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Journal : Jurnal Kesehatan Ibu dan Anak

Faktor- Faktor yang Mempengaruhi Perilaku Bidan untuk Melakukan Pemeriksaan Papsmear di Kabupaten Bantul Tri Wahyuni; Nanik Setiyawati; Anita Rahmawati
Jurnal Kesehatan Ibu dan Anak Vol. 11 No. 1 (2017): Juli
Publisher : Poltekkes Kemenkes Yogyakarta

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Abstract

The problem of women's reproductive health is the increased infection of reproductive organs, causing cancer, including cervicalcancer, the second leading cause of death in women. Midwives are health workers and exemplary for the community as well aswomen who are susceptible to cervical cancer. A preliminary study of 10 midwives found 8 people not doing papsmear because ofshame and fear if the results were positive. The aim of this research is to know the factors that influence the behavior of the midwife toperform papsmear examination. This research is an analytic survey research with cross sectional approach. The number of samplesof 79 health center midwives Bantul regency recorded in the Health Profile of Bantul Regency on 2016. Data collection techniquesusing questionnaires. Data analysis using SPSS 16.0 Program with descriptive frequencies test on univariate analysis and chisquare test on Bivariate analysis. The result of univariate test showed that midwife attitude was dominated by negative responses(50.6%), low category to belief toward midwife support (63.3%), midwives belief to leadership support (57.0%), midwives belief topeer support (50.6%) in support of midwife Do a papsmear check. Behavior of midwife performing papsmear is dominated byirregular pattern (58.2%). The result of bivariate test showed that there was a correlation between midwife's attitude (0.030),midwife's belief in husband support (0.025), midwives belief on leadership support (0.001), and midwives belief in peer support(0.000) on midwife behavior to perform papsmear.
Kinerja Motivator KB Pria terhadap Tingkat Pengetahuan dan Motivasi untuk Mengikuti Metode Operatif Pria (MOP) Bantul Tahun 2016 Tuti Nuryani; Hesty Widyasih; Anita Rahmawati
Jurnal Kesehatan Ibu dan Anak Vol. 11 No. 1 (2017): Juli
Publisher : Poltekkes Kemenkes Yogyakarta

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Abstract

The existing demographical condition was a problem that needed attention and solution in a thorough, serious, and sustainable way.One of the efforts that the government has done and needed to do along with all strata of people is by controlling the number ofpopulation through the improvement of family planning service and reproduction health that affordable, qualified,and effective tocreate small family with high quality. This study was aimed at obtaining the description on the relationship of male Family Planningmotivator with the knowledge level and motivation to participate in Male Operative Methods (Vasectomy). The kind of this study wasanalytic survey by applying quantitative approach. Sample are husbands of reproductive female in Kecamatan Sanden. There were102 sample used. Analyzed the data with chi-square. The study findings that there was significant level between the performance ofmale Family Planning motivator and level of knowledges (p-value 0.019 <0,05). There was significant relationship between theperformance of male Family Planning motivator and motivation to participate in Male Operative Methods (Vasectomy) (p-value0.000<0,05).There was relationship between the performance of male Family Planning motivator to the knowledge level andmotivation to participate in Male Operative Methods (Vasectomy)
The use of hormonal contraception and breast cancer Dwi Wahyuning Anggarini; Anita Rahmawati; Margono Margono
Jurnal Kesehatan Ibu dan Anak Vol. 12 No. 2 (2018): November
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/kia.v12i2.139

Abstract

The prevalence of breast cancer continues to increase in the world, including in Indonesia. The main factor causing breast cancer is not yet known certainly. The research was conducted to determine the correlation between hormonal contraceptive use and the prevalence of breast cancer. The research design was case control. The sampling technique used purposive sampling. The number of samples was 85 cases and 85 controls. The case group was women with breast cancer at RSUP Dr. Sardjito Yogyakarta in 2017. The control group was a woman who checked herself in Obsgyn RSUP Dr. Sardjito in 2017 who was not breast cancer and other cancers. The data collected through secondary data was taken from medical records. The analysis was done using Chi-square test and logistic regression. There was a significant correlation between hormonal contraceptive use and breast cancer prevalence p-value = 0.004 OR = 2.378 (95% CI 1.2282-4.412). The use of hormonal contraception increased the risk of breast cancer prevalence by 2.378 times. Other risk factors were found at age 40 years old p-value = 0.002 OR = 2.641 (95% CI 1.416-4.925), age of menarche <12 years p-value = 0.004 OR = 2.868 (95% CI 1.366-6.021), obesity p-value = 0.002 OR = 2.875 (95% CI 1.434-5.765), and nullipara p-value = 0.005 OR = 4.000 (95% CI 1.402-11.410). The suggestion was that midwives and prospective acceptors/acceptors of family planning pay attention to the risk factors for hormonal contraceptive use on breast cancer prevalence and other risk factors that affected breast cancer.
Gambaran status ekonomi dan tingkat pendidikan orang tua terhadap status gizi balita Anita Wijayanti; Endah Marianingsih Theresia; Anita Rahmawati
Jurnal Kesehatan Ibu dan Anak Vol. 8 No. 2 (2015): November
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/kia.v8i2.216

