Effectiveness of Nutrition Booklet to Improve Participation in The Management of Anemia in Cesarean Mothers

Ida Mardalena, Sutejo Sutejo, Eko Suryani

Abstract


Background: Severe postpartum anemia after cesarean is strongly associated with predelivery and postpartum Hb levels in maternal. The adverse effects of anemia impact health and economic development. WHO estimates that 12.8% of maternal deaths in Asia can be attributed to anemia.

Objective: This study aims to identify the effect of the anemia booklet on the perception, participation, and hemoglobin level of cesarean mothers in the management of anemia.

Method:  This quasi-experiment with the pre-posttest without control groups design was conducted to measure the effectiveness of education using a nutrition booklet on the level of Haemoglobin and perception variable. 30 respondents were involved, and the data analysis was carried out using a Statistical test using paired t-test with a CI of 95%.

Result: The relationship between Hb before and after giving the booklet was revealed with a correlation coefficient of 0.333 and a significance of 0.84 (p-value > 0.05). Perceptions before and after understanding the booklet obtained p-value = 0.000 <0.05. Management before and after giving the booklet obtained p-value = 0.005 <0.05. The interviews found that after receiving information, mothers' perceptions improved regarding understanding anemia, recognizing signs and symptoms, preventing anemia, consuming protein, consuming drinks, and good nutrition for anemia management. After giving anemia management communication through booklets, there was an increase in the mother's participation in consuming snacks, drinking after mealtime, and improving personal and environmental hygiene.

Conclusion: Education through booklets affected maternal perceptions and management actions in preventing anemia but did not affect hemoglobin (Hb). It could also increase mothers' perception and participation in consuming snacks, drinking after mealtimes, and personal and environmental hygiene. Furthermore, nurses could use booklets as a medium of counseling.


Keywords


Anemia; Cesarean; Participatory; Booklet

Full Text:

PDF

References


Agrawal, S., Singh, A. (2016). Obesity or Underweight-What is Worse in Pregnancy? J Obstet Gynaecol India. 66(6):448-452. https://doi.org/10.1007/s13224-015-0735-4

Amini, A., Pamungkas, C. E., & Harahap, A. P. (2018). Usia Ibu Dan Paritas Sebagai Faktor Risiko Yang Mempengaruhi Kejadian Anemia Pada Ibu Hamil di Wilayah Kerja Puskesmas Ampenan. Midwifery Journal, 3(2). https://doi.org/10.31764/mj.v3i2.506

Azra, P. A., & Rosha, B. C. (2015). Factors Associated with Anemia Status of Pregnant Women in the Working Area of Air Cold Health Center, Koto Tengah District, Padang City. https://media.neliti.com/media/publications/107658-ID-faktor-faktor-yang-berhubungan-dengan-st.pdf

Awuah, R. B., Colecraft, E. K., Wilson, M. L., Adjorlolo L. K., Lambrecht, N. J., Nyantakyi-Frimpong, H., Jones, A. D. (2021). Perceptions and beliefs about anemia: A qualitative study in three agro-ecological regions of Ghana. Matern Child Nutr, 17(4): e13181. https://doi.org/10.1111/mcn.13181

Axelsson, D., Blomberg, M. (2017). Maternal obesity, obstetric interventions and post-partum anemia increase the risk of post-partum sepsis: a population-based cohort study based on Swedish medical health registers. Infect Dis (Lond), 49(10):765-771. https://doi.org/10.1080/23744235.2017.1341055

Bizuayew, H., Abebe, H., Mullu, G., Bewuket, L., Tsega, D., & Alemye, T. (2021). Post-cesarean section surgical site infection and associated factors in East Gojjam zone primary hospitals, Amhara region, North West Ethiopia, 2020. PLoS One, 16(12):e0261951. https://doi.org/10.1371/journal.pone.0261951

Bollag, L., Lim, G., Sultan, Pervez., Habib, A, S., Landau, R., Zakowski, M., Tiouririne, M., Bhambhani, S., & Carvalho, B. (2021). Society for Obstetric Anesthesia and Perinatology: Consensus Statement and Recommendations for Enhanced Recovery After Cesarean, Anesthesia & Analgesia. 132(5);1362-1377 https://doi.org/10.1213/ANE.0000000000005257

Butwick, A. J., Walsh, E. M., Kuzniewicz, M., Li, S. X., & Escobar, G. J. (2016). Patterns and predictors of severe postpartum anemia after Cesarean section. Transfusion, 57(1), 36–44. https://doi.org/10.1111/trf.13815

Chandrasekaran, N., De Souza, L. R., Urquia, M. L., Young, B., Mcleod, A., Windrim, R., & Berger, H. (2018). Is anemia an independent risk factor for postpartum depression in women who have a cesarean section? - A prospective observational study. BMC Pregnancy Childbirth. 18(1):400. https://doi.org/10.1186/s12884-018-2032-6

Chaparro, C. M., & Suchdev, P. S. (2019). Anemia epidemiology, pathophysiology, and etiology in low- and middle-income countries. Annals of the New York Academy of Sciences, 1450(1), 15–31. https://doi.org/10.1111/nyas.14092

Darmawati., Husna, C., Fitri, A., & Munira, D (2019). The Effectiveness Of High Protein Nutrient To The Post Sectio Caesarea Healing Process. Jurnal Medika Veterinaria, 13 (2), 192-199. https://doi.org/10.21157/j.med.vet..v13i2.14090

