Publication Search

76,969 articles from 728 journals · 2,111 citations tracked

Showing 1-20 of 25

Analytics

Sustiyani, Elly; Fahriana; Faizah, Nurul

Jurnal Kesehatan Tropis Indonesia 2026 PT. LARPA JAYA PUBLISHER

Anemia pada ibu hamil masih menjadi salah satu masalah kesehatan yang berkontribusi terhadap tingginya angka kematian ibu dan bayi di Indonesia. Anemia dalam kehamilan dapat meningkatkan risiko perdarahan postpartum, persalinan prematur, berat badan lahir rendah, serta komplikasi lainnya pada ibu dan janin. Penelitian ini bertujuan untuk melaksanakan asuhan kebidanan komunitas pada ibu hamil trimester II dengan anemia ringan di Dusun Bentek, Desa Menggala, Kecamatan Pemenang, Kabupaten Lombok Utara. Metode penelitian yang digunakan adalah studi kasus dengan pendekatan manajemen asuhan kebidanan meliputi pengkajian, analisis data, penentuan diagnosis, perencanaan, implementasi, dan evaluasi. Subjek penelitian adalah Ny. “R” usia 32 tahun G1P0A0H0 usia kehamilan 27 minggu dengan kadar hemoglobin 9,0 g/dL. Hasil pengkajian menunjukkan bahwa ibu mengalami anemia ringan disertai kurangnya pengetahuan mengenai pentingnya konsumsi tablet tambah darah dan pemenuhan nutrisi selama kehamilan. Asuhan yang diberikan meliputi edukasi kesehatan, konseling gizi, pemberian tablet tambah darah, pemantauan kehamilan, serta kolaborasi dengan petugas gizi. Hasil evaluasi menunjukkan adanya peningkatan pengetahuan ibu dan kepatuhan dalam mengonsumsi tablet tambah darah yang ditandai dengan peningkatan kadar hemoglobin menjadi 10,9 g/dL pada kunjungan ulang. Dengan demikian, asuhan kebidanan komunitas yang diberikan efektif dalam membantu mengatasi anemia ringan pada ibu hamil trimester II serta meningkatkan kesehatan ibu dan janin.

Afna Adelya Siswandi; Baluqia Iskandar Putri

Jurnal ilmu Kesehatan Umum 2025 Asosiasi Riset Ilmu Kesehatan Indonesia

Tonsillitis is an inflammation of the pharyngeal tonsils, commonly caused by viral infections, and typically resolves on its own without medical intervention. The first-line treatment for tonsillitis generally involves supportive care, such as analgesics and hydration, to alleviate symptoms. However, in cases of chronic or severe tonsillitis that cannot be managed conservatively, tonsillectomy is the recommended surgical procedure. Tonsillectomy is typically performed by an ENT specialist, and candidates for this surgery must meet the absolute and relative criteria outlined in the 2004 Health Technology Assessment (HTA) Indonesia clinical guidelines. Although tonsillectomy is a common procedure, one of the serious complications that can arise post-surgery is hemorrhage, which can lead to fatal consequences if not managed appropriately. Post-tonsillectomy bleeding is a significant cause of mortality and requires immediate and effective management. Effective management of post-tonsillectomy hemorrhage is crucial to prevent life-threatening situations that may develop without appropriate intervention. Bleeding can be addressed through close observation, bedside interventions, or additional surgery if necessary, with the initial focus on stabilizing the patient's hemodynamics and controlling active bleeding. Given the high incidence and severity of post-operative bleeding, it is vital for healthcare professionals to identify patients who experience this complication and those at high risk, providing timely and appropriate interventions to reduce the risk of fatality. Therefore, in-depth knowledge of post-tonsillectomy hemorrhage management is essential for ENT specialists in daily clinical practice.

