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FAKTOR RESIKO PERSALINAN EKSTRAKSI VAKUM PADA PRIMIPARA TERHADAP ASFIKSIA NEONATORUM Andromeda, Rindy Diaz; Santoso, Sabar; Hernayanti, Munica Rita
Jurnal Kesehatan Ibu dan Anak Vol 5 No 1 (2014): Juli
Publisher : Poltekkes Kemenkes Yogyakarta

AKB di Indonesia masih tinggi yaitu 34 per 1.000 kelahiran hidup dimana salah satu penyebabnya adalah asfiksia neonatorum. Faktor risiko asfiksia antara lain adalah persalinan dengan ekstraksi vakum dan status ibu primipara. Kabupaten Bantul menduduki peringkat tertinggi kasus kematian neonatal karena asfiksia di DIY. Data di RSUD Panembahan Senopati pada tahun 2011 menunjukkan 30,48% bayi mengalami asfiksia dan 10,06% persalinan dengan ekstaksi vakum. Penelitian dilakukan menggunakan pendekatan case control (retrospektif) dengan sumber data rekam medik di RSUD Panembahan Senopati Bantul,. Populasi dalam penelitian ini adalah seluruh bayi baru lahir di RSUD Panembahan Senopati Bantul yang tercatat dalam rekam medik selama tahun 2011 sejumlah 2.753 bayi, dengan teknik systematic random sampling diperoleh jumlah sampel 48 orang elompok kasus dan 48 orang kelompok kontrol. Data penelitian dianalisis dengan univariat dan bivariat (Chi Square, coefficients contingency dan odd ratio). Hasil penelitian menunjukkan proporsi persalinan ekstraksi vakum pada primipara yang menimbulkan kejadian asfiksia sebesar 62,5% lebih besar daripada persalinan normal. Nilai chi square sebesar 10,741 dengan p-value 0,001 yang artinya persalinan ekstraksi vakum pada primipara merupakan faktor risiko terhadap asfiksia neonatorum. Nilai OR = 3,98 dengan Confidency Interval antara 1,59 sampai dengan 10,41 artinya ibu primipara dengan persalinan ekstraksi vakum 3,98 kali akan berisiko terjadi asfiksia pada bayi baru lahirnya.

PENGARUH STIMULASI METODE FLOOR TIME TERHADAP PERKEMBANGAN ANAK BATITA Santoso, Sabar; Muslihatun, Wafi Nur; Santi, Mina Yumei
Jurnal Kesehatan Ibu dan Anak Vol 5 No 1 (2014): Juli
Publisher : Poltekkes Kemenkes Yogyakarta

Parents have a major role in stimulating and developing the potential of children's intelligence. One of the methods that used to stimulate children's intelligence and potential is floor time. The aim of this study is to determine the effect of stimulation of floor time in the development of toddlers. The development of toddlers before stimulation in the treatment group with the most dubious result, while in the control group with the most appropriate result. For developments after stimulation in the treatment group was given an increase that has become more appropriate results whereas in the control group there is a small increase. The test results showed that the level of child development child development at pretest has a minimum value of 6 and a maximum value of 10 with an average value of 8.56 and the pretest and post-test 9.66 and the maximum value of the difference between the minimum value of 1.1. The results of tests of significance with the Wilcoxon signed rank test (p) = 0.00 and the Friedman test (p) = 0.00 , indicates that the value (p) < 0.05, which means it can be descript in the treatment group contained a significant influence in the administration method floor time to the development of toddler. The result of tests of significance on the child's age, maternal age, maternal education and maternal employment does not give effect to the development of toddler. There stimulatory effect of floor time to the development of a toddler is very significant.

PENGARUH KEIKUTSERTAAN IBU HAMIL DALAM KELAS IBU HAMIL TERHADAP TINGKAT PENGETAHUAN DAN SIKAP IBU TENTANG ASI EKSKLUSIF Ujiana, Pramidya; Hastuti, Sari; Santoso, Sabar
Jurnal Kesehatan Ibu dan Anak Vol 6 No 2 (2014): November
Publisher : Poltekkes Kemenkes Yogyakarta

