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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
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Search results for , issue "Vol 9, No 2 (2022)" : 8 Documents clear
Pengaruh Perawatan Payudara terhadap Kadar Prolaktin dan Volume ASI pada Ibu Postpartum Primipara Siti Lestari; Yusri Dianne Jurnalis; Fadil Oenzil
JURNAL KESEHATAN REPRODUKSI Vol 9, No 2 (2022)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.64302

Abstract

Abstract BackgroundExclusive breast milk is breastfeeding for infants from 0-6 months in order to meet the nutritional needs for growth and development. Breastfeeding has unmatched advantages for infants, mothers, families and communities. It is strongly recommended to exclusively breastfeed for 6 months. The production and excretion of breast milk is influenced by the prolactin hormone and the oxytocin hormone.  ObjectiveProlactin affects the amount of milk produced. Breast care is highly important; one of which is maintaining breast hygiene, especially the hygiene of the nipples to avoid infection and to soften it, so that the infant can be breastfed properly, and stimulates the glands.Method an experimental research with post test only control group design in Andalas Community Health Center, Padang. The sample in this study consisted of 15 treatment groups and 15 control groups that met the inclusion criteria taken by simple random sampling technique. Breast care was carried out on the third trimester of pregnant women starting from the age of 34 weeks carried out three times a week. Prolactin level was measured by ELISA and breastmilk volume was measured by measuring tubes. The normality test used the Shapire Wilk test. Statistical test used independent t test.Results and DiscussionThe results of this study indicated that the mean of prolactin level in the breast care group (425,00 ± 41,08) was greater than the control group (372,34 ± 43,59). The results of statistical tests revealed that there was a significant effect of breast care on prolactin level (p = 0,002). Besides, the volume of breast milk in the breast care group was (32,67 ± 4,60) greater than the control group (26,60 ± 4,29). The results of statistical tests showed that there was a significant effect of breast care on breast milk volume (p = 0,001).ConclusionProlactin level and milk volume in postpartum primiparous mothers who did breast care were more in production than mothers who did not do breast care and the difference was significant.
Dampak dan Strategi Layanan Kesehatan Ibu Hamil Selama Pandemi COVID-19 Nur Khotimah Elfiyani; Hadi Pratomo; Evi Martha; Prima Sesari Saraswati
JURNAL KESEHATAN REPRODUKSI Vol 9, No 2 (2022)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.66345

Abstract

Background: COVID-19 pandemic has both directly and indirectly affected the provision of the maternal health services. Stress caused by the pandemic also affecting the maternal health service.Objective: This research aimed to assess both the impact on the maternal health services and strategy performed to respond to the COVID-19 pandemic by the District Health Office (DHO) of South Tangerang.Method: The main method of this research is quantitative, then the quantitative findings are described qualitatively. The research team employed an in-depth interview via Zoom application (video teleconference) with 3 informants from the DHO. Meanwhile, the quantitative data were derived from dashboard of maternal health data K1, K4 and PF.  Qualitative data are analyzed using theme analysis which is adapted to the findings from those quantitative data.Results and Discussion: The impact of the maternal health service showed a significant decrease against maternal health service in April in which the loss percentage of coverage K1 = 32.93%; coverage K4= 26.43%; Childbirth by health professionals in health facility = 19.4%.Conclusion: The decreasing of maternal health services potentially increase complication to pregnant women and mother and child’s mortality rate. The DHO is suggested to continue improving strategies and efforts to maintain the access of maternal health services during the COVID-19 pandemic.
Sexual Abuse Disertai Kehamilan Tidak Direncanakan atau Dikehendaki pada Remaja dengan Intellectual Disability: Sebuah Laporan Kasus I Made Darmayasa; Tri Oktin Windha Daniaty; AA Sri Wahyuni
JURNAL KESEHATAN REPRODUKSI Vol 9, No 2 (2022)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.73875

Abstract

AbstractBackground: Intellectual Disability in adolescents is prone to physical, mental, and sexual violence. Intellectual and adaptive disabilities make adolescents with intellectual disabilities unable to avoid environmental behavior including sexual abuse. Methods: A case report of a 12-year-old teenager with an Intellectual Disability who became pregnant as a result of sexual abuse by an unknown person. On the way, she had an abortion. Results: On examination, it was found that a 12-year-old teenager with mild mental retardation, without education, came from an incomplete family with very poor socioeconomic status. The diagnosis was confirmed by a multiaxial approach and concluded that adolescents with mild mental retardation have significant behavioral impairment and require attention or therapy (F70.1). Patients are also submissive and quiet with ego defense mechanisms that regression, and have problems with mental and intellectual development. Multidisciplinary management was carried out involving the social and medical departments.Summary: Patients with Intellectual Disabilities, especially adolescents, require special attention and a multidisciplinary, and comprehensive approach, starting from prevention, as well as in carrying out treatment.
Gambaran Luaran Pasien Plasenta Akreta Spektrum yang Dilakukan Manajemen Konservatif dan Manajemen Non Konservatif di RSUP Dr. Sardjito Gita Vania Damayanti; Irwan Taufiqur Rachman; Addin Trirahmanto
JURNAL KESEHATAN REPRODUKSI Vol 9, No 2 (2022)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.74838

