scholarly journals Utilization of MCH handbooks and attitudes of pregnant women regarding pregnancy and childbirth complications

2019 ◽  
Vol 27 (2) ◽  
pp. 71
Author(s):  
Dian Irawati ◽  
Agustin Dwi Syalfina

Objectives: Maternal Mortality Rate (MMR) is closely related to maternal care. MMR in Indonesia based on the 2015 IDHS is 359 per 100,000 live births. By increasing the utilization of MCH handbooks, MMR would be decline. Therefore, this research investigated the relationship between of the utilization of MCH handbooks and attitudes pregnant women regarding pregnancy and childbirth complications.Materials and Methods: We conducted a cross sectional research with 54 pregnant women during March - June 2018 at the Sooko Health Center, Mojokerto. The independent variable was the utilization of MCH handbooks and the dependent variable was the attitude of pregnan women regarding pregnancy and childbirth complications. Data analysis included descriptive and bivariate analysis.Results: The results showed that 79.6% of respondents used the MCH handbook well. The results of the chi square analysis test showed a p value of 0.027 (<0.05).Conclusion: MCH handbook utilization effected the attitude of pregnant women regarding the complication of pregnancy and childbirth. Pregnant women who read and utilize MCH handbook would be have better alertness about the risk of complication so they would make the right decision for their pregnancy.

2021 ◽  
Vol 15 (2) ◽  
pp. 96
Author(s):  
Wulan Rahmadhani ◽  
Jipri Suyanto ◽  
Than Kyaw Soe ◽  
Siti Mutoharoh

Background: Age influences pregnancy and childbirth. Pregnant women aged less than 20 years old or pregnant adolescents are not physically and mentally ready to cope with pregnancy or childbirth. The husband's support highly determines the health status of the mother. This research aimed to determine the relationship between husband support and the behavior of pregnant adolescents to face pregnancy during the COVID-19 pandemic in the Gombong District, Kebumen Regency. Methods: This study used a cross-sectional approach. The population was all pregnant women aged less than 20 years in the Gombong District, Kebumen Regency. It used a saturated sampling technique involving 256 people. Data were analyzed using univariate and bivariate analysis to answer the percentage and the Chi-Square test to answer the research hypothesis. Results: The study showed that 130 (50.8%) husbands did not support the mothers, and 126 (49.2%) husbands supported the mothers. The result also showed that 116 (45.3%) of the pregnant women showed positive behavior, while140 (54.7%) pregnant women showed negative behavior. The chi-square test found a p-value of 0.005, which proved a significant relationship between the husband's support and the behavior of pregnant adolescents to overcome pregnancy during the covid-19 pandemic. Conclusion: Pregnant teenagers with husband support will prepare for pregnancy and childbirth programs more maturely to ensure the safety of both mother and fetus.


