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All Journal International Journal of Public Health Science (IJPHS) Indonesian Journal of Geography Jurnal Kebidanan snimed Majalah Kedokteran Bandung Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Jurnal Kesehatan Reproduksi Global Medical and Health Communication Gadjah Mada Journal of Psychology Paediatrica Indonesiana Jurnal Profesi Medika: Jurnal Kedokteran dan Kesehatan Belitung Nursing Journal Midwifery Journal: Jurnal Kebidanan UM. Mataram Jurnal Kesehatan Reproduksi Media Kesehatan Politeknik Kesehatan Makassar MAGNA MEDICA: Berkala Ilmiah Kedokteran dan Kesehatan Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Jurnal Kesehatan Madani Medika Journal of Community Empowerment for Health Jurnal Kebidanan Indonesia Jurnal Kesehatan Primer Berita Kedokteran Masyarakat Jurnal Psikologi Universitas Gadjah Mada Jurnal Kebidanan dan Keperawatan Aisyiyah Jurnal Manajemen Pelayanan Kesehatan (The Indonesian Journal of Health Service Management) Jurnal Kesehatan Tropis Indonesia Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal) Jurnal Kesehatan Primer

Ova Emilia

Department Of Obstetrics And Gynecology, Faculty Of Medicine, Public Health And Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia

Author-ID : 259497

Humanities Biochemistry, Genetics & Molecular Biology Dentistry Earth & Planetary Sciences Education Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Other

Published : 130 Documents Claim Missing Document

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Spatial Patterns Associating Low Birth Weight with Environmental and Behavioral Factors Donal Donal; Hartono Hartono; Mohammad Hakimi; Ova Emilia
International Journal of Public Health Science (IJPHS) Vol 6, No 1: March 2017
Publisher : Intelektual Pustaka Media Utama

Low birth weight (LBW) is a significant public health problem in the world. It was estimated globally by the World Health Organization (WHO) that prevalence of LBW was 15% of all births. In Murung Raya district LBW cases remain high. This paper aimed to identify and discuss the relationship between environmental risk factors with LBW in Murung Raya.A spatial analysis was conducted with 150 women as the total participantswho were recruited through the incidence data in 2013-2014. The questionnaires, medical records, and geographic data were measured by Stata software, ArcGis, SatScan, and Geoda. The study results indicated there was significant correlation between health behavior and environmental variables with the strength of external neighborhood effect across LBW risk factors. More intense clustering of high values (hot spots) was found through the spatial analysis showing that most of the cases were located near the defined buffer zone. This research demonstrates that the spatial pattern analysis provided greater statistical power to detect an effect that was not apparent in the previous epidemiology studies.

The Role of Decision Makers in Late Maternal Referrals Verayanti Albertina Bata; Ova Emilia; Mohammad Hakimi
JURNAL KESEHATAN PRIMER Vol 4 No 1 (2019): JKP (Jurnal Kesehatan Primer)
Publisher : Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5281/jkp.v4i1.263

Background: Three delays models in referring the mother to health facility are the most important determinants in maternal mortality. Based on the culture in West Sumba, most of the people still follow patrilinear patrimony. This culture limiting women to make decisions such as the decision to determine where to get health services, plan the number of children and bird spacing. The first model should be immediately prevented from causing the next delay which is late in making a family decision and too late to recognize danger sign in pregnancy that affects maternal mortality. Purpose: The purpose of this study was to explore the role of decision-makers in delayed maternal referrals. Methods: Qualitative research using the phenomenological design on 5 mothers who experienced a delay in referral at Padediwatu Primary Health Care. Data collected with in-depth interviews. Result: Decision maker in maternal referring was dominated by the husband. Obstacles in the referral process such as not having a vehicle, long distances and difficult road access, low economic status, and the culture that depend on others so maternal health status with complications is not a priority for the husband. Husband's work as a farmer and sailor that keeps the husband away from home or near to his wife for long periods was affected by the decision-making process of maternal referral. Conclusion: Decision-making in maternal referrals still emphasizes patrilinierculture, husbands have an important role in making maternal referral decision.

Spatial Analyses of Low Birth Weight Incidence, Indonesia Donal Donal; Hartono Hartono; Muhammad Hakimi; Ova Emilia
Indonesian Journal of Geography Vol 50, No 1 (2018): Indonesian Journal of Geography
Publisher : Faculty of Geography, Universitas Gadjah Mada

The etiology of Low Birth Weight (LBW) in Murung Raya is still unclear. This study aimed to find out the relationship between environmental and health behavior risk factors of LBW in Murung Raya. 150 women were recruited through the incidence data 2013- 2014, and the questionnaires, medical records, and geographic data were measured by McNemar, ANOVA, logistic, IRR, MI, z (Gi), and NNI tests. Bivariate analysis showed significant correlation of LBW with TBA care OR= 10, drinking popa OR= 5, smoking OR= 6.1, and accessibility OR = 2.3, with adjusted OR for TBA care OR= 32.78, ANC OR= 27.52 revealing trend lines with ANOVA F=49, and clustering RR=7, MI >0 (four clusters), z (Gi) >1 (two high clusters), and NNI>1 (two high clusters). The spatial analysis provided greater statistical power to detect an effect that was not apparent in the case-control study. This study suggests that preventions, interventions and treatment for LBW not only be conducted by the current epidemiology approach but also by new modern geographic positioning analysis.

