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Effect of clomiphene citrate on the quality of cervical mucus in infertile women Jusuf, Elizabeth Catherine
Indonesian Journal of Obstetrics and Gynecology Volume. 34. No. 2, April 2010
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (31.964 KB)

Abstract

Objective: To describe the effect of clomiphene citrate on the quality of cervical mucus in infertile women. Method: This study is a non-randomized clinical trial. The study was carried out at several education hospitals in Makassar from March 2008 to April 2009. The subjects of the study were infertile women who fulfilled the inclusion criteria with intervention study. The statistical analysis was performed using Wilcoxon Sign-ed Rank Test with α 5%. Result: There were 36 cases found, and most were in the range of 26 - 30 years old (38.9%), university level education (50%), civil servant (47.2%), normal nutritionals status (55.5%), regular menstruation cycle (94.4%), marriage length 1 - 5 years (52.8%), and previously treated (61.1%). There was a significant difference of the cervical mucus quality in the infertile women before and after the administration of clomiphene citrate which tend to become worse (p = 0.012). At previously CC-treated group, it was found that after the administration of clomiphene citrate, the quality of cervical mucus tend to be worse (100%). Conclusion: The administration of clomiphene citrate tends to have declining effect on cervical-mucus quality of infertile women. [Indones J Obstet Gynecol 2010; 34-2: 73-6] Keywords: clomiphene citrate, quality of cervical mucus, infertile women
Perbedaan Karakteristik Ibu Hamil Normal Dan Ibu Hamil Dengan Hiperemesis Gravidarum Pratiwi, Vira; M Aryadi Arsyad; Andi Nilawati; Elizabet C Jusuf
Jurnal Bidan Cendrawasih Palu Vol 1 No 1 (2019): MARET
Publisher : Akademi Kebidanan Palu Sulawesi Tengah

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Abstract

Pregnant women health behavior who undergo the Hyperemesis gravidarum is influenced by several factors, among others, are : the age, education, attitude, knowledge,income, culture, etc. The research aimed at investigating the characteristic difference between the normal pregnant women and women with the hyperemesis gravidarum. This was the observational research with the cross sectional method. Samples were as many as 52 respondents comprising 26 at normal pregnant woman and women and 26 hyperemesis gravidarum women. The samples were taken using the total sampling technique. The sample criteria were : the gestational age of ≤ 12 weeksbeing prepared to sign the informed consent issued by Ethic Committee of Faculty of Medicine, Hasanuddin University. Data were obtained from the direct observation through the questionnaire filling of health data, PUQE questionnaire, Perceived Stress Scale Questionnaire. The data analysis used the Chi-Square test and MannWhitney test. The research results indicates that the age characteristic is (P-value = 0.773), education characteristic (P-value = 0.413), occupational characteristics (P-value = 0.482), menstrual pain history characteristic (P-value = 0.781),history characteristic of prehyperemesis gravidarum (P-value = 0,262), history characteristic of hyperemesis gravidarum on family member is (P-value = 0,02), parity characteristic is (P-value = 0,548),contraceptive use history characteristic is (P-value = 1.00 ), stress history characteristic is (P-value = 0.321), body mass index (BMI) characteristic is (P-value = 0.294), upper arm circumference (UAC) characteristic is (P-value = 1.00). There is no characteristic difference of the age, education, occupation, menstrual pain history, hyperemesis history of previous pregnancy, parity, stress history, body mass index, upper arm circumference, nutritional status, and contraceptive use between the normal pregnant women and hyperemesis gravidarum women. Whereas the hyperemesis gravidarum history on the family members indicates the difference.
ANALYSIS FACTORS OF PSYCHOSOCIAL STRESS IN PREGNANCY Elizabet Catherine Jusuf
Nusantara Medical Science Journal Volume 3 No. 2 Juli - Desember 2018
Publisher : Faculty of Medicine, Hasanuddin University.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/nmsj.v3i2.5775

Abstract

The Pregnancy period begins from conception until birth. It is hard to figure out if the pregnancy will get any problem. The process will involve emotional, physical and social alteration in the family. Until now,the maternal emotional condition, psychosocial stress are rarely to watch over by medical practisioners meanwhile at some study said that maternal psychosocial stress influence the outcome of baby. The aim of this study to analyze some factors that is associated to psychosocial stress in pregnancy women. This was a cross-sectional study of collected by using questionaires, were comprised of 11 questions using likert-scales, then using bivariat analysis by t-test and chi square to evaluate the sample characteristic at teaching hospital Hasanuddin University in 2015. There are 158 pregnant woman,  shows who are in the age of 26,25 ± 6,319, suffer from stress, who are in their gestasional age of 30,63 ± 9,164 weeks will be going through the high level of stress. The age of pregnant women and their gestasional age in this study do not influence significantly toward psychosocial stress. Social economic factors such as level of education, occupation, and parity influence the pregnant women psychosocial stress level.
Strategi Layanan Kesehatan Reproduksi pada Remaja: Literature Review Katrina Auri; Elizabet Catherine Jusuf; Mardiana Ahmad
Faletehan Health Journal Vol 9 No 01 (2022): Faletehan Health Journal, Maret 2022
Publisher : Universitas Faletehan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33746/fhj.v9i01.325

