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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.
Arjuna Subject : -
Articles 254 Documents
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Karakteristik Ibu Hamil dengan Covid-19 dan Luaran Persalinannya di Rumah Sakit Kasih Ibu Surakarta Nabila Arnest Amorita; Ira Syahriarti
JURNAL KESEHATAN REPRODUKSI Vol 8, No 1 (2021)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.63936

Abstract

Background: Kasih Ibu Hospital as one of the referral hospitals for COVID-19 in Surakarta City, Central Java, had treated 1333 confirmed cases of COVID-19, including among them obstetric patients with COVID-19. Pregnant women are considered to be more susceptible to COVID-19 infection than those who are not pregnant and it is feared that it will result in unfavorable conditions for both mother and fetus. Until now, research on pregnant women with COVID-19 in Indonesia is still very few and limited.Objective: To provide an overview of the characteristics of maternal and neonatal outcomes at the Kasih Ibu Hospital Surakarta.Method: Data were collected from medical records of pregnant women confirmed with COVID-19 who gave birth at the Kasih Ibu Hospital, Surakarta. Data was presented in the form of a distribution based on maternal age, parity, gestational age, complication of delivery, typical complaints of COVID-19 in mothers, birth weight of infant, infant APGAR score, and infant COVID-19 status.Results and Discussion: A total of 62 pregnant women confirmed with COVID-19 gave birth at the Kasih Ibu Hospital Surakarta by sectio caesarean procedure. Of all pregnant women, most were asymptomatic and had mild symptoms, only 3.2% had moderate symptoms and no severe or critical symptoms were found. Out of 20 out of 62 babies born (32%) confirmed with COVID-19. All babies were born with good APGAR score and 4 babies were found with low birth weight, one of whom also had hypospadias.Conclusions: Further research is needed regarding the maternal-fetal transmission of COVID-19. Keywords: COVID-19; neonates; pregnancy
Hubungan peningkatan kadar progesteron pada saat pengambilan oosit terhadap keberhasilan Fertilisasi In Vitro Martha Chaterince Silitonga; Shofwal Widad; Ova Emilia
JURNAL KESEHATAN REPRODUKSI Vol 8, No 1 (2021)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.64359

Abstract

Latar belakang:Fertilisasi In Vitro (FIV) semakin banyak digunakan dalam penanganan infertilitas di Indonesia. Banyak penelitian yang mempelajari pengaruh peningkatan kadar progesteron saat pengambilan oosit dalam keberhasilan FIV, namun hasil yang diperoleh masih bersifat kontroversi.Tujuan: Mengetahui hubungan peningkatan kadar hormon progesteron saat pengambilan oosit dengan keberhasilan FIV.Metode: Penelitian ini menggunakan metode kohort retrospektif melibatkan 210 siklus FIV dari Januari 2014 sampai Desember 2016. Subyek penelitian dibagi menjadi dua kelompok berdasarkan kadar progesteron saat pengambilan oosit. Kelompok pertama dengan kadar progesteron < 12 ng/ml sebanyak 151 subyek, sedangkan 59 lainnya masuk dalam kelompok dengan kadar progesteron ≥12 ng/ml. Luaran kehamilan dinilai dengan mengukur kadar hormon β-hCG.Hasil dan Pembahasan: Didapatkan hasil bahwa tidak ada perbedaan bermakna untuk luaran kehamlan antara kelompok dengan kadar progesteron rendah dan kadar progesteron tinggi (25,8% VS 23,7%; RR 0,67 IK 0,29-1,56, p>0,05). Pada analisis bivariat, terdapat peningkatan signifikan dari kadar estradiol pasca stimulasi dan jumlah folikel (RR 2,00 IK 1,57-2,55, p<0,0001 dan RR 1,86, IK 1,47-2,36, p<0,0001);  jumlah oosit (RR 1,99, IK 1,61-2,48, p<0,0001), dan jumlah embrio (RR 1,99 IK 1,62-2,43; p<0,0001) pada kelompok dengan kadar progesteron tinggi. Dari analisis multivariat, peningkatan jumlah oosit merupakan satu – satunya faktor yang secara signifikan meningkatkan rasio kehamilan pada FIV (RR 3,36 IK 1,04-10,87; p<0,05).Kesimpulan:Pada penelitian ini tidak terdapat perbedaan signifikan rasio kehamilan pada FIV dengan peningkatan kadar hormon progesteron pada pengambilan oosit. Jumlah oosit yang dipanen secara signifikan meningkatkan keberhasilan kehamilan pada FIV, dan jumlah oosit juga signifikan meningkat pada kelompok dengan kadar progesteron tinggi.Kata kunci: progesteron; oosit; Fertilisasi In Vitro
Hubungan Metode Persalinan dengan Penggunaan IUD Pascasalin di RSUD Panembahan Senopati Bantul Eis Damayanti; Irwan Taufiqurrachman; Eugenius Phyowai Ganap
JURNAL KESEHATAN REPRODUKSI Vol 8, No 1 (2021)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.64361