Premenstrual syndrome (PMS) and premenstrual dysphoric disorder (PMDD) in Indonesian women Ova Emilia Ova Emilia Ova Emilia
Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Vol 40, No 03 (2008)
Publisher : Journal of the Medical Sciences (Berkala Ilmu Kedokteran)

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Background: Data from epidemiologic surveys showed that the burden of illness caused by premenstrual syndrome could not be underestimated. It has been estimated that the frequency of premenstrual symptoms was quite high (80-90%1, and in some women, the symptoms were so severe that they might interfere with daily activities. Most epidemiological studies of PMS were conducted in Western women, though a few small sample-size studies of Chinese and Japanese women indicated that they were affected by PMS. Objective: To find out the characteristic features of premenstrual symptoms in Indonesian women.Methods: Four hundred and sixty women aged between 20 and 49 yrs. with regular menstrual cycles, who were seen at a Women Health Clinic, were assessed regarding their premenstrual symptoms using the Premenstrual Symptoms Screening Tool (PSSTI. They were able to provide informed consent. The study was conducted in July 2007 until January 2008.Results: As many as 95% of these women were found to have at least premenstrual symptoms. The rates of prevalence of moderate to severe PMS and PMDD in this study were 3.9% and 1.1 %, respectively, which were lower than those in Western or Chinese and Japanese women. Only 5 women with moderate to severe PMS and PMDD were treated and 10.5% women seek herbal medicine to reduce premenstrual symptoms.Conclusion: Severe to moderate premenstrual symptoms and PMDD were suffered by 5% women and mostly affected 20-29 year old women. Medical treatment was rarely sought, but herbal medicine was often used to relieve premenstrual symptoms.Key words: PMS - PMDD - Indonesian women

Psychosocial stress and bacterial vaginosis in adult women Ova Emilia Ova Emilia
Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Vol 40, No 02 (2008)
Publisher : Journal of the Medical Sciences (Berkala Ilmu Kedokteran)

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Objectlve:The purpose of this study was to assess the association of bacterial vaginosis with psychosocial stress with in adult women.Methods: A cross sectional design was used. Adult women (n = 320) aged 15 to 44 years were recruited at routine health care visits. Assessments were conducted on clinical symptoms, and an extensive selfreport interview.Results: Psychosocial stress was associated with overall prevalence of bacterial vaginosis (ratio prevalence, 1.22; 95% CI, 1.13-1.34). Factors that may influence the association were age, frequency of douching, frequency of vaginal intercourse and use of hormonal contraceptive. The association was not changed appreciably by the control for behavioral and demographic characteristics.Conclusion: Increased psychosocial stress is associated with greater bacterial vaginosis prevalence independent of other risk factors.Key words: bacterial vaginosis - stress - immune functioning

PERSEPSI REMAJA TERHADAP FAKTOR PENGHAMBAT PEMANFAATAN PELAYANAN KESEHATAN REPRODUKSI DI PUSKESMAS GAMBOK KABUPATEN SIJUNJUNG Vella Dwi Yani; Ova Emilia; Hari Kusnanto
JURNAL KESEHATAN REPRODUKSI Vol 1, No 1 (2014)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.4913

