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All Journal Journal of Health (JoH) Proceedings of the International Conference on Applied Science and Health Jurnal Kesehatan Ibu dan Anak Amalee: Indonesian Journal of Community Research & Engagement PROFESI (Profesional Islam): Media Publikasi Penelitian Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Yuni Kusmiyati
Jurusan Kebidanan Politeknik Kesehatan Kementerian Kesehatan Yogyakarta
Humanities Dentistry Education Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Social Sciences Other

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HUBUNGAN TINGKAT PENGETAHUAN TENTANG PERAWATAN PAYUDARA DENGAN KEJADIAN PAYUDARA BENGKAK PADA IBU NIFAS Santoso, Sinta Dwi Hapsari; Kusmiyati, Yuni; Margono, Margono
Jurnal Kesehatan Ibu dan Anak Vol 9 No 1 (2016): Juli
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (4551.04 KB)

Abstract

The incidence of childbirth on breast swelling one contributing factor is the lack of breast care, lack of care of thebreast caused by the lack of a level of knowledge of the mother's breast care about childbirth. The proportion ofincident breast swelling at parturition on maternal health centers Jetis, Yogyakarta city in August-December2010 has increased to 27% of total 119 mothers parturition and 30% of mothers who say never experiencedbreast swelling of 10 respondents encountered and largely due to the lack of knowledge about the care of thebreasts. Research objectives: to know the relationship of the level of knowledge about the care of the breastswith breast swelling at parturition on maternal health centers Jetis, Yogyakarta in 2011. Research methods:observational Analytic with cross sectional approach. Research on location of clinics Jetis, Yogyakarta with asample of 65 mother parturition hospitalization on April 1-May 31, 2011. Data retrieval with the questionnaire.Analysis done with chi square (x 2) with a confidence level of 95%>. The result: a majority of Respondents isprimipara, the level of secondary education, and work. Level of knowledge of the majority of the respondents isthe category less. The majority of respondents experienced swollen breasts. Statistics show chi square p11.3934 or count value 0.003357 means that there is a relationship of the level of knowledge of the care of thebreasts with breast swelling at parturition on maternal health centers Jetis, Yogyakarta. Conclusion: the level ofknowledge about breast carebreast incident-relatedswelling of theparturition in the mother.
Effectiveness of Basil Leaf Nanoparticle Supplementation on Stress Levels and Breast Milk Adequacy in Postpartum Choerunnisa, Choerunnisa; Pujiastuti, Rr. Sri Endang; Kusmiyati, Yuni
Amalee: Indonesian Journal of Community Research and Engagement Vol 5 No 1 (2024): Amalee: Indonesian Journal of Community Research and Engagement
Publisher : LP2M INSURI Ponorogo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37680/amalee.v5i1.3154

Abstract

The prevalence of stress events in postpartum increases every year, the result can inhibit the adequacy of breastfeeding in postpartum. To overcome the problem of stress and adequacy of breast milk, basil leaves are an alternative plant that can function as a lactagogue and prevent stress complications is the supplementation of basil leaf nanoparticles. increase the absorption of drugs by the body. This study aims to determine the effectiveness of basil leaf nanoparticles on stress levels and adequacy of breast milk in post-partum. The research method uses quantitative research with quasi-experimental methods with probability sampling, design pre and post-test with control group. The results showed that the stress level in the intervention group was proven to reduce stress levels with an average of 18.50 before being given treatment and an average of 11.18 after treatment. Administration of basil leaf nanoparticles showed a significant difference in reducing stress levels. In the indicator of adequacy of breastfeeding in the form of baby's weight (p<0.005) frequency of bowel movements (p<0.005) frequency of bowel movements (p<0.005) and frequency of breastfeeding (0.369<0.005) means that there are differences in baby's weight, frequency of bowel movements, frequency of urination, and the frequency of breastfeeding in the intervention group and the control group
Akupresur Berpengaruh Terhadap Waktu Luaran Dan Kecukupan ASI Pada Ibu Post Partum rusmini, Rusmini; Ashari, Any; Kusmiyati, Yuni
Profesi (Profesional Islam) : Media Publikasi Penelitian Vol. 20 No. 1 (2022): Jurnal PROFESI (Profesional Islam): Media Publikasi Penelitian
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat (LPPM) ITS PKU Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26576/profesi.v20i1.127

