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Journal : Journal of Midwifery

Correlation of Calcium Levels With The Strenght of Uterus Contraction on The Active Phase of First Stage Labor Novia Rita Aninora; Joserizal Seridji; Meilinda Agus
Journal of Midwifery Vol 3, No 2 (2018): Published on December 2018
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (292.748 KB) | DOI: 10.25077/jom.3.2.76-83.2018

Abstract

Contributing factor to uterus contraction mechanism is the imbalance of the extracellular calcium level. When extracellular calcium level is inadequate, response of the myometrium to oxytocin decreased and the calcium influx inter-cell membranes are suppressed, thus inhibit uterine contractions. The aim of this research is to know the correlation between levels of calcium and the strength of uterine contraction in the active phase of first stage labor. This was a cross-sectional analytic correlative study in the Dr. Rasidin Hospital Padang and UPTD Health Laboratory in West Sumatra province, in was conducted from November 1st, 2014 till February 2016. Sampling was takes by using non probability sampling with consecutive sampling. Subjects of this research were the active phase of first stage labor of 62 people. Kolmogorof Smirnov normality test was used to the normality of the data. Pearson correlation test was conducted to examine the correlation between dependent and independent variables. Mean levels of calcium in the the stage I of  labor respondents active phase (8.94 ±0,71), while mean strength of uterine contractions in active phase of first stage labor(56.77±11,84), there was positive correlation (r = 0,62) between the levels of calcium in the strength of uterine contractions (p < 0.05). The conclusion of the study there was a significant correlation between the levels of calcium in the strength of uterine contractions.
Factors Related with the Incidence of Severe Preeclampsia at the Hospital Dr M Djamil Padang Nissa Prima Sari; Bobby Indra Utama; Meilinda Agus
Journal of Midwifery Vol 2, No 2 (2017): Published on December 2017
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (359.762 KB) | DOI: 10.25077/jom.2.2.56-65.2017

Abstract

Preeclampsia is a condition characterized by an increase in maternal blood pressure of at least 140/90 mmHg accompanied by proteinuria and other symptoms that occur after 28 weeks gestation. The incidence of preeclampsia in hospital DR M Djamil Padang reached 33%. The exact cause of preeclampsia remains unknown, but extreme maternal age, nulliparity, history of hypertension are suspected to be the risk factors for this. This study aims to determine the factors related with the incidence of severe preeclampsia in the hospital DR M. Djamil Padang.This was observational analytic study with case control study design. The population is divided into two, the case population (all mothers with severe preeclampsia) and the control population (all mothers with no severe preeclampsia). The sample was 85 people taken by simple random sampling with the comparison between case : control (1:1). Data were taken from the patient's medical records. Data analysis was performed using univariate and bivariate using  Chi square test with  p value < 0,05.The results of this study showed there was a relationship between age (p = 0,001), parity (p = 0,020) and history of hypertension (p = 0,003) with the incidence of severe preeclampsia in the hospital DR M Djamil Padang. While the factor that has no significant relation is multiple pregnancy.Mothers with age <20 years old or ≥35 years old, nulliparity, and having a history of hypertension are more at risk for severe preeclampsia. Therefore it is expected for health workers especially midwives to increase awareness to patients especially for those who at risk of  preeclampsia.
Relationship Of Mother Factors With Low Birth Weight (LBW) Infants Which Are Treated In DR.M. Djamil Central Public Hospital Padang Novela Delfita; Desmiwarti Desmiwarti; Meilinda Agus
Journal of Midwifery Vol 2, No 2 (2017): Published on December 2017
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (384.27 KB) | DOI: 10.25077/jom.2.2.66-73.2017

Abstract

Low Birth Weight (LBW) is an infant born with a weight less than 2500 grams. LBW is one of the causes of the high rate of morbidity and infant mortality, and the low quality of human resources. The occurrence of LBW is related to the condition of the mother during pregnancy. This study was aimed to determine the factors associated with the occurrence of LBW.This was a qualitative study with case control study design. The subject of the study was the mother of the LBW infant being treated at Dr. M. DjamilCentral Public Hospital Padang as many as 36 respondents (cases), and mothers of infants who were treated with other diseases as much as 36 respondents (control) from July to mid September 2017 taken by Consecutive Sampling. Data collection was done by filling out questionnaires, observation of medical record data, and measurement of upper arm circumference. Data were analyzed univariate by using frequency distribution and bivariate using chi square test with the degree of meaning 5% (p-value=<0,05).The result of the analysis showed that there was a correlation between maternal age at risk with LBW infants, there was a relationship of poor mother's nutritional status with LBW infants, there was a parity relationship of primiparous mother with LBW infant, there was a relationship of mother who suffered one or more medical illness with LBW infant, there was no relationship of gestational distance to LBW infants, and there was a tendency for the relationship between gemelli gestation and LBW infants.Maternal age, maternal nutritional status, parity, and maternal medical illness are associated with LBW infants treated in Dr. M. Djamil Padang. Regular and periodic monitoring and examination of pregnancy is important to prevent the baby from being born with LBW.