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Kehamilan Ibu di Usia Muda dengan Perkembangan Emosi Anak Usia 3-5 Tahun di Wilayah Kerja Puskesmas Sewon II Kabupaten Bantul Mukharromah, Hastin Laili; Kusmiyati, Yuni; Margono, Margono
Jurnal Kesehatan Ibu dan Anak Vol 11 No 2 (2017): November
Publisher : Poltekkes Kemenkes Yogyakarta

The prevalence of emotional and behavioral disorders in preschool children was very high at 34.10%. One of the factors of child'semotional development problem was mother's age when pregnant. . The aim of this study was to determine the relationship ofmaternal pregnancy at a young age with emotional development of children aged 3-5 years. This study used historical cohort design.The subjects were all pregnant mothers in the working area of Puskesmas Sewon II Bantul Yogyakarta in 2012-2014. The sample ofthis study amounted to 74 respondents. The independent variable was an emotional development assessed using the Strength andDifficulties Questionnaire (SDQ) questionnaire. The dependent variable was the age of the mother. External variables that were alsostudied were parenting, number of children, gender of children, education, and parent's income. Data analysis used chi square andlogistic regression. Research shows there was a relationship between pregnancy at a young age with emotional development ofchildren aged 3-5 years. Children aged 3-5 years who were born from mothers who are pregnant at a young age and have 80%chance of experiencing emotional development disorders than adult mothers. For that teenager, family, and health workers to beable to prevent pregnancy young age with health promotion to avoid the occurrence of emotional disturbance of children aged 3-5years.

THE EFFECT OF ASPHYXIA ON THE QUALITY OF LIFE OF CHILDREN AGED 2-4 Kusmiyati, Yuni
Proceedings of the International Conference on Applied Science and Health No 4 (2019)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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RISK FACTORS FOR IRON DEFICIENCY ANEMIA IN INFANTS AGED 6 MONTHS IN TEGAL REJO PUBLIC HEALTH CENTER, YOGYAKARTA, INDONESIA Kusmiyati, Yuni; Tyastuti, Siti; Supriyati, Yulita Rizky; Sari, Nirmala
Proceedings of the International Conference on Applied Science and Health No 4 (2019)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Background: Anemia is a global public health problem affecting both developing and developed countries with major consequences on human health as well as social and economic development. Anemia resulting from iron deficiency that may adversely affects the infants? cognitive and motor development. The objective of this research was to find out the risk factors of iron deficiency anemia (IDA) in 6 months old infants.Methods: This was an observational research with case-control design. Population was all 6 months old infants having been examined for their hemoglobin levels in Tegalrejo public health center in Yogyakarta from 2017 to 2018. 164 samples were taken with random sampling contained of 82 infants with anemia diagnosis in case group and 82 infants with normal hemoglobin levels for control group. Dependent variable was iron deficiency anemia (IDA) assessed based on hemoglobin level less than 11 gr% and independent variables were IDA risk factors (birth weight, sex, maternal education, maternal occupation, and maternal age) obtained from medical records and direct interviews. Data were analyzed by using logistic regression. Results: the risk factor influencing IDA was exclusive breastfeeding (p<0.05). Infants who did not receive exclusive breastfeeding had 2.16 folds higher risk of having IDA than those who received exclusive breastfeeding. Other risk factors such as birth weight, sex, maternal education, maternal occupation, and maternal age did not correlate significantly to iron deficiency anemia (IDA). Conclusion: Exclusive breastfeeding was the significant risk factor toward iron deficiency anemia in 6 months old infants after controlling other risk factors. Therefore, these finding can be implemented by maternal and child health practitioners to make iron deficiency anemia prevention program by eliminating or minimizing its risk factor.

