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All Journal Jurnal Kesehatan Masyarakat Indonesia Medula Juke jurnal niara Biomedical Journal of Indonesia Jurnal Pengabdian Pada Masyarakat Holistik Jurnal Kesehatan Jurnal Dunia Kesmas JURNAL ILMIAH KESEHATAN SANDI HUSADA Bioscientia Medicina : Journal of Biomedicine and Translational Research Indonesian Journal of Global Health research JK Unila (Jurnal Kedokteran Universitas Lampung) Essential: Essence of Scientific Medical Journal Jurnal Kesehatan Saintika Meditory Archives Pharmacia Bioscientia Medicina : Journal of Biomedicine and Translational Research Buguh: Jurnal Pengabdian Kepada Masyarakat Action Research Literate (ARL) Jurnal Ilmu Medis Indonesia Asian Journal of Health and Applied Sciences Majority
Ratna Dewi Puspita Sari
Faculty Of Medicine, Universitas Lampung
Agriculture, Biological Sciences & Forestry Humanities Biochemistry, Genetics & Molecular Biology Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Education Engineering Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Mathematics Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Other

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Morbidity and Mortality Factors Analysis of Caesarean Section Ratna Dewi Puspita Sari; Winda Trijayanthi Utama; Ratu Nirmala Wahyunindita
Indonesian Journal of Global Health Research Vol 3 No 3 (2021): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (460.41 KB) | DOI: 10.37287/ijghr.v3i3.563

Abstract

Caesarean Section is the most common obstetric surgery performed today. CS delivery without medical indication increases the risk of maternal morbidity and mortality 3-5 times higher than vaginal delivery techniques. The increased risk of morbidity and mortality in CS delivery is due to complications caused, during intraoperative or postoperative. Lampung Province is one of the provinces with the highest MMR value in Indonesia (148 per 100,000 live births) with a CS birth selection of 13.18%. The aim of this research is to analyze the characteristics of factors associated with maternal morbidity and mortality in CS delivery. Both morbidity groups characteristics (case and control) show correlations were found between maternal age (p<0.02), obstetric complication (p<0.01), education (p<0.02) and the incidence of maternal deaths. Meanwhile, parity and delivery complication variables did not show significant. correlations to maternal deaths (p>0.05). Both mortality groups characteristics (case and control) show correlations were found between maternal age (p<0.02), obstetric complication (p<0.05), education (p<0.03), delivery complication (p<0.04) and the incidence of maternal deaths. Meanwhile, maternal age and parity variables did not show significant. corelations to maternal deaths (p>0.05).
Severe Pre-Eclampsia with Partial Hellp Syndrome in Multigravida Preterm Pregnancy Ratu Nirmala Wahyunindita; Ratna Dewi Puspita Sari
Indonesian Journal of Global Health Research Vol 4 No 1 (2022): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (371.264 KB) | DOI: 10.37287/ijghr.v4i1.706

Abstract

Preeclampsia is the second highest cause of maternal death in Indonesia. The incidence of preeclampsia in Indonesia is very high at 24%. West Java is a province in Indonesia with a high preeclampsia rate of 25%.Pre-eclampsia is a vascular endothelial dysfunction and vasospasm that occurs at gestational age above 20 months and is characterized by hypertension and proteinuria, with or without pathological edema. Severe preeclampsia (PEB) is characterized by a minimum of systolic blood pressure 160 mmHg or diastolic blood pressure 110, impaired liver function, progressive renal insufficiency, pulmonary edema, brain and visual disturbances, or thrombocytopenia. This research is descriptive observational with a case report approach. The aim of this research is to discuss updates on the occurrence, concept, pathophysiology, and management of preeclampsia. In the case reported, a female patient, aged 29 years G3P2A0, 36 weeks gestational age with severe pre-eclampsia, partial hemolysis, elevated liver enzymes, and low platelet count (HELLP) syndrome in a multigravida preterm pregnancy with grade I obesity and a history of cesarean section 5 years ago. After evaluation, the patient complained of headache and heartburn. After confirmation, the fetus has IUGR, then active management with Transperitoneal Sectio Caesarea is chosen.
Analisa Komplikasi Penyakit Infeksi Dan Riwayat Berat-Panjang Badan Saat Lahir Pada Kejadian Stunting Balita Di Indonesia sutarto sutarto; Naza Tsasbita Hayuning Adila; Ratna Dewi Puspita Sari; Reni Indriyani
Jurnal Niara Vol. 16 No. 1 (2023)
Publisher : FAKULTAS ILMU ADMINISTRASI UNIVERSITAS LANCANG KUNING

