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Hubungan pengetahuan dan sikap bidan tentang rujukan kasus obstetri dengan ketepatan rujukan: suatu studi analisis verifikatif di Kabupaten Bantul, Yogyakarta Wahyuningsih, Heni Puji
Indonesian Journal of Obstetrics and Gynecology Volume. 33. No. 4, October 2009
Publisher : Indonesian Socety of Obstetrics and Gynecology

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Abstract

Tujuan: Memperoleh informasi mengenai ketepatan rujukan kasus obstetri oleh bidan di Kabupaten Bantul, Yogyakarta. Metode: Rancangan penelitian ini menggunakan metode survei eksplanatoris terhadap pengetahuan dan sikap bidan tentang rujukan kasus obstetri dengan ketepatan rujukannya. Data dikumpulkan secara potong silang, dengan rancangan retrospektif (kasus-kontrol). Subjek penelitian 109 responden. Analisis data menggunakan prosedur analisis uji t, Mann-Whitney, uji Chi-Kuadrat, uji korelasi VCramer dan analisis regresi logistik ganda. Hasil: Pada penelitian ini didapatkan bahwa terdapat perbedaan skor pengetahuan berdasarkan rujukan tepat vs tidak tepat (81,2 vs 63,6; p
Prevalence and risk factors for postpartum anemia Pratiwi, Ika Ratna; Santoso, Sabar; Wahyuningsih, Heni Puji
Jurnal Kesehatan Ibu dan Anak Vol 12 No 2 (2018): November
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (733.019 KB) | DOI: 10.29238/kia.v12i2.153

Abstract

Anemia is a major global health problem, especially in developing countries, the prevalence of postpartum anemia is in the range of 50-80%. SDKI (2015) claimed the prevalence of anemia in Kulon Progo were 49% and prevalence of adolescent anemia were 29,95%.  The prevalence of postpartum anemia has not been studied as extensively as pregnancy anemia. To assess the factors related of postpartum anemia in working area of basic health Wates. Method with analitic observational research type was used in the research. Subject of this research were postpartum mothers wich include in this research, with consecutive sampling technique. A chi-square and a multivariate logistic regression linear model was apllied to analize the factors of postpartum anemia. 60% of mother had postpartum anemia. The risk factors of postpartum anemia were pregnancy anemia (RR:2,195;95%CI:1,369-3,518), maternal age (RR:1,894;95%CI:1,361-3,171), parity (RR:2,000;95%CI:1,020-3,922), type of birth (RR:2,195;95%CI:1,369-3,518), birth weight (RR:1,974;95%CI:1,281-3,044). The most strongly factors with postpartum anemia were pregnancy anemia and type of birth.  Factors relating of postpartum anemia were pregnancy anemia, maternal age, parity, type of birth, and birth weight. The dominants factors were pregnancy anemia and type of birth. Health servicer should early screening to mother with factors of postpartum anemia to avoid postpartum anemia.
Hubungan Indeks Massa Tubuh Ibu Dengan Kejadian Bayi Berat Lahir Rendah di RSUD Wonosari Gunungkidul Fatinah, Mutiara; Theresia, Endah Marianingsih; Wahyuningsih, Heni Puji
Jurnal Kesehatan Ibu dan Anak Vol 11 No 1 (2017): Juli
Publisher : Poltekkes Kemenkes Yogyakarta

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Abstract

Low birthweight is a baby who is born weighing less than <2500 gram. Low birthweight is one of the most causes of the neonatalmorbidity and mortality in Indonesia. The highest incidence of low birthweight in DIY province was happened in Gunung Kidul district(7.33%). Low birthweight is caused by many factors such as the mother's nutrition status. Body Mass Index (BMI) is one ofindicators to measure the nutrition status on adults. In Indonesia, the ideal body weight of a woman during her first trisemester is 45-65 kg, while mother's weight >45 kg can possibly have low BMI. The objective of this study is to know the correlation between thebody mass index of mothers and the incidence of low birthweight. The design of this study used case control. Total sample was 326newborn babies which consisted of 163 babies in the case group and 163 babies in the control group who had fulfilled the inclusiveand exclusive criteria. The data was collected from the medical records since January-December 2015 with purposive samplingtechnique. The data analysis used chi-square, OR and logistic regression. The result of bivariat analysis showed the variableswhich were correlated with the incidence of low birthweight i.e. BMI of mothers (p=0.000, OR: 2.4), age (p=0.028, OR: 1.6) andanemia TM III (p=0.017, OR: 1.7), while the parity variable was not correlated with the incidence of low birthweight (p=0.0912, OR:1.02). The result of multivariate analysis showed that BMI of mothers was the most correlated variable with the incidence of lowbirthweight (p=0.000, OR: 2.8). Mothers with low BMI was 2,8 times at risk of having babies with low birthweight than mothers withnormal BMI. This study concluded that there was a correlation between mothers' BMI, age and anemia TM 3 with the incidence oflow birthweight. Low BMI was the most risked variable for mothers to bear babies with low birthweight. Low BMI increased theincidence of low birthweight.
Pemberian ASI Eksklusif dan Kejadian Diare pada Bayi di Puskesmas Umbulharjo 1 Yogyakarta Tahun 2016 Ningsih, Ariana Norma; Wahyuningsih, Heni Puji; Margono, Margono
Jurnal Kesehatan Ibu dan Anak Vol 11 No 1 (2017): Juli
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (484.031 KB) | DOI: 10.29238/kia.v11i1.54

