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INDONESIA
Jurnal Kesehatan Reproduksi
ISSN : 2302836X     EISSN : 2621461X     DOI : -
Core Subject : Health,
urnal Kesehatan Reproduksi is a scientific journal published by Association of Women and Children Reproductive Health Enthusiasts and Experts/Ikatan Pemerhati Anak dan Kesehatan Reproduksi/IPAKESPRO) who works closely with the Department of Obstetrics and Gynaecology, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada. Jurnal Kesehatan Reproduksi first printed version was published in 2014 with ISSN 2302-836X. In 2016, we also have an online journal version with ISSN 2621-461X. Currently, we already use the Online Journal System, requiring all authors to submit their papers online. Afterwards, authors, editors and reviewers will be able to monitor the manuscript processing. This journal is published annually every April, August and December.
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Articles 7 Documents
Search results for , issue "Vol 10, No 1 (2023)" : 7 Documents clear
Premenstrual Syndrome pada Remaja Selama Pandemi Covid-19 Tahun 2021 Nadia Ramadhanty; Terry Y.R. Pristya; Ulya Qoulan Karima
JURNAL KESEHATAN REPRODUKSI Vol 10, No 1 (2023)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.67998

Abstract

Latar Belakang: Premenstrual syndrome (PMS) adalah kumpulan gejala fisik, psikologis, perilaku dan bisa terjadi seminggu atau beberapa hari sebelum menstruasi. Kondisi pandemi covid-19 berpengaruh pada PMS.Tujuan: Mengetahui faktor-faktor yang berhubungan dengan PMS pada remaja di DKI Jakarta selama pandemi Covid-19 tahun 2021Metode: Penelitian observasional ini menggunakan desain studi cross sectional dengan  jumlah sampel 294 remaja. Analisis bivariat menggunakan uji chi square. Analisis multivariat menggunakan uji regresi logistik berganda.Hasil dan Pembahasan: Hasil analisis bivariat menunjukkan ada hubungan signifikans antara stres berat (p= 0.000 POR = 6.667 95% CI 3.393-13.097) dan pola olahraga (p=0.015 POR = 2.442 95% CI 1.224-4.872) terhadap PMS. Hasil analisis multivariat menunjukkan stres berat paling berpengaruh terhadap PMS (nilai p=0,000 POR=6,483 95% CI 3,268-12,861) setelah dikontrol variabel pola olahraga dan IMT. Kesimpulan: Stres berat dan pola olahraga berhubungan dengan PMS selama pandemi covid-19. Stres  berat paling berpengaruh terhadap PMS setelah dikontrol variabel pola olahraga dan IMT.
Pengaruh Pemberian Buah Kurma Ajwa (Phoenix dactilyfera L) terhadap Kadar Hormon Anti-Mullerian (AMH) dan Gambaran Klinis Perempuan Perimenopause Farah Ekawati Mulyadi; Rosdiana Natsir; Nasrudin Andi Mappaware; Suryani As'ad; Andi Wardihan Sinrang; Liong Boy Kurniawan
JURNAL KESEHATAN REPRODUKSI Vol 10, No 1 (2023)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.72298

Abstract

Background: Perimenopause is clinically characterized by the appearance of various complaints such as disturbed menstrual cycles, vasomotor symptoms, and mood changes that have an impact on reduced quality of life. The decline in ovarian reserve is thought to be the beginning of this transition which eventually triggers hormonal changes. AMH is used as a marker of ovarian reserve and clinically as a predictive biomarker of menopause. Ajwa dates contain various phytochemicals that have potential to be used to protect primordial follicles from various damage while reducing perimenopause complaints.Objective: This study aimed to analyze the effect of consumption of ajwa dates on AMH levels and clinical features of perimenopausal women.Methods: This quasi-experimental study with a pre-post control design was carried out at RSIA Sitti Khadijah I Muhammadiyah Makassar, South Sulawesi, Indonesia, from May to October 2021. This study involved 44 perimenopausal subjects aged 42-48 years who were divided into 2 groups randomly (28 intervention groups, 16 control groups). AMH levels were checked by ELISA method while the clinical features was assessed by clinical examination.Results and Discussion: AMH levels in the intervention group decreased more slowly than the control group (0.37 ± 0.36 ng/ml vs 0.55 ± 0.19 ng/ml, p<0.05). Complaints of sleep disturbances, vaginal dryness, and mood changes were better in the intervention group (p<0.05), while complaints of irregular menstrual cycles and hot flushes were not significantly different in either control and intervention groups.Conclusion: AMH levels in the intervention group decreased more slowly than in the control group. The clinical features in the intervention group were better than the control group. Ajwa dates can be a good nutrition in improving the quality of life of perimenopausal women.Keywords: Anti-Mullerian Hormone (AMH); Clinical Features; Ajwa Dates; Perimenopause.
Hubungan Onset Preeklamsia dengan Luaran Neonatus di RSUP Dr.Sardjito Yogyakarta Harya Bayu Surawijaya; Eugenius Phyowai Ganap; Ahsanudin Attamimi
JURNAL KESEHATAN REPRODUKSI Vol 10, No 1 (2023)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.75113

