Studi Kualitatif Penyebab Kematian Perinatal

The ability to administer a nation's health services is measured by determining the high and low maternal and perinatal mortality rates. The perinatal mortality rate is the largest contributor to the high infant mortality rate. WHO estimated that more than 9 million babies die each year before birth and that during the first week of life the 2/3 causes of death originate from preventable causes. The purpose of this study was to study the causes of perinatal death. The type of research used was qualitative research, to obtain in-depth information about how to analyze the causes of perinatal death in Bandung Regency. Data was collected through in-depth interviews, and data reduction, data presentation with source triangulation and method triangulation. Data were analyzed using content analysis, namely comparing the results of research with the theories in the library. The informants in this study were 12 informants. The results showed that the causes of perinatal death were strongly related to the initial place of service not to health facilities, trust in traditional medicine, late referrals, quality of referrals, and facilities for referral hospitals. Keywords: Death, Perinatal, Qualitative ABSTRAK Kemampuan penyelenggaraan pelayanan kesehatan suatu bangsa diukur dengan menentukan tinggi rendahnya angka kematian ibu dan perinatal. Angka kematian perinatal merupakan penyumbang terbesar tingginya angka kematian bayi. Badan kesehatan dunia memperkirakan lebih dari 9 juta bayi setiap tahun meninggal sebelum lahir dan pada minggu pertama kehidupanya dengan penyebab kematian 2/3 nya berasal dari penyebab yang dapat dicegah. Tujuan penelitian ini adalah untuk mengetahui penyebab kematian perinatal. Jenis penelitian yang digunakan adalah penelitian kualitatif, untuk mendapatkan informasi yang mendalam tentang bagaimana menganalisis penyebab kematian perinatal di Kabupaten Bandung. Data dikumpulkan melalui wawancara mendalam, dan melakukan reduksi data, penyajian data dengan trianggulasi sumber dan trianggulasi metode. Data dianalisis dengan menggunakan analisis isi yaitu membandingkan hasil penelitian dengan teori-teori yang ada dikepustakaan. Informan dalam penelitian ini sebanyak 11 informan. Hasil penelitian menunjukkan penyebab kematian perinatal sangat berkaitan dengan tempat pelayanan awal bukan di fasilitas kesehatan, kepercayaan pada pengobatan tradisional, keterlambatan rujukan, kualitas rujukan, dan fasilitas RS tempat rujukan. Kata kunci: Kematian, Perinatal, Kualitatif

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Perinatal Mortality and Morbidity at Dr. Pirngadi Hospital Medan 1985-1986

Paediatrica Indonesiana ◽

10.14238/pi29.5-6.1989.97-104 ◽

2018 ◽

Vol 29 (5-6) ◽

pp. 97-104

Author(s):

Guslihan D. Tjipta ◽

Dachrul Aldy ◽

Noersida Raid ◽

Baren Ratur Sembiring

Keyword(s):

Mortality Rate ◽

Perinatal Mortality ◽

Causes Of Death ◽

Age Groups ◽

Public Health Education ◽

Hospital Quality ◽

Mortality And Morbidity ◽

Respiratory Problems ◽

The Subject

A retrospective study was conducted on babies born during January 1985 to December 1986 at Dr. Pirngadi Hospital Medan. The aim of this study was to evaluate perinatal mortality and morbidity, and various possible factors related to the subject matter.The main results can be summarized as follows : There were 7102 deliveries during the study period consisting of 999 babies weighing less than 2500 gram and 6103 with body weight of 2500 gram or more. Perinatal mortality rate was 563.56 o/oo in the first group and 78.49 o/oo in the second while the avera/ mortality rate was 146.72 o/oo.Rate of perinatal demise was high in babies born from mothers in the age groups of below 20 and above 35 years, namely 681 .82 o/oo and 202.19 o/oo. It was also high among primiparae (165.67 o/oo) and more so among grandmultiparae (246.46 o/oo).There were 1966 (30.49%) ill newborn babies with asphyxia neonatorum accounting for 44.91%, infection 30.42% and respiratory problems 9.21% of the main causes of illness, while respiratory problems (40.05%) and injection (28.68%) constituted the main causes of death .We concluded that the rate of perinatal mortality and morbidity is still high at this hospital. Quality of prenatal and neonatal care with extensive public health education is necessary to be enhanced for the reduction of perinatal mortality and morbidity.

