scholarly journals Maternal complications and risk factors for mortality

2020 ◽  
Author(s):  
Sulis Diana ◽  
Chatarina Umbul Wahyuni ◽  
Budi Prasetyo
Keyword(s):  
Risk Factors ◽  
Nutritional Status ◽  
Maternal Mortality ◽  
Occupational Status ◽  
Simple Random Sampling ◽  
Dominant Factor ◽  
Childbearing Age ◽  
Maternal Complications ◽  
History Of ◽  
Late Referral

Background: Maternal mortality could be prevented through early detection, including the period preceding pregnancy. Women of childbearing age are faced with extreme uncertainties, hence the purpose of this study was to analyse maternal complications and the possible high-risk factors connected to maternal mortality.Design and methods: A case-control study was used to study the causes of maternal mortalities amongst pregnant, delivering, and postpartum mothers between 2017 and 2018. A total sample size of 48 samples was selected through simple random sampling. Results: The result of logistic regression analysis showed nutritional status, prominence of anemia, history of illness, age, antenatal care ANC examination, method of delivery, late referral, occupational status, as well as postpartum complications, as the most influencing risk factors. This very high significance for maternal mortality was based on the chi-square value of 109.431 (p equal to 0.000), and R square (0.897). Conclusions: In conclusion, the potential risk factors of maternal mortality include nutritional status, state of anemia, history of illness, age, ANC examination, delivery method, late referral, occupational status, and pregnancy complications, which is specifically the most dominant factor.

scholarly journals Factors Influencing Maternal Mortality from Severe Preeclampsia and Eclampsia

2016 ◽  
Author(s):  
Denny Khusen
Keyword(s):  
Risk Factors ◽  
Risk Factor ◽  
Maternal Mortality ◽  
Maternal Death ◽  
Gestational Age ◽  
Post Partum ◽  
Severe Preeclampsia ◽  
Maternal Complications ◽  
History Of ◽  
Post Partum Bleeding

Objective: To analyze risk factor, both clinical and laboratory findings, associated with maternal mortality from severe preeclampsia and eclampsia in Atma Jaya Hospital. Methods: This was a retrospective case control study. All medical records of maternal death associated with severe preeclampsia and eclampsia between 1st January 2009 and 31st December 2011 were obtained and then information about risk factors were collected and tabulated. Risk factor analyzed were maternal age, gestational age, parity, coexisting medical illness (hypertension), antenatal examination status, maternal complications, systolic and diastolic blood pressure at admission, and admission laboratory data. Results: There were 19 maternal deaths associated with severe preeclampsia and eclampsia during period of study (Consisted of 6 cases of eclampsia and 13 cases of severe preeclampsia). Maternal mortality rate for severe preeclampsia and eclampsia were 16.7% and 33.3% respectively. Multivariate analysis identified the following risk factors associated with maternal death: gestation age <32 week, history of hypertension, thrombocyte count < 100.0000/μl, post partum bleeding, acute pulmonary edema, HELLP syndrome, and sepsis. Conclusion: In this study, we found that gestational age, history of hypertension, and platelet count are the cause of maternal mortality. Maternal complications associated with maternal mortality are post partum bleeding, acute pulmonary edema, HELLP syndrome, and sepsis. [Indones J Obstet Gynecol 2012; 36-2: 90-4] Keywords: eclampsia, maternal mortality, preeclampsia

scholarly journals MAJOR DEGREE PLACENTA PRAEVIA;

2014 ◽  
Vol 21 (06) ◽  
pp. 1133-1138
Author(s):  
Tasneem Azhar ◽  
Sadia Bano ◽  
Nadia Awais
Keyword(s):  
Risk Factors ◽  
Perinatal Outcome ◽  
Simple Random Sampling ◽  
Relevant Information ◽  
Descriptive Study ◽  
Placenta Praevia ◽  
Maternal Complications ◽  
History Of ◽  
The Mean ◽  
Expected Survival Rate

