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Rana Maimunah; Pembimbing: Besral; Penguji: Kemal Nazaruddin Siregar, Rahmadewi
Abstrak:
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Latar Belakang: Angka MMR Indonesia masih tinggi bahkan di antara negara Asia Tenggara, dengan disparitas urban dan rural menjadi tantangan dalam pelayanan kesehatan ibu untuk mengurangi AKI. Program safe motherhood mengidentifikasi penyebab kematian ibu melalui empat pilar penting. Data SDKI 2017 menunjukkan hampir 70% kelahiran hidup mengalami komplikasi saat persalinan dan wanita multipara tercata dua kali lebih banyak mengalami komplikasi tersebut daripada bukan multipara. Penelitian ini bertujuan mengidentifikasi faktor-faktor yang mempengaruhi komplikasi persalinan pada wanita multipara di urban dan rural Indonesia. Metode: Desain cross sectional diaplikasikan pada subjek wanita usia 15 – 49 tahun yang memiliki riwayat kelahiran lebih dari dua kali data sekunder SDKI 2017 dengan analisis regresi logistik multivariat. Hasil: Sebanyak 4.822 wanita di urban dan 5.011 wanita di rural terdapat perbedaan determinan komplikasi persalinan. Pada wanita urban, risiko komplikasi signifikan lebih tinggi pada pendidikan rendah, memiliki komplikasi kehamilan, usia persalinan
Background: Indonesia's maternal mortality rate (MMR) remains high, even among Southeast Asian countries, with urban and rural disparities posing challenges in maternal healthcare to reduce maternal mortality. The Safe Motherhood program identifies causes of maternal death through four key pillars. The IDHS 2017 data shows that nearly 70% of live births experienced complications during delivery, with multiparous women being twice as likely to experience such complications compared to non-multiparous women. This study aims to identify the factors influencing childbirth complications in multiparous women in urban and rural Indonesia. Methods: A cross-sectional design was used to study women aged 15-49 years with a history of more than two births. Based on secondary data from IDHS 2017, the study utilized chi-square and logistic regression analysis. Results: The study examined 4,822 urban women and 5,011 rural women, revealing differences in the determinants of childbirth complications between urban and rural multiparous women. For urban women, significant risks were associated with low education, pregnancy complications, childbirth age under 20 years/between 20-35 years, birth spacing of less than 2 years, issues accessing healthcare facilities, having birth preparation, and not using contraception. For rural women, significant risks were linked to autonomy in maternal healthcare services, pregnancy complications, childbirth age under 20 years, birth spacing of less than 2 years, issues accessing healthcare facilities, inadequate ANC not meeting the 5T standard, having birth preparation, and childbirth not occurring in healthcare facilities. Conclusion: The most dominant factors influencing delivery complications in multiparous women differ between the two areas. Optimizing family planning programs for multiparous women in urban areas needs attention, while improving the quality of emergency care is crucial for women in rural areas.
