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Nutrition Programing of Children at 6-24 Months with Exclusive Breastfeeding : A Literature Review Relisa Nuris Shifa; Sulistiawati; Endyka Erye Frety; Astika Gita Ningrum; Isa Anshori
Jurnal Kebidanan Midwiferia Vol 7 No 1 (2021): April
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/midwiferia.v7i1.1142

Abstract

Masa emas bagi tumbuh kembang anak terjadi 1000 Hari Pertama Kehidupan (HPK), dimulai sejak konsepsi sampai usia 24 bulan. Air Susu Ibu (ASI) mengandung komponen “nutrisi” dan “non-nutrisi” yang dapat mendukung tumbuh-kembang pasca lahir. World Health Organization (WHO) merekomendasikan anak memperoleh ASI ekslusif selama 6 bulan pasca lahir. Kecukupan nutrisi dan pertumbuhan optimal dapat dinilai menggunakan penilaian status gizi. Studi ini bertujuan untuk menganalisa hubungan pemberian ASI eksklusif selama 6 bulan pertama setelah lahir dengan status gizi anak usia 6 -24 bulan. Studi tinjauan pustaka ini menggunakan metode PRISMA, PICO, dan Boolean Operator. Literatur yang relevan diperoleh dari 8 database elektronik dan terbatas pada 10 tahun terakhir. Kualitas literatur dinilai menggunakan Quantitative Study Quality Assessment Tool yang dirilis EPHPP. Hasil penelitian menunjukkan, diperoleh 3 dari 3.218 artikel yang sesuai kata kunci dan 127 yang membahas pertanyaan penulis. Tiga literatur tersebut menggunakan indikator dan standar status gizi, yakni Berat Badan menurut Usia (BB/U), Panjang Badan menurut Usia (PB/U), Berat Badan menurut Panjang Badan (BB/PB), dan Indeks Massa Tubuh untuk Usia (IMT/U). Pada hasil didominasi oleh hubungan yang signifikan. Hasil studi menunjukkan bahwa status gizi BB/U, PB/U, BB/PB, dan IMT/U memiliki hubungan yang signifikan.
High Calorie Diet with a Combination of Intermittent Restriction Affects the Reproductive Cycle and The Uterine Weight of Mice (Mus Musculus) Anggraeni Dyah Kumalasari; Lilik Herawati; Raden Argarini; Lina Lukitasari; Zulhabri Othman; Astika Gita Ningrum
Folia Medica Indonesiana Vol. 57 No. 4 (2021): December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (812.554 KB) | DOI: 10.20473/fmi.v57i4.29115

Abstract

Highlight:High-calorie diet influence with interval restrictions combination on the reproductive cycle and weight of the uterus in mice were analyzed.Calories balance impact for female reproductive health. Abstract :Balanced calories affected for body health and daily activities. Lose of energy can disturb the health and daily activities, while over calorie for diets also causes disorders such as metabolic. When there are excess calories in the body will be involved. It can be an obesity risk, diabetes mellitus, fertility disorder, cancer, and cardiovascular disease. Furthermore, in women there can be an increase in menstrual disorders and fertility disorder risk (Silvestris et al., 2018). This study aims to analyze highcalorie diet influence with interval restrictions combination on the reproductive cycle and weight of the uterus in mice. Experimental laboratory is a mouse (mus musculus) female’s balb/c as object population. Sampling techniques using probability sampling with simple random sampling type. The study results on fisher's exact test gave a result of p > 0.05 so there was no significant difference between control group, high calorie diet group, and high calorie diet with interval restrictions group on the results of vaginal swabs /post-treatment reproductive cycle. The study outcome on robust tests between control, high calorie diet, and high calorie diet with interval restrictions groups. Obtained results (p < 0.05) that mean there are some significant discrepancies in the weight of uterine organ between groups. Calories balance in the body can impact female reproductive health.
OPTIMALISASI 1000 HARI PERTAMA KEHIDUPAN PADA MASA ADAPTASI BARU COVID-19 MELALUI PENDAMPINGAN IBU HAMIL DAN PELATIHAN KADER DI KABUPATEN BONDOWOSO, JAWA TIMUR Dwi Izzati; Rize Budi Amalia; Astika Gita Ningrum
Jurnal Layanan Masyarakat (Journal of Public Services) Vol. 6 No. 1 (2022): JURNAL LAYANAN MASYARAKAT
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jlm.v6i1.2022.39-44

