Bidan Prada: Jurnal Publikasi Kebidanan Akbid YLPP Purwokerto
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EFEKTIFITAS POSISI PERSALINAN Mc.ROBERT DAN POSISI LITHOTOMI PADA PROSES PERSALINAN KALA II PADA PRIMIPARA DI RSU BANYUMAS TAHUN 2009
No full textThere is several delivery position that can be applied in second phase of delivery such as lithotomy, dorsal recumbent, lateral position and squat position. Those position delivery solely purpose for mother´s comfort and shortening of the delivery phase. Lithotomy position is still a preffered position in the delivery process. However in shoulder distosion the Mc.Robert position is believed to shorten the 2nd phase of delivery.To know the efectiving of Mc.Robert position and lithotomy position in second phase of delivery for primipara in RSU Banyumas in 2009.This research´s using quasi experimental design by comparing the time duration for second delivery phase for efektifitivy. The population of the study was all primipara in second delivery phase in RSU Banyumas maternal ward. Sample sich 60 people divided in to 2 groups, 30 mother´s using lithotomy and the other 30 using Mc.Robert´s position. The everage of 2nd phase time in lithotomy was 44,9 minute and Mc.Robert´s position average time was 33,3 minute. There was significant difference for 2nd delivery phase time using lithotomy compare to Mc.Robert´s position (Mc.Robert´s 33,33±SD 8,74 minute, lithotomy 44,9±SD 9,96 minute´s). Shortened by 11,57 minutes in this study, Mc.Robert´s position in second phase more effective than lithotomy´s positions in second phase of delivery for primipara with p = 0,000 Keyword : Second delivery phase Mc.Robert´s position, Lithotomy´s position, primipar
PERBEDAAN PENGARUH KB SUNTIK DEPO MEDROXI PROGESTERON ASETAT (DMPA) DENGAN KB IMPLAN TERHADAP GANGGUAN MENSTRUASI DI WILAYAH KERJA PUSKESMAS 1 PURWONEGORO KABUPATEN BANJARNEGARA TAHUN 2011
No full textMenstrual disorders are the most common complaint by the acceptors of hormonal especially those that contain progestins hormony as KB mini pil, injections Depo Medroksi Progesteron Asetat (DMPA) and implants. Reggular menstrual KB mini pil whereas KB implants have fewer complaints of menstrual disorders than injecting DMPA. Purwonegoro sub district has the most hormonal acceptor in the Banjarnegara District. Determine the effect of menstrual disorders difference between mothers who use injectable contraceptive DMPA with contraceptive implant in a work area health center 1 Purwonegoro Banjarnegara District in 2011. This research is an observational study using cross-sectional design. The number of samples injectable DMPA acceptors 98 people and Implants acceptors 81 people use systematic random sampling. Methods of data analysis in this study using Chi Square. Acceptors injection at a work area health center 1 Purwonegoro Banjarnegara District in 2011 is 98 people (54,7%) more than acceptors implant that is 81 people (53,3%). Acceptors of injectable DMPA most experienced menstrual disorders (84,7%). Acceptor implant most experienced menstrual disorders (65,4%). There are differences in the influence of menstrual disorders among women who use contraceptive implants with injectable contraceptive DMPA in a work area health center 1 Purwonegoro Banjarnegara District in 2011 (p = 0.003). There is a difference in the influence of menstrual disorders among women who use contraceptive implants with injectable contraceptive DMPA. Suggestion: Midwives should in providing counseling to prospective acceptors be more emphasis about the side effects menstrual disorders of each contraceptives so prospective acceptors can choose appropriate contraception condition. Keywords: Implant, DMPA, Menstrual disorder
EFEKTIVITAS TEKNIK KNEADING DAN COUNTERPRESSURE TERHADAP PENURUNAN INTENSITAS NYERI KALA I FASE AKTIF PERSALINAN NORMAL DI RSIA BUNDA ARIF PURWOKERTO TAHUN 2011
