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INDONESIA
Jurnal Kesehatan Ibu dan Anak
Published by Poltekkes Kemenkes Yogyakarta
ISSN : 23026014     EISSN : 25993224     DOI : -
Core Subject : Health,
Health Professions Medicine & Pharmacology Nursing Public Health
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.
Arjuna Subject : -
Articles 475 Documents
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HAMBATAN PELAKSANAAN KIE HIV/AIDS DALAM PELAYANAN ANC OLEH BIDAN DI PUSKESMAS DI KOTA YOGYAKARTA Hastuti, Sari; Theresia, Endah Marianingsih; Lianawati, Sri Hendy
Jurnal Kesehatan Ibu dan Anak Vol 1 No 1 (2012): Juli
Publisher : Poltekkes Kemenkes Yogyakarta

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Abstract

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 Irawati, Yuli; Margono, Margono; Estiwidani, Dwiana
Jurnal Kesehatan Ibu dan Anak Vol 1 No 1 (2012): Juli
Publisher : Poltekkes Kemenkes Yogyakarta

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Abstract

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).
PENGARUH AKSES INFORMASI KESEHATAN REPRODUKSI REMAJA DENGAN PERILAKU IBU DALAM MEMBERIKAN PENDIDIKAN SEKSUALITAS Meilani, Niken; Setiyawati, Nanik; Hernayanti, Munica Rita
Jurnal Kesehatan Ibu dan Anak Vol 2 No 2 (2012): November
Publisher : Poltekkes Kemenkes Yogyakarta

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Abstract

Source of Adolescent Reproductive Health Information and Behavior of Early Adolescent Mother in Providing Sexuality Education; The incidence of premarital sex and HIV positive in adolescents is increasing. Teens need information about sexuality, and the role of mothers in the early adolescent is very important. The purpose of this research is to find out the effect of source of adolescent reproductive health information and mother's behavior in giving the sexuality education. This type of research is an analytic correlational with cross sectional approach. This research due on June-July 2012. Sample of 92 mothers of adolescents aged 10-14 years belonging to the Pilot Project Bina Keluarga Remaja by cluster sampling. Data collection by interview using a questionnaire. Data analysis includes univariate, bivariate and multivariate analyzes. The results showed only 44.6% of mothers who behaved well in giving sexuality education. There are relationship between source of ARH information from health provider (p=0 001), society organizations (p=0.024), electronic media (p=0.022) and from mass media (p=0.003) While from the above variables are most influential is source of ARH information from health provider (p=0.006, OR= 3.78)
PERBANDINGAN KEBERHASILAN PERSALINAN ANTARA MISOPROSTOL DAN FOLEY KATETER PADA POSTTERM Wulandari, Isnamaya Kartika; Sumarah, Sumarah; Margono, Margono
Jurnal Kesehatan Ibu dan Anak Vol 2 No 2 (2012): November
Publisher : Poltekkes Kemenkes Yogyakarta

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Abstract

Based on former study in Wates General Hospital 2011 there are data of total induction labor 367 (29,24%) of 1255 vaginal delivery, where is 3 induction methods used such as misoprostol are 139 patient (37,87%), foley catheter are 125 patient (34,06%) and oxytocin are 103 patient (28,07%) with different success level in vaginal delivery. induction labor is one of active intervention which have potential for the fetus and mother, but it can increase the risk like section-cesarean delivery, abnormal fetus heartbeat, multiple study of misoprostol induction by oral and foley catheter have different result. To identify success comparison of vaginal delivery used misoprostol by oral for induction and foley catheter for women with post term in Wates General Hospital 2012. This study used an observational analytic with historic cohort design used kind of induction labor and women with post term as independent variable and success of vaginal delivery as dependent variable. The population are all of women with post term who had induction, sample size are 45 subject who had misoprostol by oral and 45 subject who had foley catheter. Data analysis used chi-square, percentage and risk relative. Result of this study showed that there are difference proportion of vaginal delivery used misoprostol by oral and foley catheter with risk relative 2,995, p-value 0,03 and Cl 95% (1 ,090 - 8,233) which means women who had misoprostol by oral as induction have 2,995 time more success than used foley catheter.
UPAYA PENCEGAHAN INFEKSI OLEH BIDAN PRAKTIK SWASTA DALAM ASUHAN PERSALLINAN DI KABUPATEN KULON PROGO Hernayanti, Munica Rita; Kartasurya, Martha Irene; Dharminto, Dharminto
Jurnal Kesehatan Ibu dan Anak Vol 2 No 2 (2012): November
Publisher : Poltekkes Kemenkes Yogyakarta

