Number Of Maternal Mortality Research Articles

Comprehensive Obstetric Care In Ny "Y" With Oxytocin Massage Intervention Against Uterine Involution In Postpartum Mothers

The number of maternal mortality in South Sumatra Province in 2020 is 128 people per 100,000 live births. The highest cause of death in mothers was bleeding by 42 people (31.25%). Bleeding can be prevented if the mother's uterine contractions are good. Uterine contractions are both obtained from the hormone oxytocin. The hormone oxytocin can be obtained from oxytocin massage. The goal is to provide obstetric care to Mrs. "Y" comprehensively. From the period of pregnancy, childbirth, puerperium, by applying oxytocin massage The method used is a case study, the subject of this report is postpartum mothers the application of oxytocin massage is carried out 2x a day for 7 consecutive days since giving birth. Data collection techniques through interviews, observations, physical examinations, SOAP forms, giving questionnaires to patients before oxytocin massage and after oxytocin massage. The result is that after comprehensive obstetric care, the mother did not experience any dangerous cases. The labor process takes place normally, during the puerperium there are no special complaints that are dangerous, the mother is given oxytocin massage for 7 days postpartum in a duration of 10-15 minutes. The results of the study on Mrs. "Y" there was a significant influence of uterine involution when the mother was given oxytocin massage. On day 7, the decrease in uterine fundal height occurred faster than in mothers who did not do oxytocin massage. In conclusion, oxytocin massage care affects the decrease in fundus height of the uteri.

Analysis of Inequalities and Inequities in Maternal Mortality in Chocó, Colombia.

We used a mixed design study to analyze the inequalities and inequities in Maternal Mortality (MM) for Chocó (Colombia) between 2010-2018. The quantitative component consisted of an analytical ecological design, where proportions, ratios, measures of central tendency and rates ratios, rate difference, Gini and concentration indices were calculated to measure inequalities. The qualitative component had a phenomenological and interpretive approach. One hundred thirty-one women died in Choco between 2010-2018. The Maternal Mortality Ratio was 224/100.000 live births. The Gini coefficient was 0.35, indicating inequality in the distribution of the number of MM with respect to live births. The health service offers have been concentrated in the private sector in urban areas (77%). The exercise of midwifery has played an important role in maternal and perinatal care processes, especially in territories where the State has been absent. Nevertheless, it occurs in complex circumstances such as the armed conflict, lack of transportation routes, and income deficits, affecting the timelines and care quality for these vulnerable groups. MM in Chocó has been a consequence of deficiencies in the health system and weaknesses in its infrastructure (absence of a high level of maternal-perinatal care). This is in addition to the territory's geographical characteristics, which increase vulnerability and health risks for women and their newborns. In Colombia, as well as in other countries, many maternal and newborn deaths are preventable because their causes are due to social injustices.

Faktor-faktor yang Berhubungan dengan Kejadian Kekurangan Energi Kronik (KEK) Pada Ibu Hamil di Puskesmas Gandus Palembang Tahun 2021

Based on the data from Palembang Health Office, the number of maternal mortality from 2018-2020 was 4, 3 and 3 women respectively (Palembang Health Office, 2020). Maternal mortality is caused by bleeding, anemia, CED, and other complications. Based on the data in 2018 the number of pregnant women who experienced CED was 18.2% and 20.2% in 2019 (Sumatera Selatan Provincial Health Office, 2019). The CED incidence in pregnant women is influenced by some factors such as the amount of daily energy intake, parity, maternal age, maternal knowledge, family income, and dietary restrictions (Yuliastuti, 2014). Based on the medical record data at Gandus Palembang Health Center, in 2018, there were 1303 pregnant women who visited for antenatal care, with 4.5% or 59 pregnant women suffered from CED. In 2019, from 1179 pregnant women, 144 (12.2%) suffered from CED. In 2020, from 1151 pregnant women, 128 (11.1%) suffered from CED. This study aimed to find out the correlation between Parity, Maternal Age and Knowledge with Chronic Energy Deficiency Incidence in pregnant women. This quantitative study used an analyticalsurvey method with cross sectional approach. The population in this study was all 50 pregnant women who visited Gandus Public Health Centre for Antenatal care in 2021. The sample data were collected by means of Accidental Sampling Method. From univariate data analysis, it was found that the number of pregnant women who suffered from CED was high with 68% or 34 respondents, high risk parity with 62% or 31 respondents, high risk maternal age with 62% or 32 respondents and low knowledge with 64% or 21 respondents. From bivariate analysis using Chi-Square test, it was found that there was a correlation between Parity (p-value 0.001), Maternal Age (p-value 0.018) and Knowledge (p-value 0.000) with Chronic Energy Deficiency Incidence in pregnant women at Gandus Public Health Centre. It was concluded that there was a correlation between Parity, Maternal Age and Knowledge with Chronic Energy Deficiency Incidence in pregnant women at Gandus Public Health Centre in 2021. It is recommended that health personnel in Gandus Public Health Centre provide more information about Chronic Energy Deficiency Incidence in pregnant women.

