Jurnal Kesehatan Reproduksi
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Manfaat Saffron dalam Meringankan Sindrom Pramenstruasi
No full textBackground: Menstrual disorders are experienced by most women of reproductive age, this problem if not handled seriously will have an adverse impact. Most women choose to treat menstrual disorders with medical treatment without knowing the side effects of using these drugs.Objective: This study aims to find solutions or alternative in dealing with Premenstrual syndrom other than by medical treatment.Methods: This study uses a systematic review method, where this study examines and integrates findings from published studies to draw conclusions.Results and Discussion: The results of this study indicate that saffron is effective in helping to reduce the severity and reduce the duration of menstrual disorders. Such as anxiety, depression, pain and other disorders.Conclusion: Consumption 30mg of saffron per-day can be useful reducing symptoms of menstrual disorder like depression, pain and hormonal balance. Keywords: Menstrual Disorder, Saffron, Systematic Revie
Determinants of Neonatal Mortality: A Case Study in Sleman District
Get PDFBackground: Neonatal mortality is a significant global health problem. Most of the cases occur in low and middle-income countries including Indonesia. In Sleman District, Yogyakarta for the last five years, the neonatal mortality rate has not improved and remains high. This research aimed to identify the root causes of newborn deaths in Sleman District.Methods: A case study approach was used with qualitative methods to describe and discuss five infant mortality cases in Sleman District. This study involved in-depth interviews with 3 mothers of neonates as the main informants, three public figures as society representatives, and other health stakeholders represented by local midwives in Sleman District.Results adn Discussion: There were 12 sub-themes identified in this study that reflected 3 main themes associated with neonatal mortality which are: 1) the neonates’ condition: premature birth, pneumonia, low birthweight, and immaturity of vital organs; 2) the maternal factors: psychological stress, hypertension, diabetes, and obesity; and 3) the healthcare system: midwives’ roles, village cadre roles, and health data collection of mothers and children.Conclusion: Generally, the causes of neonatal mortality were due to prematurity and multiple fetuses; therefore, in-depth screening is needed to prevent neonatal mortality.Keywords: Determinant; Neonatal Mortality; Healthcare System; Case Study.
Pencegahan Kehamilan Tidak Diinginkan pada Remaja: Studi tentang Peran Komunitas di Kecamatan Srumbung
Get PDFBackground: Adolescence is a period that is quite prone to deviations in premarital sexual behavior. The incidence of unwanted pregnancies in Srumbung District is 28 cases in 2019. Prevention of unwanted pregnancies needs to be done in order to realize a golden generation that is physically and mentally mature in carrying out the role of parents. The impact of unwanted pregnancy is the increased physical and psychological risk of adolescents from pregnancy to the future.Objective: This study aims to determine the role of the community in preventing unwanted pregnancies in adolescents in Srumbung District, Magelang Regency.Method: This study uses a qualitative research method with a phenomenological approach. Data was collected by means of in-depth interviews. Informants are teenagers aged 15-19 years who experienced unwanted pregnancies in the last 1 year as many as 6 people. Additional informants in this study were parents of teenagers, friends, and community leaders.Results and Discussion: The role of parents in providing reproductive health information and monitoring opposite sex relationships is not optimal so cases of unwanted pregnancies still occur. Community leaders play a role in regulating