Detty Siti Nurdiati, Detty Siti
Bagian Obstetri dan Ginekologi, Fakultas Kedokteran Universitas Gadjah Mada Yogyakarta

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EFEKTIVITAS PIJAT EFFLEURAGE DAN COUNTERPRESSURE TERHADAP KEMAJUAN DILATASI SERVIKS PADA KALA I FASE AKTIF Santiasari, Retty Nirmala; Nurdiati, Detty Siti; Lismidiati, Wiwin
Media Ilmu Kesehatan Vol 7 No 3: MIK Desember 2018
Publisher : Pusat Penelitian dan Pengabdian kepada Masyarakat FKes Universitas Jenderal Achmad Yani Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30989/mik.v7i3.293

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Backgraound: Labor process begins with the process of cervical dilatation, which is commonly accompanied by pain. Labor pain caused by uterine contractions can cause thinning of the cervix. Effects of labor pain includes inflammation in uterus and labor dystocia. Effleurage and counterpressure are complementary treatment to stimulate uterine contractions. Objective: To analyze the effectiveness of effleurage and counterpressure massages on the progress of cervical dilatation. Method: This was a quasi-experiment study with pre-post test nonequivalent control group. Population was the women in labor in stage I active phase. Research subjects were 68 people that were divided into two groups. Sampling technique was consecutive sampling. Instrument used in this study was the internal examination. Data were analyzed using Wilcoxon and Mann Whitney. Results: The progress of cervical dilatation before and after the intervention of the effleurage was 4.74±0.83 vs 7.47±1.21 with p=0.00 and the result for the counterpressure group was 4.59±0.66 vs 8.03±0.96 with p=0.00. The average improvement of cervical dilatation on the effleurage and counterpressure groups was 2.73 vs 3.44 with p=0.00. Conclusion: The counterpressure has the more significant effect than the effleurage on improving the cervical dilatation.   Keywords: Cervical dilatation, counterpressure, effleurage
Berat badan lahir rendah (BBLR) dengan kejadian stunting pada anak usia 6-24 bulan Nasution, Darwin; Nurdiati, Detty Siti; Huriyati, Emy
Jurnal Gizi Klinik Indonesia Vol 11, No 1 (2014): Juli
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, Fakultas Kedokteran UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ijcn.18881

Abstract

Background: Stunting is one of the main problems of malnutrition often found in under-five children. The impacts include a delay in child’s growth, low endurance, lack of intelligence and productivity. The direct factors that influence the incidence of stunting are low birth weight (LBW) while the indirect factors are socioeconomic factors such as maternal education, low family income and a large number of family members.Objective: To analyze the relationship between LBW and the incidence of stunting in children aged 6-24 months in Yogyakarta Municipality.Method: This was a case-control study. The subjects were children aged 6-24 months with a group of cases comprising stunted children based on the indicator of height/age with a cut-off < -2 SD Z-score and the control group comprising normal children. The number of subjects for the study was 242 with the under-five children’s mothers as the research respondents. The sample selection used non-probability sampling with a consecutive sampling method. The data were analyzed by Chi-Square and multiple logistic regression.Results: The proportion of children 6-24 months who had low birth weight was 15.7 %. There was a significant relationship between LBW and the incidence of stunting in children aged 6-24 months (OR=5.60; 95%CI:2.27 to 15.70). There was a relationship between maternal height and the incidence of stunting in children aged 6-24 months (OR=2.14; 95%CI:1.08 to 4.33). Socioeconomic factors (maternal education, family income and a number of family members) did not have a significant relationship with the incidence of stunting.Conclusion: LBW had a relationship with the incidence of stunting in children aged 6-24 months in Yogyakarta Municipality.
Perbedaan pengetahuan dan praktik pemberian makan serta perkembangan anak 6-24 bulan pada ibu usia remaja dan dewasa Widyaningrum, Rachmawati; Nurdiati, Detty Siti; Gamayanti, Indria Laksmi
Jurnal Gizi Klinik Indonesia Vol 13, No 1 (2016): Juli
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, Fakultas Kedokteran UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ijcn.22455

