Hubungan Keteraturan Ibu Hamil Dalam Melaksanakan Kunjungan Antenatal Care (ANC) Terhadap Hasil Deteksi Dini Risiko Tinggi Ibu Hamil di Poli KIA RSUD Gambiran Kota Kediri

2017 ◽  
Vol 2 (2) ◽  
pp. 35
Author(s):  
Sumy Dwi Antono ◽  
Dwi Estuning Rahayu

Each pregnancy can develop normally, but it is difficult to know before that the pregnancy would be a problem, Antenatal care is an important way to monitor and support the normal maternal health and to detect any abnormalities in normal pregnancy. This study aims to determine the correlation of Pregnant mother’s Regularity in visiting Antenatal Care (ANC) on the Results from Early Detection of High Risk Pregnancy in Poli KIA  RSUD Gambiran Kediri. This research is analytic correlation using a case-control study design. The populations in this study were all third trimester pregnant mother with high risk in Poli KIA RSUD Gambiran Kediri. The number of samples is 28 people who were taken with simple random sampling technique. Measuring instruments used KIA books and Antenatal care documentation. The results will be analyzed using Chi Square test with one sample with a standard error 5% (0,05). Based on the analysis results obtained values � = 14,28 ; 3,841 so it can be stated that there is the correlation of Pregnant mother’s Regularity in visiting Antenatal Care (ANC) on the Results from Early Detection of High Risk Pregnancy in Poli KIA RSUD Gambiran Kediri. The results are mostly high-risk pregnant mother are irregular in implementing Antenatal care. The recommendations of this research is needed to conduct counseling from a health counselor to all pregnant mother about the importance of prenatal care regularly to add the knowledge about pregnancy and also to allows health workers to detect early if there is a complication of pregnancy and as an effort to increase utilization of health services for mother pregnant.; Key words : regularity of ANC, Antenatal Care (ANC), Early Detection of High Risk

2017 ◽  
Vol 12 (2) ◽  
pp. 225-232
Author(s):  
Arif Kurniawan ◽  
Colti Sistiarani ◽  
Bambang Hariyadi

There are 30.939 pregnant women in Banyumas, with 6.206 cases referred due to high-risk pregnancies. Petahunan village in Pekuncen has the the highest incidence of high-risk pregnancies compared with other villages. The purpose of this study is to describe the implementation of early detection of high-risk pregnancies in Petahunan village, Pekuncen. This study used qualitative research methods with case study approach. Research instruments used in-depth interviews and focus group disscussion toward early detection of high-risk pregnancy issue. The informants were 7 people include pregnant women, health workers, midwives, head of village and village health forum chairman. The result showed only antenatal care implemented to detect high-risk pregnancy and no programs and community empowerment efforts in early detection of high-risk pregnancies.


2019 ◽  
Vol 4 (1) ◽  
pp. 199
Author(s):  
Rosmeri Bukit

<p><em>A high-risk pregnancy is a pathological pregnancy that can affect the general state of the mother and baby. Early detection can be done on antenatal care service is by increasing coverage of antenatal care especially pregnancy examination ≥ 4 times or K4. The purpose of this study is to determine the relationship of pregnancy examination K4 with high risk of third trimester pregnancy at Harapan Raya Pekanbaru Health Center in 2014. The research quantitative type with analytical method, using cross sectional approach. Population of all pregnant women in the third trimester who conducted pregnancy checkup at the Puskesmas Harapan Raya total of 50 people. The sample size was 50 people with Total Sampling and statistical test using Chi square test. The results showed that obtained P value 0.001 where P value ≤ 0.005 Ho in rejection means there is a significant relationship. The conclusion of this study is that there is a relationship between the examination of pregnancy K4 with the incidence of high risk pregnancy trimester III.</em></p><p><em><br /></em></p><p><em>Kehamilan resiko tinggi merupakan kehamilan patologi yang dapat mempengaruhi keadaan umum ibu dan bayi. Cara deteksi dini dapat dilakukan pada pelayanan antenatal care yaitu dengan peningkatan cakupan pelayanan antenatal khususnya pemeriksaan kehamilan ≥4 kali atau K4. Tujuan penelitian ini adalah untuk mengetahui hubungan pemeriksaan kehamilan K4 dengan resiko tinggi kehamilan trimester III di Puskesmas Harapan  Raya Pekanbaru tahun 2014. </em><em>Jenis penelitian kuantitatif dengan metode analitik, menggunakan pendekatan cross sectional. Populasi seluruh ibu hamil trimester III yang  melakukan pemeriksaan kehamilan di Puskesmas Harapan Raya  jumlah 50 orang. Jumlah sampel  50 orang   dengan Total Sampling dan uji statistik menggunakan  uji Chi square. Hasil penelitian menunjukkan bahwa diperoleh P value 0,001 dimana P value ≤ 0,005 Ho di tolak artinya ada hubungan yang signifikan. Simpulan dari penelitian ini yaitu ada hubungan antara pemeriksaan kehamilan K4 dengan  kejadian kehamilan resiko tinggi trimester III.</em></p><p><em><br /></em></p>


