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GAMBARAN PELAKSANAAN PPIA PADA KUNJUNGAN AWAL ANTENATAL CARE OLEH BIDAN PRAKTEK MANDIRI (BPM) DI KOTA DENPASAR TAHUN 2018 Adnyani, Ni Wayan Sukma; Widiastuti, Ni Made Rai; Arini, Ketut Novia
Jurnal Genta Kebidanan Vol 8, No 2 (2018)
Publisher : Jurnal Genta Kebidanan

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Abstract: Characteristics and Implementation of PMTCT in The Initial Visit Of Antenatal Care By Independent Practice Midwife (BPM) In Denpasar City. Based on data from the Bali Provincial Health Office (2014), the number of pregnant women who were willing to take the PMTCT test was 5,029 (42.91%) of the national target achievement of 78% of pregnant women who were tested for HIV. Independent Practice Midwives (BPM) as maternal and child health services that offer and provide PPIA services during ANC visits. This study seeks to determine description of the implementation of PMTCT by midwife practice independent. This research is a descriptive study using a cross-sectional approach. The sample selection used a total sampling technique in which 73 BPM met the inclusion criteria. The results of this study showed 60.3% of midwives with education < D3 Midwifery, 60.3% of midwives were in the age range > 40 - 60 years, and most of them were 74% midwives carried out PMTCT services in accordance with the provisions that were offered the initial visit and a small portion of 26% of midwives did not carry out PMTCT services according to the provisions, but referred patients to PMTCT on the next visit when the nausea and vomiting had disappeared. Thus, supervision from policy makers from the Ministry of Health and Community Health Centers (Puskesmas) is very important in conducting a review of the implementation of PPIA regularly to increase the scope of PPIA in BPM.Key words : Pregnancy,PMTCT, Independent Practice MidwivesAbstrak : Karakteristik dan Gambaran Pelaksanaan PPIA pada Kunjungan Awal Antenatal Care oleh Bidan Praktek Mandiri (BPM) Di Kota Denpasar. Berdasarkan data Dinas Kesehatan Provinsi Bali (2014), jumlah wanita hamil yang bersedia melakukan tes PMTCT adalah 5.029 (42,91%) dari pencapaian target nasional yaitu 78% dari wanita hamil yang dites HIV. Bidan Praktek Mandiri (BPM)  sebagai tempat pelayanan kesehatan Ibu dan Anak yang menawarkan dan memberikan pelayanan PPIA dalam kunjungan ANC. Penelitian ini berusaha untuk mengetahui gambaran pelaksanaan PPIA oleh BPM Penelitian ini merupakan penelitian deskriptif dengan menggunakan pendekatan cross-sectional. Pemilihan sampel menggunakan teknik total sampling di mana 73 BPM memenuhi kriteria inklusi. Hasil penelitian ini menunjukkan sebanyak 60,3% dengan pendididkan < D3 Kebidanan, 60,3% dalam rentang umur > 40 – 60 tahun, dan sebagian besar yaitu 74% bidan melaksanakan pelayanan PPIA sesuai dengan ketentuan yaitu ditawarkan pemeriksaan pada kunjungan awal dan sebagian kecil yaitu 26% bidan belum melaksanakan pelayanan PPIA sesuai ketentuan, melainkan merujuk pasien untuk PPIA pada di kunjungan berikutnya saat mual muntah sudah hilang. Dengan demikian, pengawasan dari pembuat kebijakan dari Departemen Kesehatan dan Pusat Kesehatan Masyarakat (Puskesmas) sangat penting dalam melakukan tinjauan mengenai pelaksanaan PPIA secara teratur untuk meningkatkan ruang lingkup PPIA di BPM.Kata kunci: Kehamilan, PPIA, Bidan Praktek Mandiri, 
PROPORSI PENERIMAAN ALAT KONTRASEPSI DALAM RAHIM PASCA PLASENTA: SUATU PENELITIAN SURVEI Rai Widiastuti, Ni Made
Jurnal Genta Kebidanan Vol 7, No 2 (2017)
Publisher : Jurnal Genta Kebidanan

