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PENGARUH KEIKUTSERTAAN IBU HAMIL DALAM KELAS IBU HAMIL TERHADAP TINGKAT PENGETAHUAN DAN SIKAP IBU TENTANG ASI EKSKLUSIF Ujiana, Pramidya; Hastuti, Sari; Santoso, Sabar
Jurnal Kesehatan Ibu dan Anak Vol 6 No 2 (2014): November
Publisher : Poltekkes Kemenkes Yogyakarta

Exclusive breastfeeding is one program that is quite difficult to develop because it is associated with many social problems in the community. By SDKI infants died per year, or 430 babies per day. According to UNICEF, (2008), optimal breastfeeding in infants under two years of age have the greatest potential impact on child survival of ail preventive measures, the potential to prevent 1.4 million deaths in children under five in developing countries. Coverage rate of exclusive breastfeeding in the province in 2010 was 40.57% and the coverage rate is still half of the expected national targets. Aimto determine the effect of maternal participation in aclass of pregnant women to the level of knowledge and attitude of mothers on exclusive breastfeeding. This study uses cross- sectional study. Subjects were pregnant women in the work area of Puskesmas Kotagede 1 in 2013. Variable in this study is the participation of pregnant women in a class of pregnant women as independent variables and the knowledge and attitude of mothers on exclusive breastfeeding as the dependent variable. Primary data obtained through questionnaires to divide pregnant women.Likelihood analysis using chi square influence to influence participationwith knowledge and Chi square for the effect of participation with an attitude. Results: The results of the effect of participation with knowledge of the results obtained ??2sebesar 0,00 RP 0.93 with 95%Cl (0.59- 1.49) and for participation by the attitude didapakan results ??2 at 0.78, the value of RP pregnant women whohave not pregnant women attended classes ona lowknowledge levelof 0.12with 95%Cl (0.01-1.16)while the value of RP pregnant womenwho have never been pregnant women attend classes on the level of knowledge sufficient for 5.76with 95%Cl (0.81- 40.8).Conclusion: the participation of pregnantwomen in a class of pregnant women did not affect the level of knowledge and participation of pregnant women in a class of pregnan twomen affect maternal attitudes on exclusive breastfeeding

KAJIAN PELAKSANAAN (PPIA) PADA ANC OLEH BIDAN DI BIDAN PRAKTEK MANDIRI Ningsih, Inka Kartika; Sumarah, Sumarah; Hastuti, Sari
Jurnal Kesehatan Ibu dan Anak Vol 8 No 2 (2015): November
Publisher : Poltekkes Kemenkes Yogyakarta

Kota Yogyakarta is the highest city with peoplewho suffer HIV/AIDS in DIY. In 2013, DIYAIDS prevalence is 23, 75%. In DIY, ODHA has touched 72,6%, based ton age class 25-49 years old peak. PPIA programs is done to prevent HIV to infect children rom their mother. This research was categorized into qualitative descriptive researchs which have implement grounded theory. This research was conducted in BPM in Kota Yogyakarta on Maret-June 2014. The subject of the research was 5 midwifes in BPM, mother pregnancy patient of the BPM, midwife coordinator of primary public heatlh care center, and family health care sector in health careDepartment of Kota Yogyakarta. The first responden has been taken a sample by snowball sampling. Research instrument is human instrument and the data is collected with in depth interview. Data analysis is done using content analysis and data validation using triangle source. PPIA in midwife practices is prevent HIV on reproductive female. Themother pregnancy have been send to get ANC Terpadu in primary public health conter.Research result is that PPIA in ANC doesn't work effective in BPM Yogyakarta because PPIA can't work their program without midwife and primary public health center.

HAMBATAN PELAKSANAAN KIE HIV/AIDS DALAM PELAYANAN ANC OLEH BIDAN DI PUSKESMAS DI KOTA YOGYAKARTA Hastuti, Sari; Theresia, Endah Marianingsih; Lianawati, Sri Hendy
Jurnal Kesehatan Ibu dan Anak Vol 1 No 1 (2012): Juli
Publisher : Poltekkes Kemenkes Yogyakarta

