Korelasi Kadar Hemoglobin pada Ibu Hamil Trimester Tiga dengan Kejadian Bayi Berat Lahir Rendah di RSUD Ciawi
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ABSTRACT
Anemia during pregnancy is generally considered a risk factor for preterm delivery, low birth weight (LBW) infants, and other poor pregnancy outcomes. This cross-sectional study aimed to determine the correlation between third-trimester maternal hemoglobin levels and the occurrence of LBW meeting the criteria, using non-random consecutive sampling based on medical records from Ciawi Regional General Hospital during the period of July 2023. The variables in this study were maternal third-trimester hemoglobin levels and the occurrence of LBW. Statistical analysis utilized the Spearman test. Out of 320 respondents, the mean age was 29.68 years. The mean hemoglobin level was 9.24 g/dL. The mean birth weight was 1,852.06 grams. The results of the analysis were not statistically significant, with a correlation between the two variables of rs=0.058, p=0.301. The cutoff value for hemoglobin levels at 9 g/dL was the highest risk for causing births with a weight <2500 grams in the anemia group. The results of this study indicated that hemoglobin levels below 9 g/dL posed the highest risk for LBW and very LBW occurrence.
Keywords: Anemia, Haemoglobin Level, Low Birth Weight, Pregnancy
ABSTRAK
Anemia selama kehamilan umumnya dianggap sebagai faktor risiko untuk persalinan prematur, bayi berat lahir rendah (BBLR), dan hasil kehamilan yang buruk lainnya. Penelitian potong lintang ini bertujuan untuk mengetahui korelasi kadar hemoglobin pada ibu hamil trimester 3 dengan kejadian BBLR yang memenuhi kriteria dengan non-random consecutive sampling menggunakan data rekam medis di Rumah Sakit Umum Daerah Ciawi pada periode Juli 2023. Variabel dalam penelitian ini yaitu kadar hemoglobin pada trimester ketiga ibu hamil dan kejadian BBLR. Analisis statistik menggunakan uji Spearman. Dari 320 responden, rata-rata usia adalah 29,68 tahun. Rerata kadar hemoglobin sebesar 9,24 g/dL. Rerata berat badan lahir sebesar 1.852,06 gram. Hasil analisis tidak signifikan secara statistik dengan korelasi antara kedua variabel, rs=0.058, p= 0,301. Nilai cut-off kadar hemoglobin sebesar 9 g/dL merupakan risiko tertinggi untuk menyebabkan kelahiran dengan berat <2500 gram pada kelompok anemia. Hasil penelitian ini menyatakan bahwa kadar hemoglobin kurang dari 9 g/dL merupakan risiko tertinggi terhadap kejadian BBLSR dan BBLASR.
Kata Kunci: Anemia, Berat Bayi Lahir Rendah, Kadar Hemoglobin, Kehamilan
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Bakacak, M., Avci, F., Ercan, O., Köstü, B., Serin, S., Kiran, G., … Bakacak, Z. (2015). The Effect Of Maternal Hemoglobin Concentration On Fetal Birth Weight According To Trimesters. The Journal Of Maternal-Fetal & Neonatal Medicine, 28(17), 2106–2110. Https://Doi.Org/10.3109/14767058.2014.979149
Bird, A. L., Grant, C. C., Bandara, D. K., Mohal, J., Atatoa-Carr, P. E., Wise, M. R., … Morton, S. M. B. (2017). Maternal Health In Pregnancy And Associations With Adverse Birth Outcomes: Evidence From Growing Up In New Zealand. Australian And New Zealand Journal Of Obstetrics And Gynaecology, 57(1), 16–24. Https://Doi.Org/10.1111/Ajo.12557
Brannon, P., & Taylor, C. (2017). Iron Supplementation During Pregnancy And Infancy: Uncertainties And Implications For Research And Policy. Nutrients, 9(12), 1327. Https://Doi.Org/10.3390/Nu9121327
