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Duration of Use of KB Injections 3 Months Against Spotting Events in KB Participants Saadah, Nurlailis; Galuh Mahendra, Fresha; Usnawati, Nana; Surtinah, Nani
International Journal of Advanced Health Science and Technology Vol. 3 No. 4 (2023): August
Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ijahst.v3i4.266

Abstract

Spotting is bleeding between 2 menstrual cycles due to hormonal imbalance in the body due to the use of hormonal birth control that is used by the community, namely 3-month injection birth control. Spotting occurs due to an increase in the amount of the hormone progesterone in the body due to injections. This study aimed to determine the effect of the duration of using 3 months of injectable birth control on the incidence of spotting. The research method uses an analytical survey with a retrospective approach. A sample of 246 KB injection participants for 3 months was taken by systematic simple random sampling. Statistical analysis using Fisher's Exact test. The results showed that most of the 3-month injection KB participants who were less than 2 years old experienced spotting side effects, while those who used injection KB for more than 2 years did not experience spotting. A p-value of 0.000 was obtained (p-value <0.05) so that there was an effect of the duration of using 3 months of injection contraception on the incidence of spotting. It is hoped that this research can be used for PUS who will use 3-month injectable birth control or who are currently using 3-month injection birth control as an illustration of the side effects that will be experienced when using 3-month injection birth control, so there are no dropouts and switching to using non-hormonal birth control.
Relationship Between Knowledge, Attitude, and Family Support with Exclusive Breastfeeding Sukarni; Surtinah, Nani; Santoso, Budi Joko; Agung Suharto
International Journal of Advanced Health Science and Technology Vol. 4 No. 3 (2024): June
Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ijahst.v4i3.342

Abstract

The effort to improve the quality of human resources (HR) begins from infancy in the womb. One of the efforts to ensure a well-growing and developing baby is by providing Exclusive Breastfeeding (EBF). Globally, the provision of EBF is lower than needed. This study aims to determine the relationship between knowledge, attitude, and family support towards the provision of exclusive breastfeeding in the working area of UPTD Puskesmas Plaosan Magetan. Method : This research is an analytical survey study with a cross-sectional design. The research sample was taken using Simple Random sampling technique, amounting to 37 mothers with infants aged 0-6 months. The independent variables are knowledge, attitude, and family support, and the dependent variable is the provision of Exclusive Breastfeeding. Data collection was conducted using questionnaires and baby register books. To analyze the relationship between knowledge, attitude, and family support, Bivariate analysis was used, and the tests used were chi-square or fisher exact tests. Result : The results showed that there was no relationship between knowledge and the provision of Exclusive Breastfeeding (p-value = 0.447), there was a relationship between attitude and the provision of Exclusive Breastfeeding (p-value = 0.005), and there was a relationship between family support and the provision of Exclusive Breastfeeding (p-value = 0.002). Discussion : Based on the results of the study, it is concluded that the success of Exclusive Breastfeeding is related to attitude and family support; however, attitude and family support are formed from good knowledge and a positive mindset. Suggestion : Therefore, it is recommended for UPTD Puskesmas Plaosan to develop educational programs involving family participation and community leaders, as well as to improve health services.
Risk Factors For Anemia In Pregnant Women In The Third Trimester swastika, swastika; Surtinah, Nani; Santoso, Budi Joko; Suharto, Agung
International Journal of Advanced Health Science and Technology Vol. 4 No. 3 (2024): June
Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ijahst.v4i3.354

Abstract

Anemia is a condition in which the percentage of erythrocytes and hemoglobin (Hb) levels of pregnant women fall below normal. Ponorogo Regency Health Profile Data in 2022, there were 1,746 anemic pregnant women out of 10,878 (16.50%). This study aims to provide an overview of risk variables and initiatives aiming to decrease the proportion of anemia cases among pregnant women. Method: Analytical observational research was used to conduct the study, which was conducted retrospectively from quantitative data. All 62 pregnant women with anemia in the third trimester formed the study sample for the case population. Two independent (free) factors were used in this study: parity, education, nutritional status, maternal age, and gestational age. The prevalence of anemia in third trimester pregnant women is the dependent variable. The instrument used by researchers is an observation sheet. Data analysis to test the truth of the hypothesis uses Regression Logistic Analysis. Result: The findings of the study revealed that maternal age (p-value 0.009) and gestational age (p-value 0.027) were risk factors that had an impact on the incidence of anemia at the North Ponorogo Health Center, indicating that gestational age affects the incidence of anemia. Maternal age has a significant risk impact on the occurrence of anemia. The data showed that the incidence of anemia with a risk of 0.884 times was not affected by nutritional status (p-value = 0.727), parity (p-value = 0.043), education (p-value = 0.043), while the incidence of anemia with a risk of 8.483 times was influenced by parity. Discussion: The findings of this study lead to the conclusion that influencing risk factors were gestational age, maternal age and parity, while nutritional status and education were risk factors that had no effect on anemia in pregnant women. Suggestion: It is expected to provide advice or reference to health centers in order to conduct early detection or further improve comprehensive examinations in order to reduce the prevalence of anemia in the third trimester of pregnancy among several parameters that have been examined by researchers.
Endorphine Massage untuk Mempercepat Durasi dan Menurunkan Intensitas Nyeri Afterpains Jayanti, Yuni Dwi; Purwanto, Triana Septianti; Wisnu, Nurwening Tyas; Surtinah, Nani
2-TRIK: TUNAS-TUNAS RISET KESEHATAN Vol 14, No 1 (2024): Januari-Maret 2024
Publisher : FORUM ILMIAH KESEHATAN

