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Hubungan Panjang Badan Lahir dengan Perkembangan Anak Usia 3-24 Bulan di Kabupaten Gunungkidul Tahun 2017 Rikha Galih Nurmalasari; Yani Widyastuti; Margono Margono
Jurnal Kesehatan Ibu dan Anak Vol. 11 No. 1 (2017): Juli
Publisher : Poltekkes Kemenkes Yogyakarta

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Development is the increasing ability of complex body functions, as a result of the maturation process. Development influenced byseveral factors, one of which is the nutrition or growth of fetus since in the uterus. One of the nutritional status assessment is bylooking at the indicator of body length. Children who have low birth length are possibility to experience developmental delay, whichwill adversely affect the child's development. This study aims to determine the relationship of birth length with children developmentage 3-24 month in Gunungkidul Regency 2017. The design of this study is observational analytic with Retrospective Cohort design.This research was held from March to May 2017 in the working area of Public Health Centers Karangmojo I and Semanu I, usingpurposive sampling technique that the respondent is children with low birth length as many as 106 children and respondents withnormal birth length as many as 106 children. Data collection by looking at the Maternal and Child Health book or Card Toward Healthand developmental test directly implemented using Denver II. Hypothesis test is using chi-square analysis at 95% confidence level.The results showed children that experiencing developmental disorders as many as 45 (42.46%) respondents with low birth lengthand 22 (20,75%) respondents with normal birth length, with p-value 0.001 and RR 2 (95% CI 1.327-3.154). This research can beconcluded that there is a relationship of birth length with children development age 3-24 month and children with low birth length havea twofold greater risk to experience developmental disorders than normal birth length children.

The correlation of exclusive breastfeeding toward decreasing of infectious diseases in baby aged 6-12 months Diinah Fadhilah; Yani Widyastuti; Dyah Noviawati Setya Arum
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.v12i1.123

Infant mortality Rate in Indonesia has increased in the last 5 years. The cause of death in infants aged 29 days to 11 months is dominated by infectious diseases. Previous research suggests that infectious diseases can be prevented by breastfeeding. Whereas Exclusive Breastfeeding coverage in Sleman District has increased over the last 5 years. The purpose of this study was to determine the correlation of exclusive breastfeeding towards decreasing of infectious diseases in infants aged 6-12 months. This study was conducted from March to April 2018. This study was a correlative analytic observational study with a historical cohort design. The subjects of this study were children aged 6-12 months in the working area of ??Puskesmas Mlati II. Exclusive breastfeeding was assessed using interview and incidence of infectious diseases seen from medical records with a sample size of 130 babies with sampling using purposive sampling. The results showed that the low incidence of infectious diseases (60%) is greater than the high incidence of infectious diseases (40%). Statistical analysis with Chi-Square test obtained p value=0,000, so the analysis result was p<0.05 which showed that there was the correlation of exclusive breastfeeding towards the incidence of infectious diseases in infants aged 6-12 months. RR value 2,00 (95% CI 1,450-2,759) on the incidence of infectious diseases. Children who received exclusive breastfeeding had a decreasing incidence of infectious diseases 2,00 times greater than non-exclusive breastfeeding. Multivariate analysis obtained p value=0,017 means there was a correlation between exclusive breastfeeding, nutrition status, maternal education background, and socio-economic status to the incidence of infectious diseases in infants aged 6-12 months.

Sikap tentang aborsi pada siswi kelas XI Farikhah Nur Laila; Yani Widyastuti; Hesty Widyasih
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.v8i2.232

Teenage pregnancy is closely related to unwanted pregnancy. The number of teenage pregnancies has increased based on SDKI2007 to 2012. The aspects that need to be highlighted as a result of the end of unwanted pregnancy one is abortion. In Indonesia theabortion cases increase in 2012 with eight people died. From the data of SKRRI in 2007 on Indonesian teenagers and theirpermissive attitude toward abortion, the highest percentage is those women who are still in school (37.5%). This study is aimed todetermine the description on abortion of the students in class XI at SMAN 11 Yogyakarta in 2015. This study is descriptive methodwith cross-sectional design. There are 156 respondents. The data measured are attitudes about abortion using questionnaire. Thedata analysis is performed using univariate. The result shows as many as 82 students (52.6%) of grade XI have positive attitudeabout abortion. Meanwhile, those having negative attitude are 74 respondents (47.4%). Those having positive attitude are the onesmajoring in science, residing in urban areas, obtaining dominant sources of reproductive health information fromparents and havingat least 3 sources of reproductive health information. Themajority students of class XI have positive attitude about abortion.

