scholarly journals Konsumsi Jamu Ibu Hamil sebagai Faktor Risiko Asfiksia Bayi Baru Lahir

2012 ◽  
Vol 6 (6) ◽  
pp. 267
Author(s):  
Dewi Purnamawati ◽  
Iwan Ariawan

Jamu merupakan obat tradisional yang dibuat dengan cara mengolah bahan alamiah yang mempunyai khasiat obat dengan beberapa bahan campuran. Efektivitas dan efek samping pengobatan tradisional sebagai upaya pelayanan kesehatan masih perlu dibuktikan, khususnya jika digunakan oleh ibu yang sedang hamil. Penelitian ini bertujuan untuk mengetahui pengaruh konsumsi jamu pada ibu hamil terhadap kejadian asfiksia pada bayi baru lahir di Bekasi tahun 2008. Desain penelitian adalah kasus kontrol dengan metode kuantitatif dan kualitatif. Hasil penelitian menunjukkan hubungan yang signifikan antara konsumsi jamu terhadap kejadian asfiksia pada bayi baru lahir (nilai p = 0,005; odds ratio (OR) = 7,1; 95% CI = 4,23 – 11,9; (AFE) = 0,85; dan (AFP) = 0,43). Terdapat hubungan antara jumlah antenatal care (ANC) dan asfiksia pada bayi baru lahir dengan jumlah ANC= 4-8 kali (nilai p = 0,052; OR = 1,68; dan 95% CI = 0,99 - 2,83) sedangkan jumlah ANC kurang dari 4 kali (nilai p= 0,019; OR = 3,02; dan 95% CI = 1,2 - 7,58). Berdasarkan hasil wawancara mendalam diketahui bahwa mayoritas ibu hamil belum paham tentang perilaku sehat selama hamil dan tidak mendapatkan penjelasan yang cukup dari petugas kesehatan. Oleh karena itu, perlu ada peningkatan kualitas pelayanan kesehatan pada saat kehamilan dan persalinan serta perlu standardisasi penggunaan jamu un- tuk ibu hamil.Kata kunci: Obat tradisional, jamu, asfiksia, kehamilanAbstractJamu are traditional medicine which is made by natural ingredience which has medicational effect combining with several ingrediences. The successful of traditional medicine as self medication in health care still need to prove for its efectiveness and the side effect especially if it used by pregnant women. The goal of this study is to know how the effect of consuming jamu for pregnant women with birth asphyxia in Bekasi in 2008. Quantitaive and qualitative study designs were used in this study. Case control design used to see how the odds ratio of the mother who have experience to take jamu during pregnancy. The result showed that there are relation and risk of con- sume jamu with birth asphyxia (p value = 0,000; odds ratio (OR) = 7,1; 95% CI = 4,23 – 11,9) and frequencies of antenatal care (ANC) with birth as- phyxia (4 – 8 times during pregnancy, p value = 0,052; OR = 1,68; and less than 4 times during pregnancy, p value = 0,019; OR = 3,02). The result of indepth interview tells us that majority of mother doesn’t know about the health attitude during pregnancy and doesn’t have enough information from providers about it. Therefore increase the quality of health services during pregnancy and birth delivery and standart for using jamu for pregnant women are needed.Key words: Traditional medicine, jamu, asphyxia, pregnancy

2019 ◽  
Vol 3 (3S) ◽  
pp. 84-89
Author(s):  
Dian Furqani ◽  
Nuraerni Semagga

This study aims to see the factors that influence the quality of Antenatal Care in the City of Palopo; the type of design used is analytical descriptive with the Cross-Sectional Study approach. Samples from this study were all pregnant women based on 1, 2 and 3th-trimester pregnancy age, and 3 who were lived at the research location as many as 154 people who conducted inspection visits from January to March 2018. The results showed that the average age of the mother was 20 years. In the research statisticallly interconnected variables are maternal knowledge showed p-value (0.000). There are several variables have statistical significance, but there are differences in the percentage between the classification of each variabels as for the quality of Antenatal care associated with parity, maternal characteristics (age, education and occupation), antenatal care in each of the 1.2 trimester, and 3. Service access and economic welfare status, where each variable has a p-value> 0.005. The study expects that a health program should not look the quantity of maternal pregnancy visits, but pay attention to the examination checks received at each gestational age. We hope to encourage mothers to be more active in paying attention to the examinations that will be accepted based on their gestational age so that good health services and of recipients of services occur.


