Kapsul Ekstrak Daun Kelor (Moringa Oleifera Leaves) Terhadap Kadar Hemoglobin Pada Ibu Menyusui

Anemia pada masa laktasi merupakan salah satu masalah gizi di lrrdonesia. ditandai dengan rendahnya kadar hemoglobin. Pada ibu laktasi anemia gizi biasanya terjadi karena pengeluaran darah yang berlebihan pada waktu melahirkan. Pada kondisi tersebut ibu harus mengkonsumsi makanan yang bergizi terutama yang banyak mengandung protein dan zat besi agar dapat mengembalikan kondisi tubuhnya. Tujuan penelitian untuk mengetahui pengaruh pemberian kapsul ekstrak daun kelor terhadap kadar hemoglobin pada ibu menyusui dipuskesmas tilango kab.gorontalo. Metode penelitian yang digunakan adalah Quasy eksperimen. Jumlah sampel dalam penelitian ini sebanyak 40 orang ibu menyusui dibagi 2 kelompok yaitu kelompok intervensi yang diberikan ekstrak daun kelor  mengkonsumsi 2x2 kapsul pada pagi dan malam hari sedangkan  kelompok kontrol tidak diberi apa-apa. Hasil penelitian bahwa kelompok intervensi berupa pemberian pemberian kapsul daun kelor pada Ibu tidak signifikan secara klinis meningkatkan kadar Hemaglobin (Hb) karena rata–rata kenaikan hanya sebesar 0,190 g/dl dengan nilai p value 0,200 sedangkan penambahan kebutuhan zat besi selama menyusui adalah 6-8 mg dibandingkan dengan ibu yang hanya diatur pola makan (food record).Kesimpulan pemberian kapsul ekstrak daun kelor tidak memberikan pengaruh yang signifikan terhadap kadar hemoglobin Ibu menyusui antara kelompok kontrol dan intervensi

Pemberian Kapsul Ekstrak Daun Kelor Terhadap Kadar Vitamin A Pada Ibu Menyusui

Status gizi yang baik selama kehamilan, persalinan hingga menyusui merupakan hal yang penting, yaitu dengan mengkonsumsi banyak makronutrien dan mikronutrien yang memberikan manfaat untuk memenuhi kebutuhan tambahan nutrisi selama kehamilan dan pasca salin. Unsur yang terkandung dalam daun kelor termasuk unsur mikro yaitu zat besi 28, 2 mg, kalsium (ca) 2003,0 mg dan vitamin A 16,3 mg kaya, protein vitamin A, C, D, E, K dan B dalam jumlah sangat tinggi yang mudah dicerna dan diasimilasi oleh tubuh manusia Penelitian ini bertujuan untuk melihat pengaruh pengaruh tepung daun kelor terhadap ibu menyusui vitamin A. Penelitian ini merupakan Quasi eksperiment. Teknik pengambilan sampel yang digunakan adalah purposive sampling dan diperoleh sebanyak 40 sampel yang terdiri dari 20 kelompok kontrol dan 20 kelompok intervensi. Sampel darah diuji dengan metode ELISHA, perlakuan dilakukan dengan pemberian kapsul tepung daun selama 3 minggu dan mempertahankan penarikan makanan pada kelompok kontrol yaitu kelompok yang tidak diberi kapsul tepung daun kelor. Hasil penelitian menunjukkan bahwa kadar Vitamin A antara kelompok yang diberi Kapsul tepung daun (intervensi) dan kelompok kontrol setelah mempersembahkan daun melalui uji Mann Whitney menunjukkan nilai p = 0,001 Hal ini menunjukkan adanya pengaruh pengaruh kelor. Pemberian daun kelor dapat meningkatkan kadar vitamin A. Hasil penelitian menunjukkan bahwa kadar Vitamin A antara kelompok yang diberi Kapsul tepung daun (intervensi) dan kelompok kontrol setelah mempersembahkan daun melalui uji Mann Whitney menunjukkan nilai p = 0,001 Hal ini menunjukkan adanya pengaruh pengaruh kelor. Pemberian daun kelor dapat meningkatkan kadar vitamin A. Hasil penelitian menunjukkan bahwa kadar Vitamin A antara kelompok yang diberi Kapsul tepung daun (intervensi) dan kelompok kontrol setelah mempersembahkan daun melalui uji Mann Whitney menunjukkan nilai p = 0,001 Hal ini menunjukkan adanya pengaruh pengaruh kelor. Pemberian daun kelor dapat meningkatkan kadar vitamin A

