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Kombinasi Massage Otot Pectoralis Mayor dan Massage Endorphine pada Ibu Hamil Trimester III terhadap Produksi ASI Ibu Post Partum Di Kota Palu Uddin, Rafika; Kusika, Sri Yanti
Window of Health : Jurnal Kesehatan Vol. 2 No. 2 (April, 2019)
Publisher : Fakultas Kesehatan Masyarakat Universitas Muslim Indonesia

The inhibiting factor in breastfeeding is the production of breastfeeding it self. The production of breast milk which is less and slowly exits can cause the mother not to give enough milk to her baby. Stimulating breastmilk production can be done by trying to stimulate prolactin and oxytocin hormones including by carrying out breast care on the skin, through pectoralis major muscle massage and endorphine massage to accelerate oxygen and make the mother feel relaxed. The aim of the study was to determine the effect of the combination of pectoralis major muscle massage and endorphine massage in third trimester pregnant women on breast milk release in post partum mothers. This type of research is quasi-experimental with the design of the Static-Group Comparasion. The study was conducted in September-November 2018 in the area of the Kamonji Health Center in the City of Palu. The population consisted of an intervention group of 24 people combined treatment of pectoralis major muscle massage followed by endorphine massage, and a control group of 24 people not given treatment. Sampling using the executive sampling technique. Univariate analysis and bivariate analysis. The results of this study obtained by the intervention group had an average volume of breast milk of 1.36 cc, a minimum value of 05, cc and a maximum of 2.3 cc. while the control group has an average value of 0.38 cc, a minimum value of 0.1 cc and a maximum of 0.8 cc. it means there is a difference in the average volume of breast milk in the intervention group higher than the control group. This result is based on thestatistic Mann-Whitney Test obtained p value = 0,000. It was concluded, the combination of major pectoralis muscle massage and endorphine massage in third trimester pregnant women was effective against post partum breast milk release. Suggestion, the need for health center officers to apply this complementary therapy so that the target of exclusive breastfeeding is achieved.

Education Using Booklet Media Increases Pregnant Women's Knowledge about Healthy Eating Patterns: Edukasi Menggunakan Media Booklet Meningkatkan Pengetahuan Ibu Hamil tentang Pola Makan Sehat Kusika, Sri Yanti; Khotimah, Nurul; Maineny, Arie; Silfia, Niluh Nita; Hadriani
Napande: Jurnal Bidan Vol. 3 No. 1 (2024): April
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/njb.v3i1.3154

Background: The diet of pregnant women and low knowledge of pregnant women about nutrition can cause pregnant women to experience chronic energy deficiency (CED). Data on cases of pregnant women with CED at the Sangurara Community Health Center were 36 people from January to May 2023. Objective: It is known the influence of education using booklet media about eating patterns on the knowledge of pregnant women Method: The research design is pre-experimental with a one group pretest - posttest design. The sampling technique was determined by total sampling, namely 36 KEK pregnant women. The research instrument is a questionnaire. Data analysis used the Wilcoxon test. Results: Before treatment, the majority (63.9%) had poor knowledge and afterward as many as (66.7%) had good knowledge. The results of the data analysis have a sig (2-tailed) value: 0.000, so Ho is rejected. Conclusion: education using booklet media increases pregnant women's knowledge about healthy eating patterns in the Sangurara Community Health Center Working Area. It is recommended that the booklet be used by health workers as an educational instrument for pregnant women to prevent KEK

The Relationship between Teenage Pregnancy and Baby's Birth Weight: Hubungan Kehamilan Remaja Terhadap Berat Lahir Bayi Tempali, Sri Restu; Mangun, Mardiani; Kusika, Sri Yanti; Silfia, Niluh Nita; Usman, Hastuti; Stibis, Yovita Febri
Napande: Jurnal Bidan Vol. 3 No. 1 (2024): April
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/njb.v3i1.3195

Background: Teenage pregnancy causes various negative health and socio-economic impacts for the mother and unborn child. Data on cases of babies born to teenage mothers at the Pantoloan Community Health Center in 2021-2022 were 51 people. Objective: To determine the relationship between teenage pregnancy and baby birth weight in the Pantoloan Community Health Center Area. Method: The research used is a cross-sectional study. This research was carried out from 21 s.d. August 28 2023, in the Pantoloan Community Health Center working area. The research population was 51 babies, the sample in this study was the total population. The data collection technique is secondary data using univariate and bivariate analysis. The statistical test used was Chi-square using SPSS. Results: The research results showed that 1 person (8%) was pregnant at the age of 13-15 years in the LBW birth category and none in the LBW birth category. Of teenagers who became pregnant at the age of 16–19 years, there were 11 people in the LBW birth category (92%) and 39 people in the LBW birth category (100%). The results of the analysis have a P-value of 0.069 (< 0.05). Conclusion: There is no relationship between teenage pregnancy and baby birth weight in the Pantoloan Community Health Center area, Palu City. It is hoped that it can increase education among teenagers about child marriage

