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"Prevalensi stunting di Indonesia berada pada posisi 115 dari 151 negara di dunia pada tahun 2020. Secara nasional, Indonesia menunjukkan penurunan namun masih diperlukan penurunan untuk mencapai target di tahun 2024. Menurut hasil SSGI tahun 2021 prevalensi stunting di Provinsi Jawa Barat sebesar 24,5%. Berdasarkan Buku Profil Informasi Kesehatan Kabupaten Bogor 2019, prevalensi stunting di Puskesmas Ragajaya sebesar 41,98% lebih tinggi daripada prevalensi Kabupaten Bogor yaitu sebesar 19,08%. Ibu hamil merupakan salah satu kelompok sasaran dalam pencegahan stunting. Pencegahan stunting dapat dilakukan sejak 1000 Hari Pertama Kehidupan (HPK) yaitu dari masa kehamilan hingga usia 2 tahun. Stunting dapat terjadi akibat asupan nutrisi ibu hamil kurang. Theory of Planned Behavior (TPB) mencakup strategi untuk meningkatkan kepercayaan ibu terhadap kemampuannya dalam memenuhi kebutuhan nutrisi selama kehamilan. Perilaku pencegahan stunting dapat dipengaruhi berbagai faktor seperti sikap, norma subjektif, dan persepsi kontrol perilaku. Penelitian ini bertujuan untuk mengetahui hubungan sikap, norma subjektif, dan persepsi kontrol perilaku dengan perilaku pencegahan stunting pada ibu hamil di wilayah kerja Puskesmas Ragajaya. Desain penelitian ini cross-sectional. Sampel penelitian sebanyak 90 ibu hamil. Pengambilan data dilakukan pada bulan Desember 2022. Hasil penelitian menunjukkan bahwa sebanyak 65.5% ibu hamil memiliki perilaku pencegahan stunting yang baik. Hasil analisis bivariat menunjukkan sikap (p=0.004), norma subjektif (p=0.045), dan persepsi kontrol perilaku (p=0.001) berhubungan dengan perilaku ibu hamil dalam mencegah stunting. Saran bagi fasilitas kesehatan diharapkan memberikan pendidikan kesehatan secara rutin sebagai salah satu langkah preventif baik melalui pelayanan konsultasi kesehatan ibu hamil, berbagai platform media sosial, serta kegiatan – kegiatan diskusi terkait dengan kesehatan ibu hamil terutama mengenai gizi ibu hamil dalam pencegahan stunting.

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In 2020, the prevalence of stunting in Indonesia will be the 115th highest out of 151 countries in the world. Nationally, Indonesia is showing a decline, but a gradual decrease is still needed to reach the target in 2024. According to the results of SSGI in 2021, the prevalence of stunting in West Java Province is 24.5%. Based on the 2019 Bogor Regency Health Information Profile Book, the prevalence of stunting in the Ragajaya Health Center is 41.98%, which is higher than the Bogor Regency prevalence of 19.08%. Pregnant women are one of the target groups in stunting prevention. Stunting can be prevented from the first 1000 days of life (HPK), or from pregnancy to the age of two. Stunting can occur due to the insufficient nutritional intake of pregnant women. The Theory of Planned Behavior (TPB) includes strategies to increase the mother's confidence in her ability to meet nutritional needs during pregnancy. Stunting prevention behavior can be influenced by various factors, such as attitudes, subjective norms, and perceptions of behavior control. This study aims to determine the relationship between attitudes, subjective norms, and perceptions of behavior control with stunting prevention behavior in pregnant women in the working area of the Ragajaya Health Center. The research design is cross-sectional. The research sample consisted of 90 pregnant women. Data collection was carried out in December 2022. The results showed that 65.5% of pregnant women had good stunting prevention behavior. The results of the bivariate analysis showed that attitude (p = 0.004), subjective norm (p = 0.045), and perceived behavioral control (p = 0.001) were related to pregnant women's behavior in preventing stunting. Suggestions for health facilities are expected to provide routine health education as one of the preventive measures both through pregnant women's health consultation services, various social media platforms, and discussion activities related to the health of pregnant women, especially regarding nutrition for pregnant women in preventing stunting."

