scholarly journals Pengaruh Lama Pemakaian Kontrasepsi Depomedroxyprogesteron Asetat Terhadap Kadar LDL dan HDL

2020 ◽  
Vol 5 (1) ◽  
pp. 91
Author(s):  
Dewi Fransisca ◽  
Yanwirasti Yanwirasti ◽  
Eliza Anas

<p><em>Injection contraception is one of the popular contraceptive methods, widely used by KB acceptors (40,88%). Second place is pill contraception (28,48%). </em><em>Depo Medroxyprogesteron Acetate (DMPA) is</em><em> one of the injectable contraceptives that is widely used kb acceptor.</em> <em>DMPA has several side effects include changes in serum lipid metabolism in the long-term use</em>. <em>This study aims to </em><em>the effect of the duration of the use </em><em>depo medroxyprogesterone acetate </em><em>on the levels of LDL and HDL</em><em>.</em> <em>The study was conducted in Lubuk Buaya Public Health and Laboratory of Biochemistry, Faculty of Medicine, University of Andalas Padang in September 2016 to January 2017. Type of study was observational using cross sectional design. Samples numbered 32 people, consisting of two groups of depo medroxyprogesterone acetate acceptor &gt; 3 years, depo medroxyprogesterone acetate acceptors &lt; 3 years.</em> <em>This samples was taken using consecutive sampling technique</em><em>.</em> <em>Blood was collected from the subject of research by intravenous and measured by</em><em> </em><em>Colorimetric Enzymatic Method (CHOD-PAP)</em><em> </em><em>for</em><em> </em><em>LDL and HDL.</em><em> </em><em>The average LDL in two groups study was 93.29 ± 22.83 mg/dl, 90.51 ± 18.22 mg/dl. The average HDL in the two groups study was 70,04 ± 16,4 mg/dl, 65,98 ± 9,7 mg/dl.</em><em></em></p>

2021 ◽  
Vol 5 (4) ◽  
pp. 349
Author(s):  
Ervina Puspa Wahyu Angesti ◽  
Nining Febriyana

Background: 107,000 pregnant women in Indonesia experiencing anxiety while facing childbirth. A Research shows that anxiety is more experienced in Primigravida's pregnant women. Pregnant women anxiety can arise, especially in the third trimester until delivery. During the COVID-19 pandemic, pregnant women feel increasingly anxious because the virus spreads relatively easily. This study was aimed to analyze the relationship between the anxiety level and knowledge of pregnant women in the third trimester with readiness to face childbirth during the COVID-19 pandemic in Puskesmas Benowo and Tenggilis. Methods: This type of research was observational analytic with a cross-sectional design. The number of samples was 76 third trimester pregnant women suitable the criteria that is primigravida, physiologic pregnancy, not in a long-term medication and willing to be a respondent. The sampling technique was purposive sampling. The data was analyzed with Spearman’s Statistic test. Results: as many as 57.5% of respondents had severe anxiety with low readiness for childbirth and good knowledge of COVID-19. It was caused by the drug or vaccine for the Covid-19 that had not been found, and made pregnant women even more anxious and feared of something unwanted happening. Anxiety of pregnant women who were about to give birth greatly affected the readiness of the mother in preparing for childbirth, the more anxious pregnant women were, the less they would be prepared for laboring. The statistic analyze says that There was a relationship between the level of anxiety of third trimester pregnant women with readiness to give birth during the COVID-19 pandemic (p = 0.00), there was a relationship between the knowledge level with readiness to give birthd during the COVID-19 pandemic p = 0.012). Conclusion: There is a relationship between the Anxiety Level and Knowledge of Pregnant Women in the third trimester with Readiness for Childbirth during the COVID-19 Pandemic  


2020 ◽  
Vol 4 (2) ◽  
pp. 55
Author(s):  
Idah Ayu Wulandari, S.SiT., M.Keb. ◽  
Ni Wayan Manik Parwati

