scholarly journals OPTIMIZATION OF DRUG SUPPLY OFFICER HEMOGLOBIN LEVELS ON THE IMPROVEMENT OF PREGNANT WOMEN WITH ANDROID BASED ANEMIA

Author(s):  
LISMAWATI ◽  
RICA TRI SEPTINORA

Objective: According to WHO, 40% of the maternal mortality rate in developing countries about the incidence of anemia in pregnancy. The incidence of anemia in pregnancy is caused by iron deficiency and acute hemorrhage. The frequency of pregnant women in Indonesia who are anemic are still very high at 63.5% compared to only 6% in the United States [1]. The aim of this research to determine differences in hemoglobin levels before and after supervised by officers to take medication to increase hemoglobin levels in pregnant women with anemia. Methods: The research was quasi-experiment using the control group conducted on July 11, s/d August 15th, 2019. The sample in this study was 30 respondents as the experimental group and 30 respondents as a control group, starting with the measurement of hemoglobin of respondents then monitoring the group given the intervention officer taking medication through an android-based application and subsequently re-measured hemoglobin level. Data were analyzed by univariate and bivariate through t-test with α = 0.05. Results: The result of the univariate analysis showed the average value of maternal age, parity and gestational age is homogeneous with p-value>0.05, which means there is no difference in the characteristics of groups of officers taking medication and without officers taking medication, and the bivariate analysis in getting p-value<0.001 so as to conclude that there are differences in hemoglobin level difference in the group taking medication and the clerk without officers taking medication. Conclusion: The conclusion of this research was hemoglobin levels increased in pregnant women with anemia after supervised by officers to take medication and increasing regularity in consuming Fe tablets in pregnant women.

2021 ◽  
Vol 7 (2) ◽  
pp. 229-233
Author(s):  
Rismawati Rismawati ◽  
Vilma Ajijul Jana ◽  
Neneng Siti Latifah ◽  
Sunarsih Sunarsih

ADVANTAGE OF MORINGA LEAF CAPSULS IN INCREASING HEMOGLOBIN LEVEL TOWARD PREGNANT WOMAN  Introduction: One of the government policies to increase the nutritional needs of pregnant women is iron supplements. Supplements that contain iron are derived from Fe. The national target is 85% and the achievement is for those who consume Fe ≥90 tablets of 30.6% and <90 of 64.5%. This indicates that we have not reached the target.Purpose: to determine the effect of Moringa leaf capsules on increasing hemoglobin levels in pregnant women at Sumanda Public Health Center.Methods: This type of quantitative research, the research design used is a quasi-experimental with a two group pretest posttest approach. The population in this study were 33 pregnant women who experienced anemia. A sample of 30 people, 15 people as the intervention group were given treatment by consuming Moringa leaf capsules + Fe and 15 people as the control group who were only given Fe. Sampling of this study was conducted using purposive sampling technique, data analysis using the Independent T-test.Result: The results of univariate analysis showed that the average hemoglobin level in the intervention group before being given Moringa leaf capsules + Fe was 9.907 gr / dl, while in the control group it was 9,800 gr / dl. The average hemoglobin level after being given Moringa + Fe leaf capsules in the intervention group was 11.327 while in the control group was 10.700 gr / dl. 0.90. Bivariate analysis obtained p value 0.000 <0.075, which means p value <α.Conclusion: there is the effect of giving Moringa leaf capsules to pregnant women on hemoglobin levels at Sumanda Public Health Center, Tanggamus Regency in 2019Suggestion It is hoped that for the community and the Puskesmas the results of this research can be used as evaluation material and a basis for making policies and formulating program plans. For future researchers as a basic source for other researchers to continue research on the comparison of the increase in hemoglobin levels in pregnant women who are given Moringa leaf capsules. Key words: Moringa leaf capsules, hemoglobin, pregnant women ABSTRAK Latar Belakang: Salah satu kebijakan pemerintah untuk meningkatkan kebutuhan gizi ibu hamil adalah suplemen zat besi. Suplemen yang mengandung zat besi tersebut berasal dari Fe. Adapun target nasional yaitu 85% dan pencapaiannya yaitu untuk yang mengkosumsi tablet Fe ≥90 sebesar 30,6% dan <90 sebesar 64,5%. Hal ini menunjukkan bahwa belum mencapai target.Tujuan: mengetahui ada pengaruh pemberian kapsul daun kelor terhadap peningkatan kadar hemoglobin pada ibu hamil  di Puskesmas Sumanda.Metode:Jenis penelitian kuantitatif, desain penelitian yang di gunakan adalah quasi eksperimen dengan pendekatan two group pretest posttest. Populasi dalam penelitian ini sebanyak 33 ibu hamil dimana yang mengalami anemia.  Sampel sebanyak 30 orang, 15 orang sebagai kelompok intervensi diberikan perlakuan dengan mengkonsumsi kapsul daun kelor + Fe dan 15 orang sebagai kelompok control yang hanya diberikan Fe. Pengambilan sample penelitian ini dilakukan dengan menggunakan teknik purposive sampling, analisa data menggunakan uji T-test Independent.Hasil : Hasil analisa univariat didapatkan rata  - rata kadar hemoglobin  pada kelompok intervensi sebelum diberikan kapsul daun daun kelor + Fe adalah  9,907 gr/dl sedangkan pada kelompok kontrol 9.800 gr/dl. Rata – rata kadar hemoglobin setelah diberikan kapsul daun kelor + Fe pada kelompok intervensi sebesar 11,327   sedangkan pada kelompok kontrol sebesar 10,700 gr/dl. 0,90. Analisa bivariat didapatkan nilai p value 0,000<0,075 yang berarti p value <α.Simpulan: ada pengaruh pemberian kapsul daun kelor Pada Ibu Hamil Terhadap Kadar Hemoglobin di Puskesmas Sumanda Kabupaten Tanggamus Tahun 2019Saran Bagi masyarakat dna pihak puskesmas hasil penelitian ini diharapkan dapat dijadikan bahan evaluasi dan dasar dalam pengambilan kebijakan serta penyusunan rencana program. Bagi peneliti selanjutnya sebagai sumber dasar bagi peneliti lain untuk melanjutkan penelitian tentang perbandingan kenaikan kadar hemoglobin pada ibu hamil yang diberi kapsul daun kelor. Kata kunci : Kapsul daun kelor, hemoglobin, ibu hamil.


