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All Journal Hearty : Jurnal Kesehatan Masyarakat Jurnal Sehat Mandiri PREPOTIF : Jurnal Kesehatan Masyarakat Jurnal Pengabdian kepada Masyarakat Nusantara Jurnal Kesehatan Tambusai INDONESIAN MIDWIFERY HEALTH AND SCIENCES JOURNAL KESANS : International Journal of Health and Science Jurnal EduHealth Jurnal Sosial dan Sains Jurnal Pengabdian Masyarakat Bangsa Blantika : Multidisciplinary Journal JUKEJ: Jurnal Kesehatan Jompa Jurnal Kebidanan Bestari Jurnal Pengabdian Masyarakat Kesehatan Dan Sains
Andriyanti, Andriyanti
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DAMPAK ANEMIA MATERNAL TERHADAP LUARAN PERSALINAN PREMATUR : TINJAUAN LITERATUR Nugraha, Rhena Thea; Atika, Atika; Andriyanti, Andriyanti
Jurnal Kesehatan Tambusai Vol. 7 No. 1 (2026): MARET 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v7i1.52864

Abstract

Anemia pada kehamilan merupakan masalah kesehatan maternal yang sering terjadi dan berhubungan dengan meningkatnya risiko komplikasi obstetri, termasuk persalinan prematur. Persalinan prematur merupakan salah satu penyebab utama morbiditas dan mortalitas neonatal. Artikel ini bertujuan untuk menelaah bukti ilmiah terkini mengenai hubungan antara anemia maternal dan kejadian persalinan prematur melalui tinjauan literatur terhadap penelitian primer. Literature review ini menganalisis 16 studi primer dengan desain kohort prospektif, kohort retrospektif, kasus–kontrol, dan potong lintang. Analisis dilakukan berdasarkan desain penelitian, definisi anemia, waktu pengukuran hemoglobin, serta luaran persalinan prematur. Sebanyak 11 dari 16 studi menunjukkan bahwa anemia maternal, khususnya pada trimester pertama dan kedua, berhubungan dengan peningkatan risiko persalinan prematur. Studi dengan pengukuran hemoglobin hanya saat persalinan atau tanpa pengendalian faktor perancu cenderung menunjukkan hasil tidak signifikan. Dengan demikian, anemia maternal merupakan faktor risiko penting terhadap persalinan prematur, sehingga skrining dan penatalaksanaan anemia sejak awal kehamilan perlu diperkuat dalam pelayanan antenatal.
Comprehensive Midwifery Care for a Postpartum Mother with Postpartum Hemorrhage (PPH) due to Retained Placenta: A Case Report Khomsiah, Nurul Fitri; Setyowati, Dewi; Andriyanti, Andriyanti
Jurnal KESANS : Kesehatan dan Sains Vol 5 No 7 (2026): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v5i7.611

Abstract

Introduction: Postpartum hemorrhage (PPH) remains the leading cause of maternal mortality. In Indonesia, the maternal mortality rate in 2023 was 189 per 100,000 live births, with hemorrhage as the dominant cause. Retained placenta is an important factor because it inhibits uterine contractions, especially in mothers aged ≥35 years, multiparous, anemic, and with chronic energy deficiency (CED). Case description: A 36-year-old multiparous woman (G4P3A0) with CED and mild anemia developed PPH after failure of placental delivery despite active management of the third stage. Estimated blood loss was ~1200 mL. Manual placental exploration, uterotonics, and fluid resuscitation were provided, followed by hospital referral. Ultrasound confirmed retained placental tissue, and curettage was performed. The patient stabilized after comprehensive treatment Discussion: Older maternal age, multiparity, chronic energy deficiency (CED), and anemia contribute to impaired myometrial contractility and failure of placental separation. Chronic energy deficiency (CED) and anemia reduce energy reserves and the oxygen-carrying capacity of uterine tissues, thereby increasing the risk of retained placenta and Postpartum hemorrhage (PPH). Conclusion: Retained placenta and Postpartum hemorrhage (PPH) are closely associated with maternal risk factors, including age ≥35 years, multiparity, anemia, and chronic energy deficiency (CED). Early detection of risk factors during antenatal care, as well as immediate and coordinated management in the third stage of labor, are very important to reduce maternal morbidity and mortality
Co-Authors 'Izza, Alifina Al Farizi, Sofia Alriana, Thre Anik Atika , Atika Atika Atika Budi Prasetyo Budi Utomo Bunga Cinta Dewi, Bianca Cahyaningtyas, Fabella Elisa Dewi Setyowati Dewi, Bianca Bunga Cinta Dharmayanti, Hanifa Erlin Dwilda Ferdinandus, Euvanggelia Dwilda, Euvanggelia Eka Mustika, Afrisa Endyka Erye Frety Farizi, Sofia Al Gatut Hardianto, Gatut Gita Ningrum, Astika Hartati Liawat, Fitri Ivon Diah Wittiarika Izzati, Dwi Jayanti, Ratna Dwi Khairunnisa, Zalfa Dinah Khomsiah, Nurul Fitri Langgeng Fatilatu Ummah Lilik Djuari Marta Puspita Rini, Eka Muhammad Yusuf Nabila Daesani, Elsa Nabilathul Musrifah, Putri Dirgahayu Nugraha, Rhena Thea Nur Kharisma, Nissa Nurul Suci, Laksmi Paulina Upa, Nekha Helsa Poempida, Fayka Putri Poempida Pranadyan, Rizki Pranadyan Prasetyo, Muhammad Rizkinanda Ragil, Rinez Ananda Rahmawanti, Nova Ramadhani Ayu Wiguna Rizal, M. Masrur Rukmini Rukmini Sa'adi, Ashon Sabilillah, Nabilah Sari, Deviati Juwita Sari, Nanda Rizkita Setianingrum, July Sidiqkah, Amalia Iin Sofia Al Farizi Sri Rejeki, Purwo Tunjungseto, Arif Wahyul Anis Widati Fatmaningrum Woro Setia Ningtyas Yusniar Rahajeng, Agtus Yusriyyah, Izdihaar