Latar Belakang: Pemberian Air Susu Ibu (ASI) eksklusif kepada bayi dapat digunakan sebagai salah satu metode kontrasepsi yang disebut dengan amenohrea laktasi. Ibu yang memberikan ASI secara eksklusif umumnya mengalavsmi penundaan waktu kembalinya menstruasi dibandingkan dengan yang tidABSTRAKLatar Belakang: Pemberian Air Susu Ibu (ASI) eksklusif kepada bayi dapat digunakan sebagai salah satu metode kontrasepsi yang disebut dengan amenohrea laktasi. Ibu yang memberikan ASI secara eksklusif umumnya mengalami penundaan waktu kembalinya menstruasi dibandingkan dengan yang tidak memberikan ASI Eksklusif.  Tujuan Penelitian: Untuk mengetahui pengaruh pemberian ASI eksklusif waktu kembalinya menstruasi pada ibu menyusui di wilayah kerja Puskesmas II Denpasar Barat. Metodologi: Jenis penelitian observasional dengan rancangan cross sectional. Sampel penelitian adalah adalah ibu menyusui yang melakukan pemeriksaan di Bidan Praktek Mandiri (PMB) yang mempunyai bayi umur 6-1 tahun yang berada di bawah wilayah kerja Puskemas II Denpasar Barat dengan pengambilan sampel menggunakan teknik consecutive sampling. Hasil: Terdapat hubungan yang sangat signifikan anatara pemberian ASI Ekslusif dengan kembalinya mentruasi pada ibu (P<0,001), dengan kekuatan hubungan yang kuat (r=656) dan arah korelasi yang negatif. Simpulan: PMB selaku tenaga kesehatan diharapkan lebih meningkatkan dalam pemberian informasi mengenai ASI Eksklusi beserta kiat-kiat ibu dalam memperbanyak produksi ASI dan cara penyimpanan ASI serta masyarakat khususnya keluarga dari ibu yang sedang menyusui dapat memberikan support kepada ibu menyusui agar mampu memberikan ASI Eksklusif kepada bayinya.Kata Kunci: ASI Eksklusif, Kembalinya Menstruasi  ABSTRACTBackground: Exclusive breastfeeding can be used as a contraceptive method. Mothers who give exclusive breastfeeding usually had delay to get menstruation compared to those who do not provide exclusive breastfeeding. The aims: To determine the effect of exclusive breastfeeding on the return of menstruation to breastfeeding mothers in the Denpasar Barat II PHC. Methodology: This was an observational study with a cross sectional design. The sample was breastfeeding mothers who examined at the Independent Practice Midwife (PMB) under the working Denpasar Barat II PHC who had babies aged 6-1 years by using consecutive sampling technique. Results: There was a very significant relationship between exclusive breastfeeding and the return of menstruation to the mother (P <0.001), with a strong relationship strength (r = 656) and a negative correlation. Conclusion: PMB as a health worker is expected to further improve the provision of information about exclusive breastfeeding along with tips for mothers to increase milk production and how to store breast milk; and for the community especially for families of breastfeeding mothers can provide support for breastfeeding mothers to be able to provide exclusive breastfeeding to their babies.Key Word: Exclusive Breastfeeding, Return of Menstruationak memberikan ASI Eksklusif.  Tujuan Penelitian: Untuk mengetahui pengaruh pemberian ASI eksklusif waktu kembalinya menstruasi pada ibu menyusui di wilayah kerja Puskesmas II Denpasar Barat. Metodologi: Jenis penelitian observasional dengan rancangan cross sectional. Sampel penelitian adalah adalah ibu menyusui yang melakukan pemeriksaan di Bidan Praktek Mandiri (PMB) yang mempunyai bayi umur 6-1 tahun yang berada di bawah wilayah kerja Puskemas II Denpasar Barat dengan pengambilan sampel menggunakan teknik consecutive sampling. Hasil: Terdapat hubungan yang sangat signifikan anatara pemberian ASI Ekslusif dengan kembalinya mentruasi pada ibu (P<0,001), dengan kekuatan hubungan yang kuat (r=656) dan arah korelasi yang negatif. Simpulan: PMB selaku tenaga kesehatan diharapkan lebih meningkatkan dalam pemberian informasi mengenai ASI Eksklusi beserta kiat-kiat ibu dalam memperbanyak produksi ASI dan cara penyimpanan ASI serta masyarakat khususnya keluarga dari ibu yang sedang menyusui dapat memberikan support kepada ibu menyusui agar mampu memberikan ASI Eksklusif kepada bayinya. 


