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"ABSTRAKNama : Irene JesihkaProgram Studi : Manajemen Pelayanan KesehatanJudul : Determinan Kesiapan Ibu dalam Melahirkan Sehat di WilayahKerja Puskesmas Brebes, Jawa Tengah Tahun 2018Pembimbing :Dr. Ede Surya Darmawan SKM, MDMABSTRAKDi Indonesia kematian ibu melahirkan masih merupakan masalah utama dalam bidang kesehatan.Angka Kematian Ibu AKI merupakan salah satu indikator untuk melihat derajat kesehatan perempuan. Angka kematian ibu juga merupakan salah satu target yang telah ditentukan dalam tujuan pembangunan millenium yaitu tujuan ke 5 yaitu meningkatkan kesehatan ibu. Untuk melihat bagaimana kesehatan ibu hamil bisa diukur dengan kesiapan selama hamil sampai melahirkan secara sehat.Tujuan Penelitian: Untuk Mengetahui Determinan Kesiapan Ibu dalam Melahirkan Sehat di wilayah kerja Puskesmas Brebes kabupaten Brebes Provinsi Jawa Tengah tahun 2018.Metode: Desain penelitian kuantitatif yang bersifat cross sectional di mana data yang menyangkut variabel bebas dan variabel terikat diambil dalam waktu yang bersamaan. Teknik pengambilan sampel menggunakan Non Probability Sampling yaitu Accidental Sampling dengan jumlah sebanyak 100 sampel. Pengumpulan data menggunakan kuesioner dan catatan kehamilan dalam buku Kesehatan Ibu dan Anak.Hasil:Analisis menggunakan uji Chi-Square dengan tingkat kemaknaan 95 =0,05 dan menunjukkan nilai = 0,016 untuk pendidikan ibu hamil, nilai = 0,314 untuk pekerjaan ibu hamil, nilai = 0,903 untuk pendapatan keluarga ibu hamil, nilai = 0,047 untuk Dukungan tenaga kesehatan, dan nilai p = 0,783 untuk aksesibilitas ibu menuju pelayanan kesehatan.Kesimpulan: terdapat hubungan pendidikan dengan kesiapan ibu dalam melahirkan sehat, terdapat hubungan dukungan tenaga kesehatan dengan kesiapan ibu dalam melahirkan sehat, tidak terdapat hubungan pekerjaan, pendapatan dan aksesibilitas ibu hamil dengan kesiapan ibu dalam melahirkan sehat di Puskesmas Brebebes, Jawa Tengah.Kata Kunci : Angka Kematian Ibu, Ibu hamil, Kesehatan Ibu Hamil, Pendidikan, Dukungan Tenaga Kesehatan, Pekerjaan, Pendapatan, dan Aksesibilitas.

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Name Irene JesihkaStudy Program Health Care ManagementTitle Determinants of Maternal Readiness in Childbirth Healthyin Work Area Puskesmas Brebes, Central Java, 2018Mentor Lecturer Dr. Ede Surya Darmawan SKM, MDMABSTRACTIn Indonesia, maternal status is still a major problem in the health sector. One of the benchmarks to see the level of public health is to measure maternal mortality in the province. Maternal Mortality Rate MMR is one indicator to see the degree of women 39 s health. Maternal death is also one of the targets set in the millennium development goals of the fifth goal to improve maternal health. To see how the health of pregnant women can be measured with readiness during pregnancy until healthy delivery.Objective To Know the Determinant Maternal Preparation on Healthy Delivery at Brebes Health Center in Brebes District, Central Java Province 2018.Method Quantitative research design is cross sectional where data is different and different variable. Sampling technique using Non Probability Sampling is Accidental Sampling with number of 100 samples. Data collection using questionnaires and notes in the Maternal and Child Health book.Result The analysis using Chi Square test with 95 significance level 0,05 and value show 0,016 for education of pregnant mother, value 0,314 for pregnant woman job, value 0,903 for income family of pregnant women, 0,047 for health service, and p value 0,783 for mother access to health service.Conclusion there is a relationship of education with the readiness of mother in childbirth, there is relation with others, no relation, income and accessibility of pregnant mother with readiness giving birth at Brebebes Health Center, Central Java.Key Words Maternal Mortality Rate, Pregnant Women, Pregnant Women 39 s Health, Education, Medical Devices, Employment, Income, and Accessibility."

