scholarly journals Morbidity Occurs to a Fifth of Referred Post Partum Hemorrhage Cases

Author(s):  
Fitri Rahardja

Objective: To assess maternal morbidity (five scoring system) and mortality of referred post partum hemorrhage (PPH) in Dr. CiptoMangunkusumo Hospital period 2008-2010 and to identify its related factors. Method: Retrospective study with cross sectional design for referred obstetric cases in RSCM period 2008-2010. Analysis of relation was conducted to these data using Chi-square or Fisher test with SPSS 17.0. Result: There were 10,752 referred obstetrics cases in RSCM from 2008-2010, the three most common cases were severe preeclampsia, premature rupture of membrane, and preterm labour. The rate of referred cases of PPH in RSCM from 2008-2010 was 2%. There were 44 cases (20.5%) suffering morbidity (five scoring system) and 3 cases ending in mortality (1.4%) from all PPH referral cases. Mortality to morbidity rate for referred PPH cases in RSCM was 6.81% (3/44) with case/fatality ratio 14.7: 1. Variables that related to morbidity were age and referral factors (midwife). There were no relation between parity, education background, pay of services, occupation, type and etiology of PPH with morbidity due to PPH. Mortality assesment for 3 PPH referred cases would be descriptive. Conclusion: The proportion of referred PPH cases in RSCM 2008-2010 was 2%, of which 20.5% classified as morbid and 1.4% was classified as mortal cases. Variables related significantly to morbidity were age and referral factors. [Indones J Obstet Gynecol 2013; 37-1: 3-7] Keywords: five scoring system, maternal morbidity, maternal mortality, referred cases of PPH

2021 ◽  
Vol 12 (2) ◽  
pp. 69-76
Author(s):  
Rumita Ena Sari ◽  
Fransiska Sitepu ◽  
Arnild Augina Mekarische ◽  
Hubaybah Hubaybah ◽  
Rinaldi Daswito ◽  
...  

In Jambi Province, the morbidity rate of Dengue Hemorrhagic Fever (DHF) has increased for three consecutive years with a mortality rate of 0.74%. This study aimed to determine the performance of health workers to reduce the incidence of dengue fever at the Jambi City Health Center in 2020. This study used a cross-sectional design with several respondents 80 officers, the sampling technique used total sampling. The instrument in this study used a questionnaire. Data analysis using Chi-square test. The results showed that there was a significant relationship between the length of work (OR = 0.184), facilities and infrastructure (OR = 1.977), supervision (OR = 2.118), and superior support (OR = 2.029) with the performance of health workers, and there was no significant relationship between the last education (OR=1.152) and reward (OR=1.472) with the performance of health workers. Health officers DHF program are expected to maximize services such as environmental health inspections and PSN 3M counseling as well as increase supervision of the community so that they can participate in the prevention of DHF, namely by forming Jumantik cadres, maximizing outreach and outreach with the community, and fostering community self-hygiene.


2014 ◽  
Vol 10 (3) ◽  
pp. 159
Author(s):  
Andi Tenri Abeng ◽  
Djauhar Ismail ◽  
Emy Huriyati

Background: Malnutrition is a public health problem commonly encountered in developing countries. Almost 50% of 10-11 millions of mortality among children under-fives caused by malnutrition that is preventable. District of Kutai Kartanegara is known as the most wealth of district in Indonesia, yet the wealth cannot automatically solve the problem of its people. Numerous efforts have been made to solve malnutrition problem yet the morbidity rate is still relatively high.Objective: The study aimed to identify an association between sanitation with infection and nutritional status of under five at Subdistrict of Tenggarong, District of Kutai Kartanegara.Method: The study was observational with cross sectional design. Samples consisted of 187 under fives of 7-60 months taken using proportional random sampling technique. Variable of sanitation was obtained from the interview with subjects using questionnaire and direct observation. Variable of infection was obtained from an interview with subjects and cross check at health centers. The dependent variable of nutritional status was based on anthropometric assessment using weight/height index. The bivariate analysis used Chi-Square and multivariate analysis used logistic regression.Results: The result of the statistical test showed there was a significant association between sanitation and infection (acute respiratory tract infection/ARI, diarrhea) of under fives (p<0.05). There was an association between ARI and diarrhea with wasted children (p<0.05).Conclusion: There was the significant association between sanitation, infection and nutritional status of under five at Subdistrict of Tenggarong District of Kutai Kartanegara.


