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"Bayi Berat Lahir Rendah (BBLR) menjadi salah satu faktor risiko utama terjadinya stunting pada balita. Edukasi berbasis buku Kesehatan Ibu dan Anak (KIA) pada periode 1000 hari pertama kehidupan anak merupakan salah satu cara untuk mencegah dampak stunting, melalui upaya peningkatan pengetahuan dan kepercayaan diri ibu dalam merawat BBLR. Penelitian ini bertujuan untuk membandingkan pengaruh edukasi dengan tambahan media pembelajaran buku KIA, aplikasi mobile cellular, dan edukasi rutin ruangan. Desain penelitian yang digunakan quasi eksperimen pre-post with control group dengan 69 sampel ibu BBLR yang dipilih sesuai kriteria. Sejumlah 23 ibu yang memiliki BBLR diberikan edukasi dengan media pembelajaran buku KIA, dan 23 ibu diberikan edukasi ditambah media pembelajaran aplikasi mobile celular, selanjutnya dibandingkan dengan 23 ibu yang hanya mendapatkan informasi rutin ruangan. Analisis data menggunakan Kruskall-Wallis menunjukkan bahwa secara signifikan edukasi dengan tambahan media mobile application memberikan pengaruh peningkatan skor pengetahuan ibu yang lebih baik dari pada kedua kelompok lainnya (p value <0,001), namun tidak terdapat perbedaan skor kepercayaan diri yang bermakna antara ketiga kelompok tersebut (p value >0,05). Pengetahuan ibu terkait perawatan yang optimal pada BBLR dapat ditingkatkan melalui praktik edukasi, diskusi, dan penggunaan teknologi sebagai media pembelajaran yang menunjang aksesibilitas buku KIA.

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Low Birth Weight (LBW) is one of the main risk factors for stunting in infants. Maternal and Child Health Handbook based education in the first 1000 days of child life is one way to prevent the effects of stunting, through efforts to increase the knowledge and self-confidence of mothers in caring for LBW. This study aims to compare the effect of education in addition to the MCH handbook learning media, mobile cellular applications, and routine room education.

The study design used a quasi-experimental pre-post with control group with 69 samples of LBW mothers selected according to the criteria. A total of 23 mothers who had LBW were educated with MCH handbook learning media, and 23 mothers were given education plus mobile celular application learning media, then compared with 23 mothers who only received routine room information.

Data analysis using Kruskall-Wallis showed that significantly education with additional mobile application media had an effect on increasing the score of maternal knowledge better than the other two groups (p value <0.001), but there were no significant differences in the confidence scores between the three groups (p value >0.05). Knowledge of mothers regarding optimal care for LBW can be improved through the practice of education, discussion, and the use of technology as learning media that support the accessibility of MCH handbooks."

"Penelitian ini bertujuan mengidentifikasi pengaruh edukasi terhadap kecemasan dan efikasi ibu merawat BBLR. Desain penelitian quasi experiment, pretestposttest with control group. Sampel penelitian 44 ibu BBLR dibagi dua kelompok, 22 kelompok intervensi, dan 22 kelompok kontrol. Edukasi diberikan dengan media leaflet, video dan phantom bayi.Hasil penelitian menunjukkan sesudah diberikan edukasi 86,4% responden mengalami penurunan kecemasan dan 18,2% responden mengalami peningkatan efikasi diri. Kecemasan berhubungan dengan pendapatan dan pengalaman (p<0,05); sedangkan efikasi diri berhubungan dengan pendapatan, pengalaman, dan jumlah anak (p<0,05). Edukasi efektif untuk menurunkan kecemasan dan meningkatkan efikasi diri.

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The research has aims to identify the influence of education in discharge planning towards the level of anxiety and self efficacy on mother's for caring a low birth weight baby (LBWB). This research is quasi experiment study with pretest post test with controlled group design. Samples are divided into 2 groups, 22 respondents as intervention group and 22 respondents as controlled group. Educating on the treatment with leaflet, video and also phantom of baby.The result of research showed 86,4% after education given respondents decreased anxiety and 18,2% of respondents experienced an increase in self efficacy. The level of anxiety influenced by income and experience (p<0,05); whereas self efficacy is influenced by income, experience and the number of children. (p<0,05). The education effective to decrease anxiety and to improve self efficacy."

