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All Journal Jurnal Kreativitas PKM Jurnal Sains dan Kesehatan Journal Research Midwifery Politeknik Tegal Protein: Jurnal Ilmu Keperawatan dan Kebidanan Natural: Jurnal Pelaksanaan Pengabdian Bergerak Bersama Masyarakat
Nora Rahmanindar
Universitas Harkat Negeri
Agriculture, Biological Sciences & Forestry Humanities Economics, Econometrics & Finance Engineering Health Professions Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Nursing Public Health

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RELATIONSHIP BETWEEN CHARACTERISTICS OF PREGNANT WOMEN AND KNOWLEDGE OF DANGER SIGNS IN PREGNANCY Nora Rahmanindar; Ilma Ratih Zukrufiana
Siklus : Journal Research Midwifery Politeknik Tegal Vol 15, No 2 (2026)
Publisher : Pusat Penelitian dan Pengabdian Masyarakat Politeknik Harapan Bersama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30591/siklus.v15i2.10383

Abstract

Danger signs of pregnancy are conditions that require early detection to prevent maternal and neonatal complications. Pregnant women's knowledge of danger signs of pregnancy is related to various individual characteristics. This study aims to determine the relationship between age, education, occupation and parity of pregnant women with knowledge of danger signs of pregnancy. This study uses an analytical design with a cross-sectional approach. The population in this study were all pregnant women who checked their pregnancy, a total of 59 respondents, the total sampling technique, using a questionnaire and analyzed univariate and bivariate using the Chi square test. The results showed that most respondents were 21-35 years old (78%), had a high school education (66.1%), were unemployed (52.5%) and had multigravida parity (49.2%). Bivariate analysis showed a significant relationship between the age of pregnant women with knowledge of danger signs of pregnancy (P = 0.000), education with knowledge (P = 0.000), occupation with knowledge (P = 0.001), and parity with knowledge (P = 0.000). It can be concluded that age, education, employment status, and the number of pregnant women employed are significantly related to knowledge of pregnancy danger signs. Therefore, more targeted efforts are needed to improve health education, especially for pregnant women with low-risk characteristics and knowledge, through outreach activities and mentoring by health workers.
Hubungan Tingkat Literasi Hukum Kesehatan Reproduksi dengan Kesiapan Pernikahan pada Calon Pengantin Evi Zulfiana; Nora Rahmanindar
Protein : Jurnal Ilmu Keperawatan dan Kebidanan.  Vol. 4 No. 3 (2026): Juli : Protein: Jurnal Ilmu Keperawatan dan Kebidanan
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/protein.v4i3.2338

Abstract

Marriage readiness is an important aspect in forming a healthy and quality family, influenced by physical, psychological, social, economic readiness, and reproductive health. One factor thought to play a role is reproductive health legal literacy, defined as the ability to understand rights, obligations, and legal regulations related to reproductive health services. This study aimed to analyze the relationship between reproductive health legal literacy and marriage readiness among prospective brides and grooms in the working area of Lebaksiu Health Center, Tegal Regency. This analytical quantitative study used a cross-sectional approach involving 80 prospective brides and grooms selected through purposive sampling. Data were collected using questionnaires and analyzed using univariate and bivariate methods with the Chi-Square test in SPSS. Most respondents were aged 21–35 years (75%), had senior high school education (62.5%), worked in the private sector (50%), and had low reproductive health legal literacy (62.5%) and low marriage readiness (68.8%). Chi-Square analysis showed a significant relationship between reproductive health legal literacy and marriage readiness (p = 0.000; p < 0.05). Strengthening reproductive health legal literacy should be integrated into marriage guidance programs and health services to improve marriage readiness and support healthy, quality families.
Gambaran Kejadian Persalinan pada Ibu dengan Preeklampsia di RSUD Dr. Soeselo Slawi Kabupaten Tegal Mutiarawati Mutiarawati; Reny Eka Saputri; Nora Rahmanindar
Jurnal Sains dan Kesehatan Vol. 10 No. 1 (2026): Juni : Jurnal Sains dan Kesehatan (JUSIKA)
Publisher : Universitas Muhamadiyah Manado

