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POSTPARTUM BLUES PADA PERSALINAN DIBAWAH USIA DUA PULUH TAHUN Pratiwi, Kurniasari; Chasanah, Istiani Nur; Martuti, Sri
Jurnal Psikologi Vol 15, No 2 (2016): Oktober 2016
Publisher : Faculty of Psychology, Diponegoro University

Postpartum blues or baby blues is a feeling of sadness experienced by mothers after childbirth related to the baby. Postpartum blues is like an iceberg that is difficult to detect because there are still many people who do not understand about the event. Nevertheless, postpartum blues not being handled properly is one of the factors precipitating the occurrence of postpartum depression,Â can be fatal for mother and baby. Postpartum blues more common in women who marry in their early age. Indonesia has high percentage of early age marriage in the world (ranked 37) and is the second highest in ASEAN after Cambodia. Based on data, there was increasing number of woman cases delivering labor and having children in the village Panggungharjo Sewon Bantul from year 2013 to 2015. Research objectives are to determine the postpartum blues in labor under the age of 20 years. This study is a descriptive study with retrospective design. The study population consists of women who gave birthÂ under the age of 20 years in the village of Panggungharjo, Sewon, Bantul using total sampling (33 subjects). The result showed that 45.5% of respondents who experienced postpartum blues and 54.5% did not experience postpartum blues.

Lung Ultrasonography for the Diagnosis of Pleural Effusion in Children Ayuningtyas, Dewi Sitoresmi; Martuti, Sri; Riza, Muhammad
Journal of Maternal and Child Health Vol. 6 No. 2 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (34.282 KB)

Background:Chest radiograph was currently the standard imaging for diagnosing pleural effusion. However, there were many limitations, namely radiation, varying interpretation, and long time to get results. Lung ultrasonography is an alternative procedure that is easy to learn and offers many benefits, including noninvasive, ra

Delta Neutrophil Index and C-Reactive Protein as Predictors of Mortality in Early Onset Neonatal Sepsis at Dr. Moewardi Hospital Deaneva, Almira Muthia; Siregar, Rustam; Martuti, Sri
Journal of Maternal and Child Health Vol. 9 No. 2 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2024.09.02.08

Background: Neonatal sepsis is an infection disease in newborns that still be a major problem in developing countries such as Indonesia. Early onset sepsis has higher mortality and morbidity. A simple and applicable biomarkers are needed to predict mortality in early onset neonatal sepsis. This study aimed to investigate whether Delta Neutrophil Index (DNI) and C-Reactive Protein (CRP) can be used as predictors of mortality in early onset neonatal sepsis. Subjects and Method: A cohort study that was conducted at neonatal HCU and NICU at Dr. Moewardi Hospital from March to June 2023. Total of 30 neonates aged 0-72 hours which met the inclusion criteria and became research subjects. The dependent variable was the mortality of neonatal sepsis. The independent variable were levels of DNI and CRP values. The instruments were flowcytometry to measure levels of DNI and Enzyme Linked Immunoassay (ELISA) for determining CRP values. Data were analyzed using SPSS 25.0. Bivariate analysis was using Chi square and Fisher exact followed by multivariate analysis using logistic regression with p<0.05. Results: Thirty early onset septic neonates were included in study, of whom 17 children died and 13 children survived. Both DNI and CRP had significant correlation with mortality of neonatal sepsis (p<0.001). The DNI cut-off value of ≥ 5.4% (OR = 10.83; 95% CI 1.96 to 59.63; p = 0.004) can predict mortality in early onset neonatal sepsis. The CRP cut-off values of ≥5.75 mg/L (OR = 15.56; 95%CI 2.59 to 93.57; p = 0.001) could predict early onset neonatal sepsis mortality. Other factors such as gender, gestational age, birth weight and blood culture couldn’t be used as predictors of mortality in neonatal sepsis, with p value >0.05. Conclusion: DNI and CRP could be used as predictors of mortality in early onset neonatal sepsis.

