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All Journal Indonesian Journal of Tropical and Infectious Disease Majalah Kesehatan FKUB Syntax Literate: Jurnal Ilmiah Indonesia Journal of Maternal and Child Health Jurnal Layanan Masyarakat (Journal of Public Service) Indian Journal of Forensic Medicine & Toxicology INDONESIAN MIDWIFERY HEALTH AND SCIENCES JOURNAL Journal Research Midwifery Politeknik Tegal Strada Jurnal Ilmiah Kesehatan (SJIK)
Sampurna, Mahendra Tri Arif
Universitas Airlangga
Humanities Decision Sciences, Operations Research & Management Dentistry Earth & Planetary Sciences Education Environmental Science Health Professions Immunology & microbiology Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Nursing Public Health Social Sciences Other

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ANALISIS FAKTOR RISIKO DAN LUARAN DARI PENGGUNAAN TERAPI ANTIBIOTIK EMPIRIK JANGKA PANJANG PADA BAYI DENGAN BERAT LAHIR SANGAT RENDAH DALAM KONDISI SEPSIS Reza, Muhammad; Sampurna, Mahendra Tri Arif; Handayani, Kartika Darma; Angelika, Dina; Utomo, Martono Tri; Etika, Risa; Harianto, Agus
Majalah Kesehatan FKUB Vol 6, No 4 (2019): Majalah Kesehatan
Publisher : Faculty of Medicine Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (682.154 KB) | DOI: 10.21776/ub.majalahkesehatan.2019.006.04.4

Abstract

Terapi antibiotik berkepanjangan pada neonatus menyebabkan beberapa konsekuensi negatif meliputi resistensi antibiotik, sepsis awitan lambat, enterocolitis nekrotikan (EKN), lama rawat lebih panjang, dan peningkatan mortalitas. Semua faktor tersebut mempengaruhi efisiensi biaya pelayanan rumah sakit di era Jaminan Kesehatan Nasional. Penelitian ini bertujuan untuk menganalisis faktor risiko dan luaran dari terapi antibiotik berkepanjangan pada bayi berat lahir sangat rendah (BBLSR) dengan sepsis. Desain penelitian adalah studi retrospektif pada BBLSR dengan sepsis di Neonatal Intensive Care Unit (NICU), RSUD Dr. Soetomo, Surabaya sejak Januari-Desember 2017 dilakukan dengan membandingkan luaran antara kelompok I yang mendapat terapi antibiotik empirik kurang dari sama dengan 2 minggu dengan kelompok II yang mendapat terapi antibiotik empirik lebih dari 2 minggu empirik. Dari 87 bayi yang termasuk ke dalam studi, 37 bayi termasuk dalam kelompok I dan 50 bayi dalam kelompok II. Rerata durasi terapi antibiotik pada kelompok I dan kelompok II adalah 9,2±2,5 dan 17,9±3,2 hari, dengan lama rawat inap 19,7±8,5 dan 27,2±13,1 hari. Analisis faktor risiko menunjukkan bahwa BBLSR terutama 1000 gram (p < 0,001), ventilasi mekanik invasif (p < 0,001), ventilasi mekanik non-invasif (p < 0,001), korioamnionitis (p = 0,003), penyakit maternal (p = 0,004), kehamilan multipel (p = 0,03) merupakan faktor risiko mendapatkan terapi antibiotik empirik berkepanjangan. Luaran dari terapi antibiotik empirik berkepanjangan adalah 41 (47%) bayi mengalami sepsis awitan lambat,  15 (17%) bayi dengan EKN, dan 11 (12%) bayi meninggal. Mortalitas bayi dengan sepsis awitan lambat (p < 0,001) dan EKN (p = 0,02) lebih tinggi pada kelompok II dibandingkan kelompok I. Kesimpulannya, terapi antibiotik empirik berkepanjangan meningkatkan angka kejadian sepsis awitan lambat, enterocolitis nekrotikan, lama rawat, dan mortalitas BBLSR di NICU yang berdampak meningkatkan biaya pelayanan rumah sakit.  
Neonatal Therapeutic Intervention Scoring System (NTISS) in Rural Country: Mortality and Length of Stay (LOS) Predictive Score in Preterm Infant Desy Nurrosalia Wisnuwardani1 , Mahendra Tri Arif Sampurna2 , Martono Tri Utomo2 , Risa Etika2
Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 4 (2020): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v14i4.11600