Introduction: Placenta praevia is a major cause of maternal & fetal morbidity and mortality. It is a major cause of obstetrical haemorrhage in second and third trimester of pregnancy. Placenta pravia usually presents with antepartum haemorrhge and as a source of maternal morbidity, it remained a significant cause of hospitalization and caesarean section. The study was carried out to see the frequency of risk factors, maternal complications and perinatal outcome in major degree placenta praevia. Objectives: I). To Find out major risk factors and maternal complications in major degree placenta praevia. II). Know perinatal outcome in major degree placenta praevia. Study Design & Techniques: It is a descriptive study. Patients were selected by simple random sampling techniques. Settings: The study was carried out at Gynae Unit-I, Allied Hospital, Faisalabad from March 2005 to February, 2006. Subjects & Method: Seventy five patients selected for the study after fulfilling the inclusion criteria for major degree placenta praevia. The included patients were examined thoroughly and relevant information was recorded into proforma giving detailed history, clinical examination, investigation and management. Results: In this descriptive study, total 75 patients were included as a diagnosed a case of major degree placenta praeiva. There were 15 patients presented asymptomatically and the rest of 60 patients were symptomatic. Out of 75 patients, majority of the patients belonged to the age group of 24-35 years. The mean age was 31.5 years. 2 patients expired due to massive PPH, 10 patients underwent obstetrical hysterectomy. In these 10 patients, 3 patients had placenta accrete, 1 patient had placenta increta and 2 had placenta percreta. Predisposing factors were previous gynaecological operations in 15 patients, history of previous C-section in 14 patients, history of previous placenta praevia 8 patients, advanced maternal age 5 patients and history of myomectomy in 3 patients. The remaining 39 patients had no predisposing risk factor. The mean gestational age was 36 weeks. 57 babies were delivered by emergency C-section and the remaining 18 patients underwent elective C-section. Live birth account was 66. Out of 75 babies, 9 babies were IUD, 48 were preterm, 17 were IUGR, 25 babies were having RDS and 3 babies were abnormal congenitally and 13 perinatal deaths occurred. Conclusions: Significant improvement in the neonatal care should be achieved in our tertiary environment to improve expected survival rate together with a reduction in overall morbidity for the premature new born.

scholarly journals The Analysis of the Determinant Factor of Premature Rupture of Membrane on the Inpartu Mother in the IRNA 1 RSU Moh. Noer Pamekasan

2018 ◽  
Vol 2 (1) ◽  
pp. 59-67
Author(s):  
Lailatul Hafidah
Keyword(s):  
Quantitative Research ◽  
Simple Random Sampling ◽  
Dominant Factor ◽  
Premature Rupture Of Membranes ◽  
Premature Rupture ◽  
Cross Sectional ◽  
High Parity ◽  
Sexual Status ◽  
History Of ◽  
Determinant Factor

Early Rupture of membranes is a rupture of the membranes when inpartu with opening at primipara less than 3 cm and in multiparas less than 5 cm, without depending on gestational age. Some factors which are suspected to be the cause of premature rupture of membranes are parity, history of KPD, sexual status and anemia. The purpose of this study is to analyze the determinant factor of premature rupture of membranes on the inpartu mother in the Inpatient Installation Room 1 RSU Moh. Noer Pamekasan.  The type of research is quantitative research with cross sectional research design. The study was conducted on January 30 to March 15, 2018 in the Inpatient Installation Room 1 RSU Moh. Noer Pamekasan. The sample is 59 respondents taken with simple random sampling. The independent variables are parity, history of premature rupture of membranes, sexual status and anemia. Dependent variable is premature rupture of membranes. The data was analyzed by using logistic regression test with p = 0,05. The results showed that the variable X1 (parity) with p = 0.037; OR = 0,008, variable X2 (history of KPD) with p = 0,049; OR = 23.736), Variable X3 (sexual relationship status) with p = 0,064; OR = 19.770; Variable X4 (anemia) with p = 0,628; OR = 2,132. So it can be concluded that the factors which affect Y (the incidence of premature rupture of membranes) is a parity factor and history of KPD and the most dominant factor is the parity with the effect of 0.008.The high parity or parity of grandemultipara and the history of KPD to the previous labor affects the occurrence of premature rupture of membranes in the Inpatient Installation Room 1 RSU Moh.Noer.  So it is necessary to do health education about the factors which affect the occurrence of premature rupture of membranes to prevent premature rupture of membranes recurring at the next labor

Risk factor for phlebitis in a patient with peripheral intravenous catheters: a cohort study

2020 ◽  
Vol 1 ◽  
pp. 24-29
Author(s):  
Eka Vivtin Agustiani ◽  
Agus Santosa
Keyword(s):  
Risk Factors ◽  
Nutritional Status ◽  
Preventive Measures ◽  
Medical Personnel ◽  
Dominant Factor ◽  
Causal Factors ◽  
Factors Associated ◽  
Consecutive Sampling ◽  
Catheter Size ◽  
Intravenous Catheters

