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All Journal e-CliniC Jurnal e-Biomedik Indonesian Journal of Obstetrics and Gynecology (Majalah Obstetri dan Ginekologi Indonesia) Best Journal of Administration and Management
Freddy W. Wagey
Universitas Sam Ratulangi
Humanities Decision Sciences, Operations Research & Management Economics, Econometrics & Finance Health Professions Medicine & Pharmacology Public Health Social Sciences

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HUBUNGAN TINGKAT PENGETAHUAN IBU MELAHIRKAN DENGAN PEMBERIAN MP-ASI DI BAGIAN OBSTETRI DAN GINEKOLOGI BLU RSU PROF. DR. R. D. KANDOU MANADO Sarampang, Yoslianto; Wagey, Freddy W.; Loho, Maria F.
e-Biomedik Vol 1, No 1 (2013): eBiomedik
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ebm.v1i1.4616

Abstract

Abstract: Most mothers now breastfeed less than 6 months and more gave extra food at that age but when viewed in terms of nutritional content of breast milk is superior to the other foods that have a lot of risks that can be caused to the health of the baby. Method: This research used a descriptive analytic cross-sectional study (cross-sectional) located in the obstetrics and gynecology section childbirth Prof. Dr. R. D. Kandou General Hospital Malalayang Manado in November 2012. Result: Based on the statistical test using the chi square test (p <0.05) in this study was p = 0.031 (p <0.05). Thus it is said that there is a significant relationship between the level of knowledge of mothers giving birth to the complementary feeding. Conclusion: In terms of education are mostly good (high school) we can say that there is no relationship with the mother despite knowledge of the test results obtained statistically significant value. It can be seen from the findings that most mothers who have given birth (72%) turned out to have given formula milk shortly after birth. Keywords: Knowledge, Childbirth, Complementary Feeding.   Abstrak: Kebanyakan ibu sekarang memberikan ASI tidak sampai 6 bulan dan lebih memberikan makanan tambahan pada usia tersebut padahal bila dilihat dari segi kandungan nutrisi ASI lebih unggul dari makanan pendamping yang lain sehingga memiliki banyak resiko yang bisa di timbulkan terhadap kesehatan bayi. Metode: Penelitian ini menggunakan desain penelitian deskriptif analitik dengan studi potong lintang (cross sectional) yang berlokasi di ruang nifas bagian obstetri dan ginekologi RSU Prof. Dr. R. D. Kandou Malalayang Manado bulan November 2012. Hasil: Berdasarkan uji statistik dengan menggunakan uji chi square (p<0,05) pada penelitian ini adalah p = 0,031(p<0,05). Dengan demikian dikatakan bahwa terdapat hubungan yang bermakna antara tingkat pengetahuan ibu melahirkan dengan pemberian MP-ASI.  Simpulan: Dilihat dari segi pendidikan yang kebanyakan adalah baik (SLTA) dapat dikatakan bahwa tidak ada hubungan dengan pengetahuan ibu meskipun dari hasil uji statistik diperoleh nilai yang bermakna. Hal tersebut dapat dilihat dari hasil penelitian bahwa kebanyakan ibu yang telah melahirkan (72%) ternyata telah memberikan susu formula sesaat setelah lahir. Kata kunci: Pengetahuan, Melahirkan, MP-ASI (Makanan Pendamping ASI).
PERSALINAN PADA USIA ≥ 35 TAHUN DI RSU PROF. Dr. R. D. KANDOU MANADO Sibuea, Meyclin Dameria; Tendean, Hermie M. M.; Wagey, Freddy W.
e-Biomedik Vol 1, No 1 (2013): eBiomedik
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ebm.v1i1.4587

