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All Journal International Journal of Public Health Science (IJPHS) MEDIA MEDIKA INDONESIANA Jurnal Anestesi Perioperatif Jurnal Kedokteran dan Kesehatan : Publikasi Ilmiah Fakultas Kedokteran Universitas Sriwijaya Medical Journal of Indonesia Indonesian Journal of Cancer Chemoprevention Pharmascience Majalah Kedokteran Sriwijaya Sari Pediatri Biomedical Journal of Indonesia Jurnal Kedokteran Gigi Universitas Padjadjaran Jurnal Kedokteran dan Kesehatan Syifa' MEDIKA: Jurnal Kedokteran dan Kesehatan Indonesian Journal of Obstetrics & Gynecology Science Indonesian Journal of Obstetrics and Gynecology (Majalah Obstetri dan Ginekologi Indonesia) Jurnal Ilmu Kedokteran dan Kesehatan Oceana Biomedicina Journal SRIWIJAYA JOURNAL OF MEDICINE Majalah Anestesia dan Critical Care Bioscientia Medicina : Journal of Biomedicine and Translational Research Sriwijaya Journal of Surgery Jurnal Kesehatan dan Pembangunan Bioscientia Medicina : Journal of Biomedicine and Translational Research International Journal of Islamic and Complementary Medicine

Theodorus Theodorus

Bagian Farmakologi Fakultas Kedokteran Universitas Sriwijaya

Author-ID : 403007

Religion Biochemistry, Genetics & Molecular Biology Dentistry Education Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Physics Public Health

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Hubungan antara Klorheksidin 0,2% dan Povidone Iodine 1% dengan Ventilator-Associated Pneumonia (VAP): Studi Kohort Lestari, Mayang Indah; Puspita, Yusni; Zainal, Rizal; Theodorus, Theodorus
Majalah Anestesia dan Critical Care Vol 34 No 1 (2017): Februari
Publisher : Perdatin Pusat

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Ventilator-associated pneumonia (VAP) adalah infeksi nosokomial tersering di ruang Intensive Care Unit (ICU) RSUP Dr. Moh. Hoesin (RSMH) Palembang, angka kejadiannya pada bulan Juli 2011–Juni 2012 cukup tinggi (31,69%) dengan angka mortalitas 54,7%. Mekanisme utama dalam patogenesis VAP ialah aspirasi bakteri gram positif dan negatif patogenik yang berkoloni di daerah orofaring. Tindakan modulasi kolonisasi tersebut sangat bermakna dalam mencegah VAP. Pemberian povidon iodin 1% dan klorheksidin 0,2% sudah sering dilakukan namun belum ada penelitian mengenai hubungannya terhadap kejadian VAP. Penelitian ini bertujuan untuk mengetahui hubungan antara klorheksidin 0,2% dan povidoneiodine 1% terhadap kejadian VAP. Studi kohort telah dilakukan di ICU RSMH pada bulan Februari – Juli 2014. Terdapat 32 subjek penelitian yang memenuhi kriteria inklusi dan dibagi menjadi dua kelompok, yaitu yang mendapatkan klorheksidin 0,2% dan povidoneiodine 1%. Dilakukan uji χ2 menggunakan statistical program and service solution (SPSS) versi 21.0. Karakteristik umum subjek penelitian yang meliputi usia, jenis kelamin, skor APACHE II, diagnosis, dan lama intubasi antara dua kelompok tidak menunjukkan perbedaan bermakna (p>0,05). Terdapat hubungan antara povidoneiodin 1% dan klorheksidin 0,2% terhadap kejadian VAP (RR 1,286) namun hubungan tersebut tidak bermakna (p=0,48). Kata kunci: Klorheksidin 0,2%, kolonisasi, orofaring, povidoneiodin 1%, ventilator associated pneumonia Relationship between Chlorhexidine 0.2% And Povidone Iodine 1% with Ventilator-Associated Pneumonia: Cohort Study Ventilator-associated pneumonia (VAP) is the most common nosocomial infection in intensive care unit (ICU) in RSUP Dr. Moh. Hoesin (RSMH) Palembang, its incidence from July 2011 to June 2012 is quite high (31.69%) with mortality rate as high as 54.7%. Major mechanism in VAP pathogenesis is oropharygeal positive and negative pathogenic colonization aspiration. Colonization modulating intervention is signifantly important in VAP prevention. Povidoneiodine 1% and chlorhexidine 0.2% has been frequently used but there is no study yet about their correlation with VAP. This study was determined the correlation is between chlorhexidine 0.2% and povidone iodine 1% to VAP. Cohort study was conducted in ICU RSMH since February to July 2014. There was 32 subjects included and divided into two groups, chlorhexidine 0,2% and povidon iodine 1%. Analysis has been done with χ2 test by using SPSS® version 21.0. General characteristics among subjects in both groups including age, sex, APACHE II score on admission, diagnosis, and duration of intubation were not significantly different (p>0.05). There was a correlation between Povidoneiodine 1% and chlorhexidine 0.2% with VAP incidence (RR 1.286) but was not statistically significant (p=0.48).  Key words: Chlorhexidine 0.2%, colonization, oropharyngeal, povidon iodine 1%, ventilator-associated pneumonia

