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The Effectiveness of Letrozole-Electroacupuncture Adjuvant Therapy in Reducing Resistance and Pulsatility Indices in Women with Polycystic Ovarian Syndrome Octavia, Dhamayanti Eka; Budihastuti, Uki Retno; Melinawati, Eriana; Anggraini, Nutria Widya Purna; Yuliantara, Eric Edwin; Nurwati, Ida; Hadi, Cahyono
Journal of Maternal and Child Health Vol. 5 No. 4 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Polycystic Ovarian Syndrome (PC
Improved Understanding of IUD and Implant Family Planning Acceptors in Family Planning Services at Solo Peduli Clinic Budihastuti, Uki Retno; Laqif, Abdurahman; Melinawati, Eriana; Prakosa, Teguh; Udiyanto, Hermawan; Priyanto, Heru; Darto, Darto; Ratnasari, Affi Angelia; Anggraeni, Asih; Prisasanti, Dympna Prameilita
Journal of Maternal and Child Health Vol. 5 No. 4 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Family planning acceptor's understanding of intra uterine device (IUD) and implant contracep
Hubungan antara Kejadian Abortus Spontan dengan Paritas dan Usia Ibu Hamil di RSUD Dr Moewardi Dwi Septiadi Badri; Eriana Melinawati; Dyah Ratna Budiani
Nexus Kedokteran Klinik Vol 3, No 2 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Abortion is one of the health problems that causing high morbidity and mortality. there are various factors suspected to be associated with the cause of abortion including the factor of age and parity. A very young or a very old maternal age can increase the risk of abortion. So does the parity, the more parity of the mothers, the higher the risk of abortion. The purpose of this study was to determine the incidence of spontaneous abortion associated with maternal age and parity status during pregnancy. Methods: This study was an observational analytic study using cross-sectional. A total of 40 study subjects were selected by purposive random sampling was the pregnant women who become inpatients at the Department of Obstetrics and Gynecology at Dr. Moewardi State Hospital Surakarta who met the inclusion criteria . Data were collected by direct interview to the patient . The data were analyzed using logistic regression analysis test. Results: Based on the research status of pregnant women with parity ? 4 are 8.53 times likely to experience spontaneous abortion ( p = 0.000 , OR = 8.53 ). While pregnant women with age of < 20 years and > 35 years are 14.77 times likely to experience spontaneous abortion ( p = 0.000 , OR = 14.77 ). Conclusions: There is a significant relationship between the incidence of spontaneous abortion with parity and maternal age. Pregnant women with parity status ? 4 are 8.53 times likely to experience a spontaneous abortion while pregnant women with age < 20 years and > 35 years are 14.77 times likely to experience spontaneous abortion. Keywords: spontaneous abortion , parity , age
Hubungan Antara Kejadian Abortus Spontan dengan Kadar Hemoglobin di RSUD Dr. Moewardi Andreas Peter Sitorus; Eriana Melinawati; Dyah Ratna Budiani
Nexus Kedokteran Klinik Vol 3, No 2 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background : Many cases of abortions are caused by abnormal hemoglobin levels. World Health Organization (WHO) estimates that 35-75% of pregnant women in developing countries and 18% of pregnant women in developed countries undergo anemia while being pregnant. The purpose of this study is to determine the relationship between the incidence of spontaneous abortion with hemoglobin levels. Methods : This study is an analitic observational study with cross-sectional design. Its population are pregnant women who had been treated at the Obstetrics and Gynecology of Dr. Moewardi General Hospital. Subjects were taken with purposive random sampling technique. The data were collected using direct observation and subjects medical records. Data were analyzed using Chi Square. Results : The results of this study found 40 subjects due to the case of this study. Subjects with anemia who did not experience abortion counted only 2 people (5.0%) and subjects who experienced abortion counted as many as 17 people (42.5%). While subjects with normal hemoglobin levels who did not experienced abortion aggregates to 18 people (45%) and subjects who experienced abortion counted as many as 3 people (7.5%). The calculation obtained p-value = 0.000 <0.05, and OR = 0.020, which means there is a relationship between the incidence of spontaneous abortion with hemoglobin levels. Conclusions : There is a significant relationship between the incidence of spontaneous abortion with hemoglobin levels. Low hemoglobin levels will increase the risk of abortion.Keywords: abortion, hemoglobin levels, anemia
Effect of ovarian autotransplantation on FSH levels in Wistar rats late menopause model Abdurahman Laqif; Dewi Kartika DJ Anwar; Eriana Melinawati
Majalah Obstetri dan Ginekologi Vol. 26 No. 1 (2018): April
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (185.064 KB) | DOI: 10.20473/mog.V26I12018.42-47

