Anemia is one of the contributing conditions that cause maternal mortality in Indonesia. The Indonesian Ministry of Health try to reduce it through an antenatal care program conducted at public health center, with several indicators including iron supplementation and antenatal counseling. This study was conducted to find out the relationship between iron supplementation and antenatal counseling to iron deficiency anemia during pregnancy. This study was a correlative study with cross sectional approach carried out in February until June 2018. The population was 1,285 pregnant women with 102 samples recruited using purposive sampling technique. Blood hemoglobin levels were examined using Hb Meter. Data collection were carried out through guided interviews. Data analysis was done using Chi-Square Test. The implementation of iron supplementation and antenatal counseling was implemented comprehensively (51.0%; 64.7% respectively). This study showed that there was a relationship between iron supplementation and iron deficiency anemia (0.000) and there was no relationship between antenatal counseling and iron deficiency anemia (0.249). It is recommended to all antenatal providers to improve the service provided, especially the iron supplementation that accompanied by giving information through antenatal counseling, so the high maternal mortality rates due to iron deficiency anemia can be treated immediately.
One of the problems that contributes to the highest number of maternal mortality and morbidity is postpartum anemia. It is estimated that 50–80% of women experience anemia within 48 hours after giving birth. Globally, the commonest cause of anemia is iron deficiency. In Aceh, study on anemia in the postpartum period is still rare and requires to get more attention. This study aims to identify the prevalence of anemia among postpartum women and the associated risk factors that influence the incidence of postpartum iron deficiency anemia. This study is a quantitative study with a cross-sectional study design conducted at dr. Zainoel Abidin Hospital. Participants in this study were recruited using a non-probability sampling method and obtained 102 participants. Data were analyzed using chi-square tests with a confidence level of 95%. This study showed that 49.0% of the postpartum women had mild anemia, 10.8% of them had moderate anemia, and another 40.2% do not have anemia. It is found that there is a significant relationship between obstetric factors (type of labor, delivery complications) with anemia among anemia postpartum mothers ( .014 and .047 respectively).
Anemia pada periode postpartum merupakan satu dari berbagai masalah yang berkontribusi pada angka mortalitas dan morbiditas maternal. Terdapat sekitar 50-80% wanita postpartum mengalami anemia dalam periode waktu 48 jam setelah melahirkan. Mayoritas penyebab anemia adalah defisiensi zat besi. Pelayanan masyarakat tentang anemia postpartum saat ini masih sedikit dan membutuhkan perhatian yang lebih. Kegiatan ini bertujuan untuk mengidentifikasi prevalensi anemia dan faktor risiko yang mempengaruhi kejadian anemia defisiensi zat besi pada periode postpartum. Kegiatan pengabdian masyarakat ini berbentuk desain cross-sectional yang dilakukan di Rumah Sakit dr. Zainoel Abidin Banda Aceh. Partisipan direkrut menggunakan metode non-probability sampling dan diperoleh sebanyak 102 partisipan. Data dianalisis menggunakan uji chi-square. Kegiatan ini mendapatkan hasil bahwa 49.0% wanita postpartum mengalami anemia ringan, 10.8% mengalami anemia sedang, dan 40.2% lainnya tidak mengalami anemia. Ditemukan terdapat hubungan yang signifikan antara faktor sosiodemografi (usia, pendidikan, pendapatan) dengan kejadian anemia pada wanita postpartum (0.01; 0.039; 0.05). Usia, pendidikan, dan pendapatan keluarga merupakan faktor risiko yang berkorelasi terhadap anemia pada ibu postpartum. Diharapkan ibu yang menjalani masa postpartum dengan faktor risiko seperti ibu dengan usia berisiko, pendidikan dan pendapatan keluarga yang rendah dapat meningkatkan kesadarannya terhadap risiko untuk mengalami anemia pada periode ini. Cara yang dapat dilakukan adalah dengan meningkatkan pengetahuan tentang anemia pada periode postpartum dan mengkonsumsi makanan kaya zat gizi semenjak kehamilan serta mengkonsumsi tablet zat besi selama hamil sehingga anemia postpartum dapat dicegah.Kata Kunci: Anemia, Defisiensi Zat Besi, Postpartum, Risiko.
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