scholarly journals LEVEL OF ANXIETY OF PREGNANT MOTHER IN FACING SECTIO CAESAREA OPERATIONS IN DKT SIDOARJO HOSPITAL

2019 ◽  
Vol 8 (1) ◽  
pp. 23-27
Author(s):  
Marlita Dewi Lestari ◽  
Kusuma Wijaya Ridi Putra ◽  
Dimyati Dimyati

Background: Mothers who undergo labor with sectio caesarea can experience anxiety because they have never experienced surgery or do not know about the actions to be taken.Objective: The study aimed to determine the maternal anxiety level of preoperative sectio caesarea in the Maternity Room of the DKT Hospital in Sidoarjo.Method: The research design used was descriptive method with cross sectional approach. The population in this study were patients who will undergo labor with sectio caesarea in the Maternity Room of the DKT Hospital in Sidoarjo. Sampling technique with accidental sampling. The instrument used was the Hamilton Rating Scale for Anxiety (HRS-A) which was adopted from the book Stress, Anxiety, and Depression Management (Hawari, 2004), which included 14 psychological symptoms of anxiety.Results: The results showed that the most anxiety level of preoperative sectio caesarean mothers was moderate anxiety as many as 25 people (50%).Conclusion: The anxiety level of mothers who will undergo Caesarean section surgery is moderate anxiety, so special care is needed by health workers. Handling that can be given in the form of health education about surgical procedures and post-surgical treatment. In addition, providing knowledge to the family so that they will continue to motivate mothers who will face the caesarean section surgery. Keywords: Level of anxiety, caesarean section surgery, labor.

2019 ◽  
Vol 4 (2) ◽  
pp. 1
Author(s):  
Ruri Maiseptya Sari

The rate of labor with sectio caesarean still exceeds from WHO recommendations. The purpose of this study is to determine the Factors who associated with Sectio caesarea in RS DKT in 2017.This study used survey analytic approach with cross sectional design. Population in this study were all labor mother in RS DKT in 2017 with the amount of 1143 people. Sampling technique used proportional random sampling, obtained sample with the amount of 296 people with sample proportion labor mother with sectio caesarea with the amount of 229 people, and labor mother pervaginam 67 people.The results of the study were: (1) from 296 mothers giving birth at DKT Hospital in 2017 there were 77.4% of women giving birth with caesarean section delivery and 22.6% of vaginal delivery mothers, 14.2% of mothers giving birth with fetal distress and 85.6% not fetal distress, 26.7% of women giving birth with DKP / CPD and 73.3% of mothers who were not DKP, 93.6% of mothers gave birth with BPJS financing and 6.4% with general financing; (2) There is a significant relationship between fetal distress and mid-category caesarean section and having a mother with a fetal distress has a risk of 1,358 times for a caesarean section compared with a mother without fetal distress; (3) There is a significant relationship between DKP / CPD with mid-caesarean section and moderate category and women with DKP / CPD have a risk of 1,447 times for caesarean section compared to mothers without PHO; (4) There is no meaningful relationship between BPJS funding and sectio caesarea. It was suggested to health workers to provide services to patients as needed nad also to  improve health promote to avoid caesarean section delivery especially in adult women, mother and also prospective mother, in order to better undertand that normla lanor has lower risk for mother wich has not a complications history in her pregnancy and childbirth.


2020 ◽  
Vol 1 (2) ◽  
pp. 151-160
Author(s):  
Nindya Saputri ◽  
Sondang R. Sianturi

Background: Every pregnant women desire to normal childbirth, but under certain conditions it is necessary to have a Caesarean section delivery. The process of giving birth to a Caesarean section will cause anxiety and fear because of the lack of information obtained by the mother regarding the section caesarean procedure to be performed. Objective: The purpose is to describe the relationship between knowledge level and anxiety level of primigravida mothers with caesarean section plan. Methods: Type of this research is correlational study with a cross sectional design using the Kendal tau test analysis. This research was conducted at X hospital in Bekasi. The sampling technique was purposive sampling, with 30 primigravida mothers with term pregnancy, no complications to the mother and will perform a caesarean section. Result: The results of univariate analysis are 96.7% of respondents aged 20-35 years, 53.3% have a college education background, 46.6% as enterpreneurs, 36.7% of respondents have sufficient knowledge with 63.3% have support family, 70% received support from health workers, and 40% of respondents’ experienced moderate anxiety and 20% had severe anxiety. Based on the results of the bivariate analysis, it was found that there was a relationship between education (pvalue 0.015), work (pvalue 0.019), family support (pvalue 0.016), and support from health workers (pvalue 0.001) on anxiety, and there was a relationship between knowledge and anxiety of respondents with pvalue 0.002. But there is no relationship between age and respondent anxiety with a pvalue of 0.297. Conclusion: From the results of statistical tests in this study, it was found that there was a significant relationship between the respondent’s level of knowledge and anxiety experienced in dealing with caesarean section delivery.


