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Implementation of Deep Back Massage to Reduce Pain Intensity in Maternity Wulandari, Amri; Rustianingsih, Lina; Putrianti, Berlina
Proceedings of the International Conference on Nursing and Health Sciences Vol 5 No 2 (2024): July-December 2024
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/picnhs.v5i2.4631

Abstract

The maternal mortality and illness rate in Indonesia is still high. In 2022, the number of maternal deaths in Indonesia was 3,572 cases (Kemenkes RI, 2023). The number of maternal deaths in Sleman Regency in 2022 is 11 cases with a maternal mortality rate of 91.61 per 100,000 live births. The cause of maternal death in Sleman Regency was due to bleeding (4), preeclampsia (2), acute respiratory distress syndrome (ADRS) severe degrees due to lung problems (1), septic shock (1), sepsis (1), heart disease (1), and ileus (1). Based on the results of the perinatal maternal audit in Sleman Regency of the 11 deaths, 7 deaths did not experience delays and 4 experienced delays in making decisions to refer, both from family decisions and decisions from health workers who handle patients (Sleman Health Office, 2023). So midwifery care Continuity Of Care It needs to be implemented as an effort to reduce maternal mortality rates. Purpose: To find out the results of the implementation deep back massage to reduce the intensity of pain in pregnant women during the first active phase. Method: This type of research is qualitative research with a case study method and uses an approach Continuity of Care Mrs. R was 23 years old. Result: After doing deep back massage During Phase I Active Phase labor, the mother's pain decreases from a pain scale of 8 to 6. Conclusion: It can be concluded that the implementation of deep back massage in pregnant women during the first active phase, it can reduce pain.
The Effect of Oxytocin Massage on the Smoothness of Breast Milk Production in Postpartum Mothers Sari, Ervina Maulia; Krismiyati, Murti; Putrianti, Berlina
Proceedings of the International Conference on Nursing and Health Sciences Vol 5 No 2 (2024): July-December 2024
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/picnhs.v5i2.5229

Abstract

The smoothness of breast milk production is a key factor in achieving exclusive breastfeeding in Indonesia. Unfortunately, some mothers experience insufficient milk supply. This is often due to a lack of stimulation of the hormones oxytocin and prolactin, which play crucial roles in breast milk production. As a result, alternative interventions such as oxytocin massage are necessary. Objective to determine the effect of oxytocin massage on the smooth production of breast milk in postpartum mothers Mrs. N at PMB Tutik Purwani. This research employed an observational case study methodology. Primary data was collected from Mrs. N, who received oxytocin massage at PMB Tutik Purwani. The results indicated a significant difference in breast milk production before and after the oxytocin massage intervention. Babies of the participants experienced a weight gain of 300 grams. Oxytocin massage has a positive impact on breast milk production in postpartum mothers, leading to increased weight gain in their infants.
Penguatan Kader Remaja sebagai Upaya Pencegahan Stunting Hapsari, Agustina Retno; Baiquni, Fahmi; Putrianti, Berlina; Urrahman, Dhiya; Karuniawati, Benny
Jurnal Peduli Masyarakat Vol 6 No 4 (2024): Jurnal Peduli Masyarakat: Desember 2024
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jpm.v6i4.4566

Abstract

Stunting merupakan masalah gizi kronis yang berdampak pada pertumbuhan fisik dan perkembangan kognitif anak, terutama di 1.000 hari pertama kehidupan. Di Indonesia, prevalensi stunting masih tinggi, mencapai 30,8% menurut Riskesdas 2018. Salah satu solusi untuk mengatasi stunting adalah dengan memberdayakan remaja sebagai agen perubahan melalui program edukasi gizi, kesehatan reproduksi, dan perilaku hidup bersih dan sehat (PHBS). Program pengabdian masyarakat ini bertujuan untuk meningkatkan pengetahuan remaja terkait stunting dan melatih mereka sebagai kader yang mampu menyebarkan informasi ke masyarakat. Kegiatan ini dilaksanakan di Padukuhan Tangisan, Sleman, pada Agustus hingga Oktober 2024. Sebanyak 15 remaja putri berusia 16-18 tahun dipilih sebagai kader, yang kemudian dilatih melalui empat tahapan: rekrutmen, pelatihan, penyuluhan, serta monitoring dan evaluasi. Hasil pelatihan menunjukkan peningkatan pengetahuan kader remaja sebesar 40% terkait stunting, gizi seimbang, dan kesehatan reproduksi. Penyuluhan yang dilakukan oleh kader di lingkungan mereka berhasil menjangkau sekitar 20 orang dan meningkatkan pemahaman masyarakat tentang pencegahan stunting, dengan 85% peserta penyuluhan menyatakan peningkatan pengetahuan mereka. Kesimpulannya, program penguatan kader remaja ini berhasil meningkatkan pengetahuan dan kesadaran baik di kalangan remaja maupun masyarakat terkait pentingnya pencegahan stunting. Remaja terbukti mampu menjadi agen perubahan yang efektif dalam menyebarluaskan informasi gizi dan kesehatan. Namun, beberapa tantangan seperti keterbatasan waktu remaja dan infrastruktur penyuluhan perlu diperhatikan untuk pengembangan program di masa depan.
Enhancing Breast Milk Production and Body Weight through Complementary Oxytocin Massage Therapy Wulandari, Amri; Agustin, Nisa Amelia; Putrianti, Berlina
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 11 No. 2 (2025): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v11i2.804

