bluuebunny/crossref_metadata_2025 huggingface dataset:
EFFECT OF COUNSELLING ON FREQUENCY AND SEVERITY OF NAUSEA AND VOMITING IN PREGNANCY (NVP)
Authors: Sukeningsih Luh , Winardi Baksono , Kusumaningrum Tiyas
Published: November 2021

ABSTRACTBackground: Nausea and vomiting are commonly during early pregnancy. Nausea and vomiting significantly decrease in quality of life. Objective:This study aimed to explain the effect of counseling on the frequency and level of nausea and vomiting in pregnant women. Method: This was a quasi-experimental study with a non randomized control group pretest posttest design. The control group was 37 people and the experimental group were 37 people. The control group only received a standard ANC, the experimental group received nausea and vomiting counseling in pregnancy. The independent variables was counselling based on Roy Adaptation Model, the dependent variable was frequency and level severity of nausea and vomiting. The research instrument used was a questionnaire and counseling. Data analysis used univariate and bivariate analysis (Wilcoxon Signed Rank Test and Mann Whitney). Results: The experimental group experienced decreased in frequency and level of nausea, while control group did not change. Statistical Mann Whitney test results obtained p value of nausea frequency of 0.018, and p value of frequency of vomit 0.000 and p value of levels of nausea and vomiting 0.034 which showed that there were differences in the experimental group compared to the control group. Conclusion: There is an effect of counseling Roy Adaptation Model to the frequency and level of nausea vomiting in pregnancy
FACTORS RELATING TO THE LEVEL OF PREGNANT WOMEN'S SATISFACTION USING ANC SERVICE
Authors: Apriani Devvy , Kusumaningrum Tiyas
Published: November 2021

AbstractBackground: Independent Midwifery Practice is a health service provider that has a significant contribution in providing mother and child health services. One important indicator in service is satisfaction. There are still many pregnant women who are not satisfied with the ANC services provided. The purpose of the study was to analyze factors related to satisfaction of pregnant women in using ANC services. Method: Cross sectional, with purposive sampling technique. The number of samples were 89 pregnant women who visited PMB in August - September 2019. The independent variables were maternal characteristics (age, parity, education, occupation), service quality, service facilities, and access (financing and distance systems). The dependent variable was the level of satisfaction. Data analysis used Somers'd Test and contingency coefficients. Results: Factors related to satisfaction level were service quality, service facilities and financing system with a value of p<α< 0.05 and factors not related to satisfaction level were age, education, parity, occupation and distance with a value of p>α>0.05. Conclusion: Good service, good facilities and the financing system used tend to produce high levels of satisfaction.
FACTORS THAT INFLUENCING THE AWARENESS OF THE FIRST ANTENATAL VISIT
Authors: Awi Maria Magdalena , Purwanti Dwi , I’tishom Reny , Darsini Ninik
Published: November 2021

ABSTRACTBackground : K1 antenatal care visits at gestational age less than 13 weeks has a very important meaning for pregnant women as well as maternal and child health programs because of their contribution to the prevention of maternal deaths. Coverage of K1 in Puskesmas Watukapu  still has a gap of 28.05%.This study aims to determine the factors that influence the K1 antenatal care visit. Methode : The research method was analytic observational with cross sectional design. The sample in this study were all pregnant women trimesters 2 and 3 who came to visit the POLI KIA Puskesmas Watukapu.The sample size of 70 respondents was taken by non-probability sampling technique with consecutive sampling.The independent variable was K1 antenatal care visit, while the dependent variable were age, knowledge, education, parity, attitude, husband's support and family support.Research instrument with questionnaire. Bivariate data analysis used chi square test and multivariate test used  multiple logistic regression  test.  Results:this study found that the proportion of K1 antenatal care visits was 62.4%. Bivariate statistical test results knowledge P = 0,000 (p <0,005), attitude P = 0,135 (P> 0,005), husband support P = 0,000 (P <0,005), family support P = 0,004 (P <0,005), age P = 0,331 (P> 0.005), education P = 0.004 (P <0.005), parity P = 0.015 (P <0.05).  Multivariate test results with  P value <0.005 was  parity with a P value of 0.017.Conclusion: There is a correlation between knowledge, education, parity, husband's support and family support to the awareness of K1 antenatal care visits with the most dominant factor is parity.
THE EXPERIENCE OF MIDWIVES WHO EXPERIENCED THE TRAUMATIC CHILDBIRTH
Authors: Sagala Rayanti , Febriana Nining , Dewanti Linda
Published: November 2021

AbstractBackground: The high rate of medicalization in a woman reduces her ability to give birth and negatively impacts labor. Negative birth emotion in a midwife affects the quality of care. METHOD: This research is a descriptive qualitative research. The sampling technique was purposive sampling consisting of 10 respondents based on inclusion and exclusion criteria setted by the researcher. Data was obtained by conducting in-depth interviews. Data was analysed by reducing data, presenting data, coding, categorizing, and drawing conclusions. RESULTS: Three themes that identified the causes of labor trauma to midwives in this study were complications, pain during labor and post sc, and the absence of a baby sitter. Besides being caused by having previous illnesses, providers who are impatient and prioritize their agendas cause women experience complications that make them traumatized. The attitude of providers and things around women can influence women's perceptions of women's pain. The absence of a baby sitter causes theintense stress for women during pregnancy. CONCLUSION: Providers should have good effective communication skills and pay attention to women's mental readiness during pregnancy and birth. The government ensures that the services provided during childbirth focus on the needs of women so as to reduce the number of trauma.
THE KNOWLOEDGE OF THE IMPACT SEXUAL BEHAVIOURS AND ADOLESCENTS DATING BEHAVIORS IN HIGH SCHOOL SURABAYA
Authors: Lailiya Fifi , Atika Atika , Fardana Nur Ainy , Amalia Rize Budi
Published: November 2021

