Sri Ratna Dwiningsih
Departemen Obstetri Dan Ginekologi Fakultas Kedokteran Universitas Airlangga Surabaya

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Journal : INDONESIAN MIDWIFERY HEALTH AND SCIENCES JOURNAL

GANGGUAN MENSTRUASI PADA AKSEPTOR DMPA TIDAK TERKAIT IMT Cicilia Valentine Simamora; Sri Ratna Dwiningsih; Ninik Darsini
Indonesian Midwifery and Health Sciences Journal Vol. 3 No. 3 (2019): Indonesian Midwifery and Health Sciences Journal, July 2019
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v3i3.2019.196-203

Abstract

Abstrak Latar Belakang: Kejadian akseptor drop out tertinggi karena efek samping yaitu pada metode suntikan. KB injeksi DMPA memiliki efek samping gangguan menstruasi. Untuk menjamin lancarnya menstruasi, wanita harus mempunyai kadar lemak sebanyak 22% dari berat badannya. Kadar lemak dapat ditentukan dengan menilai berat badan seseorang melalui pengukuran Indeks Massa Tubuh (IMT). Penelitian ini bertujuan untuk mempelajari hubungan IMT dengan gangguan menstruasi pada akseptor KB injeksi DMPA di Puskesmas Jagir. Metode: Penelitian ini merupakan penelitian analitik observasional dengan pendekatan cross sectional. Jumlah sampel sebanyak 67 orang meliputi akseptor KB injeksi DMPA di Puskesmas Jagir sesuai dengan kriteria inklusi. Sampling dilakukan dengan total sampling. Variabel bebas dalam penelitian ini adalah IMT pada akseptor KB injeksi DMPA, sedangkan variabel tergantung adalah gangguan menstruasi pada akseptor KB injeksi DMPA. Untuk mengetahui tingkat signifikan, data yang terkumpul akan diuji dengan uji statistik Pearson pada tingkat kemaknaan α=0,05. Hasil: Hasil penelitian didapatkan bahwa sebagian besar responden memiliki IMT normal (55,2%), IMT kurus (3,0%) dan IMT overweight (41,8%). Hampir seluruhnya mengalami gangguan menstruasi (88,1%) dan yang tidak mengalami gangguan menstruasi (11,4%). Setelah uji Pearson diperoleh nilai p=0,140 (p>0,05) yang berarti bahwa tidak ada hubungan antara IMT dengan gangguan menstruasi pada akseptor KB injeksi DMPA. Kesimpulan: Tidak ada hubungan antara IMT dengan gangguan menstruasi pada akseptor KB injeksi DMPA di Puskesmas Jagir. Abstract Background: The incidence of drop out acceptors mostly due to side effects, is found on the injection method. DMPA injection has side effects of menstrual disorders. To ensure a fluent menstruation, women should have fat mass at least 22% of their body weight. Fat mass can be determined by measuring the Body Mass Index (BMI). This research aims to study the relationship of BMI with menstrual disorders in DMPA injection receiver at Puskesmas Jagir. Methods: This research is an observational analytic research with a cross sectional approach. A total sample of 67 people included DMPA injection receiver at Puskesmas Jagir corresponding for inclusion criteria. Sampling is done by total sampling. The independent variable in this study was BMI in DMPA injection receiver, while the dependent variable was menstrual disorders in DMPA injection receiver. To determine a significant level, the collected data will be tested by Pearson at the significance level of α = 0.05. Results: The results of the study showed that most of respondents had normal BMI (55.2%), thin BMI (3,0%) and overweight BMI (44.8%). Most of them experienced menstrual disorders (88.1%) and others did not experience menstrual disorders (11.4%). After the Pearson test, the value of p = 0.140 (p > 0.05) which means that there is no relationship between BMI and menstrual disorders in DMPA injection receiver. Conclusion: There is no relationship of BMI with menstrual disorders in DMPA injection receiver at Puskesmas Jagir.
OMEGA 3 SUPPLEMENTATION DECREASE A BLOOD CHOLESTROL LEVEL IN TRAINED WOMEN Diana Rahima; Bambang Purwanto; Sri Ratna Dwiningsih
Indonesian Midwifery and Health Sciences Journal Vol. 5 No. 1 (2021): Indonesian Midwifery and Health Sciences Journal, January 2021
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v5i1.2021.13-17