LAMA BEKERJA, KEIKUTSERTAAN PELATIHAN DAN TINGKAT PENDIDIKAN BIDAN TERHADAP PERILAKU PENCEGAHAN INFEKSI M.J, Sri Lestari; Kusmiyati, Yuni; Tyastuti, Siti
Jurnal Kesehatan Ibu dan Anak Vol 5 No 1 (2014): Juli
Publisher : Poltekkes Kemenkes Yogyakarta

Maternal mortality rate of Kalimantan Barat Province is on the 7 in Indonesia, about 353/100.000 birth, which is 2,8% caused by infection. The vigilance of patient service standard is consist of hand hygiene, self-protection equipment, patient care tools, environment control, patient tools and linen processing, worker?s health or health provider safety, and patient placement. Health providers have to apply the infection prevention within patient relationship. Education and training for health provider is one of the way for developing the human resources of health. For doing the professionalism strategy is need to be using competence standard, training and other quality improvement activities.This study was observational analytic designed as cross sectional. As the independent variable (are working period, training participation and education level) and dependent variable (is infection prevention behavior). Research subject are 55 midwives in RSUD dr. Soedarso, taken by Total Sampling. Data has been analyzed using univariate and bivariate analysis by Kendall?s Tau statistic test.Statistic test result showed that there is any correlation between working period and infection prevention behavior (p-value 0,02). There is any correlation between training participation and infection prevention behavior (p-value 0,02). There is any correlation between education level and infection prevention behavior (p-value 0,01).

TINGKAT PENGETAHUAN, SIKAP DENGAN PERILAKU PENCEGAHAN PENULARAN HIV/AIDS PADA PENDERITA HIV/AIDS DI RSUD DR MOEWARDI SURAKARTA Listyorini, Iyeti; Kusmiyati, Yuni; Margono, Margono
Jurnal Kesehatan Ibu dan Anak Vol 1 No 1 (2012): Juli
Publisher : Poltekkes Kemenkes Yogyakarta

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HIV/AIDS is a disease which causes by the Human immunodeficiency virus (HIV) with rapid deployment. WHO declared HIV/AIDS as a pandemic that could threaten the sustainability of mankind. The number of people with AIDS in Indonesia in 2011 as many as 24,482 patients with the number of patients mortality is 18%. Businesses that are not beneficial to avoid the spread of HIV/AIDS prevention. Less accurate information and knowledge about the transmission of HIV/AIDS is one of the high transmission of HIV/AIDS. Efforts to prevent HIV/AIDS is highly dependent on knowledge and attitudes, behavior and other factors involved. Objectives to Know the relationship between the level of knowledge and altitudes with the behavior of HIV/AIDS prevention in people with HIV/AIDS at the Dr. MoewardiSurakada Hospitalin 2011. The type of study is an analytical survey with a cross-sectional/ research design. Samplestakenlrom HIV/AIDS sufferer at the hospital of Dr. Moewardi Surakada with purposive sampling. The analysis using the R Commander Pearson Product Moment Correlation Test. Result: Most of the respondents have a good knowledge level that is equal to 85,9%. All respondents have a positive attitude and 50% have good behavior. P-Value of Pearson Product Moment Test between the level of knowledge and behavior is 0,0387, and between attitude and behavior is 0.005624.

STUDI KOMPARASI KEJADIAN ASFIKSIA BERDASARKAN WAKTU INDUKSI PADA KEMANILAN POSTTERM DI RSUD KEBUMEN Winarni, Winarni; Suherni, Suherni; Kusmiyati, Yuni
Jurnal Kesehatan Ibu dan Anak Vol 1 No 1 (2012): Juli
Publisher : Poltekkes Kemenkes Yogyakarta

