Susiarno, Hadi
Dep/SMF Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran

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Knowledge and Attitude as Factors Affecting Regularity of Antenatal Care Visits Titania, Titania; Setiawati, Elsa Pudji; Susiarno, Hadi
Althea Medical Journal Vol 5, No 3 (2018)
Publisher : Althea Medical Journal

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15850/amj.v5n3.506

Abstract

Background: Maternal mortality ratio and infant mortality rate in Indonesia are still high and far from the Millennium Development Goals target. One of the solutions is by making regular antenatal care visits. Factors affecting antenatal care are knowledge and attitude. This study aimed to analyze the influence of knowledge and attitude about antenatal care toward regularity of antenatal care visit.Methods: This analytic study was conducted by using the rapid survey through cross-sectional approach. The study population was pregnant women in Cipacing Village, Jatinangor Sub-district, with 55 samples. Questionnaires were distributed to evaluate the knowledge and attitude, and Kartu Menuju Sehat observation was conducted to investigate antenatal care visit.Results: Out of 55 respondents, 26 had good knowledge, 25 had fair knowledge, and 4 had poor knowledge. Only 13 respondents had a good attitude level, while 42 had fair attitude, and none with poor attitude. As many as 46 respondents did antenatal care visits regularly, while 9 did not. Logistic regression analysis showed that knowledge and attitude had no significant influence towards regularity of antenatal care visit, with influence only approximately 2%. Conclusions: Knowledge, attitude, and regularity of antenatal care among respondents are good enough. Knowledge and attitude are not the dominant factors that affect the regularity of antenatal care visit. Thus a further study is needed to identify the other factors. 
LAPORAN KASUS: Eksensefali sebagai Salah Satu Komplikasi Amniotic Band Syndrome Sri Prajanta Putri, Dewi Maharsita; Susiarno, Hadi; Handono, Budi
Indonesian Journal of Obstetrics & Gynecology Science Volume 1 Nomor 1 Maret 2018
Publisher : Dep/SMF Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran

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AbstrakAmniotic band syndrome(ABS) merupakan kelainan non genetik dengan spektrum luas dari  konstriksi dan amputasi sederhana pada jari ekstremitas hingga kelainan kraniofasial mayor hingga defek visera bahkan kematian. Beberapa laporan kasus menyebut anensefali merupakan contoh defek kraniofasial yang dihubungkan dengan ABS. Sonografi membantu diagnosis eksensefali sebagai kondisi peralihan menuju kondisi terminal anensefali sebagai kondisi yang lebih sering ditemukan yaitu kondisi otak janin sudah habis teresorbsi oleh cairan serebrospinal. Fetus dengan eksensefali tidak dapat bertahan hidup, sebagian besar berakhir dengan abortus, intrauterine fetal death dan stillbirth sehingga jika terdeteksi perlu dipertimbangkan untuk dilakukan terminasi kehamilan. Berdasar laporan kasus persalinan spontan Bracht di kamar bersalin RS Hasan Sadikin pada 1 Desember 2016, Ny RA 33 tahun, G3P1A1 gravida 30-31 minggu, letak sungsang, eksensefali, anemia. Pada laporan kasus ini ditemukan membran amniotik berfusi dengan kranium bayi dan absennya tulang tengkorak pada tempat perlekatan membran amnion.  Eksensefali pada kasus ini diperkirakan diawali oleh residu selaput korion berupa jaringan fibrosa yang membentang cavum korionik dan menekan kranium sehingga migrasi membran neurokranium tergganggu dan berakhir dengan akalvaria. Ekstremitas yang berkembang sempurna namun cacat pada beberapa segmen terutama tempat perlekatan membran amnion dan kranium  sesuai letak kejadian cincin konstriksi mendukung teori Torpin. Kata kunci: amniotic band syndrome; acrania Exencephaly as One of Amniotic Band Syndrome ComplicationAbstractAmniotic Band Syndrome includes a spectrum of non-genetic anomalies, varying from simple digital band constriction to major craniofacial and visceral defects, and even fetal death. Anencephaly represents the most common neural tube defect. Sonographic as well as pathologic evidence points to a close link between exencephaly (also frequently referred to as “acrania”) and anencephaly. It has been proposed that the brain tissue of exencephalics may gradually degenerate due to the exposure to amniotic fluid in combination with mechanical trauma. ABS is an aetiological factor in exencephaly. Appropriate counselling for affected families needs to be given after prenatal diagnosis. Based on medical report Mrs RA 33 years old , G3P1A1 30-31 weeks of pregnancy, breech presentation, exencephaly, anemia that delivered her baby on Delivery Room Hasan Sadikin General Hospital at December 1,2016.Amniotic membrane found  fused with fetal cranium and on its attachment found that the cranium was absent (acrania) In the case reported here, the amniotic membrane was well fused to the scalp, and skull bones were absent on the site of attachment of the amniotic membrane. This case supports Torpin’s hypothesis of early amnion rupture, with failure of the cranial bones to develop at the site of attachment of the amniotic band as “early amnion disruption sequence.”. The fibrous strands would entangle and entrapped the fetal head, resulting in faulty migration of the membranous neurocranium which leads to exencephaly on this case. Keywords: Amniotic band syndrome; exencephaly
Karakteristik Ibu Hamil dengan HIV/AIDS di RSUP Dr. Hasan Sadikin Bandung Periode 2014 ̶ 2016 Putra, Romy Ade; Susiarno, Hadi; Rachmawati, Anita; Nurdiawan, Windi
Indonesian Journal of Obstetrics & Gynecology Science Volume 1 Nomor 2 September 2018
Publisher : Dep/SMF Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran

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AbstrakTujuan: Untuk mengetahui karakter HIV/AIDS selama kehamilan di Rumah Sakit  Dr. Hasan Sadikin Bandung sejak Januari 2014 sampai Desember 2016.Metode: Studi retrospektif terhadap HIV/AIDS selama kehamilan di Klinik Rawat Jalan Teratai di Rumah Sakit Dr. Hasan Sadikin Bandung, dengan mengumpulkan data dari rekam medis pasien baru mulai bulan Januari 2014 sampai Desember 2016. Ciri khasnya adalah usia, pekerjaan, tingkat pendidikan, cara transmisi, tempat tinggal, status perkawinan dan sejarah pengobatan anti retroviral.Hasil: Terdapat 102 kasus wanita hamil dengan HIV/AIDS sejak Januari 2014 sampai Desember 2016. Sebagian besar kasus ditemukan pada usia 30-39 tahun, 63 kasus (61,8%). 69 (67,6%) pasien adalah ibu rumah tangga. Sebanyak 55 (53,9%) pasien telah menyelesaikan sekolah menengah atas. Sebagian besar kasus adalah transmisi heteroseksual 95 (93,13%) dan 96 (94,1%) pasien sudah menikah.Kesimpulan: Terdapat perubahan karakteristik wanita hamil dengan infeksi HIV / AIDS  di Rumah Sakit Dr.Hasan Sadikin Bandung.Kata kunci: HIV/AIDS, kehamilanAbstractObjective: To find the characterics of HIV/AIDS during pregnancy in Dr. Hasan Sadikin Hospital Bandung since January 2014 to December 2016.Method: Retrospective study of HIV/AIDS during pregnancy in Teratai Outpatient Clinic of Dr.HasanSadikin Hospital Bandung, by collecting data from the medical record of new patients from January 2014 to December 2016. The characteristics are age, occupation, education level, mode of transmission, residence, marital status and history of anti retroviral treatment.Result: there are 102 cases of pregnant women with HIV/AIDS since January 2014 to December 2016. The most cases are found in 30-39 years old, 63 cases (61.8%). 69 (67.6%) patients are housewife. 55 (53.9%) patients had completed senior high school. The most cases are heterosexual transmission 95 (93.13%). 96 (94.1%) patients are married.Conclusion: There are changes in characteristics of pregnant women with  HIV infection /AIDS  in Dr.Hasan Sadikin Hospital Bandung.Key words: HIV/AIDS,  pregnancy
Pengaruh Penerapan Aplikasi Sayang ke Buah Hati (SEHATI) terhadap Pengetahuan Ibu dan Aktivitas Fisik pada Anak Sekolah Dasar Kamila, Nurul Auliya; Susiarno, Hadi; Gurnida, Dida Akhmad; Afriandi, Irvan; Garna, Herry; Djuwantono, Tono
Global Medical & Health Communication (GMHC) Vol 5, No 2 (2017)
Publisher : Faculty of Medicine Universitas Islam Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29313/gmhc.v5i2.2367