Abstract

Adolescents are the most important targets in reproductive health programs. The typical nature of teenagers is to have great curiosity, love adventure, like challenges and dare to take risks for their actions without careful consideration, and inappropriate decision making in facing problems. Therefore, they might potentially fall into risky behaviors that cause short and long term impacts in physical and psychological health problems. The purpose of the study was to know reproductive health service strategies in adolescents. The research used literature studies. To search the articles, PubMed database and Google Scholar publication year from 2015 to 2021 were used. There were 18 relevant articles based on inclusion criteria. Reproductive health service strategies in adolescents could be done through mass media such as televition, radio, leaflets and pocketbook giving. Mobile phones were also able to be utilized by providing applications and social media services. The strategies can provide better benefits because they are able to increase adolescent knowledge and most importantly to keep adolescents secret.
The Comparison of Peripheral Blood Morphology and Ferritin Level in Pregnancy Woman with Anemia Living in Lowland and Highland Areas Yulfa Rizki Amita; Eddy Hartono; Syahruni Syahrir; Firdaus Hamid; Samrichard Rambulangi; Elizabet Catherine Jusuf
Indonesian Journal of Obstetrics & Gynecology Science Volume 5 Nomor 1 Maret 2022
Publisher : Dep/SMF Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/obgynia/v5n1.352

Abstract

Objective: Differences in the morphology features of red blood cells in population groups who live in the lowlands areas and the highlands areas will affect the diagnosis and appropriate therapies. Methods: The method used is a cross-sectional study of 75 pregnant women (6-38 weeks gestational age) with anemia living in highland and lowland areas found at Massenrempulu Hospital and Sitti Khadijah I Hospital. Anemia in pregnant women is diagnosed as a hemoglobin level less than 11gr/dl in the 1st and 3rd trimesters or less than 10.5 gr/dl in the 2nd trimester. The patient's blood sample was taken intravenously and performed serological and peripheral blood examination. Data were processed using the SPSS program, analyzed using univariate and multivariate tests.Results: In both results of the parametric and nonparametric test, ferritin levels showed a significant difference (p = 0.001), higher in the lowland areas group subjects (15.44 ± 36.92) compared to the highland areas group subjects (9.55 ± 30.16). There were no significant differences in morphology features (p> 0.05) between both groups.Conclusion: This study showed no significant differences in morphology features between the two groups. The lowland areas group subjects had a significantly higher ferritin level than that of the highland areas group subjects.Perbandingan Gambaran Morfologi Darah Tepi Pasien Gravid dengan Anemia Yang Tinggal di Pesisir Pantai dan Daerah PegununganAbstrakTujuan: Perbedaan ciri morfologi sel darah merah pada kelompok populasi yang tinggal di dataran rendah dan dataran tinggi akan mempengaruhi diagnosis dan terapi yang tepat.Metode: Metode yang digunakan adalah studi potong lintang pada 75 ibu hamil (usia kehamilan 6-38 minggu) dengan anemia yang tinggal di dataran tinggi dan dataran rendah yang ditemukan di RS Massenrempulu dan RS Sitti Khadijah I. Anemia pada ibu hamil didiagnosis berdasarkan kadar hemoglobin kurang dari 11gr/dl pada trimester I dan III atau kurang dari 10,5 gr/dl pada trimester II. Sampel darah pasien diambil secara intravena dan dilakukan pemeriksaan serologis dan darah tepi. Data diolah menggunakan program SPSS, dianalisis menggunakan uji univariat dan multivariat.Hasil: Pada hasil uji parametrik dan nonparametrik, kadar feritin menunjukkan perbedaan yang secara signifikan (p = 0,001), lebih tinggi pada subjek kelompok dataran rendah (15,44 ± 36,92) dibandingkan dengan subjek kelompok dataran tinggi (9,55 ± 30,16). Tidak ada perbedaan yang signifikan dalam morfologi darah tepi  (p> 0,05) antara kedua kelompok.Kesimpulan: Penelitian ini tidak menunjukkan perbedaan morfologi yang signifikan antara kedua kelompok. Subyek kelompok dataran rendah memiliki kadar feritin yang jauh lebih tinggi dibandingkan dengan subjek kelompok dataran tinggi.Kata kunci: Morfologi darah tepi, kehamilan, anemia, dataran rendah, dataran tinggi
Effect of clomiphene citrate on the quality of cervical mucus in infertile women Elizabeth Catherine Jusuf
Indonesian Journal of Obstetrics and Gynecology Volume. 34. No. 2, April 2010
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (31.964 KB)

