scholarly journals Keberhasilan Pelaksanaan Senam Hamil terhadap Proses Persalinan

Author(s):  
Vitri yuli afni Amran

The American College of Obstetricians and Gynecologists (ACOG) recommends exercise as a preventive measure for mothers so that the process of pregnancy and childbirth runs naturally and reduces the crisis caused by childbirth. This study aims to determine the analysis of the success rate of the implementation of pregnant exercise on the delivery process at the Puskesmas Lubuk Buaya Padang in 2018. This type of research is an analytical study with a cross-sectional approach that has been carried out in the Work Area of ??the Lubuk Buaya Puskesmas in Padang in October 2017 - June. 2018. The population of all mothers who have experienced childbirth in the Lubuk Buaya Padang Public Health Center is 2,042 people. Samples were taken by simple random sampling with a total sample of 48 people. Data collection using a questionnaire. Then the data were analyzed by univariate and bivariate with the chi-square statistical test. The results showed that 31.3% of mothers did not carry out pregnancy exercise correctly. As much as 37.5% of mothers gave birth with action and based on bivariate analysis there was a significant relationship between the success rate of implementing pregnancy exercise and the delivery process (p = 0.000). The results of the study, it can be concluded that there is a relationship between the success rate of implementing pregnancy exercise with the delivery process, it is hoped that health workers will continue to provide health education and counseling and disseminate information about pregnancy exercise and empower other health workers to conduct pregnancy exercise counseling for pregnant women. how to demonstrate every pregnancy exercise movement in various pregnancy class activities so that mothers can understand it. Key words: pregnancy exercise, childbirth process, class of pregnant women

2019 ◽  
Vol 1 (1) ◽  
pp. 1-7
Author(s):  
Maria T. E. Koba ◽  
Frans G. Mado ◽  
Yoseph Kenjam

Family planning aims at reducing maternal mortality rates and reducing population growth rate with the main target of couples of childbearing age. One of the family planning options offered is long-term reversible contraceptive method (MKJP). The purpose of this study was to determine the factors associated with interest in using MKJP in the work area of Camplong health center, Fatuleu sub-district, Kupang regency in 2018. The research was quantitive study with cross-sectional approach. The sample of 77 people was selected using simple random sampling. The instrument uses was a questionnaire. Data analysis techniques consisted of descriptive and bivariate analysis (chi-square test) with α= 0,05. The study indicated that knowledge (p-value= 0,09) and the role of health workers (p-value =0,001) were associated with the use of the MKJP while attitude (p-value = 0,765) and husband support (p-value = 0,131) had no relationship with MKJP. Health center needs to regularly provide information to the community about the advantages of MKJP especially for couples of childbearing age who have already had more than three children.


2020 ◽  
Vol 3 (1) ◽  
pp. 65-72
Author(s):  
Akhmad Fatikhus Sholikh

  Hospitals are required to have a SIMRS that functions according to Law of the Republic of Indonesia Number 44 of 2009 concerning raft houses. However, based on data from the Ministry of Health in 2019 out of 2,761 hospitals in Indonesia, only 1,564 hospitals (56%) use SIMRS and function. The purpose of this study was to analyze the factors associated with the use of SIMRS in Sembiring General Hospital using a cross sectional research design. Total population of 258 people, with a total sample of 72 health workers using a proportional stratified random sampling method. The research instrument is a questionnaire. Data analysis methods are univariate, bivariate with chi square test and multivariate with multiple linear regression tests. The results showed that of 72 health workers as many as 47 people (65%) stated that the use of SIMRS was in the good category and 35 people (35%) stated that the utilization of SIMRS was in the poor category. The results of the bivariate analysis address effort expectations, performance expectations, social influence and facilitating conditions related to the use of SIMRS with a value of p <0.05. The results of multivariate analysis showed that efforts expectations were the factors most related to the use of SIMRS with a coefficient value (0.012). It is recommended that hospitals provide SIMRS that is easy to operate, in order to improve the performance of health workers with the influence of a good social environment and the conditions of the supporting facilities.