2020 ◽  
Vol 27 (03) ◽  
pp. 625-630
Author(s):  
Iffat Imran ◽  
Nusrat Zareen Bashir ◽  
Umber - Fatima ◽  
Imran Nazir ◽  
Rizwan Rasul Khan ◽  
...  

Objectives: To assess the correlation of different obstetrical factors with the hemoglobin level in multiparous pregnant females in Taif KSA. Anemia in pregnancy is a multifactorial phenomenon, among which obstetrical factors like parity, previous H/O abortions, inter pregnancy interval, mode of delivery etc are frequently associated. Study Design: Observational study. Setting: Outpatient department in King Faisal Hospital (KFH), Taif, Saudi Arabia. Period: 1st June 2018 and 31st August 2018. Material & Methods: Conducted in 200 pregnant women by random sampling technique. Hemoglobin value and all patient’s data was noted. All data was fed to SPSS version 23.0 and statistically analyzed using chi square test for qualitative and student’s t test for quantitative data. Results: The study was conducted in 200 patients that showed that there was no statistically significant association of increasing parity, inter pregnancy interval, mode of delivery (NVD or Cesarean section) & history of anemia and PPH in preceding pregnancy with the Hemoglobin level. While history of previous abortion is associated and a risk factor for anemia in pregnancy, 50% with history of 01 previous abortion had anemia while 100% of the cases with history of 02 previous abortions had moderate anemia. (Table-II). This association was observed statistically significant with p value of 0.001. Conclusion: This study concluded that anemia is a predictable as well as preventable entity. Obstetrical factors may be the contributory factors of anemia in pregnancy. Health education awareness programs, regular antenatal visits and iron supplements can be helpful to improve heath of pregnant women.


