Determinants of Increased Childbirth at Home during the Covid-19 Pandemic

2021 ◽  
Vol 4 (2) ◽  
pp. 169-175
Author(s):  
Susanti Melinda ◽  
Sri Anggarini Rasyid ◽  
Sitti Marya Ulva

During the Covid-19 pandemic, there was an increase in deliveries of pregnant women in non-health facilities, one of which was in the Motui Health Center area, namely 77.77% of pregnant women gave birth at home. This is because pregnant women are afraid of getting Covid-19 if they give birth in health facilities and are also afraid to do a Rapid Test. This study intends to determine the relationship between compliance and knowledge with an increase in the number of deliveries at home during the Covid-19 pandemic in the working area of ​​the Motui Health Center, Ranombupulu Village, Motui District, North Konawe Regency. This research method is quantitative analytic through a Cross Sectional Study design. The population is 34 people where the sampling technique uses total sampling so that the number of samples is 34 respondents. Data analysis used chi-square test. The results showed that the ANC visit compliance variable with a value of X2count=12.255 and a value of φ=0.600, and a knowledge variable with a value of X2count=9.722 and a value of φ=0.535. The conclusion of the study is that there is a strong relationship between the ANC visit compliance and knowledge with an increase in the number of deliveries at home in Ranombupulu Village. It is recommended that pregnant women increase their understanding of childbirth at the puskesmas during the Covid-19 period, including preventive measures for Covid-19 and carry out a complete examination to prevent complications during pregnancy.

2020 ◽  
Vol 4 (2) ◽  
pp. 7-11
Author(s):  
Nelfi Sarlis

Every pregnant woman in the first trimester experiences nausea and vomiting. This situation is natural and often occurs in pregnancy, especially in the first trimester. Nausea usually occurs in the morning, this case can occur almost 50% of pregnant wowen and many occur at 6-12 weeks. The purpose of this study was to determine the relationship between knowledge and attitudes of pregnant women on how to cope with vomiting nausea in pregnancy trimester 1 in the work area of ​​Payung Sekaki health center in Pekanbaru. This study uses a quantitative method with a cross sectional, so that the number of samples obtained was 71 respondents. Sampling used consecutive sampling technique, nominal and ordinal measuring scales, questionnaire research instruments and univariate and bivariate data collection. Based on the results of the chi square test obtained the knowledge variable is related to how to overcome nausea and vomiting with p = 0.008 where the value of α <0.1 then, Ha accepted means there is a relationship between knowledge and attitudes of pregnant women on how to cope with nausea vomiting while the variable obtained p=0,000 where the value of α<0,1 in the working area of ​​payung sekaki health center in Pekanbaru in 2019. Advised to puskesmas payung sekaki pekanbaru to try to increase public knowledge abaout nausea vomiting in pregnancy and the attitude of pregnant women to overcome nause and vomiting. By providing counseling to pregnant women abaout nausea and vomiting in pregnancy.


2020 ◽  
Vol 3 (1) ◽  
pp. 299-312
Author(s):  
Fera Natalia Sembiring ◽  
Tarsyad Nugraha ◽  
Linda Hernike Napitupulu

