scholarly journals HUBUNGAN PELATIHAN DENGAN PERILAKU BIDAN DALAM MELAKUKAN PENCEGAHAN PENDARAHAN POSTPARTUM DI KABUPATEN BANTUL

2019 ◽  
Vol 8 (1) ◽  
pp. 15-20
Author(s):  
Diah Nur Anisa ◽  
Detty S Nurdiati ◽  
Wiwin Lismidiati

Background: Postpartum hemorrhage is define as 500 cc or more bleeding after the completion of third stage (after the placenta is born). Maternal mortality due to postpartum hemorrhage occurs a lot in health services, one of the factors that influence it is the behavior of health workers in the prevention of postpartum hemorrhage. The behavior of midwives in preventing postpartum hemorrhage is closely related to the competencies seen from the training attended. Objective: To find out the relationship between training and the behavior of midwives in preventing postpartum hemorrhage in Bantul Regency. Methods: We used a correlation study with a cross sectional design. The sampling technique in this study used probability sampling with cluster sampling totaling 68 midwives in five community health centers. Retrieval of data in this study used an observation sheet to see the actions of midwives in conducting active management in the third stage as a preventive measure for postpartum bleeding and the identity sheet of respondents to see the training that had been attended by midwives. Results: There was no relationship between training with the behavior of midwives in the prevention of postpartum hemorrhage in Bantul Regency with a p value of 0.093. A total of 40 midwives (58.8%) had good behavior and 53 midwives (77.9%) had attended training. Conclusion: There is no training relationship with the behavior of midwives in the prevention of postpartum hemorrhage in Bantul Regency Keywords: Behavior, hemorrhage, postpartum, training

2019 ◽  
Vol 8 (1) ◽  
pp. 15-20
Author(s):  
Diah Nur Anisa ◽  
Detty S Nurdiati ◽  
Wiwin Lismidiati

Background: Postpartum  hemorrhage is define as 500 cc or more bleeding after the completion of third stage (after the placenta is born). Maternal mortality due to postpartum  hemorrhage occurs a lot in health services, one of the factors that influence it is the behavior of health workers in the prevention of postpartum  hemorrhage. The behavior of midwives in preventing postpartum  hemorrhage is closely related to the competencies seen from the training attended. Objective: To find out the relationship between training and the behavior of midwives in preventing postpartum  hemorrhage in Bantul Regency. Methods: We used a correlation study with a cross sectional design. The sampling technique in this study used probability sampling with cluster sampling totaling 68 midwives in five community health centers. Retrieval of data in this study used an observation sheet to see the actions of midwives in conducting active management in the third stage as a preventive measure for postpartum  bleeding and the identity sheet of respondents to see the training that had been attended by midwives. Results: There was no relationship between training with the behavior of midwives in the prevention of postpartum  hemorrhage in Bantul Regency with a p value of 0.093. A total of 40 midwives (58.8%) had good behavior and 53 midwives (77.9%) had attended training. Conclusion: There is no training relationship with the behavior of midwives in the prevention of postpartum  hemorrhage in Bantul Regency   Keywords: Behavior, hemorrhage, postpartum, training


2019 ◽  
Vol 3 (1) ◽  
pp. 8
Author(s):  
Diah Nur Anisa ◽  
Detty S Nurdiati ◽  
Wiwin Lismidiati

Postpartum hemorrhage is one of the causes of the hight of the maternal mortality rate (MMR) in Indonesia. Maternal mortality in Bantul regency has been increased than the last. The incident of prevention of midwives in the prevention of postpartum hemorrhage during labor proses. To find out the relationship between the length of work and the behavior of midwives in the prevention of postpartum hemorrhage in Bantul regency. This study included a type of correlation study with a cross sectional design. The sampling technique in this study used probability sampling with cluster sampling totaling 68 midwives in five health centers. Retrieval of data in this study used an observation sheet to see the actions of midwifes in conducting active management in the third stage as preventive measure for postpartum hemorrhage and the identity sheet of respondents to see the length of work that had been undertaken by midwives. The result of this research showed that the mayority of midwives who have length work ≥ 10 years, it was 47 people (69%), and midwives who have good behavior in prevention of postpartum hemorrhage was 40 people (58,8%). The result of correlation test between length work and midwives behavior in prevention of postpartum hemorrhage obtained p = value 0,851 (p > 0,05). There no relatinship of long work with the behavior of midwives in theprevention of postpartum hemorrhage in Bantul regency.


