Relationship Between Anemia In Pregnancy And Postpartum Incidents
DOI:
https://doi.org/10.47794/johmis.v1i1.21Keywords:
Anemia, Postpartum, PregnancyAbstract
In Indonesia, the Maternal Mortality Rate (MMR) is still a problem. Postpartum hemorrhage, which accounts for 19.3% of all maternal deaths in Indonesia, is the leading cause of death for pregnant women. One of the risk factors for postpartum hemorrhage is anemia. The aim is to analyze the relationship between anemia in pregnancy and the frequency of postpartum hemorrhage at the Tapa Health Center. The study design used case-control methodology and was an analytical observational study. With 150 samples, this sample used a 1:1 ratio between the control and case groups. Univariate and bivariate analysis techniques were used to analyze the data with the chi-square test and OR calculation. The results of the bivariate test on the variable of hemoglobin levels in trimesters 1, 2 and 3 with the incidence of postpartum hemorrhage each obtained statistically significant results with p equal to 0.000 (p <0.005), 0.000 (p <0.005) and 0.000 (p <0.005) which indicates that there is a relationship between mothers who experience anemia in pregnancy with the incidence of postpartum hemorrhage at the Tapa Health Center. And the OR results, 25.351x, 10.804x, and 35.821x, are the risk levels for experiencing postpartum hemorrhage. And the causes of postpartum hemorrhage were placental retention (44%), uterine atony (28%), uterine rupture (18.6%), and uterine inversion (9.4%). Conclusion: There is a relationship between anemia in pregnancy with the incidence of postpartum hemorrhage; the risk level of postpartum hemorrhage is higher in anemia in trimester 3, and the main cause is placental retention.
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