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Aktivitas fisik yang tidak cukup adalah 1 dari 10 faktor risiko utama kematian di seluruh dunia karena merupakan faktor risiko utama penyakit tidak menular seperti penyakit kardiovaskular, kanker, dan diabetes melitus. Aplikasi Sayang ke Buah Hati (SEHATI) adalah media informatif yang merupakan panduan bagi ibu dalam meningkatkan pengetahuan dan panduan tentang aktivitas fisik yang benar pada anak usia sekolah dasar yang dikemas dalam bentuk animasi bergerak, warna menarik, dan sistem pengingat waktu/reminder. Dilakukan penelitian quasi experiment dengan pretest-postest with control group design untuk menganalisis pengaruh aplikasi SEHATI terhadap pengetahuan ibu dan aktivitas fisik pada anak usia sekolah dasar selama Januari 2017. Subjek penelitian ibu yang memiliki anak usia sekolah dasar berusia 8−12 tahun di SDIT Uchuwwatul Islam Kota Bandung sebanyak 60 orang yang terbagi dalam 2 kelompok, yaitu kelompok intervensi menggunakan aplikasi SEHATI dan kelompok kontrol tidak diterapkan. Pengambilan sampel berdasar atas teknik proportionate stratified random sampling. Pengujian statistik menggunakan uji chi-square dengan kemaknaan p<0,05. Hasil penelitian menunjukkan tidak terdapat perbedaan karakteristik responden pada kedua kelompok meliputi usia, pendidikan, pekerjaan, dan paritas. Karakteristik ibu pada kelompok intervensi dan kontrol didominasi oleh usia 30−39 tahun, berpendidikan menengah (SMA, SMP), tidak bekerja, dan paritas multipara. Persentase peningkatan skor pengetahuan pada kelompok intervensi lebih baik daripada kelompok kontrol (25% vs 19%; p=0,001). Skor aktivitas fisik anak peningkatannya lebih baik pada kelompok intervensi (78% vs 61%; p=0,602). Simpulan, aplikasi SEHATI berpengaruh dalam meningkatkan pengetahuan ibu dan aktivitas fisik anak usia sekolah dasar.THE EFFECT OF AFFECTIONATE TO BABY (SEHATI) APPLICATION ON MOTHER'S KNOWLEDGE AND PHYSICAL ACTIVITY IN PRIMARY SCHOOL AGE CHILDRENThe lack of physical activity is one of the 10 major risk factors of death in the world, it is major risk factors for non-communicable diseases such as cardiovascular diseases, cancer, and diabetes mellitus. Affectionate to Baby (SEHATI) application is informative media which is a guide for mothers in improving the knowledge and guidance on the correct physical activity in children of primary school age are packaged in the form of moving animations, exciting colors, and the system time reminder. A quasi experiment with pretest-posttest control group design was conducted to analyze the effect of the SEHATI application toward knowledge mother and physical activity in school age children during January 2017. The subjects of this research were 60 mothers who have primary school age children as well as those aged 8−12 years in SDIT Uchuwwatul Islam Bandung. The respondent were divided into two groups the intervention group and the control group. The sampling based on proportionate stratified random sampling. The statistical test using chi square test with the significance of test results is determined by the value of p<0.05. The results showed there were no differences in the characteristics of respondents in both groups, including age, education, occupation, and parity. Characteristics of mothers in the intervention and the control group was dominated by the age of 30−39, secondary education (high school, junior high school), not working, and parity multiparous. The percentage increase of knowledge score in the intervention group was better than the control group 25% vs 19%, p=0.001. Percentage increase of the children's physical activity score in the intervention group was better than the control group 78% vs 61%, p=0.602. Conclusion, SEHATI application is influential in increasing the knowledge of the mother and the physical activity of children of primary school age.
Pengaruh Kinesio Taping terhadap Intensitas Low Back Pain pada Kehamilan Trimester Tiga Dewi, Mira Dyani; Anwar, Anita Deborah; Sasotya, R. M. Sonny; Zulkarnain, Rachmat; Krisnadi, Sofie Rifayani; Purwara, Benny Hasan; Susiarno, Hadi
Indonesian Journal of Obstetrics & Gynecology Science Volume 2 Nomor 1 Maret 2019
Publisher : Dep/SMF Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran

