PEMBERIAN MINYAK ZAITUN UNTUK MENGURANGI STRIAE GRAVIDARUM PADA KEHAMILAN TRIMESTER III
Latar belakang: Kehamilan merupakan fenomena yang melekat dan fisiologis. Perubahan fisiologis yang dialami ibu hamil adalah terbentuknya striae gravidarum. Istilah "striae gravidarum" menggambarkan peregangan kulit perut yang berlebihan melebihi batas kelenturan normalnya. Karena merupakan pelembab yang menjaga elastisitas kulit dan mempercepat proses regenerasi kulit, minyak zaitun mampu mengurangi striae gravidarum. Tujuan dari penelitian ini adalah untuk memberikan asuhan kebidanan pada ibu hamil, dengan fokus khusus pada penggunaan minyak zaitun sebagai intervensi untuk mengurangi kejadian striae gravidarum. Metodologi: Desain penelitian studi kasus adalah salah satu yang digunakan. Rencana tujuh langkah Varney diterapkan dalam penelitian studi kasus deskriptif ini, yang menggunakan metode observasi partisipan. Ibu hamil dalam penelitian ini adalah wanita nulipara berusia 21 tahun dengan usia kehamilan 37 minggu. Hasil: Evaluasi pada kasus Ny M dengan pemberian minyak zaitun terjadi perubahan dengan berkurangnya striae gravidarum yang memudar. Awalnya guratan berwarna merah tua dan terasa gatal kemudian guratan menjadi ungu dan rasa gatal hanya sedikit, selanjutnya guratan menjadi lebih gelap tetapi masih ada rasa gatal sedikit dan guratan menjadi kecoklatan dan tidak merasakan gatal lagi, dan pada akhirnya guratan menjadi berwarna putih dan memudar. Kesimpulan: Berkurangnya striae gravidarum setelah diberikan minyak zaitun selama 3 minggu dengan terjadi perubahan dari striae gravidarum rubra kategori II menjadi striae gravidarum alba.
striae gravidarum, minyak zaitun. ibu hamil
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ASUHAN KEBIDANAN IBU HAMIL NORMAL PADA NY. ZUMUR 29 TAHUN G2P1AO HAMIL 18+4 MINGGU DENGAN FOKUS INTEREVNSI PEMBERIAN TERAPI REBUSAN DAUN SIRIH HIJAU UNTUK MENGURANGI KEPUTIHAN DI PUSKESMAS GODONG I
Latar belakang: Menurut Profil Kesehatan Indonesia (2016) di Indonesia salah satu masalah umum pada ibu hamil adalah keputihan. Masalah tersebut mencapai angka hingga 16%. Penyebab keputihan bakteri candida 53%, trichhomonas 3,1%, dan karena bakteri 40,1 %. Berdasarkan data yang diperoleh di Dinas Kesehatan Kabupaten Grobogan tahun 2022-2023 terdapat 20.653 ibu hamil. Ibu hamil di bulan Januari-Maret tahun 2023 sebanyak 9.849 orang, dan ibu hamil yang mengalami keputihan di wilayah kerja Puskesmas Godong 1 pada kehamilan trimester II berjumlah 178 ibu hamil. Metodologi: penelitian ini merupakan deskriptif dengan menggunakan pendekatan studi kasus serta pola pikir 7 langkah Varney. Hasil penelitian: Setelah dilakukan asuhan kebidanan selama 7 hari berupa tindakan pemberian terapi rebusan daun sirih hijau didapatkan hasil keputihan yang ibu alami telah berkurang. Kesimpulan: Masalah keputihan yang dialami responden telah teratasi, dan dapat disimpulakan bahwa terapi rebusan daun sirih hijau sangat efektif untuk mengurangi keputihan.
ASUHAN KEBIDANAN KEHAMILAN DENGAN FOKUS INTERVENSI PENERAPAN SENAM HAMIL PADA TRIMESTER III UNTUK MENGURANGI NYERI PUNGGUNG DI PUSKESMAS BRATI
Latar Belakang : Prevalensi kejadian nyeri punggung pada ibu hamil di Indonesia sebanyak 68% dengan kategori nyeri punggung sedang, dan 32% dengan nyeri punggung ringan (Puspitasari & Saripah, 2020). Pengaruh nyeri punggung apabila tidak teratasi akan menyebabkan nyeri punggung dalam jangka panjang dan nyeri punggung akut. Penatalaksanaan nyeri punggung dapat dilakukan dengan farmakologi dan non farmakologi salah satunya adalah senam hamil. Manfaat senam hamil antara lain mengurangi nyeri persalinan, memperkuat dan menjaga kelenturan dinding perut dan otot dasar panggul yang penting, mengurangi nyeri punggung selama kehamilan, melatih teknik pernapasan, memperbaiki suasana hati, meningkatkan kualitas tidur, mengurangi stres, dan nyeri saat hamil, olahraga juga dapat bermanfaat untuk perawatan tubuh dan mengurangi munculnya berbagai gangguan akibat perubahan posisi tubuh. Senam hamil dapat memberikan pengaruh dalam penurunan nyeri punggung apabila dilaksanakan secara rutin dan intensif (Mongi, 2022). Menurut survey awal di Desa Temon pada bulan Januari terdapat 8 ibu hamil trimester III mengalami gangguan nyeri punggung. Tujuan penelitian adalah untuk memberikan asuhan kebidanan kehamilan dengan Fokus Intervensi Penerapan Senam Hamil Pada Trimester III untuk Mengurangi Nyeri Punggung di Puskesmas Brati. Metodologi : Rancangan ini menggunakan penelitian studi kasus dengan jenis penelitian deskriptif kuantitatif, dengan metode observasi. Subjek penelitian ini adalah ibu hamil Trimester III dengan nyeri punggung di Puskesmas Brati. Hasil : Terdapat penurunan nyeri pada Asuhan Kebidanan Kehamilan dengan Fokus Intervensi Penerapan Senam Hamil pada Trimester III untuk Mengurangi Nyeri Punggung Di Puskesmas Brati. Kesimpulan : Ada penurunan skala nyeri punggung setelah dilakukan senam hamil selama 2 minggu, dengan frekuensi 2x/minggu, durasi 15 menit.
