RISIKO BAYI BERAT LAHIR BESAR (MAKROSOMIA) DI RSUD SUKOHARJO TAHUN 2009 � 2013 : CASE CONTROL STUDY

• Main Authors: , Siti Rahmah, , Prof.dr.M. Hakimi, SpOG(K),Ph.D
• Format: Theses and Dissertations NonPeerReviewed
• Published: [Yogyakarta] : Universitas Gadjah Mada 2014
• Subjects: ETD
• Online Access: https://repository.ugm.ac.id/131384/; http://etd.ugm.ac.id/index.php?mod=penelitian_detail&sub=PenelitianDetail&act=view&typ=html&buku_id=71842
• Institution: Universitas Gadjah Mada

Background: In 2-3 past decade, there are increasing proportion 15-25% of women giving birth macrosomia worldwide. Macrosomia infants is associated with increased risk of obesity in future life. The prevalence of macrosomia infants in dr. Sardjito Hospital was 1.08% (2007) and 1.98% (2008). The risk of giving birth history of macrosomia in Sukoharjo was 1.867 (95% CI 1.09 to 3.19). The objective of this study to determine the risk factors of high birth weight infants (macrosomia) in Sukoharjo Hospital 2009 -2013. Method: We did case control study compare 1:2. Cases is all mothers who gave birth to infants with � 4000 grams weight were recorded in the medical record in Sukoharjo Hospital began January 1, 2009 until December 31, 2013. The controls is all mothers who gave birth to infants with <4000 gram weight were recorded in the medical record in Sukoharjo Hospital began January 1, 2009 until December 31, 2013, who was born on the day close to the case. Data analysis using chisquare test for bivariable and logictic regression for multivariable. Results: The subjects of this study were 162 people, with 58 cases and 104 controls. Bivariable analysis showed body mass index � 30 kg/m2 (OR=19,8 CI 95% 7,8 � 53, 7), gestational age � 41 weeks (OR=16,1 CI 95% 5,3 � 56,9), male infant (OR=1,4 CI 95% 0,7 � 2,9), maternal age � 35 years old (OR=12,8 CI 95% 3,4 � 71,0), and parity � 4 childs (OR=5,0 CI 95% 2,1 � 12, 3). Multivariable analysis showed that risk increased to mother who has body mass index � 30 kg/m2, gestational age � 41 weeks, maternal age � 35 years old, and parity � 4 childs. Conclusion: Mother with body mass index � 30 kg/m2 and gestation age � 41 weeks are risk of having high birth weight infants. Male infants does not have risk born with high birth weight infant (makrosomia) than female infants.