INTERNATIONAL CONFERENCE

 

ANALYSIS FACTORS OF AFFECTING THE SPONTANEOUS MISCARRIAGE IN PREGNANCY AT PROVINCE GENERAL HOSPITAL OF NTB

ANALYSIS FACTORS OF AFFECTING THE SPONTANEOUS MISCARRIAGE  IN PREGNANCY AT PROVINCE GENERAL HOSPITAL OF NTB

Nurul Fatmawati, Sandu Siyoto, Byba Melda Suhita

Student Post Graduate Program1

Lecturer Post Graduate Program2

Institute of Health Science Surya Mitra Husada Kediri

nurulf10@yahoo.com

ABSTRACT

      One factors of causing high maternal mortality and  infant mortality rate in Indonesia are spontaneous miscarriage. According to the Indonesian Demographic and Health Survey (IDHS)of Maternal Mortality Rate  in 2012 showed it was increase from 228 to 359 deaths of 100,000 live births. Etiological approach is one way to reduce mortality and morbidity caused of miscarriage, which is influences of  risk factors. The objective of this study is to determine whether age of mother, education, parity, gestational distance, occupation, frequency of intercourse, cigarette exposure, socioeconomic, knowledge, medication consumption, history of miscarriage, history of anemia status and history of KEK status affect tehe spontaneous miscarriage in Province General Hospital of NTB. This research is quantitative analytic with cross sectional approach. Number of samples of this research around 70 respondents, using univariate, bivariate and multivariate analysis. Data collection obtained from medical record data. Then the data analyzed using logistic regression test. The result of analysis showed that the factors influencing of  spontaneous miscarriage were intercourse frequency (p value = 0,052), history of spontaneous miscarriage (p value = 0,000). The results obtained that the dominant factor which influences the variable of intercourse frequency with Exp (B) value is 2.111. There is an influence between the intercourse frequency during pregnancy and the incidence of spontaneous miscarriage in Province General Hospital of NTB.

 Keywords: Spontaneous Miscarriage, Pregnancy

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Baiq Masdariah, Sandu Siyoto, Indasah

EFFECTIFITY OF BREAST MILK PRODUCTION WITH MARMET TECHNIQUES AND OXYTOCIN MASSAGE IN POST PARTUM MOTHER PRIMIPARA OF POST SECTIO CAESARIA

Baiq Masdariah, Sandu Siyoto, Indasah

Student Post Graduate Program1

Lecturer Post Graduate Program2
Institute of Health Science Surya Mitra Husada Kediri

baiqdaraancung@yahoo.co.id

ABSTRACT

                Breast milk is a liquid formed from a mixture of two substances, namely fat and water contained in a protein solution, lactose and inorganic salts produced by the mother’s breast gland, and useful as baby food. Some of the factors that affect the production of breast milk are lacking in the preparation of  the nipple first and the lack of oxytocin reflexes. The purpose of this study was to determine the effectivity of breast milk production on marmette and oxytocin massage techniques in postpartum primipara post section caesarea in public hospital of Central Lombok praya area. The research design used is True Experimental using type “Posttest – Only Control Design” Sampling technique used is Random Sampling with a sample of 27 Respondents. Date analysis technique using Kruskal Wallist Test. The results showed from 27 responses above, in the know on the intervantion group of the average marmet technique as much as 17.33, the average of the intervantion group of oxytocin massage as much as 16.11 while the control group averaged 8.56. The result of statistical analysis of kruskalwallis test showeda significant value from 0,020 <(a = 0,05), meaning that H0 rejected and H1 accepted, Meaning that there are difference in the production of milk with a significant value between the group of marmet techniques, oxytocin massage and the control group. There is effectivity of breast milk production to technique of marmet and massage of oxytocin in primipara mother of post section caesarea. Marmet and oxytocin massage can increase breast milk production by breast massaging breastfeeding cells and breast milk channels that increase oxytocin.

Keywords: Breastmilk Production, Marmet Technique, Oxytocin Massage.

