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PENGARUH PEMERIKSAAN KEHAMILAN YANG BERKUALITAS TERHADAP KEJADIAN PREEKLAMSI Ekasari, Tutik; Natalia, Mega Silvian
Prosiding Conference on Research and Community Services Vol 1, No 1 (2019): Prosiding Conference on Research and Community Services)
Publisher : STKIP PGRI Jombang

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

Preeklamsia merupakan penyebab kematian ibu tertinggi pertama. Angka Kematian Ibu (AKI) di Indonesia berkisar 1,5% - 2,5% sedangkan Angka Kematian bayi antara 45% - 60%. Penyebab kematian ibu akibat preeklamsia adalah perdarahan otak, payah jantung, payah ginjal dan aspirasi cairan lambung. Angka Kematian Ibu (AKI) pada tahun 2017 di Kabupaten Probolinggo sebanyak 14 orang. Penyebab langsung kematian ibu pada tahun 2017 disebabkan karena Perdarahan(15%%), Preeklamsi/Eklamsi (50%), Infeksi (5%), Emboli Air Ketuban (5%), dan Lain-lain(25%). Semakin meningkatnya kejadian preeklampsi di Kabupaten Probolinggo diduga karena ibu hamil tidak mendapatkan pemeriksaan kehamilan (antenatal care) yang berkualitas. Penelitian ini bertujuan menganalisis pengaruh pemeriksaan kehamilan yang berkualitas terhadap kejadian preeklamsia.Desain yang digunakan adalahÂ analitik korelasional dengan pendekatan Retrospektif study. Populasi yang digunakan adalah semua ibu hamil pada tahun 2018. Teknik pengambilan sampel dengan purposive sampling dan diperoleh sampel sejumlah 200 orang yang memenuhi kriteria inklusi.Pengumpulan data menggunakan kuesioner dan wawancara. Uji statistik yang digunakan adalah Chi Square. Hasil penelitian menunjukkan bahwa terdapat sebagian ibu hamil (50%) yang mengalami preeklamsi, sedangkan 36% dari ibu hamil yang mengalami pre eklamsi tidak mendapatkan pemeriksaan kehamilan yang berkualitas. Setelah dianalisis dengan Chi Square didapatkan p value 0,029 yang artinya ada pengaruh Pemeriksaan Kehamilan Yang Berkualitas Terhadap Kejadian Preeklamsi.

EFEKTIFITAS ICE CREAM TERHADAP PENURUNAN EMESIS GRAVIDARUM PADA IBU HAMIL TRIMESTER 1 DI PUSKESMAS JAMBESARI BONDOWOSO Sulalah, Anis; Natalia, Mega Silvian; Ekasari, Tutik
NURSING UPDATE : Jurnal Ilmiah Ilmu Keperawatan P-ISSN : 2085-5931 e-ISSN : 2623-2871 Vol 15 No 1 (2024): MARET
Publisher : NHM PRESS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36089/nu.v15i2.2030

Emesis Gravidarum is a disorder that we often encounter in young pregnancies and is proposed by 50% of women. The purpose of the study was to analyze the effectiveness of ice cream on reducing emesis gravidarum in 1st trimester pregnant women at Jambesari Bondowoso Health Center. This research design is an experimental research with one group pre test-post test design. The population in this study was 59 first trimester pregnant women. The sample size in this study was 37 people taken by random sampling. Data collection using questionnaires was then processed using SPSS using the Wilcoxon test. The results of data analysis found that most Emesis Gravidum before ice cream therapy was moderate as many as 28 people (71.8%), and most Emesis Gravidum after ice cream therapy was mild as many as 20 people (51.3%). Based on the Wilcoxon test, a significance value of 0.000 < 0.05 was obtained, meaning that ho was rejected and ha was accepted, so there was a difference in ice cream therapy against Emesis Gravidum at the Jambesari Bondowoso Health Center. It is recommended that respondents when nauseous to consume ice cream.

