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Hubungan Paritas dan Kunjungan ANC dengan Perdarahan Postpartum di RSUD Kota Mataram Dwiyanti, Fitri; Karmila, Dany; Mahayani, Ida Ayu Made; Utami, Sukandriani
MAHESA : Malahayati Health Student Journal Vol 3, No 9 (2023): Volume 3 Nomor 9 (2023)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v3i9.11020

Abstract

ABSTRACT The Maternal Mortality Rate (MMR) indicates the success of maternal health efforts. Based on the 2019 Indonesia Health Profile, the MMR in Indonesia is 305 per 100,000 live births, while the MMR in West Nusa Tenggara (NTB) is 119 per 100,000 live births. The triad of direct causes of the highest maternal mortality in Indonesia is bleeding (30.3%), preeclampsia or eclampsia (27.1%), and infection (7.3%). Postpartum hemorrhage is blood loss from the body of 500 ml after vaginal delivery or 1000 ml after cesarean section delivery. Risk factors for postpartum hemorrhage are parity and disobedience of pregnant women in checking their pregnancies. This study aims to determine the relationship between parity and antenatal care (ANC) visits with the incidence of postpartum hemorrhage at Mataram City Regional Public Hospital in 2021. This research is analytical observational research with a case control research design. The sampling technique uses total sampling. The research was conducted at the Mataram City General Public Hospital. The research samples were 54 samples with 27 case samples and 27 control samples that fit the inclusion and exclusion criteria. The data obtained were analyzed using the Chi-Square and Fisher's Exact tests. The results showed 23 samples with high-risk parity and 31 samples with low-risk parity. 6 samples of non-routine antenatal care (ANC) visits and 48 samples of routine antenatal care (ANC) visits. There is no significant relationship between parity and the incidence of postpartum hemorrhage with a P-value = 0.409. There is no significant relationship between antenatal care visits (ANC) and the incidence of postpartum hemorrhage with a P-value = 0.666. Conclusion: Statistically there is no significant relationship between parity and antenatal care (ANC) visits with the incidence of postpartum hemorrhage at Mataram City General Public Hospital in 2021. Keywords: Postpartum Hemorrhage, Parity, Antenatal Care (ANC) Visits  ABSTRAK Angka Kematian Ibu (AKI) merupakan salah satu indikator untuk melihat keberhasilan upaya kesehatan ibu. Berdasarkan Profil Kesehatan Indonesia tahun 2019, AKI di Indonesia sebesar 305 per 100.000 kelahiran hidup, sedangkan AKI di Nusa Tenggara Barat (NTB) sebesar 119 per 100.000 kelahiran hidup. Trias penyebab langsung kematian ibu tertinggi di Indonesia adalah perdarahan (30,3%), preeklamsia atau eklamsia (27,1%), dan infeksi (7,3%). Perdarahan postpartum adalah kehilangan darah dari tubuh sebesar 500 ml setelah persalinan pervaginam atau 1000 ml setelah persalinan seksio sesarea. Faktor risiko perdarahan postpartum adalah paritas dan tidak patuhnya ibu hamil dalam memeriksakan kehamilannya. Penelitian ini bertujuan untuk mengetahui hubungan antara paritas dan kunjungan antenatal care (ANC) dengan kejadian perdarahan postpartum di RSUD Kota Mataram Tahun 2021. Penelitian analitik observasional dengan desain penelitian case-control. Teknik pengambilan sampel menggunakan total sampling. Penelitian dilakukan di RSUD Kota Mataram. Sampel penelitian yang diambil sebanyak 54 sampel dengan masing-masing 27 sampel kasus dan 27 sampel kontrol yang sesuai kriteria inklusi dan eksklusi. Data yang diperoleh dianalisis dengan menggunakan uji Chi-Square dan Uji Fisher Exact. Hasil penelitian menunjukkan bahwa 23 sampel dengan paritas risiko tinggi dan 31 sampel dengan paritas risiko rendah. Kunjungan antenatal care (ANC) tidak rutin sebanyak 6 sampel dan kunjungan antenatal care (ANC) rutin sebanyak 48 sampel. Tidak terdapat hubungan yang signifikan antara hubungan paritas dengan kejadian perdarahan postpartum dengan p-value = 0,409. Tidak terdapat hubungan yang signifikan antara hubungan kunjungan antenatal care (ANC) dengan kejadian perdarahan postpartum dengan p-value = 0,666.   Secara statistik tidak terdapat hubungan yang signifikan antara paritas dan kunjungan antenatal care (ANC) dengan kejadian perdarahan postpartum di RSUD Kota Mataram Tahun 2021.       Kata Kunci: Perdarahan Postpartum, Paritas, Kunjungan Antenatal Care (ANC) 
Efektivitas Kortikosteroid Intranasal vs Antihistamin Oral pada Rhinitis Dwiyanti, Fitri; Ferdiani, Fivien; Imanto, Mukhlis
Medula Vol 16 No 1 (2026): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v16i1.1742

Abstract

Allergic Rhinitis (AR) is a chronic inflammatory disorder of the nasal mucosa mediated by immunoglobulin E after exposure to specific allergens. It is characterized by rhinorrhea, nasal obstruction, sneezing, and nasal itching. AR has a high and increasing global prevalence and significantly affects quality of life, sleep quality, cognitive performance, and daily productivity. Effective management is required to control symptoms and prevent complications and comorbidities. This literature review compares the effectiveness of intranasal corticosteroids (INCS) and oral antihistamines (OAH) in the management of allergic rhinitis. A literature search was conducted using the Google Scholar database for studies published between 2017 and 2025, using the keywords “allergic rhinitis”, “allergic rhinitis therapy”, and “intranasal corticosteroids and oral antihistamines”. Included articles were accessible, written in English or Indonesian, and discussed the comparative effectiveness of INCS and OAH. Studies published before 2017 were excluded. The findings show that oral antihistamines effectively relieve early-phase, histamine-mediated symptoms such as sneezing, nasal itching, and rhinorrhea, with a rapid onset of action suitable for intermittent use. In contrast, intranasal corticosteroids are more effective in reducing nasal congestion and controlling persistent inflammation due to their broad anti-inflammatory effects. INCS also improve ocular symptoms and provide greater overall improvement in health-related quality of life compared to antihistamines alone. Overall, intranasal corticosteroids are recommended as first-line therapy for moderate to severe or persistent allergic rhinitis, while oral antihistamines remain useful for mild symptoms or as adjunctive therapy according to individual clinical needs.