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STUDI PREVALENSI DAN KARAKTERISTIK IBU BBLR DI RSUD DR. R. GOETENG TAROENADIBRATA PURBALINGGA Ema Wahyuningrum
Viva Medika Vol 10 No 1 (2017)
Publisher : Universitas Harapan Bangsa Purwokerto

Infant Low Birth Weight (LBW) is still a problem in the health sector especially perinatal health. The prevalence of LBW estimated 15% of all births in the world with limits from 3.3 to 38%. Nationally, the numbers of LBW in 2007 was 11.1% experienced a slight decline of about 10.2% in 2013. About 56% of infant deaths occurr in the neonatal and most neonatal deaths occur in 0-6 days (78.5%), mostly caused by LBW. The proportion of LBW had increased for a period of five years ie 2011-2015 increased. This study aims to determine the prevalence and characteristics of mothers who give birth with low birth weight in RSU Goeteng Taroenadibrata Purbalingga. This research is quantitative descriptive design. Sampling in this study using total sampling, which were all mothers who gave birth in category of low birth weight in RSU Goeteng Taroenadibrata Purbalingga of years 2013-2015, a number of 512 respondents. Results showed that prevalence of LBW in dr. R. Goeteng Taroenadibrata Purbalingga year 2013-2015 amounted to 16.1%, largely on the classification LBW. Prevalence of LBW is 93.2%, there is an increased prevalence of LBW in 2013-2015, most LBW occurred at the age of the mother is not at risk (20- 35 years) amounted to 73.8%, gestational age are not at risk (> 37 weeks) amounted to 51.6%, did not give birth to Gemelli 85.5%, 52.3% multiparous parity, women with complications of pregnancy amounted to 68.9%. The hospital is expected to publish policies for health workers and pregnant women about the preventive efforts of LBW. Keywords: Prevalence, Characteristics, Mother with LBW Infant

GAMBARAN FAKTOR PENYAKIT IBU YANG BERISIKO TERHADAP KEJADIAN BBLR DI RSUD DR. MARGONO SOEKARJO PURWOKERTO Ema Wahyuningrum; Etika Kurnia Utami
Viva Medika Vol 5 No 2 (2012)
Publisher : Universitas Harapan Bangsa Purwokerto

Background: The incidence of Low Birth Weight (LBW) in Indonesia by 9% -30%, while in theHospital Prof. Dr. Margono Soekarjo LBW incidence in 2011 there 821 (22.44%) of the total3658 deliveries. One cause of low birth weight is a factor of maternal disease such as malaria,sexually transmitted infections, HIV or AIDS, TORCH, anemia, ante partum haemorrhage,hypertension, severe preeclampsia, bladder infection Objectives: To determine the incidence of pregnancy complication factors of maternal with LowBirth Weight Infants (LBW) in hospitals Prof Dr. Margono Soekarjo in 2011. Methods: Thestudy is descriptive method with a retrospective approach, its population was all mothers whodelivered LBW birth in hospitals Prof. Dr. Margono Soekarjo in 2011 as many as 517 maternal,Quata sampling techniques using sampling with a sample of 100 maternity. Secondary type ofdata using the data and instruments used are the master table and analysis data usingpercentage. Results: Most LBW common among women who did not have a maternal diseasefactor ( 50 % ), followed LBW caused by preeclampsia ( 43 % ) , antepartum hemorrhage ( 4 % )and the smallest hypertension ( 1 % ) . Most LBW occurs in many mothers do not have thedisease factors and gestation of prematurity ( 32 % ), and low birth weight occurred in womenwith the disease preeklampsi with gestational age preterm ( 21 % ) . Key words: factor of maternal disease, Infant with Low Birth Weight (LBW)

KARAKTERISTIK AKSEPTOR INTRA UTERINE DEVICES (IUD) DI KECAMATAN PURWOKERTO TIMUR KABUPATEN BANYUMAS TAHUN 2013 Ema Wahyuningrum; Sindhy Desitavani
Viva Medika Vol 6 No 1 (2013)
Publisher : Universitas Harapan Bangsa Purwokerto

