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All Journal Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Jurnal Kesehatan Reproduksi Jurnal Kebidanan Nusantara Medical Science Journal Jurnal Ilmiah Kedokteran Wijaya Kusuma Health Notions Jurnal Surya Medika Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics) JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Jurnal Gizi Klinik Indonesia Jurnal Kesehatan Reproduksi Indonesian Journal of Obstetrics and Gynecology (Majalah Obstetri dan Ginekologi Indonesia) Media Ilmu Kesehatan Journal of Maternal and Child Health Jurnal Kesehatan Ibu dan Anak Jurnal Medikes (Media Informasi Kesehatan) Journal of Community Empowerment for Health Journal of Nursing and Health (JNH) Akper Yakpermas Banyumas JURNAL KESEHATAN SAMODRA ILMU Berita Kedokteran Masyarakat Jurnal Kebidanan dan Keperawatan Aisyiyah Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)

Detty Siti Nurdiati

Department Of Obstetrics And Gynecology, Faculty Of Medicine, Public Health And Nursing, Universitas Gadjah Mada/Dr. Sardjito General Hospital, Yogyakarta, Indonesia

Author-ID : 508977

Humanities Biochemistry, Genetics & Molecular Biology Dentistry Education Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Materials Science & Nanotechnology Medicine & Pharmacology Neuroscience Nursing Public Health Other

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Dampak Konseling Individu dan Konseling Berpasangan terhadap Penggunaan Kontrasepsi Pascasalin: Randomized Controlled Trials (RCT) Linda Shintiana; Detty Siti Nurdiati; Sumarni Sumarni
JURNAL KESEHATAN REPRODUKSI Vol 4, No 3 (2017)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.36478

Background: The achievement of Contraceptive Prevalence Rate (CPR) is 57.9%, which indicates that the Family Planning has not run optimally one of which concerns the utilization of family planning counseling as an attempt to avoid an unplanned pregnancy. The postpartum period is a period appropriate in using contraception. Some studies suggest that the counseling given by health workers will increase the interest of potential acceptors of contraception.Objective:The objective of this research is to increase the utilization of postpartum contraception counseling.Method: This research used Randomised Controlled Trial (RCT) method to provide counseling to couples and individuals. The subject of this study were the final trimester pregnant women with Simple Random Sampling and technique then were randomized to determine the intervention and control groups. Bivariable analysis use statistical test Chi Square with CI 95 % and P value <0.05 and binomial logistic regression multivariable analysis.Result and Discussion:The proportion of postpartum contraceptive utilization in the intervention group compared with the control group was 86% the percentage difference. Variable wife age and information have a significant influence on the utilization of contraception postpartum.Conclusion:The use of counseling in pairs in pregnant women effectively increases the utilization of postpartum contraception. Keywords: Counseling, postpartum contraception

Prestasi Belajar pada Remaja yang Mengalami Dismenorea Primer Yuniar Ika Fajarini; Detty Siti Nurdiati; Retna Siwi Padmawati
JURNAL KESEHATAN REPRODUKSI Vol 5, No 1 (2018)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.37972

Background: Primary dysmenorrhea occurs in approximately 50% of teenage girls and cause serious disruptions in the quality of life and daily activities. Primary dysmenorrhea makes teenagers difficult to concentrate in school which will decrease their academic achievement.Objective: to investigate whether there is a correlation between Primary dysmenorrhea and academic achievement of students of SMP Islam Terpadu Pondok Pesantren Tahfidzul Qur’an (SMP IT PPTQ) Ibnu Abbas Klaten.Method: This study is a case-control study through a quantitative approach and was supported with qualitative data. The research sample is 68 teenage girls of SMP IT PPTQ Ibnu Abbas Klaten who fulfilled the inclusion criteria. The cases groups are female students with low learning achievement, while the control group was female students with high learning achievement. The samples were taken using simple random sampling. Researcher used a structured questionnaire, interview and secondary data to collect the data. The data analysis was using descriptive and inferential analysis including bivariate analysis using chi-square test and multivariate analysis using logistic regression with 95% confidence intervals (CI) and a significance level of p <0.05.Result and Discussion: The bivariate and multivariate analysis showed a significant correlation between primary dysmenorrhea and learning achievement. The possibility of finding girls with primary dysmenorrhea in the group of students who received a low learning achievement is 3 times larger than the group of students who received high learning achievement. Below-average intelligence is greater in the group of low-achieving students than the group of high-achieving students. There is a correlation between the variables of intelligence, stress level and frequency of dysmenorrhea and academic achievement. The variable of absences frequency not related to learning achievement.Conclusion: There is correlation between primary dysmenorrhea and learning achievement (p=0.026). This study indicates that women and their school should pay attention to their menstrual function and dysmenorrhea phenomenon.Keywords: learning achievement, primary dysmenorrhea, teenage, menstrual disorder