2021 ◽  
Vol 1 (2) ◽  
pp. 136-141
Author(s):  
Joyce Laiskodat ◽  
Rini Kundaryanti ◽  
Shinta Novelia

Anemia is a form of the body's compensation mechanism for decreasing hemoglobin levels. Anemia in pregnancy is a condition in which hemoglobin is below normal, which is below 11 g/dl. The most common cause of anemia in pregnancy is iron deficiency. Moringa leaves are one type of food that is rich in iron which can overcome anemia. The purpose of the study was to determine the effect of giving Moringa leaf soup on hemoglobin levels of pregnant women in the third trimester at the Oepoi Health Center, Kupang City in 2021. Quasy Experimental research design with a two group pre-test and post-test design. The study population was all pregnant women. The sampling technique is purposive sampling. The sample was 32 pregnant women. Statistical test using t-test. The location of this research was carried out at the Oepoi Health Center, Kupang City from July to August 2021. The research instrument was observation sheet and Hb measuring instrument. The results showed that the average hemoglobin of pregnant women before the intervention in the experimental group was 9.813 g/dl with a standard deviation of 0.57. The hemoglobin level of pregnant women after being given Moringa leaf soup in the experimental group was 11.494 g/dl with a standard deviation of 1.24. The average hemoglobin in pregnant women before intervention in the control group was 9.825 g/dl with a standard deviation of 0.61. The average hemoglobin in pregnant women after the intervention in the control group was 9.675 g/dl with a standard deviation of 1.28. Analysis using the t-test obtained a significance value of 0.000 <0.05. It can be concluded that there was a significant effect between giving Moringa leaf soup on hemoglobin levels in TM III pregnant women. It is hoped that in addition to consuming Fe tablets, it is also recommended to consume foods high in iron such as Moringa leaves to increase hemoglobin in pregnant women.


2020 ◽  
Vol 8 (3) ◽  
pp. 232
Author(s):  
Iin Nilawati ◽  
Nur Elly ◽  
Erli Zainal

<p>Hypertension in pregnancy often progresses to pre-eclampsia as one of the biggest contributors to maternal mortality. Mineral and nutritional factors have an important role in the etiology of hypertension in pregnancy, especially pre-eclampsia. Mineral factors associated with hypertension are calcium. The purpose of this study was to analyze the relationship of calcium levels with the incidence of hypertension in pregnancy. This study uses a cross-sectional study design that measures / observes independent variables (calcium levels) with dependent variables (hypertension in pregnancy). The number of samples was 43 trimester II pregnant women taken by consecutive sampling technique. This study uses primary data by examining blood pressure and calcium levels in the blood serum of pregnant women. Univariate analysis results showed 30% of pregnant women experience hypertension in pregnancy, and 44% of pregnant women have insufficient calcium levels. The results of calcium levels and the incidence of hypertension in second trimester pregnant women (p value 0,000).the bivariate analysis prove that there is a significant correlation between maternal blood</p>


Author(s):  
Desi Hariani

ABSTRAK Ketuban pecah dini adalah pecahnya selaput ketuban pada setiap saat sebelum permulaan persalinan tanpa memandang apakah pecahnya selaput ketuban terjadi pada kehamilan 24 minggu atau 44 minggu. Kadar hemoglobin adalah ukuran pigmen respiratorik dalam butiran-butiran darah merah. Kelainan letak janin merupakan malpresentasi janin atau kelainan letak janin yang dapat membuat ketuban bagian terendah langsung menerima tekanan intra uteri yang dominan. Tujuan penelitian ini adalah mengetahui hubungan kadar hemoglobin ibu dan letak janin dengan kejadian ketuban pecah dini di klinik alisa talang keramat kenten Palembang Tahun 2018. Desain penelitian ini menggunakan metode survey analitik dengan pendekatan crossectional. Sampel berjumlah 63 orang. Pengambilan menggunakan teknik total sampling. Pengumpulan data menggunakan lembar checklist.Hasil analisis univariat didapatkan jumlah ibu yang mengalami ketuban pecah dini (22,3%), HB tidak normal (41,3%) dan letak sungsang (6,3%).  Dari hasil analisis bivariat dengan uji statistik Chi – Square ada hubungan bermakna antara kadar hemoglobin ibu p value  = 0,001 < α 0,05 nilai OR = 0,049 dan letak janin p value = 0,001 < α 0,05 nilai OR = 0,032 dengan kejadian ketuban pecah dini secara statistik terbukti. Melalui penelitian ini, diharapkan dapat memberikan pelayanan kesehatan yang lebih baik lagi pada ibu hamil dan bersalin sehingga tidak terjadi komplikasi.   Kata Kunci : Ketuban Pecah Dini, Kadar Hemoglobin, Letak Janin ABSTRACT Premature rupture of membranes isthe  rupture of the membranes at any time before the onset of labor, regardless of whether the rupture of the membranes occurs at 24 weeks or 44 weeks' gestation. Hemoglobin levels are the size of respiratory pigments in red blood granules. Fetal abnormalities are malpresentations of fetuses or fetal abnormalities that can make the lowest part of the membrane directly accept the dominant intrauterine pressure. The aim of this study is to know the correlation between maternal hemoglobin level and fetal location toward the incidence of premature rupture of membranes at klinik alisa talang keramat kenten The study design using analytical survey method with crossectional approach. The sample numbered 63 people. Taking by using total sampling technique. Data collection using checklist sheet. The result of univariate analysis showed that the number of mothers who had membranes rupturedearly was (22.3%), HB was not normal  (41.3%) and breech position was (6.3%). From bivariate analysis with Chi-Square statistical test there was a significant correlation between maternal hemoglobin level p value = 0.001 <α 0.05 value OR = 0.049 and fetal location p value = 0.001 <α 0.05 value OR = 0.032 with incidence of premature rupture of membranes was statistically proven. Through this research, it is expected to provide better health services in pregnant and maternity women so thereis no complications occur. Key word  : Premature rupture of membranes, Hemoglobin levels, Fetal Location


