Jurnal Kesehatan Ibu dan Anak
Jurnal Kesehatan Ibu dan Anak particularly focuses on the main problems in the development of the sciences of midwifery areas. It covers the Antenatal Care, Intranatal and Newborn Baby Care, Postnatal and Breastfeeding Care, Reproductive Health, Family Planning, Maternal and Neonatal Emergency Care, Community Midwifery Care, Maternal and Child Health Promotion, Appropriate Technology in Midwifery.
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Faktor risiko persalinan vakum ekstraksi pada ibu dengan kala II lama terhadap kejadian ikterus neonatorum di RSUD Wates tahun 2009-2010
Dameria M.P;
Sabar Santoso;
Sumarah Sumarah
Jurnal Kesehatan Ibu dan Anak Vol. 1 No. 1 (2012): Juli
Publisher : Poltekkes Kemenkes Yogyakarta
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ln 2007 infant Mortality Rate (IMR) in Indonesia is 269/1000 live births. one cause of infant mortality in Indonesia is a birth trauma. Sefalhematoma birth trauma duo to Vacuum Extraction (VE) is one of the causes of neonatal jaundice. incidence of cases with VE deliveries in hospitals Wates in 2O1O as much as 6.4% and the incidence of jaundice due to childbirth vacuum as much as 11.7%. This study was Knowing the risks of a vacuum extraction delivery with a prolonged second stage on the incidence of neonatal jaundice of Wates hospitals in 2010. The type of case-control study with the independent variable is the delivery type and the dependent variable is incident neonatal jaundice. The whole population of all babies born in hospitals Wates from March 2OO8 to December 2070. Cases sample is infants with jaundice by 129 babies in hospitals Wates. The control sample is infant without jaundice by 129 babies in hospitals Wates. the Results of the highest maternal characteristics based on P1 parity (primipara). there is a relationship between parity P1 with the incidence of jaundice and oR of 2.095. There is no relationship between parity P>1 (Sekundipara and multipara) with the incidence of jaundice- The highest incidence of infant jaundice is the type of vacuum deliveries than types of spontaneous labor. The results of the chi-square I of 8.935 at p-value < 0.003 in which p-value < 0.005 can be concluded there is a relationship between labor vacuum with the prolonged second stage the on the incidence of neonatal jaundice. The results of the contingency coefficient of 0.183 means that a labor vacuum with the incidence of jaundice has a very low. Obtained OR value of 2.124 means that the labor vacuum with a prolonged second stage as a risk factor for neonatal jaundice at 2 times.
Hubungan jarak kehamilan, umur, dan paritas ibu terhadap kejadian abortus di RSUD Panembahan Senopati Bantul
Fatem Hamama;
Suherni Suherni;
Asmar Yetty Zein
Jurnal Kesehatan Ibu dan Anak Vol. 1 No. 1 (2012): Juli
Publisher : Poltekkes Kemenkes Yogyakarta
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The maternal mortality rate in Indonesia is reaching up to 228 per 100,000 live births in 2007. One of the possibilities is caused by bleeding abortion, and it is ranged 10-15%. Abortion is one of the health problems which cause morbidity and mortality are high. Objectives to determine is there any correlation of interval interpregnancy, maternal age, and parity with the incidence of abortion in pregnant women in Panembahan Senopati Bantul District Hospital in 2010. The researcher used Obseruationalstudy, with a cross-sectional design. The research takes place in Panembahan Senopali Bantul District Hospital. The study population was all pregnant women in 2010. The researcher uses random sampling with 323 respondents- This Analysis will use logistic regression test Results: The proportion of the incidence of abortion in Panembahan Senopati Bantul District Hospital is about 5.4 %. The 323 samples of pregnancies women were known as the result of calculation of the independent variables which related as predictor variables toward the incident of abortion was parity OR=0,714 p-value = 0.0293 (pvalue< 0,05). Age and interval interpregnancy in this research study does not correlate with the incidence of abortion because it has 0.4873 p-values and the interval interpregnancy has 0.5624 p-values (p-value> 0.05).Age and distance variables in this research can be regarded as moderator variables that affect the variables of parity for abortion.
