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KAJIAN PELAKSANAAN (PPIA) PADA ANC OLEH BIDAN DI BIDAN PRAKTEK MANDIRI Ningsih, Inka Kartika; Sumarah, Sumarah; Hastuti, Sari
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 | Full PDF (4954.755 KB) | DOI: 10.29238/kia.v8i2.228

Abstract

Kota Yogyakarta is the highest city with peoplewho suffer HIV/AIDS in DIY. In 2013, DIYAIDS prevalence is 23, 75%. In DIY, ODHA has touched 72,6%, based ton age class 25-49 years old peak. PPIA programs is done to prevent HIV to infect children rom their mother. This research was categorized into qualitative descriptive researchs which have implement grounded theory. This research was conducted in BPM in Kota Yogyakarta on Maret-June 2014. The subject of the research was 5 midwifes in BPM, mother pregnancy patient of the BPM, midwife coordinator of primary public heatlh care center, and family health care sector in health careDepartment of Kota Yogyakarta. The first responden has been taken a sample by snowball sampling. Research instrument is human instrument and the data is collected with in depth interview. Data analysis is done using content analysis and data validation using triangle source. PPIA in midwife practices is prevent HIV on reproductive female. Themother pregnancy have been send to get ANC Terpadu in primary public health conter.Research result is that PPIA in ANC doesn't work effective in BPM Yogyakarta because PPIA can't work their program without midwife and primary public health center.
FAKTOR RISIKO PERSALINAN VAKUM EKSTRAKSI PADA IBU DENGAN KALA II LAMA TERHADAP KEJADIAN IKTERUS NEONATORUM DI RSUD WATES TAHUN 2009-2010 M.P, Dameria; Santoso, Sabar; Sumarah, Sumarah
Jurnal Kesehatan Ibu dan Anak Vol 1 No 1 (2012): Juli
Publisher : Poltekkes Kemenkes Yogyakarta

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Abstract

ln 2007 infant Mortality Rate (IMR) in Indonesia is 269/1000 live births. one cause of infant mortality in Indonesia is a birth trauma. Sefalhematoma birth trauma duo to Vacuum Extraction (VE) is one of the causes of neonatal jaundice. incidence of cases with VE deliveries in hospitals Wates in 2O1O as much as 6.4% and the incidence of jaundice due to childbirth vacuum as much as 11.7%. This study was Knowing the risks of a vacuum extraction delivery with a prolonged second stage on the incidence of neonatal jaundice of Wates hospitals in 2010. The type of case-control study with the independent variable is the delivery type and the dependent variable is incident neonatal jaundice. The whole population of all babies born in hospitals Wates from March 2OO8 to December 2070. Cases sample is infants with jaundice by 129 babies in hospitals Wates. The control sample is infant without jaundice by 129 babies in hospitals Wates. the Results of the highest maternal characteristics based on P1 parity (primipara). there is a relationship between parity P1 with the incidence of jaundice and oR of 2.095. There is no relationship between parity P>1 (Sekundipara and multipara) with the incidence of jaundice- The highest incidence of infant jaundice is the type of vacuum deliveries than types of spontaneous labor. The results of the chi-square I of 8.935 at p-value < 0.003 in which p-value < 0.005 can be concluded there is a relationship between labor vacuum with the prolonged second stage the on the incidence of neonatal jaundice. The results of the contingency coefficient of 0.183 means that a labor vacuum with the incidence of jaundice has a very low. Obtained OR value of 2.124 means that the labor vacuum with a prolonged second stage as a risk factor for neonatal jaundice at 2 times.
PERBANDINGAN KEBERHASILAN PERSALINAN ANTARA MISOPROSTOL DAN FOLEY KATETER PADA POSTTERM Wulandari, Isnamaya Kartika; Sumarah, Sumarah; Margono, Margono
Jurnal Kesehatan Ibu dan Anak Vol 2 No 2 (2012): November
Publisher : Poltekkes Kemenkes Yogyakarta

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Abstract

Based on former study in Wates General Hospital 2011 there are data of total induction labor 367 (29,24%) of 1255 vaginal delivery, where is 3 induction methods used such as misoprostol are 139 patient (37,87%), foley catheter are 125 patient (34,06%) and oxytocin are 103 patient (28,07%) with different success level in vaginal delivery. induction labor is one of active intervention which have potential for the fetus and mother, but it can increase the risk like section-cesarean delivery, abnormal fetus heartbeat, multiple study of misoprostol induction by oral and foley catheter have different result. To identify success comparison of vaginal delivery used misoprostol by oral for induction and foley catheter for women with post term in Wates General Hospital 2012. This study used an observational analytic with historic cohort design used kind of induction labor and women with post term as independent variable and success of vaginal delivery as dependent variable. The population are all of women with post term who had induction, sample size are 45 subject who had misoprostol by oral and 45 subject who had foley catheter. Data analysis used chi-square, percentage and risk relative. Result of this study showed that there are difference proportion of vaginal delivery used misoprostol by oral and foley catheter with risk relative 2,995, p-value 0,03 and Cl 95% (1 ,090 - 8,233) which means women who had misoprostol by oral as induction have 2,995 time more success than used foley catheter.
HUBUNGAN KEJADIAN MALARIA PADA IBU HAMIL DENGAN BBLR DI PUSKESMAS NANGAPANDA TAHUN 2011 Sophian, Emiliana Beti; Estiwidani, Dwiana; Sumarah, Sumarah
Jurnal Kesehatan Ibu dan Anak Vol 3 No 1 (2013): Juli
Publisher : Poltekkes Kemenkes Yogyakarta