opposite sex relationships and social sanctions. Youth organizations and their associates have not been able to play a role in preventing unwanted pregnancies. The influence of social friends causes the mindset of teenagers about premarital adolescent sex behavior to be permissive.Conclusion: The community has not been able to play an effective role in preventing unwanted pregnancies in adolescents. Parents, friends, and community leaders have not been able to play a role in preventing unwanted pregnancies. Families have not been able to carry out their functions optimally. Keywords: unwanted pregnancy; community; teenage
Gambaran Sindroma Pasca menopause Pada Wanita Lansia di Panti Werdha Wisma Mulia, Grogol, Jakarta
Get PDFABSTRACTBackground: The number of elderly women will continue to increase along with the high life expectancy. The decline in estrogen and progesterone after menopause causes direct effects in the form of physical and psychological disorders.Objectives: This study aims to describe the symptoms of postmenopausal syndrome in the elderly.Method: Non-probability descriptive sampling method has been carried out in the elderly group of women (N=38). Interviews based on the Guide to Greene Climacteric Scale questionnaire were conducted to collect data.Results and Discussion: Overall, postmenopausal syndrome was experienced by 79.47% of respondents. A total of 26.32% of respondents were very disturbed by anxiety symptoms. 34.21% and 39.47% of respondents were slightly disturbed by depressive and somatic symptoms. Only 5.26% of respondents were very disturbed by the symptoms of sexual dysfunction. Subjects with low education have a risk of 7.8 times experiencing symptoms of postmenopausal syndrome compared to subjects with higher education. Subjects who were nullipara had 2.6 times the risk of experiencing symptoms of postmenopausal syndrome when compared to primi/multipara.Conclusion: More than half of the respondents experienced postmenopausal syndrome, either in the form of symptoms of anxiety, depression, somatic, vasomotor, or sexual dysfunction. Subjects with low education have a higher risk of experiencing postmenopausal syndrome than those with low education.Keywords. Menopaus; elderl; postmenopausal syndrome.
Perbandingan Efek antara Pemberian Nifedipin dan Salbutamol sebagai Tokolitik pada Ibu Hamil dengan Ancaman Persalinan Prematur
No full text Latar belakang: Ancaman persalinan prematur dapat terjadi pada usia kehamilan 22 – 37 minggu. Hal ini menjadi penyebab meningkatnya angka kematian dan kesakitan pada neonatus/bayi masih sangat tinggi di beberapa negara. Salah satu upaya yang dilakukan untuk mencegah kelahiran prematur pemberian tokolitik.Objektif: Penelitian ini bertujuan untuk mengetahui perbandingan efek antara Nifedipin dan Salbutamol sebagai tokolitik pada ibu hamil dengan ancaman persalinan prematur.Metode: Desain penelitian adalah cross sectional dengan metode simple random sampling. Hasil dan Pembahasan: Sampel terdiri dari 20 kelompok Nifedipin dan 20 kelompok Salbutamol. Analisis bivariat digunakan untuk menilai hubungan antara efek pemberian obat tokolitik terhadap kontraksi. Hasil menunjukan nilai yang signifikan (p=0,000) pada semua sampel, dimana mengalami penurunan kontraksi setelah diberikan nifedipin dan salbutamol. Hal ini sesuai dengan teori tentang mekanisme kerja tokolitik yang menghambat kontraksi otot polos.Kesimpulan: Nifedipin dan Salbutamol efektif dalam mencegah kontraksi pada ancaman persalinan prematur. Efek samping ditemukan pada penggunaan Nifedipin.Kata Kunci: Tokolitik, Nifedipin, Salbutamol, Ibu Hamil, Kardiotokograf
Uterine Perforation as a Complication After Unsafe Abortion: Serial Case
