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All Journal Althea Medical Journal Majalah Obstetri dan Ginekologi Molecular and Cellular Biomedical Sciences (MCBS) Indonesian Journal of Obstetrics & Gynecology Science JUXTA: Jurnal Ilmiah Mahasiswa Kedokteran Universitas Airlangga Pediomaternal Nursing Journal Jurnal Layanan Masyarakat (Journal of Public Service) Indian Journal of Forensic Medicine & Toxicology INDONESIAN MIDWIFERY HEALTH AND SCIENCES JOURNAL KESANS : International Journal of Health and Science
Muhammad Ilham Aldika Akbar
Departemen Obstetri GInekologi Fakultas Kedokteran Universitas Airlangga, Surabaya, Indonesia
Humanities Biochemistry, Genetics & Molecular Biology Chemistry Decision Sciences, Operations Research & Management Dentistry Education Environmental Science Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Physics Public Health Social Sciences Other

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KETIDAKSIAPAN BIDAN DALAM PERENCANAAN KEHAMILAN PADA WANITA DENGAN HIV/AIDS DI PUSKESMAS KOTA SURABAYA Amila Anasantrianisa; Muhammad Ilham Aldika Akbar; Pudji Lestari
Indonesian Midwifery and Health Sciences Journal Vol. 3 No. 2 (2019): Indonesian Midwifery and Health Sciences Journal, April 2019
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v3i2.2019.131-137

Abstract

Abstrak Latar Belakang: HIV merupakan sejenis virus yang dapat menyebabkan turunnya kekebalan tubuh manusia. Pada wanita hamil dengan HIV mempunyai kemungkinan melahirkan anak dengan HIV. Dalam tugasnya, bidan mempunyai peran untuk melakukan pencegahan penularan HIV/AIDS dari ibu ke anak, termasuk melakukan perencanaan kehamilan terhadap wanita dengan HIV/AIDS. Penelitian bertujua untuk mengetahui kesiapan bidan dalam perencanaan kehamilan pada wanita dengan HIV/AIDS. Metode: Penelitian deskriptif observasional dengan pendekatan cross sectional. Besar sampel sebanyak 88 bidan yang bekerja di 12 puskesmas wilayah Surabaya. Teknik sampling dilakukan sesuai dengan daftar puskesmas yang telah diberikan oleh Dinas Kesehatan Kota Surabaya. Variabel dalam penelitian yaitu pengetahuan, sikap, dan kesiapan bidan dalam perencanaan kehamilan pada wanita dengan HIV/AIDS. Hasil: Didapatkan mayoritas bidan berusia 23-32 tahun (62,5%) dan lama bekerja 1-10 tahun (71,6%). Puskesmas yang memiliki layanan PMTCT sebanyak 11 puskesmas (91,7%) dan 100% puskesmas mempunyai lembar balik HIV/AIDS. Sebagian besar bidan mempunyai pengetahuan baik (87,5%). Sebanyak (48,9%) bidan memiliki sikap negative dan (53,4%) bidan tidak siap dalam perencanaan kehamilan terhadap wanita dengan HIV/AIDS. Kesimpulan: Sebagian besar bidan tidak siap dan masih memiliki stigma negatif terhadap ODHA. Mayoritas bidan belum mengetahui keuntungan dan kerugian dari jenis persalinan pada ibu dengan HIV/AIDS serta belum mengetahui pemberian nutrisi pada bayi bagi ibu dengan HIV/AIDS.Abstract Background: HIV is a type of virus that can cause a decrease in human immunity. In pregnant women with HIV it is possible to give birth to children with HIV. In their duties, midwives have a role to prevent HIV / AIDS transmission from mother to child, including pregnancy planning for women with HIV / AIDS. The study aimed to determine the readiness of midwives in pregnancy planning in women with HIV / AIDS. Method: An observational descriptive study with cross sectional approach. The sample size was 88 midwives who worked in 12 Puskesmas in Surabaya. The sampling technique was carried out according to the list of health centers that had been given by the Surabaya City Health Office. The variables in the study were the knowledge, attitudes, and readiness of midwives in pregnancy planning in women with HIV / AIDS. Results: The majority of midwives aged 23-32 years (62.5%) and working duration 1-10 years (71.6%) were obtained. Puskesmas that have PMTCT services are 11 health centers (91.7%) and 100% puskesmas have a back sheet of HIV / AIDS. Most midwives have good knowledge (87.5%). As many as (48.9%) midwives have a negative attitude and (53.4%) midwives are not ready for pregnancy planning for women with HIV / AIDS. Conclusion: Most midwives are not ready and still have a negative stigma towards PLWHA. The majority of midwives do not yet know the advantages and disadvantages of the type of childbirth to mothers with HIV / AIDS and do not yet know the provision of nutrition to infants for mothers with HIV / AIDS. 
KOMPLIKASI KEHAMILAN DAN PERSALINAN PADA KEHAMILAN REMAJA Faqihati Husna; Muhammad Ilham Aldika Akbar; Rize Budi Amalia
Indonesian Midwifery and Health Sciences Journal Vol. 3 No. 2 (2019): Indonesian Midwifery and Health Sciences Journal, April 2019
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v3i2.2019.138-147

