2024-03-29T12:42:16Z
https://jurnal.ugm.ac.id/index/oai
oai:ojs.journal.ugm.ac.id:article/4887
2014-06-19T04:00:07Z
jkr:ART
oai:ojs.journal.ugm.ac.id:article/4888
2014-06-19T04:28:06Z
jkr:ART
oai:ojs.journal.ugm.ac.id:article/4891
2014-06-19T04:28:06Z
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oai:ojs.journal.ugm.ac.id:article/4892
2014-06-19T04:28:06Z
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oai:ojs.journal.ugm.ac.id:article/4893
2014-06-19T07:22:25Z
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oai:jurnal.ugm.ac.id:article/4895
2018-10-04T02:46:27Z
jkr:ART
oai:ojs.journal.ugm.ac.id:article/4897
2014-06-30T03:42:45Z
jkr:ART
oai:ojs.journal.ugm.ac.id:article/4899
2014-06-30T04:16:47Z
jkr:ART
oai:ojs.journal.ugm.ac.id:article/4900
2014-06-30T02:57:53Z
jkr:ART
oai:ojs.journal.ugm.ac.id:article/4901
2014-06-30T04:28:20Z
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oai:ojs.journal.ugm.ac.id:article/4902
2014-06-30T04:34:25Z
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oai:ojs.journal.ugm.ac.id:article/4903
2014-06-30T04:49:43Z
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oai:jurnal.ugm.ac.id:article/4910
2018-06-25T07:16:50Z
jkr:ART
HUBUNGAN MANAJEMEN AKTIF KALA TIGA DENGAN INISIASI MENYUSUI DINI DI KABUPATEN SUMEDANG TAHUN 2010
Ana, Ade
Dasuki, Djaswadi
Taufiqurahman, Irwan
Kesehatan Masyarakat
menyusu dini
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 initiationMethods: This study was an observational study with cross sectional design. The samples were 166 postpartummothers and newborns in public hospitals and health centers at District of Sumedang. Analysis of the data usedunivariate 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 ofearly breastfeeding initiation after active management of the third stage (OR= 3,1, 95 % CI= 1,12-8,49 ). Otherfactors that related were the support of providers, client support and delivery place. Less supportive policy, noten steps to successful breastfeeding and lack of trained personnel led to differences in perception. Lack of staffmotivation and clear information caused the client did not understand the importance of both these proceduresdone.Conclusion: The success of active management of the third stage and early breastfeeding initiation can be achieved ifthere was a comprehensive support from policy makers (policy side), service providers (support side) and servicerecipients (demand side)
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2014-06-25
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Peer-reviewed Article
application/pdf
https://jurnal.ugm.ac.id/jkr/article/view/4910
10.22146/jkr.4910
Jurnal Kesehatan Reproduksi; Vol 1, No 1 (2014)
JURNAL KESEHATAN REPRODUKSI; Vol 1, No 1 (2014)
2621-461X
2302-836X
eng
https://jurnal.ugm.ac.id/jkr/article/view/4910/4122
oai:ojs.journal.ugm.ac.id:article/4911
2014-10-22T07:13:54Z
jkr:ART
oai:jurnal.ugm.ac.id:article/4912
2018-06-25T07:16:50Z
jkr:ART
PERBANDINGAN LUARAN SEKSIO SESAREA DENGAN ANESTESI UMUM DAN SPINAL: PERUBAHAN KADAR HEMOGLOBIN, HEMATOKRIT IBU DAN SKOR APGAR BAYI
Giantari, Ifrinda
Pranoto, Ibnu
Siswosudarmo, Risanto
PERBANDINGAN LUARAN SEKSIO SESAREA DENGANANESTESI UMUM DAN SPINAL: PERUBAHAN KADARHEMOGLOBIN, HEMATOKRIT IBU DAN SKOR APGAR BAYIIfrinda Giantari, Ibnu Pranoto, Risanto SiswosudarmoABSTRACTBackground: Cesarean section is the most common surgical procedure in obstetrics. In 2008, nearly a third ofdeliveries was done by cesarean section. Two types of anestesi are used in cesarean section i.e., general andregional anestesi with their advantages and disadvantages. General anestesi is often used in emergency casesbut is often associated with greater risk of blood loss during surgery and depression of central nervous system ofthe 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 hemoglobinand hematocrit levels and the neonatal Apgar score.Method: This study was conducted at Setjonegoro Hospital Wonosobo, Banjarnegara, and Sardjito HospitalYogyakarta between September to December 2010. Patients undergoing cesarean section, who met inclusionand exclusion criteria were included in this study. Hemoglobin and hematocrit levels before and 6-12 hours aftersurgery were recorded, as well as the first minute Apgar score. Chi-square and t-test were used for statisticalanalysis.Results and Discussion: A total of 114 patients consisting of 59 cases for general anestesi and 55 for spinalgroups were recruited. They were comparable in terms ofmaternal age, age of gestation, parity, BMI and indicationof 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 thespinal 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 hematocritlevel (4,47 ± 2,77% vs 3,26 ± 3,04%, p=0,02). There were 28 cases of asphyxia in the group of general comparedto 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 werehigher than spinal anesthesia group, although the difference was not clinically significant. There was no significantdifference in the incidence of asphyxia at first minute in both groups.Keywords: general anestesi, spinal anesthesia, cesarean section, hemoglobin, hematocrit, Apgar score ABSTRAKLatar belakang: Seksio sesarea merupakan prosedur operatif obstetri yang paling sering dilakukan. Pada tahun2008, hampir sepertiga dari persalinan dilakukan dengan cara seksio sesarea. Dua jenis anestesi sering digunakanyakni anestesi umum dan spinal yang masing-masing mempunyai kelebihan dan kekurangannya. Anestesi umumsering digunakan pada kasus kedaruratan meskipun sering dikaitkan dengan risiko kehilangan darah yang lebihbesar dan penekanan pada susunan syaraf pusat bayi. Anestesi spinal sering dikaitkan dengan keadaan hipotensimaternal.Tujuan: Membandingkan penurunan kadar hemoglobin dan hematokrit ibu dan skor Apgar bayi pada seksiosesarea dengan anestesi umum dan spinal.Metode: Kohort prospektif.Penelitian dilakukan di RS Setjonegoro Wonosobo, RS Banjarnegara, dan RS Sardjitopada bulan September sampai Desember 2010. Pasien yang menjalani seksio sesarea dan memenuhi kriteriainklusi dan eksklusi dimasukkan dalam penelitian ini. Sampel penelitian diikuti sesuai dengan kelompok jenisanestesi. Kadar hemoglobin dan hematokrit sebelum operasi dan 6-12 jam sesudah operasi serta skor Apgar 1menit dicatat. X-square dan t-test dipakai untuk analisis data.Hasil dan Pembahasan: Sebanyak 114 kasus seksio sesarea memenuhi kriteria kelayakan, yang terdiri dari 59kasus 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 sebelumoperasi, tidak menunjukkan perbedaan yang bermakna. Penurunan kadar hemoglobin setelah operasi padakelompok 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 penilaianmenit pertama terdapat 28 kasus asfiksia (skor Apgar < 6) pada kelompok anestesi umum dan 22 kasus padakelompok 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 yangmenjalani seksio sesarea dengan anestesi umummeskipun secara klinis tidak bermakna. Tidak terdapat perbedaanbermakna 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
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Peer-reviewed Article
application/pdf
https://jurnal.ugm.ac.id/jkr/article/view/4912
10.22146/jkr.4912
Jurnal Kesehatan Reproduksi; Vol 1, No 1 (2014)
JURNAL KESEHATAN REPRODUKSI; Vol 1, No 1 (2014)
2621-461X
2302-836X
eng
https://jurnal.ugm.ac.id/jkr/article/view/4912/4124
oai:jurnal.ugm.ac.id:article/4913
2018-06-25T07:16:50Z
jkr:ART
PERSEPSI REMAJA TERHADAP FAKTOR PENGHAMBAT PEMANFAATAN PELAYANAN KESEHATAN REPRODUKSI DI PUSKESMAS GAMBOK KABUPATEN SIJUNJUNG
Dwi Yani, Vella
Emilia, Ova
Kusnanto, Hari
PERSEPSI REMAJA TERHADAP FAKTOR PENGHAMBATPEMANFAATAN PELAYANAN KESEHATAN REPRODUKSIDI PUSKESMAS GAMBOK KABUPATEN SIJUNJUNGVella Dwi Yani, Ova Emilia, Hari KusnantoABSTRACTBackground: Reproductive health service is an important component that has to be improved globally becauseteenagers often lack basic information about reproductive health. Despite the need for reproductive health serviceonly a few teenagers utilize the service due to several constraints in having reproductive and sexual health serviceas 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 reproductivehealth service available. Whereas cases in teenagers indicate that 9.2% of teenagers have had premarital sexualintercourse 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 asobstacles in the utilization of reproductive health service.Method: The study was observational with cross sectional design and descriptive quantitative approach thatused 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 as131 respondents.Result and Discussion: Perception of teenagers about physical, process and economic factors showed that themajority had good perception so these factors were not obstacles for teenagers in utilizing reproductive healthservice. The majority of teenagers (68%) had bad perception about psychosocial factor so this was an obstacle inthe utilization of reproductive health service.Conclusion: Obstacles in the utilization of reproductive health service at the health center were caused bypsychosocial factor because of shame and unwillingness to tell the problem to staff that was considered asstrangers. Teenagers also doubted the confidentiality of the problem they told to the staff.Keywords: perception, teenagers, reproductive health, utilizationABSTRAKLatar belakang: Pelayanan kesehatan reproduksi merupakan komponen penting yang harus diperbaiki secaraglobal. Remaja sering kali kekurangan informasi dasar tentang kesehatan reproduksi. Meskipun kebutuhanpelayanan kesehatan reproduksi tinggi namun pemanfaatannya masih rendah karena berbagai hambatanmemperoleh pelayanan dan juga adanya persepsi negatif terhadap pusat pelayanan kesehatan reproduksi. Datadari dinas Kesehatan kabupaten Sijunjung Sumatera Barat menunjukkan hanya 20% remaja yang memanfaatkanpelayanan kesehatan reproduksi. Sedangkan kasus dan masalah kesehatan reproduksi menunjukkan 9,2% sudahberhubungan seks sebelum menikah, dan 40% menikah pada usia remaja (<20 tahun) serta 10% mengakibatkankehamilan tak dikehendaki.Tujuan: Untuk mempelajari persepsi remaja terhadap faktor fisik, proses, ekonomi dan psikososial untukmemanfaatkan pelayanan kesehatan reproduksi remaja.melalui wawancara mendalam.Subyek penelitian adalah siswa SMA kelas 1 dan 2 usia 14-16 tahun di wilayahkerja puskesmas sebanyak 131 responden.Hasil dan Pembahasan: Mayoritas remaja memiliki persepsi baik terhadap faktor fisik, proses, dan ekonomi. Tigafaktor bukanmerupakan penghambatmemperoleh layanan kesehatan reproduksi. Sementara itu faktor psikososialdianggap sebagai penghambat (68%) untuk memanfaatkan pelayanan kesehatan reproduksi.Kesimpulan: Hambatan pemanfaatan layanan kesehatan reproduksi adalah faktor psikososial karena malu dantidak percaya untuk menceritakan masalah pada petugas kesehatan yang tidak dikenal. Remaja juga meragukankerahasiaan masalah yang diungkapkan.Kata kunci: persepsi, remaja, kesehatan reproduksi, pemanfaatan
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2014-06-25
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Peer-reviewed Article
application/pdf
https://jurnal.ugm.ac.id/jkr/article/view/4913
10.22146/jkr.4913
Jurnal Kesehatan Reproduksi; Vol 1, No 1 (2014)
JURNAL KESEHATAN REPRODUKSI; Vol 1, No 1 (2014)
2621-461X
2302-836X
eng
https://jurnal.ugm.ac.id/jkr/article/view/4913/4125
oai:jurnal.ugm.ac.id:article/4914
2018-06-25T07:16:50Z
jkr:ART
PEMANFAATAN POJOK LAKTASI DI PUSKESMAS I CILONGOK KABUPATEN BANYUMAS
Khotimah, Khusnul
Emilia, Ova
Hakimi, Mohammad
PEMANFAATAN POJOK LAKTASI DI PUSKESMAS I CILONGOKKABUPATEN BANYUMASKhusnul Khotimah, Ova Emilia,Mohammad HakimiABSTRACTBackground : 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% in2007. American Academy of Pediatrics (1)get recomendation baby must get exclusive breastfeeding in 6 monthuntil 2 years old. Banyumas regency are have a program to increase scope of exclusive breastfeeding by regulationof regent number 52 in 2012 about increase exclusive breastfeeding in Banyumas Regency. One of the material insocialization is about lactation room and standardization, right of women worker to breastfed in office, publicfacility.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 mixmethod. Location of study in Puskesmas I Cilongok. Sample of this study is employed mother who breastfeedand visitors of Puskesmas I Cilongok in Banyumas Regency. Sampling method used sampling convinience get 41women until this study done. independent variable are attitude of breastfeed mother about lactation room andbehavior of breastfeed mother. Dependent variable is utilization of lactation room. Data analysis consisted ofunivariable analysis, bivariable analysis using chi-square test and multivariable analysis using logistic regressiontest and also qualitative analysis.Results and Discussion : there is no effect attitude of breastfeed mother about lactation room with utilization oflactation room, can we see from p = 0,247 (RP1,58; 95% CI 0,70-3,55), the similar result from dialogue thatmother have good attittude but not utilized, they say not get socialization from health worker. The good Behaviorbreastfeed mother have relation with utilization, can we see p = 0,028, RP2,35 (95% CI 1,05-5,23). Results fromdialogue mother who get bad behavior not utilized. Utilization in lactation room only just breastfeeding, neverused to pamp and saving breastmilk. People not respond that room lactation is a necessary, because withoutpolicy 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 lactationroomand 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 ABSTRAKLatar Belakang:Berdasarkan data Survey Demografi dan Kesehatan Indonesia (SDKI) tahun 2007 tercatat bahwacakupan ASI eksklusif sebesar 38% menurun dari 39,5%di tahun 2002-2003, sementara jumlah bayi dibawah 6bulan yang diberi susu formula meningkat dari 16,7% menjadi 27,9% ditahun 2007. American Academy ofPediatrics (1)merekomendasikan bahwa durasi minimal ASI eksklusif menjadi 6 bulan tetapi optimal harus terusselamaminimal 2 tahun.Kabupaten Banyumas sedangmemiliki program gunameningkatkan cakupan ASI eksklusifyang dituangkan lewat Peraturan Bupati Banyumas nomor 52 tahun 2012 tentang peningkatan pemberian ASI diKabupaten Banyumas. Salah satu materi sosialisasi tersebut berisi tentang anjuran pengadaan pojok laktasibeserta 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. Tempatpenelitian Puskesmas I Cilongok. Sampel penelitian ibu bekerja menyusui dan pengunjung puskesmas memilikibayi umur 0 bulan sampai dengan 2 tahun berada di Puskesmas I Cilongok. Pengambilan sampel menggunakansampling conviniencediperoleh 41 orang selama penelitian dilakukan.Variabelindependen adalah sikap ibumenyusui terhadap pojok laktasi, perilaku ibu menyusui. Variabel dependen ialah pemanfaatan pojok laktasi.Analisa data meliputi analisis univariabel, bivariabeldengan menggunakan chi square sedangkan multivariabelmenggunakan uji regresi logistik serta analisis kualitatif.Hasil dan Pembahasan:Sikap ibu menyusui terhadap ketersediaan pojok laktasi tidakmempengaruhi pemanfaatanpojok laktasi dilihat dari nilai p = 0,247 (RP1,58; 95% CI 0,70-3,55), hasil ini didukung hasil wawancara bahwasikap 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 memanfaatkanpojok laktasi. Pemanfaatan pojok laktasi hanya untuk menyusui saja, tidak digunakan untuk memeras danpenyimpanan ASI. Rendahnya pemanfaatan pojok laktasi dikarenakan faktor kebutuhan. Masyarakat desa tidakmenganggap bahwa pojok laktasi merupakan kebutuhan, karena tanpa adanya kebijakan pengadaan pojok laktasimereka dapat menyusui dimanapun.Kesimpulan:sikap ibu menyusui terhadap ketersediaan pojok laktasi yang baik tidak mempengaruhi pemanfaatanpojok laktasi dan perilaku ibu menyusui yang baik dapat mempengaruhi pemanfaatan pojok laktasi di PuskesmasI Cilongok Kabupaten Banyumas.Kata kunci: sikap ibu, perilaku ibu, pemanfaatan pojok laktasi
