Case Report Intervensi Anemia pada Ibu Hamil dengan Kepatuhan Rendah Konsumsi Tablet FE di Puskesmas Kapas Kabupaten Bojonegoro

Abstract

Anemia is defined by a hemoglobin level below the normal threshold, resulting in suboptimal oxygen delivery to body tissues. During gestation, anemia is diagnosed when the hemoglobin level is below 11 g/dL in the first and third trimesters or below 10.5 g/dL in the second trimester. The high prevalence of anemia remains a concern, with irregular iron tablet (Fe) intake due to nausea as one of the contributing factors. The 2023 Indonesian Health Survey reported a national prevalence of 27.7%, while data from 2024 showed prevalence rates of 6.8% in East Java and 6.88% in Bojonegoro. This study aimed to develop midwifery care management for Mrs. N (G1P0A0) at 30–31 weeks of gestation with moderate anemia.using a case study method based on the SOAP (Subjective, Objective, Assessment, and Planning) approach. Care was carried out through three visits from March to May 2026 at the Kapas Health Center. Results and Discussion The mother complained of nausea when taking Fe tablets, dizziness, and fatigue easily. Objective examination showed that the conjunctiva, face, mucosa, and nails appeared pale with an Hb level of 9.3 g/dl, so that the diagnosis of moderate anemia was established. Management efforts are carried out through regular Hb level checks, the administration of Fe tablets, and nutritional education assistance for pregnant women. Proper SOAP based Documentation Conclusions and Suggestions facilitate monitoring of maternal and fetal health and support comprehensive case management. This care also increases maternal awareness of the importance of consuming Fe tablets and a nutritious diet, which is key in preventing childbirth complications.

Keywords: Anemia, pregnant women, iron tablet consumption, compliance, midwifery care.

Abstrak

Anemia ditetapkan berdasarkan ketika kadar hemoglobin tidak mencapai batas normal sehingga pengangkutan oksigen ke jaringan tubuh menjadi tidak optimal. Pada masa gestasi, kondisi ini didiagnosis jika kadar hemoglobin kurang dari 11 g/dl (pada trimester I dan III) atau kurang dari 10,5 g/dl (pada trimester II). Tingginya angka anemia, yang salah satunya dipicu oleh ketidakteraturan mengonsumsi tablet Fe akibat efek samping mual, masih menjadi perhatian, Survei Kesehatan Indonesia 2023 mencatat prevalensi nasional sebesar 27,7%, sementara data tahun 2024 menunjukkan angka 6,8% di Jawa Timur dan 6,88% di Bojonegoro. Penelitian ini bertujuan untuk menyusun manajemen asuhan kebidanan pada Ny. N (GIP0A0, kehamilan 30–31 minggu) yang mengalami anemia sedang. Penelitian ini menggunakan metode studi kasus berbasis pendekatan SOAP (Subjektif, Objektif, Assessment, dan Planning). Asuhan dilakukan melalui tiga kali kunjungan pada bulan Maret hingga Mei 2026 di Puskesmas Kapas. Sesuai hasil pembahasan ibu mengeluh mual saat minum tablet Fe, pusing, dan mudah lelah. Pemeriksaan objektif menunjukkan konjungtiva, muka, mukosa, serta kuku tampak pucat dengan kadar Hb 9,3 g/dl sehingga ditegakkan diagnosis anemia sedang. Upaya penatalaksanaan dilakukan melalui pemeriksaan kadar Hb secara berkala, pemberian tablet Fe, dan pendampingan edukasi gizi bagi ibu hamil. Pendokumentasian berbasis SOAP yang tepat mempermudah pemantauan kesehatan ibu dan janin serta mendukung manajemen kasus yang komprehensif. Asuhan ini sekaligus meningkatkan kesadaran ibu terkait kepatuhan dalam mengonsumsi tablet Fe serta penerapan pola makan bergizi seimbang, tergolong sebagai kunci dalam proteksi komplikasi persalinan.

Kata Kunci: Anemia, ibu hamil, konsumsi tablet Fe, kepatuhan, asuhan kebidanan.