No full textPain during labor is a physiologic process. Non-pharmacological therapy can be used to reduce pain during labor as massage is kneading and counterpressure technique. Women who get massage metodh during labor has decreased anxiety, pain reduction was significantly shorter. This study aims to compare the effect of kneading and counterpressure massage technique to decrease the intensity of pain the first stage of the active phase of normal deliveries before and after intervention. Type of research is a quasi-experiments that are two-group pretest posttest design comparrison. Analysis of the data used is dependent t-test and t-independent. The study was conducted at 60 maternal first stage of active phase is divided into two groups, 30 people were treated with kneading technique and 30 people were treated with counterpressure technique. From the dependent t test result on the kneading group there is a difference M ± SD = 2.00 ± 0.983, the counterpressure group differences M ± SD = 2.14 ± 1,383. It can be concluded there was significant difference between pain intensity before and after a massage (p = 0,000). While theindependent t test result on the reduction of pain intensity differences between groups obtained after the massage done t(df) = 0,889(58) and p = 0,379. There was no significant difference in the mean reduction in pain intensity of the first stage the active phase of normal deliveries are done kneading and counterpressure technique. Nevertheless counterpressure more advisable to reduce labor pain the first stage of the active phase due to work directly on neural pathways for the perception of labor pain. Key word : labor pain, massage, kneading technique, counterpressure technique
HUBUNGAN PENAMBAHAN BERAT BADAN DENGAN KEJADIAN PRE EKLAMPSI PADA IBU HAMIL DI RSUD PROF. Dr. MARGONO SOEKARDJO PURWOKERTO TAHUN 2011
No full textPre eklampsi diperkirakan terjadi pada lima persen kehamilan dan biasanya muncul setelah usia kehamilan 20 minggu. Pre eklampsi dapat disebabkan oleh kenaikan berat badan berlebih dan oedema pada ibu hamil dengan pre eklampsi yang disebabkan penimbunan cairan yang berlebihan. Mengetahui hubungan penambahan berat badan dengan kejadian pre eklampsi pada ibu hamil di RSUD Prof. Dr. Margono Soekarjo Purwokerto Tahun 2011. Penelitian ini merupakan penelitian observasional dengan rancangan retrospektif. Sampel penelitian ini adalah ibu hamil aterm yang mengalami pre eklampsi di RSUD Prof. Dr. Margono Soekarjo Purwokerto tahun 2011 sebanyak 90 orang. Metode analisa data menggunakan Chi Square. Penambahan berat badan selama hamil pada ibu hamil di RSUD Prof. Dr. Margono Soekarjo Purwokerto Tahun 2011 paling banyak dalam kategori normal sebanyak 47 orang (52,2%). Kejadian pre eklampsi pada ibu hamil paling banyak pada kategori berat sebanyak 58 orang (64,4%). Ada hubungan antara penambahan berat badan dengan kejadian pre eklampsi pada ibu hamil (p = 0,004). Ada hubungan antara penambahan berat badan dengan kejadian pre eklampsi pada ibu hamil di RSUD Prof. Dr. Margono Soekarjo Purwokerto Tahun 2011. Ibu hamil hendaknya menjaga berat badannya selama hamil agar mengalami kenaikan secara normal. Cara yang dapat dilakukan oleh ibu adalah dengan berolahraga ringan secara teratur, makan dengan menu gizi seimbang namun tidak berlebih, dan istiharat yang cukup. Kata Kunci : berat badan, pre eklampsi, ibu hami
HUBUNGAN BERAT BADAN LAHIR DENGAN RUPTUR PERINEUM DI BPS NY. ALIMAH KECAMATAN SOMAGEDE KABUPATEN BANYUMAS TAHUN 2009
No full textIntroduction: Postpartum haemorrhage has become the main cause of women mortality in Indonesia 40%. The phenomena in midwifery which lead to haemorrhage was the placenta, atone uteri, and birth canal rupture. Birth canal rupture was the second reason of haemorrhage respectively after atonia uteri which occur almost in every first delivery process and so do the next delivery process. One of rupture perineum reason was the overweight baby. Objectives: This research objective was to measure the correlation between low newborn baby weights toward rupture perineum occurrence at BPS. Ny. Alimah somagede sub-district of Banyumas Regency. Methods: This was analytic research with retrospective time approach. The population was the entire normal give birth women and the amount was 80 persons, by total sampling technique and data was analyzed using chi-squre Results: most of baby which born through the normal delivery was 37 babies or 46,3%, while the overweight baby was 10 babies or 12,5%. The delivery women was 50 persons or 62%, and the other 30 babies or 38% had perineum rupture. The statistical analysis showed ? = 0,000 means that the value of ? < ? 0,05 eans that there was a correlation between baby born weight toward rupture perineum occurrence. Suggestions: The health worker should increase the counselling regarding obstacle of delivery and perineum rupture. Keyword : Newborn Baby Weight, Rupture Perineum Literature : 22 (1993 - 2009). 3 internets (2005 - 2009
