scholarly journals STANDAR KUANTITAS ANTENATAL CARE DAN SOSIAL BUDAYA DENGAN RISIKO ANEMIA PADA KEHAMILAN

2021 ◽  
Vol 12 (1) ◽  
pp. 51-63
Author(s):  
Mitra Mitra ◽  
Novita Yanti ◽  
Nurlisis Nurlisis ◽  
Oktavia Dewi ◽  
Hastuti Marllina

Abstract   Background: There was an increase of anemia in pregnant women and maternal death due to obstetric hemorrhage with hemoglobin (Hb) levels during pregnancy <10 gr/dl in Indragiri Hilir District, Riau Province. Objective: This study aimed to analyze the association between standard of antenatal care (ANC) and socio-cultural factors and the risk of anemia during pregnancy. Methods: A cross-sectional design was used in this study. This study included 172 pregnant women in the 2nd and 3rd trimesters from the Sungai Piring Public Health Center's working area. Data of Hb level of pregnant women was obtained from the maternal register and the MCH book. Data on the quantity of ANC, socio-cultural, adherence to iron-folic acid tablet consumption, and characteristics of pregnant women were collected through questionnaire interviews. Bivariate and multivariate analyses were conducted by using chi-square test and multiple logistic regressions respectively. Results: As many as 71.5% of pregnant women experienced anemia. Anemia in pregnant women was significantly associated with standard of ANC quantity, sociocultural status, and economic status (p<0.05). Inadequate ANC, poor socio-cultural, and low economic status increased the risk of anemia in pregnant women by 6.6 times, 11.4 times, and 3 times respectively. Conclusion: Standard of ANC quantity, socio-cultural, and economic status were dominant factors for anemia in pregnancy. Home visits or counseling through messaging applications can be carried out by health workers for pregnant mothers who do not attend ANC visits.   Keywords: Anemia, antenatal care, pregnancy, socio-culture   Abstrak   Latar belakang: Terjadi peningkatan kasus anemia ibu hamil dan adanya kasus kematian ibu akibat perdarahan dengan kadar haemoglobin (Hb) darah saat hamil di bawah 10gr/dl di Kabupaten Indragiri Hilir Provinsi Riau. Tujuan: Menganalisis hubungan antara standar antenatal care (ANC) dan sosial budaya dengan risiko anemia pada kehamilan. Metode: Studi ini menggunakan desain cross sectional. Sampel studi yaitu 172 ibu hamil trimester dua dan tiga di wilayah kerja Puskesmas Sungai Piring. Data kadar hemoglobin (Hb) darah ibu hamil diperoleh dari register ibu dan Buku KIA. Data kuantitas ANC, sosial budaya, kepatuhan konsumsi tablet tambah darah, dan karakteristik ibu hamil dikumpulkan melalui wawancara kuesioner. Analisis bivariat dilakukan dengan uji chi square dan multivariat dengan uji regresi logistik ganda. Hasil: Sebanyak 71,5% ibu hamil mengalamani anemia. Kuantitas ANC, sosial budaya, dan status ekonomi berhubungan signifikan dengan anemia pada ibu hamil (p<0,05). Ibu hamil dengan kuantitas ANC tidak sesuai standar, sosial budaya tidak baik, dan status ekonomi rendah berpeluang berturut-turut sebesar 6,6 kali, 11,4 kali, dan 3 kali untuk mengalami anemia. Kesimpulan: Standar kuantitas ANC, sosial budaya, dan status ekonomi merupakan variabel yang dominan terhadap anemia pada kehamilan. Kunjungan rumah atau konseling melalui aplikasi perpesanan dapat dilakukan oleh petugas kesehatan bagi ibu yang tidak melakukan ANC.   Kata kunci: Anemia, antenatal care, kehamilan, sosial budaya

