januari sampai 31 Desember 2015 di wilayah kerja Puskesmas Jasinga. Jumlah sampel sebanyak 171 terdiri dari 57 kasus dan 114 kontrol. Frekuensi kunjungan kurang dari 4 kali meningkatkan risiko BBLR 1,99 (95% CI: 0,46–8,51) setelah dikontrol variabel tinggi badan ibu, jumlah kelahiran dan konsumsi tablet besi. Pemeriksaan rutin buruk meningkatkan risiko BBLR 1,35  (95% CI: 0,06–28,91) Setelah dikontrol variabel frekuensi kunjungan, umur, pendidikan, pekerjaan, jumlah kelahiran, jarak persalinan, komplikasi kehamilan dan konsumsi tablet besi. Masyarakat khususnya ibu hamil diharapkan memeriksakan kehamilannya minimal 4 kali selama kehamilan dan melakukan pemeriksaan rutin secara lengkap.

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Low birth weight infants in Bogor Region is observed as a crucial health issue. Jasinga District has been contributing the highest number of such cases in this region for the last 3 years. This study was aimed to find out the relationship between antenatal care quality (based on the frequency of visit and routine check up) and Low Birth Weight Infant cases in the working territory of Jasinga Public Health Center, Jasinga District, Bogor Region. The design of this study was case-control. The population in this study were mothers with birth infants throughout the period of January 1 until December 31, 2015. The sample number was 171, consisting of 57 cases and 114 controls. Visit frequency less than 4 times increasing Low Birth Weight Infant cases 1,99 (95% CI: 0,46–8,51) after being controlled by height, parity dan intake of iron tablets. Uncomplete rountine check up increasing Low Birth Weight Infant cases 1,35 (95% CI: 0,06–28,91) After being controlled by visit frequency, age, level of education, occupation, parity, spacing of pregnancy, pregnancy complications and intake of iron tablets. The society especially pregnant mothers are advised to do a minimum of 4 times antenatal visits throughout their pregnancy periods and undergo routine check up completely."

"Bayi berat lahir rendah memiliki kesulitan dalam penambahan berat badan diawal kehidupannya. Tujuan penelitian ini untuk mengidentifikasi pengaruh nyanyian ibu selama pelaksanaan metode kanguru terhadap kenaikan berat badan pada bayi berat lahir rendah. Desain penelitian adalah quasi experimental dengan nonequivalent control group pretest-posttest design. Tiga puluh bayi pada sampel penelitian dibagi menjadi dua kelompok; kelompok intervensi (n=15) dengan perawatan metode kanguru disertai nyanyian ibu dan kelompok kontrol (n=15) dengan perawatan metode kanguru saja, diambil secara consecutive sampling. Analisis menggunakan uji Repeated Anova dan Mann Whitney. Tidak ada perbedaan signifikan rerata kenaikan berat badan harian dan total antara kedua kelompok. Terdapat perbedaan signifikan rerata berat badan harian dan total pada kelompok intervensi. Nyanyian ibu saat PMK bisa diterapkan sebagai bagian dari asuhan perkembangan bayi yang mendukung pelayanan keluarga.

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The low birth weight infant has serious problem for weight gaining in early periode of life. The aim of the present study was to identify the effect of maternal singing during kangaroo mother care for weight gaining in low birth weight infant. The study design was quasi experimental with nonequivalent control group pretest-posttest design. Thirty babies were divided in two groups; the intervention groups (n=15) who received maternal singing during kangaroo mother care and the control group (n=15) with only kangaroo mother care, which were collected with consecutive sampling technique. Statistical analyses used were Repeated Anova and Mann Whitney. No differences in the infants? daily and total weight gaining were found between two groups. There are significant mean differences daily and total weight gaining at intervention group. This finding has implication for developmental care neonates, encourage focus family centered care."

