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All Journal JURNAL PROMOSI KESEHATAN INDONESIA Madu : Jurnal Kesehatan Journal Midwifery Jurusan Kebidanan Politeknik Kesehatan Gorontalo Jurnal Pengabdian Masyarakat Teknologi Pertanian Jurnal Pengabdian Masyarakat Farmasi : Pharmacare Society Mohuyula : Jurnal Pengabdian Kepada Masyarakat
Nurdin, St. Surya Indah
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Agriculture, Biological Sciences & Forestry Humanities Health Professions Medicine & Pharmacology Public Health Social Sciences Other

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Prevalensi Kematian Ibu Dan Faktor Risiko Yang Mempengaruhinya Ahmad, Zul Fikar; Nurdin, St. Surya Indah
Madu : Jurnal Kesehatan Vol 13, No 1 (2024): Juni 2024
Publisher : Program Studi DIV Kebidanan Fakultas Ilmu Kesehatan Universitas Muhammadiyah Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31314/mjk.13.1.9-17.2024

Abstract

Maternal mortality is one of the significant maternal and child health problems in Indonesia. Maternal death not only affects the quality of life of the baby but also the family. This study aims to research the prevalence and risk factors for high maternal mortality. The type of research used was analytical observational with a case-control study design. The sample size of cases and controls used a ratio of 1:2. The instrument used was a questionnaire. Odd Ratio assessed the magnitude of risk. Anaemia during pregnancy, type of delivery, pregnancy complications, delivery complications, and delay in referral were found to have a statistically significant association with maternal mortality. Maternal education, maternal age, family socioeconomics, parity, pregnancy spacing, history of miscarriage, ANC examination, nutritional status of pregnant women, history of maternal illness, puerperal complications, access to health services, clean and healthy living behaviour, and exposure to cigarette smoke were found to have no statistically significant association with maternal mortality. In the future, it is necessary to improve facilities and infrastructure to support maternal and neonatal emergency services.
Determinan Kejadian Ruptur Perineum Pada Persalinan Pervaginam Katili, Rusli A; Nurdin, St. Surya Indah; Ahmad, Zul Fikar
Madu Jurnal Ilmu Kebidanan Vol 14, No 2: Desember 2025
Publisher : Program Studi DIV Kebidanan Fakultas Ilmu Kesehatan Universitas Muhammadiyah Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31314/mjk.14.2.182-190.2025

Abstract

Perineal rupture is a common complication of vaginal delivery and may result in both short-term and long-term adverse outcomes for women. This study aimed to analyze the determinants of perineal rupture among women undergoing vaginal delivery at Sitti Khadijah Hospital, Gorontalo. A retrospective cohort design was employed using secondary data obtained from medical records of women who delivered vaginally. A total of 205 women were included in the study. The inclusion criteria comprised women who had vaginal delivery, singleton pregnancy with cephalic presentation, and complete medical records according to the study variables. Determinants were assessed using logistic regression analysis. The multivariate analysis revealed that birth weight was the only variable significantly associated with the occurrence of perineal rupture (OR = 1.003; p = 0.023). In contrast, maternal age, employment status, parity, gestational age at delivery, interpregnancy interval, and duration of the second stage of labor were not significantly associated with perineal rupture. Birth weight was identified as the main determinant of perineal rupture in vaginal delivery at Sitti Khadijah Hospital, Gorontalo. Preventive efforts should therefore focus on early identification of pregnancies at risk of delivering large infants and the optimization of safe, evidence-based intrapartum care practices.
Determinant of Neonatal Mortality in Rural Gorontalo: A Population-Based Case Control Study Nurdin, St. Surya Indah; Ahmad, Zul Fikar
Jurnal Promosi Kesehatan Indonesia Vol 21 No 1: January 2026
Publisher : Master Program of Health Promotion Faculty of Public Health Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jpki.21.1.77-84

Abstract

Background: Neonatal mortality remains a significant public health challenge, particularly in rural areas, where multiple maternal, perinatal, and neonatal risk factors contribute to adverse outcomes. This study aims to identify the determinants of neonatal mortality in a rural setting.Method: A case–control design was employed involving 224 participants (56 neonatal deaths and 168 surviving controls). Data were obtained from maternal and child health records and structured questionnaires. Descriptive, bivariate, and logistic regression analyses were performed to assess factors associated with neonatal mortality.Result: Significant determinants of neonatal mortality included maternal undernutrition (AOR = 3.54), low birth weight (AOR = 6.77), pregnancy complications (AOR = 8.04), intrapartum complications (AOR = 7.39), and neonatal complications (AOR = 9.17). Meanwhile, variables such as maternal age, education level, socioeconomic status, parity, antenatal care attendance, maternal anemia, interpregnancy interval, referral delay, healthcare access, exposure to cigarette smoke, and clean and healthy living behavior were not significantly associated with neonatal mortality. Neonatal mortality in rural areas is primarily influenced by maternal and neonatal factors related to nutrition and complications. Preventive efforts should focus on improving maternal nutritional status, strengthening early detection of pregnancy and intrapartum complications, and enhancing the management of neonatal complications to reduce neonatal mortality. 
Co-Authors Ahmad, Zul Fikar Basalama, Nadia Firzanly Batiti, Sarni Budy Santoso Butungale, Said Ekawaty Prasetya Fatmah Zakaria, Fatmah Halid, Apriyanto Hiola, Fidyawati Aprianti A. Ishak, Fifi Jusna Ahmad Katili, Dwi Nur Octaviani Katili, Rusli A Levana Sondakh Lintje Boekoesoe M, Maesarah Margaretha Solang Melani, Nour Arizza Dwi Mohamad Ikbal Riski Danial Mustamin Ibrahim Nour Arriza Dwi Melani Ratna Dunggio, Ratna Rauf, Efri Leny Suryadi, A. Mu'thi Andy Tahir, Nur Ain Umar, Siskawati Widya Rahmawaty Saman Yasin, Indri Afriyani