Detty Nurdiati

Background: Antenatal care (ANC) is low in developing countries, with an estimated 20% of Indonesian women not initiating ANC during the first trimester. The present study sought to determine the impact of a mentoring program on the timing of the first ANC visit. Methods: This cluster randomized controlled trial was conducted in 3 subdistricts of the Bantul District, divided into 61 clusters per treatment arm, with a final sample size of 205 confirmed pregnant women. The mentoring program consisted of (1) health education, (2) monitoring, and (3) text-message reminders. The primary outcome was the timing of first ANC visit. A multilevel mixed-effect logistic regression model was used to measure the effect of the program on the likelihood of having an earlier first ANC visit, with statistical significance at α=0.05. Results: At the individual-level, the intervention group had a mean time of first ANC visit±2 days earlier than the control group (P<0.05). After adjusted for cluster ...

COVID-19 is currently a global problem where transmission is fast and easy to humans. The disease can be symptomatic or without symptoms. Patients with the disease can transmit COVID-19 when the medical team is exposed to these patients. Prevention of transmission as well as early recognition of exposed medical teams is our focus of attention to residents and consultants obgin on our part. The aim of this activity is to evaluate the transmission prevention policies and early detection of COVID-19 in the Obstetrics and Gynecology (OBSGYN) Department, Faculty of Medicine, Public Health, and Nursing Universitas Gadjah Mada and Sardjito General Hospital. This activity is a management of prevention of transmission and early detection of transmission of COVID-19 among staff and residents of the OBSGYN. The data comes from the report of the COVID-19 team from the OBSGYN Department and the medical records of staff and residents. To prevent the transmission of COVID infection, actions taken ...

Increasing exclusive breastfeeding effort was continued in Jember district. Local government collaborates with USAID to increase breastfeeding promotion program. Health promotion program used multilevel approach. This study aimed to evaluate exclusive breastfeeding program and impact program to increasing breastfeeding in Jember district. This study method used cross sectional study in two population with mix method approach (qualitative and quantitative). Collecting qualitative data was using participative observation, indepth interview and focus group discussion to describing program. Collecting quantitative data was using questionare to evaluate impact program in two populations (120 respondent program and 125 respondent non program). Data was analyzed by open code in qualitative data. To analyzed quantitative data was used chi square.  The research result shows that Health promotion program increased exclusive breastfeeding was using multilevel approach. In top level, implementa...

Background: Striae gravidarum is a common phenomenon that occurs in pregnant women and a marker of decrease in skin elasticity. Poor elasticity of the perineum can result perineal laceration in vaginal childbirth. This study was to determine the relationship of striae gravidarum perinenum with the occurrence lacerations in normal labor, and the factors that most influence the occurrence of mild and severe perineal lacerations.Method: Used a cross sectional design, with a sample of 188 respondents. Assessment striae gravidarum using Atwal et al (2006) which has been modified, assessment of perineal lacerations used RCOG (2006). Data collection was done during the months of April to July 2015 in the maternity room Panembahan Senopati Bantul Hospital.Results: Factors that influence the occurrence of mild laceration were striae gravidarum moderate-severe (RP 1,230: CI 95% 1,23053-1,23066), primiparous (RP 1,2675: CI 95% 1,13709-1,41298). Factors that influence the occurrence of severe l...

Compliance of antenatal care and election of birth helpers in NatunaPurposeThis study aimed to determine the association of ANC (Antenatal care) compliance with birth attendant choice in Natuna.MethodsThis study used a cross-sectional method. The subjects of the research were mothers in Natuna regency 2014. The variables were: independent variable (ANC compliance), the dependent variable (the birth attendant choice), and the control variables (age, maternal education, distance to the health facilities, parity). Data collection used questionnaires and interviews. The data analysis used descriptive and inferential analysis. The bivariable analysis used the chi-square test and multivariable analysis used logistic regression test with 95% of confidence interval (CI) and a significance level of p <0.05.ResultsBivariable and multivariable analysis showed significant correlations between ANC compliance with birth attendant choice. Pregnant women who did not comply doing ANC according to...