Exclusive breastfeeding is one program that is quite difficult to develop because it is associated with many social problems in the community. By SDKI infants died per year, or 430 babies per day. According to UNICEF, (2008), optimal breastfeeding in infants under two years of age have the greatest potential impact on child survival of ail preventive measures, the potential to prevent 1.4 million deaths in children under five in developing countries. Coverage rate of exclusive breastfeeding in the province in 2010 was 40.57% and the coverage rate is still half of the expected national targets. Aimto determine the effect of maternal participation in aclass of pregnant women to the level of knowledge and attitude of mothers on exclusive breastfeeding. This study uses cross- sectional study. Subjects were pregnant women in the work area of Puskesmas Kotagede 1 in 2013. Variable in this study is the participation of pregnant women in a class of pregnant women as independent variables and the knowledge and attitude of mothers on exclusive breastfeeding as the dependent variable. Primary data obtained through questionnaires to divide pregnant women.Likelihood analysis using chi square influence to influence participationwith knowledge and Chi square for the effect of participation with an attitude. Results: The results of the effect of participation with knowledge of the results obtained ??2sebesar 0,00 RP 0.93 with 95%Cl (0.59- 1.49) and for participation by the attitude didapakan results ??2 at 0.78, the value of RP pregnant women whohave not pregnant women attended classes ona lowknowledge levelof 0.12with 95%Cl (0.01-1.16)while the value of RP pregnant womenwho have never been pregnant women attend classes on the level of knowledge sufficient for 5.76with 95%Cl (0.81- 40.8).Conclusion: the participation of pregnantwomen in a class of pregnant women did not affect the level of knowledge and participation of pregnant women in a class of pregnan twomen affect maternal attitudes on exclusive breastfeeding

HUBUNGAN JENIS PERSALINAN DENGAN KEJADIAN ASFIKSIA NEONATORUM Rahayu, Theresia Asmaningsih Retno; Santoso, Sabar; Hernayanti, Munica Rita
Jurnal Kesehatan Ibu dan Anak Vol 8 No 2 (2015): November
Publisher : Poltekkes Kemenkes Yogyakarta

The incidence rate of neonatal asphyxia in Kulon Progo Regency Hospital has increased between 2011 to 2012. 35.6% in 2011 to 38.5% in 2012. The act of childbirth in hospitals also increased between 2011 (48.5%) to 2012 (50.3%). Research to determine the ype of labor relationship with the incidence of neonatal asphyxia in Kulon Progo district hospitals in 2012. This is a type of observational analytic study using a case-kontroi study design (retrospective). Subjects were Babies born Apgar <7 and ? APGAR 7.Total baes born with a sample of 100 cases and 100 kontrots. asphyxia dependent variable and the independent variable types delivery. The analysis used Chi-squarewith significance level 0.05. Risk Estimate and test (OR). The results of Chi-Square test witha value of 0.05 obtained value p = 0.000, which means there is a significant relationship between the type of delivery with the ncidence of neonatal asphyxia. OR calculation results showed amean value of 3.79 Babies born with artificial birth had 3.79 times greater risk than the Babies born with spontaneous labor. There is significant correlation between the type of delivery with the incidence of neonatal asphyxia in Kulon Progo district hospitals in 2012. Babies born through artificial birth asphyxia have likely experienced 3,79 times greater than infants born spontaneously.

FAKTOR RISIKO PERSALINAN VAKUM EKSTRAKSI PADA IBU DENGAN KALA II LAMA TERHADAP KEJADIAN IKTERUS NEONATORUM DI RSUD WATES TAHUN 2009-2010 M.P, Dameria; Santoso, Sabar; Sumarah, Sumarah
Jurnal Kesehatan Ibu dan Anak Vol 1 No 1 (2012): Juli
Publisher : Poltekkes Kemenkes Yogyakarta

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ln 2007 infant Mortality Rate (IMR) in Indonesia is 269/1000 live births. one cause of infant mortality in Indonesia is a birth trauma. Sefalhematoma birth trauma duo to Vacuum Extraction (VE) is one of the causes of neonatal jaundice. incidence of cases with VE deliveries in hospitals Wates in 2O1O as much as 6.4% and the incidence of jaundice due to childbirth vacuum as much as 11.7%. This study was Knowing the risks of a vacuum extraction delivery with a prolonged second stage on the incidence of neonatal jaundice of Wates hospitals in 2010. The type of case-control study with the independent variable is the delivery type and the dependent variable is incident neonatal jaundice. The whole population of all babies born in hospitals Wates from March 2OO8 to December 2070. Cases sample is infants with jaundice by 129 babies in hospitals Wates. The control sample is infant without jaundice by 129 babies in hospitals Wates. the Results of the highest maternal characteristics based on P1 parity (primipara). there is a relationship between parity P1 with the incidence of jaundice and oR of 2.095. There is no relationship between parity P>1 (Sekundipara and multipara) with the incidence of jaundice- The highest incidence of infant jaundice is the type of vacuum deliveries than types of spontaneous labor. The results of the chi-square I of 8.935 at p-value < 0.003 in which p-value < 0.005 can be concluded there is a relationship between labor vacuum with the prolonged second stage the on the incidence of neonatal jaundice. The results of the contingency coefficient of 0.183 means that a labor vacuum with the incidence of jaundice has a very low. Obtained OR value of 2.124 means that the labor vacuum with a prolonged second stage as a risk factor for neonatal jaundice at 2 times.