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AbstrakTujuan: Penelitian ini adalah untuk menganalisis karakteristik pasien Low Back Pain (LBP), menganalisis perbedaan penurunan intensitas LBP dan keterbatasan aktivitas pada kelompok yang diberikan kinesio taping dan parasetamol dengan kelompok yang diberikan parasetamol Metode : Penelitian ini adalah penelitian kuantitatif dengan desain eksperimental dengan melakukan uji klinis  metode Pretest-Posttest Control Group Design yang dilakukan dengan menilai sebelum dan setelah perlakukan pada kelompok kontrol dan intervensi. Hasil : Penelitian didapatkan perbedaan penurunan intensitas nyeri  Numeric Rating Scale (NRS) yang bermakna pada kelompok kontrol dan intervensi sebesar 33,3% dan 60% dengan nilai p<0,001  dan perbedaan penurunan keterbatasan aktivitas Rolland Morris Disability Questionaire (RMDQ) yang bermakna pada kelompok kontrol dan intervensi sebesar 25,0% dan 55,6% dengan nilai p<0,001. Kesimpulan : Terdapat perbedaan penurunan intensitas LBP dan  keterbatasan aktivitas yang bermakna pada kelompok yang mendapatkan intervensi kinesio taping dibandingkan dengan kelompok kontrol yang tidak mendapatkan kinesio taping Kata kunci : kinesio taping, low back pain dalam kehamilan, keterbatasan aktivitas, numerical rating scale (NRS), Rolland Morris Disability Questionnaire (RMDQ)AbstractObjective : This research aims to analyze the characteristics patient who suffer LBP and to analyze the differences in LBP intensity and activity limitations in the groups that given kinesio taping and paracetamol with groups that given paracetamol only.Method: This research is quantitative research by conducting clinical test of Pretest-Posttest Control Group Design method which is done by assessing before and after treatment in control and intervention group. Result : The results showed significant difference in pain intensity Numeric Rating Scale (NRS) in control and intervention group by 33.3% and 60% with p <0.001 and significant difference in activity limitation Rolland Morris Disability Questionaire (RMDQ) in control and intervention group by 25.0% and 55.6% with p value <0.001. Conclusion : This research conclusion there was a significant differences in decreasing LBP intensity activity limitations in the group receiving the kinesio taping intervention compared with the control group who did not receive kinesio taping Key words : kinesio taping, low back pain in pregnancy, activity limitation, numerical rating scale (NRS), Rolland Morris Disability Questionnaire (RMDQ)
Faktor-faktor yang Mempengaruhi Perempuan Usia Reproduksi dalam Mencari Bantuan Penanganan Inkontinensia Urin di Rumah Sakit Hasan Sadikin Bandung Gazali, Indra; Purwara, Benny Hasan; Armawan, Edwin; Effendi, Jusuf Sulaeman; Handono, Budi; Susiarno, Hadi
Indonesian Journal of Obstetrics & Gynecology Science Volume 2 Nomor 1 Maret 2019
Publisher : Dep/SMF Obstetri & Ginekologi Fakultas Kedokteran Universitas Padjadjaran