2018 ◽  
Vol 5 (2) ◽  
pp. 46-50
Author(s):  
Catur Wulan ◽  
Wulan Ayu Fitria

Consumption of iron tablet 1 tablet per day during pregnancy can cause constipation. Based on the results of preliminary study in the Bandar Village, Pacitan through interviews with 14 pregnant women there were 12 pregnant women who consumed iron tablet regularly and 8 pregnant women complain of difficulty to defecate while not experiencing constipation 4 pregnant women. From two pregnant women who did not consume fe tablets they didn’t get constipation. The purpose of this study was to determine the relationship consuming Fe tablet with constipation in pregnant women. This type of research is quantitative with cross sectional design conducted in March 2016. The population of all pregnant women in Bandar Village Bandar Subdistrict District of Pacitan as many as 33 pregnant women. The respondents ware all pregnant women in the Bandar Village Bandar district Pacitan. Using total sampling technique, the research was conducted on March 1 until March 30, 2016. The variable in this study is the fe tablet intake and incidence of constipation. The research instrument used was observation about fe tablet consumption and interviewing about incidence of constipation. The data were tabulated and analyzed using a statistical test Chi Square test determined significant with p> 0.05. From the results showed that majority of 19 pregnant women (57.5%) consume iron tablet regularly, and majority of 18 pregnant women (54.5%) got constipation. There was a relationship consuming Fe tablet constipation with in pregnant women in the Bandar Village district ofPacitan. Evidenced by the significant level of 0.000> 0.05 so that Ho refused. Based on the results of the study, the researcher suggested to health workers to provide counseling to pregnant women about how to consume tablets fe correetly and balanced with foods contaiming high in fiber.


2020 ◽  
Vol 8 (2) ◽  
pp. 115-122
Author(s):  
Iffah Iffah ◽  
Nova Hasbani Prima Dewi ◽  
Mariamu Mariamu

Mitos kehamilan adalah satu cerita, pendapat atau anggapan dalam sebuah kebudayaan yang dianggap mempunyai kebenaran yang isinya tentang anjuran maupun larangan mengenai kehamilan yang pernah berlaku pada suatu masa dahulu hingga sekarang yang kebenarannya belum tentu benar adanya. Tujuan penelitian ini untuk mengetahui hubungan pengetahuan dan sikap ibu hamil dengan mitos kehamilan di Wilayah Kerja UPTD Puskesmas Langsa Barat Kota Langsa tahun 2018. Desain penelitian ini adalah analitik dengan rancangan bedah lintang. Populasi penelitian diambil dari seluruh ibu hamil di Wilayah Kerja UPTD Puskesmas Langsa Barat Kecamatan Langsa Barat Kota Langsa pada bulan Januari sampai dengan Desember tahun 2017 yang berjumlah 831 orang. Pengambilan sampel dilakukan dengan menggunakan rumus Slovin yang diperoleh sebanyak 89 sampel dengan menggunakan teknik acak stratifikasi. Penelitian dilaksanakan dari tanggal 15-11 Juli tahun 2018 dengan cara wawancara menggunakan kuesioner. Uji statistik menggunakan uji chi square. Hasil penelitian menunjukkan bahwa mayoritas tidak ada mitos kehamilan pada responden yaitu sebanyak 56 responden (62,9%). Secara statistik ada hubungan pengetahuan dan sikap ibu hamil dengan mitos kehamilan di Wilayah Kerja UPTD Puskesmas Langsa Barat Kota Langsa tahun 2018 dengan p value 0,000 (P < 0,1). Bagi ibu hamil agar tidak harus selalu menerima mitos-mitos yang dapat merugikan kesehatan ibu hamil. Ibu hamil harus rutin melakukan pemeriksaan kehamilan dan mencari informasi sebanyak-banyaknya dari tenaga kesehatan seputar kehamilan.Keyword : Pregnancy Myths, Knowledge, AttitudesABSTRACTPregnancy myth is a story, opinion or assumption in a culture that is considered to have the truth about the contents of the suggestions and prohibitions on pregnancy that had prevailed in a time ago until now that the truth is not necessarily true. The purpose of this study to determine the relationship of knowledge and attitude of pregnant women with the myth of pregnancy in the Work Area UPTD Puskesmas Langsa Barat Langsa City 2018. The design of this study was analytic with cross sectional design. The study population was taken from all pregnant women in the Working Area of UPTD Puskesmas Langsa Barat Langsa Barat Sub-district Langsa City from January to December of 2017, amounting to 831 people. Sampling was done by using Slovin formula obtained by 89 samples by using random stratification technique. The study was conducted from July 15-11, 2018 by interview using questionnaire. Statistical test using chi square test. The results showed that the majority of no pregnancy myths on respondents that as many as 56 respondents (62.9%). Statistically there is relationship of knowledge and attitude of pregnant mother with pregnancy myth in Work Area UPTD Puskesmas Langsa Barat City Langsa year 2018 with p value 0,000 (P <0,1). For pregnant women not to always accept the myths that can harm the health of pregnant women. Pregnant women should routinely perform pregnancy checkups and seek as much information as possible from health workers about pregnancy.Keyword : Pregnancy Myths, Knowledge, Attitudes


