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Implementation of Counceling in Antenatal Care Services in Puskesmas Genuk of Semarang Erna Widyastuti; Ngadiyono Ngadiyono
Midwifery and Nursing Research Vol 2, No 2 (2020): SEPTEMBER 2020
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/manr.v2i2.5592

Background: Maternal mortality was one of indicator in the successful development sector. Maternal Mortality rate in Central Java Province in 2016 was 109.65 per 100,000 live births, decreased in 2017 by 88.5 per 100,000 live births (475 cases), and decreased again in 2018 by 78.6 per 100,000 live births (421 cases). At the same time Semarang city also get decreased. There has been a decreased in cases, 23 cases in 2017 to 19 cases in 2018. The aim of this study was to describe antenatal care services in Puskesmas Genuk.Methods: This study was qualitative and quantitative descriptive research. The design of this research was sequential explanatory designs. The population in this study was pregnant woman and Midwife in Puskesmas Genuk Semarang city and were collected by use purposive sampling. The Researcher collect the data use Indepth interview and analyze the result.Results: The Result of this study showed that Midwifery were dominated in middle age (30 year old) and experience more than tenth years (10 years). Midwives knows detail about counseling at ANC services, but have not yet applied the sequences or principles of counseling in carrying out counseling according to the ability of the research subject and according to the needs of the patient. Pregnant mother were classified in diffrents type of risk and they were remember the counceling from Midwife and can answer the question relate to it.Conclusion: All the Midwife were know about giving advice through counceling method, but they still need to use the principal practice in delivering service.

FAKTOR RESIKO YANG BERHUBUNGAN DENGAN KEJADIAN KANKER SERVIK; STUDI KASUS DI RSUP DR. KARIADI SEMARANG Aziyah Aziyah; Sri Sumarni; Ngadiyono Ngadiyono
Jurnal Riset Kesehatan Vol 6, No 1 (2017): MEI 2017
Publisher : Poltekkes Kemenkes Semarang

Kanker serviks uteri merupakan salah satu jenis penyakit kanker tidak menular yang diperkirakan meningkat setiap tahunnya. Di RSUP Dr.Kariadi Semarang, kunjungan kanker servik di poliklinik ginekologi dari ke tahun semakin meningkat. Banyak faktor resiko yang mendukung timbulnya penyakit kanker serviks uteri antara lain riwayat hubungan seksual pertama sebelum umur 20 tahun, multiparitas, riwayat KB oral, faktor perilaku tidak sehat, dan faktor keturunan. Tujuan penelitian ini untuk mengetahui faktor resiko kanker servik pada pasien poliklinik ginekologi RSUP Dr. Kariadi Semarang tahun 2016.Jenis penelitian ini adalah penelitian kuantitatif dengan rancangan penelitian observasional analitik korelatif menggunakan pendekatan cross-sectional. Sampel yang digunakan dalam penelitian ini total sampling dengan teknik aksidental sampling sebanyak 103 responden, terdiri dari 68 responden kanker serviks dan 35 responden bukan kanker servik.Hasil penelitian adalah ada hubungan antara umur pertama kali berhubungan seksual (p-value=0.001, OR 4.56), status paritas (p-value=0.000, OR 0.09), kontrasepsi KB hormonal (p-value=0.008, OR 3.36), riwayat keturunan dengan sakit kanker (p-value=0.006, OR 5.1), dan perilaku vaginal hygiene (p-value=0.000, OR 6.5) dengan kejadian kanker servik di RSUP Dr. Kariadi Semarang tahun 2016. Dari hasil penelitian ini diharapkan tenaga kesehatan dapat menginformasikan faktor-faktor yang berhubungan dengan kanker servik sehingga masyarakat mengerti dan melakukan tindakan preventif.

FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN WAKTU MENYUSUI PERTAMA KALI PADA BAYI BARU LAHIR DI RSUD MERAUKE Hermelina Yaru; Ngadiyono Ngadiyono; Nur Khafidhoh
JURNAL KEBIDANAN Vol 8, No 2 (2018): Oktober (2018)
Publisher : Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jkb.v8i2.3746

Advantages of Early Breastfeeding Initiation is to get food with quality and quantity. The purpose of this study to determine the factors associated with the time of breastfeeding the firstfirst time in newborns at the Regional General Hospital (RSUD). This research design using descriptive method of quantitative research with cross sectional approach with accidental sampling technique. The sample is 60 respondents. Data were collected in the post partum room of normal post-partum mothers with normal-born infants at RSUD Merauke. Independent variable is mother's age, mother's education, mother's parity, mother's knowledge, type of delivery and support of health officer. The dependent variable is the first feeding time in the newborn. The results showed that the factors that influence the time of first breastfeeding in the newborn is the type of labor (p value 0.00) while the non-influencing factors are maternal age (p value 0.765), maternal education (p value 0.390), maternal parity value 0.12) maternal knowledge (p value 0, 528) and health officer support (p value 0.19)

IMPLEMENTASI PENDIDIKAN KARAKTER MAHASISWA JURUSAN KEBIDANAN POLTEKKES. SEMARANG, TAHUN 2015 Ngadiyono Ngadiyono; Bahiyatun Bahiyatun; Titi Suherni
JURNAL KEBIDANAN Vol 5, No 11 (2016): Oktober 2016
Publisher : Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jkb.v5i11.2876

The study aims to describe the character education, and the results are expect- ed to be useful theoretically and practically in the development of character education. Concurrent method using mixed methods research, design, sequential explanatory designs, which collects qualitative data was first performed and analyzed by content analysis in accordance stages. Results of the survey respondents' choice of the base value, respectively, the value of religiosity, peaceloving, hard work, discipline, responsibility, and to be honest, caring social and communicative. In terms of implementation, planning, through a program that is still separate, formulated by the Court subject to the specific, stand-alone activity dilaksanan between curricular, co-curricular and extra. While the evaluation and assessment through quantitative assessment of the knowledge element. In conclusion, the educational value of these characters, do not yet have clear arguments, then in terms of the planning, implementation and evaluation have not been integrated. Given the importance of a value, for students, it would require more research is needed lanjud and policy / program from stakeholders

The Correlations Between Premature Rupture of Membranes and Gestational Age with The Incidence of Asphyxia Neonatorum Rina Apriliani; Elisa Ulfiana; Ngadiyono Ngadiyono
JURNAL KEBIDANAN Vol 11, No 2 (2021): Oktober 2021
Publisher : Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jkb.v11i2.7552

PROM was one of the factors causing asphyxia neonatorum, oligohydramnios can caused retroplacenter circulation disorders. Other risk factor are preterm delivery and posterm delivery. A dangerous threat to preterm babies is difficulty in breathing because the lungs and respiratory system have not work perfectly. This research to determine the correlations between premature rupture of membranes and gestational age with the incidence of asphyxia neonatorum in the maternal room of KRT Setjonegoro Wonosobo Hospital. This research was an analysis correlations with an observational design and using a retrospective approach. The sample was newborn babies as many as 184 respondents with a simple random sampling technique. The data analysis methods in this research used the Chi-Square test. The results of bivariate analysis between premature rupture of membranes and the incidence of asphyxia neonatorum showed a ρ value of 0,000, gestational age with the incidence of asphyxia neonatorum showed a ρ value of 0,000. There is a correlations between premature rupture of membranes and gestational age with the incidence of asphyxia neonatorum. It was recommended for pregnant women to be active in seeking information about the impact of asphyxia. Researcher expected to always increase knowledge about PROM, preterm and posterm pregnancy.

FAKTOR RESIKO YANG BERHUBUNGAN DENGAN KEJADIAN ABORTUS DI RSUD UNGARAN JAWA TENGAH Sri Wahyuni; Ngadiyono Ngadiyono; Sri Sumarni
JURNAL KEBIDANAN Vol 6, No 13 (2017): Oktober 2017
Publisher : Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jkb.v6i13.2864

The maternal mortality rate one of them caused by abortion is 15-50%.. Abortion (miscarriage) is bleeding that can lead to termination of pregnancy. Factors which are suspected predisposing factors eg abortion of the fetus, maternal factors, environmental factors, age, parity, work and history of abortion. The results of a preliminary survey conducted in hospitals Ungaran researchers obtained data is abortion in 2015, there were 245 cases The aims of this study is to determine the risk factors that influence the incidence of abortion at Ungaran hospitals. This study is a correlative study, with retrospective design. The population that was used in this research was all first trimester pregnant women who were treated at Ungaran hospitals. They experienced abortion during Januari to Desember 2015. The total number who recruited were 245 pregnant women as a total sample. The univariate analysis with frequency distribution and bivariate using Kruskal Walis Test were usedThere is no relationship between maternal age with the incidence of abortion (p=0.349 0.05) No relationship between parity with the incidence of abortion (p=0.826 0.05). There was no relationship between the working status with the incidence of abortion (p=0.114 0.05). There is a relationship between the history of the abortion with the incidence of abortion at Ungaran hospital (p=0.022 0.05), with a coefficient correlation value of 1.6. No relationship between maternal age, parity and working status with the incidence of abortion. However, history of abortion is a risk factor to be the incidence of abortion with a 1.6 times greater than those who don’t have history of abortion. Midwives are expected to anticipate the incidence of abortion by further improving supervision, especially to pregnant women with risk factors for abortion.