Abstract

Objectives: To determine the effect of ovarian autotransplan-tation on decreasing FSH level in Wistarrats late menopause model.Materials and Methods: Experimental analytic research on 27 Wistar rats (Rattus novergicus) was divided into 3 groups. Group 1 (K1) or control. Group 2 (K2) performed bilateral oophorec-tomy without autotransplantation. Group 3 (K3) performed bilateral oophorectomy with autotransplantation. Measurements of FSH levels were performed on the first day, day 28 (four weeks after bilateral oophorectomy, during late menopause) and 56 day (four weeks after autotransplant). Measurement of FSH levels using ELISA. Data analysis used ANOVA and Post Hoc test.Results: The mean FSH level measured on day 56 at K1 = 63.400 ng/mL, at K2 = 78.416 ng/mL and K3 = 31.991 ng/mL. There were significant differences between K1 and K2 (p = 0,000), K1 and K3 (p = 0,000), and between K2 and K3 (p = 0,000).Conclusion: Ovarian autotransplantation decrease FSH levels in Wistar rats late menopause model.
Changes in LIF expression on PCOS as biomarker implantation Uki Retno Budihastuti; Eriana Melinawati; Sri Sulistyowati; Tanti Arianti
Majalah Obstetri dan Ginekologi Vol. 29 No. 1 (2021): April
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mog.V29I12021.23-27

Abstract

Objectives: This study aimed to compare the endometrial expression of LIF PCOS compared to normal and determine the effect of PCOS and external variables that affect LIF expression.Materials and Methods: This retrospective case control study with a correlational approach was conducted at Sekar Clinic, General Hospital Dr. Moewardi Surakarta. Subject were taken by consecutive sampling starting from September 2018 –. Februari 2019. External variable: age, occupation, family history PCOS, menarche, and BMI were recorded. The research samples were 60 subjects consisting of 30 PCOS patients based on Rotterdam criteria and 30 fertile women. In the luteinizing hormone (LH) secretion phase at LH + 5 days - LH + 10 days, an endometrial biopsy is performed with pipelle curettage, then it is examined by immunohistochemistry. Statistical analysis was performed using the Mann-Whitney, linier regression test.Results: Mean of LIF expression was found significantly lower in PCOS group (1.53±3.65) compared to control group (35.33±21.04, with p=<0.001). Multivariate analysis linear regression in the effect of PCOS and external variables to endometrial LIF expression models showed PCOS (b=-1.14; 95% CI=-1.56 – -0.72; p=<0.001) and occupation (b = 0.32; 95% CI=0.14 – 0.52; p=0.001) significantly decreases LIF expression. PCOS (B=-1.14) is more important than Occupation (B=0.33) in decreasing LIF expression.Conclusion:LIF expression decreased in the endometrium of PCOS patients and occupations compared to normal group, with considering all existing variables. 
Hubungan Obesitas Dengan Ketidakteraturan Siklus Menstruasi Hapsari Nur Primastuti; Eriana Melinawati; Vicky Eko N.H
Nexus Biomedika Vol 1, No 1 (2012): Nexus Biomedika
Publisher : Nexus Biomedika

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Abstract

Background : The purpose of this research was to know the relationship between obesity and irregularity menstrual cycle. Methods: This was an analytic observational study with cross sectional approach, using purposive sampling technique. The samples were 76 women, 20 35 years-old from Minomartani Village, Ngaglik, Sleman. Body Mass Index (BMI) data were obtained by measuring the height and weight, while the type of menstrual cyle by interview, on April 2012. Data were analyzed by Chi Square and Odds Ratio test. Results: Thirty women had BMI more than 25 kg/m2 (obese) and fourty six women had BMI between 18.5-24.9 kg/m2 (normal). The Chi Square test showed the value of p was 0.035 (p < 0.05), while the Odds Ratio test showed that value of OR was 3.154 (OR>1). Conclusions: There was significant relationship between obesity and irregularity menstrual cycle in fertile women in Minomartani village, Ngaglik, Sleman. Keywords: Obesity, Menstrual Cycle
Peningkatan Pemahaman Akseptor KB terhadap Efek Samping IUD dan Implan dalam Pelayanan KB di Klinik Solo Peduli Uki Retno Budihastuti; Abdurahman Laqif; Eriana Melinawati; Teguh Prakosa; Hermawan Udiyanto; Heru Priyanto; Darto -; Affi Angelia Ratnasari; Asih Anggraeni
PLACENTUM: Jurnal Ilmiah Kesehatan dan Aplikasinya Vol 9, No 1 (2021): February
Publisher : Program Studi Kebidanan Fakultas Kedokteran Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20961/placentum.v9i1.44306

