Maternal mortality is still a problem globally and especially occur in developing countries, including Indonesia. The maternal mortality rate is one indicator of the health status of a country. Garut is one part of West Java province with the count of maternal mortality case was 45 deaths in 2015. Most of the causes of maternal death is preventable, ie factors of patients, healthcare workers, facilities, and referral. Recording and reporting of maternal deaths has not to be going well yet, so that intervention can not be set to decrease maternal mortality significantly. Research carried out by sequential explanatary mixed method. The first phase, data collection and analysis is done quantitatively, followed by collection of qualitative data in the second phase which aims to strengthen the results of quantitative research. Quantitative research using cross sectional and qualitative study using in-depth interviews and focus group discussions. The study was conducted in October-November, 2016. Based on the research showed that 96% of maternal deaths occur in Garut regency are preventable maternal deaths that caused by multifactorial, a combination of healthcare workers factors, patient factors, and referral factors. Maternal deaths are also caused by the referral process has been delayed. Besides that, recording and reporting have not been able to run well, with the availability of human resources, but the existing policy has not been adequate. Patient factors such as age, parity, and birth spacing is at risk, as well as negative perceptions of mothers and families to health facilities contributed to preventable maternal deaths. Health workers factor prefer to unqualified health workers in conducting effective communication and counseling. Access, financing, and poor communication between health professionals and patients have contributed to the occurrence of resistance in the referral process.
Nausea and vomiting is a normal experienced by 50-80% of first trimester pregnant women. Pregnant women condition is very vulnerable on drugs, so the pregnant women should usecomplementary therapies to reduce nausea and vomiting. Red ginger and mint leaves with lime and honey is herbal medicine can be used by first trimester pregnant women to reduce nausea and vomiting. This research intended to determine the effectiveness comparison of red ginger decoction and mint leaves with lime and honey to nausea and vomiting on first trimester pregnant women. Quasi-Experiment method was used, two groups of pre-test and post-test design for this research. The sample in this research wasto 22 respondence of women at the first trimester pregnancy. Purposive Sampling was used for sampling. The data analysis used Mann-Whitney and Wilcoxon test. Based on the research result, the mean value on red ginger and mint before and after was 3.55 and 3.09, and the mean value of lime and honey before and after was 3.35 and 2.09, with p-value of (0.004) < α (0.05) and Z count value:-3.014. It means that there was difference between red ginger and mint leaves with lime and honey in reducing nausea and vomiting on first trimester pregnant women at
Cancer is the number two cause of death in the world. 10 types of cancer in Indonesia, breast cancer ranks first (21.69%) followed by cervical cancer (17%). To prevent the disease, The Government launched an early detection program of cervical cancer with Visual Acetic Acid Inspection Method and early detection of breast cancer by Clinical Breast Examination. The region of Central Java especially Semarang Regency from 159.621 women of childbearing age only 771 (0.44%) examined. Therefore need to be evaluated as measured on the basis of indicators of inputs, process, outputs.The researche aims to evaluated the implementation of early detection program of cervical cancer with Visual Acetic Acid Inspection Method and early detection of breast cancer with Clinical Breast Examination Method at Public Health Centreworking areas of Semarang Regency. This research was evaluated of the program, namely the formative evaluation. The research design used descriptive analytics using Mixed Method Sequential Explanatory which there Sequential Mixed Method. The results of this research showed that from the input components, that was 100% of Health Centreworking areas of Semarang Regency has excellent value. On the process components rated 88.5% very good, 11.5% good. On the component Output there were 15.4% Public Health Centre very good, 7.7% good, 26.9% enough, 46.2% less, and 3.8% very less.The research concluded was that inputs of the programs that rated very good not necessarily produce outputs very good as well, it was influenced by the rated of process. Therefore, suggestions for the implementation of the program in order to further improve the socialization and advocated, the implementation was done more regularly so that the motivation of the people will be increase, and than conducting periodic monitoring.
Preeclampsia is a specific syndrome in pregnancy that occur after 20 weeks gestation in women who were previously normotensive. Hypertension in pregnancy caused complications in cardiovascular, hematology, endocrine, metabolic and regional blood flow accompanied by disorders of various organs, resulting in an increase of hemoconcentration in haemoglobin. The purpose of this study was to analyze the hematology profile and birth weight in preeclampsia. the design of this study was cross sectional with a sample of 40 respondents, consisting of 20 preeclampsia women and 20 women normal pregnancy. The hematology profile assessed was haemoglobin levels, hematocrit levels, platelet levels and blood sedimentation rates. The results showed haemoglobin levels, hematocrit levels, platelet level and blood sedimentation rates in both groups were not significantly difference with p value in each category was 0,110; 0,163; 0,686 and 0,983 (p value >0,05). Thus this study concludes that the hematological profile and birth weight in preeclampsia and normal pregnancies are the same.
Chronic energy deficiency (KEK) is a nutritional problem caused by lack of food intake in a long time. Based on the Basic Health Research (Riskesdas) in 2018 in Indonesia containing pregnant women with Chronic Energy Deficiency reaching 17.3%. This shows that there are still quite a lot of pregnant women who are malnourished in Indonesia. One of local foodstuffs that can be an alternative to meet the nutrition of pregnant women with mung beans. Mung beans are rich in macro, micro nutrients, vitamins B1, B2, amino acids, folic acid, protein, carbohydrates, Ca and phosphorus. This study discusses how to increase mungbean extract to increase upper arm circumference in pregnant women Energy Deficiency in the working area of the Public Health Center Gubug 1. This study was a study of one group with pre and post tests. The population of this study is pregnant women with Chronic Energy Deficiency according to inclusion criteria. The sampling technique is to use a purposive sampling technique. Giving mung bean extract is done for 30 days. The study showed the results of the measurement of the circumference of the upper arm before training (pre test) with after administration (post test) after being involved using paired t-test obtained p value (0.001) α (0.05). Means there is a significant difference between the circumference of the upper arm before the treatment round. From the research that is expected from health workers need to educate pregnant women for nutritious food, so pregnant women do not need Chronic Energy Deficiency. Nutritious food sources can be obtained from the environment around pregnant women and are easily available at affordable prices. Keywords: Mung bean extract; Chronic Energy Deficiency; Upper Arm Circumference
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