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Determinan Gangguan Hipertensi Dalam Kehamilan (HDK) Di Wilayah Kerja Puskesmas Maospati Kabupaten Magetan Elly Marliana; Agung Suharto; Ayesha Hendriana Ngestiningrum
Gema Bidan Indonesia Vol. 10 No. 2 (2021): Juni
Publisher : Jurusan Kebidanan Politeknik Kesehatan Kemenkes Surabaya

Penyakit hipertensi dalam kehamilan (HDK) merupakan kelainan vaskular yang terjadi pada kehamilan atau timbul dalam kehamilan atau pada masa nifas. Tujuan penelitian untuk mengetahui pengaruh determinan riwayat hipertensi, obesitas, penggunaan KB hormonal terhadap kejadian hipertensi dalam kehamilan (HDK). Penelitian observasi analitik, dengan rancangan cross sectional. Populasi penelitian ibu hamil yang berkunjung dan tercatat Puskesmas Maospati Kabupaten Magetan pada 2018 sebanyak 332. Teknik pengambilan sample dengan teknik Simpel Random Sampling, besar sampel 183. Variabel bebas dalam penelitian ini adalah riwayat hipertensi, obesitas dan riwayat penggunaan KB hormonal. Variabel terikat dalam penelitian ini adalah kejadian HDK. Pengumbulan data dengan pendekatan studi dokumentasi, dengan lembar observasi. Analisis data mengunakan uji statistic Regresi Logistic, dengan penetapan tingkat kesalahan α 0,05. Hasil penelitian ibu hamil yang mengalami HDK tersebut yang terpapar hipertensi sebanyak 11%, yang ada riwayat atau terpapar obesitas 45,6%, terpapar KB Hormon sebesar 36.3%. Hasil analisis bivariat variabel Riwayat hipertensi dengan HDK ρ 0,01< α 0,05 , hasil Riwayat obesitas dengan HDK dρ 0,024< α 0,05 , Riwayat KB Hormon dengan HDK ρ 0,21< α 0,05. Hasil analisis multivariat menunjukkan hanya variabel riwayat hipertensi yang memenuhi syarat uji Regresi logistic dengan hasil ρ < α 0,05 (0,002<0,05), OR sebesar 0,099. Kesimpulan: faktor riwayat hipertensi dan riwayat obesitas saja yang berpengaruh sangat signifikan. Riwayat hipertensi menyumbang 9,9% dalam kejadian HDK. Saran: pendampingan ibu hamil resiko tinggi oleh masyarakat, peningkatan pemanfaatan Buku KIA, Penguatan ANC Terpadu: peningkatan peran bidan dan dokter umum dalam melakukan skreening bumil risti. Kata Kunci : Riwayat Hipertensi, Obesitas, HDK.

Pembinaan Kesehatan Ibu Dan Anak Melalui Deteksi Dini Tumbuh Kembang Anak (SDIDTK) AGUNG SUHARTO; Sulikah Sulikah; Tinuk Esti H; Suparji; Budi Joko S
Health Community Engagement Vol. 2 No. 1 (2021): July
Publisher : Pusat Penelitian dan Pengabdian Masyarakat Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (287.352 KB)

Implementation of SDIDTK, from information obtained that only around 30% of toddlers have implemented SDIDTK. There are 10 high-risk pregnant women. Exclusive breastfeeding data in Milangasri Village is quite low. The purpose of this community service is to help Milangasri Village in solving maternal and child health problems as a form of social care in the form of Community Development in Milangasri Village. This community service method is a survey and health education. From the data analysis, the formulation of the problem can be formulated as follows: Implementation of SDIDTK, from information obtained that only about 30% of children under five who have implemented SDIDTK therefore want to implement SDIDTK for toddlers who have not. There are 39 pregnant women, so they want to carry out continuity care for pregnant women, starting from the first trimester, during childbirth, after childbirth, until they decide to use family planning in the form of mentoring by students, under the guidance of lecturers and local village midwives. In conclusion, this community service is very much needed to improve the fulfillment of MCH/KB as well as the growth and development of children

