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PERINEUM MASSAGE EDUCATION TO EMPOWER PREGNANT WOMEN IN PREVENTING PERINEAL RUPTURE AT PENELEH PUBLICH HEALTH CENTER SURABAYA 2023 Eighty Mardiyan Kurniawati; Gatut Hardianto; Riska Wahyuningtyas; Nur Anisah Rahmawati; Vina Firmanty Mustofa; Cahyani Tiara Safitri; Agde Muzaky Kurniawan; Mardianti Rustam
Jurnal Layanan Masyarakat (Journal of Public Services) Vol. 8 No. 2 (2024): JURNAL LAYANAN MASYARAKAT
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jlm.v8i2.2024.162-169

Abstract

The three highest causes of maternal death in Indonesia, which is bleeding. Severe perineal rupture or what is called OASIS can cause bleeding that can lead to death. This community service activity aims to provide education about perineal massage to empower pregnant women to prevent perineal rupture at the Peneleh Public Health Center, Surabaya in 2023. Partnership programs are needed to achieve the Sustainable Development Goals (SDGs) targets. The problem faced by partners is that even though pregnancy classes are running, they do not yet provide material on preventing perineal rupture and practicing perineal massage so mothers do not have an understanding of techniques for preventing perineal rupture. Apart from that, health workers have not mastered perineal massage techniques so they cannot provide their knowledge to pregnant women. Activities are carried out in the form of providing material and practice. The evaluation was carried out by administering a pretest and posttest for knowledge and assessment of perineal massage skills for pregnant women and health workers. The evaluation method used was the ability of pregnant women to perform phantom perineal massage exercises. Pregnant women are said to be able to do this if they can do it correctly. Providing education related to perineal massage can increase the knowledge and skills of pregnant women thereby supporting the prevention of bleeding. Suggestions for community health centers to improve education so that pregnant women are ready to do it independently at home and provide support to health workers to provide education to pregnant women.
COMPARISON OF LAPAROSCOPIC AND ABDOMINAL SACROCOLPOPEXY FOR POST HYSTERECTOMY VAGINAL VAULT PROLAPSE REPAIR: META ANALYSIS Amani, Fariska Zata; Denas, Azami; Paraton, Hari; Hardianto, Gatut; Mardiyan K, Eighty; Hartono S, Tri
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.v5i2.1929

Abstract

Objective: Comparing the clinical outcomes of laparoscopic and abdominal sacrocolpopexy in vaginal vault prolapse post-hysterectomy’s patient. Method: Systematic search data is performed on medical database (PUBMED, Cochrane Database) using keyword:(1) vault prolapse [title] AND (2) laparoscopic[title] AND sacrocolpopexy[title]. Inclusion criteria:(1) randomized controlled trial and observational studies, (2) women with vaginal vault prolapse post hysterectomy, (3) intervention studied: laparoscopic (LSC) and abdominal sacrocolpopexy (ASC), (4) the entire fully accessible papers can be accessed and data can be accurately analyzed. Comparison about clinical outcomes of LSC and ASC was performed using narrative analysis and meta-analysis (RevMan). Results: Three studies compared clinical outcomes of LSC and ASC with a total of 243 samples (118 in LSC and 125 in ASC group). There was no significant difference in the incidence of complications between LSC and ASC (OR 1.10;95%CI 0.58-2.08). LSC was associated with less blood loss (MD 111.64 mL,95%CI-166.13 - -57.15 mL) and shorter length of hospital stay (MD -1.82 days;95%CI -2.52- -1.12 days) but requires a longer operating time (MD 22.82 minutes,95%CI 0.43-45.22 minutes). There was no statistically significant difference to anatomical outcomes (measurement of point C on POP-Q), subjective outcomes measured by PGI-I and reoperation numbers (repeat surgical interventions) for prolapse recurrence between LSC and ASC groups after one year of follow-up. Conclusions: LSC showed similar anatomic results compared to ASC with less blood loss and shorter length of hospital stay in management patient with vaginal vault prolapse.
SURGICAL VS. NON-SURGICAL APPROACHES IN VAGINAL AGENESIS: A SYSTEMATIC REVIEW Paramita, Alma Dhiani; Azwinda, Farah; Putri, Anastassya Yuniar Setyo; Kurniawati, Eighty Mardiyan
Lux Mensana: Journal of Scientific Health Vol. 3 Issue 4 (2024)
Publisher : jfpublisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56943/jsh.v3i4.626

