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KAJIAN RETENSIO URINE PASCA SALIN PERVAGINAM Padlilah, Rahmi
Jurnal Borneo Saintek Vol 1, No 1 (2017)
Publisher : LPPM Universitas Borneo Tarakan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (360.062 KB) | DOI: 10.35334/borneo_saintek.v1i1.885

Abstract

Retensio urine adalah suatu gangguan buang air kecil, dimana terjadi lemahnya pancaran urine, tidak lancar serta rasa ada yang tersisa dan tidak puas, dapat disertai keinginan untuk mengedan atau memberikan tekanan pada suprapubik saat buang air kecil. Volume urine didalam vesika urinaria lebih dari 200 ml. Angka terjadinya retensi urine potpartum berkisar 1,7 sampai dengan 17,9 %. Perubahan fisik yang fisiologis saat kehamilan berlangsung, paritas, epidural anastesi, lama persalinan dan cara persalinan merupakan predisposisi terjadinya gangguan berkemih (retensio urine) Serta episiotomi (p=0,017), tindakan dalam persalinan (38%), durasi persalinan(p<0,001), berat badan bayi saat dilahirkan(p<0,001), paritas(p=0,05) merupakn faktor resiko penyebab yang berhubungan dengan retensio urine. Retensio urine dapat mengakibarkan timbulnya infeksi traktur urinarius yang rekuren dengan kemungkinan gangguan pada traktur urinarius bagian atas. Pendeteksian terhadap kondisi tersebut merupakan hal yang penting untuk pencegahan kearah retensi kronik. Artikel ilmiah ini merupakan studi literatur (literature review) yang mencoba menggali lebih banyk mengenai retensio urine pasca persalinan, faktor-faktor yang menyebabkan retensio urine dan menggunakan jurnal penelitian yang berkaitan dengan retensio urine, keluhan yang paling umum dirasakan wanita dengan retensio urine adalah kesulitan buang air kecil. Terapi pengobatan dan perawatan bertujuan untuk menghindari infeksi urinarian, penurunan elastisitas urinaria dan mencegah terjadinya komplikasi yang lebih berat.
Comparison of Infant Complication between Emergency and Caesarean Sections: A Meta-Analysis Padlilah, Rahmi; Yulianti, Ika
Journal of Maternal and Child Health Vol 5, No 2 (2020)
Publisher : Journal of Maternal and Child Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (531.829 KB)

Abstract

Background:  The World Health Organization (WHO) calls for all regions in the world not to have a caesarean section (SC) rate of more than 15%. Globally, since 2003-2018, Emer­­gency Ca­esarean Section (EmCS) and Elec­tive Cae­sarean Section (ElCS) actions have con­tinued to in­crease by 4% each year to 21%. Previous studies report that EmCS increases the risk of com­pli­cations in the fetus compared to ElCS. Based on the problem above, this study aims to analyze and compare complications ex­p­erienced by the fe­tus in the process of Emer­gency Caesarean Section (EmCS) and Elective Caesarean Section (ElCS).Subjects and Method: This was sys­tem­atic review and meta-analysis study, which was con­ducted from July-August 2019. The data were obtained from Pub­Med, Sci­ence Direct, Web of Science, Springer Link, and Cochrane Data­base. The keywords were "elective cesa­rean sec­tion (ElCS) AND emergency cesarean section (Em­CS)" AND "emer­gency cesarean section (Em­CS) and fetal complication" AND "elective ce­sa­re­an sec­­tion (ECS) and fetal complication" AND "elec­­tive cesarean section (EmCS) AND fetal compli­cation" (ElCS) AND emergency ce­sa­rean section (EmCS) AND fetal complication.Results: Emergency cesarean section incre­a­ses the likelihood of neonatal death 4 times high­er than the elective cesarean section and is statistically significant (RR= 4.02; 95% CI= 2.41 to 6.72). Emergency cesarean section can in­­crease the likelihood of apgar score dec­rease 2 times higher than elective cesarean sec­tion and statistically significant (RR= 2.07; 95% CI= 1.03 to 4.15). Emergency cesarean section is 1.62 times higher than elective cesa­rean section and statistically significant (OR= 1.62; 95% CI= 1.19 to 2.20).Conclusion: Emergency cesarean section can increase the likelihood of death, decrease Apgar score <6, and hypoxia in the fetus compared to elective cesarean section.Keywords: emergency cesarean section, elec­tive cesarean section, meta-analysisCorrespondence: Ika Yulianti. Faculty of Health Science, Univer­sitas Borneo Tarakan, North Kaliman­tan, Indo­nesia. Email: ikatama­evan@g­mail.c­om. Mobile: +628115440036Journal of Maternal and Child Health (2020), 5(2): 200-205https://doi.org/10.26911/thejmch.2020.05.02.10
Birth Place Preference and Birth Attendant Selection during Covid-19 Pandemic in Tarakan City, North Kalimantan Ariyanti, Ririn; Yulianti, Ika; Padlilah, Rahmi
Journal of Maternal and Child Health Vol 6, No 1 (2021)
Publisher : Journal of Maternal and Child Health

