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

Hubungan Lingkungan Pascagempa Dengan Pemenuhan Kebutuhan Istirahat Tidur Anak Usia Sekolah

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