"Permasalahan gizi seperti anemia pada ibu hamil masih merupakan fokus perhatian dalam pembangunan kesehatan di Indonesia. 40 kematian ibu di dunia berkaitan dengan anemia pada kehamilan. Laporan Riskesdas tahun 2013 menyebutkan bahwa prevalensi anemia dalam kehamilan di Indonesia sebesar 37,1.Penelitian ini bertujuan untuk mengetahui prevalensi anemia dan faktor-faktor yang mempengaruhi kejadian anemia pada ibu hamil di Wilayah Kerja Puskesmas Merdeka Tahun 2017.Penelitian ini merupakan penelitian kuantitatif dengan menggunakan desain potong lintang cross sectional. Sumber data pada penelitian ini adalah kohort ibu dan register ibu hamil. Teknik pengambilan sampel yang digunakan adalah total sampling dengan jumlah 195 ibu hamil.Hasil penelitian menunjukkan prevalensi anemia pada ibu hamil di Wilayah Kerja Puskesmas Merdeka Kota Bogor tahun 2017 sebesar 24,1 . Berdasarkan hasil analisis didapatkan faktor yang berhubungan dengan kejadian anemia pada kehamilan adalah umur kehamilan nilai P: 0,048 dan kekurangan energi kronik nilai P: 0,013. Sedangkan faktor umur ibu, paritas dan jarak kelahiran tidak berhubungan dengan kejadian anemia pada kehamilan.Berdasarkan penelitian ini, perlu peningkatan pengetahuan ibu hamil mengenaik kebutuhan zat gizi terutama zat besi selama kehamilan dan pembentukan program pengawasan minum tablet tambah darah untuk memantau semua ibu hamil mengkonsumsi tablet tambah darah sesuai dengan kebutuhan selama kehamilan.

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Nutrition problems such as anemia in pregnant women are still the focus of attention in health development in Indonesia. 40 of maternal deaths in the world are associated with anemia in pregnancy. The Riskesdas report of 2013 states that the prevalence of anemia in pregnancy in Indonesia is 37.1.

This study aims to determine the prevalence of anemia and factors affecting the incidence of anemia in pregnant women in the Working Area of Merdeka Healt Centers 2017.

This research is a quantitative research using cross sectional design. Sources of data in this study were maternal cohorts and maternal registers. The sampling technique used was total sampling with the number of 195 pregnant women. The results showed that the prevalence of anemia in pregnant women in the Work Area of Merdeka Health Center Bogor City in 2017 was 24.1.

Based on the analysis results obtained factors associated with the incidence of anemia in pregnancy is the age of pregnancy P value 0.048 and chronic energy deficiency P value 0.013. While the maternal age, parity and birth spacing factors were not associated with the incidence of anemia in pregnancy.

Based on this research, it is necessary to increase the knowledge of pregnant mother about requirement of nutrient especially iron during pregnancy and establishment of supervision program of tablet consumption to all pregnant woman consume tablets added blood as needed during pregnancy."

