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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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HUBUNGAN ANTARA VAGINOSIS BAKTERIAL DAN PERSALINAN PRETERM Hepta Lidia; Ova Emilia; Moch. Anwar
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.12637

Abstract

HUBUNGAN ANTARA VAGINOSIS BAKTERIAL DANPERSALINAN PRETERMHepta Lidia1, Ova Emilia2, Moch. Anwar3ABSTRACTBackground: Preterm birth remain becomes global issue due to its contribution on high neonatal mortalityrate. WHO (2012) estimated 15 million babies are born premature and Indonesia as one of 10 countries withhighest rates of preterm birth (15,5/100 live births). In the poorest countries, on average, 12% of babiesare born too soon compared with 9% in higher-income countries. Approximately 50% of spontaneouspreterm birth is associated with genital infection. Plenty of efforts had been done to detect risk factorearly, however if has not successfully decreased preterm birth rate. Because of that, it is a needed to doearly screening of lower genital tract in pregnant woman to prevent preterm birth.Method: Cross sectionalLocation of study: Senopati Bantul hospital and Sewon community health centerResult and Discussion: This study involved 134 pregnant woman. Bivariate and multivariate analysis resultshowed that bacterial vaginosis, increased preterm birth significantly (OR 4,26; IK 95% 1,16-15,62). Otherrisk factor that increased preterm birth are history of preterm birth (OR 11,16; IK 95% 1,32-94,45).Conclusion: Proportion of bacterial vaginosis in preterm birth significantly higher, compare to fulltermbirth. History of preterm birth in last pregnancy significantly increased the number of preterm birth.Keywords: Preterm Birth - bacterial vaginosis – early screeningABSTRAKLatar Belakang: Persalinan preterm masih menjadi masalah global oleh karena memberikan kontribusipada kematian bayi yang cukup tinggi, WHO (2012) memperkirakan 15 juta bayi lahir preterm dan Indonesiatermasuk salah satu dari 10 negara dengan angka persalinan preterm tertinggi (15,5/100 kelahiran hidup).Di negara-negara miskin, rata-rata 12% bayi lahir preterm dibandingkan 9% di negara berpendapatan lebihtinggi. Diperkirakan 50% dari kelahiran prematur spontan terkait dengan infeksi saluran genital. Banyakupaya yang telah dilakukan untuk mendeteksi risiko secara dini selain juga intervensi medis, namun belumbanyak menurunkan kejadian persalinan preterm. Oleh karena itu perlu dilakukan suatu skrining awaluntuk infeksi saluran genital bawah pada wanita hamil untuk mencegah persalinan pretermMetode: cross sectionalTempat penelitian: RSUD Senopati Bantul dan Puskesmas SewonHasil dan Pembahasan: Penelitian melibatkan 134 ibu hamil. Hasil analisis bivariat dan multivariatmenunjukkan bahwa vaginosis bakterial meningkatkan kejadian persalinan preterm secara signifikan (OR2,70; IK 95% 1,29-5,67). Faktor risiko lainnya yang meningkatkan persalinan preterm secara signifikanadalah riwayat persalinan preterm pada kehamilan sebelumnya (OR 11,16; IK 95% 1,32-94,45).Kesimpulan: Kejadian vaginosis bakterial pada persalinan preterm secara signifikan lebih tinggi dibandingkanpada persalinan aterm. Demikian juga riwayat persalinan preterm pada kehamilan sebelumnya secarasignifikan meningkatkan risiko kejadian persalinan preterm.Kata kunci: Persalinan preterm - vaginosis bakterial - skrining awal1,2,3 Bagian Obstetri dan Ginekologi FK UGM/RSUP Dr. Sardjito Yogyakarta
Incidence of Unintended Pregnancy after Laparoscopic Tubal Sterilization at Dr.Sardjito Hospital Anis Widyasari; Prakoso Adhi Wibowo; M. Nurhadi Rahman; MUHAMMAD LUTFI; SHOFWAL Widad
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.35423

