Maternal Death In Indonesia Research Articles

Pengetahuan Masyarakat Tentang Tanda Bahaya Kehamilan Dengan Memberdayakan Masyarakat Dalam Mendeteksi Secara Dini di Kelurahan Ladang Bambu Kecamatan Medan Tuntungan

Maternal mortality can occur during pregnancy, childbirth or postpartum. Maternal deaths in Indonesia are caused by 3 late and 4 too. One of the late factors is the delay at the family level in recognizing danger signs in pregnancy, childbirth and postpartum. Early detection of risk factors is necessary to reduce maternal and fetal mortality and morbidity. This is where the role of health workers in early detection of danger signs. This study aims to improve the ability of health cadres in early detection and referral of high-risk pregnancy, labor and postpartum cases. The research method used analytic research. Early detection of pregnancy danger signs by families and recognizing risk factors and complications, as well as appropriate treatment by health workers is the best way to reduce MMR and IMR. The targets of this activity were health cadres and pregnant women, 35 respondents were obtained in Kelurahan Baru Ladang Bambu, Medan Tuntungan Subdistrict. The interventions carried out in this activity were counseling, discussion, and simulation. The measuring instrument used pretest and posttest questionnaires. Data were analyzed using Wilcoxon test analysis. The results of the activity are an increase in the knowledge of cadres and pregnant women about the detection of danger signs of pregnancy, antenatal services provided can obtain data on the condition of their pregnancy and become information for pregnant women until now is still high.

Effect of Perineal Massage on The Spontaneous Perineal Rupture in Maternity Mothers

Background: Perineal rupture is the main cause of postpartum maternal bleeding. Postpartum bleeding is the main cause of 40% of maternal deaths in Indonesia. The number of cases of maternal deaths decreased from 4,999 in 2015 to 4912 in 2016. Perineal rupture is caused by parity, birth spacing, infant weight, labor delivery, cunam extraction, vacuum extraction, tool trauma and episiotomy. Purpose: The aim was to examine the effect of perineal massage on spontaneous perineal rupture among labor mother at the Paramitra Medika 1 Clinic in intervention and control groups. Methods: This research was used pre-experiment by using static group comparison. The sample size was 30 labor mother who consisted of 15 in the experimental group and 15 in the control group. Observation form as an instrument. Univariat and bivariate variable were used and used paired t-test with alpha 0,05. Result: The results showed that 60.0% of mothers given perineal massage did not experience perineal rupture, the average rupture was 1.47 with a standard deviation of 0.64 and as many as 46.7% of mothers who were not given perineal massage had a secon degree rupture, on average rupture is 1.40 with a standard deviation of 0.986. Perineal massage has an effect on the spontaneous perineal rupture in maternal (p value 0.008). Conclusion: It was expected that further study, such as sample are pregnant women so that the massage results are not different.

HUBUNGAN KUALITAS PELAYANAN PERSALINAN DENGAN KEPUASAN IBU BERSALIN DI RUMAH SAKIT ISLAM IBNU SINA BUKITTINGGI

The quality of normal delivery care is delivery care services that are clean and safe at every stage of labor and can meet or exceed what is expected. The quality of normal delivery care is delivery care services that are clean and safe at every stage of labor and can meet or exceed what is expected of consumers for the services that have been provided. The quality and accessibility of health service facilities can be seen from the Maternal Mortality Rate (MMR). MMR in Indonesia in 2015 has indeed decreased, namely 359 (2012) to 305 (2015) per 100,000 live births and the number of maternal deaths in Indonesia in 2019 is 4,221 cases. This research aims to see the description of patient satisfaction with delivery room services at RSI Bukittinggi, so that the elements that are maintained and repaired by the Ibnu Sina Hospital Bukittinggi can be identified and can further improve the quality of its services.

LABORATORY ANALYSIS OF BLOOD IN PREGNANT WOMEN WITH PRE-ECLAMPSIA IN THE DELIVERY ROOM OF RSUD DR. R. KOESMA TUBAN.

