scholarly journals Dampak Faktor Usia dan Paritas Terhadap Prevalensi Ketuban Pecah Dini Ibu pada Masa Bersalin

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Yetty Wilda ◽  
Suparji Suparji

The most crucial problem due to pregnancy complications is the occurrence of premature rupture of membranes (PRM). Premature rupture of membranes is a difficult part in pregnancy and childbirth that has an effect on increasing meternal-perinatal morbidity and death. The purpose of this study was to determine the determinants of age and parity affect the incidence of PRM. This research was a kind of analytic observation research with case control design. The study population of all women in Widodo Hospital was 1348 women, the sample of PRM maternity cases with a sample of 30 respondents. Control sample of maternal mothers with a total of 30 respondents. The sampling technique was a simple random sampling method. The independent variable were age and parity, while the dependent variable was PRM. Data collection used a checklist in the form of secondary data. To analyze the data using the Logistic Regression Test with a significance level of 0.05. The results showed that most mothers with age 35 years (79.3%) and p value = 0.004. OR value of age variable was 7.020, it could be concluded that age had a 7 times greater risk of causing PRM. Multigravida parity (72.2%) and p = 0.010. The OR value of the parity variable was 6.481, it could be concluded that parity had a 6 times greater risk of causing PRM. Conclusion: there is an influence of age and parity factors on the incidence of PRM. Pregnant women must know the signs and risk factors for PRM so that pregnant women take better care of their pregnancy. Keywords: age; parity; premature rupture of membranes ABSTRAK Masalah yang paling krusial akibat komplikasi kehamilan adalah kejadian ketuban pecah dini (KPD). Ketuban pecah dini merupakan bagian penyulit dalam kehamilan dan persalinan yang berpengaruh dalam meningkatkan kesakitan dan kematian meternal-perinatal. Tujuan penelitian ini adalah untuk mengetahui determinan usia dan paritas berpengaruh terhadap kejadian KPD. Penelitian ini merupakan jenis penelitian observasi analitik dengan rancangan case control. Populasi penelitian semua ibu bersalin di RS Widodo sebesar 1348 ibu bersalin ,Sampel kasus ibu bersalin KPD dengan jumlah sampel 30 responden. Sampel kontrol ibu bersalin dengan jumlah 30 responden. Teknik sampling dengan metode simple random sampling. Variabel independen adalah usia dan paritas, sedangkan variabel dependen adalah jejadian KPD. Pengumpulan data menggunakan checklist berupa data sekunder. Untuk menganalisis data menggunakan Uji Regresi Logistik dengan taraf nyata 0,05.Hasil penelitian menunjukkan bahwa sebagian besar ibu dengan usia 35 tahun (79,3%) dan nilai p = 0,004. Nilai OR variabel usia yaitu 7,020, dapat disimpulkan usia mempunyai risiko 7 kali lebih besar menyebabkan KPD. Paritas Multigravida (72,2%) dan nilai p = 0,010. Nilai OR variabel paritas yaitu 6,481, dapat disimpulkan paritas mempunyai risiko 6 kali lebih besar menyebabkan KPD. Kesimpulan: ada pengaruh faktor usia dan paritas terhadap kejadian KPD. Ibu hamil harus mengetahui tanda dan faktor risiko terjadinya KPD sehingga ibu hamil lebih menjaga kehamilannya. Kata kunci: usia; paritas; ketuban pecah dini

