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Pencegahan Kehamilan Obesitas Melalui Pengaturan Asupan Makanan dan Pemeriksaan Kehamilan Yoni Astuti; Alfaina Wahyuni; Fitnaningsih Endang C; Anna Monita
Prosiding Seminar Nasional Program Pengabdian Masyarakat 2022: 3. Kesehatan Keluarga dan Masyarakat
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/ppm.53.1115

Abstract

Pembatasan aktivitas di luar ruangan yang diterapkan selama pandemi COVID-19 menyebabkan perubahan gaya hidup masyarakat berupa penurunan partisipasi dalam aktivitas fisik dan perubahan pola makan. Sehingga risiko peningkatan berat badan sampai obesitas merupakan hal yang niscaya. Peningkatan berat badan pada wanita usia reproduktif berdampak buruk pada kesehatan secara umum. Ibu hamil yang mengalami obesitas juga akan menimbulkan dampak bagi kesehatan ibu maupun tumbuh kembang janinnya. Tujuan pengabdian ini memberikan pelatihan untuk menyusun menu dan mengukur asupan sesuai dengan kebutuhan sendiri dan pemeriksaan kehamilan serta deteksi perkembangan janin. Metode yang digunakan adalah ceramah, demonstrasi, pemeriksaan kehamilan, dan praktek membuat menu dan asupan sesuai kebutuhan. Hasil kegiatan menunjukkan gambaran umur kehamilan dari 15 peserta aktif adalah 3 orang trimester I, 13 orang trimester II dan satu orang trimester 3, Sebagian besar kehamilan multigravida (73,33 %) , satu orang grandemultigravida dengan obesitas. Hasil pemeriksaan USG menunjukkan secara umum kondisi ibu, letak janin, jumlah air ketuban maupun berat janin dalamkondisi baik dan sesuai usia kehamilan. Namun terdapat satu orang diduga kista ovarium kiri ukuran 5,1cm. Hasil praktek penyajian asupan makanan tiga waktu sudah banyak yang sesuai dengan gambaran isi piringku namun masih ada yang belum sesuai. Hasil rerata pretest tentang pengetahuan pencegahan kehamilan obesitas melalui pengaturan asupan makanan 75.5, dan hasil rerata posttest 82%. Kesimpulan pengabdian ini terlaksana dengan baik, lancar sesuai rencana. Di temukan satu ibu hamil dengan risiko multigravida obesitas dan satu peserta mengidap kista ovarium kiri. Penyuluhan tentang asupan gizi untuk mencegah obesitas meningkatkan pengetahuan sebanyak 6,5 %.
Ovarian cyst mimicking acute appendicitis in children: a case report Noor, Hafni Zuchra; Wahyuni, Alfaina; Retnowati, Sulistiari
Sains Medika: Jurnal Kedokteran dan Kesehatan Vol 15, No 1 (2024): June 2024
Publisher : Faculty of Medicine, Universitas Islam Sultan Agung (UNISSULA), Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/sainsmed.v15i1.31564

Abstract

Pediatric acute appendicitis is common; however, it is different from torsion ovarian cysts. The estimated incidence of ovarian torsion in children is 5 per 100,000 girls. Herein, we report two cases of ovarian torsion mimicking pediatric acute appendicitis mimicking ovarian cyst. In the first case, a girl who was being assessed for acute appendicitis was identified to have torsion of the ovarian cyst during the surgery. In the second case, a girl experienced a ruptured ovarian cyst but then got severe appendicitis following the surgical procedure. The simultaneous occurrence of appendicitis and ovarian cysts is rare. These two patients' acute gastrointestinal complaints and symptoms exhibit similarities and may coincide. Both patients underwent salpingo-oopherectomy and appendectomy. Both patients were healthy on hospital discharge in a healthy condition. Female patients with severe abdominal pain and amenorrhea should be evaluated for ovarian torsion. Diagnosing the condition may be challenging due to non-specific clinical signs.
Pencegahan Kanker Payudara melalui Sadari dan Sadanis di Era Pandemi Covid-19 Hayati, Nur; Wahyuni, Alfaina; Kusumawati, Wiwik
Jurnal Surya Masyarakat Vol 5, No 2 (2023): Mei 2023
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/jsm.5.2.2023.172-178

