scholarly journals The Relationship among Age and Parity with the Incidence of Hypertension in Pregnant Women in Grinting Village, Bulakamba Sub-District, Brebes Regency

2020 ◽  
Vol 1 (1) ◽  
pp. 15-20
Author(s):  
Susy Sriwahyuni ◽  
Darmawan ◽  
Lili Eky Nursia N ◽  
Arif Iskandar ◽  
Khairunnas

Pregnant women are classified into groups that have a high risk during pregnancy until postpartum. One of the causes is hypertension in pregnancy. Factors of hypertension in pregnancy are age and parity. The purpose of the study was to determine the relationship among age and parity with the incidence of hypertension in pregnant women. This study used observational analytic method with cross-sectional approach. The number of samples taken by purposive sampling that were 49 pregnant women,. The results of this study were relationship among age with p value = 0,0002 (PR = 2,440, 95% CI = 1,004-6,559) and parity with p value = 0,0001 (PR = 2,335 95% CI = 1,0033, -5,446) with incidence of hypertension. The pregnant women with age >35 years and parity 1 times have a 2,880 chance of experiencing hypertension, compared with age <35 years and parity 1. Base on the results of multivariate analysis Age is the most dominant determinant (p value = 0,000 CI = 1,224-22,432, 95%) with the incidence of hypertension. Intensive counselling regarding pregnant women is needed, especially for wife and husband to increase knowledge them.

2020 ◽  
Vol 8 (3) ◽  
pp. 232
Author(s):  
Iin Nilawati ◽  
Nur Elly ◽  
Erli Zainal

<p>Hypertension in pregnancy often progresses to pre-eclampsia as one of the biggest contributors to maternal mortality. Mineral and nutritional factors have an important role in the etiology of hypertension in pregnancy, especially pre-eclampsia. Mineral factors associated with hypertension are calcium. The purpose of this study was to analyze the relationship of calcium levels with the incidence of hypertension in pregnancy. This study uses a cross-sectional study design that measures / observes independent variables (calcium levels) with dependent variables (hypertension in pregnancy). The number of samples was 43 trimester II pregnant women taken by consecutive sampling technique. This study uses primary data by examining blood pressure and calcium levels in the blood serum of pregnant women. Univariate analysis results showed 30% of pregnant women experience hypertension in pregnancy, and 44% of pregnant women have insufficient calcium levels. The results of calcium levels and the incidence of hypertension in second trimester pregnant women (p value 0,000).the bivariate analysis prove that there is a significant correlation between maternal blood</p>


2019 ◽  
Vol 2 (5) ◽  
pp. 312
Author(s):  
Rahmawati Wahyuni ◽  
Azhari Azhari ◽  
Nursari Abdul Syukur

Abstract Maternal mortality rate in Indonesia is still high enough which is dominated by three main causes of death that is bleeding, preeclampsia, and infection. Maternal Mortality in Samarinda city in 2015 increased by 76 per 100,000 live births. Maternal mortality in Samarinda city, dominated maternal death aged 20-34 years that fall into maternal and maternal death category. One of the causes of maternal death is preeclampsia and one of the causes of preeclampsia in pregnant women is obesity. The purpose of this study to determine the relationship of obesity with preeclampsia in pregnant women trimester II and III in RSUD Abdul Wahab Sjahranie Samarinda with specified α is 0,05The design of this study is cross sectional, sampling technique with purposive sampling of 39 pregnant women trimester II and III. The results of this study found there is a significant relationship between obesity with preeclampsia in pregnant women trimester II and III (p value = 0.006) with the value of α = 0.05.There is a significant relationship between obesity with preeclampsia in pregnant women trimester II and III in RSUD Abdul Wahab Sjahranie Samarinda 2018. Keywords :  Obesity, Preeclampsia, Pregnant Women trimester II and III   Abstrak Angka kematian ibu di Indonesia masih cukup tinggi yang didominasi oleh tiga penyebab utama kematian yaitu perdarahan, preeklampsia, dan infeksi. Kematian ibu  di kota Samarinda tahun 2015 meningkat menjadi 76 per 100.000 kelahiran hidup hidup. AKI di kota samarinda, didominasi kematian ibu usia 20-34 tahun yang masuk dalam kategori kematian ibu hamil dan  ibu bersalin. Salah satu penyebab kematian ibu adalah preeklampsia dan salah satu penyebab terjadinya preeklampsia pada ibu hamil yaitu obesitas. Tujuan penelitian ini untuk mengetahui hubungan obesitas dengan preeklampsia pada ibu hamil trimester II dan III di RSUD Abdul Wahab Sjahranie  Samarinda dengan α yang ditentukan adalah 0,05Desain penelitian ini adalah cross sectional, Teknik pengambilan sampel dengan purposive sampling dan responden sebanyak 39 ibu hamil trimester II dan III. Hasil penelitian ini diperoleh terdapat hubungan bermakna antara obesitas dengan preeklampsia pada ibu hamil trimester II dan III  (p value=0,006) dengan nilai α=0,05.Terdapat hubungan bermakna antara obesitas dengan preeklampsia pada ibu hamil trimester II dan III di RSUD Abdul Wahab Sjahranie Samarinda Tahun 2018. Kata Kunci : Obesitas, preeklampsia, wanita hamil trimester II dan III


