scholarly journals Prenatal Risk Factors on Children’s Cerebral Palsy Case at RSIA Bunda Jakarta

2021 ◽  
Vol 4 (2) ◽  
pp. 80
Author(s):  
Banatul Banatul Lariza ◽  
Kurnia Dwi Artanti ◽  
Taufiq Taufiq Hidayat

Introduction: Cerebral Palsy is a disease that is less recognized by the public due to the lack of information related to CP in Indonesia. Aims to analyze prenatal risk factors that influence the evidence of CP RSIA Bunda Jakarta.Methods: This study was conducted in April 2021 at RSIA Bunda Jakarta, an analytical study with a case control design. The sample in this study were 124 respondents from mothers of children who underwent outpatient treatment at the RSIA Bunda Jakartaas cases and controls. each taken by simple random sampling technique. Data were analyzed using the test chi-square to analyze the relationship between variables.Results: The results of statistical analysis showed that the risk factors associated with the incidence of CP were maternal age (p= 0.00; OR= 13.25; 95% CI= 2.93-59.93), preeclampsia (p= 0.00; OR= 2,06; 95% CI= 1,71-2,48), TORCH (p= 0.00; OR= 2.40; 95% CI= 1.92-3.01), and antenatal care (p= 0.00; OR= 41.2; 95% CI= 5.45-317.0). Conclusion: Risk factors affecting the occurrence of CP in children include age <20 or ≥35 years, preeclampsia, TORCH infection and antenatal care visits <4 times. It is necessary to increase intervention programs at various levels of health services to diagnose and prevent the occurrence of cerebral palsy in children so that optimal maternal and child health is achieved. and further research is needed to determine other risk factors that can cause CP in children such as perinatal and postnatal risk factors.

2019 ◽  
Vol 8 (2) ◽  
pp. 204-209
Author(s):  
Bambang Trisnowiyanto ◽  
Yohanes Purwanto

Background: Cerebral Palsy (CP) is a disability disorder motor motorization is most common in children with a prevalence of 2-3 per 1000 live births. The term CP is explained as a group of movement and posture disorders that are often accompanied by impaired sensation, perception, cognition, communication, behavior, epilepsy, and secondary disorders of the musculoskeletal system. Disorders of CP occur in the immature central nervous system with non-progressive traits occurring in the prenatal, perinatal, and postnatal period. Methods:  The purpose of this study is to determine how much prenatal risk factors, perinatal, and postnatal events in CP at the Kitty Center Clinic in Jakarta for 5 year (2013 - 2017). Result: An observational descriptive study, which described prenatal perinatal, and postnatal risk factors for CP events at the Kitty Center Clinic in Jakarta for a period of 5 years (2013-2017) with a total of 523 study subjects. Based on the analysis of data obtained, based on the type of CP 35% quadripelgia spastic, 36% spastic diplegia, 6% spastic hemiplegia, 9% athetosis, and 14% hypotonia. Based on sex 62% are men, and 38% are women with a ratio of 1.6: 1.0. Based on the age of the child 11% <2 years, 34% 3-6 years, 33% 7-12 years, and 22%13-18 years. Conclusion:  Based on risk factors of 62% prenatal, 25% perinatal, and 12% postnatal. Prenatal risk factor is the biggest risk factor as much as 62% which causes Cerebral Palsy at the Kitty Center Clinic in Jakarta.


2019 ◽  
Vol 1 (3) ◽  
Author(s):  
Florani Asanab ◽  
Ribka Limbu ◽  
Enjelita M. Ndoen

Mothers’ regularity of weighing their children aged <5 yo at Posyandu is crucial to monitor the growth, nutritional status, and health of the children. Several factors could affect mothers’ regularity in weighing their children at Posyandu. This study aimed to identify factors affecting mothers to regularly measure the weight of their children <5 yo at Posyandu in Toobaun Village Kupang District. The study used an analytical survey with a cross-sectional study design. The sample was 57 mothers who had under-five children obtained by simple random sampling technique. Data were collected through interviews using questionnaires and analyzed using the chi-square test. The result showed that knowledge (p= 0,002) and distance home-posyandu (p=0,000) associated with mothers’ regularity of weighing their under-five children, while mother’s occupation had no association with mothers’ regularity of weighing their children( p=0,091). Health workers should encourage mothers to measure regularly the weight of their under-five children at Posyandu.


