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All Journal Media Penelitian dan Pengembangan Kesehatan Althea Medical Journal Global Medical and Health Communication Indonesian Journal of Obstetrics & Gynecology Science Jurnal Kesehatan Jurnal Aisyah : Jurnal Ilmu Kesehatan Jurnal Kebidanan Khatulistiwa Journal of Current Health Sciences Media Penelitian dan Pengembangan Kesehatan
Zulvayanti Zulvayanti
Department Of Obstetrics And Gynecology Faculty Of Medicine Universitas Padjadjaran Hasan Sadikin General Hospital Bandung
Biochemistry, Genetics & Molecular Biology Decision Sciences, Operations Research & Management Dentistry Environmental Science Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health Veterinary

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Five Years Data of Vaginal Swab Examination on Sexual Assault Cases inWest Java Top Referral Hospital, Indonesia Febriastry, Machrani; Sayusman, Chevi; Zulvayanti, Zulvayanti
Althea Medical Journal Vol 4, No 3 (2017)
Publisher : Althea Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (627.422 KB)

Abstract

Background: Vaginal swab test is one of the way to prove that penile penetration has occurred by detection of spermatozoa or seminal fluid components in  vaginal fluid of sexual assault victims. It is also used for detecting sexually transmitted infection (STI) in  thevictims and identifying perpetrators’ DNA. The objective of this study was to describe vaginal swab examination result on sexual assault cases in Dr. Hasan Sadikin General Hospital, Bandung so it can be used as an evaluation material for the management of sexual assault cases and a reference for subsequent researches related to sexual assault.Methods: Descriptive study was carried out using medical records and visumetrepertum of sexual assault victims who underwent vaginal swab examination at Dr. HasanSadikin General Hospital, Bandung from2010 to2014. Of 62 medical records which met the inclusion criteria, 3 were excluded. A total of 59 medical records were included as study subjects. Data taken were victims’ age, sexual assault’s time, examination time, penile penetration and intra-vaginal ejaculation history, also vaginal swab and STI examination result.The data were processed and presented using a frequency distribution table.Results: Spermatozoa were found in 13 cases (22.03%). Spermatozoa were found at latest 96 hours since assault. None of the victims was detected with STI.Conclusions: The successful rate of Spermatozoa detection by conducting vaginal swab in Dr. HasanSadikin General Hospital, Bandung is 22.03%. Spermatozoa can be detected even 72 hours post assault.
Knowledge Level of Pregnant Women in Cipacing Village on Nutrition and Benefits of Colostrums Reddy, Haviz; Fatimah, Siti Nur; Zulvayanti, Zulvayanti
Althea Medical Journal Vol 2, No 1 (2015)
Publisher : Althea Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (684.763 KB)

Abstract

   Background: Colostrums are the only natural food that is healthy for newborn infants since colostrums contain proper nutrition needed for infants’ growth. This study aimed to reveal the knowledge level of pregnant women on nutrition and benefits of colostrums. Methods: This study used descriptive cross-sectional method on 73 pregnant women in Cipacing village, Jatinangor district, Sumedang Regency, West Java, from October 18 to November 14, 2012. A questionnaire was used. Results: The results showed that the characteristics of these pregnant women were as follows: 20-35 years old (53.4%), most were middle school graduates (42.5%), most were unemployed (72.6%), and some claimed to have never given birth before (37,0%). Mostly, the knowledge level of these pregnant women was in the category of “favorable” (84.9 %). The knowledge level with the highest percentage (100%) came from pregnant women aged above 35 years old, college graduates, employed as private employees, civil servants, or self-employed, as well as having three biological children or more. Conclusions: Sustained health promotion and counseling programs are needed to maintain already-favorable knowledge level; thus pregnant women’s knowledge on nutrition and benefits of colostrums can be applied and can also encourage these women themselves to provide colostrums for their newborn infants.Keywords: Benefits of colostrums, Jatinangor, nutrition, women’s knowledge level    DOI: 10.15850/amj.v2n1.422 
Five Years Data of Vaginal Swab Examination on Sexual Assault Cases inWest Java Top Referral Hospital, Indonesia Machrani Febriastry; Chevi Sayusman; Zulvayanti Zulvayanti
Althea Medical Journal Vol 4, No 3 (2017)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (627.422 KB)