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31849/niara.v16i1.14044

Abstract

Stunting merupakan salah satu gangguan pertumbuhan kronis yang berkaitan dengan pertumbuhan Tinggi badan berdasarkan umur. Faktor penyebab stunting secara langsung adalah gangguan nutrisi, disertai dengan penyakit infeksi, dan riwayat kondisi ketika lahir terkait dengan berat badan dan panjang badan saat lahir. Penelitian ini bertujuan untuk mengetahui hubungan komplikasi penyakit ISPA, diare, riwayat berat dan panjang lahir dengan kejadian stunting. Metode penelitian ini adalah pengamatan dengan pendekatan cross sectional, mennggunakan data sekunder total sampling dari data Riset Kesehatan Dasar (Riskesdas) tahun 2018 yang telah dilakukan Badan Penelitian dan Pengembangan Kesehatan Republik Indonesia. Sasaran penelitian ini adalah balita usia 24-59 bulan sejumlah 11.854 jiwa. Pada Riskesdas tahun 2018 kuesioner Individu Riskesdas tahun 2018. Analisis data menggunakan regresi logistik multivariat. Hasil penelitian menunjukkan ISPA berhubungan dengan stunting (p value = 0,001) dengan OR 2,906 (CI 95% 2,610-3,236). Setelah dilihat dari komplikasinya dengan diare, berat badan dan panjang lahir menunjukkan hubungan bermakna pada kejadian stunting (p value = 0,048; OR = 2,234; CI 95% 1,006-4,965). Terdapat hubungan antara penyakit ISPA berkomplikasi dengan diare, berat badan dan panjang lahir pada kejadian stunting
Diabetes mellitus tipe 1: Literature Review Ringgi Tantra Setiawan; Ratna Dewi Puspita Sari; Andi Nafisah Tendri Adjeng; Ety Apriliana
Jurnal Kedokteran Universitas Lampung Vol 7, No 1 (2023): JURNAL KEDOKTERAN UNIVERSITAS LAMPUNG
Publisher : Fakultas Kedokteran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23960/jkunila71%p

Abstract

Diabetes mellitus tipe 1 adalah penyakit kronis kedua yang paling umum dan gangguan endokrin-metabolik pada masa kanak-kanak yang ditandai dengan defisiensi insulin dan hiperglikemia yang dihasilkan. Ini semakin banyak didiagnosis pada anak-anak, karena spektrum skrining yang luas. Diperkirakan prevalensi antara 1,1 sampai 1,4/1000 anak di bawah usia 15 tahun. Diabetes mellitus tipe 1. membutuhkan penanganan yang hati-hati untuk menghindari komplikasi jangka panjang yang serius, termasuk penyakit jantung dan ginjal, stroke, dan kehilangan penglihatan. Saat ini, pengobatan “one-size-fts-all” untuk diabetes tipe 1 adalah terapi substitusi insulin eksogenik, namun pendekatan ini gagal mencapai kontrol glukosa darah yang optimal pada banyak individu. Situasi seperti itu dapat mempengaruhi kualitas hidup anak dan anggota keluarga. Faktor lingkungan dapat mempengaruhi faktor ini. Usia, jenis kelamin, jenis asuransi kesehatan memiliki hubungan yang signifikan secara statistik dengan kualitas hidup yang lebih baik. Pendidikan ibu, status perkawinan ibu, rejimen insulin dan kontrol glikemik mengubah kualitas hidup ibu-bayi. Usia rata-rata timbulnya penyakit adalah 8,8 tahun, memulai debutnya dengan ketoasidosis diabetik. Hemoglobin glikosilasi (HbA1c) adalah titik perubahan lainnya. Tingkat tinggi diperoleh dalam kepatuhan dan kualitas hidup. Kualitas hidup dikaitkan dengan penggunaan sistem pemantauan glukosa terus menerus untuk menghindari hipoglikemia yang tidak terlalu parah dan komplikasi ginjal. Menghadapi situasi seperti itu, tujuannya adalah untuk melakukan tinjauan literatur tentang subjek untuk menilai dampak diabetes tipe 1 dan akibatnya pada kehidupan anak.Kata Kunci: DM Tipe 1, Kompikasi, Tatalaksana
Pengaruh Pemanfaatan Lahan Pekarangan Rumah terhadap Kejadian Stunting di Kabpaten Tanggamus, Provinsi Lampung sutarto sutarto; Ratna Dewi puspita Sari; Winda Trijayanthi Utama; Reni Indriyani
Jurnal Kesehatan Masyarakat Indonesia Vol 18, No 2 (2023): Volume 18. No. 2 Tahun 2023
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/jkmi.18.2.2023.14-21