ANALISIS FAKTOR-FAKTOR YANG MEMPENGARUHI KEJADIAN GIZI BURUK PADA BALITA DI KABUPATEN KEBUMEN TAHUN 2010
No full textMalnutrition is the nutrition problem and one of the factor that encourage the baby mortality and children in Indonesia. There are some of the factors that affect the malnutrition incidence for the baby like income, knowledge, infection disease, health facility usage, food intake, food supply in family, children caring, education and environment health. To find out the factors that affect the malnutrition incidence for the baby in Regency of Kebumen. This research method is analysis descriptive with the Cross Sectional approach. Samples in this research are 60 people respondents where 30 people who have the malnutrition children and 30 people have the children with good nutrition this research uses the primary and secondary data by using Deskriptive, Chi-Square and Logistic Regression analytic. The income of mother at least is insufficient that are 34 people (56.7%). Knowledge of mother about the baby nutrition is low that is 40 people (66.7%), 23 baby (38.3%) have infection and 49 people (81.7%) uses the health facility with not good. There is significant correlation between the income ? = 0.009, knowledge ? = 0.003, infection disease in the baby ? = 0.017 and health facility usage ? = 0.020 with malnutrition incidence in the baby is the knowledge (OR=4.701). The factors that affect the malnutrition incidence for the baby in Regency of Kebumen is income, knowledge, infection diseases and utilization of health facilities and the most significant correlation is knowledge. It would be better for the mother of baby to concern for the health condition and necessity of their children nutrition. Keywords : Malnutrition, Bab
PENGARUH LAMANYA PEMAKAIAN ALAT KONTRASEPSI DEPO MEDROXY PROGESTERONE ACETATE (DMPA) TERHADAP KENAIKAN BERAT BADAN DI BPS SUPRIYATNI DESA PAKETINGAN KECAMATAN SAMPANG KABUPATEN CILACAP TAHUN 2010
No full textProgram Keluarga Berencana merupakan salah satu pelayanan kesehatan preventif yang dasar dan utama bagi wanita. Alat kontrasepsi Suntik merupakan metode kontrasepsi yang banyak digunakan para ibu. Kontrasepsi tersebut menimbulkan efek samping, diantaranya adalah kenaikan berat badan. Salah satu penyebab kenaikan berat badan yaitu karena pengaruh hormon progesteron. Menurut Hartanto (2003), penggunaan kontrasepsi Suntik DMPA dalam jangka panjang dapat mempengaruhi kenaikan berat badan. Penelitian ini bertujuan mengetahui pengaruh lamanya pemakaian kontrasepsi Suntik DMPA terhadap kenaikan berat badan di BPS Supriyatni Desa Paketingan Kecamatan Sampang Kabupaten Cilacap. Penelitian ini menggunakan jenis penelitian analitik desain cross sectional dengan uji Regresi Linear sebagai uji statistik dalam pengolahan data. Subjek penelitian ini adalah akseptor kontrasepsi Suntik DMPA sebanyak 61 akseptor. Hasil penelitian menunjukan bahwa nilai rata-rata lama pemakaian 23 bulan dengan rata-rata kenaikan berat badan 5,30 kg, nilai thitung = 23,277 nilai R= 0,950 dan nilai R² = 90,25%.Semakin lama penggunaan kontrasepsi suntik DMPA, berat badan cenderung naik. Ada pengaruh lamanya pemakaian kontrasepsi Suntik DMPA terhadap kenaikan berat badan di BPS Supriyatni Desa Paketingan Kecamatan Sampang Kabupaten Cilacap Tahun 2010. Oleh karena itu diharapkan bidan memberikan informasi pada akseptor Suntik DMPA mengenai efek samping yang sering dikeluhkan yaitu kenaikan berat badan, agar akseptor dapat mempertimbangkan dalam penggunaan kontrasepsi Suntik DMPA. Kata Kunci : Lamanya Pemakaian, Kenaikan Berat Badan, Kontrasepsi Suntik DMP
HUBUNGAN ANTARA BERAT BADAN BAYI BARU LAHIR DAN PARITAS DENGAN RUPTUR PERINEUM PADA PERSALINAN SPONTAN DI RSIA “Bunda arif” PURWOKERTO TAHUN 2010
