Differences in Hemoglobin Levels Using Point-of-Care Testing in Capillary and Venous Blood Samples of Pregnant Women

  • I Dewa Gede Aditya Satria Darma Putra Wira Medika Bali Institute of Health Sciences
  • Putu Ayu Parwati Wira Medika Bali Institute of Health Sciences
  • Ni Komang Sukra Andini Wira Medika Bali Institute of Health Sciences
Keywords: Hemoglobin,, Capillary Blood, Venous Blood, Point-of-Care Testing (POCT)

Abstract

Background: Hemoglobin level examination in pregnant women is essential to prevent complications associated with anemia during pregnancy. Differences in sampling methods, particularly capillary and venous blood, may influence the accuracy of results obtained using Point-of-Care Testing (POCT). This study aimed to determine the differences in hemoglobin levels measured using POCT between capillary and venous blood samples in pregnant women at UPTD Puskesmas Kuta II.

Methods : This research employed a simple experimental design with a total sample of 30 pregnant women selected using a quota sampling technique. Hemoglobin levels were measured using a POCT device for both capillary and venous blood samples. Data were analyzed using univariate and bivariate analysis with the Paired Sample T-Test.

Results: The results showed that the mean hemoglobin level in capillary blood was 12.5 g/dL, while in venous blood it was 12.2 g/dL. Statistical analysis indicated a significant difference between the two measurements (p-value < 0.001). The higher hemoglobin level in capillary blood may be attributed to differences in oxygen distribution between capillary and venous circulation.

Conclusion :  In conclusion, there is a significant difference in hemoglobin levels measured using POCT between capillary and venous blood samples in pregnant women.

Downloads

Download data is not yet available.

References

Andini, N. K. S. (2022). Comparison of hemoglobin examination results using point-of-care testing (POCT) and hematology analyzer in anemia patients.

Chalisa. (2021). Comparison of hemoglobin levels using Sahli method and point-of-care testing (POCT).

Dinas Kesehatan Provinsi Bali. (2025). Profil kesehatan Provinsi Bali tahun 2024.

Fauzi, A., et al. (2024). Comparison of hemoglobin levels using point-of-care testing (POCT) and hematology analyzer in normal and anemic patients.

Kementerian Kesehatan Republik Indonesia. (2023). Pedoman pelayanan antenatal dan pemeriksaan laboratorium ibu hamil.

Puspitasari, D., et al. (2020). Comparison of hemoglobin examination results between point-of-care testing and cyanmethemoglobin method in pregnant women.

Neufeld, L. M., Larson, L. M., Kurpad, A., Mburu, S., Martorell, R., & Brown, K. H. (2019). Hemoglobin concentration and anemia diagnosis in venous and capillary blood: Biological basis and policy implications. Annals of the New York Academy of Sciences, 1450(1), 172–189. https://doi.org/10.1111/nyas.14139

Rappaport, A. I., Karakochuk, C. D., Hess, S. Y., Whitehead, R. D., Namaste, S. M. L., Dary, O., et al. (2021). Variability in haemoglobin concentration by measurement tool and blood source: An analysis from seven countries. Journal of Clinical Pathology, 74(10), 657–663. https://doi.org/10.1136/jclinpath-2020-206717

Yu, C. H., & Lam, S. K. T. (2024). Comparison of capillary and venous hemoglobin measurement using point-of-care testing. Hong Kong Journal of Emergency Medicine.

Whitehead, R. D., Zhang, M., Sternberg, M. R., Schleicher, R. L., Drammeh, B., Mapango, C., & Pfeiffer, C. M. (2017). Effects of preanalytical factors on hemoglobin measurement: A comparison of two HemoCue point-of-care analyzers. Clinical Biochemistry, 50(9), 513–520. https://doi.org/10.1016/j.clinbiochem.2017.04.006

Garcia-Casal, M. N. (2023). Hemoglobin measurement and anemia diagnosis: Challenges and opportunities. Annals of the New York Academy of Sciences.

Larson, L. M., Braat, S., Hasan, M. I., Mwangi, M. N., Estepa, F., Hossain, S. J., et al. (2021). Preanalytic and analytic factors affecting hemoglobin measurement: Implications for anemia prevalence. BMJ Global Health, 6(7), e005756. https://doi.org/10.1136/bmjgh-2021-005756

De la Cruz-Góngora, V., Méndez-Gómez-Humarán, I., Gaona-Pineda, E. B., Shamah-Levy, T., & Dary, O. (2022). Drops of capillary blood are not appropriate for hemoglobin measurement with point-of-care devices. Nutrients, 14(24), 5346.

Patel, K., et al. (2026). Comparison of hemoglobin measurement using HemoCue and laboratory analyzer. American Journal of Clinical Nutrition.

Published
2026-10-01
How to Cite
I Dewa Gede Aditya Satria Darma Putra, Putu Ayu Parwati, & Ni Komang Sukra Andini. (2026). Differences in Hemoglobin Levels Using Point-of-Care Testing in Capillary and Venous Blood Samples of Pregnant Women. Journal of Applied Holistic Nursing Science, 3(1), 1-6. https://doi.org/10.70920/jahns.v3i1.456