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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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Pengetahuan tentang Infeksi Menular Seksual dengan Perilaku Seksual Tidak Aman pada Remaja Putri Maluku Tenggara Barat di Daerah Istimewa Yogyakarta Firmina Th Kora; Djaswadi Dasuki; Djauhar Ismail
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.13880

Abstract

Background: Based on the Indonesian Demographic and Health Survey (IDHS, 2012), adolescents’ knowledge (females aged 15-24 years) about STI (Sexually Transmitted Disease) is still low under 50%. A total of 16.46% Indonesian adolescents have had sex, 46.26% of them have been doing it actively, first sex occurred in below 20 years of age.Objective: To determine the relationship between knowledge about sexually transmitted infections with unsafe sexual behavior.Method: This study is a quantitative and qualitative with cross-sectional study design. Subjects in this study were all female adolescents of West Southeast Moluccas who are continuing education in Yogyakarta. Univariable and bivariable data analysis was conducted using chi-square test statistic. Multivariable analysis was conducted using logistic regression to estimate the effective model.Result and Discussion: Low knowledge STI is practically and statistically related to unsafe sexual behavior with a p-value <0.05, RP 1.71 and CI 1.07 to 2.70. Low knowledge about STIs in adolescents increase the risk by 1.7 times for unsafe sexual behavior. Conclusion: 67,1% female adolescent who have unsafe sexual behavior. Female adolescents who have knowledge about STIs low 65.7%. Low knowledge STI significantly increases unsafe sexual behavior in adolescent girls. Unsafe sexual behavior conducted by adolescent female are sexual intercourse before the age of 20 not using condoms during sexual intercourse, and multiple sexual partner.Keywords: Knowledge of Sexually Transmitted Infections, Unsafe Sexual Behavior, Female Adolescent
Evaluasi Clinical Pathway Seksio Sesarea: Keefektifan Penggunaan Antibiotika Injeksi Cefotaxime 2 Gram dalam 24 Jam untuk Mencegah Terjadinya Infeksi Luka Operasi Rathi Manjari Fauziah; Rukmono Siswishanto; Shofwal Widad
JURNAL KESEHATAN REPRODUKSI Vol 3, No 3 (2016)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.36039

Abstract

Background: The usage of prophylactic antibiotics in Dr. Sardjito Hospital, Yogyakarta, is still diverse. Previously, prophylactic antibiotics that were given would be in a form of multidose and or multidrug regimen. Recently, a clinical pathway for c-section had been set up to uniform the antibiotics given. Cefotaime 2g, given intravenously, in 24 hours is the antibiotic of choice. Unfortunately, there was no data about the effetiveness of cefotaime that can be used as a basis of clinical pathway. Objective: Comparing the incidence of surgical site infection (SSI) between cefotaime 2g,/24 hours (clinical pathway or CP) with previous regimen of prophylactic antibiotics (non-clinical pathway or nonCP) and also identify the risk factors.Method: This is a retrospective cohort study with 129 subjects, divided into two groups. The CP group consists of 63 subjects, while non-CP group consists of 66 subjects. The surgical site infection was observed in the day 3 and day 10 aer C-section. Multivariat analysis was used to determine the risk factors of SSI.Result and Discussion: SSI incidence in the CP group at day 3 was higher compared to non-CP group, but it was not statistically significant (OR 4,73 95% CI 0,52 43,04), eukocytosis (>17000/mcl) was the independent risk factor for SSI (OR 7,54 95% CI 1,25 45,39).Conclusion: SSI incidence between two groups was not statistically significant but was clinically significant. The presence of leukocytosis is becoming the risk factor for SSI.Keywords: prophylactic antibiotic, c-section, cesarean section, surgical site infectio
PENGARUH IBU HAMIL PEROKOK PASIF TERHADAP KEJADIAN LAHIR MATI DI KOTA AMBON Magdalena Paunno; Ova Emilia; Abdul Wahab
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.12647

