Obesitas sebagai Faktor Risiko Terjadinya Premenstrual Syndrome pada Mahasiswa Akademi Kebidanan Pemerintah Kabupaten Kudus

Background: Emotional changes and physical disorders at premenstrual period are common among reproductive- age females. The problem might lead to decrease inworking productivity and ininterpersonal problems. Obese females (BMI> 30) are at higher risk of experiencing premenstrual syndromes. A preliminary study at Midwifery Academy in Kudus District had revealed the overweight and obesity prevalence of 13.72% and 11.87%. The figures were higher than the predicted obesity prevalence of 4.7% in the year 2000.Aim: The study was conducted to identify the relationship between body mass index and premenstrual syndrome.Methods: Cross sectional research was conducted to collect data from 371 students from Midwifery Academy in Kudus District. Univariate analysis was used to describe the frequency distribution. Bivariate analysis using chi-square for trend and chi square tests, as well as multivariate analysis with applied logistic regression model were used to assess the association between risk factors and premenstrual syndrome.Result: The chi-square for trend test showed odds ratios for premenstrual syndrome of 1.72 (95%CI=0.84-3.57), 3.96 (95%CI=1.62-9.80), and 9.78 (95%CI=3.53-27.94) among normal, overweight and obese students, respectively. There were odds ratios of 1.08 (95%CI=0,63-1,86) and 2.66 (95% CI=1,24-5,76) in middle adult women and older adult women, respectively. Contraceptive USAge and stress level were also identified as significant factors of premenstrual syndrome. Logistic model using age, contraceptive USAge and stress levelmade the best model in showing significant relationships between BMI and stress level and premenstrualsyndrome.Conclusion: There was a significant relationship between body mass index and premenstrual syndrome, and obesity is a risk factor of premenstrual syndrome

Paramater on Maternal Delivery Referral Process

Introduction: The rate of maternal mortality in Indonesia according to 2002–2003 Indonesian Demographic and Health Survey (IDHS) was 307 per 100,000 live births. The direct causes of maternal deaths, among others, are prolonged labor, hemorrhage, infection, and preeclampsia. Referral system includes referring responsibility to better facilitated healthcare sites to obtain more adequate services. However, maternal referral process in Banjar District still faces some problems such as referral health providers with inadequate skills of handling emergency cases, insufficient means of transportation, and no referral letter or partograph. Usually, when referred, the pregnant woman is only accompanied by her family so that she is brought to the referral site without being equipped with infusion. The objective of the study was to evaluate the parameter of maternal delivery referral in Ratu Zalekha Martapura District Hospital. Method: This study used observational study with a cross-sectional study design using quantitative and qualitative approaches. Samples were 107 delivering women referred to hospitals selected with non probability sampling. Data were analyzed with Chi-square (χ) and logistic regression test. Result: Quality maternal referral process resulted in healthy women 78.8%. Post delivery women's health was greater in quality maternal referral process (RP = 2.1; 95% CI = 1.28–3.52). Normal delivery had an opportunity towards post delivery women's health (RP = 1.6; 95% CI = 1.13–2.20). In addition, time needed to reach the referral sites and referral birth attendants were significantly associated with maternal referral process (p = 0.002 and p = 0.002). Meanwhile, women's condition when referred was insignificant statistically. Discussion: Quality maternal referral process could likely improve post delivery women's health.Normal delivery affected the women's health condition

Analisis Distribusi Spasial Kematian Ibu di Kabupaten Banjarnegara Tahun 2011 – 2013

Latar Belakang: Ketersediaan fasilitas kesehatan sudah cukup merata di hampir semua wilayah Kabupaten Banjarnegara. Selain itu pencapaian target kegiatan program KIA selalu meningkat setiap tahunnya. Akan tetapi angka kematian ibu masih menjadi masalah di Kabupaten Banjarnegara. Tujuan: Mengetahui gambaran spasial kematian ibu di Kabupaten Banjarnegara dan hubungan faktor risiko yang mempengaruhinya khususnya yang terkait dengan aksesibilitas fasilitas kesehatan. Metode: Jenis penelitian analitik dengan menggunakan desain kasus kontrol, mempelajari distribusi kasus kematian ibu dengan menggunakan SIG. Populasi penelitian adalah seluruh kasus kematian ibu dan ibu pasca melahirkan yang tidak meninggal di Kabupaten Banjarnegara dari tahun 2011 sampai 2013. Sampel berjumlah 108 terdiri dari 54 kasus dan 54 kontrol. Analisis spasial menggunakan Average Nearrest Neighbor. Analisis data bivariat menggunakan uji Chi-Square dan analisis multivariat menggunakan uji Regresi Logistik serta besar risiko menggunakan Odds Ratio. Hasil: Kasus kematian ibu dan fasilitas kesehatan memiliki pola menyebar. Perhitungan statistik menunjukkan bahwa pendapatan memiliki hubungan (OR=4,59;p=0,00), domisili tidak memiliki hubungan (p=0,43) dan jarak memiliki hubungan tetapi sebagai faktor protektif (OR=0,32;p=0,01). Kesimpulan: Kasus kematian ibu dan fasilitas kesehatan menyebar rata tidak mengelompok. Tingkat ekonomi memiliki hubungan dengan kematian ibu. Domisili tidak memiliki hubungan dengan kasus kematian ibu. Jarak fasilitas kesehatan memiliki hubungan dengan kasus kematian ibu tetapi sebagai faktor protektif (pelindung). Rujukan terpusat pada rumah sakit umum daerah

