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Sumiati Malasari
Gambaran kemampuan mengatasi morning sickness pada kehamilan direncanakan dan tidak direncanakan = Description of ability to cope with morning sickness in planned pregnancy and unplanned pregnancy / Sumiati Malasari
"ABSTRAK
Mual dan muntah adalah gejala umum yang terjadi pada trimester pertama kehamilan yang dikenal dengan morning sickness. Perencanaan kehamilan mungkin mempengaruhi morning sickness. Penelitian ini merupakan penelitian deskriptif dengan melibatkan 101 ibu hamil yang diambil menggunakan teknik consecutive sampling. Instrumen yang digunakan yaitu kuesioner untuk mengukur variabel data demografi, cara mengatasi morning sickness, kemampuan mengatasi morning sickness dan status rencana kehamilan. Analisis data menggunakan uji distribusi frekuensi. Hasil penelitian menunjukkan 63,6% ibu hamil mampu mengatasi morning sickness pada kehamilan direncanakan sedangkan pada kehamilan tidak direncanakan 47,8% ibu hamil mampu mengatasi morning sickness sehingga kehamilan direncanakan lebih mampu mengatasi morning sickness daripada kehamilan tidak direncanakan. Penelitian ini merekomendasikan pendidikan kesehatan dalam mengatasi morning sickness pada kehamilan tidak direncanakan untuk meningkatkan kemampuan ibu mengatasi morning sickness.
ABSTRACT
Nausea and vomiting are general symptoms that occur in the first trimester of pregnancy. These symptoms are commonly known as morning sickness. Planning the pregnancy may influence the morning sickness. The purpose of this research was to describe the ability to cope with morning sickness in planned pregnancy and unplanned pregnancy. The research used descriptive method. The sampling technique used was consecutive sampling with 101 pregnant women. The instrument used questionnaire to measure variable demographic data, how to cope with morning sickness, the ability to cope with morning sickness and plan of pregnancy. The data were analyzed using frequency distribution test. The result showed that 63,6 % of respondents were able to cope with morning sickness in planned pregnancy while 47,8 % of respondents were able to cope with morning sickness in unplanned pregnancy so that the planned pregnancy is more able to cope morning sickness than unplanned pregnancy. This study recommends health education in dealing morning sickness in unplanned pregnancy to increase mothers ability to cope morning sickness.
"
2015
S61006
UI - Skripsi Membership  Universitas Indonesia Library
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Janiar Ningrum
Pengaruh Status Kehamilan Tidak Direncanakan terhadap Komplikasi Kehamilan = The Effect of Unplanned Pregnancy Status on Pregnancy Complications
"Penelitian ini bertujuan untuk mempelajari pengaruh status kehamilan (direncanakan atau tidak) terhadap komplikasi kehamilan dan pendarahan setelah dikontrol terhadap pengaruh faktor-faktor sosial dan ekonomi. Data yang digunakan dalam penelitian ini bersumber dari SDKI 2017. Unit analisis dalam penelitian adalah wanita usia subur (WUS) berumur 15-49 tahun yang berstatus kawin/hidup bersama dan memiliki kelahiran hidup dalam kurun lima tahun terakhir. Jumlah observasi penelitian sebanyak 14.508 WUS. Metode analisis yang digunakan adalah analisis deskriprif dan inferensial dengan regresi logistik biner. Hasil penelitian menunjukkan bahwa variabel bebas utama, kehamilan tidak direncanakan secara signifikan berpengaruh positif terhadap komplikasi kehamilan dan pendarahan. Ibu dengan kehamilan tidak direncanakan lebih cenderung untuk mengalami komplikasi kehamilan dan pendarahan dibandingkan kehamilan direncanakan. Variabel bebas lain yang signifikan secara statistik memengaruhi komplikasi kehamilan adalah wilayah tempat tinggal, umur, paritas, jarak kelahiran, pendidikan, indeks kekayaan, riwayat komplikasi persalinan dan pemeriksaan antenatal. Selanjutnya, pada model kedua pendarahan, variabel bebas lain yang signifikan secara statistik memengaruhi pendarahan adalah jarak kelahiran, pendidikan, jenis pekerjaan, dan indeks kekayaan.
