HUBUNGAN LINGKAR LENGAN ATAS (LILA) DAN KADAR HEMOGLOBIN DENGAN KEJADIAN ANEMIA PADA IBU HAMIL TRIMESTER III
DOI:
https://doi.org/10.31004/jkt.v3i3.6516Keywords:
Anemia, Hemoglobin, Pregnant Women, LILAAbstract
Kehamilan merupakan metamorphosis atau proses perkembangan pada kehidupan. Sekitar 4-16% kematian ibu disebabkan oleh anemia. Dampak anemia selama kehamilan termasuk perdarahan postpartum, berat badan lahir rendah. status gizi dengan tingkat kejadian Anemia pada ibu hamil terutama trimester ketiga. Penelitian ini dengan pendekatan cross sectional dan metode observasional analitik. Lokasi penelitian dilakukan pada Faskes Tingkat 1 Kabupaten Kudus selama bulan juli tahun 2022. Pengumpulan data dengan cara melakukan penelitian secara langsung dan dilakukan pengukuran LILA menggunakan pita LILA dan kadar Hb menggunakan easy touch. Adapun teknik yang digunakan sebagai penentuan sampel adalah teknik total sampling sebanyak 32 ibu hamil trimester III sesuai dengan kriteria inklusi dan eksklusi yang dibuat oleh peneliti. Analisis data yang digunakan yaitu dengan uji chi square melalui software SPSS ver 23 dengan sig. p<0,05. Dari penelitian yang telah dilakukan didapatkanlah hasil bahwa ada hubungan yang signifikan antara kadar hemoglobin dan LILA dengan kejadian anemia pada ibu hamil trimester III. Walaupun demikian, skrinning status gizi dengan cara pengukuran LILA dan pemeriksaan kadar hemoglobin berperan penting dalam mencegah anemia terutama pada ibu hamil. Berdasarkah hasil penelitian yang didapatkan, penulis berharap pentingnya memberikan edukasi dan pengetahuan kepada masyarakat tentang peranan gizi seimbang sesuai dengan porsi dan mengkonkumsi tablet Fe (zat besi) guna memenuhi kebutuhan janin dan menyempurnakan perkembangan serta meningkatkan kesehatan ibu.References
Abbaspour, N., Hurrell, R. and Kelishadi, R. (2014) ‘Review on iron and its importance for human health’, Journal of Research in Medical Sciences, 19(2), pp. 164–174.
Agustina, W. (2019) ‘Perbandingan Kadar Hemoglobin Pada Ibu Hamil Yang Mengkomsumsi Tablet Besi Dengan Dan Tanpa Vitamin C Di Wilayah Kerja Puskesmas Langsa Lama Tahun 2019’, Jurnal Nasional Ilmu Kesehatan, 2(2), pp. 76–87. Available at: http://journal.unhas.ac.id/index.php/jnik/article/view/7080/4347.
Aini, I. (2017) ‘Hubungan Lingkar Lengan Atas (Lila) Dengan Kejadian Anemia Pada Ibu Hamil Trimester I Di Wilayah Kerja Puskesmas Dukuh Klopo Kecamatan Peterongan Kabupaten Jombang’, Midwifery Journal Of STIKes Insan Cendekia Medika Jombang, 13(1), pp. 13–19.
Albertsson, A. M. et al. (2014) ‘The immune response after hypoxia-ischemia in a mouse model of preterm brain injury’, Journal of Neuroinflammation, 11(1), pp. 1–14. doi: 10.1186/s12974-014-0153-z.
Ali, E. et al. (2016) ‘Fetal vascular adaptation before and after treatment of severe maternal anemia in pregnancy’, International Journal of Gynecology and Obstetrics. Elsevier B.V., 133(3), pp. 284–286. doi: 10.1016/j.ijgo.2015.11.011.
Amiri, P., Rahimi, B. and Khalkhali, H. R. (2018) ‘Electronic Physician ( ISSN?: 2008-5842 )’, Electronic Physician, 10(January), pp. 6201–6207.
Assefa, N., Berhane, Y. and Worku, A. (2012) ‘Wealth status, mid upper arm circumference (MUAC) and Ante Natal Care (ANC) are determinants for low birth weight in Kersa, Ethiopia’, PLoS ONE, 7(6). doi: 10.1371/journal.pone.0039957.