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Abstract

Neonatal Mortality rate in Indonesia on 2010 were 19 per 1000 live births. Neonatal mortality rate in the province of south east Nusa east (NTT) on 2010 were 853 or 9,34 per 1 ,000 live births caused by death due to asphyxia of 37,9%, followed by Low Birth Weight (LBW) are 28,1% after caused are 28% and infection 3 cases (0,35%). One of maternal factors which influenced, LBW is malaria. Ende regency is the third highest incidence of malaria in the province of NTT 2011 by 28.89%. Purpose: to know correlation of malaria with LBW. Methods: This study use an observational study with case-control design, using sampling technique purposive with sample 53 case and 53 controls. Analysis used univariate, bivariate by chi-square. Result: The results of chi square test p-value of 0.001, which means there is a correlation of malaria and LBW. Results of statistical analysis showed that OR= 3.827 Cl (95%) 1,653-8,859 means that malaria has 3.8 times higher probability than LBW compared with those not exposed to malaria. maternal malaria, birth weight
UJI TOOLS PADA METODE APPLIED BEHAVIORAL ANALYSIS DALAM MENDIDIK AUTIS MENGHADAPI MENARCHE Prastiwi, Ratih Sakti; Hastuti, Sari; Sumarah, Sumarah
Jurnal Kesehatan Ibu dan Anak Vol 3 No 1 (2013): Juli
Publisher : Poltekkes Kemenkes Yogyakarta

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Abstract

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
PENGARUH KURANG ENERGI KRONIS DAN ANEMIA IBU HAMIL TERHADAP KEJADIAN BAYI BERAT LAHIR RENDAH Setyaningrum, Dyah Ayu; Estiwidani, Dwiana; Sumarah, Sumarah
Jurnal Kesehatan Ibu dan Anak Vol 4 No 2 (2013): November
Publisher : Poltekkes Kemenkes Yogyakarta

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Abstract

The neonatal mortality rate in the world is about 29 % because Low Birth weight (LBW). In Indonesia, the highest mortality cause is LBW. LBW rate in Gunungkidul increase from 2,76%to 3,92%. LBW rate in Hospital Wonosari is 15,9% from 1346 birth rate. One of predisposition factors of LBW is pregnant mother with KEK and anemia. The rate of KEK have Increase from 15,91 % to 15,44 %, and anemia rate have increase from 13,97o/o to 15,22 %. Knowing effect of KEK and anemia of pregnant mother to LBW at Hospital Wonosari 2012. Research sing observational analytic with case control design. Sample technic using randomizes from delivery mother medical record at RSUD Wonosari. Sample consist of case and control group 1:1 65 LBW for case and 65 normal birth weight for control. This research using correlation test Chi Square, Odds Ratio and Logistic Regression. LBW from pregnant mother with KEK 61,54%, non KEK 38,46%, normal birth weigh from pregnant mother with KEK 23,07%, non KEK 76,93%. LBW from pregnant mother with anemia 63,07%, non-anemia 36,93 %, normal birth weigh from pregnant mother with anemia 23,07 %, non-anemia 76,93 %. Pregnant mother with KEK is have risk 5,33 higher for delivering LBW. Pregnant mother with anemia is have risk 5,67 higher for delivering LBW. There is effect from KEK and anemia of pregnant mother to LBW. Anemia have more effect causing LBW. There is effect from KEK and anemia of pregnant mother to LBW. Anemia have more effect causing LBW.
GAMBARAN TINGKAT PENGETAHUAN DAN SIKAP TENTANG PENDIDIKAN SEKS REMAJA KELAS X DI SEKOLAH MENENGAH ATAS NEGERI 1 SLEMAN TAHUN 2015 Sidan, Elda Swastiti; Sumarah, Sumarah; Arum, Dyah Noviawati Setya
Jurnal Kesehatan Ibu dan Anak Vol 10 No 2 (2016): November
Publisher : Poltekkes Kemenkes Yogyakarta

