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INDONESIA
Jurnal Kesehatan Reproduksi
Published by Universitas Gadjah Mada
ISSN : 2302836X     EISSN : 2621461X     DOI : -
Core Subject : Health,
Health Professions Medicine & Pharmacology Nursing Public 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 8 Documents
 1 
Search results for , issue "Vol 3, No 1 (2016)" : 8 Documents clear
Accuracy of Risanto's Formula Compared with Johnson's to Estimate Fetal Weight in Overweight Mothers Fifi Noviana; Risanto Siswosudarmo; Diah Rumekti Hadiati
JURNAL KESEHATAN REPRODUKSI Vol 3, No 1 (2016)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.13873

Abstract

Background: Estimated fetal weight (EFW) is becoming important because it is used as a guidence for determining mode of delivery. The use of estimated fetal weight based on fundal height has been widely used, but its use in overweight pregnant mothers was still limitted.Objective: To compare the accuracy of Risanto’s and Johnson’s formulas in estimating fetal weight based on fundal height in overweight mothers.Method: It was a cross-sectional study, conducted from March 2013 to July 2014 in Sardjito hospital and hospital networks. All pregnant mothers meeting the elligibility criteria were used as study subjects. Overweight mother was defined based on body mass index (BMI) and skinfold thickness on suprailiaca region. Fundal height (FH) was measured from the symphysis pubis to the midle of the upper border of the pregnant uterus. Accuracy of Risanto’s and Johnson’s formulas was dtermined by comparing the difference between EFW and actual infant birth weight (AIBW). Paired t-test was used for statistical analysis.Result and Discussion: There were 395 overweight pregnant mothers fulfilling the inclusion and exclusion criteria. The mean AIBW was 3060.3 ± 322.5 grams (ranged from 2360 to 3940 grams). The mean EFW using Risanto formula (R_EFW) was 3095.8 ± 320.3 grams (ranged from 2370 to 3870 grams ) while that of Johnson (J_EFW) was 3273,7 ± 378,1 grams (ranged from 2325 to 4185 grams). The mean difference between between AIBW and ∆R) EFW (was 109.85 grams while that of AIBW and J_EFW∆J) (was 198.41 grams ∆.RIt was clear that significantly smaller ∆J than with the mean difference minus 88.56 grams (95% CI -98.76 to -78.35; p value 0.000).Conclusion: The new Risanto’s formula was more accurate to estmate infant birth weight than Johnson’s in overweight mothers.Keywords: Risanto’s and Johnson’s Formulas, Estimated Fetal Weight, Overweight Mothers.
Analisis Angka Seksio Caesarea di RSUP Dr. Sardjito Yogyakarta Tahun 2009-2013 Netty Katrina Dameria; Djaswadi Dasuki; Rukmono Siswishanto
JURNAL KESEHATAN REPRODUKSI Vol 3, No 1 (2016)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.36192

Abstract

Background: Caesarean section is a procedure to reduce maternal and perinatal mortality and morbidity. The caesarean section rate is continuously uprising in the last 3 decades. However, the increasing rate, especially in low risk women, may compromise maternal and perinatal outcome. In 1985, WHO recommended that optimal national caesarean rates should be in the range of 5% to 10% and the rate above 15% might be less benefits. Previous study conducted in DR Sardjito hospital reported caesarean section rate in 1996 was 13.38%, while in 2001 was 18.39%. In national level, based on Indonesia Basic Health Survey 2010, caesarean section rate was 10.8%. Therefore, in this study we analyzed the rate of Caesarean section performed in DR Sardjito hospital, and studied whether the operations occurred in high-risk group or low-risk group.Objective: To compare the rate of caesarean section between high-risk group and low-risk group in DR Sardjito hospitalMethod: Retrospective cohortResult and Discussion: Participants of this study were 7821 patients undergoing labor at RSUP DR Sardjito in 2009-2013. Among them, 3152 patients underwent caesarean section and 4669 patients underwent vaginal delivery. There was an increasing in the overall caesarean section rate of 38,7% in 2009 to 43% in 2013. T-test found the presence of significant differences between the caesarean section rate of high-risk group and low-risk group in 2009-2013 (p<0.05) with a mean difference was 28.5 (20.2-36.8). Caesarean section rate of high-risk group was significantly higher than the low-risk group (p<0.05).Conclusion: There was a difference in caesarean section rate of high-risk group compared to low-risk group. Caesarean section rate in high-risk group was significantly higher than in the low-risk group.Keywords: caesarean section rate, caesarean section, low-risk group, high- risk group
Pengetahuan tentang Infeksi Menular Seksual dengan Perilaku Seksual Tidak Aman pada Remaja Putri Maluku Tenggara Barat di Daerah Istimewa Yogyakarta Firmina Th Kora; Djaswadi Dasuki; Djauhar Ismail
JURNAL KESEHATAN REPRODUKSI Vol 3, No 1 (2016)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.13880

