scholarly journals PENGARUH INISIASI MENYUSU DINI (IMD) TERHADAP JUMLAH DARAH KALA IV PERSALINAN

2020 ◽  
Vol 2 (2) ◽  
pp. 199-204
Author(s):  
Irma Nurianti ◽  
Tati Murni Karo Karo ◽  
Sri Melda Bangun ◽  
Sri Yana
Keyword(s):  
Maternal Mortality ◽  
Post Partum ◽  
Family Health ◽  
Director General ◽  
Control Group ◽  
Breastfeeding Initiation ◽  
A Value ◽  
Group Data ◽  
North Sumatra ◽  
Static Group

Early Breastfeeding Initiation (EBI) or the onset of early breastfeeding is to give newborns the opportunity to suckle themselves on their mothers in the first hour of birth, Early Breastfeeding Initiation (EBI) is related to the production of the hormone oxytocin, which helps the uterus contract so that it does not can immediately reduce bleeding in the mother. The Early Breastfeeding Initiation (EBI) itself is still low in Indonesia, North Sumatra contributes to the low rate of EBI implementation at 24%, according to the Director General of Family Health of the Ministry of Health Eni Gustina. The biggest cause of maternal mortality in Indonesia during 2010-2013 was bleeding 30.3 %. The purpose of this study was to determine whether there was an effect of early breastfeeding initiation (EBI) on the amount of bleeding period IV in the midwife clinic Suherni Amd. Keb Kec Beringin kab Deli Serdang in 2019. This type of research is pre-experiment with the design of static group comparison, with a population of 28 post partum mothers. Sampling is done by "purposive sampling", the sample size in this study amounted to 20 mothers then divided into 2 groups where 10 mothers as the experimental group and 10 mothers as the control group. Data collection is recorded on the observation sheet, data analysis is done by univariate and bivariate with t-independent test. The results of the analysis showed that there was an effect of Early Breastfeeding Initiation (EBI) on the amount of Bleeding Period IV in the Midwife Clinic Suherni Amd. Keb Kec Beringin Kab Deli Serdang in 2019 with a value of p 0,000. It is expected that the number of mothers who breastfeed in the first minute to one hour of birth can increase, because EBI provides many benefits for babies and mothers. If immediately breastfeeding after giving birth can reduce maternal mortality.

scholarly journals Effect of Training on the Application of ANC 10 T on Midwife Knowledge to Prevent Maternal Death in Dairi Regency of North Sumatra Indonesia

2021 ◽  
Vol 13 (3) ◽  
pp. 70
Author(s):  
Samsider Sitorus ◽  
Emy Rianti ◽  
Juliani Purba
Keyword(s):  
Antenatal Care ◽  
Maternal Mortality ◽  
Maternal Death ◽  
Bivariate Analysis ◽  
Mortality Data ◽  
Control Group ◽  
P Value ◽  
Live Births ◽  
A Value ◽  
North Sumatra

INTRODUCTION: Antenatal Care (ANC) data collected at Matlab Thana and shows that the maternal mortality rate for mothers aged 15 – 19 years is 7.4 per 1000 live births while for mothers aged 20 – 24 it is 3.8 to 1000 live births. For mothers under the age of 15, 17, 7. This ratio was then cited in the 1989 WHO volume compilation of age-specific maternal mortality data from 40 countries over approximately the same period as the Bangladesh study suggesting a much more moderate risk of excess for young mothers, but most of them were ignored in the scientific literature. Rizki Dewi et al’s 2017 research-led most midwives (69.7%) 10T standard in good integrated antenatal service. The purpose of the research to know the knowledge of midwives in the application of antenatal care to prevent maternal death in Dairi Regency of North Sumatra. METHODS: Design research was quantitative research with a quantitative design experiment. Models used, observed/measured changes. Bivariate Analysis, to analyze the influence between independent variables (each dimension) and dependent variables with different tests (t-tests). RESEARCH RESULTS: Midwife knowledge increased after ANC implementation training. Knowledge Before an ANC 10 T application training, value p = 0.731 This means that there was no difference in knowledge, control before (pre-test) training implementation of ANC 10 T. The average knowledge difference between the pre-test and post-test is 0.067 with a value of p = 0.058 The difference between the case group and the control group before and after the training of an ANC 10 T implementation with a value of p = 0.000, p-value (0.000) < 0.05 then it can be concluded that the training of the implementation of ANC 10 T effectively improves midwife knowledge in Dairi Regency of Sumatra Province. CONCLUSION: Midwife knowledge increased after an ANC implementation training in the Dairi regency of North Sumatra. Advice that training was very effective to improve the knowledge of midwives in the application of ANC in Dairi district of North Sumatra. 

