AbstrakIntra uterine Fetal Death (IUFD) adalah kematian janin setelah usia kehamilan 20 minggu dan diklasifikasikan menjadi IUFD dini dan IUFD lanjut. IUFD dini jika kematian janin terjadi sebelum usia kehamilan 24 minggu dan IUFD lanjut jika kematian janin setelah usia kehamilan 24 minggu. Banyak faktor yang berkontribusi terhadap tingginya angka kematian ibu dan angka kematian neonatus  penyebabnya diantaranya factor proses persalinan,seperti partus lama, posisi janin,tempat persalinan dan penolong persalinan.Tujuan penelitian ini untuk mengetahui factor factor  yang mempengaruhi kejadian Intra Uterin Fetal Death di Rumah Sakit Kota Gorontalo. Penelitian ini menggunanakan metode survey analitik rancangan case control dengan pendekatatan retrosfektif. Pengambilan sampel menggunakan tehnik purporsive sampling sebanyak 94 ibu yang dibagi dalam 2 kelompok. Kelompok kasus 47 ibu yang melahirkan dengan IUFD dan kelompok control 47 ibu yang melahirkan normal. Analisis data menggunakan uji odd Rasio. Hasil uji statistic menunjukkan umur (OR=7,169), Pekerjaan (OR=5,273), Paritas (OR= 4,615), Kehamilan Ganda (OR=1,000), Preeklamsi (OR=6,875) dan KPD (OR=4,615) dari hasil uji statistik  disimpulkan ada pengaruh umur, pekerjaan, paritas dan pre-eklamsi terhadap kejadian IUFD sedangkan kehamilan ganda dan KPD tidak ada pengaruh terhadap kejadian Intra Uterine Fetal Death namun tidak signifikan. Disarankan kepada ibu hamil untuk memeriksa kehamilannya secara rutin.Kata kunci: IUFD, Paritas, KPD, Pre-eklamsi, Kehamilan ganda                                                                                                                    Abstract Intra uterine Fetal Death (IUFD) is fetal death after 20 weeks of gestation and is classified into early IUFD and late IUFD. Early IUFD if fetal death occurred before 24 weeks of gestation and late IUFD if fetal death occurred after 24 weeks of gestation. Many factors contribute to the high maternal mortality rate and the cause of neonatal mortality, including labor processes, such as prolonged labor, fetal position, place of delivery and birth attendants. Gorontalo. This study uses an analytical survey method with a case control design with a retrospective approach. Sampling with purporsive sampling technique as many as 94 mothers who were divided into 2 groups. The case group was 47 mothers who gave birth with IUFD and the control group was 47 mothers who gave birth normally. Data analysis used the odd ratio test. The results of the statistical odd ratio test showed age (OR = 7,169), Occupation (OR = 5,273), Parity (OR = 4,615), Multiple Pregnancy (OR = 1,000), Preeclampsia (OR = 6,875) and PROM (OR = 4,615) from the results Statistical tests can be concluded that there is an effect of age, occupation, parity and preeclampsia on the incidence of IUFD, while multiple pregnancy and KPD have no effect on the incidence of Intra Uterine Fetal Death but it is not significant. It is recommended for pregnant women to check their pregnanc.

Abstrak Masalah kependudukan di Indonesia adalah jumlah penduduk yang besar, laju pertumbuhan penduduk yang tinggi, persebaran penduduk yang tidak merata, struktur demografi yang masih muda, dan kualitas penduduk yang masih memiliki ruang untuk perbaikan. IUD (non hormonal) merupakan jenis alat kontrasepsi jangka panjang yang ideal untuk mencegah kehamilan. Jenis penelitian yang digunakan adalah penelitian observasional analitik dengan pendekatan cross sectional study. Sampel diambil secara total sampling dengan jumlah sampel adalah seluruh akseptor KB yang berkunjung dalam wilayah kerja Puskesmas Dulalowo Kecamatan Kota Tengah Kota Gorontalo dari bulan Januari – Desember 2020 sebanyak98orang. Analisis data yang digunakan adalah Chi Square. Hasil menunjukkan nilai ρ masing-masing karakteristik sebagai berikut: usia (nilai ρ = 0,088), pendidikan (nilai ρ = 0,032), ekonomi (nilai ρ = 0,009), dan paritas (nilai ρ = 0,041). Jadi, karakteristik yang berhubungan dengan penggunaan KB IUD adalah pendidikan, ekonomi, dan paritas. Kata kunci: Akseptor, IUD, Karakteristik, KB Abstract Population problems in Indonesia are a large population, high population growth rate, uneven population distribution, a young demographic structure, and the quality of the population that still has room for improvement. The IUD (non-hormonal) is a type of long-term contraceptive that is ideal for preventing pregnancy. The type of research used is analytic observational research with a cross sectional study approach. The sample was taken by total sampling with the total sample being all family planning acceptors who visited the working area of the Dulalowo Health Center, Kota Tengah Subdistrict, Gorontalo City from January - December 2020 as many as 98 people. Analysis of the data used is Chi Square. The results show the value of each characteristic as follows: age (ρ value = 0.088), education (ρ value = 0.032), economy (ρ value = 0.009), and parity (ρ value = 0.041). So, there characteristics related to the use IUD family planning are education, economy, and parity.

