scholarly journals ANALISIS FAKTOR SOSIODEMOGRAFI KELAHIRAN PREMATUR DI RUMAH SAKIT UMUM YK MADIRA PALEMBANG

2020 ◽  
Vol 7 (2) ◽  
pp. 315-326
Author(s):  
Rika Ariana ◽  
Fika Minata Wathan
Keyword(s):  
Preterm Birth ◽  
Mortality Rate ◽  
Neonatal Mortality ◽  
Premature Birth ◽  
Health Workers ◽  
P Value ◽  
Preventive Action ◽  
Neonatal Mortality Rate ◽  
Cross Sectional ◽  
History Of

The one of Sustainable Development Goals (SDGs) in goals 3.2 are reducing Neonatal Mortality Rate to 12/1,000 live births. Preterm birth contributes greatly to neonatal morbidity and mortality. Based on the results of a review of the medical records of YK Madira Hospital in Palembang shows an increase the prevalence of preterm birth in 2018 of 5.7% and in 2019 an increase of 8.0%. The research aim to determine the relationship between risk factors on preterm birth. This research is an analytical survey, cross-sectional design using secondary with a systematic random sampling totaling 202 samples. Data analysis was performed using chi-square test for bivariate, logistic regression for multivariate, the results showed that there was a significant relationship between age (p-value = 0.000 OR = 3.4; 95% CI: 1.82-6, 39), education (p-value = 0.009 OR = 2.4; 95% CI: 1.28-4.58), history of preterm birth (p-value = 0.008 OR = 2.7; 95% CI: 1, 35-5.54), ANC examination (p-value = 0.031 OR = 2.5; 95% CI: 1.15-5.72) smoking variable obtain p-value = 1,000 (p>0.05). Conclusion: The most dominan variabel affecting preterm birth are age and history of preterm birth. These results can be used as a basis for information so that health workers can further improve communication, information,education on reproductive health in prospective brides and also groups of mother at high risk for premature birth as a promotive, preventive action thtat can prevent premature birth to support the achievement of government program targets in reducing the neonatal mortality rate in Indonesia.

scholarly journals Comparison of Factors Associated with the Neonatal Mortality Rate in Fars Province before and after Implementing the Health Section Evolution: A Retrospective Cross-Sectional Study

2021 ◽  
Author(s):  
Khalil Alimohammadzadeh ◽  
Farshad Falahati ◽  
Hassan Karami ◽  
Hamidreza Parsa ◽  
Maryam Shirvani Shiri ◽  
...  
Keyword(s):  
Risk Factors ◽  
Mortality Rate ◽  
Neonatal Mortality ◽  
Cross Sectional Study ◽  
P Value ◽  
Fars Province ◽  
Neonatal Mortality Rate ◽  
Cross Sectional ◽  
Factors Associated ◽  
Before And After

Background: The neonatal period or the first 28 days after birth is a critical and vulnerable time for a child period, and the mortality rate is high due to the severe problems which might happen during this period. The goal of this study was to compare the risk factors associated with the neonatal mortality rate (NMR) before and after the implementation of the health sector evolution plan (HSEP) in Fars Province, Iran. Methods: This study was a retrospective cross-sectional study. This research was conducted using the census method, and 275951 newborns’ files were studied. Variables are expressed as percentage and frequency. The chi-square test and Fisher tests was used to measure the significance level of variables. A multivariate logistic regression model was also used to estimate the odds ratio of neonatal mortality and risk factors associated with neonatal mortality. All statistical tests were performed bilaterally with P-value < 0.05 considered as significant. All tests were conducted using the software SPSS19. Results: After HSEP, risk factors of pregnancy and delivery complications were significantly reduced, and abnormalities were significantly increased (P-value < 0.001). Using multivariate logistic regression analysis, the risk of death is nine times more in gestational age below 37 weeks compared to gestational age over 37 weeks. The chances of neonatal mortality among neonates weighing less than 1000 grams are much more, and it is about 140 times more than normal weight (over 2500 grams). There was not a significant relationship between the chance of neonatal mortality and the implementation of HSEP (P-value > 0.05). Conclusion: Neonates with abnormal weight and premature neonates had the highest chance of death. Therefore, the prevention of preterm labor and low-birth-weight infants are essential factors in reducing neonatal mortality. This study suggests that improved health service quality is determinative to decrease neonatal mortality rate.

