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Pengaruh Psikoedukasi Terhadap Kadar Hormon Kortisol Pada Ibu Tujuan Dengan Depresi Postartum Di Wilayah Kerja Dinas Kesehatan Kota Langsa Tahun 2020 Fithriany Fithriany; Cut Yuniwati; Silfia Dewi; Lili Kartika Sari Harahap
Jurnal Health Sains Vol. 3 No. 11 (2022): Jurnal Health Sains
Publisher : Syntax Corporation Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/jhs.v3i11.681

Abstract

Maternity mothers About 50-80% experience baby blues within ten days of giving birth. This is if the mother does not get further treatment then the baby blues can escalate into heavier depression. There is no definitive test yet that can determine a mother suffering from postpartum depression. This is why most postpartum depression sufferers are undiagnosed and do not get treatment early. Treatment that can be given to mothers who are depressed by providing health education, one of which is by providing psychoedukasi to the mother. The purpose of this study was to look at the influence of psychoedukasi on cortisol hormone levels in mothers with postpartum depression in the working area of Langsa City Health Office in 2020. This research uses quasi experimental design with the design of the one group pretest-posttest. Observations were made before and after the treatment of psychoedukasi,, The number of samples in this study as many as 16 mothers postpartum the second day with postpartum depression. The analyses used were the Wilcoxon Test and the Whitney Mann Test. The results showed the influence of decreased levels of the hormone cortisol before and after the administration of psychoedukasi with sig value. 0.00, there is a decrease in postpartum depression by administering psychoeducation with sig value. 0.000 and the effect of decreased cortisol levels on postpartum depression decrease with sig value. 0.00.
Implementation of Clean and Healthy Lifestyle Behavior with Children's Nutritional Status the During Covid-19 Pandemic Cut Yuniwati; Fithriany
Science Midwifery Vol 10 No 4 (2022): October: Science Midwifery
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v10i4.726

Abstract

The implementation of Clean and Healthy Lifestyle in the midst of the COVID-19 pandemic has become a serious problem in society. The application of clean and healthy living behavior in everyday life in the household can reduce the risk of disease and nutritional status in children. Achievement of optimal nutritional status can be influenced by several factors, namely direct, indirect and root causes. Direct factors consist of food consumption and infection status. Indirect factors consist of availability, food consumption patterns, hygiene, sanitation, and environmental health. The purpose of this study was to determine the Clean and Healthy Lifestyle with Child Nutritional Status in the midst of the Covid-19 Pandemic. This study is a systematic review using online databases, namely Scholar, Sciencedirect, ProQuest, and EBSCO. The keywords used are clean and healthy living behavior, Child Nutrition Status, Covid-19 Pandemic.The selection process used the PRISMA protocol so that 15 articles were obtained that met the inclusion criteria. The findings of the review show that adopting a good, clean and healthy lifestyle affects children's nutritional status. The application of clean and healthy living habits in household arrangements is influenced by knowledge, culture, socioeconomics, beliefs, and the availability of facilities or technologies. During the Covid-19 pandemic, parents can play a role in reminding, educating, providing role models and support, advising, and emphasizing the importance of clean and healthy living.
Analysis of Immunization Services During The Covid-19 Pandemic Fithriany; Cut Yuniwati
Science Midwifery Vol 10 No 4 (2022): October: Science Midwifery
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v10i4.730

Abstract

The immunization program launched by the Ministry of Health is one of the preventive measures to avoid contracting certain diseases, namely preventable diseases by immunization including tuberculosis, diphtheria, pertussis, tetanus, hepatitis B, polio and measles. The Covid-19 pandemic threatens to have an impact on health progress and in particular on child development due to the delay in immunization services as a national program. The purpose of this Systematic Review is to analyze the effect of immunization services during the Covid-19 pandemic. Database search includes Google Scholar, Science Direct, and Pubmed with keywords The keywords used are complete basic immunization, covid-19 period, impact of COVID-19 immunization. The next stage is to select articles according to the criteria, which are published in 2017-2022 with the full text of 12 articles that meet the inclusion criteria. Initial literature search found 52 articles (Google Schoolar 42 articles, Science Direct 10 articles, Proquest 5 articles) 40 articles issued were not in sync with the topic of discussion and did not discuss complete basic immunization 12 full text articles met the criteria. Immunization should be prioritized to prevent and protect from preventable diseases by immunization during the Covid-19 pandemic, if the situation allows. Basic immunization services during the Covid-19 pandemic decreased and affected the amount of immunization coverage. Factors that influence this are the main focus of health services on Covid-19 cases, the implementation of lockdown, physical-social distancing, self-isolation and delays in the distribution of vaccine supplies
Acupressure Complementary Therapy Training and Assistance for Excellent Midwife in Entrepreneurial Development for Alumni Cut Yuniwati; Noviyanti; Ratna Dewi; Yeni Rimadeni
Science Midwifery Vol 10 No 5 (2022): December: Science Midwifery
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v10i5.1092