Pembinaan Kesehatan Ibu Dan Anak Melalui Deteksi Dini Tumbuh Kembang Anak (SDIDTK) AGUNG SUHARTO; Sulikah Sulikah; Tinuk Esti H; Suparji; Budi Joko S
Health Community Engagement Vol. 4 No. 1 (2022): Januari-April
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar

Implementation of SDIDTK, from information obtained that only around 30% of toddlers have implemented SDIDTK. There are 10 high-risk pregnant women. Exclusive breastfeeding data in Milangasri Village is quite low. The purpose of this community service is to help Milangasri Village in solving maternal and child health problems as a form of social care in the form of Community Development in Milangasri Village. This community service method is a survey and health education. From the data analysis, the formulation of the problem can be formulated as follows: Implementation of SDIDTK, from information obtained that only about 30% of children under five who have implemented SDIDTK therefore want to implement SDIDTK for toddlers who have not. There are 39 pregnant women, so they want to carry out continuity care for pregnant women, starting from the first trimester, during childbirth, after childbirth, until they decide to use family planning in the form of mentoring by students, under the guidance of lecturers and local village midwives. In conclusion, this community service is very much needed to improve the fulfillment of MCH/KB as well as the growth and development of children

Hubungan Usia Dan Paritas Ibu Dengan Kejadian Postpartum Blues Di PMB “W” Magetan Oktavia Puspita Sari; Agung Suharto
Gema Bidan Indonesia Vol. 10 No. 2 (2021): Juni
Publisher : Jurusan Kebidanan Politeknik Kesehatan Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/gebindo.v10i2.3

Indonesia's postpartum blues incidence is 50-70% of postpartum women, postpartum blues occur in postpartum women caused by several factors such as childbirth experience, increased hormones, infant behavior, maternal age, and parity. The aim of the study was to determine the relationship of age and parity with the incidence of postpartum blues in PMB "W" Magetan. Type of analytic research, cross-sectional study design, the postpartum maternal population in Magetan PMB "W" 24 respondents, 23 respondents were taken by accidental techniques, free age, and parity variables while dependent variable postpartum blues. Data collection with EPDS questionnaire, data analysis using chi-square test. The results of the study obtained mothers with primipara 83%, and in multiparas 17%, mothers aged <20 years 44%, at the age of 20-35 years 26% and age> 35 years 30%. The results of statistical tests on age variables with the incidence of postpartum blues obtained p= 0.031 (0.05) so it was concluded that there was a relationship between age and postpartum blues events, the results of statistical tests on variable parity with postpartum blues events obtained p = 0.040 (0.05) so it can be concluded that there is a relationship between parity postpartum blues. The conclusion of the study is that there is a relationship between parity and age with postpartum blues events, it is suggested that prospective mothers can prepare the pregnancy properly so that it will minimize the incidence of postpartum blue, and midwives can detect symptoms of postpartum blues so that they can prevent postpartum blues.

Determinan Gangguan Hipertensi Dalam Kehamilan (HDK) Di Wilayah Kerja Puskesmas Maospati Kabupaten Magetan Elly Marliana; Agung Suharto; Ayesha Hendriana Ngestiningrum
Gema Bidan Indonesia Vol. 10 No. 2 (2021): Juni
Publisher : Jurusan Kebidanan Politeknik Kesehatan Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/gebindo.v10i2.9

