Diah Evawanna Anuhgera
Poltekkes Kemenkes Kalimantan Timur

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HUBUNGAN ANTARA PENGETAHUAN DAN DUKUNGAN SUAMI DENGAN KELENGKAPAN IMUNISASI TETANUS TOKSOID PADA IBU HAMIL TRIMESTER III Lidia Lushinta; Cristinawati B/R Haloho; Elisa Goretti Sinaga; Diah Evawanna Anuhgera
Jurnal Sains Kebidanan Vol. 8 No. 1 (2026): MEI 2026
Publisher : POLTEKKES KEMENKES SEMARANG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jsk.v8i1.14136

Abstract

Imunisasi Tetanus Toksoid (TT) pada ibu hamil trimester ketiga penting untuk mencegah infeksi tetanus pada bayi baru lahir. Penelitian ini bertujuan mengetahui faktor-faktor yang berhubungan dengan kelengkapan imunisasi TT pada ibu hamil trimester ketiga di Puskesmas Samarinda Kota tahun 2025. Menggunakan desain cross-sectional dengan total 47 responden dan teknik total sampling, data dikumpulkan melalui kuesioner dan buku PWS KIA. Hasil uji Chi Square menunjukkan hubungan signifikan antara pengetahuan (p=0,002) dan dukungan pasangan (p=0,002) dengan kelengkapan imunisasi TT. Pengetahuan ibu menjadi faktor paling berpengaruh terhadap kelengkapan imunisasi TT.
The Effect of the Breast Care, Oxytocin Massage, and Marmet Technique (BOM) Method on Breast Milk Production Yohana Sembiring; Diah Evawanna Anuhgera; Siti Choirul Dwi Astuti; Iskandar Markus Sembiring
JURNAL KESMAS DAN GIZI (JKG) Vol. 8 No. 2 (2026): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/kwjnbe60

Abstract

Background: Breast milk is the optimal source of nutrition for infants; however, inadequate milk production remains a common problem among postpartum mothers, particularly during the early days after delivery. Objective: This study aimed to analyze the effect of the Breastcare, Oxytocin Massage, and Marmet Technique method on breast milk production in postpartum mothers. Method: This study used a quasi-experimental design with a post-test only control group approach. A total of 20 postpartum mothers were selected using purposive sampling and divided into an intervention group that received the Breastcare, Oxytocin Massage, and Marmet Technique method and a control group that received breastfeeding counseling. Data were collected using a questionnaire measuring indicators of infant adequacy, including urination frequency, defecation patterns, sleep duration, and weight changes, and were analyzed using the Mann–Whitney test. Results: The findings show that breast milk production in the intervention group is significantly higher than in the control group (p = 0.001), with a higher mean rank observed in the intervention group. The method enhances milk production through hormonal stimulation, mechanical stimulation, and psychological relaxation, which support the secretion of prolactin and oxytocin and facilitate milk ejection. Conclusion: The Breastcare, Oxytocin Massage, and Marmet Technique method is an effective non-pharmacological intervention that improves breast milk production and facilitates milk ejection in postpartum mothers, and it can be recommended to support exclusive breastfeeding.
The Effect of Progressive Muscle Relaxation on Fear of Childbirth in Primigravida Mothers Diah Evawanna Anuhgera; Yohana Putri Apryanti; Lidia Lushinta
JURNAL KEBIDANAN KESTRA (JKK) Vol. 8 No. 1 (2025): Jurnal Kebidanan Kestra (JKK)
Publisher : Fakultas Kebidanan Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/3mcbpw15

Abstract

Pregnancy and childbirth are extraordinary physiological experiences but can also be a source of psychological stress for women, especially for primigravidas who have no previous experience. Fear of childbirth often arises from uncertainty about pain management, concerns about the fetus's condition, and a lack of adequate information. This condition results in increased stress, sleep disturbances, and even mild depression, which can affect the mother's physical and mental readiness for childbirth. This study aims to analyze the effect of progressive muscle relaxation on fear of childbirth in primigravida mothers. The type of research used is an experimental study with a pretest-posttest without a control group. The sample consisted of third-trimester primigravida pregnant women who met the inclusion criteria, using a purposive sampling technique. The intervention in the form of progressive muscle relaxation exercises was given for 2 weeks at a frequency of three times per week and independent practice at home. The research instruments used were the Wijma Delivery Expectancy/Experience Questionnaire (W-DEQ), a demographic and obstetric history questionnaire, and a compliance sheet. Data analysis used dependent and independent t-tests. The results showed a significant decrease in fear of childbirth scores after progressive muscle relaxation with a p-value of 0.001. In conclusion, progressive muscle relaxation training is effective in improving the physical and psychological readiness of primigravida mothers for childbirth. This study recommends that health workers, particularly midwives, integrate progressive muscle relaxation training as a non-pharmacological intervention in prenatal classes.
Training on the Preparation of Cinnamon and Honey Infusions to Reduce Menstrual Pain among Adolescent Girls Riris Sitorus; ⁠Mayang Citra Hariati; Diah Evawanna Anuhgera; Grace Erlyn D. Sitohang; Desideria Yosepha Ginting
JURNAL PENGMAS KESTRA (JPK) Vol. 6 No. 1 (2026): Jurnal Pengmas Kestra (JPK)
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat (LP2M) Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/q95q7n54

Abstract

Menstrual pain is one of the most common reproductive health problems experienced by adolescent girls and may adversely affect learning concentration, productivity, and overall quality of life. Limited knowledge regarding non-pharmacological approaches to menstrual pain management often leads adolescents to endure the discomfort or rely on analgesic medications without adequate information. This community service program aimed to enhance adolescent girls’ knowledge and practical skills in preparing cinnamon and honey infusions as a complementary approach to alleviating menstrual pain. The program was implemented using an educational and participatory approach through health education sessions, interactive discussions, demonstrations, and hands-on practice. A total of 25 adolescent girls who had experienced menstruation participated in the activity. Program evaluation was conducted using pretests and posttests to assess knowledge improvement, observational checklists to evaluate practical skills, and participant satisfaction questionnaires. The results demonstrated a substantial increase in participants’ mean knowledge score, from 58.13 before the training to 87.73 after the intervention. The highest improvement (64.96%) was observed in knowledge related to the preparation procedure of cinnamon and honey infusions. Skills assessment revealed that 60.0% of participants achieved a very good category and 32.0% achieved a good category in preparing the infusion. Participant satisfaction was also remarkably high, with 84.0% reporting that they were very satisfied with the program. These findings indicate that training on the preparation of cinnamon and honey infusions is effective in improving adolescent girls’ knowledge and skills regarding non-pharmacological menstrual pain management through the utilization of safe, affordable, and readily available natural ingredients.