scholarly journals Birth Place Preference and Birth Attendant Selection during Covid-19 Pandemic in Tarakan City, North Kalimantan

2021 ◽  
Vol 6 (1) ◽  
Author(s):  
Ririn Ariyanti ◽  
◽  
Ika Yulianti ◽  
Rahmi Padlilah ◽  
◽  
...  
Keyword(s):  
Mortality Rate ◽  
Family Income ◽  
Case Control ◽  
Infant Mortality Rate ◽  
Multiple Logistic Regression ◽  
Place Of Delivery ◽  
Independent Variables ◽  
Birth Place ◽  
Quota Sampling ◽  
Distance Travel

Background: Childbirth assistance during the Covid 19 pandemic needs attention to reduce maternal mortality rate and infant mortality rate. This study aimed to analyze the factors influencing the choice of place and birth attendant during the Covid 19 pandemic in Tarakan City. Subjects and Method: This was an observational analytic study with a case control design. The study was carried out in Tarakan, North Kalimantan, Indonesia, in 2020. A sample 100 pregnant women was selected by quota sampling. The dependent variable was the place and birth attendant. The independent variables were place of working, family income, distance to the place of delivery and knowledge. The data were collected by questionnaire using google form. The data were analyzed by a multiple logistic regression. Results: The choice of place of delivery during the COVID-19 pandemic was influenced by place of working (OR= 1.61; 95% CI= 1.49 to 17.02; p= 0.009), family income (OR= 2.57; 95% CI= 3.74 to 45.37; p <0.001), distance travel (OR= 1.53; 95% CI= 0.07 to 0.73; p= 0.014) and knowledge (OR= 1.66; 95% CI= 1.58 to 17.31; p= 0.007). The choice of birth attendant was also influenced by place of working (OR= 1.32; 95% CI= 1.17 to 12.40; p= 0.027), family income (OR= 2.28; 95% CI= 2.94 to 32.23; p <0.001), distance traveled (OR= -1.42; 95% CI= 0.08 to 0.78; p= 0.016) and knowledge (OR= 1.88; 95% CI= 2.05 to 20.85; p= 0.002). Conclusion: The choice of place and birth attendant is influenced by place of working, family income, distance traveled and knowledge. Keywords: place of delivery, birth attendant, pandemic covid 19 Correspondence: Ririn Ariyanti. Department of Midwifery, Universitas Borneo Tarakan. Jl. Amal Lama 1 Tarakan, Kalimantan Utara. Email: ririnariyanti.- [email protected]. Mobile: +6285345553- 400

scholarly journals Birth Place Preference and Birth Attendant Selection during Covid-19 Pandemic in Tarakan City, North Kalimantan

2021 ◽  
Vol 6 (1) ◽  
Author(s):  
Ririn Ariyanti ◽  
◽  
Ika Yulianti ◽  
Rahmi Padlilah ◽  
◽  
...  
Keyword(s):  
Mortality Rate ◽  
Family Income ◽  
Case Control ◽  
Infant Mortality Rate ◽  
Multiple Logistic Regression ◽  
Place Of Delivery ◽  
Independent Variables ◽  
Birth Place ◽  
Quota Sampling ◽  
Distance Travel

