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INDONESIA
Jurnal Kesehatan Reproduksi
Published by Universitas Gadjah Mada
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Articles 8 Documents
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Search results for , issue "Vol 3, No 2 (2016)" : 8 Documents clear
Perbandingan hasil stimulasi ovarium dengan kombinasi klomifen sitrat gonadotropin dan klomifen sitrat pada inseminasi intra uteri Indriani, Farida; Widad, Shofwal; Sofoewan, Sulchan
JURNAL KESEHATAN REPRODUKSI Vol 3, No 2 (2016)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (301.019 KB) | DOI: 10.22146/jkr.35939

Abstract

Background: Infertile couple with the cause of unexplained infertility and male factor can follow intrauterine insemination (IUI) program as a cheap and easy method for infertility therapy. Ovarian stimulation by combination of clomiphene citrate and gonadotropin and also clomiphene citrate alone was done as a superovulation mode to get higher number of mature follicle to gain higher pregnancy rate. Objective : To compare the amount of mature follicles and  endometrial thickness as an outcome of ovarian stimulation between combination drug of clomiphene citrate and gonadotrophin with clomiphene citrate alone.Methods: Observational retrospective cohort. Subject is one cycle intrauterine insemination stimulated either by combination CC gonadotrophin or CC alone, eligible in inclusion criteria and exclusion criteria. Statistic test used was independent t-test, chi-square and logistic regression.Location of study: Infertility Clinic of  Permata Hati, dr. Sardjito Hospital, Yogyakarta.Result: A total of 142 cycle from 98 couples followed IUI and stimulated by combination CC gonadotrophin (n=72) or CC alone (n=70). Multiple mature follicle number was different and statistically significant 77% vs 54%, RR 1,433 (IK95% 1,118-1,836), p=0,005, while endometrial thickness > 7mm was more frequent in combination group but not statistically different with percentage 81,9% vs 74,3%, RR 1,103 (CI95% 0,926-1,315), p=0,367.Conclusion: Ovarian stimulation by combination CC gonadotropin resulting of more multiple mature follicle number while  good endometrial thickness was more in combination group but not statistically significant.Keywords: ovarian stimulation, clomiphene citrate, gonadotrophin, multifollicular, endometrial thickness
The Impact of Obstetrician/Gynecologist Hospitalists on Neonatal Quality of Care in Sardjito General Hospital Yogyakarta, Indonesia: A Retrospective Cohort Study Phyowai Ganap, Eugenius; Hakimi, Mohammad; Hadijono, Soerjo; Emilia, Ova
JURNAL KESEHATAN REPRODUKSI Vol 3, No 2 (2016)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (370.783 KB) | DOI: 10.22146/jkr.28084

Abstract

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 neonatal outcomes.Methods : This research design was retrospective cohort. Participants included is 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, APGAR score at 5 minutes, , NICU admission. Univariate and multivariable analyses was conducted to evaluate and determine the factor which significantly contribute to neonatal outcomes.Results and Discussion: We included total 71 patients (37 on-call obstetrician group and  34 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). Implementation of full-time hospitalist did not impact the  NICU admission and APGAR score at 5 minutes. Conclusion : Implementation of full-time hospitalist model is  not affecting neonatal outcomes.Keywords :  Infant and Maternal Mortality, Obtericians / Gynecologist Hospitalist, Labor and Delivery, Maternal and Neonatal Care, ICU Response Time. 
Hubungan Komunikasi Interpersonal Orang Tua dengan Perilaku Seksual Pranikah Remaja di Kota Padang Putri, Nita Tri; Dasuki, Djaswadi; Wahyuni, Budi
JURNAL KESEHATAN REPRODUKSI Vol 3, No 2 (2016)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (309.786 KB) | DOI: 10.22146/jkr.35947

