Ibu hamil perokok pasif sebagai faktor risiko bayi berat lahir rendah


Irnawati Irnawati(1*), Mohammad Hakimi(2), Tunjung Wibowo(3)

(1) Poltekkes Kemenkes Aceh
(2) Magister Kesehatan Ibu dan Anak-Kesehatan Reproduksi (KIA-KR) Fakultas Kedokteran Universitas Gadjah Mada
(3) Bagian Obsetri dan Ginekologi RSUP Dr. Sardjito Yogyakarta
(*) Corresponding Author


Background: Low birth weigth babies (LBW) are most likely a cause of the infant mortality and morbidity. Many factors causes LBW babies as maternal health, behavior during pregnancy, environmental  as well as fetal and placental factors. Negative behavior during pregnancy such as exposure of cigarette smoke can affect the body’s supply of oxygen from mother to fetus and placenta. Exposure to cigarette smoke may also reduce maternal folic acid level which causes disruption of fetal growth inside the womb.

Objective: This study was aimed to fnd out the risk of low birth weight baby in the passive smoker pregnant woman.

Method: The study used a case control design. The subject consisted of mothers who delivered at RSU dr. Zainoel Abidin in Banda Aceh municipality. The case group were mothers who delivered babies of less than 2,500 grams and the control group were those who delivered babies of 2,500 grams or more. Each group consisted of 105 mothers (1:1). Sample were taken using non probability with consecutive sampling method. Data analysis used univariable method with frequency distribution, bivariable with chi square and multivariable with logistic regression.

Results: Passive smoker pregnant woman exposed the 1-10 cigarettes a day had risk 2,4 times greater of getting low birth weight baby (OR=2,42; 95%CI 1,24-4,71). Pregnant mother exposed to ≥11 cigarettes a day had the risk 3,1 times greates in having LBW infants than those not exposed (OR=3,1; 95%CI 1,50-6,70).

Conclusion: Passive smoker of pregnant mother increased the risk of low birth weight babies.


risk; low birth baby; passive smoker; pregnant woman

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United Nations Children’s Fund and World Health Organization. Low birth weight: country, regional and global estimate [serial online] 2004 [cited 2006 Des 08]. Available from: www.who.int.

Lawnn JE, Brian JM, Ross SR. The healthy newborn, a reference manual for program managers. Atlanta: CDC,CCHI,Care; 2006.

Trading economics. Low-birthweight babies (% of births) in Indonesia [serial online] 2009 [cited 2009 Oct 09]. Available from: www.trading economics.com.

Chen PJ. Labour and delivery – low birth weigth [serial online] 2008 [cited 2009 Oct 09]. Available from: www. umm.edu.

WHO. Development of strategy towards promoting optimal fetal growth [serial online] 2007 [cited 2007 Dec 10]. Available from: www.who.int/nutrion/topics/ feto_maternal.

Ikatan Dokter Anak Indonesia. Bayi berat lahir rendah dalam standar pelayanan medis kesehatan anak edisi I. Jakarta: Ikatan Dokter Anak Indonesia; 2004.

United Nation. The millennium development goals report. New York: UN Department of Public Information; 2005.

Andarwati R, Prawirohartono EP, Gamayanti IL. Hubungan berat badan lahir, pemberian ASI eksklusif, status gizi, dan stimulasi kognitif dengan kecerdasan anak usia 5-6 tahun. Jurnal Gizi Klinik Indonesia 2006; 2(3): 95-100.

Weisglas-Kuperus N, Baerts W, Smrkovsky M, Sauer PJJ. Effect of biological and social factors on the cognitive development of very birth weight children. Pediatrics 1993; 92:658-65.

Woodruff TJ, Parker JD, Darrow LA, Slama R, Bell ML, Choi H, Glinianaia S, Hoggatt KJ, Karr CJ, Lobdell DT, Wilhelm M. Methodological issues in studies of air pollution and reproductive health. Environ Res 2009; 109:311-20.

Depkes RI. Riset kesehatan dasar 2007. Badan Litbang kesehatan Departemen Kesehatan RI. Jakarta: Depkes RI; 2008.

Bell ML, Ebisu K, Belanger K. Ambient air pollution and low birth weight in Connecticut and Massachusetts. Environ Health Perspect 2007; 115:1118-24.

Mangoenprasodjo SA, Hidayati NS. Hidup sehat tanpa asap rokok. Yogyakarta: Pradipta Publishing; 2005.

Ward C, Lewis S, Coleman T. Prevalence of maternal smoking and environmental tobacco ekposure during pregnancy and impact on birth weigth: retrospective study using millenium cohort. BMC Public Health 2007; 7: 81.

Pogodina C, Brunner HLR, Racine EF, Platonova E. Smoke-free homes for smoke-free babies: the role of residential environtmental tobacco smoke on low birth weigth. J Comunity Health 2009; 34(5): 376- 82.

Salmasi G, Grady R, Jones J, McDonald SD. Knowledge synthesis group. Acta Obstet Gynecol Scand 2010; 89(4); 423-41.

Fatunzi G, Vaccaro V, Aggazoti G, Righi E, Kanitz S, Barbone F, Sansebastiano G, Bttaglia MA, leoni V, Fabiani L, Sciacca S, Facchinetti F. Exposure to active and passive smoking during pregnancy and severe small for gestational age term. J Matern Fetal Neonatal Med 2008; 21(9): 643-7.

Lemeshow S, Hosmer JR, Klar J. Adequacy of sample size in health studies. Pramono D, Kusnanto H. 1997 (Alih bahasa). Yogyakarta: Gadjah Mada University Press; 1997.

Jarvis MJ. Children’s exposure to passive smoking: survey methodology and monitoring trends. London: WHO, NCD, TFI.11;1999.

Mickey J, Greenland S. A study of the impact of counfounder selection criteria on effect estimation. Am J Epid 1989; 129: 125-37.

Stillman RJ, Rosenberg MJ, Sachs BP. Smoking and reproduction. Fertil and Sterility 1986; 46: 545-66.

Shah P, Ohlsson A. Literature review of low birth weight, including small for gestational age and preterm birth. Toronto: Departement of Pediatrics Mount Sinai Hospital, Toronto Public Health; 2002.

Lindbohm, Taskinen. Reproductive hazard in the workplace. London: Women and Health, Academic Press; 2000.

Krol M, Florek E, Kornacka, Bokiniec R, Piekoszewski W. Clinical condition of the newborn versus tobacco smoke exposure during fetal life. Przegl Lek 2009; 66(10): 548-53.

DOI: https://doi.org/10.22146/ijcn.17769

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