scholarly journals The Risk Factor of Pregnant Gymnam on The Incidence of Ruptur Perineum in Aliyah Hospital Kendari

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.

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.


Author(s):  
Perawaty Perawaty ◽  
Pernodjo Dahlan ◽  
Herni Astuti

<p>ABSTRACT</p><p>Background: According to WHO it is estimated that there are 15 million people having stroke annually. High prevalence of stroke happens at Kalimantan Tengah as indicated from the growing number of outpatients and inpatients of stroke every year. There is a shift in eating pattern at urban areas from traditional eating pattern to western eating pattern that has high composition of calories, protein, fat, sugar and less fibre causing nonproportional nutrient intake. This condition is a risk factor for the prevalence of degenerative diseases such as hypertension, coronary heart disease and other health problems. Efforts for primary prevention against stroke can be made through intervention in unhealthy lifestyle including eating pattern.</p><p>Objectives: To identify association between eating pattern and the prevalence of stroke at dr. Doris Sylvanus Hospital Palangka Raya.</p><p>Methods: The study was analytic observational with case control design. Subject consisted of cases and control at comparison 1:1 matched in age. Cases were stroke inpatients of dr. Doris Sylvanus Hospital and control group consisted of patients of other diseases at the same hospital. The study involved 76 patients taken concecutive. Data comprised of sample identity, waist circumference, eating pattern, hypertension, physical activity and smoking habit. Data of eating pattern were obtained through semi quantitative food frequency questionnaire. The result of the study was analyzed using chi square and logistic regression.</p><p>Results: The result of the study showed there were 5 variables significantly associated with the prevalence of stroke; ie. more consumption of processed foods (OR 7,53 CI 95% : 1,38 – 41,13), less consumption of fruits (OR 6,98 CI 95%, 1,53-31,80), less consumption of fish (OR 6,36 CI 95% : 1,15 – 34,99), hypertension (OR 10,91 CI 95%, 2,43–49,03) and less physical activities (OR 8,36 CI 95%, 1,72-40,56) while the frequency of fast foods, alcohol consumption, obesity and smoking are not statistically significant (p &gt; 0.05).</p><p>Conclusions: The presence of hypertension, less physical activity, more consumption of processes foods, less consumption of fruits and less consumption of fish a risk factor for the dominant influence on the incidence of stroke.</p><p>KEYWORDS: stroke, eating pattern, case control</p><p>ABSTRAK</p><p>Latar belakang: Laporan World Health Organization (WHO), diperkirakan setiap tahun terdapat 15 juta orang di seluruh dunia yang mengalami stroke. Tingginya prevalensi stroke di Kalimantan Tengah dilihat dari penderita rawat inap dan rawat jalan di rumah sakit yang jumlahnya meningkat setiap tahun. Terjadinya pergeseran pola makan di kota-kota besar dari pola makan tradisional ke pola makan barat yang komposisinya terlalu tinggi kalori, banyak protein, lemak, gula tetapi rendah serat menimbulkan ketidakseimbangan asupan zat gizi. Kondisi tersebut merupakan faktor risiko untuk terjadinya penyakit degeneratif seperti hipertensi, jantung koroner dan masalah kesehatan lainnya. Upaya pencegahan tingkat awal atau preventif primer pada stroke dapat dilakukan dengan intervensi pada gaya hidup yang tidak sehat termasuk pola makan.</p><p>Tujuan: Untuk mengetahui hubungan pola makan dengan kejadian stroke di RSUD dr. Doris Sylvanus Palangka Raya.</p><p>Metode: Penelitian ini merupakan penelitian observasional analitik menggunakan rancangan case control. Subjek terdiri dari kasus dan kontrol dengan perbandingan 1:1 yang telah dilakukan matching terhadap umur. Kasus adalah penderita stroke dan kontrol adalah penderita penyakit lainnya yang menjalani<br />rawat inap di RSUD dr. Doris Sylvanus Palangka Raya. Jumlah subjek adalah 76 orang yang ditentukan dengan metode consecutive sampling. Data yang dikumpulkan yaitu identitas sampel, lingkar pinggang, pola makan, hipertensi, aktifitas fisik dan merokok. Data pola makan dikumpulkan dengan formulir semi quantitatif food frequency. Hasil penelitian dianalisis dengan menggunakan Chi square dan regresi logistik.</p><p>Hasil: Hasil penelitian menunjukkan terdapat 5 variabel yang berhubungan signifikan dengan kejadian stroke yaitu lebih konsumsi makanan olahan (OR 7,53 CI 95% : 1,38 – 41,13), kurang konsumsi buah (OR 6,98 CI 95% : 1,53 – 31,80), kurang konsumsi ikan (OR 6,36 CI 95% : 1,15 – 34,99),hipertensi (OR<br />10,91 CI 95% : 2,43 – 49,03) dan kurang aktivitas fisik (OR 8,36 CI 95% : 1,72 – 40,56), sedangkan frekuensi konsumsi fast food, konsumsi sayuran berwarna, konsumsi alkohol, obesitas, dan merokok tidak signifikan secara statistik (p &gt; 0,05).</p><p><br />Kesimpulan: Adanya hipertensi, kurang aktivitas fisik, lebih konsumsi makanan olahan, kurang konsumsi buah dan kurang konsumsi ikan merupakan faktor risiko terhadap kejadian stroke.</p><p>KATA KUNCI: stroke, pola makan, case control</p>