Author(s):  
Vina Rahmatika ◽  
Musa Ghufron ◽  
Nenny Triastuti ◽  
Syaiful Rochman

Background: The birth rate by caesarean section method is getting higher. Risk data for 2013 shows the method of birth with the operation method of 9.8 percent of the total 49,603 births during 2010 to 2013. Being in practice the mother must be given anesthetic before the surgery begins. This anesthesia will later affect the pain that will occur after SC. Purpose: The purpose of this study was to determine the correlation between regional anesthetic drugs and the smoothness of breast milk in women born in sectio caesarea at Muhammadiyah Gresik Hospital. Method: Method with Cross Sectional approach. The population in this study mothers who gave birth in a caesarean section at Muhammadiyah Hospital Gresik in December 2019 to January 2020. The sampling technique in this study is probability / random simple sampling. The sample in this study was a portion of mothers who gave birth in a caesarean section at Muhammadiyah Gresik Hospital. The instrument used was primary data collection in the form of questionnaires and secondary data in the form of patient medical records. Result: The data obtained in this study were processed using spearman correlation statistics. From the statistical test the Correlation coefficient value was 0.807, and obtained P-Value equal to 0,000 this value is less than 0.05. Conclusion: The conclusion of this study is that there is a correlation between the administration of a regional anesthetics and the smoothness of breast milk in mothers of post partum caesarea at Muhammadiyah Gresik Hospital.


2015 ◽  
Vol 4 (1) ◽  
Author(s):  
Fitri Amalia ◽  
Nadjmir Nadjmir ◽  
Syaiful Azmi Azmi

AbstrakDepresi merupakan salah satu dari gangguan mood yang utama. Tanda dan gejala lain gangguan mood adalah perubahan tingkat aktivitas, kemampuan kognitif, pembicaraan dan fungsi vegetatif seperti tidur, nafsu makan, aktivitas seksual dan irama biologis lainnya. Perubahan tersebut hampir selalu menyebabkan gangguan fungsi interpersonal, social, dan pekerjaan. Tujuan penelitian ini adalah untuk mengetahui gambaran tingkat depresi pada pasien penyakit ginjal kronik yang menjalani hemodialisis di RSUP Dr. M. Djamil. Penelitian ini merupakan penelitian deskriptif dengan desain cross sectional study. Subjek diambil dari seluruh populasi yang memenuhi kriteria inklusi menggunakan teknik total sampling, Subjek yang memenuhi kriteria inklusi diwawancarai menggunakan The Hamilton Rating Scale For Depression dari seluruh populasi didapatkan 16 subjek yang memenuhi kriteria. Hasil yang didapatkan ialah 9 responden (56,25%) tidak mengalami depresi, depresi ringan 6 responden (37,50%) dan depresi sedang 1 responden (6,25%). Dapat disimpulkan tingkat depresi terbanyak pada pasien penyakit ginjal kronik yang menjalani hemodialisis di RSUP DR. M. Djamil tahun 2013 adalah tingkat depresi ringan. Karakteristik responden terbanyak yang mengalami depresi adalah sebagai berikut: umur 40-49 tahun, perempuan, menikah, berpendidikan terakhir SMA, pekerjaan ibu rumah tangga dan tidak bekerja.Kata kunci: depresi, penyakit ginjal kronik, hemodialisisAbstractDepression is one of the major of mood disorders. Other signs and symptoms of mood disorders are changes in the level of activity, cognitive ability, speech and vegetative functions such as sleep, appetite, sexual activity and other biological rhythms. Such changes always lead to malfunction of interpersonal, social and employment. The objective of this study was to describe the level of depression in patients with chronic kidney disease who undergoing hemodialysis at RSUP Dr. M. Djamil Padang. This was a descriptive study using a cross sectional design. Subject were taken from the entire population who met the inclusion criteria using total sampling technique, subject who met the inclusion criteria were interviewed using the Hamilton Rating Scale for Depression, of the entire population obtained 16 subjects that meet the criteria. From this study, a 9 respondents (56.25%) did not experience depression, 6 respondents (37.50%) mild depression and 1 respondent (6.25%) moderate depression. It can be concluded highest rates of depression in patients with chronic kidney disease undergoing hemodialysis at RSUP DR. M. Djamil Padang in 2013 in the level of mild depression. Most characteristics of the respondents who were depressed were as follows : age 40-49 years, female, married, educated, past high school, housewives work and do not work, 13-18 months undergoing hemodialysis.Keywords: depression, chronic kidney disease, hemodialysis


