Budhiastuti, Uki Retno
Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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The Effectiveness of Hypnobirthing in Reducing Anxiety Level During Delivery Imannura, Pramita Sandy Ulya; Budhiastuti, Uki Retno; Poncorini, Eti
Journal of Maternal and Child Health Vol 1, No 3 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Neonatus given birth by pregnant mothers suffering from excessive anxiety and stress have higher risk of low-birthweight, small head circumference, low APGAR score at birth, in adequate neurologyc development, premature birth, weak immunity system, and emotional disorder, than those given birth by happy mothers. This study aimed to examine the effect of effectiveness of hypnobirthing in reducing anxiety level during delivery.Subjects and Method: This was an analytic experimental study with Randomized Control Trial (RCT) design. A sample of 30 pregnant mothers near delivery date was selected for this study and allocated into hypnobirthing group and no-hypnobirthing group. The dependent variable was anxiety during delivery. The independent variable was hypnobirthing. The anxiety level between the two groups was tested by Mann Whitney.Results: After intervention, pregnant mothers who received hypnobirthing had anxiety level as low as 41.33 (p=0.003). Pregnant mothers who did not receive hypnobirthing had anxiety level as low as 51.60 (p=0.003). The reduction of anxiety between the two groups was statistically significant.Conclusion: Hypnobirthing can effectively reduce anxiety among pregnant mothers during birth delivery.Keywords: hypnobirthing, anxietyCorrespondence: Pramita Sandy Ulya Imannura. Masters Program in Public Health, Sebelas Maret University, Surakarta. Email: oxytocinyoga@gmail.com.Journal of Maternal and Child Health (2016), 1(3): 200-204https://doi.org/10.26911/thejmch.2016.01.03.08
Factors Affected Low Coverage of Exclusive Breast Feeding in Cilacap Tengah, Central Java, Indonesia Ruhyana, Pemi Sunarsih; -, Pawito; Budhiastuti, Uki Retno
Journal of Health Policy and Management Vol 1, No 1 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Human resources (HR) quality is a requirement of absolute attainment of development in all fields. Nutritional status of being one of the very important factors in the quality of human resources is mainly associated with intelligence, productivity and creativity. To achieve an optimum between flower growing by giving breast milk to infants from birth in the early minutes of life until the age of 6 months exclusive breast milk given without other food. This study was aimed to determine the cause of the low coverage of breast milk exclusively and the factors that affected it.Subject and methods: This was a case study with qualitative design, was carried out in July-August 2016 in Cilacap, Central Java. A total sample of parents with infants aged 7-24 months of age, the mother/mother-in-law and health workers. The data was collected by interviews, observation and documents, and analyzed with data presentation, data reduction, and the withdrawl of the conclusion.Results: Pre-disposing Factors good motivation, attitudes, education and employment of the informant was indeed affect Exclusive breast feeding in the process. Enabling Factors are readily available and easily accessible due to the support of the party giver services though in terms of infrastructure there are still shortcomings in various things. While Reinforcing factors demonstrates the role of health workers and the people closest to either mother or mother-in-law strongly affect the behavior ofthe mother in giving breast feedingexclusively. Restricting factors namely wrong beliefs about the incessant promotion of baby food, infant formula and health problems in the mother and the baby. In addition, the existence of the recording and reporting of less fit so that it affects the actual coverage figures in society.Conclusion: the cause of the low coverage of exclusive breast feeding include knowledge of mother/mother-in-law limited about breast milk exclusively, the role of health workers that is not optimal, the existence of a mistaken beliefs and culture in the community about BREAST MILK exclusively and recording and reporting factors that still need to be addressed so that Exclusive breast feeding data in accordance with the conditions in the community.Keywords: exclusive breast feeding, coverageCorrespondence: Pemi Sunarsih Ruhyana. Midwifery Academic Graha Mandiri Cilacap, Jl. Dr. Soetomo No. 4B Cilacap. Email: pemisunarsihruhyana@gmail.com.Journal of Health Policy and Management (2016), 1(1): 20-28https://doi.org/10.26911/thejhpm.2016.01.01.04
Effect of Hormonal Contraceptive on Sexual Life, Body Mass Index, Skin Health, and Uterine Bleeding, in Women of Reproduction Age in Jombang, East Java Yosin, Esti Pratiwi; Mudigdo, Ambar; Budhiastuti, Uki Retno
Journal of Maternal and Child Health Vol 1, No 3 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Abstract

Background: Injection hormonal contraceptive can be distinguished into DMPA (depo medroxyprogesterone acetate) and combination. DMPA injection is administered in single dose of 150 mg/mL intramuscular every 12 week. It was hypothesized that DMPA injection resulted inadvertent effect such as lowered sexual life quality, increased body mass index, lowered quality of skin health, and abnormal uterine bleeding. This study aimed to examine the effects of DMPA injection on sexual life, body mass index, skin health, and abnormal uterine bleeding.Subjects and Method: This was analytical observational study with retrospective cohort design. This study was conducted in Jombang, East Java. A total sample of 149 women of reproductive age consisting of 99 DMPA injection contraceptive users and 50 non hormonal contraceptive users was selected for this study, by stratified random sampling. The dependent variables were sexual life quality, body mass index, quality of skin health, and uterine bleeding. The independent variable was DMPA injection contraceptive use and age. The data were collected by a set of questionnaire. Sexual life quality was measured by female sexual function index (FSFI). The data were analyzed by multiple logistic regression.Results: Use of hormonal contraceptive (OR= 20.17; 95% CI = 6.62 to 61.42; p<0.001) and age 30-35 years old (OR=17.51; 95% CI = 5.74 to 53.38; p<0.001) increased the risk of low quality of sexual life. Age 30-35 years old lowered (OR=0.16; 95% CI =0.07 to 0.36; p<0.001) and hormonal contraceptive (OR= 4.25; 95% CI = 1.95 to 9.30; p<0.001) increased the risk of low quality of skin health. Hormonal contraceptive (b=2.93; SE=0.23; p<0.001) and age 30-35 years old (b=0.70; SE=0.24; p<0.001) increased abnormal uterine bleeding. Hormonal contraceptive (b=5.75; SE=0.54; p<0.001) and age 30-35 years old (b=5.05; SE= 0.55; p<0.001) increased body mass index among women of reproductive age.Conclusion: Use of injection hormonal contraceptive lowers the quality of social life, lowers the quality of skin health, increases body mass index, and increases abnormal uterine bleeding.Keywords: hormonal contraceptive injection, sexual life, skin health, body mass index, uterine bleedingCorrespondence: Esti Pratiwi Yosin. School of Health Sciences Insan Cendekia Medika, Jombang, East Java. Email:estipratiwi77@gmail.com.Journal of Maternal and Child Health 2016, 1(3): 146-160https://doi.org/10.26911/thejmch.2016.01.03.02