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Kesadaran Ibu Hamil Mendeteksi Dini Kondisi Patologis dan Kegawatdaruratan Selama Kehamilan Sampai Bayi Baru Lahir di Puskesmas Mengwi I Tahun 2018 Ni Komang Yuni Rahyani; Ni Luh Putu Sri Erawati; Ni Nyoman Suindri; Ni Gusti Ayu Eka Utarini; IGN Sri Partini
Jurnal Pengabmas Masyarakat Sehat (JPMS) Vol 1, No 2 (2019): April 2019
Publisher : Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/ms.v1i2.627

Abstract

The maternal and child health program is an excellent program in the strategy of reducing morbidity and maternal mortality in various countries. Important information given to pregnant women based on the evidence-based in health facilities. The comprehensive information related the efforts to safe the well-being of pregnant women and their babies. The purpose of this community service is to gather information about the difference between knowledge, attitude and skill between pretest and posttest about early detection and management of pathology and emergency condition in pregnant women at Public Health Center I of Mengwi. Method of service using quasi experiment design that is pretest posttest without control approach group design. The number of pregnant women who were involved is 30 people that taken from pregnant women who visited the Public Health Center I of Mengwi for pregnancy examination every Wednesday. Data analysis using anova test. The result of t-test is explained that the level of knowledge, attitude and skill before and after counseling have increased. The value of p = 0,000 means there is a relationship of knowledge, attitude and skills before and after counseling to pregnant women. Pregnant women are expected to seek information related to danger signs and risks during pregnancy until newborn.Keywords: pregnant, skill, referral, pathological, emergency
Hidrosefalus Dalam Biologi Molekuler Ni Wayan Suarniti; Ni Komang Yuni Rahyani
Jurnal Ilmiah Kebidanan (The Journal Of Midwifery) Vol 8, No 2 (2020)
Publisher : Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jik.v8i2.1343

Abstract

ABSTRACTHydrocephalus is a health problem that affects the nervous system (neurobehavior). Hydrocephalus treatment is included in the category of "live saving and live sustaining" which means that this disease requires early diagnosis followed by immediate surgery. Delay will cause disability and death so that the principle of hydrocephalus treatment must be fulfilled. Hydrocephalus is a pathological condition of the brain that results in increased cerebrospinal fluid and an increased intracranial pressure (ICP) so that there is a widening of the room where the discharge is issued. The incidence of hydrocephalus is estimated to be close to 1: 1000. whereas the incidence of congenital hydrocephalus varies for each different population. Recent research shows hydrocephalus can be triggered by abnormal levels of lysophosphatidic acid (LPA), blood lipids that enter the brain in high concentrations during bleeding events, with a profound effect on developing brain cells. Likewise with the diagnostic examination of hydrocephalus, cerebrospinal fluid (CSF) biomarkers have now been found that can be used as markers of changes in the brain environment related to the state of the brain itself. With this research in the field of molecular biology, even for therapy even though LPA1-blocking is being developed, a drug that is currently being developed for its use in the management of hydrocephalus. Given the complications that can be caused by hydrocephalus, more research is needed. For medical personnel and paramedics, in order to be able to further enhance their competence in order to provide care to hydrocephalus patients as well as possible. Keyword:  biomarkers, cerebrospinal fluid, hydrocephalus
Gambaran Pengetahuan Dan Motivasi Terkait Pencegahan Human Immunodeficiency Virus / Aquired Immuno Deficiency Syndrome Pada Siswa Sekolah Menengah Atas Dwijendra Denpasar Ni Putu Dyah Yadnya Swari Widjaya Puja; Ni Komang Yuni Rahyani; Gusti Ayu Marhaeni
Jurnal Ilmiah Kebidanan (The Journal Of Midwifery) Vol 7, No 2 (2019)
Publisher : Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (258.571 KB) | DOI: 10.33992/jik.v7i2.1065