Bastian, T. W. et al. (2018) ‘Erratum: Iron deficiency impairs developing hippocampal neuron gene expression, energy metabolism, and dendrite complexity (Developmental Neuroscience (2016) 38 (264-276) DOI: 10.1159/000448514)’, Developmental Neuroscience, 40(3), p. 288. doi: 10.1159/000492448.
Bastian, T. W. et al. (2019) ‘Chronic energy depletion due to iron deficiency impairs dendritic mitochondrial motility during hippocampal neuron development’, Journal of Neuroscience, 39(5), pp. 802–813. doi: 10.1523/JNEUROSCI.1504-18.2018.
Beckert, R. H. et al. (2019) ‘Maternal anemia and pregnancy outcomes: a population-based study’, Journal of Perinatology. Springer US, 39(7), pp. 911–919. doi: 10.1038/s41372-019-0375-0.
Black, R. E. et al. (2013) ‘Maternal and child undernutrition and overweight in low-income and middle-income countries’, The Lancet, 382(9890), pp. 427–451. doi: 10.1016/S0140-6736(13)60937-X.
Cao, C. and O’Brien, K. O. (2013) ‘Pregnancy and iron homeostasis: An update’, Nutrition Reviews, 71(1), pp. 35–51. doi: 10.1111/j.1753-4887.2012.00550.x.
Contamine, P. (2013) ‘Un préambule explicatif inédit dans un Manuscrit (milieu XVe s.) du Songe du Vieil Pèlerin (1389) de Philippe de Mézières?: le texte et l’image’, Comptes-rendus des séances de l année - Académie des inscriptions et belles-lettres, 151(4), pp. 1901–1923. doi: 10.3406/crai.2007.91593.
Das, A. et al. (2020) ‘Mid-upper arm circumference as a substitute of the body mass index for assessment of nutritional status among adult and adolescent females: learning from an impoverished Indian state’, Public Health. Elsevier Ltd, 179, pp. 68–75. doi: 10.1016/j.puhe.2019.09.010.
Drukker, L. et al. (2015) ‘Iron deficiency anemia at admission for labor and delivery is associated with an increased risk for Cesarean section and adverse maternal and neonatal outcomes’, Transfusion, 55(12), pp. 2799–2806. doi: 10.1111/trf.13252.
Endeshaw, M. et al. (2016) ‘Obesity in young age is a risk factor for preeclampsia: A facility based case-control study, northwest Ethiopia’, BMC Pregnancy and Childbirth. BMC Pregnancy and Childbirth, 16(1), pp. 1–11. doi: 10.1186/s12884-016-1029-2.
Fisher, A. L. and Nemeth, E. (2017) ‘Iron homeostasis during pregnancy’, American Journal of Clinical Nutrition, 106, pp. 1567S-1574S. doi: 10.3945/ajcn.117.155812.
Fretham, S. J. B. et al. (2012) ‘Temporal manipulation of transferrin-receptor-1-dependent iron uptake identifies a sensitive period in mouse hippocampal neurodevelopment’, Hippocampus, 22(8), pp. 1691–1702. doi: 10.1002/hipo.22004.
Gebre, A. and Mulugeta, A. (2015) ‘Prevalence of anemia and associated factors among pregnant women in north western zone of tigray, northern ethiopia: A cross-sectional study’, Journal of Nutrition and Metabolism, 2015(May 2013). doi: 10.1155/2015/165430.
Georgieff, M. K. (2020) ‘Iron deficiency in pregnancy’, American Journal of Obstetrics and Gynecology. Elsevier Inc., 223(4), pp. 516–524. doi: 10.1016/j.ajog.2020.03.006.
Ghosh, S. et al. (2019) ‘Nutrition-specific and nutrition-sensitive factors associated with mid-upper arm circumference as a measure of nutritional status in pregnant Ethiopian women: Implications for programming in the first 1000 days’, PLoS ONE, 14(3), pp. 1–14. doi: 10.1371/journal.pone.0214358.
Indah Purnama Eka Sari and Wenny Dahlia (2020) ‘The Effect Of Giving Iron Tablet And Green Bean Ekstract On Hemoglobin Levels In Pregnant Women’, Medikes (Media Informasi Kesehatan), 7(2), p. 347.
