The Relationship of Anemia in Pregnant Women and the Incidence of Premature Delivery: Systematic Review
Abstract
Background: Anemia causes serious complications for the mother in pregnancy, childbirth and the postpartum period and can result in the birth of a premature baby. Pregnant women with anemia are known to be more at risk of having preterm labor. In Indonesia in 2018 the prevalence of anemia in pregnant women increased to 48.9% compared to 2013 with a prevalence of 37.1%. This study aims to determine the relationship between anemia in pregnant women and the incidence of preterm labor in Indonesia.
Subjects and Method: This study uses a systematic review conducted by searching for articles from several databases, namely Neliti and Garuda with a search range from 2017-2020. Article search is based on PICO. P= Pregnant women. I= Supplementation to prevent anemia. C= anemia status. O= The incidence of premature birth. The keywords used to search for articles were “anemia” OR “pregnant women” AND “preterm birth” OR “preterm”. The articles included in this study are full-text articles with a randomized controlled trial study design. Articles were collected using the PRISMA flow chart.
Results: There are 6 articles included in this review. The results showed that there was a relationship between anemic pregnant women and premature birth, and the risk was 79.286 times greater for preterm delivery. Effective interventions that can be given in preventing the birth of premature babies in pregnant women are Antenatal Care (ANC) visits, taking 60 mg Fe tablets/day during pregnancy and maintaining diet as well as nutritional intake.
Conclusion: There is a relationship between anemic pregnant women and premature birth.
Keywords: anemia, premature birth, pregnant women.
Correspondence:
Arini Banowati Azalia Adnin. Universitas Airlangga. Kemang Pratama 3 Jalan Lantana 1 Blok D1 No12, Bekasi. Email: arini.banowati.azalia2018@fkm.unair.ac.id. Mobile +6287877307124.
Journal of Health Promotion and Behavior, (2022), 07(01): 67-76
DOI: https://doi.org/10.26911/thejhpb.2021.07.01.07
References
Anggraeni MD, Fatoni A, Setiyani R (2021). Food consumption as a risk factor of anemia among indonesian pregnant women: A cross-sectional study among javanese ethnic group. Maced J Med Sci. 9(E): 552–558. DOI: 10.3889/oamjms.2021.6066.
Anggraini DD, Purnomo W, Trijanto B (20-18). Interaksi Ibu Hamil Dengan Tenaga Kesehatan Dan Pengaruhnya Terhadap Kepatuhan Ibu Hamil Mengonsumsi Tablet Besi (Fe) Dan Anemia Di Puskesmas Kota Wilayah Selatan Kota Kediri’, Buletin Penelitian Sistem Kesehatan, 21(2): 92–89. DOI: 10.22435/hsr.v21i2.346.
Beckert RH, Baer RJ, Anderson JG, Paw-lowski LLJ, Rogers EE (2019). Maternal anemia and pregnancy outcomes: a population-based study. Am J Perinatol. 39(7): 911–919. DOI: 10.1038/s41372-019-0375-0.
Blencowe H, Cousens S, Chou D, Oes-tergaard M, Say L, Moller AB, Kinney M, eat al. (2013). Blencowe reprod health 2013.pdf, Born Too soon the global epidemiology of 15 million preterm births, 10(1): 1–14. DOI: 10.118-6/1742-4755-10-S1-S2
Carolin BT, Widiastuti I (2019). Faktor-Faktor Yang Berhubungan Dengan Kejadian Persalinan Preterm Di Rumah Sakit Muhammadiyah Taman Puring Kebayoran Baru Jakarta Selatan Periode (Januari-Juni) Tahun 20¬17 (Factors Associated with the Incident of Preterm Delivery at Muhammadiyah Hospital Taman Puring Kebayoran Baru, South Jakarta Period (January-June) 2017), Jurnal Ilmu Keperawatan Dan Kebidanan Nasional, 1(1).
Fatmini F, Santoso H, manurung K, Ros-diana (2020). Faktor-Faktor Yang Berhubungan Dengan Konsumsi Tablet Tambah Darah Pada Ibu Nifas Di Wilayah Kerja Puskesmas Mutiara Barat Tahun 2019 (Factors Associated with Consumption of Blood-Adding Tablets in Postpartum Mothers in the Work Area of Mutiara Barat Health Center in 2019), Jurnal Muara Sains, Teknologi, Kedokteran dan Ilmu Kesehatan, 4(2): 321–328. DOI: 10.24912/jmstkik.v4i2.5377.
