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All Journal JOURNAL OF HEALTHCARE TECHNOLOGY AND MEDICINE Manuju : Malahayati Nursing Journal Journal of Midwifery and Nursing MAHESA : Malahayati Health Student Journal Window of Midwifery Journal Jurnal PADE: Pengabdian & Edukasi JOURNAL OF Mother and Child Health Concerns Femina Jurnal Ilmiah Kebidanan Jurnal Riset Ilmiah Jurnal Sains, Teknologi dan Kesehatan
Zahara, Evi
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Asuhan Kebidanan pada Inpartu Kala I Fase Aktif dengan Penerapan Gym Ball untuk Mengurangi Nyeri Persalinan Cut Ratna Dewi; Zahara, Evi; Nanda Norisa; Rina Julianti
Window of Midwifery Journal Vol. 5 No. 1 (Juni, 2024)
Publisher : Pusat Kajian dan Pengelola Jurnal FKM UMI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/wom.vi.1866

Abstract

Persalinan kala I fase aktif multigravida umumnya berlangsung kurang lebih 7 jam dan terjadi ketidaknyamanan pada ibu akibat kontraksi berupa rasa nyeri. Gym ball merupakan salah satu upaya dalam mengatasi nyeri serta mempercepat proses kemajuan persalinan dengan cara kerja memperlebar area panggul. Tujuan penelitian ini untuk melakukan asuhan kebidanan kala I dengan nyeri persalinan pada ibu Y di Praktik Mandiri Bidan N Kabupaten Aceh Barat. Metode penelitian berupa studi kasus, dilaksanakan dengan manajemen asuhan kebidanan varney. Asuhan kebidanan didokumentasikan berdasarkan SOAP. Subyek penelitian ini ialah ibu Y G5P2A2 gravida 38 minggu 3 hari yang mengalami ketidaknyamanan berupa nyeri pada kala I fase aktif. Tempat penelitian di Praktik Mandiri Bidan N Kabupaten Aceh Barat. Hasil asuhan kebidanan persalinan kala I dengan nyeri yaitu dilakukan manajemen nyeri dengan menggunakan gym ball. Penggunaan gym ball efektif mengurangi nyeri persalinan kala I fase aktif yang dialami ibu. Rasa nyeri persalinan semakin berkurang dari skala 8 menjadi 4 pada penggunaan gym ball dengan teknik pelvic rocking. Persalinan kala I fase aktif berlangsung selama 60 menit. Kesimpulan gym ball efektif mengurangi nyeridan mempercepat kemajuan persalinan pada kala I ibu Y G5P2A2.
ASUHAN KEBIDANAN KOMPREHENSIF PADA IBU R DENGAN PENERAPAN MEDITASI DAN AFIRMASI POSTIF UNTUK MENGURANGI KECEMASAN PERSALINAN Ulfa, Muetia; Norisa, Nanda; Julianti, Rina; Zahara, Evi
SINERGI : Jurnal Riset Ilmiah Vol. 2 No. 4 (2025): SINERGI : Jurnal Riset Ilmiah, April 2025
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/sinergi.v2i4.1113