AbstractBackground: Knowledge is one of the factors that encourage adolescents to engage in sexual behavior that deviates outside the bond of marriage through the culture of dating adolescent. According to previous research, it was reported that only a small proportion of adolescents had heard about the container or place of obtaining information and consultation regarding reproductive health. This study aims to determine the relationship of knowledge about the impact of premarital sexual behavior with dating behavior in adolescents. Methods: This research method is observational analytic with cross sectional research design. The number of samples was 56 adolescents in high school “X” Surabaya with the sampling technique using stratified random sampling. The independent variable was knowledge about the effects of premarital sexual behavior. The dependent variable was adolescent dating behavior. Results : The results showed that the level of adolescents knowledge on the impact of premarital sex behavior was included in the good category (62,5%) with while dating behavior was in the moderate category (55,4%). Spearman rank test results knowledge with dating behavior in adolescents p = 0.002 (p <0.05). Conclusion : The data showed that there was a relationship of knowledge about the impact of premarital sexual behavior with dating behavior in adolescents.
CORRELATION KNOWLEDGE WITH PSYCHOLOGY RESPONSE OF TEENAGE GIRLS IN CONFRONT MENARCHE
Authors: Mega Irawati Nisak Luvi , Budiono Budiono , Setyoboedi Bagus
Published: November 2021

AbstractBackground: Adolescence is a transition from children to adulthood. In adolescence menarche will occur, menarche is the first menstruation in young women which occurs between 1.5 to 3 years after thelarche. The average menarche occurs at the age of 12 and 13 years. When Menarche happens, many changes occur, one of which is psychological change. Changes in the level of knowledge of adolescents about the level of knowledge of adolescents about menarche. Knowledge about menarche can be obtained through families, print media, electronics, or health workers (midwives, doctors, nurses). Examining the relationship of knowledge level with prepubertal adolescent girls psychological responses in menarche conversation. Method: This study was an observational analytic study with a cross sectional study design. The number of samples was 41 students with total sampling techniques. To find out the relationship between variables, the data test with the chi-square test. Results: The results showed that most teenagers' knowledge in the knowledge category was 70.73%. While the psychological response is mostly in the negative category (68.3%). Contingency coefficient results showed a p value of 0.270 (p <0.05). Conclusion: These data indicate that there is no correlation between knowledge and psychological responses of pre-puberty teenage girls in the face menarche.
THE FACTORS OF KNOWLEDGE AND FAMILY’S SUPPORT WITH THE BEHAVIOR OF GENITAL HYGIENE
Authors: Nabila Hany , Budiono Dwi Izzati , Aldika A Muhammad Ilham
Published: November 2021

AbstractBackground : Adolescence is a period of transition from childhood to adulthood. When girls experience menstruation, their reproductive organs are functioning properly, so it’s important to maintain the cleanliness of the genital organs to avoid reproductive health problems such as vaginal discharge. The case number of reproductive tract infection in East Java on 2006 was 86.5%. There are many factors that influence adolescents to behave in genital hygiene, including the level of knowledge and family support. The purpose of this study was to determine there was a relationship between the level of knowledge and family support with genital hygiene behavior in adolescent. Methods: This study uses a relationship research method with a cross sectional. Thisresearch place at SMPN 1 Jabon, Sidoarjo. The sample in this study amounted to 170 people using proportional random sampling. Collecting data using a questionnaire. Data analysis used chi-square correlation test and Spearman rank correlation test. Results: From the results of this study, it was found that most of the respondents had poor knowledge (53%), adequate family support (52%), and fairly clean genital hygiene behavior (59%). There is a relationship between the level of knowledge with genital hygiene behavior in adolescent (p = 0.045), there is a relationship between family support and genital hygiene behavior in adolescent (p = 0.001). The results of multivariate analysis showed a relationship between the level of knowledge and family support with genital hygiene behavior in adolescent (p = 0.008), where family support had a significant relationship (p = 0.002).
RISK FACTORS OF STUNTING EVENTS IN TODDLERS AGED 24-59 MONTHS
Authors: Eka Mufidah Binti , Krisnana Ilya , Husada Dominicus
Published: November 2021

AbstractBackground: Stunting is one priority problem in Indonesia. The incidence of stunting in toddlers at the Tambak Wedi Public Health Center Surabaya in 2015 and 2016 were 31.3% and 33%, respectively. This study aims to analyze the risk factors for stunting in toddlers aged 24-59 months in  Tambak Wedi Health Center Surabaya. Method: This observational analytic research used cross sectional approach. The population in this study was 220 and the sample size was 110 mothers and toddlers. Samples were selected by proportional cluster random sampling from the population of 220 pairs mothers and toddlers. Independent variables of the  mothers include height, upper arm circumference, frequency of ANC visits, weight gain during pregnancy, meanwhile of the toddlers included birth length and birth weight. The dependent variable was stunting. Statistical analysis used chi-square  and multiple logistic regression tests. Results: There were 100 pairs of mother and toddlers in the study. Bivariate analysis showed a significant relationship between maternal height (p = 0.025, RR = 0.406), frequency of ANC visits (p = 0.017, RR = 0.382), increase in maternal weight during pregnancy (p = 0.017, RR = 0.328), the baby’s birth length (p = <0.001, RR = 0.256), and the baby's birth weight (p = <0.001, RR = 0.208) with stunting. Multivariate analysis showed maternal height and ANC visit as the significant risk factors of stunting. Conclusion: Maternal height and the frequency of ANC visits were the risk factors for stunting among toddlers aged 24-59 months in Tambak Wedi Public Health Center in Surabaya.
THE RELATIONSHIP BETWEEN PARENTING STYLE AND CHILDREN'S DEVELOPMENT AGED PRE-SCHOOL
Authors: Krisdiantini Amilia , Setyoboedi Bagus , Krisnana Ilya
Published: November 2021

