Anemia In Pregnant Women Research Articles

THE STUDY OF MATERNAL OUTCOME FOLLOWING EARLY AND DELAYED CORD CLAMPING IN BIRTHS ASSOCIATED WITH ANEMIA IN PREGNANCY

Aim and Objectives: (The objectives of the study are as follows: 1) To compare the Blood loss in both early cord clamping (ECC) versus delayed cord clamping (DCC) (in the third stage of labor). (2) To compare the third-stage complications following ECC versus of DCC in anemic pregnant females. (3) To compare Maternal hemoglobin and hematocrit at 24 h of delivery in both ECC versus DCC. Methods: This prospective study was carried out in the Department of Obstetrics and Gynaecology in Lady Hardinge Medical College and Associated Hospitals, New Delhi pregnant women. A total of 120 anemic pregnant women between 32 and 40 weeks of gestation admitted in the labour room were enrolled in the study (hemoglobin between 7 and 10.9 g%). Twenty patients were lost to follow-up. Third-stage complications of 46 women who underwent ECC (<60 s) were compared with 54 women who underwent DCC (more than 60 s to <3 min). Maternal hemoglobin and hematocrit at 24 h of delivery were also compared between both groups. Results: The mean blood loss in both the groups was 325±89.287 and 326.85±66.384, comparable statistically with p=0.906. Out of 100 patients enrolled, only two patients had postpartum hemorrhage. Each one belonged to each group (p<0.909). None of the groups had retained placenta showing no statistical significance between two groups (p<1). DCC was not associated with increased risk of third-stage complications whether in cesarean section or vaginal delivery. There were no differences in operative time, post-delivery decrease in hematocrit, rates of postpartum hemorrhage, bleeding complications, maternal blood transfusions, and therapeutic hysterectomy between the two groups. Conclusions: DCC is safe for mother especially in anemic mothers also as it does not increase the mean blood loss and also it has beneficial effect on neonates. No difference in third-stage complications and maternal hemoglobin and hematocrit levels at 24 h in both groups. It should be recommended in routine practice where it is not contraindicated especially in resource-poor settings.

Evaluasi Efektivitas Intervensi pada Ibu Hamil dengan Anemia di Indonesia: Studi Literatur

An in-depth understanding of the background of the problem of anemia in pregnant women in Indonesia is crucial for designing and implementing more effective intervention programs. Effective prevention and intervention programs and efforts to holistically increase nutritional awareness in society are a must to achieve positive change in overcoming anemia in pregnant women in Indonesia. To analyze more deeply the extent to which previous research has investigated interventions for pregnant women with anemia in Indonesia. This research uses the PRISMA literature review, through a digital library database that is connected to various scientific publication pages through keywords such as "Anemia", "Pregnant Women", "Anemia of Pregnant Women", and "Anemia Intervention". Research methods include quantitative, qualitative methods and reviews related to intervention strategies for pregnant women with anemia in Indonesia. Effective interventions for pregnant women with anemia include health education, a combination of blood supplement tablets and juices and consumption of iron from natural sources. Interventions based on a sustainable and integrated approach, involving various parties including families, communities, government, private parties and non-government partners, are needed to achieve significant and sustainable changes in tackling anemia in pregnant women in Indonesia.

Improvement of Hemoglobin Levels in Pregnant Women with Anemia Through Dragon Fruit Consumption

Anemia frequently manifests in pregnant women as a consequence of alterations in the cardiovascular system, leading to hemodilution and a subsequent decline in blood oxygen levels. The augmented iron demands during pregnancy arise from the needs of the fetus and placenta, coupled with physiological shifts like heightened blood volume and red blood cell count. This elevation in levels may contribute to diminished hemoglobin and hematocrit levels, consequently escalating the prevalence of anemia and iron deficiency during pregnancy. A viable solution for averting anemia in pregnant women involves the consumption of fruits rich in iron and vitamin C, such as dragon fruit, crucial for hemoglobin synthesis. The research method employed in this study followed a quantitative approach, specifically utilizing quasi-experimental research with a pretest-post-test design, including a control group. The study population comprised all pregnant women attending TPMB N Depok, West Java, during October-December 2023. Inclusion criteria involved pregnant women aged 16-34 weeks who visited TPMB N and exhibited signs of anemia. The study sample consisted of pregnant women willing to consume 200 cc of dragon fruit juice daily for a duration of 14 days. Bivariate data analysis was conducted using the Mann-Whitney Test. The intervention implemented involved administering dragon fruit juice, prepared by blending 200g of dragon fruit with 200cc of water and adding 3 tablespoons of sugar. The findings reveal a statistically significant difference in Hb levels among pregnant women before and after the consumption of dragon fruit juice, with a P value of 0.001.

