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Pengembangan Modul Deteksi Risiko Perdarahan Pada Kehamilan Efektif Meningkatkan Pengetahuan Ibu Hamil Vinny Alvionita; Esther Sanda Manapa; Mardiana Ahmad; Werna Nontji; Deviana Soraya Riu; Andi Nilawaty Usman
Oksitosin : Jurnal Ilmiah Kebidanan Vol. 7 No. 2 (2020): OKSITOSIN : Jurnal Ilmiah Kebidanan
Publisher : Prodi D III Kebidanan Fakultas Ilmu Kesehatan Universitas Ibrahimy

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35316/oksitosin.v7i2.659

The purpose of this research was to produce a risk detection module for bleeding in pregnancy to increase the knowledge of pregnant women. The research method used steps in developing the Borg and Gall model. The research design used quasi experiment with pre-post test design. The sampling technique was purposive sampling with a sample of 30 pregnant women. The study participants were two media experts, two material experts and 10 pregnant women. The study was conducted in the Tajuncu Community Health Center in Soppeng Regency in October 2019-February 2020. The effectiveness of the module was measured at intervals of one week before and after the module was given. Data were analyzed and statistically tested by the Wilcoxon test.The results showed that the validation of the bleeding risk detection module in pregnancy was considered very good and obtained an average value of pre-test knowledge by 60% increased to 85% after being given a bleeding risk detection module in pregnancy with the Wilcoxon test result p-value 0,000 <0.05 . This proves that the module developed is effective in increasing the knowledge of pregnant women to detect bleeding in pregnancy. Keywords: Bleeding Risk Detection Module, pregnancy, development, Borg and Gall. ABSTRAK Tujuan peneltian ini adalah menghasilkan modul deteksi risiko perdarahan pada kehamilan untuk meningkatkan pengetahuan ibu hamil. Metode penelitian menggunakan langkah-langkah pengembangan model Borg and Gall. Desain penelitian menggunakan quasi eksperiment dengan rancangan pre post test design. Teknik pengambilan sampel adalah purposive sampling dengan jumlah sampel 30 ibu hamil. Partisipan penelitian adalah dua ahli media, dua ahli materi dan 10 ibu hamil. Penelitian dilakukan di Wilayah Puskesmas Tajuncu Kabupaten Soppeng pada Oktober 2019 - Februari 2020. Efektifitas modul diukur selang waktu 1 minggu sebelum dan setelah modul diberikan. Data dianalisis dan diuji statistik dengan uji Wilcoxon.Hasil penelitian menunjukkan bahwa validasi modul deteksi risiko perdarahan pada kehamilan dinilai sangat baik dan didapatkan nilai rata-rata pengetahuan pre test sebesar 60% meningkat menjadi 85% setelah diberikan modul deteksi risiko perdarahan pada kehamilan dengan hasil uji Wilcoxon p - value 0,000 < 0,05. Hal tersebut membuktikan bahwa modul yang dikembangkan efektif meningkatkan pengetahuan ibu hamil untuk mendeteksi perdarahan pada kehamilan. Kata kunci: Modul Deteksi Risiko Perdarahan, kehamilan, pengembangan, Borg and Gall.

The Effect of Pravastatin Provision on Endotelin-1 Levels in Preeclapmsia’s High Risk Patients Rizky A Ramadhani1, Deviana SorayaRiu1, Irnawati Bahar1, Isharyah Sunarno1, Retno B. Farid1, Eddy Ha
Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 4 (2020): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v14i4.12837

Objective: To determine the effect of pravastatin administration on endothelin-1 levels in patients at highrisk of preeclampsia.Method: There are 70 subjects in this research that consist of 34 subjects with the risk of high preeclampsiawho get aspirin and 36 subjects of research to get Aspirin and Pravastatin. Subjects are given therapy startedthe gestational age of 12-19 weeks in 6 days until 36 weeks of pregnancy. Endhotelin-1 levels prior toadministration of therapy compared with the levels of endothelin-1 after the administration of treatment.Results: The test results show the administration of aspirin or aspirin and Pravastatin is shown to provide thechanges were significant at levels of endothelin-1 after the administration of treatment. It is characterized bythe decrease in the levels of endothelin-1 which were significantly (p <0.005). But by assessing percentagedecrease in the provision of aspirin with pravastatin give change levels of endothelin-1 is large (45.74%)compared with administration of aspirin alone (28.8%).Conclusion: From this study it can be concluded that endothelin-1 levels before administration of aspirinand pravastatin were 86.18 ng/L and after administration of 46.76 ng/L. Giving aspirin and pravastatin 20mg in patients with high risk factors of preeclampsia provide reduced levels of endothelin-1 is greater thanthe prevention of preeclampsia that is used when it is only aspirin.

