Effect of new Maternal and Child Health Book on Iron Supplementation Obedience and Labour Outcome in Pregnant Women, Pringsewu District, Lampung Province, Indonesia

Apri Sulistianingsih; Ni Gusti Pramita Aswitami; Nurwinda Saputri; Baiq Iin Rumintang; Siti Halimatusyaadiah; Lina Sundayani; Yeti Septiasari; Nur Amsiah

doi:10.25159/2520-5293/12897

Authors

Apri Sulistianingsih University of Muhammadiyah https://orcid.org/0000-0002-7015-3008
Ni Gusti Pramita Aswitami Bina Usada Health Science https://orcid.org/0000-0002-2642-1490
Nurwinda Saputri University of Muhammadiyah https://orcid.org/0000-0003-1931-3990
Baiq Iin Rumintang Poltekkes Kemenkes Mataram https://orcid.org/0000-0001-8801-3444
Siti Halimatusyaadiah Poltekkes Kemenkes Mataram https://orcid.org/0000-0003-1699-7290
Lina Sundayani Poltekkes Kemenkes Mataram
Yeti Septiasari University of Muhammadiyah https://orcid.org/0000-0002-7097-5589
Nur Amsiah University of Muhammadiyah https://orcid.org/0000-0002-9618-0434

DOI:

https://doi.org/10.25159/2520-5293/12897

Keywords:

iron supplementation, labour, maternal health, pregnancy

Abstract

The 2020 edition of the Maternal and Child Health (MCH) book can facilitate pregnant women in monitoring supplementation obedience and labour outcome. There are still few studies that discuss the effectiveness of the MCH book with regard to labour outcomes. This study aimed to determine the effectiveness of the new edition MCH book on obedience to iron supplementation and labour outcomes. The study used a quasi-experimental, non-equivalent control group design. The subjects were pregnant women in the second trimester until labour. The sample of this study comprised 60 people in the intervention group and 61 people in the control group. Research analysis was done using T-test and chi-square tests. The results showed that supplementation obedience increased haemoglobin levels, affected duration of labour in the first and second stages and the amount of blood loss during labour, and the APGAR scores were significantly different in the two groups (p-value >0.05). However, the intake of protein and iron-rich food, placental membrane integrity, duration of the third stage of labour, uterine contractions, APGAR score in the first five minutes, and birth weight did not show a significant difference in the two groups (p-value >0.05). The study concluded that the self-monitoring sheet for iron supplementation in the MCH book could improve obedience and haemoglobin, and thus improve labour outcomes, but it does not increase maternal food intake.

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References

Abu-Ouf, Noran M., and Mohammed M. Jan. 2015. “The Impact of Maternal Iron Deficiency and Iron Deficiency Anaemia on Child’s Health.” Saudi Med J 36 (2): 146–49. https://doi.org/10.15537/smj.2015.2.10289.

Aditya, Martanty, Chresiani Destianita, and Yeni Rahmawati. 2021. “The Effect of Blood Supplementation Tablet Consumption on the Delivery Process and Haemoglobin Levels in Pregnant Women.” In National Semonar University Od Ma Chung, 30–37. https://doi.org/10.33479/snumc.v1i.216.

Astari, Ruri Yuni, and Tita Kirani. 2020. “Relationship of Knowledge Level with the Utilization of Maternal and Child Health (MCH) Books in Pregnant Women.” Jurnal Riset Kesehatan Poltekkes Depkes Bandung 12 (2). https://doi.org/10.34011/juriskesbdg.v12i2.1786.

Barbieri, P., L. C. Crivellenti, R. Y. Nishimura, and D. S. Sartorelli. 2015. “Validation of a Food Frequency Questionnaire to Assess Food Group Intake by Pregnant Women.” Journal of Human Nutrition an Dietetic 28 (suppl1): 38–44. https://doi.org/10.1111/jhn.12224.

Batlibangkes. 2019. “Basic Health Survey Report of Lampung Province 2018.” Jakarta.

Bhutta, Zulfi A., Jai K. Das, Arjumand Rizvi, Michelle F. Gaff, Neff Walker, Susan Horton, Patrick Webb, Anna Lartey, and Robert E. Black. 2013. “Maternal and Child Nutrition, two Evidence-based Interventions for Improvement of Maternal and Child Nutrition: What Can Be Done and at What Cost ?” 382. https://doi.org/10.1016/S0140-6736(13)60996-4.

