Baksono Winardi
Departemen SMF Obstetri Ginekologi, Fakultas Kedokteran, Universitas Airlangga, Surabaya

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Correlation between Parity, Birth Interval, and the Frequency of Antenatal Care towards the Incidence of Low Birth Weight Babies in RSUD Dr. Mohammad Soewandhie Surabaya Ristya Sylva Imannia; Budiono Budiono; Baksono Winardi
Biota Vol 5 No 1 (2019): Jurnal Biota 2019
Publisher : Faculty of Science and Technology Universitas Islam Negeri Raden Fatah Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19109/Biota.v5i1.2826

Abstract

Low Birth Weight (LBW) contributes to 60% to 80% of all neonatal and infant deaths in Indonesia whilst globally, prevalence of LBW is 15.5%, amounting to approximately 20 million LBW infants born each year. According to several previous studies, factors closely related with the incidence of LBW are high birth rates, shorter birth intervals, and low frequency of Antenatal Care (ANC) examinations. The objective of this study was to determine the correlation between parity, birth interval, and the frequency of ANC towards the incidence of LBW babies. This retrospective cross-sectional study using simple random sampling involved 95 mothers in RSUD Dr. Mohammad Soewandhie Surabaya between January and July 2016. Data was collected using medical records and analyzed using logistic regression test with p < 0.05. The result of this research showed there was no correlations between parity and incidence of LBW babies (p=0.162) nor between birth interval and incidence of LBW babies (p=0.574). There was a correlation between frequency of ANC and incidence of LBW babies (p=0.006). The physician should further improve early detection for LBW babies by monitoring high-risk pregnancy mothers routinely.
Knowledge of pregnant women about anemia is related with adherence to iron tablets Baksono Winardi; Elga Caecaria Grahardika Andani
Majalah Obstetri dan Ginekologi Vol. 26 No. 1 (2018): April
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (155.729 KB) | DOI: 10.20473/mog.V26I12018.26-28

Abstract

Objectives: to identify association between knowledge of pregnant women about anemia and the adherence to consume iron tablets in BPM Titik Suharti, Surabaya, IndonesiaMaterials and Methods: Observational analysis cross sectional study. Population consisted of 55 trimester pregnant women in BPM Titik Suharti, Surabaya, in March-April 2017. Samples were recruited using consecutive sampling. The number of sample was 35 respondents. Data were analyzed using chi-square test.Results: This research showed that all of the less knowledgeable women on anemia (100.00%) were non-adherent to consume iron tablets, almost all moderately knowledgeable women (92.9%) were adherent, and all of the fully knowledgeable women (100.00%) were adherent. Fisher exact test in significance level of 0.05 revealed p value equal to 0.0001, indicating association between knowledge about anemia and adherence to consume iron tablets at BPM Titik Suharti, Surabaya, Indonesia.Conclusion: There is an association between knowledge of pregnant women about anemia with adherence to iron tablets.
Postplacental insertion of IUCD Cu T 380A at transcesarean section does not influence bleeding and infection at puerperial period Menik Utami; Baksono Winardi
Majalah Obstetri dan Ginekologi Vol. 26 No. 2 (2018): August
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (452.882 KB) | DOI: 10.20473/mog.V26I22018.61-66

Abstract

Objective: To determine the difference of the puerperial bleeding and puerperial infection women who had intrauterine contraceptive device (IUCD) T380A insertion at caesarean section compare with women who had caesarean section without IUCD insertion.Materials and Methods: This study was an observasional analytic prospective cohort. Participants allocated to 2 groups : IUCD inserted during cesarean and cesarean with no device inserted. Subject research monitoring at 10 and 40 day of puerperial period.Results: Puerperial bleeding of group with IUCD insertion is 99,309+32,845 ml and group without IUCD is 88,010+30,824 ml, with the analysis test got p=0,085 (p>0,05) means no difference between two groups.Level hemoglobin at post cesarean section (day-0), 10 and 40 day, proportion increasing severity of anemia and duration of lochia rubra were analized and got p>0,05, no difference between two groups. Duration of puerperial bleeding period, median group with IUCD 40 days (25-50) and group without IUCD 30 days (26-45), with analized test got p<0,05. Duration of puerperial bleeding were significantly difference. Proportion of clinical sign puerperial infection 3 (6,4%) of group with IUCD and 2 (4,1%) of group without IUCD, with analized test got p=0,614 (p>0,05), no difference between two groups. Level of leucocyte at post cesarean section (day-0), 10 and 40 day, the difference both two groups was not significant (p>0,05). In this research the difference puerperial bleeding and proportion puerperial infection between two groups (women who had IUCD T380A insertion at caesarean section compare with women who had caesarean section without IUCD insertion) was no significant.Conclusion: Insertion IUCD Cu T 380A postplacental at caesarean section is safety.
Knowledge about sexually transmitted infections does not associate with attitude towards LGBT behavior Munadiah Jannatun Naimah; Baksono Winardi; Pudji Lestari
Majalah Obstetri dan Ginekologi Vol. 27 No. 3 (2019): December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mog.V27I32019.99-102

