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Factors Associated with the Use of Skilled Birth Attendants in Indonesia Jamil, Siti Nurhasiyah; Octavia, Eva Nur; Fadliah, Balqis Nur; Gandirawati, Elsa Maudi
International Journal of Clinical Inventions and Medical Sciences (IJCIMS) Vol 4 No 2: September 2022
Publisher : Lamintang Education and Training Centre, in collaboration with the International Association of Educators, Scientists, Technologists, and Engineers (IA-ESTE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36079/lamintang.ijcims-0402.407

Abstract

The maternal mortality rate in Indonesia of 305/100,000 live births is still far from the SDGs target in the year 2030, which is 70/100,000 live births. The WHO states that the main causes of maternal mortality are bleeding, infection, preeclampsia-eclampsia, complications of childbirth, and unsafe abortion. This can be prevented if the mother can access health services, especially the use of skilled birth attendants to overcome complications of pregnancy and childbirth. This study aims to determine the factors associated with the use of skilled birth attendants in Indonesia. This cross-sectional study with a total sample of 4.543 women aged 15-49 years who gave birth to the last child selected in a sample of secondary data Indonesia Demographic Health Survey (IDHS) 2017. The dependent variable of the study was a skilled birth attendants and the independent variable was sociodemographic factors (age, education, employment, area of residence), antenatal factors (antenatal care examiner, antenatal place, antenatal frequency), medical factors (pregnancy complications and birth complications). The results of this study indicate that the dominant factor in the selection of skilled birth attendants is pregnancy examiners. Pregnancy examiners who examine the pregnancy by an obstetrician have the opportunity to choose a permanent delivery at an obstetrician, which is 8.33 (95% CI 6,75 – 10,29) times compared to choosing a midwife after being controlled by other variables.
The Relationship Between Trimester 3 Anemia Status and Chronic Energy Deficiency In Pregnant Women with Low Birth Weight Incidence Novianty, Asry; Gandirawati, Elsa Maudi
Journal of Maternal and Child Health Sciences (JMCHS) Vol 2 No 2 (2022): Journal of Maternal and Child Health Sciences (JMCHS)
Publisher : Poltekkes Kemenkes Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36086/maternalandchild.v2i2.1470

Abstract

Background Low birth weight (LBW) is a newborn whose birth weight is < 2500 grams. There are several factors that can influence the occurrence of LBW, among others, 3rd trimester anemia, chronic energy deficiency (CED), and those who experience 3rd trimester anemia and CED, and the characteristics of pregnant women. Objective This study aims to analyze the relationship between pregnant women with 3rd trimester anemia, CED and pregnant women with 3rd trimester anemia and KEK with the incidence of LBW. Methods This study uses a descriptive quantitative design. The sample of this research was taken by purposive sampling. Then in univariate analysis, bivariate analysis using Chi Square test and multivariate analysis using multiple logistic regression. Results In this study, it was found that there was a relationship between anemia in the 3rd trimester and the incidence of LBW with a p value of 0.000, there was a significant relationship between pregnant women who experienced CED and the incidence of LBW with a p value of 0.000. However, there is no relationship between pregnant women who experience third trimester anemia and CED simultaneously with the incidence of LBW. From the characteristics of pregnant women, there is a relationship between the age of pregnant women with the incidence of LBW with a p value of 0.043 and the gestational age with the incidence of LBW with a p value of 0.01. Conclusion From this study, it was concluded that there are 4 factors that influence the occurrence of LBW, which are third trimester anemia, CED, maternal age and gestational age.