30-40% of maternal deaths in Indonesia were caused by pre-eclampsia in 2018. Preeclampsia is a specific syndrome in pregnancy that can cause liver problems. Disorders can be characterized by abnormal laboratory results in the liver enzymes while in the kidney is indicated by the presence of proteinuria. Organ disorders can cause morbidity and death of the mother and fetus. This study aims to analyze the results of blood laboratory in pregnant women with preeclampsia in the delivery room of RSUD dr.R Koesma Tuban in 2020. Method: The research design is correlation analysis. The population of all pregnant women with preeclampsia in the delivery room at RSUD dr. R Koesma Tuban from January to June 2020, with a total of 102 people, a sample of 52 people used simple random sampling. The independent variable is preeclampsia, the dependent variable is the platelet level. Using the chi square test with a significance level of p<0.05. Results: most of the pregnant women with severe preeclampsia 39 (75%), almost all 42 (81%) platelet levels were in the normal category. With a significance value of 0.115, then H1 is rejected, meaning that there is no relationship between platelet laboratory levels in pregnant women and preeclampsia in the maternity ward of RSUD DR. Koesma Tuban. Conclusion: there is no relationship between preeclampsia and platelet levels. So that it is hoped that research can be carried out on the causes of preeclampsia and other laboratory results

GAMBARAN KEJADIAN IBU HIPERTENSI DALAM KEHAMILAN DENGAN COVID-19 DI RSUD ULIN BANJARMASIN PERIODE MEI 2020-JUNI 2021

Hypertension in pregnancy is one of the most common causes of maternal death in Indonesia as well as in other developed countries such as the United States. The cause of preeclampsia is currently uncertain, but there are several risk factors that can increase the occurrence of preeclampsia. Coronavirus disease 19 (COVID-19) is caused by the Severe Acute Respiratory Syndrome Coronavirus-2 (SARS CoV-2). Pregnant women and hypertension are factors that can increase the risk of COVID-19. If not treated properly, hypertension in pregnancy can cause maternal and fetal morbidity and mortality. The purpose of this study was to describe the incidence of maternal hypertension in pregnancy with COVID-19 based on age, parity, gravida, history of preeclampsia, and education at Ulin Hospital Banjarmasin for the period May 2020-June 2021. This research method was descriptive with data collection through medical records. patient. The sampling technique used is total sampling. The subjects of this study amounted to 88 patients. This study shows preeclampsia is the type of hypertension in pregnancy with COVID-19 being the most common, which was 57 patients (64.7%). Most of the patients were in the age range of 20-35 years, as many as 52 patients (59.3%). Based on parity, most of the cases occurred in mothers with multilipara as many as 39 patients (44.3 %). Gravida was found mostly in mothers with multigravida as many as 63 patients (71.6%). Based on a history of preeclampsia, patients who did not have a history of preeclampsia were found to be more than patients who had a history of preeclampsia, namely as many as 52 patients (59.1%) and the majority of patients' education at the high school level, which was 29 patients (32.9%).

THE CORELATION BETWEEN MOTHER'S WEIGHT INCREASE WITH PRE-ECLAMPSION IN PREGNANCY AT SITI KHOLIZAH CLINIC

Pre-eclampsia/eclampsia is one of the main causes of maternal death in Indonesia. The cause of pre-eclampsia in pregnant women is not known with certainty, although there have been several theories that try to explain the cause of pre-eclampsia is placental ischemia. The purpose of this study was to see the relationship between maternal weight gain and the incidence of preeclampsia in pregnancy. This type of research is an observational retrospective analytic study. Analytical observational research. The research location was at the Siti Kholizah Clinic, Medan Marelan District. The statistical test used the Chi Square test with a statistical significance p value of 0.05. After conducting research on statistical data tests, it was found that the increase in body weight during pregnancy has a relationship with the incidence of preeclampsia in pregnancy. There is a significant relationship between weight gain during pregnancy and the incidence of preeclampsia in pregnancy, with a p value of 0.003

EFEKTIVITAS PENGGUNAAN LIDAH BUAYA (ALOEVERA) TERHADAP PENYEMBUHAN LUKA PERINEUM PADA IBU NIFAS DIWILAYAH KERJA PUSKEMAS KARANG ANYAR LAMPUNG SELATAN TAHUN 2021

