Publication Search

Anemia in pregnant women is one of the contributing factors to stunting in toddlers. The consumption of iron (Fe) tablets by pregnant women requires supervision from family members to support the success of the stunting reduction program in Bangli Regency. Iron tablet intervention in pregnant women has been proven to reduce the risk of complications, lower the incidence of low birth weight in infants, and decrease maternal mortality during childbirth. This study used a cross-sectional survey design, involving 48 pregnant women. Data collection was conducted using total sampling during the period from January 2024 to January 2025 at Kintamani IV Public Health Center. Bivariate data analysis was carried out using the chi-square test. The results of the study showed that 68% of pregnant women experienced mild anemia. Most pregnancies were in the third trimester (39%), and 43% of the participants were in their first pregnancy. The majority of the pregnant women had good knowledge levels. There was a significant relationship between pregnant women’s knowledge and their adherence to consuming iron tablets, with a p-value of 0.019. The odds ratio (OR = 5.014) indicated that pregnant women with good knowledge were five times more likely to adhere to iron tablet consumption compared to those with limited knowledge. Support and monitoring of the nutritional status of pregnant women are essential to reduce the incidence of low birth weight and stunting among toddlers in Selulung Village, Kintamani District.  

Anemia is a medical condition characterized by a decrease in the number of red blood cells (erythrocytes) or hemoglobin (Hb) levels in the blood which results in impaired oxygen transport to body tissues. Mild anemia is more common and is asymptomatic and does not require treatment. Anemia can have a negative impact on endurance, productivity, and is high risk during pregnancy because it can affect fetal growth and development, increase the risk of pregnancy and childbirth complications, and even maternal and child death. The Community Service (PKM) activity carried out at the Asisi Church, Tebet District aims to increase public awareness of the importance of early detection of anemia through hemoglobin and hematocrit screening activities. This activity uses the Plan-Do-Check-Act (PDCA) approach which includes capillary blood tests with Point-of-Care Testing (POCT) tools and education about symptoms, risk factors, and prevention of anemia. Of the 68 participants involved, 40 people (58.82%) were identified as having anemia, while 28 people (41.18%) had normal hemoglobin levels. These results emphasize the importance of early anemia screening to prevent long-term complications and build public awareness of the importance of maintaining optimal hemoglobin levels to support ongoing health and quality of life.   Keywords: Anemia, Early Detection, Hemoglobin, Hematocrit, Screening

Anemia in pregnancy is a condition where the hemoglobin (Hb) level in the blood is less than normal and the hemoglobin (Hb) level in the mother has decreased from the normal Hb level, namely 11 g/dI. One of the main and common causes of anemia in pregnant women is a lack of nutrients. Iron in the body is caused by a lack of food sources that contain sufficient iron, but food sources that have low iron content, so that less iron is absorbed. Apart from the lack of food containing iron, routine antenatal care also influences the occurrence of anemia in pregnant women. Effective antenatal care provides a solid foundation for midwives to first assess the needs of pregnant women and families. The aim of this study was to analyze the relationship between diet and regular antenatal care with the incidence of anemia in pregnant women in the working area of the Maron Community Health Center. The design of this study was cross sectional. The population in this study were all pregnant women who were in the working area of the Maron Community Health Center, totaling 79 respondents. The research sample included 44 respondents of pregnant women who were in the working area of the Maron Public Health Center. With random sampling technique. The instruments used were questionnaires and KIA books. The research results show that almost all anemic pregnant women have poor eating patterns and irregular antenatal care. Based on the chi square statistical test, it is known that the P value is 0.000 α 0.05, so HO is rejected and HI is accepted that there is a relationship between diet and antenatal care with anemia in pregnant women in the working area of the Maron Community Health Center. It is hoped that the results of this research can be used to increase insight into health science, especially midwifery, that a good diet and regular antenatal care are very necessary to prevent risks that will occur during childbirth.