Abstract

Yogyakarta city has a highest malnutrition coverage than another district regency in Daerah Istimewa Yogyakarta. Prevalence of infant malnutrition in four districts in Yogyakarta province have appropriate expectations, that is <1%, meanwhile in Yogyakarta city still 1.35%. Themost malnutritions problemhas discovered in sub-districtGondokusuman accupation zoneGondokusuman's public health center. Malnutrition appear result by many environmental factors, which are caused by economic status and education level.The education level parents also determined a nutritional status of children because education most affects a person to know and receive information about nutrition. That's known there are 30.8% poor household concerning inhabitant quantity in Gondokusuman's district. In public health center Gondokusuman 1, Demangan village has the highest percentage of poor families. The highest incidence of malnutrition also exist in the Demangan village. This research aims to describe the economic status and education level parents on nutritional status of children. Amethod used in this research are descriptivemethod with cross sectionaldesign. Data analysis are using descriptive analysis techniques with statistical tests used proportions. Results showed that the economic status of parents who have toddlers entirely enough good nutritional status. Meanwhile a parents with lack economic status is having a toddler with a diverse nutritional status are many kind nutritional status, decrease, and more. Parents who have a great education will have a good nutritional status of children. Parents are the primary and secondary education has nourished toddlers also varies.
The effect of premarital sex counseling using jigsaw method on adolescent’s knowledge Happy Imanisa Mahira; Anita Rahmawati; Yani Widyastuti
Jurnal Kesehatan Ibu dan Anak Vol. 13 No. 1 (2019): July
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/kia.v13i1.388

Abstract

The problem that stands out among adolescents is about the Three Problems of Adolescent Reproductive Health, one of which is premarital sex. The low level of knowledge about sexuality and reproductive health is one of the factors that influence the occurrence of premarital sex relations. One effort to provide reproductive health information for adolescents is to provide health promotion or counseling. Health counseling conducted in this study was the jigsaw. The objective was to know the influence of giving counseling with jigsaw compare to lecturer method on knowledge about premarital sex. This research was quasi-experiment research with pre-test and post-test nonequivalent control group design. The study was conducted in March 2019 in YPKK 1 and YPKK 2 Vocational School, Sleman. The sampling uses convenience sampling. The sample for each grup of this study amounted to 30 respondents. Data was analyzed using the Wilcoxon test and the Mann Whitney test. There was significant difference in the pre-test and post-test of adolescent’s knowledge about premarital sex with the jigsaw method (Mean difference= 14.66; p-value= 0.000) and lecture method (Mean difference= 6.00; p-value= 0.001). There was significant difference in knowledge changes of adolescent’s knowledge about premarital sex with the jigsaw method than lecture method (Mean difference= 19.84; p-value= 0.000). The jigsaw method was more effective on increasing knowledge of adolescent’s about premarital sex.
Indeks massa tubuh (IMT) dan lingkar lengan atas (LLA) dengan kadar hemoglobin pada ibu hamil trimester I Fitri Kalfaria; Anita Rahmawati; Ana Kurniati
Jurnal Kesehatan Ibu dan Anak Vol. 7 No. 1 (2015): Juli
Publisher : Poltekkes Kemenkes Yogyakarta

