scholarly journals THE CORRELATION BETWEEN LEVEL OF HEMOGLOBIN, HEMATOCRIT, AND THROMBOCYTES OF MOTHER AND ASPHYXIA IN NEWBORN

2018 ◽  
Vol 4 (5) ◽  
pp. 476-481
Author(s):  
Norwidya Priansiska ◽  
Abkar Raden ◽  
Dewi Rokhanawati

Background: Infant mortality in Indonesia is at the highest level among the countries in South East Asia. Asphyxia in newborn has become the second risk factor for infant mortality.Objective: The objective of this study was to investigate the correlation between the level of hemoglobin, hematocrit, and thrombocytes of the mothers and asphyxia in the newborns at Panembahan Senopati Bantul Hospital.Methods: The study employed case-control method with 282 samples, which 141 assigned in the case and control group. This study used medical record of the patients as the secondary data. Chi-square, multiple logistic regression, and Odds Ratio Calculation (OR) were used for data analysis.Results: There was a meaningful correlation between the level of hemoglobin (OR=2.3, 95%CI=1.3-4), hematocrit (OR=4.3, 95%CI=1.4-13.4, and thrombocytes (OR=5.3, 95%CI=1.14-24.6) of the mothers and asphyxia in newborns. Thrombocytes was the most dominant factor related to asphyxia in newborns..Conclusion: Mothers who have hemoglobin, hematocrit and thrombocytes levels under the normal have more than 2 times risk of asphyxia in their newborn than mothers who have normal hemoglobin, hematocrit and thrombocytes levels.

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>


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.


2019 ◽  
Vol 19 (1) ◽  
pp. 77-82
Author(s):  
Rina Mardiyana ◽  
Yusniar Hanani Darundiati ◽  
Hanan Lanang Dangiran

Latar Belakang: Stunting merupakan suatu kondisi kronis terhambatnya pertumbuhan yang ditentukan dengan menghitung skor Z indeks Tinggi Badan per Umur  kurang dari -2 SD. Prevalensi stunting pada balita di Kecamatan Ngablak terus meningkat dari tahun 2016 sampai dengan 2018. Kecamatan Ngablak merupakan salah satu kecamatan di Kabupaten Magelang yang tingkat pemakaian pestisidanya cukup tinggi. Pestisida dapat mempengaruhi sintesis hormon tiroid sehingga dapat menyebabkan terjadinya gangguan pertumbuhan.Tujuan penelitian ini untuk menganalisis hubungan paparan pestisida dengan kejadian stunting pada anak usia 2-5 tahun di Kecamatan Ngablak Kabupaten Magelang.Metode: Penelitian ini menggunakan jenis penelitian analitik observasional dengan desain studi case control. Populasi dalam penelitian ini adalah ibu yang memiliki anak usia 2-5 tahun di wilayah kerja Puskesmas Ngablak, sedangkan sampel dikelompokkan ke dalam kasus dan kontrol dengan 47 subjek disetiap kelompok yang ditentukan dengan teknik proporsional random sampling. Analisis dilakukan dengan menggunakan uji Chi Square.Hasil: Hasil penelitian menunjukkan terdapat hubungan yang signifikan antara kebiasaan anak bermain di area pertanian (p=0,011), penyimpanan pestisida di dalam rumah (p=0,036), keterlibatan ibu dalam menyemprot (p=0,040), mencuci alat semprot (p=0,040), mencampur pestisida (p=0,040) dengan kejadian stunting dan tidak ada hubungan yang signifikan antara penggunaan insektisida didalam rumah (p=0,304) dengan kejadian stunting.Simpulan: Terdapat hubungan antara kebiasaan anak bermain di area pertanian, penyimpanan pestisida di dalam rumah, menyemprot, mencuci alat semprot, dan mencampu pestisida dengan kejadian stunting pada anak usia 2-5 tahun di Kecamatan Ngablak Kabupaten Magelang. Kata kunci: stunting, paparan pestisida, anak usia 2-5 tahun ABSTRACT Title: Pesticide Exposure with the Incidence of stunting in Children Aged 2-5 Years in Magelang Regency (Case Study in Ngablak District) Background: Stunting is a chronic condition of growth retardation determined by calculating Z score index body-length-for-age children with stunting is lower than -2 SD. The prevalence of stunting in children under five in Ngablak District continues to increase from 2016 to 2018. Ngablak District in one of the districts in Magelang Regency where the level of pesticide use is quite high. Pesticides can effect the synthesis of thyroid hormones so that they can cause growth disorders. The purpose of this study was to analyze the associated of exposure to pesticides with the incidence of stunting in children aged 2-5 years in Ngablak District, Magelang Regency. Method: This was observational analytic research with case control. The population was mothers who had children aged 2-5 years in the Ngablak District of this research, while the samples were divided into case and control group with 47 respondents in each group which proportioned using proportional random sampling technique. The analysis of the research was conducted by using Chi-Square test.Result: Result showed that there were significant relationship significant relationship between the habits of children playing in the agrucultural area (p = 0,011), storage of pesticides in the house (p = 0,036), involvement of the mother in spraying (p = 0,040), washing spray equipment (p = 0,040), mixing pesticides (p = 0,040) with the incidence of stunting and there are no significant relationship between insecticide use in the home (p = 0,304) with incidence of stunting.Conclusion: There was a relationship between the habits of children playing in the agricultural area, storing pesticides in the house, spraying, washing sprayers, and pesticides with the incidence of stunting in children aged 2-5 years in Ngablak District, Magelang Regency.  Keywords: stunting, pesticide exposure, children aged 2-5 years


