scholarly journals Pengaruh intra uterine device (IUD) post plasenta terhadap involusi uterus

2020 ◽  
Vol 12 (2) ◽  
pp. 129-134
Author(s):  
Istri Utami ◽  
Mochammad Anwar ◽  
Herlin Fitriana Kurniawati

Abstract: The study is a quantitative in nature with cohort prospectiveapproach. The population of the study was all post-partum mothers atMlati II Primary Health Centre of Sleman. The samples were takenusing accidental sampling technique with 25 respondents in each caseand control groups. The data were analyzed using Chi Square (X2)while the multivariate analysis used multiple logistic regression of riskfactors model. According to the result, p-value is 0,04 in which there isdifference between post-partum period length on post-partum motherswho use Post placental IUD and post-partum mothers who do notuses Post placental IUD.

Author(s):  
C. P. Okoye ◽  
D. N. Onwusulu ◽  
C. P. Nnamani

Background: Immediate postpartum CuT380A intrauterine contraceptive device (PPIUCD) insertion provides a novel approach in reducing the unmet contraceptive needs of family planning. The insertion can be trans-caesarean or vaginal following delivery of the placenta. The clinical outcomes of the different routes of insertion have not been adequately studied. Aim: The study aimed at comparing the clinical outcomes following trans-caesarean and vaginal post-placental insertions of CuT380A IUCD. Methodology: The study was a prospective cohort study of 81 pregnant mothers managed at a tertiary health institution in southern Nigeria. They were recruited into two groups using a convenient sampling technique; 27 and 54 mothers in the caesarean and vaginal delivery groups respectively. The pregnant mothers were followed up till delivery and at the six weeks postnatal visit. Information on their socio-demographic characteristics, Obstetrics and Gynecology history were obtained with the aid of a proforma. The proforma was updated with the clinical outcomes of immediate PPIUCD insertions in the two groups, at the six weeks visit. Data obtained were analyzed using statistical package of social sciences version 21. Continuous variables were expressed as means and standard deviations. The Chi square test was used for dichotomous or categorical variables. A p-value of less than 0.05 was considered statistically significant. Results: The study showed that PPIUCD is a safe practice in both vaginal and caesarean deliveries with no significant differences in clinical outcomes. However, incidence of missing string was higher in the caesarean group compared to vaginal group (81.5% vs 51.9%; p value-0.01); and expulsion rate was also high in the vaginal group but not significant. (13.0% vs 7.4%; p value 0.45). Conclusion: Immediate postpartum CuT380A contraception, irrespective of route of insertion, is convenient, effective, and safe. Although there is a relatively higher incidence of missing strings, including expulsions after vaginal PPIUCD insertions, immediate post-partum contraception should be encouraged. This will help to reduce high unmet contraceptive needs in our environment and loss to follow up irrespective of route of delivery. Recommendation: Immediate PPIUCD, irrespective of the route, should be encouraged and integrated into the existing Maternal and Child Health Programme. Awareness should be created to promote acceptance in our environment.


2021 ◽  
Vol 1 (3) ◽  
pp. 198-201
Author(s):  
Shinta Novelia ◽  
Rosmawati Lubis ◽  
Erma Sulistiyorini

Background: Perineum wound care is one of the factors to prevent infection during the puerperium. Because the perineum is a difficult area to keep dry and clean. Care and observation are needed during the puerperium to ensure that the perineum is healed by taking care of the perineum properly and correctly. During the Covid-19 pandemic, postpartum maternal visits to health facilities were very limited because it was to avoid transmitting infectious diseases to postpartum mothers.   Objective: To determine the knowledge of the post-partum women about the practice of perineal wounds during the Covid-19 pandemic at the Banjar Health Centre in 2021.   Methodology: this descriptive study used a cross sectional approach. The sample in this study was 102 respondents with accidental sampling technique. Data were analyzed using SPSS with Chi Square, which previously tested the validity and reliability.   Results: The practice of treating perineum wounds in the working area of the Banjar Health Centre obtained an average score of 73.5. Based on the knowledge obtained an average value of 89.2. The results of the Chi Square test showed that all independent variables had a relationship with perineum wound care practices, including knowledge (p = 0.001).   Conclusions and Suggestions: The practice of perineum wounds care in postpartum women has a relationship with the women’s level of knowledge. Postpartum women can expand their knowledge about wound care in the perineum during the puerperium through mass and electronic media and counseling provided by health personnel.       


