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Journal : INDONESIAN MIDWIFERY HEALTH AND SCIENCES JOURNAL

THE DIFFERENCESS OF DISCONTINUITAS IUD IN POST PLACENTAL AND INTRA-CESAREAN IN MADIUN Melynda Trilamsari Putri; Ashon Sa'adi; Ivon Diah Wittiarika; Gadis Meinarsari
Indonesian Midwifery and Health Sciences Journal Vol. 5 No. 3 (2021): Indonesian Midwifery and Health Sciences Journal, July 2021
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v5i3.2021.299-306

Abstract

 AbstractBackground: Intra Uterine Device (IUD) which is placed after delivery of the placenta is an attempt to reduce the rate of population growth. However, the achievement is still very low, especially in the post-placental IUD insertion. It is this high expulsion rate that continues to be a concern for service providers, so this method is acceptable. The purpose of this study is to compare the sustainability of IUD acceptors in post-placental and intra-cesareann placement. Methods: The design of this study was cross sectional with an observational analytic method. Location of this research  in the family planning clinic of Dr. Soedono Madiun Hospital, Banjarejo Health Center, Tawangrejo Health Center, and PMB Ny. “P” Madiun City in 2019.The sample used consecutive sampling as many as 114 acceptors. The independent variable was the time of IUD insertion. The dependent variable is the discontinuity of the IUD acceptor. The instrument used was the 2019 IUD acceptor medical record. The Fisher Exact Test on SPSS was used to perform data analysis. Results: From 114 acceptors, there was no difference in the discontinuity of IUD acceptors in post-placental and intra-cesarean placement (p=0.1). The incidence of expulsion was found in post-placental insertion (p=0.02). In intra-cesarean IUD acceptors more confirmed using ultrasound examination (p = 0.03). There was no perforation in both. Conclusion: There is no difference in IUD acceptor discontinuity in post-placental and intra-cesarean placement. 
FACTORS INFLUENCING THE PROCESS OF PERINEAL WOUND HEALING IN POSTPARTUM WOMEN IN SERUI HOSPITAL, PAPUA Yuli Triyani; Ivon Diah Wittiarika; Gatut Hardianto
Indonesian Midwifery and Health Sciences Journal Vol. 5 No. 4 (2021): Indonesian Midwifery and Health Sciences Journal, October 2021
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v5i4.2021.398-405

Abstract

 Background: The process of giving birth has a risk of perineal rupture. The 4.9% incidence of delayed perineal wound healing resulted from non-fused perineal wounds and clinical infection. This process can be interrupted or recovery delayed due to various factors such as age, nutrition, pain, and poor hygiene. This study aims to analyze the factors that influence the healing process of perineal wounds in postpartum mothers. Method: analytic observational research method with cross sectional approach and analityc statistic Chi-Square. The samples are postpartum woman in Serui Hospital, Papua. The number of samples were 30 respondents with purposive sampling technique. The instrument used was the REEDA scale, the pain scale, the food consumption survey with the 24-hour recall method and the personal hygiene questionnaire. Results: The results of statistical tests showed a relationship between pain with the perineal wound healing process is p 0,017, age with the perineal wound healing process is p 0,000, nutrition with the perineal wound healing process is p 0,000, and personal hygiene pain with the perineal wound  
THE RELATIONSHIP BETWEEN THE ONSET OF SEVERE PREECLAMPSIA AND PERINATAL COMPLICATIONS AT RUMKITAL Dr. RAMELAN IN SURABAYA Widya Retno; Ivon Diah Wittiarika; Muhammad Aldika Akbar
Indonesian Midwifery and Health Sciences Journal Vol. 5 No. 2 (2021): Indonesian Midwifery and Health Sciences Journal, April 2021
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v5i2.2021.139-151