Author(s):  
Sulenti Widiastutik

ABSTRAK ABSTRAK         Manajemen akif kala III merupakan suatu intervesi yang sangat penting dilakukan pada setiapasuhan persalinan normal dengan tujuan menurunkan angka kemati ibu. Sebagian besar kasus perdarahan terjadi selama persalinan kala III salah satunya seperti atonia uteri.         Dalam penelitian ini menggunakan metode analitik observasional, dengan desain penelitian ini bersifat “ cross sectional “ populasi penelitian ini sebanyak  60 ibu bersalin di PBMUmi Surabaya.Hasil penelitian menunjukkan bahwa manajemen aktif kala III dilakukan dengan sempuirna sebanyak 36 ibu  bersalin.(60%) dan ibu bersalin yang tidak mengalami perdarahan post partum primer sebanyak 33 ibu (55%) Populasi dalam penelitian ini adalah semua ibu  yang bersalin di PBM Umi Surabayadengan besar sampel sebanyak 60 ibu bersalin dengan tehnik total sampling.Dari hasil analisis data menggunakan chi square menunjukkan hasil   hitung (21,237) >  tabel (3,84) = Ho ditolak H1 diterima. Sehingga ada hubungan manajemen aktif kala III dengan kejadian perdarahan post partum primer di PBM Umi Surabaya        Upaya percepatan penurunan  AKI dapat dilakukan dengan menjamin agar setiap ibu mampu mengakses pelayanan kesehatan ibu yang berkwalitras, seperti pelayanan kesehatan ibu hamil, pertolongan persalinan oleh tenaga kesehatan terlatih, dan perawatan pasca persalinan ibu dan bayi, perawatan khusus dan rujukan jika terjadi komplikasi Kata kunci Manajemen aktif kala III, Perdarahan Post Paetum PrimerABSTRACTThe third stage of active management is a very important intervention performed in every normal childbirth care with the aim of reducing maternal mortality. Most cases of bleeding occur during the third stage of labor such as uterine atony.         In this study using observational analytic methods, the design of this study is "cross sectional" in this study population of 60 women giving birth in PBM Umi Surabaya.The results showed that the active management of the third stage was carried out with up to 36 mothers (60%) and women who did not experience primary post partum hemorrhage as many as 33 mothers (55%). a large sample of 60 mothers with total sampling technique. From the results of data analysis using chi square showed the results of X2 count (21,237)> X2 table (3.84) = Ho rejected H1 accepted. So there is an active management relationship between the third stage and the incidence of primary post partum hemorrhage at PBM Umi Surabaya        Efforts to accelerate the reduction of MMR can be done by ensuring that every mother is able to access quality maternal health services, such as health services for pregnant women, delivery assistance by trained health workers, and postpartum care for mothers and babies, special care and referrals if complications occur. Keywords Active management stage III, Primary Post Partum Bleeding


2020 ◽  
Author(s):  
Kristin Natal Riang Gea

AbstrakKeselamatan pasien merupakan dasar dari pelayanan kesehatan yang baik. Pengetahuan tenaga kesehatan dalam sasaran keselamatan pasien terdiri dari ketepatan identifikasi pasien, peningkatan komunikasi yang efektif, peningkatan keamanan obat yang perlu diwaspadai, kepastian tepat lokasi, prosedur, dan tepat pasien operasi, pengurangan risiko infeksi, pengurangan risiko pasien jatuh. Tujuan penelitian untuk mengetahui hubungan antara pengetahuan dengan penerapan keselamatan pasien pada petugas kesehatan di Puskesmas Kedaung Wetan Kota Tangerang. Metode Penelitian menggunakan deskriptif korelasi menggunakan pendekatan cross sectional. Populasi sebanyak 50 responden. Teknik pengambilan sampel menggunakan total sampling. Instrumen yang digunakan berupa lembar kuesioner. Teknik analisa diatas menggunakan analisa Univariat dan Bivariat. Hasil Penelitian ada Hubungan Pengetahuan dengan Penerapan Keselamatan Pasien pada Petugas Kesehatan, dengan hasil, p value sebesar 0,013 < 0,05 maka dapat disimpulkan bahwa ada Hubungan Pengetahuan dengan Penerapa Keselamatan Pasien pada Petugas Kesehatan. Kesimpulan penelitian ada Hubungan Pengetahuan dengan Penerapan Keselamatan Pasien.. AbstrackPatient safety is the basis of good health services. Knowledge of health personnel in patient safety targets consists of accurate patient identification, increased effective communication, increased safety of the drug that needs to be watched, certainty in the right location, procedure, and precise patient surgery, reduction in risk of infection, reduction in risk of falling patients. The purpose of this study was to determine the relationship between knowledge and the application of patient safety to health workers in the Kedaung Wetan Health Center, Tangerang City. The research method uses descriptive correlation using cross sectional approach. The population is 50 respondents. The sampling technique uses total sampling. The instrument used was a questionnaire sheet. The analysis technique above uses Univariate and Bivariate analysis. The results of the study there is a Relationship of Knowledge with the Implementation of Patient Safety in Health Officers, with the result, p value of 0.013 <0.05, it can be concluded that there is a Relationship between Knowledge and Patient Safety Implementation in Health Officers. The conclusion of the study is the Relationship between Knowledge and the Implementation of Patient Safety.Keywords Knowledge, Patient safety, Health workers


