PREFACE

Praises thanks presence of ALLAH SWT, which has given strength and opportunity to us, so that this handing out can be finalized with time which in expects although in the form of a real simple, where this handing out studies about " anaemia at pregnancy" and presumably this handing out can increase our knowledge especially about how and is danger of disease Anemia Pada Kehamilan. With existence of handing out ini,mudah-mudahan can assist increasing the read enthusiasm and friends learning we also hopes all can know and comprehends about this matter, because will increase quality of our individual. We hardly realizes that in making of this handing out still hardly minim,sehingga suggestion from instructor lecturer and criticism from all party(sides we still expect for the shake of repair of this report. We render thanks to all party(sides which has assisted us in finalizing this handing out. Raha, September2013

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CHAPTER I ANTECEDENT
A. Reasoning Of Problem Anaemia number at pregnancy in Indonesia enough heights around 67% from all pregnant mothers with various depend on each area. Around 10-15% pertained weight anaemia which has of course will influence growing foetus flower in womb ( Manuaba, I.B.G, 2002 things 90). Anaemia in pregnancy is one of health problem which many experienced and enough heights ranging from 10-20% ( Sarwono Prawiharjo, 2005 things 450 ). According To WHO case of anaemia when pregnancy ranges from 20% until 89% by specifying HB 11 gr % as its(the base. Pregnancy anaemia number in Indonesia shows value that is enough is height. ( Manuaba.I.B.G, the 29 ). According to national health system ( SKN ) the year 2001 anaemia numbers at pregnant mother equal to 40%, this condition tells that anaemia enough heights in Indonesia if(when in approximating in the year 2003-2010 anaemia prevalences still above 40% hence mother mortality 18000 pertahun caused by haemorrhage after delivering birth. This thing seen from height of mother mortality ( ACCUMULATOR) in South-East Asia in the year 2005 that is shifting 290,8 per 100000 life births. ( anonim, 2010). Factor having an effect on to case of this anaemia is ; less gizi, besides anaemia at pregnant mother is caused by recuring pregnancy in a short time, mother ferrum reserve actually recovery has not, cleansed by need of foetus which in containing the next.

Height of anaemia befalling pregnant mother gives impact negative to foetus which in containing from mother in pregnancy, copy and also child bed which among others will born body weighing foetus to born low ( BBLR), partus premature, abortus, haemorrahage of post partum, old partus and shock. This thing the relates to many factor inter alia ; status gizi, age, education, and work ( Sarwono Prawirohardjo, 2005 things. 450 B. Problem Formula 1. What image of Anemia at pregnant mother according to pregnant mother age in Public Hospital Haji Makassar in the year 2009. 2. What image of Anemia at pregnant mother according to Paritas in Public Hospital Haji Makassar the year 2009. C. Purpose Of Research 1. General purpose To obtain image of Anemia at pregnant mother in Public Hospital Haji Makassar Tahun 2009. 2. Purpose Of Special a. To obtain image of anaemia at pregnant mother according to age. b. To obtain image of anaemia at pregnant mother according to parity. D. Research Benefit 1. Practical Benefit As one of information source for policy determinant and execution of program for Instansi Depertemen especially Hospital (

RSU) Haji Makassar in compiling planning program to relate to prevention effort of anaemia at pregnancy mother. 2. Research Benefit This research expected to become information source and enrichs science repertoire and reference material for researcher hereinafter. 3. Benefit for Peneliti Result of this research is scientific experience of which can increase knowledge and adds knowledge about anaemia at pregnancy mother. 4. Benefit for Institusi Result of this research expected able to be dimamfaatkan as valuable information about pregnant mother anaemia especially in developing gynecology

CHAPTER II BOOK REVIEW

A. Review About Anaemia At Ms. Pregnancy 1. Understanding of Anaemia According To The Experts a. Anaemia is a situation where haemoglobin rate below(under 11 gr % at trismester I and II or haemoglobin rate less than 10,5 gr % at trimester II ( Saifuddin. A. B. 2001 things 281 ). b. Anaemia in pregnancy is condition where haemoglobin rate less than 10 gr / 100 ml ( Wiknjaksatro, 2002. The 405 ). c. Anaemia is Kondisi where the lessen of corpuscle merah(eritrosit) in circulation of blood or haemoglobin mass so that unable to fulfill its(the function as oxygen carrier keseluruh jaringan(Wasnidar, 2007hal 20). 2. Patofisiologi During pregnancy happened improvement of blood volume ( hypervolemia). Hypervolemia is result from improvement of plasma volume and erythrocyte ( red blood cell) is staying in body but this uneven improvement that is its(the improvement plasma volume far bigger so that member effect that is concentration of haemoglobin decreases out of 12 g/100 ml. ( Sarwono,2002 the 450-451). Blood thinning ( hemodilusi) at pregnant mother often happened with improvement of plasma volume 30%-40%, improvement of corpuscle 18%-30% and haemoglobin 19%. Physiologically hemodilusi to assist lightens heart job(activity. Hemodulusi happened since pregnancy of 10 weeks and reachs its(the top at pregnancy of 32-36 weeks. If(when mother

