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KESEHATAN REPRODUKSI MAHASISWA : KEBUTUHAN INFORMASI DAN PELAYANAN Studi Kualitatif di Jakarta Barat Wratsangka, Raditya
JURNAL KESEHATAN REPRODUKSI Vol 2, No 2 (2015)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

KESEHATAN REPRODUKSI MAHASISWA : KEBUTUHANINFORMASI DAN PELAYANANStudi Kualitatif di Jakarta BaratRaditya Wratsangka1ABSTRACTBackground: Young people comprise students are a considerably large segment of the world populationwith important future roles, who face reproductive health-associated risks, such as sexually transmitteddiseases, HIV/AIDS, sexual violence, unwanted pregnancy, and unsafe abortion. They are less informed,less experienced, and less comfortable in accessing reproductive health services and even face resistancefrom adults when attempting to do so.Objective: To assess the reproductive health information, types, access and models of services requiredby students.Method: This was a qualitative study involving students from three universities in West Jakarta. Datacollection was by focus group discussion and indepth interviews. Data were validated by triangulation ofinformation sources and method. Data analysis was performed by content analysis method to extract theroot of the problem.Result and Discussion: Fourteen unmarried students were involved as informants/respondents. Severalhad inadequate knowledge of reproductive health and difficulties in accessing appropriate informationsources, so that they engaged in risky behavior for various reasons. The informants expressed their needfor reliable information, accessible and friendly professional counselling and clinical reproductive healthservices, and also that guarantee their privacy.Conclusion: Information, counselling and clinical services should be instituted that meet the requirementsof students for improving their reproductive health.Key words: reproductive health, information, counselling, servicesABSTRAKLatar Belakang: Kaum muda -termasuk mahasiswa- dengan populasi yang besar dan peran yang penting dimasa depan, menghadapi berbagai risiko yang berkaitan dengan kesehatan reproduksinya, seperti: infeksimenular seksual, HIV/AIDS, kekerasan seksual, kehamilan yang tidak diinginkan dan aborsi yang tidakaman. Selama ini kaum muda kurang mendapatkan informasi, kurang berpengalaman, dan kurang nyamanmengakses pelayanan kesehatan reproduksi, bahkan mendapat tentangan dari kelompok dewasa, ketikamereka mencoba untuk memperoleh informasi dan pelayanan kesehatan reproduksi yang dibutuhkan.Tujuan: Mendapatkan gambaran tentang informasi, jenis, akses dan model pelayanan kesehatan reproduksiyang dibutuhkan oleh mahasiswa.Metode: Penelitian ini merupakan studi kualitatif dengan melibatkan mahasiswa dari 3 Universitas diJakarta Barat. Pengumpulan data dilakukan dengan teknik diskusi kelompok terarah dan wawancara mendalam. Validasi data dilakukan dengan teknik triangulasi sumber informasi dan metode. Analisis datadilakukan dengan content analysis method untuk menggali akar permasalahan.Hasil dan Pembahasan: Sebanyak 14 mahasiswa dilibatkan sebagai informan/responden yang semuanyabelum menikah. Sebagian informan kurang pengetahuannya di bidang kesehatan reproduksi, mengalamikesulitan mengakses informasi dan sumber yang tepat, sehingga terlibat dalam perilaku berisiko. Parainforman umumnya menyatakan kebutuhannya terhadap pelayanan konseling dan klinis kesehatanreproduksi yang profesional, mudah diakses, ramah dan tetap bisa menjaga privacy mereka.Kesimpulan: Dibutuhkan pelayanan informasi, konseling dan klinis yang sesuai kebutuhan mahasiswauntuk meningkatkan kesehatan reproduksinya.Kata kunci: kesehatan reproduksi, informasi, konseling, pelayanan1 Bagian Obstetri dan Ginekologi - Fakultas Kedokteran Universitas Trisakti /Pusat Konseling, Informasi dan Edukasi Kesehatan Reproduksi Universitas Trisakti