HOUSEHOLD SOCIO-ECONOMIC STATUS ON MATERNAL HEALTH STATUS AT THE TIME OF CHILDBIRTH IN NORTH CENTRAL TIMOR

The number of maternal mortality during childbirth is influenced by education, occupation, income, number of children, and the frequency of prenatal visits. The relationship between these variables can be directly or indirectly related to the health of the mother during childbirth. The prenatal visit frequency can act as an intermediate variable that links other variables to the mother’s health status during childbirth. This study aims to; 1) determine the direct and indirect relationship between variables, 2) determine the effective contribution of each independent variable to the mother’s health during childbirth. The data for this study came from 251 mothers who had given birth. The path analysis from the complete model shows that partial income has a negative but Sign (0.000) relationship with the mother's health condition, whereas other variables do not. However, simultaneously the five variables have a Sign (0.000) relationship with the mother’s health during the delivery. The complete model suggested an R-Square value of 0.152. The largest effective contribution to maternal health status comes from income with 13%, following the frequency of prenatal visit: 1.0%, the lowest contribution comes from husband’s education: 0.1%.

Attitude and pregnancy planning of the women reproductiove of age not associated

<p><strong><em>Background</em></strong><em>: The pregnancy planning is an important strategy to improve the children quality to be born and efforts to decrease maternal and infant mortality. The number of maternal mortality in Yogyakarta in 2018 was 36 cases. Most cases occurred in Bantul District as 14 cases. Meanwhile, the infant mortality case was 313 cases in 2017. The highest infant mortality case in Bantul District was 108 cases. Attitude is a feeling, supporting and not supporting on something. The Government Regulation of Republic of Indonesia Number 87 of 2014 concerning Population Development and Family Development, Family Planning and Family Information Systems stated that Family Planning is an effort to regulate the birth, the ideal distance and age to give birth, regulate pregnancy through promotion, protection, and assistance related to reproductive rights to realize a quality family. Having 2 children is the realization of one of the criteria for a quality family in the ideal number of children program.</em></p><p><strong><em>Objectives</em></strong><em>: This study aimed to determine the correlation between attitudes and behavior of pregnancy planning among women of childbearing age in Bantul District. </em></p><p><strong><em>Methods</em></strong><em>: This research used correlational quantitative research using cross sectional approach design. The sampling collection technique used non-probability sampling with purposive sampling. The samples was 71 respondents with inclusion criteria, namely women of childbearing aged <20 - > 35 years, located in Bantul district, had a legal spouse, owned and could operate a gadget. The validity test was conducted with SPSS Pearson Correlation with a significance level of 10% and Kendall's tau to determine the relationship between variables. </em></p><p><strong><em>Results</em></strong><em>: There is no correlation between attitudes towards pregnancy planning of women of childbearing age with P value of 0.052 > 0.05 (P Value ≤ 0.05). </em></p><p><strong><em>Conclusion</em></strong><em>: The characteristics of the most respondents were women aged 35 - 40 years, the last education was senior high school, the income was 0 - Rp 500.000,00 and the number of children was 2. The attitude of the respondent was mostly positive, while the most respondents who plan the pregnancy were ambivalent and the respondents who are not planning the pregnancy more than women who are planning a pregnancy.</em></p>

RISK FACTORS OF JAUNDICE IN NEWBORN BABY: LITERATURE REVIEW

Background: The indicator value of public health is assessed from the number of maternal mortality (MMR) and infant mortality (IMR). One of the contributors to infant mortality is icterus neonatorum. Icterus neonatorum is a yellow discoloration of the skin, eye membranes, and mucous membranes where the cause is too much bilirubin in the blood. If untreated, neonatal jaundice can cause brain damage (kernicterus) which can lead to mental retardation, cerebral palsy, and even death. The purpose of this study was to determine the risk factors that influence the occurrence of jaundice in neonates. Subjects and Methods: This research is a literature review from various national and international journal articles. Search articles using databases: PubMed, and Google Scholar. This method aims to enrich insight into risk factors for jaundice in BBL by summarizing the theory discussed. The method used will present new analytical facts and literature reviews by summarizing well-published articles that are also relevant, then compare the summary results in tabular form. Results: from 10 national and international articles, it was found that the risk factors for jaundice in neonates include low birth weight, premature birth, perinatal complications of infection, asphyxia, ABO incompatibility, and drug history, adequacy of breastfeeding, low vitamin E levels, delivery with oxytocin induction. Conclusion: risk factors for neonatal jaundice include low birth weight, premature birth, perinatal complications of infection, asphyxia, ABO incompatibility, drug history, adequate breastfeeding, low vitamin E levels, oxytocin-induced labor.

