HUBUNGAN PERUBAHAN KADAR Hb DENGAN PENAMBAHAN BERAT BADAN IBU HAMIL SELAMA TRIMESTER III DI WILAYAH KERJA PUSKESMAS SANGKRAH DAN GAJAHAN KEC. PASAR KLIWON KOTA SURAKARTA

MAYORIE, IKA NUR (2005) HUBUNGAN PERUBAHAN KADAR Hb DENGAN PENAMBAHAN BERAT BADAN IBU HAMIL SELAMA TRIMESTER III DI WILAYAH KERJA PUSKESMAS SANGKRAH DAN GAJAHAN KEC. PASAR KLIWON KOTA SURAKARTA. Undergraduate thesis, Diponegoro University.

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Abstract

Kehamilan adalah periode khusus dimana kebutuhan akan sebagian nutrien meningkat. Perubahan fisiologi / faali yang terjadi dalam tubuh ibu dan pertumbuhan janin akan menyebabkan penambahan berat badan selama kehamilan. Kebutuhan zat besi relatif meningkat karena pertumbuhan janin namun banyak hal yang mempengaruhi absorbsi zat besi dan bioavailabilitas zat besi dalam makanan. Kekurangan kadar Hb mengakibatkan kurangnya O2 yang ditranspor ke sel tubuh sehingga menimbulkan gejala letih, lesu, dan cepat capai yang dapat mempengaruhi nafsu makan dan dapat berakibat pada kenaikan berat badan ibu hamil secara tidak langsung. Penelitian ini bertujuan untuk mengetahui dan menganalisis hubungan antara perubahan kadar Hb dengan penambahan berat badan ibu hamil selama trimester III di wilayah kerja Puskesmas Sangkrah dan Puskesmas Gajahan Kota Surakarta. Penelitian ini merupakan studi non eksperimental yang bersifat Explanatory Research dengan pendekatan longitudinal. Jumlah sampel yang didapatkan sebanyak 58 orang yang memenuhi kriteria inklusi yang diambil dalam waktu 1 bulan dengan teknik pengambilan sampel secara purposive dengan batas waktu tertentu. Kadar Hb diperiksa dengan metoda Cyanmethemoglobin. Hasil penelitian menunjukkan bahwa kedua puskesmas tidak memeriksa kadar Hb ibu hamil secara rutin dan ada penurunan prevalensi anemia ibu hamil trimester III dari 86,2% menjadi 70,7% atau menurun sebanyak 15,5%. Rerata penambahan berat badan adalah sebesar 4,6 kg ( +- 1,47 ) dengan penambahan berat badan tergolong baik sebanyak 20,7% dan yang tergolong kurang 79,3%. Pengujian statistik dengan menggunakan Pearson Product Moment menunjukkan bahwa tidak terdapat hubungan antara perubahan kadar Hb dengan penambahan berat badan ibu hamil selama trimester III di wilayah kerja Puskesmas Sangkrah dan Gajahan Kota Surakarta. Puskesmas disarankan untuk memeriksa kadar Hb minimal 2 kali pada K1 dan K4 ibu hamil, meningkatkan penyuluhan dan memotivasi ibu hamil dalam mengkonsumsi tablet tambah darah serta energi dan zat - zat gizi lainnya. Bagi peneliti lain, perlu penelitian lebih lanjut dengan mempertimbangkan jumlah sampel terpenuhi, asupan makanan dan tingkat kepatuhan dalam mengkonsumsi tablet tambah darah. Kata Kunci: Kadar Hb, penambahan berat badan, kehamilan trimester III THE CORRELATION BETWEEN THE CHANGE OF Hb CONCENTRATION AND WEIGHT INCREASE IN THIRD SEMESTER PREGNANCY IN SANGKRAH AND GAJAHAN PUBLIC HEALTH CENTRE AREA PASAR KLIWON SURAKARTA Pregnancy is a specific period when there is an increase of nutrients requirement. The physiological changes in pregnant-women and fetus growth will cause weight increase during pregnancy. Iron requirements increase substantially during pregnancy and there are many things that affect iron absorption and its bioavailability in food. The low Hb concentration has consequences in O2 supply to body tissues. It will manifest in tiredness syndromes, reduce appetite for food and may affect weight increase of pregnant-women indirectly. The goal of this study is to analyze the correlation between the change of Hb concentration and weight increase in third semester pregnancy in Sangkrah dan Gajahan Public Health Centre Surakarta. This study was non experimental study with longitudinal approach. Fifty eight respondents were chosen using purposive technique in a month period. Hb concentration was examined using the cyanmethaemoglobin method. The result of this study showed that both public health centre didn't examine Hb of the pregnant-women and there was decrease of pregnant-women anaemia prevalence from 86,2% to 70,7% or decrease of 15,5%. The mean of weight increase was 4,6 kgs (+- 1,47). There were 2 catagories of weight increase, 20,7% of pregnant-women had good weight increase while 79,3% had low weight increase. The statistical test using Pearson Product Moment showed that there was no correlation between the change of Hb concentration and weight increase in third semester pregnancy in Sangkrah and Gajahan Public Health Centre Surakarta. Public health centres were suggested to examine Hb concentration of pregnant-women at least twice on the first and fourth visit, and to motivate pregnant-women to take iron tablets and eat more food to make sure the weight increase is satisfactory. Further study is needed by analyzing other factors such as food intake and compliance iron tablets consumption. Keyword: Hb concentration, weight increase, third semester pregnancy

Item Type:Thesis (Undergraduate)
Subjects:R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Divisions:Faculty of Public Health > Department of Public Health
ID Code:12437
Deposited By:admin FKM undip
Deposited On:31 May 2010 11:51
Last Modified:31 May 2010 11:51

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