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INDONESIA
INDONESIAN MIDWIFERY HEALTH AND SCIENCES JOURNAL
Published by Universitas Airlangga
ISSN : -     EISSN : 26567806     DOI : http://dx.doi.org/10.20473/imhsj.v1i1.2019.1-15
Core Subject : Health, Science, Education,
Education Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health
Indonesian Midwifery and Health Sciences Journal (e-ISSN 2656-7806) is a peer-reviewed open access scientific journal published by Universitas Airlangga. The scope for Indonesian Midwifery and Health Sciences Journal includes Adolescents, premarital and preconception, pregnancy, childbirth, postpartum and lactation, newborns, infants and toddlers, reproductive health, gynaecology, maternal emergencies, neonatal emergencies, contraception, family planning, menopause, health care and midwifery policies, midwifery education, management midwifery care services, Community Midwifery. Articles published in Indonesian Midwifery and Health Sciences Journal include original articles and literature reviews. Articles could be written in either Bahasa Indonesia or English. Contributors for Indonesian Midwifery and Health Sciences Journal are researchers, lecturers, students, midwifery practitioners and other practitioners that focus on midwifery and health sciences in Indonesia and worldwide.
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 202 Documents
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STATUS GIZI DAN USIA MENARCHE SEBAGAI FAKTOR RISIKO DISMENOREA PADA REMAJA PUTRI SMAN 19 SURABAYA Rim Kosim; Gatut Hardianto; Kasiati Kasiati
Indonesian Midwifery and Health Sciences Journal Vol. 3 No. 3 (2019): Indonesian Midwifery and Health Sciences Journal, July 2019
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v3i3.2019.204-212

Abstract

Abstrak Latar belakang: Dismenorea merupakan gangguan menstruasi berupa nyeri perut bawah sesaat atau bersamaan dengan permulaan menstruasi. Menstruasi merupakan kejadian fisiologis dalam tubuh wanita dan dapat disertai beberapa gangguan salah satunya dismenorea. Kejadian dismenorea bagi remaja dapat mengganggu aktivitas sehari-hari termasuk sekolah. Di Indonesia dari hasil penelitian PIK-KRR kejadian dismenorea pada remaja putri sebesar 72,89%. Faktor-faktor yang terkait dismenorea meliputi usia dibawah 20 tahun, status gizi, usia menarche, riwayat keluarga dengan dismenorea, dan merokok. Penelitian ini bertujuan menganalisis hubungan status gizi dan usia menarche dengan kejadian dismenorea. Metode: Menggunakan metode analitik observasional dengan rancangan penelitian cross sectional. Sampel yang digunakan yaitu sebanyak 100 responden dengan tehnik simple random sampling. Pengumpulan data berupa data primer dari responden. Analisis data menggunakan uji chi square. Hasil: Terdapat hubungan antara status gizi dan usia menarche dengan kejadian dismenorea pada remaja putri SMAN 19 Surabaya (uji chi square status gizi dengan kejadian dismenorea p value = 0,023 serta usia menarche dengan kejadian dismenorea p value = 0,047). Kesimpulan: Status gizi dan usia menarche merupakan faktor risiko yang memiliki hubungan  bermakna dengan kejadian dismenorea pada remaja putri.Abstract Introduction: Dysmenorrhea is a menstrual disorder in the form of lower abdominal pain before or right with the onset of menstruation. Menstruation is a physiological event in a woman's body and can be accompanied by several disorders, one of which is dysmenorrhoea. The incidence of dysmenorrhea for adolescents can disrupt daily activities including school. In Indonesia, the results of PIK-KRR’s study shows the incidence of dysmenorrhoea in young women was 72.89%. Factors related to dysmenorrhea including age under 20 years, nutritional status, age of menarche, family history of dysmenorrhea, and smoking. This study aims to analyze the relationship between nutritional status and age of menarche with the incidence of dysmenorrhea. Method: This study used an observational analytic method with a cross sectional study design. The sample used is 100 respondents using simple random sampling method. Data is collected in the form of primary data from respondents. Data analysis used the chi square test. Result: There is a relationship between nutritional status and age of menarche with the incidence of dysmenorrhea in female adolescents of SMAN 19 Surabaya (chi square test of nutritional status with incidence of dysmenorrhoea p = 0.023 and age of menarche with incidence of dysmenorrhea p = 0.047). Conclusion: Nutritional status and age of menarche are risk factors that have a significant relationship with the incidence of dysmenorrhea in female adolescents.
PERSEPSI REMAJA PUTRI TERHADAP KECENDERUNGAN PERILAKU PERNIKAHAN DINI Anggraeni Puspita Dewi; Tiyas Kusumaningrum; Nining Febriyana
Indonesian Midwifery and Health Sciences Journal Vol. 3 No. 2 (2019): Indonesian Midwifery and Health Sciences Journal, April 2019
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v3i2.2019.120-130