This study aims to examine the effect of pregnancy status (planned or unplanned) on pregnancy complications and vaginal bleeding after taking account for the influence of social and economic factors. The data used in this study came from the 2017 Indonesian Demographic and Health Surveys (IDHS). The unit of analysis in this study was women of childbearing age (WUS) aged 15-49 years who were married/living together and had live births within the last five years. The number of research observations was 14,508 WUS. Inferential analysis with binary logistic regression is used as the analytical method. The results showed that the main independent variable, unplanned pregnancy had a significant positive effect on pregnancy complications and vaginal bleeding. Mothers with unplanned pregnancies were more likely to experience pregnancy complications and vaginal bleeding than planned pregnancies. Other independent variables that have statistically significant influence to the first model are area of ​​residence, age, parity, birth spacing, education, wealth index, past pregnancy complications and antenatal care. Furthermore, in the second model, other independent variables which statistically significantly influenced vaginal bleeding were birth spacing, education, type of work and wealth index."
Depok: Fakultas Ekonomi dan Bisinis Universitas Indonesia, 2021
T-Pdf
UI - Tesis Membership  Universitas Indonesia Library
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Helen Sofiyana
Perbandingan kadar vitamin d serum pada kehamilan dengan preeklampsia dan kehamilan normal = Comparison of serum vitamin d concentration among normal pregnancy and pregnancy with preeclampsia / Helen Sofiyana
"ABSTRAK
Preeklampsia ditandai dengan peningkatan tekanan darah dan proteinuri. Vitamin
D diduga berperan pada pengaturan tekanan darah dengan menghambat
pembentukan renin dan angiotensin II. Penelitian ini merupakan penelitian dengan
disain potong lintang komparatif yang bertujuan untuk melihat perbandingan
status vitamin D pada ibu hamil normal dan preeklampsia. Perempuan hamil
berusia 18-40 tahun, terdiri dari 33 hamil normal dan 33 preeklampsia yang
datang di poliklinik dan ruang bersalin Rumah Sakit Tarakan, Jakarta
diikutsertakan dalam penelitian ini. Data umur, usia kehamilan, paritas,
pendidikan, paparan sinar matahari, asupan vitamin D dengan cara FFQ
semikuantitatif didapatkan dengan wawancara, dan dilakukan pengukuran lingkar
lengan atas dan kadar vitamin D serum. Tidak ada perbedaan yang bermakna
dalam hal umur, usia kehamilan, paritas, paparan sinar matahari, asupan vitamin
D, lingkar lengan atas dan kadar vitamin D serum antara hamil normal dengan
preeklampsia.Asupan vitamin D lebih rendah dibandingkan dengan angka
kecukupan gizi yang dianjurkan pada hamil normal maupun preeklampsia.
Defisiensi vitamin D terlihat pada 50% preeklampsia dan 33% hamil normal.
Kesimpulan: kadar vitamin D serum tidak berbeda bermakna pada hamil normal
maupun preeklampsia.
ABSTRACT
Preeclampsia is a condition with high blood pressure and proteinuria during
pregnancy. Vitamin D plays a role in the regulation of blood pressure by
inhibiting renin and angiotensin II formation. This study was a comparative crosssectional
study aiming to compare serum vitamin D concentration among normal
pregnancy and preeclampsia. Pregnant women aged 18-40 years,were
recruitedconsisting of 33 subjects with normal pregnancy and 33 subjects with
preeclampsia. Data on age, gestational age, parity, education , MUAC, vitamin D
intake using semi-quantitative FFQ, sun exposure and serum vitamin D
concentration were assessed. There were no significant differences of age,
gestational age, parity, education, vitamin D intake, sun exposure, MUAC and
serum vitamin D concentration between normal and preeclamptic pregnancy. In
both groups, vitamin D intake was lower than recommended dietary allowance.
Half of preeclampsia suffered from vitamin D deficiency, while it was only 33%
among normal pregnancy. Conclusion: serum vitamin D was not different among
normal pregnancy and preeclampsia.
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Jakarta: Fakultas Kedokteran Universitas Indonesia, 2014
T-Pdf
UI - Tesis Membership  Universitas Indonesia Library
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Siti Azizah, examiner
Gambaran keluhan subjektif selama kehamilan di Jakarta dan faktor-faktor yang berhubungan = Distribution of subjective symptoms during pregnancy in Jakarta and factors correlated
"[ABSTRAK
Tujuan: Mengetahui gambaran keluhan subjektif selama kehamilan pada populasi di Indonesia, khususnya Jakarta.
Metode: Wanita hamil yang datang ke poliklinik obstetri RSUPN Cipto Mangunkusumo dan RS Fatmawati (n=956), diberikan kuesioner yang berisi pertanyaan mengenai karakteristik dan keluhan subjektif. Sebaran keluhan subjektif selama kehamilan dideskripsikan berdasarkan umur, paritas, pendidikan, sosial ekonomi, keinginan hamil dan riwayat infertilitas.