Author(s):  
Ayu Amalia Rahmi ◽  
Ella Nurlaella Hadi

ABSTRAKLatar belakang. Penduduk Indonesia mengalami peningkatan dari 265.015.300 orang pada tahun 2018 menjadi 268.074.600 orang pada tahun 2019. Pemerintah membuat program untuk mengintervensi masalah pertumbuhan penduduk yang tidak terkendali yaitu program keluarga berencana (KB). Metode Kontrasepsi Jangka Panjang (MKJP) dengan implan menjadi salah satu alat kontrasepsi unggulan dari BKKBN.Tujuan. Penelitian ini bertujuan untuk melihat gambaran perilaku pemilihan implan dan determinannya.Metode. Penelitian ini menggunakan metode kuantitatif dengan survei analitik cross sectional. Sampel 85 akseptor dari 560 dipilih dengan menggunakan simple random sampling. Pengumpulan data dilakukan melalui wawancara dengan menggunakan kuesioner. Data dianalisis secara univariat dan bivariat menggunakan uji chi-square.Hasil. Sebanyak 11.8% responden menggunakan metode implan. 71.8% responden memiliki pengetahuan kurang, 65.9% responden bersikap negatif, 83.5% responden menilai peran petugas kesehatan masih kurang dan 67.1% responden yang tidak mendapatkan dukungan suami. Hasil analisis bivariat menunjukkan bahwa terdapat hubungan antara pengetahuan, peran petugas kesehatan, dan dukungan suami dengan pemilihan kontrasepsi implan, sedangkan sikap menunjukkan tidak ada hubungan dengan pemilihan konstrasepsi implan.Kesimpulan. Ada hubungan antara variabel pengetahuan, peran tenaga kesehatan, dan dukungan suami dengan pemilihan Implan pada responden. ABSTRACTBackground. Indonesia's population has increased from 265,015.3 million in 2018 to 268,074.6 million in 2019. The government has created a program to intervene in the problem of uncontrolled population growth, namely the family planning (KB) program which is promoted and effective is the Long-Term Contraception Method (MKJP) with implants is one of the superior contraceptives of the BKKBN. Objective. This study aimed to to see the selection of implants and their determinations. Method. This study used a quantitative study with cross sectional analytic survey method. Sample of 85 acceptors from 560 were selected using simple random sampling. Data collection was carried out through interviews using a questionnaire. Data were analyzed by univariate and bivariate using chi-square test. Results. Study found 11.8% of respondents used the implant method. 71.8% respondents have less knowledge, 65.9% of respondents have a negative attitude, 83.5% of respondents think that the role of health workers is still lacking, and 67.1% of respondents did not get support from their husbands. The results of the bivariate analysis showed that there was a relationship between knowledge, the role of health workers, and husband's support with the choice of implant contraception, while attitudes showed no relationship with the choice of implant contraception.Conclusion. Knowledge variables, the role of health workers, and husband's support was related with the choice of implants in respondents.


2019 ◽  
Vol 26 (2) ◽  
pp. 61-69
Author(s):  
Metha Fahriani ◽  
Yuni Ramadhaniati ◽  
Aulia Oktarina

