The effect of attending a prenatal childbirth preparedness course on labor duration and outcomes

2018 ◽  
Vol 46 (1) ◽  
pp. 47-52 ◽  
Author(s):  
David Yohai ◽  
Debi Alharar ◽  
Ruthi Cohen ◽  
Zohar Kaltian ◽  
Barak Aricha-Tamir ◽  
...  

AbstractObjective:To evaluate the effect of attending a prenatal childbirth preparation course (CPC) on labor duration and outcomes.Methods:A cross sectional study of 53 primiparous women who attended and 54 women who did not attend a CPC was conducted. The state-trait anxiety inventory (STAI) score was used to diagnose anxiety. Clinical and obstetrical data were collected from the perinatal database of our center. Through post-partum interviews, coping strategies were assessed, patients graded their childbirth experience and breastfeeding was evaluated. Data were analyzed using description analyses and a P-value <0.05 was considered statistically significant.Results:The STAI score was significantly lower in the study group compared with controls (P=0.025). The first stage and the entire duration of labor were significantly shorter (P=0.036 and P=0.026, respectively) in women who attended the CPC. No significant differences were found with regard to the mode of delivery, rate of episiotomy, use of analgesics and neonatal outcomes between the groups. Women in the study group rated their labor experience significantly higher (P=0.016) and exhibited significantly higher rates of breastfeeding (P<0.001) than controls.Conclusions:The knowledge acquired in the CPC has positive effects on the course of labor and delivery outcomes as well as higher rates of breastfeeding.

2013 ◽  
Vol 2 (3) ◽  
pp. 158
Author(s):  
Sari Handayani Utami ◽  
Desmiwati Desmiwati2 ◽  
Endrinaldi Endrinaldi

AbstrakWanita pada periode post-partum memiliki angka unmet need terhadap kontrasepsi, padahal ini waktu yang tepat untuk mulai memakai kontrasepsi. Salah satu kontrasepsi pasca-salin terkini yang mulai disosialisasikan adalah IUD post-placenta. Namun demikian, masih belum banyak wanita pasangan usia subur yang menggunakan alat kontrasepsi ini bahkan mengetahuinya. Tujuan dari penelitian ini adalah untuk mengetahui faktor-faktor yang berhubungan dengan unmet need KB pasca-salin IUD post-placenta. Jenis penelitian survey dengan desain cross sectional study. Waktu pengambilan data dari 12 Januari sampai dengan 12 Maret 2013. Sampel adalah wanita pasangan usia subur yang melahirkan pervaginam dan dipilih secara accidental sampling. Penelitian dilakukan pada 88 orang responden dengan 50 orang bukan akseptor KB IUD post-placenta dan 38 orang akseptor KB IUD Post-placenta. Pengumpulan data dilakukan menggunakan kuesioner melalui wawancara terpimpin. Data dianalisis secara univariat dan bivariat. Hasil penelitian menunjukkan faktor yang memiliki hubungan signifikan dengan unmet need IUD post-placenta adalah faktor pengetahuan (p value = 0,001), sedangkan faktor lain yang tidak memiliki hubungan signifikan adalah faktor pendidikan (p value = 0,222), faktor status ekonomi (p value = 1,000), dan faktor konseling KB (p value = 0,583).Kata kunci: faktor yang berhubungan, unmet need, KB pasca-salin, IUD post-placentaAbstractThe women in post-partum period have unmet need rate to contraception, whereas it’s approriate time to start using contraception. One of recent post-partum contraception method is IUD post-placenta. But, only a few women of fertile age couple use this contraception even has known it. The purpose of this study was to determine the factors associated to unmet need of post-partum contraception IUD post-placenta. This survey study with cross sectional design study. The data was collected from January 12 until March 12 2013. The subject were women of fertile age couple who give birth per vaginam and selected by accidental sampling. This study had 88 respondents consists of 50 as not IUD Post-placenta acceptors and 38 respondents as IUD post-placenta acceptors. The data collected by using questionnaire through guided interview and analyzed through univariate and bivariate.The result of analysis showed that the factor had significant relation to unmet need of IUD post-placenta is knowledge (p value = 0,001), while another factors did not have significant relation are education level (p value = 0,222), economic level (p value=1,000), and family planning counselling (p value=0,583).Keywords:the relating factors, unmet need, post-partum contraception, IUDpost-placenta


2018 ◽  
Vol 5 (1) ◽  
pp. 19-25
Author(s):  
Nona Rahmaida Puetri ◽  
Yasir Yasir