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Indonesia has entered into a concentrated epidemic level since 2000, namely the high-risk groups, HIV/AIDS prevalence exceeds 5%. City of Yogyakarta is one area that comes into the accelerated program of 105 districts/cities in Indonesia and has been providing HIV testing services at the clinic. AIDS prevention commission province of Yogyakarta reported since the year 2009 in 2003-2008 was 23 positive children with HIV, in 2005-2008 recorded a pregnant woman gave birth to HIV-positive and 10 peoples. PMTCT package integrated with maternal and child health and family planning services so that midwives in each clinic to get the socialization of PMTCT. Objectives: to determine the inhibiting factors of Communication, information and Education on HIV /AIDS in the antenatal care services by midwife in supporting PMTCT programs in health centers city of Yogyakarta. This type of research is qualitative research field. The research location was taken in 13 health centers in the city of Yogyakarta, the main respondent are midwives in the outpatient maternal and child health services, each clinic taken a midwife who has got the socialization and training of PMTCT programs with in-depth interviews. Additional respondents are policy makers and clients. Analysis of data using content analysis of data while checking the validity of the method triangulation methods and sources. Results: the results of in-depth interviews found eight categories of theme as inhibiting factors.

PENGARUH INISIASI MENYUSU DINI TERHADAP KECEPATAN INVOLUSI UTERI PADA IBU POST PARTUM Wiyati, Nining; Eni, Marciana; Hastuti, Sari
Jurnal Kesehatan Ibu dan Anak Vol 2 No 2 (2012): November
Publisher : Poltekkes Kemenkes Yogyakarta

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Maternal Mortality Rate in Indonesia in 2009 were 226/100.000 live births, one of which is caused by bleeding. The cause of bleeding one of which is sub-involution of the uterus. Early initiation of breastfeeding is one of the factors that can accelerate the involution of the uterus as it stimulates oxytocin which causes the uterus to contraction. Objective: To determine the effect of on Early initiation of breastfeeding pace maternal postpartum uterine involution in Sleman, Tutik Purwani clinic in 2012. The study design control time series design. Research location Tutik Purwani clinic Sleman. Consecutive sampling with sampling. Subjects were followed during maternal postpartum of the first 2 hours until the fundus no longer palpable. Number of samples 32 people treatment group Early initiation of breastfeeding and 32 control group (no Early initiation of breastfeeding). Hypothesis testing using an independent t-test Results: Speed corresponding uterine involution (high uterine fundus not palpable = 10 days postpartum), the Early initiation a breastfeeding as much as96.87%, while the number 56.25% no Early initiation of breastfeeding. Mean high uterine fundus postpartum mothers with Early initiation of breastfeeding is not palpable, day 7 (mean = 6.78), whereas postpartum mothers did not mean no palpable Early initiation of breastfeeding, high uterine fundus day 11 (mean = 11 .03). There is the influence of the velocity Early initiation of breastfeeding maternal postpartum uterine involution (t count> t table (7.07> 2.021) and the p-value <0.05 (p-value = 0.000) with a confidence interval (CI 95%). There effect Early initiation of breastfeeding, on uterine involution speed.

UJI TOOLS PADA METODE APPLIED BEHAVIORAL ANALYSIS DALAM MENDIDIK AUTIS MENGHADAPI MENARCHE Prastiwi, Ratih Sakti; Hastuti, Sari; Sumarah, Sumarah
Jurnal Kesehatan Ibu dan Anak Vol 3 No 1 (2013): Juli
Publisher : Poltekkes Kemenkes Yogyakarta

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The developing preteen autism have the same development as the normal ones. Autism uneducated sexual have risked get sexual harassment ABA method are commonly used for therapies, study showed 47.0% autism will have normal behavioral. Result of former study showed that autism spent more time to have activities at schools and have more interaction with their teachers. Purpose of the research: to make tools such as small pictured books and the lesson plan for applied behavioral analysis method in preparing autism facing menarche. Method of this research are action research and descriptive survey. The sample of this research using snowballing technic. This research takes 15 respondents. Analysis technic uses content analysis and item analysis using Pearson product moment. Result: The result of this research are the books of small pictured books can be used as prompt for preparing autism facing menarche. Descriptive analysis showed expedience degree of appropriate are 66.7% and for the content are 87.1%. Tools of lesson plan has the component and material accordance with Permendiknas No. 41 tahun 2007. The result of item analysis shows that item which can be used are: identity, standard competency, learning indicator, learning material, learning resource, the material is understandable and systematic. Expedience degree of lesson plan are 85.5% and far reference lessons are 80.0%o. Conclusion: lesson plan and pictures books as tools can be used