Abstract

Background:  Laparoscopic tubal ligation is one of the most commonly performed sterilization procedures and has many advantages such as high success rate and early return to normal activity. In Indonesia, the incidence of unintended pregancy in a study was 0,15 %. This rate is comparable with pregnancy rates for women using another contraceptive method.Objective: To assess the incidence of unintended pregnancy on women who underwent laparoscopic tubal sterilization at Dr. Sardjito Hospital.Method: A descriptive observational study with retrospective cross-sectional design was conducted. The data were acquired from medical record from January 2009 to April 2015. Reports of unintended pregnancy within two years after procedure were recorded.Result and Discussion: 55 women met the inclusion criterion and none were excluded. Method failures resulting on pregnancy occured in 3 cases (5.45 %), so the success rate of the procedure was 94.55 %. All of the reported pregnancies happened within two years after the procedures. There was no major complication occured in the procedure, but minor bleeding (<50 cc) did occur in some cases.Conclusion: The incidence of unintended pregnancy on women who underwent laparoscopic tubal sterilization at Dr. Sardjito Hospital was higher than the average incidence reported on another studies.Keyword: female sterilization, laparoscopic tubal sterilization, unintended pregnancy.
Hubungan Pengetahuan, Sikap dan Perilaku Bidan Desa terhadap Kanker Leher Rahim dan Pencegahannya di Kabupaten Sragen Ismail Joko Sutresno; Ova Emilia; Shinta Prawitasari
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.35429

Abstract

Background: Cervical cancer (cervix) is the second most common type of cancer in women, with an estimated of 530,000 new cases and more than 270,000 deaths each year. In 2012, cervical cancer cases in Central Java was 2,259 cases. Cervical cancer is easily recognizable and can be prevented with screening. A village midwife as the closest healthcare provider to the community is expected to function better in encouraging the prevention of cervical cancer.if they receive appropriate knowledge and attitude toward screening.Objective: to understand the correlation of knowledge, attitude and behavior of village midwife against cervical cancer and its prevention in Sragen district.Method: This analytic study is using quantitative and qualitative approach. Quantitative studies was done with cross-sectional study. The population of this research were 208 village midwifes from 20 sub-districts in Sragen and the subjects were 118 midwives whom randomly sampled. Data were analyzed using univariate and bivariate analysis.The qualitative study was done using depth interview.Result and Discussion: There is no correlation between age, level of education as well as work duration with their knowledge about cervical cancer prevention (P = 0.787; 0.344; 0.822); there is no correlation between village midwives’ knowledge with their behavior towards cervical cancer prevention (P = 0.664); there is no correlation between the village midwives’ attitudes and behavior towards prevention of cervical cancer (P = 0.460). Qualitative results support the quantitative results.Conclusion: There is no correlation between village midwives’ knowledge, attitudes and behavior towards cervical cancer prevention.Keywords: Cervical cancer, knowledge, attitude, behavior
Hubungan Pemakaian Antibiotik dengan Kejadian Infeksi Sectio Caesarea pada Pasien di RSUD Abepura Jayapura Papua Nani Emma; Ova Emilia; Shinta Prawitasari
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.36477

Abstract

Background: The number of caesarean section (CS) operations in the world has increased sharply within the last 20 years. Increase of the need for CS operations also increases the problem related to surgical process. Infection happens about 2% to 16% after CS operation. The incidence of post CS is associated with some factors such as supplementation of prophylaxis antibiotics, duration of childbirth, width of membrane wound, duration of surgical nursing monitoring and number of CS. CS infection associated with antibiotic use occurs before or after CS operation. The incidence increases 3 times in patients that do not use antibiotics before CS operation. Use of prophylaxis antibiotics in CS operation significantly minimizes the incidence of infection.Objective: To identify antibiotic use according to standard operational procedure to the incidence of infection in CS mothers.Method: The study was analytical with cross sectional design, undertaken at Abepura Local Hospital. Population were all mothers who gave birth through CS at the hospital. Samples were taken using systematic random sampling technique as many as 44 samples. Data were obtained through questionnaire, interview and document studies  and analyzed using chi square and logistic regression test, risk prevalence at confidence interval (CI) 95% and significance p<0.05.Result: The majority of subject (56.82%) had no infection; 59.09% used antibiotics according to the procedure; 52.27% had good nutrition status; 54.55% had emergency operation; 50% had anemia. Average length of CS operation was 2.26 +1.38 hours. There was significant association between antibiotic use, nutrition status, Hb level, and types of operation and the incidence of CS infection (p<0.05). The result of multivariate analysis showed there was significant association between antibiotic use, nutrition status, types of operation and the incidence of infection. Use of antibiotic brought dominant risk for the incidence of CS infection (PR=2.36; 95% CI=1.45-3.38) whereby antibiotic use, nutrition status and types of operation could predict the incidence of CS infection as much as 10.7%.Conclusion: The majority of subject had no infection and used antibiotic according to the procedure. The probability for the incidence of CS infection was greater in antibiotic use irrelevant with the procedure. Factor most dominantly affecting the incidence of CS infection was antibiotic use irrelevant with the procedure. Keywords: antibiotic use, caesarean section, incidence of infection
PRESERVASI FERTILITAS PADA PENDERITA KANKER Heru Pradjatmo
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.12656

