The level of knowledge and behavior of pregnant women regarding anemia during pregnancy affects how they maintain their pregnancies, therefore, the occurrence of anemia during pregnancy can be prevented. This study was aimed to obtain the knowledge and attitudes of pregnant women in preventing anemia in pregnancy in Indonesia. This was a literature review study by using four databases, as follows: Pubmed, ClinicalKey, ScienceDirect, and Google Scholar. Keywords used were anemia AND pregnant woman AND knowledge OR attitude AND Indonesia in Pubmed, ClinicalKey, and ScienceDirect; and anemia AND pregnant women AND knowledge AND attitudes in Google Scholar. There were 11 literatures selected in this study. According to the knowledge of pregnant women about anemia, five literatures showed that the majority of pregnant women had sufficient knowledge, the other four literatures showed poor knowledge, while good knowledge was obtained in two literatures. According to attitude, seven studies got positive attitudes, three studies got negative attitudes, and one study got the same number of positive and negative attitudes. In conclusion, the majority of pregnant women in several regions in Indonesia have sufficient knowledge about anemia and its prevention, and have a positive attitude towards anemia prevention in pregnancy.Keywords: knowledge, attitudes, pregnant women, anemia. Abstrak: Tingkat pengetahuan dan perilaku ibu hamil mengenai anemia saat kehamilan berpengaruh terhadap cara ibu hamil menjaga kehamilannya sehingga dapat membantu dalam mencegah anemia selama kehamilan. Penelitian ini bertujuan untuk mengetahui gambaran pengetahuan dan sikap ibu hamil dalam pencegahan anemia pada kehamilan di Indonesia. Jenis penelitian ialah literature review dengan pencarian literatur menggunakan empat database yaitu Pubmed, ClinicalKey, ScienceDirect dan Google Scholar. Kata kunci yang digunakan yaitu anemia AND pregnant woman AND knowledge OR attitude AND Indonesia pada Pubmed, ClinicalKey, dan ScienceDirect, dan menggunakan kata kunci anemia AND ibu hamil AND pengetahuan AND sikap pada Google Scholar. Hasil seleksi mendapatkan 11 literatur yang diteliti. Hasil penelitian mendapatkan bahwa menurut pengetahuan ibu hamil mengenai anemia, lima penelitian menunjukkan mayoritas ibu hamil memiliki pengetahuan cukup, empat literatur lainnya menunjukkan hasil pengetahuan buruk, sedangkan hasil pengetahuan baik didapatkan pada dua penelitian. Menurut sikap, tujuh penelitian mendapat hasil sikap positif, tiga penelitian mendapat hasil sikap negatif, dan satu penelitian mendapat hasil yang sama banyak untuk positif dan negatif. Simpulan penelitian ini ialah mayoritas ibu hamil di beberapa daerah di Indonesia memiliki pengetahuan cukup mengenai anemia dan pencegahan, serta memiliki sikap positif terhadap pencegahan anemia pada kehamilan.Kata kunci: pengetahuan, sikap, ibu hamil, anemia
This study aimed to evaluate obstetric cases referred to Prof. Dr. R. D. Kandou Central General Hospital Manado as a reference center in North Sulawesi. This study was a retrospective-descriptive study with all single delivery cases both vaginal and caesarean section delivery which had complete medical record data at January 1 – December 31, 2018 period in the Obstetrics Department of Prof. Dr. R. D. Kandou Hospital Manado. From the results of research, the number of single deliveries was 1357 cases of labor, with 629 vaginal delivery and 728 caesarean section. Distribution based on age, parity, birth weight, APGAR score and address by delivery between vaginal delivery and caesarean section had no significant differences (p > 0.05). Perinatal death was 37 cases (27.52 ‰), with 18 cases vaginal delivery (13.39 ‰) and 19 cases caesarean section (14.13 ‰). In the distribution of maternal deaths there were 1344 live births with 17 maternal deaths, thus the maternal mortality rate was 12.64 ‰. In conclusion, based on the analysis, there was no relationship between age, parity, birth weight, APGAR score, address with deliveryKeywords : referral, obstetrics, system, maternal. Abstrak: Penelitian ini bertujuan mengevaluasi kasus-kasus obstetri yang dirujuk ke RSUP Prof. Dr. R.D. Kandou Manado sebagai pusat rujukan di Sulawesi Utara. Metode penelitian berupa tinjauan deskriptif retrospektif semua persalinan tunggal per vaginam dan seksio sesarea dengan menggunakan data rekam medik di Bagian Obstetri & Ginekologi RSUP Prof. Dr. R.D. Kandou Manado periode 1 Januari – 31 Desember 2018. Diperoleh hasil 1357 persalinan tunggal yang terdiri dari 629 