2011 ◽  
Vol 8 (1) ◽  
pp. 7 ◽  
Author(s):  
Subarda Subarda ◽  
Mohammad Hakimi ◽  
Siti Helmyati

Background: The prevalence of pregnant women with anemia is still one of nutrition problems in Indonesia. The main cause of this case is low iron supplementation compliance as the effect of lack of antenatal care (ANC) services and lack promotion of anemia prevention and iron tablet benefit.Objective: The study was aimed to know the relationship between ANC services in anemia management with iron supplementation compliance of pregnant women.Method: The study was observational with cross sectional design. Subjects were 202 pregnant women in the II–III trimester period in Asahan District. Sampling interpretation was randomly performed by choosing 3 sub-districts with K4 ≥ 85% and ≤ 85% coverage. Data collection was carried out by interview based on structured questionnaire and KIA literature study while validity of iron supplementation compliance using stool test. Data analyzed using chi-square and logistic regressions test.Results: The result showed that 41.1% of pregnant women were complied. Based on chi-square test, there were four significant variables related to pregnant women’s compliance namely ANC services (ratio prevalence 1.82; CI95%: 1.22-2.70), anemia assessment (ratio prevalence 1.79; CI95%: 1.22-2.64), nutrition consultation (ratio prevalence 1.41; CI95%: 1.12-1.76) and knowledge (ratio prevalence 1.42; CI95%: 1.12-1.79). Meanwhile logistic regressions test showed that the most influencing variable was ANC services (OR 3.125) after controlling knowledge variable.Conclusion: There were positive relationship between ANC services, anemia assessment, and nutrition consultation with iron supplementation compliance.


Author(s):  
Sri Wahyuningsih Sri Wahyuningsih

ABSTRAK   Antenatal Care  adalah pemeriksaan yang dilakukan ibu hamil pada tenaga kesehatan untuk mendeteksi kehamilan, sehingga ibu lebih siap menghadapi kehamilan dan persalinannya nanti. Tujuan penelitian ini untuk mengetahui hubungan paritas, pendidikan dan pengetahuan ibu hamil dengan ketidaknyamanan pada masa kehamilan di BPM Sagita berjumlah 30 responden. Sampel yang digunakan dalam penelitian ini adalah sampel jenuh. Penelitian ini menggunakan data primer yaitu dari pengisian kuesioner. Kemudian analisa data menggunakan dengan univariat dan bivariat. Hasil uji chi-square menunjukkan ada hubungan paritas ibu ρ-value = 0,000 ≤ 0,05. Ada hubungan pendidikan ibu ρ-value = 0,000 ≤ 0,05. Disarankan kepada ibu hamil untuk lebih sering melakukan antenatal care karena membuat ibu lebih tahu mengenai kehamilan, menghadapi persalinan dan komplikasi yang mungkin terjadi sehingga dapat lebih diperhitungkan dan dipersiapkan langkah-langkah dalam pertolongan persalinan lebih cepat dan tepat lebih diperhitungkan dan dipersiapkan langkah-langkah dalam pertolongan persalinan lebih cepat dan tepat dalam pemilihan maupun penolong dalam persalinan.         ABSTRACT Antenatal care is an examination performed by pregnant women on health workers to detect preganancy. So that, the mother is well prepared to face preganancy later. The purpose of this study was to find out the relationship of parity, education and knowledge of pregnant women with discomfort during pregnancy in BPM Sagita Palembang. Quantitative research design was analytic with Cross-sectional. The population of the study was all pregnant women who were in BPM Sagita amounted to 30 respondents. The sample used in this research was saturated sample. This research used primary data that was from filling questioner. Then the data analyzed using univariate and bivariate. Chi-square test results showed there was a parity relationship ρ-value = 0,000 ≤ 0,05. There was a relationship of mother education ρ-value = 0,000 ≤ 0,05. There was a relationship of knowledge of pregnant women ρ-value = 0,000 ≤ 0,05. It is suggested to pregnant women to do antenatal care more often because it makes mothers know more about pregnancy, to face labor and complication that may occur so that more can be calculated and prepared steps in delivery aid faster and more accurately taken into account and prepared steps in delivery help is faster and more accurate in selection in labor.


