scholarly journals DETERMINANTS OF MOTHERS’ PARTICIPATION IN ANTENATAL CLASSES

2019 ◽  
Vol 7 (2) ◽  
pp. 139
Author(s):  
Sutopo Patriajati ◽  
Ayun Sriatmi

Background: As a form of health promotion, Antenatal Education (AE) class is expected to improve the knowledge, attitudes, and practices of mothers facing their pregnancy. Access to antenatal classes for mothers has not been optimal because of the low level of participation. Not all mothers are willing to join antenatal classes for various reasons.Aim: This study aimed at analyzing the determinant factors that influence the mother’s participation in antenatal classes.Method: This study was a quantitative study with a cross-sectional approach. The population was all pregnant women in Semarang City with 140 pregnant mothers as samples from 3 Primary Healthcare Centers including Rowosari, Purwoyoso, and Gayamsari which were selected by using a purposive sampling technique. Data were collected through an interview using a structured questionnaire.Results: The findings showed that only 54.3% of mothers attended the antenatal classes. Knowledge, support from health personnel, facilities, and infrastructure, as well as a history of illness and pregnancy,  affect mothers’ participation in antenatal classes where the support of health workers had the most dominant influence (OR 5.394). The overall influence was 39.2%.Conclusion: The low mothers’ participation in antenatal classes was influenced by the lack of knowledge and support, inadequate facilities as well as the low health status of mothers. Further socialization and engagement across related sectors with strong networking are needed to solve this problem.Keywords:  antenatal education, participation, primary healthcare center.

2021 ◽  
Vol 3 (4) ◽  
pp. 636-642
Author(s):  
Liliek Pratiwi ◽  
Harnanik Nawangsari

ABSTRACT : REVIEW OF THE CHARACTERISTICS OF PREGNANT MOTHERS WITH PRECLAMATION AND ANEMIA IN BANDUNG CITY CIREBON REGENCY, KUNINGAN REGENCY Background: Preeclampsia and anemia in pregnant women are still common and cause maternal mortality to increase. Late help is still found because pregnant women are not detected early. Anemia can cause shortness of breath, fatigue, palpitations, bleeding disorders during labor, sleep disturbances and sepsis. Pre-eclampsia is one of the direct causes of maternal death, the incidence of pre-eclampsia initially does not provide symptoms and signs, but at one time it can deteriorate rapidly, so it takes a series of examinations, detection, and identification of risk factors and control them so as to enable complex primary prevention.Objective: This study will provide an overview of the characteristics of pregnant women with preeclampsia and anemia in Bandung City, Cirebon Regency and Kuningan Regency.Research Methods: This study uses descriptive analysis, with a cross sectional approach, is retrospective in nature, observing the results of medical records. The population is pregnant women with preeclampsia and anemia in Bandung City, Cirebon Regency and Kuningan Regency, the pregnancy period from October 2020 to February 2021 is 489. The inclusion criteria for this study were pregnant women from trimester 1 to trimester 3 who experienced preeclampsia and anemia. The sampling technique is using quota sampling. The number of samples is 110 respondents. Exclusion criteria in this study were pregnant women with a history of congenital disease, being infected and other pregnancy complications besides anemia and preeclampsia.Results: Characteristics of pregnant women with preeclampsia and anemia in Bandung City, Cirebon Regency and Kuningan Regency, the majority of pregnant women experiencing preeclampsia, preceded by a history of preeclampsia in a previous pregnancy of 34.6%, primiparous status 18.1% and having hypertension. ,3%. The majority of pregnant women who experience anemia are with multiparous status of 28.1% and often occur when stepping on the 3rd trimester, as well as mothers who do not consume Fe tablets.Conclusion: So, by looking at these results, the outcome for the future is a proactive effort to screen pregnant women at risk in several areas by involving health workers, the community and other researchers as well as volunteers, for the sake of maternal and child health. Keywords: Preeclampsia, Anemia, Bandung City, Cirebon Regency, Kuningan RegencyINTISARI: TINJAUAN KARAKTERISTIK IBU HAMIL DENGAN PREKLAMSI DAN ANEMIA DI KOTA BANDUNG, KABUPATEN CIREBON, DAN KABUPATEN KUNINGAN Latar Belakang: Preklamsia dan anemia ibu hamil masih sering terjadi dan menyebabkan Angka Kematian Ibu meningkat. Pertolongan yang terlambat masih ditemukan karena ibu hamil tidak terdeteksi lebih awal. Anemia dapat mengakibatkan sesak nafas, fatigue, palpitasi, gangguan pendarahan selama persalinan, sampai gangguan tidur dan sepsis. Pre Eklamsi merupakan salah satu penyebab langsung kematian ibu, kejadian pre eklamsi pada awalnya tidak memberikan gejala dan tanda, namun pada suatu ketika dapat memburuk dengan cepat, sehingga butuh serangkaian pemeriksaan, deteksi, dan identifikasi faktor risiko serta mengontrolnya sehingga memungkinkan dilakukan pencegahan primer yang kompleksTujuan: Dalam penelitian ini akan memberikan gambaran tinjauan karakteristik ibu hamil dengan preklamsia dan anemia di Kota Bandung, Kabupaten Cirebon dan Kabupaten Kuningan.Metode Penelitian: Pada penelitian ini menggunakan analisis deskriptif, dengan pendekatan cross sectional, bersifat retrospektif, observasi dari hasil rekam medis. Populasi yaitu ibu hamil dengan preklamsia dan anemia di Kota Bandung, Kabupaten Cirebon dan Kabupaten Kuningan, periode kehamilan dari bulan Oktober tahun 2020 sampai Februari tahun 2021 yaitu 489. Kriteria inklusi penelitian ini adalah ibu hamil trimester 1 sampai trimester 3 yang mengalami preklamsia dan anemia. Teknik sampling yaitu menggunakan kuota sampling. Jumlah sampel adalah 110 responden. Kriteria eksklusi dalam penelitian ini yaitu ibu hamil dengan riwayat penyakit bawaan, sedang terinfeksi dan komplikasi kehamilan lainnya selain anemia dan preklamsia.Hasil: Karakteristik ibu hamil dengan preklamsia dan anemia di Kota Bandung, Kabupaten Cirebon dan Kabupaten Kuningan., mayoritas ibu hamil yang mengalami preklamsia, didahului dengan riwayat preklamsia pada kehamilan sebelumnya sebesar 34,6%, status primipara 18,1% serta memiliki hipertensi 16,3%. Mayoritas ibu hamil yang mengalami anemia yaitu dengan status multipara sebesar 28,1% dan sering terjadi Ketika menginjak trimester 3, serta ibu yang tidak mengkonsumsi tablet Fe.Kesimpulan: Jadi, dengan melihat hasil ini, outcome untuk ke depannya yaitu adanya upaya pro aktif penjaringan wanita hamil dengan risiko di beberapa daerah dengan melibatkan tenaga Kesehatan, masyarakat dan penelitia lain serta relawan, demi Kesehatan ibu dan anak. Kata Kunci:  Preklamsia, Anemia, Kota Bandung, Kabupaten Cirebon, Kabupaten Kuningan