Abstract

The success of maternal health efforts and the health status of a community can be seen from the number of Maternal Mortality Rates (MMR). Midwives are one of the health workers who have an important position in reducing the Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR). Midwives provide continuous and comprehensive midwifery services, focusing on aspects of prevention, promotion based on partnerships and community empowerment together. Complementary traditional health services are the application of traditional health that utilizes biomedical and biocultural sciences. Activity Purpose To increase the knowledge/understanding and skills of midwifery majors alumni of the Poltekkes Kemenkes Aceh on Complementary Acupressure Therapy For Excellent Midwife in Entrepreneurial Development for Alumni. The dedication method used in this activity is education, training and assistance in increasing the knowledge and abilities of alumni about complementary acupressure therapy for excellent midwife. The results of the dedication show that the provision of education about complementary acupressure therapy increases the alumni's knowledge about complementary acupressure therapy. The average alumni knowledge during the pre-test, which was around 51.81% of the number of questions answered correctly by alumni, experienced a change for the better after the post-test to around 95.45%. This community service activity ran smoothly, starting from the training activities and continuing with alumni assistance activities in providing acupressure therapy. This activity has enormous benefits felt by the participants. Apart from increasing knowledge.
Effect of Baby Massage and Baby Gymnastics on Motoric Development of Infants Age 2-11 Months in the Darul Imarah Health Center Work Area Aceh Besar District Intan Maisa Adilla; Yusnaini Yusnaini; Fithriany Fithriany; Cut Yuniwati; Kartinazahri Kartinazahri
Midwifery and Nursing Research Vol 5, No 2 (2023): SEPTEMBER 2023
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/manr.v5i2.9962

Abstract

Background : About 5 to 10% of children are thought to have developmental delays. Data on the incidence of general developmental delays are not known with certainty, but it is estimated that around 1-3% of children under the age of 5 experience general developmental delays. Based on data obtained from Aceh's health profile, in 2021 the number of live births will be 10 . 350 babies. Seeing the high number of live births in infants, it is very important to provide stimulus during the golden age so that developmental delays do not occur Method : This type of research is Quasy Experiment with two group pre-test and post-test design. The sample in this study were babies aged 2-11 months, a total of 34 people, of which 17 babies were given massage and baby gymnastic interventions while 17 babies were included in the control group. Results: The results of the study indicated that there were differences in the motor development of infants aged 2-11 months before and after massage and baby gymnastics with a p-value (0.000
Strengthening Midwives in the Traditional Healthcare Services Program (Yankestrad) in the Working Area of Ingin Jaya Public Health Center, Aceh Besar District Yuniwati, Cut; Nurdahliana, Nurdahliana; Noviyanti, Noviyanti; Dewi, Ratna; Rimadeni, Yeni
Journal of Midwifery and Nursing Vol. 6 No. 1 (2024): January: Health Science
Publisher : Institute Of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/jmn.v6i1.4341

Abstract

Program to Strengthen Midwives in Traditional Healthcare Services (Yankestrad) is an initiative aimed at enhancing the competence and capacity of midwives in providing traditional healthcare services. The program encompasses several key phases, including preparation, implementation, and evaluation. In the initial phase, 30 midwives underwent a refresher training program to ensure they were well-prepared for the subsequent comprehensive training. The program aimed to provide them with a deep understanding of traditional healthcare practices. The results of this community service program (Pengabdian Kepada Masyarakat) clearly indicate that the "Strengthening Midwives in Traditional Healthcare Services Program (Yankestrad)" in the Ingin Jaya Public Health Center (Puskesmas) area of Aceh Besar District has achieved significant milestones. Continuous evaluation conducted both during and after the training has shown remarkable improvements in the participants' abilities to deliver traditional healthcare services. The program has led to enhanced skills in communication and counseling among the midwives, which is crucial in providing effective healthcare services. Additionally, it successfully integrated information technology to augment knowledge, making use of online resources for up-to-date information. The program also delved into deepening the participants' understanding of the local cultural values that underlie traditional healthcare practices. These positive impacts have created substantial changes in the realm of traditional healthcare services and significantly improved the relationships between healthcare providers and patients. The commitment to continuous improvement ensures that this program serves as a solid foundation for further developments in advancing traditional healthcare services.
Peningkatan Ketrampilan Layanan Wirausaha Mandiri Bagi Alumni Kebidanan Melalui pelatihan Manajemen ASI Yuniwati, Cut; Fitraniar, Iin; Kartinazahri, Kartinazahri; Miko , Ampera; Yusnaini, Yusnaini; Fithriany, Fithriany
BERNAS: Jurnal Pengabdian Kepada Masyarakat Vol. 6 No. 1 (2025)
Publisher : Universitas Majalengka

