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CONFERENCE PROCEEDING
Reducing low birth weight through targeted antenatal care: Evidence from Indonesia for policy action
1
Health Polytechnic Ministry of Health of Jakarta III/ Poltekkes Jakarta III, Midwifery, Bekasi - Jawa Barat, Indonesia
Eur J Midwifery 2026;10(Supplement 1):A651
ABSTRACT
BACKGROUND:
Low birth weight (LBW), a key predictor of neonatal morbidity and mortality, remains a major public health challenge in Indonesia. Midwives play a pivotal role in safeguarding maternal and newborn health through the provision of quality antenatal care (ANC), early detection of risk factors, and health promotion. Despite progress in maternal healthcare systems, substantial gaps persist in ANC coverage and quality. Modifiable risk factors such as maternal anemia, irregular ANC attendance, and preterm birth demand urgent, evidence-based intervention.
OBJECTIVES:
To identify maternal and neonatal risk factors associated with LBW in Indonesia to inform sustainable strategies for maternal and child health improvement.
METHODS:
A cross-sectional study was conducted using secondary data from 420 mother–newborn pairs in Jakarta (2021–2023). Variables included maternal anemia, ANC attendance, parity, gestational age, delivery method, maternal age, and infant sex. Bivariate and multivariate logistic regression analyses were performed using SAS software version 9.4 (SAS Institute Inc., Cary, NC, USA) to examine associations with LBW (<2500 g). This study was approved by the Ethics Committee of Universitas Respati Indonesia (No. 1625/KEP/UR/3/2023).
RESULTS:
The prevalence of LBW was 34.3%. Maternal anemia (OR 1.53; 95% CI: 1.16–2.03), irregular ANC attendance (OR 11.9; 95% CI: 8.17–17.32), and preterm birth (OR 11.22; 95% CI: 7.55–16.68) were significantly associated with increased LBW risk. Primiparous mothers were less likely to have LBW infants (OR 0.61; 95% CI: 0.43–0.88). No significant associations were found for maternal age, delivery method, or infant sex.
CONCLUSIONS:
Enhancing ANC quality and accessibility, addressing maternal anemia, and preventing preterm birth are crucial strategies for reducing LBW. This evidence supports policy actions to strengthen midwife-led maternal health services in Indonesia.
KEY MESSAGE:
Midwives are essential in delivering high-quality ANC that addresses key LBW risk factors. Strengthened midwifery services are critical for improving maternal and neonatal outcomes in Indonesia. Poster session 2 (Group A)
Low birth weight (LBW), a key predictor of neonatal morbidity and mortality, remains a major public health challenge in Indonesia. Midwives play a pivotal role in safeguarding maternal and newborn health through the provision of quality antenatal care (ANC), early detection of risk factors, and health promotion. Despite progress in maternal healthcare systems, substantial gaps persist in ANC coverage and quality. Modifiable risk factors such as maternal anemia, irregular ANC attendance, and preterm birth demand urgent, evidence-based intervention.
OBJECTIVES:
To identify maternal and neonatal risk factors associated with LBW in Indonesia to inform sustainable strategies for maternal and child health improvement.
METHODS:
A cross-sectional study was conducted using secondary data from 420 mother–newborn pairs in Jakarta (2021–2023). Variables included maternal anemia, ANC attendance, parity, gestational age, delivery method, maternal age, and infant sex. Bivariate and multivariate logistic regression analyses were performed using SAS software version 9.4 (SAS Institute Inc., Cary, NC, USA) to examine associations with LBW (<2500 g). This study was approved by the Ethics Committee of Universitas Respati Indonesia (No. 1625/KEP/UR/3/2023).
RESULTS:
The prevalence of LBW was 34.3%. Maternal anemia (OR 1.53; 95% CI: 1.16–2.03), irregular ANC attendance (OR 11.9; 95% CI: 8.17–17.32), and preterm birth (OR 11.22; 95% CI: 7.55–16.68) were significantly associated with increased LBW risk. Primiparous mothers were less likely to have LBW infants (OR 0.61; 95% CI: 0.43–0.88). No significant associations were found for maternal age, delivery method, or infant sex.
CONCLUSIONS:
Enhancing ANC quality and accessibility, addressing maternal anemia, and preventing preterm birth are crucial strategies for reducing LBW. This evidence supports policy actions to strengthen midwife-led maternal health services in Indonesia.
KEY MESSAGE:
Midwives are essential in delivering high-quality ANC that addresses key LBW risk factors. Strengthened midwifery services are critical for improving maternal and neonatal outcomes in Indonesia. Poster session 2 (Group A)
| eISSN: | 2585-2906 |
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