Ariawan Soejoenoes
Universitas Diponegoro

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Beberapa Faktor Kejadian Perdarahan Postpartum Ibu Bersalin yang Dirawat Di Rumah Sakit Asif Yuliati; Ariawan Soejoenoes; Ari Suwondo; Anies Anies; Martha Irene Kartasurya
Jurnal Epidemiologi Kesehatan Komunitas Vol 3, No 1: Februari 2018
Publisher : Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (145.321 KB) | DOI: 10.14710/jekk.v3i1.3101

Abstract

Background: Postpartum hemorrhage (PPH) remains a leading cause of maternal morbidity and mortality in both developed and developing countries. To prevent postpartum hemorrhage, knowledge of the risk factors were needed.Method: Methos of the research is a case control study. Study population were hospitalized mothers who delivered in three hospitals on January 2015 – July 2016. The subjects were 55 patients who suffered from PPH (as cases) and 55 patients who were not suffered from PPH (as control). Sampling method for cases was consecutive sampling and purposive for controls. Data were analysed by Odds Ratio calculation and logistic regression.Results: The risks factor significantly for PPH are midwife as birth attendant (OR=7.10; 95% CI 2.2 –22.81; p=0.001), poor of obstetric history (OR=5.37; 95%CI 1.53–18.86; p=0.009), pregnancy interval (< 2 years or > 5 years) (OR =4.04; 95%CI 1.48 –11.07; p= 0,007), anaemia trimester III (OR =3,58; 95%CI 1.23-10.43; p=0.019), history of abortion (OR=4.93; 95% CI 1.20-20.31; p=0,027).Conclusion: The risk factors for PPH were midwife as birth attendant, poor of obstetric history, pregnancy interval (<2 years and >5 years), anaemia trimester III, and history of abortion.
Faktor Risiko yang Berpengaruh Terhadap Status Kontrol Glikemik pada Kehamilan dengan Diabetes Melitus (Studi Kasus Kontrol Pasien di Beberapa RS di Kota Semarang) Resna Meiwarnis; Ariawan Soejoenoes; Heri Nugroho; Suharyo Hadisaputro; Henry Setyawan
Jurnal Epidemiologi Kesehatan Komunitas Vol 1, No 2: Agustus 2016
Publisher : Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (231.292 KB) | DOI: 10.14710/j.e.k.k.v1i2.3947

Abstract

Background : The number of diabetes patients was higher in women than men. The high prevalence in women occurs in pregnant women because of the increasing age of childbearing. Commonly, pregnancy in women with diabetes was associated with morbidity and mortality.  Data obtained from Diabetic  Department  King’s  College  Hospital mentioned that  during  pregnancy, a good control of maternal diabetes cause a progressive decline in blood glucose control. The purpose of this research is to explain some risk factors related to glycaemic control status in pregnancy with diabetes mellitus. Methods : This research was an observational study using case control design by using retrospective approach. The population of this study is all cases of pregnancy with diabetes with  the number of sample was 62 people, consist of 31 cases and 31 control with consecutive  sampling. In this research, cases sample selection was chosed from pregnant women with diabetes who come to Tugurejo Hospital, Semarang City Hospital and Roemani Hospital during 2015. Control sample selection was chosed from non pregnant women with diabetes who come to Tugurejo Hospital, Semarang City Hospital and Roemani Hospital during 2015. Results : The pattern of taking medications that was not good (p= 0,002; aOR= 7,2; 95%CI= 1,9-17,2) was risk factors of poor glycaemic control status with probability event amounted was 70,0%. Conclusion : The risk factors to glycaemic control status in pregnancy with diabetes was the pattern of taking medications that was not good. Background  :Thenumber  ofdiabetes  patients  washigher  inwomen  thanmen.Thehigh prevalence   in   women   occurs   in   pregnant   women   because   of   the   increasing   age   of childbearing.  Commonly,  pregnancy  inwomen  withdiabetes  wasassociated  withmorbidity andmortality.  Dataobtained  fromDiabetic  Department  King’s  College  Hospital  mentioned that  during  pregnancy,  agood  control  ofmaternal  diabetes  cause  aprogressive  decline  in bloodglucosecontrol.Thepurposeof thisresearchisto explainsomeriskfactorsrelatedto glycaemiccontrolstatusinpregnancywithdiabetesmellitus.Methods  :Thisresearch  wasanobservational  studyusingcasecontrol  design  by  using  a retrospective  approach.  Thepopulation  ofthisstudyisallcasesofpregnancy  withdiabetes with  the  number  of  sample  was  62  people,  consist  of  31  cases  and  31  control  with consecutive  sampling.  In  this  research,  cases  sample  selection  was  chosed  from  pregnant women   with   diabetes   who   come   to  Tugurejo   Hospital,   Semarang   City   Hospital   and Roemani  Hospital  during  2015.  Control  sample  selection  was  chosed  from  non  pregnant women   with   diabetes   who   come   to  Tugurejo   Hospital,   Semarang   City   Hospital   and RoemaniHospitalduring2015.Results:Thepatternoftakingmedications  thatwasnotgood(p=0,002;aOR=7,2;95% CI=1,9-17,2)was   risk  factors   of  poor  glycaemic   control   status  with  probability   event amountedwas70,0%.Conclusion  :Theriskfactorstoglycaemiccontrolstatusinpregnancywithdiabeteswasthe patternoftakingmedicationsthatwasnotgood.
Faktor yang Mempengaruhi Kepatuhan Bidan Desa Melaksanakan Rujukan Kehamilan Risiko Tinggi (Studi Kasus di Kabupaten Kudus) Stanislaus Kristiyanto; Henry Setyawan; Ariawan Soejoenoes; Suharyo Hadisaputro; Budi Palarto
Jurnal Epidemiologi Kesehatan Komunitas Vol 1, No 1: Februari 2016
Publisher : Master of Epidemiology, School of Postgraduate Studies, Diponegoro University, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (365.293 KB) | DOI: 10.14710/j.e.k.k.v1i1.3942