2021 ◽  
Vol 1 (2) ◽  
pp. 111-120
Author(s):  
Theresia Heni Lestari ◽  
Theresia Endah Marianingsih ◽  
Yuliasti Eka Purnamaningrum

Background: The cause of AKI in DIY 2018, 11% of post-partum hemorrhage, with a gap in MMR target and achievement <102 / 100,000 live births, MMR in 2018: 111.5 / 100,000 live births, indicating an increase in MMR. In the same year at Panti Rapih Hospital, there was an increase in the incidence of post-partum hemorrhage by 6%, with 62.8% of parity at risk, 53.5% of age at risk. Objective: of the study was to determine the relationship between parity and maternal age with the incidence of primary post-partum hemorrhage at Panti Rapih Hospital in 2017-2018. Methods: observational, cross sectional design, sample 43 people. Chi Square Test data analysis. Results: There was a significant relationship between parity and the incidence of primary post partum hemorrhage (p-value = 0.011). There was a significant relationship between age and the incidence of primary post-partum hemorrhage at Panti Rapih Hospital (p-value = 0.014). Conclusion: There is a significant relationship between parity, maternal age <20 years or> 35 years with the incidence of primary post partum hemorrhage at Panti Rapih Hospital in 2017-2018.


2021 ◽  
Vol 6 (11) ◽  
pp. 61-68
Author(s):  
Derya TANRIVERDI ◽  
Sibel ÖZTÜRK

Aim: Premenstrual syndrome is the periodic recurrence of a group of psychological, behavioral and physical symptoms related to the menstrual cycle. These symptoms arise especially in the middle of the luteal phase of the menstrual cycle and disappear when menstruation starts. The objective of this study was to determine the prevalence of premenstrual syndrome in women in reproductive age between 15 and 49 years old, and to investigate the relationship between premenstrual syndrome and sociodemographic variables. Method: A cross-sectional design was employed. The study was carried out on 500 women. The face to face interview, sociodemographic data form and Premenstrual Syndrome Scale were applied to the women for data collection. As for data analysis, percentage tests, chi-square test and logistic regression analysis were utilized. Results: PMS prevalence of women included in this study was found to be 47%. Premenstrual syndrome symptoms in order of severity are pain, bloating, fatigue, change in appetite, irritability, and anxiety. It was found that being in the age group between 15-46, being single, smoking, having dysmenorrhea, and familial premenstrual syndrome history have direct effect on PMS. Conclusion: It was observed that the prevalence of PMS in women is quite high. Greater importance should be attached to the issue and necessary precautions should be taken for risk groups in order to decrease PMS prevalence and improve women’s quality of life.


2021 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Mohadeseh Balvardi ◽  
Zahra Imani-Goghary ◽  
Kamran Babaee ◽  
Zahra Izadabadi

Background: Prevalence of suicide and attempted suicide has increased due to social, economic, and cultural factors. Objectives: This study aimed to investigate the suicide and attempted suicide epidemiology in Sirjan, Iran, in 2018. Methods: Following a cross-sectional design, suicide attempts and their related factors were investigated in the city of Sirjan in 2018. Data were collected by a researcher-developed checklist and were analyzed using descriptive and analytical statistics (i.e., chi-square or Fisher’s exact tests) by SPSS. Results: A total of 768 people referred to Sirjan’s hospitals with a diagnosis of suicide attempt were investigated. One-year suicide attempts incidence for males and females was 120.6 (N = 391) and 116.3 (N = 377) per 100,000 people, respectively. The mean age of males and females was 26.0 ± 9.2 and 24.2 ± 8.1, respectively. Most cases were aged 20 - 29 and 10 - 19 years. The male-to-female ratio was higher in the 20 - 29 age group, but more females, most suicide cases were aged 10 - 19, and this difference was significant. Most of them were single, urbanite, educated up to high school diploma, or were school-goers. Self-poisoning (i.e. drug intoxication) was the most common method of suicide attempts. Suicides that led to death were 3.7 per 100000 people, higher rates were observed in men, younger age, single status, urbanite, and those with school diplomas. Hanging was the most common suicide method. Conclusions: Sirjan is one of the areas with high rates of suicide attempts; therefore, the findings of the present study can be regarded as a step forward in future studies to consider interventions intended to improve mental health, as well as to find useful solutions to prevent suicide occurrence.


