scholarly journals KORELASI ASUPAN ZAT BESI, PROTEIN, VITAMIN C DAN MUAL MUNTAH TERHADAP KEJADIAN ANEMIA PADA IBU HAMIL TRIMESTER I (PERTAMA)

2019 ◽  
Vol 9 (4) ◽  
pp. 301
Author(s):  
Karwati Karwati ◽  
Damay Yanti

Anemia is one of the many problems that occur in pregnant women in developing countries. First trimester pregnant women often experience nausea and vomiting that can affect the pattern of eating that is received. The purpose of this study was to determine whether nutritional intake and nausea and vomiting disorders in first trimester pregnant women were associated with anemia. The sample of this study was all first trimester pregnant women, selected by quota sampling technique. The research design used in this study was cross sectional, which aims to examine the correlation between nutrient intake (iron, protein, and vitamin C) and nausea and vomiting disorders with anemia. The instrument used to determine the intake of iron, protein, vitamin C was food records that were filled by respondents for 3 days. To test the hypothesis of the relationship used the chi square test and Fisher's exact test. From the results of the analysis of the relationship between iron intake, Vitamin C and nausea and vomiting with anemia, p-value = 0.003, p-value = 0.001 and p-value 0.001, it can be concluded that there is a relationship between iron intake, vitamin C and vomiting nausea with the incidence of anemia in first trimester pregnant women (first). While the results of the analysis of the relationship of protein intake with anemia obtained p-value = 0.806, it can be concluded that there is no relationship between protein intake and the incidence of anemia in first trimester pregnant women (first). The mean intake of iron, protein, and vitamin C in first trimester pregnant women both in the anemic and non-anemic groups had a daily intake that was still far from the nutritional adequacy standard set by the government that the RDA of iron was 26 g / dL / day Protein was 76 mg / day and Vit C is 70-85 mg / day. Keywords: food intake; nausea and vomiting; anemia ABSTRAK Anemia merupakan salah satu masalah yang banyak terjadi pada ibu hamil di negara berkembang. Ibu hamil trimester I sering mengalami gangguan mual muntah yang dapat berpengaruh pada pola ragam makan yang diterima. Tujuan dari penelitian ini adalah mengetahui apakah asupan nutrisi dan gangguan mual muntah pada ibu hamil trimester I berhubungan dengan kejadian anemia. Sampel penelitian ini adalah seluruh ibu hamil trimester I diambil dengan teknik Non Probability sampling yaitu Sampling Kuota. Desain penelitian yang digunakan dalam penelitian ini adalah epidemiologi analitik observasional dengan desain cross sectional, yang bertujuan menguji hipotesi dalam mencari korelasi asupan nutrisi (zat besi, protein, dan vitamin C) dan gangguan mual muntah dengan kejadian anemia. Instrumen yang digunakan untuk mengetahui kecukupan asupan zat besi, protein,vitamin C adalah food records yang di isi oleh responden selama 3 hari. Untuk melihat hubungan karakteristik dengan variabel dependen digunakan uji chi square dengan alternative uji exact fisher. Dari hasil analisis hubungan antara asupan zat besi, Vitamin C dan mual muntah dengan anemia didapatkan nilai p-value= 0,003, p-value = 0,001 dan p-value 0,001 maka dapat disimpulkan bahwa ada hubungan antara asupan Zat Besi, Vitamin C dan Mual Muntah dengan kejadian Anemia pada ibu hamil trimester 1 (pertama). Sedangkan hasil analisis hubungan asupan protein dengan anemia didaparkan p-value= 0,806 maka dapat disimpulkan bahwa tidak ada hubungan antara asupan protein dengan kejadian anemia pada ibu hamil trimester 1 (pertama). Rerata asupan zat besi, protein, dan vitamin C pada ibu hamil trimester I baik pada kelompok anemia maupun tidak anemia memiliki jumlah asupan harian yang masih jauh dari standar kecukupan gizi yang ditetapkan oleh pemerintah bahwa AKG zat besi adalah 26 g/dL/hari Protein adalah 76 mg/hari dan Vit C adalah 70-85 mg/hari. Kata kunci: asupan makanan; mual dan muntah; anemia