PERUBAHAN PERILAKU PADA IBU HAMIL PRIMIGRAVIDA TRIMESTER III DI PUSKESMAS LECES Natalia, Mega Silvian; Faraswati, Riska
Pengembangan Ilmu dan Praktik Kesehatan Vol. 2 No. 2 (2023): Volume 2, Nomor 2, April 2023
Publisher : STIKES Dian Husada Mojokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56586/pipk.v2i2.270

Perubahan perilaku pada ibu hamil primigravida trimester III telah dikaitkan dengan literasi yang ada merupakan proses adaptasi terhadap perubahan fisik maupun psikologis yang dialami selama masa kehamilan. Tujuan penelitian ini adalah untuk mengeksplorasi perubahan perilaku ibu hamil primigravida trimester III. Penelitian ini merupakan penelitian kualitatif dengan metode studi kasus. Menggunakan teknik pusrposive sampling dengan informan utama yaitu ibu hamil primigravida trimester III di Puskesmas Leces. Data dikumpulkan dengan teknik wawancara, observasi, dan analisis dokumentasi kemudian divalidasi menggunakan triangulasi data, triangulasi pengamat, triangulasi teori dan triangulasi metode. Hasil penelitian dianalisis berdasarkan pengelompokan data, menguji asumsi data, dan alternaive penjelasan data. Ketidaknyamanan di kehamilan T3 menyebabkan perubahan perilaku sebagai bentuk adaptasi. Proses adaptasi ini dilakukan setelah mendapatkan edukasi dari tenaga kesehatan dimana mereka memeriksakan kehamilan mereka. Contoh bentuk perubahan; misalkan pada pola kebiasaan seperti memperbanyak minum dipagi hari, tidak membungkuk ketika mengambil barang di lantai, sering berganti posisi saat duduk, dan tidak terlalu lama berdiri

MOTHER'S INTEREST HUSBAND SUPPORT RELATIONSHIP WITH MOTHER'S INTEREST IN FOLLOWING PREGNANT WOMEN CLASSES IN THE VILLAGE OF BANJARSAWAH Mutmainnah, Siti; Hanifah, Iis; Natalia, Mega Silvian
JURNAL ILMIAH OBSGIN : Jurnal Ilmiah Ilmu Kebidanan & Kandungan P-ISSN : 1979-3340 e-ISSN : 2685-7987 Vol 15 No 2 (2023): JUNI
Publisher : NHM PRESS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36089/job.v15i2.1119

The maternal and child health program aims to improve the health status of mothers and children and reduce the maternal mortality rate (MMR) and infant mortality rate (IMR) through maternal and child health services. Antenatal Care (ANC) services carried out by health workers during pregnancy as an early prevention of risk factors that occur during pregnancy. Pregnant women who perform ANC to health facilities (puskesmas or sub-health centers) will receive information about the implementation of the class for pregnant women. The purpose of this study was to analyze the relationship between husband's support and mother's interest in attending a Pregnant Women Class in Banjarsawah Village. This study uses a correlational analysis design with a cross sectional approach. The sample data were all pregnant women who were recorded in January 2022 in the village of Banjar Sawah with a total of 34 samples that met the inclusion criteria with the total sampling technique. Data collection includes, coding, editing, and tabulating which then the data is analyzed by computer with the Spearman test p value: 0.05. The results showed that respondents had husbands with a less supportive category of 22 respondents (64.7%), respondents used attending classes for pregnant women with low interest categories by 13 respondents (38.2%) and p value: 0.000. The conclusion of the study is that there is a relationship between husband's support and mother's interest in attending a Pregnant Women Class in Banjarsawah Village (p = 0.000 <0.05). The suggestion put forward is that regional midwives, private practice midwives can work together across programs or sectors by involving religious leaders, community leaders to provide counseling or provide periodic and continuous education to the community about the importance of classes for pregnant women.