Caesarean Delivery Rates According to Pregnancy Characteristics and Robson Classification in Hypertension Related Pregnancy Angeline Francis Rumintjap; Deviana Soraya Riu; Maisuri T. Chalid
Indonesian Journal of Obstetrics & Gynecology Science Volume 5 Nomor 1 Maret 2022
Publisher : Dep/SMF Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/obgynia/v5n1.364

Objective: The study aimed to investigate the pregnancy characteristics of patients with hypertension related pregnancy and the rate of caesarean section in hypertension related pregnancy categorized into Robson Classification system at the Mother and Children Hospital.Methods: This cross-sectional study design was conducted from December 1st 2018 to November 30th 2019 in one of the private Mother and Children Hospital in Makassar. Total of 156 women with hypertension related pregnancy delivered. Demographics, clinical manifestation, pregnancy outcomes were collected and analyzed using the Chi-square test.Result: Caesarean delivery was 87.8% in our study and birth weight is significantly related to method of delivery (p=0,018). The risk of developing asphyxia of newborn was found 5.8% with higher values for HELLP syndrome (OR=9.667), severe preeclampsia (OR=7.077) and birth weight (OR=4.154). According to Robson classification, size of group 8 (5.8%), group 10 (9%) and number of caesarean delivery in group 5 (90%) were higher (should be 1.5-2%; <5%; and 50-60% in general population, respectively). All the caesarean group rate were above the general population.Conclusion: Clinical considerations about method of delivery need to be tailored to each individual in order to avoid maternal morbidity in later date. The Robson Classification could be one of the guiding tool to assess specific subgroups of women.Kejadian Seksio Sesaria Menurut Karakteristik Kehamilan dan Klasifikasi Robson Pada Hipertensi Dalam KehamilanAbstrakTujuan: Penelitian ini bertujuan untuk mengetahui karakteristik kehamilan pada pasien dan rasio seksio sesaria dengan hipertensi dalam kehamilan yang dikategorikan dalam sistem Klasifikasi Robson di Rumah Sakit Ibu dan Anak.Metode: Desain potong lintang dilakukan pada 1 Desember 2018 hingga 30 November 2019 pada salah satu Rumah Sakit Ibu dan Anak swasta di Makassar. Total 156 perempuan dengan hipertensi dalam kehamilan mengalami persalinan. Demografi, manifestasi klinis dan luaran kehamilan dikumpulkan dan dianalisis. Rasio seksio sesaria secara umum pada tiap grup Robson dihitung, demikian pula dengan kontribusi tiap grup terhadap rasio seksio sesaria secara umum.Hasil: Seksio sesaria ditemukan pada 87% pasien dan berat badan lahir secara signifikan terkait dengan metode persalinan (p=0,018). Asfiksia bayi baru lahir ditemukan 5,8% pada penelitian dengan risiko yang meningkat pada sindrom HELLP (OR=9,667), preeklampsia berat (OR=7,077) dan berat badan lahir (OR=4,154). Menurut klasifikasi Robson, ukuran grup 8 (5.8%), grup 10 (9%) dan rasio seksio sesaria di grup 5 (90%) lebih tinggi dibandingkan populasi umum. Seluruh rasio seksio sesaria lebih tinggi dibandingkan populasi umum.Kesimpulan: Pertimbangan klinis mengenai metode persalinan perlu dikhususkan pada masing-masing individual untuk menghindari morbiditas maternal di kemudian hari. Klasifikasi Robson dapat menjadi alat kontrol untuk melakukan evaluasi pada tiap grup.Kata kunci: Hipertensi; Kehamilan; Seksio sesaria; Klasifikasi Robson.

Tiga Kasus Holoprosensefal Alobar dengan Variasi Gambaran Klinis:Diagnosis Ultrasonografi Deviana Soraya Riu; Efendi Lukas
Indonesian Journal of Obstetrics & Gynecology Science Volume 5 Nomor 1 Maret 2022
Publisher : Dep/SMF Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/obgynia/v5n1.382

