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

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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%.
Unmet Need For Family Planning During Covid 19 Noor Syafaatin Udhma; Sri Ratna Dwiningsih
JKM (Jurnal Kebidanan Malahayati) Vol 8, No 2 (2022): Vol 8.No.2.April 2022
Publisher : Program Studi Kebidanan Fakultas Kedokteran Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkm.v8i2.5990

Abstract

Latar Belakang: Penurunan angka unmet need KB merupakan salah satu sasaran strategis pemerintah dalam mewujudkan pertumbuhan penduduk yang seimbang. Capaian penurunan angka unmet need KB di tahun 2020 sebesar 64,2%, capaian tersebut mengalami penurunan dari tahun 2019 yaitu sebesar 81,9%. Unmet need KB dapat disebabkan oleh beberapa faktor, Akses fasilitas kesehatan merupakan salah satu faktor penyebab unmet need KB.Tujuan: Penelitian ini bertujuan untuk menggambarkan dampak akses fasilitas kesehatan di masa pandemi covid terhadap unmet need KB.Metode: Sebuah studi literature review dilakukan dengan memanfaatkan database Google Scholar, NCBI, dan Elsevier untuk menelusuri jurnal nasional dan internasional yang meneliti hubungan antara akses fasilitas kesehatan dan unmet need KB.Hasil: Hasil penelitian dari telaah artikel didapatkan bahwa hambatan akses fasilitas kesehatan di masa pandemi covid 19 dapat datang dari berbagai dimensi yaitu availability, approachability, acceptability, dan affordability.Kesimpulan : Dampak pandemi Covid menyebabkan mayoritas fasilitas kesehatan perifer ditutup dan beberapa pelayanan kesehatan esensial rutin terganggu.Saran : fasilitas kesehatan dapat mengimplementasikan pedoman pelayanan KB disaat Pandemi. Kata Kunci: Akses fasilitas kesehatan, Covid 19, Kontrasepsi, Unmet need KB. ABSTRACT Background: Reducing the number of unmet need for family planning is one of the government's strategic targets in realizing balanced growth. The achievement of decreasing the number of unmet need for family planning in 2020 was 64.2%, this achievement decreased from 2019 which was 81.9%. Unmet need for family planning can be caused by several factors. Access to health facilities is one of the factors causing unmet need for family planning.Aim: This study aims to describe the impact on access to health facilities during the COVID-19 pandemic. Unmet need for family planning.Methode: A literature review was conducted using the Google Scholar, NCBI, and Elsevier databases to search for national and international journals that examined the relationship between access to health facilities and unmet needs for family planning.Results: The results of the study of the article found that the barriers to access to health facilities during the COVID-19 pandemic could come from various dimensions, namely availability, approachability, acceptability, and affordability.Conclusion: The impact of the Covid pandemic caused most of the peripheral health facilities to be closed and some essential health services disrupted.Suggestion: It is recommended for health facilities to implement family planning service guidelines during a pandemic. Keywords : Access to Health Care, Contraception, Covid 19 Unmet need for family planning. 
The relationship between age of menarche and duration of menstruation with the incidence of primary dysmenorrhea -, Nur Mulyani; Lestari Sudaryanti; Sri Ratna Dwiningsih
Journal of Health Education and Literacy Vol 4 No 2 (2022): Journal of Health, Education and Literacy (J-healt)
Publisher : Universitas Sulawesi Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31605/j-healt.v4i2.1432

Abstract

Dysmenorrhea causes a decrease in women's quality of life. The incidence of primary dysmenorrhea in Indonesia reaches 56.4%. The purpose of this study was to examine the relationship between age of menarche and duration of menstruation on the incidence of dysmenorrhea. This type of research is quantitative with an observational analysis design using a cross-sectional approach. Data collection in this study was carried out using a questionnaire distributed online in the form of a google form. The analysis used in this study is the univariate analysis and bivariate analysis using the Chi-Square test. The results of the analysis show that there is a relationship between the age of menarche and the incidence of dysmenorrhea with a P-Value of 0.016, and the results of the analysis show that there is a relationship between the length of menstruation and the incidence of dysmenorrhea with a P-value of 0.024. So it can be concluded that there is a significant relationship between the age of menarche and the length of menstruation with the incidence of primary dysmenorrhea. Thus, efforts to overcome menstrual pain are by avoiding stressors, doing regular exercise and consuming foods with balanced nutrition, avoiding caffeinated foods and drinks, and consuming lots of mineral water.
DETERMINAN PENGGUNAAN METODE KONTRASEPSI JANGKA PANJANG JENIS ALAT KONTRASEPSI DALAM RAHIM (AKDR) COPPER PADA AKSEPTOR AKTIF DI PUSKESMAS KROMENGAN KABUPATEN MALANG Pratiwi Dwi Trisnanti; Sri Ratna Dwiningsih
Jurnal Ilmu Kebidanan Vol. 9 No. 1 (2022): Edisi Desember
Publisher : POLITEKNIK KESEHATAN UMMI KHASANAH

