LITERATURE REVIEW : EFEKTIFITAS PELVIC ROCKING EXERCISE  MENGGUNAKAN BIRTHING BALL TERHADAP KEMAJUAN PERSALINAN PADA IBU PRIMIPARA

Indonesia's Health Profile in 2019 in general, there was a decrease in maternal mortality during the period 1991-2015 from 390 to 305 per 100,000 live births, if it is associated with the 2015 Millennium Development Goals (MDGs), namely reducing the maternal mortality rate (MMR) to 102/100,000 live births. the maternal mortality rate did not reach the MDGs target. Physiological efforts are made to prevent prolonged labor, such as pelvic rocking exercise using the birthing ball technique. This is also a method that really helps respond to pain in an active way and reduces the length of the first stage of labor in the active phase. This study aims to determine the effectiveness of the implementation of pelvic rocking with a birthing ball on the progress of labor in primiparous women in 2020. This study uses Systematic Literature Reviews (SLR), which is a synthesis of systematic, clear, comprehensive literature studies, by identifying, analyzing , evaluating through the collection of existing data with an explicit search method and involving a critical review process in the selection of studies. In 6 journals, all journals perform pelvic rocking exercise techniques using the birthing ball technique when the mother enters the first stage of the active phase. The conclusion in this study is that all journals reviewed by researchers can be ascertained that all of these journals get the same results, namely stating that using the Pelvic Rocking Exercise technique with the help of a birthing ball can make delivery times for mothers go faster

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

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20182336 ◽

2018 ◽

Vol 7 (6) ◽

pp. 2283

Author(s):

Darshna M. Patel ◽

Mahesh M. Patel ◽

Vandita K. Salat

Keyword(s):

Mortality Rate ◽

Maternal Mortality ◽

Rural Areas ◽

Tertiary Care ◽

Maternal Mortality Ratio ◽

Care Hospital ◽

Maternal Deaths ◽

Maternal Mortality Rate ◽

Live Births ◽

Mortality Ratio

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

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THE RELATIONSHIP BETWEEN MOTHER'S PHYSICAL ACTIVITY WITH THE LONG TIME OF LABOR PROCESSES IN REGION OF PUSKESMAS SINDANG BARANG KOTA BOGOR IN 2018

Jurnal Ilmiah Wijaya ◽

10.46508/jiw.v11i1.45 ◽

2020 ◽

Vol 11 (1) ◽

pp. 114-120

Author(s):

Magdalena Magdalena Agu Yosali ◽

Dr. Astry Dr. Astry

Keyword(s):

Physical Activity ◽

Mortality Rate ◽

Maternal Mortality ◽

Health Center ◽

World Health ◽

Bivariate Analysis ◽

Normal Delivery ◽

Maternal Mortality Rate ◽

Prolonged Labor ◽

The Relationship

The Maternal Mortality Rate (MMR) is one indicator that can describe the welfare of the community in a country. According to the World Health Organization (WHO) in 2012 as many 99% of maternal death’s were caused by labor problems. The Maternal Mortality Rate (MMR) in developing countries is the highest compared to MMR in the depeloved countrieswith a total 450 deaths/ 100.000 live births. This is very important, considering the high MMR associated with pregnancy, childbirt, nipas, beside being coused due to complication also coused by several complicating factor of labor that effect the length of labor, including age, parity, distance of pregnancy, activity during pregnancy, antenatal care visit. This type of research is quantitative analytical methods. The study was conducted at the Sindang Barang health center Bogor City in 2018, totaling with 45 respondents. Using the total sampling technique. The instrument used were physical activity questionnaires and partograph sheets while data analysis techniques used univariate and bivariate analysis. In the statistical test of study of the relationship between maternal physical activity and the length of labor in Sindang Barang Health Center Bogor city 2018, it can be concluded that there are 20 (44,44%) mothers with long-term labor activity > 24 hours, there are 1 (22,2%) mothers with heavy activity that experience normal labor < 24 hours, there 9 (24,4%) mothers with strenuous activity who experience prolong labor > 18 hours, there are 2 (4,45%) mothers with heavy activity who experience < 18 hours. There are 1 (2,22%) mothers with mild activity who experience prolonged labor > 24 hours, there are 3 (6,67%) mothers with mild activity who experience normal labor < 24 hours, there are 2 (4,45%) mothers with mild activity who experience prolonged labor > 18 hours, there are 7 (15,55%) mothers with mild activity who experience normal delivery < 18 hours. Based on the results of the value of P value 0.000 is obtained so that the alternative hypothesis is accept and the null hypothesis is riject. So that there is Relationship between Mother’s physical Activity and the Length of Labor in the Sindang Barang Health Center in Area Bogor City 2018.

