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Motivation is the Strongest Influence in Choosing Delivery Place Astuti, Indria
Indonesian Journal of Obstetrics and Gynecology Volume. 1, No. 3, July 2013
Publisher : Indonesian Socety of Obstetrics and Gynecology

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Abstract

Objective: To analyze the factors that correlated with decision to choose the most appropriate delivery place of mothers’ delivery attended by health personnel, in West Bandung District. Method: This was a case-control study with consecutive sampling method on the mothers who gave birth at two health centers: Cikalong Wetan and Cipongkor, West Bandung District. There were two groups of mothers. First, the case group consisted of 52 mothers at non-healthcare facilities. Second, control group consisted of 52 mothers at healthcare facilities. There were sociodemographic (culture, educational), contextual (income, transportation, distance, availability health facilities) and characteristics of needs (counseling, prenatal care, motivation) factors and dependent variable was decision in choosing the place of delivery. The data was analyzed using chi square test to determine the correlation factors, whereas multiple logistic regression was used to determine the strongest correlating factors. Result: The results showed that there were correlation between various factors with the decision selection of delivery place of the mothers by health care in: cultural factor (OR = 23; p < 0.001; CI 95% : 7.99-66.20), educational factor (OR = 4.86; p < 0.001; CI 95% : 1.35- 19.09), income factor (OR = 2.36; p = 0.031; CI 95%: 6.51-57.49), transportation factor (OR = 19.35; p < 0.001; CI 95%: 6.51 to 57.49), distance factor (OR = 3.19, p = 0.007; 95% CI: 1.67-37.69), availability health facilities factor (OR = 7.94, p = 0.007; CI 95% 1.67-37.69 and OR = 3.97; CI 95% : 0.40-39.75), counseling factor (OR = 23, p < 0.001; CI 95%: 7.99-66.20), prenatal care factor (OR = 5.21, p < n0.001; 95%: 2.24-12.12), motivational factor (OR = 196, p < 0.001; CI 95 % : 41.64-922.48). The strongest factor was the motivational factor (OR = 103.33; p < 0.001; CI 95%: 10.00-1065.72). Conclusion: This study concluded that there was correlation between sociodemographic, contextual, and characteristics of needs with the decision in choosing place of delivery that attended by health personnel. Motivation was the strongest factor correlated to the mothers’ decision to deliver at public health center. [Indones J Obstet Gynecol 2013; 1-4:173-8] Keywords: characteristics of demand, contextual, delivery place, socio-demographic
Motivation is the Strongest Influence in Choosing Delivery Place Astuti, Indria
Indonesian Journal of Obstetrics and Gynecology Volume. 1, No. 4, October 2013
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (98.778 KB)

Abstract

Objective: To analyze the factors that correlated with decision to choose the most appropriate delivery place of mothers’ delivery attended by health personnel, in West Bandung District. Method: This was a case-control study with consecutive sampling method on the mothers who gave birth at two health centers: Cikalong Wetan and Cipongkor, West Bandung District. There were two groups of mothers. First, the case group consisted of 52 mothers at non-healthcare facilities. Second, control group consisted of 52 mothers at healthcare facilities. There were sociodemographic (culture, educational), contextual (income, transportation, distance, availability health facilities) and characteristics of needs (counseling, prenatal care, motivation) factors and dependent variable was decision in choosing the place of delivery. The data was analyzed using chi square test to determine the correlation factors, whereas multiple logistic regression was used to determine the strongest correlating factors. Result: The results showed that there were correlation between various factors with the decision selection of delivery place of the mothers by health care in: cultural factor (OR = 23; p < 0.001; CI 95% : 7.99-66.20), educational factor (OR = 4.86; p < 0.001; CI 95% : 1.35- 19.09), income factor (OR = 2.36; p = 0.031; CI 95%: 6.51-57.49), transportation factor (OR = 19.35; p < 0.001; CI 95%: 6.51 to 57.49), distance factor (OR = 3.19, p = 0.007; 95% CI: 1.67-37.69), availability health facilities factor (OR = 7.94, p = 0.007; CI 95% 1.67-37.69 and OR = 3.97; CI 95% : 0.40-39.75), counseling factor (OR = 23, p < 0.001; CI 95%: 7.99-66.20), prenatal care factor (OR = 5.21, p < 0.001; 95%: 2.24-12.12), motivational factor (OR = 196, p < 0.001; CI 95 % : 41.64-922.48). The strongest factor was the motivational factor (OR = 103.33; p < 0.001; CI 95%: 10.00-1065.72). Conclusion: This study concluded that there was correlation between sociodemographic, contextual, and characteristics of needs with the decision in choosing place of delivery that attended by health personnel. Motivation was the strongest factor correlated to the mothers’ decision to deliver at public health center. [Indones J Obstet Gynecol 2013; 1-4:173-8] Keywords: characteristics of demand, contextual, delivery place, socio-demographic
PENGARUH HYPNOBIRTHING TERHADAP TINGKAT NYERI DAN KEMAJUAN PERSALINAN PADA IBU BERSALIN DI BPM KOTA CIMAHI Astuti, Indria; Noviyanti, Noviyanti
The Southeast Asian Journal of Midwifery Vol 1 No 1 (2015): The Southeast Asian Journal of Midwifery
Publisher : Asosiasi Pendidikan Kebidanan Indonesia

