Relation Between of Nutritional Status and Vitamin C Conditions with Hemoglobin Levels in Anemic Pregnant Women in The Working Area of Pauh Public Health Center, Padang City
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Mar 18, 2021
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Abstract
Hemoglobin (Hb) level is a specific indicator for determining anemia in pregnant women. One of the factors that triggers anemia in pregnancy, namely nutritional status and vitamin C levels. The purpose of this study was to determine the relationship between nutritional status and vitamin C levels with hemoglobin levels in anemic pregnant women in the working area of Pauh Public Health Center, Padang City. This study is an observational study with cross sectional design on 57 pregnant women with anemia in trimesters II and III with consecutive sampling technique. The research was conducted at the Pauh Health Center and the Biomedical Laboratory of the Faculty of Medicine, Universitas Andalas, from March to May 2020.Nutritional status was checked by measuring upper arm circumference (LILA), vitamin C levels were checked by ELISA method and Hb levels was by hematology analyzer. Data analysis used Pearson correlation test and Spearman correlation test. The results showed that the average nutritional status was 23.68 ± 1,810 cm, the vitamin C level was 21.13 ± 12.502 ng/mL, and the Hb level was 9.85 ± 0.865 gr/dL. There was a significant relationship between nutritional status and Hb levels in anemic pregnant women with a value of p = 0.012 and (r = 0.330) and there was no relationship between vitamin C levels and Hb levels in anemic pregnant women with p = 0.177 and (r = -0.168 ). The conclusion is that there is a relationship between nutritional status and Hb levels, but there is no relationship between vitamin C levels and Hb levels in anemic pregnant women in the Pauh Public Health Center, Padang City.
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How to Cite
Badriyah, N., Hasmiwati and Desmiwarti (2021) “Relation Between of Nutritional Status and Vitamin C Conditions with Hemoglobin Levels in Anemic Pregnant Women in The Working Area of Pauh Public Health Center, Padang City”, Science Midwifery, 9(2), pp. 317-322. Available at: https://midwifery.iocspublisher.org/index.php/midwifery/article/view/104 (Accessed: 11July2025).
References
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[23] Romero, MM. Flores, RJ. Molina, RV. Ramos, MI. Reali, JY. Sigrist-Flores, SC. et al. (2012). The body mass index (BMI) as a public health tool to predict metabolic syndrome. Journal of Preventive Medicine. Vol.2, No.1, Hal.59-66
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[26] Setyaningsih, R.I., Pangestuti, D.R., dan Rahfiludin, M.Z. (2018). Hubungan Asupan Protein, Zat Besi, Vitamin C, Fitat dan Tanin Terhadap Kadar Hemoglobin Calon Pendonor Darah Laki-laki. Vol 6 No 4. ISSN: 2356-3346. Hal. 238-246.
[27] Septiawan, Y. dan Erta, S. (2015). Hubungan Kebiasaan Minum The Dengan Kejadian Anemia Pada Ibu Hamil Trimester II Di Puskesmas Kota Bumi II Kabupaten Lampung Utara. Jurnal Kesehatan 6 (2). Hal. 117-122
[28] Sumiyarsi, I., A. Nugraheni, S. Mulyani, dan E. Budi C. (2018). Faktor-faktor Yang Mempengaruhi Hemoglobin Ibu Hamil Trimester III. Placentum Jurnal Ilmiah Kesehatan dan Aplikasinya. Volume 6 (2). eISSN 2303-3746, Eissn 2620-9969. Hal. 20-25.
[29] Ugwa, EA., Iwasam, EA., Nwali, MI. (2016). Low Serum Vitamin C Status Among Pregnant Women Attending Antenatal Care at General Hospital Dawakin Kudu, Northwest Nigeria. DOI: 10.4103/2008-7802.176166.
[30] Vasiliki, L and Kyriazi, MD. (2011). A Holistic Approach of Erythropoiesis and Iron In Anemia. Volume 5 (2352-8922.
