Hubungan Faktor Predisposisi terhadap Kepatuhan Ibu Hamil dalam Mengkonsumsi Tablet Besi dan Kadar Hemoglobin di Puskesmas Mangli Kabupaten Jember

Abstract

Anemia is a reduced levels of Hemoglobin (Hb) in the blood. Anemia is one of the most common disorder that occurs during pregnancy, with the condition of Hb levels below 11 gr% Supplementation iron or granting tablet. Fe is an attempt important in prevent and handle Anemia, especially iron deficiency Anemia. Compliance consume iron tablets in measuring instrument from accuracy of the total tablets which was consumed, the accuracy of consuming manner iron tablets, the frequency of consumption each day. Objective: To identify relations factors predisposing, compliance in consum iron tablet and levels hemoglobin of pregnant mothers in Puskesmas Mangli Kabupaten Jember. The study ofobservation analytic. Research instruments to collect database by giving questionnaire and examination levels hemoglobin. Subjekts are 32 pregnant women. Analysis using spearmen correlation rank showed the relationship between age to compliance mother in consume iron tablet (p = 0,015), there was a correlation between mothers education pregnant with compliance pregnant mothers in consume iron tablet (p = 0,001), there was a correlation between knowledge pregnant mothers with compliance pregnant mothers in consume iron tablet (p = 0,001), there was a correlation between a pregnant mothers with compliance pregnant mothers in consume iron tablet (p = 0,003), there was a correlation between compliance pregnant mothers in consume iron tableton the hemoglobin pregnant mothers (p = 0,000). The most dominant factor which affect the compliancy consumingiron tablet during the pregnancy was pregnant mother’s attitude with the score odds ratio (OR) 4,328. There was a connection between the predisposing with compliance pregnantmothersin consume iron tablet and there wasa link between compliance in consume iron tabletto the pregnant mother’s hemoglobin and the most predisposition dominant factor which affect the compliancy consumingiron tablet during the pregnancy was pregnant mother’s attitude. Keywords: Factors Predisposing, Compliance, Iron tablet, Anemic, Hemoglobin levels.

LBW incidence based on socio-economic, Hb level and compliance of pregnant women taking Fe supplements

“…Pregnancy requires adequate blood flow to fulfill the nutrients needed to support the growth of the placenta and fetus. 1 Apart from insufficient intake of iron, anemia can also be triggered by consumption patterns, especially in consuming certain foods that can inhibit iron absorption. These foods and beverages include tea and coffee, which contain tannins and polyphenols; spinach stalks which contain oxalate; and egg whites which contain albumin.…”

“…5 Cases of anemia in pregnant women in Indonesia in 2006 were 24.5% (12), increasing to 37.1% in 2012. 1,7 This iron deficiency has been anticipated by giving blood supplement tablets to pregnant women. However, the practice of giving iron tablets by health workers is still not optimal.…”

“…A mother's health in the prenatal period is crucial for the baby's health because health problems during pregnancy affect the fetus's health at birth and further baby growth. 1 Baby's weight at the birth time becomes a parameter for a newborn. Normal baby weight is the expected condition because it is a factor for the baby to pass and adapt to a new environment so that the baby's growth normally runs.…”

“…HB is a general parameter that is used to diagnose anemia. 1 The decreasing of this HB level occurs in the second trimester of pregnancy because, at this time, the hemodilution…”

Kepatuhan Ibu Hamil mengkonsumsi Tablet FE di Kota Tanjungpinang tahun 2017

“…Sebagian kecil ibu bekerja yang patuh mengkonsumsi tablet Fe dimungkinkan karena pekerjaan merupakan suatu aktivitas sehingga memperoleh penghasilan. Ibu hamil yang mempunyai penghasilan berhubungan dengan kemampuan ibu untuk memperoleh pengetahuan tentang tablet besi dan anemia (Indri O, Endah W, & Amareta, 2019) . Hal ini terlihat dari kepemilikan smart phone atau media yang dapat digunakan untuk mengakses informasi mengenai tablet Fe dan anemia.…”