scholarly journals PERSALINAN PADA IBU DENGAN RIWAYAT KEKURANGAN ENERGI KRONIS

2021 ◽  
Vol 3 (2) ◽  
pp. 77
Author(s):  
Widya Maya Ningrum ◽  
Erni Puspitasari

Ibu hamil yang mengalami KEK akan mengalami kekurangan gizi, tubuh mudah lelah, pucat, lemas, dan mengalami kesulitan salah satunya dalam proses persalinan. Pengaruh KEK terhadap proses persalinan dapat mengakibatkan persalinan sulit dan lama, persalinan sebelum waktunya (prematur), pendarahan setelah persalinan, serta persalinan dengan operasi. Puskesmas Sadananya data ibu hamil yang mengalami KEK sebanyak 70 orang (9,49%) dan berlanjut ke penyulit lainnya yaitu mengalami Abortus 5 0rang (3,5%), BBLR 9 bayi (6,3%). Jenis Penelitian ini merupakan penelitian deskriptif. Populasi dalam penelitian ini adalah seluruh ibu bersalin dengan riwayat KEK pada masa kehamilan di Wilayah Kerja Puskesmas Sadananya Kabupaten Ciamis Tahun 2019 sebanyak 70, Teknik pengambilan sempel mengunakan Simple Random Sampling. Analisa dalam penelitian ini adalah Univariat. Hasil penelitian menunjukan sebanyak 3 oang mengalami persalinan sebelum waktunya (4,3%), 1 orang mengalami perdarahan paska salin disebebkan atonia uteri (1,4%), dan 8 orang proses persalinan dengan Operasi (SC) (11,4%). Kesimpulan dari penelitian ini adalah Ibu hamil dengan riwayat KEK mengalami penyulit persalinan, meskipun secara jumlah tidak terlalu signifikan, namun hal ini tentunya tetap harus menjadi perhatian khususnya bagaimana bisa mencegah ibu hamil untuk tidak mengalami anemia, dan apabila sudah terjadi sebagai seorang bidan tentunya harus dapat mendeteksi penyulit yang akan terjadi denganmelakukan penapisan awal persalinanPregnant women who experience KEK will experience malnutrition, body easily tired, pale, weak, and experience difficulties, one of which is in the delivery process. The effect of KEK on the labor process can result in difficult and prolonged labor, preterm labor, bleeding after delivery, and delivery by surgery. Puskesmas Sadananya data on pregnant women who experience KEK as many as 70 people (9.49%) and continue to other complications, namely experiencing 5 0rang abortion (3.5%), LBW 9 babies (6.3%). This type of research is a descriptive study. The population in this study were all 70 women who gave birth with a history of KEK during pregnancy in the Work Area of the Sadananya Health Center, Ciamis Regency in 2019, the sampling technique used was Simple Random Sampling. The analysis in this research is Univariate.. The results showed as many as 3 people experienced premature labor (4.3%), 1 person experienced post-saline bleeding due to uterine atony (1.4%), and 8 people went into labor by surgery (11.4%). The conclusion of this study is that pregnant women with a history of KEK experience difficulty in childbirth, although the numbers are not too significant, this of course still has to be a concern, especially how to prevent pregnant women from experiencing anemia, and if it has occurred as a midwife, of course they must be able to detecting impending complications by performing an early screening of labor.

2020 ◽  
Vol 3 (1) ◽  
pp. 33
Author(s):  
Bram Burmanajaya ◽  
Agustina Agustina