Abstract

Abstract: Childbirth at age ≥ 35 years is not without risk. Labor harder and longer, and stillbirth are problems that can be encountered in pregnancy and childbirth at age ≥ 35 years. This study aims to find data on births by age ≥ 35 years. This study was conducted in November 2012 using retrospective descriptive method. Data were collected from medical record, the book of parturition and also from the subpart of Perinatology Prof. Dr. R. D. Kandou Public Hospital Manado in Januari 1 – December 31, 2011 period. This study found 846 birth at age ≥ 35 years from 4154 total births. Presentation of the fetus is most commonly found is the location of the fetal head 534 cases, while the type of labor that is most often done is spontaneously 413 cases. Birth weight is the most commonly found in the group weighing 2500 - <4000 grams 704 cases (81.39%). Perinatal deaths still occur till now (15.67o/oo). Every pregnant mother will birth at age ≥ 35 years more often advised to come to the clinic for prenatal care. Moreover, it is needed a doctor who is experienced and competent in minimizing morbidity and mortality in an act of childbirth. Keywords: Childbirth, age ≥ 35 years, incident     Abstrak: Persalinan pada usia ≥ 35 tahun bukan tanpa risiko. Persalinan yang lebih sulit dan lama, serta bayi lahir mati merupakan masalah yang dapat ditemui di kehamilan dan persalinan pada usia ≥ 35 tahun. Penelitian ini bertujuan untuk mengetahui data mengenai persalinan pada usia  35 tahun. Penelitian ini dilakukan pada bulan November 2012 dengan menggunakan metode deskriptif retrospektif. Data dikumpulkan dari rekam medik, buku partus dan juga beberapa data dari sub bagian Perinatologi RSU Prof. Dr. R. D. Kandou Manado periode 01 Januari 2011 – 31 Desember 2011. Ditemukan 846 persalinan pada usia ≥ 35 tahun dari 4154 total persalinan. Presentasi janin yang paling banyak ditemukan adalah janin dengan letak kepala yaitu 534 kasus, sedangkan jenis persalinan yang paling sering dilakukan adalah dengan cara spontan yaitu 413 kasus. Berat badan lahir yang paling banyak ditemukan adalah bayi dengan kelompok berat 2500 - <4000 gram yaitu 704 kasus (81,39%). Kematian perinatal masih terus terjadi sampai saat ini (15,67o/oo). Setiap ibu yang hamil dan bersalin pada usia ≥ 35 tahun, disarankan untuk lebih sering berkunjung ke klinik untuk melakukan pemeriksaan kehamilan. Selain itu, dibutuhkan adanya dokter yang berpengalaman dan berkompeten dalam meminimalkan tingkat morbiditas dan mortalitas dalam suatu tindakan persalinan. Kata kunci: Persalinan, usia ≥ 35 tahun, insidensi
Pengetahuan dan Sikap Ibu Postpartum terhadap Program Keluarga Berencana di RSUD Dr. Sam Ratulangi Tondano Lukas, Andrie E.; Mongan, Suzanna P.; Wagey, Freddy W.
e-CliniC Vol 8, No 1 (2020): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.8.1.2020.28688