persalinan per vaginam dan 728 persalinan seksio sesarea. Distribusi berdasarkan usia, paritas, berat badan lahir, APGAR skor dan alamat tempat tinggal dengan cara persalinan antara per vaginam dan seksio sesarea tidak terdapat perbedaan yang bermakna (p > 0,05). Didapatkan angka kematian perinatal sebesar 37 kasus (27,52‰) yaitu per vaginam 18 kasus (13,39‰), sedangkan seksio sesarea 19 kasus (14,13‰). Terdapat 17 kasus kematian maternal dari 1344 kelahiran hidup, sehingga angka kematian maternal adalah 12,64‰. Sebagai simpulan, berdasarkan analisa, maka tidak ditemukan adanya hubungan antara umur, paritas, berat badan lahir, skor APGAR, alamat tempat tinggal dengan cara persalinan.Kata kunci: rujukan, obstetri, sistem, maternal
The prevalence of caesarian section (C-section) in Indonesia is increasing continuously from 7% reported by SDKI 2007 to 17% reported by SDKI 2017. This study was aimed to obtain the indication of C-section at Prof. Dr. R.D. Kandou Hospital Manado in years 2017 and 2018. This was a descriptive and retrospective study. The results showed that of total 2822 deliveries in 2017 and 2018, the C-section was performed on 694 patients (49.64%) in 2017 and on 736 patients (51.69%) in 2018. The most common maternal indication for C-section among 424 patients (42.7%) was previous C-section in 107 patients (25,23%) meanwhile the most common fetal indication among 379 patients (38.17%) was fetal distress in 205 patients (54.09%). Moreover, the most common combined indication among 190 patients (19.13%) were severe preeclampsia and fetal distress in 40 patients (21.05%). In conclusion, the most common indications of C-section were previous C-section, fetal distress, and of the combined indication were severe pre eclampsia and fetal distress.Keywords: C-section, maternal indication, fetal indication, combined indication Abstrak: Angka persalinan seksio sesarea di Indonesia terus meningkat, dengan persentase 7% pada SDKI 2007 menjadi 17% pada SDKI 2017 Penelitian ini bertujuan untuk mengetahui indikasi dilakukannya seksio sesarea di RSUP Prof. Dr. R.D. Kandou Manado tahun 2017 dan 2018. Jenis penelitian ialah deskriptif retrospektif. Hasil penelitian mendapatkan dari total 2822 persalinan pada tahun 2017 dan 2018, angka kejadian seksio sesarea ialah 694 pasien (49,64%) pada tahun 2017 dan 736 pasien (51,69%) pada tahun 2018. Indikasi ibu sebanyak 424 pasien (42,7%), paling banyak disebabkan oleh riwayat seksio sesarea sebelumnya sebanyak 107 pasien (25,23%). Indikasi janin sebanyak 379 pasien (38,17%), paling banyak disebabkan oleh gawat janin sebanyak 205 pasien (54,09%). Indikasi gabungan sebanyak 190 pasien (19,13%), paling banyak disebabkan oleh preeklamsi berat (PEB) dan gawat janin pada 40 pasien (21,05%). Simpulan penelitian ini ialah pada persalinan seksio sesarea, indikasi ibu terbanyak ialah riwayat seksio sesarea; indikasi janin terbanyak ialah gawat janin; dan indikasi gabungan terbanyak ialah preeklamsi berat dan gawat janin.Kata kunci: seksio sesarea, faktor ibu, faktor janin, faktor gabungan
HIGHLIGHTS 1. One indicator of progress in a country's health is maternal mortality rate.2. The characteristics of maternal mortality were examined in a regional hospital in North Sulawesi, Indonesia3. Eclampsia was found to provide the most contribution to maternal mortality cases in the hospital. ABSTRACT Objectives: To determine the characteristics of maternal deaths at Prof. dr. R.D. Kandou Hospital, Manado, Indonesia, from January 1 to December 31, 2019. Materials and Methods: This was a retrospective descriptive study. Data were taken from the patient's medical record at Prof. dr. R.D. Kandou Hospital, Manado, in the period of January 1, to December 31, 2019. Results: From January 1 to December 31, 2019 in Prof. dr. R.D. Kandou Hospital, Manado, there were1.215 single live births, with maternal mortality of 22 cases. In the distribution of characteristics based on age, most patients had age range of 20-34 years with a total of 15 patients (68.18%) and parity 2 - 4 with a total of 21 patients (95,45%), Antenatal Care (ANC) of 1 – 3 times visit in a total of 11 cases (50%), and most came from outside the city of Manado with a total of 12 patients (54.54%). The most common cause of maternal death was due to eclampsia, comprising 8 cases (36.36%). Conclusion: Maternal death cases in Obstetrics and Gynecology Department of Prof. dr. R.D. Kandou Hospital, Manado, Indonesia, in 2019 reached 22 cases per 1.215 live births. Eclampsia was still the leading cause of maternal death.
