Poedji Rochjati
Department of Obstetrics and Gynecology, Dr. Soetomo Hospital /Faculty of Medicine Airlangga University, Surabaya.

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Manajemen Risiko dalam Pelayanan Kesehatan Dasar Menuju Persalinan Aman Rochjati, Poedji
Obstetri Vol 13, No 2 (2005)
Publisher : Obstetri

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Abstract

Risk Management, conceptually is an effort based on previous experiences to controle and to prevent pro-actively to avoiding theoccurance ofthe same problem. Risk management consist of four steps: 1) risk awareness, realising and responding to any possibledanger, 2) risk control and risk prevention, 3) risk containment-an efSort to avoid aggravating the existing condition, and 4) risktransfer-referring to a better health care facilities. Risk Management (RM) need a practice, simple standart for application and beimplemented consistantly and systematically. The objective of RM in maternal health care: I) to identzfi the problem or risk factoras early as possible and repeatedperiodically as an antenatal risk screening, and 2)final screening to all pregnant women with 38weeks gestational age to controling and preventing pro-actively of the possible danger of complication during delivery in savingthe mother and their newborn babies. Operationally, RM in maternal health care is implemented by using the Safe Pregnancy andDelivery package with six main components/activities: I) early detection ofthe problems/riskfactor 2) prediction of the possibleobstetric complication, 3) Information, communication and education (IEC) topregnant woman husband and family, 4) prevention tomaternal andperinatal mortality and morbidity, 5) anticipation to preparing and planning for safe delivery, also planned referral tohospital if needed, and 6) intervention by adequate better care in the hospital. The final screening was essential to be implementedby the Village midwives, then IEC to family to diciding planned referral the still healthy high risk women for safe delivery, especiallyin remote villages far from the referral hospital. While for the village midwives, the$nal screening with their own SWOTJanalysis isvely important to deciding whether to delivery the pregnant woman by themseves or refer to hospital.Key words: risk management, place and birth attendant for safe delivery andplanned referral
Pengembangan Dompet Sayang Ibu bagi Ibu Gakin `Outreach Program dari RSU Dr. Soetomo/RS. Rujukan Surabaya Rochjati, Poedji
Obstetri Vol 14, No 2 (2006)
Publisher : Obstetri

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The objective of this study was developing Mother Friendly Wallet, an Exit Strategy for the Social Safety Net program for poor pregnant women ended in December 2002. The research was done at Surabaya City with 31 subdistricts and 163 villages, February 2002. The research applied following method: Integrated Team was developed with the activities – in City Level: advocation to the Mayor with the interrelated sectors and Hospital Directors with MCH Clinics. Several meetings was conducted: 1) Public Consultation with the theme: Pay attention to poor pregnant women, 2) Socialisation the need in developing fund raising for financial support to Poor Women, and 3) Socialisation about the political/financial support from Government to reducing maternal mortality, with the participants Heads of Subdistricts/Villages, PKK (Women Voluntary Movement), Health Centers Doctors/midwives and Community Leaders. In Subdistrict level: 1) monitoring - the field activities of Mother Friendly Subdistricts, their readiness to support poor women and 2) Problem-based Family-based Maternal Health Care applied to all pregnant women using the Score- Card and Mother Friendly Card, while Red Card for Poor women for their financial support. The resultof the research were as follows: the mission – From, By and For the Community: 1) MOTHER FRIENDLY WALLET (MFW) was developed with five activities: Fund Raising, Fund Mobilization, Verification Poor women, Medical Care and Evaluation, involving interrelated sectors, social/professional organization, Community/PKK, East-Java Bank and 2) REFERRAL HOSPITAL NETWORK. Continuing Activities of MFW Team: 1) develop MFW in all subdistricts, 2) fund raising by involving 60 restaurants using voucher system with Rp58,250,000.- donated to MFW, 3) financial support to 284 poor women (spontaneous delivery 246, vaginal operative delivery 2, C-section 36), total expenditure was Rp156,508,525.- with no maternal death, 7 neonatal deaths. The already registered are 159 mothers. It can be concluded that MFW, outreach program by Referral Hospital gives safety impact for poor women/family.
Common obstetric emergency (Field experiences on community based antenatal risk screening in village level in East Java, Indonesia) Rochjati, Poedji
Medical Journal of Indonesia Vol 5, No 2 (1996): April-June
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1138.838 KB) | DOI: 10.13181/mji.v5i2.849

Abstract

[no abstract available]
Profil Primigravida Muda dan Luaran Persalinan di Rumah Sakit Dr.Oen Surakarta Raharja, Supanji; Emilia, Ova; Rochjati, Poedji
JURNAL KESEHATAN REPRODUKSI Vol 5, No 1 (2018)
Publisher : IPAKESPRO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.37993

Abstract

Background: Pregnancy at a young age has become an important health problem both in developed and developing countries. Pregnancy at a young age increases the risk of maternal and perinatal morbidity and mortality. This is because adolescent women who are not ready both physically and psychologically to get pregnant.Obsjective: This study aims to identify and analyze labor in young primigravida (<20 years) with pathological labor in hospital Dr.Oen Surakarta.Method: This was an observational analytic study without intervention in the form of comparative cross sectional study conducted in young primigravida group age <20 years and primigravida group age 20 to 34 years old, who underwent labor in hospital delivery room. Dr.Oen Surakarta. This study used secondary data from the medical record of pregnant women who gave birth at RS.Dr.Oen Surakarta from January 1, 2011 to December 31, 201. A comparison between young primigravids (<20 years) in which pathologic pathways were performed with primigravida of reproductive age (20-34 years) experienced pathological labor were conducted.Result and Discussion: The number of deliveries in young primigravida (<20 years) was 61 people (6.65%) whereas in primigravida (21-35 years) there were 856 people (93.34%). Younger primigravids have lower levels of education than the primigravida age of reproductive age (p 0.00, CI 3.557 - 11.227). The younger primigravida has a tendency to give birth outside its residence area compared to primigravida of reproductive age (p 0.00; CI 0.050,178). Unmarried status in the young primigravida is greater than that of primigravida of reproductive age (p 0.00, CI 0.011 - 0,229) .An Antenatal Care on Primigravida reproductive age is more regular than young primigravida (p 0.03; CI 0.255 - 0.97) . Young primigravida tended to have anemia (p = 0.00, OR 8.4 CI 3.22 - 21.93) The risk of prematurity was higher in young primigravids than in the reproductive age primigravida (p 0.01, OR 2.9 CI 1, 16 - 7.25). Younger primigravids have a higher risk for pathologic delivery compared to primigravida of reproductive age (p 0.05 OR 0.56 CI 0.315 - 1.01).Conclusions: There are differences in terms, level of education, marital status, residence, regularity of ANC between young primigravida and prmigravida of reproductive age. The study found that young primigravids have a higher risk of occurrence of anemia, prematurity and pathologic delivery compared with healthy reproductive age primigravids.Keywords: young primigravida, primigravida healthy reproductive age, risk factors