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IDENTIFIKASI KEJADIAN LASERASI PERINEUM SAAT PERSALINAN DI PMB NGUDI SARAS, JATEN, KARANGANYAR TAHUN 2021 Suwarnisih Suwarnisih
Jurnal Ilmiah Maternal Vol 6, No 2 (2022): Maternal (Jurnal ilmiah)
Publisher : Sekolah Tinggi Ilmu Kesehatan Mitra Husada Karanganyar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54877/maternal.v6i2.909

ABSTRACT One indicator of a nation's health status is AKI (Maternal Mortality Rate) and IMR (Infant Mortality Rate). MMR and IMR are still a big problem for the Indonesian people so that maternal and child health services are a top priority in health development in Indonesia. The focus of normal delivery care is clean and safe delivery and prevent complications (PP IBI, 2016). Spontaneous perineal tear is a tear in the space in the form of a parallelogram located below the pelvic floor that occurs naturally without any action during delivery. The purpose of this study was to determine the incidence of perineal laceration during delivery at PMB Ngudi Saras Jaten, Karanganyar. Descriptive observational research method. The population in this study was 72 people the sampling technique used was "total sampling" where all the population was sampled. The results: of the 72 respondents who experienced the occurrence of penineal lacerations, the most were grade 2 perineal lacerations as many as 61 people (84.7%), perineal lacerations grade 1 there were 3 people (4.2%), there were no perineal lacerations/intact. 8 people ( 11.1% ). Conclusion: The highest incidence of perineal lacerations in normal delivery at PMB Ngudi Saras, Jaten Karanganyar was grade 2 as many as 61 people (84.7 %). Keywords : laceration, perineum ABSTRAKSalah satu indikator derajat kesehatan suatu bangsa yaitu AKI (Angka Kmatian Ibu) dan AKB (Angka Kematian Bayi). AKI dan AKB sampai saat ini masih menjadi masalah yang besar bagi bangsa Indonesia sehingga pelayanan kesehatan ibu dan anak menjadi prioritas utama dalam pembangunan kesehatan di Indonesia. Fokus asuhan persalinan normal adalah persalinan bersih dan aman serta mencegah terjadinya komplikas (PP IBI, 2016). Robekan perineum spontan merupakan robekan pada ruang yang berbentuk jajaran genjang yang terletak dibawah dasar panggul yang terjadi secara alami tanpa tindakan saat persalinan.Tujuan penelitian ini adalah untuk mengetahui kejadian laserasi perineum saat persalinan di PMB Ngudi Saras Jaten, Karanganyar.Metode penelitian observasional deskriptif. Populasi dalam penelitian ini adalah 72 orang tehnik sampling yang digunakan adalah “total sampling” dimana semua populasi dijadikan sampel.Hasil penelitian : dari 72 orang responden yang mengalami terjadinya laserasi penineum paling banyak adalah laserasi perineum derajat 2 sebanyak 61 orang (84,7 %), laserasi perineum derajat 1 ada 3 orang ( 4,2 % ), tidak ada laserasi perineum/utuh ada 8 orang ( 11,1 % ).Kesimpulan : Kejadian laserasi perineum yang paling banyak pada persalinan normal di PMB Ngudi Saras, Jaten Karanganyar adalah derajat 2 sebanyak 61 orang (84,7 %). Kata Kunci : laserasi, perineum

HUBUNGAN TINGKAT PENDIDIKAN DENGAN PENERAPAN DETEKSI DINI KEHAMILAN BERESIKO OLEH KADER POSYANDU DI DESA JATEN, KARANGANYAR Suwarnisih Suwarnisih; Eka Novitayanti
Jurnal Ilmiah Maternal Vol 6, No 1 (2022): Maternal (Jurnal Ilmiah)
Publisher : Sekolah Tinggi Ilmu Kesehatan Mitra Husada Karanganyar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54877/maternal.v6i1.871

