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All Journal Lentera Perawat
Rilyani Rilyani
Department of Nursing, Faculty of Health Sciences, Universitas Malahayati, Lampung, Indonesia
Health Professions Nursing Public Health

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Maternal risk of chronic energy deficiency based on mid-upper arm circumference and low birth weight among term singleton births: A retrospective record-based study in Lampung, Indonesia Lara Putri Upatesa; Anita Anita; Rilyani Rilyani
Lentera Perawat Vol. 7 No. 3 (2026): July - September
Publisher : School of Health Sciences Al-Ma'arif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v7i3.800

Abstract

Background: Low birth weight remains a major neonatal health concern. Mid-upper arm circumference (MUAC) is routinely used in Indonesia to screen pregnant women for risk of chronic energy deficiency (CED), but its association with low birth weight among term births requires careful interpretation. Objective: To examine the association between maternal risk of CED based on antenatal MUAC and low birth weight among term singleton births at Dr. H. Abdul Moeloek Regional General Hospital, Lampung, Indonesia. Methods: This retrospective record-based analytic study included 93 term singleton mother-infant pairs selected consecutively from 178 eligible delivery records from January to August 2025. Maternal risk of CED was defined as the most recent documented antenatal MUAC <23.5 cm; MUAC >=23.5 cm was classified as not at risk. Low birth weight was defined as birth weight <2,500 g. Sample adequacy was reassessed using a single-proportion approach with 95% confidence, an expected proportion of 0.50, 7.5% precision, finite-population correction, and 5% allowance for incomplete records, producing a minimum of 92 records. Pearson chi-square and crude odds ratio (OR) with 95% confidence interval (CI) were calculated. Results: Forty infants (43.0%) had low birth weight, and 20 mothers (21.5%) were at risk of CED. Low birth weight occurred in 18 of 20 mothers at risk of CED (90.0%) and in 22 of 73 mothers not at risk (30.1%). Maternal risk of CED was associated with low birth weight (p < 0.001; crude OR = 20.864; 95% CI = 4.455-97.718). The wide CI indicates substantial uncertainty in the magnitude of the estimate. Conclusion: Maternal risk of CED based on MUAC was associated with low birth weight among term singleton births. The finding supports consistent antenatal MUAC screening, but it should be interpreted as an unadjusted hospital-based association that requires confirmation in larger studies with standardized MUAC timing and multivariable adjustment.
Factors associated with exclusive breastfeeding among mothers of infants aged 7–12 months in Bandar Lampung, Indonesia: A cross-sectional study Renata Sheilawati; Rilyani Rilyani; Riska Wandini
Lentera Perawat Vol. 7 No. 3 (2026): July - September
Publisher : School of Health Sciences Al-Ma'arif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v7i3.801

Abstract

Background: Exclusive breastfeeding is an important maternal and child health practice, but coverage can vary markedly within the same administrative area. Pinang Jaya Public Health Center reported lower coverage than the Bandar Lampung city estimate, indicating a need for local evidence. Objective: To identify maternal and contextual factors associated with exclusive breastfeeding among mothers of infants aged 7–12 months in the working area of Pinang Jaya Public Health Center, Bandar Lampung, Indonesia. Methods: This cross-sectional study included all 40 eligible mothers registered in the health-center working area in November 2025. Knowledge was measured with 20 dichotomous items (score 0–20; good = 15–20). Attitude was measured with six five-point Likert items (score 6–30; positive = 23–30), and sociocultural support was measured with ten five-point Likert items (score 10–50; supportive = 38–50). Exclusive breastfeeding was determined using a structured infant-feeding history and checked against maternal and child health records when feeding information was available. Continuity-corrected Chi-square tests were used when expected cell counts were adequate; Fisher’s exact test was used for maternal age because the minimum expected count was 2.85. Odds ratios (ORs) and 95% confidence intervals (CIs) were calculated for the odds of exclusive breastfeeding. Results: Exclusive breastfeeding was reported by 21 mothers (52.5%). Significant associations were observed for good knowledge (OR = 11.900; 95% CI = 2.674–52.959; p = 0.002), being unemployed compared with employed (OR = 16.800; 95% CI = 3.417–82.603; p < 0.001), high education (OR = 8.960; 95% CI = 2.140–37.522; p = 0.005), positive attitude (OR = 10.667; 95% CI = 2.308–49.306; p = 0.003), and supportive sociocultural conditions (OR = 10.667; 95% CI = 2.308–49.306; p = 0.003). Maternal age and parity were not significantly associated with exclusive breastfeeding. Conclusion: Knowledge, employment status, education, attitude, and sociocultural support were associated with exclusive breastfeeding in this small health-center population.
Co-Authors Anita Anita Lara Putri Upatesa Renata Sheilawati Riska Wandini