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31949/jb.v6i1.10899

Abstract

Peluang usaha bidan membuat MP ASI di Indonesia sangat prospektif dan mendapatkan tanggapan positf dari banyak masyarakat terutama untuk ibu yang bekerja. Usaha ini  menjadi pilihan usaha yang menguntungkan hingga banyak orang yang berminat melakoni usaha tersebut. Alangkah baiknya jika peluang ini diambil oleh bidan yang lebih mengetahui tentang makanan sehat tumbuh kembang anak.  Tujuan kegiatan adalah meningkatakan pengetahuan dan ketrampilan alumni dalam membuat menu MP ASI dan booster ASI serta mempromosikannya melalui digital marketing. Metode yang digunakan adalah melalui pelatihan manajemen ASI bagi alumni Jurusan Kebidanan berjumlah 10 orang, dimana kegiatan pelatihan ini menerapakan metode tutorial dan demonstrasi beragam menu untuk meningkatkan produksi ASI dan membuat MP ASI menggunakan bahan-bahan alami. Berdasarkan hasil kegiatan pengabdian Masyarakat yang telah dilaksanakan pada tanggal Juni 2024 kepada 10 alumni alumni yang menjadi sasaran, maka dapat disimpulkan hasil yang dicapai adalah sebagai berikut sebanyak 10 (sepuluh) alumni yang mengikuti Pelatihan Manajemen ASI (Pembuatan MP ASI dan Booster ASI Sehat), masing-masing mendapatkan sertifikat yang terlegalitas dari Lembaga Kursus dan Pelatihan (LKP) Ibu Sejati Indonesia. Hasil tindak lanjut yang telah dilakukankan, didapatkan sebanyak 80% peserta telah mulai berwirausaha dibidang makanan pendamping ASI dan booster ASI dengan memproduksi makanan dan minuman bagi balita dan ibu menyusui  
Penguatan Mandiri Masyarakat Gampong Sebagai Therapist baby massage Di Kecamatan Indrapuri Kabupaten Aceh Besar Kartinazahri, Kartinazahri; Yusnaini, Yusnaini; Elizar, Elizar; Fatiyani; Keumalahayati; Yuniwati, Cut; Fitraniar, Iin; Miko , Ampera; Fithriany
BERNAS: Jurnal Pengabdian Kepada Masyarakat Vol. 6 No. 1 (2025)
Publisher : Universitas Majalengka

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31949/jb.v6i1.11233

Abstract

Penguatan Mandiri kader Gampong melalui pelatihan Therapist Baby Massage merupakan inisiatif penting untuk meningkatkan keterampilan Masyarakat dalam meningkatkan kesehatan, sehingga lebih mandiri menghadapi tantangan kesehatan. Baby massage merupakan teknik yang bermanfaat bagi pertumbuhan dan perkembangan bayi, terutama dalam hal stimulasi sensorik, ikatan emosional, dan peningkatan kesehatan fisik. Upaya kesehatan yang berfokus pada anak di tahun-tahun pertama kehidupan sangatlah penting, karena periode ini merupakan "periode emas" dalam pertumbuhan dan perkembangan otak yang sangat responsif terhadap stimulasi. Kegiatan ini bertujuan untuk melatih kader menjadi therapist Baby Massage. Metode yang digunakan berupa pelatihan baby massage yang berlangsung sejak tanggal 26-28 Mei 2024. Sasaran pelatihan adalah kader Kesehatan di wilayah kemukiman Reukih Kecamatan Indrapuri berjumlah 19 orang. Kegiatan diawali dengan pretest terhadap kader sebagai peserta pelatihan dan hasil yang diperoleh hanya 45,3% kader dapat menjawab dengan benar. Selanjutnya dilaksanakan pelatihan dimulai dengan pemberian materi dan dilanjutkan dengan praktik langsung pada manikin dan bayi. Berdasarkan hasil evaluasi, 94,7% peserta menjawab post-test dengan benar dan menunjukkan kemampuan yang baik dalam melakukan pijat bayi dan 100% peserta pelatihan mengikuti kegiatan sampai selesai dan memperoleh sertifikat sebagai therapist baby massage
Postpartum Hemorrhage in Labor: Analyzing Risk Factors Across Demographic Groups Sulastri, Sulastri; Suryani, Lilis; Muhede, Rohaya; Manaf, Salmiani Abdul; Irnawati, Irnawati; Seriana, Irma; Yuniwati, Cut; Sriyanti, Cut
Heca Journal of Applied Sciences Vol. 3 No. 2 (2025): September 2025
Publisher : Heca Sentra Analitika

