Pub Date : 2024-05-13DOI: 10.32734/jetromi.v6i2.14918
Livia Anastasia Sianturi, S. V. Hutagalung, Darmadi, Siska Mayasari Lubis
Background: Among human diseases are infectious diseases transmitted by animals to humans, called zoonoses. Rats carry ectoparasites that act as biological vectors in the transmission of zoonoses. Mites are ectoparasites of rats that cause various zoonoses, namely murine typhus, rat mite dermatitis, and others. The study aims to identify species of wild rats in the study area based on their morphology and presentation of mite-infected rats and mite species in wild rats in Simpang Limun traditional wet market in Medan, Indonesia. Methods: This cross-sectional study used a purposive sampling technique. Primary data were collected in the Simpang Limun traditional wet market area of Medan, namely in the first area; M. Nawi Harahap Street, and the second area; Kemiri I Street. Every afternoon for four consecutive days, ten baited rat traps were deployed in each area. The captured rats were anesthetized, identified, and examined for mites by combing and then identified under a microscope. Results: From 65 total wild rat samples, the majority of species found was Rattus tanezumi 60 (92.3%), followed by Rattus norvegicus 5 (7.7%). The identified mite species were Laelaps echidninus (84.5%) and Laelaps nuttalli (15.5%). Conclusion: Nearly all of the wild rats found were of Rattus tanezumab species, and the most common mite species identified was Laelaps echinus in Medan's Simpang Limun traditional wet market area. This has a significant medical impact, resulting in increased potential for zoonosis transmission and indirectly to the surrounding residents in Medan's Simpang Limun traditional wet market area.
{"title":"Identification of Mites in Wild Rats in Simpang Limun Traditional Wet Market Area, Medan - Indonesia","authors":"Livia Anastasia Sianturi, S. V. Hutagalung, Darmadi, Siska Mayasari Lubis","doi":"10.32734/jetromi.v6i2.14918","DOIUrl":"https://doi.org/10.32734/jetromi.v6i2.14918","url":null,"abstract":"\u0000\u0000\u0000\u0000Background: Among human diseases are infectious diseases transmitted by animals to humans, called zoonoses. Rats carry ectoparasites that act as biological vectors in the transmission of zoonoses. Mites are ectoparasites of rats that cause various zoonoses, namely murine typhus, rat mite dermatitis, and others. The study aims to identify species of wild rats in the study area based on their morphology and presentation of mite-infected rats and mite species in wild rats in Simpang Limun traditional wet market in Medan, Indonesia.\u0000Methods: This cross-sectional study used a purposive sampling technique. Primary data were collected in the Simpang Limun traditional wet market area of Medan, namely in the first area; M. Nawi Harahap Street, and the second area; Kemiri I Street. Every afternoon for four consecutive days, ten baited rat traps were deployed in each area. The captured rats were anesthetized, identified, and examined for mites by combing and then identified under a microscope.\u0000Results: From 65 total wild rat samples, the majority of species found was Rattus tanezumi 60 (92.3%), followed by Rattus norvegicus 5 (7.7%). The identified mite species were Laelaps echidninus (84.5%) and Laelaps nuttalli (15.5%).\u0000Conclusion: Nearly all of the wild rats found were of Rattus tanezumab species, and the most common mite species identified was Laelaps echinus in Medan's Simpang Limun traditional wet market area. This has a significant medical impact, resulting in increased potential for zoonosis transmission and indirectly to the surrounding residents in Medan's Simpang Limun traditional wet market area.