Penyakit hipertensi dalam kehamilan (HDK) merupakan kelainan vaskular yang terjadi pada kehamilan atau timbul dalam kehamilan atau pada masa nifas. Tujuan penelitian untuk mengetahui pengaruh determinan riwayat hipertensi, obesitas, penggunaan KB hormonal terhadap kejadian hipertensi dalam kehamilan (HDK). Penelitian observasi analitik, dengan rancangan cross sectional. Populasi penelitian ibu hamil yang berkunjung dan tercatat Puskesmas Maospati Kabupaten Magetan pada 2018 sebanyak 332. Teknik pengambilan sample dengan teknik Simpel Random Sampling, besar sampel 183. Variabel bebas dalam penelitian ini adalah riwayat hipertensi, obesitas dan riwayat penggunaan KB hormonal. Variabel terikat dalam penelitian ini adalah kejadian HDK. Pengumbulan data dengan pendekatan studi dokumentasi, dengan lembar observasi. Analisis data mengunakan uji statistic Regresi Logistic, dengan penetapan tingkat kesalahan α 0,05. Hasil penelitian ibu hamil yang mengalami HDK tersebut yang terpapar hipertensi sebanyak 11%, yang ada riwayat atau terpapar obesitas 45,6%, terpapar KB Hormon sebesar 36.3%. Hasil analisis bivariat variabel Riwayat hipertensi dengan HDK ρ 0,01< α 0,05 , hasil Riwayat obesitas dengan HDK dρ 0,024< α 0,05 , Riwayat KB Hormon dengan HDK ρ 0,21< α 0,05. Hasil analisis multivariat menunjukkan hanya variabel riwayat hipertensi yang memenuhi syarat uji Regresi logistic dengan hasil ρ < α 0,05 (0,002<0,05), OR sebesar 0,099. Kesimpulan: faktor riwayat hipertensi dan riwayat obesitas saja yang berpengaruh sangat signifikan. Riwayat hipertensi menyumbang 9,9% dalam kejadian HDK. Saran: pendampingan ibu hamil resiko tinggi oleh masyarakat, peningkatan pemanfaatan Buku KIA, Penguatan ANC Terpadu: peningkatan peran bidan dan dokter umum dalam melakukan skreening bumil risti. Kata Kunci : Riwayat Hipertensi, Obesitas, HDK.

Developing Midwives’ Role as A Stunting Center at The Village Government Level: A Case Study Nurlailis Saadah; Sulikah Sulikah; Agung Suharto; Budi Joko Santosa; Budi Yulianto; Syaifoel Hardy
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 8, No S1: Supplement
Publisher : Universitas Aisyah Pringsewu

The handling of stunting at the village level so far cannot be said to be effective due to the absence of prevention centers by healthcare professionals. The objective is to develop the role of the village midwife as a central role for stunting prevention with a clear flow of tasks and responsibilities. The implication of this research will be to emphasize a more structured stunting prevention system. This research used a case study method with a descriptive design. The instrument used for data acquisition was a semi-structured question list through in-depth interviews, supported by document reviews from reputable journals for the last five years (2016-2021). The target of the interview was a village midwife in Trenggalek, East Java. The data analysis was PICO (Population, Intervention, Comparison, Output). There were 7 themes from the interviews and 8 reputable journals as supporting data for the PICO selection. The analysis concluded that developing the role of midwives in dealing with stunting, required management reform (SOP), increased collaboration between professions and sectors, family economy, and availability of funds. It was recommended that village midwives are the most appropriate health professionals at village-level stunting prevention centers who report to the BKKBN institution. Abstrak: Penanganan stunting di tingkat desa selama ini belum bisa dikatakan efektif karena belum adanya pusat pencegahan oleh tenaga kesehatan. Tujuannya untuk mengembangkan peran bidan desa sebagai peran sentral pencegahan stunting dengan alur tugas dan tanggung jawab yang jelas. Implikasi dari penelitian ini adalah untuk menekankan sistem pencegahan stunting yang lebih terstruktur. Penelitian ini menggunakan metode studi kasus dengan desain deskriptif. Instrumen yang digunakan untuk perolehan data adalah daftar pertanyaan semi terstruktur melalui wawancara mendalam yang didukung dengan telaah dokumen dari jurnal-jurnal bereputasi selama lima tahun terakhir (2016-2021). Sasaran wawancara adalah bidan desa di Trenggalek, Jawa Timur. Analisis data yang digunakan adalah PICO (Population, Intervention, Comparison, Output). Terdapat 7 tema hasil wawancara dan 8 jurnal bereputasi sebagai data pendukung seleksi PICO. Hasil analisis menyimpulkan bahwa untuk mengembangkan peran bidan dalam mengatasi stunting diperlukan reformasi manajemen (SOP), peningkatan kerjasama antar profesi dan sektor, ekonomi keluarga, dan ketersediaan dana. Direkomendasikan agar bidan desa merupakan tenaga kesehatan yang paling tepat di pusat penanggulangan stunting tingkat desa yang melapor kepada lembaga BKKBN

