Kommunikative Beteiligung von Partnern in der Schwangerenberatung

2020 ◽  
Vol 73 (1) ◽  
pp. 269-300
Author(s):  
Ina Völker
Keyword(s):  
Pregnant Woman ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Emotional Support ◽  
Information Exchange ◽  
Medical Professionals ◽  
Congenital Diseases ◽  
Triadic Interactions ◽  
Birth Plan

AbstractThe interaction between midwifes or other medical professionals and pregnant women in the last trimester of pregnancy plays an important role during antenatal care and birth. The partners of the pregnant women are often present for these conversations and can affect the interaction with their contributions, e. g. their input to the birth plan and their experiences during pregnancy. In this interactional work, triadic interactions during antenatal care consultations were analysed. Using examples from a corpus of 37 primary consultations between midwifes, pregnant women and doctors in an obstetric ward, it is shown that partners can affect the information exchange during these interactions. With their utterances, partners can provide various information, such as facts about previous deliveries, information about the pregnant woman, own pregnancy experiences, information about past abortions and miscarriages as well as information about congenital diseases. In doing so, they enriched the conversation and provided emotional support for the pregnant woman. Only very few partners acted in the role of ‘critic’ or ‘opponent’ and controlled the informational exchange between midwife and pregnant woman or focused solely on themselves during these interactions.

scholarly journals Analisis Faktor yang Berhubungan dengan Kinerja Bidan dalam Memberikan Pelayanan Antenatal Berkualitas Diwilayah Kerja Puskesmas Kota Bukittinggi Tahun 2018

2019 ◽  
Vol 19 (1) ◽  
pp. 53
Author(s):  
Khairan Nisa ◽  
Joserizal Serudji ◽  
Delmi Sulastri
Keyword(s):  
Data Analysis ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Monitoring And Evaluation ◽  
Dominant Factor ◽  
The Public ◽  
Depth Interview ◽  
Quantitative Data Analysis

Quality antenatal care has a major role in reducing maternal mortality. Every effort to improve quality must also be accompanied by efforts to pay attention to factors that contribute to improving the performance of midwives in providing services. The study used a combination of quantitative approaches in 67 midwives in the Bukittinggi and qualitatively in 15 informants, of which 9 people included in-depth interview informants to coordinator midwives, head of the Public health center and staffing and 6 FGD informants to midwives on duty at the health center.The results of quantitative data analysis, factors related to the performance of midwives are incentives, motivation and workload. Motivation is the most dominant factor related to the performance of midwives. The results of qualitative data analysis, the leadership plays an important role in increasing motivation to work midwives and optimizing the role of midwives in overcoming problems related to overlapping workloads. Midwives also need to increase their participation efforts and empower pregnant women so that programs can run well and provide positive feedback for improving the health status of pregnant women. Basically antenatal services provided by midwives are in accordance with standards, but the paradigm of antenatal care for pregnant women must shift from achieving quantity to focus on quality. To improve the performance of midwives in providing antenatal care, several efforts are needed: monitoring and evaluation of the quality of antenatal care by midwives, leadership involvement in efforts to increase midwife motivation both from supervision and reward management in non-material forms. Providing equal opportunities for midwives to improve competence through training, especially training related to quality antenatal care. In addition, the provision of infrastructure at the polindes needs attention. 

scholarly journals Pre-Eklampsia Berat di RSUD Bayu Asih Purwakarta

2008 ◽  
Vol 3 (1) ◽  
pp. 39
Author(s):  
Lia Yulianti ◽  
Sandra Fikawati
Keyword(s):  
Pregnant Woman ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Complete Information ◽  
Data File ◽  
Case Control ◽  
Severe Preeclampsia ◽  
Study Results ◽  
Logistic Regression Method ◽  
Clear Information

