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

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Tingkat asupan energi dan ketersediaan pangan berhubungan dengan risiko kekurangan energi kronik (KEK) pada ibu hamil Yanuarti Petrika; Hamam Hadi; Detty Siti Nurdiati
Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics) VOLUME 2, NOMOR 3, SEPTEMBER 2014
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (143.451 KB) | DOI: 10.21927/ijnd.2014.2(3).140-149

Abstract

ABSTRACTBackground: Chronic energy deficiency (CED) is one of nutritional problems in pregnant women. One of the causes is inadequate energy and protein in food consumption, and low household food availability.Objectives: To know association between energy and protein intakes, food availability with CED in pregnant women in Sedayu Subdistrict, Bantul, Yogyakarta.Methods: This was an observational study with cross sectional design. This study was conducted in Sedayu Subdistrict, Bantul, Yogyakarta from March to May 2014 and 201 pregnant women were selected as samples by using total sampling methods. Independent variable was the level of energy intake, protein,and food availability while the dependent variable was the risk of CED in pregnant women. Data were collected by direct interview with questionnaire and direct measurement of mid upper arm circumference (MUAC) with MUAC tape. Data were then analyzed by using univariable analysis (descriptive), bivariable(chi-square), and multivariable (multiple logistic regression).Results: Bivariable test showed a significant association between level of energy intake (OR=3, 95% CI:1.3-6.8) and food availability (OR=2.9, 95% CI:1.1-7.1) with the risk of CED in pregnant women in Sedayu Subdistrict. However, no significant association between level of protein intake and the risk of CED (OR=2.1, 95% CI: 0.9-5.1). In multivariable analysis, level of energy intake had the strongest association with the risk of CED.Conclusions: There was associaton between level of energy intake and food availability with the risk of CED in pregnant women. However, there was no association between level of protein intake and the risk of CED in pregnant women.KEYWORDS: chronic energi deficiency, pregnant women, intake of energy intake of protein, food availabilityABSTRAKLatar belakang: Kekurangan energi kronis (KEK) merupakan salah satu masalah gizi yang terjadi pada ibu hamil. Salah satu penyebab KEK adalah konsumsi makan yang tidak cukup mengandung energi dan protein serta ketersediaan pangan keluarga yang kurang.Tujuan: Untuk mengetahui hubungan antara tingkat asupan energi, tingkat asupan protein, dan ketersediaan pangan dengan kejadian KEK pada ibu hamil di Kecamatan Sedayu, Bantul, Yogyakarta.Metode: Desain penelitian ini adalah cross sectional yang dilakukan di Kecamatan Sedayu Bantul pada bulan Maret hingga Mei 2014. Populasi adalah seluruh ibu hamil di Kecamatan Sedayu yang diambil dengan metode total sampling dan didapatkan 201 orang. Variabel bebas yaitu tingkat asupan energi,protein, dan ketersediaan pangan, sedangkan variabel terikat adalah risiko KEK pada ibu hamil. Data diambil dengan wawancara langsung menggunakan software kuesioner Commcare dan pengukuran lingkar lengan atas (LILA) dengan pita LILA. Data dianalisis dengan analisis univariabel (deskriptif), bivariat (chi-square), dan multivariat (regresi logistik berganda).Hasil: Analisis bivariat menunjukkan bahwa terdapat hubungan yang signifikan antara tingkat asupan energi (OR=3, 95% CI:1,3-6,8) dan ketersediaan pangan (OR=2,9, 95% CI:1,1-7,1) dengan risiko KEK pada ibu hamil. Tidak terdapat hubungan yang signifikan antara tingkat asupan protein dengan risiko KEK (OR=2,1, 95% CI:0,9-5,1). Pada analisis multivariat, tingkat asupan energi memiliki hubungan paling kuat dengan risiko KEK dibandingkan dengan variabel lainnya.Kesimpulan: Terdapat hubungan antara tingkat asupan energi dan ketersediaan pangan dengan risiko KEK pada ibu hamil. Namun tidak terdapat hubungan antara tingkat asupan protein dengan risiko KEK pada ibu hamil.KATA KUNCI: kekurangan energi kronis, ibu hamil, asupan energi, asupan protein, ketersediaan pangan
Rendahnya asupan zat besi dan kepatuhan mengonsumsi tablet besi berhubungan dengan kejadian anemia pada ibu hamil di Wilayah Kerja Puskesmas I Kembaran, Banyumas Ari Purwoko Widji Utomo; Detty Siti Nurdiati; Retna Siwi Padmawati
Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics) VOLUME 3, NOMOR 1, JANUARI 2015
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (160.36 KB) | DOI: 10.21927/ijnd.2015.3(1).41-50