Author(s):  
Wahyu Ida Muliana Wahyu Ida Muliana

ABSTRACT Hyperemesis Gravidarum marked excessive nausea and vomiting in pregnant women at a young age. WHO estimates that 536,000 women died from direct complications of pregnancy and childbirth. One complication of pregnancy is Hyperemesis Gravidarum. Hyperemesis Gravidarum in the world has been estimated to occur in 1-2% of pregnant. According to data from the Medical Record of Dr. Mohammad Hoesin Palembang Hospital, the incidence of Hyperemesis Gravidarum in 2011 there were 72 people of 661 pregnant women. The purpose of this reseach was to determine the relationship between maternal age and parity with Hyperemesis Gravidarum in Dr. Mohammad Hoesin Palembang Hospital 2011. The Design of this reseach used Cross Sectional by analytic approach survey. The population of this reseach are all of mother who gestational ≤ 16 weeks (four months) in the Installation of Obstetrics and Gynecology, Dr. Mohammad Hoesin Palembang Hospital in January to December of 2011 with the sample of 661 people which taken by systematic random sampling and the reseach was conducted from 17 April to 24 April 2012.  Each variable that was observed in tests using Chi-Square test with a (0.05).  The results of this study showed that 5.9% of mothers with hyperemesis gravidarum, 21.8% of mothers with high risk age, and 30.0% primigravida. Chi-Square test showed no significant relationship between age (p value = 0.000) and parity (p value = 0.000) with the incidence of hyperemesis gravidarum. Expected to the Hospital to be implemented properly instructed how to provide counseling to pregnant women about pregnancy and childbirth, as well as provide confidence that the nausea and vomiting is a symptom of physiology in pregnancy.   ABSTRAK Hiperemesis Gravidarum ditandai mual dan muntah yang berlebihan terjadi pada ibu hamil di usia muda. WHO memperkirakan 536.000 perempuan meninggal dunia akibat langsung dari komplikasi kehamilan dan persalinan. Salah satu komplikasi kehamilan adalah Hiperemesis Gravidarum. Insiden Hiperemesis Gravidarum di dunia telah diperkirakan terjadi pada 1-2% wanita hamil. Menurut data dari Medical Record Rumah Sakit Umum Pusat Dr. Mohammad Hoesin Palembang, angka kejadian Hiperemesis Gravidarum pada tahun 2011 terdapat 72 orang dari 661 ibu hamil. Tujuan penelitian ini adalah untuk mengetahui hubungan antara umur dan paritas ibu dengan kejadian Hiperemesis Gravidarum pada ibu di Rumah Sakit Umum Pusat Dr. Mohammad Hoesin Palembang tahun 2011. Desain Penelitian ini menggunakan survei analitik dengan pendekatan Cross Sectional. Populasi penelitian ini adalah dengan umur kehamilan ≤ 16 minggu (4 bulan) yang pernah dirawat inap di Instalasi Kebidanan dan Penyakit Kandungan Rumah Sakit Umum Pusat Dr. Mohammad Hoesin Palembang pada bulan Januari-Desember tahun 2011 dengan jumlah sample 661 orang yang diambil secara systematic Random Sampling (secara acak sistematis) dan penelitian ini dilakukan dari tanggal 17 April sampai dengan 24 April 2012. Masing-masing variabel yang diteliti di uji dengan menggunakan uji Chi-Square dengan a (0,05). Hasil penelitian ini menunjukkan bahwa 5,9% ibu mengalami hiperemesis gravidarum, 21,8% ibu dengan umur resiko tinggi, dan 30,0% ibu primigravida. Uji Chi-Square menunjukkan ada hubungan yang bermakna antara umur (p value = 0,000) dan paritas (p value = 0,000) dengan kejadian hiperemesis gravidarum. Diharapkan dapat menjadi masukan bagi pihak Rumah Sakit agar dilaksanakan penyuluhan dengan cara memberikan konseling terhadap ibu hamil tentang kehamilan dan persalinan, serta memberikan keyakinan bahwa mual muntah merupakan gejala fisiologi pada kehamilan.


2021 ◽  
Vol 2 (1) ◽  
pp. 1
Author(s):  
Dian Fera ◽  
Maiza Duana ◽  
Enda Silvia Putri

Adequacy of nutrition is needed by a person from the womb to adulthood. Pregnant women are one of the groups of people who are prone to malnutrition. One of the nutritional problems in pregnant women is iron anemia (Fe). Pregnant women are said to be anemic if their Hb level is <11 g / dl, anemia can also occur due to an increased need for a person's body, for example during menstruation, pregnancy and childbirth, while the iron that enters is only a little, it is highly recommended to consume food that comes from animal protein such as fish. , meat, eggs and milk. Objective: to examine the relationship between the adequacy of animal protein consumption on hemoglobin (Hb) levels of pregnant women in Johan Pahlawan District, West Aceh Regency. Methods: This study is a quantitative study with a cross sectional design. The population in this study were all pregnant women in the second and third trimesters who were recorded at Puskesmas Johan Pahlawan and Suak Ribee, West Aceh district in February 2020, totaling 165 people, the sampling technique used the purposive sampling method using the Slovin formula with a sample of 62 people. The results showed that there was a significant relationship between the consumption of animal protein intake and hemoglobin levels in pregnant women with a p value = 0.022. In conclusion, the HB level of pregnant women who consume enough animal protein is more normal than pregnant women who do not consume enough animal proteinAdequacy of nutrition is needed by a person from the womb to adulthood. Pregnant women are one of the groups of people who are prone to malnutrition. One of the nutritional problems in pregnant women is iron anemia (Fe). Pregnant women are said to be anemic if their Hb level is <11 g / dl, anemia can also occur due to an increased need for a person's body, for example during menstruation, pregnancy and childbirth, while the iron that enters is only a little, it is highly recommended to consume food that comes from animal protein such as fish. , meat, eggs and milk. Objective: to examine the relationship between the adequacy of animal protein consumption on hemoglobin (Hb) levels of pregnant women in Johan Pahlawan District, West Aceh Regency. Methods: This study is a quantitative study with a cross sectional design. The population in this study were all pregnant women in the second and third trimesters who were recorded at Puskesmas Johan Pahlawan and Suak Ribee, West Aceh district in February 2020, totaling 165 people, the sampling technique used the purposive sampling method using the Slovin formula with a sample of 62 people. The results showed that there was a significant relationship between the consumption of animal protein intake and hemoglobin levels in pregnant women with a p value = 0.022. In conclusion, the HB level of pregnant women who consume enough animal protein is more normal than pregnant women who do not consume enough animal protein


