Masker Medika (Mar 2019)

UPAYA PENCEGAHAN TERJADINYA PRE EKLAMSI DI BIDAN PRAKTIK MANDIRI (BPM) “MALIAH” PALEMBANG TAHUN 2017

  • Dewi Suryanti

Journal volume & issue
Vol. 6, no. 2
pp. 308 – 316

Abstract

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Di Sumatera Selatan, angka kematian ibu melahirkan masih tinggi. Pada tahun 2006 tercatat 424 per 100.000 kelahiran, jauh di atas angka kematian ibu melahirkan di Indonesia.Terjadinya pre-eklampsi tidak dapat dicegah, tapi bisa dicegah untuk tidak menjadi lebih berat.Kematian ibu sebenarnya dapat dicegah dengan melaksanakan pemeriksaan kehamilan minimal empat 4 kali secara teratur sesuai pedoman pemeriksaan kehamilan.Berdasarkan studi pendahuluan yang dilakukan terhadap 6 orang ibu Hamil yang melakukan pemeriksaan di Bidan Praktek Mandiri “MALIAH” didapatkan bahwa sebagian ibu hamil setempat jarang melakukan pemeriksaan langsung kehamilan berdasarkan ketentuan yang telah di beritahukan ke Ibu Hamil. Penelitian ini bertujuan untukdiketahuinya perilaku dalam upaya pencegahan preeklamsia di Bidan Praktik Mandiri (BPM) “Maliah” Palembang tahun 2017.Penelitian ini menggunakan desain penelitian kuantitatif survey analitik dengan pendekatan Cross sectional study.Populasi penelitian ini adalah semua Ibu Hamil dan Ibu Bersalin.Sampel penelitian yaitu Ibu Hamil dan Ibu bersalin dengan kriteria inklusi dan ekslusi. Kriteria inklusi yaitu Ibu Hamil dengan usia kehamilan TM II, Ibu pasca persalinan yang pernah mengalami preeklamsi dan bersedia menjadi responden. Kriteria ekslusi yaitu Ibu Hamil TM I dan TM II dan bersedia menjadi responden.Metode pengumpulan data melalui pengisian kuisioner dan wawancara langsung dengan menggunakan pedoman wawancara terstruktur. Analisis data dilakukan dengan uji chi square dengan menggunakan tingkat kemaknaan (level of significance) α = 5%. Keputusan uji statistik untuk menentukan ada atau tidak ada asosiasi/hubungan, dengan cara membandingkan p value dengan nilai α = 5. Penelitian ini dilaksanakan pada bulan Januari sampai dengan Februari 2018 bertempat di BPM Maliah Palembang.Hasil penelitian ini menunjukkan bahwa ada hubungan pengetahuan (ρ = 0,032), sikap (ρ = 0,049), dan tindakan (ρ = 0,003) dengan perilaku pencegahan preeklamsia. Kesimpulan penelitian ini ada hubungan antara pengetahuan, sikap dan tindakan dengan perilaku pencegahan preeklamsia di BPM Maliah Palembang. In South Sumatra, the maternal mortality rate is still high. In 2006 there were 424 per 100,000 births, far above the maternal mortality rate in Indonesia. The occurrence of pre-eclampsia cannot be avoided, but it can be prevented from becoming heavier. Maternal mortality can actually be prevented by carrying out a pregnancy examination at least four times regularly according to the pregnancy examinationguidelines. Based on the preliminary study conducted on 6 pregnant women who conducted examinations in Independent Midwifery Practitioner (IMP) "MALIAH", it was found that some of the local pregnant women rarely performed direct pregnancy examination based on the conditions that had been told to the pregnant women. This research aimedat finding out the behavior in the prevention effort of preeclampsia in Independent Midwifery Practitioner (IMP) "Maliah" Palembang in 2017. This research was a quantitative analytic survey research design with a cross sectional study approach. The population of this research were all pregnant women and giving birth mothers. The research samples were pregnant women and mothers giving birth with the inclusion and exclusion criteria. Inclusion criteria were pregnant women with gestational age TM II, postpartum mothers who had experienced preeclampsia and were willing to become respondents. Exclusion criteria were pregnant women TM I and TM II and were willing to become respondents. Methods of data collection through filling out questionnaires and direct interviews using structured interview guidelines. Data analysis was done by chi square test with the level of significance α = 5%. Decision of statistical tests was intended to determine whether there was arelationshipor not by comparing p value with the value of α = 5. This research was carried out from January to February 2018 located at IMPMaliah Palembang. The results of this research indicated that there was a relationship of knowledge (ρ = 0.032), attitude (ρ = 0.049), and action (ρ = 0.003) with the prevention behavior of preeclampsia. The conclusion of this research was that there was a relationship between knowledge, attitudes and actions with preeclampsia prevention behavior in IMP Maliah Palembang. The conclusions in this research can be taken into consideration as information to the district health office, especially the reproductive health sector in order to provide counseling and education about sex as early as possible and as often as possible so that teenagers acquirecorrect and accurate information about the importance of maintaining their reproductive health, as well as keeping teenagers away from violating behavior rules of religious norms, legal norms, and social norms that exist in the community

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