ABSTRACT
Background. The Maternal Mortality Rate (MMR) in Indonesia is still a health problem that must be solved. In 2018 and 2019, the postpartum period still dominates maternal mortality in Surabaya. The postpartum visit method is one of the essential things that can affect postpartum services, so it is necessary to evaluate the implementation of the postpartum visit method and recommend visiting methods to improve maternal health. Objective.The study explores the implementation and recommendation of postpartum visit methods during the COVID-19 Pandemic. Materials and Methods. It used a qualitative research type by assessing the interview and observation dept. The instruments used are questionnaires and observation sheets. Researchers conducted interviews with 14 mothers who had completed the postpartum period, five midwives, a stakeholder in the health office and two experts in the field of maternal health. The data is processed using organizing, reduction, coding, description, linking between themes, and data interpretation. Results. Offline visits to health facilities still dominate the implementation of the postpartum visit method. The recommended postpartum visit method combines visits to health facilities, home visits, and telehealth. Besides that, it is necessary to consider maternal postpartum services up to 3 months after delivery, especially for postpartum mothers who have problems. Conclusion. The postpartum visit method during the COVID-19 pandemic, has not run optimally because there are restrictions on offline visits. However, it has not been supported by online monitoring or home visits.Copyright © the Author(s), 2023.
ABSTRACT
Background: The Covid-19 pandemic has led to the closure of health facilities and a decrease in the usage of contraceptives. Therefore, the government and professional organizations initiated telehealth services to improve the quality of health services and minimize the risk of Covid-19 transmission. Aims: This study explored the perceptions, attitudes, and usage of telehealth by independent midwives during the Covid-19 pandemic in Surabaya. Methods: This qualitative phenomenology study was conducted from March to April 2021, and it involved independent midwives in Surabaya. The purposive sampling technique was used to select informants, and it obtained seven informants that met the inclusion criteria. Primary data were retrieved through semi-structured in-depth interviews. Results: This is due to the influence of their age, knowledge, the intensity of previous telehealth use, gaps in technology use, availability of facilities and infrastructure, self-motivation, social support, and efforts to find solutions through telehealth. Conclusion: Five out of the seven midwives decided to continue using telehealth in their services after the pandemic because of its benefits and impacts. Midwives, professional organizations, and policymakers need to consider the use of telehealth to improve the future services. © 2022 Avina Oktaviani Agifnita, Budi Prasetyo, Ivon Diah Wittiarika.
ABSTRACT
Background: Maternal with to COVID-19 is a new maternal emergency issue leading to maternal morbidity and mortality. In Indonesia, the number of cases of maternal mortality with COVID-19 began to increase. This study aims to determine the characteristic of maternal deaths due to COVID-19 in a tertiary care center in Indonesia. Method: This observational-retrospective study descriptively analyzed 15 maternal deaths due to COVID-19 admitted to the Department of Obstetrics and Gynaecology at the tertiary care teaching hospital from March to December 2020. We included suspect, probable, and confirmed COVID-19 in the samples. Therefore, the total sampling was recorded and analyzed descriptively by Microsoft Excel.
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BACKGROUND: Pregnant women in the era of the COVID-19 pandemic were listed as one of the vulnerable groups at risk of being infected with COVID-19 because during pregnancy there were changes in gestational physiology and immunological changes in the body’s system. Changes in the immune system that occur during pregnancy can make pregnant women more susceptible to coronavirus infection and more at risk of experiencing severe and fatal disease symptoms. AIM: The purpose of this study was to analyze the effect of self-screening on behavior to prevent the risk of being exposed to COVID-19 in pregnant women. METHODS: This type of research is experimental using a randomized controlled trial research design. This research was conducted for 2 weeks in August–September 2021. The population of this study was pregnant women in Surabaya. The sampling technique used consecutive sampling technique and was divided into two groups, namely, the intervention group with 39 respondents and the control group with 39 respondents. Data analysis used the Wilcoxon signed ranks test with a significance value of p < 0.05. The questionnaire used in this study was designed using a reference and behavioral theory approach with a reliability of 0.89 and a validity test that obtained a Cronbach alpha value of 0.86. RESULTS: The average behavior to prevent the risk of being exposed to COVID-19 before conducting a selfscreening intervention in the intervention group was 1.92 (the behavior to prevent the risk of being exposed to COVID-19 was sufficient) and in the control group was 1.85 (the behavior to prevent the risk of being exposed to COVID-19 was sufficient) with p = 0.596 which means there is no difference in the average behavior to prevent the risk of being exposed to COVID-19, while after being given the self-screening intervention the average prevention behavior in the intervention group is 2.46 (the behavior to prevent the risk of being exposed to COVID-19 is good) and in the control group is 2.05 (the behavior of preventing the risk of being exposed to COVID-19 is good) with p = 0.000 which means that there is a difference in the average behavior of preventing the risk of being exposed to COVID-19 in the intervention group and the control group after being given a self-screening intervention. CONCLUSION: In general, this study proves that self-screening can foster behavior to prevent the risk of being exposed to COVID-19 in pregnant women.