Abstract

PENGARUH IBU HAMIL PEROKOK PASIF TERHADAPKEJADIAN LAHIR MATI DI KOTA AMBONMagdalena Paunno1, Ova Emillia2, Abdul Wahab3ABSTRACTBackground: Intervention in the care for pregnant women can reduce antenatal mortality until 75%.Antenatal Care (ANC) in Ambon municipality is categorized good if compared from the mean rate ofnational level, that is, Visit 1 (89%) and Visit 4 (87.76%); however, the incidence of stillbirths in Ambonis still considered high. Data about the incidence of stillbirths in three hospitals of Ambon showed thatthere were 44.2 stillbirths per 1000 live births while national data in 2003 showed that there were only9.6 stillbirths per 1000 live births. The direct cause of stillbirth is hypoxia, that is, the lack of oxygenin a pregnant woman’s body due to the exposure of cigarette smoke. In Ambon municipality, 65% ofhouseholds have 1 active smoker and almost all of the smokers (90%) smoke inside the house. This rateof course exceeds the national rate. In addition, other factors causing stillbirth are the quality of antenatalcare, age, parity, anemia and women’s educational level.Objective: To study whether passive smoking during pregnancy is a risk factor of the incidence of stillbirths.Method: This was an observational study with case-control study design. Study sites were in three hospitalsof Ambon municipality, namely Dr. M. Haulussy District Hospital, Al-Fatah Hospital, and Sumber HidupHospital. Subjects were divided into two groups which were case and control with comparison of 1:1 (69stillbirths as case and 69 live births as control) from January to December 2007. Samples were taken usingnon probability sampling which was determined with quota sample. The analysis of quantitative dataused univariable analysis, bivariable analysis with chi-square test (χ²) and stratification, and multivariableanalysis with logistic regression.Result and Discussion: There was a significant relationship between passive smoking during pregnancyand the incidence of stillbirth based on bivariable analysis with OR=3.36 (95% CI=1.20-5.41) while basedon multivariable analysis with OR=2.8 (1.01-7.94). Other risk factors that affected the incidence of stillbirthwere the quality of antenatal care with OR=3.2 (95% CI=1.39-7.52) and anemia during pregnancy withOR=2.3 (95% CI=1.20-5.41). Meanwhile, stratification analysis showed that non anemic women duringpregnancy was significantly related to stillbirths with OR=5.7 (95% CI 1.10-55.22). However, age, parity andeducation were not the risk factors of the incidence of stillbirth in Ambon.Conclusion: Passive smoking during pregnancy was a risk factor of the incidence of stillbirth in Ambonmunicipality. Other factors that caused the incidence of stillbirths were the quality of antenatal care andanemia. However, age, and parity were not the risk factors of the incidence of stillbirths in Ambon.Keywords: pregnant woman, passive smoking, stillbirthINTISARILatar belakang: Intervensi pada perawatan ibu hamil dapat menurunkan kematian perinatal hingga 75%.ANC di Kota Ambon dikategorikan baik, bila dilihat angka rata-rata secara nasional yaitu K1 89%, K4 87,76%namun, kejadian lahir mati sangat tinggi dibanding angka nasional. Salah satu penyebab langsung lahirmati adalah hypokxia yaitu kekurangan oksigen dalam tubuh ibu, akibat dari ibu hamil terpapar asaprokok. Di Kota Ambon, 65% rumah tangga mempunyai 1 orang perokok, dan hampir semua perokok (90%)merokok di rumah. Angka ini lebih tinggi dari angka nasional. Faktor lain menyebabkan lahir mati adalahkualitas antenatal care, umur, paritas anemia ibu selama hamil, pendidikan ibu yang rendah.Tujuan: Penelitian ini untuk mengetahui apakah ibu hamil perokok pasif merupakan faktor risiko kejadianlahir mati.Metode: Penelitian observasional dengan rancangan kasus-kontrol. Lokasi penelitian pada 3 RS di KotaAmbon yaitu: RSUD dr. M. Haulussy, RS. Al-Fatah, RS. Sumber Hidup. Subjek penelitian 1:1 69 lahir mati(kasus) dan 69 lahir hidup (kontrol) pada bulan Januari sampai dengan bulan Desember 2007. Pengambilansampel dengan cara non probability sampling, ditentukan secara quota sample . Analisis data terdiridari analisis univariabel, analisis bivariabel menggunakan uji chi-square (χ²), stratifikasi serta analisismultivariabel menggunakan regresi logistik.Hasil dan Pembahasan: Ada hubungan yang bermakna antara ibu hamil perokok pasif dengan kejadianlahir mati. Analisis bivariabel OR=3,36 (95% CI=1,20-5,41) analisis multivariabel OR=2,8 (1,01-7,94). Faktorrisiko lain yang mempengaruhi kejadian lahir mati adalah: Kualitas antenatal care mempunyai nilai OR=3,2(95% CI=1,39-7,52), ibu hamil anemia OR=2,3 (95% CI=1,20-5,41) dan pendidikan OR=2,42 ( 1,15-5,10).Saat analisis strativikasi, ibu tidak anemia mempunyai hubungan bermakna dengan lahir mati OR=5,7 (95%CI 1,10-55,22). Umur, paritas dan pendidikan bukan merupakan faktor risiko lahir mati di Kota Ambon.Kesimpulan : Ibu hamil perokok pasif merupakan faktor risiko terhadap kejadian lahir mati di Kota Ambon.Faktor lain yang menyebabkan lahir mati adalah kualitas antenatal care dan anemia ibu hamil.Kata kunci: ibu hamil, perokok pasif, lahir mati.1 Air Selobar Community Health Center, Ambon Health Office, Maluku Province2 Obstetric and Gynecology Division, Faculty of Medicine,Gadjah Mada University, Yogyakarta3 Maternal and Child Health-Reproductive Health, Graduate Program,Faculty of Medicine, Gadjah Mada University, Yogyakarta
Hubungan Kecemasan dengan Perubahan Degeneratif Fisik Wanita Premenopause di Kelurahan Biringgere Kab. Sinjai Kamrianti Ramli; Khairiyyah Khairiyyah; Suharni Suharni
JURNAL KESEHATAN REPRODUKSI Vol 4, No 1 (2017)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.35438

