scholarly journals Birth Preparedness Practice: Profiling Determining Factors for Male Involvement in Southern Nigeria

2021 ◽  
Vol 10 (1) ◽  
Author(s):  
Samuel Dada ◽  
Oluseyi Okunola ◽  
Oyedunni Arulogun
Keyword(s):  
Maternal Mortality ◽  
Low Socioeconomic Status ◽  
Health Workers ◽  
Sampling Technique ◽  
Male Involvement ◽  
Birth Preparedness ◽  
African Countries ◽  
Normal Delivery ◽  
Level Of Involvement ◽  
Southern Nigeria

Maternal mortality remains high in most African countries including Nigeria. Delays in seeking care for normal delivery and obstetric emergencies are the major determinants of maternal mortality. Birth Preparedness (BP) has been found to be very effective in reducing these delays. Females have always been focused on birth preparedness studies.  This study was however designed to investigate male involvement in the practice of birth preparedness in Southern, Nigeria. This was a descriptive study design using a validated structured interviewer-administered questionnaire. A multistage sampling technique was used to select 302 married men in the community. Knowledge on BP was measured on a 48-point knowledge scale and a 30-point practice scale was used to determine male involvement in BP. Data were analysed using descriptive and inferential statistics at p<0.05. The mean age of the respondents was 38.0 ± 8.6 years. Majority (59.9 %) of the respondents had good knowledge on birth preparedness. Mean score for level of involvement was 21.52±5.4 and 43.0% of the respondents had good score. Identified factors militating against male involvement in birth preparedness include low socioeconomic status, busy work schedule, cultural belief, and poor attitude of health workers.  There was significant association between knowledge of birth preparedness and religion as well as level of male involvement in BP (p=0.018; 0.001 respectively). This study showed low level of male involvement in birth preparedness. Several factors were identified to be responsible for this. There is therefore the need for sustainable community health education programmes to motivate and encourage male involvement in birth preparedness.   Keywords: Birth preparedness, Knowledge, Male involvement, Practices

scholarly journals Increased Cadre Motivation Conducting Childbirth Referrals through Training with the DABA Method

2021 ◽  
Vol 5 (4) ◽  
pp. 119-122
Author(s):  
Dhiana Setyorini ◽  
Intim Cahyono ◽  
Jenie Palupi ◽  
Nur Hasanah
Keyword(s):  
Maternal Mortality ◽  
Health Workers ◽  
Intervention Group ◽  
Sampling Technique ◽  
Simple Random Sampling ◽  
Traditional Healers ◽  
Control Group ◽  
P Value ◽  
Delivery Assistance ◽  
Quasi Experimental

One of the causes of high maternal mortality is delivery assistance provided by other than health workers or traditional healers. The way to reduce the bondage relationship is to increase the motivation of cadres to refer mothers to health workers. The DABA method is a modification or development of the SALT method (support, appreciate, learn, and transfer), is a method or technique for forming something, showing that a community has the ability to respond to every challenge including childbirth assistance. The maternal mortality rate is still high, the Inter-Census Population Survey data released by the Central Statistics Agency shows that there were 359 maternal deaths per 100,000 births in 2013. The purpose of this study was to analyze the motivation of cadres by empowering the DABA method for referral for delivery assistance by health workers in Jember Regency. Motivation is the reason that underlies an action done by an individual. The method used was quasi-experimental using 2 groups. This study used the non equivalent control group, pre test post test design. The population in this study were 2220 posyandu cadres in the working area of the health centers in the Jember District. The subjects of this study were 100 posyandu cadres in Jember district in 2019 who met the criteria. The sampling technique was carried out by simple random sampling by selecting from a list of names of cadres in each health center. There was differences (p-value = 0.021) of cadre motivation between treatment and control group. The cadre motivation of intervention group was higher than the control group for referral labor. Having high motivation means having very strong reasons to achieve what he wants by doing his current job. The cadre motivation of treatment group increased significantly, this happened because cadres trained through the DABA method were invited to achieve the dreams they had built, namely to reduce maternal and infant mortality. Training using the DABA method is able to increase the motivation of cadres to make a referral to mothers to give birth at a health service place, so training with the DABA method is highly recommended to increase motivation for certain groups to achieve certain goals. Keywords: cadre motivation; DABA method; childbirth referrals

scholarly journals Hubungan antara Berat Badan Lahir Bayi dengan Ruptur Perineum pada Primipara

2021 ◽  
Vol 8 (1) ◽  
pp. 33-37
Author(s):  
Russiska Russiska ◽  
Susan Yuliyantika ◽  
Merissa Laora Heryanto
Keyword(s):  
Birth Weight ◽  
Mortality Rate ◽  
Maternal Mortality ◽  
Significant Relationship ◽  
Univariate Analysis ◽  
Sampling Technique ◽  
Bivariate Analysis ◽  
Cross Sectional ◽  
Normal Delivery ◽  
Maternal Mortality Rate

