Dwi Retna Prihati
Poltekkes Kemenkes Surakarta

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Pineapple Juice Can Prevent Serotinous Pregnancy To Mothers With A History Of Hormonal Contraception In Surakarta Dwi Retna Prihati; Siswiyanti Siswiyanti; RD Rahayu; Sugita Sugita
JKM (Jurnal Kebidanan Malahayati) Vol 8, No 3 (2022): Volume 8 No.3 July 2022
Publisher : Program Studi Kebidanan Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkm.v8i3.5693

Abstract

Latar Belakang Kehamilan serotinus meningkatkan risiko kesakitan dan kematian pada ibu dan bayi yang disebabkan oleh tidak adekuatnya kontraksi rahim akibat penggunaan kontrasepsi hormonal. Salah satu terapi komplementer yang terbukti dapat meningkatkan kontraksi uterus dengan cara mengkonsumsi buah nanas yang mengandung zat aktif bromelin.Tujuan untuk membuktikan buah nanas dapat mencegah kehamilan serotinus pada ibu hamil dengan riwayat kontrasepsi hormonal. Metode Penelitian ini adalah studi komparasi dengan menggunakan rancangan quasy experimental design dengan design posttest with control. Jumlah sampel 100 orang terdiri dari 50 orang perlakuan dan 50 orang kontrol. Pada kelompok kontrol responden mengalami kehamilan serotinus 32 orang (64%). Rata-rata usia kehamilan terakhir pada kelompok kontrol 42 minggu (294 hari) sedang kelompok perlakuan rata rata kehamilan berakhir pada  usia kehamilan 40 minggu (282 hari). Pada kelompok perlakuan tidak ada satupun responden (0%) yang mengalami kehamilan serotinus.Hasil uji beda menunjukkan p=0,00 yang berarti ada perbedaan yang signifikan antara kelompok kontrol dan kelompok perlakuan sekaitan dengan kehamilan serotinus. Kesimpulannya buah nanas dapat mencegah kehamilan serotinus pada ibu hamil dengan riwayat kontrasepsi hormonal.Saran Jus nanas dapat dijadikan alternative pengobatan nonfarmokologis dalam mencegah kehamilan serotinus. Kata kunci: Kehamilan serotinus, Kontrasepsi hormonal, Jus nanas  ABSTRACT Background Serotinous pregnancy increases the risk of morbidity and mortality in the mother and baby caused by inadequate uterine contractions due to the use of hormonal contraception. One of the complementary therapies that is proven to increase uterine contractions by consuming of pineapple fruit which contains the active substance bromelain. Purpose of this research to prove the pineapple fruit can prevent serotinous pregnancy with a history of hormonal contraception. The method is study of comparisons by quasy experimental design with posttest with control. The number of samples are 100 people is composed of 50 people experiment group and 50 people control group. Pineapple fruit 150 gr in the form of juice given twice a day, twice a week to pregnant mother gestational age 37 weeks until delivery. The control group respondents shows pregnancy serotinous 32 people (64%). Group treatment none (0%) of respondents shows pregnancy serotinous. Results show the difference p = 0.00 that means there is a significant difference between the control group and treatment group with serotinous pregnancy. The average gestational age in the control group the last 42 weeks (294 days) and The average gestational age in experiment pregnancy at gestational age 40 weeks (282 days). Conclusion fruit pineapple can prevent pregnancy serotinous to pregnant women with a history of hormonal contraception.Suggestion Pineapple juice can be used as an alternative non-pharmacological treatment in preventing serotinous pregnancy.  Keywords: Hormonal Contraceptive, pineapple fruit, pregnancy serotinous
Cognitive Behavioral Therapy Alleviate Postpartum Depression Symptomps Lathifah Tiya Paramudita; Rahmi Nurrasyidah; Sugita Sugita; Dwi Retna Prihati
Genius Midwifery Journal Vol. 2 No. 1 (2023): GENIUS MIDWIFERY JOURNAL
Publisher : Yayasan Inspirasi El Burhani

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (897.125 KB) | DOI: 10.56359/genmj.v2i1.166

Abstract

Introduction: Postpartum women are prone to experience psychological disorders such as baby blues and postpartum depression. Postpartum depression can occur due to prolonged baby blues. Complaints that are often felt include anxiety, difficulty sleeping, lack of confidence and changes in mood. These symptoms can develop into more severe symptoms not only of not being able to pay attention to the baby but also of women being prone to suicide. various interventions have been developed including pharmacological interventions. Women who have been intervened with drugs complain of the many side effects they experience. Non-pharmacological treatments such as cognitive behaviour therapy have the potential effect to relieve symptoms of depression. Cognitive Behavior Therapy is a psychological intervention model that trains the perceptions of postpartum women to apply solution-based thinking. This technique is often used to intervene in psychological problems. Aims: The review is to summarize the effectiveness of cognitive behavioural therapy in reducing postpartum depression Methods: This research is a literature study based on 7 articles screened based on PICO, inclusion and exclusion criteria. We did a review based on research with RCT methods and pre-experimental studies. Review use database Pubmed, Science Direct, and Google Scholar Results: Based on the available evidence, Both CBT offline and online can reduce symptoms of postpartum depression. A trained midwife can perform CBT. The CBT mobile application can also be developed as a virtual therapy for women with postpartum depression. CBT can be applied during the antenatal period or during the postpartum period. Conclusion: CBT offline, online or application effective to treat postpartum depression
STATUS GIZI REMAJA PUTRI DI PUSKESMAS KLATEN SELATAN: NUTRITIONAL STATUS OF YOUTH WOMEN AT PUSKESMAS KLATEN SELATAN Dwi Retna Prihati; Rahmi Nurrasyidah; Kuswati Kuswati
Bunda Edu-Midwifery Journal (BEMJ) Vol. 6 No. 1 (2023): Februari 2023
Publisher : Akademi Kebidanan Bunga Husada Samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54100/bemj.v6i1.81

