scholarly journals Faktor-Faktor Yang Mempengaruhi Prevalensi Disfungsi Seksual Pada Ibu Post Partum Dengan Luka Perineum Dan Seksio Sesarea Di Wilayah Kerja Puskesmas Tigaraksa

2019 ◽  
Vol 8 (2) ◽  
pp. 11-21
Author(s):  
Solihati ◽  
Lastri Mei Winarni ◽  
Rini Sartika ◽  
Mega Suciani

Latar belakang :Kasus disfungsi seksual kurang menjadi perhatian pemerintah, kurangnya promosi konseling fungsi seksual tidak banyak dibicarakan. Sebagian besar ibu post partum memiliki persepsi bahwa membahas seksualitas merupakan hal yang tabu, disfungsi seksual khususnya pada ibu post partum dapat memberikan dampak buruk bagi ibu, bayi dan keluarganya. Disfungsi seksual ibu post partum dapat menyebabkan stress hingga perceraian. Tujuan Penelitian : adalah untuk mengetahui faktor-faktor yang mempengaruhi prevalensi disfungsi seksual ibu post partum dengan luka episiotomi dan sectio sesarea di wilayah kerja Puskesmas Tigaraksa. Metode Penelitian : Penelitian ini menggunakan desain penelitian deskriptif analitik dengan metode kuantitatif dengan pendekatan cross sectional sehingga diperoleh 120 responden dengan analisa uji statistik chi square test. Hasil Penelitian : Didapatkan hasil uji analisa dengan usia ibu, paritas dan menyusui adalah p- value 0,000, 0,000 dan 0,004 < α (0,05) sedangkan pendidikan, pekerjaan dan jenis persalinan memiliki p-value 0,251, 0,810 dan 0,584 > α (0,05). Kesimpulan: Dari hasil penelitian terdapat hubungan antara usia ibu, paritas dan menyusui serta tidak adanya hubungan antara pendidikan, pekerjaan, dan jenis persalinan terhadap prevalensi disfungsi seksual.

Author(s):  
Desti Widya Astuti Desti Widya Astuti

ABSTRAK   Berdasarkan data di RSUD Kota Prabumulih bahwa terdapat peningkatan jumlah kejadian perdarahan post partum, tahun 2014 sebanyak 178 orang, tahun 2015 sebanyak 246 orang dan tahun 2016 sebanyak 151 orang. Penelitian ini bertujuan untuk mengetahui hubungan umur ibu dan jarak kehamilan terhadap kejadian perdarahan post partum di RSUD Kota Prabumulih Tahun 2016. Penelitian ini merupakan penelitian analitik dengan rancangan cross sectional. Populasi yang digunakan adalah semua ibu bersalin di RSUD Kota Prabumulih, sebanyak 1.296 ibu bersalin dan 306 sampel. Pengambilan sampel dengan mengunakan random sampling, analisa data menggunakan analisa univariat dan bivariat dengan menggunakan uji statistik chi-square dengan derajat kemaknaan 0,05. Hasil penelitian ini menunjukan bahwa dari 288 ibu bersalin terdapat 151 yang mengalami perdarahan post partum sebagian besar adalah ibu dengan umur resiko tinggi sebanyak 43 orang  (40,9%) dan ibu dengan jarak kehamilan resiko tinggi sebanyak 21 orang (17,3%). Hasil uju chi-square umur didapatkan p.value 0,000 < α 0,05 dan uji chi-square untuk jarak kehamilan didapatkan p.value 0,000 < α 0,05. Maka ada hubungan umur ibu dan jarak kehamilan terhadap kejadian perdarahan post partum di RSUD Kota Prabumulih Tahun 2016. ABSTRACK   Based on the data at District General Hospital (RSUD) Prabumulih, there was increasing of post-partum bleeding, in 2014, there were 178 people. In 2015, there were 246 people. And in 2016, there were 151 people. The purpose of the study was to know relationship between maternal mother and the distance and old post-partum bleedingat District General Hospital (RSUD) Prabumulih in 2013. The study was analytic researchwith cross sectional design. Population thas was used in the study was all maternal mother ar District General Hospital (RSUD) Prabumulih. It was about 1.296 maternal mother and from 306. Random sampilng was done in the study, data analyses used univariate and bivariate analyses by using chi-square statistic test with significance level 0,05. The study result showed that from 306 maternal mother, there were 151 mother who experienced old post-partum bleeding, the large of that was high maternal mother 43 people  (40,9%) and mother age high distance 21 people (17,3%). The result of chi-square test was p value 0,000 < α 0,05 and chi-square test for age was p value 0,000 < α 0,05. It meant that there was relationship between maternal mother and the distance and of post-partum bleeding at District General Hospital (RSUD) Prabumulih in 2016.


