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Analisis Mutu Layanan Kesehatan (Tangible, Realibility) Terhadap Tingkat Kepuasan Kunjungan Ibu Hamil TM I Di Puskesmas Labuhan Deli Kecamatan Labuhan Deli Kabupaten Deli Serdang Tahun 2023 Sonia Novita Sari; Noni Handayani Br Tarigan; Nur Azizah; Rosmani Sinaga
Jurnal Ventilator Vol. 1 No. 2 (2023): Juni : Jurnal Ventilator
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/ventilator.v1i2.523

Abstract

Antenatal care is care or care provided to pregnant women before birth, which is useful for facilitating healthy and positive outcomes for pregnant women. Perfect health services have an impact on the quality of service that gives satisfaction to everyone. This study aims to determine the relationship between the quality of health services (tangible, reliability) to the level of satisfaction of the visit of TM I pregnant women at the Labuhan Deli Health Center, Labuhan Deli District, Deli Serdang Regency. This research is an analytical quantitative research using a cross sectional design. The population in this study were all TM I pregnant women who visited the Labuhan Deli Health Center, namely 56 respondents at the Labuhan Deli Health Center, Labuhan Deli District, Deli Serdang Regency in 2023. The sampling technique was accidental sampling. Data collection was analyzed by chi-square test. The results of this study indicate that there is a correlation between the satisfaction of pregnant women at the Labuhan Deli Health Center, Labuhan Deli District, Deli Serdang Regency in 2023 based on the tangible dimension (physical evidence), and there is no relationship between the level of satisfaction of pregnant women at the Labuhan Deli Health Center, Labuhan Deli District, Deli Serdang Regency in 2023 based on dimension of realibility (reliability).
Pengaruh Senam Hamil Terhadap Penurunan Nyeri Punggung Bawah Pada Ibu Hamil TM III di Praktek Mandiri Bidan Novia Br Karo Kec. Sunggal Kab. Deli Serdang Tahun 2023 Yenni Fransiska B; Nur Azizah; Rosmani Sinaga
Jurnal Siti Rufaidah Vol. 2 No. 4 (2024): Jurnal Siti Rufaidah
Publisher : PPNI UNIMMAN

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57214/jasira.v2i4.169

Abstract

Background: Lower back pain is common in pregnant women, especially in the third trimester, due to physiological changes such as weight gain, shifts in the body’s center of gravity, and ligament relaxation. Prenatal exercise is a non-pharmacological method that improves flexibility, strengthens muscles, and enhances posture, reducing lower back pain. However, its implementation remains limited due to a lack of education and supporting facilities. Objective: This study evaluates the effect of prenatal exercise on lower back pain reduction in third-trimester pregnant women at the Independent Practice of Midwife Novia Br Karo, Sunggal District, Deli Serdang Regency. Method: A pre-experimental design with a one-group pretest-posttest approach was used. The study included 32 third-trimester pregnant women experiencing lower back pain. Prenatal exercise was provided, and pain levels were measured before and after using an observation sheet. Results: Before the intervention, most respondents (53.1%) reported moderate pain. After prenatal exercise, the majority (59.4%) experienced reduced pain in the mild category. The Wilcoxon test yielded a Z value of -3.122 with p = 0.002 (p < 0.05), indicating a significant effect of prenatal exercise in reducing lower back pain. Conclusion: Prenatal exercise effectively reduces lower back pain intensity in third-trimester pregnant women. It should be promoted as a non-pharmacological intervention for pregnancy-related back pain and incorporated into maternal health programs.
Hubungan Umur dan Gravida dengan Kejadian Kekurangan Energi Kronik pada Ibu Hamil di Puskesmas Lau Baleng Kecamatan Lau Baleng Tahun 2023 Evalilis Br Munthe; Nur Azizah; Rosmani Sinaga
Jurnal Siti Rufaidah Vol. 2 No. 4 (2024): Jurnal Siti Rufaidah
Publisher : PPNI UNIMMAN