PERSEPSI REMAJA TERHADAP FAKTOR PENGHAMBATPEMANFAATAN PELAYANAN KESEHATAN REPRODUKSIDI PUSKESMAS GAMBOK KABUPATEN SIJUNJUNGVella Dwi Yani, Ova Emilia, Hari KusnantoABSTRACTBackground: Reproductive health service is an important component that has to be improved globally becauseteenagers often lack basic information about reproductive health. Despite the need for reproductive health serviceonly a few teenagers utilize the service due to several constraints in having reproductive and sexual health serviceas a result of limited access to the service and negative perception about center of reproductive health service.Data of Sijunjung District Health Office Sumatera Barat show that only 20% of teenagers utilize reproductivehealth service available. Whereas cases in teenagers indicate that 9.2% of teenagers have had premarital sexualintercourse and 40% are married at teenage period (<20 years) and 10% is caused by unwanted pregnancy.Objective: To study the perception of teenagers about physical, process, economic and psychosocial factors asobstacles in the utilization of reproductive health service.Method: The study was observational with cross sectional design and descriptive quantitative approach thatused qualitative data obtained from indepth interview. Subject of the study were students of SMU 1 and 2 of 14-16 years old around the working area of Health Centers that have health service for teenagers with as many as131 respondents.Result and Discussion: Perception of teenagers about physical, process and economic factors showed that themajority had good perception so these factors were not obstacles for teenagers in utilizing reproductive healthservice. The majority of teenagers (68%) had bad perception about psychosocial factor so this was an obstacle inthe utilization of reproductive health service.Conclusion: Obstacles in the utilization of reproductive health service at the health center were caused bypsychosocial factor because of shame and unwillingness to tell the problem to staff that was considered asstrangers. Teenagers also doubted the confidentiality of the problem they told to the staff.Keywords: perception, teenagers, reproductive health, utilizationABSTRAKLatar belakang: Pelayanan kesehatan reproduksi merupakan komponen penting yang harus diperbaiki secaraglobal. Remaja sering kali kekurangan informasi dasar tentang kesehatan reproduksi. Meskipun kebutuhanpelayanan kesehatan reproduksi tinggi namun pemanfaatannya masih rendah karena berbagai hambatanmemperoleh pelayanan dan juga adanya persepsi negatif terhadap pusat pelayanan kesehatan reproduksi. Datadari dinas Kesehatan kabupaten Sijunjung Sumatera Barat menunjukkan hanya 20% remaja yang memanfaatkanpelayanan kesehatan reproduksi. Sedangkan kasus dan masalah kesehatan reproduksi menunjukkan 9,2% sudahberhubungan seks sebelum menikah, dan 40% menikah pada usia remaja (<20 tahun) serta 10% mengakibatkankehamilan tak dikehendaki.Tujuan: Untuk mempelajari persepsi remaja terhadap faktor fisik, proses, ekonomi dan psikososial untukmemanfaatkan pelayanan kesehatan reproduksi remaja.melalui wawancara mendalam.Subyek penelitian adalah siswa SMA kelas 1 dan 2 usia 14-16 tahun di wilayahkerja puskesmas sebanyak 131 responden.Hasil dan Pembahasan: Mayoritas remaja memiliki persepsi baik terhadap faktor fisik, proses, dan ekonomi. Tigafaktor bukanmerupakan penghambatmemperoleh layanan kesehatan reproduksi. Sementara itu faktor psikososialdianggap sebagai penghambat (68%) untuk memanfaatkan pelayanan kesehatan reproduksi.Kesimpulan: Hambatan pemanfaatan layanan kesehatan reproduksi adalah faktor psikososial karena malu dantidak percaya untuk menceritakan masalah pada petugas kesehatan yang tidak dikenal. Remaja juga meragukankerahasiaan masalah yang diungkapkan.Kata kunci: persepsi, remaja, kesehatan reproduksi, pemanfaatan

PEMANFAATAN POJOK LAKTASI DI PUSKESMAS I CILONGOK KABUPATEN BANYUMAS Khusnul Khotimah; Ova Emilia; Mohammad Hakimi
JURNAL KESEHATAN REPRODUKSI Vol 1, No 1 (2014)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.4914

