Latar Belakang: Sejalan dengan meningkatnya jumlah penduduk Indonesia dan kebutuhan akan kesehatan reproduksi untuk meningkatkan kesehatan ibu dan anak maka pemerintah mencanangkan program Keluarga Berencana (KB). Salah satu metode kontrasepsi yang rasional, efektif dan efisien adalah Metode Kontrasepsi Jangka Panjang (MKJP). Hasil survei awal di Puskesmas Beringin Kecamatan Lubai Kabupaten Muara Enim tahun tahun 2020 tercatat sebanyak 5.225 Pasangan Usia Subur (PUS) dengan 4.470 (85,55%) adalah peserta KB aktif yaitu MKJP sebanyak 1.343 (25,70%) dan Non MKJP sebanyak 3.127 (59,85%). Dilihat dari data tersebut bahwa penggunaan MKJP masih lebih rendah dari Non MKJP. Tujuan: Untuk mengetahui hubungan paritas, pendidikan dan pekerjaan dengan penggunaan MKJP pada akseptor keluarga berencana KB di Puskesmas Beringin Kecamatan Lubai Kabupaten Muara Enim tahun 2020. Metode: Penelitian menggunakan jenis penelitian survei analitik dengan pendekatan cross sectional. Populasi berjumlah 4470 akseptor KB, dengan total sampel 98 responden. Data dalam penelitian ini diambil menggunakan teknik systematic random sampling dan instrumen lembar checklist dengan di uji statistik chi-square. Hasil: Ada hubungan paritas (nilai p 0,0005 dan OR 0,249), pendidikan (nilai p 0,0001 dan OR 6,818) dan pekerjaan (nilai p 0,005 dan OR 0,249) dengan penggunaan MKJP. Saran: Diharapkan agar wilayah kerja Puskesmas Beringin khususnya bidan untuk meningkatkan pelayanan terutama serta konseling pada metode kontrasepsi jangka panjang agar dapat menekan angka kelahiran dalam rangka meningkatkan kesejahteraan ibu. Kata Kunci: MKJP, Paritas, Pendidikan, Pekerjaan
Masa kehamilan sangat membutuhkan gizi yang diperlukan untuk pertumbuhan dan perkembangan janin, pertambahan besarnya orgn kandungan, serta perubahan komposisi dan metabolism tubuh ibu. Dampak tidak baik dalam kehamilan terutama sekali dikarenakan defisiensi zat gizi yang diakibatkan oleh asupan gizi ibu hamil tidak seimbang. Dampak negatif tersebut dapat terjadi pada outcome kehamilan, yaitu bayi yang baru dilahirkan dapat mengalami intra uterine growth retardation (IUGR), kelahiran prematur atau bahkan keguguran, dan bayi lahir dengan berat badan yang rendah (BBLR). Dampak pada ibu, yaitu anemia, perdarahan dan berat badan ibu tidak bertambah secara normal, kurang gizi juga dapat mempengaruhi proses persalinan dimana dapat mengakibatkan persalinan sulit dan lama serta perdarahan setelah persalinan. Program penyuluhan tentang pemeriksaan dan status gizi ibu hamil serta pemberian tablet Fe disampaikan dalam bentuk ceramah dan Tanya jawab dan pemberian tablet Fe. Kegiatan berjalan secara efektif, peserta antusias mendengarkan dan menanyakan berbagai hal mengenai status gizi ibu hamil yang belum dipahami oleh peserta penyuluhan.
Background: Preeclampsia is a disease with signs of increased blood pressure >140/90mmHg accompanied by proteinuria and edema that appears at gestational age >20/up to 48 hours postpartum.
Chronic Energy Deficiency in pregnant women is a condition of the mother's lack of protein and energy intake during pregnancy which can cause health problems for the mother and the fetus. The purpose of this study was to determine the factors that influence the occurrence of chronic energy deficiency in pregnant women. This research is an analytical survey with a cross sectional research design, the study was conducted in June - August 2020 at the Pegayut Public Health Center, Pemulutan District, Ogan Ilir Regency, South Sumatra. The population in this study were all pregnant women who carried out ANC examinations at Pegayut Health Center in 2019 which totaled 369 people and the sample used in this study was the entire population of 369 people, data analysis used univariate (proportion), bivariate (chi square test) and multivariate (logistic regression) analysis. The analysis showed that maternal age at intervals of pregnancy (p value: 0,000) and parity (p vaue: 0,000) had a significant relationship with chronic energy deficiency, while the age of pregnant women (p value: 0.147) had no significant relationship with the occurrence of energy deficiency. chronicles. Based on the final model of multivariate analysis, the variable that has the greatest effect on chronic energy deficiency is the pregnancy interval variable. It is hoped that pregnant women should carry out routine pregnancy checks at least 4 times during pregnancy to monitor the health of the mother and baby so as to prevent complications of pregnancy and childbirth.