Abstract

Background: The phenomenon that is troubling many parties at the present time is the pattern of the adolescent courtship leading to sexual intercourse. Most teens consider premarital sexual behavior is normal and common. Interpersonal communication parents is not good  to their children will cause conflicts that impact on adolescent premarital sexual behavior. By looking at the picture of interpersonal communication old man is expected to overcome adolescent premarital sexual behavior.Objektive : The purpose of this study was to determine the relationship between interpersonal communication of parents toward adolescent premarital sexual behavior.Method: This was an observational study using cross-sectional design and mixed methods approaches (quantitative and qualitative). The experiment was conducted at SMAN A, SMAN B, SMA C Idan MAN D Padang with research subjects totaling 299 teenagers. Informants for qualitative data that consists of 4 boys, 4 girls and 8 parents of the school to be studied.Results and Discussion: Indicates that there is a statistically significant relationship (p <0.05) between the independent variables (interpersonal  communication of parents) with dependent variable (adolescent premarital sexual behavior) with a RP 3.71 95% CI (2.62 to 5.25). interpersonal communication of parents after the controlled variable peers, the media and religiosity there is also an increase of 49%.Conclusion: premarital sexual behavior in adolescents at risk because interpersonal communication of parents are not good . Other factors that affect the risk of premarital sexual behavior in adolescents are peers, the media and the level of religiosity. The results of in-depth interviews permissiveness and emotionally intimate relationship  with parents also have an impact on the relationship is not good between parents and teenagers in interpersonal communication.Keywords: interpersonal communication of parents, adolescent premarital sexual behavior
Efek Minyak Esensial Lavender Dibandingkan dengan Minyak Esensial Jahe terhadap Intensitas Nyeri Menstruasi pada Remaja Pujiati, Wasis; Sri Hartati W, Mae; Hapsari, Elsi Dwi
JURNAL KESEHATAN REPRODUKSI Vol 3, No 2 (2016)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (257.307 KB) | DOI: 10.22146/jkr.35941

Abstract

Background: Menstrual pain is the pain in the abdomen which is perceived before or during menstruation, that even when the menstrual pain is heavily painful, the sufferers leave their activities. Research in 2011 showed that the rate of occurrence of primary menstrual pain in Indonesian adolescences was about 54.89%. Various therapies have been used to cure the pain, both pharmacologically and nonpharmacologically. Pharmacologically, it is done by the usage of NSAID, and non-pharmacologically is done by using essential oil.Objective: To know about the effects of lavender essential oil compared to ginger essential oil toward the intensity of menstrual pain in the adolescences of SHS 1 Muncar.Method: True experimental design, with randomized pretest posttest design plan. Time of data retrieval was August-September 2014 in SMA 1 Muncar, Banyuwangi, East Java. Population in this research were female adolescences in class of X and XI, with the amount of 260 students, with samples’ amount of 30 for each treatment group. The sampling technique was simple random sampling. The dependent variable are the giving of lavender and ginger essential oils, meanwhile the independent variable are the reduction of the intensity of menstrual pain. Instrument which was used was Numerical Rating Scale. The data analysis used the Wilcoxon and Mann-Whitney Test.Result and Discussion: The intensity of pain before and after intervention of essential oil of lavender and ginger are 5,47±1,19 vs 2,93±1,53, P=0,00 and 5,40±0,96 vs 2,93±1,43, P=0,00, respectively. Comparison of the effects essential oil of lavender and ginger have P >0,05.Conclusion: Both lavender essential oil and ginger essential oil are effective in reducing the intensity of menstrual pain in adolescences. Keywords: Menstrual pain, Essential oils, Lavender, Ginger, Adolescences
Hubungan antara Kepercayaan dan Keterpaparan Informasi dengan Pengetahuan dan Sikap terhadap Perawatan Metode Kanguru pada Bidan di Kabupaten Musi Rawas Sumatera Selatan Tahun 2016 Mudiyah, Siti; Pratomo, Hadi; Besral, Besral
JURNAL KESEHATAN REPRODUKSI Vol 3, No 2 (2016)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (370.783 KB) | DOI: 10.22146/jkr.35951