Jung, J. et al. (2019) ‘Effects of hemoglobin levels during pregnancy on adverse maternal and infant outcomes: a systematic review and meta-analysis’, Annals of the New York Academy of Sciences, 1450(1), pp. 69–82. doi: 10.1111/nyas.14112.
Kamaruddin, M., Usmia, S. and Handayani, I. (2019) ‘Korelasi Antara Status Gizi Dan Kadar Hemoglobin Pada Kejadian Anemia Ibu Hamil Trimester III’, MEDIKA ALKHAIRAAT?: JURNAL PENELITIAN KEDOKTERAN DAN KESEHATAN , 1(3), pp. 82–88.
Khatimah, H., Setiawati, D. and Haruna, N. (2022) Hubungan Faktor Risiko Kejadian Anemia pada Ibu Hamil Trimester Ketiga, UMI Medical Journal.
Kpewou, D. E. et al. (2020) ‘Maternal mid-upper arm circumference during pregnancy and linear growth among Cambodian infants during the first months of life’, Maternal and Child Nutrition, 16(S2), pp. 1–11. doi: 10.1111/mcn.12951.
Kumar, P. et al. (2018) ‘Screening Maternal Acute Malnutrition Using Adult Mid ? Upper Arm Circumference in Resource ? Poor Settings’, Indian Journal of Community Medicine, 43(2), pp. 22–24.
Lelic, M. et al. (2014) ‘Influence of maternal anemia during pregnancy on placenta and newborns.’, Medicinski arhiv, 68(3), pp. 184–187. doi: 10.5455/medarh.2014.68.184-187.
Lumbanraja, S. N. et al. (2019) ‘The correlation between hemoglobin concentration during pregnancy with the maternal and neonatal outcome’, Open Access Macedonian Journal of Medical Sciences, 7(4), pp. 594–598. doi: 10.3889/OAMJMS.2019.150.
McArdle, H. J., Gambling, L. and Kennedy, C. (2014) ‘Iron deficiency during pregnancy: The consequences for placental function and fetal outcome’, Proceedings of the Nutrition Society, 73(1), pp. 9–15. doi: 10.1017/S0029665113003637.
Means, R. T. (2020) ‘Iron deficiency and iron deficiency anemia: Implications and impact in pregnancy, fetal development, and early childhood parameters’, Nutrients, 12(2). doi: 10.3390/nu12020447.
Mekonnen, F. A., Ambaw, Y. A. and Neri, G. T. (2018) ‘Socio-economic determinants of anemia in pregnancy in North Shoa Zone, Ethiopia’, PLoS ONE, 13(8), pp. 1–9. doi: 10.1371/journal.pone.0202734.
Michelle A. Kominiarek and Rajan, P. (2016) ‘Nutrition Recommendations in Pregnancy and Lactation Michelle’, Med Clin North Am, 100(6), pp. 1199–1215. doi: 10.1016/j.mcna.2016.06.004.Nutrition.
Miele, M. J. et al. (2021) ‘Proposal of MUAC as a fast tool to monitor pregnancy nutritional status: Results from a cohort study in Brazil’, BMJ Open, 11(5), pp. 1–11. doi: 10.1136/bmjopen-2020-047463.
Natalia, S., Sumarmi, S. and Nadhiroh, S. R. (2017) ‘Cakupan Anc Dan Cakupan Tablet Fe Hubungannya Dengan Prevalensi Anemia Di Jawa Timur’, Media Gizi Indonesia, 11(1), p. 70. doi: 10.20473/mgi.v11i1.70-76.
Niatsetskaya, Z. V. et al. (2012) ‘Mild hypoxemia during initial reperfusion alleviates the severity of secondary energy failure and protects brain in neonatal mice with hypoxic-ischemic injury’, Journal of Cerebral Blood Flow and Metabolism, 32(2), pp. 232–241. doi: 10.1038/jcbfm.2011.164.
Papathakis, P. C., Singh, L. N. and Manary, M. J. (2016) ‘How maternal malnutrition affects linear growth and development in the offspring’, Molecular and Cellular Endocrinology. Elsevier Ltd, 435, pp. 40–47. doi: 10.1016/j.mce.2016.01.024.
