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Journal : MEDISAINS

HUBUNGAN ANTARA KARAKTERISTIK BIDAN DENGAN PENGETAHUAN TENTANG KONTRASEPSI PIL KOMBINASI DI KABUPATEN CIREBON Achyar, Khamidah
medisains Vol 8, No 2 (2010)
Publisher : medisains

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Abstract

Background: Submission of preliminary true information, accurate and easily understood by the midwife to the acceptor isvery important to avoid mistakes of usage. Mistakes can cause failure of contraception usage. Importance of initialinformation provided, making it as key to the successful use of contraceptive method.Objective: This study aims to determine the relationship characteristics of midwives with knowledge of the contraceptivepill combination in the public health center located in Cirebon district.Methods: This study is correlation study with cross sectional design. The data collected is primary data. The data obtained from surveys using a questionnaire about the characteristics of respondents and knowledge of the combined contraceptive pill. Respondents are the midwives who work in public health centers located in Cirebon district. Data analysis using Chi square test at α = 0.05. Data collected from 212 respondents (n = 212).Results: Most of the midwife of public health centers in Cirebon district still educated in Diploma III as much as 179 midwives (84.4%), mostly aged <40 years as many as 182 midwives (85.8%), and most of them work in public health centers non PONED as many as 187 midwives (88, 2%). There was a significant correlation between the characteristics of midwives with the knowledge of the contraceptive pill combination in terms of educational background and age (p <0.05), while the terms of the workplace there is no significant correlation (p> 0.05).Conclusion: Education and age characteristics associated with midwife knowledge about contraceptive pill combinations. The implications of the results of the study recommended the need for government and professional midwives continue to provide learning opportunities at a better level for midwives to improve the quality of knowledge and health services provided by midwives to communities, the need for better coaching efforts to improve the experience of midwives, especially the necessary efforts guidance from the District Health Department in form of dissemination of knowledge through seminars, discussions, training and practical guidance from experts and experienced midwives. Numbers of midwives who are still working in non PONED public health centers indicate the need of government to increase health care facilities better so that it will provide the opportunity for midwives to provide better quality services in public healthcenters as PONED public health centers with better facilities.Keywords: Education and age, PONED public health centers, knowledge, contraceptive pill combination.
ANALISIS FAKTOR RISIKO SOSIAL PADA METODE PERSALINAN PERVAGINAN DAN SECTIO CAESAREA (STUDI KASUS IBU NIFAS DI KABUPATEN BANYUMAS) Kusuma, Inggar Ratna; Achyar, Khamidah; Noviana, Alfi
medisains Vol 15, No 3 (2013)
Publisher : medisains

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Abstract

Background : Sectio Caesarea is an alternative method of delivery over medical indications. Currently not rise above 11-15% of the medical indications for government hospitals and private hospitals 30-40%. Though many negative impactssuch as increased occurrence of infections by 80 times higher and 10 times higher chance of developing complicationsfrom anesthesia compared with normal deliveries. One non-medical indications that social factors such as excessiveanxiety husband and wife are not able to consider natural childbirth, concerns wife vagina become loose, and the reasonfor choosing the time and date of birthMethods : This research is aimed at analyzing the analytic psychosocial risk factors in the vaginal delivery methods andsectio Caesaria , as efforts to reduce maternal and infant mortality . The study design was a case-control . Cases andcontrols had been known at the time of study entry , and then explore psychosocial factors that play a role in the failureof vaginal delivery .Result : The results showed samples of 129 postpartum women , 64 postpartum women with vaginal delivery and 65puerperal women with childbirth sectio Caesarea.Conclusion : The results based on the age of the mother at the age of reproductive secure 109 ( 84.5 % ) , women witha high risk age 20 ( 15.5 % ) . Mother with good nutrition 91 ( 70.5 % ) , maternal malnutrition 38 ( 29.5 % ) , 59 womenwith higher education ( 47.5 % ) , low education 70 ( 54.3 % ) , 79 women with high economic ( 61.2 % ) , economy by 50( 38.8 % ) . Mothers who checkups more than 4 times the 118 ( 91.5 % ) . The test results showed a significant correlationbetween the positive direction of delivery methods with social risk factors but showed no association . Regression testresults showed no significant relationship between social risk factors with the method of delivery.
Pengaruh kunjungan nifas terhadap komplikasi masa nifas di wilayah Puskesmas Sokaraja 1 kabupaten Banyumas Achyar, Khamidah; Rofiqoh, Isnaeni
MEDISAINS Vol 14, No 2 (2016)
Publisher : Universitas Muhammadiyah Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30595/medisains.v14i2.1056

Abstract

Latar Belakang: Jumlah kasus kematian ibu di Kabupaten Banyumas sejak tahun 2010-2014 yaitu secara berurut-turut 33 kasus, 35 kasus, 32 kasus, 35 kasus, dan 33 kasus. Penyebabnya yaitu pendarahan, Preeklamsia, dan infeksi. Dilihat dari waktu meninggal,dalam kehamilan 25%, saat persalinan 17% dan saat masa nifas 58%. Kasus kematian ibu nifas di Banyumas terjadi saat 3 hari postpartum. Berdasarkan data Propinsi Jawa Tengah Kabupaten Banyumas merupakan zona merah dalam, target kunjungan nifas (KF) yaitu kurang dari 90%, baru mencapai 82,1%. Tujuan: Penelitian ini bertujuan untuk menganalisis pengaruh kunjungan nifas terhadap komplikasi masa nifas di wilayah Puskesmas Sokaraja 1 Banyumas. Metode: Penelitian ini menggunakan desain analitik observasional dengan pendekatan Crossectional, untuk menganalisis pengaruh antara kunjungan nifas dengan komplikasi masa nifas dengan menggunakan uji chi-square. Populasi dalam penelitian ini adalah ibu nifas yang mendapatkan pelayanan di wilayah Puskesmas Sokaraja 1 Kabupaten Banyumas pada bulan November 2015 sampai dengan Februari 2016 dengan jumlah sampel penelitian 89 ibu nifas. Hasil: Frekuensi kunjungan nifas di wilayah Puskesmas Sokaraja 1 < 4 kali sebanyak 20 orang dan 4 kali sebanyak 69 orang. Kejadian komplikasi masa nifas kunjungan nifas 4 kali terdapat 10 orang dan kunjungan nifas < 4 kali mengalami komplikasi sebanyak 8 orang. Kunjungan nifas dan usia berpengaruh terhadap kejadian komplikasi masa nifas (p=0,012 dan 0,028) sedangkan paritas tidak berpengaruh terhadap komplikasi masa nifas (p=0,920) Kesimpulan: Kunjungan nifas berpengaruh terhadap deteksi dini komplikasi masa nifas Kata kunci: kunjungan nifas, komplikasi nifas