Abstract

Background: Vaginal swab test is one of the way to prove that penile penetration has occurred by detection of spermatozoa or seminal fluid components in  vaginal fluid of sexual assault victims. It is also used for detecting sexually transmitted infection (STI) in  thevictims and identifying perpetrators’ DNA. The objective of this study was to describe vaginal swab examination result on sexual assault cases in Dr. Hasan Sadikin General Hospital, Bandung so it can be used as an evaluation material for the management of sexual assault cases and a reference for subsequent researches related to sexual assault.Methods: Descriptive study was carried out using medical records and visumetrepertum of sexual assault victims who underwent vaginal swab examination at Dr. HasanSadikin General Hospital, Bandung from2010 to2014. Of 62 medical records which met the inclusion criteria, 3 were excluded. A total of 59 medical records were included as study subjects. Data taken were victims’ age, sexual assault’s time, examination time, penile penetration and intra-vaginal ejaculation history, also vaginal swab and STI examination result.The data were processed and presented using a frequency distribution table.Results: Spermatozoa were found in 13 cases (22.03%). Spermatozoa were found at latest 96 hours since assault. None of the victims was detected with STI.Conclusions: The successful rate of Spermatozoa detection by conducting vaginal swab in Dr. HasanSadikin General Hospital, Bandung is 22.03%. Spermatozoa can be detected even 72 hours post assault.
Knowledge Level of Pregnant Women in Cipacing Village on Nutrition and Benefits of Colostrums Haviz Reddy; Siti Nur Fatimah; Zulvayanti Zulvayanti
Althea Medical Journal Vol 2, No 1 (2015)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (684.763 KB)

Abstract

   Background: Colostrums are the only natural food that is healthy for newborn infants since colostrums contain proper nutrition needed for infants’ growth. This study aimed to reveal the knowledge level of pregnant women on nutrition and benefits of colostrums. Methods: This study used descriptive cross-sectional method on 73 pregnant women in Cipacing village, Jatinangor district, Sumedang Regency, West Java, from October 18 to November 14, 2012. A questionnaire was used. Results: The results showed that the characteristics of these pregnant women were as follows: 20-35 years old (53.4%), most were middle school graduates (42.5%), most were unemployed (72.6%), and some claimed to have never given birth before (37,0%). Mostly, the knowledge level of these pregnant women was in the category of “favorable” (84.9 %). The knowledge level with the highest percentage (100%) came from pregnant women aged above 35 years old, college graduates, employed as private employees, civil servants, or self-employed, as well as having three biological children or more. Conclusions: Sustained health promotion and counseling programs are needed to maintain already-favorable knowledge level; thus pregnant women’s knowledge on nutrition and benefits of colostrums can be applied and can also encourage these women themselves to provide colostrums for their newborn infants.Keywords: Benefits of colostrums, Jatinangor, nutrition, women’s knowledge level    DOI: 10.15850/amj.v2n1.422 
Hubungan Persepsi tentang Penularan HIV/AIDS dari Ibu ke Anak terhadap Praktik Penggunaan Kontrasepsi pada Wanita Usia Subur Penerima Obat Antiretroviral di Kota Bandung Riska Regia Catur Putri; Zulvayanti Zulvayanti; Panji Fortuna Hadisoemarto; Deni K. Sunjaya; Elsa Pudji Setiawati; Helni Mariani; Indah Amelia
Media Penelitian dan Pengembangan Kesehatan Vol 29 No 4 (2019)
Publisher : Sekretariat Badan Penelitian dan Pengembangan Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/mpk.v29i4.2179