A Comparative Study of Nomegestrol Acetate and a Combination of Ethinylestradiol and Levonorgestrel for Delaying Menstruation among Umrah Pilgrims Tindar, Mirzah; Effendi, Yusuf; Abadi, Adenan; Theodorus, Theodorus
Indonesian Journal of Obstetrics and Gynecology Volume 6. No. 1. January 2018
Publisher : Indonesian Socety of Obstetrics and Gynecology

Objective: To compare the effectiveness efficacy of nomegestrolacetate with and combination of ethinylestradiol and levonorgestrelas a regimen for delaying menstruation in Umrah pilgrims in Palembangcity.Methods: This single-blind randomized controlled trial was conductedin Hajj and Umrah Guidance Group in Palembang city duringDecember 2016 to January 2017. Population of this study was 30women who meet the inclusion and exclusion criteria. Frequencyand distribution of data was described in a table. Effectiveness andthe side effects treatment between the two groups were analyzedwith Chi Square test. Data was were analyzed using SPSS version18.0.Results: There were no differences in age, education, occupation,parity, body weight, height and contraceptive history betweentwo both groups (all p values > 0.05). Statistical analysis showedthere was no difference in spotting between nomegestrol acetate5 mg or a combination of levonorgestrel 150 mcg and 30 mcgethinylestradiol in Umrah pilgrims (p = 1.000). Other side effectssuch as (dizziness, depression, breast tenderness, heavy limbs,nauseam and vomiting) between the two groups could not beanalyzed because all subjects did not experience any other sideeffects.Conclusion: There is no difference in effectiveness betweennomegestrol acetate 5 mg or combination of levonorgestrel 150mcg and 30 mcg ethinylestradiol as a regimen for delayingmenses in Umrah pilgrims in Palembang city.[Indones J Obstet Gynecol 2018; 6-1: 45-49]Keywords: delay menstruation, ethinylestradiol, levonorgestrel,nomegestrol, side effects, spotting, umrah

Sacrospinosus Fixation Efectivity in Pelvic Organ Prolapse Patient Andriansyah, Yulius; F, Amir; B, Firmansyah; Theodorus, Theodorus
Indonesian Journal of Obstetrics and Gynecology Volume 7, No. 1 January 2019
Publisher : Indonesian Socety of Obstetrics and Gynecology