Bothwell, Thomas H. 2000. “Iron Requirements in Pregnancy and Strategies to Meet them.” American Journal of Clinical Nutrition 72 (1 Suppl.). https://doi.org/10.1093/ajcn/72.1.257s.

Brannon, Patsy M., and Christine L. Taylor. 2017. “Iron Supplementation during Pregnancy and Infancy: Uncertainties and Implications for Research and Policy.” Nutrients 9 (12): 1–17. https://doi.org/10.3390/nu9121327.

Chakona, Gamuchirai, and Charlie Shackleton. 2019. “Food Taboos and Cultural Beliefs Influence Food Choice and Dietary Preferences among Pregnant Women.” Nutrients 11: 1–18. https://doi.org/doi:10.3390/nu11112668.

Detlefs, Sarah E., Michael D. Jochum, Bahram Salmanian, Jennifer R. Mckinney, and Kjersti M. Aagaard. 2022. “The Impact of Response to Iron Therapy on Maternal and Neonatal Outcomes among Pregnant Women with Anaemia.” American Journal of Obstetrics and Gynecology MFM 4 (2): 100569. https://doi.org/10.1016/j.ajogmf.2022.100569.

Dibley, Michael J., Christiana R. Titaley, Catherine Este, and Kingsley Agho. 2012. “Iron and Folic Acid Supplements in Pregnancy Improve Child Survival.” Introduction, The American Journal of Clinical Nutrition 95: 220–30. https://doi.org/10.3945/ajcn.111.022699.

Drukker, Lior, Yael Hants, Rivka Farkash, Rosa Ruchlemer, Arnon Samueloff, and Sorina Grisaru-granovsky. 2015. “Iron Deficiency Anaemia at Admission for Labour and Delivery Is Associated with an Increased Risk for Cesarean Section and Adverse Maternal and Neonatal Outcomes Lior.” Blood Management; Transfusion 55 (December): 2799–2806. https://doi.org/10.1111/trf.13252.

Erawati, Ambar Dwi, Novita Alfiani, and Dewi Kurniasih. 2020. “Knowledge of Pregnant Women about Maternal and Child Health Books.” Jurnal Ilmiah Kesehatan 19 (2): 50–54. https://doi.org/10.33221/jikes.v19i02.474.

Ferrari, Renée M., Anna Maria Siega-Riz, Kelly R. Evenson, and Kathryn S. Carrier. 2014. “A Qualitative Study of Women’s Perceptions of Provider Advice about Diet and Physical Activity during Pregnancy.” NIH Public Access 91 (3): 372–77. https://doi.org/10.1016/j.pec.2013.01.011.

Fouelifack, Florent Ymele, Julius Dohbit Sama, and Charles Enome Sone. 2019. “Assessment of Adherence to Iron Supplementation among Pregnant Women in the Yaounde Gynaeco-Obstetric and Paediatric Hospital.” Pan African Medical Journal 8688: 1–8. https://doi.org/10.11604/pamj.2019.34.211.16446.

Gebremedhin, Samson, Aregash Samuel, Girma Mamo, Tibebu Moges, and Tsehai Assefa. 2014. “Coverage, Compliance and Factors Associated with Utilization of Iron Supplementation during Pregnancy in Eight Rural Districts of Ethiopia : A Cross-sectional Study.” BMC Public Health 14 (607): 1–8. http://www.biomedcentral.com/1471-2458/14/607%0APage. https://doi.org/10.1186/1471-2458-14-607.

Haider, Batool A., Ibironke Olofin, and Molin Wang. 2013. “Anaemia, Prenatal Iron Use, and Risk of Adverse Pregnancy Outcomes: Systematic Review.” British Journal of Sports Medicine 3443 (June): 1–19. https://doi.org/10.1136/bmj.f3443.

Health Office of Lampung . 2021. “Lampung Province Health Profile Tahun 2020.” Lampung.

Jwa, Seung Chik, Takeo Fujiwara, Yuji Yamanobe, Kazuto Kozuka, and Haruhiko Sago. 2015. “Changes in Maternal Haemoglobin during Pregnancy and Birth Outcomes.” BMC Pregnancy and Childbirth 15 (80): 1–10. https://doi.org/10.1186/s12884-015-0516-1.

