scholarly journals Efektifitas Pelatihan Asuhan Persalinan Normal (APN) Terhadap Peningkatan Pengetahuan Bidan Di Pusat Pelatihan Klinik Sekunder (P2KS) Di Yogyakarta

2019 ◽  
Vol 6 (1) ◽  
pp. 533
Author(s):  
Eko Mindarsih ◽  
Murni Murni

Salah satu indikator yang dapat dijadikan alat untuk mengukur kualitas kesehatan perempuan adalah dengan Angka Kematian Ibu (AKI) atau Maternal Mortality Rate (MMR) AKI di Indonesia adalah 359 per 100.000 kelahiran hidup. Kementerian Kesehatan RI bersama organisasi profesi membentuk Pusat Pelatihan Klinik Sekunder (P2KS) di tingkat Provinsi yang bernaung dibawah JNPK-KR Peningkatan pengetahuan dan keterampilan  bidan  merupakan salah satu upaya untuk menurunkan kematian ibu. Penelitian ini bertujuan mengetahui efektifitas pelatihan Asuhan Persalinan Normal terhadap tingkat pengetahuan bidan di P2KS Propinsi DIY.  Metode penelitian yang digunakan adalah eksperiment. Bentuk desain penelitian ini adalah Quasi eksperimen  design dengan rancangan penelitian pre test dan post test. Nilai pengetahuan sebelum dan sesudah pelatihan pada responden di P2KS DIY terdapat peningkatan sebelum dan sesudah pelatihan sebesar 13, 3 poin. Hasil efektifitas pelatihan terhadap pengetahuan bidan adalah pelatihan Asuhan Persalinan Normal efektif terhadap tingkat pengetahuan responden dengan nilai p value yang diperoleh sebesar 0,000  (p value 0,000 < 0,05). Hasil Penelitian ini dapat disimpulkan bahwa pelatihan asuhan persalinan normal efektif terhadap tingkat pengetahuan responden.

2018 ◽  
Vol 10 (2) ◽  
pp. 32-43
Author(s):  
Desi Desi Nurseha Meirita

Based on the 2016 National Health Indicator Survey the maternal mortality rate in Indonesia is still high at 305 dead mothers per 100,000 people. The high maternal mortality rate was influenced by 28.8% due to preeclampsia. With the SDGs planned, 13 targets in point number three, one of which mentions by 2030, reduce maternal mortality to below 70 per 100,000 live births. Find out the correlation of maternal age, gestational age and gravides with the incidence of preeclampsia in RSUD Hospital Bogor in 2018. This type of research is analytical with retrospective research design. The researcher use 89 respondents to conudct this research. The Date collection is obtained by secondary methods, namely data taken from medical records. The analysis used is univariate, bivariate and multivariate analysis. Based on the results of the study found maternal age as many as 56 (62.9%) respondents, gestational age in the third trimester 70 (78.7%) respondents, multigravida as many as 59 (66.3%). Bivariate variables were found to correlate maternal age with the incidence of preeclampsia with p value of 0,004, The correlation of gestational age and the incidence of preeclampsia with p value of 0,069, The correlation of gravida with the incidence of preeclampsia with p value of 0,013. The results of multivariate analysis showed that the maternal age gravida variable had an opportunity of 0,013times greater than the gravida who experienced the incidence of preeclampsia. Maternal age variables have a greater chance of 3,006 times compared to the gravidaand gestational age that experienced the incidence of preeclampsia.


2021 ◽  
Vol 5 (1) ◽  
pp. 65-69
Author(s):  
Erma Nur Fauziandari

Background: Indonesian Population Demographic Survey (IDHS) in 2017 stated that the Maternal Mortality Rate (MMR) in Indonesia was 309/100,000 live births. According to Ristica (2017) the high maternal mortality rate in Indonesia is caused by the unpreparedness of the mother in facing childbirth. Maternal unpreparedness is usually seen among primigravida who struggle in preparing for childbirth as they have yet experience in delivering. Geniofam in Muthoharoh explained (2018) the factors that influence mother's readiness including knowledge, education, socio-culture and economy.Purpose: This study aimed to determine the mother social characteristic (age, education, occupation) that affect the readiness of primigravida in facing childbirthMethods: This type of research is analytical research with an observational approach. The sample in this study involved 53 primigravida on the third trimester of pregnancy. Data collection was carried out by filling out questionnaires on the readiness of mothers to face childbirth by respondents.Results: The results of statistical tests showed that age, education, or occupation did not affect mother's readiness in dealing with childbirth with p value > 0.05.Conclussions:  mother’s social characteristics do not affect the readiness of primigravida in facing childbirth.