2020 ◽  
Vol 5 (2) ◽  
pp. 100-107
Author(s):  
Reny Sulistyowati ◽  
Syam�ani Syam�ani

Stress is an individual's adaptive response to various external pressures or demands and produces a variety of disorders including physical, emotional and behavioral disorders. Final year students often experience feelings of stress so that it can interfere with concentration to attend lectures and can even hamper completing education in a timely manner. There are several ways of managing stress, one of which is using aromatherapy. Aromatherapy is a non-pharmacological therapy, which is a type of therapy that applies direct body contact and has a therapeutic effect that combines physiological effects, caused by massage on the body, with psychological effects, which are derived from essential oils. The general purpose of the study is to analyze the effect of aromatherapy on blood pressure and stress levels by using the Kessler Psychological Distress Scale in final semester students. The research method used a quasi-experimental design with a pretest-posttest control group design approach, in 28 intervention groups, namely respondents who were given lavender aromatherapy massage and 28 respondents in the control group. The univariate analysis was conducted to show frequency distribution and bivariate analysis was conducted by independent sample T-test and dependent sample T-test. The results showed that there were significant differences in systolic blood pressure before and after the intervention in the intervention and the control group with a p-value of 0.01 < 0.05. Whereas the stress level variable found that there is no difference in stress levels in the intervention and the control group before and after the intervention with p-value 0.169> 0.05.


2021 ◽  
Vol 7 (1) ◽  
pp. 109-115
Author(s):  
Neneng Siti Lathifah ◽  
Zarma H ◽  
Nurul Isnaini