Abstract

Breast cancer is a contributor to high mortality rates in women, with a mortality rate of 18% of women's deaths. Public awareness in recognizing and identifying cancer symptoms at an early stage is still low, making cancer in Indonesia more at an advanced stage. This community service activity aims to increase community knowledge and skills in preventing and detecting breast cancer early through counseling about breast cancer and breast self-examination (BSE). This partner is the activity of PKK cadres who contribute to the implementation of health education and health cadres in their area. Community service methods with breast cancer counseling and BSE training. In this activity, a clinical breast examination (SADANIS) was also carried out in the form of a breast ultrasound examination to detect any abnormalities in the breast by a Radiology specialist. The speaker delivered material on breast cancer prevention and participants were given a pocket book on breast cancer prevention. Prior to participating in the counseling, participants were tested for their knowledge of breast cancer prevention using a pretest. After getting the presentation of the material, a posttest was conducted. The results of the pre and post analysis showed an increase in participants' knowledge about breast cancer prevention. Community service with counseling, pocket books and health checks succeeded in increasing participants' knowledge about breast cancer prevention.Keywords: SADARI, SADANIS, breast cancer.
Endometriosis dan Infertilitas Wahyuni, Alfaina
Mutiara Medika: Jurnal Kedokteran dan Kesehatan Vol 8, No 1(s) (2008): April
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/mmjkk.v8i1 (s).1647

Abstract

Endometriosis is a gynecological disease that often occurs in at least 10% of women of reproductive age. There are 25-50% infertile women with endometriosis and 30-50% of them are infertile. Mechanism of how endometriosis affects fertility can not be fully explained so that the management of patients with infertility problems is still controversial. The purpose ofwriting this article is to discuss the relationship management of endometriosis with infertility by using of literature study. It can be concluded that the mechanism of infertility because of endometriosis remains unclear, there are several factors that allegedly plays a role in the mechanism of distortion of anatomy, impaired peritoneal function, immunological disorders, endocrine disorders and ovarium as well as disruption of implantation. Endometriosis infertility management is very complex and must consider the aspect of age, duration of infertility, family history of endometriosis, pelvic pain and endometriosis staging. Medical therapy was effective to reduce the complaints of endometriosis but did not increase fecundity and fertility, whereas the laparoscopic surgical therapy significantly increased pregnancy rate and live birth rate. The combination of medical and surgical therapy is theoretically beneficial but not enough evidence to show effectiveness in improving fertility.Endometriosis adalah suatu penyakit ginekologis yang sering terjadi pada sedikitnya 10% wanita usia reproduksi. Sebanyak 25-50% wanita infertil menderita endometriosis dan 30-50% wanita endometriosis adalah infertil. Mekanisme bagaimana endometriosis mempengaruhi fertilitas belum dapat dijelaskan secara lengkap sehingga manajemen pasien dengan problem infertilitas masih kontroversial. Tujuan penulisan artikel ini adalah untuk membahas endometriosis kaitannya dengan infertilitas berikut penatalaksanaannya dengan cara studi kepustakaan. Dapat disimpulkan bahwa mekanisme terjadinya infertilitas karena endometriosis masih belum jelas, beberapa faktor diduga berperan dalam mekanisme tersebut yaitu distorsi anatomi, gangguan fungsi peritoneal, gangguan imunologis, abnormalitas endokrin dan ovarium serta gangguan implantasi. Penatalaksanaan infertilitas endometriosis sangat komplek dan harus mempertimbangkan aspek usia, lama infertilitas, riwayat keluarga endometriosis, nyeri pelvis dan stadium endometriosis. Terapi medikal cukup efektifuntuk mengurangi keluhan endometriosis tetapi tidak meningkatkan fekunditas dan fertilitas, sedangkan terapi bedah laparoskopi secara signifikan meningkatkan angka kehamilan dan angka kelahiran hidup. Kombinasi terapi medikal dan bedah secara teoritis menguntungkan tetapi belum cukup bukti yang menunjukkan efektifitasnya dalam meningkatkan fertilitas.
COVID-19 infection in pregnant women with preeclampsia and HELLP syndrome, with possible vertical transmission to the fetus: a case report Retnowati, Sulistiari; Wahyuni, Alfaina; Pramono, Nabila A
MEDISAINS Vol 20, No 2 (2022)
Publisher : Universitas Muhammadiyah Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30595/medisains.v20i2.14036

