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PEMBERIAN TERAPI OKSIGEN HIPERBARIK TIDAK MEMBERIKAN PENGARUH POSITIF PADA KETEBALAN ENDOMETRIUM PADA TIKUS MODEL SINDROM OVARI POLIKISTIK DENGAN RESISTENSI INSULIN Susanto, Lunardhi; Purwandono, Azham; Wittiarika, Ivon Diah; Santoso, Budi
Majalah Kedokteran Bandung Vol 50, No 1 (2018)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (303.292 KB) | DOI: 10.15395/mkb.v50n1.1218

Abstract

Sindrom ovari polikistik (SOPK) meningkatkan risiko hiperplasia dan keganasan endometrium. Faktor yang memicu kejadian tersebut adalah hiperandrogen, anovulasi kronik, dan hiperinsulinemia. Terapi oksigen hiperbarik (TOHB) diketahui memberikan manfaat positif bagi sensitivitas insulin. Berdasar atas hal tersebut maka ingin diketahui pengaruh terapi oksigen hiperbarik terhadap endometrium pada tikus model SOPK resistensi insulin. Untuk mengetahui hal tersebut maka dilakukan penelitian dengan desain post-test only control group menggunakan 28 tikus betina (Rattus norvegicus strain Wistar) yang kemudian dibagi menjadi empat kelompok: Kelompok normal, SOPK, TOHB 5 sesi dengan SOPK dan TOHB 10 sesi dengan SOPK. Model tikus SOPK diperoleh dengan menyuntikkan testosteron propionat 10 mg/100 gram bobot/ kali selama 28 hari berturut-turut. Pada tikus normal diberikan suntikan propilen glikol sebanyak 1 mL selama 28 hari. Dilakukan pengukuran ketebalan endometrium secara histopatologik. Penelitian dilakukan di Fakultas Kedokteran Universitas Airlangga, Fakultas Kedokteran Hewan Universitas Airlangga, dan LAKESLA TNI AL  Drs. Med. R. Riyadi S, Phys pada periode Juni-September 2016. Didapatkan ketebalan endometrium pada kelompok normal (mean ± SD) (µm)) 1.109,98 ± 53,96; kelompok SOPK 35.651,47 ± 400,54; kelompok TOHB 5 sesi dengan SOPK 2.266,13 ±2 62,08; dan kelompok TOHB 10 sesi dengan SOPK 2.144,83 ± 305,83. Kelompok SOPK memiliki endometrium lebih tebal dibanding dengan kelompok normal. Tidak terdapat perbedaan ketebalan endometrium pascapemberian TOHB 5 sesi maupun 10 sesi.Kata kunci: Hiperplasia endometrium, sindrom ovari polikistik, terapi oksigen hiperbarik Hyperbaric Oxygen Therapy Does Not Improve the Endometrial Thickness in PCOS Rat with Insulin Resistance ModelPolycystic ovary syndrome (PCOS) increases the risk of endometrial hyperplasia and malignancy. Chronic anovulation, hyperandrogen, and hyperinsulinemia are known as the pathogenesis of endometrial hyperplasia and malignancy in PCOS women. Hyperbaric oxygen therapy (HBOT) has positive effects to improve peripheral insulin sensitivity. This study aimed to understand the effect of HBOT on endometrial thickness in PCOS rat with insulin resistance model. A laboratory experimental study was conducted involving twenty-eight healthy female rats divided into 4 groups: normal group, PCOS group, 5 session HBOT PCOS group, and 10 Session HBOT PCOS group. To induce a PCOS rat model with insulin resistance, testosterone propionate (10 mg/100-gram body weight) was administered for 28 days. Normal group was administered with 1 mL propylene glycol. Histopathological evaluation of endometrium of all groups was performed. This study was conducted in June-September 2016 in the School of Medicine Airlangga University, School of Veterinary Medicine Airlangga University, and LAKESLA TNI AL  Drs. Med. R. Riyadi S, Phys. The endometrial thickness (mean ± SD (µm)) of the normal, PCOS p, 5-session HBOT PCOS, and 10-session HBOT PCOS were 1,109.98 ± 53.96, 35,651.47 ± 400.54, 2,266.13 ± 262.08, and 2,144.83 ± 305.83, respectively. The endometrium of PCOS group was thicker than that of the normal group. Five  and ten sessions do not decrease the endometrial thickness when compared to PCOS group.Key words: Endometrial hyperplasia, hyperbaric oxygen therapy, polycystic ovary syndrome
Correlation between mother's knowledge and husband's support for the success of the Lactational Amenorrhea Method (LAM) Wahyunnisa Indrarosiana; Ernawati Ernawati; Ivon Diah Wittiarika
Majalah Obstetri dan Ginekologi Vol. 29 No. 3 (2021): December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mog.V29I32021.91-95

