Analysis of Obstetric Medical Determinant Factors toward Mothers with the Stunting Children


Erlin Syahril
Nasrudin Andi Mappaware
Marliyanti Akib
Muhammad Mursyid


Introduction: Toddlerhood is a period that is very sensitive to the environment so more attention is needed especially the adequacy of nutrition. Nutrition problems, especially stunting in a toddler can inhibit the growth and development of the children. This study aimed to identify various obstetric medical characteristics and determine the obstetric medical determinant factors that most influence pregnant women with the incidence of stunting in Mamuju Regency, West Sulawesi.

Methods: This study was conducted from June until August 2019 in Mamuju Regency, West Sulawesi. The total samples in this study were 88 people who were taken from mothers who had stunting toddlers aged 2-5 years old in Mamuju Regency, West Sulawesi. A total sampling method was used. A cross-sectional with the retrospective approach with a regression test. Data instruments were used questionnaires, observation sheets, and checklists.

Results: The result of the stunting study was found from the toddler nutrient data from January until June 2020  in West Sulawesi by using total sampling. The researchers found a sufficient influence for the complication during childbirth factor, while the weak relation of the stunting based on the ages, parity, pregnancy spacing, poor obstetric history, comorbid disease, maternal surface, neonatal surface, hemoglobin levels, and the history of Sectio Caesarea (SC).

Conclusion: One of the obstetric medical factors that have a sufficient relationship for causing the stunting for children is the complication during childbirth, while other obstetric medical factors have a very weak relation to the stunting case.



1. Nasikhah, R. & Margawati, A. Faktor Risiko Kejadian Stunting Pada Balita Usia 24-36 Bulan Di Kecamatan Semarang Timur. J. Nutr. Coll. (2012).
2. Indonesia, K. K. R. Situasi Balita Pendek (Stunting) di Indonesia. (2018).
3. RISKESDAS. Riset Kesehatan Dasar; Badan Penelitian dan Pengembangan Kesehatan Kementerian Kesehatan RI Tahun2010. Lap. Nas. 2010 1–446 (2010).
4. Nadiyah, D. Faktor Risiko Stunting Pada Anak Usia 0-23 Bulan Di Provinsi Bali, Jawa Barat dan Nusa Tenggara Timur. J. Gizi dan Pangan. (2014).
5. RISKESDAS. Riset Kesehatan Dasar; Badan Penelitian dan Pengembangan Kesehatan Kementerian Kesehatan RI Tahun2013. Lap. Nas. 2013 1–306 (2013)
6. Mamuju, D. K. K. Skrining Stunting di Kabupaten Mamuju. Sulawesi Barat. (2019).
7. M, D. O. WHO child growth standards: length/height-for-age, weight-for-age, weight-for-length, weight-for-height and body mass index-for-age. World Heal. Organ. (2006)
8. Amini, A. Hubungan Kunjungan Antenatal Care (ANC) dengan Kejadian Stunting pada Balita Usia 12-59 Bulan di Kabupaten Lombok Utara Provinsi NTB. Univ. Aisyah Yogyakarta (2016).
9. Hutabalian, D. Pengaruh Faktor Internal dan Eksternal Ibu bersalin terhadap indikasi tindakan Sectio Caesarea Dalam Persalinan Di Rumah Sakit Umum Daerah Swadana Taratung. Universitas Sumatera Utara (Universitas Sumatera Utara, 2011).
10. Kementerian Kesehatan Republik Indonesia. Pedoman Sistem Rujukan Nasional. (2015).
11. Survei Demografi dan Kesehatan Indonesia. (2008).
12. Haile, D., Azage, M., Mola, T. & Rainey, R. Exploring spatial variations and factors associated with childhood stunting in Ethiopia: Spatial and multilevel analysis. BMC Pediatr. 16, 1–14 (2016).
13. Finlay, J. E. & Al, E. Adolescent Fertility and Child Health: The Interaction of Maternal Age, Parity and Birth Intervals in Determining Child Health Outcomes. Int. J. Child Heal. Nutr. (2017).
14. Manggala, A. K. Risk factors of stunting in children aged 24-59 months. Paediatr. Indones. (2018).
15. Titaley, C. R. Determinants of the Stunting of Children Under Two Years Old in Indonesia: A Multilevel Analysis of the 2013 Indonesia Basic Health Survey. Nutrients. (2019).
16. Apriningtyas, V. & Kristini, T. Faktor Prenatal yang Berhubungan dengan Kejadian Stunting Anak Usia 6-24 Bulan. J. Kesehat. Masy. Indones. Semarang (2019).
17. Amy, T. Reproductive Health in Developing Countries. (National Academy Press, 1997).
18. Population Reference Bureau. (2020).
19. Svefors, P. Relative importance of prenatal and postnatal determinants of stunting: data mining approaches to the MINIMat cohort, Bangladesh. BMJ Open. (2019).
20. Syukur, N. A. & Purwanti, S. Penatalaksanaan IMD pada Ibu Post Partum Sectio Caesar Mempengaruhi Status Gizi dan Kecepatan Produksi ASI. J. Bidan Cerdas (2020).