Irwan Taufiqur Rachman
RSUP Dr. Sardjito Yogyakarta

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Pengetahuan dan Sikap Residen Obstetri dan Ginekologi tentang Keselamatan Pasien di Kamar Bersalin RSUP Dr. Sardjito Yogyakarta Armaijn, Fadhilah; Emilia, Ova; Rachman, Irwan Taufiqur
JURNAL KESEHATAN REPRODUKSI Vol 3, No 1 (2016)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (330.617 KB) | DOI: 10.22146/jkr.13877

Abstract

Background: The traditional medical Oath of ‘first do no harm’ is something that is very rarely breached either intentionally by a doctor, nurse or other health practitioner. Resident is health workers who perform services directly to patients that’s why their knowledge and attitudes towards patient safety are very usefulObjective: To determine the relationship of the level of knowledge with the attitudes about patient safety in obstetrics and gynecology resident while services in delivery room at Dr DR Sardjito hospital.Method: Descriptive methods with cross sectional approach, accompanied by a qualitative research The study involved 90 residents of Obstetrics and Gynecology at Sardjito Hospital Yogyakarta , by filling out a questionnaire. Knowledge assessed based on the number of correct answers and categorized into good and bad. Attitudes toward patient safety was assessed using a Safety Attitude Questionnaire (SAQ) labor and delivery version. Reliability was measured using Cronbach’s alpha. The qualitative data collection (interviews) conducted to support the descriptive data.Result and Discussion: Cronbach’s Alpha value for SAQ= 0.862, and the question of knowledge = 0.702. Between 77 responden who had good level of knowlage, only 53,2% had a good level of attitudes, and between 13 who has bad level of knowlage, there were 10 responden with good level of attitudes (76,9%) (RP 0,69;95%CI 0,44-1,04; p= 0,11). Elements of stress recognition on the attitude were getting the lowest average value (3.50 ± 0.56). From the qualitative data were known that the resident had desire for a reduction in working hours as well as improved communication and collaboration between teams. Althogh most of resident had a good level of knowledge and attitudes about patient safety, there were no meaning because of p value was >0,05 (OR 2,69;95%CI 0,66-10,9; p= 0,17).Conclusion: Clinically, a good level of knowledge about patien safety improving a good level of attitude towards patient safety.Keywords: Knowledge- attitude- patient safety- resident obstetrics
Peran Penambahan Misoprostol pada Penatalaksanaan Aktif Kala Tiga dalam Menurunkan Perdarahan Pasca Persalinan Geni, Puti Lenggo; Rachman, Irwan Taufiqur; Pradjatmo, Heru
JURNAL KESEHATAN REPRODUKSI Vol 4, No 3 (2017)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (310.609 KB) | DOI: 10.22146/jkr.35422

Abstract

Background: Postpartum haemorrhage is the leading cause of maternal mortality in both developed and developing countries, which is almost 80 % due to the failure of the uterus to contract. Misoprostol is a powerful uterotonic agent used as an alternative in preventing postpartum haemorrhage.Objective: The purpose of this study was to determine whether administration of misoprostol adjunctive therapy in active management of the third stage of labor influenced postpartum blood loss.Method: This study was a non-blinding randomized controlled trial that divided subjects into two groups. The treatment group was the group who received misoprostol 600 mcg orally for adjunctive treatment in active management of the third stage of labor and the control group did not receive misoprostol, each group also got routine oxytocin 10 IU intramuscularly. Both group were assessed of the number of blood loss in the fourth stage of labor, decreased levels of hemoglobin and hematocrit within 24 hours after delivery. Chi square test was conducted to determine the strength of the relationship between the two groups.Result and Discussion: The study recruited 104 subjects, there were significant difference for the mean number of blood loss in the fourth stage of labor and the decrease in hemoglobin levels within 24 hours of postpartum between treatment and control group (OR 2.45; 95% CI 1.05-5.71, p=0.04), (OR 2.99; 95% CI 1.26-7.11, p=0.01). The mean of the decreasing hematocrit levels was statistically not significant between the two groups (OR 0.87; 95% CI 0.38-1.99, p=0.75).Conclusion: The addition of misoprostol to the routine active management of the third stage of labor was statistically significant to decrease amount of postpartum blood loss.Keywords: misoprostol, active management of the third stage of labor, postpartum blood loss, postpartum hemorrhage.
The Accuracy of Risanto's Formula and Ultrasound Measurement in Estimating Fetal Weight Pietersz, Elsina Krisnawati; Rachman, Irwan Taufiqur; Siswosudarmo, Risanto
JURNAL KESEHATAN REPRODUKSI Vol 5, No 1 (2018)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (266.38 KB) | DOI: 10.22146/jkr.37942

