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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

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 andÂ 34 full-time hospitalist group).Â Univariate analysis indicatedÂ 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 theÂ NICU admission and APGAR score at 5 minutes. Conclusion : Implementation of full-time hospitalist model is Â not affecting neonatal outcomes.Keywords : Â Infant and Maternal Mortality, Obtericians / Gynecologist Hospitalist, Labor and Delivery, Maternal and Neonatal Care, ICU Response Time.Â

Analisis Angka Seksio Caesarea di RSUP Dr. Sardjito Yogyakarta Tahun 2009-2013 Dameria, Netty Katrina; Dasuki, Djaswadi; Siswishanto, Rukmono
JURNAL KESEHATAN REPRODUKSI Vol 3, No 1 (2016)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Background: Caesarean section is a procedure to reduce maternal and perinatal mortality and morbidity. The caesarean section rate is continuously uprising in the last 3 decades. However, the increasing rate, especially in low risk women, may compromise maternal and perinatal outcome. In 1985, WHO recommended that optimal national caesarean rates should be in the range of 5% to 10% and the rate above 15% might be less benefits. Previous study conducted in DR Sardjito hospital reported caesarean section rate in 1996 was 13.38%, while in 2001 was 18.39%. In national level, based on Indonesia Basic Health Survey 2010, caesarean section rate was 10.8%. Therefore, in this study we analyzed the rate of Caesarean section performed in DR Sardjito hospital, and studied whether the operations occurred in high-risk group or low-risk group.Objective: To compare the rate of caesarean section between high-risk group and low-risk group in DR Sardjito hospitalMethod: Retrospective cohortResult and Discussion: Participants of this study were 7821 patients undergoing labor at RSUP DR Sardjito in 2009-2013. Among them, 3152 patients underwent caesarean section and 4669 patients underwent vaginal delivery. There was an increasing in the overall caesarean section rate of 38,7% in 2009 to 43% in 2013. T-test found the presence of significant differences between the caesarean section rate of high-risk group and low-risk group in 2009-2013 (p<0.05) with a mean difference was 28.5 (20.2-36.8). Caesarean section rate of high-risk group was significantly higher than the low-risk group (p<0.05).Conclusion: There was a difference in caesarean section rate of high-risk group compared to low-risk group. Caesarean section rate in high-risk group was significantly higher than in the low-risk group.Keywords: caesarean section rate, caesarean section, low-risk group, high- risk group

EVALUASI KEPATUHAN PETUGAS DALAM TATALAKSANA PNEUMONIA DI KABUPATEN TOLITOLI Rahman, Abd; Hakimi, Mohammad; Triasih, Rina
JURNAL KESEHATAN REPRODUKSI Vol 2, No 3 (2015)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

