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Oral Contraception Use in Benign Breast Tumor Patients in Dr. Soetomo General Academic Hospital Ayu Maghfira Nida Putri; Sjahjenny Mustokoweni; Ernawati Ernawati
Health Notions Vol 3, No 12 (2019): December
Publisher : Humanistic Network for Science and Technology (HNST)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hn31202

Abstract

The growth of breast tumors is influenced by estrogen and progesterone hormones. One source of this hormone is hormonal contraception, including oral contraception which still in demand by Indonesian women. This study wants to identify oral contraception use in patients with benign breast tumors. This used descriptive study with a retrospective cross-sectional design. Samples were taken using the total sampling method in patients with benign breast tumors according to ICD 10 D-24 which was confirmed by FNAB examination at the POSA Dr. Soetomo General Academic Hospital between 2015-2017. Fifty three case of benign breast tumor were found with dominant characteristics at the age of group 40-49 years old (47.2%), had a breastfeeding history (50.9%), multiparous woman(64.2%), mean of menarche age at 13.28 years old and fertile periode women (83.0%). The most common type of benign tumors found were fibrocystic change. Patients who used oral contraceptives were 24.5% with an average length of use for 8 years 2 months, while another 75.5% used non-hormonal contraception or did not use any contraception. So the conclusion is majority of patients with benign breast tumors do not use oral contraception. Keywords: benign breast tumor; oral contraception; estrogen
The Knowledge Level and The Obedience of Maternal in Undertaking HIV Test Ucik Rochmayanti; Ismoedijanto Ismoedijanto; Ernawati Ernawati
Health Notions Vol 2, No 1 (2018): January
Publisher : Humanistic Network for Science and Technology (HNST)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (158.128 KB) | DOI: 10.33846/hn.v2i1.104

Abstract

Based on the data of Surabaya Health Office, in 2015 there were 30% of PITC from 55800 maternal and 37 of them were found HIV positive. This percentage has not had obvious explanation. This study aimed to analyze the correlation between the knowledge and the obedience of maternal in undertaking HIV test”. This was analytic observational research by applying cross sectional design in 3 different community health center with high HIV rates. They were community health centre Dupak, Jagir, and Perak. Sample was selected by systematic random sampling. The number of pregnant mother was 80 that undertook ANC in those community health centre. The result showed that 90% of pregnant mother had good knowledge. Statistic test used Fisher exact test showed that the p-value < 0.05 (knowledge level had correlation with the obedience of undertaking HIV test). Keywords: HIV test, Knowledge, Maternal, Obidience.
PEMBATASAN KONTEN DIGITAL PADA MEDIA NETFLIX OLEH KOMISI PENYIARAN INDONESIA Ernawati Ernawati; Yemima Sonita Nugraheni
Perspektif Vol 25, No 1 (2020): Edisi Januari
Publisher : Institute for Research and Community Services (LPPM) of Wijaya Kusuma Surabaya University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30742/perspektif.v25i1.754

Abstract

Rencana pengawasan terhadap konten digital yang disajikan oleh Youtube dan Netflix oleh Komisi Penyiaran Indonesia banyak ditentang oleh berbagai pihak. Netflix disini yang merupakan media baru dan KPI menganggap bahwa pengawasan terhadap media baru ini diperlukan, lantaran pada saat ini banyak masyarakat mulai pindah dari media konvensional seperti radio dan televisi ke media-media baru salah satunya netflix. Inovasi dari KPI ini selain ditentang oleh berbagai pihak, kewenangan untuk mengawasi media baru pun belum termasuk dalam cakupan tugas dan wewenang KPI. Isu yang diangkat pada penelitian ini adalah kedudukan KPI di dalam ketatanegaraan Indonesia dan kajian atas kewenangan KPI dalam membatasi konten digital media Netflix menurut UU No. 32 Tahun 2002. Metode penelitian yang digunakan dalam penelitian ini adalah yuridis normatif dengan pendekatan perundang-undangan dan pendekatan konseptual. Analisa atas isu hukum dengan menggunakan metode penelitian yang tepat, akan didapat konklusi bahwa dalam konteks perundang-undangan KPI belum berwenang untuk mengawasi media digital baru, sehingga diperlukan adanya revisi terutama mengenai konsep penyiaran, mengingat pengawasan media digital ini sudah menjadi hal yang penting untuk diperhatikan.The Plan to monitor digital content such as that are presented by Youtube and Netflix by The Indonesian Broadcsting Commission is opposed by various parties. Netflix here is a new media and KPI assume that supervision of this new media is needed, because at this time many people are starting to switch from conventional media such as radio and television to new media, such as netflix. In addition to being opposed by various parties, this innovation of KPI has yet been included in the scope of duties and authority of KPI to oversee new media. The issues raised in this research are KPI’s position in Indonesian state administration and a review of KPI’s authority to restrict Netflix’s digital media content according to UU No. 32 of 2002. The method applied is normative, with statute approach and conseptual approach. Based on the analysis of legal issues using the appropriate research methods, it will be concluded that in the context of the KPI legislation, is not yet authorized to oversee new digital media, so a revision is needed especially regarding broadcasting concepts, bearing in mind that monitoring of digital media has become an important matter to pay attention to.
Perbedaan Kadar IL-10 pada Preeklampsia Tipe Dini dan Lambat Ario Danianto; Ernawati Ernawati
Majalah Obstetri dan Ginekologi Vol. 23 No. 3 (2015): September - Desember 2015
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (97.746 KB) | DOI: 10.20473/mog.V23I32015.106-111

