Detty Siti Nurdiati, Detty Siti
Bagian Obstetri dan Ginekologi, Fakultas Kedokteran Universitas Gadjah Mada Yogyakarta

Published : 43 Documents
Articles

BIAYA PASIEN JAMINAN KESEHATAN NASIONAL YANG MENJALANI SEKSIO SESAREA DI RSUP DR. SARDJITO YOGYAKARTA Rahmawan, Adi; Nurdiati, Detty Siti; Sofoewan, Sulchan
JURNAL KESEHATAN REPRODUKSI Vol 2, No 1 (2015)
Publisher : IPAKESPRO

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (216.299 KB) | DOI: 10.22146/jkr.7115

Abstract

Adi Rahmawan1, Detty Siti Nurdiati2, Sulchan Sofoewan3 ABSTRACT Background: Ease of access and timeliness in reaching emergency obstetric care is necessary to save the mother and newborn. Delivery by emergency caesarean section aims to save the mother and newborn. The amount of cost from the emergency obstetric care particularly caesarean section, was significantly higher compared to childbirth without complications. The implementation JKN (Jaminan Kesehatan Nasional) aims to overcome this programs. Government hospitals have a dilemma between the mission of serving the lower middle class society and the limited financial resources, as well as a variety of rules and bureaucracy. Casemix system on INA-CBG’s (Indonesian Case Base Groups) is grouping similar patient characteristics. Hospital will receive payments based on the average amount of cost by a group of diagnosis. Objective: Knowing the cost of the JKN patient who underwent cesarean section in Dr. Sardjito Hospital. Method: The study design is a descriptive. JKN patients undergoing Caesarean section in January-July 2014 at the Hospital Dr. Sardjito included in the study. Patients who moved to the VIP, VVIP, and suites classes are excluded. Patient cost data will be averaged and be detailed by characteristics. Result: A total of 136 patients underwent Caesarean section with JKN during January-July 2014. Average cost of patients underwent Caesarean section was 10,337,411 rupiahs. Patient with severe preeclampsia had average cost of 3,050,776 rupiahs higher than patients without severe preeclampsia. Patients with 4 disesases and complications had the difference in cost 16,995,952 rupiahs higher than patients without the disease. Patients with ICU care had higher average cost than non-admission to the ICU in the amount of 3,340,288 rupiahs. Difference in the higher average costs also occur on length of stay. Class treatment, duration stay in the delivery room, the induction or stimulation in the delivery room. History of cesarean section was not the leading cause of higher cost.Conclusion: The average cost of patients underwent Caesarean section was 10,337,411 rupiahs. Complications of the disease and the patient’s condition, severe preeclampsia, long hospitalization, ICU care, led to high costs in patients underwent Caesarean section.Keyword: seksio sesarea, cost, JKN, INA-CBG’ABSTRAKLatar belakang: Kemudahan akses dan ketepatan waktu dalam menjangkau pelayanan kegawadaruratan obstetri sangat diperlukan demi menyelamatkan ibu dan neonatal. Persalinan dengan seksio sesarea pada kedaruratan obstetrik bertujuan untuk menyelamatkan ibu dan neonatal. Biaya yang dihabiskan dari pelayanan kedaruratan obstetri operasi sesar, secara signifikan lebih tinggi dibandingkan dengan persalinan tanpa penyulit. Terselenggaranya program Jaminan Kesehehatan Nasional (JKN) mempunyai tujuan untuk mengatasi hal tersebut. Rumah sakit pemerintah menghadapi dilema antara misi melayani masyarakat kelas menengah ke bawah dengan adanya keterbatasan sumber dana, serta berbagai aturan dan birokrasi yang harus dihadapi. Sistem casemix pada INA-CBG’s merupakan pengelompokan karakteristik pasien yang sejenis. Rumah Sakit akan mendapatkan pembayaran berdasarkan rata-rata biaya yang dihabiskan oleh suatu kelompok diagnosis.Tujuan: Mengetahui besarnya biaya pasien Jaminan Kesehatan Nasional (JKN) yang menjalani operasi seksio sesarea di RSUP Dr. Sardjito Metode: Rancangan penelitian yang akan digunakan adalah deskriptif. Pasien JKN yang menjalani seksio sesarea pada Januari-Juli 2014 di RSUP Dr. Sardjito diikutsertakan dalam penelitian ini. Pasien yang pindah perawatan ke kelas VIP, VVIP, dan suite di eksklusi. Data biaya pasien akan dirata-rata dan dirinci besarnya berdasarkan karakteristik Hasil & Pembahasan: Sebanyak 136 pasien JKN menjalani seksio sesarea selama Januari-Juli 2014. Rata-rata biaya pasien yang menjalani seksio sesarea adalah 10.337.411 rupiah. Pasien preeklamsia berat mempunyai ratas-rata biaya yang lebih tinggi 3.050.776 rupiah dibandingkan pasien tanpa preeklamsia berat. Pasien dengan 4 penyakit dan komplikasi mempunyai selisih biaya 16.995.952 rupiah lebih tinggi dibandingkan pasien tanpa penyakit. Pasien dengan perawatan ICU mempunyai rata-rata biaya yang lebih tinggi dibanding yang tidak dirawat di ICU yaitu sebesar 3.340.288 rupiah. Selisih rata-rata biaya yang lebih tinggi juga terjadi pada lama rawat inap. Kelas perawatan, lama perawatan di kamar bersalin, tindakan induksi atau stimulasi di kamar bersalin, riwayat seksio sesarea saat ini tidak menyebabkan semakin tingginya biaya seksio sesarea.Kesimpulan: Rata-rata biaya pasien yang menjalani seksio sesarea adalah 10.337.411 rupiah. kondisi penyakit dan komplikasi pasien, preeklamsia berat, lama rawat inap, dan perawatan ICU menyebabkan tingginya biaya pada pasien yang menjalani seksio sesarea. Kata kunci: seksio sesarea, biaya, JKN, INA-CBG’s1,2,3 Bagian Obstetri dan Ginekologi, Fakultas Kedokteran Universitas Gadjah Mada Yogyakarta
EFEKTIVITAS PIJAT EFFLEURAGE DAN COUNTERPRESSURE TERHADAP KEMAJUAN DILATASI SERVIKS PADA KALA I FASE AKTIF Santiasari, Retty Nirmala; Nurdiati, Detty Siti; Lismidiati, Wiwin
Media Ilmu Kesehatan Vol 7 No 3: MIK Desember 2018
Publisher : Pusat Penelitian dan Pengabdian kepada Masyarakat FKes Universitas Jenderal Achmad Yani Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30989/mik.v7i3.293

