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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 229 Documents
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Perbandingan Kejadian Missing String IUD CUT 380A Pascasalin antara yang Dipasang Menggunakan R_Inserter dengan yang Dipasang Menggunakan Klem Cincin (Evaluasi 13-24 Bulan) Silvy Kusuma Dewi; Risanto Siswosudarmo; Muhammad Lutfi
JURNAL KESEHATAN REPRODUKSI Vol 4, No 3 (2017)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.36513

Abstract

Background: One of the main complaint of IUD client was missing string. The main cause of missing string was folded string into the cervical canal. The incidence of translocation in case of missing string was 0 – 5%.Objective: To compare the incidence of missing strings IUD CuT 380A inserted by R_inserter compared to ring forceps during postpartum period in addition to compare incidence of malposition, cumulative expulsion, the continuation of IUD, pregnancy and menstrual complaintsMethod: The study was conducted in Sardjito Hospital Yogyakarta. The subjects were divided into two groups, of exposed group (inserted postpartum IUD using R_inserter) and control group (inserted postpartum IUD by using ring forceps). Follow-up was performed in the period of 13-24 months postpartum. Data was analized with Chi-square test and relative risk for comparing two proportions.Result and Discussion: A total of 178 study subjects consisted of 91 subjects inserted with R_inserter and 87 subjects with a ring forceps. The incidence of missing strings in R_inserter was lower than ring forceps group, 1.2% vs. 3.6% (RR 0.33; 95% CI 0.36-3.18). There was only one subject IUD malposition from ring forceps group. The incidence of expulsion cumulative in the R_inserter was higher than ring forceps, 6.0% vs 4.1% (RR 1.47; 95% CI 0.43-5.05). The continuation rate of IUD in R_inserter and ring forceps groups was 83% and 85.7% (RR 0.97; 95% CI 0.86-1.09) and no incidence of pregnancy. Number of menstrual complaints on R_inserter were lower than the ring forcep 2.4% vs. 3.6% (RR 0.66%; 95% CI 0.11-3.83).Conclusions: There was no difference in the incidence of missing strings, malposition, expulsion, continuity and menstrual complaints between IUD CuT 380A inserted by R_inserter and ring forceps during the postpartum period.Keywords: postpartum IUD, R_inserter, ring forceps, missing strings, malposition.
HUBUNGAN MANAJEMEN AKTIF KALA TIGA DENGAN INISIASI MENYUSUI DINI DI KABUPATEN SUMEDANG TAHUN 2010 Ade Ana; Djaswadi Dasuki; Irwan Taufiqurahman
JURNAL KESEHATAN REPRODUKSI Vol 1, No 1 (2014)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.4910

Abstract

Background: Intervention in activemanagement of the third stage of labor (AMTSL) is aimed to accelerate the deliveryof the placenta, to prevent and reduce blood loss in the third stage of labor. Early initiation of breastfeeding facilitates,a baby to start breastfeeding right away, that aims to stimulate the baby’s suckling reflex for increasingmilk production.This practice can reduce the risk of infant mortality due to hypothermia and infection in infants under 1 month. There are several obstacles in its implementation, due to policy, providers and client. It is important to implement AMTSLand early initiation of breastfeeding to improve the health of mothers and infants accordingly.Objective: To determine the implementation of activemanagement of the third stage and early breastfeeding initiationMethods: This study was an observational study with cross sectional design. The samples were 166 postpartummothers and newborns in public hospitals and health centers at District of Sumedang. Analysis of the data usedunivariate analysis, bivariate analysis using Chi-square and multivariate analysis using logistic regression.Results and Discussion: RThe prevalence of active management of the third stage success was 77,1 % and 48,8 %was completed with early initiation of breastfeeding. There was a significant relationship between the success ofearly breastfeeding initiation after active management of the third stage (OR= 3,1, 95 % CI= 1,12-8,49 ). Otherfactors that related were the support of providers, client support and delivery place. Less supportive policy, noten steps to successful breastfeeding and lack of trained personnel led to differences in perception. Lack of staffmotivation and clear information caused the client did not understand the importance of both these proceduresdone.Conclusion: The success of active management of the third stage and early breastfeeding initiation can be achieved ifthere was a comprehensive support from policy makers (policy side), service providers (support side) and servicerecipients (demand side)  
The Impact of Obstetrician/Gynecologist Hospitalists on Neonatal Quality of Care in Sardjito General Hospital Yogyakarta, Indonesia: A Retrospective Cohort Study Eugenius Phyowai Ganap; Mohammad Hakimi; Soerjo Hadijono; Ova Emilia
JURNAL KESEHATAN REPRODUKSI Vol 3, No 2 (2016)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.28084