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Abstract

Sekitar 90% penyebab kematian ibu adalah komplikasi obstetrik yang terjadi saat persalinan. Salah satu komplikasi obstetrik adalah persalinan yang berlangsung lama yang disebabkan kontraksi uterus yang tidak adekuat. Salah satu upaya mempertahankan kontraksi uterus adalah dengan tehnik hypnobirthing. Penelitian ini bertujuan untuk mengetahui pengaruh hypnobirthing terhadap tingkat nyeri dan kemajuan persalinan.Jenis penelitian yang digunakan adalah True Experiment yang termasuk ke dalam Posttest Only Control Design. Populasi penelitian ini adalah ibu bersalin di salah satu BPM di Kota Cimahi sebanyak 30 responden. Teknik pengambilan sampel dengan menggunakan purposive sampling yang berdasarkan kriteria penelitian. Teknik pengumpulan data dengan menggunakan lembar observasi dan partograf, dan analisis data menggunakan bivariat dengan Uji T-test independent.Hasil analisis yang diperoleh menunjukkan bahwa nilai p tingkat nyeri adalah 0.001, yang artinya bahwa terdapat pengaruh hypnobirthing yang signifikan terhadap penurunan intensitas nyeri dan 0.038, yang artinya bahwa terdapat pengaruh hypnobirthing yang signifikan terhadap kemajuan persalinan.ABSTRACTApproximately 90% of causes of maternal deaths occur during delivery due to obstetric complications. One of the complications is prolonged labor caused by inadequate contractions. One method to maintain the uterine contractions is with hypnobirthing. The objective of this research was to determine the effects of hypnobirthing on the level of pain and the progress of labor.This was a true experiment with a posttest only control design. The population was women delivering at BPM at the Cimahi amounting to 30 respondents. The sampling technique used accidental sampling based on research criteria. Data collection method used observation sheets and partograph. The data were then analyzed using bivariate analysis with T-test independent.The results showed that the p-value obtained was 0.001 and 0.038, respectively, meaning that there was a significant relationship between hypnobirthing and decreased pain intensity and between hypnobirthing and the progress of labor.
PENGARUH TERAPI PIJAT TERHADAP PENGURANGAN NYERI PERSALINAN KALA I FASE AKTIF PADA IBU BERSALIN (STUDI KASUS DI KOTA BANDUNG) Noviyanti, Noviyanti; Astuti, Indria; Hamdah, N. Melly Nilawati
The Southeast Asian Journal of Midwifery Vol 2 No 1 (2016): The Southeast Asian Journal of Midwifery
Publisher : Asosiasi Pendidikan Kebidanan Indonesia