Abstract

Abstrak Pernikahan dini masih banyak terjadi di Indonesia. Pernikahan dini yaitu pernikahan yang dilakukan pada usia kurang dari 20 tahun. Salah satu faktor yang mempengaruhi pernikahan dini adalah persepsi. Persepsi dipengaruhi sikap dalam menentukan pernikahan dini. Penelitian ini bertujuan untuk mempelajari hubungan persepsi remaja putri dengan Kecenderungan perilaku pernikahan dini di Desa Kesamben Kulon Kecamatan Wringinanom Gresik. Metode : penelitian ini merupakan penelitian analitik korelasional dengan pendekatan cross sectional. Jumlah sampel sebanyak 140 remaja putri di Desa Kesamben Kulon Kecamatan Wringinanom Gresik sesuai dengan kriteria inklusi. Sampling yang dilakukan dengan purposive sampling. Variabel bebas dalam penelitian ini adalah persepsi kerentanan, persespsi keseriusan, persepsi ancaman, persepsi manfaat dan persepsi kendala, sedangkan variabel tergantung adalah Kecenderungan perilaku pernikahan dini. Untuk mengetahui tingkat signifikan, data yang terkumpul akan diuji dengan statistik Spearman Rank pada tingkat kemaknaan α = 0,05. Hasil : hasil penelitian didapatkan bahwa sebagian besar memiliki persepsi kerentanan rendah (53,6), persepsi keseriusan tinggi (64,3%)), persepsi ancaman rendah (75,7%), persepsi manfaat tinggi (62,1%), persepsi kendala rendah (68,6%). Hampir seluruhnya mengalami Kecenderungan perilaku pernikahan dini rendah (96,4%). Setelah uji Spearman Rank diperoleh ada hubungan persepsi kerentanan, keseriusan, ancaman dan kendala dengan kecenderungan perilaku pernikahan dini. Sedangkan variabel persepsi manfaat tidak terdapat hubungan Kecenderungan perilaku pernikahan dini. Kesimpulan : Hubungan persepsi kerentanan dengan kecenderungan perilaku pernikahan dini memiliki keeratan yang paling tinggi sebesar r = 0,604.Abstract Background: Early marriage still occurs a lot in Indonesia. Early marriage is a marriage performed at less than 20 years of age. One of the factors that influence early marriage is perception. This research aims to study the relationship of perception of young women with the tendency of early marriage behaviour in Kesamben Kulon village of Gresik's Wringinanom district. Methods: This research was a correlational analytical research with a cross sectional approach. The number of sample was 140 young women in Kesamben Kulon village Wringinanom Gresik in accordance for inclusion criteria. Sampling was done by purposive sampling. The independent variables in this study were the perception of vulnerability, severity, threat, perception and barrier, while the dependent variable was the tendency of early marital behavior. To determine a significant level, the collected data tested by Spearman Rank at the level of the significance of α = 0.05. Results: the results of this research was most of respondens have a low perception of vulnerability perception (53.6%), high saverity perception 64.3%), low threat perception (75.7%), high benefit perception (62.1%), low constraint perception (68.6%). Most of them experienced the tendency behavior of low early marriage (96.4%). After the Spearman Rank test, there was a relationship perception vulnerability, saverity, threat and barrier tendency early marriage behavior. While perception benefit no have relationship tendency of early marriage behavior. Conclusion: The relationship between perception of vulnerability with potential early marriage behavior has the highest density with r = 0.604.
HUBUNGAN LAMA PAPARAN TELEVISI TERHADAP PERKEMBANGAN MOTORIK HALUS BALITA Pingkan Fredelia Lontoh; Ahmad Suryawan; Sri Utami
Indonesian Midwifery and Health Sciences Journal Vol. 3 No. 1 (2019): Indonesian Midwifery and Health Sciences Journal, January 2019
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v3i1.2019.77-84