Pada periode 2004 - 2005, kejadian pre-eklampsia berat pada ibu hamil di RSUD Bayu Asih Purwakarta meningkat dari 15,2% menjadi 23,6%. Peningkatan kejadian PEB ini diperkirakan dipengaruhi faktor pendidikan, pekerjaan, umur ibu, paritas, umur kehamilan, riwayat penyakit, dan pemeriksaan antenatal. Penelitian ini bertujuan melakukan analisis berbagai faktor determinan pre-eklampsia berat pada Ibu hamil di RSUD Bayu Asih Purwakarta. Penelitian dengan disain studi case control ini dilakukan pada 133 kasus ibu dengan pre-eklampsia berat dan 133 kontrol ibu dengan non pre-eklampsia berat di RSUD Bayu Asih Purwakarta tahun 2004-2005. Metoda analisis yang digunakan adalah metoda analisis regresi logistik ganda. Penelitian ini menemukan faktor-faktor umur ibu, riwayat penyakit, dan pendidikan berhubungan secara bermakna dengan kejadian pre-eklampsia berat. Faktor yang berhubungan paling erat dengan kejadian pre-eklampsia berat adalah riwayat penyakit. Disarankan untuk melakukan penyuluhan pada ibu hamil, khususnya yang berumur >35 tahun dan primigravida dan ibu yang pernah mengalami pre-eklampsia berat agar mampu mendeteksi secara dini gejala dan tanda pre-eklampsia berat untuk segera mencari pelayanan rumah sakit juga melengkapi pengisian data file rekam medis pasien agar dapat memberikan tindakan medis yang sesuai dan tepat.Kata kunci : Pre-eklampsia berat, ibu hamil, rumah sakitAbstractIn the period of 2004 - 2005, the severe preeclampsia condition among pregnant woman in RSUD Bayu Asih Purwakarta had been increased from 15,2% to 23,6%. It was predicted that the increase was related to factors such as education, job, mother age, parity, pregnancy age, illness and antenatal care. The objective of this study is to analyse several factors related to severe preeclampsia condition among pregnant woman who delivered in RSUD Bayu Asih Purwakarta in the period of 2004-2005. The study design used in this research is case control that conducted among 133 cases mother who suffered from severe preeclampsia condition and 133 mothers who did not suffer from severe preeclampsia. The method of analysis used in this study is logistic regression method. This research found that mother age, illness, and education were related to severe preeclampsia condition. On the other hand, job, parity, pregnancy age, and antenatal care were not related to the severe preeclampsia condition. Illness has the strongest relationship to severe preeclampsia condition. According to the study results, pregnant women especially those age more than 35 year and primigravida need clear information about severe preeclampsia condition so they can seek the needed health service. The hospital must collect complete information about patiens’ medical record.Keywords : Severe preeclampsia, pregnant women, hospital

scholarly journals PENGARUH KARAKTERISTIK IBU DAN DUKUNGAN SUAMI TERHADAP PEMERIKSAAN KEHAMILAN DI KECAMATAN ANGKOLA TIMUR KABUPATEN TAPANULI SELATAN

2019 ◽  
Vol 8 (3) ◽  
pp. 317-325
Author(s):  
Rosmawaty Harahap ◽  
Meidiawaty Siregar
Keyword(s):  
Antenatal Care ◽  
Pregnant Women ◽  
Emotional Support ◽  
Health Centre ◽  
Sampling Technique ◽  
Good Health ◽  
Significance Level ◽  
Regression Test ◽  
Mother’S Age ◽  
Logistic Regression Test

One of the efforts to observe the progress of pregnancy in order to ascertain good health of the motherand the womb is by getting antenatal care. The result of the preliminary survey in working area ofHealth Centre Pargarutan, East Angkola district showed that according to the data 2009, the coverageof K4 was 73,5% and the data 2010, the coverage of K4 was only 78% (it is still far from the expectedcoverage by Ministry of Health , that 90%). This research was aimed to analyze the influence of thecharacteristics of the mother (parity, age, occupation, education) and husband’s support (informational,assessment, instrumental and emotional) on antenatal care. The type of the research was cross-sectionalstudy. The research was carried out in Health Centre Pargarutan, East Angkola district. The populationin this research were all pregnant women in Health Centre Pargarutan, East Angkola district with KIAbook. The amount of the sample were 74 pregnant women with proportional sampling technique. Dataanalysis used multiple logistic regression test with significance level of 95% ( α < 0,05). The result ofthe research showed that there were influences of parity, emotional support and instrumental support onantenatal care. There was no influence of mother’s age, education, occupation, informational support andassessment/appreciation support on antenatal care. The most dominant variable influenced on antenatalcare was emotional support. It is recommended that the policy-maker should conduct cooperation in orderto improve the routine socialization and counseling on the antenatal care with involve the pregnantmother’s husbands to accompany them.

