Jurnal Kesehatan Reproduksi
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The Roles of Parents and Peer Friends on Adolescent Premarital Sex Behavior in High School Students of Buol District
Get PDFBackground: Most adolescents or teens consider premarital sex behavior is a common and normal activity to do. Parents less able to communicate with their children will provoke conflicts in parents-children relationship and this may lead to impacts on premarital sex behavior in adolescents. Peer friends are also a source of information about sex that is quite significant in the shaping of adolescent knowledge, attitude and sexual behavior. However, information from peers may lead to negative impacts in adolescents such as premarital sex. This activity can lead to unwanted pregnancy, STIs, abortion and school dropouts.Objective: To determine the relationship between the roles of parents and peers in adolescent premarital sexual behavior in SMAN 1, SMA 2, SMK 1 and MAN in Buol.Methods: This study was observational with a cross-sectional design using quantitative and qualitative approaches. The study was held in SMAN 1, SMAN 2, SMK 1 and MAN of Buol District in Central Sulawesi with 192 adolescent as the research subjects. In-depth interviews were done to four selected informants.Result and Discussion: The results of bivariate analysis showed a significant relationship between the roles of parents and peers in adolescent premarital sexual behavior. Adolescents with low reproductive health information than that of parents have 2 times higher chance to perform high-risk sexual behaviors than adolescents with high reproductive health information than their parents. Adolescents with peers who give bad influence have a 5 times higher risk sexual behavior than teens with peers whose negative influence is lower. The results of this study also showed that there is a relationship between the influence of religiosity and pornographic media associated with high risk sexual behaviorConclusion: High-risk sexual behavior in adolescents is influenced by the parents’ role, poor informations on reproductive health high bad influence from peers is, low religiosity and exposure to pornographic media.Keywords: role of parents, peers, premarital sexual behavio
Memeriksa Striae Gravidarum untuk Memperkirakan Laserasi Perineum
Get PDFBackground: Striae gravidarum is a common phenomenon that occurs in pregnant women and a marker of decrease in skin elasticity. Poor elasticity of the perineum can result perineal laceration in vaginal childbirth. This study was to determine the relationship of striae gravidarum perinenum with the occurrence lacerations in normal labor, and the factors that most influence the occurrence of mild and severe perineal lacerations.Method: Used a cross sectional design, with a sample of 188 respondents. Assessment striae gravidarum using Atwal et al (2006) which has been modified, assessment of perineal lacerations used RCOG (2006). Data collection was done during the months of April to July 2015 in the maternity room Panembahan Senopati Bantul Hospital.Results: Factors that influence the occurrence of mild laceration were striae gravidarum moderate-severe (RP 1,230: CI 95% 1,23053-1,23066), primiparous (RP 1,2675: CI 95% 1,13709-1,41298). Factors that influence the occurrence of severe laceration were striae gravidarum moderate-severe (RP 1,676: CI 95% 1,246-2,255), primiparous (RP 1,117: CI 95% 1,1172-1,1175), the lithotomy position (RP 1,012: CI 95% 1,011-1,0629).Conclusion: Striae gravidarum is factor that influence the occurance of perineal laceration. Checking of striae gravidarum can be to estimate the severity of perineal laceration, the more scores striae gravidarum more severe perineal laceration that may be experienced by childbirth mothers. Keywords: striae gravidarum; perineal laceration; childbirt
Hubungan Pemakaian Alat Kontrasepsi Dalam Rahim (AKDR) Non Hormonal dengan Kejadian Vaginitis
Get PDFBackground: Colonies of microorganism in reproductive normal women vaginal is influenced by several factors. Changes in the composition of these factors cause of some problems such as infection and inflammation. The use of intrauterine devices could be expected to lead to vaginitis.Objective: To determine whether the use of intrauterine device increase the incidence of vaginitis, either by Bacterial Vaginosis (BV), Vulvovaginal Candidiasis (VVC), and Trichomonas Vaginalis (TV) .Method: Cross Sectional Study on the differences incidence of vaginitis in intrauterine device user and hormonal user.Result and Discussion: At the intrauterine devices and hormonal contraception users, there are significant difference incidence of BV (OR 10,11;95% CI 1,80-56,78) ; p=0,009 (p0,05).Conclusions: The use of an intrauterine device increase the incidence BV and VVC but not TV.Keywords: Intrauterine Device; Hormonal Contraception; Vaginiti