IUD is a long-term contraceptives with low side effects but demand is still lessthan the syringe and pills. In Banyumas with EFA number as many as 1,752,846people only 27 149 votes (11.12%) who use IUD. Based on the pre-survey, in2013 the most IUD acceptors in District Purwokerto, Banyumas Regency East anumber of 1624 votes (24.06%).The purpose of this study to investigate thecharacteristics of IUD acceptors in District Purwokerto, Banyumas Regency Eastin 2013 based on education, occupation, age, and socio-economics.This study was descriptive quantitative method with cross sectional approach.This study uses secondary data. The population in this study were all IUDacceptors in the subdistrict of East Purwokerto, Banyumas regency in 2013 whichamounted to 1,624 people. Sampling in this study using a quota sample with asample of 163 acceptors.From the results, the acceptor who choose IUDcontraception is women who are highly educated, working, aged> 35 years andhave a good social economy. Keywords: Characteristics, Acceptors, Intra Uterine Devices

ANALISIS HUBUNGAN ANTARA BBLR DAN PREMATURITAS DENGAN IKTERUS NEONATORUM DI RSUD PROF. DR. MARGONO SOEKARJO PURWOKERTO Ema Wahyuningrum; Erni Septiyani
Viva Medika Vol 6 No 2 (2013)
Publisher : Universitas Harapan Bangsa Purwokerto

Background: Jaundice is also a symptom that is often found in newborns . The incidence ofjaundice in newborns ( BBL ) ranges from 50 % in term infants and 75 % in preterm infants .Survey data in hospitals Prof. Dr. Margono Soekarjo Purwokerto there are 614 cases ofjaundice in 2010 and in 2011 there was an increase to as many as 635 ( 15.7 % ) JaundiceNeonatorum . Objectives: To analysis the relationship between LBW and preamturitas againstjaundice Neonatorum in hospitals Prof. Dr. Margono Soekarjo in Methods: The study was adescriptive correlation method with retrospective approach, the population is 635 as neonatal,using sampling techniques quata sampling with a sample of 100 neonates, the instrument used isthe master table, and useful analysis of data using Chi Square .Results: No association was lbwto jaundice in the hospital Neonatorum Prof. Dr. Margono Soekarjo Purwoerto the value of p(Sig) 0.554. Prematurity No relation to neonatal jaundice in the hospital Prof. Dr. MargonoSoekarjo Purwokerto the value of p (Sig) 0.807. Conclusion: There was no association of LBWand prematurity in the hospital for jaundice Neonatorum Prof. Dr. Margono SoekarjoPurwokerto. Key words: : LBW, Prematurity and jaundice Neonatorum

GAMBARAN FAKTOR RISIKO KEJADIAN BAYI BERAT LAHIR RENDAH (BBLR) DI RSUD dr. R. GOETENG TAROENADIBRATA PURBALINGGA TAHUN 2013 Ema Wahyuningrum; Etika Ervanti
Viva Medika Vol 7 No 1 (2014)
Publisher : Universitas Harapan Bangsa Purwokerto

Infant Low Birth Weight (LBW) is a newborn whose weight at birth of less than 2500 grams (upto 2499 grams). The cause of LBW in general because of several factors, including maternalfactors such as disease (anemia, bleeding, IMS, premature rupture of membranes, preeklampsiand eclampsia), age, parity, socioeconomic circumstances. Fetal factors such as infection of thefetus and multiple pregnancies, as well as environmental factors. In dr. R. GoetengTaroenadibrata Purbalingga, LBW in 2013 as many as 237 cases (19.47%).The study aims todescribe risk factors of low birth weight (LBW) by maternal factors in dr. R. GoetengTaroenadibrata Purbalingga 2013. This research is descriptive quantitative research with crosssectional study with retrospective time approach. Sampling in this study using total sampling,sample of this research is all infants with low birth weight based medical record dr. R. GoetengTaroenadibrata Purbalingga the year 2013 as many as 237 cases. Measuring instruments usedmaster table and type of data is secondary data. Data were analyzed using univariate. The resultshowed a risk factor for low birth weight by the age of majority is 20-35 years as many as 101respondents (65.3%), based on the parity mostly primiparas total of 133 respondents (56.1%)and by disease or pregnancy complications mostly experienced respondent is preeclampsia were92 respondents (38.8%). Risk factors of low birth weight (LBW) in dr. R. GoetengTaroenadibrata Purbalingga in 2013, mostly aged 20-35, primiparous parity and have a historyof preeclampsia. Keywords: risk factors, Infant Low Birth Weight (LBW)

