Jurnal Kesehatan Reproduksi
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Dampak dan Strategi Layanan Kesehatan Ibu Hamil Selama Pandemi COVID-19
Get PDFBackground: COVID-19 pandemic has both directly and indirectly affected the provision of the maternal health services. Stress caused by the pandemic also affecting the maternal health service.Objective: This research aimed to assess both the impact on the maternal health services and strategy performed to respond to the COVID-19 pandemic by the District Health Office (DHO) of South Tangerang.Method: The main method of this research is quantitative, then the quantitative findings are described qualitatively. The research team employed an in-depth interview via Zoom application (video teleconference) with 3 informants from the DHO. Meanwhile, the quantitative data were derived from dashboard of maternal health data K1, K4 and PF. Qualitative data are analyzed using theme analysis which is adapted to the findings from those quantitative data.Results and Discussion: The impact of the maternal health service showed a significant decrease against maternal health service in April in which the loss percentage of coverage K1 = 32.93%; coverage K4= 26.43%; Childbirth by health professionals in health facility = 19.4%.Conclusion: The decreasing of maternal health services potentially increase complication to pregnant women and mother and child’s mortality rate. The DHO is suggested to continue improving strategies and efforts to maintain the access of maternal health services during the COVID-19 pandemic
Pelaksanaan Inisiasi Menyusu Dini berdasarkan Jenis Persalinan di Indonesia: Analisis SDKI 2017
Get PDFBackground: Breast milk that comes out for the first time contains highly nutritious colostrum, has antibody, and very suitable food to consume for new born babies. Immediately after the baby was born, the baby is placed on the mother's breast without any hindrance, so the baby can breastfeed in the first hour and get warmth from the mother's body. Some research suggests that breastfeeding immediately after birth can prevent neonatal and infant death.Objective: This research was conducted to see whether the mother's residence, age, number of children, number of antenatal visits, type of childbirth delivery, and the childbirth assistant's affect the implementation of early breastfeeding.Method: This research will use a cross sectional by using the individual data from IDHS year 2017 with a total data sample of 14341.Results and Discussion: After being analysed using complex sample analysis, the analysis result will show the residence place, number of children, antenatal visits, type of childbirth delivery will become the determined factors from early child breastfeeding. It will be seen that the normal type of delivery allows for early breastfeeding initiation to be 3 times greater than labor with cesarean section after being controlled by variables of residence, number of children, and antenatal visits.Conclusion: Maternal age and birth attendants will not influence the occurrence of early initiation of breastfeeding; type of delivery, residence, number of children, and antenatal visits variables are released to early initiation of breastfeeding Keywords: Breastfeeding initiation; type of delivery; SDKI 201
Sumber Informasi Kesehatan Ibu Hamil di Indonesia Selama Masa Pandemik Covid 19
Get PDFBackground: Barriers to accessing maternal and child health services was the impact of the covid 19 pandemic. This causes obstacles in accessing health information for pregnant women.Objective: This research aims to track the sources of information that were most often used by pregnant women during the COVID-19 pandemic and the level of satisfaction of mothers with the sources of information used.Method: This study was a quantitative study with a cross-sectional survey design conducted in 7 islands in Indonesia. The number of respondents who participated in this study were 350 pregnant women who were recruited using random sampling technique. Data were collected online using a questionnaire and analyzed using descriptive analysis. Result and Discussion: The results showed that 46.3% of respondents used social media platforms as a source of health information used during the COVID-19 pandemic and 48.8% of respondents stated that they were not satisfied with the sources of information used.Conclusion: The social media platform is the most sought after by pregnant women in Indonesia as a source of health information during the covid 19 pandemic. The use of internet-based health education media must become an alternative to meet health information needs Keywords: accessing health information; covid 19 pandemic; pregnant wome