Abstract

Background: Preeclampsia is one of the leading causes of death for both mother and fetus. Preeclampsia is divided into two categories of onset, for preeclampsia that begins at gestational age below 34 weeks is called early onset preeclampsia and late onset preeclampsia begins after gestational age above 34 weeks. In early-onset preeclampsia, there is an imperfect remodeling of the maternal spiral arteries, resulting in abnormal uteroplacental perfusion, causing hypoxia and acidosis in neonates which can increase incidence of IUGR, incidence of neonatal sepsis, neonatal mortality, low APGAR scores and longer hospital length of stay.Objectives: To determine the relationship between maternal and neonatal outcomes with early-onset preeclampsia and late-onset preeclampsia.Methods: This study was a retrospective cohort design and the sampling method used consecutive sampling. The research subjects were divided into two groups, the early-onset preeclampsia group and the late-onset preeclampsia group who were treated and gave birth at the RSUP. Dr. Sardjito Yogyakarta in 2019-2020.Results and Discussion: This study had a total sample of 235 subjects consisting of 146 subjects in the EO-PE group and 89 subjects in the LO-PE group. The two groups had a significant difference in the incidence of neonatal death, the incidence of neonatal sepsis and length of stay (p<0.05), but there was no significant difference in the incidence of IUGR (p=0.527) and the incidence of low Apgar score (p=0.771).Conclusion: There was no difference in the incidence of IUGR and low Apgar score between mothers with EO-PE and mothers with LO-PE. The incidence of neonatal sepsis and the incidence of neonatal death in mothers with EO-PE is higher than in mothers with LO-PE which was influenced by gestational age and history of preeclampsia. The length of neonatal hospital stay in mothers with EO-PE is longer than that of mothers with LO-PE, it was influenced by the onset of preeclampsia and gestational age. Keywords: Early onset preeclampsia; late onset preeclampsia; neonatal outcome; neonatal sepsis; IUGR. 
Laparotomi Miomektomi Mioma Uteri Wanita Usia 48 Tahun: Laporan Kasus Cindy Marcellina; Cipta Pramana
JURNAL KESEHATAN REPRODUKSI Vol 10, No 1 (2023)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.81854

Abstract

ABSTRACTBackground: Uterine myoma is a benign neoplasm originating from uterine muscle and connective tissue, which often occurs at reproductive age. It is suspected that the most common cause of uterine myomas is the stimulation of the hormone estrogen. Complaints caused by uterine fibroids are very dependent on the location, direction of growth, type, size and number of myomas. Only found in 20-50% of uterine myomas cause complaints, while the rest do not complain about anything.Objective: To find out the diagnosis and management of uterine myoma cases with complaints of lower right abdominal pain.Results and Discussion: A 48-year-old woman with lower right abdominal pain. Physical examination revealed tenderness in the abdomen. On ultrasound examination, it was found that there was a uterine myoma with a size of 7.88 x 7.39 cm. Next, a laparotomy myomectomy was performed.Conclusion: There are several options for managing uterine myoma cases. Intervention in the form of myomectomy is an invasive surgical procedure that can maintain fertility, but this also depends on the size of the myoma and the need for reproductive function.   ABSTRAKLatar Belakang: Mioma uteri merupakan  neoplasma  jinak  ini  berasal  dari  otot  uterus dan  jaringan  ikat, yang sering terjadi pada usia reproduksi. Diduga penyebab timbulnya mioma uteri paling banyak oleh stimulasi hormon estrogen. Keluhan yang diakibatkan oleh mioma uteri sangat tergantung pada lokasi, arah pertumbuhan, jenis, besar dan jumlah mioma. Hanya dijumpai pada 20 – 50 % saja mioma uteri menimbulkan keluhan, sedangkan sisanya tidak mengeluh apapun.Tujuan: Untuk mengetahui penegakan diagnosis dan penatalaksanaan kasus mioma uteri dengan keluhan nyeri perut kanan bawah.Hasil dan Pembahasan: Perempuan 48 tahun  dengan nyeri perut kanan bawah. Pemeriksaan fisik ditemukan nyeri tekan pada abdomen. Pada pemeriksaan USG didapatkan kesan adanya mioma uteri dengan ukuran 7,88 x 7,39 cm. Selanjutnya dilakukan tindakan operatif laparatomi miomektomi.Kesimpulan: Tata-laksana kasus mioma uteri ada beberapa pilihan. Intervensi berupa miomektomi merupakan tindakan bedah invasif yang dapat mempertahankan fertilitas, namun hal ini juga bergantung terhadap, ukuran mioma dan kebutuhan fungsi reproduksi.
Luaran Maternal dan Perinatal Kehamilan dengan HIV di RSUP dr. Kariadi Semarang Tahun 2019-2021 Christian Agustin Tapa; M.Besari Adi Parmono; Setyo Gundi Pramudi; Ratnasari Dwi Cahyanti
JURNAL KESEHATAN REPRODUKSI Vol 10, No 1 (2023)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.82517

