Wiryawan Permadi
Departemen Obstetri dan Ginekologi Fakultas Kedokteran Universitas Padjadjaran/Rumah Sakit Dr. Hasan Sadikin Bandung

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EFEK OLIVE OIL DAN VIRGIN COCONUT OIL TERHADAP STRIAE GRAVIDARUM Pratami, Evi; Permadi, Wiryawan; Gondodiputro, Sharon
Majalah Kedokteran Bandung Vol 46, No 1 (2014)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15395/mkb.%v46n1.%220

Abstract

Prevalensi striae gravidarum (SG) pada ibu hamil berkisar 50% sampai 90%. Efek SG menyebabkan rasa gatal, panas, dan kering serta gangguan emosional sehingga menimbulkan masalah kosmetik pada sebagian besar ibu. Saat ini banyak ibu hamil menggunakan olive oil untuk mencegah SG, namun minyak ini relatif sukar didapat dan harganya mahal. Di Indonesia dikenal minyak lain yaitu virgin coconut oil (VCO) yang memiliki kandungan efektif untuk menjaga elastisitas kulit, minyak ini mudah didapat dan murah. Penelitian ini bertujuan menganalisis perbedaan dan korelasi efek olive oil dan VCO terhadap SG. Penelitian ini dilaksanakan pada bulan Maret?Juli 2012. Rancangan penelitian ini merupakan penelitian klinis melalui pendekatan eksperimental. Subjek penelitian adalah 80 ibu hamil di wilayah Dinas Kesehatan Kota Surabaya dan dikelompokkan menjadi 2 kelompok dengan menggunakan random permuted blocks. Hasil penelitian menunjukkan tidak terdapat perbedaan SG berdasarkan jumlah garis dan tingkat eritema antara kelompok yang menggunakan olive oil dan VCO (p=0,156 dan 1,00). Selanjutnya terdapat korelasi kuat antara kelompok olive oil dan VCO dengan jumlah garis (r=-0,576 dan -0,560) dan tingkat eritema (r=-0,699 dan -0,586). Simpulan, tidak ada perbedaan efek olive oil dengan VCO terhadap SG. [MKB. 2014;46(1):1?5]Kata kunci: Olive oil, striae gravidarum, virgin coconut oilEffects of Olive Oil and Virgin Coconut Oil against Striae GravidarumThe prevalence of striae gravidarum (SG) in pregnant women ranges from 50% to 90%. Effects of SG include itchy and hot feeling as well as dry skin. This situation also causes emotional disturbances that poses a cosmetic problem for most pregnant women. Nowadays, many pregnant women use olive oil to prevent SG, but it is relatively difficult to find and costly. In Indonesia, a similar oil, virgin coconut oil (VCO), has been used by many pregnant women for the same reason. The aim of this study was to analyze the differences and correlation between effects of olive oil and VCO against SG. The study was conducted in March?July 2012. An experimental study was performed on 80 pregnant women in Surabaya Municipality and they were divided into 2 groups using random permuted blocks. The results of this study showed that there was no difference in SG appearance based on the number of lines and levels of erythema between groups (p=0.156 and 1.00). Furthermore, there was a strong negative correlation between the effect of olive oil or VCO on the number of lines (r=-0.576 and -0.560) and the level of erythema (r=-0.699 and -0.586). In conclusion, there is no difference in the effect of olive oil and VCO against SG. [MKB. 2014;46(1):1?5]Key words: Olive oil, striae gravidarum, virgin coconut oil DOI: 10.15395/mkb.v46n1.220
Total Serum Level of Calcium and Ion Calcium is Lower in Hypotonic Uterine Inertia Wattimury, Josef; Permadi, Wiryawan; Armawan, Edwin
Indonesian Journal of Obstetrics and Gynecology Volume. 1, No. 3, July 2013
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (90.642 KB) | DOI: 10.32771/inajog.v1i3.354