"Di Indonesia menurut data Profil Kesehatan Indonesia 2020 penyebab kematian neonatal terbanyak adalah kondisi BBLR sebesar 35,2%. Kejadian BBLR belum menunjukkan penurunan signifikan baik ditingkat global, nasional maupun daerah. Di Indonesia, rata-rata proporsi berat badan lahir <2500 gram Tahun 2018 adalah 6,2% dengan daerah tertinggi yaitu Pulau Sulawesi (7,08%) (Riskesdas, 2018). Bayi berat lahir rendah memiliki risiko lebih tinggi untuk mengalami morbiditas dan mortalitas. Penelitian ini bertujuan untuk mengetahui gambaran prevalensi kejadian BBLR di Pulau Sulawesi berdasarkan faktor demografi dan psikososial, faktor obstetri, komplikasi kehamilan, status merokok ibu dan antenatal care. Desain studi cross sectional deskriptif dengan analisis univariat menggunakan data Survei Demografi Kesehatan Indonesia Tahun 2012 dan 2017. Jumlah sampel dalam penelitian ini adalah 564 (SDKI 2012) dan 613 (SDKI 2017). Hasil penelitian pada SDKI 2017 menunjukkan peningkatan dalam beberapa aspek dibandingkan SDKI 2012 seperti penurunan kelahiran BBLR, peningkatan pendidikan, pekerjaan ibu, status perkawinan, paritas, interval kelahiran, kunjungan pemeriksaan awal ANC serta penanganan komplikasi kehamilan di fasilitas kesehatan. Namun, ada beberapa variabel yang mengalami penurunan dan stagnasi seperti usia ibu, status ekonomi, kesehatan di perdesaan, komplikasi kehamilan, merokok, frekuensi ANC dan kualitas ANC. Saran berkolaborasi dengan lintas sektor, penguatan Program Keluarga Harapan (PKH) serta peningkatan kuantitas dan kualitas pelayanan kesehatan ibu dan bayi.

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In Indonesia, according to the 2020 Indonesia Health Profile data, the most common cause of neonatal death is LBW conditions of 35,2%. Incidence of LBW have not shown a significant decrease either at global, national, and regional levels. In Indonesia, average proportion of birth weight <2500 grams in 2018 was 6,2% with the highest area being Sulawesi Island (7,08%). Low birth weight have a higher risk of morbidity and mortality. This study aims to describe the prevalence of LBW in Sulawesi Island based on demographic and psychosocial factors, obstetric factors, pregnancy complications, maternal smoking status, and antenatal care. Descriptive cross-sectional study design with univariate analysis using data from the 2012 and 2017 Indonesian Health Demographic Survey. The number of samples in this study was 564 (2012 IDHS) and 613 (2017 IDHS). The results of the 2017 IDHS study showed improvements in several aspects compared to the 2012 IDHS, such as a decrease in LBW, an increase in education, maternal employment, marital status, parity, birth intervals, first ANC check-up and treatment of pregnancy complications at health facilities. However, there are several variables that have decreased and stagnated such as maternal age, economic status, health in rural areas, pregnancy complications, smoking, ANC frequency and quality. Suggestions by collaborating with cross-sectors, strengthening the Program Keluarga Harapan (PKH) and increasing Program Makanan Tambahan (PMT) for pregnant women."

"Tujuan penelitian ini untuk mengetahui pengaruh developmental care terhadap fungsi fisiologis (saturasi oksigen dan denyut nadi) dan perilaku tidur-terjaga bayi berat lahir rendah (BBLR). Rancangan penelitian ini adalah quasi experimental dengan self-controlled study design. Sampel penelitian sebanyak 15 BBLR yang dirawat di ruang perinatologi RSUP Fatmawati Jakarta dan dipilih dengan teknik purposive sampling. Data dianalisis dengan paired t test dan wilcoxon test. Hasil analisis menunjukkan terdapat pengaruh yang signifikan dari pemberian developmental care terhadap perilaku tidur-terjaga yaitu peningkatan tidur tenang (p=0,002) dan penurunan tidur aktif (p=0,003) serta penurunan denyut nadi (p=0,020), namun tidak signifikan terhadap peningkatan saturasi oksigen (p=0,234). Developmental care dapat memfasilitasi pencapaian fase istirahat yang lebih baik (yang ditandai dengan keteraturan fungsi fisiologis dan pencapaian perilaku tidur tenang), sehingga perlu diimplemetasikan dalam perawatan BBLR di ruang rawat perinatologi.

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The purpose of this study was to identify the impact of developmental care on physiological function (oxygen saturation and heart rate) and sleep-awake behavior of low birth weight (LBW) infants. This study used quasi experimental with selfcontrolled study design. The samples size were 15 LBW infants in neonatal unit in RSUP Fatmawati Jakarta and whom were choosen by purposive sampling technique. Collected data were analyzed by using paired t test and wilcoxon test.

There were significant differences of developmental care on increasing quiet sleep (p=0.002), decreasing active sleep (p=0.003) and decreasing heart rate (0.020), but there was no significant difference on increasing oxygen saturation (p=0.234). This study recommend that developmental care can be implemented in caring for LBW infants in neonatal unit."