Abstract

Objective: To analyze the association between knowledge about sexually transmitted infections and attitudes towards LGBT behavior in teenagers at Trimurti High School Surabaya.Materials and Methods: A cross sectional study with a sample of 96 students who were selected by random sampling technique based on the attendance list. The data was collected by using primary data via questionnaires at Trimurti High School students in the academic year of 2017/2018. Data were analyzed using Chi Square test.Results: 56.3% of respondents had sufficient knowledge about sexually transmitted infections, 56.3% of respondents had a positive attitude towards LGBT behavior. Chi Square test in significance level of 0,05 reveal p value equal to 0,582, indicating there is no association between the level of knowledge about sexually transmitted infections with attitudes towards LGBT behavior in teenagers at Trimurti High School Surabaya. Conclusion: There is no association between the level of knowledge about sexually transmitted infections and attitudes towards LGBT behavior in teenagers at Trimurti Surabaya High School.
Analysis of maternity patients’ satisfactory to maternity room installment in Dr. Soetomo Hospital Surabaya M Reza Zulkarnain; Baksono Winardi
Majalah Obstetri dan Ginekologi Vol. 28 No. 1 (2020): April
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mog.V28I12020.3-15

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Objectives: To analyze the maternity patient satisfaction for services provided in the maternity room of Dr Soetomo General Hospital Surabaya.Materials and Methods: Cross-sectional observational studies. In this study only made observation without intervention. The data used in this study was obtained using form of questionnaires, using Likert Scale. The data is processed by using program SPSS v20 and Microsoft Excell 2007 programResults: During October - December 2017, based on importance performance analysis patient satisfaction divided into 4 quadrant (quadran A,B,C and D), quadrant A is a top priority for service quality improvement. Percentage of performance level nurse or doctor willing to help patient is 52,4%. Percentage of performance level nurse or doctor to inform when the service will be given is 59,9%. Percentage of performance level to keep patient as top priority is 70,3%. Percentage of performance level to look carefully to asptient is 87%. Percentage of performance level to respond patient requet immediately is 90. Based on custumer satisfaction index (CSI) the index score of patient satisfaction is 74,3%, which is that value dexcribes the overall patient in the maternity installation is satisfied with the health service provided.Conclusion: Patient of maternity room at Dr. Soetomo General Hospital is generally satisfied with the current quality of service performace. The value of patient satisfaction showed a value of 74,53% which means almost 75% of patient expectations is fulfilled and the remaining about 25% still need improvement. The particular concern in improvement of service is desire to always help patient, provide information about the treatment, patient always to be top priority, and raising individual attention to the patient.
Anemia in the first trimester is associated with anemia during pregnancy in Sidotopo Wetan Community Health Center, Surabaya Putri Ancila Citra Prasetya; Baksono Winardi; Djohar Nuswantoro
Majalah Obstetri dan Ginekologi Vol. 28 No. 1 (2020): April
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mog.V28I12020.16-19

Abstract

Objective: To analyze association between anemia in the first trimester and preeclampsia during pregnancy in Sidotopo Wetan Community Health Center Surabaya.Materials and Methods: This study was a analytic case control study. The samples were 49 women with preeclampsia as case group and 49 women non-preeclampsia as control group. The data were secondary data collected from medical record of pregnancy women on Sidotopo Wetan Community Health Center Surabaya from January 2016 – Desember 2017. The analysis was done by Chi Square Statistics.Results: 79,6% women in preeclampsia group and 93.9% women in non-preeclampsia group was not anemia in the first trimester. There is association between anemia in the first trimester and preeclampsia during pregnancy in Sidotopo Wetan Community Health Center Surabaya (p = 0.037; OR = 3.932 (CI 95% = 1.010 – 15.303)).Conclusion: There is association between anemia in the first trimester and preeclampsia during preg-nancy in Sidotopo Wetan Community Health Center Surabaya.
Knowledge and Attitude Have No Correlation with Implementation of Breast Self Examination (BSE) Baksono Winardi; Arini Novianty
Folia Medica Indonesiana Vol. 54 No. 3 (2018): September
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (147.14 KB) | DOI: 10.20473/fmi.v54i3.10018

