THE RELATIONSHIPS BETWEEN MOTHER AGES, AGE OF PREGNANCY AND GRAVIDA THROUGH THE INCIDENT OF PREEKLAMPSIA IN RSUD HOSPITAL

2018 ◽  
Vol 10 (2) ◽  
pp. 32-43
Author(s):  
Desi Desi Nurseha Meirita
Keyword(s):  
Multivariate Analysis ◽  
Mortality Rate ◽  
Maternal Mortality ◽  
Gestational Age ◽  
Medical Records ◽  
Maternal Age ◽  
P Value ◽  
Third Trimester ◽  
Maternal Mortality Rate ◽  
Secondary Methods

Based on the 2016 National Health Indicator Survey the maternal mortality rate in Indonesia is still high at 305 dead mothers per 100,000 people. The high maternal mortality rate was influenced by 28.8% due to preeclampsia. With the SDGs planned, 13 targets in point number three, one of which mentions by 2030, reduce maternal mortality to below 70 per 100,000 live births. Find out the correlation of maternal age, gestational age and gravides with the incidence of preeclampsia in RSUD Hospital Bogor in 2018. This type of research is analytical with retrospective research design. The researcher use 89 respondents to conudct this research. The Date collection is obtained by secondary methods, namely data taken from medical records. The analysis used is univariate, bivariate and multivariate analysis. Based on the results of the study found maternal age as many as 56 (62.9%) respondents, gestational age in the third trimester 70 (78.7%) respondents, multigravida as many as 59 (66.3%). Bivariate variables were found to correlate maternal age with the incidence of preeclampsia with p value of 0,004, The correlation of gestational age and the incidence of preeclampsia with p value of 0,069, The correlation of gravida with the incidence of preeclampsia with p value of 0,013. The results of multivariate analysis showed that the maternal age gravida variable had an opportunity of 0,013times greater than the gravida who experienced the incidence of preeclampsia. Maternal age variables have a greater chance of 3,006 times compared to the gravidaand gestational age that experienced the incidence of preeclampsia.

scholarly journals Difference in The Incidence Severe Preeclampsia and Eclampsia between Maternal Age 20-34 Years and >34 Years in dr. Soebandi Hospital Jember

2017 ◽  
Vol 3 (2) ◽  
pp. 18
Author(s):  
Muhammad Fakhri Ali ◽  
Yonas Hadisubroto ◽  
Jauhar Firdaus
Keyword(s):  
Data Analysis ◽  
Mortality Rate ◽  
Maternal Mortality ◽  
Gestational Age ◽  
Maternal Age ◽  
Advanced Maternal Age ◽  
Severe Preeclampsia ◽  
Cross Sectional ◽  
Maternal Mortality Rate ◽  
Significant Difference

Maternal Mortality Rate (MMR) in Indonesia is still high. The maternal mortality rate continues to rise due to hypertension, one of which is caused by pre-eclampsia and eclampsia. Many factors cause preeclampsia, including advanced maternal age. The purpose of this study was to determine the effect of advanced maternal age during pregnancy with severe preeclampsia and eclampsia in RSD dr. Soebandi Jember. This study used cross sectional approach using 264 samples were divided into two groups, there are pregnant women aged 20-34 years and >34 years. The results of data analysis using Chi Square for severe preeclampsia and obtained p = 0.015 and OR = 2.494, which means there is a significant difference in comparison severe preeclampsia between gestational age of 20-34 years and >34 years. At the age of 20-34 years from 216 samples found 28 people suffering from severe preeclampsia (12.9%). Whereas at the age of mother> 34 years of 48 people found 13 people (27.1%) suffered severe preeclampsia Results of data analysis obtained eclampsia using Fisher and p = 0.554, which means there are no significant differences in comparison eclampsia between gestational age of 20-34 years and >34 years. At the age of 20-34 years from 216 samples found 3 people suffering from eclampsia (1.38%). While at mother age> 34 years from 48 people found 1 person (2.08%) suffered eclampsia.