Abstract   Background : Pelvic organ prolapse (POP) is a condition in which interna genitalia protrude into vagina, or even out of vagina. This occur due to weaknesses of pelvic muscle, fascia and ligaments support. Sacrospinous ligament fixation (SSF) is an ideal vaginal procedure for POP repair with 90-95% success rate. This study aims to determine the effectiveness of SSF in patients with POP at dr. Mohammad Hoesin hospital (RSMH) Palembang Method: Randomized clinical trial (RCT) was performed at RSMH Palembang from January to September 2017. There were 30 samples of pelvic organ prolapse who met the inclusion criteria. Data frequency and distribution were described in table form and the effectiveness of SSF were analyzed by Wilcoxon / paired t-test while the effectiveness ratio was analyzed by Mann Whitney / independent t-test. Data were analyzed using SPSS version 16.0. Result: There were no differences in patient characteristics (age, parity, body weight, height, and occupation) between the two treatment groups (p <0.05). There were differences of breech pain (proctalgia) before and after 1, 3, and 6 months post operation in SSF group (p <0.05), in which proctalgia was more exquisite after than before surgery. The results showed that SSF was effective in reducing urinary disorders, defecation disorders, vaginal prolapse, cystocele and rectocele, and effectively improving the quality of life of POP patient. In addition, there was a difference of proctalgia and vaginal prolapse 1, 3, and 6 months after surgery between two groups where the adverse outcome of the proctalgia was more significant in SSF group but the vaginal prolapse was more significant in the non-SSF group. There were no differences in bleeding complications (p = 1,000) and infection (p = 1,000) between the two groups. Conclusion: Sacrospinosus Fixation was effectively reduces the vaginal prolapse of pelvic organ prolapse patients. Keywords: Urinary, Defecation, Sacrospinosus Fixation, Quality of Life, Proclatgia, Rectocele, Cystocele. Abstrak   Latar Belakang:. Prolapsus organ panggul (POP) merupakan keadaan dimana suatu organ genitalia turun kedalam vagina, bahkan mungkin keluar liang vagina. Hal ini terjadi dikarenakan kelemahan otot, fasia dan ligamen penyokongnya. Sacrospinous ligament fixation (SSF) adalah prosedur vaginal yang ideal untuk perbaikan POP dengan tingkat keberhasilan 90-95%. Penelitian ini bertujuan untuk mengetahui efektivitas SSF pada penderita prolaps organ panggul di rumah sakit dr. Mohammad Hoesin (RSMH) Palembang Metode: Uji klinis acak berpembanding (RCT) dilakukan di RSMH Palembang sejak bulan Januari sampai September 2017. Didapatkan sampel sebanyak 30 penderita prolaps organ panggul yang memenuhi kriteria inklusi. Frekuensi dan distribusi data dijelaskan dalam bentuk table dan efektivitas SSF dianalisis dengan uji Wilcoxon/paired t-test dan perbandingan efektivitas dianalisa dengan uji Mann Whitney/independent t-Test menggunakan SPSS versi 16.0. Hasil: Analisis statistik tidak terdapat perbedaan karakteristik pasien baik umur, paritas, berat badan, tinggi badan, dan pekerjaan antara kedua kelompok perlakuan (p< 0,05). Didapatkan bahwa SSF efektif mengurangi gangguan berkemih, gangguan defekasi, prolaps vagina, sistokel dan rektokel serta meningkatkan kualitas hidup pasien POP, namun terdapat perbedaan nyeri bokong (proktalgia) sebelum dan sesudah 1 bulan, 3 bulan dan 6 bulan operasi pada group SSF (p <0,05). dimana proktalgia lebih dirasakan setelah operasi dibandingkan sebelum operasi. Selain itu terdapat perbedaan proklatgia dan prolaps vagina 1,3 dan 6 bulan setelah operasi antar kedua group dimana proktalgia lebih dirasakan pada kelompok SSF namun prolaps vagina lebih banyak dialami oleh kelompok non SSF. Tidak terdapat perbedaan komplikasi perdarahan (p = 1,000) dan infeksi (p = 1,000) antara kedua kelompok. Simpulan: Fiksasi sakrospinosus efektif mengurangi prolaps vagina pasien prolaps organ panggul. Kata Kunci:. Berkemih, Defekasi, Fiksasi sacrospinosus, Kualitas Hidup, Nyeri Bokong, Rektokel, Sistoke  

Indikator Beban Berlebih Pada Otot Jantung Tikus Wistar Yang Diberi Perlakuan Latihan Fisik Akut Rahima, Rahima; Flora, Rostika; Theodorus, Theodorus
Biomedical Journal of Indonesia: Jurnal Biomedik Fakultas Kedokteran Universitas Sriwijaya Vol 1, No 1 (2015)
Publisher : Fakultas Kedokteran Universitas Sriwijaya

