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"Kesiapan peran menjadi ibu merupakan solusi yang krusial terhadap kesehatan ibu dan anak. Penelitian ini bertujuan mengetahui perbandingan kesiapan peran menjadi ibu pada perempuan berdasarkan usia, paritas, tipe keluarga, dukungan sosial, dan risiko depresi pascapartum. Desain penelitian ini adalah studi komparatif dengan pendekatan cross sectional, melibatkan 152 perempuan 0-4 bulan pascapartum di Kecamatan Bogor Utara yang dipilih dengan teknik consecutive sampling. Kesiapan peran menjadi ibu diukur menggunakan instrumen Maternal Role Attainment Scale Form-B. Hasil penelitian menunjukkan bahwa terdapat perbedaan bermakna pada kesiapan peran menjadi ibu berdasarkan paritas dan dukungan sosial dengan nilai p value 0,008 dan 0,037. Namun tidak ditemukan perbedaan berdasarkan usia, tipe keluarga, dan depresi pascapartum. Penelitian ini diharapkan dapat bermanfaat bagi pendidikan, pelayanan kesehatan, dan penelitian keperawatan untuk meningkatkan kesiapan peran menjadi ibu pada perempuan.

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Women's role readiness on becoming a mother is crucial solution for maternal and children?s health. This study aimed to compare women?s role readiness on becoming a mother at the formal-informal stages according to age, parity, family type, social support, dan postpartum depression risk. Research design in this study was comparative study with crossectional approach, involved 152 women at 0-4 months postpartum period in Kecamatan Bogor Utara which were selected by consecutive sampling. Women?s role readiness was measured by Maternal Role Attainment Scale Form B.

Results of this study indicated that there were significant differences of women's role readiness according to parity and social support with p value 0,008 and 0,037. Meanwhile, there were no significant differences according to age, family type, and postpartum depression. This study was expected to be beneficial for nursing education, health services, dan research to increase readiness of maternal role on becoming a mother among women."

"ABSTRAKLatar Belakang: Sekitar 6-7% kehamilan disertai trauma, yang berkontribusi menyebabkan kematian maternal hingga 46%, namun jarang dibicarakan karena bersifat non-obstetrik. Komplikasi maternal meliputi ketuban pecah, solusio plasenta, cedera organ intraabdomen, perdarahan, terminasi seksio sesarea, bahkan kematian. Morbiditas dan mortalitas janin bahkan dapat terjadi tanpa cedera signifikan pada ibu. Hingga saat ini, belum ada publikasi mengenai trauma pada kehamilan di Indonesia.

 

Tujuan: Penelitian ini bertujuan mengetahui profil trauma pada kehamilan di RSUPN Cipto Mangunkusumo Jakarta dan RSUD Dok II Jayapura.

 

Metode: Penelitian bersifat deskriptif observasional. Semua ibu hamil dengan trauma yang memeriksakan dirinya ke RSUPN Cipto Mangunkusumo dan RSUD Dok II tahun 2016-2018 dimasukkan sebagai subyek penelitian. Data demografis, obstetrik, karakteristik trauma, gejala dan temuan klinis, serta luaran ibu dan janin dianalisa secara deskriptif.

 

Hasil: Didapatkan 100 kasus trauma dari 7130 ibu hamil dalam penelitian ini. Berdasarkan ISS (Injury Severity Score), 76% subyek termasuk trauma derajat ringan, 20% derajat sedang, dan 4% derajat berat. Tiga mekanisme trauma terbanyak adalah jatuh (61%), kecelakaan lalu lintas (24%), dan kekerasan domestik (9%) dengan jenis trauma kontusio (82%) dan trauma superfisial (60%). Gejala klinis meliputi nyeri abdomen (60%), perdarahan pervaginam (13%), dan ketuban pecah (8%). Didapatkan 1 kasus syok, 2 kasus solusio plasenta, dan 2 kasus gawat janin. Luaran ibu baik, dengan 3% abortus, 3% seksio sesarea, 9% induksi pervaginam, dan 85% konservatif (di mana 91,8% kehamilan berhasil dipertahankan, 7,0% lahir prematur dan 1,2% abortus spontan). Luaran janin menunjukkan 1% lahir mati, 4% abortus, 10% lahir prematur, 7% lahir aterm, dan 78% konservatif.

 

Kesimpulan: Insidens trauma pada kehamilan pada penelitian ini sebesar 1.4%. Sebagian besar subyek termasuk kategori trauma derajat ringan (76%), disebabkan mekanisme jatuh (61%), dengan jenis trauma kontusio (82%) dan klinis nyeri abdomen (60%). Didapatkan 1% kasus syok, 2% solusio plasenta, 2% gawat janin, 4% abortus, dan 1% lahir mati, tanpa adanya mortalitas ibu. ISS (Injury Severity Score) dapat diterapkan untuk menilai derajat trauma ibu hamil, namun tidak menggambarkan luaran ibu maupun janin.

