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All Journal Biota Majalah Obstetri dan Ginekologi INDONESIAN MIDWIFERY HEALTH AND SCIENCES JOURNAL
Baksono Winardi
Departemen SMF Obstetri Ginekologi, Fakultas Kedokteran, Universitas Airlangga, Surabaya
Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Education Environmental Science Health Professions Immunology & microbiology Materials Science & Nanotechnology Medicine & Pharmacology Nursing Public Health

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Journal : INDONESIAN MIDWIFERY HEALTH AND SCIENCES JOURNAL

 1 
GAMBARAN PENGGUNAAN KONTRASEPSI HORMONAL PADA PASIEN STROKE ISKEMIK DI RSUD Dr. SOETOMO SURABAYA Virna Safira Puspaningtyas; Baksono Winardi; Sulistiawati Sulistiawati
Indonesian Midwifery and Health Sciences Journal Vol. 3 No. 1 (2019): Indonesian Midwifery and Health Sciences Journal, January 2019
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v3i1.2019.37-50

Abstract

AbstrakLatar Belakang : Kontrasepsi hormonal berfungsi untuk mencegah terjadinya kehamilan yang mengandung preparat estrogen dan progesteron. Esterogen diketahui dapat menginduksi perubahan signifikan dalam sistem koagulasi yang dapat menyebabkan terjadinya tromboembolik seperti stroke. Sementara pada beberapa penelitian, kontrasepsi progesterone-only, dampaknya pada penyakit kardiovaskular belum dapat dijelaskan secara pasti. Penelitian bertujuan untuk mengetahui gambaran pengguna kontrasepsi hormonal pada pasien stroke iskemik di RSUD Dr. Soetomo Surabaya. Metode : Penelitian deskriptif observasional. Teknik sampling secara consecutive sampling. Variabel penelitian meliputi usia, pekerjaan, riwayat penyakit, jenis dan lama penggunaan kontrasepsi hormonal, serta jarak berhenti penggunaan kontrasepsi hormonal sampai terjadinya stroke. Untuk mengetahui gambaran dan distribusi frekuensi variabel dilakukan analisis univariat atau deskriptif. Hasil :. Didapatkan kelompok usia tertinggi yakni 40% adalah masa lansia awal (46 – 55 tahun), sebanyak 42% responden berprofesi sebagai ibu rumah tangga. Didapati 40% responden pernah menderita hipertensi dan juga mayoritas 50% memiliki riwayat penyakit keturunan hipertensi. Sebesar 54% responden menggunakan alat kontrasepsi hormonal ≥5 tahun dengan jenis kontrasepsi hormonal terbanyak adalah suntik 3 bulan (progesterone-only) yaitu 42%. Sebanyak 68% responden menyatakan jangka waktu berhentinya menggunakan kontrasepsi hormonal sampai terjadinya stroke iskemik rata - rata <12 tahun.  Kesimpulan : Usia responden pada penelitian ini mayoritas pada kelompok umur lansia awal (46 - 55 tahun) dengan jenis pekerjaan terbanyak ibu rumah tangga. Hipertensi merupakan riwayat penyakit terdahulu dan penyakit keturunan yang banyak diderita oleh responden. Sebagian kecil responden menggunakan kontrasepsi hormonal lamanya ≤5 tahun dengan jenis penggunaan terbanyak adalah suntik 3 bulan (progesterone-only). Rata-rata responden berhenti menggunakan kontrasepsi hormonal <12 tahun sebelum terjadinya stroke iskemik. AbstractBackground : Hormonal contraception serves to prevent pregnancy from it contains estrogen and progesterone preparations. Esterogens are known to induce significant changes in the coagulation system that can cause thromboembolic events such as stroke. While in some studies, progesterone-only contraception, the impact on cardiovascular disease has not been clearly explained. This study aims to determine the description of hormonal contraceptive users in ischemic stroke patients at Dr. Soetomo Surabaya. Method : Observational descriptive study. In addition, researcher applied consecutive sampling in this study. Research variables included age, occupation, disease history, type and duration of hormonal contraceptive use, as well as the distance to stop using hormonal contraception until the occurrence of stroke. Univariate or descriptive analysis is applied to perceive the representation and frequency distribution of variables. Result : The highest age group of 40% was obtained from the early elderly (46 - 55 years), as many as 42% of respondents worked as housewives. In the amount of 40% respondents had suffered from hypertension and also 50% had a history of hypertensive hereditary disease. 54% of respondents used hormonal contraception in ≥5 years with the most types of hormonal contraception were injections of progesterone-only, which is 42%. As many as 68% of respondents stated that the duration of cessation of using hormonal contraception until the occurrence of ischemic stroke was on average <12 years. Conclusion : The majority of the respondent were in the age group of the early elderly (46 - 55 years) with the most respondents worked as housewives. Hypertension is a history of previous illnesses and hereditary diseases that were mostly suffered by respondents. A small proportion of respondents used hormonal contraception for ≤5 years with the most type of use being injected progesterone-only. On average respondents stopped using hormonal contraception in <12 years before the occurrence of ischemic stroke.  
PENGARUH AKTIVITAS FISIK DAN USIA MENARCHE DENGAN KEJADIAN PREMENSTRUAL SYNDROME PADA REMAJA PUTRI Ziah Datul Kamilah; Budi Utomo; Baksono Winardi
Indonesian Midwifery and Health Sciences Journal Vol. 3 No. 2 (2019): Indonesian Midwifery and Health Sciences Journal, April 2019
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v3i2.2019.160-166

