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All Journal International Journal of Public Health Science (IJPHS) Jurnal Penelitian Kesehatan Suara Forikes Health Notions Jurnal Kreativitas PKM Journal of Health Sciences Jurnal Ilmiah Tatengkorang Jurnal Ilmiah Kebidanan (The Journal Of Midwifery) Well Being AloHA International Journal of Health Advancement (AIJHA) Global Health Science (GHS) International Journal of Advanced Health Science and Technology Gema Bidan Indonesia (e- Journal). Jurnal Pengabdian dan Pemberdayaan Masyarakat Indonesia Frontiers in Community Service and Empowerment

Titi Maharrani

Poltekkes Kemenkes Surabaya

Author-ID : 632148

Agriculture, Biological Sciences & Forestry Humanities Biochemistry, Genetics & Molecular Biology Computer Science & IT Dentistry Education Electrical & Electronics Engineering Engineering Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Social Sciences Other

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Uterus Model as Learning Media to Improve Skill in Handling Postpartum Haemorrhage Purwanti, Dwi; Sriami, Sriami; Maharrani, Titi
Health Notions Vol 2 No 7 (2018): July 2018
Publisher : Humanistic Network for Science and Technology (Address: Cemara street 25, Ds/Kec Sukorejo, Ponorogo, East Java, Indonesia 63453)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (229.875 KB)

One of midwifery studentâs competences is can handle postpartum haemorrhage. Thus, it is needed learning of ideal laboratory practice through learning media of uterus model, which it resembles the real uterus organ. Meanwhile, the available learning media of uterus model is still less sufficient, hence, it needs to be conducted a research regarding learning media of uterus model that resembles its original uterus organ so that it will be easier to be understood by the students. Moreover, this research aimed at conducting evaluation of the available uterus model, arranging learning development through uterus model media, and conducting field experiment I. Design of this research was experimental research, which the research was conducted through experiment of making learning media in form of uterus model. Afterwards, it was analyzed by utilizing Test. The result showed evaluation against available uterus model, which most of them were not appropriate with uterus structure (73.16%). Development of learning media resulted uterus model product, which afterwards, it was conducted field experiment I and it showed that there was a significant difference of understanding between available uterus model and developed uterus model (p-value = 0.000). Therefore, it was suggested to conduct further research in stage II that involved test against uterus model function of development result and to recommend the development result to users and professionals.   Keywords:  Learning media, Uterus model, Postpartum haemorraghe

HUBUNGAN ANTARA KETUBAN PECAH DINI DENGAN KEJADIAN PERSALINAN PREMATUR DI RUANG VK RSU HAJI SURABAYA Eka Aquarista Wulansari; Siti Alfiah; Titi Maharrani
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 9, No 3 (2018): Juli 2018
Publisher : FORIKES

Di Ruang VK RSU Haji Surabaya pada tahun 2015 terjadi 292 kasus KPD (24,94%) dari 1171 persalinan dan 42 diantaranya (29,93%) mengalami persalinan prematur. Tujuan penelitian ini adalah untuk mengetahui ketuban pecah dini, kejadian persalinan prematur dan hubungan antara ketuban pecah dini dengan kejadian persalinan prematur. Jenis penelitian analitik dengan metode cross sectional. Jumlah populasi seluruh ibu bersalin di ruang VK RSU Haji Surabaya bulan Januari-Desember 2016 sejumlah 1101 ibu bersalin. Sampel diambil secara simpel random sampling sejumlah 295 ibu bersalin. Variabel independen ketuban pecah dini dan variabel dependen kejadian persalinan prematur. Sumber data rekam medik pada bulan Januari- Desember 2016. Hasil penelitian dari 295 ibu bersalin lebih dari setengahnya 159 orang (53,9%) tidak mengalami ketuban pecah dini dan dari 136 ibu yang mengalami KPD hampir setengahnya 49 orang (36%) mengalami persalinan prematur. Uji statistik yang digunakan adalah uji Chi Square dengan menggunakan SPSS 16.0. hasil uji chi square didapatkan p value (0,031) < α (0,05) maka H0 ditolak dan H1 diterima yang artinya ada hubungan antara ketuban pecah dini dengan kejadian persalinan prematur. Simpulan penelitian ini adalah dari sebagian besar ibu bersalin dengan KPD hampir setengahnya mengalami kejadian persalinan prematur ada hubungan antara ketuban pecah dini dengan kejadian persalinan prematur, sehingga disarankan bagi tenaga dapat melakukan penyuluhan kesehatan tentang KPD dan melakukan deteksi dini pada kehamilan. Kata kunci: Ketuban pecah dini, Persalinan prematur

