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Sexual Dysfunction in Post-Episiotomy and Post-Cesarean Mothers Mairo, Queen Khoirun Nisa; Nugrahini, Evi Yunita
Health Notions Vol 1 No 3 (2017): July-September 2017
Publisher : Humanistic Network for Science and Technology (Address: Cemara street 25, Ds/Kec Sukorejo, Ponorogo, East Java, Indonesia 63453)

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Sexual Dysfunction in Post-Episiotomy and Post-Cesarean Mothers  

PENGARUH PAPARAN ASAP ROKOK PADA IBU HAMIL TERHADAP KEJADIAN BBLR Istiqomah, Anisa Ikhlasani Nur; Sukesi, Sukesi Sukesi; Nugrahini, Evi Yunita
Jurnal Bidan Pintar Vol 2, No 2 (2021): November 2021
Publisher : Universitas Kadiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30737/jubitar.v2i2.1690

Abstrak Bayi berat lahir rendah (BBLR) merupakan salah satu permasalahan yang masih menjadi salah satu penyebab tingginya angka kematian bayi (AKB). Salah satu faktor penyebab BBLR disebabkan oleh paparan asap rokok saat hamil yang dapat terjadi dari ibu perokok maupun lingkungan ibu yang terpapar asap rokok. Tujuan penelitian ini adalah untuk mengetahui pengaruh paparan asap rokok pada ibu saat hamil terhadap kejadian BBLR di wilayah Puskesmas Panekan. Jenis penelitian yang akan digunakan adalah penelitian survey analitik Penelitian ini dirancang dengan rancangan case control menggunakan pendekatan retrospective. Populasi menggunakan ibu hamil yang terpapar asap rokok ringan, sedang, dan berat sebanyak 128 orang. Variabel independent adalah paparan asap rokok dan variabel dependent adalah kejadian BBLR. Alat ukur data menggunakan rekam medik, kuesioner, dan lembar pengumpul data. Analisis data menggunakan crosstabs correlation Kendall’s Tau-c untuk tabel 3x2 dan uji Mann Whitney-U test untuk menganalisis perbedaan pada kelompok kasus dan control dengan taraf signifikansi 0,05.Hasil penelitian adalah hampir separuh dari responden yaitu ibu, terpapar asap rokok berat. Sebagian kecil ibu melahirkan bayi dengan BBLR. Hasil anlisis crosstabs correlation Kendall’s Tau-c pada pengaruh paparan terhadap BBLR didapatkan nilai p= 0,08 (p>0,05). Analisis menggunakan Mann Whitne-U Test didapatkan nilai p=0,287 (p>0,05), dari kedua analisis tersebut H0 diterima.Berdasarkan uraian diatas dapat disimpulkan bahwa tidak ada pengaruh dan perbedaan antara kejadian BBLR dengan paparan asap rokok pada ibu saat hamil di Wilayah Puskesms Panekan Magetan, sehingga kemungkinan kejadian BBLR tersebut dipengaruhi oleh faktor-faktor yang lainnya. Saran bagi penelitian selanjutnya sebagai pertimbangan bagi peneliti untuk menambahkan variabel-variabel lain terkait BBLR.

Efektifitas Metode Ceramah dan Focused Group Discussion (FGD) dalam Meningkatkan Pengetahuan dan Sikap Wanita Usia Subur Mengenai Keluarga Berencana (KB) Evi Yunita Nugrahini; Titi Maharrani
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 10, No 1 (2019): Januari 2019
Publisher : FORIKES

The launching of the Family Planning program by the government has been going on for a long time, but the scope of this program in some regions is still low, one of which is influenced by knowledge and attitudes about family planning. The purpose of this study was to determine the effectiveness of health education with lecture methods and FGD to improve the knowledge and attitudes of fertile age women about family planning. This study used pre-post test group design. Data collection was done using a questionnaire, then analyzed using Paired sample T-Test. The results of data analysis showed that health education with lecture and FGD methods was able to increase the knowledge of reproductive age women about family planning, but for attitude changes, the FGD method was more effective. Keywords: lecture, focused group discussion, family planning ABSTRAK Pencanangan program Keluarga Berencana oleh pemerintah telah berlangsung lama, namun cakupan program ini di beberapa wilayah masih rendah, yang salah satunya dipengaruhi oleh pengetahuan dan sikap tentang keluarga berencana. Tujuan penelitian ini adalah untuk mengetahui efektifitas pendidikan kesehatan dengan metode ceramah dan FGD untuk meningkatkan pengetahuan dan sikap wanita usia subur tentang Keluarga Berencana. Penelitian ini menggunakan pre-post test group design. Pengumpulan data dilakukan dengan menggunakan kuesioner, lalu dianalisis menggunakan Paired sample T-Test. Hasil analisis data menunjukkan bahwa pendidikan kesehatan dengan metode ceramah maupun FGD mampu meningkatkan pengetahuan Wanita Usia Subur tentang keluarga berencana, tetapi untuk perubahan sikap, metode FGD lebih efektif Kata kunci: ceramah, focused group discussion, keluarga berencana

