P-473 Should couples be educated on how to try to conceive (TTC) before an infertility diagnosis? A comparative study of fertile, subfertile and infertile couples

2021 ◽  
Vol 36 (Supplement_1) ◽  
Author(s):  
M Martins ◽  
J Fernandes ◽  
J Pedro ◽  
A Barros ◽  
P Xavier
Keyword(s):  
Sexual Dysfunction ◽  
Relationship Quality ◽  
Marital Quality ◽  
Controlled Trial ◽  
Chi Square ◽  
Cross Sectional ◽  
Sexual Strategies ◽  
Highly Educated ◽  
Fertility Status ◽  
Fertility Treatments

Abstract Study question What sexual strategies do individuals TTC with different fertility status use?; What are the predictors of sexual dysfunction(SD) and frequency of intercourse(IF) when TTC?  Summary answer TTC strategies with no evidence of effectiveness are the most used. Poor marital quality predicted SD, and female SD was a significant predictor of IF. What is known already It is well known that couples TTC have low fecundity knowledge. Previous evidence showed that after 12 months the frequency of intercourse decreases. After seeing a fertility specialist couples report a feeling of waiting time by attempting natural conception, which can be associated to evidence of an overestimation and excessive confidence in the success of fertility treatments. Existing guidelines recommend intercourse every other day, but no comparative studies exist up to date on what sexual strategies are used in different fertility status and what are the predictors of sexual frequency and sexual dysfunction when trying to conceive. Study design, size, duration This study is part of a randomized controlled trial on the effects of timed intercourse in psychosocial outcomes. Data was collected between July 2016 and November 2019 via an advertising strategy and obstetrics/gynecology centers. Inclusion criteria were: i) adult in a marital/cohabitation heterosexual relationship >1 year; ii) not knowing of any condition that can prevent pregnancy; iii) being actively TTC; iv) female age >22<42 years old; v) no previous children. Measurements were carried out online. Participants/materials, setting, methods Our final sample had 399 subjects (252 women). Participants rated the use of the following strategies: intercourse every other day (EOD), fertile week (FW), basal temperature, cervical mucus monitoring (CMM), ovulation predictor kits (OPK), and keeping legs elevated afterwards (EL). We also accessed psychological adjustment, relationship quality, SD and IF. Comparisons between groups were made by analysis of variance (ANOVA) and Chi-square tests, and logistic regression was used to determine predictors of SD and IF. Main results and the role of chance Participants were highly educated (72,8%), in the relationship for 9 years (±5.2), cohabitating for 5 (±3.6), and TTC for 2,5 years (range 0-16). Women were 33 years old (±4.4) and men 36 (±5.5). Regarding fertility status, 22.6% of participants were TTC <12 months, 22.8% >12 months but not diagnosed, 23.6% had a diagnosis but no treatment, and 31.1% had ART.  The most reported female strategy in all groups was EL, and the most never used was OPK. Differences were found in EOD, with significantly more women TTC <12 months that never used it, and more women with previous ART using it. Women who had ART are the ones who more frequently use FW and CMM comparing to other women (P>.05). In all groups, the majority reported IF once or twice/week. SD was found in 17.5% of women and 10,9% of men. Age (OR 0.91, 95%CI 0.85-0.97) and SD (OR 2.47, 95%CI 1.02-6.02) were the only predictors of low IF for women, with no significant findings for men. Poor relationship quality increased the risk of SD for both men (OR 0.11, 95%CI 0.03-0.40) and women (OR 0.46, 95%CI 0.03-0.40), and depression increased the risk of female SD (OR 1.24, 95%CI 1.06-0.46). Limitations, reasons for caution The cross-sectional nature of this study does not allow causal relationships to be determined. Further cohort studies allowing to assess differences as couples cross different fertility status are warranted. There are important predictors of SD that were not considered, specifically the comorbidity of diseases and pain. Wider implications of the findings Findings indicate that individuals TTC are misinformed, and that those using evidence-based sexual strategies are fertility patients. SD should be screened in patients TTC given that it might be an important predictor of IF. Couples might benefit from counselling to improve marital quality and consequently sexual functioning. Trial registration number NCT028140069