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Latihan fisik terdiri dari aktivitas aerobik dan aktivitas anaerobik. Latihan fisik aerobik maupun anaerobik dapat mengakibatkan pembentukan radikal bebas. Dalam keadaan ini dapat pula terjadi peningkatan sekresi BNP sebagai indikator terjadinya kerusakan otot. Brain Natriuretic Peptide (BNP) adalah Hormon type-B yang diproduksi di otot jantung yang akan terstimulasi ketika ventrikel jantung meregang dan mengalami tekanan yang berlebih atau sebagai sitoproteksi terhadap kelebihan volume dan peningkatan radikal bebas. Sampai saat ini masih relatif terbatas laporan mengenai perbandingan pengaruh latihan fisik aerobik dan anaerobik terhadap kadar BNP di otot jantung dalam melihat pengaruh positih dan negativenya terhadap fungsi jantung. Penelitian ini merupakan studi eksperimental dengan subjek penelitian pada 28 ekor tikus Wistar yang dibagi menjadi 2 kelompok (kelompok pembanding=P1, perlakuan aerobik 1 hari=P2, perlakuan anaerobik 1 hari=P3). Cara perlakuan latihan fisik menggunakan Animal Treadmill, dengan kecepatan 20 meter/menit selama 30 menit untuk latihan fisik aerobik, dan kecepatan 35 meter/menit selama 20 menit untuk latihan fisik anaerobik. Pemeriksaan kadar BNP dilakukan di Laboratorium Biokimia Fakultas Kedokteran Universitas Indonesia. Hasil uji statistik menunjukkan bahwa, tidak terdapat perbedaan yang bermakna kadar BNP otot jantung pada kelompok aerobic dan anaerobik yang diberi perlakuan 1 hari (sesaat). Akan tetapi dari hasil penelitian ini menunjukkan bahwa kadar BNP otot jantung pada latihan fisik anaerobik cenderung lebih tinggi dibandingkan dengan latihan fisik aerobik (6,00Â±26,13 vsÂ 6,93Â±10,47) sebagai indikator terjadinya beban yang berlebih pada otot jantung. Dari penelitian ini dapat disimpulkan bahwa untuk memperbiki fungsi jantung, latihan fisik aerobik lebih baik daripada latihan fisik anaerobik.

Efek Antiinflamasi Fraksi Daun Andong (Cordyline Fruticosa L) Pada Tikus Putih Jantan (Rattus Norvegicus) Galur Spraque Dawley Wijaya, Leni; Saleh, Irsan; Theodorus, Theodorus; Salni, Salni
Biomedical Journal of Indonesia: Jurnal Biomedik Fakultas Kedokteran Universitas Sriwijaya Vol 1, No 1 (2015)
Publisher : Fakultas Kedokteran Universitas Sriwijaya

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Inflamasi merupakan suatu respon protektif normal terhadap luka jaringan yang disebabkan oleh trauma fisik, zat kimia yang merusak, atau zat-zat mikrobiologik. Pengurangan peradangan atau respon inflamasi menggunakan obat golongan steroid dan antiinflamasi non steroid (AINS). Tujuan penelitiaan adalah untuk mengetahui efek antiinflamasi fraksi n-heksan, fraksi etil asetat, dan fraksi metanol air dari ekstrak metanol daun andong (Cordyline fruticosa L) pada tikus putih jantan (Rattus norvegicus) galur Spraque Dawley yang diinduksi dengan karagenin 1%. Subyek penelitian adalah 30 ekor tikus putih jantan (Rattus norvegicus) galur Spraque Dawley yang dibagi dalam 5 kelompok. Kelompok I adalah plasebo yang diberi CMC 1%, kelompok 2 diberi fraksi nheksan, kelompok 3 diberi fraksi etil asetat, kelompok 4 diberi fraksi metanol air masing-masing dengan dosis 200 mg/kgBB, dan kelompok 5 diberi Meloxicam sebagai kontrol positif. Parameter efek antiinflamasi berupa volume edema kaki tikus dan penghitungan jumlah neutrofil pada sediaan hapus darah tepi. Data penelitian dianalisis dengan menggunakan program SPSS versi 20. Hasil penelitian menunjukkan bahwa fraksi n-heksan daun andongÂ mempunyai efek antiinflamasi lebih aktif atau kuat dibandingkan dengan fraksi etil asetat dan metanol air daun andong (Cordyline fruticosa L), tidak berbeda nyata dibandingkan Meloxicam pada tikus putih jantan (Rattus norvegicus) galur Spraque Dawley, fraksi n-heksan daun andong (Cordyline fruticosa L) mengandung golongan senyawa fenol dan steroid terpenoid yang diduga berperan dalam aktivitas antiinflamasi, dan potensi antiinflamasi fraksi etil asetat dan metanol air daun andong (Cordyline fruticosa L) lebih kecil dibandingkan dengan Meloxicam pada tikus putih jantan (Rattus norvegicus) galur Spraque Dawley.