2018 ◽  
Vol 11 (2) ◽  
pp. 67-72
Author(s):  
Faizah Betty Rahayuningtyas ◽  
Retwin Rahwanti Megasari

The family is the smallest unit in society consisting of father, mother and child. In a family, there are five functions to be performed, such as affective function and coping, socialization function, reproductive function, the function of the economy, and health care function. There are several factors that can affect the function of the family, including employment, education, and economics. An agitated state of the mother and occurs after delivery characterized by feelings of sadness, crying, fear of taking care of the baby is called postpartum blues. The purpose of this study was to determine whether there is a relationship between family function with postpartum blues in the sub-district Puskesmas Tladan Kawedanan Magetan. The study design used is cross sectional analytic study, which means that the data collection is done in the period. The population in this study are pregnant women primigravida birth day forecast in April. These samples included 30 maternal postpartum with simple random sampling technique. The research instrument used to measure the Family APGAR questionnaire family function and EPDS questionnaire to measure postpartum blues. The measurement results were tested using the chi-square and p values obtained 0,024. P value less than 0.05 so it can be concluded that there is a correlation between family function with postpartum blues in the sub-district Puskesmas Tladan Kawedanan Magetan.


Author(s):  
Ambreen Ghouri ◽  
Bushra Mushtaq ◽  
Azra Ahmed ◽  
Najma Dalwani ◽  
Padma Bai ◽  
...  

Background: Obstetrical hemorrhage is leading cause of maternal mortality. UAE is termed safe and effective method for resolving hemorrhage. objective of this study was to determine efficacy of uterine artery ligation in management of obstetrical hemorrhage.Methods: This cross sectional observational using non-probability convenient sampling technique was carried out for six months. After ethical approval, females between 18 to 35 years diagnosed with obstetrical hemorrhage, uterine atony refractory to medical treatment, having active bleeding from placental side or having normal coagulation profile were while females with post-partum hemorrhage because of retained products of conception, due to genital tract trauma or with disseminated intravascular coagulation were excluded. Analysis of data was done using SPSS version 23.0. Quantitative variables were reported as mean and standard deviation and for qualitative variables, frequency and percentages. Chi-square test was applied keeping p-value of <0.05 as statistically significant.Results: From 109 females with mean age 47±5.25 years. In comparison of parity distribution, 62 (56.88%) were multiparous and 47 (43.12%) were primiparous. Type of bleeding observed was antepartum 36(33.03%), peripartum 39 (35.78%) and postpartum in 34 (31.19%). Efficacy of uterine artery ligation in management of obstetric hemorrhage was observed to be 35 (32.11%). The efficacy of uterine artery ligation in management of obstetric hemorrhage in three categories of age groups reported significant association (p=0.0005) and type of bleeding (p=0.025).Conclusions: Efficacy of UAE in different types of obstetrical hemorrhage reported in our study was lower than expected in about one-third of females.


