Jurnal Kesehatan Ibu dan Anak 2019-03-27T16:19:58+08:00 Yuni Kusmiyati Open Journal Systems The use of hormonal contraception and breast cancer 2019-02-19T15:35:39+08:00 Dwi Wahyuning Anggarini Anita Rahmawati Margono Margono <p><em>The prevalence of breast cancer continues to increase in the world, including in Indonesia. The main factor causing breast cancer is not yet known certainly. The research was conducted to determine the correlation between hormonal contraceptive use and the prevalence of breast cancer. The research design was case control. The sampling technique used purposive sampling. The number of samples was 85 cases and 85 controls. The case group was women with breast cancer at RSUP Dr. Sardjito Yogyakarta in 2017. The control group was a woman who checked herself in Obsgyn RSUP Dr. Sardjito in 2017 who was not breast cancer and other cancers. The data collected through secondary data was taken from medical records. The analysis was done using Chi-square test and logistic regression. There was a significant correlation between hormonal contraceptive use and breast cancer prevalence p-value = 0.004 OR = 2.378 (95% CI 1.2282-4.412). The use of hormonal contraception increased the risk of breast cancer prevalence by 2.378 times. Other risk factors were found at age 40 years old p-value = 0.002 OR = 2.641 (95% CI 1.416-4.925), age of menarche &lt;12 years p-value = 0.004 OR = 2.868 (95% CI 1.366-6.021), obesity p-value = 0.002 OR = 2.875 (95% CI 1.434-5.765), and nullipara p-value = 0.005 OR = 4.000 (95% CI 1.402-11.410). The suggestion was that midwives and prospective acceptors/acceptors of family planning pay attention to the risk factors for hormonal contraceptive use on breast cancer prevalence and other risk factors that affected breast cancer.</em></p> 2019-01-04T22:45:41+08:00 ##submission.copyrightStatement## Influence of kegel exercise on duration of healing perineal to women postpartum 2019-02-19T15:29:37+08:00 Etik Khusniyati Heni Purwanti <p><em>Perineum could stitch could cause discomfort and pain impact turn</em><em>ed</em><em> into pathological</em><em> rapidly</em><em>. A p</em><em>erineal injury is easily infected and therefore requires higher care and also many factors that affect healing. The research objective was to determine the effect of Kegel exercises on the duration of second degree perineal wound healing in postpartum mothers in Dinoyo Village - Jatirejo - Mojokerto. The study design used is pre-experimental design using a design Posttest-Only Design. Dependent Variables that Kegel exercises and independent variables that long recuperation perineal wounds. The population of all postpartum mothers with perineal wound degree II in Dinoyo village obtained a sample of 13 postpartum mothers taken using the consecutive technique sampling. Then do the process of editing, coding, scoring, tabulating and served with a frequency table. The results showed that nearly all respondents a long recuperation perineal wound degree II relatively fast that is 12 respondents (92,3%). The more routine Kegel exercises can be done to accelerate the process of wound recuperation of the perineal.</em></p> 2019-01-04T23:56:43+08:00 ##submission.copyrightStatement## The marriage age maturity program and the age of marriage plan in teenage girl 2019-02-20T11:46:34+08:00 Wafi Nur Muslihatun Nur Djanah <p>The Marriage Age Maturity Program (MAM) has been launched since 2006. However, until 2016 marriages at the age of adolescents were still high in Bantul Regency. This study aims to determine the relationship between knowledge about early marriage and adolescent attitudes toward MAM programs with a planned age of marriage at Sewon Bantul 2 nd Vocational School, Yogyakarta. This study is an analytical study with a cross sectional design, using a sample of 52 people with a purposive side method in first-class female students. Data was collected using a questionnaire. Data analysis using Chi Square test. The results showed that as many as 59.6% of adolescents had high knowledge about early marriage, 75% of adolescents had a supportive attitude towards maturing the age of marriage. As many as 92.3% of teens planned to get married at the age of&gt; 20 years. There was a significant relationship between the knowledge of adolescents about early marriage (p = 0.011, OR = 0.810; 95% CI = 0.658-0,996) and adolescent attitudes towards maturation of married age with married age (p = 0,000, OR = 0.692; 95% CI = 0.482-0.995). Knowledge of early marriage and adolescent attitudes towards the MAM program is a protective factor for adolescents to plans to marry &lt;20 years of age. It is recommended that adolescents increase their knowledge of early marriage and attitudes that support the MAM program as an effort to plan the age of marriage above the age of 20 years.