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All Journal JURNAL PENDIDIKAN TAMBUSAI Andalas obstetrics and gynecology journal JOURNAL LA MEDIHEALTICO MAHESA : Malahayati Health Student Journal Jurnal Ilmu Kesehatan Indonesia (JIKSI) Madani: Multidisciplinary Scientific Journal
Sriyanti, Roza
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The Relationship Between Knowledge, Information Exposure, and Cadre Support with Mothers' Visits for Under-Five Weighing Coverage in the Working Area of Pegambiran Health Center, Padang City, 2024 Suherlis, Septia; Sriyanti, Roza; Meinapuri, Malinda; Ariadi, Ariadi; Afdal, Afdal; Firdawati, Firdawati
Journal La Medihealtico Vol. 5 No. 4 (2024): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v5i4.1555

Abstract

Malnutrition is a major nutritional problem throughout the world. The highest number of nutritional problems occured in East Africa and Asia, including Indonesia. The Indonesian Ministry of Health conducted a survey and revealed that in Indonesia, 1 in 12 toddlers suffered from wasting, and 1 in 5 toddlers suffered from stunting (SSGI 2022). The scope of toddler weighing at Pagambiran health center with the indicators of (K/S) 99,84%, (N/D) 53,26% and (D/S) 13,4%, had not reached the strategic plan target which was 85%. The strategy used to reduce nutritional problems was to increase community participation through integrated health posts (posyandu). The purpose of this study was to determine the determinant factors related to mothers' visits to posyandu on the scope of weighing toddlers. The research method used was the combination method (mix method). The research was conducted from September 2023 to August 2024. The number of samples was 196 mothers who had children aged 12-59 months in the work area of Pegambiran Health Center using the sampling technique of cluster random sampling. The data were collected through questionnaires and interviews. This research data analysis was carried out using univariate and bivariate analysis. The result of statistical test, it was found out that the relationship knowledge (p-value 0.002), exposure information (p-value 0.007) and cadre support (p-value 0.000) to mothers' visits in the scope of toddler weighing.The conclusion of the research is that there is a significant relationship between knowledge, exposure information and cadre support to mothers' visits in the scope of toddler weighing at the work area of Pegambiran Health Center.
Analysis of Factors Relating to Pregnant Women's Knowledge About Triple Elimination at Andalas Health Center, Padang City Aisyah, Siti; Basyir, Vaulinne ,; Wydya, Satya; Sriyanti, Roza; Silviam, Nelmi; Ali, Hirowati
Madani: Jurnal Ilmiah Multidisiplin Vol 2, No 3 (2024): Madani, Vol. 2, No. 3 2024
Publisher : Penerbit Yayasan Daarul Huda Kruengmane

