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All Journal Jurnal Kesehatan Reproduksi Window of Health : Jurnal Kesehatan Green Medical Journal
Mappaware, Nasrudin Andi
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Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health

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Analisis Hubungan Clinical Autonomy Terhadap Kepuasan Kerja Dokter Spesialis Obstetri dan Ginekologi Dalam Tindakan Seksio Sesarea Pada Sistem Jaminan Kesehatan Nasional Mappaware, Nasrudin Andi; Emilia, Ova; Hadijono, Soerjo; Malinta, Umar; Hakimi, Mohammad; Soetrisno, Soetrisno; Tiro, Eddy
JURNAL KESEHATAN REPRODUKSI Vol 6, No 3 (2019)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (340.454 KB) | DOI: 10.22146/jkr.49209

Abstract

Background: In Indonesia, the National Health Insurance System (NHIS) is an implementation of law No. 40 of 2004 on the National Social Insurance System in health sector with universal health coverage (UHC) concept. Therefore, the satisfaction of specialist’s work will be very influence towards hospital works. The previous research (Nasruddin, 2017) about factor analysis related to job satisfaction of doctor specialist for obstetrics and gynecology (SpOG) toward Sectio Caesarea (SC) on NHI showed that medical service (transparency and remuneration) and working condition have significant correlation towards work satisfaction of doctor SpOG in SC on NHI.    Objective: to analyze the correlation of clinical autonomy on job satisfaction of doctor SpOG on Sectio Caesarea on National Health Insurance system.Method: A quantitative research by applying analytic observational study with cross sectional design.Materials and Research: This research was conducted in Makassar. A number of sample was 73 doctors SpOG. Data was obtained by clinical autonomy questionnaire having been tested its validity and reliability. The result of the research was analyzed by using chi-square test.  Result: Based on the correlation of characteristics towards work satisfaction of doctor SpOG in SC on National Health Insurance system found that age category between 36 – 45 years old is satisfied, female is satisfied, working duration more than 5 years is dissatisfied and public hospital status is dissatisfied. There is no correlation between clinical autonomy in this case is control overwork (p = 0.170) and prerogative obtain need service (p = 0.240) on job satisfaction of doctor SpOG in Sectio Caesarea on National Health Insurance System.Conclusion: There is no relation between clinical autonomy on job satisfaction of doctor SpOG in Sectio Caesarea on National Health Insurance System. Even though the doctors SpOG are not satisfied with NHI (medical service and working condition) but the doctors are able to work professionally with clinical autonomy. Keywords: clinical autonomy, doctor SpOG, National Health Insurance System 
Analysis of Obstetric Medical Determinant Factors toward Mothers with the Stunting Children Syahril, Erlin; Mappaware, Nasrudin Andi; Akib, Marliyanti; Mursyid, Muhammad
Green Medical Journal Vol 2 No 3 December (2020): Green Medical Journal
Publisher : Fakultas Kedokteran Universitas Muslim Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/gmj.v2i3.67

Abstract

Introduction: Toddlerhood is a period that is very sensitive to the environment so more attention is needed especially the adequacy of nutrition. Nutrition problems, especially stunting in a toddler can inhibit the growth and development of the children. This study aimed to identify various obstetric medical characteristics and determine the obstetric medical determinant factors that most influence pregnant women with the incidence of stunting in Mamuju Regency, West Sulawesi. Methods: This study was conducted from June until August 2019 in Mamuju Regency, West Sulawesi. The total samples in this study were 88 people who were taken from mothers who had stunting toddlers aged 2-5 years old in Mamuju Regency, West Sulawesi. A total sampling method was used. A cross-sectional with the retrospective approach with a regression test. Data instruments were used questionnaires, observation sheets, and checklists. Results: The result of the stunting study was found from the toddler nutrient data from January until June 2020 in West Sulawesi by using total sampling. The researchers found a sufficient influence for the complication during childbirth factor, while the weak relation of the stunting based on the ages, parity, pregnancy spacing, poor obstetric history, comorbid disease, maternal surface, neonatal surface, hemoglobin levels, and the history of Sectio Caesarea (SC). Conclusion: One of the obstetric medical factors that have a sufficient relationship for causing the stunting for children is the complication during childbirth, while other obstetric medical factors have a very weak relation to the stunting case.
The Relationship between Nutritional Status of Pregnant Women and Stunted Children Royani, Ida; Mappaware, Nasrudin Andi; Darma, Sidrah; Khalid, Nurfadhillah; Utami, Dian Fahmi
Green Medical Journal Vol 3 No 1 April (2021): Green Medical Journal
Publisher : Fakultas Kedokteran Universitas Muslim Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/gmj.v3i1.80