Hubungan Perilaku Ibu, Peran Nakes, Dan Motivasi Keluarga Terhadap Kejadian Anemia Pada Ibu Hamil Di Desa Permis

Introduction: Anemia in pregnancy is a problem in the health sector because it is an indicator of poor nutritional status and health status. Anemia during pregnancy is defined as Hb less than 10 g/dL. If Hb is below 12 g/dL in early pregnancy, pregnant women may need to be given prophylactic drugs because of hemodilution which reduces Hb levels to less than 10 g/dL. The purpose of this study was to determine the relationship between maternal behavior, the role of health workers, and family motivation on the incidence of anemia in pregnant women in Permis Village in 2022. Methods: This type of research is an analytical descriptive study using a quantitative method with a cross-sectional approach. Results: The statistical test results show that there is a relationship between the role of midwives and the incidence of anemia in pregnant women in Permis Village in 2022 with a p-value of 0.006. there is a relationship between family motivation and the incidence of anemia in pregnant women in Permis Village in 2022 with a p-value of 0,021. there is a relationship between anemia prevention behavior and the incidence of anemia in pregnant women in Permis Village in 2022 with a p-value of 0.013. Discussion: The conclusion is the relationship between maternal behavior, the role of health workers, and family motivation toward the incidence of anemia in pregnant women in Permis Village in 2022. The suggestion for this research is to apply healthy behavior on how to prevent and treat anemia during pregnancy to prevent complications in pregnant women and fetuses.

EXAMINING RISK FACTORS OF ANEMIA IN PREGNANCY USING HYBRID LOGISTIC REGRESSION MODEL AND ROUGH SET THEORY

Anemia in pregnancy is a potential danger to the mother and child. Therefore, the risk of anemia in pregnant women requires serious attention from all relevant parties. Considering the numerous negative effects caused by anemia in pregnant women, efforts must be made to prevent and treat anemia in pregnant women by understanding the factors that influence it. This study assesses the risk factors for anemia in pregnant women at Tegal Rejo Community Health Center, Yogyakarta Province. In this paper, a new integrated classification approach with binary logistic regression (LR) analysis and Rough Set Theory (RST) is proposed, in order to examine factors on the incidence of anemia in pregnancy. The proposed model is called the Logistic Regression and Reduction Rough Set (LR3S). In LR3S model, the RST technique is used to detect inconsistent sample and removing inconsistent sample that have probability less than 0.5 before doing LR modelling. To evaluate the development of the resulting model, a comparison was made of the performance of Original Logistic Regression (OLR), LR model after removed outlier namely as Remove Outlier Original Logistic Regression (RO2LR) and LR3S. Using a number of model performance metrics, it is found that LR3S has the best performance for the three models used. Using LR3S model, it is found that CED status, educational level, parity and gestational are significant variable impact on the incidence of anemia.

Peningkatan Pengetahuan Ibu Hamil Tentang Manfaat Sayuran Hijau Sebagai Upaya Mencegah Anemia Kehamilan di Puskesmas Gandus Palembang

Anemia in pregnant women is still a global problem today. The World Health Organization (WHO) reported that in 2019 the incidence of anemia in pregnant women was 37%. The biggest cause of anemia in pregnant women is iron deficiency. Apart from Blood Increasing Tablets, pregnant women need to consume foods that contain Fe, namely green vegetables. The aim of the activity is to increase pregnant women's knowledge about the benefits of green vegetables in preventing anemia. Method: counseling uses a question and answer lecture method and educational videos containing the correct and appropriate way to process green vegetables. Knowledge assessment is by interview (questionnaire). Results: The average pretest score was 67.4 and the average posttest score was 81.1. These results indicate an increase in knowledge of pregnant women after being given education using lecture and video methods about the benefits of green vegetables and pregnancy anemia. It is hoped that all relevant parties will develop and improve education programs in an effort to prevent anemia in pregnant women.

