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All Journal Jurnal Kesehatan Reproduksi Medical and Health Science Journal ADI Journal on Recent Innovation (AJRI)
Gumilar, Gulam
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FORTRAN PROGRAM FORECASTING ON MATERNAL MORTALITY IN TYPE C HOSPITALS IN EAST JAVA BASED ON PREDOMINANT VARIABLES Atmadja, Sardjana; Gumilar, Gulam
ADI Journal on Recent Innovation (AJRI) Vol 1 No 1 (2019): AJRI (ADI Journal on Recent Innovation)
Publisher : Pandawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34306/ajri.v1i1.89

Abstract

In Indonesia, the effort to reduce maternal mortality rate remains unsatisfactory and is progressing slowly due to the lack of working ethos, blood facility, communication facility, obstetrician and gynecologists, midwifes, nurses, and functionaries of Indonesian Red Cross. Objective. To forecast maternal mortality in all type C hospitals in East Java, 2010 - 2015. Material and Methods. This study was a development of clinical management from predominant variables that lead to maternal mortality in type C hospitals in East Java using FORTRAN simulation program. Results. The contribution of working ethos to clinical management model in reducing maternal mortality in governmental type C hospital was 45.46%, indicating that the contribution if this variable can be expandable to 57.99%. The contributions of blood facility and communication facility were 27.22% and 26.95%, indicating a possible expanding contribution as much as 34.73% and 34.38% respectively.  
MAKING PREGNANCY A MISSED OPPORTUNITY FOR TREATMENT OF TUBERCULOSIS INFECTION : A SYSTEMATIC REVIEW Atmaja, Sardjana; Gumilar, Gulam
Jurnal Ilmu Kesehatan dan Kesehatan Vol 5 No 2 (2021): AUGUST
Publisher : UNUSA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/mhsj.v5i2.2081

Abstract

Background : Eleven million Americans, representing 4% of the U.S. general population, are estimated to have latent tuberculosis infection (LTBI). In countries with low TB incidence, immigrant from higher incidence countries form the major pool of infected individuals. To understand the prevalence, screening and management of TBI in pregnancy. Methods : A systematic review of 4 databases (Embase, Embase Classic, Medline, Cochrane Library) covering articles published from January 1st 2010 to April 30th 2018. Articles in English with relevant information on prevalence, screening strategies and treatment of TBI during pregnancy were eligible for inclusion. Results : Of 193 titles initially identified, 108 abstracts were eligible for review. Of these, 86 articles qualified for full text review and 22 were retained: 3 cohort studies, 2 case-control studies, and 17 cross-sectional studies. In the USA, the estimated prevalence of TBI ranged from 14 to 48% in women tested, and tuberculin skin test (TST) positivity was associated with ethnicity. The proportion of women who attended follow-up visits after positive tuberculin tests varied from 14 to 69%, while 5 to 42% of those who attended follow-up visits completed a minimum of 6 months of isoniazid treatment. One study raised the possibility of an association of pregnancy/post-partum state with INH hepatitis (risk ratio 2,5, 95% CI 0.8–8.2) and fatal hepatotoxicity (rate ratio 4.0, 95% CI 0.2–258). One study deemed INH safe during breastfeeding based on peak concentrations in plasma and breast milk after INH administration. Conclusion : Pregnancy is an opportunity to screen for TBI. Interferongamma release assays are likely comparable to tuberculin skin tests and may be used during pregnancy. Efforts should be made to improve adherence with follow-up and treatment post-partum. Further data are needed with respect to safety and feasibility of antepartum INH therapy, and with respect to alternative treatment regimens.
Fortran Program Forecasting On Maternal Mortality In Type C Hospitals In East Java Based On Predominant Variables Atmadja, Sardjana; Gumilar, Gulam
ADI Journal on Recent Innovation Vol. 1 No. 1 (2019): September
Publisher : ADI Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (933.864 KB) | DOI: 10.34306/ajri.v1i1.5

