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

2020 ◽  
Vol 11 (1) ◽  
pp. 114-120
Author(s):  
Magdalena Magdalena Agu Yosali ◽  
Dr. Astry Dr. Astry

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

Author(s):  
Yuhemy Zurizah Yuhemy Zurizah

  ABSTRACT Maternal Mortality Rate is a barometer of mother health service in a country. At this time maternal mortality rate in Indonesia is still very high. Indonesia Demography Survey on 2007, maternal mortality rate is about 28 per 100.000 of live births. The direct cause of maternal mortality in Indonesia as well as in the other country is hemorraghe (25%), sepsis (15%), eklampsia (12%), abstructed labor (8%). World Health Organization (WHO), 35-37% of pregnant women in developing coutries get anemy. Causing factor’s of anemy on pregnant women is age of pregnant, parity, economi socio, job, education, and nutritional status. Purpose of this research is to know the associated factors with incidence of anemy on pregnant women at the Health Center Talang Ratu Palembang in 2014. This research use analytic survey method with “cross sectional” approach. Population in this research is all of preganant women in medical treatment at Talang Ratu Palembang in 2014. Sample taking in this research with non random samplingmethod and accidental sampling technic. Analysis with univariatly and bivariatlywith Chi Square Statistic test with significant level α 0,05. The result of this research show that from 35 respondent there is (48,6%) respondent with anemy, high–risk age (28,6%), high parity (60,0%) and low economi socio (37,1%). This result show that there is significant relationship between age with incidence of anemy on pregnant women at the health center Talang Ratu Palembang in 2014 with p value0,027, there is significant relationship between parity with incidence of anemy on pregnant women at the health center Talang Ratu Palemabang in 2014 with p value0,023, and there is significant relationship between economi socio with incidence of anemy on pregnant women at the health center Talang Ratu Palembang in 2014 with p value0,026. Of the result, the author hope that health service worker at Talang Ratu health center can improve health service to pregnant women and often giving information about anemy on pregnant and nutritional for pregnant women during pregnancy.     ABSTRAK Angka Kematian Ibu (AKI) merupakan barometer pelayanan kesehatan ibu di suatu negara. Pada saat ini angka kematian ibu di Indonesia masih sangat tinggi. Menurut Survey Demografi dan Kesehatan Indonesia (SDKI) tahun 2007, angka kematian kematian ibu adalah 28 per 100.000 kelahiran hidup. Penyebab langsung kematian ibu di Indonesia seperti halnya Negara lain adalah perdarahan (25%), sepsis (15%), eklampsi (12%), partus lama (8%). Menurut World Health Organization (WHO), 35-37% ibu hamil di negara berkembang dan 18% di negara  maju mengalami anemia. Faktor penyebab terjadinya anemia pada ibu hamil secara tidak langsung adalah umur ibu, paritas, sosial ekonomi, pekerjaan, pendidikan, jarak kehamilan, dan status gizi.Tujuan penelitian ini adalah untuk mengetahui faktor - faktor apa saja yang berhubungan dengan kejadian anemia pada ibu hamil di Puskesmas Talang Ratu Palembang Tahun 2014. Penelitian ini menggunakan metode survey analitikdengan pendekatan cross sectional. Populasi dalam penelitian ini adalah seluruh ibu hamil yang berobat di Puskesmas Talang Ratu Palembang Tahun 2014. Pengambilan sampel pada penelitian ini dengan metode non random sampling dengan teknik Accidental sampling. Analisis dilakukan secara univariat dan bivariat. Dengan uji statistik chi square tingkat kemaknaan α 0,05. Hasil penelitian menunjukkan dari 35 responden terdapat (48,6%) responden yang anemia, umur yang beresiko  tinggi (28,6%), paritas tinggi (60,0%), dan sosial ekonomi rendah (37,1%). Hasil penelitian ini menunjukkan ada hubungan yang bermakna antara umur dengan kejadian anemia pada ibu hamil di Puskesmas Talang Ratu Palembang Tahun 2014 dengan  p value0,027,  ada hubungan bermakna antara paritas dengan kejadian anemia pada ibu hamil di Puskesmas Talang Ratu Palembang Tahun 2014 dengan p value0,023 dan ada hubungan yang bermakna antara sosial ekonomi dengan kejadian anemia pada ibu hamil di Puskesmas Talang Ratu Palembang Tahun 2014 dengan p value0,026. Dari hasil penelitian ini penulis berharap petugas kesehatan di Puskesmas Talang Ratu Palembang meningkatkan pelayanan kesehatan pada ibu hamil dan lebih sering melaksanakan penyuluhan anemia pada kehamilan dan nutrisi yang baik bagi ibu hamil.    


