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All Journal Jurnal Informasi Kesehatan Indonesia (JIKI) Jurnal Keperawatan Terpadu (Integrated Nursing Journal)
Fortuna, Rana Ryanti Dewi
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Health Professions Medicine & Pharmacology Nursing Public Health

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WAKTU PEMBERIAN ASI DAN KEJADIAN IKTERUS NEONATORUM Fortuna, Rana Ryanti Dewi; Yudianti, Ika; trimardiyanti, trimardiyanti
Jurnal Informasi Kesehatan Indonesia (JIKI) Vol 4 No 1 (2018): Jurnal Informasi Kesehatan Indonesia
Publisher : Politeknik Kesehatan Kemenkes Malang (State Health Polytechnic of Malang)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (328.672 KB) | DOI: 10.31290/jiki.v(4)i(1)y(2018).page:43-52

Abstract

Pentingnya pemberian ASI sedini mungkin pada bayi agar mendapatkan kolostrum yang dapat mengeluarkan mekonium dengan bilirubin tinggi bersama BAB. Tujuan penelitian ini untuk menganalisis hubungan waktu pemberian ASI dengan kejadian ikterus neonatorum. Desain penelitian observasional analitik dengan pendekatan kohort, populasi sebanyak 50 BBL yang diamati hingga berusia 8 hari, menggunakan teknik proportionate stratified random sampling dengan jumlah sampel 40 bayi. Instrumen penelitian menggunakan lembar observasi derajat ikterus berdasarkan Kremer, data dianalisa dengan uji Koefisien Korelasi Spearman dengan tingkat kemaknaan=0.05. Hasil penelitian menunjukan hampir setengah sampel (45%) mendapatkan ASI pertama pada 1-6jam, 40% diberikan ASI pertama pada <1jam dan sebagian kecil (15%) diberikan ASI pertama kali setelah kelahirannya pada >6 jam. Hampir seluruhnya (77.5%) tidak mengalami ikterus, 2.5% mengalami ikterus derajat I, 12.5% rmengalami ikterus derajat II dan 7.5% mengalami ikterus derajat III. Hasil uji statistik didapatkan nilai p=0.004 < a (0.05) dengan nilai rho=0.445 maka Ho ditolak dan Ha diterima yang artinya ada hubungan antara waktu pemberian ASI dengan kejadian ikterus neonatorum dengan kekuatan hubungan yang bersifat sedang.
The Epidemiological Study of Caesarean Section Cases at Haji Regional General Hospital Makassar in 2024 Fortuna, Rana Ryanti Dewi; Hinonaung, Juniarto Alexsander; Sahari, Agung; Nalanda, Refience Gratia; Al Saudi, Kurniawati Putri; Fitriani, Fitriani
Jurnal Keperawatan Terpadu (Integrated Nursing Journal) Vol. 7 No. 2 (2025): Oktober
Publisher : Jurusan Keperawatan, Poltekkes Kemenkes Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32807/jkt.v7i2.610

Abstract

Cesarean section (CS) is a delivery method performed when vaginal delivery poses risks to the mother and fetus. Despite its benefit under certain conditions, the increase trend of CS without clear medical indications raises concerns from both clinical and epidemiological perspectives. The rate of CS deliveries in Indonesia has increased far exceeding the WHO’s ideal threshold of 10–15%. This study aimed to describe the characteristics of mothers undergoing CS at Haji Regional General Hospital Makassar in 2024 based on maternal age, parity, delivery history, gestational age, type of CS by timing, and medical indications. This study employed a descriptive quantitative design with a retrospective approach. Data were collected from medical records of 186 mothers who underwent CS during 2024. Univariate analysis was conducted using frequency and percentage distributions. The majority of mothers, aged 20–35 years (75.8%), had parity of 2 (34.4%), and had a history of previous CS (39.2%). Most pregnancies were at term (73.1%), and most CS procedures were elective (69.9%). The most common indications were previous CS (38.7%), oligohydramnios (7.5%), failed induction (6.5%), and preeclampsia (5.9%). The findings showed that younger mothers and primiparas were more likely to undergo CS due to cephalopelvic disproportion (CPD), fetal distress, and failed induction, while multiparas with a history of CS tended to have repeat procedures. High-parity mothers were more prone to severe complications such as uterine rupture and preeclampsia. These results highlight the importance of careful pregnancy monitoring and strict evaluation of CS indications to prevent unnecessary procedures.
Co-Authors Al Saudi, Kurniawati Putri Fitriani Fitriani Hinonaung, Juniarto Alexsander Nalanda, Refience Gratia Sahari, Agung Tri Mardiyanti Yudianti, Ika