A cross sectional study to assess anemia & its determinants among pregnant women in a rural area of Maharashtra

Background: In India, anaemia prevalence is more than 40% so it is a severe public health problem. National Family Health Survey V indicates that prevalence of anaemia in pregnant women in Maharashtra’s rural areas is 46.5%. As the pregnant women have high prevalence of anaemia, it highlights the need to conduct research to find out the determinants and its preventive measures. Aim: To determine prevalence of anaemia and to assess its determinants amongst pregnant women in a rural area Methods: Three eighty-four pregnant women in a rural area of Thane district were selected for a community based descriptive cross-sectional study. Association between anaemia and variables in the study was established using Pearson‘s Chi- square test. For studying association between anaemia as dependent variable and various determinants as independent variables, binary logistic regression analysis was used. Results: Prevalence of anaemia was found to be 62.5%. 29.2% participants were mildly anaemic, 33.0% were moderately anaemic, 0.3% were severely anaemic and 37.5% were non-anaemic. Occurrence of anaemia was significantly associated with age, religion, gravida status, trimester, gestational age at first ANC visit, no consumption of IFA tablets, no consumption of dark green leafy vegetables and dietary habits. Conclusions: High prevalence of anaemia amongst pregnant women reflects poor utilization of health care services, lack of awareness about adequate dietary patterns and poor nutritional status. Anaemia is still a severe public health issue amongst pregnant women of rural areas.

Effect of Moringa Oleifera leaves powder on hemoglobin level in second-trimester pregnant women of Karachi, Pakistan.

Background: Anemia, particularly iron-deficiency anemia during pregnancy, has substantial implications for maternal health and fetal growth. Moringa leaves are known to be rich in iron and may offer a dietary solution to combat anemia in pregnant women. However, evidence on the association between fresh Moringa leaf consumption and maternal hemoglobin levels during pregnancy is lacking. Hence, this study aims to assess the impact of Moringa Oleifera leaf powder supplementation on hemoglobin levels during the second trimester of pregnancy in Karachi, Pakistan. Methodology: A community-based comparative cross-sectional study was conducted at Koohi Goth Women's Hospital, Karachi, Pakistan, from November 2021 to May 2023. The study involved 200 pregnant women who consumed fresh Moringa leaves and 200 non-consumers. Data were collected through an interviewer-administered structured questionnaire, and hemoglobin levels were measured using HemoCue Hb 301. Results: The demographic characteristics of the study participants were analyzed, revealing that most participants in both groups were between 20 and 30 years old. Additionally, most participants in both groups were pregnant for the first time. Hemoglobin (Hb) levels were measured across trimesters, with the Moringa leaf extract group showing levels of 9.43 ± 0.62 g/dL in the first trimester, 8.98 ± 1.12 g/dL in the second trimester, and 9.09 ± 1.04 g/dL in the third trimester. The folic iron group exhibited a higher increase in hemoglobin concentration (10.14 ± 0.91 g/dL) compared to the Moringa leaf extract group (8.98 ± 1.12 g/dL), but the difference between the two groups was not statistically significant. Conclusion: In conclusion, iron-rich foods such as Moringa leaves and iron tablets are recommended to enhance hemoglobin levels in pregnant women.

Counseling On Make A Match Balanced Nutrition For Pregnant Women And Practice/Giving Cookies In Sukahitu In Pantai Labu Pekan Village, Pantai Labu District

Anemia is a health problem that occurs in all countries, especially developing countries, one of which is Indonesia. According to WHO, anemia in pregnant women is the condition of a mother with a hemoglobin (Hb) level in her blood of less than 11gr/dl as a result of the inability of the tissue that forms red blood cells (Erythtopoetic) in its production to maintain the Hb concentration at a normal level. This service aims to overcome the problems of knowledge and attitudes among WUS women and pregnant women. With counseling and role playing make a match cards, it can increase knowledge and attitudes towards balanced nutrition in WUS mothers and pregnant women so that WUS mothers and pregnant women become enthusiastic about using make a match card role playing so that it makes mothers more interested in playing make a match card roles. In order to create a relationship between groups of mothers in learning to receive material and to make WUS mothers and pregnant women more creative and active in receiving counseling material so that it is easier for mothers to understand and take a stance on balanced nutrition education.