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ABSTRACTBackground: One of the nutritional problems that frequently occur in pregnant women is anemia, which is the biggest problem of micronutrient and the most difficult to overcome in the world. Anemia occurs at all stages of the life cycle, more commonly attacked pregnant women and children. The cause of anemiais iron deficiency which is needed to the formation of a hemoglobin (Hb). Deficiency of iron in the body is due to lack of consumption of food sources of iron and the non-compliance of pregnant women in consuming iron tablets. Supplementation of iron tablets and improvement of nutrient intake especiallygood source of iron is one of anemia prevention that has been done.Objectives: To determine the relationship between nutrient intake and the level of compliance in consuming iron tablets with incidence of anemia in pregnant women at work area of Puskesmas I Kembaran Banyumas.Methods: This was an observational study (survey) with a cross sectional design with 50 subjects of the third trimester pregnant women. The research used both quantitative and qualitative approaches.Results: The percentage of anemia in pregnant women in this study was 56.0%. The results of the multivariable analysis showed that only compliance-related iron tablets consumption significantly had relationship (p=0.001, RP=3.7, 95% CI:2.06-6.82) with the incidence of anemia in pregnant women. The high cost of animal food sources, the limitation of animal food sources diversity, and the dislike animal food sources consumption caused pregnant women choosing plant-based foods that where cheap and easily obtainable.Conclusions: This study proved that the intake of nutrients, especially iron and compliance of pregnant women in consuming iron tablets was still be the cause of anemia in pregnant women. Therefore, it needs to reduce and prevent maternal anemia by increasing the diversity of the consumption of iron foodsources, awareness of pregnant women to consume iron tablets, and the role of husband in encouraging pregnant women to consume iron tablets.KEYWORDS: anemia, compliance in consuming iron tablets, nutrient intakeABSTRAKLatar belakang: Salah satu masalah gizi yang banyak terjadi pada ibu hamil adalah anemia gizi, yang merupakan masalah gizi mikro terbesar dan tersulit diatasi di seluruh dunia. Hasil Riskesdas tahun 2010 menunjukkan 80,7% wanita usia subur (WUS) yang hamil mendapat/membeli tablet besi, namun sebagianbesar diketahui tidak patuh mengonsumsinya. Kekurangan besi dalam tubuh disebabkan kurangnya konsumsi makanan sumber zat besi dan ketidakpatuhan ibu hamil mengonsumsi tablet besi. Suplementasi tablet besi dan perbaikan asupan zat gizi terutama sumber zat besi merupakan upaya penanggulangananemia yang banyak dilakukan.Tujuan: Mengetahui hubungan asupan zat gizi dan tingkat kepatuhan mengonsumsi tablet besi dengan kejadian anemia pada ibu hamil di Wilayah Kerja Puskesmas I Kembaran Kabupaten Banyumas.Metode: Penelitian ini merupakan penelitian observasional (survey) dengan rancangan cross sectional dengan subjek penelitian 50 ibu hamil trimester III. Penelitian menggunakan pendekatan kuantitatif dan kualitatif.Hasil: Persentase anemia pada ibu hamil sebesar 56,0%. Hasil analisis multivariat hanya kepatuhan mengonsumsi tablet besi yang berhubungan bermakna (p=0,001, RP=3,7; 95% CI:2,06-6,82) dengan kejadian anemia pada ibu hamil. Harga sumber makanan hewani yang mahal, keanekaragaman sumber makanan hewani yang terbatas, dan ketidaksukaan mengonsumsi sumber makanan hewani menyebabkan ibu hamil memilih sumber makanan nabati yang murah dan mudah didapat.Kesimpulan: Asupan zat gizi terutama zat besi dan kepatuhan ibu hamil mengonsumsi tablet besi masih menjadi penyebab anemia pada ibu hamil. Oleh sebab itu, perlu dilakukan upaya penanggulangan dan pencegahan anemia ibu hamil dengan cara peningkatan keanekaragaman konsumsi bahan makanan sumber zat besi, kesadaran ibu hamil untuk mengonsumsi tablet besi, dan peran serta suami dalam mendorong ibu hamil mengonsumsi tablet besi.KATA KUNCI: anemia, kepatuhan minum tablet besi, asupan zat gizi
Keberhasilan ibu bekerja memberikan ASI eksklusif Intan Agustina Anggraeni; Detty Siti Nurdiati; Retna Siwi Padmawati
Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics) VOLUME 3, NOMOR 2, MEI 2015
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (95.88 KB) | DOI: 10.21927/ijnd.2015.3(2).69-76