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.48092/jik.v9i1.185

Abstract

Latar Belakang Sensus penduduk tahun 2020 yang dilakukan oleh Badan Pusat Statistik menunjukkan jumlah penduduk Indonesia sebesar 270.203.917 dengan persebaran penduduk berjenis kelamin perempuan sebanyak 133.542.018 jiwa. Jawa Timur memiliki jumlah pasangan usia subur yang tidak ber KB sebanyak 1.915.683 PUS sehingga angka unmet need di Jawa Timur memiliki peluang yang cukup besar. Salah satu metode kontrasepsi yang efektif untuk menekan angka kejadian unmet need yaitu AKDR Copper. ADKR Copper memiliki efektifitas mencapai 99%. Penelitian ini bertujuan untuk mengetahui determinan penggunaan metode kontrasepsi jangka panjang jenis AKDR Copper pada akseptor aktif di Puskesmas Kromengan Kabupaten Malang. Metode: Penelitian ini menggunakan desain studi analitik observasional dengan pendekatan cross sectional, pengambilan sampel menggunakan non random sampling berupa convenience sampling. Sampel pada penelitian ini berjumlah 91 akseptor aktif. Penelitian ini dilakukan dengan membagikan kuesioner secara online menggunakan google form untuk mendapatkan data primer. Analisis data yang dilakukan  adalah  analisis  univariat,  bivariat   dan  multivariat. Hasil: Berdasarkan hasil analisis bivariat didapatkan hasil terdapat hubungan antara umur, tingkat pendidikan, pekerjaan, tingkat pengetahuan, dukungan suami, dan persepsi dengan penggunaan MKJP jenis AKDR Copper dan tidak terdapat hubungan antara jumlah anak dengan penggunaan MKJP jenis AKDR Copper. Hasil analisis multivariat menunjukkan variabel yang berpengaruh terhadap penggunaan metode kontrasepsi jangka panjang jenis AKDR Copper adalah umur dan pekerjaan. Kesimpulan: Dapat disimpulkan bahwa umur merupakan variabel yang paling dominan dalam mempengaruhi penggunaan MKJP jenis AKDR Copper.
Comparison of the potencies of ginger (Zingiber officinale) and fennel (Foeniculum vulgare) in ameliorating dysmenorrhea pain: A systematic review Vienda Leony Agustina; Siti Khaerunnisa; Sri Ratna Dwiningsih
Majalah Obstetri & Ginekologi Vol. 31 No. 1 (2023): April
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mog.V31I12023.52-60

Abstract

HIGHLIGHTS Dysmenorrhea pain could be reduced through various non-pharmacological treatments, including administration of ginger (Zingiber officinale) and Fennel (Foeniculum vulgare) which had been shown to significantly reduce the dysmenorrhea pain intensity. The dysmenorrhea pain intensity reduction due to the administration of the natural herbs was not as significant as compared to the ibuprofen or mefenamic acid administration.   ABSTRACT Objective: We aimed to compare the effect of ginger and fennel herbs treatment in reducing dysmenorrhea pain intensity. Materials and Methods: We used a systematic review method employing the PRISMA chart. PubMed, Science Direct, Scopus, and EBSCO were searched which resulted in 418 compatible literature. Among the studies found, 13 works of literature that met the PICO inclusion criteria were included in this study. The study subjects involved women aged 15 to 25 years old who experienced dysmenorrhea, had normal or high BMI levels, consumed or did not consume oral contraceptive pills (OCP), and had normal menstrual cycles. Results: The results presented significant decreases in pain intensity in 11 studies, while the two others have shown otherwise. The two studies, with insignificant results, failed to determine the optimum dose to produce the desired analgesic effects. Conclusion: The administration of herbal ginger is considered more effective in reducing the intensity of dysmenorrhea pain.
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
Differences in Contraceptive Use Before and During the COVID-19 Pandemic at One of Community Health Center in Surabaya Oktavianti, Anisa Dwi; Sofia Al Farizi; Sri Ratna Dwiningsih
PROFESSIONAL HEALTH JOURNAL Vol. 7 No. 1 (2025): In Progress issue
Publisher : Pusat Penelitian dan Pengabdian Masyarakat (PPPM) STIKES Banyuwangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54832/phj.v7i1.1006