scholarly journals THE EFFECT OF RED SESBANIA (SESBANIA GRANDIFLORA L.PERS) LEAVES EXTRACT ADMINISTRATION ON THE DECREASE OF LEUKOCYTE LEVEL IN POST-PARTUM MICE (MUS MUSCULUS) INFECTED WITH STREPTOCOCCUS AGALACTIAE

2018 ◽  
Vol 2 (01) ◽  
pp. 6-11
Author(s):  
HEPPY RINA MARDIANA ◽  
Surya Mustika Sari ◽  
YUFI ARIS LESTARI ◽  
ANIK SUPRIANI ◽  
NANIK NUR ROSYIDAH ◽  
...  
Keyword(s):  
Mortality Rate ◽  
Maternal Mortality ◽  
Mus Musculus ◽  
Streptococcus Agalactiae ◽  
Post Partum ◽  
Organ Injury ◽  
Control Group ◽  
Maternal Mortality Rate ◽  
Treatment Groups ◽  
Infection Incidence

Introduction: Maternal Mortality Rate (MMR) is indicator of public health degree. The cause of maternal mortality is postpartum infection. Streptococcus agalactiae bacterium contributes to postpartum infection incidence through vaginal or reproductive organ injury. Infection incidence is characterized with the increased level of leukocyte. The treatment of post-partum infection is done by administering antibiotics. Red sesbania leaves contains active substance that can inhibit the microbial growth. Objective: This research aimed to find out the effect of red sesbania leaves extract administration as antimicrobial agent to decrease leukocyte level in post partum mice (Mus musculus) infected with Streptococcus agalactiae. Method: The method employed was true experimental one with post test control group design, by dividing postpartum mice into 4 groups: one control group and three treatment groups at doses of 125 mg/kgBW, 250 mg/kgBW, and 500 mg/kgBW. All 0-12 hour post partum mice were inoculated with Streptococcus agalactiae bacterium. The administration of 1 ml red sesbania leaves extract in treatment group was conducted 2 hours after the bacterial administration at doses of 125 mg/kgBW, 250 mg/kgBW, and 500 mg/kgBW. Result: The result of analysis shows p < 0.05, indicating that the decrease of leukocyte level in all treatment groups (P1, P2, P3). Conclusion: Red sesbania leaves extract has antimicrobial activity that can reduce leukocyte level, thereby can be used as an alternative therapy to decrease maternal mortality rate due to post-partum infectin. KEYWORDS Red sesbania leaves extract, postpartum mice, leukocyte level, Streptococcus agalactiae.

scholarly journals Post-Partum Hemorrhage is Still Killing Mothers in Bangladesh: An Observation from the 2016 Bangladesh Maternal Mortality Survey (BMMS)

2020 ◽  
Author(s):  
Aminur Rahman ◽  
Anne Austin ◽  
Tahmina Begum ◽  
Iqbal Anwar
Keyword(s):  
Maternal Mortality ◽  
Universal Access ◽  
Post Partum ◽  
Emergency Obstetric Care ◽  
Obstetric Care ◽  
Active Management ◽  
Director General ◽  
Public And Private ◽  
Third Stage ◽  
Mortality Survey

Abstract The main cause of maternal death in Bangladesh is postpartum hemorrhage (PPH). PPH accounts for 31%of maternal deaths. Proven interventions to prevent maternal mortality are active management of third stage of labour (AMTSL) and the availability of comprehensive emergency obstetric care (CEmOC). Both of these interventions mandate the administration of oxytocin. In Bangladesh there are nonfunctioning institutionalized guidelines from the Director General of Health Services on the storage of oxytocin, which may impact the potency of oxytocin used during labour. To reduce preventable PPH morbidity and mortality, Bangladesh needs to evaluate the potency of current stores of oxytocin used in both in public and private facilities, develop and enforce protocols to ensure the potency of oxytocin, and promote universal access to quality AMSTL and CEmOC services.