Gozali W (2018). Hubungan Pola Makan dengan Kejadian Anemia pada Ibu Hamil di Wilayah Kerja Puskesmas Buleleng III (Relationship between Diet and Anemia in Pregnant Women in the Work Area of Buleleng III Public Health Center), Int. j. eng. res., 2(3): 117–122. DOI: 10.31539/jks.v1i2.83.
Kemenkes RI (2018). Hasil Riset Kesehatan Dasar Tahun 2018 (2018 Basic Health Research Results), Kementrian Kesehatan RI, 53(9), pp. 1689–1699.
Kementerian Kesehatan RI (2020) PMK RI No. 21 Tahun 2020 tentang Rencana Strategis Kementerian Kesehatan Tahun 2020-2024.
Keswara UR, Hastuti Y (2017). Efektifitas Pemberian Tablet Fe Terhadap Peningkatan Kadar Hb Pada Ibu Hamil (The Effectiveness of Giving Fe Tablets to Increase Hb Levels in Pregnant Women), Jurnal Dunia Kesmas, 6(1): 17–21.
Larumpaa FS, Suparman E, Lengkong R (2017). Hubungan Anemia pada Ibu Hamil dengan Kejadian Persalinan Prematur di RSUP Prof Dr. R. D. Kandou Manado (The Relationship of Anemia in Pregnant Women with the Incidence of Premature Delivery at RSUP Prof. Dr. R.D. Kandou Manado). e-CliniC, 5(1): 11–15. DOI: 10.35-790/ecl.5.1.2017.14700.
Mustika E, Minata F (2021). Analisis Hubungan Faktor Maternal Dan Penyakit Kronik Pada Persalinan Prematur (Analysis of the Relationship between Maternal Factors and Chronic Diseases in Premature Delivery), Jurnal Kesehatan dan Pembangunan, 11(21): 19–27. DOI: 10.52047/jkp.v11i21.94.
Mutianingsih R, Wathaniah S, Ariawati F (2018). Efektivitas Pemberian Tablet Fe Terhadap Kadar Hemoglobin Ibu Hamil Trimester Iii Dengan Kejadian Anemia Di Puskesmas Ampean (Effectiveness of Giving Fe Tablets Against Hemoglobin Levels of Pregnant Women in Third Trimester with Anemia Incidence at Ampean Health Center), 6(2). Jurnal Ilmu Kesehatan dan Farmasi. DOI 10.51673/jikf.v6-i2.559
Nandatari S, Insan YN, Widardo W (2020). Hubungan Anemia pada Ibu Hamil dengan Kejadian Persalinan Prematur di RSUD Dr. Moewardi Surakarta’ (The Relationship of Anemia in Preg-nant Women with the Incidence of Premature Delivery in Dr. Hospital. Moewardi Surakarta), Smart Medical Journal, 3(2): 68. DOI: 10.13057/smj.v3i2.37849.
Nugraha A, Sukmawati, Herliani YK (20¬20). Anemia Prevention in Pregnant Women, Journal of Maternity Care and Reproductive Health, 3(1): 11–21. DOI: 10.36780/jmcrh.v3i1.115.
Subriani ST (2019). Faktor Yang Berhubungan Dengan Kejadian Bayi Lahir Prematur di RSUD Syekh Yusuf Gowa Tahun 2019 (Factors Associated with the Incidence of Premature Birth at Syekh Yusuf Gowa Hospital in 2019), J. kesehat. Delima Pelamonia, 3(2): 103–110. DOI: 10.37337/jkdp.v3-i2.132.
Sudiat M, Setiawan MR, Azzahra I (2016). Anemia Sebagai Faktor Risiko Persalinan Prematur (Anemia as a Risk Factor for Premature Delivery), Jurnal Kedokteran Muhammadiyah Unimus, 5(1): 1–5.
Ulfa A, Ariadi A, Elmatris E (2018). Hubungan Antara Anemia pada Ibu Hamil dan Kejadian Persalinan Preterm di RSUP M. Djamil Padang Tahun 2013 (The Relationship Between Anemia in Pregnant Women and the Occurrence of Preterm Delivery at M. Djamil Hospital, Padang in 2013), Jurnal Kesehatan Andalas, 6(3): 559. DOI: 10.25-077/jka.v6i3.738.
WHO (2021) Anemia. Available at: https:-//www.who.int/healthtopics/anaemia#tab=tab_1 (Accessed: 30 July 2021).
