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Perbedaan Kadar Hemoglobin pada Ibu Hamil antara Preeklampsia Ringan dan Preeklampsia Berat Astuti, Wuri Widi; Suparni, Ita Eko
Journal Center of Research Publication in Midwifery and Nursing Vol 2 No 2 (2018): Journal Center of Research Publication in Midwifery and Nursing
Publisher : STIKES Bina Usada Bali

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36474/caring.v2i2.49

Abstract

Preeklampsia merupakan gangguan kesehatan yang terjadi khusus pada kehamilan yang dapat memengaruhi kesejahteraan ibu dan janin. Preeklampsia dapat berkembang menjadi kondisi yang mengancam jiwa dengan hemolisis umum, peningkatan enzim hati, jumlah trombosit yang rendah, dan peningkatan kadar hemoglobin (Hb) bebas. Penelitian ini bertujuan untuk mengetahui perbedaan kadar hemoglobin pada ibu hamil dengan preeklampsia ringan dan preeklampsia berat di RSUD Kabupaten Kediri. Desain penelitian yang digunakan adalah deskriptif analitik dengan pendekatan cross sectional. Teknik sampling yang digunakan yaitu simple random sampling. Sampel pada penelitian ini adalah ibu hamil dengan pre eklampsia di RSUD Kabupaten Kediri periode Januari-Agustus 2018 sebanyak 30 responden yang memenuhi kriteria inklusi. Pengumpulan data dilakukan pada bulan September menggunakan data rekam medis. Analisa data menggunakan uji independent t-test didapatkan rata-rata kadar hemoglobin pada ibu dengan preeklampsia ringan adalah 12,600 g/dL, sedangkan preeklampsia berat mencapai 13,188 g/dL dengan p>0,05 (0,102). Tidak terdapat perbedaan bermakna kadar hemoglobin pada ibu hamil dengan preeklampsia ringan dan preeklampsia berat. Penting bagi bidan dan tenaga kesehatan untuk selalu melakukan pemantauan secara rutin terhadap kadar hemoglobin ibu hamil.
Pengaruh Ovariektomi terhadap Kadar Estradiol dalam Darah Tikus (Rattus novergicus) Model Menopause Dwi Yuliawati; Wuri Widi Astuti; Fitri Yuniarti
JURNAL ILKES : Jurnal Ilmu Kesehatan Vol 10 No 2 (2019): Jurnal Ilkes (Jurnal Ilmu Kesehatan)
Publisher : STIKES Karya Husada Kediri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35966/ilkes.v10i2.134

Abstract

Menopause is a transition from previously productive to slowly to non-productive periods caused by the reduction in the hormones estrogen and progesterone. The occurrence of cardiovascular problems (CVD) increases substantially at menopause, as does atherosclerosis. Research using animal models of menopause is needed to learn more about the effects of menopause including the potential for atherosclerosis. Artificial methods of menopause with ovariectomy are expected to eliminate the source of estrogen. The aim of the study was to obtain preliminary animal models of menopause in terms decreased levels of estradiol in the blood of rats (Rattus novergicus) ovariectomy. The study design used a post-test only control group design, carried out in vivo using female rats (Rattus novergicus) Wistar strains of 25 rats randomly divided into 5 groups (negative, positive and 3 treatment controls). Ovariectomy was performed in the positive control and treatment groups. Estradiol levels were examined 30 days post ovariectomy in all groups. Estradiol test uses the ELISA method. Anova test results with a significance level of α = 0.05 established that the p value of 0,000 was less than α = 0.05 which means that there was a significant influence of ovariectomy on decreasing estradiol levels in rat blood (Rattus novergicus). From the results of the Post Hoc Tukey test it was found that of the 5 groups, the most different estradiol content was in the unovariectomy group of rats. Ovariectomy results can be used as an artificial method of menopause in rats (Rattus novergicus) in terms of decreased levels of estradiol in rat blood.
Pengaruh Faktor Sosiodemografi terhadap Kejadian Lesi Prakanker dengan Skining Inspeksi Visual Asetat (IVA) di Puskesmas Bendo Kecamatan Pare Kabupaten Kediri Wuri Widi Astuti; Reni Yuli Astutik
Jurnal Kesehatan Andalas Vol 7, No 3 (2018)
Publisher : Fakultas Kedokteran, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jka.v7i3.890