Abstract

Abstrak Latar Belakang: Premenstrual syndrome merupakan munculnya gejala yang dirasakan baik fisik, emosi maupun perilaku sehingga berakibat adanya stres yang dapat berulang setiap adanya fase sebelum menstruasi. Efek dari PMS tersebut dapat sampai mengganggu aktivitas dan konsentrasi belajar terutama pada siswi yang masih sekolah. Studi pendahuluan yang sudah dilakukan di SMP Negeri 29 Surabaya diketahui data dari catatan perbulan UKS bahwa terdapat siswi yang masuk UKS dikarenakan mengeluh sakit perut, pusing dan mual sebelum menstruasi, setelah dilakukan wawancara sebanyak 15 siswi terdapat 15 yang mengalami gejala premenstrual syndrome dengan tingkatan yang berbeda-beda. Penelitian ini bertujuan untuk mempelajari hubungan antara aktivitas fisik dan usia menarche dengan kejadian premenstrual syndrome. Metode: Penelitian ini adalah penelitian analitik observasional dengan pendekatan cross sectional. Jumlah sampel sebanyak 206 siswi sesuai dengan kriteria inklusi. Sampling dilakukan dengan simple random sampling. Variabel independen dalam penelitian ini adalah aktivitas fisik dan usia menarche, sedangkan variabel dependennya adalah kejadian premenstrual syndrome. Cara mengetahui tingkat signifikan, data yang sudah terkumpul diuji dengan uji statistik Chi-square pada tingkat kemaknaan α = 0,05. Hasil penelitian yang didapatkan bahwa sebesar 57,6% remaja putri melakukan aktivitas fisik dengan kategori rendah, 29,8% remaja putri mengalami menarche dini, dan sebesar 71,2% remaja putri mengalami premenstrual syndrome ringan. Hasil: Hasil penelitian setelah dilakukan uji Chi-square diperoleh untuk aktivitas fisik nilai p = 0,030 (p≤0,05) yang berarti ada hubungan antara aktivitas fisik dengan kejadian premenstrual syndrome, dan untuk usia menarche nilai p = 0,073 (p≥0,05) yang berarti tidak ada hubungan antara usia menarche dengan kejadian premenstrual syndrome. Kesimpulan: Kebiasaan untuk beraktivitas fisik yang tepat dan rutin serta mengurangi stres dapat mengatasi dan mengurangi keluhan premenstrual syndrome yang dialami.Abstract Background: Premenstrual syndrome (PMS) is the symptoms that are felt both physically and emotionally as well as behaviorally, resulting in stress that can recur at every phase before menstruation. The effects of PMS can interfere in learning activity and concentration of female students who are still at school. Preliminary studies conducted at SMP Negeri 29 Surabaya and monthly data records from its UKS revealed that there were students who entered UKS because they experienced abdominal pain, dizziness and nausea before menstruation. After conducting an interview to 15 female students, there were 15 students who experienced symptoms of premenstrual syndrome at different levels. This research aims to study the relationship between physical activity and age of menarche with premenstrual syndrome. Method: This study was an observational analytic study with a cross sectional approach. The total sample was 206 students according to the inclusion criteria. Sampling is done by using simple random sampling. The independent variable in this research is physical activity and age of menarche, while the dependent variable is the phenomena of premenstrual syndrome. The significant level can be found out by testing the collected data using Chi-square statistical test with the significant level α = 0.05. The results showed that 57.6% of female adolescents did physical activity in a low category, 29.8% of female adolescents had early menarche, and 71.2% of female adolescents had mild premenstrual syndrome. Results: The results of the Chi-square test showed that physical activity’s value p = 0.030 (p≤0.05) means that there is a relationship between physical activity and the phenomena of premenstrual syndrome, and age of menarche’s value p = 0.073 (p≥0, 05) means that there is no relationship between age of menarche and the phenomena of premenstrual syndrome. Conclusion: Habits for proper and routine physical activity and reducing stress can overcome and reduce the symptoms of premenstrual syndrome. 
PENGARUH PARTISIPASI IBU DALAM KELAS IBU HAMIL TERHADAP CAKUPAN K4 Lilik Anggraini; Sunarsih Sunarsih; Baksono Winardi
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.v3i3.2019.265-277

