Hubungan antara Kunjungan Ibu Hamil, Persalinan Ditolong Tenaga Kesehatan, dan Pelayanan Kesehatan Ibu Nifas Dengan Angka Kematian Ibu (AKI)

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.

Primiparous Adaptation with Postpartum Health Issues in Jeddah City, Kingdom of Saudi Arabia: A Quantitative Study

Background: The postpartum or puerperium period is the first 6 weeks after giving birth to an infant. The postpartum period can have negative implications, especially in first-time mothers. With their transition into motherhood, new mothers adopt new lifestyles, which can affect their physical wellbeing. Childbirth has physical, psychological, and emotional effects on women as they try to adapt to their new roles in order to get through this period with no or minimal health issues. Study Aim: The current study aims to explore primiparous adaptations with postpartum health issues in Jeddah City at Kingdom of Saudi Arabia. Methods: The research design is quantitative cross-sectional. A structured questionnaire was developed to collect data in relation to depression and weight gain, which consider the most common postpartum health issues. The inclusion criteria of the participants are: primipara, 2 to 6 months postpartum, and living in Jeddah. Results: 140 participants were included in the study. Mothers gained approximately 9.2 kg within the fifth to ninth month after giving birth. Discussion: Postpartum weight retention is a primary challenge in the majority of primiparous mothers and results in reduced quality of life. Nurses were always available to answer questions related to the postpartum health issues and explained the expectations to the family members. Conclusions: Childbirth and the postpartum period for first-time mothers are crucial in their lives as they try to adapt to a new way of life. The postpartum period can have negative implications, especially in first-time mothers. With their transition into motherhood, new mothers adopt new lifestyles, which can affect their physical wellbeing. More research is needed to explore the impact of postpartum health issues in Saudi Arabia.

Trends in stress among pregnant and postpartum women during the COVID-19 pandemic (Preprint)

BACKGROUND Stress has been associated with adverse birth and postpartum health outcomes. Few studies have explored racial differences in maternal stress in a birthing population longitudinally in the United States (U.S.) during the ongoing COVID-19 pandemic. OBJECTIVE This study aimed to: (1) assess changes in reported stress before, during, and after initial emergency declarations (e.g., stay-at-home orders) were in place due to the COVID-19 pandemic and (2) assess Black-White differences in reported stress in a pregnant and postpartum population from Southwestern Pennsylvania. METHODS We leveraged data from the ongoing Postpartum Mothers Mobile Study (PMOMS) which surveys participants in real-time throughout the pregnancy and postpartum periods via ecological momentary assessment (EMA) and smartphone technology. We analyzed data from a subset of PMOMS participants (n=85) who were either Black or White, and who submitted EMA responses regarding stress between November 1, 2019 and August 31, 2020, the timeframe of this study. Data were divided into four phases based on significant events during the COVID-19 pandemic: a pre-phase (baseline), early-phase (first case of COVID-19 reported in U.S.), during-phase (stay-at-home orders), and post-phase (stay-at-home orders eased). We assessed mean stress levels at each phase using mixed-effects models and post-hoc contrasts based on the models. RESULTS Overall mean stress (min: 0, max: 4 as measured by a modified Cohen Perceived Stress Scale) during the pre-phase was 0.8 for Black and White participants [range for Black participants: 0-3.9, range for White participants: 0-2.8]. There was an increase of 0.26 points (t=5.19, d.f.=5649, p<.0001) in the during-phase as compared with the pre-phase, and an increase of 0.19 points (t=3.09, d.f.=5649, p=0.002) in the post-phase compared with the pre-phase (n=85). No difference was found between Black and White participants in the change in mean stress from the pre-phase to the during-phase (δ ̂= -0.016, p=0.867). There was a significant difference between Black and White participants in the change in mean stress from the during-phase to the post-phase (δ ̂ = -0.39, p<0.0001). CONCLUSIONS There was an overall increase in mean stress levels in this subset of pregnant and postpartum participants during the same time as the emergency declarations/stay-at-home orders in the US. Compared to baseline, mean stress levels remained elevated when stay-at-home orders eased. We found no significant difference in the mean stress levels by race. Given that stress is associated with adverse birth outcomes and postpartum health, stress induced by the ongoing COVID-19 pandemic may have adverse implications for birthing populations in the U.S. INTERNATIONAL REGISTERED REPORT RR2-10.2196/13569

Assessment of the Relationship between Postpartum Health and Mid-Lactation Performance, Behavior, and Feed Efficiency in Holstein Dairy Cows

The objective of this study was to investigate the relationships between postpartum health disorders and mid-lactation performance, feed efficiency, and sensor-derived behavioral traits. Multiparous cows (n = 179) were monitored for health disorders for 21 days postpartum and enrolled in a 45-day trial between 50 to 200 days in milk, wherein feed intake, milk yield and components, body weight, body condition score, and activity, lying, and feeding behaviors were recorded. Feed efficiency was measured as residual feed intake and the ratio of fat- or energy-corrected milk to dry matter intake. Cows were classified as either having hyperketonemia (HYK; n = 72) or not (n = 107) and grouped by frequency of postpartum health disorders: none (HLT; n = 94), one (DIS; n = 63), or ≥2 (DIS+; n = 22). Cows that were diagnosed with HYK had higher mid-lactation yields of fat- and energy-corrected milk. No differences in feed efficiency were detected between HYK or health status groups. Highly active mid-lactation time was higher in healthy animals, and rumination time was lower in ≥4th lactation cows compared with HYK or DIS and DIS+ cows. Differences in mid-lactation behaviors between HYK and health status groups may reflect the long-term impacts of health disorders. The lack of a relationship between postpartum health and mid-lactation feed efficiency indicates that health disorders do not have long-lasting impacts on feed efficiency.