Abstract

Kanker serviks adalah salah satu penyebab kematian wanita di dunia. Salah satu metode yang efektif, mudah, murah dan sederhana untuk mendeteksi kanker serviks dini adalah Inspeksi Visual Acetat (IVA). Tujuan penelitian ini adalah menentukan pengaruh faktor sosiodemografi terhadap insidensi lesi prakanker serviks dengan menggunakan pemeriksaan IVA di Puskesmas Bendo Kecamatan Pare Kabupaten Kediri. Desain penelitian menggunakan studi analitik dengan pendekatan cross sectional. Teknik sampling menggunakan simple random sampling dengan jumlah sebanyak 90 responden. Pengumpulan data dilakukan melalui data rekam medik dan wawancara responden. Penelitian ini telah dilakukan pada Oktober 2017 di Puskesmas Bendo Kabupaten Kediri. Data dianalisis menggunakan uji Chi-square dan regresi logistik dengan tingkat signifikansi α = 0,05. Hasil penelitian menunjukkan ada hubungan yang signifikan pada variabel usia responden (p=0.013), usia pertama berhubungan seksual (p=0.000), pengguna pil KB (p=0.000) dan riwayat kanker dalam keluarga (p=0.016). Variabel paritas dan merokok mempunyai hubungan yang tidak signifikan (p≥0.05). Variabel dominan yang terkait dengan lesi prakanker serviks adalah pengguna kontrasepsi KB dengan OR = 18,784. Disimpulkan bahwa wanita pengguna kontrasepsi oral berisiko 18 kali lebih besar mengalami kejadian lesi prakanker dibandingkan dengan variabel lain. Disarankan kepada bidan dan petugas kesehatan lainnya untuk terus memberikan penyuluhan dan KIE kepada perempuan untuk memeriksakan kesehatan reproduksi secara teratur sebagai pencegahan kanker serviks.
Efek Glycine Soja Terhadap Angiogenesis dan Histologi Aorta Tikus Ovariektomi Dwi Yuliawati; Wuri Widi Astuti
Jurnal Kesehatan Andalas Vol 9, No 4 (2020): Online December 2020
Publisher : Fakultas Kedokteran, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jka.v9i4.1506

Abstract

Resiko CVD meningkat secara tajam pada menopause yang disebabkan oleh perkembangan aterosklerosis ditandai adanya penebalan intima patologis pada aorta. Tujuan: Membuktikan pemberian ekstrak kedelai hitam (Glycine soja) dapat meningkatkan ekspresi VEGF, diameter aorta dan menurunkan ketebalan media intima aorta tikus ovariektomi. Ovariektomi dilakukan untuk membuat hewan model menopause.  Metode: Tikus dibagi menjadi lima kelompok: Kontrol Negatif, Positif, tiga Perlakuan (dosis 50,100,150 mg/200grBB/hari). Ovariektomi dilakukan pada kelompok kontrol positif dan perlakuan.Tiga puluh hari post ovariektomi, pada kelompok perlakuan diberikan ekstrak kedelai hitam  sesuai dosis selama 30 hari. Terminasi dilakukan untuk pengambilan aorta pada seluruh kelompok. Pemeriksaan ketebalan media intima dan diameter aorta menggunakan HE, sedangkan VEGF menggunakan immunohistokimia. Hasil: Uji One Way Anova terhadap diameter aorta dan VEGF, didapatkan p = 0,000 (p<0,05 ), yang berarti terdapat pengaruh signifikan pemberian ekstrak kedelai hitam terhadap peningkatan diameter dan VEGF aorta tikus ovariektomi. Uji Post Hock Tukey menunjukkan peningkatan diameter aorta dan VEGF signifikan pada seluruh kelompok perlakuan dibandingkan kelompok kontrol positif. Uji One Way Anova terhadap ketebalan media intima didapatkan p = 0,410, yang berarti tidak terdapat pengaruh yang signifikan pemberian ekstrak kedelai hitam terhadap penurunan ketebalan media intima aorta tikus ovariektomi. Rerata ketebalan terendah terdapat pada kelompok Perlakuan 1  dibawah rerata ketebalan media intima kelompok kontrol positif. Simpulan: Pemberian ekstrak kedelai hitam meningkatkan secara signifikan ekspresi VEGF dan diameter aorta, namun tidak berpengaruh secara signifikan dalam menurunkan ketebalan media intima aorta tikus ovariektomi.Kata kunci: diameter aorta, kedelai hitam, ketebalan media intima aorta, VEGF
Knowledge Affects the Participation of Women of Reproductive Age in the Use of Long-Term Contraceptive Methods Wuri Widi Astuti; Anik Soelistyowati; Dintya Ivantarina
Science Midwifery Vol 10 No 5 (2022): December: Science Midwifery
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v10i5.1015