Kadar Hormon LH Basal sebagai Prediktor Kebrhasilan Stimulasi Ovarium pada Program Bayi Tabung Ariantini, Dyah; Lutfi, Mohammad; Hadiati, Diah Rumekti
JURNAL KESEHATAN REPRODUKSI Vol 5, No 1 (2018)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Background: Ovarian stimulation is part of assisted reproductive technology (ART) process, which aims to spur the growth of follicles to be developed, so that it will increase the chance of getting pregnant. LH surge cause the final follicular maturation, ovulation and becoming corpus luteum. So that an increase in LH may adversely affect the development of the follicle and eventually affect in-vitro fertilization.Objective To determine the effect of basal LH hormone to follicles on the stimulation of ovarian.Method: Cohort Retrospective. Research Location: Permata Hati Clinic of Sardjito Hospital, YogyakartaResult dan Discussion: The study included 70 cycles of 70 women who underwent ovarian stimulation for in-vitro fertilization and fulfill inclusion and exclusion criterias. The subjects were divided into 2 groups based on basal LH hormone levels i.e. LH â‰¤ 3 mIU/ml as the test group and LH >3 mIU/ml as the control group. From analysis, response to ovarian stimulation in group with LH â‰¤3 mIU/ml was significantly different than LH >3 mIU/ml (RR 1,875; 95% CI 1,275â€“2,757; p=0,00*).Conclusion: Low level of basal LH (â‰¤ 3 mIU/ml) generating fewer number of mature follicles in patients who performed ovarian stimulation in in-vitro fertilization program.Keyword: basal LH, ovarian stimulation, in-vitro fertilization.

Pengaruh Asfiksia terhadap Ukuran Kepala Anak Usia 6 Bulan - 2 Tahun di Rumah Sakit Umum Provinsi Nusa Tenggara Barat Albayani, Melati Inayati; Ismail, Djauhar; Sitaresmi, Mei Neni
JURNAL KESEHATAN REPRODUKSI Vol 5, No 1 (2018)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Background: In developing countries is estimated at about 120 million babies born asphyxiated at birth. Among these who can survive 20% to 30% had mental disorder, cerebral palsy or developmental abnormality due to the small size of head circumference (microcephaly).Objective: To determine the effect of asphyxia on the head circumference size of children age 6 months - 2 years.Method: A matched case-control study design was conducted from May â€“ June 2014. The population of the study was all children age 6 months - 2 years who visited the Growth development clinic of General Hospital of West Nusa Tenggara Province. The cases were children who have microcephaly and the controls were children with normocephaly. From sample size which was calculated by hypothesis testing two populations proportions are obtained a sample of 72 respondents with 36 cases and 36 controls. Bivariate analysis used chi-square (Ï‡2) McNemar and multivariable analysis with logistic regression (conditional logistic regression) with a significance level of p <0.05 and 95% confidence intervals.Result and Discussion: Microcephaly was present in 83 % of the children with asphyxia, compared with 36 % of the controls. The children with asphyxia tent to have microcephaly compared to children without asphyxia (OR = 5,00; 95% CI: 1,36-18,32). Results of multivariable analysis showed that there was a statistically significant effect between asphyxia with head circumference size by controlling the low birth weight variable (OR = 5,00; 95% CI: 1,36-18,32).Conclusion: History of asphyxia increases the risk of microcephaly compared with non-asphyxia in children aged 6 months - 2 years.Keywords: asphyxia, head circumference, children aged 6 months-2 years