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Diarrhea disease is the second leading cause of infant morbidity and mortality. High incidence of diarrhea is affected by severalfactors, one of which is the absence of breastfeeding. The protective effect of breastfeeding is optimal if it is given exclusively. Thisresearch aims to identify the correlation between exclusive breastfeeding and incidence of diarrhea in babies at Puskesmas (PublicHealth Center) Umbulharjo I of Yogyakarta. It belongs an observational analytical research with historical cohort design. Thesample size was 84 consisting of 42 mothers with exclusive breastfeeding and 42 without exclusive breastfeeding who had babiesaged> 6-12 months from November to December 2016. Data were collected through interviews. Data were analyzed using chisquare, RR, cox regression. The results indicated that the incidence of diarrhea in babies who had a history of receiving exclusivebreastfeeding was 11.9% and in infants who did not receive exclusive breastfeeding was 35.7%. The results of the bivariateanalysis indicated that the factors related to the incidence of diarrhea were breastfeeding (p-value 0.010, RR 0.333), nutritionalstatus (p-value 0.003, RR 5.0) and occupation (p-value 0.048, RR 2.111). The rate of incidence of diarrhea in babies withoutexclusive breastfeeding was 27 of 100 babies/ month, which was higher than those with exclusive breastfeeding by 10 of 100babies/month. The multivariate analysis indicated that in regard to breastfeeding and occupation it was indicated thatbreastfeeding was the most influential factor in the incidence of diarrhea in babies (Coef B -1.059, p-value 0.046 and RR 0.347). Thisresearch concludes that there are correlation between breastfeeding, occupation, nutritional status of infants and the incidence ofdiarrhea in babies. Breastfeeding is the most influential factor in the incidence of diarrhea in babies. Breastfeeding may lower theincidence of diarrhea in babies.
ANALISIS FAKTOR RISIKO YANG BERHUBUNGAN DENGAN KEJADIAN ANEMIA GRAVIDARUM Agustina, Agnes Ria Angresti; Wahyuningsih, Heni Puji; Meilani, Niken
Jurnal Kesehatan Ibu dan Anak Vol 5 No 1 (2014): Juli
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (251.623 KB) | DOI: 10.29238/kia.v5i1.164

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Background: At Banguntapan I Health Center, Fe coverage has met the target of Fe1 100% and Fe3 87.26%, but the prevalence of pregnancy anemia is high, ie. 40.61%. The result of literature study shows that risk factors associated with the prevalence of pregnancy anemia are age of pregnant mothers, parity, birth spacing, gestation period, level of education, economic status, and status of chronic energy deficiency. Objective: The study aimed to identify correlation between factors of age of pregnant mothers, parity, birth spacing, gestation period, level of education, economic status, and status of chronic energy deficiency with the prevalence of pregnancy anemia at Banguntapan I Health Center 2013. Method: The study was an analytic survey with cross sectional design. Samples were 93 pregnant mothers at Banguntapan I Health Center selected through proportional sampling. Research instruments consisted of data sheet of pregnant mothers, upper arm circumference, digital automatic haemoglobinometer, and table master. Statistical test used univariate, bivariate (Chi square), and multivariate (Logistic Regression Test). Result: Rate of pregnancy anemia was 28%. The result of bivariate test showed risk factors significantly correlated with the prevalence of pregnancy anemia were age of mothers during pregnancy (p-value=0.00), level of education (p-value=0.03), and status chronic energy deficiency (p-value=0.00). The result of multivariate test showed risk factors affecting the prevalence of pregnancy anemia were age of mothers during pregnancy (p-value=0.00) and status of chronic energy deficiency KEK (p-value=0.00). Conclusion: Risk factors correlated with the prevalence of pregnancy anemia at Banguntapan I Health Center in 2013 were age of mothers during pregnancy, level of education, and status of chronic energy deficiency and the most dominant factor was status of chronic energy deficiency.
EFEKTIVITAS PEMBERIAN MODUL TERHADAP TINGKAT PENGETAHUAN TENTANG PUBERTAS Jalanti, Elyzabeth Sari; Wahyuningsih, Heni Puji; Setiyawati, Nanik
Jurnal Kesehatan Ibu dan Anak Vol 5 No 1 (2014): Juli
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (189.477 KB) | DOI: 10.29238/kia.v5i1.183

