GAMBARAN INSIDENSI HBSAG PADA IBU HAMIL DI PUSKESMAS TULANGAN SIDOARJO
DOI:
https://doi.org/10.51878/cendekia.v6i4.15710Keywords:
HBsAg, Imunokromatrografi, Ibu HamilAbstract
Hepatitis B in pregnant women requires attention because infection with the Hepatitis B virus (HBV) can be transmitted from mother to infant and may develop into chronic infection. Therefore, Hepatitis B surface antigen (HBsAg) screening during antenatal care (ANC) is important for early detection and the prevention of mother-to-child transmission. This study aimed to determine the incidence of HBsAg among pregnant women at Tulangan Community Health Center, Sidoarjo, and describe respondents’ characteristics according to age, gestational age, and gravidity. A descriptive study design with purposive sampling was employed, involving 38 pregnant women from a population of 60 women attending ANC services between March and April 2026. HBsAg screening was performed using an immunochromatographic rapid test. Data were analyzed descriptively and presented as frequency distributions and percentages. The results showed that 1 respondent (2.6%) tested reactive for HBsAg, while 37 respondents (97.4%) tested non-reactive. The reactive case occurred in a woman aged 26–35 years, in the second trimester, and classified as secundigravida. In conclusion, the proportion of reactive HBsAg results among the respondents was 2.6%. Routine HBsAg screening during pregnancy is important to support early detection and prevent mother-to-child transmission of hepatitis B.
ABSTRAK
Hepatitis B pada ibu hamil perlu mendapat perhatian karena infeksi virus hepatitis B (Hepatitis B Virus/HBV) dapat ditularkan dari ibu kepada bayi dan berisiko berkembang menjadi infeksi kronis. Oleh karena itu, pemeriksaan Hepatitis B Surface Antigen (HBsAg) melalui pelayanan antenatal care (ANC) penting dilakukan untuk mendukung deteksi dini dan pencegahan penularan. Penelitian ini bertujuan untuk mengetahui insidensi HBsAg pada ibu hamil di Puskesmas Tulangan, Sidoarjo, serta menggambarkan karakteristik responden berdasarkan umur, umur kehamilan, dan paritas. Penelitian menggunakan desain deskriptif dengan teknik purposive sampling terhadap 38 ibu hamil dari populasi 60 ibu hamil yang menjalani pemeriksaan ANC pada Maret–April 2026. Pemeriksaan HBsAg dilakukan menggunakan metode imunokromatografi dengan rapid test. Data dianalisis secara deskriptif dan disajikan dalam bentuk distribusi frekuensi serta persentase. Hasil penelitian menunjukkan bahwa 1 responden (2,6%) memiliki hasil HBsAg reaktif, sedangkan 37 responden (97,4%) nonreaktif. Kasus reaktif ditemukan pada kelompok umur 26–35 tahun, trimester II, dan secundigravida. Disimpulkan bahwa proporsi hasil HBsAg reaktif pada responden yang diteliti sebesar 2,6%. Pemeriksaan HBsAg secara rutin diperlukan untuk mendukung deteksi dini dan pencegahan penularan hepatitis B dari ibu kepada bayi.
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References
Aliasi-Sinai, L., Worthington, T., Lange, M., & Kushner, T. (2023). Maternal-to-child transmission of hepatitis B virus and hepatitis delta virus. Clinics in Liver Disease, 27(4), 917–935. https://doi.org/10.1016/j.cld.2023.05.007
Apriadi, D. (2021). Analisis faktor keikutsertaan screening hepatitis B pada ibu hamil. Jurnal SAGO Gizi dan Kesehatan, 3(1). https://doi.org/10.30867/gikes.v3i1.717
Astutik, S. W., Suryoputro, A., & Shaluhiyah, Z. (2021). Evaluasi pelaksanaan prevention of mother to child transmission (PMTCT): Literature review. Jurnal Ilmu Keperawatan dan Kebidanan, 12(2), 236–241. https://jurnal2.umku.ac.id/index.php/jikk/article/view/981
Denando, K. R., & Cahyati, W. H. (2022). Faktor risiko hepatitis B pada ibu hamil di Kota Semarang tahun 2020–2021. Jurnal Kesehatan Masyarakat (Undip), 10(6). https://doi.org/10.14710/jkm.v10i6.35961
Dinas Kesehatan Kabupaten Sidoarjo. (2025). Profil kesehatan Kabupaten Sidoarjo 2024.