Abstract

 Abstract Background: Preeclampsia is one of the biggest causes of maternal-fetal morbidity and mortality. Based on the prognosis, the classification of Preeclampsia is early onset (<34 weeks) and late onset (> 34 weeks). Purpose: to investigate the relationship between the onset of severe Preeclampsia and perinatal complications. Method: This research is a quantitative study with a retrospective observational analytic study type and collected medical record data. The study population was severe Preeclampsia  patients who gave birth at RUMKITAL Dr. Ramelan Surabaya for the period January 2018 - June 2020 and has no previous history of chronic hypertension. The research sample was 79 subjects with 44 subjects early onset, and 35 subjects late onset. Perinatal complications  examined are preterm delivery, asphyxia, LBW, IUGR, stillbirth. The chi-square test or Fisher’s Exact Test was used to analyze relationships. Result: From the results of the study, the comparison of the percentage from early onset and late onset that experienced complications was 93.2% vs 48.6%, p-value = 0.000, OR = 14.5, CI = 3,764–55,635.  At preterm delivery, it was found that 75% vs 28.6%, p-value = 0.000,  OR = 7.5, CI = 2,754-20,422. . In asphyxia, it was found 41.7% vs 31.4%, p-value = 0.46. At LBW, it was found 72.7% vs 17.1%, p-value = 0,000, OR = 12.9, CI = 4,285-38,771. In IUGR, it was found that 15.9% vs 2.9%, p-value = 0.000. In stillbirth, it was found 18.2% vs 0% and p-value = 0.008. Conclusion: the onset of severe Preeclampsia is related with perinatal complications. Complications associated with the onset severe Preeclampsia are preterm, LBW, stillbirth. Meanwhile, complications that are not related with the onset severe Preeclampsia are asphyxia and IUGR  
FACTORS AFFECTING THE DELAY OF DECISION MAKING TO RECEIVE HEALTH SERVICES IN PREECLAMPSIA PREGNANT MOTHERS AT RSUD MGR GABRIEL MANEK SVD ATAMBUA Monika Mongang Manuk; Muhammad Ilham Aldika Akbar; Ivon Diah Wittiarika
Indonesian Midwifery and Health Sciences Journal Vol. 5 No. 2 (2021): Indonesian Midwifery and Health Sciences Journal, April 2021
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v5i2.2021.160-173

Abstract

 AbstractBackground: Preeclampsia is one of the risk factors for complications and also contributes to the high rate of morbidity and mortality in mothers and babies. The Maternal Mortality Rate (MMR) at the Mgr. Gabriel Manek Hospital, SVD Atambua has continued to increase in the last three years, from 2017 to 2019. It was recorded that in 2019 there were 126 cases of severe preeclampsia and eclampsia with 5 cases of maternal death and 2 maternal causes of death. is eclampsia. In addition to the factors that cause maternal death, one of the contributing causes of maternal and infant mortality is caused by the speed at which decisions are made in the family. Pregnant women are at risk of experiencing maternal death if during the referral process they experience at least one of the three delays, namely being late in making the decision to be referred. This study aims to determine the factors that influence the delay in decision making in preeclampsia pregnant women. Methods: The type of research is observational analytic with a cross sectional design. Collecting data using primary data with a questionnaire instrument by interview and secondary data obtained from the register of maternity mothers and medical records. The number of samples is 30 respondents. The sampling technique used was total sampling. The data were processed and calculated using frequency tables and cross tabulations and then analyzed using Multiple Logistics Regression Analysis with a significance level of 5% (p = 0.05). Bivariate data analysis used fisher's exact test andtest cramer's v. Results: The results showed that the factors that caused delays in decision making were knowledge having a p-value of 0.006 (OR 2.293, 95% Cl: 0.481-10.918), confidence having a p-value of 95%: 0.002-0.513, health insurance having p-value 0.010 (OR 0.000, 95% Cl: 0.000). Multivariate analysis shows that work is the most dominant factor in delaying decision making compared to other factors, and it can be concluded that the more working mothers, the smaller the delay, and the more mothers who do not work, the greater the delay in making decisions to get health services. . Conclusion: There is a relationship between knowledge, belief, occupation, and health insurance on the delay in decision making.
THE RELATIONSHIP OF SOCIAL SUPPORT WITH THE DEGREE OF NAUSEA AND VOMITING IN PREGNANCY Cempaka Yudithia Junandar; Ivon Diah Wittiarika; Budi Utomo; Ernawati Ernawati
Indonesian Midwifery and Health Sciences Journal Vol. 4 No. 1 (2020): Indonesian Midwifery and Health Sciences Journal, January 2020
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v4i1.2020.26-32