"Kejadian stunting merupakan salah satu masalah gizi yang dialami oleh balita di dunia saat ini tidak terkecuali di Indonesia. Stunting dapat dicegah dari awal masa kehidupan yaitu pada kehamilan. Pencegahan stunting dilakukan dengan mengatasi faktor risiko stunting dari ibu hamil yaitu gizi selama kehamilan, infeksi selama kehamilan, dan depresi selama kehamilan. Desain penelitian yang digunakan yaitu quasi experimental pre-post test with control group. Sebanyak 157 ibu hamil dan suami dibagi menjadi 5 kelompok yaitu kelompok yang mendapatkan pendidikan kesehatan secara offline, kelompok yang mendapatkan pendidikan kesehatan dan terapi kelompok terapeutik (TKT) secara offline, kelompok yang mendapatkan pendidikan kesehatan secara online, kelompok yang mendapatkan pendidikan kesehatan dan TKT secara online dan kelompok kontrol. Teknik sampling yang digunakan adalah cluster sampling dan purposive sampling.Hasil penelitian menunjukkan peningkatan secara bermakna lingkar lengan atas pada kelompok pendidikan kesehatan dan TKT offline (p value < 0,05); penurunan nilai depresi pada kelompok intervensi (p value < 0,05), peningkatan kemampuan adaptasi ibu hamil dan dukungan suami (p value < 0,05). Penurunan depresi selama kehamilan yang mendapatkan intervensi secara offline dan online lebih rendah dibandingkan kelompok control (p value < 0,05), peningkatan gizi selama kehamilan dan penurunan jumlah depresi terbanyak berada pada kelompok pendidikan kesehatan dan TKT secara offline dan online dibandingkan kelompok yang hanya mendapatkan pendidikan kesehatan secara offline dan online. pendidikan kesehatan dan TKT secara offline dan online direkomendasikan sebagai tindakan pencegahan faktor risiko stunting pada ibu hamil.

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Stunting is one of the nutritional problems experienced by toddlers in the world today is no exception in Indonesia. Stunting can be prevented from the beginning of life, namely in pregnancy. Prevention of stunting is done by overcoming risk factors for stunting from pregnant women, namely nutrition during pregnancy, infection during pregnancy, and depression during pregnancy. The study design used was a quasi experimental pre-post test with a control group. A total of 157 pregnant women and husbands were divided into 5 groups who received health education offline, groups who received health education and therapeutic group therapy (TKT) offline, groups who received health education online, groups who received health education and TKT in control and online group. The sampling technique used was cluster sampling and purposive sampling.

The results showed an increase in the health education group and the TKT offline (p value <0.05); Decreased depression in the intervention group (p value <0.05), increased adaptability of pregnant women and husband support (p value <0.05). The increase in depression during pregnancy who received offline and online interventions was lower than the control group (p value <0.05), the increase in nutrition during pregnancy and the decrease in the number of most depressions was dependent on the health education group and TKT offline and online health education offline and online. Health education and TKT offline and online are recommended as actions against risk factors for stunting in pregnant women."

"[ABSTRAKLatar Belakang penelitian adalah masih tingginya angka kejadian penurunan kadar Hb pada ibuhamil, yang akan berdampak pada ibu dan janin. Tujuan dari penelitian adalah untuk mengetahuihubungan perilaku (pengetahuan, keterampilan, dan sikap) dan dukungan keluarga dalam pemenuhankebutuhan nutrisi ibu hamil dengan kadar hemoglobin. Metode Penelitian yang digunakan adalahkuantitatif yang bersifat deskriptif korelasi dengan pendekatan cross sectional, dengan sampel 65.Tehnik pengambilan sample adalah simple random sampling. Hasil penelitian ada hubungan perilaku:pengetahuan (p: 0.001), keterampilan (p: 0.007), sikap (p: 0.010) dan dukungan emosional (p=0.004),intrumental (p= 0.021), informasional (p= 0.036), dan penghargaan (p=0.047) dengan kadar Hb ibuhamil. Kesimpulan penelitan adalah kadar Hb Ibu hamil depengaruhi oleh perilaku dan dukungankeluarga dalam pemenuhan nutrisi. Implikasi hasil penelitian diharapkan dapat mengembangkanprogram pemberian makanan kaya zat besi dengan melibatkan keluarga. Rekomendasi penelitianadalah melihat faktor-faktor yang mempengaruhi sikap pemenuhan nutrisi ibu hamil, untukmempertahankan kadar Hb normal.