Hasil: Mual adalah keluhan terbanyak selama trimester pertama (57,5%) dan trimester dua (33,5%), sementara kontraksi (69,3%), nyeri punggung (68,7%) terutama terjadi pada trimester tiga. Terdapat hubungan bermakna antara umur dengan keluhan mual, muntah dan keputihan.Terdapat hubungan bermakna antara paritas dengan keluhan mual, muntah, konstipasi, keputihan dan kontraksi.Terdapat hubungan bermakna antara tingkat pendidikan dengan keluhan mual, muntah, heartburn, hemoroid, keputihan, nyeri punggung dan disfungsi simfisis pubis.Terdapat hubungan bermakna antara tingkat sosial ekonomi dengan keluhan mual, konstipasi, nyeri punggung, disfungsi simfisis pubis dan kontraksi.Terdapat hubungan bermakna antara keinginan hamil dengan keluhan nyeri punggung dan edema tungkai.Terdapat hubungan bermakna antara riwayat infertilitas dengan keluhan nyeri punggung, disfungsi simfisis pubis dan kontraksi.
Kesimpulan: Keluhan utama pada trimester pertama dan dua adalah mual, sementara pada trimester 3 adalah kontraksi. Faktor-faktor seperti umur, paritas, pendidikan, sosial ekonomi, keinginan hamil dan riwayat infertilitas, mempengaruhi sebaran keluhan subjektif selama kehamilan.ABSTRACT Objective: To obtain a description of subjective complaints during pregnancy in the population in Indonesia, especially Jakarta.
Methods: Pregnant women who visited obstetric clinic of Cipto Mangunkusumo and Fatmawati Hospital (n = 956), answered questionnaire containing questions about the characteristics and subjective symptoms. Distribution of subjective symptoms during pregnancy was described based on age, parity, education, socioeconomic status, pregnant desire and history of infertility.
Results: Nausea was the main symptom during first trimester (57,5%) and second trimester (33,5%) of pregnancy, while contraction (69,3%) and backpain (68,7%) were main symptoms during third trimester. There were significant relationships between maternal age and symptoms of nausea, vomiting and vaginal discharge. There were significant relationship between parity and complaints of nausea, vomiting, constipation, vaginal discharge and contraction. There were significant relationship between educational level and complaints of nausea, vomiting, heartburn, hemorrhoid, vaginal discharge, back pain and symphysis pubis dysfunction. There were significant relationship between socioeconomic level with complaints of nausea, constipation, back pain, symphysis pubis dysfunction and contraction. There were significant relationship between pregnant desire and complaints of back pain and extremities edema. There were significant relationship between history of infertility and complaints of back pain, symphysis pubis dysfunction and contraction.
Conclusions: The main symptoms during the first and second trimester was nausea, while the one during the third trimester was contraction. Factors such as age, parity, educational level, socioeconomic status, pregnant desire and history of infertility, affected the distribution of subjective symptoms during pregnancy., Objective: To obtain a description of subjective complaints during pregnancy in the population in Indonesia, especially Jakarta.
Methods: Pregnant women who visited obstetric clinic of Cipto Mangunkusumo and Fatmawati Hospital (n = 956), answered questionnaire containing questions about the characteristics and subjective symptoms. Distribution of subjective symptoms during pregnancy was described based on age, parity, education, socioeconomic status, pregnant desire and history of infertility.
Results: Nausea was the main symptom during first trimester (57,5%) and second trimester (33,5%) of pregnancy, while contraction (69,3%) and backpain (68,7%) were main symptoms during third trimester. There were significant relationships between maternal age and symptoms of nausea, vomiting and vaginal discharge. There were significant relationship between parity and complaints of nausea, vomiting, constipation, vaginal discharge and contraction. There were significant relationship between educational level and complaints of nausea, vomiting, heartburn, hemorrhoid, vaginal discharge, back pain and symphysis pubis dysfunction. There were significant relationship between socioeconomic level with complaints of nausea, constipation, back pain, symphysis pubis dysfunction and contraction. There were significant relationship between pregnant desire and complaints of back pain and extremities edema. There were significant relationship between history of infertility and complaints of back pain, symphysis pubis dysfunction and contraction.
Conclusions: The main symptoms during the first and second trimester was nausea, while the one during the third trimester was contraction. Factors such as age, parity, educational level, socioeconomic status, pregnant desire and history of infertility, affected the distribution of subjective symptoms during pregnancy.]"