P–473 Should couples be educated on how to try to conceive (TTC) before an infertility diagnosis? A comparative study of fertile, subfertile and infertile couples

2021 ◽  
Vol 36 (Supplement_1) ◽  
Author(s):  
M Martins ◽  
J Fernandes ◽  
J Pedro ◽  
A Barros ◽  
P Xavier
Keyword(s):  
Sexual Dysfunction ◽  
Relationship Quality ◽  
Marital Quality ◽  
Controlled Trial ◽  
Chi Square ◽  
Cross Sectional ◽  
Sexual Strategies ◽  
Highly Educated ◽  
Fertility Status ◽  
Fertility Treatments

Abstract Study question What sexual strategies do individuals TTC with different fertility status use?; What are the predictors of sexual dysfunction(SD) and frequency of intercourse(IF) when TTC? Summary answer: TTC strategies with no evidence of effectiveness are the most used. Poor marital quality predicted SD, and female SD was a significant predictor of IF. What is known already It is well known that couples TTC have low fecundity knowledge. Previous evidence showed that after 12 months the frequency of intercourse decreases. After seeing a fertility specialist couples report a feeling of waiting time by attempting natural conception, which can be associated to evidence of an overestimation and excessive confidence in the success of fertility treatments. Existing guidelines recommend intercourse every other day, but no comparative studies exist up to date on what sexual strategies are used in different fertility status and what are the predictors of sexual frequency and sexual dysfunction when trying to conceive. Study design, size, duration This study is part of a randomized controlled trial on the effects of timed intercourse in psychosocial outcomes. Data was collected between July 2016 and November 2019 via an advertising strategy and obstetrics/gynecology centers. Inclusion criteria were: i) adult in a marital/cohabitation heterosexual relationship >1 year; ii) not knowing of any condition that can prevent pregnancy; iii) being actively TTC; iv) female age >22<42 years old; v) no previous children. Measurements were carried out online. Participants/materials, setting, methods Our final sample had 399 subjects (252 women). Participants rated the use of the following strategies: intercourse every other day (EOD), fertile week (FW), basal temperature, cervical mucus monitoring (CMM), ovulation predictor kits (OPK), and keeping legs elevated afterwards (EL). We also accessed psychological adjustment, relationship quality, SD and IF. Comparisons between groups were made by analysis of variance (ANOVA) and Chi-square tests, and logistic regression was used to determine predictors of SD and IF. Main results and the role of chance Participants were highly educated (72,8%), in the relationship for 9 years (±5.2), cohabitating for 5 (±3.6), and TTC for 2,5 years (range 0–16). Women were 33 years old (±4.4) and men 36 (±5.5). Regarding fertility status, 22.6% of participants were TTC <12 months, 22.8% >12 months but not diagnosed, 23.6% had a diagnosis but no treatment, and 31.1% had ART. The most reported female strategy in all groups was EL, and the most never used was OPK. Differences were found in EOD, with significantly more women TTC <12 months that never used it, and more women with previous ART using it. Women who had ART are the ones who more frequently use FW and CMM comparing to other women (P>.05). In all groups, the majority reported IF once or twice/week. SD was found in 17.5% of women and 10,9% of men. Age (OR 0.91, 95%CI 0.85–0.97) and SD (OR 2.47, 95%CI 1.02–6.02) were the only predictors of low IF for women, with no significant findings for men. Poor relationship quality increased the risk of SD for both men (OR 0.11, 95%CI 0.03–0.40) and women (OR 0.46, 95%CI 0.03–0.40), and depression increased the risk of female SD (OR 1.24, 95%CI 1.06–0.46). Limitations, reasons for caution The cross-sectional nature of this study does not allow causal relationships to be determined. Further cohort studies allowing to assess differences as couples cross different fertility status are warranted. There are important predictors of SD that were not considered, specifically the comorbidity of diseases and pain. Wider implications of the findings: Findings indicate that individuals TTC are misinformed, and that those using evidence-based sexual strategies are fertility patients. SD should be screened in patients TTC given that it might be an important predictor of IF. Couples might benefit from counselling to improve marital quality and consequently sexual functioning. Trial registration number NCT028140069