Secara psikologis 80% wanita hamil yang mengalami emesis mempengaruhi kualitas hidup mereka. Selama trimester pertama wanita menjadi ambivalen. Sekitar 80% wanita mengalami kekecewaan, penolakan, kecemasan, depresi, dan kesedihan akibat ketidaknyamanan karena mengalami mual dan muntah pada trimester pertama. Penelitian ini bertujuan untuk mengetahui sejauhmana pengaruh hipnoterapi dalam mengurangi emesis pada wanita hamil trimester pertama di wilayah kerja Puskesmas Gang Kelor Bogor. Penelitian ini adalah penelitian kuantitatif dengan desain "Quasi eksperimental pre-post test dengan kelompok kontrol" dan intervensi "hipnoterapi". Penentuan sampel dengan teknik simple random sampling, sebanyak 60 orang terdiri dari 30 orang untuk kelompok intervensi dan 30 orang untuk kelompok kontrol selama 5 bulan. Emesis diukur dengan menggunakan skala Pregnancy-Unique Quantification of Emesis (PUQE-24) sebelum dan sesudah hipnoterapi. Data dianalisis menggunakan analisis univariat dan bivariat, yaitu T Dependent dan Independent T test.Hasil penelitian menunjukkan bahwa hipnoterapi memiliki efek yang signifikan pada penurunan tingkat emisisibu hamil pada trimester pertama (p = <0,05). Hipnoterapi sangat dianjurkan untuk wanita hamil yang mengalami emesis. Kata kunci: hipnoterapi, emesis gravidarum, ibuhamil, trimester pertama HYPNOTHERAPY CAN REDUCE THE DEGREE OF EMESIS IN FIRST TRIMESTER PREGNANT WOMEN ABSTRACTPsychologically 80% of pregnant women who experience emesis affect their quality of life. During the first trimester the woman becomes ambivalent. About 80% of women experience disappointment, rejection, anxiety, depression, and sadness due to discomfort due to nausea and vomiting in the first trimester. This study aims to determine the extent of the influence of hypnotherapy in reducing emesis in first trimester pregnant women in the work area of the Gang KelorHealth Center in Bogor. This research is a quantitative study with the design of "Quasi experimentalpre-post test with control group" and "hypnotherapy" intervention. Determination of the sample with simple random sampling technique, as many as 60 people consisting of 30 people for the intervention group and 30 people for the control group for 5 months. Emesis is measured using the Pregnancy-Unique Quantification of Emesis (PUQE-24) scale before and after hypnotherapy. Data wereanalyzedusingunivariate and bivariateanalysis, namely the T Dependent and Independent T tests. The results showed that hypnotherapy had a significant effect on reducing the level of emission of pregnant women in the first trimester (p = <0.05). Hypnotherapy is highly recommended for pregnant women who experience emesis. Keywords: hypnotherapy, emesisgravidarum, pregnantwomen, first trimester


2020 ◽  
Vol 1 (1) ◽  
pp. 21-26
Author(s):  
Widya Pani

One that affects fetal growth is the nutrition of pregnant women because during pregnancy the mother must meet the rapid growth needs of the fetus, and so that the output of the pregnancy is successful and perfect. But until now there are still many pregnant women who experience nutritional problems, especially malnutrition, such as Chronic Energy Deficiency (SEZ). The number of pregnant women experiencing SEZs in the Pantoloan Community Health Center Working Area in 2016 was a total of 67 pregnant women who delivered 8 LBWs. The purpose of this study was to determine the relationship of the incidence of low birth weight babies with a history of chronic energy-deficient pregnant women in the work area of Pantoloan Health Center. This research is an Analytical type with Cros Sectional research design with a population of 252 babies born in 2010 in the Work Area of Pantoloan Health Center. Sampling uses the Total Sampling technique. The criteria for the sample are taken if you have birth weight and maternal LILA data during pregnancy, if the data is incomplete, it is not sampled. Samples that meet the requirements are 52 babies. The results showed that pregnant women who experienced SEZ 32 people (61.5%), and LBW as many as 8 babies (15.4%). There was a significant relationship between the incidence of LBW and a history of SEZ pregnant women (p = 0.0017). The conclusion, that the better the nutritional status of pregnant women during pregnancy, the better the weight of the baby will be born. It is recommended for Pantoloan Health Center to improve health education programs about nutrition, and take LILA measurements regularly for pregnant women.


