ANEMIA IN CONNECTION WITH PREGNANCY TRIMESTER III POSTPARTUM BLEEDING IN DANDY CLINIC DISTRIC OF MABAR 2014

Abstract

Maternal mortality rate (MMR) in Indonesia is quite high which is 359 in 100000 live
births.Generally, there is a distinction between a direct maternal death that is the result of a
complication of the pregnancy, delivery, or management of both, and an indirect maternal deatht is
pregnancy-related death in a patient with a preexisting or newly developed health problem unrelated
to pregnancy. Fatalities during pregnancy but unrelated to pregnancy are termed accidental,
incidental, or nonobstetrical maternal deaths. The WHO notes that in 2014 the major direct causes of
maternal deaths globally are severe bleeding/hemorrhage (27%), infections (11%), unsafe abortions
(8%), high blood pressure during pregnancy/pre-eclampsia and eclampsia (14%), obstructed labour
(9%), blood clot/embolism (3%) and pre-existng conditions (28%). In Indonesia 63,5% pregnant
women have anemia and 59% found in Medan city. This research aims to know the relationship
between iron deficiency anemia during 3rd trimester pregnancy and Postpartum haemorrhage (PPH).
This in an analytical research with crosssectional data collection. Population were all women
have given birth, the number of population is 286 people and each individual was chosen randomly
and entirely by chance as many as 83 people. The data were obtained from both primary and medical
records by using guetionaries as the instrument. The data were then analysed by common univariate
and bivariate analysis using chi-square test.
Research showed that out of 83 respondents, 46 women had history of anemia in 3rd
trimester pregnancy and 27 women experienced postpartum hemorrhage (32,53%). 37 women were
found with no history of anemia and still expereinced postpartum hemorrhage are 11 people
(13,25%). Chi-square test with X2 coun>X2 table (6,93 > 3,841) indicates that there is a relationship
between iron deficiency anemia and during 3rd trimester pregnancy and postpartum hemorrhage
(PPH).
To be expected to health workers to improve maternal motivation for regular antenatal health
promotion of nutrition of pregnant women, especially the consumption of foods thet contain enough
iron and vitamin c.