Effectiveness of Counseling in Increasing Mothers' Behavior (Knowledge and Attitudes) Regarding Post-Placental IUD Selection to Realize the SDG Goals of Good Health and Well-Being Suharto, Agung; Nur Hanifah, Astin; Nurtatik
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 12 No. SI1 (2024): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educat
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpk.V12.ISI1.2024.44-50

Background: The low coverage of post-placenta IUDs is due to the non-optimal family planning counseling for third-trimester pregnant women. Aims: This study aims to analyze the effectiveness of ABPK and SKB counseling in increasing mothers' knowledge and attitudes about choosing a post-placenta IUD at Tawangrejo Health Center, Madiun City. Methods: This type of research is quasi quasi-experimental nonequivalent control group design. Data were analyzed using Marginal Homogeneity, Mann-Whitney, Mc Nemar, and Chi-Square. Results: The results showed that the Marginal Homogeneity test in the experimental group (SKB) obtained an increase in knowledge with a p-value of 0.000 (<0.05) and the control group (ABPK) obtained an increase in knowledge with a p-value of 0.000 (<0.05) so that it can be interpreted both effective in increasing the mother's knowledge about the selection of the Post Placenta IUD at the Tawangrejo Health Center. The result of the McNemar test on the attitude of the ABPK group was 0.227 (> 0.05) and the attitude of the SKB group was 0.146 (> 0.05) so it can be interpreted that both were not effective in increasing the attitude of mothers about the selection of the Post Placenta IUD at the Tawangrejo Health Center. The results of the Mann-Whitney test on knowledge after ABPK with knowledge after LCS show a p-value of 0.02 the mean rank at ABPK is 23 and the mean rank SKB is 28 meaning that there is a difference between ABPK counseling and SKB counseling in improving mothers' attitudes about choosing the Post Placenta IUD and counseling SKB is more effective. Conclusion: The conclusion of SKB counseling is more effective in increasing the mother's knowledge about the selection of the Post Placenta IUD at the Tawangrejo Health Center. Suggestions to further improve SKB counseling in Post Placenta IUD family planning services.

Integrative Empowerment Of Health Cadres In Efforts To Monitor Stunting Risk Through The Use Of Smartphone-Based Electronic Child Card Applications In Ngiliran Village, Panekan District, Magetan Regency Wisnu, Nurwening Tyas; Suharto, Agung; Purwanto, Triana Septianti; Herlina, Tutiek; Sumasto, Hery
Frontiers in Community Service and Empowerment Vol. 3 No. 3 (2024): September
Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ficse.v3i3.68

ABSTRACT The Community Engagement activity, conducted from May to August 2024, aimed to empower various stakeholders, such as early childhood integrated health service cadres, prospective brides and grooms, pregnant women, and mothers of young children, in their endeavors to monitor early stunting effectively. It addressed the pressing issue of stunting prevalence in Ngiliran Village, which had reached an alarming 18.6%, surpassing the national target set for 2024, which is 14%. Partners, including integrated health service cadres, prospective brides and grooms, pregnant women, and mothers, faced challenges like limited knowledge in measuring children's nutritional status, inconsistent monitoring, and inadequate stunting prevention education. To address these issues, the activity utilized the Electronic Child Card (KARANEL) smartphone application. KARANEL accurately measured children's height and weight, stored data electronically, presented nutritional status visually, and offered guidance. It empowered partners to identify, prevent, and manage stunting effectively. The results demonstrated that KARANEL enhanced the knowledge, skills, and motivation of integrated health service cadres and partners. Conclusion: the smartphone-based KARANEL application proved highly beneficial for early stunting monitoring in Ngiliran Village, providing a practical solution to combat stunting