Author(s):  
Rahma Kusuma Dewi ◽  
◽  
Halimatus Saidah ◽  

ABSTRACT Background: Emesis gravidarum or nausea and vomiting has commonly occurred during pregnancy. However, excessive nausea and vomiting in early pregnancy have a potentially adverse effect on pregnancy outcomes. This study aimed to investigate the relationship between gravidity and severity of emesis gravidarum in women with first-trimester of pregnancy at PMB Fatimatu Zahrok Midwifery Care, Kediri, East Java. Subjects and Method: This was a cross-sectional study conducted at PMB Fatimatu Zahrok Midwifery Care, Kediri, East Java, from July to August 2020. A sample of 32 women with first-trimester of pregnancy was selected for this study. The dependent variable was severity of emesis gravidarum categorized into mild to moderate and severe. The independent variable was the number of gravidities categorized into primigravida and multigravida. The data were collected using questionnaire. The data were analyzed by chi-square. Results: Multigravida reduced the severity of emesis gravidarum (OR= 0.14; 95% CI= 0.02 to 0.85; p= 0.034). Conclusion: Multigravida reduces the severity of emesis gravidarum in women with first-trimester pregnancy. Keywords: emesis gravidarum, first trimester, gravidity, severity, pregnant women Correspondence: Rahma Kusuma Dewi. Faculty of Health Sciences, Universitas Kadiri. Jl. Selomangleng No 1, Kediri, East Java. Email: [email protected]. Mobile: +6281229440101. DOI: https://doi.org/10.26911/the7thicph.03.77


2019 ◽  
Vol 27 (2) ◽  
pp. 71
Author(s):  
Dian Irawati ◽  
Agustin Dwi Syalfina

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.


2020 ◽  
Vol 4 (2) ◽  
pp. 7-11
Author(s):  
Nelfi Sarlis

Every pregnant woman in the first trimester experiences nausea and vomiting. This situation is natural and often occurs in pregnancy, especially in the first trimester. Nausea usually occurs in the morning, this case can occur almost 50% of pregnant wowen and many occur at 6-12 weeks. The purpose of this study was to determine the relationship between knowledge and attitudes of pregnant women on how to cope with vomiting nausea in pregnancy trimester 1 in the work area of ​​Payung Sekaki health center in Pekanbaru. This study uses a quantitative method with a cross sectional, so that the number of samples obtained was 71 respondents. Sampling used consecutive sampling technique, nominal and ordinal measuring scales, questionnaire research instruments and univariate and bivariate data collection. Based on the results of the chi square test obtained the knowledge variable is related to how to overcome nausea and vomiting with p = 0.008 where the value of α <0.1 then, Ha accepted means there is a relationship between knowledge and attitudes of pregnant women on how to cope with nausea vomiting while the variable obtained p=0,000 where the value of α<0,1 in the working area of ​​payung sekaki health center in Pekanbaru in 2019. Advised to puskesmas payung sekaki pekanbaru to try to increase public knowledge abaout nausea vomiting in pregnancy and the attitude of pregnant women to overcome nause and vomiting. By providing counseling to pregnant women abaout nausea and vomiting in pregnancy.


IKESMA ◽  
2019 ◽  
Vol 15 (1) ◽  
pp. 43
Author(s):  
Astri Meidah Setiawati

Cigarette exposure is one factor in the occurrence of hypertension and can increase blood pressure both for pregnant women and not. Hypertension is a fairly high disease problem in Indonesia. The purpose of this study was to determine the relationship of cigarette smoke to the occurrence of hypertension in pregnant women in Brangkal Village, Kepohbaru District, Bojonegoro City. This study is an observational analytic study and uses a quantitative approach. The design of this study uses cross sectional. The location of this study was conducted in Brangkal Village, Kepohbaru District, Bojonegoro City, from July to August 2018. The sample in this study used a total sampling of the population of all pregnant women in Brangkal Village, namely 10 pregnant women. The results of the study here are from the calculation of the chi-square test above indicating that the root problem of cigarette smoke in hypertension has P Value <α so that the results obtained are Ho accepted or not significant (p = 0.857). The conclusion of this study is that there is no significant relationship to exposure to cigarette smoke in the incidence of hypertension in pregnant women. This occurs due to several factors such as a husband who is working outside the city so that exposure to cigarette smoke is not as often as possible. Supporting factors are such as diet, knowledge and the amount of parity can affect hypertension in pregnant women.