Perbedaan metode konseling ceramah keluarga berencana terhadap pengetahuan tentang kontrasepsi rasional pada akseptor premenopause di Puskesmas Cangkringan
Fitri Nurdjanah;
Heni Puji Wahyuningsih;
Nining Wiyati
Jurnal Kesehatan Ibu dan Anak Vol. 1 No. 1 (2012): Juli
Publisher : Poltekkes Kemenkes Yogyakarta
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BKKBN reporting March 2011 known that injectable contraceptive use in Indonesia reached 47.71%,45.74% DIY, Sleman 48.69% and 57.36% in the Cangkingan Public Health Center, this does not fit the guidelines use of rational contraceptives even more to the premenopausal acceptor in Cangkingan Public Health Center reached 90%. Contraceptives selection behavior one influenced by the level of knowledge where itself knowledge can be through the lecture method and family planning counseling. Objectives: to knowing different family planning counseling of method and lectures on knowledge of rational contraception in premenopausal acceptor at the Cangkingan Public Health Center 2011. Methods: this type of Quasy experiment study pretest-posttest group design and static comparison group design. The formula samples large using for two independent groups and obtained of 72 respondents who are premenopausal acceptor at the Cangkingan Public Health Center. That instrument study has been using a questionnaire tested validity and reliability. Analysis of test data using dependent t-test and independent t-test with SPSS software for Windows. Results : by dependent t-test from lectures of method knowledge results obtained t count (15,707) > t table (1,684) and p-value (0.000) <0.05,counseling of method (13,643) > t table (1,684) and p-value (0,000) < 0,05. By independent t-test knowledge results obtained count (3.138)> table (1.684) and p-value (0.002) <0.05.
Tingkat pengetahuan, sikap dengan perilaku pencegahan penularan HIV/AIDS pada penderita HIV/AIDS di RSUD Dr Moewardi Surakarta
Iyeti Listyorini;
Yuni Kusmiyati;
Margono Margono
Jurnal Kesehatan Ibu dan Anak Vol. 1 No. 1 (2012): Juli
Publisher : Poltekkes Kemenkes Yogyakarta
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HIV/AIDS is a disease which causes by the Human immunodeficiency virus (HIV) with rapid deployment. WHO declared HIV/AIDS as a pandemic that could threaten the sustainability of mankind. The number of people with AIDS in Indonesia in 2011 as many as 24,482 patients with the number of patients mortality is 18%. Businesses that are not beneficial to avoid the spread of HIV/AIDS prevention. Less accurate information and knowledge about the transmission of HIV/AIDS is one of the high transmission of HIV/AIDS. Efforts to prevent HIV/AIDS is highly dependent on knowledge and attitudes, behavior and other factors involved. Objectives to Know the relationship between the level of knowledge and altitudes with the behavior of HIV/AIDS prevention in people with HIV/AIDS at the Dr. MoewardiSurakada Hospitalin 2011. The type of study is an analytical survey with a cross-sectional/ research design. Samplestakenlrom HIV/AIDS sufferer at the hospital of Dr. Moewardi Surakada with purposive sampling. The analysis using the R Commander Pearson Product Moment Correlation Test. Result: Most of the respondents have a good knowledge level that is equal to 85,9%. All respondents have a positive attitude and 50% have good behavior. P-Value of Pearson Product Moment Test between the level of knowledge and behavior is 0,0387, and between attitude and behavior is 0.005624.
Efektivitas pijat oksitosin terhadap produksi ASI dan involutio uteri pada ibu post partum hari ke-0 di Puskesmas Jetis 1 Bantuk Tahun 2011
Nurul A. Sidik;
Yani Widyastuti;
Yuliasti Eka Purnamaningrum
Jurnal Kesehatan Ibu dan Anak Vol. 1 No. 1 (2012): Juli
Publisher : Poltekkes Kemenkes Yogyakarta
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The Infant Mortality Rate in Indonesia by Demographic and Health Survey the year 2007 still high as 34/1000. The cause of the problem of infant modality associated with drinking milk, less milk can affect milk production, decreased milk production on the first day of the birth due to a lack of stimulation of the hormone prolactin and oxytocin affecting lactation. The decrease in baby sucking hormone stimulation can lower prolactin and oxytocin. The main cause of maternal death is postpartum hemorrhage. Bleeding due to retained products of conception may hinder the process involusia uteri. A technique carried out by massage techniques oxytocin. Objectives to the effectiveness of massage and oxytocin on milk production involution uteri on day 0 postpartum mothers at the Health Center Jetis I Bantul District. Methods: The True Experiment study types. The study design was posttest - only control group, sampling technique with non-probability Consecutive sampling The sample in the study of maternal postpartum days 0, amounting to 62 people. Where 31 people in the experimental group and 31 people in the control group. Bivariate analysis techniques using independent test samples t-test. The result there was difference production of milk in the postpartum mother day it to zero are massaged the oxytocin between the control and treatment groups be obtained t count of 5.72 with p-value = 0.000 thus the p-value <0.05 and massage oxytocin has a 3 times greater odds for the increase in production of milk compared with the control group. And there is no difference involusio uteri of postpartum mothers day to zero are massaged oxytocin between the control and treatment groups obtained t count for 0.99 p-values = 0.000 thus tho pvalue> 0.05.