Background: Childbirth assistance during the Covid 19 pandemic needs attention to reduce maternal mortality rate and infant mortality rate. This study aimed to analyze the factors influencing the choice of place and birth attendant during the Covid 19 pandemic in Tarakan City. Subjects and Method: This was an observational analytic study with a case control design. The study was carried out in Tarakan, North Kalimantan, Indonesia, in 2020. A sample 100 pregnant women was selected by quota sampling. The dependent variable was the place and birth attendant. The independent variables were place of working, family income, distance to the place of delivery and knowledge. The data were collected by questionnaire using google form. The data were analyzed by a multiple logistic regression. Results: The choice of place of delivery during the COVID-19 pandemic was influenced by place of working (OR= 1.61; 95% CI= 1.49 to 17.02; p= 0.009), family income (OR= 2.57; 95% CI= 3.74 to 45.37; p <0.001), distance travel (OR= 1.53; 95% CI= 0.07 to 0.73; p= 0.014) and knowledge (OR= 1.66; 95% CI= 1.58 to 17.31; p= 0.007). The choice of birth attendant was also influenced by place of working (OR= 1.32; 95% CI= 1.17 to 12.40; p= 0.027), family income (OR= 2.28; 95% CI= 2.94 to 32.23; p <0.001), distance traveled (OR= -1.42; 95% CI= 0.08 to 0.78; p= 0.016) and knowledge (OR= 1.88; 95% CI= 2.05 to 20.85; p= 0.002). Conclusion: The choice of place and birth attendant is influenced by place of working, family income, distance traveled and knowledge. Keywords: place of delivery, birth attendant, pandemic covid 19 Correspondence: Ririn Ariyanti. Department of Midwifery, Universitas Borneo Tarakan. Jl. Amal Lama 1 Tarakan, Kalimantan Utara. Email: ririnariyanti.- [email protected]. Mobile: +6285345553- 400

scholarly journals The Role of Place of Delivery in Preventing Neonatal and Infant Mortality Rate in India

Geographies ◽  
2021 ◽  
Vol 1 (1) ◽  
pp. 47-62
Author(s):  
Ujjwal Das ◽  
Barkha Chaplot ◽  
Hazi Mohammad Azamathulla
Keyword(s):  
Mortality Rate ◽  
Infant Mortality ◽  
Neonatal Mortality ◽  
Public Hospitals ◽  
Infant Mortality Rate ◽  
Private Institutions ◽  
Public And Private ◽  
Place Of Delivery ◽  
At Home

Skilled birth attendance and institutional delivery have been advocated for reducing maternal, neonatal mortality and infant mortality (NMR and IMR). This paper examines the role of place of delivery with respect to neo-natal and infant mortality in India using four rounds of the Indian National Family Health Survey conducted in 2015–2016. The place of birth has been categorized as “at home” or “public and private institution.” The role of place of delivery on neo-natal and infant mortality was examined by using multivariate hazard regression models adjusted for clus-tering and relevant maternal, socio-economic, pregnancy and new-born characteristics. There were 141,028 deliveries recorded in public institutions and 54,338 in private institutions. The esti-mated neonatal mortality rate in public and private institutions during this period was 27 and 26 per 1000 live births respectively. The study shows that when the mother delivers child at home, the chances of neonatal mortality risks are higher than the mortality among children born at the health facility centers. Regression analysis also indicates that a professionally qualified provider′s antenatal treatment and assistance greatly decreases the risks of neonatal mortality. The results of the study illustrate the importance of the provision of institutional facilities and proper pregnancy in the prevention of neonatal and infant deaths. To improve the quality of care during and imme-diately after delivery in health facilities, particularly in public hospitals and in rural areas, accel-erated strengthening is required.

scholarly journals PELAYANAN DAN FASILITAS KESEHATAN, BIAYA PERSALINAN, DAN KEBIJAKAN DI TEMPAT BERSALIN MEMPENGARUHI IBU DALAM MEMILIH TEMPAT BERSALIN DI KELURAHAN KEMIRI MUKA, KECAMATAN BEJI, DEPOK

2020 ◽  
Vol 2 (2) ◽  
pp. 61-68
Author(s):  
Nourmayansa Vidya ◽  
Efa Apriyanti ◽  
Ayunda Nia Agustina ◽  
Maharaufa Fathmanda
Keyword(s):  
Mortality Rate ◽  
Return Rate ◽  
Infant Mortality Rate ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Live Births ◽  
Factors Associated ◽  
Birth Place ◽  
Chisquare Test

