scholarly journals ANALYSIS OF CHARACTERISTICS OF INFANT DEATH RATE (2015-2019) IN UPTD PUSKESMAS JAPARA KUNINGAN DISTRICT, 2020

Author(s):  
Yona Septina ◽  
Luthfiah Zakiyah ◽  
Heri Hermansyah ◽  
Siti Nunung Nurjannah

Infant mortality is a death incident that occurs in newborns up to <1 year of age. Infant mortality is measured as the infant mortality rate, which is the number of deaths for children under 1 year of age per 1000 births. According to WHO, the infant mortality rate in Indonesia reaches 27/1000 live births. Based on the health profile of West Java, the number of infant deaths in 2017 reached 3.4 / 1000 live births. In the UPTD Puskesmas Japara there are 34 cases of infant mortality. Infant mortality is caused by several factors, including maternal age, education, birth attendants, and parity. The research objective was to determine the analysis of the characteristics of the incidence of infant mortality in 2015-2019 at the UPTD Puskesmas Japara, Kuningan Regency. The research method used was quantitative with a retrospective design, taken from secondary data 2015-2019, the population in the study was all infant deaths in the UPTD Puskesmas Japara, amounting to 34 people. Selection of a sample of 34 people using the total sampling technique. The statistical test technique uses the Chi Square test. The results showed that there was a relationship between parity (p-value = 0.006) and there was no relationship between maternal age (p-value = 0.129), education (p-value = 0.156), birth attendants (p-value = 0.781) and death. babies in 2015-2019 at UPTD Puskesmas Japara, Kuningan Regency. It can be concluded that the incidence of infant mortality occurs in some mothers with no risk age, some mothers with primary education, some mothers with multiparity parity. Suggestions for health centers are expected to increase the priority of health programs in an effort to reduce the incidence of infant mortality.

2013 ◽  
Vol 16 (2) ◽  
pp. 639-644 ◽  
Author(s):  
Yoko Imaizumi ◽  
Kazuo Hayakawa

The infant mortality rate (IMR) among single and twin births from 1999 to 2008 was analyzed using Japanese Vital Statistics. The IMR was 5.3-fold higher in twins than in singletons in 1999 and decreased to 3.9-fold in 2008. The reduced risk of infant mortality in twins relative to singletons may be related, partially, to survival rates, which improved after fetoscopic laser photocoagulation for twin — twin transfusion syndrome. The proportion of neonatal deaths among total infant deaths was 54% for singletons and 74% for twins. Thus, intensive care of single and twin births may be very important during the first month of life to reduce the IMR. The IMR decreased as gestational age (GA) rose in singletons, whereas the IMR in twins decreased as GA rose until 37 weeks and increased thereafter. The IMR was significantly higher in twins than in singletons from the shortest GA (<24 weeks) to 28 weeks as well as ≥38 weeks, whereas the IMR was significantly higher in singletons than in twins from 30 to 36 weeks. As for maternal age, the early neonatal and neonatal mortality rates as well as the IMR in singletons were significantly higher in the youngest maternal age group than in the oldest one, whereas the opposite result was obtained in twins. The lowest IMR in singletons was 1.1 per 1,000 live births for ≥38 weeks of gestation and heaviest birth weight (≥2,000 g), while the lowest IMR in twins was 1.8 at 37 weeks and ≥2,000 g.


2016 ◽  
Vol 1 (1) ◽  
Author(s):  
Supiati Supiati

Abstract: Age, Parity, Incidence of LBW. One indicator to determine the degree of public health is the infant mortality rate (IMR). Infant mortality rate in Indonesia is still relatively high, which recorded 31 per 1,000 live births in 2008. This study aims to determine the relationship between maternal age and parity with LBW in the Maternity Hospital (RB) Juweni Village Pandes Wedi Klaten This study uses descriptive analytic correlation with retrospective approach. The study population all mothers delivered in January 2011-September 2012 with a total population of 142 mothers. The study was conducted in October 2012. The results of the study obtained the highest maternal age age is not at risk of 124 respondents (87.3%), most mothers Parity multi 75 respondents (52.8%), the highest incidence of low birth weight is not 133 respondents (93.7% ). It can be concluded that there is no relationship between the age of mothers with LBW and there is no relationship between the parity of mothers with LBW.