Abstract

Introduction: Maternal Mortality Rate (MMR) in Indonesia is still higher than ASEAN countries to achieve the SDGs target of less than 70 maternal deaths per 100,000 live births in 2030. Early detection efforts to overcome morbidity and mortality for both mothers and babies can be done by implementing continuous care starting from pregnancy to postpartum without any complications. Pregnant women with anxiety need complementary care that can make mothers relax and calm in facing their labor. One application that can be done is meditation and positive affirmations.  Purpose: This study aims to provide comprehensive midwifery care, especially for pregnant women in the third trimester who experience anxiety before giving birth through the application of meditation and positive affirmations.  Research method: This study is a case study with a qualitative descriptive approach. The study was conducted by exploring and providing comprehensive midwifery care to Mrs. R G3P2A0 starting from the third trimester of pregnancy to postpartum. While for maternal anxiety using the HARS questionnaire instrument.Research results: Comprehensive midwifery care for Mrs. R has been carried out from pregnancy to postpartum. In the third trimester of pregnancy care based on the results of the anamnesis, it was found that the mother experienced anxiety in facing childbirth, so an anxiety assessment was carried out using the HARS questionnaire, the results showed that the mother experienced moderate anxiety. Meditation and positive affirmations were applied for 10 minutes every 2 visits and the results showed a reduction in anxiety. In addition, midwifery care for mothers giving birth to Mrs. R lasted for approximately 1 hour, the care provided was to repeat the meditation technique and positive affirmations for 10 minutes, after which there was a reduction in anxiety. Midwifery care for Mrs. R's baby was carried out 1 visit and no gaps were found between the theory and the care provided. Postpartum midwifery care given to Mrs. R was carried out 2 visits and no gaps were found between the theory and the care provided. Conclusion: Midwifery care provided to Mrs. R from the third trimester of pregnancy to postpartum can be carried out well. Anxiety experienced before childbirth can be overcome by applying meditation and positive affirmations, which results in reducing the anxiety felt by the mother during childbirth. Meanwhile, newborn and postpartum care went well and without obstacles
ASUHAN KEBIDANAN KOMPREHENSIF PADA IBU C DENGAN KETUBAN PECAH DINI Ardania, Ardania; Norisa, Nanda; Asmanidar, Asmanidar; Zahara, Evi; Satrinawati, Satrinawati
SINERGI : Jurnal Riset Ilmiah Vol. 2 No. 4 (2025): SINERGI : Jurnal Riset Ilmiah, April 2025
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/sinergi.v2i4.1125

Abstract

Introduction: The Maternal Mortality Rate (MMR) in Indonesia is still higher compared to ASEAN countries to achieve the SDGs target, which is less than 70 maternal deaths per 100,000 live births in 2030. Early detection efforts to overcome morbidity and mortality for both mothers and babies can be done by implementing continuous care, starting from pregnancy to postpartum without any complications.  Objective: This study aims to provide comprehensive midwifery care, especially for pregnant women in the third trimester. Research Method: This study is a case study with a qualitative descriptive approach. The study was conducted by exploring and providing comprehensive midwifery care to Mrs. C G2P0A1, starting from the third trimester of pregnancy to postpartum. This report uses a comprehensive care method, namely collecting data from subjective, objective, determining diagnoses, carrying out management, and documenting in the form of SOAP with supporting documentation in the form of a KIA book. Research Results: Based on the results of midwifery care for mother C, it has been carried out starting from pregnancy care, childbirth, newborns, to postpartum. In pregnancy midwifery care, the first visit found complaints of pain in the lower part and waist area. So that care was carried out by encouraging the mother to do stretching or pregnancy exercises to reduce lower pain and teaching the mother gentle massage techniques to reduce the back pain that the mother felt. On the second visit, the mother had carried out the recommendations given so that the discomfort began to decrease and was resolved by carrying out the recommended recommendations. During childbirth care, the mother said there were no signs of labor even though it had passed the EDD and she felt amniotic fluid seeping from the birth canal. The results of the examination showed an opening of 2, and after there were contractions, the mother could no longer stand the pain. However, after monitoring for 15 hours, there was no progress, so the mother was referred to the hospital and a caesarean section was taken. During newborn care, mother C's baby with a male gender was born by caesarean section. Umbilical cord: brown and not yet dry, skin color: normal, gender: male, normal legs, immediately cries loudly, reddish skin, active muscle tone with an Apgar score of 8, number of toes: 10 fingers, normal back, no swelling, penis: perforated, scrotum: down, anus perforated. In the first postpartum care, The mother complained that her breast milk was coming out a little, so care was given by encouraging the mother to continue breastfeeding her baby as often as possible so that her breast milk would flow smoothly and telling the mother to do breast care such as frequent massage around the breast, maintaining breast cleanliness, and warm compresses on the breast. The blood color was rubra and there were no signs of breast milk dams. At the second postpartum visit, the mother said that she did not feel any complaints, her breast milk had come out, the blood color was sanguinolenta, and her breasts had produced breast milk. Conclusion: Midwifery care provided to mother C, starting from the third trimester of pregnancy to postpartum, can be carried out well using the SOAP method. The results found in the subjective and objective data did not find any gaps, and it was concluded that the analysis and management were in accordance with the theory so that all could be collected
ASUHAN KEBIDANAN KOMPREHENSIF PADA IBU KDI TPMB DEWI SANDRA LUBIS KECAMATAN MEUREBO KABUPATEN ACEH BARATTAHUN 2025 Putri, Purnama; Norisa, Nanda; Zahara, Evi; Asmanidar, Asmanidar; Sulastri, Sulastri
EMPIRIS : Jurnal Sains, Teknologi dan Kesehatan Vol. 2 No. 2 (2025): EMPIRIS : Jurnal Sains, Teknologi dan Kesehatan, Juni 2025
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/empiris.v2i2.1421