HUBUNGAN TINGKAT PENGETAHUAN DAN SIKAP DENGAN KEIKUTSERTAAN DALAM POSYANDU LANSIA Cahyaningrum, Restia; Tyastuti, Siti; Santoso, Sabar
Jurnal Kesehatan Ibu dan Anak Vol 2 No 2 (2012): November
Publisher : Poltekkes Kemenkes Yogyakarta

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United State Census (based on the BPS rate Indonesia) Indonesia experienced a trend of rising population aged above 65 years old. Of the elderly population distribution according to the provinces, the percentage of elderly residents in the province of Yogyakarta special region of 14.02%, 10.99% Central Java, East Java and Bali 1A,92% 6.95%. The number of pain (morbidity) of elderly increases, 28% in 2003, 29.9% in 2005, 19.3% in 2007, and 301% in 2009. Quality improvement in terms of biological and psychosocial needs so that they can enjoy a better life, and support preventive action, as well as promotive health in Primary Health Care according to the paradigm of healthy. One effort that can be done is with a program of Posyandu for elderly. Posyandu for elderly (Age Group) is a health service place for the elderly in the community where the process of the establishment and their implementation is carried out by the community with non-governmental organizations Government and cross-sector nongovernment, private, charitable organizations and others, in a series of efforts aimed at servicing and preventive promotive. ln the activities of the knowledge and attitude about posyandu for elderly is very influential to the liveliness of the posyandu presence. The purpose of this research is to determine the correlations of the level of knowledge and attitude of elderly with posyandu for elderly participation. This type of research using the method of research studies the correlation (Correlation Study) and the design is observational/survey. The samples in the study totaled 67 elderly in Posyandu for elderly RW 4 Wards of Wirogunan. The instruments used for data collection in this study is a questionnaire and secondary data or documentation. Multivariate data analysis using logistic regression test. the result is PR value relationship level of knowledge and attitudes of elderly with participation in Posyandu for elderly  through Logistic regression showed the 3.252 for the level of knowledge ta 2.990 for attitudes

HUBUNGAN HIPERTENSI DALAM KEHAMILAN DENGAN KEJADIAN IUGR DI RSUD PANEMBAHAN SENOPATI BANTUL Septiani, Dessy Nur; Santoso, Sabar; Sujiyatini, Sujiyatini
Jurnal Kesehatan Ibu dan Anak Vol 3 No 1 (2013): Juli
Publisher : Poltekkes Kemenkes Yogyakarta

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Neonatal mortality rate in Province of Special region Yogyakarta on 2012 are 241 case or 5,5 per 1000 live births, with the most death caused by low birth weight. LBW divided to 2 categories, are LBW caused by premature and by IUGR. the highest IUGR incident in Province Yogyakarta was at Bantul District 14%. One of the factors which caused IUGR is hypertension gravidarum. Purpose: to identify correlation of hypertension gravidarum with intrauterine Growth Restriction (IUGR) incident in Panembahan Senopati General Hospital 2011. Method: this study is a non-experiment by analytic observational with case control study, with 40 with IUGR as case group and 40 with average weight for control group. Technik sampling used purposive sampling. instrument of study is roundup data format used secondary data. Analysis data used bivariate using chi-square. Result: there are 65% babies who born with IUGR in woman with hypertension gravidarum, and 34% ones in women normal blood pressure. The result chi square test is p-value 0,00< 0,05 and Odd ratio 3,449. Conclusion; this study showed there is a significant correlation of hypertension gravidarum with IUGR incident, from odd ratio there is pregnant women with hypertension increased risk of IUGR incident.

