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Faktor-Faktor Yang Mempengaruhi Kejadian Laserasi Perineum di Kabupaten Tegal Yuni Fitriani; Tri Agustina Hadiningsih; Ika Esti Anggraeni
Jurnal SMART Kebidanan Vol 8, No 2 (2021): DESEMBER 2021
Publisher : Universitas Karya Husada Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34310/sjkb.v8i2.473

Abstract

ABSTRAK Kematian ibu di Provinsi Jawa Tengah tahun 2019 mengalami penurunan dibandingkan tahun 2018, dengan AKI tahun 2019 sebesar 76,93/100.000 kelahiran hidup sebanyak 416 kasus. Laserasi perineum merupakan salah satu penyebab perdarahan postpartum. Berdasarkan data yang diperoleh dari Puskesmas Margasari terdapat sebanyak 232 (30%) dari total persalinan 775 kasus laserasi perineum selama tahun  2019. Tujuan penelitian ini adalah untuk mengetahui faktor-faktor yang mempengaruhi kejadian laserasi perineum di Puskesmas Margasari. Jenis penelitian ini adalah penelitian kuantitatif yaitu deskriptif analitik dengan desain penelitian retrospektif untuk melihat faktor-faktor yang mempengaruhi kejadian laserasi perineum di Puskesmas Margasari. Penelitian ini dilakukan menggunakan data pesalinan tahun 2020 jumlah sampel 350 orang (30%) dari total populasi. Dengan mengunakan Uji regresi logistik. Hasil penelitian menunjukkan ada hubungan antara usia ibu hamil (p=0,000), paritas ibu (p=0,000), berat badan bayi (p=0,000) dengan kejadian laserasi perineum.  Kata kunci: laserasi; perineum; persalinan  ABSTRACT Maternal mortality in Central Java Province in 2019 decreased compared to 2018, it was 76.93/100,000 live births with 416 cases in 2019. Perineum Laceration is one of the causes of postpartum hemorrhage. Based on data obtained from the Margasari District Health Center, there were 232 (30%) of the total 775 cases of perineum laceration delivered in 2019. The purpose of this study was to determine the factors that influence the incidence of Perineum Laceration at the Margasari Health Center. This type of research was a quantitative research that is descriptive analytic with a retrospective research design to see the factors that influence the incidence of Perineum Laceration at Margasari Health Center. This study was conducted using labor data in 2020 with a sample of 350 people (30%) of the total population by using logistic regression test. The results showed that there was a relationship between the age of pregnant women (p=0.000), maternal parity (p=0.000), infant weight (p=0.000) and the incidence of perineum laceration. Keywords: laceration; perineum; labor Keywords: laseration;  perineum; childbirth
THE ASSOCIATION BETWEEN BIRTH WEIGHT AND THE OCCURRENCE OF PERINEAL RUPTURE IN TALANG PUBLIC HEALTH CENTER, TEGAL DISTRICT Tri Agustina Hadiningsih; Ika Esti Anggraeni
Siklus : Journal Research Midwifery Politeknik Tegal Vol 13, No 01 (2024)
Publisher : Pusat Penelitian dan Pengabdian Masyarakat Politeknik Harapan Bersama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30591/siklus.v13i01.5566

Abstract

The weight of the newborn is a risk factor for perineal tearing when spontaneously delivered. This is because the perineum is not strong enough to withstand stretching of the baby's head when the baby weighs a considerable amount. According to the data obtained from Talang Public Health Center, in the number of births in January - October 2021, 28% of mothers experienced perineal rupture during vaginal delivery. This study aimed to determine the relationship between newborn weight and the incidence of perineal rupture. A quantitative with a correlational design was used in this research. The data was collected from January to May 2022 in Talang Public Health Center. The sample used in this research was 119 mothers who gave birth. We used secondary data and analyzed it using SPSS with the chi-square statistical test. Based on the research results, it can be concluded that there is no significant relationship between the birth weight of the baby and the incidence of perineal rupture in Talang Health Center with the value of p = 0.650 α = 0.05. This may be due to other factors such as maternal, fetal, birth, and birth assistance factors. Hopefully, this research will provide health workers and the community with knowledge so pregnant women can have regular ANC visits to monitor fetal development.
PERSIAPAN PERSALINAN PADA MASA PANDEMI COVID 19 DI DESA DUKUHWARU Tri Agustina Hadiningsih; Ika Esti Anggraeni; Rina Febri
JABI: Jurnal Abdimas Bhakti Indonesia Vol 4 No 2 (2023): Desember
Publisher : UNIVERSITAS BHAMADA SLAWI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36308/jabi.v4i2.455

Abstract

Angka Kematian Ibu (AKI) dan Angka Kematian Bayi (AKB) merupakan indikator yang digunakan untuk menunjukan keadaan dari derajat kesehatan disuatu masyarakat, diantaranya pelayanan ibu dan bayi. Kasus kematian Ibu di Kabupaten Tegal pada tahun 2021 sebanyak 30 kasus, penyebab tertinggi diantaranya karena Covid-19 ada 12 orang, Pre Eklamsia Berat (PEB) 9 orang, Perdarahan 6 Orang dan Lain- lain 3 orang (Dinkes Kab. Tegal, 2021). Berdasarkan studi pendahuluan di Desa Dukuhwaru Kabupaten Tegal terdapat 40 ibu hamil dan ada 9 (22%) ibu hamil risiko tinggi. Salah satunya terkonfirmasi Covid 19. Tingginya AKI yang disebabkan karena Covid 19, maka perlu diperlukan Pendidikan Kesehatan tentang persiapan persalinan sejak masa kehamilan untuk mengurangi risiko terpapar Covid 19 pada kehamilan, persalinan dan nifas. Pelaksanaan kegiatan dengan metode pemberian pendidikan kesehatan dengan media leafleat. Hasil dari pengabdian adalah ibu hamil memberikan respon positif terkait informasi persiapan persalinan pada masa pandemic covid 19.