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Journal : Medula

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.
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).
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.