scholarly journals Faktor Yang Berhubungan Dengan Ketidaklancaran Proses Persalinan Normal

2019 ◽  
Vol 1 (1) ◽  
pp. 1-10
Author(s):  
Veronika Uba Petan ◽  
Maria M. Dwi Wahyuni ◽  
Amelya B. Sir

The result of not fluent parturition will cause infection, bleeding, fatigue, anxiety, premature rupture of membranes, fetal injury and asphyxia in infants that can increase maternal and infant mortality. Health Office Data in NTT 2013 showed that the number of maternal deaths in the district Lembata 3 cases out of 3.075 labors. The infant mortality rate as much 67 cases and as much 32 cases of neonatal mortality.The infant mortality rate in the district Lembata is still quite high enough that ranks 6 of 21 districts in NTT Province. The purpose of this study was to analyze factors associated with disfluencies parturition in a public hospital district Lewoleba-Lembata 2015. This research method is an analytical observation with a cross-sectional survey design by interviewing mothers in maternity hospitals in an obstetrics room of 60 people. Data analysis using the Chi-Square test to determine factors associated with not fluent, then proceed with the contingency coefficient test to determine the relationship variable, if the value of p <0.05. The results showed, there is a significant relationship between maternal age (p=0.002), maternal nutritional status (p=0.034), family support (p=0.047), compliance with antenatal care (p=0.007) with not fluent parturition. Recommended for health care workers to perform program planning relating to the extension to women of childbearing age to prevent risk factors that can cause not fluent parturition.

2021 ◽  
Author(s):  
Gaylord Ngaboyeka ◽  
Espoir Malembaka ◽  
Pacifique Lyabayungu ◽  
Samuel Lwamushi ◽  
Aimé Cikomola ◽  
...  

Abstract Background: The infant mortality rate in the province of South Kivu remains one of the highest in the Democratic Republic of Congo (DR Congo). The aim of this study is to estimate this mortality by identifying the associated factors in the health zones of Walungu and Miti-Murhesa, rural and post-conflict health zones of South Kivu, eastern DR Congo.Methods: We conducted a cross-sectional study in two post-conflict rural health zones, Miti-Murhesa and Walungu, between July 2016 and September 2017. Our study population consisted of women giving birth from two aforementioned areas during the period of study in which a structured questionnaire assessing the survival of the child resulting from the previous pregnancy was administered. Qualitative variables were described as counts and proportions and quantitative variables as means or medians depending on their distribution. To determine the factors associated with child survival, simple and multivariate logistic regression models were constructed. The materiality threshold was set at 5%. Results: The infant mortality rate is 49.7 ‰ in the two study areas overall and specifically 52.6 ‰ in Miti-Murhesa and 46.56 ‰ in Walungu. The factors associated with this mortality were the age of the mother under 20 years old [adjusted odds ratio ( ORa) = 2.3, 95% CI : 1.1-4.5 ; p = 0.022], household size greater than or equal to 7 people [( ORa = 3.7 ; 95% CI : 1.9-7.3 ; p <0.001 )], prematurity [( ORa = 25.5 ; 95% CI : 9.9-65.4 ; p < 0.001)], home birth [( ORa = 1.9 ; 95% CI : 1.3-2.9 ; p = 0.001)], the inter-reproductive space less than 12 months [( ORa = 5.3 ; ORa : 3.3-8.5 ; P < 0.001 )], not using LLINs [( ORa = 2.2 ; 95% CI : 1.4-3.3 ; P < 0.001 )].Conclusion: Infant mortality in the post-crisis rural area of South Kivu remains high although it is relatively low compared to the national average (58 ‰). However, efforts still need to be made in order to hope to achieve the Sustainable Development Goals.


2018 ◽  
Vol 36 (12) ◽  
pp. 1271-1277
Author(s):  
Alireza Ebrahimvandi ◽  
Niyousha Hosseinichimeh ◽  
Jay Iams

Objective To exploit state variations in infant mortality, identify diagnoses that contributed to reduction of the infant mortality rate (IMR), and examine factors associated with preterm-related mortality rate (PMR). Study Design Using linked birth-infant deaths files, we examined patterns in the leading causes of IMR. We compared these rates at both national and state levels to find reduction trends. Creating a cross-sectional time series of states' PMR and some explanatory variables, we implemented a fixed-effect regression model to examine factors associated with PMR at the state level. Results We found substantial state-level variations in changes of the IMR (range =  − 2.87–2.08) and PMR (−1.77–0.67). Twenty-one states in which the IMR declined more than the national average of 0.99 (6.89–5.90) were labeled as successful. In the successful states, we found reduction in the PMR accounted for the largest decline in the IMR—0.90 fewer deaths. Changes in the other subgroups of leading causes did not differ significantly in successful and unsuccessful states. Conclusion Trends in the causes of mortality are heterogeneous across states. Although its impact is not large, reducing the percentage of pregnant women with inadequate care is one of the mechanisms through which the PMR decrease.