Get PDFThe demand for abortion and the incidence of unsafe abortion are still very high. About 45% of all abortions worldwide are unsafe abortions. Unsafe abortion is still a public health problem and one of the causes of maternal morbidity and mortality. In this article, we report 2 cases of uterine perforation after provocation or induced abortion due to unwanted pregnancy. The diagnosis of uterine perforation was established by clinical suspicion and exploratory laparotomy. Many factors affect access to abortion and one of them is the law regarding abortion. Countries with almost no deaths from unsafe abortions are countries that allow abortion on demand without restrictions. Meanwhile, unsafe abortion can be prevented through prevention and controlKeywords: unsafe abortion, uterine perforation
Depresi Ibu Hamil setelah Intervensi Guided Imagery
No full textLatar Belakang : Sebuah penelitian menunjukan prevalensi depresi antepartum, sebesar 26,6 %. Depresi selama kehamilan terbukti menghasilkan perinatal yang tidak diingikan misalnya persalinan premature, berat badan bayi lahir rendah, preeklamsia, bayi lahir dengan Apgar, Apgar skor pada 1 dan 5 menit rendah. Korteks adrenal mengeluarkan kortisol sebagai respons terhadap ACTH, ritme diurnal, dan stres. Guided imagery teknik relaksasi dengan menggunakan kata-kata dan suara menenangkan; mengarahkan pengguna membayangkan keadaan psikologis atau fisiologis dengan santai.Tujuan Penelitian : Menganalisis pengaruh guided imagery terhadap depresi dan kadar kortisol ibu hamil di poli rawat jalan Obstetri Rumah Sakit dr. Moewardi (RSDM/ FK UNS) Surakarta.Metode : Penelitian eksperimental, dengan pretest – posttest control group design. Subjek penelitian ibu hamil, memenuhi kriteria inklusi dan eksklusi. Pengambilan subyek dengan purposive sampling, didapatkan 34 subyek, 17 sebagai kelompok perlakuan, diberikan guide imagery dan terapi standar sedang 17 kontrol, hanya diberikan terapi standar. Dilakukan pemeriksaan skor depresi dengan Hamilton Rating Scale For Depression (HRSD) dan kadar kortisol darah, sebelum dan sesudah perlakuan. Data dianalisis dengan uji t memakai spss 16,0Hasil: Selisih perubahan skor HDRS posttest-pretest kelompok perlakuan 4,88±1,90 dan kontrol 1,18±1,47, dengan nilai p = 0,000 (p < 0,05) berarti terdapat perbedaan signifikan rerata skor depresi antara kelompok perlakuan dan kontrol. Selisih perubahan skor kadar kotisol posttest-pretest kelompok perlakuan 3,28±1,34 dan kontrol 0,70±1,22, dengan nilai p = 0,000 (p < 0,05) berarti terdapat perbedaan signifikan rerata skor kadar kortisol antara kelompok perlakuan dan kontrol. Simpulan : Penelitian menunjukan bahwa guided imagery berpengaruh baik terhadap depresi dan kadar kortisol pada ibu hamil. Kata kunci : Guided imagery, ibu hamil, depresi, kortisol
Tingkat Kepuasan Seksual pada Paeisn Plasenta Akreta Pasca Histerektomi
Get PDFBackground: Placenta accreta is often used as a general term but is defined by the levels of invasion of chorionic villi into maternal myometrium. Once a rare diagnosis, it is now the leading cause of postpartum hemorrhage and indication for a gravid hysterectomy. Although many advantages of hysterectomy have been known, it is still unknown how it affects the vaginal length and sexual functioning. Studies that discuss specifically about the relationship of sexual satisfaction index of placenta accrete patients after hysterectomy or conservative have not been found.Objective: To determine the sexual satisfaction index of patients with placenta accreta after hysterectomy.Method: This study is an observational study with analytical approach, with cross sectional design. The sample is placenta accreta patients in RSUP HAM Medan which fulfill the inlusion and exclusion criteria and taken by total sampling. The data is primary and secondary which taken from RSUP HAM Medan medical report and through interviews by mobile device due the COVID-19 Pandemic, using FSFI (Female Sexual Function Index) questionnaire that has been validated into Indonesian.Results and Discussion: From 92 placenta accreta patients, the most placenta accreta age is 5 (62.5%). Placenta accreta sexual satisfaction with hysterectomy as treatment has FSFI total score ≥ 26.55 (15.0%) and < 26.55 (85%). Placenta accreta sexual satisfaction without hysterectomy as therapy (conservative) has FSFI total score FSFI ≥ 26.55 (0%) and 26.55 (100%). On Fisher Exact Test the p value = 1,000 (p <0.05).Conclusion: There is no difference between placenta accreta sexual satisfaction with or without hysterectomy (conservative)
