The Maternal Mortality Rate (AKI) in Indonesia is still high. According to SDKI in 2012 about 359 mothers died for every 100.000 babies born. The direct causes of maternal deaths in Indonesia as well as other countries are bleeding, infection, and eclampsia. From Puskesmas Pamotan's medical data records in 2015 from 437 woman who did labor, 51 of them experienced postpartum hemorrhage. The purpose of this study are to describe and analyze the factors that causing postpartum hemorrhage, especially in Puskesmas Pamotan. In this study we use analytic research method with retrospective case-control approach. Sampling Technique was used for cases group, while control group used simple random sampling. The result of this research showed that woman in risk age (<20 or >35 years old) have 3.7 times greater risk of developing postpartum hemorrhage. Parity at risk (1 and > 3) have 2.4 times greater risk of developing postpartum hemorrhage. Pregnant women with anemia (Hb < 11) have 1.8 times greater risk of experiencing postpartum hemorrhage. And prolonged labor have 1.5 times greater risk of experiencing postpartum hemorrhage. It is sugessted that midwifes need to educate the public about the causes of postpartum hemorrhage. Woman should not be pregnant at too young or too old ages, the pregnant mother should do routine pregnancy checkups, and also give advice to Fertile Age Couples (PUS) to follow the Family Planning program (KB).
Kanker serviks uteri merupakan salah satu jenis penyakit kanker tidak menular yang diperkirakan meningkat setiap tahunnya. Di RSUP Dr.Kariadi Semarang, kunjungan kanker servik di poliklinik ginekologi dari ke tahun semakin meningkat. Banyak faktor resiko yang mendukung timbulnya penyakit kanker serviks uteri antara lain riwayat hubungan seksual pertama sebelum umur 20 tahun, multiparitas, riwayat KB oral, faktor perilaku tidak sehat, dan faktor keturunan. Tujuan penelitian ini untuk mengetahui faktor resiko kanker servik pada pasien poliklinik ginekologi RSUP Dr. Kariadi Semarang tahun 2016. Jenis penelitian ini adalah penelitian kuantitatif dengan rancangan penelitian observasional analitik korelatif menggunakan pendekatan cross-sectional. Sampel yang digunakan dalam penelitian ini total sampling dengan teknik aksidental sampling sebanyak 103 responden, terdiri dari 68 responden kanker serviks dan 35 responden bukan kanker servik. Hasil penelitian adalah ada hubungan antara umur pertama kali berhubungan seksual (p-value=0.001, OR 4.56), status paritas (p-value=0.000, OR 0.09), kontrasepsi KB hormonal (p-value=0.008, OR 3.36), riwayat keturunan dengan sakit kanker (p-value=0.006, OR 5.1), dan perilaku vaginal hygiene (p-value=0.000, OR 6.5) dengan kejadian kanker servik di RSUP Dr. Kariadi Semarang tahun 2016. Dari hasil penelitian ini diharapkan tenaga kesehatan dapat menginformasikan faktor-faktor yang berhubungan dengan kanker servik sehingga masyarakat mengerti dan melakukan tindakan preventif.
The maternal mortality rate one of them caused by abortion is 15-50%.. Abortion (miscarriage) is bleeding that can lead to termination of pregnancy. Factors which are suspected predisposing factors eg abortion of the fetus, maternal factors, environmental factors, age, parity, work and history of abortion. The results of a preliminary survey conducted in hospitals Ungaran researchers obtained data is abortion in 2015, there were 245 cases The aims of this study is to determine the risk factors that influence the incidence of abortion at Ungaran hospitals. This study is a correlative study, with retrospective design. The population that was used in this research was all first trimester pregnant women who were treated at Ungaran hospitals. They experienced abortion during Januari to Desember 2015. The total number who recruited were 245 pregnant women as a total sample. The univariate analysis with frequency distribution and bivariate using Kruskal Walis Test were used There is no relationship between maternal age with the incidence of abortion (p=0.349> 0.05) No relationship between parity with the incidence of abortion (p=0.826> 0.05). There was no relationship between the working status with the incidence of abortion (p=0.114> 0.05). There is a relationship between the history of the abortion with the incidence of abortion at Ungaran hospital (p=0.022 <0.05), with a coefficient correlation value of 1.6. No relationship between maternal age, parity and working status with the incidence of abortion. However, history of abortion is a risk factor to be the incidence of abortion with a 1.6 times greater than those who don't have history of abortion. Midwives are expected to anticipate the incidence of abortion by further improving supervision, especially to pregnant women with risk factors for abortion.
Objective: To determine the effect of yoga on the duration of the second stage of labor and perineal rupture in primigravida mothers.Methods: This was a Quasy experimental study with posttest group only design. The study was conducted in the Public Health Center of Pekalongan, Central Java, Indonesia from December 2016 until January 2017. There were 50 mothers selected using purposive sampling, which 25 assigned in the experiment and control group. Independent t-test and Chi Square test were used for data analysis.Results: There was a statistically significant difference in the duration of second stage of labor (p=0.000) and perineal rupture (p=0.001) between experiment and control group. Conclusion: There was a significant effect of yoga on the duration of the second stage of labor and perineal rupture in primigravida mothers. Therefore, yoga is recommended for midwife to be included in the antenatal care.
Postpartum blues iceberg phenomenon which is difficult in detection because people still think of psychological disorders is a natural thing as a maternal instinct and protective attitude towards her baby. The incidence of postpartum blues is quite high at 26-85% and continues with postpartum depression with varying amounts of 5-25% after the mother gives birth. The purpose of this study to know is there any influence of IEC (Information Education Communication) preparation for labor on the incidence of postpartum blues. The research method with quasi experiment with post test with control group which makes it possible to compare the results of sampling diberikan.Teknik intervention by total sampling. Results showed that respondents with age healthy reproductive 33 respondents (83%), parity primiparous and multiparous same that 20 (50%), the level of elementary education (13%), middle (38%), high school / vocational (43%), D3 / S1 (8%), job: working mothers (38%), not working (62%), treatment groups: normal (80%), postpartum blues (20%), the control group: normal (45%), postpartum blues (55%). Bivariate analysis of these studies by Mann Whitney Test results obtained pvalue = 0.024 <0.005, which means there is the effect of KIE childbirth and post-partum the incidence of postpartum blues From the results of this study are expected health workers, especially midwives need to provide IEC in third trimester pregnant women about childbirth and postpartum in order to reduce the incidence of postpartum blues Keywords: KIE administration, the incidence of postpartum blues 1), 2) , 3). : Civitas Akademika dan Dosen jurusan Kebidanan Semarang
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