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All Journal Journal of Epidemiology and Public Health Journal of Health Promotion and Behavior Journal of Maternal and Child Health
Uki Retno Budihastuti
Department of Obstetrics and Gynecology, Dr. Moewardi Hospital, Surakarta
Medicine & Pharmacology Public Health

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The Effect of Combined Oral Contraceptives on Sexual Function among Women of Reproductive Age in Jombang District, East Java Zeny Fatmawati; Uki Retno Budihastuti; Yulia Lanti Retno Dewi
Journal of Maternal and Child Health Vol. 2 No. 2 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Sexuality is an important and inseparable part of a woman's life. Mood and sexual related side-effects are frequently expressed problems by women of reproductive age who use hormonal contraceptives. This study aimed to analyze the effect of combined oral contraceptives on sexual function among women of reproductive age in Jombang District, East Java.Subjects and Method: This was an analytic observational study using cross-sectional design. The study was conducted at 5 community health centers (Mojoagung, Mojowarno, Jogoloyo, Jelak Ombo and Perak), Jombang District, East Java, from February to March 2017. A sample 120 women of reproductive age who use combined oral contraceptives was selected for this study. The dependent variable was female sexual function. The independent variables were combined oral
Prevalence and Determinants of Postpartum Depression in Sukoharjo District, Central Java Ryanawati Putriarsih; Uki Retno Budihastuti; Bhisma Murti
Journal of Maternal and Child Health Vol. 3 No. 1 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: After delivery of psychological disorder otherwise appropriately and immediately handled may lead to postpartum depression (PPD). PPD has a serious impact on mothers that manifests as lower quality of life and inability to care of themselves, their partner, and infants. There is a lack of studies on PPD in Indonesia. Its prevalence and determinants are not well-understood. This study sought to estimate the prevalence and the determinants of PPD in Sukoharjo, Central Java.Subjects and Method: This was an analytic observational study with a cross-sectional design. The study was conducted at community health centers in Sukoharjo District, Central Java, from November to December 2017. A total sample of 200 postpartum mothers was selected for this study using cluster random sampling, with a community health center as the cluster. The dependent variable was PPD. The independent variables were maternal age, parity, labor complication, maternal education, self-efficacy, family income, coping strategy, unwanted pregnancy, and family support. The data were collected by questionnaire and analyzed by path analysis.Results: PPD prevalence in Sukoharjo, Central Java, was 18.5%. The risk of PPD increased with labor complication (b= 3.14, SE= 0.45, p<0.001), unwanted pregnancy (b= 1.54, SE= 0.45, p<0.001), and low family income (b= -0.05, SE= 0.01, p<0.001). The risk of PPD decreased with age (b= -0.07, SE= 0.03, p= 0.028), stronger self-efficacy (b= -0.55, SE= 0.09, p<0.001), and improved coping strategy (b= -0.56, SE= 0.03, p= 0.064). PPD was indirectly affected by younger age, parity, weaker family support, lower family income, coping strategy, and maternal education.Conclusion: PPD prevalence is 18.5% in Sukoharjo, Central Java. The risk of PPD increases with labor complication, unwanted pregnancy, and low family income, but decreases with age, stronger self-efficacy, and improved coping strategy.Keyword: prevalence, postpartum depression, determinant, path analysisCorrespondence:
Risk Factors of Postpartum Depression at Dr. Moewardi Hospital, Surakarta Matilda Bupu Ria; Uki Retno Budihastuti; Aris Sudiyanto