The Relationship between the Age of Pregnant Women and Parity with         The Incomplete Abortion in Dr. Sobirin Hospital Musi Rawas District ABSTRAKAbortus inkompletus adalah pengeluaran sebagian janin pada kehamilan sebelum 20 minggu dengan masih ada sisa tertinggal dalam uterus. Tujuan penelitian ini adalah untuk mempelajari hubungan usia ibu hamil dan paritas dengan kejadian abortus inkompletus di RS Dr. Sobirin Kabupaten Musi Rawas. Penelitian ini menggunakan desain Cross Sectional. Populasi dalam penelitian ini seluruh ibu hamil usia kehamilan 20 minggu sebanyak 232 ibu. Pengambilan sampel menggunakan Systematic Random Sampling, yaitu sebanyak 76 ibu. Jenis data yang digunakan adalah data sekunder. Teknik analisis data dilakukan dengan analisa univariat dan bivariat menggunakan uji statistik Chi-Square (c2). Hasil analisis didapatkan 48 ibu (63,2%) tidak mengalami abortus inkompletus, 43 ibu (56,4%) berusia 20-35 tahun, dan 4 ibu (63,2%) dengan paritas primipara atau grandemultipara. Tidak terdapat hubungan yang signifikan antara umur dengan kejadian abortus inkompletus dan tidak terdapat hubungan yang signifikan antara paritas dengan kejadian abortus inkompletus. Diharapkan tenaga kesehatan dapat memberikan konseling, informasi, edukasi mengenai kontrasepsi bagi ibu dengan umur 35 tahun dan kesehatan reproduksi pada remaja 20 tahun untuk mencegah terjadinya kejadian abortus inkomplit Kata Kunci`: abortus inkompletus, paritas, usia ibu hamil ABSTRACTIncomplete abortion is the expenditure of a portion of the fetus in pregnancy before 20 weeks with still remaining left in the uterus. The purpose of this study was to study the relationship between the age of pregnant women and parity with the incidence of incomplete abortion in Dr. Hospital Sobirin Musi Rawas Regency. This study used a Cross Sectional design. The population in this study was all pregnant women aged 20 weeks gestation as many as 232 mothers. Sampling using Systematic Random Sampling, as many as 76 mothers. The type of data used was secondary data. Data analysis techniques were performed by univariate and bivariate analysis using the Chi-Square statistical test (c2). The analysis found 48 mothers (63.2%) did not experience incomplete abortion, 43 mothers (56.4%) aged 20-35 years, and 4 mothers (63.2%) with primipara or grandemultipara parity. There was no significant relationship between age and the incidence of incomplete abortion and there was no significant relationship between parity and the incidence of incomplete abortion. It was expected that health workers can provide counseling, information, education about contraception for women 35 years old and reproductive health in adolescents 20 years to prevent the occurrence of incomplete abortion.Keywords: age of pregnant women, incomplete abortion, parity


2021 ◽  
Vol 1 (2) ◽  
pp. 192-214
Author(s):  
Nurhayati Nur ◽  
Risa Amalia ◽  
Alhidayati Alhidayati

Based on data from the Pekanbaru City Health Office in 2019, the number of pregnant women was 170,366 people, of which 21 Pekanbaru City Puskesmas who had implemented classes for pregnant women were 92.41%. Data from the Pekanbaru City Health Office from 3 Puskesmas with the lowest in the implementation of the class of pregnant women that have not been going well are at Langsat Puskesmas, namely 7.7% with 3 classes of pregnant women. This study aims to determine the determinants of pregnant women behavior in following classes of pregnant women in the Langsat Pekanbaru Public Health Center in 2020. This type of research is quantitative with a cross sectional design. The study population was all pregnant women in the Langsat Pekanbaru Health Center with a total of 580 people and the research sample was 86 people. The sampling technique was purposive sampling. Data analysis was performed univariate and bivariate with the chi-square test (? = 0.05). The results of the bivariate analysis showed that there was a significant relationship between perception (? = 0.017 ?? = 0.05), education (? = 0.018 ?? = 0.05), knowledge (? = 0.024 ?? = 0.05), attitude ( ? = 0.006 ?? = 0.05), parity (? = 0.030 ?? = 0.05), information media (? = 0.012 ?? = 0.05), family support (? = 0.012 ?? = 0.05) ), and the role of health workers (? = 0.002 <? = 0.05) with the behavior of pregnant women. Based on the results of the research, the conclusion is that there is a relationship between perception, education, knowledge, attitudes, parity, information media, family support, the role of health workers and the behavior of pregnant women in attending classes for pregnant women. So suggestions for high-risk pregnant women to be more active in participating in the class program for pregnant women and for health workers need to increase outreach to mothers about the importance of joining pregnant women classes. In addition, support from husbands is needed to increase maternal visits in the class of pregnant women.


