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Journal : Majority

Hubungan Ketuban Pecah Dini dengan Kejadian Kala II Lama pada Ibu Bersalin di RSUD Abdul Moeloek Provinsi Lampung Tri Lamtiur Pakpahan; Ratna Dewi Puspita Sari; Sutyarso; Rodiani
MAJORITY Vol 10 No 1 (2021): MAJORITY
Publisher : Majority

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Abstract

Prolonged second-stage labor is one causes of the maternal mortality rate (MMR) in the world. The average lenght of labor in the world causes maternal mortality by 8% and in Indonesia by 9%. Maternal mortality is most often occurs during childbirth, one of the causes is the long second stage (37%) and perinatal death itself is one of the causes is asphyxia in infants (28%). The purpose of this study was to determine the relationship of Premature Ruptur of Membrane with the events of the old stage II of maternity mothers. The method used in this study uses observational analytic methods with cross sectional design. A total of 69 patients were selected by consecutive sampling technique. The date was collected from medical records of patients in the midwifery room Dr. H. Abdul Moeloek Lampung Province. The inclusion criteria of this study were mothers aged 18-40 years with term gestational age and having KPD. Patients who were accompanied by birth defects, fetal abnormalities and parturition with conditions of sectiocesarea were excluded from the study sample. The results showed that as many as 37 patients (72.6%) who experienced premature rupture of membrane at the time of the inpartu showed an old stage II event and as many as 8 patients (44.4%) patients who experienced premature rupture of membrane when not before the party showed the event of the old stage II. Based on the Chi-square test, the value of p = 0.031 (p
Faktor-faktor yang Mempengaruhi Prolaps Organ Panggul di RSUD DR. H. Abdul Moeloek Provinsi Lampung Periode 1 Januari 2014 – 31 Desember 2018 Fiana Deswita; Ratna Dewi Puspita Sari; Ety Apriliana; Nurul Islamy
MAJORITY Vol 10 No 2 (2021): MAJORITY
Publisher : Majority

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Abstract

Pelvic organ prolapse (POP) is a condition that affects a woman's quality of life. Pelvic organ prolapse can include uterine prolapse, cystocele and rectocele. POP occurs due to weakness of the muscles, ligaments and fascia that support the pelvic organs. This condition can be influenced by factors such as age, parity, menopause, body mass index and occupation. This study aims to determine the relationship of these factors to the incidence of POP. The study is an observational analytic with cross sectional approach, using secondary data from the medical records of gynecological patients at H. Abdul Moeloek Hospital in the period 1 January 2014 to 31 December 2018 with a total sampling technique. Then univariate and bivariate analyzes were performed using the chi-square test. The incidence of POP in the period of 1 January 2014 to 31 December 2018 in the H. Abdul Moeloek Hospital was 33 cases. Factors that had a relationship with the highest risk sequence are parity (p = 0.000; OR 7,959), age (p = 0.002; OR 7,250), menopause (p = 0.014; OR 5.019), body mass index (p = 0.036; OR 3.297) and type of work (p = 0.036; OR 3.297).All factors studied is parity, age, menopause, body mass index and type of work were associated with the incidence of pelvic organ prolapse in patients at H. Abdul Moeloek Hospital, Lampung Province January 2014 to 31 December 2018
Pengaruh Faktor Usia Ibu Hamil Terhadap Jenis Persalinan di RSUD DR. H. Abdul Moeloek Provinsi Lampung Dwi Rani Sukma; Ratna Dewi Puspita Sari
MAJORITY Vol 9 No 2 (2020): MAJORITY
Publisher : Majority

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Abstract

Labor has its risks for both mother and fetus, such as illness until death risk. There is two types of labor: vaginal labor and abdominal labor. The optimal productive age for a healthy reproduction is between 20 – 35 years old. The risk will increased at the age below 20 years old and above 35 years old. This research is an quantitative research with an observational analytic design. The population of this research is the women in labor at RSUD Dr. H. Abdul Moeloek Lampung Province between July 2017 – September 2017. The sample of this research is all the women in labor between July – September 2017, in total of 191 sample. Sample is taken with purposive sampling. Research data collection was obtained from medical record. Bivariate analysis using Chi Square. The result of this research showed that pregnant women below 20 years old and above 35 years old who gave birth by vaginal labor is 52,5%. While abdominal labor is 47,5%. For pregnant woman between 20 – 35 years old who gave birth by vaginal labor is 69,7% and abdominal labor is 30,3%. The result of Chi Square analysis showed that there are effects of age factor of pregnant women and the types of labor at RSUD Dr. H. Abdul Moeloek Lampung Province with p = 0,034. OR score obtained at OR = 2,007 thus pregnant woman in risk age (below 20 and above 35 years old) has twice abdominal labor risk compared with woman with reproductive age (20-35 yearls old). There is effect of age factor of pregnant women with an type of labor at RSUD Dr. H. Abdul Moeloek Lampung Province
Hubungan Penyakit Jantung pada Kehamilan dengan Kematian Maternal di RSUD Abdul Moeloek Bandar Lampung periode 2016—2019 Regina Pingkan; Ratna Dewi Puspita Sari; Diana Mayasari; Taufiqurrahman Rahim
MAJORITY Vol 11 No 1 (2022): MAJORITY
Publisher : Majority

