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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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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 = 54,6â21,7. 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

PENGARUH INISIASI MENYUSU DINI TERHADAP JUMLAH PERDARAHAN PASCA PERSALINAN Sumarah, Sumarah; Hakimi, Muhammad; Prawitasari, Shinta
JURNAL KESEHATAN REPRODUKSI Vol 1, No 1 (2014)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

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 = 54,6â€”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

Hubungan Tingkat Pengetahuan Kesehatan Reproduksi Remaja dengan Sikap Seksual Pranikah di SMK Taman Siswa Nanggulan Tahun 2017 Handhika, Putri; Suherni, Suherni; Sumarah, Sumarah
Jurnal Kesehatan Ibu dan Anak Vol 11 No 2 (2017): November
Publisher : Poltekkes Kemenkes Yogyakarta

The number of adolescents in Indonesia is estimated to have reached 62 million people. The current problem of reproductive healthknowledge is so complex that it is demonstrated in the outcomes of the 2012 KRR SDKI that adolescent knowledge of reproductivehealth is inadequate, which can be seen by only 35.3% of female adolescents and 31.2% of boys aged 15- 19 years of knowing thatwomen can get pregnant with one sexual intercourse. The purpose of this research is to know the correlation of knowledge ofadolescent reproduction health with premarital sexual attitude at SMK Taman Siswa Nanggulan in 2017. This Research Method isAnalytical Survey, research type using Observasional with cross sectional time approach, sampling using purposive sampling that isused subject in the case of 80 adolescents The number of samples was determined by using different proportional hypothesis test(Lemeshow 1997) The minimum sample found for this study was 72 respondents plus 10% to become 80 respondents. Datacollection used questionnaires distributed to respondents, analyzed using univariate and bivariate analysis using chi-squareanalysis. The results of the study there is a significant relationship between knowledge of adolescent reproductive health withpremarital sexual behavior, p-value 0.000. This research can be concluded that there is correlation of level of knowledge ofreproductive health of adolescent significant with premarital sexual attitude.

Jenis Persalinan dengan Waktu Pengeluaran Kolostrum Pada Ibu Bersalin Kala IV di Kota Yogyakarta Dina, Almas Azifah; Sumarah, Sumarah; Kurniati, Ana
Jurnal Kesehatan Ibu dan Anak Vol 11 No 2 (2017): November
Publisher : Poltekkes Kemenkes Yogyakarta

RETRACTED Following rigorous and careful concerns and consideration in the review of the article published in Jurnal Kesehatan Ibu dan Anak entitled â€œJenis Persalinan dengan Waktu Pengeluaran Kolostrum Pada Ibu Bersalin Kala IV di Kota Yogyakartaâ€ Vol 11, No 2, November 2017, DOI: https://doi.org/10.29238/kia.v11i2.39 The article has contained redundant material and throughout a careful examination, the editor has found that the paper has also been published in Jurnal Teknologi Kesehatan, Vol. 13, No. 1, Maret 2017 This paper has been found to violate the principles of Jurnal Kesehatan Ibu dan Anak publication and has been retracted.

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

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (447.667 KB)

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).

GAMBARAN SIKAP REMAJA TERHADAP PERKAWINAN USIAMUDA DI YOGYAKARTA Sumarah, Sumarah
JURNAL MEDIA KESEHATAN Vol 9 No 2 (2016): Jurnal Media Kesehatan Poltekkes Kemenkes Bengkulu Volume 9 Nomor 2 Oktober Tahun
Publisher : Politeknik Kesehatan Kemenkes Bengkulu

Based on data of BPS Yogyakarta in 2013, there were 63.291 teenagers between10-19 years old, 30.862 boys and 32.429 girls. In 2012, Yogyakarta had 2.52% of earlymarriages which occurred on the teenagers below 15 years old, 2.05% on age 16, and 14.30%between 17-18 years old. Pregnancy of young age correlated with maternal mortality. One ofthe main factors causing early marriage is attitude toward early marriage itself. This studyaims are to know attitude toward early marriage.This research is descriptive quantitative. Thepopulation on this research was the teenagers between 16 – 19 years old who were present,willingly, and randomly selected to be respondents. There were 100 teenagers. The instrumentfor the data collection was a questionnaire. In data analysis process, T-score was used tomeasure attitude. Attitude toward early marriage are half positive. Most respondents havepositive attitude toward meaning, causes, and impact of early marriage. Most respondentshave negative attitude toward overcoming early marriage.

TINDAKAN SEKSIO SESARIA DAN KEJADIAN TRANSIENT TACHYPNEA OF THE NEWBORN (TTN) Dwijayanti, Juwita; Sumarah, Sumarah; Purnamaningrum, Yuliasti Eka
Jurnal Kesehatan Ibu dan Anak Vol 5 No 1 (2014): Juli
Publisher : Poltekkes Kemenkes Yogyakarta

Business of the millennium development goals (MDGs) one of them is to reducing infant mortality rate ( AKB ) to 23 per 1,000 of live births in the year 2015. The babies in Indonesia hopely can birth safe and healthy, living one through childbirth operation seksio sesaria. Seksio sesaria is one factor cause of the accident transient tachypnea of the newborn (TTN). The purpose to know the relation of the act of seksio sesaria against the incident transient tachypnea of the newborn (TTN) in rsud wates 2013. A method of observational analytic, research design kohort prospective. The location of research in rsud wates. The sample with purposive of sampling. Respondent a new baby born with the act of seksio sesaria and born spontaneous. Time research the 29th juli-16 august 2013. The number of subjects according to criteria as many as 40 the subjects. Divided into two groups, namely the group exposure to (birth with sectio secarea) and a group not exposed to (birth with normaly) each as much as 20 the subjects. Test hypotheses using chi-square. A kind of scale nominal. Result: there are relations between the act of sectioio secarea against the incident transient tachypnea of the newborn (TTN) with p-value 0,00, and coefficients contingency 0,646 category level is strong, and known the act of seksio sesaria risky 3,2 times to the occurrence of TTN compared with the birth of spontaneous. Conclusions: there is a relationship the act of seksio sesaria against the incident transient tachypnea of the newborn (TTN) and birth in sectio secarea risky 3,2 times to the occurrence of TTN.

