Latar Belakang: Post partum dikategorikan sebagai sindroma gangguan mental yang ringan yang terjadi pada masa nifas. Namun sering tidak diperdulikan sehingga tidak terdiagnosis dan tidak ditindak lanjuti sebagaimana seharusnya. Padahal keadaan ini bisa menjadi serius dan bisa bertahan dua minggu sampai satu tahun serta akan berlanjut menjadi depresi dan psikosis post partum. Prevalensi kejadian post partum blues di Indonesia cukup tinggi dengan prevalensi 50-70%. Banyak faktor yang mempengaruhi kejadian post partum blues diantaranya usia, paritas, pekerjaan, pendidikan, pendapatan, dukungan suami dan keluarga dan status kehamilan.Tujuan: Tujuan penelitian ini adalah untuk mengetahui faktor determinan yang mempengaruhi kejadian post partum blues pada ibu nifas di wilayah kerja Puskesmas Ibuh Kota Payakumbuh tahun 2019. Jenis penelitian ini adalah deskriptif korelatif. Penelitian ini dilakukan di wilayah kerja Puskesmas Ibuh pada bulan Mei-Juli 2019. Populasi dari penelitian ini adalah ibu nifas hari ke 2-7.Metode: Teknik pengambilan sampel dengan cara consecutive sampling. Instrumen penelitian yang digunakan berupa kuesioner EPDS (Edinburgh Postnatal Depressions Scale) untuk mengukur kejadian post partum blues pada ibu nifas. Teknik analisis data yang digunakan adalah chi square dan regresi logistic berganda.Hasil: Hasil analisis bivariat didapatkan tiga variabel independen yang berhubungan dengan variable dependen yaitu usia, pekerjaan dan status kehamilan. Hasil analisis multivariat didapatkan bahwa faktor determinan yang mempengaruhi kejadian post partum blues adalah status kehamilan dengan nilai OR 20,598.Simpulan: Upaya yang bisa dilakukan untuk mencegah kejadian post partum blues dengan pemberian pendidikan kesehatan mengenai perubahan psikologis dan persiapan menghadapi persalinan yang diberikan petugas kesehatan kepada ibu hamil.Kata Kunci: ibu nifas, Post partum blues Background: Post partum is categorized as a mild mental disorder syndrome that occurs during the puerperium. However, it is often ignored so it is not diagnosed and not followed up as it should. Though this situation can be serious and can last two weeks to one year and will continue to be depression and post partum psychosis. The prevalence of post partum blues in Indonesia is quite high with a prevalence of 50-70%. Many factors affect the incidence of post partum blues including age, parity, work, education, income, husband and family support and pregnancy status. Objective: The purpose of this study was to determine the determinant factors that influence the incidence of post partum blues in postpartum mothers in the working area of Ibuh Payakumbuh City Health Center in 2019. This type of research is descriptive correlative. This research was conducted in the working area of Ibuh Public Health Center in May-July 2019. The population of this study was post-partum mothers day 2-7. The sampling technique is by consecutive sampling. Method: The research instrument used was a questionnaire EPDS (Edinburgh Postnatal Depressions Scale) to measure the incidence of post partum blues in postpartum mothers. Data analysis techniques used are chi square and multiple logistic regression. Results: The results of the bivariate analysis found three independent variables related to the dependent variable, namely age, occupation and pregnancy status. The results of multivariate analysis found that the determinant factor that influenced the incidence of post partum blues was pregnancy status with an OR value of 20.598. Conclusion: Efforts can be made to prevent the post partum blues incident by providing health education regarding psychological changes and preparation for childbirth provided by health workers to pregnant mothers. Keywords: Post partum blues, postpartum mothers
Saat ini dunia sedang menghadapi sebuah wabah yang bernama Corona Virus Disease atau yang disingkat dengan Covid-19, dan terjadi pada akhir tahun 2019. Merebaknya pandemi Covid-19 di Indonesia berdampak terhadap pelayanan kesehatan reproduksi perempuan diantaranya pelayanan pada Ibu hamil, bersalin, Nifas dan pelayanan Keluarga Berencana (KB). Pelayanan kesehatan ibu hamil, bersalin, nifas dan bayi baru lahir di masa pandemi COVID-19 diselenggarakan dengan mempertimbangkan pencegahan penularan virus corona baik bagi ibu, bayi maupun tenaga kesehatan. Penelitian ini bertujuan untuk mengetahui ada hubungan pengetahuan dengan persepsi ibu hamil terhadap vaksinasi covid-19. Desain penelitian ini adalah analitik observasional dengan metode crosssectional. Populasi pada penelitian ini adalah semua ibu hamil dan ibu nifas di BPM Padang Panjang. Sampel dari penelitian ini diambil menggunakan teknik simple random sampling dan diambil secara proposional random sampling dengan jumlah 143 orang. Pengumpulan data dilakukan melalui kusioner, kemudian dilakukan pengolahan menggunakan Chi-Square. Hasil penelitian ini yaitu terdapat hubungan yang signifikan antara pengetahuan dengan persepsi ibu hamil dan ibu nifas tentang vaksin covid-19 (p-value =0.012). Disarankan kepada petugas kesehatan khususnya bidan untuk dapat memberikan informasi secara menyeluruh kepada ibu hamil dan keluarga ibu hamil tentang kegunaan, keamanan dan semua informasi terbaru mengenai vaksin-19. Disamping memberikan informasi, bidan juga diharapkan untuk memberikan motivasi kepada ibu hamil agar ibu hamil bersedia untuk di vaksin