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AbstrakTujuan: Inkontinensia urin merupakan kondisi yang sering dialami wanita. Meskipun demikian, hanya kurang dari setengah wanita dengan gejala tersebut yang berkonsultasi ke dokter mengenai inkontinensia, dan faktor penentu dalam pengobatan tidak dipahami dengan baik. Penelitian ini bertujuan untuk mengetahui dan menganalisis apakah faktor pengetahuan, budaya, pendidikan, dan penghasilan memengaruhi pasien inkontinensia urin tidak berobat ke rumah sakit, serta mengetahui faktor yang paling dominan dan alasan-alasan pasien inkontinensia urin tidak berobat ke rumah sakit.  Metode: Jenis penelitian ini adalah metode kombinasi (mixed methods) dengan desain penelitian cross sectional atau potong lintang. Sampel pada penelitian ini berjumlah sebanyak 70 pasien menderita inkontinensia urin. Adapun pasien yang diwawancarai adalah sebanyak 10 orang pasien atau informan. Hasil: Penelitian kuantitatif pada variabel faktor pendidikan dan faktor penghasilan, hasil analisis Kolmogorov test terlihat nilai P>0.05. Pada variabel faktor pengetahuan dan faktor budaya, hasil analisis Kolmogorov test terlihat nilai P<0.05 Kesimpulan: Penelitian kuantitatif dari empat faktor yang berpengaruh adalah variabel faktor pengetahuan dan budaya, sedangkan yang paling berpengaruh adalah variabel faktor budaya, Pada hasil penelitian kualitatif diketahui bahwa faktor pengetahuan dan budaya paling banyak berpengaruh, hal ini dikarenakan pengetahuan responden tentang inkontinensia urin sangat kurang serta rasa malu pada diri responden apabila ada orang lain yang mengetahui mengenai inkontinensia urin yang dideritanya. Kata kunci : Inkontinensia urin, faktor pengetahuan, faktor budaya, faktor pendidikan, faktor penghasilan. AbstractObjective: Urinary incontinence is a highly prevalent and burdensome condition among women. However, fewer than half of women with symptoms talk to a physician about incontinence. The factors, including knowledge, culture, education, and income, the most dominant factor influence anf the reason  patient of urinary incontinence not to go to hospital.Method: The method used in this research is mixed methods with cross sectional research design. The sample amounted to 70 patients suffering from urinary incontinence. The patients interviewed were 10 patients / informants.Result: The quantitative research with Kolmogorov test  is known that on variable of educational and income factors, with P >0,05. The knowledge and cultural factors result with P <0,05. Conclusion: There is correlation between knowledge and eastern culture with urinary incontinence patient not treatment at polyclinic RS Hasan Sadikin Bandung, the most dominant factor influencing is the culture factor, as well as the reasons patients with urinary incontinence do not go to the hospital is due to not knowing that urinary incontinence is a disease and a shame.Key words: Urinary incontinence, knowledge factor, cultural factor, educational factor, income factor
Analisis Penyebab Kematian Maternal Di Kabupaten Garut (Studi Epidemiologi dalam Upaya Menurunkan Kematian Maternal di Provinsi Jawa Barat) Octaviani, Dhita Aulia; Husin, Farid; Wirakusumah, Firman F.; Susiarno, Hadi; Sukandar, Hadyana; Susandi, Dadan
JURNAL KEBIDANAN Vol 9, No 1 (2019): April 2019
Publisher : Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jkb.v9i1.3953

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Maternal mortality is still a problem globally and especially occur in developing countries, including Indonesia. The maternal mortality rate is one indicator of the health status of a country. Garut is one part of West Java province with the count of maternal mortality case was 45 deaths in 2015. Most of the causes of maternal death is preventable, ie factors of patients, healthcare workers, facilities, and referral. Recording and reporting of maternal deaths has not to be going well yet, so that intervention can not be set to decrease maternal mortality significantly.Research carried out by sequential explanatary mixed method. The first phase, data collection and analysis is done quantitatively, followed by collection of qualitative data in the second phase which aims to strengthen the results of quantitative research. Quantitative research using cross sectional and qualitative study using in-depth interviews and focus group discussions.The study was conducted in October-November, 2016.Based on the research showed that 96% of maternal deaths occur in Garut regency are preventable maternal deaths that caused by multifactorial, a combination of healthcare workers factors, patient factors, and referral factors. Maternal deaths are also caused by the referral process has been delayed. Besides that, recording and reporting have not been able to run well, with the availability of human resources, but the existing policy has not been adequate.Patient factors such as age, parity, and birth spacing is at risk, as well as negative perceptions of mothers and families to health facilities contributed to preventable maternal deaths. Health workers factor prefer to unqualified health workers in conducting effective communication and counseling. Access, financing, and poor communication between health professionals and patients have contributed to the occurrence of resistance in the referral process.
Asuhan Nutrisi dan Stimulasi dengan Status Pertumbuhan dan Perkembangan Balita Usia 12‒36 Bulan Ulfah, Erliana; Rahayuningsih, Sri Endah; Herman, Herry; Susiarno, Hadi; Gurnida, Dida Akhmad; Gamayani, Uni; Sukandar, Hadyana
Global Medical & Health Communication (GMHC) Vol 6, No 1 (2018)
Publisher : Faculty of Medicine Universitas Islam Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29313/gmhc.v6i1.2323