FAKTOR RISIKO KEJADIAN ABORTUS PADA IBU HAMIL DI RSUD CILACAP Ema Wahyuningrum; Ade Rizki
Viva Medika Vol 7 No 2 (2014)
Publisher : Universitas Harapan Bangsa Purwokerto

ccording to the MOH in 2010, the direct cause of maternal deaths in Indonesia related to pregnancyand childbirth, especially that of bleeding (28%), then that is pre-eclampsia (24%), infection (11%),complications of puerperium (8%), prolonged labor / loss (5%), abortion (5%), and others (14%).Although abortion is not the biggest cause of maternal mortality, but the incidence of this requiresmore attention because abortion can cause complications such as bleeding, perforation, sepsis, andshock which can ultimately lead to maternal death. Hospital Cilacap in the incidence of abortion in2012 as many as 331 cases (12.7%) of pregnant women in 2595, increased in 2013 as many as 355cases (13.8%) out of 2557 pregnant women. The purpose of this study to know the description of riskfactors associated with abortion in pregnant women in hospitals Cilacap in 2013 based on maternalage, parity, history of abortion, and pregnancy spacing. This research method using retrospectivestudy approach. This study uses secondary data taken in August, 2013 in General Hospital Cilacap.Sampling using sampling saturated with the number of 355 respondents. The results showed riskfactors associated with abortion based mostly on the mother's age 20-35 years of age as many as 227pregnant women (63.94%), risk factors associated with abortion based largely on a parity paritymultiparas as many as 154 pregnant women (43.38 %), risk factors associated with abortion based onthe history of abortion mostly occurs in women who have never experienced abortion as many as 241pregnant women (67.88%), and the risk factors associated with abortion based on the distancepregnancy mostly occurs in pregnant women with pregnancy spacing â‰¥2 years of the 177 pregnantwomen (49.85%). Keywords: abortion, pregnant women

HUBUNGAN ANTARA RIWAYAT PENYAKIT DM DENGAN KEJADIAN PREEKLAMSIA PADA IBU BERSALIN DI RSUD PROF. Dr. MARGONO SOEKARDJO PURWOKERTO Ema Wahyuningrum; Nurhoeriyah -
Viva Medika Vol 8 No 1 (2015)
Publisher : Universitas Harapan Bangsa Purwokerto

Maternal mortality rate in Indonesia is still high and is a major concern for health development in Indonesia. Preeclampsia is a cause of maternal and perinatalmortality is high, especially in developing countries like Indonesia. Past medicalhistory is a factor of preeclampsia. Existing conditions can include diabetes mellitus,heart disease and hypertension. Hospital Prof. Dr. Margono Soekarjo is the biggestreferral hospital in Banyumas regency, the data obtained the incidence ofpreeclampsia in the year 2011 as many as 374 cases (16.12%), in 2012 as many as551 cases (16.59%) and increased in the year 2013 as many as 555 cases (16.46%).The aim of research to determine the relationship between a history of DM diseasewith an incidence of preeclampsia in women giving birth in hospitals Prof. Dr.Margono Soekarjo Purwokerto. This research is descriptive correlation withretrospective approach, the population of all women giving birth in hospitalsProf.Dr.Margono Soekarjo Purwokerto in 2013 as many as 3371 women giving birth,the sampling technique is purposive sampling with 97 women who developpreeclampsia. The type of data using secondary data and instrument used mastertables as well as data analysis using Chi-square. The result showed a large majorityof respondents do not have a history of diabetes were 51 respondents (52.6%), mostlyexperienced preeclampsia of 50 respondents (51.5%). There is a relationship betweena history of DM with the incidence of preeclampsia in maternal (Ã¾-value (0.003) <Î± (0.05). There is a relationship between a history of diabetes mellitus withpreeclampsia Keywords: history of diabetes mellitus, preeclampsia, Mother Maternity

HUBUNGAN ANTARA RIWAYAT HIPERTENSI DENGAN KEJADIAN PREEKLAMSIA PADA IBU BERSALIN DI RSUD PROF. Dr. MARGONO SOEKARDJO PURWOKERTO Ema Wahyuningrum; Nurhoeriyah -
Viva Medika Vol 8 No 2 (2015)
Publisher : Universitas Harapan Bangsa Purwokerto