Model Pelayanan Kesehatan ditinjau dari Aspek Kualitas, Manajemen dan Sumber Daya Kesehatan di RSUP dr. Kariadi Semarang 2018 Ngadiyono Ngadiyono; Endri Astuti; Istirochah Istirochah; Srie Rejeki; Yahya Renaningrum
JURNAL KEBIDANAN Vol 9, No 1 (2019): April 2019
Publisher : Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jkb.v9i1.4052

Current service providers must maintain quality, if customers do not want to be left behind. This includes Health Services from the Aspects of Perception of Quality, Management and Human Resources (HR) Health implemented at Dr. Hospital. Kariadi Semarang.The study was carried out using an interpretive qualitative naturalistic type / approach. With concurrent transpormative strategies, namely starategi uses a theoretical perspective to form a framework for research topics, data collection techniques and expected results from research.The results showed that the perceptual aspects of service quality were carried out in accordance with the SPO, local values, administration and regula- tion that were tailored to the patient's needs, responsive by being asked 3T and 1D (ask: conditions, complaints and facilities and prayers), and oriented to International Patient Safety Goal (IPSG) Case management (Interprofessional collaboration), limited to multidisciplinary models with authority authority in the form of Doctor in Charge of Services (DPJP) and Nurse Responsible Services (PPJP) and assisted by Associate Nurses (PA) provided interdisciplinary means and integrated notes as a model of interaction between professionals who are bound in teams. Next for the management of Human Resource management, (education, service coordination, compliance, transition management, and utilization manage-ment), it has been implemented as needed and is a comfortable place for a career.The three aspects of management's assessment, have been implemented well, only in case management using a multidisciplinary model, and have not used an international collaborative model, with limited interaction between professions in managing patients that still need to be improved.

FAKTOR RESIKO PENYEBAB PERDARAHAN POSTPARTUM DI PUSKESMAS PAMOTAN KABUPATEN REMBANG Nurul Ummah; Ngadiyono Ngadiyono; Elisa Ulfiana
JURNAL KEBIDANAN Vol 7, No 15 (2018): APRIL 2018
Publisher : Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jkb.v7i15.3249

The Maternal Mortality Rate (AKI) in Indonesia is still high. According to SDKI in 2012 about 359 mothers died for every 100.000 babies born. The direct causes of maternal deaths in Indonesia as well as other countries are bleeding, infection, and eclampsia. From Puskesmas Pamotan's medical data records in 2015 from 437 woman who did labor, 51 of them experienced postpartum hemorrhage. The purpose of this study are to describe and analyze the factors that causing postpartum hemorrhage, especially in Puskesmas Pamotan. In this study we use analytic research method with retrospective case-control approach. Sampling Technique was used for cases group, while control group used simple random sampling. The result of this research showed that woman in risk age (20 or 35 years old) have 3.7 times greater risk of developing postpartum hemorrhage. Parity at risk (1 and 3) have 2.4 times greater risk of developing postpartum hemorrhage. Pregnant women with anemia (Hb 11) have 1.8 times greater risk of experiencing postpartum hemorrhage. And prolonged labor have 1.5 times greater risk of experiencing postpartum hemorrhage. It is sugessted that midwifes need to educate the public about the causes of postpartum hemorrhage. Woman should not be pregnant at too young or too old ages, the pregnant mother should do routine pregnancy checkups, and also give advice to Fertile Age Couples (PUS) to follow the Family Planning program (KB).