2021 ◽  
Vol 8 (1) ◽  
pp. 33-37
Author(s):  
Russiska Russiska ◽  
Susan Yuliyantika ◽  
Merissa Laora Heryanto

The Maternal Mortality Rate (MMR) in Indonesia is around 90% at the time of delivery. in Indonesia until 2018 the Maternal Mortality Rate is still high at 305 per 1000 live births[1]. This is caused by postpartum bleeding due to several factors such as uterine atony and perineal rupture. The research objective was to determine the relationship between birth weight of infants and perineal rupture in Primipara at Japara Public Health Center, Kuningan Regency in 2019. The research method was analytic with a cross sectional approach, sampling with a total sampling technique with a total of 52 mothers giving birth. The instrument used was a checklist sheet and the analysis used Spearman Rank. Based on the results of the univariate analysis study, most mothers gave birth to babies with normal birth weight, namely around 59.6%, while most of the mothers experienced perineal rupture, namely around 51.9%. The results of the bivariate analysis showed a value (p = 0.09), this indicated that there was a significant relationship between birth weight of infants and perineal rupture in mothers who gave birth. It was concluded that there was a significant relationship between birth weight of infants and perineal rupture in mothers who gave birth. It is hoped that midwives will always carry out labor management in accordance with the standards of normal delivery care when giving birth and teach pregnant women how to massage the perineum.


2019 ◽  
Vol 9 (1) ◽  
pp. 29
Author(s):  
Ambar Dwi Erawati ◽  
Rinayati Rinayati ◽  
Sri Wahyuning

In order to reduce maternal mortality in Central Java, this Province has a superior program which is called 5Ng (Jateng Gayeng Nginceng Wong Meteng/Central Java Glad to See Pregnant Women). Implementation of childbirth assistance in Semarang and Kendal districts in order to reduce maternal mortality has its own model. Based on the preliminary survey, the maternal mortality rate in Semarang and Kendal regencies has decreased. This research aimed to explain the implementation of delivery assistance by midwives in the framework of accelerating reduction in maternal mortality. This study used a qualitative approach with descriptive analytical specifications. Research subjects were midwives in Semarang and Kendal Regencies. Data collection method was conducted by direct in-depth interview. Normal childbirth assistance in Semarang Regency is carried out at the Midwife Independent Practice, Village midwife practice, at the village public health center and public health center with delivery assistance of at least four hands (two midwives). In Kendal Regency normal delivery assistance is performed at first health facility.


Author(s):  
Nurbek Madmarov ◽  
Metin Bayrak

Population is an important factor in development of a country. As a constraint, not only the size of the population is important but also its quality in the development process. Women’s health is considered all over the world and the data about this aspect is published by the World Health Organization annually. Among others maternal mortality rate is one of the major problems affecting women’s health and population. Everyday 830 women die due to the problems related to pregnancy and childbirth in the world. While this number is relatively lower in the developed countries, it is higher in the underdeveloped and developing countries. In addition, the maternal mortality rate in the Caucasus and Central Asia ranks in the worst third in the world. In the Kyrgyz Republic, this rate is 82.083333 per 10000 live births which is the worst in the region. Therefore, it is among one of the countries where the maternal mortality should be reduced in the framework of the Millennium Development Goals. In this study, the determinants of maternal mortality rate are analyzed in the Kyrgyz Republic regions during 2000-2015 by using static panel data methods fixed effects and random effects. The findings show that there are significant decreasing effects of GDP, number of assistant physicians, births by skilled staff, improved sanitation facilities, and gender wage equality, there are significant increasing effects of health expenditures, medical facilities, and poverty among women on the maternal mortality.