Abstract

Pada kondisi normal kesehatan ibu dan anak di Indonesia masih menjadi tantangan besar dan diperberat dengan adanya pandemi Covid-19 yang berlangsung sejak bulan Maret 2020 yang berdampak pada adanya batasan dalam hal akses dan kualitas pelayanan. Kekhawatiran yang muncul karena batasan ini adalah adanya peningkatan morbiditas dan mortalitas Ibu dan anak serta penurunan cakupan pelayanan KIA. Kegiatan pengabdian masyarakat ini dilakukan secara daring dan luring dengan tetap menjaga ketat protokol kesehatan. Kegiatan yang dilakukan secara daring yaitu Pelatihan Kader Posyandu Ibu-Balita tentang Perencanaan Persalinan dan Pelatihan Kader Posyandu Ibu-Balita tentang Stimulasi Pertumbuhan, sedangkan kegiatan yang dilakukan secara luring adalah Pelatihan Kader Posyandu Ibu-Balita tentang Optimalisasi Kehamilan dan Pendampingan Ibu Hamil. Kegiatan pengabdian masyarakat yang telah dilakukan berhasil menaikkan pengetahuan ibu. Hal yang paling berpengaruh dalam kegiatan ini kondisi pandemi yang tidak terduga membuat program pengmas harus lebih fleksibel menyesuaikan situasi dan prioritas keamanan bagi para pelaksana pengmas, sehingga direnacakan untuk kegiatan tindak lanjut berupa pendampingan yang akan dilanjutkan oleh mahasiswa prodi kebidanan dengan pengawasan oleh dosen dan bidan wilayah setempat.
THE FIRST 6TH-MONTH NUTRITIONAL STATUS OF A FULL-TERM CHILD IN EXCLUSIVE BREASTFEEDING: A LITERATURE REVIEW Relisa Nuris Shifa; Sulistiawati; Endyka Erye Frety; Astika Gita Ningrum
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.v7i1.131

Abstract

Background: The first six months after birth are part of the first 1000 days, a golden period for child development. In this period, the child needed proper nutrition to support optimal development and as nutrition programming. WHO recommends exclusive breastfeeding (EBF) for the first 6th-month. Adequacy of nutrition and optimal growth can be assessed using the nutritional status. Aim: This study analyzes the relationship between EBF for the first 6 months with the nutritional status of a full-term infant aged 0-6 months. The nutritional status assessed using anthropometric measurements and child growth standards. Methods: This type of literature review research uses the PRISMA, PICO, and Boolean Operator methods. The research question with PICO standard "What is a relationship between exclusive breastfeeding practice and nutritional status of children aged 0-6 months?". Relevant literature was obtained from 8 databases: Scopus, Portal Garuda, Proquest, Mendeley, Pubmed, Oxford, Science Direct, and Sage. Literature was limited to the last 10 years. There are 6 relevant pieces of literature included for review. The literature quality assessment uses a quantitative study quality assessment tool released by the EPHPP (Effective Public Health Practice Project) and produces 5 pieces of literature worthy of review. Results: From 5 kinds of literature, there were various indicators of nutritional status such as weight-for-age (WAZ), length-for-age (LAZ), weight-for-length (WLZ), Body Mass Index (BMI)-for-age, and head circumference (HC)-for-age. The results were dominated by insignificant results, except the HC-for-age indicator stated that there were significant results. The author explores the causes of insignificant results. Explores based on the indicators that include in studies, the information based on studies, and the possible consequences that adjusted to the data based on the studies. The Author found that the mother plays an important role in the production and provision of breast milk. The quality of breastmilk depends on the mother, also how she gives it to their infant. It has to be based on the WHO recommendation. Conclusion: The result of these studies affirms that EBF didn't significantly affect the indicators of WAZ, LAZ, WLZ, and BMI-for-age, but significantly affected the head circumference-for-age indicator.
Moderate Intensity Exercise Effect Reproductive Cycle on High Calories Diet in Mice (Mus Musculus) Gebyar Catur Wahyuning Rohmawati; Lilik Herawati; Siti Khaerunnisa; Astika Gita Ningrum
Halaman Olahraga Nusantara : Jurnal Ilmu Keolahragaan Vol 5, No 1 (2022): Halaman Olahraga Nusantara (Jurnal Ilmu Keolahragaan)
Publisher : Universitas PGRI Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (434.803 KB) | DOI: 10.31851/hon.v5i1.6328