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2014-06-25
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Peer-reviewed Article
application/pdf
https://jurnal.ugm.ac.id/jkr/article/view/4914
10.22146/jkr.4914
Jurnal Kesehatan Reproduksi; Vol 1, No 1 (2014)
JURNAL KESEHATAN REPRODUKSI; Vol 1, No 1 (2014)
2621-461X
2302-836X
eng
https://jurnal.ugm.ac.id/jkr/article/view/4914/4126
oai:jurnal.ugm.ac.id:article/4915
2018-06-25T07:16:50Z
jkr:ART
PENGARUH INISIASI MENYUSU DINI TERHADAP JUMLAH PERDARAHAN PASCA PERSALINAN
Sumarah, Sumarah
Hakimi, Muhammad
Prawitasari, Shinta
PENGARUH INISIASI MENYUSU DINI TERHADAPJUMLAH PERDARAHAN PASCA PERSALINANSumarah,Mohammad Hakimi, Shinta PrawitasariABSTRACTBackground: Mortality and morbidity among women during pregnancy and labour are a major problem in poorand developing countries including Indonesia. The prevalence of postpartum hemorrhage is between 2-11% outof all childbirth. Postpartum hemorrhage is the main cause of maternal mortality (28%). Maternal mortalitymainly occurs within the first 4 hours after childbirth. Uterus contraction after childbirth greatly minimizes therisk of hemorrhage. Early breastfeeding initiation stimulates the back of hypofiche gland to produce oxytoxinthat ignites womb muscle contraction so that the risk for the prevalence of postpartum hemorrhage can beminimized.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 partummothers at Sleman Hospital taken using non probability with consecutive sampling technique (62 samples). Dataanalysis used univariate with frequency distribution and percentage, bivariate with independent t-test andmultivariate with linear regression.Result and Discussion: Average amount of blood in postpartum mothers that practised early breastfeedinginitiation (EBI) was lower than those without EBI. The average amount of hemorrhage in mothers that practiceEBI was 77,26 + 33,6 cc, and in mothers that did not practiced EB was 115,4 +31,0 cc. Average difference in theamount 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 significantassociation with the amount of postpartum hemorrhage (p>0,05).Conclusion: EBI affected the amount of postpartum hemorrhage. Average amount of postpartum hemorrhage inmothers 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 contactABSTRAKLatar Belakang: Mortalitas dan morbiditas pada wanita selama kehamilan dan persalinan adalah masalah besardi 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 ibuterutama terjadi dalam 4 jam pertama setelah melahirkan. Kontraksi rahim setelah melahirkan sangatmeminimalkan risiko perdarahan. Inisiasi menyusui dini merangsang bagian belakang kelenjar hypofiche untukmenghasilkan oxytoxin yangmemicu kontraksi otot rahimsehingga resiko untuk prevalensi perdarahan postpartumdapat 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 adalahibu yang melahirkan normal di Rumah Sakit Sleman diambil menggunakan non probability dengan teknikpengambilan sampel berturut-turut (62 sampel). Analisis data yang digunakan univariat dengan distribusi frekuensidan 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 inisiasimenyusui 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 + 31,0cc. Rata-rata perbedaan jumlah perdarahan pada kedua kelompok adalah -38,1 cc. Perbedaan ini secara statistiksignifikan dengan p <0,05 (p = 0,000), 95% CI = 54,6—21,7. Variabel eksternal, baik usia, paritas atau pendidikanibu, tidak memiliki hubungan yang signifikan dengan jumlah perdarahan postpartum dengan p> 0,05.Kesimpulan: IMD mempengaruhi jumlah perdarahan postpartum. Jumlah rata-rata perdarahan postpartum padaibu 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
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Peer-reviewed Article
application/pdf
https://jurnal.ugm.ac.id/jkr/article/view/4915
10.22146/jkr.4915
Jurnal Kesehatan Reproduksi; Vol 1, No 1 (2014)
JURNAL KESEHATAN REPRODUKSI; Vol 1, No 1 (2014)
2621-461X
2302-836X
eng
https://jurnal.ugm.ac.id/jkr/article/view/4915/4127
oai:jurnal.ugm.ac.id:article/4916
2018-06-25T07:16:50Z
jkr:ART
PAJANAN ASAP DALAM RUMAH TERHADAP KEJADIAN ISPA NONPNEUMONIA PADA ANAK BALITA DI KABUPATEN KAPUAS
Hugo, Mayae
Emilia, Ova
Sitaresmi, Mei Neni
PAJANAN ASAP DALAM RUMAH TERHADAP KEJADIANISPA NONPNEUMONIA PADA ANAK BALITA DI KABUPATENKAPUASMayae Hugo, Ova Emilia,Mei Neni SitaresmiABSTRACTBackground: 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 fromupper respiratory tract infection prevalence 42.8%. ARI occurrence is affected by many factors, includingenvironmental factors. Little attention has been given to indoor air pollution particularly for people in ruralareas, although the known particles of smoke in the room known as the most influential factors on the health ofchildren where children spend most of their time indoorsObjective: To know whether smoke exposure inside the house is a risk factor toward non pneumonia ARI amongunder-five children.Method: This was a study using a case control study design. Subjects were under-five children aged 12-59 monthsold in Kapuas District taken by non probability sampling method. Sample size was 106, divided into two groupsnamely case (n=53) and control (n=53). Data analysis used univariate analysis, bivariate analysis, and multivariateanalysis with logistic regression.Result: Non pneumonia ARI had a 2.7 time greater risk of contracting under-five children exposed by smokeinside their house (95%CI=1.16-6.60). Multivariate analysis proportion of house condition which was not reallyhygienic, member of family who contracted ARI, bad nutritional status had a significant relationship to nonpneumonia ARI among under-five children.Conclusion: Non pneumonia ARI among under-five children had a significant relationship to smoke exposureinside the house.Keywords: non pneumonia ARI, smoke exposure inside the house, under-five children ABSTRAKLatar Belakang: Infeksi saluran pernapasan akut (ISPA) merupakan salah satu penyebab utama beban penyakit dinegara berkembang. Terdapat 40-60% kunjungan pasien di pusat layanan kesehatan. Analisis Riskesdesmelaporkanprevalensi anak-anak balita yang menderita infeksi saluran pernapasan atas 42,8%. Kejadian ISPA dipengaruhioleh banyak faktor, termasuk faktor lingkungan. Sedikitnya perhatian yang diberikan terhadap polusi udara dalamruangan terutama bagimasyarakat di daerah pedesaan,meskipun partikel yang berasal dari asap di dalam ruangandikenal sebagai faktor yang paling berpengaruh pada kesehatan anak di mana anak-anak menghabiskan sebagianbesar waktu mereka di dalam ruangan.Tujuan: Untuk mengetahui apakah paparan asap di dalam rumah merupakan faktor risiko terhadap non pneumoniaISPA pada balita.Metode: Penelitian ini merupakan penelitian dengan menggunakan disain penelitian kasus kontrol. Subyekpenelitian adalah balita berusia 12-59 bulan di Kabupaten Kapuas diambil dengan metode non probabilitysampling. Jumlah sampel adalah 106, dibagi menjadi dua kelompok yaitu kelompok kasus (n=53) dan kelompokkontrol (n=53). Analisis data yang digunakan analisis univariat, analisis bivariat, dan analisis multivariat denganregresi logistik. Hasil dan Pembahasan: ISPA non pneumonia memiliki risiko 2,7 kali lebih besar menjangkiti anak yang terpaparasap di dalam rumah mereka (95% CI=1,16-6,60). Proporsi analisis multivariabel kondisi rumah yang tidak benarbenarhigienis, anggota keluarga yang terjangkit ISPA, status gizi buruk memiliki hubungan yang signifikan terhadapISPA non pneumonia pada balita.Kesimpulan: ISPA non pneumonia pada balita memiliki hubungan yang signifikan terhadap paparan asap di dalamrumah.Kata kunci: ISPA non pneumonia, paparan asap di dalam rumah, balita
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2014-06-25
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Peer-reviewed Article
application/pdf
https://jurnal.ugm.ac.id/jkr/article/view/4916
10.22146/jkr.4916
Jurnal Kesehatan Reproduksi; Vol 1, No 1 (2014)
JURNAL KESEHATAN REPRODUKSI; Vol 1, No 1 (2014)
2621-461X
2302-836X
eng
https://jurnal.ugm.ac.id/jkr/article/view/4916/4128
oai:jurnal.ugm.ac.id:article/5334
2014-10-22T17:02:18Z
jkr:ART
HUBUNGAN ANTARA ENDOMETRIOSIS FERTILITY INDEX (EFI) DAN KEBERHASILAN FERTILISASI IN VITRO (FIV)
Amelia, Adelina
Dasuki, Djaswadi
Pradjatmo, Heru
Obstetri Ginekologi
endometriosis, infertilitas, endometriosis fertility index,fertilisasi in vitro.
Adelina Amelia1, Djaswadi Dasuki2, Heru Pradjatmo3Background: 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
2014-10-22
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Peer-reviewed Article
application/pdf
https://jurnal.ugm.ac.id/jkr/article/view/5334
10.22146/jkr.5334
Jurnal Kesehatan Reproduksi; Vol 1, No 2 (2014)
JURNAL KESEHATAN REPRODUKSI; Vol 1, No 2 (2014)
2621-461X
2302-836X
ind
https://jurnal.ugm.ac.id/jkr/article/view/5334/4355
oai:ojs.journal.ugm.ac.id:article/5335
2014-10-27T02:17:03Z
jkr:ART
oai:jurnal.ugm.ac.id:article/5342
2014-10-22T17:02:18Z
jkr:ART
PENGARUH PEMBERIAN ASAM TRANEKSAMAT TERHADAP JUMLAH PERDARAHAN PASCASALIN PADA KELAHIRAN VAGINAL
Chilmawati, Laili
Pradjatmo, Heru
Siswosudarmo, H.R.
PENGARUH PEMBERIAN ASAM TRANEKSAMAT TERHADAP JUMLAH PERDARAHAN PASCASALIN PADA KELAHIRAN VAGINALLaili 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 deliveryMethods: 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 UGM2,3 Bagian Obstetri dan Ginekologi, Fakultas Kedokteran UGM
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2014-10-24
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Peer-reviewed Article
application/pdf
https://jurnal.ugm.ac.id/jkr/article/view/5342
10.22146/jkr.5342
Jurnal Kesehatan Reproduksi; Vol 1, No 2 (2014)
JURNAL KESEHATAN REPRODUKSI; Vol 1, No 2 (2014)
2621-461X
2302-836X
ind
https://jurnal.ugm.ac.id/jkr/article/view/5342/4357
oai:ojs.journal.ugm.ac.id:article/5343
2014-10-27T03:00:04Z
jkr:ART
oai:ojs.journal.ugm.ac.id:article/5344
2014-10-27T03:00:04Z
jkr:ART
oai:jurnal.ugm.ac.id:article/5345
2014-10-22T17:02:18Z
jkr:ART
KEMATIAN IBU SEBELUM DAN SELAMA PELAYANAN JAMINAN PERSALINAN (JAMPERSAL) DI RSUD DR. MOEWARDI SURAKARTA TAHUN 2009 - 2013
Sunaryo, Rustam
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 biayaTujuan: 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 death1 Bagian Obstetri dan Ginekologi, Fakultas Kedokteran UNS2 Bagian Obstetri dan Ginekologi, Fakultas Kedokteran UGM3 RSUD Wonosobo
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2014-10-27
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Peer-reviewed Article
application/pdf
https://jurnal.ugm.ac.id/jkr/article/view/5345
10.22146/jkr.5345
Jurnal Kesehatan Reproduksi; Vol 1, No 2 (2014)
JURNAL KESEHATAN REPRODUKSI; Vol 1, No 2 (2014)
2621-461X
2302-836X
ind
https://jurnal.ugm.ac.id/jkr/article/view/5345/4360
oai:jurnal.ugm.ac.id:article/5346
2014-10-22T17:02:18Z
jkr:ART
PENGARUH PEMBERIAN ASI EKSKLUSIF TERHADAP KEMBALINYA MENSTRUASI PADA IBU MENYUSUI DI RS ST. CAROLUS JAKARTA
Irawati, Popy
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 JakartaObjective: 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 ASI1 Badan Koordinator Keluarga Berencana Nasional Pusat2,3 Bagian Obstetri dan Ginekologi, Fakultas Kedokteran, UGM
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2014-10-27
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Peer-reviewed Article
application/pdf
https://jurnal.ugm.ac.id/jkr/article/view/5346
10.22146/jkr.5346
Jurnal Kesehatan Reproduksi; Vol 1, No 2 (2014)
JURNAL KESEHATAN REPRODUKSI; Vol 1, No 2 (2014)
2621-461X
2302-836X
ind
https://jurnal.ugm.ac.id/jkr/article/view/5346/4361
oai:jurnal.ugm.ac.id:article/5347
2014-10-22T17:02:18Z
jkr:ART
PERILAKU BIDAN DALAM PELAKSANAAN INISIASI MENYUSU DINI DI WILAYAH KERJA PUSKESMAS II TAMBAK, PUSKESMAS BANYUMAS DAN PUSKESMAS I KEMRANJEN
Sumiyati, Sumiyati
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 dini1 Poltekkes Kemenkes Semarang2,3 Bagian Obstetri dan Ginekologi, Fakultas Kedokteran UGM
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2014-10-27
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Peer-reviewed Article
application/pdf
https://jurnal.ugm.ac.id/jkr/article/view/5347
10.22146/jkr.5347
Jurnal Kesehatan Reproduksi; Vol 1, No 2 (2014)
JURNAL KESEHATAN REPRODUKSI; Vol 1, No 2 (2014)
2621-461X
2302-836X
ind
https://jurnal.ugm.ac.id/jkr/article/view/5347/4362
oai:jurnal.ugm.ac.id:article/5348
2014-10-22T17:02:18Z
jkr:ART
PEMBERIAN MAKANAN PRALAKTASI DENGAN KELANGSUNGAN HIDUP BAYI DI INDONESIA (ANALISIS DATA SDKI 2007)
Dewi, Utami
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, Pekanbaru2 Magister Kesehatan Ibu dan Anak-Kesehatan Reproduksi, FK UGM3 Bagian Ilmu Kesehatan Anak, Fakultas Kedokteran UGM
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2014-10-27
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Peer-reviewed Article
application/pdf
https://jurnal.ugm.ac.id/jkr/article/view/5348
10.22146/jkr.5348
Jurnal Kesehatan Reproduksi; Vol 1, No 2 (2014)
JURNAL KESEHATAN REPRODUKSI; Vol 1, No 2 (2014)
2621-461X
2302-836X
ind
https://jurnal.ugm.ac.id/jkr/article/view/5348/4363
oai:jurnal.ugm.ac.id:article/5349
2014-10-22T17:02:18Z
jkr:ART
DENSITAS MASSA TULANG PADA PENGGUNA KONTRASEPSI IMPLAN LEVONORGESTREL
Kumala Dewi, Andriana
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 <0.001Conclusion: 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
2014-10-27
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Peer-reviewed Article
application/pdf
https://jurnal.ugm.ac.id/jkr/article/view/5349
10.22146/jkr.5349
Jurnal Kesehatan Reproduksi; Vol 1, No 2 (2014)
JURNAL KESEHATAN REPRODUKSI; Vol 1, No 2 (2014)
2621-461X
2302-836X
ind
https://jurnal.ugm.ac.id/jkr/article/view/5349/4364
oai:jurnal.ugm.ac.id:article/5350