Abstract

HIGHLIGHTS 1. Lactational Amenorrhea Method (LAM) is one of the natural contraception methods of postpartum women.2. Mothers' knowledge and husband's support for LAM contraceptive method was suggested to contribute to its success.3. Research and statistical instruments used found that the success of LAM contraceptive was related to mothers' knowledge, but not related to husband's support. ABSTRACTObjectives: This study aimed to analyze the relationship between mother's knowledge and husband's support for the success of LAM contraception in Brengkok Village, Brondong District, Lamongan Regency, East Java, Indonesia.Materials and Methods: This study was an analytic observational study with a sample of 46 mothers who gave exclusive breastfeeding to their babies who met the inclusion criteria. The research instrument used a questionnaire to determine the level of mother's knowledge and husband's support about exclusive breastfeeding. Spearman Rank Correlation Test was used for data analysis with a significance level of 0.05.Results: More than 50% of the respondents (25 respondents) successfully used the LAM method to prevent pregnancy. Statistical test showed that there was a relationship between mother's knowledge and success of LAM contraception with p value of 0.000, with a correlation coefficient of 0.523. Meanwhile, husband's support was not related to the success of LAM contraception with p value of 0.461 with a correlation coefficient of 0.111.Conclusion: Mother's knowledge is related to the success of LAM contraception, and there is no relationship between husband's support and the success of LAM contraception.
Strategies to improve the adolescent’s reproductive health knowledge in the traditional Islamic Boarding School in Sidoarjo, Indonesia Rize Budi Amalia; Ivon Diah Wittiarika; Ratna Dwi Jayanti
Journal of Midwifery Vol 5, No 2 (2020): Published on Desember 2020
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jom.5.2.14-21.2020

Abstract

Adolescence is an important stage the girl’s life which the crucial developmental reproductive such as menstruation and pubertal occur. The peer nowadays has a crucial role in determining the proper health reproductive knowledge due to the lack of information from the family and education system. This study aimed to observe the effectiveness of the trained peer educator compared to the expert educator in delivering reproductive health knowledge. The study was using pre - and post - intervention (quasi - experimental) design. The sample taken by random sampling with the pretest and posttest questionnaire was applied to 98 female students aged 12 to 15 at traditional Islamic boarding school in Sidoarjo, East Java. The participants consisting of 49 students were exposed by the trained peer educator compare to 49 students in which exposed by expert.  Wilcoxon Signed Rank Test indicated the significant difference between pretest-posttest in the group were exposed by the trained peer compared by the expert (p=0,001). The Mann Whitney Test indicate there was no significant difference of reproductive health knowledge (p=0,718) between posttest between two groups. In conclusion, the information given by the trained peer educator as effective as the information given by the expert and significantly improved the adolescents' reproductive health knowledge. Therefore, designing the trained peer approach to increase adolescent reproductive health is effective to structure.
Delivery Mode On Myopic Women (Literature Review) Ratna Dwi Jayanti; Noor Syafaatin Udhma; Euvanggelia Dwilda Ferdinandus; Ivon Diah Wittiarika; Nurul Azizah
Jurnal KESANS : Kesehatan dan Sains Vol 1 No 7 (2022): KESANS : International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v1i7.79

