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Awarding Support Becomes a Dominant Factor in the Election of Family Planning in the Long-Term Contraception Method in Kampung KB Ningsih, Dewi Ayu; Firdawati, Firdawati; Satria, Pom Harry
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 4, No 1 (2019): June
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (34.666 KB) | DOI: 10.30604/jika.v4i1.185

Abstract

Indonesia’s Maternal Mortality Rate (MMR) is currently in the high category. One effort to reduce MMR is through family planning program. The family planning program contributes in reducing 32% all of maternal mortality by increasing the coverage of LARC users whose achievements are currently only 17.45%. One of the biggest influences on the escalation of LARC users is psychosocial support from the environment. The objective of this study analyzed the relationship between emotion, informational, instrumental, and appraisal supports from the environment with the LARC use in the Kampung KB. The research used an observational analytic design with a cross-sectional approach to 100 respondents that acceptor KB. Statistic analysis used the chi-square and logistic regression. The results of this study showed that the emotional, instrumental and appraisal support were associated with LARC use, based on the p values of 0.028, 0.019 and 0,001, respectively. Appraisal support became the dominant factor in choosing LARC in Kampung KB with an odds ratio (OR) 5,000. It meant that a woman who got appraisal support from the environment have 5,000 times higher to have an opportunity to use LARC than the woman who did not get the appraisal support.ABSTRAKAngka Kematian Ibu (AKI) Indonesia saat ini masih dalam kategori tinggi. Salah satu strategi menurunkan AKI adalah program KB. Program KB berkontribusi dalam menurunkan 32% dari seluruh kematian ibu dengan cara meningkatkan cakupan pengguna KB MKJP yang saat ini capaiannya hanya 17,45%. Peningkatan pengguna KB MKJP salah satunya dipengaruhi oleh dukungan psikososial dari lingkungan. Penelitian ini bertujuan menganalisis hubungan antara dukungan emosional, informasional, instrumental, dan penghargaan dari lingkungan dengan penggunaan KB MKJP di Kampung KB. Penelitian ini menggunakan desain analitik observasional dengan pendekatan cros-secsional terhadap 100 responden akseptor KB. Analisis statstik yang digunakan adalah uji chi-square dan regresi logistik. Hasil penelitian menunjukkan bahwa dukungan emosional, instrumental dan penghargaan berhubungan dengan penggunaan KB MKJP di Kampung KB, dengan masing-masing nilai p yaitu 0,028, 0,019, dan 0,001. Sementara, dukungan informasional tidak berhubungan dengan nilai p lebih dari 0,05. Dukungan penghargaan menjadi faktor dominan dengan nilai ood rasio (OR) sebesar 5,000. Seseorang yang memperoleh dukungan penghargaan dari lingkungan akan 5,000 kali berpeluang memilih menggunakan KB MKJP dibanding dengan yang tidak memperoleh dukungan penghargaan.
A Mother Who Experienced TRALI After a Caesarian Section on the Indication of Severe Pre-eclampsia with a Macrosomic Fetus Lestari, Puti Fajri; Satria, Pom Harry
Andalas Obstetrics And Gynecology Journal Vol. 9 No. 2 (2025)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.9.2.298-304.2025

Abstract

Introduction: Transfusion-Related Acute Lung Injury (TRALI) is a severe, often fatal, complication of blood transfusion. Obstetric patients with severe pre-eclampsia are uniquely susceptible due to a "two-hit" mechanism, where the underlying inflammatory condition primes the lungs for injury from a subsequent blood transfusion. This report presents a case of post-transfusion respiratory distress in such a high-risk patient, highlighting the diagnostic challenges. Case Report: A mother with severe pre-eclampsia underwent a caesarean section for a macrosomic fetus, complicated by postpartum hemorrhage. She was transfused with two units of Packed Red Cells (PRC). Approximately 12 hours after the transfusion was completed, she developed acute-onset, progressive shortness of breath, requiring management in the High Care Unit. Discussion: In this complex postpartum case, the central challenge is diagnosing acute respiratory distress following Caesarean delivery, severe pre-eclampsia, and a blood transfusion. Given the patient’s heightened vulnerability due to pre-eclampsia and surgery, the transfusion may have triggered acute lung injury via the "two-hit" model. TRALI diagnosis relies on clinical suspicion and requires immediate cessation of transfusion, respiratory support, and careful hemodynamic management. Conclusion: This case underscores the importance of recognizing TRALI as a potential cause of respiratory distress in obstetric patients with pre-eclampsia, emphasizing the need for prompt diagnosis and supportive care.