PERAWATAN PAYUDARA PASCA SALIN UNTUK KELANCARAN ASI DI PUSKESMAS PURWODADI I
Latar belakang: Air Susu Ibu (ASI) adalah makanan paling baik bagi bayi yang mengandung berbagai komponen penting dalam tubuh seperti leukosit, protein, dan zat kekebalan lainya yang cocok untuk bayi. ASI pula mendukung dalam pertumbuhan dan perkembangan anak secara optimal serta melindungi terhadap serangan penyakit. Salah satu cara untuk meningkatkan pengeluaran ASI pada ibu nifas yaitu dengan cara dilakukan perawatan payudara. Tujuan penelitian adalah untuk memberikan asuhan kebidanan pada ibu nifas dengan fokus intervensi perawatan payudara untuk mengetahui pengaruh perawatan payudara terhadap produktivitas ASI pada ibu nifas. Metode: Rancangan penelitian yang peneliti gunakan adalah rancangan penelitian studi kasus. Jenis penelitian studi kasus deskriptif ini menggunakan metode observasi partisipatif. Subjek dalam penelitian ini adalah ibu nifas. Hasil: Hasil penelitian menunjukkan diagnose pada Ny. D mengalami ketidaklancaran pengeluaran ASI dan ibu mengeluh bahwa bayi rewel. Evaluasi pelaksanaan perawatan payudara 2 kali sehari pada saat mandi pagi dan mandi sore hari. Ny. D dengan ketidaklancaran pengeluaran ASI terdapat peningkatan skala produksi ASI. Kesimpulan: Adanya pengaruh perawatan payudara dengan peningkatan skala produksi Air Susu Ibu (ASI) pada ibu nifas.
PEMBERIAN PIJAT BAYI UNTUK PENINGKATAN BERAT BADAN BAYI DI KLINIK LUQI MEDIKA
Latar belakang : Masa bayi merupakan golden periode atau masa keemasan berlangsung dari 0-12 bulan bayi membutuhkan asupan nutrisi yang cukup serta dibutuhkannya stimulasi yang mampu mendukung proses pertumbuhan dan perkembangannya. Stimulus yang diberikan berupa stimulus taktil yaitu pijat bayi yang dapat membantu meningkatkan berat badan. Tujuan penelitian adalah untuk memberikan asuhan kebidanan bayi dengan fokus intervensi pemberian pijat bayi untuk meningkatkan berat badan. Metode : Rancangan penelitian yang gunakan adalah rancangan penelitian studi kasus. Jenis penelitian studi kasus deskriptif ini menggunakan metode observasi partisipatif. Subjek dalam penelitian ini adalah bayi yang berusia 2 bulan. Hasil : Hasil penelitian menunjukan diagnosa pada By.A dengan pijat bayi. Evaluasi pelaksanaan pijat bayi pada kasus By.A dengan pijat bayi dapat membantu meningkatan berat badan sebesar 850 gram. Kesimpulan : Terjadi kenaikan berat badan bayi setelah di berikan pijat bayi.
ASUHAN KEBIDANAN PADA IBU NIFAS DENGAN FOKUS INTERVENSI KOMPRES EKSTRAK CALENDULA OFFICINALIS TERHADAP PENYEMBUHAN LUKA EPISIOTOMI DI PUSKESMAS GROBOGAN
Latar belakang : Menurut Dinas Kesehatan Kabupaten Grobogan, 48 ibu di Kabupaten Grobogan mengalami infeksi jalan lahir pada tahun 2022 setelah melahirkan. 5 orang pada bulan Januari dan Februari tahun 2023 di Kabupaten Grobogan mengalami infeksi pada jalan lahirnya. Dari total 129 kelahiran yang tercatat di Puskesmas Grobogan antara Januari hingga Maret 2023, 38 ibu memilih episiotomi. Tujuan penelitian adalah untuk memberikan asuhan kebidanan dengan fokus intervensi kompres ekstrak calendula officinalis terhadap penyembuhan luka episiotomi. Metodologi : Menggunakan penelitian deskriptif dengan pendekatan studi kasus dan studi penelitian pada Asuhan Tujuh Langkah Varney yang mencakup dari pengkajian, interpretasi data, diagnosa masalah potensial, antisipasi, intervensi, implementasi dan evaluasi. Hasil : Hasil penelitian menunjukkan diagnosa utama pada Ny. K adalah jahitan luka episiotomi derajat 2. Evaluasi pelaksanaan kompres ekstrak calendula officinalis menunjukkan Ny.K mengatakan tidak ada nyeri pada luka dan skala REEDA menjadi 0. Kesimpulan : Masalah nyeri teratasi dan penyembuhan luka baik dengan tindak lanjut pertahankan kenyamanan klien.