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/2trik14104

Abstract

Afterpains can be more painful after childbirth, and one option for relieving them is endorphin massage. The purpose of this study was to determine the effectiveness of endorphin massage in reducing the duration and intensity of afterpains. This experimental study, with a pretest and posttest design with a control group, involved 30 mothers with afterpains, divided into a treatment group and a control group, each with 15 participants. The intervention given to the treatment group was endorphin massage. In both groups, the duration and intensity of afterpains were measured through observation. A comparative analysis of the results was performed using a t-test. The analysis showed a p-value of 0.001 for the comparison of changes in pain duration between the two groups, thus interpreting that endorphin massage was more effective in reducing pain duration than the control group. Meanwhile, a p-value of 0.183 was obtained for the comparison of changes in pain intensity between the two groups, thus interpreting that endorphin massage was equally effective in reducing pain duration compared to the control group. Furthermore, it was concluded that endorphin massage is an effective method for reducing pain duration and reducing afterpains intensity.Keywords: afterpains; endorphin massage; pain duration; pain intensityABSTRAK Afterpains akan lebih terasa sakit setelah melahirkan, dan salah satu pilihan untuk meredakannya adalah dengan endorphine massage. Tujuan penelitian ini adalah mengetahui efektivitas endorphine massage untuk mempercepat durasi dan menurunkan intensitas nyeri afterpains. Penelitian ini merupakan studi eksperimental dengan rancangan pretest and posttest with control group, yang melibatkan 30 ibu dengan afterpains, yang dibagi menjadi kelompok perlakuan dan kelompok kontrol, masing-masing 15 orang. Intervensi yang diberikan untuk kelompok perlakuan adalah endorphine massage. Pada keldua kelompok dilakukan pengukuran durasi dan intensitas afterpains dengan cara observasi. Selanjutnya dilakukan analisis perbandingan hasil menggunakan uji t. Hasil analisis menunjukkan nilai p = 0,001 untuk perbandingan perubahan durasi nyeri antara kedua kelompok, sehingga diinterpretasikan bahwa endorphine massage lebih efektif untuk mempercepat durasi nyeri dibandingkan kontrol. Sementara itu, nilai p = 0,183 didapatkan untuk perbandingan perubahan intensitas nyeri antara kedua kelompok, sehingga diinterpretasikan bahwa endorphine massage sama-sama efektif untuk mempercepat durasi nyeri dibandingkan kontrol. Selanjutnya disimpulkan bahwa endorphine massage adalah metode yang efektif untuk mempercepat durasi nyeri dan menurunkan intensitas afterpains.Kata kunci: afterpains; endorphin massage; durasi nyeri; intensitas nyeri
Risk Factors of Pregnant Women with Anemia for LBW Incidence in Maospati, Indonesia Pudjianti, Sri Wahyuni; Santosa, Budi Joko; Surtinah, Nani; Sunarto, Sunarto
Health Dynamics Vol 1, No 7 (2024): July 2024
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd10702

Abstract

Background: The prevalence of low birth weight (LBW), according to the World Health Organization (WHO), is estimated to be 15%–20% of all births worldwide. Babies with LBW face a challenging and risky life trajectory, often experiencing growth and development disorders. Pregnant women with a history of anemia are considered a risk factor for LBW cases. This study aims to determine the risk factors for anemia in pregnant women and the incidence of LBW in the Maospati Community Health Center area. Methods: This observational analytic study employed a case-control design. The case population consisted of LBW infants, while the control population included non-LBW infants. The case sample comprised 25 LBW infants, and the control sample included 50 infants who were not LBW. The independent variable was the history of anemia in pregnant women, and the dependent variable was the incidence of LBW. Data were collected from medical records and labor recapitulation records from February 2023 to February 2024, using an observation sheet as the research instrument. Data analysis involved calculating the proportion of cases to exposure and determining the odds ratio. Results: The study found a significant association between a history of anemia in pregnant women and the incidence of LBW in their babies, with a p-value of 0.003. Pregnant women with anemia had a 4.571 times greater risk of giving birth to an LBW baby compared to those without anemia. Conclusions: The findings indicate that a history of anemia in pregnant women is a significant risk factor for LBW in newborns. Monitoring pregnancy and hemoglobin levels is essential to reduce the incidence of LBW in infants.
Coping Mechanisms among Women Who Experience Dysmenorrhea in Baleasri Village, Magetan, Indonesia Tassyabela, Fadia Meisyn; Sunarto, Sunarto; Sulikah, Sulikah; Surtinah, Nani
Health Dynamics Vol 1, No 10 (2024): October 2024
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd11002

Abstract

Background: Dysmenorrhea (menstrual pain) is often experienced by women of childbearing age. The main complaint is abdominal pain that spreads from the lower back to the thighs. The pain complaint results in disruption of daily activities. The purpose of the study was to identify the description of type of coping, and coping mechanisms in women who experience dysmenorrhea. Methods: The type of research used was descriptive exploratory with a population of 252 women of childbearing age who experienced dysmenorrhea. The sample size of this study was 152 women (Krejci & Morgan table). The independent variable is dysmenorrhea, and the dependent variable is the type and coping mechanisms. The instrument for identifying the type, and coping mechanisms used a questionnaire. Data on women of childbearing age who experienced dysmenorrhea were obtained from secondary data from the Village Midwife's records. Data collection techniques used questionnaires and secondary data observations. Data analysis was carried out descriptively, in the form of frequency distribution percentages and prevalence ratios. Results: The results showed that women who experienced dysmenorrhea tended to use adaptive coping. The most frequently used coping mechanism was problem-focused coping. Women who work and are active in sports are risk factors that can reduce dysmenorrhea. Adolescent age, secondary education, age of menarche less than 12 years, and menstrual periods more than 7 days are triggers for dysmenorrhea. Conclusion: regular exercise and work are positive coping mechanisms that can reduce dysmenorrhea.