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Tingkat Pengetahuan dan Pelaksanaan Pap Smear Pada Ibu Pasangan Usia Subur di Dusun Kemasan Desa Karang Tengah Imogiri Bantul Tahun 2015 Chusnul Khotimah; Dyah Noviawati Setya Arum; Munica Rita Hernayanti
Jurnal Kesehatan Ibu dan Anak Vol. 11 No. 2 (2017): November
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/kia.v11i2.40

Cervical cancer is the second most common cancer in the world. In developing countries still ranks first as a cause of cancer deathsin women of reproductive age. Pap smear has proved very useful for early detection of cervical cancer since pre-cancerous stage,but many women are reluctant to undergo a pap smear because of ignorance, shame, fear, and cost factors. While the Pap smearcoverage lowest in Imogiri health center II is 0%. The type of research is a descriptive study with cross-sectional approach. Todescribe the level of knowledge and overview of the implementation of Pap smears in women in fertile age couple in the KemasanHamlet Karang Tengah Village Imogiri Bantul. The entire population of mothers in fertile age couple who attended of the PKK andwilling to become respondents in the Kemasan Hamlet Karang Tengah Village Imogiri Bantul. The results of research that themajority of respondents aged> 35 years (51.1%), basic education (50%), does not work (53.44%), obtain resources through onesource (63.3%). The level of knowledge about Pap smears in women PUS (Pasangan Usia Subur) in the Kemasan Hamlet KarangTengah Village Imogiri Bantul 2015 is in the category enough that 72.7% and most did not carry out pap smear that is, 86.4%. Theconclusion that the level of knowledge about the EFA mother pap smear EFA in the Kemasan Hamlet Karang Tengah Village ImogiriBantul 2015 enough and did not carry out pap smear.

Faktor-Faktor yang Mempengaruhi Kegagalan IUD di Kota Yogyakarta Tahun 2013-2016 Maranata Maranata; Siti Tyastuti; Munica Rita Hernayanti
Jurnal Kesehatan Ibu dan Anak Vol. 11 No. 1 (2017): Juli
Publisher : Poltekkes Kemenkes Yogyakarta

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The highest in DIY for 2013-2016 in Jogja. The effects of the failure of IUD are abortus, sepsis, ectopic pregnancy, frequency of lowbirth and premature born. The factors that influence IUD failure are age, parity, IUD type, gynecology history (breast sickness,expulsion event). Uterus length, education, experience of using IUD, and the period in using IUD. This research purpose is to knowfactors that influence of IUD failure in Jogja from 2013-2016. This research is analytical observational with cross sectional design,simple random sampling technique. subject with 317 subject IUD acceptor. The selected variables are IUD's type, age, parity, periodof use expulsion IUD. Data collecting in this research is from IUD family planning report. Bivariate analysis showed that variablesaffecting IUD failure are IUD types (p=0,013), age (p=0.001), duration of used (p=0,000), expulsion (p=0,000). The resultsmultivariant collecting influence variable are IUD types (p=0.005) (PR 2.40, 95%, CI = 1.302 - 4.427), age (p=0.003) (PR=0.379 95%CI = 0.199-0.719), expulsion event (p=0.002) (PR = 3.677 95% CI = 1,591-8,498). Factors that influence IUD failure are IUD type,age, expulsion occurrence of parity and duration has no effect on IUD failure.

The advanced of audio visual learning media for children development examination by using pre screening developmental questionnaire for midwifery students Yuliasti Eka Purnamaningrum; Munica Rita Hernayanti
Jurnal Kesehatan Ibu dan Anak Vol. 12 No. 1 (2018): July
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/kia.v12i1.67

The number of children under five years in Indonesia is approximately 10 percent from the overall population; therefore it needs serious attention to improve the quality of their development as these children will become the next generation of the nation. The examination of child development by using Pre-screening developmental questionnaire (Kuesioner Pre Screening Perkembangan (KPSP) is one of the competences of the midwivesTo improve the quality of student learning outcomes, teachers should provides creative and interesting learning sources which are easily understood by the students. Video is one of the learning media considered more effective to use because it stimulates sight, hearing, and kinesthetic (movement) at one time (at a time). Further, it enables open discussion among students and facilitators. This research aimed to produce a product of audio visual learning media or video material used in child examination by using KPSP. The type of research undertaken is product-oriented research and development.Research is conducted by involving the product design stage, product making and development, and product evaluation. The research findingsare (1) the audio visual media or learning video used for teaching child development by using KPSP, (2) material experts, media experts, education experts and students state that video as the learning media to explain child development by using KPSP is considered feasible. Audio-visual media of children's developmental examination materials using KPSP can be used as an alternative learning media to improve students' motivation and creativity in improving child's developmental examination skills.

