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All Journal Manuju : Malahayati Nursing Journal An Idea Health Journal Prosiding University Research Colloquium Jurnal Salingka Abdimas Jurnal manajemen informasi kesehatan Jurnal Ilmu Keperawatan dan Kebidanan
Dyah Puji Astuti
Universitas Muhammadiyah Gombong
Humanities Computer Science & IT Dentistry Environmental Science Health Professions Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Nursing Public Health

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Maternal Hemodynamic and Nutritional Determinants of Neonatal Apgar score: The Role of Gestational Age, Body Mass Index, Hemoglobin, and Mean Arterial Pressure Sumarni Sumarni; Dyah Puji Astuti; Siti Mutoharoh; Diah Astutiningrum; Fitria Prabandari
Jurnal Manajemen Informasi Kesehatan (Health Information Management) Vol. 11 No. 1 (2026): Health Information and Management
Publisher : Sekolah Tinggi Ilmu Kesehatan Sapta Bakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51851/jmik.v11i1.1042

Abstract

Background: The Apgar score is widely used to evaluate a newborn's physiological adaptation during the early transition from fetal to extrauterine life. Maternal physiological and nutritional conditions during pregnancy may influence neonatal outcomes. This study investigated the association between maternal hemodynamic parameters, nutritional status, and neonatal Apgar scores. Method: A retrospective observational analytic study was performed using medical records from Margono Soekardjo Hospital collected in 2022. The study involved 190 mother–infant pairs selected through sequential sampling according to predetermined eligibility criteria. Gestational age, mean arterial pressure (MAP), hemoglobin concentration, and body mass index (BMI) were examined as independent variables, while the Apgar score served as the outcome variable. Statistical analyses included Spearman rank correlation and multiple linear regression, with statistical significance established at p < 0.05. Result: Gestational age demonstrated a significant moderate positive relationship with Apgar score (ρ = 0.549; p < 0.001), indicating that increasing gestational age was associated with better neonatal adaptation. In contrast, maternal BMI was weakly and inversely correlated with Apgar score (ρ = -0.329; p < 0.001). No significant associations were observed between Apgar score and either hemoglobin level (ρ = -0.016; p = 0.825) or MAP (ρ = -0.022; p = 0.765). Regression analysis further identified gestational age (β = 0.494; p < 0.001) and BMI (β = -0.167; p = 0.008) as significant predictors of Apgar score, whereas hemoglobin concentration and MAP did not contribute significantly to the model. Conclusion: Neonatal Apgar scores are primarily influenced by gestational age, with maternal BMI also showing a significant contribution. Conversely, maternal hemoglobin levels and mean arterial pressure were not associated with neonatal Apgar outcomes. These findings highlight the critical role of fetal maturity and maternal nutritional condition in supporting successful neonatal adaptation after birth
Effect of an Integrated Complementary Childbirth Care Model on Neonatal Outcomes Care: A Quasi Experimental Study Siti Mutoharoh; Dyah Puji Astuti; Sumarni Sumarni
An Idea Health Journal Online First
Publisher : PT.Mantaya Idea Batara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53690/ihj.v6i04.821

Abstract

Background: Neonatal outcomes are key indicators of the quality of childbirth services and newborn adaptation. Complementary childbirth approaches, including hypnobirthing relaxation techniques, murottal therapy, and rebozo techniques, have been shown to enhance maternal comfort and facilitate a physiological labor process. The present study analyzed the effect of a complementary childbirth service model on neonatal outcomes. Methods: A quasi-experimental posttest-only control group design was employed, involving 60 women in labor (30 per group) recruited through purposive sampling without randomization. The intervention group received integrated complementary childbirth care, whereas the control group received standard care. Neonatal outcomes assessed included initial newborn assessment, APGAR score, blood glucose level within the first 24 hours after birth, and neonatal temperature status. Categorical outcomes were analyzed using Fisher's exact test, and the intervention effect was estimated using risk ratio (RR) with a 95% confidence interval (CI) (α = 0.05). Result: No significant differences were observed in initial newborn assessment, APGAR scores, or blood glucose levels between groups (all p = 1.000). However, neonatal vital signs differed significantly (p = 0.005), with the intervention group exhibiting a lower incidence of hypothermia (50.0% vs. 86.7%; RR = 0.58, 95% CI: 0.35). Conclusion:The integrated complementary childbirth care model was associated with improved neonatal temperature regulation, specifically a reduced incidence of hypothermia. These findings should be interpreted with caution due to the purposive sampling, non-randomized allocation, and posttest-only study design.
Co-Authors Adinda Putri Sari Dewi Aghisna Fikamalina Diah Astutingrum Diah Astutiningrum Dila Indriani Eni Indrayani Ety Sulastri Fatiya Husna Arkani Fitria Prabandari Hastin Ika Indriyastuti Juni Sofiana Kusumastuti Kusumastuti Levi Anatolia Ning Iswati S Sumarni Siti Mutoharoh Sumarni Sumarni Wulan Rahmadhani Yusronisa Nur Hikmah