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

Jurnal Abdimas Kesehatan (JAK) ◽

10.36565/jak.v3i1.150 ◽

2021 ◽

Vol 3 (1) ◽

pp. 52

Author(s):

Ria Febrina

Keyword(s):

Mortality Rate ◽

Maternal Mortality ◽

Pregnant Women ◽

Community Service ◽

Health Workers ◽

Obstetric Complications ◽

Maternal Deaths ◽

Maternal Mortality Rate ◽

Live Births ◽

Danger Signs

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

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EFEKTIVITAS PELAKSANAAN PERCEPATAN PENURUNAN ANGKA KEMATIAN IBU (AKI) DI INDONESIA

Jurnal Anggaran dan Keuangan Negara Indonesia (AKURASI) ◽

10.33827/akurasi2018.vol2.iss1.art32 ◽

2018 ◽

Vol 2 (1) ◽

pp. 28

Author(s):

Arif Nurhidajat ◽

Dyah Kusumawati

Keyword(s):

Mortality Rate ◽

Maternal Mortality ◽

Jel Classification ◽

Top Down ◽

Maternal Mortality Rate ◽

Health Quality ◽

Development Goals ◽

Program Plan ◽

The Impact

Maternal Mortality Rate (MMR) is a sensitive indicator that shows the health quality of a country and gets special attention from the United Nations (UN) so that it is placed as one of the targets in the Millennium Development Goals (MDGs). This study tries to look at the effectiveness of efforts to reduce MMR in Indonesia with a focus on research on the analysis of AKI targeting in Indonesia, the effectiveness of the RAN PPAKI program, and the adequacy of budget allocations for efforts to reduce MMR. Furthermore, by using a qualitative analysis approach that adopts the Miles and Huberman (1984) model, results are obtained that the target targets for decreasing the MMR have been quite realistic even though in the determination there are differences in the calculation methods between national targets and the MDGs. In terms of the program plan and its implementation, it was found that the implementation of the RAN PPAKI program was not optimal and effective due to several factors, including: 1) determining the output and efforts to reduce MMR in the form of top down from the Ministry of Health, which paid little attention to needs and characteristics each region; 2) the synchronization and coordination between the activities of reducing MMR financed from the APBN and APBD are not optimal; 3) cross-sectoral coordination that is still very weak and not optimal; and 4) there has been no in-depth evaluation of the impact or relevance of RAN PPAKI's output / activity and budget on the achievement of the reduction in MMR. In addition, the analysis results related to the variable budget allocation for the reduction of MMR, namely the budget to support the implementation of the 2013-2015 RAN PPAKI has been sufficient but the problem is the lack of flexibility in its use, given the allocation of the budget by the center and regions less able to adjust to the needs based on the characteristics in the area. Keywords: Effectiveness, Maternal Mortality Rate, Reduction JEL Classification: H51, I18 Abstrak Angka Kematian Ibu (AKI) merupakan indikator sensitif yang menunjukan kualitas kesehatan suatu Negara dan mendapat perhatian khusus dari Perserikatan Bangsa Bangsa (PBB) sehingga ditempatkan sebagai salah satu target dalam Tujuan Pembangunan Millennium atau Millenium Development Goals (MDGs). Kajian ini mencoba melihat efektivitas upaya penurunan AKI di Indonesia dengan fokus penelitian pada analisis penetapan target AKI di Indonesia, efektivitas program RAN PPAKI, dan kecukupan alokasi anggaran untuk upaya penurunan AKI. Selanjutnya, dengan menggunakan pendekatan analisis kualitatif yang mengadopsi model Miles dan Huberman (1984), diperoleh hasil bahwa target sasaran penurunan AKI yang ditetapkan sudah cukup realistis meskipun dalam penetapannya terdapat perbedaan metode perhitungan antara target nasional dan MDGs. Dari sisi rencana program dan pelaksanaannya diperoleh hasil telitian bahwa pelaksanaan program RAN PPAKI belum optimal dan efektif yang disebabkan oleh beberapa faktor, antara lain: 1) penentuan output dan aktifitas upaya penurunan AKI lebih bersifat top down dari Kemenkes, di mana kurang memperhatikan kebutuhan dan karakteristik masing-masing daerah; 2) sinkronisasi dan koordinasi antara kegiatan penurunan AKI yang dibiayai dari APBN dan APBD belum optimal; 3) koordinasi lintas sektor yang masih sangat lemah dan belum optimal; dan 4) belum adanya evaluasi mendalam terhadap dampak atau relevansi output/aktivitas dan anggaran RAN PPAKI terhadap capaian penurunan AKI. Di samping itu, juga diperoleh hasil analisis terkait dengan variabel alokasi anggaran untuk penurunan AKI, yaitu anggaran untuk mendukung pelaksanaan RAN PPAKI 2013-2015 telah cukup memadai namun yang menjadi masalah adalah kurang adanya fleksibilitas dalam penggunaannya, mengingat peruntukkan anggaran telah ditetapkan oleh pusat dan daerah kurang dapat menyesuaikan dengan kebutuhan berdasarkan karakteristik yang ada di daerah.