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ANALYSIS OF FACTORS AFFECTING INCIDENCE OF PREECLAMPSIA IN NGANJUK DISTRICT HOSPITAL

ANALYSIS OF FACTORS AFFECTING INCIDENCE OF PREECLAMPSIA IN NGANJUK DISTRICT HOSPITAL

Tri Retnoningsih, Indasah, Byba Melda Suhita

Student Post Graduate Program

Lecturer Post Graduate Program

Institute of Health Science Surya Mitra Husada Kediri

3retnoningsih@gmail.com

ABSTRACT

                Preeclampsia is a hypertensive disease caused by pregnancy characterized by hypertension, edema, and proteinuria after week 20. The cause of maternal death is one of them is preeclampsia. The purpose of this research is to know Factors Affecting the incidence of preeclampsia in Nganjuk District Hospital. The design of this research is an observational research design with case control approach. This study was conducted on April 5 to May 5, 2017 with a population of 39 people and 36 samples onesf samples with sample random sampling technique. Data collection of independent variables and dependent variables by means of observation and questionnaires. Data analysis using logistic regression test. Based on the results of logistic regression test obtained p value of nutritional status: 0,025 at α: 0,05 hence influence of preeklamsi incident in influenced nutritional status significantly and value F: 8,784. The risk of preeclampsia occurrence in RSUD Nganjuk is influenced by ANC visit factors, nutritional status, comorbidities. An ANC visit causes premature detection of preeclampsia, nutritional status causes excessive accumulation of fat and triggers the occurrence of preeclampsia and comorbidities causing metabolic and hormonal changes that affect high risk events in pregnancy.

Keywords: Preeclampsia, ANC, Nutritional status, Parity, Socioeconomic, Complementary disease.

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THE IMPACT OF PSYCHOLOGICAL WITH UNWANTED PREGNANCIES IN PUSKESMAS SUKORAME KOTA KEDIRI

THE IMPACT OF PSYCHOLOGICAL WITH UNWANTED PREGNANCIES IN PUSKESMAS SUKORAME KOTA KEDIRI

Kurniawati, Byba Melda Suhita, Sentot Imam Suprapto

Student Post Graduate Program1

Lecturer Post Graduate Program2
Institute of Health Science Surya Mitra Husada Kediri

nineskurniawati09@gmail.com

ABSTRACT

Female teenager is the most vulnerable subject in negative association. Adolescence is indicated by the coming up of primary and secondary sex sign as well as psychological changes including emotional changes and interested in trying something new. Negative sexual behavior in teenager can cause unwanted pregnancy. Psychological effects can be fear, anger, laziness, and negative behaviors that harm herself and even her babies. The objective of the study was to explore the Psychological Impact of Unmarried teenager with Unwanted Pregnancy at Sukorame Health Center of Kediri City. Research method is qualitative research. Data collection is primary and secondary data then conducted in-depth interview. There were 5 respondents complying with inclusion and exclusion criteria. Respondents were in the same characteristics; e.g, in Puskesmas Sukorame, 11-19 years, unmarried teenagers, and having not given birth yet. The results showed 1) psychological confusion and desire to do abortion, 2) the first respond to the pregnancy is anxiety, 3) family and surrounding environment response is sadness, 4) Inability of self pregnancy-care. The conclusion of the study: there are psychological disorders that can affect the health of mother and coming baby. Based on these studies it is necessary to conduct further research on further impacts experienced by the pregnant unmarried teenager, infants and the surrounding environment. It is also important to conduct parenting mentor to them.

Keywords: Psychological impact, adolescent girls, unwanted pregnancies

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THE AFFECTING FACTORS OF ANEMIA STATUS IN PREGNANT WOMAN WORKING AREA OF SENGKOL PUBLIC HEALTH CENTER PUJUT DISTRICT CENTRAL LOMBOK REGENCY

THE AFFECTING FACTORS OF ANEMIA STATUS IN PREGNANT WOMAN WORKING AREA OF  SENGKOL PUBLIC HEALTH CENTER PUJUT DISTRICT CENTRAL LOMBOK REGENCY

Hardaniyati, Byba Melda Suhita, Indasah
Student Post Graduate Program

Lecturer Post Graduate Program

Institute of Health Science Surya Mitra Husada Kediri

Email: Hardaniyatidaniya@yahoo.co.id

 ABSTRACT

           Anemia is an important cause behind the incidence of morbidity and mortality that adversely affect maternal and fetal health, the prevalence of anemia in the work area of Sengkol ​​Puskesmas is still very high, although iron supplementation is carried out as one of the prevention. The purpose of this study is to analyze the factors that affect the anemia status of pregnant women of  sengkol public health center pujut district central lombok regency. This study was an observational study of cross sectional approach, the factors studied included the factor of economic status, knowledge, ANC visit and husband support, the study was conducted in April 2017 population of pregnant women with anemia, the sample was taken by simple random sampling of 59 respondents, univariate analysis, bivariate analysis using chi square and multivariate analysis using dummy regression analysis.