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ABSTRACTBackground this study is still high incidence of decreased levels of hemoglobin in pregnant women,which will have an impact on the mother and fetus. The purpose of this study is to determine therelationship of behavior (knowledge, skills, and attitudes) and support the family in meeting thenutritional needs of pregnant women with hemoglobin (Hb). This study used descriptive correlationwith cross sectional approach. The sample of 65 was calculated using simple random sampling. Theresults of the study no relationship behaviors: knowledge (p: 0.001), skills (p: 0.007), attitude (p:0.010) and emotional support (p = 0.004), instrumental (p = 0.021), informational (p = 0.036), andawards (p = 0.047) with hemoglobin levels of pregnant women. Conclusion this study Hb influencedby the behavior of pregnant women and family support in nutrition. Implications of the results of thestudy are expected to develop a program of iron-rich foods with the family involved. Recommendationsthe study is looking at the factors that influence the attitude of nutrition of pregnant women, tomaintain normal hemoglobin levels;Background this study is still high incidence of decreased levels of hemoglobin in pregnant women,which will have an impact on the mother and fetus. The purpose of this study is to determine therelationship of behavior (knowledge, skills, and attitudes) and support the family in meeting thenutritional needs of pregnant women with hemoglobin (Hb). This study used descriptive correlationwith cross sectional approach. The sample of 65 was calculated using simple random sampling. Theresults of the study no relationship behaviors: knowledge (p: 0.001), skills (p: 0.007), attitude (p:0.010) and emotional support (p = 0.004), instrumental (p = 0.021), informational (p = 0.036), andawards (p = 0.047) with hemoglobin levels of pregnant women. Conclusion this study Hb influencedby the behavior of pregnant women and family support in nutrition. Implications of the results of thestudy are expected to develop a program of iron-rich foods with the family involved. Recommendationsthe study is looking at the factors that influence the attitude of nutrition of pregnant women, tomaintain normal hemoglobin levels;Background this study is still high incidence of decreased levels of hemoglobin in pregnant women,which will have an impact on the mother and fetus. The purpose of this study is to determine therelationship of behavior (knowledge, skills, and attitudes) and support the family in meeting thenutritional needs of pregnant women with hemoglobin (Hb). This study used descriptive correlationwith cross sectional approach. The sample of 65 was calculated using simple random sampling. Theresults of the study no relationship behaviors: knowledge (p: 0.001), skills (p: 0.007), attitude (p:0.010) and emotional support (p = 0.004), instrumental (p = 0.021), informational (p = 0.036), andawards (p = 0.047) with hemoglobin levels of pregnant women. Conclusion this study Hb influencedby the behavior of pregnant women and family support in nutrition. Implications of the results of thestudy are expected to develop a program of iron-rich foods with the family involved. Recommendationsthe study is looking at the factors that influence the attitude of nutrition of pregnant women, tomaintain normal hemoglobin levels, Background this study is still high incidence of decreased levels of hemoglobin in pregnant women,which will have an impact on the mother and fetus. The purpose of this study is to determine therelationship of behavior (knowledge, skills, and attitudes) and support the family in meeting thenutritional needs of pregnant women with hemoglobin (Hb). This study used descriptive correlationwith cross sectional approach. The sample of 65 was calculated using simple random sampling. Theresults of the study no relationship behaviors: knowledge (p: 0.001), skills (p: 0.007), attitude (p:0.010) and emotional support (p = 0.004), instrumental (p = 0.021), informational (p = 0.036), andawards (p = 0.047) with hemoglobin levels of pregnant women. Conclusion this study Hb influencedby the behavior of pregnant women and family support in nutrition. Implications of the results of thestudy are expected to develop a program of iron-rich foods with the family involved. Recommendationsthe study is looking at the factors that influence the attitude of nutrition of pregnant women, tomaintain normal hemoglobin levels]"

