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All Journal Jurnal Kesehatan Reproduksi Indonesian Journal of Obstetrics and Gynecology (Majalah Obstetri dan Ginekologi Indonesia)
Umar Malinta
Faculty of Medicine University of Hasanuddin/Dr. Wahidin Sudirohusodo Hospital Makassar
Health Professions Medicine & Pharmacology Public Health

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Journal : Jurnal Kesehatan Reproduksi

 1 
Hubungan antara Saat Penanganan Kegawatdaruratan Maternal di Luar atau Saat Jam Kerja dengan Waktu Tanggap di RSUD LA Temmamala Kabupaten Soppeng, Sulawesi Selatan Fadillah, Fadillah; Hakimi, Mohammad; Siswosudarmo, Risanto; Malinta, Umar
JURNAL KESEHATAN REPRODUKSI Vol 4, No 3 (2017)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (284.833 KB) | DOI: 10.22146/jkr.36479

Abstract

Background: The national maternal mortality rate is still high at 228 per 100.000 live births. Three late allegedly related to high maternal mortality rate, are 1)too late for decision making, 2) too late for access service and 3) too late for get treatment at referral health facility. Response time for maternal emergency treatment in the hospital plays an important role, since it affects the final result.Objective: To determine the relationship between the time of obstetric emergency management and response time.Method: This study used cross sectional design with the population of study was obstetric emergency patients. One hundred and forty-five subjects were divided into two group: group treated outside of working hours as exposed groups and groups treated during working hours as control groups. Delay of response time were observed. Data was processed by statistical program using computer. Chi square test and logistic regression analysis were used to perform statistical tests.Result and Discussion: From September 1st 2015 to April 30th 2016, there were 145 cases with obstetric emergency handled. A total 82 cases among 145 (56,6%) received emergency management outside working hours. It was found that the 1st response time was delayed in handling outside work hours compared to handling during working hours (RR 2,22; 95% CI 164-3,00). The same was obtained at 2nd response time (RR 1,39; 95% CI 1,04-1,86) and 3rd response time (RR 1,65; 95% CI 1,14-2,31). Multivariate analysis was found that time of the emergency handling was the most dominant variable that affect all response time [1st response time (OR 12,61; 95% CI 4,82-32,03), 2nd response time (OR 2,17; 95% CI 1,05-4,47), 3rd response time (OR 7,70; 95% CI 1,91-31,10)]. PONEK with midwife on duty also influence 1st response time (OR 3,28; 95% CI 1,21-8,93).Conclusion: Obstetric emergency management outside of work hours increased the occurence of response time delay.Keywords: Time of management, Obstetric emergency, 1st, 2nd and 3rd response time.
Pengaruh Konseling Antenatal terhadap Penerimaan AKDR pascasalin sebuah uji klinis non randomisasi Faris, Abdul; Soetrisno, Soetrisno; Siswosudarmo, Risanto; Malinta, Umar
JURNAL KESEHATAN REPRODUKSI Vol 5, No 2 (2018)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (339.014 KB) | DOI: 10.22146/jkr.38547

Abstract

Background: During postpartum period women have a high motivation to start using contraception and postpartum IUD is an ideal method to offer. The rate of IUD use is still low, 14.06% of all postpartum contraceptive use. This might be attributed to lack of information and counseling from health providers.Objective: To compare the number of postpartum IUD used among groups of clients who were counseled during ANC and re-counseled during latent phase (exposed group), and group counseled during latent phase only (control group).Method: This study was a prospective quasi-experimental or randomised clinical trial. The first group was those counseled during ANC  and latent phase, and the second was those counseled at latent phase only. Chi square and relative risk were used for statistical test two proportions.Result and Discussion: A total of 342 subjects who met  inclusion and exclusion criteria were recruited. They consisted of the 210 subjects (61,4%) for the first group and 132 subjects (38,6%) for the second.The rate of IUD used in the first group was 82 of 210 (39%) and 30 of 132 (22.7%) in the second, RR 1,72  (95% CI 1.20 – 2.46), p 0,002. The rate of IUD used was also significantly influenced by a history of IUD acceptor RR 2,90 with 95% CI 2.23 – 3.77), a history of contraceptive used (RR 1,79 with95% CI 1,18 – 2,71) and a history of contraceptive counselling (RR 1,50 with 95% CI 1,03 – 2,19).Conclusion: Clients who were counseled twice (during ANC and repeated at latent phase) had higher rate of postpartum IUD used significantly than those who were counseled at latent phase only. Other factors that significantly affected the rate of postpartum IUD used were history of IUD acceptor, history of contraceptive used.Keywords: Postpartum IUD; counseling; rate of postpartum IUD use; antenatal care
Kualitas Rujukan Bidan Delima di RSU A.W. Sjahranie, Samarinda Ginting, Erwin; Soejoenoes, Ariawan; Siswosudarmo, Risanto; Malinta, Umar
JURNAL KESEHATAN REPRODUKSI Vol 6, No 2 (2019)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (250.886 KB) | DOI: 10.22146/jkr.46606