Abstract

Introduction. Vaginal agenesis is the rudimentary or complete absence of vagina. The treatment of vaginal agenesis consists of various surgical and non-surgical techniques. This systematic review aims to describe the differences between surgical and non-surgical techniques of vaginal agenesis treatment in terms of vaginal length and sexual function. Method. Electronic databases such as PubMed, Science Direct, and SCOPUS were searched for articles published between 2018-2023. Literature restricted for women with vaginal agenesis who underwent surgical or non-surgical techniques was reviewed. Cross-sectional studies, observational studies, cohort studies, and retrospective studies were included in this study. Out of 190 articles, 8 articles were analyzed. All studies that reported total vaginal length and sexual function after treatment were conducted. Result & Analysis. The mean total vaginal length in the non-surgical technique was 7.23 cm and 8.88 cm in the surgical technique. Meanwhile, the level of sexual function, as measured using the Female Sexual Function Index (FSFI) score, showed a result of 24.40 in non- surgical techniques and 25.23 in surgical techniques. There is also one article with surgical techniques that assesses the level of sexual function objectively, resulting in sexual function within normal limits. Discussion. Total vaginal length in both techniques was normal but not on the FSFI scores. However, surgical techniques showed a slightly higher outcome Even so, non-surgical techniques are also a good treatment option considering the outcome are not much different compared to surgical techniques.
Impact of Freeze-Dried Amnion Membrane and Human Amnion Stem Cell Seeding on TGF-B and Collagen Type III in Vesicovaginal Fistula Sihotang, Jojor; Mardiyan, Eighty; Widjiati, Widjiati; Hidayatullah, Amiruddin
Indonesian Journal of Obstetrics and Gynecology Volume 12 No. 4 October 2024
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32771/inajog.v12i4.2139

Abstract

Objective: to analize how freeze-dried amniotic membrane and human amniotic stem cell seeding affect TGF B and type III collagen expression in suturing a New Zealand rabbit vesicovaginal fistula model. Metode: This experimental study employed New Zealand rabbits and a vesicovaginal fistula model with a post-test only control group design. The rabbits were divided into 3 groups: vesicovaginal fistula suturing alone, suturing with freeze-dried amniotic membrane, and suturing with freeze-dried amnion-seeded stem cells. After 7 days of treatment, specimens near the repaired vesicovaginal fistula were collected for immunohistochemical analysis of TGF B and collagen type III expression. Result: TGF B expression was significantly higher in the freeze-dried amniotic membrane with stem cell seeding group (p=0.001) compared to the freeze-dried amniotic membrane without stem cell seeding group (p=0.017) and the suturing-only group (p=0.049). Additionally, type III collagen expression was significantly elevated in the freeze-dried amnion membrane and stem cell seeding group (p=0.001) compared to the freeze-dried amnion group without stem cell seeding (p=0.09) and the suturing-only group (p=0.026). Conclusion: The expression of TGF B and type III collagen was higher in rabbits with vesicovaginal fistulas treated using freeze-dried amnion and amniotic stem cell seeding compared to those without amniotic stem cell seeding and vesicovaginal fistula suturing alone. Keywords: Vesicovaginal Fistula, Freeze-dried Amnion, Stem cell
Collagen-1 and elastin expression in cervical tissue: A comparison across cervical elongation, pelvic organ prolapse, and combined conditions Widyasari, Anis; Hardianto, Gatut; Kusumastuti, Etty Hari; Kurniawati, Eighty Mardiyan
Majalah Obstetri & Ginekologi Vol. 32 No. 3 (2024): December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mog.V32I32024.189-195