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

Jurnal Pengabdian Masyarakat Al-Irsyad (JPMA) ◽

10.36760/jpma.v2i2.156 ◽

2020 ◽

Vol 2 (2) ◽

pp. 174-181

Author(s):

Suko Pranowo

Keyword(s):

Family Planning ◽

Mortality Rate ◽

Health Education ◽

Maternal Mortality ◽

Community Service ◽

Education Intervention ◽

Childbearing Age ◽

Maternal Mortality Rate ◽

Live Births ◽

Health Education Intervention

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

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Maternal Mortality Trends in Spain During the 2000-2018 Period: The Role of Maternal Origin

10.21203/rs.3.rs-640468/v1 ◽

2021 ◽

Author(s):

Santiago García-Tizón Larroca ◽

Juan Arevalo Serrano ◽

Maria Ruiz Minaya ◽

Pilar Paya Martinez ◽

Ricardo Perez Fernandez Pacheco ◽

...

Keyword(s):

Mortality Rate ◽

Maternal Mortality ◽

Human Development ◽

Maternal Death ◽

Human Development Index ◽

Descriptive Analysis ◽

Maternal Origin ◽

Development Index ◽

Maternal Mortality Rate ◽

Live Births

Abstract Backround: The available literature indicates that there are significant differences in maternal mortality according to maternal origin in high income countries. The aim of this study was to examine the trend in the maternal mortality rate and its most common causes in Spain in recent years and to analyse its relationship with maternal origin.Methods: This was a cross-sectional study of all live births as well as those resulting in maternal death in Spain during the period between 2000 and 2018. A descriptive analysis of the maternal mortality rate by cause, region of birth, maternal age, marital status, human development index and continent of maternal origin was performed. The risk of maternal death was calculated using univariate and multivariate logistic regression analyses, with adjustment for certain variables included in the descriptive analysis.Results: There was a total of 293 maternal deaths and 8,439,324 live births during the study period. The most common cause of maternal death was hypertensive disorders of pregnancy. The average maternal death rate was 3.47 per 100,000 live births. The risk of suffering from this complication was higher for immigrant women from less developed countries; therefore, a decrease of 0.01 in the maternal human development index score significantly increased the risk of this complication by 2.4%.Conclusions: The results of this study indicate that there are inequalities in maternal mortality according to maternal origin in Spain. The human development index of the country of maternal origin could be a useful tool when estimating the risk of this complication, taking into account the origin of the pregnant woman.

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MODEL SOSIO EKOLOGI PERILAKU KESEHATAN DAN PENDEKATAN CONTINUUM OF CARE UNTUK MENURUNKAN ANGKA KEMATIAN IBU

The Indonesian Journal of Public Health ◽

10.20473/ijph.v12i1.2017.129-141 ◽

2017 ◽

Vol 12 (1) ◽

pp. 129 ◽

Cited By ~ 1

Author(s):

Sri Sumarmi

Keyword(s):

Quality Of Life ◽

Mortality Rate ◽

Maternal Mortality ◽

Ecological Model ◽

Health Indicators ◽

Continuum Of Care ◽

National Health Survey ◽

Maternal Mortality Rate ◽

Development Goals

Maternal mortality rate is the important health indicator which is used as a component of Nation Development Index or quality of life index in all countries in the world. It is the most sensitive indicator among other health indicators to assess health status or quality of life in a country. Recently, Indonesiafaces an inconvenience situation when a surprise increasing of maternal mortality rate was launched by national health survey, reflected an un-successful effort to achieve Millenium Development Goals (MDGs) target 2015 or the Sustainable Development Goals (SDGs). Reducing maternal mortality ratein Indonesia is a big challenge, because maternal mortality is a multi-causes problem. Furthermore, various factors may play a role as the root causes that could not be addressed only through health interventions, but should involve multi-sectoral approach. Base on thus issues, this paper will discuss appropriate strategies to reduce maternal mortality in Indonesia by combining concept of socio ecological model of health behavior and continuum of care approach.Keywords: Maternal Mortality Rate, Socio Ecological Model, continuum of care