Abstract

Objectives: To know the correlation between total and ion serum calcium level with the uterine contractility of laboring patient. Methods: This is a cross-sectional analytic correlative study measuring the strength of correlation of total and ion calcium serum level between groups with hypotonic uterine inertia - and normal labor. Each group consists of 20 subjects who met inclusion criteria and presented to Dr. Hasan Sadikin Hospital in August - September 2012. Statistical analysis was performed by using Eta (η) coefficient. Results: Mean total calcium serum level on hypotonic uterine inertia is 6.66 mg/dl, while mean of total calcium serum level on normal labor is 8.56 mg/dl, with Eta (η) correlation coefficient 0.721. Mean ion calcium serum level on hypotonic uterine inertia is 4.14 mg/dl, while mean of total calcium serum level on normal labor is 4.92 mg/dl, with Eta (η) correlation coefficient 0.802. Conclusion: Total serum level of calcium and ion calcium in hypotonic uterine inertia is lower than the level of which in normal labor. There is a strong correlation between total and ion serum calcium level with uterine contractility, the Eta (η) correlation coefficient are 0.721 and 0.802 respectively. [Indones J Obstet Gynecol 2013; 1-3: 145-8] Keywords: hypotonic uterine inertia, ion serum calcium level, normal labor, total serum calcium level
Correlation between Sperm Motility and Morphology in the Success Rate of in Vitro Fertilization Procedure Ramadhan, Praditya Virza; Rezano, Andri; Permadi, Wiryawan
Althea Medical Journal Vol 3, No 4 (2016)
Publisher : Althea Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (213.062 KB)

Abstract

Background: In vitro fertilization (IVF) is one of the assisted reproductive technology that has been used in treating infertility. Unfortunately, not every IVF procedure achieves 100% success in fertilizing the oocyte. It has been studied that the percentage of normal motile sperm and percentage of normal sperm morphology play a key role in this process. This study was conducted to evaluate correlation between sperm motility and morphology in the success rate of IVF. Methods: This study was an observational analytic involving medical records of infertile couples who were treated by IVF procedure in Dr.Hasan Sadikin General Hospital Bandung in 2009–2014. The variables that were used in this study were percentage of sperm motility, percentage of sperm morphology and fertilization rate.The collected data was analyzed using nonparametric Mann Whitney test and Spearman correlation test.Result: This study showed that there was a significant difference between the fertilization rate group and sperm motility (p=0,048) but there was no significant correlation between motility and the entire fertilization rate (p=0,319). This study also indicated that there was no significant difference between fertilization rate group and sperm morphology (p=0,232) and there was no significant correlation between sperm morphology and fertilization rate (p=0,720).Conclusions: Motility might has a role in determining the success rate of in vitro fertilization; meanwhile morphology does not have any role in determining the success rate of in vitro fertilization. [AMJ.2016;3(4):520–5] DOI: 10.15850/amj.v3n4.957
Apakah Kadar β-hCG Praevakuasi dan Gambaran Proliferasi Sel Trofoblas secara Mikroskopik dapat digunakan untuk Prediksi Transformasi Keganasan pada Mola Hidatidosa? Mantilidewi, Kemala Isnainiasih; Zulvayanti, Zulvayanti; Permadi, Wiryawan
Indonesian Journal of Obstetrics & Gynecology Science Volume 1 Nomor 1 Maret 2018
Publisher : Dep/SMF Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran

