scholarly journals Hubungan Stresor Psikososial pada Kehamilan dengan Partus Prematurus

2016 ◽  
Vol 5 (1) ◽  
Author(s):  
Yuli Nenti Herlina ◽  
Desmiwarti Desmiwarti ◽  
Edison Desmiwarti

Abstrak  Partus prematurus merupakan suatu keadaan patologis dengan beragam penyebab, lebih kurang 50% disebabkan prematur spontan yang merupakan akselerasi sumbu HPA ibu-janin yang disebabkan stres fisik dan psikologis dalam kehamilan. Stres psikologis dapat disebabkan peristiwa kehidupan sehari-hari (stres psikososial) yang disebabkan stresor psikososial. Tujuan penelitian ini adalah menentukan hubungan  beberapa stresor psikososial dengan partus prematurus. Penelitian ini merupakan studi analitik observasional dengan rancangan case control. Kasus adalah ibu bersalin dengan usia gestasi < 37 minggu sedangkan kontrol ≥ 37 minggu  di rumah sakit, klinik bersalin dan praktik bidan di Kota Sawahlunto, Kota Payakumbuh dan Kota Pariaman pada tahun 2014. Sampel terdiri 36 kasus dan 36 kontol yang memenuhi kriteria inklusi. Analisis menggunakan uji chi-square dengan derajat kepercayaan 95% (α=0,05). Stresor masalah internal keluarga (p=0,009; OR=0,245; 95%CI=0,091–0,659) dan perubahan hidup lingkungan tempat tinggal (p=0,032; OR=0,253; 95%CI=0,080–0,807) ada hubungan dengan partus prematurus. Stresor kesulitan ekonomi, kehamilan sekarang serta beban pekerjaan tidak terbukti ada hubungan dengan partus prematurus. Stresor masalah internal keluarga dan perubahan hidup lingkungan tempat tinggal adalah beberapa stresor psikososial yang terbukti berhubungan dengan  partus prematurusKata kunci: partus prematurus, stres, stresor psikososial AbstractPreterm labor is a pathologic state with various cases, less than 50% caused by spontaneous preterm labor which is an accelaration process of fetal–maternal hypothalamic pituitary adrenal axis that caused by physical and psychological stress during pregnancy. Psychological stresses caused by daily events (psychosocial stress) as a result from psychological stressor. The objective of this study was to determine the relationship between psychological stressor and preterm labor.This was an observational analytic study with case control design. Case group of samples were women who delivered in < 37 weeks of gestation, and control group of samples were women who delivered in > 37 weeks of gestation in hospital, maternity clinic, and private practice of midwives in Sawahlunto, Payakumbuh and Pariaman in 2014. Samples consist of 36 people for controls which met inclusion criteria. Data were analyzed by using chi-square test with 95% confidence interval (α=0.05). Internal family problems stressor (p=0.009; OR=0.245; 95%CI=0.091–0.659), and changes in life of environment (p=0.032; OR=0.253; 95% CI=0.080–0.807), that means there is relationship with preterm labor. Difficulty economic stressor, current pregnancy problem and workload were not proven relationship with preterm labor.Internal family problem and changes in life of environment are some of psychosogical stressor that had been proven has relationship with preterm labor.Keywords: preterm labor, stress, psychosocial stressor

2018 ◽  
Vol 12 (2) ◽  
pp. 134
Author(s):  
Kartika Indaswari Dewi ◽  
R. Bambang Wirjatmadi

Pencak silat is a sport that requires agility, speed, balance and body slenderness. Vitamin C and iron are part of the micronutrients that can support the athlete’s physical fitness. The aims of this study was to determine the relationship between the adequacy of vitamin C and iron with physical fitness of pencak silat athletes IPSI Lamongan. This study used observational analytics with case-control design with 20 samples of athletes, divided into 10 cases and 10 controls. The result of analysis from 2×24 hour food recall method in each case group was 9 (90%) athletes did not meet the requirement of vitamin C (<77%) and 8 (80%) athletes did not meet the requirement of iron and control group there were 7 (70 %) Athletes are not sufficient for vitamin C (<77%) and 6 (60%) of athletes are inadequate for iron (<77%). From the statistical test using chi-square, it was found that there was no significant relationship between vitamin C and iron adequacy with physical fitness (TKJI) with p=0.580 and p=0.620. Conclusion: adequacy level of vitamin C and iron of pencak silat athletes IPSI Lamongan is not meet their requirement yet.


