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Interaksi Sosial dalam Kejadian Abortus Provokatus Kriminalis di Kabupaten Bulukumba Provinsi Sulawesi Selatan Ridwan, Rizal; Prawitasari, Shinta; Prawirodihardjo, Leo
JURNAL KESEHATAN REPRODUKSI Vol 3, No 3 (2016)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (222.021 KB) | DOI: 10.22146/jkr.35956

Abstract

Background: Many factors influence the decision to commit abortions, among all are marital status and educational status which most are still in school, economic pressure, multiparity or contaception failure. The social interaction is a connection between t the people who perform abortion and their suggestive environment.Objective: to observe the social interaction that happend among the person who perform abortion and the surrounding society.Method: This research makes use of qualitative method to understand the motives behind abortion practice, through an indepth interview. The sample collection is performed on H. A. Sulthan Dg Radja Hospital and Daffiku Hospital Bulukumba.Result and Discussion: Subject who performed abortion was influenced by internal and external factors. The internal factors include anxiousness, financial worrisome to support the child and fear of embarrassing the family in an unmaried women. As for the external factor includes pressure from families and friends who insist on performing abortion and the help from traditional healer on performing abortion. These two factors are not independent, and between them there are interactions to materialize abortion practice.Conclussion: Social interaction between individuals and between individual and the environment are an important role against abortion in decision making to have an provocative abortion.Keywords: Social interaction, abortion, factors for abortion
HUBUNGAN PEMAKAIAN ANTIBIOTIK DENGAN KEJADIAN INFEKSI SECTIO CAESAREA PADA PASIEN DI RSUD ABEPURA JAYAPURA PAPUA Emma, Nani; Emilia, Ova; Prawitasari, Shinta
JURNAL KESEHATAN REPRODUKSI Vol 1, No 1 (2014)
Publisher : IPAKESPRO