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Abstract

Nyeri persalinan merupakan nyeri yang timbul karena adanya kontraksi otot-otot uterus, hipoksia dari otot-otot yang mengalami kontraksi, peregangan serviks pada waktu membuka, iskemia korpus uteri, dan peregangan segmen bawah rahim. Salah satu cara penatalaksanaan nonfarmakologis untuk mengurangi nyeri persalinan adalah dengan endorphin-induced massage. Pijat ini merupakan teknik sentuhan serta pemijatan ringan yang dapat menormalkan denyut jantung dan tekanan darah, serta meningkatkan kondisi rileks dalam tubuh ibu hamil dengan memicu perasaan nyaman melalui permukaan kulit. Teknik ini dapat meningkatkan pelepasan zat oksitosin. Penelitian ini bertujuan untuk mengetahui pengaruh endorphin-induced massage terhadap nyeri persalinan kala I fase aktif pada ibu bersalin.Penelitian menggunakan Pre Experimental Design dengan One Group Pretest-Posttest. Sampel penelitian berjumlah 36 responden dengan teknik pengambilan sampling Accidental. Pengumpulan data adalah melalui wawancara dengan menggunakan kuesioner. Analisis data menggunakan univariat dan bivariat uji t-dependent.Hasil penelitian menunjukan bahwa sebelum dilakukan endorphin-induced massage, 33 (91,7%) responden mengalami skala nyeri berat dan, setelah dilakukan endorphin-induced massage, sebagian besar responden atau 32 orang (88,9%) mengalami nyeri sedang. Hal ini menunjukkan bahwa pijat ini memiliki pengaruh terhadap nyeri persalinan kala I fase aktif dengan p-value &lt;0,05. Endorphin-induced massage disarankan untuk memberikan sebagai intervensi dan asuhan kebidanan pada ibu selama persalinan kala I fase aktif.ABSTRACTLabor pain is pain that arises because of the contraction of the muscles of the uterus, hypoxia of the muscle contraction, stretching of the cervix at the time of dilation, ischemia of the uterine corpus, and stretching of the lower uterine segment. One way to reduce the non-pharmacological management of labor pain is endorphin-induced massage. This massage is done by touching or light massage technique that can normalize heart rate and blood pressure and increase the relaxed conditions in the pregnant woman’s body by triggering a feeling of comfort through the skin surface. This technique can increase the release of oxytocin substance. This study aimed to determine the effect of endorphin-induced massage at the active phase of the first stage of labor of delivering mothers.This research used Pre Experimental Design with one group pretest-posttest. The samples included 36 respondents with accidental sampling technique. The collection of data was through interviews using a questionnaire. Analysis of data used univariate and bivariate by t-dependent test.The results showed that prior to the endorphin-induced massage, 33 (91.7%) of respondents experienced severe pain scale and, after the massage, the majority of respondents or 32 people (88.9%) had moderate pain. This showed that this massage had an influence on labor pain of the active phase of the first stage with a p-value of &lt;0.05. Endorphin-induced massage is suggested to be provided as interventions and midwifery care in the mother during the active phase of the first stage of labor.
Motivation is the Strongest Influence in Choosing Delivery Place Astuti, Indria
Indonesian Journal of Obstetrics and Gynecology Volume. 1, No. 4, October 2013
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (98.778 KB) | DOI: 10.32771/inajog.v1i4.361

Abstract

Objective: To analyze the factors that correlated with decision to choose the most appropriate delivery place of mothers’ delivery attended by health personnel, in West Bandung District. Method: This was a case-control study with consecutive sampling method on the mothers who gave birth at two health centers: Cikalong Wetan and Cipongkor, West Bandung District. There were two groups of mothers. First, the case group consisted of 52 mothers at non-healthcare facilities. Second, control group consisted of 52 mothers at healthcare facilities. There were sociodemographic (culture, educational), contextual (income, transportation, distance, availability health facilities) and characteristics of needs (counseling, prenatal care, motivation) factors and dependent variable was decision in choosing the place of delivery. The data was analyzed using chi square test to determine the correlation factors, whereas multiple logistic regression was used to determine the strongest correlating factors. Result: The results showed that there were correlation between various factors with the decision selection of delivery place of the mothers by health care in: cultural factor (OR = 23; p < 0.001; CI 95% : 7.99-66.20), educational factor (OR = 4.86; p < 0.001; CI 95% : 1.35- 19.09), income factor (OR = 2.36; p = 0.031; CI 95%: 6.51-57.49), transportation factor (OR = 19.35; p < 0.001; CI 95%: 6.51 to 57.49), distance factor (OR = 3.19, p = 0.007; 95% CI: 1.67-37.69), availability health facilities factor (OR = 7.94, p = 0.007; CI 95% 1.67-37.69 and OR = 3.97; CI 95% : 0.40-39.75), counseling factor (OR = 23, p < 0.001; CI 95%: 7.99-66.20), prenatal care factor (OR = 5.21, p < 0.001; 95%: 2.24-12.12), motivational factor (OR = 196, p < 0.001; CI 95 % : 41.64-922.48). The strongest factor was the motivational factor (OR = 103.33; p < 0.001; CI 95%: 10.00-1065.72). Conclusion: This study concluded that there was correlation between sociodemographic, contextual, and characteristics of needs with the decision in choosing place of delivery that attended by health personnel. Motivation was the strongest factor correlated to the mothers’ decision to deliver at public health center. [Indones J Obstet Gynecol 2013; 1-4:173-8] Keywords: characteristics of demand, contextual, delivery place, socio-demographic
Pelaksanaan Penilaian Autentik Pada Masa Pandemi Covid-19 Mata Pelajaran Sosiologi Materi Permasalahan Sosial Dalam Masyarakat Di SMA Negeri 1 Godong Astuti, Indria; Kismini, Elly
Solidarity: Journal of Education, Society and Culture Vol 10 No 1 (2021): SOLIDARITY
Publisher : Solidarity: Journal of Education, Society and Culture

