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GAMBARAN TINGKAT RISIKO KEHAMILAN DENGAN SKRINING KSPR PADA IBU HAMIL Anggraeni, Lusiana; Theresia, Endah Marianingsih; Wahyuningsih, Heni Puji
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 (6584.979 KB) | DOI: 10.29238/kia.v8i2.221

Abstract

Maternal mortality due to inadequate handling delivery complications, deaths can be prevented and be avoided. Early detection isimportant for predicting pregnancy complications that may occur, so it can be caught early risk factors evolve furthergestation.Maternal deaths at Sewon II PHC in 2013 increased and was ranked the fifth most pregnant women with complications inBantuI This study aims to describe the level of risk of pregnancy by screening KSPRin Sewon II onApril 2015. This type of research isdescriptive. Data in the form of primary data that is collected by direct questionnaire, and the results are expressed as a percentage(%). Subjects were 60 pregnant women at PHCof Sewon II onApril 2015. Fromthis study themajority ofmothers classified HRP andthere is potential for an obstetric emergency. Pregnant women at high risk in mothers with low education /no school, no work, poorpregnancy spacing is <2 years, while pregnant women in the age ?35 years, gave birth to more than four times, once a caesareansection, and mothers with diabetes are very risky high. From pregnancy screening results indicate that the majority of high-riskmothers need areferral systemand proper planning of deliveries for pregnantwomen at Sewon II.
PERBEDAAN PENINGKATAN KADAR BILIRUBIN NEONATUS BERDASARKAN UMUR KEHAMILAN Dewayani, Evita Ratih; Widyasih, Hesty Widyasih; 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 (7273.674 KB) | DOI: 10.29238/kia.v7i1.234

Abstract

Icterus neonatorum caused early neonatal mortality for about 6%. One of the causal factors was that the liver of the premature baby had not functioned perfectly, thus the indirect bilirubin conjugation became direct conjugation which had not adequate yet. In Gunung Kidul Regency, DIY, the number of childbirth less than 37 weeks increased and followed by the increasing of icterus neonatorum at the same time. The objective of this study was too obscene the difference increased of bilirubin levels based on the gestational age during the parturition. The research method was analytical observation, with historical cohort design, using secondary data. The research was conducted in Wonosari Regional Hospital (RSUD Wonosari). The subject of the research is the early neonatal case (newborn 0-7 days). Purposive sampling technique was used to obtain 90 respondents divided into two groups namely the exposure group 45 respondents (early neonatal which was born <37 weeks of the gestational age) and the non-exposure group 45 respondents (early neonatal which was born ? 37 weeks of the gestational age). The result showed that 34 early neonatal (75,56%) which was born < 37 weeks of gestational age and 14 early neonatal (31,11%) which was born >37 weeks of gestational age experienced icterus neonatorum. Approximately the early neonatal bilirubin levels (day 0-7) from the two groups compared, there were no significant differences on the day 0 until day 2, the peak of bilirubin levels on early neonatal which was born>37weeks of the gestational age occurred on the day 3, therefore the peak of bilirubin levels on early neonatal which was born < 37 weeks of the gestational age occurred on the day 4. The significance point 0.02 (p.value <0.05), with RR 2.43 Cl 95%(1,52-3,86). The Conclusion is that there were different increasing of early neonatal bilirubin levels, based on the gestational age during the parturition, increased bilirubin levels were higher in early neonatal which was bom<37 weeks of the gestational age.
PERBEDAAN METODE KONSELING CERAMAH KELUARGA BERENCANA TERHADAP PENGETAHUAN TENTANG KONTRASEPSI RASIONAL PADA AKSEPTOR PREMENOPAUSE DI PUSKESMAS CANGKRINGAN Nurdjanah, Fitri; Wahyuningsih, Heni Puji; Wiyati, Nining
Jurnal Kesehatan Ibu dan Anak Vol 1 No 1 (2012): Juli
Publisher : Poltekkes Kemenkes Yogyakarta

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Abstract

BKKBN reporting March 2011 known that injectable contraceptive use in Indonesia reached 47.71%,45.74% DIY, Sleman 48.69% and 57.36% in the Cangkingan Public Health Center, this does not fit the guidelines use of rational contraceptives even more to the premenopausal acceptor in Cangkingan Public Health Center reached 90%. Contraceptives selection behavior one influenced by the level of knowledge where itself knowledge can be through the lecture method and family planning counseling. Objectives: to knowing different family planning counseling of method and lectures on knowledge of rational contraception in premenopausal acceptor at the Cangkingan Public Health Center 2011. Methods: this type of Quasy experiment study pretest-posttest group design and static comparison group design. The formula samples large using for two independent groups and obtained of 72 respondents who are premenopausal acceptor at the Cangkingan Public Health Center. That instrument study has been using a questionnaire tested validity and reliability. Analysis of test data using dependent t-test and independent t-test with SPSS software for Windows. Results : by dependent t-test from lectures of method knowledge results obtained t count (15,707) > t table (1,684) and p-value (0.000) <0.05,counseling of method (13,643) > t table (1,684) and p-value (0,000) < 0,05. By independent t-test knowledge results obtained count (3.138)> table (1.684) and p-value (0.002) <0.05.
PENGARUH SENAM NIFAS TERHADAP PENURUNAN TINGGI FUNDUS UTERI PADA IBU POST PARTUM DI RSUD WONOSARI Kumalasari, Erwita Dina; Suherni, Suherni; Wahyuningsih, Heni Puji
Jurnal Kesehatan Ibu dan Anak Vol 2 No 2 (2012): November
Publisher : Poltekkes Kemenkes Yogyakarta