Effect of Postpartum Pelvic Floor Muscles Training in Pelvic Floor Muscles Strength on Postpartum Women with Stress Urinary Incontinence

Objective: To evaluate the effect of pelvic floor training (Kegelexercise) on pelvic floor muscle strength in postpartum womenwith SUI.Methods: Thirty-five birth vaginally postpartum women with SUIwere experimentally enrolled. After four weeks of postpartumobservation, the diagnosis of SUI confirmed, and all of these womenwere asked to complete the International Consultation onIncontinence Questionnaire-Sort Form (ICIQ-SF) questionnaire.The strength of the pelvic floor muscle measured with perineometerevery once in 3 weeks for 12 weeks of Kegel exercise. SUI severityassessed with ICIQ-SF after completing the Kegel exercise. A pairedt-test was used to compare measurement results between ICIQ-SFquestionnaire and perineometer and multiple linear regressionmodels was used for multivariate analysis. A p value of less than 0.05was taken to be statistically significant.Results: Findings show a significant difference between clinicalvariables (parity, neonates birth weight, perineal tear grade, BMI)and the improvement of pelvic floor muscles before and afterperformed the Kegel exercise (all p<0.05). The pelvic floormuscles strength significantly improved (p=0.000) after Kegelexercise both in ICIQ-SF questionnaire and perineometermeasurement.Conclusion: Pelvic muscles floor training or Kegel exercise improvepelvic muscles floor strength in postpartum women with SUI.[Indones J Obstet Gynecol 2018; 6-2: 114-118]Keywords: pelvic muscles floor training, postpartum, stress urinaryincontinenc

Estradiol Level and Psychosocial Stress in Perimenopausal Women

Objective : To determine the relationship between estradiol levels and psychosocial stress in the perimenopausal women. Methods : Sixty perimenopausal included in a cross-sectional study from July to December 2016. Blood samples obtained from the women to measure the estradiol and the cortisol levels. Stress level measured with visual. Data presented as the mean and standard deviation (mean±SD) with p-value <.05 was considered statistically significant.  Results : There was no significant difference between the estradiol levels and the stress level (p=0.27) during perimenopause period. The estradiol levels were higher compared with the cortisol levels. The non parametrik correlations analysis show the estradiol levels were not correlated with the cortisol levels (p=0.352). However, the cortisol levels were correlated with the stress levels (p<0.05). Conclusion : Estradiol does not cause psychosocial stress during perimenopause period in our study population Keywords : Estradiol, psychosocial stress, perimenopaus

Peningkatan Pengetahuan Ibu Tentang Iud Pasca Persalinan Setelah Diberikan Strategi Konseling Berimbang (SKB) Dengan Video Learning

Objective: This study aims to analyze the differences in pre and post treatment knowledge in thegroup of SKB  without and SKB with Video Learning.Method: This type of research uses quasy experiments (pre-post test design). The study was conducted at the UPTD Puskesmas Pitumpanua Wajo Regency in November to December 2019. The sample in this study was 44 third trimester pregnant women each group (control group (LCS) and treatment (LCS with Video Learning) selected based on purposive sampling techniques. Counseling is carried out twice, namely in the antenatal period and 12 hours after delivery Data analysis with the Homogeneity of variance test and the Wilcoxon test.Results: Statistical test results showed that in the control group (p value: 0.001 <0.05) and intervention (pvalue: <0.001 <0.05) there were significant differences in knowledge before and after treatment. Increased knowledge in the intervention group was faster seen in the initial measurement to the first measurement while in the control group it was seen in the initial measurement to the second measurement.Conclusion: There are differences in pre and post treatment knowledge in the SKB and SKB groups with Video Learning. The counseling method uses SKB with faster video learning in increasing maternal knowledge about postpartum IUDs.