Abstract

Background: Based on the Indonesian Demographic and Health Survey (IDHS, 2012), adolescents’ knowledge (females aged 15-24 years) about STI (Sexually Transmitted Disease) is still low under 50%. A total of 16.46% Indonesian adolescents have had sex, 46.26% of them have been doing it actively, first sex occurred in below 20 years of age.Objective: To determine the relationship between knowledge about sexually transmitted infections with unsafe sexual behavior.Method: This study is a quantitative and qualitative with cross-sectional study design. Subjects in this study were all female adolescents of West Southeast Moluccas who are continuing education in Yogyakarta. Univariable and bivariable data analysis was conducted using chi-square test statistic. Multivariable analysis was conducted using logistic regression to estimate the effective model.Result and Discussion: Low knowledge STI is practically and statistically related to unsafe sexual behavior with a p-value <0.05, RP 1.71 and CI 1.07 to 2.70. Low knowledge about STIs in adolescents increase the risk by 1.7 times for unsafe sexual behavior. Conclusion: 67,1% female adolescent who have unsafe sexual behavior. Female adolescents who have knowledge about STIs low 65.7%. Low knowledge STI significantly increases unsafe sexual behavior in adolescent girls. Unsafe sexual behavior conducted by adolescent female are sexual intercourse before the age of 20 not using condoms during sexual intercourse, and multiple sexual partner.Keywords: Knowledge of Sexually Transmitted Infections, Unsafe Sexual Behavior, Female Adolescent
Perbandingan Skala Nyeri pada Kuretase antara Pemberian Lidokain Paraservikal dan Intraservikal Yudhistya Ngudi Insan Ksyatria; Heru Pradjatmo; Ova Emilia
JURNAL KESEHATAN REPRODUKSI Vol 3, No 1 (2016)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.13872

Abstract

Background: Curettage is a gynecological diagnostic and therapeutic procedures. Curettage actions causing sensation of pain although the pain threshold is different for each person. Local anesthesia is an effective choice for various minor gynecological procedures. One of them is paracervical block. Paracervical block reduces pain by blocking nerve impulses across the uterovaginal plexus. Another method is the injection of local anesthetic trough intracervical who works as an anesthetic infiltrating agent, distending the tissue, causing mechanical disruption of nerve impulses. Theoritically, intracervical lidocaine injection will require a lower level of precision than the blockade of peripheral nerves directly, more reliable and reproducible. We measured patient’s pain during curettage usingthe Visual Analogue Scale (VAS). Method: RCT Location of study: Bantul District Hospital, Wonosari District Hospital, and Banjarnegara Distric Hospital. Result and Discussion: The study included 60 patients who got curettage within inclusion criteria. Every time patients came, we performed randomization and divided the patients into two groups, the control group (paracervical) and intervention group (intracervical), 30 subjects each. VAS was measured 5 minute after curettage was started. Characteristics of subjects in curettage frequency, curettage indication, parity and educational level for both groups are equal, did not differ statistically. The results of the mean pain scale (VAS). In the control group was 42,33±16,583 and 34,33±18,880 on the treatment group. Mean difference was 8 mm, with 95% CI -1.124 to 17.124 and p=0.408. The difference was not significant statistically. The intracervical group has mild pain scale (VAS<44 mm) in 27 of 30 patient, compared to 15 of 30 patients in paracervical group. It result in Relative Risk (RR) of 1,532. Conclusion: Intracervical lidocaine injection can be considered as an alternative local anesthetic on curettage. The average pain scale did not differ significantly with paracervical block. And both of it located in VAS < 44mm (mild pain). Intracervical lidocaine injection even have RR= 1,532 compared with paracervical block to produce mild pain scale (VAS < 44 mm). Keywords: curettage; paracervical;intracervical ;VAS 
Hubungan Umur Ibu, Paritas dan Penolong Persalinan dengan Kematian Neonatal di Wilayah Kerja Puskesmas Kabupaten Banjarnegara tahun 2013 Isnaeni Rofiqoch; Jusuf S. Effendi; Dinan S. Bratakoesoema
JURNAL KESEHATAN REPRODUKSI Vol 3, No 1 (2016)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.36193