Peran Nilai Pribadi, Nilai Budaya dan Nilai Religius terhadap Sikap Remaja Perempuan tentang Seks Pranikah (Suatu Kajian pada Remaja Perempuan di Maumere dan Larantuka, NTT)
Get PDFLatar Belakang : Pesatnya perkembangan teknologi informasi, memudahkan remaja mengakses semua hal yang berhubungan dengan informasi seputar seks. Dengan kemudahan yang dimiliki untuk mengakses teknologi informasi ini, remaja seringkali terekspos oleh konten-konten pornografi. Secara langsung maupun tidak langsung akan memengaruhi sikap remaja terhadap perilaku seks pranikah.Tujuan : Mengetahui peran nilai pribadi, nilai budaya dan nilai religius dikaitkan dengan sikap remaja perempuan di Maumere dan Larantuka terhadap perilaku seks pranikah serta mengetahui sikap remaja perempuan terhadap perilaku seks pranikah.Metode : Penelitian menggunakan pendekatan mixed method, pengukuran sikap melalui pengisian kuesioner dan diskusi kelompok terarah (FGD) untuk mengetahui gambaran sikap remaja perempuan terhadap perilaku seks pranikah yang dikaitkan dengan nilai pribadi, nilai budaya dan nilai religius. Kegiatan penelitian dilakukan pada empat SMA di Maumere dan Larantuka. Jumlah partisipan 120 orang, diperoleh dengan teknik accidental sampling. Sebagai informasi tambahan dilakukan wawancara dengan tokoh budaya di Maumere dan tokoh agama di Larantuka. Hasil dan pembahasan : Berdasarkan pengolahan data terhadap pengukuran skala sikap diperoleh gambaran bahwa pada dasarnya remaja perempuan di Maumere dan Larantuka tidak menyetujui hubungan seks pranikah, meskipun telah terjadi pergeseran nilai. Sikap ini berdasarkan pada nilai-nilai pribadi yang diyakini remaja yaitu pertimbangan etika dan moral, dampak kehamilan, aborsi atau penyakit menular seksual. Dalam konteks budaya, pertimbangan remaja adalah sanksi sosial yang akan diperoleh dari kehamilan di luar nikah. Sedang dalam konteks religius, remaja mempertimbangkan tentang dosa. Berdasarkan diskusi kelompok terarah (FGD) disimpulkan bahwa nilai religius dirasakan sangat penting oleh partisipan karena dapat menumbuhkan iman dan memberi dorongan,arah dalam bertingkah laku. Nilai-nilai religius juga berperan dalam memberi motivasi dan membimbing seseorang untuk melakukan perbuatan yang baik. Dalam konteks budaya, para partisipan berpendapat bahwa budaya sangat penting karena dalam budaya diajarkan tentang perilaku yang pantas dan tidak pantas dilakukan. Oleh karena itu dibutuhkan pendampingan orangtua dalam mendidik dan menanamkan nilai-nilai moral dan etika.Kesimpulan : Pernyataan sikap tidak setuju terhadap perilaku seks pranikah merupakan internalisasi nilai-nilai budaya dan religius yang akhirnya membentuk sikap remaja di Maumere dan Larantuka Kata kunci : Peran nilai pribadi, nilai budaya dan nilai religius, sikap remaja perempuan, perilaku seks pranikah, Maumere dan Larantuka, Nusa Tenggara Timur Susana Sabarni, Lidia Laksana HidajatABSTRACT Background: The rapid development of information technology, making it easier for teenagers to access all things related to information about sex. With the ease they have to access this information technology, teenagers are often exposed to pornographic content. Directly or indirectly will influence teen attitudes towards premarital sex behavior.Objective: To acknowlegde the role of personal values, cultural values and religious values associated with the attitudes of adolescent girls in Maumere and Larantuka towards premarital sex behavior and also to acknowlegde the attitudes of teenage girls to premarital sex behavior.Methods: The study used a mixed method approach, attitude measurement through filling out questionnaires and focus group discussions (FGD) to describe the attitudes of adolescent girls towards premarital sex behavior which is associated with personal values, cultural values and religious values. Research activities were carried out on four high schools in Maumere and Larantuka. The number of participants 120 people, obtained by accidental sampling technique. For additional information, interviews with cultural leaders in Maumere and religious leaders in Larantuka were conducted.Results and discussion: Based on data processing on attitude scale measurement obtained an illustration that basically girls in Maumere and Larantuka do not approve premarital sex, even though there has been a shift in values. This attitude is based on personal values