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All Journal Jurnal Sehat Mandiri Jurnal Pengabdian Masyarakat Bangsa
Dewi, Bianca Bunga Cinta
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Analisis Mutu Antenatal Care (ANC) dan Faktor Risiko terhadap Morbiditas dan Mortalitas Preeklampsia di RSUD dr. Soetomo Dewi, Bianca Bunga Cinta; Sa'adi, Ashon; Andriyanti, Andriyanti
Jurnal Sehat Mandiri Vol 19 No 2 (2024): Jurnal Sehat Mandiri, Volume 19 Nomor 2 Desember 2024
Publisher : Poltekkes Kemenkes Padang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33761/jsm.v19i2.1641

Abstract

Preeclampsia is one of the causes of maternal and perinatal deaths in Indonesia, especially in East Java. This condition can increase the risk of long-term complications and potentially cause death. Preeclampsia can worsen quickly, so Antenatal Care (ANC) is needed to monitor the condition and reduce the risk of morbidity and mortality. Objective: to analyze the relationship between ANC quality and maternal risk factors with preeclampsia morbidity and mortality. Method: This research is retrospective analytical, data collection uses secondary data obtained from patient medical records. A total of 105 patients met the inclusion criteria, namely a diagnosis of preeclampsia and a gestational age of 2023 weeks and the exclusion criteria were incomplete medical records. Research data was analyzed using the chi-square test with a level of significance (α=0.05). Results: Preeclampsia morbidity and mortality were significantly associated with BMI (P=0.006), while morbidity alone was associated with health services (P=0.001), parity (P=0.045), education (P=0.006), and type of preeclampsia (P= 0.007). Factors that were not associated with mortality were age (P=0.704), occupation (P=0.639), proteinuria levels (P=0.411), and ANC frequency (P=0.565). Conclusion: the quality of ANC services influences the incidence of preeclampsia morbidity, along with the risk factors of BMI, parity, education, and type of preeclampsia. Early identification of risk factors and improving the quality of ANC services are important for appropriate management and prevention of mortality.
Pelatihan Kader Kesehatan Dalam Upaya Deteksi Dini Komplikasi Kehamilan di Puskesmas Rejoso Nganjuk Jayanti, Ratna Dwi; Farizi, Sofia Al; Ferdinandus, Euvanggelia Dwilda; Tricahyanti, Ari; Dewi, Bianca Bunga Cinta; Huwaida, Hasna Afifa
Jurnal Pengabdian Masyarakat Bangsa Vol. 2 No. 10 (2024): Desember
Publisher : Amirul Bangun Bangsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59837/jpmba.v2i10.1860

Abstract

Program pengabdian kepada masyarakat ini berfokus pada peningkatan kemampuan kader Puskesmas Rejoso dalam deteksi dini komplikasi kehamilan dengan menggunakan lembar observasi untuk memantau pemeriksaan kehamilan dan mengenali tanda bahaya. Metode kegiatan pengabdian masyarakat ini terdiri dari dua tahapan utama. Pada tahap pertama, dilakukan pelatihan kepada kader kesehatan yang meliputi materi deteksi dini komplikasi kehamilan menggunakan buku KIA, simulasi edukasi kesehatan, serta tanya jawab. Kader juga melakukan praktik edukasi dengan supervisi dari tenaga kesehatan. Tahap kedua adalah pengawalan ibu hamil oleh kader kesehatan untuk melakukan pemeriksaan rutin ke tenaga kesehatan. Kader memastikan ibu hamil memeriksakan kehamilan secara teratur hingga melahirkan di fasilitas pelayanan kesehatan. Hasilnya menunjukkan peningkatan pengetahuan kader Rejoso dalam deteksi dini komplikasi kehamilan. Nilai pretest menunjukan 4,86, dan setelah diberikan pelatihan terjadi peningkatan rata-rata nilai postest menjadi 9,13. Pendampingan pada 30 ibu hamil menunjukkan bahwa pemeriksaan selama hamil dilakukan secara rutin dan semua ibu hamil melakukan persalinan di fasilitas pelayanan kesehatan dengan ditolong oleh tenaga kesehatan. Oleh karena itu, program pengabdian masyarakat ini berkontribusi positif terhadap upaya deteksi dini komplikasi pada kehamilan, sekaligus memberikan kesempatan bagi kader untuk berkembang dalam upaya peningkatan kesehatan masyarakat. 
Co-Authors Andriyanti, Andriyanti Farizi, Sofia Al Ferdinandus, Euvanggelia Dwilda Huwaida, Hasna Afifa Jayanti, Ratna Dwi Sa'adi, Ashon Tricahyanti, Ari