Immunization has proven to be one of the most important public health efforts. The report of the Kosik Putih Health Center in North Padang Lawas Regency in 2016 recorded a complete basic immunization achievement of 52 babies (63.9%) from the baby target of 76 babies and in 2017 amounted to 59 babies (73.8%) from the baby target of 80 babies. The purpose of this study was to study the determinants that influence mothers in giving immunizations to infants in the working area of ​​the Kosik Putih Health Center in Padang Lawas Utara Regency in 2019. Study design used an analytical survey with a cross sectional study approach. The population in this study were all mothers who brought their babies for basic immunization in the working area of ​​Kosik Putih Community Health Center in North Padang Lawas Regency in 2019 totaling 59 mothers. The sampling technique uses the entire population as samples (total sampling). Data analysis used univariate, bivariate and multivariate analysis with logistic regression. The results of this study indicate the sig value on the knowledge variable (p=0.003), attitudes (p=0.018), socio-cultural (p=0.271), availability of health facilities (p=0.376), affordability of health facilities (0.472), personnel support health (p=0.030) and husband's support (p=0.725). The variable with the greatest Exp (B) value is knowledge (39,565). The variables that influence behavior in providing basic immunization to infants in the working area of ​​Kosik Putih Community Health Center, North Padang Lawas Regency in 2019 are knowledge, attitudes and support of health workers and the most influential variable is knowledge.     Abstrak Imunisasi telah terbukti sebagai salah satu upaya kesehatan masyarakat yang sangat penting . Laporan Puskesmas Kosik Putih Kabupaten Padang Lawas Utara tahun 2016 tercatat capaian imunisasi dasar lengkap sebesar 52 bayi (63,9%) dari sasaran bayi sebesar 76 bayi dan tahun 2017 sebesar 59 bayi (73,8%) dari sasaran bayi sebesar 80 bayi. Tujuan dari penelitian ini untuk mengetahui faktor penentu yang memengaruhi perilaku ibu dalam pemberian imunisasi dasar pada bayi di wilayah kerja Puskesmas Kosik Putih Kabupaten Padang Lawas Utara tahun 2019. Jenis penelitian menggunakan survei analitik dengan pendekatan cross sectional study. Populasi dalam penelitian ini adalah seluruh ibu yang membawa bayinya untuk imunisasi dasar yang ada di wilayah kerja Puskesmas Kosik Putih Kabupaten Padang Lawas Utara tahun 2019 berjumlah 59 ibu. Teknik pengambilan sampel menggunakan seluruh populasi menjadi sampel (total sampling).. Analisis data menggunakan analisis univariat, bivariat dan multivariat dengan regresi logistik. Hasil penelitian ini menunjukkan nilai sig pada variable pengetahuan (p= 0,003), sikap (p=0,018), sosial budaya (p=0,271), ketersediaan fasilitas kesehatan (p=0,376), keterjangkauan fasilitas kesehatan (0,472), dukungan tenaga kesehatan (p=0,030) dan dukungan suami (p=0,725). Variabel dengan nilai Exp (B) terbesar adalah pengetahuan (39,565). Variable yang mempengaruhi perilaku dalam pemberian imunisasi dasar pada bayi di wilayah kerja Puskesmas Kosik Putih Kabupaten Padang Lawas Utara tahun 2019 adalah pengetahuan, sikap dan dukungan tenaga kesehatan dan variabel yang paling berpengaruh adalah pengetahuan.


2021 ◽  
Vol 5 (1) ◽  
pp. 374-381
Author(s):  
Lingga Kusuma Wardani ◽  
Reski Fauzianti

Introduction : Lack of knowledge of pregnant women about rapid tests so that the behavior of pregnant women sometimes does not take part in the Covid 19 rapid test because they are afraid, worried about the action. The purpose of this study was to determine the relationship between knowledge about rapid tests and the behavior of undergoing rapid tests for Covid 19 in late third trimester pregnant women at the Tumbang Kalang Health Center, East Kotawaringin Regency, Central Kalimantan Province. Methods : The design of this study is a correlational study with a cross sectional approach. Respondents were taken by simple random sampling technique. The population is 38 pregnant women with a sample of 35 pregnant women. The independent variable is knowledge about rapid tests and the dependent variable is the behavior of undergoing the Covid 19 rapid test. The results are analyzed using the Spearman rank statistical test. Results : The results showed that almost all of the respondents as many as 29 (83%) respondents had good knowledge of rapid tests. Most of the respondents as many as 26 (74%) respondents behaved well in undergoing the Covid 19 rapid test. Analysis : The results of data analysis showed that the significance level was 0.000 < = 0.05 so that H0 was rejected and H1 was accepted, thus there is a relationship between knowledge about rapid tests and behavior in undergoing Covid 19 rapid test for pregnant women in the third trimester at the Tumbang Kalang Health Center, East Kotawaringin Regency, Central Kalimantan Province. Disscusion : Based on the results of the study, it was concluded that the higher the knowledge of pregnant women about the Covid 19 rapid test, the better the attitudes and behavior of pregnant women in undergoing the Covid 19 rapid test. Knowledge of pregnant women about the Covid 19 rapid test obtained from various sources such as electronic media, officers Health is able to increase the knowledge of pregnant women about the benefits and objectives of the Covid-19 rapid test.