"Anemia pada ibu hamil potensial membahayakan ibu dan janin. Penelitian menggunakan rancangan cross sectional dilakukan bulan maret sampai april 2012 di Puskesmas Bajeng Kecamatan Bajeng Kabupaten Gowa, sampel 100 ibu hamil. Pengumpulan data menggunakan kuesioner, wawancara dan pengukuran kadar hemoglobin. Analisis secara Univariat, Bivariat menggunakan Chi- Square dan Multivariat dengan Uji Regresi Linear Ganda. Kejadian anemia 82%.Terdapat hubungan bermakna antara frekuensi Antenatal Care ( ANC ), pengetahuan ibu dan kepatuhan ibu mengkonsumsi tablet fe dengan anemia pada ibu hamil. Dalam analisis multivariat,Frekuensi ANC mempunyai pengaruh tertinggi terhadap status anemia pada ibu hamil.Disarankan meningkatkan penyuluhan kepada ibu hamil untuk melakukan pemeriksaan kehamilan secara teratur, peningkatan pengetahuan ibu hamil dengan penyuluhan tentang bahaya anemia dalam kehamilan,pentingnya mengkonsumsi tablet fe dan makanan yang mengandung zat besi, mendistribusikan tablet fe dan memantau tablet fe yang sudah didistribusikan.

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Anemia in pregnant women potentially harm the mother and fetus. Research using cross sectional design conducted in March to April 2012 at the Health Center Bajeng Bajeng Gowa District, a sample of 100 pregnant women. Collecting data using questionnaires, interviews and measurement of hemoglobin levels. Univariate analysis, using Chi-Square Bivariate and Multivariate Linear Regression with Multiple Test. 82% incidence of anemia.

There is a significant relationship between frequency of Antenatal Care (ANC), knowledge of the mother and the mother of taking tablets fe compliance with anemia in pregnant women. In multivariate analysis, the frequency of the ANC has the highest influence on the status of anemia in pregnant women.

Recommended increased outreach to pregnant women to perform regular pregnancy, increased knowledge of pregnant women with counseling about the dangers of anemia in pregnancy, the importance of taking tablets fe and foods that contain iron, distribute and monitor the tablet tablet fe fe that has been distributed."

"[ABSTRAKPada kehamilan dibutuhkan asupan zat gizi yang adekuat untuk menunjangpembelahan sel dan pertumbuhan yang cepat. Seng merupakan kofaktor dari hampirsekitar 200 enzim yang berperan penting dalam embryogenesis. Defisiensi sengberhubungan dengan komplikasi pada ibu selama kehamilan dan persalinan sertagangguan pertumbuhan dan kelainan kongenital pada janin. Konsentrasi sengserum menurun sejak kehamilan trimester pertama hingga ketiga. Penelitian inimerupakan penelitian dengan desain potong lintang yang bertujuan untukmengetahui korelasi antara konsentrasi seng serum maternal dengan tali pusat padakehamilan trimester ketiga. Penelitian dilakukan di 10 puskesmas di Jakarta Timurpada bulan Maret 2015 sampai bulan April 2015. Pengambilan subyek dilakukandengan cara konsekutif dan didapatkan 63 orang subyek yang memenuhi kriteriapenelitian. Data dikumpulkan melalui wawancara meliputi data usia, usiakehamilan, paritas, pajanan rokok, pendapatan rumah tangga, pendidikan maternal,serta asupan protein, besi, tembaga dan seng dengan metode Food FrequencyQuestionnaire (FFQ) semikuantitatif. Pengukuran antropometri untuk menilaistatus gizi dan pemeriksaan laboratorium yang meliputi konsentrasi seng serum dantali pusat. Didapatkan rerata usia 27,63 ± 4,96 tahun dan sebagian besar subjekberada dalam kategori pendidikan tinggi dan pendapatan tinggi. Asupan sengmenunjukkan 98,4% subjek memiliki asupan seng kurang dari Angka KecukupanGizi (AKG) Indonesia. Nilai median konsentrasi seng serum maternal 53,70 (28.18-67,61) μg/dL dan 82,5% subyek tergolong dalam kategori adekuat. Nilai mediankonsentrasi seng serum tali pusat adalah sebesar 85,11(57.54 - 154,88) μg/dL, sedangkan 65,1% subjek tergolong dalam kategori tidakadekuat. Didapatkan rasio di antaranya 0,63 dengan korelasi tidak bermakna antarakonsentrasi seng serum maternal dengan tali pusat (r=0,04, p=0,78).

