LITERATURE REVIEW : EFEKTIFITAS PELVIC ROCKING EXERCISE MENGGUNAKAN BIRTHING BALL TERHADAP KEMAJUAN PERSALINAN PADA IBU PRIMIPARA

Indonesia's Health Profile in 2019 in general, there was a decrease in maternal mortality during the period 1991-2015 from 390 to 305 per 100,000 live births, if it is associated with the 2015 Millennium Development Goals (MDGs), namely reducing the maternal mortality rate (MMR) to 102/100,000 live births. the maternal mortality rate did not reach the MDGs target. Physiological efforts are made to prevent prolonged labor, such as pelvic rocking exercise using the birthing ball technique. This is also a method that really helps respond to pain in an active way and reduces the length of the first stage of labor in the active phase. This study aims to determine the effectiveness of the implementation of pelvic rocking with a birthing ball on the progress of labor in primiparous women in 2020. This study uses Systematic Literature Reviews (SLR), which is a synthesis of systematic, clear, comprehensive literature studies, by identifying, analyzing , evaluating through the collection of existing data with an explicit search method and involving a critical review process in the selection of studies. In 6 journals, all journals perform pelvic rocking exercise techniques using the birthing ball technique when the mother enters the first stage of the active phase. The conclusion in this study is that all journals reviewed by researchers can be ascertained that all of these journals get the same results, namely stating that using the Pelvic Rocking Exercise technique with the help of a birthing ball can make delivery times for mothers go faster

Sustainability in transformation of maternal mortality by interaction based approach in Dairi, Indonesia

Introduction: Health and mortality problems are closely related to the maternal mortality rate (MMR). Efforts to reduce MMR have been carried out by many countries, including the Indonesian government. Materials and Methods: This research was conducted using two approaches, namely quantitative and qualitative or mixed methods and 149 respondents and 26 informants, to reduce MMR in Dairi Regency. This study was also carried out to determine the dominant variable that affects mother's behavior in an effort to reduce MMR in accordance with the existing theory. Result: Mother's intention to contribute to the reduction of MMR in this study was influenced by the good factor directly or indirectly. This is indicated by the score p<0.005. The study also shows that it is very important for the health workers to be able to communicate well with individuals and communities. Conclusion: The present study will help to reduce maternal fatalities, and will help to build systems and processes that will allow control the behaviour of the pregnant women and determine the cause of death as well as its contributing factors.

Geographic, Health Care Access, Racial Discrimination, and Socioeconomic Determinants of Maternal Mortality in Georgia, United States

Over the past decade, the United States has been taking steps to reduce its rising maternal mortality rate. However, these steps have yet to produce positive results in the state of Georgia, which tops the list of all 50 states with the highest maternal mortality rate of 46.2 maternal deaths per 100,000 live births for all women, and a maternal mortality rate of 66.6 deaths per 100,000 live births for African American women. In Georgia, several social determinants of health such as the physical environment, economic stability, health care access, and the quality of maternal care contribute to the high maternal mortality rate. Addressing these determinants will help to reduce the state’s maternal mortality rate. This commentary discusses the relationship between social determinants of health and maternal mortality rates in Georgia. It also proposes strategies for reversing the trend.We conducted an ecological study of the relationship between social determinants of health and maternal mortality in Georgia. We searched PubMed and Google Scholar and reviewed 80 English articles published between 2005 and 2021. We identified five key social determinants associated with high maternal mortality rates in Georgia - geographic location of obstetric services, access to health care providers, socioeconomic status, racism, and discrimination. We found that expanding Medicaid coverage, reducing maternal health care disparities among the races, providing access to maternal care for women in rural areas, and training a culturally competent health workforce, will help to reduce Georgia’s high maternal mortality rate. Copyright © 2021 Armstrong-Mensah et al. Published by Global Health and Education Projects, Inc. This is an open-access article distributed under the terms of the Creative Commons Attribution License CC BY 4.0.