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


2017 ◽  
Vol 24 (1) ◽  
pp. 35-45
Author(s):  
Ruri Mayseptia Sari ◽  
Buyung Keraman ◽  
Enita Apriliani

The purpose of this study was to determine Factors associated with Incidence of Low Baby Weight (Preeclampsia, Anemia, Dinstance of Pregnancy) at HasanuddinDamrah Hospital South Bengkulu. This study was survey analytic used case control design. Population in this study was all baby was born from mothers who were multigravida at Hasanuddin Damrah Hospital South Bengkulu 2015 with amount 0f 465 infants. Sample in this study divided by two grouf that was case grouf with the amount of 88 infants obtained with total sampling and control group with the amount of 88 infants obtained with systematic random sampling. Data analysis in this study Chi-Square, to determine closed relationship used contingency coefficient (C), while to determine risk factor used Odd Ratio (OR). The result of the study showed: (1) there were 88 infants (50%) with low Baby Weigh, (2) there was relationship between preeclampsia with Incidence of Low Baby Weigh (3) mother with preeclampsia had risk delivered with Low Baby Weigh 5,012 times compared with mother did no preeclampsia, (4) there was relationship between anaemia with Incidence of Low Baby Weigh, (5) mother with anaemia had risk delivered with Low Baby Weigh 2,778 times compared with mother did not anaemia, (6) there was relationship between distance of pregnancy with Incidence of Low Baby Weigh, (7) mother with distance of pregnancy 2 years had risk delivered with Low Baby Weigh 6,663 times compared with mother with distance of pregnancy ≥2 years.Keywords: anemia, baby, distance of pregnancy, low birth weight, preeclampsia,


2021 ◽  
Vol 3 (3) ◽  
pp. 213
Author(s):  
Hasanah Nurbawena ◽  
Martono Tri Utomo ◽  
Esti Yunitasari

AbstrakLatar belakang : Kejadian stunting merupakan salah satu  masalah gizi pada anak yang memiliki prevalensi tinggi di Indonesia. Cut off point  kejadian stunting tidak boleh lebih dari 20%, sedangkan jumlah kejadian stunting di Surabaya sebanyak 22,8%. Salah satu penyebab tingginya kejadian stunting yaitu penyakit infeksi. Penelitian ini bertujuan untuk mengetahui hubungan riwayat sakit dengan kejadian stunting pada balita. Metode : Penelitian ini merupakan penelitian analitik observasional dengan menggunakan rancang penelitian case control. Jumlah sampel yang diteliti sebanyak 40 balita dengan usai 24-36 bulan di wilayah kerja Puskesmas Simomulyo Surabaya. Sampel penelitian balita stunting merupakan kelompok kasus dan balita non-stunting merupakan kelompok kontrol. Pengambilan data untuk kelompok kasus menggunakan purposive sampling dan pada kelompok kasus menggunakan matching sampling dengan menyesuaikan usia bayi dan jenis kelamin pada kelompok kasus. Pengumpulan data mengguanakan instrumen kuisioner. Uji statistik menggunakan chi square Hasil : Hasil penelitian ini didapatkan balita stunting memiliki riwayat sakit sebanyak 90%, sedangkan pada balita non-stunting sebanyak 45%. Uji statistik menggunakan mengenai hubungan riwayat sakit dengan kejadain stunting pada balita dengan uji Chi square didapatkan hasil yang signifikan yaitu p=0,002 (<0,05) dan OR 4,889. Kesimpulan : Balita stunting memiliki riwayat sakit lebih sering daripada balita non-stunting.AbstractBackground: . The incidence of stunting is one of the nutritional problems in children who have a high prevalence in Indonesia. The cut off point for stunting events should not be more than 20%, while the number of stunting events in Surabaya is 22.8%. One of the causes of the high incidence of stunting is an infectious disease. This study aimed to determine the relationship of a history of illnes with the incidence of stunting in infants. Method: This research was an observational analytic study using a case control research design. The number of samples were 40 toddlers (20 toodlers with stunting and 20 toodlers with non-stunting) aged 24-36 months in the working area of the Simomulyo Primary Health Care in Surabaya. The stunting toddlers belonged to a case group and non-stunting toddlers belonged to a control group. Data collection of case group had used purposive sampling and that control group used matching sampling by adjusting the baby's age and gender in the case group. Data was obtained by questionnaire instrument.Data was analysis by Chi square Results: The persentage of stunting toddlers who had a history of illness was 90%, while the non-stunting toddlers had a history of illness was 45%. There was relationship between the history of infectious diseases and the occurrence of stunting in toodler p=0,022 (<0,05) and OR=4,338. Conclusion: Stunting toddlers have a history of pain more often than non-stunting toddlers 


