Abstract Objectives : To identify maternal death risk factors in Wahidin Sudirohusodo Hospitals and its affiliates between 01 January - 31 December 2017 Methods: This study is an observational case control study that includes all cases of maternal death and considerable numbers of pregnancy without complications that occured in Wahidin Sudirohusodo Hospital and its affiliates between 01 January 2016 and 31 December 2017. Data were then be analysed using chi square and logistic regression test to know the correlations between risk factors and maternal death. Results :There are 28 cases of maternal death in Wahidin Sudirohusodo Hospital and its affiliates which mostly occured at age 20-35 years old (60.7%) and antenatal care in in primary health care (71,4%). Hypertension (39,3%) and hemorrhage (35,7%) were the most frequent complicaitons of maternal death. Age under 20 years old and older than 35 years old (odds ratio 3.882; 95% CI, 1.056-14.276; P<0.05), education level less than 9 years (odds ratio 3.178; 95% CI, 0.987-10.228; P<0.05), Age and education level did not seem to affect incidence of maternal death when analysed simultaneously (odds ratio 1.842; 95% CI, P> 0.05). Conclusions: Hypertension and hemorrhage were the most frequent causes of maternal death. Age under 20 years old and older than 35 years old as well as education level less than 9 yearsincreased the risk of maternal deaths independently. Parity, frequency of antenatal care, and location of antenatal care did not show any significant role in maternal death occurence. Keywords : Maternal death, risk factors, hypertension, hemorrhage, age Abstrak Tujuan: Untuk mengetahui faktor-faktor risiko kematian maternal di Rumah Sakit Umum Pusat Wahidin Sudirohusodo dan jejaringnya dalam periode 01 Januari – 31 Desember 2016. Metode : Penelitian ini penelitian studi observasional case control dengan mengambil seluruh data kematian maternal yang terjadi di Rumah Sakit Umum Pusat Wahidin Sudirohusodo dan jejaringnya dalam periode 01 Januari – 31 Desember 2016. Data dianalisis dengan Uji chi square dan regresi logistik untuk melihat faktor risiko yang diteliti dengan terjadinya kematian maternal. Hasil : Ada 28 kasus kematian maternal di Rumah Sakit Umum Wahidin Sudirohusodo dan jejarignya yang sebagian besar terjadi pada kelompok umur 20-35 tahun (60,7%) dan lokasi asuhan antenatal di Puskesmas (71,4%). Komplikasi kehamilan terbanyak ialah hipertensi (39,3%) dan perdarahan (35,7%). Kelompok umur kurang dari 20 tahun dan lebih dari 35 tahun (odds ratio 3.882; 95% CI, 1.056-14.276; P <0.05) dan pendidikan kurang dari 9 tahun (odds ratio 3.178; 95% CI, 0.987-10.228; P<0.05) memiliki pengaruh signifikan terhadap terjadinya kematian maternal . Umur dan tingkat pendidikan secara simultan tidak mempengaruhi terjadinya angka kematian maternal (odds ratio 1.842; 95% CI; P > 0.05). Kesimpulan : Hipertensi dan perdarahan merupakan penyebab utama terjadinya kematian maternal. Kelompok umur kurang dari 20 dan lebih dari 35 tahun serta tingkat pendidikan < 9 tahun secara independen berisiko meningkatkan jumlah kematian maternal. Paritas, frekuensi asuhan antenatal, dan lokasi asuhan antenatal tidak memiliki peran signifikan dalam terjadinya kematian maternal. Kata kunci : Kematian maternal, faktor risiko, hipertensi, perdarahan, umur
Positioning RSIA St. Fatimah cenderung untuk pasien rawat inap di bawah program perlindungan sosial daripada pasien rawat inap umum. Penelitian ini bertujuan mengetahui faktor yang memengaruhi positioning RSIA St. Fatimah. Desain penelitian yang digunakan dalam penelitian ini adalah metode survei cross sectional study yang bertujuan untuk mengetahui respon terhadap tujuan penelitian dari responden yang berjumlah 150 pasien. Sampel diperoleh dengan menggunakan teknik probability sampling. Hasil penelitian menunjukkan bahwa keempat variabel independen, yakni strategi layanan dengan nilai p=0,00, strategi promosi dengan nilai p=0,00, strategi harga dengan nilai p=0,00 dan strategi proses dengan nilai p=0,00 berhubungan positif dan signifikan dengan positioning RSIA St. Fatimah Makassar. Strategi promosi tidak berpengaruh signifikan terhadap positioning RSIA St. Fatimah dengan nilai p=0,46. Strategi harga tidak berpengaruh signifikan dengan nilai p=0,81. Strategi proses berpengaruh signifikan terhadap positioning RSIA St. Fatimah dengan nilai p=0,01 dan besar pengaruh 2,63. Kesimpulannya adalah strategi pelayanan, strategi promosi, strategi harga dan strategi proses yang memengaruhi secara dominan adalah strategi pelayanan.
Objective: To determine the relationship between ferritin levels and the incidence of uterine inertia in pregnant women. Method: This study uses a prospective cohort design. The study was conducted on all pregnant women aged 20-40 years who had antenatal care and be in labor at the Teaching Hospital in the Department of Obstetrics and Gynecology, Faculty of Medicine, Hasanuddin University. Data were analyzed with the chi-square test and the Mann-Whitney test. Results: Obtained 76 pregnant women where 44.7% of them had uterine inertia. The average ferritin level in the uterine inertia group was significantly lower (3.80 ± 2.84 ng/mL) than without the uterine inertia group (12.99 ± 11.40 ng/mL) with a value p<0.001. The average ferritin level in the mild anemia group was significantly higher (9.83 ± 10.35 ng/mL) than in the moderate anemia group (3.82 ± 2.51 ng/mL) with a p-value <0.05. Pregnant women with moderate anemia were found to be 4.68 more susceptible uterine inertia than pregnant women with mild anemia. Conclusion: There was a relationship between ferritin levels in pregnant women and the incidence of uterine inertia where low ferritin levels was risk factor of uterine inertia.
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