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All Journal Jurnal Administrasi Kesehatan Indonesia Majalah Obstetri dan Ginekologi Biomolecular and Health Science Journal Abdimas: Jurnal Pengabdian Masyarakat Universitas Merdeka Malang Jurnal Layanan Masyarakat (Journal of Public Service) Indian Journal of Forensic Medicine & Toxicology INDONESIAN MIDWIFERY HEALTH AND SCIENCES JOURNAL
Muhammad Ardian Cahya Laksana
Departemen Obstetri Dan Ginekologi, Fakultas Kedokteran Universitas Airlangga, RSUD Dr. Soetomo, Surabaya
Humanities Biochemistry, Genetics & Molecular Biology Decision Sciences, Operations Research & Management Education Environmental Science Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Other

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Deteksi Dini Risiko Ibu Hamil dengan Kartu Skor Poedji Rochjati dan Pencegahan Faktor Empat Terlambat Gede Danu Widarta; Muhammad Ardian Cahya Laksana; Agus Sulistyono; Windhu Purnomo
Majalah Obstetri dan Ginekologi Vol. 23 No. 1 (2015): Januari - April 2015
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (66.606 KB) | DOI: 10.20473/mog.V23I12015.28-32

Abstract

Tujuan: menganalisis kasus kematian maternal di RSUD Dr. Soetomo tahun 2011 – 2013 dengan tiga penyebab terbanyak (perdarahan pasca salin, preeklampsia berat dan penyakit jantung) ditinjau dari skor KSPR dan faktor empat terlambat.Bahan dan Metode: Penelitian ini merupakan penelitian retrospektif observasional dengan desain studi deskriptif. Objek pada penelitian ini merupakan pasien yang meninggal sebagai kasus kematian maternal di RSUD Dr. Soetomo tahun 2011-2013, dengan jumlah 58 orang. Variabel penelitian ini adalah tingkat risiko kehamilan berdasarkan KSPR, faktor empat terlambat dan kematian maternal.Hasil: Pada penelitian ini didapatkan seluruh kasus kematian maternal mengandung unsur faktor risiko dalam KSPR dan faktor empat terlambat. KRST merupakan kelompok faktor risiko terbanyak (55,2%), diikuti oleh KRT 39,7% dan KRR 5,2%. Faktor terlambat mendeteksi tanda bahaya ditemukan sebanyak 82,8%, terlambat mengambil keputusan merujuk 56,9%, dan terlambat sampai di tempat rujukan 15,5%. Faktor terlambat mendapat pertolongan di tempat rujukan terakhir tidak ditemukan pada penelitian ini.Simpulan: KSPR masih relevan digunakan untuk deteksi dini faktor risiko ibu hamil. Pencegahan faktor empat terlambat penting untuk menurunkan angka kematian maternal
The Early Detection in Gestational Diabetes Mellitus at Indonesia Primary Health Care Erni Rosita Dewi1, Budi Prasetyo2, Muhammad Ardian Cahya Laksana2, Hermanto Tri Joewono2, Ivon Diah
Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 2 (2020): 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.v14i2.3146