Abstract

Background: Preterm infants need comprehensive management due to high risk of mortality and morbidity. Proper treatment in NICU can decrease the mortality risk in them, but some of them may take long time before they can go home. Neonatal Therapeutic Intervention Scoring System (NTISS) hopefully can be a predictive score for the mortality and Length of stay (LOS) of a preterm infant, yet, it’s use is still very limited in Indonesia. The authors aim to analyze NTISS to predict mortality and length of stay of preterm infants in Indonesia. Method: This retrospective study conducted in March 2017 and collected medical record data of preterm infants treated in NICU from July 2016 - March 2017. The inclusion criteria were infants with gestational age <37 weeks, treated at NICU> 24 hours and complete medical record data. NTISS total scores are collected after 24 hours at the NICU. Results: A total of 108 infants met the inclusion criteria. The ratio of NTISS scores had an area under the curve (area under curve / AUC) of 0.879 (95% CI 0.259-0.913) with cutoff at 20.2. it had 91.3% and 74.1% in sensitivity and specificity respectively; 48.8% and 96.9% in positive and negative predictive value respectively; positive likelihood ratio 3.52; negative likelihood ratio 0.12; and 77% inaccuracy. There was no correlation between NTISS scores and length of stay (p = 0.084). Conclusion: NTISS can be used to predict the mortality of preterm infants.
Correlations between Maternal Knowledge, Attitude, and Posyandu Utilization on Nutritional Status in Children Under Five Prasticha, Anggraini Dian; Sampurna, Mahendra Tri Arif; Dewanti, Linda
Journal of Maternal and Child Health Vol. 8 No. 2 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (34.296 KB) | DOI: 10.26911/thejmch.2023.08.02.06

Abstract

Background: Malnutrition is a condition of deficiency, excess, or imbalance of nutrients from the amount of nutrients needed by the body. One of the ways to prevent malnutrition is by monitoring regularly through a program of public health activities, namely weighing toddlers. This study aims to determine the relationship between mother's knowledge, mother's attitude, and utilization of integrated health post (posyandu) in weighing toddlers with toddlers' nutritional status. Subjects and Method: A cross-sectional study was conducted in Semambung Village, Wonoayu District, Sidoarjo Regency, in August 2022. A total of 144 mothers and their children was selected using a proportionate stratified random sampling. The dependent variable is nutritional status. The independent variables are knowledge, mother's attitude, and posyandu utilization. The data were collected by a questionnaire. Data were analyzed by Chi square test and Odds ratio (OR). Results: Maternal irregular visit at integrated health post were at risk for having underweight (WAZ) (OR= 3.39; 95% CI= 1.46 to 7.84; p= 0.003) and stunted (WHZ) children (OR= 4.37; 95% CI= 1.20 to 15.84; p= 0.016). Conclusion: It can be concluded that there is no relationship between mother's knowledge, mother's attitude and nutritional status of toddlers. and there is a relationship between posyandu utilization and the nutritional status of children under five based on the WAZ and WHZ indexs.   Keywords: knowledge, attitude, posyandu utilization, nutritional status. Correspondence:Anggraini Dian Prasticha. Midwifery Program Study, Faculty of Medicine, Airlangga University, Indonesia, Jl. Mayjen Pro. Dr. Moestopo No. 47, Pacar Kembang, Tambaksari, Surabaya, East Java 60132, Indonesia. Email: anggraini.dian.prasticha-2019@fk.unair.ac.id. Mobile: +628123­520­5296.  
THE EFFECT OF PARENTING STYLE ON NUTRITIONAL STATUS OF TODDLERS IN SURABAYA Lisa Febrinda Nadhila; Astika Gita Ningrum; Mahendra Tri Arif Sampurna
Indonesian Midwifery and Health Sciences Journal Vol. 7 No. 3 (2023): Indonesian Midwifery and Health Sciences Journal, July 2023
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v7i3.2023.267-275