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Abstract

HUBUNGAN PEMAKAIAN ANTIBIOTIK DENGAN KEJADIANINFEKSI SECTIO CAESAREA PADA PASIEN DI RSUD ABEPURAJAYAPURA PAPUANani Emma, Ova Emilia, Shinta PrawitasariABSTRACTBackground: The number of caesarean section (CS) operations in the world has increased sharply within the last20 years. Increase of the need for CS operations also increases the problem related to surgical process. Infectionhappens about 2% to 16% after CS operation. The incidence of post CS is associated with some factors such assupplementation of prophylaxis antibiotics, duration of childbirth, width of membranewound, duration of surgicalnursing monitoring and number of CS. CS infection associated with antibiotic use occurs before or after CSoperation. The incidence increases 3 times in patients that do not use antibiotics before CS operation. Use ofprophylaxis antibiotics in CS operation significantly minimizes the incidence of infection.Objective: To identify antibiotic use according to standard operational procedure to the incidence of infection inCS mothers.Method: The study was analytical with cross sectional design, undertaken at Abepura Local Hospital. Populationwere allmothers who gave birth through CS at the hospital. Samples were taken using systematic random samplingtechnique as many as 44 samples. Data were obtained through questionnaire, interview and document studiesand analyzed using chi square and logistic regression test, risk prevalence at confidence interval (CI) 95% andsignificance p<0.05.Result: The majority of subject (56.82%) had no infection; 59.09% used antibiotics according to the procedure;52.27% had good nutrition status; 54.55% had emergency operation; 50% had anemia. Average length of CSoperation was 2.26 +1.38 hours. There was significant association between antibiotic use, nutrition status, Hblevel, and types of operation and the incidence of CS infection (p<0.05). The result ofmultivariate analysis showedthere was significant association between antibiotic use, nutrition status, types of operation and the incidence ofinfection. Use of antibiotic brought dominant risk for the incidence of CS infection (PR=2.64; 95% CI=1.44-4.83)whereby antibiotic use, nutrition status and types of operation could predict the incidence of CS infection asmuch as 10.7%.Conclusion: Themajority of subject had no infection and used antibiotic according to the procedure. The probabilityfor the incidence of CS infectionwas greater in antibiotic use irrelevant from the procedure. Factormost dominantlyaffecting the incidence of CS infection was antibiotic use irrelevant from the procedure.Keywords: antibiotic use, caesarean section, incidence of infection ABSTRAKLatar Belakang: Jumlah tindakan operasi seksio sesarea (SC) di dunia telah meningkat tajam dalam 20 tahunterakhir. Peningkatan kebutuhan untuk operasi SC juga meningkatkan masalah yang berkaitan dengan prosesbedah. Infeksi terjadi sekitar 2% sampai 16% setelah operasi SC. Insiden pasca SC dikaitkan dengan beberapafaktor seperti suplemen antibiotik profilaksis, durasi persalinan, lebar membran luka, durasi pemantauankeperawatan bedah dan jumlah SC. Infeksi SC terkait dengan penggunaan antibiotik terjadi sebelum atau setelahoperasi SC. Insiden meningkat 3 kali pada pasien yang tidak menggunakan antibiotik sebelum operasi SC.Penggunaan antibiotik profilaksis dalam operasi SC signifikan meminimalkan kejadian infeksi.Tujuan: Untukmengidentifikasi penggunaan antibiotik sesuai dengan standar prosedur operasional untuk kejadianinfeksi pada ibu SC.Metode: Penelitian ini adalah analitik dengan rancangan cross sectional, yang dilakukan di Rumah Sakit DaerahAbepura. Populasi adalah semua ibu yang melahirkan melalui SC di rumah sakit. Sampel diambil denganmenggunakan teknik random sampling sistematik sebanyak 44 sampel. Data diperoleh dengan kuesioner,wawancara dan dokumen studi dan dianalisis menggunakan chi square dan uji regresi logistik, prevalensi risikopada confidence interval (CI) 95 % dan signifikansi p < 0,05.Hasil dan Pembahasan: Sebagian besar subjek (56,82 %) tidak memiliki infeksi, 59,09 % digunakan antibiotiksesuai prosedur, 52,27 % memiliki status gizi baik, 54,55 % mengalami operasi darurat, 50% mengalami anemia.Rata-rata panjang operasi SC adalah 2.26 +1.38 jam. Ada hubungan yang signifikan antara penggunaan antibiotik,status gizi, kadar Hb, dan jenis operasi serta kejadian infeksi SC (p < 0,05). Hasil analisis multivariat menunjukkanada hubungan yang signifikan antara penggunaan antibiotik, status gizi, jenis operasi dan kejadian infeksi.Penggunaan antibiotik membawa risiko yang dominan untuk kejadian infeksi SC (PR=2,64; 95% CI=1,44-4,83)dimana penggunaan antibiotik, status gizi dan jenis operasi bisa memprediksi kejadian infeksi SC sebanyak 10,7%.Kesimpulan: Sebagian besar subjek tidakmengalami infeksi dan antibiotik digunakan sesuai prosedur. Probabilitasuntuk kejadian infeksi SC lebih besar pada penggunaan antibiotik yang tidak relevan dengan prosedur. Faktoryang paling dominan mempengaruhi kejadian infeksi SC adalah penggunaan antibiotik yang tidak relevan denganprosedur.Kata kunci: penggunaan antibiotik, operasi caesar, kejadian infeksi
PENGARUH INISIASI MENYUSU DINI TERHADAP JUMLAH PERDARAHAN PASCA PERSALINAN Sumarah, Sumarah; Hakimi, Muhammad; Prawitasari, Shinta
JURNAL KESEHATAN REPRODUKSI Vol 1, No 1 (2014)
Publisher : IPAKESPRO

