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Correlation between Obesity and Contraceptive Method on Estrogen and Progesterone Receptors and Human Epidermal Growth Factor Receptorâ€“2 Expression among Breast Cancer Patients in Dr. Moewardi Hospital, Surakarta Agustina, Silvia Ari; Barokah, Liberty
Indonesian Journal of Medicine Vol 4, No 3 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (326.078 KB)

Background: Breast cancer is the number 2 cancer in Indonesia after cervical cancer. Breast cancer increases every year. The formation of breast cancer is stimulated by various factors such as obesity and a history of family planning. In breast cancer, there are three important receptors, namely estrogen (ER) receptors, progesterone receptors (PR), and HER-2/Neu. The purpose of this study was to determine the association of obesity and history of family planning with the estrogen hormone receptor (ER), progesterone hormone receptor (PR), and HER-2/Neu expression in breast cancer patients in the dr. Moewardi Hospital in Surakarta, Central Java.Subjects and Method: This was an analytic observational study carried out at Dr. Moewardi Hospital, Surakarta, Central Java. A sample of 117 pre- and post-menopausal women who performed examinations at the oncology surgical clinic at Dr. Moewardi hospital, Surakarta was selected by total sampling. The dependent variables were estrogen and progesterone receptors and HER-2/Neu expressions. The independent variables were obesity and history of contraceptive method. Data were obtained from the medical record and analyzed by multiple logistic regression.Results: Obesity (OR= 0.29; 95% CI= 0.13 to 0.68; p= 0.004) reduced estrogen hormone receptors and it was statistically significant. History of contraceptive method (OR= 1.18; 95% CI= 0.55 to 2.52; p= 0.680) increased estrogen hormone receptors but it was not statistically significant. Obesity (OR=0.41; 95% CI= 0.18 to 0.96; p= 0.040) and history of contraceptive method (OR= 0.41; 95% CI= 0.19 to 0.88; p= 0.022) reduced progesterone hormone receptors. Obesity and history of contraceptive method increased Her-2/Neu expression.Conclusion: Obesity reduces estrogen hormone receptors. History of the contraceptive method increases estrogen hormone receptors. Obesity and history of contraceptive method reduce progesterone hormone receptors. Obesity and history of contraceptive method increase Her-2/Neu expression.Keywords: Obesity, contraceptive method, estrogen, progesterone hormones, Her-2/neuCorrespondence: Silvia Ari Agustina. Study Program in Midwifery, School of Health Sciences Achmad Yani, Yogyakarta. Jl. Ringroad Barat Ambarketawang, Gamping, Sleman, Yogyakarta. Phone: (0274) 4342000. Email: silvia_ari99@yahoo.com. Indonesian Journal of Medicine (2019), 4(3): 259-265https://doi.org/10.26911/theijmed.2019.04.03.09

PERAN SUAMI DALAM MEMBERIKAN DUKUNGAN MORIL PERSIAPAN PERSALINAN DI PUSKESMAS PLERET BANTUL Mahmudah, Happy; Barokah, Liberty
MEDIA ILMU KESEHATAN Vol 5 No 1 (2016): Media Ilmu Kesehatan
Publisher : Universitas Jenderal Achmad Yani Yogyakarta

Background: Husbandâ€™s role is very crucial in supporting their wives in a process of delivery. The lack of a husband's role will lead to low participation in caring activities during the pregnancy, childbirth, and postpartum period. Husband should be given knowledge about birth preparedness, which includes the planning of laborand preparing for a decision-maker in a case of emergency. Objective: To determine the role of husband in providing moril support to their wives in labor process at Pleret Bantul Puskesmas. Methodology: This research was descriptive quantitative, conducted at Pleret Bantul Puskesmas in 2015. Thirty-two respondentswere involvedassamplesby total sampling technique. Results:The husband's role in providing moril support on the expected date of birth was mostly high (87.5%). The husband's role in providing moril support during the pregnancy check was high (50.0%). The husband's role in providing moril support during the process of delivery is mostly high (81.3%).The husband's role in providing moril support in planning the labor process was high (59.4%). Conclusion:The role of the husband in providing moril support to their wives in labor process at Pleret Bantul Puskesmas washigh (59.4%). Keywords: Husbandâ€™sRole, Moril Support, Childbirth

