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All Journal Jurnal Sains dan Kesehatan Journal Research Midwifery Politeknik Tegal
Reny Eka Saputri
Universitas Harkat Negeri
Health Professions Medicine & Pharmacology Nursing Public Health

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THE ROLE OF COMMUNITY HEALTH CADRES IN PREVENTIVE AND PROMOTIVE MEASURES FOR MATERNAL AND NEONATAL EMERGENCIES Seventina Nurul Hidayah; Reny Eka Saputri; Riska Arsita Harnawati
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.v15i2.10338

Abstract

The maternal and neonatal periods are highly vulnerable stages that require proper monitoring and timely health interventions to prevent serious complications, such as postpartum hemorrhage, infections, or emergency conditions in newborns. Data from the Tegal Regency Health Office in 2024 indicate that preventive and promotive services at posyandu are suboptimal, with postpartum maternal visit coverage at 58%, below the 80% national target. This highlights the importance of the active role of posyandu cadres in providing education, conducting monitoring, and assisting mothers and infants. This study aims to identify the role of posyandu cadres in preventive and promotive efforts related to maternal and neonatal emergencies in Slawi Wetan Village. This descriptive qualitative study involved five cadres and four postpartum mothers. Data from interviews and observations were analyzed thematically. Results show cadres educate on danger signs of pregnancy, conduct home visits, and remind mothers of schedules via communication media. Supporting factors include health center support and community enthusiasm, while obstacles include limited time availability of cadres and uneven awareness among mothers. In conclusion, posyandu cadres play an important role in improving preparedness and promotive maternal and neonatal health. However, cross-sectoral support and capacity building for cadres are still needed to achieve optimal health services.
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.
Co-Authors Mutiarawati Mutiarawati Nora Rahmanindar Riska Arsita Harnawati Seventina Nurul Hidayah