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All Journal Jurnal Kedokteran Diponegoro Jurnal Kesehatan Reproduksi Indonesian Journal of Obstetrics and Gynecology (Majalah Obstetri dan Ginekologi Indonesia) Medica Hospitalia Diponegoro International Medical Journal (DIMJ) Journal of Social Research
Putri Sekar Wiyati
Department Of Obstetrics And Gynaecology, Faculty Of Medicine, Diponegoro University/Dr Kariadi General Hospital Medical Center, Semarang, Central Java, Indonesia
Humanities Computer Science & IT Dentistry Economics, Econometrics & Finance Education Health Professions Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences

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The Effect of Zumba on Dysmenorrhea in Students of the Faculty of Medicine, Diponegoro University Humairoh Mutha'alimah; Marijo Marijo; Yuli Trisetiyono; Putri Sekar Wiyati
JURNAL KEDOKTERAN DIPONEGORO (DIPONEGORO MEDICAL JOURNAL) Vol 10, No 3 (2021): JURNAL KEDOKTERAN DIPONEGORO (DIPONEGORO MEDICAL JOURNAL)
Publisher : Faculty of Medicine, Universitas Diponegoro, Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/dmj.v10i3.29949

Abstract

Background: Dysmenorrhea is the most common symptom of most menstrual complaints, and has a greater risk of causing disease than any other gynecological complaints. Dysmenorrhea can be accompanied by other symptoms such as sweating, tachycardia, nausea, vomiting, headache, diarrhea and tremors. Dysmenorrhea causes activity limitations which can affect productivity and quality of life of a woman.Objectives: Determine the effects of Zumba on primary dysmenorrhea among female students of the  Faculty of Medicine, Diponegoro University.Method: This study used an analytic observational study with a pretest-middletest-posttest design. A participants of 49 students were divided into 2 groups. The control group (K) was not given the Zumba intervention. Treatment group (P) was given 8-week intervention program with two 60’ sessions per week of Zumba. Data were collected before, during, and after Zumba intervention using a self-administrated dysmenorrhea questionnaire and VAS pain scale.Result: Based on the VAS pain scale and dysmenorrhea questionnaire, the mean value of the control group and treatment group was K: 2,02; 1,92; 2,06; P: 1,98; 1,98; 2,04. Statistical analysis using Friedman tests showed statistically not significant differences (p > 0,05).Conclusion: Zumba exercise did not have a significant difference in reducing dysmenorrhea pain levels.Keyword: Zumba exercise, exercise, primary dysmenorrhea, menstrual pain
Differences of Ampicillin and Cefazolin Effects in Reducing hs-CRP Level in Premature Rupture of Membranes Ahmad Bukhoeri; Syarief Thaufik Hidayat; Ediwibowo Ambari; Julian Dewantiningrum; Putri Sekar Wiyati; Besari Adi Pramono
Diponegoro International Medical Journal Vol 2, No 1 (2021): July
Publisher : Faculty of Medicine, Diponegoro University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/dimj.v2i1.8428

Abstract

Background: Premature rupture of membranes (PROM) is a rupture of amniotic sac before delivery. PROM is associated with an increased incidence of preterm labor and infection. The use of prophylactic antibiotic may reduce the risks of infection. High-sensitivity C-reactive protein (hs-CRP) is an acute-phase reactant protein that is associated with PROM. How much effect of prophylactic antibiotic to hs-CRP level remains unclear.Objective: To compare the reduction in hs-CRP levels in premature rupture of membranes before and after given ampicillin or cefazolin.Methods: The design of this study was true experimental design (pre and post-test) conducted at Dr. Kariadi General Hospital Medical Center Semarang and Kartini General Hospital Jepara from September 2019 to January 2020. Study samples are pregnant women with premature rupture of membranes that came to the Emergency Department and Maternity Ward Dr. Kariadi General Hospital Medical Center Semarang and Kartini General Hospital Jepara. Samples were divided into two groups, a group treated with ampicillin and the other with cefazolin therapy. All samples were subjected to a hs-CRP examination. Statistical analysis was performed by Mann-Whitney and Wilcoxon.Results: There are no significant differences in the age variable (28.8 ± 6.54 vs 29.1 ± 5.93), gestational age (36.3 ± 2.55 vs 36.3 ± 2.90), and parity (2,2 ± 0.99 vs 2.47 ± 1.19) in the ampicillin and cefazolin groups (p> 0.05). In this study, 37.1% patients have a history of PROM while 62.9%. had no history of PROM. Reduction in hs-CRP levels after administration of ampicillin and cefazolin was significant (4.4 ± 2.65 mg/L vs 6.3 ± 4.43 mg/L, respectively, p = 0.03). The difference in the decrease in hs-CRP levels before and after given ampicillin and cefazolin was significant (p = 0.0001). Conclusion: There is a decrease in hs-CRP levels after the administration of ampicillin or cefazolin in PROM, whereas cefazolin induced higher reduction in hs-CRP levels. Ampicillin can still be used as a first-line prophylactic antibiotic in primary healthcare facilities.
Hubungan antara Status Gizi Ibu dengan Berat Lahir Bayi pada Kehamilan Remaja Syafril Fahmi Hidayat; Rina Pratiwi; Putri Sekar Wiyati
JURNAL KESEHATAN REPRODUKSI Vol 10, No 1 (2023)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.83433