Efektifitas Metode Ceramah dan Focused Group Discussion (FGD) dalam Meningkatkan Pengetahuan dan Sikap Wanita Usia Subur Mengenai Keluarga Berencana (KB) Evi Yunita Nugrahini; Titi Maharrani
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 10, No 1 (2019): Januari 2019
Publisher : FORIKES

The launching of the Family Planning program by the government has been going on for a long time, but the scope of this program in some regions is still low, one of which is influenced by knowledge and attitudes about family planning. The purpose of this study was to determine the effectiveness of health education with lecture methods and FGD to improve the knowledge and attitudes of fertile age women about family planning. This study used pre-post test group design. Data collection was done using a questionnaire, then analyzed using Paired sample T-Test. The results of data analysis showed that health education with lecture and FGD methods was able to increase the knowledge of reproductive age women about family planning, but for attitude changes, the FGD method was more effective. Keywords: lecture, focused group discussion, family planning ABSTRAK Pencanangan program Keluarga Berencana oleh pemerintah telah berlangsung lama, namun cakupan program ini di beberapa wilayah masih rendah, yang salah satunya dipengaruhi oleh pengetahuan dan sikap tentang keluarga berencana. Tujuan penelitian ini adalah untuk mengetahui efektifitas pendidikan kesehatan dengan metode ceramah dan FGD untuk meningkatkan pengetahuan dan sikap wanita usia subur tentang Keluarga Berencana. Penelitian ini menggunakan pre-post test group design. Pengumpulan data dilakukan dengan menggunakan kuesioner, lalu dianalisis menggunakan Paired sample T-Test. Hasil analisis data menunjukkan bahwa pendidikan kesehatan dengan metode ceramah maupun FGD mampu meningkatkan pengetahuan Wanita Usia Subur tentang keluarga berencana, tetapi untuk perubahan sikap, metode FGD lebih efektif Kata kunci: ceramah, focused group discussion, keluarga berencana

HUBUNGAN USIA, PARITAS DENGAN KETUBAN PECAH DINI DI PUSKESMAS JAGIR SURABAYA Titi Maharrani; Evi Yunita Nugrahini
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 8, No 2 (2017): April 2017
Publisher : FORIKES

Ketuban pecah dini merupakan masalah penting dalam penyulit kelahiran yang menyebabkan meningkatnya morbiditas dan mortalitas ibu dan bayi. Ada beberapa faktor yang dapat menyebabkan terjadinya KPD, beberapa diantaranya adalah umur dan paritas ibu bersalin. Berdasarkan studi pendahuluan di VK Puskesmas Jagir Surabaya menunjukan bahwa KPD terjadi peningkatan tiap tahunnya yaitu KPD tahun 2010 sejumlah 22,7%, jauh dari angka KPD yang diharapkan yaitu 5-8%. Judul penelitian ini adalah Hubungan Umur, Paritas dengan Kejadian Ketuban Pecah Dini pada Ibu Bersalin. Tujuan penelitian ini hanya untuk mengetahui hubungan umur, paritas dengan kejadian ketuban pecah dini di VK Puskesmas Jagir Surabaya. Jenis penelitian ini bersifat analitik observasional dan menggunakan metode cross sectional. Populasinya seluruh ibu bersalin di VK Puskesmas Jagir Surabaya periode tahun 2011 berjumlah 443 orang. Sampel berjumlah 144 dari ibu bersalin. Pengambilan sampel dilakukan dengan Simple Random Sampling. Variabel pada penelitian ini terdiri atas variabel bebas yaitu umur dan paritas ibu bersalin dan variabel tergantung yaitu kejadian ketuban pecah dini. Instrumen penelitian berupa lembar pengumpul data. Analisa data menggunakan uji khi kuadrat dari Yates untuk variabel usia dan uji khi kuadrat dari Pearson untuk variabel paritas dengan tingkat kemaknaan α = 0,05. Hasil penelitian didapatkan dari 144 ibu bersalin terdapat sebagian besar (53,47%) dengan usia beresiko dan sebanyak 64,93% terjadi KPD, ibu bersalin multipara yang sebagian besar (57,38%) terjadi ketuban pecah dini. dan pada ibu bersalin primipara sebagian besar (75,68%) tidak terjadi ketuban pecah dini. Hasil uji khi kuadrat dari Yates didapatkan pada variabel usia χ² hitung (91.514,38) > χ² tabel (3,84), dan pada variabel paritas χ² hitung (11,73) > χ² tabel (5,99), maka H_1 diterima. Pada penelitian ini dapat disimpulkan bahwa hubungan umur, paritas dengan kejadian ketuban pecah dini pada ibu bersalin.

