Hubungan Anemia Pada Ibu Hamil di Trimester III dengan Berat Badan Lahir Rendah (BBLR) di Puskesmas Eimadake, Kabupaten Sabu Raijua Tahun 2024

Rini Nenobesi; Yudied Agung Mirasa; Eko Winarti

doi:10.56211/pubhealth.v4i3.1502

Authors

Rini Nenobesi Universitas Kadiri, Kediri
Yudied Agung Mirasa Universitas Kadiri, Kediri
Eko Winarti Universitas Kadiri, Kediri

DOI:

https://doi.org/10.56211/pubhealth.v4i3.1502

Keywords:

Anemia; Antenatal Care; Berat Badan Bayi Lahir; Ibu Hamil; Trimester Ketiga

Abstract

Kehamilan pada usia yang tidak ideal dan kondisi anemia merupakan faktor penting yang dapat memengaruhi kesehatan ibu maupun bayi. Penelitian ini bertujuan untuk mengetahui gambaran karakteristik umur ibu hamil trimester III, kejadian anemia, serta hubungannya dengan berat badan bayi lahir di Puskesmas Eimadake. Desain penelitian menggunakan pendekatan cross sectional dengan jumlah sampel sebanyak 34 responden yang dipilih secara purposive sampling. Data diperoleh melalui observasipencatatan rekam medis, kemudian dianalisis secara univariat dan bivariat menggunakan uji Chi-Square. Hasil penelitian menunjukkan bahwa mayoritas ibu hamil berada pada kelompok usia risiko tinggi (<20 tahun dan >35 tahun) yaitu sebanyak 85,3%, sedangkan hanya 14,7% yang berada pada usia aman (20–35 tahun). Prevalensi anemia cukup tinggi, ditemukan pada 67,6% responden. Sementara itu, sebagian besar bayi lahir dengan berat badan normal (88,3%), meskipun masih terdapat 11,7% kasus bayi berat lahir rendah (BBLR). Uji bivariat menunjukkan tidak ada hubungan yang bermakna antara anemia ibu hamil trimester III dengan berat badan bayi lahir (p=0,184). Kesimpulan dari penelitian ini adalah bahwa sebagian besar ibu hamil berada pada kelompok usia risiko tinggi dan mengalami anemia, namun kondisi tersebut tidak terbukti berhubungan signifikan dengan kejadian BBLR. Pentingnya pemantauan kesehatan ibu hamil secara periodik guna memastikan persalinan yang baik dan mencegah komplikasi kehamilan segingga tercapai bayi yang lahir sehat.

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References

Aballo, J., Adokiya, M. N., & Boah, M. (2025). Trimester-specific trends in gestational anaemia and associations with neonatal outcomes: a retrospective facility-based study in Ghana. Discover Public Health, 22(1), 1-12. DOI: https://doi.org/10.1186/s12982-025-00561-2

Arabzadeh, H., Mehrabadi, S., Shahraki, H. R., & Haghdoost, A. A. (2024). The maternal factors associated with infant low birth weight: An umbrella review. BMC Pregnancy and Childbirth, 24(1), 112. https://doi.org/10.1186/s12884-024-06453-9 DOI: https://doi.org/10.1186/s12884-024-06487-y

Beressa, G., Whiting, S. J., Kuma, M. N., Lencha, B., & Belachew, T. (2024). Association between anemia in pregnancy with low birth weight and preterm birth in Ethiopia: A systematic review and meta-analysis. PLoS one, 19(9), e0310329. DOI: https://doi.org/10.1371/journal.pone.0310329

Benson, C. S., Shah, A., Vyakaranam, S., dkk. (2022). The incidence, complications and treatment of iron deficiency in pregnancy. Journal of Blood Medicine, 13, 151–163. https://doi.org/10.2147/JBM.SXXXXX

Blitz, M. J., Yukhayev, A., Pachtman, S. L., Reisner, J., Moses, D., Sison, C. P., Greenberg, M., & Rochelson, B. (2020). Twin pregnancy and risk of postpartum hemorrhage. The Journal of MaternalFetal & Neonatal Medicine, 33(22), 3740–3745 DOI: https://doi.org/10.1080/14767058.2019.1583736

Carboo, J. A., Ngounda, J., Baumgartner, J., Robb, L., Jordaan, M., & Walsh, C. M. (2024). Iron status, anemia, and birth outcomes among pregnant women in urban Bloemfontein, South Africa: the NuEMI study. BMC Pregnancy and Childbirth, 24(1), 650. DOI: https://doi.org/10.1186/s12884-024-06845-w