Abstract

Background: Gestational diabetes mellitus (GDM) is diabetes that is first diagnosed during pregnancy. Uncontrolled GDM or late found can increase mortality for both mother and baby. Not only bad medical conditions, but also it can decline the community productivity, affect socio-economic and increasing financial health. Early detection of GDM is crucial to be implemented by providers, especially in the primary health care. Objective: to determine the framework of early detection in gestational diabetes mellitus at primary health care Methods: The method used is a literature review, which was published in 2008-2018. The literature were collected using some keywords such as “detection”, “gestational diabetes mellitus”, and “primary health care” using PubMed and another electronic journal website. Furthermore, the findings were filtered based on our inclusion criteria and analyzed qualitatively. Results: Early detection of GDM in primary health care with risk factor assessment (age of pregnant women ? 35 years, some of bad history namely GDM in previous pregnancies, anti-diabetic drug use, diabetes mellitus in the family, congenital of infants, IUFD, preeclampsia, macrosomia, blood pressure examination, calculation of body mass index and random blood sugar examination). Furthermore, early detection of GDM is carried out by examining blood glucose accompanied by the provision of appropriate glucose solution interventions (OGCT and OGTT). Conclusion: primary health care can take more action in early detection of GDM through quality antenatal care, which can be done by applying the framework of early detection in gestational diabetes mellitus.
The Effect of Proactive Personality, Professionalism, and Work Engagement on Performance among Village Midwives in Neonatal Complication Management Using the Integrated Management of Childhood Illness Farouk Ilmid Davik1 , Fitri Widyacahya1 , Muhammad Ardian Cahya Laksana2 , Nyoman Anita Damayanti1,
Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 4 (2020): 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.v14i4.11621

Abstract

Approximately 15% of newborns grow with neonatal complications. The percentage of neonatalcomplications in Probolinggo from 2015 to 2017 has not reached the target of 80%. The number of neonatalcomplications still achieved 68.68% of the minimum service standards target.This study analyzed the effect of proactive personality, professionalism, and work engagement onperformance among village midwives in managing neonatal complications by using an integrated strategymanagement of childhood illness. Proportional random sampling was in use to collect 180 village midwivesas the sample. The research was conducted in Probolinggo Primary Healthcare Center, Indonesia fromMarch to May 2018. The data collected through questionnaires were analyzed with a linear regression.The results showed proactive personality influenced work engagement (p = 0.00). The higher the villagemidwives’ proactive personality is, the higher the level of work engagement is. Besides, professionalisminfluenced performance (p = 0.01). The higher the level of professionalism is, the higher the level ofperformance is. This study also revealed work engagement influenced performance (p = 0.00). The higherthe level of work engagement is, the higher the level of performance is. However, proactive personality didnot affect performance.
Correlation between Seasons and the Prevalence of Preeclampsia at Tertiary Hospital, Indonesia Monika Lijuwardi1, Budi Prasetyo1 , Muhammad Ardian Cahya Laksana1 , Rizki Pranadyan1 , Hanifa Erlin
Indian Journal of Forensic Medicine & Toxicology Vol. 14 No. 4 (2020): 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.v14i4.12133

Abstract

Background: Preeclampsia is the second most common cause of maternal mortality following postpartumhemorrhage. In East Java alone the maternal mortality rate due to preeclampsia was 31%. Some studiesexplain that the incidence of preeclampsia can be caused by seasonal variations, whereas other studies saythat seasonal factors can be a protective factor for preeclampsia.Objective: To find out how seasons relate to the prevalence of preeclampsia.Method: A descriptive analytic study using medical record data during. The sample meets the inclusioncriteria, namely pregnant women with preeclampsia, severe preeclampsia, chronic hypertension withsuperimposed severe preeclampsia, or eclampsia. The exclusion criteria were pregnant women with chronichypertension or gestational hypertension. The sampling technique used was total sampling and crosssectional design with observation method using secondary data from medical records. Data was processedusing IBM SPSS Statistics and presented narratively.Results: Respondents who experienced preeclampsia in the dry season were 558 people or 19.3% and thosewho did not experience preeclampsia were 844 people or 29.2% The results of data analysis with statisticaltests using Chi-Square obtained a significance value or p-value of 0.091 (p> 0.05).Conclusion: No correlation between seasonality and the prevalence of preeclampsia.
Characteristic of Referral Patients With Severe Preeclampsia In Surabaya Myrna Evanda Adeline; Muhammad Ardian Cahya Laksana; Atika Atika
Biomolecular and Health Science Journal Vol. 1 No. 1 (2018): Biomolecular and Health Science Journal
Publisher : Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (12.979 KB) | DOI: 10.20473/bhsj.v1i1.8219