Community Empowerment in Efforts to Prevent Stunting Based on the Health Belief Model in Milangasri Village, Panekan District, Magetan Regency Suharto, Agung; Santosa, Budi Joko; Setiyani, Astuti
Frontiers in Community Service and Empowerment Vol. 3 No. 4 (2024): December
Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ficse.v3i4.87

ABSTRACT Introduction, stunting is a disruption in the growth and development of children due to chronic malnutrition and recurrent infections, which is characterized by their body length or height being below standard. The number of stunted toddlers in Milangasri Village, Panekan District, Magetan Regency in 2022 will be 4 (four) toddlers. Milangasri Village, which is part of the Panekan sub-district, contributes around 4% of all malnourished children under five in Magetan Regency. Coverage of healthy living behavior at household level in Panekan sub-district is around 46%, this achievement is smaller than the national standard of 60%. Efforts to overcome stunting directly touch aspects of knowledge, attitudes, behavior and skills of families and communities through integrated community service activities and are carried out starting from monitoring from pregnancy until the child is at least two years old. Method, community service by providing education about stunting prevention using pre-test-posttest. Location of community service activities in Milangasri Village, Panekan District, Magetan Regency. Results. Characteristics of community service participants, most of whom are 31-35 years old, 38%, most of the participants' education is secondary (high school or equivalent) as much as 57% and the occupation of most of the community service participants is housewives, 35%. There has been an increase in posyandu prevention knowledge regarding stunting prevention based on the health belief model. Conclusion: There has been an increase in posyandu prevention knowledge regarding stunting prevention based on the health belief model.

Anemia Kehamilan dan Kejadian Bayi Berat Lahir Rendah Ike Mutiarasari; Agung Suharto; Astin Nur Hanifah; Sulikah Sulikah; Sunarto Sunarto
Jurnal Penelitian Kesehatan SUARA FORIKES 2022
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf13nk455

Anemia is of particular concern to the health of mothers and children because iron deficiency can cause complications for both mother and baby. Anemia also has an impact on the fetus, such as impaired physical and cognitive development of children, increased morbidity in infants and young children, as well as low birth weight babies (LBW). So research is needed which aims to determine the effect of the incidence of anemia during pregnancy on the incidence of LBW. This type of research was ex post facto. Data was collected from secondary data, namely the mother's cohort report and the MCH handbook. The results showed that the proportion of mothers with at-risk age was 19.6%, at-risk parity was 67.4% and those with lower secondary education were 22.8%. The results of the analysis with the Fisher's Exact test showed a p-value of 0.001. It was concluded that the incidence of anemia in pregnant women affects the incidence of LBW.Keywords: anemia; low birth weight babies; pregnancy ABSTRAK Anemia menjadi perhatian khusus bagi kesehatan ibu dan anak karena kekurangan zat besi dapat menyebabkan komplikasi bagi ibu dan bayi. Anemia juga berdampak pada janin, seperti gangguan perkembangan fisik dan kognitif anak, peningkatan morbiditas pada bayi dan anak kecil, juga bayi berat lahir rendah (BBLR). Maka diperlukan penelitian yang bertujuan untuk mengetahui pengaruh kejadian anemia selama kehamilan dengan kejadian BBLR. Jenis penelitian ini adalah ex post facto. Data dikumpulkan dari data sekunder yaitu laporan kohort ibu dan buku KIA. Hasil penelitian menunjukkan bahwa proporsi ibu dengan usia berisiko adalah 19,6%, paritas berisiko adalah 67,4% dan memiliki tingkat pendidikan menengah ke bawah adalah 22,8%. Hasil analisis dengan Fisher's Exact test menunjukkan nilai p = 0,001. Disimpulkan bahwa kejadian anemia pada ibu hamil berpengaruh terhadap kejadian BBLR.Kata kunci: anemia; bayi berat lahir rendah; kehamilan

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