Jurnal Kesehatan Reproduksi
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Nilai Gizi dan Daya Terima Cookies Ikan Gabus sebagai Makanan Tambahan untuk Ibu Hamil di Kabupaten Sleman, DIY
Get PDFBackground: Pregnant women needs more nutri onal intake during pregnancy. Lack of nutri onal intake during pregnancy may leads to malnutri on problems. Therefore, it is necessary to provide supplemetary food (PMT) for pregnant women to meet the nutri onal needs during pregnancy. Objec ve: To nd the best formula on of snakehead sh cookies that are well accepted by pregnant women and to test their nutri onal content and microbiological contamina on. Method: This study is an analy cal survey study begins with the formula on of snakehead sh cookies. The formula on of snakehead sh cookies is made by subs tu ng wheat our with snakehead sh our by 50% and 60%. The acceptance test was carried out on pregnant women in the Sleman District, DIY. Cookies with the best acceptability are then laboratory tested to see their nutri onal content and microbiological contamina on. Results adn Discussion: The average value of all the organolep c parameters of the cookies ranged from 3.41 to 3.91 on a scale of 5. There was no signi cant di erence onorganolep c parameters between the formula 50% and 60% (p<0.05). The snakehead sh cookies have the following nutri onal content per 100 g of cookies: 565.9 kcal energy, 14.09 g protein, 24.33 g fat, 72.62 g carbohydrates, and 2.68% water content. The nutri onal content and microbiological contamina on of snakehead sh cookies have met the quality requirements of supplementary food for pregnant by the Ministry of Health of the Republic of Indonesia. Conclusion: Snakehead sh cookies are quite well accepted by pregnant women. Snakehead sh cookies can be used as an alterna ve supplementary foor for pregnant women. Keywords: Snakehead sh cookies; complementary food for pregnant women; food acceptability
Faktor-Faktor yang Berhubungan dengan Tingkat Dismenorea di SMP Negeri di Yogyakarta
Get PDFBackground: : The prevalence of incidence primary dysmenorrhea in Indonesia reaches 72,89 %. The level of dysmenorrhea varied among teenage girls from mild, moderate, to severe pain. There are various factors affecting the level of dysmenorrhea include age, nutritional status, age of menarche student, age of menarche her mother, the pain menarche, menstrual cycle, duration menstruation, body condition before menstruation, dysmenorrhea frequency, duration dysmenorrhea and disruption of activity.Objective: To know the factors correlated with level of dysmenorrhea among students in one of Junior High School in Yogyakarta.Method: This was observational research with cross sectional study and instruments used were questionnaire. This research conducted on Mei 2016. Total population was 195 students with 74 as minimum sample. Sampling technique used was purposive sampling and the study involved 94 students as sample.Results and Discussion: Factors associated with the level of dysmenorrhea were pain during menarche, dysmenorrhea frequency and disruption of the activities of the female students in one of the Junior High School in Yogyakarta. Factors not related to the level of dysmenorrhea were age, nutritional status, age of menarche student, age of menarche her mother, menstrual cycle, duration menstruation, body condition prior to menstruation and duration of dysmenorrhea of the female students in one of the Junior High School in YogyakartaConclusion: Factors associated with level of dysmenorrhea was pain of menarche, dysmenorrhea frequency and disruption of the activities of the female students. Keywords: dysmenorrhea level; menstruation; teenage girl
Peran Keluarga pada Ibu Pasca Bersalin