Abstract

AbstrakLatar Belakang: Menurut UNICEF, setiap lima kelahiran bayi terdapat satu bayi lahir dari ibu dengan usia dibawah 19 tahun. Kehamilan pada remaja usia 15-19 tahun di negara berkembang mencapai angka 21 juta. Kehamilan remaja merupkan masalah yang tersebar di seluruh dunia dan berdampak terhadap kesehatan ibu dan anak. (Mukhopadhyay, 2010), secara luas kematian yang disebabkan oleh kehamilan merupakan penyebab utama kematian anak perempuan usia 15-19 tahun (WHO, 2017). Remaja memiliki risiko komplikasi kehamilan yang tinggi, salah satunya adalah persalinan prematur,  IUGR dan pre-eklamsia. (Baker, 2007).Terjadi peningkatan risiko komplikasi sebesar 2 kali lipat pada kehamilan remaja dibandingkan kehamilan pada wanita usia 20-an (Utomo I. D., 2013), Penelitian ini bertujuan untuk mencari hubungan kehamilan remaja dengan komplikasi kehamilan dan persalinan. Metode: Penelitian ini menggunakan metode analitik observasional dengan pendekatan retrospektif cross sectional dengan jumlah sampel 40 dan diambil dengan teknik cosecutive sampling. Hasil: Komplikasi pada kehamilan remaja mencapai 60%. Hasil analisis hubungan kehamilan remaja dengan komplikasi kehamilan (p value= 0,0100 OR = 6), anemia ( p value 0,013 OR=7,364), defisiensi gizi p value=0,400), prekalmisa/eklamsia (p value =0,300), komplikasi persalinan (p value =1,000), persalinan SC (p value=1,000) dan KPD (p value =1,000). Kesimpulan: Pada penelitian ini kehamilan remaja berpengaruh pada komplikasi kehamilan dengan penyulit  dominan anemia dan tidak berpengaruh pada komplikasi persalinan.AbstractBackgrounds: According to UNICEF, every five babies born there is one baby born to a mother under the age of 19 years. Pregnancy in adolescents aged 15-19 years in developing countries reaches 21 million. Teenage pregnancy was a problem that spread throughout the world and had an impact on maternal and child health. (Mukhopadhyay, 2010), widely deaths caused by pregnancy are the main cause of death for girls aged 15-19 years (WHO, 2017). Adolescents had a high risk of pregnancy complications, one of which is premature labor, IUGR and pre-eclampsia. (Baker, 2007). There has been a 2-fold increase in the risk of complications in adolescent pregnancies versus pregnancies in women in their 20s (Utomo I. D., 2013). Methods: This study were observational analytic method with a retrospective cross sectional approach with 40 samples and was taken by cosecutive sampling technique. Results: Complications in adolescent pregnancy reach 60%. The results of the analysis of the relationship of adolescent pregnancies with complications of pregnancy showed (p value= 0,0100 OR = 6), anemia ( p value 0,013 OR=7,364), nutritional deficiency (p value=0,400), preeclampsia/eclampsia (p value =0,300), labor complications (p value =1,000), sectio caesaria (p value=1,000) dan premature rupture of membrane (p value =1,000)
PENGARUH IMT IBU HAMIL PREEKLAMPSIA DENGAN LUARAN PERINATAL Fadhilah Rahmawati; Muhammad Ilham Aldika Akbar; Atika Atika
Indonesian Midwifery and Health Sciences Journal Vol. 3 No. 2 (2019): Indonesian Midwifery and Health Sciences Journal, April 2019
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v3i2.2019.148-159

