scholarly journals The strategy of community counselling combined with health education in reducing the maternal mortality rate

2021 ◽  
Vol 3 (Number 2) ◽  
pp. 21-25
Author(s):  
Hossain Mohammad Zafor ◽  
Shadman Sahir Ahmed ◽  
Sarder Rayhan Sadique

The current health-care delivery in Bangladesh only considers pharmacological approach to every/curing patient with physical illness. The effectiveness of community counselling on public health outcome is undeniable. In addition to associated heath and socio-economic factors, this complication contributes to increased maternal mortality rate in Bangladesh significantly. The objective was to find beside therapeutic treatment can “effective counselling and health education” reduce maternal mortality rate due to eclampsia/pre-eclampsia. This was a cross-sectional study with a sample size of 110 aged between 15 and 35 years were interviewed with a semi-structured questionnaire. The frequencies of the different variables were analyzed using SPSS 20 software, and the Chi-square test was done to observe the associations. The average age of the participants was 23 years. Over 40% of the women had their first delivery between the ages of 16–18 years and the same percentage of them had never taken antenatal checkup during their pregnancy. Gestational hypertension/pre-eclampsia was found in nearly 35% and eclampsia in 20% of the women. Previous maternal mortality cases before March, 2017 due to eclampsia in the sample community was 8 cases. Over a period of five months by early detection of cases, no maternal death was recorded due to eclampsia/ pre-eclampsia among the studied community after extensive counselling and health education. Despite the common therapeutic treatment for gestational hypertension, pre-eclampsia/eclampsia community counseling demonstrates significant impact on reducing mortality rate and strongly supports the association of community counselling and health education on reducing maternal mortality cases.

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.


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>


2017 ◽  
Vol 3 (2) ◽  
pp. 18
Author(s):  
Muhammad Fakhri Ali ◽  
Yonas Hadisubroto ◽  
Jauhar Firdaus

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.


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.


2020 ◽  
Vol 2 (2) ◽  
pp. 174-181
Author(s):  
Suko Pranowo

The maternal mortality rate (MMR) is an important indicator of the degree of public health. In 2019, Indonesia's MMR was still high, namely 305 per 100,000 live births, while Indonesia's MMR target in 2015 was 102 per 100,000 live births. Problems related to pregnancy and childbirth, including the maternal mortality rate (MMR) and infant mortality rate (IMR) cannot be separated from the various factors that influence it, including maternal health status and readiness for pregnancy, antenatal examinations (pregnancy), delivery assistance. and immediate care after delivery, as well as socio-cultural factors. Pregnancy with a distance that is too close will increase the risk of bleeding, miscarriage, and postpartum death. One of the efforts to prevent it is by joining the family planning program to restore conditions after being pregnant before. This community service is carried out in RW 14, Sidanegara Village, Cilacap Tengah District. The purpose of this community service is to provide an understanding to couples of childbearing age about family planning in the view of Islamic nursing. It is hoped that couples of childbearing age can understand and finally decide to participate in family planning in order to improve the health of mothers and children. After the health education was carried out, data showed that there was a significant increase in knowledge, namely the good category before the health education intervention as many as 0 people (0%) and the good category after the health education intervention as many as 17 people (94.44%). There was an increase in the number of participants who had knowledge in good categories, namely 17 people. Has a difference in the average pre and post test knowledge value of 3.33. It is hoped that couples of childbearing age become family planning acceptors to prevent the risk of pregnancy and be able to plan their families well.    


2017 ◽  
Vol 3 (1) ◽  
pp. 19-37
Author(s):  
Legawati Legawati ◽  
Nang Randu Utama

The maternal mortality rate (MMR) and infant mortality rate (IMR) is a barometer of a country's health services. In developed countries, the incidence of severe preeclampsia and eclampsia ranges from 6-7% 0.1 to 0.7%. While the maternal mortality rate due to pre-eclampsia and eclampsia in developing countries is still high (Betty & Yanti, 2011). To analyze the risk factors of weight in Pre eclampsia Referral Hospital Sultan Imanudin Pangkalan Bun and Dr. Doris Sylvanus Palangkaraya. This was an observational study conducted using a cross sectional study design. A cross-sectional study is when the influence of independent variables (exposure) and the dependent variable (effect) is observed and measured at the same time. Based on multivariable logistic regression analysis of factors affecting the risk factors PEB is the mother's age, education, gestational age, parity, ANC. Factors unrelated significantly is work, spacing, PE history, history of diabetes, Gemelli, economic and social decision-making. Factors that increase the risk of PEB is the mother's age, education, occupation, gestational age, parity, history of PE, the ANC and the social economy. Factors unrelated significantly is spasing, history of diabetes, Gemelli, and decision making. For pregnant women can do a pregnancy without looking at risk factors for PEB or no risk factors, to see some of the risk factors determinants. For health workers to carry out pregnancy tests with a focus on the pregnancy.