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Abstract

Tujuan penelitian ini adalah untuk mengetahui pelaksanaan penilaian autentik pada masa pandemi Covid-19 mata pelajaran Sosiologi materi permasalahan sosial dalam masyarakat di SMA Negeri 1 Godong, kendala pelaksanaan penilaian autentik pada masa pandemi Covid-19 mata pelajaran Sosiologi materi permasalahan sosial dalam masyarakat di SMA Negeri 1 Godong, dan upaya guru mengatasi kendala pelaksanaan penilaian autentik pada masa pandemi Covid-19 mata pelajaran Sosiologi materi permasalahan sosial dalam masyarakat di SMA Negeri 1 Godong. Hasil penelitian ini menunjukkan bahwa pelaksanaan penilaian autentik pada masa pandemi Covid-19 mata pelajaran Sosiologi di SMA Negeri 1 Godong belum berjalan sesuai dengan standar penilaian autentik. Kendala penilaian autentik adalah guru kesulitan dalam pengambilan penilaian dari Pembelajaran Jarak Jauh (PJJ) berbasis online dan siswa kesulitan mengakses aplikasi belajar online. Upaya guru mengatasi kendala penilaian autentik dengan memberi motivasi belajar, berdiskusi dengan guru lain mengenai penilaian online yang efektif, dan mengikuti pelatihan untuk mengembangkan kompetensi guru.
Pelaksanaan Penilaian Autentik Pada Masa Pandemi Covid-19 Mata Pelajaran Sosiologi Materi Permasalahan Sosial Dalam Masyarakat Di SMA Negeri 1 Godong Astuti, Indria; Kismini, Elly
Solidarity: Journal of Education, Society and Culture Vol 10 No 1 (2021): SOLIDARITY
Publisher : Solidarity: Journal of Education, Society and Culture

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

Abstract

Tujuan penelitian ini adalah untuk mengetahui pelaksanaan penilaian autentik pada masa pandemi Covid-19 mata pelajaran Sosiologi materi permasalahan sosial dalam masyarakat di SMA Negeri 1 Godong, kendala pelaksanaan penilaian autentik pada masa pandemi Covid-19 mata pelajaran Sosiologi materi permasalahan sosial dalam masyarakat di SMA Negeri 1 Godong, dan upaya guru mengatasi kendala pelaksanaan penilaian autentik pada masa pandemi Covid-19 mata pelajaran Sosiologi materi permasalahan sosial dalam masyarakat di SMA Negeri 1 Godong. Hasil penelitian ini menunjukkan bahwa pelaksanaan penilaian autentik pada masa pandemi Covid-19 mata pelajaran Sosiologi di SMA Negeri 1 Godong belum berjalan sesuai dengan standar penilaian autentik. Kendala penilaian autentik adalah guru kesulitan dalam pengambilan penilaian dari Pembelajaran Jarak Jauh (PJJ) berbasis online dan siswa kesulitan mengakses aplikasi belajar online. Upaya guru mengatasi kendala penilaian autentik dengan memberi motivasi belajar, berdiskusi dengan guru lain mengenai penilaian online yang efektif, dan mengikuti pelatihan untuk mengembangkan kompetensi guru.