ANEMIA MENJADI SALAH SATU FAKTOR KEJADIAN PERSALINAN LAMA A /ANEMIA BECOMING RELATED FACTORS FOR LONG DELIVERY

Abstract

Anemia pada kehamilan merupakan anemia kekurangan zat besi. Menurut WHO kejadian anemia hamil berkisar antara20 % sampai dengan 89 % dengan menetapkan Hb 11 gr% sebagai dasarnya. Hb 9-10 gr% disebut anemia ringan. Hb7-8 gr% disebut dengan anemia sedang. Hb <7 gr% disebut anemia berat. Komplikasi anemia pada persalinan salahsatunya adalah inersia uteri yang menyebabkan persalinan lama.Tujuan penelitian ini adalah untuk mengetahui adakahhubungan antara kadar hemoglobin pada ibu hamil trimester III dengan persalinan lama di Puskesmas Geyer 1.Penelitian ini dilaksanakan menggunakan metode survey analitik dengan pendekatan retrospektif. Populasi padapenelitian ini adalah seluruh ibu bersalin sejumlah 39 responden dengan metode pengambilan sampel menggunakanteknik total sampling. Desain penelitian menggunakan Uji Kai Kuadrat (Chi Square Test). Dari 39 ibu yang mempunyaikadar Hb 9-10 gr% sebanyak 10 (25,6%), ibu yang mempunyai kadar Hb 7-8 gr% sebanyak 26 (66,7%) dan ibu yangmempunyai kadar Hb <7 gr% sebanyak 3 (7,7%). Ibu yang mengalami persalinan > 24 jam sebanyak 25 (64,1%) dan ibuyang mengalami persalinan < 24 jam sebanyak 14 (35,9%). Terdapat hubungan antara ibu anemia (kadar hemoglobinpada ibu hamil trimester III rendah) dengan terjadinya persalinan lama di Puskesmas Geyer 1 dengan nilai probabilitas(p) pada signifikansi 5% yaitu 0,022 dan nilai X 2 hitung 7.644 . Nilai p < 0,05 dan X 2 hitung > X 2 tabel.Kata Kunci: Kadar Hb; Persalinan Lama; anemiaABSTRACTAnemia in pregnancy is iron deficiency anemia. According to WHO the incidence of anemia in pregnancy ranges from20% to 89% by setting Hb 11 g% as the basis. Hb 9-10 gr% is called mild anemia. Hb 7-8 gr% is called moderateanemia. Hb <7 gr% is called severe anemia. One of the complications of anemia in labor is uterine inertia which causesprolonged labor. The purpose of this study was to determine whether there was a relationship between hemoglobinlevels in third trimester pregnant women and prolonged labor at the Geyer 1 Health Center. This research was conductedusing an analytical survey method with a retrospective approach. The population in this study were all mothers givingbirth with a total of 39 respondents with the sampling method using total sampling technique. The research design usedthe Chi Square Test. Of the 39 mothers who had Hb levels of 9-10 gr%, 10 (25.6%), mothers who had Hb levels of 7-8gr% were 26 (66.7%) and mothers who had Hb levels <7 gr%, 3 (7.7%). There were 25 mothers who had labor > 24hours (64.1%) and mothers who had labor <24 hours were 14 (35.9%). There is a relationship between anemic women(low hemoglobin levels in third trimester pregnant women) and the occurrence of prolonged labor at the Geyer 1 HealthCenter with a probability value (p) at 5% significance, namely 0.022 and an X 2 count value of 7,644. p value <0.05 andKeywords: Hb rate; Long Labor; anemia.