Uterus Model as Learning Media to Improve Skill in Handling Post Partum Haemorrhage Dwi Purwanti; Sriami Sriami; Titi Maharrani
Health Notions Vol 2, No 7 (2018): July
Publisher : Humanistic Network for Science and Technology (HNST)

One of midwifery student’s competences is can handle postpartum haemorrhage. Thus, it is needed learning of ideal laboratory practice through learning media of uterus model, which it resembles the real uterus organ. Meanwhile, the available learning media of uterus model is still less sufficient, hence, it needs to be conducted a research regarding learning media of uterus model that resembles its original uterus organ so that it will be easier to be understood by the students. Moreover, this research aimed at conducting evaluation of the available uterus model, arranging learning development through uterus model media, and conducting field experiment I. Design of this research was experimental research, which the research was conducted through experiment of making learning media in form of uterus model. Afterwards, it was analyzed by utilizing Test. The result showed evaluation against available uterus model, which most of them were not appropriate with uterus structure (73.16%). Development of learning media resulted uterus model product, which afterwards, it was conducted field experiment I and it showed that there was a significant difference of understanding between available uterus model and developed uterus model (p-value = 0.000). Therefore, it was suggested to conduct further research in stage II that involved test against uterus model function of development result and to recommend the development result to users and professionals. Keywords: Learning media, Uterus model, postpartum haemorraghe

Combination Early Initiation of Breastfeeding and Oxytocin Massage Increase Prolactin Levels Titi Maharrani; Evi Yunita Nugrahini
Health Notions Vol 6, No 01 (2022): January
Publisher : Humanistic Network for Science and Technology (HNST)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hn60107

Introduction: Breastmilk (ASI) is the best food for babies up to 2 years of age or older. By providing breast milk (ASI) reduces the risk of various infections and other diseases. The study aimed to identify the effect of the combination of IMD and Oxytocin Massage on Prolactin Hormone Levels in Post-partum Women. Methods: This research design was quasy experimental with post test only control group design. The sample of this research was taken by simple random sampling of 40 postpartum who were then divided into 4 groups (each group 10 postpartum) consisting of 1 control group and 3 treatment groups. The dependent variable was early breastfeeding initiation and oxytocin massage, while the dependent variable was the level of hormone prolactin. Our treatment was oxytocin massage which given for 3 days from the first until the third day of puerperium. Oxytocin massage given two times a day at 08.00 and 16.00 for 3 minutes every treatment. Measurement of prolactin hormonelevels through serum taken on day 3 post partum. Prolactin hormone levels were examined at the Kedungdoro Laboratory using the ELFA method. Results: Anova test results in the four groups resulted in a p-value of 0.000, which means that there was a significant difference in the mean prolactin levels between the control group and the treatment group. Conclusion: All normal postpartum mothers are given a combination of IMD and oxytocin massage so that it can increase prolactin hormoneand the success of exclusive breastfeeding. Keywords: early initiation of breastfeeding; oxytocin massage; prolactin hormone

Predisposing, Enabling, and Reinforcing Factors Influencing Punctuality of Initial Pregnancy Visits Titi Maharrani; Evi Yunita Nugrahini
Aloha International Journal of Health Advancement (AIJHA) Vol 1, No 5 (2018): NOVEMBER
Publisher : Alliance oh Health Activists (AloHA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/aijha10501