2020 ◽  
Vol 3 (1) ◽  
Author(s):  
Ratih Indah Kartikasari

ABSTRAK Kolostrum atau susu jolong yang keluar pertama kali sering dibuang karena masih dianggap kotoran ASI, sehingga masih banyak ibu  yang memberikan susu formula bagi bayinya  padahal kolosotrum banyak mengandung gizi dan zat kekebalan bagi tubuh (Bahiyatun, 2009). Masalah  penelitian ini adalah masih tingginya ibu yang tidak mengerti tentang kolostrum. Tujuan penelitian adalah mengetahui pengaruh Health Education  (HE) tentang pemberian kolostrum pada 1 jam pertama terhadap peningkatan pengetahuan ibu hamil.Desain penelitian ini adalah Pra Eksperiment dengan pendekatan One Grup Pratest-Postest Design. Sampelnya sebanyak 27 orang dengan teknik simple random sampling. Variabel independent pemberian Health Education tentang kolostrum dan variabel dependent pengetahuan ibu hamil. Instrumen yang digunakan adalah SAP, leaflet dan lembar kuesioner. Analisa data menggunakan Wilcoxon Sign Rank Test dengan taraf signifikan 0,05.Hasil penelitian menunjukkan sebelum diberikan HE hampir seluruh (81,5%) ibu hamil memiliki pengetahuan kurang tentang pemberian kolostrum pada 1 jam pertama, dan setelah diberikan HE lebih dari sebagian (59,3%) berpengetahuan cukup. Hasil Wilcoxon Sign Rank Test didapatkan p= 0,001 dimana p0,05. Maka H1 diterima artinya ada pengaruh HE tentang pemberian kolostrum pada 1 jam pertama terhadap peningkatan pengetahuan ibu hamil.Melihat dari hasil penelitian, maka HE sangat penting diberikan untuk meningkatkan pengetahuan ibu hamil dalam pemberian kolostrum pada bayi terutama pada 1 jam pertama, sehingga bayi terjamin untuk mendapatkan ASI eksklusif serta mengurangi angka kesakitan maupun kematian pada bayi.                                        Kata kunci : Health Education, Pengetahuan, Kolostrum   ABSTRACT Colostrum or weaned that out the first time are often discarded because they are considered dirt breast milk, so there are many mothers to give formula to their babies even though colosotrum contain many nutrients and substances for the body's immune (Bahiyatun, 2009). The problem of this study is still high mother who does not understand about colostrum. The research objective was to determine the effect of Health Education (HE) on the provision of colostrum in the first hours of the first to the increased knowledge of pregnant women.The research design was Pre Experiment with One Group  approach Pratest-Posttest Design. The sample as many as 27 people with simple random sampling technique. The independent variable is giving Health Education about colostrum and the dependent variable is knowledge of pregnant women. The instruments used  were SAP, leaflet and questionnaire. Data were analyzed using the Wilcoxon Sign Rank Test with significance level of 0.05.Results showed before being given HE almost all (81.5%) of pregnant women have less knowledge about the provision of colostrum in the first hours of the first, and after being given HE more than most (59.3%) are knowledgeable enough. Wilcoxon Sign Rank Test results obtained p = 0.001 where p 0.05. Then there is H1 accepted meaning HE influence on the provision of colostrum in the first hours of the first to the increased knowledge of pregnant women.Judging from the results of the study, then HE is essential given to improve the knowledge of pregnant women in giving colostrum to the baby, especially in the first 1 hour, so that the baby is guaranteed to get exclusive breastfeeding and reducing morbidity and mortality in infants. Keywords: Health Education, Knowledge, Colostrum


2018 ◽  
Vol 8 (1) ◽  
pp. 37
Author(s):  
Kadek Widiantari ◽  
Ni Putu Sintya Devita Sari

<p>Abstrac: The effectiveness of counseling about premarital sex on youth knowledge and attitude. This study aimed to know the effectiveness of counseling about premarital sex on youth knowledge and attitude at SMP Negeri 1 Sukawati in 2017. This study used analytic comparative method with one group pretest-posttest design, with total sample as much as 73 people. Questionnaire was used as instrument that consist of knowledge and attitude. This study used simple random sampling technique and used Wilcoxon to process data with 95% confidence interval. Based on the result of the study, it was found that there was significant difference of knowledge and attitude in adolescent before and after given counseling or could be interpreted that counseling was effective to increase knowledge and attitude with p-value = 0,00 with significance level (p &lt;0,05).</p><p>Abstrak : Efektivitas Penyuluhan Tentang Seks Pranikah Terhadap Pengetahuan dan Sikap Remaja. Penelitian ini bertujuan untuk mengetahui untuk mengetahui Efektivitas Penyuluhan tentang Seks Pranikah terhadap Pengetahuan dan Sikap Remaja di SMP Negeri 1 Sukawati Tahun 2017. Penelitian ini menggunakan metode analitik analitikkomparatif dengan rancangan one group pretest-posttest, dengan jumlah sampel sebanyak 73 orang. Instrumen yang digunakan berupa kuesioner yang terdiri dari pengetahuan dan sikap. Tekhnik yang digunakan adalah simple random sampling serta pengolahan datanya menggunakan Wilcoxon dengan interval kepercayaan 95%. Berdasarkan hasil penelitian didapatkan bahwa terdapat perbedaan pengetahuan dan sikap secara bermakna pada remaja antara sebelum dan setelah diberikan penyuluhan atau dapat diartikan bahwa penyuluhan efektif untuk meningkatkan pengetahuan dan sikap dengan p-value =0,00 dengan tingkat signifikansi (p&lt;0,05).</p>