  ABSTRAK Salah satu indicator derajat kesehatan suatu Negara adalah angka kematian ibu dan bayi. 52.4% ibu-ibu di Indonesia memiliki akses ke pelayanan maternal. Angka Kematian Ibu (AKI) di Indonesia tahun 2008 menurut Survei Demografi Kesehatan Indonesia adalah 307 per 100.000 kelahiran hidup, jauh dari target yang seharusnya yaitu 110 per 100.000 kelahiran hidup. Tujuan umum penelitian ini adalah untuk mengetahui faktor-faktor berhubungan dengan keputusan ibu memilih tempat bersalin, diantaranya adalah pelayanan kesehatan, fasilitas kesehatan, biaya persalinan, dan kebijakan di tempat bersalin. Sample penelitian adalah ibu-ibu yang berada di kelurahan Kemiri Muka – Depok berjumlah 125 orang. Penelitian ini menggunakan kuesioner dan Return rate = 100%. Penelitian ini menggunakan metode cross sectional dan analisa data univariat menggunakan distribusi frekuensi serta bivariat menggunakan chi-square. Hasil penelitian menunjukan adanya hubungan bermakna antara dan fasilitas kesehatan (p Value = 0.033; = 0.05) dengan pilihan tempat bersalin. Kata Kunci: faktor, ibu, Kemiri Muka, pemilihan tempat bersalin   ABSTRACT One indicator of a country's health status is the maternal and infant mortality rate. 52.4% of mothers in Indonesia have access to maternal services. Maternal Mortality Rate (MMR) in Indonesia in 2008 according to the Demographic Health Survey of Indonesia is 307 per 100,000 live births, its far from the supposed target of 110 per 100,000 live births. The general objective of this study was to determine the factors associated with mother's decision when choosing a birth place, including the choice of giving birth. The factors that affect mother's decision when choosing a birth place are characteristic of the respondents and distance delivery and home place. Research sample is mothers residing in RW 03 Kelurahan Kemiri Muka - Depok totaling 125 people. This study uses a questionnaire and return rate = 100%. This study uses cross sectional data analysis using univariate and bivariate frequency distribution using the chisquare test. The results showed that there was a significant relationship between respondent’s education (p-value = 0.009; = 0.05), the husband's income & (pvalue = 0.046; = 0.05), and health facilities (p -value = 0.033; = 0.05) with a choice of place of birth. Key words: factor, mother, Kemiri Muka, choosing a birth place

scholarly journals The Determinants of Husband Behavior in The Care of Pregnant Women

2016 ◽  
Vol 12 (1) ◽  
Author(s):  
Elviera Gamelia ◽  
Siti Masfiah ◽  
Indah Purnama Sari
Keyword(s):  
Mortality Rate ◽  
Prenatal Care ◽  
Maternal Mortality ◽  
Pregnant Women ◽  
Family Income ◽  
Subjective Norm ◽  
Infant Mortality Rate ◽  
Behavior Control ◽  
Cross Sectional ◽  
Level Of Education

Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR) in Banyumas District are still below The Minimum Service Standard (MSS), especially in Puskesmas (Public Health Center) I Ajibarang. The strategies for reducing maternal mortality are conducted by increasing mothers health status during pregnancy. This study aims at determining the factors of husbands role in womens prenatal care. Cross-sectional method was used. The populations were all of the pregnant women in Puskesmas I Ajibarang. Proportional random sampling was applied to select 90 pregnant women. Logistic regression was used to determine factors. Theory of planned behavior was used to explore the determinants of husbands role. The results show that the level of education, family income, the knowledge, the attitude, and subjective norm are not related to husbands role in mother prenatal care. However, husbands behavior control (p=0.045) and intention (p=0.000) have relation with husbands role in women prenatal care. Variable of intention is the most dominant variable related to husbands role in womens prenatal care.

scholarly journals Factors Determining Poverty and Child Mortality in Pakistan

2019 ◽  
Vol 1 (1) ◽  
pp. 32-41
Author(s):  
Muhamamad Mehran Latif ◽  
Muhammad Farhan Ashraf ◽  
Muhammad Zeeshan
Keyword(s):  
Mortality Rate ◽  
Infant Mortality ◽  
Child Mortality ◽  
Parental Education ◽  
Negative Relationship ◽  
Infant Mortality Rate ◽  
Gdp Growth ◽  
Literacy Rate ◽  
Independent Variables ◽  
Female Literacy