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ABSTRACTBackground: Trauma complicates 6-7% pregnancies and causes up to 46% maternal deaths. Yet, it is rarely taken into consideration because of its non-obstetric origin. Maternal complications include membrane rupture, placental abruption, internal organ injury or hemorrhage, caesarean section termination, even maternal death. Fetal morbidity and mortality can even occur without significant maternal injuries. So far, there is no publication regarding trauma in pregnancy in Indonesia.

 

Objectives: This study aimed to determine the profile of trauma in pregnancy at RSUPN Cipto Mangunkusumo Jakarta and RSUD Dok II Jayapura.

 

Methods: This was a descriptive observational study. All pregnant women with trauma went to RSUPN Cipto Mangunkusumo and RSUD Dok II during 2016-2018 were included. Demographic and obstetrics datas, trauma characteristics, clinical findings, and all maternal and fetal outcomes were analysed.

 

Results: Of all 7130 pregnant women included, there were 100 trauma cases. Using ISS (Injury Severity Score), 76% subjects had mild trauma, 20% moderate trauma, and 4% severe trauma. Three main trauma mechanisms were fall (61%), motor vehicle accidents (24%), and domestic assaults (9%), with contusion (82%) and superficial trauma (60%). Clinical symptoms included abdominal pain (60%), vaginal bleeding (13%), and water broke (8%). There were 1 hypovolemic shock and 2 placental abruption cases, with 2 fetuses showing fetal distress. Maternal outcomes were good; with 3% abortion, 3% caesarean-section, 9% vaginal induction, and 85% conservative cases (of which 91.8% managed to continue the pregnancy, 7.0% had preterm labor, and 1,2% had spontaneous abortion). Fetal outcomes showed 1% stillbirth, 4% abortion, 10% preterm birth, 7% term birth, and 78% conservative pregnancy.

 

Conclusions: Incidence of trauma in pregnancy in this study is 1.4%. Most subjects have mild trauma (76%), caused by fall (61%), presented mostly with contusion (82%) and abdominal pain (60%). We reported no maternal mortality, 1% hypovolemic shock, 2% placental abruption, 2% fetal distress, 4% abortion rate, and 1% stillbirth. ISS can be applied to assess maternal trauma degree, but does not represent maternal or fetal outcomes.

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"Pria yang istrinya sedang hamil, mengalami perubahan psikologi atau disebut juga adaptasi paternal. Salah satu perubahan psikologi yang terjadi yaitu couvade syndrome, yang mana suami dapat merasakan gejala yang dirasakan Istri pada masa kehamilan. Gejala couvade syndrome dapat menimbulkan rasa tidak nyaman dan mempengaruhi dukungan suami pada masa kehamilan istri. Gejala couvade syndrome dapat dirasakan karena terdapat keterlibatan emosi atau empati suami dengan istri. Tujuan penelitian ini adalah mengidentifikasi hubungan antara empati suami di kehamilan istri dengan kejadian couvade syndrome di wilayah Depok. Desain penelitian adalah Cross Sectional dengan jumlah sampel 107 responden menggunakan teknik consecutive sampling. Metode pengumpulan data dengan cara pengisian kuesioner. Analisis yang digunakan dalam penelitian ini adalah analisis univariat dan bivariat. Dari persebaran variabel dependen dan independen dihasilkan kejadian couvade syndrome sebesar 40 dan level empati rerata sebesar 58,38 poin di wilayah Kecamatan Pancoran Mas, Depok. Hasil analisa statistik menunjukkan bahwa tidak ada hubungan antara empati suami dengan kejadian couvade syndrome pada kehamilan istri karena p sebesar 0,098 p value le; 0,05. Peneliti merekomendasikan kepada tenaga kesehatan atau pelayanan kesehatan untuk membuat upaya atau progam akan kesadaran suami atau empati suami dengan kehamilan istrinya, serta membantu penanganan gejala couvade syndrome yang dirasakan suami selama kehamilan istri.

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Men whose wive rsquo s are pregnant, undergo a psychological change or also called paternal adaptation. One of the psychological changes is couvade syndrome, in which the husband can feel the symptoms that also felt by the wife during pregnancy period. The symptoms of couvade syndrome can be resulted as the feeling of uncomfortable and affect husbands support towards the wife during pregnancy. Couvade syndromes symptoms can be felt since there is husbands emotional involvement or empathy with his wife.

The aims of this study is to identify the relation between husbands empathy during wife rsquo s pregnancy with study case of couvade syndrome in Depok City region. The design of the research is Cross Sectional with total of the sample is 107 respondents that collected by using consecutive sampling technique. The method of collecting data is by filling questionnaire.

The analysis that being used in this research is univariate and bivariate analysis. From the distribution of dependent and independent variables, the incidence of couvade syndrome was 40 and the mean empathy level was 58.38 points in Pancoran Mas sub district, Depok.

The results of statistical analysis showed that there was no relationship between husband empathy with the incidence of couvade syndrome in pregnancy wife because p by 0,098 p value le 0,05.

The researcher recommends that health experts or health care workers to make efforts or programs which can build the awareness or empathy of the husband with the pregnancy of his wife, and also help handling the symptoms that husband felt during the wifes pregnancy."