scholarly journals FAKTOR RISIKO YANG MEMPENGARUHI KEJADIAN ANEMIA PADA IBU HAMIL DI WILAYAH KERJA PUSKESMAS NUSAWUNGU II CILACAP

2021 ◽  
Vol 10 (4) ◽  
pp. 285-296
Author(s):  
Hidayah Pramesty Dewi ◽  
Mardiana Mardiana

Background: The prevalence of anemia in pregnant women in Indonesia is still high. Based on Riskesdas data from 2013-2018, the proportion of anemia in pregnant women increased from 37.1% to 48.9% while the 2019 RPJMN target was 28%. The Nusawungu II Health Center in Cilacap Regency ranks the highest in cases of anemia in pregnant women in 2020, which is 51.51%. The risk factors for anemia in pregnant women are quite diverse.Objective: This study aims to determine the risk factors that influence the incidence of anemia in pregnant women in the working area of the Nusawungu II Public Health Center, Cilacap.Methods: This type of research is an analytic observational study with a Case Control design. The sample set is 42 case groups and 42 control groups using purposive sampling technique. The collection of data on gestational age, nutritional status of pregnant women, diversity of food consumption, compliance with Fe tablet consumption, education level, economic status and dietary restrictions was carried out by distributing questionnaires and interviews. Data were analyzed using Chi Square test.Results: The results of the study showed that the risk factors associated with the incidence of anemia in pregnant women were gestational age (p 0.028; OR 2.667), diversity of food consumption (p 0.004; OR 3.758), economic status (p 0.028; OR 3.077) and dietary restrictions (p 0.015; OR 3.026) while the unrelated risk factors were nutritional status (p 0.786), adherence to Fe tablet consumption (p 0.811), and level of education (p 0.345).Conclusion: Gestational age, nutritional status of pregnant women, diversity of food consumption, compliance with Fe tablet consumption, education level, economic status and dietary restrictions are risk factors for anemia in pregnant women in the working area of Nusawungu II Public Health Center Cilacap.Keywords: Anemia; Pregnant mother; Diversity of Food Consumption; Food taboos.

2020 ◽  
Vol 5 (1) ◽  
pp. 281
Author(s):  
Ainal Mardiah

<p><strong><em>One of the highest causes of maternal death in Bukittinggi City is anemia. Mandiangin Health Center is the second highest Public Health Center with anemia, from 56 pregnant women as many as 29 pregnant women have anemia. The purpose of this study was to determine the relationship of economic status, education, employment, age, parity, and nutritional status with anemia of pregnant women in the working area of the Mandiangin Community Health Center in Bukittinggi City. </em></strong><strong><em>This type of research is analytic descriptive with cross sectional approach. Samples amounted to 29 pregnant women, with sampling techniques with purposive sampling </em></strong><strong><em>The results showed that there was a significant relationship between the incidence of anemia with economic status (p = 0.03), education (p = 0.02), employment (p = 0.04), age (p = 0.00), parity (p = 0.00) and nutritional status (p = 0.001). The conclusion of this study is that there is a relationship between economic status, education, employment, age, parity and nutritional status with anemia in pregnant women. It is recommended for pregnant women to be active in prenatal care so that anemia in pregnant women can be detected early</em></strong></p>


