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Juana Linda Simbolon; Sulastry Pakpahan

Jurnal Pengabdian kepada Masyarakat Wahana Usada (WUJ) 2020 Sekolah Tinggi Ilmu Kesehatan KESDAM IX/Udayana

Background: The maternal mortality rate (MMR) in Indonesia is still quite high,based on the results of SUPAS in 2015, the MMR was 305/ 100,000 live births.Efforts to decrease of MMR can be done by ensuring that every mother can access quality health services for pregnant women because every pregnancy has the risk of complications. Integrated antenatal services are carried out including health counseling, antenatal care, case management and follow-up, preparation for delivery and planning for referrals in case of pregnancy. In the initial researchconducted in Hutaginjang Village, Muara, there were still pregnant women who did not have their pregnancy checked according to the minimum pregnancy standards. Purpose: Screening and pregnancy risk factors is indispensable for early pregnancy and the potential for emergency pregnancy. Methods: Activities carried out by integrated and free pregnancy examinations for pregnant women include measuring weight / height and arm  ircumference, vital signs, physical examination, Hb examination, urine protein and glucose, provision of IEC about nutritional fulfillment, overcoming complaints of pregnant women in trimester IIII,preparation for delivery and administration of iron supplements as well as preparation for referrals for mothers who experience complications in their pregnancy. Results: The activity was carried out without any obstacles, with 18 mothers having their pregnancies checked. The results of the examination found several risk factors for pregnancy, namely age under 20 years and above 35 years of parity, history of delivery by sectio, height below 145 cm, anemia,preeclampsia, breech location, hyperemesia gravidarum, gestational diabetes and gemelli pregnancy. Each mother received communication, information and education related to  maintaining and improving health during pregnancy and  giving iron tablets. Conclusion:Screening and control of pregnancy risk factors is needed to detect early whether the pregnancy is at risk and has the potential for emergency pregnancy, so that the mother can pass her pregnancy well and give birth to a healthy baby.   

Erwin Kurniasih; Rini Komalawati

Jurnal Pengabdian kepada Masyarakat Wahana Usada (WUJ) 2020 Sekolah Tinggi Ilmu Kesehatan KESDAM IX/Udayana

Background: One of the causes of high maternal and infant mortality rates (IMR) is anemia of pregnancy and chronic energy deficiency (KEK). Anemia and KEK in pregnant women can increase the risk of low birth weight babies (LBW), premature birth, maternal and infant mortality and stunting (short children).To prevent this from happening, it is necessary to carry out screening and Fe supplementation as a preventive measure to prevent anemia in pregnancy. Activity This community service aims to screen for anemia and KEK  pregnant women and women of childbearing age (WUS) as well as the provision of Fe supplementation for prevent iron deficiency anemia. Method: The method used is involving community as a form of empowerment such as measuring LiLA and levels of hemoglobin (Hb), BMI, and distribution of Fe supplementation. Besides that, it is also done education about anemia in pregnancy. The population in this activity is women aged fertile 15-40 years, a total of 42 people in Sambirobyong Hamlet, Pangkur Village,Ngawi Regency. Results: The results show that from 42 women of childbearing age in the hamlet Sambirobyong were screened, there were 3 people (7%) women of childbearing age temporary anemia 1 person (2%) with anemia status plus KEK. From 4 WUS people for age <20 years as many as 2 people (50%) with 1 person condition pregnant with anemia and 1 non-pregnant with anemia. While 2 people(50%) aged >35 years with 1 pregnant condition with anemia + KEK and 1 non-pregnant people with anemia. There is 1 person (2%) experiencing the risk of SEZ. Conclusion: Screening results show that anemia and KEK are more common WUS group aged <20 years and >35 years. It is necessary to carry out periodic evaluations every months and giving Fe supplementation to WUS who are still anemic and the risk of KEK and education on the importance of quality nutrition to prevent these complications.