ABSTRACT
Introduction: Burdensand types of occupation will cause psychological stress during Covid-19 pandemic, especially jobs in the medical field. The rapid transmission of the disease and the increasing number of people infected by Covid-19 bring anxiety and worry and decrease the level of happiness that will obstruct the secretion of oxytocin hormone that brings problems to breast milk production and breastfeeding process. This study was aimed at analyzing the correlation between occupation, stress level and breast milk production during Covid-19 pandemic in Indonesia. Method: This correlational study was conducted by using cross sectional design.Thetechniqueused to collect the samples totaling 110 breastfeeding mothers was simple random sampling technique. The independent variables were occupation and stress level, whereas the dependent variable was breast milk production. This study used Perceived Stress Scale (PSS) questionnaire to measure the stress level and another questionnaire to measure the smoothness of breast milk production. Furthermore, data analysis was done by using Chisquare statistic test with the significance level of p < 0.05. Result: The result of this study showed that of 110 respondents, most of them (67%) worked in the medical field;nearly all (70.9%) experienced severe stress;and nearly all (80%) had unsmooth production of breast milk. Whilst, the result of Chi-square test showed that the value of p =0.000 showing that there was a correlation between occupation, stress level and breast milk production during Covid-19 pandemic in Indonesia. Conclusion: Occupation, stress level and breast milk production are correlated during Covid-19 pandemic in Indonesia. Therefore, the medical workers, especially nurses are expected to play their active roles to educate and teach the breastfeeding mothers how to manage stress correctly to maintain the production of breast milk in any conditions.
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The emergency hospital is intended to prevent transmission of COVID-19 in the community by isolating patients without symptoms, with mild or moderate symptoms. This study evaluated the clinical characteristics and outcomes of COVID-19 patients who were admitted to this facility. This retrospective study reviewed data of patients treated at the National Emergency Hospital Wisma Met Kemayoran in Jakarta, Indonesia, from March 23 to April 30, 2020. Patient characteristics (clinical symptoms, laboratory test results, Chest X-Ray, SARS-CoV-2 immunoserology, and RT-PCR results from nasopharyngeal/oropharyngeal preparations) were compared between severity groups. There were 413 COVID-19 cases analyzed, of which 190 (46%) were asymptomatic, 93 (22.5%) were mild, and 130 (31.5%) were moderate cases. Most asymptomatic cases were male, with young age, and without comorbidity. Mild cases were dominated by female and young patients, while most moderate cases were male and older patients. The number of patients with comorbidities was higher in mild and mod-erate cases. The patient's overall outcome was good and did not differ based on the severity of symptoms. Despite the many challenges, patients with moderate symptoms can be safely treated in the emergency hospital.
ABSTRACT
The case of COVID-19 in Indonesia has shown a significantly increasing curve. This condition affected the regulation of maternal health services in Indonesia, especially in East Java Province. The health services structure was a challenge in itself, where hospitals must be adaptive during the COVID-19 pandemic. This situation also caused changes in several components of maternal health services. The report focused on maternal services in two hospitals at East Java, Indonesia (Soetomo General Hospital and Universitas Airlangga Academic Hospital) that described five main components, including patient screening, hospital visit policies, intrapartum management, postpartum management, protection and safety for health workers, and funding issues.