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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 : 131 Documents Claim Missing Document

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PENDIDIKAN/PEKERJAAN MATERNAL DAN FAKTOR RISIKO PREEKLAMPSIA: STUDI EPIDEMIOLOGI DI KOTA TERNATE Lilie Fransiska; Edi Patmini; Abdul Wahab; Ova Emilia
JURNAL KESEHATAN REPRODUKSI Vol 1, No 3 (2014)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

PENDIDIKAN/PEKERJAAN MATERNAL DAN FAKTOR RISIKO PREEKLAMPSIA: STUDI EPIDEMIOLOGI DI KOTA TERNATELilie Fransiska1, Edi Patmini2, Abdul Wahab3, Ova Emilia4 ABSTRACTBackground: Preeclampsia is one of leading cause of maternals and infants morbidity and mortality that can be prevented by an early detection in pregnant woman who have risk factors to preeclampsia. Early detection and management have a significant role in decreasing maternal and infant mortality rate.Objective: To determine the proportion of pregnancy with risk to preeclampsia and related risk factors. Method: This research is an observational study with cross sectional design. The independent variables are level of maternal education, and occupation. The dependent variable is increased risk of preeclampsia during pregnancy. Data collected by direct interview, physical examination and laboratory examination. Data analysis was done with SPSS programme.Results and Discussion: The result showed that there was no significant difference in maternal educational level with the risk of preeclampsia (p= 0,919), and there is no significant difference between maternal working status with risk of preeclampsia (p= 0,435).Conclusions: This research showed that maternal level of education and working status didn’t have a significant influence to the risk of preeclampsia (p> 0,05).Keywords : maternal occupation, level of maternal education, risk of preeclampsia ABSTRAKLatar Belakang: Preeklampsia merupakan salah satu penyebab morbiditas dan mortalitas pada ibu dan bayi yang dapat dicegah dengan melakukan deteksi dini pada ibu hamil yang memiliki risiko terhadap terjadinya preeklampsia. Tujuan: Penelitian ini bertujuan untuk menentukan proporsi ibu hamil dengan risiko preeklampsia di Kota Ternate dan faktor-faktor risiko yang terkait. Hasil penelitian ini diharapkan supaya dapat digunakan untuk meningkatkan kesehatan ibu dan anak di Kota Ternate. Metode: Penelitian ini merupakan penelitian observasional dengan menggunakan desain studi potong lintang. Variabel bebas adalah tingkat pendidikan dan jenis pekerjaan ibu. Variabel terikat adalah peningkatan risiko terjadinya preeklampsia selama kehamilan. Data dikumpulkan dengan melakukan wawancara langsung, pemeriksaan fisik, dan pemeriksaan laboratorium. Selanjutnya analisis deskriptif pada data penelitian dilakukan dengan menggunakan program SPSS.Hasil dan Pembahasan: Hasil analisis menunjukkan bahwa tidak ada perbedaan bermakna antara kelompok berpendidikan tinggi dan kelompok berpendidikan rendah (p= 0,919), serta antara kelompok bekerja dan tidak bekerja (p= 0,435).Kesimpulan: Faktor pendidikan dan pekerjaan maternal tidak memiliki pengaruh yang bermakna terhadap risiko terjadinya preeklampsia (p> 0,05).Kata kunci : pekerjaan ibu, pendidikan ibu, risiko preeklampsia 1 Mahasiswa S1 Fakultas Kedokteran UGM, Yogyakarta2 Bagian Obstetri dan Ginekologi Fakultas Kedokteran UGM3 Bagian Ilmu Kesehatan Masyarakat UGM, Yogyakarta4 Bagian Obstetri dan Ginekologi Fakultas Kedokteran UGM