Abstract

Kurangnya pemberian ASI eksklusif bagi bayi baru lahir di Indonesia yang disebabkan adalah ketidakcukupan pemberian ASI eksklusif selama 6 bulan pertama bayi. Akupressur merupakan salah satu cara untuk merangsang hormon oksitosin adalah dengan pijat oksitosin yang sangat berperan dalam kecukupan produksi ASI. Penelitian ini bertujuan untuk menganalisis pengaruh pemberian akupresur jari kelingking tangan dan pijat oksitosin terhadap waktu luaran dan kecukupan asi pada ibu postpartum di rsud panembahan senopati bantul. Penelitian ini merupakan penelitian eksperimental dengan desain penelitian Randomized Controlled Trial (RCT) dengan pendekatan kuantitatif. Populasi dalam penelitian ini yaitu semua ibu postpartum yang mengalami persalinan pervaginam di RSUD Panembahan Senopati Bantul tahun 2021 sebanyak 166 orang. Jumlah sampel dalam penelitian sebanyak 70 ibu postpartum yang sesuai dengan kriteria inklusi berdasarkan perhitungan rumus slovin. Analisis data dalam penelitian ini menggunakan uji chi square. Hasil penelitian menunjukkan bahwa terdapat pengaruh pemberian akupresur jari kelingking tangan terhadap waktu luaran ASI pada ibu postpartum
The Effectiveness of Feet Soak With Warm Water and Feet Massage on Blood Pressure Reduction in Pregnant Women with hypertension: Efektivitas Rendam Kaki Dengan Air Hangat dan Pijat Kaki Terhadap Penurunan Tekanan Darah Pada Ibu Hamil Dengan Hipertensi Warisantika, Ika; Kusmiyati, Yuni; Sunartono, Sunartono
Journal of Health (JoH) Vol 11 No 02 (2024): Journal of Health (JoH) - July
Publisher : LPPM STIKES Guna Bangsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30590/joh.v11n2.542

Abstract

Preeclampsia in Indonesia is around 3.8-8.5%, being the cause of high maternal mortality by 24%. (Depkes RI, 2015). Karawang District Health Office reports 31.1% of maternal deaths in this district are due to preeclampsia. This study aims to prove that foot both with warm water and foot massage are effective in reducing blood pressure in preeclampsia mothers. The study design used RCT. The research sample was 40 people divided into 4 groups: 10 people for foot soak intervention, 10 people for massage intervention, 10 people for foot bath and foot massage and 10 people in the control group. It was proven that the three interventions were effective in reducing hypertension in preeclampsia mothers, the highest average decrease in systolic 12.2 mmHg on the combined intervention, p-value 0.005, the lowest 8.2mmhg on foot massage intervention p-value 0.004, on the foot both group and massage group a p-value of 0.004. On day 5 of the foot both intervention a p-value of 0.005. The highest mean diastolic decrease was 8mmhg in the combined intervention a p-value of 0.005. The lowest decrease was 2.8mmhg on foot soak with warm water a p-value of 0.011. The statistical test results of the average decrease in blood pressure were all significant (p<0.05). The combined intervention of soaking and foot massage proved to be more effective than the intervention of soaking foot or foot massage.
Modelling external pelvic dimensions as a screening tool for cephalopelvic disproportion Iswara, Denny; Kusmiyati, Yuni; Apay, Serap Ejder
Jurnal Kesehatan Ibu dan Anak Vol. 18 No. 1
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/kia.v18i1.2198

