Prevalence of Diagnostic Errors as Predictors of Obstetric Outcomes among Post-Natal Mothers in Bungoma County, Kenya

Diagnosis is the foundation of a correct intervention. However, diagnostic errors result in wrong interventions. This is a global phenomenon, where it is a common problem; which has been understudied. Looking at the Philippines, diagnostic errors are three times most likely to make pregnant women develop obstetric complications. In Kenya, there is a high annual maternal mortality prevalence ratio of 362/100,000 live births, with Bungoma County exceeding the national maternal mortality prevalence ratio of 382/100,000 live births annually. Maternal mortality more often than not, a factor, that arises from morbidity is fuelled by diagnostic errors that required determination of its consequences on obstetric outcomes in Bungoma county. Thus, this study investigated the prevalence of diagnostic errors as predictors of obstetric outcomes among post-natal mothers in Bungoma County. The study employed a descriptive cross-sectional research design, which was hospital-based (Bungoma and Webuye hospitals). Systematic sampling was used to obtain 384 respondents and purposive sampling to select 8 health care workers as key informants. Data was collected using a structured questionnaire and an interview guide. the pre-test was done; validity was established through crosschecking and reliability calculated using the Cronbach method (0.89). Using a statistical package for social sciences version 25, descriptive statistics were run. The study revealed a prevalence ratio of 3.996 whereas delayed diagnosis was 43.1%, missed 38.8%, absent diagnosis 27.5%, wrong diagnosis 34.9%, misinterpretation of results 24.1, unmatched 26.3% and unnecessary investigation 9.3%. The study demonstrates that a correct diagnosis is a viable strategy in preventing unsafe obstetric outcomes and by extension minimizing morbidity and mortality among pregnant women.

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KEJADIAN PREEKLAMPSIA BERDASARKAN POLA MAKAN DAN ANGKA KECUKUPAN GIZI IBU HAMIL

Jurnal Soshum Insentif ◽

10.36787/jsi.v3i2.318 ◽

2020 ◽

Vol 3 (2) ◽

pp. 188-196

Author(s):

Erni Hernawati ◽

Mirna Arianti

Keyword(s):

Maternal Mortality ◽

Pregnant Women ◽

Food Frequency Questionnaire ◽

Univariate Analysis ◽

Primary Data ◽

Cross Sectional ◽

Food Frequency ◽

Live Births ◽

Nutrition Intake ◽

Descriptive Method

Abstract – In 2015 the Maternal Mortality Rate in Indonesia was 305 / 100,000 live births and preeclampsia is still one of the factors causing maternal mortality in Indonesia, nutrition intake in pregnant women is one of the predisposing factors for the occurrence of preeclampsia. The aim of this research is aims to describe the incidence of preeclampsia based on diet and Adequacy Rate of Nutrition (AKG) in pregnant women at the Kindergarten II Dustira Hospital, Cimahi City in 2019. This study uses a descriptive method with a cross sectional approach. Samples were taken using simple random technique with a sample of 56 respondents. Data were collected using primary data through interviews with pregnant women using a semi-Food Frequency Questionnaire (FFQ) questionnaire and studied with the AKG, and then analyzed using univariate analysis. The results showed that pregnant women with a poor diet, almost half of them had preeclampsia as much as 46.7% and pregnant women who had a low RDA, most of them were preeclampsia as much as 54.2%. The conclusion of this study is that almost half of pregnant women experience preeclampsia and have a low AKG. Suggestion, prevention of preeclampsia is very important, one of which is by improving the diet of pregnant women in accordance with the Guidelines for Balanced Nutrition. Abstrak – Pada tahun 2015 Angka Kematian Ibu di Indonesia sebanyak 305/100.000 kelahiran hidup dan preeklampsia masih merupakan salah satu faktor penyebab kematian ibu di Indonesia, asupan nutrisi pada ibu hamil menjadi salah satu faktor predisposisi terjadinya preeklampsia. Tujuan dari penelitian ini adalah untuk mengetahui gambaran kejadian preeklampsia berdasarkan pola makan dan Angka Kecukupan Gizi (AKG) pada ibu hamil di Rumah Sakit TK II Dustira Kota Cimahi tahun 2019. Metode yang digunakan dalam penelitian ini adalah deskriptif dengan pendekatan cross sectional. Sampel diambil menggunakan teknik simple random dengan sampel sebanyak 56 responden. Penelitian ini menggunakan data primer melalui wawancara kepada ibu hamil dengan menggunakan kuesioner semi Food Frequency Questionnaire (FFQ) dan dikaji dengan AKG, dan selanjutnya dianalisa menggunakan analisa univariat. Hasil penelitian menunjukkan bahwa ibu hamil dengan pola makan kurang, hampir separuhnya mengalami preeklampsia sebanyak 46,7% dan ibu hamil yang mempunyai AKG yang kurang sebagian besar preeklampsia sebanyak 54.2%. Simpulan dari penelitian ini hampir separuhnya ibu hamil mengalami preeklampsia dan mempunyai AKG yang kurang. Saran, pencegahan preeklampsia sangat penting dilakukan salah satunya dengan memperbaiki pola makan ibu hamil yang sesuai dengan Pedoman Gizi Seimbang.