scholarly journals The Trend of Children Mortality Rates in Indonesia

2020 ◽  
Vol 11 (01) ◽  
pp. 52-62
Author(s):  
Sani Rachman Soleman
Keyword(s):  
Mortality Rate ◽  
Health Services ◽  
Neonatal Mortality ◽  
Premature Birth ◽  
Mortality Rates ◽  
World Health ◽  
Neonatal Mortality Rate ◽  
Cross Sectional ◽  
Under Five ◽  
Under Five Children

Children mortality rates describe the health services’ quality as indicators of each countries’ welfare, particularly in Indonesia. Several factors were determined as the main contributors of mortality, such as neonatal factors, maternal, environment and health services. The important of this research is to give recommendation to the government of Indonesia to propose some policies in handling of the increasing children mortality and modifying underlying disease as contributor mortality among children in Indonesia. The design of this study is cross sectional. The data was taken from World Health Organization Maternal Child Epidemiology Estimation from 2000 to 2017. There were three main categories : neonatal mortality rate (NND), post neonatal mortality rate (PND) and under five mortality rate (UFIVE). The leading causes of mortality were searched according to those categories and followed by descriptive analysis by line graphs. According to the data that had been found, there was declining on  NND (102.700 to 60.986), PND (138.553 to 63.471), UFIVE (241.253 to 124.457). The children mortality tend to decline at the range of 17 years, meanwhile the highest mortality among the three of groups are : premature birth in neonates, ARI in post neonates and premature birth in under five children.  In conclusion, the trend of three parameters of children mortality declined within 17 years. On several cases, there were outbreak of injury on 2004 and fluctuation of measles incident among infant and under five children. Premature birth and ARI have the highest prevalence among children in Indonesia.

scholarly journals Pengaruh Penerapan Program Perencanaan Persalinan dan Pencegahan Komplikasi (P4K) terhadap Kematian Neonatal

2018 ◽  
Vol 2 (1) ◽  
Author(s):  
Homsiatur Rohmatin ◽  
Agustina Widayati
Keyword(s):  
Mortality Rate ◽  
Neonatal Mortality ◽  
Sampling Technique ◽  
Active Role ◽  
Infant Mortality Rate ◽  
Neonatal Mortality Rate ◽  
Cross Sectional ◽  
Newborn Mortality ◽  
Maternal And Newborn