The objective of the study was to check the factors determining poverty and child mortality in Pakistan. We used secondary data, collected from various economic surveys and the World Bank. OLS technique used to find the relationship between variables. Consumer Price Index (CPI), GDP growth, number of hospitals, and unemployment used as independent variables. For poverty, female literacy rate, male literacy rate, immunization, and GDP growth used as independent variables for child mortality. The study showed that CPI, GDP growth, and the unemployment rate have a positive relationship with poverty whereas the number of hospitals has a negative relationship with poverty. Furthermore, the study revealed that the female literacy rate has a negative impact on infant mortality while the male literacy rate has no significant impact on the infant mortality rate. Immunization has a negative and significant relationship with the infant mortality rate. GDP growth has a positive impact on the infant mortality rate due to high inequality in Pakistan. Authors recommended that parental education, water quality, and motivation to mothers to utilize health facilities can play an important role to reduce poverty and child mortality.

Twin Births In The Pelotas (Brazil) 2004 And 2015 Birth Cohorts 

2020 ◽  
Author(s):  
Ina Santos ◽  
Neiva C. J. Valle ◽  
Mariangela F. Silveira ◽  
Alicia Matijasevich ◽  
Andréa D. Bertoldi ◽  
...  
Keyword(s):  
Mortality Rate ◽  
Infant Mortality ◽  
Skin Color ◽  
Low Birthweight ◽  
Family Income ◽  
Infant Mortality Rate ◽  
Multiple Pregnancies ◽  
Birth Cohorts ◽  
Maternal Characteristics ◽  
Maternity Hospitals

Abstract Background: In the last decade, there has been an increase in the number of multiple pregnancies. Our aim was to describe the prevalence and duration of multiple pregnancies and compare first- and second-born twins to each other and to singletons, in terms of unfavorable perinatal outcomes and infant mortality rate (IMR). Methods: The 2004 and 2015 Pelotas Birth Cohorts are population-based studies that enrolled all newborns of mothers living in the urban area of Pelotas, South Brazil. All five maternity hospitals in Pelotas were visited daily by the research team, from January 1st to December 31st in 2004 and 2015. A monitoring system was assembled to detect all deaths of cohort participants in the years 2004, 2005, 2015, and 2016. Twinning rate was described according to maternal characteristics (family income, schooling, age, skin color, and morbidity) and parity. First- and second-born twins were compared to each other and to singletons, according to low birthweight (LBW), 5-minute Apgar <7, admission to neonatal intensive care unit (NICU), and IMR:1000 live births (LB). Results: Among 4,187 pregnancies in 2004 and 4,220 in 2015, respectively, 42 (1.0%) and 56 (1.3%) were multiple. Eighty-four twins were born alive in 2004 and 111 in 2015. In the two cohorts, no maternal characteristics were associated with the occurrence of multiple pregnancies. Twin births <34 weeks gestational age more than doubled from 2004 (19.0%) to 2015 (42.1%) (p=0.03). In both cohorts, LBW and admission to the NICU were more frequent in twins than in singletons, with no difference between first- and second-born twins. There was no difference between first-born and second-born twins at the two cohorts nor between twins and single-born infant mortality at the 2004 cohort. Among second-born twins in 2015, the post-neonatal mortality rate was 8 times higher than in singletons (37.7:1,000 LB versus 4.8:1,000 LB), and infant mortality rate (IMR) was 6 times higher (75.4:1,000 LB versus 12.5:1,000 LB). Conclusion: More than one out of 50 births in Pelotas was a twin, generally born prematurely and with a risk six times higher than singletons of dying alongside the first year of life.

scholarly journals Infant mortality in the Federal District, Brazil: time trend and socioeconomic inequalities

2007 ◽  
Vol 23 (4) ◽  
pp. 767-774 ◽  
Author(s):  
Renata Alves Monteiro ◽  
Bethsáida de Abreu Soares Schmitz
Keyword(s):  
Mortality Rate ◽  
Infant Mortality ◽  
Infant Health ◽  
Family Income ◽  
Federal District ◽  
Infant Mortality Rate ◽  
Neonatal Deaths ◽  
Live Births ◽  
Effective Interventions ◽  
National Capital