Dwinna Sastra Mutia; Astika Nur Rohmah; Nia Handayani

The Journal General Health and Pharmaceutical Sciences Research 2025 LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

This study investigates the relationship between intraoperative blood loss and the incidence of hypothermia in patients undergoing general anesthesia at PKU Muhammadiyah Yogyakarta Hospital. General anesthesia, while commonly used for its effectiveness and patient comfort, is associated with various physiological changes, including postoperative hypothermia. Hypothermia can lead to serious complications such as delayed recovery, increased bleeding, infection risk, and impaired wound healing. One contributing factor is blood loss during surgery, which reduces the body’s ability to regulate temperature. This research employed an observational analytic method with a cross-sectional approach involving surgical patients who received general anesthesia. Data were collected on the volume of intraoperative bleeding and the presence of hypothermia in the recovery phase. The findings indicate a significant correlation between the amount of blood lost during surgery and the occurrence of hypothermia. These results suggest that early identification and management of blood loss are essential to prevent hypothermia and its associated risks. The study emphasizes the importance of temperature monitoring and bleeding control in improving patient safety and outcomes during surgical procedures involving general anesthesia

Nur Yola Salsabila; Erina Khusnia Dewi; Kusnul Putri Yulia Wulandari; Gusriani Gusriani

Jurnal ilmu Kesehatan Umum 2024 Asosiasi Riset Ilmu Kesehatan Indonesia

Age is a risk factor for postpartum hemorrhage, according to Rahmawati's research. An association between age and bleeding due to uterine atony was also found. Mothers aged 20 to 35 years have a 12 times higher risk of experiencing postpartum hemorrhage than mothers aged 20 to 35 years (Edah, 2019). Age parity is also a risk factor for postpartum hemorrhage. Parity refers to the number of children born to a mother (both born alive or dead). Mothers with three children are more at risk of bleeding after delivery than mothers with parity 1 to 3. The aim of this study is to analyze the relationship between age and parity and the amount of bleeding that occurs in mothers who have just given birth. The literature review method was used in this study. Various scientific articles and research reports discussing risk factors for postpartum hemorrhage are thoroughly explained. The results showed that older maternal age (above 35 years) and high parity (giving birth more than once) increased the risk of postnatal bleeding. These results suggest that mothers with these characteristics should be given special attention to reduce the risk of these complications by obtaining appropriate education, supervision during pregnancy, and appropriate birth planning.

Nadilla Afriza; Bella Ardika Maharani; Karlina Karlina; Dona Yebelina

Jurnal ilmu Kesehatan Umum 2024 Asosiasi Riset Ilmu Kesehatan Indonesia

This study is a Systematic Literature Review (SLR) which aims to analyze the relationship between risk factors and the incidence of birth canal laceration and its impact on postpartum hemorrhage. The review of various studies showed that postpartum hemorrhage and perineal rupture have complex and interrelated risk factors, with placental retention, uterine atony, and birth canal laceration as the main causes (p-value <0.05). Maternal characteristics such as age, parity (especially in multiparous with a prevalence of 32.9%), history of previous bleeding (OR=7.725), and pregnancy spacing less than two years (OR=6.943) contributed significantly to the risk of complications. Birth weight had a significant association with the incidence of perineal rupture, while the innovative use of warmpad proved effective with 58.8% of cases showing an intact perineum post-delivery. The study also identified anemia in pregnancy as an important risk factor, with the distribution of causes of postpartum hemorrhage including placental retention (44%), uterine atony (28%), uterine rupture (18.6%), and uterine inversion (9.4%), confirming the importance of comprehensive monitoring during pregnancy to prevent complications.