Get PDFLatar Belakang: Minimnya peran keluarga merupakan orang yang memotivasi, perhatian, membesarkan hati dan orang yang selalu bersamanya serta membantu dalam menghadapi perubahan akibat adanya persalinan sehingga bisa meningkatkan kesejahteraan hidup bagi individu yang bersangkutan.Tujuan: Penelitian ini bertujuan untuk mengetahui peran keluarga mulai dari dukungan emosional, informasi, instrumental dan penghargaan pada ibu pasca bersalin.Metode: Studi kualitatif dengan pendekatan fenomenologi menggunakan wawancara mendalam terhadap 10 informan. Analisis data dalam penelitian ini menggunakan kombinasi manual dan program nvivo.Hasil dan Pembahasan: Peran keluarga pada ibu pasca bersalin disampaikan melalui dukungan emosional, informasi, instrumental dan penghargaan sudah optimal. Hambatan keterbatasan waktu karena bekerja, peran suami lebih didominasi oleh ibu kandung/mertua karena masih tinggal satu rumah.Kesimpulan: Peran kelurga pada ibu pasca bersalin memiliki dampak positif untuk kesehatan mental ibu pasca bersalin Kata Kunci: Peran Keluarga; Ibu Pasca Bersalin; Asuhan Kebidanan Masa Nifa
Karakteristik Ibu Hamil dengan Covid-19 dan Luaran Persalinannya di Rumah Sakit Kasih Ibu Surakarta
Get PDFBackground: Kasih Ibu Hospital as one of the referral hospitals for COVID-19 in Surakarta City, Central Java, had treated 1333 confirmed cases of COVID-19, including among them obstetric patients with COVID-19. Pregnant women are considered to be more susceptible to COVID-19 infection than those who are not pregnant and it is feared that it will result in unfavorable conditions for both mother and fetus. Until now, research on pregnant women with COVID-19 in Indonesia is still very few and limited.Objective: To provide an overview of the characteristics of maternal and neonatal outcomes at the Kasih Ibu Hospital Surakarta.Method: Data were collected from medical records of pregnant women confirmed with COVID-19 who gave birth at the Kasih Ibu Hospital, Surakarta. Data was presented in the form of a distribution based on maternal age, parity, gestational age, complication of delivery, typical complaints of COVID-19 in mothers, birth weight of infant, infant APGAR score, and infant COVID-19 status.Results and Discussion: A total of 62 pregnant women confirmed with COVID-19 gave birth at the Kasih Ibu Hospital Surakarta by sectio caesarean procedure. Of all pregnant women, most were asymptomatic and had mild symptoms, only 3.2% had moderate symptoms and no severe or critical symptoms were found. Out of 20 out of 62 babies born (32%) confirmed with COVID-19. All babies were born with good APGAR score and 4 babies were found with low birth weight, one of whom also had hypospadias.Conclusions: Further research is needed regarding the maternal-fetal transmission of COVID-19. Keywords: COVID-19; neonates; pregnanc
Mitos dan Pengetahuan Masyarakat Desa Tentang Kanker Payudara
Get PDFBackground: Breast cancer is a scary disease among the society. Myths related to breast cancer that still exist in society will affect their preventive behavior.Objective: To identify the knowledge and myths in society about breast cancer.Method: This ethnographic study used participatory observation and in-depth interviews with 12 informants consisting of 3 breast cancer patients and 9 non-breast cancer survivors in Jlegiwinangun Village, Kutowinangun, Kebumen, Central Java.Results and Discussion: Breast cancer was considered a frightening disease that can be caused by heredity, eating patterns, and unhealthy behavior. The existing of breast cancer myths, which dispread verbally is indicated that myths is important as preventive behavior.Conclusion: Knowledge and myths of breast cancer in Jlegiwinangun Village are a part of preventive behavior. The existing of myths are indicated the limited insight and information related aetiology, cure and prevention to breast cancer.Kata kunci: myths, community knowledge, village, breast cance
Pelaksanaan Skrining Prakonsepsi pada Calon Pengantin Perempuan
Get PDFLatar Belakang: Kesehatan prakonsepsi merupakan bagian dari kesehatan secara keseluruhan antara perempuan dan laki-laki selama masa reproduksinya. Skrining prakonsepsi berguna untuk mengurangi resiko dan mempromosikan gaya hidup sehat untuk mempersiapkan kehamilan sehat.Tujuan: Untuk mengeksplorasi pelaksanaan skrining prakonsepsi pada calon pengantin perempuan.Metode: Penelitian kualitatif dengan pendekatan fenomenologi.Hasil dan Pembahasan: Pelaksanaan skrining prakonsepsi pada calon pengantin perempuan terdiri dari pemeriksaan fisik, pemeriksaan penunjang berupa pemeriksaan laboratorium wajib dan rekomendasi, pemberian imunisasi Tetanus Toxoid, suplementasi gizi, konsultasi kesehatan dan pelayanan psikologi.Kesimpulan: Pelaksanaan skrining prakonsepsi sudah mengacu pada standar minimal. Kata Kunci: Calon pengantin perempuan; skrining prakonsepsi