Abstract

The trend of acceptors of family planning in Indonesia so far shows less use of long-term contraceptive methods compared to short-term contraceptive methods. This may be due to limited knowledge or information obtained by women of childbearing age couples, so the aim of this study was to determine the relationship between knowledge and participation of women of childbearing age in the use of long-term contraceptive methods. This type of correlation analytic research was a cross-sectional approach that was carried out in May-2012. June 2022. The research population was all female couples of childbearing age who used active contraception in the Petiken hamlet, Petiken village, Driyorejo Gresik District, totaling 345 women with a total sample of 182 women who met the inclusion criteria through simple random sampling. The data collection method was carried out directly with a research instrument in the form of a questionnaire. Data were analyzed using the Chi-Square statistical test. The results showed that knowledge influenced the participation of women of childbearing age in the use of long-term contraceptive methods (P = 0.000). Knowledge is a very important domain in the formation of one's actions so that a good level of knowledge will determine behavior in the use of long-term contraceptive methods.
Pengetahuan dan Sikap Ibu Hamil Tentang Risiko Paparan Covid-19 Terhadap Persiapan Persalinan Pada Masa Pandemi Covid-19 Wuri Widi Astuti; Siti Asiyah
Prosiding SPIKesNas : Seminar Publikasi Ilmiah Kesehatan Nasional Vol. 1 No. 01 (2022): SPIKesNas - Agustus 2022
Publisher : STIKES dan AKZI Karya Husada Kediri

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

Abstract

During the Covid-19 pandemic, implementing health protocols according to government recommendations is one of the efforts to prevent the transmission of the virus that must be obeyed by all groups, including pregnant women. Pregnant women are a vulnerable group exposed to Covid-19 virus infection which can increase maternal and newborn morbidity and mortality. The purpose of the study was to analyze the relationship between knowledge and attitudes about the risk of exposure to Covid-19 with preparation for childbirth during the Covid-19 pandemic at the Wilangan Nganjuk Health Center. This type of research is a correlational study with a cross-sectional approach. The population is all third-trimester pregnant women at the Wilangan Nganjuk Health Center in October 2021 as many as 104 people, sampling was carried out for 2 weeks on October 2-16, 2021 by accidental sampling which obtained 56 people. Collecting data using a questionnaire sheet, then analyzed using Chi-Square statistical test with = 0.05. The results showed, that among 56 third trimester pregnant women, almost all of them had good knowledge, as many as 49 people (87.5%), most of them had a good attitude about the risk of exposure to Covid-19, namely 36 people (64.3%), most of them were ready. in preparing for childbirth during the Covid-19 Pandemic, as many as 34 people (70.7%). The results of the statistical test showed that there was a relationship between knowledge about the risk of exposure to Covid-19 and preparation for delivery of pregnant women in the third trimester with a p-value of = 0.012, and there was a relationship between attitudes and preparation for delivery of pregnant women in the third trimester with a p-value of = 0.024. Pregnant women can absorb information about Covid-19 to increase knowledge about the risk of exposure to Covid-19 so that it can be used as a prevention and control measure for Covid-19 so that pregnant women can go through pregnancy and childbirth in a healthy, safe, and no accompanying complication.
Deteksi Dini Resiko Tinggi Pada Ibu Hamil melalui program “Kemilau Penari”gi Pada Ibu Hamil melalui program “Kemilau Penari” Wuri Widi Astuti
Prosiding SPIKesNas : Seminar Publikasi Ilmiah Kesehatan Nasional Vol. 1 No. 01 (2022): SPIKesNas - Agustus 2022
Publisher : STIKES dan AKZI Karya Husada Kediri

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

Abstract

Pregnancy is a physiological condition and has great meaning in every woman's life. Although it is physiological in nature, the presence of diseases previously suffered by pregnant women or complications during pregnancy can cause complications for both the mother and the fetus in the womb. Therefore, it is necessary to make efforts to improve health, especially for pregnant women by detecting complications and high risks in pregnancy. The purpose of this activity is to improve education for pregnant women about early detection of high risks and complications in pregnancy by carrying out community service activities with the "Green Dancer" program. The target is 15 pregnant women TM III which will be held from 07-13 June 2022 at PMB Hj. Karwati, SST., BD Ngampel Village, Mojoroto District, Kediri City. The activity was carried out through 3 stages, namely the pre-test stage which aims to determine the extent of knowledge and understanding of high-risk mothers in pregnant women. The second stage is providing material on high risk early detection and how to assess risk scores using KSPR. The third stage is to evaluate the participants regarding the material that has been given by giving a post test and ending with the formation of a discussion group via Whatsapp. The results of the activities from the counseling were found that most of the mother's knowledge increased in the good category. Pregnant women can fill out and read scores in the KSPR, as well as form an educational group with the name 3K ON. With this innovation, it is hoped that it can help overcome the problems of pregnant women related to complications and can contribute to the reduction of MMR and IMR.
Peningkatan Pengetahuan pada Pasangan Calon Pengantin tentang Perencanaan Kehamilan melalui program “Secanting” Wuri Widi Astuti
Prosiding SPIKesNas : Seminar Publikasi Ilmiah Kesehatan Nasional Vol. 2 No. 1 (2023): SPIKesNas - Februari 2023
Publisher : STIKES dan AKZI Karya Husada Kediri