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Abstract

Maternal mortality is maternal deaths during pregnancy, childbirth, and puerperium but not due to other causes such as accidents or falling in every 100,000 live births. One of the important risk factors for maternal mortality is Peripartum Heart Disease. Peripartum Heart Disease (PPHD) is the highest cause of maternal death in 2018 at Abdul Moeloek Hospital in Bandar Lampung. This study aims to determine the relation between PPHD and maternal mortality. This research was a retrospective cohort study design and conducted in October—November 2019 at Abdul Moeloek Hospital in Bandar Lampung. The research sample was 96 respondents obtained using simple random sampling technique. The data used are secondary data from medical records from January 2016 to September 2019. The case group consisted of 48 pregnant women suffering from cardiac disease and the control group consisted of 48 pregnant women who did not suffer from cardiac disease. Data were analyzed by univariate and bivariate tests using the chi-square statistical test with α = 0.05.There were 9 respondents (18.75%) in the case group who experienced maternal death and 1 respondent (2.1%) in the control group who experienced maternal death. Statistical test results obtained there is a relation between Peripartum Heart Disease with maternal mortality in RSUD Abdul Moeloek Bandar Lampung period of 2016—2019.
Pemberian Tokolitik pada G1P0A0 Hamil 28 Minggu Belum Inpartu dengan KPD dan Oligohidramnion Alvira Balqis Soraya; Dinda Annisa Fitria; Ratna Dewi Puspita Sari
MAJORITY Vol 11 No 1 (2022): MAJORITY
Publisher : Majority

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Abstract

Premature rupture of membranes is a rupture of the amniotic membrane before delivery. It occurs in 3% of pregnancies and carries a risk of preterm delivery. Each year there are 15 million babies born and more than 1 in 10 babies born prematurely (gestation less than 37 weeks). Obtained patient Mrs. IR, 36 years old, came with complaints of preterm pregnancy accompanied by water-discharge. This complaint was felt since two days before entered the hospital, clear color, odor less and changed sanitary napkins three times a day. The patient appeared to be moderately ill, consciousness compos mentis, blood pressure 118/87 mmHg, pulse 83x/minute, breathing 23x/minute and, temperature 36 ° C. The generalist status of the patient was within normal limits. On obstetric examination, there was a TFU of 3 fingers above the umbilicus (24 cm). The lower part of the mother's fetus was round, bouncy, hard with the impression of the head, not yet in PAP. His (-), fetal heart rate 148x/minute. Inspeculo examination found closed OUE, fluorine -, fluxus: +, amniotic (+) inactive, erosion / laceration / poly (-), red litmus (+) to blue. The patient was diagnosed as 28 weeks pregnant G1P0A0 with promiscuity of single live fetal head presentation and oligohydramnios. To prevent preterm labor in this case, conservative therapy is given in the form of antibiotics (prevent in increase dinfection), corticosteroids (fetal lung maturation), and tocolytics (suppress in uterine contractions). To assess the success of tocolytic therapy, the tocolytic index was used.  
Hubungan Tingkat Pengetahuan Gizi Ibu Hamil dengan Taksiran Berat Janin di Wilayah Kerja Puskesmas Kedaton Kota Bandar Lampung Desta Stallaza Alifka; Reni Zuraida; Efriyan Imantika; Ratna Dewi Puspita Sari
MAJORITY Vol 12 No 1 (2023): MAJORITY
Publisher : Majority

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59042/mj.v12i1.175

Abstract

One of the activities routinely carried out in antenatal care is the measurement of Fundus Uterine Height (FUH) to determine Estimated Fetal Weight (EFW). Fetal weight growth can be indirectly affected by the basic nutritional knowledge of  pregnant  women  about the  importance of  fulfillinf nutrition during pregnancy to  support the  health  and development  of the  fetus. The aim of the study was to determine the relation between the level of nutritional knowledge of pregnant women and the estimated fetal weight at Kedaton Primary Health Center Bandar Lampung City. The research design used was analytic observational with cross sectional approach using primary data by measuring the knowledge of pregnant  women  using  a  questionnaire  consisting of 28 question  items  and  secondary  data  in  the   form  of uterine fundal height in the KIA book. Sampling was conducted at the Kedaton Primary Health Center in 2020. The sample was taken using purposive sampling with a total sample of 46 samples that met the inclusion and exclusion criteria. Data analysis used Chi Square with α = 0.05 and CI = 95%. The results  showed  that  there  were  8.7%  mothers with good nutritional knowledge, 71.7% mothers with moderate nutritional knowledge and 19.6% mothers with poor nutrition knowledge. Then pregnant women with small EWF during pregnancy and large EFW during pregnancy consisted of 10.9% and 78.3% respectively of mothers with EFW according to gestational age. Bivariate analysis showed that there was a relationship between the level of nutritional knowledge in pregnant women and the estimated fetal weight at Kedaton Health Center with a value of p = 0.003. There is a correlation between the level of nutritional knowledge of pregnant women with the estimated fetal weight.