Profil Primigravida Muda dan Luaran Persalinan di Rumah Sakit Dr.Oen Surakarta Raharja, Supanji; Emilia, Ova; Rochjati, Poedji
JURNAL KESEHATAN REPRODUKSI Vol 5, No 1 (2018)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Background: Pregnancy at a young age has become an important health problem both in developed and developing countries. Pregnancy at a young age increases the risk of maternal and perinatal morbidity and mortality. This is because adolescent women who are not ready both physically and psychologically to get pregnant.Obsjective: This study aims to identify and analyze labor in young primigravida (<20 years) with pathological labor in hospital Dr.Oen Surakarta.Method: This was an observational analytic study without intervention in the form of comparative cross sectional study conducted in young primigravida group age <20 years and primigravida group age 20 to 34 years old, who underwent labor in hospital delivery room. Dr.Oen Surakarta. This study used secondary data from the medical record of pregnant women who gave birth at RS.Dr.Oen Surakarta from January 1, 2011 to December 31, 201. A comparison between young primigravids (<20 years) in which pathologic pathways were performed with primigravida of reproductive age (20-34 years) experienced pathological labor were conducted.Result and Discussion: The number of deliveries in young primigravida (<20 years) was 61 people (6.65%) whereas in primigravida (21-35 years) there were 856 people (93.34%). Younger primigravids have lower levels of education than the primigravida age of reproductive age (p 0.00, CI 3.557 - 11.227). The younger primigravida has a tendency to give birth outside its residence area compared to primigravida of reproductive age (p 0.00; CI 0.050,178). Unmarried status in the young primigravida is greater than that of primigravida of reproductive age (p 0.00, CI 0.011 - 0,229) .An Antenatal Care on Primigravida reproductive age is more regular than young primigravida (p 0.03; CI 0.255 - 0.97) . Young primigravida tended to have anemia (p = 0.00, OR 8.4 CI 3.22 - 21.93) The risk of prematurity was higher in young primigravids than in the reproductive age primigravida (p 0.01, OR 2.9 CI 1, 16 - 7.25). Younger primigravids have a higher risk for pathologic delivery compared to primigravida of reproductive age (p 0.05 OR 0.56 CI 0.315 - 1.01).Conclusions: There are differences in terms, level of education, marital status, residence, regularity of ANC between young primigravida and prmigravida of reproductive age. The study found that young primigravids have a higher risk of occurrence of anemia, prematurity and pathologic delivery compared with healthy reproductive age primigravids.Keywords: young primigravida, primigravida healthy reproductive age, risk factors

The Accuracy of Risanto's Formula and Ultrasound Measurement in Estimating Fetal Weight Pietersz, Elsina Krisnawati; Rachman, Irwan Taufiqur; Siswosudarmo, Risanto
JURNAL KESEHATAN REPRODUKSI Vol 5, No 1 (2018)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Background: Accurate estimated fetal weight (EFW) is crucial in determining delivery management. Several methods to estimate fetal weight were used such as abdominal palpation, measurement of symphisis fundal height (SFH), and ultrasound examination. Risantoâ€™s formula based on Indonesian population had been already proven to be more accurate than Johnsonâ€™s formula. The formula was as follows: Y = 125 X - 880 where Y was EFW in grams, X was SFH in cm, and 125 was the constanta.Objective: To compare the accuracy of Risantoâ€™s formula and ultrasound examination in estimating fetal weight.Method: A cross sectional study was carried out in Sardjito hospital, Faculty of Medicine Universitas Gadjah Mada, from March 2013 to March 2014. A total of 400 pregnant women meeting the inclusion criteria at 37 â€“ 42 weeks of gestation were recruited. The estimated fetal weight using Risantoâ€™s formula (R_EFW) was compared to the estimated fetal weight using ultrasound measurement (U_EFW). The U_EFW was done by obstetricians on duty or senior residents using Hadlockâ€™s formula. Actual birth weight (ABW) was measured using the same calibrated baby scale. Accuracy was determined by comparing the mean difference between the R_EFW minus ABW (Î”R_EFW) and the U_EFW minus ABW (Î”U_EFW). Paired t-test was used for statistical analysis.Result and Discussion: The mean ABW was 3025.3 Â± 414.6 gram and the mean R_EFW was 2972.7 Â± 365.4 grams, while the mean U_EFW was 3058.7 Â± 423.2 grams. The mean Î”R_EFW was lower than the mean Î”U_EFW (178.2 Â± 147.6 grams vs 197.5 Â± 155.4 grams; 95% CI 1.24 â€“ 36.68; p = 0.04).Conclusion: Risantoâ€™s formula was more accurate than ultrasound measurement in estimating fetal weight.Keywords: Estimated fetal weight, Risantoâ€™s formula, Ultrasonography, Fundal height

The Roles of Parents and Peer Friends on Adolescent Premarital Sex Behavior in High School Students of Buol District Patui, Nurhaya S; Dasuki, Djaswadi; Wahyuni, Budi
JURNAL KESEHATAN REPRODUKSI Vol 5, No 1 (2018)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

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 parentsâ€™ 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