Abstract

Abstract More than 90% of cases of Human Immunodeficiency Virus (HIV) / Acquired Immune Deficiency Syndrom (AIDS) in children, occur due to transmission from mother to child. Prevention of unwanted pregnancies with contraception in HIV positive women is important strategy to reduce the rate of mother to child HIV/AIDS transmission. The practice of contraceptive use in HIV positive women is strongly influenced by individual beliefs regarding the benefits and effectiveness of contraception for the prevention of mother to child HIV/AIDS transmission. This study aims to determine the relationship of perceptions based on the construct of the Health Belief Model (HBM) wich consists of perceived susceptibility, perceived severity, perceived benefit, perceived barrier, self efficacy, and cues to action and based on pluralistic ignorance on the practice of contraceptive use among woman of childbearing age recipients of antiretroviral in Bandung. The design of this study was quantitative non-experimental with survey methods. Data were collected for one month, using questionnaire from 188 women of childbearing age receiving antiretroviral drughs taken by consecutive sampling (non-probability) technique. Data were analyzed by logistic regression. The results revealed perceived susceptibility is an HBM construct that affects contraceptive use (Adjusted Odds Ratio (AOR):4.5). While knowledge (AOR:7.3) and age (AOR:0.801), emerged as other factors that influence contraceptive use among WUS recipients of antiretroviral in Bandung. The HBM is used to predict contraceptive behavior in women. HIV positive women who believe themselves to be at high risk of infecting HIV/AIDS from mother to child will tend to use contraception, besides that knowledge is the basis for HIV positive women taking action to use contraception. Abstrak Lebih dari 90% kasus Human Immunodeficiency Virus (HIV)/Acquired Immune Deficiency Syndrom (AIDS) pada anak, terjadi akibat penularan dari ibu ke anak. Pencegahan kehamilan yang tidak direncanakan dengan kontrasepsi pada wanita HIV positif merupakan strategi penting untuk menurunkan angka penularan HIV/AIDS dari ibu ke anak. Praktik penggunaan kontrasepsi oleh wanita HIV positif sangat dipengaruhi oleh keyakinan individu terkait manfaat dan efektivitas kontrasepsi terhadap pencegahan penularan HIV/AIDS dari ibu ke anak. Penelitian ini bertujuan untuk mengetahui hubungan persepsi berdasarkan konstruk Health Belief Model (HBM) yang terdiri dari perceived susceptibility, perceived severity, perceived benefit, perceived barrier, self efficacy, dan cues to action serta berdasarkan ketidaktahuan majemuk terhadap praktik penggunaan kontrasepsi pada Wanita Usia Subur (WUS) penerima obat antiretroviral di Kota Bandung. Desain penelitian ini adalah kuantitatif non-experimental dengan metode survei. Data dikumpulkan selama satu bulan, menggunakan kuesioner dari 188 WUS penerima obat antiretroviral yang diambil dengan teknik consecutive sampling (non-probability). Data dianalisis dengan regresi logistik. Hasil penelitian mengungkapkan perceived susceptibility adalah konstruk HBM yang berpengaruh terhadap penggunaan kontrasepsi (Adjusted Odds Ratio (AOR):4,5). Sementara pengetahuan (AOR:7,3) dan usia (AOR:0,801) muncul sebagai faktor-faktor lain yang berpengaruh terhadap praktik penggunaan kontrasepsi pada WUS penerima obat antiretroviral di Kota Bandung. HBM digunakan untuk memprediksi perilaku kontrasepsi pada wanita. Wanita HIV positif yang meyakini dirinya berisiko tinggi dapat menularkan HIV/AIDS ke anak, akan cenderung menggunakan kontrasepsi, disamping itu pengetahuan menjadi dasar bagi wanita HIV positif dalam mengambil tindakan untuk menggunakan kontrasepsi.
Comparison of Vitamin D3 Serum and Method of Deliveries among Pregnant Women Who Did and Did not Performe Regular Outdoor Aerobic Activities Setyorini Irianti; Teuku Kyan Nuryasin; Budi Handono; Benny Hasan Purwara; Zulvayanti Zulvayanti; Herman Susanto
Global Medical & Health Communication (GMHC) Vol 8, No 2 (2020)
Publisher : Universitas Islam Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (112.607 KB) | DOI: 10.29313/gmhc.v8i2.6338

