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INDONESIA
Jurnal Kesehatan Reproduksi
ISSN : 2302836X     EISSN : 2621461X     DOI : -
Core Subject : 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
ANXIETY AND ACCEPTANCE OF GRIEF IN PREGNANT WOMEN WHO HAVE TERMINATED PREGNANCY Darmayasa, I Made; Sitanggang, Amita Rouli Purnama
JURNAL KESEHATAN REPRODUKSI Vol 11, No 3 (2024)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.84286

Abstract

Background: Termination of pregnancy is a major life event and can even be a traumatic experience. A woman who undergoes a termination of pregnancy loses not only her fetus but also her dreams and plans for her child. This can cause disturbances in a person's psychology, and one of them is in the form of anxiety.Objective: To study and determine the anxiety and acceptance of grief in pregnant women who are about to terminate their pregnancy.Method: Serial case reports of two cases of pregnant women with congenital abnormalities who are about to terminate their pregnancy. Interviews were conducted at the Obstetrics and Gynecology Polyclinic at Prof. Dr. I. G. N. G. Ngoerah General Hospital Denpasar related to the mental condition experienced before the termination of pregnancy and how the social support received by the patient. Both anxiety measurements were carried out using the Beck Anxiety Inventory (BAI) and Hamilton Anxiety Rating Scale (HARS) questionnaires.Results and Discussion: The two pregnant women with termination plans at the Obstetrics and Gynecology Polyclinic at Prof. Dr. I. G. N. G. Ngoerah General Hospital Denpasar experiences anxiety although it cannot be categorized as severe anxiety. In facing termination, the two patients also experienced difficulties in accepting grief which improved along with the provision of education and assistance from the medical team. For clients and families, the experience of abortion can be a separate stressor that is very influential both physically and psychologically for the client. The choice to undergo termination of pregnancy (both voluntary and therapeutic) is highly personal and complex for the woman and her partner because many factors are involved in the decision-making process. Performing therapeutic termination of pregnancy is very personal and several demographic and reproductive factors can contribute. Women who undergo termination of pregnancy have a higher risk of developing mental disorders.Conclusion: Termination of pregnancy is a difficult process. This process can cause several mental disorders such as anxiety disorders in pregnant women who are about to terminate. In the decision-making process, the pregnancy termination team must consider all aspects, both psychological and cultural, that are adhered to by the patient.
ANALYSIS OF THE CAESAREAN SECTION ACCORDING TO ROBSON CLASSIFICATION AT RSUD PANEMBAHAN SENOPATI BANTUL IN 2021–2022 Gumilar, Gulam; Emilia, Ova; E.S, Diannisa Ikarumi; Nurdiati, Detty
JURNAL KESEHATAN REPRODUKSI Vol 11, No 3 (2024)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.88597

Abstract

Background : The Robson 10-group classification system categorizes pregnant women into ten distinct groups based on specific obstetric characteristics. As caesarean section rates rise globally, this trend has become an important public health concern. Between 2012 and 2015, RSUD Panembahan Senopati Bantul, a regional government hospital in Indonesia, reported caesarean section rates exceeding 30%. The aim of this study is to identify which Robson groups contributed most to the significant increase in cesarean deliveries.Objective : This study aims to determine the rate of change in the trend of caesarean section rates that occurred at Bantul Regional General Hospital during the 2021–2022 period using the Robson Classification.Methods : This study used a descriptive analytic design. The study population included all pregnant women who gave birth at RSUD Panembahan Senopati in Bantul from 2021 to 2022. Data were obtained from secondary sources using Case Report Form (CRF) instruments and processed using Robson classification. Additional analyses were conducted to determine the cesarean section rate within each group and identify reasons for cesarean delivery.Results  : Of the 2,295 study participants, 906 (39.8%, 95% CI 38.27–41.33) were pregnant women who delivered by C-section during 2021–2022. The C-section rate declined by 1.53% overall over the two-year period (95% CI 1.08–2.12). However, several Robson groups showed rising C-section trends. According to the Robson classification, group 5 represented the largest proportion of the population (25.1%, 95% confidence interval [CI] 23.09–27.12) and accounted for the highest proportion of cesarean deliveries (9.9%), followed by group 4 (6.2%, 95% CI 3.22–8.27). Groups 2, 4, and 7 experienced rising C-section trends from 2021 to 2022, with Group 4 showing the greatest increase (8.5%), followed by Group 2 (4.4%, 95% CI 1.2–6.75). Further evaluation identified failed labor induction as the leading cause of the increased C-section rate (14.6%, 95% CI 12.02–17.9), while fetal compromise/distress also played a significant role (10.6%, 95% CI 8.79–12.5).Conclusion : From 2021 to 2022, the caesarean section rate at RSUD Panembahan Senopati Bantul decreased by 1.53% (95% CI 1.08–2.12), though certain groups still had elevated rates. Groups 2, 4, and 5 accounted for the majority of cesarean deliveries during this period. Targeted interventions, including routine evaluations and improved management, are needed to reduce the overall C-section rate further.
Dukungan Suami Dalam Upaya Deteksi Dini Kanker Cerviks zuhrotunida, zuhrotunida; Suwardiman, Suwardiman
JURNAL KESEHATAN REPRODUKSI Vol 12, No 2 (2025)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.93764