Luka episiotomi, kompres ekstrak calendula officinalis
ANALISIS FAKTOR - FAKTOR YANG BERHUBUNGAN DENGAN KEKURANGAN ENERGI KRONIK PADA IBU HAMIL
Latar Belakang : Kurang Energi Kronik (KEK) pada kehamilan dapat berisiko terhadap kesehatan ibu dan janin. Berbagai faktor seperti umur, Pendidikan, pekerjaan , paritas dan jarak kehamilan diduga merupakan penyebab terjadinya KEK. Penelitian ini bertujuan untuk menganalisis faktor -faktor yang berhubungan dengan KEK pada ibu hamil. Metode: Penelitian ini merupakan penelitian kuantitatif dengan pendekatan cross sectional. Analisi data menggunakan uji chi square untuk mengetahui hubungan antar variabel dependen (Status KEK) dengan variabel independent (umur, Pendidikan, pekerjaan, paritas dan jarak kehamilan). Sampel penelitian sebanyak 55 responden yang diambil dari seluruh populasi menggunakan. Hasil: Hasil analisis menunjukkan bahwa terdapat hubungan yang signifikan antara usia (χ² = 26.117; p = 0.000), paritas (χ² = 23.214; p = 0.000), dan jarak kehamilan (χ² = 55.000; p = 0.000) dengan kejadian KEK. Sementara itu, pendidikan (χ² = 1.522; p = 0.467) dan pekerjaan (χ² = 0.510; p = 0.917) tidak menunjukkan hubungan yang signifikan secara statistik. Ibu dengan usia <20 tahun atau >35 tahun, paritas tinggi, dan jarak kehamilan yang terlalu dekat lebih berisiko mengalami KEK. Kesimpulan: Faktor usia, paritas, dan jarak kehamilan merupakan faktor yang berhubungan dengan KEK. Intervensi gizi dan program kesehatan ibu perlu mempertimbangkan ketiga faktor ini untuk menurunkan prevalensi KEK
PENGARUH MOBILISASI DINI DANA SENAM NIFAS TERHADAP INVOLUSI UTERUS PADA IBU NIFAS
Latar belakang: Kematian ibu yang disebabkan karena proses setelah melahirkan menjadi penyebab sebesar 60%, jumlah tersebut, 50% terjadi pada 24 jam setelah melahirkan, yang disebabkan karena perdarahan dan infeksi (Prawihardjo, 2008). Involusi uterus yaitu suatu proses kembalinya rahim dalam kondisi semula sebelum kehamilan. Berdasarkan penelitian oleh Anggraini dan Savitri (2021), terdapat sejumlah faktor yang memengaruhi proses involusi uterus, antara lain mobilisasi dini, aktivitas fisik setelah melahirkan, status nutrisi, menyusui, jenis pekerjaan, tingkat pendidikan, serta pemberian ASI segera setelah persalinan. Tujuan dari penelitian ini adalah untuk mengevaluasi pengaruh ibu nifas yang melakukan mobilisasi dini dan senam nifas terhadap proses involusi uterus. Metode: Penelitian ini menggunakan metode quasieksperiment dengan menggunakan pretest posttest with control group design. Penelitian ini menggunakan subjek ibu nifas normal. Besar sampel pada penelitian ini sebanyak 30 orang yang terdiri dari 15 orang untuk kelompok intervensi dan 15 orang untuk kelompok kontrol. Analisis data yang digunakan pada penelitian ini yaitu Mann Whitney Hasil: Berdasarkan penelitian yang telah dilakukan didapatkan hasil, bahwa mobilisasi dini dan senam nifas berpengaruh terhadap involusi uterus yaitu p value = 0,008 < dari α = 0,05. Kesimpulan: mobilisasi dini dan senam nifas memiliki pengaruh terhadap involusi uterus pada ibu nifas di Puseksmas Jakenan Pati. Berdasarkan penelitian ini peneliti memberikan saran pada ibu nifas untuk melakukan mobilisasi dini dan senam nifas untuk mempercepat proses involusi uterus
FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KADAR HEMOGLOBIN PADA IBU HAMIL TM III DI WILAYAH KERJA PUSKESMAS WINONG KEMIRI KABUPATEN PURWOREJO
Latar Belakang : Selama TM III, kadar hemoglobin ibu akan turun, anemia terjadi saat hemoglobin <11 gr/dL. Anemia pada kehamilan mengurangi jumlah oksigen yang diikat dalam darah,menyebabkan otot uterus tidak berkontraksi dengan baik,menyebabkan perdarahan postpartum. Tujuan : untuk mengetahui hubungan antara umur, paritas, status gizi, status pendidikan, dan status pekerjaan dengan kadar hemoglobin pada ibu hamil TM III di Puskesmas Winong Kemiri. Metode : cross-sectional dimana variabel sebab dan akibat diukur atau dikumpulkan secara simultan. Penelitian ini dilakukan bulan Juli 2024 di Puskesmas Winong Kemiri, menggunakan metode Accidental Sampling dengan 20 responden. Hasil : penelitian diperoleh nilai p-value<0,05 yaitu umur dengan kadar hb 0,004, paritas dengan kadar hb 0,029, status gizi dengan kadar hb 0,019, status pendidikan dengan kadar hb 0,004, serta p-value>0,05 yaitu status pekerjaan dengan kadar hb 0,375. Kesimpulan : Ada hubungan kadar hemoglobin dengan umur,paritas,status gizi,dan status pendidikan, serta tidak ada hubungan antara kadar hemoglobin dengan status pekerjaan. Saran: Diharapkan bidan untuk memperhatikan faktor-faktor yang berhubungan dengan kadar hb ibu hamil sehingga dapat melakukan antisipasi dan penanganan lebih lanjut bila diperlukan.
