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Factors Affecting The Incidence Of Maternal Preeclampsia Kusuma, Intania; Yuliasari, Dewi; Fitria, Fitria; Keswara, Umi Romayati
JKM (Jurnal Kebidanan Malahayati) Vol 9, No 4 (2023): Volume 9 No. 4 Oktober 2023
Publisher : Program Studi Kebidanan Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkm.v9i4.11585

Preeklampsia merupakan salah satu penyebab mortalitas dan morbiditas ibu dan janin. Faktor-faktor yang mempengaruhi terjadinya preeklampsia adalah usia, paritas, riwayat hipertensi, diabetes mellitus, obesitas, molahidatidosa dan kehamilan ganda. Hasil presurvey didapat data pada tahun 2018 angka kejadian preeklampsia ibu bersalin di RSUD HM Ryacudu Kotabumi sebanyak 68 orang.Tujuan penelitian diketahui faktor-faktor yang mempengaruhi kejadian preeklampsia ibu bersalin di RSUD HM Ryacudu Kotabumi.Jenis penelitian ini adalah kuantitatif dengan pendekatan cross sectional. Menggunakan data sekunder.Populasi dalam penelitian ini semua ibu bersalin dengan diagnosa preeklampsia yang di rawat di ruang kebidanan dalam masa rentang waktu Januari 2020 – Desember 2022 sebanyak 86 orang ibu bersalin. Sampel yang digunakan adalah total population sebanyak 86 orang ibu bersalin.Analisis data univariat dengan menggunakan distribusi frekuensi dan bivariat dengan menggunakan (chi-square).Hasil penelitian didapatkan hasil Usia ibu bersalin yang beresiko usia <20 atau >35 tahun sebesar 45 responden (52,3%), riwayat hipertensi ibu yang beresiko sebesar 46 responden (53,5%), paritas ibu yang mengalami resiko 44 responden (51,2%).Kesimpulan Ada hubungan usia dengan kejadian preeklampsia dengan ρ-value sebesar 0,010 dan OR 3.717, ada hubungan riwayat hipertensi dengan kejadian preeklampsia dengan ρ-value sebesar 0,001 dan OR 5.612, dan ada hubungan paritas dengan kejadian preeklampsia dengan ρ-value sebesar 0,006 dan OR 4.016.Peneliti menyarankan ibu untuk menigkatkan kunjungan ANC lebih awal, dan mengajakibu untuk sering mengontrol kehamilan nya agar tidak mengalami resiko pada kehamilan yaitu salah satunya adalah preeklampsia. Kata kunci : Usia, Riwayat hipertensi, Paritas, Preeklampsia ABSTRACT Preeclampsia is one of the causes of maternal and fetal mortality and morbidity. Factors that influence the occurrence of preeclampsia include age, parity, history of hypertension, diabetes mellitus, obesity, hydatidiform mole, and multiple pregnancies. Pre-survey data from 2018 revealed that there were 68 cases of preeclampsia among delivering mothers at HM Ryacudu General Hospital, Kotabumi, North Lampung. The research objective was to identify the factors affecting the occurrence of preeclampsia among delivering mothers at HM Ryacudu General Hospital of Kotabumi.This study was a quantitative research with a cross-sectional approach, using secondary data. The population of this study consists of all delivering mothers diagnosed with preeclampsia who were treated in the obstetrics ward from January 2020 to December 2022, totaling 86 delivering mothers. The sample used is the entire population of 86 delivering mothers. Data analysis included univariate analysis using frequency distribution and bivariate analysis using the chi-square test.The results showed that among the delivering mothers, 45 respondents (52.3%) were at risk due to their age being <20 or >35 years, 46 respondents (53.5%) had a history of hypertension which put them at risk, and 44 respondents (51.2%) who experienced risk had parity.In conclusion, there is a relationship between age and the occurrence of preeclampsia with a ρ-value of 0.010 and an odds ratio (OR) of 3.717. There is a relationship between a history of hypertension and the occurrence of preeclampsia with a ρ-value of 0.001 and an OR of 5.612. There is also a relationship between parity and the occurrence of preeclampsia with a ρ-value of 0.006 and an OR of 4.016.Researchers recommend that mothers increase their early Antenatal Care (ANC) visits and encourage them to frequently monitor their pregnancies to avoid risks, one of which is preeclampsia. Keyword : age, hypertensive history, parity, preeclampsia

Faktor-Faktor Yang Mempengaruhi Penggunaan Metode Kontrasepsi Jangka Panjang Andriani, Verra; Yuliasari, Dewi; Sunarsih, Sunarsih; Samino, Samino
MIDWIFERY JOURNAL Vol 4, No 3 (2024): Volume 4, Nomor 3 September 2024
Publisher : Universitas Malahayati Bandar Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mj.v4i3.17506