Abstract

Background: During pregnancy, a woman's immune cells undergo cellular and functional alterations, rendering them more vulnerable to illness. Preeclampsia and HELLP syndromes are pregnancy problems and one of Indonesia's leading causes of maternal mortality; COVID-19 infection would exacerbate the situation. The evidence for COVID-19 vertical transmission is not well established, and the report on the incidence of vertical transmission, especially in Indonesia, is still limited.Case presentation: We discuss the case of a 26-year-old, 36 weeks of gestation, with preeclampsia and HELLP syndrome, who was infected with COVID-19 and got severe pneumonia and ARDS. The infant was born by cesarean section, and there was no contact between the infant and mother following delivery. Based on the results of the PCR examination, the baby was also confirmed to have COVID-19 without any symptoms.Conclusion: Vertical transmission during pregnancy is possible in women with a severe type of COVID-19 with preeclampsia and HELLP syndrome.
Case report of asymptomatic situs inversus totalis with dextrocardia in primigravida: Is cesarean section necessary? Arifia, Erina; Putra, Gagah Buana; Wahyuni, Alfaina; Rahmiati, Nurmaita
Science Midwifery Vol 13 No 2 (2025): June: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i2.1944

Abstract

Introduction: Situs inversus, a congenital anomaly, is defined by the transportation of thoracic and abdominal organs. A variety during pregnancy this condition has often a challenge for obstetricians, gynecologists, and midwives as there is concern about cardiovascular dysfunction, leading to recommendations for cesarean section. Case Report: A 28-year-old primigravida at 40 gestational weeks. She was admitted arrival at the emergency room. Dextrocardia was already present, as was sinus inversus totalis and antenatal assessment relevealed no abnormalities. Patient underwent a spontanous vaginal delivery of a healthy male infant with normal birth weight. Discussion: Situs inversus totalis with dextrocardia does not compromise organ function or the typical physiological changes of pregnancy including cardiovascular system. Therefore, routine cesarean section is not indicated for these patients unless other obstetric factor necessitate it, as this condition does not independently contribute to increased maternal or fetal complications. Conclusion: Delivery of a pregnancy, dextrocardia, and situs inversus totalis via vaginal delivery is feasible without any significant cardiovascular risks. Cesarean section was not necessary unless other obstetric indications.
Meningkatkan Taraf Kesehatan Masyarakat melalui Edukasi Pola Hidup Sehat di Kampung Ketandan Fadillah, Maulana Arif; Oktavia, Adinda; Sanjaya, Jatiyasa Ega; Putri, Angelikha Merha; Fadiyah, Nida; Sharla, Disya; Fatihi, Fatihi; Barlianz, Maulana Andree; Afifah, Eliana Fairuz; Permana, Gilang Prayoga Putra; Wahyuni, Alfaina
Prosiding Seminar Nasional Program Pengabdian Masyarakat Vol. 8 No. 1 (2025): Rekonstruksi Pendidikan di Indonesia
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