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ABSTRACTBackground: Indonesia faces double burden of nutritional problems, namely undernutrition and overnutrition. Exclusive breastfeeding may prevent infants from these kind of malnutritions. Working mothers are difficult to give exclusive breastfeeding due to some constraints and poor lactation management.Objectives: To explore the experience of working mothers who succeeded in providing exclusive breastfeeding.Methods: This was qualitative study using phenomenology design. It was conducted at Subdistrict of Sedayu, District of Bantul. Subjects were 13 mothers who purposively selected, work and have been successful provided exclusive breastfeeding, had children aged 6-24 months. Data were obtained throughin-depth interview to the respondents and observation of lactation facilities at the working place. Data triangualation was performed through interview with husbands, baby sitters, colleagues and chairman of mother’s workplace.Results: Exploration of several information were studied, including intention to give exclusive breastfeeding, positive attitudes toward exclusive breastfeeding, perceived norms from social references, good self efficacy, cultural aspect of breastfeeding, skills of lactation management, and environmental constraintexperienced by mother. Intention of mothers during pregnancy was associated with behavior in providing exclusive breastfeeding. Intention to give exclusive breastfeeding was infl uenced by positive attitude andself-efficacy. There was difference in self-efficacy that influenced intention of mothers working in formal and informal sectors. Working mothers at formal and informal sectors differed in managing lactation. Despite some constraints and limited facilities mothers kept trying to provide exclusive breastfeeding.Conclusions: Working mothers have a specific strategy to succeed in providing exclusive breastfeeding.Education, facilities, and breastfeeding policies in workplace should be given to working mothers.KEYWORDS: exclusive breastfeeding, intention, lactation management, working mothersABSTRAKLatar belakang: Indonesia menghadapi beban ganda masalah gizi, yakni gizi kurang dan gizi lebih. Salah satu cara untuk mencegah masalah gizi pada bayi adalah dengan memberikan ASI eksklusif. Ibu yang bekerja sulit untuk memberikan ASI eksklusif karena kendala yang tidak dapat diatasi dan manajemen laktasi yang buruk.Tujuan: Untuk mengeksplorasi pengalaman ibu bekerja di sektor formal dan informal yang sukses memberikan ASI eksklusif.Metode: Penelitian ini merupakan penelitian kualitatif dengan pendekatan fenomenologi. Penelitian dilakukan di Kecamatan Sedayu, Kabupaten Bantul. Subjek diambil secara purposive sebanyak 13 orang. Kriteria inklusi subjek adalah ibu yang bekerja dan berhasil memberikan ASI eksklusif, memiliki anak usia 6-24 bulan dan bersedia menjadi subjek penelitian. Data dikumpulkan melalui wawancara mendalam dengan responden dan observasi fasilitas laktasi di tempat kerja. Triangulasi data dilakukan dengan mewawancarai suami, pengasuh, rekan kerja, dan pemimpin.Hasil: Hasil penggalian informasi meliputi intensi ibu dalam memberikan ASI eksklusif, sikap positif terhadap ASI eksklusif, norma yang dipersepsikan dari lingkungan sosial, efikasi diri yang baik, budaya menyusui, keterampilan manajemen laktasi, dan hambatan lingkungan yang dialami oleh ibu. Intensi untuk menyusui eksklusif telah dimiliki oleh ibu sejak hamil. Ibu yang bekerja di sektor formal memiliki perbedaan dalam melakukan manajemen laktasi dibandingkan dengan ibu yang bekerja di sektor informal. Ibu mengalami beberapa hambatan dan keterbatasan, namun ibu tetap berjuang untuk memberikan ASI eksklusif.Kesimpulan: Ibu bekerja memiliki strategi tertentu untuk mencapai keberhasilan dalam memberikan ASI eksklusif. Pendidikan, penyediaan fasilitas, dan kebijakan menyusui di tempat bekerja perlu diberikan kepada ibu bekerja.KATA KUNCI: ASI eksklusif, ibu bekerja, intensi, manajemen laktasi
ASI eksklusif berhubungan dengan perkembangan bayi di Kecamatan Gading Cempaka Kota Bengkulu Kamsiah .; Detty Siti Nurdiati; Emy Huriyati
Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics) VOLUME 1, NOMOR 1, JANUARI 2013
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (129.717 KB) | DOI: 10.21927/ijnd.2013.1(1).39-43

