Anemia pada Kehamilan dengan Respons Terapi TTD Belum Optimal (Case Study Report Praktik Kerja Profesi Apoteker Studi Kasus Pemberian Obat Cacing pada Ibu Hamil dengan Anemia)

Syilfia Hasti; E Yustarie Hasmiarsih; Afiza Kiki Ramadhani; Fara Difa Adella; Risa Zahra; Nur Triandini; Febrina Alya Kamila

doi:10.69693/ijmst.v4i3.14308

Authors

Syilfia Hasti Sekolah Tinggi Ilmu Farmasi Riau
E Yustarie Hasmiarsih Sekolah Tinggi Ilmu Farmasi Riau
Afiza Kiki Ramadhani Sekolah Tinggi Ilmu Farmasi Riau
Fara Difa Adella Sekolah Tinggi Ilmu Farmasi Riau
Risa Zahra Sekolah Tinggi Ilmu Farmasi Riau
Nur Triandini Sekolah Tinggi Ilmu Farmasi Riau
Febrina Alya Kamila Sekolah Tinggi Ilmu Farmasi Riau

DOI:

https://doi.org/10.69693/ijmst.v4i3.14308

Keywords:

Anemia Kehamilan, Tablet Tambah Darah, Kecacingan, Obat Cacing, Ibu Hamil

Abstract

Anemia pada kehamilan merupakan kondisi yang memerlukan evaluasi menyeluruh ketika respons terhadap Tablet Tambah Darah (TTD) belum optimal. Studi kasus ini bertujuan menguraikan kondisi klinis dan perkembangan kadar hemoglobin, menganalisis rasionalitas penggunaan TTD dan kalsium laktat, serta mengevaluasi pertimbangan pemberian obat cacing dan Drug Related Problems pada ibu hamil dengan kemungkinan kecacingan. Metode yang digunakan adalah studi kasus deskriptif berdasarkan data subjektif, objektif, pemeriksaan laboratorium, riwayat pengobatan, pemantauan kunjungan antenatal care pada Ny. D berusia 29 tahun di Puskesmas Sail pada Maret–Mei 2026, serta telaah literatur dan pedoman terkait anemia kehamilan dan obat antihelmintik. Hasil menunjukkan kadar hemoglobin 10,2 g/dL pada 2 Maret 2026 dan 10,1 g/dL pada 13 Mei 2026, sehingga anemia masih berlangsung dan respons TTD belum optimal. Pasien telah menerima 180 tablet TTD, sedangkan terapi terdiri atas TTD 2 kali sehari dan kalsium laktat 500 mg sekali sehari. Kalsium perlu diberikan terpisah dari TTD dengan jeda minimal 2 jam untuk mengurangi hambatan absorpsi zat besi. Kemungkinan kecacingan belum dapat dipastikan karena pemeriksaan feses belum dilakukan. Kesimpulannya, penanganan memerlukan optimalisasi penggunaan TTD, edukasi kepatuhan, pemisahan waktu TTD dan kalsium, pemantauan Hb, serta pemeriksaan feses sebelum mempertimbangkan antihelmintik. Jika infeksi terkonfirmasi setelah trimester pertama, albendazole atau mebendazole dapat dipertimbangkan sesuai indikasi dan penilaian manfaat-risiko.

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