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5281/zenodo.11093691

Abstract

Pregnant mother is group woman vulnerable at risk transmit Human Immunodeficiency Virus (HIV), Hepatitis B, and Syphilis to fetus . Effort disconnect transmission of HIV, Syphilis , and Hepatitis B from Mother pregnant to the fetus is one of them with inspection triple elimination . Objective study For know related factors with knowledge Mother pregnant about triple elimination at the Community Health Center Andalas. Study This is study quantitative with analytical and observation methods design cross sectional carried out in the Puskesmas area Andalas . Sample study totaling 98 mothers pregnant taken with method consecutive sampling. Primary data collection uses questionnaire and analyzed with chi square and regression tests logistics. Research result univariate part big own low education , no work , supportive husband , support power poor health , and exposure insufficient information . Analysis bivariate using the chi square test there is significant relationship between education ( p-value 0.011), employment ( p-value 0.038), support power health ( p-value 0.020), exposure information ( p-value 0.039) with knowledge Mother pregnant about triple elimination . No there is connection support husband ( p-value 0.453) with knowledge Mother pregnant about triple elimination . Analysis Multivariate using regression testing logistics obtained related factors with knowledge Mother pregnant about triple elimination is exposure information and education , the most dominant factors is education ( p-value 0.009). Conclusions of educational Research identified as factor related dominant to knowledge Mother pregnant about triple elimination. Expected Public health centers in Andalas do cooperate cross sector to improve knowledge Mother about triple elimination as an effort promotional and preventive in prevent HIV, Syphilis, and Hepatitis B.
Karakteristik Responden, Faktor Klinis, dan Laboratorium dengan Luaran Pasien Ibu Hamil dengan Covid-19 Sriyanti, Roza; Djanas, Dovy; Fauzan, Fauzan; Wulandari, Wira Dhika Tri
Jurnal Pendidikan Tambusai Vol. 9 No. 1 (2025)
Publisher : LPPM Universitas Pahlawan Tuanku Tambusai, Riau, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Pandemi Coronavirus Disease 2019 (COVID-19) telah menjadi krisis kesehatan global yang signifikan. Kehamilan dapat meningkatkan kerentanan terhadap infeksi SARS-CoV-2 dan berpotensi memperburuk manifestasi klinis dan luaran infeksi COVID-19. Penelitian ini bertujuan untuk menganalisis hubungan antara karakteristik maternal (usia ibu, usia gestasi, gravida, dan indeks massa tubuh), faktor klinis (jumlah gejala dan komorbiditas), serta parameter laboratorium dengan luaran ibu hamil dengan COVID-19. Penelitian analitik observasional dengan desain kohort retrospektif ini dilakukan di RSUP Dr. M. Djamil Padang selama periode Maret 2020 hingga Maret 2021. Hasil penelitian menunjukkan bahwa faktor-faktor yang berhubungan dengan luaran buruk pada ibu hamil dengan COVID-19 antara lain status gravida yang lebih tinggi (P=<0.001), jumlah gejala yang semakin banyak (P=<0.001), serta parameter laboratorium seperti hemoglobin (P=0.015), hematokrit (P=0.002), eosinofil (P=0.008), neutrofil segmen (P=0.001), SGPT (P=0.001), dan ureum (P=0.001). Selain itu, skor APGAR bayi yang rendah juga terkait dengan prognosis ibu yang lebih buruk (P=0.035). Temuan ini menekankan pentingnya pemantauan terhadap tanda-tanda klinis dan perubahan laboratoris untuk mengidentifikasi risiko komplikasi dan luaran pada ibu hamil dengan COVID-19.
Correlation Between Heart Rate and Left Ventricular Ejection Fraction in Peripartum Cardiomyopathy Patients at RSUP Dr. M. Djamil Padang Sinai, Nadiva Kezia; Hamdani, Rita; Putra, Andani Eka; Elfi, Eka Fithra; Silvia, Nelmi; Sriyanti, Roza
Jurnal Ilmu Kesehatan Indonesia Vol. 6 No. 1 (2025): Maret 2025
Publisher : Fakultas Kedokteran, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jikesi.v6i1.1298

Abstract

Abstract Background: Peripartum cardiomyopathy (PPCM) is one of the highest preventable causes of death in pregnant women after delivery. Left ventricular ejection fraction (LVEF) describes the degree of damage to myocardial systolic function. Heart rate frequency might be used as one of the prognosis indicators of peripartum cardiomyopathy. Objective: This study aimed to determine the correlation between heart rate frequency at diagnosis and LVEF at diagnosis and after 6 months in patients with PPCM at Dr. M. Djamil Padang Hospital for the period 2017-2021. Methods: This is an observational retrospective analytic study. Samples came from secondary data obtained through the medical records of patients with PPCM at Dr. M. Djamil Padang Hospital for the period 2017-2021, collected using the total sampling technique, 17 samples met the inclusion criteria. Data analysis was performed using simple logistic regression method. Results: The results shows the median age of the patients was 32 years. The average body mass index was 26.32 kg/m2, with hypertension in pregnancy (58.8%), with multiparity (52.9%), delivery by cesarean section (88.2%), diagnosis made postpartum (70.6%), therapy with ACEi/ARB, beta blocker, spirinolactone (100%); LVEF category 20 – 35% (52.9%), delta LVEF more than 10% after 6 months (70.59%). There was no statistically significant relationship between heart rate frequency at diagnosis and LVEF at diagnosis (p > 0.1). There was a statistically significant association between heart rate frequency of 111 - 120 beats per minute at diagnosis and LVEF after 6 months (p < 0.1). Conclusion: There was no association between heart rate frequency and LVEF at diagnosis. There is an association between heart rate frequency of 111 - 120 beats per minute at diagnosis and LVEF after 6 months.
Clinical Profiles and Outcomes of Patients With Placenta Accreta Spectrum at Dr. M. Djamil Hospital, Padang During 2019 –2022 Sriyanti, Roza; Sri Rahayu MK
Andalas Obstetrics And Gynecology Journal Vol. 9 No. 1 (2025)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.9.1.86-94.2025