Abstract

Latar Belakang: Angka kematian ibu merupakan indikator tingkat kesehatan, di mana di Indonesia angka ini masih tinggi. Bidan Delima adalah salah satu program nasional dalam upaya menurunkan angka kemaitian ibu ini.Tujuan: Membandingkan ketepatan rujukan pasien Bidan Delima dengan Bidan Non-Delima serta luaran meternal dan neonatalnya.Metode: Penelitian ini dilaksanakan di Rumah Sakit Umum Abdul Wahab Sjahranie Samarinda. Pasien yang dirujuk oleh Bidan Delima digunakan sebagai kelompok kasus sedangkan pasien yang dirujuk oleh bidan Non-Delima digunakan sebagai kontrol. Penelitian ini menggunakan studi Cross Sectional. Ukuran sampel dihitung untuk mendapatkan tipe satu 0,05, kekuatan 0,80 dan perbedaan proporsi sekitar 30%. Pengolahan data menggunakan alat pengolah data di komputer. Chi-Square dan regresi logistik digunakan untuk analisa statistik.Hasil dan Pembahasan: Sebanyak 189 pasien yang memenuhi syarat yang terdiri dari 66 pasien Bidan Delima dan 123 pasien Bidan Non-Delima digunakan. Pasien tepat waktu yang dirujuk oleh Bidan Delima adalah 63,6% dibandingkan dengan 72,4% oleh Bidan Non-Delima, memberikan RP 0,88 (95% CI 0,71-1,09). Angka kelahiran vaginal masing-masing adalah 54,5% dan 66,7% pada Bidan Delima dan Non-Delima masing-masing (RP 0,82; 95% CI 0,64-1,05). Tingkat bayi bugar masing-masing  adalah 78,8% dan 86,2% pada Bidan Delima dan Non-Delima (RP 0,91; 95%  CI 0,79-1,05).Simpulan: Tidak ada perbedaan ketepatan rujukan, luaran maternal dan neonatal antara Bidan Delima dan Bidan Non-Delima.Kata Kunci: Bidan Delima; Non-Delima; Ketepatan Rujukan  
Analisis Hubungan Clinical Autonomy Terhadap Kepuasan Kerja Dokter Spesialis Obstetri dan Ginekologi Dalam Tindakan Seksio Sesarea Pada Sistem Jaminan Kesehatan Nasional Mappaware, Nasrudin Andi; Emilia, Ova; Hadijono, Soerjo; Malinta, Umar; Hakimi, Mohammad; Soetrisno, Soetrisno; Tiro, Eddy
JURNAL KESEHATAN REPRODUKSI Vol 6, No 3 (2019)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (340.454 KB) | DOI: 10.22146/jkr.49209

Abstract

Background: In Indonesia, the National Health Insurance System (NHIS) is an implementation of law No. 40 of 2004 on the National Social Insurance System in health sector with universal health coverage (UHC) concept. Therefore, the satisfaction of specialist’s work will be very influence towards hospital works. The previous research (Nasruddin, 2017) about factor analysis related to job satisfaction of doctor specialist for obstetrics and gynecology (SpOG) toward Sectio Caesarea (SC) on NHI showed that medical service (transparency and remuneration) and working condition have significant correlation towards work satisfaction of doctor SpOG in SC on NHI.    Objective: to analyze the correlation of clinical autonomy on job satisfaction of doctor SpOG on Sectio Caesarea on National Health Insurance system.Method: A quantitative research by applying analytic observational study with cross sectional design.Materials and Research: This research was conducted in Makassar. A number of sample was 73 doctors SpOG. Data was obtained by clinical autonomy questionnaire having been tested its validity and reliability. The result of the research was analyzed by using chi-square test.  Result: Based on the correlation of characteristics towards work satisfaction of doctor SpOG in SC on National Health Insurance system found that age category between 36 – 45 years old is satisfied, female is satisfied, working duration more than 5 years is dissatisfied and public hospital status is dissatisfied. There is no correlation between clinical autonomy in this case is control overwork (p = 0.170) and prerogative obtain need service (p = 0.240) on job satisfaction of doctor SpOG in Sectio Caesarea on National Health Insurance System.Conclusion: There is no relation between clinical autonomy on job satisfaction of doctor SpOG in Sectio Caesarea on National Health Insurance System. Even though the doctors SpOG are not satisfied with NHI (medical service and working condition) but the doctors are able to work professionally with clinical autonomy. Keywords: clinical autonomy, doctor SpOG, National Health Insurance System 
Co-Authors Amalia Amalia Chandra, Richard Eddy Tiro Efendi Lukas Fadillah Fadillah Faris, Abdul Ginting, Erwin Isra Wahid Maisuri T Chalid, Maisuri T Mappaware, Nasrudin Andi Mohammad Hakimi Nasruddin, Zulfaekasari Nusratuddin Abdullah Ova Emilia Risanto Siswosudarmo Saragih, Susi W Soejoenoes, Ariawan Soerjo Hadijono Soetrisno Soetrisno Sulham, Risma N. Syahrul Rauf T. Chalid, St. Maisuri Trika Irianta