scholarly journals Mengenal Tanda-Tanda Bahaya Kehamilan di Puskesmas Pakuan Baru Kota Jambi

2021 ◽  
Vol 3 (1) ◽  
pp. 52
Author(s):  
Ria Febrina
Keyword(s):  
Mortality Rate ◽  
Maternal Mortality ◽  
Pregnant Women ◽  
Community Service ◽  
Health Workers ◽  
Obstetric Complications ◽  
Maternal Deaths ◽  
Maternal Mortality Rate ◽  
Live Births ◽  
Danger Signs

Maternal Mortality Rate (MMR) in Indonesia is still high compared to other ASEAN countries. MMR in Indonesia according to the 2017 Indonesian Demographic and Health Survey (IDHS) is 305 per 100,000 live births. The global target of SDGs (Suitainable Development Goals) is to reduce the Maternal Mortality Rate (MMR) to 70 per 100,000 live births. While in Jambi Province in 2017 recorded maternal deaths were 29 cases. Maternal deaths that occur during 90% of pregnancy are caused by obstetric complications. Direct obstetric complications are bleeding, infection and eclampsia. Indirectly maternal mortality is also influenced by delays at the family level in recognizing danger signs of pregnancy and making decisions to immediately seek help. Delay in reaching health facilities and assistance in health service facilities. Pregnancy danger signs must be recognized and detected early so that they can be handled properly because any danger signs of pregnancy can lead to pregnancy complications. Therefore it is necessary to provide counseling to improve the knowledge of pregnant women about the danger signs of pregnancy. This community service activity was carried out by Pakuan Baru Kota Jambi Public Health Center. The time of implementation in April 2020. The target is pregnant women. Community service methods include a survey and lecture approach. The results obtained are pregnant women able to understand the danger signs of pregnancy. It is recommended for health workers to continue to provide education related to pregnancy to pregnant women

scholarly journals Two year review of maternal mortality at a tertiary care hospital of GMERS, Valsad, Gujarat, India

2018 ◽  
Vol 7 (6) ◽  
pp. 2283
Author(s):  
Darshna M. Patel ◽  
Mahesh M. Patel ◽  
Vandita K. Salat
Keyword(s):  
Mortality Rate ◽  
Maternal Mortality ◽  
Rural Areas ◽  
Tertiary Care ◽  
Maternal Mortality Ratio ◽  
Care Hospital ◽  
Maternal Deaths ◽  
Maternal Mortality Rate ◽  
Live Births ◽  
Mortality Ratio

Background: According to the WHO, 80 of maternal deaths in developing countries are due to direct maternal causes such as haemorrhage, hypertensive disorders and sepsis. These deaths are largely preventable. Maternal mortality ratio (MMR) in India is 167/100,000 live births.Methods: This retrospective observational study was conducted at GMERS, Valsad. Data regarding maternal deaths from January 2016 to December 2017 were collected and analyzed with respect to epidemiological parameters. The number of live births in the same period was obtained from the labour ward ragister. Maternal mortality rate and Mean maternal mortality ratio for the study period was calculated.Results: The mean Maternal mortality rate in the study period was 413.3/100,000 births. The maternal mortality ratio (MMR) in India is 167/100,000 live births. More than half of maternal deaths were reported in multiparous patients. More maternal deaths were observed in women from rural areas (67.3%), unbooked patients (73.3%) and illiterate women (65.3%). Thirty six (69.3%) maternal death occurred during postpartum period. Most common delay was first delay (60.0%) followed by second delay (40.0%). Postpartum haemorrhage (28.8%), preeclampsia (17.3%), sepsis (13.46%) were the major direct causes of maternal deaths. Indirect causes accounted for one third of maternal deaths in our study. Anemia, hepatitis and heart disease were responsible for 13.4%, 5.7%, and 1.9% of maternal deaths, respectively.Conclusions: Majority of maternal deaths are observed in patients from rural areas, unbooked, and illiterate patients. Hemorrhage, eclampsia and sepsis are leading causes of maternal deaths. Most of these maternal deaths are preventable if patients are given appropriate treatment at periphery and timely referred to higher centers.

scholarly journals Peningkatan Pengetahuan Ibu Tentang Keluarga Berencana Dalam Perspektif Keperawatan Islami Sebagai Upaya Menekan Risiko Kehamilan