Effectiveness of Pelvic Organ Prolapse Surgery in Women with Depressive Symptoms and Decreased Quality of Life Susanto, Azhar; Fauzi, Amir; Rusydi, Syakroni D; Theodorus, Theodorus; Sahab, Abdullah
Indonesian Journal of Obstetrics and Gynecology Volume. 3, No. 4, October 2015
Publisher : Indonesian Socety of Obstetrics and Gynecology

Objective: To know the effectiveness of pelvic organ prolapse surgery in decreasing depressive symptoms (based on PHQ9) and improving quality of life in women with pelvic organ prolapse. Methods: This experimental study without control is conducted at the Obstetrics and Gynecology Department of Dr. Mohammad Hoesin Hospital Palembang/Faculty of Medicine Sriwijaya University, from October 03 2012 until May 31, 2014. Data containing selfadministrated questionnaire about depressive symptoms (PHQ9) and quality of life (PFIQ and PFDI) were recorded. Questionnaire was performed before and six months after surgery. Sample included 26 women with pelvic organ prolapse seeking pelvic organ prolapse surgery, which qualified the inclusion criteria. Data were analyzed using Chi Square and Fisher Exact test. Data analysis was done using SPSS 18.0. Results: According to paired T test there is a significant difference between mean PHQ9 score before (6.69±3.80) and 6 months after surgery (1.96±1.75)(p=0.001). Total PFIQ score decreased from 17.15±9.39 to 2.88±4.01 with 14.27±5.38 reduction. PFDI score before surgery were 29.85±15.73 and decreased to 11.50±10.99, with a reduction of 18.35±4.74. Conclusion: There was significant reduction in depressive symptoms and improved quality of life in women with prolapse after surgery, compared to before surgery. [Indones J Obstet Gynecol 2015; 3-4: 196-199] Keywords: depression, quality of life, uterine prolapse

The Risk of Urinary Tract Infection in Post-Operative Pelvic Organ Prolapse is Increasing in Patients with Shorter Urethral-Anal Distance Fakhrudit, Emir; Fauzit, Amir; Effendy, Kms Yusuf; Theodorus, Theodorus
Indonesian Journal of Obstetrics and Gynecology Volume. 1, No. 3, July 2013
Publisher : Indonesian Socety of Obstetrics and Gynecology

Objectives : The purpose of our study was to find the correlation between urethral-anal distance and urinary tract infection (UTI) after surgery for grade III and IV uterine prolapse. Methods : Cross sectional study of 57 consecutive women who underwent surgery for grade III and IV uterine prolapse Fisher exact test was used to determine independent risk factors. Results : Eight (14%) women developed a UTI. The risk of UTI was significantly increased in women whose distance between the urethra and the anus was less than 50.27 mm, with PR: (95%Cl): 43.75 (6.05-303.61) and p: 0.001. Conclusion: There is correlation between urethral-anal distance and urinary tract infention (UTI) after surgery for grade III and IV uterine prolapse. [Indones J Obstet Gynecol 2013; 1-3: 152-5] Keywords: cystocele, pelvic organ prolapse, rectocele, urinary tract infection, uterine prolapse

The Risk of Ovarian Malignancy Algorithm (ROMA) as a Predictor of Ovarian Tumor Malignancy Forbes, Darlin; Sastradinata, Irawan; Agustiansyah, Patiyus; Theodorus, Theodorus
Indonesian Journal of Obstetrics and Gynecology Volume. 5, No. 4, October 2017
Publisher : Indonesian Socety of Obstetrics and Gynecology

Object: To assess the diagnostic value of Risk of Ovarian Malignancy Algorithm (ROMA) in predicting ovarian malignancy. Methods: Diagnostic test was performed at dr. Mohammad Hoesin Hospital Palembang during June 2016 to November 2016. Data were analized with SPSS version 21.0 and Med-calc statistic. Results: A total of 57 subjects were recruited in this study. Subjects were divided into two groups: the premenopausal and postmenopausal group. Analysis with ROC curve was performed, the ROMA optimal cut-off of ROMA was 23.7% and 48.15% in the premenopausal and the post-menopausal group, respectively. With the optimal cut-off, the sensitivity was 79.41% and specivicity was 75%, positive predictive value wa 73.07% and negative predictive value 83.77% with accuracy 76.92% in diagnosing ovarian malignancy. Compared to RMI-3, the sensitivity was 65.5% and specivicity was 85.7% with accuracy 75.44%. Conclusion: ROMA is not a reliable diagnostic tools of ovarian malignancy. Keywords: CA125, HE4, ovarian cancer, risk of ovarian malignancyalgorithm/ ROMA, risk of ovarian malignancy index/RMI