Introduction: Health services for pregnant mother is given by the health workers and must qualifying the minimum standard. Assessment for implementation of health services could be remained through acquisition of K1 and K4. This research is supposed to see how predisposing, enabling and reinforcing factors influence the punctuality of initial pregnancy visits. Methods: This analytical research with Cross Sectional design took a place at PMB in North Surabaya Region with total sample as much as 101 person using stratified random sampling technique. Independent variables on this research are predisposing, enabling and reinforcing factors, while the dependent variable is accuracy of initial pregnancy visit. The data obtained by questionnaire and analyzed by Logistic Regression Test. Result: The result of Logistic Regression Test obtain at parity variable p value 0.001, education p 0.0004, distance p value 0.004 and husband support p value 0.000. while at income variable obtained p value 0.540 or p value > 0.05. This is interpreted that parity, education, distance and husband support significantly affect the accuracy of initial pregnancy visit, but not with income variable. Conclusion: Statistically, reinforcing factors affect the punctuality of initial pregnancy visit more significant compared with predisposing and enabling factors. Keywords: Predisposing Factors, Enabling Factors, Reinforcing Factors, Pregnancy visit.

Perilaku Pemberian Asi Eksklusif Berdasarkan Landasan Legalitas Dan Keutuhan Keluarga Titi Maharrani
GLOBAL HEALTH SCIENCE Vol 7, No 2 (2022): Juni 2022
Publisher : Communication and Social Dinamics (CSD)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/ghs7207

Air Susu Ibu (ASI) merupakan makanan terbaik bagi bayi. Air Susu Ibu (ASI) bermanfaat untuk menjaga kesehatan tubuh bayi karena mengandung antibodi yang kuat untuk mencegah infeksi. Penelitian ini bertujuan untuk menganalisis pengaruh landasan legalitas dan keutuhan keluarga terhadap perilaku pemberian ASI Eksklusif. Penelitian ini adalah penelitian analitik dengan menggunakan desain cross sectional. Sampel penelitian ini adalah ibu nifas sejumlah 108 orang yang diambil dengan teknik simple random sampling. Variabel bebas pada penelitian ini adalah landasan legalitas dan keutuhan keluarga, sedangkan variabel terikat adalah perilaku pemberian ASI Eksklusif. Instrumen penelitian menggunakan kuesioner, dan data dianalisis dengan menggunakan uji regresi logistik. Kebersamaan dalam keluarga merupakan factor yang mempengaruhi perilaku pemberian ASI Eksklusif dengan p-value 0.009. Sedangkan 6 indikator yang lain diantaranya legalitas perkawinan, legalitas kelahiran, keutuhan keluarga, kemitraan suami istri, pengelolaan keuangan dan pengambilan keputusan tidak berpengaruh terhadap perilaku pemberian ASI Eksklusif. Kesimpulan : Landasan legalitas dan keutuhan keluarga mempengaruhi perilaku pemberian ASI Eksklusif pada indikator kebersamaan dalam keluarga. Kata kunci: ASI eksklusif; legalitas; keutuhan keluarga

The Effect of estrogen hormone of the recovery of female with COVID-19 Mafatihul Inayah; Titi Maharrani; Dina Isfentiani; Siti Mar’atus Sholikah; Zarinah Binti Abdul Aziz
International Journal of Advanced Health Science and Technology Vol. 2 No. 5 (2022): October
Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ijahst.v2i5.98

Coronavirus Disease 2019 (COVID-19) is an infectious disease that attacks the respiratory tract and it is known that the female sex shows a higher cure rate than men due to hormonal influences, namely the hormone estrogen. This research aims to conduct a systematic review of the results of the latest research on the effect of the hormone estrogen on the recovery of female with COVID-19. The article search found 1373 articles from 4 electronic databases, namely PubMed, Research Gate, Science Direct, and Google Scholar which were published in 2020-2021 using keywords and the boolean operator AND. Then the articles were selected using the PRISMA Flow Diagram instrument so that 11 articles were obtained that met the inclusion criteria. The eleven articles were then analyzed to assess the quality of the articles using The Joanna Briggs Institute (JBI) instrument. An article that deserves a review if it gets a score of more than 50%. After analyzing the assessment with JBI, 11 articles were declared eligible for review because them get a score of more than 50%. Seven of the 11 articles stated that the hormone estrogen had a significant effect on healing COVID-19, especially in female. Four other articles stated that the hormone estrogen had no significant effect on the recovery of women with COVID-19 due to several influencing factors including age, Body Mass Index (BMI), comorbid diseases, and smoking habits. The hormone estrogen affects the recovery of female with COVID-19 especially in young female, normal BMI, no comorbid, and not smoking. It is necessary to carry out a further literature review on the effect of the hormone estrogen on healing COVID-19 in female by taking into account the number of samples, sample criteria, and measurement of estrogen hormone levels.