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Abstract

AbstrakTujuan: Meneliti perbedaan karakteristik umur, paritas, besar uterus, kadar β-hCG, dan hiperproliferasi pada mola hidatidosa (MH) dengan regresi spontan dan pada MH dengan transformasi keganasan di RS Dr.Hasan Sadikin Bandung. Metode: Penelitian cross sectional deskriptif restrospektif mengambil data umur, paritas, besar uterus, kadar β-hCG pre-evakuasi, dan hiperproliferasi dari rekam medis pasien MH periode 2007-2016. Data diolah menggunakan program SPSS versi 20.0 for Windows. Nilai p<0,05 dianggap signifikan. Hasil: Dari 400 rekam medis yang dianalisis, 233 dengan data lengkap dapat dianalisis. Mayoritas pasien usia reproduktif 20-35(53,6%) tahun, paritas 1-2 (n=90, 38,6%), dan besar uterus rata-rata 19,12±4,633 (~minggu kehamilan). Kadar β-hCG <100000 mIU/mL sebanyak 78(33,5%), ≥100000 mIU/mL sebanyak 155(66,5%). Pasien dengan hiperproliferasi sebanyak 83(35,6%) sedangkan pasien tanpa hiperproliferasi sebanyak 150(64,4%). Terdapat 219(94,0%) dengan komplit MH, dan 14(6,0%) HM parsial (tidak dipublikasi). Pasien kemudian dikategorikan menjadi kelompok transformasi keganasan dan kelompok remisi spontan. Tidak terdapat perbedaan umur, paritas, dan besar uterus diantara dua kelompok (p>0,05). Perbedaan kadar βhCG (mIU/mL) dan tingkat proliferasi menunjukkan hasil signifikan (p<0.05). Kesimpulan: Kadar β-hCG preevakuasi dan status hiperproliferasi dapat digunakan sebagai prediktor transformasi keganasan pasien MH. Kata kunci: Mola hidatidosa, faktor risiko, remisi, transformasi keganasanCan Preevacuation Level β-hCG and Microscopic Trophoblast ProliferationPredict Malignant Transformation in Hydatidiform Mole?AbstractObjective: To describe differences among age, parity, size of uterus, level of β-hCG, and hyperproliferation state in HM with spontaneous remission and in that with malignancy transformation at dr.Hasan Sadikin General Hospital Bandung. Methods: This a cross sectional descriptive restrospective study of HM cases analyzing data on age, parity, size of uterus, pre-evacuation level of β-hCG, and hyperproliferation state taken from medical record of HM patients between 2007-2016. Data were statistically analyzed using SPSS version 20.0 for Windows. Result p<0.05 was considered significant.  Results: Out of 400 cases, 233 cases were selected. Those with incomplete data were not included in the analysis. Majority of patients were in reproductive age 20-35(53.6%) years old, has parity 1-2(n=90, 38.6%), and the size of uterus has mean 19.12±4.633 (~week of pregnancy). The level of β-hCG <100000 mIU/mL was 78(33.5%), ≥100000 mIU/mL was 155(66.5%). Patients with hyperproliferation were 83(35.6%) while without hyperproliferation were 150(64.4%). There were 219(94.0%) with complete HM, and 14(6.0%) partial HM (unpublished data). There were no significant differences in age, parity, size of uterus between the two groups (p>0.05). Differences on level of βhCG (mIU/mL) and proliferation state showed significant result (p<0.05). Conclusion: Preevacuation level of β-hCG and histopatology (proliferation state) may predict malignancy transformation in HM.Keywords: Hydatidiform mole, risk factors, remission, malignancy transformation
Pengaruh Pijat Punggung dan Memerah ASI terhadap Produksi ASI pada Ibu Postpartum dengan Seksio Sesarea Astuti, Retno Puji; Rusmil, Kusnandi; Permadi, Wiryawan; Mose, Johanes C; Effendi, Jusuf Sulaeman; Herawati, Dewi M.D
Jurnal Pendidikan dan Pelayanan Kebidanan Indonesia (Indonesian Journal of Education and Midwifery Care Vol 2, No 1 (2015): Maret
Publisher : Program Studi Magister Kebidanan FK UNPAD

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (172.007 KB) | DOI: 10.24198/ijemc.v2i1.7

Abstract

Produksi ASI yang sedikit pada hari-hari pertama setelah melahirkan menjadi kendala dalampemberian ASI secara dini pada tindakan seksio sesarea. Pengaruh anestesi pada ibu pasca seksio sesarea menyebabkan terhambatnya pengeluaran hormon oksitosin. Perlu dilakukan stimulasi reflek oksitosin dengan pijat punggung dan memerah ASI. Tujuan penelitian ini untuk menganalisis pengaruh pijat punggung dan memerah ASI terhadap produksi ASI pada ibu Postpartum dengan seksio sesarea. Penelitian ini menggunakan metode quasi experiment dengan rancangan posttest only design with nonequivalent groups. Populasi penelitian ini adalah ibu Postpartum dengan seksio sesarea di RSIA Buah Hati Pamulang, Tangerang Selatan. Pengambilan sampel ini dilakukan dengan teknik non- random sampling dengan metode consecutive sampling. Jumlah sampel 60 responden yang dibagi menjadi 30 responden kelompok intervensi dan 30 responden kelompok kontrol. Pengolahan dan analisis data menggunakan uji chi-Square dan uji exact fisher. Hasil penelitian ini menunjukkan adanya pengaruh pijat punggung dan memerah ASI terhadap produksi ASI pada ibu postpartum dengan seksio sesarea dengan nilai Number Needed to Treat (NNT) = 3,3 dan nilai RR sebesar 2,8 serta nilai p = 0,012 menunjukkan adanya perbedaan yang signifikan produksi ASI antara kelompok intervensi dan kelompok kontrol. Besarnya pengaruh pijat punggung dan memerah ASI berdasarkan karakteristik Ibu, ditinjau dari usia 20-34 tahun pada kelompok intervensi dengan produksi ASI yang lancar nilai p = 0,011. Paritas dengan multiparitas nilai p = 0,013. Pendidikan dengan tamat SMA nilai p = 0,016. Pekerjaan dengan status tidak bekerja nilai p = 0,023. Simpulan dalam penelitian ini adalahtindakan pijat punggung dan memerah ASI berpengaruh baik terhadap produksi ASI yang lancar pada ibu postpartum dengan seksio sesarea. Selain itu, usia 20 – 34 tahun, paritas dengan multiparitas, pendidikan tamat SMA dan ibu yang tidak bekerja berpengaruh baik pada produksi ASI yang lancar. Saran untuk bidan dapat melakukan pijat punggung dan memerah ASI pada ibu postpartum dengan seksio sesarea maupun spontan dalam meningkatkan produksi ASI
Korelasi antara Kadar Vitamin D dengan Kejadian Preeklamsi Retnosari, Ekadewi; Permadi, Wiryawan; Setiawati, Elsa Pudji; Husin, Farid; Mose, Johanes Cornellius; Sabarudin, Udin
Jurnal Pendidikan dan Pelayanan Kebidanan Indonesia (Indonesian Journal of Education and Midwifery Care Vol 2, No 4 (2015): Desember
Publisher : Program Studi Magister Kebidanan FK UNPAD

