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)
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).
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).
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).
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