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Sifra Sopia Sinaga; Marta Armita Silaban

Jurnal Kesehatan dan Kedokteran 2025 Lembaga Pengembangan Kinerja Dosen

Background: According to data from the World Health Organization (WHO, 2023), antepartum hemorrhage, especially placenta previa, accounts for 15% to 20% of maternal deaths. Placenta In addition, previa accounts for 3% of all maternal deaths in Indonesia due to bleeding. Abnormal implantation of placental tissue above the endocervical os is a characteristic of placenta previa. Parity, age, endometrial hypoplasia, tumors, slow luteal response, endometrial abnormalities, history of cesarean section, curettage, multiple pregnancies, and history of placenta previa in previous pregnancies are some of the factors that can increase the risk of placenta previa. Research Objective: This is to determine the characteristics of pregnant women with the incidence of placenta previa in pregnant women at the HKBP Balige Hospital in 2024. Research Method: This is analytical with a cross-sectional design. The sampling technique uses total sampling with a sample size of 45 people. The entire data processing and analysis process uses the SPSS application. Research Results: The characteristics of pregnant women were obtained as follows: the majority of the age at risk (<20 and >35 years) as much as 55.6%; the majority of parity >3 as much as 53.3%, the majority of Ever CS as much as 60%. Results: statistical tests showed a significant correlation with the characteristics of pregnant women with age (p = 0.007), parity (p = 0.031) and history of CS (p = 0.001). Suggestion: It is expected to facilitate health workers in increasing knowledge and skills through training in maternal and neonatal emergency services as an effort to prevent complications in the mother and fetus.

Dessy Ratna Sari; Minta Punguan Simbolon; Debby Chyntia Yun; Ariska Fauziyanti; Ninsah Mandala Putri Sembiring

Jurnal Ventilator: Jurnal riset ilmu kesehatan dan Keperawatan 2024 Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Background: Postpartum care is needed in the period after delivery to detect early problems or treat postpartum illnesses. More than 65% of maternal deaths occur during the first 42 days postpartum. This study aims to analyze the factors that influence postpartum visits in Indonesia. Method: The research uses quantitative research in the form of an analytical survey with a cross sectional design. Units. Results: Based on the results of logistic regression, predisposing factors that have the opportunity to influence complete postpartum visits are maternal age 20-35 years (OR 0.885), higher education (OR 1.167), parity ? 2 (OR 1.090), delivery by cesarean/vacuum/ forceps, etc. (OR 1.491), delivery in a health facility (OR 1.489), complete pregnancy check-up (OR 1.613), and regional Sumatra (OR 0.510). Enabling factors that have the opportunity to influence postpartum visits are unemployed status (OR 0.954) and having health insurance (OR 1.141). The need factor that has the opportunity to influence postpartum visits is having a history of pregnancy complications (OR 0.948). Conclusion: Factors that influence postpartum visits are maternal age, education, parity, method of delivery, place of delivery, prenatal check-up, regional residence, employment status, ownership of health insurance, and history of pregnancy complications.

Prasetyani, Indri Yayi; Yunita, Laurensia; Nuwindry, Iwan

Jurnal Ilmu Kesehatan 2024 Lembaga Pengembangan Kinerja Dosen

Caesarean section is a surgical procedure that involves making an incision on the front wall of the uterus to aid the birthing process. Objective: to determine the identification of factors for selecting the Sectio Caesarea delivery method at Pertamina Tanjung Hospital. Method: Quantitative descriptive research with a cross sectional approach, with a total sampling technique of 30 respondents, using a checklist. Results: The most indications for caesarean section delivery were indications of premature rupture of membranes > 24 hours as many as 5 (16.7%) and the least indications were asthma, CPD + hypertension in pregnancy, fatal distress, fetal distress, hypertension in pregnancy, long 1st stage with fatal distress, prolonged second stage with fetal distress, breech position, PEB and placenta previa were 1 (3.3%) each. The mother's delivery method was most commonly found to be Cito, 18 (60%). Maternal parity had the highest number of unsafe parities at 17 respondents (54%). The mother's age was found to be the most non-risk age by 16 respondents (53.3%). The health insurance used by mothers was found to be mostly used by 28 respondents (93.3%). Conclusion: Indications for cesarean delivery are indications of previous CS, safe parity, maternal age is not at risk, and using health insurance. Most parities are unsafe with indications of premature rupture of membranes > 24 hours.

Norbaiti Norbaiti; Rr. Sri Nuriaty; Didi Ariady; Noor Anisa

Nursing Applied Journal 2024 LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Sectio Caesarea (SC) is a delivery method in which the baby is born through an incision in the abdominal wall and the opened or incised uterus, while keeping the uterus intact. In recent years, normal childbirth has been considered risky and challenging, leading to the emergence of cesarean section as an alternative option for some women undergoing labor and delivery. High-risk childbirth can have adverse effects on both the baby and the mother. The repeated pregnancies can weaken the uterus, causing complications in both pregnancy and delivery. Therefore, appropriate measures are necessary to save both the baby and the mother. The aim of this research is to determine the relationship between parity and maternal age with the incidence of cesarean section at Ulin Regional General Hospital in Banjarmasin. The research method used is a descriptive correlational approach, conducted in October 2023. The population in this study includes all patients who delivered through the CS method at Ulin Regional General Hospital in Banjarmasin, with the sample taken from the entire population that meets the criteria or saturation sample criteria. The data used are secondary data that already exist. Based on the results of the Chi-Square statistical analysis, the p-value is 0.000 < α (0.05), thus it can be concluded that H0 is rejected, and Ha is accepted, indicating a relationship between parity and maternal age with the incidence of cesarean section at Ulin Regional General Hospital in Banjarmasin.