2014-10-22T17:02:18Z
jkr:ART
DEVELOPING A NEW FORMULA FOR ESTIMATING BIRTH WEIGHT AT TERM PREGNANCY
Siswosudarmo, Risanto
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
2014-10-27
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Peer-reviewed Article
application/pdf
https://jurnal.ugm.ac.id/jkr/article/view/5350
10.22146/jkr.5350
Jurnal Kesehatan Reproduksi; Vol 1, No 2 (2014)
JURNAL KESEHATAN REPRODUKSI; Vol 1, No 2 (2014)
2621-461X
2302-836X
ind
https://jurnal.ugm.ac.id/jkr/article/view/5350/4365
oai:jurnal.ugm.ac.id:article/5745
2015-01-27T04:30:44Z
jkr:ART
EFEK PEMANFAATAN PROGRAM PEMANTAUAN DAN PROMOSI PERTUMBUHAN TERHADAP STATUS GIZI BALITA DI KOTA CIREBON
Nurcahyani, Lia
Hakimi, Mohammad
Sudargo, Toto
EFEK PEMANFAATAN PROGRAM PEMANTAUAN DAN PROMOSI PERTUMBUHAN TERHADAP STATUS GIZI BALITA DI KOTA CIREBONLia Nurcahyani 1, Mohammad Hakimi 2, Toto Sudargo 3ABSTRACT 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, Tasikmalaya2 Magister Kesehatan Ibu dan Anak – Kesehatan Reproduksi, Fakultas Kedokteran Universitas Gadjah Mada3 Magister Kesehatan dan Gizi, Fakultas Kedokteran Universitas Gadjah Mada
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2015-01-27
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Peer-reviewed Article
application/pdf
https://jurnal.ugm.ac.id/jkr/article/view/5745
10.22146/jkr.5745
Jurnal Kesehatan Reproduksi; Vol 1, No 3 (2014)
JURNAL KESEHATAN REPRODUKSI; Vol 1, No 3 (2014)
2621-461X
2302-836X
ind
https://jurnal.ugm.ac.id/jkr/article/view/5745/4661
oai:jurnal.ugm.ac.id:article/5747
2015-01-27T04:30:44Z
jkr:ART
PENGARUH PENDIDIKAN KESEHATAN TERHADAP KECEMASAN PRIMIGRAVIDA DALAM MENGHADAPI PERSALINAN
Mukhoirotin, Mukhoirotin
Rahmat, Ibrahim
Siswosudarmo, Risanto
PENGARUH PENDIDIKAN KESEHATAN TERHADAP KECEMASAN PRIMIGRAVIDA DALAM MENGHADAPI PERSALINANMukhoirotin1, Ibrahim Rahmat2, Risanto Siswosudarmo3ABSTRACTBackground: 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. ABSTRAKLatar 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 Yogyakarta3 Bagian Obstetri dan Ginekologi, Fakultas Kedokteran Universitas Gadjah Mada Yogyakarta
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2015-01-27
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Peer-reviewed Article
application/pdf
https://jurnal.ugm.ac.id/jkr/article/view/5747
10.22146/jkr.5747
Jurnal Kesehatan Reproduksi; Vol 1, No 3 (2014)
JURNAL KESEHATAN REPRODUKSI; Vol 1, No 3 (2014)
2621-461X
2302-836X
ind
https://jurnal.ugm.ac.id/jkr/article/view/5747/4662
oai:jurnal.ugm.ac.id:article/5748
2015-01-27T04:30:44Z
jkr:ART
PENDIDIKAN/PEKERJAAN MATERNAL DAN FAKTOR RISIKO PREEKLAMPSIA: STUDI EPIDEMIOLOGI DI KOTA TERNATE
Fransiska, Lilie
Patmini, Edi
Wahab, Abdul
Emilia, Ova
PENDIDIKAN/PEKERJAAN MATERNAL DAN FAKTOR RISIKO PREEKLAMPSIA: STUDI EPIDEMIOLOGI DI KOTA TERNATELilie Fransiska1, Edi Patmini2, Abdul Wahab3, Ova Emilia4 ABSTRACTBackground: 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 ABSTRAKLatar 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, Yogyakarta2 Bagian Obstetri dan Ginekologi Fakultas Kedokteran UGM3 Bagian Ilmu Kesehatan Masyarakat UGM, Yogyakarta4 Bagian Obstetri dan Ginekologi Fakultas Kedokteran UGM
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2015-01-27
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Peer-reviewed Article
application/pdf
https://jurnal.ugm.ac.id/jkr/article/view/5748
10.22146/jkr.5748
Jurnal Kesehatan Reproduksi; Vol 1, No 3 (2014)
JURNAL KESEHATAN REPRODUKSI; Vol 1, No 3 (2014)
2621-461X
2302-836X
ind
https://jurnal.ugm.ac.id/jkr/article/view/5748/4663
oai:jurnal.ugm.ac.id:article/5749
2015-01-27T04:30:44Z
jkr:ART
PENGARUH STATUS RAWATAN BAYI DI NICU TERHADAP RISIKO DEPRESI PASCASALIN
Ema, Yasmina
Siswishanto, Rukmono Siswishanto
Widad, Shofwal
PENGARUH STATUS RAWATAN BAYI DI NICU TERHADAP RISIKO DEPRESI PASCASALINYasmina Ema1, Rukmono Siswishanto2, Shofwal Widad3ABSTRACT 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
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Peer-reviewed Article
application/pdf
https://jurnal.ugm.ac.id/jkr/article/view/5749
10.22146/jkr.5749
Jurnal Kesehatan Reproduksi; Vol 1, No 3 (2014)
JURNAL KESEHATAN REPRODUKSI; Vol 1, No 3 (2014)
2621-461X
2302-836X
ind
https://jurnal.ugm.ac.id/jkr/article/view/5749/4664
oai:jurnal.ugm.ac.id:article/5750
2015-01-27T04:30:44Z
jkr:ART
THE USE OF NEW INSERTER (R_INSERTER) FOR DELIVERING CuT-380A IUD DURING POSTPARTUM PERIOD PHASE II CLINICAL TRIAL
Siswosudarmo, Risanto
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 TRIALRisanto Siswosudarmo1, Kadek Kurniawan2, Herdhana Suwartono3, Taufik Rahman Alkaff4, and Maria Anggraeni5ABSTRAKLatar 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 Yogyakarta5 National Family Planning Board, Jakarta
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2015-01-27
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Peer-reviewed Article
application/pdf
https://jurnal.ugm.ac.id/jkr/article/view/5750
10.22146/jkr.5750
Jurnal Kesehatan Reproduksi; Vol 1, No 3 (2014)
JURNAL KESEHATAN REPRODUKSI; Vol 1, No 3 (2014)
2621-461X
2302-836X
ind
https://jurnal.ugm.ac.id/jkr/article/view/5750/4665
oai:jurnal.ugm.ac.id:article/5751
2015-01-27T04:30:44Z
jkr:ART
HUBUNGAN PEMBELAJARAN KESEHATAN REPRODUKSI REMAJA DENGAN PENGETAHUAN TENTANG NAPZA SISWA SMU DI SURAKARTA
Soetrisno, Soetrisno
Trimulya, Didon Muhammad
Riyanto, Slamet
HUBUNGAN PEMBELAJARAN KESEHATAN REPRODUKSI REMAJA DENGAN PENGETAHUAN TENTANG NAPZA SISWA SMU DI SURAKARTASoetrisno1, Didon Muhammad Trimulya2 , Slamet Riyanto3ABSTRACTBackground: 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. ABSTRAKLatar 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:0271-665145/08166725643 Dinas Kesehatan Kota Surakarta
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2015-01-27
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Peer-reviewed Article
application/pdf
https://jurnal.ugm.ac.id/jkr/article/view/5751
10.22146/jkr.5751
Jurnal Kesehatan Reproduksi; Vol 1, No 3 (2014)
JURNAL KESEHATAN REPRODUKSI; Vol 1, No 3 (2014)
2621-461X
2302-836X
ind
https://jurnal.ugm.ac.id/jkr/article/view/5751/4666
oai:jurnal.ugm.ac.id:article/5752
2015-01-27T04:30:44Z
jkr:ART
PERBANDINGAN SKOR DISMENOREA PADA PASIEN ENDOMETRIOSIS YANG MENDAPATKAN TERAPI ABLASI LAPAROSKOPI DILANJUTKAN GnRH AGONIST VERSUS ABLASI LAPAROSKOPI SAJA DI RSUP DR. SARDJITO YOGYAKARTA
Isyana, Marta
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 YOGYAKARTAMarta Isyana 1 , Djaswadi Dasuki2, Diah Rumekti3ABSTRACTBackground: 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 scaleABSTRAKLatar 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
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Peer-reviewed Article
application/pdf
https://jurnal.ugm.ac.id/jkr/article/view/5752
10.22146/jkr.5752
Jurnal Kesehatan Reproduksi; Vol 1, No 3 (2014)
JURNAL KESEHATAN REPRODUKSI; Vol 1, No 3 (2014)
2621-461X
2302-836X
ind
https://jurnal.ugm.ac.id/jkr/article/view/5752/4667
oai:jurnal.ugm.ac.id:article/5753
2015-01-27T04:30:44Z
jkr:ART
PENGARUH CARA PERSALINAN TERHADAP INISIASI LAKTASI
Ismiana, Anna
Taufiqurrahman, Irwan
Siswishanto, Rukmono
PENGARUH CARA PERSALINAN TERHADAP INISIASI LAKTASIAnna Ismiana 1, Irwan Taufiqurrahman2, Rukmono Siswishanto3ABSTRACT 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. ABSTRAKLatar 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
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Peer-reviewed Article
application/pdf
https://jurnal.ugm.ac.id/jkr/article/view/5753
10.22146/jkr.5753
Jurnal Kesehatan Reproduksi; Vol 1, No 3 (2014)
JURNAL KESEHATAN REPRODUKSI; Vol 1, No 3 (2014)
2621-461X
2302-836X
ind
https://jurnal.ugm.ac.id/jkr/article/view/5753/4668
oai:jurnal.ugm.ac.id:article/6898
2015-08-19T02:52:06Z
jkr:ART
PENGETAHUAN DAN KETERAMPILAN BIDAN UNTUK SKRINING KANKER SERVIKS DENGAN METODE INSPEKSI VISUAL ASAM ASETAT (IVA) DI KALIMANTAN BARAT
Mardiana, Mardiana
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 ABSTRAKLatar 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 Barat2 Bagian Obstetri dan Ginekologi Fakultas Kedokteran Universitas Gadjah Mada Yogyakarta
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2015-08-19
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Peer-reviewed Article
application/pdf
https://jurnal.ugm.ac.id/jkr/article/view/6898
10.22146/jkr.6898
Jurnal Kesehatan Reproduksi; Vol 2, No 1 (2015)
JURNAL KESEHATAN REPRODUKSI; Vol 2, No 1 (2015)
2621-461X
2302-836X
ind
https://jurnal.ugm.ac.id/jkr/article/view/6898/5389
oai:jurnal.ugm.ac.id:article/6900
2015-08-19T02:52:06Z
jkr:ART
PELAYANAN KESEHATAN PEDULI REMAJA MENURUT PERSPEKTIF REMAJA DI KOTA MAGELANG
Rohmayanti, Rohmayanti
Rahman, Irwan Taufiqur
Nisman, Wenny Artanty
Rohmayanti1, Irwan Taufiqur Rachman2, Wenny Artanty Nisman3 ABSTRACTBackground: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.ABSTRAKLatar 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 Magelang2 Bagian Obstetri Ginekologi, Fakultas Kedokteran Universitas Gadjah Mada Yogyakarta3 Program Studi Magister Keperawatan, Universitas Gadjah Mada Yogyakarta
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2015-08-19
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Peer-reviewed Article
application/pdf
https://jurnal.ugm.ac.id/jkr/article/view/6900
10.22146/jkr.6900
Jurnal Kesehatan Reproduksi; Vol 2, No 1 (2015)
JURNAL KESEHATAN REPRODUKSI; Vol 2, No 1 (2015)
2621-461X
2302-836X
ind
https://jurnal.ugm.ac.id/jkr/article/view/6900/5390
oai:jurnal.ugm.ac.id:article/7115
2015-08-19T02:52:06Z
jkr:ART
BIAYA PASIEN JAMINAN KESEHATAN NASIONAL YANG MENJALANI SEKSIO SESAREA DI RSUP DR. SARDJITO YOGYAKARTA
Rahmawan, Adi
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’ABSTRAKLatar 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’s1,2,3 Bagian Obstetri dan Ginekologi, Fakultas Kedokteran Universitas Gadjah Mada Yogyakarta
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2015-08-25
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Peer-reviewed Article
application/pdf
https://jurnal.ugm.ac.id/jkr/article/view/7115
10.22146/jkr.7115
Jurnal Kesehatan Reproduksi; Vol 2, No 1 (2015)
JURNAL KESEHATAN REPRODUKSI; Vol 2, No 1 (2015)
2621-461X
2302-836X
ind
https://jurnal.ugm.ac.id/jkr/article/view/7115/5564
oai:jurnal.ugm.ac.id:article/7117
2015-08-19T02:52:06Z
jkr:ART
GANGGUAN HASRAT SEKSUAL PADA WANITA PASCASALIN DAN HUBUNGANNYA DENGAN CARA PERSALINAN
Irchami F, Yusnia
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 ABSTRACTBackground: 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 womanABSTRAK 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 UGM2Bagian Obstetri dan Ginekologi, Fakultas Kedokteran UGM / RSUP Dr. Sardjito3Bagian Kesehatan Ibu dan Anak, Ilmu Kesehatan Masyarakat, Fakultas Kedokteran UGM
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2015-08-25
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Peer-reviewed Article
application/pdf
https://jurnal.ugm.ac.id/jkr/article/view/7117
10.22146/jkr.7117
Jurnal Kesehatan Reproduksi; Vol 2, No 1 (2015)
JURNAL KESEHATAN REPRODUKSI; Vol 2, No 1 (2015)
2621-461X
2302-836X
ind
https://jurnal.ugm.ac.id/jkr/article/view/7117/5565
oai:jurnal.ugm.ac.id:article/7120
2015-08-19T02:52:06Z
jkr:ART
PERBANDINGAN ANTARA PEMBERIAN PROGESTERON VAGINAL DAN ALLYLESTRENOL ORAL PADA PENANGANAN ABORTUS IMINENS
Dhani, Umar
Emilia, Ova
Siswosudarmo, Risanto
Umar Dhani1, Ova Emilia2, Risanto Siswosudarmo3 ABSTRACTBackground: 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. ABSTRAKLatar 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
2015-08-25
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Peer-reviewed Article
application/pdf
https://jurnal.ugm.ac.id/jkr/article/view/7120
10.22146/jkr.7120
Jurnal Kesehatan Reproduksi; Vol 2, No 1 (2015)
JURNAL KESEHATAN REPRODUKSI; Vol 2, No 1 (2015)
2621-461X
2302-836X
ind
https://jurnal.ugm.ac.id/jkr/article/view/7120/5571
oai:jurnal.ugm.ac.id:article/7126
2015-08-19T02:52:06Z
jkr:ART
THE MECHANISM OF HUMAN OVARIAN PRIMORDIAL FOLLICULAR ASSEMBLY AND DEVELOPMENT
Sutandar, Yosep
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 artikelKesimpulan: 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 reviewConclusion: 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, development1,2 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
2015-08-25
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Peer-reviewed Article
application/pdf
https://jurnal.ugm.ac.id/jkr/article/view/7126
10.22146/jkr.7126
Jurnal Kesehatan Reproduksi; Vol 2, No 1 (2015)
JURNAL KESEHATAN REPRODUKSI; Vol 2, No 1 (2015)
2621-461X
2302-836X
ind
https://jurnal.ugm.ac.id/jkr/article/view/7126/5572
oai:jurnal.ugm.ac.id:article/7127
2015-08-19T02:52:06Z
jkr:ART
MICROVOLUME OF 0.1µL GAMA SLEEVED CRYOLOOPS FOR BLASTOCYST VITRIFICATION OF ASSISTED REPRODUCTIVE TECHNOLOGY PATIENTS
Hanoum, Ita Fauzia
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 ABSTRACTBackground: 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, vitrification1Permata Hati Infertility Clinic RSUP DR Sardjito, Yogyakarta2Div Reproductive Endocrinology and Fertility OBGYN Medical Faculty Gadjah Mada University, Yogyakarta3Lab. Anatomi Embriologi FKH, Institut Teknologi Pertanian, Bogor4EPRD- Dept. Obstetrics and Gynecology, Monash University, Monash Medical Center,Victoria, Melbourne5Lab. 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
2015-08-25
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Peer-reviewed Article
application/pdf
https://jurnal.ugm.ac.id/jkr/article/view/7127
10.22146/jkr.7127
Jurnal Kesehatan Reproduksi; Vol 2, No 1 (2015)
JURNAL KESEHATAN REPRODUKSI; Vol 2, No 1 (2015)
2621-461X
2302-836X
ind
https://jurnal.ugm.ac.id/jkr/article/view/7127/5574
oai:jurnal.ugm.ac.id:article/7129
2015-08-19T02:52:06Z
jkr:ART
FAKTOR ANGIOGENIK SOLUBLE FMS-LIKE TYROSINE KINASE-1 DAN VASCULAR ENDOTHELIAL GROWTH FACTOR PADA IBU HAMIL 8 – 20 MINGGU DENGAN RISIKO PREEKLAMPSIA
Sulistyowati, Sri
Soetrisno, Soetrisno
Respati, Supriyadi Hari
Wiyono, Bambang Eko
Sri Sulistyowati1, Soetrisno2, Supriyadi Hari Respati3, Bambang Eko Wiyono4 ABSTRACTBackground: 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.ABSTRAKLatar 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
2015-08-25
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Peer-reviewed Article
application/pdf
https://jurnal.ugm.ac.id/jkr/article/view/7129
10.22146/jkr.7129
Jurnal Kesehatan Reproduksi; Vol 2, No 1 (2015)
JURNAL KESEHATAN REPRODUKSI; Vol 2, No 1 (2015)
2621-461X
2302-836X
ind
https://jurnal.ugm.ac.id/jkr/article/view/7129/5575
oai:jurnal.ugm.ac.id:article/12637
2016-08-15T03:38:06Z
jkr:ART
HUBUNGAN ANTARA VAGINOSIS BAKTERIAL DAN PERSALINAN PRETERM
Lidia, Hepta
Emilia, Ova
Anwar, Moch.