PEMANFAATAN POJOK LAKTASI DI PUSKESMAS I CILONGOKKABUPATEN BANYUMASKhusnul Khotimah, Ova Emilia,Mohammad HakimiABSTRACTBackground : Based on survey Indonesian demographic and health in 2007 that exclusive breastfeeding 38 %decrease from 39,5% in 2002-2003, child under 6 months who gets milk incease from 16,7% until 27,9% in2007. American Academy of Pediatrics (1)get recomendation baby must get exclusive breastfeeding in 6 monthuntil 2 years old. Banyumas regency are have a program to increase scope of exclusive breastfeeding by regulationof regent number 52 in 2012 about increase exclusive breastfeeding in Banyumas Regency. One of the material insocialization is about lactation room and standardization, right of women worker to breastfed in office, publicfacility.Objective : to determine factors can effected utilization of lactation room in Puskesmas I Cilongok.Methods : this study was an observational study with a cross sectional design and qualitative study or called mixmethod. Location of study in Puskesmas I Cilongok. Sample of this study is employed mother who breastfeedand visitors of Puskesmas I Cilongok in Banyumas Regency. Sampling method used sampling convinience get 41women until this study done. independent variable are attitude of breastfeed mother about lactation room andbehavior of breastfeed mother. Dependent variable is utilization of lactation room. Data analysis consisted ofunivariable analysis, bivariable analysis using chi-square test and multivariable analysis using logistic regressiontest and also qualitative analysis.Results and Discussion : there is no effect attitude of breastfeed mother about lactation room with utilization oflactation room, can we see from p = 0,247 (RP1,58; 95% CI 0,70-3,55), the similar result from dialogue thatmother have good attittude but not utilized, they say not get socialization from health worker. The good Behaviorbreastfeed mother have relation with utilization, can we see p = 0,028, RP2,35 (95% CI 1,05-5,23). Results fromdialogue mother who get bad behavior not utilized. Utilization in lactation room only just breastfeeding, neverused to pamp and saving breastmilk. People not respond that room lactation is a necessary, because withoutpolicy about room lactation, they are can breastfed in any where.Conclusion : Good attitude of breastfeed mother about lactation room can not get effect utilization of lactationroomand good behavior breastfeedmother can get effect with utilization lactation room in Puskesmas I Cilongok.Keyword: attitude breastfeed mother, behavior breastfeed mother and utilization lactation room ABSTRAKLatar Belakang:Berdasarkan data Survey Demografi dan Kesehatan Indonesia (SDKI) tahun 2007 tercatat bahwacakupan ASI eksklusif sebesar 38% menurun dari 39,5%di tahun 2002-2003, sementara jumlah bayi dibawah 6bulan yang diberi susu formula meningkat dari 16,7% menjadi 27,9% ditahun 2007. American Academy ofPediatrics (1)merekomendasikan bahwa durasi minimal ASI eksklusif menjadi 6 bulan tetapi optimal harus terusselamaminimal 2 tahun.Kabupaten Banyumas sedangmemiliki program gunameningkatkan cakupan ASI eksklusifyang dituangkan lewat Peraturan Bupati Banyumas nomor 52 tahun 2012 tentang peningkatan pemberian ASI diKabupaten Banyumas. Salah satu materi sosialisasi tersebut berisi tentang anjuran pengadaan pojok laktasibeserta standarisasinya, hak ibu bekerja yang menyusui di kantor pemerintahan, sarana pra sarana umum juga.Tujuan:Untuk mengetahui faktor-faktor yang mempengaruhi pemanfaatan pojok laktasi di Puskesmas I Cilongok.Metode:Penelitian ini menggunakan jenis observasional dengan desaincross sectionaldan kualitatif. Tempatpenelitian Puskesmas I Cilongok. Sampel penelitian ibu bekerja menyusui dan pengunjung puskesmas memilikibayi umur 0 bulan sampai dengan 2 tahun berada di Puskesmas I Cilongok. Pengambilan sampel menggunakansampling conviniencediperoleh 41 orang selama penelitian dilakukan.Variabelindependen adalah sikap ibumenyusui terhadap pojok laktasi, perilaku ibu menyusui. Variabel dependen ialah pemanfaatan pojok laktasi.Analisa data meliputi analisis univariabel, bivariabeldengan menggunakan chi square sedangkan multivariabelmenggunakan uji regresi logistik serta analisis kualitatif.Hasil dan Pembahasan:Sikap ibu menyusui terhadap ketersediaan pojok laktasi tidakmempengaruhi pemanfaatanpojok laktasi dilihat dari nilai p = 0,247 (RP1,58; 95% CI 0,70-3,55), hasil ini didukung hasil wawancara bahwasikap baik tetapi tidak memanfaatkan pojok laktasi dengan alasan sosialisasi yang kurang dari petugas kesehatan.Perilaku ibu menyusui yang baik berhubungan dengan pemanfaatan pojok laktasi dilihat dari nilai p = 0,028,RP2,35 (95% CI 1,05-5,23). Hasil wawancara ibu yang berperilaku tidak baik cenderung tidak memanfaatkanpojok laktasi. Pemanfaatan pojok laktasi hanya untuk menyusui saja, tidak digunakan untuk memeras danpenyimpanan ASI. Rendahnya pemanfaatan pojok laktasi dikarenakan faktor kebutuhan. Masyarakat desa tidakmenganggap bahwa pojok laktasi merupakan kebutuhan, karena tanpa adanya kebijakan pengadaan pojok laktasimereka dapat menyusui dimanapun.Kesimpulan:sikap ibu menyusui terhadap ketersediaan pojok laktasi yang baik tidak mempengaruhi pemanfaatanpojok laktasi dan perilaku ibu menyusui yang baik dapat mempengaruhi pemanfaatan pojok laktasi di PuskesmasI Cilongok Kabupaten Banyumas.Kata kunci: sikap ibu, perilaku ibu, pemanfaatan pojok laktasi

PAJANAN ASAP DALAM RUMAH TERHADAP KEJADIAN ISPA NONPNEUMONIA PADA ANAK BALITA DI KABUPATEN KAPUAS Mayae Hugo; Ova Emilia; Mei Neni Sitaresmi
JURNAL KESEHATAN REPRODUKSI Vol 1, No 1 (2014)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.4916

