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All Journal Jurnal Kedokteran Brawijaya Jurnal Kesehatan Reproduksi Universa Medicina Indonesian Journal of Medicine Journal of Maternal and Child Health Proceedings of the International Conference on Nursing and Health Sciences Folia Medica Indonesiana

Supriyadi Hari Respati

Bagian Obgin FK UNS/ RSUD Dr. Moewardi, Jl. Kol. Sutarto 132 Surakarta

Author-ID : 359600

Biochemistry, Genetics & Molecular Biology Economics, Econometrics & Finance Education Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Medicine & Pharmacology Neuroscience Nursing Public Health

Published : 21 Documents Claim Missing Document

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The Effect of Hypnotherapy on Postpartum Pain and Depression in Women with Post Caesarean Delivery Mahandaru, Araafi Hariza; Respati, Supriyadi Hari; Sulistyowati, Sri; Laqif, Abdurahman; Prasetya, Hanung
Indonesian Journal of Medicine Vol. 6 No. 2 (2021)
Publisher : Masters Program in Public Health, Sebelas Maret University

Background: Postoperative pain is one of the most common problems in women after cesarean section. Caesarean section is also associated with post-partum depression. Hypnotherapy is one of the complementary therapy options that are effective and efficient in reducing pain symptoms and post-partum depression. This study aimed to analyze the effect of hypnotherapy on the level of pain and post-partum depression in post-cesarean section patients.Subjects and Method: This was an experimental single-blind randomized controlled trial with a post-test group design, which was conducted from January to April 2021, at the Dr. Moewardi and Universitas Sebelas Maret Hospitals, Surakarta. A sample of 80 patients with cesarean section was divided into two groups, namely 40 patients in the hypnotherapy group and 40 patients in the control group. The independent variable was hypnotherapy. The dependent variables were pain and depression. Hypnotherapy was carried out by self-hypnosis using audio recordings of hypnotherapy in 2 sessions before and after the cesarean section procedure. The pain was measured by the Numeric Rating Scale. Post-partum depression was measured by the Edinburgh Postnatal Depression Scale. The data were analyzed by an independent t-test.Results: Post-cesarean section pain in the group of hypnotherapy (Mean= 4.58; SD= 1.20) was lower than without hypnotherapy (Mean= 6.48; SD= 1.01), and it was statistically significant (p<0.001). Postpartum de-pression in the group of hypnotherapy (Mean= 6.08; SD= 1.60) was lower than non-hypnotherapy group (Mean= 8.48; SD= 3.78), and it was statistically significant (p <0.001).Conclusion: Hypnotherapy has a significant effect on reducing pain and post-partum depression in post-cesarean section patients.Keywords: Hypnotherapy, pain levels, post-partum depression, post-cesarean sectionCorrespondence: Araafi Hariza Mahandaru. Department of Obstetrics and Gynecology, Faculty of Medicine, Universitas Sebelas Maret/ Dr. Moewardi Hospital, Surakarta, Jl. Kolonel Sutarto, Jebres, Surakarta 57126, Central Java. Email: mahandarurafi@gmail.com.Indonesian Journal of Medicine (2021), 06(02): 194-205https://doi.org/10.26911/theijmed.2021.06.02.08

Faktor yang Berhubungan dengan Penerimaan Alat Kontrasepsi Dalam Rahim Pascasalin di Samarinda Pella Todungbua', Prima Derry; Cahyanti, Ratnasari Dwi; Respati, Supriyadi Hari
JURNAL KESEHATAN REPRODUKSI Vol 7, No 2 (2020)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.56939

Background: Maternal mortality rate (MMR) in Indonesia is 305 per 100.000 live births. The intervention to suppress MMR according to four pillars of Safe Motherhood is reducing the possibility of woman becoming pregnant with Family Planning. The postpartum period is an important time to start, but underutilized. All contraceptive methods may be used, but the high rate of drop-out in non-long-term methods, counselling is directed to long-term methods like IUD.Objective: To determine factor that related postpartum IUD acceptance in Samarinda.Method: The research method is observational with cross sectional design. Sampling is done by purposive sampling. Data were obtained through questionnaire.Result: There was no significant association between age (p=0.438), parity (RR=0.7; p=0.077), education (RR=1.11; p=0.611), and income (RR=0.69; p=0.105) Â with acceptance of postpartum IUD. Employment (RR=1.64; p=0.025), history of family planning counselling (RR=3.37; p<0.001), and husband's approval (RR=28.8; p=<0.001) have significant association with the acceptance of postpartum IUD.Conclusion: Age, parity, education, and income are not related factors of postpartum IUD acceptance, while employment, husband's approval, and history of family planning counselling are related factors of postpartum IUD acceptance in Samarinda.Keywords: Postpartum IUD, family planning counselling, husband's approval.Â Â Â Â Â Â Â Â Â Â Â

