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PENGARUH DISKRIMINASI GENDER DALAM KELUARGA TERHADAP PEMILIHAN PENOLONG PERSALINAN DI KECAMATAN BANDAR PULAU KABUPATEN ASAHAN TAHUN 2013 Linda, Irma; Sembiring, Arihta; Pulungan, Firiyani
Jurnal Ilmiah PANNMED (Pharmacist, Analyst, Nurse, Nutrition, Midwivery, Environment, Dentist) Vol 8 No 3 (2014): Jurnal Ilmiah PANNMED Periode Januari-April 2014
Publisher : Politeknik Kesehatan Kemetrian Kesehatan Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (150.562 KB)

Abstract

Pertolongan persalinan oleh tenaga kesehatan terlatih merupakan salah satu cara paling efektif dalam upayamenurunkan Angka Kematian Ibu (AKI), oleh karena itu sasaran dari pembangunan kesehatan salah satunyaadalah meningkatnya secara bermakna jumlah ibu hamil yang memeriksakan diri dan melahirkan ditolongoleh tenaga kesehatan. Pada tahun 2010 di Kecamatan Bandar Pulau terdapat 2 orang ibu bersalin dan 1orang ibu masa nifas meninggal. Hal ini disebabkan oleh karena persalinan di tolong oleh dukun (Profilkesehatan Puskesmas Aek Songsongan, 2010).Tujuan penelitian ini untuk menganalisis pengaruhdiskriminasi gender dalam keluarga (aksespelayanan kesehatan dan pengambilan keputusan) terhadappemilihan penolong persalinan di Kecamatan Bandar Pulau Kabupaten Asahan tahun 2013. Jenis penelitianini merupakan survei analitik dengan pendekatan explanatory research yang bersifat Cross Sectional yangdilakukan di Kecamatan Bandar Pulau Kabupaten Asahan 2013. Penelitian dilaksanakan mulai Bulan Julisampai dengan bulan September tahun 2013. Populasi dalam penelitian ini adalah seluruh ibu bersalin dalam3 bulan terakhir yang berdomisili di Kecamatan Bandar Pulau Kabupaten Asahan dengan besar sampel 94orang. Penentuan sampel secarapurposive sampling. Untuk menganalisis pengaruh diskriminasi genderdalam keluarga (akses pelayanan kesehatan danpengambilan keputusan) terhadap pemilhan penolongpersalinan digunakan uji regresi logistik ganda. Hasil penelitian menunjukkan ada pengaruh diskriminasigender dalam keluarga aspek akses pelayanan kesehatan terhadap pemilihan penolong persalinan dikecamatan Bandar Pulau kabupaten Asahan tahun 2013 (p=0,030) dengan nilai koefisien regresi=-1,588,sehingga dapat dinyatakan bahwa bahwa diskriminasi gender dalam keluarga aspek akses ke pelayanankesehatan yang kurang baik akan meningkatkan angka pertolongan persalinan dengan non tenaga kesehatan.Sedangkan diskriminasi gender dalam keluarga aspek pengambilan keputusan tidak berpengaruh secarabermakna. Diharapkan pada pengambil kebijakan di Dinas Kesehatan Kabupaten Asahan dapat merumuskanprogram kerja yang berperspektif gender seperti program promosi kesehatan tentang kesehatan reproduksidan pertolongan persalinan dalam upaya pencegahan terjadinya komplikasi persalinan dan nifas sertakematian pada ibu.
HUBUNGAN PEMBERIAN ASI EKSKLUSIF DENGAN LAMANYA PUPUT TALI PUSAT DI PUSKESMAS SELESAI KAB. LANGKAT TAHUN 2018 Sembiring, Arihta br; Fitriani, Nadya
Jurnal Ilmiah PANNMED (Pharmacist, Analyst, Nurse, Nutrition, Midwivery, Environment, Dentist) Vol 14 No 1 (2019): Jurnal Ilmiah PANNMED Periode Mei-Agustus 2019
Publisher : Poltekkes Kemenkes Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (144.356 KB) | DOI: 10.36911/pannmed.v14i1.558

