The Mostafa Maged hemostatic flipping-over technique to control and prevent the post-partum bleeding from the lower uterine segment in placenta previa cases

Post-partum hemorrhage is still a headache to all obstetricians around the whole world. Every obstetrician exerts his own full effort to control bleeding which can occur post-partum by applying all maneuvers to preserve the fertility and the uterus for the patient. We demonstrate a new technique (Mostafa Maged) technique to control and prevent post-partum hemorrhage. It is so simple maneuver and easy to be applied within short period of time. Satisfactory hemostasis can be assessed after application. The aim of this technique is to see the Success in Controlling and prevention of the bleeding from placenta previa cases from lower uterine segment. The average duration of this new technique is (5-7) minutes. The results have shown that the hysterectomy done to one patient with new technique (1/13) (7.6%) cases because of the uncontrollable bleeding, blood was creeping down from the flipped sutured lower uterine segment. All of patients are introduced to the operating room as first-time cesarean section. One patient (7.6%) out of thirteen patients were tachycardiac post-operatively due to the more loss of blood as the new (Mostafa Maged) technique took a long time in these two patients (8 minutes). The tests of success were expected if hemostasis is done by the bimanual compression at first place.

Implementation of Active Management of the Third Period of Childbirth (AMTPC/ GATPA) For The Prevention of Immediate Post-Partum Bleeding in Four Regional Maternity Hospitals of Guinea (Conakry)

Objectives: To determine the frequency, skills level of health care service providers; to identify complications and difficulties related to the implementation of AMTPC/GATPA. Methodology: It was about prospective study, descriptive of 6 months (March 1st to August 31st, 2014) carried out in the maternity hospitals of Faranah, Kindia, Mamou and Nzérékoré. It concerned the parturient women who had recently given birth and the personnel that carried out AMTPC /GATPA in these hospitals. Results: During the study period of 1,254 out of 1,305 births had benefited of AMTPC/ GATPA, a frequency of 96.1%. The midwives were the most represented personnel in the implementation of GATPA (44.1%). In 46.4% of the cases, the health care service providers acquired this competence from the initial training. The release was obtained in the first trial in 64.9% cases. The duration of implementation of GATPA was less than 5 minutes in 72.6% cases. The different stages were respected in 91.5% cases. Complications were dominated by retention of placental fragments (10.2%). Lack of oxytocin was the main difficulty (36.6%). Conclusion: The sustainability of this achievement would depend on the systematic and correct implementation of AMTPC /GATPA at all childbirth attendants and the effective management of oxytocin.

THE CORRELATION OF LONG PARTURITION WITH THE EVENT OF ASFIKSIAIN THE PERINATOLOGY ROOM OF INDRAMAYU HOSPITAL, 2020

Asphyxia is a condition where a newborn baby cannot breathe spontaneously or experience respiratory failure. The event of asphyxia can be caused by the length of labor. Long parturition will cause infection, exhaustion, dehydration in the mother, sometimes post partum bleeding can occur which can cause maternal death. In the fetus there will be infections, injuries and asphyxia which can increase infant mortality. This study aims to determine the relationship between long parturition with asphyxia in the Perinatology Room of Indramayu Regional Hospital in 2020 This type of research is descriptive correlation using cross sectional approach. The population in this study were all infants with asphyxia at Indramayu Regional Hospital in January-March 2020, totaling 265 patients with a sample of 73 patients. The sampling technique used was consecutive sampling. The instrument of this study was the checklist sheet, and the data analysis used the chi square test, the significance value α = 0.05. The results of the study It is known that labor with long parturition is 50 (68.5%), the incidence of asphyxia asphyxia is as much as 35 (47.9%) cases, the hypothesis test is obtained p value of 0.022 which means there is a relationship between long parturition and the incidence of asphyxia in Perinatology Room of Indramayu Regional Hospital.

Implementation of active management of the third period of childbirth for the prevention of immediate post-partum bleeding in four regional maternity hospitals of Conakry, Guinea

Background: The objective of this study was to determine the frequency, skills level of health care service providers; to identify complications and difficulties related to the implementation of AMTPC/GATPA.Methods: It was about prospective study, descriptive of 6 months (1st March to 31st August 2014) carried out in the maternity hospitals of Faranah, Kindia, Mamou and Nzérékoré. It concerned the parturient women who had recently given birth and the personnel that carried out AMTPC/GATPA in these hospitals.Results: During the study period of 1,254 out of 1,305 births had benefited of AMTPC/GATPA, a frequency of 96.1%. The midwives were the most represented personnel in the implementation of GATPA (44.1%). In 46.4% of the cases, the health care service providers acquired this competence from the initial training. The release was obtained in the first trial in 64.9% cases. The duration of implementation of GATPA was less than 5 minutes in 72.6% cases. The different stages were respected in 91.5% cases. Complications were dominated by retention of placental fragments (10.2%). Lack of oxytocin was the main difficulty (36.6%).Conclusions: The sustainability of this achievement would depend on the systematic and correct implementation of AMTPC/GATPA at all childbirth attendants and the effective management of oxytocin.