MIDWIFERY CARE WITH A FOCUS ON WARM GALANGAL WATER IMMERSION THERAPY INTERVENTIONS TO REDUCE LEG EDEMA IN PREGNANT WOMEN IN THE THIRD TRIMESTER
Background; From the moment of conception all the way until the delivery of the baby, a woman goes through a gestational period that spans 40 weeks and is divided into three distinct trimesters. Discomforts like leg edema might be brought on by the physiological and physical changes that occur during pregnancy. To alleviate this swelling without resorting to medication, try soaking your feet in warm galangal water. There were 19,407 pregnant women in 2023, according to data from the Grobogan Regency Health Office. Around 476 of these women were in Trimester III, and 59 of them had leg edema. From January to April of 2024, 4,248 expectant mothers were recorded in Grobogan Regency. Among them, 87 were in Trimester III, and 13 of those ladies suffered from leg edema. The aim of this study is to be able to provide midwifery care with a focus on warm galangal water immersion therapy interventions to reduce leg edema in pregnant women in the third trimester. Method; This study used a descriptive research strategy based on a case study design and research on Varney's seven stages of care: assessment, data interpretation, potential diagnosis, anticipation, intervention, performance, and evaluation. Result; Pregnant women's feet experienced a marked improvement in their edema levels, going from grade 2 to zero before the intervention. The intervention of warm galangal water immersion in lowering leg edema has been successful, as indicated by this decrease. Conclusion; The case study concludes that the mother's leg edema was successfully alleviated after 5 days of bathing in warm galangal water.
Pregnancy, Leg Edema, Warm Galangal Water Soak
FAKTOR YANG MEMPENGARUHI TERJADINYA STUNTING PADA ANAK BALITA DI WILAYAH KERJA PUSKESMAS SUKARAJA KABUPATEN BOGOR
Latar Belakang : Stunting merupakan salah satu tantangan dan masalah gizi secara global yang sedang dihadapi oleh masyarakat di dunia. Ambitious World Health Assembly menargetkan penurunan 40% angka stunting di seluruh dunia pada tahun 2025. Tujuan : penelitian diketahui faktor yang mempengaruhi terjadinya stunting pada anak balita di Wilayah Kerja Puskesmas Sukaraja Kabupaten Bogor. Jenis penelitian adalah kuantitatif dengan desain crosssectional. Populasi dalam penelitian ini balita stunting usia 24-59 bulan sebanyak 70 orang. Sampel penelitian ini adalah berjumlah 70 responden dengan teknik total sampling. Lokasi penelitian adalah di Wilayah Puskesmas Sukaraja Kabupaten Bogor. Penelitian ini telah dilaksanakan pada bulan Juni sampai dengan Juli 2024 dengan data primer menggunakan analisis data Chi-square. Hasil : penelitian kejadian stunting (pendek) 40 (57,1%), jenis kelamin perempuan 39 (55,7%), umur 37-59 bulan 38 (54,3%), pola asuh makan kurang 41 (58,6%) dan tidak ASI Eksklusif 38 (54,3%). Ada hubungan jenis kelamin dengan kejadian Stunting pada anak balita p-value (0,000 > 0.05). Ada hubungan umur dengan kejadian Stunting pada anak balita Fe p-value (0,005 > 0.05). Ada hubungan pola asuh makan dengan kejadian Stunting pada anak balita p-value (0,001 > 0.05). Ada hubungan pemberian ASI Eksklusif dengan kejadian Stunting pada anak balita p-value (0,003 > 0.05). Saran diharapkan lebih aktif dalam memberikan sosialisasi atau penyuluhan kepada keluarga yang memiliki balita stunting, turut andil dalam melakukan pencegahan pada stunting.
ASUHAN KEBIDANAN PADA IBU PASCA SALIN DENGAN FOKUS INTERVENSI PEMBERIAN AROMATHERAPI LAVENDER TERHADAP PENURUNAN SKALA NYERI PADA LASERASI PERINEUM
Latar belakang: Setelah kelahiran plasenta, dimulailah masa pascasalin (puerperium) yang akan berlangsung hingga organ-organ kandungan kembali ke kondisi semula sebelum kehamilan. Ketidaknyamanan pada masa nifas dapat terjadi diantaranya yaitu nyeri perineum dikarenakan ada luka jahitan. Teknik non-farmakologi dengan pemberian aromaterapi lavender dapat meredakan nyeri pada perineum. Tujuan penelitian adalah mampu melaksanakan Asuhan Kebidanan pada Ibu Pasca Salin dengan Fokus Intervensi Pemberian Aromatherapi Lavender terhadap Penurunan Skala Nyeri pada Laserasi Perineum. Metode: Desain penelitian yang diterapkan oleh peneliti adalah desain studi kasus. Tipe riset analisis kasus naratif ini mengimplementasikan metode observasi partisipatif. Subjek penelitian dalam kajian ini ialah mencakup seorang ibu dalam masa nifas. Hasil: Temuan kajian memperlihatkan nyeri perineum pada ibu nifas mengalami penurunan dengan sebelum intervensi yaitu dengan skala nyeri 7 menjadi skala nyeri 3. Kesimpulan: Pemberian aromaterapi lavender selama 5 hari berhasil mengurangi nyeri perineum ibu pasca salin..
