PENGETAHUAN, SIKAP, PERILAKU, DAN ASUPAN GIZI BERDASARKAN STATUS HIDRASI IBU HAMIL

Background: Based on past study, 49% of pregnant women had a low knowledge of nutrition and hydration. Nutritional knowledge, attitudes, and behavior is positively correlated to nutritional intake, malnutrition and dehydration may disturb maternal health and pregnancy outcome. Objectives: To analyze maternal nutritional knowledge, attitudes, behavior, and nutritional intake based on the hydration status. Methods: This cross sectional study was conducted at Puskesmas Kebon Jeruk District, West Jakarta using a purposive sampling method. Subjects were 50 pregnant women who came to check their pregnancies. Subject’s characteristics, nutritional knowledge, attitudes, and behavior are collected with questionnaire, nutritional intake with 1x24 hours recall. Hb level is determined with Haemometer, urine specific gravity with Urinometer, and urine color with PURI card. Results: Subjects had an average age of 29.0±5.7 years, gestational age 21.3±11.3 weeks, weight 62.7±9 kg, height 158.1±4.1 cm, upper arm circumference 32.4±29.5 cm, Hb level 12.2±0.9 g/dL, urine color score 4±0.9, and urine specific gravity 1016±5.4. Based on urine specific gravity, 56% of pregnant woman were euhydrated and 44% were dehydrated. Based on the hydration status there were no differences in knowledge, attitudes, behavior, and macronutrient intake (p≥0.05), except for the fluid intake (p<0.05). Conclusions: Although the knowledge, attitudes and nutritional behavior of pregnant women were not poor, optimization of the fluid consumption to 3L/ day, and diversified food consumption is needed. Further research on external factors that can affect the nutritional status and hydration of pregnant women is recommended.