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Abstrak :
ABSTRAK
Infekunditas sekunder merupakan kondisi seorang wanita usia subur yang masih memiliki kemungkinan untuk memiliki anak dan berharap bisa memiliki anak, baik yang belum pernah melahirkan ataupun sudah pernah melahirkan, belum pernah hamil maupun yang sudah pernah hamil dan atau pernah memiliki anak sebelum lima tahun terakhir serta tidak menggunakan alat kontrasepsi pada periode tersebut. Faktor yang menyebabkan infekunditas sekunder sebagian besar merupakan penyebab yang sama pada faktor yang menyebabkan infertilitas. Dimana akibat yang ditimbulkan karena terjadinya infekunditas sekunder yaitu gangguan psikologis, sosial dan ekonomi. Metode penelitian yang digunakan yaitu cross sectional dengan menggunakan data WUS SDKI 2012. Jumlah sampel yaitu sebanyak 27414 (85.03%) mengalami fekunditas dan 4826 (14.97%) mengalami infekunditas sekunder. Analisis data menggunakan univariat, bivariat dan regresi logistik. Berdasarkan analisis yang dilakukan, propinsi yang memiliki angka infekunditas sekunder tertinggi yaitu Papua (31.39%), Aceh (23.23%) dan Papua Barat (20.75%). Dengan analisis regresi logistik diperoleh bahwa determinan infekunditas sekunder di Indonesia adalah umur, merokok, sosial ekonomi, pekerjaan, riwayat keguguran, pendidikan, umur pertama melakukan hubungan seksual, dan paritas

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ABSTRACT
Secondary infecundity is a condition of a woman at childbearing age who still have the possibility to have children and wish to have a child who had never given birth or had given birth, has never been pregnant or who have ever been pregnant or had had children before the last five years and does not use contraception in the period. Factors that cause secondary infecundity largely accounts for the same factors that cause infertility. The impact due to the occurrence of secondary infekundity are psychological disorders, social and economic. The research method used is cross sectional using data from Indonesian Demographic and Health Survey 2012. Study population are Woman at Childbearing Age. The number of samples as many as 27414 (85.03%) experienced fecundity and 4826 (14.97 %) experienced secondary infecundity. Data was analyzed by univariate, bivariate and logistic regression multivariable. Result showed accordingly from the highest prevalence are Papua (31.39 %), Aceh (23.23 %) and West Papua (20.75 %). Logistic regression analysis showed determinant of secondary infekundity accordingly in Indonesia are age, smoking, socio-economic, employment, history of miscarriage, education, age at first sexual intercourse, and parity

Abstrak :
ABSTRAK
Kejadian postpartum blues pada hari pertama atau ketiga persalinan masih kurang mendapat perhatian oleh perawat karena dianggap sebagai gangguan mental ringan dan hilang dalam beberapa hari postpartum, dampaknya adalah kurang optimalnya hubungan dan kelekatan antara ibu dan bayinya. Tujuan penelitian ini untuk mengidentifikasi faktor determinan terjadinya postpartum blues pada ibu postpartum primipara. Desain pada penelitian ini adalah cross sectional dengan consecutive sampling dengan jumlah sampel 100 orang. Hasil penelitian diidentifikasi bahwa faktor yang mempengaruhi kejadian postpartum blues pada ibu primipara adalah faktor komplikasi persalinan dan pendapatan. Komplikasi persalinan, merupakan faktor yang paling dominan mempengaruhi terjadinya postpartum blues (p value = 0,000). Di rekomendasikan bahwa perawat harus lebih memberikan perhatian dengan intervensi pendekatan psikososial pada ibu postpartum primipara untuk mencegah terjadinya postpartum blues yang dapat mempengaruhi bonding attachment dengan bayi

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ABSTRACT
The incidence of postpartum blues in the first or third day of childbirth has received less attention from nurses because is considered as a mild and that disappears within a few days of postpartum, the impact is the inadequate bonding and attachment between a mother and a baby. The purpose of this research is to identify the determinant factors of the postpartum blues incident in primiparous postpartum mothers. The research design is cross-sectional with consecutive sampling. The samples were 100 people. The results of this study is to identify that the factors affecting the incidente of postpartum blues in the primiparous mothers are complications and financial. Factor of labor complications was the most dominant factor affecting the occurrence of postpartum blues incident (p value = 0.000). It is recommended that nurses provide more attention and psychosocial approached interventions to primiparous postpartum mothers in order to prevent postpartum blues that can affect bonding and attachment with the baby.

Abstrak :
Rehabilitative the mother and baby health becomes priority to health development at Indonesia. The rehabilitative implementation was concern to physical health and psychological. The psychological problem of mothers postpartum primipara there are the postpartum blues evidence very high almost 75-80%. This research purposed to know music therapy effectiveness in prevents postpartum blues on postpartum prim Para's mother. This research utilize quasi experiment's design, pretest-posttest with control group and intervention group. Intervention group listened ti instrumental music which is Mozart classical musiv type: Eine Kleine Nachtmusik with frequency 20-40 cps hertz's in 15-20 minutes duration, sounding off in 2 times a day, on 8.00WIB a.m an on 14.00 WIB along 3 days. The sample in this observational is postpartum primipara's mother which was nursed at midwifery room RSCM Jakarta Pusat, with total each controls group and intervention group are 18 person. The tests result of logistics regression and double linear regression prove there are available influence music therapy to postpartum blues' prevention. On motherwhich sounding off musical therapy decreased postpartum blues evidence score as 1.80. meanwhile mother that doesn't listened to musical therapies. The research conclusion is the implementasion of listened in musical therapy so effective in postpartum blues' prevention. This result study recommendate it is needs to sound off musical therapy to all post partum's mother as intervention relaxation therapy at health service center such as hospital, puskesmas and also the maternity clinic