Nama : M.

amin panji
Class : AK 4 Regular

Effectiveness of Pregnant Woman Class in The Prevention of Pregnancy

Anemia in Banyuwangi, East Java

Abstract
Problem/purpose : of this study was determined
In developing countries 40% of maternal mortality is associated with pregnancy effectiveness of pregnant woman class in the prevention of
anemia. Pregnancy anemia has negative effect to mothers, before, during, and after delivery. The pregnancy anemia in Banyuwangi, East Java
purpose of this study was determined effectiveness of pregnant woman class in the prevention of
pregnancy anemia in Banyuwangi, East JavaThis was an analytical observational study with
retrospective cohort design. This study was conducted at Benculuk health center,
Banyuwangi, East Java. A total of 100 subjects were selected for this study by fixed exposure sampling,
Methods : This was an analytical observational study with
consisting of 50 pregnant mothers who participated pregnant woman class and 50 who did not participate retrospective cohort design
pregnant woman class. The dependent variable was pregnancy anemia. The independent variables were
participation in the pregnant woman class, maternal education, family income, food myth, and visit to
obstetric gynecology specialist. Anemia was measured by spectrophotometer. Other variables were measured
by a set of questionnaire. The data were analyze by multiple logistic regression.
Result : Participation in pregnant woman class (OR=0.18;
Participation in pregnant woman class (OR=0.18; 95%CI= 0.03 to 1.21; p=0.078), maternal
95%CI= 0.03 to 1.21; p=0.078), maternal
education ≥ senior high school (OR=0.07; 95%CI= 0.01 to 0.92; p= 0.043), and high family income
education ≥ senior high school (OR=0.07; 95%CI= 0.01 to
(≥ Rp 1,599,000) (OR=0.18; 95%CI= 0.31 to 1.03; p= 0.054) decreased the risk of pregnancy
0.92; p= 0.043), and high family income
anemia. Myth in food restriction (OR=4.47; 95%CI= 0.73 to 27.51; p= 0.106) increased the risk of
(≥ Rp 1,599,000) (OR=0.18; 95%CI= 0.31 to 1.03; p=
pregnancy anemia. There was no relationship between visit to obstetric and gynecology specialist
0.054) decreased the risk of pregnancy
and the risk of pregnancy anemia (OR=0.93; 95%CI= 0.09 to 9.17; p= 0.952).
anemia
Participation in pregnant mother class, maternal education, and high family income
decrease the risk of pregnancy anemia. Myth in food restriction increase the risk of pregnancy
anemia. There is no relationship between visit to obstetric and gynecology specialist and the risk of
pregnancy anemia. Conclusion : Participation in pregnant mother class,
maternal education, and high family income
decrease the risk of pregnancy anemia
 Complex and irregular heart rate dynamics in fetuses compromised by maternal
anemia as a high-risk pregnancy

Abstract
Problem/purpose : how complex and irregular the fetal
To examine how complex and irregular fetal heart rate (FHR) dynamics differ heart is Rate dynamics (FHR) differ between normal
fetuses
between fetuses of normal pregnancies and those of pregnancies complicated by
pregnancy and complicated pregnancy
maternal anemia (MA), and to place this in the context of high-risk pregnancies. Our
study population consisted of 97 pregnant women affected by MA, 118 affected by Methods : calculated approximate entropy (ApEn),
pregnancy-induced hypertension (PIH), 88 affected by gestational diabetes sample entropy (SampEn), and correlation dimension
mellitus (GDM), 53 with preterm premature rupture of membranes (pPROM), and (CD) to quantify irregularity and the chaotic dynamics
356 normal pregnancies as controls. We calculated approximate entropy (ApEn), of each FHR time series.
sample entropy (SampEn), and correlation dimension (CD) to quantify irregularity
and the chaotic dynamics of each FHR time series. The ApEn in the fetuses of the
MA and PIH groups was significantly lower than that of the normal controls (P <
0.05). The SampEn was significantly lower in the high-risk groups, except for the Result : The ApEn in the fetuses of the MA and PIH
pPROM group, than in the normal controls (P < 0.05). The CD in the PIH and severe groups was significantly lower than that of the normal
MA groups was significantly lower than that of the normal controls (P < 0.05, controls (P < 0.05).
respectively). In the MA group, the dynamic indices showed a highly significant
positive correlation with hemoglobin (Hb) levels (P < 0.0001).
The decreased complexity and/or irregularity in the FHR from pregnancies with MA
may reflect abnormalities in the complex, integrated cardiovascular control.
The irregularity and complexity of the FHR increased together with Hb levels in Conclusion : The decreased complexity and/or
pregnancies with MA. Our data suggest that the integrity of the nervous system in the irregularity in the FHR from pregnancies with MA
may reflect abnormalities in the complex, integrated
fetuses compromised by severe MA might result directly
cardiovascular control.
in adverse outcomes.
 FACTORS ASSOCIATED WITH ANAEMIA AMONG PREGNANT
WOMEN IN INDONESIA : A SYSTEMATIC REVIEW