PERAN BIDAN TERHADAP PELAKSANAAN PROGRAM PERENCANAAN PERSALINAN DAN PENCEGAHAN KOMPLIKASI (P4K) DALAM MENURUNKAN ANGKA KEMATIAN IBU

Maternal Mortality Rate in Indonesia in 2012 that there were 359. In 2007 the Minister of Health planned a delivery planning and complication prevention program (P4K) as an effort to accelerate the decline in MMR in Indonesia. Health workers have a role in carrying out labor preparation and preparation for pregnant women. This program is one of the effective strategies to reduce the number of maternal deaths, besides childbirth assisted by trained midwives also plays a role in reducing maternal morbidity and mortality. Program Implementation Planning Childbirth Complications and Prevention (P4K) on Reducing Maternal Mortality Rate (MMR) Methods phenomenological design, using descriptive data involving informants. The collection of data with verification, data presentation and verification. Results In this study Generally P4K implementation is good enough. Services and cooperation of midwives, as well as the role of all the informant was quite good, facilities are adequate, but there are some activities that still has not been implemented because some of the barriers that exist so that the implementation is not optimal. Conclusions Implementation P4K program is likely to have contributed in helping pregnant women prepare for childbirth, and to reduce maternal mortality (MMR) should be reconsidered from various aspects

Hubungan antara Kunjungan Ibu Hamil, Persalinan Ditolong Tenaga Kesehatan, dan Pelayanan Kesehatan Ibu Nifas Dengan Angka Kematian Ibu (AKI)

Maternal be the one of important that means it need serious handling. Almost every two minute, in someplace at world, a woman die because maternal complication and labor. At year 2016, maternal mortality rate in the East Java Province reaching 91,000 every 100.000 live birth. This number experiences has been rising compared year 2015 that reach 89,6 every 100.000 live birth. Maternal health service when pregnant until postnatal become important effort for reducing maternal mortality rate. Increasing mortality rate in year 2016 followed by decreasing of antenatal care, health care delivery, and postpartum health care. This research intended to know correlation between antenatal care, health care delivery, and postpartum health care with maternal mortality rate in the east java province years 2017. This research is correlational research with a data using a secondary data that obtained from Health agency east java province. Data analyses use pearson-product moment with helped of Microsoft Excel. Population from this research is all of East Java Province. Result of this research founding significant result between antenatal care and health care delivery with maternal mortality rate and direction negative relation. Different with that two variable, This research result also show there is no significant between postpartum health care services with maternal mortality rate and positive course of relation. Based on the research result, can be concluded that the range of antenatal care and health care delivery will be followed by decreasing of maternal mortality rate in a significant manner. Abstrak: Angka Kematian Ibu (AKI) menjadi salah satu isu penting yang artinya memerlukan penanganan serius dalam upaya pencegahannya. Hampir setiap dua menit, di suatu tempat di dunia, seorang wanita meninggal karena komplikasi kehamilan dan persalinan. Tahun 2016, AKI di Jawa Timur meningkat di angka 91,00 bila dibandingkan tahun sebelumnya di 89,6. Pelayanan di bidang kesehatan ibu selama masa kehamilan, persalinan, hingga nifas menjadi penting sebagai upaya penurunan AKI. Meningkatnya AKI pada tahun 2016 diikuti dengan menurunnya kunjungan ibu hamil(antenatal), persalinan ditolong tenaga kesehatan (linakes), dan pelayanan kesehatan ibu nifas (yankes nifas). Tujuan dilakukannya penelitian untuk mengetahui hubungan kunjungan antenatal, linakes, dan yankes nifas dengan AKI di Provinsi Jawa Timur tahun 2017. Penelitian ini merupakan penelitian korelasional dengan data yang dipakai merupakan data sekunder yang diperoleh dari hasil pencatatan pada Dinkes Jatim. Analisis data menggunakan uji pearson-product moment dengan bantuan Microsoft Excel. Populasi dari penelitian ini adalah seluruh kabupaten dan kota di Provinsi Jawa Timur. Hasil penelitian menunjukkan terdapat hubungan yang signifikan antara kunjungan entenatal dan linakes dengan AKI, serta hubungan yang tidak signifikan antara yankes nifas dengan AKI. Berdasarkan hasil penelitian, dapat disimpulkan bahwa peningkatan cakupan kunjungan ibu hamil dan persalinan ditolong tenaga kesehatan akan diikuti oleh penurunan AKI secara signifikan, begitu juga sebaliknya.

