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DETERMINAN RISK FACTOR WICH INFLUENCE OCCURENCE PREEKLAMPSI IN KABUPATEN BANYUMAS Fajarsari, Dyah; Prabandari, Fitria
Bidan Prada: Jurnal Publikasi Kebidanan Akbid YLPP Purwokerto 2016: ARTIKEL PROSIDING MIPA DAN KESEHATAN
Publisher : Bidan Prada: Jurnal Publikasi Kebidanan Akbid YLPP Purwokerto

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Abstract

Pre-eclampsia-eklamsia has shifted bleeding as the main cause of maternal mortality. Therefore, early diagnosis of pre-eclampsia is an introductory rate of eclampsia, as well as handling should be implemented to reduce Maternal Mortality Rate (MMR) and infant (IMR). Based on data from the Health Department Banyumas, 2014, AKI in Banyumas reached 118 cases per 100 thousand live births and is ranked third in the province of Central Java, or as many as 33 cases. From some cause eklamasi and bleeding into a sizeable contributor figures are respectively 14 and 5 cases. Objective research is to analyze the influence jointly the risk factors that influence the incidence preeklampsi include age, parity, preeklampsi history, family history preeklampsi, twin pregnancy, the diseaseprior to pregnancy, childbirth interval and BMI. This type of research is analytic survey with a retrospective case control approach. The population in this study were pregnant women with pre-eclampsia in five health centers with the highest number of pre eclampsia in Banyumas within the last 3 months. The sample in this study using the technique of total sampling of 60 pregnant women who are diagnosed Pre eclampsia as the case group and 60 respondents normal pregnant women. Analysis of data to analyze the effect of risk factors that affect the incidence preeklampsi using logistic regression analysis. The results of the risk factors that influence the incidence of pre-eclampsia were age (ρ: 0,009), parity (ρ: 0,000), a history of pre-eclampsia (ρ: 0,016), a family history of pre-eclampsia (ρ: 0.008), history of disease (ρ: 0,008 ) and IMT (ρ: 0,000).The strength of the relationship of the risk factor is a history of pre-eclampsia (OR: 63,487)  Keywords: Risk Factors, Pre eclampsia
PENGARUH KEHADIRAN BIDAN TERHADAP PARTISIPASI IBU BALITA DI POSYANDU WILAYAH KERJA PUSKESMAS I SOKARAJA KABUPATEN BANYUMAS TAHUN 2012 Fajarsari, Dyah; Utami, Laela Rizqi; ., Ratifah
Bidan Prada: Jurnal Publikasi Kebidanan Akbid YLPP Purwokerto 2013: ARTIKEL PROSIDING SEMINAR NASIONAL KESEHATAN
Publisher : Bidan Prada: Jurnal Publikasi Kebidanan Akbid YLPP Purwokerto

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Abstract

Integrated Health Center (IHC) is a forum for communication, technology transfer and public health services by and for the people that have strategic value in developing human resources early on. Utilization of health facilities such as IHC has not been optimally implemented due to the lack of public awareness, especially toddlers mother, so indispensable to the support or participation of midwife in achieving the success of the program, because people will be more motivated by the presence of midwife at the time of the activity held. This research aims to knowing the influence of the presence of a midwife to mother toddler participation in the region of IHC Puskesmas I Sokaraja Banyumas in 2012. The kind of this research in this study was observational with cross sectional approach. As research subjects is in the region of IHC I Sokaraja Banyumas in 2012. Sampling technique was done by using a proportional random sampling. Using simple regression analysis. Data collection is obtained from the IHC data report in 2012. The known research results: There was influence of the presence of a midwife to toddler mother participation in IHC Puskesmas I Sokaraja Banyumas in 2012, p < α = 0,00 < 0,05. The higher the frequency of the presence of midwife, the higher the mother toddler participation in IHC.Keywords : Midwife Presence, Participation Of Toddler Mother
PENGARUH USIA MENARCHE DAN LAMA MENYUSUI TERHADAP KEJADIAN KANKER PAYUDARA DI RSU DADI KELUARGA PURWOKERTO Prabandari, Fitria; Fajarsari, Dyah
Bidan Prada: Jurnal Publikasi Kebidanan Akbid YLPP Purwokerto Vol 10, No 1 (2019): Jurnal Bidan Prada Edisi Juni 2019
Publisher : Bidan Prada: Jurnal Publikasi Kebidanan Akbid YLPP Purwokerto