2020 ◽  
Vol 3 (2) ◽  
pp. 51
Author(s):  
Ikawati Setyaningrum ◽  
Firman Hidayat ◽  
Ratna Widhiastuti

Preceptorship is one method of guidance with one to one relationship in the scope of nursing which is considered good enough to add skills in care, both soft skills, hard skills and attitude of the nursing profession. Many factors affect the implementation of preceptorsip in hospitals. This study aims to determine the relationship between clinical instructional motivation and the implementation of preseptorship at Dr. Soeselo Slawi. This research is a quantitative study and the type of descriptive correlation research design with cross sectional approach. The sampling technique used was a total sampling of 39 people. The research instrument uses a motivation questionnaire containing 26 statements, whereas for Preceptorship uses a questionnaire containing 10 statements. Chi square analysis results showed that the p value was 0.007 (<0.005), which means there was a significant relationship between CI motivation and the implementation of Preseptorship. The hospital is expected to be able to choose nurses who will become CIs according to certain competency and knowledge standards, as well as specializing CI assignments so that they do not overlap with patient service tasks.  Keywords: Motivation. Clinical instructure, preceptorship


2019 ◽  
Vol 9 (4) ◽  
pp. 301
Author(s):  
Karwati Karwati ◽  
Damay Yanti

Anemia is one of the many problems that occur in pregnant women in developing countries. First trimester pregnant women often experience nausea and vomiting that can affect the pattern of eating that is received. The purpose of this study was to determine whether nutritional intake and nausea and vomiting disorders in first trimester pregnant women were associated with anemia. The sample of this study was all first trimester pregnant women, selected by quota sampling technique. The research design used in this study was cross sectional, which aims to examine the correlation between nutrient intake (iron, protein, and vitamin C) and nausea and vomiting disorders with anemia. The instrument used to determine the intake of iron, protein, vitamin C was food records that were filled by respondents for 3 days. To test the hypothesis of the relationship used the chi square test and Fisher's exact test. From the results of the analysis of the relationship between iron intake, Vitamin C and nausea and vomiting with anemia, p-value = 0.003, p-value = 0.001 and p-value 0.001, it can be concluded that there is a relationship between iron intake, vitamin C and vomiting nausea with the incidence of anemia in first trimester pregnant women (first). While the results of the analysis of the relationship of protein intake with anemia obtained p-value = 0.806, it can be concluded that there is no relationship between protein intake and the incidence of anemia in first trimester pregnant women (first). The mean intake of iron, protein, and vitamin C in first trimester pregnant women both in the anemic and non-anemic groups had a daily intake that was still far from the nutritional adequacy standard set by the government that the RDA of iron was 26 g / dL / day Protein was 76 mg / day and Vit C is 70-85 mg / day. Keywords: food intake; nausea and vomiting; anemia ABSTRAK Anemia merupakan salah satu masalah yang banyak terjadi pada ibu hamil di negara berkembang. Ibu hamil trimester I sering mengalami gangguan mual muntah yang dapat berpengaruh pada pola ragam makan yang diterima. Tujuan dari penelitian ini adalah mengetahui apakah asupan nutrisi dan gangguan mual muntah pada ibu hamil trimester I berhubungan dengan kejadian anemia. Sampel penelitian ini adalah seluruh ibu hamil trimester I diambil dengan teknik Non Probability sampling yaitu Sampling Kuota. Desain penelitian yang digunakan dalam penelitian ini adalah epidemiologi analitik observasional dengan desain cross sectional, yang bertujuan menguji hipotesi dalam mencari korelasi asupan nutrisi (zat besi, protein, dan vitamin C) dan gangguan mual muntah dengan kejadian anemia. Instrumen yang digunakan untuk mengetahui kecukupan asupan zat besi, protein,vitamin C adalah food records yang di isi oleh responden selama 3 hari. Untuk melihat hubungan karakteristik dengan variabel dependen digunakan uji chi square dengan alternative uji exact fisher. Dari hasil analisis hubungan antara asupan zat besi, Vitamin C dan mual muntah dengan anemia didapatkan nilai p-value= 0,003, p-value = 0,001 dan p-value 0,001 maka dapat disimpulkan bahwa ada hubungan antara asupan Zat Besi, Vitamin C dan Mual Muntah dengan kejadian Anemia pada ibu hamil trimester 1 (pertama). Sedangkan hasil analisis hubungan asupan protein dengan anemia didaparkan p-value= 0,806 maka dapat disimpulkan bahwa tidak ada hubungan antara asupan protein dengan kejadian anemia pada ibu hamil trimester 1 (pertama). Rerata asupan zat besi, protein, dan vitamin C pada ibu hamil trimester I baik pada kelompok anemia maupun tidak anemia memiliki jumlah asupan harian yang masih jauh dari standar kecukupan gizi yang ditetapkan oleh pemerintah bahwa AKG zat besi adalah 26 g/dL/hari Protein adalah 76 mg/hari dan Vit C adalah 70-85 mg/hari. Kata kunci: asupan makanan; mual dan muntah; anemia


