scholarly journals Kontribusi Jumlah Kehamilan (Gravida) Terhadap Komplikasi Selama Kehamilan dan Persalinan

2019 ◽  
Vol 2 (1) ◽  
pp. 9
Author(s):  
Sulastri Sulastri ◽  
Arina Maliya ◽  
Ni'mah Mufidah ◽  
Eka Nurhayati

                             Introduction. Obstetric and neonatal emergencies are a condition that can be life threatening and can occur both during pregnancy and childbirth. One of the causes of emergency is the complication of pregnancy, where this complication can arise due to risk factors during pregnancy, one of which is the gravida. Pregnant women with primigravida and gravida = 4 are high-risk factors for pregnancy and childbirth. The purpose of this study was to determine the contribution of the number of pregnancies (gravida) to mothers who had complications of pregnancy and childbirth in the work area of the Gatak Health Center, Sukoharjo. Methods. This research is a quantitative descriptive with a retrospective approach, data collection using the record or other documents in the form of health information for pregnant women with pregnancy comorbidities taken based on data from January 1 to December 31, 2018, in total sampling. Result. Of the 224 data of pregnant women with comorbidities, among them experienced pre-eclampsia (67.1%). The characteristics of respondents were based on the most age at 20-35 years old (82.5%), multigravida status (84.8%), and SC delivery (67%). Discussion. The importance of regulating and monitoring the number of pregnancies (gravida) of mothers to prevent complications of pregnancy and childbirth and to improve the degree of life of a mother.

2019 ◽  
Author(s):  
Sulastri . ◽  
Arina Maliya ◽  
Ni’mah Mufidah ◽  
Eka Nurhayati

Background: Emergency obstetric and newborn is a condition that can be life-threatening and can occur during pregnancy and childbirth. The cause of such emergencies include comorbidities, complications of pregnancy and child birth in which this condition can arise because of risk factors during pregnancy,one of them is gravida. Pregnantwomenwithprimigravidaandgrandmultigravidaareoneoftheriskfactorsfor complications of pregnancy and childbirth. Objectives: The purpose of this study was to determine the contribution of the number of pregnancies (gravida) to women who experience complications of childbirth in Hospital Pandan Arang Boyolali Methods: The study was a retrospective descriptive quantitative approach, data collection using notes or other documents in the form of health information for pregnant women with gestationalcomorbiditiesaretakenbasedondatafromJanuary1toDecember31,2018, with total sampling. Results: From the data 224 pregnant women with comorbidities and complications of labor, based on the characteristics of the highest responder status occurs at age 20-35 years old in 185 (82.5%), multigravida status of 190 (84.8%), co-morbidities pregnancy Preeclampsia 124 (55.3%) and the handling of labor SC 152 (67%). The highest contribution to the multigravida gravida with the highest labor complication is bleeding 101 (53.2%). Conclusions: The importance of monitoring the mother’s pregnancy and regulating the number of pregnancies (gravida) to prevent complications of pregnancy and childbirth and to improve the degree of life of amother.


Author(s):  
D. S. Faujdar ◽  
Neha Dahiya ◽  
Har Ashish Jindal

Background: Despite of improvement of public health service, the reach of these services has remained low in urban slums due to various socio cultural and environmental factors.Methods: An information and communication technology (ICT) based community health information system was installed in a urban primary health centre catering to urban slum populations in North India. The system was used to track all the antenatal cases registered over a period of one and half years for antenatal services, risk factors and antenatal outcome. The system allowed for tracking of antenatal cases for antenatal care (ANC) visits, investigations, high risk factors, delivery and perinatal care. Real-time monitoring of antenatal cases was made possible through dynamic dashboard with indicators.Results: Among 614 women tracked for ANC and outcome, majority were below 30 years of age (78.3%), belonged to lower caste (85.7%) and many were illiterate (42.8%). Out of all antenatal cases 68% got registered in 1st trimester and only 47% completed 4 ANC visit. Majority delivered in government hospitals (95.4%) with 22.8% delivered through caesarean section. Illiteracy was found to have significant association with higher gravida (>2) (p<0.001). The high risk factors were present in 29.5% of antenatal cases and it was found to be significantly associated with increasing age (p=0.02) and preterm deliveries (p<0.001). Twin pregnancy was also found to be significantly associated with increasing age (p<0.001).Conclusions: An ICT based community health information system can be an effective tool for real-time monitoring of health services, identifying the gaps and tracking of antennal cases especially in difficult to reach slum population.


