Mengungkap Pengalaman Wanita Hamil Lamaholot Sebelum Masuk Rumah Sakit

Solot, Maria Kewa and Dr. dr. Tita Hariyanti,, MKes and dr. Riskiyah,, MMRS (2018) Mengungkap Pengalaman Wanita Hamil Lamaholot Sebelum Masuk Rumah Sakit. Magister thesis, Universitas Brawijaya.

Abstract

Latar belakang: Kematian ibu merupakan salah satu indikator penting untuk mengukur derajat kesehatan suatu negara. Semakin tinggi Angka Kematian Ibu (AKI) semakin buruk derajat kesehatan negara tersebut. AKI di Indonesia masih tinggi 289/100.000 kelahiran hidup (KH). Di Nusa Tenggara Timur, AKI mencapai 133/100.000 KH, 3 diantaranya meninggal di Rumah Sakit Dr.Hendrikus Fernandez Larantuka. Kematian ini disebabkan oleh terlambat masuk rumah sakit. Tujuan penelitian: Mengungkap pengalaman wanita hamil Lamaholot sebelum masuk rumah sakit. Metode: Menggunakan desain penelitian kualitatif dengan pendekatan fenomenologi. Informan dalam penelitian ini adalah wanita hamil Lamaholot yang mengalami komplikasi kehamilan dan persalinan yang terlambat masuk rumah sakit. Informan berjumlah 6 (enam) orang, dan pemilihannya ditentukan menggunakan purposive sampling. Pengumpulan data dilakukan dengan wawancara mendalam (indepth interview) menggunakan panduan wawancara semiterstruktur. Analisis data menggunakan Interpretive Phenomenological Analysis (IPA). Hasil: Didapatkan 9 (sembilan) tema yaitu, 1) perasaan memperoleh perhatian dan kasih sayang keluarga terdekat, 2) merasa wajib mematuhi tradisi larangan selama hamil,3) perasaan bingung meninggalkan anak di kampung, 4) memikirkan biaya kontrol ke rumah sakit, 5) perasaan takut karena cuaca buruk, 6) perasaan sedih tidak memiliki keluarga di dekat rumah sakit, 7) merasa baik-baik saja karena tidak paham bahaya ketuban pecah, 8) menyadari kesalahan dan perlu melakukan ritual sebelum masuk rumah sakit, 9) perasaan takut berbuat dosa lagi. Kesimpulan: Temuan yang didapatkan yaitu, bahwa wanita hamil Lamaholot merasa bingung ketika harus kontrol kehamilan di rumah sakit dan terpaksa meninggalkan anak di kampung, wanita hamil Lamaholot memikirkan biaya kontrol ke rumah sakit. Biaya yang dikeluarkan cukup banyak mulai dari transportasi laut dan darat sampai dengan membeli obat di apotik swasta, wanita hamil menyadari kesalahan dan dosa yang pernah dibuat dan perlu melakukan ritual ho’ing temodok agar terbebas dari dosa. Ritual kehamilan ho’ing temodok dilakukan setelah ada tanda-tanda persalinan dengan alasan tidak ada kesempatan berbuat dosa lagi.

English Abstract

Background: Maternal death is one of the important indicators to measure the health status of a country. The higher the Maternal Mortality Rate (MMR) the worse the health status of the country. AKI in Indonesia is still high 289 / 100.000 live birth (KH). In East Nusa Tenggara, AKI reached 133 / 100,000 KH, 3 of whom died at Dr.Hendrikus Fernandez Larantuka Hospital. This death is caused by late admission to the hospital. Objective: To reveal the experience of Lamaholot pregnant women before admission. Method: Using qualitative research design with phenomenology approach. Informants in this study were Lamaholot pregnant women who experienced complications of pregnancy and childbirth that late admission to the hospital. Informants are 6 (six) people, and the election is determined using purposive sampling. Data collection was done by indepth interview using semiterstructure interview guide. Data analysis using Interpretive Phenomenological Analysis (IPA). Result: Obtained 9 (nine) themes, 1) feeling of getting close family's attention and affection, 2) feeling obliged to obey the tradition of prohibition during pregnancy, 3) feeling confused leaving child in the village, 4) thinking about the cost of control to hospital 5 ) feelings of fear due to bad weather, 6) feelings of sadness have no family near the hospital, 7) feel fine because do not understand danger of rupture of membranes, 8) realize mistakes and need to perform ritual before entering hospital, 9) afraid to sin again. Conclusion: The findings were that Lamaholot pregnant women were confused when they had to control pregnancy at the hospital and were forced to leave their children in the village, Lamaholot pregnant women thought about the cost of control to the hospital. Costs incurred quite a lot ranging from sea and land transportation to buying drugs in private pharmacies, pregnant women realize mistakes and sins ever made and need to perform ho'ing temodok ritual to be free from sin. Ritual pregnancy ho'ing temodok done after there are signs of labor on the grounds there is no chance to sin again.

Item Type: Thesis (Magister)
Identification Number: TES/612.63/SOL/m/2018/041809449
Uncontrolled Keywords: Pengalaman, Wanita Hamil, Lamaholot,Experience, Of, Pregnant Woman, Lamaholot
Subjects: 600 Technology (Applied sciences) > 612 Human Physiology > 612.6 Reproduction, development, maturation > 612.63 Pregnancy and childbirth
Divisions: S2/S3 > Magister Manajemen Rumah Sakit, Fakultas Kedokteran
Depositing User: soegeng sugeng
Date Deposited: 18 Aug 2022 02:18
Last Modified: 18 Aug 2022 02:18
URI: http://repository.ub.ac.id/id/eprint/193283
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