2020 ◽  
Vol 4 (3) ◽  
pp. 100-111
Author(s):  
Vita Camelia ◽  

Stunting is a children growth problem that occurs a result of chronic malnutrition in the first 1000 days of life. The indicator of stunting is using the height measurement according to age HFA (Height for Age) under -2 SD based on the WHO growth standard curve according to sex. The impacts of stunting are the occurrence of growth disorders, barriers to development and the risk of metabolic disorders in adulthood. One of the risk factors for stunting is history of quality and quantity Antenatal Care (ANC). This study aimed to determine the relationship between quality and quantity history of ANC visits and stunting in toddlers aged 24-59 years in Pujon District Malang Regency. The method used in this research was observational analytic by using cross-sectional design. The population of this study was all mothers who have children aged 24-59 months that were conducted in January 2020. Ninety eight respondents taken by purposive sampling as the sample of the research. The data was obtained by filling out questionnaires and KIA books, then analyzed with chi-square test (α = 0.05). The results showed that there was a significant relationship in quality (p-value = 0.004) and quantity (p-value = 0.003) toward stunting.


2022 ◽  
Vol 7 (2) ◽  
pp. 150-160
Author(s):  
Putri Rahmadani ◽  
Besral Besral ◽  
Masrizal Masrizal

Background: The measles rubella (MR) immunization coverage rate in Padang City is only 30.82%, still far below Indonesia's national target of 95%. The coverage of measles rubella immunization at the Rawang Health Center is around 62.1%. This study aims to determine the role of health workers in the success of measles rubella immunization in the Rawang Public Health Center, Padang City. Methods: This study used a cross sectional design. The study was conducted in October 2018-July 2019. The research population is mothers who have children aged 12-59 months (toddlers) as many as 1807 respondents. The sampling method is proportional random sampling with a sample of 87 respondent. Data was collected by interview using a questionnaire. Results: The results showed that 37.9% of children under five had not been immunized against measles rubella and 44.8% of health workers had an unfavorable role. The results of the chi-square test showed a significant relationship  between  the role of officers in  the success of measles rubella immunization  (p-value=0.020). Recommendation: It is hoped that health workers can increase health promotion activities regarding the risks due to children not being immunized against measles rubella and intensify door-to-door programs in the implementation of measles rubella immunization


2021 ◽  
Vol 2 (1) ◽  
pp. 23
Author(s):  
Putri Ayu Anjani ◽  
Khairizka Citra Palupi ◽  
Mertien Sa’pang ◽  
Dudung Angkasa ◽  
Vitria Melani

Constipation marked by feces hard one, dry, and difficult issued. About 73.9% pregnant women experience constipation. Increase in the hormone progesterone for pregnant women resulted in drop motility gastrointestinal tract. Constipation affects psychology and causes swelling of the rectum area.To determine the relationship between the level of fiber adequacy, to consumption of Fe tablets and depression and to see the combined risk factors for depression and adherence to consumption of Fe tablets with the incidence of constipation in pregnant women. Design this research is observational analytics with Cross Sectional design. The sample of pregnant women is 55 people with purposive sampling data collection technique. Taking data done with use questionnaire. Statistic test used the chi-square test. 58.2% of pregnant women experienced constipation; 92.7% insufficient fiber sufficiency level; 40.0% adhered to consuming Fe tablets; 55.4% experienced depression; 23.6% of depression was adherent. The results of the chi-square test showed that there was no significant relationship between the level of fiber adequacy and the incidence of constipation in pregnant women (p = 0.298) and a significant relationship with the incidence of constipation in pregnant women, namely consuming Fe tablets (p = 0.039; OR = 4.080), depression (p = 0.026; OR = 4.125), risk factors for the combination of depression and adherence to consumption of Fe tablets (p = 0.005).Compliance with Fe tablet consumption and depression can increase the risk of constipation in pregnant women by 4,080 times and 4,125 times.