Abstract

Introduction: Comprehensive midwifery care is care that is provided continuously from pregnancy, childbirth, postpartum and newborns. According to the Aceh Health Service report, in 2023 the number of maternal deaths was 3 people, 1 person was caused by heart disease, and 2 people were caused by bleeding. The number of live births in West Aceh district was 2,643 people and infant deaths were 16 people. Objective: This study aims to provide comprehensive midwifery care from pregnancy, childbirth, newborns and the postpartum period (including family planning counseling for postpartum mothers). Research Method: This study is a case study, carried out with midwifery care documented with SOAP. The subjects of this study were mothers K G1P0A0 aged 30 years starting from 37 weeks 3 days of pregnancy to 9 days postpartum. Data collection techniques were primary data and secondary data. Research results: Based on the results of the research conducted, the results obtained were that the pregnancy process of mother K was normal and no complications were found during the assessment starting from the gestational age of 37 weeks 3 days and the mother was able to adapt to her pregnancy. The labor process took place normally without complications. At the gestational age of 38 weeks 6 days there were no complications or problems in Mother K until 6 hours postpartum. During newborn care, it was found that Mother K's baby was a full-term male and postpartum care was carried out 2 times (including family planning counseling for Mother K) the mother planned to use a 3-month injection of birth control. Conclusion: Comprehensive midwifery care for mother K at TPMB Dewi Sandra Lubis, Meureubo District, West Aceh Regency took place normally. Suggestion: It is expected to improve knowledge and skills by studying cases during practice in the form of SOAP management and implementing care according to the established midwifery service standards in accordance with the authority of midwives that have been given to the midwife profession.
Asuhan kebidanan kehamilan dengan anemia ringan di TPMB Nur Asmah Kabupaten Aceh Barat Ayu, Putri; Zahara, Evi; Julianti, Rina; Norisa, Nanda
Femina: Jurnal Ilmiah Kebidanan Vol. 5 No. 1 (2025): Juni
Publisher : Program Studi D3 Kebidanan Langsa, Polteknik Kesehatan Kemenkes Aceh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30867/femina.v5i1.841

Abstract

Latar Belakang: Anemia pada pada ibu hamil akan meningkatkan risiko komplikasi abortus, persalinan premature, perdarahan antepartum, rentan terserang infeksi, gangguan kontraksi baik primer maupun sekunder, retensio plasenta, luka persalinan yang sukar sembuh, sepsis puerperalis dan gangguan involusi uteri. Sedangkan pada janin dapat menyebabkan gangguan pertumbuhan janin, BBLR, asfiksia perinatal, kelainan kongenital, anemia pada janin hingga kematian janin pada kandungan, panjang badan lahir lebih pendek dan premature. Tujuan: untuk memberikan asuhan kebidanan pada Ny. E dengan anemia ringan. Metode: Rancangan penelitian ini berupa studi kasus dengan pendekatan kualitatif. Subjek penelitian ini adalah Ny. E umur 32 tahun G1P0A0 yang mengalami anemia, penelitian dilakukan selama 10 hari di bulan Januari 2025. Hasil: Hasil penelitian didapatkan bahwa asuhan kebidanan berupa pemberian tablet Fe dan sari kurma dalam jangka waktu 10 hari terbukti dapat meningkatkan kadar Hb pada ibu hingga mencapai batas normal. Kesimpulan: asuhan kebidanan pada kasus anemia ringan dengan pemberian tablet Fe dan sari kurma dapat meningkatkan kadar Hb pada ibu hamil mencapai normal.
Penerapan meditasi dan afirmasi positif pada Ny. Y G4P2A1 gravida 37 minggu di Kabupaten Aceh Barat Mutia, Cut; Zahara, Evi; Yushida, Yushida; Julianti, Rina
Femina: Jurnal Ilmiah Kebidanan Vol. 5 No. 1 (2025): Juni
Publisher : Program Studi D3 Kebidanan Langsa, Polteknik Kesehatan Kemenkes Aceh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30867/femina.v5i1.865