Author(s):  
Tirta Anggraini Tirta Anggraini

ABSTRACT According to the World Health Organization (WHO), maternal nutritional status at the time of growth and during pregnancy can affect fetal growth and development. Based on (IDHS) survey of 2007 AKI Indonesia at 228 per 100,000 live births, although this figure is still the highest in Asia. Social health center in Palembang in 2011 the number of pregnant women with good nutritional status of 67 men (97.1%). factors that influence the nutritional status of pregnant women is the temperature of the environment, economic status, habits and views of women to food, age, education, and health status. The purpose of this study is a known relationship education and economic status with nutritional status of pregnant women in the third trimester of Social Health Center Palembang in 2012. This study uses analytic survey with cross sectional approach. The population in this study were all third trimester pregnant women who visit the health center Social Palembang in May 2012, with a sample of 30 respondents. Sampling in this study with non-random methods with techniques Accidental Sampling. Data analysis carried out univariate and bivariate statistics with Chi-Square test with significance level α = 0.05. The results showed than 30 respondents there (73.3%) of respondents that good nutritional status, higher education (76.7%), and high economic status (70.0%). The results of this study showed no significant association education and economic status with nutritional status of pregnant women in the third trimester of Social Health Center Palembang in 2012. From the results of this study, researchers hope to improve the health care workers, especially health services in Antenatal Care services pay more attention to maternal risk of poor nutritional status.   ABSTRAK Menurut World Health Organization (WHO), status gizi ibu hamil pada waktu pertumbuhan dan selama hamil dapat mempengaruhi pertumbuhan dan perkembangan janin. Berdasarkan (SDKI) survei terakhir tahun 2007 AKI Indonesia sebesar 228 per 100.000 Kelahiran Hidup, meskipun demikian angka tersebut masih tertinggi di Asia.  Di Puskesmas Sosial Palembang tahun 2011 jumlah ibu hamil yang berstatus gizi baik sebesar 67 orang (97,1%). faktor-faktor yang mempengaruhi status gizi ibu hamil adalah suhu lingkungan, status ekonomi, kebiasaan dan pandangan wanita terhadap makanan, usia, pendidikan, dan status kesehatan. Tujuan penelitian ini adalah diketahuinya hubungan pendidikan dan status ekonomi dengan status gizi ibu hamil trimester III di Puskesmas Sosial Palembang tahun 2012. Penelitian ini menggunakan metode survey analitik dengan pendekatan cross sectional. Populasi pada penelitian ini adalah semua ibu hamil trimester III yang berkunjung di Puskesmas Sosial Palembang pada bulan Mei tahun 2012, dengan jumlah sampel 30 responden. Pengambilan sampel pada penelitian ini dengan metode non random dengan teknik Accidental Sampling. Analisa data dilakukan secara univariat dan bivariat dengan uji statistik Chi-Square dengan tingkat kemaknaan α = 0,05. Hasil penelitian menunjukkan dari 30 responden terdapat (73,3%) responden yang berstatus gizi baik, pendidikan tinggi (76,7%), dan status ekonomi tinggi (70,0%). Hasil penelitian ini menunjukkan ada hubungan yang bermakna pendidikan dan status ekonomi dengan status gizi ibu hamil trimester III di Puskesmas Sosial Palembang tahun 2012. Dari hasil penelitian ini, peneliti berharap petugas pelayanan kesehatan dapat meningkatkan pelayanan kesehatan terutama dalam pelayanan Antenatal Care lebih memperhatikan kehamilan ibu yang berisiko status gizi buruk.


2019 ◽  
Vol 25 (2) ◽  
pp. 38
Author(s):  
Khaeriya Megauleng ◽  
Mustamin Mustamin ◽  
Sunarto Sunarto

Education influences a changes in knowledge, attitudes, and lifestyle patterns in the selection of the type and amount of food consumed. The health of a pregnant women affects the fetus in her womb. Nutrient content consumed by the mother will be absorbed by the fetus which is important for the growth of the fetus itself. This study aims to determine the relationship of education level, energy intake and protein nutritional status of pregnant women in the Bungoro Health Center Work Area of Bungoro District, Pangkep Regency. This research is an analytical study with cross-sectional design. Samples were pregnant women, amount to 40 people. The level of education is obtained through a questionnaire. Energy and protein intake was obtained through 2x24 hours recall and then processed using menu A software. To find out the relationship between variables of education level, energy and protein intake with nutritional status, Chi-Square was tested using the SPSS program. Data is presented in the form of tables and narratives. The results showed that 77.5% of the sample education level was high. Sample energy intake was classified as less than 82.5% and 17.5% classified as good. Sample protein intake of 95% classified as poor and 5% classified as good. Nutritional status of pregnant women is 70% experiencing KEK and 30% normal. Statistical test results show that there is no relationship between education level, energy and protein intake and nutritional status of pregnant women in the Bungoro Health Center Work Area, Bungoro District, Pangkep Regency.


