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Comparison of Pregnancy Exercise Modifications in Improving the Functional Capability of Pregnant Women Fahruddin, Sri Gunda Fahriana; Aslina, Wiwit Indriyani; Lestari, Nita Indah
JURNAL PROTEKSI KESEHATAN Vol 13 No 2 (2024): JPK: Jurnal Proteksi Kesehatan
Publisher : Poltekkes Kemenkes Riau

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36929/jpk.v13i2.951

Hormonal changes in pregnant women result decreased muscle elasticity and flexibility, changes in static posture. Lower back pain in pregnant women can hinder daily functional activities. To find out physiotherapy interventions that can improve the functional abilities of pregnant women in conditions of low back pain. This research design uses randomized pre and post group design. This research used 20 subjects, divided into 2 groups. Analytical tests used paired sample t-test and independent sample t-test. Functional ability was measured using Pain Disability Index. Results of the analysis mean difference are p<0.05, which means that modified pregnancy exercise and gym ball are better than conventional pregnancy exercise in improving the functional abilities of pregnant women in NPB conditions. Pregnancy exercise and Gym ball can reduce the degree of lower back pain by training the tone of the inner transverse abdominal muscles, this can overcome NPB thereby increasing daily functional activities.

Hubungan Jenis Kelamin dengan Perilaku Seks Pranikah pada Remaja Amalia, Silviatul; Safitri, Yulia Retno; Aslina, Wiwit Indriyani
Jurnal Ilmiah Kesehatan Rustida Vol 12 No 1 (2025): Januari
Publisher : Akademi Kesehatan Rustida

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55500/jikr.v12i1.263

Perilaku seks pranikah pada remaja masih menjadi masalah hingga saat ini. Negara Indonesia berada di peringkat kedua di ASEAN dan di peringkat ke tujuh tertinggi di dunia. Seks pranikah merusak masa depan remaja, seperti putus sekolah dan tanggung jawab menjadi orang tua muda. Dampak yang ditimbulkan oleh perilaku seksual remaja, yang merupakan sumber masalah yang harus segera diselesaikan. Tujuan penelitian ini yaitu untuk mengetahui hubungan jenis kelamin dengan perilaku seksual pranikah dikalangan remaja. Metode Penelitian ini menggunakan pendekatan cross sectional. 216 responden dengan teknik simple random sampling, Pengambilan data menggunakan kuesioner yang telah di uji validitas dan reliabilitas, data di uji menggunakan uji Spearman Rank. Hasil uji Spearman Rank menunjukkan bahwa Ha diterima dan H0 ditolak, dengan nilai p=0,000 (<0,05). Kesimpulan: terdapat hubungan antara jenis kelamin dengan perilaku seks pranikah. Jenis kelamin merupakan salah satu faktor penting dalam memahami sikap terhadap hubungan seksual yang merupakan fakta yang konsisten dengan temuan dari negara-negara Asia. Hal ini dipengaruhi oleh stigma atau norma subyektif yang ada di masyarakat bahwa remaja laki-laki dianggap wajar dalam melakukan perilaku. Menanamkan nilai-nilai 8 fungsi keluarga, mengawasi media komunikasi agar tidak menyalahgunakan, dan mendorong remaja untuk bergabung di Pusat Informasi dan Konseling Remaja (PIK) untuk mencegah TRIAD Kesehatan Reproduksi Remaja (tidak menikah muda, melakukan hubungan seks sebelas tahun atau lebih muda) merupakan cara untuk menghentikan seks pranikah.

Association Between Maternal Anemia and the Incidence of Postpartum Hemorrhage: A Study at Dr. H. Koesnadi General Hospital, Bondowoso Indriyani Aslina, Wiwit; Amalia, Silviatul
JURNAL KEBIDANAN KESTRA (JKK) Vol. 7 No. 2 (2025): Jurnal Kebidanan Kestra (JKK)
Publisher : Fakultas Kebidanan Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkk.v7i2.2688