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Abstract

WHO estimates that 150.000 women die every day due to post-partum hemorrhage. SDKI (2007) reported Maternal mortality rate (MMR) in Indonesia 228/100.000 live births. MMR in provinces DIY (2011) 125 / 1OO. live births and the highest in the district GunungKidul 161/1OO.OOO live births. The main causes of maternal deaths are due to postpartum hemorrhage uterine atony. incidence of postpartum hemorrhage in Wonosari hospital increased from 6,51% in 2009to 7,21% in 2010. Gymnastics childbirth can prevent postpartum hemorrhage. Objective is known the influence of exercise postpartum to decrease fundal height in early postpartum mother in Wonosari Hospital in 2012. Methods: this type of True Experiment study, pretest - posttest design with control group. The population is 80 spontaneous postpartum postpartum mothers who gave birth in Wonosari Gunungkidul Hospital. Number of sampel 48 people were taken to the consecutive sampling technique and were divided into experimental and control groups in both primiparous an multiparous respectively 12 people. Data were analyzed by univariate formula percentages, bivariate analysis to t-test test, and multivariate analysis with ANOVA test. Result : The average decrease in TFIJ maternal postpartum primiparous and multiparous in Wonosari hospital ever happened on day -3. The test results paired t -test on primiparous and multiparous before and after child birth exercises known p-value 0,000. The results of independent sample t - test test between primiparous and multiparous who did and did not do gymnastics puerperal known value of t = 6,450 and p-value = A,000. The test result of multivariate with ANOVA test known p-value = 0,143> 0,05.
HUBUNGAN POLA NUTRISI DENGAN PENYEMBUHAN LUKA PERINEUM PADA IBU NIFAS HARI KE-7 Wijayanti, Fitri; Widyasih, Hesty; Wahyuningsih, Heni Puji
Jurnal Kesehatan Ibu dan Anak Vol 3 No 1 (2013): Juli
Publisher : Poltekkes Kemenkes Yogyakarta

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Abstract

The incidence of infection resulted from perineum rupture remained high, involving perineum wounds that had not closed completely in the seventh day of the postpartum, reddish serous fluid came out. This was caused by lack of treatment and the need for nutritional pattern which might affect the wound healing process. Nutrition is basic needs for puerperal women which will affect their health, their energy recovery their perineum wound healing, and the production of breast milk (ASI) for babies. Purpose to examine the relationship between nutritional pattern and perineum wound healing of puerperal women in the 7th day. Method: This research employed observational methods using cross-sectional approaches. This research was done in the Regional General Hospital of (RSUD) Sleman on 8-22 December 2012. The sample of the research was collected through purposive sampling techniques consisting of 30 respondents. The research instrument was food recall analyzed trough Kendall-tau. Finding: Nutritional pattern prevalence of puerperal women in the 7th day with perineum wounds of degree ll recovered in the 7th day in the Regional General (81.8%). Puerporal women in the Regional General whose perineum wounds did not recovered in the 7th day (27.7%). The result of Kendall-tau test concerning the value of p 0.019 < 0.05. Conclusion: There is a relationship between nutritional pattern and perineum wound healing of puerperal women in the 7th day in the Regional General Hospital of (RSUD) Sleman in 2012.
EFEKTIVITAS PERAWATAN METODE KANGURU TERHADAP STABILITAS FREKUENSI DENYUT JANTUNG PADA BAYI BERAT LAHIR RENDAH Yuliani, Kristina; Wahyuningsih, Heni Puji; Widyasih, Hesty
Jurnal Kesehatan Ibu dan Anak Vol 4 No 2 (2013): November
Publisher : Poltekkes Kemenkes Yogyakarta

