Articles
PENYULUHAN LAKTASI DAN IMUNISASI
R, Warda Elmaida;
-, Irmawan Farindra;
-, Marinda Dwi
JURNAL PENGEMBANGAN KOMUNITAS Vol 2 No 1 (2018): August
Publisher : JURNAL PENGEMBANGAN KOMUNITAS
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Pertumbuhan dan perkembangan bayi yang optimal sebagian besar ditentukan oleh jumlah Air Susu Ibu (ASI) yang diberikan serta upaya pencegahan penyakit. Banyak ibu-ibu yang memberikan ASI kurang dari enam bulan, bahkan mengganti ASI dengan susu formula. Salah satu faktornya adalah kurangnya pengetahuan ibu akan pentingnya pemberian ASI dan upaya pencegahan penyakit berupa imunisasi. Kegiatan pengabdian pada masyarakat ini bertujuan memberikan pemahaman mengenai pentingnya ASI dan Imunisasi pada bayi sebagai dasar pencegahan penyakit yang tidak diinginkan. Sebanyak 36 ibu hamil di Poli Obsgyn RSI Jemursari dilakukan penyuluhan, kemudian dilakukan evaluasi dengan memberikan kuosioner pretest dan posttest. Hasil didapatkan 50% ibu hamil berusia 25-30 tahun; 36% ibu hamil berusia 31-35 tahun; dan 14% ibu hamil berusia diatas 36 tahun. Hasil pretest menunjukkan 3 ibu hamil (10,3%) yang bisa menjawab, setelah dilakukan posttest menunjukkan 33 ibu hamil (91,6%) yang bisa menjawab. Kesimpulan yang didapatkan bahwa penyuluhan laktasi dan imunisasi pada ibu hamil meningkatkan pemahaman dan pengetahuan mereka terhadap pentingnya ASI dan imunisasi.
PENYULUHAN GAYA HIDUP SEDENTER (DIABETES MELLITUS, OBESITAS, DAN POLA DIET
dr, Irmawan Farindra;
dr, Warda Elmaida R
JURNAL PENGEMBANGAN KOMUNITAS Vol 2 No 1 (2018): August
Publisher : JURNAL PENGEMBANGAN KOMUNITAS
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Aktifitas kehidupan sedenter di dominasi oleh alat bantu yang serba modern hasil dari kemajuan iptek,berdampak pada pola hidup manusia berupa krisis gerak yang mengakibatkan gangguan fisik yangberkenaan dengan kesehatan. Masalah kurangnya aktivitas fisik berkaitan dengan berbagai penyakitmisalnya obesitas. Perubahan pola hidup dan perilaku diperlukan untuk memodifikasi aktifitas fisikpada individu dengan obesitas. Kegiatan pengabdian pada masyarakat ini bertujuan meningkatkanpengetahuan tentang sedenter pada Staff bagian Admin dan Laboran serta meningkatkan kesadaranuntuk lebih menjaga gaya hidup agar selalu sehat. Sebanyak 10 orang staff pegawai administrasi danlaboratorium FK UNUSA dilakukan pengukuran Index Massa Tubuh (IMT), informasi gaya hidupresponden, kemudian penyuluhan dan evaluasi. Hasil didapatkan IMT normal sebanyak 2 orang(22,22%); berlebih sebanyak 1 orang (11,11%); dengan risiko sebanyak 1 orang (11,11%); obesitasderajat 1 sebanyak 1 orang (11,11%), dan obesitas derajat II sebanyak 5 orang (55,55%). Gaya hidupresponden juga didapatkan sering tidak sarapan, kurangnya aktivitas karena pekerjaan yang menuntutuntuk selalu duduk di depan komputer, makan camilan saat sambil duduk mengerjakan tugas dan disela-sela makan besar, serta makan siang yang tidak teratur dengan kalori yang tidak teratur pula.Kesimpulan yang didapatkan bahwa terdapat 50% lebih pegawai admin dan laboran yang mengalamiobesitas, gaya hidup yang didominasi oleh kurangnya gerak.