Correlation between Preeclampsia and Infant Low Birth Weight at Dr. Moewardi Hospital, Surakarta, Central Java, Indonesia Zuvarcan, Diaz Alifarizki; Putra, David Anggara; Martuti, Sri
Journal of Maternal and Child Health Vol. 9 No. 1 (2024)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2024.09.01.03

Background: Preeclampsia is a pregnancy complication with a triad of symptoms including high blood pressure, proteinuria, and tissue swelling as well as convulsions and coma. Preeclampsia in pregnant women can cause disruption in the supply of nutrients and oxygen to the fetus which can inhibit fetal growth and development (intrauterine growth restriction). In several similar previous studies, there were different variations in results which could be caused by multifactorial factors. This research was conducted to determine the relationship between preeclampsia in pregnant women and low birth weight babies by including confounding factors into the research. Subjects and Method: This was a retrospective case control study at Dr. Moewardi Hospital, Surakarta, Central Java, Indonesia. A total of 120 live birth infants was selected using purposive sampling. The dependent variable was low birth weight (LBW). The independent variables were preeclampsia, maternal age, gestational age, parity, gemelli, anemia, and asthma. Data were collected from medical records of Dr. Moewardi Hospital from January to December 2022. The data were analyzed using a multiple logistic regression. Results: Preeclampsia increased LBW by 7.75 times compared to without preeclampsia, and this was a statistically significant (OR= 7.75; 95% CI= 2.77 to 21.71; p<0.001). In addition, there was a confounding variable of gestational age (OR= 18.47; 95% CI= 6.46 to 52.79; p<0.001). Conclusion: Preeclampsia increases LBW, and this is a statistically significant.

Faktor Risiko Mortalitas pada Anak dengan COVID-19 di Rumah Sakit Dr. Moewardi Surakarta Dzakiyyah, Arifatul; Martuti, Sri; Nur, Fadhilah Tia
Plexus Medical Journal Vol. 3 No. 3 (2024): Juni
Publisher : Fakultas Kedokteran, Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20961/plexus.v3i3.1032

Pendahuluan: COVID-19 adalah penyakit infeksi saluran pernapasan yang dapat menyerang semua usia, termasuk anak-anak. Hingga saat ini, penelitian mengenai faktor risiko mortalitas pada pasien anak dengan COVID-19 khususnya di negara berkembang masih terbatas dengan hasil yang bervariasi. Penelitian ini bertujuan untuk menganalisis usia, jenis kelamin, komorbid, status gizi, gejala klinis, temuan laboratorium, dan temuan radiologi sebagai prediktor mortalitas COVID-19. Metode: Penelitian menggunakan metode deskriptif desain cross sectional, dilakukan pada bulan Maret-September di Rumah Sakit Dr. Moewardi dengan jumlah sampel sebanyak 70 pasien dengan data sekunder dan diolah menggunakan SPSS analisis chi square dan uji regresi logistik. Hasil: Dari 70 pasien yang diteliti dalam penelitian ini 20% di antaranya mengalami mortalitas. Berdasarkan analisis multivariat terdapa tiga variabel yang memengaruhi mortalitas yaitu komorbid (OR = 82,023, 95% CI: 1,625-4139,152, p = 0,028), status gizi (OR = 43,843, 95% CI: 1,640-1179,148, p = 0,024), dan temuan laboratorium (OR = 70,838, 95% CI 4,222-1188,483, p = 0,003). Sementara variabel usia, jenis kelamin, gejala klinis, dan temuan radiologi tidak menunjukkan hasil yang signifikan pada analisis bivariat. Kesimpulan: Faktor risiko yang memengaruhi mortalitas yaitu pasien dengan komorbid, status gizi malnutrisi, dan temuan laboratorium abnormal.

