FAKTOR–FAKTOR YANG BERHUBUNGAN DENGAN PRAKTIK BIDAN DALAM PELAKSANAAN DETEKSI DINI PREEKLAMPSI PADA IBU HAMIL DI WILAYAH KABUPATEN BREBES TAHUN 2013

Abstract

Death rate of Mother (AKI) in Brebes in 2011 is 100.68/100.000 alive birth. The death of the mothers are caused by preeclampsia (43.14%), 23.53% bleeding, 7,84% Infection, and 25.49 others. There are 218 cases of preeclampsia in 2009, 232 cases in 2010, 483 cases 2011, 491 cases in 2012 in Brebes. The aim of the research is to analyze the Factors related to Midwifery’s Practice in Applying Preeclampsia Early Detection on Pregnant Mother in Brebes Regency.

The research is survey research that the design is cross sectional. The population of the research is all Midwifery in Brebes.Technique sampling with

clustered random sampling is between sub district level and sub district level as

cluster.The subject is 122 respondents.The respondents are interviewed by using structured questionnaire. Analyses data are chi square test and double logistic regression. Dependent variable consists of age, education, period of working, midwifery’s knowledge regarding preeclampsia, attitude, motivation, compensation system, supervision by kasie kesga/ BI facility of health equipment.Independent variables are Midwifery’s Practice in Applying Preeclampsia Early Detection. The result of the research shows that there is correlation between knowledge (p = 0.030), attitude (p = 0.0001), motivation (p

= 0.0001), compensation system (p = 0.019), supervision by kasie kesga/ BI (p

= 0.012) with Midwifery’s Practice in Applying Preeclampsia Early Detection. The  result  of  multivariate  shows  that  the  factors  influencing  together  on

Midwifery’s  Practice  in  Applying  Preeclampsia  Early  Detection  on  pregnant

mother is attitude (p = 0.027), motivation (p = 0.0001), compensation system (p

= 0.002), supervision by kasie kesga/BI (p =0.047). The most factor which

influences is midwifery’s motivation (OR = 8.292). It is recommended to health staff to raise midwifery’s motivation by committing supervision regularly to PUSKESMAS or BPS and to provide training to midwifery, raising the attitude of the midwifery in order to more support on Midwifery’s Practice in Applying Preeclampsia Early Detection.