Abstract Objective: To compare maternal death in RSUD dr. Aloei Saboe Gorontalo before BPJS (in 2011-2013) and after BPJS (2014-2016)Methods: Descriptive Retrospective. Data in this study obtained from the secondary data. This data obtained by the researcher from medical records in RSUD Prof. Dr. Aloei Saboe Gorontalo.Results: In this study, the number of delivery in hospitals Prof. Dr. Aloei Saboe before BPJS (2011-2013) of 7906 deliveries of live births after 7735 and health services BPJS (years 2014-2016) of 6493 deliveries of live births BPJS 6333. Maternal mortality before and after as many as 34 cases BPJS many as 42 cases, so we get the MMR before BPJS 4.39 ‰ and 6.63 ‰ after BPJS.Conclusion: There is a significant increase in maternal mortality rate in Prof. Dr. Aloei Saboe Gorontalo (p = 0.036), after BPJS maternal mortality (years 2014-2016) was 42 cases, compared with a prior health services BPJS (2011-2013) was 34 cases. This increase occurred because of a referral system BPJS make the decreasing number of births was in the hospital decreased, and hospitals Prof. Dr. Aloei Saboe a referral centre in Gorontalo province and surrounding areas.Keywords: death, BPJS, maternal, mortality. Abstrak Tujuan: Untuk membandingkan kematian maternal di RSUD Prof. Dr. Aloei Saboe sebelum BPJS (2011-2013) dan sesudah layanan kesehatan BPJS (2014-2016).Metode: Deskriptif Retrospektif. Jenis data yang digunakan dalam penelitian ini adalah data sekunder yang diperoleh dari rekam medik di RSUD Prof. Dr. Aloei Saboe Gorontalo.Hasil: Pada penelitian ini didapatkan jumlah persalinan di RSUD Prof. Dr. Aloei Saboe sebelum BPJS (2011-2013) sebanyak 7906 persalinan dengan kelahiran hidup 7735 dan sesudah layanan kesehatan BPJS (2014-2016) sebanyak 6493 persalinan dengan kelahiran hidup 6333. Kematian maternal sebelum BPJS sebanyak 34 kasus dan sesudah BPJS sebanyak 42 kasus, sehingga didapatkan AKI sebelum BPJS 4.39 ‰ dan sesudah BPJS 6.63 ‰.Kesimpulan: Ternyata terdapat peningkatan yang bermakna (p=0,036) kematian maternal sesudah BPJS (2014-2016) sebanyak 42 kasus, bila dibandingkan dengan sebelum layanan kesehatan BPJS (2011-2013) sebanyak 34 kasus. Peningkatan ini terjadi karena sistem rujukan BPJS membuat menurunnya jumlah persalinan yang ada dirumah sakit menurun, dan RSUD Prof. Dr. Aloei Saboe merupakan pusat rujukan di propinsi Gorontalo dan sekitarnya.Kata Kunci: BPJS, kematian, maternal,mortalitas
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