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All Journal Medula Jurnal Kedokteran dan Kesehatan : Publikasi Ilmiah Fakultas Kedokteran Universitas Sriwijaya Indonesian Journal of Obstetrics & Gynecology Science JURNAL ILMIAH KESEHATAN SANDI HUSADA Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) JURNAL PENELITIAN PERAWAT PROFESIONAL Jurnal Kesehatan Saintika Meditory Jurnal Abdimas ADPI Sains dan Teknologi Repong Damar: Jurnal Pengabdian Kehutanan dan Lingkungan Majority
Rodiani
Fakultas Kedokteran, Universitas Lampung
Agriculture, Biological Sciences & Forestry Astronomy Biochemistry, Genetics & Molecular Biology Chemistry Civil Engineering, Building, Construction & Architecture Computer Science & IT Decision Sciences, Operations Research & Management Education Electrical & Electronics Engineering Energy Environmental Science Health Professions Medicine & Pharmacology Neuroscience Nursing Public Health Veterinary

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PENGARUH OBESITAS DALAM KEHAMILAN TERHADAP BERAT BADAN JANIN Jovanka Ris Natalia Sinaga; Rodiani; Zulfadli
Medula Vol 10 No 3 (2020): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v10i3.134

Abstract

Obesity is a state of imbalance in body weight and height due to excessive fat tissue in the body. The incidence rate of overweight or obesity is increasing over time and has even become a global pandemic with a prevalence of 2.1 billion in 2013, increasing from 857 million cases in 1980. Obesity can be assessed from the body mass index (BMI) where World Health Organization (WHO) classifies obesity with BMI ≥ 30 kg / m2. Obesity generally occurs in pregnancy, especially pregnancies that occur above 35 years. Obesity is a high obstetric risk because it can increase the risk of maternal and fetal morbidity and mortality. Complications that can occur in pregnant women with obesity in pregnant women are an increased risk of hypertension, gestational diabetes, spontaneous abortion and postpartum hemorrhage. The fetus can increase the risk of stillbirth in the antepartum period, intrapartum complications such as shoulder dystocia, macrosomia and increase the risk of fetal defects such as neural tube defects, spina bifida, congenital heart disease and omphalocele. Macrosomia is a condition in which the baby is born with a larger size or weight> 4000 grams, this is one of the complications of labor which causes increased morbidity and mortality in pregnancy because its complications in childbirth.
PENINGKATAN EFEKTIVITAS PROGRAM ‘SAFE MOTHERHOOD’ DI PUSKESMAS PONED DALAM MENURUNKAN AKI AKIBAT KEHAMILAN DAN PERSALINAN Efriyan Imantika; Rodiani Rodiani; Dian Isti Angraini
JURNAL KEDOKTERAN DAN KESEHATAN Vol 9, No 1 (2022)
Publisher : Fakultas Kedokteran Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32539/JKK.V9I1.15159

