AbstrakBayi Berat Lahir Rendah (BBLR) dipengaruhi banyak faktor. Semua faktor dapat dicegah dan dideteksi secara dini melalui kunjungan antenatal care (ANC) yang lengkap dari segi kuantitas dan pelayanan yang berkualitas. Tujuan penelitian ini adalah menentukan hubungan antenatal care dengan kejadian bayi berat lahir rendah di RSUP Dr. M. Djamil Padang. Jenis penelitian ini merupakan studi analitik dengan desain cross sectional, dilakukan bulan Juni hingga Oktober tahun 2015. Populasi adalah rekam medik seluruh ibu hamil yang melahirkan di bagian Obstetrik dan Ginekologi RSUP Dr. M. Djamil Padang pada Januari 2013-Juni 2014. Besar sampel penelitian yang diambil adalah sebanyak 84 subjek. Data dianalisis menggunakan uji chi-square. Hasil uji statistik diperoleh, ibu yang melahirkan BBLR lebih sedikit melakukan ANC yang lengkap daripada ibu yang melahirkan bayi normal (p=0,026; OR=3,692). Simpulan studi ini ialah tidak ada hubungan tenaga kesehatan yang dikunjungi ibu saat ANC dengan BBLR (p=0,875). Frekuensi ANC ibu hamil aterm memiliki hubungan dengan kejadian BBLR. Ibu yang melakukan kunjungan ANC kurang dari 4 kali memiliki risiko 3,692 kali untuk melahirkan BBLR daripada ibu dengan kunjungan ANC yang lengkap. Kata kunci: bayi berat lahir rendah, antenatal careAbstract There are a lot of factors that can be a predisposition factors to Low Birth Weight (LBW) infant such as maternal, fetal, and placental factors. In spite of, all the factors can be prevented and early-detected early through a complete Antenatal Care (ANC) visitation both good in quantity and quality. The objective of this study was to determine relationship between ANC and LBW at RSUP Dr. M.Djamil hospital. This analytical study was using as a cross sectional study and was done from June to October 2015. The population were all of medical record from pregnant women who underwent the labor in Departement of Obstetry and Gynecology of RSUP Dr. M. Djamil Padang . The sample size was taken as 84 subjects. Data was analyzed using chi-square test.Statistically, the woman who gave a low birth weight newborn are less frequent doing an antenatal care visitation compared to those who gave a normal birth-weight newborn (p=0,026;OR=3,692). There is no relationship between the health care provider visited by a pregnant women with the incidence of low birth weight newborn (p = 0.875). The frequency ANC of aterm pregnant woman has a relationship to the incidence of LBW. Mothers who have less than 4 ANC visits more like to have 3,692 times risk of having infant low birth weight as compared to those who have complete visits.
AbstrakLesi pra kanker serviks adalah awal perubahan menuju kanker serviks. Program pengendalian kanker serviks melalui pemeriksaan Visual Inspection with Acetic Acid (VIA) di tingkat Puskesmas dapat menurunkan insiden kanker serviks hingga 83,6%. Kanker serviks ini berkaitan dengan banyak faktor risiko.Tujuan: Menganalisis hubungan antara faktor risiko dengan kejadian lesi pra kanker serviks. Metode: Cross sectional yang dilakukan di wilayah kerja Puskesmas Muara Bungo 1 dari bulan Februari sampai Mei 2019 terhadap 362 responden. Pengambilan sampel menggunakan metode multistage random sampling. Pengambilan data menggunakan kuisioner dan observasi. Data dianalisis menggunakan uji Chi-square. Hasil: Terdapat hubungan signifikan (p<0,05) antara kejadian lesi prakanker serviks dengan usia >35 tahun, usia pertama kali berhubungan seksual <20tahun, jumlah paritas ≥4kali, menggunakan pembersih vagina dan lama penggunaan kontrasepsi hormonal ≥5 tahun. Jumlah pasangan seksual, paparan asap rokok dan riwayat keluarga kanker serviks, tidak memiliki hubungan yang signifikan dengan kejadian lesi pra kanker serviks (p≥0,05). Faktor risiko yang paling dominan adalah usia pertama kali berhubungan seksual <20 tahun (p=0,008; OR: 6,092). Simpulan: Faktor risiko usia, usia pertama kali berhubungan seksual, jumlah paritas, menggunakan pembersih vagina dan lama menggunakan kontrasepsi hormonal berhubungan dengan kejadian lesi prakanker serviks.Kata kunci: lesi pra kanker serviks, VIA, faktor-faktor risiko AbstractThe program for controlling cervical cancer through Visual Inspection with Acetic Acid (VIA) at the Public Health level can reduce the incidence of cervical cancer by 83.6%. This cervical cancer is associated with many risk factors. Objectives: To analyzed the relationship between risk factors and the incidence of precancerous lesion of cervical. Methods: This was a cross sectional design with multistage random sampling method. This study was conducted at Muara Bungo 1's Health Center from February until May in 2019 on 362 respondents. Sampling uses the MultistageRandom Sampling Method. The data collected by questionnaires and observations. Data were analyzed by Chi-square test. Results: There were significant relationship (p <0.05) between the incidence of pre-cervical cancer lesions with risk factors of age more than 35 years old, age of first sexual intercourse less than 20 years old, the number of parity at least for four times, using vaginal cleansers and duration of use of hormonal contraception at least for five years, exposure to cigarette smoked and a family history of cervical cancer, did not have a significant relationship with the incidence of pre-cancerous lesions of cervical cancer (p>0.05). The most dominant risk factor was the age of first sexual intercourse less than twenty years old. (p = 0.008; OR: 6,092). Conclusion: The risk factor of age, age of first sexual intercourse, the number of parity, using vaginal cleansers and duration of use of hormonal contraception relations with the precancerous lesion of...