Author(s):  
Ari Salis Saputri

Introduction: The coverage of MKJP were 6.99% (implants), 7.15% (IUD), 2.78% (MOW), and 0.53% (MOP) indicating the use of MKJP contraceptive methods in Indonesia decreased from the previous year (RI Ministry of Health, 2018). The low use of MKJP has been a cause of stagnation in birth rates over the past decade. The purpose of this study was to determine the relationship between service costs, husband support and fear of action against the use of long-term contraception methods at the Umi Rahma Clinic in Bekasi in 2019 Method: Using descriptive analytic design with Cross Sectional approach. The study population was all EFA women who performed family planning at the Umi Rahma Clinic in Bekasi in 2019, a sample of 50 respondents using the Accidental Sampling technique using a questionnaire. This study uses univariate and bivariate analysis with Chi-Square statistical tests Result: . Chi-Square statistical test results service costs for the use of MKJP obtained P-Value 0.002, support for the husband of the use of MKJP obtained P-Value 0.001, fear action against the use of MKJP obtained P-Value 0.001. Discussion: Long-Term Contraception Methods, because costs greatly affect all actions that will be taken by couples of childbearing age, one of which is in the selection or decision-making on the use of contraceptive methods. In conclusion there is a relationship between service costs , husband support and fear of action towards the use of MKJP.


2021 ◽  
Vol 16 (3) ◽  
pp. 492
Author(s):  
Vernonia Yora Saki ◽  
Ema Novita Deniati ◽  
Besral Besral ◽  
Mario Ekoriano

ABSTRACTThis research discussed the role of individual and community factors on the use of Long Term Contraceptive Method (MKJP) in women of reproductive age couple by region in Indonesia in 2017. The study design follows the advanced analysis design of RPJMN BKKBN survey data that was cross-sectional design. The sample of research on RPJMN survey was women of reproductive age couple. Data were analyzed by Multilevel Logistic Regression analysis. The results showed that the Proportion of women of reproductive age couples using long-term contraceptive methods (MKJP) in Java Bali (27.2%) more than high than Outside of Java Bali I (22.9%) and Outside of Java Bali II (20.2%). Multilevel analysis results showed that there are variations between provinces of MKJP used in women of reproductive age couple in the area of Indonesia Java Bali and Outside of Java Bali I of 1.4 and 1.3 in the area of Outside of Java Bali II. Based on the results, BKKBN recommended implementing MKJP usage program that takes into account the area aspect and cannot be uniform for all provinces in Indonesia. Keywords: Contraception MKJP, Women WUS


2019 ◽  
Vol 7 (1) ◽  
Author(s):  
Vivia Ozora Bitjoli ◽  
Odi Pinontoan ◽  
Andi Buanasari

Abstrack :Patient satisfaction level is considered as one of the very important dimension and is oneof the main indicators of the standard of a health facility which is due to the influence of health careon the hospital and it is this which makes the measurement of patient satisfaction is an importantcomponent.The purpose of this study was to determine the differences between patient satisfactionlevel on BPJS and Non BPJS users over registration services in Tobelo hospitals. This researchmethod using cross sectional design. The sampling technique used consecutive sampling techniquewith a total sample of 136 respondents. methods of data collection using questionnaires satisfactionlevel of service at the place of registration to measure the level of patient satisfaction BPJS and NonBPJS and statistical test using chi square test. The researchresults can be p-value of 0.000 (≤ α =0.05), which means there are significant differences. Conclusion there are differences between thelevel of patient satisfaction level on BPJS and Non BPJS users over registration services in Tobelohospitals.Keywords: Enrollment Services, BPJS patient and the Non BPJS, SatisfactionAbstrak : Tingkat kepuasan pasien dianggap sebagai salah satu dimensi yang sangat penting danmerupakan salah satu indikator utama dari standar suatu fasilitas kesehatan yang merupakan akibatpengaruh pelayanan kesehatan atas pihak rumah sakit dan hal inilah yang membuat pengukurankepuasan pasien menjadi komponen penting. Tujuan penelitian ini adalah untuk mengetahuiperbedaan tingkat kepuasan pasien BPJS dan Non BPJS terhadap pelayanan pendaftaran di RSUDTobelo. Metodepenelitian ini menggunakan desain cross sectional. Teknik pengambilan sampelmenggunakan teknik consecutive sampling dengan jumlah sampel sebanyak 136 responden. metodepengumpulan data menggunakan kuesioner tingkat kepuasan pelayanan di tempat pendaftaran untukmengukur tingkat kepuasan pasien BPJS dan Non BPJS dan uji statistic menggunakan uji chi square.Hasil penelitian di dapat nilai p-value sebesar 0,000 (≤ α = 0,05) yang berarti ada perbedaan yangsignifikan. Kesimpulan ada perbedaan antara tingkat kepuasan pasien BPJS dan Non BPJS terhadappelayanan pendaftaran di RSUD Tobelo.Kata kunci : Pelayanan Pendaftaran, pasien BPJS dan Non BPJS, Tingkat Kepuasan


