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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 10 Documents
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Search results for , issue "Vol 8, No 2 (2021)" : 10 Documents clear
Pelaksanaan Inisiasi Menyusu Dini berdasarkan Jenis Persalinan di Indonesia: Analisis SDKI 2017 Fakhrunnisa Ahmad; Budi Utomo; Noor Aulia Ramadhan
JURNAL KESEHATAN REPRODUKSI Vol 8, No 2 (2021)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.52540

Abstract

Background: Breast milk that comes out for the first time contains highly nutritious colostrum, has antibody, and very suitable food to consume for new born babies. Immediately after the baby was born, the baby is placed on the mother's breast without any hindrance, so the baby can breastfeed in the first hour and get warmth from the mother's body. Some research suggests that breastfeeding immediately after birth can prevent neonatal and infant death.Objective: This research was conducted to see whether the mother's residence, age, number of children, number of antenatal visits, type of childbirth delivery, and the childbirth assistant's affect the implementation of early breastfeeding.Method: This research will use a cross sectional by using the individual data from IDHS year 2017 with a total data sample of 14341.Results and Discussion: After being analysed using complex sample analysis, the analysis result will show the residence place, number of children, antenatal visits, type of childbirth delivery will become the determined factors from early child breastfeeding. It will be seen that the normal type of delivery allows for early breastfeeding initiation to be 3 times greater than labor with cesarean section after being controlled by variables of residence, number of children, and antenatal visits.Conclusion: Maternal age and birth attendants will not influence the occurrence of early initiation of breastfeeding; type of delivery, residence, number of children, and antenatal visits variables are released to early initiation of breastfeeding Keywords: Breastfeeding initiation; type of delivery; SDKI 2017
Pengalaman Ibu Hamil dan Melahirkan Bayi dengan Kelainan Kongenital Atik Mahmudah Pamungkas; Atik Triratnawati; Fitria Siswi Utami; Purnomo Suryantoro
JURNAL KESEHATAN REPRODUKSI Vol 8, No 2 (2021)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.54524

Abstract

Latar Belakang: Menurut data Kementerian Kesehatan tahun 2018 menyatakan bahwa angka kematian bayi di Indonesia menurun, namun kematian bayi yang disebabkan karena kelainan kongenital meningkat yaitu sebesar 1,4 %. Ibu yang tidak mengetahui sejak awal kelainan kongenital pada janin di dalam kandungannya dapat meningkatkan terjadinya stres dan kesulitan dalam merawat bayinya. Ibu yang mengalami stres dapat menurunkan kadar serotonin dan akan menekan pengeluaran hormon oksitosin sehingga ASI (air susu ibu) yang dikeluarkan juga terganggu dan akan mengakibatkan terganggunya proses pemberian ASI eksklusif pada bayi sehingga pemenuhan gizi dan kenaikan berat badan bayi menjadi terganggu.Tujuan: Penelitian ini mengeksplorasi pengalaman ibu hamil dan melahirkan bayi dengan kelainan kongenital.Metode: Penelitian menggunakan metode kualitatif dengan pendekatan fenomenologi. Penelitian dilakukan di wilayah kerja Puskesmas Banguntapan Bantul Yogyakarta pada bulan Oktober 2019 sampai Januari 2020.Hasil dan Pembahasan: Hasil yang ditemukan bahwa selama kehamilan ibu merasa tidak ada keluhan yang berbeda dari kehamilan sebelumnya namun mengalami kesulitan saat melahirkan. Semua kelainan kongenital sulit terdeteksi saat hamil meskipun ibu telah rutin periksa kehamilan dan melakukan USG ke tenaga kesehatan. Mayoritas ibu mengatakan telah mencoba menyusui secara langsung kepada bayinya meskipun ada perasaan takut. Namun karena kondisi yang tidak memungkinkan seperti bayi masih ketegantungan dengan alat rumah sakit dan ASI ibu yang keluar sedikit membuat ibu memberikan ASI donor atau formula kepada bayinya. Adanya dukungan dari berbagai pihak seperti keluarga, tenaga kesehatan, lingkungan dan tingkat spiritualitas yang baik membuat ibu mulai dapat menerima dengan ikhlas.Kesimpulan: Dikarenakan diagnosa kelainan kongenital masih sulit dideteksi meskipun ibu sudah rutin melakukan pemeriksaan di tenaga kesehatan saat hamil, sehingga keadaan ini membuat ibu kaget syok dan sedih. Diharapkan adanya pendampingan kepada ibu yang mempunyai bayi dengan kelainan kongenital terutama pada faktor psikologi dan perlunya penambahan program mengenai deteksi kelainan kongenital pada ibu hamil.   
Group Cognitive Behavior Therapy (Cbt) Terhadap Penurunan Tingkat Kecemasan Pada Korban Perilaku Kekerasan (Bullying) Di Sekolah Dasar Siska Damaiyanti; Marizki Putri
JURNAL KESEHATAN REPRODUKSI Vol 8, No 2 (2021)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.59842