Abstract

Latar Belakang: Periode pascasalin merupakan masa yang penting untuk memulai kontrasepsi, namun masih kurang dimanfaatkan, utamanya untuk penggunaan IUD pascasalin. Hal ini ditunjukkan oleh penggunaan IUD pascasalin hanya 14,06% dari keseluruhan metode kontrasepsi pascasalin. Angka seksio sesarea meningkat signifikan akhir-akhir ini, mencapai 29,6% di Indonesia. Peningkatan angka seksio caesarea (SC) tidak diikuti peningkatan penggunaan IUD pascasalin. Padahal peluang penggunaan IUD pascasalin pada persalinan abdominal/seksio sesarea lebih besar. Tujuan: Penelitian ini bertujuan untuk melihat hubungan antara metode persalinan dengan penggunaan IUD Pascasalin di RSUD Panembahan Senopati. Metode: Penelitian ini merupakan penelitian analitik dengan desain cross sectional atau potong lintang, sampel penelitian diambil dari pasien yang melahirkan di RSUD Panembahan Senopati, data dikumpulkan dengan metode wawancara. Uji Chi square dan prevalence ratio dipakai untuk analisis statistika. Hasil dan Pembahasan: Penelitian ini melibatkan 260 subyek, 161 (61,92%) persalinan vaginal dan 99 (38,08) SC. Total pengguna IUD pascasalin sebanyak 128 (49,23%). Persalinan SC memiliki hubungan bermakna dengan penggunaan IUD pascasalin (p 0,000; PR 1,49; CI 1,19-1,89).  Faktor lain yang mempengaruhi penggunaan IUD pascasalin secara bemakna adalah riwayat penggunaan metode kontrasepsi jangka panjang (MKJP) sebelumnya (p 0,002; PR 1,68; CI 1,38-2,06), adanya asuransi Jaminan Kesehatan Nasional (JKN) (p 0,038; PR 1,71; CI 1,04-2,80), dan konseling (p 0,000; PR 2,84; CI 1,85-4,35). Alasan terbanyak subyek menolak penggunaan IUD pascasalin adalah takut efek samping (35%). Kesimpulan: Penggunaan IUD pascasalin lebih tinggi secara bermakna pada seksio sesarea dibandingkan persalinan vaginal. Faktor lain yang mempengaruhi penggunaan IUD pascasalin secara bermakna adalah riwayat penggunaan MKJP, adanya asuransi JKN dan konseling. Kata Kunci: IUD pascasalin; metode persalinan; angka pemasangan; persalinan vaginal, SC  
Hubungan antara Faktor Klinikohistopatologi dan Kualitas Hidup Pasien Kanker Endometrium Pasca Operasi di RSUP Dr.Sardjito Yogyakarta Menggunakan Modul Kuesioner EORTC QLQ-C30 dan EN 24 Dini Mahrani; Ahsanudin Attamimi; Ardhanu Kusumanto
JURNAL KESEHATAN REPRODUKSI Vol 8, No 1 (2021)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.64362

Abstract

Background: According to data from the "Endometrial Cancer Report" by the World Cancer Research Fund and the American Institute for Cancer Research (WCRFI), endometrial cancer is the sixth most common malignancy in the world and is the largest cancer in female organs, after cervical cancer. This incidence is increasing every year, it is predicted to increase about 5% of new cases each year. The main prognostic factors of endometrial cancer are determined by the histological type, stage, degree, differentiation of the tumor, invasive myometrial level and increase in lympho-vascular invasion. In addition to determining the histopathological factors, the prognosis is also determined from the clinical patient. Several studies have shown certain clinical factors also improve the condition and prognosis of the disease. Prognosis of this disease with the quality of life of patients becomes an interesting topic to discuss. Besides that quality of life is also a measure of therapeutic success. The better the prognosis of a disease, the better the quality of life, the higher the success rate of therapy (Greimel, 2010).Objective: To know correlation between clinicohistopathological and quality of life in patients with endometrial cancer after undergoing surgery at Sardjito Hospital, Yogyakarta.Method: The research is analytic with cross sectional approach. Patients with endometrial cancer who have undergone total hysterectomy and bisalpingoophorectomy surgery are assessed for their quality of life through interviews and filling out questionnaires in the EORTC QLQ-C 30 and QLQ-EN 24 modules.Results and Discussion: This study, most people with endometrial cancer aged 55-65 years were 34 people (42%) and diagnosed after menopause with a range of age >55 years as many as 43 people (53.1%). This study cannot prove the hypothesis that age, parity, body mass index, type of histopathology and KGB involvement have a relationship with the quality of life of cancer patients (p >0.05). But in contrast to the stage of early cancer (OR 3.17, p=0.044 (CI 95% 1.03-9.75)) and good and moderate differentiation (OR 4.471, p=0.023 (CI 95% 1.23-16.24)) have a significant relationship with quality of life.Conclusion: Clinicohistopathological factors (cancer stage and tumor differentiation) have a correlation with the quality of life at patients with postoperative endometrial cancer in  Sardjito Hospital Keywords: Endometrial cancer; clinicohistopathological factors; quality of life
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

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