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Factors Affecting The Incidence of Anemia in Pregnancy During The COVID-19 Pandemic Gunawan, Lucia Sincu; Rahmawati, Juvita Tri; Puspita, Rumeyda Chitra
Jurnal Kesehatan Prima Vol 18, No 1 (2024): FEBRUARY
Publisher : poltekkes kemenkes mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32807/jkp.v18i1.1292

Abstract

Anemia during pregnancy carries the risk of premature birth, low birth weight, and fetus malformations and can impose additional costs on society and families. The prevalence of anemia would be the best indicator to monitor pregnant women’s health and prevent pregnancy complications. The COVID-19 pandemic has impacted pregnant women. The prevalence of anemia in pregnancy increased from 38.33% in 2019 to 49.21% in 2020.  In the COVID-19 pandemic situation with social activity restrictions, decreasing family income, and limited access to health services, suffering from COVID-19 are risk factors for increasing the incidence of anemia in pregnancy. This study aimed to determine factors affecting the incidence of anemia in pregnancy during the COVID-19 pandemic in Karangrejo District, Magetan Regency. This study was an observational analytic study with a cross-sectional study design. The sample was selected by purposive sampling with a sample size of 52 study subjects. Data were analyzed using logistic regression analysis with SPSS. Factors that increased the incidence of anemia in pregnancy during the COVID-19 pandemic were pregnancy interval (OR=17.67; CI 95%= 1.01 to 116.00; p=0.049),  gestational age (OR=11.39; CI 95% 1.12-116.00; p= 0,040), animal protein intake  (OR= 0.25; CI 95% 0.03 – 2.38; p= 0,044), iron supplementation (OR= 108.47; CI 95% 2.36 – 4978.68; p= 0,016), consumption of tea (OR=36,89; CI95% 1.57 to 868.41; p=0.025). Mothers’ education,  family income, parity, frequency of ANC visits, and COVID-19 morbidity do not significantly affect the incidence of anemia in pregnancy. There were effects of pregnancy interval, gestational age, animal protein intake, iron supplementation, and consumption of tea on the incidence of anemia in pregnancy during the COVID-19 in Karangrejo District, Magetan Regency.  Keywords: anemia;pregnancy;COVID-19
Hubungan Jumlah Retikulosit Dengan Derajat Anemia Pada Kehamilan: Sebuah Studi Observasional Khairunnisa, Salma Shabrina; Gunawan, Lucia Sincu; Puspita, Rumeyda Chitra
Jurnal Ilmu Kedokteran dan Kesehatan Vol 12, No 7 (2025): Volume 12 Nomor 7
Publisher : Prodi Kedokteran Fakultas Kedokteran Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jikk.v12i7.19944

Abstract

Anemia pada ibu hamil meningkatkan risiko morbiditas dan mortalitas pada ibu maupun janin. Pemeriksaan jumlah retikulosit memiliki penilaian objektif terhadap aktivitas eritropoietik pada anemia dan menggambarkan proses dinamis eritroid sumsum tulang. Tujuan penelitian ini adalah untuk menilai hubungan jumlah retikulosit dengan derajat anemia pada ibu hamil di Puskesmas Tangen Sragen. Penelitian ini adalah penelitian observasi analitik dengan design crossectional, yang dilakukan pada bulan Oktober 2023 – Juni 2024. Subyek penelitian adalah ibu hamil trimester 3, berusia 20-35 tahun, yang melakukan antenatal care (ANC) di Puskesmas Tangen, Sragen, didapatkan dengan total sampling sebanyak 31 orang. Data penelitian didapatkan melalui kuesioner yang berisi identitas dan kebiasaan responden, pemeriksaan kadar hemoglobin dengan kolorimetri non-Cyanide dan pemeriksaan jumlah retikulosit metode flow cytometry. Hasil penelitian dari 31 responden, menunjukkan 21 orang (67.7%) mengalami anemia ringan, 10 orang (32.3%) mengalami anemia sedang. Hasil rerata kadar hemoglobin yaitu 10,45±0,49 (9,3–10,9) dan rerata jumlah retikulosit yaitu 1,98±0,54 (1,12–3,01). Pada anemia ringan, terjadi peningkatan jumlah retikulosit sebanyak 14 orang (66.7%) dan hasil normal diperoleh sebanyak 7 orang (32.3%), sedangkan pada anemia sedang, semua responden mengalami peningkatan jumlah retikulosit (100%). Analisis statistik menggunakan Fisher Exact Test diperoleh nilai p=0,038 sehingga disimpulkan terdapat hubungan yang signifikan antara jumlah retikulosit dengan derajat anemia pada ibu hamil di Puskesmas Tangen Sragen.
Factors Affecting The Incidence of Anemia in Pregnancy During The COVID-19 Pandemic Gunawan, Lucia Sincu; Rahmawati, Juvita Tri; Puspita, Rumeyda Chitra
Jurnal Kesehatan Prima Vol. 18 No. 1 (2024): FEBRUARY
Publisher : poltekkes kemenkes mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32807/jkp.v18i1.1292