Abstract

Abstrak Latar Belakang : Kelas Ibu Hamil (KIH) adalah kelompok belajar ibu-ibu hamil dengan anggota maksimal 10 orang yang merupakan sarana untuk belajar bersama. Puskesmas Menur merupakan puskesmas yang terendah cakupan K4 66,93% dari target 90%. Jumlah peserta dari kelas ibu hamil sendiri 3,4%. Tujuan dari penelitian ini adalah menganalisis pengaruh partisipasi ibu dalam kelas ibu terhadap cakupan K4. Metode dan Bahan Penelitian : Jenis penelitian ini observasional analitik dengan pendekatan cross sectional. Besar sampel sebanyak 44 orang, dengan teknik pengambilan sampel accidental sampling. Variabel Independent yang diukur adalah partisipasi ibu dalam kelas ibu hamil sedangkan variabel dependent adalah cakupan K4. Pengambilan data dengan menggunakan kuisioner untuk mengukur partisipasi ibu dalam kelas ibu hamil dan cakupan K4 dengan mengobservasi dari buku KIA dan kohort. Analisis data menggunakan uji statistik Spearman Rho’ dengan α= 0,05. Hasil : Sebagian besar ibu hamil (65,9%) memiliki partisipasi baik, ibu hamil yang berpartisipasi baik sebagian besar (61,4%) cakupan K4 lengkap, dan ibu hamil yang berpartisipasi kurang sebagian kecil (13,6%) cakupan K4 tidak lengkap. Pada analisis data didapatkan p value = 0,004 (p<0,05) artinya ada pengaruh partisipasi ibu dalam kelas ibu hamil terhadap cakupan K4. koefisien korelasi 0,421 yang berada pada rentang 0,40 – 0,599 bermakna kekuatan korelasi antar variable sedang. Sedangkan angka koefisien korelasi pada hasil diatas bernilai positif,, sehingga pengaruh kedua variable tersebut bersifat positif yang kuat. Kesimpulan : ada pengaruh partisipasi ibu dalam kelas ibu hamil terhadap cakupan K4 di Puskesmas Menur Kecamatan Kota SurabayaAbstract Background: Maternal Class is a study group pregnant mothers with members a maximum of 10  to learn together. Menur Public Health Centre is the lowest completeness (K4) ANC of maternal 66,93% from target 90%. Total of participants from the maternal class just 3,4%. This research aims to analyze the influence of maternal class participant to completeness (K4) Antenatal care. Methods and Material: the research was conducted using quantitative observational analytic with cross sectional study approach.. The number of research is 44 pregnant women. The Accidental sampling method is apllied in taking the sample in this research. Data collected by quistionaire to determine participation in maternal class and completeness seen by observing MCH books and cohort. Data analyzed by Spearman Rho’statistic test at significance level α=0,05. Results: Most (65,9%) have a good participation in maternal class, most pregnant women who have good participation (61,4%) have K4 antenatal care scope completely, and a small proportional (13,6%) of pregnant women with lack participation did not have completeness (K4) Antenatal care. Data analize was obtained p value = 0,004 (p<0,05) which means there was influence of maternal class participant to completeness (K4) Antenatal care . Correlation coefficients value’s 4,21 in the range of 0,40 – 0,599 which means the strength between variables is medium. While the correlation coefficient number in results are positively strong. Conclusion : there was influence of maternal class participant to completeness (K4) Antenatal care at working area Menur Public Health Centre in Sukolilo Municipality Surabaya City.
EFFECT OF COUNSELLING ON FREQUENCY AND SEVERITY OF NAUSEA AND VOMITING IN PREGNANCY (NVP) Luh Sukeningsih; Baksono Winardi; Tiyas Kusumaningrum
Indonesian Midwifery and Health Sciences Journal Vol. 4 No. 3 (2020): Indonesian Midwifery and Health Sciences Journal, July 2020
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v4i3.2020.220-229