Abstract

PRESERVASI FERTILITAS PADA PENDERITA KANKER*Heru Pradjatmo1ABSTRACTBackground: Young women who survive from cancer as candidates to face reproductive problemsassociated with cytotoxic cancer therapy. Side effects that alter the quality of life becomes unacceptable.Advances in reproductive medicine enables previously infertile women can obtain offspring.Objective: To recognize the effort that can be done to prevent adverse effects on fertility patients due tocancer therapyMethod: Literature studyResult and Discussion: In general, women age 40 years or less with cancer who received chemotherapy tobe likely ovarian function will cease. Studies show that many technique performed before chemotherapyallows women to have babies would be greater. Women prior to treat chemotherapy should be consultedto physicians in the field of reproductive and endocrinology for fertility preservation methods to deal withoncologist who take care the patient. All methods that can be performed should be included in counselingand all counseling and treatment including possible complications should be documented and recorded.Keywords : infertility, chemotherapy, adverse effect, preservationABSTRAKLatar Belakang: Perempuan muda yang survive dari penyakit kanker menjadi kandidat menghadapimasalah reproduksi berkaitan dengan terapi kanker yang bersifat sitotoksik. Sehingga efek samping yangmerubah kualitas kehidupan menjadi tidak dapat diterima. Kemajuan dalam kedokteran reproduksimemungkinkan wanita yang sebelumnya infertil akibat prngobatan penyakit kanker sekarang dapatmemperoleh keturunan.Tujuan: Untuk memahami upaya yang dapat dilakukan untuk mencegah terjadinya efek samping terhadapfertilitas penderita akibat terapi kanker.Metode: Studi literaturHasil dan Pembahasan: Secara umum perempuan penderita kanker sampai umur 40 tahun yangmendapat kemoterapi kemungkinan dapat berhenti fungsi ovariumnya. Studi menunjukkan bahwabeberapa teknik yang dilakukan sebelum kemoterapi memungkinkan wanita memperoleh keturunan lebihbesar. Seharusnya sebelum terapi dikonsulkan ke dokter dibidang reproduksi untuk metode preservasifertilitas dengan kesepakatan ahli onkologi yang menangani. Semua metode yang dapat dilakukan harusdimasukkan dalam konseling. Semua konseling dan pengobatan termasuk komplikasi yang mungkin terjadiseharusnya di dokumentasikan dan dicatat.Kata Kunci: infertilitas, khemoterapi, efek samping, preservasi1 Bagian Obstretika & Ginekologi Fakultas Kedokteran UGM/RSUP Dr. Sardjito Yogyakarta* Dipresentasikan pada seminar in vitro maturation (IVM) in vitro fertilization andlaparoskopic surgery, Yogyakarta, 8-9 November 2013
Impact of Obstetrician/Gynecologist Hospitalists on Response Time of Obstetric Emergency Operation in Sardjito Hospital Yogyakarta Indonesia: A Retrospective Cohort Study Eugenius Phyowai Ganap; Mohammad Hakimi; Soerjo Hadijono; Ova Emilia
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.35955

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 maternal and neonatal outcomes.Objective: The aim of this study was to evaluate the effect of hospitalist model towards surgical emergency response time.Method: This research design was cohort a retrospective study. Participants included were  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 and possible hospital factors which contribute to response time.Result and Discussion: We included a total of 71 patients (30 on-call obstetrician group and  41 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). Multivariable analysis determined that hospital factors which contribute to response time are readiness of operating theatre.Conclusion: Implementation of full-time hospitalist model is associated with a significant improvement of response time in emergency obstetric care.Keywords: Maternal mortality, Obstetrician/Gynecology Hospitalist, C-section, Response Time
The Roles of Parents and Peer Friends on Adolescent Premarital Sex Behavior in High School Students of Buol District Nurhaya S Patui; Djaswadi Dasuki; Budi Wahyuni
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.37995