2012 ◽  
Vol 1 (1) ◽  
pp. 55-62
Author(s):  
Febriana Rahmawati ◽  
Hertanto Wahyu Subagio

Backgrounds : Anemia in pregnant women can effect maternal death, increased fetal morbidity and mortality. Iron supplementation programs should have a high success rate because the iron folate tablets are easily available and free of charge. But in reality. the compliance rate of iron folate tablets is still lowPurpose: analyze compliance rate of iron folate tablets in pregnant women at Puskesmas Halmahera and the factors influenced.Method: An analytic observational research with cross-sectional design. The subjects in this study is 56 pregnant women who went on Puskesmas Halmahera. Subject was taken by consecutive sampling technique with the criteria pregnant women trimester 2 and 3. Compliance data, knowledge, education, family support and health care obtained through interviews with a questionnaire. Normality of data was tested using Kolmogorov-Smirnov. Bivariate analyzes performed using Rank Spearman testResult: there is a association between knowledge scores with compliance (r = 0.370, p = 0.005), there is no significant association between education level and compliance (r = 0.032, p = 0.817 there is no significant association between family support and compliance (r = 0.216, p = 0.115) and there is no significant association between health service and compliance (r = 0.217, p = 0.108)Conclusion: more than a half of respondents (58,9%) did not comply consume iron folate tablets. Based on the data can be seen that the knowledge is the most influental factor.


2020 ◽  
Vol 9 (2) ◽  
pp. 130
Author(s):  
Surya Doni ◽  
Lutfi Agus Salim

The family planning program has a very appropriate role in addressing population growth. Most family planning participants chose injections and pills, while medical operative for women contraceptives (tubectomy) and medical operative for men (vasectomy) are the least preferrable. Based on National Board of Population and Family Planning data 2017, the majority of new family planning participants in Indonesia are dominated by family planning participants who use non-long-term contraception methods by 79.48% of all new family planning participants. The use of long-term contraceptive methods from year to year has increased compared to non-long-term contraceptive methods, but there is more interest in acceptors to use non-long-term contraceptive methods. The research objective is to examine the relationship between demographics, socio-economics, husband's support, and the use of medical operative for women contraceptives device (tubectomy). The research type is inferential research with cross-sectional design. The sample in this study was 40 EFAs, of which 20 EFAs used medical operative for women contraceptives (tubectomy), and 20 couples of childbearing age used non-medical operative for women contraceptives (tubectomy). The study results showed that the level of education, age, income, and husbands' motivation are not related to the use of medical operative for women contraceptives (tubectomy). However, the number of children is related to the use of medical operative for women contraceptives (tubectomy). The researcher's suggestion is to conduct education-related for pregnancy management so that the people can estimate the number of children, the distance of pregnancy, and the risk of pregnancy.


e-GIGI ◽  
2015 ◽  
Vol 3 (2) ◽  
Author(s):  
Randy Lande ◽  
Billy J. Kepel ◽  
Krista V. Siagian

Abstract: Tooth extraction is the process of pulling a tooth out from the alveolus since the tooth can not be treated anymore. The risk factors for complicated tooth extraction are systematic diseases, local state of oral cavity, and age of the patient. The complications that might occur in tooth extraction are bleeding, fracture (crown, root, and mandibula), dry socket, swelling, mandibula dislocation, and shock. This study aimed to obtain the risk factors and complications of tooth extraction at RSGM PSPDG-FK Unsrat. This was a descriptive observational study with a cross sectional design. The total population was 76 patients. There were 44 samples obtained by using a consecutive sampling technique. The results showed that the risk factors oftenly found were hypertension 20.45%, age >60 years 20.45%, and temporomandibular disorders 6.82%. The highest percentage of tooth extraction complications was fractures 31.82% meanwhile the lowest percentage was swelling 2.27%. Conclusion: The risk factors that most often found in tooth extraction patients at RSGM PSPDG-FK Unsrat were hypertension and age >60 years and the complications that frequently occured was fractures. Keywords: tooth extraction, risk factor, complications of tooth extraction.Abstrak: Pencabutan gigi adalah proses pengeluaran gigi dari alveolus, dimana pada gigi tersebut sudah tidak dapat dilakukan perawatan lagi. Faktor risiko terjadinya komplikasi pada pencabutan gigi antara lain: penyakit sistemik, keadaan lokal rongga mulut, dan umur pasien. Komplikasi yang mungkin terjadi selama tindakan pencabutan gigi ialah perdarahan, fraktur (mahkota, akar, mandibula), dry socket, pembengkakan, dislokasi mandibula, syok, dan beberapa komplikasi lainnya. Penelitian ini bertujuan untuk mengetahui gambaran faktor risiko dan komplikasi yang terjadi akibat pencabutan gigi di RSGM PSPDG-FK Unsrat. Penelitian ini menggunakan metode deskriptif observasional dengan desain potong lintang. Teknik pengambilan sampel yaitu consecutive sampling. Jumlah populasi sebanyak 76 pasien, dan berdasarkan rumus teknik pengambilan sampel tersebut diperoleh jumlah sampel sebanyak 44 pasien. Hasil penelitian menunjukkan faktor risiko yang dijumpai selama penelitian yaitu berturut-turut hipertensi 20,45%, umur >60 tahun 20,45%, dan gangguan pada temporomandibular joint 6,82%. Komplikasi pencabutan gigi yang tertinggi yaitu fraktur 31,82% sedangkan komplikasi terendah ialah pembengkakan 2,27%. Simpulan: Faktor risiko yang paling banyak dijumpai pada pasien pencabutan gigi di RSGM PSPDG-FK Unsrat ialah hipertensi dan umur >60 tahun sedangkan komplikasi yang banyak terjadi ialah fraktur.Kata kunci: pencabutan gigi, faktor resiko, komplikasi pencabutan gigi