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Abstract

Compared to the 2007 maternal mortality rate of 208/100.000 birth rates, the 2012 maternal mortality rate in Indonesia experience an increase to of the 359/100.000 2007 birthrates. The main factors of maternal mortality is a bleeding possibilily cause by anemia because the red blood cell are lacking due to the decreasing hemoglobin. In 2012 the highest case of anemia in DIY is recorded to take place in the Bantul Regency. Anemia can be seen from the haemoglobin level and influenced by the nutrient status of moters. for this researcvh, analitiycal obsevational study is used with cross sectional approach. This research is conducted at the Public Health Center of Dlingo II, the regency of Bantul. The samples of this researvch ate pergnant mother on the first trimester. most pregnant mother whose data ate taken for this research have the status of body mass of 58.57% (good nutrient), upper arm measurment of 84.28% (good nutrient) and hemoglobin level lebel of 60% (not normal). from the cross table, most samples are found to have the body mass index with good nutrient but without normal hemoglobin level of 37.14%, and most samples have the upper arm measurement with good nutrient but without normal hemoglobin level of 48,58%. The statistic test result of body mass index and hemoglobin level shows the grades of Chi Square = 0,481, and p=0.488. The statistic test result of the upper arm measurement and hemoglobin level shows the grades of Chi Square = 0.881, and p=0.348. The research result shows that there is no relationship between body mass index as well as upper arm measurement and hemoglobin level found on the first-trimesster pregnant mothers.
Hubungan karakteristik ibu menyusui dengan pemberian makanan pendamping ASI pada bayi usia 6-24 bulan Elfida Elfida; Emilda AS; Anita Rahmawati
Jurnal Kesehatan Ibu dan Anak Vol. 2 No. 2 (2012): November
Publisher : Poltekkes Kemenkes Yogyakarta

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Abstract

The provision of complementary foods should be done gradually and different from the type of each feeling introducing new foods began to form thick porridge, fruit juices, fresh fruit, cream foods, and snacks the food is finally solid. Babies are among the easiest to suffer from nutritional disorders. From the SDKI data shows 30% from infants under six months of age other than breast milk given food, 18% were given breast milk and formula milk, 9% were given milk and water and 20% were given milk and juice. The provision of MP-ASl is sometimes inadequate both in terms of quantity and quality. According to the SDKI only 41, 2% of infants aged 6-23 months fed according to the suggestion that ASl, more than 3 (three) and food groups with a minimum frequency of meals. Objective: To determine the relationship characteristics of breastfeeding mothers by providing complementary foods (MP-ASl) on infants aged 6-24 months in Alue Naga Village, Kuala Syiah District, Banda Aceh City. This research is a cross-sectional approach descriptive. The population in this study were mothers who had babies aged 6-24 months that were recorded in Alue Naga Village, a total of 52 respondent. The sampling technique uses a total population, data collection is done by interviews. Test statistic using the chi-square test with SPSS 16.0 and hypothesis testing based on p-value <0.05. Test results statistics with (chi-square) show that respondents with basic education provide complementary foods approach is not recommended by as many as 24 people (82.2%) p-value of 0.001 (p <0.05), respondents who have less knowledge of providing appropriate complementary feeding is not recommended by some 19 people (73.1%) p-value of 0.012 (p <0.05), and respondents who have multigravida parity providing appropriate complementary feeding are not recommended by as many as 17 people (73, 9%) p-value of 0.218 (p> 0.218). Conclusion: There is a relationship between education level and giving complementary foods ASl, there is a relationship of knowledge with complementary feeding and there is no relationship between parity and complementary feeding of infants aged 6-24 months.
Hubungan faktor ibu dan faktor janin dengan kejadian asfiksia neonatorum di Rumah Sakit Umum Daerah Wates Ulfatuni'mah Ulfatuni'mah; Endah Marianingsih Theresia; Anita Rahmawati
Jurnal Kesehatan Ibu dan Anak Vol. 2 No. 2 (2012): November
Publisher : Poltekkes Kemenkes Yogyakarta