Abstract

AbstrakLatar belakang: Televisi merupakan salah satu inovasi teknologi yang sering digunakan oleh setiap orang tidak terkecuali anak balita. Menghabiskan banyak waktu pada tayangan televisi membuat anak-anak kehilangan kesempatan untuk mengeksplor lingkungan dan bermain dengan teman-teman sebayanya sehingga berdampak pada kemampuan motorik anak. Tujuan: Mengetahui hubungan antara lama paparan televisi dengan perkembangan motorik halus anak usia 3-5 tahun. Metode: Penelitian analitik observasional dengan pendekatan cross sectional pada balita usia 3-5 tahun di wilayah kerja Puskesmas Kenjeran Surabaya dengan menggunakan purposive sampling. Lama paparan televisi diukur menggunakan lembar pengumpul data sedangkan perkembangan motorik halus diukur menggunakan KPSP aspek motorik halus. Analisis data menggunakan chi square (p < 0,05). Hasil: sebanyak 108 balita yang ikut serta dalam penelitian. Anak yang menonton > 2 jam/ hari sebagian besar lulus perkembangan motorik halus. Hasil uji chi-square menunjukkan adanya hubungan antara lama durasi paparan televisi dengan kemampuan motorik halus (p=0,042). Kesimpulan: menonton televisi yang tidak terkendali dapat membawa dampak buruk bagi perkembangan motorik halus, diperlukan peran orangtua dalam mengawasi dan membatasi paparan televisi pada anak. AbstractBackground: Television is one of the technological innovations that is often used by everyone is no exception for toddlers. Spending a lot of time on television shows makes children lose the opportunity to explore the environment and play with peers so as to impact the child's motor skills. Objectives: Know the relationship between prolonged television exposure with fine motor development of children aged 3-5 years. Method: Observational analytic research with cross sectional approach in toddlers aged 3-5 years in the working area of Kenjeran Surabaya by using purposive sampling. Prolonged television exposure was measured using a data collector sheet while smooth motorik developments were measured using KPSP fine motor aspects. Data analysis using Chi Square (P < 0.05). Results: As many as 108 toddlers participating in the study. Children watching > 2 hours/day mostly pass fine motor development. The chi-square test results indicate the relationship between the length of the duration of television exposure with fine motor capability (P = 0,042). Conclusion: An uncontrolled television watch can bring a bad impact to the smooth motorik developments, required parental role in supervising and restricting television exposure in children. 
HUBUNGAN PENGETAHUAN, SIKAP, KUALITAS KIE, DAN DUKUNGAN SUAMI TERHADAP TINGKAT KONSUMSI VITAMIN A PADA IBU NIFAS Aulia Riskitasari; Kasiati Kasiati; Widati Fatmaningrum
Indonesian Midwifery and Health Sciences Journal Vol. 3 No. 4 (2019): Indonesian Midwifery and Health Sciences Journal, October 2019
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v3i4.2019.311-319

Abstract

Abstrak Latar Belakang: Masa nifas merupakan masa yang terjadi setelah persalinan yang berlangsung antara 1 jam setelah lahirnya plasenta sampai dengan 42 hari setelah melahirkan. Seorang wanita membutuhkan perawatan pasca salin untuk deteksi dini dan penannganan komplikasi, kebutuhan mobilisasi, nutrisi, personal hygiene dan kebutuhan penunjang lainnya. Metode: Penelitian ini menggunakan observasional analitik dengan teknik purposive sampling dengan memberikan beberapa pertanyaan melalui kuesioner pada 102 responden ibu yang sudah melewati masa nifas. Hasil: hasil uji chi square- contingency coefficient didapatkan hasil bahwa pengetahuan (p= 0,293) tidak ada hubungan, sikap (p= 0,922) tidak ada hubungan, kualitas KIE (p= 0,000) ada hubungan dan dukungan suami (p= 0,001) ada hubungan. Kesimpulan: Tingkat pengetahuan dan sikap seorang ibu tidak ada hubungan dengan tingkat konsumsi vitamin A pada masa nifas sedangkan kualitas KIE dan dukungan suami yang didapatkan ibu selama masa kehamilan, persalinan dan nifas ada hubungan terhadap tingkat konsumsi vitamin A pada ibu di masa nifas.Abstract Background: Postpartum period is a period that occurs after labor that lasts between 1 hour after the birth of the placenta up to 42 days after delivery. A woman needs postpartum care for early detection and management of complications, mobilization needs, nutrition, personal hygiene and other support needs. Method: This study used observational analytic with purposive sampling technique by giving several questions through questionnaires to 102 respondents of mothers who had passed the postpartum period. Results: the results of the chi square-coefficient contingency test showed that knowledge (p = 0.293) had no relationship, attitude (p = 0.922) had no relationship, KIE quality (p = 0,000) there was a relationship and husband's support (p = 0.001) relationship. Conclusion: The level of knowledge and attitudes of a mother has no relationship with level consumption of vitamin A during the puerperium while the KIE quality and husband's support obtained by the mother during pregnancy, childbirth and postpartum are related to  level consumption of vitamin A in the mother during childbirth.
PERSEPSI MAHASISWA TERHADAP INTERPROFFESSIONAL EDUCATION Nia Laila Fitri; Dwi Izzati Budiono; Gatut Hardiyanto
Indonesian Midwifery and Health Sciences Journal Vol. 3 No. 3 (2019): Indonesian Midwifery and Health Sciences Journal, July 2019
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v3i3.2019.249-257