PERBANDINGAN ANTARA PEMBERIAN PROGESTERON VAGINAL DAN ALLYLESTRENOL ORAL PADA PENANGANAN ABORTUS IMINENS Umar Dhani; Ova Emilia; Risanto Siswosudarmo
JURNAL KESEHATAN REPRODUKSI Vol 2, No 1 (2015)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Umar Dhani1, Ova Emilia2, Risanto Siswosudarmo3 ABSTRACTBackground: Abortion is still the most common complication of pregnancy. Inadequate secretion of progesterone in early pregnancy has been associated with one of the cause of miscarriage. Progesterone supplementation has been used to prevent abortion but it is still debatable.Objective: To compare the success rate of vaginal progesterone vs oral allylestrenol in the treatment of threatened abortion and duration of maintaining pregnancy.Method: Randomized Clinical Trial. The study was conducted at four affiliated hospitals of Sardjito hospital Yogyakarta from November 2013 to May 2014. Subjects with the diagnosis threatened abortion meeting the following criteria were included: 8-16 weeks gestational age, hemoglobin content eH 10 g/dL, and live fetus. The following patients were excluded: there was a history of induced abortion, hormonal treatment, associated with IUD use, uterine anomaly and gynecology tumor. A total of 60 patients were recruited to obtain 0.6 times proportion difference and 80% power of study. Eligible subjects consisting of 30 and 29 were randomly allocated into vaginal progesterone and oral allylestrenol groups. Ability to maintain, duration of pregnancy and side effects were outcomes of interest. Chi-square, t-test, Fisher exact test and survival analysis were used for statistical analysis.Result & Discussion: Abortion rate in vaginal progesterone was 23.3% compared 37.9% with oral allylestrenol group (RR=0.61; 95% CI 0.27-1.36). Duration of maintaining pregnancy was 16.57 days vs 9.82 days in vaginal progesterone and oral allylestrenol respectively (mean difference 6.75 days; 95% CI 2.30-11.20). There was no difference in term of gestational age on the abortion rate (p>0.05). One case undergoing nausea was found in oral allylestrenol group.Conclusion: There was no difference between vaginal progesterone and oral allylestrenol in term of abortion rate. Vaginal progesterone could maintain pregnancy longer than oral allylestrenol.Keywords: Threatened abortion, Vaginal progesterone, Oral allylestrenol, Abortion rate, Side effect. ABSTRAKLatar Belakang: Abortus masih merupakan komplikasi kehamilan yang sering terjadi. Sekresi progesteron yang tidak memadai pada awal kehamilan telah dikaitkan dengan salah satu penyebab abortus. Suplementasi progesteron digunakan untuk mencegah keguguran spontan walaupun masih diperdebatkan.Tujuan: Membandingkan keberhasilan terapi progesteron vaginal vs. allylestrenol oral dalam hal kejadian abortus dan lama terjadinya abortus pada kasus abortus iminens.Metode: Randomized Clinical Trial. Penelitian dilakukan dibagian Obstetrika dan Ginekologi di RS Kabupaten yang merupakan afiliasi RS Sardjito dari bulan November 2013 sampai dengan Mei 2014. Subyek yang memenuhi kriteria berikut ini: hamil 8-16 minggu, terdiagnosis abortus iminens, kadar hemoglobin > 10 g/dL, dan janin hidup. Pasien berikut ini tidak dimasukkan dalam penelitian: riwayat abortus provokatus, riwayat penggunaan terapi hormonal, abortus imminens karena kegagalan IUD, anomali uterus dan tumor ginekologis. Sebanyak 60 pasien diikutsertakan dalam penelitian ini untuk mendapatkan beda proporsi kejadian abortus sebesar 0,6 kali dengan kekuatan penelitian sebesar 80%. Subjek dibagi menjadi dua kelompok secara random yaitu kelompok yang mendapat progesteron vaginal dan allylestrenol oral masing-masing sebanyak 30 dan 29. Keberhasilan mempertahankan kehamilan, lama hari bertahan dan efek samping adalah hasil yang dinilai. Uji Chi-square, t-test, uji Fisher dan analisis survival adalah uji statistik yang dipakai.Hasil & Pembahasan: Kejadian abortus pada kelompok progesteron vaginal adalah 23,3% dibanding, 37,9% pada kelompok allylestrenol oral (RR=0,61; 95% CI 0,27-1,36). Lama bertahan pada kelompok progesteron vaginal rata-rata 16,57 hari dibanding rata-rata 9,82 hari pada kelompok allylestrenol oral (beda rata-rata 6,75 hari; 95% CI 2,30-11,20). Tidak ada perbedaan bermakna pengaruh umur kehamilan terhadap kejadian abortus pada kedua kelompok (p>0,05). Efek samping berupa perasaan mual hanya dijumpai pada kelompok allylestrenol oral.Kesimpulan: Tidak terdapat perbedaan kejadian abortus pada kedua kelompok meskipun kemampuan bertahan lebih lama pada kelompok progesteron vaginal.Kata Kunci: Abortus iminens, progesteron vaginal, allylestrenol oral, angka abortus, efek samping. 1,2,3 Bagian Obstetri dan Ginekologi Fakultas Kedokteran Universitas Gadjah Mada/RS SardjitoYogyakarta

