The Effect of Anemia in Pregnancy on Postpartum Hemorrhage
DOI:
https://doi.org/10.31965/infokes.Vol20.Iss2.635Keywords:
Anemia, Hemorrhage, PregnancyAbstract
Eighty percent of maternal deaths are caused by complications during pregnancy and childbirth. Furthermore, twenty-five percent of maternal deaths is affected by postpartum hemorrhage which is estimated 100,000 deaths annually. Indonesia places at the second ranks of the highest maternal deaths country after Laos. The cause of death in Indonesia is 28% by hemorrhage. The hemorrhage in maternity is due to anemia in pregnancy. It occurs because when the mother gives birth, there will be adequate uterine contractions so that the hemorrhage is inevitable. The objective of the study is to identify the effect of anemia in pregnancy on the incidence of postpartum hemorrhage. The type of research employed is an analytic survey with a retrospective design. The research location was at Juata Tarakan Health Center. The population in this study were all pregnant women who visited the obstetrics and gynecology polyclinic in 2020 which was obtained from secondary data, the patient's medical record book at the Juata Public Health Center with a sample of 271 on June 23 to August 31, 2021. Sampling employed a non-probability sampling technique, total sampling, and the data analysis was administered univariately, and bivariate with chi-square test. The incidence of postpartum hemorrhage in women giving birth in the working area of the Juata Tarakan Health Center is 12.9%. Anemia in pregnancy possesses a significant effect on the risk of postpartum hemorrhage with p value (OR=11,253, 95%CI 5,120-24,732). Meanwhile, parity, age, type of delivery did not possess significant effect on postpartum hemorrhage. Mothers with anemia in pregnancy own a higher risk of postpartum hemorrhage which was 11.253 times greater than mothers who were not anemic in pregnancy. Therefore, it is necessary to perform proper handling of anemia in pregnant women to prevent postpartum hemorrhage.
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Al-Khaffaf, A., Frattini, F., Gaiardoni, R., Mimiola, E., Sissa, C., & Franchini, M. (2020). Diagnosis of anemia in pregnancy. Journal of Laboratory and Precision Medicine, 5(9), 1-5. https://doi.org/10.21037/jlpm.2019.12.03
Ariyanti, R., Yulianti, I., & Padlilah, R. (2021). Birth Place Preference and Birth Attendant Selection during Covid-19 Pandemic in Tarakan City, North Kalimantan. Journal of Maternal and Child Health, 6(1), 122–130. https://doi.org/10.26911/thejmch.2021.06.01.12.
Dinas Kesehatan Kota Tarakan. (2020). Profil Dinas Kesehatan Kota Tarakan 2020. Tarakan: Dinas Kesehatan Kota Tarakan.
Fibrila, F. (2018). Komplikasi Kehamilan dan Anemia Kehamilan Meningkatkan Insidensi Perdarahan Pascasalin (Studi Kasus Kontrol). Jurnal Kesehatan Metro Sai Wawai, 11(2), 67–72. https://doi.org/10.26630/jkm.v11i2.1773
Fitriany, J., & Saputri, A. I. (2018). Anemia defisiensi besi. AVERROUS: Jurnal Kedokteran dan Kesehatan Malikussaleh, 4(2), 1-14. https://doi.org/10.29103/averrous.v4i2.1033
Hayati, S., Maidartati, & Amelia, M. (2019). Faktor-Faktor Yang Berhubungan Dengan Perdarahan Postpartum Primer. Jurnal Keperawatan BSI, 7(2), 333-342. Retrieved from http://ejurnal.ars.ac.id/index.php/keperawatan/article/view/102
Igbinosa, I., Berube, C., & Lyell, D. J. (2022). Iron deficiency anemia in pregnancy. Current Opinion in Obstetrics and Gynecology, 34(2), 69-76. https://doi.org/10.1097/GCO.0000000000000772
Kementerian Kesehatan Republik Indonesia. (2019). Profil Kesehatan Indonesia 2018. Jakarta: Kementerian Kesehatan Republik Indonesia.
Kementerian Kesehatan Republik Indonesia. (2020). Pedoman Bagi Ibu Hamil, Ibu Nifas, dan Bayi Baru Lahir selama Social Distancing. Jakarta: Kementerian Kesehatan Republik Indonesia.
Lee, A. I., & Okam, M. M. (2011). Anemia in pregnancy. Hematology/Oncology Clinics, 25(2), 241-259. https://doi.org/10.1016/j.hoc.2011.02.001
Maesaroh, S., & Iwana, I. P. (2018). Hubungan Riwayat Anemia Dan Jarak Kelahiran Dengan Kejadian Perdarahan Postpartum Di Rsud Dr. H. Abdul Moeloek. Midwifery Journal: Jurnal Kebidanan UM. Mataram, 3(1), 21-25. https://doi.org/10.31764/mj.v3i1.120
McLean, E., Cogswell, M., Egli, I., Wojdyla, D., & De Benoist, B. (2009). Worldwide prevalence of anaemia, WHO vitamin and mineral nutrition information system, 1993–2005. Public health nutrition, 12(4), 444-454. https://doi.org/10.1017/S1368980008002401
Moya, E., Phiri, N., Choko, A. T., Mwangi, M. N., & Phiri, K. S. (2022). Effect of postpartum anaemia on maternal health-related quality of life: a systematic review and meta-analysis. BMC public health, 22 (364), 1-10. https://doi.org/10.1186/s12889-022-12710-2
Nur, A. F., Rahman, A., & Kurniawan, H. (2019). Faktor Risiko Kejadian Perdarahan Postpartum di Rumah Sakit Umum (RSU) Anutapura Palu. Healthy Tadulako Journal (Jurnal Kesehatan Tadulako), 5(1), 26-31. Retrieved from https://jurnal.fk.untad.ac.id/index.php/htj/article/view/109
Nuryawati, L. S., & Budiasih, S. (2017). Hubungan kelas ibu hamil dengan pengetahuan ibu hamil tentang tanda-tanda bahaya kehamilan di Desa Surawangi wilayah kerja UPTD Puskesmas Jatiwangi Kabupaten Majalengka tahun 2016. Jurnal Bidan “Midwife Journal”, 3(1), 60–66.
