2024-03-29T08:02:15Z
https://journal.ugm.ac.id/index/oai
oai:jurnal.ugm.ac.id:article/4910
2018-06-25T07:16:50Z
jkr:ART
nmb a2200000Iu 4500
"140625 2014 eng "
2621-461X
2302-836X
dc
HUBUNGAN MANAJEMEN AKTIF KALA TIGA DENGAN INISIASI MENYUSUI DINI DI KABUPATEN SUMEDANG TAHUN 2010
Ana, Ade
Magister Kesehatan Ibu dan Anak, Pasca Sarjana Fakultas Kedokteran, Universitas Gadjah Mada, Yogyakarta
Dasuki, Djaswadi
Bagian Obsgin FK UGM
Taufiqurahman, Irwan
Array
Background: Intervention in activemanagement of the third stage of labor (AMTSL) is aimed to accelerate the deliveryof the placenta, to prevent and reduce blood loss in the third stage of labor. Early initiation of breastfeeding facilitates,a baby to start breastfeeding right away, that aims to stimulate the baby’s suckling reflex for increasingmilk production.This practice can reduce the risk of infant mortality due to hypothermia and infection in infants under 1 month. There are several obstacles in its implementation, due to policy, providers and client. It is important to implement AMTSLand early initiation of breastfeeding to improve the health of mothers and infants accordingly.
Objective: To determine the implementation of activemanagement of the third stage and early breastfeeding initiation
Methods: This study was an observational study with cross sectional design. The samples were 166 postpartum
mothers and newborns in public hospitals and health centers at District of Sumedang. Analysis of the data used
univariate analysis, bivariate analysis using Chi-square and multivariate analysis using logistic regression.
Results and Discussion: RThe prevalence of active management of the third stage success was 77,1 % and 48,8 %
was completed with early initiation of breastfeeding. There was a significant relationship between the success of
early breastfeeding initiation after active management of the third stage (OR= 3,1, 95 % CI= 1,12-8,49 ). Other
factors that related were the support of providers, client support and delivery place. Less supportive policy, no
ten steps to successful breastfeeding and lack of trained personnel led to differences in perception. Lack of staff
motivation and clear information caused the client did not understand the importance of both these procedures
done.
Conclusion: The success of active management of the third stage and early breastfeeding initiation can be achieved if
there was a comprehensive support from policy makers (policy side), service providers (support side) and service
recipients (demand side)
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2014-06-25 00:00:00
application/pdf
https://journal.ugm.ac.id/jkr/article/view/4910
Jurnal Kesehatan Reproduksi; Vol 1, No 1 (2014)
eng
Copyright (c)
oai:jurnal.ugm.ac.id:article/4912
2018-06-25T07:16:50Z
jkr:ART
nmb a2200000Iu 4500
"140625 2014 eng "
2621-461X
2302-836X
dc
PERBANDINGAN LUARAN SEKSIO SESAREA DENGAN ANESTESI UMUM DAN SPINAL: PERUBAHAN KADAR HEMOGLOBIN, HEMATOKRIT IBU DAN SKOR APGAR BAYI
Giantari, Ifrinda
Gadjah Mada University
Pranoto, Ibnu
Gadjah Mada University
Siswosudarmo, Risanto
Gadjah Mada University
PERBANDINGAN LUARAN SEKSIO SESAREA DENGAN
ANESTESI UMUM DAN SPINAL: PERUBAHAN KADAR
HEMOGLOBIN, HEMATOKRIT IBU DAN SKOR APGAR BAYI
Ifrinda Giantari, Ibnu Pranoto, Risanto Siswosudarmo
ABSTRACT
Background: Cesarean section is the most common surgical procedure in obstetrics. In 2008, nearly a third of
deliveries was done by cesarean section. Two types of anestesi are used in cesarean section i.e., general and
regional anestesi with their advantages and disadvantages. General anestesi is often used in emergency cases
but is often associated with greater risk of blood loss during surgery and depression of central nervous system of
the newborn. Based on these facts, the decision of the type of anesthesia for cesarean section is still debated.
Objective: To compare the effects between general and spinal anestesi in the alteration of maternal hemoglobin
and hematocrit levels and the neonatal Apgar score.
Method: This study was conducted at Setjonegoro Hospital Wonosobo, Banjarnegara, and Sardjito Hospital
Yogyakarta between September to December 2010. Patients undergoing cesarean section, who met inclusion
and exclusion criteria were included in this study. Hemoglobin and hematocrit levels before and 6-12 hours after
surgery were recorded, as well as the first minute Apgar score. Chi-square and t-test were used for statistical
analysis.
Results and Discussion: A total of 114 patients consisting of 59 cases for general anestesi and 55 for spinal
groups were recruited. They were comparable in terms ofmaternal age, age of gestation, parity, BMI and indication
of operation. Hemoglobin and hematocrit levels before surgery were also comparable.
The decrease of hemoglobin level after operation in the group of general anesthesia was greater than in the
spinal group (1,75 ± 1,09 mg/dL vs 1,00 ± 0,96 mg/d; p=0,00). The same was seen in the decrease of hematocrit
level (4,47 ± 2,77% vs 3,26 ± 3,04%, p=0,02). There were 28 cases of asphyxia in the group of general compared
to 22 cases in the group of spinal anestesi, but it was not statistically different (RR 1,16; 95% CI 0,81-1,65).
Conclusion: The decreased level of hemoglobin and hematocrit after cesarean section in general anesthesia were
higher than spinal anesthesia group, although the difference was not clinically significant. There was no significant
difference in the incidence of asphyxia at first minute in both groups.
Keywords: general anestesi, spinal anesthesia, cesarean section, hemoglobin, hematocrit, Apgar score
ABSTRAK
Latar belakang: Seksio sesarea merupakan prosedur operatif obstetri yang paling sering dilakukan. Pada tahun
2008, hampir sepertiga dari persalinan dilakukan dengan cara seksio sesarea. Dua jenis anestesi sering digunakan
yakni anestesi umum dan spinal yang masing-masing mempunyai kelebihan dan kekurangannya. Anestesi umum
sering digunakan pada kasus kedaruratan meskipun sering dikaitkan dengan risiko kehilangan darah yang lebih
besar dan penekanan pada susunan syaraf pusat bayi. Anestesi spinal sering dikaitkan dengan keadaan hipotensi
maternal.
Tujuan: Membandingkan penurunan kadar hemoglobin dan hematokrit ibu dan skor Apgar bayi pada seksio
sesarea dengan anestesi umum dan spinal.
Metode: Kohort prospektif.Penelitian dilakukan di RS Setjonegoro Wonosobo, RS Banjarnegara, dan RS Sardjito
pada bulan September sampai Desember 2010. Pasien yang menjalani seksio sesarea dan memenuhi kriteria
inklusi dan eksklusi dimasukkan dalam penelitian ini. Sampel penelitian diikuti sesuai dengan kelompok jenis
anestesi. Kadar hemoglobin dan hematokrit sebelum operasi dan 6-12 jam sesudah operasi serta skor Apgar 1
menit dicatat. X-square dan t-test dipakai untuk analisis data.
Hasil dan Pembahasan: Sebanyak 114 kasus seksio sesarea memenuhi kriteria kelayakan, yang terdiri dari 59
kasus kelompok anestesi umum dan 55 kasus anestesi spinal. Kedua kelompok komparabel dalam hal umur,
umur kehamilan, paritas BMI dan indikasi operasi. Demikian juga kadar hemoglobin dan hematokrit sebelum
operasi, tidak menunjukkan perbedaan yang bermakna. Penurunan kadar hemoglobin setelah operasi pada
kelompok anestesi umum lebih besar dibanding kelompok spinal (1,75 ± 1,09 mg/dL vs 1,00 ± 0,96 mg/d;
p=0,00), demikian juga penurunan kadar hematocrit (4,47 ± 2,77% vs 3,26 ± 3,04%, p=0,02). Pada penilaian
menit pertama terdapat 28 kasus asfiksia (skor Apgar < 6) pada kelompok anestesi umum dan 22 kasus pada
kelompok anestesi spinal (RR 1,16, 95%CI 0,81-1,65), tetapi tidak bermakna secara statistik (p=0,42).
Kesimpulan: Terdapat penurunan kadar hemoglobin dan hematokrit ibu yang bermakna pada kelompok yang
menjalani seksio sesarea dengan anestesi umummeskipun secara klinis tidak bermakna. Tidak terdapat perbedaan
bermakna secara statistik pada kejadian asfiksia pada menit pertama.
Kata kunci: anestesi umum, anestesi spinal, seksio sesarea, hemoglobin, hematokrit, skor Apgar
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2014-06-25 00:00:00
application/pdf
https://journal.ugm.ac.id/jkr/article/view/4912
Jurnal Kesehatan Reproduksi; Vol 1, No 1 (2014)
eng
Copyright (c)
oai:jurnal.ugm.ac.id:article/4913
2018-06-25T07:16:50Z
jkr:ART
nmb a2200000Iu 4500
"140625 2014 eng "
2621-461X
2302-836X
dc
PERSEPSI REMAJA TERHADAP FAKTOR PENGHAMBAT PEMANFAATAN PELAYANAN KESEHATAN REPRODUKSI DI PUSKESMAS GAMBOK KABUPATEN SIJUNJUNG
Dwi Yani, Vella
Gadjah Mada University
Emilia, Ova
Gadjah Mada University
Kusnanto, Hari
Gadjah Mada University
PERSEPSI REMAJA TERHADAP FAKTOR PENGHAMBAT
PEMANFAATAN PELAYANAN KESEHATAN REPRODUKSI
DI PUSKESMAS GAMBOK KABUPATEN SIJUNJUNG
Vella Dwi Yani, Ova Emilia, Hari Kusnanto
ABSTRACT
Background: Reproductive health service is an important component that has to be improved globally because
teenagers often lack basic information about reproductive health. Despite the need for reproductive health service
only a few teenagers utilize the service due to several constraints in having reproductive and sexual health service
as a result of limited access to the service and negative perception about center of reproductive health service.
Data of Sijunjung District Health Office Sumatera Barat show that only 20% of teenagers utilize reproductive
health service available. Whereas cases in teenagers indicate that 9.2% of teenagers have had premarital sexual
intercourse and 40% are married at teenage period (<20 years) and 10% is caused by unwanted pregnancy.
Objective: To study the perception of teenagers about physical, process, economic and psychosocial factors as
obstacles in the utilization of reproductive health service.
Method: The study was observational with cross sectional design and descriptive quantitative approach that
used qualitative data obtained from indepth interview. Subject of the study were students of SMU 1 and 2 of 14-
16 years old around the working area of Health Centers that have health service for teenagers with as many as
131 respondents.
Result and Discussion: Perception of teenagers about physical, process and economic factors showed that the
majority had good perception so these factors were not obstacles for teenagers in utilizing reproductive health
service. The majority of teenagers (68%) had bad perception about psychosocial factor so this was an obstacle in
the utilization of reproductive health service.
Conclusion: Obstacles in the utilization of reproductive health service at the health center were caused by
psychosocial factor because of shame and unwillingness to tell the problem to staff that was considered as
strangers. Teenagers also doubted the confidentiality of the problem they told to the staff.
Keywords: perception, teenagers, reproductive health, utilization
ABSTRAK
Latar belakang: Pelayanan kesehatan reproduksi merupakan komponen penting yang harus diperbaiki secara
global. Remaja sering kali kekurangan informasi dasar tentang kesehatan reproduksi. Meskipun kebutuhan
pelayanan kesehatan reproduksi tinggi namun pemanfaatannya masih rendah karena berbagai hambatan
memperoleh pelayanan dan juga adanya persepsi negatif terhadap pusat pelayanan kesehatan reproduksi. Data
dari dinas Kesehatan kabupaten Sijunjung Sumatera Barat menunjukkan hanya 20% remaja yang memanfaatkan
pelayanan kesehatan reproduksi. Sedangkan kasus dan masalah kesehatan reproduksi menunjukkan 9,2% sudah
berhubungan seks sebelum menikah, dan 40% menikah pada usia remaja (<20 tahun) serta 10% mengakibatkan
kehamilan tak dikehendaki.
Tujuan: Untuk mempelajari persepsi remaja terhadap faktor fisik, proses, ekonomi dan psikososial untuk
memanfaatkan pelayanan kesehatan reproduksi remaja.melalui wawancara mendalam.Subyek penelitian adalah siswa SMA kelas 1 dan 2 usia 14-16 tahun di wilayah
kerja puskesmas sebanyak 131 responden.
Hasil dan Pembahasan: Mayoritas remaja memiliki persepsi baik terhadap faktor fisik, proses, dan ekonomi. Tiga
faktor bukanmerupakan penghambatmemperoleh layanan kesehatan reproduksi. Sementara itu faktor psikososial
dianggap sebagai penghambat (68%) untuk memanfaatkan pelayanan kesehatan reproduksi.
Kesimpulan: Hambatan pemanfaatan layanan kesehatan reproduksi adalah faktor psikososial karena malu dan
tidak percaya untuk menceritakan masalah pada petugas kesehatan yang tidak dikenal. Remaja juga meragukan
kerahasiaan masalah yang diungkapkan.
Kata kunci: persepsi, remaja, kesehatan reproduksi, pemanfaatan
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2014-06-25 00:00:00
application/pdf
https://journal.ugm.ac.id/jkr/article/view/4913
Jurnal Kesehatan Reproduksi; Vol 1, No 1 (2014)
eng
Copyright (c)
oai:jurnal.ugm.ac.id:article/4914
2018-06-25T07:16:50Z
jkr:ART
nmb a2200000Iu 4500
"140625 2014 eng "
2621-461X
2302-836X
dc
PEMANFAATAN POJOK LAKTASI DI PUSKESMAS I CILONGOK KABUPATEN BANYUMAS
Khotimah, Khusnul
Gadjah Mada University
Emilia, Ova
Gadjah Mada University
Hakimi, Mohammad
Gadjah Mada University
PEMANFAATAN POJOK LAKTASI DI PUSKESMAS I CILONGOK
KABUPATEN BANYUMAS
Khusnul Khotimah, Ova Emilia,Mohammad Hakimi
ABSTRACT
Background : Based on survey Indonesian demographic and health in 2007 that exclusive breastfeeding 38 %
decrease from 39,5% in 2002-2003, child under 6 months who gets milk incease from 16,7% until 27,9% in
2007. American Academy of Pediatrics (1)get recomendation baby must get exclusive breastfeeding in 6 month
until 2 years old. Banyumas regency are have a program to increase scope of exclusive breastfeeding by regulation
of regent number 52 in 2012 about increase exclusive breastfeeding in Banyumas Regency. One of the material in
socialization is about lactation room and standardization, right of women worker to breastfed in office, public
facility.
Objective : to determine factors can effected utilization of lactation room in Puskesmas I Cilongok.
Methods : this study was an observational study with a cross sectional design and qualitative study or called mix
method. Location of study in Puskesmas I Cilongok. Sample of this study is employed mother who breastfeed
and visitors of Puskesmas I Cilongok in Banyumas Regency. Sampling method used sampling convinience get 41
women until this study done. independent variable are attitude of breastfeed mother about lactation room and
behavior of breastfeed mother. Dependent variable is utilization of lactation room. Data analysis consisted of
univariable analysis, bivariable analysis using chi-square test and multivariable analysis using logistic regression
test and also qualitative analysis.
Results and Discussion : there is no effect attitude of breastfeed mother about lactation room with utilization of
lactation room, can we see from p = 0,247 (RP1,58; 95% CI 0,70-3,55), the similar result from dialogue that
mother have good attittude but not utilized, they say not get socialization from health worker. The good Behavior
breastfeed mother have relation with utilization, can we see p = 0,028, RP2,35 (95% CI 1,05-5,23). Results from
dialogue mother who get bad behavior not utilized. Utilization in lactation room only just breastfeeding, never
used to pamp and saving breastmilk. People not respond that room lactation is a necessary, because without
policy about room lactation, they are can breastfed in any where.
Conclusion : Good attitude of breastfeed mother about lactation room can not get effect utilization of lactation
roomand good behavior breastfeedmother can get effect with utilization lactation room in Puskesmas I Cilongok.
Keyword: attitude breastfeed mother, behavior breastfeed mother and utilization lactation room
ABSTRAK
Latar Belakang:Berdasarkan data Survey Demografi dan Kesehatan Indonesia (SDKI) tahun 2007 tercatat bahwa
cakupan ASI eksklusif sebesar 38% menurun dari 39,5%di tahun 2002-2003, sementara jumlah bayi dibawah 6
bulan yang diberi susu formula meningkat dari 16,7% menjadi 27,9% ditahun 2007. American Academy of
Pediatrics (1)merekomendasikan bahwa durasi minimal ASI eksklusif menjadi 6 bulan tetapi optimal harus terus
selamaminimal 2 tahun.Kabupaten Banyumas sedangmemiliki program gunameningkatkan cakupan ASI eksklusif
yang dituangkan lewat Peraturan Bupati Banyumas nomor 52 tahun 2012 tentang peningkatan pemberian ASI di
Kabupaten Banyumas. Salah satu materi sosialisasi tersebut berisi tentang anjuran pengadaan pojok laktasi
beserta standarisasinya, hak ibu bekerja yang menyusui di kantor pemerintahan, sarana pra sarana umum juga.
Tujuan:Untuk mengetahui faktor-faktor yang mempengaruhi pemanfaatan pojok laktasi di Puskesmas I Cilongok.
Metode:Penelitian ini menggunakan jenis observasional dengan desaincross sectionaldan kualitatif. Tempat
penelitian Puskesmas I Cilongok. Sampel penelitian ibu bekerja menyusui dan pengunjung puskesmas memiliki
bayi umur 0 bulan sampai dengan 2 tahun berada di Puskesmas I Cilongok. Pengambilan sampel menggunakan
sampling conviniencediperoleh 41 orang selama penelitian dilakukan.Variabelindependen adalah sikap ibu
menyusui terhadap pojok laktasi, perilaku ibu menyusui. Variabel dependen ialah pemanfaatan pojok laktasi.
Analisa data meliputi analisis univariabel, bivariabeldengan menggunakan chi square sedangkan multivariabel
menggunakan uji regresi logistik serta analisis kualitatif.
Hasil dan Pembahasan:Sikap ibu menyusui terhadap ketersediaan pojok laktasi tidakmempengaruhi pemanfaatan
pojok laktasi dilihat dari nilai p = 0,247 (RP1,58; 95% CI 0,70-3,55), hasil ini didukung hasil wawancara bahwa
sikap baik tetapi tidak memanfaatkan pojok laktasi dengan alasan sosialisasi yang kurang dari petugas kesehatan.
Perilaku ibu menyusui yang baik berhubungan dengan pemanfaatan pojok laktasi dilihat dari nilai p = 0,028,
RP2,35 (95% CI 1,05-5,23). Hasil wawancara ibu yang berperilaku tidak baik cenderung tidak memanfaatkan
pojok laktasi. Pemanfaatan pojok laktasi hanya untuk menyusui saja, tidak digunakan untuk memeras dan
penyimpanan ASI. Rendahnya pemanfaatan pojok laktasi dikarenakan faktor kebutuhan. Masyarakat desa tidak
menganggap bahwa pojok laktasi merupakan kebutuhan, karena tanpa adanya kebijakan pengadaan pojok laktasi
mereka dapat menyusui dimanapun.
Kesimpulan:sikap ibu menyusui terhadap ketersediaan pojok laktasi yang baik tidak mempengaruhi pemanfaatan
pojok laktasi dan perilaku ibu menyusui yang baik dapat mempengaruhi pemanfaatan pojok laktasi di Puskesmas
I Cilongok Kabupaten Banyumas.
Kata kunci: sikap ibu, perilaku ibu, pemanfaatan pojok laktasi
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2014-06-25 00:00:00
application/pdf
https://journal.ugm.ac.id/jkr/article/view/4914
Jurnal Kesehatan Reproduksi; Vol 1, No 1 (2014)
eng
Copyright (c)
oai:jurnal.ugm.ac.id:article/4915
2018-06-25T07:16:50Z
jkr:ART
nmb a2200000Iu 4500
"140625 2014 eng "
2621-461X
2302-836X
dc
PENGARUH INISIASI MENYUSU DINI TERHADAP JUMLAH PERDARAHAN PASCA PERSALINAN
Sumarah, Sumarah
Gadjah Mada University
Hakimi, Muhammad
Gadjah Mada University
Prawitasari, Shinta
Gadjah Mada University
PENGARUH INISIASI MENYUSU DINI TERHADAP
JUMLAH PERDARAHAN PASCA PERSALINAN
Sumarah,Mohammad Hakimi, Shinta Prawitasari
ABSTRACT
Background: Mortality and morbidity among women during pregnancy and labour are a major problem in poor
and developing countries including Indonesia. The prevalence of postpartum hemorrhage is between 2-11% out
of all childbirth. Postpartum hemorrhage is the main cause of maternal mortality (28%). Maternal mortality
mainly occurs within the first 4 hours after childbirth. Uterus contraction after childbirth greatly minimizes the
risk of hemorrhage. Early breastfeeding initiation stimulates the back of hypofiche gland to produce oxytoxin
that ignites womb muscle contraction so that the risk for the prevalence of postpartum hemorrhage can be
minimized.
Objective: To identify the impact of early breastfeeding initiation to the amount of postpartum hemorrhage.
Method: The study was observational with prospective cohort design. Subject of the study were normal partum
mothers at Sleman Hospital taken using non probability with consecutive sampling technique (62 samples). Data
analysis used univariate with frequency distribution and percentage, bivariate with independent t-test and
multivariate with linear regression.
Result and Discussion: Average amount of blood in postpartum mothers that practised early breastfeeding
initiation (EBI) was lower than those without EBI. The average amount of hemorrhage in mothers that practice
EBI was 77,26 + 33,6 cc, and in mothers that did not practiced EB was 115,4 +31,0 cc. Average difference in the
amount of hemorrhage in the two groups was -38,1 cc. This difference was statistically significant with p<0,05
(p=0,000), 95%CI=-54,6- -21,7. External variables, either age, parity or education of mothers, had no significant
association with the amount of postpartum hemorrhage (p>0,05).
Conclusion: EBI affected the amount of postpartum hemorrhage. Average amount of postpartum hemorrhage in
mothers that practiced practised EBI was 38,1 cc less than in those that did not practise EBI.
Keywords: postpartum, early breastfeeding initiation, skin to skin contact
ABSTRAK
Latar Belakang: Mortalitas dan morbiditas pada wanita selama kehamilan dan persalinan adalah masalah besar
di negara-negara miskin dan berkembang termasuk Indonesia. Prevalensi perdarahan postpartum adalah 2-11%
dari semua persalinan. Perdarahan postpartum merupakan penyebab utama kematian ibu (28%). Kematian ibu
terutama terjadi dalam 4 jam pertama setelah melahirkan. Kontraksi rahim setelah melahirkan sangat
meminimalkan risiko perdarahan. Inisiasi menyusui dini merangsang bagian belakang kelenjar hypofiche untuk
menghasilkan oxytoxin yangmemicu kontraksi otot rahimsehingga resiko untuk prevalensi perdarahan postpartum
dapat diminimalkan.
Tujuan: Untuk mengidentifikasi dampak dari inisiasi menyusui dini terhadap jumlah perdarahan postpartum.
Metode: Jenis penelitian ini adalah observasional dengan rancangan kohort prospektif. Subyek penelitian adalah
ibu yang melahirkan normal di Rumah Sakit Sleman diambil menggunakan non probability dengan teknik
pengambilan sampel berturut-turut (62 sampel). Analisis data yang digunakan univariat dengan distribusi frekuensi
dan persentase, bivariat dengan t-test independen dan multivariat dengan regresi linier.
Hasil dan Pembahasan: Jumlah rata-rata darah pada ibu pasca melahirkan yang dilakukan tindakan inisiasi
menyusui dini (IMD) lebih rendah dibandingkan mereka yang tidak dilakukan IMD. Jumlah rata-rata perdarahanpada ibu yang berlatih IMD adalah 77,26 + 33,6 cc, dan pada ibu yang tidak melakukan IMD adalah 115,4 + 31,0
cc. Rata-rata perbedaan jumlah perdarahan pada kedua kelompok adalah -38,1 cc. Perbedaan ini secara statistik
signifikan dengan p <0,05 (p = 0,000), 95% CI = 54,6—21,7. Variabel eksternal, baik usia, paritas atau pendidikan
ibu, tidak memiliki hubungan yang signifikan dengan jumlah perdarahan postpartum dengan p> 0,05.
Kesimpulan: IMD mempengaruhi jumlah perdarahan postpartum. Jumlah rata-rata perdarahan postpartum pada
ibu yang dilakukan IMD adalah 38,1cc lebih sedikit dibanding mereka yang tidak berlatih IMD.
Kata kunci: postpartum, inisiasi menyusui dini, kontak kulit dengan kuli
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2014-06-25 00:00:00
application/pdf
https://journal.ugm.ac.id/jkr/article/view/4915
Jurnal Kesehatan Reproduksi; Vol 1, No 1 (2014)
eng
Copyright (c)
oai:jurnal.ugm.ac.id:article/4916
2018-06-25T07:16:50Z
jkr:ART
nmb a2200000Iu 4500
"140625 2014 eng "
2621-461X
2302-836X
dc
PAJANAN ASAP DALAM RUMAH TERHADAP KEJADIAN ISPA NONPNEUMONIA PADA ANAK BALITA DI KABUPATEN KAPUAS
Hugo, Mayae
Gadjah Mada University
Emilia, Ova
Gadjah Mada University
Sitaresmi, Mei Neni
Gadjah Mada University
PAJANAN ASAP DALAM RUMAH TERHADAP KEJADIAN
ISPA NONPNEUMONIA PADA ANAK BALITA DI KABUPATEN
KAPUAS
Mayae Hugo, Ova Emilia,Mei Neni Sitaresmi
ABSTRACT
Background: Acute respiratory infections (ARI) is one of themain causes of disease burden in developing countries,
and 40-60% patients visits at the health center. Riskesdes analysis report the under–five children who suffer from
upper respiratory tract infection prevalence 42.8%. ARI occurrence is affected by many factors, including
environmental factors. Little attention has been given to indoor air pollution particularly for people in rural
areas, although the known particles of smoke in the room known as the most influential factors on the health of
children where children spend most of their time indoors
Objective: To know whether smoke exposure inside the house is a risk factor toward non pneumonia ARI among
under-five children.
Method: This was a study using a case control study design. Subjects were under-five children aged 12-59 months
old in Kapuas District taken by non probability sampling method. Sample size was 106, divided into two groups
namely case (n=53) and control (n=53). Data analysis used univariate analysis, bivariate analysis, and multivariate
analysis with logistic regression.
Result: Non pneumonia ARI had a 2.7 time greater risk of contracting under-five children exposed by smoke
inside their house (95%CI=1.16-6.60). Multivariate analysis proportion of house condition which was not really
hygienic, member of family who contracted ARI, bad nutritional status had a significant relationship to non
pneumonia ARI among under-five children.
Conclusion: Non pneumonia ARI among under-five children had a significant relationship to smoke exposure
inside the house.
Keywords: non pneumonia ARI, smoke exposure inside the house, under-five children
ABSTRAK
Latar Belakang: Infeksi saluran pernapasan akut (ISPA) merupakan salah satu penyebab utama beban penyakit di
negara berkembang. Terdapat 40-60% kunjungan pasien di pusat layanan kesehatan. Analisis Riskesdesmelaporkan
prevalensi anak-anak balita yang menderita infeksi saluran pernapasan atas 42,8%. Kejadian ISPA dipengaruhi
oleh banyak faktor, termasuk faktor lingkungan. Sedikitnya perhatian yang diberikan terhadap polusi udara dalam
ruangan terutama bagimasyarakat di daerah pedesaan,meskipun partikel yang berasal dari asap di dalam ruangan
dikenal sebagai faktor yang paling berpengaruh pada kesehatan anak di mana anak-anak menghabiskan sebagian
besar waktu mereka di dalam ruangan.
Tujuan: Untuk mengetahui apakah paparan asap di dalam rumah merupakan faktor risiko terhadap non pneumonia
ISPA pada balita.
Metode: Penelitian ini merupakan penelitian dengan menggunakan disain penelitian kasus kontrol. Subyek
penelitian adalah balita berusia 12-59 bulan di Kabupaten Kapuas diambil dengan metode non probability
sampling. Jumlah sampel adalah 106, dibagi menjadi dua kelompok yaitu kelompok kasus (n=53) dan kelompok
kontrol (n=53). Analisis data yang digunakan analisis univariat, analisis bivariat, dan analisis multivariat dengan
regresi logistik.
Hasil dan Pembahasan: ISPA non pneumonia memiliki risiko 2,7 kali lebih besar menjangkiti anak yang terpapar
asap di dalam rumah mereka (95% CI=1,16-6,60). Proporsi analisis multivariabel kondisi rumah yang tidak benarbenar
higienis, anggota keluarga yang terjangkit ISPA, status gizi buruk memiliki hubungan yang signifikan terhadap
ISPA non pneumonia pada balita.
Kesimpulan: ISPA non pneumonia pada balita memiliki hubungan yang signifikan terhadap paparan asap di dalam
rumah.
Kata kunci: ISPA non pneumonia, paparan asap di dalam rumah, balita
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2014-06-25 00:00:00
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Amelia, Adelina
Gadjah Mada University
Dasuki, Djaswadi
Pradjatmo, Heru
Adelina Amelia1, Djaswadi Dasuki2, Heru Pradjatmo3
Background: Endometriosis is a gynecological disease that is found in 25-30% of infertile women. The most widely used staging system of endometriosis in IVF is the revised American Fertility Society (r-AFS) which has limited predictive ability for pregnancy after surgery. The Endometriosis Fertility Index (EFI) is used to predict fecundity after endometriosis surgery.
Objective: To assess the relationship between EFI and the outcomes of IVF.
Methods: The study was retrospective cohort. Subjects of study were endometriosis patients who underwent IVF in Infertility Clinic of Permata Hati, Dr. Sardjito Hospital, Yogyakarta in 2012 that met inclusion and exclusion criteria. Subjects were devided into two groups: high EFI and low EFI. ROC curve was used to obtain the cut-off point.Chi-square and logistic regression statistics analysis were used.
Results and Discussion: A total of 54 cycles from 54 couples who underwent IVF were included. Cut off point for EFI is 6. There is no difference in the outcomes of IVF between high and low EFI (OR 15,135; 95% CI 0,830-276,00; p=0,067), but high EFI increased the outcome of IVF 15 times better than low EFI. The outcome of IVF was influenced by type of the embryo transfer (OR 0,126; 95% CI 0,028-0,566).
Conclusion: High EFI did not affect the outcomes of IVF both rated at biochemical pregnancy, clinical pregnancy and live birth. The outcomes of IVF was influenced by type of the embryo transfer. The cause of female infertility and stage of the endometriosis increased EFI score but did not affect the outcomes of IVF.
Keyword: endometriosis, infertility, endometriosis fertility index, in vitro fertilization
ABSTRAK
Latar Belakang: Endometriosis adalah salah satu penyakit ginekologi yang ditemukan pada 25-50% wanita infertil. Sistim klasifikasi yang digunakan untuk menentukan derajat atau stadium endometriosis dalam FIV yaitu The revised American Fertility Society (r-AFS) yang memiliki keterbatasan dalam memprediksikan kehamilan setelah pembedahan. Endometriosis Fertility Index ( EFI) adalah sistim klasifikasi endometriosis terbaru yang dapat digunakan untuk memprediksikan kehamilan setelah pembedahan.
Tujuan: Menilai hubungan antara Endometriosis Fertility Index (EFI) dan keberhasilan Fertilisasi In Vitro (FIV).
Metode: Studi kohor retrospektif. Subyek penelitian adalah pasien endometriosis yang menjalani program FIV di Klinik Permata Hati RSUP Dr. Sardjito Yogyakarta pada tahun 2012 yang memenuhi kriteria inklusi dan terlepas dari kriteria ekslusi. Subyek dibagi menjadi 2, kelompok EFI tinggi dan EFI rendah. Nilai titik potong EFI didapat dari kurva ROC. Uji statistik yang digunakan adalah Chi-square dan regresi logistik.
Hasil dan Pembahasan: Sebanyak 54 siklus dari 54 pasangan yang menjalani fertilisasi in vitro(FIV) disertakan dalam penelitian sesuai dengan kriteria inklusi dan eksklusi. Nilai titik potongditetapkan EFI=6. Tidak terdapat perbedaan secara statistik terhadap keberhasilan FIV antara EFI tinggi dan rendah (OR 15,135; IK 95% 0,830-276,00; p=0,067) tetapi secara klinis skor EFI tinggi meningkatkan keberhasilan FIV 15 kali dibanding skor EFI rendah. Keberhasilan FIV dipengaruhi oleh jenis embrio yang ditransfer (OR 7,020; IK 95% 1,309-37,660; p=0,023).
Kesimpulan: Skor EFI tinggi tidak mempengaruhi keberhasilan dalam program FIV baik dinilai pada kehamilan biokimia, kehamilan klinik, maupun kelahiran bayi hidup. Faktor yang mempengaruhi adalah jenis embrio yang ditransfer. Faktor penyebab infertilitas wanita dan stadium endometriosis meningkatkan skor EFI tetapi tidak mempengaruhi keberhasilan FIV.
Kata kunci: endometriosis, infertilitas, endometriosis fertility index,fertilisasi in vitro.
1,2,3 Bagian Obstetri dan Ginekologi, Fakultas Kedokteran UGM
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2014-10-23 00:02:18
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Jurnal Kesehatan Reproduksi; Vol 1, No 2 (2014)
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PENGARUH PEMBERIAN ASAM TRANEKSAMAT TERHADAP JUMLAH PERDARAHAN PASCASALIN PADA KELAHIRAN VAGINAL
Chilmawati, Laili
Gadjah Mada University
Pradjatmo, Heru
Siswosudarmo, H.R.
PENGARUH PEMBERIAN ASAM TRANEKSAMAT TERHADAP JUMLAH PERDARAHAN PASCASALIN PADA KELAHIRAN VAGINAL
Laili Chilmawati1 , Heru Pradjatmo2, H.R. Siswosudarmo3
ABSTRACT
Background: Maternal mortality is the great problem in developing countries and postpartum hemorrhage is the main cause. Obstetrics intervention and uterotonics agents have been used to control postpartum hemorrhage, but the use of hemostatic agent is still in the study.
Objective: To compare the effect of tranexamic acid on postpartum hemorrhage and its potential side effects compared with placebo in vaginal delivery
Methods: A Double blindrandomized controlled Trial (RCT). We conducted a total of 198 subjects who met the inclusion criteria were recruited. The treatment group was those who got one gram tranexamic injection and the the control group those who got placebo. Independent sample t-test, chi-square and linear regression were used for statistical in treatment group analysis.
Results and Discussion: A total of 198 subjects met the inclusion criteria, consisting of 99 subjects and 99 in the control group. No significant difference was found on the amount of postpartum hemorrhage (102.13±67.34 ml vs.110.58±73.57 ml;p=0.40), nor on the difference of hemoglobin level (0.99±1.13 g/dLvs.1.05 ± 0.93 g/dLp=0.66), and of hematocrit level (4.06 ± 3.73 vs.4.58±4.18%;p=0.36). The use of other uterotonics gave the significant difference at the decrease of hemoglobin level (p=0,02). Side effect of nausea and vomiting at tranexamic acid group didn’t differ from placebo (p=1,00).
Conclusion: There was no difference between the use of tranexamic acid and placebo in terms of number of bleeding the decrease of haemoglobin and hematocrit.
Keywords: tranexamic acid; postpartum hemorrhage; hemoglobin and hematocryte level, vaginal delivery.
ABSTRAK
Latar belakang: Kematian ibu merupakan masalah yang besar di negara sedang berkembang. Perdarahan pascasalin merupakan penyebab paling utama kematian ibu. Intervensi obstetrik dan obat-obat uterotonika telah digunakan secara optimal untuk mengatasi perdarahan pascasalin, tetapi obat hemostatik masih dalam kajian.
Tujuan: Mengetahui pengaruh asam traneksamat terhadap jumlah perdarahan pascasalin pada persalinan vaginal dan efek samping yang mungkin terjadi.
Metode Penelitian: Metode penelitian ini adalah Randomized Controlled Trial (RCT). Subyek penelitian adalah pasien dengan persalinan vaginal yang memenuhi kriteria inklusi dan eksklusi. Kelompok penelitian adalah mereka yang mendapat injeksi asam traneksamat 1 gram intravena sedang kelompok control adalah mereka yang mendapat plasebo. Independent t-test, chi-square dan regresi linier digunakan untuk analisis statistika.
Hasil dan Pembahasan: Sebanyak 198 subyek memenuhi memenuhi kriteria kelayakan, terdiri atas 99 subyek masuk ke dalam kelompok perlakuan dan 99 subyek yang masuk dalam kelompok kontrol. Tidak didapatkan perbedaan secara bermakna pada jumlah perdarahan kala IV (102,13±67,34 ml vs 110,58±73,57 ml, p=0,40), penurunan kadar hemoglobin (0,99±1,13 g/dLvs.1,05±0,93 g/dL, p=0,66) dan penurunan kadar hematokrit (4,06±3,73 vs.4,58±4,18%, p=0,36). Penggunaan uterotonika lain memberikan perbedaan secara signifikan terhadap penurunan kadar hemoglobin (p=0,02). Kadar hemoglobin awal dan kadar hematokrit awal memberikan perbedaan secara signifikan terhadap penurunan kadar hematokrit (p=0,006 dan 0,01). Kejadian efek samping mual dan muntah pada pemberian asam traneksamat tidak berbeda dibandingkan dengan plasebo (p=1,00).
Kesimpulan: Jumlah perdarahan kala IV, penurunan kadar hemoglobin dan penurunan kadar hematokrit tidak berbeda antara kelompok yang mendapat asam traneksamat dibanding yang mendapat placebo.
Kata kunci: asam traneksamat, perdarahan pascasalin, kadar hemoglobin, hematokrit.
1 PPDS 1 Obstetri dan Ginekologi, Bagian Obstetri dan Ginekologi, Fakultas Kedokteran UGM
2,3 Bagian Obstetri dan Ginekologi, Fakultas Kedokteran UGM
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2014-10-23 00:02:18
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https://journal.ugm.ac.id/jkr/article/view/5342
Jurnal Kesehatan Reproduksi; Vol 1, No 2 (2014)
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Sunaryo, Rustam
Gadjah Mada University
Hakimi, Mohammad
Suhadi, Agung
KEMATIAN IBU SEBELUM DAN SELAMA PELAYANAN JAMINAN PERSALINAN (JAMPERSAL) DI RSUD DR. MOEWARDI SURAKARTA TAHUN 2009 - 2013
Rustam Sunaryo1, Mohammad Hakimi2, Agung Suhadi3
ABSTRACT
Background: Maternal mortality rate in Indonesia is considered to be one of the highest among South East Asia Countries. One of the main reason is access for health services cost, which leads to massive numbers of birth outside health facility. Some programs are initiated to address these issues in order to achieve Millenium Development Goals (MDG’s) with maternal mortality target of 102/100.000 live births on 2015. Jaminan Persalinan “JAMPERSAL” is one of government policy to reduce cost barrier.
Objectives: To analyze the effect of Jampersal on reducing maternal mortality rate in Moewardi General Hospital, Surakarta.
Methods: This was an observational Analysis with cross sectional design. Data were collected from all maternal mortality cases at Moewardi General Hospital from 1 st of January 2009 until 31stDecember 2013. Maternal mortality rate before and during Jampersal was taken into account for statistical analysis using Chi square Test.
Results: Total number of births were significantly increasing, for about 3.5 times. Maternal mortality percentage was decreasing significantly during Jampersal, from 1.45% to 0.53% (p=0.000). The most frequent etiology of maternal death was preeclampsia/eclampsia (53.33% - 72.40%). For this cause, Jampersal also had a potential role on lowering case fatality rate from 5.95% to 3.64% (p=0.025, p<0.05)
Conclusions: Jampersal has significantly reduce maternal mortality rate but on the other side increase number of birth in me hospital. The policy would be considerd as supportive for achieving MDG’s.
Keywords: Jampersal, Maternal Mortality, cause of death
ABSTRAK
Latar belakang: Angka kematian ibu di Indonesia masih menduduki tempat tertinggi di antara negara Asia Tenggara. Salah satu penyebabnya adalah biaya persalinan sehingga sebagian ibu melahirkan tidak di fasilitas kesehatan. Beberapa program dilakukan untuk mengatasi masalah ini agar dapat mencapai target Millenium Development Goals (MDG’s) dengan AKI 102/100.000 lahir hidup di 2015. Jaminan Persalinan “JAMPERSAL” merupakan salah satu kebijakan pemerintah untuk mengurangi hambatan biaya
Tujuan: Mengananlisis pengaruh Jampersal untuk menurunkan kematian ibu di RS Moewardi, Surakarta.
Metode: Penelitian ini merupakan penelitian observasional dengan desain cross sectional. Data dikumpulkan dari semua kasus kematian ibu di RS Moewardi dari 1 Januari 2009 hingga 31 Desember 2013. Kematian ibu sebelum dan setelah dilaksanakannya Jampersal dihitung dan dianalisis dengan Chi square Test.
Hasil: Jumlah total persalinan meningkat signifikan, sekitar 3,5 kali. Persentase kematian ibu menurun signifikan selama program Jampersal dilaksanakan, yaitu 1.45% hingga 0.53% (p=0.000). Penyebab kematian tersering adalah preeklampsia/eklampsia (53.33% - 72.40%). Jampersal menurunkan angka fatalitas kasus preeklamsia secara signifikan dari 5.95% menjadi 3.64% (p=0.025, p<0.05)
Kesimpulan: Jampersal dapat menurunkan kematian ibu di rumah sakit secara signifikan tetapi di sisi lain meningkatkan jumlah persalinan. Kebijakan ini dianggap dapat mendukung tercapainya target MDGs.
Kata kunci: Jampersal, Maternal Mortality, cause of death
1 Bagian Obstetri dan Ginekologi, Fakultas Kedokteran UNS
2 Bagian Obstetri dan Ginekologi, Fakultas Kedokteran UGM
3 RSUD Wonosobo
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2014-10-23 00:02:18
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Jurnal Kesehatan Reproduksi; Vol 1, No 2 (2014)
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Irawati, Popy
Gadjah Mada University
Hakimi, Mohammad
Emilia, Ova
PENGARUH PEMBERIAN ASI EKSKLUSIF TERHADAP KEMBALINYA MENSTRUASI PADA IBU MENYUSUI DI RS ST. CAROLUS JAKARTA
Popy Irawati1, Mohammad Hakimi2, Ova Emilia3
ABSTRACT
Background: Exclusive breastfeeding has benefit for both the baby and mother. The breastfeeding patterns have a close relation with return of menses. Breastfeeding practice in Indonesia is rare (27-40%) and 37,4% babies received a weaned food, and only 10% babies received six months exclusive breastfeeding. In Jakarta, most mothers realized benefit of breastfeeding for their babies and family themselves. This research is located at St. Carolus Hospital because St. Carolus is a centre of lactation in Jakarta
Objective: To identify the impact of exclusive breastfeeding on median time of return of menses on breastfeeding mother in St. Carolus hospital.
Method: An observational study with retrospective cohort study design. Samples are a year breastfeeding’s mother in St. Carolus Hospital. The total samples are 129 respondents. The samples are available with consecutive sampling. The data were analyzed using univariable, bivariable and multivariable methods. Bivariable statistic tests were chi square, log rank and Kaplan Meier’s survival analyzed methods. The multivariable statistic test was cox regression Hazard model.
