Theresia, Endah Marianingsih
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EKLAMSIA SEBAGAI FAKTOR PROGNOSIS UNTUK MORTALITAS MATERNAL PADA PRE EKLAMSIA BERAT Lestari, Idhah; Theresia, Endah Marianingsih; Margono, Margono
Jurnal Kesehatan Ibu dan Anak Vol 5 No 1 (2014): Juli
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (390.7 KB) | DOI: 10.29238/kia.v5i1.167

Abstract

Maternal mortality in eclampsia in global is about 50,000 per year. This case relates to an increase in maternal mortality in developed countries that is around 0% -1.8% and a high increase reaching 15% occur in developing countries. In the period 2008-2012, the maternal mortality due to preeclampsia in RSUD KRT Setjonegoro Wonosobo increased into 47.92%. Along with an increase in maternal mortality due to preeclampsia, eclampsia is also increased from 13.64% to 18.57%. Objective: to know the risk of eclampsia to maternal mortality in severe preeclampsia in RSUD KRT. Setjonegoro Wonosobo. Research Methods: Survey Research Methods with Case Control design. Subjects are pregnant women with severe preeclampsia in RSUD KRT. Setjonegoro, the data is taken by purposive sampling technique. There are 35 sample cases and 175 control samples. Characteristics comparison test for the research subjects uses independent t-test and chi square. Hypothesis test uses chi square, logistic regression and Mantel-Haenszel test. Results: The incidence of maternal mortality in severe preeclampsia women who had eclampsia is 54.3%. Eclampsia related significantly increases the risk of maternal mortality about 92.37 times the p-value of 0.000 (95% CI 20.58 to 414.63). Other prognostic factors that affect the increase in maternal mortality in severe preeclampsia is heart failure p-value of 0.000 (OR 77.5 95% CI 11.09 to 541.27), renal failure p-value 0.002 (OR 74.34 95% CI 4.58 to 1206.22), pulmonary edema p-value of 0.000 (OR 29.54 95% CI 4.75 to 183.63) and HELLP syndrome p-value of 0.030 (OR 8.35 95% CI 1.23 - 58.96). Conclusion: Eclampsia increases the risk of maternal mortality in severe preeclampsia.
GAMBARAN STATUS EKONOMI DAN TINGKAT PENDIDIKAN ORANG TUA TERHADAP STATUS GIZI BALITA Wijayanti, Anita; Theresia, Endah Marianingsih; Rahmawati, Anita
Jurnal Kesehatan Ibu dan Anak Vol 8 No 2 (2015): November
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (5161.177 KB) | DOI: 10.29238/kia.v8i2.216

Abstract

Yogyakarta city has a highest malnutrition coverage than another district regency in Daerah Istimewa Yogyakarta. Prevalence of infant malnutrition in four districts in Yogyakarta province have appropriate expectations, that is <1%, meanwhile in Yogyakarta city still 1.35%. Themost malnutritions problemhas discovered in sub-districtGondokusuman accupation zoneGondokusuman's public health center. Malnutrition appear result by many environmental factors, which are caused by economic status and education level.The education level parents also determined a nutritional status of children because education most affects a person to know and receive information about nutrition. That's known there are 30.8% poor household concerning inhabitant quantity in Gondokusuman's district. In public health center Gondokusuman 1, Demangan village has the highest percentage of poor families. The highest incidence of malnutrition also exist in the Demangan village. This research aims to describe the economic status and education level parents on nutritional status of children. Amethod used in this research are descriptivemethod with cross sectionaldesign. Data analysis are using descriptive analysis techniques with statistical tests used proportions. Results showed that the economic status of parents who have toddlers entirely enough good nutritional status. Meanwhile a parents with lack economic status is having a toddler with a diverse nutritional status are many kind nutritional status, decrease, and more. Parents who have a great education will have a good nutritional status of children. Parents are the primary and secondary education has nourished toddlers also varies.
GAMBARAN TINGKAT RISIKO KEHAMILAN DENGAN SKRINING KSPR PADA IBU HAMIL Anggraeni, Lusiana; Theresia, Endah Marianingsih; Wahyuningsih, Heni Puji
Jurnal Kesehatan Ibu dan Anak Vol 8 No 2 (2015): November
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (6584.979 KB) | DOI: 10.29238/kia.v8i2.221