S-11566
Depok : FKM-UI, 2024
S1 - Skripsi Pusat Informasi Kesehatan Masyarakat
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Terry Yuliana Rahadian Pristya; Promotor: Besral; Kopromotor: Dede Anwar Musadad; Penguji: Sutanto Priyo Hastono, Tri Yunis Miko Wahyono, Tris Eryando, Atmarita, Nur Asniati Djaali
Abstrak:
Komplikasi persalinan merupakan penyebab langsung kematian ibu. Berat badan lahir rendah (BBLR) terus menjadi masalah kesehatan masyarakat global. Kunjungan antenatal menjadi faktor penting terjadinya komplikasi persalinan dan BBLR. Penelitian kunjungan antenatal, komplikasi persalinan, dan BBLR banyak dilakukan dengan beragam metode statistik. Tujuan penelitian menghasilkan evidence based recommendation kepada pemegang program berdasarkan perbandingan hasil analisis tiga alternatif pilihan metode statistik tentang pengaruh kunjungan antenatal terhadap komplikasi persalinan dan BBLR. Penelitian ini merupakan penelitian kuantitatif dengan desain studi cross-sectional. Sumber data berasal dari Survei Demografi Kesehatan Indonesia (SDKI) 2017. Sampel penelitian sebagian wanita usia subur berusia 15-49 tahun yang melahirkan anak terakhir dalam 5 tahun terakhir sebanyak 12.035 responden. Variabel dependen: komplikasi persalinan dan BBLR, variabel independen: kunjungan antenatal, variabel potensial confounder: status ekonomi, tempat tinggal, pendidikan, status pernikahan, status merokok, jarak kelahiran, kunjungan antenatal pertama, kunjungan antenatal terakhir, petugas pemeriksa antenatal, tempat antenatal, paritas, usia ibu, dan jenis kelamin bayi. Analisis data menggunakan regresi logistik, cox, dan poisson dengan varians robust. Hasil penelitian menunjukkan bahwa prevalensi komplikasi persalinan (47,40%) dan BBLR (6,56%). Kunjungan antenatal terbukti secara statistik berpengaruh terhadap komplikasi persalinan dan BBLR di Indonesia. Wanita yang melakukan kunjungan antenatal
Childbirth complications are a direct cause of maternal death. Low birth weight (LBW) continues to be a global public health problem. The antenatal care visits is an important factor in occurrence of birth complications and LBW. Research on the frequency of antenatal visits, birth complications, and LBW has been carried out using various statistical methods. The purpose of the study is to produce evidence-based recommendations for the program based on a comparison of the results of the analysis of three alternative statistical methods for Indonesia regarding the influence of the of antenatal visits on birth complications and LBW. This study is a quantitative study with a cross-sectional study design. The data comes from the 2017 Indonesian Demographic Health Survey (IDHS). The sample of this study included 12,035 respondents of women of childbearing aged 15-49 years who gave birth to their last child in the last 5 years. Dependent variables: birth complications and LBW, independent variables: frequency of antenatal care, potential confounder variables: economic status, geographic area, place of residence, education, marital status, smoking status, birth spacing, first antenatal visit, last antenatal visit, antenatal care provider, place an antenatal care, birth order, parity, maternal age, and baby’s sex. Data analysis uses logistic regression, Cox, and Poisson regression with robust variance. The results showed that the prevalence of birth complications (47.40%) and LBW (6.56%). The antenatal care visits had been statistically proven to influence childbirth complications and LBW in Indonesia. Women who had
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Childbirth complications are a direct cause of maternal death. Low birth weight (LBW) continues to be a global public health problem. The antenatal care visits is an important factor in occurrence of birth complications and LBW. Research on the frequency of antenatal visits, birth complications, and LBW has been carried out using various statistical methods. The purpose of the study is to produce evidence-based recommendations for the program based on a comparison of the results of the analysis of three alternative statistical methods for Indonesia regarding the influence of the of antenatal visits on birth complications and LBW. This study is a quantitative study with a cross-sectional study design. The data comes from the 2017 Indonesian Demographic Health Survey (IDHS). The sample of this study included 12,035 respondents of women of childbearing aged 15-49 years who gave birth to their last child in the last 5 years. Dependent variables: birth complications and LBW, independent variables: frequency of antenatal care, potential confounder variables: economic status, geographic area, place of residence, education, marital status, smoking status, birth spacing, first antenatal visit, last antenatal visit, antenatal care provider, place an antenatal care, birth order, parity, maternal age, and baby’s sex. Data analysis uses logistic regression, Cox, and Poisson regression with robust variance. The results showed that the prevalence of birth complications (47.40%) and LBW (6.56%). The antenatal care visits had been statistically proven to influence childbirth complications and LBW in Indonesia. Women who had
D-518
Depok : FKM-UI, 2024
S3 - Disertasi Pusat Informasi Kesehatan Masyarakat
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