Soetrisno .
Department of Obstetry and Gynecology Faculty of Medicine Sebelas Maret University

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Relationship between Knowledge of Risk Factor in Pregnancy and Methods of Delivery at RSUD Dr.Moewardi Permatasari, Ariesta; ., Soetrisno; Murti, Bhisma
Nexus Kedokteran Klinik Vol 1, No 2 (2012): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Maternal mortality in Indonesia is still high. Vaginal delivery with vacuum extraction or forceps may increase the risk of birth canal laseration and postpartum hemorrhage which is a factor of maternal mortality as many as 2.5% to 5%, while the act of caesarean section rate is 14%. Knowledge of pregnant women is hypothesized to affect the success of birth delivery. Less knowledge about risk factor in pregnancy can impact the quality of pregnancy that will determine the process of labor. This study aimed to analyze the relationship between knowledge of risk factor in pregnancy and types of delivery. Methods: This analytic study was observational with cross-sectional approach. A sample of 66 study subjects was selected by fixed-disease sampling from mothers who give birth at RSUD Dr. Moewardi Surakarta in Mei-July 2012. The data were collected by interview using a set of questionnaire and from medical records. The data was analyzed using multiple logistic regression method on Statistical Product and Service Solution (SPSS) version 16.00 for Windows. Results: The study showed that with controlling the counfounding factors such as parity and maternal height, known that lack of knowledge about risk factor in pregnancy is the risk of operative delivery 5.6 times as many level than a good knowledge (OR = 5.60; CI 95% 1.726 hingga 18.170; p = 0.004). Conclusions: There was a statistically significant relationship between knowledge of risk factor in pregnancy and types of delivery. This conclusion was drawn after controlling for the effects of confounding factors such as parity and maternal height. Keywords: Knowledge of Risk Factor in Pregnancy, Types of Delivery 
Hubungan Status Ekonomi dengan Jenis Persalinan di RSUD Dr. Moewardi Surakarta Dzulfikar, Muhammad; ., Soetrisno; Hikmayani, Nur Hafidha
Nexus Kedokteran Klinik Vol 1, No 2 (2012): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (14.044 KB)

Abstract

Background:Economic status is one of the environmental factors that can indirectly affect labor and delivery. Economic status willinfluence maternal nutrition during pregnancy, and will subsequently impact on the pregnancy condition and mothers’strength during birth process. Pregnant women with low socioeconomic status are therefore prone to undergolabor with action. This study aims to analyze the relationship between economic status and types of labor, and to compare theprevalence of labor with action among pregnant women with low and high economic status while controlling parity, educational level, and mothers’ height. Methods: This wasan observational analytic study with cross-sectional approach. Sixty women werepurposively sampled frompatient population who gave birth at RSUD Dr. Moewardi Surakarta. Labor with action was defined as instrument-assisted delivery (i.e. forceps, vacuum, caesarian section). Pregnant women were classified as having low economic status if their family income were lower than median. Data were analyzed by Poisson regressions(robust variance method) using Stata SE version 12.0. Results: There were 29 (48.3%) labors with action at MawarI Wardduring April to July 2012, 19 (65.5%) of which occurred in pregnant women with low income. Results from bivariate analysis showed a significant relationship between economic status and type of labor (PR=1.9, p=0.030). After controllingparity andheight, prevalence of labor with actionamong mothers with low family income were 1.8 greater than that of mothers with high family income (PR=1.8; 95% CI=1.0 to 3,1, p=0.049). Conclusion: Low economic status in pregnant women was marginally significantly associated with higher prevalence of labor with action, after controlling parity and mothers’ height. Keywords: economic status, labor type Â