Laksana, Muhammad Ardian Cahya
Department Of Obstetrics And Gynaecology, Rumah Sakit Universitas Airlangga, Surabaya, Indonesia; Indonesian Society Of Obstetricians And Gynecologists

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Analisis faktor-faktor risiko anemia pada ibu hamil di Kabupaten Gresik tahun 2021 Galuh Senjani Yulfani Putri; Sulistiawati Sulistiawati; Muhammad Ardian Cahya Laksana
Jurnal Riset Kebidanan Indonesia Vol 6, No 2 (2022): Desember
Publisher : AIPKEMA (Asosiasi Institusi Pendidikan Kebidanan Muhammadiyah-'Aisyiyah Indonesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32536/jrki.v6i2.220

Abstract

Latar belakang : Anemia pada kehamilan berkontribusi terhadap tingginya angka kesakitan dan kesakitan dan kematian ibu dan bayi serta meningkatkan risiko Bayi Berat Lahir Rendah (BBLR). Tujuan penelitian : mengetahui faktor-faktor yang berhubungan dengan anemia pada ibu hamil di Kabupaten Gresik. Metode :Penelitian ini bersifat observasional analitik dengan pendekatan cross sectional study. Populasi seluruh ibu hamil trimester I-III di puskesmas Kabupaten Gresik pada bulan Agustus-September 2021. Jumlah sampel 282 ibu hamil yang diambil secara total sampling. Data yang digunakan adalah data sekunder. Instrumen menggunakan rekam medis kohort ibu hamil. Data dianalisis dengan uji Chi-square dengan p0.05 dan regresi logistik. Hasil : Prevelensi anemia pada ibu hamil yang ditemukan pada penelitian ini sebesar 41,5%. Hasil uji statistik menunjukkan nilai p pada variabel usia ibu, usia kehamilan, paritas, gravida, tingkat pendidikan, dan status bekerja ibu adalah 0,742; 0,000; 0,860; 0,894; 0,002; 0,011. Analisis regresi logistik menunjukkan bahwa usia kehamilan (OR=7,814; 95%CI 4,121 – 12,400; p = 0,000) adalah variabel yang dominan. Kesimpulan : ada hubungan yang bermakna antara usia kehamilan, tingkat pendidikan, dan status bekerja terhadap kejadian anemia pada kehamilan. Backgroud : Anaemia in pregnancy contributed to high maternal and infant mortality and morbidity rate and increased the risk of Low Weight Baby Born. Objective : This study was carried out in order to determine the factors associated with anaemia among pregnant women in Gresik. Methods : This study was an analytical type of observational study with cross sectional design. The sampling was used to take 282 pregnant women attended antenatal care (ANC) at community health center in Gresik from August-September 2021. Data were analyzed by Chi-square with significance level of α = 0,05 as bivariate and binary logistic regression as multivariate. Data were analyzed by chi-square test with p0,05 and logistic regression. Result: The prevalence of anaemia in pregnant women found in this study was 41,5%. Analysis bivariate result showed p value on age, gestational age, parity, gravida, education, and work were  0,742; 0,000; 0,860; 0,894; 0,002; 0,011. Logistic regression analysis showed that gestational age (OR = 7,814; 95% CI 4,121 to 12,400; p = 0,000) was the most dominant variable. Conclusion: Factors associated with anaemia among pregnant women in Gresik were gestational age, education, and work. Gestational age was the most dominant variable.
Maternal Deaths caused by COVID-19 Infection in the First Year of the Pandemic Wave Muhammad Ilham Aldika Akbar; Pungky Mulawardhana; Manggala Pasca Wardhana; Khanisyah Erza Gumilar; Ecccita Raheestyningtyas; Muhammad Ardian Cahya Laksana; Jimmy Yanuar Anas; Ernawati; Hermanto Tri Joewono; Muhammad Adrianes Bachnas; Brahmana Askandar Tjokroprawiro
Folia Medica Indonesiana Vol. 59 No. 2 (2023): June
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/fmi.v59i2.45226

Abstract

Highlights: These cases of maternal deaths caused by COVID-19 infections illustrated the significant risk factors for maternal mortality during the early phases of the pandemic, while studies had not extensively reported this. COVID-19 infections increase the risk of maternal and neonatal mortality, with infants having a lower chance of survival even if they are delivered. Respiratory support, antiviral medications, antibiotics, anticoagulants, and supportive care are the primary treatments for severe COVID-19 in pregnancy. AbstractThis article presents seven cases of maternal deaths attributed to COVID-19 during the first year of the pandemic wave. These cases provide insights into the natural progression of COVID-19 in pregnant women who were not vaccinated. This study showed that COVID-19 significantly increased maternal and neonatal mortality and morbidity. All of the patients exhibited symptoms of fever, cough, and dyspnea upon admission to the hospital. They were admitted with elevated respiratory rates (26–32 times/minute) and low oxygen saturation (<95%). Four patients had obesity, while one patient had pregestational diabetes. The COVID-19 diagnosis was established using a rapid antibody or antigen test and chest X-ray, which indicated pneumonia. Medical interventions administered to the patients included antiviral therapy (5 patients), antibiotics (6 patients), and anticoagulants (4 patients). From a total of five babies delivered, four babies were delivered via cesarean section. Two babies were not delivered due to previability and maternal deaths before delivery. The patients passed away within 3–10 days of hospital admission. In conclusion, adequate and early intervention and management of pregnant women infected with COVID-19 are crucial in preventing maternal and neonatal deaths, especially in unvaccinated women. 
THE CORRELATION BEETWEEN MOTHER'S NUTRITIONAL STATUS AND PARITY WITH THE INCIDENT OF LOW BIRTH WEIGHT (LBW) AT A PUBLIC HEALTH CENTER SURABAYA Hapsari, Fransiska Niken; Astika Gita Ningrum; Muhammad Ardian Cahya Laksana; Widati Fatmaningrum
Indonesian Midwifery and Health Sciences Journal Vol. 8 No. 1 (2024): Indonesian Midwifery and Health Sciences Journal, January 2024
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v8i1.2024.38-46