Karakteristik ibu yang tidak memberikan ASI eksklusif Muryati Muryati; Yani Widyastuti; Yuliasti Eka Purnamaningrum
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.v7i1.235

Baby food and children are critical to improving child survival and promote healthy growth and development of promotive and preventive efforts to prevent deaths and improve children's intelligence have been carried out, showing that breastfeeding is the best way to decrease the mortality of children under five. Sleman PHC is one of the health centers in the district of SIeman the number of infants who are exclusively breastfed lows in 2011 is 38.30%. Order to determine the characteristics of mothers who did not breastfeed exclusively at PHC Sleman 2012. Type a descriptive study with a cross-sectional design. The population in this study is that all mothers of infants aged 6-12 months are not exclusive breastfeeding at Puskesmas Sleman in 2012. In this study using a study population that was not done sampling. Maternal characteristics are based on education, employment, parity, and age. The data analysis using descriptive analysis techniques with relative frequency distribution method. Result: Women who are not exclusively breastfed majority of primary education (48%), work status (86.7%), parity 1 (41%), and unhealthy reproductive age (63.3%).

The effect of premarital sex counseling using jigsaw method on adolescent’s knowledge Happy Imanisa Mahira; Anita Rahmawati; Yani Widyastuti
Jurnal Kesehatan Ibu dan Anak Vol. 13 No. 1 (2019): July
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/kia.v13i1.388

The problem that stands out among adolescents is about the Three Problems of Adolescent Reproductive Health, one of which is premarital sex. The low level of knowledge about sexuality and reproductive health is one of the factors that influence the occurrence of premarital sex relations. One effort to provide reproductive health information for adolescents is to provide health promotion or counseling. Health counseling conducted in this study was the jigsaw. The objective was to know the influence of giving counseling with jigsaw compare to lecturer method on knowledge about premarital sex. This research was quasi-experiment research with pre-test and post-test nonequivalent control group design. The study was conducted in March 2019 in YPKK 1 and YPKK 2 Vocational School, Sleman. The sampling uses convenience sampling. The sample for each grup of this study amounted to 30 respondents. Data was analyzed using the Wilcoxon test and the Mann Whitney test. There was significant difference in the pre-test and post-test of adolescent’s knowledge about premarital sex with the jigsaw method (Mean difference= 14.66; p-value= 0.000) and lecture method (Mean difference= 6.00; p-value= 0.001). There was significant difference in knowledge changes of adolescent’s knowledge about premarital sex with the jigsaw method than lecture method (Mean difference= 19.84; p-value= 0.000). The jigsaw method was more effective on increasing knowledge of adolescent’s about premarital sex.

Efektivitas pijat oksitosin terhadap produksi ASI dan involutio uteri pada ibu post partum hari ke-0 di Puskesmas Jetis 1 Bantuk Tahun 2011 Nurul A. Sidik; Yani Widyastuti; Yuliasti Eka Purnamaningrum
Jurnal Kesehatan Ibu dan Anak Vol. 1 No. 1 (2012): Juli
Publisher : Poltekkes Kemenkes Yogyakarta