Author(s):  
Muhammad Ikhsan Akbar ◽  
Wa Ode Nova Noviyanti Rachman ◽  
Sartini Risky MS

Background: Public health center is the spearhead for improving the welfare of the community in the health sector. The health worker's skill needs to be optimized and can be seen from the results of their work, in the form of mastery of science and technology, as well as skills in implementing and providing health services. This is evident from the last three months' report on community visits, namely, in December 2016 the number of visits was 138 people, in January 2017 fell to 108 visits and in February 2017 dropped dramatically 93 visits. The purpose of this study was to determine the relationship of discipline, motivation, and training with the performance of health workers in the Abeli ??Community Health center. Methods: This type of research is quantitative with a cross-sectional study design. The population in this study was 42 people with a total sampling technique with a total sample of 42 people. The analytical method uses the Chi-Square statistical test and the Phi coefficient (?). Results: Based on the results of the study, there is a strong relationship between discipline and the performance of health workers with a value of X2 Calculation = 17,835 and a phi-efficiency test (?) = 0.651. There is a strong relationship between motivation and the performance of health workers with a value of X2 Calculation = 16,481 and the tested coefficient phi (?) = 0.626. There is a moderate correlation between training and health worker performance with X2 Calculation value = 10.299 and the phi coefficient test (?) = 0.495. Conclusion: For the health, institutions are suggested to increase the health worker's knowledge by increasing towards more discipline, high motivation, and more training in order. Eventually, the quality of human resources and health organizational performance will increase.


Author(s):  
Shinta Novelia ◽  
Rosmawati Lubis ◽  
Reni Apriyanti

Background: In Indonesia, there are 107,000 pregnant women who experience anxiety in facing labor. Based on a preliminary study conducted on 10 respondents, 7 of them said they felt anxious about getting pregnant during the Covid-19 pandemic because they were afraid of being exposed to the Covid-19 virus and it could endanger pregnant women. Objective: To determine the factors related to anxiety of pregnant women during the Covid-19 pandemic in the Banjar Pandeglang Health Center work area in 2021 Methodology: The study used cross sectional design. The population in this study was 112 pregnant women in January in the Banjar Health Center working area. The sample used in this study was a total population with an accidental sampling technique, 112 pregnant women in January at the working area of ​​the Banjar Health Center with the inclusion and exclusion criteria. Results: There was a significant relationship between knowledge p-value ( .004), family support ( .000) and health facilities ( .003) with the level of anxiety of pregnant women during the Covid-19 pandemic in the Banjar Pandeglang Health Center work area. Conclusions and Recommendations: There was no relationship between health information and the level of anxiety of pregnant women during the Covid-19 pandemic. It is hoped that pregnant women can pay more attention to their condition both physically and psychologically and ask their husbands or families to always provide support, participate in maintaining pregnancy and in preparing for childbirth and still comply with health protocols to avoid the Covid-19 virus. Keywords: anxiety; knowledge; family support; health facilities; health information; pregnant women      