Sexual Abuse Disertai Kehamilan Tidak Direncanakan atau Dikehendaki pada Remaja dengan Intellectual Disability: Sebuah Laporan Kasus
Get PDFAbstractBackground: Intellectual Disability in adolescents is prone to physical, mental, and sexual violence. Intellectual and adaptive disabilities make adolescents with intellectual disabilities unable to avoid environmental behavior including sexual abuse. Methods: A case report of a 12-year-old teenager with an Intellectual Disability who became pregnant as a result of sexual abuse by an unknown person. On the way, she had an abortion. Results: On examination, it was found that a 12-year-old teenager with mild mental retardation, without education, came from an incomplete family with very poor socioeconomic status. The diagnosis was confirmed by a multiaxial approach and concluded that adolescents with mild mental retardation have significant behavioral impairment and require attention or therapy (F70.1). Patients are also submissive and quiet with ego defense mechanisms that regression, and have problems with mental and intellectual development. Multidisciplinary management was carried out involving the social and medical departments.Summary: Patients with Intellectual Disabilities, especially adolescents, require special attention and a multidisciplinary, and comprehensive approach, starting from prevention, as well as in carrying out treatment
Gambaran Luaran Pasien Plasenta Akreta Spektrum yang Dilakukan Manajemen Konservatif dan Manajemen Non Konservatif di RSUP Dr. Sardjito
Get PDFLatar belakang: Angka kejadian plasenta akreta spektrum terus meningkat dari tahun ke tahun seiring dengan meningkatnya angka seksio sesarea. Risiko utama yang berhubungan dengan plasenta akreta spektrum adalah perdarahan banyak yang dapat menyebabkan komplikasi sekunder termasuk koagulopati, kegagalan multi sistem organ dan kematian. Manajemen optimal yang melibatkan tim multidisiplin perlu dilakukan untuk mendapatkan luaran yang baik.Tujuan: Tujuan penelitian ini adalah untuk mengetahui gambaran luaran pasien plasenta akreta spektrum yang dilakukan manajemen konservatif dan manajemen non konservatif di RSUP Dr. Sardjito.Metode: Penelitian ini merupakan penelitian deskriptif dengan menggunakan data rekam medis pasien plasenta akreta spekrum yang dilakukan tindakan di RSUP Dr. Sardjito pada tahun 2018-2020. Subjek penelitian terbagi ke dalam dua kelompok yaitu kelompok yang dilakukan manajemen konservatif dan manajemen non konservatif.Hasil: Dari 38 subjek, 22 subjek (57,89) direncanakan untuk dilakukan manajemen konservatif dan 16 subjek (42,11%) dilakukan manajemen non konservatif. Dari 22 subjek yang direncanakan untuk dilakukan manajemen konservatif, 10 subjek gagal sehingga dilakukan manajemen non konservatif. Luaran utama yang dinilai adalah jumlah perdarahan. Rata-rata jumlah perdarahan pada kelompok manajemen konservatif lebih sedikit daripada kelompok manajemen konservatif (2.179,16 ± 399,69 ml vs 5.173,07 ± 594,29 ml). Luaran lain yaitu jumlah transfusi (transfusi PRC 1.062 ± 187,50ml vs 2.048,07 ± 198,07 ml; transfusi FFP 512,50 ± 100,21 ml vs 1.117,30 ± 100,11 ml; transfusi TC 120,83 ± 29,80 ml vs 375 ± 36,92 ml) dan kematian 16,67% vs 3,85%.Kesimpulan: Luaran jumlah perdarahan dan jumlah transfusi (PRC, FFP, TC) lebih sedikit pada kelompok yang dilakukan manajemen konservatif daripada manajemen non konservatif. Angka kematian pada kelompok manajemen konservatif lebih tinggi daripada manajemen non konservatif