Hubungan hipertensi dalam kehamilan dengan kejadian BBLR di RSUD Wonosari
Puspita Sukma Dewi Pratama Putri;
Sujiyatini Sujiyatini;
Siti Tyastuti
Jurnal Kesehatan Ibu dan Anak Vol. 1 No. 1 (2012): Juli
Publisher : Poltekkes Kemenkes Yogyakarta
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Low birth weight (LBW) is still the main cause of perinatal morbidity and mortality. Hypertensive pregnancy (HP) is often the main cause of LBW incidences. ln HP, the disfunction of placenta vascular will occur and it causes the disturbance of the blood pipeline to the placenta so that the input of nutrition and embryo oxygen cannot be fulfilled optimally, and it causes the late fetus growth and LBW infant. At RSUD Wonosari in 2008, there was 30,36% woman with HP born LBW infant and the rate was getting an increase in 2009, there was 46%. Objectives: To observe the correlation between HP and LBW incidences at RSUD Wonosari in 2010-2011. Methods: The observational analytical research with case-control design, consist of HP as independent va.riable and LBW as a dependent. The samples are determined by using purposive sampling method from medical records at RSUD Wonosari in 2010-2011. The analysis method of this research is chi-square statistical test, and contingency coefficient Result: LBW incidences that were born by a woman with HP at RSUD Wonosari in 2010-2011 are about 7596, chi-square analysis with df=1 and significance level 5% produce X2 count = 39,629; p-value = 0,000, and C=0,462.
Pengaruh penyuluhan terhadap peningkatan pengetahuan dan keputusan menggunakan kontrasepsi pada unmet need keluarga berencana di Umbularjo Kota Yogyakarta
Rahmawati Rahmawati;
Endah Marianingsih Theresia;
Dyah Noviawati Setya Arum
Jurnal Kesehatan Ibu dan Anak Vol. 1 No. 1 (2012): Juli
Publisher : Poltekkes Kemenkes Yogyakarta
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The growth of the population in Indonesia was always increasing, by a growth rate of 2.6 deaths per year. Family planning has been able to reduce the population growth rate from 2.4% to 1.9% in a rational way. Based on RISKESDAS/ Basic Medical Research in 2010, the use of family planning is known only 53.9% in married women age 19 years. Nationally, there were still 19% of married women during reproductive age who did not use Family planning to prevent or delay pregnancy, and there were 27.1% who previously used family planning but now did not use it after then was nationally detected by 14% in which they needed it but could not be met (unmet need). Objectives: To determine the effect of health education by demonstration method and video playback media in enhancing knowledge and decision making to use contraception in the unmet need family planning. Methods: The study design was using pre-experiment with one group pretest-posttest design. The sampling technique was purposive sampling which found a sample of 46 unmet need women of reproductive age. Before and after getting health education by demonstration method and video playback media were given questionnaires about their knowledge level and 2 weeks after then were given interviewed to determine their decision to use contraception. The data analysis to find out the effect of health education by demonstration method used paired t-test and the data analysis to find out the decision making to use contraception used chi-square test. Results: the test results in enhancing knowledge obtained paired t-test count value of -7.8375, Cl g5% (2,730501 to -1,610962) and -2.170732 mean of the differences (p-value 0.000). the results in decision making to use contraceptionobtained chi-square value of 4.1938 and CI 95% 0,081 to 0,310, (p-value 0,1228).