HUBUNGAN USIA, PARITAS DENGAN KETUBAN PECAH DINI DI PUSKESMAS JAGIR SURABAYA Titi Maharrani; Evi Yunita Nugrahini
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 8, No 2 (2017): April 2017
Publisher : FORIKES

Ketuban pecah dini merupakan masalah penting dalam penyulit kelahiran yang menyebabkan meningkatnya morbiditas dan mortalitas ibu dan bayi. Ada beberapa faktor yang dapat menyebabkan terjadinya KPD, beberapa diantaranya adalah umur dan paritas ibu bersalin. Berdasarkan studi pendahuluan di VK Puskesmas Jagir Surabaya menunjukan bahwa KPD terjadi peningkatan tiap tahunnya yaitu KPD tahun 2010 sejumlah 22,7%, jauh dari angka KPD yang diharapkan yaitu 5-8%. Judul penelitian ini adalah Hubungan Umur, Paritas dengan Kejadian Ketuban Pecah Dini pada Ibu Bersalin. Tujuan penelitian ini hanya untuk mengetahui hubungan umur, paritas dengan kejadian ketuban pecah dini di VK Puskesmas Jagir Surabaya. Jenis penelitian ini bersifat analitik observasional dan menggunakan metode cross sectional. Populasinya seluruh ibu bersalin di VK Puskesmas Jagir Surabaya periode tahun 2011 berjumlah 443 orang. Sampel berjumlah 144 dari ibu bersalin. Pengambilan sampel dilakukan dengan Simple Random Sampling. Variabel pada penelitian ini terdiri atas variabel bebas yaitu umur dan paritas ibu bersalin dan variabel tergantung yaitu kejadian ketuban pecah dini. Instrumen penelitian berupa lembar pengumpul data. Analisa data menggunakan uji khi kuadrat dari Yates untuk variabel usia dan uji khi kuadrat dari Pearson untuk variabel paritas dengan tingkat kemaknaan α = 0,05. Hasil penelitian didapatkan dari 144 ibu bersalin terdapat sebagian besar (53,47%) dengan usia beresiko dan sebanyak 64,93% terjadi KPD, ibu bersalin multipara yang sebagian besar (57,38%) terjadi ketuban pecah dini. dan pada ibu bersalin primipara sebagian besar (75,68%) tidak terjadi ketuban pecah dini. Hasil uji khi kuadrat dari Yates didapatkan pada variabel usia χ² hitung (91.514,38) > χ² tabel (3,84), dan pada variabel paritas χ² hitung (11,73) > χ² tabel (5,99), maka H_1 diterima. Pada penelitian ini dapat disimpulkan bahwa hubungan umur, paritas dengan kejadian ketuban pecah dini pada ibu bersalin.

Combination Early Initiation of Breastfeeding and Oxytocin Massage Increase Prolactin Levels Titi Maharrani; Evi Yunita Nugrahini
Health Notions Vol 6, No 01 (2022): January
Publisher : Humanistic Network for Science and Technology (HNST)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hn60107

Introduction: Breastmilk (ASI) is the best food for babies up to 2 years of age or older. By providing breast milk (ASI) reduces the risk of various infections and other diseases. The study aimed to identify the effect of the combination of IMD and Oxytocin Massage on Prolactin Hormone Levels in Post-partum Women. Methods: This research design was quasy experimental with post test only control group design. The sample of this research was taken by simple random sampling of 40 postpartum who were then divided into 4 groups (each group 10 postpartum) consisting of 1 control group and 3 treatment groups. The dependent variable was early breastfeeding initiation and oxytocin massage, while the dependent variable was the level of hormone prolactin. Our treatment was oxytocin massage which given for 3 days from the first until the third day of puerperium. Oxytocin massage given two times a day at 08.00 and 16.00 for 3 minutes every treatment. Measurement of prolactin hormonelevels through serum taken on day 3 post partum. Prolactin hormone levels were examined at the Kedungdoro Laboratory using the ELFA method. Results: Anova test results in the four groups resulted in a p-value of 0.000, which means that there was a significant difference in the mean prolactin levels between the control group and the treatment group. Conclusion: All normal postpartum mothers are given a combination of IMD and oxytocin massage so that it can increase prolactin hormoneand the success of exclusive breastfeeding. Keywords: early initiation of breastfeeding; oxytocin massage; prolactin hormone