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57214/jasira.v2i4.170

Abstract

Background: Chronic Energy Deficiency (CED) in pregnant women is a health problem that can affect the mother and fetus. Age and number of pregnancies (gravida) are thought to be related to the incidence of CED. This study aims to analyze the relationship between age and number of pregnancies with the incidence of CED in pregnant women at the Lau Baleng Health Center, Lau Baleng District, in 2023.Methods: This study used an analytical design with a cross-sectional approach. The study sample consisted of 56 pregnant women selected by purposive sampling. Data were collected through interviews and measurements of the Upper Arm Circumference (MUAC), then analyzed using the chi-square test.Results: The results showed that 23.2% of respondents experienced CED. Bivariate analysis showed a significant relationship between age and the incidence of CED (p = 0.004), where mothers aged <20 years or >35 years had a higher risk of experiencing CED than mothers aged 20-35 years. In addition, there is a significant relationship between the number of pregnancies (gravida) and the incidence of CED (p = 0.004), where mothers with a history of more than five pregnancies (grandemultigravida) have the highest prevalence of CED (62.5%). Conclusion: The age of pregnant women and the number of pregnancies have a significant relationship with the incidence of CED. Therefore, prevention efforts are needed through nutritional education for pregnant women, especially in the at-risk age group and mothers with high parity, to reduce the incidence of CED.
THE RELATIONSHIP BEHAVIOR OF PREGNANT WOMEN TO THE UTILIZATION OF TRIPLE ELIMINATION EXAMINATION IN PUSKESMAS KUALA BANGKA KAB. LABUHAN BATU UTARA Azizah, Nur; Adethia, Kismiasih; Damanik, Lisa Putri; Sinaga, Rosmani; Pitaloka, Diah
INTERNATIONAL JOURNAL OF MIDWIFERY RESEARCH Vol. 2 No. 1 (2022): International Journal of Midwifery Research
Publisher : Department of Midwifery, Faculty of Nursing and Midwifery, Institut Ilmu Kesehatan Nahdlatul Ulama Tuban

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47710/ijmr.v2i1.29

Abstract

Pregnant women are one of the population at risk of contracting HIV/AIDS, Hepatitis, Syphilis. More than 90% of children are infected with HIV, Syphilis and Hepatitis B from their mothers. The risk of mother-to-child transmission for HIV/AIDS is 20%-45%, for syphilis it is 69-80%, and for hepatitis B it is more than 90% (Ministry of Health, 2017). Infection, syphilis and hepatitis B have the same transmission route, namely through sexual, blood and vertical transmission from mother to child. Infectious diseases such as HIV infection, hepatitis B and syphilis that can be transmitted from mother to fetus through pregnancy, childbirth and breastfeeding, and can cause illness, disability, and death, thus adversely affecting the survival and quality of life of children. However, this can be prevented by simple and effective interventions in the form of early detection (screening) during antenatal care services during a pandemic, namely a minimum of 6 times during pregnancy and services with 10 T and one of the supporting examinations carried out is hemoglobin and triple elimination. Elimination of examinations on every pregnant woman for HIV/AIDS, Hepatitis B and Syphilis which is a form of state responsibility for this problem with the aim of reducing the number of new infections in newborns so that the eyes of transmission from mother to child are cut off. The type of research used is a cross sectional study. This research was a cross sectional analytical survey research. The sample in this study amounted to 35. The sampling technique used in this study used purposive sampling. Results of the study showed that knowledge (p=0.007<0.005), attitude (p=0.45<0.05) and actions (p=0.049<0.05), so it can be concluded that there is a relationship between pregnant women's behavior on the use of triple elimination examination at the Kuala Bangka Health Center, Kab. North Stone Harbor in 2022.
EDUKASI PENANGANAN DAN PENCEGAHAN KEKURANGAN ENERGI KRONIS PADA IBU HAMIL MELALUI PEMERIKSAAN ANC DAN PEMBERIAN TABLET TAMBAH DARAH DAN SUSU NUTRISI TAMBAHAN DI PUSKESMAS PADANG BULAN 2025 Hasanah, Dwi; Azizah, Nur; sianipar, yesica geovany; sinaga, rosmani; sari, mirna; zhalukhu, roswita
Jurnal Pengabdian Kolaborasi dan Inovasi IPTEKS Vol. 3 No. 4 (2025): Agustus
Publisher : CV. Alina