Pasca salin, Nyeri Perineum, Aromaterapi Lavender
HUBUNGAN PENGETAHUAN GIZI IBU DAN PENDAPATAN KELUARGA TERHADAP KEJADIAN STUNTING DI WILAYAH KERJA PUSKESMAS PURUK CAHU KALIMANTAN TENGAH
Latar Belakang : Berdasarkan Survei Status Gizi Indonesia Murung Raya menjadi salah satu kabupaten yang menyumbangkan kasus stunting dengan jumlah lebih tinggi daripada kabupaten lainnya. Untuk mengetahui hubungan pengetahuan gizi ibu dan pendapatan keluarga terhadap kejadian stunting di wilayah kerja Puskesmas Puruk Cahu Kalimantan Tengah. Metode : Penelitian ini menggunakan pendekatan kuantitatif. Dengan menggunakan uji penelitian terhadap 71 responden serta uji validitas dan realibilitas kuesioner atas dimensi pengetahuan ibu, dimensi pengetahuan keluarga dan kejadian stunting. Hasil : Berdasarkan penelitian tentang pengetahuan gizi ibu dapat diketahui bahwa dari dari 39 responden pengetahuan gizi ibu kurang yang memiliki ukuran tubuh sangat pendek ada 4 responden (10,3%), ukuran tubuh pendek ada 27 responden (69,2%) dan yang memiliki ukuran tubuh normal ada 8 responden (20,5%). Sedangkan dari hasil penelitian pendapatan keluarga menunjukkan bahwa dari 40 responden pendapatan keluarga rendah yang memiliki ukuran tubuh sangat pendek ada 5 responden (12,5%) ukuran tubuh pendek ada 28 responden (70%) dan yang memiliki ukuran tubuh normal ada 7 responden (17,5%). Hasil uji statistic chi square diperoleh p value = 0,000. Hal ini berarti H0 diterima dan menunjukkan ada hubungan yang signifikan antara pengetahuan gizi ibu dan pendapatan keluarga terhadap kejadian stunting di Wilayah Kerja Puskesmas Puruk Cahu Kalimantan Tengah. Kesimpulan : Perlu dilakukan penyuluhan oleh tenaga kesehatan terkait untuk meningkatkan pengetahuan gizi ibu dan bantuan pemberian makanan tambahan dari pemerintah setempat kepada keluarga yang memiliki anak stunting diharapkan mampu menurukan angka kejadian stunting.
Pengetahuan Ibu, Pendapatan Keluarga, Stunting
EFFECT OF GIVING ROSE AROMATHERAPY IN DECREASING LABOR PAIN TIME I ACTIVE PHASE
Background: Labor and birth of a baby is a joyful event, but some women often experience pain during labor. Efforts to reduce discomfort due to labor pain include pharmacological and non pharmacological therapy, while non-pharmacological one is by administering rose aromatherapy essential oil. Research objectives: This study aims to determine the effect of giving rose aromatherapy to reduce labor pain in the active phase of labor in a comprehensive manner. Methodology: This research uses qualitative descriptive research with a case study. The instrument used uses Varney's 7 step method. Results: Evaluation results of the care provided to Mrs. A with a frequency of 3x within 25-30 minutes, it was found that giving rose aromatherapy was able to reduce labor pain during the first active phase, from severe pain to mild pain. Conclusion: Giving rose aromatherapy has an effect on reducing the scale of labor pain during the first active phase.
BIRTHING BALL THERAPY INTERVENTION WITH PELVIC ROCKING TECHNIQUE IN REDUCING THE INTENSITY OF BACK PAIN IN PREGNANT WOMEN IN THE THIRD TRIMESTER AT THE KLAMBU HEALTH CENTER
Background: Pregnancy lasts 280 days (40 weeks) and is divided into three quarters and three trimesters. Physical and physiological changes during pregnancy can cause discomfort such as back pain. Non-pharmacological techniques such as birth ball can help reduce such pain. The purpose of this research is to be able to carry out Midwifery Care with the focus of intervention Birthing Ball Treatment through Pelvic Rocking Relaxation Technique to Minimize Back Pain Intensity in Pregnant Women in the Third Trimester at Klambu Health Center. Methodology: This research methodology uses a descriptive case study design with a participatory observation approach to assess midwifery care for pregnant women who experience back discomfort in the third trimester. The study was conducted at the Klambu Community Health Center with the subject of pregnant women aged 21-35 years without high risk. Data were collected using assessment sheets, implementation strategies, and documentation. Data collection methods include research permits, approval of health centers, evaluation of birthing ball therapy interventions with pelvic rocking techniques for 7 days with a frequency of 1x/day for 30-45 minutes in 3 movements, with the duration of each movement 10-15 minutes. Results: The study results indicate a significant reduction in back pain for Mrs. L, with a pain scale score decreasing from 6 before the intervention to 3 after the intervention. This reduction shows that the birth ball intervention was effective in decreasing pain intensity, with the patient reporting that the pain was now manageable and did not interfere with daily activities. Conclusion: Based on the case report, after intervention with birthing ball therapy using the pelvic rocking technique for 7 days, it successfully in reduced Mrs. L's back pain from a pain scale of 6 to pain scale of 3.
The Effect of Finger Hold Relaxation Technique on Pain Intensity of Back Pain in Third Trimester Pregnant Women At The Klambu Health Center
Background; Acute is a part of body mechanism for self defence from the experience of problem. Some treatment for acute is the use non pharmacological therapies are Finger Hold relaxation. Based on the 2020 Indonesian health data profile report, there were 5,256,483 pregnant women. Complications from back pain that are not treated immediately can cause difficulty walking and worsening mobility. In Klambu Village according to an initial survey in the pregnant women class of Klambu, as many 8 pregnant women experience discomfort in back pain. The purpose of the study was to provide obstetric care with a focus on finger hold relaxation technique interventions to reduce the intensity of back pain. Methodology; This research make use of quasi experimental two group pretest – post test group design. Population of this research is patient of pregnant thirt trimester with 30 respondents. Sampling technique used accidental sampling. Data analyze in this research was paired t-test. Result; The outcome of this research is there impact of fingerhold relactation with p-value 0,000; and there impact benson relactation with p value 0.000; It shows that there is any effect of fingerhold relactation. For the paired t test fingerhold relactation t value 8.806 and benson relactation t value 6.123 Conclusion; there was impact of fingerhold relactation for acute intensity in the patient of pregnant women third trimester on backpain
Back pain, finger hold relaxation technique
THE EFFECT OF GIVING PAPAYA (CARICA PAPAYA L) ON INCREASING THE VOLUME OF BREAST MILK PRODUCTION BREASTFEEDING MOTHERS IN NGEMBAK VILAGE, PURWODADI DISTRICT
Background: One of the problems that often occurs in the breastfeeding process is the lack of smooth breast milk production, this makes most mothers choose to give their babies formula milk. To overcome this problem, papaya can be used as a breast milk booster because it contains lactagogum which can affect breast milk production. WHO and UNICEF noted that exclusive breastfeeding coverage in 2019 reached 41%. Meanwhile, in Ngembak Village itself, exclusive breastfeeding coverage is still relatively low, namely 66.67% in 2023. The aim of this research is to find out the effect of giving papaya on increasing the volume of breast milk production among breastfeeding mothers in Ngembak Village, Purwodadi District. Method: This study is a quantitative study using a pre-experimental design with a one-group pre-test post-test design. With a sampling technique of purposive sampling. The sample in the study was 35 breastfeeding mothers and the analysis test used was the Independent T-test. Results: The results of the study show that there is an effect of giving papaya on increasing the volume of breast milk production in breastfeeding mothers with a p-value of 0.000. Conclusion: Based on the results of this research, it can be concluded that there is an effect of giving papaya on increasing the volume of breast milk production in breastfeeding mothers in Ngembak Village, Purwodadi District.