2019 ◽  
Vol 4 (1) ◽  
pp. 312
Author(s):  
Rahmawati Wahyuni ◽  
Azhari Azhari ◽  
Nursari Abdul Syukur

Abstract Maternal mortality rate in Indonesia is still high enough which is dominated by three main causes of death that is bleeding, preeclampsia, and infection. Maternal Mortality in Samarinda city in 2015 increased by 76 per 100,000 live births. Maternal mortality in Samarinda city, dominated maternal death aged 20-34 years that fall into maternal and maternal death category. One of the causes of maternal death is preeclampsia and one of the causes of preeclampsia in pregnant women is obesity. The purpose of this study to determine the relationship of obesity with preeclampsia in pregnant women trimester II and III in RSUD Abdul Wahab Sjahranie Samarinda with specified α is 0,05The design of this study is cross sectional, sampling technique with purposive sampling of 39 pregnant women trimester II and III. The results of this study found there is a significant relationship between obesity with preeclampsia in pregnant women trimester II and III (p value = 0.006) with the value of α = 0.05.There is a significant relationship between obesity with preeclampsia in pregnant women trimester II and III in RSUD Abdul Wahab Sjahranie Samarinda 2018. Keywords :  Obesity, Preeclampsia, Pregnant Women trimester II and III   Abstrak Angka kematian ibu di Indonesia masih cukup tinggi yang didominasi oleh tiga penyebab utama kematian yaitu perdarahan, preeklampsia, dan infeksi. Kematian ibu  di kota Samarinda tahun 2015 meningkat menjadi 76 per 100.000 kelahiran hidup hidup. AKI di kota samarinda, didominasi kematian ibu usia 20-34 tahun yang masuk dalam kategori kematian ibu hamil dan  ibu bersalin. Salah satu penyebab kematian ibu adalah preeklampsia dan salah satu penyebab terjadinya preeklampsia pada ibu hamil yaitu obesitas. Tujuan penelitian ini untuk mengetahui hubungan obesitas dengan preeklampsia pada ibu hamil trimester II dan III di RSUD Abdul Wahab Sjahranie  Samarinda dengan α yang ditentukan adalah 0,05Desain penelitian ini adalah cross sectional, Teknik pengambilan sampel dengan purposive sampling dan responden sebanyak 39 ibu hamil trimester II dan III. Hasil penelitian ini diperoleh terdapat hubungan bermakna antara obesitas dengan preeklampsia pada ibu hamil trimester II dan III  (p value=0,006) dengan nilai α=0,05.Terdapat hubungan bermakna antara obesitas dengan preeklampsia pada ibu hamil trimester II dan III di RSUD Abdul Wahab Sjahranie Samarinda Tahun 2018. Kata Kunci : Obesitas, preeklampsia, wanita hamil trimester II dan III