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The Infant Mortality Rate in Indonesia by Demographic and Health Survey the year 2007 still high as 34/1000. The cause of the problem of infant modality associated with drinking milk, less milk can affect milk production, decreased milk production on the first day of the birth due to a lack of stimulation of the hormone prolactin and oxytocin affecting lactation. The decrease in baby sucking hormone stimulation can lower prolactin and oxytocin. The main cause of maternal death is postpartum hemorrhage. Bleeding due to retained products of conception may hinder the process involusia uteri. A technique carried out by massage techniques oxytocin. Objectives to the effectiveness of massage and oxytocin on milk production involution uteri on day 0 postpartum mothers at the Health Center Jetis I Bantul District. Methods: The True Experiment study types. The study design was posttest - only control group, sampling technique with non-probability Consecutive sampling The sample in the study of maternal postpartum days 0, amounting to 62 people. Where 31 people in the experimental group and 31 people in the control group. Bivariate analysis techniques using independent test samples t-test. The result there was difference production of milk in the postpartum mother day it to zero are massaged the oxytocin between the control and treatment groups be obtained t count of 5.72 with p-value = 0.000 thus the p-value <0.05 and massage oxytocin has a 3 times greater odds for the increase in production of milk compared with the control group. And there is no difference involusio uteri of postpartum mothers day to zero are massaged oxytocin between the control and treatment groups obtained t count for 0.99 p-values = 0.000 thus tho pvalue> 0.05.

Perbedaan tingkat pengetahuan dan sikap sebelum dan sesudah penyuluhan HIV/AIDS dengan video Mas Dwi Retna Ambarukma; Yani Widyastuti; Dyah Noviawati Setya Arum
Jurnal Kesehatan Ibu dan Anak Vol. 2 No. 2 (2012): November
Publisher : Poltekkes Kemenkes Yogyakarta

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Based on DJP3LKK report on 2011 of HIV/AIDS in lndonesia 2OO9 commutatively 25,18yo and increased to 33,5% in 2010, dominated by productive ages. One of the factors are less comprehensive of knowledge in HIV/AIDS BKKBN survey in 2008, there are 20,6% teenage had comprehensive knowledge. Education of HIV/AIDS used video is one of ways to give information. To increased knowledge and behavior toward preventing HIV/AIDS spreading. Purpose of this study to identify difference of knowledge level and behavior toward HIV/AIDS before and after health education using video in Highschool Sedayu 1 Bantul 2013. This study is quasi experiment with pretest-posttest with control group design. Sample of this study used purposive sampling; each group consist of 33 student. Data collecting used questioner. Data analyzed use paired t-test with significance 95%. The result are mean of pretest is 56,49 and behavior is 49,99. Mean of posttest in knowledge is 74,91 and behavior is 56,81 . Difference mean of knowledge are =18,42 and behaviour is =6,81 . From t-test, p-values treatment group (0,000) < 0,05 and p-value for control group (0,000) < 0,05.

Hubungan umur dan menopause dengan kejadian prolapsus uteri di RSUD Panembahan Senopati Heni Suryani; Suherni Suherni; Yani Widyastuti
Jurnal Kesehatan Ibu dan Anak Vol. 3 No. 1 (2013): Juli
Publisher : Poltekkes Kemenkes Yogyakarta

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Data Haalth office Yogyakarta showing two consecutive years (2oog-2010) there was an increase in the incidence of uterine prolapse Bantul 15.1%. The causes are common in uterine prolapse is the age and menopause. ln old age and menopause, estrogen has been reduced so that the pelvic floor muscles lo atrophy and weaken. Morbidity due to uterine prolapse is defecation, urination and sexual function. Based on preliminary studies in hospitals Panembahan Senopati obtained 128 patients experienced uterine prolapse in 2011. Objective: to knowing the relationships maternal age and menopausal status with the incidence of uterine prolapse in Panembahan Senopati Hospital in 2o11. Methods this study is an observational analytic cross-sectional approach. The samples were all gynecological patients in Poly Gynecology Hospital Panembahan Senopati who meet the inclusion and exclusion criteria totaling 196 subjects. Using the format of the data collection instrument records obtained from medical records. Further univariate analysis, the chi-square bivariate and multivariate logistic regression analysis. Results the proportion of study subjects aged > 55 years was 55.1% and age <55 years 44.9%. The results of the bivariate correlation p-value O.OOO, Rp = B.305 and multivariate correlation results p = 1.760, Cl (2.484 to 13.610). The proportion of subjects who menopause 56.1%, 43.9% were not menopausal. The results of the bivariate correlation p-value 0.000, RP = 6.624, multivariate correlation results p = 1..412, Cl (1.9O4 to 9.984). There is a significant relationship between age and the menopause the incidence of uterine prolapse. the variable age has a greater influence on the occurrence of uterine prolapse than menopause variables.