Abstract

Background: Nutrition is crucial for sustaining a golden phase over the first two years. Nutritional problems that develop early on will lead to more difficult future health problems. The most prevalent nutritional problems are found within the ages of 12 to 24 months. Purpose: to analyze the effect of parenting style on nutritional status of under two years babies. Methods: This study is an observational reasearch with cross-sectional approach. 685 toddlers and their parents made up the study's population, and a total of 75 were selected by accidental sampling. Anthropometric measures and questionnaires were used to gather the data. PSDQ (Parenting Style and Dimension Questionnaire) were used to identify parenting style. Results: Parenting styles for children's nutritional status were examined using the chi-square test, which revealed a value of 0.018. Conclusions: The study's findings suggest that parenting style and children's nutritional status are related.
PERCEPTIONS AND EXPERIENCES OF MOTHERS WITH A HISTORY OF EPISIOTOMY ON BARRIERS AND SOCIAL SUPPORT IN BREASTFEEDING Hidayah, Lisnah; Mahendra Tri Arif Sampurna; Farida Fitriana; Euvanggelia Dwilda Ferdinandus; Maria Ulfa
Indonesian Midwifery and Health Sciences Journal Vol. 8 No. 2 (2024): Indonesian Midwifery and Health Sciences Journal, April 2024
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v8i2.2024.142-155

Abstract

Abstract Background: Breastfeeding rates in Indonesia have decreased significantly in recent years. In 2021, less than half of babies in Indonesia (48.6 percent) were breastfed in the first hour of life, down from 58.2 percent in 2018. Only 52.5 percent were exclusively breastfed in the first six months, which is a decrease sharply from 64.5 percent in 2018. The success of breastfeeding is determined by several inhibiting and supporting factors, one of which is anxiety due to an episiotomy. Episiotomy is often performed to prevent more severe perineal tearing during labor, but there is controversy regarding the benefits and risks of episiotomy, as well as its impact on breastfeeding practices. Objective: To describe the perceptions and experiences of mothers with a history of episiotomy regarding barriers and support in providing breast milk at 7 days postpartum at Airlangga University Hospital, Surabaya City. Method: This research was conducted using qualitative methods with a phenomenological approach/Interpretive Phenomelogical Analysis (IPA). The method for taking subjects used purposive sampling. This research involved a total of 8 informants. The analysis method used is content analysis. Results: It was found that the perception of mothers with a history of episiotomy regarding breastfeeding and their intention to breastfeed was still low. The experience of providing breast milk varies greatly and mothers tend to be physically and emotionally uncomfortable. Social support is very important for mothers' behavior in providing breast milk. There are physical and psychological barriers associated with episiotomy including pain, physical discomfort, anxiety about health and recovery so that breastfeeding behavior becomes disrupted.
ASSOCIATION BETWEEN SEPSIS RISK CALCULATOR AND INFECTION PARAMETERS FOR NEONATES WITH RISK OF EARLY ONSET SEPSIS Sari, Trias Kusuma; Irwanto, Irwanto; Etika, Risa; Sampurna, Mahendra Tri Arif; Mertaniasih, Ni Made
Indonesian Journal of Tropical and Infectious Disease Vol. 8 No. 2 (2020)
Publisher : Institute of Topical Disease Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijtid.v8i2.10712