Abstract

 Tujuan: Menganalisis perbedaan kadar IL-10 antara preeklamp-sia tipe dini dan preeklampsia tipe lambat.Bahan dan Metode: Penelitian ini melibatkan 56 wanita hamil yang terbagi menjadi empat kelompok, yaitu wanita hamil normal usia kehamilan 30-34 minggu, wanita hamil normal usia > 34 minggu, preeklampsia berat tipe dini (30-34 minggu), preeklampsia berat tipe lambat (> 34minggu). Pemeriksaan IL-10 dilakukan saat penderita masuk rumah sakit dan didiagnosis sebagai preeklampsia dengan menggunakan metode ELISAHasil: Rerata kadar IL-10 pada kelompok preeklampsia tipe dini (0,37 ± 0,14) lebih rendah dibandingkan kelompok preeklampsia tipe lambat (0,87 ± 0,43) dengan P<0,001. Rerata kadar IL-10 pada kelompok preeklampsia tipe dini (0,37 ± 0,14) lebih rendah dibandingkan kelompok wanita hamil normal usia 30 -34 minggu (0,84 ± 0,42) dengan P<0,001. Tidak didapatkan perbedaan rerata kadar IL-10 pada kelompok preeklampsia tipe lambat (0,87 ± 0,43) dibandingkan kelompok wanita hamil normal usia > 34minggu (0,75 ± 0,68) P=0,22.Simpulan: Keadaan inflamasi berat terjadi pada preeklampsia berat tipe dini.
Peran IL-10 dan Indeks Resistensi Arteri Uterina dalam Memprediksi Pertumbuhan Janin Terhambat pada Preeklamsia Onset Dini Made Ayu Suastini; Ernawati Ernawati
Majalah Obstetri dan Ginekologi Vol. 23 No. 2 (2015): Mei - Agustus 2015
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (114.546 KB) | DOI: 10.20473/mog.V23I22015.61-68

Abstract

Tujuan: Melihat hubungan IL-10 dantahanan arteri uterina terhadap kejadian PJT intrauterin pada pasien preeklampsia berat.Bahan dan Metode: Penelitian kami adalah analitik cross sectional yang dilakukan pada 40 wanita hamil usia 30-34 minggu yang didiagnosa preeklampsia berat dan diputuskan dilakukan perawatan konservatif kemudian dilakukan pemeriksaan IL-10 dengan menggunakan Quantikine high sensitivity human IL-10 immunoassay dan pemeriksaan ultrasonografi berupa biometri janin (ratio FL/AC) dan Doppler velocimetri arteri uterina (RI arteri uterina).Hasil: didapatkan rerata IL-10 0,55 pg/ml, tidak didapatkan hubungan antara IL-10 dengan FL/AC dan RI uterina (p 0,378 dan p 0,527), tidak didapatkan hubungan antara RI arteri uterina dengan FL/AC (p 0,18) tetapi didapatkan hubungan dengan AC (r -0,422, p 0,007)Simpulan: IL-10 sebagai anti inflamasi pada disfungsi endotel belum dapat digunakan dalam mendeteksi kejadian PJT pada preeklamsia berat.
Parity as failure determinants of labor induction in Bangka Belitung Dina Delvin Anggriani; Lilik Herawati; Ernawati Ernawati
Majalah Obstetri dan Ginekologi Vol. 24 No. 3 (2016): September - December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (91.823 KB) | DOI: 10.20473/mog.V24I32016.79-83