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Variation between Initial and Final Diagnosis as A Predictor of Adverse Obstetric Outcome among Post-Natal Women at Bungoma Hospitals, Kenya

European Journal of Medical and Health Sciences ◽

10.24018/ejmed.2022.4.1.1170 ◽

2022 ◽

Vol 4 (1) ◽

pp. 5-10

Author(s):

David Nandebe Wafula ◽

Bernard Wesonga ◽

Maximilla Wanzala ◽

Nathan Shaviya ◽

Rose A. M. Nyang’au

Keyword(s):

Pregnant Women ◽

Odds Ratio ◽

Diagnostic Errors ◽

Final Diagnosis ◽

Initial Diagnosis ◽

Sub Saharan Africa ◽

Systematic Sampling ◽

Obstetric Outcomes ◽

P Value ◽

Obstetric Outcome

Despite diagnosis being an important part of clinical or medical consultations, the diagnosis might fail leading to adverse effects. This is a global problem, where developed and developing countries go through. In sub-Saharan Africa, variations between initial diagnosis and final diagnosis lead to diagnostic errors with high maternal mortalities. In Kenya, a lot of measures have been put in place but still, variation in diagnosis appear to have become rampant. Bungoma county is one of the counties with a high mortality ratio, especially for pregnant women attributed to the variation between initial and final diagnosis. Therefore, it was crucial to investigate the variation between initial and final diagnosis in relation to obstetric outcomes at hospitals in Bungoma County. The cross-sectional research design was used (Bungoma and Webuye hospitals). Systematic sampling was used to obtain 384 respondents after proportionate allocation to each hospital, and purposive sampling to select 8 health care workers as key informants. Data was collected using a structured questionnaire and an interview guide. The pre-test was done with validity established through crosschecking and reliability calculated using the Cronbach method (0.89). Using a statistical package for social sciences version 25, descriptive and inferential statistics was run where chi-square and odds ratio was used to determine the influence between variables, significance and prediction. The study revealed a variation between initial diagnosis and the final diagnosis was 20.8% while diagnostic errors were significant predictors of obstetric outcomes among post-natal mothers at level five with a p-value of 0.045 at a significance of 5%(P=0.045). Demographic characteristics showed no relationship with obstetric outcomes (P=0.54>0.05). Matched diagnostic had no variations (N=327, M=1.00, SD=0.000); while unmatched diagnostic had variations (N=327, M=1.82, SD=.384). There was a relationship between diagnostic errors and obstetric outcome (ꭓ2 (1) = 251.86, p< .001). An association between diagnostic error with unsafe obstetric outcomes was significant at the odds ratio of 2.03(OR 2.03, 95% CI 1.31–2.16). The study demonstrates that a correct diagnosis is a viable strategy in preventing unsafe obstetric outcomes and by extension minimizing morbidity and mortality among pregnant women. The study concluded that there was a variation between initial diagnosis and final diagnosis which had an adverse obstetric outcome. it was recommended to build capacities for the health workers in order to address increased diagnostic errors.

