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All Journal Jurnal Surya Medika Proceedings of the International Conference on Applied Science and Health JOURNAL OF RESEARCH IN PUBLIC HEALTH SCIENCES
Legawati Legawati, Legawati
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Biochemistry, Genetics & Molecular Biology Education Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health

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ANALISIS FAKTOR RISIKO KEJADIAN PREEKLAMPSIA BERAT DI RSUD RUJUKAN KABUPATEN DAN PROVINSI KALIMANTAN TENGAH Legawati, Legawati; Utama, Nang Randu
Jurnal Surya Medika Vol 3, No 1 (2017)
Publisher : Fakultas Ilmu Kesehatan

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Abstract

Angka kematian ibu (AKI) dan angka kematian bayi (AKB) merupakan barometer pelayanan kesehatan suatu Negara. Berdasarkan pengamatan World Health Organization (WHO), AKI diperkirakan sebesar 359 kematian maternal per 100.000 kelahiran hidup. Gambaran AKI menunjukkkan trend yang meningkat dari tahun 2007 sejumlah 228 per 100.000 kelahiran hidup (BPS Macro, 2012). Menurut World Health Organization (WHO), salah satu penyebabmorbiditas dan mortalitas ibu dan janin adalah pre-eklamsia berat (PEB), angka kejadiannya berkisar antara 0,51%-38,4%. Di negara maju angka kejadian preeklampsia berat berkisar 6-7% dan eklampsia 0,1-0,7%. Sedangkan angka kematian ibu yang diakibatkan pre-eklampsia berat dan eklampsia di negara berkembang masih tinggi (Betty & Yanti, 2011) Untuk menganalisis faktor risiko kejadian Pre eklampsia Berat di RSUD Rujukan Sultan Imanudin Pangkalan Bundan dr Doris Sylvanus Palangka Raya. Manfaat praktis penelitian ini dapat membantu kebijakan tentang analisis faktor risiko kejadian Pre Eklampsia Berat sehingga memudahkan dalam penanganan dan penatalaksanaan sebagai langkah pencegahan terjadinya Eklampsia. Jenis penelitian yang dilaksanakan adalah observasional menggunakan rancangan Cross Sectional Study. Rancangan cross sectional study adalah bila pengaruh antara variabel bebas (paparan) dan variabel terikat (efek) diamati dan diukur pada waktu yang bersamaan. Berdasarkan hasil analisis multivariabel dengan regresi logistik faktor yang mempengaruhi faktor risiko PEB adalah umur ibu, pendidikan, umur kehamilan, paritas, ANC. Faktor yang tidak berhubungan secara signifikan adalah pekerjaan, spasing, riwayat PE, riwayat DM, gemelli, social ekonomidan pengambilan keputusan. Faktor yang meningkatkan risiko PEB adalah umur ibu, pendidikan, pekerjaan, umur kehamilan, paritas, riwayat PE, ANC dan social ekonomi . Faktor yang tidak berhubungan secara signifikan adalah spasing, riwayat DM, gemelli, dan pengambilan keputusan. Untuk ibu hamil dapat melakukan pemeriksaan kehamilan tanpa melihat faktor risiko kejadian PEB maupun tanpa faktor risiko, dengan melihat beberapa faktor risiko penentu.Untuk tenaga kesehatan agar dapat melaksanakan pemeriksaan kehamilan dengan fokus pada kehamilan tersebut.
FAKTOR MATERNAL DAN PELAYANAN ANTE NATAL CARE TERINTEGRASI PADA KEJADIAN PREMATURITAS DI PUSKESMAS WILAYAH KOTA PALANGKA RAYA Legawati, Legawati; Riyanti, Riyanti; Noordiati, Noordiati
Jurnal Surya Medika Vol 3, No 1 (2017)
Publisher : Fakultas Ilmu Kesehatan

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Abstract

Kelahiran Prematur merupakan faktor risiko yang menyebabkan kematian neonatal. Berbagai upaya dilakukan untuk menurunkan angka kematian neonatal, salah satunya melalui pelayanan antenatal terintegrasi.Tujuan penelitian ini untuk mengetahui faktor maternal dan pelayanan terintegrasi yang mempengaruhi kejadian prematuritas di Puskesmas Wilayah Kota Palangka Raya.Dengan menggunakan metode kuantitatif. Dengan menggunakan analisis bivariat dibuktikan bahwa Ante Natal Care terintegrasi, faktor maternal umur, paritas, riwayat persalinan, pekerjaan, sosial ekonomi dan jarak persalinan memengaruhi kejadian prematuritas, sedangkan analisis multivariat membuktikan ANC terintegrasi, faktor maternal umur, pekerjaan, paritas dan jarak persalinan memberi pengaruh terhadap kejadian prematuritas di Kota Palangka Raya.
KARUNGUT MUSIC REDUCES ANXIETY OF ADOLESCENT PREGNANT MOTHER Riyanti, Riyanti; Legawati, Legawati
Proceedings of the International Conference on Applied Science and Health No 4 (2019)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Abstract

