Association between Maternal Body Mass Index and Neonatal Apgar Scores: A Multicenter Study

Objective : To determine the association between maternal body mass index (BMI) and neonatal Apgar scores in two tertiary referral hospitals in Indonesia between 2023 and 2024. Methods : This cross-sectional study analyzed the medical records of 200 women who delivered at Dr. Hasan Sadikin Hospital, Bandung, and Prof. Dr. Margono Soekarjo Hospital, Purwokerto, from August 2023 to July 2024. Participants were classified based on maternal BMI. The associations between BMI, mode of delivery, and Apgar scores were analyzed using chi-square tests and logistic regression. Results : Maternal BMI, mode of delivery, age, parity, gestational age, and comorbidities showed no significant association with Apgar scores (p > 0.05). Birth weight was the only significant predictor; infants with low birth weight were associated with Apgar scores 0,05). Persalinan seksio sesarea terjadi pada 52,3% ibu dengan IMT normoweight dan 69,2% pada kelompok obesitas. Kesimpulan : Obesitas pada ibu hamil meningkatkan risiko persalinan dengan seksio sesarea. Berat lahir bayi merupakan prediktor skor Apgar yang signifikan.