2020 ◽  
Vol 2 (2) ◽  
pp. 174-181
Author(s):  
Suko Pranowo
Keyword(s):  
Family Planning ◽  
Mortality Rate ◽  
Health Education ◽  
Maternal Mortality ◽  
Community Service ◽  
Education Intervention ◽  
Childbearing Age ◽  
Maternal Mortality Rate ◽  
Live Births ◽  
Health Education Intervention

The maternal mortality rate (MMR) is an important indicator of the degree of public health. In 2019, Indonesia's MMR was still high, namely 305 per 100,000 live births, while Indonesia's MMR target in 2015 was 102 per 100,000 live births. Problems related to pregnancy and childbirth, including the maternal mortality rate (MMR) and infant mortality rate (IMR) cannot be separated from the various factors that influence it, including maternal health status and readiness for pregnancy, antenatal examinations (pregnancy), delivery assistance. and immediate care after delivery, as well as socio-cultural factors. Pregnancy with a distance that is too close will increase the risk of bleeding, miscarriage, and postpartum death. One of the efforts to prevent it is by joining the family planning program to restore conditions after being pregnant before. This community service is carried out in RW 14, Sidanegara Village, Cilacap Tengah District. The purpose of this community service is to provide an understanding to couples of childbearing age about family planning in the view of Islamic nursing. It is hoped that couples of childbearing age can understand and finally decide to participate in family planning in order to improve the health of mothers and children. After the health education was carried out, data showed that there was a significant increase in knowledge, namely the good category before the health education intervention as many as 0 people (0%) and the good category after the health education intervention as many as 17 people (94.44%). There was an increase in the number of participants who had knowledge in good categories, namely 17 people. Has a difference in the average pre and post test knowledge value of 3.33. It is hoped that couples of childbearing age become family planning acceptors to prevent the risk of pregnancy and be able to plan their families well.    

scholarly journals Pengetahuan terhadap Sikap Ibu Hamil tentang Tanda Bahaya Kehamilan Trimester III

2021 ◽  
Vol 7 (1) ◽  
pp. 22
Author(s):  
Rabia Zakaria ◽  
Raflin Kadir
Keyword(s):  
Mortality Rate ◽  
Maternal Mortality ◽  
Pregnant Women ◽  
Significant Relationship ◽  
Survey Method ◽  
Third Trimester ◽  
Maternal Mortality Rate ◽  
Danger Signs ◽  
Consecutive Sampling ◽  
Trimester Pregnancy

Indonesia is one of the developing countries in Southeast Asia with a high maternal mortality rate. One of the causes of the high maternal mortality rate is pregnancy complications that can appear through pregnancy danger signs. Danger signs of pregnancy are signs that indicate danger that can occur during pregnancy or the antenatal period, which if not detected can cause death. This study aims to determine the relationship between knowledge and attitudes of pregnant women about the danger signs of third-trimester pregnancy in one area of Central Indonesia. This study used an analytical survey method with approach cross-sectional. The sample in this study was 23 pregnant women. The sampling technique used was the consecutive sampling method. The consecutive sampling study was conducted in February - March 2020. The results showed a significant relationship between knowledge of the attitudes of pregnant women about the danger signs of third-trimester pregnancy. The conclusion in this study is that there is a significant relationship between knowledge of the attitudes of pregnant women about the danger signs of third-trimester pregnancy.

scholarly journals Gambaran Determinan Kematian Ibu di Kota Surabaya Tahun 2015-2017

2019 ◽  
Vol 7 (2) ◽  
pp. 178
Author(s):  
Hazar Rochmatin
Keyword(s):  
Mortality Rate ◽  
Maternal Mortality ◽  
Health Workers ◽  
Early Recognition ◽  
Secondary Data ◽  
Maternal Deaths ◽  
Maternal Mortality Rate ◽  
Second Child ◽  
History Of ◽  
High Level

Maternal mortality rate is one of indicator in assessing the welfare of the community in a region. The high level of Maternal Mortality Rate is a low level signals of public health. Data on maternal mortality in the city of Surabaya shows a decrease in the last 6 years from 144.66 in 2012 to 79.40 in 2017. Although it has shown a decline in progress, this figure still puts Surabaya as the second largest contributor to maternal deaths in East Java in 2017. The study aims to describe the determinants of maternal mortality in Surabaya based on contextual, intermediate and proxy determinants for 2015-2017. This research is descriptive by using secondary data in the form of recapitulation of Maternal Verbal Autopsy (OVM) data on maternal deaths at Surabaya City Health Office The results showed that based on education, the majority of mothers who died had secondary education of 52.29% (57 people). Based on work, the majority of mothers have jobs as housewives of 68.81% (75 people). Based on the age of the mother, the majority of deaths occurred in women aged 20-34 years with a percentage of 66.97% (73 people). According to parity, the majority of mothers who died occurred during pregnancy of the second child by 31.19% (34 people). Based on the period of death, the majority occurred in the puerperium with a percentage of 66.97% (70 people). According to the cause of single death, the majority of maternal deaths were caused by pre-eclampsia/eclampsia with a percentage of 26.61% (29 people). This study recommends the need for early recognition of mothers about antenatal care and danger during pregnancy, childbirth and the puerperium period and increased alertness of health workers to complications of pregnancy, especially in mothers with a history of disease.

