Faktor-Faktor Mutu Pelayanan Kebidanan yang Mempengaruhi Tingkat Kepuasan Pasien di Poli Kebidanan RSUD Wonosari

Hospitals play a role in improving the quality of health services. It was important to accurately measure patients' level of satisfaction.The previous study showed the score of 74.67%. It was lower than the level of customer satisfaction in Wonosari Regional PublicHospital (75.34%), 62.5% of the patients were satisfied of tangibles, 75% were satisfied on reliability, and 62.5% were satisfied inempathy. Research objective to investigate factors of midwifery service quality in Wonosari Regional Public Hospital MidwiferyClinic. This research method used analytical survey with cross sectional approach. 82 people were taken as samples by usingpurposive sampling technique. The data analysis employed Gamma testing. The result was factors of service quality in WonosariRegional Public Hospital Midwifery Clinicwere categorized as good. The percentages are: direct proof 54.9%, reliability 56.1%,empathy 57.3%, responsiveness 54.9%, guarantee 52.4%. The patient satisfaction level was 61.0%. The Gamma test resultshowed that the p-value of direct proof, reliability, empathy, responsiveness, and guarantee is 0.000 < 0.05. In addition, the value of rgamma of direct proof and responsiveness = 0.979, reliability = 0.993, empathy = 0.985 and guarantee = 0.988.

Pengaruh Peer Group Terhadap Perilaku Kekerasan Pada Siswa Sma Tirtonirmolo Bantul

Adolescence is a transitional period, where adolescents feel doubts about the role that must be done. One of the problems that oftenarise in adolescence is the act of mischief. This study aims to determine the influence of Peer Group against Violence Behavior inSMA Tirtonirmolo Bantul. This type of research is an analytic research. The research design used Quasi experiment method pre testposttest design without control group. The sampling technique used is purposive sampling with the sample number 80 respondents.Data analysis using Wilcoxon. The results showed that most respondents experienced a decrease in verbal violence behavior aftergetting information from Peer Group that is equal to 58.8%. Based on the results of data analysis with Wilcoxon Signed Rank it isknown that, there is a significant difference (meaningless) statistically with t test p = 0.000 (p <0.05). The conclusion of the researchshows the influence of Peer Group on Violence Behavior in SMA Tirtonirmolo Bantul.

Usia Ibu dan Kejadian Persalinan Preterm

Preterm labor was a labor that occurs at 20-<37 weeks gestational age and it was one of the highest cause of infant death in theworld. Infant mortality rate in Indonesia was still very high, in Yogyakarta happened in Gunungkidul District. Maternal age factor wasone of the preterm labor problem. In 2014-2015 at Gunungkidul, the risk of maternal age increased but preterm labor decreased. Thepurpose of this study was to determine the relationship between maternal age and the incidence of preterm labor in WonosariHospital in 2016. This research was an observational study with Cross-sectional design. The research was conducted in RSUDWonosari in 2017. The technique sampling used simple random sampling and obtained 182 mothers. Data was analized using chisquaretest. The results of the study showed preterm prevalence 34,1% and aterm 65,9%. In the statistical test obtained p-value0.002 and contingency coefficient 0.227. This means that there was a correlation between mother's age and the preterm labor atWonosari Hospital in 2016 and the correlation was in a low level. As a conclusion in this study, maternal age <20 and >35 years wererisk factors that led to the incidence of preterm labor.

Jenis Persalinan dengan Waktu Pengeluaran Kolostrum Pada Ibu Bersalin Kala IV di Kota Yogyakarta

Spending colostrum was influenced by several factors, one of them was kind of maternal childbirth. Normal childbirth and SectioCaesarea (SC) has affected maternal psychological changes and pain, and it was associated with the provision of drugs in themother and it has affected spending colostrum soon after birth. The percentage of caesarean deliveries as many as 28.6% inYogyakarta City, the figure was the highest proportion of cesarean delivery in the province. Coverage of exclusive breastfeeding inthe city of Yogyakarta was the lowest in the province that was equal to 54.9%. The purpose of this research was knowing the type oflabor relations at the time peneluaran colostrum at birth mothers when IV in the city of Yogyakarta in 2016. analytic observationalstudy with a prospective cohort design. The study sample consisted of 35 respondents in the group without risk factors and 35respondents with risk factors in 1 November to December 21, 2016. Data was collected by interview and observation. Data analysiswas using Chi-Square. Characteristics of mothers in this study were age, parity, nutritional status, and maternal education. Theresults of the bivariate analysis showed that the type of delivery SC has increased the incidence of spending within the colostrum>120 minutes total of 1.75 (p = 0.031; 95% CI; 1.028 to 2.981). Conclusions that SC has extended colostrum spending time morethan 120 min.