Malignancy Risk Factors of Hydatidiform Mole D Saputra, Akbar N; Shaleh, Agustria Z; Agustiansyah, Patiyus; Theodorus, Theodorus
Indonesian Journal of Obstetrics and Gynecology Volume 7 No. 2 April 2019
Publisher : Indonesian Socety of Obstetrics and Gynecology

Abstract Objective: to determine risk factors inhydatidiform mole patients who will develop into Gestational Trophoblast Neoplasm (GTN) in Dr.Mohammad Hoesin Hospital Palembang Method: An observational analytical study with case control design was conducted in Department of Obstetrics and Gynecology in Dr. Mohammad Hoesin Hospital Palembang / Faculty of Medicine Sriwijaya University Palembang from January 2017 to August 2017. The frequency and distribution of data are described in tables. Bivariate analysis was done to determine correlation between independent variable and dependent variable using Chi Square/Fisher Exact test and multivariate analysis  was used to know which independent variable has the biggest influence to the occurrence of Gestational TrophoblastNeoplasm (GTN) post evacuation of hydatidiform mole. Data analysis was done using SPSS version 21.0. Results: There were 45 patients who fulfilled inclusion criteria with control group and case group ratio 1 : 2 (15 cases and 30 controls). Statistical analysis showed a significant correlation between patient age, pre-evacuation β HCG level, parity, and histopathologic appearance with occurrence of Gestational Trophoblast Neoplasm (GTN) after evacuation of hydatidiform mole (p <0,05). From multivariate analysis, it was found that pre-evacuation β HCG levels ≥ 134,182.5 mIU/ml was a risk factor of Gestational Trophoblast Neoplasm (OR = 77.008, p value = 0.004). Conclusion: Pre-evacuation β HCG levels ≥ 134,182.5 mIU / ml is a risk factor for the occurrence of Gestational Trophoblast Neoplasm (GTN). Keywords: Hydatidiform mole, GTN, age, pre-evacuation β HCG level, parity, uterine size, blood type, hysthopathology feature

Factors Associated with Reproductive Age Couples’ Selection of Sterilization in the Era of the National Health Insurance Program Nugroho, Achmadi S; Azhari, Azhari; Nurtjahyo, Awan; Theodorus, Theodorus
Indonesian Journal of Obstetrics and Gynecology Volume 7 No. 2 April 2019
Publisher : Indonesian Socety of Obstetrics and Gynecology

Objective:To assess factors associated withselection of contraceptive sterilization in reproductive age couples in Dr. Mohammad Hoesin Palembang hospital in the era of BPJS. Methods: This cross sectional study was conducted between January - December 2017. Study sample was reproductive age couples (RAC) who were married and came to P2 UGD, maternity room and midwifery ward of Dr. Mohammad Hoesin Palembang hospital and metour inclusion criteria. All study participants were given a questionnaire to assess factors that influence selection of contraceptive methods in women. Data were analyzed using SPSS software version 17. Results: We found a significant relationship between number of children (PR = 3,988; p = 0.016), knowledge level (PR = 3,893; p = 0,024) and husband support (PR = 5,233; p = 0.009) with sterilization contraceptive selection. In addition, there were no significant correlation between age (PR = 2,311, p = 0,210), education level (PR = 1,893, p = 0,331), woman attitude (PR = 1,567, p = 0,758), availability of contraception ( (PR = 1,969, p = 0,342), officer attitude (PR = 1,088, p = 0,000) and information given by officer (PR = 1,378; p = 0,719) 1,310; p = 0.802) with selection of sterilization. With logistic regression test, we found that husband support was the most important factor to selection of sterilization contraception (PR = 4,266, p = 0,040) followed by knowledge (PR = 3,620, p = 0,041). Conclusion:Sterilization selection in reproductive age couples at Dr. Mohammad Hoesin Palembang Hospitalis influenced by female knowledge and husband support. Keywords:sterilization, tubal ligation, vasectomy, reproductive age couple