Tingginya angka kehamilan beresiko tinggi yang terjadi pada ibu hamil mengakibatkan banyak terjadi permasalahan reproduksi pada wanita dan rendahnya tingkat kesejahteraan keluarga. Metode Kontrasepsi Jangka Panjang merupakan metode kontrasepsi yang efektifitasnya relative lama dan merupakan salah satu upaya promotif serta preventif dari Program Keluarga Berencana Pemerintah dalam rangka menekan laju pertumbuhan penduduk. Berdasarkan hasil pra survey di Puskesmas Rajabasa Indah terdata rendahnya cakupan penggunaan Metode Kontrasepsi Jangka Panjang di Puskesmas Rajabasa Indah pada tahun 2020. Tujuan penelitian ini diketahui faktor-faktor yang mempengaruhi penggunaan Metode Kontrasepsi Jangka Panjang Di Puskesmas Rajabasa Indah Tahun 2021.Jenis penelitian kuantitatif, dengan desain penelitian analytic cross sectional dan pengambilan sampel dengan menggunakan tekhnik accidental sampling dilakukan dari bulan Juni sampai Jui 2021 terhadap 100 responden akseptor KB dimana pengumpulan data menggunakan lembar kuesioner dan ceklist, kemudian dilakukan analisa data secara univariat dan bivariat dengan uji statistik Chi Square dan disajikan dalam bentuk tabel distribusi frekuensi dan tabel hubungan korelasi antara dua variabel dependen dan independen.Dari penelitian yang telah dilakukan didapatkan distribusi frekuensi pemilihan MKJP terbanyak pada non MKJP yaitu 69 orang (69 %), tingkat pendidikan paling banyak pendidikan rendah 63 orang (63%), tingkat pengetahuan paling banyak tingkat pengetahuan rendah 68 orang (68%), umur responden paling banyak antara 20-30 tahun yaitu 59 orang (59%), pekerjaan paling banyak pada status bekerja 66 orang (66%), jumlah anak terbanyak kategori anak banyak yaitu 68 orang (68%) dan dukungan suami paling banyak kategori dukungan yang baik 63 orang (63%). Terdapat hubungan yang signifikan antara pendidikan (p=0,026), tingkat pengetahuan (p=0,034), umur (p=0,035), pekerjaan (p=0,024), jumlah anak (p=0,010), dan dukungan suami (p=0,024) dengan pemilihan MKJP. Saran bagi Wanita Pasangan Usia Subur hendaknya dapat berpartisipasi dalam program Pelayanan Keluarga Berencana dengan menggunakan jenis kontrasepsi MKJP. Kata Kunci : Pendidikan, Pengetahuan, Pekerjaan, Umur, Jumlah Anak, Dukungan Suami dan MKJP. ABSTRAK THE FACTORS CONCERNING THE USE OF LONG-TERM CONTRACEPTION METHOD The high number of high-risk pregnancies that occur in pregnant women causes many reproductive problems on women and low level of family welfare. Long-Term Contraception Method is a contraceptive method with relatively high effectiveness and is one of the promotive and preventive efforts from the Government Family Planning Program in order to suppress the rate of population growth. Based on the results of the pre-survey at Rajabasa Indah Health Center, it was found that the low coverage of the use of the Long-Term Contraception Method at Rajabasa Indah Health Center in 2020. The objective of this study was to determine the factors that influence the use of the Long-Term Contraception Method at Rajabasa Indah Health Center in 2021.This research was quantitative with a cross-sectional analytic research design and sampling using the accidental sampling technique carried out from June to July 2021 on 100 respondents who were registered as family planning acceptors. The data collection technique was through questionnaires and checklists, then data analysis was carried out univariate and bivariate with statistical tests Chi Square and was presented in the form of frequency distribution table and table of correlation relationships between two dependent and independent variables.From the research that has been conducted, it was found that the preference distribution of long term contraception method was the highest in non-long term contraception method namely 69 people (69%), the most dominant education level was 63 people (63%) with low background, the most dominant knowledge level was 68 people (68%) with low knowledge, 59 people (59%) respondents were between 20-30 years, 66 people (66%) were in the working status, 68 people (68%) had many children and 63 people (63%) had good husband support. There were significant relationships between education (p=0.026), level of knowledge (p=0.034), age (p=0.035), occupation (p=0.024), number of children (p=0.010), and husband support (p=0.024) toward the preferences of long-term contraception method. Suggestions for Women with Childbearing Age should be able to participate in the Family Planning Service program using the long-term contraception method type for contraception. Keywords : Education, Knowledge, Occupation, Age, Number of Children, Husband Support and long-term Contraception Method.

