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Prevalence and risk factors for postpartum anemia Ika Ratna Pratiwi; Sabar Santoso; Heni Puji Wahyuningsih
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 | 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.
Analisis faktor risiko yang berhubungan dengan kejadian anemia gravidarum Agnes Ria Angresti Agustina; Heni Puji Wahyuningsih; Niken Meilani
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 | DOI: 10.29238/kia.v5i1.164

Abstract

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 Elyzabeth Sari Jalanti; Heni Puji Wahyuningsih; Nanik Setiyawati
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 | DOI: 10.29238/kia.v5i1.183

Abstract

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 Uswatun Hasanah; Heni Puji Wahyuningsih; Yuliasti Eka Purnamaningrum
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 | DOI: 10.29238/kia.v6i2.199

Abstract

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 Wahyu Surya Rhomawati; Dwiana Estiwidani; Heni Puji Wahyuningsih
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 | DOI: 10.29238/kia.v6i2.200

Abstract

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 Maria Oliva Ratuain; Heni Puji Wahyuningsih; Yuliasti Eka Purnamaningrum
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 | DOI: 10.29238/kia.v7i1.210

Abstract

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 Radicha Nur Widyaningtyas; Heni Puji Wahyuningsih; Dwiana Estiwidani
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 | DOI: 10.29238/kia.v8i2.220

Abstract

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.
Gambaran tingkat risiko kehamilan dengan skrining KSPR pada ibu hamil Lusiana Anggraeni; Endah Marianingsih Theresia; Heni Puji Wahyuningsih
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 | 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 Evita Ratih Dewayani; Hesty Widyasih Widyasih; Heni Puji Wahyuningsih
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 | 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 Fitri Nurdjanah; Heni Puji Wahyuningsih; Nining Wiyati
Jurnal Kesehatan Ibu dan Anak Vol. 1 No. 1 (2012): Juli
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar

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.