Faktor resiko persalinan ekstraksi vakum pada primipara terhadap asfiksia neonatorum Rindy Diaz Andromeda; Sabar Santoso; Munica Rita Hernayanti
Jurnal Kesehatan Ibu dan Anak Vol. 5 No. 1 (2014): Juli
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/kia.v5i1.174

AKB di Indonesia masih tinggi yaitu 34 per 1.000 kelahiran hidup dimana salah satu penyebabnya adalah asfiksia neonatorum. Faktor risiko asfiksia antara lain adalah persalinan dengan ekstraksi vakum dan status ibu primipara. Kabupaten Bantul menduduki peringkat tertinggi kasus kematian neonatal karena asfiksia di DIY. Data di RSUD Panembahan Senopati pada tahun 2011 menunjukkan 30,48% bayi mengalami asfiksia dan 10,06% persalinan dengan ekstaksi vakum. Penelitian dilakukan menggunakan pendekatan case control (retrospektif) dengan sumber data rekam medik di RSUD Panembahan Senopati Bantul,. Populasi dalam penelitian ini adalah seluruh bayi baru lahir di RSUD Panembahan Senopati Bantul yang tercatat dalam rekam medik selama tahun 2011 sejumlah 2.753 bayi, dengan teknik systematic random sampling diperoleh jumlah sampel 48 orang elompok kasus dan 48 orang kelompok kontrol. Data penelitian dianalisis dengan univariat dan bivariat (Chi Square, coefficients contingency dan odd ratio). Hasil penelitian menunjukkan proporsi persalinan ekstraksi vakum pada primipara yang menimbulkan kejadian asfiksia sebesar 62,5% lebih besar daripada persalinan normal. Nilai chi square sebesar 10,741 dengan p-value 0,001 yang artinya persalinan ekstraksi vakum pada primipara merupakan faktor risiko terhadap asfiksia neonatorum. Nilai OR = 3,98 dengan Confidency Interval antara 1,59 sampai dengan 10,41 artinya ibu primipara dengan persalinan ekstraksi vakum 3,98 kali akan berisiko terjadi asfiksia pada bayi baru lahirnya.

Pengaruh pemberian ceramah dengan media leaflet dalam meningkatkan pengetahuan tentang kaki bengkak Afriagus Handayani; Margono Margono; Munica Rita Hernayanti
Jurnal Kesehatan Ibu dan Anak Vol. 7 No. 1 (2015): Juli
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/kia.v7i1.208

The causes of maternal deaths are largely due to bleeding during childbirth. Bleeding during labor may be caused, among others, due to anemia pregnant women, in addition to other diseases such as hypertension resulting in eclampsia. Eclampsia is the result that would occur during labor in patients with preeclampsia, which is accompanied by thorough seizures and coma. Similarly, pre-eclampsia, eclampsia can occur in ante, intra, and postpartum. Postpartum eclampsia generally only occurs within the first 24 hours after delivery. Edema or swelling in the legs during pregnancy due to increased blood volume during pregnancy and pressure from the uterus to the blood vessels in the legs, mild leg edema often occurs during pregnancy. Research abjective this research is aimed at finding out the influence of giving a talk using leaflet medium in improving the knowledge of pregnant women on swollen feet at the Public Health Center of Ngampilan, Yogyakafta.lt is a kind of pre-experiment research with one group pretest and post-test. This research is conducted at the Public Health Center of Ngampilan between July 11th and 22nd,2014. The subject of this research ls pregnant women at the respective public health center. There are 24 respondents altogether for this research. The instrument used ta collect data is in the form of a questionnaire. A paired sample t-test is used to analyze the data. The average grade of the pretest is 53.12. Meanwhile, the average grade of the post fest is 83.86. The assessment of a hed sample t-test has resulted in the p-value of 0.000<0.05 so there is a significant difference between the grades of the pretest and posttest. if graded, the knowledge increase by 30.73. ln terms of knowledge improvement, there is a significant difference between the two test groups. Giving a talk using leaflet medium is, in fact, able to improve the knowledge of pregnant women on swollen feet at the Public Health Center of Ngampilan in 2014.