scholarly journals PENYEMBUHAN LUKA PERINEUM DENGAN SENAM NIFAS

2020 ◽  
Vol 6 (4) ◽  
pp. 523-530
Author(s):  
Henny Prihatni ◽  
Yuistiana Evayanti ◽  
Devi Kurniasari ◽  
Sunarsih Sunarsih
Keyword(s):  
Wound Healing ◽  
Post Partum ◽  
T Test ◽  
Control Group ◽  
P Value ◽  
Group Comparison ◽  
Purposive Sampling ◽  
Perineal Wounds ◽  
Postpartum Mothers ◽  
Static Group

PERINEUM WOUND HEALING WITH POSSIBLE EXERCISES Background Labor and delivery are physiological events. Often childbirth causes birth canal injuries so that it must be cared for properly and properly The maternal mortality rate in Lampung in 2017 is still high, namely 115.8 per 100,000 live births. The results of the initial survey in January 2019 at BPM Siti Hajar, S.ST, Desa Merak Batin Natar District, South Lampung Regency, that in January there were 52 post partum mothers, of the 52 post partum mothers 40 of them had perineal injuries, 37 due to spontaneous rupture and 3 due to episiotomy.Purpose was to determine the effect of postpartum gymnastics on the healing of perineal wounds in postpartum mothers at BPM Siti Hajar, S.ST, Merak Batin Village, Natar District, South Lampung Regency in 2019.Methods Quantitative research type methods, pre-experimental research design with a static group comparison approach. The population was 52 postpartum mothers. The research sample was 30 people divided into 2 groups, namely 15 people as the experimental group and 15 people as the control group. With a purposive sampling technique. Data analysis with dependent T-test.The results of univariate and bivariate analysis showed that the average duration of healing of perineal wounds in postpartum women who did postpartum exercise at BPM Siti Hajar, S.ST, Merak Batin Village, Natar District, South Lampung Regency in 2019, was 1.33 and in the control group was 4 , 60.The conclusion is that there is an effect of postpartum gymnastics on the healing of perineal wounds in post-partum mothers at BPM Siti Hajar, S.ST, Merak Batin Village, Natar District, South Lampung Regency in 2019. The t test results obtained p value 0.000 <α (0.05).Suggestion it is recommended for health workers, especially midwives, to advise postpartum mothers to do postpartum exercise as an alternative to accelerate the healing of perineal wounds.  Keywords: Postpartum exercise, Perineal Wound Healing ABSTRAK Latar Belakang Persalinan dan kelahiran merupakan kejadian fisiologis. Seringkali persalinan menyebabkan perlukaan jalan lahir sehingga harus dirawat dengan baik dan benar Angka kematian ibu di Lampung tahun 2017 masih tinggi yaitu sebesar 115,8 per 100.000 kelahiran hidup.Hasil survey awal pada Bulan Januari 2019 di BPM Siti Hajar, S.ST Desa Merak Batin Kecamatan Natar Kabupaten Lampung Selatan, bahwa pada bulan januari terdapat 52 ibu post partum, dari 52 ibu post partum tersebut 40 diantaranya mengalami luka perineum, 37 dikarenakan rupture spontan dan 3 karena episiotomi.Tujuan untuk mengetahui pengaruh Senam  Nifas Terhadap Penyembuhan Luka Perineum Pada Ibu Nifas di BPM Siti Hajar, S.ST Desa Merak Batin Kecamatan  Natar Kabupaten Lampung Selatan Tahun 2019.Metode Jenis Penelitian Kuantitatif, rancangan penelitian pre-eksperimen dengan pendekatan static group comparison. Populasi sebanyak 52 ibu nifas. Sampel penelitian  30 orang yang di bagi dalam 2 kelompok yaitu 15 orang sebagai kelompok eksperimen dan 15 orang sebagai kelompok kontrol. Dengan teknik sampling purposive sampling. Analisa data dengan uji T-test dependent.Hasil analisa univariat dan bivariate didapatkan rata-rata lama penyembuhan luka perineum pada ibu nifas yang melakukan senam nifas di BPM Siti Hajar, S.ST Desa Merak Batin Kecamatan  Natar Kabupaten Lampung Selatan Tahun 2019, yaitu sebesar 1,33 dan pada kelompok kontrol sebesar 4, 60. Kesimpulan diketahui ada Pengaruh Senam Nifas Terhadap Penyembuhan Luka Perineum Pada Ibu Nifas di BPM Siti Hajar, S.ST Desa Merak Batin Kecamatan  Natar Kabupaten Lampung Selatan Tahun 2019. Hasil uji t didapat p value 0,000 < α (0,05).Disarankan bagi tenaga kesehatan khususnya bidan agar menganjurkan kepada ibu nifas agar melakukan senam  nifas sebagai salah satu alternatif mempercepat penyembuhan luka perineum.  Kata Kunci            : Senam nifas, Penyembuhan Luka Perineum

