scholarly journals FACTORS INFLUENCING MATERNAL LABOR COMPLICATION IN KUTAI KARTANEGARA REGION

2018 ◽  
Vol 4 (5) ◽  
pp. 510-517
Author(s):  
Widya Astutik ◽  
Djaswadi Dasuki ◽  
Djaswadi Dasuki ◽  
Djaswadi Dasuki ◽  
Herlin Fitriani Kurniawati ◽  
...  

Background: To decrease Maternal Mortality Rate until 70 per 100,000 living birth in 2030 (SDGs) has become the health priority. In fact, the Maternal Mortality Rate in Indonesia is still very high, and almost two-third maternal mortality is caused by maternal labor complications.Objective: The objective of the study was to investigate the factors influencing maternal labor complications in Kutai Kartanegara Region in 2017.Methods: This was a correlational study with cross sectional design. The populations in the study were women who had labor process in the area of Kutai Kartanegara Region. There were 95 respondents selected using purposive sampling. Data were collected using questionnaires and medical records. Chi-square and logistic regression were used for data analysis.Results: Most of respondents had maternal labor complication (53.7%). The highest complication occurred was prolonged labor (58.9%). Factors influencing maternal labor complication were antenatal care, mothers age, education level, parity, and distance of pregnancy. Age was identified as the most dominant variable influencing maternal complication, with the value of OR was 5.837, which indicated that high-risk-age mothers have 5.837 times of labor complication than mothers with no risk age.Conclusion: Antenatal care, age, education, parity and distance of pregnancy had correlation with maternal labor complications, and its most dominant variable was age.

Author(s):  
Yuhemy Zurizah Yuhemy Zurizah

  ABSTRACT Maternal Mortality Rate is a barometer of mother health service in a country. At this time maternal mortality rate in Indonesia is still very high. Indonesia Demography Survey on 2007, maternal mortality rate is about 28 per 100.000 of live births. The direct cause of maternal mortality in Indonesia as well as in the other country is hemorraghe (25%), sepsis (15%), eklampsia (12%), abstructed labor (8%). World Health Organization (WHO), 35-37% of pregnant women in developing coutries get anemy. Causing factor’s of anemy on pregnant women is age of pregnant, parity, economi socio, job, education, and nutritional status. Purpose of this research is to know the associated factors with incidence of anemy on pregnant women at the Health Center Talang Ratu Palembang in 2014. This research use analytic survey method with “cross sectional” approach. Population in this research is all of preganant women in medical treatment at Talang Ratu Palembang in 2014. Sample taking in this research with non random samplingmethod and accidental sampling technic. Analysis with univariatly and bivariatlywith Chi Square Statistic test with significant level α 0,05. The result of this research show that from 35 respondent there is (48,6%) respondent with anemy, high–risk age (28,6%), high parity (60,0%) and low economi socio (37,1%). This result show that there is significant relationship between age with incidence of anemy on pregnant women at the health center Talang Ratu Palembang in 2014 with p value0,027, there is significant relationship between parity with incidence of anemy on pregnant women at the health center Talang Ratu Palemabang in 2014 with p value0,023, and there is significant relationship between economi socio with incidence of anemy on pregnant women at the health center Talang Ratu Palembang in 2014 with p value0,026. Of the result, the author hope that health service worker at Talang Ratu health center can improve health service to pregnant women and often giving information about anemy on pregnant and nutritional for pregnant women during pregnancy.     ABSTRAK Angka Kematian Ibu (AKI) merupakan barometer pelayanan kesehatan ibu di suatu negara. Pada saat ini angka kematian ibu di Indonesia masih sangat tinggi. Menurut Survey Demografi dan Kesehatan Indonesia (SDKI) tahun 2007, angka kematian kematian ibu adalah 28 per 100.000 kelahiran hidup. Penyebab langsung kematian ibu di Indonesia seperti halnya Negara lain adalah perdarahan (25%), sepsis (15%), eklampsi (12%), partus lama (8%). Menurut World Health Organization (WHO), 35-37% ibu hamil di negara berkembang dan 18% di negara  maju mengalami anemia. Faktor penyebab terjadinya anemia pada ibu hamil secara tidak langsung adalah umur ibu, paritas, sosial ekonomi, pekerjaan, pendidikan, jarak kehamilan, dan status gizi.Tujuan penelitian ini adalah untuk mengetahui faktor - faktor apa saja yang berhubungan dengan kejadian anemia pada ibu hamil di Puskesmas Talang Ratu Palembang Tahun 2014. Penelitian ini menggunakan metode survey analitikdengan pendekatan cross sectional. Populasi dalam penelitian ini adalah seluruh ibu hamil yang berobat di Puskesmas Talang Ratu Palembang Tahun 2014. Pengambilan sampel pada penelitian ini dengan metode non random sampling dengan teknik Accidental sampling. Analisis dilakukan secara univariat dan bivariat. Dengan uji statistik chi square tingkat kemaknaan α 0,05. Hasil penelitian menunjukkan dari 35 responden terdapat (48,6%) responden yang anemia, umur yang beresiko  tinggi (28,6%), paritas tinggi (60,0%), dan sosial ekonomi rendah (37,1%). Hasil penelitian ini menunjukkan ada hubungan yang bermakna antara umur dengan kejadian anemia pada ibu hamil di Puskesmas Talang Ratu Palembang Tahun 2014 dengan  p value0,027,  ada hubungan bermakna antara paritas dengan kejadian anemia pada ibu hamil di Puskesmas Talang Ratu Palembang Tahun 2014 dengan p value0,023 dan ada hubungan yang bermakna antara sosial ekonomi dengan kejadian anemia pada ibu hamil di Puskesmas Talang Ratu Palembang Tahun 2014 dengan p value0,026. Dari hasil penelitian ini penulis berharap petugas kesehatan di Puskesmas Talang Ratu Palembang meningkatkan pelayanan kesehatan pada ibu hamil dan lebih sering melaksanakan penyuluhan anemia pada kehamilan dan nutrisi yang baik bagi ibu hamil.    