\u0000\u0000\u0000\u0000","PeriodicalId":504299,"journal":{"name":"Journal of Endocrinology, Tropical Medicine, and Infectious Disease (JETROMI)","volume":"44 18","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140983828","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background. Allergic contact dermatitis (ACD) is one of the most common occupational skin diseases after irritant contact dermatitis (ICD). One of the factors causing ACD is not using personal protective equipment (PPE) and a long working period. This study aimed to analyze the relationship between PPE use behavior and working period with ACD symptoms in workers at the Mabar shrimp factory, Medan. Method. Cross-sectional research with a consecutive sampling method. Assessment of PPE use behavior and working period used a questionnaire and ACD symptoms by a doctor. The analysis used was univariate and bivariate analysis with chi-square. Results. The total number of samples that met the inclusion and exclusion criteria of the study was 100 people, 28 people had symptoms of ACD, enough knowledge, good attitudes, and unfavorable actions with a working period of >2 years. Statistical analysis showed a relationship between PPE use behavior and working period with ACD symptoms. Conclusion. All behavioral factors (knowledge, attitude, and action) and working period have a significant relationship with ACD symptoms
{"title":"Relationship between Personal Protective Equipment (PPE) Use Behavior and Working Period with Allergic Contact Dermatitis (ACD) Symptoms in Workers at Mabar Shrimp Factory","authors":"Dinda Sani Pratiwi, Rina Amelia, Syamsidah Lubis, Bayu Rusfandi Nasution","doi":"10.32734/jetromi.v6i2.14956","DOIUrl":"https://doi.org/10.32734/jetromi.v6i2.14956","url":null,"abstract":"\u0000\u0000\u0000\u0000Background. Allergic contact dermatitis (ACD) is one of the most common occupational skin diseases after irritant contact dermatitis (ICD). One of the factors causing ACD is not using personal protective equipment (PPE) and a long working period. This study aimed to analyze the relationship between PPE use behavior and working period with ACD symptoms in workers at the Mabar shrimp factory, Medan.\u0000Method. Cross-sectional research with a consecutive sampling method. Assessment of PPE use behavior and working period used a questionnaire and ACD symptoms by a doctor. The analysis used was univariate and bivariate analysis with chi-square.\u0000Results. The total number of samples that met the inclusion and exclusion criteria of the study was 100 people, 28 people had symptoms of ACD, enough knowledge, good attitudes, and unfavorable actions with a working period of >2 years. Statistical analysis showed a relationship between PPE use behavior and working period with ACD symptoms.\u0000Conclusion. All behavioral factors (knowledge, attitude, and action) and working period have a significant relationship with ACD symptoms\u0000\u0000\u0000\u0000","PeriodicalId":504299,"journal":{"name":"Journal of Endocrinology, Tropical Medicine, and Infectious Disease (JETROMI)","volume":"63 13","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140983381","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-05-13DOI: 10.32734/jetromi.v6i2.14955
Elianora Bergita Ginting, Darmadi, Ferryan Sofyan, Sri Melinda Kaban
Background. Gastroesophageal Reflux Disease (GERD) is a common gastrointestinal disorder caused by reflux of stomach contents into the esophagus, as a result, it causes various symptoms or complications . GERD is a commonly prevalent gastrointestinal disorder in medical students. Based on data from the 2006 US National Health and Wellness survey observing respondents who experienced heartburn at least twice a month, 89% of respondents experiencing nightime GERD symptoms, it showed that the presence of nighttime GERD was associated with decrease quality of sleep. This study aimed to analyze the relationship between GERD and students’ sleep quality in Faculty of Medicine USU 2020-2022. Method. Cross sectional design with total sampling method. Data collection was carried out using an online questionnaire