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All Journal e-CliniC Jurnal e-Biomedik JURNAL BIOMEDIK JURNAL KEDOKTERAN KOMUNITAS DAN TROPIK Indonesian Journal of Obstetrics and Gynecology (Majalah Obstetri dan Ginekologi Indonesia) Jurnal Ners
John Wantania
Universitas Sam Ratulangi
Biochemistry, Genetics & Molecular Biology Health Professions Medicine & Pharmacology Nursing Public Health

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PANDANGAN REMAJA PUTRI TERHADAP ABORTUS Wagey, Pricilia J.; Wagey, Freddy; Wantania, John
JURNAL KEDOKTERAN KOMUNITAS DAN TROPIK JKKT Volume 3 Nomor 3 (2015)
Publisher : UNIVERSITAS SAM RATULANGI

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

Abstract

Remaja merupakan kelompok penduduk yang cukup besar. Secara global, sekitar seperempat penduduk dunia adalah remaja, sedangkan kelompok usia remaja (10-25 tahun) berjumlah hampir separuh dari penduduk Indonesia. Remaja memiliki potensi yang besar namun bila tidak cukup perhatian potensi tersebut dapat berdampak buruk. Di Indonesia ada 2.5 juta abortus, dimana 1.5 juta diantaranya adalah abortus yang dilakukan remaja. Menurut BKKBN, berdasarkan survei, 63% remaja SMP dan SMA di Indonesia pernah berhubungan seks. Sebanyak 21% diantaranya melakukan abortus. Kondisi ini ada kaitan dengan kurang memadainya pengetahuan remaja tentang kesehatan reproduksi sehingga berpengaruh terhadap sikap remaja dalam menghadapi kasus abortus. Peneitian ini bertujuan untuk mengetahui pengetahuan dan sikap remaja putri terhadap abortus. Penelitian ini merupakan jenis penelitian deskriptif dengan sampel berjumlah 200 orang yang merupakan siswi dari 3 SMA di kota Manado. Hasil dari penelitian didapatkan pengetahuan remaja putri terhadap abortus yaitu baik 39%, sedang 18%, dan kurang 43% diikuti dengan sikap negatif 43,5%, netral 55%, dan positif terhadap aborsi 1,5%.   Kata Kunci: Abortus, Remaja Putri, Pengetahuan, Sikap
The Side Effects of Intracesarean Intrauterine Contraception: A Descriptive Study Rumopa, Karol A; Wantania, John; Sondakh, Joice
Indonesian Journal of Obstetrics and Gynecology Volume. 5, No. 3, July 2017
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (77.219 KB) | DOI: 10.32771/inajog.v5i3.538

Abstract

Objective: To investigate the side effects and acceptance of intracesarean Intrauterine Device (IUD) insertion. Methods: This was a descriptive study. Subjects were all pregnant women who had Cu T380A IUD to be placed after cesarean delivery at Prof. Dr. dr. R. D. Kandou Hospital during the period between August 2016 and September 2016. Results: A total of 52 subjects were recruited in this study.43 (82.69%) subjects were in the age group of 20-30 years. 51 of the subjects accepted the IUD. On the 7th day, 49 (94.23%) and 51 (98.07%) subjects complained of abdominal pain and vaginal bleeding, respectively, while on the 14th day, 48 (92.3%) and 50 (96.1%) subjects had abdominal pain and vaginal bleeding, respectively. There were significant decreases in both complaints on the 14th day, compared to the 7th day. (p<0.05 and p<0.05, respectively). 51 (98.07%) subjects accepted the IUD. There were no significant difference between acceptance on day 7 and 14th (p>0.05). Conclusion: The acceptance of side effects by the acceptor reaches 100%, with the incidence of early postpartum expulsion is 3.8%. The side effects of IUD are minimal. [Indones J Obstet Gynecol 2017; 5-3: 139-141] Keywords: intra-cesarean, intrauterine device, side effects
Cystatin C Serum Level and the Severity of Preeclampsia Winarto, Abraham; Suparman, Eddy; Wantania, John
Indonesian Journal of Obstetrics and Gynecology Volume. 4, No.3, July 2016
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (92.577 KB) | DOI: 10.32771/inajog.v4i3.434