scholarly journals Primigravida's Readiness in Dealing with Childbirth Considering the Mother's Social Characteristics

2021 ◽  
Vol 5 (1) ◽  
pp. 65-69
Author(s):  
Erma Nur Fauziandari
Keyword(s):  
Mortality Rate ◽  
Maternal Mortality ◽  
Statistical Tests ◽  
Social Characteristics ◽  
P Value ◽  
Third Trimester ◽  
Social Characteristic ◽  
Maternal Mortality Rate ◽  
Analytical Research ◽  
Population Demographic

Background: Indonesian Population Demographic Survey (IDHS) in 2017 stated that the Maternal Mortality Rate (MMR) in Indonesia was 309/100,000 live births. According to Ristica (2017) the high maternal mortality rate in Indonesia is caused by the unpreparedness of the mother in facing childbirth. Maternal unpreparedness is usually seen among primigravida who struggle in preparing for childbirth as they have yet experience in delivering. Geniofam in Muthoharoh explained (2018) the factors that influence mother's readiness including knowledge, education, socio-culture and economy.Purpose: This study aimed to determine the mother social characteristic (age, education, occupation) that affect the readiness of primigravida in facing childbirthMethods: This type of research is analytical research with an observational approach. The sample in this study involved 53 primigravida on the third trimester of pregnancy. Data collection was carried out by filling out questionnaires on the readiness of mothers to face childbirth by respondents.Results: The results of statistical tests showed that age, education, or occupation did not affect mother's readiness in dealing with childbirth with p value > 0.05.Conclussions:  mother’s social characteristics do not affect the readiness of primigravida in facing childbirth.

scholarly journals Faktor Yang Mempengaruhi Kejadian Ketuban Pecah Dini Pada Kehamilan Trimester III di Puskesmas Silo Kabupaten Jember.

2020 ◽  
Vol 5 (1) ◽  
pp. 1-6
Author(s):  
Dwi Anggun Lestari
Keyword(s):  
Mortality Rate ◽  
Maternal Mortality ◽  
Pregnant Women ◽  
Multiple Pregnancy ◽  
P Value ◽  
Premature Rupture Of Membranes ◽  
Third Trimester ◽  
Premature Rupture ◽  
Maternal Mortality Rate ◽  
History Of

Premature rupture of membranes is rupture of membranes in pregnant women before any sign of labor. The direct cause of maternal death in Indonesia is 27% due to premature rupture of membranes which can ultimately lead to complications in puerperium. Based on the 2017 Riskesdas data, the Maternal Mortality Rate was 348 per 100,000 live births in 2015. In 2018 Jember district has a higher maternal mortality rate than the province. In 2018 at the Silo Health Center in Jember District, there were 239 cases of premature rupture of membranes in pregnant women. The purpose of this study was to study and explain the description of the incidence of premature rupture of membranes in pregnant women. The research design used is case control through a retrospective approach. The population in this study were 275 third trimester pregnant women with 153 mothers experiencing premature rupture of membranes and 122 who did not experience premature rupture of membranes. The sample size in this study was 122 cases and 122 controls. The control sample was taken by simple random sampling. Data collection was performed using medical records. The analysis of this study used univariate, bivariate using Chi Square (X²) and multivariate with Simple Logistic Regression test. In this study, the variables that influence the occurrence of premature rupture of membranes are age, occupation, parity, multiple pregnancy, fetal abnormalities, birth spacing and history of KPD with p value <0.05. The most dominant variable on the occurrence of premature rupture of membranes is the history of KPD with OR = 40.137: 95% CI and p value 0.000 so that different proportions of cases and controls are significant in the sense that there is a significant influence between the history of KPD on the incidence of premature rupture of membranes. So it is expected for third trimester pregnant women to be more diligent in doing ANC (Antenatal Care) in the next pregnancy.

scholarly journals Analysis of Factors Affecting Pregnant Women to Perform Perineal Massage

