Ditemukan 19 dokumen yang sesuai dengan query :: Simpan CSV
Kata kunci: jarak antar kelahiran, multipara, SDKI
Maternal mortality rate and infant mortality rate in Indonesia is currently high.One factor linked to high risk maternal and infant mortality is short birth intervals.This study aims to show factors associated with birth intervals in multiparouswomen in Indonesia. This study uses data from Indonesia Demographic andHealth Survey (IDHS) 2012 with 9945 multiparous women. The Data wasanalysed using Mann Whitney, Kruskal Wallis, Chi Square, and Chi SquareMantel Haenzel model. Results shows that median birth interval was 62 monthsand 22,8% women had birth interval of less than 3 years. There was a correlationbetween birth intervals with education, economic level, age when last pregnant,the number of living children, ideal family size, contraception use, infantmortality record, and survival of preceding birth analysed using Whitney/KruskalWallis and Chi Square model, whereas exclusive breastfeeding was significantlyassociated with birth intervals analyzed using the Mann Whitney model (p<0,05).There needs to be more frequent communication, education, and informationabout optimum birth intervals and greater contraceptive use to prevent maternaland infant mortality.
Keywords: birth intervals, multiparous, IDHS
Angka kematian bayi akibat makrosomia meningkat 0,1% menurut Data Survey Demografi Kesehatan Indonesia 2017. Sementara itu, komplikasi persalinan ibu meningkat dari 35% pada tahun 2012 menjadi 41% pada tahun 2017. Dengan menggunakan data dari Survei Demografi dan Kesehatan Indonesia, penelitian ini menyelidiki hubungan antara pemeriksaan kehamilan (antenatal care) dan variabel kejadian makrosomia dengan faktor pembaur (confounding) yakni Umur Ibu, Pekerjaan Ibu, Lokasi Tempat Tinggal Ibu, Tingkat Pendidikan Ibu, Status Sosial Ekonomi, Tempat Pemeriksaan saat kehamilan, dan Tenaga Pemeriksaan Kehamilan. Penelitian ini memakai metode penelitian kuantitatif observasional analitik melalui teknik cross-sectional. Hasil penelitian menunjukkan bahwa variabel independen memiliki korelasi yang signifikan dengan variabel dependen, yaitu kualitas pemeriksaan kehamilan dengan standar 10T yang dilakukan pada pasien ibu hamil dengan faktor konfounding-nya status pekerjaan ibu, daerah tempat tinggal ibu, dan tempat pemeriksaan kehamilan serta variabel interaksi antara daerah tempat tinggal dengan kuantitas ANC. Hasil analisis menunjukkan ibu yang tidak mendapatkan kualitas pemeriksaan kehamilan yang sesuai standar berisiko 1,304 (95% CI 1,096-1,551) kali memiliki bayi makrosomia dibandingkan dengan ibu yang mendapatkan kualitas pemeriksaan kehamilan yang sesuai standar. Pada faktor konfounding yang paling berisiko pada kejadian makrosomia adalah daerah tempat tinggal dengan POR=1,692 (95% CI 1,358- 2,109) artinya ibu yang tinggal di desa berisiko 1,692 kali memiliki bayi makrosomia dibandingkan ibu tinggal di kota. Kata kunci: Antenatal Care, Makrosomia, SDKI 2017
The infant mortality rate due to macrosomia increased by 0.1% according to the 2017 Indonesian Demographic Health Survey Data. Meanwhile, maternal birth complications increased from 35% in 2012 to 41% in 2017. Using data from the Indonesian Demographic and Health Survey, this research investigate the relationship between antenatal care and macrosomia incidence variables with confounding factors, namely maternal age, maternal occupation, maternal residence location, maternal education level, socio-economic status, examination location during pregnancy, and prenatal examination personnel. This research uses quantitative observational analytical research methods using cross-sectional techniques. The results of the study show that the independent variable has a significant correlation with the dependent variable, namely the quality of pregnancy examinations with the 10T standard carried out on pregnant women with the confounding factors being the mother's employment status, the area where the mother lives, and the place of pregnancy examination as well as the interaction variable between regions. residence with ANC quantity. The results of the analysis show that mothers who do not receive quality pregnancy checks that meet standards have a 1.304 (95% CI 1.096-1.551) risk of having macrosomia babies compared to mothers who get quality pregnancy checks that meet standards. The confounding factor that is most at risk for the incidence of macrosomia is the area of residence with POR=1.692 (95% CI 1.358-2.109) meaning that mothers who live in villages are 1.692 times more likely to have macrosomia babies than mothers who live in cities. Keywords: Antenatal Care, Macrosomia, IDHS
Unintended pregnancy is a global health problem because it is a cause of maternal and infant mortality as well as a trigger for stress and depression in mothers. In addition, unintended pregnancy will disrupt the marital relationship and can affect the socio-economic conditions of a country. The number of unintended pregnancies worldwide is still high, occurring in 1 in 4 pregnancies. In Indonesia, the prevalence of unintended pregnancies is 15% of the total pregnancies. As far as is known, studies discussing the determinants of unintended pregnancies in Indonesia are still limited. Therefore, this study aims to explore the determinants of unintended pregnancies in Indonesia using data from the 2017 IDHS. The cross-sectional research design includes the entire 2017 IDHS sample totaling 15,316 respondents. The results showed that the prevalence of unintended pregnancies in women with live births in the last 3 – 5 years was around 16%. The highest proportion of unintended pregnancies in Indonesia occurred at 36-49 years old, with diploma/graduate degree, employed, richest, lived in a city, unmarried, grand multiparas, had complications during pregnancy and parturition, had high contraceptive knowledge, and did not know each other's preferences. In the bivariate analysis, age, economic status, place of residence, marital status, parity, complication pregnancy, fertility preference, and contraceptive knowledge were statistically significant with unintended pregnancies. Multivariate analysis showed determinants of unintended pregnancy, including age, education level, type of residence, parity, and fertility preference. Preventing unintended pregnancies can be done through individual or pair family planning counseling, increasing postpartum and male contraception, starting sex education in the family, and avoiding risky sexual relations.
Hasil bivariat memperlihatkan bahwa ada tren peningkatan kunjungan ANC tidak sesuai dengan rekomendasi WHO pada pendidikan ibu (pvalue=0.0001), status ekonomi (pvalue=0.0001), dan pendidikan suami (pvalue= 0.0001). Hasil multivariabel memperlihatkan prediktor kunjungan ANC tidak sesuai dengan rekomendasi WHO adalah usia ibu saat hamil > 35 tahun, pendidikan ibu rendah, status ekonomi rendah, dan dukungan suami. Oleh karena itu, disarankan kepada tenaga kesehatan untuk melakukan penyuluhan pentingnya kunjungan ANC sesuai dengan rekomendasi WHO terutama pada ibu hamil usia > 35 tahun, pendidikan rendah, dan status ekomomi rendah, serta pemberdayaan suami.
Kata kunci: ANC rekomendasi WHO, SDKI 2012, pola ANC 1-1-2