Fakultas Kedokteran Universitas Indonesia, 2015
SP-PDF
UI - Tugas Akhir  Universitas Indonesia Library
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Indah Mawarni
Perbedaan perilaku terlibat dalam interaksi ibu-anak usia toddler antara ibu berusia remaja yang mengalami kehamilan terencana dan kehamilan di luar pernikahan = Engagement behavior differences in mother child interaction between planned pregnancy adolescent mother and premarital pregnancy adolescent mother who owns child aged toddler
"Penelitian ini bertujuan untuk melihat perbedaan perilaku terlibat antara ibu berusia remaja yang mengalami kehamilan terencana dan ibu berusia remaja yang mengalami kehamilan di luar pernikahan dengan menggunakan metode observasi pada 60 pasang partisipan ibu berusia 16-22 tahun dan anak toddler berusia 12-36 bulan. Alat ukur yang digunakan dalam penelitian ini adalah Marschak Interaction Method Rating System (MIMRS). Hasil penelitian ini menunjukkan bahwa tidak terdapat perbedaan yang signifikan dalam perilaku terlibat dalam interaksi ibu-anak antara ibu berusia remaja yang mengalami kehamilan terencana dan ibu berusia remaja yang mengalami kehamilan di luar pernikahan pada anak usia toddler (t(58) = 0,761, p < 0,05). Diduga, pendidikan dan usia ibu lebih memberikan pengaruh terhadap perilaku terlibat antara ibu berusia remaja yang mengalami kehamilan terencana dan ibu berusia remaja yang mengalami kehamilan di luar pernikahan pada anak usia toddler. Sekalipun hasil penelitian ini tidak signifikan, diketahui perilaku terlibat ibu baik pada kelompok kehamilan terencana maupun kehamilan di luar pernikahan masih rendah sehingga perilaku terlibat ibu perlu ditingkatkan.
This study aimed to see differences in engagement behavior between the planned pregnancy adolescent mother and premarital pregnancy adolescent mother by using the method of observation on 60 pairs of participants consist of 16-22 years old mother and toddler children aged 12-36 months. Measuring instruments used in this study is Marschak Interaction Method Rating System (MIMRS). The results of this study showed that there was no significant difference in engagement behaviors in mother-child interaction between planned pregnancy adolescent mother and premarital pregnancy adolescent mother who owns child aged toddler (t(58) = 0,761, p = 0,449, p < 0,05). It was assumed that mother’s age and education have more effect toward engagement behavior between premarital pregnancy adolescent mother and planned pregnancy adolescent mother who had toddler/s. Although the results show that there’s no significant differences, it shows that mother’s engagement behavior in both premarital pregnancy adolescent mother and planned pregnancy adolescent mother is low, therefore mothers need to increase engagement behaviors."
Depok: Fakultas Psikologi Universitas Indonesia, 2014
S56392
UI - Skripsi Membership  Universitas Indonesia Library
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Riadinni Alita
Pengaruh self-hypnosis terhadap ketidaknyamanan kehamilan pada ibu hamil trimester III = Effect of self-hypnosis to pregnancy discomfort in third trimester
"ABSTRAK
Angka Kematian Ibu AKI dan komplikasi merupakan permasalahan dimasa perinatal yang disebabkan kondisi ibu hamil maladaptif selama kehamilan. Diperlukan terapi selama trimester III untuk meningkatkan kenyamanan kehamilan. Tujuan riset ini untuk menguji pengaruh self hypnosis terhadap penurunan ketidaknyamanan kehamilan pada ibu hamil trimester III. Penelitian ini merupakan randomized clinical trial dengan penentuan kelompok intervensi dan kontrol menggunakan randomisasi blok. Sampel penelitian berjumlah 66 responden, terdiri dari 33 responden sebagai kelompok intervensi yang diberikan self hypnosis selama dua minggu dan 33 responden sebagai kelompok kontrol. Instrumen yang digunakan yaitu kuesioner Maternal Physical Discomfort Scale MPDS dan Prenatal Self- Evaluation Questionnaire PSEQ-II . Hasil penelitin menunjukkan penurunan rerata ketidaknyamanan kehamilan setelah self hypnosis pada kelompok intervensi p=0,001; ?=0,05 . Penelitian ini merekomendasikan instrumen MPDS untuk mengukur ketidaknyamanan kehamilan dan self hypnosis dapat dikombinasikan dengan intervensi lain yang meningkatkan kenyamanan selama kehamilan
Maternal death and complication are problems during perinatal period caused by women rsquo s maladaptive conditions during pregnancy. Treatment is required during third trimester to increase pregnancy comfort. This research aimed to assess self hypnosisto decrease discomfort during third trimester. This randomized control trial applied randomization block for differenting both treatment and control groups. Total sample were 66 respondents, which involved 33 treatment group who received self hypnotherapyin two weeks and 33 respondents as the control group. Instrument utilised were Maternal Physical Discomfort Scale MPDS and Prenatal Self Evaluation Questioner PSEQ II Indonesian Version. There are decrease of pregnancy discomfort after self hypnosis intervention p 0,001 0,05 . This finding recommends utilisation of MPDS Indonesian Version for to assess pregnancy discomfort and propose self hypnosis which combined with other interventions to increase comfort during pregnancy. "
Depok: 2018
T49251
UI - Tesis Membership  Universitas Indonesia Library
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Fandiar Nur Isdiaty
Hubungan pengetahuan tanda bahaya kehamilan dengan perilaku perawatan kehamilan pada ibu hamil trimester III = Relationship between knowledge of obstetric danger signs and pregnancy care behavior among third trimester pregnant women
"Salah satu penyebab tingginya angka kematian ibu adalah komplikasi kehamilan yang dapat muncul melalui tanda bahaya kehamilan. Pengetahuan ibu hamil dalam mengenali tanda bahaya dapat menjadi salah satu penentu perawatan kehamilan untuk mencegah komplikasi.