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Abstract

Infection prevention practices by health workers was still selectively done. ln Kulon Progo district 44.4% of infant mortality was caused by sepsis, 9% by post-delivery fever complication. The majority of delivery assistance (59 %) was done by private Practice Midwife (BPS). Almost a half (47.8%) of BPS has Delima midwives predicate. They should do their work with service of excellence. A preliminary study showed that Delima midwives did not take into account infection prevention and they felt that infection prevention was annoying. The study objective was to identify infection preventive action difference between Delima and non Delima midwives in the delivery care. This was an observational analytic and comparative study with cross sectional approach. Study population was all 90 BPS in Kulon Progo district. Study subjects consist of 34 Delima midwives and 34 BPS non Delima who fulfilled inclusions and exclusion criteria. Data were collected through survey using questionnaire and observation using observation sheet. Results of study showed that Delima midwives had higher value on eight examined variables than non Delima BPS. Result of a difference test showed that there was a significant difference in the implementation of infection prevention (p = 0.003), knowledge (p = 0.037), attitude (p = 0.03), patient satisfaction perceptions (p = 0.016), perception on workload (p = 0.027), support from organization profession (p = 0.012). There was no significant difference in infection preventive training (p = 0.169) and midwives? motivation (p = 0.325). Result of bivariate test with age stratification showed that two variables namely implementation of infection prevention and patient satisfaction perceptions were not significantly different in both elder age group and young age group. Recommendation for lBl is to establish standard procedure of infection prevention in the delivery care. All members of lBI should obey this standard procedure. lBl should develop Delima midwives? program to improve BPS service. Recommendations for district health office are to facilitate training implementation on the management of infection prevention, to collaborate with IBI to do supervision to BPS focusing on important of infection prevention especially in the delivery care.
PENGARUH INISIASI MENYUSU DINI TERHADAP KECEPATAN INVOLUSI UTERI PADA IBU POST PARTUM Wiyati, Nining; Eni, Marciana; Hastuti, Sari
Jurnal Kesehatan Ibu dan Anak Vol 2 No 2 (2012): November
Publisher : Poltekkes Kemenkes Yogyakarta

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Abstract

Maternal Mortality Rate in Indonesia in 2009 were 226/100.000 live births, one of which is caused by bleeding. The cause of bleeding one of which is sub-involution of the uterus. Early initiation of breastfeeding is one of the factors that can accelerate the involution of the uterus as it stimulates oxytocin which causes the uterus to contraction. Objective: To determine the effect of on Early initiation of breastfeeding pace maternal postpartum uterine involution in Sleman, Tutik Purwani clinic in 2012. The study design control time series design. Research location Tutik Purwani clinic Sleman. Consecutive sampling with sampling. Subjects were followed during maternal postpartum of the first 2 hours until the fundus no longer palpable. Number of samples 32 people treatment group Early initiation of breastfeeding and 32 control group (no Early initiation of breastfeeding). Hypothesis testing using an independent t-test Results: Speed corresponding uterine involution (high uterine fundus not palpable = 10 days postpartum), the Early initiation a breastfeeding as much as96.87%, while the number 56.25% no Early initiation of breastfeeding. Mean high uterine fundus postpartum mothers with Early initiation of breastfeeding is not palpable, day 7 (mean = 6.78), whereas postpartum mothers did not mean no palpable Early initiation of breastfeeding, high uterine fundus day 11 (mean = 11 .03). There is the influence of the velocity Early initiation of breastfeeding maternal postpartum uterine involution (t count> t table (7.07> 2.021) and the p-value <0.05 (p-value = 0.000) with a confidence interval (CI 95%). There effect Early initiation of breastfeeding, on uterine involution speed.
HUBUNGAN KETUBAN PECAH DINI DENGAN KADAR LEUKOSIT BAYI BARU LAHIR DI BLUD RS H.BOEJADIN PELAIHARI KABUPATEN TANAH LAUT Sumartini, Sri; Sujiyatini, Sujiyatini; Estiwidani, Dwiana
Jurnal Kesehatan Ibu dan Anak Vol 2 No 2 (2012): November
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Abstract

Infant modality rate in Indonesia was still high, one of its factors was infection. Mothers with risk of infection occurs and premature amniotic rupture involved into clinical curio amnion is as well as associated with neonatal infection. indicators rate occurrence of the initial processes infection newborn baby was leukocytosis. This study was to know the relationship between prevalence rate and premature amniotic rupture with leukocytosis levels of newborn infant in Public Service Area H. Boejasin Pelaihan Hospital, Tanah Laut in 2011. Analytic survey with cross-sectional approach. Population was 947 partum, with Simple Random Sampling techniques found 350 samples. Data secondary data of medical record. It used Chi- Square test with 95% Cl. Results: The leukocytes levels of newborn infant with premature amniotic rupture mostly not in the normal limit 36,28%. Data analysls result showed that there was significant relationship between premature amniotic rupture with leukocytes levels of newborn infant (X count = 25.212 with p-value = 0.000), and RP:2.79
HUBUNGAN FAKTOR-FAKTOR PENYEBAB KECEMASAN DENGAN TINGKAT KECEMASAN SUAMI MENGHADAPI ISTRI YANG BERSALIN SPONTAN AS, Emilda; HRP, Meliani Sukmadewi
Jurnal Kesehatan Ibu dan Anak Vol 2 No 2 (2012): November
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Abstract