Background: Adolescent pregnancy is being a problem in Indonesia. Adolescent pregnancy can bring problem not only to the baby?s health but also the mother?s health as well. It can cause problem in society too. The pressure from family and society towards adolescent who got pregnant, especially if they get pregnant without marriage can lead the mother to face anxiety during the pregnancy. The anxiety during pregnancy can bring negative impact to the baby and mother. This study aims to determine the effect of Karungut music to the anxiety level among pregnant adolescent in Kapuas Regency, Indonesia. Methods: This study was an analytical study with a quasi-experimental. Totally 60 respondents were recruited in this study used simple random sampling. 30 respondents were chosen to be experimental group meanwhile the rest as control group. The data was analyzed in univariate and bivariate analysis. binary logistic regression was used to analyze in multivariate level. Results: Majority of the respondents in this study were did the Antenatal Care regularly (55%), had high motivation for pregnant (51.7%), got families support (71.7%) but not from the health workers (83.3%). The multivariate analysis showed that heard Karungut music can reduce the anxiety level among pregnant adolescent (OR= 3.33) after controlling other variables. Conclusion: Listening Karungut music during pregnancy can reduce the anxiety among pregnant woman. It can be considered as an alternative way to improve the health status among pregnant adolescent by reducing one of risk factor that can affect to the pregnancy. Supporting from family and health workers also important during pregnancy to reduce the anxiety.
DETERMINANT OF LAW BIRTH WEIGTH: REVIEW ARTICLE Legawati, Legawati
JOURNAL OF RESEARCH IN PUBLIC HEALTH SCIENCES Vol 1, No 2 (2019)
Publisher : Krafon Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (327.085 KB) | DOI: 10.38062/jrphs.v1i2.53

Abstract

Introduction: Low Birth Weight (LBW) is one of the main public health problems in newborns that affects newborns with many health problems, such as hypoglycemia, hypothermia, mental retardation, physical and neurological development problems. As a result, the risk of high mortality in LBW infants. According to 2014 WHO estimates, 4.53% of total deaths in Ethiopia were caused by LBW. Globally, 15 to 20% of newborns are LBW; 13% in sub-Saharan Africa and 15.9% in developing countries (Armenia, Cambodia, Colombia, Indonesia, Jordan, Nepal, Pakistan, Tanzania, Uganda and Zimbabwe). As a result, LB is a tremendous burden on the political, social, economic and health systems in developing and developed countries. Therefore, at the end of 2025, the World Health Organization sets a target of 30% to reduce LBW. Objective: to identify determinants and risks for the LBW. Method: PubMed, Web of Science, Cochrane Library, and Google Scholar are sought. Fun plot and Egger regression test are used to see publication bias. I-square statistics were applied to test the heterogeneity of the study. The model of the effect of random variance was applied to estimate national prevalence and effect size of related factors. Subgroup analysis was carried out based on region, research design, and year of publication. Results: The prevalence of low birth weight infants in Ethiopia remains high. This review can help policy makers and programs to prevent the birth of babies.
SOCIAL, CULTURAL AND HEALTH DETERMINANTS AND RISK FACTORS IN ADOLESCENT PREGNANCY IN POOR AND DEVELOPING COUNTRIES Legawati, Legawati; Nugraheni, Sri Achadi
JOURNAL OF RESEARCH IN PUBLIC HEALTH SCIENCES Vol 1, No 1 (2019)
Publisher : Krafon Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (317.362 KB) | DOI: 10.38062/jrphs.v1i1.45

Abstract

Teenage pregnancy is one of the important problems in the 21st century. There are more than 14 million teenagers who have given birth every year. There are 12.8 million occurrences in developing countries. The highest level in Africa. There are several other highest countries, including India, Bangladesh, Latin America and the Caribbean. The birthrate per 1000 at the age of 15-19 years is 115 in Aprika, 75 in Latin America and the Caribbean and 39 in Asia. This review aims to identify health determinants and risk factors for adolescent pregnancy. This study uses framewotk from Arskey and O?malley. The search engines used are PubMed, Medline, Science Direct, EBSCO, Cambridge Core, Proquest, Emerald insight, Scopus, Spinger. Online search engines get a number of 7257 relevant for citation which 367 qualify after a title and abstract review. After screening through a full text review article, a total of 20 articles that met the inclusion criteria were obtained. Teenage pregnancy is influenced by many factors including poverty, socio-economic and culture, norms and beliefs, low education (adolescents and parents), dropping out or being expelled from school so that it influences the opportunity to follow continuing education, adolescent self-esteem, closeness to family especially mothers , the presence of fathers and family structures and family acceptance of adolescent risk behavior. Given the condition of teenage pregnancies that are still high and have many negative impacts on maternal and infant health, a team is needed to establish a health system that is oriented to adolescent health, especially for teenage pregnancy, which should have been prevented beforehand. If, finding a teenage pregnant woman, it is expected that the health condition of the mother and baby will be more optimal.
Co-Authors Djaswadi Dasuki Madarina Julia Nang Randu Utama, Nang Randu Noordiati Noordiati Riyanti Riyanti Sri Achadi Nugraheni