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


2016 ◽  
Vol 12 (2) ◽  
Author(s):  
Eni Indrayani ◽  
Y Yamoto ◽  
Eti Sulastri

The government’s efforts to r Maternal Mortality Rate (MMR) and the Infant Mortality Rate (IMR) in Indonesia in reality still far away from the expected target, so as to accelerate the decline in maternal and infant mortality is to implement planning and prevention of complications of childbirth (P4K) through the installation of childbirth stickers on all pregnants house because it is expected to find a best way to save the pregnants, childbirth, post partum, and newborn babyThis aim of this study is to determine how the implementation of mounting stickers and Prevention Program Planning Maternity Complications (P4K) in the Work Area Public Health Center of Buluspesantren II Kebumen in 2013.This research uses descriptive method with a sampling of the total sampling.Analysis of data using univariate data analysis. It is descriptive statistical techniques. Based on research conducted, P4K stickers implementation is not good, as many as 75 respondents (76, 5%) good implementation P4K stickers, showed that all respondents, amounting to 98 pregnant women (100%) have a good level of knowledge, a majority of 23 respondents (23.5%), all respondents (98 pregnant) do not experience obstacles in the implementation of the sticker P4K Keywords: Pregnant, Knowledge, P4K Sticker


2021 ◽  
Vol 5 (2) ◽  
pp. 77-86
Author(s):  
Nur Indah Noviyanti ◽  
◽  
Gusrian Gusrian ◽  

Indonesia is currently still experienced problems related to the high maternal mortality rate (MMR) and infant mortality rate (IMR). So that the government makes efforts to reduce MMR and IMR. In this effort, in 1994 the government issued the MCH booklet, which is one of the strategies in reducing maternal and infant mortality rates, this strategy involves empowering the community, especially families and communities. In order to ensure the use of the MCH handbook in the community, the implementation of the MCH handbook is coordinated directly by the respective regional health offices. During the pandemic postpartum mothers find it difficult to access health facilities because of the right to service. Therefore, to increase mother's knowledge, both about early detection of complications, health education, health promotion, it is hoped that mothers can support them through the KIA book that every pregnant and postpartum mother has. This study aims to determine the relationship between postpartum mother’s adherence to the use of MCH book as an education to prevent complications in the Pandemic Era in the Sebengkok Community Health Center. This type of research used analytical research with cross sectional design. The population in this study were all postpartum mothers who were in the working area of the pusksemas Sebengkok from January to June 2020. The sampling technique in this study was purposive sampling. Based on the chi square test, the value of ρ = 0.011 was obtained, which shows ρ <α (0.05), which means that there is a relationship between postpartum mothers' knowledge of the use of the MCH book during the COVID-19 pandemic.


2018 ◽  
Vol 8 (2) ◽  
pp. 143-151
Author(s):  
Meli Marisiantini

Nowadays, Infant Mortality Rate (IMR) is still high in Indonesia, it is about 32 per 1.000 livebirths, and low birth weight infants accounted for 34% as the major cause (SDKI, 2012). InDr.M.Yunus hospital at Bengkulu city, cases of LBW has increased from the preceding year,approximately 391 infants (14.4%) of 2713 childbirths. The purpose of this research is known thefactors which affect average of birth weight infants in C1 Midwifery room at Dr.M.Yunus Bengkulu in2013. The study design was observational descriptive with cross-sectional method which the populationare women who delivered in the maternity room at Dr.M.Yunus hospital, and also with accidentalsampling technique which samples are 48 respondents, data were processed using univariate andbivariate. The results of statistical tests showed there are influences of those factors to affect average ofbirth weight infant in Dr.M.Yunus hospital in 2013 and long-standing is the most dominant factor. It isexpected that health workers can be provide counseling to pregnant women in order to know the risks ifthe women have a bad lifestyle (exposure to cigarette smoke, caffeine consumption, and prolongedstanding) and also set the age for pregnancy planning.


2021 ◽  
Vol 16 (3) ◽  
pp. 437
Author(s):  
Faishal Azhar Wardhana ◽  
Rachmah Indawati

ABSTRACTThe escalating infant mortality rate (IMR) in Indonesia has not been able to fulfill the target of Sustainable Development Goals (SDGs) that restrict the limit of IMR to just 12 of 1,000 live births. According to such fact, this research was designed as the application of panel data regression in an IMR case study of East Java from 2013–2017. Regression panel data enable research in describing cross-sectional and time series information. The variety of data availability in this method were capable of producing a high degree of freedom, allowing it to meet the prerequisites and statistical properties. This method was considered the most suitable one for analyzing the rising IMR. This research was classified as non-reactive research. All regencies/cities in East Java served as this study’s population. Data collection included K4 coverage, childbirth assistance, and KN complete coverage. The result of panel data regression showed a significant connection between K4 coverage (0.0230), childbirth assistance (p = 0.0105), and KN complete coverage (0.0205). Adjusted R-Square value was obtained with an amount of 80%, which means that all independent variables were able to explain the dependent one of that value, while the remaining were explained by other factors. This study can provide some suggestions to support IMR in East Java, including handling from the government or related pregnant families to support IMR on an ongoing basis. Keywords: panel data regression, IMR, K4, childbirth assistance, KN complete