The Effect of Hypnotherapy on Serum Cortisol Levels in Post-Cesarean Patients Rizkiani, Inne; Respati, Supriyadi Hari; Sulistyowati, Sri; Budihastuti, Uki Retno; Prasetya, Hanung
Journal of Maternal and Child Health Vol. 6 No. 3 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (35.058 KB)

Background: After cesarean section, there is often an increase in stress and anxiety which can have a negative effect on pain perception. Cortisol is the main stress hormone that regulates the duration and intensity of the stress response. Hypnotherapy is a therapy with a hypnotic method to reach someone's subconscious mind. Hypnotherapy is thought to be able to help patients in the post-section coping method because it can cause feelings of pleasure, satisfaction, safety, comfort and can make a person feel they have the strength of themselves to deal with the anxiety they experience. This study aims to analyze the effect of hypnotherapy on serum cortisol levels in postareaal section patients.Subjects and Method: This study was an experimental single-blind randomized controlled trial post-test group design which was conducted in the Obstetrics and Gynecology wards of Dr. Moewardi Hospital Surakarta and Dr. R Soetijono Blora Hospital. The subjects of the study were post-sectional patients who were hospitalized and met the inclusion and exclusion criteria. Subjects were divided into 2 groups, namely the hypnotherapy group which consisted of 15 post-sectional patients who received hypnotherapy and the control group which consisted of 15 postareaal patients who did not receive hypnotherapy. All subjects were examined for cortisol levels in the Prodia laboratory using the Chemiluminescent microparticle immunoassay (CMIA) method. The data of both groups were analyzed using the Mann-Whitney test.Results: The median, minimum, and maxi-mum cortisol levels in the hypnotherapy group were 3.60, 2.10, and 4.40 respectively, while the median, minimum and maximum cortisol values in the control group were 10.50, 8.20 and 32.80 respectively. Effect size= -2,2. The results of the analysis test showed a significant difference in mean values (p <0.001).Conclusion: Hypnotherapy has an effect on decreasing cortisol levels in post-cesarean section patients.Keywords: Hypnotherapy, Cortisol, Post-cesarean sectionCorrespondence: Inne Rizkiani. Department of Obstetrics and Gynecology, Faculty of Medicine, Universitas Sebelas Maret/ Dr. Moewardi Hospital, Sura-karta, Jl. Kolonel Sutarto, Jebres, Surakarta, Central Java 57126.Journal of Maternal and Child Health (2021), 01(03): 258-266https://doi.org/10.26911/thejmch.2021.06.03.01

Enhancing Nutrients Knowledge during Pregnancy through Webinars to Prevent Stunting Bachnas, Muhammad Adrianes; Sulistyowati, Sri; Yuliantara, Eric Edwin; Anggraini, Nutria Widya Purna; Prabowo, Wisnu; Respati, Supriyadi Hari; Nurinasari, Hafi; Ridwan, Robert; Astetri, Lini; Yuliani, Saffana Oka; Carissa, Dinda; Alamsyah, Meuthia
Journal of Maternal and Child Health Vol. 7 No. 5 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Indonesia still has a high stunting rate, 1.2 million out of 5 million births each year result in stunted baby growth. linear growth in utero, the process can be caused by maternal malnutrition, which can result in intrauterine growth inhibition and low birth weight, and result in stunting. This study aims to analyze the effectiveness of the webinar in improving nutrition knowledge during pregnancy to prevent stunting growth. Subjects and Method: This is a cross sectional study conducted in July, 15th 2022 using the Zoom Meeting webinar platform. Target population are all young POGI and POGI Members who took part in webinars and online conversations using the Zoom Meeting program. This study used random sampling, and sample size are 161. The independent variables of this study was learning via webinars while the dependent variable was nutrient knowledge. Data were analyzed by paired t-test statistical test. Results: There was a significant difference score of knowledge in pregnant women after (Mean= 8.60) compared to before webinars (Mean= 6.52). Conclusion: The result of this study indicates that learning method via webinars increased maternal understanding about optimal nutrient during pregnancy. Keywords: stunting, nutrients, webinar, pregnant women Correspondence: Nutria Widya Purna Anggraini. Department of Obstetrics and Gynecology, Faculty of Medicine, Universitas Sebelas Maret/Dr. Moewardi General Hospital, Surakarta, Central Java, Indonesia. Jl. Kolonel Sutarto No. 132 Jebres, Surakarta. Email: nutria_dr@staff.uns.ac.id. Mobile: 08122651819.