EFEKTIVITAS PEMBERIAN PISANG AMBON DAN VITAMIN B UNTUK MENURUNKAN HIPEREMESIS GRAVIDARUM DI BPM ENDAH BEKTI Fit Ari Shanti, Elvika; Barokah, Liberty; Rahayu, Budi
Jurnal Media Ilmu Kesehatan Vol 7 No 1 (2018): Media Ilmu Kesehatan
Publisher : Universitas Jenderal Achmad Yani Yogyakarta

Background: Endocrine system changes during pregnancy are important to keep the pregnancy, fetal growth and post partum recovery. Around 50-90% of pregnant women experience vomit and nausea. To solve those problems, ?pisang ambon? (Musa paradisiacal) consumption is one of choices because of its flavonoid and vitamin B6 which can overcome vomit and nausea in pregnancy. Objective: The aim of this research was to identify the effectiveness between pisang ambon (Musa paradisiacal) consumption and vitamin B6 to reduce hyperemesis gravidarum in BPM Endah Bekti. Methods: A quasy experimental design with two-group posttest only was assigned to 20 pregnant women on their first trimester. First ten sample was given vitamin B6 and the other ten sample were given vitamin B6 plus pisang ambon. Data were then analyzed using two independent mean difference test. Results: The result shows that in vitamin B6 consumption for hyperemesis gravidarum in 10% pregnant women were in the effective category. While in the pisang ambon consumption shows 100% of pregnant women are in the effective category. Conclusion: There is difference in effectiveness between vitamin B6 and pisang ambon consumption to overcome hyperemesis gravidarum (p=0,003<?). Keywords: Hiperemesis gravidarum, vitamin B6, Pisang ambon

Faktor Internal Kejadian Ketuban Pecah Dini di Kabupaten Kulonprogo Barokah, Liberty; Agustina, Silvia Ari
Window of Health : Jurnal Kesehatan Vol 4 No 2 (April 2021 )
Publisher : Fakultas Kesehatan Masyarakat Universitas Muslim Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33368/woh.v0iNo 2.314

Premature rupture of membranes (PROM) is a rupture of the membranes before labor. PROM is still a Disease of Theory because it is not yet known the exact cause, but there are several internal or external conditions thought to be related to premature rupture of membranes. Internal factors include maternal age, parity, polyhydramnios, cervical incompetence and fetal presentation. Complications due to PROM are infections in labor and childbirth, prolonged labor, increased of caesarean section deliveries. The purpose of this study was to determine the internal factors of the incidence Premature rupture of membranes (PROM) in Kulonprogo, Yogyakarta. This study uses analytic surveys with a retrospective approach. Univariate data analysis uses percentage forms and multivariate uses binomial logistic regression analysis. The results showed that internal factors such as parity, gestational age, disporpotion Chepalo Pelvic and c diseases in pregnant had p values (0.031, 0.035, 0,008 dan 0.000) < 0.005. the variable has a significant influence on the incidence of PROM. While the variable location of the fetus and uterine enlargement does not have a partial effect on PROM with a p value (0.816 and 0.857) > 0.005 here is a relationship between internal factors (parity, gestational age, PROM and diseases in pregnant) with the incidence of PROM

PENGARUH PELATIHAN DENGAN MODEL PEMBELAJARAN MAKE A MATCH TERHADAP KETERAMPILAN KADER POSYANDU DALAM MENGGUNAKAN BUKU KIA Zolekhah, Dewi; Barokah, Liberty; Shanti, Elvika Fit Ari
Healthy Tadulako Journal (Jurnal Kesehatan Tadulako) Vol. 7 No. 2 (2021)
Publisher : Universitas Tadulako

