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Pengaruh senam nifas terhadap penurunan tinggi fundus uteri pada ibu post partum di RSUD Wonosari Erwita Dina Kumalasari; Suherni Suherni; Heni Puji Wahyuningsih
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 Fitri Wijayanti; Hesty Widyasih; Heni Puji Wahyuningsih
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 Kristina Yuliani; Heni Puji Wahyuningsih; Hesty Widyasih
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 Ana Ria Wiharti; Heni Puji Wahyuningsih; Sari Hastuti
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 Natya Ayu Pramudita; Heni Puji Wahyuningsih; Hesty Widyasih
Jurnal Kesehatan Ibu dan Anak Vol. 10 No. 2 (2016): November
Publisher : Poltekkes Kemenkes Yogyakarta

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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.
Social demography and eating patterns to the risk of stunting Heni Puji Wahyuningsih; Yuni Kusmiyati
Jurnal Kesehatan Ibu dan Anak Vol. 14 No. 2 (2020): November
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/kia.v14i2.909

Abstract

Stunting is a long-term manifestation of low-quality diet consumption factors, recurrent infectious diseases, and the environment. Stunting in infants needs special attention because it can hamper physical growth, mental development and health status in children. This study aims to determine the social demographic effects and feeding patterns on the risk of stunting. This research is a quantitative study with a retrospective cohort test design and using concetutive sampling. The total sample in this study were 177 case groups and 177 control groups. The instrument used in this study was a questionnaire that caused stunting. Analysis of the data used in processing the questionnaire is chi square analysis and logistic regression analysis with an accuracy rate of 95%. As for testing the influence of factors using path analysis. Based on the results of the path analysis test it is known that the pattern of feeding (b = 0.213; SE = 0.034; p <0.001), gender (b = 0.095; SE = 0.50; p <0.001), number of working family members (b = 0.103; SE: 0.046, p <0.005), number family members (b = 0.028; SE = 0.023; p <0.001) and mother's work (b = 0.018; SE = 0.029; p <0.000) have a direct effect on stunting risk. which means that every increase in one unit of working mothers will affect the reduction in stunting. Meanwhile, mother's education has an indirect effect on stunting, but mother's education has a direct effect on feeding patterns (0.041; SE = 0.067; p <0.001). This study shows that the variables of gender, number of families, work of mothers, number of working families, and quality of life of children have a direct and significant effect on stunting risk, while mother's education has an indirect influence over dietary factors.
Kohor retrospective study: development of children age 1-3 year with history of low born weigh (LBW) infants Heni Puji Wahyuningsih; Indah Ajeng Pramesti; Endah Marianingsih Theresia
PUINOVAKESMAS Vol. 1 No. 2 (2020): November
Publisher : Pusat Unggulan Iptek (PUI) Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (497.707 KB) | DOI: 10.29238/puinova.v1i2.982

Abstract

Low Born Weigh (LBW) is a baby with a birth weight <2500 grams. LBW babies are weak in fine motor skills. If toddlers' developmental disorders are not detected early it will affect the quality of life, showed the prevalence of LBW by 5.52%. The prevalence of LBW infants in Bantul Regency from 2014 to 2018 has increased. The highest LBW cases were in the Pleret Puskesmas which reached 6.23%. The high prevalence of LBW in Pleret District has made researchers interested in researching the relationship of LBW history with the development of toddlers aged 1-3 years. The purpose of this research is to find out the influence of LBW history on the development of toddlers aged 1-3 years. This type of research is an observational analytic study with a retrospective cohort design. The sample in this study is toddlers aged 1-3 years in the district of Pleret. The independent variables of this study were the birth weight of infants and the dependent variable of development of infants aged 1-3 years. Statistical tests use the Chi-square test and relative risk. This research shows that as many as 31% of children under five with a history of LBW had inappropriate development status. The chi-square test showed a p-value of 0.016 (<0.05) which meant that there was a significant relationship between LBW history and the developmental status of toddlers. Obtained RR value of 1,250 (> 1,00), shows that toddlers with a history of LBW have a risk of experiencing developmental disorders 1.25 times greater than toddlers with normal weight history. The conclusion of this research is a there is a significant relationship between LBW history and the development of toddlers aged 1-3 years. Toddlers with an LBW history have a greater risk of developing developmental disorders compared to toddlers with normal weight history.
Literature Review: Information Technology in Early Detection of Pregnancy Risks and Stunting Prevention in the Era of the COVID-19 Pandemic Heni Puji Wahyuningsih
Jurnal Teknologi Kesehatan (Journal of Health Technology) Vol. 17 No. 2 (2021): 2
Publisher : POLTEKKES KEMENKES YOGYAKARTA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/jtk.v17i2.1085