HUBUNGAN ANTARA VAGINOSIS BAKTERIAL DAN PERSALINAN PRETERM Hepta Lidia; Ova Emilia; Moch. Anwar
JURNAL KESEHATAN REPRODUKSI Vol 2, No 2 (2015)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.12637

HUBUNGAN ANTARA VAGINOSIS BAKTERIAL DANPERSALINAN PRETERMHepta Lidia1, Ova Emilia2, Moch. Anwar3ABSTRACTBackground: Preterm birth remain becomes global issue due to its contribution on high neonatal mortalityrate. WHO (2012) estimated 15 million babies are born premature and Indonesia as one of 10 countries withhighest rates of preterm birth (15,5/100 live births). In the poorest countries, on average, 12% of babiesare born too soon compared with 9% in higher-income countries. Approximately 50% of spontaneouspreterm birth is associated with genital infection. Plenty of efforts had been done to detect risk factorearly, however if has not successfully decreased preterm birth rate. Because of that, it is a needed to doearly screening of lower genital tract in pregnant woman to prevent preterm birth.Method: Cross sectionalLocation of study: Senopati Bantul hospital and Sewon community health centerResult and Discussion: This study involved 134 pregnant woman. Bivariate and multivariate analysis resultshowed that bacterial vaginosis, increased preterm birth significantly (OR 4,26; IK 95% 1,16-15,62). Otherrisk factor that increased preterm birth are history of preterm birth (OR 11,16; IK 95% 1,32-94,45).Conclusion: Proportion of bacterial vaginosis in preterm birth significantly higher, compare to fulltermbirth. History of preterm birth in last pregnancy significantly increased the number of preterm birth.Keywords: Preterm Birth - bacterial vaginosis – early screeningABSTRAKLatar Belakang: Persalinan preterm masih menjadi masalah global oleh karena memberikan kontribusipada kematian bayi yang cukup tinggi, WHO (2012) memperkirakan 15 juta bayi lahir preterm dan Indonesiatermasuk salah satu dari 10 negara dengan angka persalinan preterm tertinggi (15,5/100 kelahiran hidup).Di negara-negara miskin, rata-rata 12% bayi lahir preterm dibandingkan 9% di negara berpendapatan lebihtinggi. Diperkirakan 50% dari kelahiran prematur spontan terkait dengan infeksi saluran genital. Banyakupaya yang telah dilakukan untuk mendeteksi risiko secara dini selain juga intervensi medis, namun belumbanyak menurunkan kejadian persalinan preterm. Oleh karena itu perlu dilakukan suatu skrining awaluntuk infeksi saluran genital bawah pada wanita hamil untuk mencegah persalinan pretermMetode: cross sectionalTempat penelitian: RSUD Senopati Bantul dan Puskesmas SewonHasil dan Pembahasan: Penelitian melibatkan 134 ibu hamil. Hasil analisis bivariat dan multivariatmenunjukkan bahwa vaginosis bakterial meningkatkan kejadian persalinan preterm secara signifikan (OR2,70; IK 95% 1,29-5,67). Faktor risiko lainnya yang meningkatkan persalinan preterm secara signifikanadalah riwayat persalinan preterm pada kehamilan sebelumnya (OR 11,16; IK 95% 1,32-94,45).Kesimpulan: Kejadian vaginosis bakterial pada persalinan preterm secara signifikan lebih tinggi dibandingkanpada persalinan aterm. Demikian juga riwayat persalinan preterm pada kehamilan sebelumnya secarasignifikan meningkatkan risiko kejadian persalinan preterm.Kata kunci: Persalinan preterm - vaginosis bakterial - skrining awal1,2,3 Bagian Obstetri dan Ginekologi FK UGM/RSUP Dr. Sardjito Yogyakarta

