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The Effects of Telehealth During Pregnancy on Maternal Knowledge and Postpartum Mental Health in the Covid-19 Pandemic Wahyul Anis; Rize Budi Amalia
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 4 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i4.17132

Abstract

Background: The Covid-19 pandemic caused changes in health services, especially Antenatal Care (ANC)because pregnant women are at risk of contracting Covid-19 so telehealth is one of the methods developedto make ANC more effective and efficient. This study aimed to analyze the relationship between telehealthduring pregnancy on knowledge and mental health of postpartum mothersMethods : The research method uses a case-control where there are two groups of samples. The case groupconsisted of 30 postpartum mothers who received telehealth (routine online monitoring and counseling)during pregnancy, while the control group consisted of 27 postpartum mothers who did not receivetelehealth during pregnancy. Samples were taken using a random sampling technique with inclusion criteriaare postpartum mothers who received online monitoring and counseling during pregnancy routinely byvolunteer mothers. The exclusion criteria were postpartum mothers who did not routinely receive onlinemonitoring and counselling. Statistical analysis used Wilcoxon Mann Whitney, Chi-Square, and FisherExact tests.Conclusions:The telehealth has influenced the maternal knowledge but it will necessary to develop atelehealth strategy that contribute to the mental health of mother during the postpartum period.
DIFFERENCE OF POWER TEST AND TYPE II ERROR (β) ON MARDIA MVN TEST, HENZE ZIKLER'S MVN TEST, AND ROYSTON'S MVN TEST USING MULTIVARIATE DATA ANALYSIS Wahyul Anis; Kuntoro Kuntoro; Soenarnatalina Melaniani
Jurnal Biometrika dan Kependudukan (Journal of Biometrics and Population) Vol. 10 No. 2 (2021): JURNAL BIOMETRIKA DAN KEPENDUDUKAN
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbk.v10i2.2021.153-161

Abstract

The Mardia MVN test, Henze Zikler's MVN test, and Royston's MVN test are the most widely used tests to analyze multivariate normal (MVN) data, but there have not been many studies explaining the advantages and disadvantages of these tests. The research objective was to analyze the difference in test strength and type II (β) error in the Mardia MVN test, Henze Zikler's MVN test, and Royston's MVN test. The research data were analyzed using three MVN tests, namely the Mardia MVN test, Henze Zikler's MVN test, and Royston's MVN test. The results of the analysis in the form of test strength and type II error (β) would be compared at alpha (α) 1%, 5%, 10%, 15%, 20%, and 25%. The comparison results explained that the Mardia test had the greatest test strength and the smallest type II (β) error. The study concluded that the Mardia MVN test was a multivariate normal test better than Henze Zikler's MVN test and Royston's MVN test.
Overview of relation between coverage of health services and maternal mortality in East Java Province in 2015 Wahyul Anis; Kuntoro Kuntoro; Soenarnatalina Melaniani
Majalah Obstetri dan Ginekologi Vol. 24 No. 2 (2016): May - August
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (94.307 KB) | DOI: 10.20473/mog.V24I22016.53-55

Abstract

Objectives: to analyze the efforts of maternal health services that may affect maternal mortality rate.Materials and Methods: The study was conducted at the Health Office of East Java using secondary data from 38 districts/cities in East Java in 2015 that includes performance antenatal care K1 and K4, postnatal care, early detection of complications in pregnant women, natal in health workers and health facilities, management of complications by health workers and MMR. Data were analyzed with statistical method with spatial regression and illustrated with thematic maps by application ArcView statistics.Results: the highest MMR was in Bojonegoro district, Lumajang, Probolinggo, Bondowoso, Situbondo and Probolinggo city. Some districts/cities that have the highest maternal mortality has proximity of areas, namely the district Lumajang, Probolinggo, Bondowoso, Situbondo and Probolinggo city. Their proximity concluded an association condition and the causes of MMR between districts so they can be studied more in depth about the causes of MMR kind of social, cultural and geographical characteristics. The coverage maternal health services to all districts/cities in East Java province is not much difference.Conclusion: the maternal mortality rate in the district/city of East Java province in 2015 was not much affected by maternal health services so we need more research on other causes of MMR in districts/city of East Java Province.
UPAYA PREVENTIF MASALAH PENYALAHGUNAAN NAFZA PADA REMAJA MELALUI PEMBERDAYAAN KADER KESEHATAN REMAJA Wahyul Anis; Euvanggelia Dwilda Ferdinandus; Farida Fitriana
Panrita Abdi - Jurnal Pengabdian pada Masyarakat Vol. 5 No. 4 (2021): Jurnal Panrita Abdi - Oktober 2021
Publisher : LP2M Universitas Hasanuddin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20956/pa.v5i4.12159