Memeriksa Striae Gravidarum untuk Memperkirakan Laserasi Perineum Sinta Khrisnamurti; Detty Siti Nurdiati; Wahyu Ikka Setiyarini
JURNAL KESEHATAN REPRODUKSI Vol 5, No 2 (2018)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.38548

Background: Striae gravidarum is a common phenomenon that occurs in pregnant women and a marker of decrease in skin elasticity. Poor elasticity of the perineum can result perineal laceration in vaginal childbirth. This study was to determine the relationship of striae gravidarum perinenum with the occurrence lacerations in normal labor, and the factors that most influence the occurrence of mild and severe perineal lacerations.Method: Used a cross sectional design, with a sample of 188 respondents. Assessment striae gravidarum using Atwal et al (2006) which has been modified, assessment of perineal lacerations used RCOG (2006). Data collection was done during the months of April to July 2015 in the maternity room Panembahan Senopati Bantul Hospital.Results: Factors that influence the occurrence of mild laceration were striae gravidarum moderate-severe (RP 1,230: CI 95% 1,23053-1,23066), primiparous (RP 1,2675: CI 95% 1,13709-1,41298). Factors that influence the occurrence of severe laceration were striae gravidarum moderate-severe (RP 1,676: CI 95% 1,246-2,255), primiparous (RP 1,117: CI 95% 1,1172-1,1175), the lithotomy position (RP 1,012: CI 95% 1,011-1,0629).Conclusion: Striae gravidarum is factor that influence the occurance of perineal laceration. Checking of striae gravidarum can be to estimate the severity of perineal laceration, the more scores striae gravidarum more severe perineal laceration that may be experienced by childbirth mothers. Keywords: striae gravidarum; perineal laceration; childbirth

Pengaruh Preeklamsia dan Hipertensi Kronis terhadap Kejadian Bayi Kecil Masa Kehamilan (KMK) Irmitasari Irmitasari; Detty Siti Nurdiati; Diah Rumekti Hadiati
JURNAL KESEHATAN REPRODUKSI Vol 5, No 3 (2018)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Background: Preeclampsia and chronic hypertension are associated with a large number of cases of small infants during pregnancy (SIP) and perinatal deaths. There are conflicting inconsistencies between research on the effect of preeclampsia and chronic hypertension on KMK. The data showed that preeclampsia had a very significant effect on the occurrence of KMK, but in reality not all infants of preeclampsia mothers gave birth to babies with KMK. This raises the assumption that there are other factors that inhibit the influence of preeclampsia and chronic hypertension on birth weight.Objective: to determine the effect of preeclampsia and chronic hypertension on KMK in Dr. Sardjito Yogyakarta.Method: Retrospective cohort. Data of maternity patients with preeclampsia, maternity patients with chronic hypertension, and weight data of babies born at RSUP Dr. Sardjito were recorded. Also noted parity, maternal age, employment and education. Data were taken from medical records and classified into normotension, preeclampsia, and chronic hypertension using consecutive sampling methods.Result and Discussion: There were 81 samples for each normotension group, preeclampsia, and chronic hypertension. Preeclampsia is significantly at risk of experiencing SIP 7,43 times (95% IK 3,13-17,66). Chronic hypertension is significantly at risk of experiencing 5,15 times SIP% IK 2,15-12,36). Multigravida subjects were at risk of experiencing SIP 1,92 times (IK 95% 1,04-3,55) There was no significant difference in the proportion of SIP in subjects based on age, occupation, and education.Conclusion: Preeclampsia, chronic hypertension, and multigravida parity significantly provide a higher risk of the incidence of SIP. If the three factors work together, they will reinforce the effect on increasing the risk of SIP.Keywords: Small gestational period; preeclampsia; chronic hypertension