"Perawatan Metode Kanguru (PMK) terbukti meningkatkan berat badan bayi lahir rendah, namun pelaksanaan PMK masih kurang optimal karena kurangnya kepercayaan diri ibu dan pemahaman ibu mengenai PMK terbatas. Penelitian ini bertujuan mengidentifikasi pengaruh dukungan teman senasib terhadap kepercayaan diri ibu, pelaksanaan PMK dan berat badan bayi. Desain penelitian yaitu randomise control trial pre-post test equivalent group dengan 24 responden kelompok intervensi dan 24 responden kelompok kontrol. Intervensi yaitu edukasi PMK (tiga sesi) dan observasi pelaksanaan PMK serta kenaikan berat badan bayi selama tujuh hari.Hasil penelitian terdapat perbedaan kepercayaan diri ibu, pelaksanaan PMK dan berat badan bayi antara kelompok kontrol dan kelompok intervensi (p = 0,001; 0,001; 0,030). Terdapat hubungan antara berat lahir bayi dengan kepercayaan diri ibu dan kenaikan berat badan bayi, serta penyakit penyerta dengan kenaikan berat badan bayi. Penelitian ini efektif meningkatkan kepercayaan diri ibu, pelaksanaan PMK dan berat badan bayi. Peneliti merekomendasikan implementasi dukungan teman senasib saat kunjungan rumah.

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Kangaroo Mother Care (KMC) has been shown to increase low birthweight, but KMC implementation is less optimal because of self-confidence mother was poor and mother`s understanding about KMC is limited. This research aims to determine effect of peer support on mother's self-confidence, KMC implementation and infant weight gain. The research methodology use was randomized a controlled-random experimental approach with pre-post test equivalent group of 24 respondents in the intervenstion group and 24 respondents in the control goup. The intervention was KMC education (three sessions) and observation of KMC implementation and infant weight gain for seven days.

The results was difference of mother's confidence, KMC implementation and infant weight gain between control group and intervention group (p = 0,001; 0,001,0,030). There was relationship between infant birth weight to mother's self-confidence and infant weight gain, as well as comorbidities with infant weight gain. This research was effectively improved mother's self-confidence, KMC implementation and infant weight gain. Researchers recommend the implementation of peer support during home visits."

"Pendidikan kesehatan perawatan metode kanguru (PMK) merupakan usaha membimbing orang tua mencapai peran ibu dalam perawatan dan pengasuhan bayi. Tujuan penelitian untuk mengetahui pengaruh intervensi terhadap keterampilan dan kepercayaan diri ibu memberikan air susu ibu (ASI). Desain penelitian menggunakan quasi-experimental pre test and post test without control group design. Responden adalah 17 ibu yang mempunyai bayi berat lahir rendah (BBLR) di ruang perinatologi RSUP Sanglah Denpasar. Pengumpulan data menggunakan instrument kuesioner kepercayaan diri dan lembar observasi keterampilan memberikan ASI. Analisis hasil menggunakan uji paired t test. Terdapat perbedaan yang signifikan keterampilan dan kepercayaan diri ibu memberikan ASI sebelum dan sesudah diberikan intervensi (keterampilan: p=0,000, α=0,05; kepercayaan diri: p=0,000, α=0,05). Pendidikan kesehatan PMK sebaiknya dijadikan prosedur tetap perawatan BBLR.

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Kangaroo care health education is an attempt to guide parent achieving mother?s role in the baby care. The objective of this research was to determine the influence of kangaroo care health education on mothers skill and confidence to breastfeeding their baby. The study design used a quasi-experimental pre and post-test without control group design. Respondents were 17 mothers with low birth weight (LBW) infant in the Perinatology Sanglah Hospital in Denpasar. In the collection of the data, confidence questionnaires and breastfeeding skills observation sheets were used as instrument tool. The data was analyzed with paired t test. This research found that there were a significant influence on mother?s skill and confidence in breastfeed their baby as the result of kangaroo care health education (skills: p=0.000, α=0.05; confidence: p=0.000, α=0.05). it was recommended that kangaroo care health education is should be implemented in the care of LBW infant."

