vi

Daftar Isi

Halaman Judul.................................................................................................. i
Lembar Persetujuan .......................................................................................... ii
Kata Pengantar ................................................................................................. iii
Abstrak (Bahasa Indonesia) ............................................................................. iv
Abstract (Bahasa Inggris) ................................................................................. v
Daftar Isi........................................................................................................... vi
Daftar Tabel ..................................................................................................... ix
Daftar Lampiran ............................................................................................... x

Bab I Pendahuluan ........................................................................................... 1

1.1. Latar Belakang ...............................................................................1

1.2. Rumusan Masalah ......................................................................... 2
1.3. Hipotesis ........................................................................................ 2
1.4. Tujuan Penelitian........................................................................... 2
1.4.1. Tujuan Umum ....................................................................... 2
1.4.2. Tujuan Khusus ....................................................................... 2
1.5. Manfaat Penelitian......................................................................... 2
1.5.1. Manfaat bagi Peneliti ............................................................. 2
1.5.2. Manfaat bagi Institusi ............................................................. 3
1.5.3. Manfaat bagi Puskesmas ........................................................ 3
1.5.4. Manfaat bagi Masyarakat ....................................................... 3
1.5.5. Manfaat bagi Peneliti Lain ..................................................... 3

Bab II Tinjauan Pustaka ................................................................................... 4

2.1. Hemoglobin ................................................................................... 4

2.1.1. Definisi Hemoglobin .............................................................. 4
2.1.2. Kadar Normal Hemoglobin pada Ibu Hamil...........................4
2.2. Zat Besi ......................................................................................... 5
2.2.1. Definisi Zat Besi .................................................................... 5
2.2.2. Fungsi Zat Besi ...................................................................... 5
 vii

2.2.3. Metabolisme Zat Besi ........................................................... 6

2.2.4. Absorbsi Zat Besi ................................................................... 8
2.2.5. Sumber Zat Besi ..................................................................... 9
2.3. Anemia ......................................................................................... 10
2.3.1. Definisi Anemia ..................................................................... 10
2.3.2. Patofisiologi Anemia pada Ibu Hamil ................................... 11
2.3.3. Faktor- Faktor Penyebab Anemia pada Ibu Hamil ................ 13
2.3.4. Penegakkan Diagnosis Anemia pada Ibu Hamil ................... 24
2.4. Komplikasi Anemia pada Ibu Hamil ............................................. 26
2.5. Pencegahan Anemia pada Ibu Hamil ............................................ 27
2.5.1. Pemberian Tablet Besi pada Ibu Hamil ................................ 27
2.5.2. Kebutuhan Gizi untuk Ibu Hamil ........................................... 28
2.6. Kerangka Teori .............................................................................. 32
2.7. Kerangka Konsep .......................................................................... 32

Bab III Metodologi Penelitian.......................................................................... 33

3.1. Desain Penelitian ........................................................................... 33

3.2. Tempat dan Waktu Penelitian ....................................................... 33
3.3. Populasi Penelitian. ....................................................................... 33
3.3.1. Populasi Target....................................................................... 33
3.3.2. Populasi Terjangkau ............................................................... 33
3.4. Kriteria Inklusi dan Eksklusi ......................................................... 33
3.4.1. Kriteria Inklusi ....................................................................... 33
3.4.2. Kriteria Eksklusi..................................................................... 34
3.5. Sampel ........................................................................................... 34
3.5.1. Besar Sampel .......................................................................... 35
3.5.2. Teknik Pengambilan Sampel.................................................. 35
3.6. Variabel ......................................................................................... 35
3.6.1. Variabel Independen .............................................................. 35
3.6.2. Variabel Dependen ................................................................. 36
3.7. Cara Kerja ..................................................................................... 36
3.8. Sumber Data .................................................................................. 36
 viii

3.9. Definisi Operasional ...................................................................... 36

3.10. Data ............................................................................................ 38
3.10.1. Pengumpulan Data ............................................................... 38
3.10.2. Pengolahan Data .................................................................. 38
3.10.3. Penyajian Data ..................................................................... 38
3.10.4. Analisis Data ........................................................................ 38
3.10.5. Interpretasi Data ................................................................... 39
3.10.6. Pelaporan Data ..................................................................... 39
3.11. Etika Penelitian ........................................................................... 39

Bab IV Hasil Penelitian .................................................................................... 40

Bab V Pembahasan ...........................................................................................42

5.1. Sebaran Karakteristik Subyek Penelitian di Puskesmas Kecamatan

Tambora Periode Januari 2018 – Desember 2018 ........................ 42
5.2. Sebaran Anemia pada Trimester III dengan Karakteristik Subyek
Penelitian yang Mengonsumsi Tablet Besi di Puskesmas
Kecamatan Tambora Periode Januari 2018 – Desember 2018 ..... 43
5.2.1. Usia ....................................................................................... 43
5.2.2. Tingkat Pendidikan ............................................................... 44
5.3. Hubungan Antara Anemia pada Trimester III dengan Jumlah
Asupan Protein di Puskesmas Kecamatan Tambora Periode Januari
2018 – Desember 2018 .................................................................. 45

Bab VI Kesimpulan dan Saran ........................................................................47

6.1. Kesimpulan ................................................................................... 47
6.2. Saran .............................................................................................. 47

Daftar Pustaka ................................................................................................. 48

Lampiran ......................................................................................................... 53
 ix

Daftar Tabel
Tabel 1. Rekomendasi peningkatan berat badan selama kehamilan menurut
IMT sebelum hamil...........................................................................................20
Tabel 2. Perubahan kebutuhan mikronutrisi selama kehamilan.......................30
Tabel 4.1. Karakteristik Subyek Penelitian di Kecamatan Tambora Periode
Januari 2018 – Desember 2018.........................................................................40
Tabel 4.2. Hubungan antara Usia, Pendidikan, dan Asupan Protein dengan
Anemia di Puskesmas Kecamatan Tambora Jakarta Barat Periode Januari 2018
- Desember 2018...............................................................................................41
 x

Daftar Lampiran
Lampiran 1 Lembar Penjelasan Penelitian (Informed)............................... 53
Lampiran 2 Lembar Persetujuan Penelitian (Consent) ...............................54
Lampiran 3 Kuesioner Penelitian .............................................................. 55
Lampiran 4 Data Univariat SPSS ...............................................................57
Lampiran 5 Data Bivariat........................................................................... 58
Lampiran 6 Data Responden Tabulasi ....................................................... 60