Background: Development is related to the increase in the structure of bodily functions which Include tge ability of gross and fine motor skill, languange, and socializationand independence. One of the factors that influence a child's development is parenting, which is the pattern of interaction between parents and children. Early detection of development needs to be done in order to know deviations in development. Method: This research method used an observational analytic cross-sectional study design. The number of samples was 69 toddlers with a sampling technique using purposive sampling. The independent variable is parenting and the dependent variable is child development. The instruments used were parenting questionnaire and child development questionnaire, namely KPSP. Data analysis technique used was the spearman with α = 0.05 and the analysis of the closeness of the two relationships using correlation coefficient. Results: The results showed that there were 33.3% of respondents with permissive parenting had developmental status in accordance with or normal with their age, parents with democratic parenting also had 53.7% of respondents whose development was in accordance with or normal with their age, while authoritarian parenting there are 40.0% of respondents who are appropriate or normal for their age. Spearmen test results are known for each parenting, namely permissive parenting with p value 0.928, democratic parenting with p value 0.023, and authoritarian parenting with p value 0.420. Conclusion: the data shows that there is a relationship between parenting and developmental patterns, those are democratic parenting and permissive parenting.Keywords: child development, parenting, toddlers
LITERATURE REVIEW IRREGULAR MENSTRUAL CYCLE BASED ON BMI AND BODY FAT PERCENTAGE
Authors: Hikma Nurul , Faizah Zakiyatul , Amalia Rize Budi
Published: November 2021

AbstractBackground: The menstrual cycle can be said to be normal if the interval is between 21-35 days. The prevalence rates associated with menstrual cycle disorders were found in the range of 15.8-89.5. Nutritional status is one of the factors that cause menstrual cycle disorders, where nutritional status can be determined using body mass index and measuring the percentage of fat in the body. The purpose of this study was to determine the relationship between nutritional status and the menstrual cycle using the literature review method. The formulation of the problem in this research is determined by PICO, namely: "is there a relationship between nutritional status and menstrual cycle disorders?". A total of 749 literary works obtained from the Google Scholar, Science Direct, PubMed and ProQuest databases were used as a literature review source, where in screening the literature the inclusion and exclusion criteria were seen, which had previously been determined so that finally six literatures were reviewed. Results: The cause of menstrual cycle disorders has been found in adolescents with an average value of 18.4-37.8 and the percentage of body fat between 12.80-34.80. Conclusion: Based on all literature that has been reviewed, it can be concluded that menstrual cycle disorders have a significant relationship with body mass index and body fat percentage.
RISK FACTOR OF ECTOPIC PREGNANCY BY USING LITERATURE REVIEW METHOD
Authors: Sari Winda Fatma , Adityawarman Adityawarman , Budiono Budiono
Published: November 2021

Background: Ectopic pregnancy is a pregnancy outside the uterus, embryo could attached to thefallopian tube, ovary cervix or cervix. Around 85-90% incidence of ectopic pregnancy is found inmultigravid women. According to data from the Health Office, maternal mortality in 2017 tendsto increase in the last two years. Not only it is a major predictor of mortality and morbidity inpregnant women, but individuals with a history of ectopic pregnancy have a greater risk. Thepurpose of this research was to determine the risk factors that cause ectopic pregnancy by usingliterature studies review. Method:This study used a systematic review of articles that publishedbetween 2013-2020 in the Science Direct, Scopus and Google Scholar. 10 articles that meet theinclusion and exclusion criteria, included as a sample for further review. The results regarding torisk factors that caused ectopic pregnancy in each article were systematically synthesized. Results:Risk factors found to be significantly associated with the incidence of ectopic pregnancy in thearticle were age (2), infertility (2), IUD (3), PID (3), Ectopic Pregnancy History (5), Progestine Pills (2), History of Abortion (1), Smoking (3). Conclusions: age, infertility, IUD, PID, history of ectopic pregnancy, progestine pill, History of abortion, and smoking were risk factors that hadsignificant relationship with the incidence of ectopic pregnancy.
FACTORS AFFECTING EXCLUSIVE BREASTFEEDING IN INFANT AT THE PUBLIC HEALTH CENTER OF ILE BURA
Authors: Kebo Sesilia Serly , Husada Dominicus Husada , Lestari Pudji Lestari
Published: November 2021

