Hasil Pencarian  ::  Simpan CSV :: Kembali

"Penelitian ini dilakukan untuk mengetahui hubungan antara adult romantic attachment dengan infertility-related stress pada perempuan yang mengikuti program Teknologi Reproduksi Berbantu (TRB). Pengukuran adult romantic attachment dilakukan dengan alat ukur adaptasi dari The Experiences in Close Relationship (Brennan, Clark, & Shaver, 1998) yang menghasilkan dua skor berdasarkan dimensi-dimensinya, yaitu avoidance dan anxiety. Pengukuran infertility-related stress dilakukan dengan alat ukur adaptasi dari The Fertility Problem Inventory (Newton, Sherrard, & Glavac, 1999) yang menghasilkan satu skor total dan lima skor berdasarkan domain-domainnya, yaitu social concern, sexual concern, relationship concern, need for parenthood, dan rejection of childfree lifestyle. Berdasarkan penelitian terhadap 37 partisipan, terdapat hubungan yang signifikan antara anxiety dalam adult romantic attachment dengan infertility-related stress. Anxiety juga menunjukkan hubungan yang signifikan dengan sebagian besar domain infertility-related stress, kecuali dengan rejection of childfree lifestyle. Sementara, tidak terdapat hubungan yang signifikan antara avoidance dalam adult romantic attachment dengan infertility-related stress. Avoidance juga tidak menunjukkan hubungan yang signifikan dengan sebagian besar domain infertility-related stress, kecuali dengan relationship concern. Berdasarkan hasil penelitian, lama waktu pernikahan memberikan pengaruh terhadap anxiety dalam adult romantic attachment dan letak masalah infertilitas memberikan pengaruh terhadap infertility-related stress.......This research was conducted to find correlation between adult romantic attachment and infertility-related stress among women taking Assisted Reproductive Technology (ART). Adult romantic attachment was measured using adopted version of The Experiences in Close Relationship (Brennan, Clark, & Shaver, 1998) which produces two scores based on its dimensions, avoidance and anxiety. Infertility-related stress was measured using adopted version of The Fertility Problem Inventory (Newton, Sherrard, & Glavac, 1999) which produces one total score and five scores based on its domains, social concern, sexual concern, relationship concern, need for parenthood, and rejection of childfree lifestyle. The participants of this research were 37 women taking Assisted Reproductive Technology (ART) who met the characteristics needed. The result showed that anxiety on adult romantic attachment correlated significantly with infertility-related stress. Anxiety also correlated with almost domains of infertility-related stress, except rejection of childfree lifestyle. Meanwhile, avoidance on adult romantic attachment didn’t correlate significantly with infertility-related stress. Avoidance also didn’t correlate with almost domains of infertility-related stress, except rejection of childfree lifestyle. Based on the research’s result, duration of marriage influenced anxiety on adult romantic attachment and diagnosis of infertility problem influenced infertility-related stress."

"Latar Belakang Selain implikasi medis, faktor sosial juga dapat menjadi dorongan bagi individu untuk melakukan prosedur simpan beku oosit (social freezing). Indonesia termasuk dalam jajaran negara yang belum memiliki regulasi terkait dengan implementasi social freezing. Di samping itu, diketahui bahwa sikap dan pemahaman masyarakat terhadap preservasi fungsi fertilitas juga terlihat semakin positif. Sebagai penyedia layanan kesehatan, perspektif dokter spesialis sangat berpengaruh terhadap pengembangan kebijakan ke depannya serta terhadap keputusan pasien. Penelitian ini bertujuan untuk mengetahui gambaran profil pengetahuan, sikap, dan perilaku dokter spesialis obstetri dan ginekologi di Indonesia terhadap prosedur social freezing. Metode Penelitan dilakukan dengan metode cross sectional terhadap sejumlah 136 dokter spesialis obstetri dan ginekologi di Indonesia dalam periode Agustus hingga September 2023. Data dikumpulkan melalui penyebaran kuesioner yang terdiri atas tiga komponen, yaitu pengetahuan, sikap, dan perilaku terhadap social freezing. Hasil Mayoritas responden diketahui cenderung memiliki tingkat pengetahuan yang baik dan sikap positif terkait preservasi fertilitas dan social freezing (63,9% dan 91,2%). Namun, hanya sebagian kecil dari responden yang menunjukkan frekuensi tinggi terkait prosedur social freezing (28%). Analisis komparatif menemukan perbedaan pada perilaku terkait social freezing berdasarkan tingkatan spesialisasi (p = 0,003), sementara itu tidak ada perbedaan pada durasi praktik (p = 0,742). Selain itu, uji asosiasi menunjukkan bahwa tingkat pengetahuan tidak memengaruhi sikap (p = 1,000) dan perilaku responden (p = 0,142). Kesimpulan Profil pengetahuan dan sikap sebagian besar dokter spesialis obstetri dan ginekologi di Indonesia terkait social freezing cenderung positif. Namun, profil perilaku dokter spesialis obstetri dan ginekologi di Indonesia terhadap social freezing tergolong rendah.......Introduction Apart from medical implications, social factors can also serve as driving factors for individuals to undergo oocyte