Efect of Adherence of Iron Supplementation Tablet Consumption toMaternal Hemoglobin Level in The Third Trimester of Pregnanc in!ccupational Health Center Pandan"angi MalangIn 1995, the prevalence of anemia among pregnant women in Indonesia wasstill very high, at 51%, and 45% in postpartum mothers. Anemia in pregnant womenhave an impact on maternaland child health in the womb, increasing the ris ofmiscarriage, premature birth, low birth weight babies, and often lead to death ofmother and newborn. Appro!imately 5"% of alltypes of anemia were thought toresult from iron and other micronutrients de#ciency such as vitamin micronutrientsA, $%, $1&, ribo'avin and folic acid, as well as the factor of heredity disorders suchas thalassemia and sicle cell. In developing countries, high prevalence ofmicronutrientde#cienciesofironandothermicronutrientsamongwomenduringpregnancy remains a concern, especially because anemia is still a cause of maternalmorbidity and perinatal mortality which are (uite large.)hird trimester of pregnancy include &9 wees of pregnancy until the 4&nd.At this stage of the third trimester, fetal growth occurs very rapidly compared to theprevious trimester. )hen the lac of food in this period can inhibit its growth so thatthebaby will beborn with severe andless long thanit should. Interms ofhematology, thethirdtrimesterof pregnancycauseincreasingcirculationtotheplacentaandbreastgrowth. *lasmavolumeincrease45+%5%startingatsecondtrimesterof pregnancyandthema!imumoccursat9monthsandincreasedbyappro!imately 1""" ml, decreased slightly ahead of normal full+term and returned ,months after parturition. *lasma volume e!pansion is not o-set by an increase inhemoglobin mass and red blood cell volume, so that mild decrease in hemoglobinlevels during pregnancy found in healthy women who are not iron de#cient or folate.)herefore, ./I012 and 345 promoting iron supplementation interventionsfor vulnerable populations 6such as pregnant women7 as an approach to overcomethe problem of iron de#ciency anemia. 8inistry of 4ealth in Indonesia has made apolicy to promote the consumption of at least 9" iron folate tablets in women duringpregnancy. 4owever, comparison of the 9:;I 6Indonesian :emographic and 4ealth9urvey7 in the &""&+&"", and &""< showed that only about one+third of the womentend to adhere to the 9" iron folate tablets guidelines, and that has not changedover time. Iron is needed by the body, among others for growth, wor of en=ymesystems in the body, tacling the infections, supporting the ability of the intestine toneutrali=eto!icsubstances, andmostimportantisre(uiredfortheformationofhemoglobin.)he general ob>ective of this study is to identify the e-ect of ironsupplementation tablets consumption adherence to maternal hemoglobin levels inthe third trimester of pregnancy. )he bene#ts of this study may add insightobstetrics andantenatal careparticularlyabout theimportanceof maintainingade(uatelevelsofhemoglobinintheblood duringpregnancyby consumingironsupplementation tablets or blood booster tablets as recommended by thegovernment at least asmanyas9"tabletsregularlyduringpregnancy. 2or thecommunity, the results of this study provide new nowledge about the importanceof consumingtabletsfor bloodbooster ? tablet of ironsupplementationduringpregnancy on a regular basis and in accordance with the recommendations outlinedby health worers, so that mother and baby can be healthy through pregnancy andminimi=ethemorbidityandmortality mother andchildduetoanemiaduringpregnancy.)his study uses a pre+e!perimental study with the approach one group pre+test post+test designaimedtoinvestigatethee-ect of thecomplianceinironsupplementationtabletconsumptiontochangesthelevelsof hemoglobininthethird trimester pregnant women. )he design of this study does not have acomparison group 6controls7, but it conducts the initial tests 6pretest7 and the end ofthe test 6posttest7 to e!amine the changes that occur between hemoglobin levelsbefore and after treatment. )reatment in this study is a programof ironsupplementation tablets in pregnant women with preventive dose, 1 tablet 6%" mgelemental ironand".&5mgfolicacid7 inarowfor aminimumof 9"daysofpregnancy periodfrom the #rst+time pregnancy visit 6;17. :uring this period, it willbe conducted the observation of respondents@ iron supplementation tabletsconsumptioncompliance. *retest is done by checing hemoglobin levels using the9ahli methodbeforerespondents undergothepregnancy ironsupplementationtablets program from health centers, while the post+test is done in the same waywith the pretest at the third trimester of pregnancy to assess changes in 4b levelsin the third trimester of pregnancy between before and after taing iron supplementtablets.)he population is pregnant women who had #rst antenatal visit 6;17 at the*usesmas *andanwangi 8alang and ac(uire iron supplementation tablets from theclinic. Investigators determine the minimum sample in this study are ," members ofthe sample who (ualify the study inclusion criteria. 9ampling techni(ue in this studyis total sampling which the number e(ual to the population sample. )he study site isat the *usesmas*andanwangi 8alang.)he researchisconductedin9eptember&"1, + :ecember &"1,. Aesearchers used four instruments to support theimplementationof research, amongothersB 0ompliance(uestionnairewhichisatypeof(uestionnaireforinterview6formfor(uestioning7, complianceformsthatform held by researchers to monitor respondents compliance periodically,(uestionnaires semi+(uantitative food fre(uency to obtain the data food intae, aswell as hemoglobin level gauges with 9ahli method.Analysis of the data in this study include univariate, bivariate andmultivariate analy=es. .nivariate analysis is the analysis to get an overview of eachof the independent and dependent variable in a fre(uency distribution table.$ivariate analy=es that further analysis to e!amine the relationship of independentand dependent variables.In this study the di-erences levels of hemoglobin afterintervention of iron supplementation tablets is analy=ed by using independent t teststatisticaltest, while to determine the e-ect of the dose+abiding groups and alsohow consumption on levels of hemoglobin, each using a statistical test 0hi+9(uare.3hilemultivariateanaly=es areperformedtodeterminethee-ect of multipleindependent variables on the dependent variable once done with multiple logisticregression. In multiple logistic regression is used forward stepwise selection method6conditional7. 8ultiplelogisticregressionmodelscanbeusedfor estimatingtheprobability of compliance of pregnant women in the dose and the consumption ofiron supplementation tablets as well as an increase in hemoglobin levels