Background: Exclusive Breastfeeding (ASI) according to WHO is the best method of feeding babies, in the period from newborns to 6 months of age without being given other additional foods. The coverage of exclusive breastfeeding in Indonesia is still around 37.3% of the 50% target. . Literature review and previous research show that the practice of exclusive breastfeeding is influenced by several factors, including maternal age, mother's occupation, mother's knowledge, family support, support from health workers and the IMD process. The purpose of this study was to analyze the factors of maternal age, occupation, mother's knowledge, family support, support from health workers and the IMD process for the process of exclusive breastfeeding to infants. Methods: An observational quantitative analytical study with a cross sectional approach. The study was conducted in the Ilebura Health Center area, from August to September 2020 with a sample of breastfeeding mothers who had babies aged 6-12 months, with total sampling. The variables in this study consisted of from the independent variables, namely maternal age, mother's occupation, mother's knowledge, family support, support from health workers, and the IMD process. The dependent variable is exclusive breastfeeding. The instrument used is a questionnaire. Data analysis using chi square test and multivariate test using logistic regression. Results: This study obtained 71 samples of breastfeeding mothers. Most of the respondents (78.9%) who gave exclusive breastfeeding were aged 25-35 years, had a good level of knowledge and did not work. All respondents in this study received support from their families and health workers, and most of the respondents (85.9) who gave exclusive breastfeeding experienced the IMD process. Bivariate test results showed the relationship between age factor (p = 0.163), occupation factor (p = 0.592), knowledge factor (p = 0.452), IMD process (p = 0.010) on exclusive breastfeeding. The results of the multivariate test showed that the most influential factor on exclusive breastfeeding was the IMD factor. Conclusion: Research shows that there is no relationship between maternal age, mother's occupation, mother's knowledge with exclusive breastfeeding, but there is a relationship between the IMD process and exclusive breastfeeding. The most dominant factor influencing exclusive breastfeeding to infants is the implementation of early initiation of breastfeeding (IMD). ). Keywords: Factors, Success, Exclusive Breastfeeding
RELATIONSHIP BETWEEN OBESITY, TWIN-PREGNANCY AND PREVIOUS HISTORY OF PREECLAMPSIA WITH PREECLAMPSIA
Authors: Parantika Riani Widia , Hardianto Gatut , Miftahussurur Muhammad , Anis Wahyul
Published: November 2021

Background: Preeclampsia can threaten the health of the mother and fetus during pregnancy and childbirth, besides that it also increases the risk of long-term complications and has the potential to cause death. The incidence of preeclampsia at the RSUD Engku Haji Daud Tanjung Uban showed an increase in the last three years, namely the occurrence from 2017 as many as 23 cases to 56 cases in 2019. The condition of preeclampsia can worsen quickly and without warning, for that, it must be detected and managed appropriately. This study aimed to identify the association of obesity, multiple pregnancies, and previous history of preeclampsia with the incidence of preeclampsia in maternity women. Methods: This study uses a case-control study design. Performed on women giving birth in the period January – December 2019, consisting of 56 cases and 112 controls. Maternal women with preeclampsia were cases and women who were not diagnosed with preeclampsia were controls. The data was obtained from the respondents' medical records, then analyzed using the Chi-Square test or Fisher's Exact test with a value of = 0,05. Results: Obesity was associated with an increased risk of preeclampsia (OR= 4,746, 95% CI 2,381-9,460; P=0,000). Multiple pregnancies were associated with a significantly increased risk of preeclampsia (OR=15,857, 95% CI 1,899-132,384; P=0,002). Likewise, a previous history of preeclampsia was associated with a markedly increased risk of preeclampsia (OR=99,000, 95% CI 22,057-444,343; P=0,000). Conclusion: Based on these data, it was found that obesity, multiple pregnancies, and previous history of preeclampsia were significant risk factors for the occurrence of preeclampsia. It is important to identify risk factors for preeclampsia early, so that appropriate management can be carried out, to prevent complications.
DIFFERENT SEXUAL FUNCTION OF UTERIC PROLAPSE PATIENTS BETWEEN OPERATIVE AND NON-OPERATIVE
Authors: Indarti Mei , Kurniawati Eighty Mardiyan , Sari Gadis Meinar , Hardianto Gatut
Published: November 2021

Abstract Background: The prevalence of pelvic organ prolapse (POP) increases as the age increment. Uterine prolapse is the most common type of POP cases. Although uterine prolapse is not a life-threatening condition, it can affect a woman's quality of life. Either operative or non-operative therapy can affect reproductive or sexual function. The purpose of this study was to analyze differences in sexual function scores in uterine prolapse patients between operative and non-operative therapy. Methods: This is an analytic observational study with a cross-sectional design.  Sampling technique used convenience sampling and data were analyzed by Mann-Withney test using SPSS. Results: There were 30 samples, 14 of them did operative therapy and 16 of them did non-operative or pesarry therapy. Data analysis using Mann-Withney test shown that the operative group had median score  of 16,6 while the non-operative group had median score of 19,9 with p=0,124 (p>0,05). Conclusion: There was no significant difference of sexual function scores between patients with operative therapy and non-operative therapy.
BIRTH WEIGHT AND BIRTH LENGTH AFFECTING STUNTING INCIDENT IN TODDLER
Authors: Sawitri Augustien Julia , Purwanto Bambang , - Irwanto
Published: November 2021