Abstract

Latar Belakang: Kanker serviks tetap menjadi penyebab utama kematian, terutama karena diagnosis yang terlambat. Cakupan deteksi dini masih sangat rendah, yaitu 6,83%, dibandingkan dengan target nasional sebesar 70%. Salah satu hambatan dalam deteksi dini adalah perilaku perempuan dalam mencari layanan kesehatan. Oleh karena itu, dukungan dari suami sangat penting dalam mendorong perempuan untuk menjalani skrining dini kanker serviksTujuan: Penelitian ini bertujuan untuk mengkaji hubungan antara dukungan yang diberikan oleh suami dan perilaku yang ditunjukkan oleh istri terkait deteksi dini kanker serviks di Rumah Sakit Anak dan Rumah Sakit Santa Maria di JakartaMetode: Penelitian ini menggunakan desain penelitian deskriptif-analitik dengan pendekatan cross-sectional. Data dikumpulkan melalui kuesioner yang diisi oleh 100 responden, yang dipilih menggunakan metode sampling acak. Analisis data meliputi analisis univariat dan bivariat menggunakan koefisien korelasi produk-moment Pearson.Hasil dan Pembahasan: Hasil penelitian menunjukkan bahwa hanya 40% kasus kanker serviks stadium awal yang terdeteksi dalam kategori aktif di RSAB Harapan Kita. Sementara itu, 96% responden melaporkan menerima dukungan yang baik dari suami mereka. Analisis menunjukkan adanya hubungan yang signifikan antara dukungan dari suami dan perilaku yang mengarah pada deteksi dini kanker serviks pada wanita usia reproduksi (nilai P = 0,00), dengan rasio peluang (OR) sebesar 2,787. Hal ini menunjukkan bahwa wanita yang menerima dukungan kuat dari suami mereka hampir tiga kali lebih mungkin menjalani skrining kanker serviks dini dibandingkan dengan mereka yang menerima dukungan yang tidak memadai dari suami merekaKesimpulan: Kesimpulannya, penelitian ini menunjukkan korelasi yang signifikan antara dukungan pasangan dan deteksi dini kanker serviks. Oleh karena itu, disarankan agar masyarakat meningkatkan kesadaran dan mengambil inisiatif dalam melakukan skrining dini kanker serviks. 
Pengaruh Pemberian Minuman Kunyit dan Jahe Terhadap Penurunan Intensitas Dismenore dengan Riwayat Keluarga Sebagai Variabel Moderating Budiani, Rhegita; Wijayanti, Wijayanti; Astuti, Hutari Puji
JURNAL KESEHATAN REPRODUKSI Vol 12, No 2 (2025)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.93999