Abstract

Napza was substances or drugs derived from plants or non-plants, either artificial (synthetic) or semi-artificial (semi-synthetic) that can cause addiction. The results of Narcotics Information System in 2018 in Surabaya explained that based on the education level of drug users, 7.6% graduated from junior high school, 9.4% graduated from high school and graduated from higher education (5.5%). These data prove that it was important to make efforts to increase knowledge as an effort to prevent drug abuse. Permenkes Number 25 the year 2014 mandates health services for school-age children and adolescents to involve school health cadres and peer counselors and it is important to involve youth in providing youth care health services. Community service activities aim to increase adolescent knowledge about drug abuse through empowering Adolescent Health Cadres. The activity was carried out in two stages, namely the first stage, namely conducting training for Youth Health Cadres (KKR). The second stage is implementing peer activities. The results of the pre and post-test knowledge explained that there was an increase in the level of knowledge of adolescents both in KKR training activities and peer seminars. The conclusion is that there is an increase in the knowledge of adolescents after participating in the KRR training and peer-to-peer seminars so that it is hoped that similar activities will continue to be carried out because peers are part of environmental factors that contribute to the prevention of problems in adolescents, especially in drug abuse. --- Napza adalah zat atau obat yang berasal dari tanaman atau bukan tanaman, baik buatan (sintetis) atau semi buatan (semi sintetis) yang dapat menyebabkan ketagihan. Hasil Sistem Informasi Narkoba tahun 2018 di Surabaya menjelskan berdasarkan tingkat pendidikan pengguna Napza sebesar 7,6% berpendidikan tamat SMP, 9,4% tamat SMU dan tamat pendidikan Tinggi (5,5%). Data tersebut membuktikan bahwa penting melakukan upaya peningkatan pengetahuan sebagai upaya pencegahan penyalahgunaan Napza. Permenkes Nomor 25 Tahun 2014 mengamanatkan pelayanan kesehatan anak usia sekolah dan remaja melibatkan kader kesehatan sekolah dan konselor sebaya serta penting melibatkan remaja dalam melakukan pelayanan kesehatan peduli remaja. Kegiatan pengabdian kepada masyarakat bertujuan untuk meningkatkan pengetahuan remaja tentang penyalahgunaan Napza melalui pemberdayaan Kader Kesehatan Remaja. Kegiatan dilaksanakan melalui dua tahap yaitu pada tahap pertama yaitu melakukan pelatihan kepada Kader Kesehatan Remaja (KKR). Tahap kedua yaitu melaksanakan kegiatan teman sebaya. Hasil dari pre dan post test menjelaskan bahwa terjadi peningkatan tingkat pengetahuan remaja baik dalam kegiatan diklat KKR maupun  seminar sebaya.  Kesimpulan bahwa terjadi peningkatan pengetahuan remaja setelah mengikuti pelatihan KKR dan Seminar teman sebaya sehingga diharapkan kegiatan serupa terus dilaksanakan karena teman sebaya merupakan bagian dari faktor lingkungan yang berkontribusi penting dalam pencegahan masalah pada remaja khususnya dalam penyalahgunaan Napza.
The RELATIONSHIP OF CLEAN AND HEALTHY LIFE BEHAVIOR TO ILLNESS IN TODDLERS Lailatul Fitria Sahid; Irwanto; Wahyul Anis
SEAJOM: The Southeast Asia Journal of Midwifery Vol 7 No 1 (2021): SEAJOM: The Southeast Asia Journal of Midwifery
Publisher : AIPKIND (Asosiasi Pendidikan Kebidanan Indonesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36749/seajom.v7i1.104