Abstract

The maternal mortality rate in Indonesia is still very high. One of the main factors is postpartum hemorrhage and an increase in the cesarean section rate (CSR). The American College of Obstetrics and Gynecology has recommended aerobic exercise. We assumed that outdoor aerobic exercise could be useful for the advancement of labor and the reduction of CSR. This study aimed to assess whether regular exercise can have a good impact on reducing labor and CSR, which is likely to be affected by an increase in vitamin D3 levels. It was an experimental study involving 40 patients at Al Islam Awibitung Hospital and Ibrahim Adjie Healthcare Center in Bandung in February–April 2018, who met the inclusion criteria and divided into two groups, who performed regular outdoor aerobic activity and those who did not. Patient characteristics, work progress, and vitamin D3 levels recorded. The data collected was then tested and compared between pre-and post-treatment, a paired t test was done. There was a relationship between the increase in-vitamin D3 and the ease of childbirth in the treatment group (p<0.05). The comparison of vitamin D3 levels among the two groups was −18.8% vs −26.8% respectively (p<0.05). Method of delivery were spontaneous delivery 80% vs 25%, vacuum extraction 15% vs 55%, and cesarean section 5% vs 20%, respectively (p<0.05). In conclusion that regular outdoor aerobic exercise in a pregnant woman could increase vitamin D3 levels, ease labor, and reduce CSR. PERBANDINGAN KADAR VITAMIN D3 SERUM DAN METODE PERSALINAN ANTARA IBU HAMIL YANG MENJALANKAN DAN TIDAK MENJALANKAN AKTIVITAS AEROBIK DI RUANG TERBUKA SECARA RUTINSaat ini angka kematian maternal di Indonesia masih sangat tinggi. Salah satu faktor penyebab utama adalah perdarahan pasca salin dan meningkatnya insidensi seksio sesarea. Aktivitas aerobik telah direkomendasikan oleh American College of Obstetrics and Gynecology (ACOG). Kami mempunyai hipotesis bahwa aktivitas aerobik rutin di udara terbuka dapat memengaruhi kadar vitamin D3 serum ibu yang dapat meningkatkan kelancaran persalinan dan menurunkan risiko seksio sesarea. Penelitian ini bertujuan membuktikan hipotesis di atas. Metode penelitian adalah studi eksperimental terhadap 40 ibu hamil di RS Al Islam Awibitung dan Puskesmas Ibrahim Adjie Bandung pada bulan Februari–April 2018 yang memenuhi kriteria inklusi, serta dibagi dalam 2 grup, yaitu grup perlakuan yang melaksanakan aktivitas aerobik di udara terbuka secara rutin dan grup kontrol yang tidak melaksanakan aktivitas aerobik. Dilakukan pencatatan karakteristik pasien, kemajuan persalinan, metode persalinan, dan kadar vitamin D3 sebelum dan setelah perlakuan, serta dilakukan analisis statistik dengan paired t test. Terdapat hubungan bermakna antara perubahan kadar vitamin D3 dan metode persalinan (p<0,05). Perbandingan perubahan kadar vitamin D3 antara kedua kelompok adalah −18,8% vs −26,8% (p<0.05). Metode persalinan adalah persalinan spontan 80% vs 25%, ekstraksi vakum 15% vs 55%, dan seksio sesarea 5% vs 20% (p<0,05). Simpulan, aktivitas aerobik rutin di udara terbuka pada ibu hamil berdampak terhadap kadar vitamin D3 serum ibu dan dapat memperlancar proses persalinan serta menurunkan risiko seksio sesarea.
Perbandingan Faktor Determinan dan Luaran Preeklamsi Periode Sebelum dan Saat Program Jaminan Kesehatan Nasional Dilaksanakan Irene Leha; Johanes C Mose; Budi Handono; Anita Deborah Anwar; Zulvayanti Zulvayanti; Hanom Husni Syam
Indonesian Journal of Obstetrics & Gynecology Science Volume 2 Nomor 1 Maret 2019
Publisher : Dep/SMF Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (97.862 KB) | DOI: 10.24198/obgynia.v1n2.102

