Determinan Abortus di Indonesia

Abortus menjadi masalah yang penting dalam kesehatan masyarakat karena berpengaruh terhadap morbiditas dan mortalitas maternal. Di Indonesia, belum ada data yang komprehensif tentang kejadian abortus, berbagai data yang ada sebelumnya berdasarkan survei dengan cakupan yang relatif terbatas. Abortus yang tidak aman bertanggung jawab terhadap 11% kematian ibu di Indonesia. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan kejadian abortus di Indonesia. Penelitian ini dilaksanakan dengan metode observasional menggunakan disain studi cross sectional. Data penelitian diperoleh dari data Survei Demografi dan Kesehatan Indonesia 2002-2003. Analisis data dilakukan secara bertahap yaitu: analisis univariat, analisis bivariat dan analisis multivariat dengan regresi logistik. Hasil menunjukkan bahwa risiko abortus meningkat seiring dengan peningkatan usia ibu. Wanita dengan paritas 0-2 berisiko lebih tinggi untuk mengalami abortus dibandingkan wanita dengan paritas 3 atau lebih (OR=5,2, IK 95%=3,49-7,89). Wanita yang bekerja berisiko 2,7 kali lebih tinggi untuk mengalami aborsi daripada wanita yang tidak bekerja (OR= 2,7 , IK 95%= 2,10-3,58). Selain itu, risiko abortus meningkat pada wanita yang menikah pada usia 30 tahun atau lebih (OR=1,8, IK95%= 1,30-2,48). Risiko abortus tidak berhubungan bermakna dengan riwayat abortus sebelumnya, tingkat pendidikan dan tingkat sosial ekonomi.Kata kunci : Abortus, tren abortus, determinan abortus, IndonesiaAbstractAbortion has become a main problem in public health because of its impact on maternal morbidity and mortality. There is no comprehensive data on abortion in Indonesia. So far, data were based on survey with limited coverage. Unsafe abortion is responsible to 11 percent of maternal mortality in Indonesia. This research objective is to determine factors related to abortion in Indonesia. The study was an observational method with cross sectional design. Thesedata are gathered from Indonesian Demography and Health Survey 2002–2003. Data analysis used univariate, bivariate and multivariate analysis with logistic regression. The risk of an abortion increased in line with the increasing of maternal age. Women with 0-2 parity have higher risk than multiparity (OR=5.2, IK95%=3.49-7.89). Employed women have higher risk than unemployed (OR=2.7, IK95%=2.10-3.58). The risk of abortion increased among women married at 30 years old or over (OR=1.8, IK95%=1.30-2.48). There is no significant association between history of abortion, education, socioeconomic and risk of abortion.Key words : Abortion, trend of abortion, abortion’s determinant, Indonesia

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Hubungan Paritas dengan Kejadian Ketuban Pecah Dini

Jurnal Medika : Karya Ilmiah Kesehatan ◽

10.35728/jmkik.v6i2.747 ◽

2021 ◽

Vol 6 (2) ◽

Author(s):

Desi pramita sari Desi Pramita sari

Keyword(s):

Postpartum Hemorrhage ◽

Premature Birth ◽

Maternal Morbidity ◽

P Value ◽

Premature Rupture Of Membranes ◽

Early Complications ◽

Premature Rupture ◽

Cross Sectional ◽

Maternal Morbidity And Mortality ◽

Cross Sectional Design

Premature rupture of membranes can cause various complications such as infection, prolonged parturition, postpartum hemorrhage, maternal morbidity and mortality, while in the fetus PROM can cause premature birth, decreased umbilical cord, hypoxia and secondary asphyxia. Based on the data taken at Batam city, the highest number of PROM cases from 3 hospitals was 546 cases, Harapan Bunda’s Hospital. This study aims to determine relationship Parity with premature rupture of membranes at Harapan Bunda Hospital Batam City. This research used method quantitative analitic survey with cross sectional design with 60 samples. The Conclusion the results obtained were there is relationship parity with premature rupture of membranes (p value = 0,001). Suggestions to clients and community to increase their knowledge about the cause PROM so that they can prevent or detect early complications that will occur in the future.