Author(s):  
Dewi Marfuah ◽  
Annisa Nurfitriani Bachri

Lactation management is management needed to support the success of breastfeeding. Based on the data obtained from Riskesdas in 2012, the incidence of early initiation of breastfeeding process in Indonesia was only 29.3%, one of the influencing factor was the condition of post-cesarean women. Breastfeeding process for women with cesarean would be very hard and cause psychological problems, such as anxiety. This study aimed to determine the relations between knowledge of lactation management and anxiety in the breastfeeding process in women post cesarean delivery. This study was a correlation study with cross-sectional approach. The number of samples was calculated using Slovin formula, 59 women involved in this study that chosen using purposive sampling technique. The data were collected using the Hamilton Rating Scale for Anxiety (HARS) questionnaires and lactation management knowledge questionnaires. The relations analysis was performed using Spearman Rank Correlation. The result showed that 54.2% of mothers have moderate knowledge and 39.0% of them experience mild anxiety. Therefore, there was a significant relationship between the breastfeeding process and anxiety ρ 0.001 <0.05. It can be concluded that there is a relation between knowledge of lactation management and anxiety in the breastfeeding process. Conclusion,  It is suggested that nurses should provide nursing care on postnatal period, especially on how to give the appropriate breastfeeding so that anxiety in the breastfeeding process in the post of cesarean can be prevented.Keywords: anxiety, breastfeeding, knowledge, lactation management, sectio caesarea


2007 ◽  
Vol 4 (2) ◽  
pp. 78
Author(s):  
Sri Sedono Iswandi ◽  
Endy Paryanto Prawirohartono ◽  
Abidillah Mursyid

Background: Under nutrition remains a major malnutrition problem in Indonesia. In dealing with the problem, the Indonesian government has already implemented strategies including empowering health workers and families. It is very likely that the nutrition problem and the family awareness on nutrition are closely related. Families that practice balanced nutrition are able to recognize and cope with their nutrition problems are defined as nutritionally aware or better known as Kadarzi.Objective: To study the impact of nutrition training on family awareness on nutrition in Samarinda province of East Kalimantan.Method: This observational study was carried out using cross-sectional design. The study population was household with under five years old children in Samarinda. A hundred and thirty two households were drawn from the population with cluster random sampling technique. The data gathered in the study were Kadarzi indicators, achievement program on Kadarzi, and related information that was collected by inter-viewing Head of Primary Health Care Center (puskesmas) and Integrated Health Service Center (posyandu) cadres at the village level.Result: The training on nutrition had an effect to attainment of the family awareness (Kadarzi) in Samarinda (OR=6,9; 95 % CI =1,98 – 23,82). Other variable which playing a part in of the influence was mother education.Conclusion: Nutrition staff who were well trained had an effect to attainment of the family awareness.


2020 ◽  
Vol 2 (1) ◽  
pp. 28-30 ◽  
Author(s):  
Eva Ardianti ◽  
Sinar Pertiwi ◽  
Etin Rohmatin

Background: During pregnancy, most women experience psychological and emotional changes, it often comes up in the third trimester. Anxiety itself will have a negative impact on pregnant women to delivery, such as the fetal nervous and hindering growth, weakens the uterine muscle contraction, and others. One way to overcome anxiety in pregnancy with non-farmokologi method is prenatal massage.Methods: The study design used was pre-experimental research design with one group pretest posttest. Sampling in this research using purposive sampling technique with a sample size of 30 people. Pretest and posttest data retrieval using a measuring instrument HARS Scale (Hamilton Rating Scale for Anxiety). The data were analyzed using univariate and bivariate using Spearman Correlation Test.Result: Obtained results correlation value 0.769, it shows that the correlation is very strong with 0,000 ρvalue (ρvalue 0.05).Conclusion: Thus prenatal massage was effective to reduced the anxiety level of third trimester pregnant women