"Saat ini transportasi yang dilakukan bagi bayi berat lahir rendah (BBLR) menggunakan inkubator dengan menyiapkan berbagai perlengkapan untuk menunjang keamanan dan kenyamanan bayi selama perjalanan. Beberapa efek dari transportasi menggunakan inkubator diantaranya gangguan istirahat-tidur dan ketidakstabilan suhu bayi selama perjalanan.Penelitian bertujuan untuk mengidentifikasi pengaruh transportasi dengan perawatan metode kanguru pada kelompok intervensi dan transportasi dengan digendong. Pengukuran fungsi fisiologi dan kepercayaan diri ibu dilakukan sebelum dan sesudah transportasi baik kelompok intervensi maupun kelompok kontrol, kepercayaan diri ibu dinilai dengan kuesioner. Rancangan menggunakan eksperimen dengan pendekatan non equivalent control group before after design melibatkan 34 ibu dan BBLR.Hasil analisis fungsi fisiologi BBLR dan kepercayaan diri ibu terdapat perbedaan yang signifikan pada kelompok intervensi (p=0,000), serta terdapat perbedaan yang signifikan fungsi fisiologis BBLR dan kepercayaan diri ibu baik kelompok intervensi maupun kelompok kontrol (p=0,000). Berdasarkan hasil penelitian ini perawat perlu menggalakkan PMK untuk meningkatan pengetahuan dan kemampuan ibu untuk merawat BBLR.

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Currently the transportation of low birth weight babies (LBWB) using incubator by providing a variety of equipments to support the safety and comfort of the baby during the trip. Some effects of transport using the incubator are sleep disorder and instability temperature of the baby during the trip.

This study aimed to compare the effects of transportation between KMC and cuddling. This study employed experimental approach using non equivalent control group before after design involving 34 mothers and low birth weight babies. Low birth weight babies physiologic functions and mothers? confidence caring for the babies were measured before and after transportation.

The results showed that babies physiologic function and mothers? confidence caring for the babies among intervention group increased significantly (p = 0.000). There were also significant differences in babies physiologic function and mothers? confidence caring for the babies between intervention and control group (p = 0.000). Based on the results of this study, nurse need to implement KMC to increase the knowledge and ability of a mother in caring for LBWB (Low Birth Weight Babies)."

"Proses pemulangan bayi berat badan lahir rendah (BBLR) dari rumah sakit ke rumah menjadi proses transisi yang sulit bagi orang tua. Ibu yang memiliki BBLR cenderung memiliki kepercayaan diri rendah dan mengalami stres dalam melakukan perawatan bayi. Tujuan penelitian ini adalah menganalisis efektifitas perencanaan pulang bayi berat lahir rendah berbasis aplikasi mobile terhadap stres ibu, kepercayaan diri ibu dan kesehatan bayi. Penelitian ini menggunakan desain penelitian dengan sequential exploratory mixed methods. Penelitian tahap pertama menggunakan pendekatan deskriptif kualitatif dengan delapan ibu yang memiliki BBLR yang dipilih secara purposive sampling. Aplikasi perencanaan pulang BBLR dibangun dari hasil penelitian kualitatif, studi literatur dan konsultasi pakar. Penelitian tahap kedua menggunakan desain quasi experiment pre-post test with control group, melibatkan 42 responden pada kelompok perlakuan dan 42 responden kelompok kontrol. Hasil penelitian kualitatif menemukan tiga tema yaitu (a) informasi perawatan rutin bayi (b) variasi sumber informasi (c) jenis komunikasi yang diperlukan. Hasil uji Generalized Linear Models Repeated Measures (GLM RM), secara simultan menunjukkan perbedaan pengaruh perencanaan pulang BBLR berbasis aplikasi mobile pada keseluruhan waktu pengamatan saat masuk RS, keluar RS dan setelah empat minggu keluar RS (p < 0.05). Hasil independent t-test didapatkan bahwa ada pengaruh perlakuan secara signifikan terhadap stres ibu dan kepercayaan diri ibu dan hasil Mann-Whitney U test menunjukkan pengaruh perlakuan terhadap kesehatan bayi setelah empat minggu keluar RS (p < 0.05). Perencanaan pulang yang ditindak lanjuti dengan asuhan berkelanjutan dapat digunakan di tatanan layanan kesehatan untuk membantu ibu dalam menyiapkan kepulangan BBLR ke rumah dan memandirikan ibu dalam perawatan bayi di rumah.