Perineal rupture is one of the causes of postpartum maternal bleeding. Postpartum hemorrhage is themain cause of 40% of maternal deaths in Indonesia. One way of natural treatment is by giving aloe vera whichcan accelerate the wound healing process. The purpose of this study was to determine the effectiveness of theuse of aloe vera (Aloevera) on the healing of perineal wounds in postpartum mothers in the Karang Anyar HealthCenter, South Lampung.The Study employed a quantitative research with quasi-experimental approach. The subjects of thisstudy were mothers who experienced perineal rupture of degree I and degree II in the Work Area of the KarangAnyar Health Center, South Lampung, 104 mothers, a sample of 51 data. Data obtained from questionnaires.Analysis using univariate and bivariate analysis using independent t test.The results of this study found that the average value of perineal wound healing given aloe vera(aloevera) was 4.72, standard deviation 1.815. The average value of perineal wound healing that was not givenaloe vera was 7.35, the deviation was 2.545. There is an effectiveness of using aloe vera (Aloevera) on thehealing of perineal wounds in postpartum mothers in the Karang Anyar Health Center, South Lampung(Pvalue=0.026,).Kesimpulan dalam penelitian ini Terdapat efektivitas penggunaan lidah buaya (Aloevera)terhadap penyembuhan luka perineum pada ibu nifas di Wilayah Kerja Puskesmas Karang Anyar LampungSelatan saran penelitian ibu yang mengalami luka perineum untuk merawat luka setalah melahirkan danmengkonsumsi makanan bergizi khususnya makananan yang mengandung protein tinggi agar lukanya cepatsembuh.From the results of the study, researchers suggest mothers who experience perineal wounds to treatwounds after childbirth and consume nutritious foods, especially foods that contain high protein in order toaccelerate the wound healing process

Maternal Mortality in Indonesia, Ask for Help

Maternal mortality rate (MMR) consistently becomes a hot topic from day to day because there isn't a bright hope or the best exit door. Definition of maternal death according to World Health Organization (WHO) is the death of a woman while pregnant or within 42 days of termination of pregnancy, irrespective of the duration and site of the pregnancy, from any cause related to or aggravated by the pregnancy or its management but not from accidental or incidental causes. The amount of maternal death related to pregnancy has constantly been escalating from day to day since many decades ago. In the event of discussion at the Health Department of East Java Province in November ago, the data was alarming about a great problem related to maternal death in Indonesia.

EFEKTIVITAS PEMBERIAN PISANG AMBON DENGAN JUS TOMAT TERHADAP PENURUNAN TEKANAN DARAH PADA IBU HAML DENGAN HIPERTENSI

Maternal mortality in Indonesia is still dominated by bleeding, infection and hypertension. More than 25% of maternal deaths in Indonesia are due to hypertension. In Central Java Province, 32.97% of hypertension was ranked first as a case of maternal death. The purpose of this study was to determine the effectiveness of giving Tomato juice with Ambon banana to reduce blood pressure in pregnant women with hypertension. The research was conducted using an experimental research method, with a pretest-posttest control group design. The study population was all pregnant women with hypertension in the working area of the Semarang District Health Office as many as 68 pregnant women. The number of samples was 34 people for the treatment and control groups. The sampling technique used consecutive sampling. The research instrument used was a digital sphygmomanometer and a checklist. The results showed that the Paired t-test obtained p value 0.05, indicating that there was an effect of lowering blood pressure before and after being given tomato and banana juice for 7 days. The results of the Independent t-test showed that the difference in the average decrease in systolic blood pressure in the treatment group was more significant by 11.00 mmHg than in the control group by 4.61 mmHg and the average decrease in diastolic blood pressure in the treatment group was also more significant, namely equal to 6.08 mmHg compared to the control group at 4.31 mmHg. The result of p value difference between systolic and diastolic blood pressure is 0.001 and 0.007, which means Ha is accepted. Giving tomato juice is more effective in lowering blood pressure than giving Ambon banana. It is hoped that health workers will disseminate information to the public, especially pregnant women, to consume tomato juice as an effort to lower blood pressure.