Expression of Bax Protein as A Prognosis Factor of Radiotherapy Response to Decreased Tumor Size in Stage IIB-IIIB Cervical Cancer Fitriawan, Ahmad; Udiyanto, Hermawan; Respati, Supriyadi Hari; Ratnasari, Affi Angelia; Prabowo, Wisnu
Journal of Maternal and Child Health Vol. 7 No. 3 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Cervical cancer plays a role as the leading cause of cancer death for women in developing countries. Radiation therapy kills cancer cells through double strand breaks and the apoptotic process. Bax protein is one of the regulators of apoptosis. This study analyzed the role of Bax expression as a prognostic factor in radiation therapy response in reducing tumor size in patients with advanced cervical cancer (IIB-IIIB). Subjects and Method: This research is a retrospective cohort observational analytic study from January 2021 to April 2021 in the Department of Obstetrics and Gynecology in collaboration with the Department of Anatomical Pathology, Dr. Moewardi Hospital, Surakarta, Indonesia. This study involved 30 cervical cancer stage IIB-IIIB patients. The level of Bax expression was determined by immunohistochemical examination. ROC curve analysis was used to find cut-off points and evaluate the sensitivity and specificity of Bax in the prognosis of radiotherapy in patients with advanced cervical cancer (IIB-IIIB). Chi square test was used to determine the relationship between Bax expression and changes in tumor size in cervical cancer patients. Results: The ROC curve analysis showed that the AUC Bax score in prognosis of radiation therapy was 0.575 (CI 95%= 0.32 to 0.83) and the cutoff point was 62.5%. Based on the analysis of the ROC curve, the Bax expression of 62.5% shows a sensitivity of 56.5% and a specificity of 71.4%. Analysis of the relationship between Bax protein expression on changes in tumor size using the Chi Square test showed a P value of 0.390 (p> 0.05). Conclusion: The expression of Bax protein cannot play a role as a prognostic factor in the response of radiation therapy to the reduction in tumor size in stage IIB-IIIB uterine cervical cancer.

Relationships between Smoking, Age, Body Mass Index, and Abstinence with DNA Fragmentation Index in Male Infertile Patients Ediningtyas, Atifa Nadira; Laqif, Abdurahman; Melinawati, Eriana; Respati, Supriyadi Hari
Journal of Maternal and Child Health Vol. 7 No. 4 (2022)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Low birth weight (LBW) is defined as a newborn baby weighing less than 2500 grams. Low birth weight is a serious condition in developing countries. The impact of cigarette smoke on pregnant women who are exposed to cigarette smoke is at a higher risk of complications, such as miscarriage, premature birth, or babies born with low weight. This study aims to analyze the relationship between exposure to secondhand smoke and low birth weight. Subjects and Method: This research is a systematic review and meta-analysis by systematically reviewing primary articles from Pubmed, Google Scholar, Scient Direct and Springerlink by selecting articles published in 2012-2022. The articles searched using PICO were P: Pregnant women, I: exposed to cigarette smoke, C: not exposed to cigarette smoke, O: low birth weight. Keywords "Exposure to smoking pregnant women" OR "Expectant mother" OR "Pregnancy women" OR "Exposed to cigarettes" OR "Secondhand smoke exposure" OR "Cigarette smoke expo- sure" AND "Low birth weight" OR "Low weight babies" AND “Case control” AND “Adjusted odds ratio”. Articles used PRISMA flow diagrams and analyzed using Review Manager 5.3. Results: There were nine articles analyzed consisting of Nepal, Morocco, Ethiopia, Sierra Leone, India, Indonesia and China. Meta-analysis showed that cigarette smoke exposure increased the risk of low birth weight and was statistically significant (aOR = 2.19; 95% CI = 1.58 to 3.03; p < 0.001). Conclusion: Exposure to cigarette smoke increases the risk of weight gain in LBW infants by 2.19 times compared to not exposed to cigarette smoke. Keywords: exposure to cigarette smoke, low birth weight, meta-analysis. Correspondence:Winei Handriani. Master’s Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Jawa Tengah. Email: wineihandriani02@gmail.com. Mobile: 083150000253.