Abstract

Backgraound: Labor process begins with the process of cervical dilatation, which is commonly accompanied by pain. Labor pain caused by uterine contractions can cause thinning of the cervix. Effects of labor pain includes inflammation in uterus and labor dystocia. Effleurage and counterpressure are complementary treatment to stimulate uterine contractions. Objective: To analyze the effectiveness of effleurage and counterpressure massages on the progress of cervical dilatation. Method: This was a quasi-experiment study with pre-post test nonequivalent control group. Population was the women in labor in stage I active phase. Research subjects were 68 people that were divided into two groups. Sampling technique was consecutive sampling. Instrument used in this study was the internal examination. Data were analyzed using Wilcoxon and Mann Whitney. Results: The progress of cervical dilatation before and after the intervention of the effleurage was 4.74±0.83 vs 7.47±1.21 with p=0.00 and the result for the counterpressure group was 4.59±0.66 vs 8.03±0.96 with p=0.00. The average improvement of cervical dilatation on the effleurage and counterpressure groups was 2.73 vs 3.44 with p=0.00. Conclusion: The counterpressure has the more significant effect than the effleurage on improving the cervical dilatation.   Keywords: Cervical dilatation, counterpressure, effleurage
KEBERHASILAN IBU BEKERJA MEMBERIKAN ASI EKSKLUSIF Anggraeni, Intan Agustina; Nurdiati, Detty Siti; Padmawati, Retna Siwi
Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics) VOLUME 3, NOMOR 2, MEI 2015
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (95.88 KB) | DOI: 10.21927/ijnd.2015.3(2).69-76