 Abstrak Program Perencanaan Persalinan dan Pencegahan Komplikasi (P4K) merupakan program pemerintah dalam penurunan angka kematian ibu dan bayi baru lahir. Angka kematian bayi (AKB) di Indonesia masih tinggi dimana Kabupaten Probolinggo merupakan salah satu penyumbang tertinggi. P4K merupakan tanggung jawab bidan, ibu hamil, suami, dan keluarga. Masih tingginya kematian neonatal di Kabupaten Probolinggo, diduga karena kurangnya peran aktif ibu, suami, dan keluarga dalam penerapan P4K. Penelitian ini bertujuan menganalisis pengaruh penerapan P4K terhadap kematian neonatal di Kabupaten Probolinggo. Rancang bangun penelitian adalah crossectional dengan populasi seluruh ibu yang mempunyai bayi lahir hidup atau mati (usia 0-28 hari) yang mendapatkan stiker P4K. Teknik sampling menggunakan accidental sampling. Sampel penelitian ini adalah sebagian ibu yang mempunyai bayi lahir hidup atau mati (usia 0-28 hari) yang mendapatkan stiker P4K. Pengumpulan data menggunakan kuesioner dan wawancara. Uunivariat, bivariat dan multivariat digunakan dalam menganalisis data. Hasil penelitian menginformasikan sebagian besar ibu, suami, dan keluarga kurang berperan aktif. Sehingga ada pengaruh penerapan P4K terhadap kematian neonatal. Untuk itu, diperlukan peran aktif kader posyandu dalam memotivasi dan mendampingi ibu, suami dan keluarga dalam penerapan P4K sebagai upaya menurunkan kematian neonatal.  Kata kunci  : P4K, kematian neonatal, stiker  Abstract           The Maternity and Complication Prevention Planning Program (P4K) is a government program in reducing maternal and newborn mortality. The infant mortality rate (IMR) in Indonesia is still high where Probolinggo District is one of the highest contributors. P4K is the responsibility of midwives, pregnant women, husbands and families. The high neonatal mortality rate in Probolinggo Regency is allegedly due to the lack of active role of mothers, husbands, and families in implementing P4K. This study aimed to analyze the effect of P4K application on neonatal mortality in Probolinggo District. The research design was cross-sectional with the population of all mothers who had live or dead babies (aged 0-28 days) who received P4K stickers. The sampling technique used accidental sampling. The sample of this study was that some mothers who have babies born alive or dead (age 0-28 days) who got P4K stickers. Data collection used questionnaires and interviews. Univariate, bivariate and multivariate were used to analyze the data. The results of the study informed that most mothers, husbands, and families were less active. Therefore, there was an effect of applying P4K to neonatal mortality. It is suggested for posyandu cadres to have an active role in motivating and assisting mothers, husbands and families in implementing P4K as an effort to reduce neonatal mortality.Keywords    : P4K, neonatal mortality, sticker

scholarly journals Riwayat Komplikasi Maternal terhadap Insiden Kelahiran Prematur di RSUD Dr. H. Chadan Boesoirie Ternate

2020 ◽  
Vol 11 (2) ◽  
pp. 52-57
Author(s):  
Siska Nawang Ayunda Maqfiro ◽  
Irmasanti Fajrin
Keyword(s):  
Premature Birth ◽  
Sampling Technique ◽  
Neonatal Morbidity ◽  
Simple Random Sampling ◽  
Total Sample ◽  
P Value ◽  
Cross Sectional ◽  
Maternal Complication ◽  
History Of ◽  
The Relationship

Premature birth is one of the most important factors in neonatal morbidity and mortality. Based on the survey shows an increase in the incidence of premature birth at dr. H. Chasan Boesoirie hospital in 2015-2017. The purpose of this study was to determine the relationship between the history of maternal complication and the incidence of premature birth at dr. H. Chasan Boesoirie hospital used an analytic correlation research design with a cross-sectional approach. The population is all multiparity and grand multiparity at dr. H. Chasan Boesoirie hospital on January-December 2018, the sampling technique used simple random sampling, with the total sample are 196 respondents. The results show that 66,3% do not have the history of maternal complication and 85,7% do not have an incidence of premature birth. Then, that were analyzed using Spearman-rank. The results show that p-value is 0,001 (p-value<α). The conclusion that there is a relationship between the history of maternal complication and the incidence of premature birth at dr. H. Chasan Boesoirie hospital. So, it is necessary to provide information and education to pregnant women in order to plan their pregnancy well and build a referral system with primary care facilities.

scholarly journals A community based study of neonatal mortality in Aligarh by using verbal autopsy

2018 ◽  
Vol 5 (6) ◽  
pp. 2491
Author(s):  
Ambren Chauhan ◽  
M. Salman Shah ◽  
Najam Khalique ◽  
Uzma Eram
Keyword(s):  
Mortality Rate ◽  
Neonatal Mortality ◽  
Verbal Autopsy ◽  
Birth Asphyxia ◽  
Survival Strategies ◽  
Biological Factors ◽  
Neonatal Mortality Rate ◽  
Community Based ◽  
Cross Sectional ◽  
Live Births

