scholarly journals The Implementation of Iron Supplementation and Antenatal Counseling for Iron Deficiency Anemia in Pregnancy

2019 ◽  
Vol 14 (3) ◽  
Author(s):  
Darmawati Darmawati ◽  
Teuku Tahlil ◽  
Toungku Nizwan Siregar ◽  
Hajjul Kamil ◽  
Masyithah Audina

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.

2017 ◽  
Vol 19 (1) ◽  
pp. 61-67 ◽  
Author(s):  
Cahyaningtyas Triwinarni ◽  
Th Ninuk Sri Hartini ◽  
Joko Susilo

Background : Nutritional problems frequently experienced by adolescents is anemia. Anemia is a condition with blood hemoglobin levels were lower than normal as a result of the inability of tissues forming red blood cells in its production in order to maintain hemoglobin levels at normal levels. The prevalence of anemia in women age 15 and older, according to Riset Kesehatan Dasar in 2013 by 22.7%. Objective : The purpose of this study analyze the relationship between nutritional status and the incidence of iron deficiency anemia among high school students in Pakem. Method : This observational study using cross sectional approach, implemented in four high schools in the District of Pakem. The population in this study were students of class X and XI in four high school in Pakem. The independent variables were the nutritional status. The dependent variable is the iron anemia. Hemoglobin levels were measured by the method cyanmethemoglobin, weight was measured with a digital bathroom scales, height measured by microtoise. Data analysis used chi-square statistic. Conclusion : Based on the analysis proves that there is a relationship of nutritional status according to BMI / U with the incidence of iron deficiency anemia in high school in Pakem with p = 0.017.   Keywords: nutritional status , anemia , High School students


2017 ◽  
Vol 26 (2) ◽  
Author(s):  
Francieli Cembranel ◽  
Arlete Catarina Tittoni Corso ◽  
David Alejandro González-Chica

ABSTRACT Objective: to identify inadequacies in the treatment of iron deficiency anemia among children enrolled in the National Program of Iron Supplementation (PNSF) and treated at public primary health centers in Florianópolis, Santa Catarina, Brazil. Method: a cross-sectional study was performed using secondary data obtained from the InfoSaúde system. Information was obtained on the ferrous sulfate dose prescribed for treating iron deficiency anemia, as well as demographic and anthropometric data of all children enrolled in the program in 2010. STATA 11.0 software was used in the analysis and p-values ≤ 0.05 were considered significant. Results: sixty-eight (68) of the 834 children enrolled in the program in 2010 were diagnosed as anemic; 58 of whom received an indication to use ferrous sulfate. Conclusion: children under six months of age (65.1%), living in economically deprived areas (66.7%) and with a height/age Z-score ≥ -1.0 (52.1%) were more prone to receive inadequate supplement dosage (<3 mg/kg/day). The results are relevant to educate health professionals about their role in effectively treating iron deficiency anemia.


2016 ◽  
Vol 4 (1) ◽  
Author(s):  
Theresia Nancy Lesilolo ◽  
Joice N. A. Engka ◽  
Herlina I. S. Wungouw