Abstract

Background: Human Immunodeficiency Virus (HIV) remains a global health crisis. HIV infection during pregnancy is associated with an increased risk of adverse maternal and perinatal outcomes.Objective: To determine the maternal and perinatal outcomes of HIV in pregnant women.Method: The descriptive study of pregnant women with HIV infection was done at Central General Hospital dr. Kariadi Semarang January 2019 – December 2021.Results and Discussion: From 122 cases of pregnancy with HIV infection, the majority of cases were found in 20-34 years old group (75,4%), finished high school education (51.6%), working as a housewife (55.7%), 37-41 weeks pregnancy (84.4%), primiparity (35.2%), mean frequency of antenatal care 5 (0-10), was diagnosed with HIV during the third trimester of pregnancy (27.9%), received ARV therapy during the third trimester (30.3%), history of drug withdrawal 13 cases, CD4 cell count 200-500 cells/mm3 (41.8%), hospital referral (47.5%), emergency referral (94.9%), cesarean section (95.9%), opportunistic infections (19.7%), and co-morbidities (56.6%). Maternal outcomes included preterm delivery (15.6%), premature rupture of membranes (PROM) (11.5%), and postpartum hemorrhage (0.8%), and there was no maternal mortality case. Perinatal outcomes included small gestational age (SGA) (30.3%), low birth weight (LBW) (21.3%), asphyxia (19.7%), and prematurity (15.6%). There were no perinatal deaths and fetal growth restrictions.Conclusion: The incidences of pregnancies with HIV infection in 2019-2021 were found in 122 cases. The most common maternal outcome was preterm delivery and PROM. The most common perinatal outcome was SGA, LBW, asphyxia, and prematurity. Keywords: HIV; maternal; outcomes; perinatal; pregnancy Abstrak Latar Belakang: Human Immunodeficiency Virus (HIV) masih menjadi krisis kesehatan global. Infeksi HIV pada ibu hamil memiliki hubungan dengan peningkatan risiko luaran maternal dan perinatal yang buruk.Tujuan: Mengetahui luaran maternal dan perinatal kehamilan dengan HIV.Metode: Penelitian deskriptif pada seluruh ibu hamil dengan HIV yang bersalin di RSUP dr. Kariadi Semarang Januari 2019 – Desember 2021.Hasil dan Pembahasan: Dari 122 kasus kehamilan dengan HIV, ibu hamil mayoritas berusia 20-34 tahun (75,4%), pendidikan terakhir SMA (51,6%), pekerjaan sebagai ibu rumah tangga (55,7%), usia kehamilan 37-41 minggu (84,4%), paritas primipara (35,2%), rata-rata frekuensi ANC yaitu 5(0-10), waktu terdiagnosis HIV pada trimester 3 (27,9%), terapi ARV dimulai pada trimester 3 (30,3%), riwayat putus obat 13 ibu, jumlah sel CD4 200-500 sel/mm3 (41,8%), asal rujukan rumah sakit (47,5%), rujukan kegawatdaruratan (94,9%), bedah sesar (95,9%), infeksi oportunistik (19,7%), dan penyakit penyerta (56,6%).  Luaran maternal meliputi persalinan prematur (15,6%), ketuban pecah dini (11,5%), perdarahan postpartum (0,8%) dan tidak ada kematian maternal.  Luaran perinatal meliputi kecil massa kehamilan (30,3%), berat badan lahir rendah (BBLR) (21,3%), asfiksia (19,7%), dan prematuritas (15,6%). Tidak ditemukan kematian perinatal dan pertumbuhan janin terhambat (PJT).Kesimpulan: Kejadian kehamilan dengan HIV tahun 2019-2021 adalah sebanyak 122 kasus. Luaran maternal terbanyak adalah persalinan prematur dan KPD, sedangkan luaran perinatal terbanyak adalah KMK, BBLR, asfiksia dan prematuritas. Kata kunci: HIV; kehamilan; luaran; maternal; perinatal
Hubungan antara Status Gizi Ibu dengan Berat Lahir Bayi pada Kehamilan Remaja Syafril Fahmi Hidayat; Rina Pratiwi; Putri Sekar Wiyati
JURNAL KESEHATAN REPRODUKSI Vol 10, No 1 (2023)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.83433

