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Journal : INDONESIAN MIDWIFERY HEALTH AND SCIENCES JOURNAL

PERAN MAP, ROT, IMT DALAM SKRINING PREEKLAMPSIA DI INDONESIA Dwi Putri Rahayu Tampubolon; Lilik Herawati; Ernawati Ernawati
Indonesian Midwifery and Health Sciences Journal Vol. 3 No. 4 (2019): Indonesian Midwifery and Health Sciences Journal, October 2019
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v3i4.2019.331-340

Abstract

Abstrak Latar Belakang : Preeklampsia tetap menempati peringkat pertama sebagai penyebab tingginya Angka Kematian Ibu (AKI) di Surabaya dari tahun 2013-2017 sebesar 28.92 %. Tingginya angka preeklampsia bisa dicegah dengan dilakukannya skrining preeklampsia yang mudah dilakukan pada trimester I dan II yaitu dengan dilakukannya skrining Mean Arterial Presure (MAP), Roll Over Test (ROT), Indeks Masa Tubuh (IMT) di fasilitas kesehatan dasar. Tujuan dari penelitian ini untuk mengetahui hubungan antara Skrining Preeklampsia (MAP, ROT, IMT) yang dilakukan pada ibu hamil trimester I dan trimester II serta kejadian preeklampsia. Metode : Penelitian ini adalah penelitian Retrospektif, Case Control dengan sampel pada kelompok kasus yaitu pasien preeklampsia pada saat trimester I dan II yang dilakukan skrining preeklampsia sedangkan untuk kelompok kontrol, ibu hamil normal yang juga dilakukan skrining preeklampsia pada trimester I dan II. Hasil : Didapatkan besar sampel 189 ibu hamil dengan preeklampsia selama 1 tahun, pengambilan sampel dengan teknik consecutive sampling. Hasil pemeriksaan diperoleh pada kelompok kasus didapatkan pasien dengan MAP (+), ROT (+), IMT (+) berturut-turut adalah 43 (95.6 %), 18 (40 %) dan 18 (40 %), sedangkan pada kelompok kontrol diperoleh hasil 18 (40 %) sampel MAP (+), 26 (57.8 %) ROT (+), 5 (11.1 %) IMT (+). Hasil uji statistik Chi Square menunjukan adanya hubungan signifikan antara skrining MAP dan IMT dengan kejadian preeklampsia dengan nilai p berturut-turut (p 0.0001, OR = 32.250 dan p 0.002, OR = 5.333 ), namun tidak didapatkan hubungan antara skrining ROT dengan kejadian preeklampsia (p 0.092 OR = 0.487). Didapatkan hubungan ketiga skrining (MAP, ROT, IMT) dengan kejadian preeklampsia (p 0.001, OR 4.529). Kesimpulan : Pasien MAP (+) dan IMT (+) mempunyai resiko sebesar 32 kali dan 5 kali pada preeklampsia. Skrining ROT (+) tidak mempunyai hubungan dengan kejadian preeklampsia.AbstractBackground: Preeclampsia still ranks first as the cause of the high Maternal Mortality Rate (MMR) in Surabaya from 2013-2017 at 28.92%. The high rate of preeclampsia can be prevented by conducting pre-eclampsia screening that is easy to do in the first and second trimesters by doing Mean Arterial Presure (MAP) screening, Roll Over Test (ROT), Body Mass Index (BMI) in basic health facilities. The purpose of this study was to determine the relationship between Preeclampsia Screening (MAP, ROT, BMI) performed in first trimester and second trimester pregnant women and the incidence of preeclampsia. Methods : This study was a retrospective study, case control with samples in the case group, namely preeclampsia patients during the first and second trimesters of preeclampsia screening, while for the control group, normal pregnant women who were also screened for preeclampsia in the first and second trimester. Results There was a sample of 189 pregnant women with preeclampsia for 1 year, taking samples by consecutive sampling technique. The results of the examination were obtained in the case group obtained patients with MAP (+), ROT (+), BMI (+) respectively 43 (95.6%), 18 (40%) and 18 (40%), while in the control group obtained results of 18 (40%) samples of MAP (+), 26 (57.8%) ROT (+), 5 (11.1%) BMI (+). The Chi Square statistical test results showed a significant relationship between MAP and BMI screening with the incidence of preeclampsia with p values in a row (p 0.0001, OR = 32,250 and p 0.002, OR = 5,333), but no association between ROT screening and the incidence of preeclampsia ( p 0.092 OR = 0.487). Obtained the third screening relationship (MAP, ROT, BMI) with the incidence of preeclampsia (p 0.001, OR 4,529). Conclusion: MAP (+) and BMI (+) patients have 32 times and 5 times higher risk of preeclampsia. Screening for ROT (+) has no relationship with the incidence of preeclampsia.
RISK FACTORS OF PREECLAMPSIA WITH SEVERE FEATURES AND ITS COMPLICATIONS Eka Suci Wulandari; Ernawati Ernawati; Djohar Nuswantoro
Indonesian Midwifery and Health Sciences Journal Vol. 5 No. 1 (2021): Indonesian Midwifery and Health Sciences Journal, January 2021
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v5i1.2021.29-37