Age and Parity in the Incidence Of Primary Post Partum Hemorrhage at Panembahan Senopati Hospital, Bantul Yogyakarta

Post partum hemorrhage is the main cause of 150,000 maternal deaths every year in the world and almost 4 out of 5 deaths due to postpartum hemorrhage occur within 4 hours after delivery. The direct causes of maternal death in Indonesia are bleeding 45.20%, eclampsia 12.90%, abortion complications 11.10%, postpartum sepsis 9.60%, prolonged labor 6.50%, anemia 1.60% and indirect causes of death. by 14, 10%. The purpose of this study was to determine the relationship between parity and age with the incidence of primary postpartum hemorrhage at Panembahan Senopati General Hospital. Analytical survey studies or case control surveys use a retrospective time approach. The sampling technique was purposive sampling with a ratio of the number of samples 1: 1, namely the case sample was 70 and the control sample was 70. The analysis technique was Chi Square. The results of Chi Square analysis showed that age and parity had a significant relationship with the incidence of primary postpartum hemorrhage, age (OR = 14.22 and p-value 0.000) while parity (OR 3.010 and p-value 9.643). It means that mothers with maternal age at risk (<20 and > 35 years) have a risk of 14.22 greater than the age not at risk (20-35 years). Mothers with parity at risk (1 and >3) had a 3.010 greater risk of primary postpartum hemorrhage than mothers with parity at no risk (2 and 3). This study concluded that there is a relationship between age and parity with the incidence of primary postpartum hemorrhage.

STUDI KASUS : ASUHAN KEBIDANAN PADA Ny.E MASA KEHAMILAN TRIMESTER III, PERSALINAN, NIFAS, NEONATUS DAN KELUARGA BERENCANA

This report is a comprehensive midwifery care carried out at the Maos Health Center in 2022 for Mrs. “E” G2P1A0 35 weeks 5 days of pregnancy which was carried out from January to March from the third trimester of pregnancy, maternity, postpartum, newborn and family planning services. The documented Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR) are indicators to see the welfare of a nation in determining optimal health status (Prawiroharjo, 2016). The number of maternal deaths in Indonesia in 2020 increased by 8.92% from the previous year, which was 4,221 to 4,627 people. One of the efforts made in reducing maternal and infant mortality is increasing quality antenatal care, with the aim of alleviating these morbidity and mortality rates.
 This report is a comprehensive midwifery care carried out at the Maos Health Center on Ny. “E” G2P1A0 The gestational age of 35 weeks 5 days was carried out from January to March from the third trimester of pregnancy, postpartum, postpartum, neonate and family planning services that were documented with the application of varney management and SOAP documentation.
 Based on the observations of this Final Project, no gaps were found between theory and practice during the implementation of comprehensive midwifery care provided from the initial visit to the last visit.

Faktor-Faktor Risiko Preeklamsi pada Ibu Hamil Berdasarkan Karakteristik Maternal di Kabupaten Banyumas

Preeclampsia is the main cause of maternal death in Indonesia with an incidence of 3-10%. An increase in the incidence of pregnancy with preeclampsia occurred in Banyumas Regency in the period 2019 and 2020 with a mortality rate of preeclampsia with accompanying complications of 27.3%. The discovery of risk factors for preeclampsia at gestational age <20 weeks is currently one of the programs to reduce the incidence of preeclampsia in Banyumas Regency. This study aims to determine the risk factors for preeclampsia in pregnant women based on maternal characteristics. This research is a descriptive study with a subject of 323 pregnant women in the area of Puskesmas, Banyumas Regency. The sampling technique used purpose sampling. Data was taken from 5 health centers. Data analysis used univariate analysis to determine the number and percentage. The results showed that the order of the highest percentages was multiparity at 74.3%, followed by the age of pregnant women >35 years of as much as 14.2%, BMI 30 kg/m2 as much as 9.9%, and a history of hypertension as much as 1.9%.

