scholarly journals PEREMPUAN DAN KESEHATAN REPRODUKSI

EGALITA ◽  
2012 ◽  
Author(s):  
Imamah Imamah
Keyword(s):  
Mortality Rate ◽  
Health Services ◽  
Maternal Mortality ◽  
Human Development ◽  
Access To Information ◽  
Live Births ◽  
Human Development Report ◽  
Mothers And Children ◽  
Mother And Child ◽  
The Government

In terms of Indonesian women’s health services are still treated unfairly and still are the number two. It can be seen from the report reporting Indonesia Human  Development Report 2005 on maternal mortality rate (MMR) delivery, which is currently listed at number 307 out of every 100,000 live births. This shows that the government has not seriously and equitable in the provision of health services particularly for women. Maternal mortality can be used as indicators of poor health services received by mothers and children and low access to information owned by mother and child.<br /><br />Keywords: Perempuan, Human Development Report, Angka Kematian Ibu, Indikator dan Kesehatan.<br /><br />

scholarly journals An Impact of Socio-Cultural Practices on Maternal Mortality in Masasi District, Tanzania

2017 ◽  
Vol 4 (1) ◽  
pp. 47-58
Author(s):  
Robert Ngelela Shole
Keyword(s):  
Mortality Rate ◽  
Maternal Mortality ◽  
Cultural Practices ◽  
Good Health ◽  
Research Approach ◽  
Maternal Mortality Rate ◽  
Mother And Child ◽  
The Government ◽  
The Impact

This study was about to find out the impact of socio-cultural practices on maternal mortality rate in Tanzania by using Masasi District as the case study. The study involved 3 sample hospital namely Mkomaindo, Maendeleo, and Mkapa Road. The data obtained from 30 total respondents namely clinical officers, maternal mothers, and midwives. The study used mixed research approach under Explanatory Design in which data collection were done by questionnaire and interview. Data was processed by a computer to obtain tabulation, simple figures, Percentages and content analysis. Findings showed that the impact of socio-cultural practices on maternal mortality rate was loss of blood, miscarriage, difficulties during the time of giving birth, lack of good health to the maternal mother and child. Researcher recommended some ways on how to reduce the problem of socio-culture practices on maternal mortality rate include the provision of education to maternal mother. Also, the government should enact strict law against those who still practice bad traditional to maternal mother also the government should ensure services to maternal mother are cheap so that they can be able to go to the hospital.

scholarly journals Maternal Mortality Trends in Spain During the 2000-2018 Period: The Role of Maternal Origin

2021 ◽  
Author(s):  
Santiago García-Tizón Larroca ◽  
Juan Arevalo Serrano ◽  
Maria Ruiz Minaya ◽  
Pilar Paya Martinez ◽  
Ricardo Perez Fernandez Pacheco ◽  
...  
Keyword(s):  
Mortality Rate ◽  
Maternal Mortality ◽  
Human Development ◽  
Maternal Death ◽  
Human Development Index ◽  
Descriptive Analysis ◽  
Maternal Origin ◽  
Development Index ◽  
Maternal Mortality Rate ◽  
Live Births

Abstract Backround: The available literature indicates that there are significant differences in maternal mortality according to maternal origin in high income countries. The aim of this study was to examine the trend in the maternal mortality rate and its most common causes in Spain in recent years and to analyse its relationship with maternal origin.Methods: This was a cross-sectional study of all live births as well as those resulting in maternal death in Spain during the period between 2000 and 2018. A descriptive analysis of the maternal mortality rate by cause, region of birth, maternal age, marital status, human development index and continent of maternal origin was performed. The risk of maternal death was calculated using univariate and multivariate logistic regression analyses, with adjustment for certain variables included in the descriptive analysis.Results: There was a total of 293 maternal deaths and 8,439,324 live births during the study period. The most common cause of maternal death was hypertensive disorders of pregnancy. The average maternal death rate was 3.47 per 100,000 live births. The risk of suffering from this complication was higher for immigrant women from less developed countries; therefore, a decrease of 0.01 in the maternal human development index score significantly increased the risk of this complication by 2.4%.Conclusions: The results of this study indicate that there are inequalities in maternal mortality according to maternal origin in Spain. The human development index of the country of maternal origin could be a useful tool when estimating the risk of this complication, taking into account the origin of the pregnant woman.

scholarly journals Maternal Mortality Rate before and after BPJS Health services Era