No full textPostpartum haemorrhage can happened by hurt of path delivery, that one of them can from rupture perineum. Rupture can happened at first delivery and not rarely at the next delivery. The causes of rupture perineum’s insidense, one of it by a big of newborn baby weight and parities. This research purpose to know a relationship between a newborn baby weight and parities with rupture perineum at spontaneous delivery at RSIA Bunda Arif Purwokerto in 2010. This research was descriptive correlation research with approachment cross sectional. The population of this research was all of spontaneous delivery mother at RSIA Bunda Arif and the sample used was purposive sampling that amount 252 peoples. The method of data analyze used Chi Square test. The known research results: 1) The most baby who born with spontaneous delivery was a enough weight newborn baby (BBLC) as much as (77 %). 2) The most of spontaneous delivery mother was delivery mother who multipara as much as (55,20%). 3)Spontaneous delivery mother who delivered, the most of them experience rupture perineum that was as much as (67,1%). 4) The result of newborn baby weight and rupture perineum’s statistic analyze obtained p-value as many as 0,000 < 0,05 that means Ho pushed away and Ha acceptance, while the result of parities and rupture perineum’s analyze obtained p-value as many as 0,000 < 0,05 that means Ho pushed away and Ha acceptanced. There is a relationship between a newborn baby weight and parities with rupture perineum at spontaneous delivery. Keywords : Newborn baby weight, parities, and rupture perineu
HUBUNGAN FREKUENSI PAPARAN MEDIA PORNOGRAFI DENGAN FREKUENSI PERILAKU MASTURBASI REMAJA PUTRA DI SMK WONGSOREJO GOMBONG KEBUMEN
No full textAdolescent is transition period, marked with puberty where happened sexual maturity and psikososial which interconnected, change of puberty give contribution to become oneof seksuality at adolescent, so that when arise sexual motivation, adolescent need to channel it. One of way to channel sexual motivation is doing masturbating. One of the factor able to influence masturbating that is pornography media. This research aim to know relation of frequency an exposure pornography media with behavioral frequency of adolescent boy masturbating in SMK Wongsorejo Gombong, Kebumen Year 2010. This Research use method research of analytic survey method by cross sectional approach. Population in adolescent all these research of Boy in SMK Wongsorejo Gombong Kebumen Year 2010 amounting to 1181 student, and amount of sample 92 student. Method analyse at this research use test of Chi square. Frequency an exposure of pornography media at most that is > 1 x every month counted 41 (45%) responder, behavioral frequency of masturbating > 12 x every month (51 %), what is ? 12 x every month (49%), result of calculation of pornography media exposure frequency with behavioral frequency of adolescent masturbating of boy in obtaining value ? (probability) 0,000 There is relation of exposure an pornography media frequency with behavioral frequency of adolescent boy masturbating in SMK Wongsorejo Gombong, Kebumen Year 2010 (? : 0,000). Adolescent of boy shouldn’t excessively look on, see/reading pornography media, don't often masturbating, and better be active follow activity which are positive like activity of OSIS/extracurricular. Key Words : exposure of pornography media, adolescent boy masturbatin
STUDI KOMPARATIF PENAMBAHAN BERAT BADAN BAYI UMUR 0-6 BULAN YANG DIBERI MP-ASI DAN TANPA DIBERI MP-ASI
No full textGiving Mother's Milk (ASI) and complementary feeding (MP-ASI), which appropriately is the best provision for a baby to ensure optimal growth process. To find one infant growth can be seen by monitoring the baby's weight gain. To know the difference adding weight babies fed breast milk and baby-MP without MP-ASI given. This study is a retrospective descriptive comparative approach. The study population were infants aged 6-12 months were 72 people in the Village District Kutasari Kutasari Purbalingga. 51 samples taken by sampling techniques using purposive sampling technique. Methods of data analysis in this study using an independent t-test. Addition of average weight infants in the group of babies fed on MP-ASI at 3858.53 grams. Addition of average weight infants in the group of infants without a MP-ASI at 4800.00 grams. There are differences in weight gain 0-6 months old babies fed on breast milk and without the MP-MP-ASI (p = 0.002). There are differences in weight gain, babies fed breast milk and baby-MP without MP-ASI given. Keywords : MP-ASI, Weight Loss, Infants Aged 6-12 months