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Analisis Mutu Antenatal Care (ANC) dan Faktor Risiko terhadap Morbiditas dan Mortalitas Preeklampsia di RSUD dr. Soetomo Dewi, Bianca Bunga Cinta; Sa'adi, Ashon; Andriyanti, Andriyanti
Jurnal Sehat Mandiri Vol 19 No 2 (2024): Jurnal Sehat Mandiri, Volume 19 Nomor 2 Desember 2024
Publisher : Poltekkes Kemenkes Padang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33761/jsm.v19i2.1641

Abstract

Preeclampsia is one of the causes of maternal and perinatal deaths in Indonesia, especially in East Java. This condition can increase the risk of long-term complications and potentially cause death. Preeclampsia can worsen quickly, so Antenatal Care (ANC) is needed to monitor the condition and reduce the risk of morbidity and mortality. Objective: to analyze the relationship between ANC quality and maternal risk factors with preeclampsia morbidity and mortality. Method: This research is retrospective analytical, data collection uses secondary data obtained from patient medical records. A total of 105 patients met the inclusion criteria, namely a diagnosis of preeclampsia and a gestational age of 2023 weeks and the exclusion criteria were incomplete medical records. Research data was analyzed using the chi-square test with a level of significance (α=0.05). Results: Preeclampsia morbidity and mortality were significantly associated with BMI (P=0.006), while morbidity alone was associated with health services (P=0.001), parity (P=0.045), education (P=0.006), and type of preeclampsia (P= 0.007). Factors that were not associated with mortality were age (P=0.704), occupation (P=0.639), proteinuria levels (P=0.411), and ANC frequency (P=0.565). Conclusion: the quality of ANC services influences the incidence of preeclampsia morbidity, along with the risk factors of BMI, parity, education, and type of preeclampsia. Early identification of risk factors and improving the quality of ANC services are important for appropriate management and prevention of mortality.
Pemberdayaan Remaja untuk Peningkatan Kesehatan Reproduksi Melalui Program SAMBA (Bersama Remaja Tuban Bangun Bangsa) Prasetyo, Budi; Prasetyo, Muhammad Rizkinanda; 'Izza, Alifina; Khairunnisa, Zalfa Dinah; Cahyaningtyas, Fabella Elisa; Rizal, M. Masrur; Poempida, Fayka Putri Poempida; Pranadyan, Rizki Pranadyan; Andriyanti, Andriyanti; Ningtyas, Woro Setia Ningtyas; Dharmayanti, Hanifa Erlin; Yusuf, Muhammad; Tunjungseto, Arif; Setianingrum, July; Rukmini, Rukmini
Jurnal Pengabdian Masyarakat Bangsa Vol. 2 No. 10 (2024): Desember
Publisher : Amirul Bangun Bangsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59837/jpmba.v2i10.1770

Abstract

Pernikahan dini pada remaja memiliki dampak serius pada kesehatan, sosial dan ekonomi, dengan kelompok berpendidikan rendah atau status ekonomi rendah paling rentan. Remaja yang menikah dini berisiko tinggi mengalami komplikasi kehamilan, persalinan, serta masalah kesehatan mental. Kehamilan dini atau di luar nikah merupakan penyebab utama pernikahan dini pada remaja yang membawa risiko kesehatan dan memerlukan intervensi yang komprehensif. Tingginya pernikahan dini dan kehamilan remaja di pedesaan Indonesia berdampak negatif pada perkembangan fisik, hormonal, psikologis remaja, serta meningkatkan risiko komplikasi bagi ibu dan bayi. Kurangnya pengetahuan reproduksi dan kontrol seksual pranikah remaja memerlukan intervensi komunitas untuk mengatasi masalah ini. Kabupaten Tuban menjadi fokus program edukasi reproduksi karena tingginya pernikahan dini. Program ini memberikan edukasi komprehensif dan partisipatif kepada remaja, termasuk melalui modul GACHA yang interaktif dan pemilihan kader remaja untuk mencegah perilaku berisiko.
BRIDGING THE KNOWLEDGE GAP: A COMPARATIVE STUDY OF COUNSELING METHODS FOR ANTENATAL CARE IN PREGNANT WOMEN Sari, Nanda Rizkita; Andriyanti, Andriyanti; Frety, Endyka Erye
HEARTY Vol 12 No 4 (2024): DESEMBER
Publisher : Fakultas Ilmu Kesehatan, Universitas Ibn Khaldun, Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/hearty.v12i4.17073