Hipertensi dalam kehamilan adalah peningkatan darah setelah 20 minggu kehamilan > 140 mmHg untuk sistol dan > 90 mmHg untuk diastolik tanpa protein urin dan hasil evaluasi laboratorium abnormal selama kehamilan dan kembali normal sebelum 12 minggu post partum. Penelitian dilakukan di Puskesmas Krueng Barona Jaya Kecamatan Krueng Barona Jaya Kabupaten Aceh Besar Bulan Agustus Tahun 2017. Metode yang digunakan yaitu Deskriptif Analitik dengan desain cross sectional study Jumlah sampel yang diambil sebanyak 96 responden. Analisis yang digunakan adalah analisa bivariat dan chi-square test. Hasil uji statistik chi-square dapat disimpulkan bahwa ada hubungan antara umur dengan hipertensi pada wanita hamil (P-value < 0,05) dengan OR 3.722, ada hubungan antara pengetahuan dengan hipertensi pada wanita hamil (P-value < 0,05) dengan OR 4.142, ada hubungan antara sikap dengan hipertensi pada wanita hamil (P-value < 0,05) dengan OR 3.000. Diharapkan kepada Puskesmas dan petugas kesehatan dapat meningkatkan pelayanan dan penyuluhan tentang pentingnya pemeriksaan tekanan darah dalam masa kehamilan untuk mencegah kematian pada ibu hamil akibat hipertensi


2017 ◽  
Vol 6 (2) ◽  
pp. 21-26
Author(s):  
Begum Sharifa Akhtar ◽  
Nihar Sultana ◽  
Saieda Farzana ◽  
Reshma Ahmed ◽  
Md Golam Rubby

Adequate and safe blood supply has remained a challenge in developing countries like ours. There is a high dependency on family replacement and remunerated blood donors in our environment which carries an attendant increased risk of transfusion transmissible infection. This descriptive type of cross sectional study was conducted at transfusion medicine department of National Institute of Neurosciences & Hospital in Dhaka city during the period January to December 2015 with the aim to assess the awareness about blood donation among donors which includes knowledge and practice of blood donation. A total purposively selected 150 donors were interviewed by using a structured questionnaire which focused on knowledge and practice related variables. The statistical analysis was done by using the SPSS software (Version-21). The associations between the demographic factors were analyzed by using the Chi square test and Fisher’s Exact test. Among 150 donors, 124 (82.7%) were male and 26 (17.3%) were female donors, the mean age of the donors was 28.4 (± 7.2) years. 78 (52.0%) donors knew about the interval of blood donation and 84 (56.0%) knew about the age limit for the donation, but 86 (57.3%), 71 (47.3%) did not know the required Hb level to donate blood and volume of blood in each donation respectively. More than half (56.0%) had past history of blood donation and 103 (68.6%) of the donors showed positive effects like a feeling of satisfaction after blood donation. There were highly significant association found between blood donation and sex (p value.016). A majority (86.9%) of the donors were willing to be regular donors. The donors showed positive effects like a sense of satisfaction after the donation. Creating an opportunity for blood donation by conducting many blood donation camps may increase the voluntary blood donations.Update Dent. Coll. j: 2016; 6 (2): 21-26


2018 ◽  
Vol 3 (1) ◽  
pp. 44
Author(s):  
Ayatullah Harun ◽  
Jumriani Jumriani

Colostrum represents the first fluid that secreted by the breast gland, containing tissue debris and residual material in the alveoli and ducts of the breast glands pre- and post-puerperium. It is also viscous liquid with yellowish color and more yellow than mature milk (Wulandari & Handayani, 2011). This research aimed to determine the relationship of mother knowledge, family support and health officers by giving colostrum at RSKDIA Pertiwi Makassar. The methods of research by using anaytical design with cross sectional study apparoach, the sample of research is post-partum mother as many as 122 mothers. The result of research indicates that there is significant correlation between mother’s knowledge with the giving of colostrum for newborn with p-value = 0.014 < α = 0.05, there is no significant correlation between family support and the giving of colostrum with p-value = 0.79 > α = 0.05 and there is no correlation between health officer support with the giving of colostrum with p-value = 0.283 > α = 0.05. It can be concluded that there is a relationship between mother’s knowledge with the giving of colostrum and there is no relationship between family support, and health officer support with the giving of colostrum. It is expected that mothers can increase their knowledge about colostrum delivery for newborn by following counseling of health officer as well as increasing the role of health officer by giving health program especially in improving the understanding of communities about the importance of colostrum.


