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Hubungan Tingkat Ansietas dengan Siklus Menstruasi pada Mahasiswi S1 Kedokteran Universitas Andalas Tahun 2019 Alma Sylvhanie Lufthi; Yaslinda Yaunin; Aladin Aladin
Andalas Obstetrics And Gynecology Journal Vol 4, No 1 (2020)
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.4.1.53-61.2020

Abstract

Background: The medical education system is known as a stressful environment that might cause anxiety for the students. Student at the pre-clinical last degree (fourth degree) are also required to do a thesis so that the final year students will had anxiety even though they have adapted to the lecture environment. Anxiety can influence fluctuation Folikel Stimulating Hormone (FSH) and Lutenzing. Hormone (LH) level until the proliferation and secretion process indicate shorten or elongated that cause disruption on the menstruation cycle.Objective: To determine the relationship between anxiety level and menstrual disruption to student the fourth degree at Faculty of Medicine in Andalas University.Method: This research was an observational analytic with a cross-sectional approach. This research was done by a guided interview to 137 female medical students the last degree at Faculty of Medicine in Andalas University. The anxiety level was measured by using the Taylor Minnesota Anxiety Scale (TMAS) questionnaire while the menstrual disruption was acceded by using a menstruation questionnaire.Results: The univariate analysis showed 47.4% of the respondents had a low anxiety level, 19% of the respondents had a middle anxiety level, and 33.6% of the respondents had a serious anxiety level. Meanwhile, the study also showed that 76.6% of the respondents had normal menstrual patterns, while 10.2 % of them were having polymenorrhea. The statistical analysis Chi-square showed p-value was 0.232 (p > 0.05).Conclusion: The conclude that there was no significant relationship between anxiety level and menstrual disruption to student the last degree at Faculty of Medicine in Andalas UniversityKeywords: stress, anxiety level, menstruation disruption
Reproductive Health Knowledge of Adolescent in Padang: Case Study of SMA N 1 Students Aladin Aladin
Andalas Obstetrics And Gynecology Journal Vol 5, No 1 (2021)
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.5.1.43-49.2021

Abstract

The aim of this study is to describe the knowledge level and accuracy of reproductive health among students at SMA N 1 Padang. The study design was analytical survey with cross-sectional approach. The population were all SMA N 1 students while cluster random sampling was applied to get 267 students as respondents which represented each major (natural science or social science) and class (X, XI, and XII). The questionnaires were divided into several sections consisting the general knowledge of reproductive health, contraception, and sexually transmitted disease (STD). Result of the study showed that students in natural science major (scoring 71.9%) were having better knowledge than students in social science major (scoring 51.8%). It was also found that students in grade XII (scoring 67.7%) were getting highest result compared to students in grade XI (scoring 61.4%) and grade X (scoring 67.1%). Nevertheless, the result was not satisfying, considering that the average score of all students were only 65.6%. Therefore, guidance from parents, teachers, as well as counselling unit are crucial to help adolescent in Padang, in the context of reproductive health knowledge.
CAESAREAN SECTION INCIDENTS AND COST IN WEST SUMATRA: A COMPARATIVE STUDY BETWEEN PRIVATE AND PUBLIC HOSPITALS UNDER INA CBGS SYSTEM Aladin Aladin; Martga Bella Rahimi
Jurnal Kesehatan Masyarakat Andalas Vol 15, No 2 (2021): Jurnal Kesehatan Masyarakat Andalas
Publisher : Faculty of Public Health, Andalas University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24893/jkma.v15i2.659

Abstract

Since its first launched in 2014, many hospitals claimed to have financial loss due to inequality between hospital real tariff and BPJS payment. It is important to identify the characteristics and trends of caesarean deliveries in hospitals prior to measuring the efficiency level under INA-CBGs system. However, until now there is yet to be a descriptive study to understand this issue comprehensively. To fill this research gap, this study aimed to compare caesarean section incidents and costs between private and public hospitals in West Sumatra, Indonesia. This study is expected to describe real situation related to caesarean cases and explore the preference of patients in the province for caesarean deliveries. This study was retrospective and cross-sectional design of caesarean section in all West Sumatran hospitals under INA-CBGs system. The data used was taken from BPJS region West Sumatra-Riau-Jambi for period 2016 to 2018. During that period, almost 59 thousand caesarean section were performed, of which 64% in private hospitals and 36% in public hospitals. Within three years, caesarean cases in private hospitals were almost doubled while public hospitals showed a decreasing trend. In 2018, three quarter of caesarean costs was paid by BPJS to private hospitals while public hospitals only received a quarter of total costs.
The Correlation of Maternal Factors and The Quality of Antenatal Care Services With Low Birth Weight Babies In Health Facilities Level I Wira Meiriza; Aladin Aladin; Edison Edison
Journal of Midwifery Vol 3, No 1 (2018): Published on June 2018
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (745.556 KB) | DOI: 10.25077/jom.3.1.103-114.2018