Abstract

Objective: Determining the cystatin C serum level among normotensive, mild preeclamptic, severe preeclamptic pregnant women and their relationship with the severity of preeclampsia. Method: The study was held using cross sectional design in Prof. Dr. RD Kandou Hospital in Manado and its network hospitals. We did on 51 samples at term pregnant women, consisting of 17 samples for each group in normotensive, mild preeclampsia, and severe preeclampsia. The data were analyzed using SPSS version 22.0 software through ANOVA and Kruskal Wallis statistical test. Result: The mean cystatin C serum concentration in normotensive pregnant women, mild preeclampsia, and severe preeclampsia were 0.82 mg/l, 1.03 mg/l, and 1.32 mg/l; respectively. The ANOVA statistical test showed the significant association between cystatin C level and severity of preeclampsia (p
Cystatin C Serum Level and the Severity of Preeclampsia Winarto, Abraham; Suparman, Eddy; Wantania, John
Indonesian Journal of Obstetrics and Gynecology Volume. 4, No.3, July 2016
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (92.577 KB) | DOI: 10.32771/inajog.v4i3.434

Abstract

Objective: Determining the cystatin C serum level among normotensive, mild preeclamptic, severe preeclamptic pregnant women and their relationship with the severity of preeclampsia. Method: The study was held using cross sectional design in Prof. Dr. RD Kandou Hospital in Manado and its network hospitals. We did on 51 samples at term pregnant women, consisting of 17 samples for each group in normotensive, mild preeclampsia, and severe preeclampsia. The data were analyzed using SPSS version 22.0 software through ANOVA and Kruskal Wallis statistical test. Result: The mean cystatin C serum concentration in normotensive pregnant women, mild preeclampsia, and severe preeclampsia were 0.82 mg/l, 1.03 mg/l, and 1.32 mg/l; respectively. The ANOVA statistical test showed the significant association between cystatin C level and severity of preeclampsia (p
The Side Effects of Intracesarean Intrauterine Contraception: A Descriptive Study Rumopa, Karol A; Wantania, John; Sondakh, Joice
Indonesian Journal of Obstetrics and Gynecology Volume. 5, No. 3, July 2017
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (77.219 KB) | DOI: 10.32771/inajog.v5i3.538

Abstract

Objective: To investigate the side effects and acceptance of intracesarean Intrauterine Device (IUD) insertion. Methods: This was a descriptive study. Subjects were all pregnant women who had Cu T380A IUD to be placed after cesarean delivery at Prof. Dr. dr. R. D. Kandou Hospital during the period between August 2016 and September 2016. Results: A total of 52 subjects were recruited in this study.43 (82.69%) subjects were in the age group of 20-30 years. 51 of the subjects accepted the IUD. On the 7th day, 49 (94.23%) and 51 (98.07%) subjects complained of abdominal pain and vaginal bleeding, respectively, while on the 14th day, 48 (92.3%) and 50 (96.1%) subjects had abdominal pain and vaginal bleeding, respectively. There were significant decreases in both complaints on the 14th day, compared to the 7th day. (p<0.05 and p<0.05, respectively). 51 (98.07%) subjects accepted the IUD. There were no significant difference between acceptance on day 7 and 14th (p>0.05). Conclusion: The acceptance of side effects by the acceptor reaches 100%, with the incidence of early postpartum expulsion is 3.8%. The side effects of IUD are minimal. [Indones J Obstet Gynecol 2017; 5-3: 139-141] Keywords: intra-cesarean, intrauterine device, side effects
Postpartum Urinary Retention after Vaginal Delivery Erlangga, Bonifacius B; Lengkong, Rudy A; Wantania, John
Indonesian Journal of Obstetrics and Gynecology Volume 7 No. 2 April 2019
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (76.152 KB) | DOI: 10.32771/inajog.v7i2.833