Abstract: Iron deficiency anemia is a major nutritional problem in the world and until now has not resolved properly. World Health Organization (WHO) had estimated more then 2 million people had been exposed with anaemia with prevalence of 30% in pregnant women especially in Developing Countries such as Indonesia, which according RISKESDAS in 2013 the prevalence of anemia in Indonesia approximately 31.7%. There are several risk factors that cause pregnant women to experience iron deficiency anemia like economic problems, the lack of iron absorption and blood loss resulting in decreased hemoglobin levels such as menstruation, bleeding and infection. The purpose of this study was to determine the relationship of iron tablets on antenatal care for pregnant women hemoglobin. This research is analytic survey with cross sectional study. Then the data that had been collected will be processed by using SPSS program. The population is all pregnant women in the working area in 6 health centers Mongondouw Bolaang North and sampling done purposive sampling. By using the chi square test, it showed that there is a correlation between antenatal care with hemoglobin levels (P=0,047) and there is a correlation between iron tablet with hemoglobin levels (P= 0,015). There is a correlation between iron tablets and antenatal care with hemoglobin levels in pregnant women in North Bolaang Mongondouw.Keywords: iron tablets, antenatal care, hemoglobin levelAbstrak: Anemia defisiensi besi merupakan masalah gizi utama di seluruh dunia dan sampai saat ini belum teratasi dengan baik. WHO memperkirakan terdapat 2 juta penduduk dunia yang terkena anemia dari berbagai lapisan kelompok masyarakat dengan prevalensi 30% pada ibu hamil terkena terutama di Negara berkembang. Prevalensi anemia defisiensi besi di Indonesia menurut RISKESDAS 2013 yakni 31,7%, banyak faktor yang menyebabkan terjadinya anemia defisiensi besi seperti kebutuhan zat besi yang tidak terpenuhi, kurangnya absorbsi zat besi serta kehilangan darah yang mengakibatkan kadar hemoglobin menurun seperti menstruasi, perdarahan dan infeksi. Tujuan dari penelitian ini untuk mengetahui hubungan pemberian tablet besi pada antenatal care terhadap kadar hemoglobin ibu hamil di Kabupaten Bolaang Mongondouw Utara. Penelitian bersifat survey analitik dengan rancangan cross sectional study. Kemudian data yang terkumpul diolah dengan menggunakan SPSS. Populasi adalah semua ibu hamil yang ada di wilayah kerja di 6 puskesmas Kabupaten Bolaang Mongondouw Utara dan pengambilan sampel dilakukan secara Purposive Sampling. Dengan menggunakan uji Chi Square didapatkan ada hubungan antara antenatal care dengan kadar hemoglobin serta terdapat hubungan pemberian tablet dengan kadar hemoglobin pada ibu hamil di Kabupaten Bolaang Mongodouw Utara. Ada hubungan pemberian tablet besi dan antenatal care terhadap kadar hemoglobin pada ibu hamil di Kabupaten Bolaang Mongondouw Utara.Kata kunci: tablet besi, pemeriksaan antenatal dan kadar hemoglobin (hb)


Author(s):  
Rostika Flora ◽  
Nova Nurliza ◽  
Rico Januar Sitorus ◽  
Muhammad Zulkarnain ◽  
Achmad Fickry Faisya ◽  
...  

Iron deficiency in pregnant women can lead to premature birth and LBW babies. This study aimed to determine the relationship between nutritional status and the incidence of Iron Deficiency Anemia in the 3rd trimester pregnant women in the co-endemic area of Bengkulu City. This study was a cross-sectional study with a total sample of 108 respondents who met the inclusion criteria. The sampling technique was carried out by purposive sampling. Data obtained through interviews and questionnaires. Data was analyzed by using chi-square test and multiple logistic regressions. The results showed that pregnant women who had <23.5 cm of MUACwere 30.6% and 22.2% and mothers experienced Iron Deficiency Anemia were 22.2%. There was a significant relationship (p<0.05) between nutritional status and the incidence of Iron Deficiency Anemia in pregnant women. Educational factor was the most influential factor that influence the incidence of Iron Deficiency Anemia (OR = 10.303, 95% CI 2.95-35.89). It can be concluded that pregnant women with poor nutritional status have the opportunity to experience Iron Deficiency Anemia.


2018 ◽  
Vol 3 (3) ◽  
pp. 568
Author(s):  
Ainal Mardiah ◽  
Arni Amir ◽  
Andi Friadi ◽  
Ellyza Nasrul

