Tri Maryani
Poltekkes Kemenkes Yogyakarta

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Journal : Jurnal Kesehatan Ibu dan Anak

Perbedaan Skala Nyeri Kala I Dan Durasi Kala II Persalinan pada Primigravida dengan Senam dan Yoga Kehamilan Annisa Rifdatul Marwa; Sumarah Sumarah; Tri Maryani
Jurnal Kesehatan Ibu dan Anak Vol. 11 No. 1 (2017): Juli
Publisher : Poltekkes Kemenkes Yogyakarta

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Abstract

Labor pain is pain that comes from uterine contractions to try to remove the baby. The mother's perception of pain during childbirthcan affect the length of labor. First stage of labor has a longer duration for primigravidae, it causes pain experienced maternal lastslonger. Pain causes tachycardia in mothers (especially during the pushing in the second stage of labor), increased oxygenconsumption, production of lactic acid (lactate), the risk of hyperventilation with respiratory alkalosis, and increased muscle tensionskeletar. Pregnant women should be supported to carry out physical exercise to benefit during pregnancy and childbirth. There aresome physical exercise during pregnancy, which is often followed by pregnant women as pregnancy exercise and pregnancy yoga.The second difference lies in the physical exercise breathing. The purpose of this study to know the difference pain scale andduration of the first stage second stage of labor in primigravida which follows pregnancy exercise and pregnancy yoga. This studyused a prospective cohort design with purposive sampling technique. Subjects were primigravida trimester III who followed in RSIARachmi pregnancy exercise and pregnancy yoga at the Hospital AMC inApril-May 2017 amounted to 20 people for each group. Dataanalysis using Independent t test and Mann-Whitney test. The analysis showed no difference in the pain scale between primigravidthe first stage pregnancy exercise and yoga pregnancy (p-value 0.001) and there was no difference in the duration of the secondstage between primigravida pregnancy exercise and yoga pregnancy (p value 0.079).
Factors associated with anemia in trimester III pregnant women Andini Majidah; Tri Maryani; Niken Meilani
Jurnal Kesehatan Ibu dan Anak Vol. 12 No. 1 (2018): July
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/kia.v12i1.66

Abstract

The anemia incidence rate of Yogyakarta City has continued to increase since 2013 until 2015 and the highest ranking in DIY province in 2015 is 32.39%.Several studies have shown that independent predictors of anemia in pregnant women, aged 15-24, family> 5, multigravida, low income, current clinical illness, intestinal parasite infection, no history of contraceptive use, third trimester pregnancy, bleeding over-menstruating and low body mass index.But there are still differences from several studies. This study was to know knowledge of factors associated withanemia in trimester III pregnant women in Yogyakarta 2017. This was an observational analytic study withcross sectionaldesignon 107 trimester pregnant women in Pakualaman Public Health Centre, Jetis Health Center and Matrijeron Health Center of Yogyakarta City withpurposive sampling technique.The data analysis used chi squaretest. The Results f this study was the variables with no significant association with anemia were maternal age (p = 0.243), education (p = 0.208), income (0.533), and adherence to tablet Fe (p = 0.378). Multivariate analysis showed that pregnant women with parity 2-3 3 times more at risk of anemia in third trimester than pregnant women with parity <1 (95% CI 1,135-8,183). Conclusion: Parity is the most dominant factor in relation to the incidence of anemia in pregnant women trimester III.
The effect community empowerment of adolescent to increase knowledge and attitude of young age marriage Dwiana Estiwidani; Tri Maryani
Jurnal Kesehatan Ibu dan Anak Vol. 12 No. 1 (2018): July
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/kia.v12i1.72

Abstract

Young age marriage was one of the most international issues and was mostly done in developing countries including Indonesia. The strongest factor was poor adolescent perception. Improvement of knowledge and attitude of adolescent reproductive health could be done with preventive health promotion. Adolescent tend to against from their teachers or parents and prefer to mingle or trust their peers. Gunungkidul Regency was the region with the highest incidence of young age marriage in the province of Yogyakarta in 2015. The research objective was to know the influence of community empowerment of adolescent to increase knowledge and attitude of young age marriage. Research method of experiment with pretest-postest with control group design. Location was in Wonosari District. The number of samples was 50 respondents selected bytwo stagesimple cluster sampling, both in the experimental group with the counseling by the adolescents who had been trained or controlled by the extension by the midwife of the PHC. The data collection instrument was questionnaire. Bivariable analysis using paired sample t-test and independent sample t-test, Wilcoxon and Mann-Whitney. Multivariable analyzed with logistic regression. The result of knowledge and attitude before the intervention given to both groups in sufficient category. The average after intervention in either category. There is an increase in the average knowledge and attitude on evaluation I and II in each group (p value: <0,05). There was no difference in the average improvement of evaluation knowledge I, there was a difference of average improvement of evaluation knowledge II, and there was a difference of the average increase of evaluation attitude I and II between the two groups. There was influence of empowering adolescent to increase knowledge and attitude of young age marriage.
Hubungan indeks masa tubuh dengan kejadian anemia Thatik Muslimah; Asmar Yetti Zein; Tri Maryani
Jurnal Kesehatan Ibu dan Anak Vol. 5 No. 1 (2014): Juli
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/kia.v5i1.178