Penelitian ini bertujuan untuk mengetahui hubungan antara pengetahuan tanda bahaya kehamilan dengan perilaku perawatan kehamilan pada ibu hamil trimester III. Penelitian ini menggunakan desain deskriptif korelatif dengan pendekatan cross sectional. Pengambilan sampel menggunakan teknik consecutive sampling dengan responden berjumlah 96 ibu hamil trimester III yang sedang melakukan kunjungan antenatal care di Puskesmas Cimanggis dan Puskesmas Sukmajaya.
Hasil penelitian menunjukkan tidak ada hubungan yang signifikan secara statistik antara pengetahuan tanda bahaya kehamilan dengan perilaku perawatan kehamilan pada ibu hamil trimester III (p value: 0,135; α = 0,05). Peneliti memberikan rekomendasi kepada petugas kesehatan agar lebih memotivasi ibu hamil untuk merawat kehamilan dengan baik.
One of causes of high maternal mortality rate is obstetric complications which rise through obstetric danger signs. Women knowledge in recognizing danger signs can be one of the determinations of pregnancy care behavior to prevent further complications.
The aim of this study was to determine the relationship between knowledge of obstetric danger signs and pregnancy care behavior among third trimester pregnant women. This study used descriptive correlative design with cross sectional approach. Consecutive sampling used as sampling technique. Samples of this study were 96 third trimester pregnant women who attended antenatal care in Puskesmas Cimanggis and Puskesmas Sukmajaya.
This study showed that there was no statistically significant relationship between knowledge of obstetric danger signs and pregnancy care behavior among third trimester pregnant women (p value: 0,135; α = 0,05). This study recommended health care professional to motivate pregnant women in practicing better pregnancy care."
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2013
S46242
UI - Skripsi Membership  Universitas Indonesia Library
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Muthia Mutmainnah
Pengembangan model integrasi spiritual perspektif islam pada perawatan prenatal (inspirata) dan efektifitasnya untuk meningkatkan adaptasi kehamilan dan luaran persalinan = Development of the Spiritual Integration Model based on Islamic Perspective on Prenatal Care INSPIRATA and Its Effectiveness to Increase Adaptation during Pregnancy and Obstetric Outcomes
"Kehamilan merupakan periode kritis dalam tahap kehidupan perempuan. Perubahan fisik dan psikologisdapat menyebabkan gangguan keseimbangan dalam kehidupannya. Penelitian ini bertujuan untuk mengembangkan model integrasi spiritual pada perawatan prenatal untuk meningkatkan adaptasi maternal dan kualitas luaran persalinan. Kemampuan ibu beradaptasi dapat terlihat dari maternal fetal attachment, maternal distress, prenatal symptomsdan luaran persalinan.
Penelitian ini terdiri dari tiga tahap yang meliputi tahap identifikasi, tahap pengembangan model dan tahap uji model. Hasil analisis dari wawancara dengan tujuh partisipan pada penelitian tahap I ditemukan lima tema terkait pengaruh spiritual selama kehamilan. Model ini berupa intervensi edukasi yang berbasis spiritual dengan perspektif islam. Intervensi ini terdiri dari sepuluh materi pembelajaran yang dibagi dalam lima sesi pertemuan. Pertemuan dilakukan setiap minggu secara berkelompok di puskesmas atau di wilayah kerja puskesmas. Penelitian ini menggunakan desain quasi experiment pre-post test dengan kelompok kontrol, pengambilan sampel dilakukan dengan teknik consecutive sampling terhadap 124 responden.