Anemia in the elderly often occured chronically. Attention to anemia in the elderly is very lacking compared to women of childbearing age. The condition of the elderly is usually degenerative and food intake decreases, causing the condition of their body protein to decrease. Albumin protein in the elderly is still very much needed to affect the brain, bone and muscle mass, immune system, metabolism, and health of hair, skin, and nails. The purpose of utilizing local wisdom materials in the form of a combination of moringa leaf powder and snakehead fish has social and economic impacts. The elderly who have received this nutrition will improve their health. The activity method is the lecture method, discussion and coercion, and is applied directly by giving drinks to the elderly. Results of community service activities. The elderly experienced an increase in Hemoglobin after being given a combination of moringa leaf powder and snakehead fish by an average of 2 gr% and blood protein of 1.1 g dl before and after being given a combination of moringa leaf powder and snakehead fish.

Maternal and child health (MCH) is a priority in health development, especially in preventing pregnancy complications that may endanger the lives of both mothers and babies. One way to reduce these risks is through routine antenatal care and early detection of complications. However, in some areas, pregnant women still lack understanding of the importance of regular antenatal checks. This community service activity aims to increase pregnant women’s knowledge about the importance of antenatal care and early detection of pregnancy complications at Posyandu Ester 24, a working area of Puskesmas Dua Puluh Tiga Ilir, Palembang, conducted from December 1 to 6, 2024. The activity involved counseling, free antenatal care checks, and training for healthcare workers. The results showed an improvement in pregnant women’s understanding of pregnancy danger signs and the importance of routine healthcare. Antenatal care successfully detected several health risk factors, such as anemia and chronic energy deficiency (CED), allowing for early intervention. Although the main challenge was motivating pregnant women to attend routine checks, the activity successfully increased participation in antenatal care and health education. It is hoped that this activity can serve as a model for other maternal and child health programs in the future.

The results of the Population Census data carried out in 2020 showed that the maternal mortality rate reached 189 per 100 thousand live births. And based on these figures, Indonesia is ranked second highest in ASEAN, which is further than other countries such as Thailand, Malaysia, Vietnam and Brunei, which have achievements below 100 per 100 thousand live births. The maternal mortality rate is one of the important programs for the Ministry of Health (Kemenkes) to pay attention to. Therefore, through this, the Ministry of Health carries out a care program from before pregnancy, pregnancy, childbirth, babies. And a number of cases of pregnant women giving birth include anemia 48.9%, hypertension 12.7%, KEK 17.3% and complications as much as 28%. The impact of childbirth on maternal mortality is also something that cannot be separated from the occurrence of maternal death. As a health worker with high integrity, it is very necessary to implement Mother and Baby Care. Indicators of quality service are in the process of pregnancy care, postpartum delivery carried out by health workers to the mother. One of them is carried out in the delivery process by explaining to the mother the technique of pushing when the opening is complete or 10cm. Do not do forced pushing (Valsalva) or tell the mother to push forcibly before it is certain that the opening is complete. This is one of the strict prohibitions conveyed by Bergastrom in his book. The process of delivering a baby can generally cause tears in the vagina and perineum. So when leading pushing in a mother in labor, it is necessary to do so as not to cause irregular tears in the birth canal. However, the process of delivering a baby through the birth canal or through normal delivery requires deliberate tearing to widen the birth canal. However, for further action, it is necessary to do hecting or stitches on the episiotomy wound which aims to restore the original shape of the perineal incision scar and stop bleeding as well as healing.