Faktor Prediktif Kegagalan Hasil High Flow Nasal Cannula pada Anak dengan Gagal Napas Akut Prasetyo, Medita; Martuti, Sri; Salimo, Harsono
Sari Pediatri Vol 26, No 4 (2024)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/sp26.4.2024.202-11

Latar belakang. High Flow Nasal Cannula dapat membawa risiko keterlambatan saat intubasi diperlukan. Pentingnya memprediksi luaran HFNC agar eskalasi terapi dapat segera dilakukan.Tujuan. Menganalisis nilai HR, RR, SpO2, pH, pCO2, HCO3, laktat, FiO2, rasio SF dan indeks ROX sebagai faktor prediktif kegagalan terapi HFNC pada anak dengan gagal napas akut.Metode. Kohort retrospektif dilakukan di Unit Perawatan Intensif Anak/PICU Rumah Sakit Umum Daerah Dr. Moewardi pada bulan Desember 2023 sampai Februari 2024. Analisis data rekam medis menggunakan SPSS 23, nilai p<0,05 dianggap signifikan secara statistik.Hasil. Peningkatan HR (nilai p=0,001; RR=39; IK95%:3,48-437,49), peningkatan RR (nilai p=0,09; RR=16,33; IK95%:2,19-121,42), penurunan SpO2 (nilai p=0,04; RR=7; IK95%:1,20-40,83) dan peningkatan laktat (nilai p=0,04; RR=6,50; IK95%:1,09-36,63) signifikan pada 1 jam setelah HFNC. Peningkatan HR signifikan pada 2 jam dan 4 jam setelah terapi HFNC (p=0,004; RR=17,33; IK95%:2,36-127,34 dan nilai p=0,04; RR=6,50; IK95%:1,09-38,63). Peningkatan HR merupakan faktor prediktif yang signifikan pada 1 jam dan 2 jam setelah terapi HFNC serta peningkatan RR pada 1 jam setelah HFNC berdasarkan uji multivariat (masing-masing p=0,04; RR=42,67; IK95%:1,18-1.518,62, nilai p=0,02; RR=15,29; IK95%:1,42-164,19, dan nilai p=0,04; RR=44,41; IK95%:1,24- 1.595,89).Kesimpulan. Peningkatan HR dan peningkatan RR adalah faktor prediktif kegagalan terapi HFNC yang paling berpengaruh. Perlunya pemantauan ketat utamanya pada 1 jam setelah terapi HFNC sebagai pertimbangan eskalasi.

GAMBARAN HASIL PEMERIKSAAN TRIPLE ELIMINASI PADA IBU HAMIL DI PUSKESMAS PUNDONG BANTUL Jannah, Fisabilla Annisatul; Rahmawati, Yeni; Martuti, Sri
Jurnal Kesehatan Tambusai Vol. 5 No. 4 (2024): DESEMBER 2024
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v5i4.35888

Ibu hamil termasuk ke dalam kelompok yang berisiko tinggi terinfeksi penyakit sifilis, hepatitis B dan HIV, yang mana sebanyak lebih dari 90% penularan terjadi dari ibu ke bayinya. Suatu program dari Kementerian Kesehatan Republik Indonesia dalam pengurangan penularan HIV, sifilis dan hepatitis B yang dilakukan secara bersamaan dari ibu ke janinnya disebut dengan triple eliminasi. Jenis penelitian ini menggunakan deskriptif kualitatif yang bertujuan untuk mengevaluasi program triple eliminasi di Puskesmas Pundong Kabupaten Bantul. Teknik pengumpulan data menggunakan data primer yang dilakukan melalui wawancara kepada responden. Hasil penelitian ini didapatkan ibu hamil dengan usia 21-25 tahun berjumlah 10 (26,3%), ibu hamil usia 26-30 tahun berjumlah 13 (34,2%), ibu hamil dengan usia 31-35 tahun berjumlah 7 (18,4%), ibu hamil dengan usia 36-40 tahun berjumlah 6 (15,8%) dan ibu hamil dengan usia 41-45 tahun berjumlah 2 (5,3%). Berdasarkan karakteristik periode trimester kehamilan, didapatkan ibu hamil dengan trimester pertama berjumlah 23 (60,5%), ibu hamil dengan trimester 2 berjumlah 10 (26,3%), ibu hamil dengan trimester 3 berjumlah 5 (13,2%). Menurut hasil pemeriksaan didapatkan hasil bahwa 38 (100%) sampel ibu hamil secara keseluruhan yaitu non reaktif. Berdasarkan hasil penelitian tersebut dapat disimpulkan bahwa ibu hamil di Puskesmas Pundong Kabupaten Bantul bulan Agustus 2024 tidak terinfeksi sifilis, Hepatitis B dan HIV.