Abstract

Abstrak Latar Belakang: Interprofessional Collaboration adalah kerja sama berbagai profesi kesehatan dalam bentuk tim yang memiliki tujuan untuk meningkatkan kesehatan pasien dengan batasan atau kewenangan masing-masing profesi. Untuk menghasilkan kolaborasi yang efektif perlu suatu teknik pembelajaran yaitu Interprofessional Education (IPE) yang mempelajari kompetensi-kompetensi kolaborasi sehingga dapat diterapkan dalam praktik kerja yang sebenarnya. Penelitian ini bertujuan untuk menganalisis persepsi mahasiswa yang telah mengikuti uji coba IPE di Universitas Airlangga. Metode: Jenis penelitian ini adalah analisis deskriptif dengan pendekatan cross sectional menggunakan teknik total sampling. Besar sampel penelitian ini sebanyak 60 mahasiswa Universitas Airlangga angkatan 2016 yang meliputi Program Studi Pendidikan Dokter, Pendidikan Dokter Gigi, Kebidanan, Pendidikan  Ners, Farmasi, dan Kesehatan Masyarakat. Pengumpulan data menggunakan kuesioner Interprofessional Education Perception Scale. Untuk mengetahui karakteristik responden dilakukan analisis univariat dan tingkat signifikan perbedaan median persepsi setiap program studi terhadap masing-masing komponen persepsi dengan Kruskal Walis pada tingkat α=0,05. Hasil: Sebagian besar responden (93,3%) memiliki persepsi baik terhadap IPE. Terdapat perbedaan persepsi mahasiswa antar program studi pada komponen persepsi kebutuhan untuk bekerjasama (p<0,001) dan komponen persepsi tentang bekerjasama yang sesungguhnya (p=0,003). Kesimpulan: secara umum mahasiswa yang mengikuti uji coba IPE memiliki persepsi baik. Ada perbedaan bermakna pada komponen persepsi kebutuhan untuk bekerjasama dan komponen persepsi tentang bekerjasama yang sesungguhnya. Diperlukan perbaikan metode pembelajaran IPE pada komponen kebutuhan untuk bekerjasama dan kompone persepsi tentang bekerasama yang sesungguhnya.Abstract Background: Interprofessional Collaboration is the collaboration of various health professions as a team that aims to improve the health of patients with the limitations or authority of each profession. In order to create an effective collaboration, a learning techniue is needed, namely Interprofessional Education (IPE), where competencies collaborative are studied so that they can be applied in actual work practices. This study aims to analyze the perceptions of students who have taken IPE trials at Airlangga University. Methods: This study aimed descriptive with cross sectional approach. The sample used was 60 students enrollment batch of 2016 majoring in Medical, Dentistry, Midwifery, Nursing, Pharmaceutical, and Public Health study programs with total sampling technique. Data were collected using the Interprofessional Education Perception Scale questionnaire to find out the characteristics of respondents using univariate analysis and significant level of difference in the median perception of each study program on each component of perception using Kruskal Wallis test at the level of α=0.05. Results: the results of the study revealed that most respondents had good perceptions of IPE (93.3%). There were perceptions differences among students of different study programs on the need for collaboration (p<0.001) and actual cooperation (p=0,003). Conclusions: In general, students who took the IPE trial had good perceptions. There were significant differences in the perception component of the need to collaborate and the perception component of actual collaboration. It is necessary to improve the IPE learning method in the perception components of the needs for collaboration and actual cooperation.
PRIMIGRAVIDA MEMILIKI KECEMASAN YANG LEBIH SAAT KEHAMILAN Heni Hastanti; Budiono Budiono; Nining Febriyana
Indonesian Midwifery and Health Sciences Journal Vol. 3 No. 2 (2019): Indonesian Midwifery and Health Sciences Journal, April 2019
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v3i2.2019.167-178

