APRILIA, Dwi and Widjanarko, Bagoes and Suryoputro, Antono (2021) FAKTOR RISIKO HOST DAN ENVIRONMENT YANG BERPENGARUH TERHADAP KEMATIAN IBU PADA MASA NIFAS DI KABUPATEN BREBES. Masters thesis, School of Postgraduate Studies.

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Abstract

Latar Belakang : Masa nifas adalah masa dimulai beberapa jam sesudah lahirnya plasenta sampai 6 minggu setelah melahirkan. Kabupaten Brebes memiliki kasus kematian ibu cukup tinggi, 70% diantaranya meninggal pada masa nifas, sehingga diperlukan studi untuk mengetahui faktor risiko yang mempengaruhi kematian ibu pada masa nifas di Kabupaten Brebes.
Tujuan : Penelitian ini dilakukan untuk mengetahui faktor risiko host dan environment yang berpengaruh terhadap kematian ibu pada masa nifas.
Metode : Penelitian observasional analitik menggunakan desain case control dengan jumlah sampel 68 terdiri dari 34 kasus dan 34 kontrol. Variabel bebas yaitu faktor host (umur, tingkat pendidikan, status gizi, pendidikan kesehatan, riwayat kesehatan, personal hygiene, paritas, cara persalinan dan komplikasi nifas) dan faktor environment (tempat persalinan, penolong persalinan, keterlambatan pengambilan keputusan keluarga). Variabel terikat adalah kematian ibu nifas. Analisis data dilakukan secara univariat, bivariat dengan chi square test, multivariat dengan metode regresi logistik.
Hasil : Faktor risiko yang berpengaruh yakni riwayat kesehatan ibu (p=0,048; OR=0,298; 95% CI=0,090-0,987), personal hygiene (p=0,019; OR= 0,126; 95% CI=0,022-0,710), cara persalinan (p=0,005, OR=0,037; 95% CI=0,004-0,365), komplikasi nifas (p=0,001; OR=0,006; 95% CI=0,000-0,115) dan keterlambatan pengambilan keputusan keluarga (p=0,014; OR=0,087; 95% CI=0,012-0,609). Faktor risiko yang tidak berpengaruh adalah umur, tingkat pendidikan, status gizi, pendidikan kesehatan, paritas, tempat persalinan, dan penolong persalinan.
Kesimpulan : Faktor yang berpengaruh terhadap kematian ibu pada masa nifas adalah riwayat kesehatan, personal hygiene, cara persalinan, komplikasi nifas dan keterlambatan pengambilan keputusan keluarga.
Kata kunci : Kematian ibu nifas, faktor host, faktor environment.

Background : The puerperium is the period from a few hours after the birth of the placenta to 6 weeks after delivery. Brebes Regency has quite high maternal mortality cases, 70% of them died during the puerperium.
Objective : The study was carried out to know determine the host and environmental risk factors that influence maternal mortality during the puerperium.
Methods : An observasional analytic was conducted with case-control study design. The samples in this study were 34 cases and 34 controls. The independent variables were host factors (age, educational level, nutritional status, health education, medical history, personal hygiene, parity, mode of delivery and postpartum complications) and environmental factors (place of delivery, birth attendants, delay in family decision making). The dependent variable is the death of the postpartum mother. Data were analyzed by univariate, bivariate analysis with chi square test, multivariate analysis with logistic regression methods.
Result : Risk factors that influence medical history (p=0,048; OR=0,298; 95% CI=0,090-0,987), personal hygiene (p=0,019; OR= 0,126; 95% CI=0,022-0,710), mode of delivery (p=0,005, OR=0,037; 95% CI=0,004-0,365), postpartum complications (p=0,001; OR=0,006; 95% CI=0,000-0,115) and delay in family decision making (p=0,014; OR=0,087; 95% CI=0,012-0,609). Risk factors that did not influence were age, education level, nutritional status, health education, parity, place of delivery and birth attendants.
Conclusion: The factor that influence maternal mortality during the puerperium is the medical history, mode of delivery, postpartum complications, and delay in family decision making.
Key words: postpartum mortality, host factors, environmental factors.

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