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ANEMIA

DALAM
KEHAMILAN
Kelompok 3
Mutiarani Ragil A.P
01 (201701027)
Nindiya Erly Agustina
02 (201701028)
Riko Priyandana
03 (201701029)
Riswanda Imawan
04 (201701030)

Sri Dewi Rahayu


05 (201701032)
Tiyan Ramanda Putri
06 (201701033)
Tria Nurfitasari
07 (201701034)
Wahyu Rizka Yolanda P.
08 (201701035)
Wahyu Wibowo
09 (201701036)
Wulan Septianingtiyas
10 (201701037)
Yoga Deris Prasetiya
11 (201701038)
Yola Oktarina
12 (201701039)
Zulfa Fadila Zahra
13 (201701040)
Selamat Menyaksikan!
Anemia dalam kehamilan ialah kondisi
ibu dengan kadar Hb < 11,00 gr%pada DEFINISI
trimester 1 dan III, atau kadar Hb < 10,50
gr % pada trimester II

Anemia pada kehamilan merupakan salah


satu masalah nasional karena
mencerminkan nilai kesejahteraan sosial
ekonomi masyarakat dan pengaruhnya
sangat besar terhadap kualitas sumber
daya manusia. Anemia pada ibu hamil
disebut “ Potensial dangerto mother and
child ” (potensial membahayakan ibu dan
anak).
KLASIFIKASI ANEMIA IBU HAMIL

Anemia Defisiensi Besi Anemia Hipoplastik


(62,3%) (8,0%)
terbentuk normositik dan disebabkan oleh
hipokromik banyak hipofungsi sumsum
dijumpai penyebabnya seperti tulang, membentuk sel-sel
anemia pada umumnya darah merah baru.
Anemia Megaloblastik Contents Title
Anemia Hemolitik
(29,0%) (0,7%)
berbentuk makrositik/
Contents Title
Disebabkan penghancuran /
pernisiosakarena,
pemecahan sel darah merah
penyebabnya karena
yang lebih cepat dari
kekurangan asam folik, jarang akibat
pembuatannya.
karena kekurangan vit B12.
MANIFEST
ASI KLINIS
Pucat, edema,
inflamasi pada bibir
01 Subjektif dan lidah
Keletihan, penurunan Objektif 02
toleransi terhadap aktivitas
fisik, anoreksia, kelemahan,
malaise, dispnea, gatal-
gatal.
PATOFISIOLOGI
Stadium 1 : Kehilangan zat besi melebihi ukuran,
menghabiskan cadangan dalam tubuh terutama
disumsum tulang.
Anemia adalah
suatu kondisi yang Stadium 2 : Cadangan zat besi yang
mengakibatkan berkurang tidak dapat memenuhi kebutuhan
membentuk sel darah merah yang
kekurangan zat
memproduksi lebih sedikit.
besi dan biasanya Stadium 3 : Mulai terjadi anemia kadar
terjadi secara hemoglobin dan haemotokrit menurun.
bertahap Stadium 4 : Sumsum tulang berusaha untuk
menggantikan kekurangan zat besi dengan
mempercepat pembelahan sel.
Stadium 5 : Semakin memburuknya kekurangan zat
besi dan anemia maka timbul gejala - gejala karena
anemia semakin memburuk
ETIOLOGI
Anemia Defisisensi Asam
folat (anemia
megaloblastik). Kebutuhan
asam folat meningkat
selama kehamilan akibat Asupan zat besi
multiplikasi sel yang cepat, yang tidak adekuat
peningkatan ekskresi asam adalah penyebab
folat dalam urine dan anemia pranatal
kebutuhan janin. palingumum.
Anemia yang disebabkan
Merokok , tinggal di tempat
genetik (mis., anemia sel
yang sangat tinggi, dan
sabit, talasemia) juga
kehamilan remaja semuanya
dapat timbul pada ibu
meningkatkan resiko
hamil.
perkembangan anemia
pranatal
FAKTOR YANG MEMPENGARUHI KEJADIAN
ANEMIA PADA IBU HAMIL
Umur Ibu
Pendidikan
faktor yang mempengaruhi status anemia
6 1 Wanita berumur kurang dari 20 tahun atau
lebihdari 35 tahun, mempunyai risiko yang
adalah tingkat pendidikan rendah. tinggi untuk hamil

Jarak kehamilan Paritas


ibu hamil dengan jarak dekat 5 2 Ibu hamil dengan paritas tinggi
beresiko terjadi anemia. Karena cadangan zat besi mempunyai resiko 1.454 kali lebih besar
berkurang untuk keperluan janin yang anemia di banding dengan paritas rendah.
dikandungnya.
Infeksi dan Penyakit Kurang Energi
Ibu yang sedang hamil sangat peka terhadap
4 3 Kronis(KEK)
Timbulnya masalah gizi pada ibu hamil,
infeksi dan penyakit menular. tidak terlepas dari keadaan sosial, ekonomi,
dan bio sosial dari ibu hamil
PENCEGAHAN ANEMIA PADA IBU HAMIL

b
Mengkonsumsi makanan yang
kaya akan vitamin C seperti
jeruk, tomat, mangga dan lain– a
lain yang dapat meningkatkan
Mengkonsumsi pangan
penyerapan zat besi.
lebih banyak dan beragam,
contoh sayuran warna
hijau, kacang – kacangan,
protein hewani, terutama
DIAGNOSA
KEPERAWATAN
Ketidakseimbangan nutrisi
kurang dari kebutuhan tubuh
Intoleransi aktivitas
berhubungan dengan Dx
berhubungan
ketidakmampuan untuk 4
dengan
ketidakseimbangan
mencerna makanan Dx
antara suplai dan 3
kebutuhan oksigen Dx Konstipasi
2 berhubungan
Dx Resiko infeksi berhubungan
dengan perubahan
1 dengan pertahanan tubuh
pada pola makan.
sekunder yang tidak adekuat
(mis: penurunan hemoglobin,
eukopenia, supresi/penurunan
respon inflamasi)
Thank You

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