Abstract

Background: During pregnancy, various physiological and psychological changes occur. These changes occur due to changes in estrogen and progesterone hormone levels during pregnancy. One of the physiological changes is lower abdominal pain. Lower abdominal pain generally occurs when approaching the time of delivery. This is usually a signal that most of the lower part of the fetus is already completely in the pelvic cavity. The benefits of meditation can also be a psychological therapy without using chemical drugs that can interfere with pregnancy. The use of drugs in pregnant women requires special vigilance, some drugs can pose a risk to maternal health, and can have a direct effect on the fetus. Objective: to determine the effects of meditation and positive affirmations on Mrs. Y in overcoming pain in West Aceh Regency. Method: This care design is in the form of a case study with a qualitative approach. The subject of this case study is Mrs. Y, 30 years old G4P2A1, at 37 weeks of pregnancy with lower abdominal pain in West Aceh Regency. The study was conducted on February 8-15, 2025. Results: the results of the application of meditation and positive affirmations on Mrs. Y can reduce lower abdominal pain. Conclusion: the application of meditation and positive affirmation methods can reduce pain in pregnancy.
The relationship between food type, nutritional status and iron intake with the incidence of anemia in pregnant women at the Sukamakmur health center Novriyana, Ima; Sari, Yuni; Yushida , Yushida; Zahara, Evi; Gustiana, Gustiana
Journal of Midwifery and Nursing Vol. 7 No. 3 (2025): September: Health Science
Publisher : Institute Of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/jmn.v7i3.6549

Abstract

Anemia in pregnant women is one of the most common public health problems, mainly caused by iron deficiency. This condition can cause serious complications for both mother and fetus. The purpose of this study was to determine the relationship between food type, nutritional status, and iron intake with the incidence of anemia in pregnant women at the Sukamakmur Health Center. This study used a quantitative approach with an analytical survey design and a cross-sectional method. The sample amounted to 56 pregnant women in the third trimester which were taken using the total sampling technique. This study uses a multivariate approach to understand how these three independent factors (food type, nutritional status, and iron intake) together influence the incidence of anemia in pregnant women in their third trimester. Data collection was carried out through questionnaires and analyzed with the Spearman test.  There was a significant negative association between food types and the incidence of anemia (r = -0.527; p < 0.05). Iron intake was also significantly negatively associated with the incidence of anemia (r = -0.311; p < 0.05). However, there was no significant association between nutritional status and the incidence of anemia (r = 0.130; p = 0.341). Diversity of food types and iron intake contribute to a decrease in the incidence of anemia in pregnant women. However, general nutritional status such as BMI did not show a significant relationship. Continuous education is needed for pregnant women regarding the consumption of nutritious foods, especially foods high in iron.
Penerapan meditasi dan afirmasi positif untuk menurunkan kecemasan dan keluhan ibu hamil di Kecamatan Meureubo Zahara, Evi; Ramli, Nurlaili; Norisa, Nanda
Jurnal PADE: Pengabdian & Edukasi Vol 7, No 2 (2025): Oktober
Publisher : Politeknik Kesehatan Kemenkes Aceh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30867/pade.v7i2.2572