Perbedaan Efektivitas Masase Kutaneus Dan Aroma Terapi Lavender Terhadap Dismenorea Yunitasari, Anggi; Yantina, Yuli; Iqmy, Ledy Octaviani; Yuliasari, Dewi
MIDWIFERY JOURNAL Vol 2, No 3 (2022): Volume 2 Nomor 3,September 2022
Publisher : Universitas Malahayati Bandar Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mj.v2i3.8417

Background: Dysmenorrhea is a pain during period, the prevalence of women who get dysmenorrhea in Indonesia about 55%. The prevalence of dysmenorrhea reaches 59.7%. Of those who complain the pain, 12% severe, 37% medium, and 49% mild. Pain reduction therapy could be done by Cutaneous Massage and Lavender Aromatherapy. Pourpuse: To know the differences of cutaneous massage and lavender aromatherapy on dysmenorrhea in Diniyyah Putri Islamic Senior High School Lampung year of 2020. Methods: Quantitative research type with Quasy Experiment research design. The population was 168 with 30 people as purposive sampling technique. Divided into two groups, consist of 15 respondents of cutaneous massage and 15 respondents of lavender aromatherapy. Collecting data used observation sheet. Univariate and bivariate (t-test) data analysis. Result: The research result was known that the average of dysmenorrhea before given cutaneous massage was 5.5, after given cutaneous massage was 2.93, after given lavender aromatherapy in Diniyyah Putri Islamic Senior High School Lampung year of 2020 was 5.53 after given lavender aromatherapy was 3.47. Conclusion: There were differences of cutaneous massage and lavender aromatherapy on dysmenorrhea in Diniyyah Putri Islamic Senior High School Lampung year of 2020, p-value 0.038 with the difference as much as 0.533. Suggestion: The suggestion is to be able to give special attention for the students who are on period, such as reminding them to do pain reduction therapy. Keywords : Cutaneous Massage,Dysmenorrhea Pain, Lavender Aromatherapy, ABSTRAK Latar Belakang: Dismenorea adalah nyeri sewaktu haid, Prevalensi wanita yang mengalami dismenorea di Indonesia diperkirakan 55%. Prevalensi dismenorea mencapai 59,7%. Dari mereka yang mengeluh nyeri, 12% berat, 37% sedang, dan 49% ringan. Terapi pengurangan rasa nyeri dapat dilakukan dengan masase kutaneus dan aroma terapi lavender. Tujuan: Mengetahui perbedaan efektivitas masase kutaneus dan aroma terapi lavender terhadap dismenorea pada Siswi Madrasah Aliyah Swasta (MAS) Diniyyah Putri Lampung Tahun 2020. Metode: Jenis penelitian kuantitatif dengan rancangan penelitian Quasi Eksperimen. Populasi sebanyak 168 dengan sampel sebanyak 30 orang teknik sampling purposive sampling yang dibagi menjadi dua kelompok, terdiri dari 15 responden kelompok masase kutaneus dan 15 orang kelompok aroma terapi lavender. Pengumpulan data dengan lembar observasi. Analisa data univariat dan bivariat uji t (t-test). Hasil: Hasil penelitian diketahui rata-rata nyeri dismenorea sebelum diberikan masase kutaneus adalah 5,5, setelah diberikan masase kutaneus adalah 2,93, sebelum diberikan aroma terapi lavender Pada Siswi Madrasah Aliyah Swasta (MAS) Diniyyah Putri Lampung Tahun 2020 adalah 5,53 sesudah diberikan aroma terapi lavender adalah 3,47. Terdapat perbedaan Efektivitas Masase kutaneus dan Aroma Terapi Lavender Terhadap Dismenorea Pada Siswi Madrasah Aliyah Swasta (MAS) Diniyyah Putri Lampung Tahun 2020, p-value 0,038 dengan perbedaan sebesar 0,533. Kesimpulan: Terdapat perbedaan Efektivitas Masase kutaneus dan Aroma Terapi Lavender Terhadap Dismenorea Pada Siswi Madrasah Aliyah Swasta (MAS) Diniyyah Putri Lampung Tahun 2020, p-value 0,038dimana masase kutaneus lebih efektiv dari aromaterapi lavender terhadap dismenorea. Saran: Diharapkan dapat perhatian khusus bagi siswi yang sedang haid, seperti mengingatkan untuk melakukan terapi pengurangan nyeri. Kata Kunci : Aroma Terapi Lavender, ,Nyeri Dismenorea, Masase Kutaneus

FAKTOR-FAKTOR YANG MEMPENGARUHI KEJADIAN POST PARTUM BLUES DI PMB NURHASANAH, S.Tr.Keb TELUK BETUNG BANDAR LAMPUNG Yuliasari, Dewi; Putri, Ratna Dewi
MIDWIFERY JOURNAL Vol 1, No 1 (2021): Volume 1 Nomor 1,Maret 2021
Publisher : Universitas Malahayati Bandar Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mj.v1i1.3450