Abstract

Asupan glukosa yang berlebihan dapat menyebabkan penimbunan lemak yang dapat meningkatkan aromatisasi androgen menjadi kadar estrogen. Kadar estrogen yang tinggi dapat mengganggu umpan balik sekresi GnRH, memperpanjang siklus reproduksi, dan mempengaruhi rahim. Sebagai suatu kondisi, sangat penting untuk mendorong olahraga ringan untuk mengurangi akumulasi lemak dan mengembalikan fungsi GnRH. Latihan fisik yang baik memiliki durasi istirahat yang cukup sehingga intensitas, frekuensi, dan waktu yang dibutuhkan tepat. Penelitian ini bertujuan untuk melihat bagaimana pengaruh asupan glukosa terhadap berat badan dan rahim dengan atau tanpa olahraga ringan. Penelitian ini merupakan penelitian eksperimen. Tikus betina sehat, dibagi menjadi 3 kelompok, kontrol negatif, diet tinggi kalori, dan diet tinggi kalori dengan olahraga sedang. Pemberian diet tinggi kalori menggunakan sonde dekstrosa 40% sebanyak 0,325 ml/g BB. Olahraga sedang adalah renang dengan beban 6% BB. Mencit berenang bersama 3 kali seminggu selama 4 minggu. Durasi renang minggu pertama 5 menit, minggu kedua 7 menit, minggu ketiga 11 menit dan minggu keempat 15 menit. Hasil dari penelitian ini adalah berat uterus (p=0,051) tidak menunjukkan perbedaan yang signifikan antar kelompok. Namun, berat uterus pada kelompok diet tinggi kalori (0,19gr) lebih tinggi daripada diet tinggi kalori dengan kelompok olahraga sedang (0,14 gr) dan kontrol negatif (0,11 gr). Hasil swab vagina (p=0,045) terdapat hubungan yang bermakna antar kelompok. Oleh karena itu, asupan glukosa dengan atau tanpa olahraga ringan mempengaruhi siklus reproduksi tetapi tidak mempengaruhi berat rahim. Mencit berenang bersama 3 kali seminggu selama 4 minggu. Durasi renang minggu pertama 5 menit, minggu kedua 7 menit, minggu ketiga 11 menit dan minggu keempat 15 menit. Hasil dari penelitian ini adalah berat uterus (p=0,051) tidak menunjukkan perbedaan yang signifikan antar kelompok. Namun, berat uterus pada kelompok diet tinggi kalori (0,19gr) lebih tinggi daripada diet tinggi kalori dengan kelompok olahraga sedang (0,14 gr) dan kontrol negatif (0,11 gr). Hasil swab vagina (p=0,045) terdapat hubungan yang bermakna antar kelompok. Oleh karena itu, asupan glukosa dengan atau tanpa olahraga ringan mempengaruhi siklus reproduksi tetapi tidak mempengaruhi berat rahim. Mencit berenang bersama 3 kali seminggu selama 4 minggu. Durasi renang minggu pertama 5 menit, minggu kedua 7 menit, minggu ketiga 11 menit dan minggu keempat 15 menit. Hasil dari penelitian ini adalah berat uterus (p=0,051) tidak menunjukkan perbedaan yang signifikan antar kelompok. Namun, berat uterus pada kelompok diet tinggi kalori (0,19gr) lebih tinggi daripada diet tinggi kalori dengan kelompok olahraga sedang (0,14 gr) dan kontrol negatif (0,11 gr). Hasil swab vagina (p=0,045) terdapat hubungan yang bermakna antar kelompok. Oleh karena itu, asupan glukosa dengan atau tanpa olahraga ringan mempengaruhi siklus reproduksi tetapi tidak mempengaruhi berat rahim. minggu ketiga 11 menit dan minggu keempat 15 menit. Hasil dari penelitian ini adalah berat uterus (p=0,051) tidak menunjukkan perbedaan yang signifikan antar kelompok. Namun, berat uterus pada kelompok diet tinggi kalori (0,19gr) lebih tinggi daripada diet tinggi kalori dengan kelompok olahraga sedang (0,14 gr) dan kontrol negatif (0,11 gr). Hasil swab vagina (p=0,045) terdapat hubungan yang bermakna antar kelompok. Oleh karena itu, asupan glukosa dengan atau tanpa olahraga ringan mempengaruhi siklus reproduksi tetapi tidak mempengaruhi berat rahim. minggu ketiga adalah 11 menit dan minggu keempat adalah 15 menit. Hasil dari penelitian ini adalah berat uterus (p=0,051) tidak menunjukkan perbedaan yang signifikan antar kelompok. Namun berat badan rahim pada kelompok diet tinggi kalori (0,19gr) lebih tinggi daripada diet tinggi kalori dengan kelompok olahraga sedang (0,14 gr) dan kelompok kontrol negatif (0,11 gr). Hasil swab vagina (p=0,045) terdapat hubungan yang bermakna antar kelompok. Oleh karena itu, asupan glukosa dengan atau tanpa olahraga ringan mempengaruhi siklus reproduksi tetapi tidak mempengaruhi berat rahim. 14 gr) dan kelompok kontrol negatif (0,11 gr). Hasil swab vagina (p=0,045) terdapat hubungan yang bermakna antar kelompok. Oleh karena itu, asupan glukosa dengan atau tanpa olahraga ringan mempengaruhi siklus reproduksi tetapi tidak mempengaruhi berat rahim. 14 gr) dan kelompok kontrol negatif (0,11 gr). Hasil swab vagina (p=0,045) terdapat hubungan yang bermakna antar kelompok. Oleh karena itu, asupan glukosa dengan atau tanpa olahraga ringan mempengaruhi siklus reproduksi tetapi tidak mempengaruhi berat rahim. 
CAUSATIVE FACTOR OF DELAY IN MATERNAL REFERRAL - SYSTEMATIC REVIEW Sarlita Rahmi Amalia; Pudji Lestari; Astika Gita Ningrum
Indonesian Midwifery and Health Sciences Journal Vol. 6 No. 1 (2022): Indonesian Midwifery and Health Sciences Journal, January 2022
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v6i1.2022.1-14