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.

scholarly journals DIFFERENCES OLD PERINEAL WOUND HEALING POST HECTING WITH ANESTHESIA AND WITHOUT ANESTHESIA IN POSTPARTUM MOTHERS IN BPM "Y" AND BPM "G" LUBUK ALUNG 2015

2018 ◽  
Vol 9 (1) ◽  
pp. 49
Author(s):  
Angelia Rovina Septya ◽  
Debby Ratno Kustanto
Keyword(s):  
Wound Healing ◽  
Design Research ◽  
Health Workers ◽  
Wound Care ◽  
Sampling Technique ◽  
Perineal Wound ◽  
Bivariate Analysis ◽  
P Value ◽  
Not Given ◽  
Normal Delivery

Tailoring perineum is the effort to improve the function of the reproductive organs of women with rupture during childbirth. The use of anesthesia in suturing perineal laceration is dear mother's care. Practical experience in D-III of Midwifery, anesthetic administration before done throughout the midwife with the grounds for granting anesthesia can slow wound healing. This study aims to determine whether there are differences in wound healing post heating perineum between the mother given anesthesia before suturing the perineum with mothers who are not given anesthesia before suturing the perineum. This type of research is pre-experimentation, design research group intact comparison. research conducted on 1 October to 20 October 2015 in BPM "G" and BPM "Y" Lubuk Alung with a total sample of six people, the sampling technique accidental sampling. Data analysis was done by Independent T statistical test. The results showed long wound healing using anesthesia is 10 days while the healing of wounds that do not use anesthesia is 6 days. Bivariate analysis results can be concluded there is a difference in the rate of wound healing between the mother given anesthetic before action is taken by the mothers perineal suturing were not given anesthesia before action is taken perineal suturing with a P value of Value 0.013 (<0.05). Health workers must increase their skills and communication in case of normal delivery in order to rupture perineum reduced and teach patients how to wound care of perineal is good and right that wound healing is rapid and normal in hope of decreasing the risk of infection during childbirth.

scholarly journals Impact of increase of caesarean section on postpartum hemorrhage in a tertiary care center of India over 6 years

2020 ◽  
Vol 10 (1) ◽  
pp. 192
Author(s):  
Shikha Madan ◽  
Neetu Sangwan ◽  
Smiti Nanda ◽  
Daya Sirohiwal ◽  
Pushpa Dahiya ◽  
...  
Keyword(s):  
Caesarean Section ◽  
Maternal Mortality ◽  
Postpartum Hemorrhage ◽  
Health Workers ◽  
Care Center ◽  
Tertiary Care ◽  
Normal Delivery ◽  
Third Stage Of Labor ◽  
Third Stage ◽  
Common Etiology

Background: PPH (postpartum hemorrhage) is the leading cause of maternal mortality. Despite of all the medical advancement, maternal mortality rates have declined greatly in the developed world, PPH remains a leading cause of maternal mortality elsewhere. Caesarean section is an obstetric intervention where, normal delivery can pose a risk for mother or foetus. The rate of caesarean section has increased worldwide. A survey conducted by WHO found that the worldwide rate of caesarean section increased from 26.4% between 2004 to 2008, to 31.2% between 2010 to 2011.Methods: We collected data of the caesarean sections and patients who developed PPH over 6 years. We studied the association of temporal increase of caesarean section with PPH.Results: Uterine atonicity continues to be the most common etiology of PPH each year, however, there is an increase in tissue abnormality (retained placenta, placenta praevia, accreta, increta, percreta) over years as there is a significant increase in the incidence of caesarean section. Atonic uterus was the most common cause for obstetric hysterectomies and mortality due to PPH every year.Conclusions: Family planning advise is essential in developing country like ours to counsel patients to prevent multiparity, thus reducing PPH. It is also important to train all the health workers in periphery and referral centers to manage the third stage of labor and atonic uterus to save the mothers. Sagacious attitude towards the decision of caesarean section is needed to prevent maternal morbidity and mortality.

scholarly journals Analisis Pengaruh Umur, Paritas, dan Motivasi Suami terhadap Nyeri Persalinan di Cirebon Tahun 2019

2020 ◽  
Vol 7 (2) ◽  
pp. 134-143
Author(s):  
Liliek Pratiwi ◽  
Tita Hustinawati
Keyword(s):  
Maternal Mortality ◽  
Health Workers ◽  
Emotional Experience ◽  
Sample Selection ◽  
Sampling Technique ◽  
Labor Pain ◽  
District Health ◽  
Number Of Children ◽  
Data Collection Process ◽  
Back Massage