Sexual Dysfunction in Post-Episiotomy and Post-Cesarean Mothers Queen Khoirun Nisa Mairo; Evi Yunita Nugrahini
Health Notions Vol 1, No 3 (2017): July-September
Publisher : Humanistic Network for Science and Technology (HNST)

Background: According to the WHO, ''sexual health is a stable physical, emotional, mental and social wellbeing with regard to sexuality, and not merely the absence of disease, dysfunction or weakness. The objective of the study determined differences in sexual dysfunction between postpartum mother and episiotomy and post seksio cecarea. Method: This research use cross sectional method. The population in this study were all postpartum 6 months in RSUD Dr. M. Soewandhie Surabaya, with a total of 125 people. Instrument of data collection using questionnaire which have been made before. The questionnaire was adopted from the Consensus Development Conference on Female Sexual Dysfunction, the FSFI questionnaire. Statistical analysis using Chi Square test. Results and Analysis: The significance analysis on sexual function of both groups, overall in this study there was a statistically significant difference in the total FSFI score (p = 0.001), in which sexual dysfunction was categorized in total FSFI score ≤26.55. Discussion and Conclusion: It is concluded that there are significant differences in sexual function of women after vaginal delivery with episiotomy compared with post-cesarean. Sexual dysfunction should be on the agenda in the post-natal services, given that most women at that time had not started sexual activity. Keywords: Sexual dysfunction, Post-episiotomy, Post-Cecarean

Predisposing, Enabling, and Reinforcing Factors Influencing Punctuality of Initial Pregnancy Visits Titi Maharrani; Evi Yunita Nugrahini
Aloha International Journal of Health Advancement (AIJHA) Vol 1, No 5 (2018): NOVEMBER
Publisher : Alliance oh Health Activists (AloHA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/aijha10501

Introduction: Health services for pregnant mother is given by the health workers and must qualifying the minimum standard. Assessment for implementation of health services could be remained through acquisition of K1 and K4. This research is supposed to see how predisposing, enabling and reinforcing factors influence the punctuality of initial pregnancy visits. Methods: This analytical research with Cross Sectional design took a place at PMB in North Surabaya Region with total sample as much as 101 person using stratified random sampling technique. Independent variables on this research are predisposing, enabling and reinforcing factors, while the dependent variable is accuracy of initial pregnancy visit. The data obtained by questionnaire and analyzed by Logistic Regression Test. Result: The result of Logistic Regression Test obtain at parity variable p value 0.001, education p 0.0004, distance p value 0.004 and husband support p value 0.000. while at income variable obtained p value 0.540 or p value > 0.05. This is interpreted that parity, education, distance and husband support significantly affect the accuracy of initial pregnancy visit, but not with income variable. Conclusion: Statistically, reinforcing factors affect the punctuality of initial pregnancy visit more significant compared with predisposing and enabling factors. Keywords: Predisposing Factors, Enabling Factors, Reinforcing Factors, Pregnancy visit.

HUBUNGAN TEKNIK MENERAN DENGAN KEJADIAN RUPTUR PERINEUM PADA PRIMIGRAVIDA DI POLINDES SAYANG IBU (Kecamatan Dawar Blandong Mojokerto) Evi Yunita Nugrahini; Susilorini .; Amalia Puspita Sari
JURNAL PENELITIAN KESEHATAN Vol 14, No 1 (2016): Jurnal Penelitian Kesehatan
Publisher : Poltekkes Kemenkes Surabaya

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Rupture of the perineum is still a problem, because there are many maternal primigravid obtained by perineal rupture caused by various factors, one of them is a straining technique. Based on preliminary studies conducted in Polindes Sayang Ibu kecamatan Dawar Blandong Mojokerto of 50 primigravida who labor, 60% experienced a rupture perineum with wrong staining technical factors. Given these problems it will be examined staining technical relationship with rupture of the perineum in primigravida.The method used is analitk with cross sectional approach with population of 30 maternity primigravida delivered in Polindes Sayang Ibu kecamatan Dawar Blandong Mojokerto at the time that the research conducted in March-July with a sample of 28 maternal primigravida. Concecutive sampling technique used by counting all the existing number of samples. The independent variable of this study is straining technique and the dependent variable in this study is the rupture of the perineum. Collecting data using observation sheets, then analyzed and statistically tested by chi-square test with significance level = 0.05.The results showed that of the 28 maternal primigravid obtained the majority (57%) do straining technique properly and most (57.2%) also maternal primigravid ruptured perineum. Data analysis was performed with chi-square test of SPSS result of count = 10.22 using a significance level (α) = 5% (0.05), df = 1 Found a critical point ( table ) = 3.84 in order to obtain count (10.22) table (3.84), then H1 is acceptedThe conclusion from the above results there is a correlation staining technique to rupture perineum in Polindes Sayang Ibu kecamatan Dawar Blandong Mojokerto. It is therefore expected health workers can provide counseling about the manner of delivery with the correct straining techniques and delivery complications, so primigravida could do straining technique right at the birth took place. Keywords: Straining technique, Rupture of the perineum.