Abstract

Abstract: Family planning program is a program of the government of the Republic of Indonesia that aims to achieve a healthy and prosperous family by limiting births. Tondano is the center of Minahasa district and has four sub-districts and population of 70,467 people with a female number of 34,800. Data on women using family planning showed a number of 25,749 people which indicates a large and growing population. This study was aimed to evaluate the level of knowledge and attitudes of mothers towards the family planning program. This was a descriptive study with a cross-sectional design. Data were obtained by using questionnaire as the instrument. Respondents were 50 postpartum mothers who came to Dr. Sam Ratulangi Hospital Tondano and were willing to fill in the distributed questionnaires. The results showed that 92% of responsdents had good knowledge and 8% had poor knowledge. Meanwhile, based on the attitudes of respondents, 70% of them were positive and 30% were negative. In conclusion, family planning services based on the level of knowledge and attitudes of postpartum mothers at Dr. Sam Ratulangi Hospital Tondano were good or above average. Albeit, postpartum mothers who had good knowledge may not necessarily had good attitudes.Keywords: family planning, contraception, knowledge, attitude Abstrak: Program Keluarga Berencana (KB) bertujuan untuk membentuk gerakan keluarga sehat dan sejahtera dengan cara membatasi kelahiran. Tondano merupakan pusat dari Kabupaten Minahasa dan memiliki empat kecamatan dengan populasi sebesar 70.467 jiwa dan jumlah perempuan sebesar 34.800 jiwa. Data perempuan yang memakai KB ialah 25.749 jiwa. Data tersebut menunjukkan jumlah penduduk yang banyak dan terus bertambah. Penelitian ini bertujuan untuk mengevaluasi tingkat pengetahuan dan sikap ibu postpartum terhadap program KB di RSUD Dr. Sam Ratulangi Tondano. Jenis penelitian ialah deskriptif dengan desain potong lintang. Pengambilan data menggunakan kuesioner sebagai instrumen penelitian. Responden penelitian ialah ibu postpartum yang datang di RSUD Dr. Sam Ratulangi Tondano dan bersedia mengisi kuesioner yang dibagikan. Hasil penelitian mendapatkan total 50 responden. Sebanyak 92% ibu memiliki pengetahuan baik dan 8% memiliki pengetahuan kurang baik. Untuk pengukuran sikap dari responden, sebanyak 70% wanita bersikap positif dan 30% yang bersikap negatif. Simpulan penelitian ini ialah bahwa pelayanan KB berdasarkan tingkat pengetahuan dan sikap ibu di RSUD Dr. Sam Ratulangi Tondano sudah baik atau di atas rata-rata. Walaupun demikian ibu yang memiliki pengetahuan baik belum tentu memiliki sikap yang baik.Kata kunci: keluarga berencana, kontrasepsi, pengetahuan, sikap
Profil Penderita Endometriosis di RSUP Prof. Dr. R. D. Kandou Manado pada Tahun 2011-2015 Pangemanan, Grandy; Loho, Maria; Wagey, Freddy W.
e-CliniC Vol 5, No 1 (2017): Jurnal e-CliniC (eCl)
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v5i1.14761

Abstract

Abstract: Endometriosis is a benign gynecological disorder that often affects woman of reproductive age are characterized by the presence of endometrial glands and stroma outside the normal location. The disease gets a lot of attention from researchers and experts; this is due to that endometriosis often occurs in woman but the mechanism in still unclear. This was a descriptive retrospective study using the medical records of cases in Obstetric and Gynecology Department at Prof. Dr. R. D. Kandou Hospital Manado 2011 – 2015. The results showed that there were 33 cases of endometriosis during that period. The most frequent cares were ≥39 years old (39,3%), nulliparous (36,3%), complaint of abdominal pain (81,8%), and most types of endometriosis was ovarian endometrial cyst (78,8%). Treatment given was medical therapy and operation.Keywords: endometriosis Abstrak: Endometriosis merupakan kelainan ginekologik jinak yang sering diderita oleh perempuan usia reproduksi yang ditandai dengan adanya glandula dan stroma endometrium di luar letak normal. Penyakit ini makin mendapat perhatian dari para peneliti dikarenakan endometriosis makin sering terjadi pada wanita namun belum diketahui mekanisme yang jelas tentang terjadinya penyakit ini. Penelitian ini bertujuan untuk mengetahui profil penderita endometriosis yang dirawat di RSUP Prof. Dr. R. D. Kandou Manado. Penelitian ini bersifat deskriptif retrospektif dengan menggunakan catatan rekam medik dengan subjek penelitian ialah semua kasus di bagian obstetric dan ginekologi RSUP Prof. Dr. R. D. Kandou Manado pada tahun 2011-2015. Hasil penelitian memperlihatkan 33 kasus endometriosis dengan distribusi terbanyak menurut kelompok umur ≥ 39 (39,3%), nulipara (36,3%). Keluhan nyeri perut (81,8%). Jenis endometriosis terbanyak adalah ovarian endometrial cyst (78,8%). Penanganan yang diberikan berupa terapi medikamentosa dan operasi.Kata kunci: endometriosis
Faktor-Faktor yang Berhubungan dengan Terjadinya Preeklampsia Sudarman, .; Tendean, Hermie M. M.; Wagey, Freddy W.
e-CliniC Vol 9, No 1 (2021): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.9.1.2021.31960