Abstract

Background: Based on Household Health Survey data (2004) the prevalence of anemia in teenagers in age 10-18 years is 57.1%. Teenagers is prone to get anemia because teenagers who are growing, starting to menstruate, and starting to think about the ideal body shape, thus causing a change in diet that affects the body mass index. Objective: Knowing the relationship between body mass index with Anemia incident. This research uses a survey method with cross sectional analytic. The study is conducted in SMA N 3 Bantul on 14-15 May 2013. Samples were taken by purposive sampling techniques as many as 83 respondents. This research instrument is the adult weight scales, mikrotoa, and Portable Digital Hemoglobin Analyzer EASY TOUCH GCHb, that is analyzed using Chi Square. Results: The prevalence of anemia in class XI student was 42.2%. Body Mass Index mostly within the normal ranges, 83.1%. Analysis with Chi Square test results are known p-value 0.002 (<0.05) and RP of 2.26 (CI 1.479 to 3.450). Conclusions: The relationship between body mass index with incidence of anemia. It means that Body Mass Index has the higher risk of anemia compared to body mass index that is not at risk
Survei tingkat pengetahuan dan sikap tentang ASI eksklusif pada peserta kolompok pendukung ibu (KP-IBU) Hani Asmarani; Siti Tyastuti; Tri Maryani
Jurnal Kesehatan Ibu dan Anak Vol. 7 No. 1 (2015): Juli
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/kia.v7i1.214

Abstract

Based on the WHO study in 6 developing countries, the risk of death among infants aged 9-12 months increased by 40% and infants under 2 months of age increased to 48% if not breastfed (Roesli, 2008). National Socio-Economic Survey of 2O10 showed coverage of exclusive breastfeeding in Indonesia 33.6% (the national target of 80%). Coverage of exclusive breastfeeding in DIY reached 49.5%. Whereas in Bantul Regency showed a decrease of 42.34% (in 2011) to 39% (in 2012) (Bantul Health Office, 2012). Bantul government since 2009 has launched a program of Mother Support Group to improve the knowledge, attitudes, and practices of exclusive breastfeeding. Objective purpose to know the level of knowledge and attitude about exclusive breastfeeding on participants in the Mother Support Group at the working area Public Health Center Banguntapan ll. The method this type of study isa descriptive survey to describe the knowledge and attitudes of participants Mother Support Group about exclusive breastfeeding. The subjects were all women attending Mother Support Group who has babies aged 0-6 months as many as 81 people. instruments this study in the form of questionnaires. Data analysis using descriptive statistics. The majority knowledge level of the participant's mother support group about exclusively breastfeeding in good category (76.54%) and the attitude of the participants Mother Support Group is majority supportive (82,720/,) for exclusive breastfeeding. The participant's Mother Support Group has good knowledge about exclusive breastfeeding and supportive attitude towards exclusive breastfeeding.
Exclusive breastfeeding behavior among mothers aged Anur Rahima Sari; Niken Meilani; Tri Maryani
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.v13i1.381

Abstract

The number of adolescent pregnancies in Indonesia was still high. This study aimed to find out the exclusive breastfeeding behavior among mothers aged <20 years old. This study was a quantitative used cross-sectional approach. The sample in this study was mothers aged <20 years who had babies aged 6-24 months in Karangmojo, Semanu, Semin, Gunung Kidul Regency in 2019. Minimal sample calculation by Lemeshow was 45 respondents. Data collected by a structured questionnaire. Data analysis involved univariate, bivariate analysis using the chi-square test and fisher's exact test, while multivariate analysis used logistic regression. The results showed that 75.5% of adolescent mothers aged <20 years old practice exclusive breastfeeding. Bivariate analysis showed that occupational factors (p-value = 0.001), parity (p-value = 0.001), pregnancy status (p-value = 0.010), family support (p-value = 0.002) and husband support (p-value = 0.003) were correlated to exclusive breastfeeding. Multivariate analysis showed husband support (p-value = 0.005; OR = 26.591). Husband support as the most influential factor to exclusive breastfeeding behavior among mothers <20 years old
Perbedaan lama kala II primipara yang senam hamil dan tidak senam hamil Wenna Ismeili; Suherni Suherni; Tri Maryani
Jurnal Kesehatan Ibu dan Anak Vol. 4 No. 2 (2013): November
Publisher : Poltekkes Kemenkes Yogyakarta