Abstract Background : According to nanny (2011), some factors influencing blues post-partum include hormonal factor, physical discomfort, inability to adapt with physical and hormonal changes, age and parity, experience in pregnancy and birthing processes, woman’s psychosocial such as education level, marital status, unwanted pregnancy, psychiatric disorder history, social-economy, stress in family, personal stress, and exhausted after birthing.The objective of this research was to find out the factors influencing blues post-partum case in Nurhasanah, Str.Keb midwifery clinic in Teluk Betung of Bandar Lampung in 2020.Methodology : This was a quantitative analytic research by using cross sectional approach. Population was all 2-4 days birthing mothers in Nurhasanah, Str.Keb midwifery clinic in Teluk Betung of Bandar Lampung. This research was conducted in 14 days and took 40 respondent samples by using purposive sampling techniqueResults : The statistic test result showed that age (p-value 0.004), parity (p-value 0.035), and physical discomfort (p-value 0.014) influenced blues post-partum case in Nurhasanah, Str.Keb midwifery clinic in Teluk Betung of Bandar Lampung in 2020. The researcher expects this research result to be additional information for midwifery clinics. Keyword :Post Partum, Post Partum Blues, Usia AbstrakLatar Belakang : Menurut Nanny (2011), beberapa faktor yang mempengaruhi post partum blues antara lain: faktor hormonal, ketidaknyamanan fisik, ketidakmampuan beradaptasi terhadap perubahan fisik dan emosional, faktor usia dan paritas, pengalaman dalam proses kehamilan dan persalinan, latar belakang psikososial, stres yang dialami wanita itu sendiri, dan kelelahan pasca melahirkan. Tujuan dalam penelitian ini adalah diketahui faktor-faktor yang mempengaruhi kejadian postpartum blues Di PMB Nurhasanah, S.Tr.Keb Teluk Betung Bandar Lampung Tahun 2020.Tujuan : Mengetahui factor-faktor yang berhubungan dengan kejadian post partum blues di PMB Nurhasanah, S.Tr.Keb Teluk Betung Tahun 2020Metodologi : Jenis penelitian kuantitatif, rancangan penelitian menggunakan analitik menggunakan pendekatan cross sectional. Populasi penelitian ini adalah ibu nifas 2-4 hari 65 ibu nifas Di PMB Nurhasanah, S.Tr.Keb Teluk Betung Bandar Lampung pada saat peneliti melakukan penelitian. Sampel dalam penelitian ini adalah seluruh ibu yang melakukan persalinan atau ibu nifas 2-4 hari Di PMB Nurhasanah, S.Tr.Keb Teluk Betung Bandar Lampung pada saat peneliti melakukan penelitian selama 14 hari ditemukan ibu nifas 2-4 hari berjumlah 40 responden dalam penelitian ini teknik sampling yang digunakan adalah Purposive Sampling.Hasil : Didapatkan Berdasarkan hasil uji statistic, terdapat faktor-faktor yang mempengaruhi kejadian postpartum blues Di PMB Nurhasanah, S.Tr.Keb Teluk Betung Bandar Lampung Tahun 2020 Ketidaknyamanan Fisik (p-value 0,014) Usia (p-value 0,004) Paritas (p-value 0,035). Diharapkan hasil penelitian agar dapat menjadi tambahan informasi bagi PMB. Kata Kunci : Age,Post Partum,Post Partum Blues

The Effect Of Oxytocin Massage On Breast Milk Expenditure In Post Partum Mothers Baiduri, Citra; Yantina, Yuli; Utami, Vida Wira; Yuliasari, Dewi
JKM (Jurnal Kebidanan Malahayati) Vol 10, No 1 (2024): Volume 10, No 1 Januari 2024
Publisher : Program Studi Kebidanan Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkm.v10i1.11494

