Hubungan anemia pada ibu bersalin dengan perdarahan postpartum di rumah sakit Karsa Husada Batu pada tahun 2018—2020

Abstrak:

Kejadian perdarahan di Indonesia dikatakan tinggi, kurang 99% dari semua kematian ibu ditemukan di negara dengan status berkembang dan sekitar 80% kematian maternal dikarenakan meningkatnya komplikasi selama masa hamil, proses persalinan dan setelah persalinan. Beberapa penelitian menunjukkan ibu hamil yang mengalami anemia dan tidak tertangani hingga akhir kehamilan maka akan berpengaruh pada saat persalinan, sehingga dapat menyebabkan perdarahan postpartum yang mengakibatkan kematian pada ibu. Penelitian ini bertujuan untuk menganalisis hubungan anemia dengan perdarahan postpartum di Rumah Sakit Karsa Husada Kota Batu tahun 2018-2020. Desain penelitian adalah observasional metode pengamatan cross secsional, jumlah populasi keseluruhan subjek penelitian yang mempunyai kuantitas dan karakteristik, jumlah sampel ibu bersalin, teknik sampling menggunakan total sampling. Variabel independent yaitu anemia pada kehamilan, variabel dependent yaitu kejadian perdarahan postpartum. Pengumpulan data menggunakan data rekam medis, analisa data menggunakan uji statistik chi square nilai a=0,05. Hasil penelitian menunjukkan bahwa dari 44 ibu bersalin, sebagian besar mengalami anemia (kadar hb <11 gr/dl) selama masa kehamilan yaitu sebanyak 34 ibu bersalin (54,0%), dan dari 63 ibu bersalin, sebagian besar mengalami perdarahan postpartum yaitu sebanyak 44 (69,0%). Hasil uji statistik dengan menggunakan chi square dengan nilai a=0,05, hasil nilai (p)=0,000, sehingga nilai (p)<a(0,000<0,05), yang memiliki arti H0 di tolak dan H1 diterima, yaitu ada hubungan anemia dengan kejadian perdarahan postpartum di Rumah Sakit Umum Karsa Husada Kota Batu. Agar dapat mengurangi kejadian perdarahan postpartum tersebut maka ibu bersalin di harapkan dapat mencegah anemia selama kehamilan yang yaitu dengan cara mengkomsumsi makanan yang banyak mengandung protein seperti daging, hati, telur, sayur-sayuran,asam folat (vitamin C) dan komsumsi tablet fe secara teratur serta cara minum yang benar sesuai kebutuhan.

Abstract:

The incidence of bleeding in Indonesia is said to be high, less than 99% of all maternal deaths are found in developing countries and about 80% of maternal deaths are due to increased complications during pregnancy, delivery and after delivery. Several studies have shown that pregnant women who experience anemia and are not treated until the end of pregnancy will have an effect on delivery, so that it can cause postpartum hemorrhage which results in maternal death. This study aims to analyze the relationship between anemia and postpartum hemorrhage at Karsa Husada Hospital, Batu City in 2018-2020. The research design is an observational cross-sectional observation method, the total population of the research subjects who have quantity and characteristics, the number of samples of mothers giving birth, the sampling technique using total sampling. The independent variable is anemia in pregnancy, the dependent variable is the incidence of postpartum hemorrhage. Collecting data using medical record data, data analysis using chi square statistical test with a value of a = 0.05. The results showed that of 44 women giving birth, most of them experienced anemia (hb level <11 g/dl) during pregnancy, namely 34 women giving birth (54.0%), and of 63 women giving birth, most of them experienced postpartum hemorrhage, namely 44 (69.0%). The results of statistical tests usingchi square with a value of a = 0.05, the results of the value (p) = 0.000, so thatthe value (p) <a (0.000 < 0.05), which means that H0 is rejected and H1 isaccepted, that is, there is The relationship between anemia and the incidence of postpartum hemorrhage at Karsa Husada General Hospital, Batu City. In order to reduce the incidence of postpartum hemorrhage, it is hoped that maternal mothers can prevent anemia during pregnancy, namely by consuming foods that contain lots of protein such as meat, liver, eggs, vegetables, folic acid (vitamin C) and consuming Fe tablets regularly. as well as the correct way of drinking as needed