EVALUASI KEPATUHAN PETUGAS DALAM TATALAKSANA PNEUMONIA DI KABUPATEN TOLITOLIAbd Rahman1, Mohammad Hakimi2, Rina Triasih3ABSTRACTBackground: The infant mortality rate in Central Sulawesi Province is 52 per 1000 live births, which isthe fifth highest in Indonesia. The high rate of morbidity and mortality of acute respiratory infection andpneumonia in children under five in Tolitoli District in past year related to the implented efforts triandsARI eradication program. This is indeed related to how officers comply with pneumonia managementcorrectly.Objective: To evaluate officersâ€™ compliance in implementing pneumonia manager Tolitoli Distric.Method: This was an observational study with cross-sectional study design, using quantitative approach,Data were collected through observation and interview using standardized questionnaire by tramednurses. Officer who handled pneumonia program in Tolitoli District and those in Publich Health Centreswere recruited as subjects.Result and Discussion: One hundred and nineteen subjects were recruited to this study. The percentaseof officers who complied with pneumonia management was 69%. The result of multivariate analysis thatwas training increased officersâ€™ compliance in pneumonia management which was adjusted to education,knowledge and length of work had a significant relationship (PR: 1.79; 95% CI: 1,38 â€“ 2,33) and theincreased value R2 of 6.3%, it mean.Conclusion: Trained officers were more compliant than untrained officers with the prevalence risk of1.79 times. Education, knowledge, and length of working service were related to officersâ€™ compliance inpneumonia management.Keywords: training, officersâ€™ compliance in pneumonia managementABSTRAKLatar belakang: Angka kematian bayi di Propinsi Sulawesi Tengah sebesar 52 per 1000 kelahiran hidupdan menempati urutan kelima tertinggi di Indonesia. Tingginya angka kesakitan dan angka kematian balitaakibat pneumonia di Kabupaten Tolitoli dalam beberapa tahun terakhir tidak terlepas dari seberapa jauhupaya program pemberantasan penyakit ISPA telah dilaksanakan. Hal ini sangat terkait dengan bagaimanakepatuhan petugas dalam melakukan tata laksana pneumonia secara tepat.Tujuan: Diketahuinya kepatuhan petugas dalam melakukan tatalaksana pneumonia di Kabupaten Tolitoli.Metode: Penelitian ini merupakan jenis penelitian observasional dengan rancangan cross sectional denganmenggunakan pendekatan kuantitatif. Data dikumpulkan melalui observasi dan wawancara dengan subyekpenelitian dengan menggunakan lembar observasi dan kuesioner.Hasil dan Pembahasan: Sebanyak 119 subyek diikutkan dalam penelitian ini. Rata-rata petugas yang patuhterhadap tata laksana pneumonia sebesar 69%. Hasil analisis multivariat menunjukkan bahwa variabelpelatihan dan kepatuhan petugas dalam tatalaksana pneumonia dengan mengikutsertakan variabel pendidikan, pengetahuan dan masa kerja untuk dianalisis secara bersama mempunyai hubungan yangsignifikan ((RP;1,79, IK 95%; 1,38 â€“ 2,33) dan peningkatan nilai R2 sebesar 6,3%Kesimpulan: Petugas yang telah dilatih lebih patuh dibanding petugas yang belum dilatih dengan risikoprevalensi 1,53 kali. Faktor pendidikan, pengetahuan dan masa kerja berhubungan secara bermaknadengan kepatuhan petugas dalam tataksana pneumonia.Kata kunci: pelatihan, Kepatuhan petugas tatalaksana pneumonia1 Tolitoli Faculty of Medicine and Health Science2 Maternal and Child Health-Reproductive Health Graduate Program, FK-UGM3 Pediatric Department, Dr. Sardjito General Hospital, Yogyakarta

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

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 goodÂ 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 (interpersonalÂ 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 relationshipÂ 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

PENGARUH KONSELING LAKTASI PADA IBU HAMIL TRIMESTER III TERHADAP PEMBERIAN PRELAKTAL BAYI BARU LAHIR Apriliani, Happy Dwi; Siswosudarmo, Risanto; Setiyarini, Wahyu Ikka
JURNAL KESEHATAN REPRODUKSI Vol 2, No 2 (2015)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