Author(s):  
HAIDER SHAHEED MOHAMMED

Objective: The objective of this study was carried out to study the characters, determinants of anemia among atrial fibrillation (AF) patients and to estimate the link between chronic anemia and AF. Methods: This is a case–control study, administrated in Al-Hussein Teaching Hospital among admitted patients in the cardiac care unit from 1st week of January 2018 to the last week of April 2019. A random sample of 100 patients was included in the study based cut of time, where a special form of inquiry sheet was constructed to gather data and it was reviewed and revised by matter experts for testing the validity and enrichment of it. Both cases of AF and control with sinus rhythm were divided into anemic and non-anemic, anemia is defined as hemoglobin <13 and <12 in male and female, respectively. A Statistical Package for the Social Sciences (SPSS) version (25) was used for data analysis. Descriptive statistics Chi-square Fischer exact test, and ANOVA tests of significance, correlation and logistic regression analysis had been estimated where p<0.05 was set as statistically significant. Results: A total of 100 individuals had been included in the study, 50 cases with AF and 50 control with mean of age was 62.74003±13.424 years 58 females with 42 males, total non-anemic was 57 while total anemic was 43, 74.4% of AF cases was anemic while 25.6% of control group was anemic, there was statistically significant difference between cases and control according to the presence and absence of anemia where p<0.05. Conclusion: The first study done in the region to prove the direct relation of anemia on incident AF, thus in conclusion, chronic anemia had a relation with AF.


2020 ◽  
Vol 2 (3) ◽  
pp. 154-162
Author(s):  
Erika Erika ◽  
Yulia Sari ◽  
Wa Ode Hajrah

Wasting is an acute malnutrition which could indirectly increase infant mortality and morbidity. Currently, wasting was serious public health problem in Indonesia with 11,1% of prevalence. This study aimed to determine the incidence of wasting in childrens aged 6-59 months in the working area of Puskesmas Kelurahan Penjaringan I, North Jakarta from March to April, 2019. The researcher measured antropometry of children to see nutritional status based on indicator of BB/TB. A case control method, as well as purposive and accidental sampling technique, was carried out in this study. As many as 60 respondents were divided into 2 groups (30 cases group and 30 control group). The data were analyzed by using chi square test and multiple logistic regression. Infectious disease history (p=0.031) and protein intake (p=0.024) were associated with wasting incidence in children. Infectious diseases history was dominant factor determining of wasting in children aged 6-59 months in Puskesmas Kelurahan Penjaringan I, North Jakarta (OR=11.897; 95% CI=1.246-113.570). Fostering integrated health post by providing counseling about increasing nutrient intake especially protein intake and handling infectious diseases in children so that wasting can be handled properly.