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ABSTRACTPregnancy is a period of rapid growth and cell differentiation, when both of themother and the fetus are very susceptible to alterations in dietary supply, especiallyof nutrients which are marginal under normal circumstances. Zinc is required forcellular division and differentiation, and is an essential nutrient for normalembryogenesis. Zinc deficiency has been associated with complications ofpregnancy and delivery, as well as growth retardation and congenital abnormalitiesin the fetus. It has been found that zinc levels keep decreasing during pregnancyfrom first trimester to third trimester. The aim of this cross sectional study was tofind the correlation between serum maternal and cordblood zinc level during thirdtrimester. Data collection was conducted during March 2015 to April 2015 on 10selected primary health service in East Jakarta. Subjects were obtained usingconsecutive sampling method. A total of 63 pregnant subjects had met the studycriteria. Data were collected through interviews including age, gestation age, parity,tobacco exposure, household income, maternal education, zinc intake, proteinintake, iron intake, and copper intake. Anthropometry measurements to assess thenutritional status and laboratory examination i.e blood levels of maternal andcordblood zinc. Mean age was 27.63 ± 4.96 years and majority of the subjects werehigh-educated and well-income. Intake of zinc showed 98.4% of the subjects wereless than recommended dietary allowances (RDA). Median of serum maternal zinclevels was 53.95 (27.97 ? 74.93) μg/dL, while 82.5% the of subjects werecategorized as adequate zinc levels. Median of serum cordblood zinc levels was84.92 (56.95 ? 155.86) μg/dL. No significant correlation was found between serummaternal and cordblood zinc (r=0.04, p=0.78) with the ratio between serummaternal and cordblood zinc was 0.63, Pregnancy is a period of rapid growth and cell differentiation, when both of themother and the fetus are very susceptible to alterations in dietary supply, especiallyof nutrients which are marginal under normal circumstances. Zinc is required forcellular division and differentiation, and is an essential nutrient for normalembryogenesis. Zinc deficiency has been associated with complications ofpregnancy and delivery, as well as growth retardation and congenital abnormalitiesin the fetus. It has been found that zinc levels keep decreasing during pregnancyfrom first trimester to third trimester. The aim of this cross sectional study was tofind the correlation between serum maternal and cordblood zinc level during thirdtrimester. Data collection was conducted during March 2015 to April 2015 on 10selected primary health service in East Jakarta. Subjects were obtained usingconsecutive sampling method. A total of 63 pregnant subjects had met the studycriteria. Data were collected through interviews including age, gestation age, parity,tobacco exposure, household income, maternal education, zinc intake, proteinintake, iron intake, and copper intake. Anthropometry measurements to assess thenutritional status and laboratory examination i.e blood levels of maternal andcordblood zinc. Mean age was 27.63 ± 4.96 years and majority of the subjects werehigh-educated and well-income. Intake of zinc showed 98.4% of the subjects wereless than recommended dietary allowances (RDA). Median of serum maternal zinclevels was 53.95 (27.97 – 74.93) μg/dL, while 82.5% the of subjects werecategorized as adequate zinc levels. Median of serum cordblood zinc levels was84.92 (56.95 – 155.86) μg/dL. No significant correlation was found between serummaternal and cordblood zinc (r=0.04, p=0.78) with the ratio between serummaternal and cordblood zinc was 0.63]"

"ABSTRAK

Latar Belakang: Kehamilan merupakan suatu proses yang membutuhkan asupan seng yang adekuat guna menunjang kesehatan ibu dan janin. Defisiensi seng akibat kurangnya asupan dan bioavailabilitas seng dalam diet masih merupakan masalah di negara berkembang termasuk Indonesia.

