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Analysis of Preeclampsia Risk Factors at Dr. R. Sosodoro Djatikoesoemo Bojonegoro Regency Hospital, Indonesia Rahayu, Ari Tri; Triyawati, Lilik; Wahyuni, Sri
Health Dynamics Vol 2, No 2s (2025): February 2025 (Special Issue)
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd202s11

Background: Hypertension in pregnancy affects 10% of pregnant women worldwide and includes preeclampsia, eclampsia, gestational hypertension, and chronic hypertension. Preeclampsia is the most common, with a global incidence of 2–8% of pregnancies. In Indonesia, preeclampsia accounts for 128,273 cases annually, or approximately 5.3% of pregnancies. Several risk factors contribute to preeclampsia, including a history of preeclampsia, diabetes, chronic hypertension, kidney disorders, a family history of severe preeclampsia, obesity, maternal age, nulliparity, and multiple pregnancies. Medical records from Dr. R. Sosodoro Djatikoesoemo Bojonegoro Regency Hospital show that preeclampsia cases constituted 17.57% (195 of 1,110 cases) in 2020 and 8.26% (139 of 1,696 cases) in 2021. This study aims to analyze the risk factors for preeclampsia at RSUD Dr. R. Sosodoro Djatikoesoemo Bojonegoro Regency. Methods: This observational analytic study employed a cross-sectional design. The sample consisted of 105 pregnant women in their second and third trimesters, selected using simple random sampling. Data were analyzed using the Multiple Logistic Regression Test to assess risk factors. Results: The multivariate analysis yielded a significance value of 0.243, indicating that maternal age, history of preeclampsia, and pregnancy spacing influence preeclampsia incidence. The Model Summary table showed Nagelkerke's R Square value of 0.037. Conclusion: Maternal age, pregnancy spacing, and a history of preeclampsia are significant risk factors for preeclampsia.

PENGARUH USIA DAN PARITAS TERHADAP KEJADIAN PLASENTA PREVIA PADA IBU HAMIL TRIMESTER III di RSUD Dr. WAHIDIN SUDIRO HUSODO MOJOKERTO Novi Kurniawati; Lilik Triyawati
STRADA : Jurnal Ilmiah Kesehatan Vol. 3 No. 1 (2014): May
Publisher : Universitas STRADA Indonesia

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The high maternal mortality rate ( MMR ) in Indonesia are caused by one of them is bleeding due to placenta previa. Placenta previa as one case of antepartum haemorrhage occurs in the third trimester of pregnancy. Preliminary studies in Hospital Dr . Wahidin Sudiro Husodo Mojokerto in 2013 from 20 pregnant women with placenta previa in terms of age there were 6 ( 30 % ) 20-35 years , and 7 ( 35 % 0 < 20 years and > 35 years , in terms of parity 4 people ( 20 % ) multiparous and 3 ( 15 % ) primiparous . factors affecting the incidence of placenta previa include age, history of placenta praevia parity , history of abortion , history of cesarean section , multiple pregnancy and smoking . takes the effort of early detection to prevent delays in treatment . the purpose of this study to determine the effect of age and parity on the incidence of placenta previa in the third trimester pregnant women in hospitals Dr . Wahidin Sudiro Husodo Mojokerto This study was analytical observational , cross- sectional approach . The entire population of pregnant women in the third trimester maternity hospital room Dr Wahidin Sudiro Husodo Mojokerto , in the period January-May , 2013, with a sample of 232 people were taken by simple random sampling . The independent variables are age and parity third trimester pregnant women , dependent variable is the incidence of placenta previa . Instrument in the form of data collection sheet . Bivariate analysis, Chi Square test , while alisis multivariate logistic regression multivariate test with α = 0.05 . The results showed that half of the respondents included in the age category 20-35 years ( 50.9 % ) , multiparous category ( 65.5 % ) and the incidence of placenta previa is very high , namely 32.8 % third trimester pregnant women minority ( 9 , 02 % ) had placenta previa . Results of statistical tests ( p = 0.0001 < α 0.05 ) note that the age and parity of pregnant women have a significant effect on the incidence of placenta previa at 48.6 % . Age and parity are important in planning a pregnancy . Midwives and health workers should provide counseling to pregnant women to plan pregnancy in healthy reproductive age ( 20 years – 35 years ) , regulate the number and spacing of pregnancy by following family planning , and terminate the pregnancy at the age of > 35 years . 2 ) Provide counseling to adolescents through health posts and schools about healthy reproductive age using leaflets.