AbstractBackground: East Java is one of the regions in Indonesia that has received more attention regarding stunting because the incidence has around 36%. Stunting is a phenomenon of malnutrition that occurs in children where there are growing problems related to the length or height of the child. The history of choric energy deficiency in the mother during pregnancy, birth weight, and birth length is closely related to the incidence of stunting. The incidence of stunting at the Puskesmas Tambak Wedi Surabaya in 2018 was 18.9%. This data has increased from 2017 to 2.7%. Therefore, this study aims to determine the relationship between birth weight and birth length with the incidence of stunting under five at Puskesmas Tambak Wedi Surabaya. Methods: This study used observational analytic with a cross-sectional approach. The sample used was 30 toddlers with a simple random sampling technique. Stunting in toddlers is included in the dependent variable, while birth weight and birth length are included in the independent variables. Spearman's test was used to analyze the data in this study. Results: This study shows that there is a relationship between birth weight and the incidence of stunting in children under five who obtained a correlation coefficient value of 0.450 with a p-value of 0.012 with sufficient strength and there was a relationship between birth length and the incidence of stunting under-five children who obtained a correlation coefficient value of 0.463 with a p-value of 0.010 with sufficient relationship strength. Conclusion: Birth weight and birth length are associated with the incidence of stunting under five. Mothers need to follow the advice of health workers in maintaining nutrition during preconception, antenatal, natal, and post-natal periods with the help of the husband and family.
DESCRIPTION OF THE LEVEL OF ANXIETY IN POST PARTUM
Authors: Istiqomah Alfya Lailatul , Viandika Nurya , Khoirun Nisa Shofia Maharani
Published: November 2021

Background: The puerperium begins when the baby and placenta are born until the uterus returns to its pre-pregnancy state, and generally lasts for 6 weeks. There are several adaptations that must be passed by postpartum  period including physiological, psychological and social. Anxiety is part of the psychological disorders of postpartum mothers, if anxiety is not handled it can cause postpartum blues and its impact causes a decrease in children's cognitive abilities compared to their peers. The purpose of this study was to describe the level of anxiety in post partum mothers at HJ Faridatul Ampera S.Tr. Keb Independece Midwifery Practice Malang Regency. Methods: The method used in this research is descriptive quantitative with a sample of 38 postpartum mothers with purposive sampling method. The instrument used was a questionnaire, with postpartum mother's anxiety variable. Results: All post partum  (100%) experienced anxiety with a mild level of anxiety of 50.00%, experiencing moderate anxiety of 36.84% and experiencing severe anxiety of 13.16%. Conclusion: Post partum maternal anxiety can occur due to various factors, therefore comprehensive support and care are needed in dealing with the post partum mother adaptation period.
HAPPINESS OF PREGNANT WOMEN AND CHILDREN'S ACADEMIC ACHIEVEMENTS VALUE IN KINDERGARTEN KHADIJAH
Authors: Hidayah Dian Lestari , Febriyana Nining , Atika Atika
Published: November 2021

Background: Indonesia's education ranked sixth bottom of the 2018 world rankings compiled by the Program for International Student Assessment (PISA). The value of academic achievement is an indicator of the quality of students in the academic field. One of the factors that influence achievement is children's intelligence. Child's intelligence is influenced by the happiness of his mother during pregnancy. This study aims to analyze the relationship between the happiness of pregnant women and the value of children's academic achievement in TK Khadijah Gedangan. Method: This type of research is an observational analytic study, using a cross sectional approach. The study population was all TK-A and TK-B students at TK Khadijah Gedangan and their biological mothers. The total sampling method was carried out according to the inclusion criteria and exclusion criteria. Collecting data using a demographic questionnaire and OHQ which was translated into Indonesian. SPSS software was used to test the Spearman rank correlation statistical test. Result: Obtained N = 54, significance value 0.514, correlation coefficient value -.091. Conclusion: The happiness of pregnant women is not related to the achievement scores of kindergarten children.Keywords: happiness, pregnant women, academic achievement
FACTORS RELATED TO FIRST ANTENATAL VISITS IN PREGNANT WOMEN
Authors: Djano Maria Bernadeta S , Cahya Laksana Muhammad Ardian , Utomo Budi
Published: November 2021

AbstractBackground: Pregnancy is a physiological event but in its developmen it has risks. In Nagekeo district in 2018 and 2019 there were 6 cases of maternal death and 121 cases of infant mortality with 52 deaths occurring antepartum. There were 10 infant deaths at the Boawae Health Center in 2019 with 5 cases of death occurring antepartum. In addition, there is a gap in achieving the first antenatal visit target of 19% and 14.8% in 2018 and 2019 where not all pregnant women have had their first pregnancy examination in the first trimester. Several factors can influence the behavior of pregnant women in conducting the first antenatal visit such as education level and cost. The importance of carrying out a pregnancy check in the first trimester allows for early detection of disease, administration of folic acid, communication and health information as well as management of problems found. This study aims to analyze the factors associated with the first antenatal visit in pregnant women. Methods: This type of research is observational analytic with a cross sectional design. The sample in this study were all pregnant women in the 2nd and 3rd trimesters who were in the working area of the Boawae Health Center. Data collected through questionnaires were then processed and analyzed by frequency distribution and cross distribution as well as Multiple Logistics Regression analysis with a significance level of 5% (p = 0.05). The research sample size is 86 respondents. The sampling technique is non-probability sampling with consecutive sampling. Bivariate data analysis using chi square and multivariate test using multiple logistic regression. Results: The results showed that the factors associated with the first antenatal visit were maternal health status with a p-value of 0.001 (p < 0.005), husband's education with a p-value of 0.000 (p < 0.005), pregnancy complications with a p-value of 0.001 (p < 0.005), costs with a p-value of 0.002 (p < 0.005) and the presence of a companion with a p-value of 0.000 (p < 0.005). Multivariate analysis showed that the most dominant factor influencing was the cost and presence of a companion, so it can be concluded that pregnant women who have KIS and are supported by a companion are more likely to have their first visit in the first trimester of pregnancy. Conclusion: There is a relationship between health status, husband's education, costs, presence of companions, pregnancy complications with the first antenatal visit.
THE EFFECT OF FINGER-GRIP RELAXATION TECHNIQUE ON REDUCING ANXIETY IN PREOPERATIVE CAESAREAN SECTIO PATIENTS IN THE MIDWIFERY ROOM OF KEPAHIANG REGIONAL HOSPITAL
Authors: Silviani Yulita Elvira , Maiseptyasari Ruri , Fahriani Metha , Putri Samantha Dwi
Published: November 2021