Abstract

Background: Childhood is susceptible to disease. One cause of illnesses in infants is due to unhealthy environmental conditions. Therefore, health efforts need to be done to prevent the emergence of diseases caused by the environment by behaving clean and healthy (PHBS). Method: observational analytic case control design. The number of samples was 142 toddlers with 71 respondents each in the case and control groups selected by consecutive sampling technique. Data were collected using questionnaires and illness reports from the health center. Data analysis used Chi Square with. Results: Chi Square test results with 5% α indicated delivery assisted by health workers (cannot be analyzed), exclusive breastfeeding (p=0.00), washing hands with soap and water (p=0.00), eradicating larvae once a week (p=0.00), not smoking at home (p=0.00), and healthy life behavior (p=0.00). Conclusion: there was a relationship of exclusive breastfeeding, washing hands with soap and water, eradicating larvae once a week, and not smoking in the house to the incidence of illness in infants
LAMA KALA II PERSALINAN PADA IBU PRIMIGRAVIDA YANG MENGIKUTI SENAM DAN TIDAK SENAM HAMIL Uswatun Hasanah; Wahyul Anis; Bambang Purwanto
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.v3i1.2019.70-76

Abstract

Abstrak Latar Belakang: Kehamilan dan persalinan merupakan proses alamiah bagi wanita namun peluang terjadinya komplikasi bisa saja terjadi. Komplikasi yg terjadi selama persalinan menjadi penyumbang angka kematian ibu di Indonesia seperti kala II memanjang. Primigravida merupakan faktor risiko terjadinya kala II memanjang, jika lebih dari 2 jam berisiko 1.42 kali menyebabkan trauma jalan lahir dan perdarahan. Upaya pemerintah untuk mencegah komplikasi tersebut dengan menyelenggarakan senam hamil untuk menyeimbangkan emosional, mental, fisik dan spiritual sehingga mengurangi risiko persalinan lama. Penelitian ini bertujuan untuk mengetahui perbedaan pada durasi lama kala II persalinan pada primigravida yg mengikuti senam hamil dan tidak senam hamil. Metode: Penelitian ini adalah anlitik observasional dengan rancangan cross-sectional, jumlah sampel 92 responden dengan teknik total sampling. Variabel independen adalah senam hamil dan variabel dependen yaitu lama kala II persalinan. Instrumen yang digunakan adalah rekam medis dan kuesioner. Analisis data menggunakan uji Mann Whitney Test. Hasil: Hasil penelitian menunjukkan variabel durasi kala II persalinan  p = 0,000 (p<0,05). Kesimpulan: Durasi kala II persalinan pada primigravida yang mengikuti senam hamil lebih cepat dibandingkan dengan ibu yang tidak senam hamil. AbstractBackground: Pregnancy and childbirth are natural processes for women but the chance of complications can occur. Complications that occur during labor contribute to the maternal mortality rate in Indonesia such as elongation in the second period. Primigravida is a risk factor for prolonged stage II, if more than 2 hours the risk is 1.42 times causing trauma to the birth canal and bleeding. Government efforts to prevent these complications by carrying out pregnancy exercises to balance emotional, mental, physical and spiritual thus reducing the risk of prolonged labor. The aim of this study was to determine the differences in the duration of the second stage of labor in primigravidas who followed and did not follow pregnancy exercise. Method: This study was an observational analytic with a cross-sectional design, with a total sample of 92 respondents with a total sampling technique. The independent variable is pregnancy exercise and the dependent variable is the duration of second stage of labor. The instruments used medical records and questionnaires. Data analysis using the Mann Whitney Test. Results: The results showed the variable duration of second stage of labor p = 0,000 (p <0.05). Conclusions: The duration of the second stage of labor in primigravidas who followed pregnancy exercise  was faster than did not follow pregnancy exercise.  
RELATIONSHIP BETWEEN OBESITY, TWIN-PREGNANCY AND PREVIOUS HISTORY OF PREECLAMPSIA WITH PREECLAMPSIA Riani Widia Parantika; Gatut Hardianto; Muhammad Miftahussurur; Wahyul Anis
Indonesian Midwifery and Health Sciences Journal Vol. 5 No. 3 (2021): Indonesian Midwifery and Health Sciences Journal, July 2021
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v5i3.2021.307-316