Background:Neonatal mortality rate is regarded as an important and sensitive indicator of the health status of a community. Children face the highest risk of dying in their first month of life. The present study was aimed to 1) determine the prevalence of neonatal mortality rate 2) identify socio-biological factors in relation to neonatal mortality.3) determine the causes of neonatal mortality. Methods:A community based cross sectional study was conducted in the field practice areas of Department of Community Medicine, AMU, Aligarh. All the live births and all neonatal deaths were taken for one year from June 2016 to May 2017. A standard Verbal autopsy questionnaire (WHO 2012) was used as a study tool. Results:The prevalence of neonatal mortality rate was38.2/1000 live births. The early neonatal mortality rate was 28.3/1000 live births and late neonatal mortality rate was 9.9/1000 live births. The associated socio –biological factors were gender [OR-2.381, 95% CI-1.037-5.468], birth order [OR-4.090, 95% CI-1.119-14.946] and gestational age [OR-12.62, 95% CI-3.26-48.82]. The leading causes of deaths among newborns were preterm births (22.2%), birth asphyxia (22.2%), other causes (19%), ARI (14.3%), congenital anomalies (14.3%) and diarrhoeaandneonatal sepsis accounted for (4.8%) each. Conclusions: The neonatal mortality rate assessed by verbal autopsy is higher than nationally reported. Most of the deaths were in early neonatal period. There is a need for programs encouraging the use of antenatal care, encouraging institutional deliveries and care of LBW neonates; as well as implementation of community-based newborn survival strategies.

scholarly journals Neonatal mortality rate (NMR) in intensive care unit (ICU) of Ardabil city hospitals and related factors

2018 ◽  
Vol 7 (11) ◽  
pp. 4531
Author(s):  
Mehrdad Mirzarahimi ◽  
Afsaneh Enteshari- Moghaddam ◽  
Sepideh Khademi
Keyword(s):  
Mortality Rate ◽  
Neonatal Mortality ◽  
Social Systems ◽  
Cross Sectional Study ◽  
City Hospital ◽  
Neonatal Mortality Rate ◽  
Biochemical Tests ◽  
Related Factors ◽  
Cross Sectional ◽  
Causes Of Mortality

Background: Neonatal mortality rate (NMR) is one of the important parameters in assessing quality of life in societies. NMR are often used as a standard index for evaluation health, education and social systems, nutritional status and health programs for neonates in countries and the first step in reducing mortality rate and promoting the level of this indicator is to identify the causes of mortality. Therefore, this study was conducted to determine the NMR in new born infants admitted to the ICU of Ardabil city hospitals.Methods: This study was a descriptive cross-sectional study that has been done on 184 dead neonates in Ardabil city hospital during 2016-2017. The necessary information was extracted from the hospital records of neonates and entered in a provided checklist and then analyzed by statistical methods such as tables in SPSS version 19.Results: The mortality rate of hospitalized infants in this research was 6.6%. Of all patients, in 65.2% CBC were impaired and 58.7% of patients had impaired serologic and biochemical tests. 68.5% of patients had prematurity, 62.5% RDS and 20.7% had congenital anomalies.Conclusions: Prematurity, RDS and congenital anomalies are the most important causes of NMR and we should programing to decreasing the NMR rate in future.

scholarly journals Usia Menarche, Riwayat Kontrasepsi Hormonal dan Usia Menopause

2020 ◽  
Vol 11 ◽  
pp. 85
Author(s):  
Yusrawati Hasibuan
Keyword(s):  
Health Workers ◽  
Hormonal Contraception ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Purposive Sampling ◽  
History Of ◽  
Age Of Menarche