cryopreservation. Indonesia is among the countries that currently lack regulations regarding implementation of social freezing. It is evident that societal attitudes and understanding of fertility preservation and age-related concerns are progressively taking on a more positive outlook. As healthcare providers, the perspectives of obstetricians and gynecologists may influence the development of future policies and patient decisions. The objective of this study is to delineate the knowledge profile, attitudes, and behaviors of obstetricians and gynecologists in Indonesia regarding the procedure of social egg freezing. Method The research was conducted using a cross-sectional methodology involving 136 Indonesian obstetrician and gynecologist. The study was carried out over the period from August to September 2023. Data were collected through the distribution of a questionnaire comprising 3 components: knowledge, attitudes, and behaviors related to social freezing. Results The majority of respondents exhibited a tendency towards a good level of knowledge and positive attitudes concerning fertility preservation and social freezing (63.9% and 91.2%, respectively). However, only a small proportion of respondents demonstrated a high frequency associated with the social egg freezing procedure (28%). Comparative analysis revealed significant differences in behaviors related to social egg freezing based on specialization level (p = .003), while no significant differences were identified based on practice duration (p = .742). Furthermore, association tests indicated that knowledge levels did not significantly influence attitudes (p = 1.000) or respondent behaviors (p = .142). Conclusion The majority of obstetricians and gynecologists in Indonesia exhibit predominantly positive knowledge and attitudes regarding social egg freezing. However, their behavioral engagements towards social egg freezing is notably low."

"Skripsi ini meneliti mengenai pengaturan terkait dengan inseminasi donor sebagai suatu tindakan reproduksi berbantu di Indonesia dan Negara Bagian Indianapolis, Amerika Serikat. Secara khusus, skripsi ini juga akan meneliti mengenai tanggung jawab hukum dari dokter terhadap suatu tindakan reproduksi berbantu apabila terjadi suatu pelanggaran di mana seorang dokter memasukkan spermanya sendiri dalam tindakan reproduksi berbantu tanpa persetujuan pasien hingga menghasilkan kurang lebih 90 orang anak, seperti yang dilakukan oleh Dokter Donald Cline di Negara Bagian Indianapolis. Kasus Dokter Donald Cline merupakan salah satu kasus reproduksi berbantu yang cukup terkenal mengingat beliau merupakan salah satu dokter fertilitas terbaik di Indiana pada masanya. Akan tetapi, para korban dari Cline menganggap bahwa pertanggungjawaban hukum yang dilakukan oleh Cline tidak setimpal dengan perbuatannya, dan hal ini didasari oleh adanya suatu kekosongan hukum di Negara Bagian Indianapolis saat itu. Dalam melakukan penelitian, peneliti menggunakan metode penelitian doktrinal dengan tipologi preskriptif. Permasalahan dalam skripsi ini adalah apabila terjadi suatu kasus dimana seorang dokter memasukkan spermanya sendiri dalam tindakan reproduksi berbantu tanpa persetujuan pasien, bagaimanakah pertanggungjawaban hukum atas hal tersebut. Selain itu, permasalahan dalam skripsi ini juga bagaimana kasus Donald Cline jika dilihat dari sudut pandang hukum Indonesia, sebagai bentuk pencegahan apabila hal serupa terjadi di Indonesia. Kesimpulan atas permasalahan tersebut adalah jika kasus Donald Cline terjadi di Indonesia, sesuai dengan hukum yang berlaku di Indonesia saat ini, dokter dapat dimintakan pertanggungjawaban secara administratif, perdata, dan pidana.......This thesis examines the regulation related to donor insemination as an act of assisted reproduction in Indonesia and Indianapolis, United States. In particular, this thesis will also examine the legal responsibility of a doctor for an act of assisted reproduction if there is a violation where a doctor inserts his own sperm in an act of assisted reproduction without the patient's consent and produce approximately 90 children, as done by Doctor Donald Cline in Indianapolis. The case of Doctor Donald Cline is one of the most famous fertility fraud cases considering he was one of the best fertility doctors in Indiana during his time. However, the victims of Cline considered that the legal liability of Cline was not commensurate with his actions, and this was based on the nonexistence of a legal basis to judge Cline in at that time. In conducting the research, the researcher used doctrinal research method with prescriptive typology. The problem in this thesis is if there is a case where a doctor inserts his own sperm in assisted reproduction without the patient's consent, how is the legal liability for this. In addition, the problem in this thesis is also how the Donald Cline case if seen from the perspective of Indonesian law, as a form of prevention if something similar happens in Indonesia. The conclusion of the problem is that if the Donald Cline case occurs in Indonesia, in accordance with the current law in Indonesia, doctors can be held liable administratively, civilly, and criminally."