Hubungan pengetahuan ibu nifas dengan perawatan luka perinium di PMB Aan Dyah Tahun 2020/2021

The cause of maternal death in Indonesia is still dominated by bleeding (32%) and hypertension in pregnancy (25%), followed by infection (5%), old partus (5%), and abortion (1%) in addition to obstetric causes, maternal mortality is also caused by other causes (non obstetric) of 32%. As a result of improper perineal care can result in perineal conditions affected by lokchea and moisture will greatly support the proliferation of bacteria that can cause infections in the perineum. The purpose of this study to determine the relationship of maternal knowledge with perineal wound at PMB Aan Dyah.
 This research use analytical method by using primary data and secondary data. The population in this study is the number of mothers in the last 3 months totaling 65 respondents in June - August 2017. Sampling technique is total sampling.
 The result of the research was obtained, good postpartum mother as many as 25 people (38,5%), bad woman with bad knowledge about 40 people (61,5%), postpartum who do perineal wound care 15 respondents (23,1%), and postpartum mothers who did not perform perineal wound care as much as 50 respondents (76.9%). In chi square test to see the correlation between knowledge of postpartum mother and perineal wound care, p-value value of0.000 (p <0,05) was obtained, meaning that there was a significant correlation between maternal knowledge with perineal wound care. It is suggested to health officer to give counseling about perineal wound care on postpartum so that postpartum mother can know the importance of perineum wound care benefit.

The Impact of Exposure to Information Technology in Determining Women’s Knowledge of Complication during Pregnancy, Labor, and Postnatal

Background: Indonesian Demographic Health Survey (IDHS) 2012 reveals that Maternal Mortality Ratio (MMR) in Indonesia is 359 per 100,000 live births or increase from 228 per 100.000 live births in 2007. Compared to the other ASEAN countries, the risk of maternal death in Indonesia is also relatively high, 1 in 65 mothers. Some researches depict that maternal death is caused by inadequate care during pregnancy and delivery (labor). This condition is caused by the availability of health facility or improper health seeking behaviors. Considering the crucial role of knowledge to determine people behaviors, this paper is aimed to discuss the impact of information technology to shape people knowledge on maternal health. Subjects and Method: Some variables in Indonesian Health Demographic Survey 2017, identify the subject’s knowledge on danger sign of complication during pregnancy, labor/delivery and postnatal periods. In digitalized era, the knowledge may come from many sources. Therefore, the discussion will focus on the impact of subject’s accessibility and utilization of internet, mobile phone, radio, TV and newspaper in shaping knowledge of maternal health. Results: This study found that women with primary education (OR= 1.57; p < 0.001), did not access the internet (OR= 2.49; p= 0.110); the frequency of accessing the internet for health (OR= 1.94; p= 0.083) increased women's knowledge about dangerous signs during pregnancy. While not reading newspapers (OR= 0.66; p < 0.001); not watching television (OR= 0.66; p<0.001), having or not having television (OR= 0.59; p < 0.001); do not have a mobile phone (OR= 0.64; p<0.001); not having a radio (OR= 0.88; p < 0.001) decreased women's knowledge of the danger signs during pregnancy, but this result was statistically significant. Conclusion: This result reveal that the effectiveness of internet to influence women knowledge on maternal health must be improved because of its potential in this digitalized era and the progressive trend of internet penetration in Indonesia.

MIDWIFERY CARE OF DELIVERY WITH CHRONIC HYPERTENSION SUPERIMPOSED PREECLAMPSIA AND UTERINE MYOMA (CERVICAL)