Abstract

Cephalopelvic disproportion (CPD) remains one of the leading causes of labor complications and cesarean deliveries, particularly in low-resource settings where pelvimetric assessment is limited. The absence of a simple, accurate, and non-invasive screening tool in primary healthcare complicates early detection and management. This study aimed to design and evaluate an external pelvic measurement tool to identify women at risk for CPD. This was a quantitative case-control study involving 60 postpartum women at Dr. Sardjito Hospital, Yogyakarta, Indonesia, between 2018 and 2023. The case group included 30 women diagnosed with CPD, while the control group comprised 30 women with spontaneous vaginal deliveries. External pelvic measurements were conducted at the Michaelis rhomboid and other anatomical landmarks (AB, AD, CB, CD, BD, AC) using standardized procedures. Sociodemographic variables were controlled through matching by age, parity, and gestational age. Significant differences were observed in external pelvic dimensions between the case and control groups. The average AB, AD, CB, and CD distances were consistently shorter in the CPD group (mean ~5.7–5.8 cm) compared to the control group (mean ~6.8 cm). Pelvic circumference and distances such as distansia cristarum and Boudeloque diameter were also smaller in CPD cases. These findings suggest that women with smaller external pelvic dimensions are at higher risk for CPD. The study highlights that specific external pelvic measurements, particularly within the Michaelis rhomboid area, have potential as practical indicators for early CPD detection. Implementing this tool in antenatal care, especially in primary healthcare settings, may improve screening, guide referral decisions, and reduce the risk of obstructed labor.
Telehealth Relaxation, Is It Really Can Decrease The Level Of Anxiety For Pregnant Women During The Pandemic COVID-19? Purnamaningrum, Yuliasti Eka; Kusmiyati, Yuni; Sumarni, Sri; Petphong, Vajee
Jurnal Kesehatan Ibu dan Anak Vol. 17 No. 1
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/kia.v17i1.1565

Abstract

Fetal weight has a very important meaning for planning midwifery care. Deviations found can be corrected immediately both during pregnancy and childbirth so that treatment is carried out on time. Clinical decisions made include the choice of type of delivery. This is expected to improve pregnancy outcomes for the welfare of the mother and fetus. The purpose of this study was to determine the difference in estimated fetal weight using the Insler Formula and the Johnson Formula compared to the baby's birth weight. This study used a cross sectional design. Sample taken by consecutive sampling. The criteria selected were third trimester pregnant women > 37-42 weeks pregnant, do a pregnancy check  until giving birth at the Garuda and Ibrahim Aji Public Health Centers in Bandung City from July to November 2022. Estimated fetal weight was measured during antenatal checks using the Insler and Johnson formulas. The estimated fetal weight is compared with the actual weight of the newborn. Based on the results of a study that compared the estimated fetal weight with the baby's birth weight, it was found that there was no significant difference between the use of the Insler and Johnson formulas to measure the estimated fetal weight and birth weight p value > 0.05. The Johnson and Insler formula can be applied by student midwives or midwife practitioners when conducting antenatal care in the third trimester (gestational age > 37-42 weeks). This formula is a simple detection method, using simple tools, easy to obtain and can be used anytime and anywhere, namely a measuring tape. In addition, the measurement guidelines and calculation formulas are simple and easy to apply.
Vitamin D and Reduced Academic Stress of Health Students Kusmiyati, Yuni; Suryani, Emy; Herawati, Lucky; Firdausi, Amalia
Kesmas Vol. 15, No. 3
Publisher : UI Scholars Hub