2020 ◽  
Vol 3 (1) ◽  
pp. 16
Author(s):  
Siti Lestari ◽  
Dyah Dwi Astuti ◽  
Fachriza Malika Ramadhani

Asfiksia perinatal merujuk pada kekurangan oksigen selama persalinan, sehingga berpotensi menyebabkan kematian dan kecacatan. WHO memperkirakan  4 juta anak terlahir dengan asfiksia setiap tahun, dimana 1 juta di antaranya meninggal dan 1 juta anak bertahan hidup dengan gejala sisa neurologis yang parah. Penelitian ini bertujuan untuk menganalisis faktor risiko fetal dan tali pusat pada asfiksia neonatal.Penelitian dilakukan di lakukan di RS Dr Moewardi Surakarta dengan pendekatan  quantitative retrospective case control study. Data diambil dari rekam medis antara  tahun 2013-2018. Penelitan ini melibatkan  264 neonatal yang terdiri dari 88 kelompok kasus dan 176  kelompok control. Kelompok kasus adalah bayi dengan diagnosa  asfiksia yang  dilakukan analisis terhadap faktor risiko fetal, sedangkan bayi yang tidak mengalami asfiksia dijadikan  kelompok kontrol. Hasil analisis statistik uji Chi-Square dan Fisher Exact ditemukan bahwa  kelahiran prematur (OR 2,07 CI 95% P 0,02), persalinan dengan tindakan (OR 3,61 CI 95% P 0,00), berat bayi (OR 2,85 CI 95% P 0,00), posisi janin (OR 2,37 CI 95% P 0,05), tali pusat ( QR 3,071 CI 95%  P 0,01)  berisiko terhadap insiden asfiksia perinatal. Air ketuban yang bercampur meconium (OR 1,51 CI 95% P 0,16) tidak memiliki risiko  dengan Asfiksia perinatal. Kesimpulan: Risiko terhadap insiden asfiksia perinatal  meliputi kelahiran prematur, persalinan dengan tindakan, berat bayi, posisi janin,  dan tali pusat.Perinatal asphyxia refers to a lack of oxygen during labor, which has the potential to cause death and disability. WHO estimates  4 million children born with asphyxia each year, in  which 1 million dies and 1 million survive with severe neurological sequelae. This study aims to analyze fetal and umbilical risk factors in neonatal asphyxia.This research is a quantitative retrospective case-control study, which was conducted at The Dr. Moewardi  hospital,  Surakarta. Data was taken from  medical records from 2013-2018. The case group was patients diagnosed  asphyxia, while those who did not experience asphyxia were treated as a control group.  A total of 264  samples, consisting of 88 case group respondents and 176 control group respondents. Statistical analysis Chi- Square and Fisher Exact found that preterm birth (OR 2.07 CI 95% P 0.02), labor with instrument or complication (OR 3.61 CI 95% P 0.00), infant weight (OR 2.85 CI 95% P 0, 00), fetal position (OR 2.37 CI 95% P 0.05), umbilical cord (QR 3.071 CI 95% P 0.01) are at risk for the incidence of perinatal Asphyxia. The amniotic fluid mixed with meconium (OR 1.51 CI 95% P 0.16) has no risk with perinatal asphyxia.The risk factors of incidences of perinatal asphyxia were  preterm birth, labor with instrument or complication, baby weight, fetal position and umbilical cord. 


