Setyaningrum, Agustina Catur
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HUBUNGAN LAMA PEMAKAIAN DEPO MEDROKSIPROGESTERON ASETAT DENGAN GANGGUAN MENSTRUASI DI PERUMAHAN PETRAGRIYA INDAH PURWODADI TAHUN 2008 Setyaningrum, Agustina Catur; Sehmawati, Sehmawati
Jurnal Berita Ilmu Keperawatan Vol 1, No 4, 2008
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/bik.v1i4.3726

Abstract

The use of Depo Medroksiprogesteron Asetat ( DMPA ) can give side effects to the change of menstrual pattern. The changes can be in the form of menstrual changing cycle, prolonged menstrual period, and spotting. Those menstrual pattern effect depends on how long we use DMPA. General objective of this research is to find out the relationship of the prolonged- use of DMPA towards menstrual disturbances happened in Petragriya Indah Estate Purwodadi. While the specific objective of this research is to find out the relationship of prolonged – use of DMPA towards menstrual cycle, prolonged menstrual period and spotting. Research design used is An Analytical survey based on cross sectional approach. Research population used is all acceptors of DMPA registered in Petragriya Indah Estate Purwodadi in December 2007 ( totally 63 acceptors ). Sampling technique used is simple random sampling involving 54 respondent. Interview is used as the method of data collection, while Spearmean correlation test supported by SPSS computer version 11,5 is used as the method of Data Analysis. The result of univariat analysis seems to show that menstrual period history before using DMPA is mostly regular and natural. In the early injection ( first trimester or 3 month of 1 ), 54 DMPA acceptors have experienced prolonged- cycle of olygomenorrea totally 4 people, and more than 3 months afterward 3 people experienced amenorrea while 20 of them don’t experience menstruation at all. The result of bivariat analysis seems to show that prolonged use of DMPA relates to menstrual cycle as it is shown by Spearman correlation test result, p value = 0,012, r = 0,341. It also relates to menstrual duration as shown by its statistical test result, p value = 0,010, r = - 0,346. Finally, it also relates to spotting as illustrated by its statistical test result, p value = 0,004, r = -0,382.
Pertama Mendengar, Terakhir Dilatih: Analisis Jalur Peran Bidan dalam Kesehatan Mental Perinatal di Indonesia Maulina, Rufidah; Khuzaiyah, Siti; Setyaningrum, Agustina Catur; Sari, Atriany Nilam; Novika, Revi Gama Hatta; Wahidah, Nurul Jannatul; Nurhidayati, Siti; Maulida, Luluk Fajria; Tursina, Elsa
Jurnal Kesehatan - STIKes Prima Nusantara Vol 16 No 2 (2025): Jurnal Kesehatan Volume 16 Nomor 2 Tahun 2025
Publisher : LPPM Universitas Prima Nusantara Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35730/jk.v16i2.1330

Abstract

Background: Perinatal mental health disorders significantly contribute to maternal and neonatal morbidity, particularly in low- and middle-income countries (LMICs) such as Indonesia. Midwives, as frontline maternal healthcare providers, are uniquely positioned to screen for and support women experiencing mental health disorders. However, their involvement remains limited due to systemic, educational, and institutional barriers. Purpose: This study aims to understand the factors influencing midwives' knowledge and utilization of perinatal mental health screening services in Indonesia. Methods: A secondary analysis was conducted using cross-sectional data from an online survey of 300 midwives across Indonesia between June-August 2024. Variables included demographic characteristics, training experience, access to mental health resources, screening knowledge, and utilization behavior. Descriptive statistics and path analysis were used to examine direct and indirect influences on screening utilization. Results: Despite an average of 15 years of clinical experience, only 9.7% of midwives had used mental health screening tools. Just 8.7% had received formal mental health training, and only one-third had access to relevant guidelines. Screening knowledge was significantly predicted by access to structured information sources (β = 1.42; p < 0.001) and directly influenced screening utilization (β = 3.05; p < 0.001). Indirect factors, such as duration of service or interest in training, had no significant effect. Public health outreach and structured training improved access to learning materials. Conclusion: Despite strong interest among midwives, gaps in training, resources, and institutional support hinder effective mental health screening. Strengthening structured training programs and improving access to information are essential steps toward empowering midwives in perinatal mental health care. However, as most participants were from Western Indonesia, these findings should be interpreted with caution, and future studies should include broader geographic representation to better capture the national context