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There are 146,000 dead babies every year,401 babies die every day or 17 babies die every hour. Millenium Development Goals Target (MDGs) in the year 2015, the infant Mortality Rate (IMR) will decease from 34/1,000 alive birth into 23/1,000 alive birth. The most dead babies cause is asphyxia (34%). One of the risk factors of asphyxia is post-term pregnancy. Objective: To know the asphyxia happening difference between induction of labor at the 41 weeks pregnancy age with the induction of labor at 42 weeks pregnancy age in the Govemment Public Hospital (RSUD) of Kebumen in the year 2010-2011. Method: This research used analytical observasional by applying case control approach. The research population was all new born babies from induction of labour at postterm pregnancy in Kebumen Goverment Public Hospital in the year 2010-2011. Sample taking used purposive sampling on 74 subjects for case group and 74 subjects control group. The analytical test used Chi-Square on the trust level of 95%. Result: Chi-Square analysis got 0.013 p-value, it meant that there was the difference of asphyxia happening between the induction of labour 41 weeks pregnancy age with the induction of labour at 42 weeks pregnancy age. The asphyxia happening at induction of labour 41 weeks pregnancy age was 39.1%, whereas 42 weeks pregnancy age was 59.5%.

HUBUNGAN USIA IBU DAN JARAK KEHAMILAH DENGAN KEJADIAN PERSALINAN PRETERM Nurmila, Nurmila; Kusmiyati, Yuni; Widyasih, Hesty
Jurnal Kesehatan Ibu dan Anak Vol 2 No 2 (2012): November
Publisher : Poltekkes Kemenkes Yogyakarta

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According to the data of WHO in 2012, Indonesia in 2010 was the fifth ranked of 1O nation, with the highest preterm birth rate in the world. The morbidity and mortality of mother and infant in Indonesia was increased because of the risk factors. three 'late' and four 'too' were excessive handlings. One of the risk factors was maternal age and pregnancy interval. The study was performed in the Regional Public Hospital of Wates, Province of Special Region of Yogyakarta. This study was case -control study using bivariate and multivariate analyses. ln getting samples, this study used the method of purposive sampling with the inclusion1nd exclusion coteries and it was obtained 80 preterm births used as casual groups and 80 aterm births used as controlling groups. Based on the chi-square analysis, there was a relationship between maternal age and the incidence of preterm birth (p-value:0.013; CI: 95%), and there was a relationship between interval pregnancy and the incidence of preterm birth (p-value: 0.00; Cl:95yo). The characteristic of intermediate education of preterm birth was 51 .3%, the unemployment subjects to bear an preterm infant was 76.3%, the unrisk parities to bear preterm infant was 51 .30%, the unrisk age to bear an aterm infant was 75%, the unrisk interval pregnancy to bear an aterm infant was 92.5%, The multivariate analysis of age groups found the risk of preterm birth (OR: 3.30; CI: 95%), and interval pregnancy had the risk of preterm biRTh (OR:9.24;Cl:95%). In the regression test of logistic probability, it found that the probability of preterm birth was 43%.

HUBUNGAN KEHAMILAN GEMELI DENGAN KEJADIAN HIPERTENSI GESTASIONAL DAN KEJADIAN PERDARAHAN POSTPARTUM PRIMER Haryati, Haryati; Kusmiyati, Yuni; Zein, Asmar Yetty
Jurnal Kesehatan Ibu dan Anak Vol 3 No 1 (2013): Juli
Publisher : Poltekkes Kemenkes Yogyakarta

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Twin pregnancies is defined as pregnancy with two or more fetus. Twin pregnancies it can cause complications such as pregnancy induced hypotension and postpartum hemorrhage which is immediately of direct causes for maternal mortality. At RSUD Sleman twin pregnancies rate since 2009- 2011 are 89 (2,72%). Objective to determine the associated twin pregnancies with incident pregnancy induced hypertension and incidence postpartum hemorrhage primer of pregnancies women. Methods this study was observational analytic with historical cohort, using random sampling Teknik with sample 33 twins? pregnancies and 33 single lot pregnancy at RSUD Sleman Yogyakarta since 2009 - 2011. This analysis with univariate, bivariable, and multivariable. Result pregnancy induced hypertension was found to at develop 42,4% in the twin pregnancies, and 18,2% in the single pregnancy (P value 0,032). Women with twin pregnancies had higher rates of twin pregnancy induced hypertension (RR 3,32, 95% Cl 1,081 - 10,188). Postpartum hemorrhage primer was found to at develop 30,3% in the twin pregnancies, and 6,1%o in the single pregnancy. (P-value 0,011). Women with twin pregnancies had higher rates of postpartum hemorrhage primer (RR 6,74,95% Cl 1,346 - 33,75) Conclusion there was a significant associated twin pregnancies with incidence pregnancy induced hypertension and incidence, postpartum hemorrhage primer of pregnancies women.

