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Illa Arinta
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Characteristics Of Clinical Symptoms In Pregnancy With Coronavirus Disease (Covid-19) Illa Arinta; Deviyana Nuraini; Alliah Nuranggraeni
JKM (Jurnal Kebidanan Malahayati) Vol 8, No 2 (2022): Vol 8.No.2.April 2022
Publisher : Program Studi Kebidanan Fakultas Kedokteran Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkm.v8i2.6679

Abstract

Latar Belakang. Penyakit Coronavirus 2019 (COVID-19) merupakan penyakit yang saat ini mewabah hampir di seluruh dunia dan disebut Coronavirus-2 (SARS-COV2) dengan sindrom pernafasan akut yang parah. Pertama kali dilaporkan pada 31 Desember 2019, dari daerah Wuhan, provinsi Hubei, China, kasus pertama pneumonia tanpa penyebab yang diketahui. Data WHO per 7 Maret 2020 mengidentifikasi 90.870 kasus terkonfirmasi dengan total kematian 3.112 orang. Sampai dengan 22 Juli 2020, WHO telah melaporkan 14.971.036 kasus yang dikonfirmasi dengan 618.017 kematian di seluruh dunia (Case Fatality Rate/CFR 4,1%).Tujuan. Diketahuinya Karakteristik gejala klinis pada kehamilan dengan Coronavirus Disease (COVID-19) di RSPAD Gatot Soebroto Periode Maret 2020 – Februari 2021”.Metode. Jenis penelitian kuantitatif dengan deskriptif analitik dengan pendekatan retrospektif secara cross sectional, lokasi penelitian dilaksanakan di Poli Fetomaternal RSPAD Gatot Soebroto Jakarta Pusat pada bulan Maret 2020 – Februari 2021. Populasi 201 ibu hamil yang melakukan kunjungan ANC, sampel 75 ibu hamil dengan covid, instrumen yang digunakan adalah data dari rekam medik. Variabel yang digunakan adalah usia, paritas, usia kehamilan, penyakit penyerta kehamilan, derajat Covid-19.Hasil. Usia ibu paling banyak antara usia 24 tahun sebesar 6 orang (8%), usia 28 tahun sebesar 8 orang (10,7%), usia 30 tahun sebesar 8 orang (10,7%), usia 34 tahun sebesar 6 orang (8%), usia 39 tahun sebesar 6 orang (8%), dengan usia minimal 21 tahun dan usia maksimal 42 tahun, dari 75 ibu hamil dengan covid. Ibu hamil dengan covid usia beresiko sebesar 15 orang (20%), dan ibu hamil dengan covid usia tidak beresiko sebesar 60 orang (80%). Terdapat multigravida sebesar 59 orang (78,7%), sedangkan primigravida sebesar 16 orang (21,3%). Usia kehamilan aterm sebanyak 72 (96.0%), sebagian kecil usia kehamilan preterm 3 (4%) Penyakit penyerta kehamilan pada ibu hamil dengan covid-19 rata-rata tidak memiliki penyakit penyerta, penyakit penyerta kehamilan yang paling banyak adalah PEB 8 (10.7), HbSag (+) sebesar 3 (4%), dan asma sebesar 2 (2.7%). Derajat covid-19 pada ibu hamil mayoritas adalah derajat ringan 63 (84.0%), serajat berat hanya 3 (4%).Kesimpulan. Hasil penelitian melalui telaah literatur review menunjukan ibu hamil berusia 28 dan 30 tahun merupakan usia ibu hamil terbanyak yaitu sebesar 10,7%, sebagian besar ibu hamil berjumlah 59 orang merupakan multigravida yaitu sebesar 78,7%, sebagian besar ibu hamil berjumlah 72 orang berada pada usia kehamilan aterm sebesar 96,0%, penyakit penyerta ibu hamil paling banyak adalah PEB berjumlah 8 orang sebesar 10,7%, serta derajat covid-19 pada ibu hamil  mayoritas merupakan derajat ringan sejumlah 63 orang dan berjumlah 84,0%.Saran Derajat covid-19 pada ibu hamil mayoritas adalah derajat ringan 63 (84.0%), serajat berat hanya 3 (4%), maka saat disarankan untuk ISOMAN prosedur pemulangan pasien saat ibu hamil dinyatakan boleh ISOMAN maka rumah sakit menyusun prosedur pemulangan pasien hamil dengan covid yang dapat menularkan meskipun dengan gejala ringan. Kata kunci: Covid-19, Ibu hamil, derajat Covid-19. penyakit penyerta kehamilan, usia, paritas, usia kehamilan ABSTRACT  Background. Coronavirus disease 2019 (COVID-19) is currently endemic almost all over the world and is called Coronavirus-2 (SARS-COV2) with the severe acute respiratory syndrome. It was first reported on December 31, 2019, from Wuhan, China, with the first case of pneumonia with no known cause. As of March 7, 2020, WHO data identified 90,870 confirmed cases with a total death of 3,112 people. As of July 22, 2020, WHO has reported 14,971,036 confirmed cases with 618,017 deaths worldwide (case fatality rate/CFR 4.1%).Purpose. This study aims to know the characteristics of clinical symptoms in pregnancy with Coronavirus Disease (COVID-19) at RSPAD Gatot Soebroto from March 2020 to February 2021.Method. The research design used was descriptive-analytic using a cross-sectional retrospective time approach. The research was conducted at the Fetomaternal room at RSPAD Gatot Soebroto Jakarta from March 2020 to February 2021. The instrument used was data from