Hubungan antara Faktor Klinikohistopatologi dan Kualitas Hidup Pasien Kanker Endometrium Pasca Operasi di RSUP Dr.Sardjito Yogyakarta Menggunakan Modul Kuesioner EORTC QLQ-C30 dan EN 24
Get PDFBackground: According to data from the "Endometrial Cancer Report" by the World Cancer Research Fund and the American Institute for Cancer Research (WCRFI), endometrial cancer is the sixth most common malignancy in the world and is the largest cancer in female organs, after cervical cancer. This incidence is increasing every year, it is predicted to increase about 5% of new cases each year. The main prognostic factors of endometrial cancer are determined by the histological type, stage, degree, differentiation of the tumor, invasive myometrial level and increase in lympho-vascular invasion. In addition to determining the histopathological factors, the prognosis is also determined from the clinical patient. Several studies have shown certain clinical factors also improve the condition and prognosis of the disease. Prognosis of this disease with the quality of life of patients becomes an interesting topic to discuss. Besides that quality of life is also a measure of therapeutic success. The better the prognosis of a disease, the better the quality of life, the higher the success rate of therapy (Greimel, 2010).Objective: To know correlation between clinicohistopathological and quality of life in patients with endometrial cancer after undergoing surgery at Sardjito Hospital, Yogyakarta.Method: The research is analytic with cross sectional approach. Patients with endometrial cancer who have undergone total hysterectomy and bisalpingoophorectomy surgery are assessed for their quality of life through interviews and filling out questionnaires in the EORTC QLQ-C 30 and QLQ-EN 24 modules.Results and Discussion: This study, most people with endometrial cancer aged 55-65 years were 34 people (42%) and diagnosed after menopause with a range of age >55 years as many as 43 people (53.1%). This study cannot prove the hypothesis that age, parity, body mass index, type of histopathology and KGB involvement have a relationship with the quality of life of cancer patients (p >0.05). But in contrast to the stage of early cancer (OR 3.17, p=0.044 (CI 95% 1.03-9.75)) and good and moderate differentiation (OR 4.471, p=0.023 (CI 95% 1.23-16.24)) have a significant relationship with quality of life.Conclusion: Clinicohistopathological factors (cancer stage and tumor differentiation) have a correlation with the quality of life at patients with postoperative endometrial cancer in Sardjito Hospital Keywords: Endometrial cancer; clinicohistopathological factors; quality of lif
Perbandingan Luaran Maternal dan Neonatal antara Seksio Cesarea Emergensi dan Seksio Cesarea Elektif pada Kehamilan dengan Janin Presentasi Bokong
Get PDFLatar Belakang: Kehamilan dengan janin presentasi bokong terjadi pada 3-4% dari semua kelahiran tunggal. Presentasi bokong merupakan ±17% indikasi utama dikerjakannya seksio cesarea elektif saat ini. Seksio cesarea dapat menjadi prosedur untuk menyelamatkan ibu dan bayi, tetapi juga dapat menyebabkan komplikasi untuk ibu dan bayi. Seksio cesarea elektif diyakini dapat menurunkan risiko terjadinya komplikasi maternal dan neonatal dibandingkan seksio cesarea emergensi.Tujuan: Penelitian ini bertujuan untuk menilai luaran maternal dan neonatal antara seksio cesarea emergensi dan elektif dengan mengambil sampel pada kehamilan dengan janin presentasi bokong.Metode: Penelitian dilakukan dengan desain kohort retrospektif. Pengambilan sampel dilakukan secara konsekutif pada subjek ibu hamil dengan janin presentasi bokong yang melahirkan secara seksio cesarea selama tahun 2014-2019. Dua kelompok yang dibandingkan yaitu seksio cesarea emergensi dan elektif. Luaran penelitian adalah luaran maternal berupa kejadian infeksi dan perdarahan, sedangkan luaran neonatal adalah asfiksia dan cedera neonatal. Data dianalisis dengan uji Chi Square atau Fisher Exact, dilanjutkan uji regresi logistik.Hasil dan Pembahasan: Terdapat 240 sampel, terdiri dari 105 sampel seksio cesarea emergensi dan 135 