Tujuan penelitian ini adalah mengetahui pengaruh pemberian tablet Fe, vitamin C, penyuluhan dan pendampingan terhadap kadar hemoglobin Ibu hamil. Disain penelitian ini menggunakan kuasi eksperimental dengan tiga kelompok ibu hamil masing masing terdiri dari 30 ibu hamil awal trimester 3. Kelompok pertama diberi suplemen tablet Fe dan vitamin C disertai pendampingan dan penyuluhan FCPP; kelompok kedua diberi suplemen Fe dan vitamin C disertai pendampingan FCP; dan kelompok ketiga diberi suplemen Fe disertai pendampingan dan penyuluhan FPP. Semua perlakuan diberikan sekitar 30 hari. Pengambilan darah untuk pemeriksaan kadar Hb di lakukan sebelum dan sesudah intervensi. Hasil penelitian menunjukkan adanya perbedaan bermakna kenaikan kadar Hb ibu hamil pada kelompok FCPP dibanding kelompok FCP dan FPP p Hasil penelitian ini berimplikasi pada pentingnya pemberian vitamin C, penyuluhan dan pendampingan menyertai pemberian tablet Fe dalam upaya perbaikan kadar Hb ibu hamilKata kunci Fe, Ibu hamil, vitamin C, penyuluhan dan pendampingan gizi. Discover the world's research25+ million members160+ million publication billion citationsJoin for free Perilaku Hygienitasi Pengelolaan Home Industri... 91 Jurnal AcTion, Volume 2, Nomor 2, November 2017 EFIKASI SUPLEMENTASI TABLET BESI, VITAMIN C, PENYULUHAN DAN PENDAMPINGAN TERHADAP KADAR HEMOGLOBIN IBU HAMIL Efficacy of iron tablet supplementation, vitamin C, and counseling to pregnant woman's hemoglobin Abdul Hadi 1, Marfina2, Iskandar3 1,2,3 Jurusan Gizi, Politeknik Kesehatan Kemenkes Aceh, JL. Soekarno Hatta, Kampus Terpadu Poltekkes Kemekes Aceh RI Aceh Lampeneurut, Aceh Besar. kode pos 23352. E-mail nanangpoltekkes Received 24/6/2017 Accepted 16/7/2017 Published online 3/11/2017 ABSTRAK Tujuan penelitian ini adalah mengetahui pengaruh pemberian tablet Fe, vitamin C, penyuluhan dan pendampingan terhadap kadar hemoglobin Ibu hamil. Disain penelitian ini menggunakan kuasi eksperimental dengan tiga kelompok ibu hamil masing masing terdiri dari 30 ibu hamil awal trimester 3. Kelompok pertama diberi suplemen tablet Fe dan vitamin C disertai pendampingan dan penyuluhan FCPP; kelompok kedua diberi suplemen Fe dan vitamin C disertai pendampingan FCP; dan kelompok ketiga diberi suplemen Fe disertai pendampingan dan penyuluhan FPP. Semua perlakuan diberikan sekitar 30 hari. Pengambilan darah untuk pemeriksaan kadar Hb di lakukan sebelum dan sesudah intervensi. Hasil penelitian menunjukkan adanya perbedaan bermakna kenaikan kadar Hb ibu hamil pada kelompok FCPP dibanding kelompok FCP dan FPP p Hasil penelitian ini berimplikasi pada pentingnya pemberian vitamin C, penyuluhan dan pendampingan menyertai pemberian tablet Fe dalam upaya perbaikan kadar Hb ibu hamil Kata kunci Fe, Ibu hamil, vitamin C, penyuluhan dan pendampingan gizi. ABSTRACT The general objective of this study was to determine the efFect of Fe, folic acid and vitamin C got assistance and counseling to hemoglobin levels of pregnant. The design of this study was a quasi experiment with pre-post test. The subjects were divided into three groups, group I who received iron tablet, Vitamin C, counseling and accompaniment FCPP; group II who consumed iron and vitamin C with counseling without accompaniment FCP; group III who consume iron with counseling and accompaniment FPP. All treatments are given intervention for 60 days. all Penulis untuk korespondensi nanangpoltekkes pregnant women are asked to consume 1 Fe tablets every day. before the intervention of pregnant women had Hb levels in check beforehand. This reseacrh showed there was significant difFerence p 30 tahun 24,4%. Sebagian besar usia kehamilan pada trisemester II 46,7%. Pendidikan ibu adalah SMA 52,5%, dengan pekerjaan ibu rumah tangga 46,7%. Gambar 1. Distribusi anemia sebelum dan sesudah perlakuan. Distribusi anemia sebelum dan sesudah perlakuan disajikan pada Gambar 2, hasil penelitian menunjukan bahwa terjadi penurunan pada kelompok FCPP 36,7% dan kelompok FCP 6,67%, sedangkan kelompok FPP terjadi peningkatan, hal ini terjadi karena tidak adanya pendampingan saat pemberian. Rata-rata nilai Hb ibu hamil pada pengukuran sebelum pemberian tablet Fe, vitamin C, penyuluhan dan pedampingan adalah gr/dl dengan standart deviasi sedangkan pada pemeriksaan kedua didapat rata-rata nilai Hb ibu hamil gr/dl dengan standart deviasi dengan p-value p0,05. Rata-rata nilai Hb ibu hamil pada pengukuran sebelum pemberian tablet fe, vitamin C, penyuluhan tanpa pedampingan