Potential Maternal Risk Factors for Low Birth Weight in Indonesia: A Systematic Review

This review was conducted with the aim of summarizing the articles on the potential maternal risk factors for Low Birth Weight (LBW) in Indonesia. All observational studies conducted in Indonesia between 2010 and 2022 were thoroughly reviewed in this study. The articles were retrieved from "PubMed", "ScienceDirect", "Web of Science", and "Garuda". The retrieval was supplemented by snowball sampling technique. This review was constructed according to the PRISMA guidelines and the quality of the articles was assessed according to the STROBE guidelines. Of the 129 articles, only 12 articles met the inclusion criteria. Maternal variables such as education (50%), household wealth (33.3%), nutritional status (33.3%), age (25%), pregnancy complications (25%), marital age (16.7%), gestational weight gain (16.7%), ANC visit (16.7%), weight at third trimester (16.7%), twin birth (16.7%), birth interval (16.7%), iron supplementation (8.3%), parity (8.3%), and anemia status (8.3%) were found to be the risk factors for LBW incidence. This review found that almost all potential maternal risk factors contributing to LBW are preventable. It may help policy makers to design a more effective LBW prevention intervention and early risk identification for pregnant women. Appropriate follow-up by health workers for clinical intervention will also help to improve their pregnancy outcomes

Efektifitas Penatalaksanaan Proses Asuhan Gizi Terstandar terhadap Perbaikan Asupan Pasien Sindrom Metabolik di RSUD Sidoarjo

Nutrition service in hospital is a service provided in accordance with the patients’ condition based on clinical conditions, nutritional status and metabolic status of the body. These services can be achieved by providing nutritional care using the Nutrition Care Process (NCP) method.Nutrition interventions are important to help healing process, maintaining and improving health status of the patients. This study aims to determine the difference intake of  the patients in the Lotus Terpene Room II and Tulip I RSUD Sidoarjo before and after nutrition interventions. The design of this study using descriptive observational study with  31 respondents taken by Purposive Sampling. Data collection was done by anthropometry measurement, data from medical record and recall 3x 24 hours. The results showed that 48% of respondents with metabolic syndrome aged 50 – 59 years and mostly with diabetes mellitus (61%), 45% of them had a good initial intake and increased after nutrition intervention. The most common nutritional diagnosis is abnormallaboratory values in blood sugar and blood fat profiles. The result of paired difference test showed significant difference of p value 0,000 (p <0,05). Conclusion : 55% respondents increased their intake in the end of observation.  Nutrition intervention can improve the patients’ intake.Keywords : initial intake, final intake, standardized nutrition care, metabolic syndrom

A Review of Nutritional and Health Risk Factors for Low Birth Weight Infants in Indonesia

This review aimed to identify the determinants of nutritional and health factors associated with high risk of Low Birth Weight (LBW) among infants in Indonesia. The review was conducted systematically based on all articles published between 2012–2022 in PubMed, ScienceDirect, and SAGE databases. In the end, four articles were used in this review. The results showed that potential risk factors associated with LBW are maternal nutritional factors such as Mid-Upper Arm Circumference (MUAC) (25%) and pre-pregnancy Body Mass Index (BMI) (50%), and maternal health factors that can be assessed during routine Antenatal Care (ANC). Therefore, identification of risk factors for LBW is important to minimize the incidence of LBW

Calcium Bioavailability and Serum Calcium Level in Pregnant Rats After Administration of Milk-Based Drinks Containing Lactic Acid Bacteria

This study aims to evaluate calcium bioavailability through serum calcium level in pregnant rats treated with two Milk-Based Drinks (MBD) containing Lactic Acid Bacteria (LAB), i.e Lactobacillus Casei Shirota Strain (LcS) drink, and Four Strains Bacteria (FS) (Lactobacillus rhamnosus, Lactobacillus paracasei, Lactobacillus delbrueckii subp. bulgaricus, Streptococcus thermophiles). It was a completely randomized experimental study using 24 Sprague Dawley rats. Rats were divided into one negative control group with a normal nutritional status (A0) and three undernourished groups. The undernourished groups were divided into one positive control group (A1), one group receiving MBD containing LcS group (A2), and another group receiving MBD containing FS (A3). All rats received high protein diets during pregnancy. The intervention was started in early pregnancy (D0) until 19 days of pregnancy (D19). Blood samples were collected at the D0 and D19. No significant differences in food intake were found among the rats in all groups. Administration of MBD containing LAB in A2 and A3 showed significant (p&lt;0.05) increment of calcium bioavailability (30.79±6.88%; 20.44±9.04%). Both MBDs treatment containing LAB showed no significant difference in serum calcium bioavailability (p&gt;0.05). The results suggest that MBDs containing LAB are useful in enhancing calcium bioavailability