Pertumbuhan Janin Dalam Kandungan: Pengamatan Dan Upaya Peningicatannya

ABSTRACT Intraurine growth retardation (IUGR) cause higher perinatal mortality and long term disability. The measurement of fundal height and weight gain and the roll-over test are simple methods of intrauterine growth monitoring. IUGR infants are best delivered in hospitals where optimal intra-partum and neonatal care can be given. Key words: IUGR, fundal height, weight grain, roll-over tes

Anemia Ibu Hamil Trimester III dan Pengaruhnya terhadap Kejadian Rendahnya Skor Apgar: Maternal Anemia and Its Impact to Low Occurrence of Apgar Score

This research aims to know influence of anemia at pregnant woman of the third trimester to low occurrence of Apgar score at the first minute and fifth minutes. This was an observational research with cohort retrospective design. We examined medical record from DR. Sardjito Hospital, Yogyakarta during period of January 1997-December 2001 obtained by 149 cases of anemia on the third trimester pregnancy women of at least 37 weeks gestation with hemoglobin rate of less than 11 g% as an exposure group and 149 cases as an unexposure group with hemoglobin rate of equal or more than 11 g%. Statistical test used were X2 test, Fischer Exact test and binary logistic regression method of forward stepwise. The result showed that anemia at pregnant woman of the third trimester increased the occurrence of low Apgar score at the first minute with RR=1.8 (95% CI: 1,29-2,53). The result also showed that anemia, parity, preeclamsi, mode of birth, prolonged first stage, prolonged second stage, gestational age and fetus presentation in pregnant woman of the third trimester did not have any effect on the occurrence of low Apgar score at the first minute (p=0,56). At Apgar score five minutes, with X2 test obtained by RR=1,11 (95% CI: 0,46-2,65), with binary logistic regression to dependent variables: anemia, mode of birth, fetus presentation, maternal age, prolonged first stage and preeclamsi, in the reality anemia did not have any effect on to outcome (p=0,24). Conclusion: anemia at pregnant woman of the third trimester do not have any effect the occurrence of low Apgar score at the first and fifth minutes. Keywords: anemia âpregnant woman âapgar score

Spatial Patterns Associating Low Birth Weight with Environmental and Behavioral Factors

Low birth weight (LBW) is a significant public health problem in the world. It was estimated globally by the World Health Organization (WHO) that prevalence of LBW was 15% of all births. In Murung Raya district LBW cases remain high. This paper aimed to identify and discuss the relationship between environmental risk factors with LBW in Murung Raya.A spatial analysis was conducted with 150 women as the total participantswho were recruited through the incidence data in 2013-2014. The questionnaires, medical records, and geographic data were measured by Stata software, ArcGis, SatScan, and Geoda. The study results indicated there was significant correlation between health behavior and environmental variables with the strength of external neighborhood effect across LBW risk factors. More intense clustering of high values (hot spots) was found through the spatial analysis showing that most of the cases were located near the defined buffer zone. This research demonstrates that the spatial pattern analysis provided greater statistical power to detect an effect that was not apparent in the previous epidemiology studies

Hubungan Pengetahuan, Sikap dan Perilaku Ibu dalam Pemberian Imunisasi Hepatitis B 0-7 Hari di Kota Banjarmasin

Background: Indonesia belongs to medium and high endemic country of hepatitis B (HB) with the prevalence as much as 8% - 20% of the population. The risk for the prevalence of chronic HB is much more higher among infants infected during birth 90%, among children of 1 – 5 years 30% - 60%, and among adults 2%-6%. If infants of 0-7 days old are given the first dosage of HB immunization, the prevalence of being HB chronic patients is 23% and if the first dosage is given when infants are one months old, the prevalence of being HB chronic patients is 40%. The coverage of HB immunization for infants of 0-7 days old at Banjarmasin Municipality in 2006 was only 41%.Objective: The study aimed to identify the relationship between knowledge, attitude, and behavior of mothers in giving HB immunization to infants of 0-7 days old at Banjarmasin Municipality.Method: The study was observational and used cross sectional design. Subject of the study were 170 mothers having infants of 0-12 months chosen using consecutive sampling technique at 5 health centers with different coverage of HB immunization of infant of 0-7 days old. Data analysis used chi square and logistic regression. Strength of relationship was calculated using prevalence ratio with CI 95%.Result: The result of bivariable analysis showed that there was relationship between behavior of mothers in giving 0-7 day HB in immunization and knowledge RP=1.61 (CI 95%=1.35-191), attitude RP=1.49 (CI95%= 1.22-1.62), education RP=1.56 (CI95%=1.24-1.96), occupation RP=1.44 (CI95%=1.01-2.05) and birth assistants RP=1.48 (CI95%=1.21-1.82). The result of multivariable analysis using logistic regression showed that only 2 variables, i.e. knowledge and education statistically had significant relationship with behavior of mothers in giving 0-7 day HB immunization.Conclusion: There was relationship between knowledge and education and behavior of mothers in giving 0-7 day HB immunization

Hubungan antara Persepsi Anak Sekolah tentang Kegiatan UKS dan Kejadian Kecacingan di SD Kecamatan Banyuurip