Association Hypoxia Inducible Factors-1 Alpha (HIF-1 α) Levels and Epithelial Ovarian Cancer (EOC)

Objective: This study was conduct to investigate the association of the HIF-1α with stage,hystological type of ephitelial ovarian cancer (EOC).Methods: This study is an observational study with a cross-sectional design on 72 women diagnosed with epithelial ovarian carcinoma who underwent surgical staging in a period of 2017 to 2019 in Wahidin Sudirohusodo Hospital. Measurement of HIF1a concentration was performed and further categorized into weak, moderate and strong and then analyzed with age, parity, history of abortion, ascites, type of histopathology, cancer stage and CA-125 serum level.Result: There’s a significant relationship between HIF-1a expression and stage (p<0.05), where moderate expression of HIF1a was the most dominant with a total of 32 (44.4%) people. Moderate-to-strong expression of HIF1a was found more in patients with epithelial ovarian carcinoma than weak-to-negative HIF1a expression. More patients with stage III-IV ovarian carcinoma were found with moderate-to-strong HIF1a expression (51 people). Conclusion: HIF1a expression was found to be increased along with the progression of epithelial ovarian cancer stage where positive HIF1a expression was found more in patients with stage III/IV compared to stage I/II.Hubungan Antara Kadar Hypoxia Inducible Factors-1 Alpha (HIF-1 α) dengan  Karsinoma Ovarium Tipe EpitelialAbstrakTujuan: Penelitian ini bertujuan untuk mengetahui hubungan antara kadar HIF-1 alpha dan karsinoma ovarium tipe epithelialMetode: Penelitian ini menggunakan desain case-control pada 72 perempuan dengan karsinoma ovarium tipe epitelial yang telah menjalani surgical staging selama tahun 2017 hingga 2019 di RS Wahidin Sudirohusodo. Peneliti mengukur kadar HIF1a dan mengkategorikan dalam negatif, lemah, sedang, dan kuat serta menilai hubungannya dengan usia, paritas, riwayat abortus, ascites, jenis histologi, stadium kanker ovarium, dan kadar CA-125.Hasil: Terdapat hubungan antara stadium dan ekspresi HIF1a (p<0.05). HIF1a dengan ekspresi-sedang didapatkan paling banyak yaitu 32 (44.4%) orang. Lebih banyak ditemukan ekspresi HIF1a sedang-kuat pada pasien karsinoma ovarium tipe epithelial dibandingkan ekspresi HIF1a negatif-lemah. Pasien karsinoma ovarium stadium 3-4 lebih banyak ditemukan dengan ekspresi HIF1a sedang-kuat (51 orang). Kesimpulan: Terdapat hubungan yang bermakna antara ekspresi HIF1a dan stadium kanker ovarium tipe epitelial yaitu ekspresi positif HIF1a lebih banyak ditemukan pada pasien dengan stadium III/IV dibandingkan stadium I/II.Kata kunci: Karsinoma ovarium tipe epitelial, Hypoxia Inducible Factor 1 alpha (HIF1a), stadium kanke

The effectiveness of prenatal gentle yoga on the recovery of anxiety level and norepinephrine level in pregnant women aged 35 years old

This study aimed to analyze the effectiveness of prenatal gentle yoga on the anxiety problem and the norepinephrine level in pregnant women aged &lt;20 and &gt;35 years old.&nbsp; The applied research design in this study was a true experiment with a posttest-only control design. Samples were selected using a purposive sample technique. Furthermore, the instrument used was the Hamilton Anxiety Rating Scale (HARS) questionnaire. Data were analyzed using the Wilcoxon test to find out the results of the HARS and hypothesis testing. Moreover, data were also analyzed using the Mann-Whitney test to compare the mean values before and after being given treatment. The results of this study indicated that prenatal gentle yoga is effective to be used based on the results of the HARS (Hamilton Anxiety Rating Scale). It was indicated by a significant p-value (0.001 &lt; a 0.05) and the results of the hypothesis test of the p-value (0.000 &lt; a 0.05). This proves that the provision of prenatal gentle yoga classes is effective in reducing the anxiety level and the norepinephrine level in pregnant women aged &lt;20 and &gt;35 years old

The effectiveness of prenatal gentle yoga on the recovery of depression level in primigravid and multigravid pregnant women

This study was conducted at Bara Baraya Health Center, Antang Health Center, Kapasa Health Center, and Mamajang Health Center. The applied research design was a quasi-experiment with a non-equivalent control group design approach. Samples were selected using a purposive sample technique. The instrument used was the Beck Depression Inventory (BDI) questionnaire. The number of samples in this study was 24 respondents divided into 2, namely 12 in the intervention group and 12 in the control group. The sample criteria were pregnant women aged &lt;21 and &gt;34 years old, having been in trimester II-III with the gestational age of ?20 to &lt;31 weeks, and not having complications in pregnancy. The values of mean ranks for the intervention group were 6.50 in the pre-test to the mid-test and 6.50 in the mid-test to the post-test. Meanwhile, the values of mean ranks for the control group were 5.61 in the pre-test to the mid-test and 4.50 in the mid-test to the post-test. This indicated that the intervention group experienced a significantly reduced level of depression based on the BDI-II (Beck Depression Inventory-II) scores when compared to the control group.&nbsp