Abstract

Background: Based on research data from PISA 2018, it was found that 4 out of 10 students in Indonesia have been victims of bullying.  One of the impacts of violent behavior on children (bullying) is anxiety. Objective:The purpose of this study was to address anxiety or the risk of psychosocial disorders by using group cognitive behavior therapy (CBT)in Solok CityMethod: This was quasi experimental study with pre-post test group.The sample in this study were elementary school who had experienced bullying. To measure the level of anxiety in victims of violent behavior (bullying) using a measuring tool or instrument known as the Hamilton Rating Scale For Anxiety (HRS - A)Results and Discussion: the results showed that there was a decrease in anxiety among victims of bullying behavior after Cognitive Behavior Therapy (CBT) group therapy (p = 0.031).Conclusion:  CBT can be applied as a method of reducing anxiety that can be given to victims of bullying 
Manfaat Saffron dalam Meringankan Sindrom Pramenstruasi Nur Setiawati Rahayu; Debby Endayani Safitri
JURNAL KESEHATAN REPRODUKSI Vol 8, No 2 (2021)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.60016

Abstract

Background: Menstrual disorders are experienced by most women of reproductive age, this problem if not handled seriously will have an adverse impact. Most women choose to treat menstrual disorders with medical treatment without knowing the side effects of using these drugs.Objective: This study aims to find solutions or alternative in dealing with Premenstrual syndrom other than by medical treatment.Methods: This study uses a systematic review method, where this study examines and integrates findings from published studies to draw conclusions.Results and Discussion: The results of this study indicate that saffron is effective in helping to reduce the severity and reduce the duration of menstrual disorders. Such as anxiety, depression, pain and other disorders.Conclusion: Consumption 30mg of saffron per-day can be useful reducing symptoms of menstrual disorder like depression, pain and hormonal balance.   Keywords: Menstrual Disorder, Saffron, Systematic Review
Gambaran Sindroma Pasca menopause Pada Wanita Lansia di Panti Werdha Wisma Mulia, Grogol, Jakarta Cipta Pramana; Angeline Vincentia; Andriana Kumala Dewi
JURNAL KESEHATAN REPRODUKSI Vol 8, No 2 (2021)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.60608

Abstract

ABSTRACTBackground: The number of elderly women will continue to increase along with the high life expectancy. The decline in estrogen and progesterone after menopause causes direct effects in the form of physical and psychological disorders.Objectives: This study aims to describe the symptoms of postmenopausal syndrome in the elderly.Method: Non-probability descriptive sampling method has been carried out in the elderly group of women (N=38). Interviews based on the Guide to Greene Climacteric Scale questionnaire were conducted to collect data.Results and Discussion: Overall, postmenopausal syndrome was experienced by 79.47% of respondents. A total of 26.32% of respondents were very disturbed by anxiety symptoms. 34.21% and 39.47% of respondents were slightly disturbed by depressive and somatic symptoms. Only 5.26% of respondents were very disturbed by the symptoms of sexual dysfunction. Subjects with low education have a risk of 7.8 times experiencing symptoms of postmenopausal syndrome compared to subjects with higher education. Subjects who were nullipara had 2.6 times the risk of experiencing symptoms of postmenopausal syndrome when compared to primi/multipara.Conclusion: More than half of the respondents experienced postmenopausal syndrome, either in the form of symptoms of anxiety, depression, somatic, vasomotor, or sexual dysfunction. Subjects with low education have a higher risk of experiencing postmenopausal syndrome than those with low education.Keywords. Menopaus;  elderl;  postmenopausal syndrome. 
Sumber Informasi Kesehatan Ibu Hamil di Indonesia Selama Masa Pandemik Covid 19 Maria Lupita Nena Meo; Lenny Ganika
JURNAL KESEHATAN REPRODUKSI Vol 8, No 2 (2021)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.61688

Abstract

Background: Barriers to accessing maternal and child health services was the impact of the covid 19 pandemic. This causes obstacles in accessing health information for pregnant women.Objective: This research aims to track the sources of information that were most often used by pregnant women during the COVID-19 pandemic and the level of satisfaction of mothers with the sources of information used.Method: This study was  a quantitative study with a cross-sectional survey design conducted in 7 islands in Indonesia. The number of respondents who participated in this study were 350 pregnant women who were recruited using random sampling technique. Data were collected online using a questionnaire and analyzed using descriptive analysis. Result and Discussion: The results showed that 46.3% of respondents used social media platforms as a source of health information used during the COVID-19 pandemic and 48.8% of respondents stated that they were not satisfied with the sources of information used.Conclusion: The social media platform is the most sought after by pregnant women in Indonesia as a source of health information during the covid 19 pandemic. The use of internet-based health education media must become an alternative to meet health information needs Keywords: accessing health information; covid 19 pandemic; pregnant women
Hubungan antara Stres dan Pola Menstruasi pada Remaja Perempuan Sekolah Menengah Atas Negeri di Kota Yogyakarta Hardiknas Steven Saneba; Nuring Pangastuti; Shinta Prawitasari
JURNAL KESEHATAN REPRODUKSI Vol 8, No 2 (2021)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.65753