Abstract

Abstract Objective:To determine the incidence of postpartum urinary retention (PUR) after vaginal delivery and to specify any obstetric risk factors that contributing PUR. Methods: Case control study. Six hours after vaginal delivery, urethral catheterization was implemented for estimation of post void residual bladder and diagnosis PUR.  Patient data, including age, gestational age, body mass index, parity, mode of delivery, labor duration, perineal laceration or episiotomy, and fetal birth weight, were compared between women with and those without PUR to determine which obstetric factors that develops PUR. Results: Of the 365 participants recruited, 38 (10,67%) had PUR: 33 (9,27%) with covert PUR and 5 (1,4%) with overt PUR. Women with perineal laceration or episiotomy (p<0,05), instrument-assisted delivery (p<0,05), first stage duration of labor more than 12 hours (p<0,05), second stage duration of labor more than one hour in multipara (p=0,041), and fetal birth weight more than 3800 grams (p<0,05) more prone to develop PUR. Conclusion: The incidence of PUR were associated with several obstetric risk factors: perineal laceration or episiotomy, instrument-assisted delivery, first stage duration of labor more than twelve hours, second stage duration of labor more than one hour in multipara, and fetal birth weight more than 3800 grams. Key words: vaginal delivery, postpartum urinary retention, risk factor   Abstrak Tujuan:Mengetahui angka kejadian retensi urine di kota Manado dan mengetahui faktor risiko obstetri yang berperan dalam terjadinya retensi urine pascasalin pervaginam. Metode:Penelitian kasus kontrol. Dilakukan pemeriksaan residu urine 6 jam pascasalin pervaginam untuk mengetahui kejadian retensi urine. Data pasien yang diambil berupa usia, usia gestasi, indeks massa tubuh, paritas, jenis persalinan, durasi kala I, durasi kala II, laserasi perineum / episiotomi, dan berat badan lahir bayi kemudian dibandingkan antara yang menderita retensi urine dan tanpa retensi urine pasca salin untuk mengetahui faktor risiko obstetri yang berperan. Hasil:Dari 365 sampel penelitian, 38 (10,67%) menderita retensi urine: 33 (9,27%) retensi urine asimptomatis dan 5 (1,4%) retensi urine simptomatis. Pasien dengan laserasi perineum / episiotomi (p<0,05), persalinan dengan bantuan instrumen (p<0,05), durasi persalinan kala I ³ 12 jam (p<0,05), persalinan kala II ³ 1 jam pada multipara (p=0,041), dan berat badan lahir bayi ³ 3800 gram (p<0,05) memiliki risiko lebih tingi menderita retensi urine pascasalin pervaginam. Kesimpulan:Kejadian retensi urine pascasalin pervaginam berhubungan dengan beberapa faktor risiko obstetri yaitu laserasi perineum / episiotomi, persalinan dengan bantuan instrumen, durasi persalinan kala I ³ 12 jam, persalinan kala II ³ 1 jam pada multipara, dan berat badan lahir bayi ³ 3800 gram. Kata kunci: persalinan pervaginam, retensi urine, faktor risik
GAMBARAN PENGETAHUAN SISWI SMP TENTANG KEHAMILAN REMAJA Narasiang, Billy; Wantania, John; Mewengkang, Maya
e-CliniC Vol 3, No 1 (2015): Jurnal e-CliniC (eCl)
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v3i1.6509

