In a community-based prospective study, 6275 deliveries resulting in 6084 livebirths, 150 stillbirths (SB) and 167 neonatal deaths (NND) were monitored over a period of 3 years. The risk of an unfavourable outcome (SB or NND) in multiple pregnancies was more than ninefold that of singletons. Teenage mothers and those over 34 years of age ran nearly twice the risk of having an unfavourable outcome of pregnancy compared with mothers aged 20-29 years. First pregnancy and grand-multiparity (greater than eight previous pregnancies) carried a similar risk of an unfavourable outcome compared with mothers with 1-4 previous pregnancies. The most serious risk factor was the adverse outcome of the previous pregnancy. Compared with mothers whose last outcome had resulted in a livebirth surviving at least 30 days, mothers with a previous SB had seven times the risk (adjusted for age and parity) of SB and more than twice the risk of NND in the current pregnancy. Maternal illiteracy was associated with significantly higher risk of NND, and this rate decreased with increasing years of education. Frequency of antenatal visits had a marginally significant effect on the SB rate. Socioeconomic factors, diet and iron supplementation during pregnancy did not seem to affect the outcome.
The preliminary findings of a prospective study of perinatal, neonatal and maternal mortality carried out in a rural community of Sudan are reported. Out of 6275 deliveries monitored over a period of 3 years, 150 stillbirths, 167 neonatal deaths and 27 maternal deaths were observed. An intervention program to upgrade the skills of the village midwives started in the middle of the second year. There was a 25% reduction in the risk of unfavorable outcome of pregnancy (i.e. stillbirth and neonatal death) in the third year relative to the first 2 years. Peer review of the 40 village midwives who took part in the study revealed their tremendous potentials in mobilization of mothers as well as participation in primary health care. Their role in detection of high risk pregnancies and newborns cannot be overemphasized.
Angka kematian bayi merupakan salah satu indicator RPJMN dan SDGs. Tujuan yang dimaksud adalah menurunkan angka kematian bayi menjadi 24/1000 KH. Wilayah kerja Puskesmas Bulurokeng belum optimal melakukan pijat bayi. Salah satu upaya untuk meningkatkan kualitas hidup bayi yaitu melakukan pijat bayi. Kegiatan pengabdian dimaksudkan untuk mengoptimalkan pijat bayi cara Johnson dan India di wilayah Puskesmas tersebut melalui peningkatan pengetahuan dan keterampilan petugas Kesehatan dan kader posyandu serta menjadi Inovasi dan kegiatan rutin posyandu. Kegiatan pelatihan dengan metode ceramah, Simulasi, Praktik di lapangan. Tahapannya adalah Pretest-Posttest pengetahuan, dilanjutkan dengan simulasi menggunakan boneka, dilanjutkan dengan demonstrasi menggunakan bayi oleh pengabdi. Hasil post test keterampilan pijat bayi, yaitu semua petugas dan kader Kesehatan yang ikut pelatihan semua mahir pijat bayi cara Johnson dan india, sehingga dicanangkan menjadi produk Inovasi Puskesmas Bulurokeng tahun 2019sampai sekarang.
Angka kematian bayi merupakan salah satu indicator RPJMN dan SDGs. Tujuan yang dimaksud adalah menurunkan angka kematian bayi menjadi 24/1000 KH. Wilayah kerja Puskesmas Bulurokeng belum optimal melakukan pijat bayi. Salah satu upaya untuk meningkatkan kualitas hidup bayi yaitu melakukan pijat bayi. Kegiatan pengabdian dimaksudkan untuk mengoptimalkan pijat bayi cara Johnson dan India di wilayah Puskesmas tersebut melalui peningkatan pengetahuan dan keterampilan petugas Kesehatan dan kader posyandu serta menjadi Inovasi dan kegiatan rutin posyandu. Kegiatan pelatihan dengan metode ceramah, Simulasi, Praktik di lapangan. Tahapannya adalah Pretest-Posttest pengetahuan, dilanjutkan dengan simulasi menggunakan boneka, dilanjutkan dengan demonstrasi menggunakan bayi oleh pengabdi. Hasil post test keterampilan pijat bayi, yaitu semua petugas dan kader Kesehatan yang ikut pelatihan semua mahir pijat bayi cara Johnson dan india, sehingga dicanangkan menjadi produk Inovasi Puskesmas Bulurokeng tahun 2019sampai sekarang
Low birth weight infant mortality is one of the causes of high infant mortality (AKB) in Indonesia. Infant mortality can be prevented by improving the quality of the baby's health through growth and development. One of the efforts to improve the quality of baby health. The study aims to prove the difference in BBLR BB increase through Indian and Johnson way baby massage. The method used is Quasy Experimen with pretest-posttes design. The population is a low birth weight baby born in RSIA Pertiwi Makassar period July – September 2018. The study sample numbered fourteen that met the criteria. Seven babies were massaged the Indian way and seven babies were massaged johnson's way. Massage is done twelve times at intervals three times a week. Fifteen minutes at a time. The instruments used are baby scales and observation sheets. Univariate data analysis showed the average increase in BB for Indian way baby massage was fifty-one percent,while theaverage weight gain for Johnson's way of baby massage was fifty-three percent. Statistical tests with mann-Whitney U, showed that there was no significant difference in BBLR BB increases between indian and johnson massage. The conclusion of this study is the indian and Johnson way baby massage can both increase BB BBLR.
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