Penatalaksanaan Perdarahan Postpartum di Negara Berkembang

Cahyaningtyas, Dwi Kartika; WD, Siti Mardiyah; Rospia, Evi Diliana

doi:10.36474/caring.v5i2.202

Cited by 3 publications

(4 citation statements)

References 10 publications

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“…Some efforts have been made by the Health Ministry to manage and improve the treatment of postpartum bleeding. 15 This study showed that 82.0% of mothers underwent standard delivery and 16.68% were by cesarean section, meaning that mothers with labor bleeding can still be attempted to deliver typically. Table 3 shows that bleeding has the potential for delivery with cesarean section approximately two times.…”

Section: Resultsmentioning

confidence: 80%

Obstetric complications and delivery methods in Indonesia

Ashar¹,

Supadmi²,

Kusrini³

et al. 2023

MOG

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HIGHLIGHTS Nearly a quarter of pregnant women experience pregnancy complications during the delivery process Caesarean section delivery is dominant among other methods, and 8.4% of mothers do not have any complications but choosing cesarean section delivery. ABSTRACT Objective: This study aimed to determine the delivery methods, indications and any associations between delivery methods and obstetric complications in Indonesia in 2018. Materials and Methods: This study analyzed data from the Basic Health Research (Riskesdas) 2018. The population and sample were married eligible women of 10 – 54 years old who had children, as many as 78,737 mothers. The variable taken in this study was the problems/complications during pregnancy as the independent variable, and the methods of delivery as the dependent variable. Chi-square test was used for comparison purposes. Logistic regression was run to relationship between complications and delivery methods. Results: Delivery indications were complications during the delivery process (23.23%), premature rupture of membranes (5.07%), obstructed labor (3.37%), transverse fetus (3.09%), bleeding (2.36%), and other complications (3.98%). Methods of delivery were expected delivery (81.45%), cesarean section (17.64%), and with other procedures (0.90%). Conclusion: Complications of labor correlate significantly with the methods of cesarean section. The cesarean section still dominated among other delivery modes, and there are still many mothers who did not have complications or no medical indications but choosing cesarean section delivery.

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Section: Resultsmentioning

confidence: 80%

Obstetric complications and delivery methods in Indonesia

Ashar¹,

Supadmi²,

Kusrini³

et al. 2023

MOG

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“…Dari jumlah ini diperkirakan, sekitar 90% terjadi di Asia dan Afrika Sub-Sahara, 10% di negara berkembang lainnya dan kurang dari 1% terjadi di negara maju. Risiko kematian ibu lebih tinggi dari 1 dalam 10 kehamilan di negara berkembang, sedangkan di negara maju kurang dari 1 dalam 6.000 [2], [3].…”

Section: Pendahuluanunclassified

Korelasi Antara Paritas Dengan Kejadian Perdarahan Postpartum Primer

Sibuea¹

2022

klinik

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This study aims to determine the correlation between parity and the incidence of primary postpartum hemorrhage. The research design used is a cross-sectional correlation design. This study was conducted at the Public Health Center (Puskesmas) in Pulau Untung Jawa Village, Kepulauan Seribu Selatan District, DKI Jakarta in 2021. The population in this study was mothers who experienced postpartum hemorrhage (500 ml/more) at gestational age ≥ 20 weeks in the first 24 hours after delivery. The sampling technique used in this study was saturated sampling. The data were analyzed using the Chi-squared test. From the results of the study, it was found that 29 cases of primary postpartum hemorrhage occurred. Most incidences of primary postpartum hemorrhage occurred at a high parity level (more than 1) as many as 20 cases (68.97%). After analyzing the data using the Chi-squared test based on dk = 1 and α = 0.05, the Chi-square table = 3.48 while the calculated Chi-square count = 4.16. The conclusion is obtained by comparing X² count with X² table, it is found that X² count is > X² table, which means that there is a correlation between parity and the incidence of primary postpartum hemorrhage. It means that women with high parity have a greater risk of experiencing primary postpartum hemorrhage. With the high incidence of primary postpartum hemorrhage at high parity, it is hoped that healthcare facilities can provide more intensive services. Preventive measures should be started since women are pregnant by doing good antenatal care, providing information about the occurrence of primary postpartum hemorrhage and paying attention to predisposing factors or history of primary postpartum hemorrhage.

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“…1 Nearly a quarter of all maternal deaths worldwide occur after childbirth, with postpartum hemorrhage being the leading cause in lowincome nations like Indonesia. [2][3][4] Postpartum hemorrhages are defined as blood losses of at least 500 mL and more than 1000 mL after vaginal and cesarean deliveries respectively. 5 The WHO's current recommendation for preventing postpartum hemorrhage involves aggressively managing the third stage of labor.…”

Section: Introductionmentioning

confidence: 99%

“…Previous studies have shown that uterine contractions can commence in less than two minutes after the initial carbetocin dose and persist for up to two hours. 2,7,8 To date, only a limited number of meta-analyses and systematic reviews have addressed the role of carbetocin, a long-acting oxytocin agonist, in preventing postpartum hemorrhage. Therefore, further investigation is necessary to elucidate the role of carbetocin in reducing postpartum bleeding.…”

Section: Introductionmentioning

confidence: 99%

Carbetosine, a Long-acting Oxytocin Agonist, as a Uterotonic in the Prevention of the Occurrence of Postpartum Bleeding

Izaak

2024

Indones J Obstet Gynecol

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Objective: To evaluate the comparative effect of carbetocin vs. other uterotonic agents in the prevention of the occurrence of postpartum bleeding. Methods: Medical search engines like Pubmed, Google Scholar, and Cochrane are used for literature searches. The year period covered by the literature is 2013–2023. “Carbetocin” or “long-acting oxytocin” and “uterotonic” are the essential words, together with “post-partum hemorrhage” or “post-partum bleeding.” Data analysis was performed using the RevMan 5.4 application. Results: This study involved 12 clinical trials with a total sample of 32,312 people. Based on forest plot analysis, it was found that patients receiving carbetocin therapy had a risk of developing postpartum bleeding of 0.42 times compared to those receiving other uterotonic agents (misoprostol and oxytocin) (OR: 0.42; 95% CI: 0.26-0.68; p<0.0004; with heterogeneity p<0.00001, I2 85%) Conclusion: With its effectiveness and efficacy, carbetocin can be considered one modality that can prevent postpartum hemorrhage. In addition, it can benefit women at risk of having a major obstetric hemorrhage. Keywords: carbetocin, uterotonic, meta-analysis, clinical trial

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Penatalaksanaan Perdarahan Postpartum di Negara Berkembang

Cited by 3 publications

References 10 publications

Obstetric complications and delivery methods in Indonesia

Obstetric complications and delivery methods in Indonesia

Korelasi Antara Paritas Dengan Kejadian Perdarahan Postpartum Primer

Carbetosine, a Long-acting Oxytocin Agonist, as a Uterotonic in the Prevention of the Occurrence of Postpartum Bleeding

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