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ABSTRACTBackground: Malnutrition is a major problem in Indonesia nowadays. Malnutrition will affect the quality of human resources in the future. Age of 7–12 months is a critical and golden period for the process of child development. Early complementary breastfeeding is one of causes the prevalence child development disorder.Objective: To fi nd out the relationship between exclusive breastfeeding and the development of infants 7–12 months old at the Health Center at Jalan Gedang, Sub District of Gading Cempaka, Bengkulu Municipality.Method: This observational study used cross sectional design. There were as many as 75 samples of infants 7–12 months old taken using cluster random sampling. Data of breastfeeding were obtained from questionnaires, data of development were obtained from questionnaires with pre-screening development format. Data analysis used chi square and logistic regression statistical test.Result: There was signifi cant relationship between exclusive breastfeeding and infant development (p<0.05). There was signifi cant relationship between birth weight and infant development (p<0.05). There was no signifi cant relationship between method of childbirth, education of mothers, mothers’ occupation, family income and infant development (p>0.05). The result of multivariable analysis showed that birth weight was a predictor of infant development (OR= 5.231).Conclusion: There was signifi cant relationship between exclusive breastfeeding and the development of infants of 7–12 months old. Birth weight was a dominant factor related to the development of infants of 7–12 months old.KEYWORDS:exclusive breastfeeding, infant developmentABSTRAKLatar belakang: Malnutrisi menjadi masalah utama di Indonesia yang akan berpengaruh terhadap kualitas sumber daya manusia pada masa yang akan dating. Usia 7-12 tahun merupakan masa kritis dan masa keemasan bagi perkembangan anak. Pemberian MPASI (makanan pendamping ASI) yang terlalu dini merupakan salah satu penyebab gangguan perkembangan bayi.Tujuan: Untuk mengetahui hubungan antara ASI eksklusif dengan perkembangan bayi di Puskesmas Jalan Gedang Kecamatan Gading Cempaka Kota Bengkulu.Metode: Jenis penelitian ini adalah observasional menggunakan rancangan cross sectional. Jumlah sampel adalah 75 bayi berusia 7-12 bulan yang dipilih menggunakan simple random sampling.Data diperoleh melalui kuesioner dan wawancara, kemudian dianalisis menggunakan uji Chi Square dan regresi logistik dengan confi dence interval (CI) 95%.Hasil: Ada hubungan bermakna antara ASI eksklusif dengan perkembangan bayi dan antara berat badan lahir dan perkembangan bayi (p<0.05), namun tidak ditemukan hubungan antara metode persalingan, pendidikan ibu, pekerjaan ibu, dan pendapatan keluarga dengan perkembangan bayi (p>0,05). Hasil analisis multivariat menunjukkan bahwa berat badan lahir merupakan prediktor perkembangan bayi (OR=5,231).Kesimpulan: Ada hubungan bermakna antara ASI eksklusif dengan perkembangan bayi 7-12 bulan. Berat badan lahir  merupakan faktor dominan yang berhubungan dengan perkembangan bayi 7-12 bulan.KATA KUNCI: ASI eksklusif, perkembangan bayi
Faktor yang Mempengaruhi Bidan dalam Inisiasi Laktasi di Klinik Bersalin Kota Banda Aceh Nanggroe Aceh Darussalam Husnah Husnah; Detty Siti Nurdiati; Emy Huriyati
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 2, No 2 (2014): Juli 2014
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (134.185 KB) | DOI: 10.21927/jnki.2014.2(2).81-85

