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Abstrak :
Komplikasi persalinan merupakan penyebab langsung kematian maternal yang sebenarnya dapat dicegah melalui perawatan kehamilan yang baik. Peningkatan cakupan pemeriksaan kehamilan yang tidak diikuti dengan menurunnya komplikasi persalinan karena para ibu hamil belum sepenuhnya mendapatkan pelayanan yang sesuai standar. Tujuan penelitian ini untuk mengetahui hubungan antara perawatan kehamilan dengan komplikasi persalinan pada ibu di Indonesia. Penelitian ini merupakan studi analitik menggunakan data Survei Demografi dan Kesehatan Indonesia (SDKI) tahun 2012 dengan desain cross-sectional. Sampel penelitian yaitu semua perempuan usia 15-49 tahun yang pernah melahirkan anak hidup maupun mati, tercakup dalam rumah tangga yang disurvei di 33 propinsi di Indonesia yang memenuhi kriteria sampel penelitian sebanyak 11.803 responden. Variabel yang diteliti adalah komplikasi persalinan, perawatan kehamilan, umur ibu saat melahirkan, pendidikan, paritas, jarak kelahiran, penolong persalinan, tempat persalinan, riwayat komplikasi kehamilan, riwayat komplikasi persalinan sebelumnya dan kehamilan kembar. Analisis menggunakan regresi logistik ganda. Hasil penelitian menunjukkan prevalensi kejadian komplikasi persalinan di Indonesia antara kurun waktu tahun 2007-2012 sebanyak 49,2% dan prevalensi perawatan kehamilan yang buruk tidak sesuai standar sebanyak 91,2%. Ibu dengan perawatan kehamilan yang buruk berisiko 1,3 kali lebih tinggi mengalami komplikasi persalinan dibandingkan dengan ibu dengan perawatan kehamilan baik (OR: 1,3, 95% CI: 1,14-1,49). ......The complication that appears during delivery is the direct cause of maternal death which could be prevented through a better antenatal care. Improved antenatal coverage was not followed by decline of delivery complication since mothers/pregnant women has not been fully obtained adequate standard services. The purpose of this study to analyze the relationship between antenatal care with childbirth complications on mothers in Indonesia. This research is an analytical study uses data of Indonesia Demographic and Health Survey (IDHS) at year 2012 with cross-sectional design study. The research sample was all women aged 15-49 years who had given birth the child alive or dead, is included in the households surveyed in 33 provinces in Indonesia that meet the criteria of the study sample as many 11.803 respondents. Variables studied are childbirth complications, antenatal care, maternal age in childbirth, education, parity, preceding birth interval, birth attendence, place of delivery, a history of pregnancy complications, previous history of childbirth complications and multiple pregnancies. Analysis using multiple logistic regression. Results showed the prevalence of childbirth complications on mother's in Indonesia between the period of 2007-2012 as much as 49.2% and the prevalence of poor antenatal care (is not according to standards) as much as 91.2%. Mothers with poor antenatal care were 1,3 times higher risk for complications of childbirth compared with women with good antenatal care (OR: 1.3, 95% CI: 1.1 to 1.4).

Abstrak :
Kejadian selama persalinan dapat mempengaruhi keadaan fisik dan psikologis ibu dan bayi sehingga mempengaruhi motivasi ibu untuk merawat bayinya. Tujuan penelitian ini untuk mengetahui hubungan kejadian penyulit persalinan dengan motivasi ibu merawat bayinya. Penelitian dilakukan di RSU Kota Tasikmalaya dan RSU Ciamis menggunakan rancangan cross sectional, pengambilan sampel menggunakan non probability sampling dengan pendekatan quota sampling sebanyak 80 responden. Hasil penelitian menunjukkan ada hubungan antara masalah panggul sempit dengan motivasi ibu merawat bayinya (p=0,047), tidak ada hubungan masalah kontraksi dengan motivasi ibu merawat bayinya (p=1,000), tidak ada hubungan masalah janin dan plasenta dengan motivasi ibu merawat bayinya (0,191). Perawat maternitas diharapkan memberikan perawatan extra kepada ibu yang mengalami penyulit persalinan dan penurunan motivasi dalam merawat bayinya. ......The complication occur during the childbirth could influence the physical and psychological conditions of the mother and baby so that it could affect the mother´s motivation to look after her baby. The objective of this research is to study the relation between the complication during the childbirth with the mother´s motivation to look after her baby. The work was performed at Tasikmalaya and Ciamis public hospital using the 'cross sectional' method. The samples were taken using 'non probability sampling' by the approach of 'quota sampling' with the quantity of 80 respondents. The results showed that there is a relation between the childbirth difficulties due to narrow pelvis with the mother´s motivation to look after her baby (p=0.047), there is no relation between contraction with the mother´s motivation to look after her baby (p=1,000), there is no relation between fetus and placenta with the mother´s motivation to look after her baby (p=0,191). The maternity nurses are expected to give more caring to the mother which have complication childbirth and low the mother motivation's.