Abstract

Latar belakang: Angka kejadian plasenta akreta spektrum terus meningkat dari tahun ke tahun seiring dengan meningkatnya angka seksio sesarea. Risiko utama yang berhubungan dengan plasenta akreta spektrum adalah perdarahan banyak yang dapat menyebabkan komplikasi sekunder termasuk koagulopati, kegagalan multi sistem organ dan kematian. Manajemen optimal yang melibatkan tim multidisiplin perlu dilakukan untuk mendapatkan luaran yang baik.Tujuan: Tujuan penelitian ini adalah untuk mengetahui gambaran luaran pasien plasenta akreta spektrum yang dilakukan manajemen konservatif dan manajemen non konservatif di RSUP Dr. Sardjito.Metode: Penelitian ini merupakan penelitian deskriptif dengan menggunakan data rekam medis pasien plasenta akreta spekrum yang dilakukan tindakan di RSUP Dr. Sardjito pada tahun 2018-2020. Subjek penelitian terbagi ke dalam dua kelompok yaitu kelompok yang dilakukan manajemen konservatif dan manajemen non konservatif.Hasil: Dari 38 subjek, 22 subjek (57,89) direncanakan untuk dilakukan manajemen konservatif dan 16 subjek (42,11%) dilakukan manajemen non konservatif. Dari 22 subjek yang direncanakan untuk dilakukan manajemen konservatif, 10 subjek gagal sehingga dilakukan manajemen non konservatif. Luaran utama yang dinilai adalah jumlah perdarahan. Rata-rata jumlah perdarahan pada kelompok manajemen konservatif lebih sedikit daripada kelompok manajemen konservatif (2.179,16 ± 399,69 ml vs 5.173,07 ± 594,29 ml). Luaran lain yaitu jumlah transfusi (transfusi PRC 1.062 ± 187,50ml vs 2.048,07 ± 198,07 ml; transfusi FFP 512,50 ± 100,21 ml vs 1.117,30 ± 100,11 ml; transfusi TC 120,83 ± 29,80 ml vs 375 ± 36,92 ml) dan kematian 16,67% vs 3,85%.Kesimpulan: Luaran jumlah perdarahan dan jumlah transfusi (PRC, FFP, TC) lebih sedikit pada kelompok yang dilakukan manajemen konservatif daripada manajemen non konservatif. Angka kematian pada kelompok manajemen konservatif lebih tinggi daripada manajemen non konservatif.
Perbandingan Kualitas Hidup Pasien Endometriosis Pascaoperasi sebelum Dan Sesudah Pemberian Terapi Hormonal Dian Novitasari; Agung Dewanto; Ahsanudin Attamimi
JURNAL KESEHATAN REPRODUKSI Vol 9, No 2 (2022)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.75116