Evaluation of the Key Performance Indicators of the In Vitro Fertilization (IVF) Program at the Permata Hati Clinic, Dr. Sardjito in 2019-2020
No full textBackground: One of the efforts that can be done to overcome infertility is In Vitro Fertilization (IVF) or the IVF process is a process in which the egg is fertilized by sperm outside the body. Where in the In Vitro Fertilization effort, hormone stimulation is carried out, in principle, is an effort to add a number of hormones from the outside (exogenous hormone) which functions as control of the reproductive process, so that the reproductive cycle can be accelerated or can be carried out outside its natural environment. Given the many risks that arise, a measurement is needed to determine the success rate of the IVF program itself. Research Performance indicator or key performance indicator (KPI) is a type of performance measurement of any process, whether in biomedical or non-biomedical fields, may be subject to inherent deviations from the optimum limit or from the set limit.Objective: Conduct an evaluation with Key Performance Indicators on In Vitro Fertilization (IVF) patients at the Permata Hati Clinic, Dr. Sardjito.Method: This research is a descriptive observation because the researcher only observes without treating the object to be studied. This research was conducted at Dr. RSUP. Sardjito because RSUP Dr. Sardjito owns the Permata Hati infertility clinic, which provides patients with IVF (in vitro fertilization or IVF) procedures. Data collection was carried out especially in the medical record section which was carried out in January 2019 - January 2020.Results and Discussion: The variables of ICSI damage level, normal ICSI fertilization rate, normal IVF success rate, IVF fertilization failure rate, blastocyst cryosurvival rate, and implantation level (cleavage stage) have not been able to meet the key performance indicators. , and the implantation rate (blastocyst stage) met the key performance indicatorsConclusion: Permata Hati Clinic Performance RSUP Dr. Sardjito is still under competency and aspirational performance based on key performance indicators. Keywords: Key Performace Indicator; In Vitro Fertilization; Assisted reproductive technique
Analisis Implementasi Program Ponek Di Rsud Sleman Melalui Pendekatan Model Van Meter Van Horn
Get PDFBackground: The maternal mortality rate, newborns in Sleman Regency is quite high. The death rate can be prevented by implementing the Emergency Neonatal Care (EmNC) program. RSUD Sleman is a 24-hour EmNC hospital, has been running the program since 2012.Objectives: To find out the EmNC program at RSUD Sleman through the Van Meter Van Horn model approach to see the implementation performance on aspects: standards, targets, and policy objectives; resource; communication between units, organizational character; attitude of the implementers.Method: Research with a mix method approach. Quantitative data were collected through questionnaires, and qualitative data through in-depth interviews with key informants: the person in charge of the program, doctors, nurses, midwives, and management leaders. Data analysis using qualitative descriptive analysis techniques.Results and Discussion: Aspects of standards, goals, policy objectives of the EmNC program, resources, inter-organizational communication are included in the good category. On the aspect of organizational characteristics, and the attitude of the implementers in the sufficient category.Conclusion: The performance of the implementation of the EmNC program policy at RSUD Sleman from the aspect of standards, goals, objectives, and resources, communication between organizations is categorized as good, but the aspects of organizational characteristics and attitude of the implementers are categorized as adequate.Keywords: emergency; obstetrics; neonates; service; vanmeter van horn.
