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Risanto Siswosudarmo

Departemen Obstetri dan Ginekologi, Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan, UGM

Author-ID : 3466479

Health Professions Medicine & Pharmacology Nursing Public Health

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Pengaruh Konseling Antenatal terhadap Penerimaan AKDR pascasalin sebuah uji klinis non randomisasi Abdul Faris; Soetrisno Soetrisno; Risanto Siswosudarmo; Umar Malinta
JURNAL KESEHATAN REPRODUKSI Vol 5, No 2 (2018)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.38547

Background: During postpartum period women have a high motivation to start using contraception and postpartum IUD is an ideal method to offer. The rate of IUD use is still low, 14.06% of all postpartum contraceptive use. This might be attributed to lack of information and counseling from health providers.Objective: To compare the number of postpartum IUD used among groups of clients who were counseled during ANC and re-counseled during latent phase (exposed group), and group counseled during latent phase only (control group).Method: This study was a prospective quasi-experimental or randomised clinical trial. The first group was those counseled during ANC and latent phase, and the second was those counseled at latent phase only. Chi square and relative risk were used for statistical test two proportions.Result and Discussion: A total of 342 subjects who met inclusion and exclusion criteria were recruited. They consisted of the 210 subjects (61,4%) for the first group and 132 subjects (38,6%) for the second.The rate of IUD used in the first group was 82 of 210 (39%) and 30 of 132 (22.7%) in the second, RR 1,72 (95% CI 1.20 – 2.46), p 0,002. The rate of IUD used was also significantly influenced by a history of IUD acceptor RR 2,90 with 95% CI 2.23 – 3.77), a history of contraceptive used (RR 1,79 with95% CI 1,18 – 2,71) and a history of contraceptive counselling (RR 1,50 with 95% CI 1,03 – 2,19).Conclusion: Clients who were counseled twice (during ANC and repeated at latent phase) had higher rate of postpartum IUD used significantly than those who were counseled at latent phase only. Other factors that significantly affected the rate of postpartum IUD used were history of IUD acceptor, history of contraceptive used.Keywords: Postpartum IUD; counseling; rate of postpartum IUD use; antenatal care

Hubungan antara Program Ekspanding Maternal and Neonatal Survival (EMAS) dengan Peningkatan Pengetahuan, Sikap dan Perilaku Bidan dalam Pengelolaan Kasus Kegawatdaruratan Obstetrik Pra Rujukan Wiwik Widyaningsih; Risanto Siswosudarmo; Soerjo Hadijono
JURNAL KESEHATAN REPRODUKSI Vol 5, No 3 (2018)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Latar Belakang: Angka kematian ibu di Kabupaten Kebumen tahun 2014 adalah 12 yang sebagian besar disebabkan oleh perdarahan pascasalin dan preeklampsia berat (PEB). Dalam program EMAS salah satu kegiatan adalah peningkatan pengetahuan dan ketrampilan untuk penatalaksanaan perdarahan pascasalin dan preeklampsia berat (PEB).Tujuan: Untuk mengetahui hubungan paparan program EMAS dalam hal pengetahuan, sikap dan perilaku bidan saat mengelola kasus kegawatdaruratan obstetrik pra rujukan.Metode: Penelitian ini menggunakan desain cross sectional, dilaksanakan terhadap bidan yang merujuk kasus perdarahan postpartum dan pre eklampsia berat di IGD RSU PKU Muhammadiyah Gombong dari tahun 2014-2015. Kuesioner yang digunakan dinilai dengan skala Likert, menilai pengetahuan dengan kuesioner benar salah, sedangkan ketrampilan dengan daftar tilik keterampilan nilai dari 10 sampai 100 kalau menjalankan prosedur sesuai harapan.Hasil dan Pembahasan: Sebanyak 104 responden (bidan), yang terdiri dari 52 bidan yang terpapar program EKSPANDING MATERNAl AND NEONATAL SURVIVAL (EMAS) dan 52 lainnya adalah responden tang tidak terkena program EMAS (kontrol). Mereka sebanding dalam usia, tahun pelayanan (pengalaman kerja), dan nilai pelatihan PPGDON. Analisis bivariat menunjukkan bahwa paparan program EMAS berhubungan secara signifikan dengan peningkatan pengetahuan, sikap dan perilaku bidan di bidang kegawatdaruratan kebidanan. Hasil analisis regresi logistik menunjukkan bahwa program EMAS berhubungan dengan hasil peningkatan pengetahuan managemen aktif kala III (OR: 6,41; 95% CI 2,32-17,72); pengetahuan PEB (OR: 11,72; 95% CI 4,19-32,78); sikap managemen aktif kala III (OR: 2,97; 95%CI 1,11-7,91); sikap PEB (OR 25,87; 95% CI 8,17-81,90). Hubungan dengan keterampilan managemen aktif kala III (OR: 7,37; 95% CI 2,10-25,85) dan keterampilan PEB (OR: 26,64; 95% CI 7,98-88,96).Kesimpulan: Terdapat hubungan antara Program Expanding Maternal and Neonatal Survival dengan peningkatan kemampuan, sikap dan perilaku bidan di bidang pengelolaan prarujukan kasus kegawatdaruratan obstetrik.Kata kunci: Expanding Maternal and Neonatal Survival (EMAS); pengetahunan; sikap; perilaku; penanganan prarujukan kegawatdaruratan obstetrik;

Pengaruh Konseling Antenatal terhadap Tingkat Penerimaan IUD Pasca Salin:Non RCT Andrianto Kurniawan; Risanto Siswosudarmo
JURNAL KESEHATAN REPRODUKSI Vol 6, No 1 (2019)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Background: Postpartum period is a period where a woman has a great motivation to use a contraceptive. The present data showed that the use of IUD was only about 7,75% of all mixed contraceptive use. Counseling carried out during the antenatal care period continued during early labor is believed be able to increase its acceptance. Objective: To compare the effect of antenatal counseling continued during the early labor versus counseling in the early labor only on the acceptance of postpartum IUD use.Method: The study was carried out in Sardjito Hospital and several Puskesmas in the province of Yogyakarta during six months period from January to June 2015. A non-randomized controlled trial (quasi experimental design) was used. Pregnant women meeting the inclusion and exclusion criteria that are counseled during their antenatal visit continued during their early labor were assigned as the exposed group. Those who are counseled during the early labor only were assigned to the control group. Counseling was done using a specific designed card introduced by BKKBN. The main outcome of interest is the real insertion of postpartum IUD. Chi square test, relative risk and logistic regression were used for statistical analysis.Result and Discussion: A total of 144 subjects were recruited consisting of 72 subjects as the exposed group and 72 as the control. Both groups were comparable in terms of age, parity, education, mode of delivery, and history of previous IUD use. The rate of IUD insertion on the exposed group was 52.8% compared to 26.4% in the control (RR 2.00; 95% CI 1.28-3.12). Other factors contributing to the acceptance of postpartum IUD were mode of delivery and previous IUD use. Logistic regression showed that the most dominant factor contributing to the acceptance of postpartum IUD was history of previous IUD use, (OR 8,42; 95% CI 1,68–42,27) followed by mode of delivery (OR 4.96; 95% CI 1.86–13.26), while timing of counseling was the third (RR 2.93; 95% CI 1.36–6.32).Conclusion: Counseling carried out during ANC continued in the period of early labor increased significantly the acceptance of postpartum IUD. Other factors contributing to the acceptance of IUD use were history of previous IUD use and mode of delivery.Key words: Postpartum IUD; Time of Counseling; Antenatal Care; Rate of Acceptance; IUD pasca salin; waktu konseling

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