Maternal health is a measure of the level of social welfare. Maternal death is the death of a woman during pregnancy, childbirth or within 42 days after the end of pregnancy. Perineal rupture is the second most common cause of postpartum bleeding. Tearing may coincide with uterine atony. Based on data from the World Health Organization (WHO), 2.7 million cases of perineal rupture occurred in mothers giving birth. This figure is estimated to reach 6.3 million in 2050. One way to prevent perineal rupture is to maintain the elasticity of the perineum. Increasing the elasticity of the perineum is done by means of pregnancy exercises. The aim of this study was to determine the relationship between pregnancy exercise and perineal rupture in postpartum mothers at Anemia Of Pregnant Women At BPM Helena Astuti Sinaga.The research design is an analytical study with a cross-sectional approach. The population in this study was all mothers giving birth at Anemia Of Pregnant Women At BPM Helena Astuti Sinaga in November-March 2023, namely 764 people with a research sample of 88 people. The sampling technique used random sampling and research analysis used the chi square test.The research results showed that the majority of pregnant women who took part in pregnancy exercise at BPM were 47 (53.4%) and those who did not do pregnancy exercise were 41 (46.6%). Inpartum mothers who experienced perineal rupture were 42 (47.3%) and those who did not experience perineal rupture were 46 (52.3%). Based on the results of statistical tests between pregnancy exercise and perineal rupture, the p value = 0.003 (p < 0.05). The conclusion of this study is that there is a significant relationship between pregnancy exercise and perineal rupture during birth at BPM Helena Astuti Sinaga. So it was suggested to Anemia Of Pregnant Women At BPM Helena Astuti Sinaga to improve services, especially for pregnant women, to do pregnancy exercises.

Early marriage remains a significant issue contributing to the high prevalence of stunting in Indonesia, particularly in rural areas. The lack of awareness among adolescents and parents regarding the negative impacts of early marriage and the importance of proper nutrition is a major contributing factor. The PENA EMAS (Early Marriage Prevention for Stunting Elimination Towards Healthy Children) program was implemented in Tanjung Buaya Village as part of the KKN-T Posko 22 UNIMMAN initiative to raise public awareness about the dangers of early marriage and its link to stunting risk. This program utilized three main stages: preparation, implementation, and evaluation. Activities included educational sessions, adolescent health screenings, local vegetable planting initiatives, and interactive media such as podcasts and educational competitions. The evaluation results showed an increase in community awareness of family planning and nutrition fulfillment, with five adolescents identified as having anemia based on hemoglobin (Hb) level tests. The conclusion of this program is that community-based educational interventions with participatory approaches can enhance awareness among adolescents and parents in preventing early marriage and reducing stunting risk. Recommended follow-up actions include regular health check-ups, adolescent mentoring, and the empowerment of Youth Ambassadors for Stunting Prevention to ensure the program’s sustainability.

Anemia in pregnancy is still a major problem experienced by almost half of pregnant women in all countries in the world including Indonesia. Many pregnant women refuse and do not comply with taking FE tablets for various reasons so that the prevalence of anemia in pregnant women is still high. A mother is said to be compliant with taking FE tablets if ≥ 90 % of the amount should have been taken. Anemia in pregnancy is a national problem because it reflects the value of the socio-economic welfare of the community, and has a very large impact on the quality of human resources, which is called "potential danger to mother and child". The purpose of the service is to provide education on the addition of nutrients to reduce anemia. Based on the results of the activity, the delivery of material. The results of this activity are the participation of pregnant women during educational and simulation activities running smoothly, indicated by the activeness of pregnant women and attended by all pregnant women class participants and there is an increase in understanding of anemia by 50 %. The service was carried out on 23 June 2023 at Waonosari Polindes in the class of pregnant women. The method used was education and simulation in making soy milk and date pudding. Indonesia itself has an anemia prevention program for pregnant women by providing a minimum FE supplement of 90 tablets during pregnancy.

Stunting does not occur in a short time, but is a long and repeated process of malnutrition starting from the womb. Efforts to prevent stunting can be done starting from adolescence. The health status of adolescents determines the quality of life as adults, especially adolescent girls. The most common health problem in adolescent girls is nutritional problems, namely anemia. Adolescent girls who suffer from anemia are at risk of becoming women of childbearing age with anemia, then becoming pregnant women with anemia, and even experiencing protein energy deficiency. The activity method is carried out by providing counseling using the Pocket Book on Anemia in the work area of ​​the Perumnas II Health Center to participants who attended as many as 30 Adolescent Girls. Community service activities have been carried out and have received a good response from adolescent girls. The pocket book distributed to participants functions as an effective tool to remind and reinforce the material that has been delivered during the counseling.