HUBUNGAN ANTARA PENDIDIKAN DAN SOSIAL EKONOMI KELUARGA DENGAN STATUS GIZI BALITA DI PUSKESMAS KERAMASAN PALEMBANG TAHUN 2012

2019 ◽  
Vol 2 (1) ◽  
Author(s):  
Dini Kesumah Dini Kesumah
Keyword(s):  
Nutritional Status ◽  
World Health Organization ◽  
Health Center ◽  
World Health ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Highly Educated ◽  
Health Organization ◽  
Nutritional Status Of Children

ABSTRACT According to World Health Organization Health Organization (WHO) in 2005 showed 49% of deaths occur in children under five in developing countries. Nutritional problems can not be done with the medical and health care approach alone. Causes related to malnutrition that maternal education, socioeconomic families, poor environmental sanitation, and lack of food supplies. This study aims to determine the relationship between education and socioeconomic status of families with nutrition survey using a cross sectional analytic approach, with a population of all mothers of children under five who visited the health center in Palembang Keramasan Accidental sampling Sampling the number of samples obtained 35 respondents. Variables include the study independent and dependent variables and univariate analysis using Chi-Square test statistic with a significance level α = 0.05. The results from 35 respondents indicate that highly educated mothers earned as many as 16 people (45.7%), and middle and upper income families as many as 12 people (34.3%) and bivariate test results show that highly educated respondents toddler nutritional status good for 81.3% (13 people) is larger than the less educated respondents balitanya good nutritional status 26.3% (5 persons) as well as respondents who have middle and upper socioeconomic families with good nutritional status of children at 91.7% ( 11 people) is larger when compared to respondents who have family socioeconomic medium with good nutritional status of children at 30.4% (7 people). Statistical tests show that education has a significant relationship with nutritional status of children P value = 0.004 and socioeconomic families have a meaningful relationship with nutritional status of children P value = 0.002. Based on the results of the study suggested the health professionals in the health center should further improve the education, information about the importance of nutrition to the development of the child in the mothers through the selection and processing of good food and a good diet through health centers and integrated health.   ABSTRAK  Menurut badan kesehatan World Health Organization (WHO) tahun 2005 menunjukkan 49% kematian yang terjadi pada anak dibawah umur lima tahun di negara berkembang. Masalah gizi ini tidak dapat dilakukan dengan pendekatan medis dan pelayanan kesehatan saja. Penyebab yang berhubungan dengan kurang gizi yaitu pendidikan ibu, sosial ekonomi keluarga, sanitasi lingkungan yang kurang baik,dan kurangnya persediaan pangan. Penelitian ini bertujuan untuk mengetahui hubungan antara pendidikan dan sosial ekonomi keluarga dengan status gizi balita dengan menggunakan metode survei analitik pendekatan secara Cross Sectional, dengan populasi semua ibu yang memiliki anak balita yang berkunjung ke Puskesmas Keramasan Palembang dengan pengambilan sampel secara Accidental Sampling diperoleh jumlah sampel 35 responden. Variabel penelitian meliputi variabel independen dan dependen serta analisis univariat menggunakan uji statistik Chi-Square dengan tingkat kemaknaan α = 0,05. Hasil penelitian ini menunjukkan dari 35 responden didapatkan ibu yang berpendidikan tinggi sebanyak 16 orang  (45,7%), dan keluarga yang berpenghasilan menengah keatas sebanyak 12 orang (34,3%) dan hasil uji bivariat menunjukkan bahwa responden yang berpendidikan tinggi status gizi balitanya baik sebesar 81,3% (13 orang) lebih besar bila dibanding responden yang berpendidikan rendah status gizi balitanya baik 26,3% (5 orang) serta responden yang mempunyai sosial ekonomi keluarga menengah keatas dengan status gizi balita baik sebesar 91,7% (11 orang) lebih besar bila dibanding responden yang mempunyai sosial ekonomi keluarga menengah kebawah dengan status gizi balita baik sebesar 30,4% (7 orang). Uji statistik menunjukkan bahwa pendidikan mempunyai hubungan yang bermakna dengan status gizi balita P value = 0,004 dan sosial ekonomi keluarga mempunyai hubungan yang bermakna dengan status gizi balita P value = 0,002. Berdasarkan hasil penelitian disarankan pada petugas kesehatan di Puskesmas hendaknya lebih meningkatkan penyuluhan-penyuluhan tentang pentingnya gizi terhadap tumbuh kembang anak pada ibu-ibu melalui cara pemilihan dan pengolahan bahan makanan yang baik serta pola makanan yang baik melalui kegiatan Puskesmas dan Posyandu.