ABSTRACT The problem of maternal and child health is still a crucial problem in Indonesia because MMR and The problem of maternal and child health is still a crucial problem in Indonesia because MMR and IMR are an indicator of the welfare of a nation. The government has made various improvement efforts but has not made significant progress. The problem of maternal mortality and infant mortality is related to various factors such as access, human resources, population (level of education, socio-cultural factors, poverty, purchasing power and population density), as well as policies that regulate and strive for affordability of access to health human resources and policies on population (PP IBI, 2016). The purpose of this study was to determine the relationship between education level and implementation of early detection of risky pregnancies by Posyandu cadres in Jaten Village, Karanganyar. Analytical observational research method with a cross sectional approach. The population in this study was 192 posyandu cadres in Jaten village, the sampling technique used was "accidental sampling" where 54 people filled out the questionnaire.The results of the study on the Education Level of Respondents Most of the respondents had an adequate education level (SMA), namely 42 respondents (77.8%), the implementation of early detection of risky pregnancies by posyandu cadres, most of the respondents had good early detection applications, namely 41 respondents (75.8%) , the results of the cross-tabulation analysis with the Chi-square test, the result is the p value = 0.000.Conclusion: there is a relationship between education level and the application of early detection of risky pregnancies by posyandu cadres in Jaten village, Karanganyar. Keywords: cadres, early detection, risky pregnancy ABSTRAKMasalah kesehatan ibu dan anak masih merupakan masalah krusial di Indonesia karena AKI dan AKB merupakan salah satu indikator kesejahteraan suatu bangsa. Pemerintah sudah mengadakan berbagai upaya perbaikan namun belum mengalami kemajuan yang significan. Masalah kematian ibu dan kematian bayi berkaitan dengan berbagai faktor diantaranya seperti akses, SDM, penduduk (tingkat pendidikan, faktor sosial budaya, kemiskinan, daya beli dan kepadatan penduduk), serta kebijakan yang mengatur dan mengupayakan keterjangkauan akses kesehatan SDM dan kebijakan tentang kependudukan (PP IBI, 2016).Tujuan penelitian ini adalah untuk mengetahui Hubungan Tingkat Pendidikan Dengan Penerapan Deteksi Dini Kehamilan beresiko Oleh Kader Posyandu Di Desa Jaten, Karanganyar. Metode penelitiannya yaitu observasional analitik dengan pendekatan cross sectional. Populasi dalam penelitian ini adalah 192 orang kader posyandu di desa Jaten, tehnik sampling yang digunakan adalah “Accidental Sampling” dimana yang mengisi kuesioner sejumlah 54 orang. Hasil penelitian Tingkat Pendidikan responden sebagian besar mempunyai Tingkat Pendidikan Cukup (SMA) yaitu 42 responden (77,8 %), penerapan deteksi dini kehamilan beresiko oleh kader posyandu sebagian besar responden mempunyai penerapan deteksi dini yang baik yaitu 41 responden (75,8%), hasil analisis cros tabulasi dengan uji Chi-square di dapatkan hasil nya nilai p = 0,000. Simpulan : ada hubungan antara tingkat pendidikan dengan penerapan deteksi dini kehamilan beresiko oleh kader posyandu desa Jaten, Karanganyar. Kata Kunci : kader, deteksi dini, kehamilan beresiko

IDENTIFIKASI LAMA PERSALINAN DI PMB NGUDI SARAS, JATEN, KARANGANYAR TAHUN 2021 Suwarnisih Suwarnisih
Jurnal Ilmiah Maternal Vol 7, No 1 (2023): Maternal (Jurnal ilmiah)
Publisher : Sekolah Tinggi Ilmu Kesehatan Mitra Husada Karanganyar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54877/maternal.v7i1.930

