4 research outputs found

    Parity as Failure Determinants of Labor Induction in Bangka Belitung

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    Objectives: to identify factors affecting labor induction failure in Sungailiat General Hospital, District Bangka, Bangka Belitung.Materials and Methods: This is a case control retrospective analytic study. Population of this study was postterm delivering mother at delivery room Sungailiat General Hospital during July 1st, 2012 to July 1st, 2015. Sampling method conducted for case group was total sampling method with labor induction failure as a inclusion criteria, and no data for first trimester ultrasound, didn\u27t have a routine antenatal care history, and maternal complication as exclusion criterias as many as 78 samples. Whereas, control group was women whose underwent a success labor induction used random sampling method with 1:1 ratio. Data source was from medical records. Data analysis was chi square with 95% confidence interval.Results: From the 78 samples with labor induction, 19,2 % was ≥ 35 years old, 48,7% was primiparas, 62,8% with infant birth weight ≥ 3500 gram, and from 96 samples, 47,5% with ≥ 5 years pregnancy interval. Statistical analysis result showed factors that affecting induction failure were parity (P Value 0,014, odds ratio 2,970), baby\u27s weight (P Value 0,016, odds ratio 2,631), pregnancy interval (P Value 0,023, odds ratio 2,993), whereas mother\u27s age did not show significant effect (P Value 0,383, odds ratio 2,278).Conclusion: Parity has a 2,9 times risk to develop induction failure

    Peran Map, Rot, Imt dalam Skrining Preeklampsia di Indonesia

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    Latar Belakang : Preeklampsia tetap menempati peringkat pertama sebagai penyebab tingginya Angka Kematian Ibu (AKI) di Surabaya dari tahun 2013-2017 sebesar 28.92 %. Tingginya angka preeklampsia bisa dicegah dengan dilakukannya skrining preeklampsia yang mudah dilakukan pada trimester I dan II yaitu dengan dilakukannya skrining Mean Arterial Presure (MAP), Roll Over Test (ROT), Indeks Masa Tubuh (IMT) di Fasilitas kesehatan dasar. Tujuan dari penelitian ini untuk mengetahui hubungan antara Skrining Preeklampsia (MAP, ROT, IMT) yang dilakukan pada ibu hamil trimester I dan trimester II serta kejadian preeklampsia. Metode : Penelitian ini adalah penelitian Retrospektif, Case Control dengan sampel pada kelompok kasus yaitu pasien preeklampsia pada saat trimester I dan II yang dilakukan skrining preeklampsia sedangkan untuk kelompok kontrol, ibu hamil normal yang juga dilakukan skrining preeklampsia pada trimester I dan II. Hasil : Didapatkan besar sampel 189 ibu hamil dengan preeklampsia selama 1 tahun, pengambilan sampel dengan teknik consecutive sampling. Hasil pemeriksaan diperoleh pada kelompok kasus didapatkan pasien dengan MAP (+), ROT (+), IMT (+) berturut-turut adalah 43 (95.6 %), 18 (40 %) dan 18 (40 %), sedangkan pada kelompok kontrol diperoleh hasil 18 (40 %) sampel MAP (+), 26 (57.8 %) ROT (+), 5 (11.1 %) IMT (+). Hasil uji statistik Chi Square menunjukan adanya hubungan signifikan antara skrining MAP dan IMT dengan kejadian preeklampsia dengan nilai p berturut-turut (p 0.0001, OR = 32.250 dan p 0.002, OR = 5.333 ), namun tidak didapatkan hubungan antara skrining ROT dengan kejadian preeklampsia (p 0.092 OR = 0.487). Didapatkan hubungan ketiga skrining (MAP, ROT, IMT) dengan kejadian preeklampsia (p 0.001, OR 4.529). Kesimpulan : Pasien MAP (+) dan IMT (+) mempunyai resiko sebesar 32 kali dan 5 kali pada preeklampsia. Skrining ROT (+) tidak mempunyai hubungan dengan kejadian preeklampsia

    Combination of Effleurage and Kneading Massage Can Reduce Intensity of Dysmenorrhea

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    Background : Dysmenorrhea or menstrual pain has an impact in various aspects of life. There are many methods for treating dysmenorrhea like pharmacological and nonpharmacological therapy. Massage is one of the non-pharmacological therapies used to treat dysmenorrhoea. This study aims to determine the effect of a combination of effluence and kneading massage on decreasing the intensity of dysmenorrhoea pain in adolescents. Method: This research method is experimental with a pretest - posttest control group design research design. The sampling technique is simple random sampling. A total of 20 respondents were divided into 4 groups, namely the control group, the effleurage massage group, the kneading massage group, and the combination of effleurage and kneading massage groups. The instrument used was the observation sheet of the pain level Numerical Rating Scale (NRS). Results: The test results showed that there were differences in the intensity of dysmenorrhoea pain before and after intervention of effleurage, kneading, and combination of effleurage and kneading massage. The test results also showed a difference in decrease in the intensity of dysmenorrhea for all groups with a value of p = 0.009. The combination of effleurage and kneading massage is the best treatment to decrease the intensity of dysmenorrhea. Conclusion: there are differences in the effect of giving a combination of effleurage and kneading massage to the intensity of dysmenorrhoea, and the combination of effleurage and kneading massage is the best treatment to reduce the intensity of dysmenorrhoea

    Abnormal Blood Lipids Levels (Dyslipidemia) Treatment with Acupuncture Method

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    Background: Dyslipidemia is an abnormal lipid metabolism characterized by an increase in total cholesterol, LDL (Low-Density Lipoprotein), triglycerides (TG), and a decrease in HDL (High-Density Lipoprotein). Increased levels of total cholesterol, TG, LDL, and decreased HDL levels can increase the risk of cardiovascular disease. According to TCM, dyslipidemia is categorized into “Tan Zheng” (phlegm syndrome), “Shi Zuo” (damp retention), “Xuan Yun” (vertigo), and “Fei Pang” (obesity). Purpose: The purpose of this review is to analyze the literature study on TCM within the treatment of dyslipidemia with different acupuncture methods and points. The primary data search was conducted using online e-resources (Google Scholar, Proquest, and Pubmed). Review: The results of the study should include at least one of the outcomes indicators for total cholesterol, TG, LDL, and HDL. The result there were 20 journals consisting of studies that used several acupuncture methods, manual acupuncture (AM), electroacupuncture (EA), moxa (MOK), auricular acupuncture (AA), Cupping (CUP), and found additional interventions such as nutritional interventions, and exercise; body points often used are Zusanli (ST 36), Fenglong (ST 40), Quchi (LI 11), Daheng (SP15), Zhongwan (CV 12), Qihai (CV 6), Guanyuan (CV 4), Sanyinjiao (SP 6), Shenque (CV 8), Tianshu (ST 25), and therefore for AA are Spleen (CO 13), Stomach (CO 4), Shenmen (TF 4), and hunger point. Twenty journals showed a decrease in total cholesterol, TG, LDL levels, and an increase in HDL levels. Conclusion: In conclusion, all types of acupuncture methods can reduce total cholesterol, TG and LDL levels, and increase HDL levels
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