Author(s):  
Fitta Deskawaty ◽  
Roni Aldiano

Background : Suyati et al (2011) conducted a study on the relationship between knowledge of pregnant women about the delivery process and the level of anxiety in facing childbirth. It was found that out of 48 pregnant women, 13 pregnant women (27.1%) had sufficient knowledge and experienced severe anxiety. This is because the understanding of a pregnant woman to know the process of childbirth is very important because pregnant women often have disturbing thoughts, as a development of an anxiety reaction to the stories they get. A number of fears arise in the third trimester. Pregnant women will feel anxious about the life of the baby and his own life, such as: whether the baby will be born normally. The purpose of this study is the relationship between work and the anxiety of primigravida pregnant women trimester III in dealing with childbirth. Method : The design in this study was cross sectional. The research was carried out at Puskesmas Batu Aji. The population in this study were all trimester III primigravida pregnant women who visited and performed ANC examinations. The sampling technique used in this study was total sampling. The instrument in this study used a questionnaire sheet and a check list. To measure the level of anxiety using the Hamilton Rating Scale for Anxiety (HRS-A). Chi-Square hypothesis test. Result : Research Results From the results of the chi-square calculation, the p-value is 0.571, which means that the p-value is ≥ 0.05. Conclusion : The conclusion is that there is a relationship between work and the anxiety of primigravida pregnant women trimester III in dealing with childbirth


Author(s):  
Rizki Muji Lestari ◽  
Ana Paramita ◽  
Bella Bella

Latar Belakang:Masa remaja adalah masa transisi yang ditandai oleh adanya perubahan fisik, emosi dan psikis.Saat ini ibu hamil muda semakin meningkat dan menjadi masalah terutama kehamilan dibawah usia 20 tahun.Di Puskesmas Pahandut Kota Palangka Raya pada tahun 2017 sejak bulan Januari sampai bulan Desember 2017 terdapat kunjungan ibu hamil usia remaja sebanyak 151 orang (Register KIA/KB Puskesmas Pahandut 2017).Tujuan: Penelitian untuk mengetahui Hubungan Status Ekonomi dan Budaya dengan Kejadian Kehamilan Usia Remaja di Puskesmas Pahandut Kota Palangka Raya.Metode:Desain penelitian  ini  bersifat kuantitatif analitik observasional dengan menggunakan jenis desain studi penampang analitik (analitic cross sectional), subjek penelitian ini adalah ibu hamil yng datang berkunjung di Puskesmas Pahandut dengan jumlah sampel sebanyak 44 orang. Data terkumpul dianalisis secara bivariat (chi square) dengan tingkat kepercayaan 95 %.Hasil: Hasil analisis hubungan antara status ekonomi dengan kejadian kehamilan usia remaja diperoleh p value = 0,000 artinya ada hubungan yang signifikan antara status ekonomi dengan kejadian kehamilan usia remaja.Sedangkan hasil analisis hubungan antara budaya dengan kejadian kehamilan usia remaja diperoleh p value = 0,000artinya ada hubungan yang signifikan antara budaya dengan kejadian kehamilan usia remaja.Simpulan:Berdasarkan hasil tersebut diatas, peran tenaga kesehatan sangat dibutuhkan, terutama melakukan konseling dan penyuluhan kepada anak remaja tentang kesehatan reproduksi dan dampak dari akibat serta risiko dari kehamilan usia remaja tersebut.Kata Kunci: Status Ekonomi, Budaya, Kehamilan Usia Remaja. ABSTRACT Background: Adolescence is a transition period characterized by physical, emotional and psychological changes. Currently young pregnant women are increasing and becoming a problem, especially pregnancy under the age of 20 years. In Pahandut Public Health Center, Palangka Raya City in 2017 from January to December 2017 there were 151 pregnant women who visited teenagers (KIA Register / KB Pahandut Health Center 2017).Objective: Research to determine the relationship of economic and cultural status with pregnancy incidence in adolescence at Pahandut Community Health Center, Palangka Raya City.Method: The design of this study was quantitative analytic observational using a cross sectional study design, the subject of this study was pregnant women who came to visit the Pahandut Health Center with a total sample of 44 people. The collected data were analyzed bivariately (chi square) with a confidence level of 95%.Results: The results of the analysis of the relationship between economic status and the incidence of pregnancy in adolescence were obtained p value = 0,000 meaning that there was a significant relationship between economic status and the incidence of adolescence in adolescence. Whereas the results of the analysis of the relationship between culture and the incidence of pregnancy in adolescence were obtained p value = 0,000 meaning that there was a significant relationship between culture and the incidence of pregnancy in adolescence.Conclusion: Based on the above results, the role of health workers is very much needed, especially in counseling and counseling adolescents about reproductive health and the impact of the consequences and risks of the teenage pregnancy. Keywords: Economic Status, Cultural, Teenage Pregnancy 