Abstract

Angka Kematian Ibu (AKI) merupakan salah satu indikator kesehatan dan kemajuan pembangunan sebuah negara. Data SDKI tahun 2013 menunjukkan AKI di Indonesia 228/100.000 kelahiran hidup. Dari data Renstra Dinas Kesehatan Provinsi Lampung, dilaporkan oleh pemerintah dikabupaten/ kota selama 2009-2013 AKI berfluktuasi yaitu terdapat 152 pada 2011, meningkat 178 kasus tahun 2012 kemudian menurun 158 tahun 2013. Salah satu upaya pemerintah dalam menurunkan AKI ditetapkannya Program Safe Motherhood yang dimulai sejak 1997. Empat Pilar Safe Motherhood meliputi program Keluarga Berencana, Antenatal Care (ANC), Persalinan bersih dan aman, dan pelayanan Obstetri Essensial yang dilaksanakan di Pusat Kesehatan Masyarakat (Puskesmas) sebagai sarana pelayanan kesehatan tingkat pertama untuk dapat diakses seluruh lapisan masyarakat. Masih tingginya AKI di Indonesia khususnya di Provinsi Lampung menjadi perhatian khusus bagi pemerintah dalam memenuhi target pencapaian pembangunan dalam RPJM tahun 2015-2019. Tujuan kegiatan pengabdian ini diharapkan membantu mengevaluasi permasalahan yang dihadapi dalam pelaksanaan Program Safe Motherhood di Puskesmas Poned sehingga dapat lebih efektif dan berperan dalam menurunkan AKI di Indonesia khususnya Provinsi Lampung. Metode yang digunakan yaitu menetapkan tolak ukur penilaian pada evaluasi program Safe Motherhood yang belum memenuhi target di Puskesmas Panjang Tahun 2021 berdasarkan Permenkes No.4 tahun 2019. Hasil kegiatan menunjukkan bahwa Persentase capaian masing-masing pilar dalam program safe motherhood yaitu persalinan aman bersih oleh nakes di Puskesmas 79,5 %, antenatal care 72,9 %, pelayanan masa nifas 99,7 % dan program Keluarga Berencana 57,6 %.Ketercapaian program safe motherhood di wilayah kerja Puskesmas PONED Panjang meningkat sebesar 20 % dari tahun sebelumnya sehingga efektivitasnya dalam menurunkan AKI akibat kehamilan dan persalinan > 85 %.
Pengaruh Dukungan Suami Terhadap Pemilihan Metode Kontrasepsi di Puskesmas Rawat Inap Kedaton Bandar Lampung Sharlene Sabrina; Rodiani
Medula Vol 12 No 2 (2022): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v12i2.413

Abstract

The population growth rate in the city of Bandar Lampung for the 2002-2010 period was 1.61%, in the 2010-2015 period it increased to 2.04. One way to overcome this problem is the family planning program. The results of the 2017 Indonesian Demographic and Health Survey (IDHS) show that people still use a lot of short-term contraceptives, even though short-term contraceptives have a high risk of failure. This is evidenced by the data on the percentage of MKJP and non-MKJP users at Kedaton Health Center, which is 0.08% while non-MKJP users are 0.92%. Husband's support is one of the external factors in the choice of contraceptives which become an amplifier to influence someone's behavior. Much information states that the decision was obtained from the wife because of the husband's interference. This study aims to determine the effect of husband's support on the choice of contraceptive methods at the Kedaton Inpatient Public Health Center in Bandar Lampung. This research is an observational analytic study with cross sectional design with a measuring instrument in the form of a questionnaire and with the research subjects as many as 109 respondents, taken by consecutive sampling method. The results of this study were processed using computer software with the Chi-square test method. The results obtained showed that there was a statistically significant relationship between the influence of husband's support on the choice of contraceptive methods at the Kedaton Inpatient Public Health Center in Bandar Lampung (p = 0.02).
Result Representation of Congenital Hypothyroid Screening (CHS) Based on Area Topography in Bandar Lampung City in May-October 2019 Nabila Rayhan Yasmin; Rodiani Rodiani; Intanri Kurniati; Nisa Karima
Review of Primary Care Practice and Education (Kajian Praktik dan Pendidikan Layanan Primer) Vol 5, No 2 (2022): July
Publisher : Faculty of Medicine, Public Health, and Nursing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/rpcpe.76332

Abstract

Congenital Hypothyroid Screening (CHS) is a screening test performed on neonates to detect Congenital Hypothyroidism (CH). Screening is important to prevent delays in the diagnosis and management of CH. Until now,    Indonesia does not have data on the result representation of national and regional CH based on regional topography. This descriptive research used a cross-sectional design. The research was conducted at the Public Health Office of Bandar Lampung. This research used the secondary data of the incidence of CHS, CHS service provider health facilities, and babies born alive in May-October 2019. The results’ representation is then grouped by subdistrict and topography of the region (tidal, choppy to wavy, and hilly to mountainous). The number of CH incidents was highest in Panjang District (235 data) and there was no CHS data in Enggal Subdistrict. The result representation was the highest in Tanjung Karang Timur District (41%). An overview of the result representation by sub- district was obtained by 18%. Overview of the result representations were in tidal topographic areas with 24%, choppy to wavy had a percentage of 18%, and the lowest hilly to mountainous areas had 15%. The topographical areas that have the highest  result representation of CHS results are tidal areas, while the lowest are hilly to mountainous areas.
Edukasi Kesehatan Tentang Pencegahan Covid-19 dalam Mendukung Program Desa Tanggap Covid-19 Fitria Saftarina; Dian Isti Angraini; Maya Ganda Ratna; Suharmanto Suharmanto; Rodiani Rodiani
Jurnal Abdimas ADPI Sains dan Teknologi Vol. 3 No. 1 (2022): Jurnal Abdimas ADPI Sains dan Teknologi
Publisher : Asosiasi Dosen Pengabdian kepada Masyarakat Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47841/saintek.v3i1.79

