The prevalence of anemia in pregnant women in the 10 priority villages for stunting control in Sumedang district, West Java: a community-based survey

Sudung Nainggolan, Forman E. Siagian


Background: Anemia in pregnant women possessed potential harm to mother and child. There were 48.9% of pregnant women suffering from anemia and 40% of women of childbearing age also suffer from anemia. Incidence of anemia among pregnant women is prominent health problems especially in developing countries such as Indonesia. The aim of the present study is to determine the prevalence of anemia among pregnant women in relation to infection of Soil-Transmitted Helminthes (STH) and Serum Iron deficiency in 10 priority villages for stunting control set by the government in Sumedang district, West Java.

Methods: This is a community-based survey. Hemoglobin concentration was obtained from finger prick blood test. Containers for stool specimens and anal swabs were given to each woman at the time of hemoglobin fingerpick blood test showed positive results for anemia. Data were analyzed using SPSS software.

Results: Out of 209 pregnant women examined we found 39 pregnant women (18.7%) suffering from anemia. Followed by serum iron analysis we found 23.3% of the total number of pregnant women with iron deficiency. On microscopic examination of fecal specimens and anal swabs we found no worm eggs or larvae in the specimens examined.

Conclusions: Hemoglobin examination found that there were 18.7% pregnant women with anemia and 23.3% suffering iron deficiency. Microscopic examination of fecal samples and anal swabs in pregnant women with anemia showed neither STH eggs nor larvae.


Pregnant women, Anemia status, Soil-transmitted helminthes, Serum iron, Stunting, Rural areas Sumedang

Full Text:



Anonim. Suplementasi zat besi. c2011. Available at 123456789/34941/4/Chapter20II.pdf Accessed 1 November 2018.

UNFPA Indonesia. Maternal Health, 2018. Available at maternal-health-6. Accessed 23 November 2018.

Kementerian Kesehatan RI. Hasil Utama Riskesdas, 2018. Badan Penelitian dan Pengembangan Kesehatan, 2018.

Nasution R. Hubungan Tingkat Pendidikan dan Status Ekonomi dengan Kejadian Anemia pada Ibu Hamil di Wilayah Kerja UPTDK Puskesmas Desa Baru. 2011.

Haburchak D. Ascariasis. Medscape. 2016. Available at /article/212510-overview. Accessed 3 November 2018

Parija SC, Chidambaram M, Mandal J. Epidemiology and clinical features of soil-transmitted helminthes. Available at 652059/. Accessed 2 November 2018.

Puwandari A, Lumy F, Polak F. Faktor-Faktor yang Berhubungan dengan Kejadian Anemia. Jurnal Bidan Indonesia. 2016;12(4):101-2.

Dimejesi IB, Umeora OU, Egwuatu VE. Prevalence and pattern of soil-transmitted helminthiasis among pregnant women in a tertiary health facility, Southeast Nigeria. African J Med Health Sci. 2014;13(1):56.

Astriana W. Kejadian Anemia pada Ibu Hamil di Tinjau dari Paritas dan Usia. J Aisya Ilmu Kesehatan. 2017;2(2):123-30.

WHO. Haemoglobin Concentrations for the Diagnosis of Anemia and Assessment of Severity. Vitamin and Mineral Nutrition Information System. Geneva, World Health Organization, 2011 (WHO/NMH/NHD/MNM/11/1). Available at /indicators/haemoglobin.pdf. Accessed 3 November 2018

Api O, Breyman C, Cetiner M, Demir C, Ecder T. Diagnosis and treatment of iron deficiency anemia during pregnancy and the postpartum period: iron deficiency anemia working group consensus report. Turk J Obstet Gynecol. 2015;12(3):173-81.

Samuels P. Hematologic complications of pregnancy. In: Gabbe SG, Niebyl JR, Simpson JL, et al, eds. Obstetrics Normal and Problem Pregnancies. 5th ed. Tennessee: Mosby Elsevier; 2007: 1050-1052.

Michelle J George KK, Mark DA. Enterobius vermicularis and Colitis in children. J Pediatr Gastroenterol. 2012;43(5):610-2.

Supali T, Margono SS, Nematoda Usus. In: Sudanto I, Ismid IS, Sjarifuddin PK, Sungkar S, eds. Buku Ajar Parasitologi Kedokteran Edisi Keempat. Jakarta: Fakultas Kedokteran Universitas Kristen Indonesia; 2013: 6-21.

Gupta A, Rathore AM, Manaktala U. Ascariasis presenting as acute abdomen during pregnancy and puerperium. South East Asian J Trop Med Public Health. 2013:44(2):150-3.