General review about maternal mortality in Saudi Arabia

Reducing number of maternal mortality in Saudi Arabia is one of the main goals for the health authorities in the country. The government efforts through the ministry of health and its partners need to be continue to ensure providing access to medical facilities to all pregnant females and thus preventing the occurrence of such deaths.

PEMODELAN FAKTOR-FAKTOR YANG MEMPENGARUHI KEMATIAN IBU MELAHIRKAN DI JAWA TENGAH DENGAN ZERO INFLATED POISSON REGRESSION

One of the targets of the Sustainable Development Goals (SDGs) is to reduce the maternal mortality rate by 2030. In reducing the maternal mortality rate, it is necessary to first study the factors that influence it. The number of maternal mortality rate in Central Java Province in 2018 was a discrete random variable that had a Poisson distribution and had many zero values. Generally, a model was used to counting data is Poisson regression model. However, the maternal mortality that has many zero values caused overdispersion. Therefore, Poisson model was not relevant in that case. In this paper, we used Zero Inflated Poisson (ZIP) model to overcome overdispersion caused by many zero values. The results of the research show that ZIP model can explained influence the number of maternal mortality. Based on this research, the factors such as provision of tablets, pregnant women who experience obstetric complications, and households with a clean and healthy lifestyle can explain the number of maternal mortality.

Parameter Estimation and Hypothesis Testing of Multivariate Poisson Inverse Gaussian Regression

Multivariate Poisson regression is used in order to model two or more count response variables. The Poisson regression has a strict assumption, that is the mean and the variance of response variables are equal (equidispersion). Practically, the variance can be larger than the mean (overdispersion). Thus, a suitable method for modelling these kind of data needs to be developed. One alternative model to overcome the overdispersion issue in the multi-count response variables is the Multivariate Poisson Inverse Gaussian Regression (MPIGR) model, which is extended with an exposure variable. Additionally, a modification of Bessel function that contain factorial functions is proposed in this work to make it computable. The objective of this study is to develop the parameter estimation and hypothesis testing of the MPIGR model. The parameter estimation uses the Maximum Likelihood Estimation (MLE) method, followed by the Newton–Raphson iteration. The hypothesis testing is constructed using the Maximum Likelihood Ratio Test (MLRT) method. The MPIGR model that has been developed is then applied to regress three response variables, i.e., the number of infant mortality, the number of under-five children mortality, and the number of maternal mortality on eight predictors. The unit observation is the cities and municipalities in Java Island, Indonesia. The empirical results show that three response variables that are previously mentioned are significantly affected by all predictors.

THE EFFECT OF EXTENSION OF LABOR PREPARATION AGAINST THE PRIMIGRAVID MOTHER'S ANXIETY LEVEL WHILE APPROACHING THE LABOR PROCESS IN SINDANG GOODS HEALTH CENTER

Legal data that belong to Health Department of Indonesia shows that the number of maternal mortality is decreasing. Even though the number of maternal mortality in Indonesia still high, it has already decreased from 307/100.000 births to 216/100.000 births based on Survey of Demographic and Health of Indonesia (SDKI) 2010/2011. To discover the influence of counseling about the preparation of giving birth to the level of anxiety of primigravida before giving birth in Puskesmas Sindang Barang. Quasi-experimental research with Equivalent Control Group Design. In this research design, it is classified into two groups, they are intervention and control by using quota sampling technique. By 36 people as the samples, data is gained by spreading questionnaire and counseling. Based on the analysis of data, it shows that the average level of anxiety after given health education about dysmenorrheal in the intervention group is 1,50, whereas the average level of anxiety after given health education in the control group is 1,06. This shows that there is the difference of the average of dysmenorrheal pain level between group that is given counseling and group that is not given counseling about giving birth preparation. Two independent samples are tested using mann-whitney test to the data that do not distribute abnormally. After mannwhitney test are done, it generates p-value of 0,003. That p-value 0,003 < α (0,05), so Ho is rejected that means there are some influences of counseling of giving birth preparation to the anxiety level of primigravida before giving birth in Puskesmas Sindang Barang. There some influences of counseling about the preparation of giving birth to the anxiety level of primigravida before giving birth in Puskesmas Sindang barang. To improve the implementation of counseling about the preparation of giving birth to the anxiety level of primigravida before giving birth.

PENERAPAN REGRESI ZERO INFLATED GENERALIZED POISSON (ZIGP) PADA DATA OVERDISPERSION

Zero Inflated Generalized Poisson (ZIGP) is a regression model used to analyze Poisson distributed discrete data which contains mostly zero and tends to experience overdispersion (varians value greater than the mean value). The purpose of this research is to find out the best model and the factors which influence the maternal mortality in Bali Province in year 2016 by using ZIGP regression model. The data used in this research was data from health profile Bali Province with the object totally 57 district rate data has proportion of zeros value more than 50% on the response variable. The analysis result of ZIGP data on maternal mortality cannot modeled using the ZIGP so ZIGP regression model became ZIP model . The best model which resulted from ZIP regression got one free variable which have significant impact towards the total number of maternal mortality. This significant variabel is the percentage of mother did visiting to K1.

