Budiono, Dwi Izzati
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RISK FACTORS FOR SEVERE PREECLAMPSIA AT DR. WAHIDIN SUDIRO HUSODO HOSPITAL MOJOKERTO CITY IN 2021-2022 Nurhayati, Enok Tuti; Budiono, Dwi Izzati; -, Aditiawarman
INTERNATIONAL JOURNAL OF NURSING AND MIDWIFERY SCIENCE (IJNMS) Vol 7 No 3 (2023): VOLUME 7 ISSUE 3 DECEMBER 2023
Publisher : Departement Research and Community Engagement Bina Sehat PPNI Institute of Health Science, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29082/IJNMS/2023/Vol7/Iss3/531

Abstract

Background: Preeclampsia and eclampsia are major causes of morbidity and mortality during the perinatal period. The change from preeclampsia to severe preeclampsia can progress rapidly. The case of severe preeclampsia in Dr. Wahidin Sudiro Husodo Hospital, is very high. Purpose: To analyze the risk factors for severe preeclampsia at Dr. Wahidin Sudiro Husodo Hospital, Mojokerto City. Subjects and Methods: This study was conducted using an observational analytic quantitative method with an case control design. The sampling method used consecutive sampling. This study involved a total of 150 samples from two groups, consisting of pregnant women and laboring women. Results: The variables that had a significant relationship with the incidence of severe preeclampsia were age variables (p-value: 0.000; OR: 4.330; CI: 1.972-9.507), history of obesity (p-value: 0.000; OR: 15.460; CI: 5.255-45.483), history of preeclampsia (p-value: 0.001; OR: 7.579; CI: 2.127-27.006), history of diabetes mellitus (p-value: 0.012; OR: 11.385; CI: 1.419-91.352), and history of chronic hypertension (p-value: 0.000; OR: 6.945; CI: 2.931-16.456) were all significantly associated with the incidence of severe preeclamsia . the variables of age, history of obesity, and history of chronic hypertension met the final modeling in multivariate analysis. Conclusion: The history of obesity being the most dominant variable.
Kebutuhan Pengetahuan Bidan Mengenai Triple Eliminasi (HIV, Sifilis Dan Hepatitis B). Fatin, Raden Fadhila; Budiono, Dwi Izzati
Malahayati Nursing Journal Vol 6, No 10 (2024): Volume 6 Nomor 10 (2024)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v6i10.13891

Abstract

ABSTRACT Mother-to-child transmission of infections (HIV, Sifilis and  Hepatitis B) are still high in Indonesia, with transmission occurring during pregnancy, childbirth and breastfeeding. The impact of vertical transmission can increase maternal and child morbidity, neonatal mortality and congenital disability. Triple elimination aims to prevent transmission and improve treatment of mothers and children for better quality of life. This study aims to determine the level of knowledge of midwives regarding triple elimination (HIV, Syphilis and Hepatitis B) and analyze factors (age, education, tenure and sources of information) that can affect midwives' knowledge. The research was conducted in the form of observational analytics with a cross sectional study approach to determine the effect of cause-and-effect between variables without providing intervention from the variables to be studied. Data collection techniques were carried out by research enumerators, where filling out the questionnaire using google form. Statistical tests in this study used chi square, fisher exact and kruskal walis tests. Midwives have low knowledge about triple elimination (81.1%) which means that midwives still have limited information about triple elimination (HIV, Syphilis and Hepatitis B). Age, education, experience and source of information did not have a significant relationship with midwives' knowledge (p> 0.05). The age of midwives ≥ 26 years old has low knowledge (80.5%) and the period of midwifery work (p>0.05). Midwives aged ≥ 26 years had low knowledge (80.5%) and midwive experience ≥ 5 years mostly had low knowledge (77.9%). Higher age and experience do not guarantee that someone has good knowledge. In this study, there were two respondents with a history of undergraduate education (postgraduate) who had low knowledge, even education does not reflect that someone has good knowledge. Age, education, experience and source of information do not have a significant relationship with midwives' knowledge. A person's knowledge can be influenced by other factors such as socio-culture, interest/motivation and curiosity. Keywords: Midwife, Triple Elimination, Knowledge, Mother-To-Child Vertical Transmission   ABSTRAK Kasus penularan infeksi (HIV, Sifilis dan Hepatitis B) ibu ke anak masih tinggi di Indonesia, diantara penyebab penularan dapat terjadi selama kehamilan, persalinan dan menyusui. Dampak penularan vertikal tersebut yang dapat meningkatkan angka kesakitan ibu dan anak, kematian neonatal dan kecacatan kongenital. Triple eliminasi dilakukan bertujuan untuk mencegah penularan dan meningkatkan pengobatan pada ibu dan anak agar kehidupan ibu dan anak lebih berkualitas. Penelitian ini bertujuan untuk mengetahui tingkat pengetahuan bidan mengenai triple eliminasi (HIV, Sifilis dan Hepatitis B) dan menganalisis faktor (umur, pendidikan, masa kerja dan sumber informasi) yang dapat mempengaruhi pengetahuan bidan. Penelitian dilakukan berupa analitik observasional dengan pendekatan cross sectional study untuk mengetahur pengaruh sebab-akibat antar variabel tanpa memberikan intervensi dari variabel yang akan diteliti. Instrumen penelitian yang digunakan berupa kuesioner pengetahuan. Teknik pengumpulan data dilakukan oleh enumerator penelitian, dimana pengisian kuesioner menggunakan google form. Uji statistik dalam penelitian ini menggunakan uji chi square, fisher exact dan kruskal walis. Bidan mempunyai pengetahuan yang rendah mengenai triple eliminasi (81,1%) dimana artinya bidan masih memiliki keterbatasan informasi mengenai triple eliminasi (HIV, Sifilis dan Hepatitis B). Umur, pendidikan, masa kerja dan sumber informasi tidak memiliki hubungan signifikan terhadap pengetahuan bidan (p> 0,05). Umur bidan ≥ 26 tahun memiliki pengetahuan yang rendah (80,5%) dan masa kerja ≥ 5 tahun sebagian besar memiliki pengetahuan rendah (77,9%). Umur dan masa kerja yang semakin tinggi, tidak menjamin seseorang memiliki pengetahuan yang baik. Pada penelitian ini terdapat dua responden dengan riwayat pendidikan strata 2 (pasca sarjana) memiliki pengetahuan yang rendah, pendidikan pun tidak memberikan cerminan bahwa seseorang mempunyai pengetahuan yang baik. Umur, pendidikan, masa kerja dan sumber informasi tidak memiliki hubungan signifikan terhadap pengetahuan bidan. Pengetahuan seseorang dapat dipengaruhi oleh faktor lain sepeti sosial-budaya, minat/motivasi dan rasa ingin tahu. Kata kunci: Bidan, triple eliminasi, pengetahuan, penularan vertikal ibu ke anak