Abstract

Objective: Placenta accreta spectrum (PAS) is one of the severe obstetric complications which can cause serious morbidity and mortality to both maternal and neonatal. The incidence of PAS increases globally because of the increasing rate of cesarean deliveries (CS). The aim of this study was to describe the clinical profiles and outcomes of patients with PAS during 2019-2022 at Dr. M. Djamil Hospital, Padang. Method: This study was a retrospective descriptive study that had women with PAS who gave birth and referred to Dr. M. Djamil Hospital Padang, from January 2019-December 2022 as study participants. This study described clinical profiles, PAI score and USG findings and maternal neonatal outcomes of patients with PAS. Result: One hundred eighty-seven cases were involved in this study. Most women with PAS aged ≥ 35 years (45%), parity 2 (47%), previous CS (96%), ≥ 2 times CS history (59%). A PAI score ≥ 5 has the higher proportion (66%) than a PAI score <5. There were still 53 patients (28%) who were admitted in intrapartum and postpartum. Most of the participants underwent hysterectomy (74%). Conclusion: Advanced maternal age, multiparity, previous CS, and placenta previa were risk factors for PAS. PAI score, which combines previous CH hostory and USG findings in antenatal care, can assist in determining whether pregnant women have a high risk of PAS. Antenatal diagnosis and proper perioperative management in PAS are needed to optimize maternal and neonatal outcomes.  Keywords: Placenta accreta spectrum, clinical profiles, Outcomes
Evaluasi Pelaksanaan Program Antenatal Care (ANC) Terpadu di Kabupaten Kerinci Rizola, Clodeya; Firdawati, Firdawati; Aladin, Aladin; Sriyanti, Roza; Ramadani, Mery; Meinapuri, Malinda
MAHESA : Malahayati Health Student Journal Vol 5, No 9 (2025): Volume 5 Nomor 9 (2025)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v5i9.22208

