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"[ABSTRAKTujuan : Mengetahui gambaranpemilihan gender dokter obgin di RSUDZA Banda Aceh secara umum dan berdasarkan tindakan medis (pemeriksaan pelvik, kontrol kehamilan, bedah sesar, dan bedah ginekologi). Mengetahui apakah terdapat hubungan antara pemilihan gender dokter obgin dengan prosedur tindakan medis. Mengetahui adakah pengaruh umur, agama, status perkawinan, jumlah paritas, tingkat pendidikan, dan pekerjaan terhadap pemilihan gender dokter obgin.Metode : Penelitian observasionaldengan desain potong lintang. Penelitian berlangsung dari Juli sampai Desember 2013 di Poli Obgin RSUDZA Banda Aceh. Sebanyak 186 sampel diwawancara menggunakan kuesioner. Dilakukan deskriptif kategorikuntuk mengetahui gambaranpemilihan gender dokter obgin sehingga didapatkan jumlah dan persentase dari tiap-tiap variabel. Untuk mengetahui adakah hubungan antara pemilihan gender dokter obgin berdasarkan tindakan medisdilakukan penelitian analitik komparatif kategorik tidak berpasangan menggunakan uji Chi Square (p < 0,05 hipotesis terbukti benar). Analisis multivariat dengan regresi logistik untuk mencari pengaruh variabel independen (umur, agama, status perkawinan, jumlah paritas, tingkat pendidikan, pekerjaan) secara bersama-sama terhadap tindakan medis.Hasil : Pasien yang memilih dokter obgin perempuan 72%, laki-laki 5,4%, tidak memilih gender dokter 22,6%. Pada tindakan pemeriksaan pelvik, sebanyak 86,6% memilih dokter perempuan, 10,8% tidak memilih gender dokter, dan 2,7% memilih dokter laki-laki. Pada tindakan kontrol kehamilan, sebanyak 67,2% memilih dokter perempuan, 24,2% tidak memilih gender dokter, dan 8,6% memilih dokter laki-laki. Pada tindakan bedah sesar, sebanyak 59,7% memilih dokter perempuan, 25,8% tidak memilih gender dokter, dan 14,5% memilih dokter laki-laki. Pada tindakan bedah ginekologi, sebanyak 59,1% memilih dokter perempuan, 26,3% tidak memilih gender dokter, dan 14,5% memilih dokter laki-laki. Jumlah paritas mempengaruhi pemilihan gender dokter obgin untuk pemeriksaan pelvik, dengan nilai p 0,046 (< 0,05), namun tidak berpengaruh terhadap tindakan medis lainnya.Kesimpulan : Faktor umur, status perkawinan, jumlah paritas, tingkat pendidikan, dan pekerjaan, tidak berpengaruh terhadap pemilihan gender dokter obgin di RSUDZA Banda Aceh. Terdapat pengaruh jumlah paritas terhadap pemilihan gender dokter obgin khusus untuk tindakan pemeriksaan pelvik. Diharapkan dapat dilakukan pengembangan penelitian dengan metode berbeda di daerah lain agar dapat meningkatkan pelayanan dokter obgin di Indonesia.

