Konsumsi Asam Folat pada Wanita Usia Subur untuk Meningkatkan Kesehatan Ibu dan Anak di Indonesia

Syakirah Aghniyya, Alivia Izfana, Linda Anggelia, Amara Rhaly Nadira, Chahya Kharin Herbawani

Abstract


The leading causes of maternal death include eclampsia, hemorrhage, and infection. The incidence of preeclampsia in pregnant women is correlated with the incidence of anemia, and most cases are caused by nutritional problems. One of the nutritional intakes needed by pregnant women to prevent maternal morbidity is folic acid. The purpose of this study was to determine the impact of folic acid consumption in women of childbearing age on maternal and child health in Indonesia. This study is a systematic review using five databases (PubMed, Google Scholar, ScienceDirect, Proquest, and Garuda) in accordance with the PRISMA procedure. Articles accepted were published within the last 10 years in English and Indonesian. Risk assessment of bias was assessed using the Newcastle Ottawa Scale (NOS), resulting in five articles. The review results showed five cross-sectional studies and one case-control study. Furthermore, it was found that there is a relationship between folic acid consumption and the incidence of maternal morbidity. This occurs because folic acid consumption can reduce the risk of preeclampsia. Folic acid is also closely related to anemia, where the intake of iron tablets and folic acid supplements affects hemoglobin levels in pregnant women. In addition, folic acid supports fetal growth. It was further concluded that folic acid consumption can improve maternal and child health.

Keywords: folic acid; pregnancy; anemia; maternal and child health

 

ABSTRAK

 

Penyebab teratas kematian ibu antara lain adalah eklamsia, perdarahan, dan infeksi. Kejadian preeklamsia pada ibu hamil berkorelasi dengan kejadian anemia, dan sebagian besar kasusnya disebabkan oleh masalah nutrisi. Salah satu asupan nutrisi yang diperlukan ibu hamil untuk mencegah terjadinya kesakitan ibu adalah asam folat. Tujuan dari studi ini adalah mengetahui dampak konsumsi asam folat pada wanita usia subur terhadap kesehatan ibu dan anak di Indonesia. Studi ini merupakan tinjauan sistematis menggunakan lima database (PubMed, Google Scholar, ScienceDirect, Proquest, dan Garuda) sesuai dengan prosedur PRISMA. Artikel yang diterima adalah terbitan 10 tahun terakhir dalam bahasa Inggris dan bahasa Indonesia. Risk assessment of bias dinilai menggunakan Newcastle Ottawa Scale (NOS), sehingga didapatkan 5 artikel. Hasil tinjauan menunjukkan bahwa ada 5 penelitian cross-sectional dan 1penelitian case-control. Selanjutnya diketahui bahwa ada hubungan antara konsumsi asam folat dengan kejadian kesakitan ibu. Hal tersebut terjadi karena konsumsi asam folat dapat menurunkan risiko preeklamsia. Asam folat juga berkaitan erat dengan anemia, dimana asupan suplemen tablet Fe dan asam folat mempengaruhi kadar hemoglobin ibu hamil. Selain itu, asam folat mendukung pertumbuhan janin. Selanjutnya disimpulkan bahwa konsumsi asam folat dapat meningkatkan kesehatan ibu dan anak.

Kata kunci: asam folat; kehamilan; anemia; kesehatan ibu dan anak


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DOI: http://dx.doi.org/10.33846/sf16155

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