Background: the most common causes of maternal death in Indonesia are hypertension/pre-eclampsia/eclampsia, bleeding, and infection. Hypertension in pregnancy ranks first as the cause of death in Indonesia at 33% (SRS Litbangkes, 2016). Cervical fibroids can cause complications in both pregnancy and childbirth. The purpose of this case report is to study midwifery care in complex cases. Case report: A 41-year-old woman, second pregnant, 36-37 week’s gestation, primipaternity, secondary primitua with chronic hypertension and uterine myoma (cervical) was referred to the hospital for delivery. Management focuses on support for the mother, involving the family, fulfill the needs of the mother, collaboration with the doctor conducting informed consent regarding the diagnosis, providing counseling and health education on tubectomy contraception, and accompanying the mother until the time of surgery. The mother's response is good, and optimistic about her condition and the baby. Conclusion: midwives in providing midwifery care in cases of delivery with chronic hypertension, superimposed preeclampsia and uterine myoma at an advanced health facility (Type A Hospital). Midwifery care is provided both independently and in collaboration with other professions. Delivery was carried out by caesarean section in accordance with the indications with the output of the mother and baby being healthy. Early detection, recognition of signs and symptoms, diagnosis, referral process and comprehensive management are carried out appropriately.

Management of Perineal Massage in Pregnant Women as an Effort to Prevent Perineal Rupture in Vaginal Delivery (Literative Review)

The number of maternal deaths in Indonesia in 2020 showed 4,627 deaths in Indonesia. This number has increased by 9.6% compared to the previous year, which was 4,221 deaths. Based on the causes, the majority of maternal deaths were caused by bleeding as many as 1,330 cases, hypertension in pregnancy as many as 1,110 cases, and disorders of the circulatory system as many as 230 cases (Ministry of Health, 2021). % of mothers giving birth. When approaching the time of delivery in the 3rd trimester of pregnancy, pregnant women experience anxiety about the stigma that giving birth will be painful and injure the perineum (Sri Mulati, 2016). Prevention of perineal rupture can be done by perineal massage. This discussion aims to collect and analyze articles to identify the effectiveness of perineal massage management as an effort to prevent rupture. The results of this discussion show that perineal massage has significant results in reducing the occurrence of perineal rupture. Perineal massage is also beneficial in reducing the rate of episiotomy as well as providing other benefits to the mother and the newborn. However, these studies have drawbacks, namely, this perineal massage does not yet have global clinical guidelines on the standard of implementing perineal massage, in some studies the sample experienced dropout in research and differences in research results that affect perineal massage on the prevention of perineal rupture. further research is needed regarding the standard of perineal massage and the support of husbands and midwives in the education and implementation of perineal massage

Hubungan Usia Ibu Hamil dengan Kejadian Abortus Spontan di Rumah Sakit Umum Cut Meutia Kabupaten Aceh Utara Tahun 2020

Spontaneous abortion is the end of a pregnancy with a gestational age of less than 20 weeks or weighing less than 500 grams that occurs naturally. The Indonesian Research and Development Agency stated that 4.1% of maternal deaths in Indonesia were caused by spontaneous abortion, where the target for reducing the MMR in 2021 is 0.22%. This incident was triggered by several factors including the age of the mother. Preliminary data survey at RSU Cut Meutia found that there was a fairly high increase in the incidence of spontaneous abortion in 2020 compared to 2019 (108%). This study aims to determine the relationship between maternal age and the incidence of spontaneous abortion at RSU Cut Meutia, North Aceh Regency in 2020. This study was an analytical observational study with a cross sectional approach, carried out from October 25 to November 3, 2021. The data in this study were all pregnant women who experienced spontaneous abortion in 2020, and obtained from secondary data as many as 71 people. The statistical test used was Kolmogorov-Smirnov. The results of univariate analysis showed that 55.6% of spontaneous abortions occurred in the age group of 20-35 years. It was also found that the highest type of abortion was incomplete abortion (68.3%). In bivariate analysis, p = 1,000. Therefore, it can be concluded that maternal age is not significantly associated with the incidence of spontaneous abortion.