Abstract

ABSTRACT Background : The hospitalist model in obstetric care which was introduced over the last decades now has an important role in care delivery management with the potential positive impact on neonatal outcomes.Methods : This research design was retrospective cohort. Participants included is the patient in the time before and after implementation of obstetrician/gynecologist full-hospitalist policy during October 2013 until September 2014. The outcome measured were mean response time, APGAR score at 5 minutes, , NICU admission. Univariate and multivariable analyses was conducted to evaluate and determine the factor which significantly contribute to neonatal outcomes.Results and Discussion: We included total 71 patients (37 on-call obstetrician group and  34 full-time hospitalist group).  Univariate analysis indicated  mean response time was significantly differ in full-time hospitalist group when compared to the on-call obstetrician group (65,3 + 25,89 vs. 84 + 22,29 mins; p = 0,002). Implementation of full-time hospitalist did not impact the  NICU admission and APGAR score at 5 minutes. Conclusion : Implementation of full-time hospitalist model is  not affecting neonatal outcomes.Keywords :  Infant and Maternal Mortality, Obtericians / Gynecologist Hospitalist, Labor and Delivery, Maternal and Neonatal Care, ICU Response Time. 
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
EVALUASI KEPATUHAN PETUGAS DALAM TATALAKSANA PNEUMONIA DI KABUPATEN TOLITOLI Abd Rahman; Mohammad Hakimi; Rina Triasih
JURNAL KESEHATAN REPRODUKSI Vol 2, No 3 (2015)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.12654

Abstract

EVALUASI KEPATUHAN PETUGAS DALAM TATALAKSANA PNEUMONIA DI KABUPATEN TOLITOLIAbd Rahman1, Mohammad Hakimi2, Rina Triasih3ABSTRACTBackground: The infant mortality rate in Central Sulawesi Province is 52 per 1000 live births, which isthe fifth highest in Indonesia. The high rate of morbidity and mortality of acute respiratory infection andpneumonia in children under five in Tolitoli District in past year related to the implented efforts triandsARI eradication program. This is indeed related to how officers comply with pneumonia managementcorrectly.Objective: To evaluate officers’ compliance in implementing pneumonia manager Tolitoli Distric.Method: This was an observational study with cross-sectional study design, using quantitative approach,Data were collected through observation and interview using standardized questionnaire by tramednurses. Officer who handled pneumonia program in Tolitoli District and those in Publich Health Centreswere recruited as subjects.Result and Discussion: One hundred and nineteen subjects were recruited to this study. The percentaseof officers who complied with pneumonia management was 69%. The result of multivariate analysis thatwas training increased officers’ compliance in pneumonia management which was adjusted to education,knowledge and length of work had a significant relationship (PR: 1.79; 95% CI: 1,38 – 2,33) and theincreased value R2 of 6.3%, it mean.Conclusion: Trained officers were more compliant than untrained officers with the prevalence risk of1.79 times. Education, knowledge, and length of working service were related to officers’ compliance inpneumonia management.Keywords: training, officers’ compliance in pneumonia managementABSTRAKLatar belakang: Angka kematian bayi di Propinsi Sulawesi Tengah sebesar 52 per 1000 kelahiran hidupdan menempati urutan kelima tertinggi di Indonesia. Tingginya angka kesakitan dan angka kematian balitaakibat pneumonia di Kabupaten Tolitoli dalam beberapa tahun terakhir tidak terlepas dari seberapa jauhupaya program pemberantasan penyakit ISPA telah dilaksanakan. Hal ini sangat terkait dengan bagaimanakepatuhan petugas dalam melakukan tata laksana pneumonia secara tepat.Tujuan: Diketahuinya kepatuhan petugas dalam melakukan tatalaksana pneumonia di Kabupaten Tolitoli.Metode: Penelitian ini merupakan jenis penelitian observasional dengan rancangan cross sectional denganmenggunakan pendekatan kuantitatif. Data dikumpulkan melalui observasi dan wawancara dengan subyekpenelitian dengan menggunakan lembar observasi dan kuesioner.Hasil dan Pembahasan: Sebanyak 119 subyek diikutkan dalam penelitian ini. Rata-rata petugas yang patuhterhadap tata laksana pneumonia sebesar 69%. Hasil analisis multivariat menunjukkan bahwa variabelpelatihan dan kepatuhan petugas dalam tatalaksana pneumonia dengan mengikutsertakan variabel pendidikan, pengetahuan dan masa kerja untuk dianalisis secara bersama mempunyai hubungan yangsignifikan ((RP;1,79, IK 95%; 1,38 – 2,33) dan peningkatan nilai R2 sebesar 6,3%Kesimpulan: Petugas yang telah dilatih lebih patuh dibanding petugas yang belum dilatih dengan risikoprevalensi 1,53 kali. Faktor pendidikan, pengetahuan dan masa kerja berhubungan secara bermaknadengan kepatuhan petugas dalam tataksana pneumonia.Kata kunci: pelatihan, Kepatuhan petugas tatalaksana pneumonia1 Tolitoli Faculty of Medicine and Health Science2 Maternal and Child Health-Reproductive Health Graduate Program, FK-UGM3 Pediatric Department, Dr. Sardjito General Hospital, Yogyakarta
Hubungan Komunikasi Interpersonal Orang Tua dengan Perilaku Seksual Pranikah Remaja di Kota Padang Nita Tri Putri; Djaswadi Dasuki; Budi Wahyuni
JURNAL KESEHATAN REPRODUKSI Vol 3, No 2 (2016)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.35947