2021 ◽  
pp. 70-73
Author(s):  
Hermie M. M. Tendean ◽  
Anastasia M. Lumentut ◽  
Maimun Ihsan
Keyword(s):  
Mortality Rate ◽  
Health Services ◽  
Maternal Mortality ◽  
Medical Records ◽  
Secondary Data ◽  
Referral Centre ◽  
Maternal Mortality Rate ◽  
Live Births ◽  
Before And After ◽  
Number Of Births

Abstract Objective: To compare maternal death in RSUD dr. Aloei Saboe Gorontalo before BPJS (in 2011-2013) and after BPJS (2014-2016)Methods: Descriptive Retrospective. Data in this study obtained from the secondary data. This data obtained by the researcher from medical records in RSUD Prof. Dr. Aloei Saboe Gorontalo.Results: In this study, the number of delivery in hospitals Prof. Dr. Aloei Saboe before BPJS (2011-2013) of 7906 deliveries of live births after 7735 and health services BPJS (years 2014-2016) of 6493 deliveries of live births BPJS 6333. Maternal mortality before and after as many as 34 cases BPJS many as 42 cases, so we get the MMR before BPJS 4.39 ‰ and 6.63 ‰ after BPJS.Conclusion: There is a significant increase in maternal mortality rate in Prof. Dr. Aloei Saboe Gorontalo (p = 0.036), after BPJS maternal mortality (years 2014-2016) was 42 cases, compared with a prior health services BPJS (2011-2013) was 34 cases. This increase occurred because of a referral system BPJS make the decreasing number of births was in the hospital decreased, and hospitals Prof. Dr. Aloei Saboe a referral centre in Gorontalo province and surrounding areas.Keywords: death, BPJS, maternal, mortality. Abstrak Tujuan: Untuk membandingkan kematian maternal di RSUD Prof. Dr. Aloei Saboe sebelum BPJS (2011-2013) dan sesudah layanan kesehatan BPJS (2014-2016).Metode: Deskriptif Retrospektif. Jenis data yang digunakan dalam penelitian ini adalah data sekunder yang diperoleh dari rekam medik di RSUD Prof. Dr. Aloei Saboe Gorontalo.Hasil: Pada penelitian ini didapatkan jumlah persalinan di RSUD Prof. Dr. Aloei Saboe sebelum BPJS (2011-2013) sebanyak 7906 persalinan dengan kelahiran hidup 7735 dan sesudah layanan kesehatan BPJS (2014-2016) sebanyak 6493 persalinan dengan kelahiran hidup 6333. Kematian maternal sebelum BPJS sebanyak 34 kasus dan sesudah BPJS sebanyak 42 kasus, sehingga didapatkan AKI sebelum BPJS 4.39 ‰ dan sesudah BPJS 6.63 ‰.Kesimpulan: Ternyata terdapat peningkatan yang bermakna (p=0,036) kematian maternal sesudah BPJS (2014-2016) sebanyak 42 kasus, bila dibandingkan dengan sebelum layanan kesehatan BPJS (2011-2013) sebanyak 34 kasus. Peningkatan ini terjadi karena sistem rujukan BPJS membuat menurunnya jumlah persalinan yang ada dirumah sakit menurun, dan RSUD Prof. Dr. Aloei Saboe merupakan pusat rujukan di propinsi Gorontalo dan sekitarnya.Kata Kunci: BPJS, kematian, maternal,mortalitas

scholarly journals Two year review of maternal mortality at a tertiary care hospital of GMERS, Valsad, Gujarat, India

2018 ◽  
Vol 7 (6) ◽  
pp. 2283
Author(s):  
Darshna M. Patel ◽  
Mahesh M. Patel ◽  
Vandita K. Salat
Keyword(s):  
Mortality Rate ◽  
Maternal Mortality ◽  
Rural Areas ◽  
Tertiary Care ◽  
Maternal Mortality Ratio ◽  
Care Hospital ◽  
Maternal Deaths ◽  
Maternal Mortality Rate ◽  
Live Births ◽  
Mortality Ratio