Literature Review Bayi Berat Lahir Rendah

Indonesia is one of the developing countries with the highest maternal mortality and infant. The infant mortality cases in 2015 asmany as 33,278 cases decreased compared to the year 2015 of 32,007 and in 2017 in the first semester as many as 10,294 cases.One of the causes is the incidence of Low Birth Weight (LBW) of 38.85%. LBW is the birth weight less than 2,500 grams. The reviewof LBW is done by literature review from DOAJ, Pubmed, Scholar and Garuda portal. The literature search using several keywords is"Low Birth Weight ", "risk factors" with four literature publications from 2007-2017. LBW incidence is influenced from maternaldemography status, maternal health status, condition of pregnancy and baby. The four journals DOAJ, Pubmed, Scholar andGaruda portal described risk factors of LBW occurrence include sociodemography (maternal age <18 years and> 34 years,education level, occupation type, family income, kin), maternal health status obstetric history, parity, birth spacing, anemia, history ofdiabetes, malaria, baby malpresentation history, Premature Rupture Of The Membrane, maternal nutritional status, infections,diseases and complications of pregnancy), status of ANC (frequency and quality of care, health worker, site of pregnancyexamination, history of unchecked pregnancy, irregular ANC).

Tingkat Pengetahuan dan Pelaksanaan Pap Smear Pada Ibu Pasangan Usia Subur di Dusun Kemasan Desa Karang Tengah Imogiri Bantul Tahun 2015

Cervical cancer is the second most common cancer in the world. In developing countries still ranks first as a cause of cancer deathsin women of reproductive age. Pap smear has proved very useful for early detection of cervical cancer since pre-cancerous stage,but many women are reluctant to undergo a pap smear because of ignorance, shame, fear, and cost factors. While the Pap smearcoverage lowest in Imogiri health center II is 0%. The type of research is a descriptive study with cross-sectional approach. Todescribe the level of knowledge and overview of the implementation of Pap smears in women in fertile age couple in the KemasanHamlet Karang Tengah Village Imogiri Bantul. The entire population of mothers in fertile age couple who attended of the PKK andwilling to become respondents in the Kemasan Hamlet Karang Tengah Village Imogiri Bantul. The results of research that themajority of respondents aged> 35 years (51.1%), basic education (50%), does not work (53.44%), obtain resources through onesource (63.3%). The level of knowledge about Pap smears in women PUS (Pasangan Usia Subur) in the Kemasan Hamlet KarangTengah Village Imogiri Bantul 2015 is in the category enough that 72.7% and most did not carry out pap smear that is, 86.4%. Theconclusion that the level of knowledge about the EFA mother pap smear EFA in the Kemasan Hamlet Karang Tengah Village ImogiriBantul 2015 enough and did not carry out pap smear.

Kehamilan Ibu di Usia Muda dengan Perkembangan Emosi Anak Usia 3-5 Tahun di Wilayah Kerja Puskesmas Sewon II Kabupaten Bantul

The prevalence of emotional and behavioral disorders in preschool children was very high at 34.10%. One of the factors of child'semotional development problem was mother's age when pregnant. . The aim of this study was to determine the relationship ofmaternal pregnancy at a young age with emotional development of children aged 3-5 years. This study used historical cohort design.The subjects were all pregnant mothers in the working area of Puskesmas Sewon II Bantul Yogyakarta in 2012-2014. The sample ofthis study amounted to 74 respondents. The independent variable was an emotional development assessed using the Strength andDifficulties Questionnaire (SDQ) questionnaire. The dependent variable was the age of the mother. External variables that were alsostudied were parenting, number of children, gender of children, education, and parent's income. Data analysis used chi square andlogistic regression. Research shows there was a relationship between pregnancy at a young age with emotional development ofchildren aged 3-5 years. Children aged 3-5 years who were born from mothers who are pregnant at a young age and have 80%chance of experiencing emotional development disorders than adult mothers. For that teenager, family, and health workers to beable to prevent pregnancy young age with health promotion to avoid the occurrence of emotional disturbance of children aged 3-5years.

