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Journal : Journal Of Applied Health Research And Development

ASUHAN KEBIDANAN IBU HAMIL DENGAN PREEKLAMPSIA BERAT TRIMESTER III PADA NY. N DI PUSKESMAS KRAMATWATU TAHUN 2019 Vega Muhida
Journal Of Applied Health Research And Development Vol 2 No 1 (2020): Journal Of Applied Health Research And Development
Publisher : Poltekkes 'Aisyiyah Banten

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (550.635 KB)

Abstract

Severe preeclampsia is a pregnancy complication characterized by the onset of hypertension 160/110 mmHg or more accompanied by proteinuria and / or with edema in pregnancies of 20 weeks or more. The incidence of severe preeclampsia at the Kramatwatu Health Center in 2018 was 26 (0.98%) of 2033 pregnant women. The purpose of this study is to be able to provide midwifery care for pregnant women with severe preeclampsia in accordance with midwifery service standards. This case study research is a qualitative case study, because it was conducted by interview using the format of assessment of pregnant women, anamnesa, physical examination, laboratory examinations, and the MCH handbook. After the assessment, it was found that Ny. N has severe preeclampsia. Therefore the researchers gave measures in the form of oxygen 5 L / min, RL infusion of 20 tpm, Dc installation, giving dexamethasone therapy 3 ampoules at a dose of 2.5 ml / ampoule, nifedipine 10 mg, furosemide 2 ampoules at a dose of 10 mg / ampoule , monitoring the general condition of the mother, referring the mother to the RSD maternal emergency room with officers. It is hoped that this case study can improve the quality of midwifery care services optimally through immediate treatment, especially for pregnant women with severe preeclampsia
ANALISIS FAKTOR RISIKO TERJADINYA POSTPARTUM BLUES DI RUANG WIJAYA KUSUMA Qonita; Umalihayati; Vega Muhida
Journal Of Applied Health Research And Development Vol 3 No 1 (2021): Journal Of Applied Health Research And Development
Publisher : Poltekkes 'Aisyiyah Banten

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (927.173 KB) | DOI: 10.58228/jahrd.v3i1.95

Abstract

Background During the postpartum period, postpartum mothers will experience physiological, psychological and social adaptations. However, not all postpartum mothers can pass the adaptation to the postpartum period smoothly. Postpartum mothers may experience psychological disorders during childbirth, one of which is anxiety. The incidence of post partum blues around the world is quite high, namely 26-85%. These data show 81% maternal mortality rate (AKI) due to complications during pregnancy and childbirth, and 25% cases of post partum blues. The incidence of post partum blues in Indonesia ranges from 50-70% in post partum mothers Objective To analyze the risk factors that influence the occurrence of postpartum blues in the Wijaya Kusuma Methods: The research design used is a type of analytical study with a cross sectional approach where the dependent variable is postpartum blues and the independent variable is risk factors, such as age, education, employment status, economic status, parity, pregnancy status, type of delivery and social support. husband. The population in this study was 2,408 people and the sample used was 97 respondents with the technique of taking in this study using accidental sampling technique. Result There were 24 postpartum blues (24.7%) of postpartum blues. Primiparous parity has a 6,686 times chance for the occurrence of postpartum blues compared to multiparous parity (OR = 6,686; 95% CI: 1,644-27,184) and husband's social support has less chance of 29,777 times for the occurrence of postpartum blues compared to good husband's social support (OR = 29,777; 95% CI: 2,679-330,941). Meanwhile, the factors that are proven not to be risk factors for the occurrence of postpartum blues are: age, education, employment status, economic status, pregnancy status and type of delivery. Conclusion Husband's social support is the most dominant risk factor contributing to the postpartum blues. Preventive action is needed, such as involving husbands in providing information about maternal and child health, as well as anticipating early detection of postpartum blues with the quality of extracting patient information (anamnesis), so as to reduce the incidence of postpartum blues.
FAKTOR RISIKO TERJADINYA BAYI BERAT LAHIR RENDAH (BBLR) DI RSUD DR. DRADJAT PRAWIRANEGARA SERANG Novrita Triyulvia; Vega Muhida; Umalihayati
Journal Of Applied Health Research And Development Vol 3 No 2 (2021): Journal Of Applied Health Research And Development
Publisher : Poltekkes 'Aisyiyah Banten