Relationship between Age and Parity and the Incidence of Anemia in Third Trimester Pregnant Women: Hubungan Usia dan Paritas dengan Kejadian Anemia pada Ibu Hamil Trimester III Tempali, Sri Restu; Astuti, Novi Dwi; Pani, Widya; Agussalim, Asrawaty; Kusika, Sri Yanti; Djamaluddin, Nevi Amriani
Napande: Jurnal Bidan Vol. 3 No. 1 (2024): April
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/njb.v3i1.3309

Background: Anemia is a global health problem in pregnant women which can result in bleeding in the mother, while low birth weight (LBW) can occur in the fetus. Data on pregnant women with anemia at the Sangurara Community Health Center in 2023 is 23 people. Purpose: The aim was to determine the relationship between age and parity with the incidence of anemia in pregnant women in the third trimester at the Sangurara Community Health Center, Palu City. Methods: This research design uses observational analytics with a cross-sectional approach. The population in this study was 635 pregnant women and the number of samples used was 86 respondents, with a sampling technique namely Purposive Sampling. Data collection techniques use secondary data. This research was conducted at the Sangurara Health Center and carried out from 07 to 12 August 2023. Results: The results of the research showed that 23.4% of mothers of healthy age experienced anemia and 36.4% of mothers of healthy age experienced anemia. Mothers who have no parity are at risk of experiencing anemia as much as 28.2%, while mothers with parity ≥3 experience anemia as much as 25.5%. The results of the analysis obtained an age p-value of 0.237 (p > 0.05) and a parity p-value of 0.001 (p < 0.05). Conclusion: This study concludes that there is no relationship between age and the incidence of anemia in pregnant women in the third trimester and there is a relationship between parity and the incidence of anemia in pregnant women in the third trimester in the Sangurara Community Health Center area. Researchers hope to improve services and provide information so that they can reduce the incidence of anemia in pregnant women.

Role of Birth Companions in Influencing Labor Duration on Partus Mother Narmin, Narmin; Sakti, Putri Mulia; Kusika, Sri Yanti
Jurnal Bidan Cerdas Vol. 7 No. 1 (2025)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jbc.v7i1.3876

Introduction: The maternal mortality rate in Indonesia remained high at approximately 7,389 deaths in 2021, attributed to several factors. One significant factor was prolonged labor caused by uterine contraction abnormalities due to disrupted oxytocin hormone secretion resulting from increased stress responses, thereby highlighting the importance of the presence of a birth companion. Objective: This research aimed to know the influence of birth companions on labor duration. Methods: This study employed a cross-sectional design and was conducted within the working area of the Public Health Center in Palu City, Central Sulawesi, from January to June 2024. The sample comprised 50 postpartum mothers. Data were collected using observation sheets, processed using SPSS, and analyzed with the Chi-square test. Results: The results indicated no significant relationship between the mother's choice of birth companion and the duration of labor, with a p-value > 0.05 (p-value = 0.642). However, 60% of mothers in labor chose their husband as their birth companion. Conclusion: There was no significant relationship found in this study's variables due to the limited knowledge possessed by birth attendants, which resulted in suboptimal task performance. It is recommended that future researchers conduct studies focusing on improving the knowledge of birth attendants or exploring other variables that influence labor progress.

Epidemiological study of maternal risk factors influencing the incidence of preterm birth in developing countries Tondong, Henrietta Imelda; Tempali, Sri Restu; Kusika, Sri yanti; Pani, Widya
Science Midwifery Vol 13 No 4 (2025): October: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i4.2065

Preterm birth (PTB) remains a significant public health challenge in developing countries, contributing to high neonatal morbidity and mortality rates. This qualitative literature review aims to explore the maternal risk factors influencing the incidence of preterm birth in these regions. By examining existing studies, the review identifies key maternal characteristics such as age, nutritional status, socioeconomic factors, reproductive history, and healthcare access, which contribute to the risk of PTB. Additionally, the review highlights the role of environmental factors, including stress, pollution, and infections, in increasing preterm birth rates. The findings suggest that improving maternal healthcare, enhancing public awareness, and addressing socioeconomic disparities are essential in reducing the prevalence of preterm birth in developing countries. This study provides a comprehensive understanding of the factors influencing PTB and offers insights for developing targeted interventions aimed at reducing its incidence in resource-limited settings.