Abstract

Since the discovery of Covid-19, it has spread widely, causing a global pandemic that continues to this day. For this reason, promotive and preventive efforts are needed for the Karanganyar Village community regarding the prevention of Covid-19. This service aims to increase public knowledge about Covid-19 prevention. The target of the activity is 30 people. This community service activity was carried out using a health education, used presentation slides, leaflets, and videos. The results obtained showed that knowledge before education was 46.3 ± 8.9, and when health education was carried out, there was an increase in knowledge to 86.7 ± 9.2. From the results of the paired-t test analysis, it was found that p < 0.001, so that health education provided to the public about the prevention of Covid-19 could increase public knowledge. For practicing WHO handwashing practices correctly, 93.3% of participants were good at washing their hands. This activity needs to be carried out on an ongoing basis by the Puskesmas and Karanganyar Village governments in an effort to break the chain of transmission of Covid-19 and support the Covid-19 Response Rural Program.
COVID-19 IN PREGNANCY Nursilri meidania; Dea Selvia; Rodiani -
Jurnal Kesehatan Saintika Meditory Vol 5, No 2 (2022): November 2022
Publisher : STIKES Syedza Saintika Padang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30633/jsm.v5i2.1527

Abstract

Coronavirus Disease 2019 (COVID-19) is a new disease that has never been identified in humans before. The type of virus is a single-strain RNA with a particle size of 120-160 nm. The coronavirus that caused a pandemic was first reported in Wuhan, China on December 31, 2019, is a new type of SARS-CoV 2 and has a genome sequence similar to SARS-CoV and MERS-CoV. This virus is dangerous and has caused deaths recorded as many as 532,340 in the world and 3,241 deaths in Indonesia on July 6, 2020. Pregnant women are included in the group that is vulnerable to infection. COVID-19 infection can cause various symptoms ranging from mild, moderate and severe. The main clinical symptoms that can appear are fever (temperature> 38 ° C), cough and difficulty breathing. These complaints can be accompanied by the presence of severe tightness, fatigue, myalgia, gastrointestinal symptoms such as diarrhea and other respiratory symptoms. The principles that must be considered in managing COVID 19 in pregnancy are early separation, aggressive infection control methods, testing for COVID 19 and other common infection tests, oxygen therapy if necessary, monitoring of fluid therapy,monitoring of the fetus and uterine contractions, mechanical ventilation associated with progressive respiratory symptoms, delivery planning and a team-based approach with multidisciplinary consultation
Hubungan Posisi Tidur dengan Tekanan Intra Okular pada Pasien Glaukoma Agatha Catherine; Rodiani; Risti graharti
Medula Vol 13 No 1 (2023): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v13i1.565

Abstract

Glaucoma still be the second most common cause of blindness in the world. Glaucoma is a group of neuropathic diseases of the optic nerve which is characterized by the extraction of the optic disc (cupping) may causes visual disturbances. Intraocular pressure (IOP) is the most influential factor of glaucoma and affected by various factors, especially body position during sleep. Sleep composed of REM sleep and NREM sleep is related to muscle tone and psychological activity that has impact for sleep posture. The increase of intraocular pressure is directly proportional to the increase of episcleral venous pressure. The increase of IOP in prone position is probably due to an increase in choroidal vascular volume and increase of episcleral venous pressure, whereas in the lateral decubitus position the increase in IOP is caused by compression of the jugular veins when using a pillow. IOP rises when move to the lateral decubitus position in the dependent eye was 1 mmHg and in the non-dependent eye was 2 mmHg. The angle of the head to the bed has an effect on increasing IOP, in the vertical head-down position there can be an increase of 70% due to the force of gravity, whereas in patients who sleep with their head at a higher angle to the mattress, the IOP will decrease compared to the horizontal sleeping position.
Pengaruh Sindrom Metabolik terhadap Penurunan Kekuatan Otot Dasar Panggul dan Risiko Terjadinya Prolaps Organ Panggul serta Disfungsi Seksual pada Wanita Pralansia Efriyan Imantika; Rodiani Rodiani; Dian Isti Angraini; Zahara Ayu Destrianti
Indonesian Journal of Obstetrics & Gynecology Science Volume 6 Nomor 1 Maret 2023
Publisher : Dep/SMF Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/obgynia/v6n1.439

