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LATIHAN POSISI KNEE CHEST UNTUK PENATALAKSANAAN POSISI LETAKLINTANG PADA IBU I G3P2A0 KEHAMILAN 35 MINGGU DI ACEH BARAT Azizah, Rohadatul; Zahara, Evi; Asmanidar, Asmanidar; Yushida, Yushida
SINERGI : Jurnal Riset Ilmiah Vol. 2 No. 6 (2025): SINERGI : Jurnal Riset Ilmiah, Juni 2025
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/sinergi.v2i1.1280

Abstract

Introduction: Transverse lie is when the fetus's longitudinal axis crosses the mother's longitudinal axis perpendicularly or approaches 900. To change the position of the fetus from the transverse lie (transverse) to the head position (normal), pregnant women can do the knee chest position or doubling. This position helps the fetus rotate and return to its normal position, with the head down. This exercise is done routinely for several minutes, several times a day. The use of the knee chest position can be considered so that the incidence of Sectio Caesarea (CS) decreases, so that maternal morbidity and mortality can decrease. The method used is a case report, with an obstetric management approach and using the SOAP documentation method (Subjective, Objective, Analysis, Management). Data collection techniques use interview techniques, physical examinations, documentation studies, and literature studies. The subject in this study was Mrs. I, 33 years old, G3P2A0, 35 weeks of gestation with a transverse lie. The results of the study showed a diagnosis in the case of Mrs. I, 33 years old, G3P2A0, 35 weeks of gestation with a doubling presentation. Results: The results of the study showed that after being given care in the form of applying knee chest position therapy as an effort to change the baby's transverse position to a normal position during pregnancy. Conclusion: Care Implementing the knee chest position can change the baby's transverse position back to normal
ASUHAN KEBIDANAN IBU NIFAS DENGAN EFEKTIFITAS TEKNIK KOMPRES AIR HANGAT DAN AIR DINGIN TERHADAP BENDUNGAN ASI PADADI RUMAH IBU M KECAMATAN BUBON KABUPATEN ACEH BARAT Tamita, Indah; Julianti, Rina; Yushida, Yushida; Zahara, Evi
SINERGI : Jurnal Riset Ilmiah Vol. 2 No. 6 (2025): SINERGI : Jurnal Riset Ilmiah, Juni 2025
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/sinergi.v2i6.1317

Abstract

The incidence of ASI dams caused by the release of milk that is not smooth, because the baby does not feed his mother often enough. An initial survey conducted in April 2025 at house mothers  M  , Bubon  District, aceh  barat, in  2025  found  that  there  were  3 postpartum mothers who experienced ASI dams. To determine the effectiveness of giving warm and cold water compresses to breast milk dams in postpartum mothers. This study used a quasi-experimental with purposive sampling with a sample of 3 people. Data techniques included in uivariate analysis using frequency distribution and bivariate analysis using SPSS program statistical calculations. The results of this study indicate that the value of the Paired Sample Test obtained a sig (2-tailed) value of 0.000 <0.05, so there is a difference between the pretest and posttest values so that it can be concluded that there is an effectiveness of giving warm compresses and cold compresses to breast milk dams for Postpartum Mothers at house mothers M, Bubon District, aceh barat in 2025. There is an effectiveness of giving warm compresses and cold compresses to breast milk dams for Postpartum Mothers at house mothers M, Bubon District, aceh barat in 2025. It is hoped that the method of giving warm compresses and compresses cold as a reference for intervention against breast milk in postpartum mothers.
ASUHAN KEBIDANAN PADA BAYI IBU Z DENGAN PENERAPAN TEKNIK OVER YOUR SHOULDER UNTUK MENGATASI GUMOH  TAHUN 2025 Rahmi, Liza; Asmanidar, Asmanidar; Norisa, Nanda; Zahara, Evi
SINERGI : Jurnal Riset Ilmiah Vol. 2 No. 6 (2025): SINERGI : Jurnal Riset Ilmiah, Juni 2025
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/sinergi.v2i6.1319