Tren dan Faktor Risiko Kematian Maternal di RSUP Dr.Sardjito Yogyakarta tahun 2012-2017 Uce Siswi Prihesti; Detty Siti Nurdiati; Eugenius Phyowai Ganap
JURNAL KESEHATAN REPRODUKSI Vol 6, No 2 (2019)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Latar Bakang: Kematian maternal merupakan masalah obstetrik besar di Indonesia. Pada tahun 2015 MDG’s menargetkan angka kematian ibu di Indonesia sebesar 102 per 100.000 kelahiran hidup.Tujuan: Untuk mengetahui tren dan menganalisis faktor risiko yang menyebabkan kematian maternal di RSUP dr. Sardjito tahun 2012-2017.Metode :Penelitian ini menggunakan metode kasus kontrol di RSUP Dr. Sardjito dengan sampel kasus maternal yang meninggal pada tahun 2012-2017 yang memenuhi kriteria inklusi dan eksklusi. Kontrol diambil dengan melakukan matching dengan umur kehamilan dan tanggal masuk rumah sakit, besarnya masing-masing 100 sampel. Data dianalisis menggunakan uji statistik chi-square dan regresi logistik.Hasil dan pembahasan: Pada tahun 2012 – 2017 terdapat 100 kematian maternal dengan penyebab utama adalah preeklampsia 29%, penyakit jantung 25%, penyakit lain 19%, infeksi (sepsis) 16%, dan perdarahan 11%. Dengan penyebab kematian langsung 43% dan tidak langsung 57%. Pada penelitian ini tren angka kematian ibu per 100.000 kelahiran hidup cenderung meningkat, tertinggi pada tahun 2016 sebesar 2670 per 100.000 kelahiran hidup. Sedangkan penyebab kematian maternal terbanyak pada tahun 2012, 2015, 2016 dan 2017 adalah preeklampsia sedangkan pada tahun 2013 dan 2014 adalah penyakit jantung. Kasus rujukan (OR 11,67; CI 95% 4,51-30,19), infeksi (OR 7,42; CI 95% 2,21-24,87) dan penyakit jantung (OR 4,02; CI95% 1,65-9,80) berpengaruh secara signifikan terhadap kejadian kematian maternal.Kesimpulan: Tren kematian maternal di RSUP Dr. Sardjito Yogyakarta tahun 2012-2017 cenderung meningkat. Kasus rujukan, infeksi dan penyakit jantung berpengaruh meningkatkan kejadian kematian maternal di RSUP Dr. Sardjito Yogyakarta tahun 2012-2017.Kata kunci: Kematian maternal; tren dan faktor risiko

Pengaruh Pemberian Parasetamol Intravena untuk Mengurangi Nyeri Persalinan Kala 1 Fase Aktif Juli Sitorus; Ova Emilia; Detty Siti Nurdiati
JURNAL KESEHATAN REPRODUKSI Vol 7, No 1 (2020)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Background: Labor was a physiological process, labor pain appeared from regularly uterine contraction, cervix distention and pressure to pelvic floor that stimulate free end nerves. Pain labor can influenced the mother, fetus and the progress of labor. There are various of effort to decrease pain labor by pharmacological or non pharmacological. The best therapy must be safe, effective, and minimal adverse effect to mother and fetus.Objective: To evaluate the effect of paracetamol intraveneous for pain relief in active labor versus saline water.Methods: In randomized controlled trial, with single blinded, 66 primigravid in active labor at RSUD Hj. ANNA LASMANAH Banjarnegara and RSUD Banyumas from November 2016 to January 2017. Sampels divided in two groups, paracetamol group (n=33) and normal saline group (n=33). The primary outcome was the efficacy of paracetamol to relief pain. Intensity of the pain measure by VAS (visual analogue scale), pain measured before drug administration, after 30 minutes, at 1, 2, 3, and 4 hours in both groups. The secondary outcomes include the adverse effect to the mother and baby in both group.Results: The reduction in pain score was significantly greater in paracetamol group than normal saline after 30 minutes, 1, 2, 3, and 4 hours after adiministration of the drug (p<0.05). There was no adverse effect to mother and baby in both groups.Conclusion: Paracetamol intravenous statistically significant decreasing mean pain score than normal saline and safe in active labor.Keywords: Paracetamol, analgesia, active phase in labor

Perbandingan Luaran Ibu dan Bayi pada Khamilan dengan DM Gestasional dan DM Pregestasional di RSUP Dr.Sardjito Ely Yulianus Musa Limbu; Detty Siti Nurdiati; Agung Dewanto
JURNAL KESEHATAN REPRODUKSI Vol 7, No 3 (2020)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.63114