believed by adolescents, namely ethical and moral considerations, the impact of pregnancy, abortion or sexually transmitted diseases. In the context of culture, adolescent considerations are social sanctions that will be obtained from pregnancy outside of marriage. While in a religious context, teenagers consider sin. Based on focus group discussions (FGD) it was concluded that religious values were felt to be very important by participants because they could foster faith and give encouragement, direction in behaving. Religious values also play a role in motivating and guiding someone to do good deeds. In the cultural context, the participants thought that culture was very important because in the culture it was taught about appropriate and inappropriate behavior. Therefore, parents are needed to assist in educating and instilling moral and ethical values.Conclusion: A statement of disagreement with premarital sex behavior is an internalization of cultural and religious values that ultimately shape their attitudes Keywords: The role of personal values, cultural values and religious values, attitudes of adolescent girls, premarital sexual behavior, Maumere and Larantuka, Nusa Tenggara Timu
Profil Primigravida Muda dan Luaran Persalinan di Rumah Sakit Dr.Oen Surakarta
Get PDFBackground: Pregnancy at a young age has become an important health problem both in developed and developing countries. Pregnancy at a young age increases the risk of maternal and perinatal morbidity and mortality. This is because adolescent women who are not ready both physically and psychologically to get pregnant.Obsjective: This study aims to identify and analyze labor in young primigravida (<20 years) with pathological labor in hospital Dr.Oen Surakarta.Method: This was an observational analytic study without intervention in the form of comparative cross sectional study conducted in young primigravida group age <20 years and primigravida group age 20 to 34 years old, who underwent labor in hospital delivery room. Dr.Oen Surakarta. This study used secondary data from the medical record of pregnant women who gave birth at RS.Dr.Oen Surakarta from January 1, 2011 to December 31, 201. A comparison between young primigravids (<20 years) in which pathologic pathways were performed with primigravida of reproductive age (20-34 years) experienced pathological labor were conducted.Result and Discussion: The number of deliveries in young primigravida (<20 years) was 61 people (6.65%) whereas in primigravida (21-35 years) there were 856 people (93.34%). Younger primigravids have lower levels of education than the primigravida age of reproductive age (p 0.00, CI 3.557 - 11.227). The younger primigravida has a tendency to give birth outside its residence area compared to primigravida of reproductive age (p 0.00; CI 0.050,178). Unmarried status in the young primigravida is greater than that of primigravida of reproductive age (p 0.00, CI 0.011 - 0,229) .An Antenatal Care on Primigravida reproductive age is more regular than young primigravida (p 0.03; CI 0.255 - 0.97) . Young primigravida tended to have anemia (p = 0.00, OR 8.4 CI 3.22 - 21.93) The risk of prematurity was higher in young primigravids than in the reproductive age primigravida (p 0.01, OR 2.9 CI 1, 16 - 7.25). Younger primigravids have a higher risk for pathologic delivery compared to primigravida of reproductive age (p 0.05 OR 0.56 CI 0.315 - 1.01).Conclusions: There are differences in terms, level of education, marital status, residence, regularity of ANC between young primigravida and prmigravida of reproductive age. The study found that young primigravids have a higher risk of occurrence of anemia, prematurity and pathologic delivery compared with healthy reproductive age primigravids.Keywords: young primigravida, primigravida healthy reproductive age, risk factor
Pengaruh Asfiksia terhadap Ukuran Kepala Anak Usia 6 Bulan - 2 Tahun di Rumah Sakit Umum Provinsi Nusa Tenggara Barat
