JOURNAL MIDWIFERY (JM)
Jurnal Jurusan Kebidanan.
Poltekkes Kemenkes Gorontalo P-ISSN .
E-ISSN .
8-523X)
http://jurnal.
id/index.
php/JM/index DOI: http://dx.
org/10.
52365/jm.
Analysis of Factors Affecting the Incidence of Chronic Energy Deficiency (SEZ) in Pregnant Women Taufika Putri Lestari1.
Sri Mulyaningsih2.
Yuliandary Yunus3.
Efri Leny Rauf4 Fakultas Ilmu Kesehatan.
Universitas Muhammadiyah Gorontalo.
Indonesia Email: taufikaputril@gmail.
Srimulyaningsih@Umgo.
id2, yuliandaryyunus@umgo.
efrilenyrauf@umgo.
ABSTRACT
Chronic Energy Deficiency (KEK) is a condition of long-term malnutrition experienced by pregnant women and has an impact on maternal health and fetal development.
In Gorontalo Province, the incidence of SEZ is still quite high, especially in the Limboto Health Center area, there are 199 cases of pregnant women who experience SEZ Incidents.
The purpose of this study is to analyze the factors that affect the incidence of Chronic Energy Deficiency (SEZ) in pregnant women at the Limboto Health Center.
This study uses a quantitative approach with a cross-sectional design.
The sample totaled 288 pregnant women who were selected using purposive sampling techniques.
Data was obtained through medical records and analyzed using the Chi-square test.
The results showed that the variables of parity .
=0.
, anemia .
=0.
, and ejaculation .
=0.
had a significant effect on the incidence of Chronic Energy Deficiency (KEK) in pregnant women.
Meanwhile, age .
=0.
and education .
=0.
did not show a significant effect on the incidence of chronic energy deficiency (SEZ).
Parity, anemia, employment, affect SEZ, while age and education have no effect.
Keywords: Anemia.
Education.
Employment.
Parity, age.
SEZ A2025 Taufika Putri Lestari1.
Sri Mulyaningsih2.
Yuliandary Yunus3.
Efri Leny Rauf4 Under the licence CC BY-SA 4.
* Sri Mulyaningsih.
Universitas Muhammadiyah Gorontalo.
Jl Mansoer Pateda.
Desa Pentadio Timur,Kabupaten Gorontalo.
Provinsi Gorontalo Email: Srimulyaningsih@Umgo.
Taufika Putri Lestari1.
Sri Mulyaningsih2.
Yuliandary Yunus3.
Efri Leny Rauf4 / Journal Midwifery Vol.
No.
2, 2025 .
INTRODUCTION
making them a group that needs special Chronic Energy Deficiency (SEZ) is a attention (Nurfadhillah et al.
, 2.
condition in which a person experiences an Data from the Gorontalo Provincial Health imbalance in nutritional intake, especially Office in 2024 shows that the incidence energy and protein, which lasts for a long rate of KEK in pregnant women varies A person is considered at risk of between districts/cities.
Boalemo Regency developing a SEZ if the Upper Arm recorded 210 cases.
Gorontalo Regency Circumference (LILA) is less than 23.
704 cases.
Pohuwato 433 cases.
Bone LILA is a method to assess the risk of Bolango 273 cases.
North Gorontalo 286 However, cases, and Gorontalo City 221 cases.
The LILA measurements cannot be used to results of the initial data survey conducted monitor changes in nutritional status in the at the Limboto Health Center.
The LILA incidence of KEK in pregnant women is measurements can be divided into two 199 pregnant women who experience categories, namely <23.
5 cm, then there is Chronic Energy Deficiency (SEZ) in 2024.
a risk of SEZs, while if the result is 23.
These figures underscore the importance cm or more, it means that there is no risk of strategic steps to reduce the number of of SEZs.
( Sofyawari S,2.
SEZ in pregnant women.
According The World Health The factors that cause Chronic Energy Organization (WHO) reported that the Deficiency (SEZ) prevalence of chronic energy deficiency directly and indirectly.