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Breastfeeding is recommended soon or 30 minutes to an hour after childbirth. Breastfeeding or initiation of lactation will affect successful continuity of breast milk supply and prevent infant morbidity and mortality caused by infection. However, some studies convey that the prevalence of lactation initiation is still relatively low due to factors of mothers and midwives who assist childbirth. This was a quantitative observational study with cross sectional design aimed to identify the effect of knowledge, attitude, behavior and duration of occupation of midwives to lactation initiation at maternity clinic of Banda Aceh Municipality. Qualitative data were obtained through indepth interview. Samples were purposively chosen from all midwives working at maternity clinic of Banda Aceh Municipality. Data analysis used univariable, bivariable with Chi square and multivariable with logistic regression. The result of bivariable analysis showed that knowledge and behavior of midwives affected lactation initiation (p<0.05) whereas variable of attitude and duration of midwives’ occupation did not affect lactation initiation. The result of multivariable analysis showed that knowledge and behavior of midwives affected lactation initiation (p=0,041 OR= 3,94 (95%-Cl:1.05–14.69) and (p=0,016 OR=4,52 (95%-Cl:1.32 – 15.46). In conclusion, variables of knowledge and behavior of midwives affected lactation initiation whereas variable of attitude and duration of midwives’ occupation did not affect lactation initiation.
Pemberian jahe instan terhadap kejadian mual muntah dan asupan energi pada ibu hamil trimester pertama Nurfalah Setyawati; Mae Sri Hartati Wahyuningsih; Detty Siti Nurdiati
Jurnal Gizi Klinik Indonesia Vol 10, No 4 (2014): April
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ijcn.18871

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Background: Pregnancy causes increased energy metabolism, therefore needs of energy and other nutrients increase during pregnancy. Lack of energy and nutrients could adversely affect the mother and fetus. Nausea and vomiting is a common problem in the first trimester of pregnancy. If not treated the mother and fetus can be at risk of malnutrition due to lack of energy intake. Traditional treatment is an option that is considered safe. Ginger has been used to treat a variety of medical problems including nausea and vomiting. Ginger works in the digestive tract by increasing the gastric and intestinal motility.Objective: This study aimed to determine the effectiveness of instant ginger containing 290 mg ginger juice, to reduced the incidence of nausea and vomiting of pregnancy and increased maternal energy intake during the 24 hours.Method: The study design is experimental, the pre-post control group, involving 101 pregnant women with gestational age less than 15 weeks in RSB Sayang Ibu, puskesmas Klandasan Ilir and Sepinggan in Balikpapan. Research subjects were drawn at random and given the instant ginger or placebo, 2 times a day for a week. All of the subjects were assessed on the level of nausea, vomiting and a 24-hour energy intake during pre and post intervention. The use of drugs or supplementation from the doctor/midwife were recorded and not be stopped.Results: The rate of nausea and vomiting decreased significantly in the ginger group (52%) compared to placebo (17.7%) (p<0.05). Instant ginger may reduce nausea and vomiting rate 6 times higher than placebo (p<0.05). The average amount of energy intake (calories) for 24 hours increased significantly in the ginger group (1629.58 kcal ± 468.04 kcal; p<0.05) compared to placebo (1160.27 kcal ± 341.85 kcal; p>0.05). Instant ginger may increase the average amount of energy intake 24.5 times higher than placebo (p<0.05).Conclusion: Instant ginger effective to reduce nausea and vomiting of pregnancy and increase the amount of energy intake (calories) in pregnant women who experience nausea and vomiting of pregnancy.
Berat badan lahir rendah (BBLR) dengan kejadian stunting pada anak usia 6-24 bulan Darwin Nasution; Detty Siti Nurdiati; Emy Huriyati
Jurnal Gizi Klinik Indonesia Vol 11, No 1 (2014): Juli
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ijcn.18881