Abstract

ABSTRACTBackground: Indonesia faces double burden of nutritional problems, namely undernutrition and overnutrition. Exclusive breastfeeding may prevent infants from these kind of malnutritions. Working mothers are difficult to give exclusive breastfeeding due to some constraints and poor lactation management.Objectives: To explore the experience of working mothers who succeeded in providing exclusive breastfeeding.Methods: This was qualitative study using phenomenology design. It was conducted at Subdistrict of Sedayu, District of Bantul. Subjects were 13 mothers who purposively selected, work and have been successful provided exclusive breastfeeding, had children aged 6-24 months. Data were obtained throughin-depth interview to the respondents and observation of lactation facilities at the working place. Data triangualation was performed through interview with husbands, baby sitters, colleagues and chairman of mother?s workplace.Results: Exploration of several information were studied, including intention to give exclusive breastfeeding, positive attitudes toward exclusive breastfeeding, perceived norms from social references, good self efficacy, cultural aspect of breastfeeding, skills of lactation management, and environmental constraintexperienced by mother. Intention of mothers during pregnancy was associated with behavior in providing exclusive breastfeeding. Intention to give exclusive breastfeeding was infl uenced by positive attitude andself-efficacy. There was difference in self-efficacy that influenced intention of mothers working in formal and informal sectors. Working mothers at formal and informal sectors differed in managing lactation. Despite some constraints and limited facilities mothers kept trying to provide exclusive breastfeeding.Conclusions: Working mothers have a specific strategy to succeed in providing exclusive breastfeeding.Education, facilities, and breastfeeding policies in workplace should be given to working mothers.KEYWORDS: exclusive breastfeeding, intention, lactation management, working mothersABSTRAKLatar belakang: Indonesia menghadapi beban ganda masalah gizi, yakni gizi kurang dan gizi lebih. Salah satu cara untuk mencegah masalah gizi pada bayi adalah dengan memberikan ASI eksklusif. Ibu yang bekerja sulit untuk memberikan ASI eksklusif karena kendala yang tidak dapat diatasi dan manajemen laktasi yang buruk.Tujuan: Untuk mengeksplorasi pengalaman ibu bekerja di sektor formal dan informal yang sukses memberikan ASI eksklusif.Metode: Penelitian ini merupakan penelitian kualitatif dengan pendekatan fenomenologi. Penelitian dilakukan di Kecamatan Sedayu, Kabupaten Bantul. Subjek diambil secara purposive sebanyak 13 orang. Kriteria inklusi subjek adalah ibu yang bekerja dan berhasil memberikan ASI eksklusif, memiliki anak usia 6-24 bulan dan bersedia menjadi subjek penelitian. Data dikumpulkan melalui wawancara mendalam dengan responden dan observasi fasilitas laktasi di tempat kerja. Triangulasi data dilakukan dengan mewawancarai suami, pengasuh, rekan kerja, dan pemimpin.Hasil: Hasil penggalian informasi meliputi intensi ibu dalam memberikan ASI eksklusif, sikap positif terhadap ASI eksklusif, norma yang dipersepsikan dari lingkungan sosial, efikasi diri yang baik, budaya menyusui, keterampilan manajemen laktasi, dan hambatan lingkungan yang dialami oleh ibu. Intensi untuk menyusui eksklusif telah dimiliki oleh ibu sejak hamil. Ibu yang bekerja di sektor formal memiliki perbedaan dalam melakukan manajemen laktasi dibandingkan dengan ibu yang bekerja di sektor informal. Ibu mengalami beberapa hambatan dan keterbatasan, namun ibu tetap berjuang untuk memberikan ASI eksklusif.Kesimpulan: Ibu bekerja memiliki strategi tertentu untuk mencapai keberhasilan dalam memberikan ASI eksklusif. Pendidikan, penyediaan fasilitas, dan kebijakan menyusui di tempat bekerja perlu diberikan kepada ibu bekerja.KATA KUNCI: ASI eksklusif, ibu bekerja, intensi, manajemen laktasi
BIAYA PASIEN JAMINAN KESEHATAN NASIONAL YANG MENJALANI SEKSIO SESAREA DI RSUP DR. SARDJITO YOGYAKARTA Rahmawan, Adi; Nurdiati, Detty Siti; Sofoewan, Sulchan
JURNAL KESEHATAN REPRODUKSI Vol 2, No 1 (2015)
Publisher : IPAKESPRO