Studi komparasi kejadian asfiksia berdasarkan waktu induksi pada kemanilan postterm di RSUD Kebumen
Winarni Winarni;
Suherni Suherni;
Yuni Kusmiyati
Jurnal Kesehatan Ibu dan Anak Vol. 1 No. 1 (2012): Juli
Publisher : Poltekkes Kemenkes Yogyakarta
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There are 146,000 dead babies every year,401 babies die every day or 17 babies die every hour. Millenium Development Goals Target (MDGs) in the year 2015, the infant Mortality Rate (IMR) will decease from 34/1,000 alive birth into 23/1,000 alive birth. The most dead babies cause is asphyxia (34%). One of the risk factors of asphyxia is post-term pregnancy. Objective: To know the asphyxia happening difference between induction of labor at the 41 weeks pregnancy age with the induction of labor at 42 weeks pregnancy age in the Govemment Public Hospital (RSUD) of Kebumen in the year 2010-2011. Method: This research used analytical observasional by applying case control approach. The research population was all new born babies from induction of labour at postterm pregnancy in Kebumen Goverment Public Hospital in the year 2010-2011. Sample taking used purposive sampling on 74 subjects for case group and 74 subjects control group. The analytical test used Chi-Square on the trust level of 95%. Result: Chi-Square analysis got 0.013 p-value, it meant that there was the difference of asphyxia happening between the induction of labour 41 weeks pregnancy age with the induction of labour at 42 weeks pregnancy age. The asphyxia happening at induction of labour 41 weeks pregnancy age was 39.1%, whereas 42 weeks pregnancy age was 59.5%.
Hambatan pelaksanaan KIE HIV/AIDS dalam pelayanan ANC oleh bidan di Puskesmas di Kota Yogyakarta
Sari Hastuti;
Endah Marianingsih Theresia;
Sri Hendy Lianawati
Jurnal Kesehatan Ibu dan Anak Vol. 1 No. 1 (2012): Juli
Publisher : Poltekkes Kemenkes Yogyakarta
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Indonesia has entered into a concentrated epidemic level since 2000, namely the high-risk groups, HIV/AIDS prevalence exceeds 5%. City of Yogyakarta is one area that comes into the accelerated program of 105 districts/cities in Indonesia and has been providing HIV testing services at the clinic. AIDS prevention commission province of Yogyakarta reported since the year 2009 in 2003-2008 was 23 positive children with HIV, in 2005-2008 recorded a pregnant woman gave birth to HIV-positive and 10 peoples. PMTCT package integrated with maternal and child health and family planning services so that midwives in each clinic to get the socialization of PMTCT. Objectives: to determine the inhibiting factors of Communication, information and Education on HIV /AIDS in the antenatal care services by midwife in supporting PMTCT programs in health centers city of Yogyakarta. This type of research is qualitative research field. The research location was taken in 13 health centers in the city of Yogyakarta, the main respondent are midwives in the outpatient maternal and child health services, each clinic taken a midwife who has got the socialization and training of PMTCT programs with in-depth interviews. Additional respondents are policy makers and clients. Analysis of data using content analysis of data while checking the validity of the method triangulation methods and sources. Results: the results of in-depth interviews found eight categories of theme as inhibiting factors.
Hubungan kejadian preeklampsia dengan kejadian asfiksia neonatorum di RSUD Wates Kulon Progo
Yuli Irawati;
Margono Margono;
Dwiana Estiwidani
Jurnal Kesehatan Ibu dan Anak Vol. 1 No. 1 (2012): Juli
Publisher : Poltekkes Kemenkes Yogyakarta
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The highest maternal mortality in Indonesia was caused by obstetric complications (90%) that was bleeding (30.77%) infection (22.5%), preeclampsia and eclampsia (25.18%), others (11. 55%). Pre-eclampsia can be changes in the placenta which decreased blood flow to the placenta resulting in placental dysfunction. At one moment preeclampsia impaired fetal growth, whereas the shorter pre-eclampsia can occur until the death of fetal distress from lack of oxygen (hypoxia) and at delivery is the greater danger, babies often show signs of postpartum neonatal asphyxia due to intrauterine hypoxia. Objectives: Knowing the relationship of preeclampsia incident with asphyxia neonatorum incident of Wates hospital in 2011.This was an observational analytic study that used historical cohort design, independent variable was incidence of preeclampsia and dependent variable was incidence of asphyxia neonatorum. Overall population of mothers in childbirth in hospitals Wates began in January 2009 to December2010. The sample size was ,30 subjects exposed (preeclampsia) and 130 unexposed subjects (not preeclampsia). Data analyzed using Chi Square, percentages, and relative risk. Results showed there was relationship between the incidence of preeclampsia with asphyxia neonatorum with a value of p = 0.04. The incidence of asphyxia neonatorum in preeclampsia women lot of 45 people (35%), incidence of asphyxia neonatorum without preeclamptic women lot of 30 people (23%). Relative Risk (RR) obtained at 1 .7 with 95% Cl (0.23-3.043).