2016 ◽  
Vol 97 (4) ◽  
pp. 634-637
Author(s):  
S N Mammadova

Aim. To conduct a comparative assessment of the prevalence and compatibility of high risk factors of perinatal losses in various cities of Azerbaijan.Methods. The study was conducted by continuous coverage of all cases of completed pregnancies at gestational age after 12 full weeks. The women were divided into groups according to age, the counting number of pregnancy and childbirth, birth-spacing interval. Sample size was 6544 cases in the city Sumgait, 4930 in the city of Ganja, in the city of Shirvan 2066.Results.In the city of Sumgait, the proportion of childbirths before the age of 18 years was 0.3±0.07%. In Ganja, this figure was higher by more than 19 times (5.9±0.34%). In the provincial city of Shirvan, proportion of childbirths before the age of 18 years (13.0±0.74%) was higher by more than 43 times in comparison with Sumgait, and 2.2 times more than in Ganja. 5.0±0.27% of childbirths in Sumgait, 6.8±0.36% in Ganja and 7.7±0.59% in Shirvan were registered in women older than 34 years. The differences in indicators between Sumgait and Ganja, Sumgait and Shirvan are statistically significant (pConclusion. The compatibility and prevalence of the high risk factors of perinatal losses have regional characteristics that should be considered when planning preventive measures and monitoring.


1986 ◽  
Vol 67 (1) ◽  
pp. 46-46
Author(s):  
V. I. Eremkina ◽  
K. R. Ibragimova

Failure to conceive and preterm birth are high risk factors for perinatal pathology. In the search for a means to reduce the rate of non-pregnancy, we observed in 30 pregnant women the tricolic effect of the combined use of ethanol and Alupent. Twenty women were treated after 30 weeks' gestation in an obstetric hospital, and 10 from 18 to 27 weeks' gynaecological hospital. No cause of termination of pregnancy was identified.


2021 ◽  
pp. 105477382110555
Author(s):  
Yafang Deng ◽  
Yixuan Hou ◽  
Liping Wu ◽  
Yanping Liu ◽  
Liangkun Ma ◽  
...  

This is a randomized controlled study to determine whether diet and exercise interventions can reduce the incidence of gestational diabetes mellitus (GDM) in pregnant women with high-risk factors. Ninety-four pregnant women were randomly divided into the intervention ( n = 47) and control ( n = 47) groups. A diet and exercise program was provided for the intervention group by researchers and was adjusted every 2 weeks by outpatient or WeChat intervention. The control group only received the routine health management in the hospital. Follow-up continued until the birth of the baby. The incidence of GDM (23.9%) in the intervention group was lower than in the control group (51.1%) ( p = .007). Weight gain did not differ significantly between the two groups throughout pregnancy ( p = .572). It is concluded that diet and exercise interventions can reduce the incidence of GDM in pregnant women with high-risk factors.


2019 ◽  
Author(s):  
Leila Ahmadian ◽  
Reza Khajouei ◽  
Sudabeh Kamali ◽  
Moghaddameh Mirzaee ◽  
Arefeh Ameri

BACKGROUND Today, the Internet may be a promising tool for interventions for pregnant women. However, these kinds of tools are only helpful if users are ready to use them. OBJECTIVE The present study was conducted with the aim of readiness assessment of pregnant women to use the Internet to access health information about pregnancy and childbirth. METHODS This study was carried out on a sample of 384 pregnant women. Data were collected using a valid and reliable questionnaire. The first section of this questionnaire collected demographic characteristics of the participants. The second part of the questionnaire contains 27 questions covering the following components: infrastructure readiness (6 questions); affordability readiness (3 questions); and skill readiness (12 questions). Data were analyzed with SPSS 19.0 using descriptive statistics, Chi-square test, and T-test. RESULTS This study was carried out on a sample of 384 pregnant women. Data were collected using a valid and reliable questionnaire. The first section of this questionnaire collected demographic characteristics of the participants. The second part of the questionnaire contains 27 questions covering the following components: infrastructure readiness (6 questions); affordability readiness (3 questions); and skill readiness (12 questions). Data were analyzed with SPSS 19.0 using descriptive statistics, Chi-square test, and T-test. CONCLUSIONS The use of the Internet by pregnant women depends on factors such as infrastructure, affordability, and skills readiness. This study showed that speed and the quality of the Internet, hardware and software availability, affordability of the Internet, and access to the Internet training were factors in measuring E-health readiness assessment. CLINICALTRIAL Not applicable


Author(s):  
Phillip M. Kleespies ◽  
Justin M. Hill

This chapter illustrates the mental health clinician’s relationship with behavioral emergencies. The chapter begins by distinguishing the terms behavioral emergency and behavioral crisis, and underlying themes among all behavioral emergencies are identified. Given that most clinicians will face a behavioral emergency in their careers, the importance of enhancing the process of educating and training practitioners for such situations far beyond the minimal training that currently exists is highlighted. The chapter continues by exploring various aspects of evaluating and managing high-risk patients (i.e., those who exhibit violent tendencies toward themselves or others, and those at risk for victimization). It includes a discussion of the benefits and limitations to estimating life-threatening risk factors and specific protective factors. The chapter concludes by discussing the emotional impact that working with high-risk patients has on clinicians, and an emphasis is placed on the importance of creating a supportive work environment.


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