Budi Iman Santoso
Departemen Obstetri dan Ginekologi FK Universitas Indonesia

Published : 16 Documents
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Comparison of effectiveness and side effects of complaints on the use of Sodium dioctyl Sulfosuksinat (DSS)-Sorbitol and Glycerin Klisma for pre-operative preparation in the Department of Obstetrics and Gynecology, Dr . Cipto Mangunkusumo Hospital Valleria, Valleria; Santoso, Budi Iman; Junizaf, Junizaf
Indonesian Journal of Obstetrics and Gynecology Vol. 32 No. 1 january 2008
Publisher : Indonesian Journal of Obstetrics and Gynecology

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AbstractObjective: To compare effectiveness, and side effects of DSS-Sorbitol and glycerin enema for rectal cleansing before elective obstetrics and gynecologic surgery. Design/data identification: Single blind clinical trial. Material and methods: This research was performed on 180 patients who scheduled undergo elective surgery at Department of Obstetrics and Gynecology Cipto Mangunkusumo Hospital, divided to 2 groups i.e. DSS-Sorbitol group (90 patients) and glycerin enema group (90 patients) then randomized. Patients then being asked about their complain and noted on the questionnaire. During the operation, the operator monitored the stool that might be contaminated the operating table.Results: There were 3 (3.3%) patients in glycerin enema group which their faeces contaminated the operating table while in the DSSSorbitol group there was 1 patient (1.1%). No significant difference. Almost all the patients (81 patients) felt comfortable with DSS-Sorbitol if compare with glycerin enema, only 9 patients stated not comfortable with DSS-Sorbitol. Meanwhile, in the glycerin enema group there were 30 patients who did not feel comfortable. This difference was tatistically significant {p = 0.000; OR = 4.50 (1.99 - 10.18)}. There were 58 patients (32%) who had complain which were 42 patients (46.7%) from glycerin enema group and 16 patients (17.8%) from DSS-Sorbitol group. The most frequent complain was abdominal cramp (40 patients from glycerin enema and 10 patient from DSS-Sorbitol group). Other complains that were found in the 2 groups were nausea (2 patients from DSS-Sorbitol and 1 patient from glycerin enema group), cephalgia (2 patients from DSS-Sorbitol and 1 from glycerin enema group), no defecation (1 patients from DSS-Sorbitol and 3 from glycerin enema group). The complain such as bloody stool (3 patients), puffy (3 patients) and the aplicator was hot (1 patient) were only found in the glycerin enema group. One hundred and forty four patients stated their willingness to have rectal cleansing again, which was the most came from the DSSSorbitol group. This willingness were affected by comfortableness and the complain that were caused by each methods.Conclusion: The use of glycerin enema had the same effectiveness with DSS-Sorbitol but DSS-Sorbitol more comfortable and less complains than glycerin enema.Keywords: DSS-Sorbitol, glycerin, preoperative preparation
Basic Pelvic Muscle Strength in primigravidae (Preliminary Research) Dinata, F.; Santoso, Budi Iman; Nuhonni, S. A.; Surjanto, Surjanto
Indonesian Journal of Obstetrics and Gynecology Vol. 32. No. 2. April 2008
Publisher : Indonesian Journal of Obstetrics and Gynecology

