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All Journal Jurnal Kebidanan Proceedings of the International Conference on Applied Science and Health International Journal of Nursing and Health Services (IJNHS) Jurnal Kesehatan Riset Informasi Kesehatan Jurnal Akademika Baiturrahim Jambi
Melyana Nurul Widyawati
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Education Environmental Science Health Professions Medicine & Pharmacology Nursing Public Health Social Sciences

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RISK FACTORS ASSOCIATED WITH PRECANCEROUS LESION Lutfiana Kusumaningrum; Sa’adah Mujahidah; Melyana Nurul Widyawati; Bahiyatun Bahiyatun
Proceedings of the International Conference on Applied Science and Health No. 2 (2017)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Background: Visual inspection acetic acid (VIA) can be a substitute method for early detection of Precancerous lesion of cervical cancer. Therefore, efforts should be made for prevention to increase community awareness in recognizing the risk factors of cervical cancer so that it can determine the steps of prevention and early detection. Aims: This research is to determine the risk factors associated with precancerous lesion, a study case- control in Health Center of Semarang City Year 2016). Methods: This research is an observational analytic study with case-control design with retrospective study. The sample selection was using a simple random sampling method. The number of respondents is 98 people from 474 people doing the VIA inspection in January 2016 to December 2016, which passed the inclusion and exclusion criteria and divided into two groups, 13 people in case and 86 people in control group. Results: There is a relationship between the results of the examination of the precancerous lesion with the risk factor of the number of respondent marriages (P- 0.038), husband historical marriage (P-0.000), smoking exposure (P-0.000). Conclusion: Risk factors associated with the results of the examination precancerous lesion are the number of responden marriages, husband historical marriage, smoking exposure. 
PERIODONTITIS IN PREGNANCY AS RISK FACTORS OF PREECLAMPSIA : A LITERATURE REVIEW Nur Fitriyah; Melyana Nurul Widyawati
Proceedings of the International Conference on Applied Science and Health No. 2 (2017)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Background: Periodontitis may indicate the presence of chronic endotoxin inflammatory disease and cytokines, which are considered as risk factors for systemic diseases such as cardiovascular disease, atherosclerosis, and cerebrovascular ischemia. Maternal periodontitis substitutes a potential microorganism that can penetrate the circulation, directly or indirectly has the capacity to affect the health of the mother and fetus. Preeclampsia is associated with an abnormal maternal cytokine response, such as elevated tumor necrosis tumor (TNF)-α, interleukin (IL)-1 and 6 levels that cause endothelial damage to the placenta. Aims: Reviewing epidemiological associations between periodontitis and preeclampsia Methods: The method used in this paper is literature review. Literature searches were conducted using the electronic databases Science Direct and Google Scholar. Results: Many studies showed that periodontitis is a risk factor for the occurrence of preeclampsia. Periodontal disease is known to cause systemic inflammation early in pregnancy through increased IL-6 mechanism and increased systemic CRP, during pregnancy the increased progesterone hormone causes greater vascular permeability, stimulates the production of prostaglandins that can cause inflammation, and can decrease the regulation of interleukin-6 production that is less resistant to bacterial inflammation. Conclussion: The guidance of maintaining the dental and oral health of pregnant and under-five mothers published by the government can be developed into a strategic and innovative program to increase community interest to regularly check the health of teeth to health facilities. 