Phlebitis is one of nosocomial infections that frequently occurred in hospitals. Phlebitis is mainly related with infusion and therapy. Many risk factors can cause phlebitis. The purpose of this study was to predict the prevalence of phlebitis in patients based on the causal factors in Banyumas Regional Hospital. The design of this study was an analytic survey of cohort approach, with a sample of 218 by using consecutive sampling. The study was conducted from November to December 2019 using checklist of observation sheets. The results demonstrates 5 phlebitis risk factors associated with the occurrence of phlebitis, namely the type of fluid (P = 0.011), nutritional status (P = 0.001), catheter size (P = 0.002), injection therapy (P = 0.027) and comorbidities (P = 0.003). The probability of 5 risk factors for the occurrence of phlebitis (88.28%) with nutritional status being the dominant factor (b = 3.928) with probability of (13.48%). To minimize the prevalence of phlebitis, the medical personnel may conduct initial phlebitis screening to determine accurate and appropriate preventive measures.

scholarly journals HUBUNGAN USIA IBU, GRAVIDITAS, RIWAYAT PRE-EKLAMPSIA BERAT DI RSUD. KABUPATEN BEKASI PERIODE JUNI 2015- JUNI 2016

2017 ◽  
Vol 11 (1) ◽  
Author(s):  
Syifa Aulia Luthfiyani ◽  
Mariono Reksoprodjo ◽  
Anisah Anisah
Keyword(s):  
Risk Factors ◽  
Significant Relationship ◽  
Influence Factors ◽  
Secondary Data ◽  
Sampling Technique ◽  
Simple Random Sampling ◽  
Bivariate Analysis ◽  
Chi Square ◽  
History Of ◽  
Control Study

Pre-eclampsia/Eclampsia is the second largest cause of maternal death after postpartum hemorrhage. There are some risk factors that influence the occurrence of pre-eclampsia/eclampsia. The aim of the research was to analyze the correlation between risk factors and find the most influence factors to the incidence of severe pre-eclampsia in RSUD District Bekasi. This case control study research done by using secondary data by looking at the data in patient medical records in RSUD District Bekasi period June 2015 - June 2016 and then analyzed using univariate, bivariate with Chi-square and multivariate logistic regression. Sampling method using simple random sampling technique. The results of the bivariate analysis showed there was a significant relationship between gravidity, obesity and history of pre-eclampsia with severe pre-eclampsia with each value of p = 0.022 (OR: 0.251), p = 0.002 (OR: 6,923) and p = 0.0001 (OR: 9.273). Multivariate analysis showed that history of pre-eclampsia and obesity are factors that most influence to the occurrence of severe pre-eclampsia. There was a significant relationship between gravidity, history of pre-eclampsia and obesity with severe pre-eclampsia. Primigravidas 2.51 times higher risk, history of pre-eclampsia positive 6,923 times higher and obesity 9.273 times higher more at risk of developing severe pre-eclampsia.

scholarly journals SOSIAL EKONOMI, KONSUMSI FAST FOOD DAN RIWAYAT OBESITAS SEBAGAI FAKTOR RISIKO OBESITAS REMAJA

2018 ◽  
Vol 13 (2) ◽  
pp. 123
Author(s):  
Rifai Ali ◽  
Nuryani Nuryani
Keyword(s):  
Risk Factors ◽  
Food Consumption ◽  
Fast Food ◽  
Protective Factor ◽  
Adolescent Obesity ◽  
Nutrition Knowledge ◽  
Dominant Factor ◽  
Fast Food Consumption ◽  
History Of ◽  
History Of Obesity

Obesity is a public health problem that encompasses life cycle including adolescent. Adolescent obesity bring consequences to increase case of obesity in adult and the risk factors for degenerative diseases. This study analyze riskfactor of socio-economic, parents history of obesity, nutrition knowledge and fast food consumption with the prevalence of adolescent obesity. The study was case control study and conducted at several high school in Gorontalo City, with670 adolescent, consisting of 335 case groups and 335 control groups. Data analysis was performed to assess the risk of independent variables of obesity. Low father’s education (OR= 2.724; 95% CI; 1.970 – 3,767), low mother education (OR= 4.727; 95% CI; 3.357 – 6.657), parents history of obesity (OR= 2.016; 95% CI; 1.482 – 2.743), low adolescent knowledge (OR= 6.673; 95% CI; 2.296 – 19.393) and fast food consumption more than 3 times per week (OR= 1.829; 95% CI; 1.337 – 2.502) increasing the risk of adolescent obesity. Mother occupation as a household mother (OR=0.338; 95% CI; 0.224 – 0.468) become protective factor. Pocket money (OR= 1.015; 95% CI; 0.724 – 1.423) was not a risk factor of obesity. Multivariate analysis showed that mothers occupation was dominant factor that infl uence obesity. Parent education, history of obesity, nutrition knowledge and fast food consumption were risk factors for obesity.