Abstract

Introductions: Pre-eclampsia is a hypertensive disorder of a pregnancy that remains major maternal mortality in developing country. Severe pre-eclampsia needed an advanced medical treatment since it could cause life treathening condition for both mother and fetus. The purpose of this research was to understand and got the  picture of the age, parity, complication, delivery method, referral pathway, age of pregnancy, birth weight, and Apgar score of baby from pre-eclamptic mother in dr. Soetomo General Hospital during 2011.Methods: This research is a retrospective-descriptive research which observed the age, parity, complication, delivery method, referral pathway, age of pregnancy, birth weight, and Apgar score of baby from pre-eclampsia mother This research used medical record then the data was recorded and analyzed  descriptively.Result: The number of patients who met the inclusion criteria were 239 patients. Patient’s age were distributed unimodally with a peak at productive age. Most of patients had previous history of pregnancy. Pulmonary edema was the most common cause of maternal complication and intra uterine fetal death was the most common cause of fetal complication. Most delivery were performed in Sectio Caesaria method. Almost all cases was direct refferal cases from other medical services. Then most of cases was reaching aterm periode. Most of babies were born with body weight ≥ 2500 gram. And based on Apgar score the babies were well adapted.Conclusions: Most of the patients with severe preeclampsia referrals were referred from a health care setting, only a small percentage of women were referred to relay. Most of severe preeclampsia occured in women with their gestational age has reached 37 weeks.
KNOWLEDGE IMPROVEMENT AMONG MIDWIVES AS CHAMPIONS IN THE PREVENTION AND MANAGEMENT OF MATERNAL COVID CASES IN EAST JAVA Muhammad Ardian Cahya Laksana; Muhammad Ilham Aldika Akbar; Dwi Izzati
Jurnal Layanan Masyarakat (Journal of Public Services) Vol. 5 No. 2 (2021): JURNAL LAYANAN MASYARAKAT
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jlm.v5i2.2021.333-337

Abstract

AbstrakTingginya angka kematian ibu disebabkan oleh masalah kualitas pelayanan kesehatan yang dipengaruhi oleh faktor organisasi, personal dan lingkungan (Kemenkes, 2018a; Mahmood et al., 2018). Pandemi Covid-19 di Indonesia terus berlanjut, dan kemungkinan akan menyebabkan peningkatan kematian ibu lebih lanjut, sehingga diperlukan kepemimpinan dan bantuan klinis. Metode yang digunakan dalam program pengabdian masyarakat ini adalah dengan memberikan pelatihan dan pendampingan kepada bidan dalam pencegahan dan penanganan kasus ibu hamil di rumah sakit. Pelatihan ini berhasil meningkatkan pengetahuan bidan tentang penanganan kasus covid ibu, pencegahan dan kepemimpinan bidan dalam pelayanan ibu sebesar 35%. Implikasi dari hasil pengabdian kepada masyarakat ini adalah perlu adanya pelatihan pengetahuan dan keterampilan bidan dalam penanganan kasus ibu covid pada masa pandemi dengan mempertimbangkan aspek kebijakan internal rumah sakit, alur pelayanan ibu, kompetensi petugas, APD, sarana dan prasarana rumah sakit, sehingga diperlukan berbagai metode pendekatan dalam melakukan intervensi kebidanan dalam asuhan ibu hamil dengan konfirmasi COVID-19.Kata Kunci : Bidan, COVID-19, Maternal, Pengetahuan AbstractThe high incidence of maternal mortality is caused by problems in the quality of health services which are influenced by organizational, personal, and environmental factors. The Covid-19 pandemic in Indonesia continues and is likely to lead to a further increase in maternal mortality, so clinical leadership and assistance are needed. The method used in this community service program was providing training and assistance to midwives in preventing and handling maternal COVID cases in hospitals. This training succeeded in increasing the knowledge of midwives about handling maternal covid cases, prevention, and midwives’ leadership in maternal services by 35%. The implication of the results of this community service is the need for training on the knowledge and skills of midwives in handling maternal covid cases during the pandemic by considering aspects of hospital internal policies, maternal service flow, officer competence, PPE, hospital facilities and infrastructure, so we need various methods of approach in conducting midwifery interventions in the care of pregnant women with confirmed COVID-19.Keyword : COVID-19, Knowledge, Midwife, Maternal
FACTORS RELATED TO FIRST ANTENATAL VISITS IN PREGNANT WOMEN Maria Bernadeta S Djano; Muhammad Ardian Cahya Laksana; Budi Utomo
Indonesian Midwifery and Health Sciences Journal Vol. 5 No. 4 (2021): Indonesian Midwifery and Health Sciences Journal, October 2021
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v5i4.2021.367-378