2021 ◽  
Author(s):  
Markos Desalegn Beyene ◽  
Amanuel Nemomsa ◽  
Desalegn Wirtu ◽  
Motuma Getachew ◽  
Gemechu Kejela ◽  
...  

Abstract Background: Ante natal care is a key entry point for a pregnant woman to receive abroad range of promotion and preventive health services. Objective: was to assess the quality of antenatal care services at public health facilities of western Ethiopia. Methods: Facility-based cross-sectional study was conducted from May 30th to June 30th, 2016. All public health facilities in the zone were audited, 316 medical records were reviewed, and 316 pregnant women were interviewed. The data was entered using EPI Data version 3.1 and analyzed using SPSS version 20.0. Descriptive statistics, binary, and multiple logistic regressions were conducted. Variables with a P-value of <0.05 were considered as statistically significant predictors of the outcome variable.Results: A total of 316 pregnant women were enrolled in the study. All facilities were categorized as “good” by the possession of necessary equipment, 3/4 by basic amenities and 87.34% by general and gynecologic examination. The information was provided for 222(86.21%), which is categorized as poor.252 (79.7%) of the women were satisfied with ANC. A urine sample taken during ANC visit AOR 3.36(1.70, 6.61) and counseling on food eaten during pregnancy AOR 2.27(1.16, 4.45) were predictors of client satisfaction on ANC. Conclusions: The majority of pregnant women were satisfied with the ANC they received. A urine sample taken during the ANC visits and being counseled on the types of food eaten during pregnancy were predictors for client satisfaction on ANC. Concerned bodies need to improve laboratory tests and information provision.


2018 ◽  
Vol 3 (01) ◽  
pp. 23
Author(s):  
Endah Nurmahmudah ◽  
Hj. Heni Hendarsah

Rapid development of global worldwide has been happening on technology, information, science and health technology including reproduction health have impacted on a very tight competition in Health Sector. Recently, the society has required quality of service, safety, comfortable and reasonable price. That is why a midwife is requested to be ready and able to respond quickly and anticipate modernization and satisfy the customers. This research aims to figure out the correlation of the quality of antenatal care (ANC) treatment and the level of clients’ satisfaction at BPM Hj. Elsye Agustin in Tasikmalaya. Data sampling technique has applied total sampling with cross sectional approach method. And data collection is primary data. Primary data is the data taken directly from the respondents which has been done by the researcher itself. Based on the result of the research, the quality of ANC treatment at BPM Hj. Elsye Agustin is good (66.3%), it explains that ANC treatment has oriented to the pregnancy needs. Pregnant women who have received pregnancy treatment at BPM Hj. Elsye Agustin are satisfied (71.4%) indicating that the expectation of pregnant women to get a satisfied treatment has been fulfilled. The correlation of the quality of ANC treatment and the clients satisfaction at BPM Hj. Elsye Agustin has identified p-value of 0.000 indicating that the clients/pregnant women are satisfied with ANC treament.Keywords: quality, antenatal care treatment, customers‟satisfaction


Author(s):  
Citra Hadi Kurniati

Midwives play an important role in the process of health care, especially antenatal care services (ANC). The quality of midwife services determines the success of the service process. The perception of pregnant women when they come for a pregnancy is related to their availability to return to Antenatal Care examination. This study aims to determine the quality of midwives in ANC services on the perception of pregnant women. This type of research uses observational analytic research, where researchers are directed to explain a situation or situation. The time approach used is cross sectional. Analysis was conducted to test the quality of midwives in providing ANC services to the perception of pregnant women. Analysis of the data in research with ordinal and scale variables is non-parametric statistics. Hypothesis testing using the Chi Square Test. The results showed that there was no relationship between the quality of midwives on perceptions of pregnant women with a p value of valeu> 0.05 with an X × count of 0.325. The conclusion of this study is that there is no relationship between the quality of midwives in providing ANC services to the perception of pregnant women