2019 ◽  
Vol 7 (2) ◽  
pp. 92-98
Author(s):  
Isabel Laudensye Karo Karo ◽  
Novia Fransiska Ngo ◽  
Yadi

Premature Rupture of Membrane (PROM) is the ruptured membranes before labor. There are several factors that increase the incident of PROM including infection (leukocytosis and bacteriuria). The aim of this research is to know the relation about these factors with PROM in Abdul Wahab Sjahranie Hospital in Samarinda in 2018. This research is an analytic observational study with case control design. The data in this study were taken from medical records at Abdul Wahab Sjahranie Hospital in Samarinda in 2019 using simple random sampling technique for maternities with the incident of PROM then without the incident of the PROM at Abdul Wahab Sjahranie Hospital in Samarinda. The ampunt of samples that obtained in this study are 104 samples that was divided to 52 cases sample and 52 controls that met the inclusion and exclusion criteria. The data analysed using Chi-Square test. The results of the study found that leukocytosis and bacteriuria was not associated with the incidence of PROM (p = 0.680; p = 0.693) in Abdul Wahab Sjahranie Hospital in Samarinda in 2018.


2021 ◽  
Vol 3 (1) ◽  
pp. 16
Author(s):  
Dessy Putri Pratiwi ◽  
Linda Dewanti ◽  
Dominicus Husada

AbstrakLatar Belakang: Mayoritas kejadian stunting pada balita terjadi pada negara berkembang, salah satunya adalah Indonesia yang mencapai 29,6% pada tahun 2017. Pendidikan orang tua, pendapatan dan jumlah balita dalam keluarga menjadi faktor risiko terjadinya stunting. Penelitian ini bertujuan untuk mempelajari faktor kejadian stunting pada balita di sebuah desa Kabupaten Tasikmalaya. Metode: Penelitian ini merupakan analitik observasional dengan pendekatan cross sectional. Jumlah sampel sebanyak 120 balita diambil dengan teknik sampling simple random sampling. Variabel independen dalam penelitian ini adalah pendidikan orang tua, jumlah balita, dan pendapatan keluarga. Variabel dependennya adalah stunting. Instrument yang digunakan adalah kuesioner. Untuk mengetahui tingkat signifikasi, data yang terkumpul akan diuji dengan uji statistik spearman rho pada tingkat kemaknaan α=0,05. Hasil: Hasil penelitian diketahui bahwwa 35,8% orang tua responden berpendidikan terakhir SMA, 79,2% keluarga memiliki <2 balita dalam rumah, 84,2% keluarga termasuk pada pendapatan golongan menengah kebawah, dan 30,8% balita mengalami stunting. Hasil analisis bivariat menunjukkan bahwa pendidikan orang tua memiliki p value=0,489 (ayah) dan 0,926 (ibu), jumlah balita (p value= 0,246), dan pendapatan keluarga (p value=0,548). Kesimpulan: Pada penelitian ini, jumlah balita dalam keluarga merupakan faktor kejadian stunting di sebuah desa Kabupaten Tasikmalaya. AbstractBackground: The majority of stunting occurrences in children occur in developing countries, one of which is Indonesia which reached 29.6% in 2017. Parent education, income amount of children in family are risk factors for stunting. This study aims to study incidence factor of stunting at a village in Jawa Barat. Methods: This study is an observasional analytic research with cross-sectional approach. A total sample is 120 children was taken by simple random sampling technique. The independent variable in this research is parent education, amount of children, and family income, and the dependent variable is stunting. The measuring tool used in this research is the questionnaire. To determine a significant level, the collected data will be tested by spearman rho at significance level α=0,05. Results: The results of the study revealed that 35.8% of the respondents' parents were last high school, 79.2% of the families had <2 toddlers in the home, 84.2% of the families were included in the income of the middle to lower classes, and 30.8% of the children had stunting. The results of bivariate analysis showed that parent education had a p value = 0.489 (father) and 0.926 (mother), the number of children (p value = 0.246), and family income (p value = 0.548). Conclusion: In this study, the number of children in the family was a factor in the incidence of stunting in a Tasikmalaya Districts.


