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Regintha Yasmeen Burju Bachtum
Intervensi edukasi laktasi pranatal untuk meningkatkan praktik inisiasi meyusu dini : Penelitian prognostik dalam eksperimental = Antenatal lactation education intervention to improve early breastfeeding initiation practice : Prognostic research in a clinical trial
"[ABSTRAK
Latar Belakang: Mempromosikan IMD pada satu jam pertama kelahiran bayi, merupakan strategi penting dalam mengurangi kecacatan dan kematian perinatal dan anak dibawah 2 tahun, juga terbukti mendukung keberhasilan pemberian ASI eksklusif. Proporsi ibu yang menjalankan IMD di Indonesia sebanyak 39% termasuk rendah. Rendahnya pelaksanaan IMD salah satunya disebabkan rendahnya pengetahuan ibu mengenai IMD. Dari berbagai penelitian dibuktikan metode intervensi edukasi laktasi pranatal adalah metode paling efektif dan lebih mampu laksana sehingga penelitian ini diharapkan dapat membuktikan dengan adanya intervensi edukasi laktasi pranatal dapat meningkatkan efektivitas praktik IMD. Serta dapat diketahui faktor-faktor prognostik yang dapat mempengaruhi efektivitas IMD. Tujuan: Diketahuinya efektivitas praktik IMD, hubungan antara pemberian edukasi laktasi pranatal dengan efektivitas IMD serta faktor-faktor ibu yang berhubungan dengan efektivitas IMD. Metode: Uji klinis dilanjutkan dengan desain prognostik selama periode Oktober 2014 hingga Maret 2015 di Poliklinik Kebidanan dan Kamar Bersalin, Departemen Obstetri dan Ginekologi RSCM Jakarta. Hasil: Dilakukan analisa pada 220 subyek, didapatkan 160 subjek (72.7%) mengalami IMD yang efektif. Pada kelompok intervensi 80% subyek mengalami efektivitas IMD. Terdapat hubungan yang bermakna antara kelas edukasi pranatal dengan efektivitas IMD, dengan nilai p 0.006 dan RR 1.25. Pada analisa bivariat faktor ibu berhubungan bermakna dengan efektivitas IMD adalah edukasi laktasi pranatal (p 0.006), cara bersalin (p 0.006), durasi persalinan (p 0.000) dan status gizi normal (p 0.020). Pada analisa multivariat didapatkan faktor ibu berhubungan bermakna dengan efektivitas IMD adalah edukasi laktasi pranatal, durasi persalinan, umur 25-34 tahun dan ≥ 35 tahun, status gizi overweight dan normal. Persamaan yang dihasilkan: y = -3.477 + 0.976*edukasi laktasi pranatal + 0.958*umur 25-34 tahun + 1.859*umur ≥ 35 tahun + 1.621*durasi persalinan + 1.584*status nutrisi overweight + 2.405*status nutrisi normal. Dengan hasil uji kualitas regresi memiliki kalibrasi baik (p 0.87), dengan diskriminasi sedang (AUC 0.75). Kesimpulan: Adanya intervensi edukasi laktasi pranatal dapat meningkatkan efektivitas praktik IMD.ABSTRACT Background: Promoting Early Breastfeeding Initiation (EBI) within the first hour birth is an important strategy in reducing morbidity and mortality of neonatal and children under 2 years, also proved to support the success of exclusive breastfeeding. The proportion of women who practice EBI in Indonesia as much as 39%, remaining low. The low implementation of EBI is due to lack of knowledge of mothers about EBI. From various studies demonstrated Antenatal Lactation Education Intervention methods is the most effective methods. This research is expected to prove Antenatal Lactation Education Intervention can improve effectiveness of EBI practice. And can be known prognostic factors that can affect the effectiveness of EBI practice. Objective: To obtain EBI effectiveness, Antenatal Lactation Education Intervention and EBI effectiveness association, as well maternal factors and EBI effectiveness association. Method: This was a clinical trial continued with prognostic design conducted at Obstetric Clinic and Delivery Room, RSCM, Jakarta during a period of October 2014 until March 2015. Result: Analysis conducted on 220 subjects, showed 160 subjects (72.7%) experienced EBI effectiveness. In the intervention group 80% of the subjects experienced the effectiveness of EBI. There is a significant association between antenatal lactation education intervention and the effectiveness of EBI with the p value 0.006 and RR 1.25. The bivariate analysis showed maternal factors that significantly associated with EBI effectiveness were the Antenatal Lactation Education Intervention (p 0.006), delivery mode (p 0.006), duration of labor (p 0.000) and normal nutritional status (p 0.020). In the multivariate analysis found maternal factors that significantly associated with EBI effectiveness were antenatal lactation education intervention, duration of labor, age 25-34 years and ≥ 35 years old, overweight and normal nutritional status. The equation result: y = -3477 + 0976 * antenatal lactation education intervention + 0958 * aged 25-34 years + 1859 * ≥ 35 years of age + 1,621 * 1,584 * + delivery duration nutritional status overweight + 2405 * normal nutritional status. With the regression quality test results was a good calibration (p 0.87),with a medium level of discrimination (AUC 0.75). Conclusion: Antenatal lactation education intervention can improve the effectiveness of EBI practice.;Background: Promoting Early Breastfeeding Initiation (EBI) within the first hour birth is an important strategy in reducing morbidity and mortality of neonatal and children under 2 years, also proved to support the success of exclusive breastfeeding. The proportion of women who practice EBI in Indonesia as much as 39%, remaining low. The low implementation of EBI is due to lack of knowledge of mothers about EBI. From various studies demonstrated Antenatal Lactation Education Intervention methods is the most effective methods. This research is expected to prove Antenatal Lactation Education Intervention can improve effectiveness of EBI practice. And can be known prognostic factors that can affect the effectiveness of EBI practice. Objective: To obtain EBI effectiveness, Antenatal Lactation Education Intervention and EBI effectiveness association, as well maternal factors and EBI effectiveness association. Method: This was a clinical trial continued with prognostic design conducted at Obstetric Clinic and Delivery Room, RSCM, Jakarta during a period of October 2014 until March 2015. Result: Analysis conducted on 220 subjects, showed 160 subjects (72.7%) experienced EBI effectiveness. In the intervention group 80% of the subjects experienced the effectiveness of EBI. There is a significant association between antenatal lactation education intervention and the effectiveness of EBI with the p value 0.006 and RR 1.25. The bivariate analysis showed maternal factors that significantly associated with EBI effectiveness were the Antenatal Lactation Education Intervention (p 0.006), delivery mode (p 0.006), duration of labor (p 0.000) and normal nutritional status (p 0.020). In the multivariate analysis found maternal factors that significantly associated with EBI effectiveness were antenatal lactation education intervention, duration of labor, age 25-34 years and ≥ 35 years old, overweight and normal nutritional status. The equation result: y = -3477 + 0976 * antenatal lactation education intervention + 0958 * aged 25-34 years + 1859 * ≥ 35 years of age + 1,621 * 1,584 * + delivery duration nutritional status overweight + 2405 * normal nutritional status. With the regression quality test results was a good calibration (p 0.87),with a medium level of discrimination (AUC 0.75). Conclusion: Antenatal lactation education intervention can improve the effectiveness of EBI practice., Background: Promoting Early Breastfeeding Initiation (EBI) within the first hour birth is an important strategy in reducing morbidity and mortality of neonatal and children under 2 years, also proved to support the success of exclusive breastfeeding. The proportion of women who practice EBI in Indonesia as much as 39%, remaining low. The low implementation of EBI is due to lack of knowledge of mothers about EBI. From various studies demonstrated Antenatal Lactation Education Intervention methods is the most effective methods. This research is expected to prove Antenatal Lactation Education Intervention can improve effectiveness of EBI practice. And can be known prognostic factors that can affect the effectiveness of EBI practice. Objective: To obtain EBI effectiveness, Antenatal Lactation Education Intervention and EBI effectiveness association, as well maternal factors and EBI effectiveness association. Method: This was a clinical trial continued with prognostic design conducted