2021 ◽  
Vol 1 (1) ◽  
pp. 121
Author(s):  
Aidha Rachmawati ◽  
Rizka Esty Safriana ◽  
Endah Mulyani ◽  
Siti Mudlikah ◽  
Luluk Yuliati
Keyword(s):  
Mortality Rate ◽  
Maternal Mortality ◽  
Pregnant Women ◽  
Health Workers ◽  
Statistical Tests ◽  
Sampling Technique ◽  
P Value ◽  
Third Trimester ◽  
Maternal Mortality Rate ◽  
Perineal Massage

One of the fears that is often felt by third trimester pregnant women is perineal rupture during childbirth. Perineal rupture can be prevented by taking preventive measures during pregnancy, namely perineal massage which can be done by pregnant women from 34 weeks of gestation until nearing labour. In East Java, the maternal mortality rate in 2018 was 515 per year or 1 to 2 people per day. The cause of the high maternal mortality rate of 20.3% is due to postpartum haemorrhage. The purpose of this study was to analysis the factors that influence pregnant women to perform perineal massage. The total population was 120 pregnant women with a sample of 92 pregnant women in April-July 2019, the sampling technique used simple random sampling. The data analysis used multiple logistic regression statistical tests while the significance test used a 0.05 degree of error. The results of this study were the age factor with a low risk of affecting pregnant women, the p-value was 0.003 (<0.05). Knowledge and motivation factors have an effect together. Knowledge has an effect of 122.5 times while motivation has an effect of 13.14 times in doing perineal massage during the third trimester of pregnancy. Health workers are encouraged to increase socialization and approach to third trimester pregnant women so that they want to do perineal massage independently

scholarly journals Efektifitas Pelatihan Asuhan Persalinan Normal (APN) Terhadap Peningkatan Pengetahuan Bidan Di Pusat Pelatihan Klinik Sekunder (P2KS) Di Yogyakarta

2019 ◽  
Vol 6 (1) ◽  
pp. 533
Author(s):  
Eko Mindarsih ◽  
Murni Murni
Keyword(s):  
Mortality Rate ◽  
Maternal Mortality ◽  
P Value ◽  
Maternal Mortality Rate ◽  
Post Test

Salah satu indikator yang dapat dijadikan alat untuk mengukur kualitas kesehatan perempuan adalah dengan Angka Kematian Ibu (AKI) atau Maternal Mortality Rate (MMR) AKI di Indonesia adalah 359 per 100.000 kelahiran hidup. Kementerian Kesehatan RI bersama organisasi profesi membentuk Pusat Pelatihan Klinik Sekunder (P2KS) di tingkat Provinsi yang bernaung dibawah JNPK-KR Peningkatan pengetahuan dan keterampilan  bidan  merupakan salah satu upaya untuk menurunkan kematian ibu. Penelitian ini bertujuan mengetahui efektifitas pelatihan Asuhan Persalinan Normal terhadap tingkat pengetahuan bidan di P2KS Propinsi DIY.  Metode penelitian yang digunakan adalah eksperiment. Bentuk desain penelitian ini adalah Quasi eksperimen  design dengan rancangan penelitian pre test dan post test. Nilai pengetahuan sebelum dan sesudah pelatihan pada responden di P2KS DIY terdapat peningkatan sebelum dan sesudah pelatihan sebesar 13, 3 poin. Hasil efektifitas pelatihan terhadap pengetahuan bidan adalah pelatihan Asuhan Persalinan Normal efektif terhadap tingkat pengetahuan responden dengan nilai p value yang diperoleh sebesar 0,000  (p value 0,000 < 0,05). Hasil Penelitian ini dapat disimpulkan bahwa pelatihan asuhan persalinan normal efektif terhadap tingkat pengetahuan responden.

scholarly journals Pengetahuan terhadap Sikap Ibu Hamil tentang Tanda Bahaya Kehamilan Trimester III