2020 ◽  
Vol 10 (1) ◽  
pp. 48-53
Author(s):  
Anita Herawati ◽  
Linda Kusumawati ◽  
Ahmad Hidayat

 Latar Belakang : Berdasarkan Survei Demografi Kesehatan Indonesia tahun 2013 angka kejadian kista ovarium sebanyak 37,2% yang sering terjadi pada perempuan umur antara 20 – 40 tahun. Kista ovarium ini sering disebut dengan silent killer dimana sekitar 60% - 70% pasien datang dalam keadaan sudah terdiagnosis stadium lanjut. Kejadian kista ovarium di Indonesia mengalami kenaikan yang signifikan dari tahun ketahun. Di RSUD X Banjarmasin, kejadian kista ovarium berfluktuasi pada tahun 2012 sebanyak 243 kasus, tahun 2013 sebanyak 103  kasus dan tahun 2014 sebanyak 186 kasus.Tujuan : untuk mengkaji hubungan kejadian kista ovarium dengan siklus menstruasi di RSUD X Banjarmasin.Metodologi : Desain penelitian yang di gunakan desain Case control dengan jumlah kasus 186 pasien dengan kista ovarium dan kontrol 186 pasien yang tidak kista ovarium. Analisis data dengan analisis diskriptif analitik dengan chi square, regresi logistik berganda, data penelitian yang digunakan data sekunder dari tahun 2012 -2014.Hasil penelitian : umur perempuan berisiko memiliki 5 kali kemungkinan terkena kista ovarium yaitu sebesar 29,1%, siklus menstruasi yang tidak teratur memiliki risiko 2 kali dengan probabilitas 5,8%, status pernikahan memiliki kontribusi sebanyak 9 kali lebih berisiko yaitu 6,8%, paritas pada ibu yang pernah melahirkan  akan  mengurangi risiko kista ovarium  sebesar 69,5%,  dengan kontribusi 2%. Obesitas memiliki resiko 3 kali dengan probability 19,5%, keluarga yang memiliki riwayat kista ovarium  memiliki risiko 1 kali dengan kontribusi 1,4%.  Menarche tidak berhubungan dengan kista ovarium.Kata kunci       : Kejadian  kista ovarium, siklus menstruasi,  pernikahan. ABSTRACTBackground: Based on the 2013 Indonesian Health Demographic Survey, the incidence of ovarian cysts, which amounted to 37.2%, often occured in women aged between 20-40 years. Ovarian cysts are often called the silent killer where around 60% - 70% of patients come under the diagnosis of an advanced stage. The incidence of ovarian cysts in Indonesia has increased significantly from year to year. In RSUD X Banjarmasin, the incidence of ovarian cysts fluctuates; in 2012 there were 243 cases, in 2013 there were 103 cases and in 2014 there were 186 cases.Objective: The purpose of this study was to examine the relationship between the incidence of ovarian cysts and the menstrual cycle in Banjarmasin X Hospital.Methodology: The study design used was Case-control design with 186 cases of patients with ovarian cysts and control of 186 patients who did not have ovarian cysts. The analysis of the data applied is analytical descriptive analysis with chi-square, multiple logistic regression, the research data used is secondary data from 2012 -2014.Results: Age of women at risk of having 5 times the likelihood of developing ovarian cysts is 29.1%, irregular menstrual cycles have 2 times the risk with a probability of 5.8%, marital status has a contribution as much as 9 times more risk which is 6.8 %, parity in mothers who have given birth will reduce the risk of ovarian cysts by 69.5%, with a contribution of 2%. Obesity has a risk 3 times with a probability of 19.5%, families that have a history of ovarian cysts have a one-time risk with a contribution of 1.4%. Menarche is not associated with ovarian cysts.Keywords       : Occurrence of ovarian cysts, menstrual cycle, marriage.