Abstract

Adolescence is a group at risk of transmition in Human Immunodeficiency Virus/Aquired Immuno Deficiency Syndrome. This study aims to find out the description of knowledge and motivation in regards to prevention of HIV/AIDS among students of Dwijendra Senior High School Denpasar. This study is a descriptive design of study with cross-sectional approach. This study was conducted from April to May 2019, where 106 respondents were taken as samples by applying purposive sampling technique. The data were collected by using self-reported questionnaire. The result shows that almost 44.3% respondents have high knowledges and high motivations, and respondents who have well knowledges and less motivations were 24,5%. Respondents who have less knowledges and high motivations are 13,2%, and respondents who have less knowledges and low motivations are 18%. Efforts to maintain students’ knowledges and motivations in regards to preventing Human Immunodeficiency Virus/Aquired Immuno Deficiency Syndrome, health workers must to give counseling about the prevention of Human Immunodeficiency Virus/Aquired Immuno Deficiency Syndrome with friendly approach.
Persepsi Remaja Laki-Laki Dan Perempuan Tentang Seks Pra Nikah Di SMA Negeri 6 Denpasar Ayu Vira Sadvika Vidanti; Ni Komang Yuni Rahyani; Ni Luh Putu Sri Erawati
Jurnal Ilmiah Kebidanan (The Journal Of Midwifery) Vol 6, No 2 (2018)
Publisher : Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (122.513 KB) | DOI: 10.33992/jik.v6i2.1060

Abstract

Adolescent are one period towards adulthood. At this time, there are various problems faced, including curiosity and trial and error. The aim of the study is to describe perception of male and female adolescence about premarital sexual among high school students in Denpasar City. This study is a descriptive study that applies probability sampling technique and systematic random samplig method. This study was conducted on April 28 2019. The population of this study are 321, 11th grade students at Senior High School 6 Denpasar which consists of 139 male students and 112 female students. The data were collected by using questionnaire and analyzed by using distribution frequency. We found that, out of 139 male students, 70 (50,4%) have negative perceptions about premarital sexual and out of 112 female students, 66 (60,7%) have negative perceptions about premarital sexual. The school is expected to give counseling in regards to the effects of premarital sexual in order to reduce the occurrence of premarital sexual at Senior High School 6 Denpasar.
Gambaran Faktor-Faktor Penyebab Infertilitas Dan Tingkat Keberhasilan Program Bayi Tabung Yang Diikuti Oleh Pasangan Usia Subur Ni Luh Putu Melani Cintia Dewi; I Komang Lindayani; Ni Komang Yuni Rahyani; Ni Nyoman Suindri
Jurnal Ilmiah Kebidanan (The Journal Of Midwifery) Vol 10, No 1 (2022)
Publisher : Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jik.v10i1.1557

Abstract

Abstrak: Infertilitas adalah ketidakmampuan pasangan untuk hamil meski sudah rutin melakukan hubungan seksual tanpa menggunakan kontrasepsi selama 12 bulan atau lebih. Penelitian ini bertujuan untuk mengetahui gambaran faktor-faktor penyebab infertilitas dan tingkat keberhasilan program bayi tabung yang diikuti oleh PUS di Poliklinik Bayi Tabung RSUP Sanglah Denpasar. Populasi penelitian ini adalah seluruh PUS yang mengikuti program bayi tabung di Poliklinik Bayi Tabung RSUP Sanglah Denpasar tahun 2015-2020 sejumlah 63 responden. Teknik pengambilan sampel yang digunakan dalam penelitian ini adalah total sampling. Hasil penelitian menunjukkan bahwa suami dengan umur 35 tahun sebanyak 32 orang (50,8%), umur 20-35 tahun sebanyak 31 orang (49,2%). Umur 20-35 tahun pada istri sebanyak 37 orang (58,7%), umur 35 tahun sebanyak 26 orang (41,3%). Kasus infertil primer sebanyak 51 orang (80,9%) sedangkan infertil sekunder sebanyak 12 orang (19,1%). Indikasi karena faktor suami sebanyak 29 orang (46%), faktor istri sebanyak 24 orang (38,1%) sedangkan faktor suami dan istri sebanyak 7 orang (11,1%). Kasus berhasil hamil sebanyak 15 orang (23,8%) dan tidak berhasil hamil sebanyak 48 orang (76,2%). Penelitian ini agar dilanjutkan lebih mendalam dengan mengeksplorasi hubungan dan pengaruh dari umur, jenis infertilitas dan indikasi terhadap keberhasilan program bayi tabung.Kata kunci: Infertilitas, faktor penyebab infertilitas, tingkat keberhasilan Abstract: Infertility is the inability of a couple to get pregnant even though they have routinely had sexual intercourse without using contraception for 12 months or more. This study aims to determine the description of the factors that cause infertility and the success rate of IVF program followed by couples of childbearing age in IVF Polyclinic at Sanglah Hospital Denpasar. The population of this study were all couples of childbearing age who took part in the IVF policlinic at Sanglah Hospital Denpasar in 2015-2020 with total of 63 respondents. The sampling technique used in this study is total sampling. The result showed that the husband with age 35 years old was 32 people (50,8%), there were 31 people aged 20-35 years (49,2%). Wives aged 20-35 years as many as 37 people (58,7%), 35 years old were 26 years old (41,3%). Primary infertile cases were 51 people (80,9%), while secondary infertile were 12 people (19,1%). Indications due to the husband’s factor were 29 people (46%), the wife’s factor was 24 people (38,1%) while the husband and wife factors are as much 7 people (11,1%). 15 cases of successful pregnancy (23,8%) and 48 cases of unsuccessful pregnancy (76,2%). This research should be continued in more depth by exploring the relationship and influence of age, type of infertility and indications of the success of IVF programs.Keywords: Infertility, factor causing infertility, success rate
Karakteristik Akseptor Non Metode Kontrasepsi Jangka Panjang Pada Wanita Usia Subur Ni Luh Putu Lisa Dewi Cahyani; Ni Komang Yuni Rahyani; Ni Gusti Kompiang Sriasih
Jurnal Ilmiah Kebidanan (The Journal Of Midwifery) Vol 9, No 2 (2021)
Publisher : Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jik.v9i2.1527