2018 ◽  
Vol 3 (1) ◽  
Author(s):  
Idha Suparwati ◽  
Murwati Murwati ◽  
Endang Suwanti

Abstract: The smoothness of Breastfeeding, Post Partum Blues Occurrence. The incompleteness of breast milk (ASI) is one of the problems when the mother begins to breastfeed her baby. If not addressed immediately will result in anxiety and anxiety about the mother's ability to breastfeed. If this condition is left it will continue to be post partum blues and even postpartum depression. The purpose of this study was to determine the relationship between the smoothness of breastfeeding expenditure and postpartum blues incidence in the Trucuk II Klaten district. This research design is analytical descriptive research with cross sectional approach. The sample is normal postpartum day 3-10 at Trucuk II Klaten Health Center in May 2017 as many as 48 people, by purposive sampling. Analysis of univariate and bivariate data with chi square test correlation. Maternal breastfeeding expenditure was 93.8% in the current category. Post partum blues events were 44.2%. Statistic test results obtained p value = 0.001. There is a relationship between the smooth expenditure of breast milk with Postpartum Blues Occurrence in Trucuk II Klaten District Health Center.


2018 ◽  
Vol 5 (1) ◽  
pp. 19-25
Author(s):  
Nona Rahmaida Puetri ◽  
Yasir Yasir

Hipertensi dalam kehamilan adalah peningkatan darah setelah 20 minggu kehamilan > 140 mmHg untuk sistol dan > 90 mmHg untuk diastolik tanpa protein urin dan hasil evaluasi laboratorium abnormal selama kehamilan dan kembali normal sebelum 12 minggu post partum. Penelitian dilakukan di Puskesmas Krueng Barona Jaya Kecamatan Krueng Barona Jaya Kabupaten Aceh Besar Bulan Agustus Tahun 2017. Metode yang digunakan yaitu Deskriptif Analitik dengan desain cross sectional study Jumlah sampel yang diambil sebanyak 96 responden. Analisis yang digunakan adalah analisa bivariat dan chi-square test. Hasil uji statistik chi-square dapat disimpulkan bahwa ada hubungan antara umur dengan hipertensi pada wanita hamil (P-value < 0,05) dengan OR 3.722, ada hubungan antara pengetahuan dengan hipertensi pada wanita hamil (P-value < 0,05) dengan OR 4.142, ada hubungan antara sikap dengan hipertensi pada wanita hamil (P-value < 0,05) dengan OR 3.000. Diharapkan kepada Puskesmas dan petugas kesehatan dapat meningkatkan pelayanan dan penyuluhan tentang pentingnya pemeriksaan tekanan darah dalam masa kehamilan untuk mencegah kematian pada ibu hamil akibat hipertensi