Hasil penelitian menunjukkan bahwa model integrasi spiritual perspektif islam pada perawatan prenatal efektif dalam meningkatkan adaptasi kehamilan (aspek spiritual, maternal fetal attachment, maternal distress, prenatal symptoms) dan luaran persalinan (berat badan bayi dan nyeri persalinan). Dukungan sosial merupakan variabel perancu yangberpengaruh terhadap spiritual dan status gravidamerupakan variabel perncu yang berpengaruh pada kecemasan.
Pregnancy is a critical period in the stage of women's lives. Physical and psychological changes are stimuli that can cause disruption of balance in her life. The purpose of this study is to develop a model of spiritual integration in prenatal care to improve maternal adaptation and obstetric outcomes. The ability of the mother to adapt can be seen from the maternal fetal attachment, maternal distress, prenatal symptoms and labor outcomes.
This study consisted of three stages which included the identification phase, the model development stage and the model test phase. The results of the first stage based on the analysis from interviews with seven participants in the first stage of this study found five themes related to spiritual influence during pregnancy. This model is the form of educational interventions that are spiritually based on Islamic perspectives. This intervention consists of ten learning materials which are divided into five meeting sessions. The meeting is conduct every week in groups at the puskesmas or in the puskesmas working area.This study useda quasi experiment design pre-post test with a control group, sampling was done by consecutive sampling technique on 124 respondents.
The results showed that the Islamic perspective spiritual integration model on prenatal care was effective and significant in improving pregnancy adaptation (spiritual aspects, maternal fetal attachment, maternal distress, prenatal symptoms) and labor outcomes (infant weight and labor pain). Social support is a confounding variable that has a significant effect on the spiritual and the number of deliveries is a significant variable that significantly affects anxiety in pregnancy."
Depok: Universitas Indonesia, 2019
D2662
UI - Disertasi Membership  Universitas Indonesia Library
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Ii Solihah
Faktor-faktor yang berhubungan dengan pengetahuan suami tentang tanda bahaya pada masa kehamilan, persalinan, nifas dan neonatus, di Kabupaten Garut Jawa Barat, Tahun 2007 = factors related with husband's knowledge about danger sign's at pregnancy delivery, postpartum and neonates, in Garut District West Java, 2007
"Tingginya Angka Kematian Ibu dan Bayi di Indonesia sering dilatar belakangi oleh tiga jenis keterlambatan (3T) yaitu keterlambatan mengenai tanda bahaya gawat darurat dan mengambil keputusan untuk merujuk, keterlambatan mencari fasilitas pclayanan kcschatan dan keterlambatan mempcroleh pcrtolongan memadai di fasilitas pelayanan rujukan (Depkes,2005).
Tujuan Penelitian ini adalah diketahuinya faktor-faktor yang berhubungan dengan pengetahuan suami tentang tanda bahaya pada masa kehamilan, persalinan. nifas dan neonatus, di Kabupaten Garut Jawa Barat, tahun 2007. Penelitian ini menggunakan data sekunder dari " Survei Data Dasar Pengem-bangan Madel Pelayanan Kesehatan Neonatal Esensial di Kabupaten Garut, Jawa Barat, 2007'; yang telah dilakukan oleh Pusat Penelitian Kesehatan UI & Pusat Kajian Promkcs FKM-UI bekerja sarna dengan Save The Children, pada bulan Juli sampai Oktober 2007, di 40 desa dari 10 kecamatan di Kahupaten Garut. Rancangan penelitian adalah potong lintang (cross sectional). Sampel yang digunakan yaitu suami yang memiliki istri dengan hayi yang berumur 0-11 bulan. Jumlah sampcl sebanyak 209 pasang suami istri. Sumber data berasal dari modul survei suami dan ibu. Data yeng berasal dari suami yaitu pengelahuan tentang tanda bahaya pada masa kebamilan, persalinan. nifas dan neonatus, kererlibatan keanggotaan kegiatan sosial, keterpaparan mdia informasi, keterpaparan terhadap Desa Siaga, kepercayaan/kebiasaan yang berhubungan dengan kesehatan maternal dan neonatal, sedangkan yang berasal dari ibu yaitu umur suami pendididkan suami, pekerjaan suami, jumlah anak, pendapatan keluarga yaitu pendapatan istri, suami dan jumlah tanggunagn keluarga, kepemilikan media elektronik, kepemilikan alat transportasi.
