Analyze the Association Between Birth Attendant, Type Relationship Helper, Type and Problems/Disturbance of Delivery with The Level of Anemia in Mothers


  • Suchi Avnalurini Sharief Program Study of Midwifery, Universitas Muslim Indonesia, Makassar, South Sulawesi, Indonesia
  • Sitti Patimah Program Study of Public Health, Universitas Muslim Indonesia, Makassar, South Sulawesi, Indonesia



Anemia, Birth Attendant, Type of Birth, Birth Problems/Disorders


In Indonesia, the causes of anemia in pregnancy are multifactorial, but in general iron deficiency is considered the main cause because anemia diagnosis is generally based on hemoglobin measurements. This research aims to analyze the relationship between helper, type, and birth problems/disruptions, and the degree of anemia in the mother. The type of research was analytical observational with a cross-sectional study design, the sampling technique was purposive sampling with a research period of October-November 2023. Of the 41 in-partum mothers with anemia at RSIA Masyita, Makassar City, there were 85.4% of the mothers with mild anemia, 14.6 % had moderate anemia, and no severe anemia was found in this study. The Chi-Square test was used to see maternal outcomes. For birth attendants with a p-value of 0.01, type of birth 0.06, birth problems/disorders 0.02. There were 16 mothers with anemia who experienced problems during delivery consisting of, 3 (18.7%) experienced hypertension, 3 (18.7%) experienced umbilical cord entanglement, 3 (18.7%) experienced prolonged labor, 5 (31.3%) experienced Premature Rupture of Membranes (PROM), 1 (6.3%) experienced serotinus and 1 (6.3%) experienced placenta previa. The conclusion is that the type of anemia influences the assistance and problems/disruptions during childbirth. Future researchers are expected to carry out monitoring not only focusing on the mother but also on the baby.


Abbas, R. S. (2020). Study the Incidence, Types of Anemia, and Associated Risk Factors in Pregnant Women. Indian Journal of Forensic Medicine & Toxicology, 14(4), 3365-3372.

Adamu, A. L., Crampin, A., Kayuni, N., Amberbir, A., Koole, O., Phiri, A., ... & Fine, P. (2017). Prevalence and risk factors for anemia severity and type in Malawian men and women: urban and rural differences. Population health metrics, 15, 1-15.

Adebo, A. A., Yessoufou, A. G., Alamou, O. F., Bio, M., Bouko, M. M. S., & Sezan, A. (2019). Epidemiological aspects of anemia in pregnant women received in consultation at The University Hospital Center of Abomeycalavi / So-Ava (Southern Benin). Journal of Chemical Information and Modeling, 53(9), 21–25.

Alemayehu, A., Gedefaw, L., Yemane, T., & Asres, Y. (2016). Prevalence, severity, and determinant factors of Anemia among pregnant women in south Sudanese refugees, Pugnido, Western Ethiopia. Anemia, 2016(1), 9817358.

Al Kahtani, M. A., AlQahtani, M., Alshebaily, M. M., Abd Elzaher, M., Moawad, A., & AlJohani, N. (2012). Morbidity and pregnancy outcomes associated with sickle cell anemia among Saudi women. International Journal of Gynecology & Obstetrics, 119(3), 224-226.

Beckert, R. H., Baer, R. J., Anderson, J. G., Jelliffe-Pawlowski, L. L., & Rogers, E. E. (2019). Maternal anemia and pregnancy outcomes: a population-based study. Journal of Perinatology, 39(7), 911-919.

Cunningham, FG et al. (2014). William Obstetrics. 23rd ed. Mc Graw hill, New York Companies Eberhardt Manfred K. 2001. Reactive Oxygen Metabolites. 2nd. Ed. Washington: CRC Press,

Derso, T., Abera, Z., & Tariku, A. (2017). Magnitude and associated factors of anemia among pregnant women in Dera District: a cross-sectional study in northwest Ethiopia. BMC research notes, 10, 1-8.

Fallatah, A. M., Bifari, A. E., Alshehri, H. Z., Wali, S. M., Alghamdi, S. A., Almusallam, S. A., Al-Abbadi, W. S., & Albasri, S. (2020). Anemia and Cost-Effectiveness of Complete Blood Count Testing Among Pregnant Women at King Abdulaziz University Hospital: A Single Tertiary Center Experience. Cureus, 12(9), e10493.

Field, A., & Haloob, R. (2016). Complications of caesarean section. Obstetrician & Gynaecologist, 18(4), 265–272.

Kementerian Kesehatan Republik Indonesia. (2019). Laporan Hasil Riskesdas Tahun 2018. Jakarta: ementerian Kesehatan Republik Indonesia.

Melku, M., Addis, Z., Alem, M., & Enawgaw, B. (2014). Prevalence and predictors of maternal anemia during pregnancy in Gondar, Northwest Ethiopia: an institutional based cross‐sectional study. Anemia, 2014(1), 108593.

Okia, C. C., Aine, B., Kiiza, R., Omuba, P., Wagubi, R., Muwanguzi, E., ... & Oyet, C. (2019). Prevalence, morphological classification, and factors associated with anemia among pregnant women accessing antenatal clinic at Itojo Hospital, south western Uganda. Journal of blood medicine, 351-357.

Patil, S., & Patil, V. (2014). Maternal and foetal outcome in premature rupture of membranes. IOSR Journal of Dental and Medical Sciences (IOSR-JDMS), 13(12), 56-81.

Setiati, N. W., & Oktaviani, N. (2020). Hubungan Kejadian Anemia Pada Ibu Bersalin Dengan Lamanya Persalinan Di Wilayah Kerja Puskesmas Ciamis Kabupaten Ciamis Tahun 2019. Prosiding Seminar Nasional Multidisiplin Ilmu, 2(1), 417-423.

Smith, C., Teng, F., Branch, E., Chu, S., & Joseph, K. S. (2019). Maternal and perinatal morbidity and mortality associated with anemia in pregnancy. Obstetrics & Gynecology, 134(6), 1234-1244.

Tanziha, I., Damanik, M.R.M., Utama, L. J., & Rosmiati, R. (2016). Faktor Risiko Anemia Ibu Hamil Di Indonesia. Jurnal Gizi Pangan, 11(2), 143-152.

World Health Organization. (2016). Anaemia. World Health Organization.




How to Cite

Sharief, S. A., & Patimah, S. (2024). Analyze the Association Between Birth Attendant, Type Relationship Helper, Type and Problems/Disturbance of Delivery with The Level of Anemia in Mothers. Ahmar Metastasis Health Journal, 4(1), 12–19.