Latar Belakang: Diabetes mellitus dapat terjadi pada 3-5% dari seluruh kehamilan. Hiperglikemia pada saat konsepsi dan pada awal kehamilan secara khusus selama organogenesis mengakibatkan enam kali lipat peningkatan risiko kecacatan pada perkembangan embrio. Bahkan peningkatan kadar glukosa yang ringan selama kehamilan dapat mempengaruhi ibu dan janin. Tujuan: Mengetahui gambaran dan prevalensi kehamilan dengan DM pregestasional dan DM gestasional di RSUP Sardjito. Membandingkan luaran ibu dan bayi pada kehamilan dengan DM pregestasional dan DM gestasional di RSUP Sardjito Metode Penelitian: Penelitian ini merupakan penelitian kohort retrospektif. Data diambil dari rekam medis, subyek penelitian yang memenuhi kriteria inklusi dan eksklusi. Data penelitian dikumpulkan, diolah dan dianalisis dengan menggunakan SPSS 23. Dilakukan analisis data univariat, bivariat dan multivariat untuk mengetahui pengaruh antar variabelHasil: Penelitian ini melibatkan 74 subyek. Terdapat luaran ibu dengan ketoasidosis sebanyak 35 orang (47,30%), luaran bayi dengan makrosomia 15 kasus (20,27%), kelainan jantung 7 kasus (9,46%), dan mortalitas neonatal sebanyak 6 kasus (8,11%). Riwayat ANC < 4 kali berpengaruh secara signifikan terhadap kejadian mortalitas neonatal (OR 10,548; 95% CI 1,700-65,437; p = 0.011).\ Kesimpulan: Angka kejadian PGDM sebesar 44 kasus (59,46%) sedikit lebih tinggi dibandingkan GDM sebesar 30 kasus (40,54%) yang melakukan persalinan di RSUP Sardjito selama 5 tahun dari total 8857 kasus persalinan. KAD yang merupakan luaran ibu kejadiannya sebesar 47,30%, dan luaran bayi yang berupa makrosomia sebesar 20,27%, kelainan jantung pada bayi 9,46%, serta mortalitas neonatal 8,11%. Luaran ibu dan luaran bayi pada kehamilan dengan pregestasional diabetes yang dibandingkan dengan gestasional diabetes tidak berbeda bermakna pada penelitian ini. Kata kunci: pregestasional diabetes mellitus, gestasional diabetes mellitus, ketoasidosis diabetik, makrosomia, mortalitas neonatal, kelainan jantung pada bayi.

EFEKTIVITAS PIJAT EFFLEURAGE DAN COUNTERPRESSURE TERHADAP KEMAJUAN DILATASI SERVIKS PADA KALA I FASE AKTIF Retty Nirmala Santiasari; Detty Siti Nurdiati; Wiwin Lismidiati
MEDIA ILMU KESEHATAN Vol 7 No 3 (2018): Media Ilmu Kesehatan
Publisher : Universitas Jenderal Achmad Yani Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30989/mik.v7i3.240

Backgraound: Labor process begins with the process of cervical dilatation, which is commonly accompanied by pain. Labor pain caused by uterine contractions can cause thinning of the cervix. Effects of labor pain includes inflammation in uterus and labor dystocia. Effleurage and counterpressure are complementary treatment to stimulate uterine contractions. Objective: To analyze the effectiveness of effleurage and counterpressure massages on the progress of cervical dilatation. Method: This was a quasi-experiment study with pre-post test nonequivalent control group. Population was the women in labor in stage I active phase. Research subjects were 68 people that were divided into two groups. Sampling technique was consecutive sampling. Instrument used in this study was the internal examination. Data were analyzed using Wilcoxon and Mann Whitney. Results: The progress of cervical dilatation before and after the intervention of the effleurage was 4.74±0.83 vs 7.47±1.21 with p=0.00 and the result for the counterpressure group was 4.59±0.66 vs 8.03±0.96 with p=0.00. The average improvement of cervical dilatation on the effleurage and counterpressure groups was 2.73 vs 3.44 with p=0.00. Conclusion: The counterpressure has the more significant effect than the effleurage on improving the cervical dilatation. Keywords: Cervical dilatation, counterpressure, effleurage