Variabel terikat adalah pengetahuan suami tentang tanda bahaya pada masa kehamilan, persalinan, nifas dan neonatus, sedangkan variabel bebas adalah karakteristik. suami (umur, pendidikan, pekeljaan, jumlah anak, jumlah pendapatan keluarga, kepercayaan/kebiasaan terkait kesehatan maternal dan neonatal), kepemilikan media komunikasi elektronik, kepemilikan alat transportasi, keterpaparan terhadap media infonnasi, keterpaparan terhadap Desa Siaga, keterlihatan keanggotaan kegiatan sosial. Berdasarkan hasil analisis multivariat dari regresi model akhir kandidat model multivariat didapatkan bahwa variabel pendidikan merupakan faktor dominan yang berhubungan dengan pengetahuan suami tentang tanda bahaya pada masa kehamilan, persalinan, nifas dan neonatus.
Saran bagi Depkes RI. khususnya Bagian Promosi Kesehatan agar meningkatkan kerjasama dalam bidang komunikasi dan inforrnasi khususnya dengan institusi pertelevisian nasional untuk memasukan acara penayangan infonnasi kesehatan tematama tentang tanda bahaya pada masa kehamilan persalinan, nifas dan neonatus. Bagi Dinkes Kabupaten, agar I) melakukan advokasi ke Pemda Kabupaten Garut untuk selanjutnya dilimpahkan ke Diknas untuk melakukan peningkatan pendidikan masyarakat Kabupaten Garut. 2) Menganjurkan kepada petugas kesehatan untuk senantiasa mendorong suami agar dapat berperan serta dalam meningkatkan pengetahuan tentang kesehatan maternal dan neonatal, khususnya pengetahuan tentang tanda bahaya diatas.; 3) Melakuan sosialisasi Desa Siaga serta uji coba dibentuknya kader kesehatan yang terdiri dari para suami dalarn suatu forum kegiatan sosial.; 4) Melakukan keljasama dengan stasiun radio setempat untuk mernasukan prognm sosialisasikan peningkatan pegetahuan tentang tanda bahaya pada masa keharnilan, persalinan, nifas dan neonatus. dengan acara yang disukai masyarakat; 5) Kerjasama dengan iustitusi pendidikakan kesehatan setempat baik pemerintah maupun swasta melalui kerjasarna pengelolaan daerah binaan kesehatan. Bagi kelompok profesi IDI, PPNI, IBI, agar senantiasa meningkatkan pemberikan informasi kesehatan khususnya tentang tanda bahaya pada masa kehamilan, persalinan, nifas dan neonatus dengan sasaran suami atau keluarga. Bagi masyarakt dan LSM, PKK, Forum Desa Siaga, agar dapat berperan serta aktif yaitu mengikuti kegiatan social yang dibentuk untuk mengatasi maalah maternal dan neonatal, sehingga dimasa yang akan datang kematian ibu dan bayi yang disebabkan karena keterlambatan mengenal tanda bahaya tersebut dapat teratasi.
In Indonesia the high number of both maternal and neonatal death rate frequently has Background which consist of delay?s in recognizing emergency danger signs, making decision where to refer the emergency case to the health service facilities and in getting adequate treatment from referral services facilities. (Depkes,2005). This research used aimed to aim factors related wife husband's knowledge about danger sign at pregnancy time,partus, pcstpartus and neonates in Ga:rut West Java, 2007.
This research usad secondary data from "Baseline Survey of Neonatal Essential Health Services Improvement Model in Garut Districk West Java, 2007' which was conducted by the Center of Health Research University of Indonesia & Center of Health Promotion Study FKM-UI in cooperation with Save the Children. It third July until October 2007, at 40 covered from 10 district in Garut Distrek. The research design was cross sectional. The selected sample was the husband whose wife matter having infant age 0..11 months. Total sample was 209 couples. The data instrument was take from the modules survey of husband and wife matter infant 0..11 moun infant. The data taken from husbands were knowledge about danger sign at pregnancy time, partus, postpartus and neonates, involvement in the of social organization exposure to information media, exposur towards ? Desa Siaga ?, Aler village program wich related to maternal and neonatal health, while data taken from the mothers were husband?s age, last education, work state job, number of children, family income consist with wife?s and husband?s income and number of family burden, electronic media partnership, vehicles partnership.
The independent variable was husband's the knowledge,about danger sign at pregnancy time, partus, postpartus and neonates, while dependent variable was husband characteristic (age, education, job, number of children, family income, trust/habits related with maternal and neonatal health), electronics media communication partnership, vehicles possession, exposures towards information media, exposures towards "Desa Siaga" involvement in social organization activity. The multivariate analysis result showed that from regression of the last candidate model, education variable was the most dominant factor which related with husband knowledge about danger sign at pregnancy time, pregnancy delivery, postpartum, and neonates periode.