2021 ◽  
Vol 7 (4) ◽  
pp. 620-625
Author(s):  
Yayah Khoeriah ◽  
Sri Dinengsih ◽  
Risza Choerunnisa

Background In Indonesia, the quality of ANC services is still low, seen from the coverage of ANC which is still below the national target where data on the coverage of pregnant women (K4) visits in Indonesia in 2015 was 87.48%, which means it has not reached the target of the Strategic Plan of the Ministry of Health in 2015, namely by 95%. Of the 34 provinces in Indonesia, only 3 provinces have achieved this target, namely the Riau Archipelago, DKI Jakarta, and West Java.The Purpose To know the relationship between the quality of antenatal care (ANC) services to the level of satisfaction of pregnant women in the obstetrics polyThe research design method uses an analytical survey research with a cross-sectional approach, the number of samples is 83. The research instrument uses a questionnaire, bivariate analysis uses the Chi Square test.Results Based on data from 83 pregnant women who were dissatisfied with ANC services as many as 15 people (18.1%), based on Tangibles less good and dissatisfied 16 (19.3%), Empathy 16 (19.3%)The conclusion is that there is a relationship between satisfaction with Tangibles (P-value = 0.000 OR 140.80), Reliability (P-value = 0.000 OR 86.66), Responsiviness (P-value = 0.000 OR 303.3), Assurance (P-value = 0.000 OR 140.8) and Empathy (P-value=0.000 OR 140.8)Suggestions It is hoped that health workers will improve counseling for pregnant women to conduct regular ANC visits. Keywords: Quality of service, ANC, level of satisfaction ABSTRAK Latar Belakang Di Indonesia, kualitas pelayanan ANC masih rendah dilihat dari cakupan ANC yang masih dibawah target nasional dimana data cakupan kunjungan ibu hamil (K4) di Indonesia pada tahun 2015 sebesar 87,48% yang berarti belum mencapai target Renstra Kementerian Kesehatan pada tahun 2015 yaitu sebesar 95%. Dari 34 provinsi di Indonesia, hanya 3 provinsi yang telah mencapai target tersebut, yaitu kepulauan Riau, Dki Jakarta, dan jawa barat. Tujuan Diketahui hubungan kualitas pelayanan antenatal care(anc)  terhadap tingkat kepuasan ibu hamil di poli kebidananMetode desain penelitian ini menggunakan penelitian survey analitik dengan pendekatan cross- sectional, jumlah sampel 83. instrument penelitian menggunakan kuesioner, analisis bivariate menggunakan uji Chi Square. Hasil Berdasarkan data 83 ibu hamil yang tidak puas terhadap pelayanan ANC sebanyak 15 orang (18,1%), berdasarkan Tangibles kurang baik dan tidak puas 16(19,3%), Emphaty 16 (19,3%) Kesimpulan adanya hubungan kepuasan dengan Tangibles (P-value=0,000 OR 140,80), Reliability (P-value=0,000 OR 86,66), Responsiviness (P-value=0,000 OR 303,3), Assurance (P-value=0,000 OR 140,8)dan Emphaty (P-value=0,000 OR 140,8)Saran Diharapkan kepada petugas kesehatan supaya meningkatkan konseling terhadap ibu hamil untuk melakukan kunjungan ANC secara teratur. Kata Kunci: Kualitas pelayanan, ANC, tingkat kepuasan


2020 ◽  
Vol 11 (1) ◽  
pp. 57-67
Author(s):  
Artika Dewi Amri ◽  
Ni Luh Putu Suariyani