2020 ◽  
Vol 4 (1) ◽  
pp. 49
Author(s):  
Mita Femidio ◽  
Lailatul Muniroh

Background: Stunting was still found in coastal areas, whereas people there had greater opportunities to consume fish which is contain high animal protein to prevent stunting.Objectives: To analyze differences in parenting and nutrient adequacy level on stunting and non-stunting toddlers in the coastal area of Probolinggo District.Methods: This study was a case-control design, which conducted in the village of Pajurangan included Puskesmas Gending. The total sample were 46 toddlers (24-59 months old) divided into cases group (stunting) and control group (non-stunting) with each of group 23 toddlers, that chosen by simple random sampling method from 194 population of toddlers. Data collection included toddler height measurements with microtoise by researchers as well as the questionnaires parenting and SQ-FFQ. Data were analyzed using the Chi-Square test by Odds Ratio (OR).Results: 60.9% stunting group have parenting feeding medium category, but parenting basic health care have good parenting category (91.3%). Most of adequacy level of energy (60.9%), protein (65.2%) and zinc (56.5%) in stunting group were less category, whereas vitamin A was enough category (65.2%).Therefore, there were differences in parenting feeding (p=0.002; OR=10.37; 95%CI=2.374-45.301) and energy adequacy level (p=0.037; OR=4.407; 95%CI=1.26-15.414), protein (p=0.001; OR=12.5; 95%CI=2.828-55.254) and zinc (p=0.015; OR=6.175; 95%CI=1.589-23.993) on stunting and non-stunting toddlers. However, there were no differences in parenting basic health care (p=0.662) and adequacy of vitamin A (p=0.314) on stunting and non-stunting toddlers.Conclusions: Improper parenting and toddler with inadequate levels of energy, protein and zinc had greater risk of stunting compared to toddlers suffered enough. ABSTRAK Latar Belakang: Stunting masih terjadi di daerah pesisir, padahal masyarakat tersebut memiliki peluang lebih besar mengkonsumsi ikan yang kaya protein sehingga dapat mencegah stunting.Tujuan: Menganalisis perbedaan pola asuh dan tingkat kecukupan zat gizi pada balita stunting dan non-stunting di wilayah pesisir Kabupaten Probolinggo.Metode: Desain studi yang digunakan adalah case-control. Penelitian dilakukan di desa pesisir yaitu Desa Pajurangan, wilayah kerja Puskesmas Gending. Total sampel adalah 46 subjek balita berusia 24-59 bulan, terbagi menjadi 23 balita kelompok stunting dan 23 balita kelompok non-stunting. Pengambilan sampel menggunakan metode simple random sampling dari total populasi 194 balita. Pengumpulan data meliputi pengukuran tinggi badan balita dengan mikrotoa oleh peneliti serta wawancara kuesioner pola asuh dan Semi Quantitative Food Frequency Questionnare (SQ-FFQ). Data dianalisis menggunakan uji Chi-Square dengan melihat Odds Ratio (OR).Hasil: 60,9% kelompok stunting memiliki pola asuh pemberian makan kategori sedang, sedangkan pola asuh perawatan kesehatan dasar kategori baik (91,3%). Tingkat Kecukupan energi (60,9%), protein (65,2%) dan seng (56,5%) pada kelompok stunting kategori kurang, sedangkan vitamin A kategori cukup (65,2%). Terdapat perbedaan pola asuh pemberian makan (p=0,002; OR=10,37; 95%CI=2,374-45,301), tingkat kecukupan energi (p=0,037; OR=4,407; 95%CI=1,26-15,414), protein (p=0,001; OR=12,5; 95%CI=2,828-55,254) dan seng (p=0,015; OR=6,175; 95%CI=1,589-23,993) pada balita stunting dan non-stunting. Tidak terdapat perbedaan pola asuh perawatan kesehatan dasar (p=0,662) dan tingkat kecukupan vitamin A (p=0,314) pada balita stunting dan non-stunting.Kesimpulan: Pola asuh pemberian makan serta tingkat kecukupan energi, protein dan seng yang kurang berisiko lebih besar balitanya mengalami stunting dibanding kelompok yang cukup


2017 ◽  
Vol 5 (3) ◽  
pp. 351
Author(s):  
Eva Agustina

ABSTRACTThe hospital is one of the health facilities that provide promotive, preventive, curative, and rehabilitative services. WHO surveys in 2014 showed the incidence of surgical site infection (SSI) increased from 1.2 cases of 100 surgical become to 23.6 cases of 100 surgical procedures. This study aims to analyze the effect of operating procedure on the risk of SSI occurrence in contaminated cleaning operating patients. This research uses case control design. The sample size was 20 patients and the control group were 20 patients. Sampling is done through simple random sampling technique. Data collection is done by using secondary data that is patient medical record. The relationship between variables is calculated through chi-square test using computer applications. The result of statistic analysis showed the factors that influence the risk of IDO occurrence in the contaminated net operating patients in RSU Haji Surabaya such as preoperative bath (OR = 7,42) and shaving preoperative (OR = 6,00). Factors that have no effect on the occurrence of IDO include age factor (OR = 1.00), the nature of surgery (OR = 1.00), body temperature (OR = 1.28), nutritional status (OR = 2.78), and ASA score (OR = 2.26). The conclusion of the research is the risk factors that influence the incidence of IDO in the contaminated net operating patients at RSU Haji Surabaya ie preoperative bath and shaving preoperative. Research suggestions, socialization and supervision on the implementation of standard operating procedures and the use of IDO bundle prevention as an effort to minimize IDO incidents.Keywords: Surgical Site Infection (SSI) , contaminated cleaning operating, procedures


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


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.


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