Darmawati Darmawati, Teuku Tahlil, Toungku Nizwan Siregar, Hajjul Kamil, Fithria Fithria, Masyithah Audina


Anemia in pregnancy is one of the contributor factors to the increasing of maternal mortality rate, cause hemorrhage and sepsis during labour. Infants who born from anemic mothers can also be premature, immune system weakness, and developmental disorders. Globally, the most common cause of anemia during pregnancy is iron deficiency. Indonesian Ministry of Health try to solve this problem with integrated antenatal service program with the standards offered are middle upper arm circumference (MUAC) measurement, weight measurement, and laboratory examination. This study aims to find out the relationship between integrated antenatal service with iron deficiency anemia. This study is applied using cross sectional study with non probability and purposive sampling method. The measuring instrument was checklist and questionnaire sheets. The sample of this study was 102 pregnant women and data analysis was done using Chi-Square test. The relationship between MUAC and iron deficiency anemia has p-value = 0.008. MUAC is a standard in measuring nutritional status of pregnant mother that has consistent result, so it can be used to identify the change of maternal nutritional status including iron. The laboratory examination and iron deficiency anemia relationship has p-value = 0.005. The blood type and hemoglobin examination is part of laboratory examination. The blood type examination provides information about the type of blood group that susceptible to anemia, so that it can be used to detect and prevent anemia, while hemoglobin examination also recommended by WHO to diagnose anemia in pregnancy. This study find out that there is no significant relationship between body weight measurement and iron deficiency anemia (p-value = 0.808). Weight measurement in pregnancy is not always a step to detect nutritional status in pregnancy because the weight gain in pregnancy may also caused by other factors. This study above indicates that anemia in pregnancy is relate with integrated antenatal care service, especially middle upper arm circumference measurement and laboratory examination. It is recommended to antenatal care providers to improve the quality of service that offered, so it can make many health problems during pregnancy especially iron deficiency anemia can be detected and handled quickly.

Full Text:



Adam IS, Ahmed S, Mahmoud MH, Yassin MI. 2012. Comparison of HemoCue ®hemoglobin-meter and automated hematology analyzer in measurement of hemoglobin levels in pregnant women at Khartoum hospital, Sudan. Diagn. Pathol. 7: 1–6. Available at:

Addo VN. 2010. Body Mass Index, weight gain during pregnancy and obstetric outcomes. Ghana Med. J. 44: 64–69.

Api O, Breyman OC, Çetiner M, Demir C, and ECDER T. 2015. Diagnosis and treatment of iron deficiency anemia during pregnancy and the postpartum period: Iron deficiency anemia working group consensus report. J. Turkish Soc. Obstet. Gynecol. 12: 173–181. Available at:

Bivolarska AV, Gatseva PD, and Maneva AI. 2015. The role of eating habits on the iron status of pregnant women. J. Am. Coll. Nutr. 35: 1–7.

Charles AM, Campbell-Stennett D, Yatich N, and Jolly PE. 2011. Predictors of anemia among pregnant women in Westmoreland, Jamaica. Health Care Women Int. 31: 585–598.

Departmenen Kesehatan RI. 2007. Pedoman pelayanan antenatal. Departemen Kesehatan RI, Jakarta.

Department of Health Western Australia. 2016. Clinical Practice Guideline: Antenatal care schedule. Clin. Guidel. Obstet. Midwifery 1–20. Available at: [Accessed February 7, 2018].

Fakier A, Petro G, and Fawcus S. 2017. Mid-upper arm circumference: A surrogate for body mass index in pregnant women. South African Med. J. 107: 606–610. Available at:

Fatimah, and Ernawati S. 2016. Pelaksanaan antenatal care berhubungan dengan anemia pada kehamilan trimester III di Puskesmas Sedayu I Yogyakarta. J. Ners dan Kebidanan Indones. 3: 134–139. Available at:

Ikeanyi EM and Ibrahim AI. 2015. Does antenatal care attendance prevent anemia in pregnancy at term? Niger. J. Clin. Pract. 18: 323–328.

KEMENKES RI. 2010. Pedoman Pelayanan Antenatal Terpadu. Direktur Jenderal Bina Kesehatan Masyarakat Kementerian Kesehatan Republik Indonesia, Jakarta.

KEMENKES RI. 2013. Riset kesehatan dasar 2013. Badan Penelitian dan Pengembangan Kementerian Kesehatan RI, Jakarta.

Khalafallah AA and Dennis AE. 2012. Iron deficiency anaemia in pregnancy and postpartum: Pathophysiology and effect of oral versus intravenous iron therapy. J. Pregnancy 2012.

Khaskheli MN, Baloch MNS, Sheeba A, Baloch S, and Khaskheli FK. 2016. Iron deficiency anaemia is still a major killer of pregnant women. Pakistan J. Med. Sci. 32: 630–634.

Kumar BA and Kaushik M. 2013. Blood group and anemia : Exploring a new relationship. J. Public Heal. Epidemiol. 5: 43–45.

Mishra S, Gupta P, Bhardwaj P, Sachan B, Srivastav JP, and Mishra AN. 2016. Effect of antenatal services during pregnancy on prevalence of anemia amongst pregnant women in Lucknow. Indian J. Med. Sci. 68: 17–20. Available at:

Noguiera LD and Oliveira GDS. 2017. Qualified prenatal care: The nurse’s tasks. Rev. Enferm. e Atenção à Saúde 6: 102–113.

Novyriana E, Rahmadhani W, and Zuhroh S. 2016. Hubungan Lingkar Lengan Atas dengan Kejadian Anemia dalam Kehamilan di Puskesmas Gombong I. J. Ilm. Kesehat. Keperawatan 12: 108–116.

Pickles A. 2017. Fluid retention and weight gain during pregnancy. Heal. Mummy. Available at:

Purwanti S and Maris IP. 2012. Perbandingan hasil pemeriksaan Hb ibu hamil menggunakan Hb Sahli dan Easy Touch GHb di BPS Sulis Desa Grinting Kabupaten Brebes tahun 2011. J. Kesmasindo 5: 65–74.

Silverberg DS. 2012. Anemia. InTech, Croatia.


  • There are currently no refbacks.