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The Effectiveness Of Providing Torbangun Leaf Extract (Coleus Ambonicus Lour) On Breast Milk Production For Postpartum Mothers At PMB Nalom Tangerang In 2022 P Sembiring, Engelin; Herawati, Ita
International Journal of Health and Pharmaceutical (IJHP) Vol. 3 No. 4 (2023): November 2023
Publisher : CV. Inara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51601/ijhp.v3i4.242

Abstract

The present study reports the first comprehensive study on the freshwater macroinvertebrates and its habitat preferences in Bilah River, the largest riverin the Northern Sumatra. The riverside is characterized by the presence of anthropogenic and industrial activities which may alter the macroinvertebrate assemblage and biodiversity. Five months of investigation on 10 sampling stations from December 2016 to October 2017 was conducted based on the river flow in Bilah River. Principal component analysis indicated a decrease in trophic status from upstream to downstream of the river. A total of 27 taxa were recorded, with the most abundant group were members of Odonata, Gastropoda, and Decapoda. The highest density of macroinvertebrate was observed from station 1 (160 ind m-2), while the lowest density was observed from station 9 (38.64 ind m-2). Based on species distribution and similarity, two groups of habitats may be distinctively recognized based on the Bray-curtis similarity coefficient. Group 1 consisted of station 1, 2, 3 and 4 while group 2 consisted of station 5, 6, 7, 8, 9, and 10. Based on the diversity indices as ecological parameters, the habitat condition in Bilah River is categorized from low to moderately polluted. Spatial patterns in both environmental conditions affecting the macroinvertebrate assemblage was observed using canonical correspondence analysis (CCA) revealed the preferences from each macroinvertebrate species towards environmental conditions.
Faktor - faktor yang berhubungan dengan kepatuhan minum obat antiretroviral (ARV) pada ODHA di RSUD 45 Kuningan 2023 Herawati, Ita; Iswarawanti, Dwi Nastiti; Febriani, Esty; Badriah, Dewi Laelatul
Journal of Health Research Science Vol. 3 No. 02 (2023): Journal of Health Research Science
Publisher : Lembaga Penelitian Sekolah Tinggi Ilmu Kesehatan Kuningan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34305/jhrs.v3i02.938

Abstract

Latarbelakang: Kepatuhan minum obat merupakan kunci keberhasilan dalam proses pengobatan pada pasien ODHA. Data sampai oktober 2022 di Jawa Barat kumulatif HIV sebanyak 57.914 kasus dan 12.353 kumulatif kasus AIDS, jumlah penderita HIV/AIDS di kabupaten Kuningan dari tahun 2013 hingga 2021 sebanyak 702 orang. Data Poliklinik HIV RSUD 45 Kuningan per Desember 2022 jumlah pasien yang patuh minum obat ARV sebanyak 338 (43,44%). Banyak faktor yang mempengaruhi kekpatuhan minum obat pada ODHA, oleh karena itu penelitian ini bertujuan untuk menganalisis faktor-faktor yang berhubungan dengan kepatuhan minum obat antiretroviral pada ODHA di RSUD 45 Kuningan 2023.Metode: Penelitian ini merupakan studi analitik deskriptif dengan desain cross sectional. Subyek sebanyak 265 ODHA yang diambil dengan teknik accidental sampling. Instrumen yang digunakan dalam penelitian ini berupa kuesioner tertutup. Analisis data menggunakan analisis univarit, analisis bivariat (Rank Spearman) dan analisis multivariat (Regresi Logistik).Hasil: terdapat hubungan antara usia (p = 0.000), jenis kelamin (p = 0.014), pengetahuan ((p = 0.000), dukungan keluarga (p = 0.011) dan dukungan petugas kesehatan (p = 0.000) dengan kepatuhan minum obat ARV, namun tidak terdapat hubungan antara efek samping obat ARV (p = 0.341) dan stigma (p = 0.082) dengan kepatuhan minum obat ARV pada ODHA.Kesimpulan: variabel dukungan keluarga merupakan variabel paling dominan yang mempengaruhi kepatuhan minum obat ARV pada ODHA.
PENGARUH PEMBERIAN MINUM JAHE MERAH TERHADAP PENURUNAN INTENSITAS NYERI LUKA PERINEUM PADA IBU NIFAS: The Effect of Red Ginger for Decreasing Pain Intensity Perineum Wound in Mother After Delivery Herawati, Ita; Ikrar Faderiani Septi
Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing) Vol. 9 No. Supp-2 (2023): JIKep | Edisi Khusus 2 2023
Publisher : UPPM STIKES Pemkab Jombang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33023/jikep.v9i4.1648