Abstract

Introduction: Spitting up (Regurgitation) is a common problem in infants, especially infants aged 0-3 months, and in Indonesia 25% of infants experience spitting up more than 4 times a day in the first month. Spitting up often occurs in infants after breastfeeding, and as the baby gets older, it is estimated that the incidence of spitting up will decrease, namely 8-10% in infants aged 9-12 months and 5% in infants aged 18 months, efforts that can be made to overcome spitting up or regurgitation in infants are using the Over Your Shoulder technique. Objective: This study aims to provide comprehensive midwifery care, especially for infants of mother Z who experience spitting up or regurgitation after breastfeeding using the Over Your Shoulder technique. Research Method: This study is a case study with a qualitative descriptive approach. This study was conducted by exploring and providing comprehensive midwifery care to infants of mother Z starting from 3 days after delivery with complications of spitting up using the Over Your Shoulder technique. Research results: Comprehensive midwifery care for mother Z's baby has been carried out starting from 3 days after delivery based on the results of the anamesa, it was found that the baby often experienced spit up some time after the baby was breastfed. So that the Over Your Shoulder technique was applied for 5-10 minutes, after which the baby burped, and visits were made 2 times. The care provided was to apply the Over Your Shoulder technique to mother Z's baby after spit up could be resolved properly. Conclusion: Midwifery care for mother Z's baby was carried out using the Over Your Shoulder technique, namely placing the baby on the mother's shoulder or chest and then patting the baby's back until he burps. The results of midwifery care carried out using this technique showed that there was no regurgitation in mother Z's baby during monitoring, so it can be concluded that the Over Your Shoulder technique has proven effective and there is no gap between theory and practice.
ASUHAN KEBIDANAN PADA IBU K DENGAN HUBUNGAN STATUS GIZI PADA IBU NIFAS DENGAN PEMULIHAN LUKA PERENIUM DI TPMB DEWI SANDRA LUBIS  KECAMATAN MEUREBO KABUPATEN ACEH BARAT TAHUN 2025 Husnita, Rika; Asmanidar, Asmanidar; Julianti, Rina; Zahara, Evi
SINERGI : Jurnal Riset Ilmiah Vol. 2 No. 6 (2025): SINERGI : Jurnal Riset Ilmiah, Juni 2025
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/sinergi.v2i6.1320

Abstract

Introduction: The postpartum period or breastfeeding period is a very important period, this is because after giving birth the mother will need time to recover her condition and prepare breast milk as a staple food for her baby. The postpartum period is the period during labor and immediately after birth which includes the following weeks when the reproductive tract returns to its normal non-pregnant state. Nutritional needs during the postpartum and breastfeeding period increase by 25%, namely for breast milk production and meeting fluid needs which increase three times than usual. Additional calories for breastfeeding mothers is 500 kcal per day. Long perineal wound healing in vaginal delivery women can lead to infection. One of the factors that were correlated to wound healing is a nutritional factors.Objective:research provides postpartum care to mother K so that she knows the balanced nutrition needed by postpartum women for recovery Research method: This care design is in the form of a case study with a qualitative approach, the subject of this case study is mother K, 23 years old G2P1A0, at 2 days postpartum with the relationship between nutritional recovery of postpartum mothers and selection of perennial wounds in Aceh district West, this research was carried out on March 12 2025. Results: The results of the research showed that after being given care, most of the respondents had their nutritional needs met and their perineal wounds experienced recovery from perineal wounds. Conclusions The majority of postpartum mothers in BPM Dewi Sandra Lubis, Meurebo subdistrict, have their nutritional needs met.Suggestion: Future research is expected to be able to analyze the nutritional factors that are most dominant in the recovery of perineal wounds. Increasing nutritional knowledge for postpartum mothers also needs to be done to avoid a culture of abstinence from eating. development of complementary midwifery orphanages in accordance with the vision and mission of the midwifery study program.
ASUHAN KEBIDANAN PADA IBU A DENGAN PENERAPAN MASSAGE PUNGGUNG UNTUK MENGURANGI NYERI PERSALINAN DI TPMB DEWI SANDRA KECAMATAN MEUREUBO KABUPATEN ACEH BARAT Marhamah, Putri Rizki; Julianti, Rina; Zahara, Evi; Norisa, Nanda
SINERGI : Jurnal Riset Ilmiah Vol. 2 No. 6 (2025): SINERGI : Jurnal Riset Ilmiah, Juni 2025
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/sinergi.v2i6.1327