2018 ◽  
Vol 3 (1) ◽  
pp. 1
Author(s):  
Nila Eza Fitria

<p><em>Maternal Mortality Rate (MMR) is one indicator of the success of health services in a country. Maternal deaths occur for several reasons, including anemia The purpose of this research is to know the relationship of knowledge of pregnant women with Fe tablet with anemia occurrence in jorong Koto Malintang Puskesmas Agam District 2014. This research is cross sectional research design conducted in Jorong Koto Malintang Puskesmas Kamih Agam on 23 s / d 29 August 2014. The sample in this study pregnant women in Jorong Koto Malintang 30 people. Univariate analysis has been done descriptive and bivariate analysis using chi-square test. The results showed 30 respondents classified as less knowledgeable (36.7%) and more than half of pregnant women (63.3%) suffered from anemia. The result of bivariate analysis with trust level 0,05 indicates a significant relationship between the existence of Knowledge about Tablet Fe Pregnancy with Genesis Anemia where value p = 0,002 (p = &lt;0,05). Can be concluded in this research there is a significant relationship between mother's knowledge about Fe tablet with anemia. It is expected to improve the knowledge of pregnant women about the importance of Fe tablets consumed by pregnant women during pregnancy to prevent anemia</em></p><p><em><br /></em></p><p>Angka Kematian Ibu (Maternal Mortality Rate / MMR) merupakan salah satu indikator keberhasilan pelayanan kesehatan di suatu negara. Kematian ibu terjadi karena beberapa alasan, termasuk anemia. Tujuan penelitian ini adalah mengetahui hubungan pengetahuan ibu hamil dengan tablet Fe dengan kejadian anemia di jorong Koto Malintang Puskesmas Kabupaten Agam tahun 2014. Penelitian ini adalah rancangan penelitian cross sectional yang dilakukan di Jorong Koto Malintang Puskesmas Kamih Agam pada 23 s/d 29Agustus 2014. Sampel dalam penelitian ini ibu hamil di Jorong Koto Malintang 30 orang. Analisis univariat telah dilakukan analisis deskriptif dan bivariat menggunakan uji chi-square. Hasilnya menunjukkan 30 responden tergolong kurang berpengetahuan (36,7%) dan lebih dari setengah ibu hamil (63,3%) menderita anemia. Hasil analisis bivariat dengan tingkat kepercayaan 0,05 menunjukkan adanya hubungan yang signifikan antara adanya Pengetahuan Tentang Tablet Fe Hamil dengan Anemia Genesis dimana nilai p = 0,002 (p = &lt;0,05). Dapat disimpulkan dalam penelitian ini ada hubungan yang signifikan antara pengetahuan ibu tentang tablet Fe dengan anemia. Diharapkandapat meningkatkan pengetahuan ibu hamil tentang pentingnya tablet Fe dikonsumsi oleh ibu hamil selama kehamilan untuk mencegah anemia. </p><p><em><br /></em></p>


2020 ◽  
Vol 1 (3) ◽  
pp. 38-42
Author(s):  
Fijri Rachmawati ◽  
Dhesi Ari Astuti

The maternal mortality rate in Indonesia is still high at 359 of 100,000 live births, the cause of death on mothers in Indonesia is 30,3% of bleeding, 27,1% of eclampsia, 7,3% of infection, 5% of prolonged labor, 5% of abortion and 25,3% of others. Bleeding is still ranked first as a contributor to the high maternal mortality rate and anemia is one of the causes of bleeding. This study aimed to determine the relationship between age and parity and the anemia in pregnant women in Umbulharjo II Primary Health Center. The design of this study was analytical with a cross sectional approach which analyzed the anemia based on secondary data at Umbulharjo II Public Health Center in 2017. Data analysis used chi-square and Regression Logistic using SPSS 22 for Windows with p-value 0.05 and 95% of CI. The result of data analysis obtained p-value of age (0,021 <0,05), (OR=2,357, 95% of CI, (1,219-4,557) and p value of parity (0,042 <0,05), (OR =2,204, 95% of CI, (1,123-4,325). In conclusion, age had a significant relationship with the occurrence anemia in pregnancy and parity had a significant relationship with the occurrence anemia in pregnancy.


2019 ◽  
Vol 7 (2) ◽  
pp. 349
Author(s):  
Triatmi Andri Yanuarini ◽  
Lupita Nur Afifah ◽  
Shinta Kristianti

The period of childbirth is one of the indicators in the public health. The Maternal Mortality Rate in Indonesia is still high. One of the causes the high maternal mortality rate is due to the duration of labor. Fear, pain, and anxiety during the labor can interfere with psychological responses that may affect the progress of labor and possibly weaken the strength of mothers. It also causes stress, which leads to the adrenaline expulsion, resulting in narrowing of the blood vessels and reducing the blood flow that carries oxygen to the uterus, so it makes a decrease of uterine contractions that will lead to prolonged delivery time. The attention to psychological problems including involving family participation may affect the labor duration. The aims of this study was to determine the relationship between family support and the duration of labor in maternity mothers in Maternity Room Aura Syifa Hospital Kediri Regency.This research was analytic survey with is cross-sectional research. The population of this study was all maternity mothers in Maternity Room at Aura Syifa Hospital Kediri Regency. 21 Samples were taken and  selected by using consecutive sampling technique.Data analysis technique used in this study is Fisher Exact test. The result of the calculation from Fisher Exact test is p = 1> 0,05.H1 is not accepted and H0 is acceptedso it can be concluded that the hypothesis in this study is rejected, in which there is no relationship between family support and the duration of labor.