Abstract

Abstract: Hypertension in pregnancy is still a major cause of maternal death. Preeclampsia affects about 2% to 8% of pregnancies worldwide. This study was aimed to determine the risk factors associated with the occurrence of preeclampsia. This was is a literature review study, using three databases, namely PubMed, ClinicalKey, and Google Scholar. The keywords used were risk factors OR faktor risiko AND preeclampsia OR preeklampsia. After being selected with inclusion and exclusion criteria, a critical appraisal was carried out and obtained 30 literatures consisting of 14 cross-sectional studies, 13 case control studies, and 3 cohort studies. The results found 30 literatures examined the relationship factors or characteristics of age, parity or gravida status, obesity, diabetes mellitus, chronic hypertension, history of kidney disease, history of preeclampsia, multiple pregnancies, family history of preeclampsia, duration between pregnancies, socioeconomic status (education levels and employment), and autoimmune diseases. In conclusion, the factors associated with the occurrence of preeclampsia are age at risk for pregnant women, nulliparity, primigravida, obesity, diabetes mellitus, chronic hypertension, history of kidney disease, history of preeclampsia, multiple pregnancies, family history of preeclampsia, distance between pregnancies, socioeconomic level, and autoimmune disease.Keywords: risk factors, preeclampsia.  Abstrak: Hipertensi dalam kehamilan masih menjadi penyebab kematian ibu yang cukup tinggi. Preeklampsia memengaruhi sekitar 2% hingga 8% kehamilan di seluruh dunia. Penelitian ini bertujuan untuk mengetahui faktor-faktor risiko yang berhubungan dengan terjadinya preeklamp-sia. Jenis penelitian ialah literature review, menggunakan tiga database yaitu PubMed, ClinicalKey, dan Google Scholar. Kata kunci yang digunakan yaitu risk factor OR faktor risiko AND preeclampsia OR preeklampsia. Setelah diseleksi dengan kriteria inklusi dan eksklusi dilakukan critical appraisal, didapatkan 30 literatur yang terdiri dari 14 cross-sectional study, 13 case control study, dan 3 cohort study. Hasil penelitian mendapatkan 30 literatur yang meneliti hubungan faktor atau karakteristik usia, paritas atau status gravida, obesitas, diabetes melitus, hipertensi kronik, riwayat penyakit ginjal, riwayat preeklampsia, kehamilan ganda, riwayat preeklampsia keluarga, jarak antar kehamilan, status sosial ekonomi (tingkat pendidikan dan pekerjaan), dan penyakit autoimun. Simpulan penelitian ini ialah faktor-faktor yang berhubungan dengan terjadinya preeklampsia yaitu usia ibu hamil berisiko, nuliparitas, primigravida, obesitas, diabetes melitus, hipertensi kronik, riwayat penyakit ginjal, riwayat preeklampsia, kehamilan ganda, riwayat preeklampsia keluarga, jarak antar kehamilan, tingkat sosioekonomi, dan penyakit autoimun.Kata kunci: faktor risiko, preeklampsia
Gambaran Penggunaan Alat Kontrasepsi pada Wanita di Indonesia Rotinsulu, Fioren G. F.; Wagey, Freddy W.; Tendean, Hermie M. M.
e-CliniC Vol 9, No 1 (2021): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.9.1.2021.32478