This study examined the trend in the infant mortality rate in the Federal District of Brazil (or Greater Metropolitan Brasilia, the national capital) from 1990 to 2000, analyzing the rate according to 5 administrative areas stratified by mean family income, from 1996 to 2000. An ecological time-series study was conducted using the Information Systems on Live Births and Mortality, produced by the Brazilian Ministry of Health. The infant mortality rate (IMR) decreased by 45.2% from 1990 to 2000, from 26.3 per 1000 live births to 14.4, or a mean annual reduction of 5.34% (R² = 0.9397; p < 0.0001). During this period there was a higher proportion of neonatal deaths. However, a higher percentage change occurred in the post-neonatal period (-59.0%, R² = 0.8452, p < 0.0001). Investigation of the IMR in the various areas of the Federal District showed a reduction in differences among the regions with respect to the component rates; however, substantial disparities persisted in relation to the income variable. The results suggest the need for effective interventions in the determinants of neonatal and post-neonatal mortality in order to improve maternal and infant health in all socioeconomic groups in the Federal District.

scholarly journals Aplikasi Korelasi Kanonikal Pada Faktor – Faktor Yang Mempengaruhi Angka Kematian Ibu Dan Bayi Di Provinsi Jawa Timur

2017 ◽  
Vol 4 (1) ◽  
pp. 5
Author(s):  
Endang Yuswatiningsih
Keyword(s):  
Mortality Rate ◽  
Infant Mortality ◽  
Maternal Mortality ◽  
Canonical Correlation ◽  
Correlation Method ◽  
Mortality Rates ◽  
Infant Mortality Rate ◽  
Strong Positive Correlation ◽  
Independent Variables ◽  
The Relationship

The purpose of this study was to analyze the relationship between maternal and infant mortality by influenced factors and the factors most closely associated with maternal and infant mortality rates in the province of East Java in 2012. This research uses canonical correlation method that aims to determine the relationship between two variables and identify the dimensions between two groups of variables. The results showed that the variable factors that affect maternal mortality and infant mortality has a strong positive correlation to variable maternal mortality and infant mortality rate. Highest impact of the independent variables for maternal mortality is pregnancy, postpartum maternal, neonatal visits, visiting the baby and toddler care was the infant mortality rate is the delivery by the shaman, neonatal visits and infant visits.;Keywords : canonical correlation, maternal mortality rates, infant mortality rates.

scholarly journals Hubungan Paritas, Penolong Persalinan dan Jarak Kehamilan dengan Angka Kematian Bayi di Jawa Timur

2019 ◽  
Vol 7 (2) ◽  
pp. 113
Author(s):  
Renaldi Kurniawan ◽  
Soenarnatalina Melaniani
Keyword(s):  
Logistic Regression ◽  
Regression Analysis ◽  
Mortality Rate ◽  
Infant Mortality ◽  
Multiple Logistic Regression Analysis ◽  
Infant Mortality Rate ◽  
P Value ◽  
Multiple Logistic Regression ◽  
Never Married ◽  
Live Births

Infant mortality is a major component in determining the health and well-being of a community in a country. Indonesia Health Demographic Survey in 2012 shows that infant mortality rate in Indonesia is 32 babies per 1000 live births. Infant mortality rate in eastern Java is 26 babies per 1000 live births. Infant mortality is caused by external factors and internal factors. Parity, gestational distance and birth attendant are the factors chosen to be analyzed. The objectives of the study were to analyze the relationship of parity, birth spacing and birth attendant to infant mortality rate in East Java. The type of research that is analytical research using non-reactive approach. The study took the data of the 2012 IDHS Female Woman Never married. Sampling followed the 2012 IDHS plus inclusion criteria from the researchers. The number of samples of the study was 591 mothers with a history of dead infants during the survey. The study took the data of the 2012 SDKI Female Woman Never married. Data analysis was done by multiple logistic regression. The results of the simple logistic regression analyzes have shown an association between parity> 2 children, birth attendants instead by a health professional, pregnancy spacing ≤ 4 years and spacing of pregnancy> 4 years. All independent variables entered as a candidate for the multiple logistic regression analysis of the results of the multiple logistic regression analysis was parity shows, their relationship with infant mortality with p value = 0.001, but at birth attendant with a p value of 0.66. Screening risks of pregnant mothers and handling of ill toddlers by midwives and IEC to mothers about nutrition, pregnancy care and infant care through counseling, leaflets and posters.