The direct factors (KEK) in pregnancy globally ranges from are malnutrition, bleeding, eclampsia and 35-75%, with the figure being significantly infectious diseases, while the indirect higher in the third trimester compared to causes are Chronic Energy Deficiency and the first and second trimesters.
The WHO anemia ( Silfia NN et al, 2.
also notes that 40% of maternal deaths in The Directorate of Nutrition and Maternal developing countries are related to chronic and Child Health carries out various energy deficiency.
Pregnant women who programs to reduce the number of experience nutritional problems, such as pregnant women who deal with chronic chronic energy deficiency, have a higher energy deficiency (SEZ).
These programs risk of health problems.
Therefore, it is include the provision of additional food important to avoid nutritional energy (MT) both from factories and based on deficiencies in pregnant women who are local food for pregnant women in SEZs.
Taufika Putri Lestari1.
Sri Mulyaningsih2.
Yuliandary Yunus3.
Efri Leny Rauf4 / Journal Midwifery Vol.
No.
2, 2025 .
Besides They also ensure the availability METHOD of nutrition for pregnant women in KEK The design of this study uses a quantitative during disasters through disaster nutrition research design with an approach cross- Increasing the capacity of health Sectional.
This research was carried out at cadres in the preparation of local MT that the Limboto Health Center.
The research meets the nutritional needs of hamik SEZ implementation time is from March-April mothers is also the main focus.
Finally.
The population in this study is all monitoring and technical assistance for the pregnant women in 2024 who have their distribution and use of factory MT and pregnancy checked at the Limboto Health local MT are carried out periodically to Center as many as 1012 pregnant women.
ensure the effectiveness of the program.
The research sample amounted to 288 In supporting the government's efforts, the pregnant women obtained using the slovin role of midwives in reducing the number The instrument in this study uses of pregnant women with chronic energy a medical record-based checklist designed deficiency (SEZ) in the Limboto Health to record factors that affect SEZs.
Data is Center area through early examination of pregnant women, monitoring pregnant checking or editing, entry, and cleaning.
women at high risk, collecting data on Data analysis was carried out in univariate problems experienced by pregnant women, and bivariate ways.
Bivariate analysis and tracing high-risk pregnant women who using the Chi-square test.
Statistical have their pregnancies checked at the Health Center.
programs using two types of analysis, namely Univariate analysis techniques and Bivariate analysis techniques.
Taufika Putri Lestari1.
Sri Mulyaningsih2.
Yuliandary Yunus3.
Efri Leny Rauf4 / Journal Midwifery Vol.
No.
2, 2025 .
RESULTS AND DISCUSSION
Result Table 1.
Analysis of factors that affect the incidence of Chronic Energy Deprivation in pregnant women at the Limboto Health Center Variabel Quantity .
Presentase (%) Age of Pregnant Women <20 or >35 Paritas Nullipara & Primipara Multipara Largemultipara Status Anemia Education Low Tall Employment Status Work Not Working SEZ Incident Total Source: Primary Data 2025 Based on table 1, the majority of pregnant did not have anemia.
In terms of women are in vulnerable age 20-30 years education, the majority of pregnant women .
ot at high ris.
, as many as 211 pregnant who have higher education are 191 women .
7%), while the remaining 67 pregnant women .
3%) and 97 pregnant pregnant women .
3%) are at the age of women .
7%) are poorly educated.
<20 years or >35 years .
igh ris.
Most terms of work, the majority of pregnant pregnant women had a primipara parity of women who do not work are 179 pregnant 180 pregnant women .
5%), followed by women .
2%) while 109 pregnant multipara as many as 81 pregnant women women .
8%) are working.
Meanwhile, .
1%), and grandemultipara as many as the number of pregnant women who 27 pregnant women .
4%).
A total of 167 experienced SEZ and did not experience SEZ was 144 pregnant women each.
anemia, while 121 pregnant women .
%) Taufika Putri Lestari1.
