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Soejoenoes, Ariawan
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Faktor Risiko Individu dan Masyarakat serta Gambaran Pelayanan Kesehatan terhadap Kasus Preeklampsia Berat di RSUD Manokwari Kabupaten Manokwari Provinsi Papua Barat (Periode September 2015-Februari 2016) Sugiarti, Endang Sri; Soejoenoes, Ariawan; Cahyanti, Ratnasari Dwi; Hartono, Eddy
JURNAL KESEHATAN REPRODUKSI Vol 4, No 2 (2017)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (248.871 KB) | DOI: 10.22146/jkr.35420

Abstract

Background: The high rate of maternal mortality is still a health problem in Indonesia and also reects the uality of health care during pregnancy and childbirth. The main causes of maternal mortality in Indonesia is hypertension (32.4) and postpartum bleeding (28.3). Recently in Manowari eneral Hospital there is an increase trend cases of severe preeclampsia include 12 cases (September 2015), 14 cases (October 2015) and 14 cases (November 2015).Objective: To identify ris factors of the community and health care to cases of severe preeclampsia in the eneral Hospital of Manowari, Papua Barat Province period September 2015 - ebruary 2016. Method: The study was an observational descriptive study, cross sectional design with a retrospective approach. A total of 148 medical records of pregnant women who meet the eligibility criteria for inclusion in this study. Chi-suare test and isher eact was used for statistical analysis. Multivariate analysis using logistic regression with signicance p 0.05.Result and Discussion: A total of 148 medical records of pregnant women from September 2015 - ebruary 2016 met eligibility criteria which consisted of 74 pregnant women with severe preeclampsia and 74 pregnant women without preeclampsia. Chi-suare analysis showed a signicant association between gestational age 20-36 wees with severe preeclampsia cases (p 0.016; RR 1.8; CI 1.2 to 26.6) and a history of hypertension (p 0.000; RR 2.2; CI 3.1 to 21.2). Community ris factors had no signicant relationship with severe preeclampsia. The health care services regarding severe preeclampsia was well implemented and the second phase delay mainly due to geographic factors.Conclusion: There is a signicant association between gestational age 20-36 wees and a history of hypertension in cases of severe preeclampsia.Keywords: severe preeclampsia, gestational age, history of hypertension, ris factor of the community, second phase delay
Psikoedukasi Dzikr Menurunkan Kadar Kortisol dan Meningkatkan Kadar IGG pada Ibu Primipara Wahyuni, Sri; Anies, Anies; Soejoenoes, Ariawan; Putra, Suhartono Taat
JURNAL KESEHATAN REPRODUKSI Vol 5, No 2 (2018)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (312.398 KB) | DOI: 10.22146/jkr.37643

Abstract

Background: Unstable emotions that are common during the perinatal period affect hormonal regulation and affect immunity. Research of psychoeducation dhikr be important was done to reduce perceived stress so that cortisol levels can be controlled hence IgG increases.Purposes: to prove additional psychoeducation of dhikr in routine midwifery care more influential on decreasing cortisol and increasing IgG among primiparous women.Methods: This study was an experimental study. A number of 24 participants as intervention group and a number of 23 participants as control group. Cortisol and IgG levels measured using ELIZA kits in the third trimester of pregnancy, the three days and tenth days after birth. Statistical test using General Linear Model and independent t test to compare Δ score.Results: The result showed mean difference between groups on the end of interventions, cortisol 18.95, CI 95% (-13.42 – 51.33) and p value is 0.245. The difference of the IgG between groups 482.72, CI 95% (55,51 - 909,93) and p value is 0.028.Conclusions: Additional psychoeducation of dhikr in routine midwifery care has more decrease Cortisol and increase IgG levels in primiparous women. Keywords: Cortisol, Psychoeducation Dzikr, IgG, Primiparous
Co-Authors Anies Anies Eddy Hartono Ratnasari Dwi Cahyanti, Ratnasari Dwi Sri Wahyuni Sugiarti, Endang Sri Suhartono Taat Putra