The increase in life expectancy indicates that more and more menopausal women in Indonesia. The purpose of this study was to determine the effect of age of menarche and history of hormonal contraception on menopause age. The subjects of this cross-sectional study were 91 women selected by purposive sampling technique. Data were collected through questionnaires and then analyzed using the Chi-square test. The results showed that the age of menopause was influenced by the age of menarche (p-value = 0.004) and was not influenced by a history of hormonal contraception (p-value = 0.271). It is expected that health workers increase counseling so that mothers know the factors that influence menopause. Keywords: menopause; menarche; hormonal contraception ABSTRAK Meningkatnya usia harapan hidup menandakan bahwa semakin banyak wanita menopause di Indonesia. Tujuan penelitian ini untuk mengetahui pengaruh usia menarche dan riwayat kontrasepsi hormonal terhadap usia menopause. Subyek penelitian cross-sectional ini adalah 91 wanita yang dipilih dengan teknik purposive sampling. Data dikumpulkan melalui pengisian kuesioner lalu dianalisis menggunakan uji Chi-square. Hasil penelitian menunjukkan bahwa usia menopause dipengaruhi oleh usia menarche (p-value = 0,004) dan tidak dipengaruhi oleh riwayat kontrasepsi hormonal (p-value = 0,271). Diharapkan agar tenaga kesehatan meningkatkan penyuluhan agar ibu-ibu mengetahui faktor yang berpengaruh terhadap menopause. Kata kunci: menopause; menarche; kontrasepsi hormonal

scholarly journals Assessment of socio-clinical profile of neonates admitted in sick neonatal care unit of tertiary care hospital: Odisha

2017 ◽  
Vol 5 (9) ◽  
pp. 4077 ◽  
Author(s):  
Dhaneswari Jena ◽  
R. M. Tripathy ◽  
Srabani Pradhan ◽  
Geetanjali Sethi
Keyword(s):  
Mortality Rate ◽  
Neonatal Mortality ◽  
Tertiary Care ◽  
Birth Asphyxia ◽  
Cross Sectional Study ◽  
Clinical Profile ◽  
Care Hospital ◽  
Neonatal Mortality Rate ◽  
Single Digit ◽  
Cross Sectional

Background: Neonatal mortality rate of 29 and early neonatal mortality rate is 20 which contributes 53% of IMR. India targets to achieve single digit under 5 and neonatal death by 2030. Early identification and management of common morbidities among neonates is desirable for improving the survival. Therefore, this study was conducted with the aim of assessing socio-clinical profile of neonates admitted to SNCU and its impact on morbidities of newborn from different strata.Methods: A cross sectional study was conducted in SNCU of MKCG medical college from January 2016 to December 2016. Convenient sampling was done. Data was collected using pre-designed semi structured questionnaire.Results: Total 752 study subjects were taken. Most common cause of admission was sepsis (47.4%) followed by prematurity (27.8%), birth asphyxia (13.9%) and IUGR (7.5%). Majority of out born neonates were admitted for sepsis (87.9%) while in born neonates for birth asphyxia (81.9%). All the morbidities were significantly higher among early neonates, babies born to illiterate mother and those with inadequate antenatal check-up.Conclusions: Majority of babies were out born, may be due to delay and lack of quality new born care in the referring facilities. Sepsis was most common preventable morbidity by simple intervention of clean delivery practices which should be promoted. Birth asphyxia can be reduced by adequate skill development training of the staffs and minimising the 3 delays maternal care.

scholarly journals First feed given to the new born babies - a survey in an urban community of Lahore

2016 ◽  
Vol 11 (4) ◽  
Author(s):  
Tahira Fatima ◽  
Rana Sajid Mahmood ◽  
Maaz Ahmad
Keyword(s):  
Mortality Rate ◽  
Neonatal Mortality ◽  
Health Professionals ◽  
Neonatal Mortality Rate ◽  
Community Based ◽  
Formula Milk ◽  
Cross Sectional ◽  
Lactating Mothers ◽  
Pregnancy And Delivery ◽  
Populous Country