PAJANAN ASAP DALAM RUMAH TERHADAP KEJADIANISPA NONPNEUMONIA PADA ANAK BALITA DI KABUPATENKAPUASMayae Hugo, Ova Emilia,Mei Neni SitaresmiABSTRACTBackground: Acute respiratory infections (ARI) is one of themain causes of disease burden in developing countries,and 40-60% patients visits at the health center. Riskesdes analysis report the under–five children who suffer fromupper respiratory tract infection prevalence 42.8%. ARI occurrence is affected by many factors, includingenvironmental factors. Little attention has been given to indoor air pollution particularly for people in ruralareas, although the known particles of smoke in the room known as the most influential factors on the health ofchildren where children spend most of their time indoorsObjective: To know whether smoke exposure inside the house is a risk factor toward non pneumonia ARI amongunder-five children.Method: This was a study using a case control study design. Subjects were under-five children aged 12-59 monthsold in Kapuas District taken by non probability sampling method. Sample size was 106, divided into two groupsnamely case (n=53) and control (n=53). Data analysis used univariate analysis, bivariate analysis, and multivariateanalysis with logistic regression.Result: Non pneumonia ARI had a 2.7 time greater risk of contracting under-five children exposed by smokeinside their house (95%CI=1.16-6.60). Multivariate analysis proportion of house condition which was not reallyhygienic, member of family who contracted ARI, bad nutritional status had a significant relationship to nonpneumonia ARI among under-five children.Conclusion: Non pneumonia ARI among under-five children had a significant relationship to smoke exposureinside the house.Keywords: non pneumonia ARI, smoke exposure inside the house, under-five children ABSTRAKLatar Belakang: Infeksi saluran pernapasan akut (ISPA) merupakan salah satu penyebab utama beban penyakit dinegara berkembang. Terdapat 40-60% kunjungan pasien di pusat layanan kesehatan. Analisis Riskesdesmelaporkanprevalensi anak-anak balita yang menderita infeksi saluran pernapasan atas 42,8%. Kejadian ISPA dipengaruhioleh banyak faktor, termasuk faktor lingkungan. Sedikitnya perhatian yang diberikan terhadap polusi udara dalamruangan terutama bagimasyarakat di daerah pedesaan,meskipun partikel yang berasal dari asap di dalam ruangandikenal sebagai faktor yang paling berpengaruh pada kesehatan anak di mana anak-anak menghabiskan sebagianbesar waktu mereka di dalam ruangan.Tujuan: Untuk mengetahui apakah paparan asap di dalam rumah merupakan faktor risiko terhadap non pneumoniaISPA pada balita.Metode: Penelitian ini merupakan penelitian dengan menggunakan disain penelitian kasus kontrol. Subyekpenelitian adalah balita berusia 12-59 bulan di Kabupaten Kapuas diambil dengan metode non probabilitysampling. Jumlah sampel adalah 106, dibagi menjadi dua kelompok yaitu kelompok kasus (n=53) dan kelompokkontrol (n=53). Analisis data yang digunakan analisis univariat, analisis bivariat, dan analisis multivariat denganregresi logistik. Hasil dan Pembahasan: ISPA non pneumonia memiliki risiko 2,7 kali lebih besar menjangkiti anak yang terpaparasap di dalam rumah mereka (95% CI=1,16-6,60). Proporsi analisis multivariabel kondisi rumah yang tidak benarbenarhigienis, anggota keluarga yang terjangkit ISPA, status gizi buruk memiliki hubungan yang signifikan terhadapISPA non pneumonia pada balita.Kesimpulan: ISPA non pneumonia pada balita memiliki hubungan yang signifikan terhadap paparan asap di dalamrumah.Kata kunci: ISPA non pneumonia, paparan asap di dalam rumah, balita

PENGARUH PEMBERIAN ASI EKSKLUSIF TERHADAP KEMBALINYA MENSTRUASI PADA IBU MENYUSUI DI RS ST. CAROLUS JAKARTA Popy Irawati; Mohammad Hakimi; Ova Emilia
JURNAL KESEHATAN REPRODUKSI Vol 1, No 2 (2014)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