Holoprosensefal (HPE) adalah spektrum malformasi dengan berbagai hasil luaran. Laporan ini menjelaskan 3 kasus holoprosensefal alobar yang dikonfirmasi saat antenatal dengan pemeriksaan ultrasonografi (USG). Selain gambaran holoprosensefal alobar yang serupa pada ketiga kasus, ditemukan gambaran lain yaitu probosis, siklops, kelainan jantung, dan arteri umbilikalis tunggal. Gambaran klinis yang berbeda adalah preeklamsia, polidaktili, dan mikropenis pada kasus pertama, pada kasus kedua adalah mielomeningokel; dan hidransefal untuk kasus ketiga. Analisis kromosom dilakukan hanya pada kasus kedua dengan hasil berupa translokasi kromosom 3 ke 9 (46 XX, der (9) t(3:9)(p21:q33). Pencitraan menggunakan USG adalah modalitas yang bermanfaat untuk mendeteksi holoprosensefal alobar. Bila skrining dilakukan pada masa usia kehamilan yang tepat maka dapat ditemukan kelainan kongenital mayor letal secara dini, sehingga terminasi kehamilan lebih mudah dengan komplikasi yang lebih minimal.Three Cases Of Holoprosencephalic Alobar With A Variety Of Clinical Features: Ultrasound DiagnosticAbstractHoloprosencephaly (HPE) is a spectrum of malformations with various outcomes and the most common congenital brain disorder. This report describes 3 cases of alobar holoprosencephaly that were confirmed antenatally by ultrasound examination. Apart from the similar appearance of alobar holoprosencephaly in all three cases, other similar characteristics were proboscis, cyclopia, heart defects, and a single umbilical artery. The different clinical features were maternal preeclampsia, polydactyly, and micropenis in the first case. The different clinical feature in the second case was myelomeningocele; and hydranencephaly for the third case. Chromosome analysis was performed only in the second case with results in the form of translocation of chromosomes 3 to 9 (46 XX, der (9) t(3: 9)(p21: q33).If the chromosome analysis is limited, ultrasound imaging is beneficial for detecting alobar holoprosencephaly.Key words: alobar holoprosencephaly, myelomeningocele, hydranencephaly, preeclampsia

Pengembangan Modul Deteksi Risiko Hipertensi Dalam Kehamilan Jumriana Ibriani; Esther Sanda Manapa; Mardiana Ahmad; Werna Nontji; Deviana Soraya Riu; Andi Nilawati Usman
Oksitosin : Jurnal Ilmiah Kebidanan Vol. 7 No. 2 (2020): OKSITOSIN : Jurnal Ilmiah Kebidanan
Publisher : Prodi D III Kebidanan Fakultas Ilmu Kesehatan Universitas Ibrahimy

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35316/oksitosin.v7i2.658

The purpose of the module development research in pregnancy was to produce a learning media for hypertension risk detection modules, determine the level of module validity, test the module's suitability and module effectiveness in increasing the knowledge of pregnant women. This research was a research and development, with a scientific approach adapted from the Define, Design, Development and Dissemination (4-D) model. This research was a quasi experimental research with one group pretest and posttest design. The number of samples is 30 pregnant women. Modules are validated based on material and media experts, then tested on limited groups and large samples. The assessment results obtained from the material expert validator 3.77, media expert 3.33, it can be concluded that the hypertension risk detection module in pregnancy was very good and valid. 3.61 test results mean that this module was eligible to use. The results at the 60% pretest meant that knowledge of pregnant women was sufficient and posttest was 86.67% which meant that maternal knowledge increased after being given the learning media for the detection of hypertension risk in pregnancy. Keywords: development, modules, detection of hypertension risk, 4-D. ABSTRAK Tujuan penelitian pengembangan modul pada kehamilan yaitu menghasilkan media pembelajaran modul deteksi risiko hipertensi, menegetahui tingkat kevalidan modul, menguji kelayakan modul dan efektifitas modul dalam meningkatkan pengetahuan ibu hamil. Penelitian ini merupakan penelitian pengembangan (research & development), dengan pendekatan saintifik yang diadaptasi dari model Define, Design, Development dan Dissemination (4-D). Penelitian ini adalah penelitian quasi eksperimental dengan desain one group pretest dan posttes. Jumlah sampel 30 ibu hamil. Modul divalidasi berdasarkan ahli materi dan media, kemudian diujicobakan kepada kelompok terbatas dan sampel besar. Hasil penilaian yang didapatkan dari validator ahli materi 3,77, ahli media 3,33 dapat disimpulkan bahwa modul deteksi risiko hipertensi dalam kehamilan sangat baik dan valid. Hasil uji 3,61 berarti modul ini layak untuk di gunakan. Hasil pada pretest 60 % yang berarti penegtahuan ibu hamil cukup dan posttes didaptkan 86,67% yang berarti pengetahuain ibu meningkat setelah diberikan media pembelajaran modul deteksi risiko hipertensi dalam kehamilan. Kata kunci: penegembangan, modul, deteksi risko hipertensi, 4-D.