PENGARUH PEMBERIAN KIE (KOMUNIKASI INFORMASI EDUKASI) PERSIAPAN PERSALINAN DAN NIFAS TERHADAP KEJADIAN POSTPARTUM BLUES Dwi Winarni; Krisdiana Wijayanti; Ngadiyono Ngadiyono
JURNAL KEBIDANAN Vol 6, No 14 (2017): Oktober 2017
Publisher : Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jkb.v6i14.2886

Postpartum blues iceberg phenomenon which is difficult in detection because people still think of psychological disorders is a natural thing as a mater-nal instinct and protective attitude towards her baby. The incidence of postpartum blues is quite high at 26-85% and continues with postpartum depression with varying amounts of 5-25% after the mother gives birth. The purpose of this study to know is there any influence of IEC (Information Education Communication) preparation for labor on the incidence of postpartum blues. The research method with quasi experiment with post test with control group which makes it possible to compare the results of sampling diberikan.Teknik intervention by total sampling. Results showed that respondents with age healthy reproductive 33 respondents (83%), parity primiparous and multiparous same that 20 (50%), the level of elementary education (13%), middle (38%), high school / vocational (43%), D3 / S1 (8%), job: working mothers (38%), not working (62%), treatment groups: normal (80%), postpartum blues (20%), the control group: normal (45%), postpartum blues (55%). Bivariate analysis of these studies by Mann Whitney Test results obtained pvalue = 0.024 0.005, which means there is the effect of KIE childbirth and post-partum the incidence of postpartum blues From the results of this study are expected health workers, especially midwives need to provide IEC in third trimester pregnant women about childbirth and postpartum in order to reduce the incidence of postpartum blues

Innovation of the health monitoring system for pregnant and breastfeeding mothers through independent health applications as an effort to reduce stunting Ngadiyono Ngadiyono; Suparmi Suparmi; Ulfah Musdalifah; Izzatul Arifah
Malahayati International Journal of Nursing and Health Science Vol 6, No 5 (2023)
Publisher : Program Studi Ilmu Keperawata Fakultas Kedokteran Universitas Malahayati Bandar Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v6i5.12561

Background: Failure to grow in children or what is often called stunting is one of the focuses of global problems, including Indonesia. Globally, stunting is one of the goals Sustainable Development Goals (SDGs). Stunting is a problem of chronic malnutrition caused by inadequate nutritional intake over a long period of time due to providing food that does not meet nutritional needs. Stunting can occur when the fetus is still in the womb and only appears when the child is two years old. Based on the results of the Indonesian Nutrition Status Survey (SSGI), the stunting prevalence rate in Indonesia fell from 24.4% in 2021 to 21.6% in 2022. This figure is still above the threshold set by the World Health Organization (WHO), namely 20%. The stunting prevalence rate in Demak Regency was ranked seventh highest in Central Java in 2019 at 50.23% and is one of 60 stunting districts. In 2019 in Demak Regency there were 4.25% or 6,129 toddlers out of a total of 97,212 toddlers who had the potential to experience stunting. This situation is a priority for the Demak Regency government to handle by determining 10 locations that will be prioritized in 2020 and 2021Purpose: To produce monitoring and promotion system application for pregnant and postpartum mothers as well as breastfeeding mothers including toddlers can detect early health problems for mothers and toddlers and is named the child stunting preventive application (ASTA).Method: This research uses research and development methods orResearch and Development (R&D). This research method is used to produce certain products and test the effectiveness of a product. This research was conducted in December 2022. The population of this study was pregnant women in Demak Regency with a sample of 24 people who were divided into two, namely 12 people as the intervention group and 12 people as the control group. The influencing variable in this study is ASTA and the influenced variable is health maintenance behavior during pregnancy, postpartum and toddlers. This research is divided into four stages, namely design, analysis, engineering and evaluation.Results: Based on the statistical test output, it is known that Asymp. Sig. (2-tailed) is worth 0.025. From this value it can be concluded that H0 rejected. This means that there are differences in the level of potential stunting in the control group respondents in terms of the pre-post treatment results. Meanwhile, it is known that in the intervention group the value of Asymp. Sig. (2-tailed) namely 0.157. This value is >0.05, so it can be concluded that H0 accepted. This means that there is no difference in the level of potential stunting between pre-post treatments in the intervention group given the ASTA application.Conclusion: There is no significant effect of using the ASTA application on the criteria for potential stunting and there is no significant difference in potential stunting data between the control and intervention groups, either before or after treatment. However, the stunting prevalence ratio is 0.7 (<1) indicating that the ASTA application is a factor that can reduce the potential for stunting.

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