Abstract

Abstrak Latar Belakang: Kecemasan merupakan salah satu gangguan jiwa yang umum terjadi pada masa kehamilan. Prevalensi kecemasan ibu hamil di negara berkembang rata-rata mencapai 20% atau lebih. Kecemasan ibu hamil berbeda-beda tergantung pada faktor yang mempengaruhi dan kemampuan ibu beradaptasi dalam menciptakan kondisi psikologis. Penelitian ini bertujuan untuk mengetahui perbedaan kejadian kecemasan ibu hamil primigravida dan multigravida. Metode: Jenis penelitian adalah analitik observasional dengan desain studi cross sectional comparative untuk membandingkan perbedaan kecemasan primigravida dan multigravida dengan kuesioner. Populasi adalah semua ibu hamil yang tercatat dan berkunjung di Puskesmas Jenggot Kota Pekalongan. Sampel dengan teknik consecutive sampling yang dibedakan menjadi dua kelompok yaitu kelompok primigravida dan multigravida. Masing-masing kelompok 43 orang dengan kriteria inklusi kehamilan tunggal, usia ibu saat hamil 20-35 tahun, kehamilan fisiologis. Penelitian ini dilakukan di Puskesmas Jenggot Kota Pekalongan pada Bulan Februari-April 2019. Analisis data dilakukan dengan teknik komparasi Mann-Whitney, Chi Square dan Independent Samples T-Test. Hasil: Karakteristik responden antara primigravida dan multigravida diketahui bahwa karakteristik yang berbeda adalah usia ibu hamil (p=0,000), pendidikan (p=0,009) dan tipe keluarga (p=0,000), disimpulkan bahwa ada perbedaan usia, pendidikan dan tipe keluarga. Rata-rata skor kecemasan pada ibu hamil primigravida yaitu 70,74 sedangkan pada multigravida yaitu 65,70. Hasil uji Independet Samples T-Test didapatkan nilai p sebesar 0,035 sehingga disimpulkan terdapat perbedaan kecemasan pada ibu hamil primigravida dan multigravida. Kesimpulan: Kecemasan pada primigravida lebih tinggi sebesar 7,67% dibandingkan dengan multigravida berdasarkan rata-rata skor kecemasan.Abstract Background: Anxiety is one of the common mental disorders in pregnancy. The prevalence of maternal anxiety in developing countries reaches an average of 20% and more. The anxiety in pregnancy depends on the influencing factors and the ability of the mothers to adapt and create a psychological condition. Therefore, this research aims to find out the differences in the prevalence of anxiety in primigravida and multigravida pregnancy. Method: The type of this research is analytic observational study with comparative cross-sectional design and questionnaires to compare the incidence of anxiety in primigravida and multigravida. The research population was all pregnant women who visited and recorded at Jenggot Public Health Center, Pekalongan. The sample was taken with consecutive sampling technique and divided into two groups, primigravida group, and multigravida group. Each group has 43 people with inclusion criteria of a single pregnancy, maternal age between 20 to 35 year
PENTINGNYA STATUS ANEMIA DALAM KEHAMILAN DENGAN PERDARAHAN POSTPARTUM PRIMER Nadia Taqiyya; Djohar Nuswantoro; Muhammad Ardian C.L
Indonesian Midwifery and Health Sciences Journal Vol. 3 No. 4 (2019): Indonesian Midwifery and Health Sciences Journal, October 2019
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v3i4.2019.359-366