EFFECT OF AMBON BANANA CONSUMPTION TO DECREASE BLOOD PRESSURE IN PREGNANT WOMAN WITH PREECLAMPS Ira Pujiani; Ima Nurapriyanti; Melyana Nurul Widyawati; Elisa Ulfiana
Proceedings of the International Conference on Applied Science and Health No. 2 (2017)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Background: Preeclampsia greatly affects maternal and fetal mortality and morbidity being dependent on gestational age at the time of preeclampsia. Maternal mortality in Indonesia is still marked by three major causes of death: haemorrhage, hypertension in pregnancy (HDK) and infection. Method: This research used analytic survey method with experimental research design. The research design used prepost control design. The sample used was 20 pregnant women with pre-eclampsia, of which 10 were treated and 10 were controls. Result: The result of T-Test paired showed that the effect of the use of ambon banana in the systolic blood pressure treatment group was 0.0001 (P <0.05) and diastole was 0. 031 (p <0.05). Similarly, in systole the effect of banana utilize on the decrease in systolic blood pressure in groups was 0.101 (p>0.05) and in diastole 0.445 (p>0.05). 
INDONESIAN HERBS WITH ANTIFERTILITY EFFECTS ON MEN: A SYSTEMATIC REVIEW Syafrida Ainur; Melyana Nurul Widyawati
Proceedings of the International Conference on Applied Science and Health No. 4 (2019)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Background: The attention and implementation of family planning programs in Indonesia tends to focus on women. Meanwhile, male contraception method has fewer types than female ones. Various herbs in Indonesia have showed potential antifertility effects on men. The objectives of this study is to identify and analyze the results of studies on the effects of Indonesian herbs on male antifertility.Methods: This was a systematic review using several articles obtained from Science Direct, PubMed, Wiley Online Library, Google Scholar, and Garba Rujukan Digital databases. The inclusion criteria in this study were experimental research of the effects of herbs on antifertility; samples of studies included male mice, long-tailed male monkeys, and human sperm; and full-text article available.Results: The literature search returned 1420 articles, of which 37 studies were included in the systematic review. Different Indonesian herbs were observed, such as Carica papaya (n = 8), Momordica charantia (n = 7), Piper betle (n = 5), Hibiscus rosa (n = 5), Curcuma domestica (n = 4), Areca catechu (n = 4), and Andrographis paniculata (n = 4) have been identify with different effects. Antifertility effects observed including antispermatogenic, sperm quality reduction, and the changing of the histology of reproductive organs.Conclusions: Indonesian herbs are portentially used as new contraceptive methods for male subjects such as Carica papaya, Momordica charantia, Piper betle, Hibiscus rosa, Curcuma domestica, Areca catechu, and Andrographic paniculata. Further research is needed regarding the effects of herbs on human subjects, reversibility effects, and the safety of herbs on health in a long-term use.
THE EFFECT OF LOVING TOUCH STIMULATION THERAPY FOR INFANTS' WEIGHT GAIN Fatatu Malikhah; Melyana Nurul Widyawati; Sutarmi Sutarmi; Siti Kistimbar; Taryatmo Taryatmo; Kusmini Kusmini
Proceedings of the International Conference on Applied Science and Health No. 4 (2019)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Background: Low Birth Weight (LBW) is one of the risk factors that have a high contribution to infant mortality. Increasing the baby's weight is used as an indicator to determine LBW growth. In LBW babies, touch therapy is a form of stimulation to increase endurance, digestive function activities, and vagus nerve activity. Objective: This study aims to determine the effect of Loving Touch Therapy (LTT) as one of the effective non-medical methods to increase body weight in LBW that can be done by parents during home care. Method: This study was a quantitative study using an experimental design and Randomized Controlled Trial (RCT) design. This research conducted in 15 respondents in the intervention group with four weeks' LTT and 15 respondents in the control group who were given Tactile Kinesthetic Stimulation (TKS). Data were obtained from measurements of body weight before and after the intervention then the data were analyzed using independent t-test with significance level p-value <0.05 and multivariate analysis using linear regression.Results: 19 respondents female (63.3%) and 11 respondents male (36.6%) was participated in this research by the frequency distribution of the gender. It was a significant increase in body weight in LBW with LTT carried out by his mother for 28 days compared with TKS stimulation. The differences in the average weight gain are 197 grams. The difference is statistically significant.Conclusions: It can be concluded that LTT is more effective in increasing body weight in LBW post-hospital care because the technique is simple and sequential from the front to the back of the baby's body which makes it easier for parents to understand and physiologically doesn't lose much an energy.