Buku KIA merupakan buku yang berisi catatan kesehatan ibu dan anak yang dapat dijadikan sebagai pedoman dalam meningkatkan kualitas pelayanan kesehatan ibu dan anak melalui upaya mendeteksi secara dini adanya masalah kesehatan ibu dan anak. Kader diharuskan untuk membaca dan secara bertahap mempelajari buku KIA yang merupakan petunjuk nasional setelah mereka melakukan kegiatan Posyandu sebagai evaluasi atas apa yang telah mereka kerjakan. Terbatasnya informasi dan pelatihan kader yang kurang menyebabkan pengetahuan dan keterampilan kader tentang penggunaan buku KIA rendah. Tujuaan penelitian ini yaitu untuk mengetahui pengaruh pelatihan dengan model pembelajraan kooperatif terhadap keterampilan kader dalam menggunakan buku KIA. Jenis penelitian ini adalah pra eksperimental dengan rancangan (The One Group Pretest Posttest) dengan populasi 30 kader Posyandu sebagai sampel di wilayah kerja Puskesmas. Analisis data menggunakan Wilxocon Sign test, didapatkan p value (0,000) < 0,005. Hasil uji prasyarat parametrik untuk data keterampilan didapatkan data tidak berdistribusi normal, analisis data menggunakan wilcoxon, didapatkan hasil nilai p value 0,000 < 0,005 sehingga terdapat perbedaan yang bermakna keterampilan kader sebelum dan sesudah diberikan pelatihan dengan model pembelajaran kooperatif terhadap keterampilan kader posyandu dalam menggunakan buku KIA.

HUBUNGAN PENGGUNAAN MEDIA MASSA DENGAN TINGKAT PENGETAHUAN DAMPAK PERNIKAHAN DINI TERHADAP KESEHATAN REPRODUKSI Barokah, Liberty; Zolekhah, Dewi
Jurnal Kebidanan VOLUME 11. No.01, JUNI 2019
Publisher : Sekolah Tinggi Ilmu Kesehatan Estu Utomo Boyolali

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35872/jurkeb.v11i01.329

Liberty Barokah 1) Dewi Zolekhah 2) 1), 2) Prodi Kebidanan (D-3) Fakultas Kesehatan Universitas Jenderal Achmad Yani YogyakartaE-mail: aleafeda12@gmail.comABSTRAKPerkawinan usia anak sering menimbulkan dampak buruk terhadap status kesehatan, pendidikan, ekonomi, keamanan anak perempuan, dan bagi masyarakat. Pengetahuan sangat penting untuk dijadikan sebagai pemahaman remaja putri untuk dapat menjaga dan merawat kesehatan reproduksinya. Keterpaparan seseorang kepada informasi dapat merubah pengetahuan, sikap, dan perilaku yang dimiliki seseorang. Semakin banyak sumber informasi yang didapatkan maka semakin banyak pengetahuan yang dimiliki. Tujuan penelitian ini untuk mengetahui hubungan penggunaan media massa dengan tingkat pengetahuan dampak pernikahan dini terhadap kesehatan reproduksi di SMK Maâ€™arif Ponjong Gunung Kidul. Penelitian ini merupakan penelitian survey analitik dengan pendekatan Cross sectional. Pengambilan sampel menggunakan teknik total sampel dengan jumlah sampel sebanyak 54. Analilis data univariat menggunakan persentase dan analisis bivariat menggunakan uji Chi Square. Hasil penelitian didapatkan bahwa media massa yang paling banyak digunakan adalah internet yaitu sebanyak 54 (100%), tingkat pengetahuan siswa tentang dampak psikologis sebagian besar dalam kategori baik sebanyak 39 (72,2%), tingkat pengetahuan tentang dampak biologis dalam kategori sedang sebanyak 30 (55,56%), dan tingkat pengetahuan tentang dampak pernikahan dini terhadap kesehatan reproduksi sebagian besar dalam kategori baik sebanyak 26 (48,14%). Hasil analisis data didapatkanÂ nilai p (0,033 < 0,05) artinya terdapat hubungan yang signifikan antara penggunaan media massa dengan tingkat pengetahuan tentang dampak pernikahan dini terhadap kesehatan reproduksi. Siswa dapat memanfaatkan media massa untuk banyak mencari informasi yang positif khususnya kesehatan reproduksi.Kata Kunci : Media Massa, Pengetahuan, Kesehatan ReproduksiRELATIONSHIP OF THE USE OF MASS MEDIA WITH THE LEVEL OF KNOWLEDGE OF EARLY MARRIAGE IMPACT ON REPRODUCTIVE HEALTHABSTRACTTeenÂ marriage Often has a negative impact on the status of health, education, economy, security of girls, and for the community. Knowledge is very important to be used as an understanding of young women to be able to maintain and care for their reproductive health. Â A person's exposure to information can change a person's knowledge, attitudes, and behavior. The more sources of information obtained, the more knowledge they have. Â The purpose of this research was to determine the correlation between the use of mass media and the level of knowledge of the impact of early marriage on reproductive health in SMK Ma'arif Ponjong Gunung Kidul. This research is an analytical survey with a cross sectional approach. Sampling uses a total sample technique with a total sample of 54 respondents. Univariate data analysis using percentage and bivariate analysis using Chi Square test. Research results showed that the most used mass media is the internet as much 54 (100%), the level of students' knowledge about the psychological impact was mostly in the good category as much as 39 (72.2%), the level of knowledge about biological impacts in the medium category was 30 (55.56%), and the level of knowledge about the impact of early marriage on reproductive health mostly in the good category as many as 26 (48.14%). The results of data analysis obtained p value (0.041 <0.05) means that there is a significant relationship between the use of mass media and the level of knowledge about the impact of early marriage on reproductive health. Students can use mass media to find a lot of positive information, especially reproductive health. Keyword : Mass Media, Knowledge, Reproductive Health