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57214/jusika.v10i1.1185

Abstract

Preeclampsia is one of the leading causes of maternal mortality and may result in various complications during pregnancy and childbirth. In Tegal Regency, preeclampsia contributed to 27% of maternal deaths in 2024; therefore, studies on childbirth characteristics among mothers with this condition are needed. This study aimed to identify the characteristics of childbirth events in mothers with preeclampsia at Dr. Soeselo Slawi Regional Hospital, Tegal Regency. A descriptive design with a retrospective approach was used by reviewing the medical records of 202 mothers who delivered with preeclampsia during 2025. Data were analyzed univariately and presented as frequency distributions and percentages. The results showed that most mothers underwent operative delivery (62.38%), while spontaneous and induced labor accounted for 37.13% and 0.50%, respectively. Most deliveries occurred at preterm gestational age (62.38%), followed by term (36.14%) and postterm (1.49%) deliveries. Maternal and obstetric complications included bleeding (6.93%), fetal distress (4.95%), eclampsia (1.49%), and HELLP syndrome (0.99%). Most neonates had normal birth weight (82.18%) and did not require NICU care (95.05%), although low birth weight (17.82%) and NICU admission (4.95%) were still identified. The maternal clinical condition was dominated by blood pressure of 140–159/90–109 mmHg (75.74%). Proteinuria was found in 46.53% of respondents, with moderate proteinuria (+2) as the predominant category (38.30%). In conclusion, childbirth among mothers with preeclampsia was dominated by operative and preterm deliveries. These findings emphasize the importance of early detection and optimal management of preeclampsia to reduce maternal and neonatal complications and improve the quality of maternal-infant health services overall.
Pendampingan Kader Posyandu dalam Implementasi Program P4K untuk Pencegahan Kegawatdaruratan Maternal Neonatal Nora Rahmanindar; Ilma Ratih Zukrufiana; Evi Zulfiana; Intan Cristy Mayasari Riski; Nanda Bachtiar
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 9, No 9 (2026): Volume 9 Nomor 9 (2026)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v9i9.27268