2016 ◽  
Vol 11 (2) ◽  
pp. 270
Author(s):  
Setiawati Kusnasetia ◽  
Rini Rini

<p>Hasil survei demografi dan kesehatan Indonesia angka kematian bayi sebesar 34/1000 kelahiran hidup, jauh dari sasaran MDGs (23/1000 kelahiran hidup). Penyebab utama kematian bayi adalah asfiksia, bayi prematur, BBLR dan infeksi. Angka kematian bayi di RSUD Soreang sebesar 14,76%, salah satu upaya menurunkan angka kematian bayi diantaranya dengan Perawatan Metode Kangguru (PMK). Penelitian tahun 2015 ini bertujuan menge-tahui perbedaan motivasi ibu melakukan PMK pada BBLR antara sebelum dan sesudah diberikan konseling. Rancangan penelitian menggunakan one group pretest and posttest design, dilakukan terhadap 32 sampel ibu dengan bayi BBLR. Uji statistik menggunakan paired sample t-test. Hasil penelitian pada pretest maupun posttest sebesar 62,5% mempunyai motivasi tinggi. Ada perbedaan rata-rata nilai motivasi ibu antara sebelum dan sesudah diberikan konseling dengan thitung = 10,268 ( &gt;dari t tabel = 2,042; nila p = 0,0001). Sosialisasi PMK kepada ibu yang mempunyai BBLR dan anggota keluarga berperan penting dalam mendukung pelaksanaan PM.</p><p> </p><p>Result of Indonesia demography and health survey, infant mortality rate is 34/1,000 live births, highest from the MDGs target (23/1,000 live births). The main causes of infant mortality are asphyxia, premature, low birth weight and infection. The infant mortality rate in hospitals Soreang amounted 14.76%, one of the efforts to reduce infant mortality among the treatment with kangaroo methode. The research in 2015 aimed to determine differences in maternal motivation of kanggoroo carein LBW between before and after counseling. The research design uses one group pretest and posttest design, carried out on 32 samples of mothers with LBW babies. Statistical test using a paired sample t-test. Results of research on the pretest and posttest 62.5% have high motivation. There are differences in the average value of maternal motivation between before and after counseling with Score T= 10.268 (&gt; of T table = 2.042; p value = 0.0001). Socialization kanggoroo care to mothers with LBW and family members play an important role in supporting the implementation kanggoroo care.</p>


2021 ◽  
Vol 1 (1) ◽  
pp. 13-21
Author(s):  
Ratih Ruhayati

Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR) are indicators to assess the health status of the community. Based on the Indonesian Demographic and Health Survey 2017 IDHS, the maternal mortality rate in Indonesia is still high at 302 per 100,000 live births, while the infant mortality rate is 24 per 1000 live births. The decline in MMR and IMR cannot be separated from the role of community empowerment, one of which is carried out through the implementation of the Childbirth Planning and Complications Prevention Program (P4K). Most mothers, husbands, and families have less active role in the implementation of P4K, even though there is an effect of implementing P4K on neonatal mortality. This happens because the mother's knowledge about P4K is still lacking, so her attitude is still not positive. The purpose of this study was to determine the relationship between knowledge and attitudes of pregnant women towards the implementation of the Childbirth Planning and Complications Prevention (P4K) Program. The research design used "analytic descriptive" cross-sectional, with a total population of 126 pregnant women, while the sample was taken using purposive sampling technique, with a total sample of 96 respondents. The results of statistical analysis with the Chi-Square test showed that for the knowledge variable, the results of the P value = 0.005 concluded that there was a significant relationship between the level of knowledge and the implementation of P4K, while for the attitude variable the P value = 0.001 concluded that there was a significant relationship between attitudes with the implementation of P4K.