"[ABSTRAKBerat lahir merupakan indikator penting perkiraan maturitas dan kemampuanneonatus untuk bisa bertahan, bayi dengan BBLR meningkatkan resiko kematian.Prevalensi BBLR RSU Kabupaten Tangerang mengalami peningkatan secarasignifikan setiap tahunya, tahun 2013 mencapai 14%. Penelitian ini bertujuanuntuk mengetahui Hubungan Kualitas Layanan Antenatal, Status Gizi DanPengetahuan Dengan Kelahiran BBLR Di RSU Tangerang Tahun 2015 Desainpenelitian yang digunakan kasus kontrol dengan jumlah sampel 73 kasus dan 156kontrol. Kualitas Layanan Antenatal kurang, meningkatkan kelahiran BBLR 3.7kali (p=0.02, CI=1,3?10.6) serta kualitas layanan cukup sebesar 2.0 kali (p=0.17,CI= 0.7?5.3) dibandingkan dengan ibu yang mendapatkan kualitas layanan baik.Status gizi 4.6 kali (p=0.01,CI= 2.7 - 11.1) dibandingkan ibu dengan status gizibaik, setelah dikontrol oleh usia ibu, komplikasi kehamilan, status ekonomi, statusanemia, pekerjaan dan riwayat BBLR. Dengan demikian petugas dimintamemotivasi ibu untuk melakukan kunjungan minimal 4 kali selama kehamilannyadan memberikan pelayanan standar minimal ?10T?, mampu mendeteksi kelainantumbuh kembang janin, dengan cara skrining dan manajemen tatalaksana kasuspada ibu dengan status gizi kurang.

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ABSTRACTBrith weight is an important indicator to estimate maturity and ability of neonatalto survive. Low brith weight increases the risk of death. Prevalence of LBW inRSU Tangerang has Increased significantly each year, in 2013 reach 14%. Thisstudi examine risk LBW by quality of prenatal care and nutritional status in RSUTangerang in 2015. This is a case-control study with a sample of 73 cases and 156controls. Women with less prenatal care quality, increasing the LBW baby 3.7times (p=0.02, CI=1,3?10.6) and twice among women with enoght prenatal carequality (p=0.17, CI= 0.7?5.3), compare to women who get good prenatal carequality. The nutritional status 4.6 times (p=0.01,CI= 2.7 - 11.1) compare womenwho have good nutritional status, after controlled by maternal age, complicationsof pregnancy, economic status, anemia status, jobs, and history of LBW. Thus,health workers need to motivate a mother to visit at least 4 times duringpregnancy and provide a minimum standard care ?10T?, able to detectabnormalities in fetal development by screening and management cases in womenwith poor nutritional status;Brith weight is an important indicator to estimate maturity and ability of neonatalto survive. Low brith weight increases the risk of death. Prevalence of LBW inRSU Tangerang has Increased significantly each year, in 2013 reach 14%. Thisstudi examine risk LBW by quality of prenatal care and nutritional status in RSUTangerang in 2015. This is a case-control study with a sample of 73 cases and 156controls. Women with less prenatal care quality, increasing the LBW baby 3.7times (p=0.02, CI=1,3?10.6) and twice among women with enoght prenatal carequality (p=0.17, CI= 0.7?5.3), compare to women who get good prenatal carequality. The nutritional status 4.6 times (p=0.01,CI= 2.7 - 11.1) compare womenwho have good nutritional status, after controlled by maternal age, complicationsof pregnancy, economic status, anemia status, jobs, and history of LBW. Thus,health workers need to motivate a mother to visit at least 4 times duringpregnancy and provide a minimum standard care ?10T?, able to detectabnormalities in fetal development by screening and management cases in womenwith poor nutritional status, Brith weight is an important indicator to estimate maturity and ability of neonatalto survive. Low brith weight increases the risk of death. Prevalence of LBW inRSU Tangerang has Increased significantly each year, in 2013 reach 14%. Thisstudi examine risk LBW by quality of prenatal care and nutritional status in RSUTangerang in 2015. This is a case-control study with a sample of 73 cases and 156controls. Women with less prenatal care quality, increasing the LBW baby 3.7times (p=0.02, CI=1,3–10.6) and twice among women with enoght prenatal carequality (p=0.17, CI= 0.7–5.3), compare to women who get good prenatal carequality. The nutritional status 4.6 times (p=0.01,CI= 2.7 - 11.1) compare womenwho have good nutritional status, after controlled by maternal age, complicationsof pregnancy, economic status, anemia status, jobs, and history of LBW. Thus,health workers need to motivate a mother to visit at least 4 times duringpregnancy and provide a minimum standard care “10T”, able to detectabnormalities in fetal development by screening and management cases in womenwith poor nutritional status]"