Determinants of Chronic Energy Deficiency (CED) in Pregnant Women in the Lere Health Center Working Area, Palu City in 2021-2023

Authors

DOI:

https://doi.org/10.36456/1dzp9q54

Keywords:

Determinants, Chronic Energy Deficiency (KEK), Pregnant Women

Abstract

Chronic energy deficiency (CED) in pregnant women has an impact on the fetus in the womb. Data on pregnant women with KEK cases in Palu City ranks third with 985 (12.74percent). Lere Health Center is ranked eighth, with the number of CED pregnant women of 64 people (10.47percent) in 2022 and 48 people (39.3percent) in 2023. This research aims to determine the Determining Factors of Chronic Energy Deficiency (CED) in Pregnant Women in the Lere Community Health Center Working Area, Palu City. 2021-2023. The research method used a case-control design with a retrospective approach and was carried out at the Lere Community Health Center, Palu City. The population of all pregnant women in 2021-2023 is 314 people.  The sample was 172, divided into 86 cases (CED) and 86 controls (not CED). The sampling technique uses purposive sampling. The research uses secondary data from medical record books: univariate and bivariate data analysis using the chi-square test. Based on bivariate analysis, the study results showed that maternal age and education factors were unrelated to the incidence of CED in pregnant women, with a p-value of 0.197 and 0.130, respectively. In contrast, the factors of parity and maternal HEG condition were related to the incidence of CED with p-values ​​of 0.004 and, respectively. 0.001. The conclusion is that the determinants of chronic energy deficiency in pregnant women in the Lere Community Health Center work area are the Parity factor and HEG Condition. It is recommended that the Community Health Center provide education regarding the factors that can cause CED in pregnant women.

References

Alwan, N., Ode Salma, W., Made, I., & Binekada, C. (2023). Analisis Kejadian Kekurangan En-ergi Kronik (Kek) Pada Ibu Hamil Di Wilayah Kerja Puskesmas Poasia. Jurnal Ilmiah Ob-sgin : Jurnal Ilmiah Ilmu Kebidanan & Kandungan, 15(3), 498–511. https://doi.org/10.36089/job.v15i3.1468

Amil, N. (2022). Nutrisi Ibu Hamil. CV. Alfabeta. Bandung.

Andini, F. R. (2020). Hubungan Faktor Sosio Ekonomi Dan Usia Kehamilan Dengan Kejadian Kekurangan Energi Kronis Pada Ibu Hamil Di Puskesmas Prambontergayang Kabupaten Tuban. Amerta Nutrition, 4(3), 218. https://doi.org/10.20473/amnt.v4i3.2020.218-224

Angkasa, D., & Iswarawanti, D. N. (2021). Do food taboo and dietary diversity associated with risk of chronic energy deficiency among pregnant women living in rural setting of South-east Sulawesi, Indonesia? Proceedings of the Nutrition Society, 80(OCE2), E72. https://doi.org/10.1017/S0029665121000847

Auranissa, A., Zuhairini, Y., & Nurdiawan, W. (2024). Relationship between age, occupation, education, and parity with the chronic energy deficiency among pregnant women. Interna-tional Journal of Public Health Science (IJPHS), 13(3), 1223. https://doi.org/10.11591/ijphs.v13i3.23525

Bakri, dan Sri, H. (2021). Upaya Peningkatan Kesehatan Dan Gizi Ibu Hamil. Bandung: Media Sains Indonesia.

Balitbangkes RI. (2018). Laporan Riskesdas 2018 Nasional.pdf. In Lembaga Penerbit Balit-bangkes (p. hal 156).

Balkis Fitriani Faozi. (2022). Hubungan Paritas dengan Kejadian Kekurangan Energi Kronis. 4(1), 18–23.

Dinas Kesehatan Provinsi Sulawesi Tengah. (2022). Profil Kesehatan Provinsi Sulawesi Tengah. Profil Kesehatan Provinsi Sulawesi Tengah, 1–377.

Erna K. Wati, Retno Murwani, M. I. K. and S. S. (2024). Determinants of chronic energy defi-ciency (CED) incidence in pregnant women: A cross- sectional study in Banyumas, Indo-nesia. Narra J, 4(1), 1–8. https://doi.org/http://doi.org/10.52225/narra.v4i1.742

Ervinawati, E., Wirda, A., & Nurlisis, N. (2019). Determinant of Chronic Energy Malnutrition (CEM) in Pregnant Woman at Lubuk Muda Public Health Center. Jurnal Kesehatan Komunitas, 4(3), 120–125. https://doi.org/10.25311/keskom.Vol4.Iss3.289

Fauziah, N. A., & Febriyanti, H. (2023). Affecting factors the incidence of chronic energy defi-ciency (CED) in pregnant women. Jurnal Aisyah : Jurnal Ilmu Kesehatan, 8(S1), 263–268. https://doi.org/10.30604/jika.v8is1.1711