Daru, J., Zamora, J., Fernandez-Felix, Borja M. et al.(2018). Risk of maternal mortality in women with severe anemia during pregnancy and postpartum: a multilevel analysis.The Lancet Global Health, 6(5), 548-554.https://doi.org/10.1016/S2214-109X(18)30078-0

Fitri, A., Darmawati., Kiftia, M., Rizkia, M., & Syahbandi. (2020). The Relationship between Diet and Iron Deficiency Anemia in Post Partum Mothers in Dr. Zainoel Abidin Banda Aceh in 2019. JIKO (Jurnal Ilmiah Keperawatan Orthopedi), 4(2), 47-53. https://doi.org/10.46749/jiko.v4i2.40

Ferguson, M. T., & Dennis, A. T. (2018). Defining peri-operative anemia in pregnant women - challenging the status quo. Anaesthesia, 74(2), 237–245. https://doi.org/10.1111/anae.14468

Garrido, C. M., León, J., & Vidal, A. R. (2017). Maternal anemia after delivery: prevalence and risk factors. J Obstet Gynaecol, 38(1), 55–59. https://doi.org/10.1080/01443615.2017.1328669

Gelaw, M, W., Abdella, A. (2018). Prevalence Of Surgical Site Infection And Associated Factors Among Mothers After Cesarean Delivery In Zewditu Memorial Hospital. Ethiopian Journal of Reproductive Health, 10 (4): 21-32

Latef, A, A, A, E., Ghonemy, G, E., Ghany, R, M, A, E., & Ibrahim, M. (2019). Factors Influencing Iron Treatment among Anemic Pregnant Women. Saudi Journal of Nursing and Health Care, 2(10): 347-352, https://doi.org/10.36348/SJNHC.2019.v02i10.003

Mremi, A., Rwenyagila, D., Mlay, J. (2022) Prevalence of post-partum anemia and associated factors among women attending public primary health care facilities: An institutional-based cross-sectional study. PLoS ONE, 17(2): e0263501. https://doi.org/10.1371/journal.pone.0263501

Nisha, M. K., Raynes-Greenow, C., Rahman, A., & Alam, A. (2019). Perceptions and practices related to birth weight in rural Bangladesh: Implications for neonatal health programs in low- and middle-income settings. PLoS One, 14(12). https://doi.org/10.1371/journal.pone.0221691

Obando, F. L. L., Moran, R., Medrano, K. (2021). Factors associated with anemia in post-cesarean with and without COVID-19 at the Hospital Nacional Alberto Sabogal Sologuren. Anales de la Facultad de Medicina, 82(4), https://doi.org/10.15381/anales.v82i4.21077

Sivahikyako, S .A., Owaraganise, A., Tibaijuka, L., Agaba, D. C., Kayondo, M., Ngonzi, J., Mugisha, J., & Kanyesigye, H. (2021). Prevalence and factors associated with severe anemia post-cesarean section at a tertiary Hospital in Southwestern Uganda. BMC Pregnancy Childbirth 21, 674 (2021). https://doi.org/10.1186/s12884-021-04157-x

Sumarna., Nursanti, I., & Mawarti, R. (2016). Description of Anemia Incidence in Postpartum Mothers at PanembahanSenopati Hospital, Bantul. Essay.

Sunuwar, D. R., Singh, D. R., Chaudhary, N. K., Pradhan, P., Rai, P., & Tiwari, K. (2020). Prevalence and factors associated with anemia among women of reproductive age in seven South and Southeast Asian countries: Evidence from nationally representative surveys. PloS one, 15(8), e0236449. https://doi.org/10.1371/journal.pone.0236449

The World Bank. 2022. Prevalence of anemia among pregnant women (%) – Indonesia. https://data.worldbank.org/indicator/SH.PRG.ANEM?locations=ID Accessed: 18 February 2022

WHO. 2014. Global Nutrition Targets 2025: Anaemia Policy Brief. Geneva: WHOhttps://www.who.int/publications/i/item/WHO-NMH-NHD-14.4

WHO. (2015). Comprehensive Promotion and Prevention Program to Improve Health and Nutrition Status among Adolescence, Maternal, and Young Child Plans. Translation Indriastuti, Yustina A., Achadi, Endang L., and Latief, Dini. Promotive and Preventive Comprehensive Plan.

Zhao, A., Zhang, J., Wu, W., Wang, P., & Zhang, Y. (2019). Postpartum anemia is a neglected public health issue in China: a cross-sectional study. Asia Pac J Clin Nutr, 28(4):793-799. https://doi.org/10.6133/apjcn.201912_28(4).0016




DOI: https://doi.org/10.18196/ijnp.v6i1.13353

Refbacks

  • There are currently no refbacks.


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.

IJNP (Indonesian Journal of Nursing Practices) are indexed by:

        

Office:

School of Nursing, Faculty of Medicine and Health Science, Universitas Muhammadiyah Yogyakarta
Siti Walidah Building F3, 4th floor.
JL. Brawijaya, Tamantirto, Kasihan, Bantul, Yogyakarta 55183
Email: IJNP@umy.ac.id
Web: http://journal.umy.ac.id/index.php/ijnp

Creative Commons License
Indonesian Journal of Nursing Practice is licensed under an Attribution 4.0 International (CC BY 4.0) license.

View My Stats