scholarly journals The Risk Effect of Primary Dysmenorrhea on Women of Childbearing Age in Ploso Subdistrict of Tambaksari Surabaya

2016 ◽  
Vol 4 (1) ◽  
pp. 37
Author(s):  
Ulya Rohima Ammar
Keyword(s):  
Risk Factors ◽  
Family History ◽  
Nutritional Status ◽  
Bivariate Analysis ◽  
Primary Dysmenorrhea ◽  
Women Of Childbearing Age ◽  
Childbearing Age ◽  
Medication Therapy ◽  
The Impact ◽  
Age Of Menarche

ABSTRACTPrimary dysmenorrhea was menstrual pain without any real abnormalities in genitals and could be a sign of reproductive system disorders. Prevalence of primary dysmenorrhea was quite high, but the lack of attention from the medical world, whereas primary dysmenorrhea can lead to decreased productivity and hinder daily activities. This  study  aimed  to  analyze  the  risk factors  of  primary  dysmenorrhea  in  Ploso  subdistrict  of Tambaksari Surabaya. The study was an observational analytic cross sectional design. Sampling was done by multistage cluster sampling. Respondents were 80 women of childbearing age 15-35 years old. Based on the results the prevalence of primary dysmenorrhea was at 71.3% . Most of the impact of primary dysmenorrhea that respondents perceived were declining productivity that is equal to 77.2%. Most of respondents not been examined primary dysmenorrhea to the doctor or midwife (84.2%) with the majority reason was respondents think that symptoms of primary dysmenorrhea perceived is reasonable (54.2%) . The highest proportion of respondents characteristics are aged 15-25 years (51.3%), had family history (52.5%), never given birth (60%), duration of menstruation 3-7 days (86%), age of menarche 12-13 years (53.8%), not did exercise (53.8%), had a normal nutritional status (38.8%), and severe stress (25%). The results of the bivariate analysis showed that there was a relationship between age and family history with primary dysmenorrhea, and there was no relationship between the experience of childbirth, length of menstruation, age of menarche, exercise habits, nutritional status, and state of stress with primary dysmenorrhea. The advice is to check primary dysmenorrhea to the doctor or midwife if find symptoms of primary dysmenorrhea to get treatment (psychotherapy or medication therapy), so that respondents could still work or do activities and productivity is not compromised. Keywords : primary dysmenorrhea , menstrual cramps, risk factors, women of childbearing age, reproduction

scholarly journals Biological, Social, and Economic Risk Factors of Child Tuberculosis in Surakarta Central Java: A Multiple Logistic Regression

2020 ◽  
Author(s):  
Dyah Ayu Saputri ◽  
◽  
Yulia Lanti Retno Dewi ◽  
Bhisma Murti ◽  
◽  
...  
Keyword(s):  
Public Health ◽  
Risk Factors ◽  
Logistic Regression ◽  
Nutritional Status ◽  
Exclusive Breastfeeding ◽  
Family Income ◽  
Smoke Exposure ◽  
Multiple Logistic Regression ◽  
Central Java ◽  
History Of