The maternal mortality rate is an indicator of health status and is one of the health problems in the world. Brebes Regency is one of the contributors to the highest maternal mortality rate in Central Java. In 2021, the Bumiayu Regional General Hospital contributed to the Maternal Mortality Rate in Brebes Regency by 15 cases. The purpose of this research is to be able to provide comprehensive midwifery care for Mrs. The research method used is qualitative descriptive research with a case study approach. The case study carried out is in the form of comprehensive midwifery care that examines pregnancy, childbirth, newborns, postpartum and family planning with Varney's 7-step midwifery management and SOAP. The results of the pregnancy were found to be anemia and CED, delivery by caesarean section, the newborn was normal, during the neonatal period physiological jaundice was found, then appropriate management was carried out so that it could be resolved, during the postpartum period no problems were found, the mother used MOW KB. The conclusion obtained was that care had been carried out in accordance with midwifery service standards and the problem of anemia and CED had not been resolved  

Pregnancy with anemia can pose a danger to the mother and child, so it is a risky condition for pregnant women and requires special medical attention. The aim of this study was to determine the relationship between third trimester pregnant women's knowledge about anemia and compliance with taking Fe tablets at the Jambo Aye Health Center, North Aceh. This type of research is an analytical survey using a cross-sectional research design. Samples were taken from the entire population of Jambo Aye Community Health Center. A total of 32 pregnant women in the third trimester from January to June 2024. The results of the square test analysis show that the p value = 0.000 which means less than A = 0.005, so it can be concluded that there is a significant relationship between knowledge of third trimester pregnant women about anemia and compliance with consuming Fe tablets. at the Tanah Jambo Aye North Aceh Health Center in 2024. Through this research, it can provide information to the Tanah Jambo Aye North Aceh Health Center about awareness among pregnant women of anemia and Compliance with consuming Fe tablets to prevent anemia during pregnancy.

Chronic Energy Deficiency (CED) in pregnant women can cause children born with cognitive decline, risk of stunting, and risk of chronic diseases in adults. The problem of pregnant women in CED is caused by low nutritional intake. Pregnant women with anemia are at 4.13 times greater risk of giving birth to children with short birth length compared to mothers who are not anemic. CED in pregnant women can cause risks and complications including anemia, bleeding, maternal weight does not increase normally and contracting infectious diseases. CED in pregnant women can affect the growth process of the fetus and can cause miscarriage, abortion, stillbirth, neonatal death, congenital defects, anemia in infants, intrapartum asphyxia, and low birth weight (LBW). Based on a survey conducted at the Cendana Putih Health Center, 45 pregnant women experienced CED (12.4%) in 2023. The problems that occur can be overcome by holding a collaborative program that can improve the health of pregnant women. This program can be used to address problems appropriately, namely by empowering pregnant women and cadres through GerCep CED. The design used in this program is community service activities carried out in the form of education in the form of providing pocket books and conducting direct counseling during the schedule of pregnant women's classes and assistance in making PMT from local food ingredients. The conclusion of this activity is that participants who initially had a low level of knowledge of KEK in pregnant women became more knowledgeable about KEK in pregnant women.