Sukma Ayu; Nur Afrilian Risma; Luthfia Ika Maharani Ilham

Jurnal Kesehatan dan Kedokteran 2024 Lembaga Pengembangan Kinerja Dosen

Postpartum hemorrhage is a serious complication that can occur after delivery and is a major cause of maternal morbidity and mortality. This literature review aims to analyze postpartum hemorrhage as a major risk factor for anemia in postpartum mothers. The method used was Systematic Literature Review with a literature research approach using the Google Scholar database. The analysis of eight articles showed that anemia during pregnancy had a significant association with the incidence of postpartum hemorrhage, with a risk of up to 45.7 times greater than mothers without anemia. Other contributing factors included type of delivery, where sectiocaesarea increased the risk of postpartum anemia compared to normal delivery (p=0.004). In conclusion, anemia is a significant risk factor for postpartum hemorrhage that requires early detection, nutritional status monitoring, and comprehensive antenatal care to prevent complications in postpartum women.

Marleni Marleni; Megawati Megawati

Jurnal Riset Rumpun Ilmu Kedokteran 2024 Pusat riset dan Inovasi Nasional

Maternal health remains a major global challenge, particularly in developing countries where mothers are still highly vulnerable during childbirth. Postpartum hemorrhage is one of the leading causes of maternal mortality, accounting for approximately 25% of maternal deaths worldwide, and commonly occurs within the first 24 hours after delivery. This study aims to identify factors associated with postpartum hemorrhage at Bakti Timah Pangkalpinang Hospital during 2022–2023. The research applied a case-control design using secondary data obtained from medical records. The study population consisted of 1,002 mothers who gave birth at the hospital, with a sample of 104 respondents divided into 52 case subjects (mothers who experienced postpartum hemorrhage) and 52 control subjects (mothers who did not experience postpartum hemorrhage). Data were analyzed using the Chi-square test. The results showed significant relationships between maternal age (p=0.002; OR=3.600; 95% CI: 1.548–8.371), parity (p=0.000; OR=0.194; 95% CI: 0.079–0.477), and anemia (OR=5.099; 95% CI: 1.940–13.399) with the incidence of postpartum hemorrhage. The study concludes that mothers aged under 20 years and over 35 years, multiparous mothers, and mothers with anemia have a higher risk of experiencing postpartum hemorrhage.

Kamelia Sinaga; Imran Saputra Surbakti; Lia Nurpiani; Rumondang Sitorus; Asnita Sinaga +1 more

Jurnal Siti Rufaidah 2024 PPNI UNIMMAN

Background: Postpartum hemorrhage is the main cause of maternal death in both developed and underdeveloped countries, followed by hypertension and infection. The decline in. Reducing maternal mortality must be carried out by implemnting SDGS, which is one of the targets that will be achieved.  This study aims to determine the effectiveness of the use of oxytocin injection in the treatment of postpartum hemorrhage. Methods: This type of research is a descriptive study using a retrospective case control study design that aims to determine the effectiveness of the use of oxytocin injection in the treatment of post partum bleeding at Latersia Hospital Binjai District Binjai, Binjai City North Sumatra Province  In 2024. part of the entire object under study and is considered to represent the entire population. In other words, the elements of the population are selected based on their ability to represent them (Setiadi 2016). This sampling uses a total sampling of 30 people. Data collection techniques use questionnaire sheets and respondent observation sheets. The data analysis technique used the Mann Whitney Test. Results: Based on the results of the Mann-Whitney test, it was obtained that p-value was 0.000 because p-value <0.05, it can be concluded that oxytocin injection is more effective in handling Post Partum Bleeding compared to no injection. Oxytocin in Post Partum Mothers at Latersia Hospital Binjai District Binjai, Binjai City North Sumatra Province  In 2024. Conclusion: This study means that if given oxytocin injection is more effective in handling Post Partum Bleeding compared to not given oxytocin injection in Post Partum mothers at Latersia Hospital Binjai District Binjai, Binjai City North Sumatra Province  In 2024..

