Hubungan kadar hemogloin ibu menyusui dengan kadar Fe ASI efeknya terhadap kadar hemoglobin bayi usia 6 bulan di Kabupaten Bantul Yogyakarta

HELMYATI, Siti, dr. Hamam Hadi, MS.Sc.D

2002 | Tesis | S2 Ilmu Kesehatan Masyarakat

Latar Belakang: Tingginya anemia defisiensi besi pada bayi setelah usia 6 bulan, banyak terjadi khususnya di negara yang sedang berkembang. Faktor-Faktor yang diperkirakan berhubunqan dengan terjadinya anemi pada bayi antara lain kadar hemoglobin ibu dan kadar zat besi dalam ASI, sedangkan kadar zat besi ASI diperkirakan dipengaruhi oleh kadar hemoglobin ibu. Tujuan Penelitian: penelitian ini bertujuan untuk mengetahui hubungan kadar hemoglobin ibu menyusui 4 dan 6 bulan postpartum, kadar zat besi dalam ASI 6 bulan postpartum dan kadar hemoglobin bayi usia 6 bulan. Rancangan Penelitian: penelitian ini merupakan penelitian observasional dengan rancangan kohort . Sampel dalam penelitian ini adalah ibu hamil postpartum 4 bulan yang masih menyusui bayinya dan diikuti sampai bayinya berusia 6 bulan. Hasil Penelitian: Hasil dalam penelitian ini menunjukkan bahwa kadar hemoglobin ibu menyusui 6 bulan postpartum berhubungan dengan kadar zat besi dalam ASI (p=O.o5e), setiap kenaikan 1 AS1 sebesar C.C38/dl kadar Hemoglobin ibu menyusui 4 bulan postpartum berhubungan secara signifikan dengan kadar hemoglobin bayi usia 6 bulan (P<0,05), setiap kenaikan 1 gr/dl kadar hemoglobin ibu menyusui 4 bulan postpartum akan meningkatkan kadar hemoglobin bayi sebesaz 0.15 g/dl, akan tetapi kadar hemoglobin ibu menyusui 6 bulan postpartum tidak berhubungan dengan kadar hemoglobin bayi usia 6 bulan. Kadar zat besi ASI tidak berhubungan dengan anemia pada bayi usia 6 bulan. Kesimpulan: Kadar hemoglobin ibu menyusui 6 bulan postpartum berhubungan dengan kadar zat besi dalam ASI, kadar hemoglobin ibu postpartum 4 bulan postpartum berhubungan dengan kadar hemoglobin pada bayi usia 6 bulan. Kadar hemoglobin ibu menyusui 6 bulan postpartum tidak berhubungan dengan kadar hemoglobin pada bayi usia 6 bulan. Kadar zat besi ASI tidak berhubungan denqan anemia bayi usia 6 bulan.

Background: iron deficiency anemia on infant after sixth month of age is high, especial1y in developing country. Maternal hemoglobin concentration and iron content in breastmilk are considered to influence infant anaemia, maternal hemoglobin concentration consideren to influence iron content in breasmilk . Objective of the study: the study is conducted to assess association between lactating mother haemoglobin concentration at 4 and 6 mo postpartum, iron content breastmilk and infant hemoglobin concentration at sixth month of age. Study Design: this study is cohort. Sample in this study are women who had delivery for four month postpartum that still breastfeed their baby, and followed until six month of age. Results : result of this study showed association between maternals haemoglobin concentration at six month postpartum maternal hemoglobin concentration could increased 0.098 g/di of iron content in breastmilk. Maternal hemoglobin concentration at 4 month postpartum have a significant association(p<0,005) with infant hemoglobin concentration, 0.15 g/dl of infant's hemoglobin concentration . No Significant association between maternal haemoglobin concentration at 6 month postpartum and infant's , haemoglobin concentration and there is no significant association between iron content in breastmilk and infant anemia at six month of age and iron content in breastmilk and infant anemia at six month of age. Conclusions: maternal haemoglobin concentration at 6 month postpartum have an association with iron content in breastmilk, maternal haemoglobin concentration at 4 month postpartim have an association with infant haemoglobin concentration. No significant association between maternal's haemoglobin concentation at 6 month postpartum and infant's haemoglobin concentration and there is no significant association between iron content in breastmilk and infant anemia at six month of age.

Kata Kunci : Gizi Bayi, Fe ASI, Hemoglobin Bayi