Abstract

Latar belakang: Endometriosis merupakan penyakit yang ditandai adanya jaringan endometrium di luar cavum uterus, yang menimbulkan reaksi peradangan kronis. Gejala endometriosis paling sering adalah nyeri pelvis dan infertilitas. Endometriosis berpengaruh terhadap kualitas hidup penderitanya, terutama karena rasa nyeri yang ditimbulkannya, bisa menghambat dalam melakukan aktivitas sehari-hari. Kombinasi dari terapi operatif dan medikamentosa efektif untuk menurunkan rekurensi, mengurangi nyeri dan meningkatkan fertilitas pada pasien dengan endometriosisTujuan: Membandingkan kualitas hidup dan skor nyeri pasien pasca operasi endometriosis sebelum dan sesudah pemberian terapi hormonalMetode: Kualitas hidup pada pasien endometriosis yang telah menjalani laparoskopi ataupun laparotomi dievaluasi dengan metode kohort prospektif menggunakan kuesioner Endometriosis Health Profile-30 (EHP-30). Kuesioner diberikan sebelum terapi hormonal dan diulang lagi setelah selesai terapi hormonal. Analisis dilakukan dengan membandingkan nilai masing-masing domain dari kuesioner inti dan kuesioner moduler sebelum dan sesudah terapi hormonal.Hasil: Total responden adalah 73 orang yang memenuhi kriteria inklusi. Terapi hormonal pada pasien endometriosis dapat memperbaiki kualitas hidup secara keseluruhan dengan rerata skor 29,89 (SD ± 17,80) menjadi 16,5 (SD ± 16,7) (p <0,001) sebelum mendapatkan terapi hormonal. Terdapat perbaikan pada semua domain kuesioner inti, dengan nilai yang bermakna secara statistik pada domain nyeri dengan rerata 41,73 (SD ± 27,08) menjadi 13,70 (SD ± 22,39) (p <0,001), domain kendali & ketidakberdayaan; rerata 34.21 (SD ± 25,63) menjadi 16,66 (SD ± 19,58) (p <0,001), domain kesehatan emosional rerata 29,84 (SD ± 21,18) menjadi 19,11 (SD ± 19,22) (p <0,001); dan domain dukungan sosial rerata 26,97 (SD ± 20,70) menjadi 20,30 (SD ± 22,37) (p=0,006), sedangkan pada domain citra diri tidak terdapat perbaikan secara signifikan. Pada kuesioner modular terdapat perbaikan signifikan pada domain pekerjaan dengan rerata 30,37 (SD ± 24,99) menjadi 13,57 (SD ± 18,62) p <0,001, domain hubungan dengan anak rerata 13,82 (SD ± 20,13) menjadi 9,58 (SD ± 17,08) dan nilai p=0,017; dan domain perasaan terhadap infertilitas rerata 45,96 (SD ± 29,80) menjadi 36,67 (SD ± 29,77) p=0,001, sedangkan pada domain hubungan seksual, hubungan dengan tenaga kesehatan dan perasaan terhadap terapi tidak terdapat perubahan yang signifikan.Kesimpulan: Kualitas hidup setelah pemberian terapi hormonal lebih baik bila dibandingkan sebelum pemberian terapi hormonal pada pasien endometriosis pascaoperasi
Malformasi Genital Perempuan: Kasus di RSUP Dr. Sardjito Yogyakarta Tahun 2019 Anis Widyasari; Muhammad Nurhadi Rahman; Akbar Novan Dwi Saputra; Nuring Pangastuti
JURNAL KESEHATAN REPRODUKSI Vol 9, No 2 (2022)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.75774

Abstract

BackgroundReproductive tract malformations are rare in general population but are commonly encountered in women with infertility and recurrent pregnancy loss. Their true prevalence in the general population is not absolutely known mainly owing to methodological bias. Common uterine anomalies are important owing to their impact on fertility, and certain Mullerian malformations are particularly important because they cause serious clinical symptoms and affect woman’s quality of life. Identification of symptoms and timely diagnosis are an important key to the management of these defects. Although MRI being gold standard in delineating uterine anatomy, recent advances in imaging technology, specifically 3-dimensional ultrasound, achieve accurate diagnosis. Surgical management depend on the type of anomaly and its complexity and also involves multiple specialties; thus, patients should be referred to centres with experience in the treatment of complex genital malformationsObjectiveDetermined the description of cases of female genital malformation at Dr. Sardjito Hospital in 2019.MethodThis is descriptive study. The subject in this study were all new patient with female genital malformation at Obgyn Polyclinic Dr. Sardjito Hospital January-December 2019. Obtained  30 cases of female genital malformation.ResultThere is 30 cases of genital malformation in 2019. They were 4-44 years with mode at group 16-20 years. They consist of vaginal and cervicovaginal agenesis 14 cases, Mayer-Rokitansky-Küster-Hauser (MRKH) Syndrom 6 cases, hematometra of hemiuterine 4 cases, Herlyn-Werner-Wunderlich (HWW) syndrome 3 cases, imperforate hymen, didelphys uterus and genital ambiguous each 1 case. Five cases of cervicovaginal agenesis have been done sigmoid vaginoplasty, all of them have good sexual function after procedure. One case MRKH syndrome has been done sigmoid vaginoplasty with good sexual function after that. Two cases HWW syndrome have been surgical treatment that are vaginal septectomy and vaginal septectomy with laparascopic cystectomy.ConclusionThe correct knowledge of embryology of the genitourinary is essential for the understanding, study, diagnosis and management of genital malformations, especially complex ones and those that lead to reproductive problems. Surgical techniques for correcting genital malformations depend on the type of anomaly and complexity.
Gambaran Kriteria Robson pada Ibu Bersalin dengan Preeklampsia Dewi Nurlaelasari; Andriana Kumala Dewi
JURNAL KESEHATAN REPRODUKSI Vol 9, No 2 (2022)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.76694