Abstract

C-reactive protein (CRP) is an acute-phase reactant protein that is primarily induced by the IL-6 action during the acute phase of an inflammatory or infectious process. Bacterial infection is a potent stimulus, leading to a rapid elevation of CRP levels within hours while the CBC and symptom are often misleading and/or absent. American Academy of paediatrics (AAP) is recommended routine blood examination test Complete Blood Count (CBC), C-reactive protein (CRP), and blood culture along with empirical antibiotic in neonates with early onset sepsis risk (EOS) risk even asymptomatic. Previous study is showed there were no correlation of CRP and EOS risk. The aim of this study is to evaluate the CRP and CBC profile in neonate with risk of EOS.  Methods of this study is using the sepsis risk calculator (SRC) to calculate the probability of neonatal early onset sepsis (EOS) based on maternal risk and infant's clinical presentation. Neonates with ≥34 weeks of gestation who were started on antibiotic treatment after laboratory examination and blo odculture were taken. EOS risk estimation were compared including CRP, leukocyte, and thrombocyte count. ANOVA applied to distinguished laboratory examination between stratified risk groups. The result is showed using 82 subjects who met the inclusion and exclusion criterias, EOS risk level was stratified into green, yellow, and red group. The p value of CRP level, platelets, white blood cell were 0.35,0.54 and 0.48 where p value was considered as significant if < 0.5. The conclusion of this study is there were no correlation of CRP level and EOS riskASSOCIATION BETWEEN SEPSIS RISK CALCULATOR AND INFECTION PARAMETERS FOR NEONATES WITH RISK OF EARLY ONSET SEPSIS
ENHANCING NEONATAL HYPERBILIRUBINEMIA MANAGEMENT: A COMMUNITY SERVICE PROGRAM AT RSUD AJI BATARA DEWA SAKTI Sampurna, Mahendra Tri Arif; Niko Azhari , Hidayat; Husnina, Zida; Widodo, Muhammad Rizky; Azhari, Syah Reza Budi
Jurnal Layanan Masyarakat (Journal of Public Services) Vol. 8 No. 4 (2024): JURNAL LAYANAN MASYARAKAT
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jlm.v8i4.2024.552-559

Abstract

This study  details an intervention through a community service conducted at the Regional General Hospital Aji Batara Agung Dewa Sakti, focusing on the improvement of healthcare professional’s skills in managing neonatal hyperbilirubinemia. The program conducted in two days, including a one-day socialization and one-day training session. Comprehensive approach was used with a special emphasis on the BiliNorm application. The intervention result shows higher score in post test compared to pre-test, indicating significant improvements (P<0.001) in participant’s knowledge and skills. Statistical analysis highlighted the effectiveness of the training program in demonstrating a successful transfer of knowledge on the usage of BiliNorm application, AirBiliSun and AirBiliNest. This study highlighted the positive impact of this program on early detection and management practices.
Luaran Maternal dan Neonatal pada Kasus Solusio Plasenta: Studi Deskriptif di RSUD dr. Soetomo, Surabaya, Indonesia, Tahun 2017-2024 Esrani Rosmawati Manurung; Ernawati Ernawati; Mahendra Tri Arif Sampurna
Syntax Literate Jurnal Ilmiah Indonesia
Publisher : Syntax Corporation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36418/syntax-literate.v10i2.56781

Abstract

Indonesia memiliki angka kematian ibu dan neonatal yang tinggi, dengan perdarahan obstetri, terutama solusio plasenta, sebagai salah satu penyebab utama. Tujuan penelitian untuk menganalisis luaran maternal dan neonatal pada kasus solusio plasenta di RSUD Dr. Soetomo, Surabaya, periode 1 Januari 2017–31 Oktober 2024. Penelitian ini menggunakan metode deskriptif cross-sectional ini menggunakan data sekunder dari rekam medis ibu dengan diagnosis solusio plasenta. Pengambilan sampel dilakukan secara total sampling dengan kriteria inklusi berupa rekam medis lengkap dan diagnosis solusio plasenta yang terkonfirmasi. Analisis univariat digunakan untuk mendeskripsikan variabel penelitian. Hasil penelitian menunjukan dari 6.662 persalinan, terdapat 42 kasus solusio plasenta (0,63%). Rata-rata usia ibu adalah 31,0 ± 6,43 tahun, dengan kelompok usia terbanyak 25–29 tahun (35,7%) dan ≥35 tahun (31%). Sebagian besar ibu overweight atau obesitas (38,1%). Solusio plasenta paling sering terjadi pada ibu multigravida (69%). Komorbiditas yang sering ditemukan meliputi preeklampsia berat (31%) dan eklampsia (14,3%). Sebanyak 78,6% ibu melahirkan pada usia kehamilan preterm, dan 52,4% menjalani operasi sesar. Komplikasi maternal yang tercatat meliputi atonia uteri (33,3%), histerektomi (26,2%), anemia (85,7%) dan trombositopenia (52,4%), Disseminated Intravascular Coagulation (DIC) (16,7%) dan sepsis (14,3%), serta acute kidney injury (AKI) (47,6%). Pada neonatus, sebanyak 88,1% memiliki skor APGAR <7 pada menit pertama dan kelima, 78,5% memiliki berat badan lahir rendah, dan 78,6% lahir mati. Solusio plasenta merupakan kondisi yang sangat berisiko, baik bagi ibu maupun bayi, dengan komplikasi signifikan seperti kelahiran prematur, persalinan sesar, dan tingginya angka neonatal yang lahir mati. Temuan ini menekankan pentingnya deteksi dini, pemantauan ketat, dan intervensi medis yang cepat untuk meningkatkan luaran maternal dan neonatal.
RELATIONSHIP BETWEEN POST SECTIO CAESAREA MATERNAL PAIN AND BREASTFEEDING AT MGR.GABRIEL MANEK SVD HOSPITAL ATAMBUA Ngatwati, Ngatwati; Ningtyas, Woro Setia; Sampurna, Mahendra Tri arif; Djuari, Lilik
Siklus : Journal Research Midwifery Politeknik Tegal Vol 14, No 1 (2025)
Publisher : Pusat Penelitian dan Pengabdian Masyarakat Politeknik Harapan Bersama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30591/siklus.v14i1.7640