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Abstract

Stress conditions can reduce academic ability, influencing student grade point averages and encouraging negative behaviors. The object of this research was to discern the influence of vitamin D in the reduction of academic stress of health students. The study used a randomized controlled trial (RCT). The population was midwifery students who lived in the Health Polytechnic dormitory, Ministry of Health, Yogyakarta, in 2017. Samples were 77 students of midwifery who did not suffer from any chronic disease, nor did they experience academic stress. They all agreed to become research subjects. Samples were 39 respondents in a treatment group who were administered 1 tablet of 400 mg of vitamin D supplement daily, for 30 days. A control group was given a placebo. Academic stress was assessed by means of the Depression, Anxiety, and Stress Scale 42 (DASS 42). Data were analyzed by using linear regression. The results showed that daily vitamin D supplement reduced academic stress (p-value 0.000 < 0.05). One dose of 400 international units (IU) of vitamin D daily for 30 days could reduce academic stress by 11.28 points. To reduce academic stress, students should consume vitamin D and expose their skin to sun rays with ultraviolet.
Duration of Hormonal Contraception and Risk of Cervical Cancer Kusmiyati, Yuni; Prasistyami, Annisaputri; Wahyuningsih, Heni Puji; Widyasih, Hesty; Adnani, Qorinah Estiningtyas Sakilah
Kesmas Vol. 14, No. 1
Publisher : UI Scholars Hub

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Abstract

The use of long hormonal contraceptives can disrupt the balance of estrogen in the body, resulting in abnormal cell changes. This study aimed to determine a correlation between the duration of hormonal contraception and risk of cervical cancer. This study used a case-control design. The population were patients who had examined at a cancer installation and obstetrics-gynecology polyclinic Dr. Sardjito Hospital in 2018. Case samples were 95 women have cervical cancer diagnosis and control were 95 women with a negative pap smear. Sampling with random sampling. Dependent variable cervical cancer and independent variable the duration of hormonal contraception are obtained from medical records. Cervical cancer is assessed by doctor’s diagnosis. Data analysis used logistic regression. Results showed that 44.7% of samples used long-term hormonal contraception (over 5 years). Length of use of hormonal contraception had a significant correlation with the incidence of cervical cancer (p-value < 0.01). Hormonal contraceptive use more than 5 years have a risk 4.2 times (95% CI 1.01-5.69) of cervical cancer than using less than 5 years after being controlled with the first marriage age and parity
The Influence of Exclusive Breastfeeding to Emotional Development of Children Aged 48-60 Months Kusmiyati, Yuni; Sumarah, Sumarah; Dwiawati, Nurul; Widyasih, Hesty; Widyastuti, Yani; Haji Abdul Mumin, Khadizah
Kesmas Vol. 12, No. 4
Publisher : UI Scholars Hub

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Abstract

Impaired emotional development is a problem faced by children and this can negatively impact on function, development and readiness of their school. Exclusive breastfeeding is able to meet brain development needs that affect child development. This study aimed to determine correlation between exclusive breastfeeding and emotional development of children aged 48-60 months. This study used historical cohort.The subjects of this study were 7-12-month old infants living in area of Borobudur Primary Health Care Primary Health Care, Central Java Province, Indonesia in 2011-2012. Independent variable of exclusive breastfeeding was when infants received only breast milk without any supplementary food or drink including water since birth until the age of 6 months. Data were obtained from medical records of children. The emotional development was assessed directly by using questionnaires on emotional and mental problems. Data analysis used cox regression. This study found that provision of exclusive breast milk was evidently correlated with child’s emotional development. Infants who did not receive exclusive breastfeeding had 2.96 higher risk of having abnormal emotional development than infants who received exclusive breastfeeding. Exclusive breastfeeding greatly influences emotional development of the child.
Extrovert Personality Type and Prolonged Second Stage of Labor Kusmiyati, Yuni; Nurfitria, Chandra Tyas; Suherni, Suherni; Wahyuningsih, Heni Puji
Kesmas Vol. 11, No. 4
Publisher : UI Scholars Hub