Author(s):  
Intan Sari Intan Sari

ABSTRAK     Laktasi merupakan keseluruhan proses menyusui mulai dari ASI diproduksi sampai proses bayi menghisap dan menelan ASI. Proses menyusui mempengaruhi penurunan tinggi fundus uteri. Ibu yang mengalami gangguan laktasi akan menghambat proses involusi uterus yang akan berdampak pada terjadinya perdarahan. salah satu cara untuk mencegah perdarahan masa nifas adalah dengan memberikan ASI sedini mungkin kepada bayi. Penelitian ini bertujuan untuk mengetahui hubungan antara menyusui dengan involusi uteri pada ibu post partum  Rumah Sakit Umum Daerah Prabumulih. Penelitian ini merupakan penelitian survey analitik dengan pendekatan cross sectional. Populasi dalam penelitian ini adalah seluruh ibu post partum yang bersalin di Rumah Sakit Umum Daerah Prabumulih pada bulan september sebanyak 60 orang. Pengambilan sampel dilakukan dengan non probability sampling yaitu accidental sampling. Jumlah sampel adalah 30 orang ibu post partum hari ke 10 yang kemudian akan dianalisis dengan menggunakan uji chi square. Hasil penelitian menunjukkan ada hubungan antara menyusui dengan involusi uteri ( p-value = 0,001 < α (0,05) ). Adapun saran peneliti bagi ibu post partum, diharapkan untuk lebih meningkatkan kesadarannya untuk menyusui bayinya.     ABSTRACT Lactation is the whole process of breastfeeding starting from the milk produced until the baby's process sucks and swallows milk. The breastfeeding process affects the decrease in uterine fundus height. Mothers who experience lactation disorders will inhibit the process of uterine involution which will result in bleeding. one way to prevent postpartum bleeding is to give breast milk as early as possible to the baby. This study aims to determine the relationship between breastfeeding and uterine involution in the post partum mother of the Prabumulih Regional General Hospital. This study is an analytical survey research with a cross sectional approach. The population in this study were all post partum mothers who gave birth at the Prabumulih Regional General Hospital in September as many as 60 people. Sampling is done by non probability sampling, namely accidental sampling. The number of samples is 30 post partum mothers on the 10th day who will then be analyzed using the chi square test. The results showed that there was a relationship between breastfeeding and uterine involution (p-value = 0.001 <α (0.05)). As for researchers' suggestions for post partum mothers, it is expected to further increase their awareness to breastfeed their babies.  


2021 ◽  
Vol 1 (2) ◽  
pp. 111-120
Author(s):  
Theresia Heni Lestari ◽  
Theresia Endah Marianingsih ◽  
Yuliasti Eka Purnamaningrum

Background: The cause of AKI in DIY 2018, 11% of post-partum hemorrhage, with a gap in MMR target and achievement <102 / 100,000 live births, MMR in 2018: 111.5 / 100,000 live births, indicating an increase in MMR. In the same year at Panti Rapih Hospital, there was an increase in the incidence of post-partum hemorrhage by 6%, with 62.8% of parity at risk, 53.5% of age at risk. Objective: of the study was to determine the relationship between parity and maternal age with the incidence of primary post-partum hemorrhage at Panti Rapih Hospital in 2017-2018. Methods: observational, cross sectional design, sample 43 people. Chi Square Test data analysis. Results: There was a significant relationship between parity and the incidence of primary post partum hemorrhage (p-value = 0.011). There was a significant relationship between age and the incidence of primary post-partum hemorrhage at Panti Rapih Hospital (p-value = 0.014). Conclusion: There is a significant relationship between parity, maternal age <20 years or> 35 years with the incidence of primary post partum hemorrhage at Panti Rapih Hospital in 2017-2018.


2020 ◽  
Vol 7 (2) ◽  
pp. 6-10
Author(s):  
Lusi Febrina ◽  
Rosalia Rahayu ◽  
Wahyudin

Asphyxia is a condition where a newborn baby cannot breathe spontaneously or experience respiratory failure. The event of asphyxia can be caused by the length of labor. Long parturition will cause infection, exhaustion, dehydration in the mother, sometimes post partum bleeding can occur which can cause maternal death. In the fetus there will be infections, injuries and asphyxia which can increase infant mortality. This study aims to determine the relationship between long parturition with asphyxia in the Perinatology Room of Indramayu Regional Hospital in 2020  This type of research is descriptive correlation using cross sectional approach. The population in this study were all infants with asphyxia at Indramayu Regional Hospital in January-March 2020, totaling 265 patients with a sample of 73 patients. The sampling technique used was consecutive sampling. The instrument of this study was the checklist sheet, and the data analysis used the chi square test, the significance value α = 0.05.  The results of the study It is known that labor with long parturition is 50 (68.5%), the incidence of asphyxia asphyxia is as much as 35 (47.9%) cases, the hypothesis test is obtained p value of 0.022 which means there is a relationship between long parturition and the incidence of asphyxia in Perinatology Room of Indramayu Regional Hospital.