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Abstract

Breast cancer is a malignant tumor that attacks breast tissue originating from glandular cells and breast supporting tissues, not including the breast skin. The etiology of breast cancer cannot be explained. However, many studies have shown that there are several factors associated with an increased risk or the possibility of breast cancer. at the Dadi Purwokerto Family General Hospital because of an increase in the incidence of breast cancer from January - October 2014 totaling 2,320 cases of breast cancer. This study uses a restropective case control approach. Data analysis uses non-statistical analysis or referred to as simple statistical analysis. To test the hypothesis about the relationship between two variables used Chi Square. The results of the bivariate analysis will be analyzed using logistic regression on each variable with a value of p <0.25. There is a relationship between menarche age factor and the incidence of breast cancer at Dadi Family Hospital in Purwokerto. There is a relationship between the old factors of breastfeeding and the incidence of breast cancer at Dadi Family Hospital in Purwokerto. Variables that influence breast cancer incidence are age of menarche and duration of breastfeeding. Keywords: Breast Cancer, Age of Menarche, Length of Breastfeeding
DROP OUT PENGOBATAN HIV PADA IBU BERDASARKAN AKSES LAYANAN PENGOBATAN DI KABUPATEN BANYUMAS TAHUN 2016 Fajarsari, Dyah
Bidan Prada: Jurnal Publikasi Kebidanan Akbid YLPP Purwokerto Vol 10, No 1 (2019): Jurnal Bidan Prada Edisi Juni 2019
Publisher : Bidan Prada: Jurnal Publikasi Kebidanan Akbid YLPP Purwokerto

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Abstract

Long-term treatment is common in every chronic disease, including HIV-AIDS, treatment includes administration of antiretroviral (ARV) drugs, prophylaxis, or treatment for opportunistic infections. Therapy compliance is the most important thing in replacing HIV replication and must be rejected. Constraints that occur to start ARV therapy are still often found by patients who already know their positive status but have not conducted CD4 and VL examinations for various reasons such as costs, distance from home and that are needed to compile consuls. HIV treatment for mothers who are completing a Drop Out of HIV Treatment in Banyumas District in 2016. The method of Qualitative research with case study design. The Informants selection of in this study was conducted by using non-probability sampling technique, how to collect the data in-depth interview method (indepth interview). the main  Informants are mothers who are dropped out in HIV treatment as much as 5 people. The secondary informants are husband/family and health workers. The results showed that of the 5 informants, 3 took medication at RSMS, 1 took at the cilongok I health center and 1 person took medicine at Baturaden II Health Center. The ease for HIV sufferers who cannot afford to receive KBS (Healthy Banyumas Card) by directly giving access to the Health Office without going through the procedure level to facilitate the confidentiality of the status of the mother and minimize the exchange that is done. Keywords: Drop out, HIV treatment, mother, access to treatment services
Determinan Faktor Yang Mempengaruhi Imunitas Bidan Selama Masa Pandemi Covid-19 Artathi Eka Suryandari; Dyah Fajarsari
Jurnal Bina Cipta Husada Vol 17 No 1 (2021): Jurnal Bina Cipta Husada
Publisher : STIKes Bina Cipta Husada

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Abstract

Jumlah kematian tenaga kesehatan Indonesia akibat Covid-19 menempati rekor tertinggi di Asia Tenggara. Profesi Bidan menempati urutan ke tiga tertinggi dari tenaga kesehatan di Indonesia yang meninggal karena Covid-19. Bidan merupakan garda depan dalam mengatasi masalah kesehatan ibu dan anak sehingga harus meningkatkan imunitas untuk mengurangi tingkat keparahan dan terhindar dari Covid-19. Tujuan penelitian ini adalah untuk mengetahui determinan faktsor yang mempengaruhi imunitas bidan selama masa pandemi Covid-19. Jenis penelitan ini adalah analitik korelasi, dengan pendekatan cross sectional menggunakan kuesioner yang disebarkan melalui link google form. Populasi penelitan adalah bidan yang bekerja di fasilitas kesehatan wilayah kabupaten Banyumas, sampel penelitian ini berjumlah 56 responden. Hasil penelitian menunjukkan bahwa determinan faktor yang mempengaruhi imunitas bidan adalah kebiasaan olahraga (ρ-value 0,001), kecukupan istirahat (ρ-value 0,002), kebiasaan berjemur (ρ-value 0,018), kebiasaan konsumsi sayur dan buah (ρ-value 0,004), dan kebiasaan konsumsi empon-empon (ρ-value 0,003). Sedangkan faktor yang tidak mempengaruhi imunitas bidan kebiasaan konsumsi madu (ρ-value 0,062).
Analisis Hubungan Paritas Dan KPD Dengan Kejadian Partus Lama Di RSUD Prof. Dr. Margono Soekardjo Purwokerto Fitria Prabandari; Dyah Fajarsari
Jurnal Bidan Mandira Cendikia Vol. 1 No. 2 (2022)
Publisher : YAYASAN PENDIDIKAN MANDIRA CENDIKIA