The low awareness of the importance of a clean and healthy lifestyle in Ketandan Village can be seen from the large amount of organic waste around the RW 15-17 road due to the narrow space for movement due to the dense distance between houses, making people have to cook around the public road and from the results of the examination there were 45 elderly people and 20 of them had blood sugar levels above normal limits, making it the main reason for our community service program in Ketandan Village regarding providing education on a clean and healthy lifestyle. This Community Service Program aims to raise awareness and understanding among the residents of Kampung Ketandan about the importance of a healthy lifestyle while providing practical solutions for environmental conservation through the implementation of biopore technology. Health education serves as an initial step in fostering good habits that can prevent various diseases and improve the overall quality of life. The activities carried out include health counseling, medical check-ups, fitness exercises, and menopause awareness sessions. Additionally, this program contributes to religious knowledge enhancement through Quranic studies and Islamic teachings, as well as participation in the Chinese Cultural Week by offering free health screenings. In the environmental aspect, this program promotes the use of biopore technology as a solution for water management and organic waste processing. Through the provided education, the community is expected to become more aware of personal hygiene, proper sanitation, and the importance of consuming nutritious food as part of a sustainable healthy lifestyle. The activities were conducted in a participatory manner, actively involving the community in discussions, hands-on practice, and mentoring sessions for program implementation. The results indicate an increased awareness among residents regarding health and environmental conservation. The high level of enthusiasm was evident from the active participation in each activity, including attendance, engagement, and implementation of the delivered materials. Although there were challenges, such as time constraints and adjustments to residents' daily activities, the program successfully achieved its goals by enhancing the community’s understanding of a healthy lifestyle and encouraging concrete actions in maintaining hygiene and environmental sustainability. It is hoped that the provided education will continue and become an integral part of the community's daily life, promoting a healthier and more environmentally friendly lifestyle.
Peningkatan Kepatuhan Minum Obat pada Penderita Hipertensi dan Diabetes melalui Edukasi dan Pendampingan Keluarga di Kampung Kauman, Yogyakarta Asmara, Ardhityara Jelfi; Anindya, Vita; Oktavia, Dwiana Ferda; Nurrahman, Deni; Pratiwi, Zila; Satrio R, Muhammad Keiza; Seravine, Salsabillah; Hidayat, M. Fahri; Tsabita, Aifa Fahma; Arsalan, Muhammad Rafi; Wahyuni, Alfaina
Prosiding Seminar Nasional Program Pengabdian Masyarakat Vol. 8 No. 1 (2025): Rekonstruksi Pendidikan di Indonesia
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/ppm.81.1281

Abstract

Hypertension and diabetes mellitus are chronic diseases that continue to increase in prevalence and contribute significantly to morbidity and mortality rates. One of the main challenges in the management of these two diseases is the low compliance of patients in undergoing treatment, which is often caused by lack of knowledge and lack of health education. This community service program aims to increase awareness and compliance of Kauman Village residents, Ngupasan Village, Yogyakarta City, towards drug consumption and management of hypertension and diabetes through education and family assistance approaches. The methods used included socialization activities in community meeting forums and intensive mentoring to four selected foster families. Interventions were carried out through physical examinations, regular monitoring of blood pressure and blood sugar levels, as well as education on the importance of a healthy lifestyle and adherence to medication schedules. The results showed an increase in participants' knowledge about chronic diseases and an improvement in the health condition of most participants, indicated by a decrease in blood pressure and blood sugar levels after the intervention. However, fluctuations in some participants indicate the need for a sustainable and personalized approach, as well as active involvement of families and health workers. In conclusion, this family-based educational program is effective in increasing awareness and management of chronic diseases at the community level, and has the potential to be replicated on a wider scale.
Clinical Characteristics and Management of Adolescent Ovarian Cysts Retnowati, Sulistiari; Wahyuni, Alfaina; Tritia Widiantara, I Nyoman; Nisrina, Hana
Indonesian Journal of Obstetrics and Gynecology Volume 13. No. 2 April 2025
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32771/inajog.v13i2.2169

