Laksana, Muhammad Ardian Cahya
Department Of Obstetrics And Gynaecology, Rumah Sakit Universitas Airlangga, Surabaya, Indonesia; Indonesian Society Of Obstetricians And Gynecologists

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Journal : INDONESIAN MIDWIFERY HEALTH AND SCIENCES JOURNAL

FACTORS RELATED TO FIRST ANTENATAL VISITS IN PREGNANT WOMEN Maria Bernadeta S Djano; Muhammad Ardian Cahya Laksana; Budi Utomo
Indonesian Midwifery and Health Sciences Journal Vol. 5 No. 4 (2021): Indonesian Midwifery and Health Sciences Journal, October 2021
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v5i4.2021.367-378

Abstract

AbstractBackground: Pregnancy is a physiological event but in its developmen it has risks. In Nagekeo district in 2018 and 2019 there were 6 cases of maternal death and 121 cases of infant mortality with 52 deaths occurring antepartum. There were 10 infant deaths at the Boawae Health Center in 2019 with 5 cases of death occurring antepartum. In addition, there is a gap in achieving the first antenatal visit target of 19% and 14.8% in 2018 and 2019 where not all pregnant women have had their first pregnancy examination in the first trimester. Several factors can influence the behavior of pregnant women in conducting the first antenatal visit such as education level and cost. The importance of carrying out a pregnancy check in the first trimester allows for early detection of disease, administration of folic acid, communication and health information as well as management of problems found. This study aims to analyze the factors associated with the first antenatal visit in pregnant women. Methods: This type of research is observational analytic with a cross sectional design. The sample in this study were all pregnant women in the 2nd and 3rd trimesters who were in the working area of the Boawae Health Center. Data collected through questionnaires were then processed and analyzed by frequency distribution and cross distribution as well as Multiple Logistics Regression analysis with a significance level of 5% (p = 0.05). The research sample size is 86 respondents. The sampling technique is non-probability sampling with consecutive sampling. Bivariate data analysis using chi square and multivariate test using multiple logistic regression. Results: The results showed that the factors associated with the first antenatal visit were maternal health status with a p-value of 0.001 (p < 0.005), husband's education with a p-value of 0.000 (p < 0.005), pregnancy complications with a p-value of 0.001 (p < 0.005), costs with a p-value of 0.002 (p < 0.005) and the presence of a companion with a p-value of 0.000 (p < 0.005). Multivariate analysis showed that the most dominant factor influencing was the cost and presence of a companion, so it can be concluded that pregnant women who have KIS and are supported by a companion are more likely to have their first visit in the first trimester of pregnancy. Conclusion: There is a relationship between health status, husband's education, costs, presence of companions, pregnancy complications with the first antenatal visit.
EFFECT OF BALANCE COUNSELING STRATEGY TOWARDS KNOWLEDGE AND ATTITUDE IN CONTRACEPTION AMONG PREGNANT WOMEN Alfi Syifa Darmastuti; Kasiati Kasiati; Muhammad Ardian Cahya Laksana; Linda Dewanti
Indonesian Midwifery and Health Sciences Journal Vol. 4 No. 2 (2020): Indonesian Midwifery and Health Sciences Journal, April 2020
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v4i2.2020.150-159

Abstract

Abstract Background: The use of postpartum contraception is ideally used after delivery under 42 days. Data obtained from the BKKBN of East Java Province, the achievement of unmet need in Surabaya is 13.31% of the unmet need target of 10.44%. The Balanced Counseling Strategy is a family planning counseling method that is practical, interactive, client-friendly, and encourages the client’s active participation. The purpose of this research is to know the effect of using BCS on improving the knowledge and attitudes of pregnant women about family planning. Method: In this quasy experimental research, pre-post with control group designed was implemented. Quota sampling is used to choose responden. Questionaire is used for research instrument. Data analysis used Paired t-test, Wilcoxon Signed Rank Test and Mann-Whitney Test. Results: Thirty nine of pregnant women are studied.  The intervention group has increased knowledge scored 16,64 (p-value = 0,003) though the control  group score 5.11 (p-value = 0,030) that is showed that there is significant different between two grups with p-value 0,045. The intervention group has increased attitudes scored 1,95 (p-value = 0,003) though the control  group 0,11 (p-value = 0,650) that is showed that there is significant different between two grups with p-value 0,015.  Conclusion: Counseling using Balanced Counseling Strategy can increase knowledge and attitude of pregnant women about family planning and more effective than pregnancy-class methods at Tanah Kalikedinding of Public Health 2019. 
THE CORRELATION BEETWEEN MOTHER'S NUTRITIONAL STATUS AND PARITY WITH THE INCIDENT OF LOW BIRTH WEIGHT (LBW) AT A PUBLIC HEALTH CENTER SURABAYA Hapsari, Fransiska Niken; Astika Gita Ningrum; Muhammad Ardian Cahya Laksana; Widati Fatmaningrum
Indonesian Midwifery and Health Sciences Journal Vol. 8 No. 1 (2024): Indonesian Midwifery and Health Sciences Journal, January 2024
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v8i1.2024.38-46

