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Litterature Review: Faktor-Faktor Penyebab Terjadinya Anemia Defisiensi Besi Pada Ibu Hamil di Indonesia Muhammad Muslim; Masita Fujiko; Fitriya Idrus
KOLONI Vol. 5 No. 2 (2026): JUNI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/koloni.v5i2.864

Abstract

A mother’s nutritional status before and during pregnancy plays an essential role in supporting fetal growth. Malnutrition during pregnancy can lead to anemia, which is a global public health issue with far-reaching consequences for individuals and socioeconomic development. This literature review aims to examine the factors contributing to iron-deficiency anemia in pregnant women in Indonesia based on research publications from the past five years. The research method employed involved a review of relevant articles from national and international journals published between 2020 and 2025, using narrative analysis to identify dominant risk factor patterns. The review results indicate that the primary risk factors include the mother’s age at risk, parity, adherence to iron tablet intake, gestational age, and the frequency of antenatal care visits. The conclusion confirms that sociodemographic factors (knowledge, education, income, age at marriage), obstetric factors (parity, inter-pregnancy interval), nutritional status (chronic energy deficiency), and health behaviors (adherence to iron tablet intake) have a significant association with hemoglobin levels and the prevalence of anemia in pregnant women.
Obstructed Labor Leading To Intrauterine Fetal Death In An Archipelagic Region: A Three Delays Case Report Ayu Sarrah; Nathalia V. Mappewali; M. Hamsah; Sardina; Masita Fujiko; Abdul Rahman
Jurnal Sipakatau: Inovasi Pengabdian Masyarakat Vol. 3 No. 5 (2026): August
Publisher : PT. Global Research Collaboration

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.66314/sipakatau.v3i5.1335

Abstract

Background: Access to maternal health services in archipelagic regions remains challenging because geographic barriers can create systemic delays in care. Balobaloang Caddi Island, Pangkajene and Islands Regency, South Sulawesi, is served only by a village health post with limited basic emergency obstetric capacity, while the nearest primary healthcare facility with a sea ambulance is located on another island. Prolonged obstructed labor without timely intervention may result in severe perinatal complications, including intrauterine fetal death (IUFD). Case Presentation: A 33-year-old primigravida (G1P0A0) was referred from Balobaloang Caddi Island for obstructed labor after full cervical dilation had been present since 00:00 Central Indonesia Time without descent of the fetal head. Fetal heart tones were audible before departure but became undetectable during transfer. Referral by sea required approximately 14–20 hours depending on the vessel and weather. The patient arrived with IUFD. A maternity waiting home was available in the regency capital, but the patient had declined to use it for an unknown reason. Conclusion: This case illustrates all components of the Three Delays model, intensified by extreme geographic barriers and limited transport infrastructure. Strengthened antenatal risk assessment, inter-island referral systems, and effective use of maternity waiting homes are essential to reduce preventable perinatal loss in remote island communities.