2020 ◽  
Vol 9 (1) ◽  
pp. 1-6
Author(s):  
Triatmi Andri Yanuarini ◽  
Suwoyo Suwoyo ◽  
Tinta Julianawati

Preeclampsia is a pathological pregnancy that is a health problem in the mother and baby it contains. Preeclampsia is the second leading cause of death in pregnancy in the world. Preeclampsia can adversely affect both the mother and the fetus it contains. Maternal complications include HELLP syndrome (Hemolysis, Elevated Liver Enzyme, Low Platelet), pulmonary edema, renal impairment, bleeding, placental abruption and even maternal death.                One of the factors that influence the occurrence of preeclampsia is the status of gravida.The purpose of this research is to know the relation of gravida status with preeklampsiadi occurrence at work area of ​​Ngasem health center. The design of correlational research with data collection was done by using case control method, with population of1,191 data of pregnant women patients in January - December 2016, sampling using simple random sampling technique with 50 data of patient who fulfilled inclusion criteria.                Chi Square test with significant level 0,05 indicates that value of ρ value <α (0,038 <0,05). The conclusion of this research is there is relationship of gravida status with incident of preeclampsia at work area of ​​health center of Ngasem Regency of Kediri.It is recommended especially in pregnant women to routinely check their pregnancy and follow the integrated ANC to detect early preeclampsia.   Keywords: Mother, Gravida, Preeclampsia


2020 ◽  
Vol 3 (1) ◽  
Author(s):  
Ratih Indah Kartikasari

ABSTRAK Kolostrum atau susu jolong yang keluar pertama kali sering dibuang karena masih dianggap kotoran ASI, sehingga masih banyak ibu  yang memberikan susu formula bagi bayinya  padahal kolosotrum banyak mengandung gizi dan zat kekebalan bagi tubuh (Bahiyatun, 2009). Masalah  penelitian ini adalah masih tingginya ibu yang tidak mengerti tentang kolostrum. Tujuan penelitian adalah mengetahui pengaruh Health Education  (HE) tentang pemberian kolostrum pada 1 jam pertama terhadap peningkatan pengetahuan ibu hamil.Desain penelitian ini adalah Pra Eksperiment dengan pendekatan One Grup Pratest-Postest Design. Sampelnya sebanyak 27 orang dengan teknik simple random sampling. Variabel independent pemberian Health Education tentang kolostrum dan variabel dependent pengetahuan ibu hamil. Instrumen yang digunakan adalah SAP, leaflet dan lembar kuesioner. Analisa data menggunakan Wilcoxon Sign Rank Test dengan taraf signifikan 0,05.Hasil penelitian menunjukkan sebelum diberikan HE hampir seluruh (81,5%) ibu hamil memiliki pengetahuan kurang tentang pemberian kolostrum pada 1 jam pertama, dan setelah diberikan HE lebih dari sebagian (59,3%) berpengetahuan cukup. Hasil Wilcoxon Sign Rank Test didapatkan p= 0,001 dimana p0,05. Maka H1 diterima artinya ada pengaruh HE tentang pemberian kolostrum pada 1 jam pertama terhadap peningkatan pengetahuan ibu hamil.Melihat dari hasil penelitian, maka HE sangat penting diberikan untuk meningkatkan pengetahuan ibu hamil dalam pemberian kolostrum pada bayi terutama pada 1 jam pertama, sehingga bayi terjamin untuk mendapatkan ASI eksklusif serta mengurangi angka kesakitan maupun kematian pada bayi.                                        Kata kunci : Health Education, Pengetahuan, Kolostrum   ABSTRACT Colostrum or weaned that out the first time are often discarded because they are considered dirt breast milk, so there are many mothers to give formula to their babies even though colosotrum contain many nutrients and substances for the body's immune (Bahiyatun, 2009). The problem of this study is still high mother who does not understand about colostrum. The research objective was to determine the effect of Health Education (HE) on the provision of colostrum in the first hours of the first to the increased knowledge of pregnant women.The research design was Pre Experiment with One Group  approach Pratest-Posttest Design. The sample as many as 27 people with simple random sampling technique. The independent variable is giving Health Education about colostrum and the dependent variable is knowledge of pregnant women. The instruments used  were SAP, leaflet and questionnaire. Data were analyzed using the Wilcoxon Sign Rank Test with significance level of 0.05.Results showed before being given HE almost all (81.5%) of pregnant women have less knowledge about the provision of colostrum in the first hours of the first, and after being given HE more than most (59.3%) are knowledgeable enough. Wilcoxon Sign Rank Test results obtained p = 0.001 where p 0.05. Then there is H1 accepted meaning HE influence on the provision of colostrum in the first hours of the first to the increased knowledge of pregnant women.Judging from the results of the study, then HE is essential given to improve the knowledge of pregnant women in giving colostrum to the baby, especially in the first 1 hour, so that the baby is guaranteed to get exclusive breastfeeding and reducing morbidity and mortality in infants. Keywords: Health Education, Knowledge, Colostrum