2021 ◽  
Vol 7 (1) ◽  
pp. 19-23
Author(s):  
Khairani

Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR) are health indicators of a country. Data of the 2012 Demographic Health Survey of Indonesia (DHSI) indicates that the maternal mortality rate increased by 359 deaths per 100,000 live births. Such rate was higher than the data of 2015DHSI, i.e. 228 deaths per 100,000 live births. The 2012 DHSI indicates IMR of 32 deaths  ​​per 1,000 live births, slightly lower than the 2007 DHSI indicating 34 deaths per 1,000 live births. One of the efforts to reduce MMR and IMR is through the Delivery Planning and Complication Prevention Program (PCPP). Midwives’ motivation about PCPP belonged to the category of moderate motivation (79.4%). The implementation of PCPP sticker program was mostly as planned (74.6%). There was a correlation between midwives’ motivation about PCPP and the implementation of PCPP sticker for pregnant women in the Imelda Hospital in 2020 with p-value = 0.013


2019 ◽  
Vol 7 (2) ◽  
pp. 113
Author(s):  
Renaldi Kurniawan ◽  
Soenarnatalina Melaniani

Infant mortality is a major component in determining the health and well-being of a community in a country. Indonesia Health Demographic Survey in 2012 shows that infant mortality rate in Indonesia is 32 babies per 1000 live births. Infant mortality rate in eastern Java is 26 babies per 1000 live births. Infant mortality is caused by external factors and internal factors. Parity, gestational distance and birth attendant are the factors chosen to be analyzed. The objectives of the study were to analyze the relationship of parity, birth spacing and birth attendant to infant mortality rate in East Java. The type of research that is analytical research using non-reactive approach. The study took the data of the 2012 IDHS Female Woman Never married. Sampling followed the 2012 IDHS plus inclusion criteria from the researchers. The number of samples of the study was 591 mothers with a history of dead infants during the survey. The study took the data of the 2012 SDKI Female Woman Never married. Data analysis was done by multiple logistic regression. The results of the simple logistic regression analyzes have shown an association between parity> 2 children, birth attendants instead by a health professional, pregnancy spacing ≤ 4 years and spacing of pregnancy> 4 years. All independent variables entered as a candidate for the multiple logistic regression analysis of the results of the multiple logistic regression analysis was parity shows, their relationship with infant mortality with p value = 0.001, but at birth attendant with a p value of 0.66. Screening risks of pregnant mothers and handling of ill toddlers by midwives and IEC to mothers about nutrition, pregnancy care and infant care through counseling, leaflets and posters.