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AbstrackObjective: To find out if there is a decrease in pelvic floor muscles’ strength during pregnancy which could be one of many causes of stress urinary incontinence.Setting: Obstetric Outpatient Clinic of Dr. Cipto Mangunkusumo Hospital.Material and methods: Assessment was done on a primigravida as much as twice, each in 20-28 weeks and 29-36 weeks of pregnancy. The strength of her pelvic floor muscles was measured by Myomed 932 (Enraf Nonius, The Netherlands), a kind of myofeedback tool. Subject contracted her muscles maximally three times with a rest interval bet-ween it. The rate in hPa was taken from those 3 contractions and became a value of the pelvic floor muscles’ strength.Results: There were 67 subjects eligible for the study, collected from October 2006 until May 2007. Eighty point six percent was in group of age 18-30. It was almost equal, the amount of subject in medium education group (56.7%) and high one (43.3%). The primigravidas mostly were housewives (61.2%). The three biggest tribes were Javanese (29.8%), Betawinese (26.9%) and Sundanese (17.9%). Using nonpaired t-test, it was revealed that there was no significant difference between pelvic floor muscles’ strength in trimester 2 and trimester 3 (p = 0.936). The rate of trimester 2 was 30.76 ± 9.60 hPa and trimester 3 was 30.90 ± 9.67 hPa. The rate during pregnancy was 30.83 ± 9.60 hPa.Conclusion: In primigravida, the strength of pelvic floor muscles measured by Myomed 932 was 30.76 ± 9.60 hPa in trimester 2 and 30.90± 9.67 hPa in trimester 3. There was no significant difference between pelvic floor muscles’ strength intrimester 2 and trimester 3.Keywords: pelvic floor muscles, strength, primigravida, stress urinary incontinence
The prevalence of patients with overactive Bladder on female employees in the Department of Obstetrics and Gynecology Dr. Cipto Mangunkusumo hospital in Jakarta Agustina, N.; Santoso, Budi Iman; Junizaf, Junizaf
Indonesian Journal of Obstetrics and Gynecology Vol. 32. No. 2. April 2008
Publisher : Indonesian Journal of Obstetrics and Gynecology

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Objective: To determine the prevalence of overactive bladder (OAB) among female employees at the Department of Obstetric and Gynaecology in Cipto Mangunkusumo Hospital and to understand the tendency of some risk factors that could cause OAB such as age, parity, previous delivery mode, menopause, obesity, and previous hystorgof hysterectomy.Design/data identification: Observational study with cross sectional approach.Material and method: 250 samples of female employees were collected from the Department of Obstetrics and Gynecology Cipto Mangunkusumo hospital. All of them were randomly chosen from those who fulfilled the inclusion criterias, without limitation of age. All of the samples who had OAB symptoms (e.g urgency, frequency, nocturia, with or without urge incontinence) underwent urinalysis and physical examination. Urinary diary had been taken to prove the OAB symptoms if theurinalysis was within normal limit. The term OAB is appropriate if there is no proven infection or other obvious pathology.Results: Among two hundred and fifty samples, there were 86 samples (35.6%) of urinary incontinence and there were 66 samples had had OAB symptoms (e.g urgency, frequency, nocturia, with or without urge incontinence) according to The International Continence Society (ICS) in 2002. The mean age of subjects were 40.8 with the youngest was 20 years old and the oldest was 65 years old, which most of them were in age group 40 - 49 years (36%). All of the subjects who showed OAB symptoms had underwent urinalysis for detecting the presence of bacteriuria, pyuria, glycosuria, and hematuria. Within the sixty-six samples there were 40 samples (60.6%) who had normal urinalysis, 21 samples (31.8%) were glycosuria, and 5 samples (7.5%) were urinary infection. And after being confirmed by urinary diary and physical examination, there were only 39 respondents who had really had OAB symptoms with normal urinalysis and normal physical examination. Among these female employees, the prevalence of OAB was 15.6% and 12.4% was OAB with SIU (mixed type). And there were the tendencies for being OAB at increasing of age, parity, previous delivery mode, menopause status, obesity, and previous hysterectomy.Conclusion: The prevalence of OAB among female employees at the Department of Obstetrics and Gynecology in Cipto Mangunkusumo hospital was 15.6%. There were the tendencies for being OAB at increasing of age, parity, previous delivery mode, menopause status, obesity, and previous hysterectomy.Keywords: overactive bladder, urge incontinence, stress urinary incontinence, urinary diary
Urinary Incontinence in Female Patients Santoso, Budi Iman
Journal of the Indonesian Medical Association Vol. 58 No. 7 July 2008
Publisher : Journal of the Indonesian Medical Association