Abstract

Introduction: Labor pain is a phenomenon found in women who are in labor, but with a midwife's belief in midwifery philosophy, a midwife can provide high quality services for each phase, especially during the labor phase. There are many methods used to reduce pain during childbirth, one of which is back massage. Objective: This study aims to provide comprehensive midwifery care, especially to mother A with a history of normal delivery who experienced pain in the abdominal area that spread to the waist and back. Researchers used back massage techniques to reduce labor pain. Research method: this research is a case study with a qualitative descriptive approach. The research was carried out by exploring and providing comprehensive midwifery care to Mrs. A G1P0A0 starting from the third trimester of pregnancy until postpartum. Meanwhile, for labor pain in mothers, the method of measuring pain before and after massage is used. Research results: Comprehensive midwifery care for Mrs. A has been carried out from pregnancy to postpartum. In this birthing care, the researcher found the case of mother A G1P0A0 with pain during labor, so the researcher performed a back massage technique on mother A to reduce mother A's pain during labor. The results of the back massage technique are proven that this back massage technique really helps birthing mothers who experience pain during the birth process.Conclusion: The midwifery care provided to Mother A with pain during labor can be concluded that the application of back massage techniques to Mother A has been proven to reduce pain during labor. Mother A's delivery went smoothly and was not accompanied by any obstacles
ASUHAN KEBIDANAN IBU HAMIL DENGAN PENGARUH SELF HYPNOSIS TERHADAP KUALITAS TIDUR IBU Y TRIMESTER III  KECAMATAN MEUREBOH KABUPATEN ACEH BARAT Sakila, Ajiera; Zahara, Evi; Asmanidar, Asmanidar; Yushida, Yushida
SINERGI : Jurnal Riset Ilmiah Vol. 2 No. 6 (2025): SINERGI : Jurnal Riset Ilmiah, Juni 2025
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/sinergi.v2i6.1378

Abstract

Lack of sleep quality is one of the common forms of discomfort felt by pregnant women, especially those who have entered the third trimester of pregnancy. There are 66.7% of third trimester pregnant women who have poor sleep quality because they feel discomfort in their pregnancy. The impact of the lack of sleep quality in third trimester pregnant women affects the condition of the mother or baby during pregnancy or in childbirth later. Pregnant women with poor sleep quality can cause complications in pregnancy such as premature birth, increased maternal blood pressure and can make the labor process longer and at greater risk for cesarean section. In dealing with this, efforts can be made to handle non-pharmacological therapies such as self hypnosis. Self hypnosis is a technique to hypnotize oneself followed by the acceptance of a certain suggestion or thought. Objective: To analyze the effect of self hypnosis on sleep quality of third trimester pregnant women. Methods: Using a pre experimental one group pre test post test design which was carried out in March-April 2023 at TPMB Midwife Yulis Aktriani, S.Tr.Keb. The sampling technique was purposive sampling and used the Wilcoxon analysis test. Results: The results of the statistical analysis test using the Wilcoxon test with a p-value of 0,180 (>0,05) show that there is no significant effect between self hypnosis on the quality of sleep of pregnant women in the third trimester. Conclusion: There is no effect of self hypnosis on sleep quality of third trimester pregnant women
Determinan yang Berhubungan dengan Perilaku Pencegahan Keputihan pada Mahasiswi Poltekkes Kemenkes Aceh Usrina, Nora; Ftiraniar, Iin; Zahara, Evi; Hanum, Nisrina
JOURNAL OF HEALTHCARE TECHNOLOGY AND MEDICINE Vol 9, No 1 (2023): April 2023
Publisher : Universitas Ubudiyah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33143/jhtm.v9i1.2869

