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Jurnal Kesehatan Ibu dan Anak
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jurnalkiajogja@gmail.com
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devy.kurnia.ramadhani@gmail.com
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Kota yogyakarta,
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INDONESIA
Jurnal Kesehatan Ibu dan Anak
ISSN : 23026014     EISSN : 25993224     DOI : -
Core Subject : 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
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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Abstract

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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Abstract

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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Abstract

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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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 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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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 Niken Meilani; Nanik Setiyawati; Munica Rita Hernayanti
Jurnal Kesehatan Ibu dan Anak Vol. 2 No. 2 (2012): November
Publisher : Poltekkes Kemenkes Yogyakarta

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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 Isnamaya Kartika Wulandari; Sumarah Sumarah; Margono Margono
Jurnal Kesehatan Ibu dan Anak Vol. 2 No. 2 (2012): November
Publisher : Poltekkes Kemenkes Yogyakarta

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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 Munica Rita Hernayanti; Martha Irene Kartasurya; 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 Nining Wiyati; Marciana Eni; Sari Hastuti
Jurnal Kesehatan Ibu dan Anak Vol. 2 No. 2 (2012): November
Publisher : Poltekkes Kemenkes Yogyakarta

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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 Sri Sumartini; Sujiyatini Sujiyatini; Dwiana Estiwidani
Jurnal Kesehatan Ibu dan Anak Vol. 2 No. 2 (2012): November
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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