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (90.877 KB) | DOI: 10.24198/ijemc.v2i4.34

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Program Pembangunan Kesehatan di Indonesia dewasa ini masih diprioritaskan pada upaya peningkatan derajat kesehatan ibu dan anak, terutama pada kelompok yang paling rentan kesehatannya yaitu ibu hamil, ibu bersalin dan bayi pada masa perinatal. Hal ini ditandai dengan tingginya Angka Kematian Ibu (AKI). Menurut Survei Demografi Kesehatan Indonesia (SDKI) tahun 2012, AKI tahun 2007 sebesar 228/100.000 Kelahiran Hidup (KH) meningkat menjadi 359 /100.000 KH. Penyebab langsung kematian ibu adalah faktor yang berhubungan dengan komplikasi kehamilan, persalinan dan nifas seperti perdarahan, preeklamsi/eklamsi dan infeksi. Preeklamsi  merupakan gangguan multifaktorial. Beberapa penelitian memperlihatkan adanya bukti yang mendukung tentang kadar vitamin D yang berperan untuk terjadinya komplikasi kehamilan. Sumber vitamin D berasal dari sintesis endogen (matahari) dan sintesis eksogen (makanan). Sinar ultraviolet dapat mengubah pre vitamin D menjadi  vitamin D3. Indonesia terletak didaerah tropis yang kaya akan sinar ultraviolet, tetapi masih banyak ibu hamil yang menderita preeklamsi, sehingga tujuan dari penelitian ini adalah menganalis hubungan antara kadar vitamin D dengan kejadian preeklamsi. Populasi dalam penelitian ini adalah semua ibu hamil yang di diagnosis preeklamsi dan di diagnosis hamil normal yang melakukan pemeriksaan di RSUD H.M. Rabain dan  empat puskesmas di wilayah kabupaten Muara Enim. Total sampel 76 orang yang terdiri dari 38 orang kelompok kasus dan 38 orang kelompok kontrol. Rancangan penelitian dengan metode analitik yang dilakukan secara cross sectional. Analisis hasil dengan uji korelasi Point Biserial. Hasil penelitian dengan uji korelasi Point Biserial menunjukkan bahwa tidak terdapat hubungan antara kadar vitamin D dengan kejadian preeklamsi dengan nilai p  0,052. Simpulan dalam penelitian ini adalah tidak terdapat hubungan antara kadar vitamin D dengan kejadian preeklamsi awitan dini. Kadar vitamin D berkaitan  dengan awitan lanjut pada kejadian preeklamsi yang merupakan bagian dari faktor maternal, disamping itu kejadian preeklamsi sampai saat ini dipengaruhi oleh etiopatogenesis yang kompleks.
Perbandingan Kadar 25-(OH)-Vitamin D3 pada Serum Kelompok Mioma Uteri dan Non-Mioma Uteri Masoem, Aria Prasetya; Djuwantono, Tono; Ritonga, Mulyanusa A.; Effendi, Jusuf Sulaeman; Permadi, Wiryawan; Madjid, Tita Husnitawati
Indonesian Journal of Obstetrics & Gynecology Science Volume 2 Nomor 1 Maret 2019
Publisher : Dep/SMF Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (117.895 KB)

