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Mutiara Rachmawati Suseno
Poltekkes Kemenkes Mataram
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Journal : Indonesian Health Issue

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Studi Kasus : Asuhan Kebidanan Keluarga Berencana Pada Ny. A Akseptor KB MOW Hamidiyanti, Baiq Yuni Fitri; Rachmawati Suseno, Mutiara; Sulianty, Ati; Rusdita, Ida Ayu
Indonesian Health Issue Vol. 2 No. 2 (2023): AGUSTUS
Publisher : Indonesian Journal Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47134/inhis.v2i2.54

Abstract

ABSTRAK Latar Belakang: Di provinsi NTB penggunaan alat kontrasepsi MOW 19,41%. Jumlah ibu yang menggunakan alat kontrasepsi MOW di provinsi NTB pada tahun 2021 yakni 8.452 kasus per 661.089 jumlah kelahiran hidup, sedangkan jumlah ibu yang menggunakan alat kontrasepsi MOW tahun 2020 sebanyak 10.722 kasus. Jadi, terdapat penurunan angka penggunaan kontrasepsi MOW pada tahun 2021 . TFR di NTB pada tahun 2018-2021 yaitu 2018 (2,8%), 2019 (2,5%) dan 2021 (2,5%). Tujuan: Untuk mengetahui asuhan kebidanan keluarga berencana dengan Akseptor KB MOW. Metode: Metode deskriptif dengan jenis studi penelaahan kasus (case study) yang menggunakan data primer dan data sekunder dari anamnesa, pemeriksaan fisik, pemeriksaan kadar hemoglobin, dan buku KIA. Subyek dalam studi kasus ini adalah Ny “A”, dengan Akseptor KB MOW. Hasil: Penanganan pada MOW dilakukan Tindakan SC.Setelah pemberian asuhan selama 4 hari, pada kunjungan akhir keadaan ibu membaik. Kesimpulan: Setelah dilakukan operasi tidak terjadi perdarahan dan dilakukan transfusi darah, diberikan therapy oral serta nutrisi yang dapat memulihkan luka operasi pada ibu. Sehingga tidak terjadi infeksi pada luka operasi. Background: In the province of NTB the use of MOW contraception was 19.41%. The number of mothers using MOW contraception in the province of NTB. In 2021, there were 8,452 cases per 661,089 live births, while the number of mothers using MOW contraception in 2020 was 10,722 cases. So, there is a decrease in the number of MOW contraceptive use in 2021. TFR in NTB in 2018-2021 namely 2018 (2.8%), 2019 (2.5%) and 2021 (2.5%). Objective: To find out about family planning midwifery care with MOW KB acceptors. Methods: Descriptive method with the type of case study using primary data and secondary data from anamnesis, physical examination, examination of hemoglobin levels, and the MCH handbook. The subject in this case study is Mrs "A", with MOW KB acceptor. Result: Treatment for MOW was carried out by SC action. After providing care for 4 days, at the final visit the mother's condition improved. Conclusion: After the operation there was no bleeding and a blood transfusion was performed, oral therapy and nutrition were given to restore the surgical wound to the mother. So that there is no infection in the surgical wound.
Studi Kasus : Asuhan Kebidanan Persalinan Pada Ny. R dengan Pre Eklamsia Berat Sulianty, Ati; Hamidiyanti, Baiq Yuni Fitri; Rachmawati Suseno, Mutiara; Rahmayanti, Erika
Indonesian Health Issue Vol. 3 No. 1 (2024): FEBRUARI
Publisher : Indonesian Journal Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47134/inhis.v3i1.60