Darman, M., Al Haddabi, R., dkk. (2024). Low birth weight among liveborn infants in Oman: 2014–2022.RIMJ. https://www.omjournal.org/articleDetails.aspx?coType=1&aId=3251

Garzon, S., Cacciato, P. M., Certelli, C., Salvaggio, C., Magliarditi, M., & Rizzo, G. (2020). Iron deficiency anemia in pregnancy: novel approaches for an old problem. Oman Medical Journal, 35(5), e166. DOI: https://doi.org/10.5001/omj.2020.108

Ghosh, R., Causey, K., Burkart, K., Wozniak, S., Cohen, A., Brauer, M., … & Forouzanfar, M. (2021). Ambient and household air pollution and adverse perinatal outcomes: A comprehensive review and meta-analysis. PLoS Medicine, 18(4), e1003611. https://doi.org/10.1371/journal.pmed.1003611 DOI: https://doi.org/10.1371/journal.pmed.1003852

Gustanela, O., & Pratomo, H. (2022). Faktor sosial budaya yang berhubungan dengan anemia pada ibu hamil (a systematic review). Media Publikasi Promosi Kesehatan Indonesia (MPPKI), 5(1), 25– 32. DOI: https://doi.org/10.56338/mppki.v5i1.1894

Handayani, S., Aprilina, A., Hipson, M., & Solama, W. (2024). Hubungan Anemia Pada Ibu Hamil Dengan Kejadian Berat Badan Lahir Rendah (BBLR). Babul Ilmi Jurnal Ilmiah Multi Science Kesehatan, 16(2). DOI: https://doi.org/10.36729/bi.v16i2.1291

Islami, I., Wigati, A., & Astuti, D. (2024). Kejadian berat badan lahir rendah berdasarkan riwayat kehamilan. Jurnal Ilmu Keperawatan Dan Kebidanan, 15(1), 102–109. DOI: https://doi.org/10.26751/jikk.v15i1.2185

Ikatan Dokter Anak Indonesia. (2022). Pedoman nasional pelayanan kedokteran: Tata laksana bayi berat badan lahir rendah (BBLR). IDAI.

Kurbatfinski, S. (2024). Validity, reliability, accessibility, and applicability of young child multidomain developmental screening tools. Frontiers in Pediatrics, 12, 1376. https://doi.org/10.3389/fped.2024.1376543 DOI: https://doi.org/10.3390/children11060745

Liu, D., Li, S., Zhang, B., Kang, Y., Cheng, Y., Zeng, L., Chen, F., Mi, B., Qu, P., Zhao, D., Zhu, Z., Yan, H., Wang, D., & 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 DOI: https://doi.org/10.3390/nu14040858

Mazhar, R., & Satriyandari, Y. (2024). Hubungan Anemia Pada Ibu Hamil Dengan Kejadian Bayi Berat Lahir Rendah (Bblr) Di Rs Pku Muhammadiyah Gamping. Avicenna: Journal of Health Research, 7(1). DOI: https://doi.org/10.36419/avicenna.v7i1.1025

Meliyani, A., Sitorus, R. J., Flora, R., Hasyim, H., Zulkarnain, M., Tanjung, R., Sulung, N., Ikhsan, I., & Ermi, N. (2022). Hubungan Asupan Fe Dengan Kejadian Anemia Defisiensi Besi Pada Ibu Hamil Di Kabupaten Seluma. Journal of Nursing and Public Health, 10(2), 225–232. DOI: https://doi.org/10.37676/jnph.v10i2.3201

Metwally, A. M., Salah, E. A., & Nasr, A. (2023). Screening and determinants of suspected developmental delay among infants: Application of Denver Developmental Screening Test (DDST-II). Italian Journal of Pediatrics, 49(1), 61. https://doi.org/10.1186/s13052-023-01423-8

Novina, N., Julia, M., & Lestari, E. (2020). Indonesian National Growth Reference Charts better reflect growth status among Indonesian children than WHO standards. Paediatrica Indonesiana, 60(5), 254–263. https://doi.org/10.14238/pi60.5.2020.254-63

Nur Annisa, A. (2024). Gambaran Pengetahuan, Asupan Zat Gizi Makro, Fe, Dan Kepatuhan Tablet Tambah Darah Ibu Hamil Yang Anemia Di Rumah Sakit Melania Bogor Tahun 2024. Universitas Mohammad Husni Thamrin.