adalah gr/dl dengan standart deviasi sedangkan pada pemeriksaan kedua didapat rata-rata nilai Hb ibu hamil gr/dl dengan standart deviasi p 0,05 dan cakupan pemberian tablet Fe p-value > 0,05 dengan prevalensi anemia ibu hamil. Kesimpulan Tidak ada hubungan yang signifikan antara cakupan ANC dan cakupan pemberian tablet Fe dengan prevalensi anemia ibu hamil. Kejadian anemia pada ibu hamil dipengaruhi banyak faktor lain seperti status gizi dan kepatuhan ibu dalam konsumsi tablet MikoAlfridsyah AlfridsyahNurbaiti NurbaitiPemeriksaan Hb dilakukan melalui metode Sahli dan Hemocue. Sahli dan Hemocue lebih memperoleh informasi akurat dari hasil tes. Pemeriksaan Hb dilakukan dengan metode Sahli sebanyak 356 orang, dari hasil menggunakan metode Sahli hemoglobin pada ibu hamil anemia hanya sebesar 3%. Penelitian survei analitik dengan desain cross-sectional dengan sampel 54 orang. Jenis data yang dikumpulkan meliputi data primer dan sekunder. Analisis data dilakukan dengan Analisis Sensitivitas, spesifisitas, dan tes kehandalan yang dilakukan dengan menilai koefisien Kappa K perhitungan sensitivitas nilai indeks adalah 100%, spesifisitas untuk penilaian status anemia ibu diperoleh indeks skor 6,1%, hasil perhitungan uji reliabilitas adalah 1,16%. Jika Seseorang dinyatakan anemia menurut metode Sahli disarankan memeriksa dengan metode karena Sahli False positif Microkuvet Anemia is the commonest medical disorder in pregnancy and has been associated with poor pregnancy outcome. The purpose of this study was to determine the compliance rate and factors associated with iron and folic acid consumption among pregnant women. Methods A descriptive cross-sectional study was carried out in a tertiary hospital with sample size of 246 pregnant women. Results The study showed compliance rate of iron and folic acid among pregnant women. Significant association was observed between the compliance of the iron and folic acid and religion of women p< ethnicity p= educational status of women p< occupation of husband p= type of family p= place of residence p= family monthly income p= frequency of antenatal check up p< counseled for IFA during this pregnancy p= and previous history of anaemia p= Conclusion It is concluded that increase in frequency in antenatal care and proper counseling for consumption of IFA during pregnancy have positive influence in increasing compliance rate of iron and folic acid. INTRODUCTION Health of an individual originates from the conception and evolves along with the birth and as the individual grows further in years. Therefore, one of the important determinants of health is healthy conception and appropriate antenatal care. Maternal health has always been the top most concern of policy makers, health professionals and the public. Jemal HaidarA cross-sectional community-based study with analytic component was conducted among Ethiopian women during June-July 2005 to assess the magnitude of anaemia and deficiencies of iron and folic acid and to compare the factors responsible for anaemia among anaemic and non-anaemic cases. In total, 970 women, aged 15-19 years, were selected systematically for haematological and other important parameters. The overall prevalence of anaemia, iron deficiency, iron-deficiency anaemia, deficiency of folic acid, and parasitic infestations was and respectively. Women who had more children aged less than five years but above two years, open-field toilet habits, chronic illnesses, and having intestinal parasites were positively associated with anaemia. Women who had no formal education and who did not use contraceptives were negatively associated with anaemia. The major determinants identified for anaemia were chronic illnesses [adjusted odds ratio AOR = 95% confidence interval CI deficiency of iron AOR = 95% CI and deficiency of folic acid AOR = 95% CI The odds for developing anaemia was times more likely among women with chronic illnesses, 60% more likely in the iron-deficient and 40% more likely in the folic acid-deficient than their counterparts. One in every three women had anaemia and deficiency of folic acid while one in every two had iron deficiency, suggesting that deficiencies of both folic acid and iron constitute the major micronutrient deficiencies in Ethiopian women. The risk imposed by anaemia to the health of women ranging from impediment of daily activities and poor pregnancy outcome calls for effective public-health measures, such as improved nutrient