Postpartum hemorrhage (PPH) constitutes a critical obstetric emergency arising subsequent to either vaginal birth or cesarean delivery. Its defining characteristic is a quantifiable blood loss surpassing a volume of 500 milliliters. PPH underscores its significance as a major factor influencing both the prevalence of maternal illness and the rates of maternal death in Indonesia and globally. This study aimed to examine the effect of anemia in pregnant women on the PPH incidence at dr. H. Koesnadi General Hospital, Bondowoso, in 2018. The design used a retrospective study with a cross-sectional. The population consisted of 57 postpartum mothers, with 46 respondents as samples determined using Slovin's formula. Probability sampling technique was employed, specifically simple random sampling. Data acquisition was conducted utilizing a standardized checklist, and subsequent statistical analysis involved the application of the Chi-Square test, executed via SPSS version 25. The analysis yielded a statistically significant result, with a p-value of 0.001 (p<0.05), leading to the rejection of the null hypothesis. Consequently, the findings indicate a significant association between the presence of anemia and the PPH occurrence. In anemic pregnant women, reduced oxygen supply leads to fatigue and inadequate uterine muscle contractions, resulting in postpartum hemorrhage.

Association between high-risk pregnancy and mode of delivery in Kalibaru Aslina, Wiwit; Silviatul Amalia; Nita Indah Lestari
Journal of Health Technology Assessment in Midwifery Vol. 8 No. 1 (2025): May
Publisher : Universitas Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31101/jhtam.4087

High-risk pregnancy is a critical public health concern associated with increased maternal and neonatal morbidity and mortality, particularly in developing regions such as Banyuwangi, Indonesia. The Kalibaru area reported the highest number of pregnant women with complications in 2024. This study aims to examine the relationship between high-risk pregnancy status and mode of delivery in Kalibaru, addressing a gap in literature regarding their association. A retrospective cross-sectional study was conducted using secondary data from 762 postpartum mothers in Kalibaru. A total of 262 samples were selected using Slovin’s formula with a 5% margin of error and simple random sampling. Eligibility criteria included complete medical records from women who delivered in Kalibaru in 2024. Data were anonymized and analyzed using the Chi-Square test to determine the association between high-risk pregnancy status (categorized as high-risk or not) and delivery method (vaginal or cesarean section).Among the 262 respondents, 198 (75.6%) had high-risk pregnancies and delivered via cesarean section (CS), while 64 (24.4%) had spontaneous vaginal births. The Chi-Square test showed a statistically significant association between high-risk pregnancy and cesarean delivery (p = 0.000). Odds ratio analysis revealed that high-risk pregnant women were 63.68 times more likely to undergo cesarean section (OR = 63.677; 95% CI: 9.108–445.161) compared to non-high-risk women. Key risk factors contributing to the increased likelihood of cesarean delivery included maternal age <20 or >35 years, height ≤145 cm, low parity, and prior cesarean history. These findings highlight the importance of early detection and comprehensive risk assessment during antenatal care to reduce medically unnecessary cesarean sections. Implementation of routine pregnancy risk screening using tools such as the Poedji Rochyati Scorecard (KSPR), along with strengthening referral systems and public education, is essential for improving maternal outcomes in high-risk pregnancies.

Differences in Hematocrit and Leukocyte Levels in Preeclampsia and Severe Preeclampsia Wiwit Indriyani Aslina; Yuni Riska Hadi
PROFESSIONAL HEALTH JOURNAL Vol. 6 No. 2 (2025): June
Publisher : Pusat Penelitian dan Pengabdian Masyarakat (PPPM) STIKES Banyuwangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54832/phj.v6i2.1147

Introduction: Preeclampsia is a serious pregnancy complication characterized by hypertension occurring at a gestational age of ≥ 20 weeks. In preeclampsia, hematological changes occur due to vasospasm. Vasospasm leads to endothelial damage of blood vessels, marked by an increase in hematocrit and leukocyte levels. Objectives: This study was conducted to determine whether there is a difference in hematocrit and leukocyte levels between pregnant women with preeclampsia and severe preeclampsia. Methods: A cross-sectional, comparative study strategy was employed in this investigation. The sample for this study included all 76 pregnant patients at Genteng Regional Hospital who had preeclampsia or severe preeclampsia in 2023. 38 pregnant women with preeclampsia and 38 pregnant women with severe preeclampsia made up the two groups into which the sample was split. Results: The findings of the study indicated that there is a significant difference in hematocrit levels between preeclampsia and severe preeclampsia, with the p-value = 0.001 being less than α = 0.05. Furthermore, the findings revealed a significant difference in leukocyte counts between preeclampsia and severe preeclampsia, with a p-value = 0.003, which is likewise less than α = 0.05. Conclusions: There is a significant difference in hematocrit and leukocytes in pregnant women with PE and PEB at Genteng Regional Hospital in 2024.