Abstract

Penggunaan non metode kontrasepsi jangka panjang oleh wanita usia subur (WUS) cukup tinggi (89,73%) jika dibandingkan dengan metode jangka panjang (10,27%). Tujuan penelitian ini untuk mengetahui gambaran faktor-faktor yang melatarbelakangi pemilihan non metode kontrasepsi jangka panjang pada wanita usia subur di Praktek Mandiri Bidan wilayah Kecamatan Kuta Selatan Tahun 2021. Metode penelitian deskriptif kuantitatif dengan pendekatan cross sectional. Teknik sampling Probability Sampling jenis Proportionate Random Sampling. Penelitian dilakukan tanggal 4 sampai 11 Mei 2021 di tujuh Praktek Mandiri Bidan Wilayah Kecamatan Kuta Selatan. Instrumen menggunakan kuisioner. Responden adalah akseptor non metode kontrasepsi jangka panjang sejumlah 68 orang. Penelitian menunjukkan bahwa responden yang menggunakan non metode kontrasepsi jangka panjang dengan lama penggunaan 3 tahun (57,3%), paling banyak berumur 20-35 tahun (55,9%), pendidikan Dasar (51,4%), sebanyak 76,5% dengan paritas multipara, sumber informasi utama dari tenaga kesehatan (76,5%), pengambilan keputusan secara bersama (60,3%), mempunyai pengalaman efek samping ringan (73,5%), sebelumnya menggunakan suntik 3 bulan (47,1%), dan (52,9 %) mempertimbangkan efek samping dalam pemilihan suntik dan pil. Bidan dalam praktiknya lebih meningkatkan kualitas konseling dan pelayanan kontrasepsi jangka panjang, sehingga dapat menarik minat masyarakat khususnya dengan tingkat pendidikan dasar.Kata kunci: Kontrasepsi, Non MKJP, Wanita usia subur The use of non-long-term contraceptive methods in women fertile age has increased (89,73%) compared to long-term contraceptive (10,27%). The purpose of this study was to describe the factors behind the selection of non-long-term contraceptive methods in women of childbearing age in the Independent Midwife Practice in the South Kuta District in 2021. The research method was descriptive quantitative with a cross sectional approach. The sampling technique is Probability Sampling, the type of Proportionate Random Sampling. The study was conducted from 4 to 11 May 2021 in seven Independent Midwife Practices in the South Kuta District. The instrument using quisioner. Respondents are 68 non long-term-contraceptive acceptors. Research shows that respondents who use Non LTM the duration of 3 years (57,2%), are mostly aged 20-35 years (55.9%), basic education (51.4%), as many as (76.5%) with multipara parity, the main source of information from health workers (76 .5%), shared decision making (60.3%) and had mild side effects (73.5%), previously using injections for 3 months (47.1%), and (52.9%) considering side effects in choosing Non-long-term-methods. In practice, midwives more improve the quality of long-term contraceptive counseling and services, so that they can attract public interest, especially those with basic education levels.Keywords: Contraception, Non LTM, Women fertile age
Gambaran Karakteristik Ibu dan Peningkatan Berat Badan Bayi Prematur Setelah Dilakukan Relaktasi Ida Ayu Mirah Astuti; Ni Komang Yuni Rahyani; I Gusti Agung Ayu Novya Dewi
Jurnal Ilmiah Kebidanan (The Journal Of Midwifery) Vol 10, No 1 (2022)
Publisher : Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jik.v10i1.1685