scholarly journals Female Sexual Function after Vaginal Delivery with Episiotomy and Cesarean Section

2016 ◽  
Author(s):  
I Made W Jembawan
Keyword(s):  
Sexual Dysfunction ◽  
Cesarean Section ◽  
Sexual Function ◽  
Vaginal Delivery ◽  
P Value ◽  
Female Sexual Function ◽  
Chi Square ◽  
Cross Sectional ◽  
Significance Level ◽  
Significant Difference

Objective: To determine the difference of sexual function after vaginal delivery with episiotomy and cesarean section in Sanglah Hospital, Denpasar. Method: This research was conducted using cross sectional method. Sample was collected using consecutive sampling, starting from October 2011-September 2012. Our sample consists of 86 women, 43 post-episiotomy and 43 post-cesarean section. Sexual function was assessed using FSFI (Female Sexual Function Index). Total score was analyzed using independent t-test and difference of sexual function was tested using Chi-square, with significance level p0.05). There was no significant difference between the two groups in term of sexual arousal and lubrication, with p-value 0.160 and 0.67, respectively. However, we found significant difference in other domains, namely desire (p=0.014), orgasm (p=0.045), satisfaction (p=0.018), pain (p=0.02), and total FSFI score (p=0.006). Sexual dysfunction was found in 18.60% of the episiotomy group and 2.33% of the cesarean section group, with p=0.030. Conclusion: Female sexual dysfunction was found to be significantly different between women post vaginal delivery with episiotomy and women who had cesarean section. [Indones J Obstet Gynecol 2014; 4: 199-203] Keywords: cesarean section, episiotomy, female sexual function

scholarly journals PENGARUH PENGGUNAAN KONTRASEPSI SUNTIK TERHADAP SEKSUALITAS AKSEPTOR DI RSIA MASYITA MAKASSAR

2021 ◽  
Vol 13 (1) ◽  
pp. 26-32
Author(s):  
Dahniar ◽  
Firawati
Keyword(s):  
Sexual Dysfunction ◽  
Birth Control ◽  
Univariate Analysis ◽  
Sampling Technique ◽  
Sexual Disorders ◽  
Chi Square ◽  
Cross Sectional ◽  
Significance Level ◽  
Chi Square Test ◽  
Injectable Contraceptives

Injectable contraception is a way to prevent pregnancy by giving hormones that are given intramuscularly in the gluteus region, namely the buttocks area. Birth control injections containing DMPA further increase the risk of experiencing sexual dysfunction. With the increasing number of injection family planning participants, it is necessary to conduct research on this issue. This study aims to determine the effect of using injectable contraceptives on acceptors at RSIA Masyita Makassar, the magnitude of the risk faced by DMPA injection respondents compared to those who used 1 month, and users of old and new contraceptives. This type of research uses purposive sampling technique and a sample of 35 respondents. The instrument used is a questionnaire sheet with a cross sectional approach. Data analysis was performed by univariate analysis with frequency distribution and bivariate with chi-square test with a significance level of p < 0.000. The results showed that 28 people experienced sexual dysfunction or sexual disorders where there were 24 old users (68.6%) and 4 new users (11.4%). The results of the analysis showed that the age of the injection acceptor was associated with sexual dysfunction in women at RSIA Masyita Makassar.

scholarly journals Quality of Marital Relationship and Sexual Interaction in Couples With Sexual Dysfunction: An Exploratory Study From India

