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THE RELATIONSHIP OF WEIGHT INCREASE WITH PREECLAMPSIA INCIDENCE IN TRIMESTER III PREGNANT WOMEN AT CURAHTULIS HEALTH CENTER Ismatul Karimah; Titik Suhartini; Mega Silvian Natalia
JURNAL ILMIAH OBSGIN : Jurnal Ilmiah Ilmu Kebidanan & Kandungan P-ISSN : 1979-3340 e-ISSN : 2685-7987 Vol 15 No 1 (2023): MARET
Publisher : NHM PRESS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36089/job.v15i1.1075

Weight gain is one of the predisposing factors for the incidence of preeclampsia in pregnant women. The habit of eating fatty and salty foods is often associated with blood pressure because excess fat consumption can trigger atherosclerosis which is a factor causing hypertension, while excessive salt consumption can increase fluid accumulation in the blood (diuretics) which causes impaired blood circulation so that the heart will work stronger and eventually a person's blood pressure will be high. Preeclampsia is hypertension that occurs after 20 weeks of gestation accompanied by proteinuria, Preeclampsia in pregnancy-specific hypertensive disease with multisystem involvement.The purpose of the study was to analyze the relationship between weight gain and the incidence of preeclampsia in third trimester pregnant women at the CurahTulis Health Center, Tongas District, Probolinggo Regency. The research design used was a cross-sectional study with a retrospective time approach. The population in this study were 30 third trimester pregnant women and 30 third trimester pregnant women with preeclampsia. The sampling technique used a random sample. Collecting data using a questionnaire then the data is processed using SPSS using the Spearman rank test. The results of the analysis found that 9 pregnant women with excess body weight had a 100% risk of preeclampsia. while those with less or normal weight have a lower risk of developing preeclampsia. The results of the analysis of the significance value or Sig. (2-tailed) of 0.001, because the value of Sig. (2-tailed) 0.001 < less than 0.05, it means that there is a significant relationship between the variable weight gain and the incidence of preeclampsia in pregnant women. It is hoped that the Cultivation Health Center will be able to conduct socialization to the local community regarding the risk factors for preeclampsia in pregnant women.

THE RELATIONSHIP OF HUSBAND SUPPORT AND WOMEN’S WILLING FOR INSTALLATION OF IUD CONTRACEPTION (INTRAUTERINE DEVICE) IN STAGE IV Ika Setiawati; Titik Suhartini; Mega Silvian Natalia
JURNAL ILMIAH OBSGIN : Jurnal Ilmiah Ilmu Kebidanan & Kandungan P-ISSN : 1979-3340 e-ISSN : 2685-7987 Vol 15 No 1 (2023): MARET
Publisher : NHM PRESS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36089/job.v15i1.1078

The Family Planning Service (KB) program in Indonesia is experiencing a stagnant situation which is marked by the lack of increasing several indicators of family planning services, namely the number of participation in KB (Contraceptive Prevalence Rate = CPR) and unmet need. These two indicators are additional indicators in the fifth goal of the Millennium Development Goals (MDGs) 2015. This study aims to analyze the relationship between husband's support and willingness to give birth for the installation of an IUD (Intra Uterine Device) contraceptive during the fourth stage of labor in the Tegalsiwalan Health Center Work Area, Probolinggo Regency. This research is a quantitative research design with a correlational design using a cross sectional study approach with 45 respondents using accidental sampling technique. Data collection includes coding, editing and tabulating, then analyzed manually and on a computer using the Wilcoxon test. Based on the data it can be seen that of the 45 respondents, most of the husband's support was lacking, 24 respondents (53.3%) including the willingness of maternity mothers who were willing to insert an IUD, a total of 9 respondents (20%) and 15 respondents (33.3) who were not willing. %). obtained P Value : 0.000 and a = 0.05 means r < a, so H0 is rejected and Ha is accepted, and there is a relationship between husband's support and willingness of the mother to give birth for the installation of an IUD (Intra Uterine Device) contraceptive during the fourth stage of labor in the Tegalsiwalan Health Center Work Area. Probolinggo Regency. It is hoped that many sources of support can be obtained by someone from the environment and surroundings, therefore it is necessary to know how many sources of husband's support are effective for individuals who need it. The husband's source of support is an important aspect to improve reproductive health, so it needs to be known and understood.