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Abstrak: Bayi prematur memiliki refleks hisap yang lemah sehingga dalam pemenuhan nutrisi enteral dilakukan melalui orogastrik tube (OGT). Salah satu upaya yang dapat dilakukan adalah dengan melakukan relaktasi. Jenis  penelitian adalah deskriptif, rancangan crosssectional. Sumber data adalah rekam medis. Teknik sampling dilakukan dengan total sampling sebanyak 80 sampel. Hasil penelitian diperoleh karakteristik ibu berdasarkan usia terbanyak pada rentang usia 21-40 tahun (81,3%), pendidikan ibu terbanyak adalah pendidikan menengah (67,5%), dan paritas tertinggi adalah multipara (56,2%). Rata- rata berat badan bayi prematur sebelum dilakukan relaktasi adalah 1761 gram ± 172,41 gram. Rata-rata berat badan bayi prematur setelah dilakukan relaktasi 1882 gram ± 165,65 gram. Rata- rata peningkatan berat badan bayi prematur setelah dilakukan relaktasi adalah 20 ± 10,93 gram/hari. Rata-rata lama pelaksanaan relaktasi 6 ± 2,87 hari. Terdapat peningkatan berat badan bayi prematur setelah dilakukan relaktasi di Ruang Cempaka 1 NICU Level II RSUP Sanglah Denpasar Tahun 2020. Upaya relaktasi perlu dilakukan dengan memerhatikan kesiapan ibu, bayi, Standar Operasional Prosedur yang tepat, serta sarana dan prasarana di Rumah Sakit.Kata kunci: relaktasi;peningkatan berat badan bayi prematur; karakteristik ibu; orogastric tube Abstract: Premature babies have weak suction reflexes, so it is necessary to fulfill enteral nutrition through an orogastric tube (OGT). One of the efforts that can be done is to carry out relactation. This type of research is descriptive, cross-sectional design. The data source is medical records. The sampling technique was carried out with a total sampling of 80 samples. The results showed that the characteristics of mothers based on age were mostly in the age range of 21-40 years (81.3%), the highest maternal education was secondary education (67.5%), and the highest parity was multipara (56.2%). The average weight of premature babies before relactation was 1761 grams ± 172.41 grams. The average weight of premature babies after relactation was 1882 grams ± 165.65 grams. The average weight gain of premature babies after relactation was 20 ± 10.93 grams/day. The average length of implementation of relactation was 6 ± 2.87 days. There was an increase in the weight of premature babies after relactation in Cempaka Room 1 NICU Level II Sanglah Hospital Denpasar in 2020. Relactation efforts need to be carried out by taking into account the readiness of the mother, baby, appropriate Standard Operating Procedures, as well as facilities and infrastructure at the hospital.Keywords: relactation; premature baby weight gain; mother’s caracteristics; orogastric tube
Gambaran Dukungan Sosial Suami Dalam Rangka Pemeriksaan Inspeksi Visual Asam Asetat Di UPT. Puskesmas Dawan I Ni Kadek Dina Ardani Asih; Ni Komang Yuni Rahyani; Ni Nyoman Sumiasih
Jurnal Ilmiah Kebidanan (The Journal Of Midwifery) Vol 8, No 1 (2020)
Publisher : Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jik.v8i1.1195