Abstract

Abstract: Population growth rate affects various sectors. Therefore, the National Family Planning (KB) program was established with the aim of reducing Indonesia's population growth rate. This study was aimed to obtain the description of contraception used according to contraception methods in various regions of Indonesia. This was a literature review study. Data were searched by using one database with the specified criteria, which was Google Scholar, and data collection from BKKBN application. The keywords used in literature searching were contraception use AND contraception methods AND Indonesian. After being selected by inclusion and exclusion criteria, there were 12 literatures consisting of 6 descriptive studies, 4 cross sectional studies, 1 purposive sampling study, and 1 secondary data study. The majority of literatures mentioned that contraception method mostly used in various regions of Indonesia was hormonal contraception, in this case injection. It seems that other methods such as vasectomy in males and tubectomy in females were still not preferred. In conclusion, hormonal contraception method namely injection is the mostly used in various regions of Indonesia.Keywords: contraception use, contraception methods Abstrak: Laju pertumbuhan penduduk berpengaruh terhadap berbagai sektor. Program Keluarga Berencana (KB) Nasional dibuat dengan tujuan untuk menekan laju pertumbuhan penduduk Indonesia. Penelitian ini bertujuan untuk mengetahui gambaran penggunaan alat kontrasepsi menurut metode alat kontrasepsi di berbagai daerah di Indonesia. Jenis penelitian ialah suatu literature review. Pencarian data menggunakan satu database dengan kriteria yang ditentukan yaitu Google Scholar dan pengambilan data yang berasal dari integrasi aplikasi BKKBN. Kata kunci yang digunakan dalam pencarian artikel ialah Penggunaan kontrasepsi DAN Metode kontrasepsi DAN Indonesia. Hasil seleksi dengan kriteria inklusi dan eksklusi mendapatkan 12 literatur yang terdiri dari 6 penelitian deskriptif, 4 penelitian cross-sectional, 1 penelitian purposive sampling, dan 1 penelitian data sekunder. Didapatkan penggunaan metode alat kontrasepsi di berbagai daerah di Indonesia yang terbanyak ialah kontrasepsi hormonal suntik. Metode alat kontrasepsi yang masih kurang penggunaannya ialah vasektomi atau Metode Operatif Pria (MOP) dan tubektomi atau Metode Operatif Wanita (MOW). Simpulan penelitian ini ialah mayoritas penggunaan metode alat kontrasepsi di berbagai daerah di Indonesia ialah kontrasepsi hormonal suntik.Kata kunci: penggunaan kontrasepsi, metode kontrasepsi
Karakteristik kehamilan dengan luaran asfiksia saat lahir di RSUP Prof. Dr. R. D. Kandou Manado periode Januari – Desember 2014 Pangemanan, Eunike A.; Wantania, John J.E.; Wagey, Freddy W.
e-CliniC Vol 4, No 1 (2016): Jurnal e-CliniC (eCl)
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v4i1.11694