2017 ◽  
Vol 24 (3) ◽  
pp. 11-19
Author(s):  
Metha Fahriani ◽  
Reli Aprilawanti

Preterm labor is dangerous because of the potential increase of about 65-67% of perinatal mortality. The purpose of this study was to determine the relationship between  maternal age and incidence of anemia in preterm parturition in                       dr. M. Yunus Hospital Bengkulu. This type of research was Analytic Survey with study design Case Control with a ratio of 1: 1. The population in this study was mothers who numbered 1,434 people delivering mothers were taken by Total Sampling as many as 53 people (50%) mothers who have parturition premature for cases and  Systematic Random Sampling as many as 53 people (50%) mothers who did not experience parturition premature to control which totaled 106. The computerized data analysis using chi-square test. The results showed that of the 53 mothers who are 36 premature parturition with age 20 or 35 years and 30 people suffering from anemia. Of the 53 mothers who no premature parturition are 16 age 20 or 35 years and 15 suffer from anemia. There is a relationship between age and preterm parturition in the CI Midwifery dr. M. Yunus Hospital Bengkulu with the medium category. There is a relationship between anemia and preterm parturition in the CI Midwifery dr. M. Yunus Hospital Bengkulu with the closeness of the relationship that are in the weak category. It was expected to health worker, especially mid wifery in midwifery room to perform counseling about anemia and the importance  of  control  when  pregnant.Keywords :  age, anemia, premature partus


2020 ◽  
Author(s):  
Tingting Liu ◽  
Yuju Cao ◽  
Huiqiang Wu ◽  
Feimeng An ◽  
Changxu Han ◽  
...  

Abstract Background: The pathogenesis of non-traumatic osteonecrosis of the femoral head (ONFH ) is related to the interruption of blood supply caused by lipid metabolism and hypercoagulability. The purpose of this study was to explore the relationship between clinical biochemical parameters and non-traumatic ONFH. Methods: The basic information and biochemical indexes of 1292 patients with non- traumatic ONFH and 1880 healthy controls were collected. SPSS software (version 22.0) was used to process and analyze the data. T-test was used for quantitative analysis. Chi-square test was used for categorical variables.p< 0.05 were the index with statistical significance. Results: In the population sample, TC (p= 0.00004), LDL (p= 0.014) and PLT (p= 0.000005) levels were statistically significant between the two groups.In men, levels of TC (p = 0.004), LDL (p= 0.011), and PLT (p= 0.00005) were statistically significant between the two groups.In women, TC (p= 0.001) and PLT (p= 0.048) levels were statistically significant between the two groups.There were differences in TC (p= 0.00001) and PLT (p= 0.031) levels between the case group and the control group in samples aged less than 45 years.There were differences in LDL (p= 0.00002) and PLT (p= 0.022) levels between the two groups in samples older than 45 years.Compared with the control group, patients with alcohol-induced ONFH had HDL (p = 0.002).LDL (p= 0.00002);The level of PLT (p= 0.0001) was significantly different.HDL (p = 0.005) was found in alcohol-induced ONFH patients younger than 45 years of age.The PLT level (p=0.045) was different from that of the control group.There was a difference in LDL (p= 0.000003) levels between control and alcohol-induced ONFH patients older than 45 years.The older the onset age, the TC in vivo;HDL;LDL;ApoA1;ApoB;The lower the PLT level.With the prolongation of the onset time, the PLT level in the patient's body is decreasing continuously.Conclusion: The changes of biochemical indexes are closely related to the occurrence of non-traumatic ONFH. Our research can provide a new direction for the prevention of ONFH.