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The discharge process of low birth weight (LBW) babies from the hospital to home is a difficult transition process for parents. Mothers with LBW tend to lack confidence and face stressful situations in caring for their babies. The purpose of this study is to analyze the effectivity of mobile application-based LBW discharge planning and follow up care on maternal stress, confidence, and the baby's health. This study uses sequential exploratory mixed methods as the research design. The first phase of this research used qualitative descriptive approach with 8 participants consisting of mothers with LBW, selected with purposive sampling method. The LBW discharge planning application was built from the results of qualitative research, literature studies, and expert consultations. While the second phase used a quasi-experiment pre-post test with control groups, involved 42 respondents that belonged to treatment group and 42 other that belonged to control group. The results of the qualitative research found 3 themes: a) routine baby care information, b) information source variations, and c) type of communication needed. The results of the Generalized Linear Models Repeated Measures (GLM RM) test simultaneously show differences in the effect of mobile application-based LBW discharge planning on the overall observation time at hospital admission, hospital discharge, and after four weeks of hospital discharge (p <0.05). The results of the independent t-test found that there was a significant effect of treatment on the mother's stress and self-confidence, and the results of the Mann-Whitney U test showed the effect of treatment on the baby's health after four weeks of discharge from the hospital (p <0.05). Discharge planning, reinforced by follow-up care, can be carried out in a healthcare setting to assist mothers in preparing for the return of LBW to their homes and empower them to care for babies at home."

"Peningkatan prevalensi bayi berat lahir rendah (BBLR) di Kabupaten Temanggung merupakan masalah yang penting. Penelitian ini bertujuan untuk mengetahui pengaruh perawatan metode kanguru (PMK) terhadap pencapaian berat normal pada BBLR. Desain penelitian ini adalah hohort retrospektif dengan survival analysis. Populasi adalah BBLR yang lahir periode 1 Januari sampai 31 Desember 2011. Jumlah sampel sebanyak 192, terbagi menjadi kelompok terpajan dan tidak terpajan PMK.Penelitian ini mendapatkan bahwa median waktu pencapaian berat normal pada BBLR terjadi pada minggu ke-8. BBLR yang mendapat PMK, median waktu tercapai pada minggu ke-6 sedangkan yang tidak setelah minggu ke-8 (nilai p=0,006). Risiko pencapaian berat normal pada BBLR yang mendapat PMK 2,1 kali dari pada yang tidak (95%CI: 1,3-3,5). Untuk itu penerapan PMK sangat penting dilakukan dalam merawat BBLR.

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The Increased of LBW (low birth weight) prevalence in Temanggung was an important problem. The study aimed to determine the influence of kangaroo mother care KMC at LBW to achieve the normal weight. The design was a retrospective cohort with survival analysis. The population was LBW that born at January 1 ? December 31, 2011.

This study found that median time of LBW to achieve normal weight at week 8. LBW who received KMC, median time achieved at week 6, while who did not, median time achieved after week 8 (p value = 0.006). The risk of LBW with KMC to achieve the normal weight 2.1 times than LBW without KMC. (95%CI: 1.3 to 3.5). In addition the KMC is very important conducted to care LBW."