2021 ◽  
Vol 36 (4) ◽  
pp. e288-e288
Author(s):  
Niusha Barzideh ◽  
Arezoo Alaee ◽  
Arash Azizi

Objectives: We investigated the existence of any connection between smoking and sublingual varices (SLV) in the older population. Methods: This case-control study was conducted in 2019 on adults > 65 years old at Kahrizak Charity Nursing Home, Alborz, Iran. We conducted clinical examination and inspection of 222 elderly patients. Both the case group and control group contained the same number of patients (n = 111). SLV were classified as grade 0 (few or none visible) and grade 1 (moderate or severe). The case group included patients with SLV and the control group consisted of those older adults without SLV and who were matched with the case group based on age, gender, blood pressure, denture wearing, and varicose veins in their legs. Cigarette smoking habits were investigated in both groups. Smokers were considered those who smoked at least one cigarette per day for more than six months. Chi-square and odds ratio (OR) were used to statistically analyze the exposure of participants to smoking in both groups. Results: Among 222 participants, 21.6% and 5.4% were smokers in the case and control groups, respectively. The results of our data analysis revealed that SLV were significantly associated with smoking (p < 0.001, OR = 4). Conclusions: Elderly patients with SLV are more likely to be cigarette smokers. Therefore, cigarette smoking cessation programs are recommended for older adults in society.


2019 ◽  
Vol 8 (2) ◽  
pp. 97-100
Author(s):  
Ana Nur Filiya ◽  
Novy Ardyanti Putri

Diphtheria is a contagion deadly disease which case increases year-by-year. Objective:   To know the correlation of direct contact with diphteria patient towards diphteria in Blitar in 2016. This research method uses Observational-analytic study by using case control design. Sample in case group were 31 people of diphteria patients and 31 people of control group which is not a diphteria patients. Direct contact as Independent variable. Data were analyzed by Mc Nemar. The results showed p value is 0.21. Direct contact haven’t  associated with diphteria. Further research can use more detailed questionnaire to know direct contact status properly


2017 ◽  
Vol 3 (2) ◽  
pp. 40
Author(s):  
Luluk Fajria Maulida

 One of the obstacles in breastfeeding attitude is the lack of lactation communication and counseling. Breastfeeding health education is designed to enforce healthy lifestyle of breastfeeding by delivering proof based information. Flipchart media usage can be easily understood by health counsellors and clients. The study is to investigate the influence of health education using flipchart over breastfeeding attitude in post-partum mothers. This research was used a quasi experiment design with posttest only design with control group. A random assignment sampling design was used to 42 respondents which were divided into 2 groups; intervention group and control group. The samples were randomized using numbers and were divided into intervention and control group. The intervention group was given health education after delivery and questionnaires were given in intervention and control group a week after postpartum. The average score postpartum maternal behavior in the intervention group (18,43) is higher than the control group (15,14). The results of chi square test p = 0.00; RR = 3.16; CI = 1,58-6,31. External variables related to the behavior of breastfeeding is the education level of p = 0.02. Health education using flipchart significantly affects breastfeeding behavior in postpartum mothers.


2016 ◽  
Vol 56 (4) ◽  
pp. 226
Author(s):  
Yuni Purwanti ◽  
Sutaryo Sutaryo ◽  
Sri Mulatsih ◽  
Pungky Ardani Kusuma

Background Wilms tumor is the most common renal malignancy in children (95%) and one of the leading causes of death in children, with high mortality rates in developing countries. Identifying risk factors for mortality is important in order to provide early intervention to improve cure rates.Objective To identify risk factors for mortality in children with Wilms tumor.Methods We performed a case-control study of children (0-18 years of age) with Wilms tumor admitted to Dr. Sardjito Hospital between 2005 and 2012. The case group consisted of children who died of Wilms tumor, whereas the control group were children who survived. Data were collected from medical records. Statistical analyses using Chi-square and logistic regression tests were done to determine odds ratios and 95% CI of the potential risk factors for mortality from Wilms tumor.Results Thirty-five children with Wilms tumor were admitted to Dr. Sardjito Hospital during the study period. Nine (26%) children died and 26 survived. Stage ≥III was a significant risk factor for mortality in chidren with Wilms tumor (OR 62.8; 95%CI 5.6 to 70.5). Age ≥2 years (OR 1.4; 95%CI 0.1 to 14.3) and male sex (OR 1.2; 95%CI 0.1 to 10.8) were not significant risk factors for mortality.Conclusion Stage ≥III is a risk factor for mortality in children with Wilms tumor. 


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