Latar belakang: Besarnya manfaat ASI tidak di imbangi oleh peningkatan perilaku pemberian ASI sehingga bayi tidak mendapatkan ASI dengan baik. Data di Indonesia tahun 2021 menyebutkan bahwa hanya sebesar 52,5% atau hanya setengah dari 2,3juta bayi berusia kurang dari 6 bulan yang mendapat ASI eklusif. Tidak semua ibu post partum langsung mengeluarkan ASI karena pengeluaran ASI, di RSUD Dr. H. Abdul Moeloek Provinsi Lampung sebanyak 50% ibu mengeluh bahwa produksi ASI nya kurang lancar dan produksi ASI sedikit. Teknik untuk memperbanyak ASI antara lain pijat oksitosin. Melalui pijatan atau rangsangan tulang belakang, neurotransmitter akan merangsang medulla oblongata langsung mengirim ke hipotalamus di hypovise posterior untuk mengeluarkan oksitoksin sehingga menyebabkan keluarnya ASI.Tujuan: Tujuan dari penelitian ini adalah diketahui pengaruh pijat oksitosin tehadap pengeluaran ASI pada ibu post partum. Metode: Jenis penelitian ini adalah kuantitatif, menggunakan rancangan quasi eksperimental dengan menggunakan posttest only with control group design. Populasi penelitian ini adalah seluruh ibu postpartum di RSUD Dr. H. Abdul Moeloek Provinsi Lampung, dengan jumlah sampel sebanyak 32 orang, menggunakan accidental sampling. Variabel independent pada penelitian ini adalah pijat oksitosin, dan variabel dependennya adalah Pengeluaran ASI. Uji stastistik menggunakan uji T independen.Hasil: Hasil penelitian diperoleh rata-rata pengeluaran ASI pada kelompok yang diberi perlakuan pijat oksitosin 7,338cc, sedangkan pada kelompok yang tidak diberi perlakuan pijat oksitosin adalah 4,956 cc. Dari hasil uji statistik diperoleh p-value =0,000.Kesimpulan: Ada pengaruh pijat oksitosin terhadap pengeluaran ASI pada ibu post partum.Saran: Diharapkan tenaga medis khususnya bidan dapat memberikan manajemen laktasi kepada ibu nifas dengan cara melakukan pijat oksitosin Kata Kunci : Pijat oksitosin, pengeluaran ASI ABSTRACT Background: The magnitude of the benefits of breastfeeding is not matched by an increase in breastfeeding behavior so that the baby does not get breast milk properly. Data in Indonesia for 2021 states that only 52.5% or only half of the 2.3 million babies aged less than 6 months are exclusively breastfed. Not all post partum mothers immediately express breast milk because of milk expenditure, at Dr. H. Abdul Moeloek Lampung Province as many as 50% of mothers complained that their milk production was not smooth and less milk production. Techniques for increasing breast milk include oxytocin massage. Through massage or spinal stimulation, neurotransmitters will stimulate the medulla oblongata directly sending to the hypothalamus in the posterior hypovise to release oxytocin, causing milk to be released.Purpose: The purpose of this study was to determine the effect of oxytocin massage on breast milk expenditure in post partum mothers.Methods: This type of research is quantitative, using a quasi-experimental design using a posttest only with control group design. The population of this study were all postpartum mothers at RSUD Dr. H. Abdul Moeloek Lampung Province, with a total sample of 32 people, using accidental sampling. The independent variable in this study was oxytocin massage, and the dependent variable was breast milk expenditure. The statistical test uses an independent T test.Result: The results showed that the average milk production in the group that was treated with oxytocin massage was 7.338 cc, while in the group that was not treated with oxytocin massage it was 4.956 cc. From the results of statistical tests obtained p-value = 0.000.Conclusion: is an effect of oxytocin massage on breastfeeding in post partum mothers.Suggestion: It is hoped that medical personnel, especially midwives, can provide lactation management to postpartum mothers by doing oxytocin massage. Keywords: Oxytocin massage, Breast milk expenditure.

The Effect Of Citrus Aurantium Aromatherapy On Sleep Quality In Pregnant Women With Sleep Disorders Indrawati, Ririn; Lathifah, Neneng Siti; Susilawati, Susilawati; Yuliasari, Dewi
JKM (Jurnal Kebidanan Malahayati) Vol 10, No 5 (2024): Volume 10,No.5 Mei 2024
Publisher : Program Studi Kebidanan Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkm.v10i5.12605