scholarly journals THE EFFECT OF RED SESBANIA (SESBANIA GRANDIFLORA L.PERS) LEAVES EXTRACT ADMINISTRATION ON THE DECREASE OF LEUKOCYTE LEVEL IN POST-PARTUM MICE (MUS MUSCULUS) INFECTED WITH STREPTOCOCCUS AGALACTIAE

2018 ◽  
Vol 2 (01) ◽  
pp. 6-11
Author(s):  
HEPPY RINA MARDIANA ◽  
Surya Mustika Sari ◽  
YUFI ARIS LESTARI ◽  
ANIK SUPRIANI ◽  
NANIK NUR ROSYIDAH ◽  
...  
Keyword(s):  
Mortality Rate ◽  
Maternal Mortality ◽  
Mus Musculus ◽  
Streptococcus Agalactiae ◽  
Post Partum ◽  
Organ Injury ◽  
Control Group ◽  
Maternal Mortality Rate ◽  
Treatment Groups ◽  
Infection Incidence

Introduction: Maternal Mortality Rate (MMR) is indicator of public health degree. The cause of maternal mortality is postpartum infection. Streptococcus agalactiae bacterium contributes to postpartum infection incidence through vaginal or reproductive organ injury. Infection incidence is characterized with the increased level of leukocyte. The treatment of post-partum infection is done by administering antibiotics. Red sesbania leaves contains active substance that can inhibit the microbial growth. Objective: This research aimed to find out the effect of red sesbania leaves extract administration as antimicrobial agent to decrease leukocyte level in post partum mice (Mus musculus) infected with Streptococcus agalactiae. Method: The method employed was true experimental one with post test control group design, by dividing postpartum mice into 4 groups: one control group and three treatment groups at doses of 125 mg/kgBW, 250 mg/kgBW, and 500 mg/kgBW. All 0-12 hour post partum mice were inoculated with Streptococcus agalactiae bacterium. The administration of 1 ml red sesbania leaves extract in treatment group was conducted 2 hours after the bacterial administration at doses of 125 mg/kgBW, 250 mg/kgBW, and 500 mg/kgBW. Result: The result of analysis shows p < 0.05, indicating that the decrease of leukocyte level in all treatment groups (P1, P2, P3). Conclusion: Red sesbania leaves extract has antimicrobial activity that can reduce leukocyte level, thereby can be used as an alternative therapy to decrease maternal mortality rate due to post-partum infectin. KEYWORDS Red sesbania leaves extract, postpartum mice, leukocyte level, Streptococcus agalactiae.

Professional and Non-Professional Intervention for Highly Anxious Primiparous Mothers

1985 ◽  
Vol 146 (3) ◽  
pp. 287-293 ◽  
Author(s):  
Bryanne Barnett ◽  
Gordon Parker
Keyword(s):  
State Anxiety ◽  
Post Partum ◽  
Control Group ◽  
High Anxiety ◽  
A Value ◽  
Contrast Analysis ◽  
State And Trait Anxiety ◽  
Anxiety Levels ◽  
Primiparous Women ◽  
Professional Intervention

SummaryPrimiparous women (n = 627) were screened on state and trait anxiety measures in the post-partum period; sub-groups of highly anxious (n = 89), moderately anxious (n = 29), and minimally anxious (n = 29) mothers were derived and subsequently interviewed. The high-anxiety mothers were randomly assigned to a professional intervention, to a non-professional intervention, and to a control group, and their progress was reviewed over the following 12 months. Compliance, both in responding to progressive assessments and in accepting therapeutic intervention, was extremely high. Changes in anxiety levels for mothers not receiving an intervention were minimal over the study. In the high-anxiety sub-groups, there was a 19% reduction in state anxiety levels for those receiving a professional intervention, a 12% reduction for those receiving a nonprofessional intervention, and a 3% reduction in the controls. A planned contrast analysis determined that only professional intervention had a significant effect, intervention successfully lowering state anxiety levels to a value comparable with the moderately anxious mothers.