Ika Damayanti Sipayung

Jurnal ilmu Kesehatan Umum 2024 Asosiasi Riset Ilmu Kesehatan Indonesia

One of the MGDS global targets is to reduce MMR and IMR. The maternal mortality rate in Indonesia is still high at 390 per 100,000 live births. Referring to the link between birth management and various countermeasures for the biggest cause of AKI is postpartum hemorrhage. Efforts have been made in problems related to bleeding, even several studies have carried out IMD in treating bleeding problems considering that the presence of IMD can affect the hormone oxytocin which is associated with bleeding. The purpose of this study was to see how IMD influences the amount of bleeding in the fourth stage.This research is a Quasi Experiment using primary data. The population and sample were all primiparous women with a total of 46 respondents using the purposive sampling method. The data analysis was univariate and bivariate using the Independent t-test. The results showed that there was a significant effect between IMD on the amount of bleeding in the fourth stage. The average number of bleeding in the fourth stage of respondents who underwent Early Breastfeeding Initiation was 150.63 with a standard deviation of 22.149. Meanwhile, for respondents who did not undergo Early Breastfeeding Initiation, the average number of bleeding in the fourth stage was 166.09 with a standard deviation of 21.580. In the statistical test, the value of P = 0.000 was obtained. With this study, it was found that there was an effect of IMD on the amount of bleeding in the fourth stage of labor. It is hoped that midwives and doctors will implement IMD in order to reduce morbidity and mortality of mothers and babies.

Chairunnisah Chairunnisah; Srilina Br Pinem; Asnita Sinaga; Mediana Mediana; Eka Purnama

Jurnal Mahasiswa Ilmu Kesehatan 2024 STIKes Ibnu Sina Ajibarang

KB suntik 3 bulan merupakan salah satu alternatif yang digunakan untuk mencegah kehamilan dengan melepaskan hormone progestin ke dalam pembuluh darah yang bekerja dengan cara menghentikan pelepasan sel telur ke dalam rahim, sehingga mencegah terjadinya proses pembuahan. Perubahan menstruasi yang dialami oleh wanita yang menggunakan DepoProvera dimulai dalam bentuk perdarahan yang tidak teratur yang tidak dapat diprediksi dan bercak darah yang berlangsung selama tujuh hari atau lebih atau perdarahan hebat selama beberapa bulan pertama penggunaan Depo-Provera.Tujuan penelitian ini untuk mengetahui hubungan Karakteristik Terhapat Pengetahuan Ibu Tentang Alat Kontrasepsi KB Suntik 3 Bulan Di Puskesmas Tanjung Tiram Kecamatan Tanjung Tiram Provinsi Sumatera Utara Tahun 2022. Penelitian ini termasuk kedalam penelitian deskriptif korelasi dengan menggunakan pendekatan kuantitatif, Desain penelitian yang digunakan dalam penelitian ini merupakan desain Casual Corellation Research sampel dalam penelitian adalah sebanyak 85 orang dengan menggunakan rumus so;vin. Data yang dikumpulkan dalam penelitian adalah data primer yaitu data yang diperoleh secara langsung dari responden. Analisis data yang digunakan yaitu chi square Hasil penelitian tabulasi terdapat Hubungan Umur Dengan Pemilihan Kontrasepsi KB Suntik 3 Bulan Di Di Puskesmas Tanjung Tiram Kecamatan Tanjung Tiram Tahun 2022 Hasil uji statistik didapatkan nilai ρ-value (0,049), sehingga ada hubungan antara umur dengan pemilihan metode kontrasepsi. Hasil penelitian Hubungan Pengetahuan Dengan Pemilihan Kontrasepsi KB Suntik 3 Bulan Di Puskesmas Tanjung Tiram Kecamatan Tanjung Tiram Tahun 2022  didapat nilai p value  = 0,008 (P < 0,05) hal ini berarti ada hubungan antara pengetahuan akseptor dengan KB Suntik. Hasil penelitian Hubungan Pendidikan Dengan Pemilihan Kontrasepsi KB Suntik 3 Bulan Di Puskesmas Tanjung Tiram Kecamatan Tanjung Tiram Tahun 2022 didapatkan nilai 0,001 < ρ-value (0,05), sehingga ada hubungan antara pendidikan dengan pemilihan metode kontrasepsi. Kesimpulan Ada hubungan yang signifikan antara umur, pengetahuan dan pendidikan  dengan pemilihan alat kontrasepsi KB suntik 3 Bulan di Di Puskesmas Tanjung Tiram Kecamatan Tanjung Tiram Tahun 2022