PENGARUH KONSELING LAKTASI PADA IBU HAMILTRIMESTER III TERHADAP PEMBERIAN PRELAKTAL BAYIBARU LAHIRHappy Dwi Aprilina1, Risanto Siswosudarmo2, Wahyu Ikka Setiyarini3ABSTRACTBackground: Exclusive breastfeedingâ€™s rate in Indonesia is still low. One of the causes of this failure is theprelacteal feeding in infantsâ€™ early life. Prelacteal feeding can cause the infants reluctance to suckle theirmothersâ€™ breasts, diarrhea, allergy, ear infections and respiratory disorders in infants. One of the efforts toprevent prelacteal feeding is providing lactation counselingto women in the third trimester of pregnancy.Objective: To assess the impact of lactation counseling to women in the third trimester of pregnancytoward prelacteal feeding to newborn infants.Method: This research design usedrandomized controlled trial (RCT) which is divided into treatment group(pregnant women class and individual lactation counseling) n=33 and control group (pregnant women classonly) n=34. The subjects are woman in the third trimester of pregnancy in the work area of PuskesmasSokaraja 1, Banyumas. The sampling technique is simple random sampling. Chi square, relative risk (RR)and logistic regression analysis is used for statistical analysis.Result and Discussion: Proportion mothers who did not give prelacteal feeding wassignificantly higher inintervention group than in control group, 69% vs 30% with RR = 1.69 (95% CI: 1.06 to 2.68) p = 0.01.Conclusion: Mothers who received counseling lactation in the third trimester of pregnancy had a 1.69times greater chance to not give prelacteal than mothers who did not receive counseling lactation.Keywords: Exclusive Breastfeeding, Lactation Counseling, Prelacteal, Health Education, BreastfeedABSTRAKLatar Belakang: Cakupan pemberian ASI Eksklusif di Indonesia masih dalam rendah. Salah satu penyebabkegagalan ASI Eksklusif adalah pemberian prelaktal pada awal kehidupan bayi. Pemberian prelaktal dapatmenyebabkan bayi malas menyusu, diare, alergi, infeksi dan gangguan pernapasan pada bayi. Salah satuupaya dalam mencegah pemberian prelaktal yaitu dengan memberikan konseling laktasi pada ibu hamiltrimester ketiga.Tujuan: mengetahui pengaruh konseling laktasi pada ibu hamil trimester ketiga terhadap pemberianprelaktal bayi baru lahir.Metode: Desain penelitian menggunakan randomized controlled trial (RCT),dibagi menjadi kelompokperlakuan (kelas ibu hamildan konseling laktasi) n=33 dan kelompok kontrol (kelas ibu hamil saja) n=34.Subjek penelitian yaitu ibu hamil trimester ketiga di wilayah kerja Puskesmas Sokaraja 1 Banyumas. Teknikpengambilan sampel menggunakan simple random sampling. Chisquare, risiko relatif (RR) dan analisisregresi logistik digunakan untuk analisis statistik.Hasil dan Pembahasan: Proporsi ibu tidak memberikan prelaktal pada kelompok intervensi lebih tinggidibandingkan dengan kelompok kontrol; 69% vs 30% dengan RR=1,69 (95% CI: 1,06-2,68), sehingga terdapat perbedaan yang bermakna secara statistik pada kelompok perlakuan dibandingkan dengankelompok kontrolKesimpulan: Proporsi ibu yang mendapatkan konseling laktasi pada kehamilan trimester ketiga 1,69 kaliberpeluang lebih besar tidak memberikan prelaktal daripada ibu yang tidak mendapatkan konseling laktasi.Kata kunci: ASI Eksklusif, Konseling laktasi, Prelaktal, Pendidikan Kesehatan, Menyusui1 E-mail: happydwiaprilina@yahoo.com; Program Studi Magister Keperawatan Universitas Gadjah Mada2 Bagian Obstetri dan Ginekologi Fakultas Kedokteran Universitas Gadjah Mada3 Rumah Sakit Umum Daerah Banyumas