2021 ◽  
Vol 7 (4) ◽  
pp. 620-625
Author(s):  
Yayah Khoeriah ◽  
Sri Dinengsih ◽  
Risza Choerunnisa

Background In Indonesia, the quality of ANC services is still low, seen from the coverage of ANC which is still below the national target where data on the coverage of pregnant women (K4) visits in Indonesia in 2015 was 87.48%, which means it has not reached the target of the Strategic Plan of the Ministry of Health in 2015, namely by 95%. Of the 34 provinces in Indonesia, only 3 provinces have achieved this target, namely the Riau Archipelago, DKI Jakarta, and West Java.The Purpose To know the relationship between the quality of antenatal care (ANC) services to the level of satisfaction of pregnant women in the obstetrics polyThe research design method uses an analytical survey research with a cross-sectional approach, the number of samples is 83. The research instrument uses a questionnaire, bivariate analysis uses the Chi Square test.Results Based on data from 83 pregnant women who were dissatisfied with ANC services as many as 15 people (18.1%), based on Tangibles less good and dissatisfied 16 (19.3%), Empathy 16 (19.3%)The conclusion is that there is a relationship between satisfaction with Tangibles (P-value = 0.000 OR 140.80), Reliability (P-value = 0.000 OR 86.66), Responsiviness (P-value = 0.000 OR 303.3), Assurance (P-value = 0.000 OR 140.8) and Empathy (P-value=0.000 OR 140.8)Suggestions It is hoped that health workers will improve counseling for pregnant women to conduct regular ANC visits. Keywords: Quality of service, ANC, level of satisfaction ABSTRAK Latar Belakang Di Indonesia, kualitas pelayanan ANC masih rendah dilihat dari cakupan ANC yang masih dibawah target nasional dimana data cakupan kunjungan ibu hamil (K4) di Indonesia pada tahun 2015 sebesar 87,48% yang berarti belum mencapai target Renstra Kementerian Kesehatan pada tahun 2015 yaitu sebesar 95%. Dari 34 provinsi di Indonesia, hanya 3 provinsi yang telah mencapai target tersebut, yaitu kepulauan Riau, Dki Jakarta, dan jawa barat. Tujuan Diketahui hubungan kualitas pelayanan antenatal care(anc)  terhadap tingkat kepuasan ibu hamil di poli kebidananMetode desain penelitian ini menggunakan penelitian survey analitik dengan pendekatan cross- sectional, jumlah sampel 83. instrument penelitian menggunakan kuesioner, analisis bivariate menggunakan uji Chi Square. Hasil Berdasarkan data 83 ibu hamil yang tidak puas terhadap pelayanan ANC sebanyak 15 orang (18,1%), berdasarkan Tangibles kurang baik dan tidak puas 16(19,3%), Emphaty 16 (19,3%) Kesimpulan adanya hubungan kepuasan dengan Tangibles (P-value=0,000 OR 140,80), Reliability (P-value=0,000 OR 86,66), Responsiviness (P-value=0,000 OR 303,3), Assurance (P-value=0,000 OR 140,8)dan Emphaty (P-value=0,000 OR 140,8)Saran Diharapkan kepada petugas kesehatan supaya meningkatkan konseling terhadap ibu hamil untuk melakukan kunjungan ANC secara teratur. Kata Kunci: Kualitas pelayanan, ANC, tingkat kepuasan


2021 ◽  
Vol 9 ◽  
pp. 205031212110580
Author(s):  
Assefa Philipos Kare ◽  
Amelo Bolka Gujo ◽  
Nigussie Yohanes Yote