Sri Mulyaningsih2.
Yuliandary Yunus3.
Efri Leny Rauf4 / Journal Midwifery Vol.
No.
2, 2025 .
Table 2.
The Effect of Age on the Incidence of Chronic Energy Deficiency in Pregnant Women at the Limboto Health Center SEZ Incident Total No.
Age (Year.
P-value <20 or >35 Total
0,070
Source: Primary Data 2025 Based on table 2, out of 221 pregnant experience SEZs and 40 pregnant women women aged 20-30 years, 177 pregnant .
4%) experienced SEZs.
The Chi- women .
6%) did not experience SEZs square test .
meaning that there was no significant experienced SEZs.
Meanwhile, of the 67 influence between age and the incidence of mothers aged <20 or >35 years, as many KEK .
-value >0.
showed a p-value = 0.
as 27 pregnant women .
4%) did not Table 3.
The Effect of Education on the Incidence of Chronic Energy Deficiency in Pregnant Women at the Limboto Health Center SEZ Incident Total No.
Education P-value Low
Tall
Total
0,708
Source: Data Primeer 2025 Based on table 3, out of 97 pregnant .
women with low education, there were 50 pregnant women .
4%) who experienced experience SEZs.
The results of the Chi- SEZs and 47 pregnant women .
3%) did square Test showed a value of p= 0.
not experience SEZs.
Meanwhile, of the which means that there was no significant influence between education and the education, there were 94 pregnant women SEZs .
incidence of SEZs.
Taufika Putri Lestari1.
Sri Mulyaningsih2.
Yuliandary Yunus3.
Efri Leny Rauf4 / Journal Midwifery Vol.
No.
2, 2025 .
Table 4.
The effect of parity on the incidence of Chronic Energy Deficiency in pregnant women at the Limboto Health Center SEZ Incident Total No.
Paritas P-value Nullipara & Primipara
Multipara
Largemultipara
Total
0,000
Source: Primary Data 2025 mothers In the United States, there were 4 Based on table 4.
Of the 180 pregnant pregnant women .
4%) experiencing women with Nullipara and primipara KEK.
The results of the Chi-square test parity, 122 pregnant women .
showed that p-value = 0.
000 means that experienced SEZs.
In 81 mothers with there is a significant influence between mulipara parity, 28 pregnant women parity and the incidence of SEZ.
7%) experienced SEZ, and of 27 Table 5.
The effect of anemia status on the incidence of Chronic Energy Deficiency in pregnant women at the Limboto Health Center SEZ Incident Total No.
Anemia
P-value Total
0,000
Source: Primary Data 2025 pregnant women .
8%) experienced Based on table 5, out of 121 pregnant SEZs.
The results of the Chi-square shows women who were not anemic, there were p-value = 0.
000 which means that there is 38 pregnant women .
2%) experiencing a significant influence between anemia and SEZ.
Meanwhile, of the 167 pregnant the incidence of KEK.
women who experienced anemia, 106 Taufika Putri Lestari1.
Sri Mulyaningsih2.
Yuliandary Yunus3.
Efri Leny Rauf4 / Journal Midwifery Vol.
No.
2, 2025 .
Table 6.
The Effect of Work on the Incidence of Chronic Energy Deficiency in Pregnant Women at the Limboto Health Center SEZ Incident No.
Total
Employment
Status
P-value Work
Not Working Total
0,000
Sumber: Data Primer 2025 women who did not work, there were 68 Based on table 14 above, a crosstabulation between employment status and SEZ incidence was obtained.
Of the 109 working pregnant women, there were 76 pregnant women .
4%) who did not experience SEZ and 33 pregnant women .
5%) who experienced SEZ Meanwhile, of the 179 pregnant pregnant women .
6%) who did not experience KEK and 111 pregnant women .
5%) who experienced KEK From the chi-square test, a pvalue of 0.
000 was obtained This shows that there is a significant influence between employment status and the incidence of SEZs .
-value<0.
DISCUSSION