Perbandingan Kualitas Hidup Penderita Kanker Ovarium Epitelial yang Diberikan Kemoterapi Regimen Paclitaxel dan Carboplatin dengan Regimen Cyclophospamide, Adriamicyn dan Cisplatin di RSUP Dr. Sardjito Ahyar, Ibnu; Taufiqurrachman, Irwan; Kusumanto, Ardhanu
JURNAL KESEHATAN REPRODUKSI Vol 4, No 1 (2017)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Background: Epithelial ovarian cancer is the dominant type of ovarian cancer. Platinum and Taxane regiment has been proved to increase the survival rate of ovarian cancer patientsObjective: To compare the quality of life of ovarian cancer patients who got Paclitaxel and Carboplatin regiments with Cyclophosphamide, Adriamycin and Cisplatin regiments and risk factors which influence themMethod: The design of the study was retrospective cohort. The total subjects were 156 ovarian cancer patients who consisted of 79 patients with paclitaxel and carboplatin regiments and dan 77 patients who got cyclophospamide, adriamicyn dan cisplatin regiments in DR. Sardjito hospital, Yogyakarta. The quality of life was measured with EORTC QLQ-C30. The data distribution were tested with KolmogorovSmirnov and analysed with D Chi-Squaretest for categorical data and Mann-Whitney for continuous data. Multivariable Analysis was done with logistic regression.Result and Discussion: The bivariable analysis of ovarian cancer stage and the quality of life showed that early stage of ovarian cancer patients had quality of life 19,068 times higher than advance stage of ovarian cancer patients (RR 19,068; 95% CI 2,590-140,362). There were signicant differences in quality of life in ovarian cancer patients with low body mass index <18,5 compared to normal body mass index as well as the titer of tumor marker Ca125. Multivariable analysis showed that there was no significant difference in quality of life between ovarian cancer patients who got Paclitaxel plus Carboplatin and ovarian cancer patients who got Cyclophospamide, Adriamicyn plus Cisplatin.Conclusion: there was no significant difference in quality of life between ovarian cancer patients who got Paclitaxel plus Carboplatin and ovarian cancer patients who got Cyclophospamide, Adriamicyn plus Cisplatin in DR. Sardjito Hospital, Yogyakarta.Keywords: Quality of life, ovarian cancer, paclitaxel plus carboplatin regiment, cyclophospamide, adriamicyn plus cisplatin regiment.

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

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 samplesâ€™ 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 5,47Â±1,19 vs 2,93Â±1,53, P=0,00 and 5,40Â±0,96 vs 2,93Â±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 Saat Penanganan Kegawatdaruratan Maternal di Luar atau Saat Jam Kerja dengan Waktu Tanggap di RSUD LA Temmamala Kabupaten Soppeng, Sulawesi Selatan Fadillah, Fadillah; Hakimi, Mohammad; Siswosudarmo, Risanto; Malinta, Umar
JURNAL KESEHATAN REPRODUKSI Vol 4, No 3 (2017)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Background: The national maternal mortality rate is still high at 228 per 100.000 live births. Three late allegedly related to high maternal mortality rate, are 1)too late for decision making, 2) too late for access service and 3) too late for get treatment at referral health facility. Response time for maternal emergency treatment in the hospital plays an important role, since it affects the final result.Objective: To determine the relationship between the time of obstetric emergency management and response time.Method: This study used cross sectional design with the population of study was obstetric emergency patients. One hundred and forty-five subjects were divided into two group: group treated outside of working hours as exposed groups and groups treated during working hours as control groups. Delay of response time were observed. Data was processed by statistical program using computer. Chi square test and logistic regression analysis were used to perform statistical tests.Result and Discussion: From September 1st 2015 to April 30th 2016, there were 145 cases with obstetric emergency handled. A total 82 cases among 145 (56,6%) received emergency management outside working hours. It was found that the 1st response time was delayed in handling outside work hours compared to handling during working hours (RR 2,22; 95% CI 164-3,00). The same was obtained at 2nd response time (RR 1,39; 95% CI 1,04-1,86) and 3rd response time (RR 1,65; 95% CI 1,14-2,31). Multivariate analysis was found that time of the emergency handling was the most dominant variable that affect all response time [1st response time (OR 12,61; 95% CI 4,82-32,03), 2nd response time (OR 2,17; 95% CI 1,05-4,47), 3rd response time (OR 7,70; 95% CI 1,91-31,10)]. PONEK with midwife on duty also influence 1st response time (OR 3,28; 95% CI 1,21-8,93).Conclusion: Obstetric emergency management outside of work hours increased the occurence of response time delay.Keywords: Time of management, Obstetric emergency, 1st, 2nd and 3rd response time.