Journal of Maternal and Child Health Vol. 3 No. 1 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Postpartum depression is one of the emotional disturbances that results from failure to postpartum psychological adaptation process. The global prevalence of postpartum depression is 10-15%. This study aimed to analyze the risk factors of pregnancy on the incidence of postpartum depression.Subjects and Method: This was an analytic and observational study with a cross-sectional design. The study was conducted at Dr. Moewardi hospital, from December 2017 to January 2018. A total sample of 150 postpartum mothers was selected for this study by exhaustive sampling. The dependent variable was postpartum depression (PPD). The independent variables were maternal age, stress, parity, unwanted pregnancy, type of labor, family income, family support, and domestic violence. The data were collected by questionnaire and analyzed by path analysis model.Results: Postpartum depression was directly and positively affected by psychological stress (b= 2.15; 95% CI= 1.17 to 3.13; p<0.001), delivery type (b= 1.27; 95% CI= 0.32 to 2.21; p= 0.008), and unwanted pregnancy (b= 1.57; 95% CI= 0.57 to 2.58; p= 0.002). Postpartum depression was directly but negatively affected by family income (b= -1.52; 95% CI= -2.51 to -0.54; p= 0.002), parity (b= -1.24; 95% CI= -2.21 to -0.28; p= 0.011), and family support (b= -1.31; 95% CI= -3.28 to -0.24; p= 0.016). Psychological stress increased with domestic violence (b= 2.68; 95% CI= 0.64 to 4.73; p= 0.010) and decreased with maternal age (b= -0.91; 95% CI= -1.68 to -0.13; p= 0.022). Parity increased with maternal age (b= 1.66; 95% CI= 0.79 to 2.53; p<0.001). Domestic violence decreased with maternal age (b= -1.34; 95% CI= -2.85 to 0.16; p= 0.081).Conslusion: Psychological stress, delivery type, unwanted pregnancy, family income, parity, and family support, are direct risk factors for postpartum depression.Keywords: Postpartum depression, unwanted pregnancy, domestic violence, family supportCorrespondence:
Menopause and Biopsychosocial Factors Associated with Quality of Life in Women in Surakarta, Central Java Dwi Hesti Ermawati; Uki Retno Budihastuti; Bhisma Murti
Journal of Maternal and Child Health Vol. 3 No. 2 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Women spend a third of life during menopause. The number of women entering menopause worldwide is estimated at 25 million annually. Women of menopausal age have decreased estrogen hormone which can decrease the quality of life. This study aimed to analyze the biopsychosocial factors and menopause affecting the women's quality of life.Subjects and Method: This was an analytic observational study with a cross-sectional design. The study was conducted in Surakarta, from January to February 2018. A sample of 200 women was selected by cluster sampling. The dependent variable was quality of life. The independent variables were self-efficacy, healthy behavior, menopause, and social support. The data were collected by questionnaire and analyzed by path analysis.Results: Women
Biopsychosocial Factors Associated with Preterm Birth at Dr. Moewardi Hospital, Surakarta, Central Java Harrys Bachtiar; Uki Retno Budihastuti; Harsono Salimo
Journal of Maternal and Child Health Vol. 3 No. 2 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Preterm birth has been defined asgestational age of birth between 28 and 37 weeks. Prematurity is a major public health issue as studies have shown it increases the risk of mortality and morbidity of the newborns. The purpose of this study was to examine biopsychosocial factors associated with preterm birth.Subjects and Method: This was an analytic observational with a case control design. The study was carried out at Dr. Moewardi Hospital, Surakarta, Central Java, from April to May 2018. A total sample of 200 of the newborn infants was selected for this study by fixed disease sampling, composing of 100 preterm newborns and 100 term newborns. The dependent variable was prematurity. The independent variables were maternal age, nutritional status, parity, ambient smoke exposure, maternal education, family income, and family support. The data on prematurity was obtained from medical record. The other variables were measured by a set of questionnaire. The data were analyzed by path analysis.Results: Preterm birth was positively associated with maternal age <20 or ?35 years (b= 1.58; CI 95%= 0.65 to 2.50; p<0.001), ambient smoke exposure (b= 1.42; CI 95%= 0.41 to 2.44; p=0.006), and parity (b= 1.77; CI 95%= 0.87 to 2.67; p<0.001). Preterm birth was negatively associated with good maternal nutritional status (b=