Abstract

Background: The neonatal mortality rate is Banjarnegara district is high compared with a target of IMR in Central Java province. In 2012 the neonatal mortality rate in Banjarnegara reached 316 cases, whereas in 2013 there were 115 cases in all health centers working area. The high neonatal mortality rate in Banjarnegara influenced by the persistence of early marriage in woman, birth attendant by non skilled health worker (dukun bayi) and women’s parity more than 4.Objective: The purpose of this study is to analyze the correlation between maternal age, parity and birth attendants with the incidence of neonatal mortality and examine the most dominant factors influencing the incidence neonatal mortality in the Health Center working area in Banjarnegara.Method: This study is a case control study design with retrospective approach. The data consists of perinatal verbal autopsy and medical records as many as 136 respondents consisting of 68 mothers who gave birth to her child and neonatal death and 68 maternal and child alive. Subjects were mothers who gave birth a baby who died aged 0-28 days.Result and Discussion: Statistical analysis using Chi Square, Mann Whitney, and multiple logistic regression. The results showed maternal age and parity variables were not significantly corerelated with neonatal mortality (p> 0.05), the variables significantly corerelated with neonatal mortality was birth attendants with p = 0.001. The results of logistic regression showed the strength of the corerelation from the most dominant variable to the smallest variable were birth attendants with OR: 5.64 (95% CI: 1.81 to 17.4), maternal age OR 3.97 (CI 95%, from 1.54 to 10.22), and parity OR: 0.32 (CI 95% 0.12 to 0.87).Conclusion: In conclusion, there was no relationship between maternal age and parity with neonatal mortality but there was a relationship between birth attendants with neonatal mortality. Based on the results of the multivariable analysis, birth attendants’ effect on the incidence of neonatal deaths was 5 times greater than mother’s age and parity.Keywords: Neonatal mortality, maternal age, parity, birth attendants
Pengalaman Ibu Bekerja dalam Pemberian AIS Eksklusif di Lingkungan Universitas Muhammadiyah Magelang Kartika Wijayanti; Shinta Prawitasari; Wenny Wenny
JURNAL KESEHATAN REPRODUKSI Vol 3, No 1 (2016)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.13879

Abstract

Background: The percentage of breastfeeding within the last 24 hours is decreasing with increasing age of the baby with the percentage 6 month babies is only about 30.2%. The percentage Central Java reached 34.38%, the low, and became the 6th lowest at Indonesia. This is not met with the government’s target of 80% in 2010. In Magelang district, the number is decreased from 45.18% in 2011 and 25.6% in 2012. Total coverage of exclusive breastfeeding at Universitas Muhammadiyah Magelang is 13%.Objective: To identify employment mother’s experience for exclusive breastfeeding at Muhammadiyah Magelang University.Method: This is a qualitative study, transcendental phenomenological approach. The subjects of this study are employment mother at Muhammadiyah Magelang University who have babies 6-36 months. Data was collected with in-depth interviews, observation, and documentation. Sampling was carried out using purposive sampling technique. Data analysis using 6 stages Colaizzi data analysis. This study began in February 2014 - February 2015.Result and Discussion: This study resulted 6 categories: employment mother’s experiences for exclusive breastfeeding at work less fun, supporting factors of exclusive breastfeeding is complex, mother’s knowledge of exclusive breastfeeding is good, physical, technical, and pshycological preparation were necessary to give exclusive breastfeeding, and expectation of the workplace that support for exclusive breastfeeding.Conclusion: Employment mother’s experience for exclusive breastfeeding less fun. Mother’s effort to prepare for exclusive breastfeeding such as knowledge, physical, technical, and pshycological. Mother’s expectation is workplace that supports exclusive breastfeeding.Keywords: Experience, Employment mother, exclusive breastfeeding
Pengetahuan dan Sikap Residen Obstetri dan Ginekologi tentang Keselamatan Pasien di Kamar Bersalin RSUP Dr. Sardjito Yogyakarta Fadhilah Armaijn; Ova Emilia; Irwan Taufiqur Rachman
JURNAL KESEHATAN REPRODUKSI Vol 3, No 1 (2016)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.13877