PEMANFAATAN POJOK LAKTASI DI PUSKESMAS I CILONGOK KABUPATEN BANYUMAS Khotimah, Khusnul; Emilia, Ova; Hakimi, Mohammad
JURNAL KESEHATAN REPRODUKSI Vol 1, No 1 (2014)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

PEMANFAATAN POJOK LAKTASI DI PUSKESMAS I CILONGOKKABUPATEN BANYUMASKhusnul Khotimah, Ova Emilia,Mohammad HakimiABSTRACTBackground : Based on survey Indonesian demographic and health in 2007 that exclusive breastfeeding 38 %decrease from 39,5% in 2002-2003, child under 6 months who gets milk incease from 16,7% until 27,9% in2007. American Academy of Pediatrics (1)get recomendation baby must get exclusive breastfeeding in 6 monthuntil 2 years old. Banyumas regency are have a program to increase scope of exclusive breastfeeding by regulationof regent number 52 in 2012 about increase exclusive breastfeeding in Banyumas Regency. One of the material insocialization is about lactation room and standardization, right of women worker to breastfed in office, publicfacility.Objective : to determine factors can effected utilization of lactation room in Puskesmas I Cilongok.Methods : this study was an observational study with a cross sectional design and qualitative study or called mixmethod. Location of study in Puskesmas I Cilongok. Sample of this study is employed mother who breastfeedand visitors of Puskesmas I Cilongok in Banyumas Regency. Sampling method used sampling convinience get 41women until this study done. independent variable are attitude of breastfeed mother about lactation room andbehavior of breastfeed mother. Dependent variable is utilization of lactation room. Data analysis consisted ofunivariable analysis, bivariable analysis using chi-square test and multivariable analysis using logistic regressiontest and also qualitative analysis.Results and Discussion : there is no effect attitude of breastfeed mother about lactation room with utilization oflactation room, can we see from p = 0,247 (RP1,58; 95% CI 0,70-3,55), the similar result from dialogue thatmother have good attittude but not utilized, they say not get socialization from health worker. The good Behaviorbreastfeed mother have relation with utilization, can we see p = 0,028, RP2,35 (95% CI 1,05-5,23). Results fromdialogue mother who get bad behavior not utilized. Utilization in lactation room only just breastfeeding, neverused to pamp and saving breastmilk. People not respond that room lactation is a necessary, because withoutpolicy about room lactation, they are can breastfed in any where.Conclusion : Good attitude of breastfeed mother about lactation room can not get effect utilization of lactationroomand good behavior breastfeedmother can get effect with utilization lactation room in Puskesmas I Cilongok.Keyword: attitude breastfeed mother, behavior breastfeed mother and utilization lactation roomÂ ABSTRAKLatar Belakang:Berdasarkan data Survey Demografi dan Kesehatan Indonesia (SDKI) tahun 2007 tercatat bahwacakupan ASI eksklusif sebesar 38% menurun dari 39,5%di tahun 2002-2003, sementara jumlah bayi dibawah 6bulan yang diberi susu formula meningkat dari 16,7% menjadi 27,9% ditahun 2007. American Academy ofPediatrics (1)merekomendasikan bahwa durasi minimal ASI eksklusif menjadi 6 bulan tetapi optimal harus terusselamaminimal 2 tahun.Kabupaten Banyumas sedangmemiliki program gunameningkatkan cakupan ASI eksklusifyang dituangkan lewat Peraturan Bupati Banyumas nomor 52 tahun 2012 tentang peningkatan pemberian ASI diKabupaten Banyumas. Salah satu materi sosialisasi tersebut berisi tentang anjuran pengadaan pojok laktasibeserta standarisasinya, hak ibu bekerja yang menyusui di kantor pemerintahan, sarana pra sarana umum juga.Tujuan:Untuk mengetahui faktor-faktor yang mempengaruhi pemanfaatan pojok laktasi di Puskesmas I Cilongok.Metode:Penelitian ini menggunakan jenis observasional dengan desaincross sectionaldan kualitatif. Tempatpenelitian Puskesmas I Cilongok. Sampel penelitian ibu bekerja menyusui dan pengunjung puskesmas memilikibayi umur 0 bulan sampai dengan 2 tahun berada di Puskesmas I Cilongok. Pengambilan sampel menggunakansampling conviniencediperoleh 41 orang selama penelitian dilakukan.Variabelindependen adalah sikap ibumenyusui terhadap pojok laktasi, perilaku ibu menyusui. Variabel dependen ialah pemanfaatan pojok laktasi.Analisa data meliputi analisis univariabel, bivariabeldengan menggunakan chi square sedangkan multivariabelmenggunakan uji regresi logistik serta analisis kualitatif.Hasil dan Pembahasan:Sikap ibu menyusui terhadap ketersediaan pojok laktasi tidakmempengaruhi pemanfaatanpojok laktasi dilihat dari nilai p = 0,247 (RP1,58; 95% CI 0,70-3,55), hasil ini didukung hasil wawancara bahwasikap baik tetapi tidak memanfaatkan pojok laktasi dengan alasan sosialisasi yang kurang dari petugas kesehatan.Perilaku ibu menyusui yang baik berhubungan dengan pemanfaatan pojok laktasi dilihat dari nilai p = 0,028,RP2,35 (95% CI 1,05-5,23). Hasil wawancara ibu yang berperilaku tidak baik cenderung tidak memanfaatkanpojok laktasi. Pemanfaatan pojok laktasi hanya untuk menyusui saja, tidak digunakan untuk memeras danpenyimpanan ASI. Rendahnya pemanfaatan pojok laktasi dikarenakan faktor kebutuhan. Masyarakat desa tidakmenganggap bahwa pojok laktasi merupakan kebutuhan, karena tanpa adanya kebijakan pengadaan pojok laktasimereka dapat menyusui dimanapun.Kesimpulan:sikap ibu menyusui terhadap ketersediaan pojok laktasi yang baik tidak mempengaruhi pemanfaatanpojok laktasi dan perilaku ibu menyusui yang baik dapat mempengaruhi pemanfaatan pojok laktasi di PuskesmasI Cilongok Kabupaten Banyumas.Kata kunci: sikap ibu, perilaku ibu, pemanfaatan pojok laktasi