IMPROVEMENT OF HEMOGLOBIN (Hb) LEVELS IN PREGNANT WOMEN WITH ANEMIA WITH THE CONSUMPTION OF JAMBU SEEDS (PSIDIUM GUAJAVA. L) ABSTRACT Background Anemia in pregnancy is a national problem because it reflects the socio-economic condition of the community and its influence is very large on the quality of human resources. The incidence of anemia in pregnant women 2018 in Pesisir Barat Regency is 29.9%. The incidence of anemia in pregnant women at Krui Health Center is 67.5%. The purpose of this study is to know the effect of giving guava juice (Psidium Guajava. L) to the increase of hemoglobin (Hb) levels in pregnant women with anemia in Krui health center in 2019.Methods Quantitative Research Type, the research design is a quasi-experimental method with a Non-equivalent Control Group Design approach. The population in this study were as many as 60 second trimester pregnant women and third trimester who had anemia, a sample of 30 pregnant women. 15 people were given treatment with guava fruit juice and Fe tablets, and 15 people were given treatment with Fe tablets, with inclusion criteria Willing to be respondents, Willing to consume guava juice, Pregnant women with mild and moderate anemia with hemoglobin levels (Hb 7.9 - 10 g / dl). With purposive sampling sampling technique. Analyze data with T-test (univariat and bivariat).The results showed an average hemoglobin level before consumption of guava juice and Fe tablets of 9.72 gr / dl, the average hemoglobin level after consumption of guava juice and Fe tablets was 11.13 gr / dl, the average hemoglobin level before consumption of Fe tablets of 9.80 gr / dl, the average hemoglobin level after consumption of FE tablets was 10.60 gr / dl. Conclusion It was known that there was an effect of giving guava juice (Psidium Guajava. L) to Hb levels in pregnant women with anemia in Krui Public Health Center, West Coast District in 2019. The results of the t test were p value 0,000 <α (0.05).Suggestion  It is recommended for health workers, especially midwives, to encourage pregnant women to consume guava juice as a companion to Fe because it can raise hemoglobin levels in pregnant women. Keywords              : Guava Juice, Tablets Fe, Hemoglobin Level ABSTRAK Latar Belakang Anemia pada kehamilan merupakan masalah nasional karena mencerminkan keadaan sosial ekonomi masyarakat dan pengaruhnya sangat besar terhadap kualitas sumber daya manusia. Angka kejadian anemia pada ibu hamil tahun 2018 di Kabupaten Pesisir Barat adalah sebesar 29,9%. Angka kejadian anemia pada ibu hamil di Puskesmas Krui sebesar 67,5%.Tujuan dari penelitian ini adalah diketahui Pengaruh Pemberian Jus Jambu Biji (Psidium Guajava. L) Terhadap Peningkatan Kadar Hemoglobin (Hb) pada Ibu Hamil dengan Anemia di Puskesmas Krui Tahun 2019.Metode Jenis Penelitian Kuantitatif, rancangan penelitian metode quasi eksperimen dengan pendekatan Non-equivalent Control Group Design. Populasi dalam penelitian ini adalah sebanyak 60 orang ibu hamil trimester II dan trimester III yang mengalami anemia, Sampel sebanyak 30 ibu hamil. 15 orang diberikan perlakuan dengan jus jambu biji dan tablet Fe, dan 15 orang diberikan perlakun dengan tablet Fe, dengan kriteria inklusi Bersedia menjadi responden, Bersedia mengkonsumsi jus jambu biji, Ibu hamil dengan anemia ringan dan sedang dengan kadar hemoglobin (Hb 7,9 – 10 g/dl). Dengan teknik sampling purposive sampling. Analisa data dengan uji T-test (univariat dan bivariat).Hasil penelitian menunjukan rata-rata kadar hemoglobin sebelum konsumsi jus jambu biji dan tablet Fe sebesar 9,72 gr/dl, rata-rata kadar hemoglobin setelah konsumsi jus jambu biji dan tablet Fe sebesar 11,13 gr/dl, rata-rata kadar hemoglobin sebelum konsumsi tablet Fe sebesar 9,80 gr/dl, rata-rata kadar hemoglobin setelah konsumsi tablet Fe sebesar 10,60 gr/dl.Kesimpulan Diketahui Ada Pengaruh Pemberian Jus Jambu Biji (Psidium Guajava. L) Terhadap Kadar Hb pada Ibu Hamil dengan Anemia di Puskesmas Krui Kabupaten Pesisir Barat Tahun 2019. Hasil uji t didapat p value 0,000 < α (0,05).Saran bagi tenaga kesehatan khususnya bidan agar menganjurkan kepada ibu hamil untuk mengkonsumsi jus jambu biji sebagai pendamping Fe karena dapat menaikkan kadar hemoglobin pada ibu hamil. Kata Kunci            : Jus Jambu Biji, Tablet Fe, Kadar hemoglobin