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This study aimed to know the existence of relationship between knowledge, attitude and implementation of BSE among midwifery students and mathematics students of Universitas Airlangga. This study used analytic observational method with cross-sectional approach. The sampling technique was the proportional sampling, consisting of 30 students of midwifery and 30 mathematics students. Analysis used was univariat and bivariat analysis with Spearman Rank. The significance level was 0.05 (5%). This study showed that 90% of midwifery students had good knowledge of BSE, 66.7% had sufficient attitude and 46.7% performed BSE in sufficient category. As many as 66.7% students of mathematics had sufficient knowledge about BSE, 63.4% had sufficient attitude and as many as 60% performed the BSE in the less category. The statistical test revealed p value = 0.267 for midwife respondents and 0.467 for mathematics respondents. Statistical test on the relationship between BSE attitude and implementation had p=0.100 for midwifery students and 0.407 for mathematics students. As a conclusion, there was no relationship of knowledge, attitude and implementation of BSE in the students of midwife and students of mathematics.
GAMBARAN PENGGUNAAN KONTRASEPSI HORMONAL PADA PASIEN STROKE ISKEMIK DI RSUD Dr. SOETOMO SURABAYA Virna Safira Puspaningtyas; Baksono Winardi; Sulistiawati Sulistiawati
Indonesian Midwifery and Health Sciences Journal Vol. 3 No. 1 (2019): Indonesian Midwifery and Health Sciences Journal, January 2019
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v3i1.2019.37-50

Abstract

AbstrakLatar Belakang : Kontrasepsi hormonal berfungsi untuk mencegah terjadinya kehamilan yang mengandung preparat estrogen dan progesteron. Esterogen diketahui dapat menginduksi perubahan signifikan dalam sistem koagulasi yang dapat menyebabkan terjadinya tromboembolik seperti stroke. Sementara pada beberapa penelitian, kontrasepsi progesterone-only, dampaknya pada penyakit kardiovaskular belum dapat dijelaskan secara pasti. Penelitian bertujuan untuk mengetahui gambaran pengguna kontrasepsi hormonal pada pasien stroke iskemik di RSUD Dr. Soetomo Surabaya. Metode : Penelitian deskriptif observasional. Teknik sampling secara consecutive sampling. Variabel penelitian meliputi usia, pekerjaan, riwayat penyakit, jenis dan lama penggunaan kontrasepsi hormonal, serta jarak berhenti penggunaan kontrasepsi hormonal sampai terjadinya stroke. Untuk mengetahui gambaran dan distribusi frekuensi variabel dilakukan analisis univariat atau deskriptif. Hasil :. Didapatkan kelompok usia tertinggi yakni 40% adalah masa lansia awal (46 – 55 tahun), sebanyak 42% responden berprofesi sebagai ibu rumah tangga. Didapati 40% responden pernah menderita hipertensi dan juga mayoritas 50% memiliki riwayat penyakit keturunan hipertensi. Sebesar 54% responden menggunakan alat kontrasepsi hormonal ≥5 tahun dengan jenis kontrasepsi hormonal terbanyak adalah suntik 3 bulan (progesterone-only) yaitu 42%. Sebanyak 68% responden menyatakan jangka waktu berhentinya menggunakan kontrasepsi hormonal sampai terjadinya stroke iskemik rata - rata <12 tahun.  Kesimpulan : Usia responden pada penelitian ini mayoritas pada kelompok umur lansia awal (46 - 55 tahun) dengan jenis pekerjaan terbanyak ibu rumah tangga. Hipertensi merupakan riwayat penyakit terdahulu dan penyakit keturunan yang banyak diderita oleh responden. Sebagian kecil responden menggunakan kontrasepsi hormonal lamanya ≤5 tahun dengan jenis penggunaan terbanyak adalah suntik 3 bulan (progesterone-only). Rata-rata responden berhenti menggunakan kontrasepsi hormonal <12 tahun sebelum terjadinya stroke iskemik. AbstractBackground : Hormonal contraception serves to prevent pregnancy from it contains estrogen and progesterone preparations. Esterogens are known to induce significant changes in the coagulation system that can cause thromboembolic events such as stroke. While in some studies, progesterone-only contraception, the impact on cardiovascular disease has not been clearly explained. This study aims to determine the description of hormonal contraceptive users in ischemic stroke patients at Dr. Soetomo Surabaya. Method : Observational descriptive study. In addition, researcher applied consecutive sampling in this study. Research variables included age, occupation, disease history, type and duration of hormonal contraceptive use, as well as the distance to stop using hormonal contraception until the occurrence of stroke. Univariate or descriptive analysis is applied to perceive the representation and frequency distribution of variables. Result : The highest age group of 40% was obtained from the early elderly (46 - 55 years), as many as 42% of respondents worked as housewives. In the amount of 40% respondents had suffered from hypertension and also 50% had a history of hypertensive hereditary disease. 54% of respondents used hormonal contraception in ≥5 years with the most types of hormonal contraception were injections of progesterone-only, which is 42%. As many as 68% of respondents stated that the duration of cessation of using hormonal contraception until the occurrence of ischemic stroke was on average <12 years. Conclusion : The majority of the respondent were in the age group of the early elderly (46 - 55 years) with the most respondents worked as housewives. Hypertension is a history of previous illnesses and hereditary diseases that were mostly suffered by respondents. A small proportion of respondents used hormonal contraception for ≤5 years with the most type of use being injected progesterone-only. On average respondents stopped using hormonal contraception in <12 years before the occurrence of ischemic stroke.  
PENGARUH AKTIVITAS FISIK DAN USIA MENARCHE DENGAN KEJADIAN PREMENSTRUAL SYNDROME PADA REMAJA PUTRI Ziah Datul Kamilah; Budi Utomo; Baksono Winardi
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.v3i2.2019.160-166