Chaparro, C. M., & Suchdev, P. S. (2019). Anemia Epidemiology, Pathophysiology, And Etiology In Low‐ And Middle‐Income Countries. Annals Of The New York Academy Of Sciences, Nyas.14092. Https://Doi.Org/10.1111/Nyas.14092
Gaillard, R., Eilers, P. H. C., Yassine, S., Hofman, A., Steegers, E. A. P., & Jaddoe, V. W. V. (2014). Risk Factors And Consequences Of Maternal Anaemia And Elevated Haemoglobin Levels During Pregnancy: A Population-Based Prospective Cohort Study. Paediatric And Perinatal Epidemiology, 28(3), 213–226. Https://Doi.Org/10.1111/Ppe.12112
Harvey, E. M., Strobino, D., Sherrod, L., Webb, M. C., Anderson, C., White, J. A., & Atlas, R. (2017). Community-Academic Partnership To Investigate Low Birth Weight Deliveries And Improve Maternal And Infant Outcomes At A Baltimore City Hospital. Maternal And Child Health Journal, 21(2), 260–266. Https://Doi.Org/10.1007/S10995-016-2153-3
Janbek, J., Sarki, M., Specht, I. O., & Heitmann, B. L. (2019). A Systematic Literature Review Of The Relation Between Iron Status/Anemia In Pregnancy And Offspring Neurodevelopment. European Journal Of Clinical Nutrition, 73(12), 1561–1578. Https://Doi.Org/10.1038/S41430-019-0400-6
Kader, M., & Perera, N. P. (2014). Socio-Economic And Nutritional Determinants Of Low Birth Weight In India. North American Journal Of Medical Sciences, 6(7), 302. Https://Doi.Org/10.4103/1947-2714.136902
Kumar, K. J., Asha, N., Murthy, D. S., Sujatha, M. S., & Manjunath, V. G. (2013). Maternal Anemia In Various Trimesters And Its Effect On Newborn Weight And Maturity: An Observational Study. International Journal Of Preventive Medicine, 4(2), 193–199.
Kumari, S., Garg, N., Kumar, A., Guru, P. K. I., Ansari, S., Anwar, S., … Sohail, M. (2019). Maternal And Severe Anaemia In Delivering Women Is Associated With Risk Of Preterm And Low Birth Weight: A Cross Sectional Study From Jharkhand, India. One Health, 8, 100098. Https://Doi.Org/10.1016/J.Onehlt.2019.100098
Lawani, L. O., Iyoke, C. A., Onoh, R. C., Nkwo, P. O., Ibrahim, I. A., Ekwedigwe, K. C., & Ekine, A. A. (2016). Obstetric Benefits Of Health Insurance: A Comparative Analysis Of Obstetric Indices And Outcome Of Enrollees And Non-Enrollees In Southeast Nigeria. Journal Of Obstetrics And Gynaecology, 36(7), 946–949. Https://Doi.Org/10.1080/01443615.2016.1174830
Liu, D., Li, S., Zhang, B., Kang, Y., Cheng, Y., Zeng, L., … Dang, S. (2022). Maternal Hemoglobin Concentrations And Birth Weight, Low Birth Weight (Lbw), And Small For Gestational Age (Sga): Findings From A Prospective Study In Northwest China. Nutrients, 14(4), 858. Https://Doi.Org/10.3390/Nu14040858
Mcclung, J. P., & Murray-Kolb, L. E. (2013). Iron Nutrition And Premenopausal Women: Effects Of Poor Iron Status On Physical And Neuropsychological Performance. Annual Review Of Nutrition, 33(1), 271–288. Https://Doi.Org/10.1146/Annurev-Nutr-071812-161205
Moghaddam Tabrizi, F., & Barjasteh, S. (2015). Maternal Hemoglobin Levels During Pregnancy And Their Association With Birth Weight Of Neonates. Iranian Journal Of Pediatric Hematology And Oncology, 5(4), 211–217. Retrieved From Http://Www.Ncbi.Nlm.Nih.Gov/Pubmed/26985354
Rahman, M. M., Abe, S. K., Rahman, M. S., Kanda, M., Narita, S., Bilano, V., … Shibuya, K. (2016). Maternal Anemia And Risk Of Adverse Birth And Health Outcomes In Low- And Middle-Income Countries: Systematic Review And Meta-Analysis. The American Journal Of Clinical Nutrition, 103(2), 495–504. Https://Doi.Org/10.3945/Ajcn.115.107896