Abstract

Background: The phenomenon that is troubling many parties at the present time is the pattern of the adolescent courtship leading to sexual intercourse. Most teens consider premarital sexual behavior is normal and common. Interpersonal communication parents is not good  to their children will cause conflicts that impact on adolescent premarital sexual behavior. By looking at the picture of interpersonal communication old man is expected to overcome adolescent premarital sexual behavior.Objektive : The purpose of this study was to determine the relationship between interpersonal communication of parents toward adolescent premarital sexual behavior.Method: This was an observational study using cross-sectional design and mixed methods approaches (quantitative and qualitative). The experiment was conducted at SMAN A, SMAN B, SMA C Idan MAN D Padang with research subjects totaling 299 teenagers. Informants for qualitative data that consists of 4 boys, 4 girls and 8 parents of the school to be studied.Results and Discussion: Indicates that there is a statistically significant relationship (p <0.05) between the independent variables (interpersonal  communication of parents) with dependent variable (adolescent premarital sexual behavior) with a RP 3.71 95% CI (2.62 to 5.25). interpersonal communication of parents after the controlled variable peers, the media and religiosity there is also an increase of 49%.Conclusion: premarital sexual behavior in adolescents at risk because interpersonal communication of parents are not good . Other factors that affect the risk of premarital sexual behavior in adolescents are peers, the media and the level of religiosity. The results of in-depth interviews permissiveness and emotionally intimate relationship  with parents also have an impact on the relationship is not good between parents and teenagers in interpersonal communication.Keywords: interpersonal communication of parents, adolescent premarital sexual behavior
Kadar Hormon LH Basal sebagai Prediktor Kebrhasilan Stimulasi Ovarium pada Program Bayi Tabung Dyah Ariantini; Mohammad Lutfi; Diah Rumekti Hadiati
JURNAL KESEHATAN REPRODUKSI Vol 5, No 1 (2018)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.37988

Abstract

Background: Ovarian stimulation is part of assisted reproductive technology (ART) process, which aims to spur the growth of follicles to be developed, so that it will increase the chance of getting pregnant. LH surge cause the final follicular maturation, ovulation and becoming corpus luteum. So that an increase in LH may adversely affect the development of the follicle and eventually affect in-vitro fertilization.Objective To determine the effect of basal LH hormone to follicles on the stimulation of ovarian.Method: Cohort Retrospective. Research Location: Permata Hati Clinic of Sardjito Hospital, YogyakartaResult dan Discussion: The study included 70 cycles of 70 women who underwent ovarian stimulation for in-vitro fertilization and fulfill inclusion and exclusion criterias. The subjects were divided into 2 groups based on basal LH hormone levels i.e. LH ≤ 3 mIU/ml as the test group and LH >3 mIU/ml as the control group. From analysis, response to ovarian stimulation in group with LH ≤3 mIU/ml was significantly different than LH >3 mIU/ml (RR 1,875; 95% CI 1,275–2,757; p=0,00*).Conclusion: Low level of basal LH (≤ 3 mIU/ml) generating fewer number of mature follicles in patients who performed ovarian stimulation in in-vitro fertilization program.Keyword: basal LH, ovarian stimulation, in-vitro fertilization.
PENGARUH KONSELING LAKTASI PADA IBU HAMIL TRIMESTER III TERHADAP PEMBERIAN PRELAKTAL BAYI BARU LAHIR Happy Dwi Apriliani; Risanto Siswosudarmo; Wahyu Ikka Setiyarini
JURNAL KESEHATAN REPRODUKSI Vol 2, No 2 (2015)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.12640