Abstract

Menurut Kementrian Kesehatan Republik Indonesia tahun 2014 mafaat ASI yaitu sebagai sumber giziterbaik, memberikan kekebalan tubuh, anti alergi dan makanan bayi yang aman dan bersih. Kandunganprotein ASI cukup tinggi dan komposisinya berbeda dengan protein yang terdapat dalam susu sapi. Tetanusneonatorum disebabkan oleh basil Clostridium tetani, yang masuk ke tubuh melalui luka. Penelitian inibertujuan untuk mengetahui hubungan pemberian ASI ekslusif dengan lamanya puput tali pusat. Penelitianini dilakukan di wilayah Puskesmas Selesai Kab. Langkat tahun 2018 dilakukan mulai April- Juni 2018.Penelitian ini merupakan jenis penelitian analitik dengan desain studi secara cross secsional dimanahubungan variabel independent dan dependent diukur pada saat bersamaan. Sampel berjumlah 62 diambilmenggunakan teknik random sampling dengan sampel minimal dari rumus Slovin yaitu 50 dan dilakukanuji Chi-square. Hasil penelitian menunjukkan terdapat hubungan yang signifikan antara pemberian ASIeksklusif dengan lamanya puput tali pusat pada bayi dengan p value sebesar 0,000, yang berarti p value < ?(0,05). Kesimpulan, terdapat hubungan yang signifikan antara pemberian ASI eksklusif dengan lamanyapuput tali pusat pada bayi di Puskesmas Selesai Kabupaten Langkat tahun 2018. Diharapkan para ibu nifasdisarankan untuk dapat memberikan ASI eksklusif dan perawatan tali pusat yang baik dan benar kepadabayinya untuk mempercepat puputnya tali pusat bayi.
HUBUNGAN AKSES DAN MOTIVASI IBU DENGAN PEMBERIAN IMUNISASI DASAR PADA BAYI 0-11 BULAN DI DESA LUMBAN TORUAN WILAYAH KERJA PUSKESMAS KENTARA KECAMATAN LAEPARIRA KABUPATEN DAIRI TAHUN 2019 lidya marbun; Rismahara lubis; Arihta Sembiring
COLOSTRUM : Jurnal Kebidanan Vol. 1 No. 2 (2020): Edisi Juni 2020
Publisher : Poltekkes Kemenkes Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36911/colostrum.v1i2.686

Abstract

Basic immunization is given to prevent various diseases, including hepatitis B, tuberculosis, diphtheria, pertussis, tetanus, polio and measles. Based on the data found, basic immunization coverage is still below the target. The condition was caused by the family not allowing and immunization service places far from their homes. This study aims to determine the relationship between access and motivation of mothers with basic immunization for infants aged 0-11 months in Lumban Toruan Village, Kentara Health Center, Dairi District, 2019. This type of research is analytic with cross sectional design. The population in this study were all mothers with babies aged 0-11 months who visited the Posyandu in Lumban Toruan village as many as 34 people. The sample used is total population. The data used are primary and secondary data, instruments used in questionnaires, data analysis using statistical tests, namely Chi-Square test with ? <0.05. The results showed that there was a relationship between access and basic immunization for infants aged 0-11 months in Lumban Toruan Village, Kentara Health Center Work Area, Dairi Regency in 2019, with a value of ? = 0.001 (<0.05). There is a relationship between maternal motivation and basic immunization for infants aged 0-11 months in Lumban Toruan Village, Kentara Health Center Work Area, Dairi Regency in 2019, with a value of ? = 0.001 (<0.05). It is hoped that health workers in Lumban Toruan Village will improve information or counseling about the importance of basic immunization and make home visits for mothers with 011 months infants who have difficult access to improve the health status of infants.
HUBUNGAN KARAKTERISTIK, RIWAYAT KELUARGA DAN PENGETAHUAN PADA IBU YANG MENDERITA KANKER SERVIKS DALAM KETERLAMBATAN MENCARI PENGOBATAN KEPELAYANAN KESEHATAN Elisabeth surbakti; Susi Adranelly Simare-mare; Arihta Sembiring
COLOSTRUM : Jurnal Kebidanan Vol. 1 No. 2 (2020): Edisi Juni 2020
Publisher : Poltekkes Kemenkes Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36911/colostrum.v1i2.691