HUBUNGAN STATUS GIZI DAN BERAT LAHIR DENGAN PERKEMBANGAN ANAK USIA 30-35 BULAN Suwito, Sri Juanita; Sumarah, Sumarah; Estiwidani, Dwiana
Jurnal Kesehatan Ibu dan Anak Vol 5 No 1 (2014): Juli
Publisher : Poltekkes Kemenkes Yogyakarta

The prevalence of undernourished toddler nationally is 10 %, while still at DIY 10,28 %. Figures for malnutrition in the city increased from 2010 (1,01 %) to year 2011 (1,35 %) and a decrease in the prevalence of LBW from 2010 (5,51 %) to the year 2012 (4,92 %). Poor nutritional status third highest guiler in Puskesmas Mantrijeron of 1,87 % and followed the high prevalence of LBW amounted to 6,42 %. Results of the initial survey found 0,8 % severely interruption of development and some have a history of abnormal birth weight. Objective to know the relationship of nutritional status and birth weight with child development ages 30-35 months. Analytical research methods with crossectional approach. Population of 75 children age 30-35 months. A sample of 42 subject taken with accidental sampling techniques. Implementation at the Posyandu. Technique of data analysis using Chi-Square. Types of nominal scale. Result : 40 subject (95,2 %) had normal nutritional status with normal birth weight by as much as 38 subject (90,5 %) and the development of appropriate age by as much as 37 subject (88,1 %). The majority of the subjects who have normal nutritional status and birth weight have the development of appropriate age. There is no relationship of nutritional status with child development with ?-value of 0,60. There is a relationship of birth weight with child development with ?-value 0,01 and contingency coefficient of 0.36 category clinging low levels. Conclusion : there is a relationship of birth weight with child development and there is no relationship of nutritional status with child development ages 30-35 months in Puskesmas Mantrijeron by 2013.

EFEKTIVITAS METODE DEMONSTRASI DAN CERAMAH TERHADAP PERUBAHAN SIKAP REMAJA PUTERI TENTANG SADARI Sumarah, Sumarah; Rokhaelisyah, Rokhaelisyah; Suherni, Suherni
Jurnal Kesehatan Ibu dan Anak Vol 6 No 2 (2014): November
Publisher : Poltekkes Kemenkes Yogyakarta

The incidence of breast cancer in Indonesia by 36 per 100,000 women, the data from the Hospital Information System (SIRS) in Indonesia in 2007 is known that breast cancer ranks first in-patients (16.85%) and outpatient (21.69%) it higher than that of cervical cancer(17%).Number of patients inDharmaisCancerHospital also continued to increase, in2003, therewere221 casesin2008, it has increase three times into 657 cases. Based on reports fromYogyakarta City Health Department in 2011, found as many as 545 cases.BSEis oneof themeasures ofearly detectionto find early stage breast cancerwhowould bemore effective if done as early as possible. While public awareness and knowledge about breast cancer and adolescents who perform 8SE correctly still low.Thepurpose of research to prove the effectiveness difference demonstration and lecturemethods to change the attitude of adolescent about BSE.Experimental researchmethods. Apopulation of 164 students. 35 samples were taken with the studentsnext to a simple random sampling technique. Analysis of the data using a paired t test. Results: The average value of attitudes about breast self- examination before being given counseling with the lecture method was 71.43 and after counseling is 74.37 with an average difference of 2.94 and a p-value 0.026, while the average value of attitudes about BSE before counseling by the method of demonstration was 73.48 and after counseling is 80.51with an average difference of 7.03 and a p-value of 0.000. These results can be concluded that the method is more effective in comparison demonstration lectures. Conclusion: There is a difference in the effectiveness of the counseling methodwith a lecture anddemonstration to change attitudes about adolescent BSE.

HUBUNGAN MOTIVASI MAHASISWA DIV BIDAN PENDIDIK UNTUK MENYELESAIKAN SKRIPSI DENGAN KETEPATAN WAKTU MAJU PROPOSAL Puspawati, Cok lstri Putri Prigita; Purnomo, Eddy; Sumarah, Sumarah
Jurnal Kesehatan Ibu dan Anak Vol 7 No 1 (2015): Juli
Publisher : Poltekkes Kemenkes Yogyakarta

D-lV Midwife Educator students must complete a thesis as a requirement of graduation. High motivation improves the punctuality to present the proposal. ln a preliminary study at STIKES Aisyiyah Yogyakarta, 27% of the students who presented the proposal on time and 5 of 7 people interviewed had low motivation to complete the thesis. Objective to determine the correlation between motivation to complete the thesis and the punctuality to present the proposal of STIKES 'Aisyiyah Yogyakarta. Methods This study used a descriptive-analytic design with a cross-sectional approach. The population was 130 people with a-sample of gg people. Thesampling technique was Proportional to Random Sampling. The sampling technique in the field used Accidentat Random Slampting. Dala analysis was univariate and bivariate with Spearman Rank Correlation (Cl 5%). Spearman Rank Correlation test showed p- value 0.00. The correlation value was 0.567 with a positive correlation. Students who had high motivation who presented the proposal on time was 82.35%. Conclusion Motivation to complete the thesis affects the punctuality to present the proposal.

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