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Abstract

Urinary incontinence (UI) is a common condition that may affect women of all ages, with a wide range of severity and nature. Although rarely life-threatening, UI may end up with serious physical, psychological and social problem. UI may also develop impact on the quality of the patient’s life. The patient may experience social isolation and psychiatric disorder such as depression and sleep disorder, and bear social stigma. The prevalence of UI ranges from 3 to 55% depending on the definition used and the age of population studied. The prevalence of UI increases with advancing age. The prevalence in women above 80 years of age may reach 46%. UI is defined by the International Continence Society as any involuntary leakage of urine. Many clinicians have simply categorized UI in women as stres UI and urge UI. Practically UI is classified into 4 categories, i.e. urge UI, stress UI, overflow incontinence (OI), and total UI. Risk factors includes pregnancy, childbirth, obesity, menopause, aging, hysterectomy and chronic diseases. Initial assessment in UI management is identifying the impact of UI on patients and exploring the patient’s expectation for treatment. This should be followed by determination of the type of UI and associated symptoms. Management of UI consists of conservative and surgical treatment. The conservative treatment includes education on intervening life style, pelvic floor muscle training and pharmacological treatment. Surgical treatment is recommended when patients are not responded to conservative treatment. Considering the strong associations between UI and physical, functional and psychological morbidity, early identification of UI etiology has become a very important step for determination wether to refer the patient to the higher level care unit. By doing so, one can reduce the health cost and increase the patient’s quality of life.Keywords: urinary incontinence, pelvic floor muscle training, antimuscarinic
Peran Dokter Ahli Kebidanan dan Kandungan Meiyetriani, Eflita; Utomo, Budi; Besral, Besral; Santoso, Budi Iman; Salmah, Sjarifah
Jurnal Kesehatan Masyarakat Nasional Vol. 7 No. 1 Agustus 2012
Publisher : Faculty of Public Health Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (247.912 KB) | DOI: 10.21109/kesmas.v7i1.74

Abstract

Salah satu bentuk medikalisasi kelahiran adalah angka persalinan sectio caesarea yang tinggi. Hasil beberapa studi menunjukkan bahwa dokter ahli kebidanan dan kandungan merupakan faktor penting yang menentukan persalinan yang dijalani responden. Penelitian ini bertujuan menilai perandokter ahli kebidanan dan kandungan dalam mengambil keputusan untuk melakukan sectio caesarea dibandingkan persalinan normal dengan mengontrol variabel sosiodemografi dan faktor risiko ibu. Penelitian dilakukandengan metode cross sectional menggunakan data Survei Demografi dan Kesehatan Indonesia (SDKI) DKI Jakarta. Populasi penelitian adalah wanita pernah kawin usia 15 – 44 tahun yang memiliki riwayat melahirkan 5 tahun terakhir sebelum survei dilakukan. Hasil penelitian menunjukkanpemilihan petugas pelayanan antenatal berhubungan dengan persalinan sectio caesarea, tetapi hubungan ini tidak berdiri sendiri, terkait dengan pengaruh status ekonomi rumah tangga. Dari penelitian ini disimpulkan bahwa terdapat hubungan yang signifikan antara responden yang memilihdokter ahli kebidanan dan kandungan sebagai petugas pelayanan antenatal dengan persalinan sectio caesarea yang juga dipengaruhi oleh status sosial ekonomi rumah tangga responden. Selain status sosial ekonomi, variabel yang berhubungan dengan persalinan sectio caesarea adalah usiaibu, paritas ibu, pendidikan ibu, riwayat komplikasi kehamilan, dan riwayat perdarahan.Kata kunci: Sectio caesarea, dokter ahli kebidanan dan kandungan, sosiodemografi, faktor risiko ibuAbstractOne of the birth medicalization form is the high number of sectio caesarea deliveries. Result of some studies shows that obstetrician is a factor which can determine the preference type of delivery. The purpose of this study is to assess the role of the obstectrician in order to make decision making inpreference sectio caesarea delivery than vaginal delivery after controlled with sociodemographic factors and maternal risk factor. The study was a cross sectional study using a quantitative approach. This study using secondary data which obtained from Indonesia Demographic and Health Survey 2007 with subset of the research is DKI Jakarta region. Population of this study was married women with age between 15 – 44 years old who has delivery history in term of 5 years before the survey. The study shows significant correlation between prenatal care workers with sectio caesarea delivery but this correlation also has an interaction with household economic status variables. There is significant correlation between respondent whose prenatal care with obstectrician with sectio caesarea delivery. This correlation also related with household economic status. Others variables related to sectio caesarea delivery beside social economic status are maternalage, parity, maternal education, complication during pregnancy history, and bleeding history.Keywords: Sectio caesarea, obstetrician, sociodemographic, maternal risk factor
Stress Urinary Incontinence (SUI): Conservative and Surgical Approach Santoso, Budi Iman
Indonesian Journal of Obstetrics and Gynecology Volume 6. No. 1. January 2018
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (58.263 KB) | DOI: 10.32771/inajog.v6i1.749