Kalaivani, K. 2009. “Prevalence and Consequences of Anaemia in Pregnancy.” Indian Journal of Medical Research 130 (5): 627–33. https://doi.org/10.17511/ijmrr.2014.i04.05.

Khalafallah, Alhossain A., and Amanda E. Dennis. 2012. “Iron Deficiency Anaemia in Pregnancy and Postpartum: Pathophysiology and Effect of Oral versus Intravenous Iron Therapy.” Hindawi Publishing Corporation Journal of Pregnancy. https://doi.org/10.1155/2012/630519.

Khambalia, Amina Z., Deborah L. O’Connor, Colin Macarthur, Annie Dupuis, and Stanley H. Zlotkin. 2009. “Periconceptional Iron Supplementation Does not Reduce Anaemia or Improve Iron Status among Pregnant Women in Rural Bangladesh,” 1–4. Introduction American Journal of Clinical Nutrition, 6. https://doi.org/10.3945/ajcn.2009.28350.

Khumairah, Desfirani. 2020. “Review of Literature Review of the Utilization of Maternal and Child Health (MCH) Book by Pregnant Women.” Univeristy of Aisyiyah Yogyakarta.

Melku, Mulugeta, Zelalem Addis, Meseret Alem, and Bamlaku Enawgaw. 2014. “Prevalence and Predictors of Maternal Anaemia during Pregnancy in Gondar, Northwest Ethiopia: An Institutional Based Cross-Sectional Study.” Anaemia. https://doi.org/10.1155/2014/108593.

Ministry of Health of the Republic of Indonesia. 2003. “Maternal and Child Health Handbook.” Jakarta.

Ministry of Health of the Republic of Indonesia. 2004. “Ministerial Decree on Maternal and Child Health Handbook No. 284. Menkes/SK/III/2004.” Jakarta.

Ministry of Health of the Republic of Indonesia. 2013. “Basic Health Research.” Jakarta.

Ministry of Health of the Republic of Indonesia. 2015.“Guidelines for Administration of Blood Supplementary Tablets.” Jakarta.

Ministry of Health of the Republic of Indonesia. 2017. “Indonesian Health Demographic Survey.” Jakarta.

Ministry of Health of the Republic of Indonesia. 2018. “Basic Health Research .” Jakarta.

Ministry of Health of the Republic of Indonesia. 2020. “ MCH Handbook (Maternal and Child Health).” Jakarta.

Ministry of Health of the Republic of Indonesia. 2021. “ Indonesian Health Profile 2020.” Jakarta.

Nahrisah, Putri, Ratana Somrongthong, Napaphan Viriyautsahakul, Pramon Viwattanakulvanid, and Samlee Plianbangchang. 2020. “Effect of Integrated Pictorial Handbook Education and Counseling on Improving Anaemia Status, Knowledge, Food Intake, and Iron Tablet Compliance among Anemic Pregnant Women in Indonesia: A Quasi-Experimental Study.” Journal of Multidisciplinary Healthcare 2020 (12): 43–52. https://doi.org/10.2147/JMDH.S213550.

Nurdin, Mona, and Evawany Yunita Aritonang. 2019. “Obedience of Pregnant Women in Taking Fe Tablets at the Midwifery Clinic of Mitra Medika Medan Hospital.” Jurnal Prima Medika Sains 1 (1): 57–63.

Peng, Zhicheng, Shuting Si, Haoyue Cheng, Yan Zhuang, Hui Liu, and Yunxian Yu. 2022. “The Associations of Maternal Haemoglobin Concentration in Different Time Points and its Changes during Pregnancy with Birth Weight Outcomes.” Nutrients 14 (2542): 1–16. https://doi.org/10.3390/nu14122542.

Pinho-Pompeu, Maira, Fernanda Garanhani Surita, Danilo A Pastore, Daiane Sofia Moraes Paulino, João Luiz Pinto e Silva, and To. 2016. “Anaemia in Pregnant Adolescents: Impact of Treatment on Perinatal Outcomes.” The Journal of Maternal-fetal and Neonatal Medicine 7058 (July): 1–17. https://doi.org/10.1080/14767058.2016.1205032.

Plećaš, Draga, Snežana Plešinac, and Olivera Kontić Vučinić. 2014. “Nutrition in Pregnancy: Basic Principles and Recommendations.” Srp Arh Celok Lek 142 (1): 125–30. https://doi.org/10.2298/SARH1402125P.