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Background: Stunting is one of the main problems of malnutrition often found in under-five children. The impacts include a delay in child’s growth, low endurance, lack of intelligence and productivity. The direct factors that influence the incidence of stunting are low birth weight (LBW) while the indirect factors are socioeconomic factors such as maternal education, low family income and a large number of family members.Objective: To analyze the relationship between LBW and the incidence of stunting in children aged 6-24 months in Yogyakarta Municipality.Method: This was a case-control study. The subjects were children aged 6-24 months with a group of cases comprising stunted children based on the indicator of height/age with a cut-off < -2 SD Z-score and the control group comprising normal children. The number of subjects for the study was 242 with the under-five children’s mothers as the research respondents. The sample selection used non-probability sampling with a consecutive sampling method. The data were analyzed by Chi-Square and multiple logistic regression.Results: The proportion of children 6-24 months who had low birth weight was 15.7 %. There was a significant relationship between LBW and the incidence of stunting in children aged 6-24 months (OR=5.60; 95%CI:2.27 to 15.70). There was a relationship between maternal height and the incidence of stunting in children aged 6-24 months (OR=2.14; 95%CI:1.08 to 4.33). Socioeconomic factors (maternal education, family income and a number of family members) did not have a significant relationship with the incidence of stunting.Conclusion: LBW had a relationship with the incidence of stunting in children aged 6-24 months in Yogyakarta Municipality.
Perbedaan pengetahuan dan praktik pemberian makan serta perkembangan anak 6-24 bulan pada ibu usia remaja dan dewasa Rachmawati Widyaningrum; Detty Siti Nurdiati; Indria Laksmi Gamayanti
Jurnal Gizi Klinik Indonesia Vol 13, No 1 (2016): Juli
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ijcn.22455

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Background: Preparing quality human resource for the future, children are being the most attention of the growth and development optimally. Critical aged of them is 0-2 years old. Pregnancy and giving birth on adolescence are still being the factors. Knowledge and feeding practice are also factors being the basic need for children development optimally.Objective: To know the difference between knowledge, feeding practice, and children development aged 6-24 months on adolescent and adult mother in Kasihan Primary Health Care, Bantul district, Yogyakarta.Method: This research was observational with a cross-sectional design. It held on July -September 2015 in work area of Kasihan subdistrict, Bantul district, Yogyakarta. Population defined as mother aged 15-40 years that lives in Kasihan subdistrict. The sample was taken using nonprobability consecutive technique sampling. It was got 66 children aged 6-24 months old with no having congenital defects, no following special development stimulation program,  and being able and want to follow this research as inclusion criteria. In this research, a mother was measured of knowledge level and feeding practice to her child, even though the child was measured off his/her development using BSID III. Data were analyzed using Chi-Square.Results: Adolescent mothers had a significantly larger proportion of children experiencing developmental disorders and feeding practices are less good compared with adult mothers.Conclusion: Adult mother has better knowledge and feeding practice than adolescent mothers. Adult mother also has a child with better developmental status than adolescent mothers.
PENGARUH PENGETAHUAN DAN MASA BEKERJA BIDAN TERHADAP PELAKSANAAN UNIVERSAL PRECAUTION PADA PERTOLONGAN PERSALINAN DI WILAYAH KOTA TANGERANG SELATAN Tutik Iswanti; R. Detty Siti Nurdiati; Herlin Fitriana K
Jurnal Medikes (Media Informasi Kesehatan) Vol 5 No 1 (2018): April
Publisher : Politeknik Kesehatan Kementerian Kesehatan Banten