Malaria remains a global health issue, particularly in tropical and subtropical regions. In Indonesia, Papua Province specifically Nabire Regency reports a high incidence of malaria, although a decline has been observed since 2010. Infants and pregnant women are the most vulnerable groups. Nutritional status, influenced by dietary patterns, environment, and access to healthcare, plays a crucial role in susceptibility to malaria. Malnourished children are more prone to severe malaria infections due to their underdeveloped immune systems. This research focuses on Kimi Health Center in Nabire Regency and aims to explore the relationship between the nutritional status of children under five and malaria incidence in 2024. The goal of this study is to determine the relationship between the nutritional status of children under five and malaria incidence at Kimi Health Center, Teluk Umar District, Nabire Regency, in 2024. The research design employs an analytical descriptive approach with a cross-sectional method to analyze the relationship between nutritional status and malaria incidence. Data was collected at one point in time and analyzed using univariate and bivariate analysis with the Kendall tau-b test through SPSS software. The results show that nutritional status significantly influences susceptibility to malaria. Children with poor nutrition are at a higher risk of experiencing severe malaria due to immune system dysfunction. Malnutrition, such as Protein-Energy Malnutrition (PEM), worsens parasitemia and anemia. Nutrient deficiencies, including iron, vitamin A, and zinc, also weaken the immune system. Therefore, improving nutritional status is a crucial effort in malaria control within endemic areas.

Background: The global maternal mortality rate (MMR) in 2022 is 91.46 per 100,000 live births with the cause of death being bleeding while the indirect causes of maternal mortality are during pregnancy wheere many pregnant women experience nutritional problems such as Chornic Energi Deficiency ( CHD) and Nutritional Anemia at 8.43% (WHO, 2022). The maternal mortality rate in ASEAN is 235 per 100,000 live births with the majority of causes of death being bleeding (ASEAN Secretariat, 2022). Until now, the maternal mortality rate in Indonesia alone in 2020 was 91.45/100,000 live births. In 2021, maternal mortality will increase to 305/100,000 live births. Meanwhile, in 2022, the maternal mortality rate will decrease by 230/100,000 live births. Within a period of 3 years, the causes of maternal death included Covid 19, bleeding, hypertension in pregnancy, and heart disease (Ministry of Health of the Republic of Indonesia, 2022). The maternal mortality rate in Central Java in 2020 was 84.6/100,000 live births, in 2021 it will be 199/100,000 live births. In 2022 there will be a decrease to 98.6/100,000 live births, hypertension in pregnancy and bleeding are still the cases of death in that year (Central Health Office, 2022). Brebes Regency shows that the maternal mortality rate in 2020 was 62 cases. In 2021 there were 105 cases and in 2022 there was a decrease to 50 cases with the causes of death being bleeding, hypertension, infection and heart disorders (Brebes District Health Office, 2021) Objective: Reduce maternal and infant morbidity and mortality rates in Brebes Regency, especially the Bumiayu Community Health Center area Conclusion: After providing comprehensive midwifery care to Mrs. S aged 32 years with Chronic Energy Deficiency (KEK) at BPM Mrs. The R working area of the Bumiayu Community Health Center from the third trimester of pregnancy, childbirth, newborns, postpartum and family planning is in good condition.

Background: In Indonesia, the prevalence of anemia in pregnant women is 37.1%, the highest number in rural areas is 37.8%, the lowest in urban areas is 36.4%, in 2018 it increased to 48.9%. Pregnant women continue to experience the greatest rates of anemia in rural areas (49.5%) and urban areas (48.3%) (Ministry of Health of the Republic of Indonesia, 2019). In 2016, the Ministry of Health of the Republic of Indonesia reported that the three primary causes of direct maternal mortality in Indonesia during pregnancy and childbirth remain unchanged: 30.3% of the cases were connected to hemorrhage, 27.1% to hypertension during pregnancy, and 7.3% to infections.Objective: This study aims to identify risk factors for the incidence of pre-eclampsia and anemia in Indonesia.Methods: Uses the Study Literature Review method by taking data that has been published on trusted national research sites.Results: Based on research results through a review that had been carried out, researchers found 14 national studies that were included in the inclusion criteria.Conclusion: The most dominant risk factors for preeclampsia are history of preeclampsia, parity, pregnancy spacing and maternal age. Meanwhile, the most dominant risk factors for anemia in pregnant women in this study were: nutritional status, maternal age, parity and pregnancy spacing.    