Abstract

Stunting merupakan kondisi kurang gizi kronis disertai dengan komplikasi penyakit. Prevalensi stunting anak balita di Indonesia 29,9% dan provinsi Lampung 27,4% serta terbanyak di pedesaan. Kondisi prevalensi stunting di Lampung pada posisi di bawah angka nasional tetapi masih di atas 20% (target WHO kurang dari 20%). Kabupaten Tanggamus angka sunting turun menjadi 3,3%, namun demikian terdapat 25 desa yang mempunyai angka prevalensi stunting di atas 10%. Desa dengan lahan pekarangan yang rata rata cukup luas dapat dimanfaatkan secara maksimal sebagai lahan ekonomis dan perlu penanganan, sehingga dapat menjadi program percepatan pencegahan stunting. Tujuan penelitian ini menjelaskan pengaruh pemanfaatan lahan pekarangan rumah terhadap kejadian stunting di Kabupaten Tanggamus.Motode menggunakan disain case control dengan lokasi di 16 desa wilayah kerja kabupaten Tanggamus sebanyak 200 responden, menggunakan analisa regresi logistik ganda.Terdapat 2 variabel dari 12 variabel secara simultan berpengaruh terhadap kejadian stunting yaitu motivasi kepala keluarga dalam memanfaatkan lahan pekarangan rumah, pengalaman kepala keluarga dalam memanfaatkan lahan pekarangan rumah.  Motivasi pengalaman memanfaatkan lahan pekarangan yang kurang baik secara tidak langsung berpengaruh terhadap kejadian stunting di Kabupaten Tanggamus sebesar 27,6% dan 73,4% dipengaruhi oleh faktor lain.
PEMBERDAYAAN KELOMPOK WANITA USIA PRODUKTIF TENTANG PENTINGNYA TABLET TAMBAH DARAH SEBAGAI PENCEGAHAN ANEMIA SAAT MENSTRUASI DI DESA GEDUNG CAHAYA KUNINGAN KECAMATAN NGAMBUR KABUPATEN PESISIR BARAT LAMPUNG Ratna Dewi Puspita Sari; Sutarto Sutarto; Winda Trijayanthi Utama
BUGUH: JURNAL PENGABDIAN KEPADA MASYARAKAT Vol. 3 No. 2 (2023): Juni 2023
Publisher : Badan Pelaksana Kuliah Kerja Nyata Universitas Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23960/buguh.v3n2.2158

Abstract

Indonesia memiliki permasalahan kesehatan berupa anemia yang paling banyak diderita oleh wanita usia produktif. Kejadian anemia pada wanita usia produktif setiap tahunya mengalami peningkatan. Salah satu penyebab anemia adalah kekurangan zat besi pada tubuh yang berpengaruh terhadap produksi sel darah merah terganggu. Kegiatan pengabdian ini berguna untuk meningkatkan pengetahuan dan keterampilan dalam pengelolaan anemia pada wanita usia produktif di tingkat masyarakat. Kegiatan ini terdiri dari penyuluhan dan pemberian informasi kepada wanita usia subur terkait pentingnya tablet tambah darah sebagai pencegahan anemia
Hubungan Konsumsi Kafein dengan Kejadian Depresi Indah Salsabila; Putu Ristyaning Ayu Sangging; Intanri Kurniati; Ratna Dewi Puspitasari
Medula Vol 13 No 6 (2023): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i6.488