2018 ◽  
Vol 3 (1) ◽  
pp. 1
Author(s):  
Nila Eza Fitria

<p><em>Maternal Mortality Rate (MMR) is one indicator of the success of health services in a country. Maternal deaths occur for several reasons, including anemia The purpose of this research is to know the relationship of knowledge of pregnant women with Fe tablet with anemia occurrence in jorong Koto Malintang Puskesmas Agam District 2014. This research is cross sectional research design conducted in Jorong Koto Malintang Puskesmas Kamih Agam on 23 s / d 29 August 2014. The sample in this study pregnant women in Jorong Koto Malintang 30 people. Univariate analysis has been done descriptive and bivariate analysis using chi-square test. The results showed 30 respondents classified as less knowledgeable (36.7%) and more than half of pregnant women (63.3%) suffered from anemia. The result of bivariate analysis with trust level 0,05 indicates a significant relationship between the existence of Knowledge about Tablet Fe Pregnancy with Genesis Anemia where value p = 0,002 (p = &lt;0,05). Can be concluded in this research there is a significant relationship between mother's knowledge about Fe tablet with anemia. It is expected to improve the knowledge of pregnant women about the importance of Fe tablets consumed by pregnant women during pregnancy to prevent anemia</em></p><p><em><br /></em></p><p>Angka Kematian Ibu (Maternal Mortality Rate / MMR) merupakan salah satu indikator keberhasilan pelayanan kesehatan di suatu negara. Kematian ibu terjadi karena beberapa alasan, termasuk anemia. Tujuan penelitian ini adalah mengetahui hubungan pengetahuan ibu hamil dengan tablet Fe dengan kejadian anemia di jorong Koto Malintang Puskesmas Kabupaten Agam tahun 2014. Penelitian ini adalah rancangan penelitian cross sectional yang dilakukan di Jorong Koto Malintang Puskesmas Kamih Agam pada 23 s/d 29Agustus 2014. Sampel dalam penelitian ini ibu hamil di Jorong Koto Malintang 30 orang. Analisis univariat telah dilakukan analisis deskriptif dan bivariat menggunakan uji chi-square. Hasilnya menunjukkan 30 responden tergolong kurang berpengetahuan (36,7%) dan lebih dari setengah ibu hamil (63,3%) menderita anemia. Hasil analisis bivariat dengan tingkat kepercayaan 0,05 menunjukkan adanya hubungan yang signifikan antara adanya Pengetahuan Tentang Tablet Fe Hamil dengan Anemia Genesis dimana nilai p = 0,002 (p = &lt;0,05). Dapat disimpulkan dalam penelitian ini ada hubungan yang signifikan antara pengetahuan ibu tentang tablet Fe dengan anemia. Diharapkandapat meningkatkan pengetahuan ibu hamil tentang pentingnya tablet Fe dikonsumsi oleh ibu hamil selama kehamilan untuk mencegah anemia. </p><p><em><br /></em></p>


