The differences of hemoglobin levels in pregnant women patients before and after caesarean aection
Abstract
Caesarean section is a process to remove a fetus or baby through an incision in the abdominal wall and upper uterus because a normal birth process is not possible. The process by Caesarean section requires careful preparation because the result can be bleeding. One of the tests before and after Caesarean section is checking the hemoglobin level. The purpose of this study was to determine the differences in hemoglobin levels before and after Caesarean section. This research is a quantitative analysis. Sampling was conducted in April 2018 at RSIA Fauziah Tulungagung and hemoglobin levels were checked using the Cyanmehemoglobin method at the STIKes Hutama Abdi Husada Tulungagung Pathology Laboratory. The population of this study were all pregnant women who underwent a Caesarean section at RSIA Fauziah Tulungagung using a total sampling technique of 30 samples. The instrument used was a photometer, then the data was processed using SPSS 16 software and analyzed using the Paired T-Test technique. The results of research conducted on 30 samples of Caesarean section patients obtained an average hemoglobin level before Caesarean section 13.13 g / dl and an average hemoglobin level after Caesarean section 12.06 g / dl after the Paired T-Test was obtained. 0.002 <0.05. It can be concluded that there is a significant difference between the hemoglobin levels before and after Caesarean section. Bleeding during Caesarean section causes hemoglobin levels in pregnant women to decrease.
Downloads
References
2. Mulyawati I, Azam M, Ningrum DNA. Faktor Tindakan Persalinan Operasi Sectio Caesarea. J Kesehat Masy. 2011;7(1):14-21. doi:10.15294/kemas.v7i1.1788
3. Hapsari DI, Hendraningsih T. Determinants of Sectio Caesarea Actions in Maternity at Ade Muhammad Djoen Hospital, Sintang District. jumantik Univ Muhammadiyah Pontianak. Published online 2018.
4. Aritha D, Femina Sari U. Pengaruh Persalinan Terhadap Penurunan Kadar Hb Pada Ibu Bersalin di Rumah Sakit Umum Daerah Budhi Asih Jakarta Timur Tahun 2016. Maj Kesehat Pharmamedika. 2018;9(1):1-7. doi:10.33476/mkp.v9i1.669
5. Kumar Jain D. Comparison of automated method and photometric cyanmethemoglobin method for hemoglobin estimation. IP J Diagnostic Pathol Oncol. 2020;5(3):273-276. doi:10.18231/j.jdpo.2020.053
6. Frass KA. Postpartum hemorrhage is related to the hemoglobin levels at labor: Observational study. Alexandria J Med. 2015;51(4):333-337. doi:10.1016/j.ajme.2014.12.002
7. E.M. F, J.M.D. T, N.H. A, K.M. G, L.M. M. Maternal obesity and postpartum haemorrhage after vaginal and caesarean delivery among nulliparous women at term: a retrospective cohort study. BMC Pregnancy Childbirth. 2012;12:1-8. http://www.embase.com/search/results?subaction=viewrecord&from=export&id=L52267993%5Cnhttp://www.biomedcentral.com/1471-2393/12/112%5Cnhttp://dx.doi.org/10.1186/1471-2393-12-112
8. Park JY, Lee SW. A history of repetitive cesarean section is a risk factor of anemia in healthy perimenopausal women: The Korea National Health and Nutrition Examination Survey 2010-2012. PLoS One. 2017;12(11):1-11. doi:10.1371/journal.pone.0188903