Abstract

Depression is a mood disorder. Depression is characterized by a feeling of sadness that lasts continuously and for a long time, which can interfere with a person's physical condition and social life. Around 121 million people in the world suffer from depression. It is estimated that only 30% of people with depression get proper treatment. This number does not include people who have clinical symptoms of depression but are not actually diagnosed. Some patients are also considered not to get proper treatment. The number of Indonesian populations aged more than 15 years and diagnosed with depression is 12 million sufferers. Pharmacological therapy in depressed patients is antidepressants such as serotonin and noradrenaline reuptake inhibitors (SNRIs), and selective serotonin reuptake inhibitors (SSRIs). However, there are side effects that can result from long-term use of these drugs. Therefore, other treatments such as giving herbal medicines are needed to reduce symptoms in people with depression. Giving caffeine with the right dose can reduce the risk of depression, because of its ability to block the adenosine receptor subunit. However, caffeine consumption with doses above 68mg and below 509mg per day is assessed to have the opposite effect that increases the risk of developing depression.
The Influence of Nutrition in Pregnant Women on Breaking Postpartum at Puskesmas Inpatient Working Area in Bandar Lampung City Sari, Ratna Dewi Puspita
Asian Journal of Health and Applied Sciences Vol. 2 No. 1 (2023): Asian Journal of Health and Applied Sciences (AJHAS)
Publisher : Lighthouse Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53402/ajhas.v2i1.271

Abstract

Indonesia as a developing country still has nutritional problems, especially pregnancy nutrition. Malnutrition in pregnant women increases the risk of bleeding postpartum. This study was conducted to determine the effect of maternal nutritional status during pregnancy on the incidence of bleeding postpartum at the Bandar Lampung Inpatient Health Center. This research is an observational analytic by design case control. Samples, taken using the technique purposive sampling, divided into 61 cases and 122 controls at the Bandar Lampung Inpatient Health Center. The analysis was carried out using chi square and logistic regression test. The highest proportion of mothers giving birth at the Bandar Lampung Inpatient Health Center were mothers who were not at risk of CED (84.7%) and were not anemic (71.6%). There is a significant effect between the risk of chronic energy deficiency (CED) (p=0.001; OR=8.62) and anemia status (p=0.001; OR=9.54) on the incidence of bleeding postpartum. Anemia status (p=0.001; OR=11.41) is the variable with the strongest relationship to bleeding events postpartum. The highest proportion of mothers giving birth at the Bandar Lampung Inpatient Health Center were mothers who were not at risk of CED and were not anemic. The nutritional status of pregnant women including the risk of CED and anemia status affect the incidence of bleeding postpartum in birthing mothers. Variable with the strongest relationship to bleeding events postpartum is anemia status.
Hubungan Ketuban Pecah Dini dengan Kejadian Kala II Lama pada Ibu Bersalin di RSUD Abdul Moeloek Provinsi Lampung Tri Lamtiur Pakpahan; Ratna Dewi Puspita Sari; Sutyarso; Rodiani
MAJORITY Vol 10 No 1 (2021): MAJORITY
Publisher : Majority

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Prolonged second-stage labor is one causes of the maternal mortality rate (MMR) in the world. The average lenght of labor in the world causes maternal mortality by 8% and in Indonesia by 9%. Maternal mortality is most often occurs during childbirth, one of the causes is the long second stage (37%) and perinatal death itself is one of the causes is asphyxia in infants (28%). The purpose of this study was to determine the relationship of Premature Ruptur of Membrane with the events of the old stage II of maternity mothers. The method used in this study uses observational analytic methods with cross sectional design. A total of 69 patients were selected by consecutive sampling technique. The date was collected from medical records of patients in the midwifery room Dr. H. Abdul Moeloek Lampung Province. The inclusion criteria of this study were mothers aged 18-40 years with term gestational age and having KPD. Patients who were accompanied by birth defects, fetal abnormalities and parturition with conditions of sectiocesarea were excluded from the study sample. The results showed that as many as 37 patients (72.6%) who experienced premature rupture of membrane at the time of the inpartu showed an old stage II event and as many as 8 patients (44.4%) patients who experienced premature rupture of membrane when not before the party showed the event of the old stage II. Based on the Chi-square test, the value of p = 0.031 (p
Faktor-faktor yang Mempengaruhi Prolaps Organ Panggul di RSUD DR. H. Abdul Moeloek Provinsi Lampung Periode 1 Januari 2014 – 31 Desember 2018 Fiana Deswita; Ratna Dewi Puspita Sari; Ety Apriliana; Nurul Islamy
MAJORITY Vol 10 No 2 (2021): MAJORITY
Publisher : Majority