PENGARUH IBU HAMIL PEROKOK PASIF TERHADAP KEJADIAN LAHIR MATI DI KOTA AMBON Magdalena Paunno; Ova Emilia; Abdul Wahab
JURNAL KESEHATAN REPRODUKSI Vol 2, No 3 (2015)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.12647

PENGARUH IBU HAMIL PEROKOK PASIF TERHADAPKEJADIAN LAHIR MATI DI KOTA AMBONMagdalena Paunno1, Ova Emillia2, Abdul Wahab3ABSTRACTBackground: Intervention in the care for pregnant women can reduce antenatal mortality until 75%.Antenatal Care (ANC) in Ambon municipality is categorized good if compared from the mean rate ofnational level, that is, Visit 1 (89%) and Visit 4 (87.76%); however, the incidence of stillbirths in Ambonis still considered high. Data about the incidence of stillbirths in three hospitals of Ambon showed thatthere were 44.2 stillbirths per 1000 live births while national data in 2003 showed that there were only9.6 stillbirths per 1000 live births. The direct cause of stillbirth is hypoxia, that is, the lack of oxygenin a pregnant woman’s body due to the exposure of cigarette smoke. In Ambon municipality, 65% ofhouseholds have 1 active smoker and almost all of the smokers (90%) smoke inside the house. This rateof course exceeds the national rate. In addition, other factors causing stillbirth are the quality of antenatalcare, age, parity, anemia and women’s educational level.Objective: To study whether passive smoking during pregnancy is a risk factor of the incidence of stillbirths.Method: This was an observational study with case-control study design. Study sites were in three hospitalsof Ambon municipality, namely Dr. M. Haulussy District Hospital, Al-Fatah Hospital, and Sumber HidupHospital. Subjects were divided into two groups which were case and control with comparison of 1:1 (69stillbirths as case and 69 live births as control) from January to December 2007. Samples were taken usingnon probability sampling which was determined with quota sample. The analysis of quantitative dataused univariable analysis, bivariable analysis with chi-square test (χ²) and stratification, and multivariableanalysis with logistic regression.Result and Discussion: There was a significant relationship between passive smoking during pregnancyand the incidence of stillbirth based on bivariable analysis with OR=3.36 (95% CI=1.20-5.41) while basedon multivariable analysis with OR=2.8 (1.01-7.94). Other risk factors that affected the incidence of stillbirthwere the quality of antenatal care with OR=3.2 (95% CI=1.39-7.52) and anemia during pregnancy withOR=2.3 (95% CI=1.20-5.41). Meanwhile, stratification analysis showed that non anemic women duringpregnancy was significantly related to stillbirths with OR=5.7 (95% CI 1.10-55.22). However, age, parity andeducation were not the risk factors of the incidence of stillbirth in Ambon.Conclusion: Passive smoking during