Abstract

AbstrakTujuan: Mencari perbedaan faktor determinan (karakteristik dan faktor risiko), morbiditas dan mortalitas ibu dan bayi dalam kasus preeklamsi pada periode sebelum dan saat program Jaminan Kesehatan Nasional dilaksanakan.Metode: Rancangan penelitian ini adalah studi cross-sectional terhadap data sekunder untuk menganalisis karakteristik faktor risiko, morbiditas dan mortalitas pada kejadian preeklamsi di RSUP Dr. Hasan Sadikin antara periode Maret−September 2012−1 Januari 2016−31 Desember 2017. Penelitian ini dilakukan di RSUP Dr. Hasan Sadikin Bandung pada bulan Februari−Mei 2018.Hasil: Didapatkan perbedaan yang bermakna (p<0,05) pada(usia, pasien, indikator, antenatal care, dan penyakit-penyakit)  subjek penelitian. Didapatkan peningkatan angka seksio sesarea pada kasus preeklamsi (p<0,001). Tidak ditemukan perbedaan yang bermakna pada angka kematian ibu dengan kasus preeklamsi (p=0,366). Tidak terdapat perbedaan yang bermakna pada hasil luaran perinatal pada subjek penelitian dari segi skor APGAR, kejadian stillbirth dan kematian neonatal dini.Simpulan: Pada periode saat program JKN dilaksanakan terdapat perbedaan karakteristik dan faktor risiko ibu preeklamsi, serta terdapat peningkatan angka seksio sesarea. Tidak didapatkan perbedaan angka mortalitas ibu dan luaran (morbiditas dan mortalitas) bayi.Comparison of Determinant Factors and Outcome of Preeclampsia in Periods Before and When the National Health Insurance Program was ImplementedAbstractObjective: To distinguish determinant factors (characteristics and risk factors), maternal and neonatal morbidity and mortality in preeclampsia cases in periods before and when the National Health Insurance program was implemented. Method: The study design is cross sectional analyticstudy  by taking the data from medical record to analyze the determinant factor (characteristics and risk factors), morbidity and mortality of preeclampsia at Dr. Hasan Sadikin General Hospital Bandung on March−September 2012 and January 2016−December 2017. This study was conducted in Dr. Hasan Sadikin General Hospital Bandung during February-May 2018.Results: There is a significant difference (P<0.05) in characteristics and risk factor subject of research in terms of age, gestational age, parity, educational degree,  ANC, a history of hypertension and cardiovascular disorder. There is an incrising of cesarean section rate on preeclampsia cases (p<0.001).There is no  significant difference in maternal mortality and perinatal outcomes (APGAR score, stillbirth and early neonatal death). Conclusion: There are differences in determinant factor (characteristics and risk factors) preeclampsia when the National Health Insurance program was implemented. There was no difference in maternal mortality and perinatal outcomes.Key words: preeclampsia, National Health Insurance, maternal and perinatal outcome
Apakah Kadar β-hCG Praevakuasi dan Gambaran Proliferasi Sel Trofoblas secara Mikroskopik dapat digunakan untuk Prediksi Transformasi Keganasan pada Mola Hidatidosa? Kemala Isnainiasih Mantilidewi; Zulvayanti Zulvayanti; Wiryawan Permadi
Indonesian Journal of Obstetrics & Gynecology Science Volume 1 Nomor 1 Maret 2018
Publisher : Dep/SMF Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1401.032 KB) | DOI: 10.24198/obgynia.v1n1.1