scholarly journals Perceptions of pregnant woman on monetary and time sacrifice for satisfaction based on health workers roles in antenatal services to reduce the risk of maternal death at Gowa district

2019 ◽  
Vol 10 (2) ◽  
pp. 111-118
Author(s):  
Serawati Dewi ◽  
Yuni Romalita ◽  
Yusriani Yusriani ◽  
Muhammad Khidri Alwi
Keyword(s):  
Maternal Health ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Study Design ◽  
Health Workers ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional

Latar belakang: Angka Kematian Ibu (AKI) merupakan salah satu indikator pembangunan kesehatan di Indonesia. Upaya percepatan penurunan AKI dapat dilakukan dengan menjamin agar setiap ibu mampu mengakses pelayanan kesehatan ibu hamil yang berkualitas. Apabila antenatal care dimanfaatkan dengan baik maka kesehatan ibu dapat terpantau secara berkesinambungan dari masa kehamilan sampai dengan persalinan. Metode: Desain penelitian adalah kuantitatif dengan rancangan cross sectional study. Populasi pada penelitian ini adalah semua ibu yang memiliki bayi usia 0-11 bulan di Kabupaten Gowa sebanyak 122 orang. Sampel sebanyak 93 orang diambil dengan menggunakan teknik accidental sampling, besar sampel ditentukan dengan menggunakan rumus Slovin Hasil: Persepsi ibu hamil terhadap peran petugas kesehatan dalam pelayanan antenatal berdasarkan pengorbanan moneter tidak menunjukkan korelasi. Ibu hamil yang memiliki persepsi pengorbanan moneter kecil dan mengatakan peran petugas kesehatan kurang dalam pelayanan antenatal sebanyak 90,0%. Ibu hamil yang memiliki persepsi pengorbanan moneter sangat kecil dan mengatakan peran petugas kesehatan kurang sebanyak 83.1%. Sedangkan persepsi pengorbanan waktu menunjukkan adanya korelasi dengan peran petugas kesehatan dalam pelayanan antenatal. Ibu hamil yang memiliki persepsi pengorbanan waktu besar dan mengatakan peran petugas kesehatan kurang dalam pelayanan antenatal sebanyak 100%. Ibu hamil yang memiliki persepsi pengorbanan moneter besar dan mengatakan peran petugas kesehatan kurang dalam pelayanan antenatal sebanyak 90.2%. Kesimpulan: Persepsi ibu hamil terhadap peran petugas kesehatan dalam pelayanan antenatal berdasarkan pengorbanan moneter tidak menunjukkan korelasi sedangkan berdasarkan pengorbanan waktu menunjukkan ada korelasi. Perlu meningkatkan kecepatan proses pelayanan pemeriksaan kehamilan pada ibu hamil oleh tenaga kesehatan. Kata kunci: Pelayanan antenatal, Ibu Hamil, Pengorbanan, Waktu, Moneter   Abstract Background: Maternal Mortality Rate (MMR) is one indicator of health development in Indonesia. Efforts to accelerate the reduction of MMR can be done by ensuring that every mother is able to access quality maternal health services. If antenatal care is utilized properly, maternal health can be monitored continuously from pregnancy to delivery. Methods: The study design was quantitative with a cross sectional study design. The population in this study were all pregnant women who had a gestational age of 7 to 9 months in Gowa Regency as many as 122 people. A sample of 93 people was taken using accidental sampling technique, the sample size was determined using the Slovin formula. Results: Perception of pregnant women towards the role of health workers in antenatal care based on monetary sacrifice did not show a correlation. Pregnant women who have a perception of small monetary sacrifice and say the role of health workers is lacking in antenatal care are 90.0%. Pregnant women who have a perception of monetary sacrifice are very small and say the role of health workers is less as much as 83.1%. While the perception of sacrifice of time shows a correlation with the role of health workers in antenatal care. Pregnant women who have the perception of sacrifice of big time and say the role of health workers lacking in antenatal care as much as 100%. Pregnant women who have a perception of great monetary sacrifice and say the role of health workers is lacking in antenatal care are 90.2%. Conclusion: Perception of pregnant women towards the role of health workers in antenatal care based on monetary sacrifice does not show correlation while based on time sacrifice shows there is correlation. Need to increase the speed of the process of pregnancy examination services for pregnant women by health workers. Keywords: Antenatal care, Pregnant Women, Sacrifice, Time, Monetary