2020 ◽  
Vol 11 (SPL1) ◽  
pp. 1482-1487
Author(s):  
Cecyli C ◽  
Ezhilarasan G

Mankind is experiencing another remarkable involvement in the quickly spreading COVID-19 pandemic. Besides, the sickness fundamentally influences regular daily existence, bringing about a financial emergency. Moreover, the highest risk of getting COVID-19 is for the front line Healthcare workers (HWs). Therefore, utmost importance to evaluate their knowledge, attitudes, and practices (KAP) regarding COVID -19 is needed. An online Cross-sectional research design was utilized for the study. An aggregate of 100 paramedic health workers (Nurses, Pharmacist, Lab technician and Allied health technicians) were chosen using a convenient sampling technique. Data were gathered among eligible healthcare workers through an online survey by electronic distribution of self-administered questionnaire developed by the investigator. The results depict that 80% had adequate knowledge, 84.6% had a positive attitude towards COVID-19 and 88% of participants had appropriate practice related to COVID-19.  There was a positive relationship noted among knowledge and attitude(r=0.114),attitude-practice(r=0.283) and knowledge-practice(r=0.177) at p<.05 and p<.01level respectively.The outcome found that there is no huge affiliation found between selected demographic variables such as age, residence, marital status and source of information but gender and years of experience was significantly associated with knowledge and practice (p=5.18) at p<0.01 and profession was significantly associated with attitude (p=10.92) at p<0.001.