Abstract

AbstrakTujuan: Penelitian ini bertujuan untuk membandingkan perbedaan kadar 25-hidroksi-vitamin D3 pada serum kelompok mioma uteri dan non-mioma uteri. Metode: Penelitian ini merupakan penelitian analitik observasional dengan rancangan komparatif cross sectional. Subjek penelitian adalah wanita usia reproduksi yang menjalani prosedur laparatomi/laparaskopi yang memenuhi kriteria inklusi penelitian (n=42). Subjek penelitian dibagi menjadi dua kelompok, yakni kelompok mioma uteri (n=21) dan non-mioma uteri (n=21). Pada kedua kelompok dilakukan pemeriksaan kadar serum 25-hidroksi-vitamin D3 kemudian diperiksa dengan metode Electro-chemiluminescence Immunoassay (ECLIA). Penelitian ini dilakukan di RSUP Dr. Hasan Sadikin Bandung pada bulan Juni−Agustus 2017. Hasil: Hasil penelitian menunjukkan kadar 25-hidroksi-vitamin D3 rata-rata pada kelompok mioma uteri adalah 6,70 (3,29) ng/ml, sementara pada kelompok non-mioma uteri 10,34 (2,79) ng/ml. Perbedaan kadar rata-rata 25-hidroksi-vitamin D3 pada kedua kelompok tersebut bermakna dengan nilai p<0,001. Namun, tidak didapatkan korelasi antara kadar 25-hidroksi-vitamin D3 dengan berat massa mioma uteri. Kesimpulan : Kadar 25-hidroksi-vitamin D3 pada kelompok mioma uteri lebih rendah dibandingkan dengan kelompok non-mioma uteri. Key words: Mioma uteri, vitamin D,  25-hidroksi-vitamin D3Abstract Objective: The aim of this study was to determine if there is any significant difference between serum levels of 25-hydroxy-vitamin D3 of uterine fibroid group and non-uterine fibroid group. Method: This was an observational analytic study with comparative cross-sectional method. Subjects were women in reproductive age who underwent laparotomy / laparoscopy procedures who met the study criteria (n=42). The subjects were divided into two groups, uterine fibroid group (n=21) and non-uterine fibroid (n=21). Measurement of serum 25-hydroxy-vitamin D3 was performed using Electro-chemiluminescence Immunoassay (ECLIA) method. The study was conducted at Dr. Hasan Sadikin hospital in June−August 2017. Result: The results showed the mean level 25-hydroxy-vitamin D3 on uterine fibroid group was 6.70 (3.29) ng / ml and non-uterine fibroid group 10.34 (2.79) ng/ml. There was significant difference between serum level of 25-hydroxy-vitamin D3 in uterine fibroid group and non-uterine fibroid with p value <0.001. But, there was no correlation between serum level of 25-hydroxy-vitamin D3 content and the weight of uterine fibroid mass. Conclusions: Serum level of 25-hydroxy-vitamin D3 is lower in uterine fibroid group than non-uterine fibroid group.Key words: Uterine fibroid, vitamin D, 25-hydroxy-vitamin D3
Analysis of Maternal Mortality Due to Hypertension in Pregnancy in West Bandung Karwati, Karwati; Permadi, Wiryawan; Herawati, Dewi M.D.
Health Notions Vol 3, No 1 (2019): January
Publisher : Humanistic Network for Science and Technology (HNST)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hn.v3i1.341

Abstract

Hypertension in pregnancy is one of causes in maternal mortality in West Bandung District in 2017 and there are 11 mothers (39.28%) of 28 mortality cases, which is in the highest rank. Moreover, this research aimed at analyzing maternal mortality due to hypertension in pregnancy in West Bandung District. This research was qualitative research by utilizing grounded theory approach with constructivism paradigm. Sample of this research was the closest family and health personnels who knew the cronology of maternal mortality and there were 21 people from 8 mortality cases. The sample collection utilized purposive sampling technique. Meanwhile, the instruments of this research were researchers, interview guidance, stationery, and voice recorder. Validity test utilized triangulation technique. Technique of data collection was by in depth interview and the analysis process were by transcription, reduction, coding, categorization, and theme. The result of this research was known that factors, which had contribution against maternal mortality, was such as poor access of health service and it was caused by several things: PONED function that had not been optimal in handling hypertension in pregnancy, poor quality of health service, guidance in handling hypertension in pregnancy that had not been optimal, less optimal information from health service, health personnel’s poor knowledge about hypertension in pregnancy, and delay in referring to hospital. The next factor was unhealthy living behavior, such as mother who had risk of hypertension in pregnancy did not use long-term contraception, underwent quite high failure level in the use of long-term contraception, the mother was a missing patient from the referral, and not sensitive against emergency situation. Besides that, unknown or unexpected factors also became contribution against mortality, such as unclear demographic status; undesirable pregnancy; assuming that dying in pregnancy, having birth, and in postpartum period was martyred. In conclusion, factors that contributed against maternal mortality due to hypertension in pregnancy in West Bandung District were access of health service, healthy living behavior, and unknown even unexpected factors. However, the factors that really impacted against maternal mortality were access of health service and healthy living behavior. Keywords: Maternal mortality, Hypertension in pregnancy
Correlation between Sperm Motility and Morphology in the Success Rate of in Vitro Fertilization Procedure Ramadhan, Praditya Virza; Rezano, Andri; Permadi, Wiryawan
Althea Medical Journal Vol 3, No 4 (2016)
Publisher : Althea Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (213.062 KB)