medical records. The variables used were age, parity, gestational age, comorbidities of pregnancy, and the severity of COVID-19.Results. The age of most pregnant women was between the age of 24 years in six people (8%), age 28 years in eight people (10.7%), age 30 years in eight people (10.7%), age 34 years in six people (8%), and age 39 years in six people (8%), with a minimum age of 21 years and a maximum age of 42 years, from 75 pregnant women with COVID-19. Pregnant women with COVID-19 age at risk were 15 people (20%), and pregnant women with COVID-19 at no risk age were 60 people (80%). In addition, 59 people had multigravida (78.7%), while primigravida was in 16 people (21.3%). The term gestational age was present in 72 mothers (96.0%), and a small proportion of preterm gestational age was present in three mothers (4%). Among pregnant women with COVID-19, on average, they had no comorbidities, and the most common comorbidities of pregnancy were PEB in eight women (10.7), HBsAg (+) in three women (4%), and asthma in two women (2.7%). Furthermore, the majority of the severity of COVID-19 in pregnant women was mild in 63 women (84.0%) and severe only in three women (4%).Conclusion. The study results through the literature review showed that pregnant women aged 28 and 30 years were the most age of pregnant women, namely 10.7%. Most of the pregnant women were multigravida with 78.7%. In addition, 96.0% of pregnant women were at term gestational age. Then, the most comorbidities of pregnant women were pre-eclampsia at 10.7%. Meanwhile, the 84% majority severity of COVID-19 in pregnant women was at mild levels.Suggestions: Most COVID-19 levels in pregnant women were mild at 63 mothers (84.0%) and severe only in three mothers (4%). Thus, it is recommended to self-isolate. For returning patients, when pregnant women are declared to self-isolate, the hospital arranges procedures for the discharge of pregnant patients with COVID-19 who can transmit, even with mild symptoms. Keywords: Age, COVID-19, pregnancy comorbidities, gestational age, pregnant women, parity, the severity of COVID-19. 
FAKTOR-FAKTOR YANG MEMPENGARUHI KELULUSAN UJI PRAKTIK ANTENATAL CARE PADA MAHASISWA TINGKAT I SEMESTER II AKADEMI KEBIDANAN Illa Arinta
JKM (Jurnal Kebidanan Malahayati) Vol 7, No 2 (2021): Vol.7 No.2 April 2021
Publisher : Program Studi Kebidanan Fakultas Kedokteran Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkm.v7i2.4173

Abstract

FACTORS AFFECTING THE GRADUATION OF ANTHENATAL CARE PRACTICE TEST IN LEVEL I SEMESTER II STUDENTS OF MIDWIFERY ACADEMY Background. The success of students in higher education is influenced by several factors, both internal and external. Internal factors are factors that come from students themselves, such as learning motivation, learning attitudes and habits, learning skills, physical condition. External factors are factors that come from outside the students themselves, such as the family, school and community environment. The preliminary survey which was conducted by interviewing 10 students on August 1, 2019, as many as 8 students said that the practice of Antenatal Care is one of the tests that is rather difficult to understand because it was the first experience facing the exam so that the experience of the practical exams that had been carried out had not been described. Students also said that they rarely study independently in the laboratory because the steps to practice antenatal care are difficult to learnPurpose knowing the factors that influence the graduation of antenatal care (ANC) practice in midwifery students semester II at the Midwifery Academy of the Gatot Soebroto Army Hospital in 2019.Method. The research design used was quantitative by using a cross sectional approach, the research location was carried out at the MidwiferFACTORS AFFECTING THE USED OF MAN CONTRACEPTION OPERATION METHOD  Background: The use of operation method of man contraception was still very little used, especially among husbands. Though the male operative method is very effective in terminating pregnancy. Operation method of man contraception was a method with a very high level of effectiveness. So the hoped that method of man contraception choice for couples if they intend to terminate the pregnancy. However, currently the use of method of man contraception is still very small, so it needs hard work to increase the use of method of man contraception. Purpose:The purpose of this study was to determine the dominant factors associated with the use of MOP in Bebetin Village. Methods:This type of research is quantitative research with the