Abstract

Introduction: Knowledge of Antenatal Care (ANC) is crucial for the health of pregnant women and their unborn children. Objectives: This study compares the effectiveness of counselling alone versus a combination of counselling and video education on pregnant women's knowledge of integrated ANC at Puskesmas Sekardangan Sidoarjo. Methods: Using a quasi-experimental design with two post-tests only groups, 40 pregnant women were divided into two groups of 20. The control group received counselling, while the intervention group received both counselling and educational videos on ANC. ANC knowledge questionnaires were completed post-intervention and analyzed using the Mann-Whitney test. Results: Results indicated that 65% of the control group had poor knowledge levels, compared to 45% of the intervention group with good knowledge levels. There was a significant increase in knowledge in both groups, with a Z count of -3.525 and a significance value of ρ = 0.000, showing a significant difference between the groups. Conclusion: The study concludes that combining educational videos with counselling is more effective in enhancing pregnant women's knowledge about ANC than counselling alone. Health facilities are recommended to integrate educational videos into ANC counselling programs, with further research needed to explore technology in health education.
HUBUNGAN TINGKAT STRES AKADEMIK DENGAN SIKLUS MENSTRUASI PADA MAHASISWA PROFESI BIDAN DI UNIVERSITAS AIRLANGGA Sidiqkah, Amalia Iin; Andriyanti, Andriyanti; Setyowati, Dewi; Farizi, Sofia Al
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 9 No. 1 (2025): APRIL 2025
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v9i1.25412

Abstract

Menstruasi merupakan proses meluruhnya endometrium yang mengeluarkan darah melalui vagina. Siklus menstruasi normal adalah 21-35 hari. Sebanyak 80% perempuan di dunia mengalami menstruasi tidak teratur. Di Indonesia wanita usia 10-59 tahun mengalami masalah menstruasi tidak teratur sebanyak 13,7%. Siklus menstruasi dipengaruhi oleh stres, karena stres membuat rangsangan pada hypothalamus-pituitary-adrenal axis sehingga menghasilkan hormon kortisol. Hormon kortisol menyebabkan ketidakseimbangan hormonal pada hormon reproduksi, salah satu dampaknya adalah perubahan siklus menstruasi. Mahasiswa cenderung mengalami stres, penyebab stres pada mahasiswa diantaranya jadwal perkuliahan yang padat, dan tuntutan prestasi akademik. Sebanyak 50% mahasiswa mengalami tingkat stres sedang, dan 55,2% mengalami siklus menstruasi tidak teratur. Mengetahui hubungan tingkat stres akademik dengan siklus menstruasi pada mahasiswa profesi bidan di Universitas Airlangga. Penelitian ini menggunakan desain studi analitik observasional dengan pendekatan cross sectional. Sampel penelitian adalah mahasiswa profesi bidan Universitas Airlangga sebanyak 53 orang yang memenuhi kriteria inklusi yaitu mahasiswa yang berusia 20-35 tahun. Penelitian dilakukan pada Januari 2024. Pengambilan sampel menggunakan probability sampling dengan simple random sampling. Instrumen penelitian yang digunakan berupa data primer dengan menyebarkan kuesioner secara online. Data penelitian dianalisis menggunakan uji Chi Square. Berdasarkan hasil penelitian, 52,8% mahasiswa mengalami tingkat stres akademik tinggi, dan 64,2% mahasiswa mengalami siklus menstruasi yang tidak teratur. Analisis uji korelasi Chi-Square tingkat stress akademik dengan siklus menstruasi memiliki hubungan dengan nilai p=0,042. Dapat disimpulkan bahwa terdapat hubungan tingkat stres akademik dengan siklus menstruasi pada mahasiswa profesi bidan di Universitas Airlangga.
The Association Between Asphyxia and Neonatal Pathological Jaundice Incidence in Umbu Rara Meha Hospital East Sumba Regency Hartati Liawat, Fitri; Andriyanti, Andriyanti; Utomo, Budi
Blantika: Multidisciplinary Journal Vol. 2 No. 8 (2024): Special Issue
Publisher : PT. Publikasiku Academic Solution

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57096/blantika.v2i8.188

Abstract

Jaundice causes 70% morbidity and 10% infant mortality worldwide, approximately 1.1 million newborns are affected by jaundice every year. The purpose of this study was to analysis the association between asphyxia and the incidence of neonatal pathological jaundice at Umbu Rara Meha Hospital, East Sumba Regency. The research used a quantitative method with case and control approach using secondary collection data medical records from January to October 2023. The sample ratio was 1:1, the case group sample is 75 babies with jaundice and the control group sample is 75 babies who were born in the hospital. The sampling taken by consecutive sampling. The analysis used the Chi-square test. The data analysis showed there was an association between asphyxia and neonatal pathological jaundice incidence with p=0.001. The data result showed there was an association between asphyxia and neonatal pathological jaundice incidence at Umbu Rara Meha Hospital, East Sumba Regency.
Peningkatan Pengetahuan Continuity of Care pada Bidan untuk Cegah AKI-AKB & Stunting Andriyanti, Andriyanti; Izzati, Dwi; Ningtyas, Woro Setia; Sabilillah, Nabilah
ABHIPRAYA: Jurnal Pengabdian Masyarakat Kesehatan dan Sains Vol 2 No 1 (2024): Desember 2024
Publisher : Universitas Nusantara PGRI Kediri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29407/abhipraya.v2i1.23758