Abstract

During pregnancy, physical and psychological changes occur, causing discomfort for the mother, which can then impact the well-being of the fetus. Therefore, management efforts are needed to minimize the impacts that occur. Meditation and positive affirmations can be an alternative, one of the non-pharmacological therapies claimed to have a positive effect on the physical and psychological health of the mother and are beneficial for the health of the fetus, such as reducing excessive anxiety and pain. The implementation of meditation and positive affirmations in community service aims to provide information and empower mothers during pregnancy to improve health. This activity is carried out in three stages. The first stage is a pre-test, the second stage is the delivery of material and practice of meditation and positive affirmations, and the third stage is a post-test. The results show a difference in the level of knowledge and complaints with a p-value of 0,000 for each variable. There is a difference in the level of anxiety of the target group compared between the pre-test and post-test. With a p-value of 0,001. It can be concluded that the application of meditation and positive affirmations is effective in increasing knowledge, reducing complaints, and reducing the level of anxiety of pregnant women.
Hubungan Faktor Maternal dengan Status Gizi Anak Usia 6-23 Bulan di Wilayah Kerja Puskesmas Ingin Jaya Kabupaten Aceh Besar Usrina, Nora; Norisa, Nanda; Zahara, Evi; Raisah, Putri
MAHESA : Malahayati Health Student Journal Vol 4, No 2 (2024): Volume 4 Nomor 2 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i2.12133

Abstract

ABSTRACT Cases of malnutrition are currently still a serious problem in Indonesia, where they often occur in children under five years of age. If malnutrition is not addressed, it will have negative impacts on children under five. The impacts that occur include death and chronic infections. The nutritional status of children under five is influenced by socio-economic conditions, including maternal education, maternal occupation, number of children, knowledge and overall economic conditions of parents. To determine the relationship between maternal factors and the nutritional status of children aged 6-23 months in the working area of the Want Jaya Community Health Center, Aceh Besar Regency. This research uses a quantitative type of research with a cross sectional approach. The subjects in this research were mothers who had toddlers aged 6-23 months who were in the working area of the Want Jaya Community Health Center, Aceh Besar Regency. This research will be carried out for 6 months starting in April - September 2023. The research location will be carried out in the working area of the Want Jaya Community Health Center, Aceh Besar Regency. The instrument used in this research was a questionnaire, each variable containing 15 - 25 statement items. Data were analyzed using the chi-square test with a p value ≥ 0.05. There is a significant relationship between the mother's education level and the nutritional status of children aged 6-23 months (p<0.05). There is no significant relationship between monthly family income, mother's employment, mother's knowledge of parenting styles, and number of children in the family with the nutritional status of children aged 6-23 months (p>0.05). There is a relationship between maternal education level and the nutritional status of children aged 6-23 months. There is no relationship between monthly family income, mother's employment, mother's knowledge of parenting styles, and number of children in the family with the nutritional status of children aged 6-23 months. Keywords: Maternal Factors, Malnutrition, Toddlers  ABSTRAK Kasus gizi buruk saat ini masih menjadi permasalahan serius di Indonesia dimana seringkali terjadi pada kelompok anak usia di bawah lima tahun. Kejadian gizi buruk apabila tidak diatasi akan menyebabkan dampak yang buruk bagi balita. Dampak yang terjadi antara lain kematian dan infeksi kronis. Status gizi anak balita salah satunya dipengaruhi oleh faktor kondisi sosial ekonomi, antara lain pendidikan ibu, pekerjaan ibu, jumlah anak, pengetahuan serta kondisi ekonomi orang tua secara keseluruhan. Untuk mengetahui hubungan faktor maternal dengan status gizi anak usia 6-23 bulan di wilayah kerja Puskesmas Ingin Jaya Kabupaten Aceh Besar. Penelitian ini menggunakan jenis penelitian kuantitatif dengan pendekatan cross sectional. Subjek dalam penelitian ini yaitu ibu yang mempunyai balita berusia 6-23 bulan yang berada di wilayah kerja Puskesmas Ingin Jaya Kabupaten Aceh Besar. Penelitian ini akan dilaksanakan selama 6 bulan dimulai pada bulan April - September 2023. Lokasi penelitian dilaksanakan di wilayah kerja Puskesmas Ingin Jaya Kabupaten Aceh Besar. Instrumen yang digunakan pada penelitian ini adalah satu buah kuisioner, masing-masing variabel berisi 15 – 25 item pernyataan. Data dianalisis menggunakan uji chi-square dengan nilai p ≥ 0.05. Ada hubungan secara signifikan antara tingkat pendidikan ibu dengan status gizi anak usia 6-23 bulan (p<0.05). Tidak ada hubungan secara signifikan antara pendapatan keluarga per bulan, pekerjaan ibu, pengetahuan pola asuh ibu, dan jumlah anak dalam keluarga dengan status gizi anak usia 6-23 bulan (p>0.05). Ada hubungan tingkat pendidikan ibu dengan status gizi anak usia 6-23 bulan. Tidak ada hubungan antara pendapatan keluarga per bulan, pekerjaan ibu, pengetahuan pola asuh ibu, dan jumlah anak dalam keluarga dengan status gizi anak usia 6-23 bulan. Kata Kunci: Faktor Maternal, Gizi Buruk, Balita
ASUHAN KEBIDANAN PADA INPARTU KALA I FASE AKTIF DENGAN PENERAPAN BIRTH BALL UNTUK MENPERCEPAT PERSALINAN hayati, Cut diva kemala; Julianti, Rina; Zahara, Evi; Yushida, Yushida
SINERGI : Jurnal Riset Ilmiah Vol. 2 No. 5 (2025): SINERGI : Jurnal Riset Ilmiah, Mei 2025
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/sinergi.v2i5.1231