2011 ◽  
Vol 18 (03) ◽  
pp. 485-488
Author(s):  
FARAH AGHA ◽  
HABIBA SHARAF ALI

Objective: To identify the factors, causing the early termination of breast feeding i.e. from birth to six months of age. Design: A cross sectional study. Setting: Outpatient Department of Ziauddin Medical University, Kemari Campus, Karachi. Period: June 2008 to December. 2008. Methods: A structured questionnaire was put to mothers of children up to two years of age attending the outpatient department of pediatrics. Results: Significant associations existed between the early termination of breast feeding and family income, family structure (nuclear vs. extended), mode of delivery ,delayed in initiation of breast feeding early weaning and antenatal counseling with a p-value of <0.05. Conclusions: Provision of adequate prenatal counseling, early initiation, proper economical and environmental support, backup and encouragement are key factors associated with prolonged breast feeding among women.


Author(s):  
Feriha Fatima Khidri ◽  
Rubina Amjad ◽  
Farah Naz ◽  
Abid Hussain ◽  
Faiza Kamran Ali

Objectives: To determine the hemoglobin levels in normal pregnant women and investigate the association of anemia with gestational age, number of antenatal visits, obstetrical complications and mode of delivery. Methodology: This is a cross-sectional study conducted at the Lady Willingdon Hospital, Khairpur Mirs, Pakistan from May 2021 to August 2021. A total of 139 normal pregnant women were recruited during antenatal visits. Patients were grouped into normal and anemic groups based on serum hemoglobin levels. Gestational age, obstetrical complications, mode of delivery and fetal outcome were recorded to find its association with anemia. Data was analyzed on SPSS 20.0 and p-value < 0.05 was considered as statistically significant. Results: Out of n=139 normal pregnant women, n=26 women had normal hemoglobin levels, n=49 were mild anemic, n=46 had moderate anemia whereas n=18 had severe anemia. Overall, the prevalence of gestational anemia was 81%. There was significant association between hemoglobin status and number of antenatal visits and complications in previous pregnancies. Hemoglobin status was not significantly associated with gestational age and mode of delivery. Conclusion: In conclusion, we found that gestational anemia is highly prevalent in Pakistan. Early detection of anemia and its correction via supplementations are recommended.


2021 ◽  
Vol 7 (1) ◽  
pp. 11-16
Author(s):  
Asrianti Safitri Muchtar ◽  
A Ulfa Fatmasanti ◽  
Musni Musni ◽  
Ita Novianti

