Perpustakaan Terpadu

Proses kehamilan mengakibatkan beberapa perubahan. Salah satunya adalah perubahan sistem kardiovaskuler dan sistem hematologi yang berlangsung sejak trimester I dan puncaknya terjadi pada awal trimester III. Kadar hemoglobin yang rendah dalam kehamilan dapat menyebabkan beberapa komplikasi terhadap proses kehamilan maupun pesalinan begitupun apabila kadar hemoglobin terlalu tinggi. Studi literatur ini bertujuan untuk melihat adakah perbedaan kadar hemoglobin ibu hamil pada trimester I dengan trimester III. Metode yang digunakan adalah studi literatur dengan data skunder bersumber dari 3 database yaitu Pubmed, Google schoolar, serta DOAJ dari tahun 2015-2020 dengan kata kunci “kadar hemoglobin dalam kehamilan” dan “hemoglobin difference in pregnancy first trimester and third trimester”. Penelusuran jurnal didapatkan 7 jurnal nasional dan 7 jurnal internasional 6 jurnal menyatakan terjadinya perubahan kadar hemoglobin ibu hamil trimester I dengan trimester III disebabkan perubahan kadar heoglobin berhubungan dengan perubahan sistem hematologi dan kardiovaskuler. 2 jurnal menyatakan perubahan kadar hemoglobin diperngaruhi oleh status ekonomi dan 3 jurnal menyatakan bahwa pola kosumsi tablet fe mempengaruhi perubahan kadar hemoglobin dalam kehamilan. 3 jurnal menyatakan bahwa kadar Hb <11 g/dl pada kehamilan trimester 1 atau 3 dapat meningkatkan resiko terjadinya persalinan prematur, Persalinan bayi dengan BBRL dan perdarahan saat persalinan, salah satu dari ketiga jurnal tersebut menyatakan bahwa kadar Hb > 14gr/dl dapat menyebabkan resiko yang persalinan prematur dan bayi lahir mati. Adanya perubahan tersebut maka perlu dilakukan pemantauan sesuai peraturan yang telah di tetapkan oleh pemerintah yaitu 2x pada trimester I dan trimester III guna mencegah terjadinya resiko Kata Kunci: Kadar hemoglobin, kehamilan

During pregnancy there are several physiological and psychological changes including cardiovascular and hematological. The changes began from first trimester and the peak occurs at third trimester which affects consentration of hemoglobin. This study to evaluate the different consentration of hemoglobin difference in pregnancy first trimester and third trimester. Search on Pudmed, Google schoolar, and DOAJ from May to April 2020 with keywords: “kadar hemoglobin dalam kehamilan” and “hemoglobin difference in pregnancy first trimester and third trimester”. From 185 studies, we made screening test based on inclusion and exclution criteria and use 14 studies that suprot the theme. Six studies report about there are difference consentration of hemoglobin at first and third trimester. Two studies report that a significant changes in the haematological parameters at different trimesters of pregnancy in pregnant women. About 8 studies ,1 of then report that Age and number of chldren are affect of changes consentration of hemoglobin, 3 of them report that BMI (bosy mass index) not affect of changes the consentraton of hemoglobin, 3 from 8 studies reprort that report that how to consume Fe suplemment can effect the concentration of hemoglobin. 3 studies report that women with Hb, 11 g/dl or >14g/dl during first trimester or third trimester had increased risk of preterm birth, very low birthweight and a composite outcomes of transfer to higher care or stillbirth compared with those at 12–12,9 g/dL. Based on changes of hematological furing pregnancy and risk of low and hight hemoglobin, monitoring is need to be implemented by following standard that have been declared by goverment, , monitoring is important for preventing dengerous risk on both mother and her fetus. Furthermore, this research could become foundation for future research on hemoglobin concentration during pregnancy. Keyword:Consenration Hemoglobin, pregnancy