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

Abstract

Preconception is care before pregnancy with a span of three months to one year before conception. The "Secanting" program, which stands for “Sosialisasi dan Edukasi Calon Pengantin itu Penting” as a program for the bride and groom to receive education about physical and psychological health before facing marriage so that later they can prepare for the pregnancy process well to prevent malnutrition, prepare the body for changes during pregnancy. , prevent obesity, prevent the risk of miscarriage etc. The purpose of this activity is that participants are expected to know about Healthy Pregnancy Planning. The method used in this activity was to provide counseling to the prospective bride and groom as many as 10 participants, which was carried out at the Puncu Health Center, Puncu District, Kediri Regency on September 5-8, 2022. This activity was carried out in 3 stages, namely pre-testing, providing counseling and followed by a post test. The results of these activities indicate that there is an increase in the knowledge of the participants and the enthusiasm of the participants in participating in the extension activities. Providing information, especially health problems in the community, is very important, with the intensive information that is heard or obtained by individuals, it can increase the knowledge of the prospective bride and groom, especially about pregnancy planning.
Pemberian Kedelai Hitam (Glycine soja) Meningkatkan Ekspresi RE-alpha Aorta Tikus Ovariektomi Yuliawati, Dwi; Astuti, Wuri Widi; Yuniarti, Fitri
Malang Journal of Midwifery (MAJORY) Vol. 4 No. 2 (2022): MAJORY
Publisher : Poltekkes Kemenkes Malang & IBI Ranting Pendidikan Kota Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/majory.v4i2.3889

Abstract

Menopause is a condition in women characterized by decreased estrogen function due to decreased ovarian function and has an impact on increasing the occurrence of cardiovascular problems. Fulfillment of estrogen needs in menopause can use phytoestrogens from black soybeans. The study aims to prove that black soybean (Glycine soja) can increase RE-? expression in the aorta of ovariectomized rats. Research samples (25 female rats) were randomly divided into 5 groups: negative control group (K-), positive control (K+) and treatment (P1, P2, P3). Ovariectomy was performed on K+ and P1,P2,P3. Thirty days post ovariectomy, the rats were treated with black soybean doses of 50, 100, 150 mg/200 g/day for 30 days. RE-? expression using immunohistochemical method. The results of Kruskal Walls analysis (?=0.05) showed a p value of 0.027 < ?=0.05, meaning that there is a significant effect of black soybean administration on increasing the expression of RE-? in the aorta of ovariectomized rats. Post Hoc testing with Mann Whitney showed a significant increase in RE-? expression in the 150 mg/200 gr/day dose treatment group compared to the positive control group (K+).
Kualitas Pendampingan Suami dalam Proses Persalinan Widi Astuti, Wuri; Mukaromah; Gita Maringga, Estin
Prosiding SPIKesNas : Seminar Publikasi Ilmiah Kesehatan Nasional Vol 3 No 1 (2024): SPIKesNas - Februari 2024
Publisher : STIKES dan AKZI Karya Husada Kediri

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

Abstract

Childbirth is an important event that is eagerly awaited by every married couple. In addition to being impatient to see her baby born into the world, fear and anxiety about the birth process are also in the mind. So it really needs moral and material support from the husband and family to reduce the mother's anxiety so that the delivery process runs smoothly. The purpose of this research is to know the description of the quality of husband's assistance in the delivery process. The research used descriptive design with a single variable, namely the quality of husband's assistance in the delivery process. The research was carried out in the independent practice of the Mukaromah midwife, Wedoroanom Village, Driyorejo District, Gresik Regency from June 1, 2022 to July 30, 2022. The population of all husbands who accompany mothers in childbirth, using the Total Sampling technique to determine the sample as many as 20 respondents. Data collection using questionnaires and observation sheets. Data analysis used univariate test with editing, coding, and tabulating processes. The results of this study indicate that almost all respondents have good mentoring quality, as many as 17 respondents (85%) and a small proportion of respondents have sufficient quality as many as 3 respondents (15%). The quality of husband's assistance in childbirth is influenced by several factors, including knowledge, age and education. The more mature a husband, the more mature the ability to think as a birth companion so that the delivery process runs smoothly. The need for education to husband about assisting the birth process can accompany the mother in the delivery process so that it runs smoothly.