PENGARUH PEMBERIAN ASI EKSKLUSIF TERHADAP KEMBALINYA MENSTRUASI PADA IBU MENYUSUI DI RS ST. CAROLUS JAKARTA Popy Irawati1, Mohammad Hakimi2, Ova Emilia3 ABSTRACT Background: Exclusive breastfeeding has benefit for both the baby and mother. The breastfeeding patterns have a close relation with return of menses. Breastfeeding practice in Indonesia is rare (27-40%) and 37,4% babies received a weaned food, and only 10% babies received six months exclusive breastfeeding. In Jakarta, most mothers realized benefit of breastfeeding for their babies and family themselves. This research is located at St. Carolus Hospital because St. Carolus is a centre of lactation in JakartaObjective: To identify the impact of exclusive breastfeeding on median time of return of menses on breastfeeding mother in St. Carolus hospital.Method: An observational study with retrospective cohort study design. Samples are a year breastfeeding’s mother in St. Carolus Hospital. The total samples are 129 respondents. The samples are available with consecutive sampling. The data were analyzed using univariable, bivariable and multivariable methods. Bivariable statistic tests were chi square, log rank and Kaplan Meier’s survival analyzed methods. The multivariable statistic test was cox regression Hazard model.Result and Discussion: Median time of the return of menses on exclusive breastfeeding group was 20 weeks, and an unexclusive breastfeeding is 12 weeks. The breastfeeding pattern and the return of menses on breastfeeding mother are significant related (HR=2,4; CI 95%=1,65-3,55 ;P<0,05). The return menses an exclusive breastfeeding mother was 2,4 times longer than unexclusive breastfeeding mother at a certain survival point. The variables of ages, parity, education, occupation, family economic status and health status are not significantly associated with the return of menses.Conclusion: There is a significant different median time of the return of menses between exclusive and unexclusive breastfeeding mothers. Keywords: exclusive breastfeeding, the return of menses, breastfeeding. ABSTRAK Latar Belakang: Menyusui secara eksklusif memiliki manfaat baik untuk ibu maupun bayinya. Pola menyusui berhubungan erat dengan kembalinya menstruasi. Praktek menyusui di Indonesia relatif jarang (27-40%) dan sebanyak 37,4% bayi menerima makanan tambahan, serta hanya 10% saja yang mendapatkan ASI eksklusif selama 6 bulan. Di Jakarta, sebagian besar ibu sebenarnya menyadari manfaat menyusui untuk bayi dan keluarganya. Penelitian ini mengambil lokasi di RS St. Carolus karena St. Carolus merupakan pusat laktasi di Jakarta.Tujuan: Mengidentifikasi pengaruh menyusui eksklusif dengan nilai median kembalinya menstruasi pada ibu menyusui di RS St. Carolus.Metode: Penelitian ini adalah penelitian observasional dengan disain kohort retrospektif. Subyek penelitian adalah ibu menyusui di RS St. Carolus dalam periode 1 tahun. Jumlah total subyek sebanyak 129 responden. Subyek penelitian diambil dengan metode consecutive sampling. Data dianalisis secara univariat, bivariat dan multivariat. Analisis statistik untuk data bivariat menggunakan chi square, log rank dan Kaplan Meier. Analisis multivariat menggunakan metode cox regression hazard.Hasil dan Pembahasan: Nilai median untuk kembalinya menstruasi pada ibu yang menyusui eksklusif adalah 20 minggu sedangkan pada ibu yang menyusui tidak eksklusif adalah 12 minggu. Pola menyusui dan kembalinya menstruasi berhubungan secara bermakna (HR=2,4; CI 95%=1,65-3,55 ;P<0,05). Risiko untuk kembali menstruasi pada ibu yang menyusui eksklusif sebesar 2,4 kali lebih lama dibandingkan ibu yang tidak menyusui eksklusif. Variabel usia, paritas, pendidikan, pekerjaan, status sosial ekonomi dan status kesehatan tidak berhubungan secara bermakna dengan kembalinya menstruasi. Kata Kunci: pemberian ASI eksklusif, kembalinya menstruasi, pemberian ASI1 Badan Koordinator Keluarga Berencana Nasional Pusat2,3 Bagian Obstetri dan Ginekologi, Fakultas Kedokteran, UGM

PERILAKU BIDAN DALAM PELAKSANAAN INISIASI MENYUSU DINI DI WILAYAH KERJA PUSKESMAS II TAMBAK, PUSKESMAS BANYUMAS DAN PUSKESMAS I KEMRANJEN Sumiyati Sumiyati; Ova Emilia; Djaswadi Dasuki
JURNAL KESEHATAN REPRODUKSI Vol 1, No 2 (2014)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