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (201.142 KB) | DOI: 10.36743/medikes.v5i1.19

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Universal precaution merupakan bagian dari keselamatan dan kesehatan kerja (K3) yang sangat diperlukan dalam aktivitas pelayanan kesehatan dan secara signifikan mengurangi jumlah insiden kerja karena paparan darah. Dikota Tangerang selatan pada tahun 2015 terdapat 15 kasus kematian ibu, penyebab infeksi intrapartum (6,7%) dan kematian bayi sebanyak 37 kasus, penyebab dari infeksi sebesar 13,5% dan 10,8% karena HIV/AIDS. Penelitian ini bertujuan untuk mengetahui hubungan pengetahuan dan masa bekerja terhadap pelaksanaan universal precaution pada pertolongan persalinan oleh bidan. Pada penelitian ini terdapat variabel independent yaitu pengetahuan dan masa bekerja dan variabel dependent yaitu pelaksanaan universal precaution pada pertolongan persalinan. Desain penelitian yang digunakan adalah Cross Sectional, berupa pengisian kuesioner dengan sampel 88 bidan. Uji statistik yang digunakan adalah Uji Fisher. Hasil penelitian yang didapat adalah bidan yang mempunyai pengetahuan baik sebanyak 89,9%, masa bekerja lama sebanyak 89,8% dan melaksanakan universal precaution pada pertolongan persalinan dengan baik sebanyak 84,1%. Terdapat hubungan yang signifikan antara pengetahuan terhadap pelaksanaan universal precaution dengan pvalue 0,033 dan terdapat hubungan yang bermakna antara masa bekerja terhadap pelaksanaan universal precaution dengan pvalue 0,004.
Early detection and primary prevention system in COVID-19 transmission to staff and residents in the department of obstetrics and gynecology Muhammad Nurhadi Rahman; Detty Siti Nurdiati; Nuring Pangastuti; Anis Widyasari; Fauzan Achmad Maliki; Sarah Ayu Andari; Khairina Hashifah
Journal of Community Empowerment for Health Vol 4, No 1 (2021): Special Issue of COVID-19
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jcoemph.61165

Abstract

COVID-19 is currently a global pandemic because of its fast transmission in humans. The disease can be symptomatic or asymptomatic. Patients with the disease can transmit the infection to the medical team who are exposed without proper protection. Prevention of transmission is our main focus of attention as well as early recognition of exposed medical teams among obstetrics and gynecology residents and consultants in our hospital. This article aimed to describe the COVID-19 early detection and primary prevention system among staff and residents in the Obstetrics and Gynecology (OBSGYN) Department, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada and Dr. Sardjito General Hospital from April to June 2020. The data were acquired from the reports of the COVID-19 taskforce from the OBSGYN Department. In order to prevent the transmission of COVID-19 infection, actions taken by the OBSGYN Department are as follows: a) arrangement of staff and residents watch schedules, b) usage of PPE (Personal Protective Equipment) according to protocol, c) contact tracing, and d) early detection. Resident watch schedule arrangement is done by withdrawing residents from affiliated hospitals so that the division of daily duty schedules at Dr. Sardjito General Hospital is divided into 2 shifts of 12 hours each. The PPE usage policy is adjusted according to the risk of COVID-19 exposure in different environments and in accordance with established standards. A total of 65 out of 74 residents (88%) had been exposed to suspected COVID-19 cases, and among the exposed residents, 12 residents (18%) were self-isolated because of the occurrence of symptoms, exposure to patients with positive COVID-19 rapid antibody test, or exposure to patients with positive COVID-19 Polymerase Chain Reaction (PCR) test. The department also conducted early detection of COVID-19 infection among all staff members and residents. As many as 13 out of 27 staff (48%) underwent COVID-19 rapid antibody test with 100% negative results, 66 of the 74 residents (89%) also underwent COVID-19 rapid antibody test with 100% negative results. In conclusion, the OBSGYN Department has implemented several measures to prevent transmission of COVID-19 among its staff and residents with adequate satisfactory results.
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