Abstract

Abstract: Teenage pregnancy associated with negative consequences for parents, their children, and society. Lack of knowledge of sex and domestic life becomes a major factor of teenage pregnancy and significantly associated with medical and psychosocial risks.To determine the junior high school student knowledge about teenage pregnancy.This research was conducted in a descriptive way through survey method by distributing questionnaires in three junior high schools in the city of Manado, namely, SMP 7 Manado, Eben SMP and SMP Haezar 1 Manado Manado Eben Haezar 2.Of the 183 respondents, the highest obtained at the age of 14 years (55.7%). Most respondents (73.8%) had a good knowledge level. Sources of information about teen pregnancy is the most established through the mass media. The influence of the mass media in conveying information about sexual and reproductive health provides good information.Most respondents have a good knowledge about teenage pregnancy and through mass media many teenagers get resources on teen pregnancy.Keywords: knowledge, student, junior high school, teenage pregnancyAbstrak: Kehamilan remaja berhubungan dengan akibat negatif bagi orang tua, anak mereka, dan masyarakat. Kurangnya pengetahuan seks dan kehidupan rumah tangga menjadi faktor utama kehamilan remaja dan berhubungan secara bermakna dengan resiko medis dan psikososial. Untuk mengetahui pengetahuan siswi SMP tentang kehamilan remaja. Penelitian ini dilaksanakan dengan cara deskriptif melaui metode survei dengan cara membagikan kuesioner di tiga SMP di Kota Manado yaitu, SMP Negeri 7 Manado, SMP Eben Haezar 1 Manado dan SMP Eben Haezar 2 Manado. Dari 183 responden, didapatkan terbanyak pada usia 14 tahun (55,7 %) . Sebagian besar responden (73,8 %) memiliki tingkat pengetahuan baik. Sumber informasi mengenai kehamilan remaja yang terbanyak didapatkan melalui jalur media massa. Pengaruh media massa dalam menyampaikan informasi mengenai seks dan kesehatan reproduksi memberikan informasi yang baik. Sebagian besar responden memiliki pengetahuan yang baik tentang kehamilan remaja dan melalui media massa remaja banyak mendapatkan sumber informasi tentang kehamilan remaja.Kata kunci: pengetahuan, siswi, smp, kehamilan remaja
GAMBARAN HEMOGRAM DAN TES FUNGSI HATI PADA PENDERITA PREEKLAMPSIA BERAT DI BLU RSUP PROF. DR. R. D. KANDOU TAHUN 2013 Maryono, Natasha; Wantania, John; Lengkong, Rudy
e-CliniC Vol 3, No 1 (2015): Jurnal e-CliniC (eCl)
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.3.1.2015.7485