Abstract

Introduction: The COVID-19 pandemic has caused limitations, one of which is contraceptive services. The impact of this pandemic is different in each region. In Indonesia, there was a decrease in family planning acceptors at the beginning of the pandemic and it is feared that there will be a baby boom after the pandemic. During the pandemic, Surabaya was one of the areas with high COVID-19 cases. However, contrary to existing concerns, the number of pregnancies in Surabaya has actually decreased during 2020 (during the pandemic). One of the contraceptive health services in this area is at Jagir Community Health Center. Objectives: This study aims to determine the differences in contraceptive use before and during the COVID-19 pandemic at Jagir Community Health Center. Methods: This research method is quantitative through an observational analytic design.The sample size was 269 acceptors with a sampling technique using total sample method from family planning acceptors at the Jagir Health Center for the period March 2019 - February 2021 which included inclusion criteria. Data collection using medical records. Results: The results showed that the majority of acceptors before and during the pandemic were 20-35 years old with parity ≤ 2. Based on the chi-square test, the difference in contraceptive use before and during the COVID-19 pandemic (p-value <0.05), where during the pandemic there was a decrease in non-MKJP acceptors and an increase in MKJP acceptors. Conclusions: There is a significant difference in contraceptive use before and during the COVID-19 pandemic at Jagir Community Health Center.
The Relationship of Exposure to Plastic Food and Beverage Packaging on The Severity Stadium of Endometriosis at Dr. Soetomo General Hospital Surabaya Zafirah Delia; Sri Ratna Dwiningsih; Pudji Lestari
PROFESSIONAL HEALTH JOURNAL Vol. 7 No. 1 (2025): December
Publisher : Pusat Penelitian dan Pengabdian Masyarakat (PPPM) STIKES Banyuwangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54832/phj.v7i1.1004

Abstract

Introduction: Endometriosis is a gynecological problem which is one of the main causes of secondary dysmenorrhea with pathological conditions. Endometriosis is defined as a disorder characterized by the presence of tissue similar to the endometrial layer growing outside the uterus which occurs in women of reproductive age. Bisphenol A (BPA) and phthalates are two substances found in food and beverage plastics that may be endocrine disrupting chemicals (EDC). Hormonal system abnormalities are intimately linked to endometriosis. Objectives: This study aims to prove the relationship between exposure to food and drink plastic and the stage of endometriosis. Methods: The design of this research is observational analytics with a retrospective approach. The sampling technique used non-probability sampling with a consecutive sampling approach of 96 respondents. Data analysis used the chi square test. Results: The research results showed that 65.63% (63) of respondents experienced moderate levels of exposure to plastic food and drinks. As many as 34.38% (33) of respondents experienced stage IV (severe) endometriosis. The results of the correlation between exposure to plastic food and drinks and the stage of endometriosis showed p value = 0.042. Conclusions: There is a significant relationship between exposure to food and drink plastic and the stage of endometriosis at Dr. Soetomo General Hospital Surabaya
Differences in Contraceptive Use Before and During the COVID-19 Pandemic at One of Community Health Center in Surabaya Oktavianti, Anisa Dwi; Sofia Al Farizi; Sri Ratna Dwiningsih
PROFESSIONAL HEALTH JOURNAL Vol. 7 No. 1 (2025): December
Publisher : Pusat Penelitian dan Pengabdian Masyarakat (PPPM) STIKES Banyuwangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54832/phj.v7i1.1006

Abstract

Introduction: The COVID-19 pandemic has caused limitations, one of which is contraceptive services. The impact of this pandemic is different in each region. In Indonesia, there was a decrease in family planning acceptors at the beginning of the pandemic and it is feared that there will be a baby boom after the pandemic. During the pandemic, Surabaya was one of the areas with high COVID-19 cases. However, contrary to existing concerns, the number of pregnancies in Surabaya has actually decreased during 2020 (during the pandemic). One of the contraceptive health services in this area is at Jagir Community Health Center. Objectives: This study aims to determine the differences in contraceptive use before and during the COVID-19 pandemic at Jagir Community Health Center. Methods: This research method is quantitative through an observational analytic design.The sample size was 269 acceptors with a sampling technique using total sample method from family planning acceptors at the Jagir Health Center for the period March 2019 - February 2021 which included inclusion criteria. Data collection using medical records. Results: The results showed that the majority of acceptors before and during the pandemic were 20-35 years old with parity ≤ 2. Based on the chi-square test, the difference in contraceptive use before and during the COVID-19 pandemic (p-value <0.05), where during the pandemic there was a decrease in non-MKJP acceptors and an increase in MKJP acceptors. Conclusions: There is a significant difference in contraceptive use before and during the COVID-19 pandemic at Jagir Community Health Center.