HUBUNGAN ANTARA VAGINOSIS BAKTERIAL DANPERSALINAN PRETERMHepta Lidia1, Ova Emilia2, Moch. Anwar3ABSTRACTBackground: Preterm birth remain becomes global issue due to its contribution on high neonatal mortalityrate. WHO (2012) estimated 15 million babies are born premature and Indonesia as one of 10 countries withhighest rates of preterm birth (15,5/100 live births). In the poorest countries, on average, 12% of babiesare born too soon compared with 9% in higher-income countries. Approximately 50% of spontaneouspreterm birth is associated with genital infection. Plenty of efforts had been done to detect risk factorearly, however if has not successfully decreased preterm birth rate. Because of that, it is a needed to doearly screening of lower genital tract in pregnant woman to prevent preterm birth.Method: Cross sectionalLocation of study: Senopati Bantul hospital and Sewon community health centerResult and Discussion: This study involved 134 pregnant woman. Bivariate and multivariate analysis resultshowed that bacterial vaginosis, increased preterm birth significantly (OR 4,26; IK 95% 1,16-15,62). Otherrisk 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 fulltermbirth. History of preterm birth in last pregnancy significantly increased the number of preterm birth.Keywords: Preterm Birth - bacterial vaginosis – early screeningABSTRAKLatar Belakang: Persalinan preterm masih menjadi masalah global oleh karena memberikan kontribusipada kematian bayi yang cukup tinggi, WHO (2012) memperkirakan 15 juta bayi lahir preterm dan Indonesiatermasuk 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 lebihtinggi. Diperkirakan 50% dari kelahiran prematur spontan terkait dengan infeksi saluran genital. Banyakupaya yang telah dilakukan untuk mendeteksi risiko secara dini selain juga intervensi medis, namun belumbanyak menurunkan kejadian persalinan preterm. Oleh karena itu perlu dilakukan suatu skrining awaluntuk infeksi saluran genital bawah pada wanita hamil untuk mencegah persalinan pretermMetode: cross sectionalTempat penelitian: RSUD Senopati Bantul dan Puskesmas SewonHasil dan Pembahasan: Penelitian melibatkan 134 ibu hamil. Hasil analisis bivariat dan multivariatmenunjukkan bahwa vaginosis bakterial meningkatkan kejadian persalinan preterm secara signifikan (OR2,70; IK 95% 1,29-5,67). Faktor risiko lainnya yang meningkatkan persalinan preterm secara signifikanadalah 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 dibandingkanpada persalinan aterm. Demikian juga riwayat persalinan preterm pada kehamilan sebelumnya secarasignifikan meningkatkan risiko kejadian persalinan preterm.Kata kunci: Persalinan preterm - vaginosis bakterial - skrining awal1,2,3 Bagian Obstetri dan Ginekologi FK UGM/RSUP Dr. Sardjito Yogyakarta
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2016-08-15
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Peer-reviewed Article
application/pdf
https://jurnal.ugm.ac.id/jkr/article/view/12637
10.22146/jkr.12637
Jurnal Kesehatan Reproduksi; Vol 2, No 2 (2015)
JURNAL KESEHATAN REPRODUKSI; Vol 2, No 2 (2015)
2621-461X
2302-836X
ind
https://jurnal.ugm.ac.id/jkr/article/view/12637/9094
Copyright (c) 2016 Jurnal Kesehatan Reproduksi
oai:jurnal.ugm.ac.id:article/12638
2016-08-15T03:38:06Z
jkr:ART
KADAR HUMAN LEUKOCYTE ANTIGEN-G (HLAG) DAN TUMOR NERCROSIS FAKTOR ALPHA (TNF-a) PADA ABORTUS DAN KEHAMILAN NORMAL
Adhi, Kresno Condro
Sulistywati, Sri
Respati, Supriyadi Hari
KADAR HUMAN LEUKOCYTE ANTIGEN-G (HLAG) DAN TUMOR NERCROSIS FAKTOR ALPHA (TNF-a) PADA ABORTUS DAN KEHAMILAN NORMALKresno Condro Adhi1, Sri Sulistyowati2, Supriyadi Hari Respati3ABSTRACTBackground: Abortion is one of the causes of maternal morbidity and mortality. Rejection of the fetusdue to recognition of paternal antigens by the maternal immune system, is suspected to be a cause ofunexplained pregnancy loss. Human Leukocyte Antigen G (HLA-G) expressed by thropoblast and TumorNecrosis 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 DepartmentDr. Moewardi hospital Surakarta and Prodia laboratory since August - November 2014. Number of samplestudied was 40 sample divided into 2 groups, 20 sample abortion and 20 sample normal pregnancy. Allthe sample were examined the HLA-G and TNF-α serum level by ELISA method and analyze by t test withCI 95%.Result and Discussion: Average value of HLA-G in abortion group was 55,0246±26,01 ng/ml and normalpregnancy group with an average 76,7200±32,18 ng/ml with p=0,024 (p≤0,05). Average value of TNF-α inabortion group was 3,83±1,52 ng/ml and normal pregnancy group with an average 2,76±1,49 ng/ml withp=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.ABSTRAKLatar Belakang : Abortus merupakan salah satu penyebab morbiditas dan mortalitas maternal. Adanyapenolakan janin karena adanya antigen paternal oleh sistim imun ibu, diduga menjadi salah satu penyebabterjadinya abortus. Human Leukocyte Antigen G (HLA-G) yang dihasilkan oleh trofoblas dan Tumor NecrosisFactor 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 normalMetode: Penelitian ini merupakan penelitian observasional analitik menggunakan pendekatan CrossSectional yang dilakukan di RSUD Dr. Moewardi Surakarta pada bulan Agustus - November 2014. Totalsampel 40 dibagi menjadi 2 kelompok, 20 sampel kelompok abortus dan 20 sampel kelompok kehamilannormal. Semua sampel dilakukan pemeriksaan serum kadar HLA-G dan TNF-α dengan menggunakanmetode 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 kadarserum TNF-α pada kelompok abortus 3,83±1,52 ng/ml dan kelompok kehamilan normal 2,76±1,49 ng/mldengan nilai p=0,032 (p≤0,05).Kesimpulan: Pada abortus kadar serum HLA-G lebih rendah dan TNF-α lebih tinggi bila dibandingkandengan 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
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Peer-reviewed Article
application/pdf
https://jurnal.ugm.ac.id/jkr/article/view/12638
10.22146/jkr.12638
Jurnal Kesehatan Reproduksi; Vol 2, No 2 (2015)
JURNAL KESEHATAN REPRODUKSI; Vol 2, No 2 (2015)
2621-461X
2302-836X
ind
https://jurnal.ugm.ac.id/jkr/article/view/12638/9095
Copyright (c) 2016 Jurnal Kesehatan Reproduksi
oai:jurnal.ugm.ac.id:article/12639
2016-08-15T03:38:06Z
jkr:ART
PERBANDINGAN RERATA EKSPRESI Bcl-2 DAN Bcl-XL PADA PREEKLAMSIA BERAT DAN KEHAMILAN NORMOTENSI
Arianto, Budi
Hadiati, Diah Rumekti
Nurdiati, Detty Siti
PERBANDINGAN RERATA EKSPRESI Bcl-2 DAN Bcl-XL PADAPREEKLAMSIA BERAT DAN KEHAMILAN NORMOTENSIBudi Arianto1, Diah Rumekti H2, Detty S Nurdiati3ABSTRACTBackground: The state of hypoxia in severe preeclampsia cause placental oxidative stress that can leadexcessive trophoblast apoptosis through the mitochondrial pathway. Apoptosis stimuli occurs throughmodulation 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 andidentify 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 thirdtrimester normotensive pregnancies, recruited between October 2011 - March 2012. Observation ofprotein expression Bcl-2 and Bcl-XL used immunohistochemical techniques. Statistical analysis appliedindependent t test (P<0.05).Result and Discussion: There were significant differences (p<0.05)between the mean expression of Bcl-2protein in trophoblast tissue among severe preeclampsia group (1.03 ± 0.04) compared to normotensivegroup (1.10 ± 0.08). The mean expression of Bcl-XL protein in trophoblast tissue severe preeclampsiagroup (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-XLprotein (0.42; 95% CI 0.47 to 0.36). The mean protein expression of Bcl-2 and Bcl-XL were lower in severepreeclampsia group compared with normotensive group, either in preterm or full-term gestation age withp value <0.05.Conclusion: The mean difference in protein expression of Bcl-2 and Bcl-XL is lower in severe preeclampsiapregnancies than normotensive pregnancies. The mean difference in protein expression of Bcl-2 is lowerthan Bcl-XL. Severe preeclampsia affects protein expression of Bcl-2 and Bcl-XL more than influence ofgestational age.Keywords: severe preeclampsia, trophoblast, Bcl-2 , Bcl-XL, apoptosis.ABSTRAKLatar belakang: Keadaan hipoksia pada preeklamsia berat akan menyebabkan stress oksidatif plasentayang dapat memicu terjadi peningkatan apoptosis trofoblas melalui jalur mitokondria. Stimulus apoptosisterjadi melalui modulasi ekspresi P53 dan ekspresi protein Bcl-2 family yang memiliki fungsi antiapoptosisdan proapoptosis. Protein antiapoptosis terdiri atas Bcl-2 dan Bcl-XL akan diekspresikan lebih rendah padakeadaan apoptosis.Tujuan: Untuk melihat perbedaan rerata ekspresi protein antiapoptosis Bcl-2 dan Bcl-XL dan mengidentifikasijenis protein yang dapat dijadikan indikator peningkatan apoptosis.Metode: Rancangan penelitian ini potong lintang dengan populasi penderita kehamilan preeklamsia beratdan normotensi yang dirawat di RSUP Sardjito antara bulan Oktober 2011 hingga Maret 2012. Didapatkansampel plasenta sebanyak 43 kehamilan preeklamsia berat dan 38 kehamilan normotensi. Pengamatanekspresi protein Bcl-2 dan Bcl-XL dengan teknik imunohistokimia. Analisis statistik menggunakanindependent t test (p<0.05).Hasil dan Pembahasan: Terdapat perbedaan yang bermakna (p<0,05) rerata ekspresi protein Bcl-2 padajaringan trofoblas kelompok kehamilan preeklamsia berat (1,03 ± 0,04) dibandingkan kelompok kehamilannormotensi (1,10 ± 0,08). Terdapat perbedaan yang bermakna (p<0.05) rerata ekspresi protein Bcl-xL padajaringan trofoblas kelompok kehamilan preeklamsia berat (1,29 ± 0,12) dibandingkan kelompok kehamilannormotensi (1,71 ± 0,14). Beda rerata ekspresi protein untuk Bcl-2 (0,076; CI 95% 0,046 – 0,104) lebihrendah dibandingkan beda rerata ekspresi protein Bcl-xL (0,42; CI 95% 0,47- 0,36). Rerata ekspresi proteinBcl-2 dan Bcl-XL lebih rendah pada kelompok preeklamsia berat dibandingkan dengan normotensi baikpada 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 beratdibandingkan kehamilan normotensi. Beda rerata ekspresi protein Bcl-2 lebih rendah dibandingkan bedarerata ekspresi protein Bcl-xl. Preeklamsia berat lebih berpengaruh terhadap ekspresi protein Bcl-2 danBcl-XL dibandingkan umur kehamilanKata Kunci: preeklamsia berat, trofoblas, protein Bcl-2, protein Bcl-xl, apoptosis1,2,3 Bagian Obstetri dan Ginekologi FK UGM/RSUP Dr. Sardjito, Yogyakarta
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2016-08-15
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Peer-reviewed Article
application/pdf
https://jurnal.ugm.ac.id/jkr/article/view/12639
10.22146/jkr.12639
Jurnal Kesehatan Reproduksi; Vol 2, No 2 (2015)
JURNAL KESEHATAN REPRODUKSI; Vol 2, No 2 (2015)
2621-461X
2302-836X
ind
https://jurnal.ugm.ac.id/jkr/article/view/12639/9096
Copyright (c) 2016 Jurnal Kesehatan Reproduksi
oai:jurnal.ugm.ac.id:article/12640
2016-08-15T03:38:06Z
jkr:ART
PENGARUH KONSELING LAKTASI PADA IBU HAMIL TRIMESTER III TERHADAP PEMBERIAN PRELAKTAL BAYI BARU LAHIR
Apriliani, Happy Dwi
Siswosudarmo, Risanto
Setiyarini, Wahyu Ikka
PENGARUH KONSELING LAKTASI PADA IBU HAMILTRIMESTER III TERHADAP PEMBERIAN PRELAKTAL BAYIBARU LAHIRHappy Dwi Aprilina1, Risanto Siswosudarmo2, Wahyu Ikka Setiyarini3ABSTRACTBackground: Exclusive breastfeeding’s rate in Indonesia is still low. One of the causes of this failure is theprelacteal feeding in infants’ early life. Prelacteal feeding can cause the infants reluctance to suckle theirmothers’ breasts, diarrhea, allergy, ear infections and respiratory disorders in infants. One of the efforts toprevent 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 pregnancytoward 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 classonly) n=34. The subjects are woman in the third trimester of pregnancy in the work area of PuskesmasSokaraja 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 inintervention 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 1.69times greater chance to not give prelacteal than mothers who did not receive counseling lactation.Keywords: Exclusive Breastfeeding, Lactation Counseling, Prelacteal, Health Education, BreastfeedABSTRAKLatar Belakang: Cakupan pemberian ASI Eksklusif di Indonesia masih dalam rendah. Salah satu penyebabkegagalan ASI Eksklusif adalah pemberian prelaktal pada awal kehidupan bayi. Pemberian prelaktal dapatmenyebabkan bayi malas menyusu, diare, alergi, infeksi dan gangguan pernapasan pada bayi. Salah satuupaya dalam mencegah pemberian prelaktal yaitu dengan memberikan konseling laktasi pada ibu hamiltrimester ketiga.Tujuan: mengetahui pengaruh konseling laktasi pada ibu hamil trimester ketiga terhadap pemberianprelaktal bayi baru lahir.Metode: Desain penelitian menggunakan randomized controlled trial (RCT),dibagi menjadi kelompokperlakuan (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. Teknikpengambilan sampel menggunakan simple random sampling. Chisquare, risiko relatif (RR) dan analisisregresi logistik digunakan untuk analisis statistik.Hasil dan Pembahasan: Proporsi ibu tidak memberikan prelaktal pada kelompok intervensi lebih tinggidibandingkan 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 dengankelompok kontrolKesimpulan: Proporsi ibu yang mendapatkan konseling laktasi pada kehamilan trimester ketiga 1,69 kaliberpeluang lebih besar tidak memberikan prelaktal daripada ibu yang tidak mendapatkan konseling laktasi.Kata kunci: ASI Eksklusif, Konseling laktasi, Prelaktal, Pendidikan Kesehatan, Menyusui1 E-mail: happydwiaprilina@yahoo.com; Program Studi Magister Keperawatan Universitas Gadjah Mada2 Bagian Obstetri dan Ginekologi Fakultas Kedokteran Universitas Gadjah Mada3 Rumah Sakit Umum Daerah Banyumas
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2016-08-15
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Peer-reviewed Article
application/pdf
https://jurnal.ugm.ac.id/jkr/article/view/12640
10.22146/jkr.12640
Jurnal Kesehatan Reproduksi; Vol 2, No 2 (2015)
JURNAL KESEHATAN REPRODUKSI; Vol 2, No 2 (2015)
2621-461X
2302-836X
ind
https://jurnal.ugm.ac.id/jkr/article/view/12640/9097
Copyright (c) 2016 Jurnal Kesehatan Reproduksi
oai:jurnal.ugm.ac.id:article/12641
2016-08-15T03:38:06Z
jkr:ART
HUBUNGAN EPISIOTOMI TERHADAP INKONTINENSIS URIN: SUATU STUDI EPIDEMIOLOGI
Sari, Novita
Patmini, Edi
Nugroho, Agung
Rahman, Muhammad Nurhadi
HUBUNGAN EPISIOTOMI TERHADAP INKONTINENSIS URIN: SUATU STUDI EPIDEMIOLOGINovita Sari1, Edi Patmini2, Agung Nugroho3, Muhammad Nurhadi Rahman4ABSTRACTBackground:The mortality rate of urinary incontinence is low but it greatly affects a person’s quality oflife 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 oftrauma risk to the connective tissue, muscle, and nerve during childbirth.Objective: To assess association between episiotomy and nonepisiotomy vaginal delivery method onurinary incontinence among postpartum woman.Method: A cross sectional study was conducted toward women with post vaginal delivery in BantulHospital 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 womenwith nonepisiotomy vaginal delivery). Questionnaire for Urinary Incontinence Diagnosis (QUID)wasadministered to measure urinary incontinence in postpartum women. Data were analyzed using SPSSsoftware version 19.Result and Discussion: The occurrence of urinary incontinence in this research was 45.3%, among these39.5% were women with episiotomy vaginal delivery, and 60.5% were women with nonepisiotomy vaginaldelivery method (p=0.228 and RP =0.76).Conclusion: Urinary incontinence among postpartum women is not significantly different among womenwho delivered with episiotomy and non episiotomy.Keyword: Urinary incontinence, vaginal delivery, episiotomy, nonepisiotomyABSTRAKLatar Belakang:Inkontinensi urin bukan masalah yang mematikan tetapi inkontinensi urin mempengaruhikualitas hidup seseorang karena menimbulkan rasa malu dan tidak nyaman, sehingga memberikandampak psikososial pada pasien inkontinensi urin. Inkontinensi urin 2-3 kali lebih sering dialami olehwanita dibandingkan dengan pria karena adanya risiko terjadinya trauma pada jaringan ikat, otot, dancedera saraf saat melakukan persalinan.Tujuan: Mengetahui hubungan antara persalinan vaginal dengan tindakan episiotomi dan nonepisiotomiterhadap kejadian inkontinensi urin pada wanita postpartum.Metode: Penelitian ini menggunakan desain Cross Sectional dengan 44 subjek pada kelompok persalinanvaginal episiotomi dan 51 subjek pada kelompok persalinan vaginal nonepisiotomi. Kuesioner QUID(Questionnaire for Urinary Incontinence Diagnosis) digunakan untuk mengukur inkontinensi urin padawanita postpartum. Data kemudian dianalisis menggunakan software SPSS versi 19.Hasil:Angka kejadian inkontinensi urin pada subjek penelitian yaitu 45,3%, sedangkan pada kelompokpersalinan 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 episiotomidan nonepisiotomi terhadap terjadinya inkontienesi urin postpartum.Kata kunci:Inkontinensi urin, persalinan vaginal, episiotomy dan nonepisiotomi.1 Mahasiswa S1 Pendidikan Dokter Fakultas Kedokteran UGM2,4 Bagian Obstetri dan Ginekologi, Fakultas Kedokteran UGM / RSUP Dr. Sardjito3 Bagian Kesehatan Ibu dan Anak, Ilmu Kesehatan Masyarakat, Fakultas Kedokteran UGM
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2016-08-15
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Peer-reviewed Article
application/pdf
https://jurnal.ugm.ac.id/jkr/article/view/12641
10.22146/jkr.12641
Jurnal Kesehatan Reproduksi; Vol 2, No 2 (2015)
JURNAL KESEHATAN REPRODUKSI; Vol 2, No 2 (2015)
2621-461X
2302-836X
ind
https://jurnal.ugm.ac.id/jkr/article/view/12641/9098
Copyright (c) 2016 Jurnal Kesehatan Reproduksi
oai:jurnal.ugm.ac.id:article/12642
2016-08-15T03:38:06Z
jkr:ART
RASIO ESTRIOL/ ESTRADIOL TINGGI SEBAGAI PREDIKTOR KEBERHASILAN INDUKSI PERSALINAN PADA KEHAMILAN LEWAT WAKTU
Adintyo Rahman, Muhammad Nur
Prawitasari, Shinta
Pradjatmo, Heru
RASIO ESTRIOL/ ESTRADIOL TINGGI SEBAGAI PREDIKTORKEBERHASILAN INDUKSI PERSALINAN PADA KEHAMILANLEWAT WAKTUMuhammad Nur Adintyo Rahman1, Shinta Prawitasari2, Heru Pradjatmo3ABSTRACTBackground: Induction of labor is a common procedure performed at 15-20 % of pregnancies. The mostcommon indication was prolonged pregnancy (70 %). The past decade labor induction rate was increased2-fold as well as the risk of cesarean section. Difficulties to predict the success of induction made predictorsof success of induction widely studied. Predictors can be physical or chemical markers. One of the chemicalmarker 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 laborin prolonged pregnancy.Method: The design of study are Prospective Cohort. Study two hospitals (Wonosobo District Hospitaland 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 andestradiol the induction which end in vaginal delivery were noted as succesull induction Receiver OperatingCharacteristic (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 todetermine the correlation between variables.Results and Discussion: This study obtained 76 samples, 69 with successful induction and 7 failed ofinduction. 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 showedthat 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 groupwere higher (≥ 35) compared with induction failure group (<35).Keywords: prolonged pregnancy, labor induction , estriol/ estradiol ratio, predictorsABSTRAKLatar Belakang: Induksi persalinan adalah prosedur umum yang dilakukan pada 15-20% kehamilan.Indikasi tersering adalah kehamilan lewat waktu (70%). Satu dekade terakhir angka induksi persalinantelah 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 kimiaadalah rasio kadar estriol terhadap estradiol.Tujuan: Mengetahui nilai rasio kadar estriol estradiol untuk memprediksi keberhasilan induksi padakehamilan lewat waktuMetode: Kohort prospektif. Dua rumah sakit (RSUD Wonosobo dan RSUD Banjarnegara) dipakai dalampenelitian ini dari 10 September 2013 sampai 31 Desember 2013. Subyek yang memenuhi kriteriainklusi dan eksklusi diambil sampel darah sebanyak 5 ml sebelum Induksi untuk diperiksa kadar estrioldan estradiol kemudian dilihat keberhasilan induksinya. Analisis yang digunakan adalah metode ReceiverOperating 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 mengetahuihubungan antar variabel.Hasil dan Pembahasan: Selama waktu penelitian didapatkan 76 sampel, 69 dengan induksi berhasil dan7 gagal induksi. Dengan cut off point 35, nilai sensitivitasnya 71%, nilai Spesifitas 71%, nilai ramal positif49%, nilai ramal negatif 55,6%. Nilai Area Under Curve sebesar 80.7%. Likelihood ratio positive 1,06 danlikelihood ratio negative 0,88. Hasil analisis multivariat menunjukkan bahwa Rasio estriol/ estradiol ≥ 35berhubungan dengan keberhasilan induksi secara signifikan (RO 9.598; IK 95% 1.378-66.859) Skor Bishopjuga 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 induksiKata kunci: Kehamilan lewat waktu, induksi persalinan, rasio estriol/ estradiol, prediktor1,2,3 Bagian Obstetri dan Ginekologi Fakultas Kedokteran Universitas Gadjah Mada Yogyakarta
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2016-08-15
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Peer-reviewed Article
application/pdf
https://jurnal.ugm.ac.id/jkr/article/view/12642
10.22146/jkr.12642
Jurnal Kesehatan Reproduksi; Vol 2, No 2 (2015)
JURNAL KESEHATAN REPRODUKSI; Vol 2, No 2 (2015)
2621-461X
2302-836X
ind
https://jurnal.ugm.ac.id/jkr/article/view/12642/9099
Copyright (c) 2016 Jurnal Kesehatan Reproduksi
oai:jurnal.ugm.ac.id:article/12644
2016-08-15T03:38:06Z
jkr:ART
KESEHATAN REPRODUKSI MAHASISWA : KEBUTUHAN INFORMASI DAN PELAYANAN Studi Kualitatif di Jakarta Barat
Wratsangka, Raditya
KESEHATAN REPRODUKSI MAHASISWA : KEBUTUHANINFORMASI DAN PELAYANANStudi Kualitatif di Jakarta BaratRaditya Wratsangka1ABSTRACTBackground: Young people comprise students are a considerably large segment of the world populationwith important future roles, who face reproductive health-associated risks, such as sexually transmitteddiseases, 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 resistancefrom adults when attempting to do so.Objective: To assess the reproductive health information, types, access and models of services requiredby students.Method: This was a qualitative study involving students from three universities in West Jakarta. Datacollection was by focus group discussion and indepth interviews. Data were validated by triangulation ofinformation sources and method. Data analysis was performed by content analysis method to extract theroot of the problem.Result and Discussion: Fourteen unmarried students were involved as informants/respondents. Severalhad inadequate knowledge of reproductive health and difficulties in accessing appropriate informationsources, so that they engaged in risky behavior for various reasons. The informants expressed their needfor reliable information, accessible and friendly professional counselling and clinical reproductive healthservices, and also that guarantee their privacy.Conclusion: Information, counselling and clinical services should be instituted that meet the requirementsof students for improving their reproductive health.Key words: reproductive health, information, counselling, servicesABSTRAKLatar Belakang: Kaum muda -termasuk mahasiswa- dengan populasi yang besar dan peran yang penting dimasa depan, menghadapi berbagai risiko yang berkaitan dengan kesehatan reproduksinya, seperti: infeksimenular seksual, HIV/AIDS, kekerasan seksual, kehamilan yang tidak diinginkan dan aborsi yang tidakaman. Selama ini kaum muda kurang mendapatkan informasi, kurang berpengalaman, dan kurang nyamanmengakses pelayanan kesehatan reproduksi, bahkan mendapat tentangan dari kelompok dewasa, ketikamereka mencoba untuk memperoleh informasi dan pelayanan kesehatan reproduksi yang dibutuhkan.Tujuan: Mendapatkan gambaran tentang informasi, jenis, akses dan model pelayanan kesehatan reproduksiyang dibutuhkan oleh mahasiswa.Metode: Penelitian ini merupakan studi kualitatif dengan melibatkan mahasiswa dari 3 Universitas diJakarta Barat. Pengumpulan data dilakukan dengan teknik diskusi kelompok terarah dan wawancara mendalam. Validasi data dilakukan dengan teknik triangulasi sumber informasi dan metode. Analisis datadilakukan dengan content analysis method untuk menggali akar permasalahan.Hasil dan Pembahasan: Sebanyak 14 mahasiswa dilibatkan sebagai informan/responden yang semuanyabelum menikah. Sebagian informan kurang pengetahuannya di bidang kesehatan reproduksi, mengalamikesulitan mengakses informasi dan sumber yang tepat, sehingga terlibat dalam perilaku berisiko. Parainforman umumnya menyatakan kebutuhannya terhadap pelayanan konseling dan klinis kesehatanreproduksi yang profesional, mudah diakses, ramah dan tetap bisa menjaga privacy mereka.Kesimpulan: Dibutuhkan pelayanan informasi, konseling dan klinis yang sesuai kebutuhan mahasiswauntuk meningkatkan kesehatan reproduksinya.Kata kunci: kesehatan reproduksi, informasi, konseling, pelayanan1 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
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Peer-reviewed Article
application/pdf
https://jurnal.ugm.ac.id/jkr/article/view/12644
10.22146/jkr.12644
Jurnal Kesehatan Reproduksi; Vol 2, No 2 (2015)
JURNAL KESEHATAN REPRODUKSI; Vol 2, No 2 (2015)
2621-461X
2302-836X
ind
https://jurnal.ugm.ac.id/jkr/article/view/12644/9100
Copyright (c) 2016 Jurnal Kesehatan Reproduksi
oai:jurnal.ugm.ac.id:article/12645
2016-08-15T03:38:06Z
jkr:ART
PERBANDINGAN COMPLETE RESPONSE PENDERITA KANKER OVARIUM STADIUM LANJUT YANG MENDAPAT REJIMEN PACLITAXEL-CARBOPLATIN DENGAN REJIMEN CYCLOPHOSPHAMIDE-ADRIAMYCIN-CISPLATIN SEBAGAI KEMOTERAPI LINI PERTAMA
Sibuea, M.