2018 ◽  
Vol 10 (01) ◽  
pp. 11
Author(s):  
Herdini Widyaning Pertiwi ◽  
Hana Rosiana Ulfah

ABSTRAKLatar belakang : Kejadian Bendungan ASI akan sangat berpengaruh terhadap masa nifas karena ketidakberhasilan dalam memberikan ASI kepada bayinya, Salah satu tidak tercapainya  ASI  eksklusif yaitu bayi tidak mendapat ASI yang  cukup serta produksi ASI meningkat, terlambat  menyusukan, hubungan dengan bayi (bonding) kurang baik,  dan  dapat  pula  karena adanya pembatasan waktu menyusui. Di klinik Mulia Kasih Kecamatan Ngemplak Kabupaten Boyolali pada bulan Berdasarkan data studi pendahuluan yang di lakukan di klinik mulia kasih, Ngemplak, Boyolali pada bulan Nopember 2017 terhadap 10 orang ibu post partum, didapatkan 6 orang (60%) tidak mengerti tentang perawatan payudara, dan 4 orang (40%) sudah mengerti perawatan payudara. Dari  4 orang yang sudah mengerti perawatan payudara tidak ada yang mengalami bendungan ASI. Sedangkan dari 6 orang yang tidak mengerti perawatan payudara terdapat 1 orang (16,7%) yang mengalami bendungan ASI., karena sebagian besar ibu belum mengerti tentang perawatan payudara (breast care).. Jenis penelitian ini adalah survei analitik dengan pendekatan cross sectional. Populasi dalam penelitian ini 30 ibu menyusui yang masih masa nifas dibulan Januari 2018. Jumlah sampel sebanyak 30 responden. Analisis data menggunakan uji chi-square. Hasil penelitian Responden yang memiliki pengetahuan baik tentang  perawatan payudara (43,3%), responden tidak mengalami Bendungan ASI (66,7 %) Diperoleh nilai p 0,003 (p<0,05)bahwa ada hubungan antara pengetahuan ibu tentang perawatan payudara dengan kejadian bendungan ASI. Kesimpulan bahwa ada hubungan antara pengetahuan ibu tentang perawatan payudara dengan terjadinya bendungan ASI .Kata kunci : perawatan payudara,bendungan asiRELATIONSHIP BETWEEN KNOWLEDGE OF MOTHER ABOUT BREAST CARE WITH ENGORGEMENT ON THE POST PARTUMABSTRACTBackground: The incidence of breast milk damages will greatly affect the puerperium due to unsuccessful breastfeeding to the baby. One of the exclusion of exclusive breastfeeding is that the infant is not getting enough milk and the milk production is increased, belated, the relationship with the baby is not good enough, and can also be due to restrictions on breastfeeding time. In the clinic of Mulia Kasih, Ngemplak sub-district, Boyolali regency in the month Based on preliminary study data that was done in the noble clinic of love, Ngemplak, Boyolali in November 2017 to 10 post partum mothers, got 6 people (60%) did not understand about breast care, and 4 people (40%) already understand breast care. Of the 4 people who already understand breast care no one has breast dam. While 6 people who do not understand breast care there are 1 person (16,7%) who suffer from breast milk dam, because most of mothers do not understand about breast care (breast care) .. This research type is analytic survey with cross sectional approach. The population in this study were 30 breastfeeding mothers who were still in the month of January 2018. The number of samples were 30 respondents. Data analysis using chi-square test. Results Respondents who have good knowledge about breast care (43.3%), respondents did not experience milk dam (66.7%) obtained p value 0.003 (p <0.05) that there is a relationship between mother's knowledge about breast care with the incidence milk dam. The conclusion that there is a relationship between mother's knowledge about breast care with the occurrence of breast milk dam.keywords: breast care, engorgement