AbstrakPreeklampsia merupakan penyebab utama kematian maternal selain perdarahan dan infeksi. Penyebab pasti terjadinya preeklampsia belum diketahui, namun terdapat faktor risiko yang mempengaruhi kejadian preeklampsia. Di RSUP Dr. M Djamil Padang terjadi peningkatan kasus preeklampsia setiap tahunnya dari tahun 2008-2012. Tujuan penelitian ini adalah menentukan hubungan antara Indeks Massa Tubuh (IMT) dan kejadian preeklampsia di RSUP Dr. M. Djamil Padang. Penelitian dilakukan di bagian Rekam Medis dengan menggunakan desain cross sectional study komparatif terhadap 46 pasien preeklampsia dan 46 ibu hamil yang tidak preeklampsia yang bersalin di RSUP Dr. M. Djamil Padang dalam kisaran tahun 2011-2013. Hasil analisis univariat menunjukkan nilai rerata IMT sebelum hamil pada pasien preeklampsia dengan nilai 24,15 kg/m2 berada pada kategori overweight, sedangkan ibu hamil yang tidak preeklampsia berada pada kategori normal, dengan nilai rerata IMT 22,3 kg/m2. Berdasarkan analisis bivariat menggunakan Mann Whitney tes diperoleh nilai P: 0,014 (P<0,05). Kesimpulan penelitianini adalah terdapat hubungan yang bermakna antara IMT dengan kejadian preeklampsia di RSUP Dr. M. Djamil Padang.Kata kunci: preeklampsia, faktor risiko, indeks massa tubuh AbstractPreeclampsia is the leading cause of maternal death in addition to bleeding and infection. The exact cause of preeclampsia still unknown, but there are risk factors that affect the preeclampsia’s incident. There was an increase of preeclampsia’s case in RSUP Dr. M. Djamil Padang each year from 2008-2012. The objective of this study was to determine the correlation between Body Mass Indeks (BMI) and preeclampsia’s incident in RSUP Dr. M. Djamil Padang. The research was done at medical records department using cross sectional study comparative’s design toward 46 preeclamptic patients and 46 pregnant women who did not preeclampsia, which gave birth in RSUP Dr. M. Djamil Padang on the range 2011-2013. Results of univariate analysis showed that BMI average value of patients with preeclampsia before pregnant were in overweight category (24,15 kg/m2), whereas pregnant women who did not preeclampsia are in normal category (22,3 kg/m2). Based on bivariate analysis using the Mann Whitney test, p value was obtained 0,014 (P<0,05). The conclusion is there’s significant correlation between BMI with preeclampsia’s incident in RSUP Dr. M. Djamil Padang.Keywords: preeclampsia, risk factors, body mass indeks
AbstrakSalah satu program pemerintah untuk mencegah anemia kehamilan di Indonesia adalah suplementasi besi yang dibagikan gratis melalui Puskesmas dan Posyandu. Efektifitas program ini sulit dicapai karena sering kali dihambat oleh rendahnya kepatuhan ibu hamil dalam mengkonsumsi tablet besi. Tujuan penelitian ini adalah untuk mengetahui hubungan pengetahuan dan sikap ibu hamil dengan kepatuhan dalam mengkonsumsi tablet besi di wilayah kerja Puskesmas Seberang Padang tahun 2013. Penelitian ini menggunakan desain penelitian cross sectional yang dilakukan pada bulan Januari hingga Oktober 2013. Populasi penelitian adalah seluruh ibu hamil trimester II dan trimester III yang berada di wilayah kerja Puskesmas Seberang Padang, dengan jumlah sampel 52 orang yang diambil dengan menggunakan teknik total sampling. Hasil penelitian diperoleh 79% ibu hamil termasuk dalam kategori tidak patuh, 58% ibu hamil dengan pengetahuan kurang, dan 52% ibu hamil dengan sikap negatif dalam mengkonsumsi tablet besi. Analisis bivariat dengan uji chi-square diketahui bahwa terdapat hubungan yang bermakna antara pengetahuan dan kepatuhan dan juga terdapat hubungan yang bermakna antara sikap dan kepatuhan. Simpulan yang diperoleh dari penelitian ini adalah pengetahuan dan sikap merupakan faktor yang berhubungan dengan kepatuhan ibu hamil dalam mengkonsumsi tablet besi. AbstractOne of the government's program to prevent anemia of pregnancy in Indonesian is iron supplementation which distributed for free through health centers and integrated health. The