Background: According to the WHO, 80 of maternal deaths in developing countries are due to direct maternal causes such as haemorrhage, hypertensive disorders and sepsis. These deaths are largely preventable. Maternal mortality ratio (MMR) in India is 167/100,000 live births.Methods: This retrospective observational study was conducted at GMERS, Valsad. Data regarding maternal deaths from January 2016 to December 2017 were collected and analyzed with respect to epidemiological parameters. The number of live births in the same period was obtained from the labour ward ragister. Maternal mortality rate and Mean maternal mortality ratio for the study period was calculated.Results: The mean Maternal mortality rate in the study period was 413.3/100,000 births. The maternal mortality ratio (MMR) in India is 167/100,000 live births. More than half of maternal deaths were reported in multiparous patients. More maternal deaths were observed in women from rural areas (67.3%), unbooked patients (73.3%) and illiterate women (65.3%). Thirty six (69.3%) maternal death occurred during postpartum period. Most common delay was first delay (60.0%) followed by second delay (40.0%). Postpartum haemorrhage (28.8%), preeclampsia (17.3%), sepsis (13.46%) were the major direct causes of maternal deaths. Indirect causes accounted for one third of maternal deaths in our study. Anemia, hepatitis and heart disease were responsible for 13.4%, 5.7%, and 1.9% of maternal deaths, respectively.Conclusions: Majority of maternal deaths are observed in patients from rural areas, unbooked, and illiterate patients. Hemorrhage, eclampsia and sepsis are leading causes of maternal deaths. Most of these maternal deaths are preventable if patients are given appropriate treatment at periphery and timely referred to higher centers.

scholarly journals Actors Affecting the Decrease of Maternal Mortality Rates and Problems Related to Birth Services

2018 ◽  
Vol 13 (3) ◽  
pp. 331-337
Author(s):  
Dewi Sari Rochmayani
Keyword(s):  
Health Services ◽  
Maternal Mortality ◽  
Maternal Death ◽  
Community Health Center ◽  
Professional Organizations ◽  
Theory Approach ◽  
Live Births ◽  
Referral Hospitals ◽  
Obstetric Services ◽  
Grounded Theory Approach

The targeted 102 per 100,000 live births maternal mortality rate (AKI) in Semarang has not been achieved yet. In the era of childbirth insurance program in 2011, AKI reached 119.9 per 100,000. Then, in the era of National Health Insurance (JKN) by Social Security Administrator (BPJS), the AKI in 2004 was 109,2 per 100.000 live births. The study design was qualitative with grounded theory approach. There were 4 research focuses: 1) actors who contribute in labor services; 2) referral delay; 3) Community Health Center (Puskesmas) with basic essential obstetric–neonatal service (Poned); 4) profile of each obstetric services level in Semarang. The results showed that there were 2 groups of actors who contributed to prevention of maternal death. The first group were obstetrics and gynecologists, health surveyors, and professional organizations. The second group were family and society, including husband, mother, in-laws, and public figures. Many maternal death occurred in referral hospitals. There are three types of delay that often occur in Semarang, namely delay in decision-making, delay in accessing health services, and delay in acquiring health services.

scholarly journals Rate, Maternal and Fetal Outcome of Cesarean Delivery Performed by IESO at Shenen Gibe General Hospital, Jimma South West Ethiopia: A Descriptive Retrospective Data

2020 ◽  
Vol 2 (3) ◽  
pp. 1-10
Author(s):  
Worku Gebeyehu Gutema ◽  
Teshome Kassa Jire ◽  
Daniel Aboma
Keyword(s):  
Mortality Rate ◽  
Maternal Mortality ◽  
General Hospital ◽  
Cesarean Delivery ◽  
Fetal Outcome ◽  
Retrospective Data ◽  
Live Births ◽  
South West ◽  
Cesarean Delivery Rate ◽  
South West Ethiopia