Hubungan Antara Faktor Risiko pada Ibu Hamil dengan Kejadian Stunting di Wilayah Kerja Puskesmas Mandastana, Kabupaten Barito Kuala

Data from the Asian Development Bank (ADB) in November 2021 showed that Indonesia was in the second highest position in Southeast Asia for the prevalence of children that has stunting occurance under five years old. The Permata Bunda program is one of the priority programs of the Batola Regency Government in the form of providing food to children under five who have malnutrition, good nutrition and pregnant women with chronic energy deficiency, as well as pregnant women and toddlers from underprivileged families, restoring the children under five and pregnant women’s nutritional status. The study design used in this study is a case control design, a quantitative analytic study, which is to determine the correlation between age, parity, Chronic Energy Deficiency (CED), anemia and maternal weight gain with the incidencef stunting in children under five. There is a correlation between maternal parity, the incidence of SEZ and the occurance of anemia with the occurance of stunting toddlers and there is no correlation between age and maternal weight gain during phase of pregnancy and the incidence of stunting in children under five. The health workers in Puskesmas are suggested to prioritize the risk of CED and anemia in pregnant women to prevent the problem of stunting in children.

Enhancing Maternal Health: IT Solutions for Monitoring Anemia in Pregnancy

Background: Anemia is a condition in which a deficiencyof red blood cells (erythrocytes) in the blood cycle or mass of hemoglobin is so unable to fulfill its function as a carrier of oxygen in the entire tissue. Handling to increase hemoglobin levels by using pharmacological and non-pharmacological management, one of the non-pharmacological management is by giving vitamin C so that the process of absorption and formation of hemoglobin is faster such as consuming red guava juice every day 2 x 1 together with Fe. the study was to determine the effect of giving Fe tablets and red guava juice on increasing hemoglobin levels in third trimester pregnant women. This pre-post experimental research design uses a design pretest-posttest whit control group design. The sampel in this study 36 respondents consisting of 18 experimental respondents and 18 control respondents with purposive sampling technique. The research instrument used the measuremets tool HB Family Dr. Test Strip and observation for 2 weeks. Data were analyzed using paired t-test to determine changes before and after and independent T-Test to determine the difference between the experimental group and the control group. The results of the pre-post study in the experimental group were p values of 0,000(p <0.05) and in the control group were 0.01(p <0,05). The results of the pre-post study in the experimental and control group p value 0,000. There is an effect of giving red guava juice and Fe tablets to increase hemoglobin levels of pregnant women in the third trimester who have mild anemia. Therefore, it is hoped that PMB (Praktek Mandiri Midwives) can pay attention to the handling of anemia in pregnant women in Kedaung, Pamulang, Tangerang. South with outreach programs and supplementation such as giving red guava juice.

Incidence and Antepartum Risk Factors of Severe Postpartum Haemorrhage in Anaemic Pregnant Women in Lagos, Nigeria: A Secondary Cohort Analysis.

The magnitude and risk factors for postpartum haemorrhage (PPH) have been extensively investigated, although little is currently known about the incidence and predictors of severe PPH, specifically among women affected by prenatal anaemia in Nigeria. The study determined the incidence and antepartum risk factors of severe PPH in anaemic pregnant women in five health institutions in Lagos, Southwest Nigeria. A secondary analysis was performed using the data of pregnant women with anaemia from the "Predict-PPH" study that was conducted between January and June 2023. This study included n=570 pregnant women affected by anaemia who gave birth in five hospitals in the Lagos metropolis of Nigeria. The study outcome was severe PPH, defined as an estimated blood loss of at least 1000 mL within 24 hours of childbirth. A backward stepwise conditional approach in a multivariable logistic regression model was utilised to identify the independent risk factors for severe PPH in anaemic pregnant women. Of the 570 women with prenatal anaemia enrolled in the primary study, 42 (7.4%) had severe PPH. The identified independent risk factors for severe PPH were maternal obesity (adjusted OR = 3.85, 95% CI = 1.85-8.02), antepartum haemorrhage in index pregnancy (adjusted OR = 2.98, 95% CI = 1.29-6.90), uterine fibroids (adjusted OR = 6.10, 95% CI = 2.39-15.52), delivery gestational age ≥39 weeks (adjusted OR = 2.62, 95% CI = 1.23-5.56), and delivery by caesarean birth (adjusted OR = 16.75, 95% CI = 5.81-48.31). About one in 13 anaemic pregnant women enrolled in the study developed severe PPH during childbirth. Maternal obesity, antepartum bleeding in the current pregnancy, co-existing uterine fibroids in pregnancy, delivery gestational age beyond 38 weeks, and caesarean birth in the current pregnancy were factors that were significantly associated with severe PPH in anaemic pregnant women. These findings underscore the importance of increased vigilance during both the antenatal and peripartum periods to identify women with these risk factors for the initiation of timely interventions to prevent severe PPH.