Background: Pakistan being 7th populous country is facing a high Neonatal Mortality Rate and it is reported that acute gastroenteritis is one of the major factor to this high Neonatal Mortality Rate. Avoiding colostrums and giving some prelacteal feed are contributory factors for gastroenteritis. Which ultimately leads to high Neonatal Mortality Rate.Objectives:-To study the first feed practice adopted by lactating mothers in a community in Lahore. Study design. Cross sectional community based survey. Place and duration of the study:- Dubhi mandi near old Anarkali Lahore from January 2002 to June 2002. Respondants and methods: - 180 mothers who delivered in the previous year were listed and interviewed on structured pre tested questionnaire. Results: 32% mothers feed colostrums, and 68% started with other items like honey 27%, ghutti 18%, Araq 8%, water & sugar 4%, cow and formula milk 12%. Out of (122) those who did not started with colostrums, 59% done it intentionally under the influence of family traditions /taboos of either avoiding colostrums being a stale food or to get the first feed by a person of good fortune, 31% missed by ignorance and 10% due to medical reasons. Out of 58 `mothers who started with costume 45% were motivated by health professionals, 39% by relatives/friends and 20% by media. Conclusion: It is conclude that still prelacteal feed is common practice. It is also observed that people change this practice under the guidance of health professionals . So situation can be improved by increasing liaison of pregnant mothers with health professionals ,who should continuously motivate the mother during pregnancy and delivery, to start with colostrums with in half hour of delivery.

scholarly journals Premature Babies and Associated Factors Among Births in Referral Hospitals of Amhara Region, Ethiopia: a Cross-sectional Study

2021 ◽  
Author(s):  
Dagnew Getnet Adugna ◽  
Mohammed Oumar ◽  
Asmamaw Adugna
Keyword(s):  
Preterm Birth ◽  
Premature Birth ◽  
Associated Factors ◽  
Medical Illness ◽  
Amhara Region ◽  
Premature Rupture ◽  
Cross Sectional ◽  
Chronic Medical Illness ◽  
Referral Hospitals ◽  
History Of

Abstract Background: Premature birth remains a serious public health problem in developing countries including Ethiopia. Ethiopia is one of the country with highest preterm birth rate in Africa. However, there is limited evidences on the prevalence and associated factors of premature birth. Therefore, this study was aimed to assess the prevalence and associated factors of premature birth among newborns delivered in Amhara region referral hospitals, Northern Ethiopia.Methods: A hospital-based cross-sectional study was undertaken from February 23rd to April 23rd, 2020, in the Amhara region. A total of 482 mother-newborn pairs were included in this study. The data were collected by interviewing the mothers and reviewing their charts using a structured and pretested questionnaire. The outcome variable was preterm birth. Data were entered using Epi-data version 4.6 and analyzed using STATA software (version 14). Bivariable and multivariable logistic regression models were done for the factors associated with premature birth. Results: In this study, the prevalence of premature birth was 11.41%(95% CI: 8.9, 14.6%). In multivariable logistig regression model; maternal age < 20 years (Adjusted odds ratio (AOR) = 7.8: 95% CI 2.3 – 26 ), preeclampsia (AOR = 5: 95% CI 2.3 – 11 ), premature rupture of membrane (AOR=3.9: 95%CI 1.6- 9.0), chronic medical illness (AOR=4.6:95% CI2.1-10), and history of stillbirth (AOR = 2.7: 95% CI 1.1-7.3) were significantly associated with preterm birth.Conclusion: The finding of this study showed that the burden of premature birth is a public health concern among newborns delivered in Amhara region referral hospitals. Maternal age less than 20 years, preeclampsia, premature rupture of membrane, chronic medical illness, and history of stillbirth were factors associated with preterm birth. Therefore, efforts have to be made to reduce the burden of prematurity, and for early detection and management of preeclampsia. Premature rupture of membrane, and chronic medical illness. Obstetric care providers should give due attention to women with an age of less than 20 years and a history of stillbirth.

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