PPARy Expression in Eutopic and Ectopic Endometrium of Reproductive Age Women with Endometriosis
Dilmy, Adya F;
Natadisastra, Muharam;
Sumapradja, Kanadi
Indonesian Journal of Obstetrics and Gynecology Volume. 3, No. 4, October 2015
Publisher : Indonesian Socety of Obstetrics and Gynecology
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DOI: 10.32771/inajog.v3i4.55
Objective: To evaluate the expression of PPARy receptor and to
compare its expression in eutopic and ectopic endometrium in
women with endometriosis.
Method: This is a cross sectional study. Ten female subjects with endometriosis
that underwent laparoscopy or laparotomy who fulfilled
the inclusion criteria were recruited by consecutive sampling.
Two samples were taken, eutopic endometrium and ectopic endometrium
from endometriosis cyst wall during surgery of each
subject. PPARy expression was examined by two-step RT-qPCR. Our
data was statistically examined using the paired t-test and Pearson’s
correlation test.
Result: PPARy was found to be expressed in eutopic and ectopic endometrium
of women with endometriosis using the RT-qPCR method.
The expression of PPARy was not statistically different in
eutopic and ectopic endometrium (1.16 relative fold vs 1.25 relative
fold; p=0.26). By Pearson’s correlation there was a weak positive
correlation between PPARy expression of eutopic and ectopic endometrium
(r=0.16).
Conclusion: PPARy was detected by two-step RT-qPCR in eutopic
and ectopic endometrium of women with endometriosis. Semiquantification
of PPARy expression showed that there was no significant
difference between PPARy expression in eutopic and ectopic endometrium
of women with endometriosis. There was a weak positive
correlation between PPARy expression in eutopic and ectopic endometrium
of women with endometriosis.
[Indones J Obstet Gynecol 2015; 3-4: 200-205]
Keywords: endometriosis, PPARy, two-step RT-qPCR
Assistance Influence on Labor Pain Level
Seno Adjie, JM;
Putri, Ruth WR
Indonesian Journal of Obstetrics and Gynecology Volume. 4, No. 1, January 2016
Publisher : Indonesian Socety of Obstetrics and Gynecology
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DOI: 10.32771/inajog.v4i1.64
Objective: To assess assistance influence on labor pain level.
Method: This study was a randomized-clinical, unmasked trial with
concealment by measuring labor pain level in two patients group:
with and without assistance during labor; each group consisted of 36
subjects. Pain intensity were measured using Faces Pain Rating
Scale. Mann-Whitney analysis was done to assess significance of
pain level between two groups.
Result: Majority of patient who were in non-assisted group had very
painful score 50% with mean of VAS 7.38±2.12, meanwhile most of
assisted group complained painful score 44.44%, with mean of VAS
6.11±1.90.
Conclusion: There was significance level of painful score between
non-assisted and assisted subjects x(p
Classic Antiphospholipid and Antiphosphatidylserine Antibody Profile in Suspected Antiphospholipid Antibody Syndrome Patient
Suryadi, Angga J;
Sumapradja, Kanadi
Indonesian Journal of Obstetrics and Gynecology Volume. 4, No.3, July 2016
Publisher : Indonesian Socety of Obstetrics and Gynecology
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DOI: 10.32771/inajog.v4i3.435
Objective: To compare the classic examination results of antiphospholipid
(aPS) and antiphospatidylserine (aPL) antibody profile to
establish the diagnosis from suspected antiphospholipid antibody
syndrome (APS) patient in order to state the subsequent treatment
strategies.
Method: This descriptive cross-sectional study design was conducted
at outpatient clinics of Dr. Cipto Mangunkusumo Hospital
(RSCM) from January to December 2015. The laboratory test was
held in Clinical Pathology Laboratory RSCM/Faculty of Medicine
Universitas Indonesia (FKUI) and in corporation with Prodia laboratory.
Result: All of normal patients did not have positive result in any
laboratory examination (Lupus Anti-coagulant (LA), anticardiolipin
(aCL), anti-?2 glycoprotein I (anti-?2GPI), and aPS). In patient suspected
APS, 11 (37.1%) patients had positive aCL, 7 (25.9%) patients
had positive anti-?2GPI, and 11 (37.1%) patients had positive
aPS. The most positive cross laboratory examination was between
aCL and aPS (25.9%). In this study, we found the most positive test
result was aCL and aPS (62.9%). From this study, suspected APS patient
who had negative result in classic laboratory examination, but
showing the positive result in aPS was in 5 (18.5%) patients.