ABSTRACT Sectiocaesarea is an artificial childbirth, ie the fetus is born through an intact abdominal wall and uterine incision that is still intact with the requirement, that the uterus is intact and the fetus weighs above 500 gr.The purpose of this study was to determine the effect of hand-held relaxation techniques on anxiety reduction in caesarean sectio patients in the midwifery room of Kepahiang Regional Hospital in 2019.The design of this study used the pre-experimental method, with the One Group Pretest-Posttest design approach. The population used in this study was about 80 women giving birth with caesarean section from March to May 2019 in Kepahiang District Hospital. Samples were taken using 45 accidental sampling techniques. Data were analyzed using univariate analysis, data normality test and bivariate analysis using Wilcoxon sign rank test.The results of the study were obtained from 45 patients before hand held finger relaxation that experienced mild anxiety by 22 respondents (48.9%), moderate anxiety by 11 respondents (24.4%) and severe anxiety by 12 respondents (26.7%), after they were performed there are 10 respondents (22.2%) not hand worried, 27 respondents (60.0%) have mild anxiety and 8 respondents (17.8%) have severe anxiety, there is an influence between finger grip relaxation with pre-operative patient anxiety cesarean section.It is expected to provide input to Kepahiang Regional Hospital regarding the effect of hand-held relaxation techniques on reducing anxiety in patients with Preoperative Caesarea in the Midwifery Room of Kepahiang Regional Hospital in 2019
THE EFFECT OF NUTRITIONAL STATUS ON GROSS MOTOR SKILL IN PRE SCHOOL CHILDREN
Authors: Fitriari Tutfah Razzak , Suryawan Ahmad , Sulistiawati Sulistiawati
Published: November 2021

Background and Purpose : Nutritional status is one aspect that influences children’s development. Children whose nutritional needs are not being met are at risk of experiencing developmental disorders, where one aspect of development that is affected is their gross motor skills. Indonesia has a number of malnutrition up to 17.7% with a motor disorder rate of 13-18%. This study aims to analyze the relationship between nutritional status and gross motor skill status of children aged 60-72 months in Islam Al karomah Surabaya Kindergarten. Methods : This study use obervational analytic method with cross sectional design study design. The sample in this study were children who attend Islamic Al Karomah kindergarten in Surabaya. The number of samples was 40 respondents in the Islam Al Karomah Surabaya Kindergarten. The sampling technique of this study was total sampling with nutritional status as independent variable and gross motor skill status as dependent variable. The instuments of this study are Z-Scores (Body Mass Index for age) and Developmental Pre Screening Questionnaire for collecting data and was analyzed by Fisher’s Exact test (a=0.05). Results : Almost all of the children with normal gross motor skills (78.1%) have a normal nutritional status with the results of Fisher’s Exact analysis shown p value = 0.007 (p<0.05). Conclusion : there is a relationship between the nutritional status and gross motor skill status of children aged 60-72 months in Islam Al karomah Surabaya Kindergarten.
INHIBITORY ACTIVITY OF ULIN BARK (Eusideroxylon zwageri) EXTRACT TO Lactobacillus acidophilus
Authors: Rahmasari Ina Rezki , Firdaus I Wayan Arya Krishnawan , Dewi Renie Kumala
Published: November 2021

Background: Lactobacillus acidophilus is a bacterium  which plays a role in dental caries. It is believed as a pioneering bacterium in advanced caries and much likely to be isolated in dentin caries zone, resulting in the needed for tooth restoration. The use of 2% Chlorhexidine digluconate as cavity cleanser is recommended as an effort to prevent seconday caries but can cause side effects. One of the natural materials that can be used as a cavity cleanser is ulin bark extract (Eusideroxylon zwageri), a traditional medicine originally from Kalimantan, because it contains phenolic, flavonoid, tannin, alkaloid, saponin and terpenoid. Purpose: To discover the inhibitory activity of ulin bark extract on Lactobacillus acidophilus growth. Methods:  This was a true experimental laboratory and post test only with control group design, that used 20%, 40%, 60%, 80%, 100% concentrations of ulin bark extracts and  K(+) 2% Chlorhexidine digluconate. Difussion method was used to test inhibitory activity with 6 treatment groups and 4 replications, comprising a total of 24 samples. All groups were incubated for 24 hours at 37ºC temperature. The inhibition zone was measured using calipers. Results: The 20%, 40%, 60%, 80% and 100% concentration of ulin bark extracts and 2% Chlorhexidine digluconate had an average inhibition zone of 7.17 mm, 9.02 mm, 11.14 mm, 13.06 mm, 15.17 mm and 19.22 mm. One Way ANOVA and Post Hoc Bonferroni tests showed significant difference between all groups. Conclusion: Ulin bark extract can inhibit Lactobacillus acidophilus growth starting from 20%, 40%, 60%, 80% and 100% concentration.
CORRELATION BETWEEN THE KNOWLEDGE LEVEL OF MOTHER ON DENTAL HEALTH AND THE CARIES SEVERITY LEVEL OF CHILDREN IN BARITO KUALA
Authors: Sari Galuh Dwinta , Amalia Noor Mutiari , Hatta Isnur
Published: November 2021