Abstract

Introduction: The nutritional status of pregnant women has a significant impact on the fetus's health and development. Low birth weight can be caused by womb growth problems. Research in Nepal shows that babies with low birth weight have a higher risk of becoming stunted. West Sulawesi is the most populous province in Central Indonesia, with a population of 39.7%. In Mamuju District, West Sulawesi, the relationship between stunted babies and maternal nutritional status during pregnancy was investigated. Methods: Cross sectional analytic survey with a retrospective approach. Data processing using the chi square test. The population in this study was 20.039 people. Total sampling was used to collect nutritional status data of children under the age of five in West Sulawesi province from February to June 2020. In this study, 88 people were sampled, all of whom were mothers of stunted children aged 2 to 5 Years old and who had a KIA book during pregnancy. Results: The results of statistical tests showed that the p value of nutritional status with BMI and LILA 0.000 and the p value of HB levels 0.066. There was a link between pregnant women's nutritional status and LILA, but not between HB levels and stunting. Conclusion: The conclusion of this study is that there is a relationship between the nutritional status of pregnant women based on BMI and LILA and the incidence of stunting in Mamuju Regency, West Sulawesi Province.
Analisis Faktor Determinan Mediko Sosial Pada Ibu Dengan Anak Stunting Di Kabupaten Mamuju Provinsi Sulawesi Barat karsa, nevi sulvita; Mappaware, Nasrudin Andi; Latief, Shofiyah; Irwan, Andi Alamanda; Pangnguriseng, Utomo Andi
Green Medical Journal Vol 3 No 2 August (2021): Green Medical Journal
Publisher : Fakultas Kedokteran Universitas Muslim Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/gmj.v3i2.75

Abstract

Introduction: Stunting is a linear growth disorder caused by malnutrition in chronic nutrient intake and chronic recurrent infectious diseases as indicated by height z-score according to age. Infancy is a period that is very sensitive to the environment so more attention is needed especially the adequacy of nutrition. Obstetric complications are very influential on several determinant factors, one of these factors is a medical society or social risk. Family socioeconomic status such as family income, parental education, mother's knowledge about nutrition, and the number of family members can indirectly relate to stunting. Methods: A cross-sectional analytic with a retrospective approach. Processing data using regression tests. Result: The results of this Stunting study were obtained from nutritional status data on children under five in the province of West Sulawesi in January-June 2020 by taking samples using simple random sampling. The total number of samples in this study were 88 people taken from mothers who have Stunting children aged 2-5 years. Social risk is the condition of the mother during pregnancy including age, level of education, ethnicity, occupation, income, referral decision, cost considerations, distance traveled, referral mobilization, consideration of health insurance that is expected to be related to stunting. Conclusion: In this study, it was found that the most influential medicosocial determinants were referral mobilization and employment.
Kehamilan 33-34 Minggu dengan COVID-19 dalam Perspektif Medis, Bioetik, dan Islam Mappaware, Nasrudin Andi; Mursyid, Muhammad; Syahril, Erlin; Syam, Feby Wahyuni
JURNAL KESEHATAN REPRODUKSI Vol 7, No 3 (2020)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.63283