Pisansky, M. T. et al. (2013) ‘Iron deficiency with or without anemia impairs prepulse inhibition of the startle reflex’, Hippocampus, 23(10), pp. 952–962. doi: 10.1002/hipo.22151.
Rivera, H. M., Christiansen, K. J. and Sullivan, E. L. (2015) ‘The role of maternal obesity in the risk of neuropsychiatric disorders’, Frontiers in Neuroscience, 9(MAY), pp. 1–16. doi: 10.3389/fnins.2015.00194.
Ruchayati, F. (2012) ‘HUBUNGAN KADAR HEMOGLOBIN DAN LINGKAR LENGAN ATAS IBU HALMAHERA KOTA SEMARANG’, Jurnal Kesehatan Masyarakat, 1(2), pp. 1–8.
Saito, H. (2014) ‘Metabolism of iron stores’, Nagoya Journal of Medical Science, 76(3–4), pp. 235–254.
Schmidt, R. J. et al. (2014) ‘Maternal intake of supplemental iron and risk of autism spectrum disorder’, American Journal of Epidemiology, 180(9), pp. 890–900. doi: 10.1093/aje/kwu208.
Srikanth, S. (2014) ‘Prevalence of Anemia in the First Trimester of Pregnancy in Rural Population of Krishna District in Andhra Pradesh’, Scholars Journal of Applied Medical Sciences (SJAMS), (October 2013), pp. 570–574.
Sultana, T. et al. (2015) ‘Assessment of under nutrition of Bangladeshi adults using anthropometry: Can body mass index be replaced by mid-upper-arm-circumference?’, PLoS ONE, 10(4), pp. 1–8. doi: 10.1371/journal.pone.0121456.
Sundararajan, S. and Rabe, H. (2021) ‘Prevention of iron deficiency anemia in infants and toddlers’, Pediatric Research. Springer US, 89(1), pp. 63–73. doi: 10.1038/s41390-020-0907-5.
Tang, A. M. et al. (2020) ‘Determining a global mid-upper arm circumference cut-off to assess underweight in adults (men and non-pregnant women)’, Public Health Nutrition, 23(17), pp. 3104–3113. doi: 10.1017/S1368980020000397.
Tran, P. V. et al. (2015) ‘Fetal iron deficiency induces chromatin remodeling at the Bdnf locus in adult rat hippocampus’, American Journal of Physiology - Regulatory Integrative and Comparative Physiology, 308(4), pp. R276–R282. doi: 10.1152/ajpregu.00429.2014.
Tran, P. V. et al. (2016) ‘Prenatal choline supplementation diminishes early-life iron deficiency-induced reprogramming of molecular networks associated with behavioral abnormalities in the adult rat hippocampus’, Journal of Nutrition, 146(3), pp. 484–493. doi: 10.3945/jn.115.227561.
Vela, D. (2018) ‘Hepcidin, an emerging and important player in brain iron homeostasis’, Journal of Translational Medicine. BioMed Central, 16(1), pp. 1–18. doi: 10.1186/s12967-018-1399-5.
Ververs, M. tesse et al. (2013) ‘Which Anthropometric Indicators Identify a Pregnant Woman as Acutely Malnourished and Predict Adverse Birth Outcomes in the Humanitarian Context?’, PLoS Currents, (JUNE), pp. 1–12. doi: 10.1371/currents.dis.54a8b618c1bc031ea140e3f2934599c8.
Wang, Y. et al. (2019) ‘Iron metabolism and brain development in premature infants’, Frontiers in Physiology, 10(APR). doi: 10.3389/fphys.2019.00463.
Wu, Y. et al. (2019) ‘The potential role of ferroptosis in neonatal brain injury’, Frontiers in Neuroscience, 13(FEB), pp. 1–11. doi: 10.3389/fnins.2019.00115.
Yildiz, Y. et al. (2014) ‘The relationship between third trimester maternal hemoglobin and birth weight/length; Results from the tertiary center in Turkey’, Journal of Maternal-Fetal and Neonatal Medicine, 27(7), pp. 729–732. doi: 10.3109/14767058.2013.837445.
Young, M. F. et al. (2019) ‘Maternal hemoglobin concentrations across pregnancy and maternal and child health: a systematic review and meta-analysis’, Annals of the New York Academy of Sciences, 1450(1), pp. 47–68. doi: 10.1111/nyas.14093.
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