2016 ◽  
Vol 3 (1) ◽  
pp. 089-094
Author(s):  
Sunarti Sunarti ◽  
Sri Winarni ◽  
Andre W.

Miscarriage incident allegedly had an effect on the next pregnancy , either at the onset ofcomplications of pregnancy and the outcome of pregnancy itself . Women with a history of miscarriagehave a higher risk for preterm labor , recurrent miscarriage and low birth weight . The purpose of theresearch was to illustrates the attitude of pregnant women to prevent miscarriage with descriptivemethod . The population included all pregnant women who perform routine checks on Public HealthService UPTD Sananwetan Blitar during the period March 27 to 27 April 2014. The sample was 30pregnant women first and second trimester with purposive sampling technique. The result was 53.3 %have a positive attitude , and 46.7 % have a negative attitude. It showed the attitude of pregnant womenwere lack in preventing miscarriage. There should be a more intensive outreach activities on theprevention of miscarriage by health employee to provide more detailed information, complete, andaccurate.


2017 ◽  
Vol 4 (2) ◽  
pp. 106-112
Author(s):  
Nur Hidayati ◽  
Juni Setiawan

Early marriage is a marriage performed by married couples where both are still under 21 years of age is 19 years for men - men and 16 years for women. While prolonged labor is labor that is abnormal characterized by slowness or lack of progress of labor in a certain time unit size. The purpose of this study was to investigate the effect of early marriage on the occurrence of prolonged labor in the village Sumberwaru Banyuputih District of Situbondo. This study design using analytical research, with cross sectional design, with a sample of 68 mothers of 84 women who married early in Sumberwaru village. And using simple random sampling technique. Uji statistic used is the Wilcoxon Signed Rink Test with the help of computer program SPSS 16. The results showed that there was significant effect (p = 0.000), namely (0.000 <0.005) between early marriage with the occurrence of prolonged labor. It can be concluded that there was influence of early marriage on the occurrence of prolonged labor. For that is expected for the adolescent not married at usi less than 21 years and delaying the first pregnancy until reaching the age of 20 years in order to avoid the possibility of a long labor, bleeding, and the conflicts that led to divorce.  Keywords: Early Marriage, Prolonged Labor. ABSTRAK Pernikahan dini adalah pernikahan yang dilakukan oleh pasangan suami isteri dimana keduanya masih di bawah umur 21 tahun yaitu 19 tahun untuk laki - laki dan 16 tahun bagi perempuan. Partus lama adalah persalinan yang abnormal yang ditandai oleh kelambatan atau tidak adanya kemajuan proses persalinan dalam ukuran satuan waktu tertentu. Tujuan penelitian ini adalah untuk mengetahui adanya pengaruh pernikahan dini terhadap terjadinya partus lama di Desa Sumberwaru Kecamatan Banyuputih Kabupaten Situbondo. Desain penelitian ini menggunakan penelitian analitik, dengan rancangan Cross Sectional, dengan sample 68 ibu yang menikah dini di Desa Sumberwaru dan menggunakan tekhnik simple random sampling,.Uji statistik yang digunakan adalah Wilcoxon Signed Rank Test dengan bantuan Komputer program SPSS 16. Hasil penelitian menunjukkan bahwa ada pengaruh yang signifikan (p=0,000) yaitu (0,000<0,05) antara pernikahan dini dengan terjadinya partus lama. Dapat disimpulkan bahwa ada pengaruh pernikahan dini terhadap terjadinya partus lama. Untuk itu diharapkan bagi para remaja tidak menikah pada usia kurang dari 21 tahun dan menunda kehamilan pertamanya hingga mencapai usia 20 tahun agar tidak timbul kemungkinan terjadinya persalinan yang lama, perdarahan, dan konflik yang berujung perceraian. Kata Kunci : Pernikahan Dini, Partus Lama.