Co-Authors Abrar Arbhiwa Tanguirsyaf Siregar Abu Bakar Lutfi Adenan Abadi Adenan Abadi admin Adnan Abadi Asnawi Adnan Abadi, Adnan Afifa Ramadanti Agustina Br. Haloho Agustinus William Agustria Z. Saleh Amarel, Fahma Alfarizqy Amir Fauzi Amirah Novaliani Anak Agung Gede Sugianthara Anang Tribowo Andriani, R.A. Linda Andriansyah, Yulius Andrina, Hana Anugrah Onie Awan Nurtjahyo Awan Nurtjahyo Azhar Susanto Azhari Azhari Azhari Rozali B, Firmansyah Benedictus Wicaksono Widodo Bernolian, N Bernolian, N Billy Sujatmiko D Saputra, Akbar N D.Y. Riyanto, D.Y. Dahler Bahrun Daniatiek, Soneta Dastamuar, Shalita Debby Handayani Harahap Debby Handayati Harahap Devy Octarina Ditto Ruldifar Pribadi Doni Kurniawan Dwi Tantri Marylin Ellen Callista Angelica Elvi Widiastuti Elza Iskandar, Elza Evi Lusiana F, Amir Fahma Alfarizqy Amarel Fakhrudit, Emir Fatimah Syakirah Fauzit, Amir Fedriyansyah Fedriyansyah Ferdi, Roni Ferry Yusrizal Firmansyah Basir Fita Asfianti Forbes, Darlin Gita Dwi Prasasty H.M. Nazir H.M. Nazir Haidar Ali Hamzah Harahap, Debby Handayani Heriansyah, Jhon Hidayat, Syarief Taufik Hilmawan, Bagus HM Nazir Hz Ika Kartika Indira, Tissa Ismail Bastomi, Ismail Julius Anzar Kamaluddin Kamaluddin Kamaluddin, MT Kamaluddin, MT Khrismawan Khrismawan Kiagus Ahmad Imanuddin Kms Yusuf Effendi Kms Yusuf Effendy Kusuma Harimin Leni Wijaya, Leni Lestari, Mayang Indah Lorenza, Geofanny Lutfi, Abu Bakar M Kamaluddin M. T. Kamaluddin Mahacakri, Eke P Mahadika, Febrinata Manan, Heriyadi Marta Hendry, Marta Martadiansyah, Abarham Maulani, H Maulani, H Maulani, Henni Mgs. Irsan Saleh, Mgs. Irsan Mgs. M. Irsan Saleh Muhammad Despriansyah Romadhan Muhammad Hafidh Komar Muhammad Irsan Saleh Muhammad Totong Kamaluddin Mulawan Umar Muzakkie Muzakkie, Muzakkie Nadhif, Aufa Muhammad Nita Parisa Nopriansyah Darwin Novianesari, Putri H Novianty, Novianty Nugraha, M Daffa Nugroho, Achmadi S Nur Qodir Nurul Islamy Nuswil Bernolian Octarina, Bertha Oktariana, Desi Pangemanan, W T Pangemanan, W T Pangemanan, Wim T PATIYUS AGUSTIANSYAH, PATIYUS Puspita, Yusni Putri Mahirah Afladhanti Putri Mirani Raden Ayu Kusuma Andini Rafiyandi Rafiyandi Rahima Rahima Renny Apliza Nasution Resiana Resiana Riani Erna Rika Saputri Rini Purnamasari Risa Vera Rizal Sanif Rizani Amran Rogatianus Bagus Pratignyo Rose Mafiana Rostika Flora Rostika Flora Rusydi, Syakroni D Sabrina, Tia Safa Nabila Putri Sahab, Abdullah Saleh, Masagus Irsan Salni Sari Octarina Piko Sastradinata, Irawan Shaleh, Agustria Z Silvana, Rista Silvia Triratna Siti Rusdiana Puspa Dewi Sonlimar mangunsong Stevanny, Bella Sudarto Sudarto Sujatmiko, Billy Sulbahri, Robby P. Suriani Rosida Sutomo Tanzil Syarif Husin Syarif Husin Tahany, Hanifah Tanzil, Sutomo Tindar, Mirzah Tissa Indira Usman, Fatimah Veronita Veronita Veronita, Veronita Wahyu Pranata, Wahyu Pranata Yohanes Febrianto Yulia Iriani, Yulia Yuliana Yuliana Yundari, Yundari Yusuf, Kemas Zainal, Rizal Zanaria, Rima Zulkifli Zulkifli

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