Abstrak: Complications during pregnancy and childbirth are the second leading cause of death for girls aged 15-19 yeras globally. At Jatinegara Public Health Center, there was an increase in teenage pregnancy in the last three years. This study aims to determine the proportion of teenage pregnancy and factors related to teenage pregnancy in area of Jatinegara Public Health Center, 2017. Implemented in May-June 2017 using croos sectional design. The population is all teenage girls aged 15-19 who are married from june 2016 to May 2017, the sample number of 96 people taken by simple random sampling. Data were collected through structuted interview with questionnare, bivariate analysis with Kai square test. The result obtained 77,1% teenage pregnancy. Related predisposing factors were family income (p value=0.022); knowledge of teenage pregnacy (p value=0.036); attitude towards family planning (p value=0.044). Related reinforcing factors were family support (p value= 0.047); the role of health personnel (p value= 0.040). Related enabling factors were history of sexual behavior (p value=0.033); history of contraceptive use (p value=0.019). Suggestion for Jatinegara public health center to improve the socialization of the planned generation program, the establishment of teenage family depelopment and enhancement of the youth service care program.
Keywords: Teenagers, teenage pregnany

Abstrak:

Pertolongan persalinan di rumah masih sering dilakukan di Indonesia, dan persalinan perlu dipantau kemajuannya dengan partograf. Penelitian dilakukan di dua wilayah kerja Puskesmas di Banten, guna melihat penerapan partograf oleh bidan dan faktor yag berhubungan dengan penerapannya. Dengan rancangan crossectional dan analisis model logistik pada 31 bidan yang bekerja di wilayah kerja Puskesmas Kramat Watu dan Puskesmas Waringin Kurung yang menolong persalinan di rumah pasien. Sampel dalam penelitian ini adalah total populasi. Hasil penelitian menunjukkan adanya hubungan pelatihan APN dengan penggunaan partograf (p 0,004). Terdapat kecenderungan untuk lebih menggunakan partograf pada responden yang umurnya ≥ 34 tahun, pengetahuan baik, bersikap bahwa partograf penting, mendapatkan pelatihan APN, didukung ketersediaan alat dan bahan, keterampilan baik serta ada dukungan atasan. Terdapat juga kecenderungan untuk tidak menggunakan partograf pada responden dengan kondisi pasien yang ditemui bidan di rumah. Dari hasil penelitian di sarankan untuk memberikan pelatihan APN kepada para bidan dan pendidikan kesehatan kepada masayrakat untuk merencanakan persalinan. Agar penggunaan partograf dapat dilaksanakan perlu membuat lembar partograf sesuai tafsiran persalinan ibu dengan ukuran besar di rumah pasien ditempel ditempat strategis agar pencatatan dapat segera dilakukan saat proses pertolongan persalinan. Memberikan dukungan pada bidan untuk menggunakan partograf pada setiap persalinan di semua tempat. Kata Kunci: Partograf, Pelatihan Asuhan Persalinan Normal, Persalinan

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 Delivery at home  is still often in Indonesia and need to be monitored by partografh. Studies are conducted in two working areas of helath centers in order to see partografh applications by midwives and factors related to the application. This research  is a cross-sectional design in the form of logistic analysis of 31 midwives working in the area of  Kramat Watu health centers and Waringin Kurung health centers that facilitate delivery midwives at patient's home. The sample in this study is the total population. The results showed an association between APN training and the use of partograph (p  0.004). There is a tendency to use partograph more on respondents aged ≥ 34 years, good knowledge, good attitude, received APN training, complete availability of tools and materials, good skills and good support from superiors. The condition of patients at home, as seen by midwives, tends to not make midwives use partograph. From the results of the study, it is advised to provide APN training for midwives and health education for community to plan the delivery. In order to implement the use of partograph, it is necessary to make a large size sheet partograph in patients' homes according to the interpretation of labor so that recording can be done immediately during the process of delivery aid. Provide support for midwives to use partograph for every birth at all places. Keyword: Partograph, Normal Childbirth Care Training, Childbirth

Abstrak: Persalinan oleh tenaga kesehatan merupakan faktor penting dalam upaya menurunkan Angka Kematian Ibu (AKI). Cakupan pertolongan oleh tenaga kesehatan di Kelurahan Cimahpar Wilayah kerja Puskesmas Bogor Utara sebesar 71,9% masih di bawah target SPM. Penelitian ini bertujuan untuk mengetahui faktor-faktor pada ibu bersalin yang berhubungan dengan cakupan pertolongan persalinan oleh tenaga kesehatan di Kelurahan Cimahpar Wilayah kerja Puskesmas Bogor Utara tahun 2015. Desain penelitian yang digunakan adalah cross sectional dengan data primer yang dikumpulkan melalui penyebaran kuesioner kepada 80 responden.

Hasil penelitian menunjukan bahwa 61,3% persalinan ditolong oleh tenaga kesehatan dan 38,8% ditolong oleh tenaga non kesehatan. Dari hasil uji statistik menunjukkan ada hubungan antara tingkat pendidikaan ibu, sikap terhadap pelayanan kesehatan, pendapatan keluarga, dan persepsi kebutuhan kesehatan yang dirasakan dengan pemilihan penolong persalinan. Sedangkan umur, paritas, kunjungan ANC , kepemilikan jaminan kesehatan, dan akses pelayanan kesehatan tidak teridentifikasi berhubungan secara signifikan.

Kata Kunci: Penolong persalinan, tenaga kesehatan, tenaga non Kesehatan

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Deliveries by health professionals is an important factor in efforts to reduce maternal mortality. The scope of deliveries by health professionals in Cimahpar District the Work Area of North Bogor Health Center is 71,9% and still under target.The aim of this study is to find out maternity factors related to selection helper delivery in Cimahpar District the Work Area of North Bogor Health Center 2015. Cross Sectional approach was used with primary data that collected by spread out the questionnaire to 80 respondents.

The results showed that 61,3% of births attended by health professional and 38,8% of births attended by non health professional. From statistic results showed there are relationships between education level, attitude toward health care, family income, and perceptions to need of health service with the utilization of delivery assistance by health professionals. For age, parity, Antenatal Care visit, property insurance, and access of health service, was not significantly associated.
Keywords: Helper delivery, health personnel, non health personnel