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Seiring perkembangan zaman kehamilan pada usia muda menunjukkan peningkatan. Kehamilan pada usia yang terlalu muda termasuk dalam kriteria kehamilan risiko tinggi dan berperan meningkatkan morbiditas dan mortalitas pada ibu maupun janin. Selain berisioko pada kehamilan juga berisiko pada saat persalinan. Persalinan lama merupakan persalinan yang berlangsung lebih dari 24 jam pada primigravida dan lebih dari 18 jam pada multigravida. Faktor penyebab partus lama antara lain usia, paritas, KPD, kerja uterus yang tidak efisien, analgesic dan anastesis yang berlebihan dalam fase laten serta disproporsi fetovelvik. Kejadian partus lama di RSUD Prof. Dr. Margono Soekardjo tahun 2016-2018 semakin meningkat. Tujuan penelitian ini adalah menganalisis hubungan paritas dan KPD dengan partus lama. Penelitian ini menggunakan pendekatan case control restropektif. Case control restropektif yaitu rancangan epidemiologis. Populasi pada penelitian ini sebanyak 2.877 orang. Sampel pada penelitian ini yaitu ibu yang mengalami partus lama dan ibu yang tidak mengalami partus lama masing-masing sebanyak 96 kasus. Ibu yang bersalin mayoritas merupakan kategori paritas rendah sebanyak 100 orang (52,1%), ibu bersalin mayoritas tidak mengalami KPD sebanyak 101 orang (52,6%). Ada hubungan antara paritas ibu dengan kejadian partus lama (p-value = 0,001; OR 95% CI = 2,783). Ada hubungan antara kejadian KPD dengan kejadian partus lama (p-value = 0,000; OR 95% CI = 4,213). Dukungan dari Bidan atau Dokter dalam peningkatan kualitas kehamilan sangat diperlukan tidak hanya sekedar saran namun perlu adanya dukungan secara praktis kepada wanita selama kehamilannya.
ANALISIS FAKTOR YANG BERHUBUNGAN DENGAN MINAT IBU HAMIL UNTUK MELAKUKAN BABY MASSAGE SECARA MANDIRI Eka Suryandari, Artathi; Fajarsari, Dyah
Ensiklopedia of Journal Vol 7, No 2 (2025): Vol. 7 No. 2 Edisi 1 Januari 2025
Publisher : Lembaga Penelitian dan Penerbitan Hasil Penelitian Ensiklopedia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33559/eoj.v7i2.2782

Abstract

Latar belakang: Baby massage merupakan perawatan kesehatan berupa terapi sentuh dengan teknik tertentu. Manfaat baby massage meliputi memberikan efek biokimia dan fisik yang positif, meningkatkan berat badan, pertumbuhan perkembangan, konsentrasi bayi, bounding, memberikan perasaan nyaman, dan merangsang peradaran darah sehingga perlu ditingkatkan minat ibu hamil untuk melakukan baby massage secara mandiri. Tujuan Penelitian: menganalisis faktor yang berhubungan dengan minat ibu untuk melakukan baby massage secara mandiri.  Metode penelitian: Penelitian ini menerapkan jenis penelitian kuantitatif analitik, dengan desain studi penampang analitik. Responden mengisi kuesioner tentang karakteristik, pengetahuan dan minat. Jumlah sampel sebanyak 38 orang ibu hamil di kelurahan Karangklesem periode Agustus-September 2024. Analisis data dilaksanakan dengan analisis univariat, bivariat dengan uji chi square dan multivariat dengan uji regresi logistik. Hasil Penelitian: Terdapat hubungan yang signifikan antara Pendidikan (ρvalue 0,03), pekerjaan (ρvalue 0,01) dan pengetahuan (ρvalue 0,024) dengan minat ibu untuk melakukan baby massage. Tidak terdapat hubungan antara usia (ρvalue 0,68), paritas (ρvalue 0,914), keberadaan dukun bayi (ρvalue 1,000) dan keberadaan layanan baby spa (ρvalue 0,13). Simpulan: Faktor yang berhubungan dengan minat ibu hamil untuk melakukan baby massage secara mandiri meliputi Pendidikan, pekerjaan, dan pengetahuan.Kata Kunci: Baby massage, minat, usia, Pendidikan, pekerjaan, paritas, keberadaan  dukun bayi, keberadaan layanan baby spa, pengetahuan
Efektivitas Massage Effleurage Dalam Mengurangi Nyeri Pada Ibu Bersalin Kala I Suryandari, Artathi Eka; Fajarsari, Dyah
Jurnal Bina Cipta Husada Vol 21 No 2 (2025): Jurnal Bina Cipta Husada
Publisher : STIKes Bina Cipta Husada