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Quantifying Pregnant Women’s Knowledge of Educational Components of Antenatal Care in Lesotho

Africa Journal of Nursing and Midwifery ◽

10.25159/2520-5293/4317 ◽

2019 ◽

Vol 21 (1) ◽

Author(s):

Tabeta Seeiso ◽

Mamutle M. Todd-Maja

Keyword(s):

Antenatal Care ◽

Maternal Mortality ◽

Pregnant Women ◽

Rural Areas ◽

Geographic Location ◽

Sub Saharan Africa ◽

World Health ◽

Cross Sectional ◽

Danger Signs ◽

In Pregnancy

Antenatal care (ANC) literacy is particularly important for pregnant women who need to make appropriate decisions for care during their pregnancy and childbirth. The link between inadequate health literacy on the educational components of ANC and maternal mortality in sub-Saharan Africa (SSA) is undisputable. Yet, little is known about the ANC literacy of pregnant women in SSA, with most studies inadequately assessing the four critical components of ANC literacy recommended by the World Health Organization, namely danger signs in pregnancy; true signs of labour; nutrition; and preparedness for childbirth. Lesotho, a country with one of the highest maternal mortality rates in SSA, is also underexplored in this research area. This cross-sectional study explored the levels of ANC literacy and the associated factors in 451 purposively sampled women in two districts in Lesotho using a structured questionnaire, making recourse to statistical principles. Overall, 16.4 per cent of the participants had grossly inadequate ANC literacy, while 79.8 per cent had marginal levels of such knowledge. The geographic location and level of education were the most significant predictors of ANC literacy, with the latter variable further subjected to post hoc margins test with the Bonferroni correction. The participants had the lowest scores on knowledge of danger signs in pregnancy and true signs of labour. Adequate ANC literacy is critical to reducing maternal mortality in Lesotho. Improving access to ANC education, particularly in rural areas, is recommended. This study also provides important recommendations critical to informing the national midwifery curriculum.

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FAKTOR– FAKTOR YANG BERHUBUNGAN DENGAN KEJADIAN ANEMIA PADA IBU HAMIL DI PUSKESMAS TALANG RATU PALEMBANG TAHUN 2014

Jurnal Kebidanan : Jurnal Medical Science Ilmu Kesehatan Akademi Kebidanan Budi Mulia Palembang ◽

10.35325/kebidanan.v4i2.66 ◽

2019 ◽

Vol 4 (2) ◽

Author(s):

Yuhemy Zurizah Yuhemy Zurizah

Keyword(s):

