Analisis Determinan Faktor Penanganan Kegawatdaruratan Maternal di Perbatasan Kalimantan Utara
Keywords:
determinan faktor, kegawatdaruratan maternal, perbatasan
Abstract
Pengalaman bidan dapat menurunkan angka mortalitas dan morbiditas pada kejadian kegawatdaruratan maternal khususnya di daerah perbatasan, sehingga diperlukan penelitian yang relevan untuk mengkaji determinan faktor penanganan kegawatdaruratan maternal di perbatasan yang dilakukan di Kalimantan Utara. Penelitian bertujuan untuk mengetahui determinan faktor penanganan kegawatdaruratan maternal di perbatasan. Penelitian termasuk jenis analitik observasional dengan crossectional. Penelitian dilaksanakan tahun 2021 di Kalimantan Utara. Sampel dipilih secara purposive sampling sebanyak 105 subjek penelitian. Variabel dependen adalah pengalaman bidan dan variabel independen adalah umur, pelatihan, ketrampilan, gaya kepemimpinan, motivasi kerja dan sumber daya. Data penelitian dikumpulkan menggunakan kuesioner dengan analisis regresi logistik ganda. Pengalaman bidan dipengaruhi oleh umur yang ≥ 35 tahun (OR= 1.66; 95% CI= 1.13 hingga 24.56; p=0.034), pelatihan (OR= 1.73; 95% CI= 1.08 hingga 29.66; p= 0.040), ketrampilan (OR= 2.07; 95% CI= 1.48 hingga 42.56; p= 0.016), gaya kepemimpinan (OR=1.86; 95% CI=6.45 hingga 29.24; p=0.016), motivasi kerja (OR=2.50; 95% CI= 2.89 hingga 65.21; p= 0.003) dan sumber daya (OR=2.50; 95% CI= 2.89 hingga 65.21; p= 0.003). Pengalaman bidan dipengaruhi oleh umur, pelatihan, ketrampilan gaya kepemimpinan, motivasi kerja dan sumber daya.
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Akladios CY, Sananes N, Gaudineau A, Boudier E, Langer B. (2014). Secondary post partum hemorrhage. J Gynecol Obstet Biol Repro, 43(10): 1161–1169. doi:10.1016/j.jgyn.2014.10.008.
Colbourn T, Nambiar B, Costello A. (2013). The impact of quality improvement at health facilities and community mobilisation by women’s groups on birth outcomes: an effectivenessstudy in three Districts of Malawi. Int Health, 5(3):180-95. doi: 10.1093/inthealth/iht011.
Fitzpatrick KE, Sellers S, Spark P, Kurinczuk JJ, Brocklehurst P, Knight M. (2014). The management and outcomes of placenta accreta, increta and percreta in the UK: a population-based descriptive study. An International Journal of Obstetricts & Gynaecology, 121: 62 – 72. doi: 10.1111/1471-0528.12405.
Green L, Knight M, Seeney FM, Hopkinson C, Collins PW, Collis RE, Simpson NAB et al. (2015). The epidemiology and outcomes of women with postpartum haemorrhage requiring massive transfusion with eight or more units of red cells: a national cross-sectional study. An International Journal of Obstetricts & Gynaecology, 123(13). 2164 – 2170. doi: 10.1111/1471-0528.13831.
Handayani, R. T., Widiyanto, A., Atmojo, J. T., & Setyorini, C. (2020). Effect of Antenatal Mental Health Disorder on Fetal Growth: A Systematic Review. Journal of Maternal and Child Health, 5(2), 147-153.
Kato C, Kataoka Y. (2017). Simulation training program for midwives to manage postpartum hemorrhage: a randomized controlled trial. Nurse Education Today, 51: 88–95. doi: 10.1016/j.nedt.2017.01.005
Kemenkes RI. (2013). Buku saku pelayanan kesehatan ibu di fasilitas kesehatan dasar dan rujukan 1st ed. Jakarta: Kementerian Kesehatan RI.
Kusuma R, Suparwati A, Asmita P. (2016). Analisis faktor yang mempengaruhi kinerja bidan dalam pelayanan antenatal care di Puskesmas Kagok Kota Semarang. Jurnal Kesehatan Masyarakat FKM UNDIP, 4(4): 129-134. https://ejournal3.undip.ac.id/index.php/jkm/article/view/13950.
Letchworth PM, Duffy SP, Phillips D. (2017). Improving non-technical skills (teamwork) in post-partum haemorrhage: A grouped randomised trial. European Journal of Obstetrics & Gynecology and Reproductive Biology, 217: 154–160. doi:10.1016/j.ejogrb.2017.08.030.