Abstract

 Background: Dysmenorrhea is a common complaint among adolescent girls and can disrupt daily activities. Non-pharmacological therapies, such as ginger and turmeric drinks, are an alternative to reduce dysmenorrhea, and family history is suspected to influence its intensity.Objective: To determine the effect of ginger and turmeric drinks on reducing the intensity of dysmenorrhea, with family history as a moderating variable.Method: This quasi-experimental pretest–posttest study involved 66 adolescent girls with primary dysmenorrhea selected using purposive sampling. Dysmenorrhea intensity was measured using the Numeric Rating Scale (NRS), and family history was collected through interviews. Data were analyzed using Wilcoxon, Mann–Whitney tests, and moderation regressionResults and Discussion: Asymp test results showed that ginger and turmeric drinks reduced dysmenorrhea. Linear regression indicated that family history acted as a moderating variableConclusion: Ginger and turmeric drinks effectively relieve dysmenorrhea symptoms, with family history influencing the magnitude of the intervention effect.
Hubungan Nilai Rasio Neutrofil Limfosit Dengan Kejadian Ketuban Pecah Dini Preterm Istantina, Aldila Geri; Attamimi, Ahsanudin; Hadiati, Diah Rumekti
JURNAL KESEHATAN REPRODUKSI Vol 12, No 3 (2025)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.95144

Abstract

Latar Belakang: Di Indonesia, insidensi ketuban pecah dini, juga dikenal sebagai PPROM (preterm premature membranes rupture), mencapai 4,5% dari seluruh komplikasi kehamilan. Kondisi ini meningkatkan risiko infeksi intraamniotik sebesar lima belas hingga tiga puluh lima persen dan infeksi pascapersalinan sebesar lima belas hingga dua puluh lima persen. Sekitar 60% kasus ketuban pecah dini preterm disebabkan oleh infeksi bakteri ascending, yang meningkatkan mortalitas dan morbiditas ibu dan bayi. Dalam kasus ketuban pecah dini preterm, respons inflamasi pada chorion dan amnion menyebabkan pelepasan sitokin yang lebih besar, yang ditandai dengan peningkatan jumlah neutrofil. Rasio neutrofil-limfosit merupakan ukuran penting dari status inflamasi.Tujuan: Tujuan penelitian ini adalah untuk melihat bagaimana rasio neutrofil-limfosit dan insidensi ketuban pecah dini preterm berhubungan satu sama lain.Metode: Studi cross-sectional ini melibatkan ibu hamil 37 minggu atau lebih yang memenuhi kriteria inklusi dan eksklusi di RSUP Dr. Sardjito Yogyakarta antara 1 Januari 2018 dan 31 Desember 2021.Hasil dan Pembahasan: Menurut hasil penelitian terhadap delapan puluh pasien, nilai AUC (area di bawah kurva) sebesar 0,902 menunjukkan bahwa kemampuan untuk memprediksi rasio neutrofil-limfosit (RNL) terhadap kejadian ketuban pecah dini (KPD) preterm mencapai 90,2%. Nilai titik cut-off RNL lebih dari 3,55 menunjukkan nilai sensitivitas, spesifisitas, NPP, NPN, akurasi, dan indeks Youden optimal. Nilai RNL = 3,55 ditetapkan Dengan nilai p = 0,001 dan risiko relatif (RP, 95% CI) = 12,667 (3,285–48,847), hasil penelitian menunjukkan hubungan yang signifikan secara statistik maupun klinis antara RNL dan kejadian KPD preterm.Kesimpulan: Hasil penelitian menunjukkan bahwa pada usia kehamilan yang setara, pasien dengan KPD preterm memiliki nilai RNL 12,6 kali lebih tinggi daripada pasien tanpa KPD.
Roberts Syndrome: A Case Report Arumsari, Regina; Prawitasari, Shinta; Attamimi, Ahsanudin
JURNAL KESEHATAN REPRODUKSI Vol 12, No 1 (2025)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.98160