Abstract

The competence of midwives in early detection of pregnancy risk and prevention of stunting is an important factor to improve health status. The competence of midwives contributes to the improvement of maternal health status by 79%. In addition to the ability of midwives, the independence of pregnant women is also needed in improving the quality of life of children. In the era of the pandemic, access to information is increasingly limited, so it is necessary to develop information technology that is easily accessible by all groups. The purpose of this article is obtaining a theoretical study of information to improve the competence of midwives and obtaining a theoretical study of information technology to increase the independence of pregnant women in early detection of pregnancy risk and stunting prevention. The design used is a literature review. Articles are collected using search engines such as EBSCO, Science direct, and Proquest. The criteria for the articles used are those published from 2015 to 2021. Based on the articles collected, the results show that Utilization of information technology can be used for various things. The target of information technology can penetrate various circles. The need for information technology today is unavoidable and must be improved. Website-based application is one of the information technology that can be accessed by anyone who has the internet and its use is easy. The conclusion of the study is that information technology can be used in early detection of pregnancy risk and stunting prevention.
PENGGUNAAN TEROPONG DIGITAL SKRINING KANKER SERVIKS DALAM PEMERIKSAAN INSPEKSI VISUAL ASAM ASETAT (IVA) SEBAGAI UPAYA PENINGKATAN PENGETAHUAN IBU Nanik Setiyawati; Yuni Kusmiyati; Lucky Herawati; Heni Puji Wahyuningsih; Yuliasti Eka Purnamaningrum; Dwiana Estiwidani; Hesty Widyasih
JURNAL PENGABDIAN MANDIRI Vol. 1 No. 6: Juni 2022
Publisher : Bajang Institute

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Abstract

Background: Kanker serviks merupakan penyebab kematian ketiga dari seluruh kanker di dunia. Kanker serviks dalat dicegah dengan melakukan skrining kanker serviks salah satu metodenya dengan Inspeksi Visual Asam Asetat (IVA). Teropong digital skrining kanker serviks merupakan suatu alat yang dapat menampilkan gambar serviks pada perangkat sehingga ibu dapat mengetahui hasil pemeriksaan dan mampu meningkatkan pemahaman ibu. Tujuan: Meningkatkan pengetahian ibu tentang kanker serviks dengan menggunakan teropong digital skrining kanker serviks. Metode: Sasaran adalah wanita usia subur di Yogyakarta. Tahapan kegiatan dengan pre test, kemudian diberikan penjelasan tindakan informed consent, edukasi pasca tindakan dengan menunjukkan hasil tangkapan gambar teropong digital kemudian post test. Hasil: Rerata skor pre tes= 71, post tes= 89 dengan beda rerata p= 0,043. Ada peningkatan rerata pre dan post tes, ada pengaruh edukasi dengan teropong digital skrining kanker serviks dengan kenaikan tingkat pengetahuan.
Pelatihan pada kader tentang skrining perkembangan anak Heni Puji Wahyuningsih; Siti Tyastuti
Jurnal Kesehatan Pengabdian Masyarakat (JKPM) Vol. 1 No. 1 (2020): 1
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/jkpm.v1i1.584

Abstract

Toddler is a golden period. In infancy, the development of language skills, creativity, social awareness, emotional, and intelligence runs fast and is the foundation for further development. Children constitute the largest proportion of the population in Indonesia at 33.9% (82.6 million). Research in Indonesia shows that 20-30% of children under five experience growth disorders. The target of achieving the MDGs in 2015 has not been achieved, so hard work is needed to achieve this target. Community empowerment needs to be done so that these targets can be achieved. Health cadres are partners who are closer to the community. For this reason, it is necessary to create a quality of life for toddlers, to maintain and detect child development well, so that skilled cadres are needed to screen children. To achieve this, training of cadres on screening / checking of child development is carried out. Community service activities are carried out in stages with the stages of identification, implementation, monitoring, evaluation. This activity was held in September and October 2019. The facility needed was the KPSP booklet (Pre-Screening Development Questionnaire). Community service activities carried out in the form of training for cadres toddlers. Provision of material tailored to the needs of toddlers cadres. From the results of the evaluation conducted after the training was conducted, 85% of cadres were able to screen toddlers, but there were still some cadres who did not understand how to screen for child development so they needed to exercise routinely. Based on the results of the activities it can be concluded that the community has good enthusiasm so that the community service activities can run smoothly.