Abstract

Background: Infant and Neonatal mortality in Musi Rawas District is the highest in Southern Sumatera in 2014. Implementation of kangaroo mother care as Low Birth Weight treatment is still limited in the provincial general hospital Dr. Mohammad Hoesin, Palembang. At the present time, midwives as maternal and child health service provider, can access many information including Kangaroo Mother Care from various media.Objectives: This study aimed to analyze the relationship between belief in the myth of LBW care and exposure information with the knowledge and attitudes toward kangaroo mother care on midwives in Musi Rawas District of Southern Sumatra 2016.Method: Cross sectional study design used on 197 midwives with purposive sampling.Result and Discussion: The results showed that midwives who have relatifely good knowledge about KMC As much as 50,8% and having relatively positive attitude towards KMC as much as 40.1%. There are a significant relationship between belief of LBW care (ρ=0,001; OR: 3,1; 95% CI: 1,6 – 5,8), exposure information from scientific media (ρ=0,039; OR: 2,4; 95% CI: 1,0 – 5,4), training (ρ=0,001; OR: 3.5; 95% CI: 1.7 – 7,5) with knowledge about KMC on midwives.Conclusion: A significant relationship also demonstrated between exposure information from training with attitude towards KMC on midwives (ρ=0,003; OR: 2,8; 95% CI: 1,4 – 5,6). Improving quality of the midwives in Kangaroo Mother Care is very important so midwives can provide counseling, information, and education to mother since detected with LBW.Keywords: Kangaroo Mother Care, Midwife, Belief, Attitude, Knowledge of KMC
PERBANDINGAN ANTARA PEMBERIAN ANTIBIOTIKA PROFILAKSIS PADA SEKSIO SESAR SESUAI ALUR KLINIS RSUP DR SARDJITO DENGAN ANTIBIOTIKA DOSIS MULTIPEL TERHADAP KEJADIAN INFEKSI LUKA OPERASI Rahmansyah, Ardian; Hakimi, Mohammad; Siswishanto, Rukmono
JURNAL KESEHATAN REPRODUKSI Vol 3, No 2 (2016)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (260.342 KB) | DOI: 10.22146/jkr.35444

Abstract

Background: Clinical pathway recommend the use of short-term prophylaxis antibiotics for cesarean section. Long-term antibiotics or multiple doses was found in clinical practice. There are differences in the mode of administration and the number of doses administered at sardjito hospital.Objective: To determine the effectiveness of short-term antibiotic prophylaxis in cesarean section appropriate to clinical pathway in the prevention of surgical site infection (ssi), the incidence of fever, dysuria events, length of stay.Method: The study used randomized clinical trial. The study subjects who underwent cesarean section and meet the inclusion and exclusion criteria in the period July 2013 to January 2014 divided into an intervention group (n = 52) who received ampicillin 2 gram pre and post-cesarean section, and a control group (n = 54) who received ampicillin 2 gram pre cesarean section and 1 gram every 8 hours for 6 times. Observed on days 3 and 10 post-cesarean section. The primary outcomes assessed were the incidence of surgical wound infection based on the criteria of surgical site infection from Centers for Disease Controland Prevention. Secondary outcomes assessed were the incidence of fever, dysuria events, length of stay. Homogeneity analysis were conducted on subject. Outcome analysis performed bivariate with t test and chi squared test.Results and Discussion : A total of 106 subjects can be analyzed. SSI events in the intervention group at day 3 was 3.8% (n = 52) and control group was 1.84% (n = 54) with p>0.05 RR 2.077 (95% CI 0.194 to 22.219). SSI on day 10 of 7.7% (n = 52) in the intervention group versus 9.3% (n = 54) in controls with p<0.05 RR 0.831 (CI 95%, 0.236 to 2.924). Fever events on day 3 by 5.8% in the intervention group versus 3.7% incontrols with p>0.05 RR 1.558 (95% CI 0.271 to 8.948) and on day 10 was 3.8% versus 3.7 % with p>0.05 RR 1.038 (95% CI 0.152 to 7.102). Dysuria not found on day 3 and but on 10 found 5.8% in the intervention group versus 11.1% with p>0.05 RR 0.519 (IK95% 0.137 to 1.968). Length of stay after cesarean section for 3.21 ± 0.412 days in the intervention group and 3.26 ± 0.442 days in the control group with p>0.05 (95% CI -0.213 - 0.117).Conclusion: There is no significant difference in the incidence of surgical wound infections, the incidence of fever, dysuria, length of stay between short-term prophylaxis antibiotics ampicillin appropriate to clinical pathway and long-term or multiple doses prophylaxis antibiotics. Short term antibiotics prophylaxis are more efficiently with the same effectiveness in preventing outcomes research.Keywords: prophylaxis antibiotics, ampicillin, short term regimen, long term regimen, cesarean section, surgical site infection. 
Pengaruh Pendidikan Kesehatan dengan Media Audiovisual Manajemen Laktasi terhadap Tingkat Pengetahuan dan Self Efficacy Ibu Menyusui Citrawati, Ni Ketut; Hapsari, Elsi Dwi; Widyandana, Widyandana
JURNAL KESEHATAN REPRODUKSI Vol 3, No 2 (2016)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.35945