scholarly journals Maternal mortality rate in Bao'an district, Shenzhen, China, 1999-2018

2020 ◽  
Author(s):  
yuanfang zhu ◽  
Yali Luo ◽  
Wei Wang ◽  
Liling Wang ◽  
Yuli Cheng ◽  
...  
Keyword(s):  
Mortality Rate ◽  
Maternal Mortality ◽  
Health Management ◽  
Maternal Deaths ◽  
Maternal Mortality Rate ◽  
Targeted Interventions ◽  
Live Births ◽  
Fast Decline ◽  
Rate Of Decline ◽  
Substantial Heterogeneity

Abstract Background China had achieved impressive success in reducing maternal mortality rate (MMR), while substantial heterogeneity still existed, and reports from Shenzhen region remained a blank. This study aiming to use all available data sources to evaluate the MMR from 1999 to 2018 in Bao’an district, Shenzhen, China. Methods Data on maternal deaths and key health-service-related indicators were obtained from registration forms and Shenzhen Maternal and Child Health Management System. The levels and trends of MMR, profiles and leading causes of death, as well as results from the maternal mortality review committee were analyzed. Results The MMR in Bao’an district declined from 95.31 per 100,000 live births in 1999 to zero in 2018, with an annualized rate of decline of 12.03% per year. A significant declining trend of MMR was observed over 5-year intervals (from 82.61 to 5.22 per 100,000 live births). MMR was higher among migrant population, women aged ≥ 35 years or those who given birth outside the hospital. The first three causes of maternal death included hemorrhage (27.69%), amniotic fluid embolism (22.31%) and internal medical disease complications (15.38%). Nearly ninety percent (86.78%) of maternal deaths were determined to be preventable. Conclusions Bao’an district had experienced a fast decline in MMR for a two-decade period, its experience in lowering MMR could provide a guideline for other regions to focus on those who needed particular attention and take targeted interventions to reduce maternal deaths.

scholarly journals Analysis of Factors Affecting Pregnant Women to Perform Perineal Massage

2021 ◽  
Vol 1 (1) ◽  
pp. 121
Author(s):  
Aidha Rachmawati ◽  
Rizka Esty Safriana ◽  
Endah Mulyani ◽  
Siti Mudlikah ◽  
Luluk Yuliati
Keyword(s):  
Mortality Rate ◽  
Maternal Mortality ◽  
Pregnant Women ◽  
Health Workers ◽  
Statistical Tests ◽  
Sampling Technique ◽  
P Value ◽  
Third Trimester ◽  
Maternal Mortality Rate ◽  
Perineal Massage

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

scholarly journals Maternal mortality: A 10-year study at Nishtar Hospital Multan

2016 ◽  
Vol 11 (4) ◽  
Author(s):  
Huma Quddusi ◽  
Sajjad Masood ◽  
Sobia Mazhar ◽  
Samee Akhtar
Keyword(s):  
Mortality Rate ◽  
Maternal Mortality ◽  
Causes Of Death ◽  
Age Group ◽  
Maternal Deaths ◽  
Maternal Mortality Rate ◽  
Live Births ◽  
Causative Factors ◽  
Management Of Complications ◽  
Age Range

Objective: To analyse causes of maternal deaths and to identify preventable causes leading to this tragedy in our setup. Design: An analytical, hospital-based study. Place and duration of study: Department of Obstetric and Gynaecology, Nishter Hospital Multan from June-August 2005. Patients and methods: During the study period retrospective data was collected for period of 10 year from January 1995 to December 2004. This data was analyzed in order to determine the Maternal Mortality Rate (MMR), causes of death and characteristics of the mothers who died including her age, parity and whether they were booked or unbooked. Results: A total numbers of 30031 deliveries took place during the study period and there were 178 maternal deaths with maternal mortality rate of 593/100,000 LB (live births). 7(3.9%) patients were below the age of 20, 74(41.5%) were in the age group of 21-30 and 82(46%) in 31-40 years age range. 15(8.42%) were above the age of 40. Most of them (69%) were grand multiparas (Parity >5). The major causative factors were haemorrhage 63(35.4%), eclampsia 41(23.03%), sepsis 25(14.04%), anaemia 18(10.1%), hepatic encephalopathy 14(7.9%), abortion 11(6.2%). Majority of the patients were unbooked and presented in the hospital very late. Conclusion: A high proportion of potentially preventable maternal deaths indicate the need for improvements in education for both patient and health care provider. The provision of skilled care and timely management of complications can lower maternal mortality in our setup.