Sumarni Sumarni; Juni Sofiana; Umi Sulasih

jurnal ABDIMAS Indonesia 2023 STIKes Ibnu Sina Ajibarang

Manfaat yoga adalah untuk memperkuat otot dasar panggul dan otot perut sehingga otot kencang dan mencegah terjadinya berbagai keluhan di masa postpartum.  Yoga mampu mencegah terjadinya perdarahan postpartum karena yoga menyebabkan otot-otot perut berkontraksi. Kontraksi otot perut bekerja menjepit pembuluh darah dan mencegah perdarahan postpartum serta  mempercepat proses involusi uteri. Involusi uteri adalah proses uterus berubah menjadi kecil dan kembali ke ukuran sebelum hamil.Tujuan kegiatan ini yaitu untuk memberikan edukasi tentang postnatal yoga. Metode penyuluhan ini dilakukan secara langsung dengan ceramah dan diskusi secara interaktif serta simulasi postnatal yoga.  Diskusi dilakukan dengan metode tanya jawab terkait materi. Materi selain disajikan secara presentasi juga diberikan  melalui leaflet. Hasil kegiatan menunjukan bahwa setelah kegiatan ini sebagian besar ibu mempunyai pengetahaun yang baik tentang postnatal yoga. Kegiatan penyuluhan ini telah dicapai dengan menambah wawasan dan informasi kepada masyarakat tentang postnatal yoga.

Henni Jc Saragih; Sri Rezeki

Compromise Journal : Community Proffesional Service Journal 2023 LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

According to the WHO (World Health Organization), every day in 2017 around 810 women died, at the end of the year reaching 295,000 people, of which 94% were in developing countries (WHO, 2019). The MDGs (Millennium Development Goals) which ended in 2015, were then continued with the development of the SDGs (Sustainability Development Goals) until 2030. The five biggest causes of maternal death in Indonesia in 2010-2016 were bleeding (30.3%), hypertension in pregnancy ( 27.1%), infection (7.3%), prolonged labor (1.8%), abortion (1.6%) and others (31.9%). This study aims to identify the relationship between HB levels and postpartum hemorrhage at the Djasamen Saragih Regional General Hospital in 2023.Type of quantitative research with a case control design. This study was conducted on a sample of 100 postpartum. To measure the characteristics of the respondents, a data collection form was used which was obtained through collecting data from the evaluation section at the Djasamen Saragih Regional General Hospital in 2023.Based on the statistical test using chi-square, the value of ρ = 0.001 (ρ <α, α = 0.05) is obtained, the strength of the relationship between the two variables is seen based on the contingency coefficient, which is 0.302, which means the strength of the relationship is moderate. Then the odds ratio (OR) results obtained OR = 0.215 [95% CI 0.087 – 0.532] which means that the range 0.087 – 0.532 does not exceed the value of 1, so postpartum mothers with low Hb levels during pregnancy have a greater chance of postpartum hemorrhage 0.215 than mothers postpartum Hb was normal during her pregnancy.There is a relationship between Hb levels and postpartum hemorrhage at the Djasamen Saragih Regional General Hospital in 2023    