Background: Postpartum blues is a kind of psychological problem in the period after childbirth, where a woman feels sad and depressed immediately. Post partum blues symptoms begin to appear two or three days after childbirth and usually go away within a week or two. Objective: to analyze the literature related to the determinants of post partum blues. Methods: articles related to literature review topic were searched in the ScienceDirect, Pudmed. Google Scholar Google Scholar databases and were analyzed using PRISMA through the processes including identification, selection, and finally the assessment of articles according to the inclusion and exclusion criteria. Results: Article searching in chosen databases using keywords in accordance with the study objective resulted in 20 articles which were further selected according to the topics to be reviewed and finally 5 journal articles were discussed in the literature review. The topic to be discussed here was the determinants of postpartum blues. Conclusion: Age, parity, education level, family support, sleep disorders, type of delivery, and readiness to become a mother were involved in the causative factors of Postpartum blues and those factors could be overcome by involving husband, family and the surrounding environment through support for postpartum women.

Introduction: One of the menopausal problems is hot flashes or chest burning with symptoms of night sweats, fatigue, insomnia, depression, anxiety, memory disorders, and urogenital symptoms, in some people experiencing different symptoms, and often causes impaired quality of life. If this condition cannot be overcome, it will develop into anxiety to stress which has a negative impact on women's social life which will stimulate the brain so that it can disrupt the hormonal balance and ultimately adversely affect the health of the body. Objective: The aim of the study was to analyze the effect of elderly exercise on reducing hot flashes in menopause. Methods: The type of research is Quasi Experiment with a one group pretest posttest design approach with the dependent variable is elderly exercise and the independent variable is hot flashes. Samples were all 66 menopausal people, analyzed using the Paired t test. Results: The results of the study after being tested, the mean pre-test value was 13.98 and the mean post-test was 21.00. The higher the mean value, there was a decrease in hot flashes before and after elderly exercise, meaning that there was a difference before and after treatment, the greater the mean value, the more means that the resulting test is evidenced by a p-value of 0.000 which is less than 0.05. Conclusion: it means that there is an effect of elderly exercise on reducing hot flashes in menopause. The conclusion is that there is a decrease in hot flushes in menopause before and after elderly exercise.   ABSTRAK Pendahuluan: Salah satunya masalah menopause adalah hot flashes atau rasa panas didada dengan gejala berkeringat malam, fatigue, insomnia, depresi, ansietas, gangguan daya ingat, dan gejala urogenital, pada beberapa orang mengalami gejala berbeda, dan sering menyebabkan gangguan kualitas hidup. Jika kondisi ini tidak bisa diatasi akan berkembang menjadi cemas sampai dengan stres yang berdampak buruk pada kehidupan sosial perempuan yang akan merangsang otak sehingga dapat mengganggu keseimbangan hormon dan akhirnya berakibat buruk pada kesehatan tubuh. Tujuan: Tujuan penelitian untuk menganalisis pengaruh senam lansia terhadap penurunan hot flashes pada menopause. Metode: Jenis penelitian adalah Quasi Eksperiment dengan pendekatan one group pretest posttest design dengan variable terikat adalah senam lansia  dan variable bebas adalah hot flashes. Sampel adalah semua menopause berjumlah 66 orang, dianalisis menggunakan uji Paired t test. Hasil: Hasil penelitian setelah diuji didapatkan nilai mean pre test 13,98 dan nilai mean post test 21,00 makin tinggi nilai mean maka ada penurunan hot flashes sebelum dan sesudah senam lansia, artinya ada perbedaan sebelum dan sesudah perlakuan makin besar nilai mean maka makin bermakna uji yang dihasilkan dibuktikan dengan nilai p-value 0,000 lebih kecil dari 0,05. Kesimpulan: artinya ada pengaruh senam lansia terhadap penurunan hot flashes pada menopause. Kesimpulan ada penurunan hot flushes pada menopause sebelum dan sesudah dilakukan senam lansia.