Abstract

Objective: To describe the effect of clomiphene citrate on the quality of cervical mucus in infertile women. Method: This study is a non-randomized clinical trial. The study was carried out at several education hospitals in Makassar from March 2008 to April 2009. The subjects of the study were infertile women who fulfilled the inclusion criteria with intervention study. The statistical analysis was performed using Wilcoxon Sign-ed Rank Test with α 5%. Result: There were 36 cases found, and most were in the range of 26 - 30 years old (38.9%), university level education (50%), civil servant (47.2%), normal nutritionals status (55.5%), regular menstruation cycle (94.4%), marriage length 1 - 5 years (52.8%), and previously treated (61.1%). There was a significant difference of the cervical mucus quality in the infertile women before and after the administration of clomiphene citrate which tend to become worse (p = 0.012). At previously CC-treated group, it was found that after the administration of clomiphene citrate, the quality of cervical mucus tend to be worse (100%). Conclusion: The administration of clomiphene citrate tends to have declining effect on cervical-mucus quality of infertile women. [Indones J Obstet Gynecol 2010; 34-2: 73-6] Keywords: clomiphene citrate, quality of cervical mucus, infertile women
Maternal Death Risk Factors in Wahidin Sudirohusodo Hospital and Its Affiliates: Faktor Risiko Kematian Maternal di Rumah Sakit Umum Pusat Wahidin Sudirohusodo dan Jejaringnya Elizabet C. Jusuf; Witono Gunawan; Nurbani Bangsawan
Indonesian Journal of Obstetrics and Gynecology Volume 7 No. 4 October 2019
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (67.034 KB) | DOI: 10.32771/inajog.v7i4.976

Abstract

Abstract Objectives : To identify maternal death risk factors in Wahidin Sudirohusodo Hospitals and its affiliates between 01 January - 31 December 2017 Methods: This study is an observational case control study that includes all cases of maternal death and considerable numbers of pregnancy without complications that occured in Wahidin Sudirohusodo Hospital and its affiliates between 01 January 2016 and 31 December 2017. Data were then be analysed using chi square and logistic regression test to know the correlations between risk factors and maternal death. Results :There are 28 cases of maternal death in Wahidin Sudirohusodo Hospital and its affiliates which mostly occured at age 20-35 years old (60.7%) and antenatal care in in primary health care (71,4%). Hypertension (39,3%) and hemorrhage (35,7%) were the most frequent complicaitons of maternal death. Age under 20 years old and older than 35 years old (odds ratio 3.882; 95% CI, 1.056-14.276; P<0.05), education level less than 9 years (odds ratio 3.178; 95% CI, 0.987-10.228; P<0.05), Age and education level did not seem to affect incidence of maternal death when analysed simultaneously (odds ratio 1.842; 95% CI, P> 0.05). Conclusions: Hypertension and hemorrhage were the most frequent causes of maternal death. Age under 20 years old and older than 35 years old as well as education level less than 9 yearsincreased the risk of maternal deaths independently. Parity, frequency of antenatal care, and location of antenatal care did not show any significant role in maternal death occurence. Keywords : Maternal death, risk factors, hypertension, hemorrhage, age Abstrak Tujuan: Untuk mengetahui faktor-faktor risiko kematian maternal di Rumah Sakit Umum Pusat Wahidin Sudirohusodo dan jejaringnya dalam periode 01 Januari – 31 Desember 2016. Metode : Penelitian ini penelitian studi observasional case control dengan mengambil seluruh data kematian maternal yang terjadi di Rumah Sakit Umum Pusat Wahidin Sudirohusodo dan jejaringnya dalam periode 01 Januari – 31 Desember 2016. Data dianalisis dengan Uji chi square dan regresi logistik untuk melihat faktor risiko yang diteliti dengan terjadinya kematian maternal. Hasil : Ada 28 kasus kematian maternal di Rumah Sakit Umum Wahidin Sudirohusodo dan jejarignya yang sebagian besar terjadi pada kelompok umur 20-35 tahun (60,7%) dan lokasi asuhan antenatal di Puskesmas (71,4%). Komplikasi kehamilan terbanyak ialah hipertensi (39,3%) dan perdarahan (35,7%). Kelompok umur kurang dari 20 tahun dan lebih dari 35 tahun (odds ratio 3.882; 95% CI, 1.056-14.276; P <0.05) dan pendidikan kurang dari 9 tahun (odds ratio 3.178; 95% CI, 0.987-10.228; P<0.05) memiliki pengaruh signifikan terhadap terjadinya kematian maternal . Umur dan tingkat pendidikan secara simultan tidak mempengaruhi terjadinya angka kematian maternal (odds ratio 1.842; 95% CI; P > 0.05). Kesimpulan : Hipertensi dan perdarahan merupakan penyebab utama terjadinya kematian maternal. Kelompok umur kurang dari 20 dan lebih dari 35 tahun serta tingkat pendidikan < 9 tahun secara independen berisiko meningkatkan jumlah kematian maternal. Paritas, frekuensi asuhan antenatal, dan lokasi asuhan antenatal tidak memiliki peran signifikan dalam terjadinya kematian maternal. Kata kunci : Kematian maternal, faktor risiko, hipertensi, perdarahan, umur
PENINGKATAN PENGETAHUAN DAN KEMAMPUAN KONSELING KONTRASEPSI JANGKA PANJANG PASCA SALIN PADA KONSELOR DI RSKDIA FATIMAH: IMPROVEMENT OF LONG-TERM POST DELIVERY CONTRACEPTION COUNSELING KNOWLEDGE AND ABILITY COUNSELOR AT FATIMAH MOTHER AND CHILDREN HOSPITAL Irnawati Bahar; Nurbani Bangsawan; Eddy Hartono; Eddy Tiro; Elizabet Catherine Jusuf; Livy Leonard Lieswan; Gressella K. Mamangkey
Jurnal Dinamika Pengabdian (JDP) Vol. 8 No. 1 (2022): JURNAL DINAMIKA PENGABDIAN VOL. 8 NO. 1 OKTOBER 2022
Publisher : Departemen Budidaya Pertanian Fakultas Pertanian UNHAS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/jdp.v8i1.20110