Abstract

Latar belakang: Coronavirus disease 2019 (COVID-19) adalah penyakit yang menyebabkan pandemik global dan menjadi masalah kesehatan masyarakat yang serius. Sampai saat ini, pengetahuan tentang infeksi COVID-19 dalam hubungannya dengan kehamilan dan janin masih terbatas dan belum ada rekomendasi spesifik untuk penanganan ibu hamil dengan COVID-19.Objektif: Perempuan 28 tahun, kehamilan pertama dengan usia 34 minggu (preterm), masuk rumah sakit dengan keluhan batuk, demam dan sesak. Hasil foto thoraks gambaran pneumonia bilateral paru. Hasil swab dan rapid tes positif dan pasien diisolasi sebagai pasien terkonfirmasi COVID-19.Metode: Case studyHasil dan Pembahasan: Penanganan sesuai standar COVID-19 dan informed consent untuk terminasi kehamilan dengan rencana pematangan paru. Pengambilan keputusan terhadap masalah dan dilema etik dengan pendekatan medis, bioetika dan islam.Kesimpulan: Penanganan dan pengambilan keputusan klinik pada kasus kehamilan preterm dengan COVID-19 dengan berbagai dilema selain pertimbangan medis, diperlukan pendekatan bioetika dan nilai islam.Kata kunci: Kehamilan; COVID-19; preterm; medis; bioetika; islam
Pengaruh Pemberian Kurma Ajwa (Phoenix Dactylifera L) Terhadap Hasil Luaran Perinatal Pada Wanita Risiko Preeklampsia Sello, Lenni; Mappaware, Nasrudin Andi; Aminuddin, Aminuddin; Asni, Sitti Nur; Nilawati, Andi; Latief, Shofiyah
Window of Health : Jurnal Kesehatan Vol. 3 No. 3 (Juli, 2020)
Publisher : Fakultas Kesehatan Masyarakat Universitas Muslim Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33368/woh.v0i0.345

Abstract

Preeclampsia (PE) can cause disruption of fetal growth and fetal death in the womb. Preeclampsia is a major cause of maternal and infant mortality and morbidity. This study aims to analyze the effect of giving ajwa dates (Phoenix Dactylifera L) on the outcome of perinatal outcomes in women at risk of preeclampsia. This research was conducted at RSIA Sitti Khadijah 1 Makassar City, South Sulawesi Province. Sampling by purposive sampling. The study subjects consisted of 20 mothers who were given ajwa dates and 10 pregnant women who were not given ajwa dates, according to the inclusion and exclusion criteria. Characteristic data were measured using a questionnaire. To assess the results of the results using the calibration sheet and measuring instruments that have been calibrated are measured 1 time. Data analysis using Chi-Square. The results showed that the majority of samples had a high risk of hypertension (90%). Outcomes have the majority normal value in the group given the Ajwa date. BBL 76.6% had normal body weight, majority APGAR score ≥ 7 weeks 86.6%, and majority gestational age ≥ 37 weeks 90%. Giving ajwa dates has an effect on perinatal birth weight and APGAR Score. Further research needs to be done on the effect of ajwa dates on perinatal outcomes and the risk of preeclampsia on marker examinations such as soluble fms like tyrosine kinase 1 (sFlt-1).
Analisis Pengambilan Keputusan Dokter Dan Pasien Terhadap Tindakan Seksio Permintaan Sendiri Berdasarkan Kaidah Autonomi Mappaware, Nasrudin Andi; Dewanto, Agung; Hakimi, Mohammad; Sastrowijoto, Soenarto; Kusmaryanto, Kusmaryanto; Mursyid, Muhammad
Window of Health : Jurnal Kesehatan Vol 5 No 01 (January 2022)
Publisher : Fakultas Kesehatan Masyarakat Universitas Muslim Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33368/woh.v0i0.1125

Abstract

Introduction: Cesarean sections as the patients’ request have been widely carried out in Indonesian society. The freedom to make their own decisions, including the decision to perform a cesarean section, can have various impacts on the patient. Obstetricians who perform cesarean sections can be also affected if the final result of the operation does not fulfill the patient's expectations. Research objectives: Analyzing the decision-making of patients and doctors regarding cesarean section at the request with ethically responsible reason based on the principle of autonomy. Methods: Multi-methods with the explanatory sequential design approach. Research results: Medical indications are the main basis for doctors in making decisions. In addition, other considerations were found outside the medical indications which received by the informant for a cesarean section on request. Conclusions: Cesarean section on request is a dilemma between medical indications and the demands to ethically respect the rights of autonomy.
Co-Authors Akib, Marliyanti Aminuddin Aminuddin Andi Nilawati Usman Asni, Sitti Nur Darma, Sidrah Dewanto, Agung Eddy Tiro Ida Royani Irwan, Andi Alamanda Khalid, Nurfadhillah Kusmaryanto Kusmaryanto, Kusmaryanto Mohammad Hakimi Mursyid, Muhammad Nevi sulvita karsa Ova Emilia Pangnguriseng, Utomo Andi Sello, Lenni Shofiyah Latief Soenarto Sastrowijoto, Soenarto Soerjo Hadijono Soetrisno Soetrisno Syahril, Erlin Syam, Feby Wahyuni Umar Malinta Utami, Dian Fahmi