Hubungan Usia Ibu Hamil dengan Kejadian Abortus Spontan di Rumah Sakit Umum Cut Meutia Kabupaten Aceh Utara Tahun 2020

Spontaneous abortion is the end of a pregnancy with a gestational age of less than 20 weeks or weighing less than 500 grams that occurs naturally. The Indonesian Research and Development Agency stated that 4.1% of maternal deaths in Indonesia were caused by spontaneous abortion, where the target for reducing the MMR in 2021 is 0.22%. This incident was triggered by several factors including the age of the mother. Preliminary data survey at RSU Cut Meutia found that there was a fairly high increase in the incidence of spontaneous abortion in 2020 compared to 2019 (108%). This study aims to determine the relationship between maternal age and the incidence of spontaneous abortion at RSU Cut Meutia, North Aceh Regency in 2020. This study was an analytical observational study with a cross sectional approach, carried out from October 25 to November 3, 2021. The data in this study were all pregnant women who experienced spontaneous abortion in 2020, and obtained from secondary data as many as 71 people. The statistical test used was Kolmogorov-Smirnov. The results of univariate analysis showed that 55.6% of spontaneous abortions occurred in the age group of 20-35 years. It was also found that the highest type of abortion was incomplete abortion (68.3%). In bivariate analysis, p = 1,000. Therefore, it can be concluded that maternal age is not significantly associated with the incidence of spontaneous abortion.

Hubungan Pengetahuan Dan Sikap Tentang Pemenuhan Nutrisi Dengan Proses Penyembuhan Luka Ibu Post Sectio Caesarea Di RSUD Leuwiliang Tahun 2021

Introduction: Sectio Caesarea delivery has a five times greater risk of complications than normal childbirth, one of the complications that is one of the causes of maternal death in Indonesia is caused by Post Sectio Caesarea wounds and several factors that affect the healing of Post Sectio Caesarea wounds in mothers’ include: the environment, tradition, socioeconomic, maternal condition, nutrition, handling of personnel and quality of wound care. This study aims to determine the relationship of knowledge and attitudes about nutritional fulfillment to the wound healing process in Leuwiliang Hospital. Methods: The research design used was descriptive analytic with cross sectional method on the population of all mothers post caesarean section, totaling 72 samples taken by simple random sampling technique. Results: Based on the results of statistical tests using the chi square test, the p-value (0.00) is below the value of (0.05), which means that there is a significant relationship between knowledge and attitude towards nutrition fulfillment and the wound healing process of post SC mothers at Leuwiliang Hospital. Discussion: The general conclusion is that the behavior of fulfilling good nutritional intake will be created if the mother has good knowledge, attitude, and motivation where this will affect the healing process of the surgical wound on the mother after the caesarean section.

The Effect of Low Dose of Aspirin on the Preeclampsia in Pregnant Women: A Meta-Analysis

Background: In 2020 there were 4,627 maternal deaths in Indonesia. Preeclampsia is a complica­tion in pregnancy that occurs 2-8% of all pregnancies and is a major cause of maternal morbidity. Low-dose aspirin has been shown to be a safe and effective primary prevention for the incidence of preeclampsia. With preventive measures can reduce both moral and material losses for patients at high risk for the incidence of preeclampsia. The purpose of this study was to estimate the magnitude of the effect of low-dose aspirin on the incidence of preeclampsia in pregnant women based on previous research. Subjects and Method: This study is a systematic review and meta-analysis. Article searches were conducted using electronic databases such as Google Scholar, PubMed, Cochrane, Science Direct. The articles used are published articles from 2012-2022. The keywords used to search the article were “Aspirin OR Acetylsalicylic Acid AND Prevention AND Pre-Eclampsia OR Toxemia AND Randomized Controlled Trials”. The inclusion criteria used are articles with randomized control trial studies, full text articles are available, the results of the analysis used are Risk Ratio. The population of the study was high-risk pregnant women, the research intervention was the administration of low-dose aspirin, the study comparison was a placebo, and the outcome of the study was preeclampsia, the articles were in English or Indonesian. The article search results are listed in the PRISMA diagram and analyzed using the Review Manager 5.3 application. Results: A total of 7 articles from China, America, India, Congo, Guatemala, Pakistan, and Finland showed that aspirin had an effect of 0.87 times in reducing the incidence of preeclampsia when compared with placebo or no administration (RR = 0.87; 95% CI 0.72 to 1.05). although not statistically significant (p=0.160). Conclusion: Low-dose aspirin affects the incidence of preeclampsia in pregnant women.