KANTUNG POLYURETHANE DAN KEJADIAN HIPOTERMIA PADA BAYI BERAT BADAN LAHIR RENDAH Rahmawati, Viki; Hastuti, Sari; Muslihatun, Wafi Nur
Jurnal Kesehatan Ibu dan Anak Vol 4 No 2 (2013): November
Publisher : Poltekkes Kemenkes Yogyakarta

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Polyurethane bag is a heat retaining pockets draft for LBW which made of airtight until the neck and cover the vody of the baby. Open air flow accelerates the onset for hypothermia LBW faster heat loss, especially in convection. 35% LBW occurred during hypothermia delivery to the NICU. Modification design of SAC during the polyurethane covering method of sending to the NICU aims to minimize the risk of hypothermia on LBW. The purpose of this research to find out the influenced of polyurethane bag against gen hypothermia on LBW in RSUD Wonosari by 2013. Type of research design is experimental quasi post test with control groups. Location research is in the maternity and perinatal space of RSUD Wonosari. The sampling technique use purposive criteria of the 32 respondents, divide 2 groups, 4 groups of treatment (LBW using polyurethane bag) and 16 controls groups (not using a polyurethane bag). Result: used Chi-Square p-value 0,01 <0,05 OR 0,1 (CI 95% 0,0 ? 0,7), there is a polyurethane bag influence on LBW. LBW using a polyurethane bag has a risk of suffering hypothermia 1 times lower than LBW not using a polyurethane bag.

HUBUNGAN ANTARA UMUR DAN KELAINAN GENETALIA DENGAN KEJADIAN ABORTUS SPONTAN Wiharti, Ana Ria; Wahyuningsih, Heni Puji; Hastuti, Sari
Jurnal Kesehatan Ibu dan Anak Vol 9 No 1 (2016): Juli
Publisher : Poltekkes Kemenkes Yogyakarta

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Abortion rate in Panembahan Senopati General Hospital BantuI had trend which always increased every year.Misscariage caused by three factors, maternal (genital abnormalities, Hines, rhesus type, contractionsstimultion, placental circulation disorder, age), fetus and paternal factors. Complication of abortion arebleeding, reproduction organ damage, infection and end in infertility and ectopyc pregnancy. Purpose to identifycorrelation of age and genital abnormalities with spontaneous abortion Panembahan Senopati GeneralHospital Bantu12011. Methods analitic observational with crossectional design. Sample in this study is pregnantwomen who match with criteria used consecutive sampling are 230 participants. Intrument of this study ismaster table and used secondary data (medical record). Hipotesis analysis used chisquare. Result: prevalenceof spontaneous abortion in pregnant women at the age of < 20 years old or > 35 years old are 57,1% and inpregnant women in 20-35 years old are 39,8%. Prevalence of spontaneous abortion in pregnant women witngenital abnormalities are 62,7% and for pregnant women with normal genital are 44,1%. Result analysisbivariabel of age with spontaneous abortion acquared p-value = 0,00 < 0,05, and analysis of genitalabnormalities with spontaneous abortion acquared p-value = 0,01 < 0,05. Whereas RP score forage is 1,4 withconfidence interval 95%. And RPscore of genital abnormalities is1,4 with confidence interval 95%.Conclusion:there are correlation of age and genital abnormalities with spontaneous abortion. Genital abnormalities willincreased spontaneous abortion possibility.

Studi Fenomenologi: Mempersiapkan Menarche Autis Ratih Sakti Prastiwi; Sari Hastuti; Sumarah Sumarah
Prosiding Seminar Nasional IPTEK Terapan (SENIT) 2016 Pengembangan Sumber Daya Lokal Berbasis IPTEK Vol 1, No 1 (2016): PROSIDING SEMINAR NASIONAL IPTEK TERAPAN 2016
Publisher : Prosiding Seminar Nasional IPTEK Terapan (SENIT) 2016 Pengembangan Sumber Daya Lokal Berbasis IPTEK