pregnancy was a risk factor of the incidence of stillbirth in Ambonmunicipality. Other factors that caused the incidence of stillbirths were the quality of antenatal care andanemia. However, age, and parity were not the risk factors of the incidence of stillbirths in Ambon.Keywords: pregnant woman, passive smoking, stillbirthINTISARILatar belakang: Intervensi pada perawatan ibu hamil dapat menurunkan kematian perinatal hingga 75%.ANC di Kota Ambon dikategorikan baik, bila dilihat angka rata-rata secara nasional yaitu K1 89%, K4 87,76%namun, kejadian lahir mati sangat tinggi dibanding angka nasional. Salah satu penyebab langsung lahirmati adalah hypokxia yaitu kekurangan oksigen dalam tubuh ibu, akibat dari ibu hamil terpapar asaprokok. Di Kota Ambon, 65% rumah tangga mempunyai 1 orang perokok, dan hampir semua perokok (90%)merokok di rumah. Angka ini lebih tinggi dari angka nasional. Faktor lain menyebabkan lahir mati adalahkualitas antenatal care, umur, paritas anemia ibu selama hamil, pendidikan ibu yang rendah.Tujuan: Penelitian ini untuk mengetahui apakah ibu hamil perokok pasif merupakan faktor risiko kejadianlahir mati.Metode: Penelitian observasional dengan rancangan kasus-kontrol. Lokasi penelitian pada 3 RS di KotaAmbon yaitu: RSUD dr. M. Haulussy, RS. Al-Fatah, RS. Sumber Hidup. Subjek penelitian 1:1 69 lahir mati(kasus) dan 69 lahir hidup (kontrol) pada bulan Januari sampai dengan bulan Desember 2007. Pengambilansampel dengan cara non probability sampling, ditentukan secara quota sample . Analisis data terdiridari analisis univariabel, analisis bivariabel menggunakan uji chi-square (χ²), stratifikasi serta analisismultivariabel menggunakan regresi logistik.Hasil dan Pembahasan: Ada hubungan yang bermakna antara ibu hamil perokok pasif dengan kejadianlahir mati. Analisis bivariabel OR=3,36 (95% CI=1,20-5,41) analisis multivariabel OR=2,8 (1,01-7,94). Faktorrisiko lain yang mempengaruhi kejadian lahir mati adalah: Kualitas antenatal care mempunyai nilai OR=3,2(95% CI=1,39-7,52), ibu hamil anemia OR=2,3 (95% CI=1,20-5,41) dan pendidikan OR=2,42 ( 1,15-5,10).Saat analisis strativikasi, ibu tidak anemia mempunyai hubungan bermakna dengan lahir mati OR=5,7 (95%CI 1,10-55,22). Umur, paritas dan pendidikan bukan merupakan faktor risiko lahir mati di Kota Ambon.Kesimpulan : Ibu hamil perokok pasif merupakan faktor risiko terhadap kejadian lahir mati di Kota Ambon.Faktor lain yang menyebabkan lahir mati adalah kualitas antenatal care dan anemia ibu hamil.Kata kunci: ibu hamil, perokok pasif, lahir mati.1 Air Selobar Community Health Center, Ambon Health Office, Maluku Province2 Obstetric and Gynecology Division, Faculty of Medicine,Gadjah Mada University, Yogyakarta3 Maternal and Child Health-Reproductive Health, Graduate Program,Faculty of Medicine, Gadjah Mada University, Yogyakarta