KARAKTERISTIK KEJADIAN NYERI MENSTRUASI PADA MAHASISWI FAKULTAS KESEHATAN UNIVERSITAS JENDERAL ACHMAD YANI YOGYAKARTA Zolekhah, Dewi; Barokah, Liberty
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 7 No. 3 (2023): DESEMBER 2023
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v7i3.19662

Dismenore adalah nyeri saat menstruasi yang bersifat kram dan berpusat pada perut bagian bawah. Di Indonesia angka kejadian dismenorea berkisar 45-95% dikalangan perempuan usia produktif, terdiri dari 72,89% dismenorea primer dan 21,11% dismenorea sekunder. Informasi mengenai ketidaknyamanan selama menstruasi ini sangat bermanfaat bagi setiap wanita yang mengalami nyeri menstruasi. Walaupun menstruasi datang setiap bulan pada usia reproduksi, banyak wanita yang mengalami ketidaknyamanan fisik saat menjelang atau selama haid berlangsung. Salah satu ketidaknyamanan fisik saat menstruasi yaitu nyeri haid. Nyeri haid dalam istilah medis disebut juga dismenore. Dismenorea menjadi saat yang mengganggu bagi yang mengalaminya, hal ini mengakibatkan aktivitas terganggu, menurunkan produktivitas kerja seperti tingginya tingkat absen sekolah maupun tempat kerja, serta menurunkan performa akademik. Tujuan penelitian ini yaitu untuk mengetahui karakteristik mahasiswi yang mengalami nyeri menstruasi di Fakultas Kesehatan Universitas Jenderal Achmad Yani Yogyakarta. Metode: penelitian ini menggunakan desain deskriptif cross sectional dengan sampel berjumlah 45 mahasiswi. Hasil: Dari 45 responden sebagian besar responden berusia 20 tahun (44.4%), mengalami menarche pada usia 13 tahun (42.2%), mengalami menstruasi paling hebat pada 1-2 jam saat menstruasi (68.9%), mengalami nyeri menstruasi selama 1 hari (51.1%), merasakan nyeri menstruasi seperti diremas-remas pada bagian perut (57.8%), mengalami nyeri pada perut bagian bawah (75.6%), melakukan aktivitas tidur (73,3%), mengalami peningkatan nyeri apabila stress (66.7%).

KARAKTERISTIK KEJADIAN HIPERTENSI PADA IBU HAMIL Zolekhah, Dewi; Barokah, Liberty; Kusumawardani, Arum Margi
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 8 No. 3 (2024): DESEMBER 2024
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v8i3.34370