ACUPRESSURE AND YOGA COMBINATION CAN REDUCE ANXIETY DURING PREGNANCY: A SYSTEMATIC REVIEW Ida Ayu Putu Dewi Adnya Suwari; Melyana Nurul Widyawati; Ni Putu Dian Ayu Anggraeni
Proceedings of the International Conference on Applied Science and Health No. 4 (2019)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Background: Untreated anxiety during pregnancy causes the health problems among mothers and the fetus. Complementary and Alternative Medicine (CAM) such as acupressure and yoga is seen as the alternatives to deal with this anxiety. This study aims to determine if the combination of acupressure and yoga is effective to reduce anxiety during pregnancy.Method: This study was a systematic review using the guidelines of the PRISMA. Articles were obtained from electronic databases Scopus, Science Direct, and PubMed by identifying published articles from January 2013 to March 2019. Articles were identified using keywords ‘acupressure’, ‘prenatal yoga’, and ‘anxiety in pregnancy’. All articles included in this study were only those who used intervention research design in the form of an RCT and pilot study.Results: Ten of 1186 articles met the intended criteria in this study. The results showed that acupressure and yoga have significant benefits in reducing anxiety among pregnant women. It was also found that this combination potentially prevented the postpartum depression. Conclusion: Acupressure and yoga interventions can be combined as non-pharmacological therapy to reduce anxiety during pregnancy. Further research with more specific interventions is needed to provide evidence of reducing anxiety during pregnancy.
COMPREHENSIVE THERAPY FOR POLYCYSTIC OVARY SYNDROME: KEY POINTS TO IMPROVE QUALITY OF LIFE Noviyati Rahardjo Putri; Melyana Nurul Widyawati
Proceedings of the International Conference on Applied Science and Health No. 4 (2019)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Background: Polycystic Ovary Syndrome (PCOS) is an endocrine disorder that affects the hypothalamus, pituitary, and ovary. PCOS prevalence has increased from 4 –6% to 8 –10%. This syndrome results in both physical illnesses and psychological disorders. Women with PCOS tend to be more prone to psychological disorders compared to healthy women. PCOS increases the risk of anxiety by 7 folds. This study aims to analyze measures to reduce psychological disorders caused by PCOS based on numerous psychological disorder parameters and hormonal biomarkers with psychological therapies.Methodology: This study is based on the PRISMA protocol guidelines. The literature review was performed by accessing ScienceDirect, PubMed, Sage Publications and Google Scholar. The inclusion criteria for the articles are full-text papers written by English from 2009 to 2018. The keywords used to find suitable articles are “anxiety, stress, distress, depression, and quality of life management in polycystic ovary syndrome”. Nine articles were subsequently reviewed.Results: Psychological therapies that can be applied for PCOS include holistic yoga, acupuncture, spiritual guidance, mindfulness stress management, relaxation, and guided imagery, progressive muscle relaxation and administration of herbal, probiotic and selenium medication. Those therapies have proven to lower anxiety, stress, depression, and psychological fatigue as they were measured using instruments of Montgomery Åsberg Depression Rating Scale (MADRS-S), Brief Scale for Anxiety (BSA- S), Swedish Short-Form36 (SF-36), PCOS Questionnaire (PCOSQ), Beck Depression Inventory, DASS 21 and STAI. Meanwhile, observed biomarker responses include lower levels of cortisol, adrenalin, testosterone, and malondialdehyde (MDA) and a higher level of endorphin. Conclusion: Psychological therapies for PCOS have proven to lower psychological disorders as measured by numerous parameters and biomarkers. Therefore, psychological therapies have to be further developed to decrease psychological disorders because of Polycystic Ovary Syndrome. Such as symptoms of anxiety and prevent deterioration of social mental health.