2021 ◽  
Vol 7 (1) ◽  
pp. 22
Author(s):  
Rabia Zakaria ◽  
Raflin Kadir
Keyword(s):  
Mortality Rate ◽  
Maternal Mortality ◽  
Pregnant Women ◽  
Significant Relationship ◽  
Survey Method ◽  
Third Trimester ◽  
Maternal Mortality Rate ◽  
Danger Signs ◽  
Consecutive Sampling ◽  
Trimester Pregnancy

Indonesia is one of the developing countries in Southeast Asia with a high maternal mortality rate. One of the causes of the high maternal mortality rate is pregnancy complications that can appear through pregnancy danger signs. Danger signs of pregnancy are signs that indicate danger that can occur during pregnancy or the antenatal period, which if not detected can cause death. This study aims to determine the relationship between knowledge and attitudes of pregnant women about the danger signs of third-trimester pregnancy in one area of Central Indonesia. This study used an analytical survey method with approach cross-sectional. The sample in this study was 23 pregnant women. The sampling technique used was the consecutive sampling method. The consecutive sampling study was conducted in February - March 2020. The results showed a significant relationship between knowledge of the attitudes of pregnant women about the danger signs of third-trimester pregnancy. The conclusion in this study is that there is a significant relationship between knowledge of the attitudes of pregnant women about the danger signs of third-trimester pregnancy.

scholarly journals The Related Factors to the Behaviour of Pregnant Women in Maternity Planning and Complication Prevention Program

2021 ◽  
Vol 3 (3) ◽  
pp. 353-370
Author(s):  
Elsa Surya ◽  
Dewi Rahayu ◽  
Aila Karyus
Keyword(s):  
Pregnant Woman ◽  
Mortality Rate ◽  
Maternal Mortality ◽  
Pregnant Women ◽  
Prevention Program ◽  
Health Facilities ◽  
Infant Mortality Rate ◽  
P Value ◽  
Related Factors ◽  
Maternal Mortality Rate

One of the breakthrough efforts that can reduce the maternal mortality rate as is Maternity Planning and Complication Prevention is expected to motivate the behavior of pregnant women in an effort to accelerate the reduction of maternal mortality. The high maternal mortality rate in Pringsewu regency is caused by a lack of screening for pregnant woman because it is suspected that there are still many high – risk pregnant woman who have not been found or have not come to health facilities. The aim of the research is knowledge of factors associated with behavior of pregnant women in childbirth planning and complication prevention programs. This research is a quantitative study with a cross sectional design. The data was collected by questionnaire tool. The population in this study were pregnant women who had an antenatal care in January 2021 at 3 public health centers that representing Pringsewu Regency, namely the community health center which had the highest moderate, and lowest coverage of Pregnancy visits 1 and 4 visits as many as 122 pregnant women. While the sample in this study was 96 pregnant women. Before the data collection, a questionnaire was tested on 30 respondents. The data analysis in this study is univariate test, bivariate test, and multivariate test. Based on the results of the study, it is known that some of pregnant women in Pringsewu regency have good behaviour, namely 62,5%. The results showed that there were 5 variables that had a significant relationship with the behavior of pragnant women in complication preventif program including knowledge (p value 0,030),attitudes (p value 0,000), availability of infrastructure (p value 0,033), distance to health facilities (p value 0,030) and husband’s support (p value 0,017). The most dominant variable related to the behaviour of pregnant women in complication prevention program is attitude where has the highest OR value of 5,881. In order to inprove the behavior of the community,especially pregnant women in complication prevention program, the Departement of Health needs to empower the community such as implementing the standby village, so that the community is able to independently fulfill the health facilities or infrastructure that are not yet available, namely village ambulances and village blood banks to support the implementation of complication prevention program so as to reduce maternal mortality rate (MMR) and infant mortality rate (IMR).

scholarly journals KEJADIAN KEGUGURAN DITINJAU DARI UMUR IBU DI BPS ITA ARIANI WONOAYU SIDOARJO