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Abstract

PENGARUH INISIASI MENYUSU DINI TERHADAPJUMLAH PERDARAHAN PASCA PERSALINANSumarah,Mohammad Hakimi, Shinta PrawitasariABSTRACTBackground: Mortality and morbidity among women during pregnancy and labour are a major problem in poorand developing countries including Indonesia. The prevalence of postpartum hemorrhage is between 2-11% outof all childbirth. Postpartum hemorrhage is the main cause of maternal mortality (28%). Maternal mortalitymainly occurs within the first 4 hours after childbirth. Uterus contraction after childbirth greatly minimizes therisk of hemorrhage. Early breastfeeding initiation stimulates the back of hypofiche gland to produce oxytoxinthat ignites womb muscle contraction so that the risk for the prevalence of postpartum hemorrhage can beminimized.Objective: To identify the impact of early breastfeeding initiation to the amount of postpartum hemorrhage.Method: The study was observational with prospective cohort design. Subject of the study were normal partummothers at Sleman Hospital taken using non probability with consecutive sampling technique (62 samples). Dataanalysis used univariate with frequency distribution and percentage, bivariate with independent t-test andmultivariate with linear regression.Result and Discussion: Average amount of blood in postpartum mothers that practised early breastfeedinginitiation (EBI) was lower than those without EBI. The average amount of hemorrhage in mothers that practiceEBI was 77,26 + 33,6 cc, and in mothers that did not practiced EB was 115,4 +31,0 cc. Average difference in theamount of hemorrhage in the two groups was -38,1 cc. This difference was statistically significant with p<0,05(p=0,000), 95%CI=-54,6- -21,7. External variables, either age, parity or education of mothers, had no significantassociation with the amount of postpartum hemorrhage (p>0,05).Conclusion: EBI affected the amount of postpartum hemorrhage. Average amount of postpartum hemorrhage inmothers that practiced practised EBI was 38,1 cc less than in those that did not practise EBI.Keywords: postpartum, early breastfeeding initiation, skin to skin contactABSTRAKLatar Belakang: Mortalitas dan morbiditas pada wanita selama kehamilan dan persalinan adalah masalah besardi negara-negara miskin dan berkembang termasuk Indonesia. Prevalensi perdarahan postpartum adalah 2-11%dari semua persalinan. Perdarahan postpartum merupakan penyebab utama kematian ibu (28%). Kematian ibuterutama terjadi dalam 4 jam pertama setelah melahirkan. Kontraksi rahim setelah melahirkan sangatmeminimalkan risiko perdarahan. Inisiasi menyusui dini merangsang bagian belakang kelenjar hypofiche untukmenghasilkan oxytoxin yangmemicu kontraksi otot rahimsehingga resiko untuk prevalensi perdarahan postpartumdapat diminimalkan.Tujuan: Untuk mengidentifikasi dampak dari inisiasi menyusui dini terhadap jumlah perdarahan postpartum.Metode: Jenis penelitian ini adalah observasional dengan rancangan kohort prospektif. Subyek penelitian adalahibu yang melahirkan normal di Rumah Sakit Sleman diambil menggunakan non probability dengan teknikpengambilan sampel berturut-turut (62 sampel). Analisis data yang digunakan univariat dengan distribusi frekuensidan persentase, bivariat dengan t-test independen dan multivariat dengan regresi linier.Hasil dan Pembahasan: Jumlah rata-rata darah pada ibu pasca melahirkan yang dilakukan tindakan inisiasimenyusui dini (IMD) lebih rendah dibandingkan mereka yang tidak dilakukan IMD. Jumlah rata-rata perdarahanpada ibu yang berlatih IMD adalah 77,26 + 33,6 cc, dan pada ibu yang tidak melakukan IMD adalah 115,4 + 31,0cc. Rata-rata perbedaan jumlah perdarahan pada kedua kelompok adalah -38,1 cc. Perbedaan ini secara statistiksignifikan dengan p <0,05 (p = 0,000), 95% CI = 54,6—21,7. Variabel eksternal, baik usia, paritas atau pendidikanibu, tidak memiliki hubungan yang signifikan dengan jumlah perdarahan postpartum dengan p> 0,05.Kesimpulan: IMD mempengaruhi jumlah perdarahan postpartum. Jumlah rata-rata perdarahan postpartum padaibu yang dilakukan IMD adalah 38,1cc lebih sedikit dibanding mereka yang tidak berlatih IMD.Kata kunci: postpartum, inisiasi menyusui dini, kontak kulit dengan kuli
Relationship Between The Duration Of Breastfeeding Until The First 6 Months With Body Composition Changes On Maternal Postpartum Yayi Pramesti, Ajeng Arumsari; Hartriyanti, Yayuk; Prawitasari, Shinta
JOURNAL OF HEALTHCARE TECHNOLOGY AND MEDICINE Vol 1, No 1 (2015)
Publisher : JOURNAL OF HEALTHCARE TECHNOLOGY AND MEDICINE

