Relationship with the characteristics of maternal anemia incidence

Maternal mortality is the death of a woman that occurred during pregnancy up to 42 days after the end of pregnancy, regardless of duration and place of the occurrence of pregnancy, caused by the pregnancy or handling, but not because of the accident. (international stastistical Classification of deseases, injuries and causes of death, ICD-edition X)
According to World Health Organization (WHO) in 2005, that each year a woman died maternity reach more than 500,000 people. (Winkjosastro, 2005).
According to the Demographic Health Survey of Indonesia (SDKI) on 2005 figures Maternal Mortality (AKI) in Indonesia, namely 262/100.000 live births, while Figures Baby Death (akb) is 32/1000 live births. (Dinkes Jabar, 2006).
AKI in the West Java province in 2005 there were 321.5 / 100,000 live births akb 43.93 / 1000 live births. The factors directly cause the death of the mother is bleeding 40-60%, preeklamsi and eklampsi 20-30%, 20-30% infection. Bleeding is the biggest factor causes high AKI. While not directly cause the fundamental factors are environmental, behavioral, genetic and health services alone, one of which is 53% pregnant women suffering from anemia, 4 Too (pregnancy or childbirth is too young and old age, too many children and too close proximity pregnancy / persalinannya ) and 3 late (too late to know the danger signs and the reference, refers to late because of transportation problems and geography, in place of late, because they were not effective in the health service and in the hospital. (Dinkes Jabar, 2005).
According to data from Dinkes Kab. AKI Regency Bandung in Bandung in 2006 as many as 53 people. The factors directly cause the death of the mother is bleeding 52.8%, preeklampsi and eklampsi 15%, for the other 32%. Anemia is one of the factors does not directly cause the occurrence of maternal mortality, prevalence of anemia incidence in pregnant women in Bandung District of 3.9%. (Dinkes Kab. Bandung, 2006)

• Bleeding is the main factor of high AKI. Bleeding can occur in pregnancy, childbirth and post-copy. Anemia is one of the risk factors that can aggravate the situation with the mother, when bleeding during pregnancy, childbirth and post-copy. (Mardliyanti, 2005)

• Anemia in pregnancy can be a bad influence, especially during pregnancy, childbirth and childbed. The influence of anemia during pregnancy can be abortus, less labor hours, fetal broken prematurely. The influence of anemia at childbirth can be a long partus, interference and the strength of his epoch mengedan and aft so that the placenta can occur retensio plasenta. The influence of anemia during a period of childbed one subinvolusi uteri, post-partum bleeding, infection and childbed perineum healing old wounds. (Manuaba, 2003).

Factors that influence the occurrence of anemia in pregnant women is iron deficiency, infection, lack folat acid and haemoglobin aberration. (Manuaba, 2001).
Anemia in pregnancy is a condition of the mother with the value of hemoglobin level below 11 g% in the first and third trimester, or the value of hemoglobin level of less than 10.5 g% in the second trimester. Differences in values above the limit associated with the occurrence hemodilusi. (Cunningham, 2005).
Anemia is most frequently found in pregnancy is anemia due to iron deficiency because of lack of iron in the Feed element of food. Disorders of absorption, increased requirement for iron or unduly large number of iron out of the body, such as the bleeding. Pregnant women need iron about 40 mg per day or 2 x folding conditions need not pregnant. (Wiknjosastro, 2002).
Distance pregnancy is affecting incident anemia during pregnancy. Pregnancy is repeated in a short period of time will deplete maternal iron reserves. The distance of both the pregnancy at least two years to be considered so important to the body of the mother is ready to accept the fetus without having to go back to spend a spare oxygen besinya. (Ammiruddin, 2004).
Education be someone who has the capacity to think, in other words someone who is high will be able to take a more rational decision making, generally open to accept the changes or new things compared with individuals who have less. (MOH RI, 2002). Age affects how mothers make decisions in the maintenance of health. (Notoatmodjo, 2003).
Nutritional status of pregnant women will have a role in pregnancy is very good to the mother and fetus, one of the important elements of nutrition during pregnancy is iron. The increase in blood volume during pregnancy will increase the demand or Fe Zat Besi. The amount of Fe in the new born baby is approximately 300 mg and the amount of capital needed to prevent anemia due to the increased volume of blood is 500 mg. (Lubis, 2003).
Puskesmas DTP Banjaran Nambo is a one of its functions is to provide inspection services pregnancy. When reviewed in terms of geography is one of the health center that is located in District Arjasari Regency Bandung. Scope of work includes the 6 villages, namely: Stone muddled, Lebakwangi, Baros, Mangunjaya, Wargaluyu and Mekarjaya. In 2005 there were 80 people (8.1%) pregnant women with anemia, occurred in the year 2006 increased 7.5% which is to be 154 people (15.6%). (Annual Report health Banjaran DTP Nambo, 2006).
Add Coverage Blood Tablet (TTD) for pregnant women in the area of workplace health Banjaran Nambo DTP in the year 2006 is almost expected to meet the target. Scope 1 or TTD Fe 1 is 72.4%, coverage TTD 2 or Fe 2 is 67.3%. Although the scope of TTD is almost evenly, but the incidence of anemia in the health DTP Nambo Banjaran still high and is increasing. (Annual Report health Banjaran DTP Nambo, 2006).

be good mom

caring for a baby sometimes difficult sometimes easy ..... many mothers who easylier but this is sometimes a problem with the show and for the young mother. sometimes they can not control emotions when need to wake up at night to make milk or breastfeed their babies. for a young mother when they grow flowers baby is a time to be considered for their patient, emotional and spiritual bond tied ..!!!! although not so little that the mother also does not understand this, so do not wonder when they grow flowers casually forget and later in adulthood when they are away from their parents.

a botle of milk

Longed to the parents of children under five is he still eating enough nutritious food that is essential for physical growth and mentalnya. But what happens if the child does not / only a little to eat solid food and only want to drink milk, that is from the bottle at all and did not want to drink from the cup. Parents can do so slowly. How, the susunya set. For example, only with a susu 2 times a day, morning and night. Do not be at the lunch hour. During lunch, offering fruit juice in the cup. In the beginning children will reject it and request a bottle susunya crying. With little children eat susu akan made more hungry at dinner time and interest to the solid food will increase. Parents may worry if susunya reduced the number of children will lack the nutrients needed by children so that children can be sick and less berenerji. This will not happen. Changes will be visible for several days while the children under a transition from a drink milk and reduced to solid foods and fruit juice. take on mind that your child happy to drink milk from bottles milk not because he was thirsty, but only because the dot drink provide a sense of comfort and joy for the child. Therefore, during the transition - from bottle to cup - parents are required to give attention, understanding and comfort to a child. Honestly this is not to make it easy on yourself as parents I can not switch from milk to glass Bottle / Cup, never the way I do, but only 1 survived Sunday so sick I R G tega also be back again and give a bottles of milk he can follow the schedule you create plan R and G will like to eat first, so the portion he so increased in a month and usually spend 5 R akan box milk @ 800 gr enough now with 3 box 800 gr milk @ month.