Abstract

Objectives: to identify factors affecting labor induction failure in Sungailiat General Hospital, District Bangka, Bangka Belitung.Materials and Methods: This is a case control retrospective analytic study. Population of this study was postterm delivering mother at delivery room Sungailiat General Hospital during July 1st, 2012 to July 1st, 2015. Sampling method conducted for case group was total sampling method with labor induction failure as a inclusion criteria, and no data for first trimester ultrasound, didn’t have a routine antenatal care history, and maternal complication as exclusion criterias as many as 78 samples. Whereas, control group was women whose underwent a success labor induction used random sampling method with 1:1 ratio. Data source was from medical records. Data analysis was chi square with 95% confidence interval.Results: From the 78 samples with labor induction, 19,2 % was ≥ 35 years old, 48,7% was primiparas, 62,8% with infant birth weight ≥ 3500 gram, and from 96 samples, 47,5% with ≥ 5 years pregnancy interval. Statistical analysis result showed factors that affecting induction failure were parity (P Value 0,014, odds ratio 2,970), baby’s weight (P Value 0,016, odds ratio 2,631), pregnancy interval (P Value 0,023, odds ratio 2,993), whereas mother’s age did not show significant effect (P Value 0,383, odds ratio 2,278).Conclusion: Parity has a 2,9 times risk to develop induction failure.
Difference of calcium levels in Javanese, Madurese, and Chinese preeclamptic women Nuzulul Azizah Ramdan Wulandari; Ernawati Ernawati; Muhammad Ilham Aldika Akbar
Majalah Obstetri dan Ginekologi Vol. 25 No. 3 (2017): December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (92.045 KB) | DOI: 10.20473/mog.V25I32017.86-91

Abstract

Objectives: To analyse difference of calcium levels and charac-teristics between Javanese, Madurese, and Chinese pre-eclamptic women that affects preeclampsia incidence.Materials and Methods: This was a cross-sectional study with preeclamptic patients in Dr. Soetomo Hospital, Dr. M. Soewan-dhie Hospital, and Universitas Airlangga Hospital as sample. Sample was taken by measuring total calcium level in blood serum before receiving MgSO4 using in vitro clinical chemical dimension method in the Laboratory of Clinical Pathology in Dr. Soetomo Hospital. Sample was taken using consecutive sampling. Sample size 53 preeclamptic women as participants of this study, divided into three groups of Javanese, Madurese, and Chinese.Results: There were 53 preeclampsia patients, with mean ages: Javanese 31.21±5.76, Madurese 34.20±5.58, and Chinese 28.20 ±2.16. Mean BMI: Javanese 31.19±5.99, Madurese 27.66±4.74, and Chinese 26.24±2.13. We found significant difference in total calcium levels. In Madurese it was 7.7 mg/dL, Javanese was 8.3 mg/dL, and Chinese was 9.0 mg/dL (p=.000).Conclusion: The highest severity of preeclampsia was in the Madurese with low calcium levels. The lowest the calcium level, the worst the severity of the preeclampsia.
Role of aspirin dose in reducing uterine artery resistance in 16-24 weeks pregnant women with abnormal uterine artery resistance Muhammad Arief Adibrata; Agus Sulistyono; Ernawati Ernawati
Majalah Obstetri dan Ginekologi Vol. 26 No. 3 (2018): December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (487.497 KB) | DOI: 10.20473/mog.V26I32018.128-134

