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Jurnal Kesehatan Reproduksi

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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 5 Documents

Search results for , issue "Vol 5, No 3 (2018)" : 5 Documents clear

Pengaruh Preeklamsia dan Hipertensi Kronis terhadap Kejadian Bayi Kecil Masa Kehamilan (KMK) Irmitasari Irmitasari; Detty Siti Nurdiati; Diah Rumekti Hadiati
JURNAL KESEHATAN REPRODUKSI Vol 5, No 3 (2018)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Background: Preeclampsia and chronic hypertension are associated with a large number of cases of small infants during pregnancy (SIP) and perinatal deaths. There are conflicting inconsistencies between research on the effect of preeclampsia and chronic hypertension on KMK. The data showed that preeclampsia had a very significant effect on the occurrence of KMK, but in reality not all infants of preeclampsia mothers gave birth to babies with KMK. This raises the assumption that there are other factors that inhibit the influence of preeclampsia and chronic hypertension on birth weight.Objective: to determine the effect of preeclampsia and chronic hypertension on KMK in Dr. Sardjito Yogyakarta.Method: Retrospective cohort. Data of maternity patients with preeclampsia, maternity patients with chronic hypertension, and weight data of babies born at RSUP Dr. Sardjito were recorded. Also noted parity, maternal age, employment and education. Data were taken from medical records and classified into normotension, preeclampsia, and chronic hypertension using consecutive sampling methods.Result and Discussion: There were 81 samples for each normotension group, preeclampsia, and chronic hypertension. Preeclampsia is significantly at risk of experiencing SIP 7,43 times (95% IK 3,13-17,66). Chronic hypertension is significantly at risk of experiencing 5,15 times SIP% IK 2,15-12,36). Multigravida subjects were at risk of experiencing SIP 1,92 times (IK 95% 1,04-3,55) There was no significant difference in the proportion of SIP in subjects based on age, occupation, and education.Conclusion: Preeclampsia, chronic hypertension, and multigravida parity significantly provide a higher risk of the incidence of SIP. If the three factors work together, they will reinforce the effect on increasing the risk of SIP.Keywords: Small gestational period; preeclampsia; chronic hypertension

Hubungan antara Program Ekspanding Maternal and Neonatal Survival (EMAS) dengan Peningkatan Pengetahuan, Sikap dan Perilaku Bidan dalam Pengelolaan Kasus Kegawatdaruratan Obstetrik Pra Rujukan Wiwik Widyaningsih; Risanto Siswosudarmo; Soerjo Hadijono
JURNAL KESEHATAN REPRODUKSI Vol 5, No 3 (2018)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Latar Belakang: Angka kematian ibu di Kabupaten Kebumen tahun 2014 adalah 12 yang sebagian besar disebabkan oleh perdarahan pascasalin dan preeklampsia berat (PEB). Dalam program EMAS salah satu kegiatan adalah peningkatan pengetahuan dan ketrampilan untuk penatalaksanaan perdarahan pascasalin dan preeklampsia berat (PEB).Tujuan: Untuk mengetahui hubungan paparan program EMAS dalam hal pengetahuan, sikap dan perilaku bidan saat mengelola kasus kegawatdaruratan obstetrik pra rujukan.Metode: Penelitian ini menggunakan desain cross sectional, dilaksanakan terhadap bidan yang merujuk kasus perdarahan postpartum dan pre eklampsia berat di IGD RSU PKU Muhammadiyah Gombong dari tahun 2014-2015. Kuesioner yang digunakan dinilai dengan skala Likert, menilai pengetahuan dengan kuesioner benar salah, sedangkan ketrampilan dengan daftar tilik keterampilan nilai dari 10 sampai 100 kalau menjalankan prosedur sesuai harapan.Hasil dan Pembahasan: Sebanyak 104 responden (bidan), yang terdiri dari 52 bidan yang terpapar program EKSPANDING MATERNAl AND NEONATAL SURVIVAL (EMAS) dan 52 lainnya adalah responden tang tidak terkena program EMAS (kontrol). Mereka sebanding dalam usia, tahun pelayanan (pengalaman kerja), dan nilai pelatihan PPGDON. Analisis bivariat menunjukkan bahwa paparan program EMAS berhubungan secara signifikan dengan peningkatan pengetahuan, sikap dan perilaku bidan di bidang kegawatdaruratan kebidanan. Hasil analisis regresi logistik menunjukkan bahwa program EMAS berhubungan dengan hasil peningkatan pengetahuan managemen aktif kala III (OR: 6,41; 95% CI 2,32-17,72); pengetahuan PEB (OR: 11,72; 95% CI 4,19-32,78); sikap managemen aktif kala III (OR: 2,97; 95%CI 1,11-7,91); sikap PEB (OR 25,87; 95% CI 8,17-81,90). Hubungan dengan keterampilan managemen aktif kala III (OR: 7,37; 95% CI 2,10-25,85) dan keterampilan PEB (OR: 26,64; 95% CI 7,98-88,96).Kesimpulan: Terdapat hubungan antara Program Expanding Maternal and Neonatal Survival dengan peningkatan kemampuan, sikap dan perilaku bidan di bidang pengelolaan prarujukan kasus kegawatdaruratan obstetrik.Kata kunci: Expanding Maternal and Neonatal Survival (EMAS); pengetahunan; sikap; perilaku; penanganan prarujukan kegawatdaruratan obstetrik;