2021 ◽  
Vol 6 (2) ◽  
pp. 24-35
Author(s):  
Fika Lestari ◽  
Purnama Sari Cane ◽  
Joharsah Joharsah

Causes and post partum bleeding include placental retention which reached 16%-17% in 2016. Placental retention is a condition in which the placenta is not born within 1 hour after the baby is born. The purpose of this study is to find out the relationship between maternal characteristics and the occurrence of placental retention in Babussalam Health Center in 2021. The research was conducted at Babussalam Health Center with a sample number of 22 people with this type of analytical survey research and cross sectional design. The results of the study can be seen with the Chi Square test with a confidence level of 95%, and a = 0.05, based on the parity it is known that X2 calculates > X2 table (14,157 > 7.815) then there is a relationship between parity and the occurrence of placental retention. Based on the age of daketahul X2 calculated > X2 table (13,093 > 5,991) then there is a relationship between the mother's age and the occurrence of placental retention. Based on the state of the uterus known X2 calculates > X2 table (10,092 > 3,841) then there is a relationship between the state of the mother's uterus and the occurrence of placental retention. Based on the sticking of the table is known X2 calculates > X2 table (9,322 > 5,991) it can be concluded that Ha was accepted and Ho was rejected. So there is a relationship between placental attachment and placental retention. There is a characteristic relationship of maternity mothers with the occurrence of placental retention. It is expected to the mother to keep her pregnancy distance and if the mother's age is > 35 years and already have more children and 3 should the mother not get pregnant again because it will be very risky to the mother and fetus.


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


2018 ◽  
Vol 3 (1) ◽  
pp. 33
Author(s):  
Tengku Dewi Agustina ◽  
Rully Rully

In midwifery care standard,  midwives should carry out complete, accurate, brief and clear midwifery recording of the findings in providing midwifery care. Based on preliminary survey conducted on 5 PPM  , it was found that 100%  midwives did not fill the MCH handbook of postpartum care. This study aims to determine the factors related to compliance of MCH handbook by midwives in post partum care in PPM. This was descriptive analytic study with cross sectional design. . This study was conducted in September 2016 - July 2017.The population in this study is all PPM in Pekanbaru totalling 59 samples using purposive sampling. Data analysis was performed using Chi Square. The results showed that most midwives did not fill out the MCH handbook 81.4% .There was a significant relation between knowledge (p-value = 0,002) and motivation (p-value = 0,001) with compliance of MCH handbook by midwivese in postpartum care, there was no significant relation between duration of work (p-value = 0,468) in compliance of filling out MCH handbook. It is recommended for association of midwives to be more active in evaluation and monitoring through giving reward / punishment about filling out the MCH handbook


2020 ◽  
Vol 6 (1) ◽  
pp. 603-608
Author(s):  
Fajar Ardianing Gofur ◽  
Cucu Herawati