HUBUNGAN ANEMIA DALAM KEHAMILBAayi NKeci luTntuRk MIaMsa KeEhaSmilTan E(KMRK) dTi RIS GDr. ASard jito TERHADAP KEJADIAN BAYI KECIL UNTUK MASA KEHAMILAN (KMK) DI RS DR SARDJITO Lili Ratnawati; Rukmono Siswishanto; Ova Emilia
JURNAL KESEHATAN REPRODUKSI Vol 2, No 3 (2015)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

HUBUNGAN ANEMIA DALAM KEHAMILBAayi NKeci luTntuRk MIaMsa KeEhaSmilTan E(KMRK) dTi RIS GDr. ASard jitoTERHADAP KEJADIAN BAYI KECIL UNTUK MASA KEHAMILAN(KMK) DI RS DR SARDJITOLili Ratnawati*, Rukmono Siswishanto*, Ova Emilia*ABSTRACTBackground: The high prevalence of anemia during pregnancy at Yogyakarta could be associated with theadverse pregnancy outcome as SGA. Previous study reported inconsitent result about association betweenanemia during third trimester and babies with SGA. Research is needed to determine the contribution ofanemia during third pregnancy to the adverse pregnancy outcome at RS Dr Sarjito.Objective: To compare the prevalance of SGA between pregnancy with and without anemia during thirdtrimester at RS Dr Sarjito.Method: Cross sectional study based on RS Dr Sardjito’s medical record. The subjects of study werepregnant women who took delivery at RS Dr Sarjito during third trimester from 2010 to 2011. Anemiadefine as haemoglobin level < 11g/dl which performed before delivery. Babies with brith weigth < 10percentile Lubchenco curve group into SGA. Association between anemia during third trimester and SGAanalyzed with Chi square test and Fisher’s exact test.Resul and Discussion: A total of 239 subjects were recruited and devided into 146 subjects with anemiaand 93 subjects without anemia. The anemia groups consist of 97,95% mild anemia, 2,05% moderateanemia, and none severe anemia. The prevalence of SGA in total population, group with anemia, andgroup without anemia was 14%, 15,8%, and 10% irrespectively. The prevalance of SGA between groupwith and without anemia was not different (p=0,27; RR 1,46; 95%CI 0,73-2,93). Maternal age, BMIpregestational, education, and parity did not influence the prevalence of anemia and SGA. Consideringmultivariat analysis, neither anemia, maternal age, BMI pregestational, education, nor parity did not affectthe prevalance of SGA.Conclusion: In this study, the prevalence of SGA in pregnancy with and without anemia during thirdtrimester did not different at RS Dr Sarjito.Kata kunci: Anemia in pregnancy, third trimester, SGA.ABSTRAKLatar Belakang: Prevalensi anemia dalam kehamilan di Yogyakarta masih cukup tinggi sehingga dapatmenyebabkan peningkatan dampak buruk anemia terhadap janin, salah satunya KMK. Penelitiansebelumnya menunjukkan perbedaan hasil tentang hubungan anemia trimester tiga terhadap kejadianKMK. Penelitian tentang hubungan anemia dalam kehamilan trimester tiga terhadap kejadian KMK di RSSarjito penting dilakukan untuk mengetahui besarnya dampak negatif yang timbul akibat anemia dalamkehamilan.Tujuan: Mengetahui perbedaan kejadian bayi KMK pada ibu hamil dengan anemia pada trimester tigadibandingkan ibu hamil tanpa anemia di RS Dr Sarjito.Metode: Penelitian ini menggunakan rancangan cross sectional bersumber data rekam medis pasien ibuhamil trimester tiga yang bersalin di RS Dr Sardjito pada tahun 2010 s.d. 2011. Subyek penelitian yangmemenuhi kriteria inklusi dibagi dalam kelompok anemia dan normal. Hubungan antara anemia dengankejadian bayi KMK dianalisis dengan Chi square test dan Fisher’s exact test.Hasil dan Pembahasan: Subyek penelitian yang memenuhi kriteria sebanyak 239 orang terdiri atas 146orang kelompok anemia dan 93 orang kelompok tanpa anemia. Kelompok anemia terbagi atas 97,95%anemia ringan, 2,05% anemia sedang, dan tidak didapatkan anemia berat. Kejadian bayi KMK sebesar14% pada total populasi, 15,8% pada kelompok anemia dan 10% pada kelompok tanpa anemia. KejadianKMK kelompok anemia tidak berbeda bermakna secara statistik dibandingkan kelompok tanpa anemia(p=0,27; RR 1,46; 95%CI 0,73-2,93). Usia ibu, IMT sebelum hamil, pendidikan, dan paritas sebagai variabelluar yang diteliti tidak berpengaruh terhadap kejadian anemia maupun bayi KMK. Hasil analisis multivariatmenunjukkan bahwa anemia, usia ibu, Indeks Masa Tubuh (IMT) sebelum hamil, pendidikan, dan paritastidak berpengaruh terhadap kejadian bayi KMK.Kesimpulan: Pada penelitian ini, kejadian bayi KMK di RS Dr Sardjito tidak berbeda pada ibu hamil trimestertiga dengan anemia dibandingkan ibu hamil trimester tiga tanpa anemia.Kata kunci: Anemia dalam kehamilan, trimester tiga, KMK* Bagian Obstetri dan Ginekologi, Fakultas Kedokteran Universitas Gadjah Mada/RS Dr Sardjito Yogyakarta

Perbandingan Skala Nyeri pada Kuretase antara Pemberian Lidokain Paraservikal dan Intraservikal Yudhistya Ngudi Insan Ksyatria; Heru Pradjatmo; Ova Emilia
JURNAL KESEHATAN REPRODUKSI Vol 3, No 1 (2016)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.13872