in the form of a google form. The questionnaires used were GERD-Q, FSSG, PSQI, and ISI. The analysis used was univariate and bivariate analysis with Chi-square. Results. This study involved 378 respondents, 114 people (30.2%) with GERD, 67 people (58.8%) with severe of GERD, 286 people (75.7%) had a bad quality of sleep, and 43 people (15%) with moderate and severe of insomnia. The results of statistical analysis showed an association between GERD and quality of sleep. Conclusion. There was a correlation between GERD and quality of sleep of USU Faculty of Medicine students class 2020-2022
{"title":"Relationship between Gastroesophageal Reflux Disease (GERD) with Quality of Sleep","authors":"Elianora Bergita Ginting, Darmadi, Ferryan Sofyan, Sri Melinda Kaban","doi":"10.32734/jetromi.v6i2.14955","DOIUrl":"https://doi.org/10.32734/jetromi.v6i2.14955","url":null,"abstract":"Background. Gastroesophageal Reflux Disease (GERD) is a common gastrointestinal disorder caused by reflux of stomach contents into the esophagus, as a result, it causes various symptoms or complications . GERD is a commonly prevalent gastrointestinal disorder in medical students. Based on data from the 2006 US National Health and Wellness survey observing respondents who experienced heartburn at least twice a month, 89% of respondents experiencing nightime GERD symptoms, it showed that the presence of nighttime GERD was associated with decrease quality of sleep. This study aimed to analyze the relationship between GERD and students’ sleep quality in Faculty of Medicine USU 2020-2022. \u0000Method. Cross sectional design with total sampling method. Data collection was carried out using an online questionnaire in the form of a google form. The questionnaires used were GERD-Q, FSSG, PSQI, and ISI. The analysis used was univariate and bivariate analysis with Chi-square. \u0000Results. This study involved 378 respondents, 114 people (30.2%) with GERD, 67 people (58.8%) with severe of GERD, 286 people (75.7%) had a bad quality of sleep, and 43 people (15%) with moderate and severe of insomnia. The results of statistical analysis showed an association between GERD and quality of sleep. \u0000Conclusion. There was a correlation between GERD and quality of sleep of USU Faculty of Medicine students class 2020-2022 \u0000 ","PeriodicalId":504299,"journal":{"name":"Journal of Endocrinology, Tropical Medicine, and Infectious Disease (JETROMI)","volume":"112 32","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140985517","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-05-13DOI: 10.32734/jetromi.v6i2.14952
Grace Danau Arta, R. Malisie, A. Wahyuni, F. Prapiska, Irma Sepala Sari Siregar
Background: High morbidity and mortality rates in pediatric patients indicate the necessity of a Pediatric Early Warning Score (PEWS) capable of early clinical deterioration identification and providing an opportunity for healthcare professionals to promptly manage patients. This study aimed to serve as foundational data and as an evaluative tool to enhance the proficiency of healthcare workers in assessing patient deterioration. Methods: This study utilized a descriptive method with a cross-sectional design and consecutive sampling technique who were treated from January to December 2022. Results: there were 119 samples, the majority of gender was male (54.6%), the majority of the age group was 1-4 years old (37.8%), and the majority of the disease group was infection (31.1%). Both male and female majority had green PEWS (54.6%) and (45.4%), the majority of patients with an age range of 1 month to 5 years had red PEWS, the majority of infectious disease group had green PEWS, and the majority of patients with green PEWS had discharge outcome. Conclusion: This study provides an overview of characteristics in pediatric patients and shows the majority of pediatric emergency department patients come with non-emergency conditions.