Abstract

Background: Preeclampsia can threaten the health of the mother and fetus during pregnancy and childbirth, besides that it also increases the risk of long-term complications and has the potential to cause death. The incidence of preeclampsia at the RSUD Engku Haji Daud Tanjung Uban showed an increase in the last three years, namely the occurrence from 2017 as many as 23 cases to 56 cases in 2019. The condition of preeclampsia can worsen quickly and without warning, for that, it must be detected and managed appropriately. This study aimed to identify the association of obesity, multiple pregnancies, and previous history of preeclampsia with the incidence of preeclampsia in maternity women. Methods: This study uses a case-control study design. Performed on women giving birth in the period January – December 2019, consisting of 56 cases and 112 controls. Maternal women with preeclampsia were cases and women who were not diagnosed with preeclampsia were controls. The data was obtained from the respondents' medical records, then analyzed using the Chi-Square test or Fisher's Exact test with a value of = 0,05. Results: Obesity was associated with an increased risk of preeclampsia (OR= 4,746, 95% CI 2,381-9,460; P=0,000). Multiple pregnancies were associated with a significantly increased risk of preeclampsia (OR=15,857, 95% CI 1,899-132,384; P=0,002). Likewise, a previous history of preeclampsia was associated with a markedly increased risk of preeclampsia (OR=99,000, 95% CI 22,057-444,343; P=0,000). Conclusion: Based on these data, it was found that obesity, multiple pregnancies, and previous history of preeclampsia were significant risk factors for the occurrence of preeclampsia. It is important to identify risk factors for preeclampsia early, so that appropriate management can be carried out, to prevent complications.
THE INFLUENCE OF INTERNAL FACTORS OF PREGANT WOMEN ON TRIPLE ELIMINATION EXAMINATION Shuviatul Chasanah; Linda Dewanti; Wahyul Anis
Indonesian Midwifery and Health Sciences Journal Vol. 5 No. 1 (2021): Indonesian Midwifery and Health Sciences Journal, January 2021
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v5i1.2021.88-102

Abstract

 AbstractBackground: HIV, Hepatitis dan Syphilis can be transmitted from mother to fetus which causes high morbidity dan mortality, especially in developing countries. Transmission of this infection can be prevented by early detection of triple elimination during pregnancy to the maximum. Optimizing the scope of the examination through the identification of internal factors that influence pregnant women to perform triple elimination examination Methods: This study is a descriptive analytic study with a cross sectional approach. The number of samples was 69 pregnant women at Poli KIA Puskesmas who had never done a triple elimination examination. Sampling with accidental sampling. The independent variable of the study was the mother's internal factors consisting of the mother's socio-economic characteristics, knowledge, attitudes dan motivation. The dependent variable is the willingness of pregnant women to perform triple elimination examination. Analysis using the Mann Whitney test, significant if the difference in p-value <0.05. Result : From 69 respondents, 13 mothers were not willing to do the examination. The internal factors of pregnant women have a different average between those who are willing dan unwilling, but the difference is not significant (> 0.05) dan has no influence on the mother's decision to perform a triple elimination examination. The P-value of each factor was obtained from characteristics dan socio-economic characteristics (age (0.550), education (0.602), gravida (0.829), gestational age (0.612), family type (0.567), number of family members (0.407), mother's occupation (0.886 ), husbdan's occupation (0.761), income (0.733), knowledge (0.311), motivation (0.281), dan attitude (0.714) Conclusion: There is no internal factor of the mother that affects the willingness to perform triple elimination examination during pregnancy, further research is needed on external factors from pregnant women to maximize the coverage of triple elimination examination 
CHARACTERISTIC OF PARENTS’S ACCEPTANCE IN GETTING CHILD DIAGNOSIS AS AUTISM Rahma Furi Sagita; Ahmad Suryawan; Wahyul Anis
Indonesian Midwifery and Health Sciences Journal Vol. 5 No. 2 (2021): Indonesian Midwifery and Health Sciences Journal, April 2021
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v5i2.2021.186-197