Pemberdayaan Kader dalam Pemanfaatan Buku KIA untuk Optimalisasi Keteraturan Pemeriksaan Kehamilan Lilik Triyawati; Abdul Latip; Sri Wahyuni
J-ABDIPAMAS (Jurnal Pengabdian Kepada Masyarakat) Vol 9, No 1 (2025): April 2025
Publisher : IKIP PGRI Bojonegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30734/j-abdipamas.v9i1.4749

Regular Antenatal care is very important because it helps reduce complications in pregnancy and childbirth. The aim of this community service is to increase the knowledge and skills of Village Health Cadres regarding the use of KIA books in Sumberagung Village, Dander District, Bojonegoro Regency. This activity was carried out in the form of training regarding the use of the KIA book. The training was carried out for 3 (three) days attended by 30 participants using the lecture method, question and answer, practice in using the KIA book and KIE practice. The result of the activity was that 30 cadres were trained, there was an increase in the lowest, highest and average knowledge scores of the training participants. Most (80%) of the training participants had very good post scores (79-100), the average score of participants' skills in using the KIA book is 83.3% and skills in extension are the majority (80%) have a very good value of extension skills (79-100), the formation of a joint commitment, all cadres (100%) have carried out outreach to the community around where they live on an ongoing basis so that can improve the health status of mothers and children.

Pemberdayaan Kader dalam Pemanfaatan Buku KIA untuk Optimalisasi Keteraturan Pemeriksaan Kehamilan Triyawati, Lilik; Latip, Abdul; Wahyuni, Sri
J-ABDIPAMAS (Jurnal Pengabdian Kepada Masyarakat) Vol. 9 No. 1 (2025): April 2025
Publisher : IKIP PGRI Bojonegoro

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

Regular Antenatal care is very important because it helps reduce complications in pregnancy and childbirth. The aim of this community service is to increase the knowledge and skills of Village Health Cadres regarding the use of KIA books in Sumberagung Village, Dander District, Bojonegoro Regency. This activity was carried out in the form of training regarding the use of the KIA book. The training was carried out for 3 (three) days attended by 30 participants using the lecture method, question and answer, practice in using the KIA book and KIE practice. The result of the activity was that 30 cadres were trained, there was an increase in the lowest, highest and average knowledge scores of the training participants. Most (80%) of the training participants had very good post scores (79-100), the average score of participants' skills in using the KIA book is 83.3% and skills in extension are the majority (80%) have a very good value of extension skills (79-100), the formation of a joint commitment, all cadres (100%) have carried out outreach to the community around where they live on an ongoing basis so that can improve the health status of mothers and children.

The Relationship Between Knowledge and Attitude of Postpartum Mothers Towards the Incidence of Primary Postpartum Haemorrhage (Hpp) at Bojonegoro Dander Health Centre Ernawati, Masfuah; Triyawati, Lilik; Latip, Abdul
Jurnal Kesehatan Manarang Vol 10 No 2 (2024): August 2024
Publisher : Politeknik Kesehatan Kemenkes Mamuju

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33490/jkm.v10i2.956

Primary Postpartum Haemorrhage (PPH) is bleeding of more than 500 cc that occurs after the baby is born vaginally or more than 1000 cc after vaginal delivery within 24 hours after birth. In Bojonegoro Regency, the most common cause of maternal death in 2019 was postpartum hemorrhage at 30.8% (8 cases). Based on the LB3 KIA report at the Dander Community Health Center, there was an increase in cases of postpartum hemorrhage by 0.86% from 2019 to 2020. The aim of this study was to analyze the relationship between knowledge and attitudes of postpartum mothers on the incidence of Haemorrhage Postpartum Primary at the Dander Bojonegoro Community Health Center. The type of research used is analytical research with a cross sectional approach. The population of this study was all postpartum mothers in April â€“ June 2021 at the Dander Community Health Center, totaling 135 postpartum mothers. The sample for this study was all postpartum mothers in April â€“ June 2021 who met the inclusion criteria at the Dander Bojonegoro Community Health Center, totaling 101 postpartum mothers. Sampling used simple random sampling. Data analysis used inferential analysis with chi-square using SPSS. The results of this study were that the majority of postpartum mothers' knowledge was sufficient, 45 (44.56%), more than the majority of postpartum mothers' attitudes were negative, 59 (58.41%), more than the majority of postpartum mothers had no primary PPH, 95 (94.05% ), there is a significant relationship between knowledge (P=0.019) and attitude (P=0.033) towards the incidence of primary PPH. It is hoped that postpartum mothers will increase their knowledge by listening to education provided by health workers, newspapers and television about the importance of antenatal care to prevent postpartum bleeding.