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59407/jpki2.v3i4.2831

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Defenisi Kekurangan Energi Kronis (KEK) pada ibu hamil merupakan salah satu masalah gizi yang berdampak serius terhadap kesehatan ibu dan janin, serta meningkatkan risiko bayi berat lahir rendah (BBLR) dan komplikasi kehamilan. Program pencegahan KEK melalui pendekatan edukatif dan suplementasi gizi menjadi sangat penting di tingkat pelayanan primer. Kegiatan ini bertujuan untuk meningkatkan status gizi ibu hamil melalui pemeriksaan Antenatal Care (ANC), pemberian Tablet Tambah Darah (TTD), dan distribusi susu nutrisi tambahan. Kegiatan dilaksanakan di wilayah kerja Puskesmas Padang Bulan pada bulan Mei–Juni 2025. Metode kegiatan meliputi edukasi gizi, pengukuran Lingkar Lengan Atas (LILA), dan pemantauan konsumsi TTD dan susu. Hasil menunjukkan peningkatan status gizi ibu berdasarkan perubahan LILA dan berat badan, serta meningkatnya pemahaman ibu tentang pentingnya konsumsi makanan bergizi seimbang dan suplementasi. Intervensi ini terbukti efektif dalam pencegahan KEK dan dapat diterapkan secara berkelanjutan di fasilitas kesehatan primer.
Hubungan Nilai Indeks Massa Tubuh dengan Usia Menarche pada Remaja di SMPN Abulyatama Kecamatan Kuta Baro Kabupaten Aceh Besar Provinsi Aceh Lia Wandari; Yasrida Nadeak; Rosmani Sinaga
Detector: Jurnal Inovasi Riset Ilmu Kesehatan Vol. 3 No. 3 (2025): Agustus: Jurnal Inovasi Riset Ilmu Kesehatan
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/detector.v2i3.4216

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Background: Menstruation is the result of a complex interaction that involves the hormonal system and body organs, namely the hypothalamus, pituitary, ovaries and uterus. Things that affect the age of menarche are nutritional status, diet, family economic status, and sports activities.BMI is determined by body weight and height. The impact if young women experience early menarche, which is less than 12 years old, is at risk of developing breast cancer and ovarian cancer To find out the relationship between body mass index values ​​and the age of menarche in young women at Abulyatama Middle School, Aceh Besar district in 2023. This research method is analytic with a cross sectional study design. Using Independent Variables and dependent variables. Sampling technique Random sampling.Data analysis using Chi Square. Results The showed that out of 30 respondents whose body mass index was underweight, 13 respondents (43.3%) had overweight nutritional status, 10 respondents (33.3%) and normal nutritional status, 7 respondents (23.3%). Conclusion: the relationship between body mass index values ​​and menarche age in young women at Abulyatama Junior High School, Aceh Besar District. Based on the test results using Chi Square, it is known that P Value = 0.013, then Ho is rejected, Ha is accepted.
Pemberdayaan Tim Pendamping Keluarga Dan Ibu Balita Dalam Mencegah Stunting Melalui Edukasi Dan Penerapan Teknologi Scation (Stunting Care Application) Di Kelurahan Sunggal Tahun 2024 Pangaribuan, Ingka Kristina; Dewi, Eva Ratna; Marliani, Marliani; Simanjuntak, Parningotan; Sinaga, Rosmani; Agussamad, Indra; Sibarani, Lisa; Rohdearni, Hotna
Jurnal Pengabdian kepada Masyarakat Nusantara Vol. 5 No. 4 (2024): Jurnal Pengabdian kepada Masyarakat Nusantara (JPkMN) Edisi September - Desembe
Publisher : Lembaga Dongan Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55338/jpkmn.v5i4.4391

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Tim Pendamping Keluarga (TPK) adalah tim yang terdiri dari kader dan tenaga kesehatan. Salah satu percepatan penurunan stunting saat ini adalah dengan pendekatan keluarga melalui TPK dan penerapan teknologi digital. Pemerintah menargetkan angka prevalensi tahun 2024 harus mencapai 14%. Saat ini prevalensi stunting di Indonesia mencapai 21,5%. Mitra Pengabdian yaitu Kelurahan Sunggal dengan jumlah responden sebanyak 75 ibu balita, dan berdasarkan hasil wawancara kepada kader di kelurahan sunggal didapatkan 3 anak yang mengalami stunting. Urgensi dalam pengabdian ini adalah pendekatan Tim Pendamping Keluarga dan Penerapan Teknologi SCATION (Stunting care Apllication) untuk mencegah stunting. Hasil Pengabdian yang dilaksanakan telah terbentuk tim pendampin keluarga sebanyak 2 kelompok dan peningkatan pengetahuan ibu dalam menggunakan aplikasi scation dari 75 ibu balita sudah mampu menggunakan sebanyak 72 orang (96%) dan kategori cukup sebanyak 3 orang (4%). Kesimpulan pelaksanaan Pengabdian Masyarakat ini adalah pentingnya pendekatan TPK dan penerapan teknologi SCATION (Stunting Care Apllication) yang merupakan prototype berbasis sistem yang dapat digunakan untuk deteksi dini kejadian stunting dan membantu orangtua dalam memantau tumbuh kembang anak, melalui aplikasi SCATION ibu akan diingatkan dengan sistem alarm setiap bulannya.
The Relationship between Mother's Knowledge and Attitudes and Giving Early Complementary Breastfeeding at UPTD Boronadu Health Center South Nias Regency in 2022 Fau, Yentiria; Painem, Painem; Purba, Edy Marjuang; Sari, Febriana; Situmorang, Tetti Seriati; Nainggolan, Anna Waris; Sinaga, Rosmani
Jurnal EduHealth Vol. 13 No. 02 (2022): Jurnal eduHealth, Periode Oktober - December, 2022
Publisher : Sean Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (213.901 KB)