Abstract

Anemia during pregnancy carries the risk of premature birth, low birth weight, and fetus malformations and can impose additional costs on society and families. The prevalence of anemia would be the best indicator to monitor pregnant women’s health and prevent pregnancy complications. The COVID-19 pandemic has impacted pregnant women. The prevalence of anemia in pregnancy increased from 38.33% in 2019 to 49.21% in 2020.  In the COVID-19 pandemic situation with social activity restrictions, decreasing family income, and limited access to health services, suffering from COVID-19 are risk factors for increasing the incidence of anemia in pregnancy. This study aimed to determine factors affecting the incidence of anemia in pregnancy during the COVID-19 pandemic in Karangrejo District, Magetan Regency. This study was an observational analytic study with a cross-sectional study design. The sample was selected by purposive sampling with a sample size of 52 study subjects. Data were analyzed using logistic regression analysis with SPSS. Factors that increased the incidence of anemia in pregnancy during the COVID-19 pandemic were pregnancy interval (OR=17.67; CI 95%= 1.01 to 116.00; p=0.049),  gestational age (OR=11.39; CI 95% 1.12-116.00; p= 0,040), animal protein intake  (OR= 0.25; CI 95% 0.03 – 2.38; p= 0,044), iron supplementation (OR= 108.47; CI 95% 2.36 – 4978.68; p= 0,016), consumption of tea (OR=36,89; CI95% 1.57 to 868.41; p=0.025). Mothers’ education,  family income, parity, frequency of ANC visits, and COVID-19 morbidity do not significantly affect the incidence of anemia in pregnancy. There were effects of pregnancy interval, gestational age, animal protein intake, iron supplementation, and consumption of tea on the incidence of anemia in pregnancy during the COVID-19 in Karangrejo District, Magetan Regency.  Keywords: anemia;pregnancy;COVID-19
Suplementasi Asam Folat Meningkatkan Kadar Hemoglobin dan Indeks Eritrosit pada Wanita Usia Subur Maharani, Fatikhah Intan; Gunawan, Lucia Sincu; Puspita, Rumeyda Chitra
MEDIA ILMU KESEHATAN Vol 14 No 3 (2025): Media Ilmu Kesehatan
Publisher : Universitas Jenderal Achmad Yani Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Background: Women of reproductive age (WORA) are a group prone to anemia, one of which is due to folic acid deficiency which plays a role in DNA synthesis and erythrocyte formation.Objective: The study aimed to determine the differences in hemoglobin and erythrocyte indices among women of reproductive age with folic acid supplementation.Methods: A quasi-experimental research on the design of one group pretest-posttest on 67 female students of Setia Budi University was conducted in October 2024–February 2025. Respondents aged 18-25 years, selected by purposive sampling, were given folic acid tablet supplement (Folavit® 0.4 mg) twice daily for 14 days. Primary data were obtained from hematology examinations taken before after the intervention with a hematology analyzer, showing changes in hemoglobin and erythrocyte indices. Test Wilcoxon Signed Rank to analyze the data.Results: The results showed significant increases in hemoglobin from 12.96 ± 0.93 g/dL to 13.53 ± 0.91 g/dL (p<0.001), MCV from 85.54 ± 4.36 to 86.39 ± 4.14 (p<0.001), MCH from 27.61 ± 2.12 pg to 28.20 ± 2.06 pg (p<0.001), and MCHC from 33.05 ± 1.62% to 33.74 ± 1.56% (p<0.001) after folic acid supplementation.Conclusion: Folic acid supplementation increased hematological status and may serve as a preventive strategy against anemia in women of reproductive age.