Author(s):  
Ratih Handayeni ◽  
Evi Nurhidayati

The problem of children’s growth in preschool age can decrease the human resource quality in the following days when it cannot be detected in early phase. Mother’s assistance of her children is very needed in the first 5 years of golden age. This is the phase where they play and learn with their mother. This study was done to compare between non worker mothers and worker mothers with the problems of emotional mental. The purpose of this study was to identify the relationship of mother’s work status and emotional mental problem at preschool students at TK Annur III Maguwoharjo, Sleman Year 2018. This study was an analytic survey with Cross-Sectional Approach. The independent variable was the problem of emotional mental, and the dependent variable was the mother’s work status. The population in this study involved all workers and non-worker mothers with 149 of students at TK Annur III Maguwoharjo, Sleman while the samples were 140 students. The questionnaire of this study used Emotional Mental Method as a prime data.  The Design of sampling was non probability sampling as a simple consecutive sampling. Statistical analysis for data evaluation were carried out by using Chi Square p= 0.005. The analysis results showed the work status of mothers with emotional mental problems at preschool students at TK Annur III Maguwoharjo, Sleman (P-Value=0.000) with the odd ratio was 415.4; 95% CI; 51.6 to 3339.8. There was significant relationship between mother’s work status and problems of emotional mental at the preschool students of TK Annur III Maguwoharjo, Sleman.    


IKESMA ◽  
2019 ◽  
Vol 15 (1) ◽  
pp. 43
Author(s):  
Astri Meidah Setiawati

Cigarette exposure is one factor in the occurrence of hypertension and can increase blood pressure both for pregnant women and not. Hypertension is a fairly high disease problem in Indonesia. The purpose of this study was to determine the relationship of cigarette smoke to the occurrence of hypertension in pregnant women in Brangkal Village, Kepohbaru District, Bojonegoro City. This study is an observational analytic study and uses a quantitative approach. The design of this study uses cross sectional. The location of this study was conducted in Brangkal Village, Kepohbaru District, Bojonegoro City, from July to August 2018. The sample in this study used a total sampling of the population of all pregnant women in Brangkal Village, namely 10 pregnant women. The results of the study here are from the calculation of the chi-square test above indicating that the root problem of cigarette smoke in hypertension has P Value <α so that the results obtained are Ho accepted or not significant (p = 0.857). The conclusion of this study is that there is no significant relationship to exposure to cigarette smoke in the incidence of hypertension in pregnant women. This occurs due to several factors such as a husband who is working outside the city so that exposure to cigarette smoke is not as often as possible. Supporting factors are such as diet, knowledge and the amount of parity can affect hypertension in pregnant women.


2021 ◽  
Vol 5 (1) ◽  
pp. 21-27
Author(s):  
Maryuni Maryuni ◽  
Legina Anggraeni

Pregnancy and childbirth are very important events for every woman and her family. But this event can be a complication for the mother and the baby she is carrying. Maternal death is generally influenced by two causal factors, namely direct cause and indirect cause. The direct cause of maternal death is a factor associated with complications of pregnancy, childbirth and childbirth. This research is an analytical research with cross sectional design. The number of samples used as many as 111 pregnant women scattered in jakarta and surrounding areas. The results of this study found the results of chi square test found the result of p value 0.091 which means there is no significant relationship. It is expected that with this research other research can increase the number of variables associated with the practices and behaviors of pregnant women when experiencing complications in their pregnancy.