Abstract

Abstrak Latar belakang : Kejadian perdarahan postpartum merupakan penyebab kematian ibu tertinggi ketiga di Kota Surabaya Provinsi Jawa Timur. Hal tersebut diiringi oleh kejadian anemia pada ibu hamil di Indonesia yang meningkat pada tahun 2018 sebesar 48.9% daripada tahun 2013 sebesar 37.1%. Penelitian ini bertujuan untuk menganalisis hubungan anemia dalam kehamilan dengan perdarahan postpartum primer di Rumah Sakit DKT Gubeng Pojok Kota Surabaya. Metode : penelitian ini menggunakan metode analitik observasional dengan rancangan penelitian case control design. Jumlah sampel sebanyak 60 ibu bersalin secara pervaginam yang sesuai dengan kriteria eksklusi dan inklusi. Variabel bebas anemia dalam kehamilan adalah sedangkan variabel terikat adalah perdarahan postpartum primer. Hasil : Sebagian besar ibu bersalin secara pervaginam 60% mengalami anemia dalam kehamilan dengan analisis uji chi square menunjukkan p value = 0.000 (p < 0.05), Odds Ratio sebesar 21.35, dan berdasarkan hasil uji T test didapatkan rata-rata kadar Hb pada kelompok anemia sebesar 9.058 g% dengan standar deviasi 0.9782 dan rata-rata kadar Hb pada kelompok non-anemia sebesar 12.063 g% dengan standar deviasi 1.13792 yang menunjukkan bahwa terdapat perbedaan yang signifikan. Kesimpulan : Terdapat hubungan yang signifikan antara anemia dalam kehamilan dengan kejadian perdarahan postpartum primer sehingga bidan sebagai tenaga kesehatan di lini utama harus memperhatikan  kadar Hb pada masa kehamilan.Abstract Background : Primary postpartum hemorrhage was the third-highest cause of maternal death in the city of Surabaya, East Java Province. This was accompanied by the incidence of anemia in a pregnant women in Indonesia which increased in 2018 by 48.9% compared to 2013 at 37.1%. This study aimed to analyze the relationship anemia in pregnancy with primary postpartum hemorrhage in DKT Gubeng Pojok hospitals in Surabaya city East Java. Method : This study used analytic observational methods with a case-control study research design. The number of samples was 60 vaginal delivery mothers who were under the criteria of exclusion and inclusion. A sampling of this study used purposive sampling with independent variable is anemia in pregnancy and dependent variable is primary postpartum hemorrhage. Result : Most of mothers that gave birth pervaginally  60% had anemia in pregnancy with analysis chi-square test showing  p-value =0.000 (p<0.05) , Odds Ratio of 21.35, and based on the results of the T-test it was found that the mean Hb level in the anemic group was 9.058 g% with standard deviation of 0.9782 and the mean Hb level in the non-anemic group was 12.063 g% with standard deviation of 1.13792 indicating that there were significant differences. Conclusion : There is a significant relationship between anemia in pregnancy with the incidence of primary postpartum hemorrhage , so that midwives as health workers in the mainline must pay attention to Hb levels during pregnancy.
GAMBARAN PENGGUNAAN KONTRASEPSI HORMONAL PADA PASIEN STROKE ISKEMIK DI RSUD Dr. SOETOMO SURABAYA Virna Safira Puspaningtyas; Baksono Winardi; Sulistiawati Sulistiawati
Indonesian Midwifery and Health Sciences Journal Vol. 3 No. 1 (2019): Indonesian Midwifery and Health Sciences Journal, January 2019
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v3i1.2019.37-50

