TUGAS MATA KULIAH EVIDENCE BASED MIDWIFERY

“Analisis Jurnal Statistik Data ”

Disusun Untuk Memenuhi Tugas Mata Kuliah Evidence Based Midwifery
Dosen Pengampu: Ummi Azmi, S.TR.Keb., M.Kes

Disusun Oleh:

NUR AISYAH RAHMAWATI

202005019

PROGRAM STUDI S-1 KEBIDANAN

FAKULTAS ILMU KESEHATAN

UNIVERSITAS BINA SEHAT PPNI

2022
NO AUTHOR TITLE METODE POPULATION VARIABLE RESEARCH RESULT
DESIGN
1. 1. Ling Loy Status zat Cohort 985 (90,4%) wanita Asia 1. usia Hasil:Median (persentil 25-75)
2. Li Min Lim besi dan Ptospektif pada usia kehamilan 26- 2. indeks masa konsentrasi feritin plasma adalah
3. Shiao-Yng faktor risiko 28 minggu tubuh 24,2 (19,9-30,6) g/L. Secara
Chan kekurangan 3. etnis keseluruhan, 660 (67,0%) dan 67
4. Pei Ting Tan zat besi di 4. Pendidikan (6,8%) wanita mengalami deplesi
5. Yen Lin antara 5. Paritas zat besi sedang dan berat. sTfR
Chee wanita 6. Status merokok plasma yang lebih tinggi diamati
6. Phaik Ling hamil di 7. Suplementasi pada wanita dengan deplesi zat besi
Quah Jerry Singapura yang yang parah dibandingkan dengan
Kok Yen mengandung mereka yang memiliki kecukupan
Chan zat besi zat besi (median 17,6 berbanding
7. Kok Hian 8. Riwayat anemia 15,5 nmol/L;p < 0,001). Usia < 25
Tan 9. Hemoglobin tahun (rasio odds 2,36; interval
8. Fabian Yap kepercayaan 95% 1,15–4,84), etnis
9. Keith M. Melayu (2,05; 1,30–3,24) dan India
Godfrey (1,98; 1,14– 3,44) (versus
10. Lynette Pei- Tionghoa), kualifikasi universitas
Chi Shek (1,64; 1,13–2,38) , multiparitas
11. Mary (1,73; 1,23-2,44) dan kurangnya
FoongFong suplementasi yang mengandung zat
Chong besi (3,37; 1,25-8,53) dikaitkan
12. Michael S. dengan peningkatan kemungkinan
KramerYap- penipisan zat besi sedang dan berat.
Seng Chong
13. dan Claudia
Chi
NO Variabel P Value < 0.05 CI (95%) OR
(bermakna)

1. 1. Usia <25 tahun 1. 0.019 (secara 1. 95% CI (1.15, 4,84) 1. Nilai OR=2.36 ( Kelompok
2. Etnis (Melayu) statistic 2. 95% CI( 1,30, 3.24) dengan variable usia <25
3. Etnis (Indian) bermakna) 3. 95% CI (1.14, 3.44) tahun memiliki resiko 2.36x
4. Pendidikan 2. 0.002 ( secara 4. 95% CI (1.13, 2.38) lebih tinggi)
(Menengah) statistic 5. 95% CI (1.23, 2.44) 2. Nilai OR =2.05( Kelompok
5. Multipara bermakna 6. 95% CI (1,25, 8,53) dengan variable etnis melayu
6. Suplementasi yang 3. 0.015 (secara memiliki resiko 2.05x lebih
mengandung zat besi sratistic tinggi)
bermakna) 3. Nilai OR= 1.98( Kelompok
4. 0.010 (secara dengan variable etnis Indian
sratistic memiliki resiko 1.98 x lebih
bermakna) tinggi)
5. 0.002 ( secara 4. Nilai OR= 1.64( Kelompok
statistic dengan variable Pendidikan
bermakna menengah memiliki resiko
6. 0.016( secara 1.64x lebih tinggi)
statistic 5. Nilai OR=1.73( Kelompok
bermakna dengan variable multipara
memiliki resiko 1.73 x lebih
tinggi)
6. Nilai OR=3.37( Kelompok
dengan variable suplementasi
yang mengandung zat besi
memiliki resiko 3.37x lebih
tinggi)
Pembahasan:

1. Secara keseluruhan , 660 (67,0%) dan 67 (6,8%) wanita mengalami deplesi zat besi sedang dan berat
2. Variabel yang berpengaruh:
a. Usia < 25 tahun (rasio odds 2,36; interval kepercayaan 95% 1,15–4,84),
b. Melayu (2,05; 1,30–3,24) dan
c. India (1,98; 1,14– 3,44) (versus Tionghoa),
d. kualifikasi universitas (1,64; 1,13–2,38) ,
e. multiparitas (1,73; 1,23-2,44) dan
f. kurangnya suplementasi yang mengandung zat besi (3,37; 1,25-8,53)

Kesimpulan: Hampir tiga perempat wanita Singapura kekurangan zat besi pada awal trimester ketiga kehamilan. Hasil ini menyarankan
skrining universal dan suplementasi kehamilan berisiko dapat dievaluasi sebagai strategi pencegahan.
NO AUTHOR TITLE METODE POPULATION VARIABLE RESEARCH RESULT
DESIGN
2. 1. Meaza Lebso Prevalence of anemia Cross 504 pregnant women. 1. Wealth Index The prevalence of anemia was
2. Anchamo and associated Sectional (Poor) 23.2% (95% CI: 19.5%-26.9%).
Anato factors among 2. DDS (Low) Factors associated with anemia
3. Eskindir pregnant women in 3. Trisemester of were: low socio-economic status
(AOR = 2.03, 95% CI: 1.11–3.69),
Loha Southern Ethiopia: A pregnancy
trimester second (AOR = 3.09,
community based (second) 95%CI: 1.41–6.79) and third (AOR
cross-sectional study 4. Trisemester of = 3.68, 95% CI: 1.67–8.08),
pregnancy gravidity three to five (AOR = 1.78,
(third) 95% CI: 1.03–3.07) and six and
5. Gravidity 3-5 above (AOR = 2.59, 95%CI: 1.37–
6. Gravidity >6 4.92), not supplemented with iron
7. Iron intake in (AOR = 1.72, 95% CI: 1.02–2.91),
current low dietary diversity score (AOR =
pregnancy(No) 3.18, 95% CI: 1.37–7.37) and
STH (Hookworm) hookworm infection (AOR = 2.69,
95%CI: 1.34–5.39).
NO Variabel P Value < 0.05 CI (95%) OR
(bermakna)