2015 ◽  
Vol 4 (4) ◽  
Author(s):  
Mamluatul Hikmah ◽  
Oktia Woro Kasmini H

Kematian akibat Demam Berdarah Dengue (DBD) di RSUD Tugurejo Semarang meningkat dari tahun 2012-2014. Tujuan penelitian ini adalah untuk mengetahui faktor yang berhubungan dengan kejadian kematian akibat demam berdarah dengue (DBD). Jenis penelitian ini adalah survei analitik dengan pendekatan case control. Sampel berjumlah 62 orang, 31 kelompok kasus dan 31 kelompok kontrol yang diambil dengan teknik simple random sampling. Analisis data menggunakan uji chi square dengan derajat kemaknaan (α) = 0,05. Hasil penelitian menunjukkan bahwa faktor yang berhubungan dengan kejadian kematian akibat demam berdarah dengue (DBD) adalah umur penderita (p value=0,022, OR=3,8), pendapatan (p value=0,022, OR=3,8), akses pelayanan kesehatan (p value=0,019), riwayat penyakit penyerta (p value=0,021, OR=3,9), keterlambatan pengobatan DBD (p value=0,042, OR=3,3) dan derajat beratnya penyakit (p value=0,021, OR=3,9). Variabel yang tidak berhubungan adalah jenis kelamin penderita (p value=0,611) dan riwayat pernah menderita DBD (p value=0,668). Saran bagi peneliti lain untuk menambah sampel penelitian dan menambah variabel lain yang ada kaitannya dengan faktor yang berhubungan dengan kematian akibat DBD. The mortality caused by Dengue Haemorhaege Fever (DHF) in RSUD Tugurejo Semarang incresed from 2012 to 2014. The objective of this study to find out factors of mortality that are caused by dengue. The research method of this study was analitic survey by case control. In this research, the sample was 62 people where 31 people were included in cases and the others were in controls. The sample was randomly taken by simple random sampling technique. The data analysis used chi-square with the level of independence (α) = 0,05. The result of this research showed that factors of mortality which were caused by dengue was age of patients (p value=0,022, OR=3,8), income (p value=0,022), access of health care (p value=0,019), case history (p value=0,021, medical tardiness of DHF (p value=0,042, OR=3,3) and degree of disease (p value=0,021, OR=3,9). The variables which were not related to factors of mortality were sex of patients  (p value=0,611) and case  history of  DHF (p value=0,668). Some suggestions for other researchers, they may develop the similar research in different dimensions such as adding the sample and variable which are related to factors of mortality that are caused by dengue.