Abstract

Pendahuluan : WHO menyebutkan sebanyak 2,7 juta ibu bersalin mengalami rupture perineum dan akan terjadi peningkatan hingga 6,3 juta di tahun 2050. Di Asia angka kejadian ruptur perineum mencapai 50% kasus sedangkan di Indonesia 85% ibu bersalin secara normal mengalami rupture perienum. Dampak yang ditimbulkan dari ruptur perineum itu adalah nyeri yang dirasakan oleh ibu pada daerah perineum. Salah satu cara non farmakologi untuk mengurangi nyeri adalah dengan meminum jahe merah karena jahe sama efektifnya dengan asam mefenamat dan ibuprofen untuk mengurangi segala nyeri pada wanita termasuk nyeri pada luka perineum. Tujuan Penelitian : Mengetahui pengaruh pemberian jahe merah terhadap penurunan intensitas nyeri luka perineum pada ibu nifas Metode Penelitian : Quasi eksperimental dengan rancangan two group pretest-posttest design. Sampel dalam penelitian ini adalah seluruh ibu nifas di Desa Cariu Bogor pada bulan Desember 2022  sebanyak 34 orang, teknik pemgambilan sampel yaitu total sampling. Hasil Penelitian : Intensitas nyeri luka perineum sebelum diberikan minum jahe merah sebagian besar responden mengalami nyeri sedang (61,8%) dan sesudah diberikan minum jahe merah sebagian besar mengalami nyeri ringan (64,7%). Ada pengaruh pemberian jahe merah terhadap penurunan intensitas nyeri luka perineum pada ibu nifas (p.value 0,000). Kesimpulan dan Saran : Ada pengaruh pemberian jahe merah terhadap penurunan intensitas nyeri luka perineum pada ibu nifas. Diharapkan bidan dapat meningkatkan pelayanan dalam melakukan penatalaksanaan nyeri luka perineum pada ibu nifas.
Effectiveness of Ginger Drink (Zingiber Officinale Var Rubrum) on Reducing Nausea and Vomiting in Trimester I Pregnant Women Wahyuni, Ika; Herawati, Ita; Widiantari, Aninda Dinar; Murtiani, Farida
Indonesian Journal of Global Health Research Vol 6 No 6 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i6.3794

Abstract

Nausea and Vomiting of Pregnancy (NVP) can become hyperemesis gravidarum thereby increasing the risk of pregnancy disorders. Ginger is an herbal plant that has long been known to prevent nausea and vomiting. The Aim study to determine the effectiveness of giving ginger drink (zingiber officinale var rubrum) to reduce nausea and vomiting in first trimester pregnant women. Quasi Experiment Research with the design used is One Group Pretest-Post Test Design. The sample in this study was the first trimester pregnant women at the Pratama Clinic Yardi Prima Tambun Bekasi as many as 33 mothers who were taken by purposive sampling. The intervention was carried out by giving 2.5 grams of white ginger sliced and brewed with 250 ml of warm water plus 10 grams of sugar (1 tablespoon) taken 2x1 a day for 4 days. Data were obtained by observing and measuring Nausea and Vomiting using the PUQE-24 instrument. Data analysis was univariate and bivariate with dependent T-test. The average Puqe-24 score before the ginger intervention was 9.79 and most of them were in the category of moderate nausea and vomiting as many as 23 (69.7%). The average emesis score after giving ginger was 6.64 and most of them were in the category of mild 14 (42.4%) and 2 (6.1%) not nausea and vomiting. There is an effect of giving ginger (zingiber officinale var rubrum) to mothers with NVP with P value (0.000) <α (0.05). Ginger is effective in reducing emesis gravidarum.
Effectiveness Of Young Papaya Book Consumption To Increasing Breast Milk Production In Breastfeeding Mothers Hutahayan, Masniar; Herawati, Ita
International Journal of Health and Pharmaceutical (IJHP) Vol. 3 No. 3 (2023): August 2023
Publisher : CV. Inara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51601/ijhp.v3i3.204