ABSTRACT MOM'S SELF EFFICIENCY TOWARDS THE EFFECTIVENESS OF POST PARTUM BREASTFEEDING  Background: Breastfeeding self-efficacy is the mother's confidence in perceiving breastfeeding ability. Breastfeeding self-efficacy will determine individual responses in the form of choices for breastfeeding behavior, efforts and abilities to face breastfeeding challenges, patterns of thought and actions, mother's emotional reactions. These consequences determine the performance of breastfeeding initiation, and the duration of breastfeeding.Purpose: to determine the effect of mother's self-efficacy on the effectiveness of breastfeeding in the Bajoe Community Health Center, Bone Regency in 2020.Method: This study used a cross sectional study approach. The data obtained from the results of this study are quantitative data. The sample in this study were all postpartum mothers from June to September in the Bajoe Community Health Center with a total sample size of 46 people. The sampling technique used total sampling. The data analysis used was univariate and bivariate analysis presented in the frequency distribution table. For statistical tests, the level of significance used was p <0.05. The analysis used to determine the effect of self-efficacy of breastfeeding mothers on the effectiveness of breastfeeding was by using the chi square test and presented in the form of a frequency distribution table.Results: Based on the results of statistical tests using chi square, it was found that there was an effect of mother's self-efficacy on the effectiveness of breastfeeding with a value of p = 0.000, namely p value <0.005 so that there was an effect of mother's self-efficacy on the effectiveness of breastfeeding in the Bajoe Community Health Center, Bone Regency.Conclusion: There is a significant influence between mother's self-efficacy on breastfeeding effectiveness in the Bajoe Community Health Center, Bone Regency.Suggestion: It is hoped that mothers will increasa their breastfeeding self-efficacy by always increasing their knowledge about breast milk and breastfeeding so that they are able to breastfeed their babies effectively. For research sites, it is hoped that health education about breast milk and breastfeeding since the prenatal period can be routinely increased so as to increase the self-efficacy of mothers in the process of breastfeeding their babies. Keywords: Breastfeeding, Efficacy, Effective ABSTRAK Latar Belakang: Breastfeeding self-eficacy adalah kepercayaan diri ibu dalam mempersepsikan kemampuan menyusui. Breastfeeding self efficacy akan menentukan respon individu berupa pilihan atas perilaku menyusui, upaya dan kesanggupan menghadapi tantangan menyusui, pola pemikiran dan tindakan, reaksi emosional ibu. Konsekuensi ini menentukan performa inisiasi menyusui, dan durasi menyusui.Tujuan: untuk mengetahui pengaruh efikasi diri ibu terhadap efektifitas menyusui di wilayah kerja Puskesmas Bajoe Kabupaten Bone tahun 2020.Metode penelitian: Penelitian ini menggunakan pendekatan cross sectional study. Data yang diperoleh dari hasil penelitian ini berupa data kuantitatif. Sampel dalam penelitian ini adalah semua ibu postpartum pada bulan Juni – September di wilayah kerja puskesmas Bajoe dengan jumlah sampel sebesar 46 orang. Teknik pengambilan sampel menggunakan total sampling.Analisis data yang digunakan adalah analisis univariat dan bivariat disajikan dalam tabel distribusi frekuensi. Untuk uji statistik, tingkat kemaknaan yang digunakan p < 0,05. Analisis yang digunakan untuk mengetahui pengaruh efikasi diri ibu menyusui terhadap efektifitas menyusui adalahdengan uji chi squareserta disajikan dalam bentuk tabel distribusi frekuensi.Hasil: Berdasarkan hasil uji statistic menggunakan chi square didapatkan ada pengaruh efikasi diri ibu terhadapa efektifitas menyususi dengan nilai p= 0,000 yaitu p value < 0,005 sehingga ada pengaruh efikasi diri ibu terhadap efektifitas menyusui di wilayah kerja Puskesmas Bajoe Kabupaten Bone.Kesimpulan: Terdapat pengaruh yang signifikan antara efikasi diri ibu terhadap efektifitas menyusui di wilayah kerja Puskesmas Bajoe Kabupaten Bone.Saran: Diharapkan ibu lebih meningkatkan kepercayaan diri dalam proses pemberian ASI dengan selalu meningkatkan pengetahuan tentang ASI dan menyusui sehingga ibu mampu menyusui bayinya secara efektif. Bagi tempat penelitian diharapkan memberikan pendidikan kesehatan tentang ASI dan menyusui sejak masa prenatal secara rutin sehingga mampu meningkatkan kepercayaan diri ibu dalam proses menyusui bayinya. Kata Kunci: Menyusui, Efikasi, Efektifitas


2020 ◽  
Vol 11 (SPL4) ◽  
pp. 518-523
Author(s):  
Priyanka Karande ◽  
Potdar DB ◽  
Kshirsagar VY

Breastfeeding the infants within one hour of birth can reduce infant mortality. Knowledge of exclusive breastfeeding among women is essential when promoting optimal breastfeeding practices. Hence, this study was conducted to evaluate initiation and establishment of lactation, level of knowledge and attitude, and actual practices of breastfeeding among postnatal primigravida mothers. This cross-sectional study was carried out on 400 postnatal primigravida mothers for one year. Mothers were interviewed and their socio-demographic details and data on time of initiation of prelacteal feeds, number of times of feeding per day, and breastfeeding duration were collected using semi-structured questionnaires. Proper counseling on breastfeeding practices including initiation and establishment of lactation was provided on the basis of the responses to the questionnaire. Pre- and post-counseling scores were interpreted and compared for all the primiparous mothers. The association between variables was examined using t-test. P-value of <0.0001 was considered statistically significant. Remarkable improvement in the post-counseling test scores was observed in terms of education, age, residence, religion, mode of delivery, weight, occupation, type of family, and sex of the baby (p<0.0001). A significant improvement was noted in mothers with more than 12th grade level of education and those who were from nuclear families and resided in urban areas (p<0.0001). Knowledge of initiation and establishment of lactation improved in primiparous mothers. Counseling improved the attitude towards lactation in all the primiparous mothers. Hence, wherever possible, relevant health programs on the awareness of timely breastfeeding should be initiated in future for all primiparous mothers.


Author(s):  
Sneha Saha ◽  
Yanglem Ajitkumar Singh ◽  
Sangeeta Naorem ◽  
Racheal Sweet Marbaniang ◽  
Victoria Kshetrimayum ◽  
...  