Abstract

Abstract Background : At the beginning of a pregnancy the mother experiences various processes of transition or adaptation regarding changes in herself, so that she really needs support from her environment. Lack of social support can worsen the physiological complaints of pregnant women including Nausea and Vomiting in Pregnancy (NVP). Complaints of nausea and vomiting can affect the mother in carrying out daily activities, affect the mother's social situation with the environment and cause stress. Therefore, it is important to research the relationship between social support and the degree of nausea and vomiting in first and second-trimester pregnant women. Method : This research method is observational analytic with cross sectional research design. Sampling used the total sampling method with the criteria of pregnant women who had complaints of nausea and vomiting. Collecting data using primary data using a 24-hour PUQE questionnaire that measures the duration and frequency of nausea and vomiting and the MSPSS questionnaire measuring social support. The data collected were analyzed using the Spearman test (p<0.15). Results : Out of 47 respondents, 34 pregnant women (72.3%) received high social support. Besides that, 24 out of 47 respondents (51.1%) experienced moderate degree of NVP. In this study, there were no respondents who experienced severe degree of NVP. Spearman test analysis results obtained p= 0.833 or p>0.15. Conclusion : There is no relationship between social support with NVP in first and second trimester of pregnancy. 
THE DIFFERENCES OF PREGNANT WOMEN KNOWLEDGE LEVEL IN THE OWNERSHIP OF MCH HANDBOOK Anisah Sri Utami; Djohar Nuswantoro; Ivon Diah Wittiarika
Indonesian Midwifery and Health Sciences Journal Vol. 4 No. 2 (2020): Indonesian Midwifery and Health Sciences Journal, April 2020
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v4i2.2020.90-97

Abstract

AbstractBackground: The MCH (Maternal Child Health) Handbook is a mandatory handbook for mother and children that has function as information especially for pregnant women until childbirth and also newborn to toddlers. One of the utilization of MCH Handbook is by an active reading role is considered to be able to  achieve the goal so that mothers can carry out health care independently so that pregnant women can detect complications as early as possible. Method : The research method is analytic Observational with cross-sectional design. The total sample is 114 pregnant women, using purposive sampling technique. The independent variable is the ownership of MCH Handbook which is categorized in 3 groups of reading activities and the dependent variable is the level of knowledge. Data analysis using Kruskal Wallis test. Result : The result showed that pregnant women who read entire contents of the MCH Handbook had a good level of knowledge is 47 respondents and none had sufficient or insufficient knowledge, while pregnant women who read some of the contents of the MCH Handbook had a good level of knowledge is 55 people and 2 others had enough knowledge.For the group of pregnant women who did not read the contents of MCH Handbook, there were 10 people and all of them had a good level of knowledge. The result of Kruskal Wallis test is p values = 0,365 ( p>0,05). Conclusion : There is no different of the knowledge level on 3 reading group.
THE PERCEPTIONS, ATTITUDES AND BEHAVIORS OF MOTHERS IN PROVIDING EARLY SEX EDUCATION Fitri Erna Erfiany; Ahmad Suryawan; Nur Ainy Fardana Nawangsari; Ivon Diah Wittiarika
Indonesian Midwifery and Health Sciences Journal Vol. 4 No. 2 (2020): Indonesian Midwifery and Health Sciences Journal, April 2020
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v4i2.2020.168-178

Abstract

AbstractBackground : Cases of child sexual abuse in Indonesia continue to increase. The need for a parent's role in providing sex education from an early age is expected to prevent children from sexual abuse. Savy Amira Women Crisis Centre mentions that Tambaksari sub-district has the highest crime rate in Surabaya. Perceptions, attitudes and behaviors of parents in the provision of sex education in early childhood can be described in PAUD Tunas Mandiri Pacar Keling Subdistrict Tambaksari Method: This research method is qualitative with phenomenological approach. The number of samples as many as 10 mothers with purposive sampling techniques. The variables studied were perception, attitude and behavior of the mother. Data is collected by indepth interview method and processed with Interactive Model Of Analysis. Result : Most respondents have a perception that sex education is behavior, but respondents know that sex education has a good purpose. This is reflected in the attitudes and behaviors shown by most respondents about how they provide sex education. All they've been doing is part of sex education, it's just that they don't know or realize that. The age, level of education and employment in this study had little effect on perceptions of providing sex education. Conclusion: Almost all mothers interpret the provision of sex education in early childhood is still a taboo thing to give, while for the attitude and behavior of the mother is shown by limiting the child and supervision when playing gadgets,introducing genitalia and teaching toilet training.
FACTORS RELATED TO NUTRITIONAL STATUS IN PRE-SCHOOL CHILDREN Dwi Rahayu Candra Pertiwi; Ivon Diah Wittiarika; Atika Atika; Wahyul Anis
Indonesian Midwifery and Health Sciences Journal Vol. 4 No. 4 (2020): Indonesian Midwifery and Health Sciences Journal, October 2020
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v4i4.2020.332-343