Author(s):  
Ni Nyoman Yeyen Abriyani

World Health Organization (2014) data shows that Maternal Mortality Rate in the world reached 289,000 inhabitants.  Indonesian  Demographic  Health  Survey  in  2012 mentioned that  the  maternal mortality rate  (MMR) in  Indonesia reached  359  /  100,000  live birth. Low hemoglobin levels in pregnant women can cause anemia. It can also increase the frequency of complications in pregnancy and childbirth as well as increase the risk of maternal mortality, the rate of prematurity, low birth weight. This study aims to determine the correlation between hemoglobin levels of pregnant women and birth weight at Kirana Maternal Hospital. This study applied a correlational study using cross sectional design. The data types used This study applied a correlational study using cross sectional design. The data types used         secondary data obtained from medical records and maternal health book. The results of the study later in the normality test and analyzed using Pearson test. The results showed that there was no study later in the normality test and analyzed using Pearson test. The results showed that there was no significant correlation between hemoglobin levels of pregnant women and birth weight in Kirana Maternal Hospital in 2016 with 0.00 significance value 0.05


2018 ◽  
Vol 8 (2) ◽  
Author(s):  
Ika Mardiyanti

The incidence of Abortion in terms of the maternal age in The Private Midwife Clinic of Ita Ariani Wonoayu Sidoarjo. Maternal Mortality Rate in Indonesia is still high about 206 over 100.000 life births. Abortion is one of the cause of maternal mortality rate. And pregnant mother who had age ( < 20 and > 35 tahun years old) is more get abortion. The purpose of this research is to analyze the correlation between maternal age with the occurance of abortion in The Private Midwife Clinic of Ita Ariani Wonoayu Sidoarjo. Design of this research is observational analytic using cross sectional method. Population of this research is 15 pregnant mothers with pregnancy age less than 20 weeks. Sample of this research as many as 14 people with simple random sampling technique. The independent variable is maternal age and the dependent variable is occurance of abortion. The data is collected from medical record and analyzed by using Chi – Square test. Result of this research show that most of respondents are pregnant mother who had low risk age (20 – 35 years old) as many as 8 people (57,1%) and pregnant mother who got abortion as many as 5 people (35,7%). Based from Chi–Square test show that P = 0,001 < α = 0,05 and it is mean that there is correlation between mother age with the occurance of abortion. The conclusion of this research is mother age is one of the cause of abortion. Pregnant mother who had younger age (< 20 years old) and older age (> 35 years old), the probability of abortion is higher so pregnant mother must do ANC regularly.