2018 ◽  
Vol 1 (2) ◽  
pp. 120
Author(s):  
Dian Nirmala Aprilia ◽  
Budi Prasetyo ◽  
Sulistiawati Sulistiawati

Introduction: Preeclampsia/eclampsia is one of the causes of maternal mortality besides bleeding and infection. The exact etiology of this condition is still unknown. Nutritional status of pregnant women who are overweight can increase the risk. This study aims to determine the correlation between obesity and the severity of preeclampsia/eclampsia through upper arm circumference (UAC) measurement.Methods: This study is a cross-sectional analytic study. Data on preeclampsia/eclampsia and UAC obtained from patient medical records in Jagir Public Health Center Surabaya. Data were analyzed using Chi-square test.Results: Prevalence of mild preeclampsia was greater than severe preeclampsia (87.5% and 12.5%). The majority of patients with mild preeclampsia have normal UAC size (91.3%). Severe preeclampsia found higher in obesity group than normal nutritional status group (22.2% and 9.1%). From Chi-square test analysis, found that p = 0.557.Conclusion: There was no significant correlation between the nutritional status of pregnant women based on UAC measurement of and the severity of preeclampsia/eclampsia.


2018 ◽  
Vol 8 (2) ◽  
pp. 85-89
Author(s):  
Gazi Zakia Sultana ◽  
Md Moniruzzaman ◽  
Tania Mannan ◽  
Rosy Sultana

Background: Hepatitis caused by hepatitis E Virus (HEV) is not uncommon in developing countries. It is usually a self-limiting conferring immunity against subsequent infection. However, HEV infection during pregnancy results in varying degree of morbidity, often fatal. The present study was designed to find out the seroprevalence of subclinical HEV infection during pregnancy at different trimesters without history of hepatitis.Materials and Methods: A total 255 asymptomatic healthy pregnant women of three trimesters (85×3=255) with no history of jaundice were included in this cross-sectional study. The subjects were sub-grouped according to socioeconomic status and education level. HEV IgG antibody in serum was determined by enzyme linked immunosorbent assay (ELISA). Results were expressed as number (percent). Chi-square, Odds Ratio and 95% CI were calculated as applicable. Data analyses were carried out using statistical package for social science for Windows Version 15.0. A p<0.05 was taken as level of significance.Results: Seropositivity for HEV IgG was 38% (96/255) in pregnant women; the higher percentages were recorded in the 2nd and 3rd trimesters − 41% and 46% respectively. The seropositivity of HEV IgG was significantly high in pregnant women with low education level ((p=0.001; OR=2.70, 95% CI=1.602−4.575) and low socioeconomic status (OR=7.54, 95% CI=4.118−13.029) having monthly income below 27,000 taka (p=0.001).Conclusion: Data concluded that seroprevalence of anti-HEV IgG is higher at third trimester in pregnant women in Bangladesh where low socio-economic status and less education level were identified as possible risk factors. Appropriate measures may diminish the possible exposure to infection and reduce maternal mortality.J Enam Med Col 2018; 8(2): 85-89


2015 ◽  
Vol 4 (1) ◽  
Author(s):  
Shabrina Izzati ◽  
Masrul Basyar ◽  
Julizar Nazar