Author(s):  
Fadhiyah Noor Anisa ◽  
Nur Lathifah

Latar Belakang: Menyusui merupakan suatu proses yang terjadi secara alami namun menyusui perlu dipelajari terutama oleh ibu yang pertama kali memiliki bayi agar tahu cara menyusui yang benar dan dapat mengatasi masalah pemberian asi. Masalah pemberian Asi dapat terjadi di tiga hari pertama post-partum, seperti belum keluarnya ASI,  bayi gelisah saat disusukan,  perlengketan ibu dan bayi  yang belum benar  dan bayi tidak mau  menyusu, sehingga banyak ibu post-partum yang tidak berhasil memberikan ASI pada tiga hari pertama dan  ini menentukan keberhasilan pemberian asi ekslusif.Tujuan: mengetahui keberhasilan menyusui tiga hari pertama post-partum berdasarkan paritas ibu.Metode, metode cross sectional. Populasi semua ibu post-partum pervaginam dengan keadaan ibu baik dan bayi sehat, tehnik sampling Accicental sampling, berjumlah 31 responden.Hasil penelitian, Didapatkan 16 orang (51,6%) merupakan primapara dan sisanya multipara dan grandemultipara, yang berhasil memberikan asi sebanyak 18 orang (58,1%).  Hasil perhitungan uji Chi-square didapatkan hasil p value 0,006 atau p 0,05.Kesimpulan: ada hubungan paritas ibu dan keberhasilan menyusui tiga hari pertama post-partum sehingga perlu peningkatan konseling pada ibu terutama primipara tentang cara pemberian ASI. Kata Kunci: Keberhasilan Menyusui, 3 hari Post-Partum, Paritas.  Abstract BACKGROUND Breastfeeding is a naturally occurring process but breastfeeding needs to be studied especially by mothers who have their first babies in order to know how to breastfeed properly and to be able to overcome the problem of breastfeeding. The problem of breastfeeding can occur in the first three days of postpartum, such as the absence of breast milk, restless babies during breastfeeding, mother- baby bond errors and babies who do not want to breastfeed, so many post partum mothers who are unable to breastfeed in the first three days and this determines the success of exclusive breastfeeding.OBJECTIVE The purpose of this study was to identify the success of breastfeeding the first three days of postpartum based on maternal parity. METHODS This research use cross-sectional method. The study population was all postpartum vaginal women with criteria of good general mother condition and having healthy baby. Sampling technique with the technique "Accidental sampling" The number of samples is 31 respondents.RESULTS The most primipara parity was 16 respondents (51.6%), and those who succeeded in breastfeeding were the most of 18 respondents (58.1%). Chi-square test calculation resulted in  p-value 0.006 or p 0.05CONCLUSION.  There is a correlation between parity to the success of breastfeeding, so counseling for mothers especially primiparas needs to be improved on how to breastfeed. Keywords: success of breastfeeding, 3 days of Post-artum, Parity.


2018 ◽  
Vol 1 (1) ◽  
pp. 34
Author(s):  
Ni Nyoman Novita ◽  
Gusman Arsyad

Implementation of IMD in hospitals has decreased from the previous year and has not reached the target set by the government. Some IMD implementation processes have not been carried out according to applicable standards. So that babies do not get an IMD in accordance with existing SOPs. The purpose of this study was to determine the determinant factors associated with the implementation of the IMD by midwives in the Midwifery and Maternity Room Emergency Room (IGD) at the Anutapura General Hospital in Palu. This research method is analytical with cross sectional approach. The population of this study was that all midwives in the obstetrics emergency room and maternity room at Anutapura Palu Hospital were 37 respondents. The sample in this study is total sampling. The analysis used was univariate, and bivariate analysis using the chi square test with a confidence level of 95% (α = 0.05). The results of statistical tests on variable knowledge of midwives with the implementation of IMD p value: 0.018 (p value <0.05). APN training with the implementation of IMD p value: 0.697 (p value> 0.05). length of work with the implementation of IMD p value: 0.029 (p value <0.05). and peer support with the implementation of IMD p value: 0.007 (p value <0.05). Conclusions there is a relationship between knowledge, length of work, peer support with the implementation of the IMD, and training factors that have nothing to do with IMD implementation. The strongest factor in the relationship is peer support. It is recommended that the Anutarapura Palu Hospital be able to motivate midwives so that they can further enhance their role in the implementation and provide support to their colleagues so that the implementation of the IMD can be carried out in accordance with applicable standards.Keywords: Knowledge, APN Training, Duration of work, Implementation of IMD


