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Tri Budi Wiryanto
Program Studi Diploma IV Kebidanan Fakultas Kedokteran Universitas Sebelas Maret Surakarta
Medicine & Pharmacology

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Hubungan Usia Primigravida dengan Kejadian Preeklampsia Berat di RSUD Dr. Moewardi Amalia, Fatkhurrohmah Leo; Wiryanto, Tri Budi; Hanim, Diffah
Nexus Kedokteran Klinik Vol 1, No 2 (2012): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Age factor holds crucial cause of health level and the wealth of pregnant mother and the baby. In young age, the development of reproduction organs and the physiological function is not optimal yet, also the emotional and psychological phase of the mother is not mature enough. Therefore in pregnancy, the mother is not yet able to respond her pregnancy completely and also there often occurs complication. Three pregnancy complications that become the main cause of mother’s death in obstetric section are bleeding, infection, and pregnancy hypertension (preeclampsia). Preeclampsia is a disorder of multi organ that is very distinct in pregnancy, which is noted as occurrence of hypertension and proteinuria in pregnancy age above 20 weeks. This research purpose for analyzing the relation between the age of primigravida with the occurrence of severe preeclampsia in RSUD Dr. Moewardi. Methods: This research is observational analytic with cross-sectional. Research is done in April-June 2012 in RSUD Dr. Moewardi section Obstetrics and Gynecology. The taking of sample is done with the way of purposive sampling. This research got 60 samples consisted of 30 samples age < 20 years old and 30 samples age 20-35 years old with the diagnosis of severe preeclampsia 42 samples. The data which is got then analyzed with the use of statistic test Spearman. Results: The risk factors of severe preeklampsia in RSUD Dr. Moewardi are the age and the graduation of primigravida. The statistic test shows there is a significant relation between the age of primigravida with the occurrence severe preeclampsia (p ≤ 0.05) Conclusions: There was a significant relation between the age of primigravida with the occurrence severe preeclampsia (p ­= 0.024) whereas the strength of the positive correlation is weak (r = 0.291) Keywords: primigravida’s age, severe preeclampsia. 
Hubungan antara Usia Menarke dengan Tinggi Badan dan Panjang Kaki Saat Dewasa Hapsari, Anindita Putri; Wiryanto, Tri Budi; Sumardiyono, .
Nexus Kedokteran Klinik Vol 3, No 2 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background: Menarche happens when estrogen activity at the peak, that is showed with high level estrogen. In other words, age at menarche is the first onset of high level estrogen. Estrogen not just has important role in reproduction system but also in bone growth. Low level estrogen, or estrogen level when estrogen activity has not at peak yet during puberty time, can stimulate bone growth with growth hormone stimulation mechanism while high level estrogen, or estrogen level when estrogen activity at the peak, can accelerate the closure of epiphysial growth disks so the bone growth will stop in stages. Based on that theory, there is correlation between age at menarche with adult height and leg length. But there are still pros and cons about the result of correlation between age at menarche with final height and leg length from researchers in different places. Therefore, research about age at menarche in relation with adult height and leg length is needed. Methods: This research is analytic observational – cross sectional. The data about age at menarche, height and leg length is gained from interview and measurement with 60 medical students of Sebelas Maret University. The data gained from the research is analyzed statistically using t test and Pearson Correlation test. Results: The average of age at menarche is 12.42 years old. In t test, there is no significant average difference of height (p = 0.612) and leg length (p = 0.341) between later age at menarche (higher than the average) group with early age at menarche (lower than the average) group. In Pearson Correlation test, there is no correlation between age at menarche with adult height (p = 0.985) and leg length (p = 0.443). Conclusions: In conclusion, there is no correlation between age at menarche with adult height and leg length. Keywords: age at menarche, height, leg length 
Hubungan Lama Pemberian Asi Eksklusif Dengan Awal Menstruasi Post Partum Tanpa Kontrasepsi Tambahan Fatchya, Firza; Wiryanto, Tri Budi; Murti, Bhisma
Nexus Kedokteran Klinik Vol 3, No 2 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: This research aimed to analyze the relationship between duration of exclusive breastfeeding with the early postpartum period without additional contraception. Methods: This analytic study was observational using cross sectional approach. This research was held in May 2013 at Sibela health center Surakarta. A sample of 60 study subjects was selected by exhaustive sampling. The inclusion criterias were mothers exclusively breastfeeding. Samples can not be selected if (1) mothers using contraception until the first post partum period. Biographical data sheet and fill the sample informed consent as a sign of approval. The data was collected by interview using a set of questionnaire. The data was analyzed using multiple linear regression models on SPSS 16.0 for Windows program. Results : From the analysis of the association this research shows a positive and significant relationship between duration of exclusive breastfeeding with early post partum period. Each increment 1 week long exclusive breastfeeding will extend the return of the early post partum period for 0.69 weeks (b = 0.69; CI95% = 0:47 to 0.90, P = <0.001). Analysis of the relationship this variable has controlling the influence of confounding variables (age, BMI, additional food). Conclusion:. There is a relationship between duration of exclusive breastfeeding with the early post partum period without additional contraception. Increasingly duration of exclusive breastfeeding will extend the return of the early post partum period. Key words : exclusive breastfeeding, early post partum period  
Perbedaan Nilai Apgar antara Kelahiran Pervaginam dan Kelahiran Seksio Sesarea pada Partus Macet Wiryanto, Tri Budi; Sumardiyono, .
Nexus Kedokteran Klinik Vol 3, No 2 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Labour is considered obstructed when the presenting part of the fetus cannot progress into the birth canal, despite strong uterine contractions. Obstructed labour can leading fetal asphyxia that indicate low APGAR score. In this case the delivery method can affect the state of the fetus. This study aimed to determine the difference APGAR score between vaginal delivery and caesarean section in obstructed labour. Methods: This analytic study was observational using cross sectional approach. The population of this study was all infants who was born by mother with  vaginal delivery and caesarean section deliveries in obstructed labor at RSUD Dr. Moewardi. A total of 30 subjects were selected by purposive sampling method in accordance with the inclusion criteria. The data of APGAR score was collected by viewing the medical records from the subject. The data was analyzed using Independent T Test on SPSS 16.0 for Windows program. Results: The analysis showed a difference between APGAR score (first and fifth minute) in each group was significant. The first minute APGAR score has p 0.021 obtained for delivery method. APGAR score at five minute has p 0.041 obtained for delivery method. APGAR score at ten-minute was not significant with the delivery method, with a p-value 0.059. Conclusions: There is statistically significant differences between APGAR score at first and fifth minute in vaginal delivery and caesarean section in obstructed labor. Keywords: apgar score,obstructed labour,delivery. 
Hubungan Usia Primigravida dengan Kejadian Preeklampsia Berat di RSUD Dr. Moewardi Amalia, Fatkhurrohmah Leo; Wiryanto, Tri Budi; Hanim, Diffah
Nexus Kedokteran Klinik Vol 1, No 2 (2012): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (14.044 KB)

Abstract

Co-Authors Anindita Putri Hapsari Bhisma Murti Diffah Hanim Fatkhurrohmah Leo Amalia Firza Fatchya Sumardiyono Sumardiyono