Abstract

Maternal mortality due to inadequate handling delivery complications, deaths can be prevented and be avoided. Early detection isimportant for predicting pregnancy complications that may occur, so it can be caught early risk factors evolve furthergestation.Maternal deaths at Sewon II PHC in 2013 increased and was ranked the fifth most pregnant women with complications inBantuI This study aims to describe the level of risk of pregnancy by screening KSPRin Sewon II onApril 2015. This type of research isdescriptive. Data in the form of primary data that is collected by direct questionnaire, and the results are expressed as a percentage(%). Subjects were 60 pregnant women at PHCof Sewon II onApril 2015. Fromthis study themajority ofmothers classified HRP andthere is potential for an obstetric emergency. Pregnant women at high risk in mothers with low education /no school, no work, poorpregnancy spacing is <2 years, while pregnant women in the age ?35 years, gave birth to more than four times, once a caesareansection, and mothers with diabetes are very risky high. From pregnancy screening results indicate that the majority of high-riskmothers need areferral systemand proper planning of deliveries for pregnantwomen at Sewon II.
PENGARUH PENYULUHAN TERHADAP PENINGKATAN PENGETAHUAN DAN KEPUTUSAN MENGGUNAKAN KONTRASEPSI PADA UNMET NEED KELUARGA BERENCANA DI UMBULARJO KOTA YOGYAKARTA Rahmawati, Rahmawati; Theresia, Endah Marianingsih; Arum, Dyah Noviawati Setya
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).
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 FAKTOR IBU DAN FAKTOR JANIN DENGAN KEJADIAN ASFIKSIA NEONATORUM DI RUMAH SAKIT UMUM DAERAH WATES Ulfatuni'mah, Ulfatuni'mah; Theresia, Endah Marianingsih; Rahmawati, Anita
Jurnal Kesehatan Ibu dan Anak Vol 2 No 2 (2012): November
Publisher : Poltekkes Kemenkes Yogyakarta

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Abstract

The main cause of perinatal mortality aged 0-6 days were respiratory (37%). Asphyxia neonatorum caused by several factors, including maternal and fetal factors during pregnancy and childbirth. Objective: To determine the association between maternal factors (Preterm Rupture of membranes, long first stage, long second stage. chronic hypertension, hypertension in pregnancy and pre-eclampsia, birth pathological, hemorrhagic ante partum, and maternal infection) and fetal factors (pregnancy preterm, pregnancy post term, Gemelli, low birth weight, and congenital anomalies) and the incidence of asphyxia neonatorum. the research carried out by the cross-sectional design. Research location in Hospital Wates Kulon Progo District Yogyakarta. The study population was all women birthing in hospitals Wates Kulon Progo in January to December of 2011 amounted to 2246 mothers. Samples were taken by simple random sampling technique with 350 samples and the number of samples that have complete medical records as many as 336 samples. Data retrieved secondary data from medical records of patients. Analysis of the data using bivariate R.2.9.0 program with significance level 0,05. Results: maternal factors that have a significant association with the incidence of neonatal asphyxia are premature rupture of membranes the (p-value 0.00), long first stage (p-value 0.00). long second stage (p-value 0.00), and labor pathological (p-value 0.00). Fetal factors that have a significant association with the incidence of neonatal asphyxia are premature pregnancy (p-value 0.00) and low birth weight (p-value 0.01). While chronic hypertension, hypertension in pregnancy and pre-eclampsia, Hemorrhagic ante partum, infectious diseases, pregnancy post term, gemelli and congenital abnormalities have no significant association with the incidence of neonatal asphyxia. Conclusions: There is a significant association between maternal factors (premature rupture of membranes, long first stage, long second stage. and labor pathological) and fetal factors (premature pregnancy and low birth weight) with the incidence of neonatal asphyxia
KECENDERUNGAN MELAKUKAN UNSAFE ABORTION PADA PEREMPUAN DENGAN KEHAMILAN TIDAK DIINGINKAN DI YOGYAKARTA Aini, Farida Nur; Theresia, Endah Marianingsih; Purnamaningrum, Yuliasti Eka
Jurnal Kesehatan Ibu dan Anak Vol 3 No 1 (2013): Juli
Publisher : Poltekkes Kemenkes Yogyakarta

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Abstract

Annually in Indonesia millions of women had an unplanned pregnancy and often looking for help to an abortion through nonmedical personnel who use the ways that endanger to abort the pregnancy. To describe the tendencies of unsafe abortion on women with unwanted pregnancies. This research uses qualitative phenomenological methods with respect to unsafe abortion phenomenon that occurred in Yogyakarta. This research was conducted in Yogyakarta city. Informants surveyed is female between 15-34 years with pregnancy undesirable who performs unsafe abortion to end her pregnancy and companion of the women (husband or fiends). The sampling technique used was snowballing sampling using the gatekeepers. Methods of data collection using in-depth the interview, observation unstructured, and methods of the documentary. Data analysis using life history analysis. Informant A, D, and I perform unsafe abortion because of unwanted pregnancy. Methods used variously, ranging from young pineapple juice mixed drink beer with stomach massage and takes the pill purchased from advertising late menstruation that is much found in the streets. Informants tend to do unsafe abortion because lt is the fastest ways in terminate a pregnancy by relatively cheap and affordable cost. Women with unwanted pregnancies tend to do unsafe abortion because it proved effective enough to terminate the pregnancy and cheap and easy to reach.
PENGARUH DURASI WAKTU METODE KANGURU TERHADAP PERUBAHAN BERAT BADAN PADA BAYI BERAT LAHIR RENDAH Ariyani, Dwi; Sujiyatini, Sujiyatini; Theresia, Endah Marianingsih
Jurnal Kesehatan Ibu dan Anak Vol 4 No 2 (2013): November
Publisher : Poltekkes Kemenkes Yogyakarta

