Résumé
@#Smoking does not only endangers the smokers themselves but will also harm the people around them. These are the non-smokers also called the passive smokers or second-hand smoke.In particular pregnant women who are the second-hand smoke can lead low birth weight (LBW) babies. This study aims to determine the impact of second- hand smoke in pregnancy toward LBW in the district of Aceh Besar in 2016. A case control study was done in district of Aceh Besar, Aceh province, Indonesia. The total sample was 120 neonates (1:1), 60 neonates were LBW (cases) and 60 neonates were normal weight (controls). Data collection was doneusing a questionnaire filled in by the parents. The univariate analysiswas described with percentages and the Wald-Wolfowithz run test was used for the bivariate analysis. The results showed that the majority of mothers had a good knowledge about the dangers of smoking, ie 91 or 75.8%. Most of the mothers had positive attitudes for male smokers. The smoking men are considered normal and acceptable, consisting of 73 mothers or 60.8%. All the mothers in this study were non-smokers (100.0%). The majority of the fathers were smokers, 88 or 73.3%, and most of them smoked around their pregnant wife, 55 fathers or 62.5%. The results of the bivariate analysis indicated there was a significant impact of the second-hand smoke toward the LBW (P value <0.05). It means, mothers as a second-hand smoke during pregnancy have a risk to born the LBW baby
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GrossesseRésumé
The health of newborns is inextricably linked to that of their mothers. Some maternal factors can influence neonatal survival, particularly for low birth weight babies who are more vulnerable to diseases than normal weight babies. The aim of this study is to assess the impact of maternal factors on neonatal mortality among low birth weight babies in Aceh Province, Indonesia. Study design was unmatched case control. Data collected from 2010 to 2012 in 8 districts in Aceh province, Indonesia. Total sample was 500, divided into 250 LBW who died in neonatal period (case group) and 250 who did not die in neonatal period (control group). There were 6 maternal variables analysed. Three of six variables analysed were not associated with neonatal mortality among LBW (P > 0.05); these were: maternal death, parity and education level. The age of the mother had a significant association with neonatal mortality among LBW (P < 0.05), but was not a determinant factor. The maternal illness and birth interval were determinant factors of neonatal mortality among LBW(P < 0.05); maternal illness (Adj OR= 2.6; 95 % CI: 1.68 - 4.0) and birth interval (Adj OR= 1.8; 95 % CI: 1.20 - 2.91). Maternal illness and birth interval were determinant factors of neonatal mortality among LBW. Appropriate care throughout stages of pregnancy and increasing women’s knowledge on high risk pregnancy are the key factors to the decrease of the neonatal mortality related to the maternal factors.