Abstract

Background: Newborns' nutrition and development depend on breast milk, but many moms don't produce enough, which is bad for their babies' health and development.  One non-pharmacological approach that has been shown to improve milk ejection is oxytocin massage.  Few research have investigated its combined impact on low-resource settings and newborn weight increase, despite indications of its usefulness. Objective: Specifically, we want to know how well oxytocin massage treatment works as a supplement to increase milk supply and boost baby weight gain. Methods: A quasi-experimental research was carried out in Sukabumi, West Java, with 70 postpartum moms and their infants aged 0-3 months. The study used a pre-test and post-test control group design.  Two groups were established: one that received regular postpartum care and another that received oxytocin massage daily for seven days.  We assessed breast milk supply and baby weight before and after the intervention.  The data was examined by means of multivariate regression analysis, paired t-tests, and independent t-tests. Results: In comparison to the control group, the intervention group demonstrated a notable rise in both baby body weight (mean difference: 0.5 kg, p = 0.001) and breast milk production (mean difference: 240 mL/day, p < 0.001).  Treatment with oxytocin massage continued to be associated with better results even after controlling for factors such as mother age, parity, and level of education. Conclusion: Boosting breast milk supply and promoting newborn weight growth are both achieved with complementary oxytocin massage treatment.  This intervention provides a practical and affordable way to enhance the health of newborns and the success of breastfeeding, especially in areas with limited resources.  The advantages over the long run and its applicability to more diverse groups should be the focus of future research
The Impact of Using the Maternal Neonatal Emergency Application (SIGNAL) for Midwives Margaretha, Sumarti Endah Purnamaningsih Maria; Putrianti, Berlina; Wulandari, Amri; Urrahman, Dhiya; Marwanta, Y Yohakim
Indonesian Journal of Global Health Research Vol 7 No 3 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i3.6185

Abstract

Maternal mortality rate (MMR) and neonatal mortality rate (NMR) in Indonesia are still a challenge in health services. Technological innovations such as the SIGNAL application (Maternal Neonatal Emergency Information System) were developed to improve early detection of high risk in pregnant women and neonates. Objective to determine the impact of using the SIGNAL application for midwives in improving the speed and accuracy of maternal neonatal emergency services in Bantul Regency. Descriptive quantitative research with a cross-sectional approach was conducted on 50 midwives using SIGNAL at the Bantul Regency Health Center. The sampling technique used purposive sampling with a total of 50 respondents who actively used the SIGNAL application. Data were collected through questionnaires and analyzed descriptively. The results showed that 82% of midwives felt helped in early identification of high risk, 76% stated that referrals were faster, and 70% felt that the application increased confidence in making clinical decisions. The main obstacles were internet network and device limitations. The use of the SIGNAL application has a positive impact on improving the quality of maternal neonatal emergency services by midwives in Bantul Regency, although improvements in supporting infrastructure are still needed.
PENINGKATAN PENGETAHUAN DAN SIKAP MASYARAKAT TENTANG IMUNISASI DASAR LENGKAP MELALUI EDUKASI KOMUNITAS TERPADU BERKELANJUTAN Prihastuti, Mizan; Mahmudah, Siti; Putrianti, Berlina; Maryati, Siti; Fijriyah, Saumi
Jurnal Pengabdian Masyarakat Karya Husada (JPMKH) Vol 8 No 1, Maret (2026): Jurnal Pengabdian Masyarakat Karya Husada (JPMKH)
Publisher : LPPM Politeknik Kesehatan Karya Husada Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36577/jpmkh.v8i1, Maret.813

