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Journal : JURNAL ILMIAH OBSGIN : Jurnal Ilmiah Ilmu Kebidanan

HAMBATAN PEMANFAATAN PELAYANAN NIFAS DI WILAYAH KERJA PUSKESMAS X : STUDI KUALITATIF Montessori, Yolanda; Haryanti, Yunida; Amartani, Rizki; Masan, Lea; Tri Kurniati, Paskalia
JURNAL ILMIAH OBSGIN : Jurnal Ilmiah Ilmu Kebidanan & Kandungan P-ISSN : 1979-3340 e-ISSN : 2685-7987 Vol 16 No 4 (2024): DESEMBER
Publisher : NHM PRESS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36089/job.v16i4.2498

Abstract

Postpartum period is a critical period for a mother and newborn because long-term health risks occur in this period. Maternal and neonatal deaths mostly occur in the first week after delivery. On the other hand, the postpartum period is a time that is often missed when obtaining quality midwifery services, especially in low and middle income countries. The aim of this research is to determine the barriers to utilizing postpartum services in the Puskesmas X Work Area in 2023. This research is a qualitative research using a phenomenological approach. Five informants were interviewed semi-structuredly, consisting of 1 mother postpartum 1 month, 2 mothers postpartum 2 months, and 2 mothers postpartum 3 months who were selected using purposive sampling technique. Based on the results of the thematic analysis, postpartum mothers have low knowledge about postpartum visits, so awareness about making visits is also lacking. Apart from that, the length of time that must be taken to be checked at a health service facility, inadequate means of transportation to access health service facilities, and not having a supply of expressed breast milk when having to leave the baby at a health service facility are also factors preventing postpartum mothers from making postpartum visits. Apart from that, health workers have not been optimal in providing information regarding the national policy of postpartum visits 4 visits and health workers in the local area have not made home visits. So home visits can be a solution so that midwives can continue to provide education and support to postpartum mothers.
GAMBARAN PENYEBAB KEJADIAN RUPTUR PERINEUM PADA IBU BERSALIN DI PMB MASSIANA KABUPATEN SINTANG Haryanti, Yunida; Masan, Lea; Amartani, Rizki; Montessori, Yolanda; Kurniati, Paskalia Tri; Efifania Ose Payon, Hearty
JURNAL ILMIAH OBSGIN : Jurnal Ilmiah Ilmu Kebidanan & Kandungan P-ISSN : 1979-3340 e-ISSN : 2685-7987 Vol 17 No 1 (2025): MARET
Publisher : NHM PRESS

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Background: WHO reports the morbidity rates of pregnant and giving birth include obstetric complications (3.6%), toxemia gravidarum (5.8%), obstetric trauma including birth canal lacerations and hematomas (5.0%) and perineal lacerations (1 .7%) and other trauma (3.9%). Objective: To find out the description of the factors that cause perineal rupture in pregnant women. Research Methods: This sampling technique researchers used a total sampling technique. The research instrument uses a checklist sheet. Data analysis used Univariate analysis. Results: 43 respondents (40%) had perineal rupture with primiparous parity, part of the perineal rupture occurred at <2 years birth spacing, some of the mothers were 44 respondents (41%), perineal rupture occurred due to parturition persipitatus, part of the 44 respondents (41%) gave birth to mothers, 45 respondents (42%) had perineal rupture due to prolonged labor, and 8 respondents (7%) had birth weight > 4000 grams. Suggestion: To be able to work with mothers in the delivery process by paying more attention to risk factors that can affect the incidence of perineal rupture.