153 Lili Ratnawat, Hubungan Anemia dalam Kehamilan Trimester Tiga Terhadap Kejadian Bayi Keciluntuk Masa Kehamilan (KMK) di RS Dr. Sardjito HUBUNGAN ANEMIA DALAM KEHAMILAN TRIMESTER TIGA TERHADAP KEJADIAN BAYI KECIL UNTUK MASA KEHAMILAN (KMK) DI RS DR SARDJITO Lili Ratnawat*, Rukmono Siswishanto*, Ova Emilia* ABSTRACT Background: The high prevalence of anemia during pregnancy at Yogyakarta could be associated with the adverse pregnancy outcome as SGA. Previous study reported inconsitent result about associaton between anemia during third trimester and babies with SGA. Research is needed to determine the contributon of anemia during third pregnancy to the adverse pregnancy outcome at RS Dr Sarjito. Objectve: To compare the prevalance of SGA between pregnancy with and without anemia during third trimester at RS Dr Sarjito. Method: Cross sectonal study based on RS Dr Sardjito’s medical record. The subjects of study were pregnant women who took delivery at RS Dr Sarjito during third trimester from 2010 to 2011. Anemia defne as haemoglobin level < 11g/dl which performed before delivery. Babies with brith weigth < 10 percentle Lubchenco curve group into SGA. Associaton between anemia during third trimester and SGA analyzed with Chi square test and Fisher’s exact test. Resul and Discussion: A total of 239 subjects were recruited and devided into 146 subjects with anemia and 93 subjects without anemia. The anemia groups consist of 97,95% mild anemia, 2,05% moderate anemia, and none severe anemia. The prevalence of SGA in total populaton, group with anemia, and group without anemia was 14%, 15,8%, and 10% irrespectvely. The prevalance of SGA between group with and without anemia was not diferent (p=0,27; RR 1,46; 95%CI 0,73-2,93). Maternal age, BMI pregestatonal, educaton, and parity did not infuence the prevalence of anemia and SGA. Considering multvariat analysis, neither anemia, maternal age, BMI pregestatonal, educaton, nor parity did not afect the prevalance of SGA. Conclusion: In this study, the prevalence of SGA in pregnancy with and without anemia during third trimester did not diferent at RS Dr Sarjito. Kata kunci: Anemia in pregnancy, third trimester, SGA. ABSTRAK Latar Belakang: Prevalensi anemia dalam kehamilan di Yogyakarta masih cukup tnggi sehingga dapat menyebabkan peningkatan dampak buruk anemia terhadap janin, salah satunya KMK. Penelitan sebelumnya menunjukkan perbedaan hasil tentang hubungan anemia trimester tga terhadap kejadian KMK. Penelitan tentang hubungan anemia dalam kehamilan trimester tga terhadap kejadian KMK di RS Sarjito pentng dilakukan untuk mengetahui besarnya dampak negatf yang tmbul akibat anemia dalam kehamilan. Tujuan: Mengetahui perbedaan kejadian bayi KMK pada ibu hamil dengan anemia pada trimester tga dibandingkan ibu hamil tanpa anemia di RS Dr Sarjito. * Bagian Obstetri dan Ginekologi, Fakultas Kedokteran Universitas Gadjah Mada/ RS Dr Sardjito Yogyakarta