Riwayat KEK dan anemia pada ibu hamil tidak berhubungan dengan kejadian stunting pada anak usia 6-23 bulan di Kecamatan Sedayu, Bantul, Yogyakarta Kristiana Tri Warsini; Hamam Hadi; Detty Siti Nurdiati
Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics) VOLUME 4, NOMOR 1, JANUARI 2016
Publisher : Alma Ata University Press

ABSTRACTBackground: Quality of human resource was built since human being was in the womb. Pregnant mother’s health had signifi cant impact on fetus. Pregnant mother’s with anemia and CED would surely have significant impact on the fetus in their womb because it would make low birth weight. If a child with low birth weight can not catch up grow, it was highly possible that they would suffer from stunting. Objectives: The aim of this study was to identify the relationship between nutritional status of pregnant mother with stunting in children 6-23 age month in Sedayu, Bantul, Yogyakarta.Methods: It was observational study with case-control design. The number of samples were 252 children aged 6-23 months. All of stunting children aged 6-23 months in Sedayu subdistrict were selected as samples. Cases and controls samples were matching based on age. Data were collected using structured questionnaire to fi nd out the identity of the children aged 6-23 month, identity of respondents, the nutritional status of the children aged 6-23 month, the history of nutritional status of the pregnant mothers’ and sociodemographic. Anthropometric measurement used microtoise to fi nd out parent’s height, infantometer to find out children length, semi-quantitative food frequency questionnaire (SQ-FFQ) and food models were used as instrument. The data was analyzed using univariate analysis, bivariate analysis with chisquaretest, and multivariate analysis with multiple logistic regression.Results: The bivariate analysis showed that anemic history during pregnancy was the risk factor of stunting, but it was not statistically signifi cant (p=0.13, OR:1.5, 95% CI:0.85-2.73). The CED history during pregnancy was not the risk factor of the stunting incident (p=0.23, OR:0.7, 95% CI:0.37-1.31). Other factors related to the stunting incidence were mother’s height (p=0.01, OR:2.04, 95% CI:1.14-3.65), the history of low birth weight (p=0.03, OR:3.03, 95% CI:1.09-8.33), and food insecurity (p=0.04, OR:2.7, 95% CI:1.04-7.00). The multivariate analysis showed that mother’s height was correlated with the stunting incidence in Sedayu subdistrict.Conclusion: Factors that influence the incidence of stunting in children aged 6-23 month were pregnant mother with anemia, history of low birth weight, food insecurity, and stunted mother. Stunted mother was associated with the incidence of stunting. KEYWORDS: anemia, CED, growth disorder, pregnant women, risk factorsABSTRAKLatar belakang: Kualitas sumber daya manusia terbentuk sejak dalam kandungan. Kesehatan ibu saat hamil akan sangat mempengaruhi kesehatan janin yang dikandungnya. Ibu hamil yang anemia dan menderita kekurangan energi kronis (KEK) tentu akan mempengaruhi kesehatan janin yang dikandungnya, karena akan menyebabkan bayi lahir dengan berat yang rendah. Bila tidak bisa tumbuh kejar, bayi BBLR kemungkinan besar akan menderita stunting. Tujuan: Untuk mengetahui hubungan antara status gizi ibu saat hamil dengan kejadian stunting pada anak usia 6-23 bulan di Kecamatan Sedayu, Kabupaten Bantul.Metode: Penelitian ini merupakan penelitian observasional dengan desain case-control. Jumlah sampel penelitian sebanyak 252 anak berusia 6-23 bulan yang berasal dari 4 desa di Kecamatan Sedayu. Semua anak stunting usia 6-23 bulan diambil sebagai sampel, dengan matching umur kasus dan kontrol. Pengambilan data menggunakan kuesioner terstruktur untuk mengetahui identitas anak usia 6-23 bulan, identitas responden, status gizi anak usia 6-23 bulan, riwayat status gizi ibu saat hamil, dan data sosiodemografi. Pengukuran antropometri terhadap tinggi badan orang tua dengan microtoise dan panjang badan anak dengan infantometer serta untuk SQ-FFQ menggunakan food model. Data dianalisis dengan menggunakan analisis univariat (deskriptif), bivariat (chi-square), dan multivariat (regresi logistik).Hasil: Hasil bivariat menunjukkan riwayat anemia saat hamil merupakan faktor risiko terjadinya stunting tetapi secara statistik tidak signifikan (p=0,13, OR=1,5, 95%CI=0,85-2,73). Riwayat KEK saat hamil bukan faktor risiko terhadap kejadian stunting (p=0,23, OR=0,7, 95% CI=0,37-1,31). Faktor lain yang berhubungandengan kejadian stunting adalah tinggi badan ibu (p=0,01, OR=2,04, 95% CI=1,14-3,65), riwayat BBLR (p=0,03, OR=3,03, 95% CI=1,09-8,33), dan rawan pangan (p=0,04, OR=2,7, 95% CI=1,04-7,00). Hasil analisis multivariat adalah tinggi badan ibu berhubungan dengan kejadian stunting di Kecamatan Sedayu, Bantul, Yogyakarta.Kesimpulan: Faktor yang mempengaruhi kejadian stunting adalah ibu hamil yang menderita anemia, mempunyai riwayat BBLR, rumah tangga rawan pangan dan tinggi badan ibu yang kurang. Pada analisis multivariat yang berhubungan dengan kejadian stunting adalah tinggi badan ibu yang kurang. KATA KUNCI: anemia, KEK, stunting, ibu hamil, faktor risiko