Lutfi, M.
Hakimi, M.
PERBANDINGAN COMPLETE RESPONSE PENDERITAKANKER OVARIUM STADIUM LANJUT YANG MENDAPATREJIMEN PACLITAXEL-CARBOPLATIN DENGAN REJIMENCYCLOPHOSPHAMIDE-ADRIAMYCIN-CISPLATIN SEBAGAIKEMOTERAPI LINI PERTAMAM. Sibuea1, M. Lutfi2, M. Hakimi3ABSTRACTBackground: Introduction of Platinum and Paclitaxel has increased survival rate in advanced epithelialovarian cancer. Several studies have been tried to establish the better combination with those anticancerdrugs.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 cancerFIGO stage III and IV were collected from Dr.Sardjito Hospital’s medical record analysis between January2009 and December 2013, and divided into two groups according to chemotherapy regimens. Completeresponse and progression-free survival were determined after cytoreductive surgery and total 6 coursesof chemotherapy.Result and Discussion: The frequency of complete response was similar, 61,5% in Paclitaxel Carboplatingroup as compared with 63% in CAP group (RR 0,977, 95% CI 0,642-1,487, p=1,000). Kaplan-Meier curvesshowed 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 chemotherapyin advanced epithelial ovarian cancer. Further evaluation of survival, toxicity profile, and quality of lifewere needed to determine superiority of Paclitaxel-Carboplatin compared with CAP. Optimal cytoreductivesurgery was an independent predictor for a better prognosis.Keywords: advanced ovarian cancer, chemotherapy, Paclitaxel-Carboplatin, CAPABSTRAKLatar belakang: Survival rate penderita kanker ovarium epitelial stadium lanjut meningkat sejakdiperkenalkannya Platinum dan Paclitaxel. Beberapa penelitian telah berusaha untuk menentukankombinasi 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 kankerovarium epitelial stadium III-IV (FIGO) didapatkan dari analisis rekam medis RSUP Dr. Sardjito mulai Januari2009 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 kelompokCAP (63%) (RR 0,977, 95% CI 0,642-1,487, p=1,000). Kurva Kaplan-Meier tidak menunjukkan perbedaanPFS 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 optimalmencapai 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 linipertama pada kanker ovarium epitelial stadium lanjut. Namun, masih diperlukan pengukuran survival, profiltoksisitas, 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, CAP1,2,3 Bagian Obstetri dan Ginekologi FK UGM/RSUP Dr. Sardjito Yogyakarta
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2016-08-15
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Peer-reviewed Article
application/pdf
https://jurnal.ugm.ac.id/jkr/article/view/12645
10.22146/jkr.12645
Jurnal Kesehatan Reproduksi; Vol 2, No 2 (2015)
JURNAL KESEHATAN REPRODUKSI; Vol 2, No 2 (2015)
2621-461X
2302-836X
ind
https://jurnal.ugm.ac.id/jkr/article/view/12645/9102
Copyright (c) 2016 Jurnal Kesehatan Reproduksi
oai:jurnal.ugm.ac.id:article/12647
2016-08-15T07:00:24Z
jkr:ART
PENGARUH IBU HAMIL PEROKOK PASIF TERHADAP KEJADIAN LAHIR MATI DI KOTA AMBON
Paunno, Magdalena
Emilia, Ova
Wahab, Abdul
PENGARUH IBU HAMIL PEROKOK PASIF TERHADAPKEJADIAN LAHIR MATI DI KOTA AMBONMagdalena Paunno1, Ova Emillia2, Abdul Wahab3ABSTRACTBackground: 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 ofnational level, that is, Visit 1 (89%) and Visit 4 (87.76%); however, the incidence of stillbirths in Ambonis still considered high. Data about the incidence of stillbirths in three hospitals of Ambon showed thatthere were 44.2 stillbirths per 1000 live births while national data in 2003 showed that there were only9.6 stillbirths per 1000 live births. The direct cause of stillbirth is hypoxia, that is, the lack of oxygenin a pregnant woman’s body due to the exposure of cigarette smoke. In Ambon municipality, 65% ofhouseholds have 1 active smoker and almost all of the smokers (90%) smoke inside the house. This rateof course exceeds the national rate. In addition, other factors causing stillbirth are the quality of antenatalcare, 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 hospitalsof Ambon municipality, namely Dr. M. Haulussy District Hospital, Al-Fatah Hospital, and Sumber HidupHospital. Subjects were divided into two groups which were case and control with comparison of 1:1 (69stillbirths as case and 69 live births as control) from January to December 2007. Samples were taken usingnon probability sampling which was determined with quota sample. The analysis of quantitative dataused univariable analysis, bivariable analysis with chi-square test (χ²) and stratification, and multivariableanalysis with logistic regression.Result and Discussion: There was a significant relationship between passive smoking during pregnancyand the incidence of stillbirth based on bivariable analysis with OR=3.36 (95% CI=1.20-5.41) while basedon multivariable analysis with OR=2.8 (1.01-7.94). Other risk factors that affected the incidence of stillbirthwere the quality of antenatal care with OR=3.2 (95% CI=1.39-7.52) and anemia during pregnancy withOR=2.3 (95% CI=1.20-5.41). Meanwhile, stratification analysis showed that non anemic women duringpregnancy was significantly related to stillbirths with OR=5.7 (95% CI 1.10-55.22). However, age, parity andeducation 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 Ambonmunicipality. Other factors that caused the incidence of stillbirths were the quality of antenatal care andanemia. However, age, and parity were not the risk factors of the incidence of stillbirths in Ambon.Keywords: pregnant woman, passive smoking, stillbirthINTISARILatar 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 lahirmati adalah hypokxia yaitu kekurangan oksigen dalam tubuh ibu, akibat dari ibu hamil terpapar asaprokok. 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 adalahkualitas 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 kejadianlahir mati.Metode: Penelitian observasional dengan rancangan kasus-kontrol. Lokasi penelitian pada 3 RS di KotaAmbon 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. Pengambilansampel dengan cara non probability sampling, ditentukan secara quota sample . Analisis data terdiridari analisis univariabel, analisis bivariabel menggunakan uji chi-square (χ²), stratifikasi serta analisismultivariabel menggunakan regresi logistik.Hasil dan Pembahasan: Ada hubungan yang bermakna antara ibu hamil perokok pasif dengan kejadianlahir mati. Analisis bivariabel OR=3,36 (95% CI=1,20-5,41) analisis multivariabel OR=2,8 (1,01-7,94). Faktorrisiko 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 Province2 Obstetric and Gynecology Division, Faculty of Medicine,Gadjah Mada University, Yogyakarta3 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
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Peer-reviewed Article
application/pdf
https://jurnal.ugm.ac.id/jkr/article/view/12647
10.22146/jkr.12647
Jurnal Kesehatan Reproduksi; Vol 2, No 3 (2015)
JURNAL KESEHATAN REPRODUKSI; Vol 2, No 3 (2015)
2621-461X
2302-836X
ind
https://jurnal.ugm.ac.id/jkr/article/view/12647/9104
Copyright (c) 2016 Jurnal Kesehatan Reproduksi
oai:jurnal.ugm.ac.id:article/12649
2016-08-15T07:00:24Z
jkr:ART
HUBUNGAN KADAR ANTI MULLERIAN HORMONE (AMH) DENGAN KEBERHASILAN STIMULASI OVARIUM PADA FERTILISASI IN VITRO METODE PROTOKOL PANJANG
Permana, Ridho
Widad, Shofwal
Lutfi, M.
HUBUNGAN KADAR ANTI MULLERIAN HORMONE (AMH)DENGAN KEBERHASILAN STIMULASI OVARIUM PADAFERTILISASI IN VITRO METODE PROTOKOL PANJANGRidho Permana, Shofwal Widad, M. LutfiABSTRACTBackground: 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 folliclesindirectly determine the ovarian reserve. Therefore, AMH may be used as a marker of ovarian ageing andassociated with ovarian response in in vitro fertilization (IVF).Objective: To determine the effect of Anti Mullerian Hormone (AMH) on ovarian response in IVF longprotocol 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 fromJanuary 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). Totaldose gonadotropin was significantly different in two groups (p=0.02). High AMH and low AMH levelwere significantly associated with ovarian response (RR 2,05; CI 95% 1,32 – 2,20 ; p< 0,01). BesideAMH, multivariate analysis shows basal LH level (p=0,04; OR 7,22; CI 95% 1,09 – 47,87) and peritonealendometriosis (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 levelswas greater than high AMH level. In addition to AMH, ovarian response were influenced by basal LH leveland peritoneal endometriosis.Keywords: Anti Mullerian hormone (AMH), ovarian response, long protocol stimulation, in vitro fertilization(IVF).ABSTRAKLatar belakang: Pasien dengan penurunan jumlah dan kualitas oosit diduga mempunyai kadar AntiMullerian Hormone (AMH) lebih rendah. Konsentrasi Anti Mullerian Hormone (AMH) yang dihasilkanfolikel ovarium secara tidak langsung menggambarkan cadangan ovarium yang tersisa. Karenanya kadarAnti Mullerian Hormone (AMH) dapat digunakan sebagai prediktor yang akurat dari cadangan ovarium danrespons stimulasi ovarium pada fertilisasi in vitro.Tujuan: Untuk mengetahui pengaruh kadar Anti Mullerian Hormone (AMH) terhadap keberhasilanstimulasi 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 disertakandalam 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 dosistotal gonadotropin (p=0,02).Terdapat perbedaan bermakna respons stimulasi ovarium antara AMH tinggidan 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 gonadotropinpada AMH rendah dibutuhkan lebih banyak dibandingkan dengan AMH tinggi. Selain AMH, responsterhadap 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
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Peer-reviewed Article
application/pdf
https://jurnal.ugm.ac.id/jkr/article/view/12649
10.22146/jkr.12649
Jurnal Kesehatan Reproduksi; Vol 2, No 3 (2015)
JURNAL KESEHATAN REPRODUKSI; Vol 2, No 3 (2015)
2621-461X
2302-836X
ind
https://jurnal.ugm.ac.id/jkr/article/view/12649/9105
Copyright (c) 2016 Jurnal Kesehatan Reproduksi
oai:jurnal.ugm.ac.id:article/12650
2016-08-15T07:00:24Z
jkr:ART
PERBANDINGAN RERATA EKSPRESI PROTEIN Bax DAN Bak PADA PREEKLAMPSIA BERAT DAN KEHAMILAN NORMOTENSI
Sujatmiko, Tejo
H, Diah Rumekti
Nurdiati, Detty S
PERBANDINGAN RERATA EKSPRESI PROTEIN Bax DANBak PADA PREEKLAMPSIA BERAT DAN KEHAMILANNORMOTENSITejo Sujatmiko*, Diah Rumekti H*, Detty S Nurdiati*ABSTRACTBackground: Preeclampsia is still become major cause of maternal and perinatal mortality. The placentais an important and central focus on the pathogenesis of preeclampsia. Failure of trophoblast cells toperform remodeling on spiral arteries due to excessive apoptosis may cause uteroplacental ischemiaand endothelial cells damage, this induce clinical manifestations of preeclampsia especially through theintrinsic 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 activatecaspase the intrinsic apoptotic pathway that cascade resulting in cell death processes.Objective: Comparing the mean of Bax and Bak protein expression between normotensive pregnancies andsevere preeclampsia.Method: This research is a cross-sectional study design. The subjects were severe preeclampsia andnormotensive 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 immunohistochemistrytechniques.Result and Discussion: The mean expression of Bax and Bak proteins in severe preeclampsia group weresignificantly 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 normotensivepregnancies and Bax protein gave more effect statistically in preeclampsia compared to Bak protein.Keywords: trophoblast, immunohistochemistry, severe preeclampsia, Bak protein, Bax protein, apoptosis.ABSTRAKLatar belakang: Preeklampsia masih merupakan penyebab kematian maternal dan perinatal yang utama.Plasenta merupakan fokus sentral dan penting pada patogenesis terjadinya preeklampsia. Kegagalan seltrofoblas melakukan remodeling arteri spiralis akibat proses apoptosis yang berlebihan menyebabkanterjadinya iskemia uteroplasenter dan kerusakan sel endotel yang menimbulkan manifestasi klinispreklampsia terutama terjadi melalui jalur intrinsik intraseluler dimana Bax dan Bak adalah gen-genyang berperan sebagai regulator apoptosis pada sel (sebagai pro-apoptosis). Mereka terletak di dalammitokondria dan reticulum endoplasma dan bekerja mengaktifkan caspase cascade sehingga terjadiproses kematian sel.Tujuan: Membandingkan rerata ekspresi protein Bax dan Bak antara preeklampsia berat dengan kehamilannormotensi.Metode: Penelitian ini merupakan rancangan penelitian potong lintang dengan sampel penderitapreeklampsia berat dan normotensi yang dirawat di RSUP dr. Sardjito Jogjakarta antara bulan Oktober2011 hingga Maret 2012, sebanyak 81 pasien. Pengamatan ekspresi protein Bak dan Bax dilakukan denganteknik imunohistokimia.Hasil dan Pembahasan: Rerata ekspresi protein Bax dan Bak pada kelompok preeklampsia berat lebihtinggi 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 dengankehamilan normotensi dan protein Bax lebih berpengaruh pada preeklampsia dibanding dengan proteinBak.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
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Peer-reviewed Article
application/pdf
https://jurnal.ugm.ac.id/jkr/article/view/12650
10.22146/jkr.12650
Jurnal Kesehatan Reproduksi; Vol 2, No 3 (2015)
JURNAL KESEHATAN REPRODUKSI; Vol 2, No 3 (2015)
2621-461X
2302-836X
ind
https://jurnal.ugm.ac.id/jkr/article/view/12650/9106
Copyright (c) 2016 Jurnal Kesehatan Reproduksi
oai:jurnal.ugm.ac.id:article/12652
2016-08-15T07:00:24Z
jkr:ART
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
Ratnawati, Lili
Siswishanto, Rukmono
Emilia, Ova
HUBUNGAN ANEMIA DALAM KEHAMILBAayi NKeci luTntuRk MIaMsa KeEhaSmilTan E(KMRK) dTi RIS GDr. ASard jitoTERHADAP KEJADIAN BAYI KECIL UNTUK MASA KEHAMILAN(KMK) DI RS DR SARDJITOLili Ratnawati*, Rukmono Siswishanto*, Ova Emilia*ABSTRACTBackground: The high prevalence of anemia during pregnancy at Yogyakarta could be associated with theadverse pregnancy outcome as SGA. Previous study reported inconsitent result about association betweenanemia during third trimester and babies with SGA. Research is needed to determine the contribution ofanemia 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 thirdtrimester at RS Dr Sarjito.Method: Cross sectional study based on RS Dr Sardjito’s medical record. The subjects of study werepregnant women who took delivery at RS Dr Sarjito during third trimester from 2010 to 2011. Anemiadefine as haemoglobin level < 11g/dl which performed before delivery. Babies with brith weigth < 10percentile Lubchenco curve group into SGA. Association between anemia during third trimester and SGAanalyzed 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 anemiaand 93 subjects without anemia. The anemia groups consist of 97,95% mild anemia, 2,05% moderateanemia, and none severe anemia. The prevalence of SGA in total population, group with anemia, andgroup without anemia was 14%, 15,8%, and 10% irrespectively. The prevalance of SGA between groupwith and without anemia was not different (p=0,27; RR 1,46; 95%CI 0,73-2,93). Maternal age, BMIpregestational, education, and parity did not influence the prevalence of anemia and SGA. Consideringmultivariat analysis, neither anemia, maternal age, BMI pregestational, education, nor parity did not affectthe prevalance of SGA.Conclusion: In this study, the prevalence of SGA in pregnancy with and without anemia during thirdtrimester did not different at RS Dr Sarjito.Kata kunci: Anemia in pregnancy, third trimester, SGA.ABSTRAKLatar Belakang: Prevalensi anemia dalam kehamilan di Yogyakarta masih cukup tinggi sehingga dapatmenyebabkan peningkatan dampak buruk anemia terhadap janin, salah satunya KMK. Penelitiansebelumnya menunjukkan perbedaan hasil tentang hubungan anemia trimester tiga terhadap kejadianKMK. Penelitian tentang hubungan anemia dalam kehamilan trimester tiga terhadap kejadian KMK di RSSarjito penting dilakukan untuk mengetahui besarnya dampak negatif yang timbul akibat anemia dalamkehamilan.Tujuan: Mengetahui perbedaan kejadian bayi KMK pada ibu hamil dengan anemia pada trimester tigadibandingkan ibu hamil tanpa anemia di RS Dr Sarjito.Metode: Penelitian ini menggunakan rancangan cross sectional bersumber data rekam medis pasien ibuhamil trimester tiga yang bersalin di RS Dr Sardjito pada tahun 2010 s.d. 2011. Subyek penelitian yangmemenuhi kriteria inklusi dibagi dalam kelompok anemia dan normal. Hubungan antara anemia dengankejadian 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 146orang 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 sebesar14% pada total populasi, 15,8% pada kelompok anemia dan 10% pada kelompok tanpa anemia. KejadianKMK 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 variabelluar yang diteliti tidak berpengaruh terhadap kejadian anemia maupun bayi KMK. Hasil analisis multivariatmenunjukkan bahwa anemia, usia ibu, Indeks Masa Tubuh (IMT) sebelum hamil, pendidikan, dan paritastidak berpengaruh terhadap kejadian bayi KMK.Kesimpulan: Pada penelitian ini, kejadian bayi KMK di RS Dr Sardjito tidak berbeda pada ibu hamil trimestertiga 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