Abstract

 Abstract.Background : The maternal mortality rate in Indonesia is dominated by preeclampsia as the second highest cause after bleeding. Several predictors can be categorized as risk factors that can be used to increase alertness in the care of pregnant women with severe preeclampsia to avoid complications. The purpose of this study was to study the relationship between risk factors for severe preeclampsia and its complications. Methods: This study used an observational analytic method with a case control design. The sampling technique is simple random sampling. The number of samples in this study were 80 samples, with 40 samples in each group. The case group was severe preeclampsia with one complication and the control group was severe preeclampsia without complications. Statistical analysis used was chi square and multiple logistic regression analysis. Results: The results showed that there was a significant relationship between age variables (p value = 0.001 < 0.05; OR = 5.318; CI = 2.118 – 13,356), BMI (p value = 0.002 < 0.05; OR = 6.000; CI = 1.958 – 18.384 ) and gestational age (p value = 0.039 < 0.05; OR = 2.636; CI = 1.040 – 6.685). Multiple logistic regression analysis showed that BMI (p = 0.003), age (p = 0.001) and gestational age (p = 0.048) were variables included in the final modeling of the regression analysis with the incidence of severe preeclampsia complications. Conclusion: BMI is the variable that has the strongest relationship with the incidence of severe preeclampsia complications.  
THE RELATIONSHIP OF SOCIAL SUPPORT WITH THE DEGREE OF NAUSEA AND VOMITING IN PREGNANCY Cempaka Yudithia Junandar; Ivon Diah Wittiarika; Budi Utomo; Ernawati Ernawati
Indonesian Midwifery and Health Sciences Journal Vol. 4 No. 1 (2020): Indonesian Midwifery and Health Sciences Journal, January 2020
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v4i1.2020.26-32

Abstract

Abstract Background : At the beginning of a pregnancy the mother experiences various processes of transition or adaptation regarding changes in herself, so that she really needs support from her environment. Lack of social support can worsen the physiological complaints of pregnant women including Nausea and Vomiting in Pregnancy (NVP). Complaints of nausea and vomiting can affect the mother in carrying out daily activities, affect the mother's social situation with the environment and cause stress. Therefore, it is important to research the relationship between social support and the degree of nausea and vomiting in first and second-trimester pregnant women. Method : This research method is observational analytic with cross sectional research design. Sampling used the total sampling method with the criteria of pregnant women who had complaints of nausea and vomiting. Collecting data using primary data using a 24-hour PUQE questionnaire that measures the duration and frequency of nausea and vomiting and the MSPSS questionnaire measuring social support. The data collected were analyzed using the Spearman test (p<0.15). Results : Out of 47 respondents, 34 pregnant women (72.3%) received high social support. Besides that, 24 out of 47 respondents (51.1%) experienced moderate degree of NVP. In this study, there were no respondents who experienced severe degree of NVP. Spearman test analysis results obtained p= 0.833 or p>0.15. Conclusion : There is no relationship between social support with NVP in first and second trimester of pregnancy. 
THE RELATIONSHIP BETWEEN MENSTRUAL CYCLE CHARACTERISTICS WITH DYSMENORRHEA AND ADOLESCENTS SOCIAL LIFE Raissa Manika Purwaningtias; Dwiyanti Puspitasari; Ernawati Ernawati
Indonesian Midwifery and Health Sciences Journal Vol. 4 No. 3 (2020): Indonesian Midwifery and Health Sciences Journal, July 2020
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v4i3.2020.280-294

Abstract

ABSTRACTBackground: Dysmenorrhea is a common gynecological problem related to the menstrual cycle. Risk factors for dysmenorrhea are age of menarche, length of menstrual cycle, duration and menstrual volume. Teenagers who experienced dysmenorrhea report the negative impact of dysmenorrhea on a social life. This study aimed to determine the relationship between menstrual cycle characteristics with dysmenorrhea and adolescent social life. Method: The study design used in this research was Cross Sectional with statistical analysis of Rank Spearman test and Chi Square and a significance limit of 5%. The population in this study were 449 students with the inclusion criteria of female students aged 14-16 who had menstruated in the last 3 months. Data was collected using primary data. Sample of 151 students were obtained using total sampling techniques. Results: The percentage of respondents who experienced dysmenorrhea in this study were 90.7% and 78.8% of them stated that dysmenorrhea disrupted their social life. There was a relationship between duration (p=0.006) and menstrual volume (p=0.004) with dysmenorrhea. The relationship also found between menstrual volume (p=0.033) and dysmenorrhea (p=<0.001) with adolescent social life. Conclusion: The characteristics of the menstrual cycle that were associated with dysmenorrhea were duration and menstrual volume and the social life of adolescents were significantly correlated with dysmenorrhea.  
MATERNAL FACTORS ON LABOR WITH CESAREAN SECTION HISTORY Qonita Hanifah; Linda Dewanti; Ernawati Ernawati
Indonesian Midwifery and Health Sciences Journal Vol. 4 No. 4 (2020): Indonesian Midwifery and Health Sciences Journal, October 2020
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v4i4.2020.325-331