2018 ◽  
Vol 7 (2) ◽  
pp. 95
Author(s):  
Sari Priyanti ◽  
Agustin Dwi Syalfina

Stunting is condition of nutritional status based on length for age or height for age with Z-score value that equal to or less than minus two standard deviation (-2 SD). Therefore, the purpose this study to analyze the factors affecting of stunting. This cross sectional study done in Dlanggu primary health care. Sample taken with simple random sampling technique amounted to 88 respondents. Colectting data with check list and questionnaire or analyze with chi square and logistic regression. Result of bivariat shows length of born (PR=1,676; 95%CI=1,060-2,651), family income (PR=2,333; 95%CI=1,297-4,199), size of upper arm circumfence of the mother (PR=2,288; 95%CI=1,492-3,508), and complication of pregnant (PR=2,154; 95%CI=1,297-3,578) was risk factor of the stunting in children under five years. The most factor has influenced of stunting based on multivariate thas education of mother, family income and complication of pregnant. Prevention of stunting with successful movement of the first 1000 days of life through improved mutrition of pregnant, given exclusive breast feeding and balanced nutrition in the family.


Author(s):  
Syifa Aulia Luthfiyani ◽  
Mariono Reksoprodjo ◽  
Anisah Anisah

Pre-eclampsia/Eclampsia is the second largest cause of maternal death after postpartum hemorrhage. There are some risk factors that influence the occurrence of pre-eclampsia/eclampsia. The aim of the research was to analyze the correlation between risk factors and find the most influence factors to the incidence of severe pre-eclampsia in RSUD District Bekasi. This case control study research done by using secondary data by looking at the data in patient medical records in RSUD District Bekasi period June 2015 - June 2016 and then analyzed using univariate, bivariate with Chi-square and multivariate logistic regression. Sampling method using simple random sampling technique. The results of the bivariate analysis showed there was a significant relationship between gravidity, obesity and history of pre-eclampsia with severe pre-eclampsia with each value of p = 0.022 (OR: 0.251), p = 0.002 (OR: 6,923) and p = 0.0001 (OR: 9.273). Multivariate analysis showed that history of pre-eclampsia and obesity are factors that most influence to the occurrence of severe pre-eclampsia. There was a significant relationship between gravidity, history of pre-eclampsia and obesity with severe pre-eclampsia. Primigravidas 2.51 times higher risk, history of pre-eclampsia positive 6,923 times higher and obesity 9.273 times higher more at risk of developing severe pre-eclampsia.


2017 ◽  
Vol 5 (1) ◽  
pp. 48 ◽  
Author(s):  
Siti Rohmatul Laily

Stroke is a disease that is a problem in the world, especially ischemic stroke. Stroke is a disease caused by circulatory disorders of the brain that are affected by several risk factors can not be changed such as age and gender. While the risk factors that can be changed such as hypertension, diabetes, dyslipidemia and jobs. Effective measures to reduce the incidence of stroke is by controlling risk factors that can be changed. This study aims to determine the relationship characteristics and hypertension with ischemic stroke events in hospitals Ngimbang Lamongan Year 2016. This study was analytic observational with case control design.Sample cases is ischemic stroke patients, while the control sample is non ischemic stroke, each as much as 44 respondents. The sampling technique by using simple random sampling. Collecting data use secondary data by viewing the data records. The statistical test used was chi square test. Research that shows there is a significant relationship with the occurrence of ischemic stroke were age (p = 0,015; OR = 3,286; 95% CI 1,332 to 8,107), gender (p = 0,001; OR = 4.765; 95% CI 1,912 to 11,875 ), employment status (p = 0.001; OR = 4.667; 95%CI 1,890 to 1,526), and hypertension (p = 0,000; OR = 129,000; 95% CI 15,848 to 1050,034). The conclusion from this study was there are a relationship between age, gender, employment status and hypertension with ischemic stroke events in hospitals Ngimbang Lamongan 2016.Keywords: age, gender, job status, hypertension and ischemic stroke