Mortality Rate ◽

Health Service ◽

Maternal Mortality ◽

Pregnant Women ◽

Health Center ◽

Significant Relationship ◽

World Health ◽

Chi Square ◽

Cross Sectional ◽

Maternal Mortality Rate

ABSTRACT Maternal Mortality Rate is a barometer of mother health service in a country. At this time maternal mortality rate in Indonesia is still very high. Indonesia Demography Survey on 2007, maternal mortality rate is about 28 per 100.000 of live births. The direct cause of maternal mortality in Indonesia as well as in the other country is hemorraghe (25%), sepsis (15%), eklampsia (12%), abstructed labor (8%). World Health Organization (WHO), 35-37% of pregnant women in developing coutries get anemy. Causing factor’s of anemy on pregnant women is age of pregnant, parity, economi socio, job, education, and nutritional status. Purpose of this research is to know the associated factors with incidence of anemy on pregnant women at the Health Center Talang Ratu Palembang in 2014. This research use analytic survey method with “cross sectional” approach. Population in this research is all of preganant women in medical treatment at Talang Ratu Palembang in 2014. Sample taking in this research with non random samplingmethod and accidental sampling technic. Analysis with univariatly and bivariatlywith Chi Square Statistic test with significant level α 0,05. The result of this research show that from 35 respondent there is (48,6%) respondent with anemy, high–risk age (28,6%), high parity (60,0%) and low economi socio (37,1%). This result show that there is significant relationship between age with incidence of anemy on pregnant women at the health center Talang Ratu Palembang in 2014 with p value0,027, there is significant relationship between parity with incidence of anemy on pregnant women at the health center Talang Ratu Palemabang in 2014 with p value0,023, and there is significant relationship between economi socio with incidence of anemy on pregnant women at the health center Talang Ratu Palembang in 2014 with p value0,026. Of the result, the author hope that health service worker at Talang Ratu health center can improve health service to pregnant women and often giving information about anemy on pregnant and nutritional for pregnant women during pregnancy. ABSTRAK Angka Kematian Ibu (AKI) merupakan barometer pelayanan kesehatan ibu di suatu negara. Pada saat ini angka kematian ibu di Indonesia masih sangat tinggi. Menurut Survey Demografi dan Kesehatan Indonesia (SDKI) tahun 2007, angka kematian kematian ibu adalah 28 per 100.000 kelahiran hidup. Penyebab langsung kematian ibu di Indonesia seperti halnya Negara lain adalah perdarahan (25%), sepsis (15%), eklampsi (12%), partus lama (8%). Menurut World Health Organization (WHO), 35-37% ibu hamil di negara berkembang dan 18% di negara maju mengalami anemia. Faktor penyebab terjadinya anemia pada ibu hamil secara tidak langsung adalah umur ibu, paritas, sosial ekonomi, pekerjaan, pendidikan, jarak kehamilan, dan status gizi.Tujuan penelitian ini adalah untuk mengetahui faktor - faktor apa saja yang berhubungan dengan kejadian anemia pada ibu hamil di Puskesmas Talang Ratu Palembang Tahun 2014. Penelitian ini menggunakan metode survey analitikdengan pendekatan cross sectional. Populasi dalam penelitian ini adalah seluruh ibu hamil yang berobat di Puskesmas Talang Ratu Palembang Tahun 2014. Pengambilan sampel pada penelitian ini dengan metode non random sampling dengan teknik Accidental sampling. Analisis dilakukan secara univariat dan bivariat. Dengan uji statistik chi square tingkat kemaknaan α 0,05. Hasil penelitian menunjukkan dari 35 responden terdapat (48,6%) responden yang anemia, umur yang beresiko tinggi (28,6%), paritas tinggi (60,0%), dan sosial ekonomi rendah (37,1%). Hasil penelitian ini menunjukkan ada hubungan yang bermakna antara umur dengan kejadian anemia pada ibu hamil di Puskesmas Talang Ratu Palembang Tahun 2014 dengan p value0,027, ada hubungan bermakna antara paritas dengan kejadian anemia pada ibu hamil di Puskesmas Talang Ratu Palembang Tahun 2014 dengan p value0,023 dan ada hubungan yang bermakna antara sosial ekonomi dengan kejadian anemia pada ibu hamil di Puskesmas Talang Ratu Palembang Tahun 2014 dengan p value0,026. Dari hasil penelitian ini penulis berharap petugas kesehatan di Puskesmas Talang Ratu Palembang meningkatkan pelayanan kesehatan pada ibu hamil dan lebih sering melaksanakan penyuluhan anemia pada kehamilan dan nutrisi yang baik bagi ibu hamil.

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Pregnant Women Living with Obesity: A Cross-Sectional Observational Study of Dietary Quality and Pregnancy Outcomes

Nutrients ◽

10.3390/nu13051652 ◽

2021 ◽

Vol 13 (5) ◽

pp. 1652

Author(s):

Margaret Charnley ◽

Lisa Newson ◽

Andrew Weeks ◽

Julie Abayomi

Keyword(s):