Background: Curettage is a gynecological diagnostic and therapeutic procedures. Curettage actions causing sensation of pain although the pain threshold is different for each person. Local anesthesia is an effective choice for various minor gynecological procedures. One of them is paracervical block. Paracervical block reduces pain by blocking nerve impulses across the uterovaginal plexus. Another method is the injection of local anesthetic trough intracervical who works as an anesthetic infiltrating agent, distending the tissue, causing mechanical disruption of nerve impulses. Theoritically, intracervical lidocaine injection will require a lower level of precision than the blockade of peripheral nerves directly, more reliable and reproducible. We measured patient’s pain during curettage usingthe Visual Analogue Scale (VAS). Method: RCT Location of study: Bantul District Hospital, Wonosari District Hospital, and Banjarnegara Distric Hospital. Result and Discussion: The study included 60 patients who got curettage within inclusion criteria. Every time patients came, we performed randomization and divided the patients into two groups, the control group (paracervical) and intervention group (intracervical), 30 subjects each. VAS was measured 5 minute after curettage was started. Characteristics of subjects in curettage frequency, curettage indication, parity and educational level for both groups are equal, did not differ statistically. The results of the mean pain scale (VAS). In the control group was 42,33±16,583 and 34,33±18,880 on the treatment group. Mean difference was 8 mm, with 95% CI -1.124 to 17.124 and p=0.408. The difference was not significant statistically. The intracervical group has mild pain scale (VAS<44 mm) in 27 of 30 patient, compared to 15 of 30 patients in paracervical group. It result in Relative Risk (RR) of 1,532. Conclusion: Intracervical lidocaine injection can be considered as an alternative local anesthetic on curettage. The average pain scale did not differ significantly with paracervical block. And both of it located in VAS < 44mm (mild pain). Intracervical lidocaine injection even have RR= 1,532 compared with paracervical block to produce mild pain scale (VAS < 44 mm). Keywords: curettage; paracervical;intracervical ;VAS

Pengetahuan dan Sikap Residen Obstetri dan Ginekologi tentang Keselamatan Pasien di Kamar Bersalin RSUP Dr. Sardjito Yogyakarta Fadhilah Armaijn; Ova Emilia; Irwan Taufiqur Rachman
JURNAL KESEHATAN REPRODUKSI Vol 3, No 1 (2016)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.13877

Background: The traditional medical Oath of ‘first do no harm’ is something that is very rarely breached either intentionally by a doctor, nurse or other health practitioner. Resident is health workers who perform services directly to patients that’s why their knowledge and attitudes towards patient safety are very usefulObjective: To determine the relationship of the level of knowledge with the attitudes about patient safety in obstetrics and gynecology resident while services in delivery room at Dr DR Sardjito hospital.Method: Descriptive methods with cross sectional approach, accompanied by a qualitative research The study involved 90 residents of Obstetrics and Gynecology at Sardjito Hospital Yogyakarta , by filling out a questionnaire. Knowledge assessed based on the number of correct answers and categorized into good and bad. Attitudes toward patient safety was assessed using a Safety Attitude Questionnaire (SAQ) labor and delivery version. Reliability was measured using Cronbach’s alpha. The qualitative data collection (interviews) conducted to support the descriptive data.Result and Discussion: Cronbach’s Alpha value for SAQ= 0.862, and the question of knowledge = 0.702. Between 77 responden who had good level of knowlage, only 53,2% had a good level of attitudes, and between 13 who has bad level of knowlage, there were 10 responden with good level of attitudes (76,9%) (RP 0,69;95%CI 0,44-1,04; p= 0,11). Elements of stress recognition on the attitude were getting the lowest average value (3.50 ± 0.56). From the qualitative data were known that the resident had desire for a reduction in working hours as well as improved communication and collaboration between teams. Althogh most of resident had a good level of knowledge and attitudes about patient safety, there were no meaning because of p value was >0,05 (OR 2,69;95%CI 0,66-10,9; p= 0,17).Conclusion: Clinically, a good level of knowledge about patien safety improving a good level of attitude towards patient safety.Keywords: Knowledge- attitude- patient safety- resident obstetrics

Situational analysis of pediatric residency training program in Indonesia Srisuparyati Soenarto; Ova Emilia
Paediatrica Indonesiana Vol 46 No 1 (2006): January 2006
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi46.1.2006.20-4