"Latar Belakang: Fertilisasi in vitro merupakan salah satu metode teknologi reproduksi berbantu dengan rasio keberhasilan yang rendah yang kian menurun seiring dengan bertambahnya usia pasien. Kegagalan fertilisasi in vitro disebabkan oleh beberapa etiologi, salah satunya adalah kejadian aneuploidi pada embrio pasien. Aneuploidi embrio terjadi akibat kelainan pada faktor paternal maupun maternal. Pada faktor paternal, diketahui bahwa usia tua pada ayah dapat menurunkan kualitas sperma, yang selanjutnya dapat meningkatkan risiko terjadinya aneuploidi embrio. Pada penelitian ini, penulis ingin mengetahui apakah kualitas sperma, yang dinilai berdasarkan konsentrasi serta motilitas progresifnya, dapat mempengaruhi kejadian aneuploidi embrio secara langsung. Tujuan: Mengetahui korelasi antara konsentrasi dan motilitas progresif sperma dengan kejadian aneuploidi embrio. Metode: Dikumpulkan 18 data profil sperma dari buku rekam medis pasien fertilisasi in vitro Klinik Yasmin RSCM Kencana serta 64 data hasil preimplantation genetic testing for aneuploidy (PGT-A). Kedua data dinyatakan sebagai variabel numerik. Hasil: Mean persentase aneuploidi embrio adalah sebesar 64,64% (0,00—100,00%). Uji korelasi Pearson menunjukkan nilai p = 0,065 untuk konsentrasi sperma, dengan median konsentrasi sebesar 28,00 (0,20–119,00) × 106 spermatozoa/ml, dan p = 0,642 untuk motilitas progresif sperma, dengan mean persentase motilitas progresif sebesar 53,24% (14,29–86,21%). Kesimpulan: Konsentrasi dan motilitas progresif sperma tidak memiliki hubungan yang signifikan dengan kejadian aneuploidi embrio.......Background: In vitro fertilization (IVF) is an example of assisted reproductive technology (ART) with a low success rate which decreases even more as patients’ age increases. Failure in IVF can be caused by embryonic aneuploidy incidence, which occurs due to abnormalities in paternal or maternal factors. Paternally, the increase in age can reduce sperm quality, which in turn can increase the risk of embryonic aneuploidy. Aim: To determine the direct relationship between sperm concentration and sperm progressive motility on the incidence of embryonic aneuploidy. Methods: The author gathered 18 sperm profile recordings from the medical record book of Klinik Yasmin RSCM Kencana patients along with 64 PGT-A results. Both data were expressed as numeric variables. Results: The mean percentage of embryonic aneuploidy was 64.64% (0.00-100.00%). Pearson's correlation test showed p = 0.065 for sperm concentration, with a median concentration of 28.00 (0.20–119.00) × 106 spermatozoa/ ml, and p = 0.642 for sperm progressive motility, with a mean percentage of progressive motility of 53.24% (14.29–86.21%). Conclusion: Sperm concentration and sperm progressive motility is not associated with the incidence of aneuploidy in embryo."