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Cancer is an abnormal cell condition and grows out of control. The incident of cervical cancer can be lowered by having early detection of cervical cancer. One of facotrs that affects early detection is husbad’s support. This study aim to find out the description of husband’s social support on visual inspection with acetic acid (VIA). The primary data of this study were collected by using questionnaire with descriptive survery method research design. This study was conducted in Technical Implementing Unit (TIU) in Community Health Care Center of I Dawan on April 2019. The samples were 35 women of childbearing age aged 30 – 50 years old who were selected by applying consecutive sampling technique. The descriptive analysis result shows the frequency of those who did not have VIA are 21 respondents (60,0%). The higher frequency of informational support is the good category by 18 respondents (51,4%), instrumental support is the insufficient category by 19 respondents (54,3%), emotional support is the good category by 22 respondents (62,9%). In further, the result presents that husbands’ social supports on VIA are mostly on the insufficient category which is 18 respondents (51,4%). We need to concern in promotion effort to increase the target of early detection in cervical cancer.
Hubungan Waktu Pertama Menyusui pada Ibu Post Seksio Sesaria dengan Kejadian Bendungan ASI Ni Made Ari Sumaryanti; I Komang Lindayani; Ni Komang Yuni Rahyani
Jurnal Ilmiah Kebidanan (The Journal Of Midwifery) Vol 10, No 1 (2022)
Publisher : Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jik.v10i1.1535

Abstract

Air susu ibu (ASI) merupakan makanan terbaik bagi bayi dan diberikan sedini mungkin setelah ibu melahirkan. Kebijakan pemberian ASI antara lain Inisiasi Menyusui Dini (IMD) membantu ibu menyusui sedini mungkin setelah melahirkan sudah tertuang dalam Standar Prosedur Operasional di RSD Mangusada Kabupaten Badung. Penelitian ini bertujuan untuk mengetahui hubungan waktu pertama menyusui pada ibu post seksio sesaria dengan kejadian bendungan ASI.  Penelitian dilakukan pada tanggal 27 Maret  - 15 Mei 2021 di Ruang  Nifas RSD Mangusada Kabupaten Badung.  Jenis penelitian analitik dengan metode pendekatan cross sectional, data yang dikumpulkan adalah data primer waktu pertama menyusui ibu post seksio sesaria dengan kejadian bendungan ASI dengan jumlah sampel 55 orang.  Pengumpulan data dilakukan dengan metode observasi.  Data dianalisis dengan menggunakan uji Fishers Exact Test dengan nilai p 0,001. Hasil penelitian dari 35 orang ibu post seksio sesaria yang menyusui dengan waktu pertama menyusui 6 jam terdapat 45,7% yang mengalami bendungan ASI. Terdapat  hubungan yang signifikan antara waktu pertama menyusui  dengan kejadian bendungan ASI.  Saran kepada petugas agar meningkatkan informasinya dalam hal perawatan payudara dan  pemberian ASI segera setelah melahirkan sesuai dengan Standar Prosedur Operasional (SPO) yang berlaku.
USIA REMAJA MELAKUKAN INISIASI HUBUNGAN SEKS PRANIKAH DAN PENGGUNAAN KONTRASEPSI DI BALI Ni Komang Yuni Rahyani
Jurnal Ilmu dan Teknologi Kesehatan Vol 2 No 1 (2014): September
Publisher : Poltekkes Kemenkes Jakarta III

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (49.093 KB)

Abstract

Adolescent were sexually active, will facing the negative impact in their health in the future. The study aim is to analyze the time of premarital sexual intercourse initiation and contraception use among adolescent age 15 - 18 years old in Bali. The study design was a longitudinal study with observations over 16 months. The study population was students in two high school grade 10 and 11 in the city of Denpasar. Samples were 169 respondents included in this study. Statistical analysis used the Kaplan-Meier life table to determine the premarital sexual intercourse initiation probability by age. Results: Of the 169 adolescent samples classified as not at risk (48 males and 129 females), the incidence of premarital sexual intercourse initiation in male and female was 14.6% and 6.6%, respectively. Kaplan-Meier life table analysis show that the risk of adolescent male of losing their virginity until the age of 18.5 was four times higher than female (58.5% vs. 14.2%). Contraception use were lower among female adolescent than male adolescent (37.5% vs 42.9%), and adolescent who were lived in urban area than rural area (38,5% vs 50,0%). Conclusion: Contraception use among female adolescent was lower than male adolescent. We need to improve adolescent knowledge about contraception and consideration about contraception service among adolescent who were sexually active.