2015 ◽  
Vol 2 (1) ◽  
pp. 17
Author(s):  
Tri Budi Rahayu

Supporting the success of breastfeeding to improve the coverage of exclusive breastfeeding in order to lower the infant mortality rate (IMR) set out in 10 Langkah Menuju Keberhasilan Menyusui (LMKM) policy. One of the steps taken is strive for the establishment of Kelompok Pendukung Ibu (KP-Ibu). This study aims to explain the results of the Kelompok Pendukung Ibu (KP-Ibu) in improving the success of exclusive breastfeeding. Cross-sectional research method with qualitative approach using in-depth interview technique. The results showed there is still one group that the level of attendance <80%. It is motivated by: 1) There are some KP-Ibu motivator who are less active because the husband follows the work out of town and do not feel confident because it has not had the experience of breastfeeding; 2) Non-availability of props, tools limited to the manual / guideline; 3) Monitoring and mentoring have not done regularly every 3 months.


2018 ◽  
Vol 9 (1) ◽  
pp. 01-05
Author(s):  
Elvi Destariyani

Kalla II long is one of the direct causes of the high maternal mortality rate inthe world. In dr. M Yunus in 2011 of women giving birth in 1047 of 196 (18.72%) of themothers had prolonged second stage of labor, and in 2012 of 1060 women giving birth as215 (20.28%) mothers had prolonged second stage. The research objective is to determinewhat are the factors associated with the incidence of prolonged second stage of labor inthe CI Space Hospital Midwifery. Dr. M. Yunus Bengkulu city.This study design was adescriptive cross sectional analytic approach. The population is all women giving birth inhospitals M.Yunus Bengkulu in 2012 as many as 1060 people. 290 samples were taken bypurposive sampling. Collecting data using secondary data.The results show most womengiving birth (51.4%) multiparous, most maternal (54.1%) aged less than 20 years andmore than 35 years, almost half of women giving birth (42.8%) fetal weight more than4000 grams, and the maternal part (50%) experienced a prolonged second stage, and therewas a significant association between parity with prolonged second stage, there was asignificant association between maternal age with prolonged second stage, there was asignificant association between fetal weight with time II time.Under these conditions it isexpected that the hospitals Dr.M. Yunus care delivery can minimize the risk of morbidityand maternal and infant mortality by improving the quality and quantity of theproposition, infrastructure and human resources that are reliable and competent.


2019 ◽  
Vol 2 (1) ◽  
Author(s):  
Jessica Chiang ◽  
Sarah Roth ◽  
Wilma Griffin ◽  
Paige DeChant ◽  
Debra Litzelman

Background and Hypothesis: Marion County suffers from stark racial disparities in infant mortality rate (IMR) with black babies experiencing an IMR of 11.6 and white babies 4.5, to culminate at a state average of 7.3. Since 2016, WeCare Indiana has worked to reduce the IMR in Central Indiana by connecting pregnant, post-partum, and childbearing age women with Community Health Workers (CHW) and community organizations that help with areas including but not limited to baby supplies, housing, and food insecurity. The goal of this research was to identify factors that promote changes in behaviors in WeCare clients as well as barriers to behavior modification in relation to the five pillars of the WeCare program: food insecurity, mental health, smoking, breastfeeding, and safe sleep. Experimental Design or Project Methods: Qualitative analysis of unstructured CHW follow-up notes from 2016 to 2018 of 1775 WeCare clients from mostly 13 highest risk zip codes for IM in Central Indiana was completed using keyword searches and clustering narrative entries into themes associated with the apriori areas of behavioral change. Results: Several key influencers of behavioral change were identified: (1) CHW dissemination of eligibility information about WIC, (2) CHW referral of clients to behavioral health resources, and (3) Pack n Play resources bundled with Safe Sleep class. Persistent barriers to positive behavioral change included: (1) lack of transportation to food resources, (2) unmanaged stress propagating substance use and smoking, (3) employment interfering with breastfeeding, and (4) lack of Safe Sleep education for all caretakers. Conclusion and Potential Impact: Next steps include sharing qualitative findings with CHW to reinforce positive behavioral change as well as investigating solutions for the barriers that prevent change within the five pillars of WeCare Indiana. Data from this study will be used to help interpret the calculated behavioral change scores relative to baseline measures that were found from quantitative analysis.


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