Abstract

Introduction: Prolongation of the first stage is one of the problems that often occurs in the labor process. The active phase of the first stage is one of the most important phases of labor progress, therefore every birth attendant must be able to control and supervise the labor process so as not to enter a pathological situation. Birthing ball is one of the active birth methods using a pilates ball that helps mothers in the first stage of labor. The use of a pilates ball with various positions can help speed up the duration of the first stage of labor. According to Ramadhani's research (2022), the use of the birthing ball method can provide progress in the first stage of labor in mothers in labor, where the estimated birth of the first child is above 12 hours, but using the birthing ball method the estimated birth is between 8-10 hours. Objective: to speed up labor with the Birth Ball in Mother M G1P0A0. Research method: descriptive with a case study approach. The subject of the study was a 23-year-old mother M G1P0A0, at 40 weeks 1 day of pregnancy with a dilation of 6. This study was conducted on March 2, 2025. Results: The results of the study showed that there was a significant difference in the method carried out by Mother M G1P0A0 with the birthing ball method faster than the method estimated by physiology in the first child, which is between 10-12 hours, while the study was only at 5-10 hours. Conclusion: It is hoped that the Birth ball application care can be proven to accelerate labor and can be applied periodically at PMB Dewi Sandra Lubis
Co-Authors Ardania, Ardania Asmanidar, Asmanidar Ayu, Putri Azizah, Rohadatul Cut Mutia, Cut Cut Ratna Dewi Ftiraniar, Iin Gustiana Gustiana, Gustiana Hanum, Nisrina hayati, Cut diva kemala Husnita, Rika Idiana, Adri Julianti, Rina Mailisna, Mailisna Marhamah, Putri Rizki Maulidar Maulidar, Maulidar Mauyah, Nizan Munazar Munazar Nanda Norisa Nora Usrina Novriyana, Ima Putri, Isnaini Putri, Purnama Rahmi, Liza Raisah, Putri Ramli, Nurlaili Rina Julianti Sakila, Ajiera Sari, Yuni Satrinawati, Satrinawati Sulastri Sulastri Tamita, Indah Ulfa, Muetia Yuniwati , Cut Yushida , Yushida Yushida, Yushida