Abstract

Latar Belakang: Tahun 2021, ada 114 kasus kematian ibu di Provinsi NTB. Angka kematian ibu terdiri dari 27 kasus perdarahan, 26 kasus hipertensi kehamilan, 4 kasus infeksi, 20 kasus COVID-19, sisanya menrupakan gabungan beberapa kasus .Berdasarkan laporan tahunan RSUD Dr.R. Soedjono Selong tahun 2021 menunjukkan 293 kasus persalinan disebakn oleh preeklamsia berat. Tujuan: Untuk mengetahui asuhan kebidanan pada ibu bersalin Dengan Pre Eklamsia Berat. Mode Penelitian: Subyek studi kasus ini adalah "Ny.R" dengan pre-eklamsia berat, penggumpulan data menggunakan data primer mulai dari  anamnesa, pemeriksaan fisik, penentuan diagnose, rekam medis, dan data sekunder melalui register, dan buku KIA. Jenis penelitian yang digunakan adalah deskriptif.Hasil: terdapat perubahan kondisi ibu yang menjadi lebih baik setelah diberikan asuhan Pada awal kunjungan tekanan darah 150/100 mmHg dan di akhir kunjungan menurun menjadi 130/80 mmHg. Intervensi pemberian KIE selama 2 hari.Kesimpulan:Terjadi penurunan tekanan darah ibu setelah diberikan asuhan Background: In 2021, there were 114 cases of maternal death in NTB Province. The maternal mortality rate consists of 27 cases of bleeding, 26 cases of pregnancy hypertension, 4 cases of infection, 20 cases of COVID-19, the rest is a combination of several cases. Based on the annual report of RSUD Dr.R. Soedjono Selong in 2021 showed 293 cases of childbirth caused by severe preeclampsia Objective: To determine midwifery care for mothers giving birth with severe pre-eclampsia Method : The subject of this case study is "Mrs. The type of research used was descriptive. Results: there was a change in the mother's condition which became better after being given care. At the beginning of the visit the blood pressure was 150/100 mmHg and at the end of the visit it had decreased to 130/80 mmHg. The intervention was providing IEC for 2 days. Conclusion : There was a decrease in maternal blood pressure after being given care.
Pengaruh Birth Ball Terhadap Lama Persalinan Kala I Fase Aktif Pada Primigravida Rahim, Rosita; Rachmawati Suseno, Mutiara; Sulianty, Ati; Hamidiyanti, Baiq Yuni Fitri
Indonesian Health Issue Vol. 3 No. 2 (2024): AGUSTUS
Publisher : Indonesian Journal Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47134/inhis.v3i2.74

Abstract

Latar belakang: Lama persalinan kala I pada primigravida mempunyai durasi yang lebih lama daripada multigravida. Semakin lama proses persalinan, ibu bersalin akan merasakan kelelahan yang dapat mengakibatkan kontraksi uterus yang tidak adekuat, akibatnya akan terjadi persalinan yang memanjang, peningkatan distres maternal, dan peningkatan resiko perdarahan postpartum yang menyumbang angka kematian ibu. Upaya fisiologis yang bisa dilakukan selama persalinan kala I, yaitu salah satunya adalah dengan memberikan intervensi  birthing ball. Tujuan: Untuk mengetahui pengaruh birthing ball terhadap lama persalinan kala I fase aktif pada primigravida. Metode: Penelitian ini menggunakan metode penelitian  quasy  experiment. Teknik pengambilan sampel menggunakan teknik purposive sampling dengan jumlah sampel sebanyak 34 responden yang terdiri dari 17 responden kelompok intervensi dan 17 responden kelompok kontrol. Pengumpulan data dilakukan dengan menggunakan lembar observasi dan partograf, kemudian data dianalisa menggunakan uji statistik Independent Samples T-test.  Hasil: Pada kelompok intervensi birthing ball didapatkan hasil rata-rata lama persalinan kala I fase aktif selama 204,18 menit (3 jam 24 menit), dan pada kelompok kontrol selama 252,35 menit ( 4 jam 12 menit). Hasil analisa data didapatkan nilai p value sebesar 0,019 < 0,05 maka H0 ditolak dan Ha diterima, artinya terdapat perbedaan yang signifikan antara rata-rata lama persalinan kala I fase aktif pada kelompok intervensi birthing ball dan kelompok control. Kesimpulan: Terdapat pengaruh birthing ball terhadap lama persalinan kala I fase aktif pada primigravida. Background: The duration of the first stage of labor in primigravidas is longer than in multigravidas. The longer the labor process, the more the mother in labor will feel tired which can result in inadequate uterine contractions, resulting in prolonged labour, increased maternal distress, and an increased risk of postpartum hemorrhage which contributes to maternal mortality. One of the physiological efforts that can be carried out during the first stage of labor is by providing birth ball intervention. Objective: To determine the effect of the birth ball on the length of labor in the active phase of first stage in primigravida. Purpose: To determine the effect of the birth ball on the length of labor in the active phase of first stage in primigravid. Methods: This research uses a quasi-experimental research method. The sampling technique used purposive sampling technique with a total sample of 34 respondents consisting of 17 intervention group respondents and 17 control group respondents. Data were collected using observation sheets and partographs, then the data were analyzed using the Independent Samples T-test statistical test. Results: The first stage of labor in the active phase was 204.18 minutes (3 hours 24 minutes), and in the control group it was 252.35 minutes (4 hours 12 minutes). The results of data analysis showed that the p value was 0.019 < 0.05, so H0 was rejected and Ha was accepted, meaning that there was a significant difference between the average length of labor during the first active phase in the birth ball intervention group and the control group. Conclusion: There is an effect of the birth ball on the length of labor in the first stage of the active phase in primigravida.
Determinan Faktor Risiko Terjadinya Kanker Serviks Zuhratul Aini; Suseno, Mutiara Rachmawati; Ni Putu Dian Ayu Anggraeni
Indonesian Health Issue Vol. 4 No. 1 (2025): FEBRUARI
Publisher : Indonesian Journal Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47134/inhis.v4i1.78