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Psychological, Structural, Social and Economic Determinants of Suicide Attempt: Risk Assessment and Decision Making Strategies

OMEGA - Journal of Death and Dying ◽

10.1177/00302228211003462 ◽

2021 ◽

pp. 003022282110034

Author(s):

Azam Farmani ◽

Mojtaba Rahimianbougar ◽

Yousef Mohammadi ◽

Hossein Faramarzi ◽

Siamak Khodarahimi ◽

...

Keyword(s):

Risk Assessment ◽

Suicide Attempt ◽

Suicide Attempts ◽

Psychological Services ◽

Cross Sectional ◽

Economic Determinants ◽

History Of ◽

Cross Sectional Design ◽

High Level ◽

Risk Assessment And Management

The aim of this research was to conduct a risk assessment and management of psychological, structural, social and economic determinants (PSSED) in a suicide attempt. The sample consisted of 353 individuals who had a recorded history of suicidal attempt; and 20 professional individuals by purposive sampling method within a descriptive cross-sectional design. Worksheets for RAM and AHP were used for data collection in this study. The rate of suicide attempt was 7.21 per 100,000 population in this study. Analysis showed that depression and mental disorders; personality disorders; family problems; socio-cultural and economic problems; lack of awareness; and low level of education have a high level of risk for suicide attempts. Psychiatric and psychological services; awareness and knowledge of life skills; medical services to dysfunctional families; development of community-based planning for PSSED of suicide; and employment and entrepreneurship services may lower suicide attempt risk.

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Hubungan Antara Kualitas & Kuantitas Riwayat Kunjungan Antenatal Care (ANC) Dengan Stunting Pada Balita Usia 24-59 Bulan Di Kecamatan Pujon Kabupaten Malang

Journal Of Issues In Midwifery ◽

10.21776/ub.joim.2020.004.03.1 ◽

2020 ◽

Vol 4 (3) ◽

pp. 100-111

Author(s):

Vita Camelia ◽

Keyword(s):

Antenatal Care ◽

P Value ◽

Growth Disorders ◽

Height Measurement ◽

Chi Square ◽

Cross Sectional ◽

Standard Curve ◽

Chi Square Test ◽

History Of ◽

Cross Sectional Design

Stunting is a children growth problem that occurs a result of chronic malnutrition in the first 1000 days of life. The indicator of stunting is using the height measurement according to age HFA (Height for Age) under -2 SD based on the WHO growth standard curve according to sex. The impacts of stunting are the occurrence of growth disorders, barriers to development and the risk of metabolic disorders in adulthood. One of the risk factors for stunting is history of quality and quantity Antenatal Care (ANC). This study aimed to determine the relationship between quality and quantity history of ANC visits and stunting in toddlers aged 24-59 years in Pujon District Malang Regency. The method used in this research was observational analytic by using cross-sectional design. The population of this study was all mothers who have children aged 24-59 months that were conducted in January 2020. Ninety eight respondents taken by purposive sampling as the sample of the research. The data was obtained by filling out questionnaires and KIA books, then analyzed with chi-square test (α = 0.05). The results showed that there was a significant relationship in quality (p-value = 0.004) and quantity (p-value = 0.003) toward stunting.

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Faktor Usia Ibu dan Paritas Meningkatkan Kejadian Mioma Uteri

Jurnal Kesehatan Metro Sai Wawai ◽

10.26630/jkm.v11i1.1766 ◽

2018 ◽

Vol 11 (1) ◽

pp. 21

Author(s):

Army Novitasari ◽

Gangsar Indah Lestari ◽

Martini Fairus

Keyword(s):