2019 ◽  
Vol 2 (2) ◽  
Author(s):  
Tutik Ekasari ◽  
Mega Silvian Natalia ◽  
Muthmainnah Zakiyyah

 AbstrakPreeklampsia merupakan masalah kebidanan yang masih belum bisa dipecahkan secara tuntas dan merupakan penyebab kematian ibu. Angka Kematian Ibu (AKI) di Indonesia sekitar 1,5% - 2,5%. Pada tahun 2016 di Kabupaten Probolinggo Angka Kematian Ibu (AKI)  sebanyak 15 orang sedangkan 10 orang diantaranya dikarenakan Preeklampsia. Berdasarkan survei pendahuluan di Dinas Kesehatan Kabupaten Probolinggo pada tahun 2014 Angka Kematian Ibu akibat preeklampsi yaitu 16,66%, pada tahun 2015 sebanyak 30,77% dan pada tahun 2016 sebanyak 66,66%. Tujuan penelitian ini adalah mengetahui faktor dominan yang mempengaruhi kejadian preeklampsia. Desain yang digunakan dalam penelitian ini adalah analitik korelasional dengan pendekatan cross sectional. Populasi yang digunakan adalah semua ibu hamil preeklampsi pada bulan Juni - Agustus 2017 sebanyak 134 orang. Teknik pengambilan sampel dengan simple random sampling dan diperoleh sampel sejumlah 100 orang. Uji statistik yang digunakan adalah Chi Square dan uji Regresi logistik. Hasil penelitian menunjukkan kejadian preeklampsia adalah 71% dan variabel yang berhubungan secara signifikan adalah umur ibu, paritas, riwayat komplikasi, dan penyakit kronik. Variabel yang dominan pada penelitian ini adalah umur ibu dengan OR 4,302 artinya responden yang umur <20 tahun dan >35 tahun berpeluang 4,302 kali lebih berisiko preeklampsia dibandingkan dengan yang berumur 20 – 35 tahun. Saran petugas kesehatan lebih mengoptimalkan pelayanan ANC. Kata Kunci : preeklampsia, ibu hamil, AKI, AKB AbstractPreeclampsia is a midwifery problem that has not been completely resolved and the cause of maternal death. Maternal Mortality Rate (MMR) in Indonesia ranges from 1.5% - 2.5%. In 2016 in Probolinggo Regency the Maternal Mortality Rate (MMR) was 15 people while 10 of them were due to Preeclampsia. Based on a preliminary survey at the Probolinggo District Health Office in 2014 the maternal mortality rate due to preeclampsia was 16.66%, in 2015 it was 30.77% and in 2016 66.66%. The aim of the study was to determine the dominant factors that influence the incidence of preeclampsia. The design used in this study is correlational analytic with cross sectional approach. The population used was all preeclamptic pregnant women in June - August 2017 as many as 134 people. The sampling technique was simple random sampling and a sample of 100 people was obtained. The statistical test used is Chi Square and logistic regression test. The results showed that the incidence of preeclampsia was 71% and the variables that were significantly related were maternal age, parity, history of complications, and chronic disease. The dominant variable in this study is the age of the mother with OR 4.302 which means that respondents aged <20 years and> 35 years have a chance of 4.302 times more at risk of preeclampsia than those aged 20 - 35 years. Advice from health workers to optimize ANC services. Keywords : preeclampsia, pregnant mother, AKI, AKB


2019 ◽  
Vol 2 (2) ◽  
Author(s):  
Tutik Ekasari ◽  
Mega Silvian Natalia ◽  
Muthmainnah Zakiyyah