independent variables of education, knowledge, attitudes, family support and support from health workers. While the dependent variable is the use of the male operative method. The minimum sample size used was 68 respondents with the sampling technique used simple random sampling. This study used a questionnaire instrument in data collection. Then used enumerators assisted by posyandu and puskesmas in data collection. Analysis using chi-square then multivariate analysis used logistic regression. Result:The results of the study found that there was a relationship between family support and the use of male operation method (AOR: 7.4 95% CI 1.6-33.6) and support from health professionals (AOR: 4.5 95% CI 1.0-20.1). Meanwhile education, attitudes and knowledge are not related to the use of male operation method in Bebetin Village. Conclusion: The conclusion is that family support and health worker support are the dominant factors that husbands want to use male operation methodSuggestion: It is hoped that in the future support for family support and support for health workers will be increased while at the same time increasing the use of male operation method. Keywords : male operative method; contraception; behavior ABSTRAK Latar Belakang: Penggunaan kontrasepsi mantap masih sangat sedikit digunakan khususnya pada kaum suami. Padahal metode operatif pria (MOP) sangat efektif untuk menghentikan kehamilan. Penggunaan MOP merupakan metode dengan tingkat efektifitas yang sangat tinggi. Sehingga harapannya kontrasepsi mantap menjadi pilihan pasangan jika berniat untuk menghentikan kehamilan. Namun saat ini penggunaan MOP masih sangat kecil dilakukan sehingga perlu kerja keras dalam meningkatkan penggunaan MOP.Tujuan: Tujuan dari penelitian ini adalah mengetahui faktor dominan yang berhubungan dengan penggunaan MOP di Desa Bebetin.Metode: Jenis penelitian yang dilakukan adalah penelitian kuantitatif dengan variabel independent pendidikan, pengetahuan, sikap, dukungan keluarga dan dukungan tenaga kesehatan. Sedangkan variabel dependen adalah penggunaan metode operatif pria. Besar sampel minimal yang digunakan adalah 68 responden dengan Teknik pengambilan sampel secara simple random sampling. Penelitian ini menggunakan instrument kuesioner dalam pengumpulan datanya. Kemudian menggunakan enumeroator dibantu posyandu dan puskesmas dalam pengumpulan data. Analisis menggunakan chisquare kemudian analisis multivariat menggunakan regresi logistik.Hasil: Hasil penelitian menemukan bahwa terdapat hubungan dukungan keluarga dengan penggunaan MOP (AOR :7,4 95% CI 1,6-33,6) dan dukungan tenaga kesehatan (AOR :4,5 95% CI 1,0-20,1). Sedangkan pendidikan, sikap dan pengetahuan tidak berhubungan dengan penggunaan MOP di Desa Bebetin.Kesimpulan: Kesimpulannya bahwa dukungan keluarga dan dukungan tenaga kesehatan menjadi factor yang dominan suami mau menggunakan MOP.Saran: Diharapkan kedepannya dukungan keluarga dan dukungan tenaga Kesehatan semakin ditingkatkan sekaligus meningkatkan penggunaan MOP Kata kunci : metode operatif pria; kontrasepsi; perilaku y Academy of RSPAD Gatot Soebroto, with a total sample of 49 female students. Research time from March to August 2019.Univariate and bivariate data analysis using ChiSquare.Result. Evaluation of the ANC practice exam in students is very good with the results of the psychological test still being suggested by 16 respondents 84.2%. The results of most ANC practice exam evaluations are good with health tests fulfilling the requirements as many as 15 respondents 60.0%. The results of the most evaluations of ANC practice exams are good results with 21 respondents 70.0% of the origin majoring in science. Most ANC practice exam evaluation results are with good results with guidance intensity> 3 times as many as 29 respondents 96.7%.Conclusion. ANC practice exam evaluation on students is very good with the results of the psychological test can still be suggested, there is a significant relationship between the ANC practice score and the psychological test. There is no significant relationship between ANC practice scores with health tests, high school majors and intensity of guidance.Suggestions based on the results of the research show that the results of the psychological test have a very significant effect on academic achievement, therefore focusing on increasing the psychological factors of students is the most appropriate effort to improve and or maintain academic achievement. It is suggested to students to further increase their motivation to learn through various ways, including liking each subject presented, having a desire to acquire knowledge and others. Key words: antenatal care, psychology test, students