Abstract

Abstract: Asphyxia is a condition when a newborn baby does not breath spontaneously soon after birth. Maternal, labor, and fetal factors such as premature rupture of membrane, sectio caesarea, and fetal distress can cause asphyxia.. According to World Health Organization, in each year 3,6 million of 120 million newborns had asphyxia, and nearly one million babies died. According to data from the Indonesian Health Profile, low birth weight has the highest mortality risk (40,15%) in newborn, followed by asphyxia during birth (25,13%) in all hospitals in Indonesia. This study aimed to obtain the characteristics of pregnancy with asphyxia during birth in the Obstetric and Gynecology Department at Prof. Dr. R. D. Kandou Hosppital Manado during the period of January 2014 to December 2014. This was a descriptive retrospective study using medical record data of characteristics of pregnancy with asphyxia during birth in the labour room. The results showed that of 1273 cases of infant with asphyxia, pregnancies with complications had higher cases than pregnancies without complication. Among pregnancies without complication, there were 25% moderate asphyxia and 30% severe asphyxia newborns. Newborns with asphyxia were more common in primigravida than in multigravida. Based on age of mothers, asphyxia occured the most among mothers with the age range of 20-35 years (17.4%). Based on gestational age, aterm pregnancy had the highest incidence rate in newborn asphyxia (20%). Fetal distress was the highest cause of asphyxia in complicated pregnancy (18.3%). Asphyxia occured more common in pregnancies with complications than in pregnancies without complications. Among pregnancies without complications, primigravida, age of mothers 20-35 years, and aterm pregnancy had the highest rate of newborn asphyxia. Fetal distress was the highest cause of asphyxia in complicated pregnancy. Keywords: pregnancy, asphyxia Abstrak: Asfiksia adalah keadaan bayi yang tidak dapat bernapas spontan dan teratur segera setelah lahir. Faktor yang dapat menyebabkan asfiksia ialah faktor ibu, persalinan, dan janin; sebagai contoh ketuban pecah dini, seksio sesarea, dan gawat janin. Berdasarkan data World Health Organization, setiap tahunnya 3,6 juta bayi (3%) dari 120 juta bayi baru lahir mengalami asfiksia, hampir satu juta bayi ini meninggal. Menurut data dari Profil Kesehatan Indonesia dari semua rumah sakit di Indonesia didapatkan kematian terbanyak ialah berat badan lahir rendah resiko kematian pertama tertinggi 40,15% dan kedua tertinggi asfiksia saat lahir yaitu 25,13%. Penelitian ini bertujuan untuk mengetahui karakteristik kehamilan dengan luaran asfiksia saat lahir di RSUP Prof. Dr. R. D. Kandou Manado periode Januari – Desember 2014. Jenis penelitian ini ialah deskriptif retrospektif menggunakan catatan rekam medik di ruang VK Bagian Obstetri dan Ginekologi RSUP Prof. Dr. R. D. Kandou Manado. Hasil penelitian memperlihatkan dari 1273 kasus bayi asfiksia, kehamilan dengan penyulit lebih banyak menderita asfiksia dibandingkan kehamilan tanpa penyulit. Penyulit kehamilan pada asfiksia derajat sedang 75% dan asfiksia derajat berat 70%. Tanpa penyulit kehamilan yaitu pada asfiksia derajat sedang 25% dan asfiksia derajat berat 30%. Didapatkan data tanpa penyulit kehamilan, primigravida(14,5%) lebih banyak menderita asfiksia dibandingkan multigravida. Berdasarkan umur ibu, bayi yang mengalami asfiksia terbanyak pada umur ibu 20-35 tahun (17,4%). Berdasarkan usia kehamilan, usia kehamilan aterm merupakan angka kejadian tertinggi pada bayi asfiksia (20%). Data penyulit kehamilan didapatkan gawat janin merupakan angka tertinggi menderita asfiksia (18,3%). Penyulit kehamilan lebih banyak menderita asfiksia dibandingkan tanpa penyulit kehamilan. Kehamilan tanpa penyulit didapatkan primigravida, umur ibu 20-35 tahun, dan usia kehamilan atterm merupakan penderita asfiksia terbanyak. Kehamilan dengan penyulit didapatkan gawat janin merupakan penderita asfiksia terbanyak. Kata kunci: kehamilan, asfiksia
Hubungan antara Pengetahuan dengan Sikap Tentang Kanker Serviks pada Siswi SMA Lokon St. Nikolaus Tomohon Ginting, Joseph S.; Tendean, Hermie M. M.; Wagey, Freddy W.
e-CliniC Vol. 12 No. 3 (2024): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v12i3.53671