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ABSTRACTAim : To know the description of women's preferences in selecting their obstetrician and gynecologist in Zainoel Abidin Hospital Banda Aceh in general and based on medical treatments (pelvic examination, control of pregnancy, cesarean section, and surgical gynecology). To know is there any influence of gender selection towards medical treatments. To know is there any influence of age, religion, marital status, parity, educational level, and work towards women's preferences in selecting their obstetrician and gynecologist.Methods : This study was an observational cross-sectional design starting from July to December 2013 at Obstetrics and Gynecology Policlinic ofZainoel Abidin Hospital Banda Aceh. A total of 186 samples were interviewed using a questionnaire. To find a description of the gender preferences for obstetrician and gynecologist, we performed a descriptive categorical to get the number and percentage of each variable. To determine whether there's a relationship between women's preferences in selecting their obstetrician and gynecologist with medical treatment procedures (pelvic examination, ANC, cesarean section, and gynecology surgical), we used an unpaired categorical comparative analytic study using Chi Square (p < 0,05 hypothesis proved correct). Multivariate analyze using logistic regression to find the influence of the independent variables (age, religion, marital status, parity, education level, occupation) jointly based on medical treatments.Results : The most gender preferences for obstetrician and gynecologist was female (72%), 5.4% choosing male, and 22.6% did not choose gender. Based on pelvic examination, 86.6% choosing female physician, 10.8% did not choose gender, and 2.7% choosing male physician. In the act of ANC, 67.2% choosing female physician, 24.2% did not choose gender, and 8.6% choosing male physician. Based on cesarean section, as many as 59.7% choosing female physician, 25.8% did not choose gender, and 14.5% choosing male physician. At gynecological surgery, as much as 59.1% choosing female physician, 26.3% did not choose gender, and 14.5% choosing male physician. There is the effect of parity on gender preferences of obstetrician and gynecologist for pelvic examination, with p value 0.046 (<0.05), but no effect on other treatments.Conclusion : Age, marital status, parity, education level, and employment did not influence the gender preferences of obstetrician and gynecologist in Zainoel Abidin Hospital Banda Aceh. There is the effect of parity on gender preferences specifically for pelvic examination.It is hoped that further research by using difference methods can be developed at other regions in order to improve obstetrician and gynecologist services in Indonesia.;Aim :To know the description of women?s preferences in selecting their obstetrician and gynecologist in Zainoel Abidin Hospital Banda Aceh in general and based on medical treatments (pelvic examination, control of pregnancy, cesarean section, and surgical gynecology). To know is there any influence of gender selection towards medical treatments. To know is there any influence of age, religion, marital status, parity, educational level, and work towards women?s preferences in selecting their obstetrician and gynecologist.Methods : This study was an observational cross-sectional design starting from July to December 2013 at Obstetrics and Gynecology Policlinic ofZainoel Abidin Hospital Banda Aceh. A total of 186 samples were interviewed using a questionnaire. To find a description of the gender preferences for obstetrician and gynecologist, we performed a descriptive categorical to get the number and percentage of each variable. To determine whether there?s a relationship between women?s preferences in selecting their obstetrician and gynecologist with medical treatment procedures (pelvic examination, ANC, cesarean section, and gynecology surgical), we used an unpaired categorical comparative analytic study using Chi Square (p < 0,05 hypothesis proved correct). Multivariate analyze using logistic regression to find the influence of the independent variables (age, religion, marital status, parity, education level, occupation) jointly based on medical treatments.Results : The most gender preferences for obstetrician and gynecologist was female (72%), 5.4% choosing male, and 22.6% did not choose gender. Based on pelvic examination, 86.6% choosing female physician, 10.8% did not choose gender, and 2.7% choosing male physician. In the act of ANC, 67.2% choosing female physician, 24.2% did not choose gender, and 8.6% choosing male physician. Based on cesarean section, as many as 59.7% choosing female physician, 25.8% did not choose gender, and 14.5% choosing male physician. At gynecological surgery, as much as 59.1% choosing female physician, 26.3% did not choose gender, and 14.5% choosing male physician. There is the effect of parity on gender preferences of obstetrician and gynecologist for pelvic examination, with p value 0.046 (<0.05), but no effect on other treatments.Conclusion : Age, marital status, parity, education level, and employment did not influence the gender preferences of obstetrician and gynecologist in Zainoel Abidin Hospital Banda Aceh. There is the effect of parity on gender preferences specifically for pelvic examination.It is hoped that further research by using difference methods can be developed at other regions in order to improve obstetrician and gynecologist services in Indonesia., Aim :To know the description of women’s preferences in selecting their obstetrician and gynecologist in Zainoel Abidin Hospital Banda Aceh in general and based on medical treatments (pelvic examination, control of pregnancy, cesarean section, and surgical gynecology). To know is there any influence of gender selection towards medical treatments. To know is there any influence of age, religion, marital status, parity, educational level, and work towards women’s preferences in selecting their obstetrician and gynecologist.Methods : This study was an observational cross-sectional design starting from July to December 2013 at Obstetrics and Gynecology Policlinic ofZainoel Abidin Hospital Banda Aceh. A total of 186 samples were interviewed using a questionnaire. To find a description of the gender preferences for obstetrician and gynecologist, we performed a descriptive categorical to get the number and percentage of each variable. To determine whether there’s a relationship between women’s preferences in selecting their obstetrician and gynecologist with medical treatment procedures (pelvic examination, ANC, cesarean section, and gynecology surgical), we used an unpaired categorical comparative analytic study using Chi Square (p < 0,05 hypothesis proved correct). Multivariate analyze using logistic regression to find the influence of the independent variables (age, religion, marital status, parity, education level, occupation) jointly based on medical treatments.Results : The most gender preferences for obstetrician and gynecologist was female (72%), 5.4% choosing male, and 22.6% did not choose gender. Based on pelvic examination, 86.6% choosing female physician, 10.8% did not choose gender, and 2.7% choosing male physician. In the act of ANC, 67.2% choosing female physician, 24.2% did not choose gender, and 8.6% choosing male physician. Based on cesarean section, as many as 59.7% choosing female physician, 25.8% did not choose gender, and 14.5% choosing male physician. At gynecological surgery, as much as 59.1% choosing female physician, 26.3% did not choose gender, and 14.5% choosing male physician. There is the effect of parity on gender preferences of obstetrician and gynecologist for pelvic examination, with p value 0.046 (<0.05), but no effect on other treatments.Conclusion : Age, marital status, parity, education level, and employment did not influence the gender preferences of obstetrician and gynecologist in Zainoel Abidin Hospital Banda Aceh. There is the effect of parity on gender preferences specifically for pelvic examination.It is hoped that further research by using difference methods can be developed at other regions in order to improve obstetrician and gynecologist services in Indonesia.]"