ABSTRACT Background: Tuberculosis (TB) disease in children under 15 years (pediatric TB) is a public health problem of special significance because it is a marker for recent transmission of TB. This study aimed to analyze biological, social, and economic risk factors of child TB. Subjects and Method: A case control study was carried out at 25 villages in Surakarta, from August to September 2019. A sample of 200 chilren aged 0-18 years was selected by fixed disease sampling. The dependent variable was TB. The independent variables were birthweight, BCG immunization, exclusive breastfeeding, nutritional status, family income, smoke exposure, family history of TB. Data on TB cases were obtained from medical record. The other variables were collected by questionnaire. The data were analyzed by a multiple logistic regression. Results: The risk of TB increased with poor house sanitation (OR= 4.50; 95% CI= 1.18 to 17.12; p= 0.027), smoke exposure (OR= 4.13; 95% CI= 1.05 to 16.22; p= 0.042), and had history of TB (OR= 5.54; 95% CI= 1.49 to 20.61; p= 0.011). The risk of TB decreased with normal birthweight ≥2,500 g (OR= 0.18; 95% CI= 0.05 to 0.57; p= 0.003), BCG immunization (OR= 0.18; 95% CI= 0.06 to 0.58 p= 0.004), exclusive breastfeeding (OR= 0.11; 95% CI= 0.02 to 0.55; p= 0.006), good nutritional status (OR= 0.10; 95% CI= 0.02 to 0.48; p= 0.004), and family income ≥Rp1,802,700 (OR= 0.09; 95% CI= 0.02 to 0.36; p= 0.001). Conclusion: The risk of TB increases with poor house sanitation, smoke exposure, and had history of TB. The risk of TB decreases with normal birthweight ≥2,500 g, BCG immunization, exclusive breastfeeding, good nutritional status, and high family income. Keywords: Tuberkulosis, biological, sosial dan ekonomi. Correspondence: Dyah Ayu Saputri. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: [email protected]. Mobile: 081353236388. DOI: https://doi.org/10.26911/the7thicph.01.45

scholarly journals Socio-demographic and clinical pattern of patients attending a neuropsychiatric hospital in Nigeria: A five-year retrospective study

2020 ◽  
Vol 3 (1) ◽  
Author(s):  
Shehu Sale
Keyword(s):  
Risk Factors ◽  
Psychiatric Disorders ◽  
Formal Education ◽  
Simple Random Sampling ◽  
Descriptive Study ◽  
Clinical Pattern ◽  
Factors Associated ◽  
Number Of Patients ◽  
History Of ◽  
The Mean

Psychiatric disorders contribute significantly to disability worldwide. The various risk factors associated with their prevalence and outcomes are also influenced by the region individuals live in. This study was carried out to assess the sociodemographic and clinical pattern of patients attending a neuropsychiatric hospital. It was a retrospective descriptive study of patients managed for psychiatric disorders at the hospital. Medical case notes of 246 patients were selected by simple random sampling. A sociodemographic and clinical variables questionnaire was designed to collate the data. The mean age of patients was 29.1 years and consisted mostly of young adults. There was approximately an equal number of patients of both genders. Approximately 66.3% of the patients were married, and 98.4% had no formal education. More than half were unemployed and a great number (37.4%) was being managed for epilepsy. The report of a family history of mental illness was relatively low compared to other studies. The sociodemographic and clinical pattern of mental disorders are embedded in the regional and cultural settings patients find themselves and this may lead to unique or differing risk factors across study settings.

scholarly journals Prevalence and Risk Factors of Toxoplasma gondii Infection among Pregnant Women in Hormozgan Province, South of Iran

2019 ◽  
Author(s):  
Seyedeh Zahra KHADEMI ◽  
Fatemeh GHAFFARIFAR ◽  
ABDOLHOSSEIN Dalimi ◽  
Parivash DAVOODIAN ◽  
Amir ABDOLI
Keyword(s):  
Risk Factors ◽  
Pregnant Women ◽  
Congenital Toxoplasmosis ◽  
Elisa Test ◽  
Childbearing Age ◽  
Number Of Children ◽  
The People ◽  
Fetal Infection ◽  
History Of ◽  
Toxoplasma Gondii Infection

Background: Toxoplasmosis can cause miscarriage or complications in the fetus. Diagnosis and treatment of this disease by anti-parasitic drugs especially in early pregnancy can help to prevent fetal infection and its complications. This study aimed to determine T. gondii infection in pregnant women, evaluate risk factors in the transmission of the disease and congenital toxoplasmosis. Methods: Overall, 360 sera of pregnant women from 5 cities in the Hormozgan Province in southern Iran with different climate were evaluated from 2015-2016 for T. gondii infection by using ELISA method and positive cases of IgM and IgG were tested again using Avidity IgG ELISA. All cases were evaluated according to climate, acute and chronic of toxoplasmosis, number of pregnancy and abortion, epidemiological factors and food habits. Results: Among 360 specimens T. gondii IgG + IgM antibodies were found positive in 0. 8% subjects and also 27% of samples had IgG seropositivity. A significant relationship was observed between age, sampling place, consumption of raw and half cooked meat, history of contact with cats, abortion history, number of children, and parity with IgG positive. In Avidity IgG ELISA test, 13 people with low avidity, 3 people with borderline avidity were reported. Conclusion: 72. 2% of the population had no antibody against the disease that this could be a warning to the people and requires education of preventive and prenatal care and routine screening of women at childbearing age.

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