Background: Neonatus given birth by pregnant mothers suffering from excessive anxiety and stress have higher risk of low-birthweight, small head circumference, low APGAR score at birth, in adequate neurologyc development, premature birth, weak immunity system, and emotional disorder, than those given birth by happy mothers. This study aimed to examine the effect of effectiveness of hypnobirthing in reducing anxiety level during delivery. Subjects and Method: This was an analytic experimental study with Randomized Control Trial (RCT) design. A sample of 30 pregnant mothers near delivery date was selected for this study and allocated into hypnobirthing group and no-hypnobirthing group. The dependent variable was anxiety during delivery. The independent variable was hypnobirthing. The anxiety level between the two groups was tested by Mann Whitney. Results: After intervention, pregnant mothers who received hypnobirthing had anxiety level as low as 41.33 (p=0.003). Pregnant mothers who did not receive hypnobirthing had anxiety level as low as 51.60 (p=0.003). The reduction of anxiety between the two groups was statistically significant. Conclusion: Hypnobirthing can effectively reduce anxiety among pregnant mothers during birth delivery.
Background: Injection hormonal contraceptive can be distinguished into depomedroxyprogesterone acetate (DMPA) and combination. DMPA injection is administered in single dose of 150 mg/mL intramuscular every 12 week. It was hypothesized that DMPA injection resulted inadvertent effect such as lowered sexual life quality, increased body mass index, lowered quality of skin health, and abnormal uterine bleeding. This study aimed to examine the effects of DMPA injection on sexual life, body mass index, skin health, and abnormal uterine bleeding. Subjects and Method: This was observational analytical study with retrospective cohort design. This study was conducted in Jombang, East Java. A total sample of 149 women of reproductive age consisting of 99 DMPA injection contraceptive users and 50 non hormonal contraceptiveusers was selected for this study, by stratified random sampling. The dependent variables were sexual life quality, body mass index (BMI), skin health, and uterine bleeding. The independent variable was DMPA injection contraceptive use and age. The data were collected by a set of questionnaire. Sexual life quality was measured by female sexual function index (FSFI). The data were analyzed by multiple logistic regression. Results: Hormonal contraceptive use (OR= 20.17; 95% CI = 6.62 to 61.42; p<0.001) and age 30-35 years old (OR= 17.51; 95% CI= 5.74 to 53.38; p<0.001) increased the risk of low quality of sexual life. Age 30-35 years old lowered (OR= 0.16; 95% CI= 0.07 to 0.36; p<0.001) low quality of skin health. Hormonal contraceptive use (OR= 4.25; 95% CI= 1.95 to 9.30; p<0.001) increased the risk of low quality of skin health. Conclusion: Hormonal contraceptive use and age 30-35 years increase the risk of low quality of sexual life. Age 30-35 years old decreases low quality of skin health but hormonal contraceptive use increases the risk of low quality of skin health.
Background: Previous studies suggest that tobacco use affects systems of the human body involved in the reproductive process. Tobacco smoke exposure affects uterine receptivity, which may lead the risk of infertility. This study aimed to investigate the associations between cigarette smoke exposure, family history of infertility, and the risk of infertility among women in reproductive age. Subjects and Method: A case control study was conducted at obstetrics and gynecology polyclinic and Sekar fertility clinic, in Dr. Moewardi hospital, Surakarta, Central Java, from October to November 2019. A sample of 200 reproductive age women was selected by fixed disease sampling. The dependent variable was infertility. The independent variables were age, body mass index (BMI), physical activity, endometriosis, family history of infertility, smoking exposure, and stress. The data were obtained from medical record and questionnaire. The data were analyzed by a multiple linear regression. Results: The risk of infertility increased with age ≥35 years (b= 1.24; 95% CI= 0.18 to 2.30; p= 0.012), BMI <18 or ≥25 (b= 2.76; 95% CI= 1.74 to 3.76; p<0.001), high physical activity (b= 1.44; 95% CI= 0.38 to 2.51; p= 0.009), endometriosis (b= 1.06; 95% CI= 0.06 to 2.05; p= 0.038), tobacco smoke exposure (b= 1.37; 95% CI= 0.30 to 2.43; p= 0.012), and severe stress (b= 1.07; 95% CI= 0.16 to 2.00; p= 0.022). Conclusion: The risk of infertility increases with age ≥35 years, BMI <18 or ≥25, high physical activity, endometriosis, smoke exposure, and severe stress. Keywords: infertility, women of reproductive age Correspondence: Luthfia Zauma. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: el.chizauma@gmail.com. Mobile: 081337977377. DOI: https://doi.org/10.26911/the7thicph.03.97