Abstract

Background: Roberts syndrome (RBS) is a rare autosomal recessive disorder, with no estimates of prevalence have been published. It is caused by mutation in the “Establishment of cohesion 1 homolog 2” (ESCO2) gene on the short arm of chromosome 8, and characterized by symmetrical limb reduction, craniofacial anomalies, growth retardation, mental retardation, cardiac, and renal abnormalities.Objective: The aim of this case report is to describe the findings of a suspected case of Roberts syndrome born at Dr. Sardjito General Hospital and to examine the diagnostic process in suspected cases of Roberts syndrome in low-income countries such as Indonesia.Case: A 32-year-old woman came to the hospital at 29 weeks' gestation. Antenatal sonography screening showed a singleton pregnancy with multiple congenital anomalies: labiognatopalatoschisis, short humerus with absent antebrachial structures. After counseling about the fetal condition and prognosis, the pregnancy was terminated by Misoprostol induction. Post-natal examination revealed an extremely low birth weight baby with labiopalatoschisis, ear malformation, ventricular septal defect, patent foramen ovale, diaphragmatic eventration, bilateral phocomelia, syndactyly, and a Congenital Talipes Equinovarus (CTEV) of the left foot. A Roberts syndrome was suspected, and a cytogenetic testing was initially planned, however it was not done due to the high cost of the test and its availability. The baby’s condition deteriorated and later died on the second day after birth.Discussion: A suspicion of Roberts syndrome may begin during prenatal ultrasound of a fetus with multiple congenital anomalies. Mortality rates are high in severe clinical manifestations. Follow-up management for survivors involves a multidisciplinary medical approach.Conclusion:  Prenatal findings of limb abnormalities should be evaluated carefully to detect any associated anomalies which may links to a specific syndrome, thus helping a clinician predict prognosis, and further decide the most beneficial patient management.
Determinan Kegagalan Induksi Persalinan Pada Kehamilan Aterm: Studi Retrospektif Di RSUP Dr Sardjito Periode 2020-2022 Saidah Agustina Sucipto Putri, Noer Elvi; Nurdiati, Detty Siti; Sangun, Diannisa Ikarumi Enisar
JURNAL KESEHATAN REPRODUKSI Vol 12, No 2 (2025)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.99812

Abstract

 Latar Belakang: World Health Organization (WHO) tahun 2012 memaparkan 300.000 atau sekitar 60% ibu hamil menjalani persalinan melalui bedah sesar. Tingginya kegagalan induksi persalinan yang berujung pada peningkatan bedah sesar mendorong WHO untuk merekomendasikan Sistem Klasifikasi Robson. Penelitian ini bertujuan untuk menganalisis angka bedah sesar pada hamil cukup bulan yang direncanakan induksi di RSUP Dr. Sardjito Yogyakarta (2020-2022).Tujuan: Menganalisis faktor-faktor yang mempengaruhi kegagalan induksi persalinan pada kehamilan cukup bulan di Rumah Sakit Umum Pusat Dr. Sardjito Yogyakarta periode Tahun 2020-2022.Metode: Studi analisis yang digunakan dalam penelitian ini adalah studi observasional dengan desain cross sectional, dengan data sekunder catatan medis dan analisis Robson.Hasil: Dari 269 subjek penelitian, didapatkan kegagalan induksi persalinan pada Grup 2 sebesar 38,8% dan Grup 4 sebesar 27,9%. Keberhasilan induksi persalinan dipengaruhi oleh indeks massa tubuh <30 kg/m² dan skor Bishop 2-9, sementara kegagalan induksi persalinan dipengaruhi oleh usia <20 dan >35 tahun, nulliparra, serta taksiran berat janin >3500 gram.Kesimpulan: : IMT < 30 kg/m² dan skor Bishop 2-9 induksinya lebih berhasil, sementara faktor-faktor lain meningkatkan risiko kegagalan induksi persalinan. Dosis penggunaan obat misoprostol, rute pemberian misoprostol, dan waktu paruh misoprostol, tidak memberikan hasil yang bermakna dalam induksi persalinan.
Effect of Menopause on the Increased Cardiovascular Risk Factors at Public Health Centers in Semarang Regency Haswan, Dedi; Kurniawati, Indah; Susilo†, Jatmiko
JURNAL KESEHATAN REPRODUKSI Vol 12, No 3 (2025)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.107527

Abstract

Background: Menopause potentially causes changes in metabolic disorders and atherosclerosis. This condition triggers cardiovascular disease (CVD) 16 times greater than breast cancer.Objective: This study aimed to identify the prevalence of CVD risk factors in Prolanis participants at the Semarang Regency Health Center.Method: A cross-sectional study was conducted with 147 participants, who were selected from a group of 208 individuals who had undergone menopause and agreed to participate, and for whom complete data was available. Data on body mass index, blood pressure, random glucose levels, and cholesterol were collected from August to October 2025. Statistical analyses were then performed using one-way ANOVA and Pearson's correlation test.Results and Discussion: The results showed that menopause and the age at first menopause were significantly different, while the differences and correlations between menopause and blood pressure, blood glucose, and lipid levels were not significant.Conclusion: The prevalence of metabolic syndrome (Met-S) in postmenopausal women increases with age. Menopause and Met-S had no significant differences and correlations, although women with Met-S showed a higher risk of CVD.
Prevalence of Depression and Anxiety Symptoms in Patients with Polycystic Ovary Syndrome (PCOS) in Ambon City in 2025 Datu, Freti Sartika; Resnawaldi, Arlen; Yakobus, Sherly
JURNAL KESEHATAN REPRODUKSI Vol 12, No 2 (2025)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.110118