Abstract

In Indonesia, the effort to reduce maternal mortality rate remains unsatisfactory and is progressing slowly due to the lack of working ethos, blood facility, communication facility, obstetrician and gynecologists, midwifes, nurses, and functionaries of Indonesian Red Cross. Objective. To forecast maternal mortality in all type C hospitals in East Java, 2010 - 2015. This study was a development of clinical management from predominant variables that lead to maternal mortality in type C hospitals in East Java using FORTRAN simulation program. Results. The contribution of working ethos to clinical management model in reducing maternal mortality in governmental type C hospital was 45.46%, indicating that the contribution if this variable can be expandable to 57.99%. The contributions of blood facility and communication facility were 27.22% and 26.95%, indicating a possible expanding contribution as much as34.73% and 34.38% respectively.
UPDATE HEALTH POLICY DECISION MAKING IN SAFE MOTHERHOOD REGIONAL ISSUE Atmadja, Sardjana; Gumilar, Gulam
ADI Journal on Recent Innovation Vol. 1 No. 2 (2020): March
Publisher : ADI Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (124.17 KB) | DOI: 10.34306/ajri.v1i2.38

Abstract

More than a half million women die every year because of complications related to pregnancy and child birth. Nearly all these deaths take place in developing countries. The disparity between maternal death rates in developing and developed countries is greater than for any other common category of death. Poor maternal health during pregnancy is directly linked to poor health in the infant. Therefore, a mother’s health and survival continues to be critically important throughout a child’s life. Pregnant women and children suffer first and most under poor socioeconomic conditions. To reduce maternal and morbidity in half by the 2000, the safe motherhood initiative was launched. The success of safe motherhood initiative depends on the active participation of a wide range of individuals and organizations who can contribute ideas, skills, and funds, because the problem stems not only from inadequate health services, but mostly also from the social, cultural, and economic environment in which women live. Health policy decision making in safe mother-hood at least should be based on the assessment of Maternal Health situation and health services and the assessment of socio- cultural aspects of safe motherhood of each region.
ANALYSIS OF THE CAESAREAN SECTION ACCORDING TO ROBSON CLASSIFICATION AT RSUD PANEMBAHAN SENOPATI BANTUL IN 2021–2022 Gumilar, Gulam; Emilia, Ova; E.S, Diannisa Ikarumi; Nurdiati, Detty
JURNAL KESEHATAN REPRODUKSI Vol 11, No 3 (2024)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.88597

Abstract

Background : The Robson 10-group classification system categorizes pregnant women into ten distinct groups based on specific obstetric characteristics. As caesarean section rates rise globally, this trend has become an important public health concern. Between 2012 and 2015, RSUD Panembahan Senopati Bantul, a regional government hospital in Indonesia, reported caesarean section rates exceeding 30%. The aim of this study is to identify which Robson groups contributed most to the significant increase in cesarean deliveries.Objective : This study aims to determine the rate of change in the trend of caesarean section rates that occurred at Bantul Regional General Hospital during the 2021–2022 period using the Robson Classification.Methods : This study used a descriptive analytic design. The study population included all pregnant women who gave birth at RSUD Panembahan Senopati in Bantul from 2021 to 2022. Data were obtained from secondary sources using Case Report Form (CRF) instruments and processed using Robson classification. Additional analyses were conducted to determine the cesarean section rate within each group and identify reasons for cesarean delivery.Results  : Of the 2,295 study participants, 906 (39.8%, 95% CI 38.27–41.33) were pregnant women who delivered by C-section during 2021–2022. The C-section rate declined by 1.53% overall over the two-year period (95% CI 1.08–2.12). However, several Robson groups showed rising C-section trends. According to the Robson classification, group 5 represented the largest proportion of the population (25.1%, 95% confidence interval [CI] 23.09–27.12) and accounted for the highest proportion of cesarean deliveries (9.9%), followed by group 4 (6.2%, 95% CI 3.22–8.27). Groups 2, 4, and 7 experienced rising C-section trends from 2021 to 2022, with Group 4 showing the greatest increase (8.5%), followed by Group 2 (4.4%, 95% CI 1.2–6.75). Further evaluation identified failed labor induction as the leading cause of the increased C-section rate (14.6%, 95% CI 12.02–17.9), while fetal compromise/distress also played a significant role (10.6%, 95% CI 8.79–12.5).Conclusion : From 2021 to 2022, the caesarean section rate at RSUD Panembahan Senopati Bantul decreased by 1.53% (95% CI 1.08–2.12), though certain groups still had elevated rates. Groups 2, 4, and 5 accounted for the majority of cesarean deliveries during this period. Targeted interventions, including routine evaluations and improved management, are needed to reduce the overall C-section rate further.
Co-Authors Atmaja, Sardjana E.S, Diannisa Ikarumi Nurdiati, Detty Ova Emilia Sardjana Atmadja