Abstract

PENGARUH KONSELING LAKTASI PADA IBU HAMILTRIMESTER III TERHADAP PEMBERIAN PRELAKTAL BAYIBARU LAHIRHappy Dwi Aprilina1, Risanto Siswosudarmo2, Wahyu Ikka Setiyarini3ABSTRACTBackground: Exclusive breastfeeding’s rate in Indonesia is still low. One of the causes of this failure is theprelacteal feeding in infants’ early life. Prelacteal feeding can cause the infants reluctance to suckle theirmothers’ breasts, diarrhea, allergy, ear infections and respiratory disorders in infants. One of the efforts toprevent prelacteal feeding is providing lactation counselingto women in the third trimester of pregnancy.Objective: To assess the impact of lactation counseling to women in the third trimester of pregnancytoward prelacteal feeding to newborn infants.Method: This research design usedrandomized controlled trial (RCT) which is divided into treatment group(pregnant women class and individual lactation counseling) n=33 and control group (pregnant women classonly) n=34. The subjects are woman in the third trimester of pregnancy in the work area of PuskesmasSokaraja 1, Banyumas. The sampling technique is simple random sampling. Chi square, relative risk (RR)and logistic regression analysis is used for statistical analysis.Result and Discussion: Proportion mothers who did not give prelacteal feeding wassignificantly higher inintervention group than in control group, 69% vs 30% with RR = 1.69 (95% CI: 1.06 to 2.68) p = 0.01.Conclusion: Mothers who received counseling lactation in the third trimester of pregnancy had a 1.69times greater chance to not give prelacteal than mothers who did not receive counseling lactation.Keywords: Exclusive Breastfeeding, Lactation Counseling, Prelacteal, Health Education, BreastfeedABSTRAKLatar Belakang: Cakupan pemberian ASI Eksklusif di Indonesia masih dalam rendah. Salah satu penyebabkegagalan ASI Eksklusif adalah pemberian prelaktal pada awal kehidupan bayi. Pemberian prelaktal dapatmenyebabkan bayi malas menyusu, diare, alergi, infeksi dan gangguan pernapasan pada bayi. Salah satuupaya dalam mencegah pemberian prelaktal yaitu dengan memberikan konseling laktasi pada ibu hamiltrimester ketiga.Tujuan: mengetahui pengaruh konseling laktasi pada ibu hamil trimester ketiga terhadap pemberianprelaktal bayi baru lahir.Metode: Desain penelitian menggunakan randomized controlled trial (RCT),dibagi menjadi kelompokperlakuan (kelas ibu hamildan konseling laktasi) n=33 dan kelompok kontrol (kelas ibu hamil saja) n=34.Subjek penelitian yaitu ibu hamil trimester ketiga di wilayah kerja Puskesmas Sokaraja 1 Banyumas. Teknikpengambilan sampel menggunakan simple random sampling. Chisquare, risiko relatif (RR) dan analisisregresi logistik digunakan untuk analisis statistik.Hasil dan Pembahasan: Proporsi ibu tidak memberikan prelaktal pada kelompok intervensi lebih tinggidibandingkan dengan kelompok kontrol; 69% vs 30% dengan RR=1,69 (95% CI: 1,06-2,68), sehingga terdapat perbedaan yang bermakna secara statistik pada kelompok perlakuan dibandingkan dengankelompok kontrolKesimpulan: Proporsi ibu yang mendapatkan konseling laktasi pada kehamilan trimester ketiga 1,69 kaliberpeluang lebih besar tidak memberikan prelaktal daripada ibu yang tidak mendapatkan konseling laktasi.Kata kunci: ASI Eksklusif, Konseling laktasi, Prelaktal, Pendidikan Kesehatan, Menyusui1 E-mail: happydwiaprilina@yahoo.com; Program Studi Magister Keperawatan Universitas Gadjah Mada2 Bagian Obstetri dan Ginekologi Fakultas Kedokteran Universitas Gadjah Mada3 Rumah Sakit Umum Daerah Banyumas
PEMANFAATAN POJOK LAKTASI DI PUSKESMAS I CILONGOK KABUPATEN BANYUMAS Khusnul Khotimah; Ova Emilia; Mohammad Hakimi
JURNAL KESEHATAN REPRODUKSI Vol 1, No 1 (2014)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.4914