Efektifitas Konsumsi Telur Ayam Rebus Dan Tablet Fe Terhadap Kadar Hemoglobin Pada Ibu Hamil Anemia Di Klinik I Bekasi Tahun 2023

Pregnancy is a physiological and natural process. Based on WHO data in 2020, the global prevalence of anemia in pregnant women throughout the world is 41.8%, which is related to anemia in pregnancy caused by iron deficiency and acute bleeding. Efforts that can be made to overcome anemia are by giving beetroot, pomegranate, dragon fruit or guava juice or you can also consume boiled chicken eggs to increase hemoglobin levels. The nutritional content of chicken eggs is rich in high quality protein. The aim of this research is to determine the effectiveness of consuming boiled chicken eggs and fe tablets on hemoglobin levels in anemic pregnant women at Clinic I Bekasi in 2023. The research method used is the Quasi-experimental Pre-Post Test With Control Group Design method. Sampling was taken with a total sampling of 30 people. Data analysis used frequency distribution and independent t test. This study uses primary data from Hb examination values by researchers. The research results showed that the average increase in Hb in the intervention group was higher than in the control group. The calculated t value (6.768) > t table (2.048). The results of the analysis used the Independent t test with a p-value of 0.000 < 0.05, meaning that Ho was rejected and Ha was accepted, meaning that there was an effect of consuming boiled chicken eggs and Fe tablets on hemoglobin levels in anemic pregnant women at Clinic I Bekasi in 2023.It is hoped that this research will provide material for consideration of non-invasive therapy that can be offered to pregnant women in order to reduce the number of pregnancy complications, especially helping pregnant women have a healthy and happy pregnancy.

Differences In The Effectiveness Of Date Juice And Beet Juice In Increasing Hemoglobin Levels In Anemia Pregnant Women In The Work Area Of The Tirtamulya Health Center In 2023

Background: beets and dates can increase hemoglobin for those who have anemia. The nutritional composition of dates is that they are rich in natural sugars, fiber, potassium, magnesium and B vitamins, iron, calcium and phosphorus in fairly high amounts, while beets also contain nitrates, compounds that can help improve blood flow and performance. brain so that it can be known to increase hemoglobin levels in the blood. Purpose of writing: to find out the difference in the effectiveness of giving date juice and beet juice in increasing hemoglobin levels in anemic pregnant women in the working area of the Tirtamulya Health Center in 2023. Research method: Pre-experimental study with type one group pre test – post test design by means of relationships cause and effect by involving a group of subjects. the subject group was observed before the intervention was carried out and then observed after the intervention was carried out. The sampling technique is non-probability sampling with a purposive method. The study was divided into 2 variables, namely the independent variable, namely the consumption of date juice and beetroot juice. Results: Assessment before and after administration of date palm juice obtained a value of Sig 0.000, sig value <0.05 which can be concluded that there is effectiveness of giving date juice in increasing Hb levels in anemic pregnant women. While theassessment before and after giving beetroot juice obtained a Sig value of 0.000, a sig value <0.05 which can be concluded that there is effectiveness of giving beetroot juice in increasing Hb levels in anemic pregnant women. Conclusions and Suggestions: The results of this study are expected to provide information that giving date palm juice and beetroot juice is a type of natural food that can increase Hb levels.