Efforts of high-risk pregnant women to search service for childbirth in public health center ofWaruroyom Purpose The study explored the behavior of women with a high-risk pregnancy to search service for childbirth in public health center of Waruroyom Cirebon.MethodA case study involved pregnant and maternal mothers with a high-risk pregnancy, parents, husbands, and midwives. The informants were chosen by purposive sampling, data collection through observation, in-depth interview and focus group discussion. ResultsWomen with high-risk pregnancy searched service for childbirth from midwives, public health center, and hospital. Pregnant women prefer midwives due to familiarity, close location, past experience, attitudes and quality of services. Women with high-risk pregnancy went to the public health center or hospital, did not because of the intentions of themselves but midwives' advice. ConclusionPregnant women did not know if they have a high-risk pregnancy. Midwives provide inf...

Background: Pregnancy causes increased energy metabolism, therefore needs of energy and other nutrients increase during pregnancy. Lack of energy and nutrients could adversely affect the mother and fetus. Nausea and vomiting is a common problem in the first trimester of pregnancy. If not treated the mother and fetus can be at risk of malnutrition due to lack of energy intake. Traditional treatment is an option that is considered safe. Ginger has been used to treat a variety of medical problems including nausea and vomiting. Ginger works in the digestive tract by increasing the gastric and intestinal motility.Objective: This study aimed to determine the effectiveness of instant ginger containing 290 mg ginger juice, to reduced the incidence of nausea and vomiting of pregnancy and increased maternal energy intake during the 24 hours.Method: The study design is experimental, the pre-post control group, involving 101 pregnant women with gestational age less than 15 weeks in RSB Sayang I...

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.  

Background: Stunting is one of the main problems of malnutrition often found in under-five children. The impacts include delayed growth, low endurance, lack of intelligence and low productivity. The incidence of stunting in children aged 6-24 months is related to environmental factors either prenatal or postnatal. One of the factors that influences the incidence of stunting directly is low birth weight (LBW), while the incidence of stunting is indirectly influenced by socioeconomic factors such as maternal education, low family income and number of family members. Objective: To analyze the relationship between LBW and the incidence of stunting in children aged 6-24 months in the city of Yogyakarta. Methods: This was an observational analytic study with a case-control design. Subjects were children aged 6-24 months with a group of cases based on indicators of body length per age with a cut-off < -2 SD Z -score and the control group were normal children based on indicators of body length per age. The number of subjects for the case and control group was 242 with the mother as research respondents. The sample selection used non-probability sampling with a consecutive sampling method. The data were analyzed using univariable, bivariable and multivariable. The study was conducted in March-June, 2013, in the city of Yogyakarta. Results: The proportion of children 6-24 months who experienced LBW was 15.7%. There was a significant relationship between LBW and the incidence of stunting in children 6-24 months of age

Background The problems of stunting are its high prevalence as well as the complexity of its risk factors. Identifying the modifiable prognostic factors at birth may reduce the shortterm as well as longterm effects of stunting in later life.Objective To estimate the influence of prognostic factors detected at birth for stunting at 24 months of age and the occurence of reversal of stunting at 24 months of age among children in a rural area of Indonesia.Methods Subjects (n=343) were born to mothers participating in a randomized controlled, double-blind, community-based study of vitamin A and/or zinc supplementation during pregnancy and followed from June 1998 to October 2000. The children were followed prospectively from birth until 2 years of age with monthly measurements of length from birth to 12 months, and again at 18 and 24 months. Data on potential prognostic factors detected at birth, i.e., maternal, child, and household facilities, were collected by trained field workers at h...

