Pengembangan Model Pencegahan Resiko Tinggi Kehamilan dan Persalinan yang Terencanadan Antisipatif (REGITA)

https://doi.org/10.22146/jkki.v5i2.30791

Wayan Aryawati(1*)

(1) Dinas Kesehatan Provinsi Lampung
(*) Corresponding Author

Abstract


ABSTRACT

Background. Complications during pregnancy can cause direct maternal death, and occur to about 20% pregnant women (Kemenkes, 2012). Factors that contribute to maternal mortality can be divided into direct and indirect causes. The direct causes of maternal death are factors associated with complications during pregnancy, childbirth and post-partum such as bleeding, pre-eclampsia / eclampsia, infection, obstructed labour and abortion. (Kemenkes, 2010).

Method. This is case control study design. Population in this research are all pregnant, and post partum women in Bandar Lampung city by 2015. The number of sample is 820 for each case and control group taken 410 sample by using random sampling method. The dependent variables are: Complications during pregnancy, complication during childbirth. The independent variables are: Maternal Health Status, Reproductive Status, Health Care Access, Health Service user’s behavior, mother status in the family and communnity, family status in community, community status. Instruments that are used in this research are questionnaires to collect primary data and patient’s medical record, maternal and child health hand book, maternal cohort to collect secondary data. Data will be analyzed descriptively and Chi Square with a 95% degree of confidence will be used for bivariate analysis. The logistic regression will be used for multivariate analysis.

Results. This research will divided into three stage : stage 1: data collection and processing, stage 2 : data analysis, development of REGITA prevention models, model application and stage 3 : expert workshop, trials of prevention models to find the weakness. The result of this research will show risk factors associated with the incidence of complications during pregnancy and childbirth and the relationships among these factors in the both groups. The results will be represented in simulator program to generate REGITA Model for complication prevention that can be used to predict the risk of pregnancy and childbirth faced by pregnant mother.

 

Key words: Complication, Pregnancy, Delivery

 

ABSTRAK

Latar belakang: Komplikasi pada ibu hamil dapat menyebabkan kematian langsung pada ibu, dan dapat terjadi sekitar 20% dari ibu hamil (Kemenkes RI 2012). Faktor yang berkontribusi terhadap kematian ibu, secara garis besar dapat dikelompokan menjadi penyebab langsung dan penyebab tidak langsung. Penyebab langsung kematian ibu adalah faktor yang berhubungan dengan komplikasi kehamilan, persalinan dan nifas seperti perdarahan, pre eklamsi/eklamsi, infeksi, persalinan macet dan abortus. (Kemenkes, 2010).

Metode: Jenis penelitian merupakan penelitian kasus kontrol. Populasi kasus dalam penelitian ini adalah semua ibu hamil dan melahirkan yang mengalami komplikasi kehamilan dan persalin- an di Kota Bandar Lampung tahun 2015. Jumlah sampel seba- nyak 820 yang terdiri dari kelompok kasus sebanyak 410 dan kelompok kontrol 410 yang diambil secara random sampling. Variabel dependent penelitian: Komplikasi kehamilan, Komplikasi persalinan. Variabel independent penelitian: Satus Kesehatan Ibu, Status Reproduksi, Akses Pelayanan Kesehatan, Perilaku kesehatan pengguna pelayanan kesehatan. Status ibu dalam keluarga dan masyarakat, status keluarga dalam komunitas, status komunitas. Instrumen penelitian menggunakan kuesioner untuk data primer dan catatan rekam medis pasien, buku kia, kohort untuk data sekunder. Analisis data dilakukan secara deskriptif dan untuk analisis bivariat menggunakan uji statistik Chi Square dengan derajat kepercayaan 95 %. Sedangkan untuk analisis multivariat digunakan uji regresi logistik.

Hasil: Penelitian ini akan dibagi dalam 3 tahap yaitu tahap 1 pengumpulan data, tahap 2 pengembangan model pencegahan REGITA, dan tahap 3 uji coba model pencegahan. Dari hasil penelitian ini nantinya akan diketahui faktor-faktor risiko yang berhubungan dengan kejadian komplikasi pada ibu hamil dan bersalin dan hubungan antar faktor-faktor tersebut pada kelompok kasus dan kontrol. Hasil tersebut akan dituangkan dalam Pemograman simulator untuk menghasilkan suatu model pencegahan komplikasi Regita yang dapat dipergunakan untuk memperkirakan resiko kehamilan dan persalinan yang akan dihadapi oleh seorang ibu yang hamil.

 

Kata kunci: komplikasi, kehamilan, persalinan


Keywords


komplikasi, kehamilan, persalinan

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References

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DOI: https://doi.org/10.22146/jkki.v5i2.30791

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