Abstract

Abstrak Latar belakang dan tujuan : Preeklampsia merupakan masalah komplikasi kehamilan yang menyumbang kematian ibu tertinggi di Jawa Timur. Preeklampsia dengan Indeks Massa Tubuh ibu obesitas akan meningkatkan perburukan luaran maternal dan perinatal. Penelitian ini bertujuan untuk menganalisis hubungan Indeks Massa Tubuh ibu preeklampsia dengan luaran maternal dan luaran perinatal. Metode: penelitian ini adalah analitik obsevasional dengan rancangan cross sectional, jumlah sampel 60 rekam medis ibu dan bayi baru lahir di Rumah Sakit Universitas Airlangga. Sampel terdiri dari ibu preeklampsia semua kategori IMT yaitu underweight, normal, overweight, obesitas grade I,II, dan III. Luaran perinatal yang diteliti adalah kematian perinatal, kelahiran prematur, IUGR (Intrauterine growth restriction), asfiksia, bayi berat lahir rendah,  Sindrom Respiratori Distres (SRD), sepsis, Necrotizing Enterocolitis (NEC) dan Intraventrikular Hemorrhage (IVH). Hasil: Indeks Massa Tubuh Ibu preeklampsia tidak berhubungan dengan luaran perinatal antara lain kelahiran prematur, IUGR, asfiksi, BBLR dan komplikasi dini Kesimpulan: tidak ada perbedaan luaran maternal dan luaran perinatal pada berbagai Indeks massa tubuh ibu preeklampsiaAbstract Background and purpose : Preeclampsia is a problem of the pregnancy complications that has the highest maternal mortality in East Java. Preeclampsia with body mass index of obese mothers will increase the deterioration in maternal and perinatal outcomes. This study aims to analyze the body mass index of preeclampsia mothers with maternal and perinatal outcomes. Methods: This is an observational with cross-sectional design study, a sample of 60 pregnant women and newborn medical records at Universitas Airlangga Hospital. The sample consisted of preeclamptic women in all categories of body mass index such as underweight, normal, overweight, obesity grade I,II, and III. The perinatal outcomes observed are perinatal death, preterm birth, Intrauterine Growth Restriction (IUGR), asphyxia, low birth weight, Respiratory Distress Syndrome (RDS), sepsis, Necrotizing Enterocolitis (NEC), and Intraventricular Hemorrhage (IVH). Results: There is no significant association between body mass index of preeclampsia with perinatal outcomes. Which include preterm birth, Intrauterine Growth Restriction (IUGR), asphyxia, low birth weight and early complications Conclusion: there were no difference on maternal and perinatal outcomes in all categories Body mass index of preeclamptic women
FACTORS AFFECTING THE DELAY OF DECISION MAKING TO RECEIVE HEALTH SERVICES IN PREECLAMPSIA PREGNANT MOTHERS AT RSUD MGR GABRIEL MANEK SVD ATAMBUA Monika Mongang Manuk; Muhammad Ilham Aldika Akbar; Ivon Diah Wittiarika
Indonesian Midwifery and Health Sciences Journal Vol. 5 No. 2 (2021): Indonesian Midwifery and Health Sciences Journal, April 2021
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v5i2.2021.160-173