Abstract

Introduction: Cervical cancer is cancer that occurs in the cervix of the uterus, is the entrance to the uterus located between the uterus and the vagina. Mothers with cervical cancer 65.5% come to health care already in an advanced stage, where this will have an impact on economic, social, physical, psychological suffering and even increased mortality due to cervical cancer. This study aims to determine the relationship of characteristics, family history of mothers suffering from cancer and maternal knowledge about cervical cancer in delay in seeking treatment at the RSUH. Adam Malik Medan. Methods: This study used a cross-sectional study design. The population in this study were all women with cervical cancer who had been diagnosed through histopathological examination from Stage Ia to Stage IVb who were treated in the Midwifery and Midwifery Oncology Hospital of Adam Malik General Hospital Medan. The way to take sample is by using non probability sampling. Research / Discussion Results: Based on univariate analysis that the delay of respondents in seeking treatment for health services in patients with cervical cancer, generally has an advanced stage (67.5%). Characteristics of respondents; age> 40 years (58%), low education (34.3%), having more than 2 children (77.5%), low socioeconomic (37.3%), having a family with a history of cancer (39.1%). Based on univariate analysis states that: There is a significant relationship: age> 40 years, low education, having more than 2 children, low socioeconomic, poor knowledge, family history of cancer where p <0.05 with 95% CI, to delays seek treatment to health services. Conclusion: increasing maternal awareness through IEC with early detection of IVA or pap smears, increasing knowledge can prevent delays in patients coming to health care. Respondents who have a family history of cancer or not have the potential for cervical cancer, so they still need to be routinely detected early. Optimize efforts to prevent cervical cancer, by raising awareness of the awareness and importance of cervical cancer screening through early detection of either IVA or pap smear tests, health promotion so that people do not come at an advanced stage to health services.
Pemeriksaan Ante Natal Care dan Penyuluhan Deteksi Dini Kehamilan Resiko Tinggi pada Ibu Hamil Didesa Kutalimbaru Kecamatan Kutalimbaru Kabupaten Deli Serdang Arihta Sembiring; Lusiana Gultom; Yusniar Siregar; Suswati Suswati; Zuraidah Zuraidah
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 5, No 11 (2022): Volume 5 No 11 November 2022
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v5i11.7568