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Abstract: Proportion of Acceptance Post Placental Intrauterine Contraceptive Device: Cross Sectional Survey. This study aims to determine the proportion of post-placebo IUD contraceptive service in Denpasar. Study was cross sectional with a total of 100 respondents selected by consecutive sampling. Respondents were new mothers who had gave birth over January-February 2016 the General Hospital Wangaya, Public Health Centre Dauh Puri, Public Health Centre I East Denpasar and Public Health Centre IV South Denpasar. Data were collected by questionnaire on the spot delivery. Study results indicated that the proportion of PPIUCD acceptance was 35%.  Abstrak: Proporsi  Pemakaian Alat Kontrasepsi Dalam Rahim Pasca Plasenta: suatu penelitian survey. Penelitian ini bertujuan untuk mengetahui proporsi penerimaan pelayanan kontrasepsi AKDR pasca plasenta di Kota Denpasar. Penelitian survei cross sectional dilakukan pada ibu pasca persalinan dengan jumlah sebanyak 100 ibu dan dipilih secara consecutive sampling yang melahirkan sejak Januari-Februari 2016 di Rumah Sakit Umum Daerah Wangaya, Puskesmas Pembantu Dauh Puri, Puskesmas I Denpasar Timur dan Puskesmas IV Denpasar Selatan. Data dikumpulkan dengan wawancara menggunakan kuesioner di tempat ibu melahirkan. Hasil penelitian menunjukkan proporsi penerimaan pemakaian AKDR pasca plasenta sebesar 35% dari semua ibu yang diberikan konseling tentang pemakaian AKDR pasca plasenta.  
SURVEI RENCANA PEMAKAIAN METODE KB PASCA PERSALINAN PADA IBU HAMIL TRIMESTER III Rai Widiastuti, Ni Made; MAHAYANI, NI KADEK PEMUDI; MAHAYANI, NI KADEK PEMUDI
Jurnal Genta Kebidanan Vol 8, No 2 (2018)
Publisher : Jurnal Genta Kebidanan

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Abstract: Suvey Plan of Use of Contraceptive Method After Delivery in Pregnant Woman of Third Semester. This research is aimed to know the plan of contraseption  after delivery in third trimester pregnant woman at Puskesmas Pembantu Dauh Puri. Cross sectional study was performed on third trimester pregnant women with total number of 63 people and wasconsecutive sampling. Data was collected by interview using structured questionnaire. The results showed that most of 33 respondents (52.4%) did not have plan for the use of postnatal constraseption after delivery. Abstrak: Survei Rencana Pemakaian Metode KB Pasca Persalinan Pada Ibu Hamil Trimester III. Penelitian ini bertujuan untuk Mengetahui rencana pemakaian KB pasca persalinan pada ibu hamil trimester III di Puskesmas Pembantu Dauh Puri. Penelitian cross sectional dilakukan pada ibu hamil trimester III dengan jumlah sebanyak 63 orang dan dipilih secara consecutive sampling. Data dikumpulkan dengan wawancara menggunakan kuesioner terstruktur. Hasil penelitian menunjukkan sebagian besar yaitu sebanyak 33 responden (52,4%) tidak mempunyai rencana pemakaian metode KB pasca persalinan. 
FAKTOR – FAKTOR YANG MEMPENGARUHI PERILAKU PEMERIKSAAN DETEKSI DINI KANKER LEHER RAHIM Rai Widiastuti, Ni Made; Sukariasih, Ni Wayan; Sukariasih, Ni Wayan; Sukariasih, Ni Wayan
Jurnal Genta Kebidanan Vol 9, No 1 (2019)
Publisher : Jurnal Genta Kebidanan