Author(s):  
HENDRA GUNAWAN ◽  
SONY WIBISONO MUDJANARKO ◽  
AWALIA ◽  
LITA DIAH RAHMAWATI ◽  
JOEWONO SOEROSO ◽  
...  

Background: Cardiovascular complication remains the long-term complications in spondyloarthritis (SpA). Previous studies revealed that metabolicsyndrome is the risk factor of cardiovascular in SpA patients. Previous studies also revealed that the prevalence of the metabolic syndrome is 34.9–45.7% in SpA patients. However, previous studies also revealed the controversy of the correlation of SpA’ disease activity with metabolic syndrome.Aim: The aim of the study was to investigate the correlation of SpA’ radiographical damage measured with a modified Stoke Ankylosing SpondylitisSpinal Score (mSASSS) score with metabolic syndrome in SpA patients, which routinely visited Rheumatology Outpatient Department in Dr. SoetomoGeneral Hospital.Methods: An observational study with cross-sectional design with consecutive sampling technique was conducted in July–October 2018. All SpApatients who fulfilled the inclusion criteria were included in this study. Data analysis was performed with SPSS v21.0.Results: There were 33 SpA patients (10 males and 23 females) included in this study. The average age was 48.18±12.27 years-old. The averagemSASSS score was 24,36 (K:0.93, p:0.00). Metabolic syndrome was diagnosed in 54.5% patients with 100% patients had central obesity, 66.7% hadincreased blood pressure, 61.5% had impaired fasting glucose, 55.6% had increased triglycerides, and 77.8% had decreased high-density lipoproteincholesterol. Positive correlation between mSASSS score and metabolic syndrome was observed (r:0.510, p:0.002).Conclusion: A correlation between SpA disease activity measured with mSASSS score and metabolic syndrome was observed. Therefore, routinemetabolic syndrome screening is strongly suggested for SpA patients.


2021 ◽  
Vol 4 (2) ◽  
pp. 26-30
Author(s):  
Pudji Lestari ◽  
Siti Farida Noor Layla

The rampant caries is interacting multifactorial disease occurs very quickly, and concerns multiple teeth, and often cause pain. Conditions of caries in children due to unfamiliarity of parents, against the main cause of dental caries. . Caries in the deciduous tooth caused by exposure of teeth by sweet liquids, in the long term. This study aims to analyze the relationship between mother’s knowledge, mother’s motivation about dental health  and consumption patterns of formula milk using a bottle nipples with incidence rampant caries. The research method was analytic observational, with the cross-sectional design. The population of this study are mothers and their children is 538 people. A sampel of 229 people used proportional random sampling technique. Statistic test used is multiple linear regression. The research results show that mother’s knowledge, mother’s motivation, and consumption patterns formula milk using a bottle nipples has a significant relationship both partially and simultaneously the significance level of caries grade was less than 0,05(p<0,05). Regression models that can be formed are y (incidence of rampant caries) = 4,577 – 0,785 mother’s knowledge – 0,345 mother’s motivation + 0,223 comsumption pattern. Increased knowledge and motivation of mothers and decreased consumption patterns of milk using bottles will have an effect on reducing the incidence of rampant caries.  


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