Raing, E. V. C., Lada, C. O., Buntoro, I. F., & Soegianto, S. D. P. (2023). The Relationship Between Maternal Anemia History And Exclusive Breastfeeding With Stunting Incidence In Infants 6-12 Months In West Kupang District. Eas Journal Of Nutrition And Food Sciences, 5(01), 28–35. Https://Doi.Org/10.36349/Easjnfs.2023.V05i01.004
Sari, P., Herawati, D. M. D., Dhamayanti, M., & Hilmanto, D. (2022). Anemia Among Adolescent Girls In West Java, Indonesia: Related Factors And Consequences On The Quality Of Life. Nutrients, 14(18), 3777. Https://Doi.Org/10.3390/Nu14183777
Stangret, A., Wnuk, A., Szewczyk, G., Pyzlak, M., & Szukiewicz, D. (2017). Maternal Hemoglobin Concentration And Hematocrit Values May Affect Fetus Development By Influencing Placental Angiogenesis. The Journal Of Maternal-Fetal & Neonatal Medicine, 30(2), 199–204. Https://Doi.Org/10.3109/14767058.2016.1168395
Tiwari, M., Kotwal, J., Kotwal, A., Mishra, P., Dutta, V., & Chopra, S. (2013). Correlation Of Haemoglobin And Red Cell Indices With Serum Ferritin In Indian Women In Second And Third Trimester Of Pregnancy. Medical Journal Armed Forces India, 69(1), 31–36. Https://Doi.Org/10.1016/J.Mjafi.2012.07.016
Unicef, Who, & World Bank. (2023). Levels And Trends In Child Malnutrition: Unicef/Who/The World Bank Group Joint Child Malnutrition Estimates: Key Findings Of The 2023 Edition. Retrieved August 17, 2023, From World Health Organization Website: Https://Data.Unicef.Org/Topic/Nutrition/Malnutrition/
Vural, T., Toz, E., Özcan, A., Biler, A., İleri, A., & İnan, A. H. (2016). Can Anemia Predict Perinatal Outcomes In Different Stages Of Pregnancy? Pakistan Journal Of Medical Sciences, 32(6). Https://Doi.Org/10.12669/Pjms.326.11199
World Health Organization. (2012). Guideline: Daily Iron And Folic Acid Supplementation In Pregnant Women. Retrieved August 17, 2023, From World Health Organization Website: Https://Apps.Who.Int/Iris/Handle/10665/77770
World Health Organization. (2020a). Global Anaemia Reduction Efforts Among Women Of Reproductive Age: Impact, Achievement Of Targets And The Way Forward For Optimizing Efforts. Oms, 4(1), 68. Retrieved From Https://Www.Who.Int/Publications/I/Item/9789240012202
World Health Organization. (2020b). Prevalence Of Anemia Among Pregnant Women (%) - Indonesia | Data. Retrieved August 17, 2023, From World Health Organization Website: Https://Data.Worldbank.Org/Indicator/Sh.Prg.Anem?Locations=Id
Wu, Y., Ye, H., Liu, J., Ma, Q., Yuan, Y., Pang, Q., … Liu, M. (2020). Prevalence Of Anemia And Sociodemographic Characteristics Among Pregnant And Non-Pregnant Women In Southwest China: A Longitudinal Observational Study. Bmc Pregnancy And Childbirth, 20(1), 535. Https://Doi.Org/10.1186/S12884-020-03222-1
Yi, S.-W., Han, Y.-J., & Ohrr, H. (2013). Anemia Before Pregnancy And Risk Of Preterm Birth, Low Birth Weight And Small-For-Gestational-Age Birth In Korean Women. European Journal Of Clinical Nutrition, 67(4), 337–342. Https://Doi.Org/10.1038/Ejcn.2013.12
Yildiz, Y., Özgü, E., Unlu, S. B., Salman, B., & Eyi, E. G. Y. (2014). The Relationship Between Third Trimester Maternal Hemoglobin And Birth Weight/Length; Results From The Tertiary Center In Turkey. The Journal Of Maternal-Fetal & Neonatal Medicine, 27(7), 729–732. Https://Doi.Org/10.3109/14767058.2013.837445
DOI: https://doi.org/10.33024/mahesa.v4i1.11758
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