Gangguan hipertensi kehamilan (gestasional) dapat menyebabkan 10–15% kematian ibu,terutama di negara berkembang. Hipertensi dalam kehamilan (HDK) merupakan kelainan vaskular yang terjadi sebelum kehamilan atau muncul pada saat kehamilan atau pada masa nifas. Hipertensi pada saat kehamilan sering ditemui dan merupakan salah satu penyebab kematian ibu Hipertensi gestasional ini merugikan bagi ibu dan janin serta berisiko mengalami penyakit kardiovaskular lainnya. Wanita dengan riwayat pre eklamsi atau hipertensi memiliki tujuh hingga delapan kali meningkatkan risiko morbiditas dan mortalitas penyakit jantung koroner. Karakteristik pada ibu hamil dapat mempengaruhi tekanan darah, karakteristik tersebut diantaranya yaitu usia, jenis kelamin, pendidikan, pekerjaan, obesitas, paritas, riwayat hipertensi dan genetik. Kejadian hipertensi juga dipengaruhi beberapa faktor risiko yaitu usia ibu hamil, stress, gaya hidup, aktivitas ibu hamil. Metode penelitian yang dilakukan adalah penelitian deskriptif dengan pendekatan observasional untuk melihat karakteristik pasien hipertensi pada ibu hamil. Data yang digunakan yaitu data sekunder dengan melihat data rekam medis pasien dengan jumlah sampel 80. Penelitian di laksanakan di RSUD Panembahan Senopati Bantul pada tanggal 1-30 Agustus 2024. Dari total 80 responden ibu hamil yang mengalami hipertensi dapatkan bahwa sebagian besar responden berumur 20-35 tahun (56,3%), Pendidikan SLTA 58,8%, Tidak bekerja 53.3%, kehamilan multigravida 53,8%, Obesitas 86,3%, mempunyai riwyat hipetensi 55% dan tidak ada keturunan hipetensi 71.3%.

Kadar trigliseride pada akseptor KB suntik DMPA Barokah, Liberty; Zolekhah, Dewi
Jurnal Asuhan Kebidanan Vol 5 No 02 (2025): Journal of Midwifery Care
Publisher : Lembaga Penelitian Sekolah Tinggi Ilmu Kesehatan Kuningan Garawangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34305/jmc.v5i02.1590

Latar Belakang: Profil lipid dapat dipengaruhi oleh penggunaan jangka panjang dari KB suntik DMPA yang menyebabkan peningkatan kadar trigliserida, kolesterol total dan penurunan LDL sehingga meningkatkan risiko penyakit kardiovaskular. Tujuan penelitian ini untuk mengetahui hubungan lama penggunaan KB suntik DMPA dengan kadar trigliseride pada akseptor KB suntik DMPA.Metode: Penelitian ini merupakan observasional analitik dengan pendekatan cross-sectional. Populasinya akseptor KB suntik lebih dari satu tahun. Teknik pengambilan sampel purposive sampling. Jumlah sampel sebanyak 80 responden. Analisis data dengan uji chi-square tingkat kepercayaan 95%.Hasil: umur responden sebagian besar > 35 tahun (51,25%). Pendidikan paling banyak SMA (62,5%), responden tidak bekerja (53,75%), Jumlah anak sebagian besar adalah 2 (71,25%). Lama penggunaan KB suntik > 3 tahun 41,25% dan < 3 tahun (58.75%). Hasil analisis Chi Square nilai p value 0,002 (< α 0,05) berarti ada hubungan lama pemakaian KB DMPA terhadap kadar Trigliserid.Kesimpulan: Ada hubungan lama penggunaan KB suntik DMPA dengan kadar trigliseride pada akseptor KB. Peningkatan kadar trigliseride terutama pada akseptor KB dengan lama penggunaan lebih dari 3 tahun.

Migration of Midwifery Care Documentation to Medical Records Barokah, Liberty; Dewi Zolekhah; Laili Rahmatul Ilmi
Lentera Perawat Vol. 5 No. 2 (2024): Lentera Perawat
Publisher : STIKes Al-Ma'arif Baturaja

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v5i2.320

Medical records are the key to documenting services for health workers who carry out independent practice, good documentation greatly affects the fulfillment of administrative aspects, legal aspects for midwives and patients and provides convenience in maintaining the quality of care documentation to patients. Medical records are very important for health care facilities including Independent Midwife Practices. The function of medical records is to record all health services that have been provided to patients in order to support the improvement of service quality. this study is to implement integrated midwifery care documentation using medical records. The purpose of this study was to implement integrated midwifery care documentation using medical records. This research is an RnD (Research and Development) study with a case study approach. Researchers conducted a data collection process with FGDs. The research was conducted in April-September 2023 at PMB Ummu Hani Bantul Yogyakarta. The object is the recording form that has been implemented. The data validation process used source and technical triangulation. The physical aspect of each form is A4 in size with a weight of 70mg, the paper used for the medical record folder is F4, glossy with cream-colored paper type ivory 260gram. The content aspect includes the division of data items, grouping of data, sequent and how to fill in based on the woman's life cycle, namely grouping the contents for data on pregnant women, maternity, postpartum and children. Obstetric documentation has used integrated documentation from pregnancy to postpartum and child growth and development which has become one document using a medical record folder.

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