Tingkat pengetahuan, sikap, dan keterampilan ibu dalam penanganan awal diare pada balita Puspita Ayu Aryani; Margono Margono; Munica Rita Hernayanti
Jurnal Kesehatan Ibu dan Anak Vol. 8 No. 2 (2015): November
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/kia.v8i2.226

The WHO reported that themain cause of death in toddlers ( post neonatal ) is diarrhea.Death in toddlers due to diarrhea at 14%.The provision of a liquid a substitute ( a liquid rehidrasi ) as initial handling diarrhea can reduce the rate death from dehydration.The behavior of the people in penatalaksanaan diarrhea at households not yet good.The purpose of this study is to find the level of knowledge attitude, and skill mother in initial handling diarrhea in hamlet Papringan Sleman 2015.A method of this research are thoughts of diskriptif cross sectional.The subject of study is 54 mother who have babies in rw 02 and rw 05 hamlet papringan.A measuring instrument the research uses a questionnaire covered right wrong, likert, the manufacture of and checklist of sugar solutions salt.The result of this research aremostlymotherwas & it; 45 years educatedmiddle exposed to information and the source of exposure to the majority of information from a source of direct. The knowledge of the most of it.The attitude towards the initial diarrhea in toddlers and 50 %to 50 %, there is no support mostly mother has enough in research skills but there are two items less

Hubungan jenis persalinan dengan kejadian asfiksia neonatorum Theresia Asmaningsih Retno Rahayu; Sabar Santoso; Munica Rita Hernayanti
Jurnal Kesehatan Ibu dan Anak Vol. 8 No. 2 (2015): November
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/kia.v8i2.227

The incidence rate of neonatal asphyxia in Kulon Progo Regency Hospital has increased between 2011 to 2012. 35.6% in 2011 to 38.5% in 2012. The act of childbirth in hospitals also increased between 2011 (48.5%) to 2012 (50.3%). Research to determine the ype of labor relationship with the incidence of neonatal asphyxia in Kulon Progo district hospitals in 2012. This is a type of observational analytic study using a case-kontroi study design (retrospective). Subjects were Babies born Apgar <7 and ? APGAR 7.Total baes born with a sample of 100 cases and 100 kontrots. asphyxia dependent variable and the independent variable types delivery. The analysis used Chi-squarewith significance level 0.05. Risk Estimate and test (OR). The results of Chi-Square test witha value of 0.05 obtained value p = 0.000, which means there is a significant relationship between the type of delivery with the ncidence of neonatal asphyxia. OR calculation results showed amean value of 3.79 Babies born with artificial birth had 3.79 times greater risk than the Babies born with spontaneous labor. There is significant correlation between the type of delivery with the incidence of neonatal asphyxia in Kulon Progo district hospitals in 2012. Babies born through artificial birth asphyxia have likely experienced 3,79 times greater than infants born spontaneously.

Pengaruh akses informasi kesehatan reproduksi remaja dengan perilaku ibu dalam memberikan pendidikan seksualitas Niken Meilani; Nanik Setiyawati; Munica Rita Hernayanti
Jurnal Kesehatan Ibu dan Anak Vol. 2 No. 2 (2012): November
Publisher : Poltekkes Kemenkes Yogyakarta

