1. 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
Penitrogen u levator scapula isulfur

2. 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.

3. 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 (

4. 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

5. 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

6. 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 ).

7. a. 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. 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

8. 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

9. 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.

10. 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

11. 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.

12. 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.

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