Abstract

Hormonal changes and hemodynamic changes in pregnancy cause an increase in blood volume and water retention which causes a thickening of the cornea of ??the eye and affects blood flow in the eye. This condition is thought to trigger temporary myopia or worsen myopia that occurred before pregnancy. This will have an impact on the choice of delivery method because pushing in the second stage of labor can increase the risk of retinal detachment. The aim of the study was to determine the method of delivery in patients with myopia, using a meta-analysis. The results showed that obstetrics and gynecology specialists, as well as ophthalmologists, recommended instrumental delivery or cesarean section for women with myopia citing concerns that vaginal delivery would increase the risk of detachment. In addition, the impact of labor on the ocular system was found to be not so significant. While the method of delivery in women with myopia, it was found that most of the vaginal deliveries were spot-on.
DOES BREASTFEEDING OR NOT AFFECT A BETTER MATERNAL QUALITY OF LIFE? : LITERATURE REVIEW Aulia Rahma Oktaviya; Gatut Hardianto; Budi Utomo; Ivon Diah Wittiarika
SEAJOM: The Southeast Asia Journal of Midwifery Vol 6 No 2 (2020): SEAJOM: The Southeast Asia Journal of Midwifery
Publisher : AIPKIND (Asosiasi Pendidikan Kebidanan Indonesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36749/seajom.v6i2.126

Abstract

Quality of life is important to achieve the best performance of mothers. Maternal quality of life is usually measured by WHOQOL-BREF standards (quality of life of the World Health Organization-BREF), SF-36 (Short-36), or MGI (Mother Generated Index). One factor that affects the maternal quality of life is breastfeeding. The practice of breastfeeding is the mother who is breastfeeding (giving only breast milk) and the mother who is not breastfeeding (with formula milk) as well as seeing the length of breastfeeding time for less than 6 months or more than 6 months. This literature review has research question with PICO standard to get the aim about the correlation between the practice of breastfeeding and maternal quality of life. 466 literatures were obtained from the SCOPUS, Proquest, Google Scholar, PubMed and EBSCOhost databases. Literature screening is done by looking at the inclusion and exclusion criteria that have been set so that 10 literatures will be reviewed. Most of the literature reports that mothers who breastfeed and continue to breastfeed even though only a month has a better quality of life than mothers who did not breastfeed. One study said that breastfeeding causes a decrease in the maternal quality of life, as well as several other studies that found no significant correlation between breastfeeding practices and maternal quality of life. This result can be used as a reference for the health policy to promote breastfeeding and quality of life.
Pengaruh pendidikan, pantangan makanan, dan citra tubuh pada konsumsi gizi makro ibu nifas Zahra Lutfiah Safitri; Widati Fatmaningrum; Ivon Diah Wittiarika
Jurnal Gizi Klinik Indonesia Vol 18, No 1 (2021): Juli
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ijcn.58782

Abstract

Impact of education, food restriction, and body image on postpartum nutrientBackground: The level of nutritional consumption of postpartum mothers increases for the need for tissue repair and the breastfeeding process, but in practice, there are still many postpartum mothers who have not met the recommended level of nutritional consumption due to several factors, including education level, dietary restriction, and body image. Objective: This research seeks to determine the relationship between education level, dietary restriction culture, and body image with the level of macro nutritional consumption. Method: This research implemented an observational analytic method with a cross-sectional design. The sample size was 40 mothers selected using the convenience sampling technique, with data obtained through face-to-face, Google form, and telephone. The independent variables are education level, dietary restriction culture, and body image. The dependent variable is macro nutritional consumption, including energy, carbohydrates, protein, and fat. The instruments used were the Body Shape Questionnaire (BSQ) to measure body image, the food recall questionnaire, and the food frequency questionnaire (FFQ) to measure nutritional consumption. Data analysis was performed using the Chi-Square test. Results: The results showed that most of the mothers had not met their energy, carbohydrate, and protein needs but were able to consume fat that exceeded the nutritional adequacy rate. The analysis results showed no relationship between education level, dietary restriction culture, and body image with consumption of macronutrients (p>0.05). \Conclusion: There is no relationship between education level, dietary restriction culture, body image with the level of nutritional consumption of energy, carbohydrate, protein, and fat.
THE DIFFERENCESS OF DISCONTINUITAS IUD IN POST PLACENTAL AND INTRA-CESAREAN IN MADIUN Melynda Trilamsari Putri; Ashon Sa'adi; Ivon Diah Wittiarika; Gadis Meinarsari
Indonesian Midwifery and Health Sciences Journal Vol. 5 No. 3 (2021): Indonesian Midwifery and Health Sciences Journal, July 2021
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v5i3.2021.299-306