RELATIONSHIP OF EMPLOYMENT STATUS OF FIRST TRIMESTER PREGNANT WOMEN WITH ABORTION INCIDENCE AT AMINAH KRAKSAAN MATERNITY CLINIC Mauliyatur Roifa; Iis Hanifah; Mega Silvian Natalia
JURNAL ILMIAH OBSGIN : Jurnal Ilmiah Ilmu Kebidanan & Kandungan P-ISSN : 1979-3340 e-ISSN : 2685-7987 Vol 15 No 1 (2023): MARET
Publisher : NHM PRESS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36089/job.v15i1.1079

Work outside the home carried out by pregnant women, especially in the first trimester, is at risk of abortion, because the reproductive organs are not yet strong and the placenta is not fully formed. This study aims to analyze the relationship between the employment status of pregnant women in the first trimester and the incidence of abortion. This research is a correlational analytic study, while the research design is retrospective. Data were taken using medical records of patients who visited the Aminah Maternity clinic which was held in June-August 2022 with a total population and sample of 95 respondents taken by simple random. Data collection includes editing, coding and batching, then the data is analyzed manually and on a computer with the chi-square test. The results showed that the work status with heavy work had a greater incidence of abortion than 30 respondents with heavy work status, 29 people (96.7%) experienced an abortion and 1 person (3.3%) did not experience an abortion. This is supported by using the chi square test, namely the calculated X2 value is 19,591 > X2 table (2.60) meaning that there is a significant relationship between the Employment Status Relationship of First Trimester Pregnant Women with Abortion Incidence, and the Asymp value. Sig. (2-sided) 0.000 < 0.05 means that H0 is rejected and H1 is accepted. It is hoped that Aminah's maternity clinic can educate all patients to reduce strenuous activities during early pregnancy because young pregnancies are still prone to miscarriage

Colostrum Relationship Between Family Role Whith 0-2 Day Colostrum Giving In Aminah Labor Clinic Syari Khoniawati; Iis Hanifah; Mega Silvian Natalia
JURNAL ILMIAH OBSGIN : Jurnal Ilmiah Ilmu Kebidanan & Kandungan P-ISSN : 1979-3340 e-ISSN : 2685-7987 Vol 15 No 1 (2023): MARET
Publisher : NHM PRESS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36089/job.v15i1.1081

Public knowledge about the importance of breastfeeding is still lacking, especially the provision of colostrum for newborns. Another factor that causes the low coverage of exclusive breastfeeding is the factor of working mothers, culture and family roles. Exclusive breastfeeding is breastfeeding without additional food until the baby is 6 months old. This research is an analytic survey research, while the research design uses a cross sectional survey, which is to measure the behavior of a number of populations through 34 respondents. So that it contains information about the attitudes, beliefs, opinions and behavior of families by giving colostrum. Data were taken by giving questionnaire sheets to patients who gave birth at Aminah's maternity clinic from June to August 2022 with a total population and sample of 34 respondents. Data collection includes coding, editing, scoring, tabulating and entering, then the data is analyzed manually and computer with chi-square test. The results of this study showed that the role of the family in giving colostrum 0-2 days at the Aminah Maternity Clinic was obtained a value of p = 0.002 which was smaller than alpha (0.05), then Ho was rejected H1 was accepted with a coefficient value of 0.513. The conclusion of this study is that there is a significant relationship between the role of the family with the provision of colostrum 0-2 days in the maternity clinic Aminah. And there needs to be an explanation of health workers about the importance of giving colostrum to newborns.

The Relationship between Weight Gain of Pregnant Women and Interpretation of Fetal Weight at the Gynecology Polyclinic of RSIA Muhammadiyah Probolinggo Nuri As-saadatul Ulya; Mega Silvian Natalia; Tutik Ekasari
JURNAL ILMIAH OBSGIN : Jurnal Ilmiah Ilmu Kebidanan & Kandungan P-ISSN : 1979-3340 e-ISSN : 2685-7987 Vol 15 No 1 (2023): MARET
Publisher : NHM PRESS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36089/job.v15i1.1181