Result and Discussion: Median time of the return of menses on exclusive breastfeeding group was 20 weeks, and an unexclusive breastfeeding is 12 weeks. The breastfeeding pattern and the return of menses on breastfeeding mother are significant related (HR=2,4; CI 95%=1,65-3,55 ;P<0,05). The return menses an exclusive breastfeeding mother was 2,4 times longer than unexclusive breastfeeding mother at a certain survival point. The variables of ages, parity, education, occupation, family economic status and health status are not significantly associated with the return of menses.
Conclusion: There is a significant different median time of the return of menses between exclusive and unexclusive breastfeeding mothers.
Keywords: exclusive breastfeeding, the return of menses, breastfeeding.
ABSTRAK
Latar Belakang: Menyusui secara eksklusif memiliki manfaat baik untuk ibu maupun bayinya. Pola menyusui berhubungan erat dengan kembalinya menstruasi. Praktek menyusui di Indonesia relatif jarang (27-40%) dan sebanyak 37,4% bayi menerima makanan tambahan, serta hanya 10% saja yang mendapatkan ASI eksklusif selama 6 bulan. Di Jakarta, sebagian besar ibu sebenarnya menyadari manfaat menyusui untuk bayi dan keluarganya. Penelitian ini mengambil lokasi di RS St. Carolus karena St. Carolus merupakan pusat laktasi di Jakarta.
Tujuan: Mengidentifikasi pengaruh menyusui eksklusif dengan nilai median kembalinya menstruasi pada ibu menyusui di RS St. Carolus.
Metode: Penelitian ini adalah penelitian observasional dengan disain kohort retrospektif. Subyek penelitian adalah ibu menyusui di RS St. Carolus dalam periode 1 tahun. Jumlah total subyek sebanyak 129 responden. Subyek penelitian diambil dengan metode consecutive sampling. Data dianalisis secara univariat, bivariat dan multivariat. Analisis statistik untuk data bivariat menggunakan chi square, log rank dan Kaplan Meier. Analisis multivariat menggunakan metode cox regression hazard.
Hasil dan Pembahasan: Nilai median untuk kembalinya menstruasi pada ibu yang menyusui eksklusif adalah 20 minggu sedangkan pada ibu yang menyusui tidak eksklusif adalah 12 minggu. Pola menyusui dan kembalinya menstruasi berhubungan secara bermakna (HR=2,4; CI 95%=1,65-3,55 ;P<0,05). Risiko untuk kembali menstruasi pada ibu yang menyusui eksklusif sebesar 2,4 kali lebih lama dibandingkan ibu yang tidak menyusui eksklusif. Variabel usia, paritas, pendidikan, pekerjaan, status sosial ekonomi dan status kesehatan tidak berhubungan secara bermakna dengan kembalinya menstruasi.
Kata Kunci: pemberian ASI eksklusif, kembalinya menstruasi, pemberian ASI
1 Badan Koordinator Keluarga Berencana Nasional Pusat
2,3 Bagian Obstetri dan Ginekologi, Fakultas Kedokteran, UGM
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2014-10-23 00:02:18
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Jurnal Kesehatan Reproduksi; Vol 1, No 2 (2014)
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oai:jurnal.ugm.ac.id:article/5347
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Sumiyati, Sumiyati
Gadjah Mada University
Emilia, Ova
Dasuki, Djaswadi
PERILAKU BIDAN DALAM PELAKSANAAN INISIASI MENYUSU DINI DI WILAYAH KERJA PUSKESMAS II TAMBAK, PUSKESMAS BANYUMAS DAN PUSKESMAS I KEMRANJEN
Sumiyati1, Ova Emilia2, Djaswadi Dasuki3
ABSTRACT
Background: Early Initiation of Breastfeeding (EIB) is important because it can increase the success of exclusive breastfeeding and infant survival. However, the implementation of the EIB is still not optimal in Banyumas. One of the factors that support the success of EIB is the support of health workers, especially midwives. Central Bureau of Statistics of Banyumas regency in 2012 said that most of deliveries in Banyumas 78.52% in 2011 attended by midwives.
Objective: To determine the behavior of midwives in the implementation of Early Initiation of Breastfeeding at Work Area of Tambak Public Health Center Banyumas. Public Health Center and Kemranjen Public Center.
Methods: The study was cross sectional complemented with qualitative data. The experiment was conducted at the Working Area of Tambak II, Banyumas and Kemranjen I public healh centers with 38 midwives as subjects. In-depth interviews conducted to 6 midwives and 4 postpartum mothers.
Results and Discussion: There were a significant association between knowledge and attitudes of midwives to practice implementation of EIB, knowledgeable midwife tent to practice E.I.B 1.79 times higher than less knowledgeable midwife. Good attitude midwives 1.62 times more likely to support EIB practice.
Conclusion: The behavior of midwife in the implementation of the EIB practices is influenced by a good knowledge and attitudes that support the EIB. Factors that inhibit the EIB, included flat nipples exhaustment of postpartum mothers and lack of rest among health professionals when encountered prolong labor.
Keywords: knowledge, attitude, practice, midwife, early initiation of breastfeeding
ABSTRAK
Latar Belakang: Inisiasi Menyusu Dini (IMD) penting karena dapat meningkatkan keberhasilan ASI eksklusif dan kelangsungan hidup bayi. Namun pelaksanaan IMD masih belum optimal di Kabupaten Banyumas. Salah satu faktor yang mendukung keberhasilan IMD adalah dukungan tenaga kesehatan terutama bidan. Badan Pusat Statistik Daerah Kabupaten Banyumas tahun 2012 menyatakan sebagian besar penduduk Kabupaten Banyumas sekitar 78,52% pada tahun 2011 menggunakan tenaga kesehatan bidan untuk menolong persalinan.
Tujuan: Untuk mengetahui perilaku bidan dalam pelaksanaan Inisiasi Menyusu Dini di Wilayah Kerja Puskesmas II Tambak, Puskesmas Banyumas dan Puskesmas I Kemranjen.
Metode: Penelitian observasional dengan rancangan cross sectional. Penelitian ini secara kuantitatif dan kualitatif. Penelitian dilaksanakan di Wilayah Kerja Puskesmas II Tambak, Puskesmas Banyumas dan Puskesmas I Kemranjen dengan subjek penelitian 38 bidan dan wawancara mendalam dengan 6 bidan serta 4 ibu postpartum.
Hasil dan Pembahasan: Hasil analisis bivariabel terdapat hubungan yang bermakna antara pengetahuan dan sikap bidan dengan pelaksanaan praktik IMD, bidan yang berpengetahuan baik 1,79 kali lebih besar untuk melakukan praktik IMD dengan baik dibandingkan dengan bidan yang berpengetahuan kurang. Sikap bidan yang mendukung IMD 1,62 kali lebih besar untuk melakukan praktik IMD dengan baik dibandingkan dengan sikap bidan yang tidak mendukung IMD.
Kesimpulan: Perilaku bidan dalam pelaksanaan praktik IMD dipengaruhi oleh pengetahuan yang baik dan sikap yang mendukung terhadap IMD. Faktor yang menghambat IMD antara lain bentuk puting yang mendatar sehingga bayi kesulitan untuk menghisap, ibu postpartum merasa capai dan lelah karena kurang istirahat serta faktor tenaga kesehatan, apabila menolong persalinan dengan kala II lama sehingga pelaksanaan IMD kurang dari satu jam.
Kata kunci: pengetahuan, sikap, praktik, bidan, inisiasi menyusu dini
1 Poltekkes Kemenkes Semarang
2,3 Bagian Obstetri dan Ginekologi, Fakultas Kedokteran UGM
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2014-10-23 00:02:18
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https://journal.ugm.ac.id/jkr/article/view/5347
Jurnal Kesehatan Reproduksi; Vol 1, No 2 (2014)
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oai:jurnal.ugm.ac.id:article/5348
2014-10-22T17:02:18Z
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Dewi, Utami
Gadjah Mada University
Agus Wilopo, Siswanto
Wibowo, Tunjung
PEMBERIAN MAKANAN PRALAKTASI DENGAN KELANGSUNGAN HIDUP BAYI DI INDONESIA (ANALISIS DATA SDKI 2007)
Utami Dewi1, Siswanto Agus Wilopo2, Tunjung Wibowo3
ABSTRACT
Background: It is recommended for a mother to initiate and give early breastfeeding for a newborn as the first breast milk is known to be nutritious and contains antibody. The delay of breastfeeding may stimulate non breast milk-supplementary food to be given. Based on BPS and Macro International data 65% of infants received pre-lacteal feeds besides breast milk in their three days of life.
Objective: the known relationship between pre-lacteal feeds and infants’ survival in Indonesia.
Method: This was an observational study with a cohort retrospective study design by using IDHS data year 2007. Samples were all infants (0-12 months, breastfed after birth) from mothers aged 15-49 years old as many as 2,886 mothers. The independent variable was pre-lacteal feeds after birth and the dependent variable was infants’ survival. The analyses used univariable, bivariable, and survival analysis with Kaplan-Meier, Log regression and Cox regression.
Result and Discussion: Bivariable analysis using survival Kaplan-Meier showed that there was a significant relationship between pre-lacteal feeds after birth and infants’ survival. The survival of infants who received pre-lacteal feeds was greater than that of infants who did not receive pre-lacteal feeds (92%:89%). Multivariable analysis using Cox regression showed that the survival chance in infants who did not receive pre-lacteal feeds was 0.63 times lower than that in infants who received pre-lacteal feeds (HR 0.63; CI 95%=0.42-0.95).
Conclusion: Pre-lacteal feeds shows relationship with infant survival. Other factors affecting infant’s survival were mother’s age < 20 and < 35 years, low economic status, and birth assistant with non professional.
Keyword: infant’s survival, pre-lacteal feeds, infant
ANSTRAK
Latar Belakang : Pemberian Air Susu Ibu (ASI) sejak dini sangat dianjurkan karena ASI yang keluar pertama kali sangat bergizi dan mengandung antibodi. Keterlambatan memulai pemberian ASI menunjukkan bahwa adanya pemberian makanan dan minuman selain ASI. Menurut Data BPS dan Macro International sebesar 65% bayi yang dilahirkan mendapatkan makanan pralaktasi selain ASI pada tiga hari pertama kehidupan.
Tujuan : Diketahuinya hubungan pemberian makanan pralaktasi terhadap kelangsungan hidup bayi di Indonesia.
Metode : Jenis penelitian observasional dengan rancangan cohort retrospectif menggunakan data SDKI 2007. Sampel penelitian adalah semua bayi (berumur 0-12 bulan, menyusu setelah lahir) dari ibu yang berumur 15-49 tahun berjumlah 2.886. Variabel bebas adalah pemberian makanan pralaktasi setelah lahir, variabel terikat kelangsungan hidup bayi. Analisis yang digunakan adalah univariabel, bivariabel dan analisis survival dengan Kaplan- Meier, Log regression dan Cox regression.
Hasil dan Pembahasan: Analisis bivariabel dengan survival Kaplan-Meir didapatkan hubungan yang bermakna antara pemberian makanan pralaktasi setelah lahir dengan kelangsungan hidup bayi, namun kelangsungan hidup lebih tinggi pada bayi yang mendapatkan makanan pralaktasi dibandingkan dengan yang tidak mendapatkan makanan pralaktasi (92%:89%). Analisis multivariabel dengan Cox regresion menunjukkan peluang kelangsungan hidup pada bayi yang tidak mendapatkan makanan pralaktasi sebesar 0,63 kali lebih rendah dibandingkan dengan yang mendapatkan makanan pralaktasi (HR 0,63; CI 95%=0,42-0,95).
Kesimpulan : Pemberian makanan pralaktasi berhubungan dengan kelangsungan hidup bayi. Faktor lain yang berpengaruh terhadap kelangsungan hidup bayi adalah umur ibu < 20 dan < 35 tahun, sosial ekonomi rendah dan penolong persalinan oleh non nakes
Kata kunci: kelangsungan hidup bayi, pemberian makanan pralaktasi, bayi
1 Sekolah Tinggi Kesehatan Hangtuah, Pekanbaru
2 Magister Kesehatan Ibu dan Anak-Kesehatan Reproduksi, FK UGM
3 Bagian Ilmu Kesehatan Anak, Fakultas Kedokteran UGM
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2014-10-23 00:02:18
application/pdf
https://journal.ugm.ac.id/jkr/article/view/5348
Jurnal Kesehatan Reproduksi; Vol 1, No 2 (2014)
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oai:jurnal.ugm.ac.id:article/5349
2014-10-22T17:02:18Z
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"141027 2014 eng "
2621-461X
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Kumala Dewi, Andriana
Gadjah Mada University
Dasuki, Djaswadi
Rumekti Hadiati, Diah
DENSITAS MASSA TULANG PADA PENGGUNA KONTRASEPSI IMPLAN LEVONORGESTREL
Andriana Kumala Dewi1 , Djaswadi Dasuki2, Diah Rumekti Hadiati3
ABSTRACT
Background: BKKBN reported that implant as a long term method of contraception was the most widely used among new users in 2012. The contraceptive action is mainly by inhibition of ovulation and production of estrogen is supressed. Estrogen is one of the most important factors related to bone remodelling. Thus, it has raised concerns regarding the adverse effect of long term use of this contraceptive method on the bone status of women who use them. So, it is necessary to study the effects of long term use of progestogens on bone mineral density.
Objective: Comparing bone mass density in contraceptive implant users and non-hormonal users.
Methods: Cross sectional study. This study was conducted in Kontap, outpatient department, Sardjito Hospital in August-December 2013. The participants’ age were 20-50 years who met the inclusion criteria and regardless of the exclusion criteria. Total of 110 women were divided into 2 groups, contraceptive implant users and non-hormonal contraceptive users. Bone mass density was measured using ultrasound densitometry on the calcaneus bone.
Results: Bivariate Chi-square analysis showed that there was no significant association between the use of the contraceptive implant with incidence of abnormal bone density (RP 1.75; 95% CI (0.80-3.83), p = 0.23). BMI as confounding variable provide a significant relationship with bone density with OR 23.24; 95% CI (4.26 to 126.86), p <0.001
Conclusion: In this study, there was no significant difference of bone mass density between contraceptive implant group and non hormonal group. BMI were significantly related to bone mass density.
Keyword: Bone mineral density, contraceptive implant, contraceptive progestin-only, levonorgestrel
ABSTRAK
Latar belakang: Data BKKBN menunjukkan bahwa implan merupakan metode kontrasepsi jangka panjang terbanyak dipakai oleh peserta baru KB tahun 2012. Cara kerja utama implan levonorgestrel dengan inhibisi ovulasi sehingga terjadi supresi produksi estrogen. Estrogen adalah salah satu faktor penting dalam remodelling tulang. Hal inilah yang memunculkan kekhawatiran tentang pengaruh penggunaan implan terhadap status kesehatan tulang pemakainya.
Tujuan: Membandingkan densitas massa tulang pada pengguna kontrasepsi implan levonorgetrel dan non hormonal.
Metode penelitian: Studi potong lintang. Penelitian dilakukan di Poliklinik Kontap, RSUP Dr. Sardjito. Jumlah peserta penelitian 110 wanita berusia 20-50 tahun yang memenuhi kriteria inklusi dan terlepas dari kriteria eksklusi, terbagi menjadi 2 kelompok, yaitu kelompok pengguna kontrasepsi implan dan pengguna kontrasepsi non hormonal. Densitas massa tulang diukur dengan menggunakan alat densitometri ultrasonografi pada tulang kalkaneus.
Hasil: Analisis bivariat Chi-square menunjukkan bahwa tidak ada hubungan bermakna antara penggunaan kontrasepsi implan dengan kejadian densitas tulang yang tidak normal (RP 1,75; IK 95% (0,80-3,83), p=0,23). BMI sebagai variabel luar memberikan hasil analisis yang bermakna terhadap kejadian densitas tulang tidak normal dengan nilai OR 23,24; IK 95% (4,26-126,86), p<0,001.
Kesimpulan: Tidak ada perbedaan densitas massa tulang yang bermakna antara kelompok pengguna kontrasepsi implan dan non hormonal. BMI kategori underweight secara signifikan memiliki hubungan dengan kejadian densitas tulang tidak normal.
Kata kunci: densitas massa tulang, kontrasepsi implan, kontrasepsi progestin-only, levonorgestrel
1,2,3 Bagian Obstetri dan Ginekologi FK UGM/RSUP Dr.Sardjito Yogyakarta
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2014-10-23 00:02:18
application/pdf
https://journal.ugm.ac.id/jkr/article/view/5349
Jurnal Kesehatan Reproduksi; Vol 1, No 2 (2014)
ind
Copyright (c)
oai:jurnal.ugm.ac.id:article/5350
2014-10-22T17:02:18Z
jkr:ART
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"141027 2014 eng "
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Siswosudarmo, Risanto
Gadjah Mada University
Titisari, Intan
DEVELOPING A NEW FORMULA FOR ESTIMATING BIRTH WEIGHT AT TERM PREGNANCY
Risanto Siswosudarmo1, Intan Titisari2
ABSTRAK
Latar belakang: Taksiran berat janin (TBJ) dipakai untuk panduan melakukan manajemen persalinan. Beberapa cara telah dipakai untuk mengukur taksiran berat lahir bayi misalnya dengan palpasi abdomen, pengukuran tinggi fundus uterus ibu (TFU) dan pemeriksaan ultrasonografi. Pengukuran tinggi fundus uterus ibu nampaknya merupakan cara yang paling sederhana dan murah dan dapat dikerjakan oleh semua tenaga kesehatan.
Tujuan penelitian: Membuat rumus baru berdasarkan pengukuran tinggi fundus uterus ibu.
Rancangan dan cara penelitian: Rancangan penelitian ini adalah studi cross sectional dengan mengukur TFU pada kehamilan 37-42 minggu di kamar bersalin RS Sardjito dan RS Jejaring. Sebanyak 655 ibu hamil yang memenuhi kriteria kelayakan dimasukkan dalam penelitian ini. Tinggi fundus diukur dengan pita non elastik flksibel dari simfisis pubis sampai puncak tinggi uterus pada saat pasien dalam persalinan kala satu. Berat lahir bayi (BLB) ditimbang dengan timbangan bayi yang sama setelah semua dikalibrasi. Analisis regresi linear digunakan untuk menghitung korelasi dan menentukan rumus TBJ berdasar TFU.
Hasil: Sejumlah 655 ibu hamil yang memenuhi kriteria kelayakan dengan umur kehamilan antara 37 sampai 42 minggu masuk dalam penelitian ini. Sebagian besar mereka berumur antara 20 to 30 tahun, sedang paritasnya berimbang. Rata-rata TFU adalah 31,25 ± 2,35 cm (bervariasi dari 24 sampai 38 cm) dan rata-rata BBL adalah 3021,60 ± 341,14 gram (bervariasi dari 2050 to 4250 gram). Koefisien korelasi Pearson adalah 0.93 ( R square 0.86), yang menunjukkan adanya korelasi yang kuat antara TFU dengan BBL. Rumus TBJ berdasar TFU adalah adalah Y (BBL dalam gram) = 125 X (TFU dalam cm) – 880.
Kesimpulan: Terdapat hubungan yang kuat anatara TFU dengan BBL, di mana rumus untuk mengestimasi BBL adalah BBL = 125 TFU – 880.
Kata kunci: Estimasi berat lahir, Tinggi fundus uterus, Berat bay lahir, Rumus Risanto
ABSTRACT
Background: Estimated birth weight (EFW) is used as a guidence for management of labor. Several methods are used from abdominal palpation, measurement of fundal height and ultrasound examination. For the shake of simplicity fundal height measurement to be the simplest and cheapest way that can be done by all medical personnels.
Objective of study: To develop a new formula in determining estimated birth weight based on maternal symphisis fundal height (FH).
Material and method: A cross sectional study was used, consisting of 655 pregnant women from Sardjito and affiliated hospitals at 37-42 weeks of gestation. Fundal height was measured from the symphisis to the top of uterine fundus, using inverted unelastic flexible tape. Infant birth weight (IBW) was determined by the same baby scale after calibrated. Linear regression analysis was used to calculate the correlation and develop the formula.
Result: A total of 655 pregnant mothers meeting the inclusion criteria from 37 to 42 weeks of gestation were recruited. Most of them were between 20 to 30 years old and their parity were almost comparable. The mean FH was 31.25 ± 2.35 cm (ranged between 24 to 38 cm) and the mean IBW was 3021.60 ± 341.14 grams (ranged between 2050 to 4250 grams). The Pearson correlation was 0.93 (R square 0.86), signifying that there was a strong correlation between FH and IBW. The formula for estimating IBW based on FH was Y (IBW in gram) = 125 X (FH in cm) – 880.
Conclusion: There was a strong correlation between FH and IBW. The formula for estimating IBW was IBW = 125 FH – 880.
Key words: Estimating birth weight, Fundal height, Fetal birth weight, Risanto’s formula.
1,2 Bagian Obstetri dan Ginekologi, Fakultas Kedokteran UGM
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2014-10-23 00:02:18
application/pdf
https://journal.ugm.ac.id/jkr/article/view/5350
Jurnal Kesehatan Reproduksi; Vol 1, No 2 (2014)
ind
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oai:jurnal.ugm.ac.id:article/5745
2015-01-27T04:30:44Z
jkr:ART
nmb a2200000Iu 4500
"150127 2015 eng "
2621-461X
2302-836X
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Nurcahyani, Lia
Gadjah Mada University
Hakimi, Mohammad
Sudargo, Toto
EFEK PEMANFAATAN PROGRAM PEMANTAUAN DAN PROMOSI PERTUMBUHAN TERHADAP STATUS GIZI BALITA DI KOTA CIREBON
Lia Nurcahyani 1, Mohammad Hakimi 2, Toto Sudargo 3
ABSTRACT
Background: Undernourishment is the main cause of mortality in underfives, one of which is the lack of growth monitoring and promotion program utilization. Cases of undernourishment at Cirebon Municipality exceed the provincial and national figures. In 2008, community participation in growth monitoring and promotion program increased 19% from the previous year, however cases of undernourishment also increased 0.23%.
Objective: To study the effect of growth monitoring and promotion program utilization toward nutritional status of underfive.
Method: The study was observational with retrospective cohort design. Subject consisted of 246 underfives of 17-59 months and mothers that met inclusion and exclusion criteria. Sampling used three stage combined with purposive and random sampling technique. Data consisted of primary and secondary data obtained from questionnaire, growth chart, nutrition registry, monthly report of underfive weighing at Cirebon Municipality in 2008, digital scale, measurement board/microtoise and 2006 is WHO anthropometric software. Data analysis used univariate, bivariate with chi square, and multivariate with logistic regression. The study was supported with qualitative data obtained from observation and indepth interview with 6 cadres and 2 nutrition staff to identify input and process indicators and constraints in the utilization of growth monitoring and promotion program.
Result and Discussion: The utilization of growth monitoring and promotion program affected nutritional status of underfive significantly p<0,05. Incidence of undernourished underfives that did not utilize the program regularly was 2.7 times greater than in those utilizing the program regularly after considering the contribution of knowledge and attitude of mothers and age of underfives. Input indicator especially role of cadres in the process of growth monitoring and promotion program at Cirebon Municipality was not optimum. Constraints in program utilization consisted of individual (health reason), provider (social reason) and community (geographical reason).
Conclusion: Monthly growth monitoring should be prioritized on underfives for the first 24 month. Target of growth monitoring and promotion program could be achieved when there is comprehensive support from people that received the service, service providers and policy makers.
Keywords: nutritional status, underfives, growth monitoring, promotion program, program utilization
ABSTRAK
Latar Belakang: Kurang gizi adalah penyebab utama mortalitas balita, salah satunya karena kurangnya penggunaan pemantau pertumbuhan dan promosi program. Kasus kurang gizi di Kotamadya Cirebon melebih angka provinsi dan nasional. Di tahun 2008, partisipasi masyarakat dalam pemantauan pertumbuhan dan program promosi meningkat 19% dibanding tahun sebelumnya, namun kasus kurang gizi tetap meningkat 0,23%.
Tujuan: Untuk meneliti efek pemanfaatan pemantauan pertumbuhan dan program promosi terhadap status gizi balita.
Metode: Penelitian ini merupakan studi observasional dengan rancangan retrospective cohort. Subyek terdiri dari 246 balita usia 17-59 bulan dan ibu yang memenuhi kriteria inklusi dan eksklusi. Sampling memakai tiga tahap dikombinasikan dengan teknik sampling purposif dan acak. Data berasal dari data primer kuesioner dan sekunder, grafik pertumbuhan, register gizi, laporan bulanan berat badan balita di Kotamadya Cirebon tahun 2008, timbangan berat badan, papan pengukur/microtoise dan WHO anthropometric software 2006. Analisis data memakai univariat, bivariat dan multivariat dengan regresi logistik. Penelitian ini juga didukung data kualitatif dari hasil observasi dan wawancara mendalam dengan 6 kader dan 2 staf gizi untuk mengidentifikasi indikator input dan proses serta hambatan dalam penggunaan pemantau pertumbuhan dan program promosi.
Hasil dan Pembahasan: Penggunaan pemantau pertumbuhan dan program promosi mempengaruhi status gizi balita secara signifikan p<0,05. Insidensi kurang gizi balita yang tidak memanfaatkan program secara reguler 2,7 kali lebih tinggi dibanding yang memanfaatkan. Kemungkinan kontribusi pengetahuan dan sikap ibu serta usia balita juga mempengaruhi. Indikator input terutama peran kader dalam proses pemantauan pertumbuhan dan program promosi di Kotamadya Cirebon belum optimal. Hambatan penggunaan meliputi faktor individu (alasan kesehatan), petugas kesehatan (alasan sosial) dan komunitas (alasan geografis).
Kesimpulan: Pemantauan pertumbuhan balita bulanan harus diprioritaskan untuk 24 bulan pertama. Target pemantauan pertumbuhan dan promosi dapat dicapai bila ada dukungan dari sisi kebutuhan masyarakat yang menerima layanan, dukungan tenaga kesehatan dan kebijakan pengambil kebijakan.
Kata kunci: status gizi, balita, pemantau pertumbuhan, program promosi, pemanfaatan program
1 Politeknik Kesehatan Cirebon, Program Kebidanan, Tasikmalaya
2 Magister Kesehatan Ibu dan Anak – Kesehatan Reproduksi, Fakultas Kedokteran Universitas Gadjah Mada
3 Magister Kesehatan dan Gizi, Fakultas Kedokteran Universitas Gadjah Mada
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2015-01-27 11:30:44
application/pdf
https://journal.ugm.ac.id/jkr/article/view/5745
Jurnal Kesehatan Reproduksi; Vol 1, No 3 (2014)
ind
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oai:jurnal.ugm.ac.id:article/5747
2015-01-27T04:30:44Z
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nmb a2200000Iu 4500
"150127 2015 eng "
2621-461X
2302-836X
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Mukhoirotin, Mukhoirotin
Gadjah Mada University
Rahmat, Ibrahim
Siswosudarmo, Risanto
PENGARUH PENDIDIKAN KESEHATAN TERHADAP KECEMASAN PRIMIGRAVIDA DALAM MENGHADAPI PERSALINAN
Mukhoirotin1, Ibrahim Rahmat2, Risanto Siswosudarmo3
ABSTRACT
Background: During a process of labor and delivery a primigravida mother tends to have increased fear and anxiety, because of pain and discomfort. She is worry about her safety and her baby. Unless it is well managed it might cause same complication such us premature labor, prolonged labor, and fetal death. Health education is one effort that can be done by health workers to decrease anxiety and prepare mother in facing the process of labor and delivery.
Objective: To find out the influence of health education to primigravida anxiety in facing the process of labor and delivery.
Method: The study was a quasy experiment by pretest-postest control group design. Subjects were all primigravidas at Peterongan Public Health Centre (Puskesmas) area of Jombang Regency. A total of sixty six respondents meeting the inclusion and exclusion criteria were recruited. They were devided into two groups, the treated group received health education and booklet (n=33) and the control group received health education only (n=33). The sampling tehnique were using consecutive sampling and cluster randomized trial. The instrument used to measure anxiety was Zung Self-Rating Anxiety Scale. Data were processed using computer program. Paired and independent sample t-tests were used for statistical analysis .
Results and Discussion: The anxiety scores before treatment was comparable between the two groups (p>0.05). This scores decreased significantly after treatment from 36.79 to 29.79 in the treated group, and from 36.85 to 32.03 in the control group (p<0.05). The post treatment score was significanly different between the treated and the control groups (29.79±4.14 vs. 32.03±4.01; p<0.05).
Conclution: Health education with booklet was more effective to decrease anxiety in the primigravida in facing labor compared to health education only.
Keywords: health education, booklet, anxiety, primigravida.
ABSTRAK
Latar Belakang: Selama proses persalinan dan melahirkan seorang ibu primigravida cenderung mengalami peningkatan ketakutan dan kecemasan, karena rasa sakit dan ketidaknyamanan. Ibu khawatir tentang keselamatan dirinya dan bayinya. Apabila hal ini tidak dikelola dengan baik dapat menyebabkan beberapa komplikasi seperti persalinan prematur, partus lama, dan kematian janin. Pendidikan kesehatan merupakan salah satu upaya yang dapat dilakukan oleh tenaga kesehatan untuk menurunkan kecemasan dan mempersiapkan ibu dalam menghadapi proses persalinan dan melahirkan.
Tujuan: Untuk mengetahui pengaruh pendidikan kesehatan terhadap kecemasan primigravida dalam menghadapi persalinan.
Metode: Penelitian ini adalah quasi experiment dengan pendekatan pretest-postest control group design. Subyek penelitian adalah semua primigravida di wilayah Puskesmas Peterongan kabupaten Jombang. Sebanyak 66 responden yang memenuhi kriteria inklusi dan eksklusi direkrut.
Subyek penelitian dibagi menjadi dua kelompok, kelompok perlakuan yang mendapatkan pendidikan kesehatan dan booklet (n=33) dan kelompok kontrol yang mendapatkan pendidikan kesehatan (n=33). Tehnik sampling menggunakan consecutive sampling dan cluster randomized trial. Instrumen yang digunakan untuk mengukur kecemasan adalah Zung Self-Rating Anxiety Scale. Data diolah dengan menggunakan program komputer. Paired sample t-test dan independent sample t-test digunakan untuk analisis statistik.
Hasil dan Pembahasan: Skor kecemasan sebelum perlakuan adalah sebanding antara kedua kelompok (p>0,05). Skor ini menurun secara signifikan setelah perlakuan dari 36,79-29,79 pada kelompok perlakuan, dan dari 36,85-32,03 pada kelompok kontrol (p<0,05). Skor setelah perlakuan terdapat perbedaan yang signifikan antara kelompok perlakuan dan kontrol (29,79±4,14 vs. 32,03±4,01, p<0,05).
Kesimpulan: Pendidikan kesehatan dengan booklet lebih efektif untuk menurunkan kecemasan primigravida dalam menghadapi persalinan dibandingkan dengan pendidikan kesehatan saja.
Kata Kunci: pendidikan kesehatan, booklet, kecemasan, primigravida.
1,2 Program Studi Magister Keperawatan, Fakultas Kedokteran Universitas Gadjah Mada Yogyakarta
3 Bagian Obstetri dan Ginekologi, Fakultas Kedokteran Universitas Gadjah Mada Yogyakarta
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2015-01-27 11:30:44
application/pdf
https://journal.ugm.ac.id/jkr/article/view/5747
Jurnal Kesehatan Reproduksi; Vol 1, No 3 (2014)
ind
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oai:jurnal.ugm.ac.id:article/5748
2015-01-27T04:30:44Z
jkr:ART
nmb a2200000Iu 4500
"150127 2015 eng "
2621-461X
2302-836X
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Fransiska, Lilie
Gadjah Mada University
Patmini, Edi
Wahab, Abdul
Emilia, Ova
PENDIDIKAN/PEKERJAAN MATERNAL DAN FAKTOR RISIKO PREEKLAMPSIA: STUDI EPIDEMIOLOGI DI KOTA TERNATE
Lilie Fransiska1, Edi Patmini2, Abdul Wahab3, Ova Emilia4
ABSTRACT
Background: Preeclampsia is one of leading cause of maternals and infants morbidity and mortality that can be prevented by an early detection in pregnant woman who have risk factors to preeclampsia. Early detection and management have a significant role in decreasing maternal and infant mortality rate.
Objective: To determine the proportion of pregnancy with risk to preeclampsia and related risk factors.
Method: This research is an observational study with cross sectional design. The independent variables are level of maternal education, and occupation. The dependent variable is increased risk of preeclampsia during pregnancy. Data collected by direct interview, physical examination and laboratory examination. Data analysis was done with SPSS programme.
Results and Discussion: The result showed that there was no significant difference in maternal educational level with the risk of preeclampsia (p= 0,919), and there is no significant difference between maternal working status with risk of preeclampsia (p= 0,435).
Conclusions: This research showed that maternal level of education and working status didn’t have a significant influence to the risk of preeclampsia (p> 0,05).
Keywords : maternal occupation, level of maternal education, risk of preeclampsia
ABSTRAK
Latar Belakang: Preeklampsia merupakan salah satu penyebab morbiditas dan mortalitas pada ibu dan bayi yang dapat dicegah dengan melakukan deteksi dini pada ibu hamil yang memiliki risiko terhadap terjadinya preeklampsia. Tujuan: Penelitian ini bertujuan untuk menentukan proporsi ibu hamil dengan risiko preeklampsia di Kota Ternate dan faktor-faktor risiko yang terkait. Hasil penelitian ini diharapkan supaya dapat digunakan untuk meningkatkan kesehatan ibu dan anak di Kota Ternate.
Metode: Penelitian ini merupakan penelitian observasional dengan menggunakan desain studi potong lintang. Variabel bebas adalah tingkat pendidikan dan jenis pekerjaan ibu. Variabel terikat adalah peningkatan risiko terjadinya preeklampsia selama kehamilan. Data dikumpulkan dengan melakukan wawancara langsung, pemeriksaan fisik, dan pemeriksaan laboratorium. Selanjutnya analisis deskriptif pada data penelitian dilakukan dengan menggunakan program SPSS.
Hasil dan Pembahasan: Hasil analisis menunjukkan bahwa tidak ada perbedaan bermakna antara kelompok berpendidikan tinggi dan kelompok berpendidikan rendah (p= 0,919), serta antara kelompok bekerja dan tidak bekerja (p= 0,435).
Kesimpulan: Faktor pendidikan dan pekerjaan maternal tidak memiliki pengaruh yang bermakna terhadap risiko terjadinya preeklampsia (p> 0,05).
Kata kunci : pekerjaan ibu, pendidikan ibu, risiko preeklampsia
1 Mahasiswa S1 Fakultas Kedokteran UGM, Yogyakarta
2 Bagian Obstetri dan Ginekologi Fakultas Kedokteran UGM
3 Bagian Ilmu Kesehatan Masyarakat UGM, Yogyakarta
4 Bagian Obstetri dan Ginekologi Fakultas Kedokteran UGM
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2015-01-27 11:30:44
application/pdf
https://journal.ugm.ac.id/jkr/article/view/5748
Jurnal Kesehatan Reproduksi; Vol 1, No 3 (2014)
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Copyright (c)
oai:jurnal.ugm.ac.id:article/5749
2015-01-27T04:30:44Z
jkr:ART
nmb a2200000Iu 4500
"150127 2015 eng "
2621-461X
2302-836X
dc
Ema, Yasmina
Gadjah Mada University
Siswishanto, Rukmono Siswishanto
Widad, Shofwal
PENGARUH STATUS RAWATAN BAYI DI NICU TERHADAP RISIKO DEPRESI PASCASALIN
Yasmina Ema1, Rukmono Siswishanto2, Shofwal Widad3
ABSTRACT
Background: Postnatal depression is a frequent complication after childbirth, approximately occurred 6.5 to 14.5% in postnatal women. Untreated postnatal depression can have adverse long-term effects. Episodes of depression can be chronic so it will affect the quality of life. Depression that occurs in the mother will affect behavioral, emotional, cognitive, and child interpersonal is in the future. Post partum women whose babies are takenb care in the NICU is believed to have the level of depression, level of anxiety, and trauma symptoms that were higher compared with the women who don’t. The occurrence of depression is associated with a variety of factors, including the adaptation with a sick baby, having a baby that isolated in the NICU, and the stress arising from the NICU environment itself.
Objective: To observe the influence of the status of infants in the NICU treatment on the incidence of postnatal depression.
Method: This study used a cross-sectional design. The subjects were post portum women days 14-21 who met the criteria. Subjects were divided into 2 groups, one group of mothers with babies in the NICU and one group of mothers with babies under wentrooming. This study used edinburgh post natal depression scale (EPDS). Statistical test used was chi-square and logistic in regression.
Results and Discussion: The subjects who met the criteria were 144 women. A total of 19 women was suffered from postnatal depression (13.1%). Educational status of husband and infant admision to NICU giving significant differences on postnatal depression (p = 0.027 and p = 0.047). Infant care in the NICU increased postnatal depression 3.34 times compared rooming in group (CI 95% 1.12 to 9.99).
Conclusion: The proportion of postnatal depression group of mothers with infants treated in the NICU were larger than the rooming in group.
Keyword: postnatal depression, neonatal intensive care admission, EPDS
ABSTRAK
Latar Belakang: Depresi pascasalin merupakan salah satu komplikasi yang sering muncul setelah persalinan, terjadi pada 6,5-14,5% dari wanita pascasalin. Depresi pascasalin yang tidak diobati dapat memiliki efek jangka panjang yang merugikan. Episode depresi ini bisa menjadi kronis sehingga akan mempengaruhi kualitas hidupnya. Depresi yang terjadi pada ibu akan mempengaruhi perilaku, emosi, kognitif, dan interpersonal anak di kemudian hari. Wanita pascasalin yang bayinya dirawat di NICU dipercaya mempunyai tingkat depresi, tingkat kecemasan, dan gejala trauma yang lebih tinggi dibandingkan dengan wanita pascasalin yang bayinya menjalani rawat gabung. Terjadinya depresi ini berhubungan dengan berbagai macam faktor, meliputi adaptasi dengan bayi yang sakit, memiliki bayi yang terisolasi di ruangan NICU, dan stress yang timbul karena lingkungan NICU itu sendiri.
Tujuan: Mengetahui pengaruh status rawatan bayi di NICU terhadap kejadian depresi pascasalin.
Metode: Penelitian ini menggunakan rancangan potong lintang. Subyek penelitian adalah pasien pascasalin hari ke 14-21 yang memenuhi kriteria inklusi. Subyek dibagi menjadi 2, kelompok ibu dengan bayi yang dirawat di NICU dan kelompok ibu dengan bayi rawat gabung. Penelitian ini menggunakan Edinburgh Post Natal Depression Scale (EPDS).
Hasil dan Pembahasan: Subyek penelitian yang memenuhi kriteria berjumlah 144 orang. Sebanyak 19 ibu menderita depresi pascasalin (13,1%). Pendidikan suami dan status rawat bayi memberikan perbedaan secara bermakna terhadap depresi pascasalin (p= 0,027 dan p=0,047). Perawatan bayi di NICU meningkatkan risiko depresi pascasalin sebesar 3,34 kali dibanding perawatan bayi secara rawat gabung (CI 95% 1,12-9,99).
Kesimpulan: Proporsi depresi pascasalin kelompok ibu dengan bayi dirawat di NICU lebih besar dibanding kelompok ibu dengan bayi rawat gabung.
Kata kunci: depresi pascasalin, status rawat bayi NICU, skor EPDS.
1,2,3 Bagian Obstetri dan Ginekologi Fakultas Kedokteran Universitas Gadjah Mada
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2015-01-27 11:30:44
application/pdf
https://journal.ugm.ac.id/jkr/article/view/5749
Jurnal Kesehatan Reproduksi; Vol 1, No 3 (2014)
ind
Copyright (c)
oai:jurnal.ugm.ac.id:article/5750
2015-01-27T04:30:44Z
jkr:ART
nmb a2200000Iu 4500
"150127 2015 eng "
2621-461X
2302-836X
dc
Siswosudarmo, Risanto
Gadjah Mada University
Kurniawan, Kadek
Suwartono, Herdhana
Alkaff, Taufik Rahman
Anggraeni, Maria
THE USE OF NEW INSERTER (R_INSERTER) FOR DELIVERING CuT-380A IUD DURING POSTPARTUM PERIOD PHASE II CLINICAL TRIAL
Risanto Siswosudarmo1, Kadek Kurniawan2, Herdhana Suwartono3, Taufik Rahman Alkaff4, and Maria Anggraeni5
ABSTRAK
Latar Belakang: IUD adalah salah satu alat kontrasepsi jangka panjang yang efektif, tetapi penggunaan di Indonesia masih rendah. Karena inserter IUD yang biasa di pakai terlalu pendek untuk pemasangan segera pascasalin maka bentuk inserter baru (R_inseter) telah dikembangkan.
Tujuan: Untuk mengetahui apakah R_inserter dapat digunakan dengan mudah sesuai standard pemasangan IUD dan untuk mengetahui keamanannya.
Metode: Uji klinis fase II, post test observation.
Bahan dan cara: IUD yang dipasang adalah TCu380A dengan modifikasi pada inserternya (R_inserter) buatan PT Kimia Farma. Penelitian ini dilakukan di 3 Rumah Sakit dan 3 Puskesmas yang merupakan afiliasi rumah sakit pendidikan Dr Sardjito dari bulan Januari 2012 sampai April 2013. Semua klien yang memenuhi kriteria inklusi dan eksklusi dimasukkan dalam penelitian ini. Pemasangan dilakukan oleh Residen atau Bidan yang telah mendapatkan pelatihan. Follow up dilakukan setelah 1 minggu, 1, 3, 6, 9 dan 12 bulan pascapasang. Kemudahan, angka ekspulsi, infeksi, nyeri, perdarahan, dan angka kelangsungan merupakan hasil utama yang diobservasi.
Hasil dan Pembahasan: Selama kurun waktu tersebut telah direkrut sebanyak 142 klien yang memenuhi kriteria kelayakan. Lama pemasangan rata-rata adalah 3,89 ± 2,08 menit dengan minimum 2 menit dan maksimum 10 menit. Tidak ada kesulitan yang dirasakan. Secara kumulatif kejadian dalam 1, 3, 6, 9 dan 12 bulan untuk ekspulsi masing-masing adalah 9,9%, 9,9%, 10,6%, 10,6% dan 10%. Angka ekspulsi jika IUD dipasang dalam 10 menit pertama setelah plasenta lahir adalah 6,2% dibanding 24,1% bila pemasangan dilakukan setelah 10 menit (RR 3,90; 95%CI 1,37-11,2). Kejadian seperti infeksi, nyeri dan perdarahan relatif kecil dan dapat diatasi. Angka kelangsungan selama 1, 3, 6, 9 dan 12 bulan berturut turut adalah 89,4%, 89,4%, 86,6% 86,6% dan 85,9%. Tidak dijumpai kehamilan pada penelitian ini.
Kesimpulan: R_inserter dapat dipakai untuk memasang IUD CuT-380A dengan mudah dan aman. Angka kejadian ekspulsi tertinggi terjadi dalam satu bulan pertama pascapasang dan berhubungan dengan saat pemasangan.
Kata kunci: R_inserter, IUD pascasalin, ekspulsi, infeksi, angka kelangsungan.
ABSTRACT
Background: IUD is one of the most effective and long acting contraception, but the rate of its use in Indonesia is still low. As conventional IUD inserter is too short to deliver it during immediate postpartum (postplacental) period, then the new inserter, R_inserter, is developped.
Objective:To find out whether the R_inserter can be used easily to deliver CuT-380A IUD during postpartum period in a standard procedure and to find out its safety.
Method: Phase II clinical trial, post-test observation.
Materials and Method: The IUD’s used were the conventional CuT-380A with a modification on its inserter namely 9 cm longer, produced by PT Kimia Farma Indonesia. The study was carried out in three hospitals and three community health centers (Puskemas) which were the network of Sardjito teaching hospital, from January 2012 to April 2013. All eligible women needing IUD as their contraception were recruited. IUD insertion was carried out by trained obstetric and gynecology resident or midwives. Follow up was done after 1 week, then 1, 3, 6, 9 and 12months after insertion.The ease of insertion, rate of the following events namely expulsion, infection, pain, bleeding, and continuation were main outcomes of interest.