Abstract

Background: Pregnancy is a high risk of having a high probability of experiencing maternal mortality events. In the procedure management of high risk pregnant women, midwives are required to perform high-risk pregnant women referral to higher care unit. The purpose of this study was to determine some of the factors that affect adherence midwives in performing high-risk pregnancy referrals.Methods: The study was observational analytic cross-sectional design. Sampling proportionate stratified random sampling. Total sample is 60 midwives. The research instrument was a questionnaire. Data analysis using univariate, bivariate (chi-square) and multivariate (logistic regression).Results: The variables that proved influential is the detection of high-risk pregnancy competence good (PR = 0.2; p = 0.023) and age midwife more than 28 years (PR = 0.2; p =0.024). Variables that are not proven effect is the level of education, years of service, supervision supervisor, employment status, work motivation, perceptions of workload, perceived benefits, leadership perceptions and perceptions of the profession midwife.Conclusion: Factors that influence the adherence proved midwives carry out the referral of high-risk pregnancy is high risk pregnancy detection competence good and village midwives age more than 28 years with a probability of 66.0% to obey. 
Efektifitas Ekstrak Nano Daun Kelor (Moringa Oleifera) terhadap Penurunkan Tingkat Kecemasan dan Tekanan Darah pada Ibu Hamil dengan Hipertensi Dina Indrati Dyah Sulistyowati; Ariawan Soejoenoes; Soeharyo Hadisaputro; Untung Sujianto; Mardiyono Mardiyono
Jurnal Keperawatan Vol 15 No 1 (2023): Jurnal Keperawatan: Maret 2023
Publisher : Sekolah Tinggi Ilmu Kesehatan Kendal

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (314.482 KB) | DOI: 10.32583/keperawatan.v15i1.593

Abstract

Hipertensi pada kehamilan (hypertension pregnancy disorders) merupakan  salah satu penyebab peningkatan morbiditas dan mortalitas maternal, janin dan neonates. Angka Kematian Ibu (AKI) di Indonesia sekarang ini masih cukup tinggi. Salah satu penyebab kematian ibu adalah hipertensi. Sebagai tindakan preventif, WHO merekomendasikan  setiap ibu hamil untuk mengkosumsi kalsium. Daun kelor berdasarkan hasil penelitian, banyak mengandung flavonoid, kalsium dan antioksidan, dimana baik untuk dikosumsi oleh ibu hamil. Penelitian ini bertujuan untuk mengetahui efektifitas ekstrak nano daun kelor (moringa oleifera), berpengaruh terhadap tekanan darah dan tingkat kecemasan  pada ibu hamil dengan hipertensi, membandingkan pre-test  kelompok kontrol dan eksperimen, membandingkan pre dan post test dalam kelompok control dan eksperimen, dan membandingkan selisih pre-post test antara kelompok control dan eksperimen. penelitian termasuk experiment, dengan menggunakan desain penelitian the randomized pre-test post test control group design. Responden adalah ibu hamil dengan hipertensi sejumlah 30 orang. Penelitian dilaksanakan selama 6 bulan dengan memberikan intervensi kapsul ekstrak nano daun kelor (moringa oleifera) 500 mg/hari selama 2 minggu setiap responden. Sedangkan kelompok kontrol diberikan intervensi sesuai standar puskesmas. Analisis penelitian ini menggunakan korelasi, pair t-test, dan independent t-test. Hasil penelitian ini diharapkan dapat sebagai standar operasional dalam membantu meningkatkan pengetahuan untuk mengatasi ibu hamil dengan hipertensi secara non farmakologi yang aman bagi ibu dan bayi.