Natalina Perangin angina; Kamelia Sinaga; Imran Saputra Surbakti

Jurnal Ilmu Kesehatan dan Gizi 2023 Pusat Riset dan Inovasi Nasional

Mortality and morbidity in pregnant women is a serious problem for the world. The causes of maternal death are quite complex problems, which can be classified based on reproductive factors, obstetric complications, health services and economics. The government program, namely early initiation of breastfeeding or breastfeeding after giving birth for the first time, can provide many benefits for babies and mothers so that maternal and infant mortality rates can be reduced with the early initiation of breastfeeding program. This study aims to determine the effect of early initiation of breastfeeding on stopping post partum bleeding at the Tiganderket District Health Center. Tiganderket, Karo Regency. This type of research is quantitative research using a pre-designed experiment with a statistical comparison group approach / control group design only post test, and analyzed using an independent t test. Data collection uses primary and secondary data. The respondents of this research were 16 mothers who gave birth at the Tiganderket District Health Center. Tiganderket, Karo Regency The results of this study show that the average number of fourth stage blood deliveries between mothers who were given early breastfeeding initiation and mothers who were not given early breastfeeding initiation was obtained where p=0.000 so p<0.005, then Ho was rejected and Ha was accepted ..The conclusion is that there is an effect of early initiation of breastfeeding on stopping post partum bleeding at the Tiganderket District Health Center. Tiganderket, Kab. Karo in 2023

Metasari, Des; Berlian Kando, Sianipar; Rahmawati, Dyah Tepi

Jurnal Kesehatan Medika Udayana 2023 Sekolah Tinggi Ilmu Kesehatan Kesdam IX/Udayana

ABSTRAK Latar Belakang: Tindakan episiotomi pada ibu postpartum akan menimbulkan luka yang menjadi resiko terjadi infeksi dan perdarahan postpartum yang dapat menjadi fakor penyebab peningkatan Angka Kematian Ibu (AKI), sehingga proses penyembuhan luka menjadi hal penting untuk mengurangi resiko tersebut. Senam kegel dapat membantu proses penyembuhan luka karena melancarkan sirkulasi darah dan oksigen ke dalam otot dan jaringan disekitar, seperti perineum sehingga mempercepat proses penyembuhan luka. Tujuan: Penelitian ini bertujuan untuk mengetahui analisis (hubungan) senam kegel terhadap proses penyembuhan luka episotomi pada ibu postpartum di kota Bengkulu. Metode: Penelitian ini menggunakan deskriptif analitik dengan analisis crossectional, sampel dalam penelitian ini ibu postpartum normal yang mengalami luka episiotomi di kota Bengkulu tahun 2022 yang berjumlah 40 orang, diambil dengan menggunakan teknik purposive sampling, lama senam 20 menit selama 7 hari dengan frekuensi 1 kali/hari. Hasil: Sebagian besar ibu postpartum dengan episiotomy tidak melakukan senam kegel, Sebagian besar mengalami proses penyembuhan luka > 7 hari. Ada hubungan anatara senam kegel dengan penyembuhan luka episiotomy pada ibu postpartum normal yang terjadi episiotomy dengan Pvalue 0,013. Simpulan: Terdapat percepatan proses penyembuhan luka episiotomi pada ibu posprtum yang emlakukan senam kegel, sehingga dapat disarankan pada ibu postpartum untuk melakukan senam kegel untuk membantu perbaikan jaringan yang luka akibat tindakan episiotomi.

Lina Contesa

Jurnal Ventilator: Jurnal riset ilmu kesehatan dan Keperawatan 2023 Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Postpartum hemorrhage is a frequent cause of death in mothers with 1,280 cases. One of the causes of postpartum bleeding is a uterus that does not contract or is called uterine atony. Uterine atony keeps the blood vessels open so that blood continues to flow. Efforts to make the uterus contract are by uterine massage. Uterine massage helps make the blood vessels close and stimulates contractions so that the height of the fundus decreases, indicating that the uterus is slowly shrinking. Research objective: to determine the effect of uterine massage on reducing the height of the uterine fundus as an effort to prevent post-partum bleeding. Method: This research uses a quasi-experimental design, namely post test control group design. The sample in this study was part of normal postpartum mothers at BPM. The sample was divided into a treatment group and a control group. The sampling technique uses purposive sampling. Data were analyzed using the unpaired sample t test. The results of the independent t test obtained a p value of 0.071 (p > 0.05). This means that there is no effect of uterine massage on reducing the height of the uterine fundus.  

