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                <text>Determinasi Faktor Kejadian Anemia Pada Ibu Hamil di Klinik Bersalin Suriani Kecamatan Medan Johor Kelurahan Kwala Bekala Provinsi Sumatera Utara Tahun 2025&#13;
&#13;
Damayanti S¹, Marta Armita Silaban², Ade Rachmat Yudiyanto³, Erin Padilla Siregar⁴, Sri Rezeki⁵, Hazizah Sabilah Siagian⁶&#13;
¹,² Pendidikan Profesi Bidan Program Profesi STIKes Mitra Husada Medan&#13;
³,⁴,⁵,⁶ Prodi Kebidanan Program Sarjana STIKes Mitra Husada Medan&#13;
Email: maydamayanti24@gmail.com, martaslabon50@gmail.com, aderachmatyudiyanto@gmail.com, erinpadillasiregar1986@gmail.com, srirejeki64044@gmail.com&#13;
&#13;
ABSTRAK&#13;
Anemia ditandai dengan kadar hemoglobin (Hb) darah di bawah normal. Fungsinya terganggu akibat kekurangan oksigen. Misalnya, gejala seperti kesulitan berkonsentrasi dan kurangnya kebugaran untuk melakukan aktivitas dapat disebabkan kekurangan oksigen otak dan otot. Penelitian ini menggunakan metode analitik observasional dengan survei retrospektif dengan melihat catatan rekam medis pasien di klinik bersalin. Sampel pada penelitian ini adalah 54 orang dengan menggunakan total sampling ibu hamil yang mengalami anemia dengan kriteria inklusi dan eksklusi. Dari hasil uji chi square terhadap usia ibu nilai p=0,016 (p&lt;0,05). Dari hasil uji chi square terhadap paritas ibu nilai p=0,032 (p&lt;0,05). Dari hasil uji chi square terhadap jarak kehamilan nilai p=0,017 (p&lt;0,05). Faktor yang paling dominan menunjukkan bahwa KEK mempengaruhi kejadian anemia pada ibu hamil dengan OR sebesar 5,578 (95% CI 1,731-17,979, p=0,003) ketika wanita hamil dengan KEK lebih mungkin mengalami anemia dibandingkan mereka yang tidak mengalami KEK. Kesimpulan: pemberian makanan tambahan (PMT) berbasis pangan lokal kaya zat besi, protein, dan vitamin C untuk ibu hamil KEK atau dengan risiko tinggi anemia, LILA, pemeriksaan Hb minimal 2 kali selama kehamilan. </text>
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                <text>Background: nemia has a substantial impact on national economic development because it is associated with impaired cognitive and motor function in children and diminished productivity in adults. Among pregnant women, iron deficiency anemia can cause growth&#13;
and developmental disorders and is strongly linked to adverse pregnancy outcomes such as low birth weight (LBW) and preterm delivery. If left untreated, anemia may worsen theihealth and quality of life of millions of women and hinder children’s growth, development, and educational achievement. The presence of anemia itself reflects underlying malnutrition and poor health status. Worldwide, anemia affected 32 million pregnant women (37%) and 539 million non-pregnant women (30%) between the ages of 15 and 49 in 2019. Methods: The research method used is quantitative with a Quasi-Experimental design using the Two This study employed a quantitative approach with a quasi-experimental design,specifically the Two-Group Pretest–Posttest method, which involved imeasuring hemoglobin levels before and after treatment in both intervention and control groups. A total of 40 pregnant women participated, with 20 assigned to the control group (not receiving Pisbro cookies) and 20 to the intervention group (receiving Pisbro cookies). Prior to conducting the bivariate analysis, data normality was tested using the Shapiro–Wilk test, which showed that the data were normally distributed (p &gt; 0.05). Subsequently, an independent t-test was&#13;
performed, and the results indicated significant differences between the groups (p &lt; 0.05) at a confidence level of α = 0.05. Data analysis was carried out using SPSS version 22.Results:The independent t-test analysis revealed that the mean hemoglobin concentration in the&#13;
intervention group (given Pisbro cookies) was 9.795 ± 0.5145, while the control group (not given Pisbro cookies) had a mean of 9.795 ± 0.5005. Statistical testing produced a p-value of 0.019 (p &lt; 0.05), indicating a significant difference between the two groups. Conclusion: Enhancing hemoglobin levels among pregnant women is essential for preventing adverse maternal and neonatal outcomes, supporting healthy fetal development, and improving maternal well-being.</text>
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and developmental disorders and is strongly linked to adverse pregnancy outcomes such as low birth weight (LBW) and preterm delivery. If left untreated, anemia may worsen theihealth and quality of life of millions of women and hinder children’s growth, development, and educational achievement. The presence of anemia itself reflects underlying malnutrition and poor health status. Worldwide, anemia affected 32 million pregnant women (37%) and 539 million non-pregnant women (30%) between the ages of 15 and 49 in 2019. Methods: The research method used is quantitative with a Quasi-Experimental design using the Two This study employed a quantitative approach with a quasi-experimental design,specifically the Two-Group Pretest–Posttest method, which involved imeasuring hemoglobin levels before and after treatment in both intervention and control groups. A total of 40 pregnant women participated, with 20 assigned to the control group (not receiving Pisbro cookies) and 20 to the intervention group (receiving Pisbro cookies). Prior to conducting the bivariate analysis, data normality was tested using the Shapiro–Wilk test, which showed that the data were normally distributed (p &gt; 0.05). Subsequently, an independent t-test was&#13;
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