Pregnant Women ◽

Maternal Obesity ◽

Maternal Nutrition ◽

Saturated Fatty Acids ◽

Poor Quality ◽

Dietary Quality ◽

Obstetric Outcomes ◽

Dietary Intakes ◽

Singleton Pregnancy ◽

Cross Sectional

Good maternal nutrition is key to optimal maternal and foetal health. A poor-quality diet is often associated with obesity, and the prevalence and severity of maternal obesity has increased significantly in recent years. This study observed dietary intakes in pregnant women living with obesity and assessed the quality of their diet. In total, 140 women with a singleton pregnancy, aged > 18 years and BMI ≥ 35 kg/m2, were recruited from antenatal clinics, weighed and completed food diaries at 16-, 28- and 36-weeks’ gestation. Clinical data were recorded directly from the women’s medical records. Nutrient intake was determined using ‘MicrodietTM’, then compared to Dietary Reference Values (DRVs). Energy intakes were comparable with DRVs, but intakes of sugar and saturated fatty acids were significantly higher. Intake of fibre and several key micronutrients (Iron, Iodine, Folate and Vitamin D) were significantly low. Several adverse obstetric outcomes were higher than the general obstetric population. Women with obesity, often considered ‘over nourished’, may have diets deficient in essential micronutrients, often associated with poor obstetric outcomes. To address the intergenerational transmission of poor health via poor diets warrants a multi-disciplinary approach focusing away from ‘dieting’ onto positive messages, emphasising key nutrients required for good maternal and foetal health.

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The Determinants of Husband Behavior in The Care of Pregnant Women

Jurnal Kesehatan Masyarakat ◽

10.15294/kemas.v12i1.3465 ◽

2016 ◽

Vol 12 (1) ◽

Author(s):

Elviera Gamelia ◽

Siti Masfiah ◽

Indah Purnama Sari

Keyword(s):

Mortality Rate ◽

Prenatal Care ◽

Maternal Mortality ◽

Pregnant Women ◽

Family Income ◽

Subjective Norm ◽

Infant Mortality Rate ◽

Behavior Control ◽

Cross Sectional ◽

Level Of Education

Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR) in Banyumas District are still below The Minimum Service Standard (MSS), especially in Puskesmas (Public Health Center) I Ajibarang. The strategies for reducing maternal mortality are conducted by increasing mothers health status during pregnancy. This study aims at determining the factors of husbands role in womens prenatal care. Cross-sectional method was used. The populations were all of the pregnant women in Puskesmas I Ajibarang. Proportional random sampling was applied to select 90 pregnant women. Logistic regression was used to determine factors. Theory of planned behavior was used to explore the determinants of husbands role. The results show that the level of education, family income, the knowledge, the attitude, and subjective norm are not related to husbands role in mother prenatal care. However, husbands behavior control (p=0.045) and intention (p=0.000) have relation with husbands role in women prenatal care. Variable of intention is the most dominant variable related to husbands role in womens prenatal care.

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Utilization of MCH handbooks and attitudes of pregnant women regarding pregnancy and childbirth complications

Majalah Obstetri & Ginekologi ◽

10.20473/mog.v27i22019.71-75 ◽

2019 ◽

Vol 27 (2) ◽

pp. 71

Author(s):

Dian Irawati ◽

Agustin Dwi Syalfina

Keyword(s):

Pregnant Women ◽

P Value ◽

Chi Square ◽

Cross Sectional ◽

Live Births ◽

Pregnancy And Childbirth ◽

Independent Variable ◽

The Right ◽

Chi Square Analysis ◽

The Relationship

Objectives: Maternal Mortality Rate (MMR) is closely related to maternal care. MMR in Indonesia based on the 2015 IDHS is 359 per 100,000 live births. By increasing the utilization of MCH handbooks, MMR would be decline. Therefore, this research investigated the relationship between of the utilization of MCH handbooks and attitudes pregnant women regarding pregnancy and childbirth complications.Materials and Methods: We conducted a cross sectional research with 54 pregnant women during March - June 2018 at the Sooko Health Center, Mojokerto. The independent variable was the utilization of MCH handbooks and the dependent variable was the attitude of pregnan women regarding pregnancy and childbirth complications. Data analysis included descriptive and bivariate analysis.Results: The results showed that 79.6% of respondents used the MCH handbook well. The results of the chi square analysis test showed a p value of 0.027 (<0.05).Conclusion: MCH handbook utilization effected the attitude of pregnant women regarding the complication of pregnancy and childbirth. Pregnant women who read and utilize MCH handbook would be have better alertness about the risk of complication so they would make the right decision for their pregnancy.