Khoirotul Umi Mahmudah; Sri Kustiyati

Jurnal Inovasi Riset Ilmu Kesehatan 2023 Pusat Riset dan Inovasi Nasional

Background: Sixty percent of all maternal deaths occur during the postpartum period and 45% of these cases occur within the first 24 hours postpartum (WHO, 2018). Steps that can prevent postpartum bleeding management include active third stage, administration of uterotonics and early initiation of breastfeeding. Oxytocin hormone levels will increase in the third stage after separation of the placenta and when early initiation of breastfeeding is carried out because the pituitary gland releases the oxytocin hormone through the baby's stomping, touching and licking of the mother's skin so that it can prevent postpartum bleeding and speed up the expulsion of the placenta naturally. Objective: To determine the effect of early initiation on the number of post-delivery events at the Griya Mazaya midwifery clinic in 2023. Method: The research method uses analytical observational analysis with case control. The research design used a retrospective approach with a sample size of 44 respondents divided into 22 groups of respondents who did IMD and did not do IMD with a data processing test using Mann Whitney. Results: The results of Mann Whitney data processing showed a p value of 0.000, which means p value < sig (0.05) thus proving that there is a difference in the incidence of post-delivery bleeding. Mothers who did IMD had less bleeding than mothers who did not do IMD. Conclusion: Management of early initiation of breastfeeding immediately after the new baby is born can significantly reduce the rate of postpartum hemorrhage.

Basli Muhammad; Jihan Nabila

Jurnal Ilmu Kesehatan dan Gizi 2023 Pusat Riset dan Inovasi Nasional

Haemorrhagic stroke, or also known as spontaneous intracerebral haemorrhage (PIS), is one of the pathological types of stroke caused by intracerebral blood vessels. This condition causes neurological symptoms that occur suddenly and often followed by symptoms due to the spatial effects or increased intracranial pressure (TIK). Generally speaking, the number of strokes is increasing, according to (RISKESDAS) the Ministry of Health of the Republic of Indonesia there is an increase in stroke prevalence from 8.3 (2007) to 12.2 (2013) per 1000 people. In PIS, primary injury occurs: neuron and glia damage mechanically followed by deformation, neurotransmitter release, mitochondrial dysfunction and cell membrane depolarization. Secondary injuries due to haemoglobin breakdown and coagulation factors especially thrombin. The product will activate microglia so it produces toxic substances such as reactive oxygen species (ROS), matrix metalloproteinase (MMP), cyclooxygenase-2, prostaglandin, heme oxygenase-1 (HO-1), complement factor, tumour necrotizing factor α (TNF α), and interleukin 1β causing network injury. In addition to injury, there's also a replacement of dead cells through the neurogenesis process, which is the growth of neuronal stem cells in the subventricular and hippocampus areas. The number of hemorrhagic strokes in Asia is higher than in the West. This could be due to the high incidence of hypertension in the Asian population.