Funk, A. L., Lu, Y., Yoshida, K., Zhao, T., Boucheron, P., van Holten, J., Chou, R., Bulterys, M., & Shimakawa, Y. (2021). Efficacy and safety of antiviral prophylaxis during pregnancy to prevent mother-to-child transmission of hepatitis B virus: A systematic review and meta-analysis. The Lancet Infectious Diseases, 21(1), 70–84. https://doi.org/10.1016/S1473-3099(20)30586-7
Ginting, T. M., & Kurniawan, M. R. (2020). Pengaruh hepatitis B (HBsAg) pada ibu hamil terhadap [judul artikel perlu diverifikasi]. BSJ: Binawan Student Journal, 2(1), 221–225. https://doi.org/10.54771/bsj.v2i1.113
Girawan, D., Judistiani, R. T. D., Risan, N. A., Bestari, M. B., Nugraha, E. S., Ermaya, Y. S., & Prasetyo, D. (2020). The high prevalence of negative hepatitis B surface antibody (anti-HBs) among pregnant women in Bandung, Indonesia: A community-based study. International Journal of Hepatology, 2020, Article 3414869. https://doi.org/10.1155/2020/3414869
Hidayah, N. (2025). Hubungan pengetahuan ibu dengan kelengkapan imunisasi hepatitis B pada bayi. [Nama jurnal perlu diverifikasi], 5(1), 60–65. https://doi.org/10.56313/94s6cc46
Kementerian Kesehatan Republik Indonesia. (2022). Profil kesehatan Indonesia 2021. https://repository.kemkes.go.id/book/828
Lestari, W. S. (2022). Tingkat infeksi hepatitis B pada ibu hamil di Puskesmas Rawat Inap Purwodadi Tebing Tinggi Kabupaten Tanjung Jabung Barat. Prosiding Asosiasi Institusi Pendidikan Tinggi Teknologi Laboratorium Medik Indonesia. https://prosiding.aiptlmi-iasmlt.id/index.php/prosiding/article/view/40
Lu, Q.-B., & Cui, F. (2022). Preventing mother-to-child transmission of HBV. The Lancet Infectious Diseases, 22(8), 1096–1097. https://doi.org/10.1016/S1473-3099(22)00216-X
Matthews, P. C., Ocama, P., Wang, S., El-Sayed, M., Turkova, A., Ford, D., Torimiro, J., Garcia Ferreira, A. C., Espinosa Miranda, A., De La Hoz Restrepo, F. P., Seremba, E., Mbu, R., Pan, C. Q., Razavi, H., Dusheiko, G., Spearman, C. W., & Hamid, S. (2023). Enhancing interventions for prevention of mother-to-child-transmission of hepatitis B virus. JHEP Reports, 5(8), Article 100777. https://doi.org/10.1016/j.jhepr.2023.100777
Mentari, J., Puteri, M. D., Fathony, Z., & Nurlaila, N. (2024). Faktor risiko dengan kejadian hepatitis B pada ibu hamil di Kota Banjarmasin. Menara Ilmu, 18(2). https://jurnal.umsb.ac.id/index.php/menarailmu/article/view/5559
Nofiani, P., & Sanjaya, R. (2022). Faktor-faktor yang mempengaruhi ibu hamil dalam melakukan pemeriksaan hepatitis B. Journal of Current Health Sciences, 2(2), 67–72. https://doi.org/10.47679/jchs.202216
Nugraha, D. A., & Pramana, T. Y. (2022). Google Trends data analysis of hepatitis B and their correlation with hepatitis B early detection program for pregnant women in Indonesia. Berita Kedokteran Masyarakat, 38(4), 107–112. https://doi.org/10.22146/bkm.v38i04.4413
Sintusek, P., Wanlapakorn, N., & Poovorawan, Y. (2023). Strategies to prevent mother-to-child transmission of hepatitis B virus. Journal of Clinical and Translational Hepatology, 11(4), 967–974. https://doi.org/10.14218/JCTH.2022.00332
Tangkelangi, M., Wuan, A. O., & Rogaleli, Y. C. L. (2023). Prevalence and risk factor of hepatitis B among pregnant women in Prof. Dr. W. Z. Johannes Hospital Kupang, East Nusa Tenggara, Indonesia. Jurnal Bidan Cerdas, 5(4), 220–226. https://doi.org/10.33860/jbc.v5i4.3262
Utama, T. G., & Defrin, D. (2022). Prevalence of pregnant women with reactive HBsAg in Padang City in 2019. Andalas Obstetrics and Gynecology Journal, 6(1), 21–26. https://doi.org/10.25077/aoj.6.1.21-26.2022
Zeleke, E. D., Assefa, D. G., Joseph, M., Bekele, D., Tesfahunei, H. A., Getachew, E., & Manyazewal, T. (2021). Tenofovir disoproxil fumarate for prevention of mother-to-child transmission of hepatitis B virus: A systematic review and meta-analysis of randomised control trials. Reviews in Medical Virology, 31(5), 1–16. https://doi.org/10.1002/rmv.2216
