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The Relationship between Active Smokers Status and Spermatozoa Motility in Sekar Moewardi Fertility Clinic in Surakarta Bima Kusuma Jati; Slamet Riyadi; Vitri Widyaningsih
Nexus Kedokteran Klinik Vol 4, No 1 (2015): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (14.046 KB)

Abstract

Bacground: Infertility problem occurs on 15% couples. Fifty percent (50%) of the problem is caused by male. Cigarette smoking can increase free radical and cause spermatozoa oxidative stress. The study aimed to investigate the relationship between active smokers and spermatozoa motility in Sekar Moewardi Fertility Clinic in Surakarta. Methods: The cross-sectional analytic study was performed on 72 men aged 20-45 years who had semen analysis in Sekar Moewardi Fertility Clinic in Surakarta during 2014. Active smoker history was obtained by self reported questionnaire, and spermatozoa motility was obtained by medical record of the semen examination from the laboratory. Subjects were divided into active smokers and nonsmokers. The data was analyzed with SPSS 20.0 for Windows using Chi Square method. Results: The total number of active smokers was 39 (28%) and nonsmoker was 44 (61%). Subjects with motile spermatozoa were 47 (65%) and nonmotil spermatozoa were 25 (35%). It was found that there was no significant relationship (p = 0.247; RR = 1.45) between active smoker status and spermatozoa motility in Sekar Moewardi Fertility Clinic in Surakarta. The study also showed that spermatozoa motility was related to neither BMI nor age in all subjects. Conclusion: There was no significant relationship between active smoker status and spermatozoa motility in Sekar Moewardi Fertility Clinic in Surakarta. Further studies are needed to confirm and determine other risk factors which can decrease sperm parameter. Keywords: cigarrete, smoker, motility, spermatozoa, semen
Maternal Factors Associated with Cesarean Section in Indonesia: Evidence from IDHS 2017 Istiqomah Risa Wahyuningsih; Hartono; Vitri Widyaningsih; Sri Mulyani
International Conference on Education, Science, Technology and Health (ICONESTH) 2023: ICONESTH
Publisher : International Conference on Education, Science, Technology and Health (ICONESTH)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46244/iconesth.vi.258

Abstract

Introduction: Increased the number of cesarean sections in Indonesia based on IDHS data in 2017 by 17.6%. This figure exceeds the recommendation of WHO, which is 10-15%. The impact of cesarean section related to maternal and infant health, health financing budgets, and public health policies. This research article analyzes the relationship between maternal factors and cesarean section in Indonesia. This is a novelty in this article. Objective: This article aims to analyze the relationship of maternal factors with cesarean section in Indonesia. Method: The design of this study is a cross-sectional study using data from the 2017 Indonesian Demographic and Health Survey (IDHS). The sampling design was stratified two-stage sampling, with a sample of 14,891 respondents. Data was analyzed using Stata 14.2. Data were analyzed using univariate analysis, bivariate analysis multivariate analysis. Results: Women who experienced pregnancy complications had a 1.2 times greater risk of cesarean section (OR=1.2, CI=1.0-1.4). Women who had a history of cesarean section had a 64.8 times greater risk of having a cesarean section (OR = 64.8, CI = 38.2-109.9). While the variables of labor complications, twins, and pregnancy spacing had no effect on cesarean section (OR<1). Conclusion: Monitoring and evaluation of the increasing number of cesarean sections without medical indication and the severity of labor is necessary. The decision to undergo a cesarean section should be based on clear and solid reasons, supported by good medical data.