haemoglobin before pregnancy shifts 11 gr% hence with the happening of hemodilusi will result physiological pregnancy anaemia and mother HB will become 9,5-10 gr % 3. Kinds of anaemias ( Sarwono,2006hal 451) a. Iron Deficiencies Anaemi Anaemia that is very often in meeting which in causing for want of element of ferrum in food, because imbibition trouble, losing of secretory ferrum from body causing haemorrhage. b. Megaloblastic anaemia Anaemia because acid deficiencies folik, very rare because this tightly B Hal vitamin deficiencies of its(the relationship with food deficiencies. c. Hipoplastic Anaemia Because of by sum-sum indigent bone makes new blood cells. Hipoplastic anaemia etiology because pregnancy up to now is known categorically, except which caused by sepsis, roentgen rays, poison and drugs. 5. Sign and Gejala Anemia ( Varney Helen, 2002, Thing. 152 ) The lessen of concentration of haemoglobin during the pregnancy results suplay oxygen keseluruh body network decreases causing sign and anaemia symptom in general, as follows : Light, sleepy, confused, fatigue, malaise, headache, appetite downwards, queasy and puking, concentration of losing and short breath ( at hard yng anaemia ). At pemerikasaan of marking and anaemia symptom can cover : pale skin, mucosa, gum, and my kuku-ku am pale finger, slow takikardi/murmut ( at hard anaemia ), hair shaped and fragile nail ( at hard anaemia ) as well as smooth tongue ( at hard anaemia ). 6. Anaemia Influence at Kehamilan, Persalinan, Child bed, and Janin ( Manuaba, 1998. Thing. 31-32 ).

a. Danger Of Anaemia in Pregnancy 1. 2. 3. 4. 5. Risk happened abortus Copy permaturus Resistance grows foetus flower in womb Easy to become infection Decompensation threat kordis ( HB < 6 gr %)

b. Danger Of Anaemia in Copy 1. Strength trouble his 2. Scorpion firstly can take place stripper, and happened partus is unemployed [by] 3. Scorpion two taking place stripper causing can tire and often requires action of operation of midwifery. 4. Scorpion three earning in following retensio placenta and haemorrhage of post partum because atonia uteri. 5. Scorpion four can happened haemorrhage of post partum secondary and atonia uteri. c. Danger of anaemia in a period of child bed 1. Haemorrhage of post partum because atonia uteri and involusio uteri facilitates infection puerperium 2. Expenditure of ASI decreases 3. Happened decompensation of sudden kordis after copy 4. Easy to happened infection mammae d. Danger of anaemia to foetus

Even if seems to foetus can permeate various perfections from its(the mother, but with anaemia will lessen ability of metabolism body causing disturbs growth and development of foetus in womb. Anaemia effect can happened trouble and form : 1. Abortus 2. Happened death intra uteri 3. High prematurity copy 4. Body weight borns low ( BBLR) 5. Birth with anaemia 6. Can happened is inviable 7. Prone baby of infection until perinatal death 8. Low intelengensi, because of oxygen defiency and nutrition pursuing foetus growth 6. Diagnosa anaemia Diagnosa anaemia in pregnancy earns in upholding with : a. Anamnese At anemnese will be got fatigue sigh, often confused, eye is having firefly - firefly and nausea sigh, heavier puking at young pregnancy. ( Manuaba, I.B.G, 1998,hal30). If(when there is light sigh, Seems to be turning pale, pingsan,sementara easy to within measure normal, hence need to be suspected anaemia defesiensi ferrum ( Saifuddin AB, 2002 hal282 ). b. inspection of Blood Inspection of HB blood and edge blood will give first impression. Inspection of HB with Spektofotometri is standard, difficulty was this equipment only available in town. 7. Prevention and handling Anemia a. Prevention of Anaemia To avoid the happening of anaemia is better if pregnant mother does inspection before pregnancy causing earns in