Correlation between Level of Knowledge about Anemia in Pregnant Women and Compliance in Consuming (Fe) Tablets at Sukadana Health Center in 2023

Background Pregnancy is the condition of a woman carrying a fetus in the uterus which is the result of sperm cells and ovum cells which will then develop into a baby and will be born at 40 weeks of gestation. Anemia is a condition in which the body has too many red blood cells (erythrocytes). Based on WHO data in 2011, 38.2% of anemia occurs in pregnant women
 Research objective: To find out the management of the relationship between the level of knowledge about anemia in pregnant women and adherence to consuming tablets (Fe) at the Sukadana Health Center in 2023. Research methodology: The design in this study was to use a quantitative research method with a cross sectional approach. The analysis technique used is the chi square test (X2). Results: analysis using SPSS with a significant level (a = 0.05) obtained results with a p value of 0.014 <0.05 so that ha was accepted which stated that there was a relationship between the level of knowledge of anemia in pregnant women and adherence to consuming FE tablets at the Sukadana Health Center year 2023.

Prevalence of anemia in pregnant women attending out-patient clinic: A cross-sectional study

Anemia is a very common condition in pregnancy. It represents one of the most common risk factors for maternal as well as fetal complications. Its early identification, treatment and prevention is necessary to avoid these complications.The objective of this study was to evaluate prevalence of anemia in pregnant women attending outpatient department.In this single center retrospective clinic-based study carried pregnant women attending for their regular ante-natal checkup were included. Demographic details, hemoglobin level and prior obstetric related history was noted. Prevalence of anemia was estimated based on the hemoglobin level. The severity of anemia was categorized as mild (Hb level 10 g/dL to 10.9 g/dL), moderate (Hb level 7 g/dL to 9.99 g/dL), severe (Hb level <7 g/dL).Corelates of anemia were examined based on the demographic parameters. The study included 199 pregnant females with mean (SD) age was 29.6 (4.1) years. Mean (SD) hemoglobin of the study population was 10.6 (1.4) gm. A total of 174 (87.44%) females were house-makers and 165 (82.9%) were from the urban area. Anemia was observed in 76 (38.2%) pregnant females. Mild, moderate and severe anemia was observed in 32 (42.11%), 43 (56.58%) and 1 (1.3%) female respectively. Out of 76 pregnant females with anemia, 66 (86.8%) were housemakers. No significant difference was observed in the mean age (p=0.34) and body weight (p=0.69) of pregnant females with or without anemia. There was no significant difference in the anemia prevalence in rural versus urban pregnant females (p=0.33).Prevalence of anemia in pregnant women was 38.2%. Moderate anemia was more common than mild and severe anemia. There was no significant difference in the mean age or residence of pregnant females with anemia versus without anemia.

Faktor-faktor yang Berhubungan dengan Kejadian Anemia pada Ibu Hamil di PMB Ita Marlina

The incidence of anemia in pregnant women can occur due to many factors, one of which is the age of the pregnant woman and the number of parities. Another factor is nutritional status. Nutritional status greatly influences the incidence of anemia in pregnancy, because the nutritional needs of pregnant women increase for the growth and development of the fetus. One of the nutritional status is determined by the upper arm circumference (LiLA).Anemia is a condition if the hemoglobin level is below 11g/dl or the hematocrit is less than 33%. The cut-off value for anemia in non-pregnant women is <12.0 g/dl and a hematocrit of 36%. Anemia occurs because the increase in blood cells decreases compared to the increase in blood plasma, resulting in blood dilution.This research is analytic in nature with a retrospective approach which was carried out at PMB Ita Marlina, in October 2022. The total population is 220 respondents with a sample of 77 respondents. Data analysis using chi-square.The results showed that there was a relationship between LiLA (p-value 0.000), age (p-value 0.000), and parity (p-value 0.023) with the incidence of anemia in PMB Ita Marlina.The conclusion obtained in this study is that there is a relationship between LiLA, age, and parity with the incidence of anemia in PMB Ita Marlina.