Abstract

Background: Preparing quality human resource for the future, children are being the most attention of the growth and development optimally. Critical aged of them is 0-2 years old. Pregnancy and giving birth on adolescence are still being the factors. Knowledge and feeding practice are also factors being the basic need for children development optimally.Objective: To know the difference between knowledge, feeding practice, and children development aged 6-24 months on adolescent and adult mother in Kasihan Primary Health Care, Bantul district, Yogyakarta.Method: This research was observational with a cross-sectional design. It held on July -September 2015 in work area of Kasihan subdistrict, Bantul district, Yogyakarta. Population defined as mother aged 15-40 years that lives in Kasihan subdistrict. The sample was taken using nonprobability consecutive technique sampling. It was got 66 children aged 6-24 months old with no having congenital defects, no following special development stimulation program,  and being able and want to follow this research as inclusion criteria. In this research, a mother was measured of knowledge level and feeding practice to her child, even though the child was measured off his/her development using BSID III. Data were analyzed using Chi-Square.Results: Adolescent mothers had a significantly larger proportion of children experiencing developmental disorders and feeding practices are less good compared with adult mothers.Conclusion: Adult mother has better knowledge and feeding practice than adolescent mothers. Adult mother also has a child with better developmental status than adolescent mothers.
Perbandingan penggunaan topikal asi dengan perawatan kering terhadap lama pelepasan tali pusat bayi Sari, Febriana; Nurdiati, Detty Siti; Astuti, Dhesy Ari
Jurnal Kebidanan dan Keperawatan Aisyiyah Vol 12, No 1 (2016): Juni
Publisher : Universitas Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31101/jkk.130

Abstract

This reseach aims to investigate the difference between umbilical cord treatment by using topical ASI and dry treatment towards the length of umbilical cord release in baby. This research used quasi experimental method with non-equivalent posttest design only. 44 samples of neonatal babies were taken by using consecutive sampling according to the inclusion criteria. The average length of umbilical cord release with topical ASI is 6.18 days and the one with dry treatment is 7.41 days. The length of umbilical cord release with topical ASI is 1.23 days faster compared to the one with dry treatment with p=0.010. The umbilical cord release with topical ASI is faster than the one with dry treatment and it can also reduce infection.  
Pengaruh pemberian asi eksklusif terhadap status gizi dan perkembangan bayi di puskesmas gamping II Widayati, Wahyu; Nurdiati, Detty Siti; Anjarwati, Anjarwati
Jurnal Kebidanan dan Keperawatan Aisyiyah Vol 12, No 1 (2016): Juni
Publisher : Universitas Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31101/jkk.314

Abstract

Abstract: This study aims to find out the correlation of exclusive breast- feeding and the nutrional status and development of infant aged 6-12 months old. This is an observational analytical research. The data are analyzed using bivariate analysis of ChiSquare and multivariariate logistic regression. Based on bivariate analysis, there is a significant evidence regarding the correlation between exclusive breastfeeeding and infant nutrional status, as the value is OR 21.317;95% CI 2.761-164.565. The bivariate analysis in exclusive breastfeeding and infant development shows that there is a significant evidence in exclusive breastfeeding and infant development as the value is OR 6.000; 95% CI 2.548 – 14.130.
PENGARUH JENIS PERSALINAN TERHADAP RISIKO DEPRESI POSTPARTUM Ariyanti, Ririn; Nurdiati, Detty Siti; Astuti, Dhesi Ari
Jurnal Kesehatan SAMODRA ILMU Vol 7, No 2 (2016): Jurnal Kesehatan SAMODRA ILMU - Juli 2016
Publisher : Jurnal Kesehatan SAMODRA ILMU