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Status of Perinatal Mortality in Karnali Academy of Health Sciences, Jumla Nepal

Journal of Karnali Academy of Health Sciences ◽

10.3126/jkahs.v2i2.25178 ◽

2019 ◽

Vol 2 (2) ◽

pp. 120-125

Author(s):

Namrata Sindan ◽

Sandeep Shrestha ◽

Bishnu Dutta Acharya ◽

Purnima Rai ◽

Nirajana Kayastha ◽

...

Keyword(s):

Mortality Rate ◽

Perinatal Mortality ◽

Neonatal Sepsis ◽

Neonatal Death ◽

Perinatal Death ◽

Birth Asphyxia ◽

Health Sciences ◽

Early Neonatal Death ◽

Perinatal Mortality Rate

Introduction: Perinatal mortality rate is sensitive indicator of quality of obstetric and pediatric health services. It also helps us to evaluate efficiency of health care provided by a particular hospital. The aim of this study was to evaluate the cause of perinatal death in a tertiary care medical centre, which may help to reduce the incidence of perinatal death and improve the quality of care. Methods: The two-year retrospective study of perinatal deaths was done at Karnali Academy of Health Sciences (KAHS), Jumla from March 2017 to April 2019. Data was collected from monthly perinatal audit and annual mortality reviews. Registers in the maternity ward, sick Neonate Care Unit, and files of dead newborns kept in the record section of the hospital were studied and reviewed. Results: A total of 1354 deliveries were conducted in the 24 months period at KAHS with perinatal mortality rate of 36.08 per 1000 total birth and early neonatal death rate of 12.8 per 1000 live birth. The Perinatal mortality was higher in low birth weight and premature baby. The cause of stillbirth and early Neonatal death were identified. Most of the early neonatal death was due to Prematurity (41.17%) followed by Birth Asphyxia and Neonatal Sepsis. Conclusion: Prematurity and its related complication were the most common cause of early neonatal death followed by birth Asphyxia and Neonatal Sepsis. There is need to improve antenatal, early identification of high-risk pregnancy as well as Neonatal Intensive Care Unit (NICU) to further reduce deaths due to prematurity and birth asphyxia.

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Gambaran kematian perinatal di RSUP Prof. Dr. R. D. Kandou Manado tahun 2015

e-CliniC ◽

10.35790/ecl.4.2.2016.14472 ◽

2016 ◽

Vol 4 (2) ◽

Author(s):

Wellina R. Simamora ◽

Hermie M.M. Tendean ◽

Linda Mamengko

Keyword(s):

Mortality Rate ◽

Perinatal Mortality ◽

Neonatal Death ◽

Perinatal Death ◽

Perinatal Period ◽

Early Neonatal Death ◽

Cross Sectional ◽

Early Neonatal Mortality ◽

Perinatal Mortality Rate

Abstract: Perinatal Mortality rate is an indicator to measure the level of health development level of a country and the quality of life from its society. Perinatal death occurred more than 5 million cases per year. This study aims to determine the enormity of stillbirth number, early neonatal death and causes of perinatal death in RSUP Prof. DR. R. D. Kandou Manado in 2015. The research design used is a retrospective descriptive study with cross sectional approach. The research sample is all mothers do labor and childbirth with perinatal mortality in RSUP Prof. DR. R. D. Kandou Manado in 2015. There are 1,649 live births in 2015 with case deaths perinatal period 85, 23 genesis differences case consists of stillbirth and early neonatal death of genesis 62. Conclusion. The percentage of stillbirth is 27.1%, early neonatal Mortality is 72.9% with often fence is sepsis in RSUP Prof. DR. R. D. Kandou Manado in 2015. Keywords: perinatal mortality, stillbirth, early neonatal death, perinatal mortality rate. Abstrak: Angka kematian perinatal merupakan indikator dalam menilai tingkat pembangunan kesehatan dari suatu negara serta kualitas hidup dari masyarakatnya. Kematian perinatal terjadi lebih dari 5 juta kasus per tahun. Tujuan dari penelitian ini untuk mengetahui besarnya angka lahir mati, kematian neonatal dini dan penyebab kematian perinatal di RSUP Prof. DR. R. D. Kandou Manado tahun 2015. Desain penelitian yang digunakan adalah penelitian deskriptif retrospektif dengan pendekatan potong lintang. Sampel penelitian ini adalah seluruh ibu yang melakukan persalinan dan melahirkan dengan kematian perinatal di RSUP Prof. DR. R. D. Kandou Manado tahun 2015. Terdapat 1649 kelahiran hidup pada tahun 2015 dengan jumlah kasus kematian perinatal sebanyak 85 kasus terdiri atas 23 kejadian lahir mati dan 62 kejadian kematian neonatal dini. Simpulan. Persentase kejadian lahir mati sebesar 27,1%, kematian neonatal dini sebesar 72,9% dengan penyebab kematian paling sering adalah sepsis di RSUP Prof. DR. R. D. Kandou Manado tahun 2015.Kata kunci: kematian perinatal, lahir mati, kematian neonatal dini, angka kematian perinatal.