Results and Discussion: During the study period, a total 142 participants were recruited. The mean duration of insertion was 3.89 ± 2.08 minutes (ranged 2 to 10 minutes). No subjective difficulties were perceived by the providers. The cumulative expulsion rate for 1, 3, 6, 9 and 12 months were 9.9%, 9.9%, 10.6%, 10.6% and 10.% consecutively. The rate of expulsion if the IUD was inserted during 10 minutes after placental delivery was 6.2% compared to 24.1% if it was inserted after 10 minutes (RR 3.90; 95% CI 1.37-11.2). Infection, pain, and bleeding were relatively small and could be appropriately managed. The continuation rate for 1, 3, 6, 9 and 12 months were 89.4%, 89.4%, 86.6%, 86.6% and 85.9% consecutively. No pregnancy was found during the study period.
Conclussion: The R_inserter could be easily used to deliver a CuT-380A IUD. The rate of expulsion was highest during the first month of insertion and was related to the time of insertion.
Keywords: R_ inserter, postpartum IUD, expulsion, infection, continuation rate.
1,2,3,4 Department of Obstetrics and Gynecology, Faculty of Medicine, Universitas Gadjah Mada/ Sardjito Hospital Yogyakarta
5 National Family Planning Board, Jakarta
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2015-01-27 11:30:44
application/pdf
https://journal.ugm.ac.id/jkr/article/view/5750
Jurnal Kesehatan Reproduksi; Vol 1, No 3 (2014)
ind
Copyright (c)
oai:jurnal.ugm.ac.id:article/5751
2015-01-27T04:30:44Z
jkr:ART
nmb a2200000Iu 4500
"150127 2015 eng "
2621-461X
2302-836X
dc
Soetrisno, Soetrisno
Gadjah Mada University
Trimulya, Didon Muhammad
Riyanto, Slamet
HUBUNGAN PEMBELAJARAN KESEHATAN REPRODUKSI REMAJA DENGAN PENGETAHUAN TENTANG NAPZA SISWA SMU DI SURAKARTA
Soetrisno1, Didon Muhammad Trimulya2 , Slamet Riyanto3
ABSTRACT
Background: Narcotics, psychotropic and other addictive substances misuse (drugs abuse) could effect various society segments, mostly young people age 15-24 years. The young generation is a strategic target for drug distribution including illegal trade in Surakarta. Necessary precautions should be taken as it could lead to addiction, could affect on survival, especially the young generation, including senior high school students. Policy to introduce adolescent reproductive health (ARH) education in particular with drugs abuse topic has been enacted in Surakarta since 2012, but had not covered the entire high school.
Objective: Observing the correlation between adolescent reproductive health education with knowledge of NAPZA on high school students in Surakarta.
Method: This study used an observational analytic with cross sectional design. A total of 120 students were taken by purposive random sampling. Total of 120 students were involved from second grade they consisted 60 students who had been given adolescent reproductive health education for one year (since first grade) and 60 students who had not. Students were given a questionnaire about NAPZA that has been tested for validity and reliability. Data analysis was then performed using chi-square.
Results and Discussion: There is a significant correlation between adolescent reproductive health education with knowledge about types, characteristic of high risk youth, sign of addiction, category of drug users, as well as the dangers of drug prevention among high school students in Surakarta (p<0.05).
Conclusion: There is a significant correlation between adolescent reproductive health education with knowledge of NAPZA on high school students in Surakarta.
Keywords: Knowledge of NAPZA, Adolescent Reproductive Health Education, Youth of Surakarta.
ABSTRAK
Latar Belakang: Penyalahgunaan Narkotika, Psikotropika, dan Zat adiktif lain (NAPZA) dapat dilakukan oleh berbagai lapisan masyarakat, terbanyak generasi muda 15–24 tahun. Generasi muda adalah sasaran strategis perdagangan gelap NAPZA termasuk di Surakarta. Diperlukan kewaspadaan terhadap bahaya serta pengaruh NAPZA yang dapat menimbulkan ketagihan, dengan dampak terhadap kelangsungan hidup dengan pembinaan, khususnya generasi muda termasuk siswa Sekolah Menengah Umum (SMU). Kebijakan pembelajaran kesehatan reproduksi remaja (KRR) khususnya topik NAPZA telah diberlakukan di Surakarta sejak ajaran baru 2012 sampai sekarang, namun belum mencakup keseluruhan SMU.
Tujuan: Mengamati hubungan pembelajaran KRR dengan pengetahuan NAPZA siswa SMU di Surakarta.
Metode: Penelitian observasional analitik rancangan cross sectional. 120 subyek penelitian (siswa) diambil secara purposive random sampling. Sebanyak 60 subyek penelitian diambil dari siswa SMU kelas 2 yang sudah mendapatkan pembelajaran KRR selama satu tahun (sejak kelas 1) dan sebanyak 60 subyek penelitian siswa SMU yang belum mendapatkan pembelajaran. Subyek penelitian, baik yang sudah dan belum mendapatkan pembelajaran KRR diberikan kuesioner tentang NAPZA yang sudah diuji validitas dan reliabilitas. Kemudian dilakukan uji chi square.
Hasil dan Pembahasan: Terdapat hubungan bermakna pembelajaran KRR dengan pengetahuan tentang jenis, ciri remaja beresiko pengguna, tanda kecanduan, golongan gangguan pengguna, bahaya serta penanggulangan NAPZA siswa SMU di Surakarta (p<0.05).
Kesimpulan: Terdapat hubungan bermakna pembelajaran Kesehatan Reproduksi Remaja (KRR) dengan pengetahuan tentang NAPZA siswa SMU di Surakarta.
Kata Kunci: Pengetahuan NAPZA, KRR, siswa SMU
1,2 Bagian Obstetri dan Ginekologi, Fakultas Kedokteran Universitas Negeri Sebelas Maret Surakarta telp:0271-665145/0816672564
3 Dinas Kesehatan Kota Surakarta
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2015-01-27 11:30:44
application/pdf
https://journal.ugm.ac.id/jkr/article/view/5751
Jurnal Kesehatan Reproduksi; Vol 1, No 3 (2014)
ind
Copyright (c)
oai:jurnal.ugm.ac.id:article/5752
2015-01-27T04:30:44Z
jkr:ART
nmb a2200000Iu 4500
"150127 2015 eng "
2621-461X
2302-836X
dc
Isyana, Marta
Gadjah Mada University
Dasuki, Djaswadi
Rumekti, Diah
PERBANDINGAN SKOR DISMENOREA PADA PASIEN ENDOMETRIOSIS YANG MENDAPATKAN TERAPI ABLASI LAPAROSKOPI DILANJUTKAN GnRH AGONIST VERSUS ABLASI LAPAROSKOPI SAJA DI RSUP DR. SARDJITO YOGYAKARTA
Marta Isyana 1 , Djaswadi Dasuki2, Diah Rumekti3
ABSTRACT
Background: Dysmenorrhea in endometriosis is a condition that adversely impacts the quality of life of women. The current treatment for dysmenorrhea in endometriosis is essentially palliative, since most of these treatment can only suppress disease progression and relieve its symptoms.
Objective: To compare the difference in dysmenorrhea scores pre and post treatment of dysmenorrhea in endometriosis patients who received laparoscopic ablation followed with GnRH agonist versus laparoscopic ablation therapy alone.
Method: This is an observational study with a retrospective cohort design. Endometriosis patients were identified through medical records at Dr Sardjito Hospital, Yogyakarta. Patients were categorized into laparoscopic ablation therapy followed by GnRH agonist group and laparoscopic ablation therapy only group. Evaluation of dysmenorrhoea scores were performed in 6 months after therapy.
Result and Discussion: A total of 88 subjects (44 subjects in each group) were eligible and gave their consent to participate. Patients who received laparoscopic ablation therapy followed by GnRH agonist showed greater VAS difference pre and post treatment (6,27±0,22 vs 4,20±1,17,p<0,001) compared with only ablation laparoscopic. This difference was not affected by age, BMI, and endometriosis stage. Eleven of the 44 subjects who received laparoscopic ablation followed by GnRH agonists developed side effects. There were 7 people with hot flushes, 3 people with decreased bone mineral density and 1 people with dry skin, whereas no subject in laparoscopic ablation group alone experienced them.
Conclusions: Laparoscopic ablation followed by GnRH agonist therapy was associated with greather difference in dysmenorrhea score pre and post treatment compared with laparoscopic ablation only. Laparoscopic ablation therapy followed with a GnRH agonist was associated with higher side effects.
Keywords: endometriosis, laparoscopic ablation, GnRH agonist, visual analog scale
ABSTRAK
Latar Belakang: Dismenorea pada endometriosis adalah suatu kondisi yang memberikan dampak bermakna pada mutu kehidupan wanita. Penanganan dismenorea pada endometriosis saat ini pada hakikatnya masih belum berhasil menyembuhkannya, karena sebagian besar baru mampu menekan perkembangan penyakit dan menghilangkan gejalanya.
Tujuan: Membandingkan selisih skor dismenorea sebelum dan setelah terapi pada pasien endometriosis yang mendapatkan terapi ablasi laparoskopi dilanjutkan GnRH agonist versus ablasi laparoskopi saja.
Metode: Penelitian ini adalah penelitian observasional menggunakan rancangan penelitian kohort retrospektif. Pasien endometriosis diidentifikasi melalui rekam medis di RSUP DR Sardjito, Yogyakarta. Pasien dikelompokkan menjadi kelompok terapi ablasi laparoskopi dilanjutkan dengan GnRH agonist dan terapi ablasi laparoskopi saja.Evaluasi untuk skor dismenorea dilakukan pada jangka waktu 6 bulan setelah terapi.
Hasil dan Pembahasan: Sebanyak 88 subyek (44 subyek dalam setiap kelompok) memenuhi kriteria penelitian dan memberikan persetujuan untuk diikutsertakan dalam penelitian. Pasien yang mendapatkan terapi ablasi laparoskopi dilanjutkan GnRH agonist menunjukkan selisih VAS sebelum dan setelah terapi yang secara signifikan lebih baik (6,22±0,22 vs 4,20±1,17;p<0,001) dibandingkan dengan ablasi laparoskopi saja. Perbedaan ini tidak dipengaruhi oleh umur, BMI, maupun derajat endometriosis. Sebelas dari 44 subyek yang mendapatkan ablasi laparoskopi dilanjutkan GnRH agonist mengalami efek samping, yaitu 7 orang mengalami hot flushes, 3 orang mengalami penurunan densitas masa tulang dan 1 orang mengalami kulit kering, sedangkan tidak ada subyek dalam kelompok ablasi laparoskopi saja yang mengalami efek samping.
Kesimpulan: Terapi ablasi laparoskopi yang dilanjutkan dengan GnRH agonist berhubungan dengan selisih skor dismenorea sebelum dan setelah terapi yang lebih tinggi dibandingkan dengan terapi ablasi laparoskopi saja. Terapi ablasi laparoskopi yang dilanjutkan dengan GnRH agonist berhubungan dengan tingkat efek samping yang lebih tinggi.
Kata kunci: endometriosis, ablasi laparoskopi, GnRH agonist, visual analog scale
1,2,3 Bagian Obstetri dan Ginekologi Fakultas Kedokteran Universitas Gadjah Mada
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2015-01-27 11:30:44
application/pdf
https://journal.ugm.ac.id/jkr/article/view/5752
Jurnal Kesehatan Reproduksi; Vol 1, No 3 (2014)
ind
Copyright (c)
oai:jurnal.ugm.ac.id:article/5753
2015-01-27T04:30:44Z
jkr:ART
nmb a2200000Iu 4500
"150127 2015 eng "
2621-461X
2302-836X
dc
Ismiana, Anna
Gadjah Mada University
Taufiqurrahman, Irwan
Siswishanto, Rukmono
PENGARUH CARA PERSALINAN TERHADAP INISIASI LAKTASI
Anna Ismiana 1, Irwan Taufiqurrahman2, Rukmono Siswishanto3
ABSTRACT
Background: Breastfeeding on the first day would prevent 16% of neonatal deaths and if early breastfeeding was given within the first 1 hour would prevent 22% neonatal of mortality per year.
Objective: To determine the effect of mode of delivery on the initiation of breastfeeding.
Method: The study was prospective cohort. The study was conducted by taking all cases of vaginal delivery and caesarean sections in the obstetric department of Dr. Sardjito, Banjarnegara Hospital, Wates Hospital, Wonosari Hospital and Magelang Hospital that met the criteria from January to May 2014. Maternal data were recorded from the medical records and the data of breast milk secretion within 24 hours after delivery were collected from paramedical personnel who had been trained before. The statistical test that is used was Chi-square.
Results and Discussion: Subjects who met the inclusion criteria consisted of 162 women. Based on the mode of delivery, breastfeeding initiation on the first day after vaginal delivery were done in 73 women (90,1%), while in the cesarean delivery group, the initiation were done in only 34 women (42%). There were no significant relationship between age, education level, women occupation, and parity with the initiation of the first day of postnatal breastfeding. Statistically, BMI <25 kg/m2 had a significant association with 24 hours of postnatal breastfeeding initiation, but not clinically significant. There is a significant association between mode of delivery and the first day of postnatal lactation breastfeeding (OR=20,17;95% CI 7,47 to 54,43; p= 0,000).
Conclusions: The proportion of the first day of breastfeeding initiation was larger in vaginal delivery group compared with cesarean delivery group.
Keywords: mode of delivery, cesarean section, vaginal delivery, lactation initiation.
ABSTRAK
Latar Belakang: Pemberian Air Susu Ibu (ASI) pada hari pertama akan menyelamatkan 16% kematian neonatal dan jika menyusu dini dalam 1 jam pertama akan menyelamatkan 22% kematian balita pertahun dari kematian. Tujuan: Mengetahui pengaruh cara persalinan terhadap inisiasi laktasi.
Metode: Studi kohort prospektif. Penelitian dilakukan dengan mengambil semua kasus persalinan vaginal dan seksio sesarea di RSUP Dr. Sardjito, RSUD Banjarnegara, RSUD Wates, RSUD Wonosari, dan RSUD Magelang yang memenuhi kriteria dari bulan Januari sampai dengan Mei 2014 sampai dengan sampel terpenuhi. Data maternal dicatat dari catatan medis, data penelitian didapat dari melakukan pemeriksaan keluarnya ASI dalam 24 jam pascasalin oleh petugas medis atau paramedis yang telah terlatih. Uji statistik yang digunakan adalah Chi-square.
Hasil dan Pembahasan: Subyek penelitian yang memenuhi kriteria inklusi berjumlah 162 orang. Berdasarkan karakteristik cara persalinan, kejadian inisiasi laktasi hari pertama pascasalin pada persalinan vaginal sebanyak 73 orang (90,1%), sedangkan pada persalinan secara seksio sesarea sebanyak 34 orang (42%). Tidak didapatkan hubungan yang bermakna antara usia, tingkat pendidikan, pekerjaan, dan paritas dengan inisiasi laktasi hari pertama pascasalin. Secara statistik IMT <25 kg/m2 memiliki hubungan yang bermakna dengan inisiasi laktasi 24 jam pascasalin, namun tidak bermakna secara klinis. Terdapat hubungan yang bermakna antara cara persalinan dengan inisiasi laktasi hari pertama pascasalin (OR=20,17; 95%CI 7,47-54,43; p=0,000).
Kesimpulan: Proporsi inisiasi laktasi hari pertama pascasalin pada kelompok persalinan vaginal lebih besar dibandingkan dengan kelompok persalinan seksio sesarea.
Kata kunci: cara persalinan, seksio sesarea, persalinan vaginal, inisiasi laktasi
1,2,3 Bagian Obstetri dan Ginekologi, Facultas Kedokteran, Universitas Gadjah Mada
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2015-01-27 11:30:44
application/pdf
https://journal.ugm.ac.id/jkr/article/view/5753
Jurnal Kesehatan Reproduksi; Vol 1, No 3 (2014)
ind
Copyright (c)
oai:jurnal.ugm.ac.id:article/6898
2015-08-19T02:52:06Z
jkr:ART
nmb a2200000Iu 4500
"150819 2015 eng "
2621-461X
2302-836X
dc
Mardiana, Mardiana
Gadjah Mada University
Dasuki, Djaswadi
Pradjatmo, Heru
Mardiana1, Djaswadi Dasuki2, Heru Pradjatmo2
ABSTRACT
Background: Globally it is estimated that every two minutes a woman dies of cervical cancer and 500,000 women are diagnosed to have cervical cancer each year. In Indonesia, the incidence of cervical cancer is by 12.6 per 100,000 women with a mortality rate of 7 per 100,000. Screening method can reduce the incidence of cervical cancer if done cumulatively in 2012, the coverage of screening with a VIA method in Indonesia was 1.57%, whereas screening coverage with IVA in West Kalimantan Province was 1.06 %
Objective: To assess midwives’ knowledge and skills of screening practices with a VIA method in health centers
Method: This was an observational study with a cross-sectional study, using quantitative and qualitative approaches. The study was conducted in health centers in the province of West Kalimantan. This study was conducted in September to October 2014. The subjects of research were midwives who served in health centers doing a VIA examination in West Kalimantan who met inclusion and exclusion criteria. The total sample of this study was 42 taken with purposive sampling. The variables of this study were the dependent variable, ie, the practice of screening skills with a VIA method, the independent variable, ie, knowledge, and the extraneous variables, ie, age, education, and years of service. Analysis of the data included univariable, bivariable, multivariable, and qualitative. The quantitative data analysis used the chi-square and logistic regression with a significance level of p <0.05 and an OR value with confidence interval (CI) of 95%.
Result & Discussion: The mean value of midwives’ knowledge was 26.0 from assessment scores of 0-30. A mean score of screening practice skills was 94.4 from 38-114. Of clinical assessment scores skill practice of competent midwives with good knowledge was higher than bad knowledge (OR= 6,98 CI 95% 1,21-40,33). After controlling education and years of service variables, good knowledge influenced screening clinical practice by 33%.
Conclusion: Most of the midwives in West Kalimantan had good knowledge and skills to perform cervical cancer screening with a VIA method.
Keywords: Knowledge, screening practice skills, VIA methods
ABSTRAK
Latar Belakang: Di seluruh dunia diperkirakan setiap dua menit seorang wanita meninggal karena kanker servik dan sekitar 500.000 wanita di diagnosis kanker seviks setiap tahun. Di Indonesia insiden kanker serviks sebesar 12,6 per 100.000 perempuan dengan angka kematian sebesar 7 per 100.000. Metode skrining dapat menurunkan kejadian kanker serviks jika dilakukan secara kumulatif. Pada tahun 2012 cakupan skrining dengan metode IVA di Indonesia sebesar 1,57%, sedangkan cakupan skrining dengan metode IVA Propinsi Kalimantan Barat sebesar 1,06%.
Tujuan: Menilai pengetahuan dan keterampilan praktek skrining bidan dengan metode IVA di puskesmas
Metode: Jenis penelitian observasional dengan rancangan cross-sectional study, menggunakan pendekatan kuantitatif dan kualitatif. Penelitian dilakukan di puskesmas di Provinsi Kalimantan Barat. Penelitian ini dilaksanakan bulan September sampai dengan Oktober 2014. Subjek penelitian bidan yang melayani pemeriksaan IVA di puskesmas di Provinsi Kalimantan Barat yang memenuhi kriteria inklusi dan eksklusi. Total sampel penelitian ini 42 sampel dengan pengambilan sampel purposive sampling. Variabel penelitian ini yaitu: variabel terikat adalah keterampilan praktek skrining metode IVA, variabel bebas: pengetahuan, dan variabel luar: usia, pendidikan, dan lama bekerja. Analisis data meliputi: univariabel, bivariabel, multivariabel, dan kualitatif. Untuk analisis data kuantitatif meng-gunakan metode chi square dan logistic regresi dengan tingkat kemaknaan p < 0,05 dan nilai OR dengan Confidence Interval (CI) 95%.
Hasil & Pembahasan: Nilai mean pengetahuan bidan sebesar 26,0 dari skor penilaian 0-30. Keterampilan praktik dengan nilai mean 94,4 dari skor 38-114. Keterampilan praktik klinik yang kompeten lebih tinggi pada bidan berpengetahuan baik daripada bidan berpengetahuan kurang (OR= 6,98 CI 95% 1,21-40,33). Pengetahuan baik setelah dikontrol variabel pendidikan dan lama bekerja berpengaruh terhadap keterampilan praktik skrining sebesar 33%.
Kesimpulan: Sebagian besar bidan di Kalimantan Barat memiliki pengetahuan baik dan keterampilan yang kompeten untuk skrining kanker serviks dengan metode IVA.
Kata Kunci: Pengetahuan, keterampilan praktek skrining, metode IVA
1 Dinas Kesehatan Provinsi Kalimantan Barat
2 Bagian Obstetri dan Ginekologi Fakultas Kedokteran Universitas Gadjah Mada Yogyakarta
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2015-08-19 09:52:06
application/pdf
https://journal.ugm.ac.id/jkr/article/view/6898
Jurnal Kesehatan Reproduksi; Vol 2, No 1 (2015)
ind
Copyright (c)
oai:jurnal.ugm.ac.id:article/6900
2015-08-19T02:52:06Z
jkr:ART
nmb a2200000Iu 4500
"150819 2015 eng "
2621-461X
2302-836X
dc
Rohmayanti, Rohmayanti
Gadjah Mada University
Rahman, Irwan Taufiqur
Nisman, Wenny Artanty
Rohmayanti1, Irwan Taufiqur Rachman2, Wenny Artanty Nisman3
ABSTRACT
Background:Teenagers have greater risk for health problems, especially sexuality and reproduction problems. Government has already developed Adolescent Friendly Health Services (AFHS). This program has already run in primary health care to overcome teenager’s health problems. On the other hand, this program does not seem to accommodate some of teenager’s expectation. Therefore, we need to conduct a research for knowing what kind of health services are suitable with teenager’s perspective.
Objective: This study was design to explore type of AFHS which were suitable in adolescent’s perspective.
Method: In this qualitative study, phenomenology was used for the approach. This study was conducted from September-October 2014 in primary health care region of Magelang. The participants for this study were 10-19 years old teenagers and they had already received adolescent friendly health services. The participants had been chosen using purposive sampling. The data was collected using focus group discussion, observation and indepth interview. Colaizzi’s analysis had been used for data analysis manually.
Result and Discussion: Adolescent’s perspective about AFHS consist of three theme. The first theme was adolescent perspective on existence of AFHS which was still various. The second theme was the perception of adolescents on the AFHS given in adolescents.The result was that not all six AFHS programs were given. The Third theme was adolescents hope for the result was AFHS health workers should be able to provide an explanation of the problems experienced by adolescents, be friendly, and the need to involve youth, teachers, parents and the community in AFHS services. Health Services that are conducted in teenagers, should be confidential,the service time was able to adjust school hours, use short massage, email for communication and information.
Conclusion: adolescent’s have various expectations of the AFHS services in the future. Health services in accordance with the expectations of adolescents can be developed as a modified form of health care that can be implemented in AFHS primary health care.
Keywords: Adolescent Friendly Health Services (AFHS), Adolescent.
ABSTRAK
Latar Belakang: Remaja sangat rentan terhadap berbagai ancaman risiko kesehatan terutama seksual dan reproduksi. Pemerintah telah mengadakan program Pelayanan Kesehatan Peduli Remaja (PKPR) yang dilaksanakan di puskesmas untuk mengatasi masalah kesehatan remaja. Program PKPR yang sudah berjalan, belum mengakomodir kepentingan remaja, sehingga perlu diketahui bagaimana pelayanan kesehatan peduli remaja yang sesuai dengan perspektif remaja.
Tujuan: Mengetahui pelayanan kesehatan peduli remaja (PKPR) menurut perspektif remaja.
Metode:Penelitian kualitatif dengan pendekatan fenomenologi. Subjek penelitian adalah remaja usia 10-19 tahun yang telah mendapatkan pelayanan kesehatan peduli remaja, dipilih secara purposive sampling. Pengumpulan data dengan cara FGD, observasi dan wawancara. Analisa data dilakukan secara manual, menggunakan tahapan analisa data menurut Colaizzi (1978). Penelitian dilakukan pada bulan September-Oktober 2014, di puskesmas wilayah Kota Magelang.
Hasil dan Pembahasan: Perspektif remaja tentang PKPR terdiri atas tiga tema. Pertama, persepsi remaja tentang keberadaan PKPR masih sangat variatif. Kedua, persepsi remaja tentang program PKPR yang diberikan pada remaja, bahwa dari 6 program PKPR belum semua diberikan. Ketiga, harapan remaja terhadap PKPR ke depan bahwa petugas kesehatan harus mampu memberikan penjelasan tentang masalah yang dialami remaja, berlaku seperti sahabat, dan perlu melibatkan remaja, guru BP/UKS, orangtua serta masyarakat dalam pelayanan. Pelayanan dilakukan di tempat remaja berada, yang terjaga kerahasiaannya, waktu pelayanan menyesuaikan jam sekolah, perlu pemanfaatan sms, email untuk komunikasi dan informasi pada remaja.
Kesimpulan: Remaja memiliki berbagai harapan terhadap PKPR di masa depan. Pelayanan kesehatan yang sesuai dengan harapan remaja dapat dikembangkan sebagai bentuk modifikasi pelayanan kesehatan peduli remaja yang dapat diterapkan di puskesmas.
Kata Kunci: Pelayanan Kesehatan Peduli Remaja (PKPR), remaja.
1 Fakultas Ilmu Kesehatan, Universitas Muhammadiyah Magelang
2 Bagian Obstetri Ginekologi, Fakultas Kedokteran Universitas Gadjah Mada Yogyakarta
3 Program Studi Magister Keperawatan, Universitas Gadjah Mada Yogyakarta
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2015-08-19 09:52:06
application/pdf
https://journal.ugm.ac.id/jkr/article/view/6900
Jurnal Kesehatan Reproduksi; Vol 2, No 1 (2015)
ind
Copyright (c)
oai:jurnal.ugm.ac.id:article/7115
2015-08-19T02:52:06Z
jkr:ART
nmb a2200000Iu 4500
"150825 2015 eng "
2621-461X
2302-836X
dc
Rahmawan, Adi
Gadjah Mada University
Nurdiati, Detty Siti
Sofoewan, Sulchan
Adi Rahmawan1, Detty Siti Nurdiati2, Sulchan Sofoewan3
ABSTRACT
Background: Ease of access and timeliness in reaching emergency obstetric care is necessary to save the mother and newborn. Delivery by emergency caesarean section aims to save the mother and newborn. The amount of cost from the emergency obstetric care particularly caesarean section, was significantly higher compared to childbirth without complications. The implementation JKN (Jaminan Kesehatan Nasional) aims to overcome this programs. Government hospitals have a dilemma between the mission of serving the lower middle class society and the limited financial resources, as well as a variety of rules and bureaucracy. Casemix system on INA-CBG’s (Indonesian Case Base Groups) is grouping similar patient characteristics. Hospital will receive payments based on the average amount of cost by a group of diagnosis.
Objective: Knowing the cost of the JKN patient who underwent cesarean section in Dr. Sardjito Hospital.
Method: The study design is a descriptive. JKN patients undergoing Caesarean section in January-July 2014 at the Hospital Dr. Sardjito included in the study. Patients who moved to the VIP, VVIP, and suites classes are excluded. Patient cost data will be averaged and be detailed by characteristics.
Result: A total of 136 patients underwent Caesarean section with JKN during January-July 2014. Average cost of patients underwent Caesarean section was 10,337,411 rupiahs. Patient with severe preeclampsia had average cost of 3,050,776 rupiahs higher than patients without severe preeclampsia. Patients with 4 disesases and complications had the difference in cost 16,995,952 rupiahs higher than patients without the disease. Patients with ICU care had higher average cost than non-admission to the ICU in the amount of 3,340,288 rupiahs. Difference in the higher average costs also occur on length of stay. Class treatment, duration stay in the delivery room, the induction or stimulation in the delivery room. History of cesarean section was not the leading cause of higher cost.
Conclusion: The average cost of patients underwent Caesarean section was 10,337,411 rupiahs. Complications of the disease and the patient’s condition, severe preeclampsia, long hospitalization, ICU care, led to high costs in patients underwent Caesarean section.
Keyword: seksio sesarea, cost, JKN, INA-CBG’
ABSTRAK
Latar belakang: Kemudahan akses dan ketepatan waktu dalam menjangkau pelayanan kegawadaruratan obstetri sangat diperlukan demi menyelamatkan ibu dan neonatal. Persalinan dengan seksio sesarea pada kedaruratan obstetrik bertujuan untuk menyelamatkan ibu dan neonatal. Biaya yang dihabiskan dari pelayanan kedaruratan obstetri operasi sesar, secara signifikan lebih tinggi dibandingkan dengan persalinan tanpa penyulit. Terselenggaranya program Jaminan Kesehehatan Nasional (JKN) mempunyai tujuan untuk mengatasi hal tersebut. Rumah sakit pemerintah menghadapi dilema antara misi melayani masyarakat kelas menengah ke bawah dengan adanya keterbatasan sumber dana, serta berbagai aturan dan birokrasi yang harus dihadapi. Sistem casemix pada INA-CBG’s merupakan pengelompokan karakteristik pasien yang sejenis. Rumah Sakit akan mendapatkan pembayaran berdasarkan rata-rata biaya yang dihabiskan oleh suatu kelompok diagnosis.
Tujuan: Mengetahui besarnya biaya pasien Jaminan Kesehatan Nasional (JKN) yang menjalani operasi seksio sesarea di RSUP Dr. Sardjito
Metode: Rancangan penelitian yang akan digunakan adalah deskriptif. Pasien JKN yang menjalani seksio sesarea pada Januari-Juli 2014 di RSUP Dr. Sardjito diikutsertakan dalam penelitian ini. Pasien yang pindah perawatan ke kelas VIP, VVIP, dan suite di eksklusi. Data biaya pasien akan dirata-rata dan dirinci besarnya berdasarkan karakteristik
Hasil & Pembahasan: Sebanyak 136 pasien JKN menjalani seksio sesarea selama Januari-Juli 2014. Rata-rata biaya pasien yang menjalani seksio sesarea adalah 10.337.411 rupiah. Pasien preeklamsia berat mempunyai ratas-rata biaya yang lebih tinggi 3.050.776 rupiah dibandingkan pasien tanpa preeklamsia berat. Pasien dengan 4 penyakit dan komplikasi mempunyai selisih biaya 16.995.952 rupiah lebih tinggi dibandingkan pasien tanpa penyakit. Pasien dengan perawatan ICU mempunyai rata-rata biaya yang lebih tinggi dibanding yang tidak dirawat di ICU yaitu sebesar 3.340.288 rupiah. Selisih rata-rata biaya yang lebih tinggi juga terjadi pada lama rawat inap. Kelas perawatan, lama perawatan di kamar bersalin, tindakan induksi atau stimulasi di kamar bersalin, riwayat seksio sesarea saat ini tidak menyebabkan semakin tingginya biaya seksio sesarea.
Kesimpulan: Rata-rata biaya pasien yang menjalani seksio sesarea adalah 10.337.411 rupiah. kondisi penyakit dan komplikasi pasien, preeklamsia berat, lama rawat inap, dan perawatan ICU menyebabkan tingginya biaya pada pasien yang menjalani seksio sesarea.
Kata kunci: seksio sesarea, biaya, JKN, INA-CBG’s
1,2,3 Bagian Obstetri dan Ginekologi, Fakultas Kedokteran Universitas Gadjah Mada Yogyakarta
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2015-08-19 09:52:06
application/pdf
https://journal.ugm.ac.id/jkr/article/view/7115
Jurnal Kesehatan Reproduksi; Vol 2, No 1 (2015)
ind
Copyright (c)
oai:jurnal.ugm.ac.id:article/7117
2015-08-19T02:52:06Z
jkr:ART
nmb a2200000Iu 4500
"150825 2015 eng "
2621-461X
2302-836X
dc
Irchami F, Yusnia
Gadjah Mada University
H, Irfan
H.P, Isanawidya
A.B, Avie
Patmini, Edi
Nugroho, Agung
Rahman, Muhammad Nurhadi
1Yusnia Irchami F, 1Irfan H, 1Isanawidya H.P, 1Avie A.B, 2Edi Patmini, 3Agung Nugroho, 2Muhammad Nurhadi Rahman
ABSTRACT
Background: Sexual dysfunction in postpartum woman is closely related to the period of pregnancy and childbirth. One of the diagnostic criteria for sexual dysfunction is a sexual desire. Sexual desire disorder can be influenced by psychological factors and marriage relationship. However, there has been no consensus stating with certainty the effect of the method of delivery against sexual desire disorder in postpartum woman.
Objective: To assess association between delivery method and sexual desire disorder among postpartum woman in RSUD Panembahan Senopati Bantul Yogyakarta.
Method: A cross sectional study was conducted involving 53 subjects in spontaneous vaginal group and 49 subjects in sectio caesarea group. The Female Sexual Function Index (FSFI) questionnaire was administered to measure sexual desire disorder in 2-6 months postpartum woman. Data was analyzed using chi-square analysis. Result & Discussion: In spontaneous vaginal group, 62.3% of the subjects experienced sexual desire disorder while in sectio caesarea group showed 55.1% (p=0.463). Spontaneous vaginal delivery increases the risk of sexual desire disorder, but not significant statistically (Prevalence ratio 1.130 convidence interval (CI) 0.814 to 1.569).
Conclusion: There was no significant relationship between the method of delivery and the prevalence of sexual desire disorder among postpartum woman in RSUD Panembahan Senopati Bantul, Yogyakarta.
Keywords: Sexual desire disorders, spontaneous vaginal delivery, sectio caesarea delivery, postpartum woman
ABSTRAK
Latar Belakang: Disfungsi seksual yang terjadi pada wanita pascasalin erat kaitannya dengan masa kehamilan dan persalinan. Salah satu kriteria diagnostik disfungsi seksual adalah hasrat seksual. Gangguan hasrat seksual dapat dipengaruhi oleh faktor psikologis wanita dan hubungan pernikahan. Namun, belum terdapat konsensus yang menyatakan dengan pasti pengaruh metode persalinan terhadap gangguan hasrat seksual pada wanita pascasalin.
Tujuan: Mengetahui hubungan antara metode persalinan terhadap prevalensi gangguan hasrat seksual pada wanita pascasalin di RSUD Panembahan Senopati Bantul Yogyakarta.
Metode: Desain penelitian ini adalah studi potong lintang (cross sectional) dengan melibatkan 53 subjek pada kelompok persalinan vaginal dan 49 subjek pada kelompok sectio caesarea. Kuesioner Female Sexual Function Index (FSFI) digunakan untuk mengukur gangguan hasrat seksual pada subjek yang berada pada bulan ke 2-6 periode pascasalin. Data dianalisis dengan analis chi-square.
Hasil & Pembahasan: Pada kelompok vaginal spontan, sebesar 62,3% subjek mengalami gangguan hasrat seksual sedangkan pada kelompok sectio caesarea didapatkan hasil sebesar 55,1% (p=0,463). Persalinan vaginal spontan meningkatkan risiko terjadinya gangguan hasrat seksual secara tidak bermakna (Rasio prevalensi 1,130 convidence interval (CI) 0,814-1,569).
Kesimpulan: Tidak terdapat hubungan yang bermakna antara metode persalinan dengan prevalensi gangguan hasrat seksual pada wanita pascasalin di RSUD Panembahan Senopati Bantul Yogyakarta.
Kata kunci: Gangguan hasrat seksual, persalinan vaginal spontan, persalinan sectio caesarea, wanita pascasalin
1Mahasiswa S1 Pendidikan Dokter Fakultas Kedokteran UGM
2Bagian Obstetri dan Ginekologi, Fakultas Kedokteran UGM / RSUP Dr. Sardjito
3Bagian Kesehatan Ibu dan Anak, Ilmu Kesehatan Masyarakat, Fakultas Kedokteran UGM
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2015-08-19 09:52:06
application/pdf
https://journal.ugm.ac.id/jkr/article/view/7117
Jurnal Kesehatan Reproduksi; Vol 2, No 1 (2015)
ind
Copyright (c)
oai:jurnal.ugm.ac.id:article/7120
2015-08-19T02:52:06Z
jkr:ART
nmb a2200000Iu 4500
"150825 2015 eng "
2621-461X
2302-836X
dc
Dhani, Umar
Gadjah Mada University
Emilia, Ova
Siswosudarmo, Risanto
Umar Dhani1, Ova Emilia2, Risanto Siswosudarmo3
ABSTRACT
Background: Abortion is still the most common complication of pregnancy. Inadequate secretion of progesterone in early pregnancy has been associated with one of the cause of miscarriage. Progesterone supplementation has been used to prevent abortion but it is still debatable.
Objective: To compare the success rate of vaginal progesterone vs oral allylestrenol in the treatment of threatened abortion and duration of maintaining pregnancy.
Method: Randomized Clinical Trial. The study was conducted at four affiliated hospitals of Sardjito hospital Yogyakarta from November 2013 to May 2014. Subjects with the diagnosis threatened abortion meeting the following criteria were included: 8-16 weeks gestational age, hemoglobin content eH 10 g/dL, and live fetus. The following patients were excluded: there was a history of induced abortion, hormonal treatment, associated with IUD use, uterine anomaly and gynecology tumor. A total of 60 patients were recruited to obtain 0.6 times proportion difference and 80% power of study. Eligible subjects consisting of 30 and 29 were randomly allocated into vaginal progesterone and oral allylestrenol groups. Ability to maintain, duration of pregnancy and side effects were outcomes of interest. Chi-square, t-test, Fisher exact test and survival analysis were used for statistical analysis.
Result & Discussion: Abortion rate in vaginal progesterone was 23.3% compared 37.9% with oral allylestrenol group (RR=0.61; 95% CI 0.27-1.36). Duration of maintaining pregnancy was 16.57 days vs 9.82 days in vaginal progesterone and oral allylestrenol respectively (mean difference 6.75 days; 95% CI 2.30-11.20). There was no difference in term of gestational age on the abortion rate (p>0.05). One case undergoing nausea was found in oral allylestrenol group.
Conclusion: There was no difference between vaginal progesterone and oral allylestrenol in term of abortion rate. Vaginal progesterone could maintain pregnancy longer than oral allylestrenol.
Keywords: Threatened abortion, Vaginal progesterone, Oral allylestrenol, Abortion rate, Side effect.
ABSTRAK
Latar Belakang: Abortus masih merupakan komplikasi kehamilan yang sering terjadi. Sekresi progesteron yang tidak memadai pada awal kehamilan telah dikaitkan dengan salah satu penyebab abortus. Suplementasi progesteron digunakan untuk mencegah keguguran spontan walaupun masih diperdebatkan.
Tujuan: Membandingkan keberhasilan terapi progesteron vaginal vs. allylestrenol oral dalam hal kejadian abortus dan lama terjadinya abortus pada kasus abortus iminens.
Metode: Randomized Clinical Trial. Penelitian dilakukan dibagian Obstetrika dan Ginekologi di RS Kabupaten yang merupakan afiliasi RS Sardjito dari bulan November 2013 sampai dengan Mei 2014. Subyek yang memenuhi kriteria berikut ini: hamil 8-16 minggu, terdiagnosis abortus iminens, kadar hemoglobin > 10 g/dL, dan janin hidup. Pasien berikut ini tidak dimasukkan dalam penelitian: riwayat abortus provokatus, riwayat penggunaan terapi hormonal, abortus imminens karena kegagalan IUD, anomali uterus dan tumor ginekologis. Sebanyak 60 pasien diikutsertakan dalam penelitian ini untuk mendapatkan beda proporsi kejadian abortus sebesar 0,6 kali dengan kekuatan penelitian sebesar 80%. Subjek dibagi menjadi dua kelompok secara random yaitu kelompok yang mendapat progesteron vaginal dan allylestrenol oral masing-masing sebanyak 30 dan 29. Keberhasilan mempertahankan kehamilan, lama hari bertahan dan efek samping adalah hasil yang dinilai. Uji Chi-square, t-test, uji Fisher dan analisis survival adalah uji statistik yang dipakai.
Hasil & Pembahasan: Kejadian abortus pada kelompok progesteron vaginal adalah 23,3% dibanding, 37,9% pada kelompok allylestrenol oral (RR=0,61; 95% CI 0,27-1,36). Lama bertahan pada kelompok progesteron vaginal rata-rata 16,57 hari dibanding rata-rata 9,82 hari pada kelompok allylestrenol oral (beda rata-rata 6,75 hari; 95% CI 2,30-11,20). Tidak ada perbedaan bermakna pengaruh umur kehamilan terhadap kejadian abortus pada kedua kelompok (p>0,05). Efek samping berupa perasaan mual hanya dijumpai pada kelompok allylestrenol oral.
Kesimpulan: Tidak terdapat perbedaan kejadian abortus pada kedua kelompok meskipun kemampuan bertahan lebih lama pada kelompok progesteron vaginal.
Kata Kunci: Abortus iminens, progesteron vaginal, allylestrenol oral, angka abortus, efek samping.
1,2,3 Bagian Obstetri dan Ginekologi Fakultas Kedokteran Universitas Gadjah Mada/RS SardjitoYogyakarta
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2015-08-19 09:52:06
application/pdf
https://journal.ugm.ac.id/jkr/article/view/7120
Jurnal Kesehatan Reproduksi; Vol 2, No 1 (2015)
ind
Copyright (c)
oai:jurnal.ugm.ac.id:article/7126
2015-08-19T02:52:06Z
jkr:ART
nmb a2200000Iu 4500
"150825 2015 eng "
2621-461X
2302-836X
dc
Sutandar, Yosep
Gadjah Mada University
Santoso, Suryono S.I.
Yosep Sutandar1, Suryono S.I. Santoso2
ABSTRAK
Latar Belakang: Pembentukan dan perkembangan folikel primordial merupakan aspek yang penting pada sistem reproduksi perempuan, tetapi mekanismenya masih kurang dipahami. Pembentukan folikel primordial adalah proses dimana folikel primordial ovarium terbentuk. Sebuah folikel primordial terdiri dari oosit yang berada di profase jika pembelahan meiosis yang pertama dan dikelilingi oleh satu lapisan sel-sel pra-granulosa. Proses ini secara langsung memengaruhi jumlah oosit yang tersedia bagi seorang wanita sepanjang usia reproduksinya. Kelainan pada perkembangan folikel primordial menyebabkan sejumlah patofisiologi, tetapi mekanisme terjadi masih belum dapat dipahami.
Tujuan: Untuk memahami mekanisme perakitan dan pengembangan manusia ovarium folikel primordial.
Metode: Review artikel
Kesimpulan: Pembentukan folikel primordial adalah proses dimana folikel primordial ovarium terbentuk. Pembentukan folikel primordial dihambat oleh progesteron untuk tingkat yang lebih besar daripada estrogen, namun kedua steroid tersebut menghambat proses pembentukan. Proses apoptosis oosit secara acak dalam sarang oosit diperlukan untuk pembentukan folikel dan tumor necrosis factor-alpha (TNF) tampaknya juga terlibat dalam proses ini. Baru-baru ini, penelitian telah menunjukkan bahwa KL, basic fibroblast growth factor (bFGF), leukemia inhibitory factor (LIF), KGF, dan bone morphogenic protein -4 (BMP-4) dapat memengaruhi perkembangan folikel primordial.
Kata kunci: folikel, primordial, pembentukan, perkembangan.
ABSTRACT
Backgrounds: primordial follicle assembly and development is a critical aspect of female reproduction, but poorly understood process on mechanistic level. Primordial follicle assembly is the process by which ovarian primordial follicles are formed. A primordial follicle is composed of an oocyte arrested in prophase if the first meiotic division and surrounded by a single layer of pre-granulosa cells. These processes directly affect the number of oocytes available to a female throughout her reproductive life. Abnormalities in primordial follicle development lead to a number of pathologies, but the mechanism are poorly understood.