Abstract

Background: Every day in the world, around 810 mothers have died from preventable causes. The causes of delay in maternal referral care were analyzed using the Three Delay Model (Thaddeus & Maine, 1994) and the determinants of maternal mortality (McCarthy & Maine, 1992). Purpose: To describe the factors that causing delays in seeking care for maternal referrals. Methods: This is a systematic review study of articles published between 2010 and 2020 based on database from ScienceDirect, Scopus, SageJournals, and Google Scholar. Nine articles that met the inclusion and exclusion criteria were included as samples for further review. The results regarding the factors causing late referral are described and explained in narrative form. Results: First delay (8 articles), Second delay (5 articles), Third delay (4 articles), mother’s education (6 articles), mother's income and occupations  (2 articles), women's empowerment (6 articles), family status in society (4 articles), community status (3 articles), and cultural influences (7 articles) studies are acquired. Conclusions: The previous delay will affect the next delay and the problem of delay in seeking health care is in decision-making which mostly found in upper-middle countries, the causes of cultural factors which also causing the delay in referrals, followed by the socioeconomic influence that most widely discussed are maternal education and women's empowerment, the problem which is also most commonly found in upper-middle-income countries.
Relationship between Knowledge, Social Support, and Mother's Attitude towards Exclusive Breastfeeding Ernita Sari; Astika Gita Ningrum; Risa Etika
Journal for Quality in Public Health Vol. 5 No. 1 (2021): Journal for Quality in Public Health
Publisher : Master of Public Health Program Institut Ilmu Kesehatan STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jqph.v5i1.226

Abstract

Mother's milk (ASI) has an important role in the process of child growth and development. In achieving success of exclusive breastfeeding, of course, there are various factors that influence, including the mother's personality (knowledge and attitude) and social support from the mother's environment around . The purpose of this study was to know related between knowledge, social support and mother's attitude towards exclusive breastfeeding. This quantitative research is observational with a cross sectional approach. The total population of breastfeeding mothers in the Ngadiluwih Community Health Center is 250 people and a sample of 154 mothers was taken use a simple random sampling technique. This research held in January-March 2021. The results showed that majority of mothers gave exclusive breastfeeding by 56.5%. In addition, knowledge possessed by mothers about exclusive breastfeeding was mostly good (79.9%), social support obtained was high (54.6%), but the mother's attitude was still negative (73.4%). Chi square statistical test on the knowledge variable obtained p value = 0.002, social support p value = 0.657 while attitude variable obtained p value = 0.075. There is a significant relationship between knowledge toward exclusive breastfeeding.
Relationship types of parenting styles in providing smartphone with the risk of attention deficit and hyperactivity disorder in preschool children Dian Fitria Kurniawati; Ahmad Suryawan; Astika Gita Ningrum
Jurnal Kesehatan Ibu dan Anak Vol. 17 No. 1 (2023): July
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/kia.v17i1.1674

Abstract

Attention deficit and hyperactivity disorder (ADHD) is a childhood disorder characterized by inattention, hyperactivity, and impulsivity, particularly in children under seven years old. Addiction to electronic media, such as smartphones, is one of the causes. The way parents provide smartphones to their children can have an effect on the impact of smartphone use. The purpose of this study is to investigate the impact of parenting styles and the risk of attention deficit and hyperactivity disorder in preschool children. This study employs an observational analytic methodology with a cross-sectional approach. The data was analyzed using univariate and bivariate methods, as well as the chi-square test. Conforming to the results, democratic parenting was the most common kind of parenting in children who did not have ADHD, with 38 respondents (92.7%), and authoritarian parenting was the least common, with 17 respondents (89.5%). Meanwhile, for children at risk of ADHD democratic parenting is the most common parenting style, with 3 respondents (7.3%), while authoritarian parenting is the least common, with 2 respondents (10.5%). The chi-square correlation test revealed no connection between the styles of parenting in providing smartphones and the risk of attention deficit and hyperactivity disorder in preschool children (p-value 0.676 > 0.05). The appropriate parenting style in handing smartphones to children from both parents and the closest people is very significant because it is related to the bad influence that children gain from using smartphones.