AbstrakKehamilan dengan Ketuban Pecah Dini (KPD) masih merupakan masalah penting dalam bidang obstetri, karena berkaitan dengan penyulit atau komplikasi yang dapat meningkatkan morbiditas serta mortalitas maternal dan perinatal. Salah satu faktor risiko KPD yaitu infeksi. C-reactive protein (CRP) merupakan salah satu protein yang meningkat pada saat terjadi infeksi. Tujuan penelitian ini adalah menentukan perbedaan kadar CRP serum ibu pada kehamilan aterm KPD dan normal. Penelitian ini merupakan penelitian observasional dengan rancangan cross sectional. Dilaksanakan di Ruang Kebidanan RSUD Dr. Achmad Mochtar Bukittinggi tahun 2014. Sampel penelitian ini adalah ibu hamil aterm dengan jumlah 60 orang yang diambil dengan Consecutive Sampling, sampel dibagi menjadi 2 kelompok yaitu ibu hamil ketuban pecah dini dan ibu hamil normal. Pemeriksaan kadar CRP dengan menggunakan metode ELISA. Data dianalisa menggunakan t-test independent, dan nilai p<0.05 dianggap bermakna secara statistik.Rerata kadar CRP serum pada kelompok KPD adalah 12,40±0,70 dan pada kelompok hamil normal adalah 6,44+2,36.Hasil uji independen t-test menunjukan terdapat perbedaan bermakna rerata kadar CRP serum antara kelompok KPD dengan kelompok kehamilan normal (p<0,05).Kata Kunci: C-reactive protein, ketuban pecah dini, kehamilan normal AbstractPregnancy with prematur rupture of membrane (PROM) still become an important matter in obstetric, as it relates to complication which can increase maternal and perinatal morbidity and mortality. Infection is one of many risk factors of PROM. C-reactive protein is a protein which elevated when there is an infection. The objective of this study was to determine the difference of maternal C -reactive protein serum levels in term pregnancy with prematur rupture of membrane and normal pregnancy. This is an observational study with cross-sectional design. This study takes place in maternity room of RSUD Dr. Achmad Mochtar Bukittinggi in 2014. Samples in this study are 60 aterm pregnant women which have been chosen by consecutive sampling, samples divided with pregnant women with PROM and normal pregnant women. CRP levels measured with ELISA method. Data were analyzed using analysis of independent t-test, and p<0.05 was considered to be significantly different. CRP serum levels mean in term pregnancy with PROM group is 12.40±0.70 and in normal pregnancy group is 6.44+2.36. Independent t-test analysis showed that there was significant difference of maternal C -reactive protein serum levels between in term pregnancy with PROM and normal pregnancy with p value < 0.05.
<em>Exclusive breast milk is the best food for baby growth and development at the age of 0-6 months. Given the enormous benefits of exclusive breastfeeding, the Indonesian government targets the coverage of exclusive breastfeeding to be 80%. The purpose of this study was to determine the factors associated with exclusive breastfeeding for working mothers in the Tigo Baleh Health Center Work Area, Bukitinggi City. The factors studied were knowledge, lactation facilities, attitudes, and husband's support. This study is an analytic observational study with a retrospective cross sectional design involving 42 respondents. The sample was taken by purposive sampling technique using a questionnaire. Data analysis used univariate , bivariate and multivariate analysis. The results showed that there was not a relationship between education (p-value 0.128), there was a lactation facilities (p-value 0.001), attitude (p-value 0.006), and husband's support (p-value 0.005) on exclusive breastfeeding for working mothers in the region. Tigo Baleh Public Health Center in Bukitinggi City. Multivariate analysis obtained factors that influence breastfeeding, namely lactation facilities (p-value 0.003) and attitudes (p-value 0.009). It is hoped that there will be an increase in the support of health workers to carry out health promotion, so that when working mothers return to work, these mothers already have preparations to continue to give exclusive breastfeeding so that exclusive breastfeeding for working mothers will increase</em><em>Exclusive breast milk is the best food for baby growth and development at the age of 0-6 months. Given the enormous benefits of exclusive breastfeeding, the Indonesian government targets the coverage of exclusive breastfeeding to be 80%. The purpose of this study was to determine the factors associated with exclusive breastfeeding for working mothers in the Tigo Baleh Health Center Work Area, Bukitinggi City. The factors studied were knowledge, lactation facilities, attitudes, and husband's support. This study is an analytic observational study with a retrospective cross sectional design involving 42 respondents. The sample was taken by purposive sampling technique using a questionnaire. Data analysis used univariate , bivariate and multivariate analysis. The results showed that there was not a relationship between education (p-value 0.128), there was a lactation facilities (p-value 0.001), attitude (p-value 0.006), and husband's support (p-value 0.005) on exclusive breastfeeding for working mothers in the region. Tigo Baleh Public Health Center in Bukitinggi City. Multivariate analysis obtained factors that influence breastfeeding, namely lactation facilities (p-value 0.003) and attitudes (p-value 0.009). It is hoped that there will be an increase in the support of health workers to carry out health promotion, so that when working mothers return to work, these mothers already have preparations to continue to give exclusive breastfeeding so that exclusive breastfeeding for working mothers will increase</em>
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