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Journal : Proceedings of the International Conference on Applied Science and Health

INFLUENCE OF KEGEL GYMNASTICS ON PRIMIGRAVIDA PREGNANCY TOWARDS THE INCIDENCE OF A PERINEAL RUPTURE IN BASIC ESSENTIAL OBSTETRIC CARE NEONATES SURAKARTA, INDONESIA Khasanah, Umi; Yulastini, Fitria
Proceedings of the International Conference on Applied Science and Health No 1 (2017)
Publisher : Proceedings of the International Conference on Applied Science and Health

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Abstract

Background: Kegel gymnastics can strengthen pelvic floor muscles and improve blood circulation and posture so that the perineal muscles and the perineal floor muscles become elastic. Perineal rigidity is the maternal factor which can lead to perineal rupture. Aims: The objective of the study is to determine the effect of Kegel gymnastics for primigravidas on the incidence of perinealrupture. Method: This study employed the quasi-experimental method with the control group design. Its samples were determined through the quota sampling technique. The subjects of the research were primigravidas as many as 40. They were divided equally into two groups – intervention group and control group. The data of the research was collected through observation sheet for evaluation of Kegel gymnastics for at least three weeks and pantograph sheet. They were analyzed by statistical analysis with the Chi-square formula aided with the computer program of SPSS Version 16 for Windows. Result: Only 40% mothers experienced a perineal rupture if excercised kegel gymnastics. It was significantly lower compared to their counterpart in the control group with no exercise (p-value = 0.001). Conclusion: Kegel gymnastics may lower the incidence of perineal rupture among the primigravidas. 
RISK FACTORS OFBIRTH ASPHYXIA IN PKU MUHAMMADIYAH HOSPITAL, BANTUL Riana, Eka; Yulastini, Fitria; Khasanah, Umi
Proceedings of the International Conference on Applied Science and Health No 1 (2017)
Publisher : Proceedings of the International Conference on Applied Science and Health

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Abstract

Background: Infant mortality rate particularly in the perinatal period, is significantly high and become a health problem both globally and nationally. The first thousand days of life are the golden periods for a childs growth. Health surveillance before and during pregnancy as well as in the birth process largely determines the quality of the child that will be born. Among four regions in Yogyakarta, Bantul region has the second highest number of infant mortality with 126 cases. The leading cause of infant death in this region is asphyxia which reaching 29 cases. In PKU Muhammadiyah Hospital, Bantul there were 264 (23%) infants from 1131 live births who suffered from asphyxia in 2014. Aims: To determine the risk factors of birth asphyxia in PKU Muhammadiyah, Hospital Bantul in 2014. Methods: This was an analytical observasional study, with case control study design. The study was conducted in PKU Muhammadiyah Hospital, Bantul. Samples were newborns in PKU Muhammadiyah Hospital, Bantul from January to December 2014. There were 167 respondents in case group and 167 respondents in control group.Data were analyzed using univariate, bivariate with chi-square test and multivariate with conditional logistic regression analysis. Results: From the results of multivariate analysis, four factors related to asphyxia were abnormal labor (OR=2.304;95%CI=1.402 to 3.787;p-value=0.001), premature rupture of membranes (OR=2.040;95%CI=1.019 to 4.083;p-value=0.044), anemia (OR=1.426;95%CI=1.182 to 1.720;p-value=0.000) and pregnancy spacing <2 years (OR=2.458;95%CI=1.060 to 5.698;p- value=0.036). Conclusion: Abnormal labor, premature rupture of membranes, anemia and pregnancy spacing <2 years were the risk factors of birth asphyxia in PKU Muhammadiyah Hospital, Bantul in 2014.Â