"ABSTRAKHasil survei cepat tahun 1995 di Kabupaten Tangerang, proporsi ibu bersalin ditolong oleh tenaga kesehatan sebesar 47,3 % sedangkan proporsi ibu hamil yang melaksanakan `antenatal care' sebesar 94 %. Masih rendahnya pertolongan persalinan oleh tenaga kesehatan serta belum diketahuinya faktor-faktor apa yang berhubungan dengan pemanfaatan pertolongan persalinan oleh tenaga kesehatan, telah menarik minat peneliti untuk mengetahui proporsi ibu bersalin ditolong oleh tenaga kesehatan pada tahun 1997-1998 dan hubungan antara faktor- faktor : pendidikan, pendapatan keluarga, sikap, kejadian penyakit saat hamil dan melahirkan, ketersedian fasilitas pelayanan kesehatan, jarak tempuh, ketersedian sarana transportasi, biaya pelayanan, anjuran/nasehat orang lain di lingkungannya untuk memanfaatkan pelayanan; dengan pemanfaatan pertolongan persalinan oleh tenaga kesehatan.Penelitian dilakukan dengan menganalisa data primer menggunakan metode `cross sectional'. Hasil penelitian menunjukkan bahwa, proporsi ibu bersalin yang ditolong oleh tenaga kesehatan adalah 62,5 %, dan hipotesis peneliti telah terbukti kecuali ketersedian fasilitas pelayanan kesehatan, jarak tempuh serta anjuran/nasehat orang lain di lingkungannya untuk memanfaatkan pelayanan.Berdasarkan hasil penelitian penulis menyarankan, bahwa dalam upaya meningkatkan jumlah persalinan oleh tenaga kesehatan sebaiknya :1. Memperlakukan dukun paraji sebagai mitra kerja petugas kesehatan.2. Memberikan pendidikan kesehatan ibu, terutama kepada ibu-ibu yang berpendidikan rendah beserta suami dan orang tuanya, juga kepada remaja puteri di sekolah-sekolah.3. Peningkatan tarif pelayanan persalinan dan kualitas `antenatal care' di puskesmas.4. Pemberdayaan kelompok kerja (pokja) Gerakan Sayang Thu di semua tingkatan, sehingga pokja berfungsi secara efektif terutama dalam pengumpulan dana serta pengadaan transportasi yang dibutuhkan untuk pelayanan kesehatan ibu.Daftar Pustaka : 23 (1975 - 1997)