Severe COVID-19 infection in a 32 weeks pregnant woman successfully treated with convalescent plasma therapy

2021 ◽  
pp. 64-66
Author(s):  
Ashraful Hoque ◽  
Talukder Mohammad Al Amin
Keyword(s):  
Pregnant Woman ◽  
Pregnant Women ◽  
Private Hospital ◽  
Virus Disease ◽  
Case Series ◽  
Favourable Outcome ◽  
Plasma Therapy ◽  
Corona Virus ◽  
Women Experiences

From the beginning of corona virus disease 19(COVID-19) pandemic, there has been concern how to protect vulnerable group like pregnant women from severe acute respiratory syndrome corona virus 2(SARS-CoV-2). Historically, pregnant women experiences increased mortality during any pandemic situation. Pregnant women show almost the similar clinical features as that of non-pregnant adults with COVID-19 infection. Different systematic reviews have begun to focus light on pregnancy outcomes in COVID-19 patients, but knowledge is very limited and still the basis is case series and individual experiences. Apart from the scientifically proven therapeutic options used in COVID-19 such as steroid, low molecular weight heparin, the role of convalescent plasma therapy (CPT) has never been evaluated. We present a case of a pregnant woman of 32 weeks of conception, treated with CPT with favourable outcome in a private hospital of Dhaka, Bangladesh. BSMMU J 2021; 14 (COVID -19 Supplement): 64-66

The ROLE OF ANUVASANA BASTI AND YONI PICHU IN SUKHAPRASAVA.

2020 ◽  
Vol 8 (01) ◽  
Author(s):  
DIVYA PAWAR ◽  
Sameer Gholap
Keyword(s):  
Health Care ◽  
Antenatal Care ◽  
Life Span ◽  
Pregnant Women ◽  
Postnatal Care ◽  
Modern Science ◽  
Science Literature ◽  
Normal Delivery ◽  
Child Birth

ABSTRACT Delivery is a crucial phase in every female’s life span. Every woman expects normal delivery in her life. Child birth is a very Influential process and women is been well prepared for it. Notwithstanding of advanced health care in Obstetrical field high number of woman continue to die during childbirth due to causes like mismanagement of labour. Thus Antenatal, Intra-natal and Postnatal care is very important. A comprehensive sweeping antenatal care from conception up to delivery is given under subservient to “Garbhini Paricharya” in Ayurveda. In Garbhini Paricharya Acharyas have mentioned Basti procedure to facilitate Sukhaprasava (Eutocia). Moreover Madhura aushadhi siddha Taila and Yonipichu (Vaginal Tampon) are used in management Labour. AIMS AND OBJECTIVE To study Anuvasana Basti and Yoni pichu in Sukhaprasava and establish its Ayurveda co-ordination. To evaluate its modern co – ordination in Normal Labour. METHODOLOGY Reviewing the modern science literature regarding Anuvasana Basti and Yoni pichu in Sukhaprasava and Ayurvedic classics, commentaries also recently published books and Research journals, collection done and attempt to get co-relation between Ayurveda and Modern effect of Anuvasana Basti and Yoni pichu in Sukhaprasava. CONCLUSION             In pregnant women due to distension of uterus it causes obstruction to pathway of Apanavayu thus resulting into Constipation, Backache and other symptoms. To treat Apanavayu Anuvasana basti medicated with Madhura gana aushadhi acts in right pathway and women can have a natural and uncomplicated delivery. Use of Yoni pichu with same medicated oil in 9th month enhances lubrication of Garbhashaya and Garbhashayamarga also reduces exhaustion of Prasava and makes Garbhini physically and psychologically strong. KEYWORDS : Sukha prasava, Madhura aushadhi siddha Taila, Yonipichu, Anuvasana Basti.

scholarly journals MS, pregnancy and COVID-19

2020 ◽  
Vol 26 (10) ◽  
pp. 1137-1146 ◽  
Author(s):  
Charmaine Yam ◽  
Vilija Jokubaitis ◽  
Kerstin Hellwig ◽  
Ruth Dobson
Keyword(s):  
Multiple Sclerosis ◽  
Pregnant Woman ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Clinical Management ◽  
The Novel ◽  
Relative Paucity ◽  
Novel Coronavirus ◽  
The Impact ◽  
Current Advice