Abstract

AbstrakTujuan: Meneliti perbedaan karakteristik umur, paritas, besar uterus, kadar β-hCG, dan hiperproliferasi pada mola hidatidosa (MH) dengan regresi spontan dan pada MH dengan transformasi keganasan di RS Dr.Hasan Sadikin Bandung. Metode: Penelitian cross sectional deskriptif restrospektif mengambil data umur, paritas, besar uterus, kadar β-hCG pre-evakuasi, dan hiperproliferasi dari rekam medis pasien MH periode 2007-2016. Data diolah menggunakan program SPSS versi 20.0 for Windows. Nilai p<0,05 dianggap signifikan. Hasil: Dari 400 rekam medis yang dianalisis, 233 dengan data lengkap dapat dianalisis. Mayoritas pasien usia reproduktif 20-35(53,6%) tahun, paritas 1-2 (n=90, 38,6%), dan besar uterus rata-rata 19,12±4,633 (~minggu kehamilan). Kadar β-hCG <100000 mIU/mL sebanyak 78(33,5%), ≥100000 mIU/mL sebanyak 155(66,5%). Pasien dengan hiperproliferasi sebanyak 83(35,6%) sedangkan pasien tanpa hiperproliferasi sebanyak 150(64,4%). Terdapat 219(94,0%) dengan komplit MH, dan 14(6,0%) HM parsial (tidak dipublikasi). Pasien kemudian dikategorikan menjadi kelompok transformasi keganasan dan kelompok remisi spontan. Tidak terdapat perbedaan umur, paritas, dan besar uterus diantara dua kelompok (p>0,05). Perbedaan kadar βhCG (mIU/mL) dan tingkat proliferasi menunjukkan hasil signifikan (p<0.05). Kesimpulan: Kadar β-hCG preevakuasi dan status hiperproliferasi dapat digunakan sebagai prediktor transformasi keganasan pasien MH. Can Preevacuation Level β-hCG and Microscopic Trophoblast Proliferation Predict Malignant Transformation in Hydatidiform Mole?AbstractObjective: To describe differences among age, parity, size of uterus, level of β-hCG, and hyperproliferation state in HM with spontaneous remission and in that with malignancy transformation at dr.Hasan Sadikin General Hospital Bandung. Methods: This a cross sectional descriptive restrospective study of HM cases analyzing data on age, parity, size of uterus, pre-evacuation level of β-hCG, and hyperproliferation state taken from medical record of HM patients between 2007-2016. Data were statistically analyzed using SPSS version 20.0 for Windows. Result p<0.05 was considered significant.  Results: Out of 400 cases, 233 cases were selected. Those with incomplete data were not included in the analysis. Majority of patients were in reproductive age 20-35(53.6%) years old, has parity 1-2(n=90, 38.6%), and the size of uterus has mean 19.12±4.633 (~week of pregnancy). The level of β-hCG <100000 mIU/mL was 78(33.5%), ≥100000 mIU/mL was 155(66.5%). Patients with hyperproliferation were 83(35.6%) while without hyperproliferation were 150(64.4%). There were 219(94.0%) with complete HM, and 14(6.0%) partial HM (unpublished data). There were no significant differences in age, parity, size of uterus between the two groups (p>0.05). Differences on level of βhCG (mIU/mL) and proliferation state showed significant result (p<0.05). Conclusion: Preevacuation level of β-hCG and histopatology (proliferation state) may predict malignancy transformation in HM.Keywords: Hydatidiform mole, risk factors, remission, malignancy transformation
Hubungan antara Faktor Risiko Demografi dan Klinis terhadap Kejadian Persalinan Preterm Dini dan Lanjut Rahadyan Aji Sasongko; Jusuf Sulaeman Effendi; Udin Sabarudin; Edwin Armawan; Amillia Siddiq; Zulvayanti Zulvayanti
Indonesian Journal of Obstetrics & Gynecology Science Volume 1 Nomor 1 Maret 2018
Publisher : Dep/SMF Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (617.026 KB) | DOI: 10.24198/obgynia.v1n1.64

Abstract

Tujuan: Persalinan preterm dini dan lanjut masih menjadi penyebab penting morbiditas dan mortalitas perinatal. Penelitian ini bertujuan untuk mengetahui karakteristik pasien, menganalisis hubungan faktor risiko demografi dan klinik dengan persalinan spontan preterm dini dan preterm lanjut periode Januari 2015-Desember 2016. Metode: Penelitian secara potong lintang retrospektif dilaksanakan pada bulan April-Juni 2017 dengan sumber data rekam medis Rumah Sakit Hasan Sadikin. Hasil: penelitian menunjukan insidensi persalinan preterm adalah 38,54%. Diskusi: Terdapat hubungan signifikan dari faktor risiko pendidikan, jumlah perawatan antenatal, riwayat persalinan preterm, dan ketuban pecah dini terhadap kejadian persalinan spontan preterm dini dan preterm lanjut. Pendidikan SD meningkatkan kejadian persalinan preterm dini 2,3 kali, perawatan antenatal kurang dari 4 kali selama kehamilan meningkatkan kejadian persalinan preterm dini 1,6 kali, riwayat persalinan preterm sebelumnya meningkatkan kejadian persalinan preterm dini 1,9 kali. Ketuban pecah dini meningkatkan kejadian persalinan preterm lanjut 2,6 kali (p<0,05). Kesimpulan: Terdapat hubungan antara tingkat pendidikan, jumlah perawatan antenatal, riwayat persalinan preterm, dan ketuban pecah dini, dengan  persalinan spontan preterm dini dan preterm lanjut. Relation between Demographic and Clinical Risk Factors to the Occurrence of Spontaneous Early and Late Preterm Birth Abstract     Objective: Early and late preterm birth remains an important cause of perinatal morbidity and mortality. Various studies indicate the incidence of is influenced by demographic and clinical factors affecting baby’s outcome. This study aims to analyze demographic and clinical factor’s relations of spontaneous early and late preterm birth in Hasan Sadikin General Hospital, from January 2015 until December 2016. Method: Retrospective-cross sectional was conducted in April until June 2017 from Hasan Sadikin General Hospital’s medical record, collected from January 2015 to December 2016. Results: Incidence of preterm birth from January 2015 until December 2016 was 38,54%. There was significant relations of education, times of antenatal care, previous preterm birth, and premature rupture of membrane with spontaneous early and late preterm birth. Education level of elementary school increased the incidence of spontaneous early preterm birth 2.3 times, previous preterm birth increased the incidence of spontaneous early preterm birth 1.6 times, antenatal care less than 4 times increased the incidence of spontaneous early preterm birth 1.9 times. Premature rupture of membrane increased the incidence of spontaneous late preterm birth 2.6 times (p<0.05. Conclusion: there is a relations between education, times of antenatal care, previous preterm birth, and premature rupture of membrane,  with spontaneous early and late preterm birth.Keywords: Demographic factors, clinical factors, preterm spontaneous early delivery, spontaneous late preterm delivery
Pengaruh Aplikasi “Mommy Nifas” terhadap Peningkatan Pengetahuan dan Keterampilan Ibu Nopi Anggista Putri; Dany Hilmanto; Zulvayanti Zulvayanti
Jurnal Kesehatan Vol 12, No 1 (2021): Jurnal Kesehatan
Publisher : Politeknik Kesehatan Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v12i1.2328