Community Empowerment In Monitoring Children's Growth Through Health Education About Prelacteal Feeding At The Public Health Center The Region Of Surabaya City Health Office Kharisma Kusumaningtyas; Dwi Wahyu Wulan Sulistyowati; Titi Maharrani
Jurnal Pengabdian dan Pemberdayaan Masyarakat Indonesia Vol. 3 No. 4 (2023)
Publisher : Peneliti Teknologi Teknik Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59247/jppmi.v3i4.121

Some of the diseases which can be the biggest causes of infant mortality are diarrhea, tetanus, perinatal disorders, and inflammation of the lower respiratory tract (Hapsari, 2004 in Hidayat, 2009). To reduce neonatal morbidity and mortality and to achieve SDGs, can be carried out by early initiation of breastfeeding (IMD), giving colostrum in the early period after birth and continuing with exclusive breastfeeding of infants from birth until the age of 6 months (Walia, et.al, 2009). The purpose of this activity is to participate in efforts to improve infant health services through exclusive breastfeeding and prelacteal feeding at the Jagir Public Health Center, Surabaya City Health Office. Implementation date is 29-30 September 2021. The method of activity is to carry out Health Education in the form of counseling about exclusive breastfeeding, counseling about prelacteal feeding, formation of exclusive breastfeeding awareness groups. The results of prelacteal feeding counseling activities as an effort to optimize child development can increase the knowledge of participants by 77.5%. This happened because the mother can understands the knowledge about Exclusive Breastfeeding and Prelacteal Feeding so that the mother is committed to giving Exclusive Breastfeeding only without giving Prelacteal Feeding Food to her child. The Community Service Activities can form ASI Awareness Groups in each Neighborhood Association area which chaired by one Cadre. The Public Health Center can monitor the activities of the ASI awareness group every month. Collaborating with the Neighborhood Association administrator of each group for all of the activities related to exclusive breastfeeding.

Co-Authors Abdul Latip Adzillina Alal Mukminin, Siti Aida Amaliya Aldri Frinaldi Alfiah, Siti Ani Intiyati Ani Media Harumi Aris Handayani Astuti Setiyani Binti Yunariyah, Binti Cahyaning Dianti Kartika Dewi Domas Nurchandra Pramudianti Dwi Wahyu Wulan Dwi Wahyu Wulan Sulistyowati Eka Aquarista Wulansari Ervi Husni, Ervi Evi Agustina Evi Pratami Evi Yunita Nugrahini Evi Yunita Nugrahini Farida Ayu Munika Irianty Fatimah Zahra Firdausi Nuzula Fitria Nurwulansari Ginarsih, Yuni Hermiyanti, Pratiwi Hilyatul Adeliyah Ilmiyati Amalia Indah Cahyaningrum Ira Rahayu Tiyar Sari Isfentiani, Dina Istanto, Wisnu Kasiati Kasiati, ., Kasiati, Kasiati, Klanting Kharisma Kusumaningtyas Khomsa Etik Romdani Luluk Widarti, Luluk M. Dwinanda Junaedi Mafatihul Inayah Mamik Mohammad Hamiduzzaman Mujayanto Nana Usnawati Novita Eka Kusuma Novita Eka Kusuma Wardhani Purwanti, Dwi Purwanto, Triana Septianti Rijanto Rokhmalia, Fitri S, Rekawati Setiawan Shawn Walker Shinta Fina Setiyani Siti Alfiah Siti Mar'atus Sholikah Siti Mar’atus Sholikah Sriami Sriami Sriami, Sriami Sukesi . Sulistyowati, Dwi Wahyu Wulan Sumaningsih, Rahayu Sumasto, Hery Susilaningrum, Rekawati Tatarini Ika Pipitcahyani THERESIA PRATIWI SUYANTI Triana, Wahyuningsih Uswatun Khasanah Wahyu Abadi Junjung Drajad Widyastuti, Dwi Utari Windi, Yohanes Kambaru Wisnu, Nurwening Tyas Zarinah Binti Abdul Aziz

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