2020 ◽  
Vol 2 (2) ◽  
pp. 86-96
Author(s):  
Apliana Lupu Kaka ◽  
Johny A.R Salmun ◽  
Agus Setyo Budi

Hypertension in conditions when blood pressure is at a value of 130/80 mmHg or more with the number of cases experiencing an increase from 2016-2018, Tana Mete Village, Kodi Balaghar District. in 2016 there were 880 (8.8%), cases in 2017 were 2,580 (25.8%) cases and in 2018 there were 3. 410 (34.1%) cases. Hypertension in influenced by factors of age, smoking habits, stress, and alcohol consumption. This study aims to analyze the relationship between age, smoking habits, stress, and alcohol comsuption. This research is an analytic observational research with a case control research design. The number of cases in Tana Mete Village, Kodi Balaghar District, Southwest Sumba Regency was 220 (22%) and the sample was 80 respondents and divided into two groups, namely the case and control group, the case group was 40 respondents and the control group was 40 respondents. These variables have been analyzed univariately and bivariately, the results of this study incidate that there are three risk factor variables for the incidence of hypertentsion. Namely age with a value p= 0.003, OR=4.059 (95% CI: 1.568-10.510), smoking habits with a value p=0.001, OR: 6.378 (95%CI:2.280-17.842), stress with a value of p=0.014, OR: 3.095 (95%CI: 3.095-7.706) while the variable alcohol comsumption has no relationship with the value of p=0.133. To prevent the occurrence of hypertension, the activities undertaken include avoiding smoking, stress and taking time for recreation.


2010 ◽  
Vol 17 (04) ◽  
pp. 543-545
Author(s):  
FARID IMANZADEH ◽  
AMIR IMANZADEH ◽  
ALI AKBAR SAYYARI ◽  
Mehrnosh Yeganeh ◽  
Hazhir Javaherizadeh ◽  
...  

Introduction: In most individuals H. Pylori is acquired early in the life (before 5 years). H. Pylori infection is more common in the third world countries, where about 90% of adults may be infected. Helicobacter pylori is one of the suspected causes of halitosis in children. Objectives: To evaluate the relationship of helicobacter pylori and halitosis. Patients and Material: 33 patients with chief complaint of halitosis included in our study. Halitosis was evaluated as a subjective symptom in this study. Careful history was obtained. All patients underwent physical examination in order to rule out sinusitis, otitis, and possible cause of halitosis. 67 patients without halitosis were selected as control group. All patients were aged 4-17 years old. Urea Breath Test was done for all patients. UBT has >95% sensitivity and specifity for diagnosis of H.pylori infection. Chi-square test and Yate’s corrected x2 was used to analyzes finding. Epi-info ver 6 were used. Results: In the case groups 7 patients had H. pylori infection and 26 patients had not. In the control group 18 patients had H.pylori infection and 49 patients had not halitosis (P=0.53). Conclusions: There is no significant differences between case and control group. In this study we did not find relationship between H.pylori infection and halitosis.


2021 ◽  
Vol 3 (1) ◽  
pp. 85
Author(s):  
Noza Loviana ◽  
Ninik Darsini ◽  
Aditiawarman Aditiawarman