2018 ◽  
Vol 5 (1) ◽  
pp. 17-24
Author(s):  
Eva Putriningrum ◽  
Nurul Khasanah

The exclusive breast milk is feed baby only with the breast milk until the age of six months without any additional liquid or food. The scope of exclusive breast milk in Yogyakarta does not reach the expected rate amount 80%,  one of them was in Public Health Centre of Kota Gede I. Low rate success of exclusive breast milk feeding was affected by many factors, such as lack of information regarding breast milk and misunderstanding of information about breast milk.  This research aims to analyze the correlation between education and age, with knowledge of pregnant women at third trimester about exclusive breast milk in Public Health Centre of Kota Gede I, Yogyakarta. The design of this research used analytic survey with a Cross-Sectional design and 30 pregnant women at third trimester as samples, with the saturated sampling technique. The statistical test used Chi-Square Test. This research showed that there is a correlation between education and knowledge with p-value of 0,019 and odd ratio value of 9,33; there is a correlation between age and knowledge with p-value of 0,004 and odd ratio value of 20,0. It can be concluded that there is a correlation between education and age, with knowledge about exclusive breast milk.  Keywords: Education, Age, Knowledge, Exclusive Breast Milk ABSTRAK  ASI eksklusif merupakan pemberian ASI saja pada bayi sampai usia enam bulan tanpa tambahan cairan ataupun makanan lainnya. Cakupan ASI eksklusif di Kota Yogyakarta belum mencapai angka yang diharapkan yaitu 80%, salah satunya adalah di Puskesmas Kotagede I. Rendahnya cakupan keberhasilan pemberian ASI eksklusif dipengaruhi banyak hal, salah satunya adalah kurangnya informasi mengenai ASI atau salah dalam memahami informasi mengenai ASI. Tujuan penelitian ini adalah untuk menganalisis korelasi antara pendidikan dan umur, dengan pengetahuan ibu hamil trimester III tentang ASI eksklusif di Puskesmas Kota Gede I Yogyakarta. Desain penelitian ini menggunakan survey analitik dengan rancangan Cross Sectional, dengan sampel 30 ibu hamil Trimester III dan menggunakan teknik sampling jenuh. Uji statistik yang digunakan adalah Chi Square. Hasil penelitian menunjukkan terdapat korelasi antara pendidikan dengan pengetahuan dengan nilai p sebesar 0,019 dan nilai odd ratio sebesar 9,33, dan terdapat korelasi antara umur dengan pengetahuan dengan nilai p sebesar 0,004 dan nilai odd ratio sebesar 20,0. Dapat disimpulkan bahwa terdapat korelasi antara pendidikan dan umur, dengan pengetahuan tentang ASI eksklusif.  Kata Kunci : Pendidikan, Umur, Pengetahuan, ASI Eksklusif.


2021 ◽  
Vol 14 (4) ◽  
pp. 659-665
Author(s):  
Wayan Dane Wijaya ◽  
Aryanti Wardiyah ◽  
Lidya Ariyanti