Abstract

Background: The traditional medical Oath of ‘first do no harm’ is something that is very rarely breached either intentionally by a doctor, nurse or other health practitioner. Resident is health workers who perform services directly to patients that’s why their knowledge and attitudes towards patient safety are very usefulObjective: To determine the relationship of the level of knowledge with the attitudes about patient safety in obstetrics and gynecology resident while services in delivery room at Dr DR Sardjito hospital.Method: Descriptive methods with cross sectional approach, accompanied by a qualitative research The study involved 90 residents of Obstetrics and Gynecology at Sardjito Hospital Yogyakarta , by filling out a questionnaire. Knowledge assessed based on the number of correct answers and categorized into good and bad. Attitudes toward patient safety was assessed using a Safety Attitude Questionnaire (SAQ) labor and delivery version. Reliability was measured using Cronbach’s alpha. The qualitative data collection (interviews) conducted to support the descriptive data.Result and Discussion: Cronbach’s Alpha value for SAQ= 0.862, and the question of knowledge = 0.702. Between 77 responden who had good level of knowlage, only 53,2% had a good level of attitudes, and between 13 who has bad level of knowlage, there were 10 responden with good level of attitudes (76,9%) (RP 0,69;95%CI 0,44-1,04; p= 0,11). Elements of stress recognition on the attitude were getting the lowest average value (3.50 ± 0.56). From the qualitative data were known that the resident had desire for a reduction in working hours as well as improved communication and collaboration between teams. Althogh most of resident had a good level of knowledge and attitudes about patient safety, there were no meaning because of p value was >0,05 (OR 2,69;95%CI 0,66-10,9; p= 0,17).Conclusion: Clinically, a good level of knowledge about patien safety improving a good level of attitude towards patient safety.Keywords: Knowledge- attitude- patient safety- resident obstetrics
Kinerja Bidan Desa dalam Deteksi Dini Kasus Malaria pada Kehamilan di Kabupaten Bengkulu Tengah Afrina Mizawati; Moh Hakimi; Hari Kusnanto
JURNAL KESEHATAN REPRODUKSI Vol 3, No 1 (2016)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.13878

Abstract

Background: Malaria has become the health problem that cause mortality especially in high risk group such as infants, children below 5 years old and pregnant women. The incidence of malaria in Central Bengkulu, Bengkulu Province is quite high, the last three years there is an increase compared to year 2011 – 2013. Annual Malaria Incidence in 2011 was 75.68/00, where the incidence in 2012 was 66.13/00. The Annual Parasite Incidence in 2013 was 52.34/00. In 2013, the amount of pregnant women who underwent malaria screening during 1st antenatal care (K1) only 784 from 2016 pregnant women(39%).Objective: To understand the malaria screening achievement among pregnant women by village midwives in Central Bengkulu District.Method: The study was observational with cross sectional design. The subjects was all of the village midwives in Central Bengkulu District. The dependent variable in this study was midwives achievement in malaria screening during pregnancy. The independent variables were training for malaria screening during pregnancy and the availability of rapid diagnostic test (RDT). The disturbing variables were age, level of education, and the duration of work. The study’s instrument was questionnare and observational sheet. The data analysis was done with t test, correlation method, chi square and linear regression.Result and Discussion: The achievement in malaria’s screening during pregnancy by village midwives was better in the group who received training compared with the group who didn’t (RR 2.2 ; 95% CI 1.71 – 2.51). The achievement also was better in the group of midwives who had good supply of RDT compared with the group who didn’t (RR 1.5; 95% CI 1.01 – 1.94).Conclusion: The achievement of malaria’s screening during pregnancy among village midwives who received training was better compared to midwives who didn’t. The achievement was also better among midwives who had good supply of RDT compared with midwives who didn’t. There is relation between level of midwivery education and the achievement in screening b ut there was no relation between age and duration of work and achievement during screening.Keywords: Achievement of Village Midwives, Screening, Training and Availability of RDT

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