Background: Preeclampsia is one of the risk factors for complications and also contributes to the high rate of morbidity and mortality in mothers and babies. The Maternal Mortality Rate (MMR) at the Mgr. Gabriel Manek Hospital, SVD Atambua has continued to increase in the last three years, from 2017 to 2019. It was recorded that in 2019 there were 126 cases of severe preeclampsia and eclampsia with 5 cases of maternal death and 2 maternal causes of death. is eclampsia. In addition to the factors that cause maternal death, one of the contributing causes of maternal and infant mortality is caused by the speed at which decisions are made in the family. Pregnant women are at risk of experiencing maternal death if during the referral process they experience at least one of the three delays, namely being late in making the decision to be referred. This study aims to determine the factors that influence the delay in decision making in preeclampsia pregnant women. Methods: The type of research is observational analytic with a cross sectional design. Collecting data using primary data with a questionnaire instrument by interview and secondary data obtained from the register of maternity mothers and medical records. The number of samples is 30 respondents. The sampling technique used was total sampling. The data were processed and calculated using frequency tables and cross tabulations and then analyzed using Multiple Logistics Regression Analysis with a significance level of 5% (p = 0.05). Bivariate data analysis used fisher's exact test andtest cramer's v. Results: The results showed that the factors that caused delays in decision making were knowledge having a p-value of 0.006 (OR 2.293, 95% Cl: 0.481-10.918), confidence having a p-value of 95%: 0.002-0.513, health insurance having p-value 0.010 (OR 0.000, 95% Cl: 0.000). Multivariate analysis shows that work is the most dominant factor in delaying decision making compared to other factors, and it can be concluded that the more working mothers, the smaller the delay, and the more mothers who do not work, the greater the delay in making decisions to get health services. . Conclusion: There is a relationship between knowledge, belief, occupation, and health insurance on the delay in decision making.
Adolescence is an important stage the girl’s life which the crucial developmental reproductive such as menstruation and pubertal occur. The peer nowadays has a crucial role in determining the proper health reproductive knowledge due to the lack of information from the family and education system. This study aimed to observe the effectiveness of the trained peer educator compared to the expert educator in delivering reproductive health knowledge. The study was using pre - and post - intervention (quasi - experimental) design. The sample taken by random sampling with the pretest and posttest questionnaire was applied to 98 female students aged 12 to 15 at traditional Islamic boarding school in Sidoarjo, East Java. The participants consisting of 49 students were exposed by the trained peer educator compare to 49 students in which exposed by expert. Wilcoxon Signed Rank Test indicated the significant difference between pretest-posttest in the group were exposed by the trained peer compared by the expert (p=0,001). The Mann Whitney Test indicate there was no significant difference of reproductive health knowledge (p=0,718) between posttest between two groups. In conclusion, the information given by the trained peer educator as effective as the information given by the expert and significantly improved the adolescents' reproductive health knowledge. Therefore, designing the trained peer approach to increase adolescent reproductive health is effective to structure.
Background: The process of giving birth has a risk of perineal rupture. The 4.9% incidence of delayed perineal wound healing resulted from non-fused perineal wounds and clinical infection. This process can be interrupted or recovery delayed due to various factors such as age, nutrition, pain, and poor hygiene. This study aims to analyze the factors that influence the healing process of perineal wounds in postpartum mothers. Method: analytic observational research method with cross sectional approach and analityc statistic Chi-Square. The samples are postpartum woman in Serui Hospital, Papua. The number of samples were 30 respondents with purposive sampling technique. The instrument used was the REEDA scale, the pain scale, the food consumption survey with the 24-hour recall method and the personal hygiene questionnaire. Results: The results of statistical tests showed a relationship between pain with the perineal wound healing process is p 0,017, age with the perineal wound healing process is p 0,000, nutrition with the perineal wound healing process is p 0,000, and personal hygiene pain with the perineal wound
Introduction: Stress during pregnancy affects physical and psychological change, resulting in wide range of mild to severe abnormalities including inflammation, abberant placentation, fetal growth defect, and the decrease quality of life in the fetus’ adulthood. Previous study showed that Folic Acid (FA) has the potential effect in the pregnant and fetus’ prosperities due to the protective properties in the embryogenesis. To that end, we created the stress mice model and treated with FA, assessment was obtained by the expression of IL-6 in placenta and birth weight observation to reflect the fetus quality. Methods: subjects were 21 pregnant mice (Mus musculus) that divided into three groups (n=7) comprised of normal pregnant mice, stress mice model, and stress mice model treated with FA groups. Stress induction started from gestational day (gd) 10 to gd-15 by chronic restrain stress and 379 lux bright light exposure each twice-a-day within 30 minutes to induce depressive and anxiety-like behaviours. Folic acid treatment was begun with the similar time with the stress induction by dose dependent 3 mg/kg bw/day once a day prior the stress induction. On gd-16, mice were euthanized and fetal weight was examined followed by placental tissue collection for immunochemistry staining. Results: Placental IL-6 expression were not statistically different in stressed pregnant-mice treated by folic acid (p=0.077). There was a significant difference in fetal weight (p= 0.0001). In addition, the expression of placental IL-6 was associated with fetal weight (p= 0.021). Conclusions: The FA treatment has the ability to increase the fetal birth weight but unable to decrease the IL-6 as the pro-inflammatory cytokine in stress-induced mice.
Background : Cases of child sexual abuse in Indonesia continue to increase. The need for a parent's role in providing sex education from an early age is expected to prevent children from sexual abuse. Savy Amira Women Crisis Centre mentions that Tambaksari sub-district has the highest crime rate in Surabaya. Perceptions, attitudes and behaviors of parents in the provision of sex education in early childhood can be described in PAUD Tunas Mandiri Pacar Keling Subdistrict Tambaksari Method: This research method is qualitative with phenomenological approach. The number of samples as many as 10 mothers with purposive sampling techniques. The variables studied were perception, attitude and behavior of the mother. Data is collected by indepth interview method and processed with Interactive Model Of Analysis. Result : Most respondents have a perception that sex education is behavior, but respondents know that sex education has a good purpose. This is reflected in the attitudes and behaviors shown by most respondents about how they provide sex education. All they've been doing is part of sex education, it's just that they don't know or realize that. The age, level of education and employment in this study had little effect on perceptions of providing sex education. Conclusion: Almost all mothers interpret the provision of sex education in early childhood is still a taboo thing to give, while for the attitude and behavior of the mother is shown by limiting the child and supervision when playing gadgets,introducing genitalia and teaching toilet training.
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