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Abstract: Factor that Influence Behavior Examination of Cervical Cancer Screening.  Cervical cancer is cancer that occurs in the organs reproductive by women, which is the entrance to the uterus and placed between the uterus and vaginal opening (Rasjidi, 2010). Data from WHO (2011) states currently cervical cancer ranks the top of various other types of cancer that cause death in women throughout the world. Every year, there are approximately 500,000 cases and 231,000 die from cervical cancer. To reduce mortality, it is important to carry out an early examination of cervical cancer. Preliminary study conducted in the Serampingan village Carrying out a decrease in the number of participants conducting early cervical cancer examinations. The purpose of this study was to determine the factors that influence the early examination of cervical examination in PKK mothers.This research is a descriptive study with a cross sectional design. Sampling uses a systematic random sampling technique with a total of 55 respondents.The results showed that most PKK mothers had good knowledge about early detection of cervical cancer, preventing all respondents from having good social support, and almost all respondents with very good knowledge and various reasons related to PKK mothers could not do routine early detection of cervical cancer. Abstrak: Faktor yang Mempengaruhi Perilaku Pemeriksaan Deteksi Dini Kanker Leher Rahim Kanker leher rahim adalah kanker yang terjadi pada organ reproduksi wanita, yang merupakan pintu masuk ke rahim dan terletak antara rahim dan lubang vagina (Rasjidi, 2010). Data dari WHO (2011) menyatakan hingga saat ini penyakit kanker serviks menempati peringkat teratas dari berbagai jenis kanker lainnya yang menyebabkan kematian pada perempuan di seluruh dunia. Setiap tahunnya terdapat kurang lebih 500.000 kasus dan sedikitnya 231.000 meninggal akibat kanker serviks. Untuk mengurangi angka kematian maka penting untuk melakukan pemeriksaan deteksi dini kanker leher rahim. Studi pendahuluan yang dilakukan di Desa Serampingan terdapat penurunan jumlah peserta  yang melakukan pemeriksaan deteksi dini kanker leher rahim.                                                                                            Tujuan Penelitian ini yaitu untuk mengetahui faktor-faktor yang mempengaruhi perilaku pemeriksaan deteksi dini kanker leher rahim pada ibu PKK. Penelitian ini merupakan penelitian deskriptif dengan pendekatan cross sectional. Pengambilan sampel menggunakan teknik sistimatika random sampling dengan jumlah responden sebanyak 55 responden. Hasil penelitian menunjukkan hampir seluruhnya ibu PKK memiliki pengetahuan yang baik tentang pemeriksaan deteksi dini kanker leher rahim, hampir seluruhnya responden memiliki dukungan sosial yang baik, dan hampir seluruhnya responden dengan perilaku sangat baik dan terdapat berbagai alasan yang berdampak pada perilaku ibu PKK sehingga tidak rutin melakukan pemeriksaan deteksi dini kanker leher rahim. 
POLA PEMBERIAN ASI PADA IBU NIFAS PADA PERIODE EARLY POST PARTUM DI KOTA DENPASAR Widiastuti, Ni Made Rai; widiani, ayuk
Jurnal Riset Kesehatan Nasional Vol 3, No 2 (2019)
Publisher : Institute Teknologi dan Kesehatan (ITEKES) Bali

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (353.529 KB) | DOI: 10.37294/jrkn.v3i2.158

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Tujuan : Tujuan dari penelitian ini adalah mengetahui bagaimana pola pemberian ASI pada ibu pasca melahirkan saat periode minggu pertama setelah melahirkan di Kota Denpasar.Metode : Penelitian ini merupakan penelitian deskriptif dengan pendekatan Cross Sectional Study, sampel penelitian sebanyak 30 responden yang dipilih secara purposive sampling. Penelitian ini dilakukan di wilayah kerja Puskesmas I Denpasar Timur dan Puskesmas Pembantu Dauh Puri. Alat pengumpul data menggunakan kuesioner dengan mengikuti dari nifas hari pertama sampai nifas satu mingguHasil : Hasil penelitian ini menunjukan sebagian besar responden memiliki pandangan budaya dan kepercayaan yang baik dalam menyusui yaitu 25 (83,3%), sebagian besar responden mendapatkan dukungan suami yang baik dalam proses menyusui yaitu 22 (73,3%), dan sebagian besar responden memberikan ASI saja pada bayinya yaitu 24 (80%).Kesimpulan: Kesimpulan dalam penelitian ini adalah sebagian besar responden memiliki pandangan budaya dan kepercayaan yang baik dalam menyusui, sebagian besar responden mendapatkan dukungan suami yang baik dalam proses menyusui dan sebagian besar responden memberikan ASI saja pada bayinya.
PENDAMPINGAN PADA PASANGAN USIA SUBUR DALAM PENGGUNAAN KONTRASEPSI SEBAGAI UPAYA MENEKAN UNMET NEED KB DI MASA ADAPTASI KEBIASAAN BARU Kadek Widiantari; Ni Made Rai Widiastuti
SELAPARANG Jurnal Pengabdian Masyarakat Berkemajuan Vol 5, No 1 (2021): Desember
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jpmb.v5i1.6547