Background Over the last twenty years, higher education, par-ticularly pediatric residency training, has changed dramatically. Aquestion arises whether the pediatric residency training conductedin Indonesia today has been set up to meet the changing as wellas the community needs.Objective To evaluate whether the pediatric residency trainingprogram in Indonesia today has met the changing as well as thecommunity needs.Methods Twelve centers with pediatric training program in Indone-sia were involved in this study. Each institution had various numberof respondents, with a total of 42 respondents. A structured ques-tionnaire with open responses was selected to ensure the varietyand flexibility of responses.The questionnaires included statementswhich encompassed areas such as curriculum, training and educa-tional system, and alumni achievement of educational objectives.Continuous content analysis of the responses was made.Results Coverage was considered adequate by 80% of respon-dents and was suggested to be continuously updated to be in linewith existing national problems but not yet considered internationalstandard. Additional knowledge and competence proposed by therespondents are mollecular biology, genetics, generic skills, com-munication skills, and introduction to sophisticated instruments. Thelength of the existing program was appropriate. Graduate knowl-edge was sufficient and fulfilled pediatric standards. Current pro-gram was different from that of the past. The objectives are compre-hensible. The placement of trainees enabled them to follow eachdivision in a spiral fashion (at least three times during the training).Conclusion The curriculum content of the training process wascontinuously updated to be inline with existing national problems.Additional knowledge, and competence, and the present lengthof study was considered appropriate. Graduate knowledge issufficient and fulfills pediatric standards. Furthermore, the objec-tives of the current program are clearer and placement of train-ees enables them to follow each division at least three times

The Impact of Obstetrician/Gynecologist Hospitalists on Neonatal Quality of Care in Sardjito General Hospital Yogyakarta, Indonesia: A Retrospective Cohort Study Eugenius Phyowai Ganap; Mohammad Hakimi; Soerjo Hadijono; Ova Emilia
JURNAL KESEHATAN REPRODUKSI Vol 3, No 2 (2016)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.28084

ABSTRACT Background : The hospitalist model in obstetric care which was introduced over the last decades now has an important role in care delivery management with the potential positive impact on neonatal outcomes.Methods : This research design was retrospective cohort. Participants included is the patient in the time before and after implementation of obstetrician/gynecologist full-hospitalist policy during October 2013 until September 2014. The outcome measured were mean response time, APGAR score at 5 minutes, , NICU admission. Univariate and multivariable analyses was conducted to evaluate and determine the factor which significantly contribute to neonatal outcomes.Results and Discussion: We included total 71 patients (37 on-call obstetrician group and 34 full-time hospitalist group). Univariate analysis indicated mean response time was significantly differ in full-time hospitalist group when compared to the on-call obstetrician group (65,3 + 25,89 vs. 84 + 22,29 mins; p = 0,002). Implementation of full-time hospitalist did not impact the NICU admission and APGAR score at 5 minutes. Conclusion : Implementation of full-time hospitalist model is not affecting neonatal outcomes.Keywords : Infant and Maternal Mortality, Obtericians / Gynecologist Hospitalist, Labor and Delivery, Maternal and Neonatal Care, ICU Response Time.

The Impact of Obstetrician/Gynecologist Hospitalists on Maternal Quality of Care in Yogyakarta Indonsia: A Cohort Study Eugenius Phyowai Ganap; Mohammad Hakimi; Soerjo Hadijono; Ova Emilia
JURNAL KESEHATAN REPRODUKSI Vol 4, No 2 (2017)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.35421

Background: The hospitalist is defined by 24-hour a day/7 day a week physician who assists or is employed by the hospital to manage patients, triage and emergencies. The hospitalist model in obstetric care that was introduced over the last decades now has an important role in care delivery management with the potential positive impact on maternal outcomes. Unfortunately, in Indonesia there were limited data available related to the implementation of hospitalist model and the impact on maternal quality of care.Objective: To determine the impact of obstetrician/gynecologist hospitalist on maternal quality care. Method: This research design was a retrospective cohort. Participants included were the patients in the time before and after implementation of obstetrician/gynecologist hospitalist policy during October 2013 until September 2014. Univariate and multivariate analysis were conducted to evaluate and determine the factors, which significantly contribute to maternal outcomes.Result and Discussion: We included a total of 71 patients (30 in the on-call group and 41 in the full time hospitalist group). Univariate analysis indicated mean response time was significantly different in the hospitalist group compared to the on-call group (65.3 ± 25.89 vs 84 ± 22.29 mins; p = 0.002). Implementation of full-time hospitalists did not impact the ICU admission and transfusion incidence.Conclusions: Implementation of the full-time hospitalist model was associated with a significant improvement of response time in emergency obstetric care without affecting maternal outcomes.Keywords: Maternal mortality, obstetrician/gynecologist hospitalist, labor and delivery, maternal care, ICU response time

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 E.S, Diannisa Ikarumi 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 Gumilar, Gulam 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 Nurdiati, Detty 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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