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Abstract

Background: Childbirth assistance during the Covid 19 pandemic needs attention to reduce maternal mortality rate and infant mortality rate. This study aimed to analyze the factors influencing the choice of place and birth attendant during the Covid 19 pandemic in Tarakan City.Subjects and Method: This was an obser­vational analytic study with a case control design. The study was carried out in Tarakan, North Kalimantan, Indonesia, in 2020. A sample 100 pregnant women was selected by quota sampling. The dependent variable was the place and birth attendant. The independent variables were place of working, family income, distance to the place of delivery and knowledge. The data were collected by questionnaire using google form. The data were analyzed by a multi­ple logistic regression.Results: The choice of place of delivery during the COVID-19 pandemic was influenced by place of working (OR= 1.61; 95% CI= 1.49 to 17.02; p= 0.009), family income (OR= 2.57; 95% CI= 3.74 to 45.37; p <0.001), distance travel (OR= 1.53; 95% CI= 0.07 to 0.73; p= 0.014) and knowledge (OR= 1.66; 95% CI= 1.58 to 17.31; p= 0.007). The choice of birth attend­ant was also influenced by place of working (OR= 1.32; 95% CI= 1.17 to 12.40; p= 0.027), family income (OR= 2.28; 95% CI= 2.94 to 32.23; p <0.001), distance traveled (OR= -1.42; 95% CI= 0.08 to 0.78; p= 0.016) and know­ledge (OR= 1.88; 95% CI= 2.05 to 20.85; p= 0.002).Conclusion: The choice of place and birth attendant is influenced by place of working, family income, distance traveled and knowledge.Keywords: place of delivery, birth attendant, pandemic covid 19Correspondence: Ririn Ariyanti. Department of Midwifery, Uni­versitas Borneo Tarakan. Jl. Amal Lama 1 Tara­kan, Kalimantan Utara. Email: ririn­ariyanti.­midwife@gmail.com. Mobile: +6285345553­400.Journal of Maternal and Child Health (2021), 06(01): 122-130https://doi.org/10.26911/thejmch.2021.06.01.12
Factors Leading to Cesarean Section Delivery at Tarakan Hospital, North Kalimantan Padlilah, Rahmi; Yulianti, Ika; Ariyanti, Ririn
Journal of Maternal and Child Health Vol 6, No 1 (2021)
Publisher : Journal of Maternal and Child Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (33.707 KB)

Abstract

Background:  The increase in cesarean section delivery requires attention. Mortality and mor­bidity rates for mother and fetus increase in line with the increase in cesarean section delivery. This study aimed to analyze the factors affecting the delivery of cesarean section.Subjects and Method: This was an analytical observational study with a case-control design. The study was conducted at Tarakan Hospital, North Kalimantan, from 2018 to 2020. There were 200 study subjects as the sample of this study that was selected by purposive sampling. The dependent variable was cesarean section delivery. The independent variables were parity, age, history of the disease, medical indications, and ANC history. This study used medical records to collect the data with multiple logistic regression analysis.Results: Cesarean section delivery increased with multiparous (OR= 1.26; 95% CI= 1.67 to 7.45; p= 0.001), age <20 and ≥ 35 years (OR= 1.51; 95% CI= 2.12 to 9.66; p <0.001), high-risk pregnancies such as diabetes mellitus, anemia, hypertension and preeclampsia (OR = 1.50; 95% CI = 2.12 to 9.52; p <0.001), medical indications (OR­= 1.37; 95% CI = 1.82 to 8.57; p = 0.001) and complete ANC history (OR = 0.26; 95% CI = 0.13 to 0.56; p = 0.001).Conclusion: Caesarean section delivery increases with multiparous, age <20 and ≥35 years, had a history of the disease, medical indications, and a complete ANC history.Keywords: cesarean section, influencing factors, logistic regression analysisCorrespondence: Rahmi Padlilah. University of Borneo Tarakan. Jl. Amal Lama No.1 Tarakan, North Kalimantan. Email: rahmipadlilah@gmail.com. Mobile: +628­11538073.Journal of Maternal and Child Health (2021), 06(01): 77-83https://doi.org/10.26911/thejmch.2021.06.01.08