Abstract

AbstractBackground : Cesarean section without medical indications can have negativity in developing or developed countries. Cesarean section is a medical intervention in certain circumstance but must be recognized as a major surgical procedure with potential risks to the mother and baby. This research aim to analyze maternal factors in labor with a history of cesarean esction. Method : this research was a cross sectional method with collected 72 medical records in RSUD Dr. M. Soewandhie Surabaya. Result : Maternal age,  interpregnancy interval, indication of past Cesarean section, and BMI during pregnancy, did not correlate with method of delivery. Factors which correlated to method of delivery after Cesarean section  were prior vaginal delivery (p=0,044) and length of stay (p=0,000). Conclusion : There is a relationship between the factors of vaginal birth history and length of stay with delivery method. 
ANTENATAL CARE AND MATERNAL OUTCOME OF PREECLAMPSIA Nurul Mardiyah; Ernawati Ernawati; Wahyul Anis
Indonesian Midwifery and Health Sciences Journal Vol. 6 No. 3 (2022): Indonesian Midwifery and Health Sciences Journal, July 2022
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v6i3.2022.298-309

Abstract

Background: In Indonesia, preeclampsia is the second most common cause of maternal death. One of the government's steps to reduce it by antenatal care policy. This study aimed to analyze whether the frequency of antenatal care and antenatal health care facilities are assosiated with maternal mortality and morbidity of preeclampsia patients treated at a tertiary hospital in Surakarta. Methods: Analytic observational study with a cross-sectional design using secondary data. The sample was preeclampsia patients at RSUD Dr.Moewardi Surakarta from January to December 2019 who were taken by total sampling. Independent variables are frequency of antenatal care and antenatal health care facilities, dependent variables are maternal mortality and morbidity. Data analysis using Chi-Square Test. Results: From 182 samples, antenatal care frequency average was 7,5 times (range: 0-16 times), the most antenatal healthcare facilities were advanced health facilities (85,5%), maternal mortality was 1,6%, and morbidity was 71,4%. Frequency of ANC was not associated with maternal mortality (p=1,000), frequency of ANC was not associated with morbidity of preeclampsia (p=1,000), antenatal healthcare facilities were not associated with maternal mortality (p=1,000), antenatal healthcare facilities were not associated with morbidity of preeclampsia (p=0,223). Conclusion: The frequency of antenatal care and antenatal healthcare facilities were not associated with maternal mortality and morbidity due to preeclampsia. Keywords: antenatal care, maternal outcome, preeclampsia
Co-Authors Achmad Zam Zam Aghasy Aditiawarman Aditiawarman, Aditiawarman Agus Sulistyono Aldika Akbar, Muhammad Ilham Ario Danianto Armedian Oktaviani Puspaningrum Askandar Tjokroprawiro Atika Atika Ayu Maghfira Nida Putri Budi Utomo Cempaka Yudithia Junandar Devy Putri Zenita Dina Delvin Anggriani Dwi Putri Rahayu Tampubolon Dwiyanti Puspitasari, Dwiyanti Ecccita Raheestyningtyas Eka Suci Wulandari Ernawaty Ernawaty Faizah, Zakiyatul Hafiza Amadhin Rusti HERAWATI, LILIK Hermanto Tri Joewono I Gusti Made Reza Gunadi Ranuh Idam Aditya Rifkiansyah Ika Mardiyanti Indah Mayang Sari Ismoedijanto Ivon Diah Wittiarika Jihan Qonitatillah Jimmy Yanuar Anas Khanisyah Erza Gumilar Khusnul Putri Maharani Laksana, Muhammad Ardian Cahya Linda Dewanti Liofelita Christi Adhi Mulia Made Ayu Suastini Mahrus A Rahman, Mahrus A Martono Tri Utomo Muhammad Adrianes Bachnas Muhammad Arief Adibrata Nabeel Usama Okbah Nareswari Imanadha Cininta Marcianora Netti Herlina Nofita Fachryandini Novi Dwi Ambarsari Nurul Mardiyah Nuswantoro, Djohar Nuzulul Azizah Ramdan Wulandari Okta Margarita Susiana Prillia Tri Suryani PUNGKY MULAWARDHANA, PUNGKY Qonita Hanifah Raissa Manika Purwaningtias Risa Etika, Risa Rizki Amalia Sari Rosalia Adriani Malika Sabrina Kemala Hapsari Shrimarti Rukmini Devy Sjahjenny Mustokoweni, Sjahjenny Sofia Al Farizi Sulistiawati Sulistiawati Taufiq Hidayat Tri Hartini Yuliawati Ucik Rochmayanti Wahyul Anis Wahyunnisa Indrarosiana Wardhana, Manggala Pasca Yasyviena Za’ima Elnabila Yemima Sonita Nugraheni