Public Health is the resultant from an balance of individual, agent, and environment problems. Individual knowledge and the ability to adapt to the environment vary greatly. The individual awareness and sensibility towards surroundings will contribute to the public health status. Environmental factor in the raining season with high intensity of rainfall cause some risks such as flood. It can be a disaster and destroy the facilities in the area. This can be a transmission media, a new habitat of insects for certain disease, one of them is Leptospirosis. The condition after flood with low level of clean water facilities can make these bacteria live and reproduce, with warm temperatures, neutral pH of water, humidity and also high rainfall. Leptospirosis cases in Indonesia are sufficiently high which in 2019, there are 845 cases with mortality rate for 16.26%. Some factors may affect the number of the case. This research is aimed to know the factors related to the preventive behavior of leptospirosis. It was held in Public Health Center Berbah Yogyakarta. The method of research is quantitative research with design survey method, quasi experiment. The population is the clients visiting to Public Health Center Berbah, with the average number of clients coming are 200 clients/day. The sample is taken by accidental sampling to the clients with the number of daily visits (50 persons). The result shows, that of five analyzed factors, knowledge is the factor related to the preventive behavior of leptospirosis.
HIGHLIGHTS Nearly a quarter of pregnant women experience pregnancy complications during the delivery process Caesarean section delivery is dominant among other methods, and 8.4% of mothers do not have any complications but choosing cesarean section delivery. ABSTRACT Objective: This study aimed to determine the delivery methods, indications and any associations between delivery methods and obstetric complications in Indonesia in 2018. Materials and Methods: This study analyzed data from the Basic Health Research (Riskesdas) 2018. The population and sample were married eligible women of 10 – 54 years old who had children, as many as 78,737 mothers. The variable taken in this study was the problems/complications during pregnancy as the independent variable, and the methods of delivery as the dependent variable. Chi-square test was used for comparison purposes. Logistic regression was run to relationship between complications and delivery methods. Results: Delivery indications were complications during the delivery process (23.23%), premature rupture of membranes (5.07%), obstructed labor (3.37%), transverse fetus (3.09%), bleeding (2.36%), and other complications (3.98%). Methods of delivery were expected delivery (81.45%), cesarean section (17.64%), and with other procedures (0.90%). Conclusion: Complications of labor correlate significantly with the methods of cesarean section. The cesarean section still dominated among other delivery modes, and there are still many mothers who did not have complications or no medical indications but choosing cesarean section delivery.
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