Abstract

Background : Premenopausal afflicts woman of 40 years old and above. Premenopausal symptoms is characterized by declining estrogen levels causing psychological disorders such as anxiety.Objective : The aim of this study was to analyze the relationship of anxiety and physical degenerative changes of women in 40-45 years old in Biringgere district, Sinjai regency.Method: This research used analytic descriptive survey with cross sectional approach. The population in this study were premenopausal women in age 40-45 years, while the samples in the study were premenopausal women married in 40-45 years old who have inclusion and exclusion criteria as many as 86 respondents. The sampling technique was purposive sampling technique. The instrument used in this study is questionnaire. The data analysis was univariate and bivariate analysis where the statistical test was the chi-square test.Result and Discussion: This result was relevant with statistic test result obtained that significant level of p = 0.000 <0.05. It means that there was a very strong relationship between anxiety with physical degenerative changes in premenopausal women in Biringgere district, Sinjai regencyConclusion: physical degenerative changes affect the occurrence of anxiety premenopausal women.Keywords: premenopausal women, anxiety, physical degenerative changes.
Pengaruh Asfiksia terhadap Ukuran Kepala Anak Usia 6 Bulan - 2 Tahun di Rumah Sakit Umum Provinsi Nusa Tenggara Barat Melati Inayati Albayani; Djauhar Ismail; Mei Neni Sitaresmi
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.37941

Abstract

Background: In developing countries is estimated at about 120 million babies born asphyxiated at birth. Among these who can survive 20% to 30% had mental disorder, cerebral palsy or developmental abnormality due to the small size of head circumference (microcephaly).Objective: To determine the effect of asphyxia on the head circumference size of children age 6 months - 2 years.Method: A matched case-control study design was conducted from May – June 2014. The population of the study was all children age 6 months - 2 years who visited the Growth development clinic of General Hospital of West Nusa Tenggara Province. The cases were children who have microcephaly and the controls were children with normocephaly. From sample size which was calculated by hypothesis testing two populations proportions are obtained a sample of 72 respondents with 36 cases and 36 controls. Bivariate analysis used chi-square (χ2) McNemar and multivariable analysis with logistic regression (conditional logistic regression) with a significance level of p <0.05 and 95% confidence intervals.Result and Discussion: Microcephaly was present in 83 % of the children with asphyxia, compared with 36 % of the controls. The children with asphyxia tent to have microcephaly compared to children without asphyxia (OR = 5,00; 95% CI: 1,36-18,32). Results of multivariable analysis showed that there was a statistically significant effect between asphyxia with head circumference size by controlling the low birth weight variable (OR = 5,00; 95% CI: 1,36-18,32).Conclusion: History of asphyxia increases the risk of microcephaly compared with non-asphyxia in children aged 6 months - 2 years.Keywords: asphyxia, head circumference, children aged 6 months-2 years
Perbandingan Skala Nyeri pada Kuretase antara Pemberian Lidokain Paraservikal dan Intraservikal Yudhistya Ngudi Insan Ksyatria; Heru Pradjatmo; Ova Emilia
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.13872