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Abstract

Kepribadian dapat memengaruhi respons individu yang dapat berdampak pada proses persalinan lama. Penelitian sebelumnya menunjukkan adanya hubungan kepribadian dengan waktu persalinan. Tipe kepribadian ekstrover (tipe A) cenderung lebih rentan terhadap stres dibandingkan orang dengan tipe kepribadian introvert (tipe B). Penelitian ini bertujuan untuk mengetahui hubungan tipe kepribadian ekstrover dan variabel luar (pendidikan, ekonomi, usia ibu dan paritas) dengan persalinan kala II lama. Studi kasus kontrol dilakukan pada 156 ibu bersalin yang memenuhi kriteria inklusi pada tahun 2015 di Yogyakarta. Sampel kasus adalah 52 ibu dengan persalinan kala II lama dan kontrol adalah 104 ibu dengan persalinan kala II normal. Penelitian ini menggunakan metode purposive sampling. Tipe kepribadian dinilai menggunakan kuesioner tipe A/B Jenkins Activity Survey. Analisis data menggunakan regresi logistik. Hasil penelitian menunjukkan 80,8% kala II persalinan lama terjadi pada ibu dengan kepribadian tipe Adan 19,2% pada ibu dengan kepribadian tipe B. Tipe kepribadian ekstrover memiliki hubungan signifikan terhadap kala II persalinan lama (nilai p = 0,00). Ibu dengan kepribadian tipe A berisiko 8.2 kali (95% CI: 3,7-18,4) mengalami persalinan kala II lama dibandingkan ibu dengan kepribadian tipe B setelah dikontrol variabel status ekonomi, paritas, pendidikan dan usia ibu. Personality can affect individual’s response that implicate in duration of labor. Previous studies showed relationship between personality and duration of labor. People with extrovert personality type (type A) tend to be more susceptible to stress than introvert personality type (type B). This study aimed to determine correlation between extrovert personality type and prolonged second stage of labor by considering external variables such as maternal education, economy, age and parity. A case control study was conducted on 156 parturient women who fulfilled the inclusion criteria of study, such as in Yogyakarta in 2015. Case samples were 52 women with prolonged second stage of labor and control were 104 women with normal second stage of labor. Purposive sampling method was used. Personality type assessment used type A/B questionnaire of Jenkins Activity Survey. Data analysis used logistic regression. Results showed that 80.8% prolonged second stage of labor occurred in type A mothers and 19.2% in type B mothers. Extrovert personality type had a significant correlation with prolonged second stage of labor (p value = 0.00). Type A mothers have a risk 8.2 times (95% CI: 3.7-18.4) of prolonged second stage of labor than type B mothers after be controlled with economic status, parity, maternal education and age.
Co-Authors Apay, Serap Ejder Ashari, Any Asmar Yetty Zein, Asmar Yetty Bara, Farida Tandi Choerunnisa, Choerunnisa Dwiawati, Nurul Emy Suryani Firdausi, Amalia Haji Abdul Mumin, Khadizah Haryati Haryati Heni Puji Wahyuningsih Hesty Widyasih Iswara, Denny Listyorini, Iyeti Lucky Herawati M.J, Sri Lestari Margono Margono Mukharromah, Hastin Laili Niken Meilani Niken Meilani Nirmala Sari Nopiyanti Nopiyanti, Nopiyanti Nurfitria, Chandra Tyas Nurmila, Nurmila Petphong, Vajee Prasistyami, Annisaputri Pujiastuti, Rr. Sri Endang Qorinah Estiningtyas Sakilah Adnani Rapang, Arnita Rusmini Rusmini Santoso, Sinta Dwi Hapsari Sri Sumarni Sriyulan Ismail Sriyulan Ismail Suherni Suherni, Suherni Sumarah Sumarah sunartono sunartono Supahar, Supahar Supriyati, Yulita Rizky Surayniwaty, Fransiska Tyastuti, Siti Warisantika, Ika Wati, Yuliza Sofya Widyastuti, Yani Winarni Winarni Yuliasti Eka Purnamaningrum