Abstract

AbstractBackground: Pregnancy is a physiological event but in its developmen it has risks. In Nagekeo district in 2018 and 2019 there were 6 cases of maternal death and 121 cases of infant mortality with 52 deaths occurring antepartum. There were 10 infant deaths at the Boawae Health Center in 2019 with 5 cases of death occurring antepartum. In addition, there is a gap in achieving the first antenatal visit target of 19% and 14.8% in 2018 and 2019 where not all pregnant women have had their first pregnancy examination in the first trimester. Several factors can influence the behavior of pregnant women in conducting the first antenatal visit such as education level and cost. The importance of carrying out a pregnancy check in the first trimester allows for early detection of disease, administration of folic acid, communication and health information as well as management of problems found. This study aims to analyze the factors associated with the first antenatal visit in pregnant women. Methods: This type of research is observational analytic with a cross sectional design. The sample in this study were all pregnant women in the 2nd and 3rd trimesters who were in the working area of the Boawae Health Center. Data collected through questionnaires were then processed and analyzed by frequency distribution and cross distribution as well as Multiple Logistics Regression analysis with a significance level of 5% (p = 0.05). The research sample size is 86 respondents. The sampling technique is non-probability sampling with consecutive sampling. Bivariate data analysis using chi square and multivariate test using multiple logistic regression. Results: The results showed that the factors associated with the first antenatal visit were maternal health status with a p-value of 0.001 (p < 0.005), husband's education with a p-value of 0.000 (p < 0.005), pregnancy complications with a p-value of 0.001 (p < 0.005), costs with a p-value of 0.002 (p < 0.005) and the presence of a companion with a p-value of 0.000 (p < 0.005). Multivariate analysis showed that the most dominant factor influencing was the cost and presence of a companion, so it can be concluded that pregnant women who have KIS and are supported by a companion are more likely to have their first visit in the first trimester of pregnancy. Conclusion: There is a relationship between health status, husband's education, costs, presence of companions, pregnancy complications with the first antenatal visit.
EFFECT OF BALANCE COUNSELING STRATEGY TOWARDS KNOWLEDGE AND ATTITUDE IN CONTRACEPTION AMONG PREGNANT WOMEN Alfi Syifa Darmastuti; Kasiati Kasiati; Muhammad Ardian Cahya Laksana; Linda Dewanti
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.v4i2.2020.150-159