Abstract

Background: Curettage is a gynecological diagnostic and therapeutic procedures. Curettage actions causing sensation of pain although the pain threshold is different for each person. Local anesthesia is an effective choice for various minor gynecological procedures. One of them is paracervical block. Paracervical block reduces pain by blocking nerve impulses across the uterovaginal plexus. Another method is the injection of local anesthetic trough intracervical who works as an anesthetic infiltrating agent, distending the tissue, causing mechanical disruption of nerve impulses. Theoritically, intracervical lidocaine injection will require a lower level of precision than the blockade of peripheral nerves directly, more reliable and reproducible. We measured patient’s pain during curettage usingthe Visual Analogue Scale (VAS). Method: RCT Location of study: Bantul District Hospital, Wonosari District Hospital, and Banjarnegara Distric Hospital. Result and Discussion: The study included 60 patients who got curettage within inclusion criteria. Every time patients came, we performed randomization and divided the patients into two groups, the control group (paracervical) and intervention group (intracervical), 30 subjects each. VAS was measured 5 minute after curettage was started. Characteristics of subjects in curettage frequency, curettage indication, parity and educational level for both groups are equal, did not differ statistically. The results of the mean pain scale (VAS). In the control group was 42,33±16,583 and 34,33±18,880 on the treatment group. Mean difference was 8 mm, with 95% CI -1.124 to 17.124 and p=0.408. The difference was not significant statistically. The intracervical group has mild pain scale (VAS<44 mm) in 27 of 30 patient, compared to 15 of 30 patients in paracervical group. It result in Relative Risk (RR) of 1,532. Conclusion: Intracervical lidocaine injection can be considered as an alternative local anesthetic on curettage. The average pain scale did not differ significantly with paracervical block. And both of it located in VAS < 44mm (mild pain). Intracervical lidocaine injection even have RR= 1,532 compared with paracervical block to produce mild pain scale (VAS < 44 mm). Keywords: curettage; paracervical;intracervical ;VAS 
The Impact of Obstetrician/Gynecologist Hospitalists on Maternal Quality of Care in Yogyakarta Indonsia: A Cohort Study Eugenius Phyowai Ganap; Mohammad Hakimi; Soerjo Hadijono; Ova Emilia
JURNAL KESEHATAN REPRODUKSI Vol 4, No 2 (2017)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.35421

Abstract

Background: The hospitalist is defined by 24-hour a day/7 day a week physician who assists or is employed by the hospital to manage patients, triage and emergencies.  The hospitalist model in obstetric care that was introduced over the last decades now has an important role in care delivery management with the potential positive impact on maternal outcomes. Unfortunately, in Indonesia there were limited data available related to the implementation of hospitalist model and the impact on maternal quality of care.Objective: To determine the impact of obstetrician/gynecologist hospitalist on maternal quality care. Method: This research design was a retrospective cohort. Participants included were the patients in the time before and after implementation of obstetrician/gynecologist hospitalist policy during October 2013 until September 2014. Univariate and multivariate analysis were conducted to evaluate and determine the factors, which significantly contribute to maternal outcomes.Result and Discussion: We included a total of 71 patients (30 in the on-call group and 41 in the full time hospitalist group). Univariate analysis indicated mean response time was significantly different in the hospitalist group compared to the on-call group (65.3 ± 25.89 vs 84 ± 22.29 mins; p = 0.002). Implementation of full-time hospitalists did not impact the ICU admission and transfusion incidence.Conclusions: Implementation of the full-time hospitalist model was associated with a significant improvement of response time in emergency obstetric care without affecting maternal outcomes.Keywords: Maternal mortality, obstetrician/gynecologist hospitalist, labor and delivery, maternal care, ICU response time
Karakteristik Pasien Prolaps Uteri di RSUP Dr. Sardjito Yogyakarta Tahun 2013 Jefi Hamamah; Nuring Pangastuti
JURNAL KESEHATAN REPRODUKSI Vol 4, No 1 (2017)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.35430