In pregnant women, weight gain is influenced by the nutritional status and diet of the mother, namely the pattern of staple foods and animal side dishes. In addition to weight gain of pregnant women, there are other things that must be considered, namely fetal weight gain, because fetal weight gain is one of the things related to fetal growth. One of the ways to detect fetal growth is by measuring the Fetal Weight Interpretation (TBJ). TBJ is one way to estimate fetal weight while still in the uterus, it is useful for monitoring fetal growth, so that it can detect early the possibility of abnormal fetal growth. Abnormal fetal growth tends to experience problems both during labor and postnatally, including IUGR, macrosomia, and low birth weight. The purpose of this study was to determine the relationship between maternal weight gain and the interpretation of fetal weight. The research design used in this study was correlation analytic with a cross sectional design. In this study, researchers examined the risk factor is weight gain of pregnant women and The effect factor is the result of calculation of the interpretation of fetal weight. The sample of this study were all 36-38 weeks pregnant women in the gynecology polyclinic of RSIA Muhammadiyah Probolinggo city in June – July 2022 which matched the inclusion and exclusion criteria of 35 pregnant women. Birth cases at RSIA Muhammadiyah Probolinggo saw an increase in cases of LBW births, namely in 2020 by 98 babies to 119 LBW babies in 2021. Of the 35 respondents studied, most of the respondents (77.2%) experienced weight gain of between 11.3 up to 15.8 kg. The body mass index (BMI) of the mother before pregnancy at most (91.4%) had a BMI of 18.5-25 in the normal category. the results of the calculation of the interpretation of fetal weight using the modified niswander formula most (85.7%) weigh between 2,400 to 3,100 grams. While pregnant women with weight gain between 11.3 - 15.8 kg, most (77.1%) have an interpretation of fetal weight between 2,400 - 3,100 grams. The results of the Spearman Rank Analysis Test obtained the value of value < , where the value of value is 0.004 and the value of 0.05 (0.004 <0.05) and the direction of the correlation is seen in the correlation coefficient number is positive, namely 0.472 so it can be concluded that there is a relationship between the weight gain of pregnant women and the interpretation of fetal weight calculated using the modified niswander formula.

THE RELATIONSHIP PREEKLAMSIA WITH GRAVIDA FOR PREGNANT WOMEN IN THE DELIVERY ROOM RSIA MUHAMMADIYAH PROBOLINGGO Malayanti Umami; Tutik Ekasari; Mega Silvian Natalia
JURNAL ILMIAH OBSGIN : Jurnal Ilmiah Ilmu Kebidanan & Kandungan P-ISSN : 1979-3340 e-ISSN : 2685-7987 Vol 15 No 1 (2023): MARET
Publisher : NHM PRESS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36089/job.v15i1.1185

Preeclampsia is a disorder found during pregnancy with signs such as hypertension, proteinuria, and edema which usually occurs after 20 weeks to 48 hours of gestation which is the biggest cause of death in pregnant women besides infection and bleeding. The incidence of pre-eclampsia can be obtained from the history of the pregnant woman's pregnancy.The purpose of this study was to determine whether there is a relationship between gravida and the incidence of preeclampsia in pregnant women in the maternity ward of RSIA Muhammadiyah Probolinggo. The research method used is an analytic correlation study with a cross sectional approach using secondary data through medical records. The samples used were all pregnant women who experienced pre-eclampsia in the period January 1, 2021 – December 31, 2021.The sampling technique used was simple random sampling with a total of 100 pregnant women. Analysis using Spearman rank with SPSS 2.0.The results of this study showed that 47% of primigravida mothers had severe preeclampsia and 15% had mild preeclampsia. While in multigravida as much as 30% had mild preeclampsia and 8% had severe preeclampsia. The results of the SPSS calculation using Spearman Rank with a sample size of 100, then the value of Sig. (2-tailed) is 0.00 as the basis for the decision above, it can be concluded that there is a significant relationship between Gravida and the incidence of Pre-eclampsia. Then from the output above, it is known that the Correlation Coefficient value is 0.534, so this value indicates a relationship with a moderate correlation between Gravida and the level of Pre-eclampsia.This is due to blocking antibodies against placental antigens formed in the first pregnancy to cause preeclampsia. This theory also states that due to a decrease in human antigen G protein (HLA), which plays an important role in modulating the immune response, the mother rejects the products of conception.

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