Background: Good-quality antenatal care improves maternal health in the least developed countries. This study was aimed at assessing the quality of antenatal care and associated factors among pregnant women attending hospitals in the Sidama Region, Southern Ethiopia. Method: A facility-based cross-sectional study was conducted from 1 February to 30 April 2020 among 372 pregnant women. A two-stage sampling technique—the first stage, selection of health facilities; the second stage, selection of respondents—was used. Trained data collectors administered exit interviews. Data were entered into EPI Info 7 and analyzed using IBM SPSS version 25. Quality of care was assessed using a validated questionnaire containing 68 attributes of quality. Good quality of care was determined by the proportion of respondents who scored ⩾80% of 68 variables. Bivariable and multivariable logistic regressions were used in the analysis. The outputs were presented using an adjusted odds ratio with 95% confidence intervals. Results: This study revealed that 41.2% (95% confidence interval: 36.2%–46.2%) of pregnant women had received good-quality antenatal care. Increased odds of the utilization of quality antenatal care were observed among women who lived in urban areas (adjusted odds ratio = 4.32, 95% confidence interval: 2.58–7.21), attained primary education and more (adjusted odds ratio = 2.68, 95% confidence interval: 1.60–4.48), earned a monthly income >3000 Ethiopia Birr (US$93.3) (adjusted odds ratio = 3.86, 95% confidence interval: 2.28–6.51), and visited hospitals for antenatal care ⩾4 times (adjusted odds ratio = 3.68, 95% confidence interval: 2.21–6.10). Conclusions: The proportion of women who received good-quality antenatal care was low. Good quality care was associated with residence, education status, income level, and frequency of antenatal care visits. Training care providers, strengthening counseling, and promoting women’s economic empowerment to improve the utilization of quality antenatal care are recommended.


2020 ◽  
Vol 12 (1) ◽  
pp. 68-73
Author(s):  
Rahmawati Rahmawati ◽  
Syarif Syafruddin ◽  
Nontji Wena

The component of antenatal care received by pregnant women is classified as incomplete because the implementation of standard pregnancy services is still using conventional methods. There are obstacles faced by midwives, such as the limited time in a recording, which has an impact on the declining quality of antenatal care standards. This research aims to compare the effectiveness of the use of KIA books and MONSCA applications in midwives in the application of the standard Antenatal service 14 T. This research was conducted in Puskesmas Tanete and Puskesmas Bontobangun Bulukumba District. The method used in the study is experimental quasi (pre-test post-test nonequivalent control design). Using a sample of midwives in this study, as many as 36 people were divided into two groups (18 intervention groups and 18 control groups). The sampling technique in this study used purposive sampling. Data were analyzed using the Mann-Whitney Test. The results showed that there was a difference in the effectiveness of using KIA books with MONSCA applications, MOSCA's applications were easier to use, faster, safer, and more accurate than KIA books. It can be concluded that the MONSCA application is more effective than KIA books. Key words: Effectiveness, Android-based Smart Continuity of Care application, KIA book, Antenatal service 14 T


2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Getasew Mulat Bantie ◽  
Zemene Meseret ◽  
Melkamu Bedimo ◽  
Abebayehu Bitew

Abstract Background Globally pneumonia is the leading cause of under-five child mortality. Several risk factors for pneumonia mortality have been identified, including delay in seeking health care. For successful reduction of delay in seeking healthcare, further evidence is crucial on its magnitude and factors associated with it in the country particularly in the study area. Therefore, this study aimed to determine the prevalence and root causes of delay in seeking health care among mothers of under-five children with pneumonia in hospitals of the Bahir Dar city, 2019. Methods A hospital-based cross-sectional study was conducted from March 15 to May 15, 2019 among 356 mothers of under-five children with pneumonia in hospitals of the Bahir Dar city. The study participants were selected by using a stratified sampling technique and data was collected through face to face interview. Binary logistic regression was used to identify the associated factors of delay in seeking healthcare. The P - value < 0.05 was considered statistically significant. Associations between outcome and exposure variables were expressed by the adjusted odds ratio with a 95% confidence interval (CI). Results A total of 356 mothers participated in the study yielded a response of 89.4%. The proportion of delay in seeking health care was 48.6%. Rural residence (AOR = 2. 3, 95% CI: 1.1, 4.9, seek healthcare in a governmental hospital (AOR = 3. 3, 95% CI: 1.8, 6.1), health care decision by mothers (AOR = 2. 9, 95% CI: 1.6, 5.4), poorest household (AOR = 2. 8, 95% CI: 1.1, 7.2), using self-medication (AOR = 7. 5, 95% CI: 3.8, 14.7), using traditional medicine before healthcare-seeking (AOR = 2. 7, 95% CI: 1.4, 5.1), and no information about early healthcare-seeking for childhood pneumonia treatment (AOR = 5. 1, 95% CI: 2.8, 9.1) were the identified determinants significantly associated with delay in seeking healthcare among mothers of under-five children with pneumonia. Conclusion This study showed that nearly half of the mothers delayed in seeking healthcare. Rural residence, healthcare seeking at government hospitals, healthcare decision by mothers, poorest household, using self-medication, using traditional medicine before health care seeking, and lack of information about early healthcare-seeking were factors associated with a delay in seeking healthcare for under-five children with pneumonia. Hence, the government and other concerned stakeholders should give due emphasis to tackle on the identified causes of delay in seeking health care for the under five children with pneumonia.