Status gondok berhubungan dengan pola menstruasi dan kejadian anemia pada wanita usia subur di daerah endemik GAKY Ori Pertami Enardi; Untung S. Widodo; Detty Siti Nurdiati
Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics) VOLUME 2, NOMOR 1, JANUARI 2014
Publisher : Alma Ata University Press

ABSTRACTBackground: Iodine deficiency disorder (IDD) is one of health problems in Indonesia that has major impact on survival and quality of human resources. Iodine is an essential component of thyroid hormone, meanwhile thyroid hormone has an important role in reproductive function. Nutritional anemia is also a nutrition problem in Indonesia. Thyroid hormone deficiency may cause disorder in hemoglobin synthesis due to lack of thyroxine hormone and the incidence of intestine failure to absorb Fe. In hypothyroid condition, the amount of gastric acid secretion will decrease that disrupts absorption of nutrients, including Fe.Objectives: To identify association between goitre status and menstruation pattern and the incidence of anemia in legible women at IDD endemic area of Kenagarian Siguntur Subdistrict of Sitiung District of Dharmasraya Province of Sumatera Barat.Methods: The study was observational with cross sectional design that was carried out at Kenagarian Siguntur Subdistrict of Sitiung District of Tanah Datar. Subject of the study were 154 legible women with inclusion criteria 20-40 years old and willing to become respondent and have blood examination. Samples were taken using simple random sampling method. Data analysis used chi-square and logistic regression.Results: The result of data analysis showed that some respondents had goitre (29.9%), menstruation problem (35.1%), and were anemic (37.0%). The result of statistical analysis showed that there was association between goitre status and menstruation pattern (OR: 6.562, 95% CI: 3.076-13.99, p<0.005) and anemia (OR: 3.229, 95% CI: 1.577-6.612, p<0.005).Conclusions: Goitre status had significant association with menstruation pattern and the incidence of anemia.KEYWORDS: iodine deficiency disorder (IDD), menstruation pattern, anemiaABSTRAKLatar belakang: Gangguan akibat kekurangan yodium (GAKY) di Indonesia merupakan salah satu masalah kesehatan. Hal ini disebabkan yodium merupakan komponen penting hormon tiroid, yang juga berperan penting dalam fungsi reproduksi. Defisiensi hormon tiroid dapat mengakibatkan gangguan sintesis hemoglobin dan absorbs besi di usus.Tujuan: Mengetahui hubungan status gondok dengan pola menstruasi dan kejadian anemia pada wanita usia subur daerah endemik GAKY di Kenagarian Siguntur Kecamatan Sitiung Kabupaten Dharmasraya Propinsi Sumatera Barat.Metode: Jenis penelitian ini adalah observasional dengan menggunakan rancangan penelitian cross sectional, yang dilakukan di Kenegarian Siguntur Kecamatan Sitiung Kabupaten Tanah Datar. Subjek penelitian ini adalah 154 orang wanita usia subur yang dipilih menggunakan metode simple random sampling. Analisis data dilakukan dengan uji chi-square dan regresi logistik.Hasil: Wanita usia subur yang menderita gondok, mengalami gangguan menstruasi, dan kejadian anemia berturut-turut sebesar 29,9%, 35,1%, dan 37,0%. Hasil uji statistik menunjukkan ada hubungan antara status gondok dengan pola menstruasi (x2=26,191, OR: 6,563, 95% CI: 3,076-13,99, p<0,001) dan anemia (x2=10,708, OR: 3,229,95% CI: 1,577-6,612, p<0,005).Kesimpulan: Status gondok mempunyai hubungan yang signifikan dengan pola menstruasi dan kejadian anemia.KATA KUNCI: gangguan akibat kekurangan yodium (GAKY), pola menstruasi, anemia