Abstract

 AbstractBackground: Preeclampsia is one of the risk factors for complications and also contributes to the high rate of morbidity and mortality in mothers and babies. The Maternal Mortality Rate (MMR) at the Mgr. Gabriel Manek Hospital, SVD Atambua has continued to increase in the last three years, from 2017 to 2019. It was recorded that in 2019 there were 126 cases of severe preeclampsia and eclampsia with 5 cases of maternal death and 2 maternal causes of death. is eclampsia. In addition to the factors that cause maternal death, one of the contributing causes of maternal and infant mortality is caused by the speed at which decisions are made in the family. Pregnant women are at risk of experiencing maternal death if during the referral process they experience at least one of the three delays, namely being late in making the decision to be referred. This study aims to determine the factors that influence the delay in decision making in preeclampsia pregnant women. Methods: The type of research is observational analytic with a cross sectional design. Collecting data using primary data with a questionnaire instrument by interview and secondary data obtained from the register of maternity mothers and medical records. The number of samples is 30 respondents. The sampling technique used was total sampling. The data were processed and calculated using frequency tables and cross tabulations and then analyzed using Multiple Logistics Regression Analysis with a significance level of 5% (p = 0.05). Bivariate data analysis used fisher's exact test andtest cramer's v. Results: The results showed that the factors that caused delays in decision making were knowledge having a p-value of 0.006 (OR 2.293, 95% Cl: 0.481-10.918), confidence having a p-value of 95%: 0.002-0.513, health insurance having p-value 0.010 (OR 0.000, 95% Cl: 0.000). Multivariate analysis shows that work is the most dominant factor in delaying decision making compared to other factors, and it can be concluded that the more working mothers, the smaller the delay, and the more mothers who do not work, the greater the delay in making decisions to get health services. . Conclusion: There is a relationship between knowledge, belief, occupation, and health insurance on the delay in decision making.
Neonatal Death in Women with Severe Preeclampsia Receiving Conservative Management: Literature Review Intan Dewi Angia Sari; Muhammad Ilham Aldika Akbar; Atika Atika
Jurnal KESANS : Kesehatan dan Sains Vol 1 No 10 (2022): KESANS: International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v1i10.93

Abstract

Introduction: In developing countries that still have places with inadequate supporting facilities, equipment and limited trained personnel, infants less than 37 weeks may still be at high risk for severe complications and even death if active management or termination is carried out, so conservative care is recommended. Object: The aim of this study was to analyze the perinatal outcome of neonatal mortality in women with severe preeclampsia who received conservative management. Method: This study uses a literature review method which includes searching for articles in electroncic research journal databases. Search articles using Scopus and Google Scholar with no year limit. The keywords used in the search were Preeclampsia, Conservative Management, Expectative Management, and Perinatal Outcomes. A total of 637 articles were obtained, and six articles were analyzed based on the research setting, design study, samples characteristics, and research results for each article. Results and Discussion: of this study are conservative management of women with severe preeclampsia can reduce neonatal mortality rates in care in developed countries, but still shows high rates of care in developing countries. Conclusion: of the results, this study indicate that conservative management can improve maternal outcomes in the form of neonatal mortality in developed countries
Defisiensi Mikronutrisi (Zat Besi, Magnesium, Zinc, Kalsium, Vitamin D, Asam Folat, Vitamin C, Vitamin E, dan Omega 3) pada Preeklamsia Muhammad Ilham Aldika Akbar; Bayu Agung Sangkara Putra
Indonesian Journal of Obstetrics & Gynecology Science Volume 5 Nomor 2 September 2022
Publisher : Dep/SMF Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/obgynia/v5n2.432

Abstract

Preeklamsia masih menjadi penyebab utama mortalitas dan morbiditas maternal neonatal di Indonesia. Preeklamsia disebabkan oleh multifaktorial yang ujungnya akan berakhir dengan terjadinya disfungsi endotel vaskular dan manifestasi klinis sistemik. Indonesia merupakan salah satu negara berkembang dengan masalah besar yang terkait dengan nutrisi. Tingginya angka stunting dan malnutrisi pada anak-anak, remaja, dan ibu hamil merupakan masalah nasional yang menjadi perhatian utama. Defisiensi nutrisi khususnya mikronutrisi ditunjukkan dari berbagai penelitian memiliki kaitan dengan terjadinya hipertensi dalam kehamilan. Pada artikel ini kami akan membahas mengenai peran dan keterkaitan mikronutrisi (Zat besi, magnesium, zinc, kalsium, vitamin C, D, E, dan DHA) dengan terjadinya preeklamsia. AbstractIn Indonesia, preeclampsia continues to be the leading cause of maternal and infant morbidity and mortality. A complex etiology for preeclampsia led to vascular endothelial dysfunction and a widespread clinical presentation. Indonesia is a developing nation with significant nutrition-related issues. The key cause for concern is the high rate of stunting and malnutrition in children, adolescents, and pregnant women. Micronutrient deficits in particular have been linked to the development of hypertensive disorders in pregnancy. In this post, we will discuss about how micronutrients like iron, magnesium, zinc, calcium, and the vitamins C, D, E, and DHA might affect in the development of preeclampsia.
Clinical Profile of Menopause Women in Batam, Makassar, and Surabaya Nadira Zahra Maulidya Permana; Pudji Lestari; Muhammad Ilham Aldika Akbar; Indra Yuliati
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/v6n1.450