Abstract

Stunting is one of the indicators to determine the quality of health services.. A strategic effort to overcome this is by implementing Midwife Continuity of Care (CoC) on the 1000 HPK (First Day of Life) by midwives. Probolinggo Regency has the 5th highest mortality rate in East Java Province with an MMR of 201 per 100,000 live births in 2022, while the IMR rate reaches 10.4 per 1,000 live births. One of the factors that influences this problem is the midwife's lack of knowledge regarding CoC care. Research shows that implementing CoC can significantly reduce the risk of maternal and neonatal complications. The aim of this community service activity is to increase midwives' knowledge regarding Continuity of Care. Methods include module development, training, and interactive discussions. The first stage is creating a CoC guide module for midwives and a parenting guide for parents. The second stage involves training for midwives and cadres on the concepts and implementation of CoC. Additionally, the activity is conducted in the form of interactive discussions and reflections on the CoC practices carried out by the midwives and cadres. The final stage is the ASAH (Asih, Asah, and Asuh) class for mothers with infants and toddlers, aimed at enhancing their knowledge in monitoring child growth and development. The results of this activity show an increase in midwives' knowledge of 21% after participating in training and simulations. The midwives involved also showed a commitment to implementing CoC in daily services, with the hope of contributing to improving the quality of sustainable midwifery services in their area. This program is expected to be an important step in and accelerate efforts to prevent MMR, IMR and Stunting in Indonesia
The Role of Continuity of Care Companions in Preparation For the Next Pregnancy After IUFD Ramadhani Ayu Wiguna; Andriyanti, Andriyanti; Sofia Al Farizi
Jurnal EduHealth Vol. 16 No. 03 (2025): Jurnal EduHealt, Edition July - September , 2025
Publisher : Sean Institute

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

Abstract

Intrauterine fetus death is a very shocking condition, both physically and emotional. TheWorldHealth Organization recommend spacing pregnancy at at least 6 months after Intrauterine Fetal Death to reduce the risk of future problems pregnancies. The use of contraception is one of the important elements in pregnancy planning to allow time for the mother to undergo a complete medical evaluation, stabilize her health condition, and get the necessary psychological counseling. Case report : In this case study, assistance was provided toMrs. VA, a 25-year-old housewife, G2P1001 with underweight and chronic energy deficiency. At 25/26 weeks of pregnancy, Mrs. VA was diagnosed with Intrauterine Fetal Death. During the postpartum period, the companion made home visits by providing support to the mother after Intrauterine Fetal Death and providing validation of what the mother felt. Husband and family also always become a support system for the mother by helping to do homework so that the mother does not do heavy activities at home. After the situation improved, the companion began to provide education and information about prepare for the next healthy pregnancy. Conclusion : Risk factors for Intrauterine Fetal Death based on cases are the state of the mother who has a lower body mass index and is included in chronic energy deficiency. Based on recommendations from the World Health Organization spacing pregnancy for at at least 6 months after Intrauterine Fetal Death. Interventions in the form of counseling, social support, and health education can help mother deal with grief and restore emotional balance and maternal identity.
Peran Dukungan Suami dan Bidan selama Kehamilan dalam Penentuan Metode Kontrasepsi Pasca Persalinan pada Masa Pandemi Covid-19 Sari, Deviati Juwita; Izzati, Dwi; Andriyanti, Andriyanti
JURNAL KEBIDANAN BESTARI Vol 6 No 1 (2022): Jurnal Kebidanan Bestari
Publisher : Midwifery Departement Poltekkes Kemenkes Banjarmasin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31964/jkb.v6i1.93