2020 ◽  
Vol 5 (1) ◽  
pp. 1
Author(s):  
Neila Sulung

Stunting is a chronic condition that represent growth retardation due to long-term malnutrition, indicated by a z-score of TB / U less than -2SD. Padang Gelugur is a sub-district located in Pasaman Regency with the highest stunting rate of 27%. The purpose of this study was to determine the factors that caused the incidence of Stunting at the Padang Gelugur health center in Pasaman Regency. Type of analytic descriptive study with cross-sectional design, conducted in April 2019. The population is 1,020 infants. with Multistage random sampling technique and a sample size of 150 infants. Data collection uses questionnaires and anthropometric observations and data analysis includes univariate analysis and bivariate analysis with chi square test. The results of the study obtained the incidence of stunting in infants due to non-exclusive breastfeeding (p = 0.022 and OR = 2.708), lack of food diversity (p = 0.023 and OR = 2.326), and low economic status (p = 0.034 and OR = 3.630.    Based on the results above, it was found that a significant relationship between low economic status, non-exclusive breastfeeding, and lack of food diversity with the incidence of Stunting.


2019 ◽  
Vol 6 (01) ◽  
pp. 33-43
Author(s):  
Dudi Ahmad M ◽  
Sri Mulyanti ◽  
Neni Nuraeni

Human Immunodeficiency Virus (HIV) is a condition where a person does not have immunity. The disease can be transmitted from pregnant women to the child they are carrying, in an effort to detect early HIV, VCT needs to be done. Karanganyar Community Health Center data in 2017 VCT service coverage for pregnant women in 2017 was less than 26.7%. This study aims to determine the factors associated with the use of VCT in pregnant women. This type of research is quantitative by using descriptive correlation method and cross sectional approach. The population is 70 pregnant women who were obtained by purposive sampling technique. Data obtained by closed questionnaire and data analyzed using frequency distribution and chi square test. The results showed knowledge about VCT examination included less (52.9%), attitudes included negative (55.7%), secondary education (52.9%), most did not work (67.1%), more than half received less support from their husbands (57.1%), and most did not utilize VCT services (72.9%). Factors related to the use of VCT are knowledge (p value 0,000), attitude (p value 0,000), education (p value 0,000) and husband's support (p value 0,000), unrelated factors are work (p value 0.196). The conclusion from this study factors related to the use of VCT are knowledge, attitudes, education and husband's support. Therefore, it is better for health workers, especially nurses, to provide nursing services to pregnant women, especially the use of VCT services as an effort in early detection of HIV in pregnant women. Keywords: Factors, Utilization of VCT Services


2021 ◽  
Vol 12 (2) ◽  
pp. 69-76
Author(s):  
Rumita Ena Sari ◽  
Fransiska Sitepu ◽  
Arnild Augina Mekarische ◽  
Hubaybah Hubaybah ◽  
Rinaldi Daswito ◽  
...  

In Jambi Province, the morbidity rate of Dengue Hemorrhagic Fever (DHF) has increased for three consecutive years with a mortality rate of 0.74%. This study aimed to determine the performance of health workers to reduce the incidence of dengue fever at the Jambi City Health Center in 2020. This study used a cross-sectional design with several respondents 80 officers, the sampling technique used total sampling. The instrument in this study used a questionnaire. Data analysis using Chi-square test. The results showed that there was a significant relationship between the length of work (OR = 0.184), facilities and infrastructure (OR = 1.977), supervision (OR = 2.118), and superior support (OR = 2.029) with the performance of health workers, and there was no significant relationship between the last education (OR=1.152) and reward (OR=1.472) with the performance of health workers. Health officers DHF program are expected to maximize services such as environmental health inspections and PSN 3M counseling as well as increase supervision of the community so that they can participate in the prevention of DHF, namely by forming Jumantik cadres, maximizing outreach and outreach with the community, and fostering community self-hygiene.


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