Author(s):  
Yusrawati Hasibuan

The increase in life expectancy indicates that more and more menopausal women in Indonesia. The purpose of this study was to determine the effect of age of menarche and history of hormonal contraception on menopause age. The subjects of this cross-sectional study were 91 women selected by purposive sampling technique. Data were collected through questionnaires and then analyzed using the Chi-square test. The results showed that the age of menopause was influenced by the age of menarche (p-value = 0.004) and was not influenced by a history of hormonal contraception (p-value = 0.271). It is expected that health workers increase counseling so that mothers know the factors that influence menopause. Keywords: menopause; menarche; hormonal contraception ABSTRAK Meningkatnya usia harapan hidup menandakan bahwa semakin banyak wanita menopause di Indonesia. Tujuan penelitian ini untuk mengetahui pengaruh usia menarche dan riwayat kontrasepsi hormonal terhadap usia menopause. Subyek penelitian cross-sectional ini adalah 91 wanita yang dipilih dengan teknik purposive sampling. Data dikumpulkan melalui pengisian kuesioner lalu dianalisis menggunakan uji Chi-square. Hasil penelitian menunjukkan bahwa usia menopause dipengaruhi oleh usia menarche (p-value = 0,004) dan tidak dipengaruhi oleh riwayat kontrasepsi hormonal (p-value = 0,271). Diharapkan agar tenaga kesehatan meningkatkan penyuluhan agar ibu-ibu mengetahui faktor yang berpengaruh terhadap menopause. Kata kunci: menopause; menarche; kontrasepsi hormonal


2021 ◽  
Vol 4 (1) ◽  
pp. 1
Author(s):  
Dorsinta Siallagan ◽  
Desi Rusiana ◽  
Ela Susilawati

The problem of stunting is one of the nutritional problems faced in the world, especially in poor and developing countries. Toddlers with stunting are more at risk of having a low Intelligence Quotient compared to toddlers who are growing well. In 2018, the prevalence of stunting in Tangerang Regency (38%) was higher than the national prevalence (30.8%). This study aims to determine the most dominant factor in the incidence of stunting in the Tangerang District Public Health Center. The research method used was descriptive analytic with a cross sectional study approach. Research Location at the Rajeg Community Health Center, Tangerang Regency. The population in this study were all toddlers who were stunting as many as 211 and a sample of 138 respondents. Sampling using accidental sampling technique. The results showed that stunting was very short at 28.2%. Bivariate analysis using the Chi-Square test. There was a significant relationship between age (p = 0.000), knowledge (p = 0.000), history of ANC (p = 0.023), LBW (p = 0.005) exclusive breastfeeding (p = 0.001), dietary habits (p = 0.005) and history of disease (p = 0.005) with incidence of stunting. The multivariate results showed that the most dominant factor in the incidence of stunting was the high risk age at pregnancy with an OR of 9,333. It is hoped that government programs through related agencies, health workers provide counseling about high-risk age during pregnancy, run the 4T program so that women do not get pregnant when they are too young, too old, too close to birth distances and too many children, other government programs such as Age Maturation Marriage


2020 ◽  
Author(s):  
Kristin Natal Riang Gea

AbstrakKeselamatan pasien merupakan dasar dari pelayanan kesehatan yang baik. Pengetahuan tenaga kesehatan dalam sasaran keselamatan pasien terdiri dari ketepatan identifikasi pasien, peningkatan komunikasi yang efektif, peningkatan keamanan obat yang perlu diwaspadai, kepastian tepat lokasi, prosedur, dan tepat pasien operasi, pengurangan risiko infeksi, pengurangan risiko pasien jatuh. Tujuan penelitian untuk mengetahui hubungan antara pengetahuan dengan penerapan keselamatan pasien pada petugas kesehatan di Puskesmas Kedaung Wetan Kota Tangerang. Metode Penelitian menggunakan deskriptif korelasi menggunakan pendekatan cross sectional. Populasi sebanyak 50 responden. Teknik pengambilan sampel menggunakan total sampling. Instrumen yang digunakan berupa lembar kuesioner. Teknik analisa diatas menggunakan analisa Univariat dan Bivariat. Hasil Penelitian ada Hubungan Pengetahuan dengan Penerapan Keselamatan Pasien pada Petugas Kesehatan, dengan hasil, p value sebesar 0,013 &lt; 0,05 maka dapat disimpulkan bahwa ada Hubungan Pengetahuan dengan Penerapa Keselamatan Pasien pada Petugas Kesehatan. Kesimpulan penelitian ada Hubungan Pengetahuan dengan Penerapan Keselamatan Pasien.. AbstrackPatient safety is the basis of good health services. Knowledge of health personnel in patient safety targets consists of accurate patient identification, increased effective communication, increased safety of the drug that needs to be watched, certainty in the right location, procedure, and precise patient surgery, reduction in risk of infection, reduction in risk of falling patients. The purpose of this study was to determine the relationship between knowledge and the application of patient safety to health workers in the Kedaung Wetan Health Center, Tangerang City. The research method uses descriptive correlation using cross sectional approach. The population is 50 respondents. The sampling technique uses total sampling. The instrument used was a questionnaire sheet. The analysis technique above uses Univariate and Bivariate analysis. The results of the study there is a Relationship of Knowledge with the Implementation of Patient Safety in Health Officers, with the result, p value of 0.013 &lt;0.05, it can be concluded that there is a Relationship between Knowledge and Patient Safety Implementation in Health Officers. The conclusion of the study is the Relationship between Knowledge and the Implementation of Patient Safety.Keywords Knowledge, Patient safety, Health workers