Background : Mothers who experience childbirth will feel pain. Labor pain is an unpleasant sensory and emotional experience due to tissue damage. In Indonesia Health Profile Data in 2018, there are 4643 Health Centers that work together through the health departement with blood transfusion units and hospitals in blood services to reduce maternal mortality. It is an effort of the health service the it is also necessary en effort from the family, especially the husband. Other factors need to be assessed for what affects labor pain. In 2015, maternal mortality rate especially in Cirebon, is 4 people on 5409 live birth. So, in this study will be seen again which factors that influence labor pain. Objective : Literature studies and preliminary studies were conducted to further examine and describe the experience of mothers through childbirth in Cirebon. Method : The design of this research is descriptive research. In this study, an analysis will be conducted, namely analysis of the influence, age, parity and motivation of husbands on the healing of special births in Cirebon District, which will be carried out using descriptive methods in which the data collection process allows the research to produce a description related to this study. The sampling technique in this research is criterion-based selection sampling, because the sample selection is based on certain unique criteria.Result and Discussion : The results of the study are there are 5 categories such as husband character husband’s treatment when the mother is giving birth, number of children, husband’s motivation and back massage from husband. From 10 informans, 7 primigravida with an average age of 28 years, in her experience felt very experiencing labor pain even though her husband provided motivation without treatment during the process of giving birth. The character of multigravida mothers as informan 3,4,and 5. They are on average 36 years old., 2 informans stated, they didn’t not feel pain because their husbands motivated and facilitated pain managements like back massage. Conclusion : The conclusion of this research is that all health workers who focus on reproductive health, to be more pro active in facilitating mothers who will give birth. Then matenity women, especially in Cirebon better get the assistance of their husband and family as applying the theory of family center maternity care. The outcome of this study is related to the Cirebon District Health Office's mission, which is to improve the ability, quality and professionalism of the health provider, optimize health services to the community, and create a healthy community.

scholarly journals Hubungan antara paritas dengan persalinan letak sungsang

2018 ◽  
Vol 13 (1) ◽  
pp. 13-18
Author(s):  
Lidia Widia
Keyword(s):  
Significant Relationship ◽  
Health Workers ◽  
Sampling Technique ◽  
Chi Square ◽  
Cross Sectional ◽  
Normal Delivery ◽  
Testing Data ◽  
Breech Birth ◽  
Cross Sectional Design ◽  
Pregnant Mothers

Abstract: The purpose of this study was to determine the relationshipbetween parity with the layout of Breech Birth on RSUD dr. H. AndiAbdurrahman Noor Kabupaten Tanah Bumbu. This research methodis analytic survey with cross sectional design. The population in thisstudy were all women who registered in the Delivery Room on RSUDdr. H. Andi Abdurrahman Noor Kabupaten Tanah Bumbu with asample of 510 respondents. The sampling technique used is totalsampling and testing data using chi-square test.The results showedrespondents who have breech deliveries of 210 respondents (41.2%)and normal delivery 300 respondents (58.8%). Of Chi-square testobtained There is a significant relationship between parity with breechdeliveries by value ñ = 0.000. The conclusion of this study therelationship between parity chest with breech deliveries in the DeliveryRoom RSUD dr. H. Andi Abdurrahman Noor Kabupaten TanahBumbu. Suggestions are expected for health workers to providecounseling to pregnant mothers and young checkups on a regularbasis in order to avoid breech.

Gestational Diabetes Mellitus Knowledge Among Women of Reproductive Age in Southern Nigeria: Implications for Diabetes Education

2019 ◽  
Vol 40 (3) ◽  
pp. 177-183 ◽  
Author(s):  
Rosemary N. Ogu ◽  
Omosivie Maduka ◽  
Vetty Agala ◽  
Folusho Alamina ◽  
Obelebra Adebiyi ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Local Government ◽  
Large Scale ◽  
Health Workers ◽  
Sampling Technique ◽  
Reproductive Age ◽  
Women Of Reproductive Age ◽  
Cross Sectional ◽  
Southern Nigeria ◽  
In Pregnancy