AbstrakTuberkulosis (TB) paru di wilayah kerja Puskesmas Andalas menduduki peringkat ke-2 kasus TB terbanyak di kota Padang.Belum banyak penelitian sebelumnya mengenai faktor risiko tuberkulosis paru di wilayah kerja Puskesmas Andalas. Penelitian ini bertujuan untuk melihat faktror risiko apa yang berhubungan dengan kejadian TB paru di wilayah kerja Puskesmas Andalas tahun 2013. Adapun faktor risiko yang diteliti yakni berupa status gizi, riwayat penyakit diabetes mellitus (DM), kondisi ventilasi rumah, kepadatan hunian rumah, dan pencahayaan rumah.Penelitian ini menggunakan desain case control.Sampel pada penelitian ini berjumlah 66, yakni terdiri dari 33 kasus (didapat dari rekam medis Puskesmas Andalas) dan 33 kontrol (sesuai kriteria inklusi kontrol).Data primer diperoleh dari wawancara dan pengukuran lansung. Hasil uji statistik dengan menggunakan uji chi square didapatkan faktor risiko yang berhubungan dengan kejadian TB paru adalah status gizi riwayat penyakit DM, kondisi ventilasi rumah, kepadatan hunian, dan pencahayaan rumah. Status gizi dan pencahayaan rumah secara statistic memiliki hubungan yang bermakna dengan kejadian TB paru, sedangkan riwayat penyakit DM, ventilasi dan kepadatan hunian secara statistik tidak memiliki hubungan yang bermakna dengan kejadian TB paru.Kata kunci: tuberkulosis paru, faktor risikoAbstractPulmonary Tuberculosis in Andalas Public Health Center was where the second largest number of TB cases found in 2012. There is not many study before about risk factors of pulmonary tuberculosis in the working area of Andalas Pulic Health Care. This study aims to know what are the risk factors of Pulmonary Tuberculosis in the working area of Andalas public health center in 2013. The risk factors were studied in this study are nutritional status, Diabetes mellitus, home ventilation, home occupancy density, and home lighting. This Study used a case control design. Samples in this study were 66 respondent consisting of 33 cases (obtained from medical record of Andalas public health center) and 33 controls (according to the inclusion criteria of controls). Primary data was got by interviews and direct measurement. The result of statistical test using chi square test can be concluded that risk factors that associated with pulmonary tuberculosis are nutritional status, diabetes mellitus, home ventilation, home occupancy density, and home lighting. Nutritional status and home lightting statistically are associated with pulmonary tuberculosis. In the other hand Diabetes mellitus history, home ventilation, and home occupancy density statistically are not associated with pulmonary tuberculosis.Keywords:pulmonary tuberculosis, risk factors


2018 ◽  
Vol 25 (2) ◽  
pp. 41
Author(s):  
Ratna Ernawati ◽  
Bangun Trapsila Purwaka ◽  
Budi Prasetyo

Objectives: to identify correlation between nutritional status (energy, macronutrient and fluid intake) of the third trimester pregnant women and birth weight.Materials and Methods: correlative analytic prospective cohort’s study in Public Health Center Jagir, Surabaya with sample comprising healthy pregnant women aged 20-35 years in the third trimester and their newborns (n=34). Respondents noted fluid intake every day for 7 days (record method) and food for 24 hours (recall method). Adequacy of energy intake, macronutrient and fluid (mean) was assessed based on AKG 2012. LBW when <2500 g. Statistical analysis used Pearson correlation's and Spearman's rho with test with significance level of p<0.05.Results: in third trimester pregnant women energy intake (r: 0.854, p: 0.0001) and carbohydrates (r:0.912, p:0.0001) had strong positive correlation, protein intake had moderate positive correlation (r: 0.519, p: 0.0001), fat intake (r: 0.425p: 0.012) and fluid (r: 0.469 p: 0.005) had positive correlation with birth weight. The prevalence of LBW in Public Health Center Jagir Surabaya was 14.7%.Conclusion: Nutritional status of third trimester pregnant women correlates positively with birth weight.