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Analisis Pengalaman Keluarga Merawat Pasien Skizofrenia dengan Masalah Halusinasi Pendengaran Pasca Hospitalisasi

Jurnal Endurance ◽

10.22216/jen.v4i2.3844 ◽

2019 ◽

Vol 4 (2) ◽

pp. 282

Author(s):

Isti Harkomah

Keyword(s):

Health Services ◽

Family Support ◽

Depth Information ◽

Continuous Family ◽

Family Experience ◽

Schizophrenic Patients ◽

Heavy Burden ◽

Document Review ◽

Depth Interviews

Clients with hallucinations really need continuous family support both internal and external families. Reduced external family support will cause a heavy burden on the internal family in caring for hallucinatory clients. The reason families bring to the hospital is the inability to treat patient hallucinations at home after hospitalization because hallucinations pose a burden on the family. The purpose of this study was to find out in-depth information about family experience in treating schizophrenic patients who experience auditory hallucinations after hospitalization. This research is qualitative research, the phenomenology approach uses the method of collecting data by in-depth interviews and document review. Data were obtained by in-depth interviews with six participants. The results of the study are two main themes, namely family understanding of recognizing hallucinatory problems after hospitalization and family experience in treating schizophrenic patients with hallucinatory problems.It is hoped that health services will further improve the quality of health services in providing health education to families about how to properly care for hallucinatory patients and families are expected to be able to treat hallucinogenic patients well. Klien dengan halusinasi sangat membutuhkan dukungan dari keluarga secara terus menerus baik keluarga internal maupun eksternal. Berkurangnya dukungan keluarga eksternal akan menimbulkan beban yang berat bagi keluarga internal dalam merawat klien halusinasi. Alasan keluarga membawa ke RSJ adalah ketidakmampuan merawat halusinasi pasien dirumah pasca rawat inap karena halusinasi menimbulkan beban bagi keluarga. Tujuan penelitian ini adalah untuk mengetahui informasi mendalam tentang pengalaman keluarga dalam merawat pasien skizofrenia yang mengalami masalah halusinasi pendengaran pasca hospitalisasi. Penelitian ini merupahkan penelitian kualitatif, pendekatan fenomenologi menggunakan metode pengumpulan data dengan wawancara mendalam dan telaah dokumen. Data didapatkan dengan wawancara mendalam terhadap enam partisipan. Hasil wawancara dianalisis dengan menggunakan metode Collaizi. Hasil penelitian yaitu terdapat 2 utama tema yaitu pemahaman keluarga tentang mengenal masalah halusinasi pasca hospitalisasi dan pengalaman keluarga dalam merawat pasien skizofrenia dengan masalah halusinasi.Diharapkan bagi pelayanan kesehatan agar lebih meningkatkan mutu pelayanan kesehatan dalam memberikan pendidikan kesehatan kepada keluarga tentang cara merawat pasien halusinasi yang benar dan keluarga diharapkan dapat merawat pasien halusinasi dengan baik.

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Mortality among Guarani Indians in Southeastern and Southern Brazil

Cadernos de Saúde Pública ◽

10.1590/s0102-311x2011001400010 ◽

2011 ◽

Vol 27 (suppl 2) ◽

pp. s222-s236 ◽

Cited By ~ 12

Author(s):

Andrey Moreira Cardoso ◽

Carlos E. A. Coimbra Jr. ◽

Carla Tatiana Garcia Barreto ◽

Guilherme Loureiro Werneck ◽

Ricardo Ventura Santos

Keyword(s):