effectiveness of this program is difficult to achieve because often inhibited by poor adherence of iron tablet consumption in pregnant women. The objective of this study was to determine the correlation of knowledge and attitudes of pregnant women on adherence in of iron tablets consumption at the Seberang Padang Health Center in 2013. This study uses cross-sectional design that conducted from January to October of 2013. The study population was all second and third trimester pregnant women who were in Seberang Padang Health Center working area, with 52 people as sample were taken using total sampling technique. The results showed 79% of pregnant women are included in the category of non-adherence, 58% of pregnant women with less knowledge, and 52% of pregnant women with a negative attitude in consuming iron tablets.Bivariate analysis by chi-square test was a significant relation between knowledge and adherence, also a significant relation between attitudes and adherence. The conclusion is the knowledge and attitude are factors associated on adherence of iron tablet consumptoin in pregnant women.
AbstrakBakteri vagina adalah sumber utama dari laktat asam di vagina. Lactobacillus berperan memberikan proteksi pada sel epitelial vagina dengan memberikan bantuan pada hubungan antar sel serta sekresi bakteriosida berupa Hidrogen Perioksida (H2O2). Lactobacillus sebagai mikroflora dominan vagina mampu menjaga pH vagina 4,5 sehingga dapat mengurangi risiko kolonisasi bakteri patogen. Peningkatan pH vagina menguntungkan bagi kelangsungan hidup Lactobacillus dan karakteristik Lactobacillus sebagai produk probiotik vagina. Penelitian ini bersifat deskriptif bertujuan mengetahui jenis bakteri asam laktat yang diisolasi dari vagina wanita usia subur dengan pemeriksaan makroskopis, mikroskopis, dan karakteristik molekuler. Populasi dari penelitian ini adalah wanita usia subur. Sampel penelitian ini sebanyak 39 orang. Teknik pengambilan sampel adalah consecutive sampling. Hasil penelitian didapatkan rata-rata umur responden 32 tahun, kelompok umur terbanyak 25-30 tahun (79,4%), rata-rata paritas responden adalah 2 orang, dan 2 diantara responden adalah wanita hamil. Dari 39 sampel setelah dilakukan pewarnaan Gram, didapatkan hampir semua isolat bakteri adalah bakteri Gram positif dengan bentuk kokus dan basil. Berdasarkan hasil identifikasi molekuler dengan analisis sekuensing didapatkan jenis Bakteri Asam Laktat, Lactobacillus crispatus, Lactobacillus oris, Lactobacillus salivarius, dan Enterococcus faecalis. Abstract Vaginal bacteria are the main source of lactic acid in the vagina. Lactobacillus acts to provide protection to vaginal epithelial cells by providing assistance in the intercellular relationship and bacteriocide secretion in the form of Hydrogen Perioxide (H2O2). Lactobacillus as the dominant vaginal microflora is able to maintain a vaginal pH of 4.5 so as to reduce the risk of pathogenic bacterial colonization. Increased vaginal pH is beneficial for the survival ofLactobacillus and the characteristics of Lactobacillus as a vaginal probiotic product. This research is descriptive in nature to find out the types of lactic acid bacteria isolated from the vagina of women of childbearing age by macroscopic, microscopic, and molecular characteristics. The population of this study were reproductive age women. The sample of this study was 39 people. The sampling technique was consecutive sampling. The results showed that the average age of respondents was 32 years, the highest age group was 25-30 years (79.4%), the average parity of respondents was 2 people, and 2 of the respondents were pregnant women. Of the 39 samples after Gram staining, almost all bacterial isolates were Gram positive bacteria with coccus and bacillary forms. Based on the results of molecular identification by sequencing analysis, Lactobacillus crispatus, Lactobacillus oris, Lactobacillus salivarius, and Enterococcus faecalis were found.
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