[31] Yuliati, H., Widajanti, L., dan Aruben, R. (2017). Hubungan Tingkat Kecukupan Energi, Protein, Besi, Vitamin C dan Suplemen Tablet Besi Dengan Kadar Hemoglobin Ibu Hamil Trimester II dan III. Vol 5 No 4
[2] Almatsier, S. (2015). Prinsip Dasar Ilmu Gizi. Jakarta : PT Gramedia PustakaUtama. Hal. 187-258
[3] Aguscik, dan Ridwan. (2019). Pengaruh Status Gizi Terhadap Kejadian Anemia Pada Ibu Hamil Di Daerah Endemik Malaria Kota Bengkulu. Jurnal Kesehatan Poltekkes Palembang. Vol. 14, No. 2. eISSN 2654-3427. Hal. 97-100
[4] Bakta IM. (2017). Hematologi Klinik Ringkas. Jakarta: EGC. Hal. 19-33
[5] Bahman, B., Anahita, Z., Marina, J., Firouz, A., Afshin, H and Arnaz, K. (2018). Impact of Vitamin C Suplementation on Serum Feritin Level in Hemodialysis Patiens. DOI : 10-15171/jnp.2018.40. Hal. 197-200
[6] Barret, Kim et al., (2010). Ganong’ s Review of Medical Physiology. Chicago: The McGraw-Hill Companies.
[7] Breyman, C. (2013). Iron Deficiency Anemia in pregnancy. Obstet and Gynecol. Vol. 8. no. 6. Hal. 587-596
[8] Cunningham, F.G., K.J. Leveno, S.L. Bloom, J.S. Dashe, B.L. Hoffman, B.M. Casey, dan C.Y. Spong. (2018). Williams Obstetrics. 25th ed. McGraw- Hill Education. United States.
[9] Cakmak, B.D., U.A. Turker, S. Oztas, M. Arik, and E. Ustunyurt. (2018). The Effect of First Trimester Hemoglobin Levels on Pregnancy Outcomes. Turkish Journal of Obstetrics and Gynecology 15(3). doi : 10.427/tjod. 87269. Hal. 165-170.
[10] Hoffbrand, A.V dan Moss P.A.H., (2015). Kapita Selekta Hematologi Edisi 6. Jakarta :Penerbit Buku Kedokteran EGC
[11] Johnson TA. Anaemia. In: Luesley DM, Baker PN, editors. Obstetrics and Gynaecology An evidence-based text for MRCOG. 2nd ed. London: Hodder Arnold; 2010. Hal.139-143.
[12] Jwa, S.C., T. Fujiwara, Y. Yamanobe, K. Kozuka, and H. Sago., et al. (2015). Changes in Maternal Hemoglobin During Pregnancy and Birth Outcomes. BMCPregnancy and Childbirth. Volume. 15. No.1. Hal. 1-10. Doi. 10.1186/s1 2884-015-0516-1.
[13] Laelasari, L., dan Natalia, L. (2016). Hubungan Antara Pengetahuan, Status Gizi Dan Kepatuhan Mengkonsumsi Tablet Fe dengan Kejadian Anemia pada Ibu Hamil Trimester III di Wilayah Kerja UPTD Puskesmas Salagedang Kabupaten Majelangka. Midwife Journal Volume 2 No.02. pISSN 2477-3441. eISSN 2477-345X. Hal. 1-9
[14] Marlapan, S., B. Wantouw, J. Sambeka. (2013). Hubungan Status Gizi dengan Kejadian Anemia pada Ibu Hamil di Wilayah Kerja Puskesmas Tuminting kecamatan Tuminting Kota Manado. E-Journal Keperawatan. Volume 1. No.1. Hal. 1-7.
[15] Mehta. A and Hoffrand A. V. (2006). At a Glance Hematologi. Edisi Kedua: Erlangga
[16] Mitmesser, S.H,. Ye, Q., Evans, M., Combs, M. (2016). Determination Of Plasma and Leukocyte Vitamin C Concentrations in a Randomized, Double Blind, Placebo-Controlled Trial With Ester-C. DOI:10.1186/s40064-016-2605-7
[17] Nehad, R and Nehal. A.A. (2016). Effect of Iron And Vitamin C Fortified Candies On The Iron Status of Early Teenager. Volume 4. Issue 3, ISSN 2320 – 5407. Hal. 6-11.