Abstract

Fluor albus atau keputihan merupakan masalah kesehatan reproduksi yang hampir 75% perempuan di seluruh dunia akan mengalaminya, Di Indonesia sebanyak 75% wanita pernah mengalami keputihan minimal satu kali dalam hidupnya dan 45% di antaranya mengalami keputihan sebanyak dua kali atau lebih. Keputihan pada remaja disebabkan karena perilaku pencegahan keputihan yang kurang baik Pemahaman remaja akan kesehatan reproduksi menjadi bekal remaja dalam berperilaku sehat dan bertanggung jawab, namun tidak semua remaja memperoleh informasi yang cukup dan benar tentang kesehatan reproduksi. Keterbatasan pengetahuan dan pemahaman ini dapat membawa remaja ke arah perilaku berisiko Metode penelitian yang digunakan adalah metode penelitian analitik dengan pendekatan cross sectional. Pengumpulan data dilakukan dengan menggunakan kuesioner. Sampel dalam penelitian ini adalah mahasiswi Poltekkes Kemenkes Aceh yang berjumlah 864 orang. Analisa data yang digunakan yaitu regresi logistic dengan menggunakan STATA.Hasil penelitian menunjukkan faktor yang berhubungan dengan perilaku pencegahan keputihan yaitu pengetahuan kurang baik (OR=3,68; 95%CI=2,73 – 4,97; p-value=0,000), sikap negative (OR=1,38; 95%CI=1,05 – 1,80; p-value=0,017), motivasi kurang baik (OR=3,19; 95%CI=2,42 – 4,22; p-value=0,000). Faktor yang paling dominan berhubungan dengan pencegahan keputihan pada mahasiswi Poltekkes Kemenkes Aceh yaitu pengetahuan kurang baik (OR=3,22; 95%CI= 2,36 – 4,39; p-value=0,000). Responden yang berpengetahuan rendah 3,22 kali berisiko kurang melakukan pencegahan keputihan dibandingan dengan responden yang berpengetahuan baik setelah dikontrol oleh sikap dan motivasi. Diharapkan kepada mahasiswi untuk meningkatakan pengetahuan tentang bahaya dan pencegahan keputihan, sehingga mahasiswi lebih meningkatkan perilaku dalam pencegahan keputihan dan mencegah terjadinya keputihan patologis.Kata Kunci : Motivasi; Pencegehan Keputihan; Pengetahuan, SikapFluorine Albus or vaginal discharge is a reproductive health problem that nearly 75% of women worldwide will experience. In Indonesia, 75% of women have experienced vaginal discharge at least once in their lives and 45% have experienced vaginal discharge twice or more. Vaginal discharge in adolescents is caused by poor vaginal discharge prevention behavior. Adolescent understanding of reproductive health is the provision for adolescents to behave healthily and responsibly, but not all adolescents obtain sufficient and correct information about reproductive health. This limited knowledge and understanding can lead adolescents toward risky behavior. The research method used is an analytical research method with a cross-sectional approach. Data collection was done by using a questionnaire. The sample in this study were students of the Health Polytechnic of the Ministry of Health of Aceh, amounting to 864 people. The data analysis used was logistic regression using STATA. The results showed that the factors associated with vaginal discharge prevention behavior were poor knowledge (OR=3.68; 95%CI=2.73 – 4.97; p-value=0.000) , negative attitude (OR=1.38; 95%CI=1.05 – 1.80; p-value=0.017), poor motivation (OR=3.19; 95%CI=2.42 – 4.22 ; p-value = 0.000). The most dominant factor related to the prevention of vaginal discharge in female Poltekkes Kemenkes Aceh was poor knowledge (OR=3.22; 95%CI= 2.36 – 4.39; p-value=0.000). Respondents with low knowledge 3.22 times have less risk of preventing vaginal discharge compared to respondents who have good knowledge after being controlled by attitudes and motivation. It is expected that female students will increase their knowledge about the dangers and prevention of vaginal discharge, so that college student will improve their behavior in preventing vaginal discharge and preventing pathological vaginal discharge.Keywords: attitude; knowledge; motivation; prevention; vaginal discharge
PENERAPAN SENAM MARYAM PADA ASUHAN PERSALINAN Ny.T DENGAN RISIKO TINGGI DI TPMB D KABUPATEN ACEH BARAT Meldamelisa Putri; Zahara, Evi; Yushida; Norisa, Nanda; Mauyah, Nizan
Jurnal Ilmu Kebidanan dan Kesehatan (Journal of Midwifery Science and Health) Vol. 17 No. 01 (2026): Jurnal Ilmu Kebidanan dan Kesehatan (Journal of Midwifery Science and Health)
Publisher : Sekolah Tinggi Ilmu Kesehatan Bakti Utama Pati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52299/jks.v17i01.512