The result of the research shows that the factors together influence of the anemia status of pregnant women are economic status (p-value = 0,013), knowledge (p-value = 0,025), husband support (p-value = 0,002) on the anemia status of pregnant women (p-value = 0.174), the results of dummy regression analysis showed the most influential husband support factor to anemia status in pregnant women with the value of OR = 2,581. For Sengkol public health center is expected to increase the role of husbands on alert in anemia prevention efforts by improving the health of pregnant women because the husband plays an important role in maternal health during pregnancy.

Key words: Economic status, Knowledge, ANC Visit, Husband Support, Anemia status

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ANALYSIS OF FACTORS AFFECTING THE INCIDENCE OF PNEUMONIA IN CHILDREN UNDER FIVE YEARS IN PESANTREN PUBLIC HEALTH CENTER KEDIRI CITY

ANALYSIS OF FACTORS AFFECTING THE INCIDENCE OF PNEUMONIA IN CHILDREN UNDER FIVE YEARS IN PESANTREN PUBLIC HEALTH CENTER KEDIRI CITY

Andan Liries Chopor, Indasah, Sentot Imam Suprapto

Student Post Graduate Program

Lecturer Post Graduate Program

Institute of Health Science Surya Mitra Husada Kediri

andanliries@gmail.com

 ABSTRACT

 The most common cause of death in children under five years of age is pneumonia. Mother’s knowledge, child’s nutritional status, exposure to cigarette smoke, house characteristics and occupancy density are suspected to be the cause of the high incidence of pneumonia. This study aims to analyze the factors that affect the incidence of pneumonia in children under five in Pesantren Public Health Center Kediri City. This research design using observasional analitic. The study was conducted on April 28 to May 31, 2017 at Pesantren Public Health Center Kediri City with the population of children under five years as much 180 child. The sample size was 124 respondents. The independent variables are mother’s knowledge, child’s nutritional status, exposure to cigarette smoke, house characteristics and occupancy density. Dependent variable is the incidence of pneumonia. Data were collected using questionnaires. Data were analyzed using logistic regression test with α = 0,05. The results showed that maternal knowledge, cigarette smoke exposure and occupancy density were related to the incidence of pneumonia, while nutritional status and house characteristics had no relationship with the incidence of pneumonia. Based on logistic regression test, the most influential variable on the incidence of pneumonia is exposure to cigarette smoke and occupancy density The risk of the incidence of pneumonia in children under five years at Pesantren Public Health Center Kediri City is influenced by exposure to cigarette smoke and density of occupancy.

Keywords: knowledge, nutritional status, exposure to cigarette smoke, house characteristics, occupancy density, pneumonia, children under five years.

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Hasrun Ningsih, Sandu Siyoto, Indasah

SELF CONCEPT/ X’SELF ANALYSIS AND EFFORTS TO INPROVED OF  REPRODUCTIVE HEALTH  IN WOMEN OF CHILBEARING AGE WITH POLYGAMOUS MARRIAGE STATUS

Hasrun Ningsih, Sandu Siyoto, Indasah

Student Post Graduate Program1

Lecturer Post Graduate Program2
Institute of Health Science Surya Mitra Husada Kediri

hasrunningsih@yahoo.com

 ABSTRACT

 Polygamy in Indonesia often become the controversy and sensational news. Jones ( in Ariyani, 2004) based on  its result  of thr research woman of Tribe Sasak Lombok island that polygamy result the nightmarish like things, surrenderness of chance, quarel with the another wife, feeling betrayed by husband, suicide, and even become the madness. Some impact from polygamy to a wife one of them is health impact: Habit flit the couple cause the husband / wife become the susceptible to sexual transmited diseases, even susceptible infected  by  HIV / Aids virus. This matter related/relevant to the x’self or self concept of  the informan through the  personal experience of each  individual, the relationship  with the others and interaction with the world outside x’self. This research use the descriptive desain research with the approach qualitative. Social situation this research all women of chilbearing age with the polygamous status in  Kuta village. Instrument used researcher  and and (indeep interview and focus group discussion. Technique Sampling used by researcher that is Purpusive sampling to informan amounting to 6 peoples. Result of research based on to x’self concept  or self  concept that any informan own the negative x’self concept  or self  concept seen from age, selfregard, role and responsibility and also family relation. While effort improved of health reproduce that any informan not comprehend how effort to increase health reprodution and they not understanding what is health reproduction.