HUBUNGAN ANTARA KEHAMILAN POST DATE DENGAN PERSALINAN LAMA Di RSIA NYAI AGENG PINATIH GRESIK Susilorini .; Evi Yunita Nugrahini; Fani Kusuma Hardiyanti
JURNAL PENELITIAN KESEHATAN Vol 14, No 1 (2016): Jurnal Penelitian Kesehatan
Publisher : Poltekkes Kemenkes Surabaya

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Kehamilan post date merupakan salah satu kehamilan yang beresiko tinggi, Hal ini dapatmenyebabkan terjadinya bahaya dan komplikasi yang lebih besar baik terhadap ibu maupunterhadap janin yang dikandungnya selama masa kehamilan, melahirkan ataupun nifas. Masalahdari penelitian ini adalah masih banyaknya kehamilan post date yang mengalami persalinan lamayaitu sebesar 41 (55,40%). Tujuan dari penelitian ini adalah untuk mengetahui hubungan antarakehamilan Post Date dengan persalinan lama di RSIA Nyai Ageng Pinatih Gresik. Penelitian inimerupakan penelitian analitik dengan pendekatan waktu cross sectional. Jumlah populasi sebesar438 ibu bersalin, sedangkan jumlah sampel ada 142 ibu bersalin yang sesuai dengan kriteriainklusi. Sampel diambil dengan teknik simple random sampling. Variabel independen adalahkehamilan Post Date dan variabel dependen adalah persalinan lama. Pengumpulan data sekundermenggunakan lembar pengumpul data dan data diperoleh dari rekam medik RSIA Nyai AgengPinatih Gresik. Data di analisa dan diuji dengan Uji Chi-Square. Hasil penelitian didapatkan bahwadari 142 responden ibu bersalin sebagian besar 74 (52,11%) adalah persalinan dengan kehamilan Post Date. Dan sebagian besar 92 (64,78%) ibu bersalin mengalami kejadian persalinan lama. Padakehamilan Post Date sebagaian besar terjadi persalinan lama 41 (55,40%) yang tidak kehamilan post date sebagaian kecil 17 (25%) tidak terjadi persalinan lama. Simpulan pada penelitian iniadalah x2 hitung (5,136) x2 tabel (3,84),maka H1 diterima berarti ada hubungan antarakehamilan post date dengan persalinan lama, oleh karena itu bidan diharapkan memberikan KIEpada ibu hamil tentang HPHT, faktor yang menyebabkan kehamilan post date dan risiko pada saatpersalinan dengan kehamilan post date, sehingga dapat meminimalkan pengaruh risiko dankomplikasi pada saat persalinan. Kata Kunci : Kehamilan Post Date, Persalinan Lama

PENGETAHUAN REMAJA TENTANG PENDIDIKAN SEKS DENGAN SIKAP TERHADAP ABORSI Sriami .; Evi Yunita Nugrahini; Paryanti .
JURNAL PENELITIAN KESEHATAN Vol 14, No 2 (2016): Jurnal Penelitian Kesehatan
Publisher : Poltekkes Kemenkes Surabaya

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Abortion (abortion) is prohibited by law, but in fact there are 2.3 million women have abortions(Kompas, 3 March 2000). Data WHO says, 15% to 50% of maternal deaths caused by unsafeabortion. This research is analytic cross sectional. Samples were taken by simple random samplingof 150 respondents. The independent variable is knowledge tentan sex education, while thedependent variable is the attitude towards abortion. Using data collection questionnaire. To analyzethe relationship by using tables. Research shows that almost all have less knowledge as many as61.33% of respondents, and most have a positive attitude, an attitude that rejects the existence ofsborsi ie 54.67% of the respondents. Based on this study it can be concluded that the knowledgeof adolescents about sex education has nothing to do with adolescent attitudes toward abortion. Inthis case the gesture may also be influenced by personal experience, the influence of other people,culture, mass media, religion, and emotional factors.

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