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ABSTRACT

The 1995 Rapid survey's in Tangerang district found that 94 % of all pregnant women had antenatal care, while only 47,3 % of all births were delivered by health staff (midwives and medical persons). Because of the low proportion of births were delivered by health staff and the unknown factors related, so the author was interested to find out the proportion of birth aid by health staff in 1997-1998 and the relationship of the following factors: education, family earning, attitude, incidence illness during pregnancy and childbirth, availability of health facilities, the distance to health facilities, availability of transportation to health facilities, cost of health services, advice from another people to utilize the birth aid by health staff.

The study was done by using primary data, using cross sectional method. The study found that the utilization of birth aid by health staff reached 62,5 %. And, the author's hypothesis was proved except availability of health facilities, the distance to health facilities and advice from another people to utilize the birth aid by health staff.

Recommendations of study are:

1. Promote partnership among health staff and traditional birth attendants.

2. Health education on family life for using to mothers with minimal education, together with their husbands and parents. The family life education could also be taught for adolescent girls at schools.

3. Increase charge for delivery services and improve quality of antenatal care at Public Health Center (Pusat Kesehatan Masyarakat).

4. Encourage community participation to provide fund and transportation for pregnant mothers who need emergency care.

References : 23 (1975- 1997)"

"Angka Kematian ibu di Indonesia relatif masih tinggi. Upaya penurunan AKI dinyatakan bahwa semua sektor untuk berperan aktif dalam penurunan AKI dimulai sejak kehamilan, persalinan dan masa nifas melalui tenaga kesehatan yang profesional. Wilayah Kerja Puskesmas Kecamatan Cimahi Selatan Kabupaten Bandung yang memberikan kontribusi penuninan AKI dengan pertolongan persalinan oleh tenaga kesehatan sebesar 84%. Hal ini menunjukkan bahwa cakupan persalinan oleh tenaga kesehatan sudah melebihi target tahun 2000 yaitu 70%.Penelitian ini dilakukan terhadap ibu-ibu yang melahirkan anak terakhir baik anak lahir hidup maupun mati. Untuk melihat faktor-faktor pada ibu Bersalin yang terdiri dari faktor predisposisi yaitu umur ibu, pendidikan ibu, pekerjaan ibu, paritas, pengetahuan dan keyakinan, faktor pemungkin yang terdiri dari jarak tempuh serta biaya pertolongan persalinan dan faktor penguat adalah dukungan suami serta dukungan orang lain yang ada hubungannya dengan pemanfaatan tenaga penolong persalinan.Metode. Studi ini menggunakan desain kasus kontrol. Kasus adalah ibu yang proses persalinannya memanfaatkan tenaga dukun, sedangkan kontrol adalah ibu bersalin ditolong oleh tenaga kesehatan. Data diperoleh dengan menggunakan kuesioner pada ibu bersalin yang sudah terpilih sebagai kasus dan kontrol.Besar sampel penelitian sebanyak 320 responden yang terdiri dari 160 kasus dan 160 kontrol.Analisis dilakukan dengan menggunakan analisis univariat, bivariat dan untuk analisis multivariat digunakan regresi logistik ganda dengan kekuatan uji 95% dan derajat kemaknaan 5%.Hasil. Hasil akhir uji multivariat menunjukan : responden yang bekerja lebih memanfaatkan tenaga kesehatan sebagai penolong persalinan dengan nilai p value = 0,026, OR 1,696, selang kepercayaan 95% = 0,347 - 0,887; responden yang merasa biaya murah cenderung memanfaatkan tenaga kesehatan sebagai penolong persalinan dengan biaya pertolongan persalinan p value = 0,001, OR = 0,089, selang kepercayaan 95% = 0,021-0,387; dan responden dengan keyakinan baik terhadap penolong persalinan p value = 0,002, OR = 2,093, selang kepercayaan = 1,326-3,301.Kesimpulan. Pekerjaan ibu bersalin, faktor biaya dan keyakinan ibu berhubungan dengan pemanfaatan penolong persalinan.Saran. Petugas kesehatan khususnya bidan atau dokter yang menolong persalinan hendaknya lebih meningkatkan pengetahuan maupun keterampilan melalui pendidikan formal, pelatihan-pelatihan dan seminar, mendorong masyarakat untuk membentuk tabungan bersalin atau dengan cara lain agar kebutuhan biaya pelayanan kesehatan dapat terpenuhi serta meningkatkan pengetahuan masyarakat untuk berperilaku sehat dan pemanfaatan pelayanan kesehatan ibu. Cakupan pertolongan persalinan oleh tenaga kesehatan lebih ditingkatkan.Daftar bacaan : 36 (1975 - 2002)