Abstract

Pregnant women are vulnerable with anaemia. Quantitative studies related anaemia
in pregnancy have been done in Indonesia including assessing factors associated
with anaemia in pregnancy. However, none of studies provide a comprehensive Problem/purpose : comprehensive causes of anemia in
view of factors that associated with anaemia in pregnancy. The aim of this review pregnancy are still limited.
was to identify factors associated with maternal anaemia in Indonesia.The
systematic scoping review method was used in this review. The databases were
Indonesian electronic databases including; Google scholar, Kandaga, and Sinta.
The keywords were bilinguals: Indonesia and English. The inclusion criteria of Methods : systematic scoping riview
studies were focused on factors related to anaemia in pregnancy, research design
included correlation and quasi-experimental, published from 2013 to 2018, full text,
and Indonesian’s studies. A total of 1986 papers were retrieved, but only 14 articles
met the inclusion criteria and were included in the analysis. Factors associated with Result : The ApEn in the fetuses of the MA and PIH
maternal anaemia in Indonesia including health professionals’roles, iron tablets groups was significantly lower than that of the normal
consumption, antenatal care, education, nutrition, health knowledge, and controls (P < 0.05).
awareness. Multi-factors are associated with maternal anaemia in Indonesia. There
is a need for comprehensive approaches from health professionals and health
services in dealing with anaemia in pregnancy.
Abstract
Conclusion : Between
The Relationship valuable information
Anemiafor nurses
and Chronic
especially for maternity nurses. Nurses must be aware
Kidney Disease in Patients Treated in the Internal Medicine
Anemia is one of the main problems in patients with chronic kidney disease. that anemia in pregnancy is multifactorial
High or low glomerular filtration rateDepartment of Dr. of
affects the incidence Djamil
anemiaPadang
in General Hospital in 2010
chronic kidney disease.The purpose of this study was to identify the
relationship between the incidence of anemia and chronic kidney disease in
patients treated in the Internal Medicine Section of 2010. The study was an
analytic survey using a cross sectional study design. The study used secondary
data taken from the Medical Record sub-section of RSUP dr. M. Djamil
Problem/purpose : High and low glomerular filtration
Padang from June to December 2012 with a total sample of 67 patients with rate affect the incidence of anemia in chronic kidney
chronic kidney disease.It was found that the incidence of anemia in patients disease.
with chronic kidney disease was 98.5% with an average Hb level of 7.3 g / dl
and the average glomerular filtration rate was 8.81 ml / min / 1.73m2. From
the Pearson correlation test results obtained the relationship between anemia
and chronic kidney disease in Dr. M Djamil Padang General Hospital with p = Methods : analytic studies using a cross
sectional study research design from June–
0.00 (p <0.05).The conclusion of this research is that the lower the glomerular December 2012
filtration rate also shows the lower hemoglobin level in patients with chronic
kidney disease.
 Relationship of Iron Consumption with Anemia in
Students of Padang 27 Junior High School

Abstract

Problem/purpose : iron deficiency which is a

Anemia is one of the main health problems of people in developing micronutrient needed the body to form hemoglobin.
countries. In Indonesia, The main cause of anemia is iron deficiency. Iron is
a micronutrient needed the body to form hemoglobin. Iron deficiency
anemia often occurs in adolescents and can affect all groups especially those
who have low socioeconomic. The purpose of this study is to determine the Methods : design cross-cutting from
relationship iron consumption with anemia in 27 State Junior High School February to July 2015
students.This research uses design cross-cutting from February to July 2015.
The number of samples was 102 students who were systematically selected
random sampling. Iron consumption was measured by a 2 x 24 hour food
recall questionnaire and determination of hemoglobin levels
with the digital hemometer method. Statistical analysis used Pearson
 Result : very weak relationship strength. Positive patterning,
meaning that the higher the consumption of iron the higher
the levels the hemoglobin

Conclusion : there is no significant relationship between iron

consumption with anemia in students of Padang 27 Junior
High School.