Comparison of the use of shock index and modified early obstetric warning score in COVID-19 obstetric emergency patients as ICU care parameters

The physiological parameters included in the Modified Early Obstetric Warning Score (MEOWS) table have been selectively selected so that they cover all the standard observations in the NEWS table with the addition of several parameters that are specifically. The population in this study were all pregnant women who were in RSIA Siti Khadijah I Makassar and RSUP Dr. Wahidin Sudirohusodo Makassar. The results showed that there was no significant difference between the shock index and the incidence of shock (p=0.418). The difference in frequency between the shock index and the incidence of shock in the ICU was 1 patient who was pregnant. Based on shock index with high and low categories did not differ significantly (p=0.418). The data also shows that the frequency of pregnant women who are in shock is higher, namely 44 people (57.9%) compared to those who are not in shock, namely 32 people (42.1%). There was no significant difference between the shock index and the incidence of shock (p=0.112). The difference in frequency between the shock index and the incidence of shock in the ICU was 5 patients with pregnant women. Shock frequency based on the MEOWS index was not significantly different (p=0.112)

Hubungan Ekspresi Cyclooxygenase-2 (Cox-2) dengan Invasi Limfovaskuler, Infiltrasi Sel Radang dan Stadium Kanker Serviks

Tujuan: Penelitian ini bertujuan untuk mengetahui hubungan Ekspresi COX-2 dengan Lymphovascular Space Invasion (LVSI), Infiltrasi sel radang dan stadium kanker serviks. Metode: Penelitian ini menggunakan desain cross sectional di Rumah Sakit Pendidikan Tinggi Negeri Universitas Hasanuddin. Pengambilan sampel menggunakan teknik total sampling dengan data pemeriksaan kadar COX-2 pada 50 hasil biopsi dan hasil operasi pada kasus kasus kanker serviks melalui pemeriksaan immunohistokimia. Data dianalisis dengan uji chi-square dengan tingkat kepercayaan 95%. Hasil: Hasil penelitian diperoleh ada hubungan signifikan antara eskpresi COX-2 dan stadium kanker serviks dengan nilai p0,05. Ekspresi COX-2 juga tidak berhubungan signifikan dengan paritas, pendidikan, pekerjaan, penggunaan kontrasepsi oral kombinasi ≥5 tahun, mitra seksual, dan riwayat merokok dengan nilai p>0,05. Kesimpulan: Berdasarkan hasil penelitian dapat disimpulkan bahwa semakin tinggi stadium kanker serviks maka semakin tinggi ekspresi COX-2, sehingga pemeriksaan ekspresi COX-2 dapat dijadikan sebagai pertanda keganasan pada serviks, selain itu ditemukan LVSI dan infiltrasi sel radang tidak memiliki pengaruh terhadap ekspresi COX-2.The Correlation Cyclooxygenase-2 (Cox-2) Expression and Lymphovascular Invasion, Inflammatory Cell Infiltration and Cervical Cancer StageAbstractObjective: This study is objected to find out the correlation between COX-2 expression and Lymphovascular Space Invasion, inflammatory cell inflation and cervical cancer stage. Method: This study uses cross sectional design at educational hospital of Hasanuddin University. COX-2 level examination was performed on 50 biopsy and surgery result on cervical cancer cases through immunohistochemistry. Data were analyzed using chi-square test with significant level of 95%. Results: Study result indicated that significant correlation is found between COX-2 expression and cervical cancer stage with p value 0.05. No correlation also is found between COX-2 expression and parity, education, profession, combination oral contraception uses  5 years, sexual partner and smoking history with p value > 0.05. Conclusion: Based on our results it can be concluded that the higher the stage of cervical cancer in line with the expression of COX-2 and examination of COX-2 expression can be used as a marker of cervical malignancy, besides that LVSI and inflammatory cell infiltration not affected on COX-2 expression.Key words: Cyclooxygenase-2, Cervical Cancer, Stage