2015 ◽  
Vol 11 (1) ◽  
pp. 25
Author(s):  
Ani Triana

<p>Toksoplasmosis merupakan penyakit yang disebabkan oleh Toxoplasma gondii yang merupakan golongan protozoa yang sifatnya parasite obligat intraseluler. Salah satu Provinsi terbesar di Indonesia yaitu Provinsi Riau terdapat kasus Toksoplasmosis yang menurut data dari rekam medis RSUD Arifin Achmad Provinsi Riau toksoplasmosis merupakan penyakit peringkat 9 tertinggi dari 15 penyakit terbesar dalam kehamilan. Tujuan penelitian ini untuk mengidentifikasi faktor determinan terjadinya toksoplasmosis pada ibu hamil di RSUD Arifin Achmad Provinsi Riau. Penelitian ini menggunakan jenis penelitian kuantitatif dengan desain penelitian case control. Populasi pada penelitian ini adalah seluruh ibu hamil yang tercatat di rekam medik RSUD Arifin Achmad pada tahun 2012 dengan jumlah sampel sebanyak 60 orang terbagi menjadi 30 orang sebagai kasus dan 30 orang sebagai kontrol (dengan teknik systematic random sampling). Pengumpulan data dilakukan dengan menggunakan kuesioner data analisis multivariat dengan uji multiple logistic regresion. Hasil penelitian menunjukkan adanya dua variabel yang berhubungan secara signifikan yaitu variabel pekerjaan dengan p value (0,008) OR: 7,97 ; CI 95% (1,70-37,34)  dan status paritas dengan p value (0,029) OR: 5,33 ; CI 95% (1,18-24,18).</p><p> </p><p><em>Toxoplasmosis is a disease caused by Toxoplasma gondii is a protozoan group obligate intracellular parasite nature. Riau province there are cases of toxoplasmosis which according to data from medical records General Hospital of Arifin Achmad in Riau Province toxoplasmosis is a disease of the 15 highest ranked 9th largest disease in pregnancy. The purpose of this study to identify the determinants of the occurrence of toxoplasmosis in pregnant women at General Hospital of Arifin Achmad in Riau Province. This research uses quantitative research with case-control study design. The population were all pregnant women recorded in the medical record Arifin Achmad Hospital in 2012 with sample of 60 people divided 30 people as cases and 30 persons as control (with a systematic random sampling technique). Data collection was performed using multivariate analysis of data questionnaire with multiple logistic regresion test. The results presence of two variabels significantly associated job with p value (0.008) OR: 7.97; 95% CI (1.70 to 37.34) and parity status with p value (0.029) OR: 5.33; 95% CI (1.18 to 24.18). Results of the study are expected to health workers to inform about toxoplasmosis complete and CHL counseling and regular prenatal care in the prevention of toxoplasmosis.</em></p>


2020 ◽  
Vol 6 (2) ◽  
pp. 35-43
Author(s):  
Lilin Turlina ◽  
Faizatul Ummah ◽  
Sulistyowati

The incidence of premature rupture of membranes (PRM) ranges from 8-10% at term pregnancy and 1% in preterm pregnancy. The incidence of PRM at RSUD dr. SoegiriLamongan in 2017 amounted to 16,43%. The purpose of this study was to analyze risk factors of the occurrence of premature rupture membranes in RSUD Dr. SoegiriLamongan. The research used descriptive analytical method with cross sectional approach. The sample is 268 maternity mothers, divided into 134 mothers giving birth with PRM  and 134 normal maternity mothers at Dr. Soegiri Lamongan on 2018. Sampling is done by simple random sampling. Data collection uses patient medical record and with multivariate multiple logistic regression analysis.The results showed that presentation abnormalities with a p value of 0.045 <0.05 and CPD with a p value of 0.002 <0.05. Based on the Odds Ratio (OR) values ​​as follows: Maternal age OR 1,141, OR parity 0.933, OR fetal presentation 2,779, OR Twins 1,394, OR CPD 6. and OR Large infants 0.783.Meaning that there was a significant influence between fetal presentation and CPD on PRM.


2022 ◽  
Vol 4 (3) ◽  
pp. 499-515
Author(s):  
Siti Hajar Utami ◽  
Maemunah Sa'diyah

This study aims to describe the relationship between emotional intelligence and adaptability in online learning in class VII at SMPN 1 Bogor City. The method used in this research is a quantitative method with a correlation approach. The sample in this study was 25% of the total population of 288 (72 respondents) using simple random sampling technique. This data collection technique uses a questionnaire (questionnaire). Emotional intelligence using a questionnaire with the results of the validity test of 15 statement items, there are 14 statements that are proven valid and the reliability test results of the coefficient of 0.750 are declared reliable. While the ability to adapt in online learning using a questionnaire with the results of a valid test of 15 statements proved valid and a reliability test result of 0.762 was declared reliable. Prerequisite test is done by normality test and linearity test. Data analysis used the analyze correlate-bivariate technique on SPSS 26 with a significance level of 5%. The results showed that there was a positive and significant relationship between emotional intelligence and adaptability in online learning as indicated by the r-count value of 0.623 which means it has a strong correlation. And r-count is greater than r-table (0.623 > 0.232), then Ho is rejected and Ha is accepted. And the two variables also have a significant relationship because the significant value (p-value) is 0.000 <0.05, then Ho is rejected and Ha is accepted. Keyword: Emotional Intelligence, Adaptability, Online Learning