2019 ◽  
Vol 19 (3) ◽  
pp. 661
Author(s):  
Desi Andriani ◽  
Husna Yetti ◽  
Roza Sriyanti

Antenatal care or antenatal care is a planned program that is observation, education and medical treatment for pregnant women, to obtain a safe and satisfying pregnancy and childbirth process. The indicator used to assess the access of pregnant women to antenatal care is K1 direction (first visit) is the contact of pregnant women to health workers and K4 (perspective visit) is 4 or more times contact with health workers. From the data of the Padang City Health Office, it was found that the Air Tawar Puskesmas with this low level was caused by various factors. The purpose of this study was to determine factors related to the use of antenatal services. This type of research is a quantitative study with cross sectional study design with 110 respondents of third trimester pregnant women with purposive sampling technique. Data analysis was performed univariate, bivariate with Chi squre test. From the research results obtained from the five factors studied, it was found that the factors related to the use of antenatal services in freshwater health centers were access or distance with pvalue 0.009 = OR 21.676), service availability factors with a p value of 0.001 = OR 9.293, the role factor midwives with a p value of 0.001 = OR 12.302, while the family income factor, disease complaints obtained results have nothing to do with the use of antenatal services. The author's suggestion is that there is a need for good coordination with the Independent Practice Midwife (BPM), revitalize puskesmas to more strategic places and improve better facilities, improve accessibility that can be minimized, strive to reach pregnant women, especially for accessibility that is less affordable.


2020 ◽  
Vol 15 (2) ◽  
pp. 158
Author(s):  
Ulfah Ilyas ◽  
Maria Sonda ◽  
Hidayati Hidayati

Results of a preliminary study conducted by the author on 28 November 2018 in Kassi-Kassi Health Center Public City of Makassar were interviews with 11 third trimester pregnant women who visited antenatal check, 8 (70%) of pregnant women have not planned where labor, labor companion, potential blood donors and the sticker affixed on the door P4K yet home mom for not knowing the importance of the decal and never be explained by health workers at the first checkups. While 7 (60%) of pregnant mother's husband has not determined the place of labor, labor companion, potential blood donors and did not accompany the mother when the checkups. This study aims to determine the relationship of husband support, knowledge of third trimester pregnant women at health centers with the implementation P4K-Kassi Kassi Makassar.This research uses analytic survey with cross sectional approach, the population in this study is the third trimester pregnant women, using the formula Lameshow obtained sample 85 subjects with a sampling technique is purposive sampling.Statistical analysis showed the Chi-square test obtained significant value p value 0,000 (p<0,05) husband's support with coefficient value (Phi= 0,493), knowledge of third trimester pregnant women p value of 0,001 (p <0,05) with coefficient value (Phi= 0,357). So it can be concluded that there is a relationship of husband support, knowledge of third trimester pregnant women with P4K implementation. Therefore, the husband is expected to support the implementation of the plan P4K safe delivery and is able to prevent pregnancy complications. And for health workers can improve IEC counseling and evaluation of the execution P4K, in particular blood donor candidates planning and sticking stickers P4K at home pregnant women.


2020 ◽  
Vol 1 (1) ◽  
pp. 16
Author(s):  
Hatijar Hatijar

Low birth weight babies are babies born with a weight less than 2500 grams. LBW (low birth weight) affects the high mortality rate in infants and is at risk of experiencing obstacles in growth and development. LBW is generally caused due to lack of nutrition and nutritional needs from mother to fetus while pregnant women aged less than 20 years and more than 35 years have the risk of giving birth to LBW. The purpose of this study is to determine the risk factors that cause LBW based on maternal age and nutritional status. The research method used was observational with a cross sectional study approach. The sampling technique was random sampling at the Regional Haji Makassar General Hospital in the January to July 2015 period with a total sample of 65 people. Analysis using the Chi Square Test. The results showed that there was a relationship between maternal age, nutritional status of LBW with a value (p value = 0.00 <α = 0.05). Maternal age and nutritional status are factors that influence low birth weight where the results of the study indicate that there is a relationship between maternal age and nutritional status on the incidence of low birth weight. To reduce the incidence of low birth weight, it is necessary to increase counseling about the causes of low birth weight babies by health workers, especially midwives to pregnant women to prevent the risk of low birth weight birth.