Conclusion: All normal pregnant patients do not have any positive
classic examination and aPS. Meanwhile, in patients with suspected
APS, less than 20% patients show positive result of aPS with negative
result in classic laboratory examination.
Keywords: antiphospatidylserine, antiphospolipid syndrome
The Characteristics of Preeclampsia with Severe Features
Adjie, JM Seno;
Lisnan, Fredy;
Sutandar, Yosep
Indonesian Journal of Obstetrics and Gynecology Volume 4, No. 4, October 2016
Publisher : Indonesian Socety of Obstetrics and Gynecology
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DOI: 10.32771/inajog.v4i4.444
Objective: To describe the characteristics of preeclampsia with severe
features and their risk factors.
Method: This study was a retrospective medical record review of
demographic characteristics, obstetric and medical data of preeclampsia
with severe features in Dr. Cipto Mangunkusumo Hospital
from July to December 2014.
Result: There were 1,013 deliveries which 183 patients of them
were diagnosed as preeclampsia with severe features (18.06%). The
study showed 67.76% were 20 - 35 years old, most of them were
multiparity, and 41.53% were preterm labor with 28 - 336 weeks of
gestation then followed by 24.59% were 34 - 366 weeks’ gestation.
Majorities of preeclampsia with severe features patients were without
complication either to the mother or the baby. There were 1 case
of maternal mortality and 15 cases of intra uterine fetal death
(IUFD). There were 73.77% cases delivering by cesarean section.
The complication of the mother in preeclampsia with severe features
was related significantly to the complication in baby, such as
preterm delivery. Besides, women’s age and parity had significant
relationship with baby complication.
Conclusion: There is association of complication in preeclampsia
with severe features women with baby, namely preterm delivery.
Besides, women’s age and parity is related to complication of baby.
Keywords: complication, preeclampsia, risk factors
The Outcome on Conservative Surgical Treatment of Adenomyosis
Wiweko, Budi;
Legiantuko, Ario;
Kemal, Achmad;
Pratama, Gita;
Situmorang, Herbert;
Sumapraja, Kanadi;
Natadisastra, Muharam;
Hestiantoro, Andon
Indonesian Journal of Obstetrics and Gynecology Volume 4, No. 4, October 2016
Publisher : Indonesian Socety of Obstetrics and Gynecology
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DOI: 10.32771/inajog.v4i4.448
Objective: To understand the outcome on conservative surgical
treatment of adenomyosis.
Methods: A retrospective cohort study followed for 2 years from
2010 to 2012 of women with adenomyosis were diagnosed by
transvaginal sonography and confirmed histologically. Subjects divided
into women who were treated by adenomyosis resection
(with/without Osada’s technique) and who were underwent hysterectomy.
Results: After the surgery, as many as 40 patients (81.63%) did not
feel any pain (VAS 0), and 9 patients (18.37%) still felt pain. For the
fertility outcome, we had 8 patients (20.51%) getting pregnant naturally
without any fertility intervention. Two patients (5.13%) had
successfully conceived by IVF. According to the type of surgery, from
8 natural pregnancy, 7 patients (87.50%) was underwent conventional
resection of adenomyosis and 1 patients (12.50%) underwent
Osada’s procedures. Two patients who were conceived by IVF, both
of them were underwent Osada’s resection.
Conclusion: Adenomyosis resection both conservative or Osada’s
procedures actually has a better outcome for relieving pain; therefore,
some patients can still have a child.
Keywords: adenomyosis resection, conventional resection, infertility,
Osada’s procedure
Preterm Labor and the Associated Factors
Adjie, Seno;
Meily, Meily;
Permatasari, Ranti P
Indonesian Journal of Obstetrics and Gynecology Volume. 5, No. 1, January 2017
Publisher : Indonesian Socety of Obstetrics and Gynecology
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DOI: 10.32771/inajog.v5i1.456
Objective: To determine the risk factors that affect preterm labor in
Dr. Cipto Mangunkusumo Hospital.