Abstract

The pain experienced by the mother can result in the mother being reluctant to breastfeed her baby as soon as possible and preferring to focus on herself. This study aims to analyze the relationship between post sectio caesarea pain and breastfeeding at MGR.Gabriel Manek SVD Hospital Atambua. The method used a cross sectional approach. The  population in this study were post Sectio Caesarea mothers in the Anggrek room at MGR. Gabriel Manek SVD Hospital Atambua from May to June 2023. Based on existing criteria, sampling was carried out using a purposive sampling technique, a sample of 85 data were obtained. Data collection techniques were carried out using a questionnaire. Data analysis used univariate analysis was used to describe post-sectio caesarea maternal pain and to describe breastfeeding, while bivariate analysis used the Spearman correlation test to look for the relationship between pain and breastfeeding. The results of statistical analysis using the spearman correlation test, obtained a p value 0,001 (p value 0,05), which means there is a significant relationship between maternal pain after caesarean section and breastfeeding. The result of the correlation coefficient are 0,771, which shows that maternal pain after caesarean section and breastfeeding has a strong relationship.
Analysis of Relation between Parity and Exclusive Breastfeeding in Indonesia Based on Indonesia Demographic and Health Surveys 2017 Imro’atul Khasanah; Mahendra Tri Arif Sampurna; Astika Gita Ningrum; Dewi Setyowati; Hodimatum Mahiroh; Hiromi Ogasawara
STRADA : Jurnal Ilmiah Kesehatan Vol. 11 No. 2 (2022): November
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/sjik.v11i2.897

Abstract

Exclusive breastfeeding is the provision of mother’ milk from birth until six months of age without giving or replacing it with other food or drinks except for the provision of drugs, vitamins, and minerals. In 2019 national coverage of exclusive breastfeeding for infants in Indonesia was 67.74%. Various efforts have been made by the government to increase the coverage of exclusive breastfeeding, including: government regulations with the implementation if advocacy and supervision regarding exclusive breastfeeding which are the duties and responsibilities of the central and local governments. The purpose is to analyze the relation between parity and exclusive breastfeeding in Indonesia based on the Indonesia Demographic and Health Surveys (IDHS) 2017. The research is quantitative and it is an analytical research. The research design used cross sectional study. The samples were 2.301 respondents after cleaning and weighted data. The independent variables in this study is parity.
Co-Authors AGUS HARIANTO Azhari, Syah Reza Budi Dewi Setyowati Dina Angelika Ernawati Ernawati Esrani Rosmawati Manurung Ferdinandus, Euvanggelia Dwilda Fitriana, Farida Hidayah, Lisnah Hidayat, Niko Azhari Hiromi Ogasawara Hodimatum Mahiroh Imro’atul Khasanah Irwanto Irwanto Kartika Darma Handayani Lilik Djuari Linda Dewanti Lisa Febrinda Nadhila Maria Ulfa Martono Tri Utomo Muhammad Reza Ngatwati, Ngatwati Ni Made Mertaniasih Ningrum, Astika Gita Prasticha, Anggraini Dian Risa Etika, Risa Sari, Trias Kusuma Widodo, Muhammad Rizky Woro Setia Ningtyas Zida Husnina