Premature rupture of membranes is fluid discharge from the birth canal before the onset of labor. One risk factor is a decrease in ascorbic acid which results in abnormal structural growth. Preliminary survey results in Dr. H. Soewondo Kendal in 2013 there were 379 women giving birth with premature rupture of membranes. The purpose of this study was to determine the description of exposure to cigarette smoke in maternal with the occurrence of premature rupture of membranes in Dr. H. Soewondo Kendal. The design of this study is analytical research with cross-sectional study. The population was taken from parturient mother in RSUD Dr. H. Soewondo Kendal in May-June 2014 as many as 78 birth mothers consisting of 39 mothers with Premature rupture of membranes and 39 with no Premature rupture of membranes delivery. The sampling technique uses accidental sampling. Data collection using checklists and questionnaires. The results were obtained by 29 pregnant women (74.4%) with Premature rupture of membranes exposed to cigarette smoke and 10 people (29.4%) exposed to Premature rupture of membranes. While 15 respondents (34.1%) were not exposed to cigarette smoke and 24 (70.6%) were not exposed to cigarette smoke. Bivariate analysis results showed a p-value of 0.003 α-0.05. The conclusion is that there is a significant relationship between the incidence of Premature rupture of membranes in pregnant women with cigarette smoke exposure. Advice for midwives is to give advice to every pregnant woman to avoid cigarette smoke and provide quick and appropriate assistance to mothers who give birth with premature rupture of membranes so that it will reduce the danger of infection.
Pandemic Covid-19 has an impact on the implementation of health programs, especially immunization services and PD3I surveillance. Coverage of immunization at Kaliwungu health center is still low, especially polio (89.3%) compared to 23 other health centers in Semarang regency and immunization visits only 3.2% in March. The purpose of the study was to determine the factors that influenced immunization visits during the Covid-19 pandemic period based on the health belief model (HBM) theory at Kaliwungu health center. This research is observational analytic research with a maternal population who has a baby aged 1-12 months, a total of 370 people and a sample of 80 people. The results of the univariate analysis of the Chi Square test of vulnerability and high seriousness 51.2%, perception of cues to action high 58.8%, high benefit perception of 72.5%, high barrier perception of 46.3%, and active immunization visits 66.3%, Bivariate analysis of perception of vulnerability and seriousness (p value 0.001), perception of benefits (p value 0.009), perception of barriers (p value 0.009) and perception cues to action (p value 0.169). The conclusion of the study is that there is a relationship between the vulnerability and seriousness of the disease, benefits and obstacles with immunization visits. While the perception of cues to action has no relationship with immunization visits during the Pandemic Covid-19 period. Advice for health workers to improve information services and immunization health promotion during Covid-19.
Anxiety that occurs in pregnant women is a serious problem because the mortality rate for pregnant women is 80% due to high anxiety. The emergence of anxiety due to influencing faktors, including internal faktors of pregnancy it self and external faktors due to the family environment and the environment outside the family. In developed countries the level of anxiety is around 7-20% and in developing countries more than 20%. The level of anxiety that occurs in primigravida pregnant women is greater than that of multigravida pregnant women, but in the era of the Covid-19 pandemic it can increase anxiety in pregnant women, especially those who are approaching childbirth process. The Objective of this research is there a difference in the level of anxiety between primary and multi-pregnant women in the era of Covid-19 pandemic.The design of this research uses crosscectional study, where between exposure and outcame is seen at the same time. The sampling method used accidental sampling, obtained a total of 72 respondents, consisting of 21 respondents with primigravida status and 51 respondents with multigravida status. The research analysis used the compare mean of independent sample t-test. The primigravida-pregnant women is more anxiety (57.1%) compared to multi-pregnant women (27.4%). There is a significant difference in the value of anxiety between primary and multi pregnant women in the trimester III in the era Covid-19 pandemic, (p value 0.003 0.05)
ABSTRAKLatar Belakang: Pelayanan KB pada masa pandemic mengalami perubahan yang dilaksanakan sesuai dengan protocol Kesehatan yang diberlakukan oleh pemerintah selama masa Pandemi. Masih banyak masyarakat yang belum memahami prosedur pelayanan akseptor dimas pandemic . Metode: kegiatan ini berlangsung pada tanggal 27 Juni 2020 di Laborat UPP Poltekkes Semarang Kampus Kendal . dimulai dengan kegiatan pre test,lalu pemberian penyuluhan Kesehatan tentang pedoman pelayanan akseptor KB dimasa Pandemi Covid 19 secara luring dilaksanakan oleh seluruh dosen kebidananan bekerjasama dengan PC IBI Kabuapten Kendal, DP2KBP2PA Kendal dan tim pengawal kodim Kabupaten Kendal. Dilanjutkan diskusi pelayanan akseptor dan diakhiri post test.Hasil: pengetahuan akseptor tentang pelayanan KB dimasa pandemic meningkat menjadi baik 75 % Kesimpulan: Penyuluhan Kesehatan yang dilakukan secara langsung dapat meningkatkan pengetahuan akseptor tentang pelayanan KB di masa Pandemi yang akan menurunkan angka kegagalan KB selama masa pandemic covid 19. ABSTRACTBackground: Family planning services during the pandemic underwent changes which were carried out in accordance with the Health protocol imposed by the government during the Pandemic. There are still many people who don't understand the acceptor service procedure during the pandemicMethods: This activity took place on 27 June 2020 at the UPP Poltekkes Semarang Health Laboratory, Kendal Campus. starting with pre-test activities, then providing health education about family planning acceptor service guidelines during the Covid 19 Pandemic offline carried out by all midwifery lecturers in collaboration with PC IBI Kendal Regency, Kendal DP2KBP2PA and the Kendal District Kodim guard team. Followed by a discussion of acceptor services and ended with a post testResults: knowledge of acceptors about family planning services during the pandemic increased to 75%Conclusion: Health counseling that is carried out directly can increase acceptors' knowledge about family planning services during the pandemic which will reduce the number of family planning failures during the covid 19 pandemic.
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