Abstract

Abstract: Preeclampsia is still the main cause of morbidity and mortality in obstetric service in Indonesia. In preeclampsia treatment, routine diagnostic and prognostic laboratory tests are carried out, and progresivity of preeclampsia is observed. This study aimed to find out the description of hemogram and the liver function test of severe preeclampsia patients at Prof. Dr. R. D. Kandou General Hospital in 2013. This was a descriptive and retrospective study by using medical records of Obstetry and Gynecology Department in 2013. Out of 41 cases of severe preeclampsia, it was found that severe preeclampsia patients mostly had haemoglobin ranging from 10.0-12.0 g/dl. The leucocytes counts were 10.000-15.000/mm3, and thrombocyte counts 150.000-450.000/Mel. SGOT was less than 33 u/L, and SGPT was less than 43 u/L. Most impending eclampsia cases had haemoglobin >12 g/dl, leucocyte counts >15.000/mm3, and thrombocyte counts 150.000-450.000/Mel. Most severe preeclampsia cases without complication had trombocytes counts 150.000-450.000/Mel and SGPT <43 u/L. Most cases of severe preeclampsia without other complications had haemoglobin and thrombocytes counts within normal limit, however leucocyte counts increases slightly.Keywords: preeclampsia, hemogram, liver function testAbstrak: Preeklampsia saat ini masih merupakan penyebab utama morbiditas dan mortalitas dalam pelayanan obstetri di Indonesia. Dalam penanganan preeklampsia secara rutin dilakukan pemeriksaan laboratorium test diagnostik, prognostik dan memantau progresivitas dari penyakit preeklampsia. Penelitian ini bertujuan untuk mengetahui gambaran hemogram dan tes fungsi hati pada penderita preeklampsia berat di BLU RSUP Prof. DR. R. D. Kandou Manado tahun 2013. Penelitian ini bersifat deskriptif retrospektif yaitu dengan menggunakan catatan rekam medik kasus obstetrik di Bagian Obstetri Ginekologi tahun 2013. Dari 41 kasus Preeklampsia Berat, didapatkan paling banyak pada hemoglobin di rentang nilai 10.0-12.0 g/dl, leukosit di rentang nilai 10.000-15.000 mm3, trombosit di rentang nilai 150.000 – 450.000/Mel darah, SGOT di rentang nilai <33 u/L, dan SGPT di nilai <43 u/L. Impending eklampsia terbanyak mempunyai nilai hemoglobin >12 g/dl, nilai leukosit >15.000 mm3 dan rentang nilai 150.000 – 450.000/Mel darah untuk trombosit. Preeklampsia tanpa komplikasi, pada trombosit dengan rentang nilai 150.000 – 450.000/Mel darah dan terbanyak pada SGPT dengan nilai <43 u/L. Kadar hemoglobin dan trombosit pada Preeklampsia Berat tanpa komplikasi lain sebagian besar dalam batas normal, kecuali leukosit sedikit meningkatKata kunci :preeklampsia, hemogram, tes fungsi hati
HUBUNGAN TINGKAT PENGETAHUAN TENTANG KEPUTIHAN DENGAN PERILAKU PENCEGAHAN KEPUTIHAN PADA REMAJA PUTRI Mokodongan, Menthari H.; Wantania, John; Wagey, Freddy
e-CliniC Vol 3, No 1 (2015): Jurnal e-CliniC (eCl)
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v3i1.6829

Abstract

Abstract: Leucorrhoea in teenagers can be caused by bad behavior of leucorrhoea precaution. Knowledge is a factor to build behavior in teenager. Method: observational analytic research with cross sectional design with using 200 samples from 4 Senoir high school at Manado and Kotamobagu city purposely. Data is collected by using questionnaire and be analysed by using chi-square. Result: more teenager at Manado and Kotamobagu city have good knowledge of leucorrhoea. More teenager with good knowledge of leucorrhoea have good behavior in leucorrhoea precaution (53,7%), while more teenager with poor knowledge of leucorrhoea have poor behavior of leucorrhoea precaution (66,1%). There is a relationship between knowledge level of leucorrhoea with behavior of leucorrhoea precaution (p=0,023). Teenager with good knowledge of leucorrhoea is 1,5 times to have good behavior of leucorrhoea precaution (PR=1,5; 95% CI=1,1-2,2). Conclusion: Knowledge of leucorrhoea is related significantly to behavior of leucorrhoea precaution in teenager.Keywords: leucorrhoea, knowledge, behavior.Abstrak: Keputihan pada remaja dapat disebabkan karena perilaku pencegahan keputihan yang kurang baik. Pengetahuan adalah salah satu faktor terbentuknya perilaku pada remaja. Metode: penelitian analitik observasional dengan rancangan potong lintang menggunakan 200 sampel dari 4 SMA di Manado dan Kotamobagu yang diambil secara tidak acak. Data dikumpulkan dengan menggunakan kuesioner dan dianalisa dengan chi-square. Hasil: remaja di kota Manado dan Kotamobagu lebih banyak memiliki pengetahuan yang baik tentang keputihan. Remaja dengan pengetahuan yang baik tentang keputihan lebih banyak memiliki perilaku yang baik dalam pencegahan keputihan (53,7%), sementara itu remaja dengan pengetahuan yang buruk tentang keputihan lebih banyak memiliki perilaku yang buruk dalam pencegahan keputihan (66,1%). Ada hubungan antara tingkat pengetahuan tentang keputihan dengan perilaku pencegahan keputihan pada remaja (p=0,023). Remaja dengan tingkat pengetahuan yang baik tentang keputihan memiliki kecenderungan 1,5 kali memiliki perilaku pencegahan yang baik (PR=1,5; 95% CI=1,1-2,2). Simpulan: pengetahuan tentang keputihan berhubungan secara bermakna dengan perilaku pencegahan keputihan pada remaja.Kata kunci: keputihan, pengetahuan, perilaku
PENGETAHUAN IBU TENTANG KEPUTIHAN DI KOTA MANADO Fadilla, Emi; Mewengkang, Maya; Wantania, John
e-CliniC Vol 2, No 2 (2014): Jurnal e-CliniC (eCl)
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v2i2.4696