Background Pregnancy and parturition are events of considerable significance in the life cycle of women. Though it is supposed that the quality of care during labor, birth, and postpartum period plays a great role for adverse outcomes of birth, various reports claimed that cesarean delivery carries a higher maternal and fetal morbidity and mortality compared to vaginal delivery. Therefore, this study assessed the Rate, Maternal and Fetal Outcome of Cesarean delivery performed by IESO at Shenen Gibe General Hospital, Jimma south west Ethiopia. Integrated Emergency surgical officer is a health professional qualified and authorized to perform emergency obstetrical-gynecological and emergency general surgical procedures. The training has started in 2010 in 3 universities and 10 affiliated sites with intake of 43 students. The MSc program in integrated emergency surgery is intended to achieve one of the millennium development goals (MDG): reducing the overwhelming maternal mortality ratio and perinatal mortality rate at the local and national level. (1) Methods Hospital based two-year retrospective descriptive cross-sectional study design was employed and data collected from November to December 2019 in shenen Gibe General Hospital ,Jimma south west Ethiopia. A total of 185 mothers who delivered by cesarean delivery from December 2017 to December 2018 and complete data were included in the study. Data were extracted using structured data collection format and cleaned, and entered into Epi data software version 3.1 and exported into SPSS version 26 for further descriptive analysis. Result Among 2115 deliveries in the two years of retrospective data, a total of 186 mothers were delivered by cesarean section, giving cesarean delivery rate 8.8 %. The leading indication for cesarean delivery was fetal distress (24.2%). Among the total cesarean delivery, 22 neonates were died, giving the proportion of neonate mortality rate 16.8%. One mothers were died following cesarean delivery, giving maternal mortality rate following cesarean delivery 12 per 1000 live births. The leading cause for maternal mortality was hemorrhagic shock Conclusion However, cesarean delivery rate in this study was within the WHO recommended range, the health outcome of mothers and neonates’ following cesarean delivery was not acceptable. The neonatal and maternal mortality following cesarean delivery was 16.8% and12 per 1000 live births respectively. The main cause of neonatal death was birth asphyxia.

scholarly journals Potret Perubahan Kelekatan Emosi Ibu dan Anak di Masa Belajar Online dari Rumah

2021 ◽  
Vol 17 (2) ◽  
pp. 181-190
Author(s):  
Eny Suprihatin ◽  
Ruthias Yusuarsi
Keyword(s):  
Emotional Attachment ◽  
Phenomenological Method ◽  
Attachment Figure ◽  
The Public ◽  
Study Results ◽  
Mothers And Children ◽  
Mother And Child ◽  
The Government ◽  
Qualitative Phenomenological ◽  
The Relationship

Learning from home is a policy taken by the government to prevent the spread of COVID-19 and protect the public. This study uses a qualitative phenomenological method. To reveal the phenomena in connection with the implementation of learning from home to changes in the emotional attachment of mothers and children during the learning period from home during the COVID-19 pandemic. The respondents were six mothers and their children. The study results show that there is indeed an estrangement between mother and child in terms of emotional attachment, namely two mothers with each child. However, the mother is a strong effort as the primary attachment figure to repair the relationship and warmth so that the estrangement for two children can be attached.

scholarly journals Bottleneck Pelayanan Nifas pada Upaya Penurunan Risiko Kejadian Kematian Ibu di Wilayah Dinas Kesehatan Kota Semarang

2017 ◽  
Vol 5 (3) ◽  
pp. 28-35
Author(s):  
Ike Johan Prihatini ◽  
Sri Achadi Nugraheni ◽  
Sutopo Patria Jati
Keyword(s):  
Public Health ◽  
Mortality Rate ◽  
Health Services ◽  
Maternal Mortality ◽  
Risk Reduction ◽  
Post Partum ◽  
Scale Up ◽  
Monitoring And Evaluation ◽  
Maternal Mortality Rate

Maternal and child health was a priority of health program in Indonesia. Maternal Mortality Rate in Semarang was ranked second highest in Central Java. The highest proportion of maternal deaths occurred during puerperium. That’s indicates, there was a problem in a process of maternal health services during puerperium period in health facilities. This study was conducted to examine constraints on health systems that limit range of interventions or health services that were important for postpartum, bottlenecks related to postpartum services in Public Health Center (PHC), especially infrastructure, human resources, access to PHC, post partum visits (KF1 and KF3), as well as quality of post partum services on risk reduction of maternal mortality. This case study used a qualitative approach. Data collection through interviews to five midwives as main informants, 5 midwives coordinator and 5 heads of PHC as informant triangulation. Data analsyis used content analysis method, then assigned priority bottleneck through MCUA (Multiple Criteria Utility Assessment) techniques. WHO's scale-up BNA plan to analyze bottleneck causes. Results showed, there was a bottleneck on childbirth services in PHC. The causes of bottleneck risk reduction efforts of maternal mortality incidence in puerperium period has never been analyzed workload of health personnel in PHC, lack of monitoring and evaluation of an availability infrastructure facilities in PHC, there has not been regular training, especially on delivery until puerperium services, and PHC has not received more detailed and operational information about puerperium so their maternal knowledge about puerperium has not increased much and couldn’t raise mother's awareness to do so. Semarang Public Health Office (Dinas Kesehatan Kota Semarang) needs to conduct periodic monitoring and evaluation implementation of postpartum services and improve quality of childbirth services in PHC.Keywords: Bottleneck analysis, health services, post partum, Primary Health Care, Puskesmas, Maternal Mortality Rate

scholarly journals Mengenal Tanda-Tanda Bahaya Kehamilan di Puskesmas Pakuan Baru Kota Jambi