Author(s):  
Juliana Widyastuti Wahyuningsih Juliana Widyastuti Wahyuningsih

ABSTRACT   Low birth weight (LBW) infants with birth weight is less than 2500 grams, regardless of gestational age. Statistically showed 90 % incidence of LBW obtained in developing countries with a mortality rate 35 times higher tinggi.Di South Sumatra Province Infant Mortality Rate ( IMR ) is 29 per 1,000 live births. In Palembang BARI hospitals incidence of LBW in 2013 amounted to 317 cases . The purpose of this study is to determine is there a relationship between the factors of age, education, and parity with the incidence of Low Birth Weight in Palembang BARI hospitals in 2013. This study used survey method crosss sectional analytic approach. The study population was all women who gave birth and was admitted to hospital obstetrics Palembang BARI installations in 2013 amounted to 901. This research was conducted in February 2014. Samples were taken with a random sampling method sistematic. Analyze data using statistical test Chi - Square. Results of univariate analysis of this study showed that 193 (69.4 %) of the respondents had low birth weight, and 85 (30.6 %) respondents had BBLN. 63 (22.7 %) of respondents with a high risk of maternal age and 215 (77.3 %) of respondents with a low risk of maternal age. 157 (56.5 %) respondents with low education mothers and 121 (43.5 %) of respondents with higher education mothers. 48 (17.3 %) respondents with high parity mothers and 230 (82.7 %) respondents with low parity mothers. So the bivariate analysis showed no significant association between maternal age with the incidence of LBW with P value = 0.035, no significant association between education and the incidence of LBW with P value = 0.006, and no significant relationship between the incidence of low birth weight with parity P value = 0.041. It is recommended for health care workers (midwives) hospital in order to be used as material information regarding the occurrence of LBW and as an input as well as the evaluation of success in good health or when needed to do counseling and care of LBW, especially to mothers who give birth to low birth weight baby.   ABSTRAK Berat badan lahir rendah (BBLR) adalah bayi dengan berat lahir kurang dari 2500 gram tanpa memandang masa gestasi. Secara statistik menunjukkan 90% kejadian BBLR didapatkan di negara berkembang dengan angka kematiannya 35 kali lebih tinggi.Di Propinsi Sumatera Selatan Angka Kematian Bayi (AKB) sebesar 29 per 1.000 kelahiran hidup. Di RSUD Palembang BARI Tahun 2013 angka kejadian BBLR berjumlah 317 kasus. Tujuan Penelitian ini adalah untuk mengetahui adakah hubungan antara faktor umur, pendidikan, dan paritas dengan kejadian Berat Badan Lahir Rendah di RSUD Palembang BARI Tahun 2013. Penelitian ini menggunakan metode survey analitik dengan pendekatan crosss sectional. Populasi penelitian ini adalah semua ibu yang melahirkan dan dirawat inap di instalasi kebidanan RSUD Palembang BARI Tahun 2013 berjumlah 901. Penelitian ini dilakukan pada bulan Februari 2014. Sampel penelitian diambil dengan metode sistematic random sampling. Analisa data menggunakan uji statistik Chi – Square. Hasil penelitian analisis univariat ini menunjukkan bahwa 193 (69,4%) responden mengalami BBLR, dan 85 (30,6%) responden mengalami BBLN. 63 (22,7%) responden dengan umur ibu resiko tinggi dan 215 (77,3%) responden dengan umur ibu resiko rendah. 157 (56,5%) responden dengan ibu pendidikan rendah dan 121 (43,5%) responden dengan ibu pendidikan tinggi. 48 (17,3%) reponden dengan ibu paritas tinggi dan 230 (82,7%) responden dengan ibu paritas rendah. Sehingga analisa bivariat menunjukkan ada hubungan yang bermakna antara umur ibu dengan kejadian BBLR dengan P value = 0,035, ada hubungan yang bermakna antara pendidikan dengan kejadian BBLR dengan P value = 0,006 dan ada hubungan yang bermakna antara paritas dengan kejadian BBLR dengan P value = 0,041. Disarankan bagi petugas kesehatan (bidan) rumah sakit agar dapat dijadikan sebagai bahan informasi mengenai terjadinya BBLR dan sebagai bahan masukan serta evaluasi keberhasilan dalam pelayanan kesehatan yang baik atau bila perlu dilakukannya penyuluhan serta asuhan  tentang BBLR khususnya kepada ibu yang melahirkan Bayi dengan BBLR.  