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Abstract

The main cause of perinatal mortality aged 0-6 days were respiratory (37%). Asphyxia neonatorum caused by several factors, including maternal and fetal factors during pregnancy and childbirth. Objective: To determine the association between maternal factors (Preterm Rupture of membranes, long first stage, long second stage. chronic hypertension, hypertension in pregnancy and pre-eclampsia, birth pathological, hemorrhagic ante partum, and maternal infection) and fetal factors (pregnancy preterm, pregnancy post term, Gemelli, low birth weight, and congenital anomalies) and the incidence of asphyxia neonatorum. the research carried out by the cross-sectional design. Research location in Hospital Wates Kulon Progo District Yogyakarta. The study population was all women birthing in hospitals Wates Kulon Progo in January to December of 2011 amounted to 2246 mothers. Samples were taken by simple random sampling technique with 350 samples and the number of samples that have complete medical records as many as 336 samples. Data retrieved secondary data from medical records of patients. Analysis of the data using bivariate R.2.9.0 program with significance level 0,05. Results: maternal factors that have a significant association with the incidence of neonatal asphyxia are premature rupture of membranes the (p-value 0.00), long first stage (p-value 0.00). long second stage (p-value 0.00), and labor pathological (p-value 0.00). Fetal factors that have a significant association with the incidence of neonatal asphyxia are premature pregnancy (p-value 0.00) and low birth weight (p-value 0.01). While chronic hypertension, hypertension in pregnancy and pre-eclampsia, Hemorrhagic ante partum, infectious diseases, pregnancy post term, gemelli and congenital abnormalities have no significant association with the incidence of neonatal asphyxia. Conclusions: There is a significant association between maternal factors (premature rupture of membranes, long first stage, long second stage. and labor pathological) and fetal factors (premature pregnancy and low birth weight) with the incidence of neonatal asphyxia
Peningkatan berat badan akseptor kontrasepsi suntik progestin Farida Ulfah Annisa; Nining Wiyati; Anita Rahmawati
Jurnal Kesehatan Ibu dan Anak Vol. 4 No. 2 (2013): November
Publisher : Poltekkes Kemenkes Yogyakarta

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Abstract

Injection contraception is a contraception that chosen by the most acceptors in Indonesia including in Yogyakarta. Its amount reaches 20,549 acceptors or 36.54% with the most acceptors found in Gunungkidul Regency. There are 5,031 acceptors (41.15%). Increasing of the body weight is the highest frequency of the effect of using injection contraception. To determine the description of the increasing of body weight in progestin injection contraception in Paliyan District of Gunungkidul Regency on 2011-2012. Kind of the research that used is descriptive with cross sectional approach, done in Paliyan District on March 25th -April 31st 2013. The subject of the research is all new acceptors of progestin acceptors of progestin injection contraception with completely medical document in Paliyan in January0 December 2011 that amount to 216 acceptors. After obtaining data then it is carried out analysis using mena table. On the whole of 216 acceptor of progestin injection Family Planning Program in Paliyan District, there are 162 acceptors (75%) that experience in increasing of the body weight in the use of 13 months usage. The rate of increasing of the body weight in the second injections is 0.69 kg, the third injection is 1,23 kg, the fourth injection is 1,57 kg, and the fifth injection is 2.02 kg. the body weight o progestin injection contraception acceptor is inclined to increase in its following of repeating injection. The rate of increasing of the body weight for 13 months usage is 2.02 kg
Pengaruh pemberian kompres hangat terhadap penurunan intensitas dismenorea pada siswi kelas VIII Fajar Heni Murtiningrum; Anita Rahmawati; Tri Maryani
Jurnal Kesehatan Ibu dan Anak Vol. 8 No. 2 (2015): November
Publisher : Poltekkes Kemenkes Yogyakarta

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Abstract

Adolescence is characterized by biological changes in menstruation periods in which women feel discomfort or pain in the lower in abdomen. This called menstrual pain. Giving warm compress will be dilates blood vessels and increase local blood flow which resulting relaxation and can reduce pain. The purpose of research was to determine the impact warm compress towards the decreasing of dysmenorrhea intensity. The design of this pre-experimental (one group pre-posttest design). The sites were on SMP Negeri 3 Depok, Sleman. The population was students who have experience dysmenorrhea that met inclusion area. In the beginning, students filled out the menarche, duration, and menstrual cycles. Students were given explanation about warm compress procedure. Before and after do the warm compress, do the measurement of pain intensity first. All procedure is done by the respondents. The data were analyzed using statistic test with significance level = 0,05. The result showed before given warm compress the range of pain intensity about 3 up to 5with the highest intensity on scale 4 (46,7%)with mean 3,8. And after given warm compress had decrease pain's scale about 2 up to 4 with the highest intensity on scale 3 with mean 2,83, mean difference of 0,967 (Cl 95%, lower 0,847. Upper 1,086) value 0,0001 < 0,05 so the warm compress can reduce the menstrual pain. The conclusion is warm compress can reduce the dysmenorrhea intensity.