Abstract

  AbstractBackground : Trained woean who experiencing menstrual disoders are found with high blood cholesterol level. This situation is contrary to who don’t experience menstrual disorder. Mentrual disorder condition has a low estrogen level. The low estrogen level is associated with endothelial disfunction which causes blood cholesterol increase. The benefit of omega 3 supplementation have been clinically proven to prevent atherosclerosis, decrease blood cholesterol levels, and playong an important role in modulating inflamation. Omega 3 supplementation is expected to decrease blood cholesterol levels in trained women. Method: This research is using field experimental with case control method. The samples are 30 trained womens contained by 15 are controlled and 15 are given treatment. The sampling technique is randomized allocation. The independent variabel is omega 3 300mg supplementation and the dependent variabel is blood cholesterol levels. Data are analized using parametric statistic paired T-test. Result: The bivariate analysis showed there is a meaningful difference on blood cholesterol levels in the treatment group p=0,0027 and no change in control group p=0,191 during treatment for 8 weeks. Conclusion: Omega 3 supplementation decrease a blood cholesterol levels in trained women. 
THE BODY MASS INDEX (BMI) RELATED TO MENOPAUSE SYMPTOMS Olvinda Eka Zulfi; Sri Ratna Dwiningsih; Ilya Krisnana
Indonesian Midwifery and Health Sciences Journal Vol. 5 No. 1 (2021): Indonesian Midwifery and Health Sciences Journal, January 2021
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v5i1.2021.73-87

Abstract

 AbstractBackground : Menopause is a natural period in a woman's life related to hormonal changes and is marked by the cessation of menstruation in the last 12 months and can cause a wide range of sometimes bothersome menopause symptoms. That menopause symptoms associated with several risk factors such as Body Mass Index (BMI) and knowledge. The study aims to identify the relationship of BMI and knowledge with menopause symptoms in the Shafa group Padang Petok Nagari Panti Selatan. Method : This research is analitic observational research with cross sectional approach. The sampling technique was carried out by total sampling consisting of 55 respondents with inclusion criteria menopause women aged 45-65 years who have not experienced dementia, have good awareness and willing to be respondents. Data were obtained by weighing, measuring height and filling out The Menopause Rating Scale to evaluate the severity of menopause-related symptoms by respondents. Afterwards the data was analyzed by the Spearman rho test to see the association between BMI and knowledge with menopause symptoms. Result : The research shows 65,4% respondents with high BMI, 72,7% with lacking of knowledge and 60% with severe menopause symptoms. The results of the Spearman rho test showed a relationship between BMI and menopause symptoms (p value = 0.000), but there is no relationship between knowledge of menopause and menopause symptoms (p= 0,450).  Conclusion : BMI related to menopause symptoms. Menopause women must monitor their weight in an effort to prevent these complaints. 
COMBINATION OF EFFLEURAGE AND KNEADING MASSAGE CAN REDUCE INTENSITY OF DYSMENORRHEA Putri Lisdiana Rahmawati; Sri Ratna Dwiningsih; Lilik Herawati
Indonesian Midwifery and Health Sciences Journal Vol. 4 No. 1 (2020): Indonesian Midwifery and Health Sciences Journal, January 2020
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v4i1.2020.51-59