2. 1. Wealth Index (Poor) statistically 1. 95% CI (1.13-3.69) 1. OR VALUE= 2.03( The Variable Wealth
2. DDS (Low) significant 2. 95% CI( 1,37-7.37) Index have value 2.03 more risk get
3. Trisemester of association 3. 95% CI (1.41-6.79) Anemia among pregnant woman)
pregnancy (second) (p<0.05). 4. 95% CI (1.67-8.08) 2. OR VALUE= 3.18( The Variable DDS
4. Trisemester of 5. 95% CI (1.03-3.07) value 3.18 more risk get Anemia among
pregnancy (third) 6. 95% CI (1,37-4.92) pregnant woman)
5. Gravidity 3-5 7. 95% CI ( 1.02-2.91) 3. OR VALUE= 3.09( The Variable
6. Gravidity >6 8. 95% CI Trisemester pregnancy second have value
7. Iron intake in current 3.09 more risk get Anemia among
pregnancy(No) pregnant woman)
8. STH (Hookworm) 4. OR VALUE= 3.68( The Variable
Trisemester pregnancy third have value
3.68 more risk get Anemia among
pregnant woman)
5. OR VALUE= 1.78( The Variable gravidity
3-5 value 1.78 more risk get Anemia
among pregnant woman)
6. OR VALUE= 2.59( The Variable gravidity
>6 value 2.59 more risk get Anemia
among pregnant woman)
7. OR VALUE= 1.72( The Variable iron
intake in current pregnancy value 1.72
more risk get Anemia among pregnant
woman)
8. OR VALUE= 2.69 ( The Variable STH
Hookworm value 2.69 more risk get
Anemia among pregnant woman)
Result:
The prevalence of anemia was 23.2% (95% CI: 19.5%-26.9%).
Factors associated with anemia were
1. low socio-economic status (AOR = 2.03, 95% CI: 1.11–3.69),
2. trimester second (AOR = 3.09, 95%CI: 1.41–6.79) and
3. third (AOR = 3.68, 95% CI: 1.67–8.08),
4. gravidity three to five (AOR = 1.78, 95% CI: 1.03–3.07) and
5. six and above (AOR = 2.59, 95%CI: 1.37–4.92),
6. not supplemented with iron (AOR = 1.72, 95% CI: 1.02–2.91),
7. Low dietary diversity score (AOR = 3.18, 95% CI: 1.37–7.37) and
8. hookworm infection (AOR = 2.69, 95%CI: 1.34–5.39).
N AUTHOR TITLE METODE POPULATION VARIABLE RESEARCH RESULT
O DESIGN
3. 1. Terefe Magnitude Cross 348 pregnant 1. Residence (Rural) The overall prevalence of anemia among
Derso. and associated Sectional women 2. Parity /- 5 Children pregnant women was 30.5% [95% CI
2. Zelalem factors 3. Household monthly 21.0, 40.0]. The result of multivariable
Abera of anemia income <eth birth analysis revealed that the likelihood of
3. Amare among pregnant anemia was higher among pregnant
2000
Tariku women in Dera women living in rural areas [AOR =
District: a
4. Avaibility of latrine 3.03, 95% CI 1.17, 7.82], had no latrine
cross-sectional (No) [AOR = 4.75, 95% CI 1.15, 16.60], low
study 5. Iron supplement in monthly income: < 23 cm [AOR = 4.97;
in northwest the current 95% CI 2.61, 9.43] and did not prenatal
Ethiopia pregnancy (No) take iron supplementation [AOR = 5.63;
6. Nutritional status 95% 2.21, 14.32].
(Malnotrished/MUAC<23)
NO Variabel P Value < 0.05 (bermakna) CI (95%) OR

4. 1. Residence statistically significant 1. 95% CI (1.17, 1. OR VALUE= 3.03( The Variable

(Rural) association (p<0.05). 7.82) Residence (Rural) have value
2. Parity /- 5 2. 95% CI( 1,14, 3.03 more risk get Anemia among
Children 15.52) pregnant woman)
3. Household 3. 95% CI (1.17, 2. OR VALUE= 4.20 ( The Variable
monthly income 5.60) Parity /- 5 children have value
<eth birth 2000 4. 95% CI (1.15, 4.20 more risk get Anemia among
4. Avaibility of 19.60) pregnant woman)
latrine (No) 5. 95% CI (2.21, 3. OR VALUE= 2.56( The Variable
5. Iron supplement 14.32) Household monthly income <eth
in the current 6. 95% CI (2.61, birth 2000 have value 2.56 more
pregnancy (No) 9.43) risk get Anemia among pregnant
6. Nutritional woman)
status 4. OR VALUE= 4.75( The Variable
(Malnotrished/ Avaibility of latrine have value
MUAC<23) 4.75 more risk get Anemia
among pregnant woman)
5. OR VALUE= 5.63( The Variable
Iron no supplement in the current
pregnancy have value 5.63 more
risk get Anemia among pregnant
woman)
6. OR VALUE= 4.97( The Variable
Nutritional status have value 4.97
more risk get Anemia among
pregnant woman)
Disscusion:

The overall prevalence of anemia among pregnant women was 30.5% [95% CI 21.0, 40.0].
The result of multivariable analysis revealed that the likelihood of anemia was higher among pregnant women
1. living in rural areas [AOR = 3.03, 95% CI 1.17, 7.82],
2. had no latrine [AOR = 4.75, 95% CI 1.15, 16.60],
3. low monthly income: < 23 cm [AOR = 4.97; 95% CI 2.61, 9.43]
4. and did not prenatal take iron supplementation [AOR = 5.63; 95% 2.21, 14.32].