Postpartum contraceptive use among pregnant women who delivered at Cipto Mangunkusumo General Hospital: A descriptive study

HIGHLIGHT1. As maternal mortality rate (MMR) is still high, there should be ways to reduce the rate, one of which is the prevention of conception through contraceptive methods. 2. A descriptive study was conducted to all patients giving birth in a national hospital between 2016 to 2019 covering data on the patients, including age, parity, the origin of referral, and type of contraception.3. Most patients who gave birth in the hospital had postpartum contraception, especially permanent contraception and long-term contraception. ABSTRACTObjectives: The maternal mortality rate in Indonesia is one of the highest in the world at 305 out of 100.000 live birth. One of the best ways to reduce MMR is conception prevention through contraceptive methods. According to 2018 Demographic and Health Survey, Indonesia’s Contraceptive Prevalence Rate is as low as 57%, not even reaching the 2015 Millenium Development Goals target of 65%. We conducted a study on postpartum contraceptive use in Dr. Cipto Mangunkusumo National Central General Hospital (RSCM) to see the use of contraception in RSCM so that it can be an example of how contraception is used in RSCM for patients who give birth here.Materials and Methods: A descriptive study was conducted from all patients giving birth in RSCM from 2016 until 2019, data including patient data, consisting of patient age, parity, the origin of referral, and type of contraception, are input from the medical recordResults: There were 5,596 deliveries, consisting of 3,785 C-sections and 1,811 vaginal deliveries. As much as 5332 (95.3%) of subjects had postpartum contraception, 725 (13.67%) of which received tubectomy, and most of which received long-term contraceptive methods (IUD 4414 (82.78%) and implant 44 (0.82%)). As many as 1.065 subjects were more than 35 years of age, 6,2% of which did not use any postpartum contraception. As many as 984 subjects were RSCM bookcases, 6,9% of which did not use any postpartum contraception.Conclusion: Most patients giving birth in RSCM had postpartum contraception, especially permanent contraception and long-term contraception. The contraception profile in RSCM alone can neither describe nor represent the condition and distribution of contraceptive methods in Indonesia because RSCM is a national referral and medical education center whose cases are relatively more complex.

The Relationship Of Pregnant Women's Knowledge And Attitude To The Implementation Of Delivery Planning And Complication Prevention (P4k) Program

Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR) are indicators to assess the health status of the community. Based on the Indonesian Demographic and Health Survey 2017 IDHS, the maternal mortality rate in Indonesia is still high at 302 per 100,000 live births, while the infant mortality rate is 24 per 1000 live births. The decline in MMR and IMR cannot be separated from the role of community empowerment, one of which is carried out through the implementation of the Childbirth Planning and Complications Prevention Program (P4K). Most mothers, husbands, and families have less active role in the implementation of P4K, even though there is an effect of implementing P4K on neonatal mortality. This happens because the mother's knowledge about P4K is still lacking, so her attitude is still not positive. The purpose of this study was to determine the relationship between knowledge and attitudes of pregnant women towards the implementation of the Childbirth Planning and Complications Prevention (P4K) Program. The research design used "analytic descriptive" cross-sectional, with a total population of 126 pregnant women, while the sample was taken using purposive sampling technique, with a total sample of 96 respondents. The results of statistical analysis with the Chi-Square test showed that for the knowledge variable, the results of the P value = 0.005 concluded that there was a significant relationship between the level of knowledge and the implementation of P4K, while for the attitude variable the P value = 0.001 concluded that there was a significant relationship between attitudes with the implementation of P4K.