Abstract

AbstrakLatar Belakang : Kontrasepsi hormonal berfungsi untuk mencegah terjadinya kehamilan yang mengandung preparat estrogen dan progesteron. Esterogen diketahui dapat menginduksi perubahan signifikan dalam sistem koagulasi yang dapat menyebabkan terjadinya tromboembolik seperti stroke. Sementara pada beberapa penelitian, kontrasepsi progesterone-only, dampaknya pada penyakit kardiovaskular belum dapat dijelaskan secara pasti. Penelitian bertujuan untuk mengetahui gambaran pengguna kontrasepsi hormonal pada pasien stroke iskemik di RSUD Dr. Soetomo Surabaya. Metode : Penelitian deskriptif observasional. Teknik sampling secara consecutive sampling. Variabel penelitian meliputi usia, pekerjaan, riwayat penyakit, jenis dan lama penggunaan kontrasepsi hormonal, serta jarak berhenti penggunaan kontrasepsi hormonal sampai terjadinya stroke. Untuk mengetahui gambaran dan distribusi frekuensi variabel dilakukan analisis univariat atau deskriptif. Hasil :. Didapatkan kelompok usia tertinggi yakni 40% adalah masa lansia awal (46 – 55 tahun), sebanyak 42% responden berprofesi sebagai ibu rumah tangga. Didapati 40% responden pernah menderita hipertensi dan juga mayoritas 50% memiliki riwayat penyakit keturunan hipertensi. Sebesar 54% responden menggunakan alat kontrasepsi hormonal ≥5 tahun dengan jenis kontrasepsi hormonal terbanyak adalah suntik 3 bulan (progesterone-only) yaitu 42%. Sebanyak 68% responden menyatakan jangka waktu berhentinya menggunakan kontrasepsi hormonal sampai terjadinya stroke iskemik rata - rata <12 tahun.  Kesimpulan : Usia responden pada penelitian ini mayoritas pada kelompok umur lansia awal (46 - 55 tahun) dengan jenis pekerjaan terbanyak ibu rumah tangga. Hipertensi merupakan riwayat penyakit terdahulu dan penyakit keturunan yang banyak diderita oleh responden. Sebagian kecil responden menggunakan kontrasepsi hormonal lamanya ≤5 tahun dengan jenis penggunaan terbanyak adalah suntik 3 bulan (progesterone-only). Rata-rata responden berhenti menggunakan kontrasepsi hormonal <12 tahun sebelum terjadinya stroke iskemik. AbstractBackground : Hormonal contraception serves to prevent pregnancy from it contains estrogen and progesterone preparations. Esterogens are known to induce significant changes in the coagulation system that can cause thromboembolic events such as stroke. While in some studies, progesterone-only contraception, the impact on cardiovascular disease has not been clearly explained. This study aims to determine the description of hormonal contraceptive users in ischemic stroke patients at Dr. Soetomo Surabaya. Method : Observational descriptive study. In addition, researcher applied consecutive sampling in this study. Research variables included age, occupation, disease history, type and duration of hormonal contraceptive use, as well as the distance to stop using hormonal contraception until the occurrence of stroke. Univariate or descriptive analysis is applied to perceive the representation and frequency distribution of variables. Result : The highest age group of 40% was obtained from the early elderly (46 - 55 years), as many as 42% of respondents worked as housewives. In the amount of 40% respondents had suffered from hypertension and also 50% had a history of hypertensive hereditary disease. 54% of respondents used hormonal contraception in ≥5 years with the most types of hormonal contraception were injections of progesterone-only, which is 42%. As many as 68% of respondents stated that the duration of cessation of using hormonal contraception until the occurrence of ischemic stroke was on average <12 years. Conclusion : The majority of the respondent were in the age group of the early elderly (46 - 55 years) with the most respondents worked as housewives. Hypertension is a history of previous illnesses and hereditary diseases that were mostly suffered by respondents. A small proportion of respondents used hormonal contraception for ≤5 years with the most type of use being injected progesterone-only. On average respondents stopped using hormonal contraception in <12 years before the occurrence of ischemic stroke.  
HUBUNGAN KARAKTERISTIK IBU PRIMIPARA DENGAN TERJADINYA BABY BLUES Sopiatun Nadariah; Nining Febriyana; Dwi Izzati Budiono
Indonesian Midwifery and Health Sciences Journal Vol. 3 No. 4 (2019): Indonesian Midwifery and Health Sciences Journal, October 2019
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v3i4.2019.278-286

Abstract

Abstrak Latar Belakang: Baby blues adalah perubahan fluktuasi emosi yang terjadi pada hari ke 3-5 postpartum dan berakhir sebelum minggu ke-2 postpartum. Reaksi emosional ini menurut beberapa penelitian lebih dari 50% sering terjadi pada primipara. Gejala baby blues meliputi menangis, iritabilitas, cemas, sulit berkonsentrasi, kebingungan, bahkan dapat menyebabkan depresi pada ibu yang menyebabkan pengasuhan tidak tepat, akibatnya bayi tidak berkembang dengan optimal. Beberapa faktor yang mempengaruhi terjadinya baby blues, antara lain:  paritas, usia, pengetahuan, status kehamilan, harga diri rendah, masalah emosional selama kehamilan, dukungan suami dan keluarga, dukungan sosial, finansial, status perkawinan, metode persalinan. Oleh karena itu, penting untuk dilakukan penelitian lebih lanjut mengenai hubungan karakteristik ibu primipara dengan terjadinya baby blues. Metode: Jenis penelitian ini merupakan analitik observasional dengan rancangan cross sectional. Pengambilan sampel tersebut dilakukan dengan metode consecutive sampling. Pengumpulan data dalam penelitian ini menggunakan kuesioner. Analisis data menggunakan chi-square test dengan SPSS.  Hasil: Sampel penelitian ini didapatkan 21 ibu nifas primipara yang bersedia menjadi reponden. Analisis bivariat menggunakan chi-square test didapatkan hasil, antara lain umur (p=1,000) , pendidikan (p=0,570), pekerjaan (0,122), status kehamilan (0,599), dukungan keluarga atau suami (p=1,000) sehingga dapat disimpulkan bahwa tidak ada hubungan karakteristik ibu primipara dengan terjadinya baby blues.Kesimpulan: Tidak terdapat hubungan karakteristik ibu primipara dengan terjadinya baby blues.Abstract Background and purpose: Baby blues is an emotional fluctuation that occured on 3-5 days postpartum and end before the second week of postpartum. Based on some studies about those emotional reaction showed more than 50% mostly happened in primiparas. The Symptoms of the baby blues such as crying, irritability, anxiety, hardly to concentrate, confusion, and able to cause depression on mother, whereas on baby can affect mental development. Some factors may influence the occurance of baby blues include: parity, age, knowledge, pregnancy status, low self-esteem emotional problems during pregnancy, support of husband and family, social support, financial, marital status, mechanism of labor. Consequently, it’s important to more focused on further research about the correlation on the characteristic of primiparous mothers with the incidence of  baby blues. Methods: The type and design of the study were observational analytic and cross-sectional Sample was taken using consecutive sampling. In this study to collect data using a questionnaire and  analyse the correlation using chi-square statistical test with SPSS.  Results: the sample found 21 primiparous postpartum mothers who were willing to be a respondents. the characteristic of primiparous mothers were obtained, including age (p = 1), education (p = 0,570), work (0,122), pregnancy status (0,599), family or husband support (p = 1) and the occurance of baby blues wasn’t found in the characteristic of primiparous mothers. It can be concluded that there were no correlation between characteristic of primiparous mothers with the occurrence of baby blues.  Conclusion: There were no correlation between characteristic of primiparous mothers with the incidence of baby blues
HUBUNGAN RIWAYAT SAKIT DENGAN KEJADIAN STUNTING PADA BALITA Hasanah Nurbawena; Martono Tri Utomo; Esti Yunitasari
Indonesian Midwifery and Health Sciences Journal Vol. 3 No. 3 (2019): Indonesian Midwifery and Health Sciences Journal, July 2019
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v3i3.2019.213-225

