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All Journal Indonesian Journal of Obstetrics & Gynecology Science
Aladawiyah, Nurul Robiah
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Health Professions Public Health

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Association between Maternal Body Mass Index and Neonatal Apgar Scores: A Multicenter Study Darajatun, Ryan Haryana; Aditiyono, Aditiyono; Aziz, Muhammad Alamsyah; Aladawiyah, Nurul Robiah
Indonesian Journal of Obstetrics & Gynecology Science Volume 9 Number 1 March 2026
Publisher : Dep/SMF Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/obgynia.v9i1.1059

Abstract

Objective: To determine the association between maternal body mass index (BMI) and neonatal Apgar scores in two tertiary referral hospitals in Indonesia between 2023 and 2024.Methods: This cross-sectional study analyzed the medical records of 200 women who delivered at Dr. Hasan Sadikin Hospital, Bandung, and Prof. Dr. Margono Soekarjo Hospital, Purwokerto, from August 2023 to July 2024. Participants were classified based on maternal BMI. The associations between BMI, mode of delivery, and Apgar scores were analyzed using chi-square tests and logistic regression.Results: Maternal BMI, mode of delivery, age, parity, gestational age, and comorbidities showed no significant association with Apgar scores (p > 0.05). Birth weight was the only significant predictor; infants with low birth weight were associated with Apgar scores <7 (OR 0.219; 95% CI: 0.118–0.407). Regarding mode of delivery, 69.2% of obese mothers underwent cesarean section compared to 52.3% of normoweight mothers. Obese mothers were significantly more likely to have a cesarean delivery, although this did not correlate with lower Apgar scores.Conclusion: Maternal obesity is associated with a higher chance of cesarean delivery but does not significantly affect neonatal Apgar scores. Infant birth weight remains the strongest predictor of Apgar scores in this group. AbstrakTujuan: Penelitian ini bertujuan untuk mengetahui asosiasi antara indeks massa tubuh (IMT) dan skor Apgar dengan obesitas pada kehamilan di Rumah Sakit Margono dan Rumah Sakit Hasan Sadikin selama tahun 2023 – 2024.Metode: Penelitian ini merupakan studi observasional analitik dengan pendekatan potong lintang. Data diperoleh dari rekam medis 200 ibu bersalin periode Agustus 2023 – Juli 2024 di RSUP Dr. Hasan Sadikin Bandung dan RS Prof. Dr. Margono Soekarjo Purwokerto. Subjek diklasifikasikan berdasarkan Indeks Massa Tubuh (IMT). Hubungan antara IMT dengan metode persalinan dan skor Apgar dianalisis menggunakan uji chi-square dan regresi logistik.Hasil: Hasil penelitian menunjukkan bahwa dari seluruh variabel, hanya berat lahir bayi yang berpengaruh signifikan terhadap skor Apgar. Bayi dengan berat lahir rendah berisiko lebih tinggi mendapat skor Apgar rendah (p < 0,05) OR 0,219 (CI 95% 0,118–0,407). Tidak ditemukan hubungan signifikan antara IMT maupun metode persalinan dengan skor Apgar (p > 0,05). Persalinan seksio sesarea terjadi pada 52,3% ibu dengan IMT normoweight dan 69,2% pada kelompok obesitas. Kesimpulan: Obesitas pada ibu hamil meningkatkan risiko persalinan dengan seksio sesarea. Berat lahir bayi merupakan prediktor skor Apgar yang signifikan. 
Association Between Maternal Lactate Dehydrogenase Levels and Fetal Outcomes in Preeclampsia with Severe Features Aladawiyah, Nurul Robiah; Utami, Arissa Reissa; Suhartomo, Dalri Muhammad
Indonesian Journal of Obstetrics & Gynecology Science Volume 9 Number 1 March 2026
Publisher : Dep/SMF Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/obgynia.v9i1.1065

Abstract

Objective: To assess the association between maternal serum lactate dehydrogenase (LDH) levels and fetal outcomes in patients with preeclampsia with severe features.Methods: A cross-sectional analytical study was conducted using secondary medical record data of pregnant women with preeclampsia with severe features treated at Prof. Dr. Margono Soekardjo Hospital, Indonesia, between December 2024 and December 2025. Consecutive sampling was used. Maternal serum LDH levels were categorized using a cutoff of 400 U/L. Associations between LDH levels and fetal outcomes were analyzed using Fisher’s exact test.Results: A total of 50 samples were included, with 10% exhibiting elevated LDH levels. Fisher’s exact test showed a significant association between elevated maternal LDH levels and lower 5-minute Apgar scores (p < 0.05; RR = 2.76). No significant associations were found between maternal LDH levels and gestational age at delivery, fetal complications, or birth weight (p > 0.05).Conclusion: Higher maternal LDH levels in preeclampsia with severe features are linked to lower 5-minute Apgar scores, indicating an association with acute perinatal stress rather than chronic fetal issues. AbstrakTujuan: Penelitian ini bertujuan menilai asosiasi antara kadar serum lactate dehydrogenase (LDH) maternal dengan luaran janin pada pasien preeklampsia dengan gejala berat.Metode: Penelitian analitik cross-sectional ini menggunakan data sekunder rekam medis ibu hamil dengan preeklamsia dengan gejala berat yang dirawat di RSUD Prof. Dr. Margono Soekardjo, Indonesia, pada periode Desember 2024 – Desember 2025. Pengambilan sampel dilakukan secara consecutive sampling. Kadar LDH serum maternal dikategorikan menggunakan nilai ambang 400 U/L. Hubungan antara kadar LDH dan luaran janin dianalisis menggunakan uji Fisher.Hasil: Hasil penelitian menunjukkan bahwa dari 50 sampel yang dianalisis, 10% menunjukkan kadar LDH meningkat. Uji Fisher menunjukkan adanya hubungan yang bermakna antara peningkatan kadar LDH maternal dan skor Apgar menit ke-5 yang rendah (p < 0,05; RR = 2,76). Tidak ditemukan hubungan yang bermakna antara kadar LDH maternal dengan usia kehamilan saat persalinan, komplikasi janin, maupun berat lahir (p > 0,05).Kesimpulan: Peningkatan kadar LDH maternal pada preeklamsia dengan gejala berat berhubungan dengan skor Apgar menit ke-5 yang lebih rendah, yang mencerminkan terjadinya stres perinatal akut dibandingkan gangguan pertumbuhan janin kronik. 
Co-Authors Aditiyono, Aditiyono Aziz, Muhammad Alamsyah Darajatun, Ryan Haryana Suhartomo, Dalri Muhammad Utami, Arissa Reissa