Background: One of the nutritional the problems that frequently occur in pregnant women is anemia, which is biggest problem of micronutrient and most difficult to overcome in the whole world. Anemia occurs at all stages of the life cycle, more commonly attacked pregnant women and children. The cause of anemia is iron deficiency which is needed to the formation of hemoglobin (Hb). Deficiency of iron in the body is due to lack of consumption of food sources of iron and the non-compliance of pregnant women in consuming iron tablets. Supplementation of iron tablets and improved nutrient intake especially good source of iron is an anemia prevention effort that many do. Objective: To determine the relationship of nutrient intake and the level of compliance in consuming iron tablets with incidence of anemia in pregnant women at work area of Puskesmas I Kembaran Banyumas. Methods: This study is an observational study (survey) with a cross sectional design with 50 subjects of the third trimester pregnant women. The research used both quantitative and qualitative approaches. Results: The percentage of anemia in pregnant women in this study was 56.0%. The results of the multivariable analysis only compliance-related iron tablets consumed significantly (p value: 0.001

There are few studies on the nutritional status of nonpregnant women. A population-based, cross-sectional study of nutritional status in 5,817 non-pregnant women 15 to 49 years of age was conducted in Purworejo District, Indonesia, in 1996. Weight, height, mid-upper-arm circumference (MUAC), and triceps skinfold thickness were measured, and information on socio-economic, demographic, and reproductive factors was collected. Seventeen percent of the women had chronic energy deficiency and 11% were obese. Mean weight, MUAC, and triceps skinfold thickness corresponded to the 25th percentile of standards and mean height to the 5th percentile. Obesity was more common among older women and chronic energy deficiency among both the oldest and the youngest women. Women working in agriculture, not using contraceptives, and not owning a television, radio, or refrigerator were more likely to have chronic energy deficiency. In summary, both chronic energy deficiency and obesity existed in Purwore...

Representative data on pregnancy weight-gain patterns from developing countries are scarce. The reasons include difficulties in obtaining population-based samples and in collecting data before and throughout pregnancy. The objective was to measure weight-gain patterns from prepregnancy until after delivery in a population-based sample of rural Indonesian women. Two cross-sectional surveys of nutritional status among nonpregnant women of reproductive age were carried out through a surveillance system in Purworejo District, Central Java, Indonesia, in 1996 and 1997. Between 1996 and 1998, 846 newly pregnant women were enrolled in a cohort study in which weight was monitored monthly throughout pregnancy. Prepregnancy weights and other anthropometric measures were available for 251 of the women who had live births. Before pregnancy, 16.7% of the women had chronic energy deficiency and 10.0% were obese. The mean total pregnancy weight gain for all the women was 8.3 +/- 3.6 kg, and 79% di...

ObjectivesTo evaluate changes over 1 year in weight and body mass index (BMI) among a population-based sample of non-pregnant women in Indonesia and to identify risk factors for developing under- and overnutrition.DesignCross-sectional studies in 1996 and 1997 in the same population.SettingPurworejo District, central Java, Indonesia.SubjectsNon-pregnant women (n = 4132) aged 15–49 years of age who participated in both 1996 and 1997. Based on BMI, women were classified as having chronic energy deficiency (CED), and as being either of normal weight or obese.ResultsThe mean height of the women was below the fifth percentile of international standards. In 1996, 16.2% had CED, 72.2% were normal and 11.6% were obese. In 1997, the corresponding figures were 14.4%, 71.2% and 14.3%, respectively, revealing a significant mean increase in weight and BMI. Among women classified as normal in 1996, 3.0% developed CED in 1997. Significant risk factors for developing CED were experiences of child d...

Background: Prenatal supplementation with micronutrients may increase birth weight and thus improve infant health and survival in settings where infants and children are at risk of micronutrient deficiencies. Objective: To assess whether vitamin A and/or zinc supplementation given during pregnancy can improve birth weight, birth length, neonatal morbidity, or infant mortality. Methods: A double-blind, randomized controlled trial supplementing women (n = 2173) in Central Java, Indonesia throughout pregnancy with vitamin A, zinc, combined vitamin A+zinc, or placebo. Results: Out of 2173 supplemented pregnant women, 1956 neonates could be evaluated. Overall, zinc supplementation improved birth length compared to placebo or combined vitamin A+zinc (48.8 vs. 48.5 cm, p = 0.04); vitamin A supplementation improved birth length compared to placebo or combined vitamin A+zinc (48.7 vs. 48.2 cm, p = 0.04). These effects remained after adjusting for maternal height, pre-pregnancy weight, and pa...