2019 ◽  
Vol 4 (1) ◽  
pp. 18
Author(s):  
Febrina Oktavinola Kaban ◽  
Farida Linda Sari Siregar ◽  
Evi Indriani Br Karo

Various programs attempt to reduce the maternal mortality rate implemented by the government to pregnant women. The activity "Optimization of Normal Delivery Through Birth Preparation Center" in the Medan City Maternity Clinic" was carried out in two partners. This service partner were Klinik Bidan Eka in Medan Denai and  Klinik Pratama Serasi Medan Helvetia. As many as 80% of pregnant women are afraid of giving birth normally, for reasons of fear of pain that will be experienced later in labor. 85% of pregnant women are negatively pregnant. As many as 90% of pregnant women do not prepare physically. As many as 55% of pregnant women experience hip pain, back pain, and cramps in the legs during pregnancy. 90% of husbands do not motivate their wives. 90% of pregnant women and husbands are anxious about facing childbirth. The methods used are education, hypnobirthing and prenatal yoga. The activities at the Pratama Serasi Clinic were held twice, on 10 and 11 April 2018, this activity was attended by 20 pregnant women. The activities in the second partner were in the Bidan Eka, on May 5, 2018, and was attended by 17 pregnant women. Activities went well and smoothly, publication of activities in Post media massa Sumatera Utara, and Youtube.Keywords: birth preparation, hipnobirthing, yoga prenatal


2019 ◽  
Vol 14 (1) ◽  
pp. 93
Author(s):  
Nurul Lailatul Badriyah ◽  
Ira Nurmala

Maintaining menstrual hygiene is essential to avoid vulvar pruritus, irritation, swelling, vaginal secretions, reproductive tract infections, urinary tract infections, uterine cancer, etc. Sampang is the region with the highest maternal mortality rate in Madura, but recently, maternal mortality rate in Sampang continues to decline. One of the causes of maternal death is due to the lack of reproductive hygiene maintenance during menstruation, so that mothers are at risk of uterine cancer. The present study aimed to analyze the relationship between risk perception and female students’ desire in SDN Kamoning in maintaining menstrual hygiene. It was an observational analytic research using cross sectional research design. This study employed HAPA theory. Health Action Process Approach (HAPA) is a concept approach to change one's behavior by strengthening intention to become action. The variable of risk in HAPA theory can influence individual perception early in the motivation phase. The samples of the study were 32 people, and they were taken by total sampling because the number of samples was very small. Data were collected through questionnaire, and they were analyzed by using spearman correlation. The results showed that there was correlation between perception of risk (p = 0,000) and intention to maintain menstrual hygiene. Relationships obtained were not strong because some respondents did not agree with the statements in the questionnaire. It can be concluded that there is a relationship between risk perception and intention to maintain personal hygiene during menstruation. Although the relationship obtained showed a strong relationship, there were some female students that still had wrong perception about personal hygiene maintenance during menstruation.


2020 ◽  
pp. 30-32
Author(s):  
Anamika Anamika ◽  
Amrita Sharan

BACKGROUND Maternal death or maternal mortality is defined by the World Health Organisation (WHO) as the “death of a women while pregnant or within 42 days of termination of pregnancy, irrespective of the duration and site of pregnancy, from any cause related to or aggravated by the pregnancy or its management but not from accidental or incidental causes.” AIMS AND OBJECTIVES 1. To study the causes of maternal mortality, 2. To identify the deficits to decrease the current rate of maternal mortality. MATERIALS AND METHODS This was a retrospective study done by analyzing hospital records of maternal mortality occurring in the department of obstetrics and gynaecology of a tertiary care hospital of Bihar from January 2019 to December 2019. RESULTS A total of 126 deaths occurred in this period of 1 year. The total number of live births was 5568 in this year making the maternal mortality rate (MMR) to be 2262.93. This may be due to the fact that being a referral institute most of the cases were referred from the peripheries. 76.19% of the women were referred from outside. The most common age group to be affected was 20 to 29 years (79.36%). Multiparous women were more affected than primiparous women (61.9% V/s 38.10%). The most common cause of maternal mortality was eclampsia seen in 26.98% cases followed by PPH seen in 22.22% cases, anemia in 8.73%, medical complications in 7.94% cases , APH in 7.14% cases , rupture uterus in 7.14% cases. The most common type of delay was type 1 and 2. More number of women were from rural areas. More number of women were illiterates. Most of the women had no ANC. CONCLUSION Illiteracy, poverty, lack of knowledge, delayed referrals, lack of ANC are major contributing factors causing such high maternal mortality rate. Health education, strengthening of peripheral health care and availability of trained health workers and essential drugs should be enforced.


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