Infeksi Covid-19 pada Ibu Hamil dan Kejadian Anomali Kongenital: Scoping Review
Get PDF Background: Covid-19 (coronavirus disease 2019) is caused by Severe Acute Respiratory Coronavirus (SARS-CoV 2). Pregnant women have higher risk to get infection, including covid-19. Vertical transmission from mother to fetal does not seem to appear in covid-19, but further studies are still needed. Several cases have reported maternal vascular malperfusion and chronic histiocytic intervillositis with trophoblast necrosis in the placenta of mothers infected by covid-19, which can directly affect fetal development in the uterus. To date, little is known about the effect of SARS-CoV 2 infection in pregnancy. However, SARS-CoV 2 infection in the first trimester of pregnancy may have the potential to cause complication such as miscarriage and congenital anomaly.Objective: This study was conducted to describe if there was any influence of covid-19 infection in pregnancy may lead up to the incidence of fetal congenital anomalies.Method: This was a scoping review. Journals that suited inclusion and exclusion criteria were collected and analyzed. The inclusion criteria was journal discussing covid-19 in pregnancy correlated with fetal congenital anomaly. Exclusion criterias were journals not written in English or not full text. The journal was searched on PubMed. Data was presented in the table.Results and Discussion: A scoping review was carried out on 9 journals that matched the inclusion and exclusion criteria. A total of 6 journals did not show any association of congenital anomalies in infants born to mothers infected with covid-19. Three of the six journals did not find any congenital anomalies, while the other three journals consecutively stated that there was no relationship between maternal covid-19 infection and hearing loss, congenital heart disease, and neurodevelopmental delay (hearing loss and retinopathy of prematurity) in infants. One journal concluded that there was a significant increase in fine motor transient abnormalities. One journal concluded that eye abnormalities may be caused by fetomaternal transmission of covid-19 or an indirect effect of maternal covid-19 infection when optic tract development occurred. One journal was unable to conclude whether abnormal brain MRI results in 3 infants had any correlation with mother’s covid-19 infection during pregnancy. There were two journals that found placental insufficiency in subjects infected with covid-19.Conclusion: The correlation between fetal congenital anomaly and maternal covid-19 infection has not been well established. Therefore, further investigation is still needed. Keywords: Congenital Anomaly; Covid-19; Pregnanc
Gambaran Kriteria Robson pada Ibu Bersalin dengan Preeklampsia
Get PDFAbstractPreeclampsia is hypertension in pregnancy which is associated with 2-8% of pregnancy-related complications worldwide. It causes 9-26% of maternal deaths in low-income countries and 16% in high-income countries. This study aims to determine the prevalence and characteristics of pregnant women with preeclampsia who underwent cesarean section based on Robson's criteria at Sumber Waras Hospital, West Jakarta. This research methodology uses a descriptive method with a cross-sectional design with a total sample of 55 women with preeclampsia who underwent caesarean section in 2020 at Sumber Waras Hospital, West Jakarta. The results of this study were the highest group 4 on the Robson criteria with 41.81%, while the lowest were groups 3, 6 and 9 with 1.81%. The conclusion of this study is that the prevalence of women giving birth with preeclampsia who undergo cesarean section at Sumber Waras Hospital, West Jakarta is 78.57% and shows that group 4 on Robson's criteria has the highest number.Keywords: Cesarean section; Preeclampsia; Robson's criteriaAbstrakPreeklampsia adalah hipertensi pada kehamilan yang berhubungan dengan 2-8% komplikasi terkait kehamilan di seluruh dunia. Ini menyebabkan 9-26% kematian ibu di negara-negara berpenghasilan rendah dan 16% di negara-negara berpenghasilan tinggi. Penelitian ini bertujuan untuk mengetahui prevalensi serta karakteristik ibu bersalin dengan preeklampsia yang menjalani seksio sesarea berdasarkan kriteria Robson di RS Sumber Waras Jakarta Barat. Metodologi penelitian ini menggunakan metode deskriptif dengan desain penelitian potong lintang dengan jumlah sampel sebanyak 55 ibu bersalin dengan preeklampsia yang menjalani seksio sesarea pada tahun 2020 di RS Sumber Waras Jakarta Barat. Hasil penelitian ini yang tertinggi adalah kelompok 4 pada kriteria Robson dengan 41,81%, sedangkan yang terendah yaitu kelompok 3, 6 serta 9 dengan 1,81%. Kesimpulan dari penelitian ini adalah prevalensi ibu bersalin dengan preeklampsia yang menjalani seksio sesarea di RS Sumber Waras Jakarta Barat adalah 78,57% serta menunjukan bahwa kelompok 4 pada kriteria Robson memiliki jumlah yang paling tinggi.Kata kunci: Kriteria Robson; Preeklampsia; Seksio sesare