 Key Word : Polygamous, Self Concept, Efforts to Inproved of Reproductive Health

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Sefrina Rukmawati, Indasah, Koesnadi

ANALYSIS OF FACTORS AFFECTING THE IMMUNIZATION TO CHILDREN AGE 1 YEARS At Health Center Nganjuk

Sefrina Rukmawati, Indasah , Koesnadi

Student Post Graduate Program1

Lecturer Post Graduate Program2
Institute of Health Science Surya Mitra Husada Kediri

 endixrina@yahoo.co.id

ABSTRACT

                The low coverage of complete immunization coverage as stated in universal child immunization (UCI) at Nganjuk Health Center will lead to easy outbreaks of diseases that can be prevented by immunization. This is the basis for the analysis of factors that affect the completeness of basic immunization in children aged 1 year in Puskesmas Nganjuk. This research use cross sectional design. Data collection was done by filling questioner, then tested by using multivariate statistic test with logistic regression with α <0,05. Regression test results show there are two variables that show significant value 0.000 where the value is less than 0.05. The more mothers get good support then the tendency to provide complete immunization to their children. Where the role of health officer in changing the behavior of the mother to give immunization is by giving information about the benefit of immunization for his / her child, thereby the mother’s knowledge will increase further with that knowledge will give mother awareness about the health of his child. So that support in the form of advice or support of information that will form knowledge and attitude, so that the mother is motivated to provide immunization to their children.

Keywords: Immunization, factors affecting immunization

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ANALYSIS OF WAITING FACTORS PATIENT OUT OF GOVERNMENT PUBLIC HOSPITAL IN DR.ISKAK TULUNGAGUNG

ANALYSIS OF WAITING FACTORS PATIENT OUT OF GOVERNMENT PUBLIC HOSPITAL IN DR.ISKAK TULUNGAGUNG

Arini Indriyasari, Indasah, Byba Melda Suhita

Student Post Graduate Program1

Lecturer Post Graduate Program2
Institute of Health Science Surya Mitra Husada Kediri

Email : arini.sari60@yahoo.com

ABSTRACT

               The analysis of the waiting time for the out-patient implementation of the hospital aims to maintain and improve the quality of inpatient services provided. The purpose of this study is to determine the analysis of what factors that can affect the implementation of out-patient government public  hospital exceeds the minimum service standard is 2 hours. Preliminary study report government of public hospital  Dr. Iskak On average monthly from January to December 2015 patients who out the hospital maximum 2 hours after being declared allowed to go home by a doctor of 60.67%, is still far from the standard 100%. The design of this study used observational analytics with cross-sectional approach. The type of research used is quantitative study. The sample of the study was the patient expressed KRS with a sample size of 103 people. Independent variable health care service, patient family readiness, billing system related administration and minimum service standards related to KRS time. The dependent variable is patient waiting time out of hospital. Instrument using questionnaire, logistic regression logistic test. The result of statistic test of logistic regression is influenced by ODDS RATIO (OR) value. Variable X1 (health worker) with OR 5,509, while variable X2 (family readiness) with OR 9,194. Variable X3 (minimum service standard) shows OR equal to 8,273 while X4 (administration) with OR equal to 9,065. The most dominant factor affecting Y (patient waiting time out of hospital) is family’s readiness factor factor, with influence of 9,194. The conclusion in this research is waiting time for the implementation of out patient hospital is still classified ≥ 2 hours because it is influenced by family preparedness factor that is not ready material or transportation.