Objective: To understand the mechanism of assembly and development of human ovarian primordial follicle.
Method: Literature review
Conclusion: Primordial follicle assembly is the process by which ovarian primordial follicles are formed. Primordial follicle assembly was inhibited by progesterone to a greater degree than estrogen, but both steroids inhibited the assembly process. The apoptosis of random oocytes in the oocyte nests is required for primordial follicle assembly and tumor necrosis factor-alpha (TNFβ) appears to be involved in this process. More recently, studies have demonstrated that KL, basic fibroblast growth factor (bFGF), leukemia inhibitory factor (LIF), KGF, and bone morphogenic protein-4 (BMP-4) can influence primordial follicle development.
Key words: follicle, primordial, assembly, development
1,2 Division of Reproductive Medicine, Department of Obstetrics and Gynecology Faculty of Medicine University of Indonesia, National Center Hospital Dr. Cipto Mangunkusumo Telephone: 081294037518. Email: yosep.sutandar@gmail.com
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2015-08-19 09:52:06
application/pdf
https://journal.ugm.ac.id/jkr/article/view/7126
Jurnal Kesehatan Reproduksi; Vol 2, No 1 (2015)
ind
Copyright (c)
oai:jurnal.ugm.ac.id:article/7127
2015-08-19T02:52:06Z
jkr:ART
nmb a2200000Iu 4500
"150825 2015 eng "
2621-461X
2302-836X
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Hanoum, Ita Fauzia
Gadjah Mada University
Boediono, Arief
Pangestu, Mulyoto
Haryadi, Dwi
Widad, Shofwal
Dasuki, Djaswadi
Ita Fauzia Hanoum1,2, Arief Boediono3, Mulyoto Pangestu4,5, Dwi Haryadi1,
Shofwal Widad1,2, Djaswadi Dasuki1,2
ABSTRAK
Latar Belakang: Prosedur embrio vitrifikasi menggunakan alat berupa grid, straw atau cryoloop. Gama Sleeved cryoloop dibuat dan dikembangkan di klinik Permata Hati. Untuk itu, dilakukan pengamatan keberhasilan prosedur vitrifikasi menggunakan 0.1µl Gama Sleeved cryoloop.
Metode: Vitrifikasi dilakukan pada blastokis dengan kualitas baik yang diperoleh pada hari ke 5 setelah fertilisasi. Inform consent telah disampaikan sebelumnya kepada pasien program bayi tabung di Klinik Permata Hati. Prosedur dilakukan dengan menggunakan media handling (GMOPS Plus; Vitrolife) embrio diinkubasi selama 1 menit; (7.5% EG (v/v); 7.5% DMSO (v/v)) selama 2-3 menit, (15% EG (v/v); 15% DMSO v/v; 10 mg/ml Ficoll; 0.65 M Sucrosa) selama 30 detik pada suhu ruang sebelum kemudian diletakkan di dalam cryoloop, setelah itu secara cepat cryoloop yang berisi embrio dibenamkan ke dalam nitrogen cair. Sebelum dilakukan embryo transfer (ET), embrio dihangatkan dengan cara two step technique (sucrose 0.25M) selama 2 menit dan selama 3 menit (sucrose 0.125M).
Hasil: Sejumlah 97 blastokis divitrifikasi dan dihangatkan (67 pasien), dimana 91 blastokis berhasil ditransfer ke rahim ibu (93.8%). Blastokis yang tidak berhasil selamat dari prosedur penghangatan adalah blastokis dengan kerusakan lebih dari 50%. Diperoleh kehamilan klinis 43.3% sedangkan angka implantasi adalah 37.4%. Sampai saat ini, dilaporkan 20 kelahiran (23 bayi) dari program vitrifikasi menggunakan 0.1µl Gama Sleeved cryoloop, sementara 5 kehamilan masih berlangsung. Satu kehamilan dilaporkan gugur pada usia kehamilan yang masih sangat awal, dua keguguran pada usia kehamilan 12 minggu dan satu bayi lahir meninggal karena kelainan kongenital.
Kesimpulan: 0.1µl Gama Sleeved cryoloop merupakan pilihan untuk digunakan sebagai alat vitrifikasi blastokis. Data awal yang kami sampaikan dan kelahiran bayi dari program tersebut memberikan harapan untuk kesuksesan program simpan beku embrio di klinik Permata Hati RSUP DR Sardjito Yogyakarta.
Kata kunci: kriopreservasi, blastokis, vitrifikasi
ABSTRACT
Background: Vitrification has been applied succesfully in human embryo using grid, straw and cryoloop. Gama Sleeved is a home made device develop at Permata Hati. We assessed the survival rate of human blastocyst vitrified in 0.1µl Gama Sleeved cryoloop as device.
Method: Excess good grade human D5 embryos were vitrified, upon a detailed informed consent. Embryos were hold in handling media (GMOPS Plus; Vitrolife) for 1 minute; (7.5% EG (v/v); 7.5% DMSO (v/v)) for 2-3 minutes, (15% EG (v/v); 15% DMSO v/v; 10 mg/ml Ficoll; 0.65 M Sucrosa) for 30 seconds at room temperature before inserted in to the loops, then directly plunged into the liquid nitrogen. Prior to ET, embryos were warmed by two step technique in sucrose 0.25M for 2 min and 0.125M sucrosa for 3 min. Embryos were then cultured.
Results: Total of 97 vitrified warmed human blastocyst (67 patients) were used and 91 (93.8%) were transferred. Non-transferred blastocyst (6.2%) has more than 50% lyse. The clinical pregnancy rate was 43.9%. The implantation rate was 37.4%. Currently, 20 deliveries of 23 babies born from vitrified blastocyst using 0.1µl Gama Sleeved cryoloop, and another 5 ongoing pregnancy. So far there was 1 early pregnancy loss, 2 miscarriages at 12 weeks pregnancy, and one infant died due to a congenital anomaly.
Conclusion: 0.1µl Gama Sleeved cryoloop provides an excellent alternative to existing vitrification devices. These initial data and babies delivered from the program have been promising to a vitrification system in our own ART program.
Keywords: cryopreservation, blastocyst, vitrification
1Permata Hati Infertility Clinic RSUP DR Sardjito, Yogyakarta
2Div Reproductive Endocrinology and Fertility OBGYN Medical Faculty Gadjah Mada University, Yogyakarta
3Lab. Anatomi Embriologi FKH, Institut Teknologi Pertanian, Bogor
4EPRD- Dept. Obstetrics and Gynecology, Monash University, Monash Medical Center,Victoria, Melbourne
5Lab. Reproductive Physiology, Jenderal Soedirman University, Purwokerto
Correspondence address: + 62 274 518684; fax + 62 274 553575; email: itafauzia@yahoo.com
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2015-08-19 09:52:06
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Jurnal Kesehatan Reproduksi; Vol 2, No 1 (2015)
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2015-08-19T02:52:06Z
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Sulistyowati, Sri
Gadjah Mada University
Soetrisno, Soetrisno
Respati, Supriyadi Hari
Wiyono, Bambang Eko
Sri Sulistyowati1, Soetrisno2, Supriyadi Hari Respati3, Bambang Eko Wiyono4
ABSTRACT
Background: Preeclampsia is still the main cause for maternal and neonatal mortality or morbidity. Anti-angiogenic Soluble FMS-Like Tyrosine Kinase-1 (sFlt-1) and proangiogenic Endhothelial Vascular Growth Factor (VEGF) factors can be used as an early detection of preeclampsia due to itsrole in the pathogenesis of preeclampsia, so it can be used as one effort to reduce maternal or perinatal morbidity and mortality.
Objective: To analyze sFlt-1 and VEGF levels in the serum of normal pregnancy and pregnancy with preeclampsia risk in 8 – 20 weeks gestation.
Method: Observational analytic with cross sectional method performed at the Obstetrics and Gynecology, Dr. Moewardi Hospital/ Medical Faculty Sebelas Maret University Surakarta and Prodia laboratory since November – December 2013. Number of samples studied was 30 samples, comprising 15 samples of normal pregnancy and pregnancy with preeclampsia risk with 8 – 20 weeks of gestational age. The sFlt-1 and VEGF serum levels was assessed using ELISA and analyzed using t-test.
Result & Discussion: Serum level of sFlt-1 in normal pregnancy is (1252,17±564,65 ng/ml), and in pregnancy with preeclampsia risk is (1741,90±640,97 ng/ml) with p=0,023 serum level of VEGF in normal pregnancy was 96,88±144,29 ng/ml and in pregnancy with preeclampsia risk was 14,24±8,73 ng/ ml with p=0,044.
Conclusion: sFlt-1 level is higher and VEGF level is lower in pregnant women with preeclampsia risk than normal pregnancy on 8 – 20 weeks gestational age.
Keywords: Pregnancy, Preeclampsia Risk, sFlt-1, VEGF.
ABSTRAK
Latar belakang: Preeklampsia saat ini masih merupakan masalah pada ibu hamil yang berhubungan dengan mortalitas dan morbiditas maternal dan perinatal. Faktor anti-angiogenik Soluble FMS-Like Tyrosine Kinase-1 (sFLt-1) dan proangiogenik Vascular Endhothelial Growth Factor (VEGF) diduga dapat digunakan sebagai deteksi dini karena perannya dalam patogenesis preeklampsia, sehingga dapat digunakan sebagai upaya untuk mengurangi angka morbiditas dan mortalitas maternal dan perinatal.
Tujuan: Untuk menganalisis kadar sFlt-1 dan VEGF pada serum ibu hamil normal dan ibu hamil dengan risiko preeklampsia pada usia kehamilan 8 – 20 minggu.
Metode: Penelitian observasional analitik dengan metode Cross Sectional yang dilakukan di bagian Obstetri dan Ginekologi, RSUD Dr. Moewardi/ FK UNS, Surakarta dan Laboratorium Prodia mulai Nopember – Desember 2013. Jumlah sampel terdiri 30 yang terbagi menjadi 15 sampel ibu hamil normal dan dan 15 sampel ibu hamil dengan risiko preeklampsia usia gestasi 8 – 20 minggu. Masing-masing dianalisis kadar sFlt-1 dan VEGF pada serumnya dengan metode ELISA dan dianalisis menggunakan uji t.
Hasil & Pembahaasan: Kadar serum sFlt-1 pada kehamilan normal (1252,17±564,65 ng/ml), kehamilan dengan risiko preeklampsia (1741,90±640,97 ng/ml) dengan nilai p=0,023 dan kadar VEGF pada kehamilan normal (96,88±144,29 ng/ml), kehamilan dengan risiko preeklampsia (14,24±8,73 ng/ ml) dengan nilai p=0,044.
Kesimpulan: Kadar sFlt-1 lebih tinggi dan kadar VEGF lebih rendah pada kehamilan dengan risiko preeklampsia dibanding kehamilan normal pada usia hamil 8 – 20 minggu.
Kata kunci: Kehamilan, Risiko Preeklampsia, sFlt-1, VEGF.
1,2,3,4Sri Sulistyowati, Bagian Obgin FK UNS/ RSUD Dr. Moewardi, Jl. Kol. Sutarto 132 Surakarta. Telp. 08122968215, Email: elis_spog@yahoo.co.id
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2015-08-19 09:52:06
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https://journal.ugm.ac.id/jkr/article/view/7129
Jurnal Kesehatan Reproduksi; Vol 2, No 1 (2015)
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oai:jurnal.ugm.ac.id:article/12637
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Lidia, Hepta
Gadjah Mada University
Emilia, Ova
Anwar, Moch.
HUBUNGAN ANTARA VAGINOSIS BAKTERIAL DAN
PERSALINAN PRETERM
Hepta Lidia1, Ova Emilia2, Moch. Anwar3
ABSTRACT
Background: Preterm birth remain becomes global issue due to its contribution on high neonatal mortality
rate. WHO (2012) estimated 15 million babies are born premature and Indonesia as one of 10 countries with
highest rates of preterm birth (15,5/100 live births). In the poorest countries, on average, 12% of babies
are born too soon compared with 9% in higher-income countries. Approximately 50% of spontaneous
preterm birth is associated with genital infection. Plenty of efforts had been done to detect risk factor
early, however if has not successfully decreased preterm birth rate. Because of that, it is a needed to do
early screening of lower genital tract in pregnant woman to prevent preterm birth.
Method: Cross sectional
Location of study: Senopati Bantul hospital and Sewon community health center
Result and Discussion: This study involved 134 pregnant woman. Bivariate and multivariate analysis result
showed that bacterial vaginosis, increased preterm birth significantly (OR 4,26; IK 95% 1,16-15,62). Other
risk factor that increased preterm birth are history of preterm birth (OR 11,16; IK 95% 1,32-94,45).
Conclusion: Proportion of bacterial vaginosis in preterm birth significantly higher, compare to fullterm
birth. History of preterm birth in last pregnancy significantly increased the number of preterm birth.
Keywords: Preterm Birth - bacterial vaginosis – early screening
ABSTRAK
Latar Belakang: Persalinan preterm masih menjadi masalah global oleh karena memberikan kontribusi
pada kematian bayi yang cukup tinggi, WHO (2012) memperkirakan 15 juta bayi lahir preterm dan Indonesia
termasuk salah satu dari 10 negara dengan angka persalinan preterm tertinggi (15,5/100 kelahiran hidup).
Di negara-negara miskin, rata-rata 12% bayi lahir preterm dibandingkan 9% di negara berpendapatan lebih
tinggi. Diperkirakan 50% dari kelahiran prematur spontan terkait dengan infeksi saluran genital. Banyak
upaya yang telah dilakukan untuk mendeteksi risiko secara dini selain juga intervensi medis, namun belum
banyak menurunkan kejadian persalinan preterm. Oleh karena itu perlu dilakukan suatu skrining awal
untuk infeksi saluran genital bawah pada wanita hamil untuk mencegah persalinan preterm
Metode: cross sectional
Tempat penelitian: RSUD Senopati Bantul dan Puskesmas Sewon
Hasil dan Pembahasan: Penelitian melibatkan 134 ibu hamil. Hasil analisis bivariat dan multivariat
menunjukkan bahwa vaginosis bakterial meningkatkan kejadian persalinan preterm secara signifikan (OR
2,70; IK 95% 1,29-5,67). Faktor risiko lainnya yang meningkatkan persalinan preterm secara signifikan
adalah riwayat persalinan preterm pada kehamilan sebelumnya (OR 11,16; IK 95% 1,32-94,45).
Kesimpulan: Kejadian vaginosis bakterial pada persalinan preterm secara signifikan lebih tinggi dibandingkan
pada persalinan aterm. Demikian juga riwayat persalinan preterm pada kehamilan sebelumnya secara
signifikan meningkatkan risiko kejadian persalinan preterm.
Kata kunci: Persalinan preterm - vaginosis bakterial - skrining awal
1,2,3 Bagian Obstetri dan Ginekologi FK UGM/RSUP Dr. Sardjito Yogyakarta
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2016-08-15 10:38:06
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https://journal.ugm.ac.id/jkr/article/view/12637
Jurnal Kesehatan Reproduksi; Vol 2, No 2 (2015)
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Copyright (c) 2016 Jurnal Kesehatan Reproduksi
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Adhi, Kresno Condro
Gadjah Mada University
Sulistywati, Sri
Respati, Supriyadi Hari
KADAR HUMAN LEUKOCYTE ANTIGEN-G (HLAG) DAN TUMOR NERCROSIS FAKTOR ALPHA (TNF-a) PADA ABORTUS DAN KEHAMILAN NORMAL
Kresno Condro Adhi1, Sri Sulistyowati2, Supriyadi Hari Respati3
ABSTRACT
Background: Abortion is one of the causes of maternal morbidity and mortality. Rejection of the fetus
due to recognition of paternal antigens by the maternal immune system, is suspected to be a cause of
unexplained pregnancy loss. Human Leukocyte Antigen G (HLA-G) expressed by thropoblast and Tumor
Necrosis Factor α (TNF-α) suspected as one of important inflammatory mediators associated with abortion.
Objective : To analyze levels of the HLA-G and TNF-α in the serum of abortion and normal pregnancy.
Method: Observational analytic with Cross sectional approach at the Obstetric and Gynecology Department
Dr. Moewardi hospital Surakarta and Prodia laboratory since August - November 2014. Number of sample
studied was 40 sample divided into 2 groups, 20 sample abortion and 20 sample normal pregnancy. All
the sample were examined the HLA-G and TNF-α serum level by ELISA method and analyze by t test with
CI 95%.
Result and Discussion: Average value of HLA-G in abortion group was 55,0246±26,01 ng/ml and normal
pregnancy group with an average 76,7200±32,18 ng/ml with p=0,024 (p≤0,05). Average value of TNF-α in
abortion group was 3,83±1,52 ng/ml and normal pregnancy group with an average 2,76±1,49 ng/ml with
p=0,032 (p≤0,05).
Conclusion: In the abortion serum level of HLA-G is lower and TNF-α is higher than normal pregnancy.
Keywords: Abortion, HLA-G, TNF-α.
ABSTRAK
Latar Belakang : Abortus merupakan salah satu penyebab morbiditas dan mortalitas maternal. Adanya
penolakan janin karena adanya antigen paternal oleh sistim imun ibu, diduga menjadi salah satu penyebab
terjadinya abortus. Human Leukocyte Antigen G (HLA-G) yang dihasilkan oleh trofoblas dan Tumor Necrosis
Factor Alpha (TNF-α) diduga sebagai salah satu mediator yang berhubungan dengan terjadinya abortus.
Tujuan : Mengetahui kadar HLA-G dan TNF-α serum pada abortus dan kehamilan normal
Metode: Penelitian ini merupakan penelitian observasional analitik menggunakan pendekatan Cross
Sectional yang dilakukan di RSUD Dr. Moewardi Surakarta pada bulan Agustus - November 2014. Total
sampel 40 dibagi menjadi 2 kelompok, 20 sampel kelompok abortus dan 20 sampel kelompok kehamilan
normal. Semua sampel dilakukan pemeriksaan serum kadar HLA-G dan TNF-α dengan menggunakan
metode ELISA. Analisis menggunakan uji t dengan nilai kepercayaan 95%.
Hasil dan Pembahasan: Rerata kadar serum HLA-G pada kelompok abortus adalah 55,0246±26,01 ng/
ml dan kelompok kehamilan normal 76,7200±32,18 ng/ml, dengan nilai p=0,024 (p≤0,05). Rerata kadar
serum TNF-α pada kelompok abortus 3,83±1,52 ng/ml dan kelompok kehamilan normal 2,76±1,49 ng/ml
dengan nilai p=0,032 (p≤0,05).
Kesimpulan: Pada abortus kadar serum HLA-G lebih rendah dan TNF-α lebih tinggi bila dibandingkan
dengan kehamilan normal.
Kata kunci : Abortus, HLA-G, TNF-α.
1,2,3 Bagian Obstetri dan Ginekologi FK UNS/RSUD Dr. Moewardi Surakarta
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2016-08-15 10:38:06
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https://journal.ugm.ac.id/jkr/article/view/12638
Jurnal Kesehatan Reproduksi; Vol 2, No 2 (2015)
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Copyright (c) 2016 Jurnal Kesehatan Reproduksi
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Arianto, Budi
Gadjah Mada University
Hadiati, Diah Rumekti
Nurdiati, Detty Siti
PERBANDINGAN RERATA EKSPRESI Bcl-2 DAN Bcl-XL PADA
PREEKLAMSIA BERAT DAN KEHAMILAN NORMOTENSI
Budi Arianto1, Diah Rumekti H2, Detty S Nurdiati3
ABSTRACT
Background: The state of hypoxia in severe preeclampsia cause placental oxidative stress that can lead
excessive trophoblast apoptosis through the mitochondrial pathway. Apoptosis stimuli occurs through
modulation of p53 and Bcl-2 family expression which has antiapoptosis and proapoptosis function.
Antiapoptosis protein consist of Bcl-2 and Bcl-XL and is expressed lower in apoptosis.
Objective: To compare the mean difference of the expression of antiapoptosis proteins Bcl-2 & Bcl-XL and
identify the type of protein that can be used as indicators of increased apoptosis.
Method: A cross-sectional study which consisted of 43 severe preeclampsia pregnancies and 38 third
trimester normotensive pregnancies, recruited between October 2011 - March 2012. Observation of
protein expression Bcl-2 and Bcl-XL used immunohistochemical techniques. Statistical analysis applied
independent t test (P<0.05).
Result and Discussion: There were significant differences (p<0.05)between the mean expression of Bcl-2
protein in trophoblast tissue among severe preeclampsia group (1.03 ± 0.04) compared to normotensive
group (1.10 ± 0.08). The mean expression of Bcl-XL protein in trophoblast tissue severe preeclampsia
group (1.29 ± 0.12) compared to normotensive group (1.71 ± 0.14) were significantly difference (p<0.05).
The mean difference in protein expression of Bcl-2 (0076; 95% CI 0.046 to 0.104) was lower than Bcl-XL
protein (0.42; 95% CI 0.47 to 0.36). The mean protein expression of Bcl-2 and Bcl-XL were lower in severe
preeclampsia group compared with normotensive group, either in preterm or full-term gestation age with
p value <0.05.
Conclusion: The mean difference in protein expression of Bcl-2 and Bcl-XL is lower in severe preeclampsia
pregnancies than normotensive pregnancies. The mean difference in protein expression of Bcl-2 is lower
than Bcl-XL. Severe preeclampsia affects protein expression of Bcl-2 and Bcl-XL more than influence of
gestational age.
Keywords: severe preeclampsia, trophoblast, Bcl-2 , Bcl-XL, apoptosis.
ABSTRAK
Latar belakang: Keadaan hipoksia pada preeklamsia berat akan menyebabkan stress oksidatif plasenta
yang dapat memicu terjadi peningkatan apoptosis trofoblas melalui jalur mitokondria. Stimulus apoptosis
terjadi melalui modulasi ekspresi P53 dan ekspresi protein Bcl-2 family yang memiliki fungsi antiapoptosis
dan proapoptosis. Protein antiapoptosis terdiri atas Bcl-2 dan Bcl-XL akan diekspresikan lebih rendah pada
keadaan apoptosis.
Tujuan: Untuk melihat perbedaan rerata ekspresi protein antiapoptosis Bcl-2 dan Bcl-XL dan mengidentifikasi
jenis protein yang dapat dijadikan indikator peningkatan apoptosis.
Metode: Rancangan penelitian ini potong lintang dengan populasi penderita kehamilan preeklamsia berat
dan normotensi yang dirawat di RSUP Sardjito antara bulan Oktober 2011 hingga Maret 2012. Didapatkan
sampel plasenta sebanyak 43 kehamilan preeklamsia berat dan 38 kehamilan normotensi. Pengamatan
ekspresi protein Bcl-2 dan Bcl-XL dengan teknik imunohistokimia. Analisis statistik menggunakan
independent t test (p<0.05).
Hasil dan Pembahasan: Terdapat perbedaan yang bermakna (p<0,05) rerata ekspresi protein Bcl-2 pada
jaringan trofoblas kelompok kehamilan preeklamsia berat (1,03 ± 0,04) dibandingkan kelompok kehamilan
normotensi (1,10 ± 0,08). Terdapat perbedaan yang bermakna (p<0.05) rerata ekspresi protein Bcl-xL pada
jaringan trofoblas kelompok kehamilan preeklamsia berat (1,29 ± 0,12) dibandingkan kelompok kehamilan
normotensi (1,71 ± 0,14). Beda rerata ekspresi protein untuk Bcl-2 (0,076; CI 95% 0,046 – 0,104) lebih
rendah dibandingkan beda rerata ekspresi protein Bcl-xL (0,42; CI 95% 0,47- 0,36). Rerata ekspresi protein
Bcl-2 dan Bcl-XL lebih rendah pada kelompok preeklamsia berat dibandingkan dengan normotensi baik
pada umur kehamilan preterm maupun aterm yang ditunjukkan dengan nilai p<0,05.
Kesimpulan: Beda rerata ekspresi protein Bcl-2 dan Bcl-xL lebih rendah pada kehamilan preeklamsia berat
dibandingkan kehamilan normotensi. Beda rerata ekspresi protein Bcl-2 lebih rendah dibandingkan beda
rerata ekspresi protein Bcl-xl. Preeklamsia berat lebih berpengaruh terhadap ekspresi protein Bcl-2 dan
Bcl-XL dibandingkan umur kehamilan
Kata Kunci: preeklamsia berat, trofoblas, protein Bcl-2, protein Bcl-xl, apoptosis
1,2,3 Bagian Obstetri dan Ginekologi FK UGM/RSUP Dr. Sardjito, Yogyakarta
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2016-08-15 10:38:06
application/pdf
https://journal.ugm.ac.id/jkr/article/view/12639
Jurnal Kesehatan Reproduksi; Vol 2, No 2 (2015)
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2016-08-15T03:38:06Z
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Apriliani, Happy Dwi
Gadjah Mada University
Siswosudarmo, Risanto
Setiyarini, Wahyu Ikka
PENGARUH KONSELING LAKTASI PADA IBU HAMIL
TRIMESTER III TERHADAP PEMBERIAN PRELAKTAL BAYI
BARU LAHIR
Happy Dwi Aprilina1, Risanto Siswosudarmo2, Wahyu Ikka Setiyarini3
ABSTRACT
Background: Exclusive breastfeeding’s rate in Indonesia is still low. One of the causes of this failure is the
prelacteal feeding in infants’ early life. Prelacteal feeding can cause the infants reluctance to suckle their
mothers’ breasts, diarrhea, allergy, ear infections and respiratory disorders in infants. One of the efforts to
prevent prelacteal feeding is providing lactation counselingto women in the third trimester of pregnancy.
Objective: To assess the impact of lactation counseling to women in the third trimester of pregnancy
toward prelacteal feeding to newborn infants.
Method: This research design usedrandomized controlled trial (RCT) which is divided into treatment group
(pregnant women class and individual lactation counseling) n=33 and control group (pregnant women class
only) n=34. The subjects are woman in the third trimester of pregnancy in the work area of Puskesmas
Sokaraja 1, Banyumas. The sampling technique is simple random sampling. Chi square, relative risk (RR)
and logistic regression analysis is used for statistical analysis.
Result and Discussion: Proportion mothers who did not give prelacteal feeding wassignificantly higher in
intervention group than in control group, 69% vs 30% with RR = 1.69 (95% CI: 1.06 to 2.68) p = 0.01.
Conclusion: Mothers who received counseling lactation in the third trimester of pregnancy had a 1.69
times greater chance to not give prelacteal than mothers who did not receive counseling lactation.
Keywords: Exclusive Breastfeeding, Lactation Counseling, Prelacteal, Health Education, Breastfeed
ABSTRAK
Latar Belakang: Cakupan pemberian ASI Eksklusif di Indonesia masih dalam rendah. Salah satu penyebab
kegagalan ASI Eksklusif adalah pemberian prelaktal pada awal kehidupan bayi. Pemberian prelaktal dapat
menyebabkan bayi malas menyusu, diare, alergi, infeksi dan gangguan pernapasan pada bayi. Salah satu
upaya dalam mencegah pemberian prelaktal yaitu dengan memberikan konseling laktasi pada ibu hamil
trimester ketiga.
Tujuan: mengetahui pengaruh konseling laktasi pada ibu hamil trimester ketiga terhadap pemberian
prelaktal bayi baru lahir.
Metode: Desain penelitian menggunakan randomized controlled trial (RCT),dibagi menjadi kelompok
perlakuan (kelas ibu hamildan konseling laktasi) n=33 dan kelompok kontrol (kelas ibu hamil saja) n=34.
Subjek penelitian yaitu ibu hamil trimester ketiga di wilayah kerja Puskesmas Sokaraja 1 Banyumas. Teknik
pengambilan sampel menggunakan simple random sampling. Chisquare, risiko relatif (RR) dan analisis
regresi logistik digunakan untuk analisis statistik.
Hasil dan Pembahasan: Proporsi ibu tidak memberikan prelaktal pada kelompok intervensi lebih tinggi
dibandingkan dengan kelompok kontrol; 69% vs 30% dengan RR=1,69 (95% CI: 1,06-2,68), sehingga terdapat perbedaan yang bermakna secara statistik pada kelompok perlakuan dibandingkan dengan
kelompok kontrol
Kesimpulan: Proporsi ibu yang mendapatkan konseling laktasi pada kehamilan trimester ketiga 1,69 kali
berpeluang lebih besar tidak memberikan prelaktal daripada ibu yang tidak mendapatkan konseling laktasi.
Kata kunci: ASI Eksklusif, Konseling laktasi, Prelaktal, Pendidikan Kesehatan, Menyusui
1 E-mail: happydwiaprilina@yahoo.com; Program Studi Magister Keperawatan Universitas Gadjah Mada
2 Bagian Obstetri dan Ginekologi Fakultas Kedokteran Universitas Gadjah Mada
3 Rumah Sakit Umum Daerah Banyumas
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2016-08-15 10:38:06
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Sari, Novita
Gadjah Mada University
Patmini, Edi
Nugroho, Agung
Rahman, Muhammad Nurhadi
HUBUNGAN EPISIOTOMI TERHADAP INKONTINENSIS URIN: SUATU STUDI EPIDEMIOLOGI
Novita Sari1, Edi Patmini2, Agung Nugroho3, Muhammad Nurhadi Rahman4
ABSTRACT
Background:The mortality rate of urinary incontinence is low but it greatly affects a person’s quality of
life as can cause embarrassment and discomfort. Consequently it affects psychosocial impact of patient.
Urinary incontinence 2-3 times more often experienced by women in comparison with men because of
trauma risk to the connective tissue, muscle, and nerve during childbirth.
Objective: To assess association between episiotomy and nonepisiotomy vaginal delivery method on
urinary incontinence among postpartum woman.
Method: A cross sectional study was conducted toward women with post vaginal delivery in Bantul
Hospital during the period of March-August 2014. After considering the inclusion and exclusion criteria,
there were 95 women included in the study (44 women with episiotomy vaginal delivery and 51 women
with nonepisiotomy vaginal delivery). Questionnaire for Urinary Incontinence Diagnosis (QUID)was
administered to measure urinary incontinence in postpartum women. Data were analyzed using SPSS
software version 19.
Result and Discussion: The occurrence of urinary incontinence in this research was 45.3%, among these
39.5% were women with episiotomy vaginal delivery, and 60.5% were women with nonepisiotomy vaginal
delivery method (p=0.228 and RP =0.76).
Conclusion: Urinary incontinence among postpartum women is not significantly different among women
who delivered with episiotomy and non episiotomy.
Keyword: Urinary incontinence, vaginal delivery, episiotomy, nonepisiotomy
ABSTRAK
Latar Belakang:Inkontinensi urin bukan masalah yang mematikan tetapi inkontinensi urin mempengaruhi
kualitas hidup seseorang karena menimbulkan rasa malu dan tidak nyaman, sehingga memberikan
dampak psikososial pada pasien inkontinensi urin. Inkontinensi urin 2-3 kali lebih sering dialami oleh
wanita dibandingkan dengan pria karena adanya risiko terjadinya trauma pada jaringan ikat, otot, dan
cedera saraf saat melakukan persalinan.
Tujuan: Mengetahui hubungan antara persalinan vaginal dengan tindakan episiotomi dan nonepisiotomi
terhadap kejadian inkontinensi urin pada wanita postpartum.
Metode: Penelitian ini menggunakan desain Cross Sectional dengan 44 subjek pada kelompok persalinan
vaginal episiotomi dan 51 subjek pada kelompok persalinan vaginal nonepisiotomi. Kuesioner QUID
(Questionnaire for Urinary Incontinence Diagnosis) digunakan untuk mengukur inkontinensi urin pada
wanita postpartum. Data kemudian dianalisis menggunakan software SPSS versi 19.
Hasil:Angka kejadian inkontinensi urin pada subjek penelitian yaitu 45,3%, sedangkan pada kelompok
persalinan vaginal episiotomi 39,5% dan persalinan vaginal nonepisiotomi 60,5% (p=0,228 dan RP=0,76).
Kesimpulan:Tidak ada hubungan yang signifikan antara persalinan vaginal dengan tindakan episiotomi
dan nonepisiotomi terhadap terjadinya inkontienesi urin postpartum.
Kata kunci:Inkontinensi urin, persalinan vaginal, episiotomy dan nonepisiotomi.
1 Mahasiswa S1 Pendidikan Dokter Fakultas Kedokteran UGM
2,4 Bagian Obstetri dan Ginekologi, Fakultas Kedokteran UGM / RSUP Dr. Sardjito
3 Bagian Kesehatan Ibu dan Anak, Ilmu Kesehatan Masyarakat, Fakultas Kedokteran UGM
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2016-08-15 10:38:06
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https://journal.ugm.ac.id/jkr/article/view/12641
Jurnal Kesehatan Reproduksi; Vol 2, No 2 (2015)
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Adintyo Rahman, Muhammad Nur
Gadjah Mada University
Prawitasari, Shinta
Pradjatmo, Heru
RASIO ESTRIOL/ ESTRADIOL TINGGI SEBAGAI PREDIKTOR
KEBERHASILAN INDUKSI PERSALINAN PADA KEHAMILAN
LEWAT WAKTU
Muhammad Nur Adintyo Rahman1, Shinta Prawitasari2, Heru Pradjatmo3
ABSTRACT
Background: Induction of labor is a common procedure performed at 15-20 % of pregnancies. The most
common indication was prolonged pregnancy (70 %). The past decade labor induction rate was increased
2-fold as well as the risk of cesarean section. Difficulties to predict the success of induction made predictors
of success of induction widely studied. Predictors can be physical or chemical markers. One of the chemical
marker is the ratio of estriol to estradiol levels.
Objective: To determine the value of the ratio of estriol/ estradiol to predict success of induction of labor
in prolonged pregnancy.
Method: The design of study are Prospective Cohort. Study two hospitals (Wonosobo District Hospital
and Banjarnegara District Hospital) used in this study from September 10, 2013 until December 31,
2013. Blood sampling was drown from the subject before induction to examin the levels of estriol and
estradiol the induction which end in vaginal delivery were noted as succesull induction Receiver Operating
Characteristic (ROC) method in order to determine the sensitivity, specificity, positive predictive value,
negative predictive value and Area Under the Curve. Bivariate and multivariate analyzes also used to
determine the correlation between variables.
Results and Discussion: This study obtained 76 samples, 69 with successful induction and 7 failed of
induction. The research got a cut-off was point 35 the sensitivity was 71% value, specificity value of 71%,
positive predictive value 49%, negative predictive value was 55.6%. Area Under the was value of 80,7%.
Positive likelihood ratio 1,06 and negative likelihood ratio 0,88. Bivariate and multivariate analysis showed
that the ratio of estriol / estradiol ≥ 35 ng / mL significantly associated with successful induction (OR 9,598;
95% CI 1,378-66,859) Bishop score was also associated with a significant induction success (OR 13,481;
95% CI 1,955 -92,955)
Conclusion: This study shows that the proportion ratio of estriol / estradiol in succeed induction group
were higher (≥ 35) compared with induction failure group (<35).
Keywords: prolonged pregnancy, labor induction , estriol/ estradiol ratio, predictors
ABSTRAK
Latar Belakang: Induksi persalinan adalah prosedur umum yang dilakukan pada 15-20% kehamilan.
Indikasi tersering adalah kehamilan lewat waktu (70%). Satu dekade terakhir angka induksi persalinan
telah meningkat 2 kali lipat begitu juga dengan risiko seksio sesarea. Keberhasilan induksi sulit diprediksi.
Prediktor keberhasilan induksi banyak diteliti baik penanda fisik maupun kimia. Salah satu penanda kimia
adalah rasio kadar estriol terhadap estradiol.
Tujuan: Mengetahui nilai rasio kadar estriol estradiol untuk memprediksi keberhasilan induksi pada
kehamilan lewat waktu
Metode: Kohort prospektif. Dua rumah sakit (RSUD Wonosobo dan RSUD Banjarnegara) dipakai dalam
penelitian ini dari 10 September 2013 sampai 31 Desember 2013. Subyek yang memenuhi kriteria
inklusi dan eksklusi diambil sampel darah sebanyak 5 ml sebelum Induksi untuk diperiksa kadar estriol
dan estradiol kemudian dilihat keberhasilan induksinya. Analisis yang digunakan adalah metode Receiver
Operating Characteristic (ROC) untuk dapat mengetahui nilai sensitivitas, spesifitas, nilai ramal positif,
nilai ramal negatif dan Area Under Curve. Analisis X2 dan Regresi logistik digunakan untuk mengetahui
hubungan antar variabel.
Hasil dan Pembahasan: Selama waktu penelitian didapatkan 76 sampel, 69 dengan induksi berhasil dan
7 gagal induksi. Dengan cut off point 35, nilai sensitivitasnya 71%, nilai Spesifitas 71%, nilai ramal positif
49%, nilai ramal negatif 55,6%. Nilai Area Under Curve sebesar 80.7%. Likelihood ratio positive 1,06 dan
likelihood ratio negative 0,88. Hasil analisis multivariat menunjukkan bahwa Rasio estriol/ estradiol ≥ 35
berhubungan dengan keberhasilan induksi secara signifikan (RO 9.598; IK 95% 1.378-66.859) Skor Bishop
juga berhubungan dengan keberhasilan induksi secara signifikan (RO 13,481; IK 95% 1.955-92.955)
Kesimpulan: Kelompok yang berhasil diinduksi memiliki proporsi rasio estriol/ estradiol yang lebih tinggi
(≥ 35) dibandingkan dengan kelompok gagal induksi
Kata kunci: Kehamilan lewat waktu, induksi persalinan, rasio estriol/ estradiol, prediktor
1,2,3 Bagian Obstetri dan Ginekologi Fakultas Kedokteran Universitas Gadjah Mada Yogyakarta
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2016-08-15 10:38:06
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https://journal.ugm.ac.id/jkr/article/view/12642
Jurnal Kesehatan Reproduksi; Vol 2, No 2 (2015)
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Wratsangka, Raditya
Gadjah Mada University
KESEHATAN REPRODUKSI MAHASISWA : KEBUTUHAN
INFORMASI DAN PELAYANAN
Studi Kualitatif di Jakarta Barat
Raditya Wratsangka1
ABSTRACT
Background: Young people comprise students are a considerably large segment of the world population
with important future roles, who face reproductive health-associated risks, such as sexually transmitted
diseases, HIV/AIDS, sexual violence, unwanted pregnancy, and unsafe abortion. They are less informed,
less experienced, and less comfortable in accessing reproductive health services and even face resistance
from adults when attempting to do so.
Objective: To assess the reproductive health information, types, access and models of services required
by students.
Method: This was a qualitative study involving students from three universities in West Jakarta. Data
collection was by focus group discussion and indepth interviews. Data were validated by triangulation of
information sources and method. Data analysis was performed by content analysis method to extract the
root of the problem.
Result and Discussion: Fourteen unmarried students were involved as informants/respondents. Several
had inadequate knowledge of reproductive health and difficulties in accessing appropriate information
sources, so that they engaged in risky behavior for various reasons. The informants expressed their need
for reliable information, accessible and friendly professional counselling and clinical reproductive health
services, and also that guarantee their privacy.
Conclusion: Information, counselling and clinical services should be instituted that meet the requirements
of students for improving their reproductive health.
Key words: reproductive health, information, counselling, services
ABSTRAK
Latar Belakang: Kaum muda -termasuk mahasiswa- dengan populasi yang besar dan peran yang penting di
masa depan, menghadapi berbagai risiko yang berkaitan dengan kesehatan reproduksinya, seperti: infeksi
menular seksual, HIV/AIDS, kekerasan seksual, kehamilan yang tidak diinginkan dan aborsi yang tidak
aman. Selama ini kaum muda kurang mendapatkan informasi, kurang berpengalaman, dan kurang nyaman
mengakses pelayanan kesehatan reproduksi, bahkan mendapat tentangan dari kelompok dewasa, ketika
mereka mencoba untuk memperoleh informasi dan pelayanan kesehatan reproduksi yang dibutuhkan.
Tujuan: Mendapatkan gambaran tentang informasi, jenis, akses dan model pelayanan kesehatan reproduksi
yang dibutuhkan oleh mahasiswa.
Metode: Penelitian ini merupakan studi kualitatif dengan melibatkan mahasiswa dari 3 Universitas di
Jakarta Barat. Pengumpulan data dilakukan dengan teknik diskusi kelompok terarah dan wawancara mendalam. Validasi data dilakukan dengan teknik triangulasi sumber informasi dan metode. Analisis data
dilakukan dengan content analysis method untuk menggali akar permasalahan.
Hasil dan Pembahasan: Sebanyak 14 mahasiswa dilibatkan sebagai informan/responden yang semuanya
belum menikah. Sebagian informan kurang pengetahuannya di bidang kesehatan reproduksi, mengalami
kesulitan mengakses informasi dan sumber yang tepat, sehingga terlibat dalam perilaku berisiko. Para
informan umumnya menyatakan kebutuhannya terhadap pelayanan konseling dan klinis kesehatan
reproduksi yang profesional, mudah diakses, ramah dan tetap bisa menjaga privacy mereka.
Kesimpulan: Dibutuhkan pelayanan informasi, konseling dan klinis yang sesuai kebutuhan mahasiswa
untuk meningkatkan kesehatan reproduksinya.
Kata kunci: kesehatan reproduksi, informasi, konseling, pelayanan
1 Bagian Obstetri dan Ginekologi - Fakultas Kedokteran Universitas Trisakti /
Pusat Konseling, Informasi dan Edukasi Kesehatan Reproduksi Universitas Trisakti
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2016-08-15 10:38:06
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https://journal.ugm.ac.id/jkr/article/view/12644
Jurnal Kesehatan Reproduksi; Vol 2, No 2 (2015)
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Sibuea, M.
Gadjah Mada University
Lutfi, M.
Hakimi, M.
PERBANDINGAN COMPLETE RESPONSE PENDERITA
KANKER OVARIUM STADIUM LANJUT YANG MENDAPAT
REJIMEN PACLITAXEL-CARBOPLATIN DENGAN REJIMEN
CYCLOPHOSPHAMIDE-ADRIAMYCIN-CISPLATIN SEBAGAI
KEMOTERAPI LINI PERTAMA
M. Sibuea1, M. Lutfi2, M. Hakimi3
ABSTRACT
Background: Introduction of Platinum and Paclitaxel has increased survival rate in advanced epithelial
ovarian cancer. Several studies have been tried to establish the better combination with those anticancer
drugs.
Objectives: Comparing complete response (CR) and progression-free survival (PFS) between Paclitaxel-
Carboplatin and CAP as a first line treatment in advanced epithelial ovarian cancer.
Method: This research used cohort retrospective study. Fifthy-three subjects with epithelial ovarian cancer
FIGO stage III and IV were collected from Dr.Sardjito Hospital’s medical record analysis between January
2009 and December 2013, and divided into two groups according to chemotherapy regimens. Complete
response and progression-free survival were determined after cytoreductive surgery and total 6 courses
of chemotherapy.
Result and Discussion: The frequency of complete response was similar, 61,5% in Paclitaxel Carboplatin
group as compared with 63% in CAP group (RR 0,977, 95% CI 0,642-1,487, p=1,000). Kaplan-Meier curves
showed no difference in progression-free survival between the groups, with median PFS was 15 months
(95% CI 13,228-16,772) on Paclitaxel-Carboplatin and 14 months on CAP (95% CI 7,686-20,314) (p logrank=
0,741). Patients undergo optimal cytoreductive surgery attained more complete response (OR 8,274,
95% CI 1,775-38,559, p=0,007) and had a longer PFS than the suboptimal group (17 vs 13 months, p logrank=
0,046).