2021 ◽  
pp. 263183182110475
Author(s):  
Manjula V ◽  
Manjula Munivenkatappa ◽  
Janardhana Navaneetham ◽  
Mariamma Philip
Keyword(s):  
Sexual Dysfunction ◽  
Marital Quality ◽  
Cultural Context ◽  
Sexual Communication ◽  
Reciprocal Relationship ◽  
Marital Distress ◽  
Sexual Dysfunctions ◽  
Cross Sectional ◽  
Sexual Interaction ◽  
Marital Intimacy

Background: Sexual dysfunction and marital intimacy and quality are found to have a reciprocal relationship. Examining this relationship in couples seeking help for sexual dysfunctions in the cultural context of India is worthwhile. Aim: This study aims to explore the nature of sexual functioning, sexual interaction, sexual communication, and marital intimacy and quality in couples with sexual dysfunction. Further, relationship between the above variables is also examined. Methods: A cross-sectional, single-group exploratory design was adopted. A sample of 155 married heterosexual individuals, with a clinical diagnosis of sexual dysfunction in either of the spouses, was included in the study. The tools used included MINI neuropsychiatric interview, Marital Quality Scale, Marital Intimacy Questionnaire, Dyadic Sexual Communication Scale, and Sexual Interaction Inventory. Results: Erectile dysfunction and premature ejaculation in men and hypoactive sexual desire disorder in women were the most common sexual dysfunctions. Majority of the sample were young adults. About 82% of the sample had moderate-to-severe levels of marital distress. Mood disorder was the most common psychiatric disorder reported in the sample. High levels of intimacy problems were seen with no significant gender differences in the overall marital quality or intimacy. Difficulty in the overall sexual interactions was found; however, higher levels of dissatisfaction with the frequency of sex and lower self-acceptance was reported by men compared to women. Significant interrelationships were found between marital quality and intimacy, sexual interaction, and sexual communication. Conclusions: Sexual dysfunctions and marital distress are closely related. Sexual interaction and sexual communication play a significant role in marital quality and intimacy.

scholarly journals Factors Associated with Exclusive Breastfeeding in the State of Kuwait

2021 ◽  
Author(s):  
Tahani Alwaalan ◽  
Tareq Al-Aati ◽  
Salwa Al-Mutairi
Keyword(s):  
Maternity Hospital ◽  
Cross Sectional Study ◽  
Chi Square ◽  
Cross Sectional ◽  
Factors Associated ◽  
Highly Educated ◽  
Factors Influencing ◽  
Public Areas ◽  
The State Of Kuwait ◽  
Insufficient Milk

Abstract Aim: To determine the factors influencing breastfeeding continuation for the first six months of a baby's life.Method: A cross-sectional study was conducted by the research team via an interview-based questionnaire and interviewer at Al-Sabah Maternity Hospital. A total of 316 Kuwaiti and non-Kuwaiti subjects participated in this study. Chi-square tests and logistic regression analysis were conducted to examine the factors influencing breastfeeding.Results: A total of 196 (62%) of the mothers practiced any feeding, including formula and/or breast milk, only 12.3% of the mothers exclusively breastfed their babies for the first six months of life. Highly educated mothers were less likely to breastfeed than less educated mothers (OR: 0.14; 95% CI: 0.05-0.45). Not using pacifiers was positively associated with breastfeeding (OR: 2.15; 95% CI: 1.32-3.51). More than a third of the mothers reported stopping breastfeeding due to lack of lactation places in public and workplaces (50%) and insufficient milk production to support infant growth (32%).Conclusion: Our findings highlight the importance of creating a supportive environment in workplaces and public areas to encourage mothers to breastfeed. Interventions for enhancing knowledge and promoting breastfeeding are advised, focusing on factors associated with early cessation.

FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN PENGGUNAAN KONTRASEPSI IUD DI KLINIK BERSALIN BUDI MULIA MEDIKA PALEMBANG TAHUN 2013

2019 ◽  
Vol 4 (2) ◽  
Author(s):  
Tirta Anggraini Tirta Anggraini
Keyword(s):  
Family Planning ◽  
Significant Relationship ◽  
Contraceptive Use ◽  
Univariate Analysis ◽  
Bivariate Analysis ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Highly Educated ◽  
Maternity Clinic

ABSTRACT [Indonesia is the country with the largest population among the member countries of ASEAN (Association of Southeast Asian Nations) with a population of more 243.3 million. In Indonesia as many as the number of participants IUD KB 3933611 (11.12%). In South Sumatra planning acceptors IUD 56 027 (4.36%). In Palembang in 2011 the number of participants KB IUD 6,971 (4.44%). At the Maternity Clinic Budi Mulia Medika Palembang in 2012 the number of participants KB IUD 105 (18.6%). The purpose of this study is be knew the factors associated with the use of IUD Contraception in Maternity Clinic Budi Mulia Medika Palembang in 2013. This study uses the Analytic Survey cross-sectional approach. The population in this study were all active acceptors who visit to get family planning services at the Maternity Clinic Budi Mulia Medika Palembang in May - June 2013, earned a total of 32 respondents. Sampling was carried out by the technique of "accidental sampling". Univariate analysis of the results obtained from the use of IUD 10 respondents (31.2%) were not using IUDs and 22 (68.8%), respondents who were at high risk of 9 (28.1%), and highly educated respondents 13 (40 , 6%), and high economic bersosial respondents 10 (31.2%). From bivariate analysis using chi-square test P value = 0.013 obtained showed no statistically significant association between maternal age and the use of contraceptive IUD obtained P value = 0.005 showed no significant relationship between education and the use of IUDs and contraceptive P value = 0.037 showed no significant relationship between socioeconomic IUD contraceptive use in the Maternity Clinic Budi Mulia Medika Palembang in 2013. From the results of this study should be conducted counseling or counseling to all about the importance of family planning acceptors IUD is a long-term contraception.                                        ABSTRAK Indonesia adalah negara dengan penduduk terbanyak di antara negara anggota ASEAN (Association of Southeast Asia Nation) lainnya dengan jumlah penduduk 243,3 juta jiwa. Di indonesia jumlah peserta KB IUD sebanyak 3.933.611 (11,12%). Di Sumatera Selatan jumlah peserta KB IUD 56.027(4,36%). Di Palembang tahun 2011 jumlah peserta KB IUD 6.971(4,44%). Di Klinik Bersalin Budi Mulia Medika Palembang tahun 2012 jumlah peserta KB IUD 105 (18,6%). Tujuan penelitian ini adalah Di ketahuinya faktor-faktor yang berhubungan dengan penggunaan Kontrasepsi IUD di Klinik Bersalin Budi Mulia Medika Palembang Tahun 2013. Penelitian ini menggunakan metode Survey Analitik dengan pendekatan Cross Sectional. Populasi pada penelitian ini adalah semua akseptor KB aktif yang berkunjung untuk mendapatkan pelayanan KB di Klinik Bersalin Budi Mulia Medika Palembang pada bulan mei – juni 2013, didapatkan sebanyak 32 responden. Pengambilan sampel ini dilaksanakan dengan teknik “Accidental Sampling”. Dari analisis univariat didapatkan hasil responden yang menggunakan IUD 10 (31,2%) dan yang tidak menggunakan IUD 22(68,8%), responden yang berumur resiko tinggi 9 (28,1%), dan responden yang berpendidikan tinggi 13 (40,6%), serta responden yang bersosial ekonomi tinggi 10 (31,2%). Dari analisis bivariat dengan menggunakan uji chi-square didapat P value = 0,013 menunjukkan ada hubungan bermakna antara umur ibu dengan penggunaan kontrasepsi IUD dan didapat  P value = 0,005 menunjukkan ada hubungan bermakna antara pendidikan dengan penggunaan kontrasepsi IUD serta P value = 0,037 menunjukkan ada hubungan bermakna antara sosial ekonomi dengan penggunaan kontrasepsi IUD di Klinik Bersalin Budi Mulia Medika Palembang Tahun 2013. Dari hasil penelitian ini seharusnya dilakukan penyuluhan atau konseling terhadap semua akseptor KB tentang pentingnya KB IUD yaitu alat kontrasepsi jangka panjang.    