Hubungan Kunjungan ANC terhadap Komplikasi Persalinan Lestari, Nita Indah; Aslina, Wiwit Indriyani; Safitri, Yulia Retno
Jurnal Penelitian Perawat Profesional Vol 7 No 3 (2025): Juni 2025, Jurnal Penelitian Perawat Profesional
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jppp.v7i3.6580

Antenatal Care (ANC) merupakan upaya preventif penting dalam mendeteksi dini risiko kehamilan dan mencegah komplikasi persalinan. Penelitian ini bertujuan menganalisis hubungan antara kelengkapan kunjungan ANC dengan kejadian komplikasi persalinan di Puskesmas Kalibaru Kulon. Penelitian ini menggunakan desain cross-sectional dengan pendekatan kuantitatif, dan data sekunder diperoleh dari rekam medis ibu bersalin pada tahun 2025. Sampel penelitian sebanyak 107 ibu bersalin yang memenuhi kriteria inklusi. Temuan mengindikasikan mayoritas partisipan ibu (74,8%) tidak memenuhi standar kelengkapan kunjungan ANC, dan 68,2% di antaranya tercatat mengalami komplikasi obstetri. Berdasarkan uji chi-square, ditemukan korelasi yang signifikan secara statistik (p=0,001) antara kepatuhan terhadap jadwal kunjungan ANC yang lengkap dan terjadinya komplikasi persalinan. Dapat disimpulkan bahwa kunjungan ANC yang tidak lengkap berhubungan erat dengan meningkatnya risiko komplikasi saat persalinan. Dengan demikian sangat direkomendasikan agar ibu hamil senantiasa melaksanakan kunjungan pemeriksaan kehamilan secara teratur guna mengidentifikasi dan mengatasi potensi komplikasi sejak dini.

FAKTOR - FAKTOR YANG BERHUBUNGAN DENGAN PERSALINAN SECTIO CAESAREA Amalia, silviatul; Aslina, Wiwit Indriyani
Jurnal Kesehatan Tambusai Vol. 6 No. 2 (2025): JUNI 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v6i2.45124

Angka persalinan dengan tindakan sectio caesarea (SC) terus meningkat di berbagai wilayah, termasuk Kabupaten Banyuwangi, yang menunjukkan tingginya angka komplikasi kehamilan dan persalinan. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan kejadian persalinan sectio caesarea di Puskesmas Kalibaru Kulon. Metode dalam Penelitian ini menggunakan desain retrospektif dengan pendekatan cross sectional. Populasi dalam penelitian ini adalah 223 ibu bersalin dengan penyulit, dan teknik pengambilan sampel dilakukan secara total sampling. Data dikumpulkan menggunakan checklist dan dianalisis menggunakan uji Chi-Square. Hasil penelitian menunjukkan bahwa 55,2% responden menjalani sectio caesarea , sedangkan 44,8% melahirkan secara normal. Faktor-faktor yang berhubungan signifikan dengan kejadian sectio caesarea adalah riwayat sectio caesarea sebelumnya (p=0,014), Ketuban Pecah Dini/KPD (p=0,000), letak janin tidak normal (p=0,000), dan cephalopelvic disproportion/CPD (p=0,000). Sementara itu, preeklampsia tidak menunjukkan hubungan yang signifikan secara statistik (p=0,093). sehingga dapat disumpulkan bahwa terdapat hubungan antara Riwayat sectio caesarea , Ketuban Pecah Dini, Letak dan Cephalopelvic disproportion dengan kejadian sectio caesarea dan tidak terdapat hubungan antara Preeklampsia dengan kejadian sectio caesarea . Meskipun preeklampsia tidak menunjukkan hubungan signifikan dalam analisis ini, kondisi tersebut tetap menjadi perhatian dalam manajemen kehamilan. Penting bagi tenaga kesehatan untuk mempertimbangkan faktor-faktor ini dalam pengambilan keputusan terkait metode persalinan, dengan tetap mengedepankan keselamatan ibu dan bayi.