Abstract

Abstrak Latar Belakang: Premenstrual syndrome merupakan munculnya gejala yang dirasakan baik fisik, emosi maupun perilaku sehingga berakibat adanya stres yang dapat berulang setiap adanya fase sebelum menstruasi. Efek dari PMS tersebut dapat sampai mengganggu aktivitas dan konsentrasi belajar terutama pada siswi yang masih sekolah. Studi pendahuluan yang sudah dilakukan di SMP Negeri 29 Surabaya diketahui data dari catatan perbulan UKS bahwa terdapat siswi yang masuk UKS dikarenakan mengeluh sakit perut, pusing dan mual sebelum menstruasi, setelah dilakukan wawancara sebanyak 15 siswi terdapat 15 yang mengalami gejala premenstrual syndrome dengan tingkatan yang berbeda-beda. Penelitian ini bertujuan untuk mempelajari hubungan antara aktivitas fisik dan usia menarche dengan kejadian premenstrual syndrome. Metode: Penelitian ini adalah penelitian analitik observasional dengan pendekatan cross sectional. Jumlah sampel sebanyak 206 siswi sesuai dengan kriteria inklusi. Sampling dilakukan dengan simple random sampling. Variabel independen dalam penelitian ini adalah aktivitas fisik dan usia menarche, sedangkan variabel dependennya adalah kejadian premenstrual syndrome. Cara mengetahui tingkat signifikan, data yang sudah terkumpul diuji dengan uji statistik Chi-square pada tingkat kemaknaan α = 0,05. Hasil penelitian yang didapatkan bahwa sebesar 57,6% remaja putri melakukan aktivitas fisik dengan kategori rendah, 29,8% remaja putri mengalami menarche dini, dan sebesar 71,2% remaja putri mengalami premenstrual syndrome ringan. Hasil: Hasil penelitian setelah dilakukan uji Chi-square diperoleh untuk aktivitas fisik nilai p = 0,030 (p≤0,05) yang berarti ada hubungan antara aktivitas fisik dengan kejadian premenstrual syndrome, dan untuk usia menarche nilai p = 0,073 (p≥0,05) yang berarti tidak ada hubungan antara usia menarche dengan kejadian premenstrual syndrome. Kesimpulan: Kebiasaan untuk beraktivitas fisik yang tepat dan rutin serta mengurangi stres dapat mengatasi dan mengurangi keluhan premenstrual syndrome yang dialami.Abstract Background: Premenstrual syndrome (PMS) is the symptoms that are felt both physically and emotionally as well as behaviorally, resulting in stress that can recur at every phase before menstruation. The effects of PMS can interfere in learning activity and concentration of female students who are still at school. Preliminary studies conducted at SMP Negeri 29 Surabaya and monthly data records from its UKS revealed that there were students who entered UKS because they experienced abdominal pain, dizziness and nausea before menstruation. After conducting an interview to 15 female students, there were 15 students who experienced symptoms of premenstrual syndrome at different levels. This research aims to study the relationship between physical activity and age of menarche with premenstrual syndrome. Method: This study was an observational analytic study with a cross sectional approach. The total sample was 206 students according to the inclusion criteria. Sampling is done by using simple random sampling. The independent variable in this research is physical activity and age of menarche, while the dependent variable is the phenomena of premenstrual syndrome. The significant level can be found out by testing the collected data using Chi-square statistical test with the significant level α = 0.05. The results showed that 57.6% of female adolescents did physical activity in a low category, 29.8% of female adolescents had early menarche, and 71.2% of female adolescents had mild premenstrual syndrome. Results: The results of the Chi-square test showed that physical activity’s value p = 0.030 (p≤0.05) means that there is a relationship between physical activity and the phenomena of premenstrual syndrome, and age of menarche’s value p = 0.073 (p≥0, 05) means that there is no relationship between age of menarche and the phenomena of premenstrual syndrome. Conclusion: Habits for proper and routine physical activity and reducing stress can overcome and reduce the symptoms of premenstrual syndrome. 
PENGARUH PARTISIPASI IBU DALAM KELAS IBU HAMIL TERHADAP CAKUPAN K4 Lilik Anggraini; Sunarsih Sunarsih; Baksono Winardi
Indonesian Midwifery and Health Sciences Journal Vol. 3 No. 3 (2019): Indonesian Midwifery and Health Sciences Journal, July 2019
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v3i3.2019.265-277