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (216.299 KB)

Abstract

Adi Rahmawan1, Detty Siti Nurdiati2, Sulchan Sofoewan3 ABSTRACT Background: Ease of access and timeliness in reaching emergency obstetric care is necessary to save the mother and newborn. Delivery by emergency caesarean section aims to save the mother and newborn. The amount of cost from the emergency obstetric care particularly caesarean section, was significantly higher compared to childbirth without complications. The implementation JKN (Jaminan Kesehatan Nasional) aims to overcome this programs. Government hospitals have a dilemma between the mission of serving the lower middle class society and the limited financial resources, as well as a variety of rules and bureaucracy. Casemix system on INA-CBG’s (Indonesian Case Base Groups) is grouping similar patient characteristics. Hospital will receive payments based on the average amount of cost by a group of diagnosis. Objective: Knowing the cost of the JKN patient who underwent cesarean section in Dr. Sardjito Hospital. Method: The study design is a descriptive. JKN patients undergoing Caesarean section in January-July 2014 at the Hospital Dr. Sardjito included in the study. Patients who moved to the VIP, VVIP, and suites classes are excluded. Patient cost data will be averaged and be detailed by characteristics. Result: A total of 136 patients underwent Caesarean section with JKN during January-July 2014. Average cost of patients underwent Caesarean section was 10,337,411 rupiahs. Patient with severe preeclampsia had average cost of 3,050,776 rupiahs higher than patients without severe preeclampsia. Patients with 4 disesases and complications had the difference in cost 16,995,952 rupiahs higher than patients without the disease. Patients with ICU care had higher average cost than non-admission to the ICU in the amount of 3,340,288 rupiahs. Difference in the higher average costs also occur on length of stay. Class treatment, duration stay in the delivery room, the induction or stimulation in the delivery room. History of cesarean section was not the leading cause of higher cost.Conclusion: The average cost of patients underwent Caesarean section was 10,337,411 rupiahs. Complications of the disease and the patient’s condition, severe preeclampsia, long hospitalization, ICU care, led to high costs in patients underwent Caesarean section.Keyword: seksio sesarea, cost, JKN, INA-CBG’ABSTRAKLatar belakang: Kemudahan akses dan ketepatan waktu dalam menjangkau pelayanan kegawadaruratan obstetri sangat diperlukan demi menyelamatkan ibu dan neonatal. Persalinan dengan seksio sesarea pada kedaruratan obstetrik bertujuan untuk menyelamatkan ibu dan neonatal. Biaya yang dihabiskan dari pelayanan kedaruratan obstetri operasi sesar, secara signifikan lebih tinggi dibandingkan dengan persalinan tanpa penyulit. Terselenggaranya program Jaminan Kesehehatan Nasional (JKN) mempunyai tujuan untuk mengatasi hal tersebut. Rumah sakit pemerintah menghadapi dilema antara misi melayani masyarakat kelas menengah ke bawah dengan adanya keterbatasan sumber dana, serta berbagai aturan dan birokrasi yang harus dihadapi. Sistem casemix pada INA-CBG’s merupakan pengelompokan karakteristik pasien yang sejenis. Rumah Sakit akan mendapatkan pembayaran berdasarkan rata-rata biaya yang dihabiskan oleh suatu kelompok diagnosis.Tujuan: Mengetahui besarnya biaya pasien Jaminan Kesehatan Nasional (JKN) yang menjalani operasi seksio sesarea di RSUP Dr. Sardjito Metode: Rancangan penelitian yang akan digunakan adalah deskriptif. Pasien JKN yang menjalani seksio sesarea pada Januari-Juli 2014 di RSUP Dr. Sardjito diikutsertakan dalam penelitian ini. Pasien yang pindah perawatan ke