Aktivitas Fisik dan Konsumsi Camilan pada Remaja Obesitas

Tujuan: Penelitian ini untuk mengetahui adanya perbedaan aktivitas fisik dan konsumsi camilan pada remaja obesitas di desa dan kota di Bantul.Metode: Penelitian ini menggunakan rancangan penelitian case control, dengan populasi remaja sekolah menengah atas (SMA) negeri di Kabupaten Bantul. Kasus adalah remaja yang didiagnosis obesitas pada tahap skrining, sedangkan kontrol adalah remaja dengan berat badan normal. Analisis data meliputi univariabel yang menyajikan distribusi frekuensi, bivariabel dengan uji chi-square dan uji-t dan mulitivariabel dengan uji regresi logistik.Hasil: Remaja dengan aktivitas fisik ringan memiliki peluang hampir 5 kali lebih besar mengalami obesitas dibandingkan remaja dengan aktivitas fisik sedang (OR 4,96 (CI 95%:2.14 -11.63). Hubungan antara jenis camilan dan obesitas juga memiliki hubungan yang bermakna secara statistik dan praktis, yaitu obesitas banyak di temukan sebanyak 2 kali lebih besar pada remaja dengan konsumsi camilan goreng dibandingkan dengan remaja yang mengkonsumsi camilan non goreng.Kesimpulan: Terdapat perbedaan rerata berat dan asupan camilan pada remaja obesitas dan non obesitas. Aktivitas fisik ringan, frekuensi camilan tinggi, jenis camilan gorengan, berat camilan dan asupan camilan tinggi berpeluang lebih besar meningkatkan obesitas remaja

Faktor yang Memengaruhi Partisipasi Ibu Hamil Melakukan Skrining HIV di Puskesmas YOGYAKARTA

Factors affecting pregnant women's participation in HIV screening test in public health care centers of YogyakartaPurposeThis study aimed to explore the behavioral factors that influence pregnant women's participation in HIV testing in public health centers of Yogyakarta. MethodsThis research used quantitative and qualitative methods with a quantitative analytical descriptive design and cross-sectional observational approach to determine any association between independent variables and the dependent variable. Qualitative in-depth interviews were conducted to support the results of the quantitative research. ResultsResults showed 92.94% of respondents had been HIV tested with an average age of 25-34 years. Almost all pregnant women had an HIV test in a clinic although not all mothers have the knowledge, perceived susceptibility, perceived severity, and perceived benefits. While the exposure information, and support of health workers were high, and there was a perception of low resistance, since the HIV test is a test done by health workers and an initiative of the government program. ConclusionThis study recommends that counseling and information on HIV and HIV testing from health workers and support from related agencies are needed. Subsequent research could examine factors that affect healthcare workers' performance in providing education to health-care users

Kekerasan dalam Pacaran dan Kecemasan Remaja Putri di Kabupaten Purworejo

Background: Gender-based violence in Indonesia is that many cases occur. Since 1998,violence in dating the Rifka Annisa Women's Crisis Center is a case of the second largest afterthe violence against wives. Emotional violence in dating can lead to psychological effects, andone of the psychological effect is the occurrence of anxiety. Anxiety itself can causepsychological effects. The aimof the research to determine the relationship between violence onanxiety in dating young women in Purworejo District.Methods: Cross Sectional study design to girls at SMK SMAN 3 and 6 of Dating Violence (KDP)in Purworejo District 120.Results: The Violence of the most experienced young women is sexual violence because ofbeing kissed forcefully by 34.71%. Physical violence from being hit by 30.83%. Violenceeconomy because without the willingness to buy credit for as much as 25.83% and 17.50%experienced emotional abuse because they feel insulted about the treatment the couple whomake it a laughing stock. Age has an effect on anxiety, where anxiety is more risky in womenwho experience sexual violence against a background of 14-16 years of middle age.Conclusion: There was a significant association between dating violence and anxiety in youngwomen in Purworejo District (p=0,0014 RP= 3,1 dan 95% CI=1,5-6,3)

PENGARUH ANC TERHADAP KEJADIAN BBLR WILAYAH INDONESIA BAGIAN TIMUR (ANALISIS DATA IFLS EAST 2012)

Latar Belakang: Bayi berat lahir rendah (BBLR) menjadi masalah kesehatan masyarakat yang penting secara global dan memiliki efek jangka pendek dan jangka panjang. Pada tahun 2013, satu dari sepuluh bayi di Indonesia dilahirkan dengan BBLR. ANC yang berkualitas diharapkan mampu mengurangi kejadian BBLR. Metode: Penelitian observasional analitik dengan desain cross-sectional dan dianalisis secara kohort retrospektif. Analisis Chi Square dan logistik regresi akan digunakan untuk menganalisis besar pengaruh ANC terhadap berat lahir. Hasil: Prevalensi BBLR Indonesia Timur adalah 11,5%. Analisis multivariabel membuktikan, setelah mengendalikan faktor lain terdapat pengaruh ANC pada BBLR-preterm, akan tetapi tidak terdapat pengaruh pada BBLR-term. Risiko untuk BBLR-preterm lebih besar pada ibu hamil dengan ANC tidak berkualitas dengan OR 95% 12,77 (2,40-68,07). Kesimpulan: Pengaruh kualitas pelayanan perawatan kehamilan berbeda pada BBLR-term dan preterm yaitu terdapat hubungan yang signifikan dengan BBLR-preterm tetapi tidak terdapat hubungan yang signifikan dengan BBLR-term. Kata Kunci: BBLR, ANC, IFLS EAST 201