2021 ◽  
Vol 13 (02) ◽  
pp. 172
Author(s):  
Dyah Ayu Wulandari ◽  
Meika Jaya Rockhmana ◽  
Adelina Cahyaningrum

ABSTRAKAdaptasi fisik dan psikis kehamilan trimester III secara fisiologis dapat menimbulkan kecemasan ibu hamil. Adanya kecemasan pada ibu hamil trimester III dapat menyebabkan komplikasi ibu dan janin saat kehamilan, persalinan bahkan nifas. Terapi acupressure merupakan natural terapi dengan cara menekan acupoint  untuk merelaksasi tubuh, melancarkan sirkulasi darah serta memberikan rasa tenang dan nyaman. Acupoint KID 27 dan CV 17 adalah titik yang berhubungan dengan kecemasan, agitasi, penyimpangan kelenjar tiroid, keseimbangan tubuh dan pusat jantung. Penekanan pada titik ini menyeimbangkan kadar hormon tiroid dan mengatasi gangguan kecemasan. Tujuan penelitian mengetahui pengaruh acupressure depression points terhadap kecemasan ibu hamil trimester III. Metode: Jenis penelitian kuantitatif dengan metode penelitian pre-experimental One Group Pretest-Posttest Design. Penelitian dilakukan Bulan Februari-Agustus 2021. Populasi penelitian ibu hamil trimester III yang melakukan ANC bulan Juni 2021 dengan keluhan kecemasan. Sampel penelitian 22 ibu hamil trimester III dengan teknik purposive sampling. Instrumen penelitian menggunakan kuesioner PRAQ-R2. Analisa data univariat dan bivariat (Uji Wilcoxon) Hasil: Hasil analisa statistik dengan uji Wilcoxon diperoleh nilai P-value 0,000 pada tingkat kecemasan. Kesimpulan: Acupressure depression points berpengaruh terhadap tingkat kecemasan ibu hamil trimester III di Semarang.Kata kunci: kecemasan, ibu hamil trimester IIIREDUCE ANXIETY IN PREGNANT MOTHER TRIMESTER III WITH ACCUPRESSURE DEPRESSION POINTS METHODABSTRACTPhysical and psychological adaptation of the third trimester of pregnancy can physiologically cause anxiety for pregnant women. The existence of anxiety in third trimester pregnant women can affect the quality of sleep which causes maternal and fetal complications during pregnancy, delivery and even postpartum. Acupressure therapy is a natural therapy by pressing the acupoints to relax the body, improve blood circulation and provide a sense of calm and comfort. Acupoints KID 27 and CV 17 are points associated with anxiety, agitation, thyroid disorders, body balance and heart centers. Emphasis on this point balances thyroid hormone levels and treats anxiety disorders thereby improving sleep quality. Objective: to determine the effect of acupressure depression points on the level of anxiety and sleep quality of pregnant women in the third trimester. Methods: This type of research is quantitative with pre-experimental research method One Group Pretest-Posttest Design. The study was conducted in February-August 2021. The study population was pregnant women in the third trimester who performed ANC in June 2021 with complaints of anxiety. The study sample was 22 pregnant women in the third trimester with purposive sampling technique. The research instrument used the PRAQ-R2. Analysis of univariate and bivariate data (Wilcoxon test) Results: The results of statistical analysis using the Wilcoxon test obtained a P-value of 0.000 on anxiety levels. Conclusion: Acupressure depression points have an effect on the level of anxiety of pregnant women in the third trimester at Semarang.Keyword: Anxiety, Pregnant Women In The Third Trimester


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