PERILAKU BIDAN DALAM PELAKSANAAN INISIASI MENYUSU DINI DI WILAYAH KERJA PUSKESMAS II TAMBAK, PUSKESMAS BANYUMAS DAN PUSKESMAS I KEMRANJEN Sumiyati1, Ova Emilia2, Djaswadi Dasuki3 ABSTRACT Background: Early Initiation of Breastfeeding (EIB) is important because it can increase the success of exclusive breastfeeding and infant survival. However, the implementation of the EIB is still not optimal in Banyumas. One of the factors that support the success of EIB is the support of health workers, especially midwives. Central Bureau of Statistics of Banyumas regency in 2012 said that most of deliveries in Banyumas 78.52% in 2011 attended by midwives.Objective: To determine the behavior of midwives in the implementation of Early Initiation of Breastfeeding at Work Area of Tambak Public Health Center Banyumas. Public Health Center and Kemranjen Public Center.Methods: The study was cross sectional complemented with qualitative data. The experiment was conducted at the Working Area of Tambak II, Banyumas and Kemranjen I public healh centers with 38 midwives as subjects. In-depth interviews conducted to 6 midwives and 4 postpartum mothers.Results and Discussion: There were a significant association between knowledge and attitudes of midwives to practice implementation of EIB, knowledgeable midwife tent to practice E.I.B 1.79 times higher than less knowledgeable midwife. Good attitude midwives 1.62 times more likely to support EIB practice.Conclusion: The behavior of midwife in the implementation of the EIB practices is influenced by a good knowledge and attitudes that support the EIB. Factors that inhibit the EIB, included flat nipples exhaustment of postpartum mothers and lack of rest among health professionals when encountered prolong labor. Keywords: knowledge, attitude, practice, midwife, early initiation of breastfeeding ABSTRAK Latar Belakang: Inisiasi Menyusu Dini (IMD) penting karena dapat meningkatkan keberhasilan ASI eksklusif dan kelangsungan hidup bayi. Namun pelaksanaan IMD masih belum optimal di Kabupaten Banyumas. Salah satu faktor yang mendukung keberhasilan IMD adalah dukungan tenaga kesehatan terutama bidan. Badan Pusat Statistik Daerah Kabupaten Banyumas tahun 2012 menyatakan sebagian besar penduduk Kabupaten Banyumas sekitar 78,52% pada tahun 2011 menggunakan tenaga kesehatan bidan untuk menolong persalinan.Tujuan: Untuk mengetahui perilaku bidan dalam pelaksanaan Inisiasi Menyusu Dini di Wilayah Kerja Puskesmas II Tambak, Puskesmas Banyumas dan Puskesmas I Kemranjen.Metode: Penelitian observasional dengan rancangan cross sectional. Penelitian ini secara kuantitatif dan kualitatif. Penelitian dilaksanakan di Wilayah Kerja Puskesmas II Tambak, Puskesmas Banyumas dan Puskesmas I Kemranjen dengan subjek penelitian 38 bidan dan wawancara mendalam dengan 6 bidan serta 4 ibu postpartum.Hasil dan Pembahasan: Hasil analisis bivariabel terdapat hubungan yang bermakna antara pengetahuan dan sikap bidan dengan pelaksanaan praktik IMD, bidan yang berpengetahuan baik 1,79 kali lebih besar untuk melakukan praktik IMD dengan baik dibandingkan dengan bidan yang berpengetahuan kurang. Sikap bidan yang mendukung IMD 1,62 kali lebih besar untuk melakukan praktik IMD dengan baik dibandingkan dengan sikap bidan yang tidak mendukung IMD.Kesimpulan: Perilaku bidan dalam pelaksanaan praktik IMD dipengaruhi oleh pengetahuan yang baik dan sikap yang mendukung terhadap IMD. Faktor yang menghambat IMD antara lain bentuk puting yang mendatar sehingga bayi kesulitan untuk menghisap, ibu postpartum merasa capai dan lelah karena kurang istirahat serta faktor tenaga kesehatan, apabila menolong persalinan dengan kala II lama sehingga pelaksanaan IMD kurang dari satu jam. Kata kunci: pengetahuan, sikap, praktik, bidan, inisiasi menyusu dini1 Poltekkes Kemenkes Semarang2,3 Bagian Obstetri dan Ginekologi, Fakultas Kedokteran UGM