"Bayi berat lahir rendah kurang dari 2500 gram berisiko lebih lambat tumbuh kembangnya dibandingkan bayi yang lahir dengan berat badan normal, dan berisiko terjadinya penyakit Hipertensi, Jantung dan Diabetes di masa dewasa. Beberapa teori dan hasil penelitian menyatakan bahwa BBLR dapat disebabkan oleh berbagai faktor, diantaranya riwayat anemia ibu hamil, status KEK ibu, status IMT ibu, tinggi badan ibu, penambahan berat badan selama hamil, usia ibu, paritas, jarak kehamilan, kuantitas ANC, pekerjaan ibu, dan pendidikan ibu. Prevalensi BBLR di Kabupaten Kuningan tahun 2018 mencapai 5,2%, dengan prevalensi paling tinggi di UPTD Puskesmas Manggari sebesar 11,8%. Tujuan: menganalisis faktor determinan kejadian BBLR di wilayah kerja UPTD Puskesmas Manggari Kabupaten Kuningan tahun 2018-2019. Metode: desain case control dengan total sampel 93 orang, terdiri dari 31 kasus, dan 62 kontrol sesuai kriteria inklusi. Data dari register kohort ibu hamil dan buku KIA, dianalisis univariat, bivariat, dan multivariat. Hasil: analisis bivariat dengan uji Chi-Square diketahui ada hubungan yang signifikan (95% CI) antara BBLR dengan status anemia ibu hamil trimester I (p=0,002, OR=4,962), status anemia ibu hamil trimester III (p=0,000, OR=21,667), status KEK ibu (p=0,001, OR=5,675), penambahan berat badan selama hamil (p=0,001, OR=9,158), jarak kehamilan (p=0,005, OR=3,583), dan tingkat pendidikan ibu (p=0,011, OR=3,214). Analisis multivariat dengan regresi logistik ganda, diketahui faktor-faktor risiko yang secara bersama-sama berpengaruh terhadap kejadian BBLR adalah status anemia ibu hamil trimester III (OR=25,247), status KEK ibu (OR=10,212), status IMT ibu (OR=0,066), dan jarak kehamilan (OR=6,934). Kesimpulan: variabel status anemia ibu hamil trimester III, lebih dominan berpengaruh terhadap kejadian BBLR, karena mempunyai nilai Odds Ratio paling tinggi (OR=25,247 (95% CI: 2,705-235,57), artinya bahwa ibu hamil yang anemia trimester III berpeluang 25,247 kali untuk melahirkan BBLR

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Low birth weight babies less than 2500 grams are at risk of slower growth and development than babies born with normal weight, and the risk of developing hypertension, heart disease and diabetes in adulthood. Several theories and research results state that LBW can be caused by various factors, including a history of anemia in pregnant women, mother's KEK status, mother's BMI status, maternal height, weight gain during pregnancy, maternal age, parity, pregnancy distance, quantity of ANC, occupation. mother, and mother education. The prevalence of LBW in Kuningan Regency in 2018 reached 5.2%, with the highest prevalence in the UPTD Puskesmas Manggari at 11.8%. Objective: to analyze the determinants of the incidence of LBW in the work area of the Manggari Public Health Center, Kuningan Regency in 2018-2019. Methods: case control design with a total sample of 93 people, consisting of 31 cases and 62 controls according to the inclusion criteria. Data from the cohort register of pregnant women and the KIA handbook were analyzed univariate, bivariate, and multivariate. Results: bivariate analysis with Chi-Square test found that there was a significant relationship (95% CI) between LBW and anemia status of pregnant women in trimester I (p=0.002, OR=4,962), anemia status of third trimester pregnant women (p=0.000, OR=21.667), mother's KEK status (p=0.001, OR=5.675), weight gain during pregnancy (p=0.001, OR=9.158), pregnancy interval (p=0.005, OR=3.583), and mother's education level (p = 0.011, OR=3,214). Multivariate analysis with multiple logistic regression, it is known that the risk factors that simultaneously affect the incidence of LBW are anemia status of third trimester pregnant women (OR=25.247), maternal KEK status (OR=10.212), maternal BMI status (OR=0.066 ), and pregnancy interval (OR=6,934). Conclusion: the anemia status variable for pregnant women in the third trimester has a more dominant effect on the incidence of LBW, because it has the highest Odds Ratio value (OR=25,247 (95% CI: 2,705-235,57), meaning that pregnant women who have anemia in the third trimester are likely to be 25,247 times to give birth to LBW"

"ABSTRAKTujuan penelitian ini adalah untuk mengetahui gambaran kelahiran BBLR diRSUD Kabupaten Bekasi. Hal ini berkaitan erat dengan kematian, kesakitan, dandampaknya di kemudian hari. Penelitian ini menggunakan desain deskriptifsederhana. Teknik pengambilan sampel yang digunakan adalah total sampling.Jumlah sampel dalam penelitian ini 21 responden. Instrumen yang digunakanuntuk mengumpulkan data adalah kuesioner. Analisis univariat menunjukkan hasilkarakteristik bayi meliputi lahir kurang bulan, berat badan rendah, anak pertama,dan kembar serta karakteristik ibu dengan pendidikan rendah, sosal ekonomirendah, terpapar asap rokok, dan inadekuat nutrisi dengan jumlah kelahiran BBLR21 bayi dalam satu bulan. Untuk meningkatkan kemampuan merawat BBLRdiharapkan sarana dan prasarana dilengkapi, perbaikan sistim rujukan, perawatmeningkatkan pengetahuan dan ketrampilan.