Abstract

Giving complementary breastfeeding too early is one of the inhibiting factors for exclusive breastfeeding. The results of a preliminary survey conducted at the UPTD Health center Boronadu South Nias Regency where interviews were conducted with mothers and it was found that 8 mothers did not know that babies should only be given breast milk until they were 6 months old and they agreed that babies less than 6 months old were given additional food other than breast milk such as bananas, tea, formula milk and other foods. This study aims to determine the relationship between knowledge and attitudes of mothers regarding early complementary breastfeeding at the UPTD Health center Boronadu South Nias Regency in 2022. This study was an analytic observational study with a cross sectional design. The population is all mothers having babies more than 6 months at the UPTD Health center Boronadu South Nias Regency, namely 118. The number of samples based on the sample formula is 48 people. There is a significant relationship between the knowledge (p=0.022) and attitudes (p=0.006) of postpartum mothers and the provision of early complementary breastfeeding in the UPTD Work Area of the Boronadu Health Center in 2022. It is also hoped that health workers at the UPTD Boronadu Health Center will be able to further increase public knowledge regarding complementary breastfeeding and increasing its role in efforts to achieve exclusive breastfeeding through counseling, which can be carried out at village meetings, posyandu and counseling during pregnancy checks.
The Correlation Between Husband Support And Lifestyle With Nutritional Status Of Implant KB Accepters At Puskesmas Plus Perbaungan, Serdang Bedagai Regency, 2022 Simanjuntak, Lisdayanti; Bui, Thanh Loan; Sinaga, Rosmani; Gurning, Lisbet; Rajagukguk, Kristina; Berutu, Lilis
Jurnal EduHealth Vol. 12 No. 02 (2022): Edition March, Jurnal EduHealth
Publisher : Sean Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (211.475 KB)

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The Family Planning Program (KB) is a government program that seeks to reduce population growth and maternal mortality (Zuhana & Suparni, 2016). The largest type of contraception used in Indonesia is hormonal contraception (Hadisaputra & Sutrisna, 2014). The achievement of active implanted family planning participants in Indonesia in December 2016 amounted to 582,352 (14.6%) (BKKBN, 2017). Implant contraception is one of the long-term contraceptive methods. The prevalence of implant type MKJP users in North Sumatra in 2016 occupied the largest number compared to IUD, MOP and MOW type MKJP users. There are 492,803 active MKJP KB implant users in North Sumatra (9.9% of the total MKJP users in North Sumatra) (BKKBN North Sumatra Province, 2017). In Medan, active KB implant participants in 2016 amounted to 13,636 (3.73% of the total active KB users in Surabaya).
The Effectiveness of Antenatal Class Education on Improving Maternal Preparedness in Facing Postpartum Hemorrhage Azizah, Nur; Sinuhaji, Lidya Natalia; Sinaga, Rosmani; Surbakti, Imran Saputra
Open Access Health Scientific Journal Vol. 6 No. 2 (2025): August 2025
Publisher : Griya Eka Sejahtera