Abstract

Background : The cervix is influenced by various factors, including age, socio-economic status, age at first sexual intercourse, multiple sexual partners, uncircumcised sexual partners, parity, lack of maintaining genital hygiene, smoking, obesity, history of venereal disease, and family history of sufferers. Cervical cancer, chronic trauma to the cervix, use of sanitary napkins and pantyliners, diethylstilbestrol (DES), and use of oral contraceptives. Objective: To determine the determinants of risk factors for cervical cancer in the NTB Provincial Regional Hospital in 2023. Method: This type of research is observational analytic with a case-control research design. The sample was 156 people, consisting of 78 cervical cancer groups and 78 control groups. Data analysis used the Chi-Square test and logistic regression. Results: The results of the characteristics of the largest number there is a significant relationship between age of menarche (ρ value = 0.022), number of parities (ρ value = 0.000), use of hormonal contraception (ρ value = 0.000) nutritional status (ρ value = 0.000), number of marriages (ρ value = 0.000) and age at marriage (ρ value = 0.000) with the incidence of cervical cancer. Meanwhile, there was no significant relationship between smoking history (p value 0.586) and family history (p value 0.325) on the incidence of cervical cancer. And from statistical analysis using logistic regression, it was found that age at marriage is the dominant factor causing cervical cancer with an odd ratio value / Exp B = 3,773, meaning that people who have been married < 20 years have a 3,773 times greater risk of developing cervical cancer than people who have been married > 20 years. Conclusion: The results of statistical analysis show that age at menarche, number of parities, use of hormonal contraception, nutritional status, number of marriages, age at marriage play an essential role in increasing the risk of developing cervical cancer, while smoking habits and family history of cancer are not risk factors for cervical cancer, and Age at marriage is the dominant factor causing cervical cancer in NTB Provincial Regional Hospital in 2023. Suggestion: There is a need to develop community-based intervention models to increase awareness and compliance with screening.  
Co-Authors Amrinsani, Farid Ati Sulianty Ati Sulianty ati sulianty Ayu, Erni Baiq Yuni Fitri Hamidiyanti Bq Yuni Fitri Hamidiyanti Cory’ah, Fitra Arsy Nur Dramawan, Awan Endri Suastika Martiana Erlin Yustin Tatontos Faiqah, Syajaratuddur Fitra Arsy Nur Cory'ah Fitra Arsy Nurcory'ah Hamidiyanti, Baiq Yuni Fitri Hamidiyanti, Baiq Yuni Fitri I Nyoman Purna I Wayan Sali Linda Meliati Luh Yunita Yunita Maruni Wiwin Diarti Megantari, Ayu Dini Mika Sandralina Muhammad Luthfi Ni Nengah Arini Murni Nurul Inayati Pratiwi, Intan Gumilang Rahim, Rosita Rahmayanti, Erika Rosita Wati Rossary Dirgahayu Setia Imani Rusdita, Ida Ayu Sri Hartati Sulianty, Ati Syajaratuddur Faiqah Syajaratuddur Faiqah Syajaratuddur Faiqah Wentika Putri Damayani Winda Ayu Ningsih Yunita Marliana Zuhratul Aini