Understanding and Needs of Adolescents in Stunting Prevention: A Qualitative Study Among Adolescents in Guningkidul Regency, Indonesia Karuniawati, Benny; Respati, Supriyadi Hari; Mulyani, Sri
Proceedings of the International Conference on Nursing and Health Sciences Vol 5 No 2 (2024): July-December 2024
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/picnhs.v5i2.5419

Stunting is the result of an interaction between lack of nutritional intake and increased nutritional needs, which has an impact on physical growth and cognitive development, as well as increasing the risk of chronic diseases. In Indonesia, the prevalence of stunting in 2023 will reach 20.8%, still far from the target of 14% in 2024. Adolescence is an important phase to build awareness of nutritional status, because adolescents who understand nutrition can prepare themselves for a healthy pregnancy and reduce the risk of stunting in the next generation. Objective: this study aims to explore the understanding and needs of adolescents related to stunting prevention. This study uses a phenomenological approach to explore adolescents' understanding of stunting prevention programs in Gunungkidul Regency, Yogyakarta. The subjects of the study were 12 adolescent girls aged 12-15 years, selected by purposive sampling based on their experiences. Data collection methods include in-depth interviews and Focus Group Discussions (FGD). The validity of the data was obtained through triangulation and checking with informants. The results of FGD and interviews with adolescents identified three categories of needs: knowledge, behavior, and health conditions of adolescents. Limited access to nutritional information and unhealthy lifestyles increase the risk of stunting. The importance of balanced knowledge and clean living behaviors to support adolescent health is emphasized, especially in preventing future health problems. The social and cultural environment plays an important role in shaping adolescent behavior. The provision of easily accessible nutritional information, as well as support from families and communities, is urgently needed to support the role of adolescents in preventing stunting and ensuring their health and that of future generations.

Syphilis in Pregnancy: Education to Increase Knowledge in Reproductive Couples Sulistyowati, Sri; Bachnas, Muhammad Adrianes; Yuliantara, Eric Edwin; Anggraini, Nutria Widya Purna; Respati, Supriyadi Hari; Nurinasari, Hafi; Ridwan, Robert; Astetri, Lini; Nuur, Aliffudin; Pradana, Muhammad Denny Gagah; Khoeronisa, Siti; Rahmawati, Oktantia Dyah
Journal of Maternal and Child Health Vol. 10 No. 4 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2025.10.04.01

Background: Syphilis is believed to be one of the oldest diseases, first discovered in the late 15th century. Indonesian Ministry of Health reported a total of 76,923 new cases in 2020. WHO has set an ambitious target to reduce the incidence by 90% before 2030, in spite of slow global response. This number is lower than the number obtained in 2019, which was 4,169 people. Syphilis can be transmitted through sexual contact, blood transfusion, and vertical mother-to-child transmission (MTCT). It is estimated that the risk of transplacental infection ranges from 20-80%, depending on various factors, such as the stage of infection in the mother. This study aimed to assess the effect of counseling in increasing patient knowledge of syphilis cases in pregnancy. Subjects and Method: This was a quasi experiment conducted at obstetrics and gynecology department in Dr. Moewardi Hospital, Surakarta, Central Java, Indonesia, in June 2025. A sample of 84 pregnant women was selected for this study. The independent variable was counselling. The dependent variable was knowledge about Syphilis in pregnancy. Knowledge was tested before and after counselling. The data were examined using independent t test. Results: The knowledge score of pregnant women about syphilis after the intervention (Mean= 77.14; SD= 13.85) was higher than before (Mean= 56.43; SD= 15.88), and it was statistically significant (p <0.001). Conclusion: The results of this study indicate that this recovery is effective in improving understanding of syphilis cases in pregnancy in obgyn polyclinic patients at Dr. Moewardi Hospital.

The impacts of stimulation in protracted labor to cortisol levels and incidence of post-partum blues Soetrisno, Soetrisno; Respati, Supriyadi Hari; Sulistyowati, Sri; Kurniawan, Hendro
Folia Medica Indonesiana Vol. 53, No. 1
Publisher : Folia Medica Indonesiana