AbstrakLatar Belakang: Secara global, persalinan preterm menjadi penyebab utama kematian neonatus usia dini 0-7 hari pertama kehidupan dengan menimbulkan dampak morbiditas yang tinggi juga. Indonesia menempati urutan negara ke 5 estimasi persalinan preterm tertinggi di dunia. Beberapa faktor yang dapat berpengaruh terhadap persalinan preterm yaitu idiopatik, iatrogenik, sosio-demografi, maternal dan genetik. Penelitian ini bertujuan untuk melihat hubungan antara usia ibu, pendidikan ibu, pekerjaan ibu dan riwayat persalinan preterm terhadap kejadian persalinan prterm di RSUD Dr. Soetomo Surabaya. Metode: Metode penelitian ini adalah analitik observasional dengan rancang bangun case control. Jumlah populasi sebanyak 1311 orang pada periode 1 Januari - 31 Desember 2018. Sampel dibagi dalam dua kelompok yaitu kelompok kasus (ibu yang bersalin preterm) dan kelompok kontrol (ibu yang bersalin tidak preterm) sebanyak masing-masing kelompok 137 orang yang disesuaikan dengan kriteria inklusi dan eksklusi dan berdasarkan teknik pengambilan sampel yaitu simpel random sampling. Variabel independen terdiri dari usia ibu, pendidikan, pekerjaan dan riwayat persalinan preterm sedangkan variabel dependen adalah persalinan preterm. Analisis data bivariat menggunankan uji Chi-Square test dengan taraf signifikansi α = 0,05 (95% CI). Hasil: Hasil uji Chi-Square menunjukkan bahwa tidak ada hubungan bermakna antara usia ibu bersalin (nilai p = 0,259), pendidikan  (nilai p = 1), pekerjaan (nilai p = 0,225) dan riwayat persalinan preterm (nilai p = 0,191) dengan kejadian persalinan preterm. Kesimpulan: Faktor risiko seperti usa ibu bersalin, pendidikan ibu, pekerjaan ibu dan riwayat persalinan preterm tidak memiliki hubungan terhadap kejadian persalinan preterm. Abtract Background : Globally, preterm labor is the main cause of neonatal mortality in the first 0-7 days of life with a high impact of morbidity. Indonesia ranks 5th in the highest estimate of preterm labor in the world. Several factors that can influence preterm labor are idiopathic, iatrogenic, socio-demographic, maternal and genetic. This study aims to look at the relationship between maternal age, maternal education, maternal occupation and a history of preterm labor against the incidence of prenatal labor in RSUD Dr. Soetomo Surabaya. Method : The method of this study is observational analytic with a case-control design. The total population is 1311 people in the period January 1 - December 31, 2018. Samples were divided into two groups, namely the case group (preterm maternity) and the control group (mothers who were not preterm) as many as 137 groups each according to the inclusion criteria and exclusion and based on sampling techniques, namely simple random sampling. Independent variables consisted of maternal age, education, occupation and a history of preterm labor while the dependent variable was preterm labor. Bivariate data analysis used the Chi-Square test with a significance level of α = 0.05 (95% CI). Results : The Chi-Square test results showed that there was no significant relationship between maternal age (p = 0.259), education (p = 1), employment (p = 0.225) and preterm labor history (p = 0.191) with the incidence of preterm labor. Conclusion: Risk factors such as maternal age, maternal education, maternal occupation and a history of preterm labor have no relationship to the incidence of preterm labor.  


2017 ◽  
Vol 2 (1) ◽  
pp. 21
Author(s):  
Nuri Luthfiatil Fitri

Abortion as one of the causes of maternal death is a matter of great concern. According to the WHO estimated at 15% -50% of maternal deaths associated with abortion. In Southeast Asia the annual incidence of abortion reaches 4.2 million and in Indonesia it reaches 1.5 million. The purpose of this study is to know the correlations between age and gestational distance with the incidence of abortion in hospitals Jend. Ahmad Yani Metro in 2015. The type of analytic survey research using case control approach. The population in this study were all pregnant women who were treated in RSUD Jend. Ahmad Yani Metro in 2014, amounting to 518 people with samples taken as many as 260 people consisting of 130 people in the case group and 130 people for the control group. The analysis in this study used chi square test.  The results of statistical tests showed that there was an association of age with abortus occurrence (p-value 0,000 OR 4.021; CI; 95%: 2,161-7,483), there was a correlation between pregnancy distance and abortus occurrence (p-value: 0,000, OR 3.955; CI; 95 %: 2,354-8,556). Research shows there is a correlations between age and gestational distance with the incidence of abortion.


2017 ◽  
Vol 4 (1) ◽  
pp. 1
Author(s):  
Anna Maulina Kustantie ◽  
Kurnia Rachmawati ◽  
Musafaah Musafaah