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Introduction : Most of the mothers are very attentitve to changes in body composition, especially postpartum weight loss. One of the factors believed to facilitate the weight loss and body fat loss in postpartum mothers is breastfeeding. Factor that affect the relationship between breastfeeding with maternal postpartum body composition are food intake and physical activity. The aim of this study is to analyze the change in body composition between the mother who give exclusive breastfeeding for 6 months and the mother who don’t and also attempts to analyze the effect of breastfeeding duration to the change in body composition and the factor affecting it.Methods : This study used the panel study with longitudinal approach. 32 respondents observed for 6 months. Fat mass measurement data are collected using skinfold caliper and breastfeeding status, food intake and physical actiuvity data are collected using interview. The relationship between breastfeeding with the change in body composition is analyzed using t-test analysis. T-test analysis are also used to test the effect of food intake and physical activity to breastfeeding. Regression analysis are used to analyze the effect of food intake and physical activity to body composition. Results : According to the result of statistical analysis, there is no significance effect of breastfeeding for 6 months to the change in maternal postpartum body composition (fat mass and free fat mass) (p = 0.743; p = 0.771) and also no significance effect of food intake and physical activity to the relation between breastfeeding with the change in body composition. There is a significance effect of breastfeeding for 4 months to the change in the body composition (p = 0.046). The average fat mass change in mother who give exclusive breastfeed is higher than the one who don’t.Conclusion : From 32 respondents in this study, only 4 mothers can successfully give exclusive breastfeed for 6 months. The average fat mass change in mother who give exclusive breastfeed is higher than the one who don’t. There is no significance effect of breastfeeding for 6 months to the change in maternal postpartum body composition (fat mass and free fat mass). There is a significance effect of breastfeeding for 4 months to the change in maternal postpartum body composition.
RASIO ESTRIOL/ ESTRADIOL TINGGI SEBAGAI PREDIKTOR KEBERHASILAN INDUKSI PERSALINAN PADA KEHAMILAN LEWAT WAKTU Adintyo Rahman, Muhammad Nur; Prawitasari, Shinta; Pradjatmo, Heru
JURNAL KESEHATAN REPRODUKSI Vol 2, No 2 (2015)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1087.055 KB) | DOI: 10.22146/jkr.12642

Abstract

RASIO ESTRIOL/ ESTRADIOL TINGGI SEBAGAI PREDIKTORKEBERHASILAN INDUKSI PERSALINAN PADA KEHAMILANLEWAT WAKTUMuhammad Nur Adintyo Rahman1, Shinta Prawitasari2, Heru Pradjatmo3ABSTRACTBackground: Induction of labor is a common procedure performed at 15-20 % of pregnancies. The mostcommon indication was prolonged pregnancy (70 %). The past decade labor induction rate was increased2-fold as well as the risk of cesarean section. Difficulties to predict the success of induction made predictorsof success of induction widely studied. Predictors can be physical or chemical markers. One of the chemicalmarker is the ratio of estriol to estradiol levels.Objective: To determine the value of the ratio of estriol/ estradiol to predict success of induction of laborin prolonged pregnancy.Method: The design of study are Prospective Cohort. Study two hospitals (Wonosobo District Hospitaland Banjarnegara District Hospital) used in this study from September 10, 2013 until December 31,2013. Blood sampling was drown from the subject before induction to examin the levels of estriol andestradiol the induction which end in vaginal delivery were noted as succesull induction Receiver OperatingCharacteristic (ROC) method in order to determine the sensitivity, specificity, positive predictive value,negative predictive value and Area Under the Curve. Bivariate and multivariate analyzes also used todetermine the correlation between variables.Results and Discussion: This study obtained 76 samples, 69 with successful induction and 7 failed ofinduction. The research got a cut-off was point 35 the sensitivity was 71% value, specificity value of 71%,positive predictive value 49%, negative predictive value was 55.6%. Area Under the was value of 80,7%.Positive likelihood ratio 1,06 and negative likelihood ratio 0,88. Bivariate and multivariate analysis showedthat the ratio of estriol / estradiol ≥ 35 ng / mL significantly associated with successful induction (OR 9,598;95% CI 1,378-66,859) Bishop score was also associated with a significant induction success (OR 13,481;95% CI 1,955 -92,955)Conclusion: This study shows that the proportion ratio of estriol / estradiol in succeed induction groupwere higher (≥ 35) compared with induction failure group (<35).Keywords: prolonged pregnancy, labor induction , estriol/ estradiol ratio, predictorsABSTRAKLatar Belakang: Induksi persalinan adalah prosedur umum yang dilakukan pada 15-20% kehamilan.Indikasi tersering adalah kehamilan lewat waktu (70%). Satu dekade terakhir angka induksi persalinantelah meningkat 2 kali lipat begitu juga dengan risiko seksio sesarea. Keberhasilan induksi sulit diprediksi.Prediktor keberhasilan induksi banyak diteliti baik penanda fisik maupun kimia. Salah satu penanda kimiaadalah rasio kadar estriol terhadap estradiol.Tujuan: Mengetahui nilai rasio kadar estriol estradiol untuk memprediksi keberhasilan induksi padakehamilan lewat waktuMetode: Kohort prospektif. Dua rumah sakit (RSUD Wonosobo dan RSUD Banjarnegara) dipakai dalampenelitian ini dari 10 September 2013 sampai 31 Desember 2013. Subyek yang memenuhi kriteriainklusi dan eksklusi diambil sampel darah sebanyak 5 ml sebelum Induksi untuk diperiksa kadar estrioldan estradiol kemudian dilihat keberhasilan induksinya. Analisis yang digunakan adalah metode ReceiverOperating Characteristic (ROC) untuk dapat mengetahui nilai sensitivitas, spesifitas, nilai ramal positif,nilai ramal negatif dan Area Under Curve. Analisis X2 dan Regresi logistik digunakan untuk mengetahuihubungan antar variabel.Hasil dan Pembahasan: Selama waktu penelitian didapatkan 76 sampel, 69 dengan induksi berhasil dan7 gagal induksi. Dengan cut off point 35, nilai sensitivitasnya 71%, nilai Spesifitas 71%, nilai ramal positif49%, nilai ramal negatif 55,6%. Nilai Area Under Curve sebesar 80.7%. Likelihood ratio positive 1,06 danlikelihood ratio negative 0,88. Hasil analisis multivariat menunjukkan bahwa Rasio estriol/ estradiol ≥ 35berhubungan dengan keberhasilan induksi secara signifikan (RO 9.598; IK 95% 1.378-66.859) Skor Bishopjuga berhubungan dengan keberhasilan induksi secara signifikan (RO 13,481; IK 95% 1.955-92.955)Kesimpulan: Kelompok yang berhasil diinduksi memiliki proporsi rasio estriol/ estradiol yang lebih tinggi(≥ 35) dibandingkan dengan kelompok gagal induksiKata kunci: Kehamilan lewat waktu, induksi persalinan, rasio estriol/ estradiol, prediktor1,2,3 Bagian Obstetri dan Ginekologi Fakultas Kedokteran Universitas Gadjah Mada Yogyakarta
Perbedaan Pola Menyusui Bulan Pertama Ibu Melahirkan Seksio Sesarea Dibandingkan Melahirkan Normal di Rumah Sakit Sayang Bayi Nurmayani, Winda; Julia, Madarina; Prawitasari, Shinta
JURNAL KESEHATAN REPRODUKSI Vol 5, No 3 (2018)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (276.772 KB) | DOI: 10.22146/jkr.41414