Maternal Age ◽

Uterine Myoma ◽

Bivariate Analysis ◽

Chi Square ◽

Cross Sectional ◽

Chi Square Test ◽

Reproductive Disease ◽

Independent Variable ◽

Cross Sectional Design ◽

The Relationship

Background: The most common reproductive disease among Indonesian women is uterine myoma. The number of occurrences of this disease in Indonesia ranks second after cervical cancer. Purpose: This study aims to determine the relationship between maternal age and parity with the incidence of uterine myoma at Mardi Waluyo Metro Hospital in 2016. Methods: This study uses a cross sectional design. The study sample was 141 respondents. The independent variable of the study was maternal age and parity, while the dependent variable was uterine myoma. Data analysis using univariate and bivariate analysis. Bivariate analysis using chi square test. Results: The results showed that there was a relationship between maternal age (p = 0,000) and parity (p = 0,000) with the incidence of uterine myoma at Mardi Waluyo Metro Hospital. Conclusion: The conclusions of this study are maternal age and parity are factors that increase the incidence of uterine myoma. Prevention efforts and reducing the incidence of uterine myoma need to be improved by early detection of women with age and risky parity.

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Unsafe Abortion- A Tragic Saga of Maternal Suffering

Journal of Nepal Medical Association ◽

10.31729/jnma.127 ◽

2010 ◽

Vol 49 (177) ◽

Cited By ~ 1

Author(s):

M C Regmi ◽

P Rijal ◽

S S Subedi ◽

D Uprety ◽

B Budathoki ◽

...

Keyword(s):

Developing Countries ◽

Retrospective Study ◽

Maternal Death ◽

Maternal Morbidity ◽

Obstetrics And Gynecology ◽

Unsafe Abortion ◽

High Grade ◽

Abortion Legalization ◽

Adequate Care ◽

Maternal Morbidity And Mortality

INTRODUCTION: Unsafe abortion is a significant cause of maternal morbidity and mortality in developing countries despite provision of adequate care and legalization of abortion. The aim of this study was to find out the contribution of unsafe abortion in maternal mortality and its other consequences. METHODS: A retrospective study was carried out in the Department of Obstetrics and Gynecology in BPKIHS between 2005 April to 2008 September analyzing all the unsafe abortion related admissions. RESULTS: There were 70 unsafe abortion patients. Majority of them (52.8%) were of high grade. Most of them recovered but there were total 8maternal deaths. CONCLUSIONS: Unsafe abortion is still a significant medical and social problem even in post legalization era of this country. Keywords: abortion, legalization, maternal death, unsafe.

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MATERNAL SEPSIS;

The Professional Medical Journal ◽

10.29309/tpmj/2019.26.05.3239 ◽

2019 ◽

Vol 26 (05) ◽

Author(s):

Fehmida Parveen Memon ◽

Majida Khan ◽

Samya Aijaz

Keyword(s):

Maternal Morbidity ◽

Tertiary Care ◽

Morbidity And Mortality ◽

University Hospital ◽

P Value ◽

Care Hospital ◽

Maternal Complications ◽

Cross Sectional ◽

Maternal Morbidity And Mortality ◽

Maternal Sepsis

Objectives: To determine the thrombocytopenia as marker of maternal sepsis and its related maternal morbidity and mortality at tertiary care Hospital. Study Design: Cross-sectional study. Setting: Gynaecological and Obstetrical department of Liaquat University Hospital, Hyderabad. Period: 6 months from March 2017 to August 2017. Material and Methods: All the pregnant females with diagnosis of sepsis were enrolled in the study. All the females with chronic hepatitis were excluded. After complete clinical examination every women underwent 5cc blood sample for complete blood picture. Thrombocytopenia was characterized as a platelet count below 150.000/mm3. Data regarding maternal mortality and maternal complications was filled in the proforma. Results: Total 120 septic mothers were included in the study, 70 patients had thrombocytopenia and 50 were with normal platelets. Most of the women 71.7% were with age groups of 20-30 years. Out of total women 65.0% were un-booked. According to the maternal morbidity, septic shock was most common 36.7%, multi-organ failure was in 08.3%, prolonged Hospital stay was in 16.7%, ICU admission occurred in 18.3% patients, while renal failure, respiratory failure, hepatic failure, coagulopathy and metabolic acidosis were found with percentage of 09.2%, 02.5%, 10.8%, 10.8% and 03.3% respectively. Mortality rate was found among 8.3% out of total cases. Almost all complications were higher among women with thrombocytopenia as compare to women with normal platelets level, while statistically p-value was quite insignificant. Mortality was significantly high among patients with thrombocytopenia p-value 0.032. Conclusion: It was concluded that thrombocytopenia is a good marker for adverse outcome among septic mothers. Maternal morbidity and mortality was higher among septic women with thrombocytopenia.