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Abstract

Pelvic organ prolapse (POP) is a condition that affects a woman's quality of life. Pelvic organ prolapse can include uterine prolapse, cystocele and rectocele. POP occurs due to weakness of the muscles, ligaments and fascia that support the pelvic organs. This condition can be influenced by factors such as age, parity, menopause, body mass index and occupation. This study aims to determine the relationship of these factors to the incidence of POP. The study is an observational analytic with cross sectional approach, using secondary data from the medical records of gynecological patients at H. Abdul Moeloek Hospital in the period 1 January 2014 to 31 December 2018 with a total sampling technique. Then univariate and bivariate analyzes were performed using the chi-square test. The incidence of POP in the period of 1 January 2014 to 31 December 2018 in the H. Abdul Moeloek Hospital was 33 cases. Factors that had a relationship with the highest risk sequence are parity (p = 0.000; OR 7,959), age (p = 0.002; OR 7,250), menopause (p = 0.014; OR 5.019), body mass index (p = 0.036; OR 3.297) and type of work (p = 0.036; OR 3.297).All factors studied is parity, age, menopause, body mass index and type of work were associated with the incidence of pelvic organ prolapse in patients at H. Abdul Moeloek Hospital, Lampung Province January 2014 to 31 December 2018
Co-Authors Alvira Balqis Soraya Ari Irawan Romulya Arif Yudho Prabowo Arli Suryawinata Asep Sukohar Bakrie, Samsul Citra Yuliyanda Pardilawati Dedy Miswar Desta Stallaza Alifka Dian Isti Angraini Dian Pratiwi Diana Mayasari Dinda Annisa Fitria Dwi Rani Sukma Dyah Wulan Sumekar Rengganis Wardani Efriyan Imantika Ety Apriliana Evi Kurniawati, Evi Evriana Citra Fakhri Wisa Amrulloh Febrina Halimatunisa nisa Fiana Deswita Fitriani Antika Dhamayanti Hardiyanti, Rahma Helmi Ismunandar Hisbul Waton Indah Salsabila Intanri Kurniati Jeffrey Surya jefri irawan Karina Azlia Amanda Karunia Santi Mallarangeng, Andi Nafisah Tendri Adjeng Maulana Irfan Hazairin Siregar Meilisa Hidayah Putri Muhammad Hasbi Sahbani Muhartono Muhartono Naza Tsasbita Hayuning Adila Nurul Islamy Nurul Islamy Nurul Utami Oktadoni Saputra Putu Ristyaning Ayu Rachmi Lestari Rukmono Rafa Habiba Sono Rani Himayani Rasmi Zakiah Oktarlina Ratu Nirmala Wahyunindita Regina Pingkan Reni Indriyani Reni Indriyani Reni Indriyani Reni Indriyani Reni Zuraida Reni Zuraida Retno Arienta Sari Rika Lisiswanti Ringgi Tantra Setiawan Risti Graharti Rodiani Rodiani, Rodiani Samsul Bakri Samsul Bakrie Sangging, Putu Ristyaning Ayu Sofyan Musabiq Wijaya Sofyan Musyabiq Wijaya Soraya Rahmanisa Suharyani Susan Yulia Laura Howay Sutarto Sutarto Sutarto Sutarto Sutyarso TA Larasati Taufiqurrahman Rahim Tesya Agustin Tiara Cornela Azqinar Tri Lamtiur Pakpahan Winda Trijayanthi Utama, Winda Trijayanthi Zahra Dewi Difa