2021 ◽  
Vol 3 (3) ◽  
pp. 353-370
Author(s):  
Elsa Surya ◽  
Dewi Rahayu ◽  
Aila Karyus

One of the breakthrough efforts that can reduce the maternal mortality rate as is Maternity Planning and Complication Prevention is expected to motivate the behavior of pregnant women in an effort to accelerate the reduction of maternal mortality. The high maternal mortality rate in Pringsewu regency is caused by a lack of screening for pregnant woman because it is suspected that there are still many high – risk pregnant woman who have not been found or have not come to health facilities. The aim of the research is knowledge of factors associated with behavior of pregnant women in childbirth planning and complication prevention programs. This research is a quantitative study with a cross sectional design. The data was collected by questionnaire tool. The population in this study were pregnant women who had an antenatal care in January 2021 at 3 public health centers that representing Pringsewu Regency, namely the community health center which had the highest moderate, and lowest coverage of Pregnancy visits 1 and 4 visits as many as 122 pregnant women. While the sample in this study was 96 pregnant women. Before the data collection, a questionnaire was tested on 30 respondents. The data analysis in this study is univariate test, bivariate test, and multivariate test. Based on the results of the study, it is known that some of pregnant women in Pringsewu regency have good behaviour, namely 62,5%. The results showed that there were 5 variables that had a significant relationship with the behavior of pragnant women in complication preventif program including knowledge (p value 0,030),attitudes (p value 0,000), availability of infrastructure (p value 0,033), distance to health facilities (p value 0,030) and husband’s support (p value 0,017). The most dominant variable related to the behaviour of pregnant women in complication prevention program is attitude where has the highest OR value of 5,881. In order to inprove the behavior of the community,especially pregnant women in complication prevention program, the Departement of Health needs to empower the community such as implementing the standby village, so that the community is able to independently fulfill the health facilities or infrastructure that are not yet available, namely village ambulances and village blood banks to support the implementation of complication prevention program so as to reduce maternal mortality rate (MMR) and infant mortality rate (IMR).


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.


2020 ◽  
Vol 5 (1) ◽  
pp. 1-6
Author(s):  
Dwi Anggun Lestari

Premature rupture of membranes is rupture of membranes in pregnant women before any sign of labor. The direct cause of maternal death in Indonesia is 27% due to premature rupture of membranes which can ultimately lead to complications in puerperium. Based on the 2017 Riskesdas data, the Maternal Mortality Rate was 348 per 100,000 live births in 2015. In 2018 Jember district has a higher maternal mortality rate than the province. In 2018 at the Silo Health Center in Jember District, there were 239 cases of premature rupture of membranes in pregnant women. The purpose of this study was to study and explain the description of the incidence of premature rupture of membranes in pregnant women. The research design used is case control through a retrospective approach. The population in this study were 275 third trimester pregnant women with 153 mothers experiencing premature rupture of membranes and 122 who did not experience premature rupture of membranes. The sample size in this study was 122 cases and 122 controls. The control sample was taken by simple random sampling. Data collection was performed using medical records. The analysis of this study used univariate, bivariate using Chi Square (X²) and multivariate with Simple Logistic Regression test. In this study, the variables that influence the occurrence of premature rupture of membranes are age, occupation, parity, multiple pregnancy, fetal abnormalities, birth spacing and history of KPD with p value <0.05. The most dominant variable on the occurrence of premature rupture of membranes is the history of KPD with OR = 40.137: 95% CI and p value 0.000 so that different proportions of cases and controls are significant in the sense that there is a significant influence between the history of KPD on the incidence of premature rupture of membranes. So it is expected for third trimester pregnant women to be more diligent in doing ANC (Antenatal Care) in the next pregnancy.


Author(s):  
Aidha Rachmawati ◽  
Rizka Esty Safriana ◽  
Endah Mulyani ◽  
Siti Mudlikah ◽  
Luluk Yuliati

One of the fears that is often felt by third trimester pregnant women is perineal rupture during childbirth. Perineal rupture can be prevented by taking preventive measures during pregnancy, namely perineal massage which can be done by pregnant women from 34 weeks of gestation until nearing labour. In East Java, the maternal mortality rate in 2018 was 515 per year or 1 to 2 people per day. The cause of the high maternal mortality rate of 20.3% is due to postpartum haemorrhage. The purpose of this study was to analysis the factors that influence pregnant women to perform perineal massage. The total population was 120 pregnant women with a sample of 92 pregnant women in April-July 2019, the sampling technique used simple random sampling. The data analysis used multiple logistic regression statistical tests while the significance test used a 0.05 degree of error. The results of this study were the age factor with a low risk of affecting pregnant women, the p-value was 0.003 (<0.05). Knowledge and motivation factors have an effect together. Knowledge has an effect of 122.5 times while motivation has an effect of 13.14 times in doing perineal massage during the third trimester of pregnancy. Health workers are encouraged to increase socialization and approach to third trimester pregnant women so that they want to do perineal massage independently


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


2018 ◽  
Vol 5 (2) ◽  
pp. 29-34
Author(s):  
Etika Desi Yogi ◽  
Sinta Ayu Setiawan ◽  
Sri Dwi Hastuti ◽  
Etika Desi Yogi