EFEKTIFITAS KONSELING LAKTASI PADA IBU HAMIL TRIMESTER III TERHADAP PELAKSANAAN MENYUSUI

2019 ◽  
Vol 11 (1) ◽  
pp. 41-50
Author(s):  
Heni Purwaningsih ◽  
Umi Aniroh ◽  
Eko Mardiyaningsih
Keyword(s):  
Mortality Rate ◽  
Pregnant Women ◽  
Body Position ◽  
Development Program ◽  
Optimal Growth ◽  
Infant Mortality Rate ◽  
P Value ◽  
Time Data ◽  
Emotional Bonding ◽  
Post Test

Program pembangunan kesehatan di Indonesia masih berfokus pada upaya peningkatan derajat kesehatan ibu dan anak terutama pada masa prenatal. Hal ini disebabkan masih tingginya Angka Kematian Ibu (AKI) dan Angka Kematian Bayi (AKB). ASI yang diberikan sejak usia dini dan dilanjutkan dengan ASI eksklusif selama 6 bulan dapat menurunkan angka kesakitan dan angka kematian bayi serta meningkatkan tumbuh kembang bayi secara optimal.  Penelitian ini bertujuan untuk mengetahui efektifitas pemberian konseling laktasi terhadap pelaksanaan menyusui pada ibu hamil trimester III. Desain penelitian menggunakan quasi eksperimen dengan rancangan One Group Pre-test dan  Post-test Desain. Populasi dalam penelitian ini adalah ibu hamil trimester III dan sampel yang diambil adalah 18 ibu hamil. Alat penggumpulan data menggunakan lembar observasi BREAST (body position, respons, emotional bonding, anatomy dan sucking time). Analisis data menggunakan wilcoxon.Hasil penelitian didapatkan pelaksanaan menyusui sebelum dilakukan konseling laktasi dalam kategori kurang (72,2%) sedangkan pelaksanaan menyusui setelah dilakukan konseling laktasi (77,8%) dalam kategori baik. Konseling laktasi efektif dilakukan untuk meningkatkan pelaksanaan menyusui denganp-value 0,003 (p<0,005).Konseling laktasi seharusnya diberikan pada masa prenatal sehingga pada saat postpartum, ibu sudah mampu memberikan asi secara maksimal. Pendampingan terhadap ibu hamil juga berperan dalam pelaksanaan pemberian ASI.   Kata kunci : Konseling laktasi, ASI, pelaksanaan menyusui   THE EFFECTIVENESS OF LACTATION COUNSELING IN THE 3rd TRIMESTER PREGNANT WOMEN ON BREASTFEEDING IMPLEMENTATION   ABSTRACT Indonesia's health development program still focuses on improving mother and child health, especially at the prenatal stage. It is due to the high maternal mortality rate (MMR) and Infant Mortality Rate (IMR). Breastmilk given from an early age and continued with exclusive breastfeeding for six months can reduce infants morbidity and mortality rate and increase their optimal growth. The purpose is to investigate the effectiveness of lactation counseling to the implementation of breastfeeding in third-trimester. The study design used quasi experiments with one group pre-test and post-test. Population was the 3rd-trimester pregnant mothers, and the samples were 18 mothers. The data collection tool used BREAST observation sheets (body position, response, emotional bonding, anatomy and sucking time). Data analysis used Wilcoxon. The result of the research shows that breastfeeding before lactation counseling is in less category (72,2%) while breastfeeding after lactation counseling (77,8%) is in a goodcategory. Effective lactation counseling is performed to improve the implementation of breastfeeding with p-value 0.003 (p <0.005). Lactation counseling should be given during the prenatal period so that at the time of postpartum, the mother has been able to give breastmilk maximally. Mentoring for pregnant women also plays a role in the implementation of breastfeeding Keywords: lactation counseling, breast milk, breastfeeding implementation

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