Abstract

 AbstractBackground: Intra Uterine Device (IUD) which is placed after delivery of the placenta is an attempt to reduce the rate of population growth. However, the achievement is still very low, especially in the post-placental IUD insertion. It is this high expulsion rate that continues to be a concern for service providers, so this method is acceptable. The purpose of this study is to compare the sustainability of IUD acceptors in post-placental and intra-cesareann placement. Methods: The design of this study was cross sectional with an observational analytic method. Location of this research  in the family planning clinic of Dr. Soedono Madiun Hospital, Banjarejo Health Center, Tawangrejo Health Center, and PMB Ny. “P” Madiun City in 2019.The sample used consecutive sampling as many as 114 acceptors. The independent variable was the time of IUD insertion. The dependent variable is the discontinuity of the IUD acceptor. The instrument used was the 2019 IUD acceptor medical record. The Fisher Exact Test on SPSS was used to perform data analysis. Results: From 114 acceptors, there was no difference in the discontinuity of IUD acceptors in post-placental and intra-cesarean placement (p=0.1). The incidence of expulsion was found in post-placental insertion (p=0.02). In intra-cesarean IUD acceptors more confirmed using ultrasound examination (p = 0.03). There was no perforation in both. Conclusion: There is no difference in IUD acceptor discontinuity in post-placental and intra-cesarean placement. 
FACTORS INFLUENCING THE PROCESS OF PERINEAL WOUND HEALING IN POSTPARTUM WOMEN IN SERUI HOSPITAL, PAPUA Yuli Triyani; Ivon Diah Wittiarika; Gatut Hardianto
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.v5i4.2021.398-405

Abstract

 Background: The process of giving birth has a risk of perineal rupture. The 4.9% incidence of delayed perineal wound healing resulted from non-fused perineal wounds and clinical infection. This process can be interrupted or recovery delayed due to various factors such as age, nutrition, pain, and poor hygiene. This study aims to analyze the factors that influence the healing process of perineal wounds in postpartum mothers. Method: analytic observational research method with cross sectional approach and analityc statistic Chi-Square. The samples are postpartum woman in Serui Hospital, Papua. The number of samples were 30 respondents with purposive sampling technique. The instrument used was the REEDA scale, the pain scale, the food consumption survey with the 24-hour recall method and the personal hygiene questionnaire. Results: The results of statistical tests showed a relationship between pain with the perineal wound healing process is p 0,017, age with the perineal wound healing process is p 0,000, nutrition with the perineal wound healing process is p 0,000, and personal hygiene pain with the perineal wound  
THE RELATIONSHIP BETWEEN THE ONSET OF SEVERE PREECLAMPSIA AND PERINATAL COMPLICATIONS AT RUMKITAL Dr. RAMELAN IN SURABAYA Widya Retno; Ivon Diah Wittiarika; Muhammad Aldika Akbar
Indonesian Midwifery and Health Sciences Journal Vol. 5 No. 2 (2021): Indonesian Midwifery and Health Sciences Journal, April 2021
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v5i2.2021.139-151