Author(s):  
Renny Aditya ◽  
Samuel Tobing ◽  
Mitfahul Jannah

Abstract Objective: to investigate the relationship between education level and occupation of pregnant women with MCH handbook utilization at the Pekauman Public Health Center of Banjarmasin in July–August 2018. Methods: the method that was used is analytical observational research with cross-sectional design. The number of research sample is 50 people with systematic random sampling techniques, and data were analyzed by chi-square statistical tests. Results: the majority of respondents were34 pregnant women (68%) with low education level, and36 pregnant women (72%) were unemployed. There were 36 pregnant women (72%) with ineffective MCH handbook utilization. The statistical result between education level of pregnant women with MCH handbook utilization is p-value = 0.005 (p < 0.05) and between occupation of pregnant woman with MCHhandbook utilization is  p-value =  0.001 (p <0.05). Conclusion: there a significant relationship of education leveland occupation of pregnant women with MCH handbook utilization at the Pekauman Public Health Center of Banjarmasin in July-August 2018. Keywords: level ofeducation, occupation, MCH handbook   Abstrak Tujuan: untuk mengetahui hubungan tingkat pendidikan dan pekerjaan Ibu hamil dengan pemanfaatan buku KIA di Puskesmas Pekauman Banjarmasin Periode Juli–Agustus 2018 Metode: metode yang digunakan adalah observasional analitik dengan desain cross sectional. Besar sampel penelitian adalah 50 orang dengan teknik pengambilan systematic random sampling dan datadianalisis dengan uji statistik chi square Hasil: sebagian besar responden adalah 34 ibu hamil (68%) dengan tingkat pendidikan rendah dan 36 ibu hamil (72%) yang tidak bekerja. Terdapat 36 ibu hamil (72%) dengan pemanfaatan buku KIA yang tidak efektif. Hasil uji statistik antara tingkat pendidikan ibu hamil dengan penggunaan buku KIA adalah p value = 0.005 (p < 0.05) dan antara pekerjaan ibu hamil dengan pemanfaatan buku KIA adalah p value = 0.001 (p < 0.05). Kesimpulan: terdapat hubungan yang bermakana tingkat pendidikan dan pekerjaan ibu hamil dengan pemanfaatan buku KIA di Puskesmas Pekauman Banjarmasin periode Juli–Agustus 2018 Kata kunci: tingkatpendidikan, pekerjaan, buku KIA


2020 ◽  
Author(s):  
Vinogrin Dorsamy ◽  
Chauntelle Bagwandeen ◽  
Jagadesa Moodley

Abstract Background:A significant cause of morbidity and mortality during pregnancy is maternal anaemia. The causes of anaemia and the sequelae are varied, and the prevention and management are public health challenges, especially in resource limited settings and certain geographic locations. South Africa is plagued by a quadruple burden of disease, with high maternal mortality rates affected by hypertensive disorders of pregnancy, HIV, tuberculosis and neglected tropical diseases. This is most prevalent in people of lower socio-economic status. Poor nutrition, chronic infections, lack of access to health care facilities and poor compliance with micronutrient supplementation all contribute to maternal anaemia. The aim of this study is to systematically map the literature to ascertain the pooled prevalence and associated causes of anaemia in the South African pregnant population, which will enable health care workers and other key stakeholders to more pertinently address Sustainable Development Goal 3 focussing on good health and reducing maternal mortality.Methods and ResultsPubMed, CINAHL, EMBASE, EBSCO, Ovid maternity and infant care databases, Cochrane Database of Systematic Reviews, Web of Science and SCOPUS will be searched, using the keywords ‘anaemia’, ,’haemoglobin’, ‘pregnancy’, ‘South Africa’, to conduct a systematic review and meta-analysis to explore, describe and map literature on the distribution and burden of anaemia in pregnant women in South Africa. The reference list of articles selected for review will be scanned for other articles of interest to our study question. Studies published in any language will be included in this review. As there may be differences in sampled populations in South Africa based on geography and sociodemographic factors, a weighted inverse-variance meta-analysis using a random-effects model will be carried out to generate a pooled prevalence estimate. A Funnel plot and Egger’s regression test will be conducted to assess publication bias. Heterogeneity among studies will be checked using I2 to determine dispersion and meta-regression analysis will be performed to investigate the source of heterogeneity. The articles obtained by these searches will be analysed for causative factors, severity and outcomes by a parallel and independent review team, using suitable eligibility criteria. Screening, data extraction, and quality appraisal will be conducted independently by two authors. Disagreement will be resolved by independent assessment by a third reviewer. Sub group analysis by region, stage of pregnancy, socio-economic status, severity and cause of anaemia will be conducted if sufficient data is available. Data will be analysed using statistical software, and presented in evidence tables and in meta-analytic forest plots.Conclusion This protocol is developed to systematically review the literature on the prevalence and severity of anaemia, risk factors and outcomes in pregnant women in South Africa. Correlation of factors contributing to the development of anaemia and other disorders during pregnancy will facilitate exploration of appropriate medical and behavioural change interventions implemented within other countries or regions that mitigate risk. This study will assist local health systems to inform public health policies and practises for more favourable maternal and fetal outcomes.


