Postpartum family planning programs are effective and efficient measures to reduce maternal mortality and infant mortality due to unwanted pregnancies which have the potential to cause direct maternal death (abortion, eclampsia and prolonged labor) and indirectly to one component "4 Too "(too young, too old, too much and too close). The Sungai Dareh is the only advanced health facility in Dharmasraya Regency in Dharmasraya Regency with acceptors of long-term contraceptive method acceptors in a very slow or stagnant condition. The purpose of this study was to determine the most dominant factors related to the participation of postpartum mothers using long-term contraceptive methods. The research design was cross sectional. Primary data is taken during 2017, which is between February and Desember with a sample of 99 people in the Maternity Room at the regional public hospital Sungai Dareh. The analysis model used is a regression of the backward likelihood ratio method. The sampling technique uses purposive sampling. Based on the test results, the variables of poverty level, number of surviving children, health status, age level of respondents, level of education, purpose of using family planning methods, husband support and attitudes have a significant relationship with the participation of postpartum long-term contraceptive methods. While unrelated factors are the age of first marriage and the level of knowledge of the respondents. From the regression model produced, husband's support is the most dominant factor (p = 0.001, OR = 19.591 (95% CI: 3.227 - 118.927), so it can be concluded that husband's support influences the wife's decision in the participation of the postpartum contraceptive method.
AbstrakPendahuluan: Kematian ibu terjadi sebagai akibat dari komplikasi selama dan setelah kehamilan dan persalinan. Sebanyak 80 % kematian ibu di dunia disebabkan perdarahan berat (terutama perdarahan setelah persalinan), infeksi, tekanan darah tinggi selama kehamilan. Menurut data Kementrian Kesehatan tahun 2010, perdarahan menempati presentasi tertinggi penyebab kematian ibu di Indonesia yaitu sebesar 28%. Laporan Kasus:Seorang wanita, 31 tahun, datang dengan penurunan kesadaran dan perdarahan banyak dari kemaluan sejak 3 jam sebelum masuk rumah sakit, nadi teraba cepat dan halus. Pasien sebelumnya melahirkan di rumah ditolong bidan 10 hari yang lalu, kakak anak lahir 30 menit setelah anak lahir dan kesan diakui bidan lengkap. Diagnosa akhir pada pasien ini Syok Hemoragik Teratasi ec Late HPP ec Sisa plasenta + Anemia Sedang (Hb 7,0 gr/dl). Simpulan: Pada kasus ini membuktikan bahwa HPP masih menjadi hal yang menakutkan sebagai penyebab kematian ibu. Dalam hal ini dirasa perlu adanya alur rujukan untuk kasus emergensi, yaitu pengelompokkan kasus pada persalinan dengan komplikasi segera dilakukan pelaporan kasus ke DINKES untuk rujukan ke RS. Setelah perawatan di RS selesai, perawatan lanjutan atau postnatal care dilakukan sesuai jadwal. Pasien diantar kembali setelah selesai perawatannya, dan hasil rujukan dilaporkan kembali ke hotline Dinkes Kabupaten/kota. AbstractIntroduction: Maternal death occurs as a result of complications during and after pregnancy and childbirth. As many as 80% of maternal deaths in the world are caused by heavy bleeding (especially bleeding after childbirth), infections, high blood pressure during pregnancy. According to data from the Ministry of Health in 2010, bleeding was the highest presentation of maternal mortality in Indonesia, which was 28%. Case Report: A woman, 31 years old, came with a decrease in consciousness and heavy bleeding from the genitals 3 hours before hospitalization, pulse felt quickly and smooth. Patients previously delivered at home were helped by a midwife 10 days ago, older siblings born 30 minutes after the child was born and the impression that the midwife was fully recognized. Final diagnosis in this patient Hemorrhagic shock Overcoming ec Late HPP ec Placental residue + Moderate anemia (Hb 7.0 gr / dl).Conclusion: In this case prove that HPP is still a frightening thing as a cause of maternal death. In this case it is felt necessary to have a referral pathway for emergency cases, namely the grouping of cases in labor with complication of immediately reporting cases to DINKES for referral to the hospital. After treatment at the hospital is complete, continued treatment or postnatal care is carried out on schedule. The patient is resettled after completion of treatment, and the referral results are reported back to the District / city Health Office hotline.
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