Abstract

ABSTRAK Program Perencanaan Persalinan dan Pencegahan Komplikasi (P4K) merupakan salah satu strategi nasional dalam meningkatkan kesiapsiagaan persalinan serta mencegah keterlambatan penanganan kegawatdaruratan maternal dan neonatal melalui keterlibatan aktif keluarga dan masyarakat. Keberhasilan implementasi P4K sangat dipengaruhi oleh peran kader Posyandu sebagai mitra bidan desa dalam melakukan pendampingan ibu hamil, deteksi dini faktor risiko, edukasi keluarga, serta penguatan sistem rujukan. Berdasarkan hasil identifikasi di Desa Kesuben, Kecamatan Lebaksiu, Kabupaten Tegal, implementasi P4K belum berjalan optimal karena masih terdapat ibu hamil yang belum melengkapi stiker P4K, pendampingan kader belum dilakukan secara terstruktur, serta koordinasi antara kader dan bidan desa masih perlu diperkuat. Kegiatan pengabdian kepada masyarakat ini bertujuan mengoptimalkan peran kader Posyandu dalam implementasi Program P4K sebagai upaya pencegahan kegawatdaruratan maternal dan neonatal. Metode yang digunakan adalah pendampingan partisipatif melalui tiga tahapan, yaitu koordinasi dan identifikasi kebutuhan, pelaksanaan pendampingan berupa penyuluhan, diskusi, simulasi, dan praktik, serta monitoring dan evaluasi. Kegiatan melibatkan 40 kader Posyandu di Balai Desa Kesuben. Hasil kegiatan menunjukkan adanya peningkatan pemahaman kader mengenai Program P4K, meningkatnya kemampuan kader dalam melakukan deteksi dini faktor risiko kehamilan, memberikan edukasi kepada keluarga, serta memperkuat koordinasi dengan bidan desa dalam pemantauan ibu hamil. Pendampingan juga mendorong meningkatnya kesiapan keluarga dalam merencanakan persalinan dan rujukan apabila terjadi komplikasi. Pendampingan kader Posyandu secara berkelanjutan menjadi strategi pemberdayaan masyarakat yang efektif dalam memperkuat implementasi Program P4K serta mendukung upaya pencegahan kegawatdaruratan maternal dan neonatal melalui kolaborasi antara kader Posyandu, bidan desa, pemerintah desa, dan perguruan tinggi Kata Kunci: Kader Posyandu, Program P4K, Pendampingan, Kegawatdaruratan Maternal, Neonatal.  ABSTRACT Birth Planning and Complication Prevention Program (P4K) is a national strategy designed to improve birth preparedness and reduce delays in managing maternal and neonatal emergencies through active participation of families and communities. The success of the program depends on the role of community health volunteers (Posyandu cadres) as partners of village midwives in assisting pregnant women, identifying risk factors, providing health education, and strengthening referral systems. Purpose: This community service aimed to optimize the role of Posyandu cadres in implementing the P4K program to prevent maternal and neonatal emergencies. Methods: A participatory mentoring approach was implemented through three stages: coordination and needs assessment, mentoring activities consisting of health education, discussions, simulations, and practical sessions, followed by monitoring and evaluation. The program involved 40 Posyandu cadres in Kesuben Village, Lebaksiu District, Tegal Regency. Results: The mentoring program improved cadres’ knowledge and skills regarding P4K implementation, enhanced their ability to identify pregnancy risk factors, educate families, and strengthen coordination with village midwives in monitoring pregnant women. The program also increased family preparedness for childbirth and emergency referral planning. Conclusion: Continuous mentoring of Posyandu cadres effectively strengthens the implementation of the P4K program and supports community-based prevention of maternal and neonatal emergencies through collaboration among Posyandu cadres, village midwives, local government, and higher education institutions. Keywords: Community Empowerment, Maternal Emergency, Neonatal Emergency, P4K.
Kelas Ibu Hamil sebagai Media Promotif dan Preventif dalam Peningkatan Pengetahuan tentang Tanda Bahaya Kehamilan Nora Rahmanindar; Ilma Ratih Zukrufiana; Evi Zulfiana; Juhrotun Nisa; Mutiarawati Mutiarawati; Meyliya Qudriani; Wahyu Endang Mulyaningrum
Natural: Jurnal Pelaksanaan Pengabdian Bergerak bersama Masyarakat. Vol. 4 No. 2 (2026): May: Natural: Jurnal Pelaksanaan Pengabdian Bergerak bersama Masyarakat
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/natural.v4i2.2267

Abstract

Maternal mortality remains a major global and national health issue, largely caused by delays in recognizing pregnancy danger signs and delays in seeking care. Promotive and preventive efforts through pregnant women classes are effective strategies to improve maternal health literacy. This community service aimed to enhance pregnant women's knowledge of danger signs during pregnancy through the implementation of pregnant women classes at a community health post. The method used was a pre-experimental design with a one-group pretest-posttest approach. The activity involved 20 pregnant women and included educational interventions using lectures, interactive discussions, demonstrations, and educational media such as leaflets and maternal health books. The results showed a significant increase in knowledge scores from a mean pretest score of 58.5 to 86.7 in the posttest. The greatest improvements were observed in understanding danger signs such as vaginal bleeding, severe abdominal pain, decreased fetal movement, and preeclampsia symptoms. The activity also enhanced active participation among participants. Conclusion: pregnant women classes are effective promotive and preventive tools to improve knowledge, supporting early detection of obstetric emergencies and prevention of pregnancy complications.
Co-Authors Evi Zulfiana Ilma Ratih Zukrufiana Intan Cristy Mayasari Riski Juhrotun Nisa Meyliya Qudriani Mutiarawati Mutiarawati Nanda Bachtiar Reny Eka Saputri Wahyu Endang Mulyaningrum