INCREASING COMPETENCE OF MIDWIFERY STUDENTS IN PERINEAL WOUND SUTURING USING LOW COST MODEL MADE FROM FLANNEL FABRIC Rery Kurniawati Danu Iswantoro; Nani Yuningsih; Ayi Tansah Rohaeti; Melyana Nurul Widyawati
Proceedings of the International Conference on Applied Science and Health No. 2 (2017)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Background: Competence of postpartum perineum wound suturing should be owned by midwives. However, students are limitedly trained on how to use cotton pads that are less representative in form and material. This results in a lack of student competence in perineum stitching practice. Aims: This study goal is to know the effectiveness of perineum wound suturing model made from flannel in order to increase stitching competence on the students of Midwifery study program of Banten Health Polytechnic. Methods: This research was designed using experimental design with post-test design method. The respondents consisted of 11 treatment group and 14 control group. The research implementation consisted of three stages. First, an introduction to the perineum wound sewing technique. Second, the model group practiced with flannel and cotton. Third, the respondents filled up the questionnaire on level of confidence and competence assessment of both groups of students. Data analysis used Mann Whitney test because the median difference of two independent groups if the dependent variable data scale is ordinal and ratio. Results: The results showed that the mean of perineum wound suturing competence in the model group was higher (83) than in the non-model group (74). The statistical test results obtained p = 0.002 which means that there was a significant difference in the competency of both groups. At the self confidence level of the respondents in performing perineum wound suturing, both groups had the same mean (4) with p = 0.651. At the time of perineum wound suturing, it is known that the model group mean was slightly faster (20 minutes) than the non-model group (22 minutes) with p = 0.978. There were no significant differencesbetween the two variables. Conclusion: The study showed that the test model was better in improving the competence of the perineum wound suturing. Flannel model is also more affordable and can be sutured over and over so it is economical for students. Further study on efficient media is recommended so that duration and confidence would be better.
Smartphone-based prenatal attachment education application design improving maternal and fetal attachment to high-risk pregnant mothers at Putri Ayu Health Center Jambi City Herinawati Herinawati; Yuli Suryati; Osvinarti Osvinarti; Melyana Nurul Widyawati; Iksaruddin Iksaruddin
Riset Informasi Kesehatan Vol 11 No 2 (2022): Riset Informasi Kesehatan
Publisher : Sekolah Tinggi Ilmu Kesehatan Harapan Ibu Jambi

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Background: The prevalence of high-risk pregnancies in the world is still relatively high. Approximately 10-30% of mothers who undergo routine antenatal care are diagnosed with high-risk pregnancies and of these, 70-80% experience perinatal mortality and morbidity. The psychological impact of high-risk pregnancy is anxiety, stress, and the mother experiencing a crisis that can affect the relationship between the mother and the fetus. This condition can also continue in the relationship between mother and baby after birth. Therefore, it is necessary to make efforts to increase the attachment of mother and fetus, one of which can be done by providing education. The purpose of this study was to determine the effect of Android-based Prenatal Attachment Education Applications on Maternal and Fetal Attachment in High-Risk Pregnant Women. Methods: This type of research is quantitative with a quasi-experimental design study that uses a one group pretest - posttest design without control group. The intervention provided was in the form of prenatal attachment education packaged in an application via mobile phones. The research sample was 40 pregnant women at Putri Ayu Public Health Center, Jambi City. The inclusion criteria in this study were pregnant women who could read and write. Exclusion criteria were respondents who were not willing to participate in the study. Results: Based on the results of the above analysis, it can be seen that Sig is 0.000 < 0.001, which means that H0 is rejected and Ha is accepted. In other words, there is a significant relationship between the application of prenatal attachment education with maternal and fetal attachment. Conclusion: maternal and fetal attachment can be improved with prenatal attachment education applications, for that it is expected that the puskesmas implement prenatal attachment education applications using mobile phones so that they can increase maternal and fetal attachment.