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Background: exclusive breastfeeding should be provided until 6 months of age, but the fact proves that the pattern of breastfeeding has decreased. The pattern of the first month lactation is a critical period for the survival of the subsequent breastfeeding, so it is necessary to make efforts to maintain the duration of breastfeeding because the success of the first month breastfeeding will increase mothers’ confidence to continue breastfeeding.Objective: To determine differences in the pattern of the first month breastfeeding in mothers who gave birth by cesarean section compared to those by vaginal delivery in Rumah Sakit Sayang Bayi (Baby Friendly Hospital)Method: Type of research is comparative observational  with a prospective cohort design using a quantitative approach. The research was conducted in Baby Friendly Hospital of RSUD (General Hospital) Mataram City. Total sample 120 consisted of 60 mothers giving birth the caesarean section and 60 mothers vaginal delivery. The independent variable of giving birth by Cesarean Section and vaginal delivery, dependent variable pattern the first month of breastfeeding and external variables age, parity, employment, the incidence of antepartum and postpartum. The sampling technique using consecutive sampling. Analysis of the data used is univaribel, bivariate using Chi-square and Fisher's exact test and multivariable logistic regression and stratification testResult and Discussion: There was no significant correlation between the mode of delivery and the patterns of the first month breastfeeding by including a variable of employment with a value of OR (95% CI) = 1.6 (0.63 to 4.17) and there was a decrease in the value of OR (95% CI ) from 2.5 (1.05 to 5.94) to 1.6 (0.63 to 4.17); there was also no  significant correlation when involving the variable of the incidence of ante partum and post partum with the value of OR (95% CI) = 1.7 (0.45 to 6.26) and OR (95% CI) = 2.3 (0.96 to 5.53), respectively.Conclusion: : There is no difference patterns of breastfeeding mothers first month who gave birth cesarean section compared to normal birth. Caesarean section would affect the pattern of the first month breastfeeding if cesarean section deliveries occurred at housewives and mothers who did not experience the incidence of ante partum. Keywords: pattern of breastfeeding; vaginal deliveries; caesarean section; breast milk; 
Hubungan Pengetahuan, Sikap dan Perilaku Bidan Desa terhadap Kanker Leher Rahim dan Pencegahannya di Kabupaten Sragen Sutresno, Ismail Joko; Emilia, Ova; Prawitasari, Shinta
JURNAL KESEHATAN REPRODUKSI Vol 4, No 1 (2017)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (231.463 KB) | DOI: 10.22146/jkr.35429