Conclusion: Paclitaxel-Carboplatin was not superior compared with CAP regimen as first line chemotherapy
in advanced epithelial ovarian cancer. Further evaluation of survival, toxicity profile, and quality of life
were needed to determine superiority of Paclitaxel-Carboplatin compared with CAP. Optimal cytoreductive
surgery was an independent predictor for a better prognosis.
Keywords: advanced ovarian cancer, chemotherapy, Paclitaxel-Carboplatin, CAP
ABSTRAK
Latar belakang: Survival rate penderita kanker ovarium epitelial stadium lanjut meningkat sejak
diperkenalkannya Platinum dan Paclitaxel. Beberapa penelitian telah berusaha untuk menentukan
kombinasi yang lebih baik dari obat-obatan tersebut.
Tujuan: Membandingkan complete response (CR) dan progression-free survival (PFS) antara Paclitaxel-
Carboplatin dengan CAP sebagai terapi lini pertama pada kanker ovarium epitelial stadium lanjut.
Metode: Penelitian ini menggunakan studi cohort retrospective. Lima puluh tiga subyek dengan kanker
ovarium epitelial stadium III-IV (FIGO) didapatkan dari analisis rekam medis RSUP Dr. Sardjito mulai Januari
2009 hingga Desember 2013, yang terbagi menjadi dua kelompok berdasarkan jenis kemoterapi yang diterima. Complete response dan PFS ditentukan setelah pasien menjalani operasi sitoreduksi dan total 6 siklus kemoterapi.
Hasil dan Pembahasan: Frekuensi CR kelompok Paclitaxel Carboplatin (61,4%) serupa dengan kelompok
CAP (63%) (RR 0,977, 95% CI 0,642-1,487, p=1,000). Kurva Kaplan-Meier tidak menunjukkan perbedaan
PFS di antara kedua kelompok, dengan median PFS Paclitaxel-Carboplatin 15 bulan (95% CI 13,228-16,772)
dan CAP 14 bulan (95% CI 7,686-20,314) (p log-rank=0,741). Pasien dengan operasi sitoreduksi optimal
mencapai CR lebih banyak (OR 8,274, 95% CI 1,775-38,559, p=0,007) dan median PFS lebih panjang dibandingkan dengan kelompok suboptimal (17 vs 13 bulan, p log-rank=0,046).
Kesimpulan: Paclitaxel-Carboplatin tidak lebih superior dibandingkan dengan CAP sebagai kemoterapi lini
pertama pada kanker ovarium epitelial stadium lanjut. Namun, masih diperlukan pengukuran survival, profil
toksisitas, dan kualitas hidup guna menentukan keunggulan rejimen Paclitaxel-Carboplatin dibandingkan dengan CAP. Operasi sitoreduksi yang optimal merupakan prediktor independen dari prognosis yang lebih baik.
Kata kunci: kanker ovarium stadium lanjut, kemoterapi, Paclitaxel-Carboplatin, CAP
1,2,3 Bagian Obstetri dan Ginekologi FK UGM/RSUP Dr. Sardjito Yogyakarta
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2016-08-15 10:38:06
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Paunno, Magdalena
Gadjah Mada University
Emilia, Ova
Wahab, Abdul
PENGARUH IBU HAMIL PEROKOK PASIF TERHADAP
KEJADIAN LAHIR MATI DI KOTA AMBON
Magdalena Paunno1, Ova Emillia2, Abdul Wahab3
ABSTRACT
Background: Intervention in the care for pregnant women can reduce antenatal mortality until 75%.
Antenatal Care (ANC) in Ambon municipality is categorized good if compared from the mean rate of
national level, that is, Visit 1 (89%) and Visit 4 (87.76%); however, the incidence of stillbirths in Ambon
is still considered high. Data about the incidence of stillbirths in three hospitals of Ambon showed that
there were 44.2 stillbirths per 1000 live births while national data in 2003 showed that there were only
9.6 stillbirths per 1000 live births. The direct cause of stillbirth is hypoxia, that is, the lack of oxygen
in a pregnant woman’s body due to the exposure of cigarette smoke. In Ambon municipality, 65% of
households have 1 active smoker and almost all of the smokers (90%) smoke inside the house. This rate
of course exceeds the national rate. In addition, other factors causing stillbirth are the quality of antenatal
care, age, parity, anemia and women’s educational level.
Objective: To study whether passive smoking during pregnancy is a risk factor of the incidence of stillbirths.
Method: This was an observational study with case-control study design. Study sites were in three hospitals
of Ambon municipality, namely Dr. M. Haulussy District Hospital, Al-Fatah Hospital, and Sumber Hidup
Hospital. Subjects were divided into two groups which were case and control with comparison of 1:1 (69
stillbirths as case and 69 live births as control) from January to December 2007. Samples were taken using
non probability sampling which was determined with quota sample. The analysis of quantitative data
used univariable analysis, bivariable analysis with chi-square test (χ²) and stratification, and multivariable
analysis with logistic regression.
Result and Discussion: There was a significant relationship between passive smoking during pregnancy
and the incidence of stillbirth based on bivariable analysis with OR=3.36 (95% CI=1.20-5.41) while based
on multivariable analysis with OR=2.8 (1.01-7.94). Other risk factors that affected the incidence of stillbirth
were the quality of antenatal care with OR=3.2 (95% CI=1.39-7.52) and anemia during pregnancy with
OR=2.3 (95% CI=1.20-5.41). Meanwhile, stratification analysis showed that non anemic women during
pregnancy was significantly related to stillbirths with OR=5.7 (95% CI 1.10-55.22). However, age, parity and
education were not the risk factors of the incidence of stillbirth in Ambon.
Conclusion: Passive smoking during pregnancy was a risk factor of the incidence of stillbirth in Ambon
municipality. Other factors that caused the incidence of stillbirths were the quality of antenatal care and
anemia. However, age, and parity were not the risk factors of the incidence of stillbirths in Ambon.
Keywords: pregnant woman, passive smoking, stillbirth
INTISARI
Latar belakang: Intervensi pada perawatan ibu hamil dapat menurunkan kematian perinatal hingga 75%.
ANC di Kota Ambon dikategorikan baik, bila dilihat angka rata-rata secara nasional yaitu K1 89%, K4 87,76%
namun, kejadian lahir mati sangat tinggi dibanding angka nasional. Salah satu penyebab langsung lahir
mati adalah hypokxia yaitu kekurangan oksigen dalam tubuh ibu, akibat dari ibu hamil terpapar asap
rokok. Di Kota Ambon, 65% rumah tangga mempunyai 1 orang perokok, dan hampir semua perokok (90%)
merokok di rumah. Angka ini lebih tinggi dari angka nasional. Faktor lain menyebabkan lahir mati adalah
kualitas antenatal care, umur, paritas anemia ibu selama hamil, pendidikan ibu yang rendah.
Tujuan: Penelitian ini untuk mengetahui apakah ibu hamil perokok pasif merupakan faktor risiko kejadian
lahir mati.
Metode: Penelitian observasional dengan rancangan kasus-kontrol. Lokasi penelitian pada 3 RS di Kota
Ambon yaitu: RSUD dr. M. Haulussy, RS. Al-Fatah, RS. Sumber Hidup. Subjek penelitian 1:1 69 lahir mati
(kasus) dan 69 lahir hidup (kontrol) pada bulan Januari sampai dengan bulan Desember 2007. Pengambilan
sampel dengan cara non probability sampling, ditentukan secara quota sample . Analisis data terdiri
dari analisis univariabel, analisis bivariabel menggunakan uji chi-square (χ²), stratifikasi serta analisis
multivariabel menggunakan regresi logistik.
Hasil dan Pembahasan: Ada hubungan yang bermakna antara ibu hamil perokok pasif dengan kejadian
lahir mati. Analisis bivariabel OR=3,36 (95% CI=1,20-5,41) analisis multivariabel OR=2,8 (1,01-7,94). Faktor
risiko lain yang mempengaruhi kejadian lahir mati adalah: Kualitas antenatal care mempunyai nilai OR=3,2
(95% CI=1,39-7,52), ibu hamil anemia OR=2,3 (95% CI=1,20-5,41) dan pendidikan OR=2,42 ( 1,15-5,10).
Saat analisis strativikasi, ibu tidak anemia mempunyai hubungan bermakna dengan lahir mati OR=5,7 (95%
CI 1,10-55,22). Umur, paritas dan pendidikan bukan merupakan faktor risiko lahir mati di Kota Ambon.
Kesimpulan : Ibu hamil perokok pasif merupakan faktor risiko terhadap kejadian lahir mati di Kota Ambon.
Faktor lain yang menyebabkan lahir mati adalah kualitas antenatal care dan anemia ibu hamil.
Kata kunci: ibu hamil, perokok pasif, lahir mati.
1 Air Selobar Community Health Center, Ambon Health Office, Maluku Province
2 Obstetric and Gynecology Division, Faculty of Medicine,
Gadjah Mada University, Yogyakarta
3 Maternal and Child Health-Reproductive Health, Graduate Program,
Faculty of Medicine, Gadjah Mada University, Yogyakarta
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2016-08-15 14:00:24
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Permana, Ridho
Gadjah Mada University
Widad, Shofwal
Lutfi, M.
HUBUNGAN KADAR ANTI MULLERIAN HORMONE (AMH)
DENGAN KEBERHASILAN STIMULASI OVARIUM PADA
FERTILISASI IN VITRO METODE PROTOKOL PANJANG
Ridho Permana, Shofwal Widad, M. Lutfi
ABSTRACT
Background: Patient with decline oocyte number and quality assumed has lower Anti Mullerian hormone
(AMH). AMH concentration which expressed by the granulosa cells of preantral and small antral follicles
indirectly determine the ovarian reserve. Therefore, AMH may be used as a marker of ovarian ageing and
associated with ovarian response in in vitro fertilization (IVF).
Objective: To determine the effect of Anti Mullerian Hormone (AMH) on ovarian response in IVF long
protocol method.
Method: This research is a retrospective cohort study in Permata Hati Fertility Clinic, IVF program-Dr.
Sardjito Hospital, Yogyakarta, Indonesia. Seventy one cycle enrolled in an IVF program conducted from
January 2011 through December 2013 at the Permata Hati Fertility Clinic.
Result and Discussion: ROC curve were used to determine cut-off AMH. With cut-off point 2.59 ng/ml,
subject divided into two groups (high AMH level: ≥2.59 ng/ml and low AMH level: <2.59 ng/ml). Total
dose gonadotropin was significantly different in two groups (p=0.02). High AMH and low AMH level
were significantly associated with ovarian response (RR 2,05; CI 95% 1,32 – 2,20 ; p< 0,01). Beside
AMH, multivariate analysis shows basal LH level (p=0,04; OR 7,22; CI 95% 1,09 – 47,87) and peritoneal
endometriosis (p=0,03; OR 7,80; IK 95% 1,15–52,81) were significantly influenced ovarian response in IVF.
Conclusion: high AMH level influence ovarian response in IVF. Total dose gonadotropin on low AMH levels
was greater than high AMH level. In addition to AMH, ovarian response were influenced by basal LH level
and peritoneal endometriosis.
Keywords: Anti Mullerian hormone (AMH), ovarian response, long protocol stimulation, in vitro fertilization
(IVF).
ABSTRAK
Latar belakang: Pasien dengan penurunan jumlah dan kualitas oosit diduga mempunyai kadar Anti
Mullerian Hormone (AMH) lebih rendah. Konsentrasi Anti Mullerian Hormone (AMH) yang dihasilkan
folikel ovarium secara tidak langsung menggambarkan cadangan ovarium yang tersisa. Karenanya kadar
Anti Mullerian Hormone (AMH) dapat digunakan sebagai prediktor yang akurat dari cadangan ovarium dan
respons stimulasi ovarium pada fertilisasi in vitro.
Tujuan: Untuk mengetahui pengaruh kadar Anti Mullerian Hormone (AMH) terhadap keberhasilan
stimulasi ovarium pada fertilisasi in vitro pada metode protokol panjang.
Metode: Penelitian ini menggunakan rancangan kohort retrospektif observasional.
Hasil dan Pembahasan: Sebanyak 71 siklus dari 71 pasangan yang menjalani fertilisasi in vitro disertakan
dalam penelitian sesuai dengan kriteria inklusi dan eksklusi. Dengan cut off point AMH ditetapkan 2,59 ng/
ml, maka subyek ini dibagi menjadi 2 kelompok yaitu ≥2,59 ng/ml sebagai kelompok AMH tinggi dan <2,59 ng/ml sebagai kelompok AMH rendah. Perbedaan bermakna antara dua kelompok ditemukan pada dosis
total gonadotropin (p=0,02).Terdapat perbedaan bermakna respons stimulasi ovarium antara AMH tinggi
dan AMH rendah (RR 2,05; IK 95% 1,32 – 2,20 ; p< 0,01). Kadar LH basal (p=0,04; OR 7,22; IK 95% 1,09 –
47,87) dan endometriosis peritoneal (p=0,03; OR 7,80; IK 95% 1,15–52,81) juga mempengaruhi respons terhadap stimulasi ovarium.
Kesimpulan : AMH tinggi mempengaruhi respons terhadap stimulasi ovarium. Dosis total gonadotropin
pada AMH rendah dibutuhkan lebih banyak dibandingkan dengan AMH tinggi. Selain AMH, respons
terhadap stimulasi ovarium juga dipengaruhi oleh kadar LH basal, dan endometriosis peritoneal.
Kata kunci : kadar Anti Mullerian hormone (AMH), stimulasi ovarium protokol panjang, fertilisasi in vitro.
Bagian Obstetri Ginekologi, Fakultas Kedokteran, Universitas Gadjah Mada Yogyakarta
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2016-08-15 14:00:24
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Sujatmiko, Tejo
Gadjah Mada University
H, Diah Rumekti
Nurdiati, Detty S
PERBANDINGAN RERATA EKSPRESI PROTEIN Bax DAN
Bak PADA PREEKLAMPSIA BERAT DAN KEHAMILAN
NORMOTENSI
Tejo Sujatmiko*, Diah Rumekti H*, Detty S Nurdiati*
ABSTRACT
Background: Preeclampsia is still become major cause of maternal and perinatal mortality. The placenta
is an important and central focus on the pathogenesis of preeclampsia. Failure of trophoblast cells to
perform remodeling on spiral arteries due to excessive apoptosis may cause uteroplacental ischemia
and endothelial cells damage, this induce clinical manifestations of preeclampsia especially through the
intrinsic pathway. Intracellular Bax and Bak are genes that play a role as a cells apoptosis regulator (as proapoptosis).
They are located in the mitochondria and endoplasmic reticulum and would in turn activate
caspase the intrinsic apoptotic pathway that cascade resulting in cell death processes.
Objective: Comparing the mean of Bax and Bak protein expression between normotensive pregnancies and
severe preeclampsia.
Method: This research is a cross-sectional study design. The subjects were severe preeclampsia and
normotensive patients treated at RSUP dr. Sardjito Jogjakarta between October 2011 to March 2012,
with total patients of 81. Bak and Bax protein expression were measured with immunohistochemistry
techniques.
Result and Discussion: The mean expression of Bax and Bak proteins in severe preeclampsia group were
significantly higher compared to normotensive group. The mean value of Bax expression was 0,23 (CI 95
% 0,12 - 0,34) and the mean expression of Bak was 0,44 (95 % CI 0,10 - 0,78).
Conclusion: Expression of Bax and Bak proteins in severe preeclampsia is higher than normotensive
pregnancies and Bax protein gave more effect statistically in preeclampsia compared to Bak protein.
Keywords: trophoblast, immunohistochemistry, severe preeclampsia, Bak protein, Bax protein, apoptosis.
ABSTRAK
Latar belakang: Preeklampsia masih merupakan penyebab kematian maternal dan perinatal yang utama.
Plasenta merupakan fokus sentral dan penting pada patogenesis terjadinya preeklampsia. Kegagalan sel
trofoblas melakukan remodeling arteri spiralis akibat proses apoptosis yang berlebihan menyebabkan
terjadinya iskemia uteroplasenter dan kerusakan sel endotel yang menimbulkan manifestasi klinis
preklampsia terutama terjadi melalui jalur intrinsik intraseluler dimana Bax dan Bak adalah gen-gen
yang berperan sebagai regulator apoptosis pada sel (sebagai pro-apoptosis). Mereka terletak di dalam
mitokondria dan reticulum endoplasma dan bekerja mengaktifkan caspase cascade sehingga terjadi
proses kematian sel.
Tujuan: Membandingkan rerata ekspresi protein Bax dan Bak antara preeklampsia berat dengan kehamilan
normotensi.
Metode: Penelitian ini merupakan rancangan penelitian potong lintang dengan sampel penderita
preeklampsia berat dan normotensi yang dirawat di RSUP dr. Sardjito Jogjakarta antara bulan Oktober
2011 hingga Maret 2012, sebanyak 81 pasien. Pengamatan ekspresi protein Bak dan Bax dilakukan dengan
teknik imunohistokimia.
Hasil dan Pembahasan: Rerata ekspresi protein Bax dan Bak pada kelompok preeklampsia berat lebih
tinggi secara bermakna di bandingkan kelompok normotensi Dengan nilai rerata ekpresi Bax 0.23 (CI 95%
0.12 – 0.34) dan rerata ekspresi Bak 0.44 (CI 95% 0.10 – 0.78).
Kesimpulan: Ekspresi protein Bax dan Bak pada preeklampsia berat lebih tinggi dibanding dengan
kehamilan normotensi dan protein Bax lebih berpengaruh pada preeklampsia dibanding dengan protein
Bak.
Kata kunci: trofoblas, imunohistokimia, preeklampsia berat, protein Bak, protein Bax, apoptosis.
* Departement of obstetrics and gynecology
* Medical Faculty of Gadjah Mada University
* Sardjito Hospital
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2016-08-15 14:00:24
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Ratnawati, Lili
Gadjah Mada University
Siswishanto, Rukmono
Emilia, Ova
HUBUNGAN ANEMIA DALAM KEHAMILBAayi NKeci luTntuRk MIaMsa KeEhaSmilTan E(KMRK) dTi RIS GDr. ASard jito
TERHADAP KEJADIAN BAYI KECIL UNTUK MASA KEHAMILAN
(KMK) DI RS DR SARDJITO
Lili Ratnawati*, Rukmono Siswishanto*, Ova Emilia*
ABSTRACT
Background: The high prevalence of anemia during pregnancy at Yogyakarta could be associated with the
adverse pregnancy outcome as SGA. Previous study reported inconsitent result about association between
anemia during third trimester and babies with SGA. Research is needed to determine the contribution of
anemia during third pregnancy to the adverse pregnancy outcome at RS Dr Sarjito.
Objective: To compare the prevalance of SGA between pregnancy with and without anemia during third
trimester at RS Dr Sarjito.
Method: Cross sectional study based on RS Dr Sardjito’s medical record. The subjects of study were
pregnant women who took delivery at RS Dr Sarjito during third trimester from 2010 to 2011. Anemia
define as haemoglobin level < 11g/dl which performed before delivery. Babies with brith weigth < 10
percentile Lubchenco curve group into SGA. Association between anemia during third trimester and SGA
analyzed with Chi square test and Fisher’s exact test.
Resul and Discussion: A total of 239 subjects were recruited and devided into 146 subjects with anemia
and 93 subjects without anemia. The anemia groups consist of 97,95% mild anemia, 2,05% moderate
anemia, and none severe anemia. The prevalence of SGA in total population, group with anemia, and
group without anemia was 14%, 15,8%, and 10% irrespectively. The prevalance of SGA between group
with and without anemia was not different (p=0,27; RR 1,46; 95%CI 0,73-2,93). Maternal age, BMI
pregestational, education, and parity did not influence the prevalence of anemia and SGA. Considering
multivariat analysis, neither anemia, maternal age, BMI pregestational, education, nor parity did not affect
the prevalance of SGA.
Conclusion: In this study, the prevalence of SGA in pregnancy with and without anemia during third
trimester did not different at RS Dr Sarjito.
Kata kunci: Anemia in pregnancy, third trimester, SGA.
ABSTRAK
Latar Belakang: Prevalensi anemia dalam kehamilan di Yogyakarta masih cukup tinggi sehingga dapat
menyebabkan peningkatan dampak buruk anemia terhadap janin, salah satunya KMK. Penelitian
sebelumnya menunjukkan perbedaan hasil tentang hubungan anemia trimester tiga terhadap kejadian
KMK. Penelitian tentang hubungan anemia dalam kehamilan trimester tiga terhadap kejadian KMK di RS
Sarjito penting dilakukan untuk mengetahui besarnya dampak negatif yang timbul akibat anemia dalam
kehamilan.
Tujuan: Mengetahui perbedaan kejadian bayi KMK pada ibu hamil dengan anemia pada trimester tiga
dibandingkan ibu hamil tanpa anemia di RS Dr Sarjito.
Metode: Penelitian ini menggunakan rancangan cross sectional bersumber data rekam medis pasien ibu
hamil trimester tiga yang bersalin di RS Dr Sardjito pada tahun 2010 s.d. 2011. Subyek penelitian yang
memenuhi kriteria inklusi dibagi dalam kelompok anemia dan normal. Hubungan antara anemia dengan
kejadian bayi KMK dianalisis dengan Chi square test dan Fisher’s exact test.
Hasil dan Pembahasan: Subyek penelitian yang memenuhi kriteria sebanyak 239 orang terdiri atas 146
orang kelompok anemia dan 93 orang kelompok tanpa anemia. Kelompok anemia terbagi atas 97,95%
anemia ringan, 2,05% anemia sedang, dan tidak didapatkan anemia berat. Kejadian bayi KMK sebesar
14% pada total populasi, 15,8% pada kelompok anemia dan 10% pada kelompok tanpa anemia. Kejadian
KMK kelompok anemia tidak berbeda bermakna secara statistik dibandingkan kelompok tanpa anemia
(p=0,27; RR 1,46; 95%CI 0,73-2,93). Usia ibu, IMT sebelum hamil, pendidikan, dan paritas sebagai variabel
luar yang diteliti tidak berpengaruh terhadap kejadian anemia maupun bayi KMK. Hasil analisis multivariat
menunjukkan bahwa anemia, usia ibu, Indeks Masa Tubuh (IMT) sebelum hamil, pendidikan, dan paritas
tidak berpengaruh terhadap kejadian bayi KMK.
Kesimpulan: Pada penelitian ini, kejadian bayi KMK di RS Dr Sardjito tidak berbeda pada ibu hamil trimester
tiga dengan anemia dibandingkan ibu hamil trimester tiga tanpa anemia.
Kata kunci: Anemia dalam kehamilan, trimester tiga, KMK
* Bagian Obstetri dan Ginekologi, Fakultas Kedokteran Universitas Gadjah Mada/
RS Dr Sardjito Yogyakarta
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2016-08-15 14:00:24
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https://journal.ugm.ac.id/jkr/article/view/12652
Jurnal Kesehatan Reproduksi; Vol 2, No 3 (2015)
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Rahman, Abd
Gadjah Mada University
Hakimi, Mohammad
Triasih, Rina
EVALUASI KEPATUHAN PETUGAS DALAM TATALAKSANA PNEUMONIA DI KABUPATEN TOLITOLI
Abd Rahman1, Mohammad Hakimi2, Rina Triasih3
ABSTRACT
Background: The infant mortality rate in Central Sulawesi Province is 52 per 1000 live births, which is
the fifth highest in Indonesia. The high rate of morbidity and mortality of acute respiratory infection and
pneumonia in children under five in Tolitoli District in past year related to the implented efforts triands
ARI eradication program. This is indeed related to how officers comply with pneumonia management
correctly.
Objective: To evaluate officers’ compliance in implementing pneumonia manager Tolitoli Distric.
Method: This was an observational study with cross-sectional study design, using quantitative approach,
Data were collected through observation and interview using standardized questionnaire by tramed
nurses. Officer who handled pneumonia program in Tolitoli District and those in Publich Health Centres
were recruited as subjects.
Result and Discussion: One hundred and nineteen subjects were recruited to this study. The percentase
of officers who complied with pneumonia management was 69%. The result of multivariate analysis that
was training increased officers’ compliance in pneumonia management which was adjusted to education,
knowledge and length of work had a significant relationship (PR: 1.79; 95% CI: 1,38 – 2,33) and the
increased value R2 of 6.3%, it mean.
Conclusion: Trained officers were more compliant than untrained officers with the prevalence risk of
1.79 times. Education, knowledge, and length of working service were related to officers’ compliance in
pneumonia management.
Keywords: training, officers’ compliance in pneumonia management
ABSTRAK
Latar belakang: Angka kematian bayi di Propinsi Sulawesi Tengah sebesar 52 per 1000 kelahiran hidup
dan menempati urutan kelima tertinggi di Indonesia. Tingginya angka kesakitan dan angka kematian balita
akibat pneumonia di Kabupaten Tolitoli dalam beberapa tahun terakhir tidak terlepas dari seberapa jauh
upaya program pemberantasan penyakit ISPA telah dilaksanakan. Hal ini sangat terkait dengan bagaimana
kepatuhan petugas dalam melakukan tata laksana pneumonia secara tepat.
Tujuan: Diketahuinya kepatuhan petugas dalam melakukan tatalaksana pneumonia di Kabupaten Tolitoli.
Metode: Penelitian ini merupakan jenis penelitian observasional dengan rancangan cross sectional dengan
menggunakan pendekatan kuantitatif. Data dikumpulkan melalui observasi dan wawancara dengan subyek
penelitian dengan menggunakan lembar observasi dan kuesioner.
Hasil dan Pembahasan: Sebanyak 119 subyek diikutkan dalam penelitian ini. Rata-rata petugas yang patuh
terhadap tata laksana pneumonia sebesar 69%. Hasil analisis multivariat menunjukkan bahwa variabel
pelatihan dan kepatuhan petugas dalam tatalaksana pneumonia dengan mengikutsertakan variabel pendidikan, pengetahuan dan masa kerja untuk dianalisis secara bersama mempunyai hubungan yang
signifikan ((RP;1,79, IK 95%; 1,38 – 2,33) dan peningkatan nilai R2 sebesar 6,3%
Kesimpulan: Petugas yang telah dilatih lebih patuh dibanding petugas yang belum dilatih dengan risiko
prevalensi 1,53 kali. Faktor pendidikan, pengetahuan dan masa kerja berhubungan secara bermakna
dengan kepatuhan petugas dalam tataksana pneumonia.
Kata kunci: pelatihan, Kepatuhan petugas tatalaksana pneumonia
1 Tolitoli Faculty of Medicine and Health Science
2 Maternal and Child Health-Reproductive Health Graduate Program, FK-UGM
3 Pediatric Department, Dr. Sardjito General Hospital, Yogyakarta
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2016-08-15 14:00:24
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https://journal.ugm.ac.id/jkr/article/view/12654
Jurnal Kesehatan Reproduksi; Vol 2, No 3 (2015)
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Marga, Anik Dwi
Gadjah Mada University
Dw, Sumarni
Dasuki, Djaswadi
HUBUNGAN ANTARA STRESOR PSIKOSOSIAL DENGAN GANGGUAN MENSTRUASI PADA REMAJA SMP PASCA ERUPSI MERAPI DI KECAMATAN CANGKRINGAN KABUPATEN SLEMAN YOGYAKARTA
Anik Dwi Marga 1, Sumarni DW 2, Djaswadi Dasuki 3
ABSTRACT
Background: Merapi eruption can cause tremendous damage, not only physically but also mentally
which will trigger the emergence of mental disorders in adolescence and even into adulthood. After the
eruption of Merapi, adolescents and their families should move from shelters to permanent residence.
Resettlement to permanent residence had resulted in a new variety of stressors. The new stressors would
affect the release of LH (luteinizing hormone) and FSH (follicle-stimulating hormone) which may affect
the occurrence of menstrual disorders. Menstrual disorder might interfere with learning achievement in
adolescence.
Objective: To determine the relationship between psychosocial stressors with menstrual disorders in
female junior high school students after the eruption of Merapi in Cangkringan Sleman Yogyakarta
Method: This study is a observational with cross-sectional design and combined with a qualitative
approach. Respondents in this research is class VII students who were menstruating in Cangkringan
Sleman. Samplings method used was total sampling. The research instrument was a questionnaire
psychosocial stressors (IPSP), menstrual disorder questionnaire (SPAF) and the behavioral aspects of the
questionnaire. Datas were analysed using Chi-Square test by looking at the value of prevalence ratio and
logistic regression at the significance level of p <0.05 with a confidence interval (CI) of 95%.
Result and Discussion: There was a significant correlation between psychosocial stressors and menstrual
disorders (OR; 6.47; CI = 1.436 to 29.165)
Conclusion: Adolescents who experienced severe psychosocial stressors six times more likely to experience
menstrual disorders compared to adolescents who experience mild psychosocial stressors
Keywords: Psychosocial Stressors, menstrual disorders, post-eruption of Merapi, Youth,SMP.
ABSTRAK
Latar Belakang: Erupsi Merapi dapat menyebabkan kerusakan yang luar biasa, tidak hanya fisik tetapi
juga mental yang akan memicu munculnya gangguan jiwa pada remaja bahkan sampai masa dewasa.
Pasca erupsi Merapi, remaja dan keluarganya harus pindah dari huntara ke huntap. Perpindahan tempat
tinggal ke huntap inilah yang mengakibatkan berbagai stresor-stresor baru.. Stresor baru tersebut akan
mempengaruhi pelepasan LH (Luteinizing Hormone) dan FSH (follicle-stimulating hormone) yang dapat
mempengaruhi terjadinya gangguan menstruasi. Masalah menstruasi jika tidak mendapatkan penanganan
yang benar dapat mengganggu prestasi belajar remaja.
Tujuan: Untuk mengetahui hubungan antara stresor psikososial dengan gangguan menstruasi pada remaja
SMP pasca erupsi Merapi di Kecamatan Cangkringan Kabupaten Sleman Yogyakarta
Metode: Penelitian ini merupakan jenis penelitian non eksperimen dengan metode observasional dengan
rancangan cross-sectional yang dilengkapi dengan pendekatan kualitatif. Responden dalam penelitian
ini adalah Siswi kelas VII SMP yang sudah menstruasi di Kecamatan Cangkringan Kabupaten Sleman.
Pengambilan sampel penelitian dengan total sampling. Instrumen penelitiannya adalah kuesioner stresor
psikososial (IPSP), kuesioner gangguan menstruasi (SPAF) dan kuesioner aspek perilaku. Analisis data
menggunakan Uji Chi-Square dengan melihat nilai RP (Rasio Prevalensi) dan regresi logistik pada tingkat
kemaknaan p<0,05 dengan Confidence interval 95%.
Hasil dan Pembahasan: Remaja yang mengalami stresor psikososial berat beresiko 6,47 kali lebih besar
untuk terjadi gangguan menstruasi (CI 95% 1,436-29,165)
Kesimpulan: Remaja yang mengalami stresor psikososial berat mempunyai resiko 6 kali lebih besar
mengalami gangguan menstruasi dibandingkan dengan remaja yang mengalami stresor psikososial ringan
Kata Kunci: Stresor psikososial, Gangguan menstruasi, Pasca Erupsi Merapi, Remaja, SMP.
1 Anik Dwi Marga dari Magister Ilmu Kesehatan Masyarakat, Fakultas Kedokteran, UGM
2 Sumarni DW dari Bagian Kedokteran Jiwa Fakultas Kedokteran, UGM
3 Djaswadi Dasuki Bagian Obstetri Ginekologi, Fakultas Kedokteran, UGM
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2016-08-15 14:00:24
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https://journal.ugm.ac.id/jkr/article/view/12655
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Pradjatmo, Heru
Gadjah Mada University
PRESERVASI FERTILITAS PADA PENDERITA KANKER*
Heru Pradjatmo1
ABSTRACT
Background: Young women who survive from cancer as candidates to face reproductive problems
associated with cytotoxic cancer therapy. Side effects that alter the quality of life becomes unacceptable.
Advances in reproductive medicine enables previously infertile women can obtain offspring.
Objective: To recognize the effort that can be done to prevent adverse effects on fertility patients due to
cancer therapy
Method: Literature study
Result and Discussion: In general, women age 40 years or less with cancer who received chemotherapy to
be likely ovarian function will cease. Studies show that many technique performed before chemotherapy
allows women to have babies would be greater. Women prior to treat chemotherapy should be consulted
to physicians in the field of reproductive and endocrinology for fertility preservation methods to deal with
oncologist who take care the patient. All methods that can be performed should be included in counseling
and all counseling and treatment including possible complications should be documented and recorded.
Keywords : infertility, chemotherapy, adverse effect, preservation
ABSTRAK
Latar Belakang: Perempuan muda yang survive dari penyakit kanker menjadi kandidat menghadapi
masalah reproduksi berkaitan dengan terapi kanker yang bersifat sitotoksik. Sehingga efek samping yang
merubah kualitas kehidupan menjadi tidak dapat diterima. Kemajuan dalam kedokteran reproduksi
memungkinkan wanita yang sebelumnya infertil akibat prngobatan penyakit kanker sekarang dapat
memperoleh keturunan.
Tujuan: Untuk memahami upaya yang dapat dilakukan untuk mencegah terjadinya efek samping terhadap
fertilitas penderita akibat terapi kanker.
Metode: Studi literatur
Hasil dan Pembahasan: Secara umum perempuan penderita kanker sampai umur 40 tahun yang
mendapat kemoterapi kemungkinan dapat berhenti fungsi ovariumnya. Studi menunjukkan bahwa
beberapa teknik yang dilakukan sebelum kemoterapi memungkinkan wanita memperoleh keturunan lebih
besar. Seharusnya sebelum terapi dikonsulkan ke dokter dibidang reproduksi untuk metode preservasi
fertilitas dengan kesepakatan ahli onkologi yang menangani. Semua metode yang dapat dilakukan harus
dimasukkan dalam konseling. Semua konseling dan pengobatan termasuk komplikasi yang mungkin terjadi
seharusnya di dokumentasikan dan dicatat.
Kata Kunci: infertilitas, khemoterapi, efek samping, preservasi
1 Bagian Obstretika & Ginekologi Fakultas Kedokteran UGM/RSUP Dr. Sardjito Yogyakarta
* Dipresentasikan pada seminar in vitro maturation (IVM) in vitro fertilization and
laparoskopic surgery, Yogyakarta, 8-9 November 2013
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2016-08-15 14:00:24
application/pdf
https://journal.ugm.ac.id/jkr/article/view/12656
Jurnal Kesehatan Reproduksi; Vol 2, No 3 (2015)
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Copyright (c) 2016 Jurnal Kesehatan Reproduksi
oai:jurnal.ugm.ac.id:article/12657
2016-08-15T07:00:24Z
jkr:ART
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"160815 2016 eng "
2621-461X
2302-836X
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Sari, Apriani Susmita
Gadjah Mada University
Supriyatinigsih, Supriyatiningsih
Sumaryani, Sri
HUBUNGAN ANTARA PARITAS DENGAN KEJADIAN
RUPTUR PERINEUM PADA PERSALINAN NORMAL DI KLINIK
UTAMA ASRI MEDICAL CENTER YOGYAKARTA DAN RSUD
PANEMBAHAN SENOPATI BANTUL
Apriani Susmita Sari1, Supriyatiningsih2, Sri Sumaryani3
ABSTRACT
Background: Rupture perineal is the tear of the perineal at the time of the fetus born. The tear is only
traumatic because the perineal could not hold a strain upon when a fetus passes. The parity is factor of
mother that can cause rupture perineal.
Objective: This study aims to know the relation between parity with incidence of rupture perineal during
vaginal birth at the clinic of Asri Medical Center in Yogyakarta and District Hospital Bantul Panembahan
Senopati.
Method: This study was a quantitative descriptive study with cross sectional approach. Respondents in
this study were mothers vaginal birth as of February – March 2014, which was recorded in the medical
record. Sampling technique was purposive sampling techniques. Analysis of test used is the Fisher test.
Result and Discussion: The research subjects who fulfilled the inclusion criteria were 152 people
(primiparous: 89, multiparous: 63). Primiparous have more risks than parity ruptured perineum in
multiparous (primi rupture: 89 people, multi rupture: 56). Fisher’s exact test results showed a significant
result (p = 0.002) between parity with rupture of the perineum in normal labor.
Conclusion: There is a significant relationship between parity with the rupture of the perineum in normal
deliveries at the Clinic Of Asri Medical Center In Yogyakarta and District Hospital Panembahan Senopati
Bantul (p = 0.002).
Keywords: Parity, Incidence Rupture Perineal
ABSTRAK
Latar Belakang : Ruptur perineum adalah robeknya perineum pada saat janin lahir. Robekan ini sifatnya
traumatik karena perineum tidak kuat menahan regangan pada saat janin lewat. Paritas merupakan faktor
dari ibu yang dapat menyebabkan ruptur perineum.
Tujuan : Penelitian ini bertujuan untuk mengetahui hubungan antara paritas dengan kejadian ruptur
perineum pada persalinan normal di Klinik Utama Asri Medical Center Yogyakarta dan RSUD Panembahan
Senopati Bantul.
Metode : Penelitian ini adalah penelitian deskriptif kuantitatif dengan pendekatan cross sectional.
Responden dalam penelitian ini adalah ibu bersalin normal terhitung dari bulan Februari – Maret 2014 yang tercatat di rekam medik. Teknik pengambilan sampel adalah dengan menggunakan teknik purposive sampling. Analisis yang digunakan adalah uji Fisher test.
Hasil : Subyek penelitian yang memenuhi kriteria inklusi adalah 152 orang (primipara: 89, multipara: 63).
Primipara memiliki risiko lebih banyak mengalami ruptur perineum dibandingkan paritas multipara (primi
ruptur: 89 orang, multi ruptur: 56 orang). Hasil Fisher test menunjukan hasil yang signifikan (p=0,002)
antara paritas dengan kejadian ruptur perineum pada persalinan normal.
Kesimpulan : Terdapat hubungan yang bermakna antara paritas dengan kejadian ruptur perineum pada
persalinan normal di Klinik Utama Asri Medical Center Yogyakarta dan RSUD Panembahan Senopati Bantul
(p = 0.002).
Kata Kunci: Paritas, Kejadian Ruptur Perineum
1 Program Studi Ilmu Keperawatan Fakultas Kedokteran dan Ilmu Kesehatan
Universitas Muhammadiyah Yogyakarta
2 Departemen Obstetri dan Ginekologi Fakultas Kedokteran dan Ilmu Kesehatan
Universitas Muhammadiyah Yogyakarta
3 Program Studi Ilmu Keperawatan Fakultas Kedokteran dan Ilmu Kesehatan
Universitas Muhammadiyah Yogyakarta
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2016-08-15 14:00:24
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https://journal.ugm.ac.id/jkr/article/view/12657
Jurnal Kesehatan Reproduksi; Vol 2, No 3 (2015)
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Copyright (c) 2016 Jurnal Kesehatan Reproduksi
oai:jurnal.ugm.ac.id:article/13872
2018-06-06T05:14:59Z
jkr:ART
nmb a2200000Iu 4500
"160422 2016 eng "
2621-461X
2302-836X
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Ksyatria, Yudhistya Ngudi Insan
Gadjah Mada University
Pradjatmo, Heru
Emilia, Ova
Background: Curettage is a gynecological diagnostic and therapeutic procedures. Curettage actions causing sensation of pain although the pain threshold is different for each person. Local anesthesia is an effective choice for various minor gynecological procedures. One of them is paracervical block. Paracervical block reduces pain by blocking nerve impulses across the uterovaginal plexus. Another method is the injection of local anesthetic trough intracervical who works as an anesthetic infiltrating agent, distending the tissue, causing mechanical disruption of nerve impulses. Theoritically, intracervical lidocaine injection will require a lower level of precision than the blockade of peripheral nerves directly, more reliable and reproducible. We measured patient’s pain during curettage usingthe Visual Analogue Scale (VAS). Method: RCT Location of study: Bantul District Hospital, Wonosari District Hospital, and Banjarnegara Distric Hospital. Result and Discussion: The study included 60 patients who got curettage within inclusion criteria. Every time patients came, we performed randomization and divided the patients into two groups, the control group (paracervical) and intervention group (intracervical), 30 subjects each. VAS was measured 5 minute after curettage was started. Characteristics of subjects in curettage frequency, curettage indication, parity and educational level for both groups are equal, did not differ statistically. The results of the mean pain scale (VAS). In the control group was 42,33±16,583 and 34,33±18,880 on the treatment group. Mean difference was 8 mm, with 95% CI -1.124 to 17.124 and p=0.408. The difference was not significant statistically. The intracervical group has mild pain scale (VAS<44 mm) in 27 of 30 patient, compared to 15 of 30 patients in paracervical group. It result in Relative Risk (RR) of 1,532. Conclusion: Intracervical lidocaine injection can be considered as an alternative local anesthetic on curettage. The average pain scale did not differ significantly with paracervical block. And both of it located in VAS < 44mm (mild pain). Intracervical lidocaine injection even have RR= 1,532 compared with paracervical block to produce mild pain scale (VAS < 44 mm). Keywords: curettage; paracervical;intracervical ;VAS
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2016-04-22 00:00:00
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https://journal.ugm.ac.id/jkr/article/view/13872
Jurnal Kesehatan Reproduksi; Vol 3, No 1 (2016)
ind
Copyright (c) 2016 Jurnal Kesehatan Reproduksi
oai:jurnal.ugm.ac.id:article/13873
2018-06-06T05:14:59Z
jkr:ART
nmb a2200000Iu 4500
"160422 2016 eng "
2621-461X
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Noviana, Fifi
Gadjah Mada University
Siswosudarmo, Risanto
Hadiati, Diah Rumekti
Background: Estimated fetal weight (EFW) is becoming important because it is used as a guidence for determining mode of delivery. The use of estimated fetal weight based on fundal height has been widely used, but its use in overweight pregnant mothers was still limitted.
Objective: To compare the accuracy of Risanto’s and Johnson’s formulas in estimating fetal weight based on fundal height in overweight mothers.
Method: It was a cross-sectional study, conducted from March 2013 to July 2014 in Sardjito hospital and hospital networks. All pregnant mothers meeting the elligibility criteria were used as study subjects. Overweight mother was defined based on body mass index (BMI) and skinfold thickness on suprailiaca region. Fundal height (FH) was measured from the symphysis pubis to the midle of the upper border of the pregnant uterus. Accuracy of Risanto’s and Johnson’s formulas was dtermined by comparing the difference between EFW and actual infant birth weight (AIBW). Paired t-test was used for statistical analysis.
Result and Discussion: There were 395 overweight pregnant mothers fulfilling the inclusion and exclusion criteria. The mean AIBW was 3060.3 ± 322.5 grams (ranged from 2360 to 3940 grams). The mean EFW using Risanto formula (R_EFW) was 3095.8 ± 320.3 grams (ranged from 2370 to 3870 grams ) while that of Johnson (J_EFW) was 3273,7 ± 378,1 grams (ranged from 2325 to 4185 grams). The mean difference between between AIBW and ∆R) EFW (was 109.85 grams while that of AIBW and J_EFW∆J) (was 198.41 grams ∆.RIt was clear that significantly smaller ∆J than with the mean difference minus 88.56 grams (95% CI -98.76 to -78.35; p value 0.000).
Conclusion: The new Risanto’s formula was more accurate to estmate infant birth weight than Johnson’s in overweight mothers.
Keywords: Risanto’s and Johnson’s Formulas, Estimated Fetal Weight, Overweight Mothers.