Abstract

Abstract: Lack of patient awareness can be caused by lack of education and campaign roles in providing education about cervical cancer to pre-teens and parents. Therefore, knowledge of cervical cancer plays an important role in the prevention of cervical cancer. This study aimed to determine the relationship between knowledge about cervical cancer and attitude towards cervical cancer prevention among female students at Lokon St. Nikolaus High School Tomohon. This was a comparative and analytical study with a cross-sectional design using a questionnaire. Samples were all female students at SMA Lokon St. Nikolaus Tomohon (high school) fulfilling the inclusion and exclusion criteria researchers. The results showed a total of 184 respondents were obtained with the majority of them were in class X (40.22%) and used information sources from the internet (50.00%). The majority of respondents had good knowledge (92.93%)) and supportive attitude (92.39%). In addition, eight students (4.35%) had received the HPV vaccine. The chi-square test showed a significant relationship between knowledge and attitudes about cervical cancer (p<0.05). In conclusion, there is a significant relationship between knowledge about cervical cancer and attitude towards cervical cancer prevention among female students at SMA Lokon St. Nikolaus Tomohon. Keywords: cervical cancer; HPV vaccine; knowledge; attitude    Abstrak: Kurangnya kesadaran pasien terhadap kanker serviks dapat disebabkan oleh kurangnya peran pendidikan dan kampanye dalam memberikan edukasi mengenai kanker serviks pada pra-remaja hingga orang tua. Oleh karena itu, pengetahuan terhadap penyakit kanker serviks mempunyai peranan penting dalam pencegahan terhadap penyakit kanker serviks. Penelitian ini bertujuan untuk mengetahui hubungan antara pengetahuan tentang kanker serviks dengan sikap terhadap pencegahan kanker serviks pada siswi di SMA Lokon St. Nikolaus Tomohon. Jenis penelitian ialah analitik komparatif dengan desain potong lintang menggunakan kuesioner. Sampel penelitian yaitu seluruh siswi SMA Lokon yang memenuhi kriteria inklusi dan eksklusi. Hasil penelitian mendapatkan total 184 responden dengan mayoritas responden berada dikelas X (40,22%) dan menggunakan sumber informasi dari internet (50,00%). Mayoritas responden memiliki pengetahuan yang baik (92,93%) dan sikap mendukung (92,39%). Terdapat delapan siswi (4,35%) yang telah menerima vaksin HPV. Hasil uji chi-square menunjukkan adanya hubungan bermakna antara pengetahuan dengan sikap tentang kanker serviks (p<0,05). Simpulan penelitian ini ialah terdapat hubungan bermakna antara pengetahuan tentang kanker serviks dengan sikap terhadap pencegahan kanker serviks pada siswi di SMA Lokon St. Nikolaus Tomohon. Kata kunci: kanker serviks; vaksin HPV; pengetahuan; sikap
Hubungan Faktor-Faktor Risiko dengan Persalinan Prematur di RSUP Prof. Dr. R. D. Kandou Manado Periode 2021–2022 Lontaan, Gregorya I. A.; Wagey, Freddy W.; Tendean, Hermie M. M.
e-CliniC Vol. 13 No. 1 (2025): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v13i1.60616

Abstract

Abstract: Preterm labor is still a global health challenge worldwide. The causes of preterm labor are multifactorial including age, parity, the amount of ANC, PROM, antepartum hemorrhage, and PEB. This study aimed to determine the relationship between risk factors (age, parity, number of ANC, history of preterm labor, PROM, antepartum hemorrhage, and severe preeclampsia) with the incidence of preterm labor at Prof. Dr. R. D. Kandou Hospital Manado. This was a retrospective and analytical study with a cross-sectional design using medical records of all deliveries at Prof. Dr. R. D. Kandou Hospital Manado from 2021 to 2022. Samples were childbirths during the mentioned period, including preterm labor that met the inclusion and exclusion criteria. The results showed that the most common preterm labor category was moderate to late preterm (32 - <37 weeks) as many as 135 out of 199 cases of preterm labors. There was no significant relationship between age, parity, and PROM with preterm labor (p>0.05). Meanwhile, there was a significant relationship between the number of ANC, history of preterm labor, antepartum hemorrhage, and severe preeclampsia with preterm labor (p<0.05). In conclusion, there was a significant relationship between total ANC, history of preterm labor, antepartum hemorrhage, severe preeclampsia, and preterm labor. However, there was no significant association between age, parity, PROM, and preterm labor. Keywords: risk factors; preterm labor    Abstrak: Sampai saat ini persalinan prematur masih menjadi tantangan kesehatan global. Penyebab terjadinya persalinan prematur ialah multifaktorial, meliputi faktor usia, paritas, jumlah ANC, KPD, perdarahan antepartum, dan PEB. Penelitian ini bertujuan untuk mengetahui hubungan antara faktor-faktor risiko (usia, paritas, jumlah ANC, riwayat partus preterm, KPD, perdarahan antepartum, dan PEB) dengan kejadian persalinan prematur di RSUP Prof. Dr. R. D. Kandou Manado. Jenis penelitian ialah analitik retrospektif dengan desain potong lintang. Data yang digunakan ialah rekam medik seluruh persalinan di RSUP Prof Dr. R. D. Kandou Manado periode 2021–2022. Sampel meliputi semua persalinan tahun 2021-2022 termasuk persalinan prematur yang memenuhi kriteria inklusi dan eksklusi. Hasil penelitian memperlihatkan distribusi persalinan prematur terbanyak terdapat pada kategori moderate to late preterm (32 - <37 minggu) sebanyak 135 dari 199 kasus persalinan prematur. Terdapat hubungan tidak bermakna antara usia, paritas, dan KPD dengan persalinan prematur (p>0,05). Terdapat hubungan bermakna antara jumlah ANC, riwayat partus preterm, perdarahan antepartum dan PEB dengan persalinan prematur (p<0,05). Simpulan penelitian ini ialah terdapat hubungan bermakna antara jumlah ANC, riwayat partus preterm, perdarahan antepartum dan PEB dengan persalinan prematur namun tidak terdapat hubungan bermakna antara usia, paritas, dan KPD dengan persalinan prematur. Kata kunci: faktor-faktor risiko; persalinan prematur
Analysis Of Factors Affecting The Incidence Of High-Risk Pregnancies In The Working Area Of The Mubune Health Center, Northern Minahasa District Lengkong, Merke; Wagey, Freddy W.; Tatura, Suryadi N. N.
Best Journal of Administration and Management Vol 2 No 1 (2023): Best Journal of Administration and Management
Publisher : International Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56403/bejam.v2i1.114