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Peer-reviewed Article
application/pdf
https://jurnal.ugm.ac.id/jkr/article/view/12652
10.22146/jkr.12652
Jurnal Kesehatan Reproduksi; Vol 2, No 3 (2015)
JURNAL KESEHATAN REPRODUKSI; Vol 2, No 3 (2015)
2621-461X
2302-836X
ind
https://jurnal.ugm.ac.id/jkr/article/view/12652/9107
Copyright (c) 2016 Jurnal Kesehatan Reproduksi
oai:jurnal.ugm.ac.id:article/12654
2016-08-15T07:00:24Z
jkr:ART
EVALUASI KEPATUHAN PETUGAS DALAM TATALAKSANA PNEUMONIA DI KABUPATEN TOLITOLI
Rahman, Abd
Hakimi, Mohammad
Triasih, Rina
EVALUASI KEPATUHAN PETUGAS DALAM TATALAKSANA PNEUMONIA DI KABUPATEN TOLITOLIAbd Rahman1, Mohammad Hakimi2, Rina Triasih3ABSTRACTBackground: The infant mortality rate in Central Sulawesi Province is 52 per 1000 live births, which isthe fifth highest in Indonesia. The high rate of morbidity and mortality of acute respiratory infection andpneumonia in children under five in Tolitoli District in past year related to the implented efforts triandsARI eradication program. This is indeed related to how officers comply with pneumonia managementcorrectly.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 tramednurses. Officer who handled pneumonia program in Tolitoli District and those in Publich Health Centreswere recruited as subjects.Result and Discussion: One hundred and nineteen subjects were recruited to this study. The percentaseof officers who complied with pneumonia management was 69%. The result of multivariate analysis thatwas 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 theincreased value R2 of 6.3%, it mean.Conclusion: Trained officers were more compliant than untrained officers with the prevalence risk of1.79 times. Education, knowledge, and length of working service were related to officers’ compliance inpneumonia management.Keywords: training, officers’ compliance in pneumonia managementABSTRAKLatar belakang: Angka kematian bayi di Propinsi Sulawesi Tengah sebesar 52 per 1000 kelahiran hidupdan menempati urutan kelima tertinggi di Indonesia. Tingginya angka kesakitan dan angka kematian balitaakibat pneumonia di Kabupaten Tolitoli dalam beberapa tahun terakhir tidak terlepas dari seberapa jauhupaya program pemberantasan penyakit ISPA telah dilaksanakan. Hal ini sangat terkait dengan bagaimanakepatuhan 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 denganmenggunakan pendekatan kuantitatif. Data dikumpulkan melalui observasi dan wawancara dengan subyekpenelitian dengan menggunakan lembar observasi dan kuesioner.Hasil dan Pembahasan: Sebanyak 119 subyek diikutkan dalam penelitian ini. Rata-rata petugas yang patuhterhadap tata laksana pneumonia sebesar 69%. Hasil analisis multivariat menunjukkan bahwa variabelpelatihan dan kepatuhan petugas dalam tatalaksana pneumonia dengan mengikutsertakan variabel pendidikan, pengetahuan dan masa kerja untuk dianalisis secara bersama mempunyai hubungan yangsignifikan ((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 risikoprevalensi 1,53 kali. Faktor pendidikan, pengetahuan dan masa kerja berhubungan secara bermaknadengan kepatuhan petugas dalam tataksana pneumonia.Kata kunci: pelatihan, Kepatuhan petugas tatalaksana pneumonia1 Tolitoli Faculty of Medicine and Health Science2 Maternal and Child Health-Reproductive Health Graduate Program, FK-UGM3 Pediatric Department, Dr. Sardjito General Hospital, Yogyakarta
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2016-08-15
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Peer-reviewed Article
application/pdf
https://jurnal.ugm.ac.id/jkr/article/view/12654
10.22146/jkr.12654
Jurnal Kesehatan Reproduksi; Vol 2, No 3 (2015)
JURNAL KESEHATAN REPRODUKSI; Vol 2, No 3 (2015)
2621-461X
2302-836X
ind
https://jurnal.ugm.ac.id/jkr/article/view/12654/9108
Copyright (c) 2016 Jurnal Kesehatan Reproduksi
oai:jurnal.ugm.ac.id:article/12655
2016-08-15T07:00:24Z
jkr:ART
HUBUNGAN ANTARA STRESOR PSIKOSOSIAL DENGAN GANGGUAN MENSTRUASI PADA REMAJA SMP PASCA ERUPSI MERAPI DI KECAMATAN CANGKRINGAN KABUPATEN SLEMAN YOGYAKARTA
Marga, Anik Dwi
Dw, Sumarni
Dasuki, Djaswadi
HUBUNGAN ANTARA STRESOR PSIKOSOSIAL DENGAN GANGGUAN MENSTRUASI PADA REMAJA SMP PASCA ERUPSI MERAPI DI KECAMATAN CANGKRINGAN KABUPATEN SLEMAN YOGYAKARTAAnik Dwi Marga 1, Sumarni DW 2, Djaswadi Dasuki 3ABSTRACTBackground: Merapi eruption can cause tremendous damage, not only physically but also mentallywhich will trigger the emergence of mental disorders in adolescence and even into adulthood. After theeruption 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 wouldaffect the release of LH (luteinizing hormone) and FSH (follicle-stimulating hormone) which may affectthe occurrence of menstrual disorders. Menstrual disorder might interfere with learning achievement inadolescence.Objective: To determine the relationship between psychosocial stressors with menstrual disorders infemale junior high school students after the eruption of Merapi in Cangkringan Sleman YogyakartaMethod: This study is a observational with cross-sectional design and combined with a qualitativeapproach. Respondents in this research is class VII students who were menstruating in CangkringanSleman. Samplings method used was total sampling. The research instrument was a questionnairepsychosocial stressors (IPSP), menstrual disorder questionnaire (SPAF) and the behavioral aspects of thequestionnaire. Datas were analysed using Chi-Square test by looking at the value of prevalence ratio andlogistic 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 menstrualdisorders (OR; 6.47; CI = 1.436 to 29.165)Conclusion: Adolescents who experienced severe psychosocial stressors six times more likely to experiencemenstrual disorders compared to adolescents who experience mild psychosocial stressorsKeywords: Psychosocial Stressors, menstrual disorders, post-eruption of Merapi, Youth,SMP.ABSTRAKLatar Belakang: Erupsi Merapi dapat menyebabkan kerusakan yang luar biasa, tidak hanya fisik tetapijuga 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 tempattinggal ke huntap inilah yang mengakibatkan berbagai stresor-stresor baru.. Stresor baru tersebut akanmempengaruhi pelepasan LH (Luteinizing Hormone) dan FSH (follicle-stimulating hormone) yang dapatmempengaruhi terjadinya gangguan menstruasi. Masalah menstruasi jika tidak mendapatkan penangananyang benar dapat mengganggu prestasi belajar remaja.Tujuan: Untuk mengetahui hubungan antara stresor psikososial dengan gangguan menstruasi pada remajaSMP pasca erupsi Merapi di Kecamatan Cangkringan Kabupaten Sleman YogyakartaMetode: Penelitian ini merupakan jenis penelitian non eksperimen dengan metode observasional denganrancangan cross-sectional yang dilengkapi dengan pendekatan kualitatif. Responden dalam penelitianini adalah Siswi kelas VII SMP yang sudah menstruasi di Kecamatan Cangkringan Kabupaten Sleman.Pengambilan sampel penelitian dengan total sampling. Instrumen penelitiannya adalah kuesioner stresorpsikososial (IPSP), kuesioner gangguan menstruasi (SPAF) dan kuesioner aspek perilaku. Analisis datamenggunakan Uji Chi-Square dengan melihat nilai RP (Rasio Prevalensi) dan regresi logistik pada tingkatkemaknaan p<0,05 dengan Confidence interval 95%.Hasil dan Pembahasan: Remaja yang mengalami stresor psikososial berat beresiko 6,47 kali lebih besaruntuk terjadi gangguan menstruasi (CI 95% 1,436-29,165)Kesimpulan: Remaja yang mengalami stresor psikososial berat mempunyai resiko 6 kali lebih besarmengalami gangguan menstruasi dibandingkan dengan remaja yang mengalami stresor psikososial ringanKata Kunci: Stresor psikososial, Gangguan menstruasi, Pasca Erupsi Merapi, Remaja, SMP.1 Anik Dwi Marga dari Magister Ilmu Kesehatan Masyarakat, Fakultas Kedokteran, UGM2 Sumarni DW dari Bagian Kedokteran Jiwa Fakultas Kedokteran, UGM3 Djaswadi Dasuki Bagian Obstetri Ginekologi, Fakultas Kedokteran, UGM
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2016-08-15
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Peer-reviewed Article
application/pdf
https://jurnal.ugm.ac.id/jkr/article/view/12655
10.22146/jkr.12655
Jurnal Kesehatan Reproduksi; Vol 2, No 3 (2015)
JURNAL KESEHATAN REPRODUKSI; Vol 2, No 3 (2015)
2621-461X
2302-836X
ind
https://jurnal.ugm.ac.id/jkr/article/view/12655/9109
Copyright (c) 2016 Jurnal Kesehatan Reproduksi
oai:jurnal.ugm.ac.id:article/12656
2016-08-15T07:00:24Z
jkr:ART
PRESERVASI FERTILITAS PADA PENDERITA KANKER
Pradjatmo, Heru
PRESERVASI FERTILITAS PADA PENDERITA KANKER*Heru Pradjatmo1ABSTRACTBackground: Young women who survive from cancer as candidates to face reproductive problemsassociated 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 tocancer therapyMethod: Literature studyResult and Discussion: In general, women age 40 years or less with cancer who received chemotherapy tobe likely ovarian function will cease. Studies show that many technique performed before chemotherapyallows women to have babies would be greater. Women prior to treat chemotherapy should be consultedto physicians in the field of reproductive and endocrinology for fertility preservation methods to deal withoncologist who take care the patient. All methods that can be performed should be included in counselingand all counseling and treatment including possible complications should be documented and recorded.Keywords : infertility, chemotherapy, adverse effect, preservationABSTRAKLatar Belakang: Perempuan muda yang survive dari penyakit kanker menjadi kandidat menghadapimasalah reproduksi berkaitan dengan terapi kanker yang bersifat sitotoksik. Sehingga efek samping yangmerubah kualitas kehidupan menjadi tidak dapat diterima. Kemajuan dalam kedokteran reproduksimemungkinkan wanita yang sebelumnya infertil akibat prngobatan penyakit kanker sekarang dapatmemperoleh keturunan.Tujuan: Untuk memahami upaya yang dapat dilakukan untuk mencegah terjadinya efek samping terhadapfertilitas penderita akibat terapi kanker.Metode: Studi literaturHasil dan Pembahasan: Secara umum perempuan penderita kanker sampai umur 40 tahun yangmendapat kemoterapi kemungkinan dapat berhenti fungsi ovariumnya. Studi menunjukkan bahwabeberapa teknik yang dilakukan sebelum kemoterapi memungkinkan wanita memperoleh keturunan lebihbesar. Seharusnya sebelum terapi dikonsulkan ke dokter dibidang reproduksi untuk metode preservasifertilitas dengan kesepakatan ahli onkologi yang menangani. Semua metode yang dapat dilakukan harusdimasukkan dalam konseling. Semua konseling dan pengobatan termasuk komplikasi yang mungkin terjadiseharusnya di dokumentasikan dan dicatat.Kata Kunci: infertilitas, khemoterapi, efek samping, preservasi1 Bagian Obstretika & Ginekologi Fakultas Kedokteran UGM/RSUP Dr. Sardjito Yogyakarta* Dipresentasikan pada seminar in vitro maturation (IVM) in vitro fertilization andlaparoskopic surgery, Yogyakarta, 8-9 November 2013
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2016-08-15
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Peer-reviewed Article
application/pdf
https://jurnal.ugm.ac.id/jkr/article/view/12656
10.22146/jkr.12656
Jurnal Kesehatan Reproduksi; Vol 2, No 3 (2015)
JURNAL KESEHATAN REPRODUKSI; Vol 2, No 3 (2015)
2621-461X
2302-836X
ind
https://jurnal.ugm.ac.id/jkr/article/view/12656/9110
Copyright (c) 2016 Jurnal Kesehatan Reproduksi
oai:jurnal.ugm.ac.id:article/12657
2016-08-15T07:00:24Z
jkr:ART
HUBUNGAN ANTARA PARITAS DENGAN KEJADIAN RUPTUR PERINEUM PADA PERSALINAN NORMAL DI KLINIK UTAMA ASRI MEDICAL CENTER YOGYAKARTA DAN RSUD PANEMBAHAN SENOPATI BANTUL
Sari, Apriani Susmita
Supriyatinigsih, Supriyatiningsih
Sumaryani, Sri
HUBUNGAN ANTARA PARITAS DENGAN KEJADIANRUPTUR PERINEUM PADA PERSALINAN NORMAL DI KLINIKUTAMA ASRI MEDICAL CENTER YOGYAKARTA DAN RSUDPANEMBAHAN SENOPATI BANTULApriani Susmita Sari1, Supriyatiningsih2, Sri Sumaryani3ABSTRACTBackground: Rupture perineal is the tear of the perineal at the time of the fetus born. The tear is onlytraumatic because the perineal could not hold a strain upon when a fetus passes. The parity is factor ofmother that can cause rupture perineal.Objective: This study aims to know the relation between parity with incidence of rupture perineal duringvaginal birth at the clinic of Asri Medical Center in Yogyakarta and District Hospital Bantul PanembahanSenopati.Method: This study was a quantitative descriptive study with cross sectional approach. Respondents inthis study were mothers vaginal birth as of February – March 2014, which was recorded in the medicalrecord. 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 inmultiparous (primi rupture: 89 people, multi rupture: 56). Fisher’s exact test results showed a significantresult (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 normaldeliveries at the Clinic Of Asri Medical Center In Yogyakarta and District Hospital Panembahan SenopatiBantul (p = 0.002).Keywords: Parity, Incidence Rupture PerinealABSTRAKLatar Belakang : Ruptur perineum adalah robeknya perineum pada saat janin lahir. Robekan ini sifatnyatraumatik karena perineum tidak kuat menahan regangan pada saat janin lewat. Paritas merupakan faktordari ibu yang dapat menyebabkan ruptur perineum.Tujuan : Penelitian ini bertujuan untuk mengetahui hubungan antara paritas dengan kejadian rupturperineum pada persalinan normal di Klinik Utama Asri Medical Center Yogyakarta dan RSUD PanembahanSenopati 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 (primiruptur: 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 padapersalinan normal di Klinik Utama Asri Medical Center Yogyakarta dan RSUD Panembahan Senopati Bantul(p = 0.002).Kata Kunci: Paritas, Kejadian Ruptur Perineum1 Program Studi Ilmu Keperawatan Fakultas Kedokteran dan Ilmu KesehatanUniversitas Muhammadiyah Yogyakarta2 Departemen Obstetri dan Ginekologi Fakultas Kedokteran dan Ilmu KesehatanUniversitas Muhammadiyah Yogyakarta3 Program Studi Ilmu Keperawatan Fakultas Kedokteran dan Ilmu KesehatanUniversitas Muhammadiyah Yogyakarta
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2016-08-15
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Peer-reviewed Article
application/pdf
https://jurnal.ugm.ac.id/jkr/article/view/12657
10.22146/jkr.12657
Jurnal Kesehatan Reproduksi; Vol 2, No 3 (2015)
JURNAL KESEHATAN REPRODUKSI; Vol 2, No 3 (2015)
2621-461X
2302-836X
ind
https://jurnal.ugm.ac.id/jkr/article/view/12657/9111
Copyright (c) 2016 Jurnal Kesehatan Reproduksi
oai:jurnal.ugm.ac.id:article/13872
2018-06-06T05:14:59Z
jkr:ART
Perbandingan Skala Nyeri pada Kuretase antara Pemberian Lidokain Paraservikal dan Intraservikal
Ksyatria, Yudhistya Ngudi Insan
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
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Peer-reviewed Article
application/pdf
https://jurnal.ugm.ac.id/jkr/article/view/13872
10.22146/jkr.13872
Jurnal Kesehatan Reproduksi; Vol 3, No 1 (2016); 1-7
JURNAL KESEHATAN REPRODUKSI; Vol 3, No 1 (2016); 1-7
2621-461X
2302-836X
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https://jurnal.ugm.ac.id/jkr/article/view/13872/9952
Copyright (c) 2016 Jurnal Kesehatan Reproduksi
oai:jurnal.ugm.ac.id:article/13873
2018-06-06T05:14:59Z
jkr:ART
Accuracy of Risanto's Formula Compared with Johnson's to Estimate Fetal Weight in Overweight Mothers
Noviana, Fifi
Siswosudarmo, Risanto
Hadiati, Diah Rumekti
Risanto’s and Johnson’s Formulas; Estimated Fetal Weight; Overweight Mothers.