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Abstract P318: Wide State-By-State Variation in Maternal Mortality and Chronic Diseases That Contribute to Pregnancy Complications

Circulation ◽

10.1161/circ.135.suppl_1.p318 ◽

2017 ◽

Vol 135 (suppl_1) ◽

Author(s):

Sarah Milder ◽

Jamie Kenealy ◽

Mary Ann Honors ◽

Thomas Eckstein

Keyword(s):

United States ◽

Heart Disease ◽

Mortality Rate ◽

Maternal Mortality ◽

Chronic Diseases ◽

Pregnancy Complications ◽

The United States ◽

Reproductive Age ◽

Maternal Mortality Rate ◽

Live Births

Background: Among developed countries, the United States has the highest maternal mortality rate. Between 1987 and 2011, the US maternal mortality rate more than doubled from 7.2 to 17.8 deaths per 100,000 live births. More than 1,300 pregnancy-related deaths occurred in the United States in 2011-2012. Additionally, an increasing number of women have chronic health conditions, such as hypertension, diabetes, and chronic heart disease, that increase their risk of pregnancy complications, including maternal mortality. Reducing the prevalence of these diseases may be an important step toward reducing maternal mortality. To examine the current state of maternal mortality and chronic diseases in the United States, the geographical variation of these factors was examined. Methodology: State-level prevalence estimates were calculated for diabetes, heart disease, and hypertension awareness among women of reproductive age (18 to 44 years) using data from the 2013-2014 Behavioral Risk Factor Surveillance System. State-level maternal mortality rates were calculated using CDC’s 2010-2014 National Vital Statistics System. Maternal mortality was defined as the number of deaths from any cause related to or aggravated by pregnancy or its management (excluding accidental or incidental causes) during pregnancy and childbirth or within 42 days of termination of pregnancy, irrespective of the duration and site of the pregnancy, per 100,000 live births. Results: The maternal mortality rate is 6.8 times higher in Georgia (39.3 deaths per 100,000 live births) than in Massachusetts (5.8 deaths per 100,000 live births). Nationally, there are an estimated 19.9 maternal deaths per 100,000 live births. The prevalence of chronic diseases that increase risk of pregnancy complications also vary by state. For example, diabetes (excluding gestational diabetes) ranges from a low of 1.9% of women aged 18 to 44 in Alaska, Minnesota, and Wisconsin to a high of 4.8% in Alabama. Nationally, an estimated 3.1% of women aged 18 to 44 have been told by a doctor that they have diabetes. Conclusion: The prevalence of chronic diseases in women of reproductive age vary based on state of residence, as does the maternal mortality rate. Raising awareness about the variation in these measures is an important step toward identifying what strategies are being utilized in states with a low prevalence of diabetes, heart disease, and hypertension, and determining how their public health efforts may help those states facing challenges in these areas.

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

10.21203/rs.3.rs-76739/v1 ◽

2020 ◽

Author(s):

yuanfang zhu ◽

Yali Luo ◽

Wei Wang ◽

Liling Wang ◽

Yuli Cheng ◽

...

Keyword(s):

Mortality Rate ◽

Maternal Mortality ◽

Health Management ◽

Maternal Deaths ◽

Maternal Mortality Rate ◽

Targeted Interventions ◽

Live Births ◽

Fast Decline ◽

Rate Of Decline ◽

Substantial Heterogeneity

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

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

Annals of King Edward Medical University ◽

10.21649/akemu.v11i4.1057 ◽

2016 ◽

Vol 11 (4) ◽

Author(s):

Huma Quddusi ◽

Sajjad Masood ◽

Sobia Mazhar ◽

Samee Akhtar

Keyword(s):

Mortality Rate ◽

Maternal Mortality ◽

Causes Of Death ◽

Age Group ◽

Maternal Deaths ◽

Maternal Mortality Rate ◽

Live Births ◽

Causative Factors ◽

Management Of Complications ◽

Age Range

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

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