kelas VIP, VVIP, dan suite di eksklusi. Data biaya pasien akan dirata-rata dan dirinci besarnya berdasarkan karakteristik Hasil & Pembahasan: Sebanyak 136 pasien JKN menjalani seksio sesarea selama Januari-Juli 2014. Rata-rata biaya pasien yang menjalani seksio sesarea adalah 10.337.411 rupiah. Pasien preeklamsia berat mempunyai ratas-rata biaya yang lebih tinggi 3.050.776 rupiah dibandingkan pasien tanpa preeklamsia berat. Pasien dengan 4 penyakit dan komplikasi mempunyai selisih biaya 16.995.952 rupiah lebih tinggi dibandingkan pasien tanpa penyakit. Pasien dengan perawatan ICU mempunyai rata-rata biaya yang lebih tinggi dibanding yang tidak dirawat di ICU yaitu sebesar 3.340.288 rupiah. Selisih rata-rata biaya yang lebih tinggi juga terjadi pada lama rawat inap. Kelas perawatan, lama perawatan di kamar bersalin, tindakan induksi atau stimulasi di kamar bersalin, riwayat seksio sesarea saat ini tidak menyebabkan semakin tingginya biaya seksio sesarea.Kesimpulan: Rata-rata biaya pasien yang menjalani seksio sesarea adalah 10.337.411 rupiah. kondisi penyakit dan komplikasi pasien, preeklamsia berat, lama rawat inap, dan perawatan ICU menyebabkan tingginya biaya pada pasien yang menjalani seksio sesarea. Kata kunci: seksio sesarea, biaya, JKN, INA-CBG’s1,2,3 Bagian Obstetri dan Ginekologi, Fakultas Kedokteran Universitas Gadjah Mada Yogyakarta
Berat badan lahir rendah (BBLR) dengan kejadian stunting pada anak usia 6-24 bulan Nasution, Darwin; Nurdiati, Detty Siti; Huriyati, Emy
Jurnal Gizi Klinik Indonesia Vol 11, No 1 (2014): Juli
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (172.531 KB) | DOI: 10.22146/ijcn.18881

Abstract

Background: Stunting is one of the main problems of malnutrition often found in under-five children. The impacts include a delay in child’s growth, low endurance, lack of intelligence and productivity. The direct factors that influence the incidence of stunting are low birth weight (LBW) while the indirect factors are socioeconomic factors such as maternal education, low family income and a large number of family members.Objective: To analyze the relationship between LBW and the incidence of stunting in children aged 6-24 months in Yogyakarta Municipality.Method: This was a case-control study. The subjects were children aged 6-24 months with a group of cases comprising stunted children based on the indicator of height/age with a cut-off < -2 SD Z-score and the control group comprising normal children. The number of subjects for the study was 242 with the under-five children’s mothers as the research respondents. The sample selection used non-probability sampling with a consecutive sampling method. The data were analyzed by Chi-Square and multiple logistic regression.Results: The proportion of children 6-24 months who had low birth weight was 15.7 %. There was a significant relationship between LBW and the incidence of stunting in children aged 6-24 months (OR=5.60; 95%CI:2.27 to 15.70). There was a relationship between maternal height and the incidence of stunting in children aged 6-24 months (OR=2.14; 95%CI:1.08 to 4.33). Socioeconomic factors (maternal education, family income and a number of family members) did not have a significant relationship with the incidence of stunting.Conclusion: LBW had a relationship with the incidence of stunting in children aged 6-24 months in Yogyakarta Municipality.
Perbedaan pengetahuan dan praktik pemberian makan serta perkembangan anak 6-24 bulan pada ibu usia remaja dan dewasa Widyaningrum, Rachmawati; Nurdiati, Detty Siti; Gamayanti, Indria Laksmi
Jurnal Gizi Klinik Indonesia Vol 13, No 1 (2016): Juli
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (142.636 KB) | DOI: 10.22146/ijcn.22455