2018 ◽  
Vol 2 (4) ◽  
pp. 356
Author(s):  
Fauziah Itsnaini Shofiana ◽  
Denok Widari ◽  
Sri Sumarmi

Background: Anemia is a major nutritional problem in Indonesian, one of the occurs in pregnant women. Therefore the government issued prevention and control program of iron deficiency anemia through consecutive iron supplementation for at least 90 days during pregnancy.Objectives: This study aimed to analyze the influence of age, education and knowledge of consumption of iron tablets.Methods: This research was conducted in Maron Public Health Center, District of Probolinggo using a cross sectional design. A sample of 40 pregnant women in their last trimester who have received 90 iron tablets was recruited with a simple random sampling technique. The influence of age, education, and knowledge was analyzed using logistic regression test with significance value < 0,05.Results: The results showed that the knowledge of pregnant women affected of consumption of iron tablets (p=0.026), but age (p=0.914), education (p=0.419) did not affected of consumption of iron tablets. Conclusion: The conclusion of this research is that consumption of iron tablets in pregnant women is influenced by knowledge of pregnant women. The lack knowledge of the mother, the lower the level consumption of iron tablets. ABSTRAKLatar Belakang: Anemia merupakan masalah gizi utama di Indonesia, salah satunya terjadi pada ibu hamil. Oleh karena itu pemerintah mengeluarkan program pencegahan dan pengendalian anemia defisiensi besi melalui suplementasi besi berturut-turut selama setidaknya 90 hari selama kehamilan.Tujuan: Tujuan penelitian ini untuk menganalisis pengaruh usia, pendidikan, dan pengetahuan terhadap konsumsi tablet tambah darah.Metode: Penelitian ini dilakukan di Puskesmas Maron, Kabupaten Probolinggo menggunakan desain cross sectional, sampel sebanyak 40 ibu hamil TM III yang mendapatkan 90 tablet besi dengan teknik simple random sampling. Pengaruh usia, pendidikan, dan pengetahuan dianalisis menggunakan uji regresi logistik dengan nilai signifikansi <0,05.Hasil: Hasil penelitian menunjukkan bahwa pengetahuan ibu hamil berpengaruh terhadap konsumsi tablet besi (p = 0.026) , tapi usia (p = 0.914), pendidikan (p = 0.419) tidak berpengaruh terhadap konsumsi tablet besi.Kesimpulan: Konsumsi tablet besi pada ibu hamil dipengaruhi oleh pengetahuan ibu hamil. Rendahnya pengetahuan ibu, maka akan tingkat konsumsi tablet tambah darah semakin rendah.