Abstract

Complete basic immunization is an essential preventive measure to reduce morbidity and mortality among infants and toddlers. However, limited community knowledge and unfavorable attitudes remain challenges in achieving optimal immunization coverage. This community service activity aimed to improve community knowledge and attitudes toward complete basic immunization through integrated and sustainable community education. An educative–participatory approach with a pre-experimental one group pre-test and post-test design was applied. Educational activities were conducted through interactive counseling, group discussions, and question-and-answer sessions using educational media. Knowledge and attitudes were measured before and after the intervention using structured questionnaires and analyzed descriptively. The results showed an increase in community knowledge from moderate and low levels to predominantly good levels, along with a significant improvement in positive attitudes toward complete basic immunization. Community education proved effective in enhancing understanding and fostering supportive attitudes toward immunization programs. This activity is expected to serve as a sustainable promotive and preventive strategy to support the success of complete basic immunization programs.
PEMBERDAYAAN MASYARAKAT MELALUI EDUKASI ERGONOMI DAN SENAM PEREGANGAN UNTUK MENGURANGI RISIKO LOW BACK PAIN Fijriyah, Saumi; Putrianti, Berlina; Krismiyati, Murti; Wulandari, Amri; Trisnaningsih, Rahma; Punjastuti, Budi
Jurnal Pengabdian Masyarakat Karya Husada (JPMKH) Vol 7 No 1, Maret (2025): Jurnal Pengabdian Masyarakat Karya Husada (JPMKH)
Publisher : LPPM Politeknik Kesehatan Karya Husada Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36577/jpmkh.v7i1, Maret.821

Abstract

Informal workers, such as farmers and artisans, face a high risk of Low Back Pain (LBP) due to non-ergonomic working postures. This community service project aimed to enhance workers' understanding and skills in preventing LBP through ergonomic education and stretching exercises. The methods included field observations, participatory education using visual media, and practical exercise training. The program involved 30 participants of productive age. Evaluation results showed a significant increase in knowledge, with the average score rising from 52.4 (Fair) to 88.7 (Good). Furthermore, 85% of participants successfully demonstrated the stretching movements independently. In conclusion, the combination of ergonomic education and stretching exercise training is effective in increasing preventive awareness of musculoskeletal disorders among informal workers. It is recommended that workers consistently implement five-minute stretching breaks every two hours to maintain productivity and spinal health.
EDUKASI VAKSINASI HPV DAN SKRINING IVA SEBAGAI UPAYA PREVENTIF KANKER SERVIKS Prihastuti, Mizan; Mualifah, Laily; Putrianti, Berlina; Krismiyati, Murti; Fauziandari, Erma Nur; Trisnaningsih, Rahma
Jurnal Pengabdian Masyarakat Karya Husada (JPMKH) Vol 7 No 2 Oktober (2025): Jurnal Pengabdian Masyarakat Karya Husada (JPMKH)
Publisher : LPPM Politeknik Kesehatan Karya Husada Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36577/jpmkh.v7i2 Oktober.826

Abstract

Cervical cancer is one of the leading causes of female mortality in Indonesia, yet public awareness regarding early detection and HPV vaccination remains low, particularly in rural areas. Socio-cultural barriers and a lack of information are the primary obstacles to preventive efforts. This community service activity aims to improve health literacy regarding the importance of HPV vaccination and Visual Inspection with Acetic Acid (VIA) screening at the village level. The method employed was public health education using a persuasive-educative approach through lectures, visual media, and props demonstrations. The target participants consisted of 20 adolescent girls and 25 women of childbearing age. Evaluation was conducted quantitatively through pre-test and post-test scores and qualitatively through observations of participant responses. The results showed a significant increase in knowledge, with the highest improvement in the function and methods of VIA screening at 47%. Prior to the education, participants tended to have misconceptions and fear of medical procedures; however, post-intervention, participant awareness increased positively. The conclusion of this activity is that community-based socialization is effective in shifting the public paradigm from reactive to proactive, as well as eliminating negative stigmas toward early detection of cervical cancer.
PENINGKATAN KESADARAN GENERASI MUDA TERHADAP RISIKO SELF-DIAGNOSIS KESEHATAN BERBASIS AI Purwaningsih, Iswanti; Isnugroho, Hernawan; Yunitasari, Pritta; Maryati, Siti; Karuniawati, Benny; Putrianti, Berlina
Jurnal Pengabdian Masyarakat Karya Husada (JPMKH) Vol 8 No 1, Maret (2026): Jurnal Pengabdian Masyarakat Karya Husada (JPMKH)
Publisher : LPPM Politeknik Kesehatan Karya Husada Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36577/jpmkh.v8i1, Maret.830

Abstract

The rapid development of Artificial Intelligence (AI) in healthcare has increased the use of digital platforms for self-health assessment, particularly among young people. However, inadequate understanding of AI may lead to inappropriate self-diagnosis and potential health risks. This community service activity aimed to enhance young people’s awareness of the risks associated with AI-based self-diagnosis through an educative–participatory approach. A pre-experimental design with a one-group pre-test and post-test was employed. The intervention consisted of interactive health education, group discussions, and case-based learning related to AI health applications. Evaluation focused on changes in participants’ knowledge, risk awareness, critical attitudes, and digital health behavior before and after the intervention. The results indicated a significant shift in participants’ perspectives, from uncritical reliance on AI toward more cautious and reflective use. Participants recognized the limitations of AI and the importance of consulting healthcare professionals for medical decisions. This activity supports the development of safer and more responsible health behaviors in the context of increasing AI integration in everyday life in 2026.