Abstract

Background: Preparing quality human resource for the future, children are being the most attention of the growth and development optimally. Critical aged of them is 0-2 years old. Pregnancy and giving birth on adolescence are still being the factors. Knowledge and feeding practice are also factors being the basic need for children development optimally.Objective: To know the difference between knowledge, feeding practice, and children development aged 6-24 months on adolescent and adult mother in Kasihan Primary Health Care, Bantul district, Yogyakarta.Method: This research was observational with a cross-sectional design. It held on July -September 2015 in work area of Kasihan subdistrict, Bantul district, Yogyakarta. Population defined as mother aged 15-40 years that lives in Kasihan subdistrict. The sample was taken using nonprobability consecutive technique sampling. It was got 66 children aged 6-24 months old with no having congenital defects, no following special development stimulation program,  and being able and want to follow this research as inclusion criteria. In this research, a mother was measured of knowledge level and feeding practice to her child, even though the child was measured off his/her development using BSID III. Data were analyzed using Chi-Square.Results: Adolescent mothers had a significantly larger proportion of children experiencing developmental disorders and feeding practices are less good compared with adult mothers.Conclusion: Adult mother has better knowledge and feeding practice than adolescent mothers. Adult mother also has a child with better developmental status than adolescent mothers.
Perbandingan penggunaan topikal asi dengan perawatan kering terhadap lama pelepasan tali pusat bayi Sari, Febriana; Nurdiati, Detty Siti; Astuti, Dhesy Ari
Jurnal Kebidanan dan Keperawatan Aisyiyah Vol 12, No 1 (2016): Juni
Publisher : Universitas Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31101/jkk.130

Abstract

This reseach aims to investigate the difference between umbilical cord treatment by using topical ASI and dry treatment towards the length of umbilical cord release in baby. This research used quasi experimental method with non-equivalent posttest design only. 44 samples of neonatal babies were taken by using consecutive sampling according to the inclusion criteria. The average length of umbilical cord release with topical ASI is 6.18 days and the one with dry treatment is 7.41 days. The length of umbilical cord release with topical ASI is 1.23 days faster compared to the one with dry treatment with p=0.010. The umbilical cord release with topical ASI is faster than the one with dry treatment and it can also reduce infection.  
Pengaruh pemberian asi eksklusif terhadap status gizi dan perkembangan bayi di puskesmas gamping II Widayati, Wahyu; Nurdiati, Detty Siti; Anjarwati, Anjarwati
Jurnal Kebidanan dan Keperawatan Aisyiyah Vol 12, No 1 (2016): Juni
Publisher : Universitas Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31101/jkk.314