Abstract

High-risk pregnancy refers to any condition associated with pregnancy where there is an actual or potential risk to the mother or fetus. Observations in North Minahasa Regency in 2022 showed a total of 1,015 detected cases of high-risk pregnancies in Community Health Centers. Based on data, Mubune Community Health Center has the highest number of high-risk pregnancy cases, totaling 193 cases. Therefore, efforts are needed to reduce these high-risk pregnancies through this research. The research design used in this study is an observational analytic study with a cross-sectional approach. The study was conducted in the working area of Mubune Community Health Center, North Minahasa, from April to July 2023. The sample in this study consisted of all pregnant women recorded in Mubune Community Health Center, totaling 225 patients, with 82 pregnant women classified as high-risk based on the data. The research variables consist of independent variables (maternal age, maternal knowledge, and maternal attitude) and the dependent variable (occurrence of high-risk pregnancy). Data collection was done through interviews using a questionnaire. The data from this study were analyzed using univariate analysis, bivariate analysis, and multivariate analysis. The analysis results showed that there is a relationship between maternal age (p = 0.000), maternal knowledge (p = 0.007), and maternal attitude (p = 0.033) with the occurrence of high-risk pregnancy in the working area of Mubune Community Health Center, North Minahasa. The multivariate analysis results showed that the exp β value of maternal age variable in the category of <20 years and >35 years is 21.6 times the occurrence of high-risk pregnancy. Based on the Nagelkerke R-square value of 0.763, it means that maternal age, knowledge, and attitude collectively influence 76% of the occurrence of high-risk pregnancy in pregnant women, while the remaining 23.7% (100-76.3) is influenced by other variables not examined in this study.
Co-Authors . Sudarman Angelina Tuange Eddy Suparman Erna Suparman Eunike A. Pangemanan, Eunike A. Gea, Imanuel T. Ginting, Joseph S. Hermie M. M. Tendean John J.E. Wantania, John J.E. Kalam, Chaerul Lengkong, Merke Lontaan, Gregorya I. A. Lukas, Andrie E. Maria F. Loho Maria F.T. Loho Maria Loho Maya Mewengkang Meyclin Dameria Sibuea Mongan, Suzanna P. Pangemanan, Grandy Parlindungan, Yoel B. Patricia C. Warouw, Patricia C. Rotinsulu, Fioren G. F. Rudy A. Lengkong Rumopa, Harold Sri Cynthia D. Logor Suryadi N. N. Tatura, Suryadi N. N. Tiara V. Paputungan, Tiara V. Yoslianto Sarampang