Kejadian ketuban pecah dini dan kejadian asfiksia pada bayi baru lahir Shufiatul Istiqomah; Dyah Noviawati Setya Arum; Yani Widyastuti
Jurnal Kesehatan Ibu dan Anak Vol. 4 No. 2 (2013): November
Publisher : Poltekkes Kemenkes Yogyakarta

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Neonatal mortality worldwide approximately 23% are caused by asphyxia. The cause of asphyxia and premature rupture of membranes (PROM) is one of the causes of asphyxia especially in Indonesia. Moreover, Gunungkidul district showed the highest numbers of infant death in DIY (Yogyakarta). In regional general hospital (RSUD) Wonosari there was an increasing PROM incidence in the period of 2010-2012. This is followed by the increased of asphyxia. The research employee observational methods, with retrospective cohort design. This research was done in the RSUD Wonosari with purposive sampling. The research subject was the maternity from January, 1st to December 31st 2012 which into 2 groups, the exposed groups (women giving birth with PROM) and the unexposed group (women giving birth with no PROM). Hypothesis test using Chi-square test. As much as 50.8% maternal with PROM giving birth asphyxia. The significance value is 0.00 (p-value<0.05) then there is a relationship between the occurrence of events PROM with asphyxia with RR 2.3 95% CI (1.54-8.89). Genesis PROM increased 2.3 time of asphyxia risk in newborn.

Risk factors that influance incidence of neonatal asphyxia Dwi Yuniar Putri Arumawati; Sabar Santoso; Yani Widyastuti
Jurnal Kesehatan Ibu dan Anak Vol. 14 No. 1 (2020): July
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/kia.v14i1.894

The incidence of asphyxia can have an impact on infant mortality due to factors such as mother, fetus, and childbirth. There was an increase in cases of Sleman Regional Hospital from 12.2% (2017) to 24.2% (2018). The objective of this study was to determine the risk factors that influence the incidence of asphyxia. The research used a control case design. The population of all newborns in Sleman Regional Hospital and the sample was 70 asphyxia and 70 non-asphyxic babies. Research time was August 2019-May 2020. Sampling used consecutive sampling. The variables studied were maternal age, parity, amniotic fluid, premature rupture of membrane (PROM), birth weight, and prematurity. Data were analyzed univariate, chi-square test, and logistic regression. The proportion of asphyxia babies, most of the subjects, were at the age of the mother who was not at risk (74.3%), parity at risk (61.4%), clear amniotic fluid (68.6%), not PROM (74.3%), not LBW (67.1%) and not premature (67.1%). Meanwhile, infants who were not asphyxia, almost all subjects were at the age of the mother who was not at risk (78.63%), parity at no risk (58.6%), clear amniotic fluid (90.0%), not PROM (80%), not LBW (84.3%), and not premature(91.4%). The variables associated with the incidence of asphyxia were parity(p-value 0.028; OR 2.252; 95% CI 1.145-4.429)); meconium in the amniotic (p-value 0.004; OR 4.125; 95% CI 1.628-10.452); birth weight (p-value 0.03; OR 2.625; 95% CI 1.163-5.926) and prematurity (p-value 0.001; OR 5.220 95%;CI 1,971-13,827). Maternal age (p-value 0.690; OR 1.269 95%; CI 0.580-2.777) and PROM (p-value 0.546; OR 1.385 95%; CI 0.626-3.063) were not related. The most dominant factor was prematurity (p-value 0,000; OR: 8.549; 95% CI 2.947-24.800). The incidence of asphyxia was influenced by parity, meconium in the amniotic fluid, birth weight, and prematurity. Meanwhile, maternal age and PROM did not affect the incidence of asphyxia.

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