Hubungan Antara Prematuritas, Berat Badan Lahir, Jenis Persalinan dan Kelainan Kongenital dengan Kejadian Asfiksia di RSI Fatimah

Major causes of neonatal mortality include 29% premature infants, sepsis and 25% pneumonia, and 23% are newborns withasphyxia and trauma. Birth asphyxia occupies the third leading cause of infant death in the world in the early period of life. Theincidence of asphyxia at provincial referral hospitals in Indonesia of asphyxia deaths was 41.94%. Research objective to determinethe relationship between prematurity, Low Birth Weight, type of labor and congenital abnormalities with asphyxia. The researchmethods is a case-control with retrospective approach will be compared the possible factors causing asphyxia. The first stage ofanalyze data is to perform descriptive of characteristic asphyxia based on prematurity, LBW, type of labor, and congenitalabnormalities. The second stage is to analyze the correlation between prematurity, LBW, type of labor and congenital abnormalitieswith asphyxia by Chi-Square. The results showed that most of the asphyxia occurrence occurred in infants with mature age (59.2%),spontaneous labor (53.0%), normal birth weight (71.4%) and no abnormalities congenital (99%). Based on the result of analysisfound that there is a significant relationship between prematurity, type of labor, LBW with asphyxia and no relationship betweencongenital aberration with asphyxia occurrence.

Hubungan Tingkat Pengetahuan Kesehatan Reproduksi Remaja dengan Sikap Seksual Pranikah di SMK Taman Siswa Nanggulan Tahun 2017

The number of adolescents in Indonesia is estimated to have reached 62 million people. The current problem of reproductive healthknowledge is so complex that it is demonstrated in the outcomes of the 2012 KRR SDKI that adolescent knowledge of reproductivehealth is inadequate, which can be seen by only 35.3% of female adolescents and 31.2% of boys aged 15- 19 years of knowing thatwomen can get pregnant with one sexual intercourse. The purpose of this research is to know the correlation of knowledge ofadolescent reproduction health with premarital sexual attitude at SMK Taman Siswa Nanggulan in 2017. This Research Method isAnalytical Survey, research type using Observasional with cross sectional time approach, sampling using purposive sampling that isused subject in the case of 80 adolescents The number of samples was determined by using different proportional hypothesis test(Lemeshow 1997) The minimum sample found for this study was 72 respondents plus 10% to become 80 respondents. Datacollection used questionnaires distributed to respondents, analyzed using univariate and bivariate analysis using chi-squareanalysis. The results of the study there is a significant relationship between knowledge of adolescent reproductive health withpremarital sexual behavior, p-value 0.000. This research can be concluded that there is correlation of level of knowledge ofreproductive health of adolescent significant with premarital sexual attitude.

Pengaruh Tingkat Pengetahuan dan Sikap Tentang Pacaran Terhadap Perilaku Pacaran Pada Siswa Sma di Yogyakarta

Adolescence was a period of transition from childhood to adulthood and developmental changes, whether physical, mental, or socialrole. Premarital sex behavior was a serious problem that was the most important risk factor for the incidence of disability and death.Dating was a close relationship between men and women who were at risk of physical contact and even end up with premarital sex.This study aims to determine the effect of knowledge level on adolescent reproductive health and adolescent attitudes about datingto dating behavior among high school students. This research was correlational analytic research using survey method. Theapproach used was cross sectional. The research was conducted in six senior high school in Yogyakarta which was chosen byrandom number of 370 respondents. Data collection tool using questionnaire. The results of this study showed that 68.1% ofrespondents are female, 58.6% of respondents have a good level of knowledge, 38.4% of respondents have a disagreement attitudeof dating, 18.9% was dating and 55.7% dating without physical contact. Bivariate analysis showed that knowledge level (p=0.14) andattitude (p=0.000) were related to dating behavior. Multivariate analysis showed attitude toward dating effect on dating behavior(p=0.10, OR=2.9). It is very necessary to provide mentoring to the teenagers either in the form of information or mentoring so thatteens can have a positive attitude to avoid dating.