Abstract

Infant Mortality Rate in West Sumatra still increased from 96 cases in 2015 becomes 111 cases in 2016. One of the contributors to this was the case of Low Birth Weight Babies (LBWB), wich is birth weight < 2500 grams. Causative factors of LBWB are derived from maternal factors because it is related to fetal growth, starting from the moment of conception until the baby is born. Maternal health is very influential towards the growth and development of the fetus. In addition, Antenatal Care is also require to monitor maternal health. Antenatal service care quality can detect the occurrence of risk in pregnancy. This study aims to determine the relationship of maternal factors based on maternal age, parity, distance of pregnancy, complications of pregnancy, economic status, nutritional status, anemia status, antenatal care implementation and the quality of antenatal care services with LBWB incidence on health facilities level 1 in Padang City.This study used a comparative cross-sectional design totalling 72 respondents consisting of a group of mothers who gave birth to babies with birth weight < 2500 grams and ≥ 2500 grams using consecutive sampling technique. Then conducted interviews and observations by using questionnaires as well as data processing were carried out using SPSS. The results showed there was a correlation between pregnancy complications (p = 0.033), anemia status (p = 0.016) and the implementation of antenatal care (p = 0.000) with the incidence of LBWB, while the unrelated were maternal age (p = 0.405), parity (p = 1,000), pregnancy distance (p = 1,000), economic status (p = 0.637), nutritional status (p = 0.326), and quality of antenatal care services (p = 0.812).The conclusion of this study is that there is no correlation between the quality of antenatal care services and the incidence of LBWB, and the implementation of antenatal care is the dominant factor related with the incidence of LBWB in Padang City.
Implementasi metode Global Trigger Tool IHI (Institute for Healthcare Improvement) untuk identifikasi kejadian tak diinginkan (KTD) di pelayanan kebidanan RSUD Pariaman Provinsi Sumatera Barat Aladin Aladin; Tjahjono Kuntjoro; Trisasi Lestari
Majalah Kedokteran Andalas Vol 42, No 2 (2019): Published in May 2019
Publisher : Faculty of Medicine, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (338.5 KB) | DOI: 10.25077/mka.v42.i2.p62-69.2019

Abstract

Kesalahan yang terjadi dalam proses perawatan medis berpotensi dan dapat menyebabkan cedera pada pasien yang merupakan peristiwa buruk. Institute for Healthcare Improved Global Trigger Tool adalah salah satu metode analisis retrospektif yang menggunakan "pencetus" atau "pemicu" untuk mendeteksi kemungkinan peristiwa buruk. Pentingnya rumah sakit dalam memberikan layanan dan dalam rangka meningkatkan perawatan kebidanan, maka IHI dapat menjadi alternatif jawaban masalah yang ada. Tujuan: Untuk mendeskripsikan distribusi frekuensi efek samping pada perawatan kebidanan di Rumah Sakit Umum Daerah (RSUD) Pariaman berdasarkan metode IHI Global Trigger Tool. Metode: Penelitian ini merupakan studi kasus dengan desain penyelesaian masalah. Identifikasi instrumen insiden keselamatan pasien menggunakan alat Pemicu IHI digunakan untuk melakukan tinjauan rekam medis pasien sekunder data kebidanan RSUD Pariaman. Hasil: Ditemukan 41 (41,7%) pasien dengan pemicu (+) jumlah pemicu 92, rata-rata 2,04 pemicu per pasien. Ditemukan 9 (9,4%) pasien dengan efek samping 12, rata-rata 1:33 efek samping per pasien. Jumlah yang terluka adalah 12 dengan proporsi cedera parah sebanyak 16,7%. Karakteristik pasien yang paling banyak adalah 20-29 tahun (45,8%) dan umumnya terjadi dalam kasus rujukan darurat (70,8%). Simpulan: Tidak ada hubungan antara usia dan keberadaan pemicu sementara status rujukan secara signifikan terkait dengan pemicu. Unit layanan kamar kebidanan merupakan unit pemicu yang paling umum (43,9%), dan unit rawat inap adalah unit yang paling banyak terjadinya kejadian buruk (44,4%). Sedangkan unit perawatan intensif adalah unit di mana pemicunya berpotensi tertinggi untuk menjadi peristiwa buruk (100%). Hasil audit medis dalam rangka meningkatkan layanan dalam bentuk presentasi kasus salah satu pasien. Audit medis merupakan salah satu upaya untuk menemukan solusi perbaikan pelayanan kebidanan RSUD Pariaman.
Analysis on the Relation of Contraception Selection Towards Perceptions of Side Effects in Couples of Reproductive Age in the Working Area of Lubuk Buaya Public Health Center in Lubuk Buaya Sub-District, Padang City Sandra Ilona; Nuzulia Irawati; Aladin Aladin
Science Midwifery Vol 10 No 1, October (2021): Science Midwifery
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Family Planning Program (KB) is one of the programs used to cope with the increasing population. The purpose of the Family Planning Program (KB) is to improve the quality of the population through birth control, to reduce mortality, and to improve the quality of the family planning program, one of which is by using the Long-Term Contraceptive Method (MKJP). Side Effects on Couples of Reproductive Age in the Working Area of the Lubuk Buaya Public Health Center, Lubuk Buaya Sub-district, Padang City.This study used a cross sectional design. The research population was all couples of reproductive age who were in the working area of the Lubuk Buaya Sub-district Public Health Center, Padang City who received contraceptive services. The sample of this study was 108 respondents of reproductive age couples who had received family planning services. Data were collected by using questionnaires and data were analyzed by using chi-square test and logistic regression test. The results of this study found that there was a significant relation between perceptions of side effects on the contraception selection (p = 0.016) The conclusion of this study is that there is a relation between perceptions of the side effects on contraception selection.
Hubungan Skrining MAP dengan Kejadian Preeklampsia di RSIA Permata Bunda Solok Tahun 2019-2020 Muhammad Rafif Helery; Aladin Aladin; Dina Arfiani Rusjdi
Jurnal Ilmu Kesehatan Indonesia Vol 2 No 4 (2021): Desember 2021
Publisher : Fakultas Kedokteran, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jikesi.v2i4.490

