Original Research Article
Year: 2021 | Month: October | Volume: 8 | Issue: 10 | Pages: 429-439
DOI: https://doi.org/10.52403/ijrr.20211058
The Effectiveness of Blood Loss Measuring Mattress in Maternity
Elsa Noftalina1, Intan Purnamasari2, Firdha Kusuma Wulandari3, Wina Widyanti4
1, 2, 3, 4Polytechnic of ‘Aisyiyah Pontianak
Corresponding Author: Elsa Noftalina
ABSTRACT
Background: Maternal mortality rate (MMR) is an important indicator that describes the health status and welfare of the people in a nation. WHO estimates MMR in the world every day is at 817 people. Maternal mortality is mostly caused by complications during pregnancy, childbirth, and postpartum where these complications are direct obstetric complications. Postpartum hemorrhage is the main cause of maternal death. Factors causing postpartum hemorrhage are uterine atony, retained placenta, laceration of the birth canal, and blood disorders. The delay in diagnosis and treatment of postpartum hemorrhage is mostly caused by the estimated volume of blood loss in labor that is too low and the lack of equipment or clinical skills to solve the problem. Errors in calculating the volume of bleeding lost during delivery are too late to recognize bleeding that can lead to death due to lack of skills to prevent and treat postpartum hemorrhage. Research objective to determine the effectiveness of the product (mattress) in measuring blood loss in maternity.
Research Method: The type of research used was experimental research, namely one shot case study. The study was conducted in two Independent Midwife Practices located in the city of Pontianak, West Kalimantan, Indonesia from May to September 2021. The subjects of the study were maternity mothers and birth attendant midwives with a consecutive sampling technique of 30 samples divided into 3 groups with 10 samples respectively of each product. The instrument used to collect data was a questionnaire with a Likert scale which was distributed to maternity mothers as direct users of the mattress and midwives who helped use the mattress. Statistical analysis used was one way ANOVA test.
Research results Based on the one way ANOVA test, it was found that the average assessment given by patients and midwives on the three mattress models had a significant difference with a p value of 0.000. In the Post Hoc Turkey HSD test, it was found that there was no difference in the mean of patient assessments between model 1 and model 2 with p value = 0.239. The case was different between model 1 and model 3 and model 2 and model 3, namely, there was a significant difference. Model 1 and model 3 have a p value = 0.009 with an average difference of 2,700 while model 2 and model 3 have a p value = 0.000 with an average difference of 4,100. In the Post Hoc Turkey HSD test, there was a significant difference in the average of the midwives' assessments on the three mattress models. Model 1 and model 2 have a p value = 0.000 with an average difference of 5,800, model 1 and model 3 have a p value = 0.000 with an average difference of 6,900, while model 2 and model 3 have a p value = 0.000 with an average difference of 12,700.
Keywords: [Maternity bleeding, Measuring mattress].
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