Aims: The aim of this study was to find the correlation between serum sodium and serum potassium with preeclampsia. Study Design: This is a cross sectional study. Place and Duration of Study: Conducted in Department of Biochemistry in collaboration with the Department of Obstetrics and Gynaecology, (RIMS), Imphal (Manipur) from September 2016 to August 2018. Methodology: Blood samples of 30 diagnosed patients of preeclampsia and above 18 years of age admitted in the obstetrics antenatal ward of RIMS, Imphal was taken. Samples were analysed for serum sodium and potassium by randox rx imola autoanalyser. The data were analyzed using statistical tools like Chi-square test through SPSS 21.0. Results: Serum sodium levels were high in 63.34%of study group, low levels were seen in 3.33% followed by normal levels in 33.3%of study group. Serum potassium levels were low in 56.6%of study group, normal in 40% and high in 3.33% of study group. There was positive correlation between serum sodium and proteinuria which was statistically significant at P-value <0.01 and negative correlation was seen between serum potassium levels with proteinuria which was statistically significant at P-value 0.04. Conclusion: In this study hypernatremia and hypokalaemia were associated with preeclampsia, and may have important causative role in this syndrome therefore constant monitoring of serum sodium and potassium level in pregnant women may help in early detection, management and prevention of preeclampsia.  


2019 ◽  
Vol 4 (2) ◽  
pp. 74
Author(s):  
Wilda Rezki Pratiwi

Abstrak: Postpartum depression (PPD) atau depresi pascamelahirkan merupakan masalah kesehatan dalam masyarakat modern. Kehamilan dan melahirkan merupakan periode kehidupan yang cenderung mengalami stres. Pada periode tersebut dapat menyebabkan suatu perubahan besar melibatkan peningkatan gejolak fisik dan emosional.Tujuan penelitian ini untuk menganalisa kecenderungan depresi postpartum dari jenis persalinan dab mendapatkan hasil yang dapat mempengarungi kecenderungan mengalami depresi postpartum.Desain penelitian yang digunakan adalah desain survey analitik dengan pendekatan cross sectional study yang bertujuan untuk mengetahui perbedaan kecenderungan depresi postpartum pada persalinan seksio sesaria dan persalinan spontan. Populasi 87 orang .Sampel  dalam penelitian ini berjumlah 40 ibu post partum. 20 orang melahirkan dengan Normal dan 20 orang yang melahirkan secara Sectio Secaria  di RSUD Nene Mallomo Kabupaten SidrapPartisipan direkrut menggunakan teknik purposive sampling.Hasil penelitian menunjukan hasil analisis Mann Whitney U test menunjukan jenis persalinan p value 0,212 (p > 0,05) tidak ada perbedaan jenis persalinan terhadap kecendrungan depresi post partum, dukungan suami menunjukan p value 0,000 (p< 0,05) artinya ada perbedaan dukungan suami terhadap kecendrungan depresi post partum. Dukungan keluarga  menunjukan p value 0,152 (p> 0,05) artinya tidak ada perbedaan dukungan keluarga terhadap kecendrungan depresi post partum.Diharapkan dukungan suami dimulai dari kehamilan, persalinan dan nifas sehingga memberikan kemampuan yang lebih kepada wanita dalam menghadapi stres yang muncul dan wanita tersebut dapat terhindar dari depresi pasca postpartumAbstract:  Postpartum depression (PDD) is a health problem in modern society. Pregnancy and childbirth are periods of life when women tend to experience overwhelming stress. This period alsomaylead to a major change involving an increased physical and emotional distress. The study aimed to analyze the tendency of postpartum depression from the labor type and discover the results that can affect the tendency to experience postpartum depression.The research design used an analytical survey design with a cross-sectional analytic approach which aims to determine the differences in postpartum depression tendencies in cesarean delivery (c-section) and spontaneous labor. 87 people participated in this study. The sample are 40 postpartum mothers,20 people who gave birth by normal delivery, and 20 people who gave birth through Sectio Secaria in Nene Mallomo District Hospital, Sidrap. participants were recruited by using a purposive sampling technique.The results indicated that Mann Whitney U test analysis is the labour type of pvalue 0.212 (p> 0.05) was no differences in the labor type towards postpartum depression tendencies, husband’s support showspvalue 0.000 (p <0.05) means that there were differences in husband’s support towards postpartum depression. Family’s support shows pvalue of 0.152 (p> 0.05) means that there is no differences in family’s support toward postpartum depression tendencies.Husband’s support expected to begin early from pregnancy, childbirth and parturition so as to provide more support for women to deal with stress arises after birth delivery and may be able to avoid postpostpartum depression.


Sign in / Sign up

Export Citation Format

Share Document