scholarly journals The Relationship Of Pregnant Women's Knowledge And Attitude To The Implementation Of Delivery Planning And Complication Prevention (P4k) Program

2021 ◽  
Vol 1 (1) ◽  
pp. 13-21
Author(s):  
Ratih Ruhayati
Keyword(s):  
Mortality Rate ◽  
Infant Mortality ◽  
Maternal Mortality ◽  
Pregnant Women ◽  
Significant Relationship ◽  
Infant Mortality Rate ◽  
P Value ◽  
Maternal Mortality Rate ◽  
Live Births ◽  
The Relationship

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.

scholarly journals PERAN BIDAN TERHADAP PELAKSANAAN PROGRAM PERENCANAAN PERSALINAN DAN PENCEGAHAN KOMPLIKASI (P4K) DALAM MENURUNKAN ANGKA KEMATIAN IBU

2021 ◽  
Vol 7 (2) ◽  
pp. 110
Author(s):  
Siskha Maya Herlina ◽  
Yesvi Zulviana ◽  
Yadul Ulya
Keyword(s):  
Mortality Rate ◽  
Maternal Mortality ◽  
Pregnant Women ◽  
Program Implementation ◽  
Health Workers ◽  
Maternal Mortality Rate ◽  
Effective Strategies ◽  
Implementation Planning ◽  
Maternal Morbidity And Mortality ◽  
Delivery Planning

Maternal Mortality Rate in Indonesia in 2012 that there were 359. In 2007 the Minister of Health planned a delivery planning and complication prevention program (P4K) as an effort to accelerate the decline in MMR in Indonesia. Health workers have a role in carrying out labor preparation and preparation for pregnant women. This program is one of the effective strategies to reduce the number of maternal deaths, besides childbirth assisted by trained midwives also plays a role in reducing maternal morbidity and mortality. Program Implementation Planning Childbirth Complications and Prevention (P4K) on Reducing Maternal Mortality Rate (MMR) Methods phenomenological design, using descriptive data involving  informants. The collection of data with verification, data presentation and verification. Results In this study Generally P4K implementation is good enough. Services and cooperation of midwives, as well as the role of all the informant was quite good, facilities are adequate, but there are some activities that still has not been implemented because some of the barriers that exist so that the implementation is not optimal. Conclusions Implementation P4K program is likely to have contributed in helping pregnant women prepare for childbirth, and to reduce maternal mortality (MMR) should be reconsidered from various aspects

scholarly journals Sustainability in transformation of maternal mortality by interaction based approach in Dairi, Indonesia

2021 ◽  
Author(s):  
Henry Manik ◽  
Rika Subarniati Triyoga ◽  
M. Fidel G. Siregar ◽  
R. Kintoko Rochadi ◽  
Sandeep Poddar
Keyword(s):  
Mixed Methods ◽  
Mortality Rate ◽  
Maternal Mortality ◽  
Pregnant Women ◽  
Cause Of Death ◽  
Health Workers ◽  
Contributing Factors ◽  
Maternal Mortality Rate ◽  
Build Systems ◽  
Health And Mortality

Introduction: Health and mortality problems are closely related to the maternal mortality rate (MMR). Efforts to reduce MMR have been carried out by many countries, including the Indonesian government. Materials and Methods: This research was conducted using two approaches, namely quantitative and qualitative or mixed methods and 149 respondents and 26 informants, to reduce MMR in Dairi Regency. This study was also carried out to determine the dominant variable that affects mother's behavior in an effort to reduce MMR in accordance with the existing theory. Result: Mother's intention to contribute to the reduction of MMR in this study was influenced by the good factor directly or indirectly. This is indicated by the score p<0.005. The study also shows that it is very important for the health workers to be able to communicate well with individuals and communities. Conclusion: The present study will help to reduce maternal fatalities, and will help to build systems and processes that will allow control the behaviour of the pregnant women and determine the cause of death as well as its contributing factors.

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