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N/A
The awareness of urinary tract infection management in pregnant women. A qualitative study Santoso, Budi Iman; Surya, Raymond; Yasmin, Farah Asyuri; Irwinda, Rima
Majalah Obstetri & Ginekologi Vol 25, No 3 (2017): December
Publisher : Department of Obstetrics and Gynecology, Faculty of Medicine, Airlangga University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mog.V25I32017.92-96

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Objectives: to identify knowledge, attitude, and practice of health providers including GPs and gynecologists to the implementation of the national guideline on the treatment of UTI among pregnant women.Materials and Methods: A cross-sectional study design was used. Subjects were women who attended the International Sym-posium of UTI. Questionnaires consisting ofregarding demo-graphic characteristics, knowledge, attitude, and practice were given to the subjects. The questionnaires had been tested for valid-ity and reliability by applying the Pearson correlation and Cronbach’s alpha test. Statistical analyses were performed using SPSS 23.0 for Windows.A two-tailed p value less than 0.05 was considered to be statistically significant.Results: A total of 140 subjects were recruited in this study. Of these, 104 subjects (74.3%) returned the questionnaire, and 99 subjects (70.7%) were eligible for this study. Nine (9.1%), 69 (69.7%), and 21(21.2%) subjects had good, fair, and poor know-ledge, respectively. Sixty-five (65.7%) and 64 subjects (64.6%) showed a positive attitude and had positive practice, respectively.Conclusion: Knowledge, attitude, and practice among respon-dents are good enough, despite only a few of them have read the updated guideline. Continuous medical education through online update or symposium may be one effective method to disseminate new update in guidelines.
Peran Dokter Ahli Kebidanan dan Kandungan Meiyetriani, Eflita; Utomo, Budi; Besral, Besral; Santoso, Budi Iman; Salmah, Sjarifah
Jurnal Kesehatan Masyarakat Nasional Vol. 7 No. 1 Agustus 2012
Publisher : Faculty of Public Health Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (247.912 KB) | DOI: 10.21109/kesmas.v7i1.74