Abstract

Background: Most adolescents or teens consider premarital sex behavior is a common and normal activity to do. Parents less able to communicate with their children will provoke conflicts in parents-children relationship and this may lead to impacts on premarital sex behavior in adolescents. Peer friends are also a source of information about sex that is quite significant in the shaping of adolescent knowledge, attitude and sexual behavior. However, information from peers may lead to negative impacts in adolescents such as premarital sex. This activity can lead to unwanted pregnancy, STIs, abortion and school dropouts.Objective: To determine the relationship between the roles of parents and peers in adolescent premarital sexual behavior in SMAN 1, SMA 2, SMK 1 and MAN in Buol.Methods: This study was observational with a cross-sectional design using quantitative and qualitative approaches. The study was held in SMAN 1, SMAN 2, SMK 1 and MAN of Buol District in Central Sulawesi with 192 adolescent as the research subjects. In-depth interviews were done to four selected informants.Result and Discussion: The results of bivariate analysis showed a significant relationship between the roles of parents and peers in adolescent premarital sexual behavior. Adolescents with low reproductive health information than that of parents have 2 times higher chance to perform high-risk sexual behaviors than adolescents with high reproductive health information than their parents. Adolescents with peers who give bad influence have a 5 times higher risk sexual behavior than teens with peers whose negative influence is lower. The results of this study also showed that there is a relationship between the influence of religiosity and pornographic media associated with high risk sexual behaviorConclusion: High-risk sexual behavior in adolescents is influenced by the parents’ role, poor informations on reproductive health high bad influence from peers is, low religiosity and exposure to pornographic media.Keywords: role of parents, peers, premarital sexual behavior
RASIO ESTRIOL/ ESTRADIOL TINGGI SEBAGAI PREDIKTOR KEBERHASILAN INDUKSI PERSALINAN PADA KEHAMILAN LEWAT WAKTU Muhammad Nur Adintyo Rahman; Shinta Prawitasari; Heru Pradjatmo
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.12642

Abstract

RASIO ESTRIOL/ ESTRADIOL TINGGI SEBAGAI PREDIKTORKEBERHASILAN INDUKSI PERSALINAN PADA KEHAMILANLEWAT WAKTUMuhammad Nur Adintyo Rahman1, Shinta Prawitasari2, Heru Pradjatmo3ABSTRACTBackground: Induction of labor is a common procedure performed at 15-20 % of pregnancies. The mostcommon indication was prolonged pregnancy (70 %). The past decade labor induction rate was increased2-fold as well as the risk of cesarean section. Difficulties to predict the success of induction made predictorsof success of induction widely studied. Predictors can be physical or chemical markers. One of the chemicalmarker is the ratio of estriol to estradiol levels.Objective: To determine the value of the ratio of estriol/ estradiol to predict success of induction of laborin prolonged pregnancy.Method: The design of study are Prospective Cohort. Study two hospitals (Wonosobo District Hospitaland Banjarnegara District Hospital) used in this study from September 10, 2013 until December 31,2013. Blood sampling was drown from the subject before induction to examin the levels of estriol andestradiol the induction which end in vaginal delivery were noted as succesull induction Receiver OperatingCharacteristic (ROC) method in order to determine the sensitivity, specificity, positive predictive value,negative predictive value and Area Under the Curve. Bivariate and multivariate analyzes also used todetermine the correlation between variables.Results and Discussion: This study obtained 76 samples, 69 with successful induction and 7 failed ofinduction. The research got a cut-off was point 35 the sensitivity was 71% value, specificity value of 71%,positive predictive value 49%, negative predictive value was 55.6%. Area Under the was value of 80,7%.Positive likelihood ratio 1,06 and negative likelihood ratio 0,88. Bivariate and multivariate analysis showedthat the ratio of estriol / estradiol ≥ 35 ng / mL significantly associated with successful induction (OR 9,598;95% CI 1,378-66,859) Bishop score was also associated with a significant induction success (OR 13,481;95% CI 1,955 -92,955)Conclusion: This study shows that the proportion ratio of estriol / estradiol in succeed induction groupwere higher (≥ 35) compared with induction failure group (<35).Keywords: prolonged pregnancy, labor induction , estriol/ estradiol ratio, predictorsABSTRAKLatar Belakang: Induksi persalinan adalah prosedur umum yang dilakukan pada 15-20% kehamilan.Indikasi tersering adalah kehamilan lewat waktu (70%). Satu dekade terakhir angka induksi persalinantelah meningkat 2 kali lipat begitu juga dengan risiko seksio sesarea. Keberhasilan induksi sulit diprediksi.Prediktor keberhasilan induksi banyak diteliti baik penanda fisik maupun kimia. Salah satu penanda kimiaadalah rasio kadar estriol terhadap estradiol.Tujuan: Mengetahui nilai rasio kadar estriol estradiol untuk memprediksi keberhasilan induksi padakehamilan lewat waktuMetode: Kohort prospektif. Dua rumah sakit (RSUD Wonosobo dan RSUD Banjarnegara) dipakai dalampenelitian ini dari 10 September 2013 sampai 31 Desember 2013. Subyek yang memenuhi kriteriainklusi dan eksklusi diambil sampel darah sebanyak 5 ml sebelum Induksi untuk diperiksa kadar estrioldan estradiol kemudian dilihat keberhasilan induksinya. Analisis yang digunakan adalah metode ReceiverOperating Characteristic (ROC) untuk dapat mengetahui nilai sensitivitas, spesifitas, nilai ramal positif,nilai ramal negatif dan Area Under Curve. Analisis X2 dan Regresi logistik digunakan untuk mengetahuihubungan antar variabel.Hasil dan Pembahasan: Selama waktu penelitian didapatkan 76 sampel, 69 dengan induksi berhasil dan7 gagal induksi. Dengan cut off point 35, nilai sensitivitasnya 71%, nilai Spesifitas 71%, nilai ramal positif49%, nilai ramal negatif 55,6%. Nilai Area Under Curve sebesar 80.7%. Likelihood ratio positive 1,06 danlikelihood ratio negative 0,88. Hasil analisis multivariat menunjukkan bahwa Rasio estriol/ estradiol ≥ 35berhubungan dengan keberhasilan induksi secara signifikan (RO 9.598; IK 95% 1.378-66.859) Skor Bishopjuga berhubungan dengan keberhasilan induksi secara signifikan (RO 13,481; IK 95% 1.955-92.955)Kesimpulan: Kelompok yang berhasil diinduksi memiliki proporsi rasio estriol/ estradiol yang lebih tinggi(≥ 35) dibandingkan dengan kelompok gagal induksiKata kunci: Kehamilan lewat waktu, induksi persalinan, rasio estriol/ estradiol, prediktor1,2,3 Bagian Obstetri dan Ginekologi Fakultas Kedokteran Universitas Gadjah Mada Yogyakarta
Efek Pemanfaatan Program Pemantauan dan Promosi Pertumbuhan terhadap Status Gizi Balita di Kota Cirebon Lia Nurcahyani; Mohammad Hakimi; Toto Sudargo
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.35434