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Curriculum Evaluation - A Cross-Sectional Study under selected Nursing College of KUHS

Asian Journal of Nursing Education and Research ◽

10.52711/2349-2996.2021.00116 ◽

2021 ◽

pp. 485-487

Author(s):

Betcy George ◽

Sheela Shenai N. A

Keyword(s):

Curriculum Evaluation ◽

Sampling Technique ◽

Cross Sectional Study ◽

Evaluation Tool ◽

Specific Knowledge ◽

Cross Sectional ◽

Teaching Institution ◽

History Of ◽

Cross Sectional Design ◽

Nursing College

Aim: A cross-sectional design (analytic) was adopted for the study and the aim of this study was to discover whether the curriculum is fulfilling its purpose and whether students are actually learning. Background: According to the history of education, the term ‘curriculum’ was originally related to the concept of a course of studies followed by a pupil in a teaching institution. Curriculum is a set of specific knowledge, skills and activities for students and it may be defined as planned activities to foster teachers' teaching and student's learning1. The term curriculum refers to the lessons and academic content taught in a school or in a specific course or program. Curriculum evaluation is an essential phase of curriculum development. Through evaluation a faculty discovers whether a curriculum is fulfilling its purpose and whether students are actually learning. Curriculum evaluation is crucial to measuring curriculum effectiveness in any educational setting2. Methods: A cross-sectional design (analytic) was adopted for the study. Eighty two graduates were selected by total enumerative sampling technique. Results: The data was analyzed using descriptive statistics. The various categories of the curriculum evaluation tool were summarized using frequency and percentage, separately for B.Sc and PB.BSc graduates. Conclusion: Out of six areas evaluated, 100% satisfaction was ensured in all areas except in assessment of organization of teacher’s materials, which concluded that 20% of graduates asked for improvement in special facilities and equipments for the curriculum updation.

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CONSANGUINITY AND MATERNAL AGE;

The Professional Medical Journal ◽

10.29309/tpmj/2017.24.04.1458 ◽

2017 ◽

Vol 24 (04) ◽

pp. 511-515

Author(s):

Nayyab Zehra ◽

Ahmed Hassaan Malik ◽

Zahabia Khalid ◽

Misha Sabir ◽

Simra Tanvir ◽

...

Keyword(s):

Family History ◽

Gestational Age ◽

Maternal Age ◽

Sampling Technique ◽

Reproductive Age ◽

Military Hospital ◽

Age Group ◽

Spontaneous Abortions ◽

Cross Sectional ◽

History Of

Objectives: To determine the frequency of risk factors i.e. consanguinity andmaternal age associated with spontaneous abortions in Pakistan and to propose ways toreduce them. Study design: Cross sectional descriptive study. Place of study: Gynecologydepartment of Military Hospital and Combined Military Hospital, Rawalpindi. Duration ofstudy: 6 months (September 2015 to February 2016). Sampling technique: Non probabilityconvenient sampling. Methodology: 150 married female patients in reproductive age group(15-49 years), who were confirmed cases of pregnancy and presented with abortions, wereinterviewed and responses were filled in a structured questionnaire after written consent.The collected data was then entered and analyzed by SPSS 20.0. Results: The major bulkof spontaneous abortions occurred in the maternal age group of 25-35 years (55.3%). A totalof 53.3% of abortions occurred in the gestational age of less than 12 weeks. Around 54.7% offemales had family history of spontaneous abortions and 65.3% had consanguineous marriage.Conclusion: Spontaneous abortions occur more frequently in the females of 25-35 yearsage group and among the fetuses with gestational age less than 12 weeks (1st trimester ofpregnancy). Family history of spontaneous abortions and consanguinity are associated withspontaneous abortions.