Abstract

ABSTRACTBackground: Nausea and vomiting are commonly during early pregnancy. Nausea and vomiting significantly decrease in quality of life. Objective:This study aimed to explain the effect of counseling on the frequency and level of nausea and vomiting in pregnant women. Method: This was a quasi-experimental study with a non randomized control group pretest posttest design. The control group was 37 people and the experimental group were 37 people. The control group only received a standard ANC, the experimental group received nausea and vomiting counseling in pregnancy. The independent variables was counselling based on Roy Adaptation Model, the dependent variable was frequency and level severity of nausea and vomiting. The research instrument used was a questionnaire and counseling. Data analysis used univariate and bivariate analysis (Wilcoxon Signed Rank Test and Mann Whitney). Results: The experimental group experienced decreased in frequency and level of nausea, while control group did not change. Statistical Mann Whitney test results obtained p value of nausea frequency of 0.018, and p value of frequency of vomit 0.000 and p value of levels of nausea and vomiting 0.034 which showed that there were differences in the experimental group compared to the control group. Conclusion: There is an effect of counseling Roy Adaptation Model to the frequency and level of nausea vomiting in pregnancy
CORRELATION BETWEEN MOTHER’S KNOWLEDGE AND HUSBAND’S SUPPORT WITH THE USE OF IUD IN BOAWAE COMMUNITY HEALTH CENTER Irmina Tulle; Atika Atika; Baksono Winardi
Indonesian Midwifery and Health Sciences Journal Vol. 4 No. 4 (2020): Indonesian Midwifery and Health Sciences Journal, October 2020
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v4i4.2020.344-353

Abstract

AbstractBackground: The intrauterine device (IUD) is an effective and efficient long-term method of contraception which has effect of delaying and spacing more than three years of birth. NTT is one of the province with the most dominant short-acting contraception methods usage and IUD contraceptive usage is lowest in Boawae Community Health Center. The low use of IUD can be influenced by two factors such as mother’s knowledge and husband’s support. This study aims to analyse relationship between mother’s knowledge and husband’s support. with the use of IUD. Method: This study was observational analytic study with cross sectional approach. There were 104 mothers consisted of 52 IUDs and 52 non IUDs, were selected by simple random sampling technique and assessed with questionnaire. The independent variable are mother's knowledge and husband's support, while the dependent variable is the use of IUD.  Data analysis was achieved by chi square and multiple regression logistic test. Results: The results showed that most of mothers with IUD had good knowledge as much as 67.3% and most of non-IUDs’s mothers had less knowledge of 40,4%. Husband’s support of mother’s with IUDs was 67,3% and in non-IUD’s mothers was only 15,4%. There were significant association between mother’s knowledge (p value =0,000) and husband’s support (p value = 0,000) with the use of IUD. Multiple logistic regression test showed that husband support was the most dominant factor with p value = 0,000 (p <0.05). Conclusion: There were relationship between knowledge and husband’s support with the use of IUD. Husband's support is the most dominant factor in the use of IUD.  
Co-Authors Arini Novianty Atika Atika Budi Utomo Budiono Budiono Elga Caecaria Grahardika Andani Irmina Tulle Lilik Anggraini Luh Sukeningsih M Reza Zulkarnain Menik Utami Munadiah Jannatun Naimah Nuswantoro, Djohar Pudji Lestari Putri Ancila Citra Prasetya Ristya Sylva Imannia Sulistiawati Sulistiawati Sunarsih Sunarsih Tiyas Kusumaningrum Virna Safira Puspaningtyas Ziah Datul Kamilah