KUALITAS PELAYANAN KEHAMILAN BERHUBUNGAN DENGAN KEPUASAN PENGGUNA BADAN PENYELENGGARA JAMINAN SOSIAL KESEHATAN (BPJS-KES) Dewie, Artika; Kusika, Sri Yanti
Care : Jurnal Ilmiah Ilmu Kesehatan Vol 9, No 3 (2021): EDITION NOVEMBER 2021
Publisher : Universitas Tribhuwana Tunggadewi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33366/jc.v9i3.2171

ABSTRACT One of the popular service quality concepts is ServQual, where there are five dimensions, namely tangible, reliability, responsiveness, assurance, empathy. One of the efforts to improve the quality of public services, a Community Satisfaction Index is compiled as a benchmark to assess the level of service quality. This study aims to examine the relationship between the quality of pregnancy services and the satisfaction of users of the Badan Penyelenggara Jaminan Sosial Kesehatan (BPJS-Kes). The research design used analytic observational with a sample of 60 pregnant women from five health centers in Palu City who visited the Maternal and Child Health (KIA) room and have the inclusion criteria. The results of statistical analysis using fisher exact with p value = 0,025 (0,05), which means that there is a significant relationship between the quality of pregnancy services and the BPJS-Kes user satisfaction. This research can be one of the considerations for determining further policies to improve public services and further research to examine other factors that affect user satisfaction of BPJS-Kes. ABSTRAK Salah satu konsep kualitas pelayanan yang populer adalah ServQual, dimana terdapat lima dimensi yaitu tangible, reliability, responsiveness, Assurance, Empathy. Salah satu upaya untuk meningkatkan kualitas pelayanan publik, maka disusunlah Indeks Kepuasan Masyarakat sebagai tolok ukur untuk menilai tingkat kualitas pelayanan. Penelitian ini bertujuan untuk meneliti Hubungan Kualitas Pelayanan Kehamilan Dengan Kepuasan Pengguna Badan Penyelenggara Jaminan Sosial Kesehatan (BPJS-Kes). Rancangan penelitian ini menggunakan observasional analitik dengan sampel berjumlah 60 orang ibu hamil dari lima puskesmas di Kota Palu yang berkunjung ke ruang Kesehatan Ibu dan Anak (KIA) dan memenuhi kriteria inklusi. Hasil Analisa uji statistik menggunakan fisher exact dengan nilai p = 0,025 ( 0,05), yang artinya terdapat hubungan yang bermakna antara Kualitas Pelayanan Kehamilan dengan Kepuasan Pengguna BPJS-Kes. Penelitian ini dapat menjadi salah satu pertimbangan penetapan kebijakan lanjutan untuk meningkatkan pelayanan publik dan penelitian selanjutnya untuk meneliti faktor lain yang mempengaruhi kepuasan pengguna BPJS-Kes.

Determinan Factors of Chronic Energy Deficiency in Pregnant Women Sulviana; Silfia, Niluh Nita; Usman, Hastuti; Hadina, Hadina; Kusika, Sri Yanti; Pani, Widya; Taqwin, Taqwin
Napande: Jurnal Bidan Vol. 4 No. 2 (2025): October
Publisher : Poltekkes Kemenkes Palu

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

Background: Chronic Energy Deficiency (CED) in pregnant women is a nutritional problem that impacts the health of both the mother and the fetus. In the working area of Lere Health Center, Palu City, 38 cases of CED were recorded in 2021–2022. This study aims to identify the determining factors of CED occurrence in pregnant women in that area. Method: The research method used was a case-control study with a retrospective approach. The study population consisted of 214 pregnant women, with a sample of 76 respondents selected through purposive sampling. Secondary data were analyzed univariately and bivariately using the Chi-square test through SPSS software. Result: The research results indicate that pregnant women with primary and secondary education levels (65.8%), parity >3, and a history of hyperemesis gravidarum (55.2%) are more likely to experience chronic energy deficiency (CED). Bivariate analysis showed a significant relationship between education (p = 0.000; OR = 9.436), parity (p = 0.000; OR = 6.321), and hyperemesis gravidarum (p = 0.001; OR = 11.998) with the incidence of CED. Conclusion: The conclusion of this study is that there is a relationship between education, parity, and a history of hyperemesis gravidarum with the occurrence of CED in pregnant women. The researchers recommend improving the quality of health services and nutritional counseling to reduce the incidence of CED in the working area of Lere Community Health Center.

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