Abstract

ABSTRACTBackground : Dysmenorrhea or menstrual pain has an impact in various aspects of life. There are many methods for treating dysmenorrhea like pharmacological and nonpharmacological therapy. Massage is one of the non-pharmacological therapies used to treat dysmenorrhoea. This study aims to determine the effect of a combination of effluence and kneading massage on decreasing the intensity of dysmenorrhoea pain in adolescents. Method: This research method is experimental with a pretest - posttest control group design research design. The sampling technique is simple random sampling. A total of 20 respondents were divided into 4 groups, namely the control group, the effleurage massage group, the kneading massage group, and the combination of effleurage and kneading massage groups. The instrument used was the observation sheet of the pain level Numerical Rating Scale (NRS). Results: The test results showed that there were differences in the intensity of dysmenorrhoea pain before and after intervention of effleurage, kneading, and combination of effleurage and kneading massage. The test results also showed a difference in decrease in the intensity of dysmenorrhea for all groups with a value of p = 0.009. The combination of effleurage and kneading massage is the best treatment to decrease the intensity of dysmenorrhea. Conclusion: there are differences in the effect of giving a combination of effleurage and kneading massage to the intensity of dysmenorrhoea, and the combination of effleurage and kneading massage is the best treatment to reduce the intensity of dysmenorrhoea. 
RELATIONSHIP OF FEMALE AGE AND SPERM QUALITY WITH THE SUCCESSFUL OF IUI LITERATURE REVIEW Dhea Hesty Purwaningrum; Sri Ratna Dwiningsih; Sulistiawati Sulistiawati
Indonesian Midwifery and Health Sciences Journal Vol. 5 No. 3 (2021): Indonesian Midwifery and Health Sciences Journal, July 2021
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v5i3.2021.232-241

Abstract

AbstractBackground: Infertility in developing countries is higher at 30% compared to developed countries at 5-8%. The factors that influence infertility are maternal (women) age and sperm factors. Therapy in handling infertility in the form of Assisted Reproductive Technology (ART) with one of them is Intrauterine Insemination (IUI). The success rate of IUI is the percentage of IUI programs that give results as desired depending on the type of calculation used such as pregnancy rate or live birth rate. Method: This research is a literature review. The research question with PICO standard is "What is relationship between woman's age and sperm quality with the success of Intrauterine Insemination?". 70 literatures were obtained from Cochrane, Sciencedirect, PubMed, and google scholar databases. Literature screening was done by looking at the inclusion and exclusion criteria that have been set, so that 7 literature will be reviewed.  Results: From all the literature on the relationship of woman's age with the pregnancy rate in the IUI process stated that there was a significant relationship between the age of the woman with the success of IUI. Most of literature (75%) on the relationship of sperm quality with pregnancy rates in the IUI process states that there is a relationship between sperm quality and the success of IUI. The percentage of pregnancies in the IUI program can reach more than 10% with a sperm concentration >10x106/ml. Conclusion: From a review of 7 literature, the age of women who are ideal for IUI is 20-35 years with a pregnancy of  20%. In a sperm concentration >10x106/ml and sperm morphology ≥ 5% can get >10% pregnancy rate, and a pregnancy rate of >8% on sperm motility ≥ 75%.
CONTINUOUS SWIMMING TRAINING IN MODERATE INTENSITY DECREASED FOLLICLE STIMULATING HORMONE LEVEL IN FEMALE MICE ON A HIGH-CALORIE DIET Amalia Ramadhani; Sri Ratna Dwiningsih; Lilik Herawati
Indonesian Midwifery and Health Sciences Journal Vol. 7 No. 2 (2023): Indonesian Midwifery and Health Sciences Journal, April 2023
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v7i2.2023.100-109

Abstract

Background: The increase of calorie intake can increase the risk of obesity and diabetes mellitus. One of the efforts to reduce the risk is doing physical exercise. Types of physical exercise that can affect the system of female reproduction are not clearly defined. Purpose: To analyse the effect of moderate intensity continuous physical exercise on FSH levels in female rats exposed to a high-calorie diet. Methods: Laboratory experimental was research with Randomized Post test only Control Group Design. Sampel size was 27 rats (150-200, adults) in the estrus phase, then divided into 3 groups (negative control group, positive control group (high-calorie diet), and the Moderate Intensity Continuous Training group (MICT with high-calorie diet)). Results: The results showed that there was an significant effect of continuous physical exercise in moderate intensity on FSH level in female rats exposed to other group. The FSH level in the MICT group had the lowes level (16.78 ±4.83 mIU/ml). Conclusion: There is an effect of MICT on FSH level decreases in female rats exposed to a high diet calories. This can be caused, that high-calorie diet can inhibit GnRH secretion and continuous moderate-intensity physical exercise changes the rat energy metabolism