Background Diabetes mellitus (DM) has attained the status of an epidemic in slow motion. Gestational DM (GDM) is a subtype of DM, which occurs in pregnancy. As part of a baseline assessment, the knowledge of GDM was determined among women of reproductive age. Methods The study was a descriptive cross-sectional household survey involving 2,595 women of reproductive age residing in five local government areas in Southern Nigeria. It employed a multistage sampling technique to collect data using an interviewer administered questionnaire built using Open Data Kit software uploaded on android mobile phones. Results The response rate was 100%. Mean age was 29.25 ± 7.11 years. The majority (2,351; 90.6%) had heard about DM but only 991 (38.2%) knew that diabetes can occur for the first time in pregnancy. Only 747 (28.8%), 929 (35.8%), and 790 (30.4%) respondents had good knowledge scores for GDM definition and risk factors, GDM screening diagnosis and treatment, and GDM complications, respectively. Only 681 (26.2%) had good overall knowledge of GDM. The major sources of knowledge of GDM were from friends (49.8%), health workers (34.6%), and mass media (10.4%). Residence in two urban local government areas (adjusted odds ratio [adj OR] = 1.79; 95% confidence interval [CI] = 1.36–2.34 and adj OR = 1.89; 95% CI = 1.37–2.61), being married (adj OR = 1.50; 95% CI = 1.16–1.95), and having been pregnant (adj OR = 2.69; 95% CI = 1.99–3.64) positively predicted good overall knowledge of GDM. Conclusion These results underscore the need for diabetes information and education activities on a large scale targeted at women of reproductive age and their partners for the prevention and control of GDM.

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 Perbedaan Kunjungan Pertama Ibu Hamil Berdasarkan Usia di Poskesdes Wilayah Kerja UPTD Puskesmas Gunungsari Kabupaten Lombok Barat

2019 ◽  
Vol 2 (2) ◽  
Author(s):  
Kusniyati Utami ◽  
Irni Setyawati
Keyword(s):  
Maternal Mortality ◽  
Pregnant Women ◽  
Health Workers ◽  
Sampling Technique ◽  
First Trimester ◽  
P Value ◽  
Antenatal Visit ◽  
Chi Square ◽  
Cross Sectional ◽  
Significant Difference

The West Nusa Tenggara Provincial Health Office (2017) mentions the number of maternal mortality from 2015 to 2017 continues to decrease, from 95 cases to 85 cases. Maternal mortality during pregnancy can be prevented by antenatal care by health workers in accordance with the frequency of antenatal visits a minimum of four times. The first visit is carry out at a gestational age of the mother <16 weeks (Ministry of Health Republic of Indonesia, 2013), but still found pregnant women who made the first antenatal visit in the second trimester and even the third trimester.The purpose of this study was to determine the differences in first visit of pregnant women by age in the Poskesdes working area of the UPTD Puskesmas Gunungsari.This study used a cross-sectional analytic research design in eight Poskesdes in the working area of the UPTD Puskesmas Gunungsari, West Lombok district in November 2018 to January 2019. Samples were taken using a total sampling technique of 1042 people.Secondary data was collected from the maternal cohort register in eight Poskesdes in the UPTD Puskesmas Gunungsari working area in the form of the age of the mother at the first visit and the age of the mother's pregnancy at the first visit. Data were processed univariately and bivariately using the chi-square test.There was a significant difference in the first visit of pregnant women between mothers aged <20 years, 20-35 years, and> 35 years as indicated by the p value of 0.00001 (<0.05). It is expected that midwives in Poskesdes will further enhance the role of cadres in capturing first trimester pregnant women especially those aged <20 years and> 35 years.

Utilisation of antenatal care services as determinants of satisfaction and its challenges in Lagos, Nigeria

2020 ◽  
Vol 28 (4) ◽  
pp. 242-250
Author(s):  
Iyabo Yewande Ademuyiwa ◽  
Rosaline Oluremi Opeke ◽  
Titilayo Dorothy Odetola
Keyword(s):  
Antenatal Care ◽  
Maternal Mortality ◽  
Pregnant Women ◽  
Sampling Technique ◽  
World Health ◽  
African Countries ◽  
Pregnancy And Childbirth ◽  
Care Services ◽  
Validated Questionnaire ◽  
Determinants Of Satisfaction

Despite the growing interest and efforts by government to popularise antenatal care services in Nigeria as recommended by the World Health Organization, high levels of infant and maternal mortality remains a major public health challenge facing the country. Complications of pregnancy and childbirth cause more deaths and disabilities than any other reproductive health problems in African countries, including Nigeria. Antenatal care presents an opportunity for recognition and appropriate intervention for some of the causes of maternal mortality in developing countries. The study investigates the level of utilisation of antenatal care services as determinants of satisfaction and its challenges among pregnant women in Lagos, Nigeria. A multistage sampling technique was used to determine the sample size of 1 500 pregnant women. A validated questionnaire was used for data collection. The Cronbach's alpha reliability coefficients for the tools ranged from 0.94–0.97. Data were analysed using descriptive and inferential (correlation, simple and multiple regression) statistics. The results showed that utilisation of antenatal care services had a significant influence on pregnant women's satisfaction with the services. Long waiting hours in the clinic, income/financial constraints, high cost of services and distance to health centres are the major challenges faced by pregnant women in Lagos.

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