Abstract

Tujuan: Menganalisis pengaruh sindrom metabolik terhadap kekuatan otot dasar panggul dan risiko terjadinya prolaps organ panggul dan disfungsi seksual pada wanita pralansia sehingga dapat dipergunakan sebagai acuan dalam menghadapi masa menopause Metode: Penelitian ini merupakan bagian dari penelitian potong lintang terhadap 33 orang wanita kelompok usia reproduktif dan 33 orang wanita pralansia anggota PERSIT KODIM 0410 Kota Bandarlampung pada bulan Maret–Mei 2022 yang meneliti tentang efek sindrom metabolik terhadap fungsi reproduksi dan fungsi seksual wanita pralansia.Hasil: Hasil analisis bivariat dengan uji Fisher menunjukkan terdapat hubungan antara terjadinya sindrom metabolik terhadap kekuatan otot dasar panggul yang dinilai dengan skala Brink (nilai p=0,001 dengan nilai r/ interval kepercayaan 1,28 (0,58-2,57)) dan hasil pemeriksaan POP-Q dengan nilai p=0,001 dengan nilai r/ interval kepercayaan 1,16 (0,6-2,2) pada kelompok usia pralansia dibandingkan usia reproduktif dan risiko terjadinya disfungsi seksual yang dinilai dari hasil pengisian kuisioner FSFI dengan (nilai p=0,001 dengan nilai r/ interval kepercayaan 2,6 (0,5-12,7)) pada kelompok usia pralansia dibandingkan usia reproduktif. Kesimpulan: Sindrom metabolik berpengaruh terhadap penurunan kekuatan otot dasar panggul dan meningkatkan risiko disfungsi seksual pada kelompok usia pralansia dibandingkan kelompok usia reproduktif.The Impact of Metabolic Syndrome on Pelvic Floor Muscle Strength Reduction and The Risk of Pelvic Organ Prolaps And Sexual Dysfunction in Premenopausal WomenAbstractObjective: Analyzing the impact of metabolic syndrome on pelvic floor muscle strength and the risk of pelvic organ prolapse and sexual dysfunction in premenopausal women that can be used as a reference in dealing with menopause stageMethods: This is a part of research on impact of metabolic syndrome on reproduction and sexual function. A cross sectional research using 33 women of reproductive and 33 premenopausal women in PERSIT KODIM 0410 Bandarlampung in March–May 2022. Result: The results using Fisher test showed that there was significant association between metabolic syndrome and pelvic floor muscle strength as assessed by the Brink scale (p value = 0.001 r value / confidence interval 1.28 (0.58-2.57)) and the results of the POPQ examination with p=0.001 (1.16 (0.6-2.2)). The risk of sexual dysfunction as assessed from FSFI questionnaire has p value=0.001 (2.2 (0.5-9.02)) in the premenopausal compared to reproductive age grup. Conclusion: Metabolic syndrome affects the decrease of pelvic floor muscle strength and increases the risk of sexual dysfunction in the pre-elderly age group compared to the reproductive age group Keyword: Metabolic syndrome, pelvic floor muscle strength, sexual disfunction
Persalinan Preterm pada Kehamilan Remaja Aldiano Rachmantiawan; Rodiani Rodiani
Jurnal Penelitian Perawat Profesional Vol 4 No 4 (2022): November 2022, Jurnal Penelitian Perawat Profesional
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jppp.v4i4.1217