THE EFFECTIVENESS OF CITRONELLA (Cymbopogon nardus) HAND SANITIZER ESSENTIAL OIL ON THE ABILITY TO INHIBIT Escherichia coli PATHOGENIC BACTERIA: THE EFFECTIVENESS OF CITRONELLA (Cymbopogon nardus) HAND SANITIZER ESSENTIAL OIL ON THE ABILITY TO INHIBIT Escherichia coli PATHOGENIC BACTERIA Wulandari, Siti; Nailufar, Yuyun; Martuti, Sri
Jurnal Mitra Kesehatan Vol. 7 No. 1 (2024): Jurnal Mitra Kesehatan
Publisher : STIKes Mitra Keluarga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47522/jmk.v7i1.352

Introduction : Hand sanitizer is a hand cleaner that is used as a substitute for washing hands with soap and water. Washing handsproperly and correctly will eliminate bacteria on the palms of the hands, thereby minimizing a person's exposure to diseases such asdiarrhea. Hand sanitizer with additional essential oils is useful in inhibiting bacteria. Bacteria that cause diarrhea include Escherichia coli. This research aims to determine the effectiveness of lemongrass (Cymbopogon nardus) essential oil hand sanitizeron the ability to inhibit the pathogenic bacteria Escherichia coli. Method: This research was a true experimental research. The method stages in this research included refining citronella essential oil, testing the pH of the hand sanitizer, testing the homogeneity of the hand sanitizer, and testing the inhibitory power of the citronella essential oil hand sanitizer against the pathogenic bacteria of Escherichia coli. Result: The research results showed that hand sanitizer has a pH of 6 for each formulation. The homogeneity testing of the hand sanitizer showed a homogeneous composition and no coarse grains were visible. The diameter testing of the inhibition zone showed that the average results from 4 tests were 7.75 mm in formulation I, 10 mm in formulation II, 10.75 mm in formulation III, 11 mm informulation IV, and 14.75 mm in formulation V. Conclusion: Hand sanitizer formulations 1 (negative control) and2 (3%) have inhibition zone results that are classified as intermediate, which indicates that the preparation is less effective in inhibiting Escherichia coli bacteria. While formulation 3 (6%), 4 ( 9%), and 5 (positive control) had inhibition zone results that were classified as sensitive, indicating that the preparation was effective in inhibiting Escherchia coli bacteria.

Dampak Fluid Overload Terhadap Morbiditas dan Pemanjangan Penggunaan Ventilator Mekanik pada Anak Sakit Kritis Amalia, Tiwi Qira; Martuti, Sri; Hafidh, Yulidar
Sari Pediatri Vol 27, No 1 (2025)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/sp27.1.2025.44-50