AbstrakPreeklampsia merupakan masalah kebidanan yang belum dapat terpecahkan secara tuntas dan penyebab kematian ibu. Angka Kematian Ibu (AKI) di Indonesia berkisar 1,5% - 2,5%. Pada tahun 2016 di Kabupaten Probolinggo Angka Kematian Ibu (AKI)  sebanyak 15 orang sedangkan 10 orang diantaranya dikarenakan Preeklampsia. Berdasarkan survei pendahuluan di Dinas Kesehatan Kabupaten Probolinggo pada tahun 2014 Angka Kematian Ibu akibat preeklampsi yaitu 16,66%, pada tahun 2015 sebanyak 30,77% dan pada tahun 2016 sebanyak 66,66%. Tujuan penelitian adalah mengetahui faktor dominan yang mempengaruhi kejadian preeklampsia. Desain yang digunakan dalam penelitian ini adalah  analitik korelasional dengan pendekatan cross sectional. Populasi yang digunakan adalah semua ibu hamil preeklampsi pada bulan Juni - Agustus 2017 sebanyak 134 orang. Teknik pengambilan sampel dengan simple random sampling dan diperoleh sampel sejumlah 100 orang. Uji statistik yang digunakan adalah Chi Square dan uji Regresi logistik. Hasil penelitian menunjukkan kejadian preeklampsia adalah 71% dan variabel yang berhubungan secara signifikan adalah umur ibu, paritas, riwayat komplikasi, dan penyakit kronik. Variabel yang dominan pada penelitian ini adalah umur ibu dengan OR 4,302 artinya responden yang umur <20 tahun dan >35 tahun berpeluang 4,302 kali lebih berisiko preeklampsia dibandingkan dengan yang berumur 20 – 35 tahun. Saran petugas kesehatan lebih mengoptimalkan pelayanan ANC. Kata Kunci : preeklampsia, ibu hamil, AKI, AKB  AbstractPreeclampsia is a midwifery problem that has not been completely resolved and the cause of maternal death. Maternal Mortality Rate (MMR) in Indonesia ranges from 1.5% - 2.5%. In 2016 in Probolinggo Regency the Maternal Mortality Rate (MMR) was 15 people while 10 of them were due to Preeclampsia. Based on a preliminary survey at the Probolinggo District Health Office in 2014 the maternal mortality rate due to preeclampsia was 16.66%, in 2015 it was 30.77% and in 2016 66.66%. The aim of the study was to determine the dominant factors that influence the incidence of preeclampsia. The design used in this study is correlational analytic with cross sectional approach. The population used was all preeclamptic pregnant women in June - August 2017 as many as 134 people. The sampling technique was simple random sampling and a sample of 100 people was obtained. The statistical test used is Chi Square and logistic regression test. The results showed that the incidence of preeclampsia was 71% and the variables that were significantly related were maternal age, parity, history of complications, and chronic disease. The dominant variable in this study is the age of the mother with OR 4.302 which means that respondents aged <20 years and> 35 years have a chance of 4.302 times more at risk of preeclampsia than those aged 20 - 35 years. Advice from health workers to optimize ANC services. Keywords : preeclampsia, pregnant mother, AKI, AKB


2019 ◽  
Vol 7 (2) ◽  
pp. 122
Author(s):  
Imroatul Hasanah ◽  
Nurul Fitriyah

National health development strategy has resulted in improved public health status. One of indicators public health is Maternal Mortality Rate (MMR). Maternal Mortality Rate is a health problem that still many still occur in Indonesia. One factor contributing to high incidence of maternal mortality is lack of antenatal care attention. Antenatal care is an important and mandatory thing done by mother during pregnancy because it can maintain the health of mother and fetus until the birth process. Antenatal care can identify the risk of complications experienced by the mother during pregnancy. Participation  of antenatal care not only from wife, but participation of pregnancy care can also be from support of the closest person is husband. Husband role is needed in the care of pregnancy because wife needs a lot of biological and psychological support. Purpose of research is to know characteristics husband to antenatal care in Mulyorejo. Type of research is descriptive with cross sectional using qualitative method. Techniques data collection using questionnaires with the sample number of respondents is 20 husbands who have pregnant wives. Respondent is taken from Mulyorejo Health Center data. Analysis Method with descriptive statistics by displaying the frequency in the form of tables showing the categories of characteristics husband. This study lasted for one month in October to November 2017. The results showed that characteristics of husbands in antenatal care in Mulyorejo is sufficient category. Knowledge of husband is 14 people (70%), husband attitude is 10 people (50%), and husband behavior is 13 people (65%).