Author(s):  
Wahyu Ida Muliana Wahyu Ida Muliana

ABSTRACT Hyperemesis Gravidarum marked excessive nausea and vomiting in pregnant women at a young age. WHO estimates that 536,000 women died from direct complications of pregnancy and childbirth. One complication of pregnancy is Hyperemesis Gravidarum. Hyperemesis Gravidarum in the world has been estimated to occur in 1-2% of pregnant. According to data from the Medical Record of Dr. Mohammad Hoesin Palembang Hospital, the incidence of Hyperemesis Gravidarum in 2011 there were 72 people of 661 pregnant women. The purpose of this reseach was to determine the relationship between maternal age and parity with Hyperemesis Gravidarum in Dr. Mohammad Hoesin Palembang Hospital 2011. The Design of this reseach used Cross Sectional by analytic approach survey. The population of this reseach are all of mother who gestational ≤ 16 weeks (four months) in the Installation of Obstetrics and Gynecology, Dr. Mohammad Hoesin Palembang Hospital in January to December of 2011 with the sample of 661 people which taken by systematic random sampling and the reseach was conducted from 17 April to 24 April 2012.  Each variable that was observed in tests using Chi-Square test with a (0.05).  The results of this study showed that 5.9% of mothers with hyperemesis gravidarum, 21.8% of mothers with high risk age, and 30.0% primigravida. Chi-Square test showed no significant relationship between age (p value = 0.000) and parity (p value = 0.000) with the incidence of hyperemesis gravidarum. Expected to the Hospital to be implemented properly instructed how to provide counseling to pregnant women about pregnancy and childbirth, as well as provide confidence that the nausea and vomiting is a symptom of physiology in pregnancy.   ABSTRAK Hiperemesis Gravidarum ditandai mual dan muntah yang berlebihan terjadi pada ibu hamil di usia muda. WHO memperkirakan 536.000 perempuan meninggal dunia akibat langsung dari komplikasi kehamilan dan persalinan. Salah satu komplikasi kehamilan adalah Hiperemesis Gravidarum. Insiden Hiperemesis Gravidarum di dunia telah diperkirakan terjadi pada 1-2% wanita hamil. Menurut data dari Medical Record Rumah Sakit Umum Pusat Dr. Mohammad Hoesin Palembang, angka kejadian Hiperemesis Gravidarum pada tahun 2011 terdapat 72 orang dari 661 ibu hamil. Tujuan penelitian ini adalah untuk mengetahui hubungan antara umur dan paritas ibu dengan kejadian Hiperemesis Gravidarum pada ibu di Rumah Sakit Umum Pusat Dr. Mohammad Hoesin Palembang tahun 2011. Desain Penelitian ini menggunakan survei analitik dengan pendekatan Cross Sectional. Populasi penelitian ini adalah dengan umur kehamilan ≤ 16 minggu (4 bulan) yang pernah dirawat inap di Instalasi Kebidanan dan Penyakit Kandungan Rumah Sakit Umum Pusat Dr. Mohammad Hoesin Palembang pada bulan Januari-Desember tahun 2011 dengan jumlah sample 661 orang yang diambil secara systematic Random Sampling (secara acak sistematis) dan penelitian ini dilakukan dari tanggal 17 April sampai dengan 24 April 2012. Masing-masing variabel yang diteliti di uji dengan menggunakan uji Chi-Square dengan a (0,05). Hasil penelitian ini menunjukkan bahwa 5,9% ibu mengalami hiperemesis gravidarum, 21,8% ibu dengan umur resiko tinggi, dan 30,0% ibu primigravida. Uji Chi-Square menunjukkan ada hubungan yang bermakna antara umur (p value = 0,000) dan paritas (p value = 0,000) dengan kejadian hiperemesis gravidarum. Diharapkan dapat menjadi masukan bagi pihak Rumah Sakit agar dilaksanakan penyuluhan dengan cara memberikan konseling terhadap ibu hamil tentang kehamilan dan persalinan, serta memberikan keyakinan bahwa mual muntah merupakan gejala fisiologi pada kehamilan.


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