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Abstract

According to the Demographic and Health Survey Indonesia (SDKl 2010) infant Mortality Rate (lMR) to 34 per 1,OOO Indonesian live birth rate. Amount is higher than the Millennium Development Goals (MDG's) 2015. One goal which is to reduce the infant mortality rate 25 cases per 1000 live births. One of the main causes of infant mortality are low birth weight infants 29%. Low birth weight (LBW) babies are born weighing less than 2500 g regardless of gestational age. Kangaroo method care (KMC) is an effective way to meet most of fundamental. Knowing of LBW influence kangaroo method care to changes in body weight in LBW. Quasi-experiment study with a pretest-posttest design with control group. Subject in this study were LBW is in the room Perinatology Wates and Sleman District Hospital in July-August 2013 that met the inclusion criteria. Sampling with purposive sampling. The analysis using independent t-test with confidence interval 95%. The average weight loss in the treatment group ? 4 hours kangaroo method is 34.39 grams and is <4 hours is 16.83 grams with an avenge difference of 17.566 grams. Results of statistical test p-value of 0.000 (<0.005). There is the influence duration of kangaroo method to changes in body weight on Low birth weight.
TINGKAT PENGETAHUAN TENTANG KANKER SERVIKS DAN SIKAP TERHADAP DETEKSI DINI IVA PADA WANITA USIA SUBUR Theresia, Endah Marianingsih; Widyasih, Hesty; Pertiwi, Latifa
Jurnal Kesehatan Ibu dan Anak Vol 9 No 1 (2016): Juli
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/kia.v9i1.546

Abstract

Early detection efforts of Cervical cancer using Visual Inspection with Acetic Acid methods that took place inWonosari II Public Health Center can not filling target with a downward trend in 2012 and 2013. Predisposition ofearly detection behavior of cervical cancer is influenced by attitude. Attitude formation process is influenced bystimulus or stimuli of one of knowledge that will be processed to produce an attitude (closed) and behavior(open). This study aim is to determine the level of knowledge about the relationship with attitudes of cervicalcancer Visual Inspection with Acetic Acid early detection on productive age woman. Type of research wasanalytic survey with cross sectional approach. Research sites was in Gatak Gunung Kidul with productive agewoman subjects aged 15-49 years whom were married with a sample 65 respondents were obtained byproportional random sampling method. Data were analyzed using chi square test. The results shows that thelevel of knowledge about cervical cancer 50.8% categorized as good, attitudes toward Visual Inspection withAcetic Acid early detection 52.3% are supportive. It can be seen from 33 productive age woman with goodknowledge have attitude that support 22 productive age woman (66.7%) and good knowledge have an attitudethat does not support as many as 11 productive age woman (33.3%). From the analysis results obtained chisquare test p-value = 0.01728 (p-value <0.05). There is a level of knowledge about the relationship withattitudes towards cervical cancer Visual Inspection with Acetic Acid early detection on productive age woman inGatak Gunung Kidul 2014.
TINGKAT PENGETAHUAN TENTANG ALAT KONTRASEPSI IUD PADA AKSEPTOR KB NON IUD DI PUSKESMAS PAKEM TAHUN 2015 Purborini, Wahyu; Theresia, Endah Marianingsih; Setiyawati, Nanik
Jurnal Kesehatan Ibu dan Anak Vol 10 No 2 (2016): November
Publisher : Poltekkes Kemenkes Yogyakarta

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Abstract

The usage of the IUD contraceptive in Yogyakarta has not reached the targets. Yogyakarta health profile mentions the use of the IUD in Sleman. Pakem Subdistrict is the lowest long-term usage of contraceptive IUD by the number of couples of reproductiveage (EFA) of 5600 and the number of IUD acceptors use is 1.3%. This study aims to determine the level of knowledge aboutIUD contraceptive of non IUD KB acceptors. The type of research is non-descriptive research. This research was conductedin March untilApril 2015 andislocatedin thePakemhealth centerwith research subjects allmothers who use the non KB IUDacceptors in Pakem health centerwith the characteristics of age, education level, occupation, and parity. The instrumentused is a questionnaire that has been done to test the validity beforehand. Data analysis using univariate analysis bygenerating a frequency distribution of each variable. The result of the research is that the level of knowledge aboutcontraceptive IUD from 32 research subjects is a majority (81.25%), others less knowledgeable (12.5%), and theknowledgeable good fraction (6.25%). The level of knowledge about the IUD at the age less than 35 years the majoritysufficiently , the level of knowledge about the IUD at the secondary level sufficient majority , the level of knowledge aboutlUDs inwomen who do notwork sufficient majority , and the level of knowledge about theIUD in primiparous mother sufficientmajority.