Mortality Rate ◽

Health Inequalities ◽

Causes Of Death ◽

Infant Mortality Rate ◽

Indigenous Populations ◽

Southeastern Brazil ◽

Infant Deaths ◽

Life Expectancy At Birth ◽

Crude Mortality Rate ◽

Crude Mortality

Worldwide, indigenous peoples display a high burden of disease, expressed by profound health inequalities in comparison to non-indigenous populations. This study describes mortality patterns among the Guarani in Southern and Southeastern Brazil, with a focus on health inequalities. The Guarani population structure is indicative of high birth and death rates, low median age and low life expectancy at birth. The crude mortality rate (crude MR = 5.0/1,000) was similar to the Brazilian national rate, but the under-five MR (44.5/1,000) and the infant mortality rate (29.6/1,000) were twice the corresponding MR in the South and Southeast of Brazil. The proportion of post-neonatal infant deaths was 83.3%, 2.4 times higher than general population. The proportions of ill-defined (15.8%) and preventable causes (51.6%) were high. The principal causes of death were respiratory (40.6%) and infectious and parasitic diseases (18.8%), suggesting precarious living conditions and deficient health services. There is a need for greater investment in primary care and interventions in social determinants of health in order to reduce the health inequalities.

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KEMATIAN PERINATAL DI BLU RSU PROF. DR. R. D. KANDOU MANADO

Jurnal e-Biomedik ◽

10.35790/ebm.1.1.2013.4585 ◽

2013 ◽

Vol 1 (1) ◽

Author(s):

Mercy Tumundo ◽

Hermie Tendean ◽

Eddy Suparman

Keyword(s):

Mortality Rate ◽

Perinatal Mortality ◽

Perinatal Death ◽

Developed Countries ◽

Perinatal Deaths ◽

Neonatal Deaths ◽

Normal Birth ◽

Perinatal Mortality Rate ◽

Still Births ◽

Early Neonatal Deaths

Abstract: Perinatal death is a big problem especially in a developing country. Some of the hospitals in Indonesia have declared that the number of perinatal death in developing countries is higher than in developed countries. The purpose of this research is to determine the incidence of the factors that affecting perinatal mortality at Prof. DR. R. D. Kandou General Hospital Manado. This research used retrospective descriptive method through medical records of perinatal deaths patients. There were 164 cases of perinatal deaths found where 109 cases still births and 55 cases were early neonatal deaths in 2011, so the number of perinatal mortality rate was 40.17 per mil. The highest number of perinatal death was from multigravide mother, mother with age ≥ 35 years old, spontaneous parturition. There were unknown caused of still births cases (77,06%) and sepsis in early neonatal deaths. The normal birth weight is also with most include of perinatal deaths. Keywords: still birth, early neonatal death, perinatal deaths, perinatal mortality rate. Abstrak: Kematian perinatal merupakan masalah besar khususnya di negara sedang berkembang. Beberapa rumah sakit pendidikan di Indonesia melaporkan angka kematian perinatal yang tinggi dibandingkan dengan laporan angka kematian perinatal di negara – negara maju yang jumlahnya rendah. Tujuan penelitian untuk mengetahui angka kejadian kematian perinatal serta faktor – faktor yang mempengaruhinya. Penelitian ini menggunakan metode deskriptif retrospektif dengan menggunakan data catatan medik pasien. Hasil penelitian yaitu jumlah kematian perinatal pada tahun 2011 sebanyak 164 kasus dengan 109 kasus lahir mati dan 55 kasus kematian neonatal dini sehingga angka kematian perinatal pada tahun 2011 yaitu 40.17 per mil. Kematian perinatal paling banyak pada ibu multigravida, ibu dengan kelompok usia ≥ 35 tahun, menggunakan jenis persalinan spontan. Pada lahir mati 77.06 % penyebab kematiannya tidak diketahui sedangkan sepsis paling banyak menyebabkan kematian neonatal dini. Berat badan lahir normal juga menjadi salah satu faktor terjadinya kematian perinatal. Kata kunci: lahir mati, kematian neonatal dini, kematian perinatal, angka kematian perinatal.