Andrian Andrian; Henny Putri Wahyuni

Jurnal Riset Rumpun Ilmu Kedokteran 2023 Pusat riset dan Inovasi Nasional

Perdarahan intrakranial sebagai akumulasi darah patologis yang terjadi di otak dan diklasifikasi berdasarkan lokasi perdarahan yaitu perdarahan epidural, subdural, subaraknoid, intraventrikular dan intraserebral (intraparenkim). Perdarahan intrakranial merupakan masalah klinis penting karena berkaitan dengan tingginya angka kejadian, yang seringkali disertai dengan gejala sisa neurologis serius atau bahkan kematian.Perdarahan Intrakranial merupakan perdarahan di dalam tulang tengkorak. Perdarahan bisa terjadi di dalam otak atau di sekeliling otak. Setiap perdarahan akan menimbulkan kerusakan pada sel-sel otak. Ruang di dalam tulang tengkorak sangat terbatas, sehingga perdarahan dengan cepat akan menyebabkan bertambahnya tekanan dan hal ini sangat berbahaya. Penyebab perdarahan intrakranial ini bisa karena cedera kepala merupakan penyebab yang paling sering ditemukan pada penderita perdarahan intrakranial yang berusia dibawah 50 tahun.CT-Scan merupakan modalitas alat pencitraan utama yang digunakan dalam keadaan akut dan sangat bermanfaat dalam menegakkan serta menentukan tipe trauma kapitis karena kemampuannya memberikan gambaran fraktur, hematoma dan edema yang jelas baik bentuk maupun ukurannya.

Ismawati Ismawati; Rahmat H. Djalil; Zainar Kasim

Jurnal Anestesi: Jurnal Ilmu Kesehatan dan Kedokteran, 2023 Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Bleeding is the most common cause of death where cases of open trauma are often found in the community, especially in traffic accidents and other accidents such as sharp object puncture wound. The purpose of this research was to find out the effect of pressure bandage education on knowledge and attitude of stopping bleeding in ordinary people in the 3rd Neighborhood Mahawu Village, Tuminting Subdistrict, Manado.  This research was conducted by using a quasy experimental method (one group prettest and posttest design). Samples were amounted to 15 respondents taken by a random sampling. The instruments used in this research was questionnaire. Then, the collected data was processed by running the SPSS computer program version 16.0 to be analyzed by a Mc Nemar test with the significance level ? = 0,05. The Mc Nemar test result showed the value of knowledge ? = 0,002 which was smaller than ? = 0,05, meaning Ha is accepted or education in pressure bandage techniques can influence the attitude of ordinary people. The conclusion of this research is that there is an effect of pressure bandage education on knowledge and attitude of stopping bleeding in ordinary people in the 3rd Neighborhood Mahawu Village, Tuminting Subdistrict, Manado. It is suggested so that the community can get education with pressure bandage material to increase knowledge, attitudes and reduce the risk of bleeding that occurs.

Arni Arni; Basaria Manurung

Journal of Educational Innovation and Public Health 2023 Pusat Riset dan Inovasi Nasional

Anemia pada ibu hamil meningkatkan risiko terjadinya perdarahan postpartum, bila anemia terjadi sejak awal kehamilan dapat mengakibatkan terjadinya persalinan prematur. Penelitian ini bertujuan untuk mengetahui Hubungan Pengetahuan Dan Paritas Ibu Dengan Anemia Pada Ibu Hamil TrimestER III Di Puskesmas Suka Makmur Kabupaten Aceh Tenggara Tahun 2022. Jenis Penelitian ini merupakan penelitian dengan survei analitik dengan pendekatan metode cross sectional. Populasi adalah seluruh ibu hamil Trimester III Di Puskesmas Suka Makmur Kabupaten Aceh Tenggara yaitu sebanyak 58 Orang. Jumlah sampel yang digunakan adalah 58 orang yang diperoleh dengan menggunakan teknik Total sampling. Teknik analisis data menggunakan chi square. hasil yang diperoleh dalam penelitian ini adalah dari 58 responden, ada pengaruh antara pengetahuan ibu  dengan Kejadian Anemia Pada Ibu Hamil Trimester III dengan nilai p= 0,010, ada pengaruh antara paritas ibu  dengan Kejadian Anemia Pada Ibu Hamil Trimester III  dengan nilai p= 0,038. Disarankan kepada pihak puskesmas untuk meningkatkan pengetahuan ibu hamil untuk meningkatkan penyuluhan terkait kejadian anemia pada ibu hamil Trimester III.