Background: The number of pregnant women who experience sleep disorders in Sumber Bahagia Village, Central Lampung Regency is 31 (72.1%) pregnant women in 2023. And most often occur in the third trimester of pregnancy which is caused by various factors such as hormonal changes, emotional stress and physique problems. To overcome sleep disorders, you can use citrus aurantium aroma therapy.Objective: Understanding the effect of Citrus Aurantium aromatherapy on the sleep quality of pregnant women with sleep disorders in Sumber Bahagia Village, Central Lampung Regency.Method: The research type is a pre-experimental study using a One Group Pretest Posttest Design. The population consists of all pregnant women with sleep disorders. Sleep quality was measured using the PSQI (Pittsburgh Sleep Quality Index). The citrus was administered using cotton, with 2-3 drops of citrus oil to be inhaled for 10 minutes, and this was done for 7 days. The sample was determined using total sampling technique based on inclusion and exclusion criteria, resulting in 31 respondents. The research instrument is the Pittsburgh Sleep Quality Index (PSQI) questionnaire. The statistical test used was the Wilcoxon Signed Ranks test with a significance level of 0.05.Results: age characteristics of respondents, most of them were 21-35 years old (74.2%), parity 2-3 (61.3%) and gestational age TM I (12.9%), TM II (25.8%) TM III (61.3%). The average sleep quality of pregnant women before being given citrus aurantium aromatherapy based on PSQI was 10.91 in the poor category. After being given aromatherapy, the average sleep quality score based on PSQI was 9.39. Hypothesis test results on the effect of citrus aurantium aromatherapy on sleep quality with a p value of 0.000.Conclusion: There is an effect of citrus aurantium aromatherapy on sleep quality in pregnant women with sleep disorders in Sumber Bahagia Village, Central Lampung Regency in 2023.Suggestion: Health workers, especially midwives, recommend that pregnant women who experience sleep disorders try using citrus aurantium aromatherapy. Keywords : Citrus Aurantium Aromatherapy, Sleep Quality, Pregnant Women ABSTRAK : PENGARUH AROMATERAPI CITRUS AURANTIUM TERHADAP KUALITAS TIDUR PADA IBU HAMIL DENGAN GANGGUAN TIDUR Latar Belakang : Jumlah ibu hamil yang mengalami gangguan tidur di Desa Sumber Bahagia Kabupaten Lampung Tengah sebanyak 31 (72,1%) ibu hamil pada tahun 2023. Dan paling sering terjadi pada kehamilan trimester III yang disebabkan oleh berbagai faktor seperti perubahan hormonal. , stres emosional dan masalah fisik. Untuk mengatasi gangguan tidur, Anda bisa menggunakan terapi aroma citrus aurantium.Tujuan: Mengetahui pengaruh aromaterapi Citrus Aurantium terhadap kualitas tidur ibu hamil dengan gangguan tidur di Desa Sumber Bahagia Kabupaten Lampung Tengah.Metode: Jenis penelitian adalah penelitian pre-eksperimental dengan menggunakan One Group Pretest Posttest Design. Populasinya terdiri dari seluruh ibu hamil dengan gangguan tidur. Kualitas tidur diukur menggunakan PSQI (Pittsburgh Sleep Quality Index). Jeruk diberikan dengan menggunakan kapas, dihirup 2-3 tetes minyak jeruk selama 10 menit, dan dilakukan selama 7 hari. Sampel ditentukan dengan teknik total sampling berdasarkan kriteria inklusi dan eksklusi sehingga diperoleh 31 responden. Instrumen penelitiannya adalah kuesioner Pittsburgh Sleep Quality Index (PSQI). Uji statistik yang digunakan adalah uji Wilcoxon Signed Ranks dengan tingkat signifikansi 0,05.Hasil: karakteristik usia responden sebagian besar berusia 21-35 tahun (74,2%), paritas 2-3 (61,3%) dan usia kehamilan TM I (12,9%), TM II (25,8%) TM III (61,3%). ). Rata-rata kualitas tidur ibu hamil sebelum diberikan aromaterapi citrus aurantium berdasarkan PSQI sebesar 10,91 dengan kategori buruk. Setelah diberikan aromaterapi, rata-rata skor kualitas tidur berdasarkan PSQI sebesar 9,39. Hasil uji hipotesis pengaruh aromaterapi jeruk aurantium terhadap kualitas tidur dengan nilai p value 0,000.Kesimpulan : Terdapat pengaruh aromaterapi jeruk aurantium terhadap kualitas tidur pada ibu hamil dengan gangguan tidur di Desa Sumber Bahagia Kabupaten Lampung Tengah Tahun 2023.Saran : Tenaga kesehatan khususnya bidan menganjurkan agar ibu hamil yang mengalami gangguan tidur mencoba menggunakan aromaterapi citrus aurantium. Kata Kunci : Aromaterapi Citrus Aurantium, Kualitas Tidur, Ibu Hamil

Manfaat Nugget Ikan Kembung Untuk Tumbuh Kembang Anak Yuviska, Ike Ate; Yuliasari, Dewi; Suharman, Suharman; Oktaviyani, Dwi
Jurnal Perak Malahayati: Pengabdian Kepada Masyarakat Vol 7, No 2 (2025): Volume 7 Nomor 2 November 2025
Publisher : Program Studi Kebidanan Fakultas Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jpmpkm.v7i2.23457

Pendahuluan: Stunting masih menjadi masalah kesehatan masyarakat di Kabupaten Tanggamus, dengan prevalensi 17,1% pada tahun 2023. Intervensi berbasis pangan lokal diperlukan untuk mencegah stunting.Tujuan: Program kerja GENTA (Gemar Nugget Ikan Kembung untuk Tumbuh Kembang Anak) bertujuan meningkatkan pengetahuan masyarakat dan pemanfaatan ikan kembung sebagai pangan bergizi.Metode: Kegiatan dilaksanakan pada 22 Agustus 2025 di Balai Pekon Bandar Kejadian, Kecamatan Wonosobo, Kabupaten Tanggamus. Peserta berjumlah 25 orang yang terdiri dari kader posyandu, ibu PKK, perangkat pekon, dan masyarakat. Metode kegiatan meliputi sosialisasi stunting, demonstrasi pembuatan nugget ikan kembung, pretest–posttest, serta penyerahan buku GENTA. Analisis data menggunakan uji paired sample t-test.Hasil: Nilai rata-rata pengetahuan meningkat dari 43,16 (pretest) menjadi 46,04 (posttest) dengan selisih 2,88 poin (p < 0,05). Hasil ini menunjukkan kegiatan berpengaruh signifikan terhadap peningkatan pengetahuan peserta. Produk nugget ikan kembung mendapat respon positif, terutama karena lebih disukai anak-anak dibanding ikan segar.Kesimpulan: Program kerja GENTA efektif meningkatkan pengetahuan masyarakat tentang stunting dan pemanfaatan pangan lokal.Saran: Disarankan pengembangan diversifikasi olahan ikan kembung, pendampingan pemasaran, dan penelitian lebih lanjut terkait dampak konsumsi nugget ikan terhadap status gizi anak.