Berdasarkan  hasil  laporan  Indeks  Kepuasan  Msyarakat  (IKM)  tahun  2013  di UPTD Puskesmas Astanagarib Kota Cirebon, dilaporkan bahwa Puskesmas Astanagarib berada di peringkat 4 terbawah dengan persentase tingkat kepuasan secara keseluruhan 73,54% dengan jumlah peserta Badan Penyelenggara Jaminan Sosial  (BPJS)  selama  5  bulan  terakhir  sebanyak  2.577  peserta  dari  5.983 penduduk, rendahnya persentase dalam IKM dan jumlah peserta BPJS tersebut dipengaruhi oleh berbagai macam faktor seperti kemudahan dalam prosedur pelayanan, informasi, ketepatan waktu pelayanan, kehandalan, kecepatan dalam pelayanan, kenyamanan lingkungan, serta kesopanan dan keramahan. Tujuan penelitian  ini  adalah  untuk  mengetahui  hubungan  antara  faktor-fakto yang berhubungan dengan  kepuasan  peserta  Badan  Penyelenggara  Jaminan  Sosial (BPJS) terhadap pelayanan program Badan Penyelenggara Jaminan Sosial (BPJS) Kesehatan di UPTD Puskesmas Astanagarib Kota Cirebon tahun 2014. Jenis penelitian deskriptif analitik dengan desain studi Cross Sectional. Populasi dalam penelitian ini adalah seluruh peserta BPJS di Kelurahan Pekalipan (wilayah kerja UPTD Puskesmas Astanagarib) Kota Cirebon tahun 2014 sebanyak 2.577 peserta. Jumlah sampel sebanyak 97 peserta yang diambil secara Accidental Sampling.  Data  dianalisis  secara  statistik  menggunakan  uji  Chi  Square  pada tingkat kemaknaan 5% (0,05). Hasil penelitian ini menunjukkan ada hubungan yang bermakna antara ketepatan waktu dengan kepuasan pelayanan program BPJS Kesehatan (p = 0,00), ada hubungan yang bermakna antara informasi dengan kepuasan pelayanan program BPJS Kesehatan (p = 0,00), ada hubungan  yang bermakna antara kompetensi teknis dengan dengan kepuasan pelayanan program BPJS Kesehatan (p = 0,00) dan tidak ada hubungan yang bermakna antara hubungan antar manusia dengan dengan kepuasan pelayanan program BPJS Kesehatan (p = 0,39).Kata Kunci : Tingkat Kepuasan, peserta BPJS ABSTRACTBased on report result of Indeks Kepuasan Masyarakat (IKM) 2013 in UPTD local government clinic of Astanagrip Cirebon, reviewed that Astanagrip local government clinic was in bottom 4 through overall of satisfaction percentage is 73,54% with participants of Badan Penyelenggara Jaminan Sosial (BPJS) as long as 5 months are 2.577 of 5.983 inhabitants, the low of percentage on IKM and the number of BPJS participants is influenced on kind of factors like easy of service procedure, information, punctuality of service, professionalism, speed, comfortable, polite behavior and friendly. Aim of this research is to know the relation of that related factors with Badan Penyelenggara Jaminan Sosial (BPJS) participants   satisfaction              on   Badan   Penyelenggara   Jaminan   Sosial   (BPJS) Kesehatan program service in UPTD local government clinic of Astanagrip Cirebon 2014. Analytical Descriptive research with Cross Sectional design. Population in this research is all of district Pekalipan (UPTD local government clinic work area) Cirebon BPJS participants 2014 are 2.577 participants. The writer has taken 97 participants by Accidental Sampling for the sample of research. The data was analyzed by statistical accounting used Chi Square test on sense level 5% (0, 05). Result of this research shows that there was a means relation between punctuality of service with BPJS Kesehatan program service satisfaction (p = 0,00), information  with  BPJS  Kesehatan  program  service  satisfaction  (p  =  0,00), technical competence with BPJS Kesehatan program service satisfaction (p = 0,00), and there wasn’t a means relation between people relation with BPJS Kesehatan program service satisfaction (p = 0,39).Key Words  : Level of Satisfaction, participants BPJS


2017 ◽  
Vol 17 (2) ◽  
pp. 271-279 ◽  
Author(s):  
Flavia Hashizume Baptista ◽  
Klenia Bethania Bispo Rocha ◽  
Júlia Lustosa Martinelli ◽  
Lucimar Retto da Silva de Avó ◽  
Rodrigo Alves Ferreira ◽  
...  

Abstract Objectives: to investigate the prevalence of alcohol consumption during pregnancy and its sociodemographic, reproductive and newborn-related factors. Methods: a cross-sectional and exploratory study carried out on a sample of post-partum women, recruited daily over six months. Sociodemographic and reproductive information about the women and data concerning the newborns were collected. T-ACE questionnaire was used to identify the pattern of alcohol consumption by the women. They were divided into two groups: alcohol consumers (T-ACE score ≥2) and non-alcohol consumers. Comparisons between the two groups were made using the unpaired t test, chi-square test or Fisher's exact test according to the type of variable analyzed. The significance level was set at 5%. Results: out of 925 women, 818 (88.4%) agreed to participate. Among them, 60 (7.3%) were T-ACE positive, i.e. identified as alcohol consumers. Regarding the sociodemographic information, alcohol consumption was more frequent among women who did not have a steady partner (p=0.010). No reproductive variable presented a significant difference between the groups. A lower weight was observed among children of T-ACE positive mothers (3,045g±71.0 vs 3,192g±19.2; p=0.040). Conclusions: identifying and characterizing women who are more susceptible to alcohol consumption during pregnancy can contribute to developing more effective public health intervention strategies.


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