Biopsychosocial Factors Associated with Postpartum Haemorrhage in Surakarta, Central Java Rizqa Kartika Dewi; Uki Retno Budihastuti; Eti Poncorini Pamungkasari
Journal of Maternal and Child Health Vol. 3 No. 3 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Postpartum haemorrhage is the primary cause of maternal mortality worldwide. However, studies in Indonesia examining factors associated with postpartum haemorrhage are sparse. The purpose of this study was to examine factors associated with postpartum haemorrhage.Subjects and Method: This was an analytic observational study with a case-control design. The study was conducted at Dr. Moewardi hospital, Surakarta, Central Java, from May 2017 to May 2018. A total sample of 200 postpartum mothers was selected by fixed disease sampling. The dependent variable was postpartum haemorrhage. The independent variables were age, parity, birth space, anaemia, antenatal care, obstetrics history, education, and self-efficacy. The data were collected by questionnaire and analyzed by path analysis on Stata 13.Results:Postpartum haemorrhagewas positively and diretlyassociated with poor obstetric history(b=0.87; 95%CI=-0.03 to 1.79; p=0.059), older age (b=1.86; 95%CI=0.81 to 2.92; p= 0.001), multiparity(b= 1.62; 95%CI=0.08 to 3.15; p=0.038), anemia (b=1.74; 95%CI= 0.83 to 2.66; p<0.001), and narrow birth space (b=-2.51; 95%CI=-3.56 to -1.47; p<0.001). Postpartum haemorrhage was indirectly associated with antenatal care, education, and self-efficacy.Conclusion: Postpartum haemorrhageis positively associated with poor obstetric history, older age, multiparity, anemia, and narrow birth space. Postpartum haemorrhage is indirectly associated with antenatal care, education, and self-efficacyKeywords: postpartum haemorrhage, determinant, path analysisCorrespondence:
Factors Associated with Development in Children Under Five Nikmah Ayu Ramadhani Amir; Uki Retno Budihastuti; Bhisma Murti
Journal of Maternal and Child Health Vol. 4 No. 1 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: The first five years of a child
Path Analysis on the Determinants of Pap Smear Uptake in Women of Reproductive Age in Tegal, Central Java Riska Armadhani; Ambar Mudigdo; Uki Retno Budihastuti
Journal of Maternal and Child Health Vol. 4 No. 2 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Cervical cancer is a leading cause of cancer-related deaths in women in developing countries. Although Pap smear is known as an effective strategy to reduce the burden of cervical cancer, it is underused in developing countries at around 19%. This study aimed to examine the determinants of Pap smear uptake in women of reproductive age using Health Belief Model (HBM).Subjects and Method: This was a case-control study conducted in Tegal, Central Java, from October 4 to November 2, 2018. A sample of 200 women of reproductive age was selected by fixed disease sampling. The dependent variable was Pap smear uptake. The independent variables were perceived benefit, susceptibility, seriousness, and threat, cues to action, education, knowledge, and peer support. The data were collected by questionnaire and analyzed by path analysis run on Stata 13.Results: Pap smear uptake directly increased with stronger perceived threat (b= 1.18; 95% CI= 0.44 to 1.92; p=0.002), stronger perceived benefit (b= 1.40; 95% CI= 0.63 to 2.16; p<0.001), and higher self-efficacy (b= 1.48; 95% CI= 0.73 to 2.24; p<0.001). Pap smear uptake was indirectly affected by perceived susceptibility, perceived seriousness, cues to action, education, knowledge, and peer support.Conclusion: Pap smear uptake is directly affected by perceived threat, perceived benefit, and self-efficacy. It is indirectly affected by perceived susceptibility, perceived seriousness, cues to action, education, knowledge, and peer support.Keywords: Pap smear, Health Belief Model, path analysisCorrespondence:
Efficacy of Yoga Exercise to Reduce Anxiety in Pregnancy: A Meta-Analysis using Randomized Controlled Trials Sintia Ayu Ningrum; Uki Retno Budihastuti; Hanung Prasetya
Journal of Maternal and Child Health Vol. 4 No. 2 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Anxiety can have a negative impact on mothers and infants. Anxiety can cause prematurity, impaired motor development, mental and emotional development of children. This study aimed to examine efficacy of yoga on reducing anxiety in pregnant women.Subjects and Method: This was a meta-analysis. As many as 6 randomized control trials (RCT) were extracted from Pubmed, Science Direct, Springer, Proquest, and Cochrane databases. A sample of 426 pregnant women who took yoga exercises for 4-12 weeks was selected for this study. The data were analyzed in RevMan 5.3.Results: Yoga exercise reduce anxiety in pregnant women (SMD= -0.48; 95% CI= -0.92 to -0.03; p= 0.030).Conclusion: Yoga is effective to reduce anxiety in pregnant women.Keywords: Yoga exercise, anxiety, pregnant women, randomized control trials, meta-analysisCorrespondence:
Path Analysis on the Determinants of Severe Preeclampsia in Surakarta, Central Java Prafista Wulan Sari; Uki Retno Budihastuti; Eti Poncorini Pamungkasari
Journal of Maternal and Child Health Vol. 4 No. 2 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Preeclampsia is a major cause of maternal morbidity and mortality that occurs at gestational age >20 weeks. It is characterized by hypertension and proteinuria. Shortly, severe preeclampsia may develop into eclampsia accompanied by seizures or coma. This study aimed to examine the determinants of severe preeclampsia in Surakarta, Central Java.Subjects and Method: This was a case-control study conducted in Gajahan health center, Dr. Moewardi hospital, and Surakarta hospital, Surakarta, Central Java, from October 2018 to December 2018. A sample of 200 pregnant women was selected by fixed disease sampling. The dependent variable was severe preeclampsia. The independent variables were age, education, stress, parity, history of hypertension, history of diabetes mellitus (DM), ANC visit, and family history of hypertension. Data on preeclampsia were obtained from medical record. The other data were collected by questionnaire. The data were analyzed by path analysis.Results: Severe preeclampsia was directly and positively associated with age <20 or ?35 years (b= 1.23; 95% CI= 0.31 to 2.14; p= 0.008), history of hypertension (b= 1.54; 95% CI= 0.58 to 2.51; p= 0.002), history of DM (b= 1.12; 95% CI= 0.21 to 2.03; p= 0.016), and stress (b= 1.58; 95% CI = 0.60 to 2.56; p = 0.002). It was negatively associated with parity (b= -0.96; 95% CI= -1.90 to - 0.01; p = 0.046) and ANC visit (b= - 1.98; 95% CI= -2.91 to - 1.05; p<0.001). Severe preeclampsia was indirectly associated with education, ANC visit, and family history of hypertension.Conclusion: Severe preeclampsia is directly and positively associated with age, history of hypertension, history of DM, and stress. It is negatively associated with parity and ANC visit. Severe preeclampsia is indirectly associated with education, ANC visit, and family history of hypertension.Keywords: severe preeclampsia, determinants, path analysisCorrespondence:
Co-Authors Ahadyah Miftahul Jannah Ainul Maghfiroh Ambar Mudigdo Ambar Mudigdo Ambar Mudigdo Aris Sudiyanto Ayunita Dwi Hadianti Baiq Zulvita Rahayu Bhisma Murti Bhisma Murti Bhisma Murti Desy Eka Ilmiyah Diani Octaviyanti Handajani Didik Tamtomo Dwi Hesti Ermawati Erin Rizkiana Eti Poncorini Pamungakasari Eti Poncorini Pamungkasari Eti Poncorini Pamungkasari Hanung Prasetya Harrys Bachtiar Harsono Salimo Imelda Dearni Simarmata Ismi Dwi Astuti Nurhaeni Ismi Dwi Astuti Nurhaeni Isna Qadrijati Kunaryanti Kunaryanti Mahendra Wijaya Matilda Bupu Ria Nikmah Ayu Ramadhani Amir Nur Laili Qomariah Prafista Wulan Sari Ratih Sakti Prastiwi Ratna Arifiana Riska Armadhani Rizqa Kartika Dewi Ryanawati Putriarsih Setyo Sri Rahardjo Sintia Ayu Ningrum Tri Ari Hastuti Vitri Widyaningsih Yulia Lanti Retno Dewi Yulia Lanti Retno Dewi Zeny Fatmawati