RELATIONSHIP BETWEEN HUSBAND SUPPORT AND MOTHER'S INTEREST IN USING INDEPENDENT FP IN MALASAN WETAN VILLAGE Widiarti, Wieke; Hanifah, Iis; Natalia, Mega Silvian
JURNAL ILMIAH OBSGIN : Jurnal Ilmiah Ilmu Kebidanan & Kandungan P-ISSN : 1979-3340 e-ISSN : 2685-7987 Vol 15 No 2 (2023): JUNI
Publisher : NHM PRESS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36089/job.v15i2.1120

One of the goals listed in the 2020-2024 Strategic Plan (Renstra) is a peaceful, independent and happy family by strengthening the implementation of family planning independently. There are 2 methods of contraception, namely hormonal and non-hormonal either according to government programs (free) or independently (paid). The purpose of this study was to analyze the relationship between husband's support and mother's interest in using independent family planning in Malas Wetan Village. This study uses a correlational analysis design with a cross sectional approach. The sample data were all active independent family planning acceptors in Lalaman Wetan in January 2022 a total of 99 PUS who met the inclusion criteria using simple random sampling technique. Data collection includes, coding, editing, and tabulating which then the data is analyzed by computer with the Spearman test p value: 0.05. The results showed that respondents had husbands with a very supportive category of 50 respondents (50.5%), respondents using Mandiri Family Planning with a high interest category of 54 respondents (54.5%) and p value: 0.000. The conclusion of the study is that there is a relationship between husband's support and mother's interest in using independent family planning in Malasan Wetan Village (p = 0.000 <0.05). It is hoped that midwives, assisted puskesmas officers and other health workers can provide counseling or provide periodic and ongoing education to the public about Contraceptive Devices.

The Relationship between Mother's Motivation and the Implementation of Post SC Early Mobilization at RSIA Muhammadiyah Probolinggo City in 2022 Nurkhoniyah, Siti; Hanifah, Iis; Natalia, Mega Silvian
JURNAL ILMIAH OBSGIN : Jurnal Ilmiah Ilmu Kebidanan & Kandungan P-ISSN : 1979-3340 e-ISSN : 2685-7987 Vol 15 No 2 (2023): JUNI
Publisher : NHM PRESS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36089/job.v15i2.1186

Labor is the process of expulsion of the fetus at term pregnancy. Meanwhile, Sectio caesarea (SC) delivery is carried out by making incisions in the abdomen and uterus of pregnant women to help the process of expelling the baby from the womb. After the SC procedure, the patient is advised to perform early mobilization. The mobilization carried out by the mother needs a strong motivation, both intrinsic and extrinsic. The purpose of this study was to analyze the relationship between mother's motivation and the implementation of early post SC mobilization at RSIA Muhammadiyah Probolinggo City. This study uses a correlational analysis design with a cross sectional approach. The sample data were post SC mothers at RSIA Muhammadiyah Probolinggo City during April-June who met the inclusion criteria with accidental sampling technique. Data collection includes, coding, editing, and tabulating which then the data is analyzed by computer with the Spearman test p value: 0.05. The results showed that respondents had high motivation of 28 respondents (48.3%), respondents carried out early mobilization by 28 respondents (48.3%) and p value: 0.000. The conclusion of the study is that there is a relationship between maternal motivation and the implementation of early post SC mobilization at RSIA Muhammadiyah Probolinggo City (p = 0.000 <0.05). The suggestion put forward is that it is hoped that hospitals can make policies by always updating health promotion media materials, especially about early mobilization both printed and electronic, so that post SC mothers understand and have the courage to do early mobilization.

CONTRACEPTION CHOICE WHICH LEAD EXTREMELY CLOSE INTERPREGNANCY DISTANCE Faraswati, Riska; Natalia, Mega Silvian
INTERNATIONAL JOURNAL OF NURSING AND MIDWIFERY SCIENCE (IJNMS) Vol. 8 No. 2 (2024): VOLUME 8 ISSUE 2 AUGUST 2024
Publisher : Departement Research and Community Engagement Bina Sehat PPNI Institute of Health Science, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29082/IJNMS/2024/Vol8/Iss2/591