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Factors on Delivery Mothers related to the Utilization of Birth Attendance Personnel, at the Working Area of South Cimahi Community Health Center, Kabupaten Bandung in 2003The Maternal Mortality Rate (MMR) in Indonesia is still relatively high. Several efforts are already worked out, as there is so many sectors have been actively played a role in reducing the number of the MMR, since the period of pregnancy, at the time of delivery, and after delivery period, through the assistant of professional health personnel. The working area of South Cimahi Community Health Center has contributed the effort on reducing the number of MVIR by having the coverage of the birth attendance by health personnel at 84%. This means that the coverage is higher than the target of the year 2000, which is 70%.

This study is carried out among women who have their last delivery within a year (from March 2002 to February 2003), whether the baby is life or dead. Factors observed from respondents are consists of the i) predisposing factors: age, education, occupation, parity, knowledge, and belief; ii) enabling factors: the distance to the delivery service and it's cost; and iii) reinforcing factors: support from the husband and other persons related to the utilization of birth attendance personnel.

Method. The case-control design is used for this study. The case group is mothers who utilize the traditional birth attendant for their delivery prows, and the control group is mothers who utilize the health personnel birth attendant. A structured questionnaire is using for the instrument of the study and the number of sample is comprises 160 mother of the case group and another 160 mothers of the control group.

The study is using the univariate, bivariate, and multivariate analysis. The last analysis is using the double logistic-regression test with 95% power and level of significance at 5%.

Result. The result of the study showed that from multivariate analysis, there are a significant relationship between occupation and the utilization of birth attendance personnel, with its p-value at 0.026, OR: 1.696, and confidence interval (CI) 95% at 0.347 --- 0.887; the respondents who feel that cost of the delivery service is categorized as low cost with p-value at 0.001, OR: 0.089, and its CI 95% at 0.021 - 0.387; and a good beliefs towards birth attendance personnel have p -value at 0.002, OR: 2.093 and have CI 95% at 1.326 - 3.301.

Conclusion. Variables that mostly have influence on the utilization of birth attendance personnel are: mother's occupation, cost of the delivery service, and the beliefs toward birth attendance personnel.

Suggestion. Health personnel, especially for midwives and doctors who assist the delivery, should increase their knowledge and skill through a formal education, trainings and seminars, to encourage the community to establish the "delivery saving" or tabungan bersalin, or other ways, in order to cover the cost of the delivery service, and also increasing the community knowledge to have a healthy behavior and to utilize the maternal health services. Another suggestion is that the coverage of birth attendant by health personnel should be increased to prevent the maternal and child mortality.