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ABSTRACTThe aim of this study was to identify the characteristics of LBW infant and motherhaving LBW infant in RSUD Kabupaten Bekasi. It was chosen as it gave effect onmortality as well as morbidity after giving birth. This study used a simpledescriptive design with total sampling technique. In got the sample, the researchertook 21 respondents. Moreover, the researcher used questionnaire for getting data.The univariant analysis of the 21 LBW infant giving births showed that the resultof characteristics were preterm infant, having low weight when she/he was born,primipara, and twins. Meanwhile, the characteristics of mother having LBWinfant were low educated, low social-economic class, contaminated cigarette onher pregnancy, and inadequate nutritions. Based on this study, there are somerecommends as follow: 1. Improve the knowledge and the skills of neonate?snurse, 2. Simplicity recommendation to management having complete facilities,and 3. Referral system must be repaired."

"Kelahiran Bayi Barat Lahir Rendah (BBLR) erat kaitannya dengan gizi ibu hamil khususnya anemia dan Kurang Energi Kronis (KEK). Penelitian ini bertujuan mengetahui pengaruh risiko KEK pada ibu hamil dan faktor lainnya terhadap BBLR di Kabupaten Sawahlunto-Sinjunjung tahun 2007. Penelitian ini merupakan analisis data sekunder, jumlah sampel 228, desain kasus kontrol. Kasus adalah BBLR dan kontrol adalah Bayi Berat Lahir Normal (BBLN). Analisis bivariat dengan uji chi square dan analisis multivariat rnenggunakan multiple logistic regression. Hasil penelitian ditemukan pengaruh risiko KEK, Ante Natalcare (ANC) dan umur terhadap BBLR. Faktor yang paling domimn mempengaruhi BBLR adalah ibu hamil dengan risiko KEK (OR 4,8; 95% Cl 2,48-9,42), artinya ibu hamil dengan risiko KBK (LILA <23,5cm) berpeluang 4,8 kali melahirkan BBLR dibandingkan dengan ibu hamil tanpa risiko KEK (LILA >23,5cm) setelah dikontrol ANC dan umur ibu. Dengan mencegah risiko KEK dapat mengurangi kelahiran BBLR dan kematian bayi, disarankan kepada dinas kesehatan meningkatkan deteksi dini ibu hamil risiko KEK melalui ANC, mcningkatkan KIE kepada masyarakat, penanganan yang tepat, komitmen dalam evaluasi program dan feedback laporan, advokasi dengan Pemda, DPRD dan instansi terkait.

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Low birth weight (LBW) really involved to the mother nutrient especially anemia and chronic malnutrition risk. The purpose of this research is to know the risk of chronic malnutrition influenced on pregnancy and another factor to LBW at district Sawahlunto-Sijunjung on 2007. This research was performed by secondary data analysis with case controls design with minimum sample amount was specified 228, Data were with chi square and multiple logistic regression.

The observational result indicated there are influence on chronic malnutrition risk on pregnancy, ANC and mother age to LBW. The most dominant factor which is influence to LBW is chronic malnutrition risk on pregnancy with odds ratio 4,8 (95% Cl 2,48 - 9,42), it's mean is pregnancy with chronic malnutrition will face the risk 4,8 times to LBW compare to pregnancy with out risk chronic malnutrition after ANC and mother age controlled

To avoid and settles chronic malnutrition risk on pregnancy which is expected could to reduce LBW and presses infant mortality. Recommend health district office to mothers to perform early detection on risk of chronic malnutrition on pregnancy passes through ANC, increasing elucidation (communication, information and education) to community, by performing the right treatment, commitment in evaluates program and feedback on regularly report, Advocate to Government, others institution."