Abstract

Abstrak Latar Belakang : Kelas Ibu Hamil (KIH) adalah kelompok belajar ibu-ibu hamil dengan anggota maksimal 10 orang yang merupakan sarana untuk belajar bersama. Puskesmas Menur merupakan puskesmas yang terendah cakupan K4 66,93% dari target 90%. Jumlah peserta dari kelas ibu hamil sendiri 3,4%. Tujuan dari penelitian ini adalah menganalisis pengaruh partisipasi ibu dalam kelas ibu terhadap cakupan K4. Metode dan Bahan Penelitian : Jenis penelitian ini observasional analitik dengan pendekatan cross sectional. Besar sampel sebanyak 44 orang, dengan teknik pengambilan sampel accidental sampling. Variabel Independent yang diukur adalah partisipasi ibu dalam kelas ibu hamil sedangkan variabel dependent adalah cakupan K4. Pengambilan data dengan menggunakan kuisioner untuk mengukur partisipasi ibu dalam kelas ibu hamil dan cakupan K4 dengan mengobservasi dari buku KIA dan kohort. Analisis data menggunakan uji statistik Spearman Rho’ dengan α= 0,05. Hasil : Sebagian besar ibu hamil (65,9%) memiliki partisipasi baik, ibu hamil yang berpartisipasi baik sebagian besar (61,4%) cakupan K4 lengkap, dan ibu hamil yang berpartisipasi kurang sebagian kecil (13,6%) cakupan K4 tidak lengkap. Pada analisis data didapatkan p value = 0,004 (p<0,05) artinya ada pengaruh partisipasi ibu dalam kelas ibu hamil terhadap cakupan K4. koefisien korelasi 0,421 yang berada pada rentang 0,40 – 0,599 bermakna kekuatan korelasi antar variable sedang. Sedangkan angka koefisien korelasi pada hasil diatas bernilai positif,, sehingga pengaruh kedua variable tersebut bersifat positif yang kuat. Kesimpulan : ada pengaruh partisipasi ibu dalam kelas ibu hamil terhadap cakupan K4 di Puskesmas Menur Kecamatan Kota SurabayaAbstract Background: Maternal Class is a study group pregnant mothers with members a maximum of 10  to learn together. Menur Public Health Centre is the lowest completeness (K4) ANC of maternal 66,93% from target 90%. Total of participants from the maternal class just 3,4%. This research aims to analyze the influence of maternal class participant to completeness (K4) Antenatal care. Methods and Material: the research was conducted using quantitative observational analytic with cross sectional study approach.. The number of research is 44 pregnant women. The Accidental sampling method is apllied in taking the sample in this research. Data collected by quistionaire to determine participation in maternal class and completeness seen by observing MCH books and cohort. Data analyzed by Spearman Rho’statistic test at significance level α=0,05. Results: Most (65,9%) have a good participation in maternal class, most pregnant women who have good participation (61,4%) have K4 antenatal care scope completely, and a small proportional (13,6%) of pregnant women with lack participation did not have completeness (K4) Antenatal care. Data analize was obtained p value = 0,004 (p<0,05) which means there was influence of maternal class participant to completeness (K4) Antenatal care . Correlation coefficients value’s 4,21 in the range of 0,40 – 0,599 which means the strength between variables is medium. While the correlation coefficient number in results are positively strong. Conclusion : there was influence of maternal class participant to completeness (K4) Antenatal care at working area Menur Public Health Centre in Sukolilo Municipality Surabaya City.