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (19661.928 KB) | DOI: 10.58228/jahrd.v3i2.105

Abstract

Angka kejadian BBLR dianggap sebagai indikator kesehatan masyarakat karena erat hubungannya dengan angka kematian, kesakitan dan kejadian gizi kurang di kemudian hari. Tujuan penelitian ini untuk mengetahui faktor risiko terjadinya Bayi Berat Lahir Rendah (BBLR) di RSUD dr. Dradjat Prawiranegara Serang Tahun 2020. Jenis penelitian kuantitatif dengan rancangan penelitian Case Control. Sampel sebanyak 140 responden yaitu 70 responden (sampel kasus) dan 70 responden (sampel kontrol), tehnik pengambilan sampel dengan Total Sampling. Pengumpulan data dilakukan dengan data sekunder. Analisis data dengan univariat dan bivariat. Hasil penelitian diperoleh sebanyak 50% bayi lahir dengan BBLR (kelompok kasus) dan 50% bayi lahir dengan berat normal (kelompok kontrol). Umur ibu < 20 dan > 35 tahun (32,9%), pendidikan ibu rendah < SMA (51,4%), ibu yang bekerja (16,4%), usia kehamilan preterm < 37 minggu (40%), paritas > 3 kali (49,3%), ibu yang mengalami anemia dalam kehamilan (46,4%). Hasil analisis bivariat didapatkan lima variabel yang berhubungan dengan kejadian BBLR yaitu umur ibu (p=0,000), pendidikan ibu (p=0,000), usia kehamilan (p=0,000), paritas (p=0,000), anemia dalam kehamilan (p=0,000). Nilai odds ratio didapatkan faktor yang berhubungan dengan BBLR ada lima variabel yaitu umur ibu (OR=5,4), pendidikan ibu (OR=13,5), usia kehamilan (OR=69,6), paritas (OR=25,9), anemia dalam kehamilan (OR=27,1). Disarankan kepada RSUD dr. Dradjat Prawiranegara Serang agar melakukan penapisan/skrinning bagi ibu hamil yang mengalami anemia dalam kehamilan dan usia kehamilan preterm <37 minggu melalui ANC terpadu guna mencegah terjadinya komplikasi BBLR.
ANALISIS FAKTOR YANG MEMPENGARUHI TINGKAT PENGETAHUAN WUS TENTANG RISIKO TINGGI DALAM KEHAMILAN Vega Muhida
Journal Of Applied Health Research And Development Vol 4 No 2 (2022): Journal Of Applied Health Research And Development
Publisher : Poltekkes 'Aisyiyah Banten

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (779.098 KB) | DOI: 10.58228/jahrd.v4i2.124

Abstract

Background: Every pregnant woman has the potential for danger during pregnancy, childbirth, and postpartum. Until now, in all parts of the world, high-risk pregnancies are still a problem in health services, especially in developing countries. In Indonesia, the MMR decreased during the period 1991-2015 from 390 to 305 per 100,000 live births. However, this achievement is still far from the MDGs target of 102 per 100,000 live births. Until 2015 the target of the MDGs has not been achieved. While the target for the Sustainable Development Goals (SDGs), the MMR target is 70 per 100,000 live births in 2030. In relation to high-risk pregnancies, at the Kramatwatu Health Center there were 739 high-risk pregnancies found in 2021, while in the village of Pejaten, there are still many women of childbearing age who are pregnant or give birth at a risky age of 83. From these conditions, complications can result from high-risk pregnancies such as miscarriage, premature birth, genetic disorders and death. This can occur due to lack of knowledge about high-risk pregnancies. This research method is descriptive research with cross sectional or cross sectional design. This research was conducted in Pejaten Village, Kramatwatu Serang Banten. The research sample was taken by purposive sampling. Primary data collection was carried out using a questionnaire containing 25 questions filled out by respondents. In addition, the research output will be published in the Poltekkes journal (Jurnal of Applied Health). More than half (58.3%) of respondents still have less knowledge about high risk in pregnancy. Factors Age, education, occupation, history of pregnancy and sources of information related to the level of knowledge of wus about high risk in pregnancy. This research can help provide information to develop new strategies that are more appropriate in an effort to reduce high risk in pregnancy in the Kramatwatu Health Center area, especially in Pejaten village.