at Obstetric Clinic and Delivery Room, RSCM, Jakarta during a period of October 2014 until March 2015. Result: Analysis conducted on 220 subjects, showed 160 subjects (72.7%) experienced EBI effectiveness. In the intervention group 80% of the subjects experienced the effectiveness of EBI. There is a significant association between antenatal lactation education intervention and the effectiveness of EBI with the p value 0.006 and RR 1.25. The bivariate analysis showed maternal factors that significantly associated with EBI effectiveness were the Antenatal Lactation Education Intervention (p 0.006), delivery mode (p 0.006), duration of labor (p 0.000) and normal nutritional status (p 0.020). In the multivariate analysis found maternal factors that significantly associated with EBI effectiveness were antenatal lactation education intervention, duration of labor, age 25-34 years and ≥ 35 years old, overweight and normal nutritional status. The equation result: y = -3477 + 0976 * antenatal lactation education intervention + 0958 * aged 25-34 years + 1859 * ≥ 35 years of age + 1,621 * 1,584 * + delivery duration nutritional status overweight + 2405 * normal nutritional status. With the regression quality test results was a good calibration (p 0.87),with a medium level of discrimination (AUC 0.75). Conclusion: Antenatal lactation education intervention can improve the effectiveness of EBI practice.]"
Fakultas Kedokteran Universitas Indonesia, 2015
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UI - Tugas Akhir  Universitas Indonesia Library
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Finka Reztya Sutanto
Faktor Ibu Sebagai Penentu Kejadian Anemia Pada Balita Umur 12-59 Bulan di Indonesia Tahun 2013 (Analisis Data Riset Kesehatan Dasar 2013) = Maternal Factors as Determinant of Anemia among Preschool Children 12-59 months in Indonesia
"Anemia pada balita di Indonesia masih tergolong cukup tinggi diantara Negara di wilayah Asia dengan hasil yang tidak mengalami perubahan selama 6 tahun (tahun 2007-2016). Berbagai penelitian menunjukkan prevalensi anemia balita pada wilayah pedesaan ditemukan lebih tinggi dibandingkan di perkotaan. Ibu merupakan pintu terdepan dalam pemenuhan kebutuhan zat gizi balita. Penelitian ini bertujuan untuk mengetahui hubungan faktor ibu dengan kejadian anemia pada balita umur 12-59 bulan. Penelitian ini menggunakan data sekunder Riskesdas 2013, jumlah sampel penelitian 986 balita dan analisis data menggunakan regresi logistik ganda. Hasil penelitian menunjukkan bahwa faktor ibu yang menentukan kejadian anemia pada balita umur 12-59 bulan di wilayah perkotaan adalah sosial ekonomi sedangkan di wilayah pedesaan tidak ada faktor ibu yang dapat menentukan kejadian anemia pada balita umur 12-59 bulan. Disarankan kepada pemerintah khususnya Kementerian Kesehatan untuk mengadakan edukasi kepada ibu rumah tangga, kader dan petugas kesehatan untuk mendeteksi gejala awal anemia dan pemanfaatan sumber dana keluarga untuk memenuhi kebutuhan gizi balita.
In Indonesia, anemia among preschool children under five years old is still quite high among countries in region Asia with the result that has not changed for 6 years (2007-2016). Various studies show that prevalence of anemia among preschool children in rural areas is higher than in urban areas. Mother is a main people to fulfillment of nutritional substances of preschool children. The purpose of this study is to determine the relationship of maternal factors with the incidence of anemia in infants aged 12 – 59 months. This study uses secondary data Riskesdas 2013, with total sample of 986 preschool children and data analysis using multiple logistic regression. The results show that the maternal factors that determine the incidence of anemia among preschool children in urban areas is the social economy while in rural areas there is no maternal factors that may determine the incidence of anemia among preschool children. The study suggest to the Government especially the Ministry of Health to conduct education to mothers of preschool children, framework and health officials to detect early symptoms of anemia and utilization of family funds to fulfill nutritonal needs of infants."