Abstract

Background: Undernourishment is a key problem of mortality in underfive, inwhich one of the causes is lack of growth monitoring and promotion program utilization. Cases of undernourishment at Cirebon Municipality exceed the provincial and national figures. In 2008, community participation in growth monitoring and promotion program increased 19% from the previous year, however cases of undernourishment also increased 0.23%Objective: To assess the effect of growth monitoring and promotion program utilization toward nutritional status of underfives.Method: The study was observational with retrospective cohort design. Subject consisted of 246 underfives of 17-59 months and mothers that met inclusion and exclusion criteria. Sampling used three stage combined with purposive and random sampling technique. Data consisted of primary and secondary data obtained from questionnaire, growth chard, nutrition registry, monthly report of underfive weighing at Cirebon Municipality 2008, digital scale, length board/ microtoise and WHO anthropometric software. Data analysis used univariate, bivariate with chi square, and multivariate with logistic regression. The study was supported with qualitative data obtained from observation and indepth interview.Result and Discussion: The utilization of growth monitoring and promotion program affected nutritional status of underfives significantly (p<0.05). Incidence of undernourished underfives that did not utilize the program regularly was 2.7 times greater than in those utilizing the program regularly after considering the contribution of knowledge and attitude of mothers and age of underfives. Input indicator especially role of cadres in the process of growth monitoring and promotion program at Cirebon Municipality was not optimum. Constraints in program utilization consisted of individual (health reason), provider (social reason) and community (geographical reason) factors.Conclusion: Monthly growth monitoring was prioritized on underfives for the first 24 month.Target of growth monitoring and promotion program could be achieved when there was comprehensive support from demand side (people that received the service), support side (service providers) and policy side (policy makers).Keywords: nutritional status, underfive, growth monitoring, growth promotion, program utilization
PENGARUH INISIASI MENYUSU DINI TERHADAP JUMLAH PERDARAHAN PASCA PERSALINAN Sumarah Sumarah; Muhammad Hakimi; Shinta Prawitasari
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.4915