Evaluasi Clinical Pathway Seksio Sesarea: Keefektifan Penggunaan Antibiotika Injeksi Cefotaxime 2 Gram dalam 24 Jam untuk Mencegah Terjadinya Infeksi Luka Operasi Fauziah, Rathi Manjari; Siswishanto, Rukmono; Widad, Shofwal
JURNAL KESEHATAN REPRODUKSI Vol 3, No 3 (2016)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Background: The usage of prophylactic antibiotics in Dr. Sardjito Hospital, Yogyakarta, is still diverse. Previously, prophylactic antibiotics that were given would be in a form of multidose and or multidrug regimen. Recently, a clinical pathway for c-section had been set up to uniform the antibiotics given. Cefotaime 2g, given intravenously, in 24 hours is the antibiotic of choice. Unfortunately, there was no data about the effetiveness of cefotaime that can be used as a basis of clinical pathway.Â Objective: Comparing the incidence of surgical site infection (SSI) between cefotaime 2g,/24 hours (clinical pathway or CP) with previous regimen of prophylactic antibiotics (non-clinical pathway or nonCP) and also identify the risk factors.Method: This is a retrospective cohort study with 129 subjects, divided into two groups. The CP group consists of 63 subjects, while non-CP group consists of 66 subjects. The surgical site infection was observed in the day 3 and day 10 aer C-section. Multivariat analysis was used to determine the risk factors of SSI.Result and Discussion: SSI incidence in the CP group at day 3 was higher compared to non-CP group, but it was not statistically significant (OR 4,73 95% CI 0,52 43,04), eukocytosis (>17000/mcl) was the independent risk factor for SSI (OR 7,54 95% CI 1,25 45,39).Conclusion: SSI incidence between two groups was not statistically significant but was clinically significant. The presence of leukocytosis is becoming the risk factor for SSI.Keywords: prophylactic antibiotic, c-section, cesarean section, surgical site infectio

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