Abstract

Background: One of the highest causative factors of neonatal death in Indonesia is low birth weight (LBW), around 7,150 (35.3%) cases. Even though the trend of LBW incidents in East Java is decreasing, in the city of Surabaya itself the death rate due to LBW has increased from 31 deaths to 51 deaths. Simomulyo Public Health Center was ranked first with the highest incidence of LBW in Surabaya with 45 cases in 2019. Even though there was a decrease in cases in 2020, the death rate actually increased from 1 death to 4 deaths. WHO (2017) defines LBW as babies born weighing ≤ 2500 gr. Nutritional status and parity are two of the many risk factors for LBW. Knowing the causal relationship with the occurrence of LBW is important to do at the public Health Center as a first step in preventing LBW in the future. Method: This research is quantitative with an analytical observational design using a cross-sectional approach. Samples were taken using probability sampling techniques, namely random sampling. The total samples taken were 96 samples. Result: The results of the research was found that there was a relationship between nutritional status and the incidence of LBW with a value of p=0.005 (p<0.05) and the relationship between parity and the incidence of LBW with a value of p=0.001 (p < 0.05). Conclusion: there is a correlation between nutritional status and parity and the incidence of LBW at the Simomulyo Public Health Center Surabaya.
FACTORS INFLUENCING HEALTH CARE PROVIDER IN CODUNCTING PREECLAMPSIA SCREENING Iflah Aninda; Laksana, Muhammad Ardian Cahya; Wittiarika, Ivon Diah
Indonesian Midwifery and Health Sciences Journal Vol. 8 No. 4 (2024): Indonesian Midwifery and Health Sciences Journal, October 2024
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v8i4.2024.432-440

Abstract

Background: Preeclampsia is responsible for maternal health globally due to its high morbidity and maternal mortality rates, especially in low-income countries such as Indonesia. Primary care providers, including general practitioners, midwives, and nurses, have a crucial role to play in the early assessment of preeclampsia screening. It was noted that factors affecting mortality were the lack of preparedness of officers in managing and responding to pregnancy emergencies, delayed recognition of worsening clinical signs of preeclampsia, as well as inadequate assessment and treatment for preeclampsia. This study aims to analyze the driving factors that influence health care provider in conducting preeclampsia screening in Gresik District. Methods: This research was an observational analytical study with a cross-sectional approach. The population in this study consisted of all doctors and midwives at the primary health facilities in the Gresik Regency area. The sample was taken from 159 respondents who were service providers in 20 primary health facilities in Gresik using simple random sampling. The variables in this study were the knowledge and attitudes of healthcare workers toward implementing preeclampsia screening. Data collection in this study used an online questionnaire conducted after issuing the Ethical Approval Letter until October 2023, which was then analyzed using a chi-square test with a significance level of 0.05.  Results: Only 27% of respondents demonstrated a good level of knowledge about preeclampsia, which affected the effectiveness of preeclampsia screening (p-value 0.04). A total of 86.2% of respondents showed a high level of attitude toward preeclampsia screening. However, this study found no significant relationship between healthcare workers' attitudes and preeclampsia screening (p-value 0.171). Conclusion: There is a significant link between the knowledge of the healthcare provider and the optimization of preeclampsia screening so new methods of training are needed that are assessed as effective and accompanied by rigorous monitoring and evaluation to enhance healthcare provider knowledge, especially concerning preeclampsia screening.