Keywords: health worker, patient family readiness, billing system administration, minimum service standard

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THE EFFECTIVESSE OF EXTRACT OF MORINGA OLEIFERA AGAINST THE PRODUCTION OF BREAST MILK IN THE MOTHER POSTPARTUM PRIMIPARA IN PERINGGARATA PUBLIC HEALTH CENTERS FOR CENTRAL LOMBOK

THE EFFECTIVESSE OF EXTRACT OF MORINGA OLEIFERA AGAINST THE PRODUCTION OF BREAST MILK IN THE MOTHER POSTPARTUM PRIMIPARA IN PERINGGARATA PUBLIC HEALTH CENTERS FOR CENTRAL LOMBOK

Fuji Khairani, Sandu Siyoto, Indasah

Student Post Graduate Program1

Lecturer Post Graduate Program2
Institute of Health Science Surya Mitra Husada Kediri

fujijegol@gmail.com

 ABSTRACT

The baby’s growth and development is largely determined by the amount of breast milk obtained including the energy and nutrients contained in breast milk. But an inadequate breast milk production is frequently articulated complaints by mothers especially first week of childbirth and concerning about 50-80% of pregnant women. A survey in Indonesia reported approximately 38% of breastfeeding mothers stop breast feeding with breast milk production or the disconnection reason less production of breast milk. One of the efforts to expand the breast milk is increasing the quality of the food that influence directly on the production of breast milk, such as green vegetables like moringa oleifera. Moringa oleifera is one vegetable food sources rich in nutrient content. In addition, kelor contain all essential amino acids (of life). Kelor increases lactation as evidenced by an increase in the levels of maternal serum prolactin. Prolactin stimulates the glands will be where the makers of breast milk to produce breast milk. The purpose of this research is to know the effectiveness of extracts of leaves of the Moringa oleifera against the production of breast milk in the mother post partum primipara. This research uses research methods to True Experimental Design. With either type of Pretest-Posttest Control Group Design.Sampling techniques using simple random sampling. With 24 samples were divided into 4 groups of 6 respondents in each group. Each group is given different doses, the first group was given a dose of 250 mg, the second group was given a dose of 350 mg and the third group was given a dose of 450 mg, a control group not given anything. From the results of statistical tests using Wilcoxon test showed a dose of 250 mg, 350 mg and 450 mg effectively to launch production of breast milk. The results of the Statistical analysis using the Kruskal Wallis the aim to know the difference before and after breast milk production to treat singnifikan of values obtained by 0.018 < (α = 0.005), meaning zero Hypothesis in decline means moringa oleifera effective leaf extract improve the production of breast milk in the mother postpartum Primipara

Key words: Kelor (Moringa Oleifera), production of  Breast Milk

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THE ANALYZE INFLUENCE TREATMENT OF KANGAROO METHODE TOWARDS WEIGHT, BODY TEMPERATURE, AND LONG TERMSOFLOW BIRTH WEIGHT (LBW) INFANT IN PRAYA HOSPITAL

THE ANALYZE INFLUENCE TREATMENT OF KANGAROO METHODE TOWARDS WEIGHT, BODY TEMPERATURE, AND LONG TERMSOFLOW BIRTH WEIGHT (LBW) INFANT IN PRAYA HOSPITAL

Nining Fatria Ningsih, Indasah, Byba Melda Suhita

Student Post Graduate Program1

Lecturer Post Graduate Program2
Institute of Health Science Surya Mitra Husada Kediri

 niningfatria@gmail.com

 ABSTRACT

                Treatment The kangaroo method is a treatment for low birth weight infants or premature babies with skin-to-skin contact between infants and maternal skin, whereby the mother uses her body temperature to warm the baby. The purpose of this research is to know the effect of Kangaroo Treatment Method on Body weight, body temperature, and length of stay at Low Birth Weight Hospital in Praya Hospital. This research is a research of True Experiment by using Pretest-Posttest Control Group Design type with 32 samples taken using Simple random sampling technique. Based on the results of the study it is known that from 32 respondents (16 experimental samples and 16 control samples) obtained significant results at body weight (0.000), body temperature (0.001), and length of stay (0,000) which means there is influence of Kangaroo Method Treatment on body weight, body temperature, length of stay in experiment group. While in the control group showed significant results at body weight (0.000) which means there is an effect of giving an incubator to infant weight, and there is an insignificant result at body temperature (0,586), length of stay (0,567) which means there is no effect of giving intervention (incubator) to body temperature and length of control group.  Overall incubator and PMK treatments have the same benefit that is to stabilize the baby’s condition. However, in the early contact incubator between infant and mother to be limited so that the provision of nutrients to be inhibited. While the PMK occurs direct contact between mothers and babies who make it easier for babies to get nutritional intake and tighten affection, so the PMK is an alternative to LBW treatment for replacement incubator in hospital.

Keywords: Treatment of Kangaroo Methods, Weight Loss, body temperature, length of stay, LBW

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