Hubungan Pemakaian Alat Kontrasepsi Dalam Rahim (AKDR) Non Hormonal dengan Kejadian Vaginitis Eka Mega Sari; Shinta Prawitasari; Ahsanudin Attamimi
JURNAL KESEHATAN REPRODUKSI Vol 5, No 3 (2018)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Background: Colonies of microorganism in reproductive normal women vaginal is influenced by several factors. Changes in the composition of these factors cause of some problems such as infection and inflammation. The use of intrauterine devices could be expected to lead to vaginitis.Objective: To determine whether the use of intrauterine device increase the incidence of vaginitis, either by Bacterial Vaginosis (BV), Vulvovaginal Candidiasis (VVC), and Trichomonas Vaginalis (TV) .Method: Cross Sectional Study on the differences incidence of vaginitis in intrauterine device user and hormonal user.Result and Discussion: At the intrauterine devices and hormonal contraception users, there are significant difference incidence of BV (OR 10,11;95% CI 1,80-56,78) ; p=0,009 (p<0,05) dan VVC (OR 29,78 (1,64-2540,69); p=0,022 (p<0,05), but not TV (OR 3,68;95% CI 0,11-117,63); p=0,460 (p>0,05).Conclusions: The use of an intrauterine device increase the incidence BV and VVC but not TV.Keywords: Intrauterine Device; Hormonal Contraception; Vaginitis

Hubungan Kepatuhan Tim Bedah dalam Penerapan Surgery Safety Checklist dengan Infeksi Luka Operasi dan Lama Rawat Inap pada Pasien Seksio Sesarea di Rumah Sakit Umum Daerah Kabupaten Barru Amiruddin Amiruddin; Ova Emilia; Shinta Prawitasari; Leo Prawirodihardjo
JURNAL KESEHATAN REPRODUKSI Vol 5, No 3 (2018)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Background: Surgical Patient Safety is essential to be carried out in operating theatre to prevent mortality and surgical complication. Patient safety is the basic principal in medical care and a major component of medical care management in hospital (WHO, 2009).Objective: To investigate association between SSC implementation among surgical team, surgical site infection and duration of hospital stay.Method: This is an analytical cross sectional study. Population of this study was women who underwent cesarean section with live birth in Barru general hospital during 1 December 2016-30 April 2017. This study was carried out in Barru general hospital, 137 samples met inclusion and exclusion criteria. Data was obtained from medical records. Maternal outcome were duration of hospital stay, surgical site infection, and maternal mortality. Besides, this study also assesed knowledge and compliance of surgical team in implementation of SSC. The result of this study was analysed with computer statisctics analysis program.Result adn Discussion: One-hundred thirty seven patients met study criteria. Compliance of surgery team in SSC was 64%,. SSC was not implemented precisely in 36% patients (49 patients). There is no significant association between surgical team compliance with surgical site infection in cesarean section patients (p=0.078). A significant association was found between surgical team compliance with duration of hospital stay (p=0.006).Conclusion: The surgical team compliance in implementation of SSC was not yet optimal. An intensive socialization is needed to improve compliance of team in order that SSC implementation run promptly. This was part of efforts to reduce post operative complication and shorten hospital stay.Keywords: SSC, cesarean section, compliance, infection, duration of hospital stay

Perbedaan Pola Menyusui Bulan Pertama Ibu Melahirkan Seksio Sesarea Dibandingkan Melahirkan Normal di Rumah Sakit Sayang Bayi Winda Nurmayani; Madarina Julia; Shinta Prawitasari
JURNAL KESEHATAN REPRODUKSI Vol 5, No 3 (2018)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Background: exclusive breastfeeding should be provided until 6 months of age, but the fact proves that the pattern of breastfeeding has decreased. The pattern of the first month lactation is a critical period for the survival of the subsequent breastfeeding, so it is necessary to make efforts to maintain the duration of breastfeeding because the success of the first month breastfeeding will increase mothers’ confidence to continue breastfeeding.Objective: To determine differences in the pattern of the first month breastfeeding in mothers who gave birth by cesarean section compared to those by vaginal delivery in Rumah Sakit Sayang Bayi (Baby Friendly Hospital)Method: Type of research is comparative observational with a prospective cohort design using a quantitative approach. The research was conducted in Baby Friendly Hospital of RSUD (General Hospital) Mataram City. Total sample 120 consisted of 60 mothers giving birth the caesarean section and 60 mothers vaginal delivery. The independent variable of giving birth by Cesarean Section and vaginal delivery, dependent variable pattern the first month of breastfeeding and external variables age, parity, employment, the incidence of antepartum and postpartum. The sampling technique using consecutive sampling. Analysis of the data used is univaribel, bivariate using Chi-square and Fisher's exact test and multivariable logistic regression and stratification testResult and Discussion: There was no significant correlation between the mode of delivery and the patterns of the first month breastfeeding by including a variable of employment with a value of OR (95% CI) = 1.6 (0.63 to 4.17) and there was a decrease in the value of OR (95% CI ) from 2.5 (1.05 to 5.94) to 1.6 (0.63 to 4.17); there was also no significant correlation when involving the variable of the incidence of ante partum and post partum with the value of OR (95% CI) = 1.7 (0.45 to 6.26) and OR (95% CI) = 2.3 (0.96 to 5.53), respectively.Conclusion: : There is no difference patterns of breastfeeding mothers first month who gave birth cesarean section compared to normal birth. Caesarean section would affect the pattern of the first month breastfeeding if cesarean section deliveries occurred at housewives and mothers who did not experience the incidence of ante partum. Keywords: pattern of breastfeeding; vaginal deliveries; caesarean section; breast milk;

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