Association Between Maternal Anemia During Pregnancy and Postpartum Hemorrhage in the Libano Public Health Center Area
Keywords:
Maternal anemia, Maternal health, Postpartum hemorrhage, Pregnancy complicationsAbstract
Anemia during pregnancy is a common condition that significantly contributes to maternal and neonatal morbidity and mortality, particularly in developing regions. Postpartum hemorrhage (PPH) remains a leading cause of maternal death globally, with anemia identified as a major risk factor. This study aimed to examine the association between maternal anemia and PPH in the Libano Public Health Center area, Morotai Jaya District. A retrospective analytical observational design was applied to 100 pregnant women based on medical records from 2023. Data were analyzed using chi-square tests and logistic regression. The findings indicated that maternal anemia significantly increased the risk of PPH, with severe anemia showing the highest odds ratio (OR 6.8; p < 0.001), followed by moderate anemia (OR 4.5; p < 0.001). Additional contributing factors included maternal age <20 years (OR 2.1; p = 0.020), interpregnancy interval <2 years (OR 2.5; p = 0.010), and undernutrition (OR 1.6; p = 0.050). Overall, 38% of participants experienced PPH, with the highest prevalence observed among those with severe anemia (80%). Early detection of anemia, effective iron supplementation, and antenatal education are essential to reduce the risk of PPH. Integrated preventive and curative interventions are required to improve maternal health outcomes, particularly in high-prevalence settings.
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Copyright (c) 2026 Olha Bosu; Reny Retnaningsih; Riski Candra Karisma, Farah Milla Dwi Purwasari, Dina Hanifa
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