References: 36 (1975 - 2002)"

"Cakupan persalinan oleh Tenaga Kesehatan di Puskesmas Nulle 40,8%, masih dibawah target Standar Pelayanan Minimum bidang kesehatan. Penelitian ini merupakan studi cross sectional terhadap 141 ibu yang bersalin tahun 2013, dengan tujuan untuk menganalisis faktor- faktor yang berhubungan dengan pemilihan penolong persalinan di wilayah kerja Puskesmas Nulle Tahun 2013. Pengumpulan data dengan metode wawancara menggunakan kuesioner. Hasil penelitian mendapatkan hubungan yang signifikan antara pendidikan, ketersediaan faskes dan riwayat kehamilan dengan pemilihan penolong persalinan. Pendidikan merupakan faktor yang paling dominan berhubungan dengan pemilihan penolong persalinan (p=0,001; OR=9,92) artinya ibu yang berpendidikan tinggi berpeluang 10 kali memilih tenaga kesehatan sebagai penolong persalinan dibanding ibu dengan pendidikan rendah, setelah dikontrol oleh ketersediaan fasilitas kesehatan, riwayat kehamilan dan jarak tempuh.

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Maternity coverage of Nulle?s public health center are 40,8%, still under the target of Health Minimum Standard Service. This study is cross sectional study in 141 maternity mothers 2013, with the goals to analyze factors associated with the birth attendants election in Puskesmas Nulle. Data collection is done by interview using a questionnaire. Results of this studi concluded that education, the availability health facilities and history of pregnancy were significantly associated with the birth attendants election. Education is the most dominant factor related to birth attendants election(p = 0,001; OR = 9,92) means that highly educated mothers 10 times choose health personnel as birth attendants than mothers with low education, after adjusted by the availability of health facilities, pregnancy history and mileage."

"Persalinan yang ditolong oleh tenaga kesehatan dapat menjadi upaya untuk menurunkan kematian ibu. Tujuan dari penelitian ini adalah untuk mengetahui gambaran pemilihan penolong persalinan dan determinannya di wilayah kerja Puskesmas Rumpin Kabupaten Bogor. Penelitian menggunakan disain cross sectional, pengumpulan data melalui wawancara menggunakan kuisioner pada 200 ibu yang melahirkan tahun 2015. Hasil penelitian menunjukkan 59,5% ibu memilih tenaga kesehatan sebagai penolong persalinan. Pendidikan, dukungan keluarga dan masalah pada kehamilan dan persalinan berhubungan dengan pemilihan penolong persalinan. Dukungan keluarga merupakan faktor yang dominan berhubungan dengan pemilihan penolong persalinan, ibu yang memiliki dukungan keluarga yang kuat mempunyai peluang 22 kali untuk memilih tenaga kesehatan sebagai penolong persalinan dibanding ibu yang dukungan keluarganya kurang setelah dikontrol oleh masalah pada kehamilan dan persalinan, ANC dan pendidikan.

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Deliveries attended by health workers may become an effort to reduce maternal mortality. The aim of this study is to analyze factors associated with the birth attendants selection in Rumpin Public Health Center. Cross sectional design, and interview using a questionnaire on 200 maternity mothers 2015 were used in this study. The results showed 59,9% were delivered by health workers. Education, family support and problem in pregnancy and delivery are associated with birth attendants selection. Family support was a dominant factor associated with birth attendants selection, mothers who are certain had 22 times opportunity for deliveries attended by health workers than mothers who uncertain, once controlled by problem in pregnacy and delivery, education and ANC."

