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Analisis Perilaku Personal Hygiene dan Tingkat Stres dengan Kejadian Keputihan Patologis pada Remaja Putri di SMK N 6 Padang Ayu Rahma Sari; Bobby Indra Utama; Netti Suharti; Vaulinne Basyir; Amel Yanis; Linosefa Linosefa
Jurnal Kesehatan Komunitas Vol 12 No 2 (2026): Jurnal Kesehatan Komunitas
Publisher : Universitas Hang Tuah Pekanbaru

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25311/keskom.Vol12.Iss2.2397

Abstract

According to the Indonesian Adolescent Reproductive Health Survey (SKKRI), the incidence of vaginal discharge among Indonesian women has continued to increase from 2019 to 2021. Vaginal discharge can be caused by poor personal hygiene and stress which can affect hormonal function in women. This study aims to analyze the relationship between personal hygiene behaviors and stress levels to the incidence of vaginal discharge. This study used a cross-sectional approach. The study was conducted at SMK N 6 Padang from March to September 2025. A sample of this study is 278 adolescent girls was selected using a proportional stratified sampling technique. Data processing was analyzed using chi-square test. The results showed that the majority of respondents had good personal hygiene practices (50,0%), moderate stress levels (83,5%) and experienced pathological vaginal discharge (24,8%). Statistical test showed a relationship between personal hygiene behavior with incidence of vaginal discharge in adolescent girls (p=0,001) and stress levels (p=0,005). The conclusion of this study is there’s a relationship between personal hygiene behavior and stress levels with incidence of vaginal discharge in adolescent girls at SMK N 6 Padang. It is recommended that adolescent girls maintain good personal hygiene practices, maintain personal hygiene and manage stress effectively.
Relationship Between Perineal Wound Pain Degree and PRP Healing in Vaginal Birth Fatima Diyas Zahra; Bobby Indra Utama; Almurdi Almurdi; Roza Sri Yanti; Deddy Saputra; Nelmi Silvia
Andalas Obstetrics And Gynecology Journal Vol. 10 No. 2 (2026)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.10.2.312-321.2026

Abstract

Introduction : This study aims to see the relationship between the level of perineal wound pain and healing using PRP (Platelet Rich Plasma) in Vaginal birth. Perineal wound pain causes fear of movement resulting in subinvolution, unsmooth release of the locea, bleeding, or infection. Method : This type of research is Experimental with chi-quadrath design . The intervention group received PRP injections on perineal wounds on day 1 after delivery, while the control group was the group that was not given PRP. On the 7th day, observation of the degree of pain of perineal wounds was carried out using the VAS scale (Visual Analog Scale) in both groups. Result : The results of the study obtained a value of p=0.016. Then the value of OR = 6.250 was also obtained. Conclusion : there is a significant relationship between the level of perineal wound pain and healing using PRP in Vaginal birth. From the OR score, it is known that patients who receive PRP have a 6.25 times chance of experiencing mild pain compared to patients who are not given PRP. Keywords : pain; perineal wound; PRP; Vaginal birth.
Differences in Pelvic Floor Muscle Strength Before and After Normal Delivery in Patients Who Give Birth in The Working Area of The Padang City Public Health Center Muhammad Al Fath; Yulia Margaretta Sari; Firdawati Firdawati; Yusrawati Yusrawati; Bobby Indra Utama; Puja Agung Antonius
Andalas Obstetrics And Gynecology Journal Vol. 10 No. 2 (2026)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.10.2.282-290.2026

Abstract

Background: Vaginal delivery can cause physiological changes in the pelvic floor muscles and increase the risk of dysfunction such as urinary incontinence or pelvic organ prolapse. However, the extent to which uncomplicated vaginal delivery affects pelvic floor muscle strength is unknown, especially in the Padang City Community Health Center (Puskesmas) area. Objective: To determine differences in pelvic floor muscle strength before and after vaginal delivery in patients who gave birth in the Padang City Community Health Center (Puskesmas) area. Methods: This was a prospective cohort study with 30 primigravida respondents who met the inclusion criteria. Muscle strength was measured using perineometry in the final trimester and 3 months postpartum. Data were analyzed using a paired t-test (α = 5%). Results: The average age of respondents was 28.27 years. Statistical tests showed no significant difference in pelvic floor muscle strength before and after delivery (p = 0.792), indicating that postpartum strength does not affect pre-delivery strength. Conclusion: Uncomplicated vaginal delivery does not significantly affect pelvic floor muscle strength. Decreased strength may be influenced by other factors such as obstetric trauma, birth weight, and exercise during pregnancy. Longer-term follow-up studies are needed for a more comprehensive understanding.
The Relationship Between the Level of Knowledge, Attitude, and Practice Regarding Pelvic Organ Health and the Degree of Pelvic Organ Prolapse at Dr. M. Djamil General Hospital, Padang Peter Wijaya Sugijanto; Bobby Indra Utama; Zurayya Fadila
Andalas Obstetrics And Gynecology Journal Vol. 10 No. 2 (2026)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.10.2.291-300.2026