2020 ◽  
Vol 8 ◽  
pp. 205031212094512
Author(s):  
MaryJoy Umoke ◽  
Prince Christian Ifeanachor Umoke ◽  
Ignatius O Nwimo ◽  
Chioma Adaora Nwalieji ◽  
Rosemary N Onwe ◽  
...  

Background: Patient satisfaction is an essential parameter in the assessment of quality of care and healthcare facility performance. Objective: To investigate patients’ satisfaction with quality of care in general hospitals in Ebonyi State, South East, Nigeria, using the SERVQUAL. Methods: A cross-sectional descriptive study design was employed on a sample of 400 patients using a 27-item structured open-ended patients’ satisfaction questionnaire with a multi-stage cluster sampling technique. Patients included in the study were those who must have come for an outpatient clinic within the period, be 18 years and above, and those who gave consent to participate. Of 400 questionnaires administered, 396 (99%) were retrieved. SPSS version 20 was used for data analysis. Descriptive statistics, such as frequencies, percentages, mean score ( x), and standard deviation, were employed for interpretation. Results: Out of 396 patients, 156 (39.4%) were male and 240 (60.6%) were females. Most patients were 18–39 years (233 (58.8%)), had secondary education (139 (35.1%)), married (221 (55.8%)), earned <18,000 (170(42.9%)), and were traders (136 (34.3%)). Patients were satisfied with tangibility (2.57 ± 0.99) and reliability (2.84 ± 0.95) and very satisfied with responsiveness (3.06 ± 0.63), assurance (3.07 ± 0.63), and empathy (3.12 ± 0.57). Conclusions: Patients were satisfied with the quality of care. However, satisfaction was highest with empathy and lowest with tangibility. Thus, managers should focus their quality improvement efforts on areas of the neat appearance of health workers, waiting facilities for attendants and patients, and hygienic conditions at the hospital. Also, biannual assessment of patients’ satisfaction should be done and the results generated use judiciously to provide a platform for health sector reform.


2021 ◽  
Vol 2 (1) ◽  
pp. 398-408
Author(s):  
Yuni Purwati ◽  
Nur Aini Rustiana Dewi

  The obedience in consuming iron tablets had a good effect for the pregnant women. It is because iron tablets were able to increase the nutritional intake for the fetus, prevent anemia (iron deficiency), prevent bleeding during childbirth, and reduce the death risk. The supports of the health workers were expected to improve the The obedience of the pregnant women in consuming the iron tablets. The objective of this research was to find out the effect of the supports of the health workers and the obedience of the pregnant women in consuming the iron tablets at Sewon II Public Health Center, Bantul Regency, Yogyakarta Province. The method used in this study was through the descriptive correlation using a cross-sectional approach. The sampling technique used in this study was through the total sampling. The number of the respondents of this study was 80 respondents. The data analysis technique used in this study was the Kendall tau. The result of this data analysis showed that the p-value of 0.000 < 0.05. It meant that there was a significant correlation between the two variables of this study. Moreover, the significant correlation between the support of the health workers and the obedience of the pregnant women in consuming the iron tablets is in the moderate level (0.549). Therefore, it was concluded that the health workers were expected to improve the information supports, the appreciation supports, the instrument supports, and the emotional supports so that the pregnant women were able to consume the iron tablets.


2018 ◽  
Vol 3 (1) ◽  
pp. 22
Author(s):  
Hasnah Hasnah ◽  
Desy Ana Hendra ◽  
Hapsah Hapsah

Background: High demands in all conditions require proffesional health workers. In dealing with patients, health workers need high emotional intelligence and problem solving skills that are qualified to deal with various problems. Objective: To analyze correlation between emotional intelligence with problem solving skill of health student of Faculty of Medicine Universitas Hasanuddin. Method: This quantitative research was conducted in August-September 2017, using observational study design with cross sectional analytic approach. Population in this research is health students Faculty of Medicine Universitas Hasanuddin who forced in 2013, 2014, 2015, 2016 (N=1995). Sampling technique using cluster random sampling (n=333). The data were analyzed with Spearman’s Rho test. Results: More than half of respondents had a low emotional intelligence (58.3%) and  medium level of problem solving skill (51,4%). Correlation coefficient both of them is weak (r=0,222; p value = 0.000 <0,05). Conclusion: There is a weak correlation between emotional intelligence with problem solving skill of health student of Faculty of Medicine Hasanuddin University. The higher the emotional intelligence of the student, the higher the level of problem solving skill.


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