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All Journal Journal of Maternal and Child Health Academic Physiotherapy Conference Proceeding
Wardani, Aulia Ayu Kusuma
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Health Professions Medicine & Pharmacology Neuroscience Nursing Public Health

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Meta Analysis of Factors Determining Postnatal Care Utilization Astari, Rahmi Windhy; Wardani, Aulia Ayu Kusuma; Maryana, Dyan; Kurniati, Era; Murti, Bhisma; Tursina, Elsa
Journal of Maternal and Child Health Vol. 9 No. 3 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2024.09.03.02

Abstract

Background: Maternal and infant morbidity and mortality continue to be a challenge today. Most maternal and newborn deaths occur during the early postnatal period. This condition can be caused by low utilization of postnatal care services. This study aims to analyze and estimate the influence of determining factors on the utilization of postnatal care services. Subjects and Method: Meta-analysis was conducted using PRISMA guidelines and PICO format. Population: Postpartum Mothers. Intervention: high antenatal care, high maternal education, high family income and delivery in hospital. Comparison: low antenatal care, low maternal education, low family income, home birth. Outcome: postnatal care services. Cross-sectional study articles were collected from Google Scholar, PubMed, and Science Direct databases. The search strategy used the keywords: "Determinant Postnatal Care" AND "Maternal Health Service" AND "Cross-Sectional". The inclusion criteria for this study were full-text, cross-sectional studies published from 2014 to 2023. Data from articles were extracted with RevMan 5.3. Results: The meta-analysis included 16 cross-sectional studies from Ethiopia, Ghana, Kenya, and Malawi. The total sample was 29,165 postpartum mothers. Postnatal mothers with high antenatal care visits (aOR= 2.64; 95% CI= 1.87 to 3.71; p = 0.001), high education (aOR= 2.09; 95% CI= 1.67 to 2.63; p = 0.001), high family income (aOR= 1.63; 95% CI= 1.25 to 2.11; p = 0.002), and hospital delivery (aOR= 1.58; 95% CI= 1.15 to 2.97; p = 0.010) allow the utilization of postnatal care services and these results were statistically significant. Conclusion: The results of this study reveal that high antenatal care, high maternal education, high family income and delivery in hospital have a positive effect on the utilization of postnatal care services.
AQUATIC EXERCISE IN PATIENTS WITH CHRONIC LOW BACK PAIN: A CASE STUDY Wardani, Aulia Ayu Kusuma; Supriyadi, Arin; Pristianto, Arif
Academic Physiotherapy Conference Proceeding 2021: Academic Physiotherapy Conference Proceeding
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (300.48 KB)

Abstract

Introduction : Chronic low back pain is defined as pain in the lower back that lasts more than 12 weeks. The average prevalence of LBP sufferers is 39% in adults. In Lower Cross Syndrome there is tension in the thoraco-lumbar extensor muscles that cross the m. iliopsoas and m. rectus femoris. As well as weakness in the abdominal muscles that cross the m. gluteus maximus and medius. Schober test is used to determine ROM in the lumbar. Aquatic exercise can be used for the purpose of facilitating Range of Motion (ROM) exercises, facilitating weight-bearing exercises, minimizing the risk of injury or re-injury during rehabilitation, and promoting relaxation. Case Presentation : A patient named Mr. AN is 36 years old and works in the TNI. The patient complained of pain in the lower back and limitation of bending motion. Diagnosis of Chronic Low Back Pain (non-specific). Schober test measurements obtained results of 2 cm. Management and Outcomes : The physiotherapy process was carried out on patients in the hospital with 5 meetings. The aquatic exercise movements used include Stretching, Strengthening, Stabilization, Pelvic Tilt. Measurement of lumbar ROM using the Schober test. Discussion : After the patient received 4 sessions of physiotherapy, evaluation of the lumbar ROM measurement was carried out using the Schober test. The results of the measurement of lumbar ROM with the Schober test showed a significant improvement, from 2cm to 3.1cm. Where with these results it can be concluded that there is an additional lumbar ROM. Conclusion : The physiotherapy program which was carried out four times in cases of Chronic Low Back Pain using aquatic exercises which included stretching, strengthening, stabilization, and pelvic tilt was proven to be able to increase the Range of Motion (ROM) in the lumbar.
Co-Authors Arif Pristianto Astari, Rahmi Windhy Bhisma Murti Kurniati, Era Maryana, Dyan Supriyadi, Arin Tursina, Elsa