Abstract

ABSTRAKLatar Belakang: Pemahaman akseptor KB (Keluarga Berencana) tentang KB IUD dan implan masih rendah, hal ini dikarenakan minimnya pengetahuan dan adanya persepsi negatif mengenai kontrasepsi IUD dan implan di masyarakat. Perlu adanya upaya peningkatan pemahaman akseptor KB untuk meningkatkan kualitas dalam pelayanan KB untuk mencapai kesehatan individu yang optimal dan menurunkan angka fertilitas melalui peningkatan pemakaian alat kontrasepsi.Tujuan: Mengetahui pengaruh perlakuan penyuluhan terhadap peningkatan pemahaman dan kesiapan akseptor KB terhadap efek samping alat kontrasepsi di Klinik Solo Peduli.Metode: Pengabdi memberikan penyuluhan kepada akseptor KB mengenai KB IUD dan implan. Kemudian, Akseptor KB dibagikan kuesioner meliputi pertanyaan tentang efek samping yang dirasakan, serta langkah yang dapat dilakukan ketika efek samping timbul.Hasil: Dari 60 responden, didapatkan mayoritas tingkat pengetahuan efek samping alat kontrasepsi akseptor KB sebanyak 65% adalah “baik”, 35% adalah “kurang”, dan terdapat 18 (30%) orang yang mengalami efek samping minimal, diantaranya: nyeri, ketidaknyamanan hubungan seksual, kenaikan berat badan, jerawat, siklus mentruasi berubah setelah pemasangan alat kontrasepsi.Kesimpulan: Terdapat peningkatan pengetahuan efek samping alat kontrasepsi setelah dilakukan penyuluhan dan efek samping yang relatif minimal.Kata Kunci: Akseptor KB, IUD, Implan, Pelayanan KB. ABSTRACTBackground: The understanding of family planning acceptors about IUD and implant contraception is still low, this is due to the lack of knowledge and negative perceptions about IUD contraception and implants in the community. There needs to be an effort to increase understanding of family planning acceptors to improve the quality of family planning services to achieve optimal individual health and to reduce fertility rates through increased use of contraceptives.Objective: To determine the effect of counseling treatment on increasing understanding and readiness of family planning acceptors on the side effects of contraceptives at the Solo Peduli Clinic.Methods: The service provider provides counseling to family planning acceptors about IUD and implant family planning. Then, family planning acceptors were distributed questionnaires covering questions about side effects that were felt, as well as steps that could be taken when side effects arose.Results: Of the 60 respondents, it was found that the majority of the level of knowledge about the side effects of contraceptives acceptors of family planning as much as 65% were "good", 35% were "less", and there were 18 (30%) people who experienced minimal side effects, including: pain, discomfort of sexual intercourse, weight gain, acne, menstrual cycles changed after the insertion of contraceptives.Conclusion: There is an increase in knowledge of the side effects of contraceptives after counseling and the relatively minimal side effects.Keywords: family planning acceptors, IUD, implants, family planning services.
Pencegahan Kejadian Suspek, Probable, Konfirmasi, dan Kontak Erat COVID-19 pada Anggota POGI Muda Supriyadi Hari Respati; Uki Retno Budihastuti; Asih Anggraeni; Eriana Melinawati; Eric Edwin Yuliantara
PLACENTUM: Jurnal Ilmiah Kesehatan dan Aplikasinya Vol 9, No 1 (2021): February
Publisher : Program Studi Kebidanan Fakultas Kedokteran Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20961/placentum.v9i1.44305