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Abstract

Prolonged labor is one of the causes of maternal mortality in the world by 8% and 9 % in Indonesia, common especially in primipara. Second stage of labor is called critical stage because all the early predictions can be changed at all from the estimated. Power is an important factor in the delivery which can be controlled in order to delivery went smoothly. One way is by pregnancy exercise. RB Rachmi provide pregnancy exercise service. Pregnancy exercise enthusiasts decline by the end of 2012, from an average 15-25 people to 10-15 people per week. Purpose to determine the difference in second stage length of primipara whose pregnancy exercise and not. This research employed observational methods with prospective cohort design. The research was done at RB Rachmi Yogyakarta. Samples were taken by purposive sampling techniques consisting 18 people for each group, analyzed by independent t-test. The result: mean of second labor length of primipara whose pregnancy exercise is 20,56 minutes and not pregnancy exercise is 47,50 minutes with mean difference is 26,944 minutes, the result of independent t-test concerning p-value 0,0001 (<0,05). Conclusion: there is difference of a second labor length between primipara whose pregnancy exercise and not pregnancy exercise at RB Rachmi Yogyakarta in 2013.
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.
Terapi birth ball berpengaruh terhadap lama kala II dan intensitas nyeri persalinan pada ibu bersalin primigravida di RB Kasih Ibu Yogyakarta Tri Maryani; Dwiana Estiwidani
Jurnal Kesehatan Ibu dan Anak Vol. 10 No. 2 (2016): November
Publisher : Poltekkes Kemenkes Yogyakarta

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Abstract

Background: Childbirth and birth is a physiological process that must be experienced by a mother. During the process, childbirth occurs a decrease in the head into the pelvic cavity and contractions that cause a painful sensation felt by the mother. Various attempts were made to reduce labor pain, both pharmacologically and non-pharmacology. The pharmacologic method can be performed between deep breaths and distractions with birth balls. Objective: To determine the effect of birth ball therapy on the duration of the second stage of labor and a decrease in labor pain intensity in the first phase active. Research Method: Quasi-experimental research type with pretest-posttest with control group design. Research carried out in the delivery room of the RB Kasih Ibu in Yogyakarta. with a population of all the first-time maternity mothers give birth at the RB Kasih Ibu in Yogyakarta. While the sample is taken with nonrandom sampling using the criteria: first pregnancy, age 20-35 years, single pregnancy, term, the first stage of labor, maternal physical condition normal. Obtained 30 treatment samples and 30 control samples. The free variable is birth ball therapy, whereas the dependent variable was the duration of the second stage and the intensity of labor pain which was measured using the observation sheet and pain scale measurement using the Universal Pain Assessment Tool. Data analysis with percentage, average, and test Chi-Square. Results: There was an effect of birth ball therapy on the second stage of labor (p-value 0.001), the average length of the second stage of labor at the treatment group was shorter (mean 21.3 minutes) than in the control group (average 36.5 minutes), mean pain intensity before treatment 6.4 and after treatment 4.9 resulting in a decrease in pain intensity (p-value 0.019), Long time ago Conclusion: There is an effect of therapy/prayer/influence on the duration of delivery and decreased intensity.
Development stimulation with finger painting techniques and toddler age tantrum frequency Tri Maryani; Dwiana Estiwidani
Jurnal Kesehatan Ibu dan Anak Vol. 14 No. 1 (2020): July
Publisher : Poltekkes Kemenkes Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29238/kia.v14i1.616

Abstract

Temper tantrums are destructive behavior in the form of overflows that can be physical (hitting, biting, pushing) or verbal (crying, screaming, whining) or constantly sulking because the child has not been able to express emotions. Through finger painting will help children express their emotions through color games. The purpose of this study was to analyze the effect of growth stimulation with Finger Painting techniques on motor development and tantrum frequency of toddler-age children. Quasi-experimental research method with pretest-posttest with control group design. This research was conducted in Posyandu at Mantrijeron, Yogyakarta City from July to August 2018. The population in this study were all toddlers aged 1-3 years old. Subjects were selected using the purposive sampling technique as many as 82 respondents. The results show that there was a difference of occurrent temper tantrums before (average in treatment group=48.8; average in control group=45.8) and after treatment (average in treatment group=31.3; average in control group=36.7). The independent t-test analysis showed that there was an effect of stimulation with finger painting technique on the tantrum frequency of toddlers (p-value 0.0001). There was an influence of developmental stimulation with finger painting techniques on the frequency of toddler tantrums.