Pengetahuan terhadap Sikap Ibu Hamil tentang Tanda Bahaya Kehamilan Trimester III

Indonesia is one of the developing countries in Southeast Asia with a high maternal mortality rate. One of the causes of the high maternal mortality rate is pregnancy complications that can appear through pregnancy danger signs. Danger signs of pregnancy are signs that indicate danger that can occur during pregnancy or the antenatal period, which if not detected can cause death. This study aims to determine the relationship between knowledge and attitudes of pregnant women about the danger signs of third-trimester pregnancy in one area of Central Indonesia. This study used an analytical survey method with approach cross-sectional. The sample in this study was 23 pregnant women. The sampling technique used was the consecutive sampling method. The consecutive sampling study was conducted in February - March 2020. The results showed a significant relationship between knowledge of the attitudes of pregnant women about the danger signs of third-trimester pregnancy. The conclusion in this study is that there is a significant relationship between knowledge of the attitudes of pregnant women about the danger signs of third-trimester pregnancy.

EARLY MANAGEMENT OF SEVERE PRE-ECLAMPTIC AND ECLAMPTIC REFFERAL PATIENT AT KOTABARU REGENCY

ABSTRACTBackground: The maternal mortality rate is 305 per 100,000 live births in Indonesia. The most common cause of maternal death is preeclampsia / eclampsia. The maternal mortality rate is 247 per 100,000 live births in 2017 in Kotabaru Regency. Most preeclamptic referral patients are in critical condition when they arrive at the hospital. Method: This type of research is an observational descriptive study. The population is all patients with severe preeclampsia and eclampsia in the delivery room of RS Pangeran Jaya Sumitra Kabupaten Kotabaru from January - December 2018. The sample is total sampling.Results: PEB referral patients was 57 cases. Most of those are in the group age of 20 - 35 years which are 35 people (61.4%), not nullipara is 31 people (54,4%), 34-40 weeks of gestation is 43 people (75,4%), as many as 44 people (77,2%) with previous severe preeclampsia/ hypertension, 41 people (71,9%) brought referral letters, referred by Puskesmas are 47 people (82.5%), most of the locations of referral is from Pulau Laut as many as 35 referrals (61,4%). The initial management of PEB and eclampsia: IV Pathway in 11 patients (19.3%) of severe preeclamptic and eclamptic patients, 50 patients (87.7%) were not given MgSO4, 51 people (89.5% ) did not get anti-hypertension, 52 patients (91.2%) were not installed catheters. Conclusion: Early management of severe preeclamptic and eclamptic patients is not optimal and does not fulfil the standard yet. Proper and appropriate early management can reduce morbidity and maternal mortality from complications of severe preeclampsia and eclampsia that can be prevented by providing right initial management.

Primigravida's Readiness in Dealing with Childbirth Considering the Mother's Social Characteristics

Background: Indonesian Population Demographic Survey (IDHS) in 2017 stated that the Maternal Mortality Rate (MMR) in Indonesia was 309/100,000 live births. According to Ristica (2017) the high maternal mortality rate in Indonesia is caused by the unpreparedness of the mother in facing childbirth. Maternal unpreparedness is usually seen among primigravida who struggle in preparing for childbirth as they have yet experience in delivering. Geniofam in Muthoharoh explained (2018) the factors that influence mother's readiness including knowledge, education, socio-culture and economy.Purpose: This study aimed to determine the mother social characteristic (age, education, occupation) that affect the readiness of primigravida in facing childbirthMethods: This type of research is analytical research with an observational approach. The sample in this study involved 53 primigravida on the third trimester of pregnancy. Data collection was carried out by filling out questionnaires on the readiness of mothers to face childbirth by respondents.Results: The results of statistical tests showed that age, education, or occupation did not affect mother's readiness in dealing with childbirth with p value > 0.05.Conclussions: mother’s social characteristics do not affect the readiness of primigravida in facing childbirth.