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Background: Cervical cancer (cervix) is the second most common type of cancer in women, with an estimated of 530,000 new cases and more than 270,000 deaths each year. In 2012, cervical cancer cases in Central Java was 2,259 cases. Cervical cancer is easily recognizable and can be prevented with screening. A village midwife as the closest healthcare provider to the community is expected to function better in encouraging the prevention of cervical cancer.if they receive appropriate knowledge and attitude toward screening.Objective: to understand the correlation of knowledge, attitude and behavior of village midwife against cervical cancer and its prevention in Sragen district.Method: This analytic study is using quantitative and qualitative approach. Quantitative studies was done with cross-sectional study. The population of this research were 208 village midwifes from 20 sub-districts in Sragen and the subjects were 118 midwives whom randomly sampled. Data were analyzed using univariate and bivariate analysis.The qualitative study was done using depth interview.Result and Discussion: There is no correlation between age, level of education as well as work duration with their knowledge about cervical cancer prevention (P = 0.787; 0.344; 0.822); there is no correlation between village midwives’ knowledge with their behavior towards cervical cancer prevention (P = 0.664); there is no correlation between the village midwives’ attitudes and behavior towards prevention of cervical cancer (P = 0.460). Qualitative results support the quantitative results.Conclusion: There is no correlation between village midwives’ knowledge, attitudes and behavior towards cervical cancer prevention.Keywords: Cervical cancer, knowledge, attitude, behavior
Hubungan Kadar CA-125 Praoperatif terhadap Prognosis Survival Penderita Kanker Ovarium Epitelial di RSUP Dr.Sardjito Pradjatmo, Herlina; Siswishanto, Rukmono; Prawitasari, Shinta
JURNAL KESEHATAN REPRODUKSI Vol 5, No 1 (2018)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (376.131 KB) | DOI: 10.22146/jkr.37949

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Background: CA-125 level increases in 50% of patients with stage I, 90% of patients with stage II, 92% of patients with stage III and 94% of patients with stage IV ovarian cancer. CA-125 level were not a diagnostic tool to detect ovarian cancer, however it was useful to monitor the progressive of disease and as a prognostic marker.Objectives: The aim of this study is to prove whether CA-125 level before surgery in ovarian cancer patients at Dr. Sardjito Hospital as well as a factor that correlates to the survival prognosis of those patients.Method: This research used cohort retrospective study at Dr. Sardjito Hospital Yogyakarta.Result and Discussion: As much as 71 ovarian cancer patients which had been included in this research with inclusion and exclusion criteria. Subjects were divided into two groups. One group was for patients with low CA-125 level (≤35 U/ml) as much as 18 subjects and another group was for patients with high CA-125 level (>35 U/ml) as much as 53 subjects. The result of a bivariate analysis with an independent survival analysis (Cox’s Regression) was the stage of disease (p=0.005, HR 4.827, CI 95% 1.623 – 14.355) and residual tumour (p=0.029, HR 2.605, CI 95% 1.101 – 6.161) were a survival prognosis factor. Multivariate analysis with a survival analysis (Cox’s Regression) shows CA-125 level (p=0.031, HR 4.131, CI 95% 1.143 – 14.933) and menarche (p=0.003, HR 4.989, CI 95% 1.736 – 14.342) were significantly related with survival prognosis in EOC (Epithelial Ovarian Cancer) patients at Dr. Sardjito Hospital.Conclusion: CA-125 level affects the survival rate of epithelial ovarian cancer patients in Dr. Sardjito Hospital. Besides the level of CA-125, there are other factors that affect the survival rate of epithelial ovarian cancer patients which is the stage of cancer, residual operation and age of menarche.Keywords: CA-125 level, EOC, prognosis, survival.
Client Satisfaction After Family Planning Counseling by Trained Medical Students Prawitasari, Shinta; Sangun, Diannisa I E; Rahman, Muhammad Nurhadi; Emilia, Ova
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 (269.045 KB) | DOI: 10.22146/jkr.36199

