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All Journal JURNAL MUTIARA NERS Compromise Journal : Community Proffesional
Ajeng Normala
Universitas Tarumanagara
Health Professions Nursing Public Health

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Evaluasi Status Hemoglobin dan Hematokrit Masyarakat Sebagai Indikator Awal Status Kesehatan Masyarakat di Kelurahan Tanjung Duren Selatan Ajeng Normala; Alexander Halim Santoso; Edwin Destra; Fidelia Alvianto; Linginda Soebrata; Nicholas Setia
Compromise Journal Community Proffesional Service Journal Vol. 3 No. 2 (2025): Compromise Journal : Community Proffesional Service Journal
Publisher : LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/compromisejournal.v3i2.751

Abstract

Hemoglobin and hematocrit examinations serve as important early indicators of hematological status, reflecting the blood’s capacity to transport oxygen. A decrease in these two parameters leads to anemia, which is often undetected due to minimal early symptoms and low awareness to undergo examinations. This activity was carried out using the Plan-Do-Check-Act (PDCA) approach, by examining hemoglobin and hematocrit levels in adult participants. Capillary blood samples were analyzed using a portable device at the examination location. Education was delivered through leaflets regarding the importance of iron, vitamin B12, and folate intake to support erythrocyte formation. The examination was attended by 104 participants, the majority of whom were women. The average hemoglobin was recorded as approaching the lower limit of normal values, while hematocrit levels showed wide variations. More than half of the participants were classified as having anemia. This high proportion of anemia highlights the urgent need for targeted nutritional education. Hemoglobin and hematocrit screening proves effective as an early detection tool for hematological disorders. Education that is linked to laboratory findings should be prioritized to promote improved dietary patterns, particularly the consumption of iron-rich foods, vitamin B12, and folate, in order to prevent erythropoietic dysfunction and long-term health complications.
CASE REPORT PLACENTA AKRETA et. PLACENTA PREVIA TOTAL Nur Alfi Syahri; Ajeng Normala; Fadil Gunawan
Jurnal Ilmiah Keperawatan Vol 9 No 1 (2026): Jurnal Mutiara Ners
Publisher : Program Studi Ners UNIVERSITAS SARI MUTIARA INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51544/jmn.v9i1.6600

Abstract

Background: Total placenta previa and placenta accreta are serious obstetric complications associated with severe maternal bleeding and increased maternal and fetal morbidity and mortality. Purpose: To describe the clinical presentation, diagnosis, and management of total placenta previa with suspected placenta accreta in a high-risk pregnancy. Methods: This study used a descriptive case report design involving a 30-year-old woman in her third pregnancy who presented with bleeding at 37 weeks of gestation. Data were collected retrospectively from medical records, interviews, and clinical and supporting examinations, including obstetric history and ultrasound findings. Data were analyzed descriptively and presented narratively according to the clinical course. Results: The patient had a history of cesarean section and was diagnosed with total placenta previa and suspected placenta accreta based on ultrasound examination. Severe, uncontrolled bleeding required emergency cesarean section and hysterectomy to control hemorrhage and save the mother's life. This case highlights the importance of early diagnosis, close monitoring, timely intervention, and multidisciplinary collaboration in managing high-risk pregnancies to reduce maternal and fetal complications. Conclusion: This case highlighst the importance of early diagnosis, close monitoring, timely intervention, and multidisciplinary collaboration in managing high-risk pregnancies to reduce maternal and fetal complications.
Co-Authors Edwin Destra Fadil Gunawan Fidelia Alvianto Linginda Soebrata Nicholas Setia Nur Alfi Syahri Santoso, Alexander Halim