Author(s):  
Rizki Amalia Yulisa Maulia Rizki Amalia Yulisa Maulia

Status gizi merupakan ukuran keberhasilan dalam pemenuhan nutrisi untuk ibu hamil. Status gizi juga dapat diartikan sebagai status kesehatan yang dihasilkan oleh keseimbangan antara kebutuhan dan masukan nutrient. dampak atau bahaya status gizi ibu hamil yang buruk, baik sebelum kehamilan atau pada saat kehamilan akan mempengaruhi kondisi ibu dan janin. Tujuan penelitian ini adalah untuk mengetahui hubungan antara antenatal care, hipertensi dalam kehamilan, dan  riwayat penyakit ibu dengan status gizi ibu hamil di puskesmas  gandus  palembang tahun 2016. Jenis penelitian ini menggunakan metode survei analitik dengan desain penelitian Cross Sectional. Populasi penelitian ini adalah semua ibu yang memeriksakan kehamilan di Puskesmas gandus  Palembang dari bulan Agustus tahun 2016. sample yang diambil berjumlah 62 orang.Data yang disajikan dalam bentuk tabel distribusi responden dan dilakukan analisis univariat dan bivariat secara komputerisasi. hasil uji statistik menunjukkan bahwa hubungan antenatal care dengan status gizi diperoleh hasil uji Chi – Square diperoleh p value =0,03 (bermakna), hubungan hipertensi dalam kehamilan dengan status gizi diperoleh hasil uji Chi – Square diperoleh p value =0,068 (tidak bermakna), riwayat penyakit ibu dengan status gizi diperoleh hasil uji Chi – Square diperoleh p value =0,153(tidak bermakna). Diharapkan hasil penelitian ini dapat dijadikan masukan baik dalam menyusun rencana strategi serta pelaksanaan dalam memberikan pelayanan langsung pada pasien, sehingga mutu dan kualitas pelayanan lebih ditingkatkan lagi       ABSTRACT Nutritional status assesses the nutrional fulfillment in pregnant women. It can also be defined as the indicator of health which is achieved by balancing between the needs and nutrient intake. Poor nutrional status can give negative impact on pregnancy, not only before but also during the pregnancy and it influences the condition of the mothers and their fetuses. This research aimed to investigate the association between antenatal care, hypertension in pregnancy, mother’s medical history with nutrional status of pregnant woman in the Community  Health Center of gandus, palembang in 2016. This research used analytical survey method with Cross-Sectional study designed. The research’s population was all pregnant women who had antenatal care in the community health center of gandus in Agust 2016. The samples taken were 62 people. The data were presented in the table of distribution of respondents and analyzed using computerized univariate and bivariate techniques. The result of statistics test, using Chi-Square test showed that the association between antenatal care and nutrional status was significant with p-value = 0.03, the association between hypertension in pregnancy and nutrional status was not significant with p-value = 0.068, the association of mothers’ medical history with nutrional status was not significant with p-value = 0.153. it is expected that the result of this research gives positive contribution in designing the strategic plan as well as implementing direct patient services in order to improve service quality.


Author(s):  
Ekwebene OC ◽  
◽  
Obidile VC ◽  
Nnamani CP ◽  
Eleje GU ◽  
...  

The effect of global change on the incidence of vector borne diseases including malaria is of great importance. Malaria has been regarded as one of the most sensitive disease that responds fast to climate change. Pregnant women tend to have reduced immunity are more vulnerable to vector borne diseases such as malaria especially with climate change like flooding where these vectors borne diseases are endemic. To measure malaria parasitaemia in gravid women pre and post flooding and also to determine the relationship between malaria and seasonal flooding in South east Nigeria. This was a hospital-based cross-sectional study involving pregnant women aged 15- 45 years attending the antenatal clinics of two maternity centres in a rural community South east Nigeria. Malaria was determined using the thick and thick blood films. Plasmodium falciparum species was examined in this study. Chi-square was used to assess the relationship between malaria and seasonal flooding. One Hundred and fifty pregnant women were recruited for the study. The prevalence of malaria in the gravid women pre and post flooding were 60.00% and 65.30% respectively. Malaria parasite was highest in the gravid women aged 28-31 years and the primigravids. There was no statistical difference between malaria and parity. The mean parasite density in the gravid women was significantly higher post flooding than pre flooding with p-value of 0.001. There was no significant relationship between malaria parasite in gravid women and the periods of investigation. The prevalence of malaria parasite among gravid women in the study area is high regardless of the seasonal flooding. Hence, the need for adherence to malaria prophylaxis protocol by the health care professionals and increase on community health education on malaria preventive strategies.


2020 ◽  
Vol 5 (2) ◽  
pp. 101-106
Author(s):  
Dwi Saputri Mayang Sari

Asphyxia Neonatorum is a failure to start and continue breathing spontaneously and regularly when a new baby is born or some time after birth. Babies may be born in asphyxia or may be able to breathe but then experience asphyxia some time after birth. The purpose of this study was to determine the relationship between parity and old parturition with the incidence of asphyxia neonatorum in the pre-Sumatran city general hospital in 2019. This study uses an Analytical Survey using a Cross Sectional approach. The population of this research is the babies born in the prehumulih city general hospital in 2019 amounted to 1763 people. The number of samples in this study were 326 respondents. In the univariate analysis it was found that from 326 respondents it was found that parity of high risk mothers was 168 respondents (51.5%) while parity of low risk mothers was 158 respondents (48.5%) and mothers who were diagnosed with prolonged labor were 149 respondents (45.7 %) while mothers who were not diagnosed with prolonged labor were 177 respondents (54.3%). Bivariate analysis shows parity has a significant relationship with the incidence of asphyxia neonatorum (p value 0,000) and old parturition has a significant relationship with the incidence of asphyxia neonatorum (p value 0,000). The conclusion of this study is that there is a relationship between parity and old parturition with the incidence of asphyxia neonatorum.