Abstract Background: The further examination after breast ultrasound is needed because the ultrasound examination is not merely recommended for early detection of breast cancer; however by the combination of ultrasound and mammography, the disorder in the breast could be determined more accurately. Mammography method is a method that could detect breast cancer with an accuracy up to 90 percent. Objective: This study is aimed to identify the determinant of women to conduct further examination after breast ultrasound in Badung. Method: The study’s design used a descriptive observational study with cross-sectional design. The sampling technique used was simple random sampling with a sample of 100 people. The bivariate analysis used chi-square with α = 0.05. Result: The results of this study showed that, among the 100 respondents, there were 43 percent have done further examination. The proportion of women taking a further examination was 41 percent with high education, 38 percent with good knowledge, 18 percent stated the distance of health services were far, 43 percent were able to pay the further examination, 38 percent had ever received the information about breast cancer, 43 percent gained the support of health workers and 41 percent received good support from family. The results showed that there were four factors that had a relationship with the further examination after breast ultrasound, including the level of knowledge (OR = 8,65; 95% CI 3,19-23,86), affordability (p-value <0,0001), the support of health workers (p-value <0,0001) and the support of family (OR = 30,3; 95% CI 6,52-273,73). Conclusion: The conclusion of this study is that the determinant of women to undertake the further examination after breast ultrasound depends on the level of knowledge, affordability, the support of health workers and the support of family. There is a need of an increase in socialization about breast cancer to women and husband/family. In addition, to increase further examination there is a need of socialization regarding the utilization of BPJS. Keywords: breast cancer, advanced examination, breast ultrasound Abstrak Latar belakang: Pemeriksaan lanjutan setelah USG payudara perlu dilakukan karena pemeriksaan USG saja tidak direkomendasikan untuk deteksi dini kanker payudara, tetapi dengan kombinasi USG dan mammografi kelainan pada payudara dapat ditentukan lebih akurat. Metode mammografi merupakan metode yang dapat mendeteksi kanker payudara dengan akurasi sampai 90 persen. Tujuan: Penelitian ini bertujuan untuk mengetahui determinan wanita untuk melakukan pemeriksaan lanjutan setelah USG payudara di Kabupaten Badung. Metode: Desain penelitian menggunakan studi observasional deskriptif dengan desain potong lintang. Teknik pengambilan sampel yang digunakan simple random sampling  dengan jumlah sampel 100 orang. Analisis bivariat menggunakan chi-square dengan α=0,05. Hasil: Hasil penelitian ini menggambarkan dari 100 responden sebanyak 43 persen sudah melakukan pemeriksaan lanjutan. Proporsi wanita yang melakukan pemeriksaan lanjutan sebanyak 41 persen orang berpendidikan tinggi, 38 persen orang berpengetahuan baik, 18 persen orang menyatakan jarak pelayanan kesehatan jauh, 43 persen orang mampu untuk membiayai pemeriksaan lanjutan, 38 persen pernah memperoleh informasi tentang kanker payudara, 43 persen orang memperoleh dukungan petugas kesehatan, dan 41 persen memperoleh dukungan baik dari keluarga. Hasil penelitian menunjukkan terdapat empat faktor yang memiliki hubungan terhadap pemeriksaan lanjutan setelah USG payudara yaitu tingkat pengetahuan (OR = 8,65; 95% CI 3,19-23,86), keterjangkauan biaya (p-value <0,0001), dukungan petugas kesehatan (p-value <0,0001) dan dukungan keluarga (OR = 30,3; 95% CI 6,52-273,73). Kesimpulan: Simpulan penelitian adalah determinan wanita untuk melakukan pemeriksaan lanjutan setelah USG payudara adalah tingkat pengetahuan, keterjangkauan biaya, dukungan petugas kesehatan, dan dukungan keluarga. Perlu adanya peningkatan sosialiasasi mengenai kanker payudara kepada wanita dan suami/keluarga. Selain itu untuk meningkatkan pemeriksaan lanjutan perlu adanya sosialisasi mengenai pemanfaatan BPJS Kesehatan. Kata kunci: kanker payudara, pemeriksaan lanjutan, USG Payudara  


2021 ◽  
Vol 15 (2) ◽  
pp. 96
Author(s):  
Wulan Rahmadhani ◽  
Jipri Suyanto ◽  
Than Kyaw Soe ◽  
Siti Mutoharoh

Background: Age influences pregnancy and childbirth. Pregnant women aged less than 20 years old or pregnant adolescents are not physically and mentally ready to cope with pregnancy or childbirth. The husband's support highly determines the health status of the mother. This research aimed to determine the relationship between husband support and the behavior of pregnant adolescents to face pregnancy during the COVID-19 pandemic in the Gombong District, Kebumen Regency. Methods: This study used a cross-sectional approach. The population was all pregnant women aged less than 20 years in the Gombong District, Kebumen Regency. It used a saturated sampling technique involving 256 people. Data were analyzed using univariate and bivariate analysis to answer the percentage and the Chi-Square test to answer the research hypothesis. Results: The study showed that 130 (50.8%) husbands did not support the mothers, and 126 (49.2%) husbands supported the mothers. The result also showed that 116 (45.3%) of the pregnant women showed positive behavior, while140 (54.7%) pregnant women showed negative behavior. The chi-square test found a p-value of 0.005, which proved a significant relationship between the husband's support and the behavior of pregnant adolescents to overcome pregnancy during the covid-19 pandemic. Conclusion: Pregnant teenagers with husband support will prepare for pregnancy and childbirth programs more maturely to ensure the safety of both mother and fetus.


