Sectio Caesarea is an artificial birth, in which the fetus is born through an incision in the abdominal wall and uterine wall with the condition that the uterus is intact and the fetal weight is above 500 grams. According to WHO, national rate of cesarean delivery does not exceed 10% of all births. The mortality rate due to Sectio Caesarea delivery ranges from 40-80 people per 100,000 live births. This study aimed to determine the relationship between premature rupture of membranes (PROM), Prolonged labor, and fetal distress with Sectio Caesarea delivery at Level IV hospital of Dr. Noesmir Hospital, Baturaja in 2020. It was an analytic survey with cross sectional approach. The population in this study was all mothers giving birth at Level IV Hospital of Dr. Noesmir Hospital, Baturaja in 2020 with a total of 332 people. 77 samples were selected using Systematic Random sampling technique. The data were analyzed using Chi Square statistical test. The results showed that the factors associated with caesarean section delivery were premature rupture of membranes with a p-value = 0.028 (≤ 0,05), fetal distress with a p-value = 0.029 (≤ 0,05), whereas the factor that is not related to it was prolonged labor a p-value = 1.000 ( > 0.05). This study can be used as a reference to add insight and skills for readers and a reference to improve the quality of services in hospitals.
Exclusive breastfeeding is given to infants aged 0-6 months, because the best nutrition for babies is only obtained through breast milk (WHO, 2020). According to data from the World Health Organization (WHO) worldwide exclusive breastfeeding coverage is only around 44 percent during the 2015-2020 period. Based on data from the 2019 Indonesian health profile, it is stated that the percentage of exclusive breastfeeding coverage in Indonesia for infants 0-6 months is 67.74 percent. Exclusive breastfeeding coverage in Prabumulih City in 2019 was 65.8 percent. The results of a preliminary study at the Prabumulih Timur Health Center covered only 43.1 percent of exclusive breastfeeding. The results showed that from 78 respondents. It was found that those who gave exclusive breastfeeding were 38 (48.7%) and those who did not gave exclusive breastfeeding were 40 (51.3%), low level of education 44 (56.4%) and higher education 34 (43.6%). working mothers 44 (56.4%) and mothers who did not work 34 (43.6%), low parity 30 (38.5%) and high parity 48 (61.5%), normal delivery 59 (75.6% ) and CS 19 delivery (24.4%). chi-square results 4 (four) significant variables with p-value <0.05, namely education level variable p-value = 0.013, OR = 0.280 (95% CI = 0.109-0.714), employment status p-value = 0.002 , OR = 0.193 (95% CI = 0.073-0.514), parity with p-value = 0.023, OR = 3.333 (95% CI = 1.279-8.688), delivery process with p-value = 0.012, OR = 5.100 (95% CI= 1,509-17,237). The conclusion in this study is that there is a relationship between parity and the process of giving birth simultaneously with exclusive breastfeeding in the working area of the Prabumulih Timur Health Center, Prabumulih City in 2021. It is recommended that the community give exclusive breastfeeding to their babies in order to prevent infant morbidity.
Low Birth Weight Babies (LBW) is a serious problem faced by the world because it is a cause of morbidity and mortality in the neonatal period. Problems that often arise as complications of LBW are hypoglycemia, hypothermia, hyperbilirubinemia, infection or sepsis and drinking disorders (Reni, 2019). Pregnant women with poor nutritional status or experiencing CED (Chronic Energy Deficiency) tend to give birth to LBW babies and are faced with a greater risk of death than babies born to mothers with normal weight. The research method uses an analytical survey with a cross sectional approach. The population of this study were all mothers who gave birth in the working area of the Talang Pangeran Health Center totaling 323 mothers. The sampling technique was accidental sampling with a sample size of 76 respondents. Data analysis used univariate analysis and bivariate analysis. The results of the study showed that there was a relationship between parity (p value = 0.018), anemia (p value = 0.014) and chronic energy deficiency (KEK) (p value = 0.025) with the incidence of low birth weight in the Talang Pangeran Health Center Work Area in 2020.
Kanker serviks dan payudara merupakan penyebab kematian cukup tinggi pada perempuan, umumnya wanita usia produktif mulai dari 30-50 tahun. Tujuan penelitian ini adalah untuk mengetahui hubungan pendidikan, paritas dan dukungan kader secara simultan dengan deteksi dini kanker serviks pada pemeriksaan IVA Di Puskesmas Nagaswidak Palembang Tahun 2021. Desain penelitian ini menggunakan metode survey analitik dengan pendekatan cross sectional. Populasi berjumlah 84 responden dan jumlah sampel dalam penelitian ini adalah sebanyak 84 responden. Pengambilan sampel penelitian dengan menggunakan Jumlah sampling. Pengumpulan data dengan menggunakan data primer dan sekunder. Hasil penelitian analisis univariat responden yang mengalami Deteksi Dini Kanker Serviks berjumlah 59 orang (70.2%), Pendidikan tinggi berjumlah 46 orang (54.8%), paritas tidak berisiko 50 orang (59.5%), Dukungan Kader berjumlah 56 orang (66.7%). Hasil analisis bivariat ada hubungan bermakna antara pendidikan terhadap deteksi dini kanker serviks dengan nilai p value sebesar 0,000 < 0,05, paritas terhadap deteksi dini kanker serviks dengan nilai p value sebesar 0,033 < 0,05, dan dukungan kader terhadap terdeteksi dini kanker serviks dengan nilai p value sebesar 0,002 < 0,05 secara simultan dengan kejadian deteksi dini kanker serviks pada pemeriksaan IVA Di Puskesmas Nagaswidak Palembang Tahun 2021. Kesimpulan penelitian ini adalah ada hubungan pendidikan, paritas dan dukungan kader secara simultan dengan deteksi dini kanker serviks pada pemeriksaan IVA Di Puskesmas Nagaswidak Palembang Tahun 2021. Adapun saran bagi petugas kesehatan hasil penelitian ini diharapkan agar petugas kesehatan di Puskesmas Nagaswidak Palembang, dapat dengan siaga memberikan informasi dan edukasi kepada wanita usia subur terkait kesehatannya khususnya kesehatan reproduksi.
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