Show Abstract | Download Original | Original Source | Check in Google Scholar

Delivery, induction, stimulation, cesarean section with the aid of a vacuum extraction, for example, can reduce maternal confidence on the smooth delivery process, as well as improve postpartum stress. These stressors stimulate the HPA axis (hypothalamus-pituitary-adrenal), so that the adrenal cortex produces more cortisol hormone, it can increase postpartum blues. The objective of this study was to analyze the effect of delivery stimulation on protracted labor on cortisol levels and the occurrence of postpartum baby blues. This was an experimental study of non-randomized post-test control group. The subject of the study 30 patients in labor taken consecutive sampling, divided into 2 groups (normal delivery and stimulation) each group consist of 15 patients. In stimulation delivery group, it is examined of cortisol serum levels after five days and then continued for postpartum blues occurrence measurement. Statistical analysis using t-test for differences in levels of cortisol and chi square for analyzing the effect on the occurrence of post-partum blues (a=0.05). Mean level of cortisol in delivery stimulation group is 40.29 ± 5.58, in normal delivery is 33.59 ± 11.17, with p=0.047, meaning there are significant differences both study groups. Stimulation delivery increases the occurrence of post-partum blues 5.50 times compared to normal delivery (OR=5.50 and p=0.028). Mean cortisol levels on post-partum blues higher at 42.90 ± 6.97 compared to no post-partum blues 30.14 ± 6.66, p=0:00, which means there are significant differences both groups. In conclusion, there was significant relationship between stimulation in protrated labor that increases cortisol serum level and post partum blues incidence.

Expression of human leukocyte antigen-e and natural killer cells in intra uterine fetal death Sulistyowati, Sri; Nugroho, Muhammad Anggit; Respati, Supriyadi Hari; Soetrisno, Soetrisno
Folia Medica Indonesiana Vol. 53, No. 4
Publisher : Folia Medica Indonesiana

Show Abstract | Download Original | Original Source | Check in Google Scholar

Intra Uterine Fetal Death (IUFD) is one contributor to infant mortality. Human Leukocyte Antigen-E (HLA-E) and Natural Killer Cells (NK cells) are believed to play an important role towards IUFD associated with immune maladaptation. This study aimed to determine the expression of HLA-E and NK cells on trophoblast on IUFD and normal pregnancy. The study used cross sectional approach undertaken at Department of Obstetrics and Gynecology, Dr. Moewardi Hospital, Surakarta, networking hospitals, and Anatomic Pathology Laboratory of Faculty of Medicine, Sebelas Maret University. The number of samples were 32 subjects consisting of 16 subjects with normal pregnancy and 16 subjects with IUFD. The expression of HLA-E and NK cells on trophoblast of subjects who met the inclusion and exclusion criteria were examined using immunohistochemistry method and t-test statistical analysis. The mean value of HLA-E expression in the trophoblast of IUFD group was 17.30±6.69, in normal pregnancy was 57.06±32.04, with p=0.00 (p<0.05). The mean value of NK cell expression in trophoblast in IUFD group was 78.62±36.43, in normal pregnancy was 19.87±6.43, with p=0.00 (p<0.05). This study concluded that the expression of HLA-E was lower and NK cells wass higher in IUFD compared to those in normal pregnancy.

Co-Authors -, Soetrisno - Adhi, Kresno Condro Adiyana, Febrian Andhika Alamsyah, Meuthia Ambar Mudigdo Antonius Budi Giri Bawono, Antonius Budi Giri Aris Sudiyanto Aristin, Okid Parama Astetri, Lini Bachnas, Muhammad Adrianes Bambang Eko Wiyono, Bambang Eko Carissa, Dinda Diffah Hanim Ediningtyas, Atifa Nadira Elita Rahmi Eriana Melinawati Eric Edwin Yuliantara Fitriawan, Ahmad Hermawan Udiyanto Heru Priyanto John Arianto Sondakh, John Arianto Kartikasari, Uswatun Khasanah Karuniawati, Benny Khoeronisa, Siti Kurniawan, Hendro Kusnadi, Noferi Laqif, Abdurahman Mahandaru, Araafi Hariza Miftahus Saadah, Miftahus Mubarokah, Rizka Innayatun Muhammad Adrianes Bachnas MUHAMMAD AGUS SUPRAYUDI Nababan, Ronald Nasrudin, Muhamad Nugroho, Muhammad Anggit Nurinasari, Hafi Nutria Widya Purna Anggraini Nuur, Aliffudin Okid Parama Astirin Pella Todungbua', Prima Derry Pradana, Muhammad Denny Gagah Prasetya, Hanung Pujojati, Ferri Waluyo Wiwoho Rahmawati, Deni Nur Fauzia Rahmawati, Oktantia Dyah Ratna Diana Fransiska Ratnasari Dwi Cahyanti, Ratnasari Dwi Ratnasari, Affi Angelia Ridwan, Robert Rizkiani, Inne Saputra, Ricky Bernadi Sesunan, Arfan Syahfani SITI MARYANI Soetrisno Kasan Wiharjo, Soetrisno Kasan Soetrisno Soetrisno Sri Mulyani Sri Sulistyowati Sulistywati, Sri Uki Retno Budihastuti Wiraswesty, Ika WISNU PRABOWO Yeni Andriani, Yeni Yuliani, Saffana Oka

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