2020 ◽  
Vol 15 (1) ◽  
pp. 104
Author(s):  
Subriah Subriah ◽  
Hidayati Hidayati ◽  
Zulaeha A Amdadi

STATUS GIZI IBU HAMIL TRIMESTER III DI PUSKESMAS MANGASA KOTA MAKASSARStatus of Trimester III Pregnant Women at Public Health Centre Mangasa Makassar CitySubriah 1)Hidayati 2) Zulaeha A.Amdadi3)  Prodi D IV Kebidanan Makassar, Poltekkes Kemenkes Makassar ABSTRAKMasalah gizi pada hakikatnya adalah masalah kesehatan masyarakat, namun penanggulangannya tidak dapat dilakukan dengan pendekatan medis dan pelayanan kesehatan saja. Penyebab timbulnya masalah gizi multifaktor. Oleh karena itu pendekatan pendekatan penanggulangannya harus melibatkan berbagai sektor yang terkait. Status gizi ibu hamil sangat mempengaruhi pertumbuhan janin dalam kandungan. Apabila status gizi ibu buruk, baik sebelum kehamilan dan selama kehamilan akan menyebabkan berat badan lahir rendah (BBLR). Disamping itu akan mengakibatkan terhambatnya pertumbuhan otak janin, anemia pada bayi baru lahir ,bayi baru lahir mudah terinfeksi, abortus dan sebagainya. Jenis penelitian yang digunakan yaitu survey analitik dengan pendekatan Cross Sectional yang pengukurannya atau pengamatannya dilakukan secara simultan /sekali waktu, Lokasi Penelitian di Puskesmas Mangasa Kota Makassar yang akan dilakukan pada bulan Juli s/d Nopember 2018, Populasi penelitian ini adalah ibu hamil trimester III yang melakukan pemeriksaan antenatal care (ANC) di Puskesmas Mangasa Kota Makassar. Alat pengumpulan data yang digunakan berupa lembar kuisioner yang merupakan suatu daftar yang mengandung hubungan yang akan di teliti, mencakup pengetahuan ibu dan status gizi yang dipakai dengan menggunakan alat berupa pengukur tinggi badan, timbangan berat badan, dan pita LILA. Data diolah dan disajikan dalam bentuk table frekuensi dan narasi dan Analisis data yang akan digunakan untuk mencari hubungan antara variable independen dengan variable dependen, dengan menggunakan uji chi-Square dengan CI 95%.Hasil penelitian menunjukkan Ha diterima dimana nilai p-value (0,00)<α-value (0,05) dengan nilai phi (µ) =0,658 (66%) sehingga dapat diasumsikan bahwa terdapat hubungan pengetahuan dengan status gizi ibu hamil trimester III di Puskesmas Mangasa Kota Makassar Kata Kunci :Ibu hamil Trimester III, Status Gizi Ibu hamil ABSTRACT Nutritional problems ae essentially a public health problem, but the response cannot be done with a medical approach and health service alone. The cause of the multifactor nutritional problem is that the approach to mitigation must involve various related sector that are related. The nutritional status of pregnant women greatly affects the growth of the fetus in the womb. Ifthe mother’s nutritional status is bad, both before pregnancy and during pregnancy will cause low birth weight (LBW). Besides that it will result in inhibition of Fetal brain growth, anemia in newborns, newborns easily infected, abortion and so on. The type of research used is an analytical survey with a Cross Sectional approach whose meansurements or observations are carried out simultaneously/once at a time. Research sites at the Mangasa Health Center in Makassar City which will be conducted from July to November 2018. The research population is trimester III pregnant women do antenatal care (ANC) at Mangasa Health Center, Makassar City. The data collection tool used in the form of a questionnaire sheet which is a list containing the relationship that will be examined, including maternal knowledge and nutritional status used by using a tool in the form of height, weight scales, and LILA tape. Data is processed and presented in the form of frequency tables and narratives and data analysis will be used to find the relationship between the independent variables and the dependent variable, using the chi-square test with 95% CI. The results showed that Ha was accepted where the p-value (0,00) < α-value (0,05) with the value of phi (µ) =0,658 (66%) so that it can be assumed that there is a relationship between knowledge with nutritional status of pregnant women at the Mangasa Health Center of Makassar City.  Keywords : Pregnant Women Trimester III, Nutritional Status Pregnant Women


Sign in / Sign up

Export Citation Format

Share Document