Empowerment of Health Cadres in Improving Skills through Training on Early Detection and Warning Signs of Pregnancy in Kabunan Village, Balen District, Bojonegoro Regency Handayani, Aris; Triyawati, Lilik; Wahyuni, Sri
Frontiers in Community Service and Empowerment Vol. 4 No. 3 (2025): September
Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ficse.v4i3.102

Maternal Mortality Rate (MMR) in Indonesia remains high. One of the contributing factors to the high maternal mortality rate is undetected high-risk pregnancies. Antenatal Care (ANC) is crucial as it not only serves to monitor the health of the mother and fetus but also to detect potential risks during pregnancy. The objective of this community service is to enhance the knowledge and skills of health cadres in the early detection of high-risk pregnancies. The target audience for this community service activity consists of 30 Posyandu cadres from Kabunan Village within the Balen Health Center area, Bojonegoro. The methods used in this activity include the provision of materials through lectures and discussions, distribution of leaflets, and a simulation of filling out the Poedji Rochjati Score Card. The results of the activity show that there was an increase in knowledge after the training, with participants demonstrating a rise in good knowledge from 3.39% to 8.30%. The cadres' skills in performing early detection of high-risk pregnancies showed an average score of 84, and 66.7% of the participants performed very well in the health education category. Conclusion: The improvement in knowledge and skills in filling out the Poedji Rochjati Score Card for early detection and referral in preparation for complications in both mothers and newborns can contribute to reducing maternal and child mortality, particularly in Kabunan Village within the Balen Health Center's jurisdiction, Bojonegoro.

ANALISIS REGRESI KEJADIAN KEHAMILAN RISIKO TINGGI DALAM PERSPEKTIF PENDIDIKAN. PENGETAHUAN DAN SIKAP IBU HAMIL Lilik Triyawati; Sri Wahyuni; Yaimin; Masfuah Ernawati
Hospital Majapahit (JURNAL ILMIAH KESEHATAN POLITEKNIK KESEHATAN MOJOKERTO) Vol. 17 No. 1 (2025): HOSPITAL MAJAPAHIT
Publisher : LPPM Sekolah Tinggi Ilmu Kesehatan Majapahit Mojokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55316/hm.v17i1.1095

Background High-risk pregnancy is a condition that can affect the condition of the mother and fetus in the pregnancy at hand. High-risk pregnancy does not occur suddenly because pregnancy and its effects on the organs of the body take place gradually and gradually. The purpose of this study was to analyze the incidence of high-risk pregnancies in the perspective of education, knowledge and attitudes of pregnant women at the Puskesmas. The sample in this study were some pregnant women in the area of ??Puskesmas Kanor Bojonegoro as many as 88 respondents who were taken by simple random sampling technique.The independent variable is education, knowledge, attitude of pregnant women, while the dependent variable is the incidence of high risk pregnancy. Collecting data with questionnaires and secondary data.Data analysis with regression test with a significance level of 0.05. Discussion Analyzing the education,knowledge,attitudes,the dominant factors associated with the incidence of high risk pregnancies. The results of this study indicate that the dominant factor associated with the incidence of high-risk pregnancy is knowledge with a value of B = 0.260 indicating that there is a relationship between knowledge and the incidence of high-risk pregnancy, p value = 0.000.There is a relationship between the attitude of pregnant women with the incidence of high-risk pregnancy with a value of B = 0.326 (p value = 0.005). There is a relationship between education value B = 0.155 (p value = 0.035) with the incidence of high risk pregnancy.Recommendations for pregnant women, the government and for future researchers.

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