Suggestions for the Health Department of the Republic Indonesia especially to the latter of Health Promotion is to improve the cooperation in communication and information especially with national television exident status to eximined health information speclatly about danger sign at pregnancy time, partus, postpartus and neonates. sub-province Health Department shall; (1) advocate to the Garut local government especially to ide to improve of level education the people, (2)Emergency health personal always to support the husband to develop their role in increasing knowledge of health maternal and neona!al, especially the above knowledge of danger sign, (3) conduct socialization of Desa Siaga and tryout health cadre formation which coos lists of the husbands , (4) establish cooperation with local radio station to create program of socialization of danger sign in pregnancy time, pregnancy delivery, postpartum, and neonates periode, with event or agenda that interest the society, (5) make cooperation with local health educational institution not only government but also private institution trough cooperation in establish pilot project such at IDI, PPNI, IBI could asistant socially, especially about danger sign in pregnancy time) pregnancy delivery, postpartum, and neonates periode with husband or family as target program."
Depok: Fakultas Kesehatan Masyarakat Universitas Indonesia, 2008
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Muhamad Reza Prabowo
Hubungan kualitas pelayanan antenatal dengan pengetahuan sikap dan perilaku ibu hamil mengenai pemeriksaan kehamilan di kecamatan koja pada bulan maret 2013 = Association between antenatal care with pregnant women s knowledge attitude and practices about pregnancy assessment at kecamatan koja in march 2013
"Salah satu cara menurunkan angka kematian ibu adalah meningkatkan kualitas pelayanan antenatal. Penelitian ini mencari hubungan kualitas pelayanan antenatal dengan pengetahuan, sikap, dan perilaku ibu hamil mengenai pemeriksaan kehamilan. Penelitian ini menggunakan desain cross-sectional. Penelitian dilakukan di Puskesmas Kecamatan Koja pada Maret 2013. Sampel diambil sebanyak 109 orang dengan metode konsekutif. Kualitas pelayanan antenatal dinilai melalui daftar tilik. Sedangkan pengetahuan, sikap, dan perilaku melalu kuesioner. Data dianalisis dengan uji chi-square. Mayoritas ibu hamil dalam golongan tidak berisiko, berpendidikan lebih tinggi, tidak bekerja, beban finansial keluarga di bawah rata-rata, paritas tidak lebih dari dua, dalam trimester ketiga, memiliki kunjungan yang lebih, ditemani saat berkunjung, dan tidak memiliki pengalaman pemeriksaan kehamilan. Kualitas pelayanan antenatal yang baik 42,2% dan tenaga kesehatan belum mencuci tangan, menggunakan sarung tangan, dan memberi edukasi menyusui. Pengetahuan, sikap, dan perilaku ibu hamil baik. Ada hubungan kualitas pelayanan antenatal (p=0,010) dan pendidikan (p=0,020) serta pekerjaan (p=0,039) ibu hamil terhadap pengetahuan mengenai pemeriksaan kehamilan. Ditambah, ada hubungan antara pendidikan (p=0,017) ibu hamil dengan perilaku mengenai pemeriksaan kehamilan. Kualitas pelayanan antenatal di Puskesmas Kecamatan Koja perlu ditingkatkan dengan memperketat aturan mencuci tangan dan menggunakan sarung tangan serta edukasi menyusui untuk meningkatkan keamanan dan wawasan pasien.
One way to reduce maternal mortality rate is to improve antenatal care (ANC) quality. This research finds association between quality of ANC with knowledge, attitude, and practice about pregnancy assessment. Research design is cross-sectional. Data collection was performed at Puskesmas Kecamatan Koja on March 2013 and 109 subjects taken with consecutive sampling method. Quality of ANC is valued in checklist, while knowledge, attitude, and practice is valued by questionnaire. Data was analyzed with chi-square test. The majority of pregnant women there are in unrisk, higher education level, unemployed, below average finance, not more than two parities, in third trimester, have more visits, accompanied while visiting ANC, and no pregnancy assessment?s experience. Good quality of ANC is 42,2% and healthcare giver haven?t washed their hands, wore gloves, and given lactacy education. Knowledge, attitude, and practices is good. There is significant difference between quality of ANC (p=0,010), education level (p=0,020), and occupation (p=0,039) with knowledge about pregnancy assessment. In addition, there is siginificant differences between education level and pregnant women?s knowledge (p=0,017). Quality of ANC at Puskesmas Kecamatan Koja needs improving by strict policy in washing hands, wearing gloves, and lactacy education in order to increase patient safety and knowledge."
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2013
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