Abstract

ABSTRACT The Sustainable Development Goals (SDGs) emphasize the reduction of the maternal mortality rate (MMR) to 70 per 100,000 live births by 2030. Despite various efforts, the MMR in Indonesia, including in Kerinci Regency, remains high. Integrated Antenatal Care (ANC) has become a key strategy in reducing maternal mortality. This study aims to evaluate the implementation of integrated ANC services in Kerinci Regency and to explore the influencing factors, including aspects of policy, input, process, and output. This research employed a qualitative approach. Informants included the Regent, Head of the District Health Office, and health workers from community health centers (Puskesmas) with the highest and lowest ANC coverage, those contributing to maternal mortality cases, and those with no reported cases. Data were collected through interviews, observations, and document review. The findings revealed that there is no specific policy regarding integrated ANC services. Implementation is hindered by a shortage of trained medical personnel and the absence of dedicated funding. The service delivery process does not fully adhere to established Standard Operating Procedures (SOPs) and remains largely top-down in planning, although coordination among health workers is relatively strong. While pregnant women reported high levels of satisfaction, the coverage of key ANC indicators (K1 and K5) remains suboptimal. In conclusion, the implementation of integrated ANC services in Kerinci Regency remains suboptimal due to various constraints in policy, input, process, and output components. This study highlights the need for short- to long-term interventions and provides in-depth insights into the challenges of implementing integrated ANC in resource-limited settings.  Keywords: Antenatal Care, Health Policy, Maternal Mortality, Program Evaluation  ABSTRAK Tujuan Pembangunan Berkelanjutan (SDGs) menekankan penurunan angka kematian ibu (AKI) 70/100.000 kelahiran hidup pada tahun 2030. Berbagai upaya telah dilakukan, AKI di Indonesia, termasuk di Kabupaten Kerinci, masih tinggi. Antenatal Care (ANC) terpadu menjadi salah satu strategi penting dalam penurunan AKI. Penelitian ini bertujuan untuk mengevaluasi pelaksanaan pelayanan ANC terpadu di Kabupaten Kerinci serta mengeksplorasi faktor-faktor yang memengaruhinya, termasuk kebijakan, input, proses, dan output. Penelitian ini menggunakan pendekatan kualitatif. Informan terdiri dari Bupati, Kepala Dinas Kesehatan, serta petugas dari Puskesmas dengan cakupan ANC tertinggi, terendah, penyumbang AKI, dan tanpa kasus AKI. Data dikumpulkan melalui wawancara, observasi, dan dokumentasi. Hasil penelitian menunjukkan bahwa belum terdapat kebijakan khusus mengenai ANC terpadu, dan implementasi masih terkendala keterbatasan tenaga medis terlatih serta ketiadaan pendanaan khusus. Proses pelaksanaan belum sepenuhnya sesuai SOP dan masih didominasi perencanaan top-down, meskipun koordinasi antar petugas sudah berjalan cukup baik. Capaian indikator K1 dan K5 belum optimal, meskipun kepuasan ibu hamil tergolong tinggi. Kesimpulan penelitian ini bahwa pelaksanaan pelayanan ANC terpadu di Kabupaten Kerinci belum optimal dan masih menghadapi berbagai hambatan pada aspek kebijakan, input, proses, maupun output. Implikasi dari penelitian ini menunjukkan perlunya intervensi jangka pendek seperti rekrutmen, redistribusi dokter dan sosialisasi SOP, intervensi jangka menengah berupa pelatihan berjenjang dan penguatan pendanaan, serta intervensi jangka panjang melalui penguatan kebijakan daerah yang mendukung penurunan AKI Kata kunci: Antenatal Care Terpadu, Kebijakan Kesehatan, Angka Kematian Ibu, Evaluasi Program
HUBUNGAN ANTARA SKIN PREPARATION DENGAN INFEKSI LUKA OPERASI POST SECTIO CAESAREA DI RS ACHMAD MOCHTAR BUKITTINGGI Leenesa, Calvindra; Sriyanti, Roza
Andalas Obstetrics And Gynecology Journal Vol. 2 No. 2 (2018)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.2.2.67-73.2018

Abstract

Background : Surgical wound infection is a problem that is often found today in surgery. The Indonesian Ministry of Health reported that in 2011, 55.1% of surgical wound infections were found in government hospitals. This is in line with WHO data in 2010, where the sectio caesarean rate in Indonesia was recorded at 6%. Skin preparation can be used to prevent surgical wound infection by reducing the number of germs on the skin prior to incision.Objective : To see the relationship between skin preparation and post sectio caesarea surgical wound infection at Achmad Mochtar Bukittinggi Hospital.Methods : This study was an analytical study using a cross sectional study design by looking at the subject's medical records according to the time and place of the study. Samples were all medical records of mothers giving birth by sectio caesarea in the Obstetrics and Gynecology Section of Achmad Mochtar Bukittinggi Hospital in the period 1 January 2017 to 31 December 2017. Samples were taken from populations that met the inclusion and exclusion criteria. The sample was taken using simple random sampling technique which was taken from the medical records of Achmad Mochtar Hospital Bukittinggi. Statistical analysis to assess significance used the chi-square test.Results : The sectio caesarean group that carried out skin preparation without using chlorhexidine gluconate had the highest number (59.8%), with post sectio caesarean wound infection of 70.7%.Conclusion : There was a significant relationship between skin preparation and post sectio caesarean surgical wound infection (p <0.021) at Achmad Mochtar Bukittinggi Hospital.Keywords: Sectio caesarea, skin preparation, surgical wound infection
Co-Authors Afdal Afdal, Afdal ALADIN ALADIN Andani Eka Putra Ariadi, Ariadi Basyir, Vaulinne , Djanas, Dovy Eka Fithra Elfi, Eka Fithra Fauzan . Firdawati, Firdawati Hirowati Ali, Hirowati Leenesa, Calvindra Malinda Meinapuri Ramadani, Mery Rita Hamdani Rizola, Clodeya Silvia, Nelmi Silviam, Nelmi Sinai, Nadiva Kezia Siti Aisyah Sri Rahayu MK Suherlis, Septia Wulandari, Wira Dhika Tri Wydya, Satya