Latar belakang. Fluid overload sering terjadi pada anak sakit kritis karena cenderung mendapat jumlah cairan belebih akibat resusitasi cairan untuk memperbaiki hemodinamik. Organ paru adalah organ utama yang terkena dampak, karena edema paru dianggap sebagai mekanisme utama dari hasil yang merugikan akibat FO dan berpengaruh terhadap pemanjangan penggunaan ventilator mekanik (VM).Tujuan. Menganalisis hubungan fluid overload dengan pemanjangan penggunaan ventilator mekanik pada anak sakit kritis.Metode. Penelitian kohort prospektif dilakukan di ruang Pediatric Intensive Care Unit (PICU) Rumah Sakit Dr. Moewardi Surakarta sejak bulan Januari – Mei 2024 dengan cara consecutive sampling. Perhitungan FO melalui keseimbangan/balans cairan kumulatif selama 3 hari awal VM disertai pembuktian status overload dari pemeriksaan penunjang berupa rontgen dada, USG toraks, USG inferior vena cava, USCOM, dan dilakukan pencatatan lama penggunaan ventilator pada hari ke-7. Hasil. Fluid overload diamati pada 53 subjek (47,2%). Didapatkan 41,5% subjek mengalami pemanjangan penggunaan VM >7 hari. Pada analisis multivariat, didapatkan bahwa FO secara statistik signifikan berhubungan terhadap pemanjangan penggunaan VM (OR 4.5, IK95%:1,39-14,51, p=0,012). Kesimpulan. Pada anak sakit kritis, FO berhubungan signifikan terhadap pemanjangan penggunaan VM. Dengan menjaga keseimbangan cairan secara ketat dengan intervensi yang tepat, pemanjangan penggunaan ventilator mekanik dapat dikurangi.

EFEKTIVITAS METODE FLOTASI MENGGUNAKAN LARUTAN MGSO4 DAN NACL DALAM IDENTIFIKASI TELUR STH Rahmadani, Fitri; Solikah, Monika Putri; Martuti, Sri
Jurnal Kesehatan Tambusai Vol. 6 No. 3 (2025): SEPTEMBER 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v6i3.48086

Infeksi parasit usus salah satu penyakit yang sering di jumpai di kalangan masyarakat namun kurang mendapatkan perhatian. Infeksi telur cacing Soil Transmitted Helminth disebabkan oleh kelompok cacing usus seperti Ascaris lumbricoides, Trichuris trichiura, Strongyloides stercoralis, Necator americanus dan Ancylostoma duodenale. Menurut pravelensi survei Departemen Kesehatan Republik Indonesia pada tahun 2018 kecacingan di Indonesia berkisar 60%-90% Infeksi cacing usus berkembang sebanyak 12% terutama terjadi pada anak usia 5-14 tahun. Usia 5-10 tahun menjadi puncak kejadian secara epidemiologis. Pemeriksaan cacing STH dapat dilakukan secara kualitatif maupun kuantitatif. Metode flotasi, sedimentasi dan direct slide merupakan penelitian kualitatif, sedangkan metode Kato-katz dan metode stoll merupakan penelitian kuantitatif. Metode flotasi yang didasarkan perbedaaan berat jenis larutan dan berat jenis telur yang efektif. Penelitian ini bertujuan untuk mengetahui Efektivitas metode flotasi menggunakan larutan MgSO4 jenuh 35% dan larutan NaCl jenuh 35% untuk identifikasi telur cacing Soil Transmitted Helminth (STH). Penelitian ini menggunakan jenis penelitian eksperimental dengan desain deskriptif kuantitatif dengan setiap sediaan diberi 3 perlakuan yang berbeda yaitu menggunakan larutan MgSO4 jenuh 35%, larutan NaCl jenuh 35% dan kontrol positif. Data yang diperoleh menggunakan SPSS Uji Shapiro wilk untuk normalitas dan dilanjutkan menggunakan Uji Kruskal-wallis. Hasil yang didapatkan terdapat perbedaan yang signifikan antara penggunaan larutan MgSO4 jenuh 35% dan NaCl jenuh 35% pada proses pengapungan telur cacing Soil Transmitted Helminth. Disimpulkan bahwa larutan NaCl jenuh 35% lebih baik dari MgSo4 jenuh 35% menggunakan metode flotasi.

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