Antepartum hemorrhage is an emergency, which happened around 3% of all births, the causes include placenta previa, placental abruption, and bleeding unclear source. Predisposing factors which may result in antepartum hemorrhage include age, parity, history Sectio Cesaria (SC) and malnutrition. Antepartum haemorrhage cases in hospitals Margono Soekarjo Purwokerto increase from the year 2013 by 10.61% to 11.96% in 2014. Objective: To analyze the relationship between age, parity, history of SC and malnutrition with the incidence of antepartum haemorrhage and analyze the most influential factor the antepartum haemorrhage. Methods: This type of survey research analytic, retrospective case control approach. The population was all pregnant women undergo antepartum haemorrhage as many as 170 people and have not experienced antepartum bleeding as much as 1251 people. The samples were 63 as the case group and 63 as control group were taken Systematic Random Sampling. Bivariate analysis used Chi-square test. RESULTS: Most of age didn’t risk as much as 75 (59.5%), parity didn’t risk as much as 70 (55.6%), didn’t have a history of Cesaria sectio 75 (59.5%) and malnutrition as many as 66 (52, 4%). There was a relationship between age, parity, history of SC and malnutrition with antepartum haemorrhage with a p-value: 0.002, 0.001, 0.006 and 0.013. Age and parity is the factor most affecting antepartum haemorrhage with odds ratio: 3.29 and 3.17. Conclusion: There was a relationship between age, parity, history of SC and malnutrition with antepartum hemorrhage, the most influential factor to the incidence of antepartum haemorrhage are age and parity. Keywords: age, parity, history of SC, malnutrition, antepartum haemorrhage
Teenagers are biosocial and cultural subjects who have unique nutritional needs when viewed from a biological, psychological and social point of view. One's nutritional status can be determined by measuring body mass index. Nutritional problems that often occur in adolescents are lack of nutrient intake which results in malnutrition which is too thin which can lead to chronic energy deficiency (KEK) and can be exposed to iron deficiency anemia. This nutritional problem has a high risk of pregnancy, childbirth, childbirth and babies born. The status of nutrition is influenced by several factors, namely environmental factors, socio-economic, cognitive, biological, lifestyle, and health status. Knowledge of nutrition is a person's ability to recall the nutritional content of food and the use of these nutrients in the body. This knowledge of nutrition includes the cognitive processes needed to combine nutritional information with eating behavior, so that a good structure of knowledge about nutrition and health can be developed. If the knowledge of adolescents about malnutrition, then the efforts made by adolescents to maintain the balance of food consumed with those needed will decrease and cause problems of malnutrition or over nutrition. Based on the background above, a study was conducted on the correlation of knowledge about nutrition with nutritional status in students at midwifery academies. YLPP Purwokerto. The purpose of this study was to determine the level of knowledge, nutritional status of students, and the relationship between knowledge and nutritional status at YLPP Purwokerto midwifery students. This research is a descriptive study with a cross sectional approach. Data used in the form of primary data, collecting data using a questionnaire. The population in this study were 82 students of the YLPP Purwokerto midwifery academy. The sample in this study was accidental sampling with 41 respondents. Data analysis using the Kendall test know. The results of the study of most respondents were quite good (41%), the nutritional status of most (73%) was normal, and there was no correlation between the level of knowledge and nutritional status with a value of p = 0.348 Keywords: knowledge, nutritional status
