Pregnancy is a physiological and normal process, not only relates with the biological aspect but also relates to the social, cultural, psychological, emotional, and spiritual aspects of a woman in life. A woman has a task to attain the role of a mother during her pregnancy. There are three stages of adaptation to achieve the role of mother based on trimester of pregnancy. This research aims to describe the physiological adaptation of pregnant women in achieving the role as a mother in the Kembaran II health centre of Banyumas. It is a qualitative research with case study research design. Research subject taken by purposive sampling. The main subject consists of 8 pregnant womens, while the supporting subject is the husband of 8 pregnant womens and 4 midwives in around the research area. Source of research data is the primary data using interview compass. Data analysis using a qualitative analysis techniques with Milles and Huberman's interactive analysis models. The results of this research can be concluded that all of pregnant women in Kembaran II health centre of Banyumas has achieved its role as a mother according to the stage in her pregnancy trimester. There is one condition where pregnant women receive her fetus too early in the first trimester of pregnancy by just looking at the results of a pregnancy test, it's different with previous theory.
Kompetensi tenaga kesehatan di komunitas dalam mengidentifikasi faktor risiko preeklamsi merupakan kunci utama keberhasilan pengelolaan preventif kasus preeklamsi. Kemitraan tenaga kesehatan, terutama bidan dengan ibu hamil dan keluarga dalam kasus preeklamsi menjadi pondasi dalam melakukan asuhan ibu untuk mendukung kondisi biologis, psikologis dan sosial yang sejahtera. Tujuan penelitian adalah untuk mengekplorasi pengalaman biologis, psikologis dan sosial pada perempuan dengan risiko tinggi preeklamsi. Penelitian ini menggunakan desain kualitatif dengan studi fenomenologi. Sampel diambil dengan tehnik purposive sampling pada 5 informan primer. Pengumpulan data melalui indepth interview dengan pedoman wawancara. Triangulasi data dilakukan pada suami/keluarga dan bidan desa. Analisis data menggunakan teknik analisis Milles dan Huberman yaitu : Pengumpulan data; reduksi data; penyajian data; dan kesimpulan. Hasil penelitian ditemukan 3 tema sebagai berikut: 1) Asuhan bidan dan pendampingan rujukan pada kehamilan dengan faktor risiko preeklamsia; 2) Kecemasan ibu hamil dengan faktor risiko preeklamsi; dan 3) Dukungan suami, keluarga dan bidan selama kehamilan dengan faktor risiko preeklamsi.
Penyebab kematian ibu di Indonesia masih didominasi oleh tiga faktor utama yaitu hipertensi dalam kehamilan termasuk preeklamsi, perdarahan dan infeksi. Preeklamsi menjadi salah satu penyebab utama di Indonesia pada umumnya dan Kabupaten Banyumas pada khususnya. Kejadian preeklamsi di Kabupaten Banyumas mengalami peningkatan dari 556 kasus pada tahun 2019 menjadi 599 kasus pada tahun 2020. Preeklamsi merupakan penyakit kehamilan yang dipengaruhi oleh banyak faktor, namun preeklamsi dapat dideteksi melalui faktor-faktor risiko pada umur kehamilan <20 minggu.Tujuan penelitian untuk mengetahui hubungan indeks masa tubuh dan riwayat hipertensi dengan kejadian preeklamsi di Kabupaten Banyumas. Penelitian ini merupakan penelitian analitik dengan desain kasus kontrol. Sampling diambil secara purposive pada 210 data rekam medis puskesmas. Data dianalisis menggunakan uji McNemar, untuk mengetahui proporsi dan nilai p. Hasil penelitian menunjukan hubungan IMT dengan kejadian preeklamsi dengan nilai p <0,001, perbedaan proporsi sebesar 23,8%, dan tidak terdapat hubungan antara riwayat hipertensi dengan kejadian preeklamsi dengan nilai p 0,180 dan selisih proporsi 4,8%.
Background Based on the 2021 Indonesian Toddler Nutrition Status Survey (SSGBI), the prevalence of stunting in Indonesia is still high, namely 24.4 percent or 5.33 million toddlers (1). One of the causes of stunting is malnutrition when the baby is in the womb and in the early stages of the baby's birth. The problem of malnutrition in pregnant women can cause low birth weight babies (LBW), malnutrition in toddlers and predispose to edit(2). One of the efforts to prevent stunting during pregnancy is through nutrition education and coaching for pregnant women. The coaching method improves the healthy lifestyle of pregnant women. improve the ability of pregnant women to regulate their nutritional patterns and nutrition during pregnancy Objective To explore coaching methods for pregnant women to increase knowledge about stunting prevention. Method This research method is a qualitative research using a phenomenological design. The research was conducted in Banyumas Regency. Selection of purposive sampling informants. Data collection through in-depth interviews and analyzed using the Miles and Huberman method Result The results of this study explored the nutritional coaching educational model for pregnant women, which is an educational model that combines education through pregnant women classes, home visits and the use of WhatsApp groups as an educational tool. Material development includes the concept of self-management, setting goals, planning, actions related to the nutritional status of pregnant women towards balanced nutrition, and explaining healthy eating patterns in pregnant women. Information about healthy sanitation. the importance of exclusive breastfeeding and healthy parenting for toddlers Conclusion The conclusion of the nutritional coaching educational model for pregnant women requires a joint commitment from midwives as coaches and pregnant women so that the main goal of increasing stunting prevention knowledge on healthy nutritional status during pregnancy can be achieved. Keywords: Coaching Education Model, Stunting Prevention.
Preeclampsia eclampsia is the leading cause of perinatal morbidity and mortality with an estimated 50,000-60,000 deaths related to preeclampsia per year. Preeclampsia-eclampsia reaches 3-10%, and is the highest cause of maternal death in addition to bleeding and infection. This research is a quantitative research with a descriptive survey design. The sample consisted of 186 medical record data for pregnant women with preeclampsia at the Banyumas Regency referral hospital from 2017 to 2020. This research data was obtained from medical record data at 2 Bnyumas Regency Referral Hospitals in 2017-2020. Samples were taken from Banyumas Hospital and Ajibarang Hospital in 2017-2020. The sample criteria, pregnant women with preeclampsia accompanied by complications (eclampsia, pulmonary edema, HELLP syndrome) and complications in infants (IUGR and IUFD), the period of time for examination of pregnant women in 2017-2020. Data were analyzed using SPSS 22. The prevalence of preeclampsia with complications at the Banyumas Regency referral hospital in 2017-2020 was 2.30%. The characteristic of PDK is MAP > 90, which is 100% which is experienced by the majority of respondents. Complications of PDK consisted of PDK in the mother, namely 7.52% and PDK in infants, which was 10.75%. PDK in mothers who entered the ICU was 26.47%. The prevalence of preeclampsia with complications in mothers at the Banyumas Regency Referral Hospital in 2017-2020 was 34 cases (2.30%).
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