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Latar Belakang: Program keluarga berencana mengalami tren penurunan di Indonesia dikarenakan adanya kendala pengetahuan, hambatan budaya, dan ketidakpuasan klien terhadap efek dari penggunaan alat kontrasepsi. Konseling keluarga berencana oleh penyedia layanan kesehatan memainkan peran yang penting dalam memberikan informasi mengenai metode program keluarga berencana.Tujuan: Mengetahui kepuasan klien terhadap konseling keluarga berencana yang dilakukan oleh mahasiswa kedokteran yang telah dilatih.Metode: Penelitian ini merupakan pre-experiment design with posttest only. Dua puluh lima mahasiswa kedokteran yang mengikuti progam ditugaskan untuk memberikan konseling keluarga berencana kepada klien program keluarga berencana di Kabupaten Sleman, Yogyakarta. Modifikasi kuisioner dari William dkk digunakan untuk menilai kepuasan klien. Analisis deskriptif dilakukan dengan program SPSS versi 21.Hasil dan Pembahasan: Dari 69 klien yang mendapatkan pelayanan,secara umum lebih dari 97% klien merasa puas dengan pelayanan yang diberikan kecuali pada poin waktu tunggu dimana ketidakpuasan klien 11,8%. Kepuasan pada poin merasa dihormati, durasi konseling, metode pemberian informasi, kesempatan bertanya, dan kesesuaian antara informasi yang dibutuhkan dengan yang diberikan mencapai 98,5-100%.Kesimpulan: Sebagian besar klien merasa puas dengan konseling yang diberikan oleh mahasiswa kedokteran.Kata kunci: kepuasan, keluarga berencana, konseling, mahasiswa kedokteran
Hubungan Pemakaian Antibiotik dengan Kejadian Infeksi Sectio Caesarea pada Pasien di RSUD Abepura Jayapura Papua Emma, Nani; Emilia, Ova; Prawitasari, Shinta
JURNAL KESEHATAN REPRODUKSI Vol 1, No 1 (2014)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

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Abstract

Background: The number of caesarean section (CS) operations in the world has increased sharply within the last 20 years. Increase of the need for CS operations also increases the problem related to surgical process. Infection happens about 2% to 16% after CS operation. The incidence of post CS is associated with some factors such as supplementation of prophylaxis antibiotics, duration of childbirth, width of membrane wound, duration of surgical nursing monitoring and number of CS. CS infection associated with antibiotic use occurs before or after CS operation. The incidence increases 3 times in patients that do not use antibiotics before CS operation. Use of prophylaxis antibiotics in CS operation significantly minimizes the incidence of infection.Objective: To identify antibiotic use according to standard operational procedure to the incidence of infection in CS mothers.Method: The study was analytical with cross sectional design, undertaken at Abepura Local Hospital. Population were all mothers who gave birth through CS at the hospital. Samples were taken using systematic random sampling technique as many as 44 samples. Data were obtained through questionnaire, interview and document studies  and analyzed using chi square and logistic regression test, risk prevalence at confidence interval (CI) 95% and significance p<0.05.Result: The majority of subject (56.82%) had no infection; 59.09% used antibiotics according to the procedure; 52.27% had good nutrition status; 54.55% had emergency operation; 50% had anemia. Average length of CS operation was 2.26 +1.38 hours. There was significant association between antibiotic use, nutrition status, Hb level, and types of operation and the incidence of CS infection (p<0.05). The result of multivariate analysis showed there was significant association between antibiotic use, nutrition status, types of operation and the incidence of infection. Use of antibiotic brought dominant risk for the incidence of CS infection (PR=2.36; 95% CI=1.45-3.38) whereby antibiotic use, nutrition status and types of operation could predict the incidence of CS infection as much as 10.7%.Conclusion: The majority of subject had no infection and used antibiotic according to the procedure. The probability for the incidence of CS infection was greater in antibiotic use irrelevant with the procedure. Factor most dominantly affecting the incidence of CS infection was antibiotic use irrelevant with the procedure. Keywords: antibiotic use, caesarean section, incidence of infection