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Autis memiliki sistem reproduksi yang sama dengan perempuan lainnya dan memiliki risiko pelecehan seksual lebih besar dibanding dengan perempuan normal. Keluarga merupakan orang terdekat yang berpotensi untuk memberikan pendidikan seksual mengenai menarche, namun autis banyak yang menghabiskan waktunya di sekolah dibandingkan dirumah. Penelitian ini dilakukan untuk melihat persepsi sekolah luar biasa di daerah Yogyakarta mengenai pendidikan persiapan menarche di sekolah. Peneliti menggunakan metode kualitatif dengan pendekatan studi fenomenologi melalui wawancara terhadap guru SLB yang memiliki siswa autis di Yogyakarta. Hasil penelitian menunjukkan bahwa SLB tidak memiliki mata pelajaran khusus mengenai pendidikan seksual khususnya persiapan menarche namun mata pelajaran Bina Diri dapat digunakan sebagai sarana guru memberikan pendidikan seksual pada autis. Metode pembelajaran yang dapat digunakan adalah metode imitasi dimana siswa meniru apa yang diajarkan seperti menggunakan, melepas dan membuat pembalut. Dengan pemberian pendidikan seksual sejak dini pada autis, anak akan lebih siap menghadapi menarche baik saat dirumah maupun di luar rumah. Kata kunci : Menarche, Autis, Pendidikan

Pengaruh Keikutsertaan ibu hamil dalam kelas ibu hamil terhadap tingkat pengetahuan dan sikap ibu tentang ASI Eksklusif Pramidya Ujiana; Sari Hastuti; Sabar Santoso
Jurnal Kesehatan Ibu dan Anak Vol. 6 No. 2 (2014): November
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/kia.v6i2.197

Exclusive breastfeeding is one program that is quite difficult to develop because it is associated with many social problems in the community. By SDKI infants died per year, or 430 babies per day. According to UNICEF, (2008), optimal breastfeeding in infants under two years of age have the greatest potential impact on child survival of ail preventive measures, the potential to prevent 1.4 million deaths in children under five in developing countries. Coverage rate of exclusive breastfeeding in the province in 2010 was 40.57% and the coverage rate is still half of the expected national targets. Aimto determine the effect of maternal participation in aclass of pregnant women to the level of knowledge and attitude of mothers on exclusive breastfeeding. This study uses cross- sectional study. Subjects were pregnant women in the work area of Puskesmas Kotagede 1 in 2013. Variable in this study is the participation of pregnant women in a class of pregnant women as independent variables and the knowledge and attitude of mothers on exclusive breastfeeding as the dependent variable. Primary data obtained through questionnaires to divide pregnant women.Likelihood analysis using chi square influence to influence participationwith knowledge and Chi square for the effect of participation with an attitude. Results: The results of the effect of participation with knowledge of the results obtained ??2sebesar 0,00 RP 0.93 with 95%Cl (0.59- 1.49) and for participation by the attitude didapakan results ??2 at 0.78, the value of RP pregnant women whohave not pregnant women attended classes ona lowknowledge levelof 0.12with 95%Cl (0.01-1.16)while the value of RP pregnant womenwho have never been pregnant women attend classes on the level of knowledge sufficient for 5.76with 95%Cl (0.81- 40.8).Conclusion: the participation of pregnantwomen in a class of pregnant women did not affect the level of knowledge and participation of pregnant women in a class of pregnan twomen affect maternal attitudes on exclusive breastfeeding

Breast Cancer Screening Access Among Low-Income Women Under Social Health Insurance: A Scoping Review Hastuti, Sari
Public Health of Indonesia Vol. 10 No. 1 (2024): January - March
Publisher : YCAB Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v10i1.760

Background: Breast cancer is the most prevalent cancer among women worldwide. Due to its unknown causes, secondary prevention is highly encouraged for case early detection. Unfortunately, some women face difficulties in accessing it, even though they are covered by social health insurance. Objective: This study aimed to identify previous studies that mapped the various aspects within the domain of breast cancer screening access among low-income women under social health insurance. Design: This study used a scoping review method, following the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) checklist. Data Sources: The electronic databases were searched in PubMed, Scopus, and EBSCO identified 115 articles. After the selection process involves two main stages, we found 7 studies included for the full review. Methods: Data charting is used for the data extraction. Thematic analysis is conducted to address the research question. Results: Social Health Insurance has a positive influence on access to breast cancer screening. Based on the Levesque framework, access is conceptualized in five dimensions, namely approachability, acceptability, availability, affordability, and appropriateness. Some aspects are found as variations of the original concept proposed as evidence from the field. Conclusion: The Levesque framework remains relevant to the experiences of low-income women. The variations observed emphasize the need for tailored approaches to healthcare delivery, providing opportunities for improving access.

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