Abstract

Latar Belakang: Preeklampsia merupakan salah satu penyebab utama morbiditas dan mortalitas ibu dan bayi. Oleh karena itu, upaya skrining dan pencegahan preeklampsia merupakan suatu hal yang harus dilakukan. Objektif: Penelitian ini bertujuan untuk melihat hubungan antara skrining Mean Arterial Pressure (MAP) dengan kejadian preeklampsia. Metode: Jenis penelitian ini adalah analitik observasional dengan pendekatan case control. Sampel kasus sebanyak 50 pasien preeklampsia dan sampel kontrol sebanyak 50 pasien tidak preeklampsia yang diambil menggunakan teknik consecutive sampling. Penelitian ini dilakukan pada bulan Desember 2020-April 2021. Rentang waktu skrining MAP pada penelitian ini adalah pada usia kehamilan <20 minggu. Analisis data yang digunakan adalah uji chi-square. Hasil: Ibu hamil dengan hasil skrining MAP ≥90 mmHg lebih banyak ditemukan pada pasien preeklampsia (62%) dibandingkan dengan pasien yang tidak preeklampsia (28%). Hasil analisis bivariat menunjukkan nilai p = 0,001 (p < 0,05) dan nilai OR = 4,195. Kesimpulan: Terdapat hubungan yang signifikan antara skrining MAP dengan kejadian preeklampsia dan ibu hamil dengan hasil skriining MAP ≥90 mmHg bersiko empat kali lebih besar mengalami preeklampsia.
Karakteristik dan Outcome Pasien Preeklampsia Berat di RSUP Dr. M. Djamil Padang Tahun 2020 Tsurayya Pertiwi Femilia; Aladin Aladin; Dedy Kurnia
Jurnal Ilmu Kesehatan Indonesia Vol 3 No 2 (2022): Juni 2022
Publisher : Fakultas Kedokteran, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jikesi.v3i2.723