Abstract

Objective:This study aimed to find out the clinical profile of menopause women aged 45-65 years old in Batam, Makassar, and Surabaya.Methods: This study was an observational descriptive study using total sampling. This research was obtained from primary data, which obtained from women aged 45-65 years using an instrument in the form of a questionnaire. During the data collection period from February to July 2022 with a total of 75 menopause sample. The clinical changes data collected was menopause symptoms which assessed using Menopause Rating Scale (MRS). The data analyzed using Microsoft® Excel 2021 and presented in a form of table and diagram.Result: The most prevalent symptoms experienced by the sample of menopause women in Batam, Makassar, and Surabaya were physical and mental exhaustion as much as 63 samples (84%), followed by joint and muscular discomfort as much as 61 samples (81,33%), and sexual problems with a total of 52 samples (69,33%).Conclusions: The starting age of menopause of most of the sample were 45-55 years old. Most of the sample experienced physical and mental exhaustion and they experienced mild symptoms due to sociodemographic factors. Based on this research, it was found that education plays an important role to increase the awareness of menopause women regarding the symptoms and how to cope with it.Profil Klinis Wanita Menopause di Batam, Makassar, dan SurabayaAbstrakTujuan: Penelitian ini bertujuan untuk mengetahui profil klinis dari wanita perimenopause dan menopause berumur 45-65 tahun di Batam, Makassar, dan Surabaya.Metode: Penelitian ini merupakan penelitian deskriptif observasional dengan menggunakan total sampling. Penelitian ini diperoleh dari data primer yang diperoleh dari wanita usia 45-65 tahun dengan menggunakan kuesioner. Selama periode pengumpulan data dari Februari sampai Juli 2022, terdapat 75 sampel menopause. Data perubahan klinis yang digunakan adalah gejala menopause yang dinilai menggunakan Menopause Rating Scale (MRS). Data dianalisis menggunakan Microsoft® Excel 2021 dan disajikan dalam bentuk tabel dan diagram.Hasil: Gejala yang paling banyak dialami sampel wanita menopause di Batam, Makassar, dan Surabaya adalah kelelahan fisik dan mental sebanyak 63 sampel (84%), diikuti ketidaknyamanan sendi dan otot sebanyak 61 sampel (81,33%), dan masalah seksual sebanyak 52 (69,33%) sampel. Kesimpulan: Usia dimulainya menopause pada sebagian besar sampel adalah 45-55 tahun. Sebagian besar sampel mengalami gejala kelelahan fisik dan mental dan gejala yang dialami ringan karena faktor sosiodemografi. Berdasarkan penelitian ini ditemukan bahwa pendidikan berperan penting dalam meningkatkan kesadaran wanita menopause terkait gejala yang muncul dan cara mengatasinya.Kata kunci: Menopause, Kualitas hidup menopause, Skala Penilaian Menopause, Gejala menopause, Perimenopause
Co-Authors Aditiawarman Aditiawarman - Amelia Rahmah Kartika Amila Anasantrianisa Atika Atika Atika Atika Bayu Agung Sangkara Putra Budi Santoso BUDI UTOMO Ernawati Ernawati Ernawati Ernawati Fadhilah Rahmawati Faqihati Husna Hapsari Kinanti Haris Rasyid Ridho Indah Mayang Sari Indra Yuliati Intan Dewi Angia Sari Ivon Diah Wittiarika Izzati Dwi Lady Aqnes Kurniawati Lucyana Septia Pramita Made Chindy Dwiyanti Marheni Putri Martono Tri Utomo Monika Mongang Manuk Muhammad Ardian Cahya Laksana Nadira Zahra Maulidya Permana Nuzulul Azizah Ramdan Wulandari Pudji Lestari Pudji Lestari Pudji Lestari Pudji Lestari Rize Budi Amalia Umiastuti, Pirlina Widati Fatmaningrum Widati Fatmaningrum