Abstract

Background: Uterine prolaps suffer by nearly half population of women. Many factors related to the causes of prolaps. The pattern varies in different country and ages.Objective: To evaluate the characteristic of uterine prolaps patient in Sardjito Hospital in the period January – December 2013.Method: This is an analytic descriptive study that reviewed medical record of Sardjito Hospital within January - December 2013. Data was reported, tabulated dan presented in the form of risk factors, chief complains, grade of uterine prolaps and treatment, finally analysed.Result and Discussion: There were 30 cases of uterine prolaps from Obstetrics and Gynecology Sardjito Hospital within January-December 2013. Most of the patient age were 45-64 year (48.4%), parity more than 2 (73.3%), menopause (73%), vaginal delivery more than 2 (73%). Symptoms that mostly revealed was lump on the delivery passage (73.3%). Patient were mostly suffered from grade 4 uterine prolaps (43%). There were two types of treatment i.e. conservative and operative. Conservative treatment used Kegel exercises and pessarium. Operative treatment used total vaginal hysterectomy, colpocleisis, anterior and posterior colporaphy.Conclusion: The risk factors for uterine prolaps were older age, menopause, multiparity, vaginal delivery. The treatment mostly used total vaginal hysterectomy.Keywords: uterine prolaps, risk factors, vaginal hysterectomy
Hubungan Umur Ibu, Paritas dan Penolong Persalinan dengan Kematian Neonatal di Wilayah Kerja Puskesmas Kabupaten Banjarnegara tahun 2013 Isnaeni Rofiqoch; Jusuf S. Effendi; Dinan S. Bratakoesoema
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.36193

Abstract

Background: The neonatal mortality rate is Banjarnegara district is high compared with a target of IMR in Central Java province. In 2012 the neonatal mortality rate in Banjarnegara reached 316 cases, whereas in 2013 there were 115 cases in all health centers working area. The high neonatal mortality rate in Banjarnegara influenced by the persistence of early marriage in woman, birth attendant by non skilled health worker (dukun bayi) and women’s parity more than 4.Objective: The purpose of this study is to analyze the correlation between maternal age, parity and birth attendants with the incidence of neonatal mortality and examine the most dominant factors influencing the incidence neonatal mortality in the Health Center working area in Banjarnegara.Method: This study is a case control study design with retrospective approach. The data consists of perinatal verbal autopsy and medical records as many as 136 respondents consisting of 68 mothers who gave birth to her child and neonatal death and 68 maternal and child alive. Subjects were mothers who gave birth a baby who died aged 0-28 days.Result and Discussion: Statistical analysis using Chi Square, Mann Whitney, and multiple logistic regression. The results showed maternal age and parity variables were not significantly corerelated with neonatal mortality (p> 0.05), the variables significantly corerelated with neonatal mortality was birth attendants with p = 0.001. The results of logistic regression showed the strength of the corerelation from the most dominant variable to the smallest variable were birth attendants with OR: 5.64 (95% CI: 1.81 to 17.4), maternal age OR 3.97 (CI 95%, from 1.54 to 10.22), and parity OR: 0.32 (CI 95% 0.12 to 0.87).Conclusion: In conclusion, there was no relationship between maternal age and parity with neonatal mortality but there was a relationship between birth attendants with neonatal mortality. Based on the results of the multivariable analysis, birth attendants’ effect on the incidence of neonatal deaths was 5 times greater than mother’s age and parity.Keywords: Neonatal mortality, maternal age, parity, birth attendants
HUBUNGAN ANTARA STRESOR PSIKOSOSIAL DENGAN GANGGUAN MENSTRUASI PADA REMAJA SMP PASCA ERUPSI MERAPI DI KECAMATAN CANGKRINGAN KABUPATEN SLEMAN YOGYAKARTA Anik Dwi Marga; Sumarni Dw; Djaswadi Dasuki
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.12655