Abstract

Salah satu bentuk medikalisasi kelahiran adalah angka persalinan sectio caesarea yang tinggi. Hasil beberapa studi menunjukkan bahwa dokter ahli kebidanan dan kandungan merupakan faktor penting yang menentukan persalinan yang dijalani responden. Penelitian ini bertujuan menilai perandokter ahli kebidanan dan kandungan dalam mengambil keputusan untuk melakukan sectio caesarea dibandingkan persalinan normal dengan mengontrol variabel sosiodemografi dan faktor risiko ibu. Penelitian dilakukandengan metode cross sectional menggunakan data Survei Demografi dan Kesehatan Indonesia (SDKI) DKI Jakarta. Populasi penelitian adalah wanita pernah kawin usia 15 – 44 tahun yang memiliki riwayat melahirkan 5 tahun terakhir sebelum survei dilakukan. Hasil penelitian menunjukkanpemilihan petugas pelayanan antenatal berhubungan dengan persalinan sectio caesarea, tetapi hubungan ini tidak berdiri sendiri, terkait dengan pengaruh status ekonomi rumah tangga. Dari penelitian ini disimpulkan bahwa terdapat hubungan yang signifikan antara responden yang memilihdokter ahli kebidanan dan kandungan sebagai petugas pelayanan antenatal dengan persalinan sectio caesarea yang juga dipengaruhi oleh status sosial ekonomi rumah tangga responden. Selain status sosial ekonomi, variabel yang berhubungan dengan persalinan sectio caesarea adalah usiaibu, paritas ibu, pendidikan ibu, riwayat komplikasi kehamilan, dan riwayat perdarahan.Kata kunci: Sectio caesarea, dokter ahli kebidanan dan kandungan, sosiodemografi, faktor risiko ibuAbstractOne of the birth medicalization form is the high number of sectio caesarea deliveries. Result of some studies shows that obstetrician is a factor which can determine the preference type of delivery. The purpose of this study is to assess the role of the obstectrician in order to make decision making inpreference sectio caesarea delivery than vaginal delivery after controlled with sociodemographic factors and maternal risk factor. The study was a cross sectional study using a quantitative approach. This study using secondary data which obtained from Indonesia Demographic and Health Survey 2007 with subset of the research is DKI Jakarta region. Population of this study was married women with age between 15 – 44 years old who has delivery history in term of 5 years before the survey. The study shows significant correlation between prenatal care workers with sectio caesarea delivery but this correlation also has an interaction with household economic status variables. There is significant correlation between respondent whose prenatal care with obstectrician with sectio caesarea delivery. This correlation also related with household economic status. Others variables related to sectio caesarea delivery beside social economic status are maternalage, parity, maternal education, complication during pregnancy history, and bleeding history.Keywords: Sectio caesarea, obstetrician, sociodemographic, maternal risk factor
Gambaran Faktor Risiko Prolaps Organ Panggul Pasca Persalinan Vaginal di Daerah Istimewa Yogyakarta Pangastuti, Nuring; Sari, Dwi Cahyani Ratna; Santoso, Budi Iman; Agustiningsih, Denny; Emilia, Ova
Majalah Kedokteran Bandung Vol 50, No 2 (2018)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15395/mkb.v50n2.1321

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Prolaps organ panggul merupakan salah satu bentuk disfungsi dasar panggul pada perempuan. Disfungsi dasar panggul adalah keadaan terganggunya fungsi dasar panggul merupakan salah satu kondisi kesehatan yang banyak dikeluhkan perempuan. Lebih dari 46% perempuan dengan riwayat persalinan vaginal mengalami disfungsi dasar panggul,dan peningkatan jumlah paritas berkorelasi dengan peningkatan kejadian prolaps organ panggul. Tujuan penelitian ini adalah untuk mengetahui gambaran karakteristik faktor risiko prolaps organ panggul pasca persalinan vaginal di wilayah Daerah Istimewa Yogyakarta. Penelitian dilakukan pada Januari–Maret 2018. Hasil penelitian didapatkan 51 subjek penelitian dengan persalinan vaginal yang dapat dilakukan pemeriksaan POPQ pada 3 bulan pascapersalinan. Prolaps organ panggul didapatkan pada sebagian besar pasien pascasalin, yaitu sejumlah 46 orang, prolaps uteri 33 orang, sistokel 44 orang, serta rektokel pada 46) orang. Hanya 5 orang yang tidak memiliki gambaran prolaps organ panggul pada 3 bulan pascapersalinan.Dari penelitian ini dapat disimpulkan bahwa faktor risiko prolaps organ panggul pascapersalinan vaginal di Daerah Istimewa Yogyakarta terdiri atas faktor intrinsik (usia ibu, panjang genital hiatus maupun perineal body), dan ekstrinsik (paritas, indeks massa tubuh overweight dan obes, kenaikan berat badan selama hamil >15 kg, serta dilakukan episiotomi dan terjadi robekan perineum). Upaya pencegahan terutama edukasi, perbaikan gaya hidup, pengendalian indeks massa tubuh, pengaturan diet, olahraga penguatan otot dasar panggul, pembatasan jumlah kehamilan dan persalinan, serta pertolongan persalinan sesuai Asuhan persalinan normal. Kata kunci: Disfungsi dasar panggul, faktor risiko, persalinan vaginal, prolaps organ panggul Risk Factors for Pelvic Organ Prolapse in Women with History of Vaginal Delivery in YogyakartaPelvic organ prolapse is one form of pelvic floor dysfunctions in women that impairs the pelvic floor function and also one of the most frequently conditions complained by women. More than 46% women with history of vaginal delivery have experienced pelvic floor dysfunction where higher number of parity correllates to increased pelvic organ prolapse incident. The aim of this study was to understand the  characteristic risk factors of pelvic organ prolapse incident post vaginal delivery in Special Region of Yogyakarta. The study ws performed during the period of January to March 2018 on 51 subjects with history of vaginal delivery evaluated using POPQ in 3 months postpartum. Pelvic floor dysfunction was present in most postpartum patients, i,e, 46 people while 33 experienced uterine prolapse, 44 experienced cystocele, and 46 experienced rectocele. Only 5 subjects had no pelvic floor dysfunction in any form. Risk factors for pelvic organ prolapse in post vaginal delivery in the Special Region of Yogyakarta consist of intrinsic factors (maternal age, genital length of hiatus, and perineal body), and extrinsic factors (parity, overweight status and obese status based on body mass index, weight gain during pregnancy exceeding 15 kg,  episiotomy and the occurrence of perineal rupture). Prevention actions include  education followed by lifestyle improvement, control of body mass index, dietary regulation, exercise, restrictions on the number of pregnancies and childbirth, and safe delivery according to normal birth care standard.Key words: Pelvic floor dysfunction, pelvic organ prolapse, risk factors, vaginal delivery
Analisis Status Hidrasi dan Asupan Zat Gizi Serta Air pada Ibu Hamil Mulyani, Erry Yudhya; Hardinsyah, Hardinsyah; Briawan, Dodik; Santoso, Budi Iman
Media Kesehatan Masyarakat Indonesia Vol 14, No 3: SEPTEMBER 2018
Publisher : Faculty Of Public Health, Hasanuddin University, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (330.177 KB) | DOI: 10.30597/mkmi.v14i3.4343