FAKTOR- FAKTOR YANG MEMPENGARUHI PENGETAHUAN TENTANG BUKU KIA PADA IBU HAMIL Illa Arinta
JKM (Jurnal Kebidanan Malahayati) Vol 7, No 4 (2021): Vol.7 No.4 Oktober 2021
Publisher : Program Studi Kebidanan Fakultas Kedokteran Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkm.v7i4.5241

Abstract

Background. One of the major obstacles to the slow decline in MMR and IMR in Indonesia is the low maternal knowledge associated with pregnancy. Riskesdas 2012 research results nationally, mothers who own and bring books and understand the benefits only 29.1% and one of the provinces in Indonesia that is, East Java 42.1% of mothers who have books and 47.3% of mothers have but not Bring and 10.7% do not have (Ministry of Health RI, 2010).The Purpose It is known the relationship between the characteristics of pregnant women and knowledge of the MCH book at the Cempaka Putih Sub-district Health Center and the Sawah Besar Public Health Center, Central Jakarta for the period February to August 2017Research Method. The research design used was quantitative using cross sectional approach, the location of the research was conducted at Public Health Center and cempaka putih Public Health Center, with 214 samples of pregnant women. The instrument used is questionnaire. The variables used are education, occupation, parity and age.Results. much as 80.0% of mother's knowledge is good, and only 19.2% are knowledgeable less. There is no significant correlation between education, occupation, age, parity with mother's knowledge about book in pregnant women at Cempaka Putih Public Health Center and Sawah Besar Public Health Center. There is a significant relation of mother job (p = 0,048), OR = 4,596, with knowledge of books on pregnant women at Cempaka Putih Public Health Center and Sawah Besar Public Health Center. Conclusion.  Knowledge of Pregnant Women About Book Cempaka Putih Public Health Center and Sawah Besar Public Health Center the most category that is less category.Suggestion Maintain knowledge of pregnant women about the MCH handbook by evaluating pregnant women at every ANC examination so that mothers know more and actively understand about maternal and child health and mothers know better when to need help or an emergency. Keywords : Knowledge, Pregnant, Maternal and Child Health Books                ABSTRAK Latar Belakang. Salah satu kendala utama lambatnya penurunan AKI dan AKB di Indonesia adalah rendahnya pengetahuan ibu yang berhubungan dengan kehamilan. Hasil penelitian Riskesdas 2012 secara Nasional, ibu yang memiliki dan membawa buku KIA serta memahami manfaatnya hanya 29,1% dan salah satu propinsi di Indonesia yaitu, Jawa Timur 42,1% ibu yang memiliki buku KIA dan 47,3% ibu memiliki namun tidak membawa, dan 10,7% tidak memiliki ( Kemenkes RI, 2010). Hal ini menggambarkan masih banyak ibu hamil yang tidak mengetahui manfaat dan isi buku KIA.Tujuan. Diketahuinya Faktor- Faktor Yang Mempengaruhi Pengetahuan Tentang Buku KIA Pada Ibu Hamil Di Puskesmas Kecamatan Cempaka Putih Dan Puskesmas Sawah Besar  Jakarta Pusat Periode Februari s/d Agustus 2017 ”.Metode. Desain penelitian yang digunakan adalah kuantitatif dengan menggunakan pendekatan  cross sectional, lokasi penelitian dilaksanakan di Puskesmas Sawah Besar dan puskesmas cempaka putih Februari s/d Agustus 2017, dengan jumlah sampel 214 ibu hamil. Instrument yang digunakan adalah kuesioner. Variabel yang digunakan adalah pendidikan, pekerjaan, paritas, usia ibu.Hasil. Sebanyak 80,0 % pengetahuan ibu adalah baik, dan hanya 19,2 % yang berpengetahuan kurang. Tidak ada hubungan secara signifikan pendidikan, pekerjaan, usia, paritas dengan pengetahuan ibu tentang buku KIA pada ibu hamil di Puskesmas Kecamatan Cempaka Putih dan Puskesmas Sawah Besar Tahun 2017. Ada hubungan secara signifikan pekerjaan ibu (p=0,048), OR=4,596, dengan pengetahuan tentang buku KIA pada ibu hamil di Puskesmas Kecamatan Cempaka Putih dan Puskesmas Sawah Besar.Kesimpulan Tidak ada hubungan signifikan pendidikan, pekerjaan, usia, paritas dengan pengetahuan ibu tentang buku KIA, ada hubungan signifikan pekerjaan ibu dengan pengetahuan tentang buku KIA.Saran Mempertahankan pengetahuan ibu hamil tentang buku KIA dengan mengevaluasi ibu hamil pada setiap pemeriksaan ANC agar ibu lebih mengetahui dan memahami secara aktif tentang kesehatan ibu dan anak serta ibu lebih mengetahui kapan memerlukan pertolongan atau kegawatdaruratan. Kata kunci : Pengetahuan, Ibu hamil, Buku kesehatan ibu dan anak (KIA)            
Co-Authors Alliah Nuranggraeni Deviyana Nuraini