Effects of breastfeeding on postpartum weight loss among muslim women (Fasting the month of Ramadan) Background: Breast milk is a substantial source of nutrition for the baby. Some Muslim women during Ramadan perform breastfeeding and fasting, although according to Islamic rules for them are optional to exchange for other alternatives form according to religious rules. Base on theory Breastfeeding influences maternal weight loss and pre-survey in Bandar Lampung, interviews with 10 Muslim women, of 7 respondents perform breastfeeding and Ramadan fasting. They said had a decrease of their weight even though is insignificant.Purpose: To know the effects of breastfeeding on postpartum weight loss among Muslim women (Fasting the month of Ramadan)Method: A quantitative, analytical survey research design with cross-sectional approach. The population is all post partum at the Sukarame Health Centre, Bandar Lampung. The sample of 142 taken by total sampling. The questionnaire including demographic data and weight scale to measure their weight in the end of Ramadan.Results : Finding by 142 respondents, 45.8% respondents perform breastfeeding and 67.5% respondents Ramadan fasting had a decrease in weight of 39.7% respondents, with decrease 1-10% weight. The results of statistical tests using the chi-square test obtained p-value = 0.029 and 0.024, which means that there is a relationship between breastfeeding, Ramadan fasting and post partum maternal weight loss. It is to be attention in breastfeeding following by sufficient nutrition intake even though Ramadan fasting during breaking the fast (iftar).Keywords: Breastfeeding; Body weight; Post patum; Muslim women; Fasting the month of RamadanPendahuluan: ASI merupakan sumber nutrisi penting bagi bayi. Beberapa wanita muslim selama bulan Ramadhan menyusui bayinya dan juga berpuasa, meskipun menurut aturan Islam bagi mereka adalah opsional dapat ditukar dengan bentuk alternatif lain sesuai aturan agama. Berdasarkan teori ada pengaruh  menyusui dengan penurunan berat badan, dan pra survei di Bandar Lampung dengan wawancara pada 10 wanita muslim, dari 7 responden yang menyusui dan juga berpuasa di bulan Ramadhan. Mereka mengatakan mengalami penurunan berat badan meski tidak signifikan.Tujuan: Untuk mengetahui pengaruh pemberian ASI terhadap penurunan berat badan pasca melahirkan pada wanita Muslim yang berpuasa di bulan Ramadhan.Metode: Penelitian survey analitik kuantitatif dengan desain pendekatan cross-sectional. Populasinya adalah seluruh ibu post partum di Puskesmas Sukarame Bandar Lampung. Sampel sebanyak 142 diambil secara total sampling. Kuesioner tersebut meliputi data demografi dan timbangan untuk mengukur berat badan mereka di akhir bulan Ramadhan.Hasil : Didapatkan dari 142 responden, 45.8% responden yang menyusui bayinya dan 67.5% responden juga menjalankan ibadah puasa Ramadhan mengalami penurunan berat badan sebanyak 39.7% responden, dengan penurunan berat badan 1-10% dari berat berat awal kelahiran. Hasil uji statistik dengan menggunakan uji chi-square didapatkan p-value = 0.029 dan 0.024 yang berarti ada hubungan antara pemberian ASI, berpuasa di bulan Ramadhan dengan penurunan berat badan. Disarankan dan diperhatikan dalam menyusui bayinya harus diikuti dengan asupan gizi yang cukup saat buka puasa di bulan Ramadhan.


2018 ◽  
Vol 10 (01) ◽  
pp. 1
Author(s):  
Ni Kadek Shinta Marheni ◽  
Masruroh .