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Kehamilan merupakan periode fisiologis-spesifik yang mana selama periode ini, kebutuhan zat gizi meningkat. Sebanyak 50-70% ibu hamil mengalami mual dan muntah terus menerus, berdampak pada kurang maksimalnya pemberian asupan gizi bagi ibu dan bayi. Keberlanjutan kondisi ibu dapat menyebabkan ketidakseimbangan cairan di dalam tubuh yang berdampak pada status hidrasi ibu. Penelitian bertujuan menganalisis hubungan karakteristik, sosial-ekonomi, status gizi, asupan gizi dan air dengan status hidrasi. Penelitian ini merupakan penelitian cross-sectional, dilakukan di wilayah kerja Puskesmas Kecamatan Kebon Jeruk, Jakarta Barat. Subjek penelitian ini adalah ibu hamil trimester kedua, memeriksakan kehamilan di tempat penelitian berjumlah 107 subjek. Uji t-test independent dan chi-square digunakan untuk menganalisis data. Subjek dibagi ke dalam dua kelompok berdasarkan status hidrasi dari nilai osmolalitas urin; normal dan hipohidrasi. Nilai rerata osmolalitas urin pada kelompok hipohidrasi dan normal, adalah 838.78±172.35 mOsm/Kg dan 268.05±116.64 mOsm/Kg. Karakteristik subjek (umur, umur kehamilan, berat badan, tinggi badan, status gizi sebelum hamil, lingkar lengan atas, lingkar pinggang, lingkar panggul, tekanan darah) tidak terdapat perbedaan di antara dua kelompok (p≥0.05). Tidak terdapat hubungan tingkat pendidikan ayah dan ibu, pekerjaan ayah dan ibu, pengeluaran rumah tangga, dan pengetahuan ibu (p≥0.05). Terdapat perbedaan asupan energi, karbohidrat, dan zinc di dua kelompok (p<0.05), tetapi tidak menemukan perbedaan asupan (protein, lemak, kalsium, zat besi, asam folat) dan air di dua kelompok (p≥0.05). Namun demikian, ibu harus tetap memerhatikan asupan zat gizi dan air untuk mendukung tumbuh kembang janin.