Abstract

Background: Teenage pregnancy is prone to cause problems on maternal nutritional status. If nutritional status during pregnancy is not monitored properly, the chance for the mother to experience complications in the birth weight of the newborn can be increased.Objective: To find out the relationship between maternal nutritional status and other risk factors with neonatal birth weight in teenage pregnancy.Methods: This research is an observational analytic study with cross-sectional approach. The samples of this study were collected by consecutive sampling from 2019 to December 2021 using secondary data of RSUP Dr. Kariadi Semarang. The data were analyzed by using chi-square, fisher’s exact and mann-whitney test.Result: The results showed that there were significant relationships between maternal nutritional status (p=0.001), gestational age (p<0.001), abortion history (p=0.045), anemia status (p=0.019), and multiple pregnancy (p=0,035) with neonatal birth weight. Meanwhile, the variables of maternal age, education, occupation, gravidity, diabetes melitus, hypertension, preeclampsia, prelabor rupture of the membranes, and antepartum haemorrhage did not have a significant relationship with neonatal birth weight.Conclusion: There is significant relationships between maternal nutritional status, gestational age, abortion history, anemia status, and multiple pregnancy with neonatal birthweight  Keywords:  maternal nutritional status, birth weight, teenage pregnancy
Ogilvie’s Syndrome Post Elective Caesarean Section Eugenius Phyowai Ganap; Annisa Fitriani; Andhyta Ratih Wulandari
JURNAL KESEHATAN REPRODUKSI Vol 10, No 1 (2023)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.85194

Abstract

Background: Ogilvie's syndrome is an acute abdominal condition characterized by massive colonic distension without any evidence of mechanical obstruction. In female patients this syndrome was associated with caesarean section and the use of spinal anaesthetics.Case: We report a case of Ogilvie's syndrome that occurred after elective caesarean section. On the first day postoperative care the patient complained of lower abdominal pain accompanied by abdominal bloating. Physical examination reveals a distended abdomen without clinical evidence of peritonitis. Vital signs were normal and laboratory results showed an increase in leukocytes. An abdomen radiology was taken and shows gas distention in the large intestine which did not decrease even after given muscle relaxants. The patient then underwent emergency surgery by digestive surgeon followed by decompression measures for intestinal distention. The patient got a good postoperative care and continued control through the outpatient clinic.Discussion: The exact mechanism that causes colonic dilatation in Ogilvie's syndrome is not known clearly, but many of these cases are associated with trauma, spinal anaesthesia, and pharmacological agents in which the autonomic nervous system (ANS) function is impaired. Diagnosis can be made by abdominal imaging which will show dilation of the large intestine. The main goal of treatment is to decompress the colon and thereby minimize the risk of colonic ischemia, perforation, and death. Pharmacological therapy should be considered in patients who fail conservative management within 24-48 hours, with the last resort being colonic decompression up to laparotomy with or without stoma creation.Conclusion: Although it has a rare incidence, Ogilvie's syndrome has a high morbidity and mortality rate. Proper management of Ogilvie's Syndrome is carried out according to an algorithm starting from conservative management, pharmacology, to surgical management in resistant cases.Key words: Ogilvie syndrome; acute abdomen; caesarean section complication.

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