Abstract

Latar Belakang : Preeklampsia adalah salah satu penyebab utama kematian ibu di Indonesia. Preeklampsia adalah hipertensi yang timbul setelah usia kehamilan 20 minggu yang disertai dengan proteinuria. Preeklampsia terdiri atas preeklampsia ringan dan berat. Terdapat banyak faktor risiko yang dapat menyebabkan terjadinya preeklampsia berat Objektif: Penelitian ini bertujuan untuk mengetahui karakteristik dan outcome pasien preeklampsia berat di RSUP Dr. M. Djamil Padang tahun 2020. Metode: Jenis penelitian ini adalah deskriptif. Jumlah sampel dalam penelitian ini adalah 60 ibu hamil yang telah didiagnosis preeklampsia berat, memiliki status yang lengkap dan jelas usia kehamilan di RSUP Dr. M. Djamil Padang tahun 2020. Metode pengambilan sampel dalam penelitian ini adalah simple random sampling. Instrumen penelitian ini menggunakan data sekunder yang diperoleh dari data rekam medis ibu dengan preeklampsia berat di RSUP Dr. M. Djamil Padang periode 1 Januari – 31 Desember tahun 2020. Hasil: Pada penelitian ini didapatkan sebagian besar ibu dengan preeklampsia berat (65%) pada kelompok usia 20-35 tahun, lebih dari separuh (76,7%) adalah multigravida, berdasarkan paritas (40%) yaitu ibu dengan multipara, mayoritas (91,7%) terjadi pada trimester III kehamilan, sebagian besar (75%) ibu tidak memiliki riwayat hipertensi, sebanyak (48,3%) ibu hamil dengan obesitas, jumlah ibu yang mengalami komplikasi sindrom HELLP (18,3%), mayoritas (65%) bayi yang dilahirkan secara preterm, dan tidak ada kematian maternal. Kesimpulan: Preeklampsia berat paling banyak terjadi pada kelompok usia 20-35 tahun, multigravida, multipara, terjadi pada trimester III, tanpa riwayat hipertensi, disertai obesitas, dan tidak disertai sindrom HELLP, namun tidak ada kematian maternal.
Pregnancy confirmed COVID-19 in hospital Dr. M. Djamil Padang periode 2020-2021 Aladin Aladin; Linosefa Linosefa; Muhammad Rafky Alfi Putra
Andalas Obstetrics And Gynecology Journal Vol 6, No 2 (2022): VOL 6, NO2 (2022)
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.6.2.152-158.2022

Abstract

Introduction: Coronavirus disease 2019 (COVID-19) caused a highly acute respiratory infection and high mortality. Symptoms of COVID-19 would be more severe if it affects people at high risk, one of which is pregnant women. This study aims to determine the characteristics of pregnant women with confirmed COVID-19 at RUSP Dr. M. Djamil Padang Objective: to find out the profile of the maternal charactheristic confirmed COVID-19 in hospital Dr. M. Djamil Padang Periode 2020-2021. Methods: This type of research is descriptive with a total sampling technique using secondary data, namely patient medical records. The sample of this study were all pregnant women who were confirmed to have COVID-19 at RSUP Dr. M. Djamil Padang for the 2020-2021 period with a total sample of 186 patient medical records. Univariate data analysis is presented in the form of frequency distribution and data processing using the Computerized SPSS version of the IBM version 26.0. Results: The highest age group was 20-35 years old (78%), the most addresses were Padang City (43,5). %), the most gravida status was multigravida (71,5%), the most parity status was multipara (38,2%), the most gestational age was third trimester (81,7%), the most clinical symptoms are asymptomatic (44,1 %), and the most comorbid status was without comorbid (82,3%). Conclusion: The most pregnant women have confirmed COVID-19 at RSUP Dr. M. Djamil Padang in 2020-2021 with characteristics of age 20-35 years, address in Padang City, status of multigravida and multiparous pregnancy, third trimester gestational age, asymptomatic and no comorbidities.
Relationship between Behavior, Occupation and Abuse of Psychotropic Drugs and Addictive Substances with Cases of Sexual Violence by Partners Against Women Recorded at the Women Crisis Center in Padang City Muhammad Zaldy Rasyid Putra; Aladin Aladin; Firdawati Firdawati
Andalas Obstetrics And Gynecology Journal Vol 7, No 1 (2023): .
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.7.1.225-233.2023

Abstract

Background : One of the main issues affecting reproductive health is sexual violence. Sexualviolence is the third most common form of violence against women (30%) of all cases. Basedon data from the Woman Crisis Center (WCC) in Padang, cases of sexual violence havecontinued to increase. There are four main determinants of sexual violence including thesocial environment, community, individual and relationship.Methods: A case-control study is designed to help determine if an determinants is associatedwith an outcome. This study was conducted on 66 samples, 33 of whom were female victimsof sexual violence by partners registered at the WCC. The B-SAFER questionnaire is used asan instrument to assess descriptions of sexual violence committed and psychosocialassessment of the factors underlying the occurrence of sexual violence. Chi-Square test andlogistic regression are used to analyze the relationship between variables.Results: There is no significant relationship between the abuse of psychotropic drugs and theincidence of sexual violence. However, there is a significant relationship between a history ofnegative behavior (p = 0.0001) and disruption of job stability (p = 0.0002) to incidents ofsexual violence. Between this two, negative behavior is the factor that most contributes to theincidence of sexual violence against women, but it is not statistically significant.Conclusion: Behavior is the most important factor in the occurrence of sexual violence, butstatistically it is not significant. There is no variable that determines sexual violence becausethe concept of sexual violence is a complex and polymorphic phenomenon. Further studiesare needed in determining the role of other factors that play a role.