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Latar Belakang: Depresi postpartum sering terjadi pada masa adaptasi psikologis ibu masa nifas, walaupun insidensinya sulit untuk diketahui secara pasti namun diyakini 10-15% ibu melahirkan mengalami gangguan ini. Faktor pada saat persalinan meliputi lamanya persalinan, jenis persalinan, serta intervensi medis yang digunakan mempengaruhi depresi postpartum, anak yang memiliki ibu depresi postpartum akan memiliki gangguan prilaku, rendah fungsi berfikir, mempengaruhi kognitif dan pertumbuhan anak.Tujuan: Mengetahui pengaruh jenis persalinan terhadap risiko depresi postpartum pada ibu nifas di RSUD SlemanMetode:Jenis penelitian yang digunakan adalah survey analitik dengan rancangan kohort retrospektif. Lokasi penelitian di RSUD Sleman Yogyakarta. Populasi pada penelitian ini adalah seluruh ibu nifas yang berkunjung pada poli kebidanan dan kandungan pada bulan Oktober-Desember 2015. Jumlah sampel 110, analisa data dilakukan secara univariat, bivariat dengan uji chi-square dan multivariat dengan uji regresi logistikHasil : Kejadian risiko depresi postpartum pada ibu nifas di RSUD sleman adalah 36,3%, Jenis persalinan berpengaruh secara signifikan terhadap risiko depresi postpartum dengan nilai (OR=3,716, 95%CI 1,620-8,522), Pekerjaan berpengaruh secara signifikan terhadap risiko depresi postpartum dengan nilai (OR=2,411, 95%CI 1,084-5,366), umur, paritas, pendidikan, status ekonomi, dukungan keluarga dan status pernikahan tidak berpengaruh secara signifikan terhadap risiko depresi postpartumKesimpulan :Ibu dengan persalinan bedah sesar mempunyai peluang risiko depresi postpartum 3,716 kali lebih besar dibandingkan ibu yang persalinan pervaginam, sehingga perlu dilakukan deteksi dini untuk melihat risiko depresi postpartum pada ibu nifas agar ibu dapat segera mendapatkan asuhan yang tepat.Kata Kunci : Jenis Persalinan, Nifas, Depresi Postpartum
Pengaruh jenis persalinan terhadap risiko depresi postpartum pada ibu nifas Ariyanti, Ririn; Nurdiati, Detty Siti; Astuti, Dhesi Ari
Jurnal Kebidanan dan Keperawatan Aisyiyah Vol 12, No 2 (2016): Desember
Publisher : Universitas Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31101/jkk.304

Abstract

Abstract: This study aims to determine the effect of type of delivery onthe risk of postpartum depression in mothers postpartum in hospitalsSleman. This type of research is analytic survey with a retrospective cohortdesign. Hospital research sites in Sleman, Yogyakarta. The population inthis study are all postpartum mothers who visited the poly obstetrics andgynecology in the months from October to December 2015. The totalsample of 110, the data analysis performed univariate and bivariate withchi-square test. The results showed the incidence of the risk of postpartumdepression in mothers postpartum in hospitals sleman was 36.3%, type oflabor significantly influence the risk of postpartum depression with thevalue (OR = 3.716, 95% CI 1.620 to 8.522).
Kepatuhan antenatal care dan pemilihan penolong persalinan di Natuna Juana, Sri; Nurdiati, Detty Siti; Triratnawati, Atik
Berita Kedokteran Masyarakat (BKM) Vol 32, No 12 (2016)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.7239

Abstract

Compliance of antenatal care and election of birth helpers in NatunaPurposeThis study aimed to determine the association of ANC (Antenatal care) compliance with birth attendant choice in Natuna.MethodsThis study used a cross-sectional method. The subjects of the research were mothers in Natuna regency 2014. The variables were: independent variable (ANC compliance), the dependent variable (the birth attendant choice), and the control variables (age, maternal education, distance to the health facilities, parity). Data collection used questionnaires and interviews. The data analysis used descriptive and inferential analysis. The bivariable analysis used the chi-square test and multivariable analysis used logistic regression test with 95% of confidence interval (CI) and a significance level of p <0.05.ResultsBivariable and multivariable analysis showed significant correlations between ANC compliance with birth attendant choice. Pregnant women who did not comply doing ANC according to the standard that has been set at least four times had a chance two times more likely to give birth with the traditional birth attendant (TBA) than the pregnant women who complied to implement the ANC during pregnancy. Mothers with low education had a chance two times greater of choosing the TBA as birth attendant than women who are highly educated. Mothers with parity of >2 had a chance 1.9 times greater of choosing the TBA as birth attendant than women with parity ≤2.ConclusionsThere needs to be a control program from the health department working with community health workers to socialize awareness of the importance of the ANC. There needs to be the addition of TBA who are trained and partnered especially in remote areas because it cannot be denied there are still many people who choose TBA as a birth helper. 
Effectiveness of Effleurage and Counter-Pressure Massages in Reducing Labor Pain Santiasari, Retty Nirmala; Nurdiati, Detty Siti; Lismidiati, Wiwin; Saudah, Noer
Health Notions Vol 2 No 7 (2018): July 2018
Publisher : Humanistic Network for Science and Technology (Address: Cemara street 25, Ds/Kec Sukorejo, Ponorogo, East Java, Indonesia 63453)