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Abstract

Effleurage merupakan salah satu dari empat teknik dasar massage komplementer sebagai suatu bentuk terapi sentuhan yang menggunakan teknik tertentu untuk merangsang relaksasi, meningkatkan sirkulasi darah dan mengurangi ketegangan otot. Stimulasi massage effleurage dapat memicu produksi endorfin sebagai penghilang rasa sakit alami sehingga nyeri yang dirasakan ibu bersalin kala I berkurang. Tujuan penelitian ini adalah untuk mengetahui bagaimana efek massage effleurage dalam menurunkan nyeri pada ibu bersalin kala I. Metodologi penelitian yang dipakai adalah pra-eksperimental. Uji Wilcoxon Signed Rank non-parametrik digunakan dalam analisis bivariat untuk menentukan perubahan skor nyeri persalinan rata-rata sebelum dan sesudah massage effleurage. Penelitian ini dilaksanakan di Ruang Bersalin Puskesmas Cilongok I dengan responden ibu bersalin kala I. Hasil penelitian ini menunjukkan bahwa massage effleurage bermanfaat untuk menurunkan rasa nyeri pada ibu bersalin kala I di Puskesmas Cilongok I Kabupaten Banyumas dengan nilai ρ sebesar 0,001. Penanganan nyeri dengan teknik effleurage ini tentunya menjadi peluang bagi bidan dalam memberikan asuhan kebidanan secara komprehensif sehingga pasien merasa puas dengan layanan yang diberikan bidan.
EFEKTIVITAS EFFLEURAGE MASSAGE TERHADAP PENURUNAN SKOR EPDS PADA IBU POSTPARTUM PRIMIPARA Eka Suryandari, Artathi; Fajarsari, Dyah
Ensiklopedia of Journal Vol 5, No 3 (2023): Vol. 5 No. 3 Edisi 3 April 2023
Publisher : Lembaga Penelitian dan Penerbitan Hasil Penelitian Ensiklopedia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33559/eoj.v5i3.1899

Abstract

Background: Psychological adaptation in postpartum women includes three phases, namely the taking in phase, the taking hold phase, and the letting go phase. Postpartum mothers who can go through these three phases usually experience the postpartum period, but due to various factors, namely, 30% - 50% of postpartum mothers worldwide experience postpartum depression. Objectives: The purpose of this study is to evaluate whether or not effleurage massage is useful in lowering EPDS scores in first-time postpartum mothers. Methods: The Groups Pretest-Posttest Design was utilized for the research in this study, which was of the pre-experimental variety. Before and after receiving the Effluerage Massage intervention, participants completed the EPDS questionnaire. The massage lasted around 30 minutes every other day for a total of 14 days. There were a total of 12 samples collected from first-time mothers who had recently given birth in the Kebasen Health Center's service area between the months of January and March 2023. A paired t-test was utilized in the process of analyzing the data. Results: The paired t-test on postpartum mothers who underwent Effleurage massage showed a probability value of ρ-value 0.000 <0.05, this indicates that the null hypothesis was rejected or that the study hypothesis was accepted. After receiving effleurage massage, it is possible to draw the conclusion that there is a statistically significant difference in the EPDS scores of first-time mothers who have recently given birth. Conclusion: Effleurage massage effectively reduces EPDS scores in primiparous postpartum mothers.Keywords: Effleurage massage, score, EPDS, primipara