Nurrohmah, A., Indarwati, I., & Rahmawatie, D. (2024). Risk Factors for Anemia in the Event of Low Birth Weight (LBW). AURELIA: Jurnal Penelitian dan Pengabdian Masyarakat Indonesia, 4(1), 1422-1427. DOI: https://doi.org/10.57235/aurelia.v4i1.5020

Nurwati, Y., Hardinsyah, & Marliyati, S. A. (2023). Potential maternal risk factors for low birth weight in Indonesia: A systematic review. Jurnal Gizi dan Pangan, 18(2), 75–88. https://doi.org/10.25182/jgp.v18i2.2023 DOI: https://doi.org/10.25182/jgp.2023.18.3.167-176

Obianeli, C., Afifi, K., Stanworth, S., & Churchill, D. (2024). Iron deficiency anaemia in pregnancy: A narrative review from a clinical perspective. Diagnostics, 14(23), 2306. https://doi.org/10.3390/diagnostics14202306 DOI: https://doi.org/10.3390/diagnostics14202306

Puspitasari, D., Handayani, N., & Wulandari, R. (2024). Determinants of low birth weight among pregnant women in Indonesia: A case-control study. International Journal of Reproductive Health, 12(1), 44–53.

Putri, D. A., Ishartadiati, K., Al Aska, A. A., & Sahadewa, S. (2024). Hubungan Anemia Pada Ibu Hamil Dengan Berat Badan Bayi Di RSUD Dr. H. Soewondo Kendal. CALVARIA MEDICAL JOURNAL, 2(2), 121–126. DOI: https://doi.org/10.30742/cmj.v2i2.55

Rah, S. S., Weiss, J., & Johnson, C. P. (2023). Accuracy of children’s developmental screening tools in real-world settings: A systematic review and meta-analysis. Journal of the American Academy of Child & Adolescent Psychiatry, 62(7), 820–832. https://doi.org/10.1016/j.jaac.2022.09.016 DOI: https://doi.org/10.1016/j.jaac.2022.12.014

Shi, H., Chen, L., Wang, Y., dkk. (2022). Severity of anemia during pregnancy and adverse maternal and fetal outcomes. JAMA Network Open, 5(2), e2147046. https://doi.org/10.1001/jamanetworkopen.2021.47046 DOI: https://doi.org/10.1001/jamanetworkopen.2021.47046

Sari, R. P., & Prasetyo, A. D. (2025). Maternal compliance with iron supplementation and the risk of low birth weight: Evidence from Indonesian Demographic and Health Survey. BMC Public Health, 25(1), 1332. https://doi.org/10.1186/s12889-025-1332

Wang, R., Xu, S., Hao, X., Jin, X., Pan, D., Xia, H., ... & Wang, S. (2025). Anemia during pregnancy and adverse pregnancy outcomes: a systematic review and meta-analysis of cohort studies. Frontiers in global women's health, 6, 1502585. DOI: https://doi.org/10.3389/fgwh.2025.1502585

Widowati, N., Ningtyias, F. W., & Sulistiyani, S. (2024). Analisa Faktor Ibu dengan Kejadian Bayi BBLR di Puskesmas Situbondo: Studi Data Register Kohort Tahun 2020. Amerta Nutrition, 8(3), 368-375. DOI: https://doi.org/10.20473/amnt.v8i3.2024.368-375

Wigati, A., Nisak, A. Z., & Azizah, N. (2021). Kejadian anemia berdasarkan kepatuhan ibu hamil dalam konsumsi tablet Fe. Indonesia Jurnal Kebidanan, 5(1), 1–7. DOI: https://doi.org/10.26751/ijb.v5i1.928

Wijaya, I., & Nur, N. H. (2021). Faktor Risiko Kejadian Anemia Pada Ibu Hamil Di Wilayah Kerja Puskesmas Mamajang Kota Makassar. Media Publikasi Promosi Kesehatan DOI: https://doi.org/10.56338/mppki.v4i1.1393

World Health Organization. (2020). WHO child growth standards: Methods and development. WHO Press. https://www.who.int/tools/child-growth-standard

World Health Organization. (2023). Anaemia. World Health Organization. https://www.who.int/news-room/fact-sheets/detail/anaemia

World Health Organization. (2024). Daily iron and folic acid supplementation during pregnancy. e-Library of Evidence for Nutrition Actions (eLENA).WHO.https://www.who.int/tools/elena/interventions/daily-iron-pregnancy

Xie, G., Wang, R., Zhang, B., Sun, L., Xiang, W., Xu, M., ... & Yang, W. (2022). Non-linear connections between maternal hemoglobin during the third trimester of pregnancy and birth weight outcomes in full-term newborns: Estimating the breakpoints. Frontiers in Nutrition, 9, 1031781. DOI: https://doi.org/10.3389/fnut.2022.1031781