"Penelitian terdahulu menyebutkan bahwa ibu melahirkan secara sectio cae-sarea cenderung lebih lambat melakukan inisiasi menyusu dini dan mem-punyai prevalensi lebih rendah dalam praktik ASI ekslusif dibanding Ibumelahirkan pervaginam. Ibu post sectio caesarea juga tidak memulaimenyusui bayinya pada hari pertama melahirkan. Tujuan penelitian iniadalah mengetahui faktor yang menyebabkan rendahnya praktik inisiasiASI pada Ibu post sectio caesarea termasuk peran tenaga kesehatan di se-buah rumah sakit di Surabaya. Sebanyak 72 ibu yang melahirkan secarasectio caesarea selama bulan Juni 2012 telah menandatangani informedconsent, diobservasi sejak masuk rumah sakit sampai akhir hari ke-2 postsectio caesarea, dan diwawancara dengan menggunakan kuesioner. Hasilpenelitian menunjukkan semua ibu sudah mempunyai pengetahuan yangbaik tentang ASI, 26,4% di antaranya sudah mempunyai pengalaman se-belumnya dalam memberikan ASI, tetapi hanya 6,9% dan total 29,2% yangmulai memberikan ASI pada hari pertama dan kedua pasca sectio cae-sarea. Dukungan tenaga kesehatan dalam hal membantu proses pember-ian ASI dilaporkan masih rendah. Uji korelasi mendapatkan bahwa dukun-gan tenaga kesehatan dan kondisi rawat gabung adalah faktor yangberhubungan dengan praktik pemberian ASI (p value 0,39; p = 0,001; phivalue = 0,47; p = 0,001). Rendahnya pemberian ASI ibu pasca sectio cae-sarea berkorelasi dengan rendahnya dukungan tenaga kesehatan dan pe-nundaan rawat gabung.Previous studies showed that breastfeeding initiation was late in babiesborn with sectio caesarea compared to those with vaginal delivery andprevalence of exclusive breastfeeding practice was low in the former group.There was no breastfeeding initiation in the first day of post sectio caesarea.The objective of this study was to define factors correlated to low breast-Rendahnya Praktik Menyusui pada Ibu Post SectioCaesarea dan Dukungan Tenaga Kesehatan di RumahSakitThe Low Practices of Breastfeeding for Sectio Caesarea Women and HealthWorkers Support in HospitalDwi Retno Wulandari, Linda Dewantifeeding practice initiation on post sectio caesarea mother, including the roleof health workers in a hospital in Surabaya. 72 post sectio caesarea moth-ers were observed and interviewed on 1-30 June 2012 to find the factorscorrelated with breastfeeding practice. The results showed that although allthe mothers already had a good knowledge about breastfeeding, and 26.4%of them had previous experience in breastfeeding, only 6.9% and 29.2% oftotal breastfeeding is started on the first and second post sectio caesarearespectively. Support for breastfeeding practice from health workers waslow, and there were significant correlation between the support and room-ing conditions with breastfeeding practices (p = 0.001). We concluded thatlow level of breastfeeding practice on mother with sectio caesarea correlat-ed with low support of health professional and with the delay of room-inpractice."

"The coverage of exclusive breastfeeding in the City of Pagar Alam in 2011 was by 43%. Advertising of infant formula has reached privately practicing midwives or health centers. The approach from infant formula manufacturers to midwives in health centers is by providing free milk formula to nursing mothers to be distributed under the pretext of promotion. The objective of this study is to analyze the determinants of exclusive breastfeeding practice failures in the City of Pagar Alam of South Sumatra Province. The population study with an unmatched case-control design was conducted in the City of Pagar Alam. The population was all breastfeeding mothers who had babies in the city of Pagar Alam of South Sumatra Province.The research subjects are breastfeeding mothers who had babies aged 7 - 12 months who selected with proportional random sampling method. The variables of the study included the dependent variable, i.e, the practice of exclusive breastfeeding, the independent variable, i.e, promotion of free milk formula samples. The risk of not exclusively breast feeding amang mothers who had accepted formula milk samples and who absence of support posed by health workers is 3.67 and 4.20 times higher the mothers who had not accepted the formula milk sample and who absence of support posed by heath worker."