Abstract

ABSTRAKLatar Belakang: Penelitian tentang pencegahan kejadian antara suspek, probable, konfirmasi, dan kontak erat COVID-19 antar tenaga kesehatan sangat diperlukan dalam upaya untuk mencegah terjadinya kenaikan angka penularan yang sangat cepat. Dokter dan tenaga medis memiliki risiko yang sangat tinggi terinfeksi COVID-19, sehingga diperlukan pemahaman dan pengetahuan yang matang dari dokter dan tenaga medis dalam melakukan pencegahan dan pengendalian paparan COVID-19.Tujuan: Penelitian ini bertujuan untuk meningkatkan pencegahan kejadian COVID-19 pada anggota POGI muda melalui pemberian materi dan diskusi tentang pencegahan dan pengendalian COVID-19.Metode: Pengabdian ini dilakukan dengan cara diskusi menggunakan metode daring dengan aplikasi zoom, memberikan pengertian atau penyuluhan kepada anggota POGI muda cabang Surakarta tentang suspek, probable, konfirmasi, dan kontak erat COVID-19, pencegahan penularan dari COVID-19, screening COVID-19, COVID-19 pada ibu hamil dan masalah lain. Narasumber adalah semua pengabdi yang di bidang obstetri ginekologi dalam rangka penanganan COVID-19 dalam kehamilan. Pelaksanaan diskusi dilakukan di rumah masing – masing anggota POGI muda. Waktu diskusi dilakukan dari bulan April hingga Maret 2021.Hasil: Hasil analisis dengan uji t-test berpasangan didapatkan rata-rata nilai pretest yaitu 77.00 sedangkan rata-rata nilai posttest 92.40, dengan nilai signifikansi p=0.001 (p<0.05). Hasil analisis dengan uji Chi-square didapatkan nilai p<0.001 (p<0.05) dan nilai OR=27.56. Kesimpulan: Terdapat peningkatan pemahaman anggota POGI muda mengenai COVID-19 setelah dilakukan pemberian materi dan diskusi oleh pengabdi, dengan nilai signifikansi p=0.001 (p<0.05). Pemberian materi dan diskusi mengenai COVID-19 oleh peneliti mampu memberikan pemahaman 27.56 kali lebih baik dibandingkan sebelum diberikan materi dan diskusi.Kata Kunci: COVID-19, Suspek, Probable, Konfirmasi, Kontak Erat, Anggota POGI Muda. ABSTRACTBackground: Research on the prevention of incidents between suspected, probable, confirmation, and close contact COVID-19 among health workers is needed in an effort to prevent a very rapid increase in transmission rates. Doctors and medical personnel have a very high risk of being infected with COVID-19, so a thorough understanding and knowledge of doctors and medical personnel are needed in preventing and controlling exposure to COVID-19.Objective: This study aims to improve the prevention of the incidence of COVID-19 in young POGI members through providing materials and discussions about the prevention and control of COVID-19.Methods: This service was carried out by means of discussions using an online method with a zoom application, providing understanding or counseling to obstetric gynecological residents about suspected, probable, confirmation, and close contact COVID-19, prevention of transmission from COVID-19, screening for COVID-19, COVID-19 in pregnant women. and other problems. The resource persons are all service providers in the field of obstetrics and gynecology in the context of handling COVID-19 in pregnancy. The discussion was held in the homes of each of the young POGI members. The time for discussion is from April 2020 to March 2021.Results: The results of the analysis using paired t-test showed an average pretest value of 77.00 while the average posttest score was 92.40, with a significance value of p = 0.001 (p <0.05). The results of the analysis with the Chi-square test obtained p value <0.001 (p <0.05) and the OR value = 27.56.Conclusion: There was an increase in the understanding of young POGI members about COVID-19 after providing material and discussion by researchers, with a significance value of p = 0.001 (p <0.05). The giving of material and discussions about COVID-19 by researchers was able to provide 27.56 times better understanding than before being given material and discussion.Keywords: COVID-19, Suspect, Probable, Confirmation, Close Contact, Young POGI Members.
PERBEDAAN KECEMASAN DAN KUALITAS HIDUP WANITA MENOPAUSE DI WILAYAH RURAL DAN URBAN Alfi Marita Tristiarti; Uki Retno Budihastuti; Eriana Melinawati; Abdurahman Laqif
JURNAL KEDOKTERAN DAN KESEHATAN Vol 9, No 3 (2022)
Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/JKK.V9I3.18902