{"title":"Emergency Profile of Pediatric Patients Based on Pediatric Early Warning Score in the Emergency Department of the Adam Malik Hospital","authors":"Grace Danau Arta, R. Malisie, A. Wahyuni, F. Prapiska, Irma Sepala Sari Siregar","doi":"10.32734/jetromi.v6i2.14952","DOIUrl":"https://doi.org/10.32734/jetromi.v6i2.14952","url":null,"abstract":"\u0000\u0000\u0000\u0000Background: High morbidity and mortality rates in pediatric patients indicate the necessity of a Pediatric Early Warning Score (PEWS) capable of early clinical deterioration identification and providing an opportunity for healthcare professionals to promptly manage patients. This study aimed to serve as foundational data and as an evaluative tool to enhance the proficiency of healthcare workers in assessing patient deterioration.\u0000Methods: This study utilized a descriptive method with a cross-sectional design and consecutive sampling technique who were treated from January to December 2022. \u0000Results: there were 119 samples, the majority of gender was male (54.6%), the majority of the age group was 1-4 years old (37.8%), and the majority of the disease group was infection (31.1%). Both male and female majority had green PEWS (54.6%) and (45.4%), the majority of patients with an age range of 1 month to 5 years had red PEWS, the majority of infectious disease group had green PEWS, and the majority of patients with green PEWS had discharge outcome. \u0000Conclusion: This study provides an overview of characteristics in pediatric patients and shows the majority of pediatric emergency department patients come with non-emergency conditions.\u0000\u0000\u0000\u0000\u0000 ","PeriodicalId":504299,"journal":{"name":"Journal of Endocrinology, Tropical Medicine, and Infectious Disease (JETROMI)","volume":"59 25","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140983729","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: The health behavior modification model program addresses diet, exercise, and nutritional depletion on lipid profile and body fat can improve the causes of chronic disease. The purpose of this study was to determine the effects of a health behavior modification model on the blood lipid profile and body fat levels of educational personnel. Method: This study's five-month data collection timeframe for this study (during the COVID-19 pandemic condition) was from October 2021 to March 2022. Participants are educational personnel of Kasetsart University, Kamphaeng Saen Campus with dyslipidemia (The National Cholesterol Education Program criteria)., aged 19 years and older, both males and females. The inclusion criteria are cholesterol over 200 mg/dl LDL-C over 100 mg/dl triglycerides more than 150 mg/dl or HDL-C less than 40 mg/dL. The satisfaction with the health behavior modification model KPS-FEE, which consisted of 6 activities: K (Knowledge), P (Produce), S (Support), F (Food), eat well, E (Exercise), exercise and E (Emotion), relax and feel good. The subjects were satisfied with the health behavior modification model at a good level (mean score 4.13 ± 0.47). Result: The sample group consisted of 31 personnel by volunteer selection. The mean scores for cholesterol, fat mass, and abdominal fat levels decreased significantly (p < 0.05) after the experiment. Although there were no statistically significant differences, the participants’ values tended to improve. Conclusion: Health behavior modification will improve a person’s health and happiness, and their ability to perform more effectively can be used in other departments with similar environments and job requirements.
{"title":"The Effect of a Health Behavior Modification Model on Lipid Profile and Body Fat of Educational Personnel","authors":"Kritchapol Arsapakdee, Nanthawan Thienkaew, Amporn Sriyabhaya","doi":"10.32734/jetromi.v6i2.15821","DOIUrl":"https://doi.org/10.32734/jetromi.v6i2.15821","url":null,"abstract":"Background: The health behavior modification model program addresses diet, exercise, and nutritional depletion on lipid profile and body fat can improve the causes of chronic disease. The purpose of this study was to determine the effects of a health behavior modification model on the blood lipid profile and body fat levels of educational personnel.\u0000Method: This study's five-month data collection timeframe for this study (during the COVID-19 pandemic condition) was from October 2021 to March 2022. Participants are educational personnel of Kasetsart University, Kamphaeng Saen Campus with dyslipidemia (The National Cholesterol Education Program criteria)., aged 19 years and older, both males and females. The inclusion criteria are cholesterol over 200 mg/dl LDL-C over 100 mg/dl triglycerides more than 150 mg/dl or HDL-C less than 40 mg/dL. The satisfaction with the health behavior modification model KPS-FEE, which consisted of 6 activities: K (Knowledge), P (Produce), S (Support), F (Food), eat well, E (Exercise), exercise and E (Emotion), relax and feel good. The subjects were satisfied with the health behavior modification model at a good level (mean score 4.13 ± 0.47).\u0000Result: The sample group consisted of 31 personnel by volunteer selection. The mean scores for cholesterol, fat mass, and abdominal fat levels decreased significantly (p < 0.05) after the experiment. Although there were no statistically significant differences, the participants’ values tended to improve.\u0000Conclusion: Health behavior modification will improve a person’s health and happiness, and their ability to perform more effectively can be used in other departments with similar environments and job requirements.","PeriodicalId":504299,"journal":{"name":"Journal of Endocrinology, Tropical Medicine, and Infectious Disease (JETROMI)","volume":"64 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140984957","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-05-07DOI: 10.32734/jetromi.v6i2.14586