Abstract

Angka kematian ibu dan anak di Indonesia terutama di Sulawesi Selatan masih tinggi. Salah satu cara menurunkan angka kematian ibu adalah menjarangkan kehamilan dengan penggunaan kontrasepsi. Ibu pasca salin yang tidak menggunakan kontrasepsi berpotensi mengalami kehamilan dengan jarak sangat dekat, berkaitan dengan kehamilan berisiko dan kehamilan yang tidak diinginkan yang akan berkontribusi terhadap kematian ibu. Namun, sampai saat ini penggunaan kontrasepsi pasca salin masih rendah terutama untuk metode kontrasepsi jangka panjang. Berdasarkan Riskesdas tahun 2018, cakupan pemakaian IUD sebesar 6,6% dan susuk sebesar 4,7%. Faktor yang menurunkan minat untuk memakai kontrasepsi adalah kurangnya pengetahuan akseptor mengenai kelebihan, efek samping, efektivitas dan efisiensi. Pelaksanaan konseling yang baik dengan penjelasan yang optimal dari konselor dapat mempengaruhi keputusan klien dalam menggunakan kontrasepsi. Tujuan dalam intervensi kegiatan in-house training ini adalah untuk mengevaluasi tingkat pengetahuan dan kemampuan konselor mengenai konseling kontrasepsi jangka panjang pasca salin sebelum dan setelah dilakukannya in-house training. Tahapan berupa pretest, dilanjutkan dengan pemberian materi kemudian sesi tanya jawab, demonstrasi dan praktik pada model dan diakhir dengan posttest. Hasil menunjukkan tingkat pengetahuan tentang konseling kontrasepsi jangka panjang pasca salin adalah 3,51(0,51)  dan tingkat kemampuan adalah 3,41(0,57) sebelum diberikan in-house training dan meningkat signifikan menjadi tingkat pengetahuan peserta adalah 4,70(0,47) dan untuk tingkat kemampuan adalah 4,59(0,50).setelah diberikan in-house training (p<0,05). Hasil ini menunjukkan terdapat peningkatan pengetahuan dan kemampuan secara signifikan sebelum dan setelah dilakukan in-house training. Dampak dari kegiatan ini diharapkan dengan meningkatnya pengetahuan dan kemampuan tenaga kesehatan sebagai konselor maka akan meningkatkan minat penggunaan kontrasepsi pasca salin. Kata kunci: Pengetahuan, Konseling, Kontrasepsi. ABSTRACT Maternal and child mortality rates in Indonesia, particularly in South Sulawesi, still high. Using contraception to space out pregnancies is one method of lowering maternal mortality. Post delivery mothers who do not use contraception are at risk of having very close pregnancies, which can lead to risky pregnancies and unwanted pregnancies, both of which contribute to maternal mortality. However, the use of postpartum contraception is still low, particularly for long-term contraceptive methods. According to Riskesdas 2018, IUD usage is covered at 6.6 percent and implants at 4.7 percent. Acceptors’s lack of knowledge about the benefits, side effects, effectiveness, and efficiency of contraception is one factor that reduces their interest in using it. A good counseling implementation with optimal explanation from the counselor can influence the client's decision to use contraception. The goal of this intervention was to assess counselors' knowledge and ability regarding long-term post delivery contraception counseling before and after the in-house training. The stages consist of a pretest, material distribution, a question and answer session, demonstration and practice on the model, and a posttest. The results showed that the level of knowledge about long-term postpartum contraceptive counseling was 3.51(0.51) and the level of ability was 3.41(0.57) before being given in-house training and a significant increase to the level of knowledge of participants was 4.70(0.47) and the ability level is 4.59(0.50) after being given in-house training (p0.05). These findings indicate that there is a significant increase in knowledge and skills before and after in-house training. The impact of this activity is expected to increase health workers' knowledge and ability as counselors, as well as interest in the use of postpartum contraception. Keywords: Knowledge, Counseling, Contraception.
The Maternal Referral Profile Before and During the Covid-19 Pandemic at the Educational Hospital and Affiliation Hospital in Makassar City 2019 - 2021 Andi Muldiani Dwi Rachmayana; Abdul Rahman; Elizabet C Jusuf
Nusantara Medical Science Journal Volume 7 Issue 2, July - December 2022
Publisher : Faculty of Medicine, Hasanuddin University.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/nmsj.v7i2.19873