supplementation, health education, and timely treatment of AditiantiYurista PermanasariElisa Diana JuliantiAnemia contributed 20 persen the death of pregnancy. Low consumption of iron is one of the cause of anemia prevalences among pregnant women. Iron intake can be gained from iron tablet. However the iron tablet consumption still very low. The purpose of this study was to obtain the role of family and posyandu kadre support to the compliance of iron tablet consumption among anemic pregnant women and its relation to haemoglobin levels of anemic pregnant women. The research design was quasi experimental Anemic pregnant women as a sample respondens were divided into two groups, 29 in the intervention group and 32 in the control group. The study was conducted at Cibungbulang and Pamijahan sub district, Bogor. Compliance measurements using MMAS - 8 Morisky Medication Adherence Scale - 8 questionnaires. Compliance of iron tablet consumption categorized by low, middle and high. The intervention was counseling about anemia and how important iron tablet consumption among pregnant women to their family husband/parents/in-laws/other close relatives or posyandu cadre whose lived in the same house or as their neighbour. Data analysis was performed using Chi - square and different t-test. The results showed that the anemic pregnant women with support from their family and posyandu cadre improve their compliance of iron tablet p< 0,05. Keywords anemia, iron tablet, family and posyandu cadre support, compliance ABSTRAK Anemia memberikan kontribusi hingga 20 persen terhadap semua kematian pada kehamilan. Salah satu penyebab tingginya prevalensi anemia adalah rendahnya asupan zat besi. Salah satu sumber asupan zat besi berasal dari tablet tambah darah TTD, namun kepatuhan mengonsumsinya masih sangat rendah. Tujuan penelitian ini adalah mendapatkan pengaruh peran pendamping terhadap kepatuhan konsumsi TTD dan hubungannya dengan kadar hemoglobin Hb ibu hamil anemia. Desain penelitian adalah kuasi eksperimen. Responden adalah ibu hamil anemia, yang dibagi menjadi 2 kelompok, yaitu 29 pada kelompok intervensi dan 32 pada kelompok kontrol. Penelitian dilakukan di Kecamatan Cibungbulang dan Pamijahan Kabupaten Bogor. Pengukuran kepatuhan menggunakan kuesioner MMAS-8 Morisky Medication Adherence Scale. Intervensi berupa penyuluhan tentang anemia pada pendamping dan pentingnya konsumsi TTD pada keluarga suami/orang tua/mertua/kader/keluarga dekat lainnya yang tinggal serumah atau berdekatan. Kepatuhan konsumsi TTD dikategorikan menjadi rendah, sedang dan tinggi. Analisis data menggunakan uji Chi-square dan uji beda t. Hasil penelitian menunjukkan bahwa terdapat pengaruh pemberian penyuluhan pada ibu hamil dengan anemia dapat meningkatkan kepatuhan minum tablet tambah darah p<0,05. [Penel Gizi Makan 2015, 381 71-78] Kata kunci anemia, tablet tambah darah, pendamping ibu hamil, kepatuhan minum TTDAim Iron deficiency is a leading cause of anemia in pregnancy. The present study aimed to compare the efficacy of oral and intravenous iron therapy in improving iron deficiency anemia in pregnancy and restoring iron stores, compare the obstetric outcome in the two groups and evaluate the safety of intravenous iron sucrose. Material and methods This was a prospective study, where 100 anemic antenatal women with hemoglobin 7-9 g/dL, mean corpuscular volume <85 fL and serum ferritin <15 ng/mL, were randomized into two groups. In group A n=50, the women received 200 mg tablets of ferrous sulphate, each containing 60 mg elemental iron, three times a day for 4 weeks. In group B n=50, iron sucrose was given in divided doses of 200 mg each on alternate days by slow intravenous infusion. Primary outcome measure was treatment efficacy, assessed by measurement of hemoglobin, red blood cell indices and reticulocytes on days 7, 14, 21, and 30 and at delivery, and of ferritin on day 30 and at delivery. Any side-effects of treatment and the neonatal outcome were studied as secondary outcome measures. Results There was a statistically significant difference in increase of hemoglobin levels in group A vs g/dL in group B; P= and ferritin levels between the two groups on day 30 P= The adverse effects from iron treatment were mild but more prominent in group A. Neonatal outcome was comparable in the two groups. Conclusion Intravenous administration of iron sucrose is a safe treatment for correction of anemia in pregnancy, without serious side-effects.