Abstract

Latar Belakang: Perubahan pada siklus menstruasi dapat disebabkan oleh kelainan primer maupun sekunder pada organ reproduksi. Stres merupakan salah satu penyebab gangguan sekunder pada sistem reproduksi yang dapat menyebabkan functional hypothalamic amenorrhea (FHA), premature ovarian failure (POF), atau perubahan pada karakteristik siklus menstruasi melalui penekanan pada aksis hipotalamus-pituitari-gonad. Beberapa penelitian mendukung pernyataan ini, namun masih terdapat variasi untuk mengidentifikasi ambang batas dimana tingkat stres dapat mengganggu siklus menstruasi.Tujuan: Mengetahui bagaimana hubungan antara stres dengan gangguan menstruasi pada remaja perempuan Sekolah Menengah Atas (SMA) Negeri di  kota Yogyakarta.Metode: Metode penelitian ini adalah Cross-sectional. Subyek penelitian terdiri dari remaja perempuan kelas X dan XI SMA Negeri di kota Yogyakarta yang berusia 15-18 tahun dan data-data diperoleh melalui pengisian kuesioner online. Gangguan menstruasi ditentukan berdasarkan kriteria The International Federation of Gynecology and Obstetrics (FIGO) abnormal uterine bleeding (AUB) system-1 tahun 2018 yang direvisi. Tingkat stres diukur melalui skor Perceived Stress Scale (PSS) dan variabel luar yang dievaluasi adalah indeks massa tubuh dan aktivitas fisik dengan intensitas sedang. Analisis data menggunakan uji Chi Square dan  analisis regresi logistik.Hasil: Dari total 596 responder yang memenuhi kriteria inklusi, prevalensi tingkat stres tinggi sebesar 70,47% dan gangguan menstruasi sebesar 43,29%. Analisis bivariat menunjukkan tidak terdapat hubungan yang bermakna antara tingkat stres tinggi (p= 0,830; RP 1,022), indeks massa tubuh (p= 0,542; RP 1,094), maupun aktivitas fisik intensitas sedang (p= 0,717; RP 1,045) terhadap gangguan menstruasi. Hasil yang sama ditunjukkan melalui analisis multivariat.Kesimpulan: Tingkat stres tinggi ditemukan pada sebagian besar remaja perempuan di kota Yogyakarta, namun tidak terdapat hubungan antara tingkat stres terhadap gangguan menstruasi.Kata kunci: gangguan menstruasi, stres, remaja perempuan
Hubungan antara Ekspresi Heat Shock Protein-70 (HSP70) dengan Skor Risk of Ovarian Cancer Relapse (ROVAR) pada Pasien Kanker Ovarium Epitelial yang Dilakukan Operasi dan Dilanjutkan dengan Kemoterapi Lilik Gretta Damaianty; Ardhanu Kusumanto; Agung Dewanto
JURNAL KESEHATAN REPRODUKSI Vol 8, No 2 (2021)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.69698