Ritno, Pamingki, Yuniastini, and Titi Astuti. 2016. “Factors Associated with Prolonged Parturition.” Jurnal Keperawatan XII (1), Stikes Aisyah Pringsewu 13 (1): 156–60.

Rumintang, Baiq Iin, Lina Sundayani, and Siti Halimatusyaadiah. 2019. “Application of the Iec Model With the Back Sheet and the Independent Monitoring Card Sticker to Compliance with the Consumption of Added Blood Tablets (Ttd) in Anaemia Pregnant Women in Mataram City Health Center in 2016.” Widya Karya 13 (12): 1839–46.

Rumintang, Baiq Iin, Siti Halimatusyaadiah, Lina Sundayani, and Apri Sulistianingsih. 2022. “Independent Anaemia Care Monitoring Card Improves Iron Tablets Compliance and Haemoglobin.” Jurnal Aisyah: Jurnal Ilmu Kesehatan 7 (1): 201–14. https://doi.org/10.30604/jika.v7i1.892.

Sendeku, Fikadu Waltengus, Getnet Gedefaw Azeze, and Selamawit Lake Fenta. 2020. “Adherence to Iron-Folic Acid Supplementation among Pregnant Women in Ethiopia: A Systematic Review and Meta-analysis.” BMC Pregnancy and Childbirth, 1–9. https://doi.org/10.1186/s12884-020-2835-0.

Seu, Merry M. V., Johanes C. Mose, Ramdan Panigoro, and Edhyana Sahiratmadja. 2019. “Anaemia Prevalence after Iron Supplementation among Pregnant Women in Midwives Practice of Primary Health Care Facilities in Eastern Indonesia.” Hindawi; Anaemia, 1–9. https://doi.org/10.1155/2019/1413906.

Skolmowska, Dominika, Dominika˛abska, Aleksandra Kołota, and Dominika Guzek. 2022. “Effectiveness of Dietary Interventions to Treat Iron-deficiency Anaemia in Women: A Systematic Review of Randomized.” Nutrients 14 (2724): 1–17. https://doi.org/10.3390/nu14132724.

Smith, Catherine, Flora Teng, K. S. Joseph, and Emma Branch. 2019. “Maternal and Perinatal Morbidity and Mortality Associated with Anaemia in Pregnancy.” Medical Complications of Pregnancy: Original Research 134 (6): 1234–44. https://doi.org/10.1097/AOG.0000000000003557.

Steer, Philip J. 135AD. “Maternal and Perinatal Morbidity and Mortality Associated with Anaemia in Pregnancy.” Obstetrics and Gynecology 3 (731). https://doi.org/10.1097/AOG.0000000000003737.

Sulistianingsih, Apri, and Dzul Istiqomah Hasyim. 2018. “Analysis of the Relationship between the Use of MCH Books and Knowledge of Pregnant Women about Maternal Health.” Caring Nursing Journal 2 (1): 55–62. https://doi.org/10.36474/caring.v2i1.32.

Sungkar, Ali, Saptawati Bardosono, Rima Irwinda, Nurul R. M. Manikam, Rini Sekartini, Bernie E. Medise, Sri S. Nasar, et al. 2022. “A Life Course Approach to the Prevention of Iron Deficiency Anaemia in Indonesia,” 1–8. https://doi.org/10.3390/nu14020277.

Triharini, Mira, Agus Sulistyono, and Merryana Adriani. 2018. “Adherence to Iron Supplementation amongst Pregnant Mothers in Surabaya, Indonesia: Perceived Benefits, Barriers and Family Support.” International Journal of Nursing Sciences 5 (3): 243–48. https://doi.org/10.1016/j.ijnss.2018.07.002.

Wardani, Psiari Kusuma. 2017. “Factors Affecting the Occurrence of Postpartum Bleeding.” Aisyah: Jurnal Ilmu Kesehatan 2 (1): 51–60. https://doi.org/10.30604/jika.v2i1.32.

Yuksel, Hilal, Yasemin Cayir, Zahide Kosan, and Kenan Tastan. 2017. “Effectiveness of Breathing Exercises during the Second Stage of Labour on Labour Pain and Duration: A Randomized Controlled Trial.” Journal of Integrative Medicine 15 (6): 456–61. https://doi.org/10.1016/S2095-4964(17)60368-6.