2017 ◽  
Vol 4 (1) ◽  
Author(s):  
Dina Dewi Anggraini

ABSTRAKPerdarahan merupakan prosentase tertinggi penyebab terjadinya kematian ibu. Dan anemia zat besi merupakan penyebab utama terjadinya perdarahan. Pencegahan anemia gizi besi dilakukan melalui pemberian tablet besi dengan dosis pemberian sebanyak 1 tablet berturut-turut minimal selama 90 hari selama kehamilan. Pada kecamatan dan Puskesmas Kota Kediri 2014, cakupan Fe1 dan Fe3 yang terendah adalah pada Kecamatan Kota, yaitu Puskesmas Kota Wilayah Selatan, dengan Fe1 sebesar 69,81% dan Fe3 sebesar 66,29%. Penelitian dilakukan untuk menganalisis pengaruh umur ibu hamil dan dukungan keluarga terhadap kepatuhan mengkonsumsi tablet besi dan anemia pada ibu hamil di Puskesmas Kota Wilayah Selatan Kota Kediri 2016. Metode pada penelitian ini dengan observasi analitik dan rancang bangun cross sectional. Populasi pada penelitian ini 63 orang ibu hamil trimester III dan sampelnya 34 orang ibu hamil trimester III yang telah mendapatkan 90 tablet besi (Fe), dengan teknik simpel random sampling. Data diperoleh dari kuesioner, buku Kesehatan Ibu dan Anak, dan wawancara yang mendalam. Analisis data yang dilakukan dengan menggunakan regresi ordinal dan regresi logistik. Hasil uji didapatkan nilai p = 0,000 0,05 untuk variabel umur ibu hamil 20 tahun terhadap kepatuhan mengkonsumsi tablet besi (Fe), nilai p = 0,238 0,05 untuk variabel dukungan keluarga terhadap kepatuhan mengkonsumsi tablet besi (Fe), dan nilai p = 0,012 0,05 untuk variabel kepatuhan yang cukup dalam mengkonsumsi tablet besi (Fe) terhadap anemia pada ibu hamil. Semakin tinggi faktor risiko umur pada ibu hamil, maka semakin cenderung ibu hamil untuk patuh mengkonsumsi tablet besi (Fe) pada masa kehamilan. Semakin tinggi tingkat kepatuhan ibu hamil dalam mengkonsumsi tablet besi (Fe), maka semakin tinggi pula kecenderungan ibu hamil untuk tidak terkena anemia pada masa kehamilan. Kata kunci: Umur, Dukungan Keluarga, Kepatuhan, Anemia.   ABSTRACTBleeding is the highest percentage of the causes of maternal mortality. And iron anemia is a major cause of bleeding. Prevention of iron deficiency anemia is done through the provision of iron tablets with doses as much as 1 tablet in a row for a minimum of 90 days during pregnancy. In the town of Kediri district and health center in 2014, Fe1 and Fe3 coverage is lowest in the City District, the Southern Regional Health Center, with Fe1 amounted to 69,81% and amounted to 66,29% Fe3. The study was conducted to analyze the effect of maternal age and family support for adherence to consume iron tablets and anemia in pregnant women in the South Regional Health Center of Kediri, 2016. The method in this study with analytic observation and cross sectional design. The population in this study 63 third trimester pregnant women and the sample 34 third trimester pregnant women who have received 90 tablets of iron (Fe), with a simple random sampling technique. Data obtained from questionnaires, books Maternal and Child Health, and in-depth interviews. Data analysis was performed using ordinal regression and logistic regression. The test results obtained value of p = 0,000 0,05 for the variable maternal age 20 years of adherence to consume tablets of iron (Fe), p = 0,238 0,05 for the variable of family support for adherence to consume tablets of iron (Fe), and p = 0,012 0,05 for the variable adherence sufficient to consume iron tablet (Fe) against anemia in pregnant women. The higher the risk factors of age in pregnant women, pregnant women, the more it tends to stick to consume tablets of iron (Fe) during pregnancy. The higher the level of adherence of pregnant women consume iron tablet (Fe), the higher the tendency of pregnant women not exposed to anemia during pregnancy. Keywords: Age, Family Support, Adherence, Anemia.