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2016-04-22 00:00:00
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https://journal.ugm.ac.id/jkr/article/view/13873
Jurnal Kesehatan Reproduksi; Vol 3, No 1 (2016)
ind
Copyright (c) 2016 Jurnal Kesehatan Reproduksi
oai:jurnal.ugm.ac.id:article/13877
2018-06-06T05:14:59Z
jkr:ART
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"160422 2016 eng "
2621-461X
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Armaijn, Fadhilah
Gadjah Mada University
Emilia, Ova
https://scholar.google.co.id/citations?hl=id&user=HQKYWygAAAAJ
Rachman, Irwan Taufiqur
Background: The traditional medical Oath of ‘first do no harm’ is something that is very rarely breached either intentionally by a doctor, nurse or other health practitioner. Resident is health workers who perform services directly to patients that’s why their knowledge and attitudes towards patient safety are very useful
Objective: To determine the relationship of the level of knowledge with the attitudes about patient safety in obstetrics and gynecology resident while services in delivery room at Dr DR Sardjito hospital.
Method: Descriptive methods with cross sectional approach, accompanied by a qualitative research The study involved 90 residents of Obstetrics and Gynecology at Sardjito Hospital Yogyakarta , by filling out a questionnaire. Knowledge assessed based on the number of correct answers and categorized into good and bad. Attitudes toward patient safety was assessed using a Safety Attitude Questionnaire (SAQ) labor and delivery version. Reliability was measured using Cronbach’s alpha. The qualitative data collection (interviews) conducted to support the descriptive data.
Result and Discussion: Cronbach’s Alpha value for SAQ= 0.862, and the question of knowledge = 0.702. Between 77 responden who had good level of knowlage, only 53,2% had a good level of attitudes, and between 13 who has bad level of knowlage, there were 10 responden with good level of attitudes (76,9%) (RP 0,69;95%CI 0,44-1,04; p= 0,11). Elements of stress recognition on the attitude were getting the lowest average value (3.50 ± 0.56). From the qualitative data were known that the resident had desire for a reduction in working hours as well as improved communication and collaboration between teams. Althogh most of resident had a good level of knowledge and attitudes about patient safety, there were no meaning because of p value was >0,05 (OR 2,69;95%CI 0,66-10,9; p= 0,17).
Conclusion: Clinically, a good level of knowledge about patien safety improving a good level of attitude towards patient safety.
Keywords: Knowledge- attitude- patient safety- resident obstetrics
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2016-04-22 00:00:00
application/pdf
https://journal.ugm.ac.id/jkr/article/view/13877
Jurnal Kesehatan Reproduksi; Vol 3, No 1 (2016)
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Copyright (c) 2016 Jurnal Kesehatan Reproduksi
oai:jurnal.ugm.ac.id:article/13878
2018-06-06T05:14:59Z
jkr:ART
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"160422 2016 eng "
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Mizawati, Afrina
Gadjah Mada University
Hakimi, Moh
Kusnanto, Hari
Background: Malaria has become the health problem that cause mortality especially in high risk group such as infants, children below 5 years old and pregnant women. The incidence of malaria in Central Bengkulu, Bengkulu Province is quite high, the last three years there is an increase compared to year 2011 – 2013. Annual Malaria Incidence in 2011 was 75.68/00, where the incidence in 2012 was 66.13/00. The Annual Parasite Incidence in 2013 was 52.34/00. In 2013, the amount of pregnant women who underwent malaria screening during 1st antenatal care (K1) only 784 from 2016 pregnant women(39%).
Objective: To understand the malaria screening achievement among pregnant women by village midwives in Central Bengkulu District.
Method: The study was observational with cross sectional design. The subjects was all of the village midwives in Central Bengkulu District. The dependent variable in this study was midwives achievement in malaria screening during pregnancy. The independent variables were training for malaria screening during pregnancy and the availability of rapid diagnostic test (RDT). The disturbing variables were age, level of education, and the duration of work. The study’s instrument was questionnare and observational sheet. The data analysis was done with t test, correlation method, chi square and linear regression.
Result and Discussion: The achievement in malaria’s screening during pregnancy by village midwives was better in the group who received training compared with the group who didn’t (RR 2.2 ; 95% CI 1.71 – 2.51). The achievement also was better in the group of midwives who had good supply of RDT compared with the group who didn’t (RR 1.5; 95% CI 1.01 – 1.94).
Conclusion: The achievement of malaria’s screening during pregnancy among village midwives who received training was better compared to midwives who didn’t. The achievement was also better among midwives who had good supply of RDT compared with midwives who didn’t. There is relation between level of midwivery education and the achievement in screening b ut there was no relation between age and duration of work and achievement during screening.
Keywords: Achievement of Village Midwives, Screening, Training and Availability of RDT
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2016-04-22 00:00:00
application/pdf
https://journal.ugm.ac.id/jkr/article/view/13878
Jurnal Kesehatan Reproduksi; Vol 3, No 1 (2016)
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Copyright (c) 2016 Jurnal Kesehatan Reproduksi
oai:jurnal.ugm.ac.id:article/13879
2018-06-06T05:14:59Z
jkr:ART
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"160422 2016 eng "
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Wijayanti, Kartika
Gadjah Mada University
Prawitasari, Shinta
Wenny, Wenny
Background: The percentage of breastfeeding within the last 24 hours is decreasing with increasing age of the baby with the percentage 6 month babies is only about 30.2%. The percentage Central Java reached 34.38%, the low, and became the 6th lowest at Indonesia. This is not met with the government’s target of 80% in 2010. In Magelang district, the number is decreased from 45.18% in 2011 and 25.6% in 2012. Total coverage of exclusive breastfeeding at Universitas Muhammadiyah Magelang is 13%.
Objective: To identify employment mother’s experience for exclusive breastfeeding at Muhammadiyah Magelang University.
Method: This is a qualitative study, transcendental phenomenological approach. The subjects of this study are employment mother at Muhammadiyah Magelang University who have babies 6-36 months. Data was collected with in-depth interviews, observation, and documentation. Sampling was carried out using purposive sampling technique. Data analysis using 6 stages Colaizzi data analysis. This study began in February 2014 - February 2015.
Result and Discussion: This study resulted 6 categories: employment mother’s experiences for exclusive breastfeeding at work less fun, supporting factors of exclusive breastfeeding is complex, mother’s knowledge of exclusive breastfeeding is good, physical, technical, and pshycological preparation were necessary to give exclusive breastfeeding, and expectation of the workplace that support for exclusive breastfeeding.
Conclusion: Employment mother’s experience for exclusive breastfeeding less fun. Mother’s effort to prepare for exclusive breastfeeding such as knowledge, physical, technical, and pshycological. Mother’s expectation is workplace that supports exclusive breastfeeding.
Keywords: Experience, Employment mother, exclusive breastfeeding
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2016-04-22 00:00:00
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https://journal.ugm.ac.id/jkr/article/view/13879
Jurnal Kesehatan Reproduksi; Vol 3, No 1 (2016)
ind
Copyright (c) 2016 Jurnal Kesehatan Reproduksi
oai:jurnal.ugm.ac.id:article/13880
2018-06-06T05:14:59Z
jkr:ART
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"160422 2016 eng "
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Kora, Firmina Th
Gadjah Mada University
Dasuki, Djaswadi
Ismail, Djauhar
Background: Based on the Indonesian Demographic and Health Survey (IDHS, 2012), adolescents’ knowledge (females aged 15-24 years) about STI (Sexually Transmitted Disease) is still low under 50%. A total of 16.46% Indonesian adolescents have had sex, 46.26% of them have been doing it actively, first sex occurred in below 20 years of age.
Objective: To determine the relationship between knowledge about sexually transmitted infections with unsafe sexual behavior.
Method: This study is a quantitative and qualitative with cross-sectional study design. Subjects in this study were all female adolescents of West Southeast Moluccas who are continuing education in Yogyakarta. Univariable and bivariable data analysis was conducted using chi-square test statistic. Multivariable analysis was conducted using logistic regression to estimate the effective model.
Result and Discussion: Low knowledge STI is practically and statistically related to unsafe sexual behavior with a p-value <0.05, RP 1.71 and CI 1.07 to 2.70. Low kno
wledge about STIs in adolescents increase the risk by 1.7 times for unsafe sexual behavior. Conclusion: 67,1% female adolescent who have unsafe sexual behavior. Female adolescents who have knowledge about STIs low 65.7%. Low knowledge STI significantly increases unsafe sexual behavior in adolescent girls. Unsafe sexual behavior conducted by adolescent female are sexual intercourse before the age of 20 not using condoms during sexual intercourse, and multiple sexual partner.
Keywords: Knowledge of Sexually Transmitted Infections, Unsafe Sexual Behavior, Female Adolescent
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2016-04-22 00:00:00
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https://journal.ugm.ac.id/jkr/article/view/13880
Jurnal Kesehatan Reproduksi; Vol 3, No 1 (2016)
ind
Copyright (c) 2016 Jurnal Kesehatan Reproduksi
oai:jurnal.ugm.ac.id:article/28084
2018-05-18T02:52:57Z
jkr:ART
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"160828 2016 eng "
2621-461X
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Phyowai Ganap, Eugenius
Gadjah Mada University
Hakimi, Mohammad
Hadijono, Soerjo
Emilia, Ova
ABSTRACT
Background : The hospitalist model in obstetric care which was introduced over the last decades now has an important role in care delivery management with the potential positive impact on neonatal outcomes.
Methods : This research design was retrospective cohort. Participants included is the patient in the time before and after implementation of obstetrician/gynecologist full-hospitalist policy during October 2013 until September 2014. The outcome measured were mean response time, APGAR score at 5 minutes, , NICU admission. Univariate and multivariable analyses was conducted to evaluate and determine the factor which significantly contribute to neonatal outcomes.
Results and Discussion: We included total 71 patients (37 on-call obstetrician group and 34 full-time hospitalist group). Univariate analysis indicated mean response time was significantly differ in full-time hospitalist group when compared to the on-call obstetrician group (65,3 + 25,89 vs. 84 + 22,29 mins; p = 0,002). Implementation of full-time hospitalist did not impact the NICU admission and APGAR score at 5 minutes.
Conclusion : Implementation of full-time hospitalist model is not affecting neonatal outcomes.
Keywords : Infant and Maternal Mortality, Obtericians / Gynecologist Hospitalist, Labor and Delivery, Maternal and Neonatal Care, ICU Response Time.
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2018-05-11 15:18:18
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https://journal.ugm.ac.id/jkr/article/view/28084
Jurnal Kesehatan Reproduksi; Vol 3, No 2 (2016)
ind
https://journal.ugm.ac.id/jkr/article/download/28084/62215
https://journal.ugm.ac.id/jkr/article/download/28084/62217
https://journal.ugm.ac.id/jkr/article/download/28084/62218
https://journal.ugm.ac.id/jkr/article/download/28084/62219
https://journal.ugm.ac.id/jkr/article/download/28084/62220
https://journal.ugm.ac.id/jkr/article/download/28084/62221
Copyright (c) 2016 Jurnal Kesehatan Reproduksi
oai:jurnal.ugm.ac.id:article/35416
2018-06-06T06:18:10Z
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Perbandingan Preparasi Kulit Menggunakan Alkohol-Klorheksidin dengan Alkohol-Povidon Iodin terhadap Infeksi Luka Operasi Seksio Sesarea
Fahmi, Moh. Nailul
Departement of Obstetrics and Gynecology, Faculty of Medicine, University of Gadjah Mada
Hadiati, Diah Rumekti
Widad, Shofwal
Array
Background: Surgical site infection (SSI) is the second most frequent nosocomial infection and has high morbidity and mortality rate. The use of preoperative skin antiseptics effective in preventing of surgical site infection. There are lack of evidences to evaluate types, concentration and application methods of antiseptic for skin preparation for preventing infection following caesarean section
Objective: to determine the difference of SSI rate in patients receiving alcohol-chlorhexidine and alcoholpovidone iodine as an agent for skin preparation during caesarean section. Method: The study design was randomized clinical trial. The study was conducted in Dr Sardjito hospital and two affiliated hospital (Saras Husada Hospital and Panembahan Senopati Hospital). Total 174 subjects meeting in inclusion and exclusion criteria were divided into two groups. Experimental group (87 subjects) received alcohol-chlorhexidine as skin preparation antiseptic during caesarean section. Control group (87 subjects) received alcohol-povidone iodine. A computer generated random number was created to assigned subject into experimental and control goups. Outcome assessment was performed on day 3 and day 7 after caesarean section. Surgical site infection was diagnosed based on Center for Disease Control and Prevention (CDC) criteria.
Result and Discussion: There were no differences in terms of age, weeks of gestation, body mass index, parity, emergency/elective, duration of operation, duration of membrane rupture, and number of vaginal examination between two groups (P>0.05). SSI rates on day 3 were similar between two groups, alcoholchlorhexidine group was 13.8% (12 subjects) and alcohol-povidone iodine group was 11.5% (10 subjects). Cumulative SSI for 7 days were similar (p=1) between two group, alcohol-chlorhexidine group was 13.8% (12 subjects) and alcohol-povidone iodine group was 12.6% (11 subjects). Conclusions: there were no differences of SSI rates in patients receiving alcohol-chlorhexidine and alcoholpovidone iodine as an agent for skin preparation during caesarean section.
Keywords: Surgical site infections, skin preparation, alcohol, povidone iodine, chlorhexidine, caesarean section.
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2017-08-28 00:00:00
application/pdf
https://journal.ugm.ac.id/jkr/article/view/35416
Jurnal Kesehatan Reproduksi; Vol 4, No 2 (2017)
eng
https://journal.ugm.ac.id/jkr/article/download/35416/89240
Copyright (c) 2017 Jurnal Kesehatan Reproduksi
oai:jurnal.ugm.ac.id:article/35417
2018-06-06T06:18:49Z
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Hubungan Sosial Ekonomi dan Status Perkawinan terhadap Kebiasaan Merokok Perempuan di Indonesia Timur Analisis Data IFLS East 2012
Lestari, Abriana
Gadjah Mada University
Basri, Mubasysyir Hasan
Departemen Biostatistik, Epidemiologi dan Kesehatan Populasi Fakultas Kedokteran UGM
Hakimi, Mohammad
Departement of Obstetrics and Gynecology, Faculty of Medicine, University of Gadjah Mada
Array
Background: The tobbaco Atlas 3rd edition 2009 mentioned that 57% smokers worldwide are in Asia and Australia. Ten percent of total smokers worldwide live in South East Asia. In 2013, 64.9% of men 2.1% of women in Indonesia were smokers. Smoking habits among women are affected by socio economic, marital status, education and age.
Objective: To understand the association between sosio economic and marital status to smoking habits among women at East Indonesia by IFLS East data. Method: This research used secondary datas from Indonesian Family Life Survey (IFLS) East with cross sectional design. Sampel for this research were women with age ≥15 years and having smoking habits. Data analysis used by chi square and logistic regression to understand the association between sosio economic and marital status with smoking habits among women at East Indonesia.
Result and Discussion: There was significant correlation between marital status and smoking habits among women in East Indonesia (p=0,000) as well as adult age (p=0,002) Conclusion: Smoking prevalence among women at East Indonesia occured on married women, adult women and women with moderate education.
Keywords: marital status, age, educational status and smoking habit
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2017-08-28 00:00:00
application/pdf
https://journal.ugm.ac.id/jkr/article/view/35417
Jurnal Kesehatan Reproduksi; Vol 4, No 2 (2017)
eng
https://journal.ugm.ac.id/jkr/article/download/35417/89251
Copyright (c) 2017 Jurnal Kesehatan Reproduksi
oai:jurnal.ugm.ac.id:article/35419
2018-06-06T06:18:49Z
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Korelasi Tinggi Badan Ibu dengan Panjang Badan Bayi Baru Lahir di Kota Palu
Lamana, Aspia
Megister Ilmu Kesehatan Masyarakat Fakultas Kedokteran UGM
Julia, Madarina
Department of Pediatrics, Faculty of Medicine, University of Gadjah Mada
Dasuki, Djaswadi
Department of Biostatistics, Epidemiology and Population Health Faculty of Medicine UGM
Array
Background: Body length of newborn babies is related to health in adulthood. Some studies suggested that short people tend to have lower intellectual performance that can reduce working capacity, poor reproductive performance and increase risk of cardiovascular disease and type 2 diabetes. In addition, the less the body’s length of newborns the more adverse long-term health such as obesity, cardiometabolic disorders, and neuro psychiatric conditions were encountered.
Objective: To determine the relation of mothers’ height with body length newborns in Palu. Samples are babies born in the first 24-72 hours of private hospitals, health centers, and maternity clinics in Palu. Method: An observational study with cross sectional design. The independent variable is the mothers’ height and the dependent variable is the length of the body of the newborns. Data collection used questionnaires. Data analysis used linear regression.
Result and Discussion: There was a correlation between the height of mothers with the body length of newborns (r = 0.26) (p <0.001). There was a significant relationship between mothers’ upper arm circumference, the amount of iron preparations consumed, the height of the father (p <0.001) as well as maternal education (p <0.020) and the sex of the newborn (p <0.015) with the body length of newborns. There was no significant relationship between body length of newborns with socioeconomic status (p <0.861).
Conclusion: Mothers’ height is not the main factor affecting the body length of newborns in the city of Palu. Education to newly wed couples and pregnant women about the importance of knowledge that body length of newborns is not only influenced by genetic factors but also by the maternal intake.
Keywords: Mothers’ height, newborn body length
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2017-08-28 00:00:00
application/pdf
https://journal.ugm.ac.id/jkr/article/view/35419
Jurnal Kesehatan Reproduksi; Vol 4, No 2 (2017)
eng
Copyright (c) 2018 Jurnal Kesehatan Reproduksi
oai:jurnal.ugm.ac.id:article/35420
2018-06-06T06:18:49Z
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Faktor Risiko Individu dan Masyarakat serta Gambaran Pelayanan Kesehatan terhadap Kasus Preeklampsia Berat di RSUD Manokwari Kabupaten Manokwari Provinsi Papua Barat (Periode September 2015-Februari 2016)
Sugiarti, Endang Sri
RSUD Manokwari, Papua
Soejoenoes, Ariawan
Department Obstetrics and Gynecology, Faculty of Medicine, University of Diponegoro
Cahyanti, Ratnasari Dwi
Department Obstetrics and Gynecology, Faculty of Medicine, University of Diponegoro
Hartono, Eddy
Department Obstetrics and Gynecology, Faculty of Medicine, University of Hasanuddin Makassar
Array
Background: The high rate of maternal mortality is still a health problem in Indonesia and also reects the uality of health care during pregnancy and childbirth. The main causes of maternal mortality in Indonesia is hypertension (32.4) and postpartum bleeding (28.3). Recently in Manowari eneral Hospital there is an increase trend cases of severe preeclampsia include 12 cases (September 2015), 14 cases (October 2015) and 14 cases (November 2015).
Objective: To identify ris factors of the community and health care to cases of severe preeclampsia in the eneral Hospital of Manowari, Papua Barat Province period September 2015 - ebruary 2016. Method: The study was an observational descriptive study, cross sectional design with a retrospective approach. A total of 148 medical records of pregnant women who meet the eligibility criteria for inclusion in this study. Chi-suare test and isher eact was used for statistical analysis. Multivariate analysis using logistic regression with signicance p 0.05.
Result and Discussion: A total of 148 medical records of pregnant women from September 2015 - ebruary 2016 met eligibility criteria which consisted of 74 pregnant women with severe preeclampsia and 74 pregnant women without preeclampsia. Chi-suare analysis showed a signicant association between gestational age 20-36 wees with severe preeclampsia cases (p 0.016; RR 1.8; CI 1.2 to 26.6) and a history of hypertension (p 0.000; RR 2.2; CI 3.1 to 21.2). Community ris factors had no signicant relationship with severe preeclampsia. The health care services regarding severe preeclampsia was well implemented and the second phase delay mainly due to geographic factors.
Conclusion: There is a signicant association between gestational age 20-36 wees and a history of hypertension in cases of severe preeclampsia.
Keywords: severe preeclampsia, gestational age, history of hypertension, ris factor of the community, second phase delay
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2017-08-28 00:00:00
application/pdf
https://journal.ugm.ac.id/jkr/article/view/35420
Jurnal Kesehatan Reproduksi; Vol 4, No 2 (2017)
eng
Copyright (c) 2018 Jurnal Kesehatan Reproduksi
oai:jurnal.ugm.ac.id:article/35421
2018-06-06T06:18:49Z
jkr:ART
nmb a2200000Iu 4500
"170828 2017 eng "
2621-461X
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The Impact of Obstetrician/Gynecologist Hospitalists on Maternal Quality of Care in Yogyakarta Indonsia: A Cohort Study
Ganap, Eugenius Phyowai
Departement of Obstetrics and Gynecology, Faculty of Medicine, University of Gadjah Mada
Hakimi, Mohammad
Departement of Obstetrics and Gynecology, Faculty of Medicine, University of Gadjah Mada
Hadijono, Soerjo
Department Obstetrics and Gynecology, Faculty of Medicine, University of Diponegoro
Emilia, Ova
Departement of Obstetrics and Gynecology, Faculty of Medicine, University of Gadjah Mada https://scholar.google.co.id/citations?user=HQKYWygAAAAJ&hl
Array
Background: The hospitalist is defined by 24-hour a day/7 day a week physician who assists or is employed by the hospital to manage patients, triage and emergencies. The hospitalist model in obstetric care that was introduced over the last decades now has an important role in care delivery management with the potential positive impact on maternal outcomes. Unfortunately, in Indonesia there were limited data available related to the implementation of hospitalist model and the impact on maternal quality of care.
Objective: To determine the impact of obstetrician/gynecologist hospitalist on maternal quality care. Method: This research design was a retrospective cohort. Participants included were the patients in the time before and after implementation of obstetrician/gynecologist hospitalist policy during October 2013 until September 2014. Univariate and multivariate analysis were conducted to evaluate and determine the factors, which significantly contribute to maternal outcomes.
Result and Discussion: We included a total of 71 patients (30 in the on-call group and 41 in the full time hospitalist group). Univariate analysis indicated mean response time was significantly different in the hospitalist group compared to the on-call group (65.3 ± 25.89 vs 84 ± 22.29 mins; p = 0.002). Implementation of full-time hospitalists did not impact the ICU admission and transfusion incidence.
Conclusions: Implementation of the full-time hospitalist model was associated with a significant improvement of response time in emergency obstetric care without affecting maternal outcomes.
Keywords: Maternal mortality, obstetrician/gynecologist hospitalist, labor and delivery, maternal care, ICU response time
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2017-08-28 00:00:00
application/pdf
https://journal.ugm.ac.id/jkr/article/view/35421
Jurnal Kesehatan Reproduksi; Vol 4, No 2 (2017)
eng
Copyright (c) 2018 Jurnal Kesehatan Reproduksi
oai:jurnal.ugm.ac.id:article/35422
2018-06-26T07:37:00Z
jkr:ART
nmb a2200000Iu 4500
"171222 2017 eng "
2621-461X
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Peran Penambahan Misoprostol pada Penatalaksanaan Aktif Kala Tiga dalam Menurunkan Perdarahan Pasca Persalinan
Geni, Puti Lenggo
Departement Obstetri dan Ginekologi, FKKMK UGM
Rachman, Irwan Taufiqur
Departement Obstetri dan Ginekologi, FKKMK UGM
Pradjatmo, Heru
Departement Obstetri dan Ginekologi, FKKMK UGM
Array
Background: Postpartum haemorrhage is the leading cause of maternal mortality in both developed and developing countries, which is almost 80 % due to the failure of the uterus to contract. Misoprostol is a powerful uterotonic agent used as an alternative in preventing postpartum haemorrhage.
Objective: The purpose of this study was to determine whether administration of misoprostol adjunctive therapy in active management of the third stage of labor influenced postpartum blood loss.
Method: This study was a non-blinding randomized controlled trial that divided subjects into two groups. The treatment group was the group who received misoprostol 600 mcg orally for adjunctive treatment in active management of the third stage of labor and the control group did not receive misoprostol, each group also got routine oxytocin 10 IU intramuscularly. Both group were assessed of the number of blood loss in the fourth stage of labor, decreased levels of hemoglobin and hematocrit within 24 hours after delivery. Chi square test was conducted to determine the strength of the relationship between the two groups.
Result and Discussion: The study recruited 104 subjects, there were significant difference for the mean number of blood loss in the fourth stage of labor and the decrease in hemoglobin levels within 24 hours of postpartum between treatment and control group (OR 2.45; 95% CI 1.05-5.71, p=0.04), (OR 2.99; 95% CI 1.26-7.11, p=0.01). The mean of the decreasing hematocrit levels was statistically not significant between the two groups (OR 0.87; 95% CI 0.38-1.99, p=0.75).
Conclusion: The addition of misoprostol to the routine active management of the third stage of labor was statistically significant to decrease amount of postpartum blood loss.
Keywords: misoprostol, active management of the third stage of labor, postpartum blood loss, postpartum hemorrhage.
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2018-06-26 14:37:00
application/pdf
https://journal.ugm.ac.id/jkr/article/view/35422
Jurnal Kesehatan Reproduksi; Vol 4, No 3 (2017)
eng
Copyright (c) 2017 Jurnal Kesehatan Reproduksi
oai:jurnal.ugm.ac.id:article/35423
2018-06-06T06:18:49Z
jkr:ART
nmb a2200000Iu 4500
"170828 2017 eng "
2621-461X
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Incidence of Unintended Pregnancy after Laparoscopic Tubal Sterilization at Dr.Sardjito Hospital
Widyasari, Anis
Departement of Obstetrics and Gynecology, Faculty of Medicine, University of Gadjah Mada
Wibowo, Prakoso Adhi
Departement of Obstetrics and Gynecology, Faculty of Medicine, University of Gadjah Mada
Rahman, M. Nurhadi
Departement of Obstetrics and Gynecology, Faculty of Medicine, University of Gadjah Mada
LUTFI, MUHAMMAD
Departement of Obstetrics and Gynecology, Faculty of Medicine, University of Gadjah Mada
Widad, SHOFWAL
Departement of Obstetrics and Gynecology, Faculty of Medicine, University of Gadjah Mada
Array
Background: Laparoscopic tubal ligation is one of the most commonly performed sterilization procedures and has many advantages such as high success rate and early return to normal activity. In Indonesia, the incidence of unintended pregancy in a study was 0,15 %. This rate is comparable with pregnancy rates for women using another contraceptive method.
Objective: To assess the incidence of unintended pregnancy on women who underwent laparoscopic tubal sterilization at Dr. Sardjito Hospital.
Method: A descriptive observational study with retrospective cross-sectional design was conducted. The data were acquired from medical record from January 2009 to April 2015. Reports of unintended pregnancy within two years after procedure were recorded.
Result and Discussion: 55 women met the inclusion criterion and none were excluded. Method failures resulting on pregnancy occured in 3 cases (5.45 %), so the success rate of the procedure was 94.55 %. All of the reported pregnancies happened within two years after the procedures. There was no major complication occured in the procedure, but minor bleeding (<50 cc) did occur in some cases.
Conclusion: The incidence of unintended pregnancy on women who underwent laparoscopic tubal sterilization at Dr. Sardjito Hospital was higher than the average incidence reported on another studies.
Keyword: female sterilization, laparoscopic tubal sterilization, unintended pregnancy.
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2017-08-28 00:00:00
application/pdf
https://journal.ugm.ac.id/jkr/article/view/35423
Jurnal Kesehatan Reproduksi; Vol 4, No 2 (2017)
eng
Copyright (c) 2018 Jurnal Kesehatan Reproduksi
oai:jurnal.ugm.ac.id:article/35425
2018-06-06T06:18:49Z
jkr:ART
nmb a2200000Iu 4500
"170828 2017 eng "
2621-461X
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Pengaruh Konseling saat Persalinan terhadap Kepesertaan Keluarga Berencana Pasca Salin di Kabupaten Kolaka
Abbas, Marwan
RSUD Kolaka
Hadijono, Soerjo
Department Obstetrics and Gynecology, Faculty of Medicine, University of Diponegoro
Emilia, Ova
Department Obstetrics and Gynecology, Faculty of Medicine, University of Gadjah Mada https://scholar.google.co.id/citations?user=HQKYWygAAAAJ&hl
Hartono, Eddy
Department Obstetrics and Gynecology, Faculty of Medicine, University of Hasanuddin Makassar
Array
Background: Death among repro ductive age women about 25-50% is caused by pregnancy related condition. Family Planning program is known as one pillar to control pregnancy. Counseling plays important roles to increase contraceptive prevalent rate.
Objective: To assess the effectiveness of family planning counseling during latent phase of labor in increasing postpartum contraception.
Method: The study was an experimental design which involved all primary health centre, Maternity Hospital and General hospital in Kolaka district in the period of 1 January 2016 to March 2016. Sampling included 108 subjects divided into intervention and control group. Selection of health facility into two groups was done through simple coin toss. Intervention was family planning counseling conducted during latent phase of labor using flipchart standardised by BKKBN in 2014.
Result and Discussion: From all subjects, 70 (64.8%) decided to participate in post partum contraception. Participation for contraception was significantly higher in counseling group (92%) compare to control (37%) (p<0.001, RR 2.5; CI 1.75 – 3.57). Age and companion during labor did not influence contraception participation (p>0,05). There was a trend that contraception participation higher in older age. Other factors such as education, income, parity and previous conseling significantly influence contraception participation (p<0,05).
Conclusion: Family planning counseling during latent phase increase the participation in postpartum contraception. Education, income, parity and previous counseling influence the participation in postpartum contraception.
Keyword: Family Planning, Post partum contraception, Factors on contraception participation
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2017-08-28 00:00:00
application/pdf
application/pdf
https://journal.ugm.ac.id/jkr/article/view/35425
Jurnal Kesehatan Reproduksi; Vol 4, No 2 (2017)
eng
Copyright (c) 2018 Jurnal Kesehatan Reproduksi
oai:jurnal.ugm.ac.id:article/35427
2018-05-21T07:29:28Z
jkr:ART
nmb a2200000Iu 4500
"170828 2017 eng "
2621-461X
2302-836X
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Perubahan Nilai BA pada Pelvic Organ Prolaps Quantification (POPQ) terhadap Kualitas Berkemih Pre dan Pasca Opreasi Kolporafi Anterior paa Pasien Sistokel
Ramadona, Izwin
Departement of Obstetrics and Gynecology, Faculty of Medicine, University of Gadjah Mada
Siswishanto, Rukmono
Departement of Obstetrics and Gynecology, Faculty of Medicine, University of Gadjah Mada
Pangastuti, Nuring
Departement of Obstetrics and Gynecology, Faculty of Medicine, University of Gadjah Mada
Array
Background: Anterior colporrhaphy is used to correct anatomical abnormalities of POP, especially cystocele. In the cystocele, POPQ is focused on Ba point. However, no reference value has been established during evaluation on the changes of Ba’s pre and post operation. A measurement is required to describe the value of Ba in POPQ to the quality of patients’s micturition who have undergone anterior colporrhaphy on cystocele indication.
Objective: To determine whether a change of Ba value more than 4 cm post anterior colporrhapy can improve voiding quality.
Method: This study used a pretest-posttest design by measuring the value of Ba and voiding quality (UDI6 score) in cystocele patients before and after anterior colporrhapy. Ba value changes compared with changes in postoperative voiding quality.
Result and Discussion: There were 20 subjects recruited from January until July 2016 who met the inclusion criteria. There were significant differences between the voiding quality and changes of Ba value before and after surgery for 2nd and 6th week (p<0.001). From the bivariate analysis there were no differences in changes of voiding quality for Ba> 4 cm compared ≤4 cm (p = 0.34; RR 1.43; 95% CI 0.61-3.37). Age, BMI and parity had no significant affects the voiding quality before and after surgery (p= 0.12, p= 0.62, p=0.27). From a logistic regression analysis of variables change in value of Ba and external variables of age, BMI and parity were not statistically significant influence the voiding quality.
Conclusion: Changes in the value of Ba more than 4 cm from baseline in patients who undergo anterior colporrhapy does not improve the voiding quality.
Keywords: Ba value, voiding quality, anterior colporrhapy.
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2017-08-28 00:00:00
application/pdf
application/pdf
https://journal.ugm.ac.id/jkr/article/view/35427
Jurnal Kesehatan Reproduksi; Vol 4, No 2 (2017)
eng
https://journal.ugm.ac.id/jkr/article/download/35427/89300
Copyright (c) 2018 Jurnal Kesehatan Reproduksi
oai:jurnal.ugm.ac.id:article/35428
2018-06-06T06:12:07Z
jkr:ART
nmb a2200000Iu 4500
"170415 2017 eng "
2621-461X
2302-836X
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Perbandingan Kualitas Hidup Penderita Kanker Ovarium Epitelial yang Diberikan Kemoterapi Regimen Paclitaxel dan Carboplatin dengan Regimen Cyclophospamide, Adriamicyn dan Cisplatin di RSUP Dr. Sardjito
Ahyar, Ibnu
Departement of Obstetrics and Gynecology, Faculty of Medicine, University of Gadjah Mada
Taufiqurrachman, Irwan
Departement of Obstetrics and Gynecology, Faculty of Medicine, University of Gadjah Mada
Kusumanto, Ardhanu
Departement of Obstetrics and Gynecology, Faculty of Medicine, University of Gadjah Mada
Array
Background: Epithelial ovarian cancer is the dominant type of ovarian cancer. Platinum and Taxane regiment has been proved to increase the survival rate of ovarian cancer patients
Objective: To compare the quality of life of ovarian cancer patients who got Paclitaxel and Carboplatin regiments with Cyclophosphamide, Adriamycin and Cisplatin regiments and risk factors which influence them
Method: The design of the study was retrospective cohort. The total subjects were 156 ovarian cancer patients who consisted of 79 patients with paclitaxel and carboplatin regiments and dan 77 patients who got cyclophospamide, adriamicyn dan cisplatin regiments in DR. Sardjito hospital, Yogyakarta. The quality of life was measured with EORTC QLQ-C30. The data distribution were tested with KolmogorovSmirnov and analysed with D Chi-Squaretest for categorical data and Mann-Whitney for continuous data. Multivariable Analysis was done with logistic regression.
Result and Discussion: The bivariable analysis of ovarian cancer stage and the quality of life showed that early stage of ovarian cancer patients had quality of life 19,068 times higher than advance stage of ovarian cancer patients (RR 19,068; 95% CI 2,590-140,362). There were signicant differences in quality of life in ovarian cancer patients with low body mass index <18,5 compared to normal body mass index as well as the titer of tumor marker Ca125. Multivariable analysis showed that there was no significant difference in quality of life between ovarian cancer patients who got Paclitaxel plus Carboplatin and ovarian cancer patients who got Cyclophospamide, Adriamicyn plus Cisplatin.
Conclusion: there was no significant difference in quality of life between ovarian cancer patients who got Paclitaxel plus Carboplatin and ovarian cancer patients who got Cyclophospamide, Adriamicyn plus Cisplatin in DR. Sardjito Hospital, Yogyakarta.
Keywords: Quality of life, ovarian cancer, paclitaxel plus carboplatin regiment, cyclophospamide, adriamicyn plus cisplatin regiment.
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2017-04-15 00:00:00
application/pdf
application/pdf
application/pdf
https://journal.ugm.ac.id/jkr/article/view/35428
Jurnal Kesehatan Reproduksi; Vol 4, No 1 (2017)
eng
Copyright (c) 2017 Jurnal Kesehatan Reproduksi
oai:jurnal.ugm.ac.id:article/35429
2018-06-06T06:12:07Z
jkr:ART
nmb a2200000Iu 4500
"170415 2017 eng "
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Hubungan Pengetahuan, Sikap dan Perilaku Bidan Desa terhadap Kanker Leher Rahim dan Pencegahannya di Kabupaten Sragen
Sutresno, Ismail Joko
RSUD Sragen
Emilia, Ova
Departement of Obstetrics and Gynecology, Faculty of Medicine, University of Gadjah Mada https://scholar.google.co.id/citations?user=HQKYWygAAAAJ&hl
Prawitasari, Shinta
Departement of Obstetrics and Gynecology, Faculty of Medicine, University of Gadjah Mada
Array
Background: Cervical cancer (cervix) is the second most common type of cancer in women, with an estimated of 530,000 new cases and more than 270,000 deaths each year. In 2012, cervical cancer cases in Central Java was 2,259 cases. Cervical cancer is easily recognizable and can be prevented with screening. A village midwife as the closest healthcare provider to the community is expected to function better in encouraging the prevention of cervical cancer.if they receive appropriate knowledge and attitude toward screening.
Objective: to understand the correlation of knowledge, attitude and behavior of village midwife against cervical cancer and its prevention in Sragen district.
Method: This analytic study is using quantitative and qualitative approach. Quantitative studies was done with cross-sectional study. The population of this research were 208 village midwifes from 20 sub-districts in Sragen and the subjects were 118 midwives whom randomly sampled. Data were analyzed using univariate and bivariate analysis.The qualitative study was done using depth interview.
Result and Discussion: There is no correlation between age, level of education as well as work duration with their knowledge about cervical cancer prevention (P = 0.787; 0.344; 0.822); there is no correlation between village midwives’ knowledge with their behavior towards cervical cancer prevention (P = 0.664); there is no correlation between the village midwives’ attitudes and behavior towards prevention of cervical cancer (P = 0.460). Qualitative results support the quantitative results.
Conclusion: There is no correlation between village midwives’ knowledge, attitudes and behavior towards cervical cancer prevention.
Keywords: Cervical cancer, knowledge, attitude, behavior
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2017-04-15 00:00:00
application/pdf
application/pdf
https://journal.ugm.ac.id/jkr/article/view/35429
Jurnal Kesehatan Reproduksi; Vol 4, No 1 (2017)
eng
Copyright (c) 2017 Jurnal Kesehatan Reproduksi
oai:jurnal.ugm.ac.id:article/35430
2018-06-06T06:12:07Z
jkr:ART
nmb a2200000Iu 4500
"170415 2017 eng "
2621-461X
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Karakteristik Pasien Prolaps Uteri di RSUP Dr. Sardjito Yogyakarta Tahun 2013
Hamamah, Jefi
Departement of Obstetrics and Gynecology, Faculty of Medicine, University of Gadjah Mada
Pangastuti, Nuring
Departement of Obstetrics and Gynecology, Faculty of Medicine, University of Gadjah Mada
Array
Background: Uterine prolaps suffer by nearly half population of women. Many factors related to the causes of prolaps. The pattern varies in different country and ages.
Objective: To evaluate the characteristic of uterine prolaps patient in Sardjito Hospital in the period January – December 2013.
Method: This is an analytic descriptive study that reviewed medical record of Sardjito Hospital within January - December 2013. Data was reported, tabulated dan presented in the form of risk factors, chief complains, grade of uterine prolaps and treatment, finally analysed.
Result and Discussion: There were 30 cases of uterine prolaps from Obstetrics and Gynecology Sardjito Hospital within January-December 2013. Most of the patient age were 45-64 year (48.4%), parity more than 2 (73.3%), menopause (73%), vaginal delivery more than 2 (73%). Symptoms that mostly revealed was lump on the delivery passage (73.3%). Patient were mostly suffered from grade 4 uterine prolaps (43%). There were two types of treatment i.e. conservative and operative. Conservative treatment used Kegel exercises and pessarium. Operative treatment used total vaginal hysterectomy, colpocleisis, anterior and posterior colporaphy.
Conclusion: The risk factors for uterine prolaps were older age, menopause, multiparity, vaginal delivery. The treatment mostly used total vaginal hysterectomy.
Keywords: uterine prolaps, risk factors, vaginal hysterectomy
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2017-04-15 00:00:00
application/pdf
application/pdf
https://journal.ugm.ac.id/jkr/article/view/35430
Jurnal Kesehatan Reproduksi; Vol 4, No 1 (2017)
eng
Copyright (c) 2017 Jurnal Kesehatan Reproduksi
oai:jurnal.ugm.ac.id:article/35433
2018-06-06T06:12:07Z
jkr:ART
nmb a2200000Iu 4500
"170415 2017 eng "
2621-461X
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Faktor Risiko Transmisi Virus HIV pada Ibu Hamil di Papua
Rabrageri, Alberthzon Kris Silo
RSUD Dok 2 Jayapura, Papua
Siswosudarmo, Risanto
Departement of Obstetrics and Gynecology, Faculty of Medicine, University of Gadjah Mada
Soetrisno, Soetrisno
Departement of Obstetrics and Gynecology, Faculty of Medicine, University of Sebelas Maret, Surakarta
Array
Background: Human Immunodeficiency Virus (HIV) has been transmitted all over the world and attack people including pregnant women and their fetus. HIV-AIDS has become the main cause of maternal death. The transmission is started from Africa to Indonesia, specifically to Papua Island. In Papua, HIV is a serious threat for pregnant women’s life because of its fast transmission, even faster from other regions in Indonesia. Until present, there has no research about HIV transmission on pregnant women in Papua Island.
Objective: To conduct analysis on risk factors related to HIV transmission on pregnant women in Papua Island.
Method: Cross sectional continued with retrospective cohort. Data was taken from medical record of all patients delivering in eight state-owned hospitals in Papua and West Papua provinces started from 1 January 2013 to 31 December 2013. Inclusion criteria were all pregnant women who delivered vaginally or by caesarean sections with HIV and non HIV diagnosis and had complete medical record data. Data being taken included mother’s age when delivered the baby, mother’s education, parents’ social economic status, mother’s ethnicity, parents’ domicile, prematurity and infant’s birth weight. The two research groups were HIV (+) and HIV (-) groups. Data were statistically analyzed using Pearson Chi Square for univarian and logistic regression for multivarian.
Result and Discussion: In Papua island, prevalence of pregnant women with HIV was 15.3%, and mostly occurred in reproductive age ( 85.1%). The main transmission source was heterosexual (100%). Univarian analysis found that mothers’s age <20 years old when delivered the baby increase 1.12 times compared to > 20 years old but it’s statistically insignificant (p=0.53). Mothers education < 9 years increases the risk of HIV 1.4 times compared to mother’s education > 9 years (p=0.01). The husband’s low socioeconomic status increase the risk of 5.51 times compared with husband’s high socioeconomic status (p<0.01). The wife’s low socioeconomic status increase the risk of 1.22 times, in which statistically insignificant (p=0.14). Native Papuanese pregnant women has significantly 3.05 times higher risk for HIV transmission compared to non Papuanese (p<0.01). Pregnant women’s domicile in villages increase the transmission significantly 2.21 times compared to cities’ domiciles (p<0.00). Premature delivery increased HIV transmission by 1.7 times (p<0.01). Low infant body weight increased the transmission by 1.64 times significantly (p<0.01). Multivarian analysis showed that husband’s low socioeconomic status, Papuanese ethnicity and domicile in villages are the most dominant factors influencing HIV transmission on pregnant women in Papua Island.
Conclusion: Varied risk factors on HIV transmission resulted in the occurrence of HIV (+) cases in Papua Island, while the most dominant factors are husband with low socioeconomic status, Papua ethnicity and domicile in villages.
Keywords: HIV, risk factors, birthing mothers, Papua Island.
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2017-04-15 00:00:00
application/pdf
application/pdf
https://journal.ugm.ac.id/jkr/article/view/35433
Jurnal Kesehatan Reproduksi; Vol 4, No 1 (2017)
eng
Copyright (c) 2017 Jurnal Kesehatan Reproduksi
oai:jurnal.ugm.ac.id:article/35434
2018-06-06T06:12:07Z
jkr:ART
nmb a2200000Iu 4500
"170415 2017 eng "
2621-461X
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Efek Pemanfaatan Program Pemantauan dan Promosi Pertumbuhan terhadap Status Gizi Balita di Kota Cirebon
Nurcahyani, Lia
Kebidanan Poltekes Cirebon
Hakimi, Mohammad
Departement of Obstetrics and Gynecology, Faculty of Medicine, University of Gadjah Mada
Sudargo, Toto
Masters of Health Nutrition, Faculty of Medicine, University of Gadjah Mada
Array
Background: Undernourishment is a key problem of mortality in underfive, inwhich one of the causes is lack of growth monitoring and promotion program utilization. Cases of undernourishment at Cirebon Municipality exceed the provincial and national figures. In 2008, community participation in growth monitoring and promotion program increased 19% from the previous year, however cases of undernourishment also increased 0.23%
Objective: To assess the effect of growth monitoring and promotion program utilization toward nutritional status of underfives.