Depok: Fakultas Kesehatan Masyarakat Universitas Indonesia, 2016
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UI - Tesis Membership  Universitas Indonesia Library
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Danny Maesadatu Syaharutsa
Penilaian faktor maternal dan biofisik pada ibu hamil terhadap kejadian preeklampsia = Prediction of preeclampsia in pregnant women from maternal and biophysical factors.
"Latar belakang: Preeklampsia masih menjadi penyumbang angka kesakitan dan kematian maternal dengan insidens sekitar 8,6 di Indonesia. Pola asuhan antenatal dengan melakukan penapisan awal menggunakan faktor maternal dan biofisik terhadap kejadian preeklampsia diharapkan dapat menurunkan angka kesakitan dan kematian maternal dan janin.
Tujuan: Memperolah kalkulasi risiko dari faktor maternal dan biofisik terhadap kejadian preeklampsia.
Metode: Studi ini merupakan kohort prospektif dengan melakukan consecutive sampling pada setiap ibu hamil dengan janin tunggal hidup dan tak terdapat kelainan kongenital anomali. Telah dilakukan penapisan pada 878 sampel dengan 8,7% mengalami preeklampsia. Setiap faktor maternal dan biofisik dilakukan analisis bivariat dan yang bermakna dilanjutkan dengan analisis multivariat. Variabel yang bermakna hingga analisis multivariat akan menghasilkan persamaan regresi logistik yang nantinya dapat menghitung a priori risk seorang perempuan mengalami preeklampsia.
Hasil: Faktor maternal berupa riwayat hipertensi kronik dan riwayat preeklampsia di keluarga meningkatkan risiko preeklampsia. Faktor biofisik berupa indeks massa tubuh > 26 kg/m2, tekanan arteri rerata > 95 mmHg, dan indeks pulsatilitas arteri uterina yang tinggi juga meningkatkan risiko preeklampsia. AU-ROC dengan menggunakan faktor maternal dan kombinasi faktor maternal dan biofisik sebesar 63% dan 75%.
Kesimpulan: Kombinasi faktor maternal dan biofisik dapat digunakan untuk menapis seorang ibu hamil untuk mengalami kejadian preeklampsia.
Background: Preeclampsia still contributes for maternal morbidity and mortality with incidence around 8,6% in Indonesia. Antenatal care with screening by using maternal and biophysical factors in predict the preeclampsia event is expected can reduce the number of maternal and fetal morbidity and mortality.
Aim: Obtain the calculation risk from maternal and biophysical factors in predicting preeclampsia.
Methods: We conducted a prospective cohort by performing consecutive sampling in every pregnant woman with singleton live intrauterine with no congenital anomaly. We screened 878 subjects with 8,7% became preeclampsia. Every maternal and biophysical factors were performed bivariate analysis and if statistically significant it continued to multivariate analysis of logistic regression. The equation of the logistic regression model will be performed to calculate the a priori risk of a pregnant woman becoming preeclampsia.
Results: Maternal factors such as chronic hypertension and family history with preeclampsia will increase the risk of preeclampsia. Biophysical factors such as body mass index > 26 kg/m2, mean arterial pressure > 95 mmHg, and high value of pulsatility index of uterine artery will increase the risk or preeclampsia. The AU-ROC value by using maternal factor and combining maternal and biophysical factors were 63% and 75%, respectively.
Conclusion: By combining the maternal and biophysical factors, it can be performed to screen a pregnant woman in preeclampsia event."
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2018
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UI - Tugas Akhir  Universitas Indonesia Library