ABSTRACT. Childbirth is a series of processes that end with the expenditure of products of conception (Varney, 2008). Each birth is unique in that some deliveries are very short and some take so long that it leaves a mother hopeless, while some are problematic for both the mother and the baby (Simkin, 2007). Factors that affect the closeness of labor include maternal factors, fetal factors, and birth canal factors. Maternal factors include age, age, and parity. The fetal factors include attitude, location, malposition and malpresentation, large fetus, and congenital abnormalities such as hydrocephalus. Factors of the birth canal include a narrow pelvis, tumors in the pelvis, abnormalities in the cervix and vagina (Prawirohardjo, 2006). The aim of this study was to determine the length of labor at PMB Ngudi Saras Jaten, Karanganyar. Descriptive observational research method. The population in this study were 72 people. The sampling technique used was "total sampling" where all populations were sampled. The results of the study: of the 72 respondents based on parity characteristics, most were multipara, namely 50 respondents (69.4%), a small proportion were grande multipara, namely 4 people (5.6%) and for primiparas there were 18 people (25%). In the first stage of labor, the duration of labor was ≤ 14 hours, there were 60 respondents (83.3%) while 14 hours, there were 12 respondents (16.7%). ), while there were 24 (33.3%) who had an abnormal long of labor 18 hours. Conclusion : The incidence of long labor at PMB Ngudi Saras, Jaten, that is, the majority of respondents experienced a normal long of labor ≤ 18 hours as many as 48 people (66.7%). Keywords: long labor, Stage I, Stage II ABSTRAK. Persalinan adalah rangkaian proses yang berakhir dengan pengeluaran hasil konsepsi (Varney, 2008). Setiap kelahiran adalah unik karena beberapa persalinan berlangsung sangat singkat dan beberapa berlangsung lama yang membuat seorang ibu putus asa, sementara beberapa lainnya bermasalah baik untuk ibu maupun bayi (Simkin, 2007). Faktor – faktor yang mempengaruhi lamanya persalinan meliputi faktor ibu, faktor janin, dan faktor jalan lahir. Faktor ibu meliputi usia, his, dan paritas. Adapun faktor janin meliputi sikap, letak, malposisi dan malpresentasi, janin besar, dan kelainan kongenital sepert hidrosefalus. Faktor jalan lahir meliputi panggul sempit, tumor pada pelvis, kelainan pada serviks dan vagina (Prawirohardjo, 2006) .Tujuan penelitian ini adalah untuk mengetahui lama persalinan di PMB Ngudi Saras Jaten, Karanganyar. Metode penelitian observasional deskriptif. Populasi dalam penelitian ini adalah 72 orang tehnik sampling yang digunakan adalah “total sampling” dimana semua populasi dijadikan sampel. Hasil penelitian : dari 72 orang responden berdasarkan karakteristik paritas sebagian besar multipara yaitu 50 responden (69.4 %), sebagian kecil grande multipara yaitu 4 orang (5.6 %) dan untuk primipara ada 18 orang (25 %). Persalinan kala I untuk lama persalinan yaitu ≤ 14 jam ada 60 responden (83.3 %) sedangkan 14 jam ada 12 responden (16.7 %).Total lama persalinan yaitu sebagian besar responden mengalami lama persalinan yang normal ≤ 18 jam sebanyak 48 orang (66.7 %), sedangkan yang mengalami lama persalinan tidak normal 18 jam yaitu ada 24 ( 33.3 %). Kesimpulan : Kejadian lama persalinan di PMB Ngudi Saras, Jaten yaitu sebagian besar responden mengalami lama persalinan yang normal ≤ 18 jam sebanyak 48 orang (66.7 %). Kata Kunci : Lama Persalinan, Kala I, Kala II

HUBUNGAN ANTARA KARAKTERISTIK HIS DENGAN LAMA PERSALINAN DI PMB NGUDI SARAS NGRINGO, JATEN, KARANGANYAR N. Kadek Sri Eka Putri; Yeni Anggraini; Suwarnisih Suwarnisih
Jurnal Ilmu Keperawatan dan Kebidanan Vol 14, No 1 (2023): JURNAL ILMU KEPERAWATAN DAN KEBIDANAN
Publisher : Universitas Muhammadiyah Kudus

