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Tingginya angka kejadian BBLR tahun 2024 di Kabupaten Lima Puluh Kota terdapat di
UPTD Puskesmas Tanjung Pati yang berjumlah 14 bayi perkelahiran hidup.Tujuan
penelitian ini adalah mengetahui Faktor risiko tinggi dalam kehamilan dengan kejadian
berat badan lahir rendah ( BBLR ) di wilayah UPTD Puskesmas Tanjung Pati tahun 2024.
Penelitian ini kuantitatif menggunakan metode analitik observasi dengan pendekatan cross
sectional. Populasi penelitian ini adalah ibu hamil risiko tinggi yang memiliki usia
kehamilan 28 minggu, berjumlah 143 orang dan Sampel 64 orang. Teknik pengambilan
sampel secara random sampling,pengumpulan data dengan cara bertanya langsung kepada
responden menggunakan lembar ceklis. Analisa data berupa univariat dan bivariat
menggunakan uji chi-square. Hasil penelitian menunjukkan (43,8%) memiliki usia
beresiko. (45,3%) memiliki paritas beresiko (32,8%) mengalami kurang energi kronis,
(48,4%) mengalami anemia, (21,9%) mempunyai riwayat hipertensi,(4,7%) mempunyai
kelainan jumlah janin, (21,9%) mempunyai kelainan besar janin, (26,6%) memiliki bayi
BBLR. Hasil uji statistik usia dengan kejadian BBLR p=0,042, KEK dengan kejadian
BBLR p=0,039, riwayat hipertensi dengan kejadian BBLR p=0,003, kelainan jumlah janin
dengan kejadian BBLR p=0,003, kelainan besar janin dengan kejadian BBLR p=0,000
paritas dengan kejadian BBLR p=0,333,anemia dengan kejadian BBLR p=0,485.
Kesimpulan ada hubungan usia, KEK, riwayat hipertensi, kelainan jumlah janin, kelainan
besar janin dengan kejadian BBLR, tidak ada hubungan paritas, anemia dengan kejadian
BBLR. Diharapkan Puskesmas dapat menjalankan program-program seperti penyuluhan
yang dapat mengidentifikasi dan meningkatkan motivasi ibu dalam memelihara kehamilan
yang sehat dan mewaspadai faktor-faktor resiko kelahiran bayi dengan berat badan lahir
rendah, serta dapat menyusun sebuah perencanaan program yang akan membantu
menurunkan angka kejadian ibu hamil risiko tinggi dan BBLR.

The high incidence of Low Birth Weight (LBW) in 2024 in Lima Puluh Kota Regency is
particularly notable at the UPTD Tanjung Pati Health Center, with 14 LBW cases per live
birth. The aim of this study is to determine the high-risk factors in pregnancy associated
with the incidence of LBW in the working area of UPTD Tanjung Pati Health Center in

2024. This research is quantitative, using an analytical observational method with a cross-
sectional approach. The population of this study consists of high-risk pregnant women with

a gestational age of 28 weeks, totaling 143 individuals, with a sample size of 64
individuals. The sampling technique used was random sampling, and data collection was
carried out through direct interviews with respondents using a checklist. Data analysis was
performed using univariate and bivariate analyses with the chi-square test. The results of
the study showed that 43.8% had a risky age, 45.3% had a risky parity, 32.8% experienced
Chronic Energy Deficiency (KEK), 48.4% were anemic, 21.9% had a history of
hypertension, 4.7% had abnormalities in the number of fetuses, 21.9% had abnormalities in
fetal size, and 26.6% had LBW babies. The chi-square test results showed significant
associations between age and LBW incidence (p=0.042), KEK and LBW incidence
(p=0.039), history of hypertension and LBW incidence (p=0.003), abnormalities in the
number of fetuses and LBW incidence (p=0.003), abnormalities in fetal size and LBW
incidence (p=0.000). However, there was no significant association between parity and
LBW incidence (p=0.333), or between anemia and LBW incidence (p=0.485). The
conclusion is that age, KEK, history of hypertension, abnormalities in the number of
fetuses, and abnormalities in fetal size are associated with LBW incidence, while parity
and anemia are not. It is recommended that the health center implement programs such as
counseling that can identify and motivate mothers to maintain a healthy pregnancy and be
aware of the risk factors for LBW, as well as develop a program plan to help reduce the
incidence of high-risk pregnancies and LBW.