PENGARUH ENDORPHIN MASSAGE TERHADAP INTENSITAS NYERI KALA I PERSALINAN NORMAL IBU PRIMIPARA DI BPS S DAN B DEMAK TAHUN 2011 Iin Nur Azizah; Melyana Nurul Widyawati; Novita Nining Anggraini
Jurnal Kebidanan Vol 2, No 1 (2013): February 2013
Publisher : Universitas Muhammadiyah Semarang

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Ibu bersalin primipara di BPS S rata-rata 17 tiap bulan, sedangkan di BPS B sebanyak 14 ibu bersalin primipara. Di kedua BPS tersebut ditemukan kasus ibu primipara merasakan nyeri yang sangat hebat saat kala I. Bahkan pada ibu primipara tidak tahan dengan nyeri yang dirasakan Pada saat ibu merasakan nyeri yang sangat dan kecemasan yang memuncak dapat berakibat trauma bagi ibu maupun janin. Di BPS tersebut belum memberikan terapi non-farmakologi seperti Endorphin Massage kepada ibu hamil saat melahirkan, sehingga ibu terus merasakan nyeri saat melahirkan. Mengetahui pengaruh endorphin massage terhadap intensitas nyeri kala I persalinan normal ibu primipara di BPS S dan B Demak. Jenis penelitian ini quasi eksperimental design, rancangan yang digunakan adalah posttest only control group design. Populasi dan sampel adalah semua ibu bersalin primipara di BPS S dan B Demak pada bulan Juli 2011 sebanyak 30 orang dengan teknik purposive sampling. Analisa data yang digunakan adalah independent t test. Nyeri persalinan pada kelompok kontrol sebagian besar mengalami nyeri berat sebanyak 10 orang (66,7%). Responden yang mengalami nyeri sedang sebanyak 4 orang (26,7%), dan nyeri sangat berat sebanyak 1 orang (6,7%). Nyeri persalinan pada kelompok perlakuan sebagian besar mengalami nyeri ringan sebanyak 9 orang (60,0%). Responden yang mengalami nyeri sedang sebanyak 4 orang (26,7%) dan nyeri berat sebanyak 2 orang (13,3%). Ada pengaruh endorphin massage terhadap intensitas nyeri kala I persalinan normal ibu primipara di BPS S dan B Demak (p value = 0,000 < 0,05). Ada pengaruh Endorphin Massage terhadap intensitas nyeri kala I persalinan normal ibu primipara di BPS S dan B Demak Tahun 2011 Kata kunci: Pengaruh Endophin Massage, Intensitas Nyeri Kala I
Co-Authors Ananti Setya Primawati Putri Ayi Tansah Bahiyatun Bahiyatun Cahyaning Puji Astuti Diniyati Diniyati Elisa Ulfiana Fajrin, Rafika Fatatu Malikhah Hana Nur Fa'izah Herinawati Herinawati Herinawati Herinawati Hindun Mila Hudzaifah Holyness Nurdin Singadimedja Ida Ayu Putu Dewi Adnya Suwari Iin Nur Azizah Iksaruddin Iksaruddin Ima Nurapriyanti Ira Pujiani Kiki Dwi Handayani Kusmini Kusmini Lucky Herawati Lutfiana Kusumaningrum Lydia Febrina Nani Yuningsih Novita Nining Anggraini NUR FITRIYAH Osvinarti Osvinarti Putri, Noviyati Rahardjo Rery Kurniawati Danu Iswantoro Rery Kurniawati Danu Iswantoro Sa’adah Mujahidah Sheyla Najwatul Maula Siska Febrina Fauziah Siti Kistimbar Siti Roudhotul Jannah Sri Endang Pujiastuti Suryati Kumorowulan Sutarmi Sutarmi Syafrida Ainur Taryatmo Taryatmo Ta’adi Ta’adi Tecky Afifah Santy Amartha Yuli Suryati