Background: Dental and oral health is inseparable. Dental health problems can affect the growth and the development of children. Dental caries or cavity is one of the dental health problems that often find in children. The knowledge of mother on certain things underlies the formation of behavior that supports oral health in children. A mother is the closest person to child that holds a significant role to guide, educate, remind, and facilities children’s need for oral and dental health. Purpose: This research aims to analyze the relationship between maternal knowledge about dental health and the severity of caries in children in Barito Kuala Regency. Methods: This research is an observational analytic cross-sectional study. The number of samples was 32 respondents with random sampling. Data collection techniques used primary data in mothers and students of Nusa Indah Berangas Kindergarten, Alalak  SubDistrict. The measurement of knowledge level used a questionnaire that had been tested for validity and reliability while the measurement of caries severity was based on def-t index. Result:  Results of Spearman test showed (p <0.05) the direction of positive correlation. The worse the level of knowledge, the higher the severity of caries. The correlation coefficient was 0.599 (medium correlation strength). Conclusion: There is a correlation between maternal knowledge about dental health and the severity of caries in children aged 4-5 years at the Nusa Indah Berangas Kindergarten, Alalak SubDistrict, Barito Kuala Regency.
ANTIBACTERIAL EFFECTIVITY OF FLAVONOID FRACTION OF RAMANIA LEAF EXTRACT (Bouea macrophylla Griffith) AGAINST Porphyromonas gingivalis
Authors: Qomariyah Lailatul , Panjaitan Fransiska Uli Arta , Adhani Rosihan
Published: November 2021

Background: Chronic periodontitis is a periodontal disease with 80% of all cases of periodontitis. The major causes are the accumulation of plaque and bacteria. The dominant bacteria in chronic periodontitis is Porphyromonas gingivalis. Treatment of chronic periodontitis can be done by scaling and root planing and supporting therapy by using mouthwash such as Chlorhexidine gluconate 0.2% which is the gold standard in the treatment of periodontal disease. Chlorhexidine gluconate 0.2% has disadvantages so that nowadays research on herbal plants is being done to find alternative medicines that are more effective. Ramania (Bouea machropylla Griffith) leaf contains flavonoids that have antibacterial properties. Objective: To analyze the antibacterial effectivity of the flavonoid fraction of Ramania leaf extract against Porphyromonas gingivalis that causes chronic periodontitis. Method: True experimental study and post-test with control group design consisting of 5 treatment groups, namely flavonoid fraction of ramania leaf extract with concentrations of 0.1%, 0.3%, and 0.5%, chlorhexidine gluconate 0.2% as a control positive and aquadest as a negative control. Each group was repeated 6 times. Antibacterial tests using the dilution method with inhibitory rates calculated using a UV-Vis spectrophotometer and killing rates were calculated using a Colony Counter. Results: The average difference in absorbance values obtained inhibitory rates at concentrations of 0.1%, 0.3%, and 0.5%. One Way Anova Test showed a significance value of 0,000 (p < 0.05). The average number of colonies after 24 hours incubation showed the results of a kill rates in the concentration group of 0.3%, 0.5%, and positive control. The Kruskal Wallis test showed a significance value of 0,000 (p < 0.05). Conclusion: The minimum inhibitory concentration (MIC) was obtained at a concentration of 0.1% and the minimum bactericidal concentration (MBC) was obtained at 0.3% concentration. Keywords: Flavonoid Fraction, MIC, MBC, Porphyromonas Gingivalis, Ramania Leaf Extract.
THE COMPARISON OF RAMANIA (Bouea macrophylla Griff) AND BINJAI (Mangifera caesia) LEAVES EXTRACT GEL EFFECT ON COLLAGEN DENSITY
Authors: Nabilah Nabilah , Taufiqurrahman Irham , Rasyid Nolista Indah
Published: November 2021

Background: The extract of ramania Bouea macrophylla Griff) and binjai (Mangifera caesia) leaf have flavonoid compounds that function as antioxidants to balance the amount of Reactive Oxygen Species (ROS) in tissues and optimize wound healing by helping synthesis of hydroxyproline which is used as a collagen synthesis material. Objective: To compare the effect of 15% concentration of ramania leaf extract gel, 15% concentration of binjai leaf extract gel on collagen density in back incision wounds of male Wistar rats on day 7 and day 14. Methods: This study used a true experimental design with a posttest-only with control group design. The study sample used male wistar rats that were healthy and active, aged 2-3 months with a body weight of 250-300 grams. The total sample was 18 rats divided into 6 groups. The 15% concentration of ramania and binjai leaves was given topically, then the rats were euthanized on the 7th and 14th day. Collagen index measurement was using hydroxyproline concentration. Results: Two-way Anova data analysis showed a significant value of 0.00 (p<0.05), which means that there was a difference in effect between the treatment gel and wound day. Bonferroni Post Hoc test showed a significant value in all treatment gel groups. Conclusion: There is a difference in the effect of 15% concentration of ramania leaf extract gel and 15% concentration of binjai extract gel on collagen density. Binjai leaf extract gel at 15% concentration is more effective for collagen density than Ramania leaf extract at 15% concentration and placebo. Keywords : Binjai Leaf Extract Gel, Collagen, Hydroxyproline, Ramania Leaf Extract Gel.
EFFECT OF CHANNA MICROPELTES IN THE GRANULATION, FIBROSIS AND NECROSIS OF DIABETIC WOUND HEALING
Authors: Carabelly Amy Nindia , Putri Utami Juliyatin , Aspriyanto Didit , Reksi Muhammad Hasanu , Puspitasari Dewi , Rachmadi Priyawan
Published: November 2021