2017 ◽  
Vol 3 (2) ◽  
pp. 19
Author(s):  
Yanu Yufita Lestariningsih

Premature rupture of  membranerevolves 5-10% from all birth. Impact a birth premature that espoused broken fetal membrane early causess 12-15% asphyxia neonatorum. The purpose of the study to determine the correlation between premature rupture of  membrane with the incidence of asphyxia neonatorum. The research method used is analytic with retrospective cohort approach with independent variable of premature rupture of membrane, dependent variable asphyxia neonatorum. The study was conducted on 7 June to 12 July 2017. The population of 1519 mothers inregional public hospital of Kediri regency 2016. Sample 139 respondents, taken by simple random sampling, was analyzed by Chi Square test with a significant of 0.05. Result of research most of respondent with rupture of membrane counted 46 respondents, almost all respondents that is 82.6% gave birth baby with asphyxia. From result of Chi Square test obtained by result of p-value equal to 0.000 (<0.05), result of coefficient of contingency (C) equal to 0.639 with closeness strong relation, so H1 received H0 rejected which means there is significant relation with closeness strong between premature rupture of membrane with asphyxia neonatorum inregional public hospital of Kediri regency 2016. Relative Risk (RR) 1.65 which means the possibility of a baby experiencing asphyxia neonatorum of 1.65 times in maternal who experience premature rupture of membranes compared to mothers who did not experience premature rupture of membranes.


Author(s):  
Desi Hariani

ABSTRAK Ketuban pecah dini adalah pecahnya selaput ketuban pada setiap saat sebelum permulaan persalinan tanpa memandang apakah pecahnya selaput ketuban terjadi pada kehamilan 24 minggu atau 44 minggu. Kadar hemoglobin adalah ukuran pigmen respiratorik dalam butiran-butiran darah merah. Kelainan letak janin merupakan malpresentasi janin atau kelainan letak janin yang dapat membuat ketuban bagian terendah langsung menerima tekanan intra uteri yang dominan. Tujuan penelitian ini adalah mengetahui hubungan kadar hemoglobin ibu dan letak janin dengan kejadian ketuban pecah dini di klinik alisa talang keramat kenten Palembang Tahun 2018. Desain penelitian ini menggunakan metode survey analitik dengan pendekatan crossectional. Sampel berjumlah 63 orang. Pengambilan menggunakan teknik total sampling. Pengumpulan data menggunakan lembar checklist.Hasil analisis univariat didapatkan jumlah ibu yang mengalami ketuban pecah dini (22,3%), HB tidak normal (41,3%) dan letak sungsang (6,3%).  Dari hasil analisis bivariat dengan uji statistik Chi – Square ada hubungan bermakna antara kadar hemoglobin ibu p value  = 0,001 < α 0,05 nilai OR = 0,049 dan letak janin p value = 0,001 < α 0,05 nilai OR = 0,032 dengan kejadian ketuban pecah dini secara statistik terbukti. Melalui penelitian ini, diharapkan dapat memberikan pelayanan kesehatan yang lebih baik lagi pada ibu hamil dan bersalin sehingga tidak terjadi komplikasi.   Kata Kunci : Ketuban Pecah Dini, Kadar Hemoglobin, Letak Janin ABSTRACT Premature rupture of membranes isthe  rupture of the membranes at any time before the onset of labor, regardless of whether the rupture of the membranes occurs at 24 weeks or 44 weeks' gestation. Hemoglobin levels are the size of respiratory pigments in red blood granules. Fetal abnormalities are malpresentations of fetuses or fetal abnormalities that can make the lowest part of the membrane directly accept the dominant intrauterine pressure. The aim of this study is to know the correlation between maternal hemoglobin level and fetal location toward the incidence of premature rupture of membranes at klinik alisa talang keramat kenten The study design using analytical survey method with crossectional approach. The sample numbered 63 people. Taking by using total sampling technique. Data collection using checklist sheet. The result of univariate analysis showed that the number of mothers who had membranes rupturedearly was (22.3%), HB was not normal  (41.3%) and breech position was (6.3%). From bivariate analysis with Chi-Square statistical test there was a significant correlation between maternal hemoglobin level p value = 0.001 <α 0.05 value OR = 0.049 and fetal location p value = 0.001 <α 0.05 value OR = 0.032 with incidence of premature rupture of membranes was statistically proven. Through this research, it is expected to provide better health services in pregnant and maternity women so thereis no complications occur. Key word  : Premature rupture of membranes, Hemoglobin levels, Fetal Location


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