Abstract

AbstrakLatar belakang : Kejadian stunting merupakan salah satu  masalah gizi pada anak yang memiliki prevalensi tinggi di Indonesia. Cut off point  kejadian stunting tidak boleh lebih dari 20%, sedangkan jumlah kejadian stunting di Surabaya sebanyak 22,8%. Salah satu penyebab tingginya kejadian stunting yaitu penyakit infeksi. Penelitian ini bertujuan untuk mengetahui hubungan riwayat sakit dengan kejadian stunting pada balita. Metode : Penelitian ini merupakan penelitian analitik observasional dengan menggunakan rancang penelitian case control. Jumlah sampel yang diteliti sebanyak 40 balita dengan usai 24-36 bulan di wilayah kerja Puskesmas Simomulyo Surabaya. Sampel penelitian balita stunting merupakan kelompok kasus dan balita non-stunting merupakan kelompok kontrol. Pengambilan data untuk kelompok kasus menggunakan purposive sampling dan pada kelompok kasus menggunakan matching sampling dengan menyesuaikan usia bayi dan jenis kelamin pada kelompok kasus. Pengumpulan data mengguanakan instrumen kuisioner. Uji statistik menggunakan chi square Hasil : Hasil penelitian ini didapatkan balita stunting memiliki riwayat sakit sebanyak 90%, sedangkan pada balita non-stunting sebanyak 45%. Uji statistik menggunakan mengenai hubungan riwayat sakit dengan kejadain stunting pada balita dengan uji Chi square didapatkan hasil yang signifikan yaitu p=0,002 (<0,05) dan OR 4,889. Kesimpulan : Balita stunting memiliki riwayat sakit lebih sering daripada balita non-stunting.AbstractBackground: . The incidence of stunting is one of the nutritional problems in children who have a high prevalence in Indonesia. The cut off point for stunting events should not be more than 20%, while the number of stunting events in Surabaya is 22.8%. One of the causes of the high incidence of stunting is an infectious disease. This study aimed to determine the relationship of a history of illnes with the incidence of stunting in infants. Method: This research was an observational analytic study using a case control research design. The number of samples were 40 toddlers (20 toodlers with stunting and 20 toodlers with non-stunting) aged 24-36 months in the working area of the Simomulyo Primary Health Care in Surabaya. The stunting toddlers belonged to a case group and non-stunting toddlers belonged to a control group. Data collection of case group had used purposive sampling and that control group used matching sampling by adjusting the baby's age and gender in the case group. Data was obtained by questionnaire instrument.Data was analysis by Chi square Results: The persentage of stunting toddlers who had a history of illness was 90%, while the non-stunting toddlers had a history of illness was 45%. There was relationship between the history of infectious diseases and the occurrence of stunting in toodler p=0,022 (<0,05) and OR=4,338. Conclusion: Stunting toddlers have a history of pain more often than non-stunting toddlers 

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