papaya, exclusive breastfeeding, breastfeeding mother, breast milk volume
THE KNOWLEDGE AND ATTITUDES OF ADOLESCENTS IN FACING MENSTRUAL PROBLEMS IN PEMALANG IN 2024
Background: Dysmenorrhea refers to abdominal pain that may radiate to the lower back. Secondary dysmenorrhea is hip discomfort due to certain conditions or diseases. In most cases, women report symptoms such as abdominal pain or cramps before menstruation, which usually lasts 2-3 days and begins a few days before menstruation. The goal of this research is to investigate how knowledge and skills improve performance when dealing with dismenore. Method: This research uses an analytical survey method with a quantitative approach and cross-sectional design. The population and sample consisted of all teenagers who visited Posyandu Anggrek in Asemdoyong Village in June 2024, with a total of 91 respondents. Results: From the research results, it was found that 81 respondents (89.0%) had good knowledge, while 10 respondents (11.0%) had poor knowledge. Of the total respondents, 56 people (61.5%) showed a positive attitude, while 35 people (38.5%) showed a negative attitude. In addition, 26 respondents (28.6%) showed good behavior, while 65 respondents (71.4%) showed bad behavior. Data analysis revealed that the knowledge variable did not correlate with adolescent behavior in dealing with dysmenorrhea (P = 0.052), while the attitude variable showed a significant relationship (P = 0.010).
THE CORRELATION BETWEEN FAMILY INCOME AND EDUCATION LEVEL WITH STUNTING INCIDENCE
Background: According to the 2005 WHO reference, stunting (short stature) is a type of malnutrition defined based on height-for-age, as measured by standard deviations. The height-for-age (HAZ) indicator identifies long-term nutritional issues caused by factors such as poverty, poor lifestyle, inadequate care, insufficient nutrition at birth, and low child height. These determinants include basic criteria like the mother's education level and economic capacity, as well as intermediary factors like family size, the mother's height and age, and the number of children, all contributing to growth delays. Objective: To investigate the correlation between stunting incidence and family income and education level in children aged 24 to 60 months. Method: This research was conducted observationally using a case control study design. Data collection took place in December 2023. The sample size included 323 stunted children aged 0 to 60 months, with 64 respondents, including children with and without developmental disabilities, aged 24 to 60 months, in Paduraksa Health Center, Pemalang Regency. A purposive sampling technique was used. Univariate analysis was conducted with frequency distribution regarding family income and education level, and bivariate analysis using chi-square test. Results: Family income for most stunted toddlers was below the regional minimum wage (UMR) for 26 respondents (81.3%), while family income for most non-stunted toddlers was above or equal to the UMR for 22 respondents (66.8%). Regarding education level, it was found that most mothers of stunted toddlers (22 respondents, 68.74%) had a basic education level, while most mothers of non-stunted toddlers (20 respondents, 62.50%) had a higher education level. There was a significant relationship between family income and stunting incidence, with a p-value of 0.028. However, there was no significant relationship between education level and stunting incidence (p-value =0.660).
Family Income, Education Level, Stunting
DESCRIPTION OF KNOWLEDGE ABOUT REPRODUCTION HEALTH AND PERCIEVED BEHAVIOUR CONTROL SEXUAL IN ADOLESCENT AT GAJAHMUDA SOCIETY SELOJARI
Background; The adolescent phase is a phase with delinquency, especially sexuality. Sexuality is still considered taboo, resulting in a lack of knowledge among teenagers, so that more teenagers have engaged in sexual behavior before marriage. Purpose; to description of reproductive health education on knowledge Method; The research method is a descriptive study approach. The sample is youth youth in Selojari with a total sample of 46. Analyzed by determining the frequency distribution. Results; The results showed that the age group was 16-18 years, with the majority gender being female. Knowledge of reproductive health is in the good category of 11.8%. The perception of good behavior control is 51.8%. Conclusion; The level of knowledge of adolescents about reproductive health mostly has a sufficient level of knowledge, namely 58.8% (27 people), and the prevention is good at 51.8%.