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

labor. Effects of labor pain includes inflammation in uterus and labor dystocia. Effleurage and counter-pressure massage were complementary treatment to relieve pain. This study aimed to analyze effectiveness of effleurage and counter-pressure massages for reducing labor pain in stage 1 of active labor phase. This study used quasi experiment design with pre-post test non-equivalent control group. Research subjects were 68 mothers in stage 1 of active labor phase, which were divided evenly to two groups. Sampling collection technique used consecutive sampling. Independent variables were effleurage and counter-pressure, while dependent variables were decline of labor pain. Instrument to assess labor pain was Numeric Rating Scale (NRS). Data were analyzed using Wilcoxon and Mann Whitney. Labor pain before and after intervention in effleurage group were 9.26±1.05 and 6.88±1.22, respectively (p=0.00). Meanwhile, the respective numbers in counter-pressure groups were 9.00±0.98 and 6.59±1.28 (p=0.00). Average labor pain decline in effleurage and counter-pressure groups were 2.38 and 2.41, respectively (p=0.74). There was no significant difference between effleurage and counter-pressure in reducing labor pain. Keywords: Labor pain, Effleurage, Counter-pressure
ASI eksklusif berhubungan dengan perkembangan bayi di Kecamatan Gading Cempaka Kota Bengkulu ., Kamsiah; Nurdiati, Detty Siti; Huriyati, Emy
Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics) VOLUME 1, NOMOR 1, JANUARI 2013
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/ijnd.2013.1(1).39-43

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ABSTRACTBackground: Malnutrition is a major problem in Indonesia nowadays. Malnutrition will affect the quality of human resources in the future. Age of 7–12 months is a critical and golden period for the process of child development. Early complementary breastfeeding is one of causes the prevalence child development disorder.Objective: To fi nd out the relationship between exclusive breastfeeding and the development of infants 7–12 months old at the Health Center at Jalan Gedang, Sub District of Gading Cempaka, Bengkulu Municipality.Method: This observational study used cross sectional design. There were as many as 75 samples of infants 7–12 months old taken using cluster random sampling. Data of breastfeeding were obtained from questionnaires, data of development were obtained from questionnaires with pre-screening development format. Data analysis used chi square and logistic regression statistical test.Result: There was signifi cant relationship between exclusive breastfeeding and infant development (p&lt;0.05). There was signifi cant relationship between birth weight and infant development (p&lt;0.05). There was no signifi cant relationship between method of childbirth, education of mothers, mothers’ occupation, family income and infant development (p&gt;0.05). The result of multivariable analysis showed that birth weight was a predictor of infant development (OR= 5.231).Conclusion: There was signifi cant relationship between exclusive breastfeeding and the development of infants of 7–12 months old. Birth weight was a dominant factor related to the development of infants of 7–12 months old.KEYWORDS:exclusive breastfeeding, infant developmentABSTRAKLatar belakang: Malnutrisi menjadi masalah utama di Indonesia yang akan berpengaruh terhadap kualitas sumber daya manusia pada masa yang akan dating. Usia 7-12 tahun merupakan masa kritis dan masa keemasan bagi perkembangan anak. Pemberian MPASI (makanan pendamping ASI) yang terlalu dini merupakan salah satu penyebab gangguan perkembangan bayi.Tujuan: Untuk mengetahui hubungan antara ASI eksklusif dengan perkembangan bayi di Puskesmas Jalan Gedang Kecamatan Gading Cempaka Kota Bengkulu.Metode: Jenis penelitian ini adalah observasional menggunakan rancangan cross sectional. Jumlah sampel adalah 75 bayi berusia 7-12 bulan yang dipilih menggunakan simple random sampling.Data diperoleh melalui kuesioner dan wawancara, kemudian dianalisis menggunakan uji Chi Square dan regresi logistik dengan confi dence interval (CI) 95%.Hasil: Ada hubungan bermakna antara ASI eksklusif dengan perkembangan bayi dan antara berat badan lahir dan perkembangan bayi (p&lt;0.05), namun tidak ditemukan hubungan antara metode persalingan, pendidikan ibu, pekerjaan ibu, dan pendapatan keluarga dengan perkembangan bayi (p&gt;0,05). Hasil analisis multivariat menunjukkan bahwa berat badan lahir merupakan prediktor perkembangan bayi (OR=5,231).Kesimpulan: Ada hubungan bermakna antara ASI eksklusif dengan perkembangan bayi 7-12 bulan. Berat badan lahir  merupakan faktor dominan yang berhubungan dengan perkembangan bayi 7-12 bulan.KATA KUNCI: ASI eksklusif, perkembangan bayi