Abstract

Objective : The aim of this study to give clinical characteristic of ovarian cysts in adolescent patient and comprehend the delineation of the management protocol implemented in patients diagnosed with ovarian cysts Methods : This study used a retrospective method conducted by reviewing patient medical records. This study was conducted by collecting medical record data retrospectively for 5 years at PKU Muhammadiyah Gamping Hospital and Panembahan Senopati Bantul Hospital. All data of outpatients, and inpatients diagnosed with ovarian cysts from January 2018 to July 2023 aged 11-21 years were taken to be included in the study. Results: A total of 56 adolescent patients were identified with ovarian cysts. Researchers found most patients with adolescent age group 18-21 years (n=43). Patients presented with a chief complaint of abdominal pain and the cyst was unilateral. Conclusion :. The patients exhibited a primary concern of pain, and the cyst was found to be located on one side only. Efforts to save the ovary were deemed vital owing to the relatively low probability of cyst malignancy. In this study also found that there were no correlation between clinical symtopms (abdoment pain, nausea and menstrual disorder) with size of cyst. Keywords: adolescents, clinical characteristic, ovarian cyst, management
PROGRAM KONSELING MENOPAUSE: STRATEGI PENINGKATAN PENGETAHUAN DAN KUALITAS HIDUP WANITA LANSIA Wahyuni, Alfaina; Retnowati, Sulistiari
JMM (Jurnal Masyarakat Mandiri) Vol 9, No 4 (2025): Agustus
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jmm.v9i4.33114

Abstract

Abstrak: Menopause adalah fase akhir menstruasi yang ditandai berhentinya pendarahan secara permanen, biasanya terjadi pada usia sekitar 50 tahun. Penurunan hormon estrogen menyebabkan berbagai keluhan, seperti nyeri seksual dan hot flushes, yang dapat mengganggu aktivitas sehari-hari dan menurunkan kualitas hidup wanita. Studi awal di Desa Kauman dan Ketandan menunjukkan bahwa dari 250 lansia, 12 wanita mengalami menopause selama 4–5 tahun dengan keluhan kesehatan seperti peningkatan berat badan dan gangguan aktivitas. Pengetahuan mereka mengenai menopause dan cara mengelolanya masih rendah. Untuk mengatasi hal tersebut, dilakukan kegiatan pelayanan masyarakat berupa konseling kesehatan tentang menopause kepada 54 peserta, menggunakan pendekatan edukatif-partisipatif melalui tatap muka, ceramah, diskusi dan pemeriksaan kesehatan. Evaluasi dilakukan menggunakan kuesioner pre-test dan post-test, yang menunjukkan peningkatan pengetahuan sebesar 13,1%. Kegiatan ini terlaksana dengan lancar dan sukses sesuai dengan tujuan kegiatan, Dengan demikian, kegiatan ini dinilai efektif dalam meningkatkan pemahaman dan kesiapan wanita lansia menghadapi masa menopause secara sehat dan tanpa keluhan yang berarti.Abstract: Menopause is the final phase of menstruation, marked by the permanent cessation of bleeding, usually occurring around the age of 50. The decline in estrogen hormones causes various complaints, such as sexual pain and hot flushes, which can interfere with daily activities and reduce a woman's quality of life. Preliminary studies in Kauman and Ketandan villages revealed that out of 250 elderly women, 12 had experienced menopause for 4–5 years, accompanied by health complaints such as weight gain and activity disorders. Their knowledge about menopause and how to manage it remains low. To address this, community outreach activities were conducted, including health counseling on menopause for 54 participants, using an educational-participatory approach through face-to-face sessions, lectures, discussions, and health examinations. Evaluation was conducted using pre-test and post-test questionnaires, showing a 13.1% increase in knowledge. The activity was carried out smoothly and successfully in line with its objectives. Therefore, this activity is considered effective in enhancing the understanding and preparedness of elderly women to face menopause in a healthy manner without significant complaints.