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ABSTRAKTingginya angka unmet need bukan hanya menjadi permasalahan dalam program Keluarga Berencana di Indonesia, namun juga dihadapai oleh tiap belahan dunia. Kelompok unmet need  merupakan  sasaran yang perlu mendapatkan perhatian khusus dalam pelayanan KB. Pada masa awal pandemi Covid-19, angka unmet need KB cenderung mengalami peningkatan. Berdasarkan  laporan dari BKKBN 2020 tercatat sebanyak 36 juta peserta KB aktif pada bulan Maret mengalami penurunan menjadi 26 juta peserta dibulan April, sehingga terdapat selisih 10 juta akseptor yang tidak menggunakan alat kontrasepsi dan 25% diantaranya merupakan Pasangan Usia Subur (PUS). Penurunan kepesertaan KB aktif ini dapat berdampak pada resiko terjadi Kehamilan Yang Tidak Diinginkan (KTD), maupun peningkatan  “baby boom” pasca pandemi. Tujuan dari kegiatan ini adalah membantu PUS dalam memecahkan dan menemukan solusi terhadap permasalahan terkait  KB serta memberikan  layanan KB. Kegiatan ini dikemas dalam bentuk pendampingan konseling dan pelayanan KB gratis terutama bagi PUS yang tergolong unmet need. Dilakukan secara tatap muka dengan menerapkan protokol kesehatan yang ketat. Hasil kegiatan Pengabdian kepada Masyarakat ini yaitu dari 20 orang PUS yang melakukan konseling, sebanyak  15 orang (75%), bersedia menjadi akseptor KB aktif sedangkan 2 orang (10%) akan mendiskusikan kembali dengan pasangannya dan 3 orang lainnya (15%) belum siap untuk menggunakan kontrasepsi. Kata kunci: pendampingan; PUS; unmet Need KB; adaptasi kebiasaan baru ABSTRACTThe high number of unmet need is not only a family planning problem in Indonesia, but also in every part of the world. Unmet need target groups that need special attention. At the beginning of the Covid-19 pandemic, the number of unmet need for family planning tends to increase.Reports from the BKKBN in 2020, from March to April there was a decrease in active family planning acceptors by 10 million participants and 25% of them are couples of childbearing age. This decrease in participation has an impact on the risk of unwanted pregnancies and an increase in the post-pandemic "baby boom". The purpose of this activity is to assist couples in solving and finding solutions to family planning problems and providing family planning services. This activity is packaged in the form of counseling assistance and free family planning services, especially for couples of childbearing age with unmet need. The results of this Community Service activity are from 20 people who did counseling, as many as 15 people (75%), were willing to become active family planning acceptors while 2 people (10%) would discuss again with their partners and 3 other people (15%) were not ready to use contraception. Keywords: accompaniment; couples of childbearing age; unmet need KB; new habit adaptation
Pengetahuan Ibu Menopause Tentang Perubahan Fisiologi dan Psikologi Pada Masa Menopause Ni Made Rai Widiastuti; Yeanneke Anita Kopa
Jurnal Genta Kebidanan Vol 9 No 2 (2020)
Publisher : Politeknik Kesehatan Kartini Bali

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (319.549 KB) | DOI: 10.36049/jgk.v1i1.10

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The purpose of the study was to determine the knowledge of menopausal mothers about changes in physiology and psychology during menopause based on education and work. The research method used descriptive research with a cross-sectional approach. The number of samples in this study was 64 people. The method of collecting data using a questionnaire and the sampling technique used is a consecutive sampling. Processing data using data tabulation. This study found that the knowledge of menopausal mothers about changes in physiology and psychology during menopause was almost entirely, namely, 32 people (76.2%) had good knowledge, a small number were 9 people (21.4%) had sufficient knowledge and a small number were one (2.4%) have less knowledge. Based on the educational characteristics of all respondents included in the higher education group, they have good knowledge. Based on the job characteristics of all respondents included in the working group, they have a good level of knowledge.
Pendidikan Kontrasepsi Pada Wanita Pasangan Usia Subur Sebagai Upaya Antisipasi Baby Bomming Di Masa Adaptasi Kebiasaan Baru Pasca Pandemi Covid-19 Di Wilayah Kecamatan Kuta Utara Ni Made Rai Widiastuti; Kadek Widiantari
Lontara Abdimas : Jurnal Pengabdian Kepada Masyarakat Vol 2 No 2 (2021): Desember
Publisher : Lembaga Penelitian Dan Pengabdian Masyarakat Politeknik Kesehatan Muhammadiyah Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53861/lomas.v2i2.247