Abstract

Background: In vitro fertilization (IVF) is one of the assisted reproductive technology that has been used in treating infertility. Unfortunately, not every IVF procedure achieves 100% success in fertilizing the oocyte. It has been studied that the percentage of normal motile sperm and percentage of normal sperm morphology play a key role in this process. This study was conducted to evaluate correlation between sperm motility and morphology in the success rate of IVF. Methods: This study was an observational analytic involving medical records of infertile couples who were treated by IVF procedure in Dr.Hasan Sadikin General Hospital Bandung in 2009–2014. The variables that were used in this study were percentage of sperm motility, percentage of sperm morphology and fertilization rate.The collected data was analyzed using nonparametric Mann Whitney test and Spearman correlation test.Result: This study showed that there was a significant difference between the fertilization rate group and sperm motility (p=0,048) but there was no significant correlation between motility and the entire fertilization rate (p=0,319). This study also indicated that there was no significant difference between fertilization rate group and sperm morphology (p=0,232) and there was no significant correlation between sperm morphology and fertilization rate (p=0,720).Conclusions: Motility might has a role in determining the success rate of in vitro fertilization; meanwhile morphology does not have any role in determining the success rate of in vitro fertilization. [AMJ.2016;3(4):520–5] DOI: 10.15850/amj.v3n4.957
Analysis of Maternal Mortality Due to Hypertension in Pregnancy in West Bandung Karwati, Karwati; Permadi, Wiryawan; Herawati, Dewi M D
Health Notions Vol 3, No 1 (2019): January
Publisher : Humanistic Network for Science and Technology (HNST)

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Hypertension in pregnancy is one of causes in maternal mortality in West Bandung District in 2017 and there are 11 mothers (39.28%) of 28 mortality cases, which is in the highest rank. Moreover, this research aimed at analyzing maternal mortality due to hypertension in pregnancy in West Bandung District. This research was qualitative research by utilizing grounded theory approach with constructivism paradigm. Sample of this research was the closest family and health personnels who knew the cronology of maternal mortality and there were 21 people from 8 mortality cases. The sample collection utilized purposive sampling technique. Meanwhile, the instruments of this research were researchers, interview guidance, stationery, and voice recorder. Validity test utilized triangulation technique. Technique of data collection was by in depth interview and the analysis process were by transcription, reduction, coding, categorization, and theme. The result of this research was known that factors, which had contribution against maternal mortality, was such as poor access of health service and it was caused by several things: PONED function that had not been optimal in handling hypertension in pregnancy, poor quality of health service, guidance in handling hypertension in pregnancy that had not been optimal, less optimal information from health service, health personnel?s poor knowledge about hypertension in pregnancy, and delay in referring to hospital. The next factor was unhealthy living behavior, such as mother who had risk of hypertension in pregnancy did not use long-term contraception, underwent quite high failure level in the use of long-term contraception, the mother was a missing patient from the referral, and not sensitive against emergency situation. Besides that, unknown or unexpected factors also became contribution against mortality, such as unclear demographic status; undesirable pregnancy; assuming that dying in pregnancy, having birth, and in postpartum period was martyred. In conclusion, factors that contributed against maternal mortality due to hypertension in pregnancy in West Bandung District were access of health service, healthy living behavior, and unknown even unexpected factors. However, the factors that really impacted against maternal mortality were access of health service and healthy living behavior. Keywords: Maternal mortality, Hypertension in pregnancy