Effect Of Yogurth Adduction In Blood Pressure Degression On Pregnant Woman With Hypertension

The immediate factor causing high maternal mortality rate was bleeding (30,3%), especially post partum bleeding. In addition, hypertension (27.1%), infection (7.3%), and long handled parturition (1.7%) and based on pre-survey data on 27-4-2018 at public health working regency of Pesawaran occurring 2 people death due to eclampsia. This study aims to determine the effect of giving yogurt to pregnant women with hypertension in the Area of Health Service District Pesawaran Year 2018. This type of research is quantitative by using the experimental approach (pre experiment) with pretest-posttest approach with control group. The population in this study were all pregnant women with hypertension. Data in this research taken by simple purposive sample with primary data and data analysis using pretest dependent.. The results of this study showed that there was an effect of yogurt on blood pressure reduction, which mean score of sitole blood pressure before yogurt adduction was significantly higher than after yogurt adduction (p value 0,000 <0.005) and the effect of yogurt on blood pressure diastole, where scores on average diastolic blood pressure measurements before yogurt adduction were significantly higher than after adduction of yogurt. There was a significant difference in mean systole and diastole blood pressure in mothers given yogurt than not given yogurt. Hopefully, from this research should be advised so that could prevent the occurrence of pre eclampsia for pregnant women.

HUBUNGAN ANTARA UMUR IBU DAN JARAK KEHAMILAN DENGAN KEJADIAN PERDARAHAN POSTPARTUM DI RUANG KEBIDANAN RSUD KOTA PRABUMULIH TAHUN 2016

ABSTRAK Berdasarkan data di RSUD Kota Prabumulih bahwa terdapat peningkatan jumlah kejadian perdarahan post partum, tahun 2014 sebanyak 178 orang, tahun 2015 sebanyak 246 orang dan tahun 2016 sebanyak 151 orang. Penelitian ini bertujuan untuk mengetahui hubungan umur ibu dan jarak kehamilan terhadap kejadian perdarahan post partum di RSUD Kota Prabumulih Tahun 2016. Penelitian ini merupakan penelitian analitik dengan rancangan cross sectional. Populasi yang digunakan adalah semua ibu bersalin di RSUD Kota Prabumulih, sebanyak 1.296 ibu bersalin dan 306 sampel. Pengambilan sampel dengan mengunakan random sampling, analisa data menggunakan analisa univariat dan bivariat dengan menggunakan uji statistik chi-square dengan derajat kemaknaan 0,05. Hasil penelitian ini menunjukan bahwa dari 288 ibu bersalin terdapat 151 yang mengalami perdarahan post partum sebagian besar adalah ibu dengan umur resiko tinggi sebanyak 43 orang (40,9%) dan ibu dengan jarak kehamilan resiko tinggi sebanyak 21 orang (17,3%). Hasil uju chi-square umur didapatkan p.value 0,000 < α 0,05 dan uji chi-square untuk jarak kehamilan didapatkan p.value 0,000 < α 0,05. Maka ada hubungan umur ibu dan jarak kehamilan terhadap kejadian perdarahan post partum di RSUD Kota Prabumulih Tahun 2016. ABSTRACK Based on the data at District General Hospital (RSUD) Prabumulih, there was increasing of post-partum bleeding, in 2014, there were 178 people. In 2015, there were 246 people. And in 2016, there were 151 people. The purpose of the study was to know relationship between maternal mother and the distance and old post-partum bleedingat District General Hospital (RSUD) Prabumulih in 2013. The study was analytic researchwith cross sectional design. Population thas was used in the study was all maternal mother ar District General Hospital (RSUD) Prabumulih. It was about 1.296 maternal mother and from 306. Random sampilng was done in the study, data analyses used univariate and bivariate analyses by using chi-square statistic test with significance level 0,05. The study result showed that from 306 maternal mother, there were 151 mother who experienced old post-partum bleeding, the large of that was high maternal mother 43 people (40,9%) and mother age high distance 21 people (17,3%). The result of chi-square test was p value 0,000 < α 0,05 and chi-square test for age was p value 0,000 < α 0,05. It meant that there was relationship between maternal mother and the distance and of post-partum bleeding at District General Hospital (RSUD) Prabumulih in 2016.

FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN PERDARAHAN POST PARTUM PADA IBU BERSALIN DI RSUD PRINGSEWU TAHUN 2016

Abstrak: Perdarahan post partum adalahperdarahanlebihdari 500-600 ml selama 24 jam setelah anak lahir termasuk perdarahan karena retensio plasenta. Perdarahan post partum adalah perdarahan dalam kala IV lebih dari 500-600 cc dalam 24 jam setelah anak dan plasenta lahir (Mochtar, 2008).Tujuan penelitian ini adalah untuk mengetahu ifaktor-faktor yang berhubungan dengan perdarahan post partum pada ibu bersalin di RSUD Pringsewu Tahun 2016. Jenis penelitian ini adalah penelitian kuantitatif, Rancangan penelitian menggunakan Crosssectional. Dalam rancangan penelitian ini mempunyai 560 populasi ibu bersalin yang melakukan persalinan di RSUD PringsewuTahun 2016. Teknik pengambilan sampel pada penelitian ini menggunakan random sampling, dan diperoleh sampel sebanyak 222 responden. Cara ukur dalam penelitian ini menggunakan rekam medik. Analisa data yang digunakan adalah analisa univariat dan analisa bivariat dalam bentuk table distribusi frekuensi. Hasil uji Chi-Square didapatkan bahwa pada atonia uteri P-Value = 0,009 (0,009 < 0,05). OR = 7,296, pada retensio plasenta P-Value = 0,000 (0,000 < 0,05). OR = 13,788, dan pada laserasi jalan lahir P-Value = 0,000 (0,000 < 0,05). OR = 9,118. Maka dapat disimpulkan bahwa Ha diterima ada hubungan antara variabel independen dan variabel dependen. Disarankan bagi seluruh tenaga kesehatan untuk dapat meningkatkan pemberian pelayanan khususnya pada ibu bersalin agar dapat menurunkan Angka Kematian Ibu (AKB) akibat perdarahan khususnya di Provinsi Lampung Abstract: Post partum bleeding is bleeding more than 500-600 ml for 24 hours after child have born, including bleeding because retensio placenta. Post partum pleading is bleeding in more than 500-600 cc in 24 hours after child and placenta was born (Mochtar, 2008). The aim of the research is to know the factors related to post partum bleeding mother maternity at RSUD Pringsewu in 2016. This research type is quantitative research, research design used crossectional. In this research design have 498 population of maternity that do deliveries at RSUD Pringsewu in 2016. Sampling technique counted 222 respondents. Measure method in this research used medical record. The data analysis that used is univariate analysis and bivariate analysis in the form of frequency distribution table. The result of chi-square test showed that in uterine atonia P-Value = 0,009 (0,009 < 0,05). OR = 7,296, padaretensioplasenta P-Value = 0,000 (0,000 < 0,05). OR = 13,788, danpadalaserasijalanlahir P-Value = 0,000 (0,000 < 0,05). OR = 9,118. So, it can be concluded that ha is accepted and the relationship between the independent variabel and the dependent variable. Recommended for all the health workers to can increase the provision of service, especially to mother maternity in order to can reduce the rate mortality to mother, especially in Provinsi Lampung.

Factors Influencing Maternal Mortality from Severe Preeclampsia and Eclampsia

Objective: To analyze risk factor, both clinical and laboratory findings, associated with maternal mortality from severe preeclampsia and eclampsia in Atma Jaya Hospital. Methods: This was a retrospective case control study. All medical records of maternal death associated with severe preeclampsia and eclampsia between 1st January 2009 and 31st December 2011 were obtained and then information about risk factors were collected and tabulated. Risk factor analyzed were maternal age, gestational age, parity, coexisting medical illness (hypertension), antenatal examination status, maternal complications, systolic and diastolic blood pressure at admission, and admission laboratory data. Results: There were 19 maternal deaths associated with severe preeclampsia and eclampsia during period of study (Consisted of 6 cases of eclampsia and 13 cases of severe preeclampsia). Maternal mortality rate for severe preeclampsia and eclampsia were 16.7% and 33.3% respectively. Multivariate analysis identified the following risk factors associated with maternal death: gestation age <32 week, history of hypertension, thrombocyte count < 100.0000/μl, post partum bleeding, acute pulmonary edema, HELLP syndrome, and sepsis. Conclusion: In this study, we found that gestational age, history of hypertension, and platelet count are the cause of maternal mortality. Maternal complications associated with maternal mortality are post partum bleeding, acute pulmonary edema, HELLP syndrome, and sepsis. [Indones J Obstet Gynecol 2012; 36-2: 90-4] Keywords: eclampsia, maternal mortality, preeclampsia