Laporkan Masalah

HUBUNGAN UMUR DAN STATUS GIZI DENGAN KEJADIAN ANEMIA IBU HAMIL TRIMESTER III DI PUSKESMAS PAJANGAN KABUPATEN BANTUL TAHUN 2015

IKSI FEBRIANI, Yani Widyastuti, S. SiT., M. Keb; Murni, S. SiT., S.Pd., M.Sc.

2015 | Tugas Akhir | D4 BIDAN PENDIDIK

Latar Belakang: Anemia pada ibu hamil disebut juga dengan Potential Danger to Mother And Child. Hal itu didasarkan bahwa anemia memiliki kemungkinan yang cukup besar pada terjadinya komplikasi bagi ibu dan bayi. Anemia maternal menyumbang 40-60% kematian ibu di Negara berkembang. Puskesmas Pajangan merupakan Puskesmas dengan jumlah ibu hamil anemia terbanyak di wilayah Bantul dan jumlah ibu hamil Risiko Tinggi mencapai 97,5%. Tujuan: Mengetahui hubungan umur dan status gizi dengan kejadian anemia ibu hamil trimester III di Puskesmas Pajangan Bantul. Metode: Jenis penelitian menggunakan desain survei-analitik dengan rancangan cross-sectional. Populasi pada penelitian adalah ibu hamil trimester III yang melakukan pemeriksaan ANC di Puskesmas Pajangan periode Januari-April 2015 sebanyak 43 ibu hamil. Sampel diperoleh menggunakan teknik consecutive sampling yaitu 40 ibu hamil. Analisis data dilakukan secara univariat dan bivariat menggunakan Uji Chi-Square. Hasil Penelitian: Persentase ibu hamil umur risiko adalah 47,5%; ibu hamil dengan KEK sebesar 55%; dan ibu hamil anemia trimester III sebesar 47,5%. Persentase ibu hamil umur risiko menderita anemia 32,5%; ibu hamil umur tidak risiko menderita anemia 15%; p-value hubungan umur dan anemia = 0,012; dan rasio prevalensi umur risiko terhadap kejadian anemia adalah 2,4. Persentase ibu hamil status gizi KEK menderita anemia 35%; ibu hamil status gizi tidak KEK menderita anemia 12,5%; p-value hubungan status gizi dan anemia = 0,024; dan rasio prevalensi status gizi KEK terhadap kejadian anemia adalah 2,3. Kesimpulan: Ada hubungan yang signifikan antara umur ibu dengan kejadian anemia ibu hamil trimester III. Ada hubungan yang signifikan antara status gizi dengan kejadian anemia ibu hamil trimester III. Umur berisiko meningkatkan risiko terkena anemia sebesar 2,4 kali dibandingkan dengan umur tidak berisiko. Status gizi KEK meningkatkan risiko terkena anemia sebesar 2,3 kali dibandingkan dengan status gizi tidak KEK.

Background: Anemia in pregnant women also called as Potential Danger to Mother and Child because anemia has more possibility causing complication for mother and babies. Maternal anemia contributes 40-60% of maternal death in developing countries. Pajangan Public Health Center has the most pregnant women with anemia in Bantul and percentage of pregnant women at high risk until 97,5%. Objectives: To determine relationship between maternal age and maternal nutritional status with the incidence of anemia among pregnant women at third trimester in Pajangan Public Health Center, Bantul. Methods: This research was an analytic-survey using cross-sectional design. Population were 43 pregnant women in their third trimester who did ANC examination at Pajangan Public Health Center on January until April 2015. The samples were taken by consecutive sampling with a large sample of 40 pregnant women. Data analysis was performed with univariate and bivariate analysis using Chi-Square test Results: The percentage of pregnant women at risky-age was 47,5%; pregnant women with Chronic Energy Deficiency (CED) was 55%.; prevalence of pregnant women have anemia at third trimester was 47,5% Percentage rate of pregnant women with risky-age have anemia was 32,5%; pregnant women without risky-age have anemia was 15%; p-value of correlation between maternal age and anemia was 0,012; prevalence ratio of risky-age to the incidence of anemia was 2,4. Prevalence of maternal nutritional status with CED have anemia was 35%; maternal nutritional status without CED have anemia was 12,5%; p-value of correlation between maternal nutritional status and anemia was 0,024; prevalence ratio of nutritional status of CED to the incidence of anemia was 2,3. Conclusions: There is a significant relationship between maternal age with the incidence of anemia on pregnant women in third trimester. There is a significant relationship between maternal nutritional status with the incidence of anemia on pregnant women in third trimester. Risky-age increase the risk of anemia 2,4 times compared with no risky-age. Nutritional status of CED increase the risk of anemia 2,3 times compared with nutritional status of no CED.

Kata Kunci : Umur ibu hamil, Status gizi ibu hamil, Anemia Trimester III