2018 ◽  
Vol 1 (1) ◽  
pp. 1
Author(s):  
Susan Elviyaningsih ◽  
Rafika Rafika ◽  
Putu Candriasih

Anemia in pregnant women is called a potential that endangers the mother and child, therefore anemia requires serious attention from parties involved in health services. The purpose of this study is to know the relationship of age and consumption of iron-containing foods with the incidence of anemia in pregnant women in Talise Palu Health Center in 2017. The type of research is descriptive comparative using a cross sectional approach. The population of all pregnant women in the Talise Health Center area. The sample in this study amounted to 55 respondents with the sampling technique using consecutive sampling technique. The data collection is done through direct interviews and direct Hb measurements. Data analysis using univariate frequency distribution and bivariate analysis with Fisher's Exact Test. The results of the study of 55 respondents there were 96.4% of pregnant women who had anemia, with the age of pregnant women not at risk of 85.5% and pregnant women who rarely consumed foods containing iron there were 78.2%. The results of statistical tests using Fisher's Exact Test showed that there was a relationship between consumption of iron-containing foods (p = 0.04) with the incidence of anemia in pregnant women at Talise Palu Health Center in 2017 and no age relationship (p = 0.728) with anemia in pregnant women . Conclusion that age has no relationship with the incidence of anemia in pregnant women. Consumption of iron-containing foods is associated with the incidence of anemia in pregnant women. Suggestions for midwives who work at the KIA-KB Poli to continue to provide services according to operational standards during pregnancy examinations so that anemia in pregnant women can be treated and even prevented during pregnancy.Keywords: Pregnant, Anemia, consumption of foods containing iron


2021 ◽  
Vol 13 (02) ◽  
pp. 159
Author(s):  
Dechoni Rahmawati ◽  
Fatimah Dewi Anggraeni

ABSTRAKLatar Belakang: Blighted ovum adalah suatu keadaan hasil konsepsi yang tidak mengandung janin. Diperkirakan di seluruh dunia Blighted ovum merupakan 60% dari penyebab kasus keguguran, di ASEAN (association of southeast asian nations) mencapai 51%, di Indonesia ditemukan 37% dari setiap 100 kehamilan, di Provinsi Yogyakarta mencapai 30% dari 100 kehamilan dan di Kabupaten Sleman sebanyak 43,39% (WHO, 2015). Tujuan: Mengidentifikasi faktor yang berhubungan dengan kejadian kehamilan blighted ovum. Metodologi Penelitian: Jenis penelitian ini observasional analitik dengan pendekatan cross-sectional. Waktu penelitian ini dari 27 Maret 2021-12 Agustus 2021. Lokasi penelitian di PKU Muhammadiyah Gamping dengan sampel ibu hamil di PKU Muhammadiyah Gamping sebesar 30 responden, teknik pengambilan sampel Total Sampling. Luaran Yang Ditargetkan : Luaran penelitian ini jurnal nasional terakreditasi sinta 1-6. Hasil Penelitian: Faktor yang berhubungan dengan kejadian blighted ovum pregnancy yaitu faktor usia yang ditunjukkan dengan nilai p-value 0,04 dimana nilai p-value lebih kecil dibandingkan nilai signifikansi dengan tingkat kesalahan 5 % (0.05). Hal ini menunjukkan bahwa terdapat hubungan antara variabel usia dengan kejadian blighted ovum pregnancy. Untuk variabel pengetahuan nilai p-value 0,077 dimana nilai p-value lebih besar dibandingkan nilai signifikansi dengan tingkat kesalahan 5 % (0.05). Hal ini menunjukan bahwa tidak terdapat hubungan antara variabel pengetahuan dengan kejadian blighted ovum pregnancy.Kata Kunci: Hamil, Blighted OvumTHE RELATIONSHIP BETWEEN KNOWLEDGE AND AGE ON THE INCIDENCE OF BLIGHTED OVUM PREGNANCY AT PKU MUHAMMADIYAH GAMPING YOGYAKARTAABSTRACTBackground: Blighted ovum is a state of product of conception that does not contain a fetus. It is estimated that worldwide Blighted ovum is 60% of the causes of miscarriage cases, in ASEAN (association of Southeast Asian Nations) it reaches 51%, in Indonesia it is found 37% of every 100 pregnancies, in Yogyakarta Province it reaches 30% of 100 pregnancies and in Sleman Regency. as much as 43.39% (WHO, 2015). Objective: To identify factors related to the incidence of blighted ovum pregnancy. Research Methodology: This type of research is analytic observational with a cross-sectional approach. The time of this research is from 27 March 2021-12 August 2021. The research location is at PKU Muhammadiyah Gamping with a sample of pregnant women at PKU Muhammadiyah Gamping with 30 respondents, the sampling technique is Total Sampling. Targeted Outcomes: The outputs of this research are national journals accredited by sinta 1-6. Research Results: Factors related to the incidence of blighted ovum pregnancy are age, which is indicated by a p-value of 0.04 where the p-value is smaller than the significance value with an error rate of 5% (0.05). This shows that there is a relationship between the age variable and the incidence of blighted ovum pregnancy. For the knowledge variable, the p-value is 0.077 where the p-value is greater than the significance value with an error rate of 5% (0.05). This shows that there is no relationship between the knowledge variable and the incidence of blighted ovum pregnancy.Keywords: Pregnant, Blighted Ovum