Abstract

Abstract: Reproductive organs is one of the organs that are sensitive and require special care.Vaginal discharge is the health common problems of women genital area. The purpose of this research is to determine the knowledge of vaginal discharge  and the relationship between the factors that affect the mother's knowledge about vaginal discharge .This research used observational analytic method with a cross sectional study trough primary data based on questionnaires. From 200 respondents,  there were 7 respondents with a poor knowledge , 39 respondents with a moderete knowledge, and 154 respondents with a good knowledge. There is no significant relationship between mother's level of knowledge about vaginal discharge and age (p-value = 0.171), education (p-value = 0.090) ,  resources (p value = 0.174) and experience (p value = 0.052). There is a significant relationship between the level of knowledge about vaginal discharge and occupation (p value = 0.000). Mother’s knowledge of vaginal discharge in manado city is good. In this research only occupation has a significant relationship with the level of knowledge about vaginal discharge. Key words: vaginal discharge,knowledge   Abstrak: Organ reproduksi merupakan salah satu organ tubuh yang sensitif dan memerlukan perawatan khusus. Masalah kesehatan area genital yang umum terjadi pada wanita adalah keputihan. Tujuan penelitian ini mengetahui pengetahuan ibu tentang keputihan dan hubungan antara faktor-faktor yang mempengaruhi tingkat pengetahuan ibu tentang keputihan.Penelitian ini menggunakan metode observasional analitik dengan studi cross sectional menggunakan data primer berdasarkan kuesioner.Dari 200 responden penelitian didapatkan 7 responden dengan pengetahuan kurang, 39 responden dengan pengetahuan cukup (sedang), dan 154 responden dengan pengetahuan baik. Tidak ada hubungan bermakna antara tingkat pengetahuan dengan umur (nilai p = 0,171), pendidikan (nilai p = 0,090), sumber informasi (nilai p = 0,174) dan pengalaman ( nilai p = 0,052). Ada hubungan yang bermakna antara faktor pekerjaan (dengan nilai p = 0,000)  dengan tingkat pengetahuan ibu tentang keputihan.Pengetahuan ibu tentang keputihan di kota Manado adalah baik.  Pada penelitian ini hanya pekerjaan yang memiliki hubungan bermakna dengan tingkat pengetahuan ibu tentang keputihan. Kata kunci: keputihan, pengetahuan.
Co-Authors Billy Narasiang Deanette M. R. Aling Eddy Suparman Emi Fadilla Erlangga, Bonifacius B Freddy Wagey Hermanto Quedarusman Joice Kaeng Joice Sondakh, Joice Juneke J. Kaeng Komaling, Chrismyta Stevani Linda Mamengko Maya Mewengkang Menthari H. Mokodongan Mutiara Aprilia Senolinggi Natasha Maryono Novie Rampengan Pricilia J. Wagey, Pricilia J. Pricilia S. Lomboan, Pricilia S. Rudy A Lengkong Rudy Lengkong Rumopa, Karol A Wahyuni Silomba Winarto, Abraham Winarto, Abraham