Abstract

AbstractBackground: The problem of nutrition in children at Indonesia was still an unresolved problem. Unicef said that one in ten children were underweighted and a fifth of children were overweighted or obesed. This number will not decrease and it will increase if we not handled this problem seriously. This study was conducted with the aimed of analyzed the factors that influenced nutritional status in pre-school children, so that more effective prevention and treatment can be carried out. Method: This research was a cross sectional study with a total sample of 150 preschool child in the age of 3 to 6 years old and the parents with online questionnaire. Sampling was done by cluster random sampling. The study was conducted in PAUD at Tanah Kali Kedinding, Kenjeran, Surabaya. The data was analyzed with Spearmean test, Chi-square, and Fisher exact. Result: Knowledge p value = 0,025 r = 0,182. Income p value < 0,001 r = 0,368. Eating frequency p value < 0,001 r = 0,721. The amount of food p value < 0,001 r = 0,738. The kind of food p value < 0,001 C = 0,443. Physical activity p value = 0,438. Conclusion: Parental knowledge and income, and children's eating patterns were related to the nutritional status of pre-school children, while the physical activity of children does not affected the nutritional status of children. 
MIDWIFERY CARE OF DELIVERY WITH CHRONIC HYPERTENSION SUPERIMPOSED PREECLAMPSIA AND UTERINE MYOMA (CERVICAL) Ivon Diah Wittiarika; Gitta Arinda Faustina; Zukhrufatin Zukhrufatin
Indonesian Midwifery and Health Sciences Journal Vol. 6 No. 2 (2022): Indonesian Midwifery and Health Sciences Journal, April 2022
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v6i2.2022.111-122

Abstract

Background: the most common causes of maternal death in Indonesia are hypertension/pre-eclampsia/eclampsia, bleeding, and infection. Hypertension in pregnancy ranks first as the cause of death in Indonesia at 33% (SRS Litbangkes, 2016). Cervical fibroids can cause complications in both pregnancy and childbirth. The purpose of this case report is to study midwifery care in complex cases. Case report: A 41-year-old woman, second pregnant, 36-37 week’s gestation, primipaternity, secondary primitua with chronic hypertension and uterine myoma (cervical) was referred to the hospital for delivery. Management focuses on support for the mother, involving the family, fulfill the needs of the mother, collaboration with the doctor conducting informed consent regarding the diagnosis, providing counseling and health education on tubectomy contraception, and accompanying the mother until the time of surgery. The mother's response is good, and optimistic about her condition and the baby. Conclusion: midwives in providing midwifery care in cases of delivery with chronic hypertension, superimposed preeclampsia and uterine myoma at an advanced health facility (Type A Hospital). Midwifery care is provided both independently and in collaboration with other professions. Delivery was carried out by caesarean section in accordance with the indications with the output of the mother and baby being healthy. Early detection, recognition of signs and symptoms, diagnosis, referral process and comprehensive management are carried out appropriately. 
UTILIZATION OF TELEHEALTH IN MIDWIFERY SERVICES DURING THE COVID-19 PANDEMIC: A QUALITATIVE STUDY Avina Oktaviani Algifnita; Ivon Diah Wittiarika
Indonesian Midwifery and Health Sciences Journal Vol. 6 No. 3 (2022): Indonesian Midwifery and Health Sciences Journal, July 2022
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v6i3.2022.310-318

