Analysis of Anemia Incidence In Third-Trimester Pregnancy

Abstract

Background and Aims: Anemia ranks third among global health concerns, affecting approximately 74% of pregnant women worldwide. In Indonesia, data from the 2018 Basic Health Research (BHR) revealed that 48.9% of pregnant women suffer from anemia. Notably, a staggering 84.6% of these cases occur within the 15- 24 age group. This study seeks to delve into the prevalence of anemia among third-trimester pregnant women within the Muara Jernih Health Center’s jurisdiction in Indonesia. Methods: This research adopts an observational analytic approach, employing a cross-sectional design. Conducted within the Muara Jernih Health Center’s jurisdiction over a span of three months in 2023, the study enlisted 149 randomly selected pregnant women meeting specific criteria—namely, those in their third trimester within the center’s area. Data analysis utilized both univariate and bivariate methods, employing the Chi Square test at a 95% confidence level with a critical limit of 0.05, facilitated by the SPSS version 23.0 application. Results: The majority of respondents, totaling 88 individuals (59.1%), were found to suffer from anemia. Additionally, a significant portion of the 91 respondents (61.1%) exhibited poor knowledge on the subject. Moreover, most of the 101 respondents (67.8%) did not adhere to taking Fe tablets as prescribed. Among the 149 respondents studied, the majority of those surveyed, 94 individuals (63.1%), reported low income. Both knowledge levels and adherence to Fe tablet consumption, alongside income, demonstrated significant associations with the incidence of anemia in third-trimester pregnant women, with a p-value <0.05. Conclusions: To enhance health and mitigate the occurrence of anemia among pregnant women, particularly during the third trimester, several measures can be undertaken. These include augmenting pregnant women’s knowledge, ensuring consistent intake of Fe tablets, and ensuring that family income is sufficient to access healthcare services and provide nutritious food for expectant mothers.

References

1. 1.Sinawangwulan IP, Dewi YLR, Wekadigunawan CSP. Association between socio-demographic, nutrition Majmaah Journal of Health Sciences,Vol.13, Issue2,April-2025,Shawwal-1446 101 AnalysisAnemia Incidence In Third-Trimester Pregnancy intake, cultural belief, and incidence of anemia in pregnant women in Karanganyar, Central Java. J Matern Child Heal. 2018;3(2):128–37.
2. 2.Serbesa ML, Iffa MT. Pregnant women’s knowledge, attitude, and practice regarding the prevention of iron deficiency anemia among Ethiopian pregnant women. Casp J Reprod Med. 2018;4(1):1–7.
3. 3.Gebremedhin S, Samuel A, Mamo G, Moges T, Assefa T. Coverage, compliance and factors associated with utilization of iron supplementation during pregnancy in eight rural districts of Ethiopia: a cross-sectional study.BMC Public Health. 2014;14:1–8.
4. 4.Yamashita T, Roces RED, Ladines- Llave C, Reyes Tuliao MT, Wanjira Kamau M, Yamada C, et al. Maternal knowledge associated with the prevalence of iron and folic acid supplementation among pregnant women in Muntinlupa, Philippines: a cross-sectional study. Patient Prefer Adherence. 2021;501–10.
5. 5.Elsharkawy NB, Abdelaziz EM, Ouda MM, Oraby FA. Effectiveness of health information package program on knowledge and compliance among pregnant women with anemia: a randomized controlled trial. Int J Environ Res Public Health. 2022;19(5):2724.
6. 6.Hidayatunnikmah N. Level of education,knowledge of pregnant women regarding iron tablets to compliance with their consumption. J Kesehat LLDikti Wil 1. 2021;1(1):15–21.
7. 7.Kemenkes RI. Profil Kesehatan Indonesia [Internet]. 18 Desember 2023. 2023. Available from: https://www. kemkes.go.id/id/category/profil-kesehatan
8. 8.Dinkes Kota Jambi. Profil Kesehatan Kota Jambi [Internet]. Jambi; 2021. Available from: http://dinkes.jambiprov.go.id/all_profil_kesehatan. Last accessed: 19 July 2022.