knowing health basic data of the mother, in inspection of health in accompanying inspection of laboratory is including inspection of faeces so that in knowing existence of infeksiparasit. ( Manuaba, I. B. G. 1998, hal30) b. Handling at Anemia as follows : 1. Light Anaemia At pregnancy with HB rate 9-10 gr% still in assumes is light so that only needs in requires combination 60 mg/hari ferrum and 500 folic acid magnesiums peroral once one day. ( Arisman, 2004 Things. 150 - 151 ). 2. Medium Anaemia Therapy earns in strarting with preparat iron feros 600-1000 mg/hari like sulphate ferosus or glukonas ferosus. ( Wiknjosastro, 2005 Things. 452 ). 3. Heavy Anaemia Giving of preparat iron 60 magnesiums and folic acid 400 magnesiums, 6 month of during pregnancy, continued until 3 month of after delivering birth. ( Arisman, 2004 things 153 ). Status gizi is assessed based on calculation Antropometri WHO NCHS ( National Center Of Health Statistic ), that is measurement and various dimensions physical of body like west to age ( BB/U), body height to age ( TB/U) and body weight to body height to body height ( BB/TB) and in grouping. According to classification of Indonesia Department of Public Health becomes ugly gizi ( BB/U < 60 %), gizi is less ( BB/U 60-80%) and gizi is more ( BB/U > 110%). Ms. pregnancy requires number of big relative nutrients. This thing relates to growth of foetus in content. improvement of Requirement of this nutrient especially in the form of vitamin B1, ( Thiamin), Vitami E2 ( Riboflapin), Vitamin A,D and B1, Mineral,La, and Fe.

Condition of gizi and komsumsi less pregnancy mother will cause anaemia and influential to condition of foetus and baby which in delivering birth. Insuffiency of gizi at the time of pregnancy will generate difficulties. Therefore, sufficiency of gizi suggested by pregnancy mother baby must can fufilled. ( Hadju Veni, 2004 things 11 ).

B. Review About Factor Relating To Anaemia

1. Age Mother age was time depth lived or since borne [by] until the mother is pregnancy. There is many things causing the happening of various komplikasi during pregnancy between it is mother age at the time of pregnancy. If mother age under age that is age less than 20 years, in physical and optimal underdeveloped flank causing can result painfulness risk and death of during pregnancy, where at the age of less than 20 years fear mother happened change at its(the body posture or fat fear. Ms. tending to lessens eating so that asupan gizi is including asupan ferrum is less causing ly can happened anaemia. While at the age of in ats 35 years, condition of health of mother starts declines, function of womb starts declines, and increases medical komplikasi at pregnancy until copy ( Anonim, 2010). 2. Parity Parity is number of copies with have ever in experienced by mother either bearing life and also stillborn. Parity 1-3 is parity I most safe in evaluation from the aspect of death of maternal parity I and high parits ( more than 3) has higher mortality. Risk at parity 1 earns in lessening or in preventing with family to plan. Some of pregnancies at high parity is is not planned. ( Sarwono, 1999, Thing. 23 ). After pregnancy that is third is anaemia risk ( less blood) increases. The in causing because at recuring pregnancy

generates damage at usual vein and uterine wall influences circulation of nutrition to foetus. 3. Status Gizi Ms. Pregnancy Anaemia is one of main problem of mother mortality cause in Indonesia and often happened at pregnancy mother. Usually Anaemia in finding at wania pregnancy which seldom consume fresh vegetable, especially foliage type hiaju which is raw and or animal protein content food.

CHAPTER III COVER?CONCLUSION

A .kesimpulan a. Anaemia is condition where the lessen of red blood cell ( erythrocyte) in circulation of blood or haemoglobin mass so that unable to fulfill its(the function as oxygen carrier keseluruh network ( Tarwoto, 2007). b. Danger Of Anaemia in Pregnancy 1. Risk happened abortus 2. Copy permaturus 3. Resistance grows foetus flower in womb 4. Easy to become infection 5. Decompensation threat kordis ( HB < 6 gr %) B.saran To increase degree of health of public in indonesia especially better be done counselling of prevention principle of infection, that public earns more paying attention toly its(the health.

BIBLIOGRAPHY http://riyantianggi.blogspot.com/2013/04/anemia-dalamkehamilan.html http://journeyalfism.blogspot.com/2013/05/makalah-anemia-dalamkehamilan.html http://anemiapadaibuhamil.blogspot.com/