Reproductive Health, Knowledge, Perceived Behavior Control, Teenager
ADMINISTRATION OF RED DRAGON FRUIT TO PREGNANT WOMEN IN TRIMESTER III ON INDICATIONS OF MILD ANEMIA AT GEYER 1 PUSKESMAS
Background: Pregnancy according to the International Federation of Obstetrics and Gynecology, pregnancy is defined as fertilization or union of spermatozoa and ovum and continued with nidation or implantation. Anemia of pregnant women is a maternal condition where the hemoglobin level is below 11 g/dl, anemia that often occurs in pregnant women is anemia due to iron (Fe) deficiency (Sulistyoningsih, 2012). The purpose of the study was to provide obstetric care with a focus on giving dragon fruit interventions to help increase hemoglobin in third trimester pregnant women. Method: The research design that the researcher uses is a case study research design. This type of descriptive case study research uses participatory observation method. The subjects in this study were pregnant women in the third trimester Results: The results showed that Mrs. Y had mild anemia and the mother complained that she was often weak. Evaluation of the implementation of the intervention by giving dragon fruit 100 g/day. Mrs. Y is no longer anemic Conclusion: The problem of anemia in Mrs. Y 30 weeks pregnant has been resolved
AGE RELATIONSHIP OF BREAST MILK COMPANION FOOD WITH STUNTING INCIDENTS IN SELOJARI VILLAGE
Background: Based on riskesdas in 2018 The average prevalence of stunting toddlers in Indonesia in 2005-2017 was 36.4%. In 2018, 100 districts in 34 provinces were designated as priority locations for stunting reduction. This number will increase by 60 counties in the following year. Based on Rakernas 2020 data, the number of stunting toddlers in Indonesia reached 27.7% while one of the targets for the direction and policy of the National Medium Term Development Plan (RPJMN) in 2020-2024 is to increase quality and competitive human resources, one of which includes efforts to accelerate nutritional improvements in handling stunting, and targets that in 2024 the stunting rate in Indonesia will decrease to 14% (Rakernas. 2020). Method: Using cross sectional is done in Selojari Village. Sampling was carried out in multistage random sampling with a large sample of 52 mothers-toddlers. The observed free variable age of Breastmilk companion food administration consisting of the age of the first time given food, while the dependent variable is the incidence of stunting. The data analysis used is the chi-square test. Results: The results of bivariate analysis showed that the first time mp-breast milk administration was significantly related to stunting events. Conclusion: The conclusion of this study is that there is an age relationship between mpasi administration and stunting events.
Age Of Feeding Companion Breast Milk, Stunting
EFFECTS OF BREAST CARE ON NURSING MOTHERS TOWARDS ON PRODUCTIVITY OF BREAST MILK (BREAST MILK)
Background: Breast milk is the best nutrient for babies, which is a fat emulsion in a solution of protein, lactose and minerals. Colostrum contained in breast milk on the first day to the 7th day after the mother gives birth, proven to be useful in increasing antibody levels in babies One way to increase the flow of breast milk in nursing mothers is with breast care. This study aims to find out the effect of breast care on the productivity of breast milk (breast milk) in nursing mothers. Method: The design of this study is quasy experiment with a one group pre-test approach and posttes side-taking techniques with a total sampling of 15 respondents. Data collection tools using observation sheets. Statistical test with Wilcoxon test. Results: the results showed that before the breast milk productivity was carried out on average 7.5 ml and breast milk productivity after breast treatment the average value was 24.25 ml and statistical tests showed a value of ρ value of 0.001 (<0.05). Conclusion: there is an effect of breast care on the productivity of breast milk (breast milk) in nursing mothers
Breast Care, Breast Milk Productivity, Breast Feeding Mother
THE EFFECT OF PREGNANCY MASSAGE ON REDUCING BACK PAIN IN TRIMESTER PREGNANT WOMEN IN THE WORK AREA OF KAYEN PUBLIC HEALTH CENTER, PATI REGENCY
Background; In the third trimester of pregnancy, there are physical and psychological changes. This condition causes pregnant women to experience complex complaints such as discomfort, one of which is back pain. One solution to overcome this discomfort is massage for pregnant women. This study aims to determine the effect of pregnancy massage on reducing back pain in trimester pregnant women in the work area of Kayen Public Health Center, Pati Regency. Methods: This type of research uses a pre-experiment - one group pre post test design. The study population was 30 pregnant women in the third trimester with a total sampling technique. The independent variable is massage in pregnant women and the dependent variable decreases back pain in pregnant women. Research instrument using SOP, data analysis using statistical test t test is equal to 0.819 with a probability value far below 0.05. Results: This study showed that before massage, 16 pregnant women (53.3%) experienced mild pain after massage. 25 pregnant women (83.3%) experienced mild pain and 5 pregnant women (16.7%) have moderate pain. Conclusion: there is an effect of massage for pregnant women on reducing back pain for pregnant women in the third trimester in the work area of the Kayen Health Center, Pati Regency
Pregnancy Massage, Reduction of Back Pain
THE CORRELATION OF PARENTING PATTERN WITH EMOSIONAL QUESTION AT PRE-SCHOOL AGE CHILDREN (3-5 YEARS) IN EARLY CHILDHOOD EDUCATION MUSLIMAT GETAS CEPU BLORA
Background; The parenting pattern means how parents treat children, educate, guide and discipline and protecting their children in achieving process maturity, up to attempt the formation of the expected norms of society at large. Parenting pattern will also affect the emotional question in Early Childhood Education Muslimat Getas Cepu Blora. This study aims to determine the relationship between parenting parents with emotional question (EQ) in pre-school age children (3-5 years) in Early Childhood Education Muslimat Getas Cepu Blora. Method; This research method descriptive correlative study with Cross Sectional approach, with a sampling of saturated sample 32 parents and 32 childrens in early childhood education Muslimat Getas Cepu Blora. This research used questionnaires and checklists. Result; The results showed that the correlation analysis results obtained Kendal Tau correlation coefficient 0.445 with p value = 0.006 <P = 0.05, so it can be decided that the research hypothesis which states: "There is a relationship between parenting pattern with emotional question (EQ) of pre-school children (3 - 5 years) Muslimat Getas Cepu Blora in Early Childhood Education", is accepted. The results of analysis to obtain correlation coefficient 0.445 indicates that the degree of relationship parenting parents with children's emotional intelligence is a relationship that is because it is on the correlation index from 0.4 to 0.6. Conclusion; Parents should use democratic parenting in raising their children because with democratic parenting children get an explanation of why something is allowed or not to be done and children are appreciated and given opportunities, so it is hoped that children's emotional intelligence can develop in a better direction.