Chris Audric Justin, Herwindo Ahmad, N. K. Arrasyid, Afridayani Nasution
Background: Hypertension contributes to 71% of deaths in the world and 85% of them are found in developing countries. In Indonesia, it is reported that 91.3 million people suffer from hypertension which contributes to 35% of deaths of the population in Indonesia. The high incidence of hypertension is known to be closely related to a lack of knowledge and attitudes toward hypertension. Therefore, it is necessary to know the relationship between knowledge, attitudes and prac, tices toward hypertension. Method: This study used a cross-sectional research design. The sample in this study was the people of Sidikalang District who met the inclusion and exclusion criteria. The data used is primary data obtained using a questionnaire instrument and using the consecutive method. Results. Test results Chi-Square showed that there was no relationship between age (p>0.05), gender (p>0.05), and education (p>0.0.5) on knowledge and attitudes towards hypertension. Age (p=0.304) and education (p=0.150) showed there was no relationship with practice toward hypertension, and gender (and p=0.032) showed there was a relationship with practice toward hypertension. The level of knowledge (p=0.005) and attitude (p=0.000) show that there is a relationship with practice toward hypertension. Conclusion: There is a relationship between knowledge and attitude with practice toward hypertension in the Sidikalang District community.
{"title":"Correlation Between Knowledge and Attitude with Practice Toward Hypertension in The Community of Sidikalang District in Dairi Regency","authors":"Chris Audric Justin, Herwindo Ahmad, N. K. Arrasyid, Afridayani Nasution","doi":"10.32734/jetromi.v6i2.14586","DOIUrl":"https://doi.org/10.32734/jetromi.v6i2.14586","url":null,"abstract":"Background: Hypertension contributes to 71% of deaths in the world and 85% of them are found in developing countries. In Indonesia, it is reported that 91.3 million people suffer from hypertension which contributes to 35% of deaths of the population in Indonesia. The high incidence of hypertension is known to be closely related to a lack of knowledge and attitudes toward hypertension. Therefore, it is necessary to know the relationship between knowledge, attitudes and prac, tices toward hypertension. \u0000Method: This study used a cross-sectional research design. The sample in this study was the people of Sidikalang District who met the inclusion and exclusion criteria. The data used is primary data obtained using a questionnaire instrument and using the consecutive method. Results. Test results Chi-Square showed that there was no relationship between age (p>0.05), gender (p>0.05), and education (p>0.0.5) on knowledge and attitudes towards hypertension. Age (p=0.304) and education (p=0.150) showed there was no relationship with practice toward hypertension, and gender (and p=0.032) showed there was a relationship with practice toward hypertension. The level of knowledge (p=0.005) and attitude (p=0.000) show that there is a relationship with practice toward hypertension. \u0000Conclusion: There is a relationship between knowledge and attitude with practice toward hypertension in the Sidikalang District community.","PeriodicalId":504299,"journal":{"name":"Journal of Endocrinology, Tropical Medicine, and Infectious Disease (JETROMI)","volume":" 32","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141129429","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-03-05DOI: 10.32734/jetromi.v6i1.14935
Beby Febyola Siagian, H. P. Pasaribu, R. L. Kusumawati, R. Daulay
Background: Maternal mortality rate (MMR) is an indicator of the quality of midwifery services in a country. Postpartum hemorrhage is a serious life-threatening complication and the main cause of maternal death especially that caused by placenta accreta spectrum (PAS). This study aims to determine the relationship between age, parity, and history of cesarean section on the incidence of PAS at H. Adam Malik Hospital Medan in 2020-2022.Method: This study was an analytic-observational study with a cross-sectional design. The data used came from the medical records, including information about the population of mothers who gave birth, maternal age at delivery, parity, and previous history of cesarean section. Statistical analysis used univariate and bivariate chi-square tests.Result: The study subjects were 84 people selected by simple random sampling method. The results of the univariate analysis showed the highest frequency of age >32 years, parity 3-4 times, and a history of cesarean section ≥ 2. The results of bivariate analysis showed a significant relationship between age and the incidence of PAS (p=0.016), parity and the incidence of PAS (p<0.001), and a history of cesarean section and the incidence of PAS (p=0.004).Conclusion: There is a relationship between age, parity, and history of cesarean section with the incidence of PAS at H. Adam Malik Hospital Medan in 2020-2022.