Maternal Mortality Rate in East Java 2011 were 101.40 per 100,000 births. The of incidence of maternal mortality in East Java in 2011 was caused by direct obstetric or the bleeding. Factors that lead to postpartum hemorrhage include the presence of uterine atony, retained placenta, lacerations of the birth canal and the blood clotting factor, whereas postpartum hemorrhage predisposing factors that include hydramnios, gemeli, parity and age. Data from the Madiun County Health Department in 2011 found bleeding number 230 of 12 698 maternal. At BPS Ny. Niniek Soelasminingsih, S.ST in 2011 from 58 deliveries got the bleeding as much as 6 patients deliver within 24 hours post partum, 2 people tear the multiparous born 4 cases with uterine atony.            This study aims to determine the relationship of parity with the incidence of post-partum bleeding. Type of study is the correlation with the analytic case-control approach. Collecting data using retrospective data. Samples from this study were all mothers giving birth at BPS Ny Niniek Soelasminingsih, S.ST from the medical records of a total of 61 maternal. The study was conducted in November 2012, the data were analyzed using Chi Square statistical test with a significance level set at p ≤ 0.05. The results showed that the number of women who experience bleeding as many as 12 people, most bleeding is multiparitas mothers by 5 people. Having analyzed by chi-square statistical test results showed no association between parity and incidence of postpartum hemorrhage in BPS Ny. Niniek Soelasminingsih S.ST 0.008 with p value ≤ 0.05 in other words Ha received. Recommended that the delivery assistance by personnel who are competent so that the incidence of postpartum hemorrhage can be treated as good as possible so that the maternal mortality rate in Indonesia could be on tap as well as early detection of high risk pregnant women and maternity over increased.


2019 ◽  
Vol 11 (1) ◽  
pp. 41-50
Author(s):  
Heni Purwaningsih ◽  
Umi Aniroh ◽  
Eko Mardiyaningsih

Program pembangunan kesehatan di Indonesia masih berfokus pada upaya peningkatan derajat kesehatan ibu dan anak terutama pada masa prenatal. Hal ini disebabkan masih tingginya Angka Kematian Ibu (AKI) dan Angka Kematian Bayi (AKB). ASI yang diberikan sejak usia dini dan dilanjutkan dengan ASI eksklusif selama 6 bulan dapat menurunkan angka kesakitan dan angka kematian bayi serta meningkatkan tumbuh kembang bayi secara optimal.  Penelitian ini bertujuan untuk mengetahui efektifitas pemberian konseling laktasi terhadap pelaksanaan menyusui pada ibu hamil trimester III. Desain penelitian menggunakan quasi eksperimen dengan rancangan One Group Pre-test dan  Post-test Desain. Populasi dalam penelitian ini adalah ibu hamil trimester III dan sampel yang diambil adalah 18 ibu hamil. Alat penggumpulan data menggunakan lembar observasi BREAST (body position, respons, emotional bonding, anatomy dan sucking time). Analisis data menggunakan wilcoxon.Hasil penelitian didapatkan pelaksanaan menyusui sebelum dilakukan konseling laktasi dalam kategori kurang (72,2%) sedangkan pelaksanaan menyusui setelah dilakukan konseling laktasi (77,8%) dalam kategori baik. Konseling laktasi efektif dilakukan untuk meningkatkan pelaksanaan menyusui denganp-value 0,003 (p<0,005).Konseling laktasi seharusnya diberikan pada masa prenatal sehingga pada saat postpartum, ibu sudah mampu memberikan asi secara maksimal. Pendampingan terhadap ibu hamil juga berperan dalam pelaksanaan pemberian ASI.   Kata kunci : Konseling laktasi, ASI, pelaksanaan menyusui   THE EFFECTIVENESS OF LACTATION COUNSELING IN THE 3rd TRIMESTER PREGNANT WOMEN ON BREASTFEEDING IMPLEMENTATION   ABSTRACT Indonesia's health development program still focuses on improving mother and child health, especially at the prenatal stage. It is due to the high maternal mortality rate (MMR) and Infant Mortality Rate (IMR). Breastmilk given from an early age and continued with exclusive breastfeeding for six months can reduce infants morbidity and mortality rate and increase their optimal growth. The purpose is to investigate the effectiveness of lactation counseling to the implementation of breastfeeding in third-trimester. The study design used quasi experiments with one group pre-test and post-test. Population was the 3rd-trimester pregnant mothers, and the samples were 18 mothers. The data collection tool used BREAST observation sheets (body position, response, emotional bonding, anatomy and sucking time). Data analysis used Wilcoxon. The result of the research shows that breastfeeding before lactation counseling is in less category (72,2%) while breastfeeding after lactation counseling (77,8%) is in a goodcategory. Effective lactation counseling is performed to improve the implementation of breastfeeding with p-value 0.003 (p <0.005). Lactation counseling should be given during the prenatal period so that at the time of postpartum, the mother has been able to give breastmilk maximally. Mentoring for pregnant women also plays a role in the implementation of breastfeeding Keywords: lactation counseling, breast milk, breastfeeding implementation


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.    


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