RELATIONSHIP BETWEEN ANEMIA IN PREGNANCY AND POSTPARTUM BLEEDING DUE TO UTERINE ATONIA AT SYAMRABU HOSPITAL, BANGKALAN

Authors

  • Semi Sekolah Tinggi Ilmu Kesehatan Husada Jombang
  • Najah Soraya Niah Sekolah Tinggi Ilmu Kesehatan Husada Jombang
  • Istiadah Fatmawati Sekolah Tinggi Ilmu Kesehatan Husada Jombang
  • Husnul Khotimah Sekolah Tinggi Ilmu Kesehatan Husada Jombang

DOI:

https://doi.org/10.60050/pwh.v6i1.82

Keywords:

Anemia, Post-Partum Hemorrhage, Uterine Atonia

Abstract

Background: Anemia is a micronutrient problem that occurs widely worldwide, especially in developing countries, which is estimated to occur in 30% of the world's population. Postpartum hemorrhage is bleeding that is more than 500 cc that occurs after the baby is born vaginally or more than 1000 mL after an abdominal delivery.

Objectives: The study's purpose is to determine whether there is a relationship between anemia in pregnancy and postpartum bleeding due to uterine atonia.

Methods: The research design used cross-sectional. The population was all pregnant women with postpartum hemorrhage due to uterine atonia as many as 34 respondents, the sample was pregnant women with postpartum hemorrhage due to uterine atonia as many as 34 respondents, with a total sampling technique. The independent variable was anemia in pregnancy and the dependent variable was uterine atonia, data collection techniques using questionnaires, and data processing by editing, coding, scoring, and tabulating. Data analysis using the Chi-square test.

Results: Data analysis using the Chi-square test can be found from 34 mothers giving birth at Syamrabu Bangkalan Hospital, 11 mothers with anemia in pregnancy were obtained, 45.5% experienced postpartum bleeding due to uterine atonia and 54.5% did not bleed. Meanwhile, 23 mothers did not experience anemia in pregnancy with 4.3% experiencing postpartum hemorrhage due to uterine atonia and 95.7% not experiencing postpartum hemorrhage. The results of the statistical test using there is a relationship between anemia in pregnancy and postpartum bleeding because of uterine atonia using the statistical p-value of the Chi-square p-value test < 0.05, then there is a relationship between the two variables with a p-value of 0.001 < 0.05.  

Conclusion: It can be concluded that there is a relationship between anemia in pregnancy and postpartum bleeding due to uterine atonia.

References

Anderson, S. (1994). Patofisiologi: Konsep Klinis Proses-proses Penyakit. Jakarta: EGC.

Departemen Kesehatan RI. (2009). Profil Kesehatan Indonesia 2008. Jakarta: Departemen Kesehatan RI.

Dinas kesehatan Kabupaten Wonogiri. (2010). Data Kesehatan Kabupaten Wonogiri 2009. Wonogiri: Dinas Kesehatan Kabupaten Wonogiri.

Duggal, A. V., & Kharb, S. (2013). Maternal morbidity and perinatal outcome in severe anemia. International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 2(3), 335-340.

Dinas Kesehatan Pemerintah Provinsi Jawa Tengah. (2007). Profil Kesehatan Provinsi Jawa Tengah 2006. Semarang: Dinas Kesehatan Pemerintah Provinsi Jawa Tengah.

Gedefaw, L., Ayele, A., Asres, Y., & Mossie, A. (2014). Anemia and associated factors among pregnant women attending antenatal care clinic in Wolayita Sodo town, Southern Ethiopia. Ethiopian Journal of Health Sciences, 24(4), 285-293.

Hidayat, A. (2009). Metode Penelitian Kebidanan dan Teknik Analisis Data. Jakarta: Salemba Medika.

JHPIEGO, POGI, JNPKR. (2007). Asuhan Persalinan Normal. Asuhan Essential. Edisi 3. Jakarta: JHPIEGO, POGI, JNPKR.

Kenneth,I. (2009). Obstetri William: Panduan ringkas, Edisi ke-21. Jakarta: EGC.

Manuaba, I.B.G. (2001). Kapita Selekta Penatalaksanaan Rutin Obstetri Ginekologi dan Keluarga Berencana. Jakarta: EGC.

Milman, N. (2011). Anemia - still a major health problem in many parts of the world! Annals of Hematology, 90(4), 369-377.

Notoatmodjo, S. (2002). Metodologi Penelitian Kesehatan. Jakarta: PT. Rineka Cipta.

Riduwan, Drs., M.B.A. (2007). Metode dan Teknik Menyusun Tesis. Bandung: Alfabeta.

Saifuddin AB, dkk. (2002). Buku acuan nasional pelayanan kesehatan maternal dan neonatal. Jakarta: Yayasan Bina Pustaka.

Sharma, J. B., Shankar, M., Kumar, P., & Roy, K. K. (2012). Anemia in pregnancy. Journal of the Turkish German Gynecological Association, 13(2), 52-55.

World Health Organization. (2011). Anemia: A global public health problem. Diakses dari https://www.who.int/vmnis/anaemia/en/

World Health Organization. (2019). WHO recommendations for the prevention and treatment of postpartum haemorrhage. Diakses dari https://apps.who.int/iris/bitstream/handle/10665/441334/9789241550420-eng.pdf.

Wiknjosastro, H. (2002). Ilmu Kebidanan. Jakarta: YBP-SP.

Published

2025-01-12

How to Cite

Semi, Niah, N. S., Fatmawati, I., & Khotimah, H. (2025). RELATIONSHIP BETWEEN ANEMIA IN PREGNANCY AND POSTPARTUM BLEEDING DUE TO UTERINE ATONIA AT SYAMRABU HOSPITAL, BANGKALAN. PRIMA WIYATA HEALTH, 6(1), 32–39. https://doi.org/10.60050/pwh.v6i1.82