Author(s):  
Yuhemy Zurizah Yuhemy Zurizah ◽  
Rini Mayasari Rini Mayasari

ABSTRACT Low Birth Weight (LBW) was defined as infants born weighing less than 2.500 grams. WHO estimates that nearly all (98%) of the five million neonatal deaths in developing countries. According to City Health if Palembang Departement, infant mortality rate (IMR) in the year 2007 is 3 per 1000 live births, in 2008 four per 1000 live births, and in 2009 approximately 2 per 1000 live births. The cause of LBW is a disease, maternal age, social circumstances, maternal habits factors, fetal factors and environmental factors. LBW prognosis depending on the severity of the perinatal period such as stage of gestation (gestation getting younger or lower the baby's weight, the higher the mortality), asphyxia / ischemia brain, respiratory distress syndromesmetabolic disturbances. This study aims to determine the relationship between maternal age and educations mothers of pregnancy with the incidence of LBW in the General Hospital Dr Center. Mohammad Hoesin Palembang in 2010 This study uses the Analytical Ceoss Sectional Survey. The study population was all mothers who gave birth in public hospitals center Dr. Mohammad Hoesin Palembang in 2010 were 1.476 mothers gave birth with a large sample of 94 studies of maternal taken by systematic random sampling, ie research instument Check List. Data analysis was performed univariate and bivariate. The results of this study show from 94 mothers of LBW was found 45 people (47,9%) Which has a high risk age 26 LBW ( 27,7%) while the distance of low educations LBW (55,3%). From Chi-Square test statistic that compares the p value with significance level α = 0,05 showed a significant correlation between maternal age, where the p value = 0,002, of education mothers of pregnancy p value = 0,003 with LBW. In the general hospital center Dr. Mohammad Hoesin Palembang ini 2010. Expected to researches who will come to examine in more depth.   ABSTRAK Bayi Berat Lahir Rendah (BBLR) telah didefinisikan sebagai bayi lahir kurang dari 2.500 gram. WHO memperkirakan hampir semua (98%) dari 5 juta kematian neonatal di negara berkembang. Menurut Data Dinas Kesehatan Kota Palembang, Angka Kematian Bayi (AKB) pada tahun 2007 yaitu 3 per 1.000 kelahiran hidup, pada tahun 2008 4 per 1.000 kelahiran hidup, dan pada tahun 2009 sekitar 2 per 1.000 kelahiran hidup. Penyebab BBLR adalah penyakit, usia ibu, keadaan sosial, faktor kebiasaan ibu, dan faktor lingkungan. Prognosis BBLR tergantung dari berat ringannya masa perinatal misalnya masa gestasi (makin muda masa gestasi atau makin rendah berat bayi, makin tinggi angka kematian), asfiksia atau iskemia otak, sindrom gangguan pernafasan, gangguan metabolik. Penelitian ini bertujuan untuk mengetahui hubungan antara umur dan pendidikan ibu dengan kejadian BBLR di Rumah Sakit Umum Pusat Dr. Mohammad Hoesin Palembang Tahun 2010. Penelitian ini menggunakan survey analitik Cross sectional. Populasi penelitian ini adalah semua ibu yang melahirkan di Rumah Sakit Umum Pusat Dr. Mohammad Hoesin Palembang tahun 2010 sebanyak 1.476 ibu melahirkan dengan besar sampel penelitian 94 ibu melahirkan yang diambil dengan tehnik acak sistematik, instrumen penelitian yaitu check list. Analisis data dilakukan secara univariat dan bivariat. Hasil penelitian ini menunjukkan dari 94 ibu didapatkan kejadian BBLR 45 orang (47,9%) yang memiliki umur resiko tinggi 26 kejadian BBLR (27,7%) sedangkan yang pendidikan rendah 52 kejadian BBLR (55,3%). Dari statistik uji Chi-square yang membandingkan p value dengan tingkat kemaknaan α = 0,05 menunjukkan bahwa ada hubungan yang bermakna antara umur ibu p value (0,002) , pendidikan p value (0,003) dengan kejadian BBLR di Rumah Sakit Umum Pusat Dr. Mohammad Hoesin Palembang Tahun 2010. Diharapkan bagi peneliti yang akan datang untuk meneliti lebih mendalam.


2004 ◽  
Vol 38 (6) ◽  
pp. 773-779 ◽  
Author(s):  
Valdinar S Ribeiro ◽  
Antônio A M Silva ◽  
Marco A Barbieri ◽  
Heloisa Bettiol ◽  
Vânia M F Aragão ◽  
...  