Hubungan Kadar CA-125 Praoperatif terhadap Prognosis Survival Penderita Kanker Ovarium Epitelial di RSUP Dr.Sardjito Pradjatmo, Herlina; Siswishanto, Rukmono; Prawitasari, Shinta
JURNAL KESEHATAN REPRODUKSI Vol 5, No 1 (2018)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Background: CA-125 level increases in 50% of patients with stage I, 90% of patients with stage II, 92% of patients with stage III and 94% of patients with stage IV ovarian cancer. CA-125 level were not a diagnostic tool to detect ovarian cancer, however it was useful to monitor the progressive of disease and as a prognostic marker.Objectives: The aim of this study is to prove whether CA-125 level before surgery in ovarian cancer patients at Dr. Sardjito Hospital as well as a factor that correlates to the survival prognosis of those patients.Method: This research used cohort retrospective study at Dr. Sardjito Hospital Yogyakarta.Result and Discussion: As much as 71 ovarian cancer patients which had been included in this research with inclusion and exclusion criteria. Subjects were divided into two groups. One group was for patients with low CA-125 level (â‰¤35 U/ml) as much as 18 subjects and another group was for patients with high CA-125 level (>35 U/ml) as much as 53 subjects. The result of a bivariate analysis with an independent survival analysis (Coxâ€™s Regression) was the stage of disease (p=0.005, HR 4.827, CI 95% 1.623 â€“ 14.355) and residual tumour (p=0.029, HR 2.605, CI 95% 1.101 â€“ 6.161) were a survival prognosis factor. Multivariate analysis with a survival analysis (Coxâ€™s Regression) shows CA-125 level (p=0.031, HR 4.131, CI 95% 1.143 â€“ 14.933) and menarche (p=0.003, HR 4.989, CI 95% 1.736 â€“ 14.342) were significantly related with survival prognosis in EOC (Epithelial Ovarian Cancer) patients at Dr. Sardjito Hospital.Conclusion: CA-125 level affects the survival rate of epithelial ovarian cancer patients in Dr. Sardjito Hospital. Besides the level of CA-125, there are other factors that affect the survival rate of epithelial ovarian cancer patients which is the stage of cancer, residual operation and age of menarche.Keywords: CA-125 level, EOC, prognosis, survival.

Hubungan Response Time Seksio Sesarea Emergensi Kategori 1 dengan Luaran Perinatal di RSUP Dr.Sardjito Gunawan, Tri; Attamimi, Ahsanudin; Pradjatmo, Heru
JURNAL KESEHATAN REPRODUKSI Vol 5, No 1 (2018)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Background: Caesarean section is often applied as a preventif efoort against the continued effects of perinatal asphyxia. The cesarean section (SC) in pregnant woman can be performed in a planned manner with various indications or performed by emergency (emergency) on maternal or fetal indications and or both.Objective: To study the association of response time in category I emergency caesarean section with perinatal outcomes in Dr. Sardjito hospital and the average response time of category 1 emergency cesarean section in Dr. Sardjito hospital.Method: This study uses retrospective cohort. Category 1 CS with an indication of fetal accordance with the inclusion criteria was recorded from 1st January 2012 until 31th July 2016, then we find the response time mean as the cut off point of this study to compare with their perinatal outcomes.Result and Discussion: There were 155 cases out of 386 of emergency CS category 1 met the inclusion criteria during the period 1st January 2012 to 31th July 2016. From the data obtained, the average response time of category 1 emergency CS was 115Â±52 minutes (35 - 360 minutes). We found no significant differences in perinatal outcomes in the groupâ€™s response time â‰¥115 minutes with a value of p>0.05 on the Apgar score, CPAP, infant mortality, ventilator, NICU care, MAS and HIE than those category 1 emergency CS with a response time <115 minutes. From multivariate analysis, general anaesthesia was statistically significant against perinatal outcomes Apgar score <7 at 5 minutes with (p=0.044). Prematurity in the multivariate analysis was statistically significant against perinatal outcomes Apgar score â‰¤3 at 1 minute with (p=0.040), Apgar score <7 at 5 minutes with (p=0.025) and the use of CPAP with (p=0.009).Conclusions: Response time category 1 emergency cesarean section in this study did not affect perinatal outcomes. General anesthesia effect on perinatal outcomes Apgar score <7 at 5 minutes, whereas the prematurity effect on perinatal outcomes Apgar score â‰¤3 at 1 minute, Apgar score <7 at 5 minutes and the use of CPAP.Keywords: category 1 emergency caesarean section, response time, fetal distress