Abstract

Background: One of the highest causative factors of neonatal death in Indonesia is low birth weight (LBW), around 7,150 (35.3%) cases. Even though the trend of LBW incidents in East Java is decreasing, in the city of Surabaya itself the death rate due to LBW has increased from 31 deaths to 51 deaths. Simomulyo Public Health Center was ranked first with the highest incidence of LBW in Surabaya with 45 cases in 2019. Even though there was a decrease in cases in 2020, the death rate actually increased from 1 death to 4 deaths. WHO (2017) defines LBW as babies born weighing ≤ 2500 gr. Nutritional status and parity are two of the many risk factors for LBW. Knowing the causal relationship with the occurrence of LBW is important to do at the public Health Center as a first step in preventing LBW in the future. Method: This research is quantitative with an analytical observational design using a cross-sectional approach. Samples were taken using probability sampling techniques, namely random sampling. The total samples taken were 96 samples. Result: The results of the research was found that there was a relationship between nutritional status and the incidence of LBW with a value of p=0.005 (p<0.05) and the relationship between parity and the incidence of LBW with a value of p=0.001 (p < 0.05). Conclusion: there is a correlation between nutritional status and parity and the incidence of LBW at the Simomulyo Public Health Center Surabaya.
Determinants of Cesarean Section Decision in Indonesia: A Systematic Review Devy, Shrimarti Rukmini; Diah Indriani; Budi Prasetyo; Hari Basuki Notobroto; Lutfi Agus Salim; Muhammad Ardian Cahya Laksana; Nafiatus Sintya Deviatin
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 12 No. 1 (2024): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educatio
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpk.V12.I1.2024.129-138

Abstract

Background: Cesarean section delivery should be chosen if there are certain medical indications. However, the trend of childbirth by cesarean section shows a high increase in Indonesia. Complications of childbirth after cesarean section are higher compared to normal childbirth, this condition can endanger the health and safety of the mother and baby. Aims: to determine the determinants of cesarean section decisions in Indonesia. Method: this study is a systematic review using PRISMA, a database search via Google Scholar, PubMed, and ScienceDirect, keywords are adjusted to the topic discussed. Results: 13 articles were reviewed that were relevant to the research topic. Determinants of cesarean section decisions are medical indication including age, parity, pregnancy complications (hypertension and pre-eclampsia), history of delivery (cesarean section history), and labor complications (premature rupture of membranes and fetal distress) and by choice (own request) including residence in urban areas and employment. Conclusion: Interventions such as education, counseling, and others using appropriate communication, information, and education media, cooperation, and collaboration with academics and nongovernment organizations are needed in carrying out interventions.
FACTORS INFLUENCING HEALTH CARE PROVIDER IN CODUNCTING PREECLAMPSIA SCREENING Iflah Aninda; Laksana, Muhammad Ardian Cahya; Wittiarika, Ivon Diah
Indonesian Midwifery and Health Sciences Journal Vol. 8 No. 4 (2024): Indonesian Midwifery and Health Sciences Journal, October 2024
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v8i4.2024.432-440