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55700/oahsj.v6i2.105

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Background: Postpartum hemorrhage (PPH) remains a leading cause of maternal mortality globally and in Indonesia. A key contributing factor is the lack of maternal preparedness in recognizing danger signs and responding promptly. Antenatal education, particularly through structured programs such as the Pregnant Women Class, is a strategic intervention to enhance maternal knowledge and readiness. This study aimed to determine the effectiveness of antenatal class education in improving maternal preparedness in facing postpartum hemorrhage in Bangun Rejo Village in 2025.Methods: A pre-experimental study using a one-group pretest-posttest design was conducted in Bangun Rejo Village from May to June 2025. Thirty third-trimester pregnant women were selected through purposive sampling. Participants attended a 90-minute antenatal class session focused on postpartum hemorrhage, delivered through lectures, discussions, and visual media. Preparedness was measured using a standardized questionnaire before and one week after the intervention. Data were analyzed using the Paired T-Test with a significance level of p < 0.05.Results: The mean preparedness score increased from 62.40 (±8.215) before the intervention to 78.73 (±6.542) after, with a mean difference of 16.33 (±7.49). The statistical analysis showed a significant improvement (p = 0.000). Additionally, the number of mothers with high preparedness increased from 0% to 73.3% post-intervention.Conclusion: Antenatal class education significantly improves maternal preparedness to face postpartum hemorrhage. This intervention enhances not only knowledge but also awareness, decision-making ability, and proactive behavior among pregnant women. It is recommended to integrate such educational strategies more broadly into maternal health services to reduce preventable maternal deaths.
Co-Authors Adelina Sembiring Agussamad, Indra Agustina Tumanggor Amalia Fajrika Anna Waris Nainggolan Aritonang, Ribur Asnika Asnika Asnita Sinaga Asrida Julianti Hutagalung Aufa Risna Ayumahara Ayumahara Berutu, Lilis Bintang Tobing Bui, Thanh Loan Damanik, Lisa Putri Damayanty S Debora Debora Deby Chuntya Yun Devita Purnama Devita Purnamasari Dewi Sartika Hutabarat Dewi, Eva Ratna Diah Pitaloka Tarigan Dina Putriati Elika Fitri Endang Panjaitan Endang Susanti Erin Padilah Estika Sianipar, Priska Eva Ratna Dewi Evalilis Br Munthe Fatiyah Fatiyah Fau, Yentiria Fauzianty, Ariska Febriana Sari Febriana Sari Febriana Sari, Febriana Feny Febrianti Furie Estie Honez Gulo, Fransiska Gurning, Lisbet Hadisyah, Hadisyah Hasanah, Dwi Herna Rinayanti Manurung Herna Rinayanti Manurung Hia, Lidia Widarni Husen Saeful Insan Ika Damayanti Sipayung Imarina Tarigan Imran Saputra Surbakti Ingka Kristina Pangaribuan Juliana Munthe Junida Laia Jusnita Kamelia Sinaga KAMELIA SINAGA Kamelia Sinaga Khairani Munthe Khairunnisa Situmorang Kismiasih Adethia Leni Sinaga Lia Wandari Lidya Natalia Br Sinuhaji Lisa Putri Damanik Lubis, Adi Raja Brando Lusiatun magdalena Barus Manurung, Herna Rinayanti Manurung, Indra Septiady Maria Magdalena Marliani Marliani Marliani Marliani Marliani Marlina Lamawati Simbolon Marsa Adelia Mediyana Sembiring Mirna Sari Nduru, Sri Wahyu Netty Herawaty Br Sembiring Nilan Sari Noni Handayani Br Tarigan Nopalina Damanik Nur Azizah Nur Azizah Nur Azizah Nur Azizah Lubis Nurhamida Siregar Nurmalina Hutahaean Painem, Painem Pangaribuan, Ingka Kristina Pasaribu, Riska Susanti Pitaloka, Diah Purba, Edy Marjuang Putri Yani Siahaan Putri, Syke Sheila Rachmat, Ade Rajagukguk, Kristina Ribur Sinaga Rinayanti Manurung, Herna Riyanti Tampubolon Rohdearni, Hotna Rosmala dewi Rumondang Sitorus Sembiring, Isyos Sari Sibarani, Lisa Sibarani, Lisa Erawati Silalahi, Roulina Simamora, Lasria Simanjuntak, Emma Dosriamaya Noni Br. Simanjuntak, Lisdayanti SIMANJUNTAK, PARNINGOTAN Simanullang, Ester Simbolon, Marlina Lasmawati Sinaga, Siti Nurmawan Sinuhaji, Lidya Natalia Siregar, Nurhamida Siska Suci Triana Ginting situmorang, tetti seriati Sonia Novita Sari Sri Nikmah Sri Wahyu Nduru Srilina Br Pinem Sukriyah Sukriyah Surbakti, Imran Saputra Sutaryat Trisnamansyah Tama Rangkuti, Wirda Dwi Tantri, Salda May Ulina Lompohta Pinem, Eva Warta, Waska Y.N, Cindy Yasrida Nadeak Yenni Fransiska B Yesica Geovany Sianipar Yuli Andarina zhalukhu, roswita