Co-Authors A.A. Ketut Agung Cahyawan W Abbas, Marwan Abdul Wahab Abdul Wahab Abdul Wahab Abu Bakar Adi Ariffianto Akifah Fatimah Albertina Bata, Verayanti Amiruddin Amiruddin Amitya Kumara Amitya Kumara Amitya Kumara Anis Widyasari Aria Kekalih Arif Tirtana Armaijn, Fadhilah Armis Armis Asep Novianto Astuti, Andari Wuri Augustine D. Sukarlan Ayub Irmadani Anwar B P Suryosubianto Bahari, Rafidah Bernadetta Esti Chrismawaty Budi Iman Santoso Daulian, Fika Denny Agustiningsih Detty Siti Nurdiati Devi Hartati Dewi Matindas Dharmayati B. Utoyo Diannisa I E Sangun Dicky Moch Rizal Dicky Moch Rizal Djaswadi Dasuki Djaswadi Dasuki Djaswadi Dasuki Djauhar Ismail Djauhar Ismail Donal Donal Donal Donal Dwi Andayani Dwi Cahyani Ratna Sari Dwi Juwartini Dwi Rahma Wati Eddy Hartono Eddy Hartono Eddy Tiro Eddy Tiro Edi Patmini Edi Patmini Edi Patmini Siswanti Efrayim Suryadi Efrayim Suryadi Eti Poncorini Pamungkasari Eugenius Phyowai Ganap Eugenius Phyowai Ganap Eugenius Phyowai Ganap Evi Septiani Fadhilah Armaijn Fatwa Sari Tetradewi Febe, Ester Fielda Djuita Ganap, Eugenius Phyowai Gandes Retno Rahayu Guardian Yoki Sanjaya Hamid, Noor Aini Abdul Handayani, sri Hari Kusnanto Hari Kusnanto Harsono Mardiwiyoto Harsono Mardiwiyoto Hartono Hartono Hartono Hartono Helen Try Juni Asti Hepta Lidia Herlin Fitriani Kurniawati Heru Pradjatmo Hidayat, Asri Ibrahim, Juliani Ika Dewi Ana Ika Parmawati Iman, Santoso Budi Irwan Taufiqur Rachman Ismail Joko Sutresno Iwan Dwiprahasto Iwan Dwiprahasto Iwan Dwiprahasto Juli Sitorus Kartini, Farida Khusnul Khotimah khusnul khotimah Kirubashni Mohan Koheresto G. Liufeto Ksyatria, Yudhistya Ngudi Insan Leo Prawirodihardjo Lia Dewi, Vivian Nanny Lidia, Hepta Lili Ratnawati Lilie Fransiska Lilie Fransiska Lionita, Widya Magdalena Paunno Malik, Ummu Kalzum Malik, Ummu Kalzum Mappaware, Nasrudin Andi Maria Magdalena Purba, Maria Magdalena Martha Chaterince Silitonga Martinus Martinus Marwan Abbas Maryanto, Budi Mayae Hugo Mayae Hugo Mei Neni Sitaresmi Mia Kusmiati Michael Andreas Leman Moch. Anwar Mohammad Hakimi Mohammad Hakimi Mohammad Hakimi Mohammad Hakimi Mohammad Hakimi Mora Claramita Mubasysyir Hasanbasri Mubasysyir Hasanbasri Muhammad Hakimi Muhammad Nurhadi Rahman Mursyidah Khairiyah Murti Mandawati Nani Emma Nani Emma Nasrudin Andi Mappaware Ni Putu Widarini Novriana, Riska Nuraini, Laila Afiliasi Puji Nuraliah Nuraliah Nuraliah, Nuraliah Nuring Pangastuti Nuring Pangastuti Nuring Pangastuti, Nuring Nurlaila Marasabessy Nurlina Ina Nurlina Ina, Nurlina Nurrahma Wahyu Fitriyani Nurul Hikmah Petrana Petrana, Nurul Hikmah Phyowai Ganap, Eugenius Poedji Rochjati Poedji Rochjati Popy Irawati Popy Irawati Pratiwi, Cesa Septiana Pratiwi, Putu Irma Puspasari Puspasari Raharja, Supanji Rahmi Surayya Ramani, Subha Ratih Kumalasari Ratnawati, Lili Reni Dwi Setyaningsih Risanto Siswosudarmo Rizka Aries Putranti Rochmanita Sandya Afindaningrum Roy Jansen Sinaga Rukmono Siswishanto Sangun, Diannisa I E Sanip, Suhaila Sari, Sylvia Mustika Shinta Prawitasari Shofwal Widad Shulhana Mokhtar Silitonga, Martha Chaterince Sinaga, Roy Jansen Siswanto Agus Wilopo Sitorus, Juli Soehartati Soehartati Soerjo Hadijono Soerjo Hadijono Soerjo Hadijono Soerjo Hadijono Soerjo Hadijono Soetrisno Soetrisno Soetrisno Soetrisno Solly Aryza Sri Handayani Sri L. Menaldi Sri Linuwih Susetyo Wardhani, Sri Linuwih Susetyo Sukamdi Sukamdi Sumiyati Sumiyati SUMIYATI SUMIYATI Sunarko Sunarko Supanji Raharja Sutresno, Ismail Joko Titik Kuntari Tri Wibawa Trisasi Lestari Umar Dhani Umar Dhani, Umar Umar Malinta Umar Malinta Vella Dwi Yani Vella Dwi Yani Verayanti Albertina Bata Verayanti Albertina Bata Wahab, Abdul Wenny Artanty Nisman, Wenny Artanty Widyandana Widyandana Widyawati Widyawati Wiwin Lismidiati Yakayum Yanti Yanti Yati Soenarto Yayi S. Prabandari Yayi Suryo Prabandari Yayi Suryo Prabandari Yayi Suryo Prabandari Yekti Satriandari Yoyo Suhoyo Yudhistya Ngudi Insan Ksyatria Yuliana Yuliana Yundari, Yundari Zulfa, Siti Zakiah

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