BACKGROUND: Maternal knowledge is one of the indirect causes of maternal mortality in Indonesia. Maternal knowledge that mothers must possess includes knowledge about pregnancy, childbirth, and postpartum. Maternal knowledge should be provided during pregnancy. The aim of this study is to identify maternal knowledge in postpartum women who have a history of the frequency of pregnancy visits according to the minimum standard. MATERIALS AND METHODS: A descriptive quantitative design was performed by assessing maternal knowledge to postpartum mothers using an online questionnaire which conducted in 2020 at two public health centers of Surabaya, Indonesia. A sample of this research involved postpartum mothers who completed inclusion criteria, namely physiological postpartum mothers and had regular pregnancy at least 6 antenatal care (ANC) visits. In contrast, the exclusion criteria were postpartum mothers who were not included in the target areas of research. It uses random sampling techniques and performs an analysis using descriptive statistics. RESULTS: Three research questions showed a large percentage of wrong answers, namely preparation to face complications (64%), contraceptive methods in breastfeeding mothers (50%) and the first time using contraception during childbirth (42%). Meanwhile, all the correct results (100%) are exclusive breastfeeding and supplementary feeding for babies. CONCLUSION: Completing minimal standards of ANC visits cannot ensure adequate maternal knowledge, particularly crucial health information that influences maternal and neonatal health status.
Background: Preeclampsia can threaten the health of the mother and fetus during pregnancy and childbirth, besides that it also increases the risk of long-term complications and has the potential to cause death. The incidence of preeclampsia at the RSUD Engku Haji Daud Tanjung Uban showed an increase in the last three years, namely the occurrence from 2017 as many as 23 cases to 56 cases in 2019. The condition of preeclampsia can worsen quickly and without warning, for that, it must be detected and managed appropriately. This study aimed to identify the association of obesity, multiple pregnancies, and previous history of preeclampsia with the incidence of preeclampsia in maternity women. Methods: This study uses a case-control study design. Performed on women giving birth in the period January – December 2019, consisting of 56 cases and 112 controls. Maternal women with preeclampsia were cases and women who were not diagnosed with preeclampsia were controls. The data was obtained from the respondents' medical records, then analyzed using the Chi-Square test or Fisher's Exact test with a value of = 0,05. Results: Obesity was associated with an increased risk of preeclampsia (OR= 4,746, 95% CI 2,381-9,460; P=0,000). Multiple pregnancies were associated with a significantly increased risk of preeclampsia (OR=15,857, 95% CI 1,899-132,384; P=0,002). Likewise, a previous history of preeclampsia was associated with a markedly increased risk of preeclampsia (OR=99,000, 95% CI 22,057-444,343; P=0,000). Conclusion: Based on these data, it was found that obesity, multiple pregnancies, and previous history of preeclampsia were significant risk factors for the occurrence of preeclampsia. It is important to identify risk factors for preeclampsia early, so that appropriate management can be carried out, to prevent complications.
Indonesia menjadi negara tertinggi kedua jumlah kasus Tuberkulosis (TB) terbanyak di dunia. Dampak TB akan lebih besar pada ibu hamil yang dapat mengakibatkan beban ganda baik bagi ibu maupun bayinya. Pemberdayaan masyarakat dalam upaya promotif dan preventif merupakan salah satu upaya strategis penanggulangan TB di Indonesia. Kader kesehatan merupakan anggota masyarakat yang peduli kesehatan dan telah dilatih mengenai tugas khusus dalam bidang kesehatan. Selama ini kegiatan kader ibu hamil belum pernah terintegrasikan dengan upaya pencegahan dan deteksi dini TB Paru dalam kehamilan. Metode kegiatan pengabdian masyarakat ini terdiri dari tiga bagian, yaitu pelatihan kader, tindak lanjut pelatihan, dan evaluasi. Sejumlah tiga puluh kader di wilayah kerja Puskesmas Guluk-Guluk mengikuti program ini. Rangkaian program terbukti efektif dan efisien dalam upaya peningkatan pengetahuan, baik kader maupun ibu hamil mengenai TB Paru, keterampilan kader dalam mengedukasi ibu hamil, dan cakupan skrining mandiri TB Paru oleh ibu hamil serta tindak lanjut hasil skrining oleh kader. Hal tersebut dapat dilihat dari nilai pre dan post-test yang dianalisis menggunakan uji statistik Paired T-test menunjukkan p-value: 0.00 (p-value < α: 0,05) sehingga didapatkan adanya peningkatan pengetahuan kader sebelum dan setelah pelatihan, jumlah ibu hamil yang diberi edukasi oleh kader dan melakukan skrining TB Paru mandiri, serta kesan kader selama mengikuti program ini. Peran kader kesehatan ibu hamil dalam TB Paru diharapkan optimal dan dapat diterapkan di wilayah lain di Indonesia untuk mewujudkan eliminasi TB pada tahun 2030.
Background One of the government's efforts to increase the achievement of exclusive breastfeeding is the 10 LMKM program. Since 1991 in Indonesia, it has been introduced, but in its implementation it is not yet known by all health facilities even though several existing steps have been implemented, but the 10 LMKM policy has not been known by providers.Objectives Describe implementation and barriers to providers in program implementation, identify compliance and barriers to mothers as program recipients. Methods The research used descriptive qualitative research. The sampling technique used was purposive sampling to explore the implementation of 10 LMKM in Tanah Kalikedinding Health Center. Informants in accordance with the inclusion criteria 7 providers and 8 mothers as program recipients. Researchers interacted offline and online via video calls while adhering to health protocols. Results The implementation of 10 LMKM has been running with the internal policies of the Puskesmas referring to the Permenkes, carrying out tasks according to the SOP. Several providers have attended training and disseminated it to staff. Monitoring and evaluation is carried out through the credential team at the Puskesmas. Officers in implementing 10 LMKM to support the achievement of exclusive breastfeeding are committed to complying with the SOP. Provider barriers from external factors are the lack of health workers, especially midwives on duty, so that KIE regarding breastfeeding and others is not optimal. Mothers as program recipients when ANC is already in IEC, obediently follow the services provided and have not been fostered or referred to breastfeeding support groups. Barriers to exclusive breastfeeding in program implementation are influenced by external factors of working mothers. Conclusion The implementation of the 10 LMKM program at the Tanah Kalikedinding heath center has not been maximized.
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