Abstract

Menopause merupakan proses alamiah pada wanita terkait dengan penuaan. Proses tersebut berdampak terhadap turunnya kualitas hidup atau Quality of Life (QoL) para wanita menopause akibat beragam gejala baik fisik maupun kejiwaan khususnya peningkatan kecemasan. Kecemasan saat menopause dipengaruhi oleh banyak hal seperti ada tidaknya sindrom menopause, tingkat pengetahuan dan wilayah demografi. Penilitian ini bertujuan untuk mengetahui perbedaan derajat kualitas hidup dan tingkat kecemasan pada wanita menopause di wilayah rural dan urban.  Penelitian ini menggunakan desain penelitian observasional analitik dengan pendekatan cross-sectional yang dilakukan di wilayah rural (pedesaan) dan urban (perkotaan). Besar sampel adalah 100 wanita menopause yang tinggal di wilayah rural dan 100 wanita menopause bertempat tinggal di wilayah urban yang dipilih melalui fix disease sampling. Pengambilan data pada penelitian ini menggunakan alat bantu kuesioner yang telah diuji validitas dan reliabilitasnya.  Penelitian menunjukkan bahwa tidak terdapat perbedaan antara tingkat kecemasan antara wanita menopause di wilayah rural dengan urban dengan nilai signifikansi  . Penelitian menunjukkan tidak terdapat perbedaan derajat kualitas hidup antara wanita menopause rural dengan wanita menopause urban, baik pada domain Occupational QoL, Health QoL  Sexual QoL dan  Emotional QoL. Hasil penelitian menunjukkan bahwa tidak terdapat perbedaan tingkat kecemasan dan kualitas hidup pada wanita menopause yang bertempat tinggal di rural dengan wanita menopause yang bertempat tinggal di urban.
Co-Authors ., Darto Abd. Rasyid Syamsuri Abdurahman Laqif Abdurahman Laqif Abida Zuhra Jatiningtyas Agung Sari Wijayanti Alfi Marita Tristiarti Alfi Marita Tristiarti Alfi Marita Tristiarti Alifa, Rosita Amira Masiah Syahvira Andreas Peter Sitorus Andreas Peter Sitorus Angelia Ratnasari, Affi Anggraeni, Asih Annang Giri Moelyo Asih Anggraeni Besar, Dwi Sakti Berlian Cahyono Hadi Darto Darto Darto - Darto - Darto . Darto . Darto Darto Dewi Kartika DJ Anwar Dwi Septiadi Badri Dyah Ratna Budiani Ediningtyas, Atifa Nadira Elita Rahmi Eric Edwin Yuliantara Fahsan, Fatmiyanti Farras Wahdan, Arib Hadi, Cahyono Hafiizha, Attahira Amalia Hanifah Karim Hapsari Nur Primastuti Hapsari Nur Primastuti Hermawan Udiyanto Heru Priyanto Heru Priyanto Ida Nurwati Jatiningtyas, Abida Zuhra Kartika Pertiwi Laqif, Abdurahman Lukman Aryoseto Lukman Aryoseto Lunardhi Susanto Marbun, Yohan Pamuji Mashuri, Yusuf Ari Metanolia Sukmawati Mufidah, Amatullah Mulyoto Pangestu Ngudi Insan Ksyatria, Yudhistira Nutria Widya Purna Anggraini Octavia, Dhamayanti Eka Prastyoningsih, Aris Prisasanti, Dympna Prameilita Raden Rara Pandhan Budi Larasati Rakano Kautsar Dwiyana Rantasari, Affi Angelia Ratnasari, Affi Angelia Regita, Immanuela Maria Saputra, Ricky Bernadi Sari, Arum Dessy Rahma Septiana, Yesika Cahya Sri Sulistyowati Sri Sulistyowati Supriyadi Hari Respati Supriyadi Hari Respati Tanti Arianti Teguh Prakosa, Teguh Tri Nugraha Susilawati Uki Retno Budihastuti Vicky Eko N.H Vicky Eko N.H Wasyanto, Trisulo Wesliaprilius, Todung Antony Wijayanti, Agung Sari WISNU PRABOWO Yulyanti, Yulyanti Zacky Arda, Mohammad