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Asuhan nutrisi dan stimulasi yang kurang memadai pada masa awal kehidupan anak, terutama anak usia 1–3 tahun berdampak pada pertumbuhan dan perkembangan yang tidak optimal. Pada usia tersebut anak tumbuh dan berkembang secara pesat. Peran orangtua dalam proses pengasuhan sangat penting, terutama dalam memenuhi kebutuhan dasar anak (asah, asuh, asih), salah satunya adalah asuhan nutrisi dan stimulasi. Tujuan penelitian ini adalah menganalisis hubungan asuhan nutrisi dan stimulasi dengan status pertumbuhan dan perkembangan balita usia 12−36 bulan. Penelitian ini menggunakan rancangan mixed method dengan strategi concurrent triangulation. Metode penelitian kuantitatif menggunakan strategi penelitian analitik cross sectional, penelitian kualitatif menggunakan strategi studi kasus. Subjek penelitian adalah 156 orang ibu dan balita usia 12–36 bulan di Wilayah Kerja Puskesmas Cibatu Kabupaten Garut. Pengambilan sampel kuantitatif dengan teknik proporsi, multistage, dan simple random sampling. Sampel kualitatif menggunakan teknik non-probability sampling dengan purposive sampling. Pengujian satatistik menggunakan uji chi-kuadrat dengan kemaknaan berdasar nilai p<0,05. Penelitian dilakukan periode 25 Januari−1 Februari 2017. Hasil penelitian menunjukkan tidak terdapat hubungan karakteristik responden dengan asuhan nutrisi dan stimulasi, meliputi usia, pendidikan, pekerjaan, penghasilan, paritas dan pengasuh, kecuali pekerjaan dan penghasilan, terdapat hubungan dengan asuhan nutrisi (p=0,048 dan p=0,01). Tidak terdapat hubungan asuhan nutrisi dengan status pertumbuhan balita (p=0,272) dan status perkembangan balita (p=0,919). Terdapat hubungan stimulasi dengan status perkembangan balita (p=0,027). NUTRITION CARE AND STIMULATION WITH GROWTH AND DEVELOPMENT TODDLERS AGES 12−36 MONTHSInadequate of nutrition care and stimulation in early childhood development, especially children aged 1−3 years, have an impact on growth and development are not optimal. At that age children grow and develop rapidly. The role of parents in the parenting process is very important, especially in meeting the basic needs of children (teaser, foster care, compassion), one of which is the care of nutrition and stimulation. The purpouse of research was to corelation of nutrition care and stimulation with growth status and development toddler ages 12−36 months. This study used a mixed method design with concurrent triangulation strategy. Quantitative research methods using cross sectional analytical research strategy, qualitative research using case study strategy. Subjects were 156 mothers and toddlers aged 12−36 months, in Community Health Center Cibatu Garut regency. Quantitative sampling technique proportions, with multistage sampling and simple random sampling, qualitative sample using non-probability sampling technique, with purposive sampling.  Chi-square test statistics with significance based on the value of p<0.05. This research done periode 25 January−1 February 2017. The results showed there was no correlation characteristics of respondents (age, education, occupation, income, parity and caregivers) with nutritional care and stimulation, but job and income relationship with the care of nutrition (p=0.048 and p=0.01). There was no correlation with the growth of nutritional care toddler (p=0.272) and the development of nutritional care toddler (p=0.919). There was a correlation with the stimulation of early childhood development (p=0.027).
KNOWLEDGE OF MIDWIVES ON IUD COUNSELING Ferina, Ferina; Purwara, Benny Hasan; Setiawati, Elsa Pudji; Susiarno, Hadi; Abdurrahman, Muniroh; Sukandar, Hadyana
The Southeast Asian Journal of Midwifery Vol 5 No 1 (2019): The Southeast Asian Journal of Midwifery
Publisher : Asosiasi Pendidikan Kebidanan Indonesia