2018 ◽  
Vol 11 (1) ◽  
pp. 40
Author(s):  
Ranny Septiani Septiani

<p><strong><em>Background:</em></strong><em>Background. The indicator used to describe the failure of the maternal health service program is the coverage of the examination of pregnant women on health services as measured by the first pregnancy visit  and the fourth pregnancy visit. <strong>Purpose:</strong> This study purposes to describe the characteristics of pregnant women who did not re-visit the fourth pregnancy checkup  at the Bungin Health Center in West Lampung Regency. <strong>Method:</strong> This study is a descriptive study with a cross sectional approach. The research sample was 152 pregnant women taken using simple random sampling technique. The variables studied were age, education, employment, parity and distance of home to health facilities. Data collection was sourced from cohorts of pregnant women who were analyzed univariately to see the proportion of mothers who did not do fourth repeat visit. <strong>Result:</strong> Pregnant women who did not make a fourth repeat visit with the highest characteristics were at high risk of 67%, low education was 48%, not working 70% of people, primiparous and multiparous were 42%, and had a distance from home living near health facilities 67.1% of people. <strong>Conclusion:</strong> The tendency of pregnant women not to make a fourth pregnancy visit with characteristics of high-risk age, low education, unemployment, primiparas and multiparas.</em></p>


2017 ◽  
Vol 24 (3) ◽  
pp. 37-44
Author(s):  
Santoso Ujang Effendi ◽  
Buyung Keraman ◽  
Andrek Sarnandes

The impact of the incidence of anemia in pregnant women who have less knowledge during pregnancy are abortion, preterm labor, fetal and uterine disorders, low birth weight (LBW), and high maternal mortality. This study aimed to study the relationship between the level of knowledge with the incidence of anemia in pregnant women at Tanjung Kemuning Community Health Center Kaur District. This type of research was Descriptive Correlation and the design used was Cross Sectional. The data in this study used the primary data obtained by distributing questionnaires. The population in this study was all pregnant women who checked pregnancy and did not check their pregnancy at Tanjung Kemuning Community Health Center of Kaur Regency from January to June 2016 as many as 66 pregnant women. Sampling technique are Total Sampling and obtained sampel counted 35 respondents. Data analysis was done by univariate and bivariate analysis with Chi-Square test and to know closeness using Contingency Coefficient (χ2) statistic test. The result of the research showed that there were 14 respondents (40.0%) of good knowledge, and 19 respondents (54,3%) did not experience anemia. There was a significant relationship between knowledge with the incidence of anemia in pregnant women in working area of Tanjung Kemuning Community  Health  Center Kaur District with a close category. Suggestion for Tanjung Kemuning  Community  Health Center Kaur District                   to increase the intake of iron nutrition in pregnant women by doing  health promotion about  anemia  and giving  iron  tablets  to pregnant  woman. Keywords : anemia, knowledge, pregnant women


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