BREASTFEEDING FATHER DALAM PENGAMBILAN KEPUTUSAN MELAKSANAKAN ASI EKSKLUSIF DI  PUSKESMAS UNGARANNi Kadek Shinta Marheni 1), Masruroh 2)1) 2) Fakultas Ilmu Kesehatan Universitas Ngudi WaluyoE-mail: [email protected],[email protected] father adalah dukungan penuh dari seorang suami kepada istrinya untuk mempersiapkan pelaksanaan pemberian ASI. Tujuan penelitian ini adalah untuk mengetahui hubungan Breastfeeding Father dengan Pengambilan Keputusan Ibu Untuk Melaksanakan ASI Eksklusif di Wilayah Kerja Puskesmas Ungaran. Metode penelitian yang digunakan adalah Correlational Study dengan pendekatan Cross sectional. Populasi dalam penelitian ini adalah semua ibu hamil trimester III di wilayah kerja Puskesmas Ungaran sebanyak 61 orang. Sampel penelitian ini adalah 53 responden dengan teknik pengambilan sampling menggunakan simple random sampling. Hasil penelitian menunjukkan Penerapan Breastfeeding father menurut penilaian Ibu hamil sebanyak 47,2% dan yang tidak menerapkan breastfeeding father yaitu 52,8 %.. Ibu yang memutuskan melaksanakan ASI Eksklusif sebanyak 45,3% dan ibu yang memutuskan tidak melaksanakan ASI Eksklusif yaitu 54,7%. Ada hubungan yang signifikan antara breastfeeding father dengan pengambilan keputusan ibu untuk melaksanakan ASI Eksklusif di wilayah kerja Puskesmas Ungaran dengan p-value 0,004 < α (0,05). Adanya hubungan breastfeeding father dengan pengambilan keputusan ibu untuk melaksanakan  ASI Eksklusif diharapkan asumsi suami tentang wanitalah (istri) yang bertugas untuk melayani kebutuhan dan keinginan suami dapat dirubah, sehingga suami memiliki pemikiran bahwa dukungan penuh selama kehamilan sangatlah penting untuk dilaksanakan untuk mensukseskan pelaksanaan ASI Eksklusif.Kata Kunci : Breastfeeding Father, Pengambilan Keputusan , ASI EksklusifBREASTFEEDING FATHER CORRELATION   WITH  DECISION MAKING A MOTHER TO IMPLEMENT EXCLUSIVE BREASTFEEDING IN PUSKESMAS UNGARANABSTRACTBreastfeeding father give full support from a husband to his wife to prepare and implement breastfeeding. The purpose of this study was to determine the correlation between a breastfeeding father with a mother's decision to implement exclusive breastfeeding in Primary Health Centre Ungaran. The method used correlational study with cross sectional. The population in this study was all pregnant women in the third trimester in Primary Health Centre  Ungaran as many as 61 people. Samples were 53 respondents using simple random sampling. The results showed that breastfeeding fathers were 47,2% and whole who did not do breastfeeding father were 52,8%. The mothers giving exclusive breastfeeding were 45,3% and not giving exclusive breastfeeding were 54,7%. That showed a significant association between a breastfeeding father and a mother's with a decision to carry out exclusive breastfeeding in Primary Health Centre Ungaran with p-value of 0.004 <α (0.05). It expects the assumption that wife’s job is to serve the needs of her husband can be changed, so that the husband can support during pregnancy to be implemented to ensure the success of exclusive breastfeeding.Keywords: BreastfeedingFather,  Decision to Implement ,Exclusive breastfeeding Bibliographes: Literatures (1992 - 2014)  Keywords: BreastfeedingFather,  Decision to Implement ,Exclusive breastfeedingJurnal Kebidanan, Vol. X, No. 01, Juni 2018                                                       1                Bibliographes: Literatures


2018 ◽  
Vol 3 (1) ◽  
pp. 63
Author(s):  
Heni Anggraini ◽  
Dewi Riansari

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.


2020 ◽  
Vol 7 (2) ◽  
pp. 6-10
Author(s):  
Lusi Febrina ◽  
Rosalia Rahayu ◽  
Wahyudin

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.


2019 ◽  
Vol 2 (2) ◽  
Author(s):  
Luh Gede Pradnyawati ◽  
Komang Triyani Kartinawati ◽  
Dewa Ayu Putu Ratna Juwati

Stunting is a growth disorder that affects the measurements of Length-for-Age or Height-for-Age, which is characterized by a body condition that tends to be short. Children under five are categorized as short-bodied if the z-score is less than -2SD. In Indonesia, approximately 29% of children under five are included in the short-bodied category. A good nutritional intake at this time is a depiction of proper growth and development in the future. The health status of infants is related to parenting patterns of feeding. This study aimed to find out the description of parenting patterns of feeding in stunting toddlers in the working area of Tegallalang I Primary Health Centre. The study belongs to qualitative research with a phenomenological approach. The sample of this study was 5 mothers who had stunting toddlers. Data were collected by applying a purposive sampling technique. Data that had been collected consists of two types, i.e., primary data and secondary data. Data were analyzed using thematic analysis techniques. Some respondents had fed their toddlers with exclusive breastfeeding until they were 6 months old, but the frequency of feeding was ruled out. In addition, most respondents had only started to feed their babies with complementary food for breastfeeding at the time they were 6 months old. Still, they had not paid attention to their nutritional needs, the precise frequency of feeding, the kinds of better food for toddlers, and appropriate food variations. These results indicate that the wrong parenting pattern of feeding in children under five has the potential to cause stunting. Therefore, more attention to this matter is necessarily needed to reduce the severe incidence of stunting.


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