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
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Peer-reviewed Article
application/pdf
https://jurnal.ugm.ac.id/jkr/article/view/13873
10.22146/jkr.13873
Jurnal Kesehatan Reproduksi; Vol 3, No 1 (2016); 8-13
JURNAL KESEHATAN REPRODUKSI; Vol 3, No 1 (2016); 8-13
2621-461X
2302-836X
ind
https://jurnal.ugm.ac.id/jkr/article/view/13873/9953
Copyright (c) 2016 Jurnal Kesehatan Reproduksi
oai:jurnal.ugm.ac.id:article/13877
2018-06-06T05:14:59Z
jkr:ART
Pengetahuan dan Sikap Residen Obstetri dan Ginekologi tentang Keselamatan Pasien di Kamar Bersalin RSUP Dr. Sardjito Yogyakarta
Armaijn, Fadhilah
Emilia, Ova
Rachman, Irwan Taufiqur
Knowledge; attitude; patient safety; resident obstetrics
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 usefulObjective: 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
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Peer-reviewed Article
application/pdf
https://jurnal.ugm.ac.id/jkr/article/view/13877
10.22146/jkr.13877
Jurnal Kesehatan Reproduksi; Vol 3, No 1 (2016); 22-30
JURNAL KESEHATAN REPRODUKSI; Vol 3, No 1 (2016); 22-30
2621-461X
2302-836X
eng
https://jurnal.ugm.ac.id/jkr/article/view/13877/21009
Copyright (c) 2016 Jurnal Kesehatan Reproduksi
oai:jurnal.ugm.ac.id:article/13878
2018-06-06T05:14:59Z
jkr:ART
Kinerja Bidan Desa dalam Deteksi Dini Kasus Malaria pada Kehamilan di Kabupaten Bengkulu Tengah
Mizawati, Afrina
Hakimi, Moh
Kusnanto, Hari
Achievement of Village Midwives; Screening; Training and Availability of RDT
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
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Peer-reviewed Article
application/pdf
https://jurnal.ugm.ac.id/jkr/article/view/13878
10.22146/jkr.13878
Jurnal Kesehatan Reproduksi; Vol 3, No 1 (2016); 31-40
JURNAL KESEHATAN REPRODUKSI; Vol 3, No 1 (2016); 31-40
2621-461X
2302-836X
eng
https://jurnal.ugm.ac.id/jkr/article/view/13878/21007
Copyright (c) 2016 Jurnal Kesehatan Reproduksi
oai:jurnal.ugm.ac.id:article/13879
2018-06-06T05:14:59Z
jkr:ART
Pengalaman Ibu Bekerja dalam Pemberian AIS Eksklusif di Lingkungan Universitas Muhammadiyah Magelang
Wijayanti, Kartika
Prawitasari, Shinta
Wenny, Wenny
Experience; Employment mother; exclusive breastfeeding
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
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Peer-reviewed Article
application/pdf
https://jurnal.ugm.ac.id/jkr/article/view/13879
10.22146/jkr.13879
Jurnal Kesehatan Reproduksi; Vol 3, No 1 (2016); 41-49
JURNAL KESEHATAN REPRODUKSI; Vol 3, No 1 (2016); 41-49
2621-461X
2302-836X
eng
https://jurnal.ugm.ac.id/jkr/article/view/13879/21147
Copyright (c) 2016 Jurnal Kesehatan Reproduksi
oai:jurnal.ugm.ac.id:article/13880
2018-06-06T05:14:59Z
jkr:ART
Pengetahuan tentang Infeksi Menular Seksual dengan Perilaku Seksual Tidak Aman pada Remaja Putri Maluku Tenggara Barat di Daerah Istimewa Yogyakarta
Kora, Firmina Th
Dasuki, Djaswadi
Ismail, Djauhar
Knowledge of Sexually Transmitted Infections; Unsafe Sexual Behavior; Female Adolescent
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 knowledge 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
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Peer-reviewed Article
application/pdf
https://jurnal.ugm.ac.id/jkr/article/view/13880
10.22146/jkr.13880
Jurnal Kesehatan Reproduksi; Vol 3, No 1 (2016); 50-59
JURNAL KESEHATAN REPRODUKSI; Vol 3, No 1 (2016); 50-59
2621-461X
2302-836X
ind
https://jurnal.ugm.ac.id/jkr/article/view/13880/9954
Copyright (c) 2016 Jurnal Kesehatan Reproduksi
oai:jurnal.ugm.ac.id:article/13882
2018-06-06T06:06:14Z
jkr:ART
oai:jurnal.ugm.ac.id:article/28084
2018-05-18T02:52:57Z
jkr:ART
The Impact of Obstetrician/Gynecologist Hospitalists on Neonatal Quality of Care in Sardjito General Hospital Yogyakarta, Indonesia: A Retrospective Cohort Study
Phyowai Ganap, Eugenius
Hakimi, Mohammad
Hadijono, Soerjo
Emilia, Ova
Infant and Maternal Mortality; Obtericians / Gynecologist Hospitalist; Labor and Delivery; Maternal and Neonatal Care; ICU Response Time.
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
2016-08-28
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Peer-reviewed Article
application/pdf
application/pdf
https://jurnal.ugm.ac.id/jkr/article/view/28084
10.22146/jkr.28084
Jurnal Kesehatan Reproduksi; Vol 3, No 2 (2016); 69-74
JURNAL KESEHATAN REPRODUKSI; Vol 3, No 2 (2016); 69-74
2621-461X
2302-836X
ind
eng
https://jurnal.ugm.ac.id/jkr/article/view/28084/17190
https://jurnal.ugm.ac.id/jkr/article/view/28084/20926
https://jurnal.ugm.ac.id/jkr/article/downloadSuppFile/28084/2656
https://jurnal.ugm.ac.id/jkr/article/downloadSuppFile/28084/2658
https://jurnal.ugm.ac.id/jkr/article/downloadSuppFile/28084/2659
https://jurnal.ugm.ac.id/jkr/article/downloadSuppFile/28084/2660
https://jurnal.ugm.ac.id/jkr/article/downloadSuppFile/28084/2661
https://jurnal.ugm.ac.id/jkr/article/downloadSuppFile/28084/2662
Copyright (c) 2016 Jurnal Kesehatan Reproduksi
oai:jurnal.ugm.ac.id:article/29326
2017-11-02T08:45:05Z
jkr:ART
oai:jurnal.ugm.ac.id:article/29327
2017-11-02T08:45:05Z
jkr:ART
oai:jurnal.ugm.ac.id:article/29859
2017-11-02T08:45:05Z
jkr:ART
oai:jurnal.ugm.ac.id:article/35415
2018-05-11T05:06:50Z
jkr:ART
oai:jurnal.ugm.ac.id:article/35416
2018-06-06T06:18:10Z
jkr:ART
Perbandingan Preparasi Kulit Menggunakan Alkohol-Klorheksidin dengan Alkohol-Povidon Iodin terhadap Infeksi Luka Operasi Seksio Sesarea
PERBANDINGAN PREPARASI KULIT MENGGUNAKAN ALKOHOL-KLORHEKSIDIN DENGAN ALKOHOL-POVIDON IODIN TERHADAP INFEKSI LUKA OPERASI SEKSIO SESAREA
Fahmi, Moh. Nailul
Hadiati, Diah Rumekti
Widad, Shofwal
Obstetrics and Gynecology
Surgical site infections; skin preparat; n, alcohol; povidone iodine; chlorhexidine; caesarean section.
Surgical site infections; skin preparation; alcohol; povidone iodine; chlorhexidine; caesarean section.
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 sectionObjective: 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.
ABSTRACTBackground: 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.ABSTRAKLatar Belakang: Infeksi luka operasi merupakan penyebab infeksi nosokomial kedua yang paling sering dan mempunyai angka morbiditas dan mortalitas yang tinggi. Penggunaan antiseptik preparasi kulit efektif dalam mencegah terjadinya infeksi luka operasi. Masih terdapat kurang bukti untuk mengevaluasi jenis, konsentrasi dan cara pakai bahan antiseptik untuk preparasi kulit pada seksio sesarea. Tujuan: Mengetahui perbedaan angka infeksi luka operasi seksio sesarea pada wanita yang mendapat alkohol-klorheksidin dibandingkan dengan alkohol-povidon iodin sebagai antiseptik preparasi kulit Metode: Penelitian ini merupakan uji klinik secara random (randomized clinical trial). Penelitian dilakukan pada pasien yang menjalani seksio sesarea di RSUP Dr. Sardjito, RSUD Saras Husada Purworejo dan RSUD Panembahan Senopati Bantul. Sejumlah 174 sampel memenuhi kriteria inklusi dan ekslusi dibagi menjadi 2 kelompok. Kelompok uji (87 sampel) mendapatkan alkohol-klorheksidin sebagai antiseptik preparasi kulit sebelum operasi seksio sesarea. Kelompok kontrol (87 sampel) mendapatkan alkohol-povidon iodin. Alokasi kelompok penelitian dilakukan dengan bilangan random yang dibuat melalui komputer. Penilaian hasil dilakukan pada hari ketiga dan ketujuh setelah intervensi. Hasil yang dinilai adalah infeksi luka operasi dengan menggunakan kriteria Center for Disease Control and Prevention (CDC).Hasil dan Pembahasan: Komparabilitas sebaran pada kedua kelompok berdasarkan umur, usia kehamilan, indeks massa tubuh, gravida, sifat operasi, lama operasi, lama pecah ketuban dan periksa dalam berulang tidak berbeda bermakna secara statistik (P>0,05). Angka kejadian infeksi luka operasi hari ketiga pada kelompok alkohol-klorheksidin lebih tinggi yaitu 12 kasus (13,8%) dibanding kelompok alkohol-povidon iodin 10 kasus (11,5 %), namun secara statistik tidak berbeda bermakna dengan nilai p=0,820. Kejadian infeksi luka operasi kumulatif selama tujuh hari pada kelompok alkohol-klorheksidin adalah 13,8%(12 kasus) sedangkan pada kelompok alkohol-povidon iodin 12,6% (11 kasus). Angka kejadian infeksi ini tidak bermakna secara statistik (p=1). Kesimpulan: Tidak ada perbedaan angka infeksi luka operasi antara kelompok yang menggunakan alkoholpovidon iodin dengan alkohol-klorheksidin untuk preparasi kulit pada pasien seksio sesarea.Kata kunci: infeksi luka operasi, preparasi kulit, alkohol, povidon iodin, klorheksidin, seksio sesarea.
Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM
2017-08-28
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Peer-reviewed Article
application/pdf
https://jurnal.ugm.ac.id/jkr/article/view/35416
10.22146/jkr.35416
Jurnal Kesehatan Reproduksi; Vol 4, No 2 (2017); 90-97
JURNAL KESEHATAN REPRODUKSI; Vol 4, No 2 (2017); 90-97
2621-461X
2302-836X
ind
https://jurnal.ugm.ac.id/jkr/article/view/35416/20918
https://jurnal.ugm.ac.id/jkr/article/downloadSuppFile/35416/4511
Copyright (c) 2017 Jurnal Kesehatan Reproduksi
oai:jurnal.ugm.ac.id:article/35417
2018-06-06T06:18:49Z
jkr:ART
Hubungan Sosial Ekonomi dan Status Perkawinan terhadap Kebiasaan Merokok Perempuan di Indonesia Timur Analisis Data IFLS East 2012
Lestari, Abriana
Basri, Mubasysyir Hasan
Hakimi, Mohammad
Public Health Science; Maternal and Child Health
marital status; age; educational status and smoking habit; Status pernikahan; tingkat pendidikan; usia; kebiasaan merokok
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
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Peer-reviewed Article
application/pdf
https://jurnal.ugm.ac.id/jkr/article/view/35417
10.22146/jkr.35417
Jurnal Kesehatan Reproduksi; Vol 4, No 2 (2017); 98-102
JURNAL KESEHATAN REPRODUKSI; Vol 4, No 2 (2017); 98-102
2621-461X
2302-836X
eng
ind
https://jurnal.ugm.ac.id/jkr/article/view/35417/20919
https://jurnal.ugm.ac.id/jkr/article/view/35417/20920
https://jurnal.ugm.ac.id/jkr/article/downloadSuppFile/35417/4514
Copyright (c) 2017 Jurnal Kesehatan Reproduksi
oai:jurnal.ugm.ac.id:article/35419
2018-06-06T06:18:49Z
jkr:ART
Korelasi Tinggi Badan Ibu dengan Panjang Badan Bayi Baru Lahir di Kota Palu
Lamana, Aspia
Julia, Madarina
Dasuki, Djaswadi
Pediatrics, maternal and child health
Mothers’ height; newborn body length
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
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Peer-reviewed Article
application/pdf
https://jurnal.ugm.ac.id/jkr/article/view/35419
10.22146/jkr.35419
Jurnal Kesehatan Reproduksi; Vol 4, No 2 (2017); 103-108
JURNAL KESEHATAN REPRODUKSI; Vol 4, No 2 (2017); 103-108
2621-461X
2302-836X
ind
https://jurnal.ugm.ac.id/jkr/article/view/35419/20917
Copyright (c) 2018 Jurnal Kesehatan Reproduksi
oai:jurnal.ugm.ac.id:article/35420
2018-06-06T06:18:49Z
jkr:ART
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
Soejoenoes, Ariawan
Cahyanti, Ratnasari Dwi
Hartono, Eddy
Obstetrics and Gynecology
severe preeclampsia; gestational age; history of hypertension; ris factor of the community; second phase delay
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
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Peer-reviewed Article
application/pdf
https://jurnal.ugm.ac.id/jkr/article/view/35420
10.22146/jkr.35420
Jurnal Kesehatan Reproduksi; Vol 4, No 2 (2017); 109-116
JURNAL KESEHATAN REPRODUKSI; Vol 4, No 2 (2017); 109-116
2621-461X
2302-836X
ind
https://jurnal.ugm.ac.id/jkr/article/view/35420/20916
Copyright (c) 2018 Jurnal Kesehatan Reproduksi
oai:jurnal.ugm.ac.id:article/35421
2018-06-06T06:18:49Z
jkr:ART
The Impact of Obstetrician/Gynecologist Hospitalists on Maternal Quality of Care in Yogyakarta Indonsia: A Cohort Study
Ganap, Eugenius Phyowai
Hakimi, Mohammad
Hadijono, Soerjo
Emilia, Ova
Obstetrics and Gynecology
Maternal mortality; obstetrician/gynecologist hospitalist; labor and delivery; maternal care; ICU response time
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
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Peer-reviewed Article
application/pdf
https://jurnal.ugm.ac.id/jkr/article/view/35421
10.22146/jkr.35421
Jurnal Kesehatan Reproduksi; Vol 4, No 2 (2017); 117-122
JURNAL KESEHATAN REPRODUKSI; Vol 4, No 2 (2017); 117-122
2621-461X
2302-836X
eng
https://jurnal.ugm.ac.id/jkr/article/view/35421/20915
Copyright (c) 2018 Jurnal Kesehatan Reproduksi
oai:jurnal.ugm.ac.id:article/35422
2018-06-26T07:37:00Z
jkr:ART
Peran Penambahan Misoprostol pada Penatalaksanaan Aktif Kala Tiga dalam Menurunkan Perdarahan Pasca Persalinan
Geni, Puti Lenggo
Rachman, Irwan Taufiqur
Pradjatmo, Heru
Obstetrics and Gynecology
misoprostol; active management of the third stage of labor; postpartum blood loss; postpartum hemorrhage.
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
2017-12-22
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Peer-reviewed Article
application/pdf
https://jurnal.ugm.ac.id/jkr/article/view/35422
10.22146/jkr.35422
Jurnal Kesehatan Reproduksi; Vol 4, No 3 (2017); 170-177
JURNAL KESEHATAN REPRODUKSI; Vol 4, No 3 (2017); 170-177
2621-461X
2302-836X
eng
https://jurnal.ugm.ac.id/jkr/article/view/35422/21290
Copyright (c) 2017 Jurnal Kesehatan Reproduksi
oai:jurnal.ugm.ac.id:article/35423
2018-06-06T06:18:49Z
jkr:ART
Incidence of Unintended Pregnancy after Laparoscopic Tubal Sterilization at Dr.Sardjito Hospital
Widyasari, Anis
Wibowo, Prakoso Adhi
Rahman, M. Nurhadi
LUTFI, MUHAMMAD
Widad, SHOFWAL
Obstetrics and Gynecology, INFERTILITY
female sterilization; laparoscopic tubal sterilization; unintended pregnancy.