Hydatidiform mole is the most gestational trophoblastic disease. The data obtained in Banjarnegara General Hospital for the last three years shows that there is an increase of molahidatidosa incidence. In 2011 there were 12 occurrences of hydatidiform mole (0.27%), in 2012 there were 14 hydatidiform mole events (0.29%) and in 2013 there were 17 incidents of hydatidiform mole (0.32%). Factors that affect the hydatidiform mole include the nutritional status and hypertension. The purpose of this study is to know the relationship between nutritional status and hypertension with the occurrence of hydatidiform mole. This research type is analytic survey with case control approach. The population in this study were pregnant women who experienced hydatidiform mole in 2011-2013 in midwifery poly in Lotus room 43 people and who did not experience hydatidiform mole as many as 14,720 people. The sample of this study is pregnant women who experience hydatidiform mole of 43 people and who did not experience hydatidiform mole as much as 43 people. Data analysis using chi-square. Results: Pregnant women in the case group had more nutritional status either more ie 24 (41.4%). Pregnant women in the case group who experienced hypertension was 22 (51.2%) While in the control group, pregnant women who did not have hypertension is 36 (83.7%). There is a relationship between nutritional status and the occurrence of hydatidiform mole and there is a correlation between hypertension and the occurrence of hydatidiform mole. Conclusion: There is a relationship of parity and hypertension with the occurrence of hydatidiform mole at RSUD Banjarnegara Year 2011-2013. Keywords: Nutrition Status, Hypertension, Hydatose Mola
Inersia uteri adalah salah satu kelainan tenaga (kelainan his) karena memanjangnya fase laten atau fase aktif atau kedua-duanya dari kala pembukaan. Inersia uteri pada ibu bersalin dapat disebabkan oleh beberapa factor antara lain faktor umum seperti umur, paritas, anemia, ketidaktepatan penggunaan analgetik, pengaruh hormonal karena kekurangan prostaglandin atau oksitosin , perasaan tegang dan emosional. Mengetahui hubungan antara paritas dan anemia dengan kejadianinersia uteri pada ibu bersalin di RSUD Prof. dr. Margono Soekarjo Purwokerto tahun 2011. Penelitian ini merupakan penelitian survey analitik dengan rancangan case control . Jenis data yang digunakan pada penelitian ini adalah data sekunder dan intrumen penelitiannya menggunakan lembar observasi. Populasi penelitian adalah semua ibu bersalin dengan inersia uteri dan ibu bersalin normal periode 1 Januari 2011 sampai 31 Desember 2011. Sampel kasus dan sampel control masing-masing sebanyak 75 orang. Metode analisa data menggunakan uji Chi Square. Paritas ibu bersalin sebagian besar pada kategori tidak berisiko sebanyak 134 orang (89,3%), anemia pada ibu bersalin sebagian besar pada kategori normal sebanyak 89 orang (59,3%), ada hubungan paritas ibu bersalindengan kejadian inersia uteri ( p = 0,017; OR = 5,032; phi = 0,194), ada hubungan anemia ibu bersalin dengan kejadian inersia uteri ( p = 0,046; OR = 2,069; phi = 0,162). Ada hubungan antara paritas dan anemia dengan kejadian inersia uteri di RSUD Prof. dr. Margono Soekarjo Purwokerto tahun 2011. Ibu Hamil hendaknya menjaga kesehatan kehamilannya dengan melakukan pemeriksaan ANC secara rutin, mengecek Hb untuk mencegah anemia pada kehamilan, mengkonsumsi FeSO4, sayuran hijau, ibu hamil mengetahui bahwa melahirkan dengan jarak terlalu dekat dapat mengakibatkan masalah persalinan. Kata Kunci : paritas, anemia dan inersia uteri
Hiperemesis gravidarum adalah mual dan muntah yang berlebihan yang dapat mengganggu pekerjaan sehari-hari. Penyebab hiperemesis gravidarum belum diketahui secara pasti, namun beberapa faktor mempunyai pengaruh antara lain yaitu faktor predisposisi ( primigravida, mola hidatidosa dan kehamilan ganda), faktor organik (alergi, masuknya vili khorialis dalam sirkulasi, perubahan metabolik akibat hamil dan resistensi ibu yang menurun) serta faktor psikologi (umur dan pekerjaan). Mengetahui beberapa determinan penyebab kejadian hiperemesis gravidarum di RSU Ananda Purwokerto tahun 2009-2011 Penelitian ini menggunakan metode deskriptif analitik dengan desain case control . Populasi penelitian ini adalah semua ibu hamil yang tercatat di RSU Ananda Purwokerto periode 1 Januari 2009-31 Desember 2011. Sampel kasus dan sampel control masing sebanyak 107 ibu hamil. Instrumen penelitian menggunakan checklist. Analisis data menggunakan uji chi square . Ibu hamil di RSU Ananda Purwokerto Tahun 2009-2011 paling banyak umurnya tidak beresiko (85,0%), paritas tidak beresiko (53,7%), tidak mengalami kehamilan ganda (92,5%), dan tidak bekerja (69,6%). Ada hubungan antara antara faktor umur ibu dengan kejadian hiperemesis gravidarum ( p = 0,021, OR =2,511). Ada hubungan antara faktor paritas dengan kejadian hiperemesis gravidarum ( p = 0,020, OR = 1,905). Ada hubungan antara faktor kehamilan ganda dengan kejadian hiperemesis gravidarum ( p = 0,038, OR = 3,253). Ada hubungan antara faktor pekerjaan ibu dengan kejadian hiperemesis gravidarum ( p = 0,026, OR = 1,908). Ada hubungan antara faktor umur, paritas, kehamilan ganda dan pekerjaan dengan kejadian hiperemesis gravidarum. Faktor yang mempunyai resiko paling tinggi untuk terjadi hyperemesis gravidarum adalah kehamilan ganda. Kata Kunci : umur, paritas, kehamilan ganda, pekerjaan, hiperemesis gravidarum