UMUR DAN PENDAMPINGAN SUAMI DENGAN LAMA PERSALINAN KALA II PADA IBU PRIMIPARA Wati, Yuliza Sofya; Kusmiyati, Yuni; Tyastuti, Siti
Jurnal Kesehatan Ibu dan Anak Vol 3 No 1 (2013): Juli
Publisher : Poltekkes Kemenkes Yogyakarta

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Maternal mortality rate and neonatal mortality rate in Indonesia are high at 228 per 10o.ooo live births. Maternal mortality in Indonesia caused by prolonged labor 9% which happened by prolonged second stage of labor have high risked for mother and fetus. Prevalence of prolonged labor in Kulon Progo Regency in 2011 occupy highest rank at the rate 12,58%. Based on former study in Wales General Hospital on 2012 number of prolonged second stage of labor is t1% and increased 4.5% at 2011, women in labor and at risked age (>35) are 2,7%. To know the correlation of ages and company of husbands during labor with primipara labor in Wates Kulon Progo General Hospital 2012. This study used an observational with cohort study design. Technik sampling used purposive sampling. To know variable of ages and company of husbands toward variable of labor duration at second stage in women primipara on labor in Wates Kulon Progo General Hospital. There are 64 participants. The result of chi square p-vatu6 0,010 which means there are correlation of ages with prolonged second stage. There are 4 (12,5%) women in labor who accompanied and gave birth more than 2 hours, 87,5% women in labor who accompanied and gave birth less than 2 hours with result p-value 0,000 which means there are significant correlation between company by husband with prolonged second stage. Multivariate analysis used coefficient regression determinant is 0,340. There are correlation of ages and company of husband with prolonged second stage have p-value 0,010. Ages have 4 times risked and company of husband have 12 times risked don?t have prolonged second stage. From coefficient regression determinant can be concluded that variable of prolonged second stage can be explained by variable of ages and company of husband are 34%

PENGARUH TEKNIK SUPERCROWNING TERHADAP KEJADIAN RUPTUR PERINEMUN PADA PRIMIPARA Surayniwaty, Fransiska; Kusmiyati, Yuni; Zein, Asmar Yetty
Jurnal Kesehatan Ibu dan Anak Vol 4 No 2 (2013): November
Publisher : Poltekkes Kemenkes Yogyakarta

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The Super crowning Technique is a term where "crowning" time was happened and extended for minimum a minute or until one or two uterine contractions appear. The function of this technique is allowing the vagina and perineum stretch slowly around fetus's head which start to emerge, so it will prevent the tear of perineum caused the head come out taster. When stretch is happening, hot sensation will be a signal to stop pushing. The point of this technique is to control the mother when fetus head on crowning position. This technique was not recommended for some obstetrics condition which is need faster delivery such as fetal distress. In 2012, 89,70% rupture of perineum was happened on primipara in dr. Soedarso Hospital. This study aimed for knowing the influence of super crowning technique to rupture of perineum in the second stage of labor on primipara in dr. Soedarso Hospital 2013. This study was an experiment as post-test with control group design. Sampling technique was Purposive Sampling as the subject is primigravida. The numbers of sample was 30 subjects, divided into two groups consist of 15 subjects as treatment group using super crowning method and 15 subjects as control group using APN standard method. The data analyzed by Chi-square test and Relatives Risk (RR). This study showed that rupture of perineum on super crowning technique was fewer than APN standard technique with p-value O,O3 and RR2,7 (CI 95% 1,12- 6,71). There is any correlation between super crowning technique to rupture of perineum on primipara. Super crowning technique as the protective factor to rupture of perineum.

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