Abstract

Persalinan dengan risiko tinggi adalah situasi di mana proses persalinan atau kehamilan memiliki potensi untuk mengalami komplikasi yang lebih tinggi dibandingkan kehamilan maupun persalinan tanpa risiko. Tujuan dari penulisan artikel ini adalah untuk mengetahui pengaruh penerapan metode maryam dan pemberian kurma pada saat bersalin dengan lamanya persalinan dan risiko robekan. Penelitian ini menggunakan pendekatan observasi kualitatif dengan rancangan studi kasus berupa Asuhan Kebidanan menajemen Varney yang di dokumentasikan dalam bentuk SOAP. Subjek pada penelitian ini yaitu Ny. T umur 43 tahun G5P3A1 jarak kehamilan dulu dan sekarang 11 tahun berdomisili di Meulaboh dan melahirkan di TPMB. Hasil penelitian menunjukkan bahwa persalinan dengan metode maryam dapat mempercepat proses durasi persalinan yaitu pada Kala 1 berlangsung selama 40 menit, Kala 2 berlangsung 10 menit dan Kala 3 berlansung selama 10 menit, serta pemantauan kala 4 berjalan normal. Telah dilakukan penerapan metode Maryam dan pemberian kurma pada saat persalinan terbukti dapat mempercepat proses persalinan dan tidak ada robekan pada saat persalinan.
Edukasi dan Pembentukan Group Sharing dalam Pemanfaatan Buku KIA Ramli, Nurlaili; Zahara, Evi; Yushida, Yushida
Open Community Service Journal Vol. 5 No. 1 (2026): Open Community Service Journal
Publisher : Research and Social Study Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33292/ocsj.v5i1.178

Abstract

Latar Belakang: Buku KIA merupakan sebuah alat pemantau kesehatan ibu dan anak dalam pelayanan kesehatan primer, namun pemanfaatannya masih belum optimal. Dibutuhkan edukasi dan pendampingan agar ibu mengetahui informasi yang terdapat dalam buku KIA dan membawanya saat pemeriksaan kesehatan kehamilan.Tujuan: Tujuan dilakukannya sosialisasi adalah untuk meningkatkan pemahaman dan dukungan keluarga dengan ibu hamil dalam memanfaatkan buku KIA secara maksimal melalui edukasi dan group sharing.Metode: Kegiatan pengabdian ini dilakukan pada bulan juli sampai Agustus 2024 pada ibu hamil dan keluarga. Sasaran kegiatan ini berjumlah 26 orang ibu hamil dan suami atau orangtua 26 orang. Metode pengabdian dilakukan melalui pemberian edukasi tentang buku KIA, pembentukan group sharing, serta dilakukan penilaian pemanfaatan buku KIA di bulan Agustus 2024. Pengetahuan ibu sebelum dan sesudah edukasi dinilai dengan menggunakan kuesioner untuk mengukur pengetahuan ibu tentang buku KIA.Hasil: Hasil pengabdian menunjukkan adanya peningkatan pengetahuan ibu tentang buku KIA, pengetahuan baik sebesar 13,46% saat pre-test menjadi 96,15% setelah post-test dan 92% ibu hamil memanfaatkan buku KIA secara optimal.
Total Quality Management, Organizational Culture, and Job Satisfaction as Determinants of Teacher Performance Zahara, Evi; Bahri, Saiful; Muamar, Rezeki
JURNAL HURRIAH: Jurnal Evaluasi Pendidikan dan Penelitian Vol. 6 No. 4 (2025): Jurnal Hurriah: Journal of Educational Evaluation and Research
Publisher : Yayasan Pendidikan dan Kemanusiaan Hurriah Aceh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56806/jh.v6i4.401

Abstract

The performance of teachers is a crucial factor influencing educational quality, especially in elementary schools where core skills are developed. This research examines the impact of Total Quality Management (TQM), organizational culture, and work satisfaction on the performance of elementary school educators in Trienggadeng District, Pidie Jaya Regency, Indonesia. This research, rooted in organizational behaviour theory, employs a quantitative explanatory methodology. Data were gathered from primary school educators using standardized questionnaires assessing TQM implementation, organizational culture, job satisfaction, and teacher performance. The data were studied by path analysis to investigate both direct and concurrent correlations among variables. The results indicate that Total Quality Management and organizational culture significantly enhance teachers' job happiness. Moreover, Total Quality Management, organizational culture, and job happiness each have a substantial direct impact on teacher performance. The three independent factors collectively account for a significant amount of the variance in teacher performance, suggesting that quality-oriented management practices, a supportive corporate culture, and satisfied work-related requirements boost instructional efficacy. his study enhances the domain of educational management by presenting empirical evidence of a comprehensive model that connects managerial, cultural, and psychological aspects to teacher performance in primary education. The findings emphasize the necessity of reinforcing continuous quality improvement, fostering a positive school culture, and augmenting teacher job satisfaction as strategic measures to enhance educational outcomes.