FAKTOR YANG BERHUBUNGAN DENGAN KEJADIAN KEPUTIHAN PADA WANITA USIA SUBUR Sipayung, Helmi Rosdelina; Yuliasari, Dewi; Anggraini, Anggraini; Suharman, Suharman
Jurnal Ilmu Kebidanan Vol 16, No 1 (2026): Jurnal Ilmu Kebidanan
Publisher : Sekolah Tinggi Ilmu Kesehatan Adila Bandar Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54444/jik.v16i1.214

Background: Vaginal discharge (flour albus) is a common reproductive problem in women of childbearing age (WUS) that can be physiological or pathological. In Indonesia, up to 90% of women experience it, mainly due to the tropical climate, poor genital hygiene, and fungal, bacterial or parasitic infections such as Candida and Trichomonas vaginalis. The impact includes infertility, anxiety, and even cervical cancer. Pre-survey data at Puskesmas Kedondong showed that all WUS had never received related education, 88% had poor personal hygiene behavior, and 28% experienced pathological vaginal discharge. The causative factors include knowledge, attitude, hygiene behavior, age, education, and menstrual cycle. Purpose: The purpose of the study was to determine the factors associated with the incidence of vaginal discharge in women of childbearing age in the Kedondong Health Center Working Area. Methods : This type of research is quantitative, cross sectional research design. The population in this study were all women of childbearing age (WUS) aged 15-49 years in the Kedondong Health Center Working Area as many as 6317 respondents with a sample of 377 WUS using proportional random sampling technique. Data collection using questionnaire sheets, univariate and bivariate data analysis (chisquare test). Results: The results of the univariate study found that as many as 207 (54.9%) respondents with good knowledge, as many as 203 (53.8%) respondents with a positive attitude, as many as 260 (69.0%) respondents with positive hygiene behavior, and as many as 267 (70.8%) respondents experienced normal vaginal discharge. Conclusion: There was a relationship between knowledge (p-value = 0.001), attitude (p-value = 0.001), personal hygiene behavior (p-value = 0.001) with the incidence of vaginal discharge in women of childbearing age in the Kedondong Health Center Working Area. Suggestion: Advice for health workers can provide counseling on vaginal discharge prevention to improve the reproductive health of women of childbearing age.

A Descriptive Statistics Study Of Knowledge Among First-Trimester Pregnant Women On Ginger Aromatherapy To Reduce Emesis Gravidarum Pratiwi, Dea Ayu; Yuviska, Ike Ate; Yuliasari, Dewi
JKM (Jurnal Kebidanan Malahayati) Vol 12, No 1 (2026): Volume 12 No 1 Januari 2026
Publisher : Program Studi Kebidanan Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkm.v12i1.24143