Abstract

Abstract Background: The use of postpartum contraception is ideally used after delivery under 42 days. Data obtained from the BKKBN of East Java Province, the achievement of unmet need in Surabaya is 13.31% of the unmet need target of 10.44%. The Balanced Counseling Strategy is a family planning counseling method that is practical, interactive, client-friendly, and encourages the client’s active participation. The purpose of this research is to know the effect of using BCS on improving the knowledge and attitudes of pregnant women about family planning. Method: In this quasy experimental research, pre-post with control group designed was implemented. Quota sampling is used to choose responden. Questionaire is used for research instrument. Data analysis used Paired t-test, Wilcoxon Signed Rank Test and Mann-Whitney Test. Results: Thirty nine of pregnant women are studied.  The intervention group has increased knowledge scored 16,64 (p-value = 0,003) though the control  group score 5.11 (p-value = 0,030) that is showed that there is significant different between two grups with p-value 0,045. The intervention group has increased attitudes scored 1,95 (p-value = 0,003) though the control  group 0,11 (p-value = 0,650) that is showed that there is significant different between two grups with p-value 0,015.  Conclusion: Counseling using Balanced Counseling Strategy can increase knowledge and attitude of pregnant women about family planning and more effective than pregnancy-class methods at Tanah Kalikedinding of Public Health 2019. 
THE IMPACT OF THE COVID-19 PANDEMIC ON MATERNAL MORTALITY ATTRIBUTES Dyah Ayu Fatmaningrum; Wahyul Anis; Muhammad Ardian Cahya Laksana
Indonesian Journal of Health Administration Vol. 10 No. 1 (2022): June
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v10i1.2022.70-78

Abstract

Background: The COVID-19 pandemic is a challenge for mothers to access health services in Indonesia. Patient management, referral processes, and maternal screening protocols are the reasons for this issue. Aims: This study aimed to analyze maternal mortality trends in East Java Province before and during the COVID-19 pandemic. Methods: This study was conducted using retrospective observation with a cross-sectional design, and samples were selected using a total sampling technique. The number of maternal deaths in East Java was 520 in 2019 and  565 in 2020. The independent variable in this study is the number of maternal deaths, and the dependent variables include age, gravida, place of death, rescue relay, time of death, and maternal complications. The variables of age, place of death, rescue relay, and gravida were assessed using the Chi-square test. Results: Statistical tests showed a ρ value of 0.195 for age; 0.916 for place of death; 0.646 for rescue relay; and 0.048 for gravida. Conclusion: Maternal mortality showed different trends before and after the pandemic in East Java.  Significant differences in maternal mortality rate are influenced by gravida status.
Improved health education for pregnant women in performing antenatal care in the COVID-19 pandemic Lestari Sudaryanti; Amellia Mardhika; Arina Qona’ah; Anestasia Pangestu Mei Tyas; Muhammad Ardian Cahya Laksana
Abdimas: Jurnal Pengabdian Masyarakat Universitas Merdeka Malang Vol 6, No 4 (2021): November 2021
Publisher : University of Merdeka Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26905/abdimas.v6i4.5447

Abstract

COVID-19 has been declared by WHO as a global pandemic. COVID-19 affects various lines of human life, especially the health aspect. East Java has ranked second in the COVID-19 cases in Indonesia. One of the efforts made to reduce the spread of COVID-19 is through clean and healthy activities and behaviors stay at home causes people to be limited in their activities except for very important purposes, especially activities for pregnant women. Pregnant women must and should carry out regular antenatal care checks. COVID-19 causes anxiety problems and worries for pregnant women to leave the house, including having pregnancy checks. But the mother is also worried about the condition and development of the fetus. This will increase the risk of maternal and infant mortality and the SDGs target in the third objective will not be met. This community service aims to provide knowledge related to antenatal care to high-risk using Poedji Rochyati Score Card (score 6-10) and very high-risk pregnant women (score 12) during the COVID-19 period. The method used in the implementation of this community service is material from resource persons, implementation of health education, and evaluation. The pregnant women were very enthusiastic about participating in this event, it was seen from the questions given to the team and vice versa. The results of the questionnaire show that there are differences in the level of knowledge of pregnant women for pre-test and post-test.
Co-Authors Agus Sulistyono Alfi Syifa Darmastuti Amellia Mardhika Anestasia Pangestu Mei Tyas Arina Qona'ah Atika Atika Budi Utomo Dyah Ayu Fatmaningrum Gede Danu Widarta Izzati Dwi Kasiati Kasiati Lestari Sudaryanti Linda Dewanti Maria Bernadeta S Djano Muhammad Ilham Aldika Akbar Myrna Evanda Adeline Wahyul Anis Windhu Purnomo