Abstract

Background: Infant mortality rate in Indonesia in 2012 is 32 per 1,000 live births. It is less pleasant ifcompared to the target Ministry of Health of Republic of Indonesia tries to achieve, which is 24 by 2014. The low rate of breastfeedingto one of the dominant factor that cause the mortality it is influenced by several factors, in which one of them is the mother’sknowledge about breast milk and breastfeeding. Health education on lactation management may help increase mothers’ ability to gain information as well as their confidence to breastfeeding their baby.Objective: This research is conducted with the purpose to know the effect of health education with audiovisual on lactation management to the level of knowledge and self-efficacy among breastfeeding mothers.Method: This research is categorized as quasi experimental one, whose design applies pre-test and post-test non-equivalent control group. It is conducted toward 32 breastfeeding mothers who receive health education as the treatment group, and to 32 breastfeeding mothers who are asked to read modules about breastfeeding as the control group. The sampling technique applies purposive sampling and simple random sampling. Data are processed by computer programs using Mann-Whitney test, Wilcoxon test, and linear regression model.Result and Discussion : The score for the value of knowledge before treatment among both groups were relatively similar (p>0.05). After treatment, both groups  have improvement, (p<0.05). The score of self-efficacy before treatment among both groups did not have significantly different (p>0.05). compared to control group, the intervention group has significantly higher score of knowledge (p>0.05)Conclusion: Health education by audiovisual media and modules are more effective to improve the knowledge and self-efficacy among breastfeeding mothers compared to by only modules.Keywords: Health education, Audiovisual, Modules, Knowledge, Breastfeeding, Self-Efficacy
Does Misoprostol for Induction of Labor Increase the Risk of Uterine Rupture? Anggreany, Kiswa; Luthfi, Mohammmad; Siswosudarmo, Risanto
JURNAL KESEHATAN REPRODUKSI Vol 3, No 2 (2016)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (283.016 KB) | DOI: 10.22146/jkr.35445

Abstract

Background: Misoprostol is a synthetic prostaglandin E1 analogue which is now commonly used for induction of labor. Hyperstimulation is a complication of misoprostol that may lead to uterine rupture.Objective: To find the association between misoprostol exposure for induction of labor with uterine rupture.Methods: Case were all women who delivered in Sardjito and affiliate Hospitals from January 2007 to November 2012 with the diagnosis of uterine rupture. Controls were taken randomly from the same hospital. Chi square test and logistic regression model were used for statistical analysis.Result and Discussion: There were 53 cases of uterine rupture and 199 controls. The incidence of uterine rupture was 53 over 64,244 deliveries or 0,08%. Risk of of uterine rupture associated with misoprostol exposure was 1, 09 (CI 95% 0,52-2,2), while that of oxytocin exposure was 0,80 (CI 95% 0,35-1,85). Logistic regression analysis showed that the highest risk factor associated with uterine rupture was fetal weight > 3500 (OR 3,46; 95% CI 1,48-8,56) followed by parity (OR 2,56;95% CI 1,019-6,465) and vacuum extraction(OR 2,45;95% CI 0,94-6,39).Conclusion: There was no association between misoprostol exposure with uterine rupture. Fetal weight> 3500 gram, Parity more than 3, and vacuum extraction increased the risk of uterine rupture associated with misoprostol use.Keywords: Misoprostol, induction of labor, uterine rupture, fetal weight, parity.

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