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.60084/hjas.v3i2.321

Abstract

Postpartum hemorrhage (PPH) is a critical obstetric emergency and a major contributor to maternal mortality. Understanding risk factors across demographic groups is essential for guiding clinical surveillance. This study aimed to analyze the association between demographic and clinical factors, including maternal hemoglobin level, age, parity, weight, neonatal birth weight, and clinical causes of PPH based on the 4T framework (Tone, Tissue, Trauma, Thrombin), and the incidence of PPH among postpartum women. An observational cross-sectional study was conducted on 40 postpartum women who delivered vaginally at a Midwife Independent Practice (PMB) in Banda Aceh, Indonesia, between February and September 2021. Total sampling was applied. Data were collected through direct observation and clinical records. PPH was defined as estimated blood loss ≥500 mL within two hours after delivery. Statistical analysis included chi-square tests and odds ratio (OR) calculations. The prevalence of PPH in this sample was 42.5%. Perineal rupture was the most common clinical finding (77.5%), followed by retained placenta (12.5%) and uterine atony (10%). A significant association was found between clinical causes and the incidence of PPH (p = 0.001). Maternal anemia (Hb <12 g/dL) was significantly associated with PPH (p = 0.018; OR = 7.5), indicating a high-risk subgroup. Other demographic factors, age, parity, maternal weight, and neonatal birth weight were not significantly associated with PPH (p > 0.05). PPH was significantly associated with clinical causes, particularly uterine atony and retained placenta, as well as maternal anemia. These findings support the need for routine antenatal hemoglobin screening and strengthened postpartum monitoring in midwife-led clinical settings to improve early detection and response to bleeding risks.
THE RISK FACTORS INFLUENCING ABORTION A LITERATURE REVIEW Maya, Riska; Idiana, Adri; Yuniwati, Cut
Journal of Midwifery and Community Health (JMCH) Vol. 3 No. 1 (2024): July
Publisher : Department of Midwifery, Health Polytechnic of Aceh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30867/jmch.v3i1.706

Abstract

Background: In general, the five leading causes of maternal mortality are bleeding, Hypertension in Pregnancy (HDK), infection, prolonged labor or obstructed labor, and abortion. Maternal mortality in Indonesia is still dominated by three main causes: bleeding, HDK, and infection. However, the proportions have changed, with bleeding and infection showing a tendency to decrease, while HDK has been on the rise. More than 25% of maternal deaths in Indonesia in 2017 were caused by HDK. Objective: This literature review aims to identify the risk factors influencing the occurrence of abortion. Method: This study employed a literature review method based on data from various electronic databases within the last five years, including Academic Search Complete, Proquest, Pubmed, EBSCO, and Google Scholar. A total of 7 articles were selected that met the criteria and were published in both Indonesian and English. Results:  It showed a significant relationship between the age of pregnant women and the incidence of abortion (p<0.05). There is a significant relationship between parity and the incidence of abortion (p<0.05). A significant relationship exists between the distance between pregnancies and the incidence of abortion (p<0.05). There is a significant relationship between the mother's health history and the incidence of abortion (p<0.05). Conclusion: The factors causing the incidence of abortion include age, parity, pregnancy spacing, and the mother's health history. Preventive measures include avoiding pregnancy at a young age (<20 years) because, from a biological standpoint, the reproductive organs have not fully developed, and at an older age (>35 years), the elasticity of the pelvic muscles and surrounding area, as well as the reproductive organs, generally have diminished. Women in this age range are at a higher risk of experiencing antenatal complications, including abortion.