Ratna, Tantri Yunita
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Meta Analysis the Effect of Gestational Diabetes Mellitus on Macrosomia and Sectio Caesarea Ratna, Tantri Yunita; Dewi, Yulia Lanti Retno; Murti, Bhisma
Journal of Maternal and Child Health Vol. 6 No. 3 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (34.155 KB) | DOI: 10.26911/thejmch.2021.06.03.12

Abstract

Background: Gestational Diabetes Mellitus (GDM) is the degree of glucose intolerance that occurs during pregnancy. DMG is caused by damage to cells and insulin resistance, resulting in hyperglycemia and an increase in abnormal growth/macrosomia which causes cesarean delivery. This study aims to analyze the magni­tude of the effect of DMG on the incidence of macrosomia and caesarean section with a meta-analysis study. Subjects and Method: This research is a systematic review and meta-analysis conducted using PRISMA flow diagram. Article searches were conducted through journal databases including: PubMed, Science Direct, and Google Scholar by selecting articles published in 2000-2020. The keywords used were: "gestational diabetes mellitus" OR "diabetes in pregnancy" AND macrosomiaAND "sectio caesarean" OR "perinatal outcomes" OR "pregnancy outcome". The inclusion criteria in this study were full text articles with an observational study design, articles using English, analysis using multi­variate with adjusted odds ratio. Eligible arti­cles were analyzed using Revman 5.3 app. Results: A total of 22 articles were reviewed in this study with a cohort study design. Meta-analysis of 12 articles showed that pregnant women with gestational diabetes mellitus had a 1.36 times risk of giving birth to a macrosomic baby compared to those without gestational diabetes mellitus (aOR=1.36; 95% CI=1.15 to 1.60; p<0.003), while 10 articles showed preg­nant women with gestational diabetes mellitus had a 1.35 times risk for cesarean delivery than those without gestational diabetes mellitus (aOR=1.35; 95% CI=1.17 to 1.55; p<0.001). Conclusion: Gestational Diabetes Mellitus has a weak effect on macrosomia births and caesarean section.
HUBUNGAN KEAKTIFAN DALAM KELAS IBU HAMIL TERHADAP PENGETAHUAN TENTANG KB PASCA PERSALINAN DI RUMAH SAKIT WAVA HUSADA KEPANJEN: THE CORRELATION BETWEEN ACTIVENESS PREGNANT WOMEN CLASSES AND THE KNOWLEDGE OF POSTPARTUM KB AT WAVA HUSADA HOSPITAL Ratna, Tantri Yunita; Sa’adah, Sri Wahyuning
WELL BEING Vol 9 No 1 (2024): Well Being
Publisher : LPPM STIKes Bahrul Ulum Jombang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51898/wb.v9i1.252

Abstract

Background : The results of a preliminary study conducted on 10 pregnant women, there were only 3 people who could answer about postpartum contraception planning, so researchers were interested in knowing more about the relationship between the activeness of the pregnant women class to knowledge about postpartum contraception planning. Subjects and Methods : This research uses Correlational Analytic Design and Cross Sectional Time Approach. The total population is 157 pregnant women and the samples used are 62 samples. The research instrument used was a questionnaire. Results : Of this study indicate that the majority of respondents who attended classes for pregnant women were active in attending classes for pregnant women as many as 37 people, the knowledge of pregnant women about family planning after childbirth was dominant in respondents having good knowledge with a value of ≥ 60%, namely 53 people. The results of the Chi Square test showed that there was a relationship between the active participation of pregnant women in classes and the knowledge of pregnant women about postpartum contraception planning as evidenced by a P value of 0.000 <0.05. Conclusion : Most pregnant woman active and understand well about the knowledge of postpartum KB in pregnancy class.
HUBUNGAN PENGGUNAAN KARTU KEPATUHAN TABLET TAMBAH DARAH DENGAN KEPATUHAN IBU HAMIL MENGONSUMSI TTD Ratna, Tantri Yunita; Ika Yudianti, Ika Yudianti; W, Erni Dwi
Midwifery Journal: Jurnal Kebidanan UM. Mataram Vol 6, No 2 (2021): JULI
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/mj.v6i2.3208

Abstract

Abstract: The blood plus tablet compliance card is the card given by the staff health for pregnant women in monitoring compliance with iron tablets. The purpose of this study was to analyze the relationship between the use of blood supplemented tablet compliance cards with the compliance of pregnant women in consuming iron tablets. This type of research uses correlation analytic, crosssectional approach. The study population was 30 pregnant women in the second and third trimesters of Mendalanwangi Village. The sampling method uses total sampling. The research instrument was a blood-added tablet compliance card and the MMAS-8 questionnaire which had been tested for validity and reliability. Methods of data analysis using the Sperman rank test. Based on the results of the Sperman Rank Test correlation test, p value (0.001) <α (0.05), it can be concluded that H0 is rejected, which means that there is a relationship between the use of blood supplemented tablet compliance cards with the compliance of pregnant women taking iron tablets and shows a significant relationship. Therefore, pregnant women should be able to make the best possible use of the compliance card for pregnancy health.Abstrak: Kartu kepatuhan tablet tambah darah adalah kartu yang diberikan oleh tenaga kesehatan untuk ibu hamil dalam memonitoring kepatuhan mengonsumsi TTD. Tujuan penelitian ini adalah untuk menganalisis hubungan penggunaan kartu kepatuhan tablet tambah darah dengan kepatuhan ibu hamil mengonsumsi TTD. Jenis penelitian menggunakan analitik korelasi, pendekatan Cross Sectional. Populasi penelitian 30 ibu hamil trimester II dan III di Desa Mendalanwangi. Metode sampling menggunakan total sampling. Instrument penelitian berupa kartu kepatuhan tablet tambah darah dan kuisioner MMAS-8 yang sudah di uji validitas dan reliabilitas. Metode analisa data menggunakan uji sperman rank test. Berdasarkan hasil uji korelasi Sperman Rank Test, p value (0,001) <α (0,05), maka dapat disimpulkan bahwa H0 ditolak berarti terdapat hubungan penggunaan kartu kepatuhan tablet tambah darah dengan kepatuhan ibu hamil mengonsumsi TTD dan menunjukkan hubungan yang signifikan. Oleh karena itu, sebaiknya ibu hamil bisa memanfaatkan sebaik mungkin kartu kepatuhan tersebut untuk kesehatan kehamilan.