Scoping Review: Pengaruh Riwayat Asfiksia Neonatorum Terhadap Perkembangan Anak Aslina, Wiwit Indriyani; Amalia, Silviatul; Aningsih, Sri
JIK-JURNAL ILMU KESEHATAN Vol 9, No 1 (2025): JIK-April Volume 9 Nomor 1 Tahun 2025
Publisher : UNIVERSITAS ALIFAH PADANG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33757/jik.v9i1.1323

Ketidakmampuan untuk bernapas secara spontan dan teratur saat lahir atau beberapa saat setelah lahir dikenal sebagai asfiksia neonatorum. Pada tahun 2023 penyebab utama kematian bayi di Banyuwangi yaitu asfiksia sebanyak 105 kasus. Asfiksia neonatorum dapat menyebabkan hipoksia iskemik ensefalopati (HIE), edema serebri, cerebral palsy, dan kecacatan, pada jantung dan paru mengalami hipertensi pulmonalis persisten, perdarahan paru, dan edema paru, pada saraf mengalami gangguan neurologis dan keterlamabatan perkembangan. Penelitian ini bertujuan untuk mengetahui pengaruh riwayat asfiksia neonatorum terhadap perkembangan anak. Penelitian ini menggunakan metode Scoping Review, Prefereed Reporting Items for Systematic (PRISMA) digunakan untuk menampilkan alur dalam pencarian evidence. Artikel dikumpulkan dari database Pubmed, Wiley, ScienceDirect, terdapat 10 artikel yang didapatkan peneliti untuk selanjutnya di review. Hasil scoping review menunjukkan bahwa asfiksia merupakan salah satu faktor risiko terjadinya gangguan perkembangan pada anak. Gangguan perkembangan dapat terjadi pada multi organ termasuk pendengaran, penglihatan, otak, dan neurologis. Asfiksia neonatorum menyebabkan terjadinya ensefalopati hipoksik iskemik (HIE) yang disebabkan oleh kurangnya oksigen dan aliran darah ke otak setelah melahirkan. Lamanya waktu otak tidak mendapatkan oksigen akan mempengaruhi keparahan kerusakan otak sehingga terjadi cedera multi organ. Skrining gangguan multi organ harus dilakukan segera agar bayi mendapatkan intervensi yang tepat.

The Association Between Gestational Hypertension and the Incidence of Neonatal Asphyxia in Kalibaru ASLINA, WIWIT INDRIYANI; Lestari, Nita Indah; Amalia, Silviatul
JOURNAL EDUCATIONAL OF NURSING(JEN) Vol 8, No 2 (2025): Journal Educational of Nursing (JEN)
Publisher : STIKes RSPAD RSPAD Gatot Soebroto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37430/jen.v8i2.298

Maternal hypertension, including gestational hypertension, is recognized as a significant risk factor for adverse neonatal outcomes. However, empirical evidence regarding this relationship within the Indonesian healthcare setting remains limited. This study aimed to determine the association between gestational hypertension and the incidence of neonatal asphyxia in Kalibaru. A retrospective cross-sectional study was conducted involving 216 respondents selected through simple random sampling from a population of 469 parturient women. Inclusion criteria encompassed: (1) parturient women with complete medical records at Kalibarukulon Primary Health Center; (2) parturient women with gestational hypertension; and (3) gestational age ≤38 weeks. Data analysis was performed using Chi-Square test with SPSS version 25. The study demonstrated a highly significant association between gestational hypertension and neonatal asphyxia (p-value = 0.000; χ² = 210.699). All respondents with gestational hypertension (100%; n=53) delivered infants with neonatal asphyxia, whereas only 0.6% (n=1) of mothers without gestational hypertension delivered asphyxiated infants. The prevalence of gestational hypertension was 24.5% (n=53) among the study population. Gestational hypertension constitutes a major risk factor significantly associated with neonatal asphyxia. These findings underscore the critical importance of intensive antenatal monitoring, early detection, and optimal management of gestational hypertension to prevent neonatal asphyxia and reduce neonatal morbidity and mortality.

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