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The results of family planning services during the COVID-19 pandemic in national scale has decreasedin the number of contraceptive uses reaching 40% in almost all regions in Indonesia (BKKBN, 2020). This couldbe caused by various problems, including an increase in the number of unwanted pregnancies and baby booms orincrease of birth rate. This is due to the obstruction of access to services, delaying access to health facilities dueto fears of contracting COVID-19 and increasing of husband and wife sexual intercourse without usingcontraceptives that inducing pregnancy. Based on the results of Widiastuti's research in 2020, where a survey wasconducted to find out the description of family planning use during the pandemic in the North Kuta District, it wasfound that half of them (53.2%) of respondents were using contraceptives and almost half of them (46.8%) ofrespondents did not use contraception. One of the efforts to suppress the surge in baby births is through the FamilyPlanning program for couples of childbearing age. The aim of this community service is to provide knowledgeabout contraceptive tools and methods in suppressing the surge in baby births. The targets are women ofchildbearing age aged 15-45 years who have not used contraception or who use and do not make repeat visits asmany as 30 people. The implementation of the activity was carried out by assessing the level of understanding ofthe respondents by pre-testing through google forms, implementing counseling, family planning counseling andintroduction of contraceptives and evaluating the material by post-testing via google forms. The results of theactivity show that there is an increase in mother's knowledge about family planning tools and methods, which isexpected to influence the behavior of woman in using contraceptives so that they are expected to anticipate theoccurrence of baby boom.
PERILAKU PENGGUNAAN KONTRASEPSI PADA PUS SELAMA PANDEMI COVID-19 DI WILAYAH KERJA PUSKESMAS KUTA UTARA Ni Made Rai Widiastuti; Ketut Novia Arini
JOMIS (Journal of Midwifery Science) Vol 5 No 2 (2021): JOMIS (Journal Of Midwifery Science)
Publisher : LPPM Universitas Abdurrab

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36341/jomis.v5i2.1741

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Nationally, the results of family planning services during the COVID-19 pandemic, there was a decrease in the use of contraceptives reaching. This can cause various problems including an increase in the number of unwanted pregnancies (unwanted pregnancy) and baby booms or an increase in the birth rate. This study aims to determine how the behavior of contraceptive use among couples of childbearing age during the COVID-19 pandemic at the Primary Health Care North Kuta. This research is a survey research with cross sectional analytic research design. The population in this study were all fertile age couples (PUS) in Denpasar City and the number of samples used was 365 respondents with a purposive sampling technique. The results of this study found that most respondents are currently using contraception. Analysis of bivariate data with chi square obtained variables of age, parity, family income, perceived benefits, perceived barriers, availability of service places, and husband's support. Multivariate analysis with logistic regression found that husband's support variable has the most dominant influence on contraceptive use behavior.
Pendampingan Pada Ibu Menyusui Mempengaruhi Keberhasilan Praktek Pemberian ASI pada Masa Adaptasi Kebiasaan Baru Pandemi COVID-19 Ni Made Rai Widiastuti; Kadek Widiantari
Jurnal Genta Kebidanan Vol 11 No 2 (2022)
Publisher : Politeknik Kesehatan Kartini Bali

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (275.887 KB) | DOI: 10.36049/jgk.v11i2.44

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Breastfeeding assistance in supporting breastfeeding can help increase the knowledge, motivation and behavior of mothers in giving breast milk to babies. The purpose of the study was to identify the effect of breastfeeding assistance on the success of mother's knowledge, motivation and behavior in breastfeeding. The research design was a quasi-experimental with pre and post-test non-equivalent control group design. The sampling technique was accidental sampling which consisted of 30 respondents from the intervention group and 30 respondents from the control group. Data analysis used descriptive analysis and analysis used different tests. The results showed that the respondents who received the intervention there was an increase in the knowledge score of 2,514 with a value of t = 6,970, an increase in the motivation score of 2,353 with a value of t = 13,179, and an increase in the score of 1.324 with a value of t = 8,043. From the results of this study, it is expected that health workers can provide breastfeeding assistance to breastfeeding mothers in supporting the success of breastfeeding by providing exclusive breastfeeding.