Abstract

Abstract: This study aims to find out the correlation of exclusive breast- feeding and the nutrional status and development of infant aged 6-12 months old. This is an observational analytical research. The data are analyzed using bivariate analysis of ChiSquare and multivariariate logistic regression. Based on bivariate analysis, there is a significant evidence regarding the correlation between exclusive breastfeeeding and infant nutrional status, as the value is OR 21.317;95% CI 2.761-164.565. The bivariate analysis in exclusive breastfeeding and infant development shows that there is a significant evidence in exclusive breastfeeding and infant development as the value is OR 6.000; 95% CI 2.548 – 14.130.
PENGARUH JENIS PERSALINAN TERHADAP RISIKO DEPRESI POSTPARTUM Ariyanti, Ririn; Nurdiati, Detty Siti; Astuti, Dhesi Ari
Jurnal Kesehatan SAMODRA ILMU Vol 7, No 2 (2016): Jurnal Kesehatan SAMODRA ILMU - Juli 2016
Publisher : Jurnal Kesehatan SAMODRA ILMU

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Latar Belakang: Depresi postpartum sering terjadi pada masa adaptasi psikologis ibu masa nifas, walaupun insidensinya sulit untuk diketahui secara pasti namun diyakini 10-15% ibu melahirkan mengalami gangguan ini. Faktor pada saat persalinan meliputi lamanya persalinan, jenis persalinan, serta intervensi medis yang digunakan mempengaruhi depresi postpartum, anak yang memiliki ibu depresi postpartum akan memiliki gangguan prilaku, rendah fungsi berfikir, mempengaruhi kognitif dan pertumbuhan anak.Tujuan: Mengetahui pengaruh jenis persalinan terhadap risiko depresi postpartum pada ibu nifas di RSUD SlemanMetode:Jenis penelitian yang digunakan adalah survey analitik dengan rancangan kohort retrospektif. Lokasi penelitian di RSUD Sleman Yogyakarta. Populasi pada penelitian ini adalah seluruh ibu nifas yang berkunjung pada poli kebidanan dan kandungan pada bulan Oktober-Desember 2015. Jumlah sampel 110, analisa data dilakukan secara univariat, bivariat dengan uji chi-square dan multivariat dengan uji regresi logistikHasil : Kejadian risiko depresi postpartum pada ibu nifas di RSUD sleman adalah 36,3%, Jenis persalinan berpengaruh secara signifikan terhadap risiko depresi postpartum dengan nilai (OR=3,716, 95%CI 1,620-8,522), Pekerjaan berpengaruh secara signifikan terhadap risiko depresi postpartum dengan nilai (OR=2,411, 95%CI 1,084-5,366), umur, paritas, pendidikan, status ekonomi, dukungan keluarga dan status pernikahan tidak berpengaruh secara signifikan terhadap risiko depresi postpartumKesimpulan :Ibu dengan persalinan bedah sesar mempunyai peluang risiko depresi postpartum 3,716 kali lebih besar dibandingkan ibu yang persalinan pervaginam, sehingga perlu dilakukan deteksi dini untuk melihat risiko depresi postpartum pada ibu nifas agar ibu dapat segera mendapatkan asuhan yang tepat.Kata Kunci : Jenis Persalinan, Nifas, Depresi Postpartum
Pengaruh jenis persalinan terhadap risiko depresi postpartum pada ibu nifas Ariyanti, Ririn; Nurdiati, Detty Siti; Astuti, Dhesi Ari
Jurnal Kebidanan dan Keperawatan Aisyiyah Vol 12, No 2 (2016): Desember
Publisher : Universitas Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31101/jkk.304

Abstract

Abstract: This study aims to determine the effect of type of delivery onthe risk of postpartum depression in mothers postpartum in hospitalsSleman. This type of research is analytic survey with a retrospective cohortdesign. Hospital research sites in Sleman, Yogyakarta. The population inthis study are all postpartum mothers who visited the poly obstetrics andgynecology in the months from October to December 2015. The totalsample of 110, the data analysis performed univariate and bivariate withchi-square test. The results showed the incidence of the risk of postpartumdepression in mothers postpartum in hospitals sleman was 36.3%, type oflabor significantly influence the risk of postpartum depression with thevalue (OR = 3.716, 95% CI 1.620 to 8.522).