scholarly journals Pengaruh Inisiasi Menyusu Dini terhadap Pengeluaran Volume ASI pada Primipara di Rumah Sakit Tk II Prof. Dr. J. A. Latumeten dan RSUD Dr. M. Haulussy Ambon

2021 ◽  
Vol 12 (1) ◽  
pp. 30-38
Author(s):  
Sitti Suharni Hermanses ◽  
Fasiha Fasiha
Keyword(s):  
Early Initiation ◽  
Control Group ◽  
Case Group ◽  
Breastfeeding Initiation ◽  
Early Initiation Of Breastfeeding ◽  
Skin Contact ◽  
A Value ◽  
Quasi Experimental ◽  
Skin To Skin ◽  
Initiation Of Breastfeeding

Early initiation of breastfeeding is an effort to provide colostrum which is rich protective factors. This study aimed to determine the effect of early initiation of breastfeeding on breastmilk volume. This research use quasi experimental. The results showed that the Mann-Whitney test obtained a value of p=0.000 < of α=0.05, there was an effect on breastmilk volume in mothers who did early initiation of breastfeeding. Implementation of early initiation of breastfeeding in case group was 100% otherwise not done in control group, the duration 64% hasn’t been standardized, the breastmilk volume on the third day after early breastfeeding initiation was categorized sufficient (56%) and a lot 40%, which was not 76% breastmilk volume is lacking, there is a difference on breastmilk volume in mothers who have early initiation of breastfeeding and do not have. There is an effect on breastmilk production. It is expected that the role of midwives in providing information to mothers before giving birth about the importance of early breasfeeding initiation. It is expected that midwives will emphasize more on the duration of skin to skin contact, according to minimum standards of 1 hour, Rumkit Tk II Prof. Dr. J.A. Latumeten is expected to do early initiation of breastfeeding as a fixed procedure in the maternity room.

scholarly journals Pengaruh Pijat Oksitosin Terhadap Pengeluaran ASI Pada Ibu Post Partum Primipara Di RSIA Srikandi IBI

2019 ◽  
Vol 7 (2) ◽  
pp. 15-27
Author(s):  
Kholisotin Kholisotin ◽  
Zainal Munir ◽  
Lina Yulia Astutik
Keyword(s):  
Breast Milk ◽  
Post Partum ◽  
T Test ◽  
Control Group ◽  
Control Groups ◽  
Randomized Control ◽  
Postpartum Mothers ◽  
Static Group ◽  
Paired T Test ◽  
Causes Of Failure

Mother's milk (ASI) is the first and best food that must be given to babies because it contains nutrients that are needed in the process of growth and development of children's intelligence. One of the causes of failure to support breast milk has not been released from breast milk after the mother receives it. Expenditures of breast milk can be accelerated by non-pharmacological actions, namely through oxytocin massage which can be done by massaging the area around the back (vertebra pars thoratica) to stimulate the release of breast milk. Objective: This study aimed to determine the effect of oxytocin massage on the release of breast milk in primipara postpartum mothers at RSIA Srikandi IBI. Method: this study is a pre-experimental study with a static group comparison design: randomized control group only design,  the number of respondents in this study were 36 consisting of 18 experimental groups and 18 control groups. Results: this study used a paired t-test t test obtained P = 0.001 (P <0.05). Keywords  : Oxytocin Massage, Primiparous Post Partum M/other

scholarly journals Maternal mortality following thromboembolism; incidences and prophylaxis strategies

2020 ◽  
Vol 18 (1) ◽  
Author(s):  
Mahboobeh Shirazi ◽  
Behrokh Sahebdel ◽  
Mahnoosh Torkzaban ◽  
Elham Feizabad ◽  
Marjan Ghaemi
Keyword(s):  
Risk Factors ◽  
High Risk ◽  
Maternal Mortality ◽  
Post Partum ◽  
Standard Form ◽  
Clinical Manifestations ◽  
Case Series ◽  
Average Score ◽  
Control Group ◽  
Case Series Study