</p> 2019-01-05T00:08:43+08:00 ##submission.copyrightStatement## Risk factors of preeclampsia 2019-02-19T15:30:46+08:00 Honesty Pujiyani Melyana Nurul Widyawati Asiswari Asiswari <p><em>Preeclampsia affects about 4% of all pregnancies and is the major cause of maternal morbidity and mortality, fetal, and neonatal worldwide. There are risk factors that lead to preeclampsia in the pregnant woman. The purpose of this study was to determine the risk factors which most influence the incidence of preeclampsia. This was an observational analytic study with case-control study design. The populations were all pregnant and postpartum mothers who were treated in RSUD dr. Soeselo Slawi from January to June 2018. Total of samples were 222 which consist of 111 cases and 111 control sample. The sampling method of the case used simple random sampling technique. Data were obtained from medical records. The analyses which used in this study were chi-square test and multiple logistic regression. The results showed there were a significant difference between the previous preeclampsia (p-value = 0,047), hypertension (p-value = 0,000), and diabetes mellitus (p-value = 0,057) in the case group and the control group. Multiple logistic regression analysis showed that hypertension is the most dominant risk factor that causes preeclampsia. Previous preeclampsia, hypertension, and diabetes mellitus are the risk factors that most influence the incidence of preeclampsia.</em></p> 2019-01-05T00:40:57+08:00 ##submission.copyrightStatement## Prevalence and risk factors for postpartum anemia 2019-02-19T15:21:48+08:00 Ika Ratna Pratiwi Sabar Santoso Heni Puji Wahyuningsih <p><em>Anemia is a major global health problem, especially in developing countries, the prevalence of postpartum anemia is in the range of 50-80%.</em><em> SDKI (2015) claimed the prevalence of anemia in Kulon Progo were 49% and prevalence of adolescent anemia were 29,95%. </em><em>&nbsp;The prevalence of postpartum anemia has not been studied as extensively as pregnancy anemia. To assess the factors related of postpartum anemia in working area of basic health Wates. Method with analitic observational research type</em><em> was used in the research</em><em>. Subject of this research were postpartum mothers wich include in this research, with consecutive sampling technique. A chi-square and a multivariate logistic regression linear model was apllied to analize the factors of postpartum anemia. 60% of mother had postpartum anemia. The risk factors of postpartum anemia were pregnancy anemia (RR:2,195;95%CI:1,369-3,518), maternal age (RR:1,894;95%CI:1,361-3,171), parity (RR:2,000;95%CI:1,020-3,922), type of birth (RR:2,195;95%CI:1,369-3,518), birth weight (RR:1,974;95%CI:1,281-3,044).</em><em> The most strongly factors with postpartum anemia were pregnancy anemia and type of birth. </em><strong><em>&nbsp;</em></strong><em>Factors relating of postpartum anemia were pregnancy anemia, maternal age, parity, type of birth, and birth weight.</em><em> The dominants factors were pregnancy anemia and type of birth. Health servicer should early screening to mother with factors of postpartum anemia to avoid postpartum anemia.</em></p> 2019-01-05T01:26:29+08:00 ##submission.copyrightStatement## The effectiveness of ginger and mint leaves decoction toward the frequency of emesis gravidarum 2019-02-19T15:34:29+08:00 Meika Jaya Rochkmana Melyana Nurul Widyawati <p><em>The pregnancy causes physical, psychological and hormonal changes of the mother. This is can cause a variety of trouble or complaints, and one of them is nausea and vomiting. Although, the emesis gravidarum is considered normal for first trimester pregnant if the frequency of nausea is excessive vomiting must be aware. Emesisgravidarum in early pregnancy can be reduced by non-pharmacological approaches including herbs such as ginger, mint, chamomile, acupuncture, and massage. The research method used is Quasy Experiment Design with Time Series Design. The study was carried out at Kesesi I Primary Health Care in Pekalongan Central Java 2018. The sampling using Purposive sampling and obtained as many as 30 respondents. The statistical test used is the Mann Whitney Test. The results of this study showed that administration before and after ginger decoction in pregnant women reduced the frequency of emesis gravidarum with an average difference of 2,333 with p-value 0,000 &lt;α (0,05). In the mint leaf group, the mean difference was 1,200 with p-value 0,000 &lt;α (0,05). This shows that both the ginger stew and mint leaves have an effect on decreasing the frequency of emesis gravidarum in pregnant women. For efficacy results obtained the decoction of ginger with a mean rank of 20.87 compared with the group of mint leaves decoction of 10.13 so it can be concluded that the ginger stew is more effective than mint leaves. </em></p> 2018-11-30T00:00:00+08:00 ##submission.copyrightStatement## Factors influencing to the incidence of teenage pregnancy 2019-02-19T15:25:56+08:00 Diana Novitadewi Budiharjo Endah Marianingsih Theresia Hesty Widyasih <p><em>highest adolescent births during the last four years compared to other districts. Teenage pregnancy has a negative impact on mother and baby. According to WHO, girls aged 10-14 years have a five times greater risk of dying in cases of pregnancy and childbirth than women aged 20-24 years. The aim of this study was to know the factors related to the incidence of teenage pregnancy in adolescent girls in Saptosari Health Center working area in 2017. This research used a cross-sectional study design. The sampling technique was purposive sampling with 67 girls in the working area of Saptosari Public Health Centre. The research instrument was in form of the questionnaire. The data were analyzed by using the Chi-Square test. Respondents in this study were at most 14-16 years old with age 11-15 year menarche and high school parent’s education level. The results of the Chi-Square test showed that factors significantly related to teenage pregnancy adolescent behavior were the level of knowledge p = 0.032 and the role of parents p = 0.036. Attitudes toward teenage pregnancy (p = 0.081) and peer roles (p = 0.100) were factors that not related to the incidence of teenage pregnancy factors influencing the incidence of teenage pregnancy among teenage girls in Saptosari. Factors related to teenage pregnancy were knowledge of teenage pregnancy and parent’s role.