Background: Human resources (HR) quality is a requirement of absolute attainment of development in all fields. Nutritional status of being one of the very important factors in the quality of human resources is mainly associated with intelligence, productivity and creativity. To achieve an optimum between flower growing by giving breast milk to infants from birth in the early minutes of life until the age of 6 months exclusive breast milk given without other food. This study was aimed to determine the cause of the low coverage of breast milk exclusively and the factors that affected it. Subject and Method: This was a case study with qualitative design, was carried out in Cilacap, Central Java, from July to August 2016. A total sample of parents with infants aged 7-24 months of age, the mother/mother-in-law and health workers. The data was collected by interviews, observation and documents, and analyzedwith data presentation, data reduction, and the withdrawl of the conclusion. Results: Pre-disposing Factors good motivation, attitudes, education and employment of the informant was indeed affect Exclusive breast feeding in the process. Enabling Factors are readily available and easily accessible due to the support of the party giver services though in terms of infrastructure there are still shortcomings in various things. While Reinforcing factors demonstrates the role of health workers and the people closest to either mother or mother-in-law strongly affect the behavior of the mother in giving breast feedingexclusively. Restricting factors namely wrong beliefs about the incessant promotion of baby food, infant formula and health problems in the mother and the baby. In addition, the existence of the recording and reporting of less fit so that it affects the actual coverage figures in society. Conclusion: the cause of the low coverage of exclusive breast feeding include knowledge of mother/mother-in-law limited about breast milk exclusively, the role of health workers that is not optimal, the existence of a mistaken beliefs and culture in the community about exclusive breastfeeding, recording and reporting factors that still need to be addressed so that exclusive breastfeeding data in accordance with the conditions in the community.
Latar Belakang : Modalitas pengobatan utama untuk tumor ganas adalah operasi, kemoterapi dan / atau radioterapi yang bersifat gonadotoksik. Terapi kanker dapat mempengaruhi fungsi ovarium, baik produksi hormon dan potensi reproduksi. Konsekuensi terburuk adalah insufisiensi ovarium prematur dan infertilitas. Salah satu cara mempertahankan fungsi reproduksi berupa simpan beku dan auto transplantasi ovarium. Metode: Penelitian eksperimental analitik ini dilakukan pada 27 tikus Wistar (Rattus novergicus) yang dibagi menjadi 3 kelompok. Kelompok 1 (K1) tidak dilakukan bilateral ooforektomi. Kelompok 2 (K2) dilakukan bilateral ooforektomi tanpa auto transplantasi. Kelompok 3 (K3) dilakukan bilateral ooforektomi dengan auto transplantasi. Pengambilan sampel dilakukan pada hari pertama, hari ke delapan (tujuh hari pasca bilateral ooforektomi, pada masa early menopause) dan harike 36 (28 hari setelah auto transplantasi). Pengukuran kadar estradiol menggunakan rat estradiol ELISA kit. Analisis data menggunakan ANOVA test dan Post Hoc test pada SPSS (Software Package for Social Science). Hasil : Rerata kadar estradiol yang diukur pada hari ke 36 pada K1=15,889 ng/mL, pada K2=14,879 ng/mL dan pada K3=22,664 ng/mL. Tidak didapatkan perbedaan signifikan antara K1 dan K2 (p>0,05). Didapatkan perbedaan bermakna antara K1 dan K3 (p< 0,05), juga antara K2 dan K3 (p< 0,05). Hal ini menunjukkan terdapat pengaruh auto transplantasi pada kadar estradiol. Kesimpulan : Ada pengaruh auto transplantasi terhadap kadar estradiol pada tikus Wistar early menopause. Kadar estradiol pada kelompok dengan auto transplantasi meningkat sangat signifikan (p<0.05) dibandingkan dengan kelompok tanpa auto transplantasi.Kata Kunci : Kadar estradiol, Early menopause, Auto transplantasi
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