Abstract

In 2020 UNICEF reported that the average coverage of exclusive breastfeeding in the world for infants aged 0-6 months only reached 38%. In Indonesia in 2018, the coverage rate for exclusive breastfeeding was 52%, in West Java Province in 2020 the coverage for exclusive breastfeeding for infants was 72.6%. The low coverage of exclusive breastfeeding can be caused by various factors, one of which is the production of breast milk which is not optimal, so that many babies have less nutritional needs because mothers cannot provide maximum breast milk according to the nutritional needs of babies. Breast milk production can be increased by doing complementary therapies, one of which is consuming young papaya stew. To determine the effectiveness of consuming young papaya stew to increase the smooth production of breast milk in nursing mothers. Quasy experiment with one group pretest-posttest design. The sample in this study were all postpartum mothers at PMB Midwife Masniar in November 2022 as many as 30, the sampling technique was total sampling. The smooth distribution of milk production before consuming young papaya stew was mostly substandard 60.0% and after consuming unripe papaya stew most of it was smooth 63.3%. There is an effectiveness of consuming young papaya stew to increase the smooth production of breast milk in nursing mothers (p value 0.000). There is the effectiveness of consuming young papaya stew in increasing the smooth production of breast milk in nursing mothers. It is hoped that midwives can provide midwifery care for postpartum mothers who experience breast milk difficulties by consuming young papaya stew.
The Effectiveness Of Betel Leaf Boiled Water And Snakehead Fish Consump-tion Against Wound Healing Perineum In Postpartum Mothers Herawati, Ita; Putri Allawiyana, Dita
International Journal of Health and Pharmaceutical (IJHP) Vol. 3 No. 3 (2023): August 2023
Publisher : CV. Inara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51601/ijhp.v3i3.214

Abstract

Childbirth often results in birth canal injuries. Perineal injuries are found in about 70% of mothers who give birth due to inability of the muscles and soft tissue of the pelvis during the baby's birth. The process of healing perineal wounds has a healing time that varies, namely 6-7 days, and is influenced by several things such as the characteristics of the mother giving birth, nutritional status, treatment and condition of the wound. One of the effects of delayed perineal wound healing is the occurrence of infection, prevention of infection can be done with pharmacological and non-pharmacological treatment. To find out how the effectiveness of betel leaf decoction and consumption of snakehead fish on the healing of perineal wounds in postpartum mothers.The research design used was a literature review (journal review). Journals used as data include systematic search studies of databases and interventions for respondents. The results of a journal review of 10 data used as references state that consumption of snakehead fish is proven to be used as a non-pharmacological treatment for postpartum wound healing. Similarly, boiled betel leaf water which is used as a treatment for birth canal injuries has been shown to accelerate the healing of perineal wounds.
Cesarean Delivery and Early Breastfeeding Outcomes: A Cross-Sectional Study of EIBF and Early Postpartum Difficulties Herawati, Ita; Hermanto, Budi; Andika, Agnes; Jumsinah, Jumsinah; Widiyanti, Lia; Tika, Ocha Gries; Marlita, Yanti
Journal of Applied Nursing and Health Vol. 8 No. 1 (2026): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v8i1.487

Abstract

Background: Cesarean section (CS) rates continue to increase globally, particularly in low- and middle-income countries (LMICs) such as Indonesia. While CS is often medically indicated, it may interfere with early initiation of breastfeeding (EIBF) and early postpartum lactation. However, evidence examining both EIBF and early breastfeeding difficulties within Indonesian LMIC settings remains limited. Methods: This cross-sectional study followed STROBE guidelines and was conducted among 150 postpartum mothers within the first 10 days after delivery. Participants were recruited using consecutive sampling. Eligibility criteria included mothers aged ≥18 years, live singleton birth, and clinical stability. Data were collected using a structured Breastfeeding Initiation and Early Lactation Difficulty Questionnaire adapted from validated instruments (Cronbach’s α = 0.82). Chi-square tests were used to assess associations, with assumptions verified (expected cell count ≥5). Odds ratios (ORs) with 95% confidence intervals (CIs) were calculated to estimate effect size. Results: CS was significantly associated with failure to perform EIBF (OR = 214.79; 95% CI: 27.90–1653.65; p < 0.001). Mothers undergoing CS were also more likely to experience breastfeeding difficulties during the first 10 days postpartum (OR = 17.26; 95% CI: 6.24–47.74; p < 0.001). Conclusion: CS delivery is strongly associated with delayed EIBF and increased early breastfeeding difficulties. Structured post-cesarean lactation support integrated into surgical recovery protocols is recommended, particularly in LMIC settings.