2019 ◽  
Vol 27 (2) ◽  
pp. 71
Author(s):  
Dian Irawati ◽  
Agustin Dwi Syalfina

Objectives: Maternal Mortality Rate (MMR) is closely related to maternal care. MMR in Indonesia based on the 2015 IDHS is 359 per 100,000 live births. By increasing the utilization of MCH handbooks, MMR would be decline. Therefore, this research investigated the relationship between of the utilization of MCH handbooks and attitudes pregnant women regarding pregnancy and childbirth complications.Materials and Methods: We conducted a cross sectional research with 54 pregnant women during March - June 2018 at the Sooko Health Center, Mojokerto. The independent variable was the utilization of MCH handbooks and the dependent variable was the attitude of pregnan women regarding pregnancy and childbirth complications. Data analysis included descriptive and bivariate analysis.Results: The results showed that 79.6% of respondents used the MCH handbook well. The results of the chi square analysis test showed a p value of 0.027 (<0.05).Conclusion: MCH handbook utilization effected the attitude of pregnant women regarding the complication of pregnancy and childbirth. Pregnant women who read and utilize MCH handbook would be have better alertness about the risk of complication so they would make the right decision for their pregnancy.


2021 ◽  
Vol 4 (2) ◽  
pp. 71-74
Author(s):  
Ratih Mega Septiasari ◽  
Nurya Viandika

AbstrakWanita hamil adalah salah satu kelompok khusus yang berisiko tinggi tertular virus Covid-19.Faktor risiko terbesar untuk mengalami berbagai tekanan psikologis adalah perempuan dan tenaga kesehatan serta populasi rentan seperti ibu hamil. Ketakutan dan kekhawatiran muncul dari bahaya yang memang ada, tetapi banyak juga yang muncul dari kurangnya pengetahuan dan informasi yang salah. Tujuan penelitian ini adalah untuk mengetahui hubungan pengetahuan Covid-19 dengan kecemasan ibu hamil pada saat pandemi Covid-19 di Malang Jawa Timur Indonesia. Penelitian dilakukan pada bulan November hingga Desember 2020 dan merupakan penelitian desain cross-sectional dengan menggunakan kuesioner  yang diberikan kepada 52 ibu hamil. Berdasarkan tabel 4 didapatkan p-value 0,029 (sig<0,05) yang menunjukkan bahwa ada hubungan yang signifikan antara pengetahuan dengan kecemasan ibu hamil selama pandemi Covid-19. Sehingga dapat disimpulkan bahwa pengetahuan merupakan factor penting bagi ibu hamil karena dapat mempengaruhi perilaku ibu selama hamil. Sehingga diharapkan edukasi yang optimal dari petugas kesehatan bagi para ibu agar dapat menjalani kehamilan sejahtera serta ibu dan janin tetap sehat selama pandemi Covid-19. Kata kunci: pengetahuan, kecemasan, kehamilan, pandemi covid-19  AbstractPregnant women are one of the special groups that are at high risk for the Covid-19 virus. The biggest risk factors for experiencing various psychological distresses are women and health workers as well as vulnerable populations such as pregnant women. Fear and worry arise from dangers that do exist, but many also arise from lack of knowledge and misinformation. The purpose of this study was to determine the correlation between Covid-19 knowledge and anxiety of pregnant women during the Covid-19 pandemic at Malang, East Java Indonesia. The study was conducted from November to December 2020 and is a cross-sectional design study using a questionnaire given to 52 of pregnant women. Based on the table 4, the p-value is 0.029 (sig <0.05), which indicates that there is a significant correlation between the knowledge and the anxiety of pregnant women during the Covid-19 pandemic. So it can be concluded that knowledge is an important factor for pregnant women because it can affect the behavior of the mother during pregnancy. So it is hoped that optimal education from health workers for mothers to be able to undergo a prosperous pregnancy so that mothers and fetuses remain healthy during the Covid-19 pandemic. Keywords: knowledge, anxiety, pregnancy, covid-19 pandemic


