Kejadian Anemia Kehamilan Dengan Perdarahan Postpartum

Emuliana Sulpat; Andri Tri Kusumaningrum; Susilo Harianto; Amelia Mardhika; Lailatul Fadliyah; Anestasia Pangestu

doi:10.30651/jkm.v9i2.22922

Authors

Emuliana Sulpat Fakultas Vokasi Universitas Airlangga
Andri Tri Kusumaningrum Midwifery Study Program, Muhammadiyah University Lamongan, Lamongan, Indonesia
Susilo Harianto
Amelia Mardhika
Lailatul Fadliyah
Anestasia Pangestu

DOI:

https://doi.org/10.30651/jkm.v9i2.22922

Keywords:

Anemia pregnancy, Postpartum, Hemorrhage

Abstract

Objective: Death of pregnant women due to bleeding is the main cause in Lamongan. The biggest cause is postpartum hemorrhage due to nutritional deficiencies, especially anemia. Anemia is one of the four main nutritional problems in Indonesia which has a fairly high prevalence and is often caused by nutritional deficiencies, especially iron. This study aims to determine the relationship between anemia in pregnancy and the incidence of postpartum hemorrhage.

Methods: Design a case-control study with a retrospective observational approach, collecting data on maternal medical records in January-December 2021 in Bulutigo Laren-Lamongan Village, using a Simple Random Sampling technique with a sample size of 146 mothers who were divided into case groups and control groups. The dependent variable is anemia of pregnancy and the independent variable is postpartum hemorrhage. The research instrument used a check list to assess the incidence of anemia and an observation sheet to assess the incidence of postpartum hemorrhage. Data were analyzed by Chi Square test with ️ = 0.05.

Results: The results of statistical tests showed that there was a significant relationship between anemia and the incidence of postpartum hemorrhage. The combined odds ratio (OR) showed that the effect of anemic pregnant women on postpartum hemorrhage was 45.7 times higher than that of non-anemic mothers (95% CI: 16.05-117.94; p<0.000).

Conclusion: Pregnant women with anemia are 45.7 times more likely to experience postpartum hemorrhage than pregnant women who do not experience anemia. Anemia of pregnancy can be detected by regular antenatalcare (ANC) examinations

References

Baldwin, H. J., Nippita, T. A., Torvaldsen, S., McGee, T. M., Rickard, K., & Patterson, J. A. (2021). Validation of anaemia, haemorrhage and blood disorder reporting in hospital data in New South Wales, Australia. BMC Research Notes, 14(1), 1–8. https://doi.org/10.1186/s13104-021-05584-x

Bazirete, O., Nzayirambaho, M., Umubyeyi, A., Karangwa, I., & Evans, M. (2022). Risk factors for postpartum haemorrhage in the Northern Province of Rwanda: A case control study. PLOS ONE, 17(2), e0263731. https://doi.org/10.1371/journal.pone.0263731

Kedir, R. D., Halil, H. M., Reta, A. E., Helill, S. E., & Abdo, R. A. (2021). Prevalence and factors associated with anaemia among pregnant women in hossana town, southern ethiopia: A cross-sectional study. Journal of Nepal Paediatric Society, 41(2), 218–225. https://doi.org/10.3126/JNPS.V41I2.32436

Kementerian. (2020). Profil Kesehatan Indonesia.

Kementerian RI. (2019). Kementerian RI, Profil Kesehatan Indonesia.

Damayanti, M. A. (2024). Perbedaan Pemberian Rebusan Bayam Merah Dan Bayam Hijau Terhadap Peningkatan Kadar Hemoglobin Pada Ibu Hamil Trimester II Dengan Anemia. Jurnal Keperawatan Muhammadiyah, 9(1), 15-22.

Oktariza, R., Flora, R., & Zulkarnain, M. (2020). Gambaran Anemia Pada Kejadian Perdarahan Post Partum. JAMBI MEDICAL JOURNAL “Jurnal Kedokteran Dan Kesehatan,” 8(1), 15–18. https://doi.org/10.22437/jmj.v8i1.9421

Oktaviani, O. (2017). Anemia Pada Kehamilan Sebagai Faktor Risiko Perdarahan Postpartum Di Rumah Sakit. Jurnal Medikes (Media Informasi Kesehatan), 4(2), 121–128. https://doi.org/10.36743/medikes.v4i2.78

Risnawati, I., & Hanung, A. (2015). Dampak Anemia Kehamilan terhadap Perdarahan Post Partum. STIKES Muhammadiyah Kudus, 6, 57–67.

Shi, H., Chen, L., Wang, Y., Sun, M., Guo, Y., Ma, S., Wang, X., Jiang, H., Wang, X., Lu, J., Ge, L., Dong, S., Zhuang, Y., Zhao, Y., Wei, Y., Ma, X., & Qiao, J. (2022). Severity of Anemia during Pregnancy and Adverse Maternal and Fetal Outcomes. JAMA Network Open, 5(2), 1–13. https://doi.org/10.1001/jamanetworkopen.2021.47046

Siagian, R., Sari, R. D. P., & Ristyaning, P. (2017). Hubungan Tingkat Paritas dan Tingkat Anemia terhadap Kejadian Perdarahan Postpartum pada Ibu Bersalin. Jurnal Majority, 6(3), 45–50. http://juke.kedokteran.unila.ac.id/index.php/majority/article/view/1107/954

Siswanto, Susila, S. (2015). Metodologi Penelitian Kesehatan Dan Kedokteran. Bursa Ilmu.

Yurniati, R. M. (2019). Jurnal Ilmiah Forilkesuit. Hubungan Anemia Dengan Kejadian Perdarahan Post Partum Di Rsud H. Padjonga Dg. Ngalle Kabupaten Takalar Tahun 2017, 1(2), 41–47. https://uit.e-journal.id/JF/article/view/547