2018 ◽  
Vol 8 (2) ◽  
Author(s):  
Ika Mardiyanti
Keyword(s):  
Mortality Rate ◽  
Maternal Mortality ◽  
Maternal Age ◽  
Sampling Technique ◽  
Simple Random Sampling ◽  
Pregnant Mother ◽  
Chi Square ◽  
Cross Sectional ◽  
Maternal Mortality Rate ◽  
Chi Square Test

The incidence of Abortion in terms of the maternal age in The Private Midwife Clinic of Ita Ariani Wonoayu Sidoarjo. Maternal Mortality Rate in Indonesia is still high about 206 over 100.000 life births. Abortion is one of the cause of maternal mortality rate. And pregnant mother who had age ( < 20 and > 35 tahun years old) is more get abortion. The purpose of this research is to analyze the correlation between maternal age with the occurance of abortion in The Private Midwife Clinic of Ita Ariani Wonoayu Sidoarjo. Design of this research is observational analytic using cross sectional method. Population of this research is 15 pregnant mothers with pregnancy age less than 20 weeks. Sample of this research as many as 14 people with simple random sampling technique. The independent variable is maternal age and the dependent variable is occurance of abortion. The data is collected from medical record and analyzed by using Chi – Square test. Result of this research show that most of respondents are pregnant mother who had low risk age (20 – 35 years old) as many as 8 people (57,1%) and pregnant mother who got abortion as many as 5 people (35,7%). Based from Chi–Square test show that P = 0,001 < α = 0,05 and it is mean that there is correlation between mother age with the occurance of abortion. The conclusion of this research is mother age is one of the cause of abortion. Pregnant mother who had younger age (< 20 years old) and older age (> 35 years old), the probability of abortion is higher so pregnant mother must do ANC regularly.

scholarly journals KARAKTERISTIK KEHAMILAN DENGAN KETUBAN PECAH DINI PRETERM DI RSUD ULIN BANJARMASIN

2019 ◽  
Vol 6 (1) ◽  
Author(s):  
Hermin Sabaruddin ◽  
Chalid Muthaher ◽  
M. Robyanoor AR
Keyword(s):  
Gestational Age ◽  
Medical Records ◽  
Maternal Age ◽  
Education Level ◽  
P Value ◽  
Premature Rupture Of Membranes ◽  
Premature Rupture ◽  
Cross Sectional ◽  
Preterm Premature Rupture ◽  
Low Education