<p><em>Iron deficiency anemia is anemia caused by iron deficiency in the blood. Maternal iron deficiency affects the low iron reserves in neonates </em><em>and it also influences on </em><em>Brain Derived Neurotropic Factor (BDNF) </em><em> which affects cognitive function.</em><em> </em><em>The purpose of this study was to determine the difference mean of BDNF in neonates from normal pregnant women and pregnant women with iron deficiency. </em><em>The design of this research was Cross Sectional</em><em> </em><em>design. This research was conducted in Community Health Center of Lubuk  Buaya, Ambacang Community Health Center, Community Health Center of Ikur Koto Health Center and Biomedical Laboratory of Andalas University on February 2017 to April 2018. There were 42 pregnant women was selected as sample e of this research. The samples were chosen by Consecutive Sampling. Then, the sample is divided into two groups: normal pregnant women and pregnant women with iron deficiency anemia. BDNF are examined by the ELISA. Next, the data were analyzed by using T test. The levels of BDNF neonates in normal pregnant group was 3.65(ng/ml) and the anemia pregnant group was 1.74(ng/ml) (p &lt;0.05). There was significant difference of BDNF levels in neonates from normal pregnant women and pregnant women with iron deficiency anemia. </em><em>The conclusion of this study is there is a difference of average BDNF in neonates from normal pregnant women and pregnant women with iron deficiency.</em></p><p> </p><p>Anemia defisiensi besi adalah anemia yang disebabkan karena kekurangan zat besi dalam darah. Defisiensi besi  maternal berdampak pada rendahnya cadangan besi pada neonatus dan berdampak terhadap ekspresi Brain Derived Neurotropic Factor (BDNF) yang berpengaruh pada fungsi kognitif. Tujuan penelitian ini adalah untuk mengetahui perbedaan rerata kadar BDNF pada neonatus dari ibu hamil normal dan ibu hamil defisiensi besi. Desain penelitian ini adalah Cross Sectional. Penelitian dilakukan di Puskesmas Lubuk Buaya, Puskesmas Ambacang, Puskesmas Ikur Koto dan Laboratorium Biomedik Universitas Andalas pada bulan Februari 2017 – Juli 2018. Sampel Penelitian adalah ibu hamil sebanyak 42 orang yang dipilih secara Consecutive Sampling, sampel dibagi menjadi dua kelompok yaitu ibu hamil normal dan ibu hamil anemia defisiensi besi. BDNF diperiksa dengan metode ELISA. Data dianalisa menggunakan uji T test. Kadar BDNF neonatus pada ibu kelompok normal adalah 3,65(ng/ml) dan kelompok ibu anemia adalah 1,74(ng/ml) (p&lt;0,05). Terdapat perbedaan bermakna kadar BDNF pada neonatus dari ibu hamil normal dan ibu anemia defisiensi besi. <em></em></p>


Nutrients ◽  
2021 ◽  
Vol 13 (5) ◽  
pp. 1524
Author(s):  
Carolina Thalya da Silva Paulino ◽  
Marislei Nishijima ◽  
Flavia Mori Sarti

Anemia remains a condition with high prevalence in populations worldwide, and the prevalence of anemia among children under five years old in Brazil is approximately 40%, being higher in communities marked by social inequities. Diverse government programs during recent decades targeted iron-deficiency anemia, considering its impacts throughout the lifetime. The objective of this study was to investigate the effects of two government iron supplementation programs on health outcomes related to iron-deficiency anemia among children up to 4 years old in Brazilian municipalities. A longitudinal panel encompassing data from 5570 municipalities from 1998 to 2019 was investigated using a difference-in-differences framework with multiple interventions and distinct times of adhesion, and fixed-effects models were estimated to control for invariant municipal characteristics throughout the period in order to ensure comparability. The results indicate significant effects of the federal programs in reducing hospitalizations and lengths of stay due to iron-deficiency anemia, especially in non-poor municipalities. There was complementarity in the effects of the programs; however, neither of the programs influenced mortality rates. Thus, it is important to consider possible improvements in the operationalization of the programs, in order to achieve better results in the reduction of severe iron-deficiency anemia among children up to 4 years old.


Author(s):  
OJS Admin

Depression is a public health disorder, ranking third after respiratory and cardiac diseases. There were many evidences that iron deficiency anemia (IDA) is one of the foremost causes regarding nutritional pointof view for depression. We reviewed these evidences that IDAlinking to depression. We identified seventeen studies in four databases including randomized-controlled trials (RCTs) and observational studies assessing the impact of IDAand iron supplementation on the risk of depression. We extracted data on the basis of sample size, geographical region, measures of depression, hemoglobin, iron levels and intake of iron supplementation and critically appraised the results from the studies. Eleven out of sixty one studies were experimental, which indicated that dietary supplementation particularly iron supplementation had an association (r − 0.19 to −0.43 and ORs 1.70–4.64) with severity of depression. Evidences showed that women of reproductive age were more vulnerable to iron deficiency anemia than other population. Low ferritin and low hemoglobin level were associated with severity of depression. Iron is an essential nutrient for all living creatures, as a cofactor of various enzymes and plays significant role in environmental stimulant for the articulation of numerous virulence factors. Many clinical problems are caused by iron deficiency. Therefore, this review intended to highlight the important role of iron supplementation in reducing the severity of depression.


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