3 research outputs found
The Readiness of Students to Learn Interprofessional Teamwork in Antenatal Care
Introduction: Indonesia as a developing country have a higher Maternal Mortality Rate (MMR). The prevention efforts is developing interprofessional collaborative practice (IPCP) in the level of health care. Collaboration attitudes should start from education level through interprofessional education training and simulation for student. The objective of this study was to analyze the effect of interprofessional education training toward the readiness of students to learn interprofessional teamwork in antenatal care. Methods: Quasi-experimental design (pre test and post test without control) with Time-Series Design. Participants used in this study were students of five semester in STIKes Karya Husada Kediri year of 2011/2012 and the number of samples are 60 students. Technique sampling using simple random. The data collected by used questionnaires Readiness Interprofessional Learning Scale (RIPLS) and checklist observations using Teamwork Score (TWS). Anova, Friedman test, and Kruskal Wallis was used to statistically analyzed the data. Results: Readiness to learn interprofessional teamwork indicates the value of p = 0.001 thats means there are significant differences between the readiness before and after training IPE. Delta test showed that p value > 0.05 so there is no difference between the three programs study on readiness to learn interprofessional teamwork in antenatal care. Discussion: Interprofessional education training using simulation methods can affect the readiness of nursing, midwifery and nutritionist students for learning interprofessional teamwork in antenatal care
Intracranial hemorrhage in infants after massaged by a traditional birth attendant
Background The overall incidence of birth related injuries declines
with the improvement in obstetrics. However, the incidence of
head trauma in infants after massaged by a traditional birth
attendant (TBA) is still unknown.
Objective To study the characteristics of intracranial hemorrhage
in infants after massaged by a TBA.
Methods A retrospective study was conducted in Sardjito Hospital,
Yogyakarta, Indonesia between October 2001 and May 2005.
Infants with intracranial hemorrhage after massaged by a TBA
were included. Data on patients’ demography, history of massaging
by TBA, clinical presentation, and injury characteristics such as
anemia, clotting time (CT), bleeding time (BT), prothrombin time
(PT) and activated partial thromboplastin time (APTT) were
noted. Computed cranial tomography (CT) scans were performed.
Results A total of seven infants were diagnosed with intracranial
hemorrhage after massaged by a TBA. There were four males
and three females (mean age 46 days; range 27-60 days). All
infants were referred to Sardjito Hospital, Yogyakarta, Indonesia
with bad condition and anemia; mean hemoglobin level was 5.5
g/dl (range 3.7-8.3 g/dl). All infants presented with seizures.
Coagulation screening showed normal results in five patients. The
remaining patients had a prolonged CT and PT. CT scan showed
subdural hemorrhage in four patients, intracerebral hemorrhage
in four, epidural hemorrhage in two, and subarachnoid hemorrhage
in one. Two patients had chronic hemorrhage, while the rest had
acute hemorrhage. Four of them underwent craniotomy, two
patients were under an observation only, and one patient was not
treated due to parental refusal. Six patients survived and the one
who refused to be treated died.
Conclusions The parents, midwives, and doctors have to be aware
of head massaging since it may harm infants