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Abstract

The cause of infant Mortality Rale (IMR) in Indonesia was due to LBW 29% because of less nice handling. Monitor health status require LBW for early detection of health problems, there are with measurements of vital signs especially heart rate frequency on LBW responsible to maintain cardiac-output, which otherwise adequate will result in the-exchange of insufficiency of oxygen, nutrients and rest of the metabolism of the body less efficient, disruption of physiological functions on the body. KMC keep the heart rate frequency stability. Objective: To determine the effectiveness KMC to the heart rate frequency stability of LBW. Methods: Observational Analytic study with one group pretest posttest design with time series. Retrieval with purpose of sampling by the number of respondents 40 LBW done KMC. The kind of data on this research is the primary with an instrument data of research decision of the oximeter. Data of analysis using standard significance Paired Sample T-test with test 0.05. Results; From the result obtained that before KMC frequency heartbeat unstable 1O% and after 100% stable. The average frequency of heart rate prior to KMC was 126,81 times a minute, after KMC is 140,71 times a minute and the difference is 13,89. Analysis of the results obtained p-value 0,00 (<0,05) so the obtained results that increase heart rate frequency after the KMC is done. Conclusion: KMC effective in the stability of the frequency heart rate of LBW.
HUBUNGAN ANTARA UMUR DAN KELAINAN GENETALIA DENGAN KEJADIAN ABORTUS SPONTAN Wiharti, Ana Ria; Wahyuningsih, Heni Puji; Hastuti, Sari
Jurnal Kesehatan Ibu dan Anak Vol 9 No 1 (2016): Juli
Publisher : Poltekkes Kemenkes Yogyakarta

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Abstract

Abortion rate in Panembahan Senopati General Hospital BantuI had trend which always increased every year.Misscariage caused by three factors, maternal (genital abnormalities, Hines, rhesus type, contractionsstimultion, placental circulation disorder, age), fetus and paternal factors. Complication of abortion arebleeding, reproduction organ damage, infection and end in infertility and ectopyc pregnancy. Purpose to identifycorrelation of age and genital abnormalities with spontaneous abortion Panembahan Senopati GeneralHospital Bantu12011. Methods analitic observational with crossectional design. Sample in this study is pregnantwomen who match with criteria used consecutive sampling are 230 participants. Intrument of this study ismaster table and used secondary data (medical record). Hipotesis analysis used chisquare. Result: prevalenceof spontaneous abortion in pregnant women at the age of < 20 years old or > 35 years old are 57,1% and inpregnant women in 20-35 years old are 39,8%. Prevalence of spontaneous abortion in pregnant women witngenital abnormalities are 62,7% and for pregnant women with normal genital are 44,1%. Result analysisbivariabel of age with spontaneous abortion acquared p-value = 0,00 < 0,05, and analysis of genitalabnormalities with spontaneous abortion acquared p-value = 0,01 < 0,05. Whereas RP score forage is 1,4 withconfidence interval 95%. And RPscore of genital abnormalities is1,4 with confidence interval 95%.Conclusion:there are correlation of age and genital abnormalities with spontaneous abortion. Genital abnormalities willincreased spontaneous abortion possibility.
HUBUNGAN ANTARA PENGETAHUAN DAN PERILAKU IBU DALAM PEMBERIAN ASI EKSKLUSIF DI POSYANDU TAHUN 2015 Pramudita, Natya Ayu; Wahyuningsih, Heni Puji; Widyasih, Hesty
Jurnal Kesehatan Ibu dan Anak Vol 10 No 2 (2016): November
Publisher : Poltekkes Kemenkes Yogyakarta

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Abstract

Infant Mortality Rate in Indonesia is mostly caused by diarrhea and pneumonia.These diseases can be anticipated by givingexclusive breastfeeding to infants. Exclusive breastfeeding has a role in morbidity, mortality, growth and development, andIQ of babies. One of the factors that influence exclusive breastfeeding is knowledge. The percentage of exclusivebreastfeeding in the province in 2013 was66.7% and Bantul Regency is the one experiencing the declining percentage. Thelowest percentage was in the Public Health Center of Sewon I, that is 26.14%. Sewon I Health Center supervises 43Posyandus. Posyandus Menur and Mekarsari are the ones that have the most number of infants aged 6-24 months. Thisstudy aims to determine the relationship between knowledge and behavior of mothers in exclusive breastfeeding. This typeof research is analyticsurvey method with cross-sectional design. The research was held inApril 2015. The instrument usedis questionnaire. The research took place at Posyandu Menur and Mekarsari. These populations are mothers with babiesaged 6-24 months a number of 46 people and the sampling technique used is sampling saturated sampling technique whenail members of the population used as a sample. Results of this study there was no association between knowledge andbehavior with chi-square value of 2.469 (r>-0.116> 0.05). Midwives of Sewon I health center are expected to conduct anevaluation matteraffectingexclusivebreastfeeding beyond the knowledge and the cadres areexpected to provide support tomothers inorder to provide exclusivebreastfeeding.
Hubungan Indeks Massa Tubuh Ibu Dengan Kejadian Bayi Berat Lahir Rendah di RSUD Wonosari Gunungkidul Mutiara Fatinah; Endah Marianingsih Theresia; Heni Puji Wahyuningsih
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 Ariana Norma Ningsih; Heni Puji Wahyuningsih; 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 | DOI: 10.29238/kia.v11i1.54

Abstract

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.