Abstract

PEMANFAATAN POJOK LAKTASI DI PUSKESMAS I CILONGOKKABUPATEN BANYUMASKhusnul Khotimah, Ova Emilia,Mohammad HakimiABSTRACTBackground : Based on survey Indonesian demographic and health in 2007 that exclusive breastfeeding 38 %decrease from 39,5% in 2002-2003, child under 6 months who gets milk incease from 16,7% until 27,9% in2007. American Academy of Pediatrics (1)get recomendation baby must get exclusive breastfeeding in 6 monthuntil 2 years old. Banyumas regency are have a program to increase scope of exclusive breastfeeding by regulationof regent number 52 in 2012 about increase exclusive breastfeeding in Banyumas Regency. One of the material insocialization is about lactation room and standardization, right of women worker to breastfed in office, publicfacility.Objective : to determine factors can effected utilization of lactation room in Puskesmas I Cilongok.Methods : this study was an observational study with a cross sectional design and qualitative study or called mixmethod. Location of study in Puskesmas I Cilongok. Sample of this study is employed mother who breastfeedand visitors of Puskesmas I Cilongok in Banyumas Regency. Sampling method used sampling convinience get 41women until this study done. independent variable are attitude of breastfeed mother about lactation room andbehavior of breastfeed mother. Dependent variable is utilization of lactation room. Data analysis consisted ofunivariable analysis, bivariable analysis using chi-square test and multivariable analysis using logistic regressiontest and also qualitative analysis.Results and Discussion : there is no effect attitude of breastfeed mother about lactation room with utilization oflactation room, can we see from p = 0,247 (RP1,58; 95% CI 0,70-3,55), the similar result from dialogue thatmother have good attittude but not utilized, they say not get socialization from health worker. The good Behaviorbreastfeed mother have relation with utilization, can we see p = 0,028, RP2,35 (95% CI 1,05-5,23). Results fromdialogue mother who get bad behavior not utilized. Utilization in lactation room only just breastfeeding, neverused to pamp and saving breastmilk. People not respond that room lactation is a necessary, because withoutpolicy about room lactation, they are can breastfed in any where.Conclusion : Good attitude of breastfeed mother about lactation room can not get effect utilization of lactationroomand good behavior breastfeedmother can get effect with utilization lactation room in Puskesmas I Cilongok.Keyword: attitude breastfeed mother, behavior breastfeed mother and utilization lactation room ABSTRAKLatar Belakang:Berdasarkan data Survey Demografi dan Kesehatan Indonesia (SDKI) tahun 2007 tercatat bahwacakupan ASI eksklusif sebesar 38% menurun dari 39,5%di tahun 2002-2003, sementara jumlah bayi dibawah 6bulan yang diberi susu formula meningkat dari 16,7% menjadi 27,9% ditahun 2007. American Academy ofPediatrics (1)merekomendasikan bahwa durasi minimal ASI eksklusif menjadi 6 bulan tetapi optimal harus terusselamaminimal 2 tahun.Kabupaten Banyumas sedangmemiliki program gunameningkatkan cakupan ASI eksklusifyang dituangkan lewat Peraturan Bupati Banyumas nomor 52 tahun 2012 tentang peningkatan pemberian ASI diKabupaten Banyumas. Salah satu materi sosialisasi tersebut berisi tentang anjuran pengadaan pojok laktasibeserta standarisasinya, hak ibu bekerja yang menyusui di kantor pemerintahan, sarana pra sarana umum juga.Tujuan:Untuk mengetahui faktor-faktor yang mempengaruhi pemanfaatan pojok laktasi di Puskesmas I Cilongok.Metode:Penelitian ini menggunakan jenis observasional dengan desaincross sectionaldan kualitatif. Tempatpenelitian Puskesmas I Cilongok. Sampel penelitian ibu bekerja menyusui dan pengunjung puskesmas memilikibayi umur 0 bulan sampai dengan 2 tahun berada di Puskesmas I Cilongok. Pengambilan sampel menggunakansampling conviniencediperoleh 41 orang selama penelitian dilakukan.Variabelindependen adalah sikap ibumenyusui terhadap pojok laktasi, perilaku ibu menyusui. Variabel dependen ialah pemanfaatan pojok laktasi.Analisa data meliputi analisis univariabel, bivariabeldengan menggunakan chi square sedangkan multivariabelmenggunakan uji regresi logistik serta analisis kualitatif.Hasil dan Pembahasan:Sikap ibu menyusui terhadap ketersediaan pojok laktasi tidakmempengaruhi pemanfaatanpojok laktasi dilihat dari nilai p = 0,247 (RP1,58; 95% CI 0,70-3,55), hasil ini didukung hasil wawancara bahwasikap baik tetapi tidak memanfaatkan pojok laktasi dengan alasan sosialisasi yang kurang dari petugas kesehatan.Perilaku ibu menyusui yang baik berhubungan dengan pemanfaatan pojok laktasi dilihat dari nilai p = 0,028,RP2,35 (95% CI 1,05-5,23). Hasil wawancara ibu yang berperilaku tidak baik cenderung tidak memanfaatkanpojok laktasi. Pemanfaatan pojok laktasi hanya untuk menyusui saja, tidak digunakan untuk memeras danpenyimpanan ASI. Rendahnya pemanfaatan pojok laktasi dikarenakan faktor kebutuhan. Masyarakat desa tidakmenganggap bahwa pojok laktasi merupakan kebutuhan, karena tanpa adanya kebijakan pengadaan pojok laktasimereka dapat menyusui dimanapun.Kesimpulan:sikap ibu menyusui terhadap ketersediaan pojok laktasi yang baik tidak mempengaruhi pemanfaatanpojok laktasi dan perilaku ibu menyusui yang baik dapat mempengaruhi pemanfaatan pojok laktasi di PuskesmasI Cilongok Kabupaten Banyumas.Kata kunci: sikap ibu, perilaku ibu, pemanfaatan pojok laktasi
Hubungan antara Saat Penanganan Kegawatdaruratan Maternal di Luar atau Saat Jam Kerja dengan Waktu Tanggap di RSUD LA Temmamala Kabupaten Soppeng, Sulawesi Selatan Fadillah Fadillah; Mohammad Hakimi; Risanto Siswosudarmo; Umar Malinta
JURNAL KESEHATAN REPRODUKSI Vol 4, No 3 (2017)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.36479