Abstract

Background: The Covid-19 pandemic is a global outbreak. Several nations, including Indonesia, have implemented COVID-19 infection prevention and control measures. The biggest concern is for disadvantaged populations at higher risk, one of which is pregnant women. Several aspects of health services, including maternal health care facilities, saw adjustments during this restriction period. Pregnant women are apprehensive about visiting the Community Health Center for fear of contracting an infection. As a result, maternal and newborn health services, including access to and quality of maternal and referral services, become affected. Method: it was a descriptive retrospective method within 3 years data. Data were collected from registration data of obstetric referral cases at Education Hospital and Affiliated Hospital in Makassar City. Results: Between before and during the COVID-19 pandemic, the number of maternal referral cases decreased by half, which the highest variables are reproductive age, Grande Multipara, Insurance methods using the National Health Insurance, and according to the criteria of refferal is the potential for Obstetrics Emergency. Conclusion: There was a decline in maternal referral cases in Education Network hospitals before and during the COVID-19 pandemic.
The Relationship of Sociodemographic Factors with Near-miss and Missed Cases in Educational and Affiliated Hospitals in Makassar from 2019 to 2020 Indah Ria Rezeki Meirisa; Elizabet C Jusuf; Nasrudin Mappaware
Nusantara Medical Science Journal Volume 7 Issue 2, July - December 2022
Publisher : Faculty of Medicine, Hasanuddin University.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/nmsj.v7i2.19879

Abstract

Introduction: Maternal mortality remains a critical issue in achieving optimal health status. Evaluation through near-miss cases provides valuable data about morbidity to monitor the quality of obstetric services, which can be used to estimate the incidence of life-threatening obstetric complications. A study reported that the incidence of near-miss in pregnant women had a significant relationship with various non-medical factors, included sociodemographic factors. Therefore, this study aims to examine the relationship of sociodemographic factors with near-miss and missed cases. Methods:   This analytic retrospective study conducted in Educational and affiliated hospitals in Makassar. Data were retrieved from the obstetric referral registry from 2019 to 2020. Sociodemographic factors of interest include diagnosis, gestational age, maternal age, referral status, maternal parity, and economics. Results:  A total of 156 near-miss and missed cases were obtained from January 1, 2019, to December 31, 2020. There was no significant relationship between maternal age (p=0.675), gestational age (p=0.38), parity (p=0.24), economic status (p=0.73), educational background (p=0.85), and referral status (p=0.16) with maternal near-miss and missed cases. Conclusions: There was no significant relationship between sociodemographic characteristics and maternal near-miss and missed cases in Educational and affiliated hospitals in Makassar from 2019 to 2020. More studies are needed to evaluate other factors associated with near-miss and missed cases.