Husband worried wife while accompanying the birth is influenced by several factors related to the level of anxiety. The aims of this study was to determine the relationship of these factors to the level of anxiety. Research using analytic study design with cross sectional method. Sampling using accidental sampling. Clinical research conducted in Medan Hadijah. Results of the study the majority of respondents aged 31-35 years by 25 people (48.1%), the majority of high school education 32 (61.5%), the majority of respondents earn Rp. 1000.000,00-Rp. 2000.000,00 as many as 29 people (55.8%). the wife of the safety factor and no influence fetal majority 40 (76.1%), the majority of factors influence gender expectations 27 people (51.9%), the factor of financial responsibility no influence 28 people (53.8%) and birth defects in children there are factors influence 31 people (59.6%). Data analysis used the chi square. Conclusion: no safety factor relationship with his wife and fetal levels of anxiety (p = 0.04), no correlation between gender expectations with the level of anxiety (p = 0.025), there was no correlation between the level of financial responsibility anxiety (p = 0.254), no correlation between children born with the defect levels of anxiety (p = 0.004). From the results of this research note that there are 3 factors associated with levels of anxiety husband.
HUBUNGAN KARAKTERISTIK IBU MENYUSUI DENGAN PEMBERIAN MAKANAN PENDAMPING ASI PADA BAYI USIA 6-24 BULAN Elfida, Elfida; AS, Emilda; Rahmawati, Anita
Jurnal Kesehatan Ibu dan Anak Vol 2 No 2 (2012): November
Publisher : Poltekkes Kemenkes Yogyakarta

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Abstract

The provision of complementary foods should be done gradually and different from the type of each feeling introducing new foods began to form thick porridge, fruit juices, fresh fruit, cream foods, and snacks the food is finally solid. Babies are among the easiest to suffer from nutritional disorders. From the SDKI data shows 30% from infants under six months of age other than breast milk given food, 18% were given breast milk and formula milk, 9% were given milk and water and 20% were given milk and juice. The provision of MP-ASl is sometimes inadequate both in terms of quantity and quality. According to the SDKI only 41, 2% of infants aged 6-23 months fed according to the suggestion that ASl, more than 3 (three) and food groups with a minimum frequency of meals. Objective: To determine the relationship characteristics of breastfeeding mothers by providing complementary foods (MP-ASl) on infants aged 6-24 months in Alue Naga Village, Kuala Syiah District, Banda Aceh City. This research is a cross-sectional approach descriptive. The population in this study were mothers who had babies aged 6-24 months that were recorded in Alue Naga Village, a total of 52 respondent. The sampling technique uses a total population, data collection is done by interviews. Test statistic using the chi-square test with SPSS 16.0 and hypothesis testing based on p-value <0.05. Test results statistics with (chi-square) show that respondents with basic education provide complementary foods approach is not recommended by as many as 24 people (82.2%) p-value of 0.001 (p <0.05), respondents who have less knowledge of providing appropriate complementary feeding is not recommended by some 19 people (73.1%) p-value of 0.012 (p <0.05), and respondents who have multigravida parity providing appropriate complementary feeding are not recommended by as many as 17 people (73, 9%) p-value of 0.218 (p> 0.218). Conclusion: There is a relationship between education level and giving complementary foods ASl, there is a relationship of knowledge with complementary feeding and there is no relationship between parity and complementary feeding of infants aged 6-24 months.
PENGARUH PIJAT BAYI BERAT LAHIR RENDAH TERHADAP KENAIKAN BERAT BADAN DI RSUD PANEMBAHAN SENOPATI BANTUL TAHUN 2012 Zein, Asmar Yetty; Dasuki, Djaswadi; Wibowo, Tunjung
Jurnal Kesehatan Ibu dan Anak Vol 2 No 2 (2012): November
Publisher : Poltekkes Kemenkes Yogyakarta

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Abstract

Low birth weight (LBW) babies require more nutrients in order to achieve optimal growth and weight gain is a parameter of success in LBW babies growth. Baby massage for LBW babies is a form of stimulus/tactile kinesthetic stimulation as verbal communication to babies that can increase endurance, the activity of digestive function and activity of the vagus nerves. Good nutritional intake will be able to help weight gain in LBW babies. To determine the benefits of baby massage as a method to enhance weight gain for LBW babies. Method: This was an experimental study with a pretest and posttest control group design and a randomized control design through a quantitative approach. Sample was 60 low birth weight babies born weighing between 1500-2499 grams. The treatment group was given baby massage for 10 days by their mother three times a day and another group were not given treatment. Data analysis was performed by stages from univariable with the frequency distribution characteristics of the respondents, bivariable using independent t-test and RR, and multivariable using logistic regression. Results. the results indicated the effect of baby massage on weight gain as evidenced by t-test value of 0.001 < 0.05. Logistic regression analysis indicated that OR = 2.68. This means that baby massage did affect the weight gain by 2.68. Conclusion: The LBW babies weight gain, treated with massage for 10 days, was higher than those with no such treatment.

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