Abstract

Complications of the puerperium are a contributing factor to the high maternal mortality rate (MMR).  One effort to reduce the MMR is to increase the knowledge and skills of mothers regarding postpartum care.  This study aims to analyze the effect of using an application that contains information about postpartum care to increase the knowledge and skills of mothers. This study uses a quasi-experimental design with a pre-posttest with a control group design. The subjects of the study were postpartum mothers in the work area of Gadingrejo Public Health Center from September to October 2019 with 60 respondents, consisting of 30 respondents from the treatment group and another 30 from the control group using consecutive sampling techniques.  The intervention group is mothers who get the mommy nifas application and the control group is mothers who don't get application data analysis using the chi-square test. The results showed an increase in knowledge after giving higher mommy nifas application which is 71,5 (pre-test) to 93 (post-test) with a value of p-value<0,05.  Skills improved from 50 (pre-test) to 70,5 (post-test) with a p-value<0,05.  The percentage increase in knowledge after using the application is by 17% and skills by 40% with a value of p-value<0,05. The conclusion of this study is that there is an effect of increasing skills and increasing the percentage of mothers' knowledge after using mommy nifas applications.
Co-Authors Amillia Siddiq, Amillia Andi Rinaldi Anita Deborah Anwar Aziz, Muhammad Alamsyah Benny Hasan Purwara Budi Handono Chevi Sayusman Chevi Sayusman, Chevi Dany Hilmanto Deni K. Sunjaya Dewi Marhaeni Diah Herawati Dwi Prasetyo Edwin Armawan Edy Priyanto Elly Yana, Elly Elsa Pudji Setiawati Febriastry, Machrani Fedri Ruluwedrata Rinawan Hanom Husni Syam Haviz Reddy Haviz Reddy, Haviz Helni Mariani Herman Susanto Indah Amelia Irene Leha Johanes Cornelius Mose Johannes C Mose Josua Simanjuntak, Josua Jusuf Sulaeman Effendi Kemala Isnainiasih Mantilidewi Kezia Sitorus, Lois Tabitha Machrani Febriastry Mirza Sulanda Panji Putra Nopi Anggista Putri Panji Fortuna Hadisoemarto Rahadyan Aji Sasongko Rika Agustina Rika Agustina, Rika Rinawan, Fedri R Riska Regia Catur Putri Sapiie, Tuti Wahmurti A. Setyorini Irianti Siti Nur Fatimah Siti Nur Fatimah Sofie R. Krisnadi Susiarno, Hadi Teuku Kyan Nuryasin Udin Sabarudin Wiryawan Permadi Yuniartis, Putri Zakaria, Bangbang Ahmad Kholila Muhyiddin Abadi