ANTENATAL CARE AND IRON DEFICIENCY ANEMIA AMONG PREGNANT WOMEN

Darmawati Darmawati, Teuku Tahlil, Toungku Nizwan Siregar, Hajjul Kamil, Fithria Fithria, Masyithah Audina

Abstract


Anemia in pregnancy is one of the contributor factors to the increasing of maternal mortality rate, cause hemorrhage and sepsis during labour. Infants who born from anemic mothers can also be premature, immune system weakness, and developmental disorders. Globally, the most common cause of anemia during pregnancy is iron deficiency. Indonesian Ministry of Health try to solve this problem with integrated antenatal service program with the standards offered are middle upper arm circumference (MUAC) measurement, weight measurement, and laboratory examination. This study aims to find out the relationship between integrated antenatal service with iron deficiency anemia. This study is applied using cross sectional study with non probability and purposive sampling method. The measuring instrument was checklist and questionnaire sheets. The sample of this study was 102 pregnant women and data analysis was done using Chi-Square test. The relationship between MUAC and iron deficiency anemia has p-value = 0.008. MUAC is a standard in measuring nutritional status of pregnant mother that has consistent result, so it can be used to identify the change of maternal nutritional status including iron. The laboratory examination and iron deficiency anemia relationship has p-value = 0.005. The blood type and hemoglobin examination is part of laboratory examination. The blood type examination provides information about the type of blood group that susceptible to anemia, so that it can be used to detect and prevent anemia, while hemoglobin examination also recommended by WHO to diagnose anemia in pregnancy. This study find out that there is no significant relationship between body weight measurement and iron deficiency anemia (p-value = 0.808). Weight measurement in pregnancy is not always a step to detect nutritional status in pregnancy because the weight gain in pregnancy may also caused by other factors. This study above indicates that anemia in pregnancy is relate with integrated antenatal care service, especially middle upper arm circumference measurement and laboratory examination. It is recommended to antenatal care providers to improve the quality of service that offered, so it can make many health problems during pregnancy especially iron deficiency anemia can be detected and handled quickly.


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References


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