2021 ◽  
Vol 3 (1) ◽  
pp. 52
Author(s):  
Ria Febrina
Keyword(s):  
Mortality Rate ◽  
Maternal Mortality ◽  
Pregnant Women ◽  
Community Service ◽  
Health Workers ◽  
Obstetric Complications ◽  
Maternal Deaths ◽  
Maternal Mortality Rate ◽  
Live Births ◽  
Danger Signs

Maternal Mortality Rate (MMR) in Indonesia is still high compared to other ASEAN countries. MMR in Indonesia according to the 2017 Indonesian Demographic and Health Survey (IDHS) is 305 per 100,000 live births. The global target of SDGs (Suitainable Development Goals) is to reduce the Maternal Mortality Rate (MMR) to 70 per 100,000 live births. While in Jambi Province in 2017 recorded maternal deaths were 29 cases. Maternal deaths that occur during 90% of pregnancy are caused by obstetric complications. Direct obstetric complications are bleeding, infection and eclampsia. Indirectly maternal mortality is also influenced by delays at the family level in recognizing danger signs of pregnancy and making decisions to immediately seek help. Delay in reaching health facilities and assistance in health service facilities. Pregnancy danger signs must be recognized and detected early so that they can be handled properly because any danger signs of pregnancy can lead to pregnancy complications. Therefore it is necessary to provide counseling to improve the knowledge of pregnant women about the danger signs of pregnancy. This community service activity was carried out by Pakuan Baru Kota Jambi Public Health Center. The time of implementation in April 2020. The target is pregnant women. Community service methods include a survey and lecture approach. The results obtained are pregnant women able to understand the danger signs of pregnancy. It is recommended for health workers to continue to provide education related to pregnancy to pregnant women

scholarly journals Analisis Pengaruh Faktor Sosial Ekonomi terhadap Tingginya Mortalitas Penduduk

2018 ◽  
Vol 6 (4) ◽  
pp. 458-468
Author(s):  
Riyani Suryaningsih
Keyword(s):  
Mortality Rate ◽  
Maternal Mortality ◽  
Qualitative Analysis ◽  
Family Income ◽  
Education Level ◽  
Linear Regression Method ◽  
Economic Factors ◽  
Program Policy ◽  
The Government ◽  
Socio Economic Factors

Penelitian ini menggunakan metode campuran (mix method), dimana metode kuantitatif digunakan untuk mengetahui pengaruh faktor sosial ekonomi seperti usia, tingkat pendidikan, pendapatan keluarga serta jenis tempat tinggal. Data dihimpun dari 75 responden dan dianalisis menggunakan metode regresi linear berganda dengan menggunakan alat bantu program SPSS 16. Sedangkan kajian analisis kualitatiif digunakan untuk mengetahui upaya pemerintah dalam penurunan tingkat mortalitas penduduk (kematian ibu) serta implementasi program tersebut di lapangan. Hasil penelitian menunjukkan bahwa variabel usia, tingkat pendidikan, pendapatan keluarga serta jenis tempat tinggal berpengaruh secara signifikan terhadap kematian ibu di Kabupaten Brebes. Berdasarkan analisis kualitatif diperoleh hasil bahwa Pemerintah Daerah Kabupaten Brebes telah membuat kebijakan program guna penurunan tingkat mortalitas penduduk. Adapun implementasi dari program tersebut sudah berjalan, hanya saja ada beberapa kendala dari sisi masyarakat itu sendiri. This research uses mix method, where quantitative method is used to know the influence of socio-economic factors such as age, education level, family income and type of residence. The data were collected from 75 respondents and analyzed using linear regression method using SPSS 16 program tool. While the qualitative analysis study was used to know the government effort in decreasing the mortality rate of the population (maternal mortality) and the implementation of the program in the field. The results showed that the variables of age, education level, family income and type of residence have significant effect influence to maternal mortality in Brebes Regency. Based on the qualitative analysis, it is found that the local government of Brebes Regency has made program policy to decrease the mortality rate of the population. The implementation of the program has been running, it's just that there are some obstacles from the side of society itself.

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