Preventing unwanted or unplanned pregnancies is part of the national health programme. There are various negative impacts on pregnancies that occur between 3-12 months after delivery such as the risk of premature birth, psychological disorders, abortion, etc. Prevention programmes aim to reduces the number of unintended pregnancies. The aim of this study was to estimate the number of women who used contraception within 18 months after childbirth and the association between contraceptive methods used and risk of pregnancy within 18 months. A cross-sectional research method was chosen as research approach in mothers who gave birth to their first child in 2021 to 2022 conducted in Paiton Probolinggo district, data were collected from childbirth cohort records, contraceptive methods, information regarding re-pregnancy ≤ 18 months after previous delivery. The Fisher Exact Test statistical test results obtained a p value of 0.000 <0.05, 99% CI which shows that the choice of contraceptive method and the time of use have an impact on the interval of re-pregnancy.

FAKTOR â€“ FAKTOR YANG MEMPENGARUHI KEJADIAN PREEKLAMPSIA DI KABUPATEN PROBOLINGGO Ekasari, Tutik; Natalia, Mega Silvian; Zakiyyah, Muthmainnah
JI-KES (Jurnal Ilmu Kesehatan) Vol. 2 No. 2 (2019): JI-KES (Jurnal Ilmu Kesehatan)
Publisher : LPPM Universitas Hafshawaty Zainul Hasan Probolinggo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33006/ji-kes.v2i2.119

Â AbstrakPreeklampsia merupakan masalah kebidanan yang masih belum bisa dipecahkan secara tuntas dan merupakan penyebab kematian ibu. Angka Kematian Ibu (AKI) di Indonesia sekitar 1,5% - 2,5%. Pada tahun 2016 di Kabupaten Probolinggo Angka Kematian Ibu (AKI)Â sebanyak 15 orang sedangkan 10 orang diantaranya dikarenakan Preeklampsia. Berdasarkan survei pendahuluan di Dinas Kesehatan Kabupaten Probolinggo pada tahun 2014 Angka Kematian Ibu akibat preeklampsi yaitu 16,66%, pada tahun 2015 sebanyak 30,77% dan pada tahun 2016 sebanyak 66,66%. Tujuan penelitian ini adalah mengetahui faktor dominan yang mempengaruhi kejadian preeklampsia. Desain yang digunakan dalam penelitian ini adalah analitik korelasional dengan pendekatan cross sectional. Populasi yang digunakan adalah semua ibu hamil preeklampsi pada bulan Juni - Agustus 2017 sebanyak 134 orang. Teknik pengambilan sampel dengan simple random sampling dan diperoleh sampel sejumlah 100 orang. Uji statistik yang digunakan adalah Chi Square dan uji Regresi logistik. Hasil penelitian menunjukkan kejadian preeklampsia adalah 71% dan variabel yang berhubungan secara signifikan adalah umur ibu, paritas, riwayat komplikasi, dan penyakit kronik. Variabel yang dominan pada penelitian ini adalah umur ibu dengan OR 4,302 artinya responden yang umur <20 tahun dan >35 tahun berpeluang 4,302 kali lebih berisiko preeklampsia dibandingkan dengan yang berumur 20 â€“ 35 tahun. Saran petugas kesehatan lebih mengoptimalkan pelayanan ANC.Â Kata Kunci : preeklampsia, ibu hamil, AKI, AKBÂ AbstractPreeclampsia is a midwifery problem that has not been completely resolved and the cause of maternal death. Maternal Mortality Rate (MMR) in Indonesia ranges from 1.5% - 2.5%. In 2016 in Probolinggo Regency the Maternal Mortality Rate (MMR) was 15 people while 10 of them were due to Preeclampsia. Based on a preliminary survey at the Probolinggo District Health Office in 2014 the maternal mortality rate due to preeclampsia was 16.66%, in 2015 it was 30.77% and in 2016 66.66%. The aim of the study was to determine the dominant factors that influence the incidence of preeclampsia. The design used in this study is correlational analytic with cross sectional approach. The population used was all preeclamptic pregnant women in June - August 2017 as many as 134 people. The sampling technique was simple random sampling and a sample of 100 people was obtained. The statistical test used is Chi Square and logistic regression test. The results showed that the incidence of preeclampsia was 71% and the variables that were significantly related were maternal age, parity, history of complications, and chronic disease. The dominant variable in this study is the age of the mother with OR 4.302 which means that respondents aged <20 years and> 35 years have a chance of 4.302 times more at risk of preeclampsia than those aged 20 - 35 years. Advice from health workers to optimize ANC services.Â Keywords : preeclampsia, pregnant mother, AKI, AKB