Abstract

Latar Belakang: Sindrom Ovarium Polikistik (SOPK) merupakan gangguan endokrin yang paling umum pada wanita usia reproduksi dan tidak hanya berdampak pada kesehatan fisik, tetapi juga berkaitan erat dengan gangguan psikologis seperti depresi dan kecemasan. Penelitian terkait aspek psikologis SOPK di Indonesia, khususnya di Kota Ambon, masih sangat terbatas. Tujuan: Mengetahui prevalensi gejala depresi dan kecemasan pada wanita dengan SOPK di Kota Ambon tahun 2025.Metode: Penelitian ini menggunakan desain deskriptif kuantitatif dengan pendekatan potong lintang. Teknik pengambilan sampel adalah total sampling yang melibatkan 69 wanita usia 15– 49 tahun yang terdiagnosis SOPK berdasarkan Kriteria Rotterdam oleh dokter spesialis obstetri dan ginekologi. Data dikumpulkan melalui pengisian kuesioner Hospital Anxiety and Depression Scale (HADS) secara digital dan dianalisis secara deskriptif menggunakan Microsoft Excel dan SPSS versi 29.0. Hasil dan Pembahasan: Sebanyak 31,9% responden mengalami gejala depresi, terdiri dari depresi ringan (23,2%), sedang (7,2%), dan berat (1,4%). Sementara itu, 50,7% responden mengalami gejala kecemasan, dengan rincian kecemasan ringan (21,7%), sedang (20,3%), dan berat (8,7%). Mayoritas gejala berada pada tingkat ringan hingga sedang, namun prevalensinya tetap tergolong tinggi. Kesimpulan: Temuan ini menunjukkan perlunya pelaksanaan skrining rutin serta pendekatan komprehensif dalam penanganan pasien SOPK yang mencakup aspek fisik dan psikologis, guna meningkatkan kualitas hidup pasien secara menyeluruh. 
Teacher Support And Peer Influence As Determinants Of Reproductive Hygiene Practices Among Islamic Boarding School Students In West Lombok, Indonesia Karjono, M; Ningsih, Murtiana; Mulyaningsih, Misroh
JURNAL KESEHATAN REPRODUKSI Vol 12, No 1 (2025)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.112069

Abstract

Background: Maintaining reproductive hygiene, particularly external reproductive organ cleanliness among female students in Islamic boarding schools, is a crucial aspect of personal hygiene that requires special attention in daily life.Objective: This study aimed to analyze the relationship between information sources, teacher support, and peer influence with reproductive hygiene practices among female students at al Ishlahuddiny Islamic Boarding School, West Lombok, Indonesia.Method: This study employed an analytical observational design with a cross-sectional approach. The study population consisted of 186 female students, and a total of 65 respondents were selected using a systematic random sampling technique. Independent variables included information sources, teacher support, and peer influence, while the dependent variable was reproductive hygiene practices. Data were analyzed through univariate and bivariate analyses using computer-assisted statistical software.Results: More than half of the respondents had access to information sources (53.8%), received teacher support (56.9%), and experienced peer influence (61%), while 63.1% demonstrated good reproductive hygiene practices. There was a significant relationship between teacher support (p=0.016; r=0.76) and peer influence (p=0.003; r=0.82) with reproductive hygiene practices. However, information sources (p=0.113) showed there was not any significant relationship.Conclusion: Teacher support and peer influence were significantly relationship with reproductive hygiene practices among female students in Islamic boarding schools. Strengthening the role of teachers as mentors, along with improving students’ knowledge and skills in maintaining reproductive hygiene, is recommended to promote better reproductive health outcomes.