Abstract

HIGHLIGHTS Pathogenesis of cervical elongation is still limited, including the histological and molecular differences between a cervical elongation and a normal cervix. The expression of collagen-1 level in the cervical elongation group was stronger compared to the cervical elongation with POP and control group.   ABSTRACT Objective: This study aimed to assess differences in the expression of collagen-1 and elastin in cervical tissues among patients with Cervical Elongation (CE), Pelvic Organ Prolapse (POP), a combination of CE with POP, and those without either condition. Materials and Methods: An analytical study with a cross-sectional design was conducted, using immunohistochemistry (IHC) to analyze cervical tissue samples preserved in paraffin blocks. Patient groups included those diagnosed with CE, POP, CE combined with POP, and a control group without CE or POP. All participants underwent surgery between January 2021 and April 2023. IHC was used to measure the expression levels of collagen-1 and elastin in each tissue sample. Observations were made under 400x magnification, focusing on five randomly selected visual-field areas in each sample to determine the area fraction. Two experienced pathologists conducted the analyses in a blinded manner to ensure objective evaluation. Results: Statistical analysis using the Kruskal-Wallis test revealed significant differences in the expression of collagen-1 across the four groups (CE, POP, CE with POP, and control). Patients with CE showed a higher expression of collagen-1 than those with CE and POP combined, as well as the control group. However, no significant differences in elastin expression were observed among the groups. Conclusion: Collagen-1 expression differs significantly across patients with CE, POP, and CE combined with POP, suggesting a distinct role in cervical tissue remodeling in these conditions. Conversely, elastin expression was consistent across all groups, indicating that it may not play a differentiating role in these pathologies. These findings highlight collagen-1’s potential involvement in the structural changes associated with CE and POP.
Pengembangan Training of Trainer (TOT) Kesehatan Reproduksi dan Psikologi pada Santriwati sebagai Upaya Pengurangan Kasus Pernikahan Dini di Sumenep Madura Kurniawati, Eighty Mardiyan; Nawangsari, Nur Ainy Fardana; Rahmawati, Nur Anisah; Safitri, Cahyani Tiara; Kurniawan, Agde Muzaky; Rodhiyana, Rosda; Mustofa, Vina Firmanty
PASAI : Jurnal Pengabdian kepada Masyarakat Vol. 1 No. 2 (2022): December
Publisher : Yayasan Pendidikan Mitra Mandiri Aceh(YPMMA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58477/pasai.v1i2.35

Abstract

Early marriage has both short-term and long-term consequences. Reproductive A variety of problems related to her health and mental or psychological health can occur. Young people must be given full understanding. This non-profit effort aims to promote Youth Trainer Training (TOT) activities to increase young people's understanding of the youth psychology associated with reproductive health and early marriage, and to disseminate the information received. This activity is an attempt to reduce early marriage in Sumenep Madura. Activities carried out include reproductive health materials provided by obstetricians and gynecologists, adolescent psychology materials provided by psychologists, Training of Trainers (TOT) aimed at facilitating trainers and peer counselors. This includes improving communication skills and critical thinking in Train all schoolgirls and use workshops/training to create digital works in the form of health promotion media posters and/or educational videos using works based on local wisdom. The activities carried out can enhance young people's knowledge of reproductive health, psychology, communication skills and media production. Subsequent activities, including parents, require regular training to reduce early marriage.
The Impact of Personal Hygiene Practices on the Incidence of Vaginal Discharge Among Adolescent Girls at Junior High School 29 Surabaya, 2023 Siti Nur Aini, Rani; Kurniawati, Eighty Mardiyan; Utomo, Budi
Journal of Community Medicine and Public Health Research Vol. 6 No. 1 (2025): Journal Community Medicine and Public Health Research
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jcmphr.v6i1.53824

Abstract

The teenage years are a period of rapid growth and development. Adolescence is a period of rapid growth and development, especially in the reproductive system. Many teenagers do not receive adequate knowledge about how to care for their reproductive organs because it is still considered taboo, so some teenagers may experience problems with their reproductive organs. A common issue faced by teenagers is leucorrhea. Leucorrhea is one of the problems that can arise due to the lack of knowledge among teenagers about maintaining reproductive health. Leucorrhea can develop into a serious problem if the care of the reproductive organs is not appropriately managed. This observational analytical study utilizes quantitative methods with a cross-sectional research design. The population was female  Junior High School (SMPN) students 29 Surabaya. The sample was selected using purposive sampling. Data analysis employed univariate and bivariate methods, with the Chi-Square Test used for statistical analysis. The findings indicated that 78.8% of respondents experienced physiological vaginal discharge, 17.7% had pathological vaginal discharge, and 3.5% reported never having vaginal discharge. Statistical analysis revealed a significant relationship between personal hygiene and the incidence of vaginal discharge, with a p-value of 0.001. The research demonstrated a clear relationship between personal hygiene and the incidence of vaginal discharge. Educating adolescents about reproductive health and proper care for reproductive organs can help reduce the incidence of vaginal discharge among girls.
Factors Influencing Female Workers’ Perception of Sufficient Work Time: A Survey-Based Study Rahmawati, Nur Anisah; Kurniawati, Eighty Mardiyan
Journal of Public Health for Tropical and Coastal Region Vol 8, No 2 (2025): Journal of Public Health for Tropical and Coastal Region
Publisher : Faculty of Public Health, Universitas Diponegoro, Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jphtcr.v8i2.28822