OBJECTIVE: To obtain population estimates and profile risk factors for infant mortality in two birth cohorts and compare them among cities of different regions in Brazil. METHODS: In Ribeirão Preto, southeast Brazil, infant mortality was determined in a third of hospital live births (2,846 singleton deliveries) in 1994. In São Luís, northeast Brazil, data were obtained using systematic sampling of births stratified by maternity unit (2,443 singleton deliveries) in 1997-1998. Mothers answered standardized questionnaires shortly after delivery and information on infant deaths was retrieved from hospitals, registries and the States Health Secretarys' Office. The relative risk (RR) was estimated by Poisson regression. RESULTS: In São Luís, the infant mortality rate was 26.6/1,000 live births, the neonatal mortality rate was 18.4/1,000 and the post-neonatal mortality rate was 8.2/1,000, all higher than those observed in Ribeirão Preto (16.9, 10.9 and 6.0 per 1,000, respectively). Adjusted analysis revealed that previous stillbirths (RR=3.67 vs 4.13) and maternal age <18 years (RR=2.62 vs 2.59) were risk factors for infant mortality in the two cities. Inadequate prenatal care (RR=2.00) and male sex (RR=1.79) were risk factors in São Luís only, and a dwelling with 5 or more residents was a protective factor (RR=0.53). In Ribeirão Preto, maternal smoking was associated with infant mortality (RR=2.64). CONCLUSIONS: In addition to socioeconomic inequalities, differences in access to and quality of medical care between cities had an impact on infant mortality rates.


2020 ◽  
Vol 2 (2) ◽  
pp. 61-68
Author(s):  
Nourmayansa Vidya ◽  
Efa Apriyanti ◽  
Ayunda Nia Agustina ◽  
Maharaufa Fathmanda

  ABSTRAK Salah satu indicator derajat kesehatan suatu Negara adalah angka kematian ibu dan bayi. 52.4% ibu-ibu di Indonesia memiliki akses ke pelayanan maternal. Angka Kematian Ibu (AKI) di Indonesia tahun 2008 menurut Survei Demografi Kesehatan Indonesia adalah 307 per 100.000 kelahiran hidup, jauh dari target yang seharusnya yaitu 110 per 100.000 kelahiran hidup. Tujuan umum penelitian ini adalah untuk mengetahui faktor-faktor berhubungan dengan keputusan ibu memilih tempat bersalin, diantaranya adalah pelayanan kesehatan, fasilitas kesehatan, biaya persalinan, dan kebijakan di tempat bersalin. Sample penelitian adalah ibu-ibu yang berada di kelurahan Kemiri Muka – Depok berjumlah 125 orang. Penelitian ini menggunakan kuesioner dan Return rate = 100%. Penelitian ini menggunakan metode cross sectional dan analisa data univariat menggunakan distribusi frekuensi serta bivariat menggunakan chi-square. Hasil penelitian menunjukan adanya hubungan bermakna antara dan fasilitas kesehatan (p Value = 0.033; = 0.05) dengan pilihan tempat bersalin. Kata Kunci: faktor, ibu, Kemiri Muka, pemilihan tempat bersalin   ABSTRACT One indicator of a country's health status is the maternal and infant mortality rate. 52.4% of mothers in Indonesia have access to maternal services. Maternal Mortality Rate (MMR) in Indonesia in 2008 according to the Demographic Health Survey of Indonesia is 307 per 100,000 live births, its far from the supposed target of 110 per 100,000 live births. The general objective of this study was to determine the factors associated with mother's decision when choosing a birth place, including the choice of giving birth. The factors that affect mother's decision when choosing a birth place are characteristic of the respondents and distance delivery and home place. Research sample is mothers residing in RW 03 Kelurahan Kemiri Muka - Depok totaling 125 people. This study uses a questionnaire and return rate = 100%. This study uses cross sectional data analysis using univariate and bivariate frequency distribution using the chisquare test. The results showed that there was a significant relationship between respondent’s education (p-value = 0.009; = 0.05), the husband's income & (pvalue = 0.046; = 0.05), and health facilities (p -value = 0.033; = 0.05) with a choice of place of birth. Key words: factor, mother, Kemiri Muka, choosing a birth place


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