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Journal : INDONESIAN MIDWIFERY HEALTH AND SCIENCES JOURNAL

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. 
THE DIFFERENCES OF BEHAVIOUR TOWARDS PREGNANCY READINESS AMONG PREGNANT WOMEN BASED ON PARITY Fitri Indah Pratiwi; Wahyul Anis; Aditiawarman Aditiawarman; Reny I’tishom
Indonesian Midwifery and Health Sciences Journal Vol. 4 No. 2 (2020): Indonesian Midwifery and Health Sciences Journal, April 2020
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v4i2.2020.121-128

Abstract

Abstract Background : Low pregnancy planning can cause unwanted pregnancy, abortion, loss of reproductive health, domestic violence until death. 40% of 85 million pregnancies in the world are unplanned and 38% end with abortions, miscarriage and unplanned childbirth. Unplanned pregnancy are associated with an increased risk of birth outcomes, including preterm birth, low birth weight (LBW), high risk of congenital anomalies, and developmental delay. Most woman who have plan to get pregnant don’t prepare their pregnancy as well. Women who have children (Multiparous) having unreadiness of pregnancy as same as women who do not have children (Nulliparous). Therefore, pregnancy planning is required to avoid risks so that women become more prepared on facing the pregnancy. This study aimed to analyze the differences behaviour toward readiness of pregnancy among pregnancy women based on parity. Method : This study used observational analytical research with cross sectional approach. The sampling technique used was total sampling which was conducted for 2 months and the sample obtained 92 pregnant women (include nulliparous, primiparous and multiparous) who met the inclusion criteria. The collected data was analyzed by Fisher Exact levels with a degree of α = 0.05. Result : The study showed there were 12 respondents who ready to face pregnancy. Meanwhile, there were 80 respondents who were not ready enough to face pregnancy, it was based on the result of Fisher Exact test with the value obtained was P value = 0.223 (P > 0.223). Conclusion : This showed that there was no difference of attitudes about pregnancy readiness of nulliparous, primiparous and multiparous woman
ADOLESCENT PHENOMENONS THAT WORK AS FEMALE SEX WORKERS IN KUPANG CITY ON MAY - OCTOBER 2019 Luisa Octoviana Eluama; Wahyul Anis; Nining Febryana
Indonesian Midwifery and Health Sciences Journal Vol. 4 No. 2 (2020): Indonesian Midwifery and Health Sciences Journal, April 2020
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v4i2.2020.137-149

Abstract

ABSTRACT Background : The problem of adolescence becoming sex workers in Indonesia is still high. Tanpa Batas Foundation in Kupang City on May-October 2017 shows adolescence as women who have sex workers that identified almost all aged 13-24 years of 190 cases. Meanwhile, there are many unidentified practices of prostitution like an iceberg phenomenon. This study aimed to identified the level of education, income, knowledge, perception, the reason, experience, the effect of social media and expectations that affects adolescence becoming sex workers. Method : Qualitative study with a phenomenological approach. Determination of respondents conducted with non-probability sampling techniques used purposive sampling and obtained respondents as much as 10 adolescence of sex workers. The collected data used indepth interview guidelines with semi structured questions. Instruments of this study were transcripts, notebooks, questionnaire and cameras for documentation. Data analysis was starting with the transcript of data, by analyzing the words from the respondent, finding the keyword, making the category followed by identifying the theme and interpretation into a descriptive. Result : This study showed the level of education respondents started from : not went to school, junior high school, senior high school with monthly average income of 1-2 million. Most of the respondents have a bad preception of their self, economic problems were still the main reason and facebook was the most effect from social media to women’s sex worker, in addition to the results of knowledge level showed that all respondents have a good knowledge, they also hope could find another job better and decent. Conclusion : Economic insistence, the adverse effect of social media and peers became the main cause of adolescence become sex workers despite having a good knowledge and they also had the hope that could stop and exit of the employment as a sex workers by finding a better job and feasible of the norm and culture of society. 
FACTORS RELATED TO NUTRITIONAL STATUS IN PRE-SCHOOL CHILDREN Dwi Rahayu Candra Pertiwi; Ivon Diah Wittiarika; Atika Atika; Wahyul Anis
Indonesian Midwifery and Health Sciences Journal Vol. 4 No. 4 (2020): Indonesian Midwifery and Health Sciences Journal, October 2020
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v4i4.2020.332-343

Abstract

AbstractBackground: The problem of nutrition in children at Indonesia was still an unresolved problem. Unicef said that one in ten children were underweighted and a fifth of children were overweighted or obesed. This number will not decrease and it will increase if we not handled this problem seriously. This study was conducted with the aimed of analyzed the factors that influenced nutritional status in pre-school children, so that more effective prevention and treatment can be carried out. Method: This research was a cross sectional study with a total sample of 150 preschool child in the age of 3 to 6 years old and the parents with online questionnaire. Sampling was done by cluster random sampling. The study was conducted in PAUD at Tanah Kali Kedinding, Kenjeran, Surabaya. The data was analyzed with Spearmean test, Chi-square, and Fisher exact. Result: Knowledge p value = 0,025 r = 0,182. Income p value < 0,001 r = 0,368. Eating frequency p value < 0,001 r = 0,721. The amount of food p value < 0,001 r = 0,738. The kind of food p value < 0,001 C = 0,443. Physical activity p value = 0,438. Conclusion: Parental knowledge and income, and children's eating patterns were related to the nutritional status of pre-school children, while the physical activity of children does not affected the nutritional status of children. 
POST COVID-19 VACCINATION ANXIETY IN MIDWIVES IN MIDWIFERY SERVICES AT INDEPENDENT MIDWIFERY PRACTICE Putri Puspita Amalia; Budi Prasetyo; Wahyul Anis
Indonesian Midwifery and Health Sciences Journal Vol. 6 No. 4 (2022): Indonesian Midwifery and Health Sciences Journal, October 2022
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v6i4.2022.350-358

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Abstract Background: Anxiety has been going on during the COVID-19 pandemic and can occur to anyone. Including midwives need to give services with direct physical contact for people who are susceptible to infection. As a solution against the pandemic, the COVID-19 vaccines rapidly developed to reduce the risk of COVID-19 transmission. With the presence of the COVID-19 Vaccines, this study aims to examine the anxiety of midwives after COVID-19 vaccination in midwifery services at IMP (Independent Midwifery Practice). Methods: Descriptive quantitative research with the number of respondents 137 midwives based on total sampling technique. The variable in this study is the level of anxiety measured by the 7-item Coronavirus Anxiety Scale. The data analysis with univariate analysis. Results: Based on the results, it shows of the 137 respondents who have been receiving the COVID-19 vaccine has found 46 respondents (33.6%) with normal category, 55 respondents (40.1%) with mild category, then moderate category as many as 23 respondents (16.8%), and severe category as many as 13 respondents (9.5%). Conclusion: most of the anxiety categories levels experienced are normal until mild. The possible causes are from the visitors who do not apply health protocols and the midwives who have families with susceptible group status. Key words : anxiety, midwives, COVID-19 vaccination