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The evaluation of IUD contraceptive services is still lack of quality until now. Many IUD&nbsp; acceptors choose to stop use contraception because they don't accept side effects such as bleeding, and fear of interfering with sexual intercourse. Adequate information from professional health personnel, in the form of counseling, is a very important step in helping women choose the best contraceptive method and according to their needs. The purpose of this study was to determine the relationship between education level and work period of midwives to the knowledge of midwives about IUD counseling. The research method uses a quantitative approach with a crossectional design. The number of respondents was 124 midwives Public Health Center in Bandung. The sampling technique uses consecutive sampling. Measurement of IUD counseling knowledge using a questionnaire that has been tested for validity and reliability using the Rasch Model with alpha chron-bach 0.87 (Good). Data were analyzed using SPSS 20 chi-square. The results of the study found that almost all of the 96% of respondents were lack of knowledge about counseling IUDs. The chi-square analysis results did not have a significant relationship between the level of education and knowledge of IUD counseling p = 0.548 (&gt; 0.05). There is no significant relationship between the period of work with knowledge of IUD counseling p = 0.081 (&gt; 0.05). Communication and counseling have been included in the Midwifery Diploma III education curriculum, but the level of education does not have a significant relationship to the knowledge of midwives about IUD counseling. This shows that the learning process in educational institutions has not been able to produce midwives who have knowledge of IUD counseling as expected.
Mixed Juice Consumption During Labor to the Mother's Blood Lactate Levels Andriani, Rezah; Satari, Mieke Hemiawati; Hidayat, Yudi Mulyana; Husin, Farid; Nugraha, Gaga Irawan; Susiarno, Hadi; Cahyadi, Wisnu
Global Medical & Health Communication (GMHC) Vol 6, No 3 (2018)
Publisher : Faculty of Medicine Universitas Islam Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (245.136 KB) | DOI: 10.29313/gmhc.v6i3.2907

Abstract

Maternal nutritional needs aim to prevent fatigue marked by lactate accumulation. Mix juice is made for the needs of the mother's energy quickly and reduces the accumulation of lactate. The objective of this study was to find out the influence of mix juice during labor to the mother's blood lactate levels. This study used a randomized controlled trial pretest-posttest group design. This research was carried out at the Pelayanan Obstetri Neonatal Emergensi Dasar/PONED (Basic Emergency Obstetric and Neonatal Care/BEONC) Puskesmas (Public Health Center) Garuda, Puter, Pagarsih, Padasuka, and Ibrahim Aji in Bandung city in March–April 2017. The population was all mothers who gave birth in Bandung. Sampling was carried out randomization, the number of samples of 60 people in treatment and control group. The treatment group received mix juice during labor, while the control group was free to eat and drink. The result was analyzed using comparative-numerical categorical analysis test, and the mean difference was analyzed using unpaired t test. The results showed the average increased in blood lactate levels in the treatment group (1.9 mmol/L) was lower than in the control group (4.0 mmol/L). Statistically, there was a significant difference in elevated blood lactate levels after intervention between the treatment and control group. Mothers who did not receive the mix juice in labor have a risk of elevated blood lactate levels 4 times higher than the mothers who received the mix juice. Conclusion, giving mix juice to the labor process affects the prevention of maternal blood lactate levels. KONSUMSI MINUMAN MIX JUICE PADA PERSALINAN UNTUK KADAR LAKTAT DARAH IBUKebutuhan nutrisi ibu bersalin bertujuan mencegah kelelahan yang ditandai dengan akumulasi laktat. Mix juice dibuat untuk memenuhi kebutuhan energi ibu bersalin secara cepat dan mengurangi penumpukan laktat. Penelitian ini bertujuan menganalisis pengaruh pemberian mix juice terhadap kadar laktat darah ibu. Penelitian ini menggunakan desain randomized controlled trial pretest-posttest group. Penelitian dilaksanakan di Puskesmas Pelayanan Obstetri Neonatal Emergensi Dasar (PONED) Garuda, Puter, Pagarsih, Padasuka, dan Ibrahim Aji di Kota Bandung pada Maret–April 2017. Populasi penelitian adalah semua ibu yang akan melahirkan di Kota Bandung. Penarikan sampel dilakukan secara acak yang berjumlah 60 orang pada kelompok perlakuan dan kontrol. Kelompok perlakuan mendapatkan mix juice selama persalinan, sedangkan kelompok kontrol dibebaskan untuk makan dan minum. Hasil dianalisis menggunakan uji analisis komparatif kategorik numerik dan perbedaan rerata dianalisis menggunakan uji t tidak berpasangan. Hasil penelitian didapatkan rerata kenaikan kadar laktat darah pada kelompok perlakuan (1,9 mmol/L) lebih rendah dibanding dengan kelompok kontrol (4,0 mmol/L). Secara statistik terdapat perbedaan bermakna dalam kenaikan kadar laktat darah setelah intervensi antara kelompok perlakuan dan kontrol. Ibu yang tidak mendapatkan mix juice pada persalinan memiliki risiko kenaikan kadar laktat darah 4 kali lebih tinggi dibanding dengan ibu yang mendapatkan mix juice pada persalinan. Simpulan, pemberian mix juice pada proses persalinan berpengaruh terhadap pencegahan peningkatan kadar laktat darah ibu.