Abstract

Background: The national maternal mortality rate is still high at 228 per 100.000 live births. Three late allegedly related to high maternal mortality rate, are 1)too late for decision making, 2) too late for access service and 3) too late for get treatment at referral health facility. Response time for maternal emergency treatment in the hospital plays an important role, since it affects the final result.Objective: To determine the relationship between the time of obstetric emergency management and response time.Method: This study used cross sectional design with the population of study was obstetric emergency patients. One hundred and forty-five subjects were divided into two group: group treated outside of working hours as exposed groups and groups treated during working hours as control groups. Delay of response time were observed. Data was processed by statistical program using computer. Chi square test and logistic regression analysis were used to perform statistical tests.Result and Discussion: From September 1st 2015 to April 30th 2016, there were 145 cases with obstetric emergency handled. A total 82 cases among 145 (56,6%) received emergency management outside working hours. It was found that the 1st response time was delayed in handling outside work hours compared to handling during working hours (RR 2,22; 95% CI 164-3,00). The same was obtained at 2nd response time (RR 1,39; 95% CI 1,04-1,86) and 3rd response time (RR 1,65; 95% CI 1,14-2,31). Multivariate analysis was found that time of the emergency handling was the most dominant variable that affect all response time [1st response time (OR 12,61; 95% CI 4,82-32,03), 2nd response time (OR 2,17; 95% CI 1,05-4,47), 3rd response time (OR 7,70; 95% CI 1,91-31,10)]. PONEK with midwife on duty also influence 1st response time (OR 3,28; 95% CI 1,21-8,93).Conclusion: Obstetric emergency management outside of work hours increased the occurence of response time delay.Keywords: Time of management, Obstetric emergency, 1st, 2nd and 3rd response time.

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