Pengaruh Pemeriksaan Kehamilan secara Teratur terhadap Kejadian Preeklamsi Ekasari, Tutik; Natalia, Mega Silvian
JI-KES (Jurnal Ilmu Kesehatan) Vol. 3 No. 1 (2019): JI-KES (Jurnal Ilmu Kesehatan)
Publisher : LPPM Universitas Hafshawaty Zainul Hasan Probolinggo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33006/ji-kes.v3i1.125

ABSTRAKKematian ibu tertinggi disebabkan oleh Preeklamsi. Kejadian preeklamsia dapat dikatakan sebagai masalah kesehatan masyarakat jika CaseFatalityRate (CFR) preeklamsia mencapai 1,4% - 1,8%.Menurut data terakhir prevalensi kejadian preeklamsia di Indonesia sekitar 3-10%. Angka tersebut menunjukkan bahwa kejadian preeklamsia di Indonesia melewati batas CFR sehingga preeklamsia menjadi salah satu masalah kesehatan masyarakat. Angka Kematian Ibu (AKI) pada tahun 2017 di Kabupaten Probolinggo sebanyak 14 orang. Penyebab langsung kematian ibu pada tahun 2017 disebabkan karena Perdarahan (15%), Preeklamsi/Eklamsi (50%), Infeksi (5%), Emboli Air Ketuban (5%), dan Lain-lain(25%). Semakin meningkatnya kejadian preeklampsi di Kabupaten Probolinggo diduga karena ibu hamil tidak memeriksakan kehamilannya secara teratur. Penelitian ini bertujuan menganalisis pengaruh pemeriksaan kehamilan secara teratur terhadap kejadian preeklamsia.Desain yang digunakananalitik korelasional dengan pendekatan Retrospektifstudy. Populasi yang digunakan semua ibu hamil pada tahun 2018. Teknik pengambilan sampel dengan purposive sampling dan diperoleh sampel sejumlah 200 orang yang memenuhi kriteria inklusi.Pengumpulan data menggunakan kuesioner dan wawancara. Uji statistik yang digunakan adalah Chi Square. Hasil penelitian menunjukkan bahwa terdapat 50% ibu hamil yang mengalami preeklamsi, sedangkan 59% dari ibu hamil yang mengalami preeklamsi tidak memeriksakan kehamilannya secara teratur. Setelah dianalisis dengan Chi Square didapatkan p value 0,003 yang artinya ada pengaruh pemeriksaan kehamilan secara teratur terhadap kejadian preeklamsi.Â Kata kunci : pemeriksaan kehamilan, teratur, preeklamsiÂ ABSTRACTThe highest maternal mortality is caused Preeclampsia. The incidence of preeclampsia can be said to be a public health problem if the Case Fatality Rate (CFR) of preeclampsi areaches 1.4% - 1.8%. According to the latest data, the prevalence of preeclampsiain Indonesia is around 3-10%. This figures hows that the incidence of preeclampsiain Indonesia exceeds the CFR limit so that preeclampsia is one of the public health problems. The maternal mortality rate (AKI) in 2017 in Probolinggo Districtis 14 people. The direct cause of maternal deathin 2017 is caused by bleeding (15%), preeclampsia / eclampsia (50%), infection (5%), amnioticembolism (5%), and others (25%). The increasing incidence of preeclampsiain Probolinggo Regency is suspected because pregnant women do not check their pregnancy regularly. This study aims to analyze the effect of regular pregnancy examinations on the incidence of preeclampsia. The design used correlational analytic with a retrospective study approach. The population used was all pregnant women in 2018. The sampling technique was purposive sampling and a sample of 200 people met the inclusion criteria. Data collection used questionnaires and interviews. The statistical test used is Chi Square. The results showed that there were 50% of pregnant women who experienced preeclampsia, while 59% of pregnant women who experienced preeclampsia did not check their pregnancy regularly. After being analyzed with Chi Square, it was obtained p value 0.003, which means that the reisan effect of regula rpregnancy examinations on the incidence of preeclampsia. Keywords: pregnancy checkup, regular, preeclampsia