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Assessment of Thyroid Function in Early Pregnancy

Bangladesh Journal of Nuclear Medicine ◽

10.3329/bjnm.v19i2.35864 ◽

2018 ◽

Vol 19 (2) ◽

pp. 98

Author(s):

Mohammad Saifur Rahman ◽

Sadia Sultana ◽

Ayesha Nazneen

Keyword(s):

Pregnant Women ◽

Thyroid Function ◽

Early Pregnancy ◽

Correct Diagnosis ◽

First Trimester ◽

Military Hospital ◽

Thyroid Disorders ◽

Thyroid Disorder ◽

Cross Sectional ◽

In Pregnancy

Objectives: Thyroid disorders are commonly observed in pregnancy. Thyroid hormones play an important role in embryogenesis and fetal development. The fetus is completely dependent on the mother for thyroid hormone in first trimester. About 10% of all pregnant women can be affected by thyroid disorders during pregnancy. Thyroid function abnormalities in pregnancy are a challenge for the concerned physicians. The objective of this study was to assess the maternal thyroid function in first trimester of pregnancy.Patients and Methods: A descriptive cross sectional study was carried out at the Combined Military Hospital (CMH), Dhaka over a period of one year from January 2013 to December 2013 to see the serum FT3, FT4, TSH, thyroid antibodies level and common thyroid disorders in pregnancy. A total of 138 pregnant women in their first trimester (up to 12 weeks) of pregnancy with an age range of 18-35 years were enrolled in this study. Pregnant women with known thyroid disorder and on treatment and pregnancy more than three months were excluded. Measurement of serum FT3, FT4, TSH, Anti TPO-Ab and Anti TG-Ab were done in each patient at the time of enrolment. Ultrasonography of each patient was done for confirmation of pregnancy and correlation of gestational age.Results: Among 138 pregnant women, subclinical hypothyroidism was detected in 10 (7.2%) patients and subclinical hyperthyroidism was detected in 3 (2.2%) patients. Mean difference of the investigation findings were not statistically significant among primi and multi gravida. TPO-Ab and TG-Ab difference were statistically significant between two age groups.Conclusion: Subclinical thyroid disorders are fairly high among pregnant women. Correct diagnosis in early pregnancy and prompt treatment will bring an excellent prognosis for both mother and offspring.Bangladesh J. Nuclear Med. 19(2): 98-102, July 2016

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CHILDHOOD IMMUNIZATION

The Professional Medical Journal ◽

10.29309/tpmj/2016.23.01.798 ◽

2016 ◽

Vol 23 (01) ◽

pp. 071-075

Author(s):

Syed Aoun Muhammad Jafri ◽

Dr. Iram Saddiqa Aamir ◽

Marium Abid ◽

Maliha Hanif

Keyword(s):

Infant Mortality ◽

Pregnant Women ◽

Study Design ◽

Childhood Immunization ◽

Cross Sectional ◽

Level Of Education ◽

Live Births ◽

Rights Of The Child ◽

The People ◽

Child Bearing

Introduction: Childhood immunization remains one of the most important waysof preventing outbreaks of deadly diseases. Even with full-fledged active Expanded programmeof immunization (EPI) initiated in Pakistan, the percentage of children getting vaccinated remainfar below our required levels. Infant mortality in Pakistan is highest among SAARC countries,which at present stands at 70 deaths per 1,000 live births, according to a report compiledby the Society for the Protection of the Rights of the Child (SPARC). Objective: This studywas carried out to assess mother’s education, knowledge and level of awareness of childhoodimmunization among the pregnant women. Study design: Cross sectional descriptive study.Setting: Jinnah Medical and Dental College Karachi in department of community Healthsciences (CHS). Study period: April 2012 to June 2012. Methods: A total number of Fourhundred pregnant (400) women were interviewed in both OPDs and wards of Lady DufferinHospital and JMCH Karachi. The questionnaire contained a total of nineteen questions. All ofthem were self-asked in local language. Results: A significant number of child bearing women(81.5%) had good knowledge and aptitude about childhood immunization and are likely to gettheir children vaccinated. Conclusion: The higher the people are aware regarding childhoodimmunization, the more they are likely to get their children vaccinated. The level of awarenessinvariably correlated with the level of education of pregnant women. This tells us the literacyrate along with efficient immunization campaigns can help us fight against the war of high infantmortality rate against curable diseases.