Freeney D, Fellenz MR. (2013). Work engagement as a key driver of quality of care: a study with midwives. Journal of Health Organization and Management, 27(3): 330-349. doi: 10.1108/jhom-10-2012-0192.
Marcillac DF, Lecointre L, Guillaume A, Sananes N, Fritz G, Viville B, Boudier E et al. (2016). Maternal morbidity and mortality associated with conservative management for placenta morbidly adherent (accreta) diagnosed during pregnancy. Journal de Gynecologie Obst etrique et Biologie de la Reproduction, 45(8): 849 – 858. doi: 10.1016/j.jgyn.2016.16.03.021.
Mbachu II, Udigwe GO, Ezeama CO, Eleje GU, Eke AC. (2017). Effect of on-site training on the accuracy of blood loss estimation in a simulated obstetrics environment. International Journal of Gynecology & Obstetrics, 137(3): 345–349. doi:10.1002/ijgo.12133.
Moucheraud C, Gass J, Lipsitz S, Spector J, Agrawal P, Hirschhorn LR, Gawande A, Kodkanyg B. (2015). Bedside availability of prepared oxytocin and rapid administration after delivery to prevent postpartum hemorrhage: an observational study in Karnataka, India. Global Health: Science and Practice, 3(2). 300-4. doi: 10.9745/GHSP-D-14-00239.
Mutmainnah A UI, Johan H, Liyod SS. (2017). Asuahan persalinan normal dan bayi baru lahir. Yogyakarta: CV ANDI OFFSET.
Nelissen E, Ersdal H, Mduma E, Evjen-Olsen B, Twisk J, Broerse J, Roosmalen JV, Stekelenburg J. (2017). Clinical performance and patient outcomeafter simulation-based training inprevention and management of postpartum haemorrhage: an educationalintervention study in a low-resource setting. BMC Pregnancy and Childbirth, 17: 301. doi: 10.1186/s12884-017-1481-7.
Nyflot LT, Sandven I, Stray-Pedersen B, Pettersen S, Al-Zirqi I, Rosenberg M, Jacobsen AF, and Vangen S. (2017). Risk factors for severe postpartum hemorrhage: a case-control study. BMC Pregnancy and Childbirth, 17: 17. doi: 10.1186/s12884-016-1217-0.
Oktarina M. 2016. Buku ajar asuhan kebidanan persalinan dan bayi baru lahir, Yogyakarta: Deepublish.
Parant O, Guerby P, Bayoumeu F. (2014). Obstetric and anesthetic specificities in the management of a Postpartum Hemorrhage (PPH) associated with cesarean section. Journal de Gynecologie Obstetrique et Biologie de la Reproduction, 43(10): 1104 – 1122. doi: 10.1016/jjgyn. 2014.10.004.
Sánchez M, Doyague MFM, Martínez YV, Everett M, Fuentes NS, Bogaert PV, Vassilev I et al. (2018). The importance of external contacts in job performance: a study in healthcare organizations using social network analysis pilar. Int. J. Environ. Res. Public Health, 15(1345). doi:10.3390/ijerph15071345.
Simkin P, Whalley J, Keppler A. (2012). Panduan lengkap kehamilan, melahirkan & bayi. Jakarta: EGC.
Sri Rulihari, Martha Irene Kartasurya, Ayun Sriatmi. (2014). Faktor – faktor yang berhubungan dengan kinerja bidan dalam penggunaan skor “Poedji Rochjati” pada deteksi risiko ibu hamil (studi pada bidan praktek swasta di Kabupaten Gresik). Semarang. Jurnal Manajemen Kesehatan Indonesia Universitas Diponegoro. http://eprints.undip.ac.id/41276/1/Abs¬trak¬_Umi¬_Aniroh_MKIA_Juli_2013.doc.
Vendittelli F, Barasinski C, Pereira B, Lémery D, Hera. (2016). Incidence of immediate postpartum hemorrhages in french maternity units: a prospective observational study (HERA study). BMC Pregnancy and Childbirth, 16: 242. doi: 10.1186/s12884-016-1008-7.
Yulianti E. (2014). Faktor-faktor yang menpengaruhi kinerja bidan puskesmas dalam penanganan ibu hamil risiko tinggi di Kabupaten Pontianak tahun 2012. Jurnal Ilmiah Bidan, 2(1).
Published
2021-12-01
How to Cite
Yulianti, I., Imah, N., & Padlilah, R. (2021). Analisis Determinan Faktor Penanganan Kegawatdaruratan Maternal di Perbatasan Kalimantan Utara. Jurnal Keperawatan, 13(4), 793-802. https://doi.org/https://doi.org/10.32583/keperawatan.v13i4.1671
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Articles