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Abstract

Adolescent problems which today are very complex and worrying, as shown by the low knowledge of adolescents about sexeducation, young women and men aged 14-19 years who claimed to have a boyfriend had sexual intercourse beforemarriage respectively reached 34, 7% and 30.9%. Less of information and counseling on sexual education is one of theissues teens. The research objective was to determine the level of knowledge and attitudes about teenage sex educationclass X at SMA Negeri 1 Sleman Year 2015. The method used is descriptive with cross sectional approach. The entirepopulation of students of class X with the number 176 in SMA Negeri 1 Sleman. Data collected by questionnaire that havebeen tested for validity and reliability are then tabulated in the form of a frequency distribution. The result is a level ofknowledge about adolescent sex education good majority, as many as 90.34%, followed by the category of pretty much as9.66%, and no respondents with less category. Attitudes of respondents to the most adolescent sex education in the categoryis support as many as 52.27% and the rest is in the category do not support as many as 47.73%. The level of knowledge andattitudesabout teenage sex education in class XSMANegeri 1 Sleman be ineithercategory and support.
Factors related to HbA1c in the first trimester of pregnancy Sumarah, Sumarah; Anies, Anies; Rahfiludin, Mohammad Zen; Sulistiyani, Sulistiyani
International Journal of Public Health Science (IJPHS) Vol 12, No 4: December 2023
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v12i4.23189

Abstract

The prevalence of gestational diabetes mellitus (GDM) in the world is 16.2% of live births associated with hyperglycemia in pregnancy, and 7.4% are caused by type 1 or 2 diabetes which is detected for the first-time during pregnancy. The prevalence of GDM in Indonesia reaches 3.6% and the highest rate is found in the Special Province of Yogyakarta (2.6%). One of the risk factors for GDM is excess nutrition which is influenced by daily intake. This study aims to determine the relationship between nutritional intake and body mass index (BMI) with HbA1c levels in first-trimester pregnant women. This study used a cross-sectional design. A simple random sampling with inclusion and exclusion criteria was employed, involving 47 pregnant women as subjects. Nutritional intake was measured with the semi-quantitative food frequency questionnaire (SQ-FFQ). The nutritional status of pregnant women is measured by BMI. HbA1c was measured by the turbidimetric inhibition immunoassay (TINIA) method. Analysis of research data using the Pearson product-moment correlation test and rank Spearman. The results of this study stated that there was a relationship between nutritional intake and BMI with HbA1c levels. Diagnosis of GDM and appropriate intervention can reduce the risk of complications of diabetes mellitus (DM).
Preventing Stunting from the Source: A Study of Premarital Couples on Participation in Preconception Care Nuriana Kartika Sari; Ismiyati, Atik; Hernayanti, Munica Rita; Sumarah, Sumarah; Siscadarsih, Indraswari
Jurnal Kesehatan Ibu dan Anak Vol. 19 No. 1
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/kia.v19i1.2907

Abstract

Indonesia ranks among the highest globally for childhood stunting, largely due to chronic nutritional deficiencies beginning during the first 8000 days of life—starting even before conception. Poor health and nutritional status among women of reproductive age prior to marriage significantly increase the risk of adverse pregnancy outcomes and childhood stunting. This study aimed to identify the determinants of premarital couples’ participation in preconception care as a strategy to reduce stunting. This cross-sectional analytical study involved 61 premarital couples recruited through total sampling at the Office of Religious Affairs (KUA) in Kapanewon Sewon, Bantul Regency, Yogyakarta, Indonesia. Inclusion criteria included couples aged 20–35 years who met the study requirements. Data were analyzed using univariate, bivariate (Chi-square), and multivariate logistic regression tests. Knowledge (p = 0.001), attitude (p = 0.007), and social support (p = 0.015) were significantly associated with participation in preconception care. Multivariate analysis showed that couples with good knowledge were 4.3 times more likely (AOR = 4.30; 95% CI: 1.65–11.22) to participate in preconception care. Improved knowledge, positive attitudes, and strong social support significantly increase premarital couples’ participation in preconception care. Strengthening early health promotion and community-based interventions is essential to optimize reproductive health preparation and prevent stunting from its earliest source.
Exclusive Breastfeeding History with The Incidence of Stunting in Children Aged 6-24 Months Sumarah, Sumarah; Hernayanti, Munica Rita
Jurnal Bidan Cerdas Vol. 7 No. 2 (2025)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jbc.v7i2.3858

Abstract

Background: Stunting is nutritional health issues in Indonesia affecting children under 5 years. Numerous variables, including exclusive breastfeeding, can contribute to stunting. This study aims to find out the influence of history of exclusive breastfeeding to stunting in children between the ages of 6 and 24 months in the Turi Health Center working area. Methods: This study used a case-control study design and an observational-analytic sampling with a simple random sampling method. All children aged 6-24 months in Turi Health Center's toddler registration who met the inclusion and exclusion criteria were listed as study subjects. There were 100 subjects with 50 subjects being cases and 50 subjects being controls. Data analysis used univariable, bivariable using Chi-square, and multivariable using logistic regression. Results: The characteristics of respondents with male and female gender had the same proportion (50%), while the children age were mostly 13-24 months old (62%). Most of respondents had a history of exclusive breastfeeding (80%) dan had never experiencing infectious diseases (58%). The findings demonstrated a significant correlation between exclusive breastfeeding history and stunting among children aged 6-24 months with a p-value of 0.012 OR 3.857 (95% CI:1.278-11.638). Conclussion: Exclusive breastfeeding is one of the keys to provide sufficient nutrients among children under five. Exclusive breastfeeding continues to be promoted to decrease the prevalence of stunting in children aged 6-24 months.or exploring other variables that influence labor progress.