Concerns regarding infection with the novel coronavirus SARS-CoV-2 leading to COVID-19 are particularly marked for pregnant women with autoimmune diseases such as multiple sclerosis (MS). There is currently a relative paucity of information to guide advice given to and the clinical management of these individuals. Much of the limited available data around COVID-19 and pregnancy derives from the obstetric literature, and as such, neurologists may not be familiar with the general principles underlying current advice. In this article, we discuss the impact of potential infection on the pregnant woman, the impact on her baby, the impact of the current pandemic on antenatal care, and the interaction between COVID-19, MS and pregnancy. This review provides a framework for neurologists to use to guide the individualised advice given to both pregnant women with MS, and those women with MS who are considering pregnancy. This includes evidence derived from previous novel coronavirus infections, and emerging evidence from the current pandemic.

scholarly journals PERCEPTION OF CLIENTS REGARDING ROLE OF PHYSICAL THERAPY IN ANTENATAL CARE - A CROSS SECTIONAL SURVEY ON PREGNANT FEMALES WITH MULTIPLE PREGNANCIES ATTENDING ANTENATAL OPD

2014 ◽  
Vol 3 (2) ◽  
pp. 16-20
Author(s):  
Deeba Islam ◽  
Muhammad Sarfaraz ◽  
Dr. Rubina Kanwal ◽  
Saad Saleem
Keyword(s):  
Physical Therapy ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Tertiary Care ◽  
Survey Study ◽  
Multiple Pregnancies ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Pregnant Females

OBJECTIVE Perception of pregnant women concerning the role of Physical Therapy in antenatal care with multiple pregnancies. STUDY DESIGN A Cross Sectional Survey. STUDY SETTINGS & PARTICIPANTS The study was conducted on a 100 pregnant women at three tertiary care hospitals in Karachi. RESULTS It was found that these women were well informed about the Physical therapy (76%) but everyone did not practice physiotherapy in their multi-pregnancies. CONCLUSION The results show that the perception and knowledge of women regarding physical therapy exercise during the multiple pregnancies is reasonable. KEY WORDS Pregnant Females, Multiple Pregnancies, Antenatal Care, Physical Therapy, Perception, Kegal Exercises.

scholarly journals PERBEDAAN KUNJUNGAN ANTENATAL CARE ANTARA IBU HAMIL PESERTA PROGAM KELUARGA HARAPAN (PKH) DAN BUKAN PESERTA PKH DI KECAMATAN KALISAT KABUPATEN JEMBER

IKESMA ◽  
2018 ◽  
Vol 14 (1) ◽  
pp. 34
Author(s):  
Nika Nur Indah Sari ◽  
Andrei Ramani ◽  
Ni’mal Baroya
Keyword(s):  
Pregnant Woman ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Easy Access ◽  
Antenatal Visit ◽  
Pregnancy Test ◽  
Antenatal Care Visit ◽  
Care Visit ◽  
Significant Difference ◽  
Husband Support

Pregnant woman has a risk of mortality; therefore, it is necessary to prevent the maternal mortality by pregnancy test. PKH (Program Keluarga Harapan) is a program that supporta pregnancy test. This study aims to determine the different of antenatal care visits between pregnant women PKH participants and non PKH participants in Kalisat, Jember. This study was analytic with cross sectional approach. The data was analyzed by using chi-square test. The sample of this study were 36 pregnant women in each group randomized in 2016.The results showed that there was a significant difference between occupation status and accessibility to the antenatal care visit (completeness) between pregnant women PKH participants and non PKH participants where pregnant woman PKH participant who unemployed and have easy access are visit antenatal completely compared to pregnant woman non PKH participants. There is a difference between occupation status, husband support and accessibility to antenatal visit (accuracy) between pregnant women PKH participants and non PKH participants where pregnant woman PKH participants who unemployed have more visit antenatal care completely, and pregnant woman non-PKH participants with high husband support and easy accsess will be more appropriate visit compared with pregnant woman PKH participants. There were no differences in age, parity, education, family income, and medical history with antenatal care visit between pregnant women of PKH participants and non PKH participants.

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