Abstract

 Abstract Background: Preeclampsia is one of the biggest causes of maternal-fetal morbidity and mortality. Based on the prognosis, the classification of Preeclampsia is early onset (<34 weeks) and late onset (> 34 weeks). Purpose: to investigate the relationship between the onset of severe Preeclampsia and perinatal complications. Method: This research is a quantitative study with a retrospective observational analytic study type and collected medical record data. The study population was severe Preeclampsia  patients who gave birth at RUMKITAL Dr. Ramelan Surabaya for the period January 2018 - June 2020 and has no previous history of chronic hypertension. The research sample was 79 subjects with 44 subjects early onset, and 35 subjects late onset. Perinatal complications  examined are preterm delivery, asphyxia, LBW, IUGR, stillbirth. The chi-square test or Fisher’s Exact Test was used to analyze relationships. Result: From the results of the study, the comparison of the percentage from early onset and late onset that experienced complications was 93.2% vs 48.6%, p-value = 0.000, OR = 14.5, CI = 3,764–55,635.  At preterm delivery, it was found that 75% vs 28.6%, p-value = 0.000,  OR = 7.5, CI = 2,754-20,422. . In asphyxia, it was found 41.7% vs 31.4%, p-value = 0.46. At LBW, it was found 72.7% vs 17.1%, p-value = 0,000, OR = 12.9, CI = 4,285-38,771. In IUGR, it was found that 15.9% vs 2.9%, p-value = 0.000. In stillbirth, it was found 18.2% vs 0% and p-value = 0.008. Conclusion: the onset of severe Preeclampsia is related with perinatal complications. Complications associated with the onset severe Preeclampsia are preterm, LBW, stillbirth. Meanwhile, complications that are not related with the onset severe Preeclampsia are asphyxia and IUGR  
FACTORS AFFECTING THE DELAY OF DECISION MAKING TO RECEIVE HEALTH SERVICES IN PREECLAMPSIA PREGNANT MOTHERS AT RSUD MGR GABRIEL MANEK SVD ATAMBUA Monika Mongang Manuk; Muhammad Ilham Aldika Akbar; Ivon Diah Wittiarika
Indonesian Midwifery and Health Sciences Journal Vol. 5 No. 2 (2021): Indonesian Midwifery and Health Sciences Journal, April 2021
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v5i2.2021.160-173

Abstract

 AbstractBackground: Preeclampsia is one of the risk factors for complications and also contributes to the high rate of morbidity and mortality in mothers and babies. The Maternal Mortality Rate (MMR) at the Mgr. Gabriel Manek Hospital, SVD Atambua has continued to increase in the last three years, from 2017 to 2019. It was recorded that in 2019 there were 126 cases of severe preeclampsia and eclampsia with 5 cases of maternal death and 2 maternal causes of death. is eclampsia. In addition to the factors that cause maternal death, one of the contributing causes of maternal and infant mortality is caused by the speed at which decisions are made in the family. Pregnant women are at risk of experiencing maternal death if during the referral process they experience at least one of the three delays, namely being late in making the decision to be referred. This study aims to determine the factors that influence the delay in decision making in preeclampsia pregnant women. Methods: The type of research is observational analytic with a cross sectional design. Collecting data using primary data with a questionnaire instrument by interview and secondary data obtained from the register of maternity mothers and medical records. The number of samples is 30 respondents. The sampling technique used was total sampling. The data were processed and calculated using frequency tables and cross tabulations and then analyzed using Multiple Logistics Regression Analysis with a significance level of 5% (p = 0.05). Bivariate data analysis used fisher's exact test andtest cramer's v. Results: The results showed that the factors that caused delays in decision making were knowledge having a p-value of 0.006 (OR 2.293, 95% Cl: 0.481-10.918), confidence having a p-value of 95%: 0.002-0.513, health insurance having p-value 0.010 (OR 0.000, 95% Cl: 0.000). Multivariate analysis shows that work is the most dominant factor in delaying decision making compared to other factors, and it can be concluded that the more working mothers, the smaller the delay, and the more mothers who do not work, the greater the delay in making decisions to get health services. . Conclusion: There is a relationship between knowledge, belief, occupation, and health insurance on the delay in decision making.