2018 ◽  
Vol 5 (1) ◽  
pp. 12-23
Author(s):  
Eliya Rohmah ◽  
Muniati Murniati ◽  
Binti Nurdianasari

The growth of toddlers can be known if each month weighed. Weighing results arerecorded in KMS, and between the KMS weight point of last month's weighing results andthe month's weighing results are attributed to a line. Based on the results of preliminarystudy on 7 mothers found out the results of two primary school graduates, 2 mothers ofjunior high school, and 3 mothers of high school graduates. Then the mother was askedabout the nutrition of toddlers aged 1-5 years and 4 mothers know but do not understandthe whole while 3 mothers do not know at all about nutrition balita1-5 years, from 7mother toddler 3 balitanya experience weight gain while 4 balita weight drop .This study aims to determine the relationship of mother's knowledge about the nutrition ofchildren under five with weight growth of children under five. The design of this researchis analytical method with Cross Sectional approach. With the total population of 61respondents, the sample of the research is 31 respondents using sampling technique thatis accidental sampling. Data collection was obtained by questionnaire and view of KMS.Data were analyzed using spearman rank.The result of the research shows that from 31 respondents, most of BB did not increasewith 19 respondents (61,3%) and almost half of them were less knowledge with 14respondents (45,2%). Statistical test using spearman rankdidapatkan ρ = 0.000 withsignificance level ρ <0,05 then Ho is rejected which means there is relationship of motherknowledge about nutrition of balita with growth of BB and level of closeness strongrelation.Based on the results of the study is expected health workers, especially midwives toimprove the role and function of services for the community in providing healthinformation, especially about the importance of weight growth in toddlers.


2019 ◽  
Vol 19 (3) ◽  
pp. 661
Author(s):  
Desi Andriani ◽  
Husna Yetti ◽  
Roza Sriyanti

Antenatal care or antenatal care is a planned program that is observation, education and medical treatment for pregnant women, to obtain a safe and satisfying pregnancy and childbirth process. The indicator used to assess the access of pregnant women to antenatal care is K1 direction (first visit) is the contact of pregnant women to health workers and K4 (perspective visit) is 4 or more times contact with health workers. From the data of the Padang City Health Office, it was found that the Air Tawar Puskesmas with this low level was caused by various factors. The purpose of this study was to determine factors related to the use of antenatal services. This type of research is a quantitative study with cross sectional study design with 110 respondents of third trimester pregnant women with purposive sampling technique. Data analysis was performed univariate, bivariate with Chi squre test. From the research results obtained from the five factors studied, it was found that the factors related to the use of antenatal services in freshwater health centers were access or distance with pvalue 0.009 = OR 21.676), service availability factors with a p value of 0.001 = OR 9.293, the role factor midwives with a p value of 0.001 = OR 12.302, while the family income factor, disease complaints obtained results have nothing to do with the use of antenatal services. The author's suggestion is that there is a need for good coordination with the Independent Practice Midwife (BPM), revitalize puskesmas to more strategic places and improve better facilities, improve accessibility that can be minimized, strive to reach pregnant women, especially for accessibility that is less affordable.


2020 ◽  
Vol 15 (2) ◽  
pp. 158
Author(s):  
Ulfah Ilyas ◽  
Maria Sonda ◽  
Hidayati Hidayati