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HUBUNGAN PENGETAHUAN IBU HAMIL TENTANG TABLET FE DENGAN KEJADIAN ANEMIA

Jurnal Endurance ◽

10.22216/jen.v3i1.1157 ◽

2018 ◽

Vol 3 (1) ◽

pp. 1

Author(s):

Nila Eza Fitria

Keyword(s):

Mortality Rate ◽

Maternal Mortality ◽

Pregnant Women ◽

Significant Relationship ◽

Univariate Analysis ◽

Bivariate Analysis ◽

Chi Square ◽

Cross Sectional ◽

Maternal Mortality Rate ◽

Chi Square Test

Maternal Mortality Rate (MMR) is one indicator of the success of health services in a country. Maternal deaths occur for several reasons, including anemia The purpose of this research is to know the relationship of knowledge of pregnant women with Fe tablet with anemia occurrence in jorong Koto Malintang Puskesmas Agam District 2014. This research is cross sectional research design conducted in Jorong Koto Malintang Puskesmas Kamih Agam on 23 s / d 29 August 2014. The sample in this study pregnant women in Jorong Koto Malintang 30 people. Univariate analysis has been done descriptive and bivariate analysis using chi-square test. The results showed 30 respondents classified as less knowledgeable (36.7%) and more than half of pregnant women (63.3%) suffered from anemia. The result of bivariate analysis with trust level 0,05 indicates a significant relationship between the existence of Knowledge about Tablet Fe Pregnancy with Genesis Anemia where value p = 0,002 (p = <0,05). Can be concluded in this research there is a significant relationship between mother's knowledge about Fe tablet with anemia. It is expected to improve the knowledge of pregnant women about the importance of Fe tablets consumed by pregnant women during pregnancy to prevent anemia Angka Kematian Ibu (Maternal Mortality Rate / MMR) merupakan salah satu indikator keberhasilan pelayanan kesehatan di suatu negara. Kematian ibu terjadi karena beberapa alasan, termasuk anemia. Tujuan penelitian ini adalah mengetahui hubungan pengetahuan ibu hamil dengan tablet Fe dengan kejadian anemia di jorong Koto Malintang Puskesmas Kabupaten Agam tahun 2014. Penelitian ini adalah rancangan penelitian cross sectional yang dilakukan di Jorong Koto Malintang Puskesmas Kamih Agam pada 23 s/d 29Agustus 2014. Sampel dalam penelitian ini ibu hamil di Jorong Koto Malintang 30 orang. Analisis univariat telah dilakukan analisis deskriptif dan bivariat menggunakan uji chi-square. Hasilnya menunjukkan 30 responden tergolong kurang berpengetahuan (36,7%) dan lebih dari setengah ibu hamil (63,3%) menderita anemia. Hasil analisis bivariat dengan tingkat kepercayaan 0,05 menunjukkan adanya hubungan yang signifikan antara adanya Pengetahuan Tentang Tablet Fe Hamil dengan Anemia Genesis dimana nilai p = 0,002 (p = <0,05). Dapat disimpulkan dalam penelitian ini ada hubungan yang signifikan antara pengetahuan ibu tentang tablet Fe dengan anemia. Diharapkandapat meningkatkan pengetahuan ibu hamil tentang pentingnya tablet Fe dikonsumsi oleh ibu hamil selama kehamilan untuk mencegah anemia.

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