Rizki Sahara

Hubungan Pernikahan Usia Dini Dengan Kejadian Partus Lama Dan BBLR Di Wilayah Kerja Puskesmas Kedungjati

Introduction

hubungan pernikahan usia dini dengan kejadian partus lama dan bblr di wilayah kerja puskesmas kedungjati. Kaji hubungan pernikahan usia dini dengan partus lama & BBLR di Puskesmas Kedungjati. Temukan korelasi signifikan, menyoroti konsekuensi kesehatan & perlunya intervensi.

Abstract

Early marriage persists as a common issue in developing nations, particularly in Indonesia. This practice elevates the risk of several complications during pregnancy, delivery, and the postpartum period, primarily due to the underdeveloped reproductive systems of young women. This research aimed to determine the significance and nature of the connection between early marriage and the prevalence of prolonged labor and low birth weight (LBW). A correlative descriptive study with a retrospective design was conducted, utilizing secondary data from medical records within the Kedungjati Health Center's operational area, encompassing labor details and maternal age. The Spearman correlation test was employed to analyze the strength of association between the variables. The findings indicated a moderate correlation between early marriage and both prolonged labor (r = -0.326, negative correlation) and LBW (r = 0.440, positive correlation). These results suggest that early marriage is associated with a higher likelihood of these adverse health outcomes. Consequently, the study concludes that the health consequences linked to early marriage can be substantial, emphasizing the necessity for enhanced monitoring and intervention by relevant stakeholders.

Review

This study addresses a highly relevant public health issue by investigating the relationship between early marriage and adverse obstetric outcomes, specifically prolonged labor and low birth weight (LBW), within the Kedungjati Health Center's operational area in Indonesia. Utilizing a correlative descriptive design with retrospective analysis of secondary medical record data, the research aimed to quantify these associations. The findings indicate moderate correlations: a positive association between early marriage and LBW (r = 0.440), and, somewhat unexpectedly, a negative correlation with prolonged labor (r = -0.326). This research is timely and pertinent, offering local insights into critical maternal and child health challenges in a developing nation context. A significant strength of this research lies in its focus on a critical public health issue with direct implications for maternal and child health, using readily available medical record data for efficiency. However, several aspects warrant further clarification and consideration. The reported negative correlation between early marriage and prolonged labor (r = -0.326) is particularly intriguing, as it suggests that earlier marriage is associated with *less* prolonged labor, which seemingly contradicts the abstract's initial premise regarding the risks posed by underdeveloped reproductive systems. A more detailed explanation within the full paper would be crucial to reconcile this finding with established clinical understanding, possibly through a closer examination of how "early marriage" and "prolonged labor" were operationalized or coded. Additionally, while retrospective analysis is efficient, it is inherently limited in its ability to control for confounding variables such as socioeconomic status, nutritional status, and the quality of antenatal care, which could significantly influence both early marriage and obstetric outcomes. The absence of reported p-values also limits a comprehensive assessment of the statistical significance of the observed correlations. Despite these methodological points, the study provides valuable preliminary insights into the health consequences of early marriage within the Kedungjati region, emphasizing the necessity for targeted public health interventions. The positive association with LBW, in particular, underscores a tangible risk to infant health that demands attention. For future research, it would be highly beneficial to thoroughly investigate the counter-intuitive inverse relationship with prolonged labor. Moving forward, prospective studies incorporating a wider array of socioeconomic, nutritional, and antenatal care covariates could offer a more nuanced understanding of causality and better control for potential confounders. Ultimately, this research serves as a foundation for local stakeholders to enhance monitoring and develop evidence-based programs aimed at mitigating the adverse maternal and neonatal health outcomes linked to early marriage.

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