IMPROVING THE KNOWLEDGE MANAGEMENT WITH TRAINING BASIC EMERGENCY OBSTETRIC NEONATAL TO MIDWIFE IN SURAKARTA HEALTH CENTER

Abstract

Abstrak

Pengetahuan bidan yang baik dan tepat sangat mendukung upaya pelayanan ibu dan anak yang komprehensif. Pengetahuan tentang Pelayanan Obstetrik Neonatal Emergensi Dasar (PONED) memberikan dasar pada bidan untuk mengidentifikasi komplikasi atau  kegawatdaruratan kehamilan, persalinan, nifas dan neonatal. Salah satu upaya peningkatan pelayanan kebidanan, melalui pelatihan PONED pada bidan di puskesmas agar bisa menurunkan risiko kesakitan dan kematian pada ibu dan bayi. Penelitian ini bertujuan meningkatkan pengetahuan bidan tentang penanganan kegawatdaruratan ibu dan bayi. Metode penelitian  secara observasional analitik dengan rancangan The One Group Pretest Post Test dan pendekatan Cross Sectional. Populasi penelitian ini perwakilan bidan Puskesmas rawat inap dan rawat jalan sebanyak 17 orang. Teknik pengambilan sampel secara Proporsional Random Sampling, sampel acak dengan proporsi bidan yang bekerja di Puskesmas di Surakarta. Sampel yang memenuhi kriteria retriksi 17 responden. Hasil  1 bidan pengetahuan lebih jelek setelah di beri pelatihan, 2 bidan berpengetahuan tetap sebelum maupun setelah pelatihan, 14 bidan mempunyai pengetahuan lebih baik setelah pelatihan. Hasil analisis univariat menunjukkan rerata pretes = 73.41, median = 71.4, nilai maksimum = 82.8 dan nilai minimum = 65.7. Hasil posttest menunjukkan rerata = 81.14, median = 80, nilai maksimum = 88.5, nilai minimun = 74.2. Hasil penelitian bivariat Uji Wilcoxon menunjukkan nilai p = 0,001, signifikan (p < 0,05). Secara statistic terdapat perbedaan pengetahuan yang bermakna antara sebelum pelatihan dibandingkan setelah  pelatihan. 

Kata Kunci:Pengetahuan bidan, pelatihan  PONED, bidan  puskesmas

Abstract

Knowledge of good and appropriate midwives strongly supports comprehensive maternal and child care efforts. Knowledge of Basic Emergency Obstetric Neonatal Services (PONED) provides a basis for midwives to identify complications or emergencies of pregnancy, childbirth, postpartum and neonatal. One effort to improve midwifery services, through PONED training for midwives in health centers so as to reduce the risk of morbidity and mortality in mothers and infants. The Aim : This study aims  to improve the knowledge of midwifery about handling maternal and neonatal emergencies. Methods : The design of this study was observational analytic with one group pretest and posttest and cros sectional approach. The population of the study was 17 representatives midwives in inpatient and outpatient health care. The sampling technique used proportional random sampling, the random sampling was taking by accounted the number of midwives who work in primary health care in Surakarta. The sample that include in restriction criteria was 17 respondents. Result : The results of 1 knowledge midwife were worse after being given training, 2 knowledgeable midwives remained before and after the training, 14 midwives had better knowledge after training. The results of univariate analysis showed a mean pretest = 73.41, median = 71.4, maximum value = 82.8 and minimum value = 65.7. The posttest results showed a mean = 81.14, median = 80, maximum value = 88.5, minimum value = 74.2. The bivariate results of the Wilcoxon Test showed p value = 0.001, significant (p <0.05). Statistically there were significant differences in knowledge between before training compared to after training.

Keywords:The midwife knowledge, PONED training, midwife on the health center