Abstract

 Introduction: Women's participation in the labor market has increased significantly, yet challenges related to fair wages, long working hours, and work-life balance persist. This study addresses the factors influencing female workers’ perceptions of sufficient work time among female workers.Methods: This study used secondary data from the 2024 National Labor Force Survey conducted by Indonesia’s Central Bureau of Statistics, focusing on six industrial cities in East Java. A purposive sample of employed women aged 15 years and older with complete data on key variables was selected for the analysis. Data collection was conducted using Computer-Assisted Personal Interviewing (CAPI) through the FASIH application. Statistical analyses were performed with a significance level set at p < 0.05 and 95% confidence intervals (CI).Results: In total, 1,378 female workers completed the survey. Almost all the female workers (94.0%) felt that their working hours were sufficient. Education (p=0.014), length of work (p=0.07), payroll period (0.002), wages according to the district minimum wage (0.000), and long working hours (0.022) were related to perceived work time sufficiency in female workers, while age (p=0.624), marriage (p=0.642), vision impairment (p=0.956), and hearing loss were not related to perceived work time sufficiency.Conclusion: Employment conditions, education levels, and wage systems influenced how women perceive their work time adequacy. Adequate wages, access to education for women, and working hours within healthy limits can improve the work-life balance for women.
The Role of Probiotics in Urinary Tract Infections in Women: Peran Probiotik dalam Infeksi Saluran Kemih pada Perempuan Kurniawati, Eighty Mardiyan; Gatut Hardianto; Setyo Hadi, Tri Hastono; Paraton, Hari; Widyasari, Anis; Rahmawati, Nur Anisah
Indonesian Journal of Obstetrics and Gynecology Volume 11 No. 3 July 2023
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32771/inajog.v11i3.1881

Abstract

Objective: To review the role of probiotics in urinary tractinfections in womenMethods: Systematic review was conducted by searchingfi ve databases with several keywords, namely “urinary tractinfection”, “cystitis”, “women” and “probiotics”. Articles thathave gone through peer review are included in the studyif they meet the inclusion and exclusion criteria. Reportingfollows the PRISMA rules.Results: The women included in this study varied from earlyadulthood to postmenopausal, most of whom were sexuallyactive, used birth control methods, and had recurrenturinary tract infections. The results showed that the use ofprobiotics in varied outcomes, either positive or not showedsignifi cant results. This is also due to the differences in theoutcomes studied and the additional materials used. Thisalso contributed to the emergence of adverse effects.Conclusion: The use of probiotics in the treatment ofcystitis and urinary tract infections has hope, although notall studies show signifi cant results. The side effects foundare still tolerable although they need to be considered.Keywords: cystitis, probiotic, urinary tract infection, women.AbstrakTujuan: Meninjau peran probiotik dalam infeksi salurankemih pada perempuan.Metode: Tinjauan sistematis dilakukan dengan mencari limadatabase dengan beberapa kata kunci, yaitu “infeksi salurankemih”, “sistitis”, “perempuan” dan “probiotik”. Artikel yangtelah melalui peer review diikutsertakan dalam penelitianjika memenuhi kriteria inklusi dan eksklusi. Pelaporanmengikuti aturan PRISMA.Hasil: Perempuan yang diikutsertakan dalam penelitian inibervariasi mulai dari dewasa awal hingga pascamenopause,sebagian besar aktif secara seksual, menggunakan metodekontrasepsi, dan mengalami infeksi saluran kemih berulang.Hasil penelitian menunjukkan bahwa penggunaan probiotikpada infeksi saluran kemih menunjukkan hasil yang positifmaupun tidak menunjukkan hasil yang signifi kan. Hal inijuga disebabkan perbedaan outcome dan bahan tambahanyang digunakan. Penggunaan bahan juga berkontribusipada munculnya efek samping.Kesimpulan: Penggunaan probiotik dalam pengobatansistitis dan infeksi saluran kemih memiliki harapan, walaupuntidak semua penelitian menunjukkan hasil yang signifi kan.Efek samping yang ditemukan masih dapat ditoleransimeskipun perlu diperhatikan.Kata kunci: infeksi saluran kemih, perempuan, probiotik,sistitis.
Characteristics and treatment in patient with Vaginismus in East Java Indonesia Kurniawati, Eighty Mardiyan; Hardianto, Gatut; Paraton, Hari; Setyo Hadi, Tri Hastono; Widyasari, Anis; Rahmawati, Nur Anisah
Indonesian Journal of Obstetrics and Gynecology Volume 13. No. 3 July 2025
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32771/inajog.v13i3.2231