Aplikasi Si DITA Berbasis Android terhadap Peningkatan Motivasi Orangtua Melakukan Stimulasi Deteksi Dini Tumbuh Kembang
Get PDFBackground: Every parent needs to have the skills to carry out monitoring and stimulate the development of infants and children. Technology-based Early Detection and Growth Stimulation is an innovative pathway to providing health informationObjective: To determine the effect of the Android-based Si DITA application to increase parental motivation to stimulate early detection of growth and development in Az-Zahra Early Childhood Education at Sleman RegencyMethod: Quasi Experiment with pretest-post test control group design design patterns. The sample uses the Lemeshow formula with purposive sampling of 15 respondents in each groupResults and Discussion: Obtained p value = 0.001, states that the Android-based Si DITA application to increase parental motivation to stimulate early detection of growth has a meaningful or influential value. The confounding variables that influence are only prior information, while education and income variables have no effectConclusion: Android-based applications can increase parental motivation to stimulate and detect early growth and developmen
Analisis Faktor Risiko Cedera Buli Iatrogenik pada Operasi Obstetri
Get PDFBackground: Bladder is one of urinary tract that is anatomically close to gynecological organs. The risk of iatrogenic bladder injuries is an undesirable event. It can increase in obstetric and gynecological procedures. We can identified the risk factors for iatrogenic bladder injuries can be identified at the beginning of operations. One of which is related to distorted pelvic anatomy, including adhesions, history of surgery, endometriosis and obesity. The type of surgery also plays a role in increasing risk of iatrogenic bladder injuries. This study aims to determine the risk factors that can increase iatrogenic bladder injuries in obstetric and gynecological surgery at Dr. RSUP. Sardjito in 2015-2020.Objective: To determine the risk factors that increase iatrogenic bladder injury in obstetric and gynecological surgery at dr. Sardjito in 2015-2020Method: Case control study was conducted at Dr. RSUP. Sardjito, Yogyakarta from January 2021 to March 2022. There were 120 patient subjects who underwent obstetric and gynecological procedures at Dr. Sardjito Hospital from 2015 to 2020 who entered the inclusion criteria. The relationship between risk factors and the incidence of iatrogenic bladder injuries was analyzed using the Chi Square test. Multivariate analysis to determine the most important risk factors were analyzed using Logistic Regression test. Data analysis with SPPS version 22.0Results and Discussion: In this study, there was an association between adhesions and the incidence of iatrogenic bladder injuries (OR = 28,895 (95% CI 9111 – 91,641); p 0.05).Conclusion : Adhesions had 29 times risk for increasing iatrogenic bladder injuries in this study.Keywords: Adhesions, Distorted Pelvic Anatomy, Risk Factors, Iatrogenic Bladder Injuries, Obstetrics, Gynaecology
Pengetahuan dan Minat Penggunaan Menstrual Cup pada Mahasiswi Kesehatan Masyarakat Universitas Airlangga
Get PDFBackground: Menstrual cup is the alternative menstrual products used by women. However, menstrual cup is still taboo in Indonesia because women have concerns about using them.Objective: The study aimed to describe and to see the relationship between knowledge about menstrual cup and interest of using among students of Public Health Universitas Airlangga.Method: The study used analytic observational with students of Public Health year 2018 Universitas Airlangga as the population. The study used simple random sampling with a total of 65 samples. Results and Discussion: A total of 55.4% respondents had good knowledge about menstrual cup and 72,3% were not interested in using menstrual cup. The Chi-Square test showed that p-value 0.301 > 0.05.Conclusion: Knowledge about menstrual cup were good but interest in using menstrual cup was low. There was no relationship between knowledge and interest of using menstrual cup. Keywords: interest of using; knowledge; menstrual cu