Is there a correlation between prepartum anaemia and an increased likelihood of developing postpartum depression? A prospective observational study

PurposePostpartum depression (PPD) represents a significant challenge to maternal and child health. Early screening for PPD is essential to ensure appropriate treatment and support. The present study aimed to assess whether maternal prepartum anaemia influences the likelihood of developing PPD within 3 days after delivery.MethodsIn collaboration with the Department of Psychiatry, a prospective observational study was carried out at the Gynaecology and Obstetrics Department of the University of Campania “Luigi Vanvitelli” in Naples. A total of 211 full-term pregnant women were enrolled, and their predelivery haemoglobin value was recorded. Women with gestational diabetes, hypertension, pre-eclampsia, intrauterine growth restriction, intellectual disability, or pre-existing diagnosis of psychotic spectrum disorder were excluded. Participants provided written informed consent to fill out the Edinburgh Postnatal Depression Scale (EPDS) 3 days after delivery. EPDS cut-off score of ≥ 10 was used to identify women at risk of developing PPD. Statistical analysis was performed using Student's t test, the Wilcoxon Rank Sum test, and linear regression.ResultsThe participants were categorized into 2 groups based on EPDS scores: EPDS < 10 (176 patients) or EPDS ≥ 10 (35 patients). The two groups showed homogeneity in terms of socio-demographic and clinical characteristics. The mean haemoglobin values of anaemic pregnant women in the EPDS ≤ 10 group (11.78 ± 1.39 g/dl) and the EPDS > 10 group (11.62 ± 1.27 g/dl) were not significantly different (p = 0.52). There was no significant correlation between the predelivery haemoglobin value and the EPDS postpartum score of < 10 or ≥ 10. The Wilcoxon Rank Sum test and the estimated coefficients of the linear regression model did not show any statistical relationship between continuous and binary haemoglobin values.ConclusionsOur study found that maternal prepartum anaemia did not negatively impact the likelihood of developing postpartum depressive symptoms, in the first 3 days after delivery.

Sosialisasi Pencegahan Hipertensi dan Anemia Ibu Hamil

West Java Province Health Profile in 2022, the cause of the highest maternal mortality rate is due to pregnancy hypertension at 29.64%, bleeding at 28.17% and other causes. This must be a concern for health workers and the community, because the health of pregnant women is a shared responsibility. The prevalence of pregnancy hypertension often occurs from five to ten out of one hundred pregnant women who have the potential to experience pregnancy complications, namely hypertension. Hypertension in pregnant women or gestational hypertension appears after 20 weeks of pregnancy, and will disappear after delivery. Factors that can increase the risk of pregnant women developing hypertension are obesity and diabetes mellitus. Pregnancy hypertension if there is protein in the urine then complications will lead to preeclampsia. Pregnant women must pay attention to early signs that lead to preeclampsia to maintain the health of mother and child. The highest cases of pregnant women with anemia were in West Java in 2019. Pregnant women who have complications of hypertension and anemia during pregnancy are at risk of giving birth to babies with low birth weight (LBW). AKI in pregnant and postpartum women, in West Java Province, occurs most often in the maternal age range of 20-35 years, there are also those above the age of 35 years with a percentage of 36%. One intervention strategy to reduce MMR is through pentahelix collaboration between the government, society, academics, professional organizations, the media and the business world, by continuing to emphasize health promotion through socialization on the prevention of hypertension and anemia in pregnant women.

Anemia in Pregnant Women and Its Determinants: A Cross-Sectional Study at Ummu Hani Mother and Children's Hospital, Purbalingga Regency

Anemia in pregnant women is still a global problem, almost half of all pregnant women throughout the world experience anemia. Ummi Hani Mother and Children Hospital is one of the referral hospitals for mothers and children in Purbalingga that provides the antenatal care service. This research aimed to identify the determinants of anemia in pregnant women at Ummi Hani Mother and Children Hospital, Purbalingga. This research was an analytical observational study with a cross-sectional design. The total sample was 100 pregnant women. Data sources were obtained from medical records, parturition registers, and cohorts of pregnant women at Ummi Hani Mother and Children Hospital. Primary data collection used a structured questionnaire. Bivariate analysis used chi square and/or Fisher exact, and multivariate analysis used logistic regression. This research found that 51% of pregnant women suffered from anemia. The results of multivariate analysis showed that educational level (p value=0.002; OR=5.07; 95% CI=1.79-14.37) and employment status (p value=0.045; OR=2.73; 95% CI=1.02-7.29) were determinants of anemia in pregnant women. This research highlights importance of improving health promotion regarding dangers of anemia and prevention measures such as consuming nutritious and varied foods at affordable prices which is focused on groups of low-educated and unemployed pregnant women.