HUBUNGAN PENGETAHUAN DAN PEKERJAAN IBU DENGAN PEMBERIAN ASI EKSKLUSIF DI PUSKESMAS SEMUNTUL KABUPATEN BANYUASIN TAHUN 2012

2019 ◽  
Vol 2 (1) ◽  
Author(s):  
Tirta Anggraini Tirta Anggraini
Keyword(s):  
Exclusive Breastfeeding ◽  
Health Workers ◽  
Sampling Technique ◽  
Total Sample ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Significance Level ◽  
Highly Educated ◽  
Chi Square Analysis

ABSTRACT Exclusive breastfeeding is breastfeeding as early as possible after delivery and provided no timetable was given no other food, although only the mineral water to infants aged 6 months. Proportion of exclusive breastfeeding in South Sumatra in the year 2011 amounted to 36,33%, specifically in the Kabupaten Semuntul, the proportion of exclusive breastfeeding in the year 2011 amounted to 76,33% while Puskesmas Semuntul Kabupaten Banyuasin in 2011 amounted to 75 %. The purpose of this study to determine the relationship between knowledge and work of mothers exclusively breastfeeding at Puskesmas Semuntul Kabupaten Banyuasin in 2012. This research design is an analytical survey with cross sectional approach in which data pertaining to the independent variables (knowledge and work and the dependent variable (exclusive breastfeeding) were collected at the same time. The population in this study were all mothers who have babies aged 7-12 months who came to Puskesmas Semuntul Kabupaten Banyuasin on May 2012. With a total sample of 40 respondents to the total polulasi taken by accidental sampling technique each variable under study and then analyzed using Chi-square analysis with significance level a (0.05). From the analysis shows that respondents who gave exclusive breast feeding as many as 57.5% and 42.5% who did not give exclusive breastfeeding. Knowledgeable both mothers of 60.0% and 40.0% of mothers are less knowledgeable, highly educated mothers of 37.5% and less educated mothers of 62.5%. From Chi-Square statistical test showed an independent and dependent variables showed that relation between knowledge (P value = 0.002) and work (P value = 0.006) with exclusive breastfeeding in Puskesmas Semuntul Kabupaten Banyuasin in the year 2012. Thus health workers to give more information about exclusive breastfeeding.   ABSTRAK ASI eksklusif merupakan pemberian ASI sedini mungkin setelah persalinan diberikan tanpa jadwal dan tidak diberi makanan lain, walaupun hanya air putih sampai bayi berumur 6 bulan. Proporsi pemberian ASI eksklusif di Sumatera Selatan pada tahun 2011 sebesar 36,33%, khusus di Kabupaten Banyuasin proporsi pemberian ASI eksklusif pada tahun 2011 sebesar 76,33 % sedangkan di Puskesmas Semuntul Kabupaten Banyuasin Tahun 2011 sebesar 75 %. Tujuan penelitian ini untuk mengetahui hubungan antara pengetahuan dan pekerjaan ibu dengan pemberian ASI eksklusif di di Puskesmas Semuntul Kabupaten Banyuasin Tahun 2012. Desain penelitian ini adalah survei analitik dengan pendekatan Cross Sectional dimana data yang menyangkut variabel bebas (pengetahuan dan pekerjaan) dan variabel terikat (pemberian ASI eksklusif) dikumpulkan dalam waktu yang bersamaan. Populasi dalam penelitian ini adalah semua ibu yang mempunyai bayi usia 7-12 bulan yang datang ke Puskesmas Semuntul Kabupaten Banyuasin Tahun 2012 bulan Mei 2012. Dengan jumlah sampel 40 responden yang menjadi seluruh total populasi dengan menggunakan teknik Accidental Sampling masing-masing variabel yang diteliti kemudian dianalisa dengan menggunakan analisis Chi-Square dengan tingkat kemaknaan a (0,05). Dari analisis diketahui bahwa responden yang memberikan ASI eksklusif sebanyak 57,5% dan 42,5% yang tidak memberikan ASI eksklusif. Ibu yang berpengetahuan baik sebesar 60,0% dan 40,0% ibu yang berpengetahuan kurang, ibu yang bekerja sebesar 37,5% dan ibu yang tidak bekerja sebesar 62,5%. Dari uji statistik Chi-Square didapatkan variabel dependen dan independen menunjukkan ada hubungan antara pengetahuan (P value = 0,002) dan pekerjaan (P value = 0,006) dengan pemberian ASI eksklusif di Puskesmas Semuntul Kabupaten Banyuasin Tahun 2012. Dengan demikian petugas kesehatan agar lebih banyak memberikan penyuluhan tentang pemberian ASI eksklusif.