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How far is too far? A nationwide cross-sectional study for establishing optimal hospital access time for Korean pregnant women

BMJ Open ◽

10.1136/bmjopen-2019-031882 ◽

2019 ◽

Vol 9 (9) ◽

pp. e031882 ◽

Cited By ~ 1

Author(s):

Mi Young Kwak ◽

Seung Mi Lee ◽

Hyun Joo Kim ◽

Sang Jun Eun ◽

Won Mo Jang ◽

...

Keyword(s):

Pregnant Women ◽

Maternal Morbidity ◽

Cross Sectional Study ◽

Obstetric Complications ◽

Access Time ◽

Sectional Study ◽

Cross Sectional ◽

Hospital Access ◽

Maternal Morbidity And Mortality ◽

Delivery Unit

ObjectivesAccess to a delivery unit is a major factor in determining maternal morbidity and mortality. However, there is little information about the optimal access time to a delivery unit. This study aimed to establish the optimal hospital access time (OHAT) for pregnant women in South Korea.DesignNationwide cross-sectional study.SettingWe used the National Health Insurance System database of South Korea.ParticipantsWe analysed the data of 371 341 women who had experienced pregnancy in 2013.Primary and secondary outcome measuresAccess time to hospital was defined as the time required to travel from the patient’s home to the delivery unit. The incidence of obstetric complications was plotted against the access time to hospital. Change-point analysis was performed to identify the OHAT by determining a point wherein the incidence of obstetric complications changed significantly. As a final step, the risk of obstetric complications was compared by type among pregnant women who lived within the OHAT against those who lived outside the OHAT.ResultsThe OHAT associated with each adverse pregnancy outcomes were as follows: inadequate prenatal care, 41–50 min; preeclampsia, 51–60 min; placental abruption, 51–60 min; preterm delivery, 31–40 min; postpartum transfusion, 31–40 min; uterine artery embolisation, 31–40 min; admission to intensive care unit, 31–40 min; and caesarean hysterectomy, 31–40 min. Pregnant women who lived outside the OHAT had significantly higher risk for obstetric complications than those who lived within the OHAT.ConclusionsOur results showed that the OHAT for each obstetric complication ranged between 31 and 60 min. The Korean government should take the OHAT under consideration when establishing interventions for pregnant women who live outside OHAT to reduce maternal morbidity and mortality.

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Faktor Yang Berhubungan Dengan Kelelahan Kerja Perawat Di Rumah Sakit Permata Hati Duri Kecamatan Mandau Kabupaten Bengkalis Tahun 2019

Prosiding Hang Tuah Pekanbaru ◽

10.25311/prosiding.vol1.iss1.12 ◽

2021 ◽

pp. 17-30

Author(s):

Octa Dwienda ◽

Ahmad Satria Ahmad Satria Efendi

Keyword(s):

The Body ◽

Mental Condition ◽

P Value ◽

Cross Sectional ◽

History Of Disease ◽

History Of ◽

Work Shifts ◽

Cross Sectional Design ◽

Initial Survey ◽

June July

Work fatigue is part of a common problem that is often encountered in the workforce. Work fatigue is a symptom related to work efficiency, skills, boredom, and increased anxiety. From the initial survey of interviews and observations conducted, information was obtained that nurses who worked at Permata Hati Duri Hospital often complained of work fatigue The research method used was quantitative with cross sectional design. This research was conducted at Permata Hati Duri Hospital in June-July 2019. The research sample was 66 respondents. Data collection techniques using a questionnaire. The results showed there was no gender relationship (p value = 0.523), there was no relationship between nutritional status (p value 0.523), there was no history of disease relationship (p value 0.940), and there was an age relationship (p value = 0.000), status marriage (p value 0,000), years of service (p value 0.048), work shifts (p value 0,048) with nurse work fatigue. It is recommended that nurses should do sufficient circumstance after work to maintain the physical and mental condition of the body, to reduce fatigue nurses can do refreshing during holidays. For the hospital, management is expected to be able to take part in training related to efforts to prevent work fatigue by minimizing factors that can influence the occurrence of work fatigue.

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