Abstract

HUBUNGAN ANTARA STRESOR PSIKOSOSIAL DENGAN GANGGUAN MENSTRUASI PADA REMAJA SMP PASCA ERUPSI MERAPI DI KECAMATAN CANGKRINGAN KABUPATEN SLEMAN YOGYAKARTAAnik Dwi Marga 1, Sumarni DW 2, Djaswadi Dasuki 3ABSTRACTBackground: Merapi eruption can cause tremendous damage, not only physically but also mentallywhich will trigger the emergence of mental disorders in adolescence and even into adulthood. After theeruption of Merapi, adolescents and their families should move from shelters to permanent residence.Resettlement to permanent residence had resulted in a new variety of stressors. The new stressors wouldaffect the release of LH (luteinizing hormone) and FSH (follicle-stimulating hormone) which may affectthe occurrence of menstrual disorders. Menstrual disorder might interfere with learning achievement inadolescence.Objective: To determine the relationship between psychosocial stressors with menstrual disorders infemale junior high school students after the eruption of Merapi in Cangkringan Sleman YogyakartaMethod: This study is a observational with cross-sectional design and combined with a qualitativeapproach. Respondents in this research is class VII students who were menstruating in CangkringanSleman. Samplings method used was total sampling. The research instrument was a questionnairepsychosocial stressors (IPSP), menstrual disorder questionnaire (SPAF) and the behavioral aspects of thequestionnaire. Datas were analysed using Chi-Square test by looking at the value of prevalence ratio andlogistic regression at the significance level of p <0.05 with a confidence interval (CI) of 95%.Result and Discussion: There was a significant correlation between psychosocial stressors and menstrualdisorders (OR; 6.47; CI = 1.436 to 29.165)Conclusion: Adolescents who experienced severe psychosocial stressors six times more likely to experiencemenstrual disorders compared to adolescents who experience mild psychosocial stressorsKeywords: Psychosocial Stressors, menstrual disorders, post-eruption of Merapi, Youth,SMP.ABSTRAKLatar Belakang: Erupsi Merapi dapat menyebabkan kerusakan yang luar biasa, tidak hanya fisik tetapijuga mental yang akan memicu munculnya gangguan jiwa pada remaja bahkan sampai masa dewasa.Pasca erupsi Merapi, remaja dan keluarganya harus pindah dari huntara ke huntap. Perpindahan tempattinggal ke huntap inilah yang mengakibatkan berbagai stresor-stresor baru.. Stresor baru tersebut akanmempengaruhi pelepasan LH (Luteinizing Hormone) dan FSH (follicle-stimulating hormone) yang dapatmempengaruhi terjadinya gangguan menstruasi. Masalah menstruasi jika tidak mendapatkan penangananyang benar dapat mengganggu prestasi belajar remaja.Tujuan: Untuk mengetahui hubungan antara stresor psikososial dengan gangguan menstruasi pada remajaSMP pasca erupsi Merapi di Kecamatan Cangkringan Kabupaten Sleman YogyakartaMetode: Penelitian ini merupakan jenis penelitian non eksperimen dengan metode observasional denganrancangan cross-sectional yang dilengkapi dengan pendekatan kualitatif. Responden dalam penelitianini adalah Siswi kelas VII SMP yang sudah menstruasi di Kecamatan Cangkringan Kabupaten Sleman.Pengambilan sampel penelitian dengan total sampling. Instrumen penelitiannya adalah kuesioner stresorpsikososial (IPSP), kuesioner gangguan menstruasi (SPAF) dan kuesioner aspek perilaku. Analisis datamenggunakan Uji Chi-Square dengan melihat nilai RP (Rasio Prevalensi) dan regresi logistik pada tingkatkemaknaan p<0,05 dengan Confidence interval 95%.Hasil dan Pembahasan: Remaja yang mengalami stresor psikososial berat beresiko 6,47 kali lebih besaruntuk terjadi gangguan menstruasi (CI 95% 1,436-29,165)Kesimpulan: Remaja yang mengalami stresor psikososial berat mempunyai resiko 6 kali lebih besarmengalami gangguan menstruasi dibandingkan dengan remaja yang mengalami stresor psikososial ringanKata Kunci: Stresor psikososial, Gangguan menstruasi, Pasca Erupsi Merapi, Remaja, SMP.1 Anik Dwi Marga dari Magister Ilmu Kesehatan Masyarakat, Fakultas Kedokteran, UGM2 Sumarni DW dari Bagian Kedokteran Jiwa Fakultas Kedokteran, UGM3 Djaswadi Dasuki Bagian Obstetri Ginekologi, Fakultas Kedokteran, UGM

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