Abstract

AbstractPreeclampsia is hypertension in pregnancy which is associated with 2-8% of pregnancy-related complications worldwide. It causes 9-26% of maternal deaths in low-income countries and 16% in high-income countries. This study aims to determine the prevalence and characteristics of pregnant women with preeclampsia who underwent cesarean section based on Robson's criteria at Sumber Waras Hospital, West Jakarta. This research methodology uses a descriptive method with a cross-sectional design with a total sample of 55 women with preeclampsia who underwent caesarean section in 2020 at Sumber Waras Hospital, West Jakarta. The results of this study were the highest group 4 on the Robson criteria with 41.81%, while the lowest were groups 3, 6 and 9 with 1.81%. The conclusion of this study is that the prevalence of women giving birth with preeclampsia who undergo cesarean section at Sumber Waras Hospital, West Jakarta is 78.57% and shows that group 4 on Robson's criteria has the highest number.Keywords: Cesarean section; Preeclampsia; Robson's criteriaAbstrakPreeklampsia adalah hipertensi pada kehamilan yang berhubungan dengan 2-8% komplikasi terkait kehamilan di seluruh dunia. Ini menyebabkan 9-26% kematian ibu di negara-negara berpenghasilan rendah dan 16% di negara-negara berpenghasilan tinggi. Penelitian ini bertujuan untuk mengetahui prevalensi serta karakteristik ibu bersalin dengan preeklampsia yang menjalani seksio sesarea berdasarkan kriteria Robson di RS Sumber Waras Jakarta Barat. Metodologi penelitian ini menggunakan metode deskriptif dengan desain penelitian potong lintang dengan jumlah sampel sebanyak 55 ibu bersalin dengan preeklampsia yang menjalani seksio sesarea pada tahun 2020 di RS Sumber Waras Jakarta Barat. Hasil penelitian ini yang tertinggi adalah kelompok 4 pada kriteria Robson dengan 41,81%, sedangkan yang terendah yaitu kelompok 3, 6 serta 9 dengan 1,81%. Kesimpulan dari penelitian ini adalah prevalensi ibu bersalin dengan preeklampsia yang menjalani seksio sesarea di RS Sumber Waras Jakarta Barat adalah 78,57% serta menunjukan bahwa kelompok 4 pada kriteria Robson memiliki jumlah yang paling tinggi.Kata kunci: Kriteria Robson; Preeklampsia; Seksio sesarea
Evaluasi KIPPas (Kartu Instrumen Prediktor Pangastuti) Jogja sebagai Instrumen Prediktor Disfungsi Dasar Panggul Pasca Persalinan Vaginal Fauzan Achmad Maliki; Nuring Pangastuti; Rukmono Siswishanto
JURNAL KESEHATAN REPRODUKSI Vol 9, No 2 (2022)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.77584

Abstract

Background: Postpartum pelvic floor dysfunction is pelvic floor disorder, which can be in the form of pelvic organ prolapse, urinary problem, defecation problem or sexual dysfunction. The incidence of postpartum pelvic floor dysfunction occurs in 46% of postpartum women. Until now, there is no standard instrument used to estimate the incidence of postpartum pelvic floor dysfunction. In previous studies, an instrument was obtained, namely KIPPas Jogja, to estimate the incidence of pelvic floor dysfunction after delivery, but it was still not sufficient for the number of research samples needed.Objective: To evaluate the Pangastuti Jogja Predictor Instrument Card (KIPPas Jogja) as a predictor of pelvic floor dysfunction in the form of pelvic organ prolapse after vaginal delivery.Method: This study was a prospective cohort study. Subjects who gave vaginal delivery were examined according to the KIPPas Jogja instrument and then evaluated for the diagnosis of pelvic floor dysfunction in the form of pelvic organ prolapse with POPQ examination and complaints of pelvic floor dysfunction using the PFDI and FSFI instruments at 3 months postpartum.Results and Discussion: From 133 research subjects, the results of the KIPPas Jogja assessment are high risk in 42.9% of subjects and low risk in 57.1% of subjects. The incidence of pelvic floor dysfunction in the form of pelvic organ prolapse was found in 69.17% subjects. Complaints of pelvic floor dysfunction were present in 20.31% subjects and complaints of sexual dysfunction in 11.3% subjects. The sensitivity of KIPPas Jogja is 80% and specificity is 95% with a positive predictive value of 97% and a negative predictive value of 68% to detect pelvic dysfunction in the form of pelvic organ prolapse. Meanwhile, to predict complaints of pelvic floor dysfunction, measured with PFDI-20, the sensitivity was 93% and specificity was 52%, and the positive predictive value was 33% and the negative predictive value was 96%. To predict sexual dysfunction, KIPPas obtained sensitivity of 64%, specificity of 42% with a positive predictive value of 10% and a negative predictive value of 92%.Conclusion: KIPPas Jogja can be used as a predictor of postpartum pelvic floor dysfunction. Keywords: postpartum pelvic floor dysfunction, KIPPas Jogja, POPQ, PFDI-20, FSFI

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