Results of a preliminary study conducted by the author on 28 November 2018 in Kassi-Kassi Health Center Public City of Makassar were interviews with 11 third trimester pregnant women who visited antenatal check, 8 (70%) of pregnant women have not planned where labor, labor companion, potential blood donors and the sticker affixed on the door P4K yet home mom for not knowing the importance of the decal and never be explained by health workers at the first checkups. While 7 (60%) of pregnant mother's husband has not determined the place of labor, labor companion, potential blood donors and did not accompany the mother when the checkups. This study aims to determine the relationship of husband support, knowledge of third trimester pregnant women at health centers with the implementation P4K-Kassi Kassi Makassar.This research uses analytic survey with cross sectional approach, the population in this study is the third trimester pregnant women, using the formula Lameshow obtained sample 85 subjects with a sampling technique is purposive sampling.Statistical analysis showed the Chi-square test obtained significant value p value 0,000 (p<0,05) husband's support with coefficient value (Phi= 0,493), knowledge of third trimester pregnant women p value of 0,001 (p <0,05) with coefficient value (Phi= 0,357). So it can be concluded that there is a relationship of husband support, knowledge of third trimester pregnant women with P4K implementation. Therefore, the husband is expected to support the implementation of the plan P4K safe delivery and is able to prevent pregnancy complications. And for health workers can improve IEC counseling and evaluation of the execution P4K, in particular blood donor candidates planning and sticking stickers P4K at home pregnant women.


Author(s):  
Nailufar Firdaus

Anxiety is something that afflicts almost everyone at a certain time in his life. Anxiety is a normal reaction to a situation that is very pressing for one's life. Anxiety can arise alone or join with other symptoms of various emotional disorders (Savitri Ramaiah, 2003: 10). Based on the results of the preliminary study, it is known that there are still mothers who experience anxiety about facing labor in PEB pregnant women, which is 29%. The purpose of this study was to determine the relationship between coping strategies and the anxiety of facing labor in PEB pregnant women at Syarifah Ambami Hospital Rato Ebhu Bangkalan. This research method is Analytical, while the research design uses cross sectional. Independent variables are coping strategies, and the dependent variable is anxiety. Population, namely all pregnant women with PEB as many as 33 pregnant women with an average of each month. Samples taken as many as 30 pregnant women with simple random sampling technique. Data collection using questionnaires and HARS scale were processed using cross tabulation and lambda statistical tests. From the results of the study, almost half of 45.8% of PEB pregnant women with mild anxiety with adaptive coping strategies were obtained. Based on the lambda statistical test, get pValue = 0.045 and a = 0.05. Thus the results obtained p = 0.045 <a = 0.05, which means that H0 is rejected and H1 is accepted, namely there is a significant relationship between Coping and Anxiety Strategy in Facing Labor in PEB Pregnant Women at Syarifah Ambami Hospital Rato Ebhu Bangkalan. The results of this study are expected to be a reference for midwives that a high-risk pregnant woman also has excessive anxiety that can affect the delivery process. By doing so, health workers should be able to provide detailed information to pregnant women about the high risks they experience.


2020 ◽  
Vol 8 (1) ◽  
pp. 51-70
Author(s):  
Islah Wahyuni

Background: The emergence of nutritional problems in toddlers is influenced by many interrelated factors. Directly influenced by some things, the toddler is not getting enough nutritious food balanced at the age of toddlers, the child does not get adequate nutritional care and children suffer from infectious diseases. Poverty is also one of the causes of malnutrition in regard to availability and consumption of family food. Less or worse nutritional problems and stunting are certainly required early detection attempts. Early detection of children's growth is an activity/examination to early find the existence of growth irregularities in infants The purpose of research: to do the growth factor: Nutrition Status, event Stunting in toddler  aged < 5 years in the work area Puskesmas Sidomulyo Pekanbaru. Research method: The sample used in this research is a toddler in Sidomulyo Puskesmas work area which amounted to 30 toddlers 12-59 months with Consencutive sampling technique. The study took place in December 2019.    Research instruments are digital weight scales, body length meters, Midline and questionnaires. Data analysis using the Rank Spearman. Research result: Classification of nutritional problems in infants based on the BB/U majority is BB less (underweight) 19 Reponden (63.3%). On a short (stunteed) majority, 14 respondents (46.7%), and based on the majority of the BB/TB of Good Nutrition (Normal) 17 respondents (56.7%). There are factors that affect the problem of nutritional status and stunting in children, from the knowledge aspect obtained by 16 respondents (53.3%)  Less knowledgeable, the majority of maternal education was 19 (63.3%), there were a history of 23-person disease infections (76.7%), and a low family income of 20 people (66.7%) and incomplete immunizations as much as 17 people (56.7%). There is a relationship factor of mother knowledge with the problem of nutrition (stunting) (0.00), there is a relationship factor mother education with the problem of nutrition (stunting) (0.00), there is a relationship factor family income with nutrition (stunting) (0.001), there is a relationship factor of infection history in infants with stunting problems (0.00), there is a relationship factor immunization history with the problem of the nutrient (stunting) (0.010). It is expected that the health workers further improve the counseling and education to the toddler mother in monitoring nutritional problems and growth of toddlers


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