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All Journal Indonesian Journal of Tropical and Infectious Disease Majalah Kesehatan FKUB Belitung Nursing Journal 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 KESANS : International Journal of Health and Science Journal Research Midwifery Politeknik Tegal Strada Jurnal Ilmiah Kesehatan (SJIK)
Sampurna, Mahendra Tri Arif
Universitas Airlangga
Humanities Chemistry Decision Sciences, Operations Research & Management Dentistry Earth & Planetary Sciences Education Environmental Science Health Professions Immunology & microbiology Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Nursing Physics Public Health Social Sciences Other

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Luaran Maternal dan Neonatal pada Kasus Solusio Plasenta: Studi Deskriptif di RSUD dr. Soetomo, Surabaya, Indonesia, Tahun 2017-2024 Manurung, Esrani Rosmawati; Ernawati, Ernawati; Sampurna, Mahendra Tri Arif
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.
EDUCATION AND IMPLEMENTATION OF THE SUN FILTERED PHOTOTHERAPY AIRLANGGA BILIRUBIN SUN (AIRBILISUN) TO IMPROVE HEALTH WORKERS KNOWLEDGE ON THE MANAGEMENT OF NEONATAL JAUNDICE IN BANYUWANGI, EAST JAVA Sampurna, Mahendra Tri Arif; Zaidan, Andi Hamim; Husnina, Zida; Irwanto; Utomo, Martono Tri; Kusumastuti, Neurinda Permata; Avandi, Muhammad Irvan; Naznuddin, Muhammad; Ryandono, Muhammad Nafik Hadi; Rafsanjani, Egi Azhar; Azhari, Syah Reza Budi; Fannani, Achmad Rifqi; Quendangen, Valentinus Mahendra Aaron
Jurnal Layanan Masyarakat (Journal of Public Services) Vol. 10 No. 1 (2026): JURNAL LAYANAN MASYARAKAT
Publisher : Universitas Airlangga

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Abstract

Neonatal hyperbilirubinemia remains a common condition encountered in primary neonatal care, particularly in settings with limited access to standard phototherapy equipment. In Banyuwangi Regency, gaps in health workers’ knowledge and unequal availability of phototherapy devices contribute to suboptimal management practices, including unsafe reliance on uncontrolled sun exposure. This community service program aimed to strengthen health workers’ capacity in managing neonatal jaundice through education, training, and the implementation of an appropriate technology innovation, the Airlangga Bilirubin Sun (AirBiliSun). The program involved 30 health workers from hospitals and community health centers and was implemented through sequential stages of socialization, training, technology application, mentoring, and evaluation. Participants’ knowledge was assessed using pre-test and post-test questionnaires. Quantitative analysis demonstrated a significant improvement in knowledge following the intervention. The mean knowledge score increased from 58.88 ± 17.56 before the program to 73.77 ± 19.57 after the program. The proportion of participants with poor knowledge decreased from 26.7% to 3.3%, while those with good knowledge increased from 20.0% to 30.0%. Statistical testing confirmed that the improvement was significant (paired t-test, p < 0.001; Wilcoxon signed-rank test, p = 0.041). These findings indicate that combining structured education, hands-on training, and mentoring with the use of appropriate technology can improve health workers’ readiness to manage neonatal hyperbilirubinemia in resource-limited service settings. Institutional support from local government and national downstreaming initiatives further highlights the potential sustainability and replicability of the program. The AirBiliSun community service program demonstrates a practical approach to strengthening neonatal care services and promoting safer management practices in primary health facilities.
Low birth weight among neonates in rural areas of Indonesia: A secondary data analysis Nelwati, Nelwati; Malini, Hema; Efendi, Ferry; Kuswanto, Heri; Has, Eka Misbahatul Mar’ah; Sampurna, Mahendra Tri Arif
Belitung Nursing Journal Vol. 12 No. 2 (2026): March - April
Publisher : Belitung Raya Publisher - Belitung Raya Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.4163

Abstract

Background: Low birth weight (LBW) is a major global health concern because of its strong association with infant mortality, morbidity, and impaired long-term development. The determinants of LBW among neonates in rural areas of Indonesia remain underexplored. Objective: To examine the prevalence of LBW and determine its associated factors among neonates in rural areas of Indonesia.   Methods: A cross-sectional study used secondary data sources from the 2017 Indonesian Demographic and Health Survey. A total of 6,701 mothers who lived in rural areas were included. Explanatory variables were maternal age, maternal education, smoking status, parity, birth interval, twin history, antenatal care (ANC), husband support, wealth quintile, region of residence, and complications during pregnancy. The outcome variable was the prevalence of LBW. Data were analyzed using bivariate analysis with a Chi-square test (χ2) and multivariable logistic regression. Results: The prevalence of LBW was 6.65%. First birth [AOR = 1.486; 95% CI: 1.126-1.959], twin history [AOR = 27.165; 95% CI = 13.006-56.738], fewer than four ANC visits [AOR = 2.193; 95% CI = 1.519-3.164], and complications during pregnancy [AOR = 1.890; 95% CI = 1.427-2.503] were significantly associated with the prevalence of LBW. Conclusion: This study revealed the prevalence of LBW among neonates in rural areas of Indonesia. First birth, twin history, ANC visits, and complications during pregnancy were significantly associated with LBW. It is suggested that health professionals should strengthen the quality of antenatal care and improve health promotion and education during pregnancy for rural mothers to reduce the prevalence of LBW.
Co-Authors AGUS HARIANTO Andi Hamim Zaidan Avandi, Muhammad Irvan Azhari, Syah Reza Budi Dewi Setyowati Dina Angelika Elisa Cahyaningtyas, Fabella Ernawati Ernawati Fannani, Achmad Rifqi Ferdinandus, Euvanggelia Dwilda Ferry Efendi Fitriana, Farida Has, Eka Misbahatul Mar’ah Hema Malini, Hema Heri Kuswanto Hidayah, Lisnah Hidayat, Niko Azhari Hiromi Ogasawara Hodimatum Mahiroh Imro’atul Khasanah IRWANTO Irwanto Irwanto Kartika Darma Handayani Lilik Djuari Linda Dewanti Lisa Febrinda Nadhila Manurung, Esrani Rosmawati Maria Ulfa Martono Tri Utomo Muhamad Nafik Hadi Ryandono Muhammad Reza Naznuddin, Muhammad Nelwati, Nelwati Neurinda Permata Kusumastuti Ngatwati, Ngatwati Ni Made Mertaniasih Ningrum, Astika Gita Prasticha, Anggraini Dian Quendangen, Valentinus Mahendra Aaron Rafsanjani, Egi Azhar Risa Etika, Risa Sari, Trias Kusuma Widodo, Muhammad Rizky Woro Setia Ningtyas Zida Husnina