Abstract

Background: The COVID-19 pandemic has a significant impact on midwifery services, especially in Midwife Self-Practice. The government, Dinas Kesehatan, and professional organizations released many health protocols, urging all activities at home as well as regional restrictions to limit the spread of COVID-19. This leads to a slowdown in access to health services, especially midwifery. Telehealth services are recommended by the government and must be implemented in every health facility to strive to improve the quality of health. Midwives are one of the vanguards in and in maternal and child health services that can utilize telehealth in their services in Midwife Self-Practice during the COVID-19 pandemic. Objective: To analyze the influence of telehealth utilization in midwifery services during the COVID-19 Pandemic. Method: A qualitative phenomenology with data collection method through a semi-structured in-depth interview conducted in March-April 2021 at The Midwife Independent Practice in Surabaya. The study participants were midwives who owned The Independent Practice of Midwives using purposive sampling techniques.  Result: During the COVID-19 pandemic, two themes were obtained, namely the utilization of telehealth and the influence of telehealth in obstetric services. Conclusion: Midwives believe that there is a positive influence in the use of telehealth, in addition to being profitable, it can also be used as an alternative in midwifery services during the COVID-19 pandemic. Keywords: Health Policy, Telehealth, Maternal Health, COVID-19
Co-Authors Aditiawarman Aditiawarman, Aditiawarman Aflina, Sayyidati Tazkiya Agnestia Naning Dian Lovita Ahmad Suryawan Al Farizi, Sofia Aldika Akbar, Muhammad Ilham Amalia, Rize Budi Andriyanti Andriyanti Andriyanti, Andriyanti Anisah Sri Utami ARI DEWANTI, ARI DEWANTI Ashon Sa'adi atika Atika Atika Atika Atika Aulia Rahma Oktaviya Avina Oktaviani Algifnita Avina Oktaviani Algifnita Bakhtiar, Arief Budi Prasetyo Budi Prasetyo Budi Prasetyo Budi Utomo Budi Utomo Cempaka Yudithia Junandar Cerellia, Eka Deby Artika P Devika Aulia Dewi Setyowati Dhiya Ulhaq, Ghina Dian Lestari Hidayah Diana Khoirul Khafidloh Dwi Budi Santoso Dwi Jayanti, Ratna Dwi Rahayu Candra Pertiwi Eighty Mardiyan K, Eighty Elisa Danik Kurniawati Endyka EF Endyka Erye Frety Ernawati Ernawati Ernawati Fadayeen Khoirun Nisa Fardana, Nur Ainy Fatin Nazurah Izzati Binti Hamdani Febronia Martina Dua Lehang Ferdinandus, Euvanggelia Dwilda Fitri Erna Erfiany Fitriana, Farida Gamelly, Kania Putri Gatut Hardianto, Gatut Gitta Arinda Faustina Iflah Aninda Irwanto, Irwanto Jayanti , Ratna Dwi Jayanti, Ratna Dwi Kartika, Dian Shalma Laksana, Muhammad Ardian Cahya Lia Octaviana Lilik Djuari Linda Dewanti Melynda Trilamsari Putri Mita Kusumawardani Mohamed Alif Haikal Bin Mohamed Iskandar Monika Mongang Manuk Muhammad Aldika Akbar Munawaroh, Aida Ayu Habibatul Nenccy Mirasari Ngatwati Ningrum, Astika Gita Noor Syafaatin Udhma Nurhayati Fitria Amin NURUL AZIZAH Nurul Azizah Nuswantoro, Djohar Pionera Seconda Giyanti Putri Prihazty, Anggi Wilis Pudji Lestari Pupus Ultraluana Purwandono, Azham Rafhani Rosyidah Rahmadhanti, Galuh Destika Ramlah, Besse Rania, Najwa Miftah Riri Aprianti Riris Putricia Vedo Refa S Rize Budi Amalia Rize Budi Amalia Salsabila, Wanda Azaria Samsriyaningsih Handayani Sari, Gadis Meinar Sa’adi, Ashon Sefri Anggraeni Siti Norhikmah Binti Abd. Razak Siti Nurul Komariah Sri Utami Sukmawardani, Putri Utami Sumbawati, Mulia Dian Susanto, Lunardhi Sutatik, Yuning T.Bupu, Maria Camelia Tahu, Hesty katarina Tri Ayu Kharisma Wahyul Anis Wahyunnisa Indrarosiana Wardhana, Manggala Pasca Widati Fatmaningrum Widya Retno Yublina Rambu Mbali Idi Yuli Triyani Yusniar Rahajeng, Agtus Zahra Lutfiah Safitri Zukhrufatin Zukhrufatin ‘Izza, Najwa Imamatul