Method: The study was observational with retrospective cohort design. Subject consisted of 246 underfives of 17-59 months and mothers that met inclusion and exclusion criteria. Sampling used three stage combined with purposive and random sampling technique. Data consisted of primary and secondary data obtained from questionnaire, growth chard, nutrition registry, monthly report of underfive weighing at Cirebon Municipality 2008, digital scale, length board/ microtoise and WHO anthropometric software. Data analysis used univariate, bivariate with chi square, and multivariate with logistic regression. The study was supported with qualitative data obtained from observation and indepth interview.
Result and Discussion: The utilization of growth monitoring and promotion program affected nutritional status of underfives significantly (p<0.05). Incidence of undernourished underfives that did not utilize the program regularly was 2.7 times greater than in those utilizing the program regularly after considering the contribution of knowledge and attitude of mothers and age of underfives. Input indicator especially role of cadres in the process of growth monitoring and promotion program at Cirebon Municipality was not optimum. Constraints in program utilization consisted of individual (health reason), provider (social reason) and community (geographical reason) factors.
Conclusion: Monthly growth monitoring was prioritized on underfives for the first 24 month.Target of growth monitoring and promotion program could be achieved when there was comprehensive support from demand side (people that received the service), support side (service providers) and policy side (policy makers).
Keywords: nutritional status, underfive, growth monitoring, growth promotion, program utilization
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2017-04-15 00:00:00
application/pdf
application/pdf
https://journal.ugm.ac.id/jkr/article/view/35434
Jurnal Kesehatan Reproduksi; Vol 4, No 1 (2017)
eng
Copyright (c) 2017 Jurnal Kesehatan Reproduksi
oai:jurnal.ugm.ac.id:article/35435
2018-06-06T06:12:07Z
jkr:ART
nmb a2200000Iu 4500
"170415 2017 eng "
2621-461X
2302-836X
dc
Kualitas Tidur dan Pola Tidur sebagai Predisposisi Postpartum Blues pada Primipara
Harahap, Wahyuni
Fakultas Psikologi Universitas Gadjah Mada, Yogyakarta
Adiyanti, M.G. Adiyanti
Fakultas Psikologi Universitas Gadjah Mada, Yogyakarta
Array
Background: Postpartum blues is thought to be a normal reponse after childbirth in the community. Due to that reason, this psychological disorder has not been managed well. Although mental disorder during postpartum period hasn’t understood well, pain after birth, fatigue, poor sleeping quality, anxiety for unabling to care for the newborn and changes in sleep patern have become risk factors for the development of postpartum blues.
Objective: To understand to relationship between sleep pattern and quality of sleep in the development of postpartum blues in primiparas.
Method: The subjects for the study were 45 primaras taken from 3 community health centers with in patients facilities in Yogyakarta city. The inclusion criteria were normal deliveries, both the mothers and her babies were healthy, the baby was less than 15 days old, and the mothers were 18 – 40 years old. The data were collected using questionnaires that measure the sleep pattern scale, the sleep quality’s scale and the postpartum blues’ scale. The datas were analyzed using path analysis.
Result and Discussion: Sleep quality and sleep patern together influenced postpartum blues for 57,5% (p < 0,000). Sleep quality partially influenced postpartum blues for 41% (p < 0,01) and sleep pattern influenced postpartum blues for 33% (p < 0,05).
Conclusion: Sleep quality and sleep pattern influenced the incidence of postpartum blues.
Keywords: postpartum blues, sleep quality, sleep pattern, primipara
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2017-04-15 00:00:00
application/pdf
application/pdf
https://journal.ugm.ac.id/jkr/article/view/35435
Jurnal Kesehatan Reproduksi; Vol 4, No 1 (2017)
eng
Copyright (c) 2017 Jurnal Kesehatan Reproduksi
oai:jurnal.ugm.ac.id:article/35436
2018-06-06T06:12:07Z
jkr:ART
nmb a2200000Iu 4500
"170415 2017 eng "
2621-461X
2302-836X
dc
Pemberian Makanan Pralaktasi dengan Kelangsungan Hidup Bayi di Indonesia
Dewi, Utami
Universitas Hangtuah, Pekanbaru
Wilopo, Siswanto Agus
Department of Biostatistics, Epidermiology, and Population Health
Wibowo, Tunjung
Department of Pediatrics, Faculty of Medicine, University of Gadjah Mada
Array
Background: It is recommended for a mother to initiate to give early breastfeeding for a newborn as the first breast milk is known to be nutritious and contains antibody. The delay of breastfeeding shows that non breast milk-supplementary food is given. Based on BPS and Macro International data 65% of infants received pre-lacteal feeds besides breast milk in their three days of life.
Objective: the known relationship between pre-lacteal feeds and infants’ survival in Indonesia.
Method: This was an observational study with a cohort retrospective study design by using IDHS data year 2007. Samples were all infants (0-12 months, breastfed after birth) from mothers aged 15-49 years old as many as 2,886 mothers. The independent variable was pre-lacteal feeds after birth and the dependent variable was infants’ survival. The analyses used univariable, bivariable, and survival analysis with KaplanMeier, Log regression and Cox regression.
Result and Discussion: Bivariable analysis using survival Kaplan-Meier showed that there was a significant relationship between pre-lacteal feeds after birth and infants’ survival. The survival of infants who received pre-lacteal feeds was greater than that of infants who did not receive pre-lacteal feeds (92%:89%). Multivariable analysis using Cox regression showed that the survival chance in infants who did not receive pre-lacteal feeds was 0.63 times lower than that in infants who received pre-lacteal feeds (HR 0.63; CI 95%=0.42-0.95).
Conclusion: Pre-lacteal feeds showed a significant result with infant survival. Other factors affecting infant’s survival were mother’s age < 20 and ≥ 35 years, low economic status, and birth assistant with non professional.
Keywords: infant’s survival, pre-lacteal feeds, infant
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2017-04-15 00:00:00
application/pdf
application/pdf
https://journal.ugm.ac.id/jkr/article/view/35436
Jurnal Kesehatan Reproduksi; Vol 4, No 1 (2017)
eng
Copyright (c) 2017 Jurnal Kesehatan Reproduksi
oai:jurnal.ugm.ac.id:article/35438
2018-06-06T06:12:07Z
jkr:ART
nmb a2200000Iu 4500
"170415 2017 eng "
2621-461X
2302-836X
dc
Hubungan Kecemasan dengan Perubahan Degeneratif Fisik Wanita Premenopause di Kelurahan Biringgere Kab. Sinjai
Ramli, Kamrianti
Akademi Kebidanan Madani Sinjai
Khairiyyah, Khairiyyah
Akademi Kebidanan Madani Sinjai
Suharni, Suharni
Yogyakarta
Array
Background : Premenopausal afflicts woman of 40 years old and above. Premenopausal symptoms is characterized by declining estrogen levels causing psychological disorders such as anxiety.
Objective : The aim of this study was to analyze the relationship of anxiety and physical degenerative changes of women in 40-45 years old in Biringgere district, Sinjai regency.
Method: This research used analytic descriptive survey with cross sectional approach. The population in this study were premenopausal women in age 40-45 years, while the samples in the study were premenopausal women married in 40-45 years old who have inclusion and exclusion criteria as many as 86 respondents. The sampling technique was purposive sampling technique. The instrument used in this study is questionnaire. The data analysis was univariate and bivariate analysis where the statistical test was the chi-square test.
Result and Discussion: This result was relevant with statistic test result obtained that significant level of p = 0.000 <0.05. It means that there was a very strong relationship between anxiety with physical degenerative changes in premenopausal women in Biringgere district, Sinjai regency
Conclusion: physical degenerative changes affect the occurrence of anxiety premenopausal women.
Keywords: premenopausal women, anxiety, physical degenerative changes.
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2017-04-15 00:00:00
application/pdf
application/pdf
https://journal.ugm.ac.id/jkr/article/view/35438
Jurnal Kesehatan Reproduksi; Vol 4, No 1 (2017)
eng
Copyright (c) 2017 Jurnal Kesehatan Reproduksi
oai:jurnal.ugm.ac.id:article/35444
2018-05-18T02:52:57Z
jkr:ART
nmb a2200000Iu 4500
"160828 2016 eng "
2621-461X
2302-836X
dc
PERBANDINGAN ANTARA PEMBERIAN ANTIBIOTIKA PROFILAKSIS PADA SEKSIO SESAR SESUAI ALUR KLINIS RSUP DR SARDJITO DENGAN ANTIBIOTIKA DOSIS MULTIPEL TERHADAP KEJADIAN INFEKSI LUKA OPERASI
Rahmansyah, Ardian
Department of Obstetrics and Gynecology, Faculty of Medicine, University of Gadjah Mada
Hakimi, Mohammad
Department of Obstetrics and Gynecology, Faculty of Medicine, University of Gadjah Mada
Siswishanto, Rukmono
Department of Obstetrics and Gynecology, Faculty of Medicine, University of Gadjah Mada
Array
Background: Clinical pathway recommend the use of short-term prophylaxis antibiotics for cesarean section. Long-term antibiotics or multiple doses was found in clinical practice. There are differences in the mode of administration and the number of doses administered at sardjito hospital.
Objective: To determine the effectiveness of short-term antibiotic prophylaxis in cesarean section appropriate to clinical pathway in the prevention of surgical site infection (ssi), the incidence of fever, dysuria events, length of stay.
Method: The study used randomized clinical trial. The study subjects who underwent cesarean section and meet the inclusion and exclusion criteria in the period July 2013 to January 2014 divided into an intervention group (n = 52) who received ampicillin 2 gram pre and post-cesarean section, and a control group (n = 54) who received ampicillin 2 gram pre cesarean section and 1 gram every 8 hours for 6 times. Observed on days 3 and 10 post-cesarean section. The primary outcomes assessed were the incidence of surgical wound infection based on the criteria of surgical site infection from Centers for Disease Control
and Prevention. Secondary outcomes assessed were the incidence of fever, dysuria events, length of stay. Homogeneity analysis were conducted on subject. Outcome analysis performed bivariate with t test and chi squared test.
Results and Discussion : A total of 106 subjects can be analyzed. SSI events in the intervention group at day 3 was 3.8% (n = 52) and control group was 1.84% (n = 54) with p>0.05 RR 2.077 (95% CI 0.194 to 22.219). SSI on day 10 of 7.7% (n = 52) in the intervention group versus 9.3% (n = 54) in controls with p<0.05 RR 0.831 (CI 95%, 0.236 to 2.924). Fever events on day 3 by 5.8% in the intervention group versus 3.7% in
controls with p>0.05 RR 1.558 (95% CI 0.271 to 8.948) and on day 10 was 3.8% versus 3.7 % with p>0.05 RR 1.038 (95% CI 0.152 to 7.102). Dysuria not found on day 3 and but on 10 found 5.8% in the intervention group versus 11.1% with p>0.05 RR 0.519 (IK95% 0.137 to 1.968). Length of stay after cesarean section for 3.21 ± 0.412 days in the intervention group and 3.26 ± 0.442 days in the control group with p>0.05 (95% CI -0.213 - 0.117).
Conclusion: There is no significant difference in the incidence of surgical wound infections, the incidence of fever, dysuria, length of stay between short-term prophylaxis antibiotics ampicillin appropriate to clinical pathway and long-term or multiple doses prophylaxis antibiotics. Short term antibiotics prophylaxis are more efficiently with the same effectiveness in preventing outcomes research.
Keywords: prophylaxis antibiotics, ampicillin, short term regimen, long term regimen, cesarean section, surgical site infection.
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2018-05-11 15:18:18
application/pdf
https://journal.ugm.ac.id/jkr/article/view/35444
Jurnal Kesehatan Reproduksi; Vol 3, No 2 (2016)
eng
Copyright (c) 2016 Jurnal Kesehatan Reproduksi
oai:jurnal.ugm.ac.id:article/35445
2018-05-18T02:52:57Z
jkr:ART
nmb a2200000Iu 4500
"160828 2016 eng "
2621-461X
2302-836X
dc
Does Misoprostol for Induction of Labor Increase the Risk of Uterine Rupture?
Anggreany, Kiswa
Department of Obstetrics and Gynecology, Faculty of Medicine, University of Gadjah Mada
Luthfi, Mohammmad
Department of Obstetrics and Gynecology, Faculty of Medicine, University of Gadjah Mada
Siswosudarmo, Risanto
Department of Obstetrics and Gynecology, Faculty of Medicine, University of Gadjah Mada
Array
Background: Misoprostol is a synthetic prostaglandin E1 analogue which is now commonly used for induction of labor. Hyperstimulation is a complication of misoprostol that may lead to uterine rupture.
Objective: To find the association between misoprostol exposure for induction of labor with uterine rupture.
Methods: Case were all women who delivered in Sardjito and affiliate Hospitals from January 2007 to November 2012 with the diagnosis of uterine rupture. Controls were taken randomly from the same hospital. Chi square test and logistic regression model were used for statistical analysis.
Result and Discussion: There were 53 cases of uterine rupture and 199 controls. The incidence of uterine rupture was 53 over 64,244 deliveries or 0,08%. Risk of of uterine rupture associated with misoprostol exposure was 1, 09 (CI 95% 0,52-2,2), while that of oxytocin exposure was 0,80 (CI 95% 0,35-1,85). Logistic regression analysis showed that the highest risk factor associated with uterine rupture was fetal weight > 3500 (OR 3,46; 95% CI 1,48-8,56) followed by parity (OR 2,56;95% CI 1,019-6,465) and vacuum extraction
(OR 2,45;95% CI 0,94-6,39).
Conclusion: There was no association between misoprostol exposure with uterine rupture. Fetal weight> 3500 gram, Parity more than 3, and vacuum extraction increased the risk of uterine rupture associated with misoprostol use.
Keywords: Misoprostol, induction of labor, uterine rupture, fetal weight, parity.
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2018-05-11 15:18:18
application/pdf
application/pdf
https://journal.ugm.ac.id/jkr/article/view/35445
Jurnal Kesehatan Reproduksi; Vol 3, No 2 (2016)
eng
Copyright (c) 2016 Jurnal Kesehatan Reproduksi
oai:jurnal.ugm.ac.id:article/35939
2018-05-18T02:52:57Z
jkr:ART
nmb a2200000Iu 4500
"160828 2016 eng "
2621-461X
2302-836X
dc
Perbandingan hasil stimulasi ovarium dengan kombinasi klomifen sitrat gonadotropin dan klomifen sitrat pada inseminasi intra uteri
Indriani, Farida
Departemen Obstetri dan Ginekologi, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan (FKKMK) UGM
Widad, Shofwal
Departemen Obstetri dan Ginekologi, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan (FKKMK) UGM
Sofoewan, Sulchan
Departemen Obstetri dan Ginekologi, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan (FKKMK) UGM
ovarian stimulation; clomiphene citrate; gonadotrophin; multifollicular; endometrial thickness
Background: Infertile couple with the cause of unexplained infertility and male factor can follow intrauterine insemination (IUI) program as a cheap and easy method for infertility therapy. Ovarian stimulation by combination of clomiphene citrate and gonadotropin and also clomiphene citrate alone was done as a superovulation mode to get higher number of mature follicle to gain higher pregnancy rate.
Objective : To compare the amount of mature follicles and endometrial thickness as an outcome of ovarian stimulation between combination drug of clomiphene citrate and gonadotrophin with clomiphene citrate alone.
Methods: Observational retrospective cohort. Subject is one cycle intrauterine insemination stimulated either by combination CC gonadotrophin or CC alone, eligible in inclusion criteria and exclusion criteria. Statistic test used was independent t-test, chi-square and logistic regression.
Location of study: Infertility Clinic of Permata Hati, dr. Sardjito Hospital, Yogyakarta.
Result: A total of 142 cycle from 98 couples followed IUI and stimulated by combination CC gonadotrophin (n=72) or CC alone (n=70). Multiple mature follicle number was different and statistically significant 77% vs 54%, RR 1,433 (IK95% 1,118-1,836), p=0,005, while endometrial thickness > 7mm was more frequent in combination group but not statistically different with percentage 81,9% vs 74,3%, RR 1,103 (CI95% 0,926-1,315), p=0,367.
Conclusion: Ovarian stimulation by combination CC gonadotropin resulting of more multiple mature follicle number while good endometrial thickness was more in combination group but not statistically significant.
Keywords: ovarian stimulation, clomiphene citrate, gonadotrophin, multifollicular, endometrial thickness
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2018-05-11 15:18:18
application/pdf
https://journal.ugm.ac.id/jkr/article/view/35939
Jurnal Kesehatan Reproduksi; Vol 3, No 2 (2016)
eng
Copyright (c) 2018 Jurnal Kesehatan Reproduksi
oai:jurnal.ugm.ac.id:article/35941
2018-05-18T02:52:57Z
jkr:ART
nmb a2200000Iu 4500
"160828 2016 eng "
2621-461X
2302-836X
dc
Efek Minyak Esensial Lavender Dibandingkan dengan Minyak Esensial Jahe terhadap Intensitas Nyeri Menstruasi pada Remaja
Pujiati, Wasis
Stikes Hangtuah Tanjungpinang
Sri Hartati W, Mae
Bagian Farmakologi dan Terapi, Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan (FKKMK) UGM
Hapsari, Elsi Dwi
Bagian Keperawatan, Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan (FKKMK) UGM
Menstrual pain; Essential oils; Lavender; Ginger; Adolescences
Background: Menstrual pain is the pain in the abdomen which is perceived before or during menstruation, that even when the menstrual pain is heavily painful, the sufferers leave their activities. Research in 2011 showed that the rate of occurrence of primary menstrual pain in Indonesian adolescences was about 54.89%. Various therapies have been used to cure the pain, both pharmacologically and nonpharmacologically. Pharmacologically, it is done by the usage of NSAID, and non-pharmacologically is done by using essential oil.
Objective: To know about the effects of lavender essential oil compared to ginger essential oil toward the intensity of menstrual pain in the adolescences of SHS 1 Muncar.
Method: True experimental design, with randomized pretest posttest design plan. Time of data retrieval was August-September 2014 in SMA 1 Muncar, Banyuwangi, East Java. Population in this research were female adolescences in class of X and XI, with the amount of 260 students, with samples’ amount of 30 for each treatment group. The sampling technique was simple random sampling. The dependent variable are the giving of lavender and ginger essential oils, meanwhile the independent variable are the reduction of the intensity of menstrual pain. Instrument which was used was Numerical Rating Scale. The data analysis used the Wilcoxon and Mann-Whitney Test.
Result and Discussion: The intensity of pain before and after intervention of essential oil of lavender and ginger are 5,47±1,19 vs 2,93±1,53, P=0,00 and 5,40±0,96 vs 2,93±1,43, P=0,00, respectively. Comparison of the effects essential oil of lavender and ginger have P >0,05.
Conclusion: Both lavender essential oil and ginger essential oil are effective in reducing the intensity of menstrual pain in adolescences.
Keywords: Menstrual pain, Essential oils, Lavender, Ginger, Adolescences
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2018-05-11 15:18:18
application/pdf
https://journal.ugm.ac.id/jkr/article/view/35941
Jurnal Kesehatan Reproduksi; Vol 3, No 2 (2016)
eng
Copyright (c) 2018 Jurnal Kesehatan Reproduksi
oai:jurnal.ugm.ac.id:article/35945
2018-05-18T02:52:57Z
jkr:ART
nmb a2200000Iu 4500
"160828 2016 eng "
2621-461X
2302-836X
dc
Pengaruh Pendidikan Kesehatan dengan Media Audiovisual Manajemen Laktasi terhadap Tingkat Pengetahuan dan Self Efficacy Ibu Menyusui
Citrawati, Ni Ketut
Program Studi Magister Keperawatan, FFakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan (FKKMK) UGM
Hapsari, Elsi Dwi
Bagian Keperawatan, Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan (FKKMK) UGM
Widyandana, Widyandana
Bagian Pendidikan Kedokteran, Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan (FKKMK) UGM
Health education; Audiovisual; Modules; Knowledge, Breastfeeding; Self-Efficacy
Background: Infant mortality rate in Indonesia in 2012 is 32 per 1,000 live births. It is less pleasant if
compared to the target Ministry of Health of Republic of Indonesia tries to achieve, which is 24 by 2014. The low rate of breastfeedingto one of the dominant factor that cause the mortality it is influenced by several factors, in which one of them is the mother’sknowledge about breast milk and breastfeeding. Health education on lactation management may help increase mothers’ ability to gain information as well as their confidence to breastfeeding their baby.
Objective: This research is conducted with the purpose to know the effect of health education with audiovisual on lactation management to the level of knowledge and self-efficacy among breastfeeding mothers.
Method: This research is categorized as quasi experimental one, whose design applies pre-test and post-test non-equivalent control group. It is conducted toward 32 breastfeeding mothers who receive health education as the treatment group, and to 32 breastfeeding mothers who are asked to read modules about breastfeeding as the control group. The sampling technique applies purposive sampling and simple random sampling. Data are processed by computer programs using Mann-Whitney test, Wilcoxon test, and linear regression model.
Result and Discussion : The score for the value of knowledge before treatment among both groups were relatively similar (p>0.05). After treatment, both groups have improvement, (p<0.05). The score of self-efficacy before treatment among both groups did not have significantly different (p>0.05). compared to control group, the intervention group has significantly higher score of knowledge (p>0.05)
Conclusion: Health education by audiovisual media and modules are more effective to improve the knowledge and self-efficacy among breastfeeding mothers compared to by only modules.
Keywords: Health education, Audiovisual, Modules, Knowledge, Breastfeeding, Self-Efficacy
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2018-05-11 15:18:18
https://journal.ugm.ac.id/jkr/article/view/35945
Jurnal Kesehatan Reproduksi; Vol 3, No 2 (2016)
eng
Copyright (c) 2018 Jurnal Kesehatan Reproduksi
oai:jurnal.ugm.ac.id:article/35947
2018-05-18T02:52:57Z
jkr:ART
nmb a2200000Iu 4500
"160828 2016 eng "
2621-461X
2302-836X
dc
Hubungan Komunikasi Interpersonal Orang Tua dengan Perilaku Seksual Pranikah Remaja di Kota Padang
Putri, Nita Tri
STIKes Fort De Kock, Bukittinggi, Sumatera Barat
Dasuki, Djaswadi
Bagian Obstetri dan Ginekologi, Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan (FKKMK) UGM
Wahyuni, Budi
PKBI Daerah Istimewa Yogyakarta
interpersonal communication;interpersonal communication of parents; adolescent premarital sexual behavior
Background: The phenomenon that is troubling many parties at the present time is the pattern of the adolescent courtship leading to sexual intercourse. Most teens consider premarital sexual behavior is normal and common. Interpersonal communication parents is not good to their children will cause conflicts that impact on adolescent premarital sexual behavior. By looking at the picture of interpersonal communication old man is expected to overcome adolescent premarital sexual behavior.
Objektive : The purpose of this study was to determine the relationship between interpersonal communication of parents toward adolescent premarital sexual behavior.
Method: This was an observational study using cross-sectional design and mixed methods approaches (quantitative and qualitative). The experiment was conducted at SMAN A, SMAN B, SMA C Idan MAN D Padang with research subjects totaling 299 teenagers. Informants for qualitative data that consists of 4 boys, 4 girls and 8 parents of the school to be studied.
Results and Discussion: Indicates that there is a statistically significant relationship (p <0.05) between the independent variables (interpersonal communication of parents) with dependent variable (adolescent premarital sexual behavior) with a RP 3.71 95% CI (2.62 to 5.25). interpersonal communication of parents after the controlled variable peers, the media and religiosity there is also an increase of 49%.
Conclusion: premarital sexual behavior in adolescents at risk because interpersonal communication of parents are not good . Other factors that affect the risk of premarital sexual behavior in adolescents are peers, the media and the level of religiosity. The results of in-depth interviews permissiveness and emotionally intimate relationship with parents also have an impact on the relationship is not good between parents and teenagers in interpersonal communication.
Keywords: interpersonal communication of parents, adolescent premarital sexual behavior
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2018-05-11 15:18:18
application/pdf
https://journal.ugm.ac.id/jkr/article/view/35947
Jurnal Kesehatan Reproduksi; Vol 3, No 2 (2016)
eng
Copyright (c) 2016 Jurnal Kesehatan Reproduksi
oai:jurnal.ugm.ac.id:article/35951
2018-05-18T02:52:57Z
jkr:ART
nmb a2200000Iu 4500
"160828 2016 eng "
2621-461X
2302-836X
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Hubungan antara Kepercayaan dan Keterpaparan Informasi dengan Pengetahuan dan Sikap terhadap Perawatan Metode Kanguru pada Bidan di Kabupaten Musi Rawas Sumatera Selatan Tahun 2016
Mudiyah, Siti
Magister Fakultas Kesehatan Masyarakat Universitas Indonesia
Pratomo, Hadi
Departemen Promosi Kesehatan dan Ilmu Perilaku Fakultas Kesehatan Masyarakat Universitas Indonesia
Besral, Besral
Departemen Biostatistik Fakultas Kesehatan Masyarakat Universitas Indonesia
Kangaroo Mother Care; Midwife; Belief; Attitude; Knowledge of KMC
Background: Infant and Neonatal mortality in Musi Rawas District is the highest in Southern Sumatera in 2014. Implementation of kangaroo mother care as Low Birth Weight treatment is still limited in the provincial general hospital Dr. Mohammad Hoesin, Palembang. At the present time, midwives as maternal and child health service provider, can access many information including Kangaroo Mother Care from various media.
Objectives: This study aimed to analyze the relationship between belief in the myth of LBW care and exposure information with the knowledge and attitudes toward kangaroo mother care on midwives in Musi Rawas District of Southern Sumatra 2016.
Method: Cross sectional study design used on 197 midwives with purposive sampling.
Result and Discussion: The results showed that midwives who have relatifely good knowledge about KMC As much as 50,8% and having relatively positive attitude towards KMC as much as 40.1%. There are a significant relationship between belief of LBW care (ρ=0,001; OR: 3,1; 95% CI: 1,6 – 5,8), exposure information from scientific media (ρ=0,039; OR: 2,4; 95% CI: 1,0 – 5,4), training (ρ=0,001; OR: 3.5; 95% CI: 1.7 – 7,5) with knowledge about KMC on midwives.
Conclusion: A significant relationship also demonstrated between exposure information from training with attitude towards KMC on midwives (ρ=0,003; OR: 2,8; 95% CI: 1,4 – 5,6). Improving quality of the midwives in Kangaroo Mother Care is very important so midwives can provide counseling, information, and education to mother since detected with LBW.
Keywords: Kangaroo Mother Care, Midwife, Belief, Attitude, Knowledge of KMC
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2018-05-11 15:18:18
application/pdf
application/pdf
https://journal.ugm.ac.id/jkr/article/view/35951
Jurnal Kesehatan Reproduksi; Vol 3, No 2 (2016)
eng
Copyright (c) 2018 Jurnal Kesehatan Reproduksi
oai:jurnal.ugm.ac.id:article/35955
2018-06-06T05:06:14Z
jkr:RA
nmb a2200000Iu 4500
"161221 2016 eng "
2621-461X
2302-836X
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Impact of Obstetrician/Gynecologist Hospitalists on Response Time of Obstetric Emergency Operation in Sardjito Hospital Yogyakarta Indonesia: A Retrospective Cohort Study
Ganap, Eugenius Phyowai
Departemen Obstetri dan Ginekologi, Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan (FKKMK) UGM
Hakimi, Mohammad
Departemen Obstetri dan Ginekologi, Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan (FKKMK) UGM
Hadijono, Soerjo
Departemen Obstetri dan Ginekologi, Fakultas Kedokteran,Universitas Diponegoro
Emilia, Ova
Departemen Obstetri dan Ginekologi, Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan (FKKMK) UGM
Array
Background: The hospitalist model in obstetric care which was introduced over the last decades now has an important role in care delivery management with the potential positive impact on maternal and neonatal outcomes.
Objective: The aim of this study was to evaluate the effect of hospitalist model towards surgical emergency response time.
Method: This research design was cohort a retrospective study. Participants included were the patient in the time before and after implementation of obstetrician/gynecologist full-hospitalist policy during October 2013 until September 2014. The outcome measured were mean response time and possible hospital factors which contribute to response time.
Result and Discussion: We included a total of 71 patients (30 on-call obstetrician group and 41 full-time hospitalist group). Univariate analysis indicated mean response time was significantly differ in full-time hospitalist group when compared to the on-call obstetrician group (65.3 + 25.89 vs. 84 + 22.29 mins; p = 0.002). Multivariable analysis determined that hospital factors which contribute to response time are readiness of operating theatre.
Conclusion: Implementation of full-time hospitalist model is associated with a significant improvement of response time in emergency obstetric care.
Keywords: Maternal mortality, Obstetrician/Gynecology Hospitalist, C-section, Response Time
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2016-12-21 00:00:00
application/pdf
application/pdf
https://journal.ugm.ac.id/jkr/article/view/35955
Jurnal Kesehatan Reproduksi; Vol 3, No 3 (2016)
eng
Copyright (c) 2016 Jurnal Kesehatan Reproduksi
oai:jurnal.ugm.ac.id:article/35956
2018-06-06T05:06:14Z
jkr:RA
nmb a2200000Iu 4500
"161221 2016 eng "
2621-461X
2302-836X
dc
Interaksi Sosial dalam Kejadian Abortus Provokatus Kriminalis di Kabupaten Bulukumba Provinsi Sulawesi Selatan
Ridwan, Rizal
RSUD Bulukumba Sulawesi Selatan
Prawitasari, Shinta
Departemen Obstetri dan Ginekologi, Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan (FKKMK) UGM
Prawirodihardjo, Leo
Departemen Obstetri dan Ginekologi, Fakultas Kedokteran, UNHAS
Array
Background: Many factors influence the decision to commit abortions, among all are marital status and educational status which most are still in school, economic pressure, multiparity or contaception failure. The social interaction is a connection between t the people who perform abortion and their suggestive environment.
Objective: to observe the social interaction that happend among the person who perform abortion and the surrounding society.
Method: This research makes use of qualitative method to understand the motives behind abortion practice, through an indepth interview. The sample collection is performed on H. A. Sulthan Dg Radja Hospital and Daffiku Hospital Bulukumba.
Result and Discussion: Subject who performed abortion was influenced by internal and external factors. The internal factors include anxiousness, financial worrisome to support the child and fear of embarrassing the family in an unmaried women. As for the external factor includes pressure from families and friends who insist on performing abortion and the help from traditional healer on performing abortion. These two factors are not independent, and between them there are interactions to materialize abortion practice.
Conclussion: Social interaction between individuals and between individual and the environment are an important role against abortion in decision making to have an provocative abortion.
Keywords: Social interaction, abortion, factors for abortion
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2016-12-21 00:00:00
application/pdf
https://journal.ugm.ac.id/jkr/article/view/35956
Jurnal Kesehatan Reproduksi; Vol 3, No 3 (2016)
eng
Copyright (c) 2016 Jurnal Kesehatan Reproduksi
oai:jurnal.ugm.ac.id:article/36036
2018-06-06T05:06:14Z
jkr:RA
nmb a2200000Iu 4500
"161221 2016 eng "
2621-461X
2302-836X
dc
Perilaku Ibu dalam Memilih Tenaga Penolong Persalinan di Wilayah Kerja Puskesmas Tembilahan Hulu Tahun 2016
Alhidayati, Alhidayati
Ilmu Kesehatan Masyarakat, STIKes Hang Tuah Pekanbaru
Asmuliyanti, Asmuliyanti
Ilmu Kesehatan Masyarakat, STIKes Hang Tuah Pekanbaru
Array
Background: Maternal Mortality Rate (MMR) is an indicator of health development in Indonesia. Some effort have been done to decrease maternal mortality ie to increase range labor by health personnel. The target coverage of labor by health personnel in Tembilahan Hulu Public health center has yet to reach the target of 80%. its coverage was only 45%. The number of maternal mortality in Tembilahan Hulu Health center in 2016 was 1 cases and the number of infant maternal mortality was 5 cases.
Objective: The purpose of this study was to determine the mother’s behavior in selecting birth attendants in health center in the region of the upstream Tembilahan Hulu.
Method: This research used qualitative method to gain the in depth information on how to Mother’s Behavior In Selecting Birth Attendants In Health Centers Working Area Tembilahan Hulu 2016. The data are analysed by using content analysis, which is comparing the result from the research with the theories in the literature.
Result and Discussion: There were 13 informants in this research. This study’s result showed that the decision for birth attendants were closely related to knowledge, attitude, socio-cultural, access to health center, and support from family. Advise to relevant agencies, namely health centers Tembilahan Hulu order to further increase coverage deliveries by health care and in personels villages to which access is far from health facilities to build Birth Waiting Homes (BWH).
Conclusion: The Decision for birth attendants were closely related to knowledge, attitude, socio cultural, acces to health center and support from family.
Keywords: birth attendant, community health center, pregnant women behavior
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2016-12-21 00:00:00
application/pdf
https://journal.ugm.ac.id/jkr/article/view/36036
Jurnal Kesehatan Reproduksi; Vol 3, No 3 (2016)
eng
Copyright (c) 2016 Jurnal Kesehatan Reproduksi
oai:jurnal.ugm.ac.id:article/36037
2018-06-06T05:06:14Z
jkr:RA
nmb a2200000Iu 4500
"161221 2016 eng "
2621-461X
2302-836X
dc
Peran Intervensi Grup Psikoterapi Suportif untuk Memperbaiki Keadaan Depresi pada Wanita Infertil di Klinik Permata Hati RSUP Dr. Sardjito Yogyakarta
Dhestiana, Mega
Departemen/SMF Jiwa Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan (FKKMK)
Marchira, Carla
Departemen/SMF Jiwa Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan (FKKMK)
Siswishanto, Rukmono
Departemen Obstetri dan Ginekologi Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan (FKKMK)
Widad, Shofwal
Departemen Obstetri dan Ginekologi Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan (FKKMK)
Array
Background: Infertility is a worldwide problem, relates to a devastating condition that can destroy couples striving to have children. It can affect both men and women, and cause psychological related distress, depression, and low self- -esteem. Most interventions using directional, complete, and integrated approach have been focused on improving the quality of life of infertile men or women. Supportive psychotherapy is an example of such interventions.
Objective: The study aimed to measure the effectiveness of supportive psychotherapy intervention in treating depression among infertile women.
Method: A quasi experiment design using a pre and post- -test with a control group was employed in this study. Subjects were women (n=80) with infertility cases who sought for treatment at PermataHati Clinic Dr. Sardjito hospital. during the period from April to September 2014. A modified short supportive psychotherapywas to groups of patients over the course of four sessions. The sessions were managed by trained facilitatorscomprising psychiatrist and psychologist. Personal data and Beck Depression Inventory (BDI)were then used to assess the patients depression state.
Result and Discussion: Findings indicated that 59.37% of the study subjects were found to have mild depression, whereas the other 40.63% had moderate depression. A significant change in BDI scores within the treatment group was found after intervention.
Conclusion:Modified short supportive psychotherapy intervention can effectivelly reduce depression on infertile women.
Keywords: modified short supportive psychotherapy, depression, infertile women
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2016-12-21 00:00:00
application/pdf
https://journal.ugm.ac.id/jkr/article/view/36037
Jurnal Kesehatan Reproduksi; Vol 3, No 3 (2016)
eng
Copyright (c) 2016 Jurnal Kesehatan Reproduksi
oai:jurnal.ugm.ac.id:article/36039
2018-06-06T05:06:14Z
jkr:RA
nmb a2200000Iu 4500
"161221 2016 eng "
2621-461X
2302-836X
dc
Evaluasi Clinical Pathway Seksio Sesarea: Keefektifan Penggunaan Antibiotika Injeksi Cefotaxime 2 Gram dalam 24 Jam untuk Mencegah Terjadinya Infeksi Luka Operasi
Fauziah, Rathi Manjari
Departemen Obstetri dan Ginekologi, Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan (FKKMK) UGM
Siswishanto, Rukmono
Departemen Obstetri dan Ginekologi, Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan (FKKMK) UGM
Widad, Shofwal
Departemen Obstetri dan Ginekologi, Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan (FKKMK) UGM
Array
Background: The usage of prophylactic antibiotics in Dr. Sardjito Hospital, Yogyakarta, is still diverse. Previously, prophylactic antibiotics that were given would be in a form of multidose and or multidrug regimen. Recently, a clinical pathway for c-section had been set up to uniform the antibiotics given. Cefotaime 2g, given intravenously, in 24 hours is the antibiotic of choice. Unfortunately, there was no data about the effetiveness of cefotaime that can be used as a basis of clinical pathway.
Objective: Comparing the incidence of surgical site infection (SSI) between cefotaime 2g,/24 hours (clinical pathway or CP) with previous regimen of prophylactic antibiotics (non-clinical pathway or nonCP) and also identify the risk factors.
Method: This is a retrospective cohort study with 129 subjects, divided into two groups. The CP group consists of 63 subjects, while non-CP group consists of 66 subjects. The surgical site infection was observed in the day 3 and day 10 aer C-section. Multivariat analysis was used to determine the risk factors of SSI.
Result and Discussion: SSI incidence in the CP group at day 3 was higher compared to non-CP group, but it was not statistically significant (OR 4,73 95% CI 0,52 43,04), eukocytosis (>17000/mcl) was the independent risk factor for SSI (OR 7,54 95% CI 1,25 45,39).
Conclusion: SSI incidence between two groups was not statistically significant but was clinically significant. The presence of leukocytosis is becoming the risk factor for SSI.
Keywords: prophylactic antibiotic, c-section, cesarean section, surgical site infectio
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2016-12-21 00:00:00
application/pdf
https://journal.ugm.ac.id/jkr/article/view/36039
Jurnal Kesehatan Reproduksi; Vol 3, No 3 (2016)
eng
Copyright (c) 2016 Jurnal Kesehatan Reproduksi
oai:jurnal.ugm.ac.id:article/36184
2018-06-06T05:06:14Z
jkr:RA
nmb a2200000Iu 4500
"161221 2016 eng "
2621-461X
2302-836X
dc
Robekan Perineum pada Persalinan Vaginal di Bidan Praktik Swasta (BPS) Daerah Istimewa Yogyakarta Indonesia Tahun 2014-2016
Pangastuti, Nuring
Departemen Obstetri dan Ginekologi, Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan (FKKMK) UGM
Array
Background: Vaginal delivery is the most preffered mode of delivery by all women, and the birth attendants. The vaginal delivery assistance was conducted by various health professionals such as midwives, physicians, and obstetricians. Various complaints of pelvic floor dysfunction and complaints related to the perineum as a result of vaginal perineal laceration during childbirth can affect the quality of life of a woman.
Objective: To identify and conduct an analysis of maternal factors (maternal age, parity, gestational age), fetal factor (birth weight), and the labor factor (duration of 2nd stage of labor), with the occurrence of perineal rupture in vaginal delivery at the 5 Midwife’s Private Clinic (MPC), Yogyakarta, Indonesia.
Method: Retrospective medical record searching, from January 2014 until December 2016.
Result and Discussion: There were 1595 obtained samples of data that met the criteria for inclusion and exclusion. Number of perineal laceration reached 1201 (75.3%), with 1.9% of them are grade 3. Perineal rupture occurred in 80.55% of vaginal deliveries at young age, 69.14% in more than 35 years old women, and 85.05% primiparas. There was significant negative correlation (0.186) between parity and perineal rupture (p=0.000). The less the parity, the higher the incidence of perineal rupture (p=0.002). There was significant correlation between baby’s weight less than 2500 gram and perineal rupture but not for the baby’s weight more than 4000grams (p=0.304). The correlation was positive which meant that the heavier the baby’s weight the higher the incidence of perineal rupture. There was significant positive correlation (p=0,018) for the duration of 2nd stage of labor between 30-60 minutes and perineal rupture(0.061). The correlation was positive as well (0.092) for the duration of 2nd stage of labor more than 60 minutes and perineal rupture( p=0.002). The longer the duration of the 2nd stage of labor the higher the incidence of perineal rupture.
Conclusion: There was significant relationship between parity, and duration of the 2nd stage of labor and perineal rupture in vaginal delivery.
Keywords: perineal rupture, vaginal delivery, parity, duration of the 2nd stage of labor
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2016-12-21 00:00:00
application/pdf
https://journal.ugm.ac.id/jkr/article/view/36184
Jurnal Kesehatan Reproduksi; Vol 3, No 3 (2016)
eng
Copyright (c) 2016 Jurnal Kesehatan Reproduksi
oai:jurnal.ugm.ac.id:article/36185
2018-06-06T05:06:14Z
jkr:RA
nmb a2200000Iu 4500
"161221 2016 eng "
2621-461X
2302-836X
dc
Perbandingan Kejadian Retensi Urin antara Persalinan dengan Vakum Ekstraksi dan Persalinan Normal
Petrana, Nurul Hikmah
Departemen Obstetri Ginekologi, Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan (FKKMK) UGM
Emilia, Ova
Departemen Obstetri Ginekologi, Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan (FKKMK) UGM
Pradjatmo, Heru
Departemen Obstetri Ginekologi, Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan (FKKMK) UGM
Array
Background: Urinary retention after vaginal delivery is a common problem with incidence 1.7% - 17.9%. Assissted vaginal delivery is one risk factor for the occurence of urinary retention.
Objective: to compare urinary retention between normal vaginal delivery and assissted vaginal delivery using extraction vacum, and evaluate factors related to urinary retention.
Method: The study was prospective cohort design, conducted in 3 hospitals and 2 primary health centres during 6 month period since September 2013- February 2014. Subjects were divided into two groups i.e. normal delivery and assissted delivery using extraction vacum, each 118 subjects. Events of urinary retention was assessed and also related factors were identified. Analysis used Chi-Square test, Fisher test and also logistic regression analysis.
Result and Discussion: In total 236 subjects were involved, there was no difference in age and parity among the subjects. Incidence of urinary retention among extraction vacum delivery group was higher (32.2%) compare to normal delivery (11.9%). Multivariate analysis using logistic regression showed that extraction vacum (p=0.074; OR 2.71; 95% CI 1.55-4.73), baby weight (p= 0.230; OR 1.95; 95% CI 0.655.84) and perineal injury (p= 0.614; OR 1.35; 95% CI 0.41-4.36) were not significant risk factors for urinary retention. Length of labour (p=0.003; OR 3.71; 95% CI 1.55-8.86) and parity (p= 0.023; OR 2.29; 95% CI 1.2-4.66) were significant risk factors for urinary retention.
Conclusion: Urinary retention is higher among vaginal delivery with extraction vacum compare to normal delivery. Length of labour and parity are external factors related to urinary retention.
Keywords: Assissted vaginal delivery, extraction vacum, normal delivery, urinary retention, postpartum
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2016-12-21 00:00:00
application/pdf
application/pdf
https://journal.ugm.ac.id/jkr/article/view/36185
Jurnal Kesehatan Reproduksi; Vol 3, No 3 (2016)
eng
Copyright (c) 2016 Jurnal Kesehatan Reproduksi
oai:jurnal.ugm.ac.id:article/36191
2018-06-06T05:06:14Z
jkr:RA
nmb a2200000Iu 4500
"161221 2016 eng "
2621-461X
2302-836X
dc
Pemaknaan Menopause pada Perempuan Bangsawan Keraton Jawa
Sulistiyani, Lisy
Fakultas Psikologi - Universitas Katolik Indonesia Atma Jaya
Suci, Eunike Sri Tyas
Fakultas Psikologi - Universitas Katolik Indonesia Atma Jaya
Array
Background: In most cases, women experience menopause with various kind of physical and psychological symptoms. Women’s understanding on menopause is influenced by their cultural background. Royal Javanese women are not sepatared from various Javanese traditions, such as “pitutur-pitutur”, “laku Jawa”, et cetera. Such traditions are the foundation they construct menopause experience.