ABSTRAKSkabies adalah penyakit kulit menular yang disebabkan oleh infestasi Sarcoptes scabies. Perilaku kesehatan mencakup yang termasuk perilaku untuk tidak menularkan penyakit kepada orang lain. Tujuan penelitian adalah untuk mengetahui hubungan perilaku pencegahan penyakit terhadap kejadian skabies pada santri di pondok pesantren Al-Falah Putera Banjarbaru. Metode penelitian adalah retrospektif (case control study), pada santri berasrama di pondok pesantren Al-Falah Putera Banjarbabaru. Responden dibagi dalam 2 kelompok yakni kelompok kasus (n=36) dan kelompok kontrol (n=36). Instrumen yang digunakan berupa kueisioner perilaku pencegahan penyakit skabies. Hasil penelitian didapatkan perilaku pencegahan penyakit skabies dengan cara tidak bertukar pakaian dan alat sholat dalam kategori baik yaitu sebanyak 52 santri (72,2%), tidak bergantian handuk dalam kategori baik adalah sebanyak 59 santri (81,9%), dan menjaga kebersihan tempat tidur dalam kategori baik yaitu sebanyak 52 santri (72,2%). Hasil uji Chi Square terkait perilaku pencegahan penyakit skabies dengan cara tidak bertukar pakaian dan alat sholat, tidak bergantian handuk, dan menjaga kebersihan tempat tidur p=0,792, p=1,000, p=0,066 secara berurutan.Kata-kata kunci : perilaku pencegahan penyakit, skabies, santri. ABSTRACTScabies is a contagious skin disease caused by infestations of Sarcoptes scabies. Health promotion behavior including of disease prevention behaviors which means avoiding disease transmission. The objective of this study was to determine the relationships between disease prevention behaviors and scabies incidence on students at saAl-Falah Putera’s boarding school Banjarbaru. The methods of this study was a retrospective study (case control study), toward the boarding students at the boarding school Al-Falah Putera’s Banjarbabaru. Respondents were divided into 2 groups: the case group (n = 36) and control group (n = 36). The instrument used in the form of a questionnaire the behavior of scabies disease prevention. The result of this study showed that behavioral scabies prevention of disease by not exchanging clothes and prayer tools in both categories as many as 52 students (72.2%), not alternating towels in both categories are as many as 59 students (81.9%), and maintain the cleanliness of the beds in both categories as many as 52 students (72.2%). The Results of Chi Square test related to scabies disease prevention behaviors by not exchanging clothes and tools prayer, not alternating towel and maintain the cleanliness of the bed showed p= 0.792, p= 1.000, p= 0.066 respectively. Keywords: disease prevention behaviors, scabies, students.


2020 ◽  
Vol 10 (2) ◽  
pp. 138-142
Author(s):  
Fajar Kurniawan ◽  
Julian Jingsung ◽  
Abd Gani Baeda ◽  
Achyarul Anam ◽  
Heriviyatno Julika Siagian

Perineal rupture is the cause of postpartum maternal hemorrhage, at the Aliyah Hospital in 2016, Perineal rupture amounted to 110 people, in 2017 there were 75 people perineal rupture and in 2018 there were 132 people with perineal rupture. The study aims to analyze the effect of pregnancy exercise with the incidence of ruptured perineum in the post-partum mothers at Aliyah Hospital in Kendari. The study uses case-control design with retrospective approach. The number of sample used 94 people divided into case group as many as 47 respondents and control group as many as 47 respondents.The results of data analysis showing an OR value of 3,527 which means having a risk of 3 (three) times the estimated risk of perineal rupture for those who do not get pregnancy gymnam, where the threshold value is below 1,237 and the threshold value is 10.06 and the value of Chi Square 5,934 X2 Table 3.841. Non-pregnant women who are exercising 3 times are at risk of ruptured perineal rupture during labor.


2020 ◽  
Vol 27 (3) ◽  
pp. 94
Author(s):  
Khusnul Putri Maharani ◽  
Atika Atika ◽  
Ernawati Ernawati

Objective: to analyze the relationship between the length of marriage to pregnancy with the incidence of preeclampsia.Materials and Methods: This study was an observational analytic study with case control approach. Samples were 33 respondents with preeclampsia and 66 respondents with normal pregnancy, all were primigravida with age of 20-35 years old in Dr. M. Soewandhie Hospital, Surabaya, Indonesia, in January-June 2017. Data were taken from medical record.Results: This study found that the length of marriage until pregnancy was 0-4 months with percentage of 39.4% and 77.3% for case and control group respectively. Chi-square test resulted in p = 0.00 and contingency coefficient = 0.366, which meant there was relationship between the length of marriage to pregnancy and the incidence of preeclampsia in primigravida in Dr. M. Soewandhie Hospital Surabaya from January to June 2017 despite being in low level. The value of odd ratio (OR) was 0.191 (95% CI 0.077-0.473), which means there was a risk of protection for the length of marriage to pregnancy <4 months against the incidence of preeclampsia.Conclusion: The shorter the length from early marriage to pregnancy in primigravida, the lower the risk for developing preeclampsia.


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