Fibrila, F., Ridwan, M., & Herlina, H. (2023). Parity and Eating Habits Trigger Chronic Energy Deficiency in Pregnant Women. International Journal of Current Science Research and Review, 06(04), 2352–2358. https://doi.org/10.47191/ijcsrr/V6-i4-15

Hasanah, U., Monica, O. T., Susanti, D., & Hariyanti, R. (2023). Hubungan Pendidikan dan Pekerjaan dengan Kejadian Kekurangan Energi Kronik (KEK) pada Ibu Hamil di Pusk-esmas Putri Ayu. MAHESA : Malahayati Health Student Journal, 3(8), 2375–2385. https://doi.org/10.33024/mahesa.v3i8.10832

Humairoh, M., Hamid, S. A., & Amalia, R. (2023). Hubungan pengetahuan, jarak kehamilan, dan paritas dengan kejadian kekurangan energi kronik (KEK) di Puskesmas Muara Burnai Kecamatan Lempuing Jaya Kabupaten Ogan Komering Ilir tahun 2022. Jurnal Ilmiah Uni-versitas Batanghari Jambi, 23(2), 2101–2106. https://doi.org/10.33087/jiubj.v23i2.3148

Husna, A., Andika, F., & Rahmi, N. (2020). Determinan Kejadian Kekurangan Energi Kronik (KEK) Pada Ibu Hamil Di Pustu Lam Hasan Kecamatan Peukan Bada Kabupaten Aceh Be-sar. Journal of Healthcare Technology and Medicine, 6(1), 2615–109. https://doi.org/10.33143/jhtm.v6i1.944

Jouanne, M., Oddoux, S., Noël, A., & Voisin-Chiret, A. S. (2021). Nutrient requirements during pregnancy and lactation. Nutrients, 13(2), 1–17. https://doi.org/10.3390/nu13020692

Kemenkes. (2022). Buku Saku Pelayanan Kesehatan Ibu di Fasilitas Kesehata dasar dan Ru-jukan. In Kemenkes RI.

Majidah, N. M., Sulistiyawati, S., & Paramashanti, B. A. (2021). Effect of Maternal Nutrition Education on Knowledge, Attitude, and Practice Related to Infant and Toddler Feeding. Nu-tri-Sains: Jurnal Gizi, Pangan Dan Aplikasinya, 5(2), 73–82. https://doi.org/10.21580/ns.2021.5.2.5245

Muryani, N., Afrika, E., & Rahmawati, E. (2022). Hubungan Riwayat Penyakit KEK, Pola Makan, dan Hiperemesis Gravidarum dengan Kejadian Kekurangan Energi Kronik Pada Ibu Hamil Puskesmas Dana Mulya Kecamatan Pulau Rimau Kabupaten Banyuasin Tahun 2021. Jurnal Ilmiah Universitas Batanghari Jambi, 22(1), 319. https://doi.org/10.33087/jiubj.v22i1.1843

N, A., Limbong, M., Kasim, E., Nurhayati, N., & Zainuddin, R. (2023). Overview of Knowledge of Pregnant Women About the Dangers of Covid-19 During Pregnancy. Journal La Medi-healtico, 4(1), 14–19. https://doi.org/10.37899/journallamedihealtico.v4i1.760

Nena Muryani, Eka Afrika, E. R. (2022). Hubungan Riwayat Penyakit KEK, Pola Makan, dan Hiperemesis Gravidarum dengan Kejadian Kekurangan Energi Kronik Pada Ibu Hamil Puskesmas Dana Mulya Kecamatan Pulau Rimau Kabupaten Banyuasin Tahun 2021. 22(1), 319–324. https://doi.org/10.33087/jiubj.v22i1.1843

Noviana Sari, E., Pitri, D., III Kebidanan, P. D., & Ilmu Kesehatan, F. (2023). Hubungan Penge-tahuan Ibu Hamil tentang Gizi Kehamilan dengan Kejadian Kurang Energi Kronik (KEK) pada Kehamilan di Wilayah Kerja Puskesmas Sitiung 1 Tahun 2022. Jurnal Pendidikan Tambusai, 1. https://doi.org/10.31004/jptam.v7i1.5283

Parihar, S., & Singh, S. (2019). Maternal and fetal outcomes in pregnant women with hypereme-sis gravidarum. International Journal of Reproduction, Contraception, Obstetrics and Gy-necology, 8(3), 901. https://doi.org/10.18203/2320-1770.ijrcog20190854

Prasetyo, Y. B., Permatasari, P., & Susanti, H. D. (2023). The effect of mothers’ nutritional edu-cation and knowledge on children’s nutritional status: a systematic review. International Journal of Child Care and Education Policy, 17(1). https://doi.org/10.1186/s40723-023-00114-7