Hubungan Motivasi Terhadap Kinerja Kader Pada Program Gerakan Menekan Angka Kematian Ibu Dan Bayi (Gemakiba) Di Kelurahan Sukorame Kota Kediri Wilayah Kerja Puskesmas Sukorame

The indicator that can be used to measure of status health mother in certain region such as using number of maternal mortality (Angka Kematian Ibu / AKI). AKI is one of indicator that sensitive about quality and an access to facility health service. One of factor that contributed to maternal mortality is factors that complicate of process handling emergency such as TIGA TERLAMBAT. It used to press AKI, the government made programs. The program is Program Perencanaan Persalinan dan Pencegahan Komplikasi (P4K) and Kediri was held program Gerakan Menekan Angka Kematian Ibu dan Bayi (GEMAKIBA). The aim of this research is to know the relationship of motivation performance cadre at GEMAKIBA’s program at Sukorame district Kediri city region performance of clinic Sukorame. The research design is survey analytic. The approach is cross sectional, the population is 45 persons of cadre. The sampling uses simple random sampling with 41 respondences of cadre that fulfil of inclusive criteria. The instrument used questioner to assess of motivation, checklist to assess of performance and recapitulation sheet to make a note the result of data. Then the data was analyzed with correlation spearman rank that showed there is a relathionship between motivation and performance cadre at GEMAKIBA’s program. Based on the result of the research above it should be became a material to maintain and enhance motivation for more comprehensive program’s outcomes.

The Role of Midwife through Antenatal Class Pregnancy for Improvement Delivery Assistance with Professional Health Workers

One of the major public health problem in Indonesia is the high of maternal mortality rate (MMR). Based on data, the number of maternal mortality in Balangan in 2014 there were 294.3/100, 000 live births. One of the efforts to decrease MMR through antenatal class pregnancy, right election for the delivery assistance and optimize the program through the role of midwife. This study used qualitative method. Population is the midwife in the working area of Health Office Balangan District and informant is 13 midwife coordinator. The research instrument is indepth interviews guide. Data were analyzed qualitative (interview transcript). The results showed the implementation of the antenatal class pregnancy in Balangan walking routinly within the guidelines of the antenatal class pregnancy through the role of midwifes in performing their duties, although still found a lack of initiative to moving the antenatal class pregnancy creatively to attract participants. Midwife as the spearhead of the antenatal class pregnancy program implementation class stated that there are several obstacles, among others, uneven funding, which is not ideal infrastructure in accordance with the guidelines, and there are still pregnant women who are illiterate thus hindering the process of providing information. The impact of this program implementation is an increase in birth attendance by skilled health worker. Therefore, it can be concluded that the midwife's role in the implementation of a the class of pregnant women in Balangan is good enough although they encountered some problems and may increase the scope of delivery assistance by professional health worker. Required all of sector cooperation and sustainable and that further study about mother health and mortality for decrease MMR.

Perilaku Ibu dalam Memilih Tenaga Penolong Persalinan di Wilayah Kerja Puskesmas Tembilahan Hulu Tahun 2016

Background: Maternal Mortality Rate (MMR) is an indicator of health development in Indonesia. Some effort have been done to decrease maternal mortality ie to increase range labor by health personnel. The target coverage of labor by health personnel in Tembilahan Hulu Public health center has yet to reach the target of 80%. its coverage was only 45%. The number of maternal mortality in Tembilahan Hulu Health center in 2016 was 1 cases and the number of infant maternal mortality was 5 cases.Objective: The purpose of this study was to determine the mother’s behavior in selecting birth attendants in health center in the region of the upstream Tembilahan Hulu.Method: This research used qualitative method to gain the in depth information on how to Mother’s Behavior In Selecting Birth Attendants In Health Centers Working Area Tembilahan Hulu 2016. The data are analysed by using content analysis, which is comparing the result from the research with the theories in the literature.Result and Discussion: There were 13 informants in this research. This study’s result showed that the decision for birth attendants were closely related to knowledge, attitude, socio-cultural, access to health center, and support from family. Advise to relevant agencies, namely health centers Tembilahan Hulu order to further increase coverage deliveries by health care and in personels villages to which access is far from health facilities to build Birth Waiting Homes (BWH).Conclusion: The Decision for birth attendants were closely related to knowledge, attitude, socio cultural, acces to health center and support from family.Keywords: birth attendant, community health center, pregnant women behavior