Background: Diabetes mellitus (DM) is characterized by persistent hyperglycemia. The symptoms of DM is delayed wound healing. Delayed wound healing in diabetes will increase the risk of wound complications that will hinder the healing process, and lead to complications such as fibrosis and necrosis. The use of Channa Micropeltes (CM) extract at a dose of 16 mL/kg BW orally is proven to general optimal wound closure and wound contraction clinically in Wistar rats as diabetic model on day 14.However, the histopathological description of wound healing is yet to be known. Objective: To analyze the effect of 16 mL/kg BW dose of CM extract on histopathological changes of wound healing granulation tissue, fibrosis and necrosis in diabetic Wistar rats on day 14. Materials and Methods: This study was a true experimental design with a post-test only control group design. The samples were divided into two groups, namely the diabetic model group given CM extract at 16 mL/kg BW dose for 14 days, and the diabetic model group given BR2 feed only for 14 days. Results: The results of Mann-Whitney U test showed p = 0.003 for granulation tissue, p = 0.411 for fibrosis and p = 1 for necrosis, with the level of significance was p<0.05. Conclusion: The CM extract at 16 mL/kg BW dose affects the histopathological description of granulation tissue which presents a better result than those in the control group but did not affect the features of fibrosis and necrosis in diabetic Wistar rats on day 14. Keywords: Channa Micropeltes, Diabetic wound, Fibrosis, Granulation tissue, Necrosis.
RISK FACTORS OF ANGULAR CHEILITIS AT GUSTI HASAN AMAN DENTAL HOSPITAL SOUTH KALIMANTAN
Authors: Azizah Aulia , Pramitha Selviana Rizky , Apriasari Maharani Laillyza
Published: November 2021

Background: The second highest burden of all diseases in world population includes infectious disease with a total of 28% cases. Angular cheilitis is an infectious condition on the corner of the mouth that may initiate masticatory, facial expression and speech dysfunction due to the involvement of orbicularis oris muscle surrounding the lips. The management of angular cheilitis comprises the elimination of causative microbes using antifungal agent. Therapeutic failure reveals the disregard of any related risk factor. Purpose: To analyze the risk factors of angular cheilitis in Gusti Hasan Aman Dental Hospital year 2019. Method: This study resorted analytical descriptive design of quantitative approach using cross-sectional method. Samples were 65 dental statuses of patients in Oral Medicine Clinic of Gusti Hasan Aman Dental Hospital year 2019. Result: Univariate data analysis presented the distribution of children category aged ≤ 18 years old (75.8%), men (54.8%), not consuming vegetable and fruit behaviour (46.8%), duration of treatment 1-7 days (56.4%), and incidence of angular cheilitis (75.8%). Fisher exact test unveiled the relationship between age and angular cheilitis (p<0.05) in which age ≤ 18 years old was 4.266 fold higher to experience angular cheilitis, while the relationship between gender and angular cheilitis (p<0.05) demonstrates the predilection of male with 4.853 fold at risk than female. Conclusion: Age and gender are risk factors in the incidence of angular cheilitis at Gusti Hasan Aman Dental Hospital year 2019.  Keywords : Age, Angular Cheilitis, Behavior, Gender
REHABILITATION OF MASTICATION AND LACK OF SPACE TREATMENT IN NARROW EDENTULOUS WITH FIXED-FIXED BRIDGE
Authors: Arifin Rahmad , Pertiwi Fitriana Caessar
Published: November 2021

Background: Loss of posterior teeth can lead to disharmony in the curvature of the jaw. Antagonistic teeth and surrounding teeth will migrate to the edentulous causing reduced mastication function and TMJ disturbance. Several cases of narrow edentulous occurred due to tooth shifting caused by edentulous that was left empty for a long period. Creating a fixed-fixed bridge is aimed to restore the aesthetics, function, and comfort for patients which caused by the missing teeth. Fixed-fixed bridge consist of a retainer that function as a support to the abutment; a pontic that function to replace the missing tooth; and a connector that function to connect the pontic and the retainer. A narrow space for pontics can disrupt the aesthetic and functional aspects. Case Report: A 24 year-old male patient was referred to Prosthodontic Clinic, Gusti Hasan Aman Dental Hospital with a complain of pain on the jaw joint and missing of left lower molar for about 5 years. Patient always masticate on one side after the left lower molar was missing. Extraoral examination found the patient to be in good condition, no enlargement of major salivary glands, the vital signs were good, but upon TMJ examination there was clicking sounds on the left side. Intraoral examination showed space narrowing resulted from mesial and distal drifting of 37 and 35 but not significant, therefore it was still possible to perform rehabilitation using fixed-fixed bridge with abutments on 37 and 35 with modification of pontic shape for 36 to resemble a premolar tooth with occlusal surface resembling a molar tooth. Treatment planning for fixed prosthetic using fixed-fixed bridge with porcelain fused to metal material on 35, 36, and 37 with ridge lap pontic type modification Conclusions: Treatment was successful to provide enough space for the pontic by modification of the shape and the size of the pontic. Keywords: Fixed-fixed bridge. lack of space, mastication.