2019 ◽  
Vol 5 (1) ◽  
pp. 22
Author(s):  
Siti Mudlikah ◽  
Sutjiati D H ◽  
Neny Ilmia Ningrum

Nausea vomiting (emesis gravidarum) 50-60% occurs at the beginning of pregnancy trimester I. causes of increased estrogen, progesterone, and the release of human chorionic gonadothropine. Excessive emesis gravidarum is at risk of hyperemisis gravidarum which threatens the life of pregnant women. placenta. Purpose of the study: To determine the relationship between knowledge and attitudes of pregnant women to emesis gravidarum at Sumobito Health Center, Jombang Regency. Obeservational, cross sectional, total population of 34 first trimester pregnant women statistics Spearman Rank Correlation Test and somers test. Pregnant women had good knowledge of 15 (44.1%), sufficient knowledge 13 (38.2%), and insufficient knowledge 6 (17.7%). While being positive 24 (71%) and being negative 10 (29%), Rank Spearman test. Knowledge α = 0.005. P value = 0.216. The attitude test somers a = 0.05 P value = 0.954. There was no correlation between knowledge and the incidence of emesis gravidarum and there was no correlation between the attitude of pregnant women and the incidence of emesis gravidarum


2020 ◽  
Vol 5 (2) ◽  
pp. 7
Author(s):  
Aldi Febrian Wieminaty, SST., M.Kes

Jember Regency is the 2nd (second) highest place in the Maternal Mortality Rate at East Java. There was an increase number of maternal deaths from 2014 to 2017 at Jember Regency. The trias ocauses maternal of death included bleeding (28%), preeclampsia / eclampsia (24%), and infection (11%). Obesity triggers the incidence of preeclampsia through several mechanisms, namely superimposed preeclampsia, or through metabolite triggers and other micro molecules. The purpose of this study was to analyze the relationship between pregnant women who obesity with the incidence of preeclampsia. This type of research is descriptive with quantitative analysis and the research uses a cross-sectional approach. The population of this study were 182 pregnant women in the Kaliwates district, Jember in May-August. above 34 weeks pregnant mom, and the exclusion criteria were mothers who were not willing to be respondents. The results obtained were 66 pregnant women, this study used the Chi-Square test. The results of this study can be concluded that there is a relationship between pregnant women and obesity to the incidence of preeclampsia, namely as much as 70.0%, and pregnant women with obesity who do not experience preeclampsia as much as 30.0%. From the statistical test, the results of the null hypothesis are rejected with a P value of 0.000 <0.05, which means that there is a relationship or there is a relationship between pregnant women and obesity with the incidence of preeclampsia. Keywords: pregnant woman, obesity, preeclampsia


2019 ◽  
Vol 2 (2) ◽  
Author(s):  
Kusniyati Utami ◽  
Irni Setyawati

The West Nusa Tenggara Provincial Health Office (2017) mentions the number of maternal mortality from 2015 to 2017 continues to decrease, from 95 cases to 85 cases. Maternal mortality during pregnancy can be prevented by antenatal care by health workers in accordance with the frequency of antenatal visits a minimum of four times. The first visit is carry out at a gestational age of the mother <16 weeks (Ministry of Health Republic of Indonesia, 2013), but still found pregnant women who made the first antenatal visit in the second trimester and even the third trimester.The purpose of this study was to determine the differences in first visit of pregnant women by age in the Poskesdes working area of the UPTD Puskesmas Gunungsari.This study used a cross-sectional analytic research design in eight Poskesdes in the working area of the UPTD Puskesmas Gunungsari, West Lombok district in November 2018 to January 2019. Samples were taken using a total sampling technique of 1042 people.Secondary data was collected from the maternal cohort register in eight Poskesdes in the UPTD Puskesmas Gunungsari working area in the form of the age of the mother at the first visit and the age of the mother's pregnancy at the first visit. Data were processed univariately and bivariately using the chi-square test.There was a significant difference in the first visit of pregnant women between mothers aged <20 years, 20-35 years, and> 35 years as indicated by the p value of 0.00001 (<0.05). It is expected that midwives in Poskesdes will further enhance the role of cadres in capturing first trimester pregnant women especially those aged <20 years and> 35 years.


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


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