Tujuan: Tujuan dari penelitian ini adalah untuk melihat kadar seng serum dan hubungannya dengan asupan makanan dalam upaya perbaikan asupan seng pada kehamilan trimester tiga.

Desain: Penelitian dilakukan terhadap 51 subjek ibu hamil trimester tiga dengan menggunakan desain studi potong lintang dan consecutive sampling.

Hasil: Dari penelitian diperoleh hasil rerata kadar seng serum pada subjek penelitian adalah 39,32±6,28 µg/dl dengan frekuensi seng serum rendah dari normal sebesar 92,16%. Semua subjek penelitian tidak memenuhi asupan seng, serat, energi dan protein sesuai AKG. Asupan besi subjek penelitian melebihi AKG pada 96,1% subjek dan semua subjek memiliki rasio molar fitat lebih dari 15. Terdapat korelasi lemah yang tidak bermakna secara statistik antara asupan seng (r=0.068), besi (r=0,09), fitat (r=0,081), serat (r=0,026), energi (r=0,073) dan protein (r=0,033) dengan seng serum subjek penelitian.

Kesimpulan: Kesimpulan dari penelitian ini adalah tidak terdapat hubungan antara asupan seng, besi, fitat, serat, energi dan protein dengan seng serum subjek penelitian. Dibutuhkan edukasi tentang bahan makanan sumber yang baik untuk memperbaiki asupan seng, besi, fitat, serat, energi dan protein pada ibu hamil.

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ABSTRAK

Background: Pregnancy is a process that requires an adequate zinc intake to support maternal and perinatal health. However, zinc deficiency due to inadequate intake and zinc bioavailability in diet still remain a problem in developing countries, including Indonesia.

Objective: The aim of this study is to investigate serum zinc levels and its relation to food intake in order to improve zinc intake in late pregnancy.

Design: The method used in this study was cross sectional, consecutive sampling on 51 late pregnancy subjects.

Results: The study results mean serum zinc level was 39.32±6.28 µg/dl with prevalence of serum zinc below normal 92.16%. All of the subjects did not meet the RDI of zinc, fiber, energy and protein. As 96.1% subjects meet the RDI of iron and all subjects had phytate-zinc molar ratio more than 15. There was a weak correlation that not statistically significant between the intake of zinc (r=0.068), iron (r=0.09), phytate (r=0.081), dietary fiber (r=0.026), energy (r=0.073) and protein (r=0.033) with serum zinc.

Conclusion:This study conclude that there was no association between intake of zinc, iron, phytate, dietary fiber, energy and protein with serum zinc level in late pregnancy. Pregnant women need a nutritional education about good food source to improve zinc, iron, dietary fiber, energy, and protein intakes.

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"Anemia gravidarum khususnya anemia akibat kekurangan zat besi merupakan kasus yang masih sering terjadi pada ibu hamil baik di Indonesia maupun global. Menurut WHO, anemia gravidarum merupakan penurunan konsentrasi kadar hemoglobin kurang dari 11 g/dl. Karya ilmiah ini melaporkan hasil case study yaitu implementasi asuhan keperawatan edukasi kesehatan atau Health Information Package Program (HIPP) pada ibu hamil dengan anemia berat pada usia kehamilan 28 minggu dengan status obstetrik G2P1A0. Hasil intervensi menunjukkan bahwa pemberian edukasi kesehatan pada pasien anemia gravidarum efektif untuk meningkatkan nilai Hb yaitu sebanyak 1.3 g/dL dalam waktu satu minggu tanpa adanya transfusi darah PRC, meningkatkan pengetahuan ibu dan keluarga terkait anemia, kepatuhan konsumsi tablet zat besi, serta menerapkan pola diet dan kebutuhan nutrisi ibu hamil sesuai dengan anjuran. Oleh karena itu, penulis merekomendasikan pemberian edukasi kesehatan pada ibu hamil dengan anemia berat untuk mencegah terjadinya hospitalisasi akibat perburukan berulang dan meningkatkan kesejahteraan ibu dan janin.