ABSTRAKKetuban pecah dini (KPD) didefinisikan sebagai pecahnya selaput ketuban sebelum terjadinya persalinan yang terjadi pada atau setelah usia gestasi 37 minggu disebut KPD aterm atau premature rupture of membranes (PROM) dan sebelum usia gestasi 37 minggu atau KPD preterm atau preterm premature rupture of membranes (PPROM). Insiden ketuban pecah dini di Indonesia berkisar 4,5% sampai 7,6 % dari seluruh kehamilan. KPD Preterm terjadi pada terjadi pada sekitar 2-3% dari semua kehamilan tunggal dan 7,4% dari kehamilan kembar. Penelitian ini merupakan penelitian observasional analitik secara retrospektif deskriptif cross sectional. Pengambilan data diambil dari rekam medis pasien rawat inap kamar bersalin di RSUD.Ulin Banjarmasin pada periode januari– desember 2017. Pada penelitian ini menunjukkan bahwa sebagian besar variabel faktor risiko yaitu usia, pendidikan, usia kehamilan dan paritas menunjukkan hubungan terhadap kejadian KPD preterm. Hasil analisis menunjukkan terdapat hubungan yang signifikan pada usia ibu 18-20 tahun sebesar 63.6% dengan OR (95%CI)= 7.56 (6.206-7.687). Faktor risiko pada sampel pendidikan paling banyak pada tingkat pendidikan rendah sebesar 65,1% dengan OR (95% CI) = 7.244 (6.172-7.343) dibandingkan dengan ibu tingkat pendidikan tinggi sebesar 37.3%. Pada variable usia kehamilan sampel terbanyak ditemukan pada usia kehamilan 28-34 minggu sebanyak 100% dengan OR (95%CI) = 94.0 (78.2-130.3). Pada variabel paritas terbanyak pada multigravida yaitu 45.9% dengan OR (95%CI) = 2.26-2.32) namun hasil ini tidak signifikan dikarenakan p value >0.005. Ditemukan hubungan faktor risiko pada usia ibu 18-20 tahun, pendidikan rendah, dengan usia kehamilan 28-34 minggu, namun tidak signifikan pada paritas multigravida.Kata-kata kunci : Ketuban pecah dini preterm, kehamilan ABSTRACTPremature rupture of membranes (PROM) are defined as rupture of the membranes before the onset of labor and which occur at or after 37 weeks gestational age is called premature rupture of membranes (PROM) and before 37 weeks gestational age is called preterm premature rupture of membranes (PPROM). The incidence of premature rupture of membranes in Indonesia is from 4.5% to 7.6% of all pregnancies. Preterm KPD occurs at 2-3% of all single pregnancy and 7.4% of twin pregnancy. This study was a cross sectional descriptive observational analytic study. The data was taken from the medical records of Delivery Room in RSUD Ulin Banjarmasin at January-December 2017. In this study, the majority of risk factor, age, education, gestational age and parity showed a relationship to Insidence of PPROM. The results of the analysis showed that there was a significant relationship between the age of 18-20 years percentage was 63.6% with OR (95% CI) = 7.56 (6,206-7,687). The most sample at low education level was 65,1% with OR (95% CI) = 7.244 (6.172-7.343) compared to the high education level was 37.3%. Criteria for gestational age, the most samples were found at 28-34 weeks gestational age with percentage of PPROM was 100% with OR (95% CI) = 94.0 (78.2-130.3). Then at parity most Insidece in multigravida was 45.9% with OR (95% CI) = 2.26-2.32) but this result is not significant because p value> 0.005. We found a correlation between risk factors at maternal age 18-20 years, the low education and gestational age of 28-34 weeks, but not significant in multigravida parity.Keywords : Preterm premature rupture of membranes (PPROM), pregnancy

scholarly journals The Relationship Of Pregnant Women's Knowledge And Attitude To The Implementation Of Delivery Planning And Complication Prevention (P4k) Program

2021 ◽  
Vol 1 (1) ◽  
pp. 13-21
Author(s):  
Ratih Ruhayati
Keyword(s):  
Mortality Rate ◽  
Infant Mortality ◽  
Maternal Mortality ◽  
Pregnant Women ◽  
Significant Relationship ◽  
Infant Mortality Rate ◽  
P Value ◽  
Maternal Mortality Rate ◽  
Live Births ◽  
The Relationship

Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR) are indicators to assess the health status of the community. Based on the Indonesian Demographic and Health Survey 2017 IDHS, the maternal mortality rate in Indonesia is still high at 302 per 100,000 live births, while the infant mortality rate is 24 per 1000 live births. The decline in MMR and IMR cannot be separated from the role of community empowerment, one of which is carried out through the implementation of the Childbirth Planning and Complications Prevention Program (P4K). Most mothers, husbands, and families have less active role in the implementation of P4K, even though there is an effect of implementing P4K on neonatal mortality. This happens because the mother's knowledge about P4K is still lacking, so her attitude is still not positive. The purpose of this study was to determine the relationship between knowledge and attitudes of pregnant women towards the implementation of the Childbirth Planning and Complications Prevention (P4K) Program. The research design used "analytic descriptive" cross-sectional, with a total population of 126 pregnant women, while the sample was taken using purposive sampling technique, with a total sample of 96 respondents. The results of statistical analysis with the Chi-Square test showed that for the knowledge variable, the results of the P value = 0.005 concluded that there was a significant relationship between the level of knowledge and the implementation of P4K, while for the attitude variable the P value = 0.001 concluded that there was a significant relationship between attitudes with the implementation of P4K.

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