Abstract Background Thromboembolism is one of the main causes of maternal mortality, which can be prevented in many cases. The present study was designed to investigate the incidence and prophylaxis strategies for maternal mortality following thromboembolism in postnatal. Methods In this case series study, the data of the mortality cases were extracted according to the ethical and security standards of the Ministry of Health of the country and compared with a healthy control group. The thromboembolism risk factors measured and scored using a questionnaire entitled “the evaluation of risk factors for maternal mortality following thromboembolism during pregnancy, labor, or post-partum”. Results The maternal mortality rate was 16 per 100,000 live births. Among 297 mortality cases, 27 (9%) death were due to thromboembolism. The mean gestational age was 32.5 weeks. Dyspnea (88.8%) and tachycardia (18.5%) were found as common clinical manifestations in these patients. Sixteen cases (59.3%) did not get heparin, 6 (22.2%) received single dose and 5 (18.5%) received two doses and more. In these 11 cases, 5 (45%) patients received heparin before surgery, 1 after surgery, and 5 before and after surgery. Twenty cases deceased in the first hours after delivery and the rest after 2 to 12 days. The average score of risk for thromboembolism based on Royal College of Obstetricians & Gynecologist (RCOG) guideline was 4.6. Conclusion It seems that one of the most important cause of maternal mortality in this study was the lack of recognition of high-risk patients and the lack of prescription for prophylaxis with heparin and this clearly explains the need for accurate screening of high-risk mothers, designing a standard form and the care and treatment of these patients.

scholarly journals Faktor Risiko Kematian Ibu

2013 ◽  
Vol 7 (10) ◽  
pp. 453
Author(s):  
Nurul Aeni
Keyword(s):  
Risk Factors ◽  
Maternal Mortality ◽  
Maternal Mortality Ratio ◽  
Control Group ◽  
P Value ◽  
Case Group ◽  
Group Data ◽  
Mortality Ratio ◽  
History Of ◽  
And Control

Angka Kematian Ibu (AKI) di Kabupaten Pati bergerak fluktuatif dan menunjukkan status tertinggi pada tahun 2011 dengan 126 per 100.000 kelahiran hidup. Tujuan penelitian ini adalah menggambarkan kematian ibu di Kabupaten Pati dan menganalisis faktor risiko kematian maternal di Kabupaten Pati Tahun 2011. Penelitian menggunakan pendekatan observasional analitik dengan metode kasus kontrol. Jumlah sampel adalah 24 untuk setiap kelompok kasus dan kelompok kontrol. Analisis data menggunakan uji univariat, bivariat dan multivariat. Hasil dari penelitian adalah tiga penyebab utama kematian ibu di Kabupaten Pati adalah penyakit jantung, preeklamsi/eklamsi, dan perdarahan. Kematian ibu tersebar di 16 kecamatan dari 21 kecamatan yang ada dan sebagian besar kematian terjadi pada masa nifas. Analisis regresi logistik menunjukkan bahwa faktor yang berpengaruh terhadap kematian ibu adalah komplikasi kehamilan (OR = 12,198, nilai p = 0,010), komplikasi persalinan (OR = 9,94, nilai p = 0,020) dan riwayat penyakit (OR = 27,735, nilai p = 0,011). Secara bersama-sama, ketiga variabel tersebut berkontribusi terhadap 64,3% kematian ibu yang terjadi di Kabupaten Pati Tahun 2011.Maternal Mortality Ratio (MMR) of Pati Regency fluctuated and showed the highest state in 2011 with 126 per 100.000 live births. This research aimed to describe maternal mortality cases in Pati Regency and to analyze risk factors of maternal mortality happened in 2011. This research used observational analysis, i.e. cases control study. The number of samples was 24 in each of case group and control group. Data was analyzed with univariate, bivariate, and multivariate. This research resulted that three major causes of maternal mortality were heart disease, preeclampsia/eclampsia, and hemorrhage. Maternal mortality spread on 16 from 21 sub-districts on Pati Regency and the majority of them happened in post delivery period. Logistic regression analysis concluded that risk factors influenced maternal mortality were pregnancy complication (OR = 12.198, p value = 0.010), delivery complication (OR = 9.94, p value = 0.020) and history of illness (OR = 27.735, p value = 0.011). Collectively, those variables contributed to 64.3% of maternal mortality in Pati Regency 2011.

Sign in / Sign up

Export Citation Format

Share Document