Author(s):  
Fitta Deskawaty ◽  
Roni Aldiano

Background : Suyati et al (2011) conducted a study on the relationship between knowledge of pregnant women about the delivery process and the level of anxiety in facing childbirth. It was found that out of 48 pregnant women, 13 pregnant women (27.1%) had sufficient knowledge and experienced severe anxiety. This is because the understanding of a pregnant woman to know the process of childbirth is very important because pregnant women often have disturbing thoughts, as a development of an anxiety reaction to the stories they get. A number of fears arise in the third trimester. Pregnant women will feel anxious about the life of the baby and his own life, such as: whether the baby will be born normally. The purpose of this study is the relationship between work and the anxiety of primigravida pregnant women trimester III in dealing with childbirth. Method : The design in this study was cross sectional. The research was carried out at Puskesmas Batu Aji. The population in this study were all trimester III primigravida pregnant women who visited and performed ANC examinations. The sampling technique used in this study was total sampling. The instrument in this study used a questionnaire sheet and a check list. To measure the level of anxiety using the Hamilton Rating Scale for Anxiety (HRS-A). Chi-Square hypothesis test. Result : Research Results From the results of the chi-square calculation, the p-value is 0.571, which means that the p-value is ≥ 0.05. Conclusion : The conclusion is that there is a relationship between work and the anxiety of primigravida pregnant women trimester III in dealing with childbirth


Author(s):  
Rizki Muji Lestari ◽  
Ana Paramita ◽  
Bella Bella

Latar Belakang:Masa remaja adalah masa transisi yang ditandai oleh adanya perubahan fisik, emosi dan psikis.Saat ini ibu hamil muda semakin meningkat dan menjadi masalah terutama kehamilan dibawah usia 20 tahun.Di Puskesmas Pahandut Kota Palangka Raya pada tahun 2017 sejak bulan Januari sampai bulan Desember 2017 terdapat kunjungan ibu hamil usia remaja sebanyak 151 orang (Register KIA/KB Puskesmas Pahandut 2017).Tujuan: Penelitian untuk mengetahui Hubungan Status Ekonomi dan Budaya dengan Kejadian Kehamilan Usia Remaja di Puskesmas Pahandut Kota Palangka Raya.Metode:Desain penelitian  ini  bersifat kuantitatif analitik observasional dengan menggunakan jenis desain studi penampang analitik (analitic cross sectional), subjek penelitian ini adalah ibu hamil yng datang berkunjung di Puskesmas Pahandut dengan jumlah sampel sebanyak 44 orang. Data terkumpul dianalisis secara bivariat (chi square) dengan tingkat kepercayaan 95 %.Hasil: Hasil analisis hubungan antara status ekonomi dengan kejadian kehamilan usia remaja diperoleh p value = 0,000 artinya ada hubungan yang signifikan antara status ekonomi dengan kejadian kehamilan usia remaja.Sedangkan hasil analisis hubungan antara budaya dengan kejadian kehamilan usia remaja diperoleh p value = 0,000artinya ada hubungan yang signifikan antara budaya dengan kejadian kehamilan usia remaja.Simpulan:Berdasarkan hasil tersebut diatas, peran tenaga kesehatan sangat dibutuhkan, terutama melakukan konseling dan penyuluhan kepada anak remaja tentang kesehatan reproduksi dan dampak dari akibat serta risiko dari kehamilan usia remaja tersebut.Kata Kunci: Status Ekonomi, Budaya, Kehamilan Usia Remaja. ABSTRACT Background: Adolescence is a transition period characterized by physical, emotional and psychological changes. Currently young pregnant women are increasing and becoming a problem, especially pregnancy under the age of 20 years. In Pahandut Public Health Center, Palangka Raya City in 2017 from January to December 2017 there were 151 pregnant women who visited teenagers (KIA Register / KB Pahandut Health Center 2017).Objective: Research to determine the relationship of economic and cultural status with pregnancy incidence in adolescence at Pahandut Community Health Center, Palangka Raya City.Method: The design of this study was quantitative analytic observational using a cross sectional study design, the subject of this study was pregnant women who came to visit the Pahandut Health Center with a total sample of 44 people. The collected data were analyzed bivariately (chi square) with a confidence level of 95%.Results: The results of the analysis of the relationship between economic status and the incidence of pregnancy in adolescence were obtained p value = 0,000 meaning that there was a significant relationship between economic status and the incidence of adolescence in adolescence. Whereas the results of the analysis of the relationship between culture and the incidence of pregnancy in adolescence were obtained p value = 0,000 meaning that there was a significant relationship between culture and the incidence of pregnancy in adolescence.Conclusion: Based on the above results, the role of health workers is very much needed, especially in counseling and counseling adolescents about reproductive health and the impact of the consequences and risks of the teenage pregnancy. Keywords: Economic Status, Cultural, Teenage Pregnancy 


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