Abstract

Background: Preeclampsia is responsible for maternal health globally due to its high morbidity and maternal mortality rates, especially in low-income countries such as Indonesia. Primary care providers, including general practitioners, midwives, and nurses, have a crucial role to play in the early assessment of preeclampsia screening. It was noted that factors affecting mortality were the lack of preparedness of officers in managing and responding to pregnancy emergencies, delayed recognition of worsening clinical signs of preeclampsia, as well as inadequate assessment and treatment for preeclampsia. This study aims to analyze the driving factors that influence health care provider in conducting preeclampsia screening in Gresik District. Methods: This research was an observational analytical study with a cross-sectional approach. The population in this study consisted of all doctors and midwives at the primary health facilities in the Gresik Regency area. The sample was taken from 159 respondents who were service providers in 20 primary health facilities in Gresik using simple random sampling. The variables in this study were the knowledge and attitudes of healthcare workers toward implementing preeclampsia screening. Data collection in this study used an online questionnaire conducted after issuing the Ethical Approval Letter until October 2023, which was then analyzed using a chi-square test with a significance level of 0.05.  Results: Only 27% of respondents demonstrated a good level of knowledge about preeclampsia, which affected the effectiveness of preeclampsia screening (p-value 0.04). A total of 86.2% of respondents showed a high level of attitude toward preeclampsia screening. However, this study found no significant relationship between healthcare workers' attitudes and preeclampsia screening (p-value 0.171). Conclusion: There is a significant link between the knowledge of the healthcare provider and the optimization of preeclampsia screening so new methods of training are needed that are assessed as effective and accompanied by rigorous monitoring and evaluation to enhance healthcare provider knowledge, especially concerning preeclampsia screening.
Profile of Maternal Mortality due to Cardiovascular Disease Based on Determinant Factors at Dr. Soetomo Regional General Hospital Akhmad Adam Mahendra; Andrianto; Muhammad Ardian Cahya Laksana
Cardiovascular and Cardiometabolic Journal (CCJ) Vol. 6 No. 1 (2025): Cardiovascular and Cardiometabolic Journal
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ccj.v6i1.2025.1-8

Abstract

Background: Although Indonesia’s maternal mortality rate (MMR) decreased from 346 per 100,000 live births in 2010 to 189 in 2020, it remains high compared to other Southeast Asian countries. Cardiovascular diseases are among the leading indirect causes of maternal deaths globally, accounting for over 33% of cases. Objectives: This study aims to analyze maternal mortality due to cardiovascular disease at Dr. Soetomo Regional General Hospital based on determinant factors. Methods: This study was a descriptive analytical study utilized secondary data from medical records of 123 patients who experienced maternal deaths due to cardiovascular disease at Dr. Soetomo Hospital between January 2020 and December 2023. Determinants were categorized as near (cardiovascular diagnosis), intermediate (maternal age, gestational age, obstetric status, and delivery mode), and distant (occupation) factors. Results: Of 123 cases, the leading cardiovascular complications were hypertension in pregnancy (58.5%), congenital heart disease and pulmonary hypertension (15.4%), and cardiomyopathy and  heart failure (14.6%). Intermediate determinants included maternal age >35 years (28.5%), multigravida status (60.2%), multiparity (56.9%), and third-trimester presentation (65%). Most deaths (96.7%) occurred postpartum, with cesarean section being the predominant delivery mode (74.8%). The majority of patients were housewives (53.7%). Conclusion: Hypertension in pregnancy remains a primary near determinant of maternal mortality. Intermediate and distant determinants, such as maternal age, obstetric status, and socioeconomic factors, also contribute significantly. Efforts to reduce maternal mortality should include improved antenatal care, early cardiovascular screening, and targeted public health interventions. - Highlights: 1. This study reinforces hypertension in pregnancy (58.5%) as the leading cause of maternal mortality due to cardiovascular disease, highlighting its significant contribution compared to other conditions like congenital heart disease (15.4%) and cardiomyopathy (14.6%). 2. A striking 96.7% of maternal deaths occurred postpartum, with cesarean section (74.8%) being the predominant delivery mode, suggesting a need for enhanced postpartum monitoring and cardiovascular care in high-risk pregnancies.
Strengthening maternal referral systems during public health emergencies: insights from Indonesia’s covid-19 response Laksana, Muhammad Ardian Cahya; Damayanti, Nyoman Anita; Habibie, Pandu Hanindito; Suhargono, Mochammad Hud; Dewi, Erni Rosita; Santoso, Budi; Sukarjiyah, Waritsyah; Izza, Alifina; Zakiya, Nurani Zulfa
Jurnal Ners Vol. 20 No. 2 (2025): VOLUME 20 ISSUE 2 MAY 2025
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v20i2.70589

Abstract

Introduction: This study assesses hospital readiness in maternal referral hospitals six months after the onset of the pandemic, aiming to inform future public health emergency responses. Methods: A descriptive and exploratory mixed-methods design was employed. Surveys and focus group discussions were conducted with 127 hospitals in the COVID-19 maternal referral hospitals by the East Java Provincial Government using the modified WHO hospital readiness checklist for COVID-19 2020. Quantitative data were analyzed descriptively, and qualitative data from focus group discussions were thematically analyzed to get deeper insights into the challenges faced by hospitals. Results: A total of 105 hospitals (83%) responded to the survey. While PPE supplies were largely adequate, gaps in infrastructure, including negative-pressure rooms, isolation areas, and diagnostic capacity, persisted. Financial constraints, particularly delays in the National Health Insurance Scheme (BPJS Kesehatan) claims, further strained hospital operations. FGDs revealed that PCR delays, staffing shortages, and underdeveloped referral coordination systems hindered the delivery of maternal services. Conclusions: Strengthening maternal referral systems requires improving diagnostic capabilities, investing in essential infrastructure, and ensuring timely financial reimbursement. Collaborative efforts among the Ministry of Health, BPJS Kesehatan, and healthcare facilities are crucial to enhancing maternal healthcare resilience during future public health emergencies.