Author(s):  
Teguh Pribadi ◽  
Herwan Herwan

Background: Feeling anxious due to lack of attention from the surroundings can be solved by providing a good caring performance from the health workers. The nursing experts place caring as the core principle of a nurse in performing his work. Caring behavior refers to giving attention to patients, respecting others, and showing empathy so that a nurse should maintain the relationship with the patients by having this the patients can commit and be responsible with them.Purpose: Knowing nursing caring behavior on anxiety level of hospitalized patients.Methods: This study was a quantitative study. The design was analytical with cross sectional approach. The population of the study consisted of 262 adult patients in average registered at Ryacudu General Hospital, Kotabumi Lampung. The elder and pediatric inpatients were excluded. The samples were 79 respondents. The sampling technique was accidental sampling.Results: Based on the statistical analysis, the p value was 0.487 or the p value > 0.05, there wasn’t nursing caring behavior on anxiety level of hospitalized patients.Conclusion: The health practitioners should improve their nursing quality by following nurse training about therapeutic communication. It is expected that health workers can increase caring so that patient anxiety can be reduced and can improve the quality of health services by providing training to all nursing staff on good and correct therapeutic communication.


2014 ◽  
Vol 2 (1) ◽  
pp. 141
Author(s):  
Eka Roisa Shodiqoh ◽  
Fahriani Syahrul

ABSTRACTFacing childbirth is one thing that can cause anxiety. The process of giving birth is not always only somatic, but also psychosomatic. It is because many psychological elements affect the process of giving birth. This study aimed to analyze the differences of the level anxiety in facing childbirth between primigravida and multigravida.The research was conducted with cross-sectional design using questionnaires and Hamilton Rating Scale Anxiety (HRS-A). Interviews were conducted on 43 primigravidae and multigravidae pregnant women on 3rd trimester who checkup at Puskesmas Talango Sumenep.  Sample was taken by simple random sampling. Independent variables in this study were maternal characteristics, internal and external factors which cause anxiety. The dependent variable was the level of anxiety in facing labor.Testing difference in the level anxiety in the face of labor between primigravida and multigravida with Wilcoxon Mann-Whitney U test, where statistic values sig. (2-tailed) is 0,006 or p<0,05 indicating that there were differences in anxiety levels between primigravida and multigravida. The conclusions that can be drawn is that there are differences in the level of anxiety in facing childbirth between primigravida and multigravida. It is recommended for health worker to concern not only on the pregnancy but also on mother’s psychology condition. Health worker should inform husbands to accompany their wife from pregnancy to childbirth.Keyword: anxiety level, labor, primigavida, multigravid


2014 ◽  
Vol 1 (1) ◽  
Author(s):  
Nani Emma ◽  
Ova Emilia ◽  
Shinta Prawitasari

Background: The number of caesarean section (CS) operations in the world has increased sharply within the last 20 years. Increase of the need for CS operations also increases the problem related to surgical process. Infection happens about 2% to 16% after CS operation. The incidence of post CS is associated with some factors such as supplementation of prophylaxis antibiotics, duration of childbirth, width of membrane wound, duration of surgical nursing monitoring and number of CS. CS infection associated with antibiotic use occurs before or after CS operation. The incidence increases 3 times in patients that do not use antibiotics before CS operation. Use of prophylaxis antibiotics in CS operation significantly minimizes the incidence of infection.Objective: To identify antibiotic use according to standard operational procedure to the incidence of infection in CS mothers.Method: The study was analytical with cross sectional design, undertaken at Abepura Local Hospital. Population were all mothers who gave birth through CS at the hospital. Samples were taken using systematic random sampling technique as many as 44 samples. Data were obtained through questionnaire, interview and document studies  and analyzed using chi square and logistic regression test, risk prevalence at confidence interval (CI) 95% and significance p<0.05.Result: The majority of subject (56.82%) had no infection; 59.09% used antibiotics according to the procedure; 52.27% had good nutrition status; 54.55% had emergency operation; 50% had anemia. Average length of CS operation was 2.26 +1.38 hours. There was significant association between antibiotic use, nutrition status, Hb level, and types of operation and the incidence of CS infection (p<0.05). The result of multivariate analysis showed there was significant association between antibiotic use, nutrition status, types of operation and the incidence of infection. Use of antibiotic brought dominant risk for the incidence of CS infection (PR=2.36; 95% CI=1.45-3.38) whereby antibiotic use, nutrition status and types of operation could predict the incidence of CS infection as much as 10.7%.Conclusion: The majority of subject had no infection and used antibiotic according to the procedure. The probability for the incidence of CS infection was greater in antibiotic use irrelevant with the procedure. Factor most dominantly affecting the incidence of CS infection was antibiotic use irrelevant with the procedure. Keywords: antibiotic use, caesarean section, incidence of infection


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