Abstract

Background: Teenage pregnancy is prone to cause problems on maternal nutritional status. If nutritional status during pregnancy is not monitored properly, the chance for the mother to experience complications in the birth weight of the newborn can be increased.Objective: To find out the relationship between maternal nutritional status and other risk factors with neonatal birth weight in teenage pregnancy.Methods: This research is an observational analytic study with cross-sectional approach. The samples of this study were collected by consecutive sampling from 2019 to December 2021 using secondary data of RSUP Dr. Kariadi Semarang. The data were analyzed by using chi-square, fisher’s exact and mann-whitney test.Result: The results showed that there were significant relationships between maternal nutritional status (p=0.001), gestational age (p<0.001), abortion history (p=0.045), anemia status (p=0.019), and multiple pregnancy (p=0,035) with neonatal birth weight. Meanwhile, the variables of maternal age, education, occupation, gravidity, diabetes melitus, hypertension, preeclampsia, prelabor rupture of the membranes, and antepartum haemorrhage did not have a significant relationship with neonatal birth weight.Conclusion: There is significant relationships between maternal nutritional status, gestational age, abortion history, anemia status, and multiple pregnancy with neonatal birthweight  Keywords:  maternal nutritional status, birth weight, teenage pregnancy
Differences of Dyspareunia in Primipara with 2nd Degree Perineal Laceration Sutured with Rapide Polyglactin 910 and Chromic Catgut Threads Satrio Arief Wibowo; Yuli Trisetiyono; Herman Kristanto; Putri Sekar Wiyati; Hary Tjahjanto; Erwinanto Erwinanto
Medica Hospitalia : Journal of Clinical Medicine Vol. 11 No. 1 (2024): Med Hosp
Publisher : RSUP Dr. Kariadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36408/mhjcm.v11i1.968

Abstract

BACKGROUND: Dyspareunia is persistent or recurrent pain during sexual intercourse. Perineal laceration, spontaneous or episiotomy, is one of the most common causes. Perineal lacerations that occur must be treated through suturing. Chromic catgut is a natural thread that is often used in medical practice, but this thread have a higher inflammatory response compared to Rapide Polyglactin 910. AIMS: To analyze the difference in the incidence of dyspareunia in primipara with 2nd degree perineal lacerations sutured with Rapide Polyglactin 910 and Chromic catgut threads METHOD: True experimental research with randomized controlled trial-single blinded method. The research was conducted at dr. Kariadi Semarang, RA Kartini Hospital and dr. Soeselo from August 2022 to February 2023. The research subjects were primipara with 2nd degree perineal lacerations which were divided into 2 groups, namely 45 subjects in the Chromic catgut group and 45 subjects in the Rapide Polyglactin 910 group. Evaluation of dyspareunia after 3 months was carried out using the Female Sexual Function Index (FSFI) RESULT:  Subjects sutured using Chromic catgut had a 2.7 times greater risk of experiencing dyspareunia when compared to using Rapide Polyglactin 910 (OR=2.7; 95% CI=1.1-6.6). A significant confounding factor was found, namely the act of episiotomy (p=0.047; OR=9.56; 95% CI=1.86 - 48.97). After controlling for these variables, the subjects who were sewn using Chromic had a significant risk (p=0.002, OR=5.39; 95% CI=1.76-16.50) CONCLUSION: Subjects with Chromic catgut have a higher risk of experiencing dyspareunia than using Rapide Polyglactin 910 threads after 3 months of suturing.
Comparison Between Placenta Accreta Index and Tovbin Score as A Predictor of Placenta Accreta Spectrum Disorders (PASD) Willy Angga Dinata; Alini Hafiz; Arufiadi Anityo Mochtar; Julian Dewantiningrum; Putri Sekar Wiyati; Ratnasari Dwi Cahyanti
Medica Hospitalia : Journal of Clinical Medicine Vol. 11 No. 1 (2024): Med Hosp
Publisher : RSUP Dr. Kariadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36408/mhjcm.v11i1.980

