Andriyani, Putri (2024) HUBUNGAN KEPATUHAN IBU HAMIL DALAM KONSUMSI TABLET TAMBAH DARAH TERHADAP KEJADIAN ANEMIA DI PUSKESMAS PLERED KABUPATEN CIREBON. Diploma thesis, Politeknik Kesehatan Tasikmalaya.
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Abstract
INTISARI Latar Belakang: Anemia pada ibu hamil merupakan masalah kesehatan global yang masih cukup tinggi prevalensinya. Di Provinsi Jawa Barat, sekitar 32,5% ibu hamil mengalami anemia, dan di Kabupaten Cirebon tercatat 1.931 ibu hamil mengalami anemia pada tahun 2022. Di wilayah kerja Puskesmas Plered, dari 82 ibu hamil trimester III yang tercatat hingga April 2026, sebanyak 10 ibu hamil teridentifikasi mengalami anemia. Anemia dalam kehamilan dapat menyebabkan komplikasi serius seperti bayi berat lahir rendah (BBLR), kelahiran prematur, perdarahan, ketuban pecah dini (KPD), hingga kematian ibu dan bayi. Salah satu faktor yang memengaruhi kejadian anemia adalah kepatuhan ibu hamil dalam mengonsumsi tablet tambah darah (TTD), di mana konsumsi minimal 90 tablet Fe selama kehamilan terbukti efektif menurunkan prevalensi anemia sebesar 20–25%. Tujuan: Mengetahui hubungan antara kepatuhan konsumsi tablet tambah darah (TTD) dengan kejadian anemia pada ibu hamil di wilayah kerja Puskesmas Plered Kabupaten Cirebon. Metode: Penelitian ini menggunakan desain analitik observasional menggunakan pendekatan case control. Sampel penelitian berjumlah 50 ibu hamil trimester III yang dipilih menggunakan teknik purposive sampling di wilayah kerja Puskesmas Plered Kabupaten Cirebon. Pengumpulan data dilakukan melalui wawancara menggunakan kuesioner terstruktur dan pemeriksaan kadar hemoglobin. Analisis data meliputi analisis univariat untuk mendeskripsikan distribusi frekuensi variabel, serta analisis bivariat menggunakan uji chi-square dengan tingkat kepercayaan 95% (α = 0,05). Hasil: Sebagian besar ibu hamil (80%) patuh mengonsumsi TTD dan 20% tidak patuh. Sebanyak 20% ibu hamil mengalami anemia dan 80% tidak mengalami anemia. Hasil uji chi-square menunjukkan adanya hubungan yang signifikan antara kepatuhan konsumsi TTD dengan kejadian anemia pada ibu hamil dengan nilai p = 0,000 (p < 0,05). Ibu hamil yang tidak patuh mengonsumsi TTD berisiko 80% mengalami anemia, sedangkan pada kelompok patuh hanya 5% yang mengalami anemia. Kesimpulan: Terdapat hubungan yang bermakna secara statistik antara kepatuhan konsumsi tablet tambah darah (TTD) dengan kejadian anemia pada ibu hamil di wilayah kerja Puskesmas Plered Kabupaten Cirebon (p = 0,000). Kepatuhan konsumsi TTD merupakan faktor protektif penting dalam mencegah terjadinya anemia selama kehamilan. Peningkatan pemantauan kepatuhan konsumsi TTD dan edukasi yang intensif pada setiap kunjungan antenatal care (ANC) sangat diperlukan. Kata Kunci: Anemia, Ibu Hamil, Kepatuhan, Tablet Tambah Darah (TTD)x ABSTRACT Background: Anemia in pregnant women is a global health problem with a relatively high prevalence. In West Java Province, approximately 32.5% of pregnant women experience anemia, and in Cirebon Regency, 1,931 pregnant women were recorded as having anemia in 2022. In the Plered Community Health Center (Puskesmas) work area, of the 82 pregnant women in their third trimester recorded as of April 2026, 10 were identified as having anemia. Anemia in pregnancy can lead to serious complications such as low birth weight (LBW), premature birth, hemorrhage, premature rupture of membranes (PROM), and even maternal and infant death. One factor influencing the incidence of anemia is pregnant women's adherence to iron supplementation (IBF) tablets. Consuming at least 90 iron tablets during pregnancy has been shown to effectively reduce the prevalence of anemia by 20–25%. Objective: To determine the relationship between adherence to iron supplementation (IBF) tablets and the incidence of anemia among pregnant women in the Plered Community Health Center (Puskesmas) work area, Cirebon Regency. Methods: This study used an observational analytical design with a case control approach. The study sample consisted of 50 pregnant women in their third trimester selected using purposive sampling within the Plered Community Health Center (Puskesmas) in Cirebon Regency. Data collection was conducted through interviews using a structured questionnaire and hemoglobin level measurements. Data analysis included univariate analysis to describe the frequency distribution of variables, and bivariate analysis using the chi-square test with a 95% confidence level (α = 0.05). Results: The majority of pregnant women (80%) were compliant with iron supplementation, while 20% were non-compliant. Twenty percent of pregnant women were anemic, while 80% were non-anemic. The chi-square test showed a significant association between iron supplementation compliance and the incidence of anemia in pregnant women, with a p-value of 0.000 (p < 0.05). Pregnant women who were non-compliant with iron supplementation had an 80% risk of developing anemia, while those in the compliant group only experienced anemia in 5%. Conclusion: There is a statistically significant relationship between adherence to iron supplementation (ITP) and the incidence of anemia among pregnant women in the Plered Community Health Center (Puskesmas) area, Cirebon Regency (p = 0.000). Iron supplementation is an important protective factor in preventing anemia during pregnancy. Increased monitoring of iron supplementation compliance and intensive education at every antenatal care (ANC) visit are essential. Keywords: Anemia, Pregnant Women, Adherence, Iron Supplementation (ITP)
| Item Type: | Thesis (Diploma) | ||||||||||||
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| Contributors: |
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| Uncontrolled Keywords: | Anemia, Ibu Hamil, Kepatuhan, Tablet Tambah Darah (TTD). SKRIPSICB42026, SKRIPSICB4CRB, SKRIPSICRB | ||||||||||||
| Subjects: | L Education > L Education (General) R Medicine > R Medicine (General) R Medicine > RG Gynecology and obstetrics |
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| Divisions: | Jurusan Kebidanan > D4 Kebidanan | ||||||||||||
| Depositing User: | CB4 Putri Andriyani | ||||||||||||
| Date Deposited: | 21 Aug 2026 02:04 | ||||||||||||
| Last Modified: | 21 Aug 2026 02:04 | ||||||||||||
| URI: | http://repo.poltekkestasikmalaya.ac.id/id/eprint/10447 |
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