Abstract

 AbstractBackground: Autism is a child development disorder which usually late in case finding and intervention. It used to done in 30 month old of child. In Dr. Saiful Anwar Malang Regional Hospital, it was found that the average of case finding in 48 month of child. This study aims to determine how the acceptance of parents while getting diagnosis of their child and their action to give their child autism intervention. Method: This study used a qualitative research design with a phenomenological approach. Data colleted by in-depth interviews with 6 informants. Data analysis used Collaizi's (1978) Nine Steps method. Results: Most informants were late in recognizing the symptoms of autism in children, but they had a positive perception of the received diagnosis. All informants have felt bad feelings due to the diagnosis received, but have had coping methods for these feelings and have given autism interventions to children. Factors that influence parental acceptance include the level of education, knowledge, age, occupation, household harmony, social support, economic conditions, ethnicity, interaction between informants and experts, the clarity of symptoms shown by the child and the presence of siblings. Conclusion: Parental acceptance is a process from refusing, getting angry, bargaining, to accepting. In the process of being accepted, parents continue to make efforts to save children 
IMPLEMENTATION OF TEN STEPS TOWARDS SUCCESSFUL BREASTFEEDING AT TANAH KALIKEDINDING HEALTH CENTER SURABAYA CITY, 2020 Wahyuni Mahmud Date; Wahyul Anis; Dwiyanti Puspitasari
Indonesian Midwifery and Health Sciences Journal Vol. 5 No. 2 (2021): Indonesian Midwifery and Health Sciences Journal, April 2021
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v5i2.2021.209-223

Abstract

 Abstract Background One of the government's efforts to increase the achievement of exclusive breastfeeding is the 10 LMKM program. Since 1991 in Indonesia, it has been introduced, but in its implementation it is not yet known by all health facilities even though several existing steps have been implemented, but the 10 LMKM policy has not been known by providers.Objectives Describe implementation and barriers to providers in program implementation, identify compliance and barriers to mothers as program recipients. Methods The research used descriptive qualitative research. The sampling technique used was purposive sampling to explore the implementation of 10 LMKM in Tanah Kalikedinding Health Center. Informants in accordance with the inclusion criteria 7 providers and 8 mothers as program recipients. Researchers interacted offline and online via video calls while adhering to health protocols. Results The implementation of 10 LMKM has been running with the internal policies of the Puskesmas referring to the Permenkes, carrying out tasks according to the SOP. Several providers have attended training and disseminated it to staff. Monitoring and evaluation is carried out through the credential team at the Puskesmas. Officers in implementing 10 LMKM to support the achievement of exclusive breastfeeding are committed to complying with the SOP. Provider barriers from external factors are the lack of health workers, especially midwives on duty, so that KIE regarding breastfeeding and others is not optimal. Mothers as program recipients when ANC is already in IEC, obediently follow the services provided and have not been fostered or referred to breastfeeding support groups. Barriers to exclusive breastfeeding in program implementation are influenced by external factors of working mothers. Conclusion The implementation of the 10 LMKM program at the Tanah Kalikedinding heath center has not been maximized.