Methods: This was an analytic descriptive study done in Emergency
Unit of Dr. Cipto Mangunkusumo Hospital from July to December
2014. We recruited all women who gave birth in Emergency Unit of
Dr. Cipto Mangunkusumo Hospital from July to December 2014 with
gestational age less than 37 weeks. Of the total sampling method, we
got 365 patients. We analyzed the data using chi square.
Results: The characteristic age of subjects were 14.0% of less than
20 years old, 69.0% of 21-35 years old, and the rest were more than
35 years old. Most subjects (93.1%) were employed, 94.5% were
married once, 62.3% of subjects had cesarean section history, 73.7%
were primiparous, only 4.4% had history more than 1 abortion, and
most of them were at 33-36 weeks of gestation. Socio-demographic
factor associated with preterm labor and Preterm Premature
Rupture of Membrane (PPROM) was age (p=0.011; OR 1.74; 95% CI
1.136-2.679). Obstetric history associated with preterm labor and
PPROM was parity (p=0.017; OR 1.78; 95% CI 1.132-2.878).
Conclusion: In this study, age and parity are associated with
preterm labor and PPROM.
[Indones J Obstet Gynecol 2017; 5-1: 3-7]
Keywords: obstetric history, parity, PPROM, preterm labor,
socio-demographic factors
Role of Glycated Albumin during Pregnancy
Immanuel, Suzanna;
Ronald, Thoeng;
Sumapradja, Kanadi;
Setiawati3, Arini
Indonesian Journal of Obstetrics and Gynecology Volume. 5, No. 1, January 2017
Publisher : Indonesian Socety of Obstetrics and Gynecology
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DOI: 10.32771/inajog.v5i1.459
Objective: To determine the glycated albumin profile during
pregnancy with normal glycemic status.
Methods: We recruited 60 pregnant women between 21 and 36
weeks of gestation. We conducted several laboratory tests, such as
glycated albumin, blood glucose, and albumin. These parameters
were compared among four groups of gestational age (21-24 weeks,
25-28 weeks, 29-32 weeks, and 33-36 weeks) using ANOVA or
Kruskal-Wallis test continued by Post-hoc test.
Results: Glycated albumin was not statistically different among the
groups. Albumin level of 33-36 weeks of gestation women (3.6 (SD
0.2) g/dl) was lower than 21-24 weeks of gestation women (3.8 (SD
0.2) g/dl).
Conclusion: Glycated albumin level is not affected by gestational
age. Therefore, glycated albumin may be used as glycemic status
indicator during pregnancy from 21 to 36 weeks.
[Indones J Obstet Gynecol 2017; 5-1: 16-18]
Keywords: HbA1c, glycated albumin, glycemic status, pregnancy
The Impact of Educational Intervention of HighRisk Pregnancy and HighRisk Childbirth on Knowledge, Attitude, and Behavior in Recognizing Danger Signs in Pregnancy: A Single Blind Clinical Trial
Adjie, JM Seno;
Malik, Devi M
Indonesian Journal of Obstetrics and Gynecology Volume. 5, No. 2, April 2017
Publisher : Indonesian Socety of Obstetrics and Gynecology
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DOI: 10.32771/inajog.v5i2.520
Objective: To assess the impact of additional educational interventions given to pregnant women in identifying high-risk pregnancy and high-risk childbirth by measuring changes in knowledge, attitudes and behaviors in the pregnancy and after childbirth.
Methods: This study was a single blind clinical trial conducted at obstetrics out-patient clinic of Dr. Cipto Mangunkusumo Hospital, Jakarta. Total sample were 52 responders, for the 26 responders to the control group and 26 responders to the intervention group. The research instrument was a questionnaire form, which include knowledge, attitude and behaviour of a number of 48 questions. Analysis was performed using SPSS 20 with bivariate analysis.
Results: We did not found significant differences in a range of age (30.65 29.38 with 1.20 0.75), education (both groups showed a high level of education) and employment for both groups. We found significant differences on knowledge, behaviour (p = 0.001 and = 0.042, respectively) on the first antenatal care compared with after childbirth.
Conclusion: The educational intervention gives significant impact in attitude and behaviour.
[Indones J Obstet Gynecol 2017; 5-2: 69-72]
Keywords: attitude, behaviour, educational intervention, knowledge