Puspitasari, V., Qotijah, R. S., & Qamaria, A. A. (2023). Analysis of Eating Patterns and Parity with the Incidence of Chronic Energy Deficiency in Pregnant Women: Literature Review. Open Access Health Scientific Journal, 4(2), 50–58. https://doi.org/10.55700/oahsj.v4i2.44

Rosita, U., & Rusmimpong, R. (2022). Hubungan Paritas dan Umur Ibu Hamil Dengan Kejadian Kekurangan Energi Kronik di Desa Simpang Limbur Wilayah Kerja Puskesmas Simpang Limbur. Nursing Care and Health Technology Journal (NCHAT), 2(2), 78–86. https://doi.org/10.56742/nchat.v2i2.41

Safitri, D., Hasbiah, Satra Yunola, & Tuti Farida. (2023). Relationship Between Parity, Anemia And Chronic Energy Deficit (Ced) With Incidence Of Low Birth Weight. Jurnal Kesehatan Dan Pembangunan, 13(25), 15–21. https://doi.org/10.52047/jkp.v13i25.155

Silfia, N. N., Maineny, A., & Yustika, Y. (2022). Factors for Chronic Energy Deficiency (KEK) in Pregnant Women. Napande: Jurnal Bidan, 1(1), 40–48. https://doi.org/10.33860/njb.v1i1.1047

Simbolon, Demsa, Jumiyayati, & Rahmadi, A. (2018). Pencegahan Dan Penanggulangan Ku-rang Energi Kronis (KEK). Deepublish Publisher.

Sintia, S., Septiani, W., Rany, N., & Kursani, E. (2021). Determinant Of Chronic Energy Defi-ciency (Kek) In Pregnant Women In The Working Area Of Siak Hulu Iii Health Center Of Kampar Regency. Jurnal Kesehatan Komunitas, 7(1), 64–69. https://doi.org/10.25311/keskom.Vol7.Iss1.775

Stokke, G., Gjelsvik, B. L., Flaatten, K. T., Birkeland, E., Flaatten, H., & Trovik, J. (2015). Hy-peremesis gravidarum, nutritional treatment by nasogastric tube feeding: a 10‐year retro-spective cohort study. Acta Obstetricia et Gynecologica Scandinavica, 94(4), 359–367. https://doi.org/10.1111/aogs.12578

Sumiati, I., Kania, N., Arifin, S., Syahadatina Noor, M., & . H. (2020). Meta Analysis Study: Risk Factors Related To The Events Of Loss Of Chronic Energy (KEK) In Pregnant Women. International Journal of Scientific and Research Publications (IJSRP), 11(1), 628–631. https://doi.org/10.29322/ijsrp.11.01.2021.p10975

Triyawati, L., & Yuliani, E. (2023). Knowledge, education, and information affect chronic ener-gy deficiency among pregnant mothers in the area of Public Health Center Balen, Bojo-negoro, Indonesia. Majalah Obstetri & Ginekologi, 31(1), 1–10. https://doi.org/10.20473/mog.V31I12023.1-10

Utami, A. P., Munir, M., & Widyastuti, E. R. (2023). Age And Parity Toward Chronic Energy De-ficiency (CED) Incident Of Pregnant Mother In Puskesmas Gaji. International Journal of Midwifery Research, 3(2), 72–80. https://doi.org/10.47710/ijmr.v3i2.54

Wubie, A., Seid, O., Eshetie, S., Dagne, S., Menber, Y., Wasihun, Y., & Petrucka, P. (2020). De-terminants of chronic energy deficiency among non-pregnant and non-lactating women of reproductive age in rural Kebeles of Dera District, North West Ethiopia, 2019: Unmatched case control study. PLoS ONE, 15(10 October), 1–12. https://doi.org/10.1371/journal.pone.0241341

Yanti, S., Nazarena, Y., & Meilina, A. (2023). The Effectiveness Of A Nutritional Education-Based Module For Pregnant Women In Preventing Stunting. Journal of Applied Nursing and Health, 5(2), 335–346. https://doi.org/10.55018/janh.v5i2.165

Yonni Siwi, R. P., Retnaningtyas, E., Wulandari, A., & Astikasari, N. D. (2023). Utilization mother and child health book on knowledge pregnant women. Science Midwifery, 11(1), 262–269. https://doi.org/10.35335/midwifery.v10i6.1205

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Published

2025-05-31

How to Cite

Widyayanti, A., Sarliana, Dewie, A., & Silfia, N. N. . (2025). Determinants of Chronic Energy Deficiency (CED) in Pregnant Women in the Lere Health Center Working Area, Palu City in 2021-2023 . EMBRIO: Jurnal Kebidanan, 17(1), 1-10. https://doi.org/10.36456/1dzp9q54