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
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Peer-reviewed Article
application/pdf
https://jurnal.ugm.ac.id/jkr/article/view/35423
10.22146/jkr.35423
Jurnal Kesehatan Reproduksi; Vol 4, No 2 (2017); 123-126
JURNAL KESEHATAN REPRODUKSI; Vol 4, No 2 (2017); 123-126
2621-461X
2302-836X
ind
https://jurnal.ugm.ac.id/jkr/article/view/35423/20914
Copyright (c) 2018 Jurnal Kesehatan Reproduksi
oai:jurnal.ugm.ac.id:article/35425
2018-06-06T06:18:49Z
jkr:ART
Pengaruh Konseling saat Persalinan terhadap Kepesertaan Keluarga Berencana Pasca Salin di Kabupaten Kolaka
Abbas, Marwan
Hadijono, Soerjo
Emilia, Ova
Hartono, Eddy
Obstetrics and Gynecology; family planning; public health science
Family Planning; Post partum contraception; Factors on contraception participation
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
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Peer-reviewed Article
application/pdf
application/pdf
https://jurnal.ugm.ac.id/jkr/article/view/35425
10.22146/jkr.35425
Jurnal Kesehatan Reproduksi; Vol 4, No 2 (2017); 127-134
JURNAL KESEHATAN REPRODUKSI; Vol 4, No 2 (2017); 127-134
2621-461X
2302-836X
eng
ind
https://jurnal.ugm.ac.id/jkr/article/view/35425/20910
https://jurnal.ugm.ac.id/jkr/article/view/35425/20913
Copyright (c) 2018 Jurnal Kesehatan Reproduksi
oai:jurnal.ugm.ac.id:article/35427
2018-05-21T07:29:28Z
jkr:ART
Perubahan Nilai BA pada Pelvic Organ Prolaps Quantification (POPQ) terhadap Kualitas Berkemih Pre dan Pasca Opreasi Kolporafi Anterior paa Pasien Sistokel
Ramadona, Izwin
Siswishanto, Rukmono
Pangastuti, Nuring
Ba value; voiding quality; anterior colporrhapy
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
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Peer-reviewed Article
application/pdf
application/pdf
https://jurnal.ugm.ac.id/jkr/article/view/35427
10.22146/jkr.35427
Jurnal Kesehatan Reproduksi; Vol 4, No 2 (2017); 81-89
JURNAL KESEHATAN REPRODUKSI; Vol 4, No 2 (2017); 81-89
2621-461X
2302-836X
eng
ind
https://jurnal.ugm.ac.id/jkr/article/view/35427/20921
https://jurnal.ugm.ac.id/jkr/article/view/35427/20922
https://jurnal.ugm.ac.id/jkr/article/downloadSuppFile/35427/4518
Copyright (c) 2018 Jurnal Kesehatan Reproduksi
oai:jurnal.ugm.ac.id:article/35428
2018-06-06T06:12:07Z
jkr:ART
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
Taufiqurrachman, Irwan
Kusumanto, Ardhanu
Obstetrics and Gynecology
Quality of life; ovarian cancer; paclitaxel plus carboplatin regiment; cyclophospamide; adriamicyn plus cisplatin regiment.
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 patientsObjective: 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 themMethod: 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
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Peer-reviewed Article
application/pdf
application/pdf
application/pdf
https://jurnal.ugm.ac.id/jkr/article/view/35428
10.22146/jkr.35428
Jurnal Kesehatan Reproduksi; Vol 4, No 1 (2017); 1-10
JURNAL KESEHATAN REPRODUKSI; Vol 4, No 1 (2017); 1-10
2621-461X
2302-836X
eng
https://jurnal.ugm.ac.id/jkr/article/view/35428/20923
https://jurnal.ugm.ac.id/jkr/article/view/35428/20924
https://jurnal.ugm.ac.id/jkr/article/view/35428/20925
Copyright (c) 2017 Jurnal Kesehatan Reproduksi
oai:jurnal.ugm.ac.id:article/35429
2018-06-06T06:12:07Z
jkr:ART
Hubungan Pengetahuan, Sikap dan Perilaku Bidan Desa terhadap Kanker Leher Rahim dan Pencegahannya di Kabupaten Sragen
Sutresno, Ismail Joko
Emilia, Ova
Prawitasari, Shinta
Obstetrics and Gynecology
Cervical cancer; knowledge; attitude; behavior
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
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Peer-reviewed Article
application/pdf
application/pdf
https://jurnal.ugm.ac.id/jkr/article/view/35429
10.22146/jkr.35429
Jurnal Kesehatan Reproduksi; Vol 4, No 1 (2017); 11-16
JURNAL KESEHATAN REPRODUKSI; Vol 4, No 1 (2017); 11-16
2621-461X
2302-836X
eng
https://jurnal.ugm.ac.id/jkr/article/view/35429/20927
https://jurnal.ugm.ac.id/jkr/article/view/35429/20928
Copyright (c) 2017 Jurnal Kesehatan Reproduksi
oai:jurnal.ugm.ac.id:article/35430
2018-06-06T06:12:07Z
jkr:ART
Karakteristik Pasien Prolaps Uteri di RSUP Dr. Sardjito Yogyakarta Tahun 2013
Hamamah, Jefi
Pangastuti, Nuring
Obstetrics; Gynecology
uterine prolaps; risk factors; vaginal hysterectomy
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
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Peer-reviewed Article
application/pdf
application/pdf
https://jurnal.ugm.ac.id/jkr/article/view/35430
10.22146/jkr.35430
Jurnal Kesehatan Reproduksi; Vol 4, No 1 (2017); 17-22
JURNAL KESEHATAN REPRODUKSI; Vol 4, No 1 (2017); 17-22
2621-461X
2302-836X
eng
https://jurnal.ugm.ac.id/jkr/article/view/35430/20929
https://jurnal.ugm.ac.id/jkr/article/view/35430/20930
Copyright (c) 2017 Jurnal Kesehatan Reproduksi
oai:jurnal.ugm.ac.id:article/35433
2018-06-06T06:12:07Z
jkr:ART
Faktor Risiko Transmisi Virus HIV pada Ibu Hamil di Papua
Rabrageri, Alberthzon Kris Silo
Siswosudarmo, Risanto
Soetrisno, Soetrisno
Obstetrics; Gynecology
HIV; risk factors; birthing mothers; Papua Island.
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
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Peer-reviewed Article
application/pdf
application/pdf
https://jurnal.ugm.ac.id/jkr/article/view/35433
10.22146/jkr.35433
Jurnal Kesehatan Reproduksi; Vol 4, No 1 (2017); 23-32
JURNAL KESEHATAN REPRODUKSI; Vol 4, No 1 (2017); 23-32
2621-461X
2302-836X
eng
https://jurnal.ugm.ac.id/jkr/article/view/35433/20931
https://jurnal.ugm.ac.id/jkr/article/view/35433/20932
Copyright (c) 2017 Jurnal Kesehatan Reproduksi
oai:jurnal.ugm.ac.id:article/35434
2018-06-06T06:12:07Z
jkr:ART
Efek Pemanfaatan Program Pemantauan dan Promosi Pertumbuhan terhadap Status Gizi Balita di Kota Cirebon
Nurcahyani, Lia
Hakimi, Mohammad
Sudargo, Toto
nutrition;public health
nutritional status; underfive; growth monitoring; growth promotion; program utilization
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
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Peer-reviewed Article
application/pdf
application/pdf
https://jurnal.ugm.ac.id/jkr/article/view/35434
10.22146/jkr.35434
Jurnal Kesehatan Reproduksi; Vol 4, No 1 (2017); 33-49
JURNAL KESEHATAN REPRODUKSI; Vol 4, No 1 (2017); 33-49
2621-461X
2302-836X
eng
https://jurnal.ugm.ac.id/jkr/article/view/35434/20933
https://jurnal.ugm.ac.id/jkr/article/view/35434/20934
Copyright (c) 2017 Jurnal Kesehatan Reproduksi
oai:jurnal.ugm.ac.id:article/35435
2018-06-06T06:12:07Z
jkr:ART
Kualitas Tidur dan Pola Tidur sebagai Predisposisi Postpartum Blues pada Primipara
Harahap, Wahyuni
Adiyanti, M.G. Adiyanti
psychology; obstetrics and gynecology
postpartum blues; sleep quality; sleep pattern; primipara
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
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Peer-reviewed Article
application/pdf
application/pdf
https://jurnal.ugm.ac.id/jkr/article/view/35435
10.22146/jkr.35435
Jurnal Kesehatan Reproduksi; Vol 4, No 1 (2017); 50-55
JURNAL KESEHATAN REPRODUKSI; Vol 4, No 1 (2017); 50-55
2621-461X
2302-836X
eng
https://jurnal.ugm.ac.id/jkr/article/view/35435/20935
https://jurnal.ugm.ac.id/jkr/article/view/35435/20936
Copyright (c) 2017 Jurnal Kesehatan Reproduksi
oai:jurnal.ugm.ac.id:article/35436
2018-06-06T06:12:07Z
jkr:ART
Pemberian Makanan Pralaktasi dengan Kelangsungan Hidup Bayi di Indonesia
Dewi, Utami
Wilopo, Siswanto Agus
Wibowo, Tunjung
Pediatrics, maternal and child health
infant’s survival; pre-lacteal feeds; infant
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
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Peer-reviewed Article
application/pdf
application/pdf
https://jurnal.ugm.ac.id/jkr/article/view/35436
10.22146/jkr.35436
Jurnal Kesehatan Reproduksi; Vol 4, No 1 (2017); 56-73
JURNAL KESEHATAN REPRODUKSI; Vol 4, No 1 (2017); 56-73
2621-461X
2302-836X
eng
https://jurnal.ugm.ac.id/jkr/article/view/35436/20937
https://jurnal.ugm.ac.id/jkr/article/view/35436/20938
Copyright (c) 2017 Jurnal Kesehatan Reproduksi
oai:jurnal.ugm.ac.id:article/35438
2018-06-06T06:12:07Z
jkr:ART
Hubungan Kecemasan dengan Perubahan Degeneratif Fisik Wanita Premenopause di Kelurahan Biringgere Kab. Sinjai
Ramli, Kamrianti
Khairiyyah, Khairiyyah
Suharni, Suharni
maternal and child health
premenopausal women; anxiety; physical degenerative changes.
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 regencyConclusion: 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
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Peer-reviewed Article
application/pdf
application/pdf
https://jurnal.ugm.ac.id/jkr/article/view/35438
10.22146/jkr.35438
Jurnal Kesehatan Reproduksi; Vol 4, No 1 (2017); 74-79
JURNAL KESEHATAN REPRODUKSI; Vol 4, No 1 (2017); 74-79
2621-461X
2302-836X
eng
https://jurnal.ugm.ac.id/jkr/article/view/35438/20939
https://jurnal.ugm.ac.id/jkr/article/view/35438/20940
Copyright (c) 2017 Jurnal Kesehatan Reproduksi
oai:jurnal.ugm.ac.id:article/35444
2018-05-18T02:52:57Z
jkr:ART
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
Hakimi, Mohammad
Siswishanto, Rukmono
obstetrics and gynecology
prophylaxis antibiotics; ampicillin; short term regimen; long term regimen; cesarean section; surgical site infection.
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 Controland 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% incontrols 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
2016-08-28
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Peer-reviewed Article
application/pdf
https://jurnal.ugm.ac.id/jkr/article/view/35444
10.22146/jkr.35444
Jurnal Kesehatan Reproduksi; Vol 3, No 2 (2016); 75-83
JURNAL KESEHATAN REPRODUKSI; Vol 3, No 2 (2016); 75-83
2621-461X
2302-836X
eng
https://jurnal.ugm.ac.id/jkr/article/view/35444/20941
Copyright (c) 2016 Jurnal Kesehatan Reproduksi
oai:jurnal.ugm.ac.id:article/35445
2018-05-18T02:52:57Z
jkr:ART
Does Misoprostol for Induction of Labor Increase the Risk of Uterine Rupture?
Anggreany, Kiswa
Luthfi, Mohammmad
Siswosudarmo, Risanto
obstetrics and gynecology
Misoprostol; induction of labor; uterine rupture; fetal weight; parity.
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
2016-08-28
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Peer-reviewed Article
application/pdf
application/pdf
https://jurnal.ugm.ac.id/jkr/article/view/35445
10.22146/jkr.35445
Jurnal Kesehatan Reproduksi; Vol 3, No 2 (2016); 84-89
JURNAL KESEHATAN REPRODUKSI; Vol 3, No 2 (2016); 84-89
2621-461X
2302-836X
eng
https://jurnal.ugm.ac.id/jkr/article/view/35445/20942
https://jurnal.ugm.ac.id/jkr/article/view/35445/20943
Copyright (c) 2016 Jurnal Kesehatan Reproduksi
oai:jurnal.ugm.ac.id:article/35588
2018-06-01T05:52:40Z
jkr:ART
oai:jurnal.ugm.ac.id:article/35939
2018-05-18T02:52:57Z
jkr:ART
Perbandingan hasil stimulasi ovarium dengan kombinasi klomifen sitrat gonadotropin dan klomifen sitrat pada inseminasi intra uteri
Indriani, Farida
Widad, Shofwal
Sofoewan, Sulchan
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
2016-08-28
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Peer-reviewed Article
application/pdf
https://jurnal.ugm.ac.id/jkr/article/view/35939
10.22146/jkr.35939
Jurnal Kesehatan Reproduksi; Vol 3, No 2 (2016); 90-97
JURNAL KESEHATAN REPRODUKSI; Vol 3, No 2 (2016); 90-97
2621-461X
2302-836X
eng
https://jurnal.ugm.ac.id/jkr/article/view/35939/21042
Copyright (c) 2018 Jurnal Kesehatan Reproduksi
oai:jurnal.ugm.ac.id:article/35941
2018-05-18T02:52:57Z
jkr:ART
Efek Minyak Esensial Lavender Dibandingkan dengan Minyak Esensial Jahe terhadap Intensitas Nyeri Menstruasi pada Remaja
Pujiati, Wasis
Sri Hartati W, Mae
Hapsari, Elsi Dwi
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
2016-08-28
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Peer-reviewed Article
application/pdf
https://jurnal.ugm.ac.id/jkr/article/view/35941
10.22146/jkr.35941
Jurnal Kesehatan Reproduksi; Vol 3, No 2 (2016); 98-105
JURNAL KESEHATAN REPRODUKSI; Vol 3, No 2 (2016); 98-105
2621-461X
2302-836X
eng
https://jurnal.ugm.ac.id/jkr/article/view/35941/21045
Copyright (c) 2018 Jurnal Kesehatan Reproduksi
oai:jurnal.ugm.ac.id:article/35945
2018-05-18T02:52:57Z
jkr:ART
Pengaruh Pendidikan Kesehatan dengan Media Audiovisual Manajemen Laktasi terhadap Tingkat Pengetahuan dan Self Efficacy Ibu Menyusui
Citrawati, Ni Ketut
Hapsari, Elsi Dwi
Widyandana, Widyandana
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 ifcompared 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
2016-08-28
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Peer-reviewed Article
https://jurnal.ugm.ac.id/jkr/article/view/35945
10.22146/jkr.35945
Jurnal Kesehatan Reproduksi; Vol 3, No 2 (2016); 106-116
JURNAL KESEHATAN REPRODUKSI; Vol 3, No 2 (2016); 106-116
2621-461X
2302-836X
en
Copyright (c) 2018 Jurnal Kesehatan Reproduksi
oai:jurnal.ugm.ac.id:article/35947
2018-05-18T02:52:57Z
jkr:ART
Hubungan Komunikasi Interpersonal Orang Tua dengan Perilaku Seksual Pranikah Remaja di Kota Padang
Putri, Nita Tri
Dasuki, Djaswadi
Wahyuni, Budi
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
2016-08-28
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Peer-reviewed Article
application/pdf
https://jurnal.ugm.ac.id/jkr/article/view/35947
10.22146/jkr.35947
Jurnal Kesehatan Reproduksi; Vol 3, No 2 (2016); 117-129
JURNAL KESEHATAN REPRODUKSI; Vol 3, No 2 (2016); 117-129
2621-461X
2302-836X
eng
https://jurnal.ugm.ac.id/jkr/article/view/35947/21046
Copyright (c) 2016 Jurnal Kesehatan Reproduksi
oai:jurnal.ugm.ac.id:article/35951
2018-05-18T02:52:57Z
jkr:ART
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
Pratomo, Hadi
Besral, Besral
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
2016-08-28
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Peer-reviewed Article
application/pdf
application/pdf
https://jurnal.ugm.ac.id/jkr/article/view/35951
10.22146/jkr.35951
Jurnal Kesehatan Reproduksi; Vol 3, No 2 (2016); 130-141
JURNAL KESEHATAN REPRODUKSI; Vol 3, No 2 (2016); 130-141
2621-461X
2302-836X
eng
https://jurnal.ugm.ac.id/jkr/article/view/35951/21047
https://jurnal.ugm.ac.id/jkr/article/view/35951/21048
Copyright (c) 2018 Jurnal Kesehatan Reproduksi
oai:jurnal.ugm.ac.id:article/36192
2018-06-06T05:14:59Z
jkr:ART
Analisis Angka Seksio Caesarea di RSUP Dr. Sardjito Yogyakarta Tahun 2009-2013
Dameria, Netty Katrina
Dasuki, Djaswadi
Siswishanto, Rukmono
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 hospitalMethod: Retrospective cohortResult 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
info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Peer-reviewed Article
application/pdf
https://jurnal.ugm.ac.id/jkr/article/view/36192
10.22146/jkr.36192
Jurnal Kesehatan Reproduksi; Vol 3, No 1 (2016); 14-21
JURNAL KESEHATAN REPRODUKSI; Vol 3, No 1 (2016); 14-21
2621-461X
2302-836X
eng
https://jurnal.ugm.ac.id/jkr/article/view/36192/21151
Copyright (c) 2016 Jurnal Kesehatan Reproduksi
ba37e34afef3349e0a5f6fee617c6db9