Abstract

PENGARUH INISIASI MENYUSU DINI TERHADAPJUMLAH PERDARAHAN PASCA PERSALINANSumarah,Mohammad Hakimi, Shinta PrawitasariABSTRACTBackground: Mortality and morbidity among women during pregnancy and labour are a major problem in poorand developing countries including Indonesia. The prevalence of postpartum hemorrhage is between 2-11% outof all childbirth. Postpartum hemorrhage is the main cause of maternal mortality (28%). Maternal mortalitymainly occurs within the first 4 hours after childbirth. Uterus contraction after childbirth greatly minimizes therisk of hemorrhage. Early breastfeeding initiation stimulates the back of hypofiche gland to produce oxytoxinthat ignites womb muscle contraction so that the risk for the prevalence of postpartum hemorrhage can beminimized.Objective: To identify the impact of early breastfeeding initiation to the amount of postpartum hemorrhage.Method: The study was observational with prospective cohort design. Subject of the study were normal partummothers at Sleman Hospital taken using non probability with consecutive sampling technique (62 samples). Dataanalysis used univariate with frequency distribution and percentage, bivariate with independent t-test andmultivariate with linear regression.Result and Discussion: Average amount of blood in postpartum mothers that practised early breastfeedinginitiation (EBI) was lower than those without EBI. The average amount of hemorrhage in mothers that practiceEBI was 77,26 + 33,6 cc, and in mothers that did not practiced EB was 115,4 +31,0 cc. Average difference in theamount of hemorrhage in the two groups was -38,1 cc. This difference was statistically significant with p<0,05(p=0,000), 95%CI=-54,6- -21,7. External variables, either age, parity or education of mothers, had no significantassociation with the amount of postpartum hemorrhage (p>0,05).Conclusion: EBI affected the amount of postpartum hemorrhage. Average amount of postpartum hemorrhage inmothers that practiced practised EBI was 38,1 cc less than in those that did not practise EBI.Keywords: postpartum, early breastfeeding initiation, skin to skin contactABSTRAKLatar Belakang: Mortalitas dan morbiditas pada wanita selama kehamilan dan persalinan adalah masalah besardi negara-negara miskin dan berkembang termasuk Indonesia. Prevalensi perdarahan postpartum adalah 2-11%dari semua persalinan. Perdarahan postpartum merupakan penyebab utama kematian ibu (28%). Kematian ibuterutama terjadi dalam 4 jam pertama setelah melahirkan. Kontraksi rahim setelah melahirkan sangatmeminimalkan risiko perdarahan. Inisiasi menyusui dini merangsang bagian belakang kelenjar hypofiche untukmenghasilkan oxytoxin yangmemicu kontraksi otot rahimsehingga resiko untuk prevalensi perdarahan postpartumdapat diminimalkan.Tujuan: Untuk mengidentifikasi dampak dari inisiasi menyusui dini terhadap jumlah perdarahan postpartum.Metode: Jenis penelitian ini adalah observasional dengan rancangan kohort prospektif. Subyek penelitian adalahibu yang melahirkan normal di Rumah Sakit Sleman diambil menggunakan non probability dengan teknikpengambilan sampel berturut-turut (62 sampel). Analisis data yang digunakan univariat dengan distribusi frekuensidan persentase, bivariat dengan t-test independen dan multivariat dengan regresi linier.Hasil dan Pembahasan: Jumlah rata-rata darah pada ibu pasca melahirkan yang dilakukan tindakan inisiasimenyusui dini (IMD) lebih rendah dibandingkan mereka yang tidak dilakukan IMD. Jumlah rata-rata perdarahanpada ibu yang berlatih IMD adalah 77,26 + 33,6 cc, dan pada ibu yang tidak melakukan IMD adalah 115,4 + 31,0cc. Rata-rata perbedaan jumlah perdarahan pada kedua kelompok adalah -38,1 cc. Perbedaan ini secara statistiksignifikan dengan p <0,05 (p = 0,000), 95% CI = 54,6—21,7. Variabel eksternal, baik usia, paritas atau pendidikanibu, tidak memiliki hubungan yang signifikan dengan jumlah perdarahan postpartum dengan p> 0,05.Kesimpulan: IMD mempengaruhi jumlah perdarahan postpartum. Jumlah rata-rata perdarahan postpartum padaibu yang dilakukan IMD adalah 38,1cc lebih sedikit dibanding mereka yang tidak berlatih IMD.Kata kunci: postpartum, inisiasi menyusui dini, kontak kulit dengan kuli

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