</em></p> 2018-11-30T00:00:00+08:00 ##submission.copyrightStatement## Clients’ satisfaction with continuity of midwifery care 2019-03-27T16:16:45+08:00 Hanifatur Rosyidah Noveri Aisyaroh <p><em>The main problem in accelerating the decline in maternal mortality is not only the service coverage, but the quality of the service needs to be given special attention. One indicator is to know the quality of service that is the level of client satisfaction toward the service provided. The purpose of this research is to find out client satisfaction while getting assistance from midwifery students. Counseling begins in the second trimester of pregnancy until the birth and newborns for about 3 months. This study is a descriptive study, which describes or describes the facts or circumstances or visible symptoms. Samples in this study were 41 trimesters III pregnant women in the area of Puskesmas Bangetayu, Semarang. Overall, the respondents are satisfied with the assistance of midwifery students in midwifery care in Puskesmas Bangetayu, Semarang. This is evident from the high percentage of satisfaction and quality of service that equally shows very satisfied and good quality. There needs to be further research on the quality of service, particularly how the care provided or how the service progresses. Assistance is done from the beginning of the trimester of pregnancy or is done since pregnancy planning.</em></p> <p><em>&nbsp;</em></p> 2018-10-31T00:00:00+08:00 ##submission.copyrightStatement## The influence of sex education video on parents’ sex education behaviors 2019-03-27T16:18:32+08:00 Eko Suryani Margono Margono <p><em>In 2014, there were 455 cases which related to the violence against children. This kind of cases mostly happened in Yogyakarta and Sleman. The chief of Yogyakarta Agency of Woman and Community Empowerment (BPPM) DIY said that the majority victims of sexual violence were girls and there were 245 cases recorded. To avoid violence and discrimination against children, it requires the involvement of all components in society. One of the efforts is to encourage families to have knowledge and skills in parenting as a preliminary step to avoid it. It is because family is the foundation for character building, moral value, and education to children. This research aims to know the relationship between sex education video and parent’s behavior of sex education at Nogosaren Elementary School. The current research used quasi-experiment pre- and post-test design with control and experimental groups. The samples of this research were 102 respondents. The average score of parent’s behavior before watching sex education video was 66,76. Meanwhile, the respondents who had watched the sex education video had an average score of 77,59. According to data analysis using a paired t-test, it was known that there was a statistically significant gap with t-test p = 0.000 (p&lt;0.05). The results of the research indicated that sex education video influenced parent’s sex education behaviors at SD N Nogosaren.</em></p> 2018-11-30T00:00:00+08:00 ##submission.copyrightStatement## The effect of lemon tea aromatherapy on emesis gravidarum reduction in primigravida trimester I 2019-03-27T16:19:58+08:00 Nike Sari Oktavia Dewi Susanti Revikha Anggalia <p><em>Emesis gravidarum is common in first-trimester pregnancy. Based on the clinical competence of midwifery found cases 86% of the first-trimester pregnant women experience emesis gravidarum. Emesis gravidarum if it can not be given the disturbance of maternal nutrition that will affect the health of mother and fetus. Management of non-pharmacological emesis gravidarum can use lemon tea aromatherapy. The purpose of this research is to know the influence of lemon tea aromatherapy on the reduction of emesis gravidarum in the first-trimester primigravida in Working Area of Pauh Health Centre in Padang 2017. This study was using pre-experiment and with one group pretest-posttest design. This study was done in August 2017 until April 2018in the work area of Pauh Health Centre. The population are first-trimester pregnant primigravida with the sample of the 16, used a technique the sample collection purposive sampling. An instrument used in is sheets of observation and a question. The analysis data consisted of univariate and bivariate using computerized with the dependent t-test. The result of research of average score of emesis gravidarum before treatment that is 4 and after treatment1. After undergone at paired simple obtained the average difference before and after treatment is 3. Ho was rejected with p-value = 0.000 &lt;0.05 it means that there is the influence aromatherapy lemon tea against the reduction of emesis gravidarum in the first-trimester primigravida. The conclusion of this study is there’s the influence of lemon tea aromatherapy on the reduction of emesis gravidarum in the first trimester of primigravida. It is hoped that this research can be an alternative for a midwife in giving nonpharmacologic therapy to reduce the emesis gravidarum complaints in the first-trimester primigravida.</em></p> 2018-11-30T00:00:00+08:00 ##submission.copyrightStatement##