The Effect of Anemia on the Incidence of Premature Rupture of Membrane (PROM) in Kertha Usada Hospital, Singaraja, Bali

Background: Premature Rupture of Membranes (PROM) causes morbidity and mortality complications in both maternal and perinatal. Pregnancy with anemia where low hemoglobin level which is less than 11.1 g / dL can be the cause of PROM through biological mechanisms and mechanisms of disease. Objective: This study aims to compare the risk of PROM between anemic maternal mothers and non-anemic maternal mothers. Methods: A case-control study was conducted on the maternal mothers at KerthaUsadaSingaraja Bali Hospital, with 106 cases and 106 controls, using maternity medical records data in January-December 2016. The cases and controls were adjusted to the parity. The data were collected using questionnaires consisting of 2 parts: the first part was about the demographic characteristics, and the second part was about the time of membrane rupture and hemoglobin level at the delivery. The obtained data were analysed using descriptive and analytic statistics on the computer program. Result: On univariable analysis, the prevalence of PROM equalled to 28,3% in maternal anemia group. In bivariableanalysis, the risk factors of were anemia status, maternal activity, and maternal age (p <0.05). A multivariable analysis of conditional logistic regression analysis, controlling the possibility of confounding factors, showed that pregnant women with anemia would be at risk of PROM 3.59 times greater than non-anemic mothers (OR = 3.59, 95% CI = 1.82-7, 09). Conclusion: The risk of PROM is higher in anemic maternal mothers than in non-anemic mothers, after homogenising with parity variables

It's a Natural Process and We Should Accept It As Our Desteny: Indonesian Women Perception to Menopause

Background: The changes in menstrual cycle are commonly followed by symptoms such as hot flushes, palpitations, sleep disorders, depression, irritability, headaches and low sexual drive in women. Women’s knowledge and perception to their menopause cyclic changes are important in their adaptation to menopause symptoms. Objective: This study aims to assess women’s perception toward menopause. Methods: This study employed a qualitative research design with phenomenology approach. Nine married women aged 45-55, residing in Ngestiharjo, Bantul district, Daerah Istimewa Yogyakarta, Indonesia participated in this research. Results: Respondents perceived menopause as a natural event for every woman above 45 years old and therefore it should be accepted as it is. Participants of the study defining menopause as a period when ovaries naturally end producing sexual hormone resulting with no menstrual periods for 12 consecutive months without other identified biological or physiological causes. The participants understand the basic knowledge of menopause and remarked their menopause period with muscular pain and irregular flows. In practice, as well as other menopausal women, respondents also experienced vaginal pains during coitus. Conclusion: Women of t he st udy acknowl edged t hat menopause as t he end of t hei r reproduct i ve peri od. It is believed as a natural event and will be experienced by every woman. Nevertheless, women’s misconception and belief to menopause myths alarms the need for an adequate information related healthy menopause. Women preparedness is expected to reduce the symptoms and disorders following menopause

The Effect of Anemia on The Incidence of Premature Ruptur of Membrane (Prom) in Kertha Usada Hospital, Singaraja, Bali

Background: Premature Rupture of Membranes (PROM) causes morbidity and mortality complications in both maternal and perinatal. Pregnancy with anemia where low hemoglobin level which is less than 11.1 g / dL can be the cause of PROM through biological mechanisms and mechanisms of disease. Objective: This study aims to compare the risk of PROM between anemic maternal mothers and non-anemic maternal mothers. Methods: A case-control study was conducted on the maternal mothers at KerthaUsadaSingaraja Bali Hospital, with 106 cases and 106 controls, using maternity medical records data in January-December 2016. The cases and controls were adjusted to the parity. The data were collected using questionnaires consisting of 2 parts: the first part was about the demographic characteristics, and the second part was about the time of membrane rupture and hemoglobin level at the delivery. The obtained data were analysed using descriptive and analytic statistics on the computer program. Result: On univariable analysis, the prevalence of PROM equalled to 28,3% in maternal anemia group. In bivariableanalysis, the risk factors of were anemia status, maternal activity, and maternal age (p <0.05). A multivariable analysis of conditional logistic regression analysis, controlling the possibility of confounding factors, showed that pregnant women with anemia would be at risk of PROM 3.59 times greater than non-anemic mothers (OR = 3.59, 95% CI = 1.82-7, 09). Conclusion: The risk of PROM is higher in anemic maternal mothers than in non-anemic mothers, after homogenising with parity variables

Efek Pijat Punggung terhadap Produksi Asi Pada Ibu Pasca Bedah Sesar

Penelitian ini bertujuan untuk Mengetahui efek pijat punggung sebagai salah satu cara dalam meningkatkan produksi ASI pada ibu pasca bedah sesar. Desain Penelitian yang digunakan adalah Randomized Controlled Trial. Teknik Pengambilan sampel dengan simple random sampling dengan jumlah sampel sebanyak 27 responden pada masing-masing kelompok (intervensi dan kontrol). Analisis bivariat menggunakan chi square dengan tingkat kemaknaan p<0,05, analisis multivariat menggunakan regresi logistik untuk mengidentifikasi variabel perancu terhadap produksi ASI pasca bedah sesar. Hasil Penelitian menunjukan adanya perbedaan produksi ASI antara kelompok intervensi dan kelompok kontrol dengan RR sebesar 1,9 (95%CI: 1,0973,291). Paritas dan frekuensi menyusui mempunyai hubungan yang bermakna dengan produksi ASI pada ibu pasca bedah sesar.Usia ibu, obesitas, waktu rawat gabung tidak memiliki hubungan yang bermakna dengan produksi ASI