Hemoconcentration is a major sign of pre-eclampsia. Normal blood volume increases during pregnancy occurs almost entirely in women pre-eclampsia. Hemoglobin levels in pre-eclamptic women did not differ significantly between groups of pre-eclampsia and severe pre-eclampsia light. Knowing the influence of H emoglonin and H emotocrit against Eclampsia in pregnant women with pre-eclampsia in hospitals Tanuwijaya Soekardjo Navan in 2013. This research is analytic survey with cross sectional design. The sample in this study were pregnant women who developed pre-eclampsia eklamsai weight and that in reference to RS Margono Soekardjo as many as 66 people. The data analysis using pair T test. HB and HT levels on average in pregnant women who developed pre-eclampsia and eclampsia is 11.95 g%, the maximum value of HB 17 g%, 6.55 mg / dl, HT maximum value is 50 mg / dl, No influence of significance between HB and HT in pregnant women with pre-eclampsia in pregnant women with eclampsia with the value (p = 0.091; p = 0.299). Kata Kunci : HB, HT, Pre eklamsia, Eklamsia
Abstract
The effect of herbal consumption on breastfeeding mothers is often associated with breast milk production and recovery of maternal stamina after giving birth. Herbs have a composition that helps the process of postpartum recovery and increase milk production. Herbal plants that have a positive influence in breastfeeding mothers and are allowed to be consumed include: long bean / violet leaves, banana heart, katuk leaves, palm juice, papaya leaves, bitter melon leaves, basil seeds, cumin seeds. The purpose of this study was to determine the practice of using herbal plants in nursing mothers in South Purwokerto District. Research methods: This study used descriptive research with a retrospective time approach. Total population of 40 mothers in Karangklesem South Purwokerto. Sampling technique with random sampling. Data analysis uses univariate frequency distribution analysis. The results showed that most breastfeeding mothers used herbs during lactation and types of herbs used included: turmeric, ginger, ginger, kencur, Javanese acid, papaya leaves, betel leaves, kemukus, katuk leaves. Conclusion most breastfeeding mothers use herbs during lactation.
Keywords:
The practice of using herbs, breastfeeding mothers
Universitas Diponegoro
Program Pascasarjana
Program Magister Ilmu Kesehatan Masyarakat
Konsentrasi Administrasi dan Kebijakan Kesehatan
Manajemen Kesehatan Ibu dan Anak
2012
ABSTRAK
Tri Anasari
Faktor-faktor yang Mempengaruhi Kelengkapan Pengisian Buku KIA oleh Bidan dalam Deteksi Dini Risiko Tinggi Ibu Hamil di Puskesmas Kabupaten Banyumas Tahun 2012
Buku KIA merupakan salah satu alat untuk mendeteksi dini risiko tinggi ibu hamil. Penggunaan buku KIA oleh bidan di Kabupaten Banyumas masih belum maksimal, ditunjukkan dengan cakupan deteksi dini risiko tinggi yang masih di bawah target (20%) dan kasus kematian ibu yang meningkat dari tahun 2010 sebesar 123,9/100.000 kelahiran hidup ke tahun 2011 menjadi 129,35/100.000 kelahiran hidup. Tujuan penelitian adalah mengetahui pengaruh pengetahuan, persepsi supervisi, motivasi, dukungan sarana dan beban kerja terhadap kelengkapan pengisian buku KIA oleh bidan dalam deteksi dini risiko tinggi ibu hamil di Puskesmas Kabupaten Banyumas.
Desain Penelitian adalah observasional analitik dengan pendekatan cross sectional. Instrumen penelitian menggunakan kuesioner terstruktur. Pengumpulan data dilakukan dengan wawancara dan observasi. Populasi adalah bidan sebanyak 495 responden, teknik pengambilan sampel menggunakan proportional random sampling dengan jumlah sampel 84 responden. Analisis bivariat dilakukan dengan uji chi square dan multivariat dengan regresi logistik.