Abstract

Background: Ovarian cancer is one of the leading causes of death in gynecological malignancies which occupies the third place in the world.  One of largest challenge in epithelial ovarian cancer therapy is resistance to chemotherapy. Increased of  Heat Shock Protein-70 (HSP70) expression associated with the progressivity of tumor cells growth through the resistance process against chemotherapy, whereas Risk Of Ovarian Cancer Relapse (ROVAR) score is a tool that used to predict the ovarian cancer recurrence risk in patient who underwent surgery followed by chemotherapy.Objective: This study is aimed to evaluate the correlation between HSP70 expression and ROVAR score in patient with epithelial ovarian cancer who underwent first line therapy.   Method: This is a retrospective cohort study that involve 42 subjects with epithelial ovarian cancer who had been through surgery (optimal or suboptimal surgery) followed by chemotherapy.  Immunohistochemical staining of pre chemotherapy paraffin blocks was performed using HSP70 antibody and recurrence risk was calculated using ROVAR scores after surgery followed by chemotherapy. The external variables evaluated were age, parity, Body Mass Index (BMI), menopause history, and surgical type.  Data analysis used Chi Square test, spearman test, and logistic regression analysis.Result and Discussion: Of the total 42 subjects who met the inclusion criteria, most found in advanced stage with the age mean is 54,3 years old.  In the ROVAR score measurement, in high risk category is found about 32(76.19%), while in the medium risk and low risk category is 10 (23.81%). On the other hand, strong HSP70 expression was found in 36(85,71%), moderate HSP70 expression in 6(14,39%), and weak HSP70 expression was not found.  Based on Spearman's correlative test, there was a positive, very strong, and significant correlation between the expression of HSP70 and risk allocation according to ROVAR score (r=0.717, p=0.000). As well as in multivariate analysis, HSP70 expression had a statistically and clinically significant relationship with ROVAR score (p=0.017; RR 2.710; 95% CI 0.366-5.054) which strong HSP70 expression was 2.71 times more likely to have a high risk of recurrence according to ROVAR score.Conclusion: There is a positive, very strong, and significantly meaning between HSP70 expression and ROVAR score.  Increased in HSP70 expression may lead to increased recurrence risk according to ROVAR score.  Both could be used to predict recurrence in epithelial ovarian cancer post first line therapy.Keywords: Epithelial ovarian cancer, HSP70, ROVAR score, recurrence.
Uterine Perforation as a Complication After Unsafe Abortion: Serial Case I Made Darmayasa; Nicholas Renata Lazarosony
JURNAL KESEHATAN REPRODUKSI Vol 8, No 2 (2021)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.70135

Abstract

The demand for abortion and the incidence of unsafe abortion are still very high. About 45% of all abortions worldwide are unsafe abortions. Unsafe abortion is still a public health problem and one of the causes of maternal morbidity and mortality. In this article, we report 2 cases of uterine perforation after provocation or induced abortion due to unwanted pregnancy. The diagnosis of uterine perforation was established by clinical suspicion and exploratory laparotomy. Many factors affect access to abortion and one of them is the law regarding abortion. Countries with almost no deaths from unsafe abortions are countries that allow abortion on demand without restrictions. Meanwhile, unsafe abortion can be prevented through prevention and controlKeywords: unsafe abortion, uterine perforation.
Depresi Ibu Hamil setelah Intervensi Guided Imagery Soetrisno Soetrisno; Sinta Dyah Amrih Lestari; M Fanani M Fanani; Hafi Nurinasari
JURNAL KESEHATAN REPRODUKSI Vol 8, No 2 (2021)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.70136

Abstract

Latar Belakang : Sebuah penelitian menunjukan prevalensi depresi antepartum, sebesar 26,6 %. Depresi selama kehamilan terbukti menghasilkan perinatal yang tidak diingikan misalnya persalinan premature, berat badan bayi lahir rendah, preeklamsia, bayi lahir dengan Apgar, Apgar skor pada 1 dan 5 menit rendah. Korteks adrenal mengeluarkan kortisol sebagai respons terhadap ACTH, ritme diurnal, dan stres. Guided imagery teknik relaksasi dengan menggunakan kata-kata dan suara menenangkan; mengarahkan pengguna membayangkan keadaan psikologis atau fisiologis dengan santai.Tujuan Penelitian : Menganalisis pengaruh guided imagery terhadap depresi dan kadar kortisol ibu hamil di poli rawat jalan Obstetri Rumah Sakit dr. Moewardi (RSDM/ FK UNS) Surakarta.Metode : Penelitian eksperimental, dengan pretest – posttest control group design. Subjek penelitian ibu hamil, memenuhi kriteria inklusi dan eksklusi. Pengambilan subyek dengan purposive sampling, didapatkan 34 subyek, 17 sebagai kelompok perlakuan, diberikan guide imagery dan terapi standar sedang 17 kontrol, hanya diberikan terapi standar. Dilakukan pemeriksaan skor depresi dengan Hamilton Rating Scale For Depression (HRSD) dan kadar kortisol darah, sebelum dan sesudah perlakuan. Data dianalisis dengan uji t memakai spss 16,0Hasil: Selisih perubahan skor HDRS posttest-pretest kelompok perlakuan 4,88±1,90 dan kontrol 1,18±1,47, dengan nilai p = 0,000 (p < 0,05) berarti terdapat perbedaan signifikan rerata skor depresi antara kelompok perlakuan dan kontrol. Selisih perubahan skor kadar kotisol posttest-pretest kelompok perlakuan 3,28±1,34 dan kontrol 0,70±1,22, dengan nilai p = 0,000 (p < 0,05) berarti terdapat perbedaan signifikan rerata skor kadar kortisol antara kelompok perlakuan dan kontrol. Simpulan : Penelitian menunjukan bahwa guided imagery berpengaruh baik terhadap depresi dan kadar kortisol pada ibu hamil. Kata kunci : Guided imagery, ibu hamil, depresi, kortisol 

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