scholarly journals Female Sexual Function after Vaginal Delivery with Episiotomy and Cesarean Section

2016 ◽  
Author(s):  
I Made W Jembawan
Keyword(s):  
Sexual Dysfunction ◽  
Cesarean Section ◽  
Sexual Function ◽  
Vaginal Delivery ◽  
P Value ◽  
Female Sexual Function ◽  
Chi Square ◽  
Cross Sectional ◽  
Significance Level ◽  
Significant Difference

Objective: To determine the difference of sexual function after vaginal delivery with episiotomy and cesarean section in Sanglah Hospital, Denpasar. Method: This research was conducted using cross sectional method. Sample was collected using consecutive sampling, starting from October 2011-September 2012. Our sample consists of 86 women, 43 post-episiotomy and 43 post-cesarean section. Sexual function was assessed using FSFI (Female Sexual Function Index). Total score was analyzed using independent t-test and difference of sexual function was tested using Chi-square, with significance level p0.05). There was no significant difference between the two groups in term of sexual arousal and lubrication, with p-value 0.160 and 0.67, respectively. However, we found significant difference in other domains, namely desire (p=0.014), orgasm (p=0.045), satisfaction (p=0.018), pain (p=0.02), and total FSFI score (p=0.006). Sexual dysfunction was found in 18.60% of the episiotomy group and 2.33% of the cesarean section group, with p=0.030. Conclusion: Female sexual dysfunction was found to be significantly different between women post vaginal delivery with episiotomy and women who had cesarean section. [Indones J Obstet Gynecol 2014; 4: 199-203] Keywords: cesarean section, episiotomy, female sexual function

The Relationship between Personality Types and Sexual Dysfunction

2020 ◽  
Vol 17 ◽  
Author(s):  
Fatemeh Hosseini ◽  
Zahra Beygi ◽  
Zahra Yazdanpanahi ◽  
Marzieh Akbarzadeh
Keyword(s):  
Sexual Dysfunction ◽  
Sexual Function ◽  
Sexual Desire ◽  
Study Data ◽  
Personality Types ◽  
Chi Square ◽  
Cross Sectional ◽  
Exact Test ◽  
Sexual Pain ◽  
Arousal Disorder

Background: Sexual function is affected by various physiological and psychological factors. Individual differences and various personality types are effective in response to sexual function. Objective: The present study aimed to investigate the correlation between sexual function and personality types among the women referred to healthcare centers in Shiraz in 2014-2015. Methods: This cross-sectional, descriptive-analytical study was conducted on 514 women referred to healthcare centers in Shiraz. The study data were collected using a demographic information form, Female Sexual Function Index, and NEO Personality Inventory. Written informed consent forms were also obtained from the participants. After all, the data were analysed through the SPSS software, version 19, using t-test, chi-square test, and Fisher’s exact test. Results: The results showed that sexual desire disorder in 39% of the participants, sexual arousal disorder in 38.6%, orgasm disorder in 25.5%, and sexual pain in 33%. The results also indicated that sexual desire, arousal, and pain were significantly associated with extroversion and reversely related to neuroticism. Conclusions: The score of extroversion was higher in the individuals without sexual dysfunction, while the score of neuroticism was higher among those with sexual dysfunction. Therefore, it is necessary to evaluate the women’s personality types as a technique for assessment of sexual dysfunction.

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