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Source of Adolescent Reproductive Health Information and Behavior of Early Adolescent Mother in Providing Sexuality Education; The incidence of premarital sex and HIV positive in adolescents is increasing. Teens need information about sexuality, and the role of mothers in the early adolescent is very important. The purpose of this research is to find out the effect of source of adolescent reproductive health information and mother's behavior in giving the sexuality education. This type of research is an analytic correlational with cross sectional approach. This research due on June-July 2012. Sample of 92 mothers of adolescents aged 10-14 years belonging to the Pilot Project Bina Keluarga Remaja by cluster sampling. Data collection by interview using a questionnaire. Data analysis includes univariate, bivariate and multivariate analyzes. The results showed only 44.6% of mothers who behaved well in giving sexuality education. There are relationship between source of ARH information from health provider (p=0 001), society organizations (p=0.024), electronic media (p=0.022) and from mass media (p=0.003) While from the above variables are most influential is source of ARH information from health provider (p=0.006, OR= 3.78)

Upaya pencegahan infeksi oleh bidan praktik swasta dalam asuhan persallinan di Kabupaten Kulon Progo Munica Rita Hernayanti; Martha Irene Kartasurya; Dharminto Dharminto
Jurnal Kesehatan Ibu dan Anak Vol. 2 No. 2 (2012): November
Publisher : Poltekkes Kemenkes Yogyakarta

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Infection prevention practices by health workers was still selectively done. ln Kulon Progo district 44.4% of infant mortality was caused by sepsis, 9% by post-delivery fever complication. The majority of delivery assistance (59 %) was done by private Practice Midwife (BPS). Almost a half (47.8%) of BPS has Delima midwives predicate. They should do their work with service of excellence. A preliminary study showed that Delima midwives did not take into account infection prevention and they felt that infection prevention was annoying. The study objective was to identify infection preventive action difference between Delima and non Delima midwives in the delivery care. This was an observational analytic and comparative study with cross sectional approach. Study population was all 90 BPS in Kulon Progo district. Study subjects consist of 34 Delima midwives and 34 BPS non Delima who fulfilled inclusions and exclusion criteria. Data were collected through survey using questionnaire and observation using observation sheet. Results of study showed that Delima midwives had higher value on eight examined variables than non Delima BPS. Result of a difference test showed that there was a significant difference in the implementation of infection prevention (p = 0.003), knowledge (p = 0.037), attitude (p = 0.03), patient satisfaction perceptions (p = 0.016), perception on workload (p = 0.027), support from organization profession (p = 0.012). There was no significant difference in infection preventive training (p = 0.169) and midwives’ motivation (p = 0.325). Result of bivariate test with age stratification showed that two variables namely implementation of infection prevention and patient satisfaction perceptions were not significantly different in both elder age group and young age group. Recommendation for lBl is to establish standard procedure of infection prevention in the delivery care. All members of lBI should obey this standard procedure. lBl should develop Delima midwives’ program to improve BPS service. Recommendations for district health office are to facilitate training implementation on the management of infection prevention, to collaborate with IBI to do supervision to BPS focusing on important of infection prevention especially in the delivery care.

Sikap ibu hamil terhadap layanan VCT HIV/AIDS di wilayah Puskesmas Sleman Yogyakarta tahun 2012 Nanik Setiyawati; Niken Meilani; Munica Rita Hernayanti
Jurnal Kesehatan Ibu dan Anak Vol. 3 No. 1 (2013): Juli
Publisher : Poltekkes Kemenkes Yogyakarta

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The developing preteen autism have the same development as the normal ones. Autism uneducated sexual have risked get sexual harassment ABA method are commonly used for therapies, study showed 47.0% autism will have normal behavioral. Result of former study showed that autism spent more time to have activities at schools and have more interaction with their teachers. Purpose of the research: to make tools such as small pictured books and the lesson plan for applied behavioral analysis method in preparing autism facing menarche. Method of this research are action research and descriptive survey. The sample of this research using snowballing technic. This research takes 15 respondents. Analysis technic uses content analysis and item analysis using Pearson product moment. Result: The result of this research are the books of small pictured books can be used as prompt for preparing autism facing menarche. Descriptive analysis showed expedience degree of appropriate are 66.7% and for the content are 87.1%. Tools of lesson plan has the component and material accordance with Permendiknas No. 41 tahun 2007. The result of item analysis shows that item which can be used are: identity, standard competency, learning indicator, learning material, learning resource, the material is understandable and systematic. Expedience degree of lesson plan are 85.5% and far reference lessons are 80.0%o. Conclusion: lesson plan and pictures books as tools can be used

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