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Journal : JOURNAL OF MIDWIFERY AND COMMUNITY HEALTH

MATERNAL ANXIETY DURING THE COVID-19 PANDEMIC CAUSES NON-COMPLIANCE WITH MEASLES IMMUNIZATION IN THE WORK AREA PUSKESMAS DARUSSALAM, ACEH BESAR REGENCY Thursina, Indah; Idiana, Adri; Putri, Isnaini
Journal of Midwifery and Community Health (JMCH) Vol. 2 No. 1 (2023): May
Publisher : Department of Midwifery, Health Polytechnic of Aceh

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Abstract

Background: Measles immunization coverage during the COVID-19 period has decreased. The COVID-19 pandemic, which is more focused on preventing the spread of the virus, has resulted in disrupted immunization services. Many factors cause a decrease in measles immunization in children, one of which is maternal anxiety during the COVID-19 period. Method: This study used a cross-sectional study design in 86 mothers who had babies aged 9-12 months. Sampling is carried out by two-stage sampling. Data collection used a COVID-19 anxiety scale questionnaire (CAS) and MCH book recording to determine measles immunization records. Data analysis using chi-square test. Result: The number of mothers who are anxious about Covid-19 is more disobedient in the administration of measles immunization (69.1) than those who are compliant (30.9). There is a relationship between maternal anxiety during COVID-19 and adherence to measles immunization (p-value 0.026). Conclusion: Maternal anxiety during the COVID-19 period is related to compliance with measles immunization in the work area of the Darussalam Health Center, Aceh Besar Regency. Increased understanding related to the prevention and transmission of COVID-19 must be done to the community. This effort is made to reduce the level of anxiety of the people.
THE RISK FACTORS INFLUENCING ABORTION A LITERATURE REVIEW Maya, Riska; Idiana, Adri; Yuniwati, Cut
Journal of Midwifery and Community Health (JMCH) Vol. 3 No. 1 (2024): July
Publisher : Department of Midwifery, Health Polytechnic of Aceh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30867/jmch.v3i1.706

Abstract

Background: In general, the five leading causes of maternal mortality are bleeding, Hypertension in Pregnancy (HDK), infection, prolonged labor or obstructed labor, and abortion. Maternal mortality in Indonesia is still dominated by three main causes: bleeding, HDK, and infection. However, the proportions have changed, with bleeding and infection showing a tendency to decrease, while HDK has been on the rise. More than 25% of maternal deaths in Indonesia in 2017 were caused by HDK. Objective: This literature review aims to identify the risk factors influencing the occurrence of abortion. Method: This study employed a literature review method based on data from various electronic databases within the last five years, including Academic Search Complete, Proquest, Pubmed, EBSCO, and Google Scholar. A total of 7 articles were selected that met the criteria and were published in both Indonesian and English. Results:  It showed a significant relationship between the age of pregnant women and the incidence of abortion (p<0.05). There is a significant relationship between parity and the incidence of abortion (p<0.05). A significant relationship exists between the distance between pregnancies and the incidence of abortion (p<0.05). There is a significant relationship between the mother's health history and the incidence of abortion (p<0.05). Conclusion: The factors causing the incidence of abortion include age, parity, pregnancy spacing, and the mother's health history. Preventive measures include avoiding pregnancy at a young age (<20 years) because, from a biological standpoint, the reproductive organs have not fully developed, and at an older age (>35 years), the elasticity of the pelvic muscles and surrounding area, as well as the reproductive organs, generally have diminished. Women in this age range are at a higher risk of experiencing antenatal complications, including abortion.