Abstract

Prevalensi angka kelahiran prematur di Indonesia tahun 2018 sebanyak 29,5 per 1000 kelahiran hidup. Indonesia mendapati posisi ke-5 dengan total persalinan prematur terttingg yaitu sekitar 657.700 kasus. Penyebab utama persalinan preterm meliputi infeksi dan adanya penyakit menular seksual serta kehamilan cukup tinggi pada remaja. Fakor yang dapat menyebabkan persalinan preterm salah satunya adalah usia ibu yang cukup berisiko yaitu usia <20 tahun dan >35 tahun. Sebanyak 14 juta remaja wanita menjadi mengalami kehamilan setiap tahunnya serta lebih dari 90% kasus terjadi di negara berkembang. Bedasarkan hal tersebut, penulis tertarik untuk melakukan studi pustaka mengenai persalinan preterm pada kehamilan remaja, sehingga dapat dilakukan tindakan pencegahan agar mengurangi mortalitas dan morbiditas baik pada ibu dan bayi. Artikel ini menggunakan metode studi literatur review dengan sumber yang digunakan dalam database elektronik yaitu NCBI, PubMed, dan Google Scholar hingga ditemukan 15 artikel terpilih dari tahun 2011-2022. Berdasarkan studi pustaka yang dilakukan persalinan preterm pada kehamilan remaja masih sering terjadi. Usia kehamilan remaja merupakan salah satu faktor yang dapat menyebabkan persalinan preterm. Kejadian tersebut dapat meningkatkan mortalitas dan morbiditas pada ibu dan bayi karena mengakibatkan berbagai komplikasi baik saat kehamilan dan persalinan.
Primary Amenorrhea et Hematocolpos et Hematometra e.c Transverse Vaginal Spetum Ahmad Hafid; Rodiani Rodiani; Marzuqi Sayuti
Jurnal Ilmiah Kesehatan Sandi Husada Vol 12 No 1 (2023): Jurnal Ilmiah Kesehatan Sandi Husada
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat Akademi Keperawatan Sandi Karsa (Merger) Politeknik Sandi Karsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35816/jiskh.v12i1.867

Abstract

Background: Amenorrhea is defined as the absence of menarche in females of reproductive age. Primary amenorrhea is the failure to reach menarche by age 13 with no secondary sexual characteristics if menarche has not occurred five years after initial breast development or if the patient is 15 years or older. A transverse vaginal septum is a rare congenital abnormality in Mullerian duct development that can cause primary amenorrhea. Transverse vaginal septum incidence ranges from 1:2.100 to 1:72.000. The surgical treatment should be carried out as early as possible to prevent vaginal stenosis. Objective: To describe a rare müllerian duct abnormality and its management. Methods: This study is a case report. Primary data was obtained through auto anamnesis, anamnesis, physical examination, and ultrasound workup. Result: A 15 years old girl complained of cyclical abdominal pain a year ago without a history of menstruation. Ultrasound examination showed signs of hematometra and hematocolpos. The septum location was approximately 3cm from the vaginal introitus. We performed simple excision of the septum, then the distal end of the vagina wall of the septum was sutured to the proximal end of the vaginal wall with a simple interrupted suture. The patient was then discharged in good condition. Conclusion: The transverse vaginal septum remains a rare anomaly of the female genital tract; the reasons for its discovery are highly variable according to its shape and location. Haematocolpos remains the main consequence of these septums. The management is based on surgery while considering the risks of postoperative stenosis and the repercussions on the upper genital tract.
Co-Authors Agatha Catherine Ahmad Hafid Aldiano Rachmantiawan Asep Sukohar Bagus Pratama Dea Selvia Dian Isti Angraini Dian Isti Angraini Dian Isti Angraini Dian Isti Angraini Duryat Duryat Efriyan Imantika Efriyan Imantika Efriyan Imantika Fitria Saftarina Imron Imron Intanri Kurniati Jovanka Ris Natalia Sinaga Marzuqi Sayuti Maya Ganda Ratna Melya Riniarti Merry Indah Sari Nabila Rayhan Yasmin Nisa Karima Nursilri meidania Ratna Dewi Puspita Sari Ricky Satria Risti Graharti Rizky Aprilia Wikayanti Sharlene Sabrina Suharmanto Suharmanto Trio Santoso Zahara Ayu Destrianti Zulfadli