Abstract

Background: Malnutrition in adolescents can cause effects on stunted physical growth and psychological development. The method used to measure is anthropometric assessment by measuring body mass index (BMI) and upper arm circumference. Objective: To describe the nutritional status of adolescent girls in the South Klaten Health Center. Methods: Research quantitative description with observational method using cross sectional design. The number of samples that became respondents was 119 taken with the technique of concecutive random sampling. Research location in South Klaten Health Center. Results: Respondents BMI was normal nutritional status 73 people (61%), thin 19 people (16%), very thin 15 people (13%), fat 8 people (7%) and obese 4 people (3%). Upper arm circumference Respondents were (Normal 23.5 – 28.5 cm) 72 people (61%), (less< 23.5) 42 people (35%) and (more> 28.5 cm) 5 people (4 %). Conclusion: The majority of adolescent girls have normal nutritional status. Suggestion: Malnourished respondents must consume food as needed.
SKRINING KESEHATAN DAN PERSEPSI CALON PENGANTIN TENTANG PERNIKAHAN DI PUSKESMAS KLATEN SELATAN Dwi Retna Prihati; RD Rahayu; Aris Prastyoningsih; S Sugito
Jurnal Kesehatan Kusuma Husada Vol. 14 No. 2, Juli 2023
Publisher : Universitas Kusuma Husada Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34035/jk.v14i2.1043

Abstract

Skrining pranikah adalah strategi penting sebagai upaya pencegahan kelainan genetik, anomali kongenital, dan beberapa masalah medis, psikologis, dan perkawinan, serta menginformasikan kepada pasangan tentang dampak yang akan ditimbulkan dari kondisi kesehatan yang dapat membahayakan calon pasangan suami istri, termasuk pengaruhnya pada keturunannya. Kesiapan calon pengantin tidak hanya meliputi kesiapan fisik, tetapi juga kesiapan psikologisnya. Penyesuaian terhadap peran dan tugas bagi pasangan yang baru menikah sering menimbulkan masalah. Satu dari indikator yang dapat dilihat dari kesiapan menikah adalah persepsi tentang pernikahan. Tujuan penelitian ini adalah untuk mengetahui status kesehatan fisik dan persepsi calon mempelai wanita tentang pernikahan di Puskesmas Klaten Selatan. Jenis penelitian skrining kesehatan adalah deskriptif kuantitatif. Sampel yang digunakan sebanyak 116 responden. Persepsi pernikahan menggunakan analitik komparatif dengan rancangan post test with control design untuk 2 kelompok berbeda. Sampel yang digunakan 30 responden. Hasil: Usia 75% berkisar 20-30 tahun, kadar hemoglobin 90% ≥ 11 gr/dl, kadar HBSAg 99% negatif, hasil tes kehamilan 94% negatif, 100% negatif HIV. Konseling tambahan oleh Psikolog setelah diberikan konseling dari puskesmas tidak berpengaruh signifikan terhadap persepsi calon pengantin tentang pernikahan (p value=0,070) dan tidak berpengaruh signifikan terhadap penambahan skor persepsi calon pengantin tentang pernikahan pada kelompok perlakuan (p value =0,147). Premarital screening is an important strategy as an effort to prevent genetic disorders, congenital anomalies, and some medical, psychological and marital problems, as well as informing couples about the impact that will be caused by health conditions that can harm prospective husband and wife, including the effect on their offspring. The readiness of the bride and groom does not only include physical readiness, but also psychological readiness. Adjustment to roles and duties for newly married couples often creates problems. One of the indicators that can be seen from the readiness to marry is the perception of marriage. The purpose of this study was to determine the physical health status and perceptions of the bride and groom about marriage at the South Klaten Health Center. This type of health screening research is quantitative descriptive. The sample used was 116 respondents. Perceptions of marriage used comparative analysis with a post test with control design for 2 different groups. The sample used was 30 respondents. Results: Age 75% ranged from 20-30 years, hemoglobin level 90% ≥ 11 gr/dl, HBSAg level 99% negative, pregnancy test result 94% negative, 100% HIV negative. Additional counseling by a psychologist after being given counseling from the health center did not have a significant effect on the perceptions of the bride and groom about marriage (p value = 0.070) and did not significantly affect the addition of the score of the perception of the bride and groom about marriage in the treatment group (p value = 0.147).