Author(s):  
Subandrate Subandrate ◽  
Mia Esta Poetri Afdal Faisal ◽  
Nurul Windi Anggraini ◽  
Sadakata Sinulingga

Background<br />Maternal mortality rate is still a health problem in Indonesia. One major contributor to maternal mortality rate in Indonesia is preeclampsia. One widely accepted theory is that preeclampsia is caused by oxidative stress. Placental hypoxia or ischemia among preeclampsia patients is thought to be the cause of the formation of free radicals such as malondialdehyde (MDA), which decreases endogenous antioxidants such as glutathione (GSH). This study aims to ascertain the difference in plasma malondialdehyde and glutathione levels between healthy and preeclamptic pregnant women.<br /><br />Methods<br />This was an observational analytic study of cross sectional design. Research subjects were 30  normal (healthy) pregnant women (NP), and 30 pre-eclamptic pregnant (PE) women. The measurement of plasma MDA and GSH levels was done at the Biochemistry and Molecular Biology laboratories, Faculty of Medicine, Sriwijaya University using Sigma-Aldrich MDA and GSH assay kits. Mann Whitney test was used to analyze the data. <br /><br />Results<br />Subjects aged &gt;35 years, with age of gestation &gt;35 weeks and multipara was significantly higher in the PE group compared to the NP group (p=0.016; p=0.01 and p=0.36; respectively). MDA level was significantly higher in the PE group than in the NP group (p=0.002). In contrast, GSH level was significantly lower in the PE group than in the NP group (p=0.003).<br /><br />Conclusion<br />MDA and GSH may reflect vascular complications of PE, and the ensuing increases in lipid peroxidation may play important pathogenic roles.


2020 ◽  
Vol 4 (3) ◽  
pp. 100-111
Author(s):  
Vita Camelia ◽  

Stunting is a children growth problem that occurs a result of chronic malnutrition in the first 1000 days of life. The indicator of stunting is using the height measurement according to age HFA (Height for Age) under -2 SD based on the WHO growth standard curve according to sex. The impacts of stunting are the occurrence of growth disorders, barriers to development and the risk of metabolic disorders in adulthood. One of the risk factors for stunting is history of quality and quantity Antenatal Care (ANC). This study aimed to determine the relationship between quality and quantity history of ANC visits and stunting in toddlers aged 24-59 years in Pujon District Malang Regency. The method used in this research was observational analytic by using cross-sectional design. The population of this study was all mothers who have children aged 24-59 months that were conducted in January 2020. Ninety eight respondents taken by purposive sampling as the sample of the research. The data was obtained by filling out questionnaires and KIA books, then analyzed with chi-square test (α = 0.05). The results showed that there was a significant relationship in quality (p-value = 0.004) and quantity (p-value = 0.003) toward stunting.


2019 ◽  
Author(s):  
Hasifah K. Namatovu ◽  
Tonny J. Oyana ◽  
Jude T. Lubega

AbstractThere is growing evidence in Uganda that the non-attendance of antenatal care is largely influenced by the lack of decision-making autonomy, inadequate information and poor services offered in health facilities. Although previous studies have examined barriers and facilitators of antenatal care, a few of them have investigated the extent of decision making autonomy and ICT adoption among expectant mothers. A cross sectional design through focus group discussions and survey questionnaires was used to collect data. Three hundred and twenty households were randomly sampled in Kampala and Jinja districts. The Chi-square tests (χ2) for independence to analyze group differences among women’s socio-demographic characteristics and decision-making autonomy was used. Inclusion criteria included respondents aged 18 and 50 years, completion of primary school education, expectant mothers and mothers who gave birth two years prior to the study. A hundred and sixty-four respondents participated in this survey. About 59.5% of women lacked decision making autonomy. Midwives (37.6%) and village health teams (35%) were a major source of antenatal care information, and 49.5% of expectant mothers lacked ANC information. Ninety percent (90%) of mothers did not use any form of ICT’s to enhance their decisions yet 79% possessed mobile phones. We observed a strong association between antenatal care decision-making autonomy and women with higher education (χ2 = 8.63, ρ = 0.035), married (χ2 = 4.1, ρ = 0.043) and mature (36–50) (χ2 = 8.81, ρ = 0.032). The main findings in this study suggest that ICT adoption and decision making autonomy among expectant mothers is still low and less appreciated. Control measures and interventions should be geared towards empowering women to influence their decisions.


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