Abstract

Background: Accurate estimated fetal weight (EFW) is crucial in determining delivery management. Several methods to estimate fetal weight were used such as abdominal palpation, measurement of symphisis fundal height (SFH), and ultrasound examination. Risanto’s formula based on Indonesian population had been already proven to be more accurate than Johnson’s formula. The formula was as follows: Y = 125 X - 880 where Y was EFW in grams, X was SFH in cm, and 125 was the constanta.Objective: To compare the accuracy of Risanto’s formula and ultrasound examination in estimating fetal weight.Method: A cross sectional study was carried out in Sardjito hospital, Faculty of Medicine Universitas Gadjah Mada, from March 2013 to March 2014. A total of 400 pregnant women meeting the inclusion criteria at 37 – 42 weeks of gestation were recruited. The estimated fetal weight using Risanto’s formula (R_EFW) was compared to the estimated fetal weight using ultrasound measurement (U_EFW). The U_EFW was done by obstetricians on duty or senior residents using Hadlock’s formula. Actual birth weight (ABW) was measured using the same calibrated baby scale. Accuracy was determined by comparing the mean difference between the R_EFW minus ABW (ΔR_EFW) and the U_EFW minus ABW (ΔU_EFW). Paired t-test was used for statistical analysis.Result and Discussion: The mean ABW was 3025.3 ± 414.6 gram and the mean R_EFW was 2972.7 ± 365.4 grams, while the mean U_EFW was 3058.7 ± 423.2 grams. The mean ΔR_EFW was lower than the mean ΔU_EFW (178.2 ± 147.6 grams vs 197.5 ± 155.4 grams; 95% CI 1.24 – 36.68; p = 0.04).Conclusion: Risanto’s formula was more accurate than ultrasound measurement in estimating fetal weight.Keywords: Estimated fetal weight, Risanto’s formula, Ultrasonography, Fundal height
PENDIDIKAN SEKSUAL DAN PERILAKU PEMENUHAN KEBUTUHAN SEKSUAL PASANGAN MASA KEHAMILAN Purwati, Yuni; Rachman, Irwan Taufiqur; Akhmadi, Akhmadi
KEMAS: Jurnal Kesehatan Masyarakat Vol 10, No 2 (2015)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v10i2.3379

Abstract

Sebanyak 30–50% pasangan khawatir hubungan seksual akan membahayakan janinnya. Tujuan penelitian ini untuk mengetahui pengaruh pendidikan seksual terhadap perilaku pemenuhan kebutuhan seksual pasangan masa kehamilan di Puskesmas Kasihan II  Bantul. Penelitian menggunakan rancangan quasi-eksperimental metode non-equivalent control group design. Sampel terdiri 26 subyek kelompok eksperimen dan 26 subyek kelompok kontrol, dengan metode purposive sampling. Instrumen berupa kuesioner yang telah diuji validitas korelasi product moment dan uji reliabilitas alpha cronbach. Analisis data menggunakan paired samples t-test dan independent samples t-test. Hasil uji normalitas data menggunakan kolmogorov-sminorv p>α=0,05, sehingga data terdistribusi normal. Hasil analisis paired t-test kelompok eksperimen adalah p<0,05, hasil kelompok kontrol p>0,05 dan hasil independent samples t-test kelompok eksperimen dan kelompok kontrol yaitu p<0,05. Disimpulkan terdapat pengaruh signifikan pemberian pendidikan seksual terhadap perilaku pemenuhan kebutuhan seksual masa kehamilan di Puskesmas Kasihan II Bantul.  Both physical and psychological changes during pregnancy could influence sexuality 30-50% of couples concerned that intercourse will injure the fetus. The purpose of the study was to determine the effect of sexuality education on sexual behavior among couples during pregnancy at Puskesmas Kasihan II Bantul Yogyakarta. The quasi-experimental method with a non-equivalent control group was used in this study. The sample consisted of 26 subjects as an experimental group and as control of 26 subjects group with sampling technique using purposive sampling. Data collection instrument was a questionnaire that tested the validity of using the product moment correlation and cronbach alpha reliability test. Pretest and posttest control group performed at the same time as the experimental group. Statistical analysis of paired t-test and independent samples t-test. There was no significant differences in background characteristic between intervention and control group. Results of statistical analysis of paired t-tests on the sexual behavior experimental group p <0.05, resulting in the control group p> 0.05. The results of independent samples t-test in the experimental group and the control group p <0.05. Conclusions there was significant difference sexuality education using group discussions on sexual behavior among couples during pregnancy at Puskesmas Kasihan II Bantul Yogyakarta.