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Anemia gravidarum, especially anemia due to iron deficiency, is a case that still occurs frequently in pregnant women, both in Indonesia and globally. According to WHO, anemia gravidarum is a decrease in the concentration of hemoglobin levels of less than 11 g/dl. This scientific paper reports the results of a case study, namely the implementation of health education nursing care, or the Health Information Package Program (HIPP) in pregnant women with severe anemia at 28 weeks' gestation with G2P1A0 obstetric status. The results of the intervention showed that providing health education to patients with anemia gravidarum was effective in increasing Hb values by 1.3 g/dL within one week, increasing knowledge of mother regarding anemia, adherence to iron tablet consumption, and implementing dietary patterns. and nutritional needs of pregnant women according to recommendations. The authors recommend providing health education to pregnant women with severe anemia to prevent hospitalization due to repeated worsening and improve the welfare of the mother and fetus."

"Dari seluruh kasus komplikasi selama kehamilan, hipertensi pada kehamilan memiliki jumlah kasus sebesar 5-10%. Hipertensi pada kehamilan adalah penyebab terbesar kasus kematian ibu di Jawa Tengah pada tahun 2019 dengan angka 29.6% dari total angka kematian ibu. Salah satu faktor risiko hipertensi pada kehamilan adalah berat badan berlebih dan obesitas. Kabupaten Brebes merupakan salah satu kabupaten di Jawa Tengah dengan angka obesitas tertinggi di Jawa Tengah. Penelitian ini dilakukan untuk meneliti hubungan status gizi ibu yang dilihat dari indeks massa tubuh dengan hipertensi pada kehamilan di Kabupaten Brebes tahun 2021. Penelitian ini menggunakan desain kasus kontrol dengan jumlah sampel total 160 pasien, 80 pasien kasus dan 80 pasien kontrol. Data diambil dari rekam medis ibu hamil dan dianalisis menggunakan uji chi square dengan nilai kemaknaan p<0,05. Analisis hubungan antara status gizi berlebih dengan hipertensi pada kehamilan didapatkan hasil bermakna dengan nilai odds ratio: IMT <25 kg/m2 (OR 3,857; 95%CI 1,867-7,969), IMT 25,1-29,9 kg/m2 (OR 3,429; 95%CI 1,550-7,583), dan IMT >30 kg/m2 (OR 4,821; 95%CI 2,029-11,458). Dapat disimpulkan bahwa terdapat hubungan antara status gizi ibu dengan kejadian hipertensi pada kehamilan di Kabupaten Brebes.

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Of all cases of complications during pregnancy, hypertension in pregnancy has a number of cases of 5-10%. Hypertension in pregnancy is the biggest cause of maternal deaths in Central Java in 2019 with a rate of 29.6% of the total maternal mortality rate. One of the risk factors for hypertension in pregnancy is overweight and obesity. Brebes Regency is one of the districts in Central Java with the highest obesity rate in Central Java. This study was conducted to examine the relationship between maternal nutritional status as seen from body mass index and hypertension in pregnancy in Brebes Regency in 2021. This study used a case-control design with a total sample of 160 patients, 80 case patients and 80 control patients. Data were taken from medical records of pregnant women and analyzed using the chi square test with a significance value of p<0.05. Analysis of the relationship between excess nutritional status and hypertension in pregnancy showed significant results with odds ratio values: BMI <25 kg/m2 (OR 3.857; 95% CI 1.867-7.969), BMI 25.1-29.9 kg/m2 (OR 3.429; 95% CI 1.550-7.583), and BMI > 30 kg/m2 (OR 4.821; 95% CI 2.029-11.458). It can be concluded that there is a relationship between the nutritional status and the incidence of hypertension in pregnancy in Brebes Regency."