Long Term Contraception Method is a contraceptive method with long and high effectiveness. LTCM includes IUD, Implant, MOP and MOW. Based on the initial survey conducted at PMB Fauziah, Palembang City by interviewing PMB leaders, it was found that there was a lack of interest in LTCM users in the PMB. The number of active family planning acceptors in 2021 in January–June was 1,176. The purpose of the study was to determine the relationship between pregnancy distance, husband's support, support from family planning service officers in the selection of long-term contraceptive methods at PMB Fauziah Palembang in 2021. The type of research used in this study was quantitative research. The population in this study were all active family planning acceptors who visited PMB Fauziah from January-June 2021 totaling 1,176 acceptors, the research sample was 97 acceptors taken by accidental sampling technique. Data analysis in this study used univariate and bivariate analysis. The results of this study indicate the variables that have a relationship with the selection of LTCM pregnancy distance (pvalue = 0.000), husband's support (pvalue = 0.000), support from family planning service officers (p-value = 0.000). The conclusion of this study is that there is a relationship between pregnancy distance, husband's support, support family planning service officers in the selection of MKJP. The results of this study can be used as input in improving counseling methods for family planning acceptors, especially in the selection of LTCM.
Globally, there are 2.5 million newborn deaths and 1.5 million infant deaths. Efforts to accelerate the decline in IMR and AKI are providing services with posyandu. The purpose of this study was to determine the relationship between knowledge, attitudes, work and distance with the low visits of mothers under five to the Posyandu. The research method used an Analytical Survey with a Cross Sectional approach with a population of all mothers with toddlers aged 2-59 months at the Camar Posyandu totaling 194 people. Sampling using purposive sampling a number of 66 respondents. Data collection using a questionnaire sheet. Data analysis used univariate and bivariate analysis with chi square test. The results showed that there was a relationship between knowledge (p value = 0.003), attitude (p value = 0.036), occupation (p value = 0.012) and distance (p value = 0.039) with the low visitation of mothers of children under five to the Camar Posyandu, Sialingan Village, Belida Darat District in 2021. The conclusion is that there is a relationship between knowledge, attitude, work and distance with low visits by mothers of children under five to the Camar Posyandu, Sialingan Village, Belida Darat District in 2021. It is hoped that health officers can provide information about posyandu time and the benefits of posyandu to mothers who have children under five, so that understanding mothers about posyandu will be even better and can increase the activity of mothers who have toddlers to do posyandu.
Family planning programs are now urgently needed to prevent unwanted pregnancies and to improve the health and well-being of mothers and children. This study is to determine the relationship between education, age and work status simultaneously with the use of intrauterine devices (IUD) at Pedamaran Public Health Center, Pedamaran District, OKI Regency in 2019. This research is a quantitative research type descriptive research using a cross sectional approach with a sample size of 98 respondents. with systematic random sampling technique. The data was collected by looking at and recording data on family planning acceptors in the medical records where there were variables of education, age and work status using a checklist designed by the researcher. This research was conducted from March to August 2020. Based on the analysis, it was found that there was a significant relationship between education (ρ value 0.027), age (ρ value 0.005), work status (ρ value 0.026) and the use of intrauterine contraceptives (IUD) in Pedamaran Public Health Center, Pedamaran District, OKI Regency in 2020. The conclusion in this study can be seen that there is a relationship between education, age and employment status with the use of intrauterine contraceptives (IUD) at Pedamaran Puskesmas Pedamaran District, OKI Regency in 2019.
Tetanus neonatorum is caused by Clostridium Tatami toxin. The study aimed to determine the factors associated with the completeness of tetanus toxoid immunization for pregnant women. This type of research is quantitative, and analytic with a cross-sectional approach. The sample was selected by systematic random sampling so that a sample of 75 pregnant women was obtained. The completeness of tetanus toxoid immunization were measured using a questionnaire. The results of the Chi-Square test of attitudes toward the completeness of tetanus toxoid immunization showed that there was no relationship between the attitudes of pregnant women and completeness of tetanus toxoid immunization with a p-value = 0.466 < 0.05 and the relationship between education and completeness of tetanus toxoid immunization, p-value = 0.000 < 0.05, knowledge with the completeness of tetanus toxoid immunization with p-value = 0.000 < 0.05, occupation with the completeness of tetanus toxoid immunization with p-value = 0.000 < 0.05, and husband's support with the completeness of tetanus toxoid immunization with p-value = 0.311 < 0.05 which means no relationship. The conclusion is that there is a relationship between education, knowledge, and work with the completeness of tetanus toxoid immunization, and there is no relationship between attitudes and husband's support for the completeness of tetanus toxoid immunization for pregnant women in the work area of ??the Puskesmas in Ogan Ilir Regency. Suggestions to the Puskesmas It is hoped that it can improve the quality of public health services, especially for pregnant women, can provide information on the importance of tetanus toxoid immunization for pregnant women to overcome pregnant women who have not been fully immunized to achieve the target of tetanus toxoid immunization to reduce morbidity and mortality in maternity and newborn baby.
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