Co-Authors - Pujiatun Adi Rahmawan Adi Rahmawan, Adi Agung Dewanto Ahsanudin Attamimi Alifia Salsabila Amdad Amdad Amelia, Dwirani Anggoro Budi Hartopo Anindya K Zahra Anis Widyasari Anjarwati Anjarwati Anjarwati Anjarwati, Anjarwati Ari Purwoko Widji Utomo Armalya Pritazahra Asri C. Adisasmita Atik Tri Ratnawati Atik Triratnawati Budi Arianto Budi Arianto, Budi Darwin Nasution Depari, Irmanda Terbelluh Sembiring Dessy Hertati Dewanto, Agung Dewi Rokhanawati Dewi Rokhanawati, Dewi Dhesi Ari Astuti, Dhesi Ari Dhesy Ari Astuti Dhesy Ari Astuti, Dhesy Ari Diah Rumekti Hadiati Djaswadi Dasuki Dyah Wulan Anggrahini Eka Rati Astuti Ely Yulianus Musa Limbu Emy Huriyati Erna Ashlihah Rochmat Eugenius Phyowai Ganap Fajarini, Yuniar Ika Fauzan Achmad Maliki Febriana Sari Febriana Sari, Febriana Fika Humaeda Assilmi Fitri Haryanti Fitriana K, Herlin Fitriana K., Herlin Ganap, Eugenius Phyowai Hamam Hadi Herlin Fitriana K Husnah Husnah Indria Laksmi Gamayanti Indria Laksmi Gamayanti Intan Agustina Anggraeni Irmitasari Irmitasari Irmitasari, Irmitasari Irwan Taufiqur Rachman Iswanti, Tutik Iswanti1, Tutik Johariyah - Johariyah Juli Sitorus Kamsiah . Kartika Wahyuningtyas Utami Kemal N. Siregar Khairina Hashifah Khrisnamurti, Sinta Kristiana Tri Warsini Kusuma, Raden Aditya Lidia Aditama Putri Linda Shintiana Lisma Evareny, Mohammad Hakimi, Retna Siwi Padmawati Lucia Kris Dinarti Mae Sri Hartati Wahyuningsih Muhammad Gahan Satwiko Muhammad Nurhadi Rahman Muhammad Reyhan Hadwiono Musa Limbu, Ely Yulianus Nasution, Darwin Nirmala Santiasari, Retty Noer Saudah Noer Saudah, Noer Nu Pravitasari Nur Falah Setyawati Nur Khamidah Nuring Pangastuti Ori Pertami Enardi Ova Emilia Pramudji Hastuti, Pramudji Prihesti, Uce Siswi Priyatin Sulistyowati Rachmawati Widyaningrum Ratna Widhiastuti Retty Nirmala Santiasari Retty Nirmala Santiasari Ririn Ariyanti Ririn Ariyanti, Ririn Santiasari, Retty Nirmala Santiasari, Retty Nirmala Saputro, Christina Sarah Ayu Andari Setiarsih, Dini Setiyarini, Wahyu Ikka Shintiana, Linda Sinta Khrisnamurti Sitorus, Juli Sitorus, Melina Ebtarina Sitorus, Melina Ebtarina Sri Juana Sri Restu Sulchan Sofoewan Sulchan Sofoewan, Sulchan Sulistyaningsih, Sulistyaningsih - Sumarni Sumarni Sumarni Sumarni Tutik Iswanti Uce Siswi Prihesti Untung S. Widodo Utomo, Muhammad Wahyu Vera Dewanto Wahyu Ikka Setiyarini Wahyu Ikka setyarini Wahyu Widayati Wahyu Widayati, Wahyu Widyaningrum, Rachmawati Widyawati Widyawati Widyawati Widyawati Wiwin Lismidiati Yanuarti Petrika Yayi Suryo Prabandari Yuniar Ika Fajarini

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