Author(s):  
Ni Nyoman Yeyen Abriyani

World Health Organization (2014) data shows that Maternal Mortality Rate in the world reached 289,000 inhabitants.  Indonesian  Demographic  Health  Survey  in  2012 mentioned that  the  maternal mortality rate  (MMR) in  Indonesia reached  359  /  100,000  live birth. Low hemoglobin levels in pregnant women can cause anemia. It can also increase the frequency of complications in pregnancy and childbirth as well as increase the risk of maternal mortality, the rate of prematurity, low birth weight. This study aims to determine the correlation between hemoglobin levels of pregnant women and birth weight at Kirana Maternal Hospital. This study applied a correlational study using cross sectional design. The data types used This study applied a correlational study using cross sectional design. The data types used         secondary data obtained from medical records and maternal health book. The results of the study later in the normality test and analyzed using Pearson test. The results showed that there was no study later in the normality test and analyzed using Pearson test. The results showed that there was no significant correlation between hemoglobin levels of pregnant women and birth weight in Kirana Maternal Hospital in 2016 with 0.00 significance value 0.05


2021 ◽  
Vol 3 (11) ◽  
pp. 845-853
Author(s):  
Nita Dewi Mardiana ◽  
Siti Nurrochmah ◽  
Septa Katmawanti

Abstract: Maternal be the one of important that means it need serious handling. Almost every two minute, in someplace at world, a woman die because maternal complication and labor. At year 2016, maternal mortality rate in the East Java Province reaching 91,000 every 100.000 live birth. This number experiences has been rising compared year 2015 that reach 89,6 every 100.000 live birth. Maternal health service when pregnant until postnatal become important effort for reducing maternal mortality rate. Increasing mortality rate in year 2016 followed by decreasing of antenatal care, health care delivery, and postpartum health care. This research intended to know correlation between antenatal care, health care delivery, and postpartum health care with maternal mortality rate in the east java province years 2017. This research is correlational research with a data using a secondary data that obtained from Health agency east java province. Data analyses use pearson-product moment with helped of Microsoft Excel. Population from this research is all of East Java Province. Result of this research founding significant result between antenatal care and health care delivery with maternal mortality rate and direction negative relation. Different with that two variable, This research result also show there is no significant between postpartum health care services with maternal mortality rate and positive course of relation. Based on the research result, can be concluded that the range of antenatal care and health care delivery will be followed by decreasing of maternal mortality rate in a significant manner. Abstrak: Angka Kematian Ibu (AKI) menjadi salah satu isu penting yang artinya memerlukan penanganan serius dalam upaya pencegahannya. Hampir setiap dua menit, di suatu tempat di dunia, seorang wanita meninggal karena komplikasi kehamilan dan persalinan. Tahun 2016, AKI di Jawa Timur meningkat di angka 91,00 bila dibandingkan tahun sebelumnya di 89,6. Pelayanan di bidang kesehatan ibu selama masa kehamilan, persalinan, hingga nifas menjadi penting sebagai upaya penurunan AKI. Meningkatnya AKI pada tahun 2016 diikuti dengan menurunnya kunjungan ibu hamil(antenatal), persalinan ditolong tenaga kesehatan (linakes), dan pelayanan kesehatan ibu nifas (yankes nifas). Tujuan dilakukannya penelitian untuk mengetahui hubungan kunjungan antenatal, linakes, dan yankes nifas dengan AKI di Provinsi Jawa Timur tahun 2017. Penelitian ini merupakan penelitian korelasional dengan data yang dipakai merupakan data sekunder yang diperoleh dari hasil pencatatan pada Dinkes Jatim. Analisis data menggunakan uji pearson-product moment dengan bantuan Microsoft Excel. Populasi dari penelitian ini adalah seluruh kabupaten dan kota di Provinsi Jawa Timur. Hasil penelitian menunjukkan terdapat hubungan yang signifikan antara kunjungan entenatal dan linakes dengan AKI, serta hubungan yang tidak signifikan antara yankes nifas dengan AKI. Berdasarkan hasil penelitian, dapat disimpulkan bahwa peningkatan cakupan kunjungan ibu hamil dan persalinan ditolong tenaga kesehatan akan diikuti oleh penurunan AKI secara signifikan, begitu juga sebaliknya.


2018 ◽  
Vol 8 (2) ◽  
Author(s):  
Ika Mardiyanti

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.


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