9. Rahmawati R, Ayulia D, Arsyad M. The Level Comparison of Hemoglobin Before and After Sectio Caesarea (SC) of Pregnant Mother in Dr. H. Moch. Ansari Saeh Hospital Banjarmasin March-April 2015. ERGASTERIO. 2016;Vol. 3(No 1). http://jurnal.stikesborneolestari.ac.id/index.php/analisborles/article/view/24
10. Zubaidi Z, Susilawati S. Perbandingan Hasil Pemeriksaan Hemoglobin Pada Ibu Hamil Dengan Beberapa Metode. MIKIA Mimb Ilm Kesehat Ibu dan Anak (Maternal Neonatal Heal Journal). 2018;2(1):39-43. doi:10.36696/mikia.v2i1.40
11. Puspitasari P, Aliviameita A, Rinata E, Yasmin RAY, Saidah SN. Perbedaan Hasil Pemeriksaan Hemoglobin Antara Metode Point of Care Testing Dengan Metode Sianmethemoglobin Pada Ibu Hamil. J Anal Kesehat. 2020;9(1):24. doi:10.26630/jak.v9i1.2113
12. Anggraeni ID, Wulan WS, Nugraha G. The Difference of Hemoglobin Examination Results in Normal and Hemolysis Samples Using Cyanmethemoglobin Methods. SIHC. 2019;1(1):1-6. https://conferences.unusa.ac.id/index.php/SIHC19/article/view/550
13. Hidayatussalihin H, Nurhayati E, Suwandi E. Perbedaan Presisi Pemipetan Sampel Menggunakan Pipet Sahli dan Mikropipet pada Pemeriksaan Hemoglobin Metode Cyanmethemoglobin. J Lab Khatulistiwa. 2019;2(1):21. doi:10.30602/jlk.v2i1.322
14. Ayunawati IK, Rosyidah I, Umaysaroh. HASIL PEMERIKSAAN LED METODE WESTERGREN ANTARA ANTIKOAGULAN EDTA DAN NATRIUM SITRAT 3,8%. J Insa Cendekia. 2017;6(1):34-70.
15. Arnaud F, Higgins A, McCarron R, Moon-Massat PF. Determination of methemoglobin and hemoglobin levels in small volume samples. Artif Cells, Nanomedicine Biotechnol. 2017;45(1):58-62. doi:10.3109/21691401.2016.1138490
16. Utami PR, Fuad K. Gambaran Kadar Hemoglobin Pada Penderita Diabetes Melitus Komplikasi Ginjal. J Kesehat PERINTIS (Perintis’s Heal Journal). 2018;5(1):99-105. doi:10.33653/jkp.v5i1.103
17. Sepriadi, Eldawati. The Contribution of Hemoglobin Levels to Students’ Physical Fitness. J Phys Educ Sport Heal Recreat. 2019;8(2):82-90.
18. R ADS, Rismayanthi C. PROFIL TINGKAT VOLUME OKSIGEN MASKIMAL (VO2 MAX) DAN KADAR HEMOGLOBIN (HB) PADA ATLET YONGMOODO AKADEMI MILITER MAGELANG. J Olahraga Prestasi. 2016;12(2):19-30. doi:https://doi.org/10.21831/jorpres.v12i2.11874
19. Zhang X, He Y, Xie X, Ji M, Ma X, Yu Z. Distribution of hemoglobin and prevalence of anemia in 10 ethnic minorities in China: A population-based, cross-sectional study. Med (United States). 2017;96(50). doi:10.1097/MD.0000000000009286
20. Anamisa DR. Rancang Bangun Metode OTSU Untuk Deteksi Hemoglobin. J Ilmu Komput dan Sains Terap. 2015;5(2):106-110. doi:10.31598/sacies.v5i2.64
21. Safithri SF, Kania N, Diana A, Padjadjaran MU, Padjadjaran U. Correlation between Maternal Hemoglobin Level and Birth Weight. akthea Med J. 2019;6(2):91-94. doi:https://doi.org/10.15850/amj.v6n2.1637
22. Khan FA, Khan M, Ali A, Chohan U. Estimation of blood loss during Caesarean Section : an audit. JPMA. 2006;56(12):572-575. https://jpma.org.pk/article-details/953
Copyright (c) 2020 The Author
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution-ShareAlike 4.0 International License that allows others to share the work with an acknowledgment of the work's authorship and initial publication in this journal.