背景:孕产妇死亡率(MMR)是衡量一个国家助产服务质量的指标。产后出血是一种危及生命的严重并发症,也是产妇死亡的主要原因,尤其是由胎盘早剥引起的产后出血。本研究旨在确定 2020-2022 年棉兰 H. Adam Malik 医院产妇的年龄、胎次和剖宫产史与 PAS 发生率之间的关系:本研究是一项横断面设计的分析-观察研究。所使用的数据来自医疗记录,包括产妇人口、产妇分娩时的年龄、奇偶数和既往剖宫产史等信息。统计分析采用单变量和双变量卡方检验:研究对象是通过简单随机抽样方法选出的 84 人。单变量分析结果显示,年龄大于 32 岁、胎次 3-4 次、剖宫产史≥2 次的频率最高。双变量分析结果显示,年龄与 PAS 的发生率有显著关系(P=0.016),奇数与 PAS 的发生率有显著关系(P<0.001),剖宫产史与 PAS 的发生率有显著关系(P=0.004):2020-2022年,在棉兰的亚当-马利克医院,年龄、胎次和剖腹产史与PAS发病率之间存在一定关系。
{"title":"The Association of Age, Parity, and History of Cesarean Section with the Occurrence of Placenta Accreta Spectrum (Pas) at H. Adam Malik Hospital in Medan 2020-2022","authors":"Beby Febyola Siagian, H. P. Pasaribu, R. L. Kusumawati, R. Daulay","doi":"10.32734/jetromi.v6i1.14935","DOIUrl":"https://doi.org/10.32734/jetromi.v6i1.14935","url":null,"abstract":"Background: Maternal mortality rate (MMR) is an indicator of the quality of midwifery services in a country. Postpartum hemorrhage is a serious life-threatening complication and the main cause of maternal death especially that caused by placenta accreta spectrum (PAS). This study aims to determine the relationship between age, parity, and history of cesarean section on the incidence of PAS at H. Adam Malik Hospital Medan in 2020-2022.Method: This study was an analytic-observational study with a cross-sectional design. The data used came from the medical records, including information about the population of mothers who gave birth, maternal age at delivery, parity, and previous history of cesarean section. Statistical analysis used univariate and bivariate chi-square tests.Result: The study subjects were 84 people selected by simple random sampling method. The results of the univariate analysis showed the highest frequency of age >32 years, parity 3-4 times, and a history of cesarean section ≥ 2. The results of bivariate analysis showed a significant relationship between age and the incidence of PAS (p=0.016), parity and the incidence of PAS (p<0.001), and a history of cesarean section and the incidence of PAS (p=0.004).Conclusion: There is a relationship between age, parity, and history of cesarean section with the incidence of PAS at H. Adam Malik Hospital Medan in 2020-2022.","PeriodicalId":504299,"journal":{"name":"Journal of Endocrinology, Tropical Medicine, and Infectious Disease (JETROMI)","volume":"1 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140263882","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}