2019 ◽  
Author(s):  
Sumaiya Abedin ◽  
Dharma Arunachalam

Abstract Background A high level of maternal, infant and neonatal mortality occurs in Bangladesh. Certain childbearing practices as well as low use of antenatal care services make Bangladeshi women more vulnerable to experience poor health during pregnancy which contributes adverse birth outcomes. Also, women in Bangladesh remain considerably subordinate to men in almost all aspects of their lives, from education and work opportunities to healthcare utilisation. This lack of opportunities contributes to the low status of women within their family and society, and generally poor health outcomes for both mother and children. This study thus aims to investigate the factors associated with severity of health complications during pregnancy in relation to the low status of women, and the relative role of childbearing practices and antenatal care uptake to influence this relationship. Methods The relevant data from the last Bangladesh Demographic and Health Survey (BDHS) is used in this study. Multinomial logistic regression models (MLRM) of categorical response variables are applied as statistical tools to analyse the relevant data for the outcome variable: high-risk pregnancy. Results In Bangladesh, about 38.7% of women experienced high-risk pregnancies with multiple health complications. Findings of the study firstly found women’s decision-making autonomy and freedom of movement significantly associated with high-risk pregnancies. However, the results further reveal that maternal childbearing practices and antenatal care uptake had strong significant effects on high-risk pregnancies. Maternal age, particularly early childbearing of women had about 52% increased risk, and use of antenatal care had about 0.58 times less risk in having high-risk pregnancies. Conclusion Although the maternal decision-making autonomy and freedom of movement had significant effects on high-risk pregnancies, however, their relationships were strongly mediated by both maternal childbearing practices and uses of antenatal care.


2020 ◽  
Vol 8 (T1) ◽  
pp. 115-121
Author(s):  
Rosmala Nur ◽  
St. Radiah ◽  
Ulfa Aulia ◽  
Rahma Rahma Dwilarasati ◽  
Nurhaya S. Patui ◽  
...  

BACKGROUND: Pregnant women are considered as a risk group for exposure to COVID-19. Changes in their hormones and immune systems possibly influence their rate of infection by several viruses, including the coronavirus. This stresses the need to observe necessary precautions, by maintaining social distancing, avoiding crowds, and staying at home. Furthermore, the condition also influences the scope of pregnant women’s antenatal visits. AIM: The study aims to determine the effect of COVID-19 on antenatal visits by pregnant women. Furthermore, it seeks to ascertain the effect of electronic technology antenatal care (e-ANC) on the enhanced participation of midwives and pregnant women in antenatal care (ANC) (i.e., counseling, high-risk early detection on pregnancy, and monitoring of Hb and Fe tablets). Therefore, the impact COVID-19 on women’s reproductive health during the pandemic is also evaluated. METHODS: This research involved pre- and post-test experiments on 30 pregnant women and 20 midwives at areas around the Public Health Centers in Tinggiede and Marawola. A purposive sampling technique was adopted, and the results were analyzed using a paired t-test. RESULTS: The study showed discrepancies in the ANC visits of pregnant women before and after the COVID-19 lockdown period, with p < 0.00. Furthermore, there were also differences in midwife participation in counseling by p < 0.00, high-risk early detection on pregnancy by p < 0.001, Hb monitoring by p < 0.002, and provision of Fe tablets by p < 0.003 during the pandemic. Moreover, the pregnant women showed variations in the frequency of counseling by p < 0.00, high-risk early detection on pregnancy by p < 0.00, Hb monitoring by p < 0.002, and the provision of Fe tablets by p < 0.003. The e-ANC instigated a decline in reproductive health problems before (73.4%) and after (10.0%) the intervention. CONCLUSION: The lockdown period influences the low antenatal visits of pregnant women. However, e-ANC for midwives and pregnant women is developed as an alternative solution to improve ANC (i.e., counseling, high-risk early detection, and monitoring Hb and Fe tablets). This consequently has an effect on the reduced reproductive health problems of pregnant women during the pandemic.