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VARIASI TINGKAT KEMATIAN BAYI DAN HARAPAN HIDUP DI INDONESIA MENURUT PROPINSI: HASIL SENSUS PENDUDUK 1990

Populasi ◽

10.22146/jp.11196 ◽

2016 ◽

Vol 3 (2) ◽

Author(s):

Kasto Kasto

Keyword(s):

Mortality Rate ◽

Infant Mortality ◽

Rural Areas ◽

Public Health Service ◽

Child Survival ◽

Infant Mortality Rate ◽

Population Census ◽

The Public ◽

Urban And Rural Areas

This study tries to investigate the infant mortality rate and life expectancy based on the 1990 Population Census, and to observe its variations among provinces that take place in the urban as well as in the rural areas of Indonesia. As a whole, the estimate of infant mortality rate and the expectation of life based on the 1990 Population Census is 69 per one thousand life births and 60 years for both urban and rural areas. The variation in the rural areas is larger than in the urban regions.During the period from 1980 to 1990 the infant mortality rate in Indonesia decreased by 4.29 percent annually. If this rate continued to increase till the end of 2000, the infant mortality rate by this time would be 45 per one thousand life births, whereas the expectation of life at birth would become 68 years.Many determinants of infant mortality rates should be taken into account to reduce the figures, particularly the coverage and the quality of the public health service which directly influences the child survival, as well as other determinants which indirectly,yet simultaneously, influence it.

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Ernawati Koto

10.31219/osf.io/wspf6 ◽

2021 ◽

Author(s):

GOVERNANCE: JURNAL POLITIK LOKAL DAN PEMBANGUNAN

Keyword(s):

Mortality Rate ◽

Infant Mortality ◽

Learning Process ◽

Qualitative Method ◽

Communication Competence ◽

Infant Mortality Rate ◽

Knowledge And Skills ◽

The Village ◽

Depth Interviews ◽

Village Midwife

The purpose of this study is to analyze the communication competence of village midwives and TBAs in supporting the decrease of maternal and infant mortality rate and to analyze the efforts of village midwives and TBAs in maintaining partnership in Singkohor sub-district of Aceh Singkil district. The method used is qualitative method with constructivist paradigm. Data were collected based on in-depth interviews on 6 informants consisting of 3 village midwives and 3 dukun bayi. The results showed that the midwives 'midwives' partnership and midwife communications process worked well. The communication competence of village midwives and midwives is seen from the motivation, knowledge and skills indicate that the motivation of the village midwife to partner with the dukun baby is due to the belief and closeness of the community to the midwife whose knowledge is gained from the experience passed down from generation to generation while the shaman has motivation partnering with the village midwife because the TBA believes in the credibility of midwives in handling childbirth where knowledge is gained from the learning process.

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"The Innate Constitutional Vigor of Black Youth"

PEDIATRICS ◽

10.1542/peds.50.1.166a ◽

1972 ◽

Vol 50 (1) ◽

pp. 166-166

Author(s):

Theodore Friedmann

Keyword(s):

Mortality Rate ◽

Infant Mortality ◽

Study of cases with perinatal mortality

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20191515 ◽

2019 ◽

Vol 8 (5) ◽

pp. 1719

Author(s):

Nidhi Pancholi

Keyword(s):

Mortality Rate ◽

Antenatal Care ◽

Perinatal Mortality ◽

Perinatal Loss ◽

Pediatric Care ◽

Entire Family ◽

Important Indicator ◽

Perinatal Deaths ◽

Perinatal Mortality Rate

Background: Perinatal loss is one of the most traumatic life events. It is indeed a great psychological and emotional shock to not only the mother and father but the entire family and society as a whole. The perinatal mortality rate (PMR) is an important indicator of the quality of obstetric care during pregnancy. Perinatal deaths result largely from obstetric complications that can be prevented with proper antenatal care and quality neonatal services. The study was aims to study the factors related with perinatal loss and its prevention in future pregnancy.Methods: It was a prospective analytical study. All patients with IUFD, stillbirths and early neonatal loss were studied. Postpartum both mother and father were counselled. Detailed history and thorough physical examination were conducted. Data was recorded and tabulated, observation made and compared with results of various studies.Results: The results showed that the incidence of IUFD was 3.7% and early neonatal death was 10.8% per total admissions. The perinatal mortality rate was 63.62 per 1000 live births. Perinatal mortality rate was inversely related to the number of antenatal visits taken by the patient. Lack of antenatal care results in perinatal deaths probably due to failure of early identification and management of maternal problems that impact negatively on perinatal outcome. Even in advanced economies with sophisticated diagnostic and monitoring equipment, lack of antenatal care categorizes a pregnant woman as a high-risk pregnancy.Conclusions: There is a need for awareness regarding importance of antenatal care and institutional delivery. Perinatal mortality is an important indicator of maternal care, health and nutrition. It also reflects the quality of Obstetric and Pediatric care available. Every effort must be made to reduce perinatal mortality.

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