Abstract

Background : The incidence of  Placenta Accreta Spectrum Disorders (PASD) in developed countries has reportedly increased 10-fold in the last 50 years. The significant increase was followed by an increase in the number of caesarean section from 12.5% to 23.5% in the last 10 years. Maternal morbidity related to PASD events reaches 7% in intraoperative and postoperative actions, while the morbidity reaches 60%. In cases of late diagnosis, maternal mortality with placenta accreta reaches 30%. Efforts to prevent maternal morbidity and mortality can be carried out by early detection at antenatal care visits. The Placenta Accreta Index (PAI) and Tovbin scoring systems based on the results of ultrasound examination can be used to screening for placenta accreta. Objective: To analyze the comparison of the accuracy of the PAI and Tovbin scoring systems in predicting the incidence of Placenta Accreta Spectrum Disorder (PASD). Method: The study used an analytic observational with a cross sectional design. Sampling was done by consecutive sampling method. There were 35 subjects who met the inclusion and exclusion criteria. PAI and Tovbin scoring were performed on each selected subject. The accuracy of the PAI and Tovbin scoring systems was confirmed by establishing a diagnosis based on PASD histopathology. Results: The PAI scoring system in predicting PASD has a sensitivity value of 79.31%, a specificity of 83.33%, a positive predictive value (NDP) of 95.83%, a negative predictive value (NDN) of 45.45%, an accuracy of 80.00%. While the Tovbin scoring system obtained a sensitivity value of 86.21%, specificity of 83.33%, NDP of 96.15%, NDN of 55.56%, accuracy of 85.71 %. Conclusion: In the comparison of scoring systems, it was found that the Tovbin scoring system has almost the same sensitivity and accuracy and the same specificity in predicting Placenta Accreta Spectrum Disorder (PASD).
Assessing Contraceptive Service Training Using the Kirkpatrick Model to Improve Health Worker Competency Shinta Prawitasari; Ratih Barirah; Diannisa Ekarumi Enisar Sangun; Putri Sekar Wiyati
Indonesian Journal of Obstetrics and Gynecology Volume 14. No. 1 January 2026
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32771/inajog.v14i1.2932

Abstract

AbstractObjective: To evaluate contraceptive service training using the Kirkpatrick evaluation model levels 1–3.Methods: This quasi-experimental study was conducted based on the Kirkpatrick evaluation model to assess contraceptive service training in West Nusa Tenggara, Indonesia. Thirty health workers participated after providing informed consent. The competency-based training employed a blended learning approach, consisting of 57 hours of online theoretical instruction followed by 50 hours of face-to-face practical training. The training was evaluated at the reaction, learning, and behavior levels of the Kirkpatrick model. Participants were representatives from districts and municipalities across West Nusa Tenggara Province.Results: Participants reported a high level of satisfaction with the training (86.89%). Knowledge levels improved significantly, with mean scores increasing from 56.33 on the pre-test to 95.73 on the post-test. During the training, participants demonstrated effective counseling skills as well as competency in IUD and implant insertion and removal. However, the mean competency scores showed a decline one year after the training.Conclusion: The improvement in pre-test and post-test scores was statistically significant (p < 0.001). At the behavior level, a slight decrease in competency was observed after one year of follow-up.Keywords: contraceptive services, contraceptive training, evaluation, health worker, kirkpatrick model.
Pancreatic Rupture in Mid-Pregnancy Mimicking Obstetric Emergency Ahmad Bukhoeri; Putri Sekar Wiyati; Lubena Lubena; Ahmad Fathi Fuadi
Journal of Social Research Vol. 5 No. 8 (2026): Journal of Social Research
Publisher : International Journal Labs (AHU-0028405-AH.01.14 Tahun 2022)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55324/josr.v5i8.3355

Abstract

Suspicion for non?obstetric intra?abdominal injuries in pregnant patients is often overlooked due to the striking clinical similarity to more common obstetric causes such as placental abruption or uterine rupture. This report discusses diagnostic pitfalls in a fatal pancreatic rupture case masquerading as a catastrophic obstetric event. This case highlights the "obstetric bias" in acute shock management. The Couvelaire uterus and atonia were secondary consequences of systemic hypoperfusion rather than the primary source of hemorrhage. A 25-year-old woman at 24 weeks gestation presented with profound hemorrhagic shock (BP 42/26 mmHg, GCS 3), a rigid "wooden" uterus, and intrauterine fetal demise. While initial findings suggested concealed placental abruption, laparotomy revealed a Couvelaire, atonic uterus without rupture. Further systematic exploration discovered a high-grade pancreatic tail rupture with a 7,000 mL retroperitoneal hemorrhage. Despite a total hysterectomy and damage-control measures, the patient succumbed to refractory shock and multi-organ dysfunction postoperatively. Clinicians must remain aware of non-obstetric cause of hemodynamic collapse in atypical presentations to prevent diagnostic delay. Prompt adoption of trauma?style algorithms, damage?control surgery, and massive transfusion protocols are vital when surgical findings do not correlate with the degree of hemorrhage.
Co-Authors Ahmad Bukhoeri Ahmad Bukhoeri Ahmad Fathi Fuadi Alini Hafiz Arufiadi Anityo Mochtar Besari Adi Pramono Diannisa Ekarumi Enisar Sangun Ediwibowo Ambari Erwinanto Erwinanto Hary Tjahjanto Herman Kristanto Humairoh Mutha&#039;alimah Julian Dewantiningrum Julian Dewantiningrum Lubena Lubena Marijo Marijo Ratih Barirah Ratnasari Dwi Cahyanti Rina Pratiwi Satrio Arief Wibowo Shinta Prawitasari Syafril Fahmi Hidayat Syarief Thaufik Hidayat Willy Angga Dinata Yuli Trisetiyono Yuli Trisetiyono