Parenting Pattern, Emotional Question (EQ)
THE EFFECTIVENESS OF PROVIDING NUTRITION EDUCATION ON IMPROVING FEEDING PRACTICES TO TODDLERS AS AN EFFORT TO PREVENT STUNTING IN SIDOKERTO VILLAGE, PURWOMARTANI KAPANEWON KAPANEWON KASAN DIY
long term resulting in impaired growth in children and developmental disorders in children caused by malnutrition. Feeding practices are one of the factors that contribute to the incidence of stunting, so nutrition education is needed regarding feeding practices. Research Objectives: To determine the effect of nutrition education interventions on improving knowledge and feeding practice in mothers with toddlers 0-5 years in Sidokerto Hamlet, Purwomartani Kapanewon Kalasan. Research Method: Using a quasi-experimental design with a pre-post test two group design. The number of research subjects in groups one and two were 15 people each. The intervention was in the form of nutrition education using IYCF booklets, a list of household sizes and examples of dishes given 3 times with an interval of 2 weeks. The data collected included mother's age, education, working status, received nutrition counseling, pre-post knowledge, pre-post feeding practice. The statistical analysis used was the Wilcoxon test. The results showed that there was a significant mean difference in the knowledge scores before and after the intervention in the two groups (p=0.006; p=0.003), there was a significant mean difference in the feeding practice scores before and after the intervention in the two groups (p=0.002; p=0.05).
RELATIONSHIP OF FAMILY SUPPORT AND LONG TERM CONTRACEPTIVE METHOD PARTICIPATION
Background; Family Planning (KB) is an effective way to increase family resilience, health and safety of mothers and children. The BKKBN stated that one of the efforts to increase the quality of the population was to address population growth with the family planning program. Long-term contraceptive methods are one of the most effective methods that are durable, efficient, comfortable and relatively inexpensive. Objective: This study aims to examine the relationship between family support and participation in long-term contraceptive methods. Method; correlative descriptive study with a cross sectional approach. The research subjects were all family planning acceptors who met the inclusion and exclusion criteria. The total sample is 120 respondents. Results; The results of the cross-tabulation between the level of knowledge and the use of injection contraception using the Chi-Square Test using the SPSS showed a p value of 0.004. According to the results above, it can be seen that the p value <0.05 so that the result is that Ho is rejected and Ha is accepted Conclusion; in this study it was concluded that there was a relationship between family support and participation in long-term contraceptive methods.
THE INFLUENCE OF RELAXATION TECHNIQUES ON UTERINE INVOLUTION IN NORMAL POST PARTUM MOTHERS
Background : One of the causes of bleeding is failure in uterine involution called subinvolution. Subinvolution of the uterus that is not treated properly, will result in continued bleeding or postpartum haemorrhage. Relaxation techniques help mothers feel comfortable and relaxed so that they get peace of mind and have positive suggestions that have an impact on the postpartum period on the process of uterine involution. Objective: To determine the effect of relaxation techniques on uterine involution in normal postpartum. Methods: This research is a Quasy experiment research with a research design of One group pretest posttest design. The population of postpartum in Juli 2022 at the Kabunan Public Health Center, Pemalang Regency with a total of 107 with purposive sampling technique totaling 16 samples of postpartum. Result : There is an effect of relaxation technique on uterine involution in normal postpartum. Analysis of the data using the Wilcoxon test with a value of 0.039 or asym.sig <0.05.
Postpartum, relaxation techniques, Involution
THE INFLUENCE OF AGE AND EDUCATION ON IMPLEMENTATION OF BREAST SELF EXAMINATION (BREAST) IN PEMALANG DISTRICT IN 2021
Background: Cancer is one of the leading causes of death worldwide, it is estimated that as many as 9 million people died from cancer in 2015 and 11.4 million died in 2030, more than 70% of all cancer deaths in 2005 occurred in low-income countries low and medium (Parkway Cancer Centre, 2011). An estimated 50% of breast cancer patients in Indonesia come to have their cancer checked at an advanced stage. Early detection of breast cancer is a good first step to find out the presence of breast cancer as early as possible, namely by breast self-examination (BSE). the purpose of this study was to determine the effectiveness of breast self-examination at (Case Study of Kabunan Health Center) Pemalang in 2021. Method: This research is an analytic survey research with a cross sectional approach. The population and sample in this study were all women of childbearing age (WUS) who visited the Melati posyandu in Asemdoyong village in September 2021 with a total of 36 people. Results: The results showed that there was an effect of age on the application of BSE (p 0.013), there was an influence of education on BSE (p 0.010).
THE IMPLEMENTATION OF THE JIGSAW II IN ADOLESCENT REPRODUCTIVE HEALTH EDUCATION OF XI SENIOR HIGH SCHOOL STUDENTS IN GROBOGAN
Background : Specific strategies are needed to increase motivation, knowledge and perception of behavior in health education goals towards learning. Cooperative learning is a learning model in small groups that have different skills. Each member cooperates and helps each other in completing group assignments in order to understand a learning material (Aris, 2014). In this study, a cooperative learning model with the type of jigsaw II which aims to create a learning atmosphere that requires participants to be active in groups and stimulates an active learning atmosphere so that participants feel interested in participating in health education. Research objective : To analyze the effect of the jigsaw in reproductive health education on the knowledge of the eleventh senior high school students. Method: This study used a one-group quasi-experimental pretest-posttest design. The design form used is time series design. The number of samples is 85 respondents. Results : There is an effect of applying the jigsaw II to the level of knowledge with a p-value of 0.000; after health education Conclusion : the jigsaw II is able to provide increased knowledge about reproductive health and feels more enjoyable.
jigsaw II, reproductive health education, adolescents