Jurnal Kesehatan Reproduksi
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Kualitas Tidur dan Pola Tidur sebagai Predisposisi Postpartum Blues pada Primipara
Get PDFBackground: 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, primipar
Hubungan Sosial Ekonomi dan Status Perkawinan terhadap Kebiasaan Merokok Perempuan di Indonesia Timur Analisis Data IFLS East 2012
Get PDFBackground: 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 habi
Korelasi Tinggi Badan Ibu dengan Panjang Badan Bayi Baru Lahir di Kota Palu
Get PDFBackground: 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 lengt
Pengaruh Konseling saat Persalinan terhadap Kepesertaan Keluarga Berencana Pasca Salin di Kabupaten Kolaka
Get PDFBackground: 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%) (p0,05). 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 participatio
Pemberian Makanan Pralaktasi dengan Kelangsungan Hidup Bayi di Indonesia
Get PDFBackground: 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, infan
Dampak Konseling Individu dan Konseling Berpasangan terhadap Penggunaan Kontrasepsi Pascasalin: Randomized Controlled Trials (RCT)
Get PDFBackground: The achievement of Contraceptive Prevalence Rate (CPR) is 57.9%, which indicates that the Family Planning has not run optimally one of which concerns the utilization of family planning counseling as an attempt to avoid an unplanned pregnancy. The postpartum period is a period appropriate in using contraception. Some studies suggest that the counseling given by health workers will increase the interest of potential acceptors of contraception.Objective:The objective of this research is to increase the utilization of postpartum contraception counseling.Method: This research used Randomised Controlled Trial (RCT) method to provide counseling to couples and individuals. The subject of this study were the final trimester pregnant women with Simple Random Sampling and technique then were randomized to determine the intervention and control groups. Bivariable analysis use statistical test Chi Square with CI 95 % and P value <0.05 and binomial logistic regression multivariable analysis.Result and Discussion:The proportion of postpartum contraceptive utilization in the intervention group compared with the control group was 86% the percentage difference. Variable wife age and information have a significant influence on the utilization of contraception postpartum.Conclusion:The use of counseling in pairs in pregnant women effectively increases the utilization of postpartum contraception. Keywords: Counseling, postpartum contraceptio
PERBANDINGAN PREPARASI KULIT MENGGUNAKAN ALKOHOL-KLORHEKSIDIN DENGAN ALKOHOL-POVIDON IODIN TERHADAP INFEKSI LUKA OPERASI SEKSIO SESAREA
Get PDFBackground: 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
Perbandingan Kejadian Missing String IUD CUT 380A Pascasalin antara yang Dipasang Menggunakan R_Inserter dengan yang Dipasang Menggunakan Klem Cincin (Evaluasi 13-24 Bulan)
Get PDFBackground: One of the main complaint of IUD client was missing string. The main cause of missing string was folded string into the cervical canal. The incidence of translocation in case of missing string was 0 – 5%.Objective: To compare the incidence of missing strings IUD CuT 380A inserted by R_inserter compared to ring forceps during postpartum period in addition to compare incidence of malposition, cumulative expulsion, the continuation of IUD, pregnancy and menstrual complaintsMethod: The study was conducted in Sardjito Hospital Yogyakarta. The subjects were divided into two groups, of exposed group (inserted postpartum IUD using R_inserter) and control group (inserted postpartum IUD by using ring forceps). Follow-up was performed in the period of 13-24 months postpartum. Data was analized with Chi-square test and relative risk for comparing two proportions.Result and Discussion: A total of 178 study subjects consisted of 91 subjects inserted with R_inserter and 87 subjects with a ring forceps. The incidence of missing strings in R_inserter was lower than ring forceps group, 1.2% vs. 3.6% (RR 0.33; 95% CI 0.36-3.18). There was only one subject IUD malposition from ring forceps group. The incidence of expulsion cumulative in the R_inserter was higher than ring forceps, 6.0% vs 4.1% (RR 1.47; 95% CI 0.43-5.05). The continuation rate of IUD in R_inserter and ring forceps groups was 83% and 85.7% (RR 0.97; 95% CI 0.86-1.09) and no incidence of pregnancy. Number of menstrual complaints on R_inserter were lower than the ring forcep 2.4% vs. 3.6% (RR 0.66%; 95% CI 0.11-3.83).Conclusions: There was no difference in the incidence of missing strings, malposition, expulsion, continuity and menstrual complaints between IUD CuT 380A inserted by R_inserter and ring forceps during the postpartum period.Keywords: postpartum IUD, R_inserter, ring forceps, missing strings, malposition
Perbandingan Kejadian Retensi Urin antara Persalinan dengan Vakum Ekstraksi dan Persalinan Normal
Get PDFBackground: Urinary retention after vaginal delivery is a common problem with incidence 1.7% - 17.9%. Assissted vaginal delivery is one risk factor for the occurence of urinary retention.Objective: to compare urinary retention between normal vaginal delivery and assissted vaginal delivery using extraction vacum, and evaluate factors related to urinary retention.Method: The study was prospective cohort design, conducted in 3 hospitals and 2 primary health centres during 6 month period since September 2013- February 2014. Subjects were divided into two groups i.e. normal delivery and assissted delivery using extraction vacum, each 118 subjects. Events of urinary retention was assessed and also related factors were identified. Analysis used Chi-Square test, Fisher test and also logistic regression analysis.Result and Discussion: In total 236 subjects were involved, there was no difference in age and parity among the subjects. Incidence of urinary retention among extraction vacum delivery group was higher (32.2%) compare to normal delivery (11.9%). Multivariate analysis using logistic regression showed that extraction vacum (p=0.074; OR 2.71; 95% CI 1.55-4.73), baby weight (p= 0.230; OR 1.95; 95% CI 0.655.84) and perineal injury (p= 0.614; OR 1.35; 95% CI 0.41-4.36) were not significant risk factors for urinary retention. Length of labour (p=0.003; OR 3.71; 95% CI 1.55-8.86) and parity (p= 0.023; OR 2.29; 95% CI 1.2-4.66) were significant risk factors for urinary retention.Conclusion: Urinary retention is higher among vaginal delivery with extraction vacum compare to normal delivery. Length of labour and parity are external factors related to urinary retention.Keywords: Assissted vaginal delivery, extraction vacum, normal delivery, urinary retention, postpartu
HUBUNGAN ANTARA VAGINOSIS BAKTERIAL DAN PERSALINAN PRETERM
Get PDFHUBUNGAN 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 Yogyakart