Abstract

Background:Pelvic organ prolapse (POP) is a disorder of pelvic floor support structures that can adversely affect women’s physical, psychological, and sexual well-being. Poor knowledge, attitude, and behavior regarding pelvic organ health may contribute to disease progression and delay appropriate management. This study aimed to determine the relationship between the level of knowledge, attitude, and practice regarding pelvic organ health and the degree of pelvic organ prolapse among patients at Dr. M. Djamil General Hospital, Padang. Methods:An analytic observational study with a cross-sectional design was conducted at the Urogynecology Clinic of Dr. M. Djamil General Hospital from January to March 2025. Ninety female patients diagnosed with POP were selected through consecutive sampling. Data were collected using a validated Knowledge, Attitude, and Practice (KAP) questionnaire and physical examination based on the Pelvic Organ Prolapse Quantification (POP-Q) system. Associations between variables were analyzed using the Chi-square test with a significance level of p<0.05. Results:Most respondents demonstrated low levels of knowledge, attitude, and practice regarding pelvic organ health. The majority experienced stage IV (severe) POP. There was a significant relationship between knowledge level and POP degree (p=0.000), and between attitude and POP degree (p=0.002). Women with poor knowledge were 8.485 times more likely to experience severe POP, while those with negative attitudes were 4.125 times more likely. No significant relationship was found between behavior and POP degree (p=0.183). Conclusion:Knowledge and attitude significantly influence the severity of pelvic organ prolapse, whereas behavior does not. Enhancing women’s awareness and education regarding pelvic health is crucial to prevent severe prolapse and improve quality of life.
Co-Authors Abdiana . Afkara Husna Firdanisa Afriwardi Afriwardi Agung Wijaya Kusuma Aisyah Elliyanti Almurdi Almurdi Amel Yanis Andani Eka Putra Anggra Pramana Ardiles Arga Kafi Perdana Kusuma Ari Fuad Fajri Aswin Boy Pratama Aswiyanti Asri Aswiyanti Asri Ayu Anissa Bahri Ayu Rahma Sari Berriandi Arwan Budi Junio Hermawan Cintya Andriani Citra Ayu Fitrisia Daan Khambri Danil Armand Deddy Saputra Defrin Desmawati Desmawati Dessy Arisanti Dessy Arisanti Dia Rofinda, Zelly Dia Dian Noviyanti Dian Pertiwi Dian Pertiwi Dio Jainata Dovy Djanas Edward Hariyadi Elmatris Sy Endrinaldi Erda Mutiara Halida Ermawati Ermawati Ester Pakpahan Fatima Diyas Zahra Fauzan F Fika Tri Anggraini Fiona Dewanti Firdawati Firdawati Firdawati Firdawati Fitrayeni Fitrayeni Fitrayeni Hafni Bachtiar Hafni Bachtiar Hafni Bachtiar Hafni Bachtiar Hardisman Hasmiwati Hasni Kemala Sari Hasvia Berliani Helmizar Herti Marni Hifzhillah Fajriati Hirowati Ali Hovlanta Pidingan Hudila Rifa Karmia Hudilla Rifa Karmia Husna Yetti Ibnuzaer Khalilullah Ichsan Arif Intan Julianingsih Irfan Kurnia Irya, Nada Amelinda Jonas Hansel Tarigan Joserizal Serudji Julizar Julizar Julizar Nazar laila Laila Lini Gustini Linosefa Linosefa Maisarah Fadhilah Masrul Djalal Meilinda, Agus Mela Aryati Mikhail Nurhari Mikhail Nurhari Mikhail Nurhari Mohamad Reza Mohamad Reza Muhammad Al Fath Muhammad Fadli Muhammad Haritsyah Rahmadana Muhammad Iqbal Muhammad Iqbal Muhammad Rudi Setiawan Muhammad Ryfki SA Muhammad Syauqie Nada Amelinda Irya Nanda Tri Martha Nelmi Silvia Nelvianti Nelson Netti Suharti Nindrea, Ricvan Dana Nissa Prima Sari Norman Ferdinal Noverika Windasari Nur Indrawati Lipoeto Nur Indrawaty Lipoeto Nur Indrawaty Lipoeto Nurhayani Fatimah Nurhayati . Nurhayati, Nurhayati Olivia Oktaviani Prastiwi Peter Wijaya Sugijanto Poldo Reinaldo Puja Agung Antonius Puja Agung Antonius Puspita Sari Rafi Yasnova Ranne Balqis Rauza Sukma Rita Rena Afri Ningsih Rena Regina Erwin Reyhan Julio azwan Reyhan Julio Azwan Reyhan Julio Azwan Rezi Liawati Rimbun Wahyu Gumilar Rina Gustuti Rizanda Machmud Rizky Rivonda Bennovry Roslaili Rasyid Roza Mulyana Roza Sri Yanti Sakina Munira Sara Uzlifah Sisi Ermoniza Subhan Arif Rahman Sukri Rahman Susila Sastri Syahredi SA Syamel Muhammad Tofrizal Tofrizal Try Junira Putri Ulya Uti Fasrini Vaulinne Basyir Vaulinne Basyir Vaulinne Basyir Widayat Widayat Yanti, Roza Sri Yenny Mayang Sari Yesi Anggriani Yessi Widya Putri Yolanda Syahdia Yulia Margaretta Sari Yulia Margaretta Sari Yulia Margaretta Sari Yulia Margaretta Sari Yulia Margaretta Sari Yulistini, Yulistini Yuniar Lestari Yuniarty Yuniarty Yusrawati Yusrawati Yusrawati Yusrawati Zeino Fridsto Zelly Dia Rofinda Zurayya Fadila