Background: Various problem of intestinal worm diseases that faced by students was caused by various factors such as individual hygiene, environment sanitation and social economy in community as well as less integrated of disease control between government, community and related institutions. This fact had relationship with perception of school children about attempts of school health (Usaha Kesehatan Sekolahl UKS). In the implementation, UKS that called as Trias UKS consist ofhealth education, health service and healthy school life environment. A good perception of school children about UKS implementation was expected that the incident of intestinal worm disease problem would be low and the transmission of the disease could be decreased. Objective: To know the relationship between perception of school children about UKS implementation and intestinal worm disease incident. Method: This research was using cross sectional design with quantitative approach. The subjects of this research were 343 primary school students of grade V and grade VI. Data Analysis was using Chi Square and logistic regression tests with significance value of 5% and CI of 95%. Result: The result of this research showed that 1) there was significant relationship between perception of school children about health education with the incident of intestinal worm disease2) there was significant relationship between health service with the incident of intestinal worm disease3) there was no relationship between perception of school children about healthy school life environment with the incident of intestinal worm disease4) there was significant relationship between perception of school children about UKS implementation with the incident of intestinal worm disease. Conclusion: A good implementation of UKS is one of the ways to decrease the incident of intestinal worm disease and to break the chain of disease transmission of intestinal worm disease. Keywords: perceptionschool health (UKS)intestinal worm diseas

Faktor-faktor risiko penyakit trofoblas

ABSTRACT A case control study was carried out in Sardjito General Hospital Yogyakarta to evaluate the risk factors for gestational trophoblastic disease. One hundred and seven cases of trophoblastic diseases fulfilling the inclusion criteria were included in this study. Data were obtained from the hospital medical record, and every case was conducted by 2 controls (normal delivery). It was found that woman age 19 years old and 35 years old showed the high risk trophoblastic. disease with odds ratio 7.85 and 6.6 respectively, parity 3-4 and . 5 increased the risk of trophoblastic disease with odds ratio 3.12 and 18.45 respectively, blood group A had odds ratio 3.17, and all of these variables showed statistically significant in bivariate analysis and multivariate analysis. Gravidity 4-5 and 6, last interval pregnancy 1-24 months and last pregnancy result with abortion had relative high odds ratio and statistically significant in bivariate analysis but not in multivariate analysis with stepwise logistic regression. There was a trend for increasing odds ratio with the increasing number of the history of spontaneous abortion, but not statistically significant. The study concluded that young (less than 19) and old (more than 35) women with high parity (more than 3), and with blood group A has a high risk to develop trophoblastic disease. Key words : pregnancy â trophoblastic disease â risk facto

Materials And Education Method For Preparation Of Childbirth And Postnatal Period In Antenatal Classes: A Scoping Review

Education in preparation for childbirth and the postnatal period through antenatal classes has long been known and was first aimed at reducing anxiety and labor pain. Recently, education for preparation for childbirth and the postnatal period through antenatal classes is increasingly being promoted and its goals are also growing. However, there is no clear information about what forms of education for preparation for labor and the postnatal period in the antenatal class have been researched by experts. The study aimed to systematically map the research conducted in this area, as well as to identify existing gaps in knowledge. Scoping Review with reference to PRISMA Extension for Scoping Reviews (PRISMA-ScR) by using three databases for article searches, which are MEDLINE, ProQuest and EBSCO. We found 18 relevant research articles which published 16 different education programs for labor preparation and postnatal period. The educational material presented includes preparation for childbirth, the postnatal period and decision making. The delivery methods used included the start time of education, the number of meeting sessions, the duration of the meeting, the use of a special room for, the number of members per session, the participation of couples in sessions, learning methods, routine exercises in class, implementation of exercises at home, educators or facilitators who convey, the implementation of visits to the delivery room, and the use of supporting information technology. Education preparation for labor and the postnatal period in the literature uses a variety of delivery methods and material topics. Existing research measures different outcomes and shows quite diverse effectiveness on labor and postnatal periods.The next researcher is expected to conduct research on education programs for childbirth preparation and the postnatal period by referring to the latest evidence based and using RCT research methods and a large sample size and multi-center

Clinical learning experiences and professional development: implementation of a district level undergraduate midwifery program in Indonesia

PurposeThe aim is to examine the suitability of the educational process in place with the expected professional development.MethodWe conducted in-depth interviews with (a) 16 third-year student who recently completed 2-month clinical rotation in the hospital and (b) four teachers.ResultsEvidence from this study indicate weak learning environment. Clinical instructor only has a limited time to meet with students, so that students rarely get the guidance and direct supervision. Students more often obtain “lessons” of the young staff, which many of them indifferent in providing guidance. Students feel insecure and fear in communicating with senior staff from both the nursing and medical professions. Academic lecturers provide minimum learning support. Their supervision does not allow students to reflect on their experiences.ConclusionProfessional development as reflected in clinical rotations in hospitals is still very limited. The government must monitor more strictly, especially for the medical school located in the district, where professional educators are very limited

Perinatal factors and adverse outcome in referred obstetric cases*

ABSTRAK Penelitian ini bertujuan untuk mengetahui hubungan antara rujukan kehamilan Ice suatu rumah sakit pusat dan hasil kehamilanserta untuk mengetahui faktor-falaor yang berpengaruh terhadap buruknya basil kehamilan dari kasus yang dirujuk. Rancangan penelitian yang dilakukan adalah kohort analitik. Subjek penelitian adalah semua ibu dengan kehamilan runggal dan tidak memiliki malformasi yang fatal dan melahirkan di RSUP Dr. Sardjito antara tanggal 1 Maret sampai 31 Agustus 1989. Selama periode penelitian terdapat 81 kasus rujukan dan 244 kasus bukan rujukan. Analisis regresi logjstik digunakan untuk mengetahui efek status rujukan dengan mengendalikan umur, paritas dan riwayat kehamilan. Odds Ratio untuk kehamilan lama pada kasus-kasus yang dirujuk adalah 4,98 (Interval Kepercayaan 95% = 2,89-8,57) dan untuk skor Apgar 1 menit adalah 9,31 (interval kepercayaan 95% = 5,14 - 16,83). Faktor utama yang mempengaruhi buruknya basil kehamilan pada kasus-kasus rujukan adalah keterlambatan rujukan. Key Words : perinatal factors, referred obstetrics, cohort, pregnancy outcom