2021 ◽  
Vol 1 ◽  
pp. 977-983
Author(s):  
Anissa Salsabil ◽  
Yulian Wahyu Permadi ◽  
Ainun Muthoharoh ◽  
Wulan Agustin Ningrum

AbstractInappropriate use of antibiotics has resulted in antibiotic resistance. One of the phenomena that supports this phenomenon is the lack of knowledge about patient compliance in the use of antibiotics. This study aims to determine the relationship between the level of knowledge and adherence to the use of penicillin antibiotics in patients with ARI in the Outpatient Installation at the Kesesi Health Center in 2021. Analytic research method with cross sectional approach with quantitative research type with non-probability sampling using purposive sampling method. a sample of 136 adult respondents diagnosed with ARI with antibiotic therapy. Data collection by questionnaire. Correlation data using Spearman Rho test. The results showed that the data was not significant between the use of antibiotics and adherence to taking medication with a P value of 0.286 (<0.05). The results of high antibiotic consumption compliance with sufficient knowledge results are expected for respondents and pharmaceutical staff to improve communication, information and education (KIE) to respondents who receive antibiotic prescriptions.Keywords: Penicillin Antibiotics, ARI, Compliance, Knowledge, Public Health Center AbstrakPenggunaan antibiotik yang tidak tepat telah mengakibatkan terjadinya resistensi terhadap antibiotik. Salah satu fenomena yang mendukung fenomena ini adalah kurangnya tingkat pengetahuan terhadap kepatuhan pasien dalam penggunaan antibiotik. Penelitian ini bertujuan untuk mengetahui hubungan antara tingkat pengetahuan terhadap kepatuhan dalam penggunaan antibiotik penisilin pada pasien ISPA Instalasi Rawat Jalan di Puskesmas Kesesi Tahun 2021. Metode penelitian analytic dengan pendekatan cross sectional dengan jenis penelitian kuantitatif dengan pengambilan sampel non-probability sampling menggunakan cara purposive sampling dengan sampel sebanyak 136 responden dewasa yang terdiagnosa ISPA dengan terapi antibiotik. Pengumpulan data dengan kuesioner. Data korelasi menggunakan uji spearman rho. Hasil penelitian menunjukan data tidak signifikan antara penggunaan antibiotic dengan kepatuhan konsumsi minum obat dengan nilai P value 0,286 (<0,05). Hasil kepatuhan konsumsi antibiotik yang tinggi dengan hasil pengtahuan yang cukup diharapkan kepada responden dan tenaga kefarmasian harus ditingkatkan mengenai komunikasi, informasi dan edukasi (KIE) kepada responden yang menerima resep antibiotik.Kata kunci: Antibiotik Penisilin; ISPA; kepatuhan; pengetahuan; puskesmas


Author(s):  
Muhammad Baffah Aminu ◽  
Mohammed Alkali ◽  
Bala M. Audu ◽  
Toyin Abdulrazak

Background: Pregnant women are at increasing risk of GI symptoms such as nausea, vomiting and heartburns, most of these symptoms are as a result of the hormonal and physical changes associated with pregnancy. This study aimed to determine prevalence of gastrointestinal symptoms (GI) among pregnant women attending booking clinic at a Northeastern Nigerian Teaching Hospital.Methods: The study was a cross-sectional, questionnaire-based survey of four hundred and fifty-two pregnant women booking for antenatal care. Their sociodemographic variables as well as the presence or absence of gastrointestinal symptoms in index pregnancy were obtained at by the use of researcher-administered questionnaire. Data were analyzed and presented as frequencies and percentages. A 5% significance level (p <0.05) to test associations.Results: Two fifty-five women had heart burns (56.4%) while 235 (52.0%) had nausea in pregnancy, these were observed to be the most prevalent GI symptoms among the women. Diarrhea and hemorrhoids were the uncommon GI symptoms in the study population constituting 406 (89.5%), and 360 (79.6%) respectively. Easy fullness was noted in 39.8% of the women while vomiting was in 41.8% and constipation in 29% of the respondents. A significant association was observed (p value <0.05) between parity and development of anorexia and hemorrhoids in pregnancy (p values of 0.049 and 0.051 respectively) but not for the other symptoms.Conclusions: GI symptoms are common in pregnancy, the most prevalent symptoms are that of heart burns and nausea, while diarrhea is relatively uncommon.


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