Maternal mortality rate in Indonesia is still high and is a major concern for health development in Indonesia. Preeclampsia is a cause of maternal and perinatalmortality is high, especially in developing countries like Indonesia. Past medicalhistory is a factor of preeclampsia. Existing conditions can include diabetes mellitus,heart disease and hypertension. Hospital Prof. Dr. Margono Soekarjo is the biggestreferral hospital in Banyumas regency, the data obtained the incidence ofpreeclampsia in the year 2011 as many as 374 cases (16.12%), in 2012 as many as551 cases (16.59%) and increased in the year 2013 as many as 555 cases (16.46%).The aim of research to determine the relationship between a history of hypertensionwith preeclampsia in women giving birth in hospitals Prof. Dr. Margono SoekarjoPurwokerto. This research is descriptive correlation with retrospective approach, thepopulation of all women giving birth in hospitals Prof.Dr.Margono SoekarjoPurwokerto as many as 3371 women giving birth, the sampling technique ispurposive sampling with 97 women who develop preeclampsia. The type of datausing secondary data and instrument used master tables as well as data analysisusing Chi-square. The result showed the majority of respondents do not have ahistory of hypertension as much as 54 respondents (55.7%), mostly experiencedpreeclampsia of 50 respondents (51.5%). There is a relationship between a history ofhypertensive disease with an incidence of preeclampsia in maternal (Ã¾-value (0.005)<Î± (0.05). There is a relationship between a history of hypertension withpreeclampsia Keywords: history of hypertension, preeclampsia, Mother Maternity

HUBUNGAN ANTARA KOMUNIKASI DENGAN IMPLEMENTASI MANAJEMEN BBLR SEHAT OLEH BIDAN DESA DI KABUPATEN PURBALINGGA Ema Wahyuningrum
Viva Medika Vol 9 No 1 (2016)
Publisher : Universitas Harapan Bangsa Purwokerto

The incidence of Low Birth Weight Baby (LBWB) and the neonatal mortality rate caused by LBW in Purbalingga District at 2010-2012 was high, although almost allof LBWBs classificated as Healthy. Healthy LBWB management was one of effortsto improve Healthy LBWB service quality in order to reduce infant mortality rate dueto LBWB. The study obective was to analyse factors affecting the implementation ofhealthy LBWB by village midwives in Purbalingg District. This was an observationalanalytic study with a cross sectional approach. The population were all of villagemidwives who attained LBWB management training. Subjects were 36 villagemidwives who were randomly selected from all Primary Health Centre inPurbalingga. The collecting data was held by interview with a structuredquestionnare and observations. The dependent variables was the implementation ofhealthy LBWB management; independent variables were communication, resources(staff and funding), disposition and bureaucracy structure. Chi Square, Fisherâ€™sExact tests were used in data analysis. Results of the study showed that the averageage of midwives were 33.1Â±.,5 years and the average working period of midwiveswere 11.2Â±5.5 years. All of the midwives has graduated from midwifery academics(DIII). The Implementation of LBWB healthy management is mostly good (72,2%),communication is mostly good (55,6%), Communication (p=0.002) associated to theimplementation of Healthy Low Birth Weight Baby Management. Keywords : Communication, Implementation, management of healthy low birthweight baby, village midwives.

KORELASI ANTARA STATUS GIZI ANEMIA DENGAN BERAT BADAN DAN PANJANG BADAN BAYI BARU LAHIR Ema Wahyuningrum
Viva Medika Vol 10 No 2 (2017)
Publisher : Universitas Harapan Bangsa Purwokerto

Nutritional status during pregnancy will affect the nutritional status of newborns. Anemia and in pregnancy can affect the growth and development of the fetus during pregnancy and thereafter such as LBW, stunting at infants and toddlers. RSUD dr. R. Goeteng Taroenadibrata as Referral Hospital from Puskesmas inside and outside Purbalingga. The aim of this research is to know the relationship of nutritional status during pregnancy to the weight and length of newborn. Analytic survey research design with cross sectional approach. Sampling technique using puposive sampling, sample of pregnant woman's research is not anemia 20 people and anemia 20 people. Univariate data analysis was in the form of frequency distribution, bivariate analysis in the form of chi square and strength of relationship seen from OR parameter. The result of the research showed that there was correlation between anemia pregnant mother with newborn's body length (p = 0,022) and newborn weight (p = 0,001 ). Anemic pregnant women have 4.8 chances of having a short body length compared to mothers not anemic. Anemic pregnant women have a 9.3 times chance of having LBW compared to mothers not anemic. The health worker handles pregnancy with anemia as early as possible to prevent the growth and development of the fetus. Keywords: Nutritional Status of anemia, birth weight, baby's length

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