Prestasi Belajar pada Remaja yang Mengalami Dismenorea Primer Fajarini, Yuniar Ika; Nurdiati, Detty Siti; Padmawati, Retna Siwi
JURNAL KESEHATAN REPRODUKSI Vol 5, No 1 (2018)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Background: Primary dysmenorrhea occurs in approximately 50% of teenage girls and cause serious disruptions in the quality of life and daily activities. Primary dysmenorrhea makes teenagers difficult to concentrate in school which will decrease their academic achievement.Objective: to investigate whether there is a correlation between Primary dysmenorrhea and academic achievement of students of SMP Islam Terpadu Pondok Pesantren Tahfidzul Qurâ€™an (SMP IT PPTQ) Ibnu Abbas Klaten.Method: This study is a case-control study through a quantitative approach and was supported with qualitative data. The research sample is 68 teenage girls of SMP IT PPTQ Ibnu Abbas Klaten who fulfilled the inclusion criteria. The cases groups are female students with low learning achievement, while the control group was female students with high learning achievement. The samples were taken using simple random sampling. Researcher used a structured questionnaire, interview and secondary data to collect the data. The data analysis was using descriptive and inferential analysis including bivariate analysis using chi-square test and multivariate analysis using logistic regression with 95% confidence intervals (CI) and a significance level of p <0.05.Result and Discussion: The bivariate and multivariate analysis showed a significant correlation between primary dysmenorrhea and learning achievement. The possibility of finding girls with primary dysmenorrhea in the group of students who received a low learning achievement is 3 times larger than the group of students who received high learning achievement. Below-average intelligence is greater in the group of low-achieving students than the group of high-achieving students. There is a correlation between the variables of intelligence, stress level and frequency of dysmenorrhea and academic achievement. The variable of absences frequency not related to learning achievement.Conclusion: There is correlation between primary dysmenorrhea and learning achievement (p=0.026). This study indicates that women and their school should pay attention to their menstrual function and dysmenorrhea phenomenon.Keywords: learning achievement, primary dysmenorrhea, teenage, menstrual disorder

Pengaruh Konseling Antenatal terhadap Penerimaan AKDR pascasalin sebuah uji klinis non randomisasi Faris, Abdul; Soetrisno, Soetrisno; Siswosudarmo, Risanto; Malinta, Umar
JURNAL KESEHATAN REPRODUKSI Vol 5, No 2 (2018)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Background: During postpartum period women have a high motivation to start using contraception and postpartum IUD is an ideal method to offer. The rate of IUD use is still low, 14.06% of all postpartum contraceptive use. This might be attributed to lack of information and counseling from health providers.Objective: To compare the number of postpartum IUD used among groups of clients who were counseled during ANC and re-counseled during latent phase (exposed group), and group counseled during latent phase only (control group).Method: This study was a prospective quasi-experimental or randomised clinical trial. The first group was those counseled during ANCÂ and latent phase, and the second was those counseled at latent phase only. Chi square and relative risk were used for statistical test two proportions.Result and Discussion: A total of 342 subjects who met Â inclusion and exclusion criteria were recruited. They consisted of the 210 subjects (61,4%) for the first group and 132 subjects (38,6%) for the second.The rate of IUD used in the first group was 82 of 210 (39%) and 30 of 132 (22.7%) in the second, RR 1,72Â (95% CI 1.20 â€“ 2.46), p 0,002. The rate of IUD used was also significantly influenced by a history of IUD acceptor RR 2,90 with 95% CI 2.23 â€“ 3.77), a history of contraceptive used (RR 1,79 with95% CI 1,18 â€“ 2,71) and a history of contraceptive counselling (RR 1,50 with 95% CI 1,03 â€“ 2,19).Conclusion: Clients who were counseled twice (during ANC and repeated at latent phase) had higher rate of postpartum IUD used significantly than those who were counseled at latent phase only. Other factors that significantly affected the rate of postpartum IUD used were history of IUD acceptor, history of contraceptive used.Keywords: Postpartum IUD; counseling; rate of postpartum IUD use; antenatal care

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