"Profil Kehamilan Remaja dan Faktor Yang Berhubungan Dengan Cara Persalinannya di Rumah Sakit Umum dr.Zainoel Abidin Banda Aceh Latar belakang : Kehamilan remaja merupakan kehamilan risiko tinggi yang dapat menyebabkan masalah psikologis, luaran neonatal, dan obstetrik yang buruk. Beberapa studi menunjukkan luaran obstetri dan neonatologi yang kurang baik pada kehamilan remaja bila dibandingkan dengan kehamilan dewasa. Salah satunya angka seksio yang sesaria tinggi dibandingkan dengan perempuan dewasa. Tujuan : Untuk mengetahui luaran Obstetrik buruk pada kehamilan remaja serta mengetahui apakah terdapat hubungan antara faktor sosiodemografik dan kunjungan antenatal dengan metode persalinan pada kehamilan remaja. Metode : Analisa potong-lintang dilakukan pada persalinan dengan kehamilan remaja di RSUD Zainal Abidin, Banda Aceh, yang diambil dari rekam medis pasien pada bulan Januari 2010 sampai dengan Desember 2015. Profil kehamilan remaja, luaran buruk obstetrik, dan indikasi seksio sesaria pada subjek penelitian disajikan secara deskriptif. Analisis bivariat dilakukan untuk menilai hubungan antara metode persalinan dengan jumlah kunjungan ANC, provider ANC, klasifikasi usia Ibu, tingkat pendidikan dan jenis asuransi. Hasil : Dari 186 persalinan remaja, sebanyak 75 subjek atau 40.3 menjalani seksio sesaria. Preeklamsia, kelahiran kurang bulan, dan malpresentasi adalah 3 luaran obstetri terbanyak yang terjadi pada subjek yaitu masing-masing sebesar 14 7.5, 10 5.4, 10 5.4. Indikasi seksio sesaria terbanyak pada subjek penelitian adalah gagal induksi, ketuban pecah dini, dan persalinan sungsang, yaitu masing-masing sebesar 19 25.3, 11 14.7, dan 10 subjek 13.3. Jumlah ANC berhubungan secara bermakna dengan jenis persalinan pada kehamilan remaja OR 4.14, IK 95 1.86-9.21. Sedangkan usia ibu, penyedia jasa kunjungan antenatal, jenis asuransi, dan pendidikan terakhir tidak berhubungan dengan jenis persalinan. Kesimpulan : Angka seksio sesaria pada kehamilan remaja pada populasi di Banda Aceh tinggi. Frekuensi kunjungan antenatal yang adekuat berhubungan dengan jenis persalinan pada kehamilan remaja di Banda Aceh.

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Profile of Teenage Pregnancy and Associated Factor of the Delivery Management in dr.Zainoel Abidin General Hospital Banda Aceh Background Teenage pregnancy is one of the high risk pregnancy which can cause psychologic problems and adverse outcome to mother and neonate. Some studies show that adverse obstetrical and neonatal outcomes occur more likely in teenage pregnancy than adult pregnancy. One of the bad outcome is the high rate of caesarian section in teenage pregnancy than adult pregnancy.

Objective : To evaluate adverse obstetrical outcome in teenage pregnancy and to investigate whether the social factor, demographic factor, and antenatal care associate with management of delivery in teenage pregnancy.

Methods : Cross sectional analysis is conducted to all medical records of teenage pregnancy from January 2010 to December 2015 in Zainal Abidin General Hospital, Banda Aceh. Descriptive analysis was conducted to teenage pregnancy profile, obstetrical adverse outcome, and caesarian section rsquo s indication. Bivariate analysis was conducted to evaluate the association between management of delivery with the amount of antenatal care, the provider of antenatal care, maternal age classification, education, and insurance.

Results : From 186 teenage pregnancies, 75 pregnancies was terminated by caesarian section procedures 40,3 . Preclampsia, preterm labour, and malpresentation are the three most common obstetrical outcomes with each percentage is 14 7.5 , 10 5.4 , and 10 5.4. Indication of caesarian section procedures is 25.3 failure of induction N 19, 14.7 premature rupture of membrans N 11, and 13,3 breech presentation N 10. The amount of antenatal care visit significantly associates with teenage pregnancy OR 4.14, CI95 1.86 9.21. with The provider of antenatal care, maternal age classification, education, and insurance do not associate with management of labour.

Conclusion : There is high rates of sectio cessaria procedures in teenage pregnancy in Banda Aceh. The frequency of adequate antenatal care associates with management of labour in Banda Aceh. "