RESUMO
@#Low birth weight (LBW) is one of the most crucial problem related to neonatal mortality and infant mortality. The LBW is defined as babies born with a birth weight less than 2500 grams. LBW does not only contribute to neonatal morbidity, but may lead to neonatal mortality. This study aim to determine the influence of maternal and child health services (MCH) services to neonatal death among LBW babies in Aceh province, Indonesia.This study is observational study with mix method, using quantitative (Unmatched case control study) and qualitative (case study). The study was conducted between 2011-2015 in 8 district/municipality in Aceh Province, Indonesia. Total sample for quantitative study was 500 neonates (1:1), 250 neonates who died in neonatal period (case) and 250 LBW neonates who survived in the neonatal period (control group). Meanwhile, the total sample for qualitative study was 22, there were 12 (mother) and 10 (midwife).The result of A simple logistic regression analysis for MCH factors found that 4 of 7 variable were significant association with neonatal death among LBW (P value < 0.05), these variables include: Antenatal care (ANC), place of delivery, level of health facilities and neonatal visit. Multiple logistic regression found the ANC has a strongest influence on neonatal death among LBW babies in Aceh Province (OR=3.6; 95% CI: 2.3-5.7). The LBW neonates who were born to mothers who received number of ANC equal to or less than 3 times had a 3.6 times higher risk of death, than neonates who were born to mothers who received ANC ≥ 4 times. The appropriate of health services in health facilities are needed to reduce the NMR and improve the health of neonate.
RESUMO
@#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