[18] Oktaviani A, dan Elsanti D. (2020). Jurnal Keperawatan Muhammadiyah. Hubungan Antara Panjang Lingkar Lengan Atas (LILA) Dengan Kadar Hemoglobin Pada Ibu Hamil Di Wilayah Kerja Puskesmas Purwokerto Selatan. Hal. 177-184
[19] Putri RN, Nirmala SA, Aprillani IK, Judistiani DT, dan Wijaya M. (2019). Jurnal Kesehatan Vokasional. Hubungan Antara Karakteristik Ibu, Kecukupan Asupan Zat Besi, Asam Folat dan Vitamin C dengan Status Anemia. Vol.4 No.4. Hal. 183-189. DOI https://doi.org/10.22146/jkesvo.44202.
[20] Purwaningtyas ML, dan Prameswari GN. (2017). Faktor Kejadian Anemia Pada Ibu Hamil. HIGEIA 1(3). Hal. 43-54. pISSN 1475-362846.
[21] Putri, P.A.K.C., Subawa, N dan Lestari, W. (2020). Jurnal Medika Udayana. Gambaran Karakteristik Anemia Defisiensi Besi Pada Ibu Hamil Di RSUP Sanglah Tahun 2017. Vol.9 No.2. Hal. 40-44 Doi:10.24843.MU.2020.V9.i2.PO7.
[22] Ruchayati, F. (2012). Jurnal Kesehatan Masyarakat. Hubungan Kadar Hemoglobin dan Lingkar Lengan Atas Ibu Hamil Trimester III dengan Panjang Bayi Lahir di Puskesmas Halmahera Kota Semarang. Volume 1, Nomor 2. Hal. 578-585
[23] Romero, MM. Flores, RJ. Molina, RV. Ramos, MI. Reali, JY. Sigrist-Flores, SC. et al. (2012). The body mass index (BMI) as a public health tool to predict metabolic syndrome. Journal of Preventive Medicine. Vol.2, No.1, Hal.59-66
[24] Rena. A,. N. Made, S. Utama dan M. Parwati. (2013). Jurnal Penyakit Dalam. Kelainan Hematologi PadaDemam Berdarah Dengue. Volume 10 Nomor 3
[25] Shara FEl, Wahid I, dan Semiarti R. (2017). Jurnal Kesehatan Andalas. Hubungan Status Gizi Dengan Kejadian Anemia Pada Remaja Putri Di SMAN 2 Sawahlunto. Hal. 1-6
[26] Setyaningsih, R.I., Pangestuti, D.R., dan Rahfiludin, M.Z. (2018). Hubungan Asupan Protein, Zat Besi, Vitamin C, Fitat dan Tanin Terhadap Kadar Hemoglobin Calon Pendonor Darah Laki-laki. Vol 6 No 4. ISSN: 2356-3346. Hal. 238-246.
[27] Septiawan, Y. dan Erta, S. (2015). Hubungan Kebiasaan Minum The Dengan Kejadian Anemia Pada Ibu Hamil Trimester II Di Puskesmas Kota Bumi II Kabupaten Lampung Utara. Jurnal Kesehatan 6 (2). Hal. 117-122
[28] Sumiyarsi, I., A. Nugraheni, S. Mulyani, dan E. Budi C. (2018). Faktor-faktor Yang Mempengaruhi Hemoglobin Ibu Hamil Trimester III. Placentum Jurnal Ilmiah Kesehatan dan Aplikasinya. Volume 6 (2). eISSN 2303-3746, Eissn 2620-9969. Hal. 20-25.
[29] Ugwa, EA., Iwasam, EA., Nwali, MI. (2016). Low Serum Vitamin C Status Among Pregnant Women Attending Antenatal Care at General Hospital Dawakin Kudu, Northwest Nigeria. DOI: 10.4103/2008-7802.176166.
[30] Vasiliki, L and Kyriazi, MD. (2011). A Holistic Approach of Erythropoiesis and Iron In Anemia. Volume 5 (2352-8922.
[31] Yuliati, H., Widajanti, L., dan Aruben, R. (2017). Hubungan Tingkat Kecukupan Energi, Protein, Besi, Vitamin C dan Suplemen Tablet Besi Dengan Kadar Hemoglobin Ibu Hamil Trimester II dan III. Vol 5 No 4