Emesis gravidarum merupakan keluhan yang umum dialami ibu hamil terutama pada trimester pertama, ditandai dengan mual dan muntah yang dapat memengaruhi kondisi fisik maupun psikologis ibu. Salah satu alternatif penanganan non-farmakologis yang aman dan efektif adalah penggunaan aromaterapi jahe. Berdasarkan data di Puskesmas Way Kandis Kota Bandar Lampung, diketahui bahwa masih banyak ibu hamil trimester pertama yang belum memahami manfaat aromaterapi jahe untuk mengurangi keluhan mual muntah selama kehamilan. Tujuan: Mengetahui gambaran tingkat pengetahuan ibu hamil trimester pertama tentang aromaterapi jahe dalam mengurangi emesis gravidarum di wilayah kerja Puskesmas Way Kandis Kota Bandar Lampung tahun 2025. Metode: Penelitian ini menggunakan metode deskriptif kuantitatif. Populasi dalam penelitian ini adalah seluruh ibu hamil trimester pertama di Puskesmas Way Kandis Kota Bandar Lampung pada bulan April–Mei 2025. Teknik pengambilan sampel menggunakan total sampling dengan jumlah 35 responden. Instrumen penelitian berupa kuesioner, dan data yang dikumpulkan meliputi data primer dan sekunder. Analisis data dilakukan secara deskriptif untuk menggambarkan tingkat pengetahuan responden.Hasil: Berdasarkan hasil penelitian diperoleh bahwa pengetahuan responden tergolong cukup sebanyak 16 orang (45,7%), kategori baik sebanyak 13 orang (37,1%), dan kategori kurang sebanyak 6 orang (17,1%). Hal ini menunjukkan bahwa sebagian besar ibu hamil memiliki tingkat pengetahuan yang cukup tentang aromaterapi jahe, namun belum sepenuhnya memahami manfaat, mekanisme kerja, dan keamanan penggunaannya secara menyeluruh.Kesimpulan: Gambaran pengetahuan ibu hamil trimester pertama tentang aromaterapi jahe di wilayah kerja Puskesmas Way Kandis Kota Bandar Lampung tahun 2025 sebagian besar berada pada kategori cukup. Diperlukan edukasi dan penyuluhan berkelanjutan oleh tenaga kesehatan mengenai penggunaan aromaterapi jahe yang tepat dan aman sebagai terapi non-farmakologis dalam mengatasi emesis gravidarum. Kata Kunci: Pengetahuan, Ibu Hamil Trimester I, Aromaterapi Jahe, Emesis Gravidarum ABSTRACT Emesis gravidarum is a common complaint experienced by pregnant women, especially in the first trimester, characterized by nausea and vomiting that can affect the mother’s physical and psychological condition. One of the safe and effective non-pharmacological alternatives to reduce nausea and vomiting is ginger aromatherapy. Based on data from the Way Kandis Community Health Center in Bandar Lampung City, many first-trimester pregnant women still have limited knowledge about the benefits of ginger aromatherapy as an alternative therapy for nausea and vomiting during pregnancy.Objective: To describe the level of knowledge of first-trimester pregnant women about ginger aromatherapy in reducing emesis gravidarum at the Way Kandis Community Health Center, Bandar Lampung City, in 2025.Method: This research used a descriptive quantitative method. The population consisted of all first-trimester pregnant women at the Way Kandis Community Health Center, Bandar Lampung City, during April–May 2025. The sampling technique was total sampling, with a total of 35 respondents. The research instrument was a questionnaire, and the data collected included both primary and secondary data. The data were analyzed descriptively to describe respondents’ levels of knowledge.Result: The results showed that 16 respondents (45.7%) had a moderate level of knowledge, 13 respondents (37.1%) had a good level of knowledge, and 6 respondents (17.1%) had a low level of knowledge. These findings indicate that most pregnant women have a moderate understanding of ginger aromatherapy but do not fully comprehend its benefits, mechanisms, and safety of use.Conclusion: The description of first-trimester pregnant women’s knowledge about ginger aromatherapy at the Way Kandis Community Health Center, Bandar Lampung City, in 2025 showed that most respondents had a moderate level of knowledge. It is recommended that continuous education and counseling be provided by health workers regarding the correct and safe use of ginger aromatherapy as a non-pharmacological effort to reduce nausea and vomiting during early pregnancy. Keywords: Knowledge, Pregnant Women, Ginger Aromatherapy, Emesis Gravidarum

Dragon Fruit (Hylocereus Polyrhizus) And Honey (Mellis) For Improving Hemoglobin Levels In Anemic Pregnant Women Julianti, Santika; Yuliasari, Dewi; Yuviska, Ike Ate
JKM (Jurnal Kebidanan Malahayati) Vol 12, No 1 (2026): Volume 12 No 1 Januari 2026
Publisher : Program Studi Kebidanan Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkm.v12i1.24295

Background: Anemia during pregnancy is a common health problem that can seriously affect both the mother and fetus. Non-pharmacological interventions, such as consuming iron-rich foods and vitamin C, including dragon fruit and honey, are one strategy to address this condition.Objective: This study aimed to determine the effect of dragon fruit juice (Hylocereus polyrhizus) and honey (Mellis) consumption on increasing hemoglobin (Hb) levels in anemic pregnant women.Methods: A pretest-posttest design with a control group was used. The sample consisted of 34 anemic pregnant women at Puskesmas Hajimena, South Lampung, selected through total sampling. The intervention involved daily consumption of dragon fruit juice and honey for a specified period. Data were analyzed using statistical tests to compare Hb levels before and after the intervention.Results: A significant increase in Hb levels was observed after administering dragon fruit juice and honey. Statistical analysis showed a meaningful effect on hemoglobin levels (p 0.05).Conclusion: Daily consumption of dragon fruit juice and honey significantly increases hemoglobin levels in anemic pregnant women. This natural intervention can be a safe and effective complementary strategy to prevent and treat anemia during pregnancy.Keywords: Dragon fruit, honey, anemia, pregnant women

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