HUBUNGAN UMUR DAN PARITAS DENGAN PENGGUNAAN METODE KONTRASEPSI PADA AKSEPTOR KELUARGA BERENCANA Hidayah, Siti Shafidha; Zein, Asmar Yetty; Santoso, Sabar
Jurnal Kesehatan Ibu dan Anak Vol 3 No 1 (2013): Juli
Publisher : Poltekkes Kemenkes Yogyakarta

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In mid 2010, Indonesia is the country with the largest population among member states of ASEAN. The government has a program in family planning to curb population growth. Based of the data from BKKBN Yogyakarta, of 14 district in the city of Yogyakarta, Ngampilan District a district with the lowest prevalence rate family planning is 61,80% . This study purpose to determine the correlation of age and parity to the contraceptive method used in family planning acceptors. The study was an observational analytic study with cross sectional approach. The number of respondents were 188 family planning acceptors. This analysis with univariable, and bivariable by using chi square. Result group of low risk are used KB Non-MKJP 98 respondents (96,1%.) and 4 respondents (3,9%) are used MKJP (p-value 0,004). Age can improve methods contraceptive use (RP 4.764, 95% Cl 1.505 - 15.077), parity multiparous are used Non-MKJP 162 respondents (92,6%), and 13 respondents (7,4%) are used MKJP (p-value 0,000). Parity can improve methods contraceptive use (RP7.788,95% Cl 2.227 - 27.241). conclusion there is a significant correlation between  age and parity with the contraceptive method used in family planning acceptors, result showed age to be factor who can improve methods contraceptive use 4.764, and parity can improve methods contraceptive use 7.788.

HUBUNGAN TINGKAT PENGETAHUAN DENGAN KEJADIAN ANEMIA PADA IBU HAMIL DI WILAYAH PUSKESMAS GODEAN 1 Muzayana, Addina; Santoso, Sabar; Arum, Dyah Noviawati Setya
Jurnal Kesehatan Ibu dan Anak Vol 9 No 1 (2016): Juli
Publisher : Poltekkes Kemenkes Yogyakarta

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Anemia in pregnancies known can be risked, for mother or fetus. Knowledge level of pregnant women ofanemia will be concerned to their behavior to prevent anemia, women behavior to how consume ironsupplement, behavior to keep dayli sanitasi hyegin to be free from wormy, because knowledge can influentbehavior to prevent anemia. More higher pregnant women knowledge of anemia, more less opportunitypregnant women careless to take care theirself. Purpose to know corellation of knowledge level with anemia onpregnant women in region of Puskesmas Godean I subdistrict Godean District Sleman 2012. This study isanalitic observational used cross sestional design. Tehnicque sampling in this study is purposive sampling, istook sample froma population and useddossed cuesionersas instrument. Used Chi-squareasdata analysis.Result The majority of pregnant women aged 25-30 years (65-70%), junior secondary education (47.9%) andmultiparous status (68.8%). The results also showed the majority of respondents (46.8%) and had lessknowledge about anemia, and most (58.3%) had anemia. The results of the analysis using Chi Square shows Pvalue of 0.038 ( < dari 0,05). Conclusion there are a correlation of pregnant women knowledge of anemia withanemia incident

PEMBERIAN INFORMASI MELALUI SMS TERHADAP SIKAP SEKS PRANIKAH REMAJA SMA Rahayu, Yayuk Puji; Santoso, Sabar; Purnamaningrum, Yuliasti Eka
Jurnal Kesehatan Ibu dan Anak Vol 10 No 2 (2016): November
Publisher : Poltekkes Kemenkes Yogyakarta

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The percentage of adolescent premarital sexual intercourse increases every year. SMS is one of the important medias forhealth promotion including adolescent health reproduction such as premarital sexual intercourse. This research was aimed to determine the effect of giving information through SMS on the increase of the adolescent attitude on the premarital sexual intercourse of the senior high school students. This research was categorized into quasi-experimental research which hada pre-posttest with a control group design conducted on 35 respondents both the experimental group and the control group. Thisresearch was conducted at SMAN 1 Pundong as the experiment group given intervention through SMS and SMAN 1 Kretekas the control group was given intervention through leaflets. The instrument used was questionnaire. The data analysis used was thestatistic parametric with significance-0,05. The result of pretest showed that the average score of the experiment group was124,1 while the control group's average score was 119,97. The result of the posttest showed that the average score of the experimentgroup was 131,6 while the control group's average score was 119,90. Thus, it could beconcluded that there was a significantdifference between pretest and posttest. The attitude of the experiment group increased up to 7,54 while the control group'sattitude increased only up to 0,23. The result gap of the two groups was 7,77. The result of the independent sample t-testwas thescoreof p-value 0,0004816 and 95% confidence interval was 3,5432-11,9997. The research concluded that there were someeffects of giving information through SMS on the increase of the attitude on premarital sex of X grade students of SMAN 1Pundong year 2014.

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