Oktariza, R., Flora, R., & Zulkarnain, M. (2020). Gambaran Anemia Pada Kejadian Perdarahan Post Partum. Jambi Medical Journal, 8(1), 15-18. https://doi.org/10.22437/jmj.v8i1.9421
Onyeneho, N. G., & Igweonu, O. U. (2016). Anaemia is typical of pregnancies: capturing community perception and management of anaemia in pregnancy in Anambra State, Nigeria. Journal of Health, Population and Nutrition, 35(1), 1-8. https://doi.org/10.1186/s41043-016-0066-9
Pratiwi, I. R., Santoso, S., & Wahyuningsih, H. P. (2018). Prevalence and risk factors for postpartum anemia. Jurnal Kesehatan Ibu Dan Anak, 12(2), 113–118. https://doi.org/10.29238/kia.v12i2.153
Putra, M. M. A., & Aprijadi, H. (2019). Anemia aplastik berat dengan komplikasi febril neutropenia dan perdarahan pada perempuan usia 20 tahun. Jurnal Agromedicine, 6(1), 226-230. Retrieved from https://juke.kedokteran.unila.ac.id/index.php/agro/article/view/2278
Risnawati, I., & Ningrum, A. H. P. S. (2015). Dampak Anemia Kehamilan Terhadap Perdarahan Post Partum. Jurnal Ilmu Keperawatan dan Kebidanan, 6(3), 57-67. Retrieved from https://ejr.stikesmuhkudus.ac.id/index.php/jikk/article/view/132
Sassanarakkit, S., Kaiwong, S., & Chittacharoen, A. (2019). A study on instant ginger drink effect in enhancing postpartum breastfeeding in immediate post cesarean delivery. Journal of the Medical Association of Thailand, 102(3), 259-63. Retrieved from http://www.jmatonline.com/index.php/jmat/article/view/9612
Sharifzadeh, F., Kashanian, M., Koohpayehzadeh, J., Rezaian, F., Sheikhansari, N., & Eshraghi, N. (2018). A comparison between the effects of ginger, pyridoxine (vitamin B6) and placebo for the treatment of the first trimester nausea and vomiting of pregnancy (NVP). The Journal of Maternal-Fetal & Neonatal Medicine, 31(19), 2509-2514. https://doi.org/10.1080/14767058.2017.1344965
Stephen, G., Mgongo, M., Hussein Hashim, T., Katanga, J., Stray-Pedersen, B., & Msuya, S. E. (2018). Anaemia in Pregnancy: Prevalence, Risk Factors, and Adverse Perinatal Outcomes in Northern Tanzania. Anemia, Article ID 184628. 1-9. https://doi.org/10.1155/2018/1846280
Subarda, S., Hakimi, M., & Helmyati, S. (2011). Pelayanan antenatal care dalam pengelolaan anemia berhubungan dengan kepatuhan ibu hamil minum tablet besi. Jurnal Gizi Klinik Indonesia, 8(1), 7-13. http://dx.doi.org/10.22146/ijcn.17725
Subratha, H. F. A. (2022). Anemia Dalam Kehamilan Dengan Kejadian Perdarahan Post Partum. Jurnal BIMTAS: Jurnal Kebidanan Umtas, 5(1), 1–6. https://doi.org/10.35568/bimtas.v5i1.1793
Sulistyoningtyas, S., & Cahyawati, F. E. (2020). Karakteristik dan Penanganan Perdarahan pada Ibu Postpartum. Jurnal Keperawatan, 12(1), 141-146. Retrieved from http://www.journal.stikeskendal.ac.id/index.php/Keperawatan/article/view/713
Sumiaty, S., Udin, U., & Aminuddin, A. (2018). Anemia Kehamilan dan Jarak Persalinan dengan Kejadian Perdarahan Postpartum di RSUD Undata Palu Propinsi Sulawesi Tengah. Husada Mahakam: Jurnal Kesehatan, 4(5), 315-325. http://dx.doi.org/10.35963/hmjk.v4i5.104
Wardani, P. K. (2017). Faktor-Faktor yang Mempengaruhi Terjadinya Perdarahan Pasca Persalinan. Jurnal Aisyah : Jurnal Ilmu Kesehatan, 2(1), 51 - 60. https://doi.org/10.30604/jika.v2i1.32
World Health Organization. (2020). Global anaemia reduction efforts among women of reproductive age: impact, achievement of targets and the way forward for optimizing efforts. Geneva: World Health Organization
Yasin, Z., Hannan, M., & Wahyuni, E. (2021). Anemia berhubungan dengan Perdarahan Post Partum. Journal of Health Science (Jurnal Ilmu Kesehatan), 6(1), 13-18. https://doi.org/10.24929/jik.v6i1.1359
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