Dogs are known to be infected by different blood parasites which are transmitted through vectors and produce illness collectively termed canine vector borne diseases (CVBD) in tropical and subtropical countries including Nigeria. This study investigated the prevalence of haemoparasites of dogs in Maiduguri, as well as the risk factors associated with their occurrence. The study was carried out from February 2019 to November 2019. Five wards namely Bolori 1, Bulabulin, Gwange 2, Lamisular and Limanti were selected out of the fifteen wards in the Metropolis using simple random sampling technique. Individual dog selection was based on systematic random sampling technique. Blood samples were collected from dogs via cephalic venipuncture. Wet mount, thin blood smear and buffy coat techniques were used to detect the presence of haemoparasites. A total of one hundred and twenty (120) dogs were sampled, out of which fifty one (51) were males and sixty nine (69) were females, fifty six (56) were adults (> 1 year) while sixty four (64) were young (0 – 1 year). The numbers of local, exotic and cross breeds were 64, 45 and 11 respectively. Eighty eight (88) of the dogs were confined while thirty two (32) were roaming freely. This study showed an overall prevalence of haemoparasites (14.16%) with Babesia canis (12.50%) and Ehrlichia canis (1.66%). Chi-square showed significant (P ≤ 0.05) association between haemoparasitism and age, sex and management practice. There was no association between haemoparasitism and breed (P > 0.05). It was concluded that haemoparasites are detectable among dogs in Maiduguri Metropolis and hence, the need to raise awareness on the prevention and control of haemoparasitic infections in dogs due to possible threat to animal and human health in the study area.


2021 ◽  
Vol 8 (12) ◽  
pp. 1965
Author(s):  
Balai Chandra Karmakar ◽  
Kausik Patra ◽  
Mrinmoy Bairagi

Background: Various neuro-developmental impairment (NDI) among very low birth weight babies (VLBW) and extremely low birth weight (ELBW) babies are common in Indian scenario. This study was designed to assess the impact between prenatal risk factors and neuro-developmental outcomes of premature infants.Methods: This descriptive study was conducted on 143 VLBW and ELBW babies admitted in SNCU of North Bengal Medical College, Darjeeling, West Bengal and discharged babies were followed up.Results: Total 143 neonates were studied among male 82 (57.3%) and female 61 (42.7%) and AGA: SGA ratio was 1.97. Birth weight ranged from 500 to 1500grams with mean was 1199.6±244.14 and the median was 1240 gm. The mean gestational age (Mean± SD) was 29.65±2.032 weeks with range 24-32 weeks and the median was 30 weeks. 28 (19.6%) had PIH, 39 (27.3%) had multiple gestation, 18 (12.6%) had perinatal infection and 25 (17.5%) had birth asphyxia. CRIB II score ranged from 3-18 with mean was 8.021±3.883 and median was 7. 73.4% (105/143) were discharged alive. Significant positive correlations were found among birth weight, gestational age, perinatal infection (p<0.001). Adverse neonatal outcome was associated with CRIB II score ≥10. Total CRIB II score with parameters of NDI like developmental delay, cerebral palsy, visual abnormality, absent ABR showed good correlation (p<0.001). Fisher Exact test revealed significant association between total score and Cerebral palsy (p=0.0005), visual abnormality (p=0.0005), absent ABR (p=0.0002).Conclusions: Perinatal risk factors influence future NDI in very low and extremely low birth weight babies. They should be identified and treated promptly to achieve good outcome. 