2017 ◽  
Vol 4 (3) ◽  
pp. 396
Author(s):  
Izfa Rifdiani

Postpartum hemorrhage is one of the problems was the cause of maternal deaths in Indonesia. The maternal mortality rate is one indicator for the degree of health specially of a woman. Postpartum hemorrhage is bleeding or blood loss of 500 cc or more that occurred after the child is born. The research objective was to analyze the effect of parity, birth weight babies, pregnancy interval and a history of postpartum hemorrhage in the mother after giving birth to the incidence of postpartum hemorrhage in Ngudi Waluyo Hospital Wlingi Blitar 2014. This study used a case-control design. The populations in this study are all mothers who gave birth in Ngudi Waluyo Hospital Wlingi Blitar 2014. The sampling technique was simple random sampling. The results were obtained no effect of parity on the incidence of postpartum hemorrhage (OR=0,810, CI 95% 0,329<OR<1,995 , OR=0,895, CI 95% 0,260<OR<3,077), there was no effect of birth weight babies on the incidence of postpartum hemorrhage (OR=0,651, CI 95% 0,104<OR<4,096), there was effect of pregnancy interval on the incidence of postpartum hemorrhage (OR = 17.953, 95% CI 3.550 <OR <90.785) and there was effect of a history of bleeding on the incidence of postpartum hemorrhage postpartum (OR = 18.104, 95% CI 3.559 <OR <92.097). Health workers are expected to provide advice to the mother who gave birth to not be pregnant again during the next 2 years, and then advise the mother to join the family planning program in order to distance the pregnancy can be arranged. Examination of the precision of pregnant women visit each semester will make health care workers, pregnant women and families more aware of the possibility of postpartum hemorrhage after childbirth.Key words: parity, birth weight babies, pregnancy interval, a history of postpartum hemorrhage, the incidence of postpartum hemorrhage 


2020 ◽  
Vol 2 (2) ◽  
pp. 45-51
Author(s):  
Maghdalena Br Barus ◽  
Fithri Handayani Lubis ◽  
Taruli Nadeak

The number of Diarrhea KLB Cases in 2010 was 2,580 with77 deaths (CFR2.98%). This result was different from 2009 where there were 3,307 cases of diarrhea KLB, 21 cases of deaths (CFR0.69%). And the latrines ownership is one  of the causes. Good total sanitation decreases 94% of diarrhea. The purpose of this study is to determine the relationship between total community-based sanitation programs and the incidence of diarrhea incommunities who do not own latrines. This type of research uses Cross Sectional research. The population of this study is all communities  that reside in the working area of​Puskesmas Berohol of Tebing Tinggi City. The sample is 60 respondents using the Simple Random Sampling technique. Instrument research questionnaire and observation sheet. The results of this study state that there is a relationship between the total community-based sanitation program and the incidence of diarrhea in people who do not have latrines, wherethep-valueis 0.002 < 0.05. The conclusion is based on there search about there lationship of Community Based Total Sanitation Program (STBM) with Diarrhea Incidence in Communities that Do Not Have Latrines in the Work Area of​​ the Alcoholic Health Center of Tebing Tinggi City in 2019. The results obtained are that there is a relationship between the total community-based sanitation program (STBM) and the incidence of diarrhea. Suggestions for the community to improve the individual of total sanitation.


2018 ◽  
Vol 1 (1) ◽  
pp. 21
Author(s):  
Widya Pani

One that affects fetal growth is the nutrition of pregnant women because during pregnancy the mother must meet the rapid growth needs of the fetus, and so that the output of the pregnancy is successful and perfect. But until now there are still many pregnant women who experience nutritional problems, especially malnutrition, such as Chronic Energy Deficiency (SEZ). The number of pregnant women experiencing SEZs in the Pantoloan Community Health Center Working Area in 2016 was a total of 67 pregnant women who delivered 8 LBWs. The purpose of this study was to determine the relationship of the incidence of low birth weight babies with a history of chronic energy-deficient pregnant women in the work area of Pantoloan Health Center. This research is an Analytical type with Cros Sectional research design with a population of 252 babies born in 2010 in the Work Area of Pantoloan Health Center. Sampling uses the Total Sampling technique. The criteria for the sample are taken if you have birth weight and maternal LILA data during pregnancy, if the data is incomplete, it is not sampled. Samples that meet the requirements are 52 babies. The results showed that pregnant women who experienced SEZ 32 people (61.5%), and LBW as many as 8 babies (15.4%). There was a significant relationship between the incidence of LBW and a history of SEZ pregnant women (p = 0.0017). The conclusion, that the better the nutritional status of pregnant women during pregnancy, the better the weight of the baby will be born. It is recommended for Pantoloan Health Center to improve health education programs about nutrition, and take LILA measurements regularly for pregnant women.Keywords: LBW, SEZ, Pregnant Women


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