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26751/jikk.v14i1.1593

Labor and birth are physiological things that will be experienced by almost all women. However, maternal mortality and morbidity is a major problem in developing countries. About 76% of maternal deaths occur in the labor phase. There are several factors that cause maternal death, one of which is prolonged labor, where on average prolonged labor causes maternal mortality by 8% in the world and in Indonesia by 9%. Prolonged labor can be bad for both the mother and the baby. The purpose of this study was to determine the relationship between His characteristics and length of delivery at PMB Ngudi Saras Ngringo, Jaten Karanganyar. The research method used in this research is analytic observational. The population of this study were all mothers who gave birth at PMB Ngudi Saras Ngringo, Jaten, Karanganyar from January to December 2021. With a total sample of 72 respondents. Data analysis using chi squared (X2). The results of the study obtained the value of chi squared count (61,411) chi squared table (5,991) with a probability of 0.000 0.05, so it can be concluded that there is a relationship between his characteristics and the length of labor. The contingency coefficient obtained a value of 0.678 so that it can be concluded that the level of closeness of the relationship between his characteristics and the length of labor is included in the strong category.

ANALISIS LAMA PERSALINAN TERHADAP KEJADIAN SECTIO CAESAREA Suwarnisih Suwarnisih; Yeni Anggraini; Hastutik Hastutik
Jurnal Ilmu Keperawatan dan Kebidanan Vol 15, No 2 (2024): JURNAL ILMU KEPERAWATAN DAN KEBIDANAN
Publisher : Universitas Muhammadiyah Kudus

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26751/jikk.v15i2.2393

Persalinan merupakan suatu peristiwa fisiologis, namun tidak jarang kelahiran tersebut mempunyai kendala sehingga memerlukan tindakan untuk menyelamatkan ibu dan anak, salah satunya adalah pembedahan atau Sectio Caesarea. Menurut Organisasi Kesehatan Dunia (WHO), rata-rata kejadian Sectio Caesarea di dunia adalah 5-15% per 1000 kelahiran. Di rumah sakit umum, angka kesakitan rata-rata 11%, sedangkan di rumah sakit swasta bisa lebih dari 30%. Tujuan penelitian ini adalah menganalisis lama persalinan dengan kejadian Sectio Caesarea. Metode penelitian yang digunakan adalah observasional analitik. Instrumen yang digunakan adalah lembar observasi ceklist. Populasi penelitian adalah seluruh ibu yang melahirkan pada bulan Januari sampai Desember 2022 di Rumah Sakit Ibu dan Anak di Kabupaten Karanganyar. Besar sampelnya adalah 193 responden. Chi-square (X2) digunakan untuk analisis data. Dari hasil penelitian diperoleh data hasil chi kuadrat sebesar 21.120 sedangkan chi kuadrat tabel (df = 2 dan α = 5 %) diperoleh chi kuadrat tabel sebesar 5.991 dan probabilitas sebesar 0,000 0,05. Maka Chi kuadrat hitung (21.120) chi kuadrat tabel (5.991) sehingga Ho ditolak. Hasil analisis menunjukkan bahwa terdapat hubungan antara persalinan lama dengan jenis persalinan. Diharapkan pada penelitian selanjutnya agar memperdalam dan mengembangkan penelitian dengan menggali faktor-faktor lain yang dapat mempenggaruhi jenis persalinan. Kata kunci : Jenis Persalinan, Lama Persalinan, Sectio Caesarea AbstractChildbirth is a physiological event, but it is not uncommon for birth to have problems that require action to save the mother and child, one of which is surgery or Sectio Caesarea. According to the World Health Organization (WHO), the average incidence of Sectio Caesarea in the world is 5-15% per 1000 births. In public hospitals, the average morbidity rate is 11%, while in private hospitals it can be more than 30%. The aim of this study was to analyze the length of labor and the incidence of Sectio Caesarea. The research method used is analytical observational. The instrument used was a checklist observation sheet. The study population was all mothers who gave birth from January to December 2022 at the Mother and Child Hospital in Karanganyar Regency. The sample size was 193 respondents. Chi-square (X2) was used for data analysis. From the research results, the chi square data obtained was 21,120, while the table chi square (df = 2 and α = 5%) obtained a table chi square of 5,991 and a probability of 0.000 0.05. So the calculated chi square (21.120) table chi square (5.991) so that Ho is rejected. The results of the analysis show that there is a relationship between length of labor and type of labor. It is hoped that future research will deepen and develop research by exploring other factors that can influence the type of delivery.

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