Abstract

Background: Continuity of care in obstetrics is a series of continuous and comprehensive service activities ranging from pregnancy, childbirth, puerperium, newborn services and family planning services The attitude and support of the husband can be a reinforcement and encouragement for the wife in using contraception tools. Midwives are a great place to discuss and provide contraception. The use of postpartum contraceptives has been shown to be higher when contraceptive counseling is administered over the antenatal and postpartum time periods. Methods: This research is a descriptive study with a case study starting from March 2021-April 2022. Case Report: Telehealth assistance is carried out 2-4 times / month from 13-14 weeks of gestation. Postpartum contraceptive counseling is administered from 28 weeks gestational age. The companion provides counseling regarding the types of contraceptive methods along with their advantages and side effects, then the mother is advised to discuss with the husband the contraceptive plan chosen for use after childbirth. Mothers and husbands choose this steady contraceptive method because it is enough to have only 2 children and the husband considers the age of the mother which if pregnant again can cause a high risk for the mother. Conclusion: Continuity of care is the right opportunity for midwives to be able to provide continuous and quality care and provide counseling that is in accordance with the needs of mothers since hami, childbirth, puerperium and babies, even during the Covid-19 pandemic, especially postpartum counseling contraceptive during pregnancy. Husband support and the role of midwives have an influence on the use of postpartum contraceptives, so there is a need for support from husbands and midwives in carrying out a joint commitment to the use of postpartum contrception in the antenatal period. Keywords : Husband support, midwife role, contraception, postpartum
FAKTOR YANG MEMPENGARUHI IBU PASCA SALIN DALAM PEMILIHAN METODE KONTRASEPSI TUBEKTOMI DI RSPAL DR. RAMELAN SURABAYA Alriana, Thre Anik; Jayanti, Ratna Dwi; Andriyanti, Andriyanti; Setyowati, Dewi
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 9 No. 2 (2025): AGUSTUS 2025
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v9i2.47485

Abstract

Berdasarkan data Badan Pusat Statistika tahun 2023 jumlah pasangan usia subur di Indonesia yang menjadi peserta program Keluarga Berencana sebesar 55,49 %, sedangkan di Jawa Timur pada cakupan peserta KB aktif nasional yaitu 343.405 (75,4%) dari total pasangan usia subur sebanyak 4.417323. dan banyak ibu yang memerlukan metode kontrasepsi yang efektif untuk mengatur jarak kelahiran. Salah satu metode yang dipilih oleh beberapa ibu adalah tubektomi, yaitu prosedur pembedahan untuk memotong dan mengikat tuba falopi, sehingga mencegah kehamilan. Ada beberapa faktor yang mempengaruhi pemilihan metode kontrasepsi pada ibu pasca salin yaitu: cara persalinan, pendidikan, pengetahuan, dukungan suami dan petugas. Penelitian ini bertujuan untuk mengetahui Faktor Yang Mempengaruhi Ibu Pasca Salin dalam Pemilihan Metode Kontrasepsi Tubektomi. Jenis penelitian yang digunakan adalah kuantitatif dengan pendekatan cross sectional. Teknik pengambilan sampel yang digunakan adalah total sampling dengan jumlah sampel sebanyak 54 orang. Penelitian ini dilakukan di ruang nifas (F1) RSPAL dr. Ramelan Surabaya, pada bulan Januari-Maret 2025. Variabel independen : pengetahuan, pendidikan, cara persalinan, dukungan suami dan dukungan petugas, dan variabel dependen : pemilihan metode kontrasepsi Tubektomi. Analisis statistik yang dilakukan dengan Chi-square dan Fisher’s Exact. Pengetahuan (p value = 0,045), pendididkan (p value = 0,437), cara persalinan (p value = 0,036), dukungan suami (p value = 0,001), dukungan petugas (p value = 0,004). Pengetahuan memiliki pengaruh yang cukup dalam pemilihan metode kontrasepsi tubektomi, cara persalinan, dukungan suami dan dukungan petugas memiliki pengaruh yang lemah dalam pemilihan metode kontrasepsi tubektomi, sedangkan pendidikan tidak memiliki pengaruh dalam pemilihan metode kontrasepsi tubektomi.
Relationship Between The Severity of Preeclampsia and Oligohydramnios Andriyanti, Andriyanti; Bunga Cinta Dewi, Bianca; Sa'adi, Ashon
Jurnal KESANS : Kesehatan dan Sains Vol 4 No 11 (2025): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v4i11.418

Abstract

Introduction: Preeclampsia is a pregnancy complication characterized by hypertension and organ dysfunction after 20 weeks of gestation, often associated with adverse maternal and fetal outcomes, including oligohydramnios. Objective: This study aims to analyze the relationship between the severity of preeclampsia and the occurrence of oligohydramnios. Methods: An analytical observational study with a cross-sectional approach was conducted using medical records of 105 preeclamptic patients at Dr. Soetomo General Hospital, Surabaya, in 2023. The severity of preeclampsia was the independent variable, and oligohydramnios was the dependent variable. Data were analyzed using the Fisher Exact test. Result and Discussion: The study sample consisted of a relatively balanced proportion of preeclampsia without severe features (50.5%) and preeclampsia with severe features (49.5%). Only 5.7% of pregnant women with preeclampsia experienced oligohydramnios. There was no significant association between the severity of preeclampsia and oligohydramnios (p=0.981). The findings showed an equal distribution of oligohydramnios cases across both groups. Conclusion: The severity of preeclampsia is not associated with oligohydramnios. However, these findings indicate that oligohydramnios can occur not only in cases of preeclampsia with severe features but also in those without severe features. Placental insufficiency leads to decreased uteroplacental blood flow.