Hubungan Pengetahuan Tentang HIV/AIDS dengan Stigma Warga Usia Subur pada ODHA di Desa Pondok Kelor Kecamatan Paiton Kabupaten Probolinggo Ermawati, Iit; Natalia, Mega Silvian; Hikmawati, Nova
JI-KES (Jurnal Ilmu Kesehatan) Vol. 4 No. 1 (2020): JI-KES (Jurnal Ilmu Kesehatan)
Publisher : LPPM Universitas Hafshawaty Zainul Hasan Probolinggo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33006/ji-kes.v4i1.293

AbstrakTujuan keenam dari MDGs yaitu menangani berbagai penyakit menular paling berbahaya. Pada urutan teratas adalah Human Immune Deficiency Virus (HIV), yaitu virus penyebab Aquired Immune Deficiency Virus Syndrome (AIDS), Stigma dan diskriminasi terhadap ODHA masih sering terjadi di berbagai tingkat lingkungan. Faktor yang cukup penting adalah kebijakan yang dinilai masih kurang sosialisasi dan sering berlawanan dengan implementasinya di lapangan. Di Kabupaten Probolinggo, Kecamatan Paiton berada di urutan tertinggi sebagai epidemi HIV/AIDS. Tujuan umum penelitian ini untuk mengetahui hubungan tingkat pengetahuan tentang HIV/AIDS dengan stigma warga usia subur pada ODHA di Desa Pondok Kelor Kecamatan Paiton Kabupaten Probolinggo. Penelitian ini merupakan penelitian analitik dengan rancangan bangun adalah crossectional. Populasi adalah semua ibu usia produktif (21-44 tahun) di Desa Pondok Kelor Kecamatan Paiton Kabupaten Probolinggo. Teknik pengambilan sampel menggunakan Simple Random Sampling. Sampel adalah sebagian warga usia produktif di Desa Pondok Kelor Kecamatan Paiton sebesar 150 orang. Pengumpulan data menggunakan kuesioner serta dianalisis secara univariat, bivariat. Hasil penelitian ini menunjukkan bahwa ada hubungan tingkat pengetahuan tentang HIV/AIDS dengan stigma masyarakat pada ODHA di Desa Pondok Kelor Kecamatan Paiton Probolinggo.Kata kunci: pengetahuan, hiv, AIDS, stigma, ODHAÂ Â AbstractThe MDGs' sixth target is to combat the world's most dangerous infectious diseases. The Human Immune Deficiency Virus (HIV), which causes the Acquired Immune Deficiency Virus Syndrome (AIDS), is at the top of the list. Stigma and prejudice towards PLWHA are still prevalent at many levels of society. The policy, which is believed to be poor in socialization and frequently contradicts its implementation in the field, is a significant component. Paiton District is the most affected by the HIV/AIDS epidemic in Probolinggo District. The overall goal of this research was to see if there was a correlationÂ between HIV/AIDS knowledge and stigma among women of childbearing age in Pondok Kelor Village, Paiton District, Probolinggo Regency. This study has a cross-sectional design and is an analytic investigation. Pondok Kelor Village, Paiton District, Probolinggo Regency, with a population of all mothers of working age (21-44 years). Simple Random Sample was utilized as the sampling method. In Pondok Kelor Village, Paiton District, 150 persons of working age were sampled. Data is collected via a questionnaire and evaluated using univariate and bivariate analysis. The results of this study indicate that there is a correlation between the level of knowledge about HIV/AIDS with community stigma on PLWHA in Pondok Kelor Village, Paiton District, Probolinggo.Keywords: knowledge, HIV, AIDS, stigma

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