2017 ◽  
Vol 12 (1) ◽  
pp. 115
Author(s):  
Ari Murdiati ◽  
Sutopo Patria Jati

ABSTRAKData kematian maternal yang diperoleh dari Dinas Kesehatan Kota Semarang  tahun 2012 menunjukkan bahwa Puskemas Bandarharjo menempati urutan teratas sepanjang tahun 2009-2012. Salah satu upaya terobosan untuk percepatan penurunan AKI adalah Program Perencanaan Persalinan dan Pencegahan Komplikasi (P4K) dengan stiker. Penelitian ini merupakan penelitian kuantitatif, jenis penelitian explanatory research, dengan rancangan cross sectional. Hasil penelitian menunjukkan ibu hamil yang memiliki perencanaan persalinan tidak baik sebanyak 62,2%, sedangkan ibu hamil yang memiliki perencanaan persalinan baik hanya 37,8%. Enam variabel yang berhubungan secara statistik  signifikan yaitu paritas, pengetahuan ibu hamil, sikap ibu hamil, ketersediaan sarana dan prasarana, dukungan suami, dan dukungan petugas kesehatan. Variabel yang paling dominan berpengaruh adalah dukungan suami (OR=7,037). Hal ini berarti bahwa dukungan suami dalam program perencanaan persalinan yang baik memungkinkan ibu hamil memiliki perencanaan persalinan yang baik 7,037 kali dibanding dengan dukungan suami yang kurang.Kata Kunci :  Perilaku, Ibu hamil, P4K Analysis of Factors Related to the Behavior of Pregnant Women in Planning Labor for Prevention of Complications in the Working Area of Puskesmas Bandarharjo Kota Semarang. Maternal mortality data from Semarang City Health Office in 2012 showed that Puskesmas Bandarharjo was the top ranks throughout 2009-2012. One ground breaking effort to accelerate the decline of AKI is Childbirth Program Planning and Prevention Complications (P4K) with stickers. This study is a quantitative study with explanatory research, with a design using cross-sectional study. the results of the univariate analysis suggests that pregnant women who have a good labor planning as much as 37,8 %. While the pregnant women, who have a birth plan not good is only is. The results of bivariate analysis using the statistical test Chi-Square shows there are six variables significantly associated: parity, maternal knowledge, maternal attitudes, availability of facilities and infrastructure, husband support, and support for health workers. The most dominant variable is the support of the husband (OR = 7,037). This means that the support of her husband in a good birth planning program allows pregnant women has good labor planning 7,037 times compared with less support husband.Keywords: Behavior, Pregnancy, P4K


Author(s):  
Lena Juliana Harahap

Antenatal Care (ANC) is a planned program in the form of observation, education and medical treatment for pregnant women to obtain a safe and satisfying process of pregnancy and childbirth. ANC visits should be done at least 4 times during pregnancy, namely K1 to K4, with a time distribution of at least 1 time in the first trimester (0-12 weeks of gestation), at least 1 time in the second trimester (12-24 weeks of gestation), and at least 2 times in the third trimester (24 weeks gestation - birth). This type of research is an analytic study with a cross sectional design. The population in this study were all 124 pregnant women in the final third semester of Sangkunur Health Center using simple random sampling of 95 people. Data obtained from the Sangkunur Health Center and through the results of interviews using a questionnaire. The data analysis method was analyzed by univariate, bivariate using the Chi-square test. Based on the results of statistical tests with the Chi-square test, it is known that there is a relationship between knowledge and K4 coverage in pregnant women (0.006 <0.05). It is recommended to Sangkunur Health Center to regularly provide outreach to pregnant women about the importance of conducting antenatal care visits in order to get antenatal care services so that pregnant women can visit health service places.


Sign in / Sign up

Export Citation Format

Share Document