Pengembangan Modul Deteksi Risiko Stunting Terhadap Pengetahuan Ibu Hamil Musdalifah; Esther Sanda Manapa; Mardiana Ahmad; Werna Nontji; Deviana Soraya Riu; Healthy Hidayanti
Oksitosin : Jurnal Ilmiah Kebidanan Vol. 7 No. 2 (2020): OKSITOSIN : Jurnal Ilmiah Kebidanan
Publisher : Prodi D III Kebidanan Fakultas Ilmu Kesehatan Universitas Ibrahimy

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35316/oksitosin.v7i2.660

Stunting is a nutritional problem that affects only in terms of health but affects intelligence One strategy to overcome stunting is nutrition in pregnant women to increase knowledge in the First 1000 Days of Life by providing education for pregnant women. The purpose of this research was to develop educational media products in the form of modules to support the risk of stunting intended for pregnant women. Research development at the Borg & Gell development research stage. The initial stage begins with a FGD and a preliminary study, then a module feasibility test and a small sample user trial are carried out, followed by a study using a Quasi Experiment (pre-test post-test design). 30 pregnant women domiciled in the working area of the Cangadi Community Health Center were sampled with a purposive sampling technique. The results showed that respondents gained 82.5% increased knowledge. This agreed that the module developed could increase the knowledge of pregnant women. Keywords: Stunting, Development Module, Stunting Risk Detection, knowledge of pregnant women. ABSTRAK Stunting merupakan masalah gizi kronis yang berdampak tidak hanya pada segi kesehatan tapi mempengaruhi kecerdasan Salah satu strategi untuk mengatasi stunting yakni intervensi gizi pada ibu hamil untuk meningkatkan pengetahuan pada 1000 Hari Pertama Kehidupan dengan pemberian edukasi kepada ibu hamil. Penelitian ini bertujuan menghasilkan produk media edukasi berbentuk modul untuk mendeteksi risiko stunting yang diperuntukkan bagi ibu hamil. Penelitain pengembangan mengacu pada tahapan penelitian pengembangan Borg & Gell. Tahap awal diawali dengan FGD dan studi pendahuluan, selanjutnya dilakukan uji kelayakan modul dan uji coba pengguna sampel kecil, lalu dilanjutkan dengan penelitian yang menggunakan Quasi Eksperimen (Pre–test post–test design). 30 orang ibu hamil yang berdomisili di wilayah kerja Puskesmas Cangadi dijadikan sampel dengan teknik purposive sampling. Hasil penelitian menunjukkan bahwa mayoritas responden yakni 82.5% mengalami peningkatan pengetahuan hal ini menyatakan bahwa modul yang dikembangkan dapat meningkatkan pengetahuan ibu hamil. Kata kunci: Stunting, Pengembangan Modul, Deteksi Risiko stunting, pengetahuan ibu hamil.

Pengaruh Modul Deteksi Risiko Anemia pada Kehamilan terhadap Pengetahuan Ibu Hamil Arnianti; Esther Sanda Manapa; Mardiana Ahmad; Deviana Soraya Riu; Werna Nontji; Healthy Hidayanti
Oksitosin : Jurnal Ilmiah Kebidanan Vol. 7 No. 2 (2020): OKSITOSIN : Jurnal Ilmiah Kebidanan
Publisher : Prodi D III Kebidanan Fakultas Ilmu Kesehatan Universitas Ibrahimy

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35316/oksitosin.v7i2.675

Anemia is one of the most common public health problems globally. The purpose of this study was to determine the effect of anemia risk detection modules in pregnancy on the knowledge of pregnant women. The research design is pre experiment with one group pre-post test design. This research was conducted at Pacongkang Health Center, Soppeng Regency, South Sulawesi. The research group was given an intervention giving modules as an educational medium about detecting the risk of anemia in pregnancy. A sample of 30 respondents who met the inclusion criteria was based on a purposive sampling technique. The research instrument was a module and a questionnaire, the research results were analyzed using the Wilcoxon test. The results showed that the knowledge of pregnant women before the intervention module was given to detect the risk of anemia in pregnancy (58%) and after the intervention increased (85%). After the Wilcoxon signed rank test was obtained p-value 0.000 (p <0.05), it was concluded that there was an influence of anemia risk detection module in pregnancy on increasing knowledge of pregnant women. Keywords: Anemia risk detection module, Knowledge, Pregnant Women ABSTRAK Anemia merupakan salah satu masalah kesehatan masyarakat yang paling umum secara global. Tujuan penelitian ini adalah untuk mengetahui pengaruh modul deteksi risiko anemia pada kehamilan terhadap pengetahuan ibu hamil. Desain penelitian yaitu pre eksperiment dengan one group pre-post test design. Penelitian ini dilakukan di Puskesmas Pacongkang Kabupaten Soppeng Sulawesi Selatan. Kelompok penelitian diberikan intervensi pemberian modul sebagai media edukasi tentang deteksi risiko anemia pada kehamilan. Sampel sebanyak 30 responden yang memenuhi kriteria inklusi berdasarkan teknik sampling purposive sampling. Instrumen penelitian adalah modul dan kuesioner, hasil penelitian dianalisis menggunakan uji Wilcoxon. Hasil penelitian menunjukkan bahwa pengetahuan ibu hamil sebelum diberikan intervensi modul deteksi risiko anemia pada kehamilan sebesar (58%) dan setelah intervensi meningkat (85%). Setelah dilakukan uji Wilcoxon signed rank test didapatkan p-value 0.000 (p < 0.05), disimpulkan bahwa ada pengaruh modul deteksi risiko anemia pada kehamilan terhadap peningkatan pengetahuan ibu hamil. Kata kunci: Modul deteksi risiko anemia, Pengetahuan, Ibu Hamil