Objective: The purpose of this research is to obtain the meaning of menopause as experienced by Royal Javanese Women.
Method: A qualitative method with in-depth interview is used in this research. Informants are seven Royal Javanese Women from three Javanese palaces: Solo, Yogyakarta and Cirebon; who were selected with purposive sampling technique.
Result and Discussion: Based on this research, the meaning of menopause as experienced by Royal Javanese Women is significantly influenced by their construction of Javanese culture. Menopause is understood as an important event occurred to woman’s body. As an important event, Royal Javanese Women carry out several preparations and anticipative efforts prior to Menopause. Preparations are outer and inner treatment and applied in day-to-day activities such as taking Javanese traditional herbs (jamu) and carry out Javanese traditions or rituals (fasting, meditation, et cetera).
Conclusion: The Acceptance of manapausal symptoms are the result of cultural exposure and aaptation in royal live enviroments.
Keywords: Menopause, Javanese Culture, Royal Javanese Women, Meaning
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2016-12-21 00:00:00
application/pdf
https://journal.ugm.ac.id/jkr/article/view/36191
Jurnal Kesehatan Reproduksi; Vol 3, No 3 (2016)
eng
Copyright (c) 2016 Jurnal Kesehatan Reproduksi
oai:jurnal.ugm.ac.id:article/36192
2018-06-06T05:14:59Z
jkr:ART
nmb a2200000Iu 4500
"160422 2016 eng "
2621-461X
2302-836X
dc
Analisis Angka Seksio Caesarea di RSUP Dr. Sardjito Yogyakarta Tahun 2009-2013
Dameria, Netty Katrina
Departemen Obstetri Ginekologi, Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan (FKKMK) UGM
Dasuki, Djaswadi
Departemen Obstetri Ginekologi, Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan (FKKMK) UGM
Siswishanto, Rukmono
Departemen Obstetri Ginekologi, Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan (FKKMK) UGM
caesarean section rate; caesarean section; low-risk group; high- risk group; angka seksio caesarea; seksio caesarea; kelompok risiko rendah; kelompok risiko tinggi
Background: Caesarean section is a procedure to reduce maternal and perinatal mortality and morbidity. The caesarean section rate is continuously uprising in the last 3 decades. However, the increasing rate, especially in low risk women, may compromise maternal and perinatal outcome. In 1985, WHO recommended that optimal national caesarean rates should be in the range of 5% to 10% and the rate above 15% might be less benefits. Previous study conducted in DR Sardjito hospital reported caesarean section rate in 1996 was 13.38%, while in 2001 was 18.39%. In national level, based on Indonesia Basic Health Survey 2010, caesarean section rate was 10.8%. Therefore, in this study we analyzed the rate of Caesarean section performed in DR Sardjito hospital, and studied whether the operations occurred in high-risk group or low-risk group.
Objective: To compare the rate of caesarean section between high-risk group and low-risk group in DR Sardjito hospital
Method: Retrospective cohort
Result and Discussion: Participants of this study were 7821 patients undergoing labor at RSUP DR Sardjito in 2009-2013. Among them, 3152 patients underwent caesarean section and 4669 patients underwent vaginal delivery. There was an increasing in the overall caesarean section rate of 38,7% in 2009 to 43% in 2013. T-test found the presence of significant differences between the caesarean section rate of high-risk group and low-risk group in 2009-2013 (p<0.05) with a mean difference was 28.5 (20.2-36.8). Caesarean section rate of high-risk group was significantly higher than the low-risk group (p<0.05).
Conclusion: There was a difference in caesarean section rate of high-risk group compared to low-risk group. Caesarean section rate in high-risk group was significantly higher than in the low-risk group.
Keywords: caesarean section rate, caesarean section, low-risk group, high- risk group
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2016-04-22 00:00:00
application/pdf
https://journal.ugm.ac.id/jkr/article/view/36192
Jurnal Kesehatan Reproduksi; Vol 3, No 1 (2016)
eng
Copyright (c) 2016 Jurnal Kesehatan Reproduksi
oai:jurnal.ugm.ac.id:article/36193
2018-06-06T05:14:59Z
jkr:ART
nmb a2200000Iu 4500
"160422 2016 eng "
2621-461X
2302-836X
dc
Hubungan Umur Ibu, Paritas dan Penolong Persalinan dengan Kematian Neonatal di Wilayah Kerja Puskesmas Kabupaten Banjarnegara tahun 2013
Rofiqoch, Isnaeni
Program Studi Magister Kebidanan, Fakultas Kedokteran Universitas Padjadjaran
Effendi, Jusuf S.
Fakultas Kedokteran Universitas Padjadjaran
Bratakoesoema, Dinan S.
Fakultas Kedokteran Universitas Padjadjaran
Neonatal mortality; maternal age; parity; birth attendants; Kematian neonatal; umur ibu; paritas; penolong persalinan
Background: The neonatal mortality rate is Banjarnegara district is high compared with a target of IMR in Central Java province. In 2012 the neonatal mortality rate in Banjarnegara reached 316 cases, whereas in 2013 there were 115 cases in all health centers working area. The high neonatal mortality rate in Banjarnegara influenced by the persistence of early marriage in woman, birth attendant by non skilled health worker (dukun bayi) and women’s parity more than 4.
Objective: The purpose of this study is to analyze the correlation between maternal age, parity and birth attendants with the incidence of neonatal mortality and examine the most dominant factors influencing the incidence neonatal mortality in the Health Center working area in Banjarnegara.
Method: This study is a case control study design with retrospective approach. The data consists of perinatal verbal autopsy and medical records as many as 136 respondents consisting of 68 mothers who gave birth to her child and neonatal death and 68 maternal and child alive. Subjects were mothers who gave birth a baby who died aged 0-28 days.
Result and Discussion: Statistical analysis using Chi Square, Mann Whitney, and multiple logistic regression. The results showed maternal age and parity variables were not significantly corerelated with neonatal mortality (p> 0.05), the variables significantly corerelated with neonatal mortality was birth attendants with p = 0.001. The results of logistic regression showed the strength of the corerelation from the most dominant variable to the smallest variable were birth attendants with OR: 5.64 (95% CI: 1.81 to 17.4), maternal age OR 3.97 (CI 95%, from 1.54 to 10.22), and parity OR: 0.32 (CI 95% 0.12 to 0.87).
Conclusion: In conclusion, there was no relationship between maternal age and parity with neonatal mortality but there was a relationship between birth attendants with neonatal mortality. Based on the results of the multivariable analysis, birth attendants’ effect on the incidence of neonatal deaths was 5 times greater than mother’s age and parity.
Keywords: Neonatal mortality, maternal age, parity, birth attendants
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2016-04-22 00:00:00
application/pdf
https://journal.ugm.ac.id/jkr/article/view/36193
Jurnal Kesehatan Reproduksi; Vol 3, No 1 (2016)
eng
Copyright (c) 2016 Jurnal Kesehatan Reproduksi
oai:jurnal.ugm.ac.id:article/36199
2018-06-26T07:37:00Z
jkr:ART
nmb a2200000Iu 4500
"180626 2018 eng "
2621-461X
2302-836X
dc
Client Satisfaction After Family Planning Counseling by Trained Medical Students
Prawitasari, Shinta
Departemen Obstetri Ginekologi, Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan (FKKMK) UGM
Sangun, Diannisa I E
Departemen Obstetri Ginekologi, Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan (FKKMK) UGM
Rahman, Muhammad Nurhadi
Departemen Obstetri Ginekologi, Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan (FKKMK) UGM
Emilia, Ova
Departemen Obstetri Ginekologi, Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan (FKKMK) UGM
kepuasan; keluarga berencana,;konseling; mahasiswa kedokteran
Latar Belakang: Program keluarga berencana mengalami tren penurunan di Indonesia dikarenakan adanya kendala pengetahuan, hambatan budaya, dan ketidakpuasan klien terhadap efek dari penggunaan alat kontrasepsi. Konseling keluarga berencana oleh penyedia layanan kesehatan memainkan peran yang penting dalam memberikan informasi mengenai metode program keluarga berencana.
Tujuan: Mengetahui kepuasan klien terhadap konseling keluarga berencana yang dilakukan oleh mahasiswa kedokteran yang telah dilatih.
Metode: Penelitian ini merupakan pre-experiment design with posttest only. Dua puluh lima mahasiswa kedokteran yang mengikuti progam ditugaskan untuk memberikan konseling keluarga berencana kepada klien program keluarga berencana di Kabupaten Sleman, Yogyakarta. Modifikasi kuisioner dari William dkk digunakan untuk menilai kepuasan klien. Analisis deskriptif dilakukan dengan program SPSS versi 21.
Hasil dan Pembahasan: Dari 69 klien yang mendapatkan pelayanan,secara umum lebih dari 97% klien merasa puas dengan pelayanan yang diberikan kecuali pada poin waktu tunggu dimana ketidakpuasan klien 11,8%. Kepuasan pada poin merasa dihormati, durasi konseling, metode pemberian informasi, kesempatan bertanya, dan kesesuaian antara informasi yang dibutuhkan dengan yang diberikan mencapai 98,5-100%.
Kesimpulan: Sebagian besar klien merasa puas dengan konseling yang diberikan oleh mahasiswa kedokteran.
Kata kunci: kepuasan, keluarga berencana, konseling, mahasiswa kedokteran
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2018-06-26 14:37:00
application/pdf
https://journal.ugm.ac.id/jkr/article/view/36199
Jurnal Kesehatan Reproduksi; Vol 4, No 3 (2017)
eng
Copyright (c) 2017 Jurnal Kesehatan Reproduksi
oai:jurnal.ugm.ac.id:article/36477
2018-06-25T07:16:50Z
jkr:ART
nmb a2200000Iu 4500
"140625 2014 eng "
2621-461X
2302-836X
dc
Hubungan Pemakaian Antibiotik dengan Kejadian Infeksi Sectio Caesarea pada Pasien di RSUD Abepura Jayapura Papua
Emma, Nani
RS Abepura, Jayapura, Papua
Emilia, Ova
Bagian Obstetri Ginekologi, Fakultas Kedokteran, UGM
Prawitasari, Shinta
Bagian Obstetri Ginekologi, Fakultas Kedokteran, UGM
antibiotic use; caesarean section; incidence of infection;
Background: The number of caesarean section (CS) operations in the world has increased sharply within the last 20 years. Increase of the need for CS operations also increases the problem related to surgical process. Infection happens about 2% to 16% after CS operation. The incidence of post CS is associated with some factors such as supplementation of prophylaxis antibiotics, duration of childbirth, width of membrane wound, duration of surgical nursing monitoring and number of CS. CS infection associated with antibiotic use occurs before or after CS operation. The incidence increases 3 times in patients that do not use antibiotics before CS operation. Use of prophylaxis antibiotics in CS operation significantly minimizes the incidence of infection.
Objective: To identify antibiotic use according to standard operational procedure to the incidence of infection in CS mothers.
Method: The study was analytical with cross sectional design, undertaken at Abepura Local Hospital. Population were all mothers who gave birth through CS at the hospital. Samples were taken using systematic random sampling technique as many as 44 samples. Data were obtained through questionnaire, interview and document studies and analyzed using chi square and logistic regression test, risk prevalence at confidence interval (CI) 95% and significance p<0.05.
Result: The majority of subject (56.82%) had no infection; 59.09% used antibiotics according to the procedure; 52.27% had good nutrition status; 54.55% had emergency operation; 50% had anemia. Average length of CS operation was 2.26 +1.38 hours. There was significant association between antibiotic use, nutrition status, Hb level, and types of operation and the incidence of CS infection (p<0.05). The result of multivariate analysis showed there was significant association between antibiotic use, nutrition status, types of operation and the incidence of infection. Use of antibiotic brought dominant risk for the incidence of CS infection (PR=2.36; 95% CI=1.45-3.38) whereby antibiotic use, nutrition status and types of operation could predict the incidence of CS infection as much as 10.7%.
Conclusion: The majority of subject had no infection and used antibiotic according to the procedure. The probability for the incidence of CS infection was greater in antibiotic use irrelevant with the procedure. Factor most dominantly affecting the incidence of CS infection was antibiotic use irrelevant with the procedure.
Keywords: antibiotic use, caesarean section, incidence of infection
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2014-06-25 00:00:00
application/pdf
https://journal.ugm.ac.id/jkr/article/view/36477
Jurnal Kesehatan Reproduksi; Vol 1, No 1 (2014)
eng
Copyright (c) 2014 Jurnal Kesehatan Reproduksi
oai:jurnal.ugm.ac.id:article/36478
2018-06-26T07:37:00Z
jkr:ART
nmb a2200000Iu 4500
"171222 2017 eng "
2621-461X
2302-836X
dc
Dampak Konseling Individu dan Konseling Berpasangan terhadap Penggunaan Kontrasepsi Pascasalin: Randomized Controlled Trials (RCT)
Shintiana, Linda
Badan Pemberdayaan Perempuan dan Keluarga Berencana Kabupaten Paser
Nurdiati, Detty Siti
Departemen Obstetri dan Ginekologi Fakultas Kedokteran Universitas Gadjah Mada https://scholar.google.co.id/citations?user=d5jS8q8AAAAJ&hl=id&oi=ao
Sumarni, Sumarni
Departemen Ilmu Kedokteran Jiwa Fakultas Kedokteran Universitas Gadjah Mada
Counseling; postpartum contraception; Konseling; kontrasepsi pasca persalinan
Background: The achievement of Contraceptive Prevalence Rate (CPR) is 57.9%, which indicates that the Family Planning has not run optimally one of which concerns the utilization of family planning counseling as an attempt to avoid an unplanned pregnancy. The postpartum period is a period appropriate in using contraception. Some studies suggest that the counseling given by health workers will increase the interest of potential acceptors of contraception.
Objective:The objective of this research is to increase the utilization of postpartum contraception counseling.
Method: This research used Randomised Controlled Trial (RCT) method to provide counseling to couples and individuals. The subject of this study were the final trimester pregnant women with Simple Random Sampling and technique then were randomized to determine the intervention and control groups. Bivariable analysis use statistical test Chi Square with CI 95 % and P value <0.05 and binomial logistic regression multivariable analysis.
Result and Discussion:The proportion of postpartum contraceptive utilization in the intervention group compared with the control group was 86% the percentage difference. Variable wife age and information have a significant influence on the utilization of contraception postpartum.
Conclusion:The use of counseling in pairs in pregnant women effectively increases the utilization of postpartum contraception.
Keywords: Counseling, postpartum contraception
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2018-06-26 14:37:00
application/pdf
https://journal.ugm.ac.id/jkr/article/view/36478
Jurnal Kesehatan Reproduksi; Vol 4, No 3 (2017)
eng
Copyright (c) 2017 Jurnal Kesehatan Reproduksi
oai:jurnal.ugm.ac.id:article/36479
2018-06-26T07:37:00Z
jkr:ART
nmb a2200000Iu 4500
"171222 2017 eng "
2621-461X
2302-836X
dc
Hubungan antara Saat Penanganan Kegawatdaruratan Maternal di Luar atau Saat Jam Kerja dengan Waktu Tanggap di RSUD LA Temmamala Kabupaten Soppeng, Sulawesi Selatan
Fadillah, Fadillah
RSUD Ajjappange Soppeng, Sulawesi Selatan
Hakimi, Mohammad
Departemen Obstetri dan Ginekologi, Fakultas Kedokteran, Universitas Gadjah Mada https://scholar.google.co.id/citations?user=k4wqzHUAAAAJ&hl=id&oi=ao
Siswosudarmo, Risanto
Departemen Obstetri dan Ginekologi, Fakultas Kedokteran, Universitas Gadjah Mada
Malinta, Umar
Departemen Obstetri dan Ginekologi, Fakultas Kedokteran, Universitas Hassanudin
Time of management; Obstetric emergency; 1st, 2nd and 3rd response time; Saat penanganan; kegawatdaruratan maternal; waktu tanggap I,II dan III
Background: The national maternal mortality rate is still high at 228 per 100.000 live births. Three late allegedly related to high maternal mortality rate, are 1)too late for decision making, 2) too late for access service and 3) too late for get treatment at referral health facility. Response time for maternal emergency treatment in the hospital plays an important role, since it affects the final result.
Objective: To determine the relationship between the time of obstetric emergency management and response time.
Method: This study used cross sectional design with the population of study was obstetric emergency patients. One hundred and forty-five subjects were divided into two group: group treated outside of working hours as exposed groups and groups treated during working hours as control groups. Delay of response time were observed. Data was processed by statistical program using computer. Chi square test and logistic regression analysis were used to perform statistical tests.
Result and Discussion: From September 1st 2015 to April 30th 2016, there were 145 cases with obstetric emergency handled. A total 82 cases among 145 (56,6%) received emergency management outside working hours. It was found that the 1st response time was delayed in handling outside work hours compared to handling during working hours (RR 2,22; 95% CI 164-3,00). The same was obtained at 2nd response time (RR 1,39; 95% CI 1,04-1,86) and 3rd response time (RR 1,65; 95% CI 1,14-2,31). Multivariate analysis was found that time of the emergency handling was the most dominant variable that affect all response time [1st response time (OR 12,61; 95% CI 4,82-32,03), 2nd response time (OR 2,17; 95% CI 1,05-4,47), 3rd response time (OR 7,70; 95% CI 1,91-31,10)]. PONEK with midwife on duty also influence 1st response time (OR 3,28; 95% CI 1,21-8,93).
Conclusion: Obstetric emergency management outside of work hours increased the occurence of response time delay.
Keywords: Time of management, Obstetric emergency, 1st, 2nd and 3rd response time.
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2018-06-26 14:37:00
application/pdf
https://journal.ugm.ac.id/jkr/article/view/36479
Jurnal Kesehatan Reproduksi; Vol 4, No 3 (2017)
eng
Copyright (c) 2017 Jurnal Kesehatan Reproduksi
oai:jurnal.ugm.ac.id:article/36480
2018-06-26T07:37:00Z
jkr:ART
nmb a2200000Iu 4500
"171222 2017 eng "
2621-461X
2302-836X
dc
Indications and Complications of Obstetrical Hysterectomy: Sardjito Hospital Experience
Eda, Maria Katharina
Departemen Obstetri dan Ginekologi, Fakultas Kedokteran UGM
Siswanti, Edi Patmini Setya
Departemen Obstetri dan Ginekologi, Fakultas Kedokteran UGM
Widad, Shofwal
Departemen Obstetri dan Ginekologi, Fakultas Kedokteran UGM
Histerektomi obstetrik; atonia uteri; dehisensi uterus segmen bawah; ruptur uteri; Obstetrical hysterectomy; uterine atony; lowers uterine segment dehiscence; uterine rupture
Latar Belakang: Histerektomi obstetri adalah operasi besar dan tetap merupakan salah satu bencana di bidang obstetri. Tindakan ini jarang dilakukan, namun merupakan operasi penyelamatan hidup dalam kasus perdarahan obstetrik yang sulit ditangani. Hal itu terkait dengan peningkatan morbiditas dan mortalitas ibu.
Tujuan: Untuk menentukan indikasi dan komplikasi histerektomi obstetri di RSUP Dr. Sardjito. Metode: Penelitian ini menggunakan metode penelitian retrospektif kasus histerektomi obstetrik di RSUP Dr. Sardjito pada Januari 2012 hingga April 2015.
Hasil dan Pembahasan: Selama masa studi, 30 histerektomi obstetri dilakukan. Delapan puluh persen kasus merupakan kasus rujukan. Rata-rata usia 32,47 tahun dengan standar deviasi 5,91. Atonia uteri merupakan indikasi yang paling umum (40%), diikuti oleh dehisensi uterus segmen bawah (33,3%), ruptur uteri (16,7%) dan plasenta akreta (10%). Tipe histerektomi yang dilakukan adalah histerektomi supra servikal sebesar 46,7%, histerektomi abdominal total 33,3%, dan histerektomi sesar 6%. Komorbiditas intraoperatif yang paling umum adalah kehilangan darah masif (93,3%). Disseminated Intravascular Coagulation (DIC) menyebabkan 30% dari komorbiditas pasca operasi. Kematian ibu mencapai 20%.
Kesimpulan: Indikasi histerektomi obstetri ialah atonia uteri, dehisensi uterus segmen bawah, ruptur uterus, dan plasenta akreta. Komplikasi intraoperatif yang paling sering terjadi ialah kehilangan darah. DIC merupakan komplikasi paska operatif terbanyak dan penyebab utama kematian.
Kata Kunci: Histerektomi obstetrik, atonia uteri, dehisensi uterus segmen bawah, ruptur uteri.
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2018-06-26 14:37:00
application/pdf
https://journal.ugm.ac.id/jkr/article/view/36480
Jurnal Kesehatan Reproduksi; Vol 4, No 3 (2017)
eng
Copyright (c) 2017 Jurnal Kesehatan Reproduksi
oai:jurnal.ugm.ac.id:article/36511
2018-06-26T07:37:00Z
jkr:ART
nmb a2200000Iu 4500
"171222 2017 eng "
2621-461X
2302-836X
dc
Persepsi tentang Kanker Serviks dan Upaya Prevensinya pada Perempuan yang Memiliki Keluarga dengan Riwayat Kanker
Rio, Susi
Fakultas Psikologi, Universitas Katolik Indonesia Atma Jaya
Suci, Eunike Sri Tyas
Fakultas Psikologi, Universitas Katolik Indonesia Atma Jaya
woman psychology; woman body; married woman; woman reproductive health; cervical cancer; health belief model (HBM); Psikologi wanita; tubuh wanita; wanita menikah; kesehatan reproduksi wanita; kanker serviks; (HBM) health belief model
Background: Cervical cancer has become a major problem in women’s health not only causing morbidity but also leading to many deaths. Data released by Center for Data and Information Ministry of Health of the Republic of Indonesia showed that in 2013 there were 98,692 patients with cervical cancer in Indonesia the Increasing was mortality of cervical cancer is thought due to delay in handling.
Objective: This study was aimed to see a comprehensive perception of cervical cancer and prevention efforts in women who had families with a history of cancer.
Method: The approach used in this study was a qualitative approach in which the datas were collected through in-depth interviews and observations.
Results and Conclusions: The results of this study showed all five informants perceived cervical cancer as a malignant disease. They found themselves at risk for cervical cancer as well. Four of 5 informants said they would seek immediate preventive measures, but only two of them had made prevention efforts. One informant who, despite believing cervical cancer as a malignant disease and aware of the risks of this disease, and knowing there were efforts that could be done to avoid cervical cancer stated she would not make any prevention efforts.
Keywords: woman psychology, woman body, married woman, woman reproductive health, cervical cancer, health belief model (HBM)
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2018-06-26 14:37:00
application/pdf
https://journal.ugm.ac.id/jkr/article/view/36511
Jurnal Kesehatan Reproduksi; Vol 4, No 3 (2017)
eng
Copyright (c) 2017 Jurnal Kesehatan Reproduksi
oai:jurnal.ugm.ac.id:article/36513
2018-06-26T07:37:00Z
jkr:ART
nmb a2200000Iu 4500
"171222 2017 eng "
2621-461X
2302-836X
dc
Perbandingan Kejadian Missing String IUD CUT 380A Pascasalin antara yang Dipasang Menggunakan R_Inserter dengan yang Dipasang Menggunakan Klem Cincin (Evaluasi 13-24 Bulan)
Dewi, Silvy Kusuma
Departemen Obstetri dan Ginekologi, FKKMK UGM
Siswosudarmo, Risanto
Departemen Obstetri dan Ginekologi, FKKMK UGM
Lutfi, Muhammad
Departemen Obstetri dan Ginekologi, FKKMK UGM
postpartum IUD; R_inserter; ring forceps; missing strings; malposition; IUD pascasalin; klem cincin
Background: One of the main complaint of IUD client was missing string. The main cause of missing string was folded string into the cervical canal. The incidence of translocation in case of missing string was 0 – 5%.
Objective: To compare the incidence of missing strings IUD CuT 380A inserted by R_inserter compared to ring forceps during postpartum period in addition to compare incidence of malposition, cumulative expulsion, the continuation of IUD, pregnancy and menstrual complaints
Method: The study was conducted in Sardjito Hospital Yogyakarta. The subjects were divided into two groups, of exposed group (inserted postpartum IUD using R_inserter) and control group (inserted postpartum IUD by using ring forceps). Follow-up was performed in the period of 13-24 months postpartum. Data was analized with Chi-square test and relative risk for comparing two proportions.
Result and Discussion: A total of 178 study subjects consisted of 91 subjects inserted with R_inserter and 87 subjects with a ring forceps. The incidence of missing strings in R_inserter was lower than ring forceps group, 1.2% vs. 3.6% (RR 0.33; 95% CI 0.36-3.18). There was only one subject IUD malposition from ring forceps group. The incidence of expulsion cumulative in the R_inserter was higher than ring forceps, 6.0% vs 4.1% (RR 1.47; 95% CI 0.43-5.05). The continuation rate of IUD in R_inserter and ring forceps groups was 83% and 85.7% (RR 0.97; 95% CI 0.86-1.09) and no incidence of pregnancy. Number of menstrual complaints on R_inserter were lower than the ring forcep 2.4% vs. 3.6% (RR 0.66%; 95% CI 0.11-3.83).
Conclusions: There was no difference in the incidence of missing strings, malposition, expulsion, continuity and menstrual complaints between IUD CuT 380A inserted by R_inserter and ring forceps during the postpartum period.
Keywords: postpartum IUD, R_inserter, ring forceps, missing strings, malposition.
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2018-06-26 14:37:00
application/pdf
https://journal.ugm.ac.id/jkr/article/view/36513
Jurnal Kesehatan Reproduksi; Vol 4, No 3 (2017)
eng
Copyright (c) 2017 Jurnal Kesehatan Reproduksi
oai:jurnal.ugm.ac.id:article/37643
2018-10-02T09:07:33Z
jkr:RA
nmb a2200000Iu 4500
"180925 2018 eng "
2621-461X
2302-836X
dc
Psikoedukasi Dzikr Menurunkan Kadar Kortisol dan Meningkatkan Kadar IGG pada Ibu Primipara
Wahyuni, Sri
Poltekkes Kemenkes Surakarta https://scholar.google.com/citations?authuser=1&user=rb7BiMQAAAAJ
Anies, Anies
Fakultas Kedokteran, Universitas Diponegoro
Soejoenoes, Ariawan
Fakultas Kedokteran, Universitas Diponegoro
Putra, Suhartono Taat
Fakultas Kedokteran, Universitas Airlangga
Array
Background: Unstable emotions that are common during the perinatal period affect hormonal regulation and affect immunity. Research of psychoeducation dhikr be important was done to reduce perceived stress so that cortisol levels can be controlled hence IgG increases.
Purposes: to prove additional psychoeducation of dhikr in routine midwifery care more influential on decreasing cortisol and increasing IgG among primiparous women.
Methods: This study was an experimental study. A number of 24 participants as intervention group and a number of 23 participants as control group. Cortisol and IgG levels measured using ELIZA kits in the third trimester of pregnancy, the three days and tenth days after birth. Statistical test using General Linear Model and independent t test to compare Δ score.
Results: The result showed mean difference between groups on the end of interventions, cortisol 18.95, CI 95% (-13.42 – 51.33) and p value is 0.245. The difference of the IgG between groups 482.72, CI 95% (55,51 - 909,93) and p value is 0.028.
Conclusions: Additional psychoeducation of dhikr in routine midwifery care has more decrease Cortisol and increase IgG levels in primiparous women.
Keywords: Cortisol, Psychoeducation Dzikr, IgG, Primiparous
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2018-09-25 09:19:49
application/pdf
https://journal.ugm.ac.id/jkr/article/view/37643
Jurnal Kesehatan Reproduksi; Vol 5, No 2 (2018)
eng
Copyright (c) 2018 Jurnal Kesehatan Reproduksi
oai:jurnal.ugm.ac.id:article/37823
2019-05-31T06:00:14Z
jkr:ART
nmb a2200000Iu 4500
"190531 2019 eng "
2621-461X
2302-836X
dc
Studi Literatur Perbedaan Ekspresi Messenger Ribonucleid Acid (mRNA) Reseptor Androgen Setelah Pemberian Testosteron antara Penis dan Kelenjar Prostat Tikus Wistar Jantan (Rattus Norvegicus) Pascakastrasi
Arini, Luh Ari
Jurusan D3 Kebidanan, Fakultas Olahraga dan Kesehatan, Universitas Pendidikan Ganesha
Array
Background: Aging process (andropause) in men will cause a decrease in testosterone hormones, in other that decrese of androgen receptor (testosteron and dhyhidrtestosterone) in target organ, can be seen from AR mRNA expression. Andropause finaly impact of male reproductive organ, so given testosterone hormone therapy is important to restore the condition. Giving testosterone hormone causes increase the expression of AR mRNA in the prostate gland and penis, but in these two organs there is a different increase.
Objective: to know the difference of expression AR mRNA after administration of testosterone between prostate gland and penis.
Method: This article used literature review from database of intisari sains medis.
Results and Discussion: AR mRNA expression in the prostate gland is smaller than the penile tissue, due to the prostate gland in addition to the 5α reductase enzyme there are also many aromatase enzymes. In the normal prostate gland the amount of 5α reductase is small, so the addition of testosterone is converted to DHT but also in aromatization to estrogen. Therefore, fewer androgen receptors are found compared to the tissue of the penis, in addition expression of AR mRNA in the preputial penis is higher than the prostate gland.
Conclusion: Penile tissue is more responsive to testosterone and improves the function and maintenance of tissue especially in old. Keywords: androgen receptor mRNA; testosterone; penis and prostate
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2019-05-31 13:00:14
application/pdf
https://journal.ugm.ac.id/jkr/article/view/37823
Jurnal Kesehatan Reproduksi; Vol 6, No 1 (2019)
eng
Copyright (c) 2019 Jurnal Kesehatan Reproduksi
oai:jurnal.ugm.ac.id:article/37885
2018-10-02T09:07:33Z
jkr:RA
nmb a2200000Iu 4500
"180925 2018 eng "
2621-461X
2302-836X
dc
Peran Nilai Pribadi, Nilai Budaya dan Nilai Religius terhadap Sikap Remaja Perempuan tentang Seks Pranikah (Suatu Kajian pada Remaja Perempuan di Maumere dan Larantuka, NTT)
Sabarni, Susana
Program Magister Psikologi
Universitas Katolik Indonesia Atma Jaya Jakarta
Hidajat, Lidia Laksana
Universitas Katolik Indonesia Atma Jaya Jakarta
Array
Latar Belakang : Pesatnya perkembangan teknologi informasi, memudahkan remaja mengakses semua hal yang berhubungan dengan informasi seputar seks. Dengan kemudahan yang dimiliki untuk mengakses teknologi informasi ini, remaja seringkali terekspos oleh konten-konten pornografi. Secara langsung maupun tidak langsung akan memengaruhi sikap remaja terhadap perilaku seks pranikah.
Tujuan : Mengetahui peran nilai pribadi, nilai budaya dan nilai religius dikaitkan dengan sikap remaja perempuan di Maumere dan Larantuka terhadap perilaku seks pranikah serta mengetahui sikap remaja perempuan terhadap perilaku seks pranikah.
Metode : Penelitian menggunakan pendekatan mixed method, pengukuran sikap melalui pengisian kuesioner dan diskusi kelompok terarah (FGD) untuk mengetahui gambaran sikap remaja perempuan terhadap perilaku seks pranikah yang dikaitkan dengan nilai pribadi, nilai budaya dan nilai religius. Kegiatan penelitian dilakukan pada empat SMA di Maumere dan Larantuka. Jumlah partisipan 120 orang, diperoleh dengan teknik accidental sampling. Sebagai informasi tambahan dilakukan wawancara dengan tokoh budaya di Maumere dan tokoh agama di Larantuka.
Hasil dan pembahasan : Berdasarkan pengolahan data terhadap pengukuran skala sikap diperoleh gambaran bahwa pada dasarnya remaja perempuan di Maumere dan Larantuka tidak menyetujui hubungan seks pranikah, meskipun telah terjadi pergeseran nilai. Sikap ini berdasarkan pada nilai-nilai pribadi yang diyakini remaja yaitu pertimbangan etika dan moral, dampak kehamilan, aborsi atau penyakit menular seksual. Dalam konteks budaya, pertimbangan remaja adalah sanksi sosial yang akan diperoleh dari kehamilan di luar nikah. Sedang dalam konteks religius, remaja mempertimbangkan tentang dosa. Berdasarkan diskusi kelompok terarah (FGD) disimpulkan bahwa nilai religius dirasakan sangat penting oleh partisipan karena dapat menumbuhkan iman dan memberi dorongan,arah dalam bertingkah laku. Nilai-nilai religius juga berperan dalam memberi motivasi dan membimbing seseorang untuk melakukan perbuatan yang baik. Dalam konteks budaya, para partisipan berpendapat bahwa budaya sangat penting karena dalam budaya diajarkan tentang perilaku yang pantas dan tidak pantas dilakukan. Oleh karena itu dibutuhkan pendampingan orangtua dalam mendidik dan menanamkan nilai-nilai moral dan etika.
Kesimpulan : Pernyataan sikap tidak setuju terhadap perilaku seks pranikah merupakan internalisasi nilai-nilai budaya dan religius yang akhirnya membentuk sikap remaja di Maumere dan Larantuka
Kata kunci : Peran nilai pribadi, nilai budaya dan nilai religius, sikap remaja perempuan, perilaku seks pranikah, Maumere dan Larantuka, Nusa Tenggara Timur
Susana Sabarni, Lidia Laksana Hidajat
ABSTRACT
Background: The rapid development of information technology, making it easier for teenagers to access all things related to information about sex. With the ease they have to access this information technology, teenagers are often exposed to pornographic content. Directly or indirectly will influence teen attitudes towards premarital sex behavior.
Objective: To acknowlegde the role of personal values, cultural values and religious values associated with the attitudes of adolescent girls in Maumere and Larantuka towards premarital sex behavior and also to acknowlegde the attitudes of teenage girls to premarital sex behavior.
Methods: The study used a mixed method approach, attitude measurement through filling out questionnaires and focus group discussions (FGD) to describe the attitudes of adolescent girls towards premarital sex behavior which is associated with personal values, cultural values and religious values. Research activities were carried out on four high schools in Maumere and Larantuka. The number of participants 120 people, obtained by accidental sampling technique. For additional information, interviews with cultural leaders in Maumere and religious leaders in Larantuka were conducted.
Results and discussion: Based on data processing on attitude scale measurement obtained an illustration that basically girls in Maumere and Larantuka do not approve premarital sex, even though there has been a shift in values. This attitude is based on personal values believed by adolescents, namely ethical and moral considerations, the impact of pregnancy, abortion or sexually transmitted diseases. In the context of culture, adolescent considerations are social sanctions that will be obtained from pregnancy outside of marriage. While in a religious context, teenagers consider sin. Based on focus group discussions (FGD) it was concluded that religious values were felt to be very important by participants because they could foster faith and give encouragement, direction in behaving. Religious values also play a role in motivating and guiding someone to do good deeds. In the cultural context, the participants thought that culture was very important because in the culture it was taught about appropriate and inappropriate behavior. Therefore, parents are needed to assist in educating and instilling moral and ethical values.
Conclusion: A statement of disagreement with premarital sex behavior is an internalization of cultural and religious values that ultimately shape their attitudes
Keywords: The role of personal values, cultural values and religious values, attitudes of adolescent girls, premarital sexual behavior, Maumere and Larantuka, Nusa Tenggara Timur
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2018-09-25 09:19:49
application/pdf
https://journal.ugm.ac.id/jkr/article/view/37885
Jurnal Kesehatan Reproduksi; Vol 5, No 2 (2018)
eng
https://journal.ugm.ac.id/jkr/article/download/37885/97800
remaja perempuan, usia 15-19 tahun, kelas X,XI dan XII
Copyright (c) 2018 Jurnal Kesehatan Reproduksi
oai:jurnal.ugm.ac.id:article/37941
2018-08-13T07:47:42Z
jkr:ART
nmb a2200000Iu 4500
"180426 2018 eng "
2621-461X
2302-836X
dc
Pengaruh Asfiksia terhadap Ukuran Kepala Anak Usia 6 Bulan - 2 Tahun di Rumah Sakit Umum Provinsi Nusa Tenggara Barat
Albayani, Melati Inayati
STIKES Yarsi Mataram
Ismail, Djauhar
Departemen Ilmu Kesehatan Anak, FK-KMK, UGM
Sitaresmi, Mei Neni
Departemen Ilmu Kesehatan Anak, FK-KMK, UGM
asphyxia; head circumference; children aged 6 months-2 years; asfiksia; lingkar kepala; anak usia 6 bulan – 2 tahun
Background: In developing countries is estimated at about 120 million babies born asphyxiated at birth. Among these who can survive 20% to 30% had mental disorder, cerebral palsy or developmental abnormality due to the small size of head circumference (microcephaly).
Objective: To determine the effect of asphyxia on the head circumference size of children age 6 months - 2 years.
Method: A matched case-control study design was conducted from May – June 2014. The population of the study was all children age 6 months - 2 years who visited the Growth development clinic of General Hospital of West Nusa Tenggara Province. The cases were children who have microcephaly and the controls were children with normocephaly. From sample size which was calculated by hypothesis testing two populations proportions are obtained a sample of 72 respondents with 36 cases and 36 controls. Bivariate analysis used chi-square (χ2) McNemar and multivariable analysis with logistic regression (conditional logistic regression) with a significance level of p <0.05 and 95% confidence intervals.
Result and Discussion: Microcephaly was present in 83 % of the children with asphyxia, compared with 36 % of the controls. The children with asphyxia tent to have microcephaly compared to children without asphyxia (OR = 5,00; 95% CI: 1,36-18,32). Results of multivariable analysis showed that there was a statistically significant effect between asphyxia with head circumference size by controlling the low birth weight variable (OR = 5,00; 95% CI: 1,36-18,32).
Conclusion: History of asphyxia increases the risk of microcephaly compared with non-asphyxia in children aged 6 months - 2 years.
Keywords: asphyxia, head circumference, children aged 6 months-2 years
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2018-04-26 00:00:00
application/pdf
https://journal.ugm.ac.id/jkr/article/view/37941
Jurnal Kesehatan Reproduksi; Vol 5, No 1 (2018)
eng
Copyright (c) 2018 Jurnal Kesehatan Reproduksi
oai:jurnal.ugm.ac.id:article/37942
2018-08-13T07:47:42Z
jkr:ART
nmb a2200000Iu 4500
"180426 2018 eng "
2621-461X
2302-836X
dc
The Accuracy of Risanto's Formula and Ultrasound Measurement in Estimating Fetal Weight
Pietersz, Elsina Krisnawati
Departemen Obstetri dan Ginekologi, FK-KMK, UGM
Rachman, Irwan Taufiqur
Departemen Obstetri dan Ginekologi, FK-KMK, UGM
Siswosudarmo, Risanto
Departemen Obstetri dan Ginekologi, FK-KMK, UGM
Estimated fetal weight; Risanto’s formula; Ultrasonography; Fundal height; Perkiraan berat janin; formula Risanto; Ultrasonografi; tinggi fundus
Background: Accurate estimated fetal weight (EFW) is crucial in determining delivery management. Several methods to estimate fetal weight were used such as abdominal palpation, measurement of symphisis fundal height (SFH), and ultrasound examination. Risanto’s formula based on Indonesian population had been already proven to be more accurate than Johnson’s formula. The formula was as follows: Y = 125 X - 880 where Y was EFW in grams, X was SFH in cm, and 125 was the constanta.
Objective: To compare the accuracy of Risanto’s formula and ultrasound examination in estimating fetal weight.
Method: A cross sectional study was carried out in Sardjito hospital, Faculty of Medicine Universitas Gadjah Mada, from March 2013 to March 2014. A total of 400 pregnant women meeting the inclusion criteria at 37 – 42 weeks of gestation were recruited. The estimated fetal weight using Risanto’s formula (R_EFW) was compared to the estimated fetal weight using ultrasound measurement (U_EFW). The U_EFW was done by obstetricians on duty or senior residents using Hadlock’s formula. Actual birth weight (ABW) was measured using the same calibrated baby scale. Accuracy was determined by comparing the mean difference between the R_EFW minus ABW (ΔR_EFW) and the U_EFW minus ABW (ΔU_EFW). Paired t-test was used for statistical analysis.
Result and Discussion: The mean ABW was 3025.3 ± 414.6 gram and the mean R_EFW was 2972.7 ± 365.4 grams, while the mean U_EFW was 3058.7 ± 423.2 grams. The mean ΔR_EFW was lower than the mean ΔU_EFW (178.2 ± 147.6 grams vs 197.5 ± 155.4 grams; 95% CI 1.24 – 36.68; p = 0.04).
Conclusion: Risanto’s formula was more accurate than ultrasound measurement in estimating fetal weight.
Keywords: Estimated fetal weight, Risanto’s formula, Ultrasonography, Fundal height
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2018-04-26 00:00:00
application/pdf
https://journal.ugm.ac.id/jkr/article/view/37942
Jurnal Kesehatan Reproduksi; Vol 5, No 1 (2018)
eng
Copyright (c) 2018 Jurnal Kesehatan Reproduksi
oai:jurnal.ugm.ac.id:article/37949
2018-08-13T07:47:42Z
jkr:ART
nmb a2200000Iu 4500
"180426 2018 eng "
2621-461X
2302-836X
dc
Hubungan Kadar CA-125 Praoperatif terhadap Prognosis Survival Penderita Kanker Ovarium Epitelial di RSUP Dr.Sardjito
Pradjatmo, Herlina
Departemen Obstetri dan Ginekologi, FK-KMK, UGM
Siswishanto, Rukmono
Departemen Obstetri dan Ginekologi, FK-KMK, UGM
Prawitasari, Shinta
Departemen Obstetri dan Ginekologi, FK-KMK, UGM
CA-125 level; EOC; prognosis; survival
Background: CA-125 level increases in 50% of patients with stage I, 90% of patients with stage II, 92% of patients with stage III and 94% of patients with stage IV ovarian cancer. CA-125 level were not a diagnostic tool to detect ovarian cancer, however it was useful to monitor the progressive of disease and as a prognostic marker.
Objectives: The aim of this study is to prove whether CA-125 level before surgery in ovarian cancer patients at Dr. Sardjito Hospital as well as a factor that correlates to the survival prognosis of those patients.
Method: This research used cohort retrospective study at Dr. Sardjito Hospital Yogyakarta.
Result and Discussion: As much as 71 ovarian cancer patients which had been included in this research with inclusion and exclusion criteria. Subjects were divided into two groups. One group was for patients with low CA-125 level (≤35 U/ml) as much as 18 subjects and another group was for patients with high CA-125 level (>35 U/ml) as much as 53 subjects. The result of a bivariate analysis with an independent survival analysis (Cox’s Regression) was the stage of disease (p=0.005, HR 4.827, CI 95% 1.623 – 14.355) and residual tumour (p=0.029, HR 2.605, CI 95% 1.101 – 6.161) were a survival prognosis factor. Multivariate analysis with a survival analysis (Cox’s Regression) shows CA-125 level (p=0.031, HR 4.131, CI 95% 1.143 – 14.933) and menarche (p=0.003, HR 4.989, CI 95% 1.736 – 14.342) were significantly related with survival prognosis in EOC (Epithelial Ovarian Cancer) patients at Dr. Sardjito Hospital.
Conclusion: CA-125 level affects the survival rate of epithelial ovarian cancer patients in Dr. Sardjito Hospital. Besides the level of CA-125, there are other factors that affect the survival rate of epithelial ovarian cancer patients which is the stage of cancer, residual operation and age of menarche.
Keywords: CA-125 level, EOC, prognosis, survival.
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2018-04-26 00:00:00
application/pdf
https://journal.ugm.ac.id/jkr/article/view/37949
Jurnal Kesehatan Reproduksi; Vol 5, No 1 (2018)
eng
Copyright (c) 2018 Jurnal Kesehatan Reproduksi
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