Abstract

ABSTRAK Kematian maternal atau kematian ibu menurut batasan dari The Tenth Revision of International Cassification of Diseases (ICD-10) adalah kematian wanita yang terjadi pada saat kehamilan atau dalam 42 hari setelah kehamilan, tidak tergantung dari lama dan lokasi kehamilan, disebabkan oleh apapun yang berhubungan dengan kehamilan, atau yang diperberat oleh kehamilan tersebut, atau penanganannya, akan tetapi bukan kematian yang disebabkan oleh kecelakaan atau kebetulan. Pelayanan pemeriksaan kehamilan dilakukan untuk mencegah dan mengatasi masalah kehamilan, untuk membantu masalah gizi, masalah sosial dan untuk memberikan pendidikan penyuluhan dalam masalah persalinan dan nifas, cara menjaga diri agar tetap sehat dalam masa hamil, membantu wanita hamil dan keluarganya untuk mempersiapkan kelahiran bayi dan juga penyuluhan tentang KB serta meningkatkan kesadaran mereka tentang kemungkinan adanya resti atau komplikasi dalam kehamilan dan persalinan. Cara mengenalinya harus sedini mungkin sehingga dapat dilakukan upaya penanggulangannya sedini mungkin. Tujuan dari pengabdian masyarakat ini adalah agar meningkatkan cakupan   K1-K4 di Desa Kutalimbaru Kecamatan Kutalimbaru serta meningkatkan pengetahuan ibu hamil  tentang tanda bahaya pada kehamilan  Trimester I, II , III dan pencegahan serta penanganannya. Metode yang digunakan diawali dengan pengukuran pengetahuan tentang tanda Bahaya Kehamilan Trimester I-III pada ibu hamil dan memberikan kuesioner tentang Tanda Bahaya Kehamilan Trimester I-III pada ibu hamil, selanjutnya dilakukan pemeriksaan kehamilan pada ibu hamil, kemudian diberi kuesioner untuk mengetahui tingkat pengetahuan ibu hamil tentang tanda Bahaya Kehamilan Trimester I-III setelah dilakukan  penyuluhan. Kegiatan pengabdian masyarakat dilakukan pada 30 ibu hamil trimester I - III dilaksanakan di bulan Februari  sampai dengan  Juni 2022. Terdapat  ibu hamil yang memiliki faktor resiko tinggi kehamilan yaitu: usia kurang dari 20 tahun dan lebih dari 35 tahun, ibu yang multi gravida (lebih dari 3)  dan anemia serta tinggi fundus uteri tidak sesuai dengan usia kehamilan serta terjadi peningkatan  pengetahuan  ibu hamil    setelah  diberikan  penyuluhan  Deteksi Dini resiko Kehamilan sebelumnya 60% responden memiliki pengetahuan yang kurang ,30% cukup setelah dilakukan pelatihan didapati hasil pengetahuan meningkat menjadi 87% baik dan 13 % cukup. Diperlukan  edukasi  ke ibu hamil lain  untuk  meningkatkan  pengetahuan tentang tentang tentang Deteksi dini dan Faktor Resiko kehamilan serta hiharapkan para ibu hamil yang telah mendapat pelatihan menjadi sumber informasi bagi ibu hamil lainnya Kata Kunci: Ante Natal Care, Deteksi Dini, Tanda Bahaya Kehamilan  ABSTRACT Maternal death or maternal death according to the limits of The Tenth Revision of International Cassification of Diseases (ICD-10) is a woman's death that occurs during pregnancy or within 42 days of pregnancy, regardless of the duration and location of pregnancy, caused by any cause. related to pregnancy, or aggravated by the pregnancy, or its management, but not death caused by accident or accident. Pregnancy check-up services are carried out to prevent and overcome pregnancy problems, to help with nutritional problems, social problems and to provide education and counseling in childbirth and postpartum issues, how to keep themselves healthy during pregnancy, help pregnant women and their families to prepare for the birth of a baby and also counseling about family planning and increasing their awareness about the possibility of restlessness or complications in pregnancy and childbirth. How to recognize it should be as early as possible so that efforts can be made to overcome it as early as possible. The purpose of this community service is to increase the coverage of K1-K4 in Kutalimbaru Village, Kutalimbaru District and increase the knowledge of pregnant women about the danger signs in pregnancy in Trimester I, II, III and their prevention and treatment. Research The method used begins with measuring knowledge about the danger signs of pregnancy in the first trimester of pregnancy and giving a questionnaire about the danger signs of pregnancy in trimester I-III for pregnant women, then a pregnancy check is carried out on pregnant women, then a questionnaire is given to determine the level of pregnancy. knowledge of pregnant women about the danger signs of pregnancy in trimester I-III after counseling. Community service activities were carried out on 30 pregnant women in the I - III trimesters carried out from February to June 2022. There were pregnant women who had high risk factors for pregnancy, namely: age less than 20 years and more than 35 years, mothers who were multi gravida ( more than 3) and anemia and uterine fundal height are not in accordance with gestational age and there is an increase in knowledge of pregnant women after being given counseling on Early Detection of the risk of previous pregnancy 60% of respondents have less knowledge .30% enough after the training it was found that the results of knowledge increased to 87% good and 13% enough. Education for other pregnant women is needed to increase knowledge about early detection and pregnancy risk factors and expect pregnant women who have received training to become a source of information for other pregnant women. Keywords : Ante Natal Care, Early Detection, Pregnancy Danger Signs
Description of Breast Care on Milk Production in Post-Partum Mothers in the Independent Practice of the Midwife Helen Tarigan and the Sahtama Clinic, Medan District Profits of 2021 Jujuren Sitepu; Arihta Sembiring; Betty Mangkuji
Formosa Journal of Science and Technology Vol. 2 No. 6 (2023): June 2023
Publisher : PT FORMOSA CENDEKIA GLOBAL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55927/fjst.v2i6.4485

Abstract

Unsmooth milk production is one of the factors causing failure in exclusive breastfeeding. Performing breast care can increase milk production in post-partum mothers. The purpose of this study was to determine the description of breast care in post-partum mothers on the frequency of breastfeeding babies on days 3 to 16 post-partum. This type of research uses the Analytical Descriptive method which serves to provide an overview of an object under study through data or samples collected without conducting analysis and making conclusions that apply to the public. The sample in this study were 12 mothers who breastfed their babies by doing breast care. Data analysis used in this research is univariate analysis. The results showed that 10 respondents had good milk production and 2 respondents had bad milk production after breast care. Poor milk production is caused by the mother's lack of knowledge and experience about breast care and how to breastfeed the baby properly. The conclusion from this study is that breast care is effective in increasing milk production because it is able to stimulate the milk glands in the breast so that milk production is more abundant and smooth by keeping the breasts clean and well cared for (nipples) because when breastfeeding the mother's breasts direct contact with the baby's mouth. It is hoped that the family will add more insight and knowledge about the benefits of breast care for milk production in post-partum mothers.