No full textBackground: In developing countries is estimated at about 120 million babies born asphyxiated at birth. Among these who can survive 20% to 30% had mental disorder, cerebral palsy or developmental abnormality due to the small size of head circumference (microcephaly).Objective: To determine the effect of asphyxia on the head circumference size of children age 6 months - 2 years.Method: A matched case-control study design was conducted from May – June 2014. The population of the study was all children age 6 months - 2 years who visited the Growth development clinic of General Hospital of West Nusa Tenggara Province. The cases were children who have microcephaly and the controls were children with normocephaly. From sample size which was calculated by hypothesis testing two populations proportions are obtained a sample of 72 respondents with 36 cases and 36 controls. Bivariate analysis used chi-square (χ2) McNemar and multivariable analysis with logistic regression (conditional logistic regression) with a significance level of p <0.05 and 95% confidence intervals.Result and Discussion: Microcephaly was present in 83 % of the children with asphyxia, compared with 36 % of the controls. The children with asphyxia tent to have microcephaly compared to children without asphyxia (OR = 5,00; 95% CI: 1,36-18,32). Results of multivariable analysis showed that there was a statistically significant effect between asphyxia with head circumference size by controlling the low birth weight variable (OR = 5,00; 95% CI: 1,36-18,32).Conclusion: History of asphyxia increases the risk of microcephaly compared with non-asphyxia in children aged 6 months - 2 years.Keywords: asphyxia, head circumference, children aged 6 months-2 year
Efek Pemanfaatan Program Pemantauan dan Promosi Pertumbuhan terhadap Status Gizi Balita di Kota Cirebon
Get PDFBackground: 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 utilizatio
Hubungan Kecemasan dengan Perubahan Degeneratif Fisik Wanita Premenopause di Kelurahan Biringgere Kab. Sinjai
Get PDFBackground : 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
Indications and Complications of Obstetrical Hysterectomy: Sardjito Hospital Experience
Get PDFLatar Belakang: Histerektomi obstetri adalah operasi besar dan tetap merupakan salah satu bencana di bidang obstetri. Tindakan ini jarang dilakukan, namun merupakan operasi penyelamatan hidup dalam kasus perdarahan obstetrik yang sulit ditangani. Hal itu terkait dengan peningkatan morbiditas dan mortalitas ibu.Tujuan: Untuk menentukan indikasi dan komplikasi histerektomi obstetri di RSUP Dr. Sardjito. Metode: Penelitian ini menggunakan metode penelitian retrospektif kasus histerektomi obstetrik di RSUP Dr. Sardjito pada Januari 2012 hingga April 2015.Hasil dan Pembahasan: Selama masa studi, 30 histerektomi obstetri dilakukan. Delapan puluh persen kasus merupakan kasus rujukan. Rata-rata usia 32,47 tahun dengan standar deviasi 5,91. Atonia uteri merupakan indikasi yang paling umum (40%), diikuti oleh dehisensi uterus segmen bawah (33,3%), ruptur uteri (16,7%) dan plasenta akreta (10%). Tipe histerektomi yang dilakukan adalah histerektomi supra servikal sebesar 46,7%, histerektomi abdominal total 33,3%, dan histerektomi sesar 6%. Komorbiditas intraoperatif yang paling umum adalah kehilangan darah masif (93,3%). Disseminated Intravascular Coagulation (DIC) menyebabkan 30% dari komorbiditas pasca operasi. Kematian ibu mencapai 20%.Kesimpulan: Indikasi histerektomi obstetri ialah atonia uteri, dehisensi uterus segmen bawah, ruptur uterus, dan plasenta akreta. Komplikasi intraoperatif yang paling sering terjadi ialah kehilangan darah. DIC merupakan komplikasi paska operatif terbanyak dan penyebab utama kematian.Kata Kunci: Histerektomi obstetrik, atonia uteri, dehisensi uterus segmen bawah, ruptur uteri
Persepsi tentang Kanker Serviks dan Upaya Prevensinya pada Perempuan yang Memiliki Keluarga dengan Riwayat Kanker
Get PDFBackground: Cervical cancer has become a major problem in women’s health not only causing morbidity but also leading to many deaths. Data released by Center for Data and Information Ministry of Health of the Republic of Indonesia showed that in 2013 there were 98,692 patients with cervical cancer in Indonesia the Increasing was mortality of cervical cancer is thought due to delay in handling.Objective: This study was aimed to see a comprehensive perception of cervical cancer and prevention efforts in women who had families with a history of cancer.Method: The approach used in this study was a qualitative approach in which the datas were collected through in-depth interviews and observations.Results and Conclusions: The results of this study showed all five informants perceived cervical cancer as a malignant disease. They found themselves at risk for cervical cancer as well. Four of 5 informants said they would seek immediate preventive measures, but only two of them had made prevention efforts. One informant who, despite believing cervical cancer as a malignant disease and aware of the risks of this disease, and knowing there were efforts that could be done to avoid cervical cancer stated she would not make any prevention efforts.Keywords: woman psychology, woman body, married woman, woman reproductive health, cervical cancer, health belief model (HBM