Hasil penelitian menunjukkan bahwa kelengkapan pengisian buku KIA sebagian besar lengkap sebanyak 60,7%, pengetahuan baik sebanyak 82,1% dan persepsi supervisi baik sebanyak 54,8%. Responden yang mempunyai motivasi rendah sebanyak 51,2%, dukungan sarana lengkap sebanyak 53,6% dan beban kerja berat sebanyak 50%. Hasil analisis bivariat menunjukkan bahwa pengetahuan (p=0,001), motivasi (p=0,001), beban kerja (p=0,023) berhubungan secara positif dengan kelengkapan pengisian buku KIA. Analisis multivariat menunjukkan adanya pengaruh pengetahuan (p=0,002; Exp B= 10,981), motivasi (p=0,001; Exp B=7.713) dan beban kerja (p= 0,021; Exp B= 0.260) terhadap kelengkapan pengisian buku KIA.
Disarankan kepada pihak puskesmas agar membentuk tim kerja tingkat puskesmas sesuai program yang dijalankan untuk meringankan beban kerja bidan. Kepada Dinas Kesehatan Kabupaten Banyumas agar memberikan penghargaan bagi bidan yang berprestasi.
Kata Kunci : Kelengkapan Pengisian Buku KIA, Deteksi Dini Risiko Tinggi, Ibu Hamil.
Pustaka : 44 (1987-2012)
Diponegoro University
Postgraduate Program
Master’s Program in Public Health
Majoring in Health Policy Administration
Sub Majoring in Maternal and Child Health Management
2012
ABSTRACT
Tri Anasari
Factors Related to the Completeness of Maternal and Child Health Book Filling by Midwives in Early Detection of High Risk Pregnancy in Primary Healthcare Centers in Banyumas District, 2012
KIA book is one of early detection tools for high risk pregnancy. Utilization of KIA book by midwives in Banyumas district was not maximal. This was indicated by the high risk pregnancy early detection coverage that was still below the target (20%). In addition, the number of maternal death cases increased from 123.9/100,000 live birth in 2010 to 129.35/100,000 live births in 2011. The objective of this study was to know the influence of knowledge, supervision perception, motivation, facility support and workload towards the completeness of KIA book filling by midwives in the early detection of high risk pregnancy in the primary healthcare centers (puskesmas) of Banyumas district.
This was an observational analytical study with cross sectional approach. Structured questionnaire was used as a research instrument. Data were collected through interview and observation. Study population was 495 midwives. Proportional random sampling was applied to obtain 84 samples. Bivariate analysis using chi-square test and multivariate analysis using logistic regression were applied in the data analysis.
Results of the study showed that most of the KIA books (60.7%) were completely filled; 82.1% of respondents had good knowledge; and 51.2% of respondents had good perception on supervision. Proportion of respondents with low motivation was 51.2%, proportion of respondents with complete facility support was 53.6%; and proportion of respondents with heavy workload was 50%. Result of Bivariate analysis showed that knowledge (p= 0.001), motivation (p= 0.001), workload (p= 0.023) had positive associations with the completeness of KIA book filling. Multivariate analysis indicated the influence of knowledge (p=0.002; Exp B= 10.981), motivation (p= 0.001; Exp B= 7.713) and workload (p= 0.021; Exp B= 0.260) towards the completeness of KIA book filling.
Recommendation addressed to Puskesmas is to form puskesmas task force team for the implemented programs; and it is intended to reduce midwives workload. Suggestion for the head of Banyumas district health office is to provide rewards for midwives who have good achievement.
Keywords : Completeness of KIA book filling, early detection of a high risk
pregnancy
Bibliography : 44 (1987-2012)
Maternal Mortality Rate (MMR) is one of the indicators to see the health status of women.From the results of a survey conducted AKI has shown a decline over time, however, efforts to achieve development goals targets still requires commitment and continuous effort. 1 In Indonesia death obstetric cause of death, problems commonly associated with emergency obstetric experiencing delays four things the late recognition of danger signs and risks, too late to take the decision to seek care, delay in getting transportation to reach health care facilities that are more capable and too late to get help the facility rujukan.4 study was conducted using 71 samples using the whole good maternal deaths delayed referral or not. Samples were taken using a total sampling and analysis of data using multiple logistic regression analysis. The results showed that there is a relationship between the availability of treatment costs, availability of transportation and economic status factors, the most dominant factor for the occurrence of late referral is the availability of cost of care in a referral to the value of p = 0.020 and OR value of 25,512 (CI 1.663 to 391,412). Care costs have 25,512 times the risk of late referral to occur on the availability of a health care cost amount of influence these factors was 61%, while 39% is influenced by factors other than the availability of cost, availability of transportation and economic status of the family. Keywords : reference delay factors, maternal mortality