2020 ◽  
Vol 1 (2) ◽  
pp. 8-14
Author(s):  
Ketut Suarayasa ◽  
Bertin Ayu Wandira

The purpose of this study was to obtain an overview of pregnancy risk factors in pregnant women accompanied by young doctor from the IKM-KK department of the Faculty of Medicine at Tadulako University during a stase at the Primary Health Care in the city of Palu. The design of this study was descriptive in order to obtain an overview of pregnancy risk factors obtained from the checklist for assisting pregnant women. The population in this study were all pregnant women who received young doctor from the IKM-KK department in the last 2 (two) years, totaling 147 pregnant women. While the sample in this study was 3rd trimester pregnant women whose notes in the accompanying book are complete. The results showed that: 1) Compliance with the lowest Antenatal Care standard in laboratory tests (70%); 2) Pregnant Women with Low Risk Pregnancy (KRR) of 58.2%, High Risk Pregnancy (KRT) of 32.2% and Very High Risk Pregnancy (KRST) of 9.6%; 3) The three highest risk factors for pregnancy are getting pregnant too soon again <2 years (31.3%), had cesarean section (22.9%) and pre-eclampsia (16.7%); and 4) Pregnant women with very high risk pregnancies (KRST) at most (72.7%) were found in urban health centers, including: kamonji (36.3%), Singgani (18.2%) and Talise (18.2%).


Author(s):  
Ibtihal M Fadhil

DOI: http://dx.doi.org/10.5915/30-1-16284The records of 408 pregnant women were reviewed to measure staff performance and work efficiency in four maternal and child health centers in Southern Iraq. Under-recording was evident as only 18% of the women were identifed as high risk by the health staff; whereas, the author identified two thirds of the pregnant women (66%) as high risk because of having one or more of the risk factors. The results of the study show the inability of staff to recognize the importance of risk identification and antenatal care continuity. No correlation was found between antenatal care and the place of delivery. The performance of some of the necessary screening tests was poor. Discussion will include further staff training and a new risk scoring system as a means to improve the efficiency of health workers and improve the effectiveness of the risk strategy in antenatal care in that setting.


2019 ◽  
Author(s):  
Indriyani Widiastuti ◽  
Dewi Marfuah

Background: Screening is an early examination to assess whether someone has risk factors of health problems. Risk Pregnancy is a pregnancy with certain risks which can endangered the condition of the mother or baby. Purpose: This research aims to know the Description of Low Risk Pregnancy, the Description of High-Risk Pregnancy, and the Description of Very High Risk Pregnancy in Pregnant Mothers with Trimester I, I, III in Bandung City. Method: This research is a quantitative descriptive research using cross sectional design. Conducted in May-June 2019, with research’s subject of 116 pregnant mothers in Puter and Pagarsih health center selected using convenience sampling technique. Data collection using Poedji Rochjati Screening and data analysis usingfrequencydistribution. Result:This research showed that the LowRiskpregnancy in pregnant mothers of the trimester I High Risk as many as 11 people (9,5%), Trimester II High Risk as many as 26 people (22,4%), and Trimester III High Risk as many as 36 people (31,0%), Conclusion: The of research overall obtained by pregnant maternal with trimesters I, II, III were in the category of high risk pregnancy. Public health center management need to improve the program related to pregnancy, for example family planning programs, and the prevention of anemia to reduce risk pregnancies for pregnant women.


2018 ◽  
Vol 1 (1) ◽  
pp. 46-53
Author(s):  
Ahmed M. M. Hany ◽  
Ahmed H. Abdellah ◽  
Ahmed H. Mohammed

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