sampel seksio cesarea elektif. Dari hasil analisis bivariat, diperoleh bahwa seksio cesarea emergensi berhubungan dengan lebih tingginya kejadian nilai Apgar rendah pada menit pertama dan menit kelima dan cedera persalinan, meskipun tidak bermakna secara statistik. Analisis multivariat menunjukkan bahwa seksio cesarea emergensi berhubungan dengan terjadinya infeksi maternal (p= 0.002, OR 3.65, 95% CI 1.59– 8.40) dan perdarahan (p= 0.042, OR 2.27, 95% CI 1.06– 6.1).Kesimpulan: Seksio cesarea emergensi secara signifikan berhubungan dengan luaran buruk maternal, yaitu terjadinya komplikasi infeksi dan perdarahan, namun tidak memberikan luaran neonatal yang lebih buruk dibandingkan seksio cesarea elektif. Pemeriksaan antenatal dan pengambilan keputusan penatalaksanaan yang tepat diperlukan untuk menekan terjadinya komplikasi.Kata kunci: kehamilan dengan presentasi bokong, seksio cesarea emergensi, seksio cesarea elektif, luaran maternal, luaran neonatal
Determinan Kejadian Berat Bayi Lahir Rendah
Get PDFBackground: Riskesdas (2018), shows that the proportion of LBW in Indonesia is 6.2% and has not yet reached the 2019 National target (6.9%). The number of LBW in Serang District Health Office (DHO) during 2018 reached 662 cases, and babies with LBW ranks first among the causes of infant death in Serang District, as many 84 cases (35%) of babies died due to LBW. Jawilan Public Health Centre ranks first (7%) and then Petir Public Health Centre as many 6% in the LBW incidence rate in Serang District. Objective: This study aims to determine the factors associated with the incidence of Low Birth Weight (LBW).Method: This study uses a case control design. The study was conducted in March to June 2019 with a sample of 142 people consisting of 71 case samples and 71 control samples. Case samples in this study were mothers who gave birth to babies with birth weights less than 2500 mg (2.5 kg) and control samples were mothers who gave birth to babies of normal weight.Results and Discussion: The results showed that 22.5% of ANC frequencies were not good, 33.8% of upper arm circumference/LILA were not good, 41.5% of pregnancy distances were at risk and 18.3% were preeclampsia. The results showed that there was a significant relationship between ANC frequency and size of LILA with LBW (pv = 0.003, pv = 0.008), there was no relationship between pregnancy distance, preeclampsia with LBW (pv = 0.089, pv = 0.129).Conclusion: there was no correlation between pregnancy distance, preeclampsia with LBW. Key word: ANC frequency; Low Birth Weight; Size of LIL
Hubungan peningkatan kadar progesteron pada saat pengambilan oosit terhadap keberhasilan Fertilisasi In Vitro
Get PDFLatar belakang:Fertilisasi In Vitro (FIV) semakin banyak digunakan dalam penanganan infertilitas di Indonesia. Banyak penelitian yang mempelajari pengaruh peningkatan kadar progesteron saat pengambilan oosit dalam keberhasilan FIV, namun hasil yang diperoleh masih bersifat kontroversi.Tujuan: Mengetahui hubungan peningkatan kadar hormon progesteron saat pengambilan oosit dengan keberhasilan FIV.Metode: Penelitian ini menggunakan metode kohort retrospektif melibatkan 210 siklus FIV dari Januari 2014 sampai Desember 2016. Subyek penelitian dibagi menjadi dua kelompok berdasarkan kadar progesteron saat pengambilan oosit. Kelompok pertama dengan kadar progesteron 0,05). Pada analisis bivariat, terdapat peningkatan signifikan dari kadar estradiol pasca stimulasi dan jumlah folikel (RR 2,00 IK 1,57-2,55, p<0,0001 dan RR 1,86, IK 1,47-2,36, p<0,0001); jumlah oosit (RR 1,99, IK 1,61-2,48, p<0,0001), dan jumlah embrio (RR 1,99 IK 1,62-2,43; p<0,0001) pada kelompok dengan kadar progesteron tinggi. Dari analisis multivariat, peningkatan jumlah oosit merupakan satu – satunya faktor yang secara signifikan meningkatkan rasio kehamilan pada FIV (RR 3,36 IK 1,04-10,87; p<0,05).Kesimpulan:Pada penelitian ini tidak terdapat perbedaan signifikan rasio kehamilan pada FIV dengan peningkatan kadar hormon progesteron pada pengambilan oosit. Jumlah oosit yang dipanen secara signifikan meningkatkan keberhasilan kehamilan pada FIV, dan jumlah oosit juga signifikan meningkat pada kelompok dengan kadar progesteron tinggi.Kata kunci: progesteron; oosit; Fertilisasi In Vitr