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Puberty is a period of transition towards teenage children who are at risk because some teenagers difficulty in dealing with the changes, so susceptible to free sex, sexual harassment, and IMS. Knowledgeable Effectiveness module providing the level of knowledge about puberty in Class VII students of SMP Negeri 4 Depok Sleman. Experiments with a pretest-posttest with control group design. Sample using purposive sampling techniques that students of class VII SMP N 4 and 5, respectively Depok 38 students who have not puberty. Instrument using the questionnaire of 32 questions. Do granting puberty modules in the experimental group, while the control group was given no treatment. Data analysis by paired t-test control test and independent t-test. Results of students' knowledge gaps with pretest and posttest experimental 15.8% to 76.3%, while the control 10.5% to 5.3%. The experimental group had a sig 0,000 and 0,001 control group, no difference between the level of students' knowledge before and after treatment. There are differences in the mean value of experimentation group and the control group 20.9474 21.8684. 0,000 sig, there are differences in the mean increase in knowledge of the experimental group and the control group -0.6842 3.6842. The difference in mean value 4.36842 improvement. There are different levels of knowledge between the given modules and modules of puberty was not given to increase knowledge about puberty in class VII student of SMP Negeri 4 Depok Sleman.
KARAKTERISTIK AKSEPTOR ALAT KONTRASEPSI DALAM RAHIM Hasanah, Uswatun; Wahyuningsih, Heni Puji; Purnamaningrum, Yuliasti Eka
Jurnal Kesehatan Ibu dan Anak Vol 6 No 2 (2014): November
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (3855.357 KB) | DOI: 10.29238/kia.v6i2.199

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The results of 2010's Population Census showed that population in Indonesia was 237.6 million. It was larger than the projected figure of 2010. Therefore, the government continues to suppress the rate of population growth, one ofmethod was Family Planning program(KB).The effectivemethod of birth controlwas intrauterine device (IUD), but its useinIndonesia wasstill quite low(7%),DIY (22.1%). Sleman (15.6%), inGodean I Public Health Centre (15.6%). The objective of this research was toknow the overview of the characteristics of IUD acceptors in Godean I Public Health Center 2010-2012. Methods: This study was descriptive quantitativeresearc h, with a cross-sectional approach, carried out inGodean I Public Health Center's region, Sleman, Yogyakarta in April 2013. The subjectswas 43 newIUDacceptors in 2010-2012 at Godean I Public HealthCenter. The datawas collected by using a formthat contains themedical record number, age, parity, education level and occupation. The datawas analyzed by using univariat analytic. Research Results: Active IUD acceptors in 2010-2012 amounted to 15% from5297 childbearing ages couple. Most of themwas in the age range after 30 years (69.8%),multiparous (81.4%), educated at the high school /vocational school (72.1%), and worked asprivate employees(37.2%).Conclusion:Most of theIUDacceptors inGodean I PublicHealthCenter in 2010-2012 waswomenin the ageof terminating pregnancy, have two children ormore, secondary' education and worked as private employees.
HUBUNGAN TINGKAT PENGETAHUAN MENSTRUASI DENGAN KESIAPAN MENARKHE SISWI SD KELAS 4, 5, DAN 6 Rhomawati, Wahyu Surya; Estiwidani, Dwiana; Wahyuningsih, Heni Puji
Jurnal Kesehatan Ibu dan Anak Vol 6 No 2 (2014): November
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (12527.557 KB) | DOI: 10.29238/kia.v6i2.200