Hubungan Sikap dengan Minat Ibu Hamil dalam Mengikuti Program Vaksinasi Covid-19 Asri Basselo; Andi Nilawati Usman; Mardiana Ahmad; Deviana Soraya Riu; Budu Budu; Healthy Hidayanti
Malahayati Nursing Journal Vol 5, No 1 (2023): Volume 5 Nomor 1 2023
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v5i1.8674

ABSTRACT Getting vaccinated during pregnancy will prevent pregnant women from having severe symptoms if exposed to Covid-19. However, there are still concerns from the public, especially pregnant women, about the side effects or impact of vaccines on vaccine recipients which has an impact on the low acceptance or interest of pregnant women in getting vaccinated against Covid-19. The purpose of this study was to analyze the relationship between attitudes and pregnant women's interest in participating in the Covid-19 vaccination program at the Sowi Community Health Center, Manokwari Regency. This type of research is an analytic research with a cross-sectional study approach in which the independent variables and the dependent variables are measured at the same time. The researcher only made observations without intervening in the research subjects. The sample in this study were all second and third trimester pregnant women who visited the Sowi Health Center using a total sampling technique. This study uses human research subjects, namely as many as 77 respondents who will be given a questionnaire that has been tested for validity and reliability. The data taken is primary data and data analysis using the Chi-Square test. The results showed that there was no relationship between attitude and the interest of pregnant women in participating in the Covid-19 vaccination program at the Sowi Community Health Center, Manokwari Regency, with a p value > α value (0.05). The conclusion is that the attitude of pregnant women is not a factor that can influence the interest of pregnant women to take part in the Covid-19 vaccination program. Keywords: Covid-19 Vaccination, Attitude, Interests of Pregnant Women ABSTRAK Mendapatkan vaksinasi dalam masa kehamilan akan mencegah ibu hamil bergejala berat bila terpapar Covid-19 namun masih ada kekhawatiran masyarakat terutama ibu hamil tentang efek samping atau dampak vaksin terhadap para penerima vaksin yang berdampak pada rendahnya penerimaan atau minat ibu hamil terhadap vaksinasi Covid-19. Tujuan dari penelitian ini adalah untuk menganalisis hubungan sikap dengan minat ibu hamil dalam mengikuti program vaksinasi covid-19 di Puskesmas Sowi Kabupaten Manokwari. Jenis penelitian ini merupakan penelitian analitik dengan pendekatan cross-sectional study dimana variabel independen dan variabel dependen diukur pada waktu yang bersamaan. Peneliti hanya melakukan observasi tanpa melakukan intervensi terhadap subjek penelitian Sampel dalam penelitian ini adalah semua ibu hamil trimester II dan III yang berkunjung ke Puskesmas Sowi dengan teknik total sampling. Penelitian ini menggunakan subjek penelitian manusia yaitu sebanyak 77 responden yang akan diberikan kuisioner yang telah diuji validitas dan reliabilitas. Data yang diambil merupakan data primer dan analisa data menggunakan uji Chi-Square. Hasil penelitian menunjukan bahwa tidak terdapat hubungan sikap dengan minat ibu hamil dalam mengikuti program vaksinasi covid-19 di Puskesmas Sowi Kabupaten Manokwari dengan nilai p value > nilai α (0,05). Kesimpulan yaitu sikap ibu hamil bukan merupakan faktor yang dapat mempengaruhi minat ibu hamil untuk mengikuti program vaksinasi Covid-19. Kata Kunci : Vaksinasi Covid-19, Sikap, Minat Ibu Hamil

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