2020 ◽  
Vol 1 (2) ◽  
pp. 51-58
Author(s):  
Idris Idris ◽  
Enggar Enggar

Breastfeeding is a physiological process to provide optimal nutrition for babies and one of the first steps for humans to have a healthy and prosperous life. The low coverage of exclusive breastfeeding is still a big problem for the State of Indonesia. There are several ways that can be done to increase exclusive breastfeeding, one of which is health education. The use of video as a means of education is now starting to be developed in line with current technological advances. The purpose of this study was to determine the effect of exclusive breastfeeding counseling with audio visual on the knowledge and attitudes of pregnant women in the work area of Singgani Health Center. This research is a pre-experimental study with the design of one group pretest-posttest. The number of samples is 33 respondents. The sampling technique uses purposive sampling. The analysis used in this study was the Wilcoxon test. The results of the univariate analysis of data on pretest knowledge with good categories were 24 people (72.7%) and the poor categories were 9 people (27.3%) Knowledge of posttest with good categories as many as 21 people (63.6%) were less than 12 people (36.4%). The pretest attitude in the good category was 16 people (48.4%), the poor category was 17 people (51.6%). The posttest attitude in the good category was 21 people (63.6%) in the poor category of 12 people (36.4%). The results of the bivariate analysis of the knowledge of the pretest posttest knowledge (p-value 0.002). The posttest pretest attitude (p-value 0.363. The conclusion shows that there is the influence of exclusive breastfeeding counseling with video media on the knowledge of pregnant women in the Singgani Health. There is no effect of exclusive breastfeeding counseling with audio visual on the attitudes of pregnant women in the Singgani Health Center. The suggestion is that midwives are expected to further increase the use of increasingly developing technology, one of which is the use of audio visual to provide counseling


2018 ◽  
Vol 11 (2) ◽  
pp. 92
Author(s):  
Yoga Tri Wijayanti

<strong><em>Background:</em></strong><em> Low birth weight babies can have long-term effects, including developmental and growth disorders, stunting to degenerative diseases, such as diabetes. <strong>Purpose:</strong> This study was to determine the relationship of parity, anemia and KEK with LBW events in 2016. <strong>Methods:</strong> This study used a retrospective case control study design. Cases were low birth babies &lt;2500 gr born preterm or term The minimum number of samples needed by researchers 18 samples of LBW cases with a control sample of 18 cases that did not experience LBW were selected using consecutive sampling techniques. Data analysis using univariate analysis and bivariate analysis using chi square. <strong>Results:</strong> Statistical test results showed that there was a relationship between SEZ and LBW events (p value 0.03 &lt;0.05; POR 8.0) and there was a relationship between risk parity and LBW events (p value 0.02 &lt;0.05; POR 6.75). <strong>Conclusion:</strong> Pregnant women with SEZ risk increase the incidence of LBW by 8.0 times. Meanwhile, pregnant women with risk parity have the risk of increasing the chance of 6.75 times giving birth to a baby with LBW. Pregnant women with high parity should carry out routine pregnancy visits to make early detection of possible pregnancy complications including KEK, so that early treatment can be carried out and LBW infants can be prevented</em>


2017 ◽  
Vol 3 (6) ◽  
pp. 771-777
Author(s):  
Rif’atun Nisa ◽  
Ariawan Soejoenoes ◽  
Sri Wahyuni

Background: Anemia during pregnancy is one of the most common disorders in pregnant women in Indonesia. The Government has made efforts to overcome this problem, however, the rate of anemic mothers remains high. Rosella (Hibiscus Sabdariffa) is considered able to increase the hemoglobin levels in pregnant mothers.Objective: To analyze the effect of Rosella flower extract (Hibiscus Sabdariffa) on the increase of Hemoglobin level in pregnant women with anemia receiving Fe tablet.Methods: This study was a quasy experiment with pretest-posttest control group design conducted in November - December 2016 in the working area of Tlogosari Wetan Community Health Center. Forty-two participants were selected using accidental sampling, which 21 assigned in the experiment and control group. All samples were pregnant women in the second trimester suffering from anemia and receiving iron tablets. Hemoglobin levels were measured using hematology analyzer in laboratory. Independent t-test and paired t-test were used for data analysis.Results: Paired t-test obtained p-value 0.00 (<0.05), indicated that there was an increase of hemoglobin levels in both experiment and control group. The mean increase of hemoglobin levels in the control group was 0.61 gr and in the experiment group was 1.08. The hemoglobin levels in the experiment group were higher than the levels in the control group.  Independent t-test obtained p-value 0.000 (<0.05) indicating that there was a significant difference of mean of hemoglobin levels between the control group and the treatment group.Conclusion: The consumption of rosella extract combined with Fe tablet showed a significant increase of hemoglobin levels compared with the consumption of Fe tablet alone. Therefore, it is suggested for midwife to use the result of this research as a evidence practice through counseling for pregnant mother about utilization of rosella extract that can increase hemoglobin level in pregnant woman with anemia.


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