AbstrakIntra uterine Fetal Death (IUFD) adalah kematian janin setelah usia kehamilan 20 minggu dan diklasifikasikan menjadi IUFD dini dan IUFD lanjut. IUFD dini jika kematian janin terjadi sebelum usia kehamilan 24 minggu dan IUFD lanjut jika kematian janin setelah usia kehamilan 24 minggu. Banyak faktor yang berkontribusi terhadap tingginya angka kematian ibu dan angka kematian neonatus penyebabnya diantaranya factor proses persalinan,seperti partus lama, posisi janin,tempat persalinan dan penolong persalinan.Tujuan penelitian ini untuk mengetahui factor factor yang mempengaruhi kejadian Intra Uterin Fetal Death di Rumah Sakit Kota Gorontalo. Penelitian ini menggunanakan metode survey analitik rancangan case control dengan pendekatatan retrosfektif. Pengambilan sampel menggunakan tehnik purporsive sampling sebanyak 94 ibu yang dibagi dalam 2 kelompok. Kelompok kasus 47 ibu yang melahirkan dengan IUFD dan kelompok control 47 ibu yang melahirkan normal. Analisis data menggunakan uji odd Rasio. Hasil uji statistic menunjukkan umur (OR=7,169), Pekerjaan (OR=5,273), Paritas (OR= 4,615), Kehamilan Ganda (OR=1,000), Preeklamsi (OR=6,875) dan KPD (OR=4,615) dari hasil uji statistik disimpulkan ada pengaruh umur, pekerjaan, paritas dan pre-eklamsi terhadap kejadian IUFD sedangkan kehamilan ganda dan KPD tidak ada pengaruh terhadap kejadian Intra Uterine Fetal Death namun tidak signifikan. Disarankan kepada ibu hamil untuk memeriksa kehamilannya secara rutin.Kata kunci: IUFD, Paritas, KPD, Pre-eklamsi, Kehamilan ganda Abstract Intra uterine Fetal Death (IUFD) is fetal death after 20 weeks of gestation and is classified into early IUFD and late IUFD. Early IUFD if fetal death occurred before 24 weeks of gestation and late IUFD if fetal death occurred after 24 weeks of gestation. Many factors contribute to the high maternal mortality rate and the cause of neonatal mortality, including labor processes, such as prolonged labor, fetal position, place of delivery and birth attendants. Gorontalo. This study uses an analytical survey method with a case control design with a retrospective approach. Sampling with purporsive sampling technique as many as 94 mothers who were divided into 2 groups. The case group was 47 mothers who gave birth with IUFD and the control group was 47 mothers who gave birth normally. Data analysis used the odd ratio test. The results of the statistical odd ratio test showed age (OR = 7,169), Occupation (OR = 5,273), Parity (OR = 4,615), Multiple Pregnancy (OR = 1,000), Preeclampsia (OR = 6,875) and PROM (OR = 4,615) from the results Statistical tests can be concluded that there is an effect of age, occupation, parity and preeclampsia on the incidence of IUFD, while multiple pregnancy and KPD have no effect on the incidence of Intra Uterine Fetal Death but it is not significant. It is recommended for pregnant women to check their pregnanc.
Abstrak: Dampak stunting bagi anak yaitu kurangnya perkembangan kognitif, rentan mengalami penyakit, dan juga kekebalan tubuh lebih rendah. Berdasarkan pendataan yang dilakukan di Desa Tanggilingo jumlah balita yang di data sebanyak 58 balita. Dari 58 balita terdapat 17 balita yang mengalami stunting. Keadaan ini menunjukkan bahwa masih rendahnya pengetahuan orang tua tentang pemenuhan kebutuhan nutrisi kepada anak serta kurangnya pengetahuan orang tua tentang pertumbuhan dan perkembangan anak. Tujuan pengabdian kepada masyarakat adalah meningkatnya pengetahuan dan keterampilan ibu dalam pembuatan Makanan Pendamping Air Susu Ibu (MPASI) dan deteksi dini serta teridentifikasinya tumbuh kembang anak. Metode kegiatan adalah pemeriksaan tumbuh kembang anak sesuai KPSP, penyuluhan dan demonstrasi pembuatan MPASI. Evaluasi pengetahuan dalam bentuk pengisian kuesioner pre-test dan post-test dan penilaian tumbuh kembang melalui KPSP. Khalayak sasaran dalam kegiatan ini adalah ibu yang memiliki bayi dan balita berjumlah 45 orang. Hasil kegiatan pengabmas menunjukkan terjadinya peningkatan mengenai pentingnya stimulasi deteksi intervensi dini tumbuh kembang (SDIDTK) sebanyak 66,66% dan terindetifikasi balita tumbuh kembang dengan kategori sesuai sebanyak 64,44%, 28,88% kategori meragukan, dan 6,66% membutuhkan intervensi.Abstract: Stunting has impacted such as lack of cognitive development, disease susceptibility, and lower immunity. Data collection in Tanggilingo Village shows that 17 of 58 toddlers are stunted. This situation indicates that parents' knowledge about the nutritional needs of children and children's growth and development is still low. This community service aims to identify growth and development and increase mothers' knowledge and skills in making complementary food (MPASI) and early detection and identification of child growth and development. The activity method examines children's growth and development under KPSP, counseling, and demonstrations of making complementary food. Evaluation of knowledge by filling out pre-test and post-test questionnaires and assessment of growth and development through KPSP. The participants in this activity are 45 mothers who have babies and toddlers. The results of community service activities showed an increase in the importance of stimulation of early intervention detection of growth and development (SDIDTK) as much as 66.66% and identified growth and development toddlers with 64.44% of the corresponding categories, 28.88% of the categories of doubt, and 6.66% needing intervention.
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