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Wa Ode Sitti Fidia Husuni; Andi Sri Hastuti Handayani Usman; Nuraisyah Bahar

International Journal of Medicine and Health 2022 Lembaga Pengembangan Kinerja Dosen

Premature rupture of membranes (PROM) is defined as the rupture of the membranes before the time of delivery at aterm pregnancy. The research used a quantitative study and an analytical survey with a Cross Sectional approach. The independent variable was parity and maternal age, while the dependent variable was premature rupture of membranes. This study used secondary data from 2019 to 2020. The population of this study were all 379 mothers giving birth in the VK room at the Muna Barat Hospital, and the sample in this study was 36 respondents who experienced PROM. The sample collection technique used a simple random sampling technique. This analysis used a contingency coefficient with an error rate (α = 0.05). The results showed that at term pregnancy there were 66% of mothers who experienced PROM in the age group < 20 years and > 35 years and at term pregnancy there were 71% experiencing PROM in the primipara and grandemultipara groups. From the results of statistical analysis were using SPSS, it was found that the P value < 0.05 for the age and parity groups, where these results indicated there is a relationship between maternal age (< 20 and > 35 years) and maternal parity (primipara and grade multipara) with the incidence of PROM. It is hoped that midwives as health service providers for pregnant, maternity and postpartum women can further enhance their role in providing counseling to women, both adolescents and women of childbearing age, about a safe reproductive age for pregnancy and childbirth.  

Fiteriya Fiteriya; Nanik Yuliwati

International Journal of Medicine and Health 2022 Lembaga Pengembangan Kinerja Dosen

Excessive anxiety can affect pregnancy and fetal growth. Irrational anxiety makes pregnant women uneasy and triggers stress. Babies born to stressed mothers tend to be hyperactive children and have difficulty controlling emotions(Maulana, 2016). To determine the level of anxiety of pregnant women and the factors that influence it in dealing with childbirth anxiety in the remote waters of Dabong Village, Kubu District, Kubu Raya Regency, West Kalimantan. The research methodology uses this research method using an analytical research method with a Cross Sectional approach. The sample in this study were 31 pregnant women respondents. Data analysis using univariate and bivariate data analysis. The sampling technique used was total sampling. The research instrument consisted of a DASS (Depression Anxiety Stress Scale) questionnaire for anxiety levels. Data were analyzed using Chi-square statistical test to determine the relationship between two independent variables and the dependent variable, namely the level of anxiety and the factors that influence it (age, education, occupation, parity, level of knowledge). The results of the univariate data analysis showed that the anxiety level of many pregnant women experienced anxiety with a mild level of 12 pregnant women, 7 pregnant women, 6 pregnant women heavy. Bivariate data analysis with statistical test results obtained p value = 0.018 for age, statistical test results obtained p value = 0.043 for education, statistical test results obtained value for work p = 0.035, statistical test results obtained p value = 0.024 for parity and test results statistically obtained p value = 0.029 for the level of knowledge, on the anxiety of pregnant women, it can be concluded that there is an effect of the level of anxiety of pregnant women on anxiety in facing childbirth and the factors that influence it, The conclusion of the study is that pregnant women experience anxiety with levels of anxiety from mild to severe and there is an influence on the level of anxiety of pregnant women on anxiety in facing childbirth. There is a need for health education related to pregnancy and focusing on the psychology of pregnant women as well as family support, husbands (active roles) and the environment for pregnant women. Anxiety assessments for pregnant women are also carried out.