Abstract

Background - Vaginismus is still an under-researched case of women's health despite its universal prevalence. Aim -This study aims to explore the characteristics of vaginismus in East Java Indonesia. Methods- The subjects in this study were all new female patients with Vaginismus was found in a single hospital - East Java Indonesia in 2022. The data used in this study are secondary data obtained from the medical records. Descriptive data are presented as numbers and percentages for categorical data. Results – Vaginismus was found in a single hospital - East Java Indonesia. Based on medical record data, throughout 2022 there will be 60 patients with a diagnosis of Genito Pelvic Pain Penetration Disorder (GPPPD). The results of the assessment of patient characteristics showed that almost all patients were of reproductive age. Most of the respondents have been married for more than 1 year. Management is carried out independently and collaboratively. A total of 60 patients underwent anamnesis and physical examination. Complaints experienced by patients are failure to penetrate. Treatment was done using Botox injections, dilatation, hymenectomy, and consultation to psychiatrist and andrologist. Conclusion - Management in cases of Vaginismus requires cross-professional collaboration such as psychiatrists and andrology. The treatment given also tends to be complex.
Co-Authors Achmad Rheza Agde Muzaky Kurniawan Agde Muzaky Kurniawan Ahila Meliana Akhmad Risdianto Amani, Fariska Zata Anis Widyasari Anna Surgean Veterini Arief Wibowo Azwinda, Farah Bagus Setyoboedi Budi Utomo Cahyani Tiara Safitri Cahyani Tiara Safitri Cahyani Tiara Safitri Cholid Rochman Riskianto Cita Rosita Sigit Prakoeswa Damayanti Tinduh Denas A, Azami Denas, Azami Devina Callista Ayungga Dewi Sulistyawati Diah Indriani Diana Khoirul Khafidloh Dwi Izzati Budiono Erry Gumilar Dahlan Fadhilah Mega Indriati Faizah, Zakiyatul Fauzan Djunaidi Gadis Meinar Sari Gatut Hardianto, Gatut Gatut Hardiyanto Hamzah Hanna Dyahferi Anomsari Hari Paraton Hari Paraton Hari Paraton Hari Paraton Hari Paraton Hartono S, Tri Hidayatullah, Amiruddin Irwanto Irwanto Ivon Diah Wittiarika Izzati, Dwi Jojor Sihotang Juniastuti Juniastuti Karimah, Azimatul Kurniawan, Agde Muzaky Kusumastuti, Etty Hari Lucky Prasetiowati Mardianti Rustam Mei Indarti Miftha Hurrahmi Mokhamad Anhar Dani Muhammad Rais Fathurrachman Mustofa, Vina Firmanty Nabilah Khansa Nawangsari, Nur Ainy Fardana Novy Ngan Nur Anisah Rahmawati Nur Anisah Rahmawati Nur Anisah Rahmawati Nur Anisah Rahmawati Nur Anisah Rahmawati Nur Hidayati Paramita, Alma Dhiani Pudji Lestari Putri, Anastassya Yuniar Setyo Rahmawati, Nur Anisah Rimbun Risa Etika, Risa Riska Wahyuningtyas Rizqy Rahmatyah Rodhiyana, Rosda Romi Kiki Nur Fita Sari Rosda Rodhiyana Safa Salsabila Hanum Safitri, Cahyani Tiara Setyo Hadi, Tri Hastono Shervil Kagayaita Sayko Siti Nur Aini, Rani Sri Umijati Subijanto Marto Soedarmo Sulistiawati Sulistiawati Sulistiawati Sulistiawati Sulistiawati Tri Hastono Tri Hastono Setyo Hadi Tri Hastono Setyo Hadi Ulfa Nur Laily Umiastuti, Pirlina Ummu Kulsum ummu kulsum Velyana Lie Vemaniarti Lian Pravitasari Vina Firmanty Mustofa Vina Firmanty Mustofa Vina Firmanty Mustofa Widati Fatmaningrum Widjiati Widjiati Widjiati Widjiati, Widjiati Yanuar Prionggo Yuni Hukubun