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Indonesian population dominated by adolescent age group (10-19 years) of approximately 18%. State   population dominated adolescence because teenagers pose new problems including the age group that needs special attention, especially In the reproduction rights. Lack of knowledge on adolescent girls about menstruation in particular reproduction is likely to have an impact on the attitude of facing menarkhe.The purpose to determine the relationship of the level of knowledge of menstruation with readinessmenarkhe elementary school grades 4, 5, and 6 at SDUnggaran 1Yogyakarta 2014. This research is an analytical surveycorrelational cross-sectional approach. The study was conducted in SD Unggaran 1 Yogyakarta on March 27, 2014 subjects were elementary school classes 4,5, and 6 age 10-12 years who have not been menstruating by 43 respondents. Data collection instruments such as questionnaires. Data were analyzed usingChi Square. The results showed the highest level of knowledge is at the level quite as many as 19 (44.2%)respondents. On respondents knowledgeable enough knowledge obtained 10(52.6%) respondents are ready to face and onthelevel of knowledgemenarkhe less. The bivariate analysis usingChi Square test ISMSPSS 20 computer programwith a 95%confidence level is obtained X2 count of 8,05. The amount is greater than the X2 table at df-3-1:1 (2), with a significance level of 0,05, which is worth 5,591. This means that the count X2> X2 table is 8,05>5,59. In addition, the results obtained also that the p-value is 0,01 or ? count. This suggests that the ? count<? of 0.01 <0.05. In conclusion there is a correlation with the level of knowledge menstrual menarkhe elementary school readiness classes 4, 5, and 6 at SD Unggaran 1 Yogyakarta in 2014.
HUBUNGAN ANTARA MASA GESTASI DENGAN KEJADIAN IKTERUS NEONATORUM Purnamaningrum, Yuliasti Eka; Ratuain, Maria Oliva; Wahyuningsih, Heni Puji
Jurnal Kesehatan Ibu dan Anak Vol 7 No 1 (2015): Juli
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (4140.016 KB) | DOI: 10.29238/kia.v7i1.210

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The neonatal mortality rate which happens in Indonesia in 2012 is around 32 per 1000. one of the motives which cause mortality in a newborn baby is bilirubin encephalopathy which is a complication of neonatal jaundice. The infants which born at term have a risk as high as60% of neonatal jaundice and it has a risk as high as 80% premature infants. The liver maturation makes the process of bilirubin uptake and conjugation process is slower, especially premature infants. The aim to determine the relationship between gestational age with the incidence of neonatal jaundice. Types of research using observational methods with case-control studies. There are 44 case samples of neonatal jaundice baby and 44 samples of control baby which is non-neonatal jaundice. Research instrument using a data collection format with chi-square analysis of the data. Result: Neonatal Jaundice in premature babies 59.1% and 40.9% in full-term infants. Results of the chi-square fest p-value 0.033 <0.05 with OR 2,5 (CI 1.070 to 5.970). Conclusion: There is a correlation between gestational age with the incidence of neonatal jaundice. Preterm gestation 2.5 times greater risk of increasing the incidence of neonatal jaundice.
HUBUNGAN UMUR DAN LAMA PENGGUNAAN IUD DENGAN EFEK SAMPING PENGGUNAAN IUD Widyaningtyas, Radicha Nur; Wahyuningsih, Heni Puji; Estiwidani, Dwiana
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 (5503.963 KB) | DOI: 10.29238/kia.v8i2.220

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Acceptors IUD inlridonesia tending to decline. Based on data SDKI 2012 recorded 3.9 % PUS use contraceptives IUD. Oneconsideration IUD election is the existence of a side effect. Mejing Wetan having acceptors IUD the largest one in theAmbarketawang Villages a number of 52 people. The purpose of this research is to knew age and the long used of with the sideeffects of the used IUD at Mejing Wetan 2015. The research is survey analytic by approach cross sectional and use saturatedsampling. An instrument of a chief. The subject of study are 52 acceptors IUD. Data analysis using analysis univariatand bivariat andstatistict test of chi square with ? 0,05. From this research was obtained the result of p value 0,026 which there are between agesrelation with one side effect in the formof pain with contingency coefisient 0,35 and the result ofp value 0.028whichmeans there arerelationship beween long the use of to one side effect of the change menstrual with contingency coefisient 0,347. Conclussionresearch is there is meaningful in statistc between the ages of with side effects iud of pain and there are the relationship between longthe use of to change in themenstrual.