Reynolds SJ, Bollinger RC, Quinn TC. Parasitic diseases during pregnancy. the global library of women's medicine. Int Fed Gynecol Obstetr. 2008. Available at view/heading/parasitic-diseases-during-pregnancy /item/188. Accessed 3 November 2018

Sutkin G, Isada NB, Stewart M, Powell S. Hematologic complications. In: Evans A.T, Seigafuse S, Shaw R, eds. Manual of Obstetrics. 7th ed. Texas: Lippincott Williams and Wilkins, 2007: 328: 330-331.

Pernoll ML. Medical and Surgical Complications during Pregnancy: Hematologic disorders. In: Benson and Pernoll’s: Handbook of Obstetrics & Gynecology. 10th ed. New York: McGraw-Hill Medical Publishing Division; 2001: 435-438.

Weiner CP, Oh C. Coagulation and hematological disorders of pregnancy. In: Reece EA, Hobbins JC, Gant NF, eds. Clinical Obstetrics, the Fetus and Mother. 3rd ed. Massachusetts: Blackwell Publishing; 2007: 849-851.

Muthalib A. Kelainan Hematologik. Dalam: Wiknjosastro H, Saifuddin AB, Rachimhadhi T, eds. Ilmu Kebidanan. Edisi ke-empat. Jakarta: Yayasan Bina Pustaka Sarwono Prawirohardjo, 2011: 775-80.

Pitkin J, Peattie AB, Magowan BA. Anemia in pregnancy. In: Obstetrics and Gynaecology, an illustrated colour text. 1st ed. London: Churchill Livingstone; 2003: 32-33.

Tristiyanti WF. Faktor-faktor yang Mempengaruhi Anemia pada Ibu Hamil Status di Kecamatan Ciampea, Kabupaten Bogor, Jawa Barat. 2006.

Sinurat TS. Anemia dalam Kehamilan. c2012. Available at 123456789/21579/5/Chapter%20I.pdf. Accessed 2 November 2018.

Szymanski LM, Mumuney AA. Hematologic disorders of pregnancy. In: Fortner KB, Szymanski LM, Fox HE, eds. The Johns Hopkins: Manual of Gynecology and Obstetrics. 3rd ed. Maryland: Lippincott Williams and Wilkins; 2007: 216.

UNICEF dan Bappenas. Laporan Perkawinan Usia Anak. Available at Indonesia/id/Laporan_Perkawinan Usia Anak.pdf. Accessed 22 November 2018.

Koes I. Kesehatan Reproduksi. Bandung: Alfabeta; 2015.

PermataSari, D. 2013. Hubungan Status Gizi dengan Kejadian Anemia pada Ibu Hamil Trimester III DI BPS HJ, Sri Sulasmiati SST. Available at http/ejurnal/ Hsm/article/view/. Accessed 1 November 2018.

Mariza, Ana. Hubungan Pendidikan dan Sosial Ekonomi dengan Kejadian Anemia pada Ibu Hamil di BPS T Yohan Way Halim Bandar Lampung Yo 2015. J Kesehatan Holistik. 2016;10(1):5-8.

Tanto C, Liwang F, Hanifati S. 2014. Kapita Selekta Kedokteran I and II. Jakarta: Media Aesculapius; 2014.

Oktaviani O. Faktor Asupan Zat Besi dan Sosio Ekonomi dengan Kejadian Anemia pada Ibu Hamil. J Skala Kesehatan Politeknik Kesehatan Banjarmasin. 2018;9(1).

Singh R, Singh A, Gupta S, Singh H. Correlates of anemia in pregnant women. Indian J Community Health. 2015;27(3):351-5.

Fairley DH. Diseases in pregnancy. In: Lecture Notes Obstetrics and Gynaecology. 2nd ed. Oxford: Blackwell Publishing; 2004: 140-142.

Ruramayi R, Sohinee B, Michael F, Murphy R, Stanworth S. Maternal and neonatal outcomes of antenatal anemia in a Scottish population: a retrospective cohort study. AOGS. 2016;18(4):122-4.

Puwandari A, Lumy F, Polak F. Faktor-Faktor yang Berhubungan dengan Kejadian Anemia. Junal Bidan Indonesia Jul. 2016.;12(4):101-2.

Wijanti RE, Rahmaningtyas I, Widari D. Hubungan Pola Makan Ibu Hamil Trimester III dengan Kejadian Anemia. Dalam: Tunas-tunas Riset Kesehatan; 2012; 2.