Abstract

Objectives: To compare the decrease of resistance index (RI) from uterine artery in pregnant woman receiving low dose aspirin therapy between 80 mg/day and 125 mg/day who had abnormal doppler velocimetry (DV) ultrasound examination at 16-24 weeks.Materials and Methods: An experimental study using double blind randomized clinical trial design. Subjects were from Mulyorejo and Kalijudan public health service in Surabaya, that included pregnant women with 16-24 weeks of pregnancy with abnormal uterine artery velocimetry ultrasound. The results of ultrasound Doppler examination were divided into four levels; normal (RI<0.58; (-) diastolic notching), level I (RI> 0.58; (-) diastolic notching), level II (RI<0.58; (+) disatolic notching) and level III (RI> 0.58; (+) diastolic notching). Uterine doppler ultrasound examination was performed at Fetomaternal Division, Department of Obstetrics and Gynecology, Faculty of Medicine, Universitas Airlangga, Dr. Soetomo Hospital, Surabaya, Indonesia, by fetomaternal consultants before and after the admin-istration of low-dose aspirin of 125 mg/day and 80 mg/day for four weeks.Results: Ninety subjects were obtained and randomized into 2 groups, with 45 subject in each group. Before treatment, in 125 mg/day group those with level I were 34 subjects and level III 11 subjects. In 80 mg/day group, level I 41 subjects, level II 2 subjects and level III 2 subjects. After 4 weeks of treatment, a second DV USG was performed in Aspirin 125 mg/day group. Normal were 40 subjects, level I 4 subjects, and level III 1 subject. In aspirin group 80 mg/day, normal 22 subjects, level I 19 subjects and level III 4 subjects. The analysis was performed with Wilcoxon test before and after treatment in both aspirin treatment group 125 mg/day and 80 mg/day with p value respectively, p=0.001 and p=0.005.Conclusion: Compared with aspirin of 80 mg/day, aspirin of 125 mg/day is more superior to decrease uterine arterial resistance in pregnant women with ultrasound uterine arterial doppler velocimetry at 16-24 weeks gestational age.
Length of marriage to pregnancy and the risk of preeclampsia Khusnul Putri Maharani; Atika Atika; Ernawati Ernawati
Majalah Obstetri dan Ginekologi Vol. 27 No. 3 (2019): December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mog.V27I32019.94-98

Abstract

Objective: to analyze the relationship between the length of marriage to pregnancy with the incidence of preeclampsia.Materials and Methods: This study was an observational analytic study with case control approach. Samples were 33 respondents with preeclampsia and 66 respondents with normal pregnancy, all were primigravida with age of 20-35 years old in Dr. M. Soewandhie Hospital, Surabaya, Indonesia, in January-June 2017. Data were taken from medical record.Results: This study found that the length of marriage until pregnancy was 0-4 months with percentage of 39.4% and 77.3% for case and control group respectively. Chi-square test resulted in p = 0.00 and contingency coefficient = 0.366, which meant there was relationship between the length of marriage to pregnancy and the incidence of preeclampsia in primigravida in Dr. M. Soewandhie Hospital Surabaya from January to June 2017 despite being in low level. The value of odd ratio (OR) was 0.191 (95% CI 0.077-0.473), which means there was a risk of protection for the length of marriage to pregnancy <4 months against the incidence of preeclampsia.Conclusion: The shorter the length from early marriage to pregnancy in primigravida, the lower the risk for developing preeclampsia.
Correlation between mother's knowledge and husband's support for the success of the Lactational Amenorrhea Method (LAM) Wahyunnisa Indrarosiana; Ernawati Ernawati; Ivon Diah Wittiarika
Majalah Obstetri dan Ginekologi Vol. 29 No. 3 (2021): December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mog.V29I32021.91-95

Abstract

HIGHLIGHTS 1. Lactational Amenorrhea Method (LAM) is one of the natural contraception methods of postpartum women.2. Mothers' knowledge and husband's support for LAM contraceptive method was suggested to contribute to its success.3. Research and statistical instruments used found that the success of LAM contraceptive was related to mothers' knowledge, but not related to husband's support. ABSTRACTObjectives: This study aimed to analyze the relationship between mother's knowledge and husband's support for the success of LAM contraception in Brengkok Village, Brondong District, Lamongan Regency, East Java, Indonesia.Materials and Methods: This study was an analytic observational study with a sample of 46 mothers who gave exclusive breastfeeding to their babies who met the inclusion criteria. The research instrument used a questionnaire to determine the level of mother's knowledge and husband's support about exclusive breastfeeding. Spearman Rank Correlation Test was used for data analysis with a significance level of 0.05.Results: More than 50% of the respondents (25 respondents) successfully used the LAM method to prevent pregnancy. Statistical test showed that there was a relationship between mother's knowledge and success of LAM contraception with p value of 0.000, with a correlation coefficient of 0.523. Meanwhile, husband's support was not related to the success of LAM contraception with p value of 0.461 with a correlation coefficient of 0.111.Conclusion: Mother's knowledge is related to the success of LAM contraception, and there is no relationship between husband's support and the success of LAM contraception.