Anemia in pregnant women can increase the risk of premature birth, maternal and child death, and infectious diseases.  Iron deficiency anemia in mothers can affect the growth and development of the fetus/baby during pregnancy and afterward. The aim of the research is to determine the factors that influence pregnant women's knowledge about foods containing iron at the Peureulak Health Center, East Aceh in 2024. The type and design of this research is Correlative Descriptive with a Cross Sectional Study approach, namely to see the relationship between the Dependent and Independent Variables. Independent variables are factors that influence pregnant women's knowledge and dependent variables (food containing iron). The sampling technique in this study was accidental, meaning that by chance anyone who came to the Peureulak Health Center for Ante Natal Care (ANC) visits during March and April 2024 would be sampled. Research results There is a relationship between knowledge of pregnant women about the meaning of containing iron at the Peureulak Health Center, East Aceh in 2024 with age, education, occupation, gravida and source of information

Maternal health remains a major global challenge, particularly in developing countries where mothers are still highly vulnerable during childbirth. Postpartum hemorrhage is one of the leading causes of maternal mortality, accounting for approximately 25% of maternal deaths worldwide, and commonly occurs within the first 24 hours after delivery. This study aims to identify factors associated with postpartum hemorrhage at Bakti Timah Pangkalpinang Hospital during 2022–2023. The research applied a case-control design using secondary data obtained from medical records. The study population consisted of 1,002 mothers who gave birth at the hospital, with a sample of 104 respondents divided into 52 case subjects (mothers who experienced postpartum hemorrhage) and 52 control subjects (mothers who did not experience postpartum hemorrhage). Data were analyzed using the Chi-square test. The results showed significant relationships between maternal age (p=0.002; OR=3.600; 95% CI: 1.548–8.371), parity (p=0.000; OR=0.194; 95% CI: 0.079–0.477), and anemia (OR=5.099; 95% CI: 1.940–13.399) with the incidence of postpartum hemorrhage. The study concludes that mothers aged under 20 years and over 35 years, multiparous mothers, and mothers with anemia have a higher risk of experiencing postpartum hemorrhage.

Scientifically, the quality of human life can begin in the womb, namely in the first 1000 days, with details of 270 days in the womb, 730 days after the baby is born. So this period is a very vulnerable period in influencing children's growth and development. So maximum steps and efforts are needed to prevent malnutrition which has fatal consequences for the development of the baby, namely by paying attention to nutrition from the time the baby is in the womb, starting from pregnancy, breastfeeding until the child is 23 months old.  However, the mother's condition has a big influence on the development of toddlers, especially mothers who are suffering from anemia, so it will be different from mothers who are in a healthy condition without (anemia).  Comparative research was chosen in this article to obtain maximum results considering that this research focuses on 2 aspects that are compared scientifically. The results of this study show that there are quite large and high differences in the protein levels of breast milk from mothers who are in healthy condition, while breastfeeding mothers with anemia have low protein levels, which has the potential to cause malnutrition and impact on the baby's growth and development.

Indonesia's maternal mortality rate (MMR), at 189 per 100,000 live births, is higher than countries in Southeast Asia such as Malaysia, Brunei, Thailand and Vietnam. Indonesia's newborn mortality rate is the third highest in Southeast Asia at 9.3 per 1,000 live births. In 2022 to 2023, there was an increase in the number of maternal deaths from 4,005 to 4,129, and the number of newborn deaths from 20,882 to 29,945 (Ministry of Health, 2023). Anaemia in pregnant women can increase the risk of premature birth, maternal and child mortality, and infectious diseases. Iron deficiency anaemia in mothers can affect fetal/baby growth and development during pregnancy and afterwards. This study is a type of quantitative research using a case control design. The research that has been done shows that most respondents experienced mild anaemia 20 people (66.7%), moderate anaemia 7 people (23.3%) and who did not experience anaemia only 3 people (10%). Most of the respondents, 83.3%, did not make routine ANC visits and 83.3% also had a poor diet. There is a significant relationship between ANC visits (p=0.000), diet (p=0.002) with the incidence of anaemia in pregnant women at the Puskesmas in 2019.