JKEP ◽  
2020 ◽  
Vol 5 (1) ◽  
pp. 61-73
Author(s):  
Ni Luh Putu Ekarini ◽  
Jathu Dwi Wahyuni ◽  
Dita Sulistyowati

Hypertension is a non-communicable disease with an increasing number of events every year. There are two risk factors for hypertension, namely risk factors that cannot be modified, such as age, sex and genetics, and modifiable risk factors such as obesity, smoking, lack of physical activity, excessive salt consumption, dyslipidemia, alcohol consumption and psychososis and stress. This study aims to obtain an overview of the factors associated with hypertension in adulthood. The research design used was descriptive analytic research with cross-sectional studies. The number of samples is 70 people with simple random sampling technique. Data analysis used univariate, bivariate (chi square) and multivariate (multiple logistic regression) component analyzes. Multivariate analysis showed that the variable that was significantly related to the occurrence of hypertension was the age variable (pvalue = 0.009). Variable overweight and physical activity as confounding variables. The analysis results obtained OR from the age variable is 2.9, meaning that patients in middle to upper adult age will experience hypertension 2.9 times higher than young adult patients after being controlled by obesity and physical activity variables. Recommendations from the results of this study are expected to be able to provide health care institutions that emphasize the promotive and preventive aspects of patients who have a history of hypertension.


2021 ◽  
Vol 3 (1) ◽  
pp. 21-31
Author(s):  
Jessica Florensia Lawani ◽  
Risma Riendera

The high Maternal Mortality Rate (MMR) in Indonesia proves that the quality of various government programs in an effort to reduce MMR is not optimal, one of which is antenatal care (ANC). The quality of ANC service implementation can be assessed from the achievement of the K4 visit. The purpose of this research was to determine the factors related to the K4 visit at the Public Health Center’s ofKatomaliga Beteleme, Lembo Sub-District, North Morowali District, Central Sulawesi.This type of research is analytic survey with cross sectional approach. The sampling technique used probability sampling with random sampling (simple random sampling) totaling 144 respondents. The research instrument used a data collection format made in columns and rows containing numbers, initials name, age, occupation, gravida and K4 visits. Data analysis used Chi square statistical test. The results of this research indicate the factors associated with the K4 visit, namely gravida (p = 0.000) and those that are not related to the K4 visit, namely age (p = 0.462) and occupation (p = 0.838). Thus it is concluded that there is a gravida relationship with K4 visits and there is no relationship between age and occupation with K4 visits at Puskesmas Katomaliga Beteleme. ABSTRAK Tingginya Angka Kematian Ibu (AKI) di Indonesia membuktikan bahwa mutu dari berbagai program pemerintah dalam upaya penurunan AKI belum optimal, salah satunya adalah antenatal care (ANC).Mutu pelaksanaan pelayanan ANC dapat dinilai dari pencapaian kunjungan K4.Tujuan penelitian ini untuk mengetahui faktor-faktor yang berhubungan dengankunjungan K4 di Puskesmas Katomaliga Beteleme Kecamatan Lembo, Kabupaten Morowali Utara, Sulawesi Tengah.Jenis penelitian survey analitik dengan pendekatan cross sectional. Teknikpengambilan sampel menggunakan probability sampling dengan pengambilan secara acak (simple random sampling) berjumlah 144 responden.Instrumen penelitian menggunakan format pengumpulan data yang dibuat dalam kolom-kolom dan lajur-lajur yang berisi nomor, inisial nama, umur, pekerjaan, gravida dan kunjungan K4.Analisis data menggunakan uji statistik Chi square.Hasil penelitian ini menunjukkan faktor yang berhubungan dengan kunjungan K4, yaitu gravida (p = 0,000) dan yang tidak berhubungan dengan kunjungan K4, yaitu umur (p = 0,462)dan pekerjaan (p = 0,838).Dengan demikian disimpulkan bahwa ada hubungan gravida dengan kunjungan K4 dan tidak ada hubungan umur serta pekerjaan dengan kunjungan K4 di Puskesmas Katomaliga Beteleme.  


2005 ◽  
Vol 105 (6) ◽  
pp. 1341-1347 ◽  
Author(s):  
Florence Livinec ◽  
Pierre-Yves Ancel ◽  
Stéphane Marret ◽  
Catherine Arnaud ◽  
Jeanne Fresson ◽  
...  

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