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Pengaruh Pijat Perineum terhadap Ruptur Perineum pada Ibu Primigravida di Rumah Bersalin Rosita Ratih, Rini Hariani; Yusmaharani, Yusmaharani; Nurmaliza, Nurmaliza
Jurnal Ilmiah Kebidanan Indonesia Vol 11 No 02 (2021): Jurnal Ilmiah Kebidanan Indonesia (Indonesian Midwifery Scientific Journal) Sek
Publisher : Q PRESS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33221/jiki.v11i02.1035

Pijat perineum adalah salah satu cara untuk meningkatkan kesehatan, aliran darah, elastisitas, dan relaksasi otot-otot dasar panggul. Teknik ini, dilakukan pada akhir kehamilan (mulai minggu ke-34), pijat perineum akan membantu mengenali dan membiasakan diri dengan merileksasikan jaringan perenium yaitu bagian yang akan dilalui oleh bayi . Tujuan Penelitian untuk Mengetahui pengaruh pemijatan perineum terhadap ruptur perineum pada Ibu Trimester III Penelitian ini bersifat kuantitatif analitik observasional menggunakan design penelitian corelasional dengan pendekatan cohort/ prospektif. Populasi dalam penelitian ini adalah seluruh ibu hamil trimester III. Sampel adalah ibu hamil trimester III berjumlah 30 responden. Pengambilan sampel menggunakan non probability sampling dengan metode purposive sampling. Uji statistik yang digunakan uji chi square. Hasil : Risiko tidak terjadinya rupture perineum pada ibu trimester III setelah dilakukan pijat perenium sebesar P Value = 0,017 dengan nilai OR = 15,000. Secara statistik hasilnya signifikan (p<0,05), artinya terdapat pengaruh antara pijat perineum dengan rupture perineum. Kesimpulan ada pengaruh antara pijat perineum dengan rupture perineum. Teratur dan tidak teraturnya ibu melakukan pijat perenium, paritas terutama primi gravida serta berat badan bayi lahir juga mempunyai pengaruh terhadap terjadinya rupture perineum.

EFEKTIFITAS ABDOMINAL LIFTING TERHADAP NYERI PADA IBU BERSALIN KALA I DI KLINIK PRATAMA JAMBU MAWAR Ratih, Rini Hariani; Yusmaharani, Yusmaharani
JOMIS (Journal of Midwifery Science) Vol 8 No 2 (2024): JOMIS (Journal Of Midwifery Science)
Publisher : LPPM Universitas Abdurrab

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36341/jomis.v8i2.4670

Pain during labor is a manifestation of contractions (shortening) of the uterine muscles. This contraction causes pain in the waist, stomach area and spreads towards the thighs. The level of labor pain is described by the intensity of pain perceived by the mother during the birth process, if not handled properly, it can increase anxiety or worry to the point of depression and has the effect of increasing the hormone adrenaline, affecting the mother's cardiac output and decreasing uteroplacental perfusion and can cause prolonged labor. One step in reducing pain is by applying abdominal lifting. The research method uses a quasi experimental approach. This study aims to determine the effectiveness of abdominal lifting in reducing labor pain. The population in this study was all mothers in the first stage of labor at the Pratama Guava Rose Clinic. The sample collection method was purposive sampling with a sample size of 15 people. Data were collected using a pain intensity scale during the pretest before the intervention and posttest after the intervention. The results of the univariate research showed that the average labor pain before the abdominal lifting technique was 6.80 with a standard deviation of 1.85, while the results after the abdominal lifting technique were 3.93 with a standard deviation of 1.09. The results of the bivariate research showed that the abdominal lifting technique was effective in reducing pain in the first stage of labor with a p value of 0.002. It is hoped that respondents and health workers can apply the abdominal lifting technique during labor to help reduce the pain felt during labor so as to increase maternal comfort.

Pengaruh Rendaman Air Kencur Terhadap Oedema di Tungkai Pada Ibu Hamil Trimester III Ratih, Rini Hariani; Yusmaharani, Yusmaharani
Jurnal Ilmu Kesehatan Abdurrab Vol 2 No 1 (2024): Volume 2 Nomor 1 Maret 2024
Publisher : LPPM Universitas Abdurrab

Show Abstract | Download Original | Original Source | Check in Google Scholar

Background: Edema or swelling due to fluid accumulation in the body often occurs in the extremities, especially in the legs, occurring in around 80% of pregnancies. Carrying out therapy by soaking the feet in warm water mixed with galangal is one of the non-medical measures that can be carried out on pregnant women, with ingredients that are easy to get at the nearest shop. The aim of this study was to determine the effect of galangal water immersion on edema in the legs in third trimester pregnant women. The research method uses the Quasy Experiment type of research. The design used is One Group Pre Test and Posttest. This research was conducted at the Pratama Guava Rose Clinic. Tools and materials used kencur and observation sheet. The population in this study was 13 respondents, sampling using Quota sampling, namely a sampling technique based on criteria set by the researcher. The data sources used are primary data and secondary data. Data analysis used univariate and bivariate before carrying out the bivariate test, a parametric test was carried out, namely the normality test of normally distributed data, namely using the T-Dependent test. The research results show the effect of galangal water immersion on edema in the legs in pregnant women in the third trimester. Significance value < 0.005 with P value = 0.001 (Ha accepted). Conclusion There is an effect of galangal water immersion on edema in the legs in third trimester pregnant women at the Pratama Jambu Mawar Clinic

PENGARUH KOMUNIKASI INTERPERSONAL ORANG TUA -REMAJA (KETERBUKAAN DAN EMPATI) TERHADAP PRILAKU SEK PRANIKAH PADA REMAJA Ratih, Rini Hariani; Yusmaharani, Yusmaharani; Nurmaliza, Nurmaliza
Jurnal Kebidanan Khatulistiwa Vol 10, No 1 (2024): Jurnal Kebidanan Khatulistiwa
Publisher : Poltekkes Kemenkes Pontianak

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30602/jkk.v10i1.1284

Interpersonal communication or interpersonal communication is communication between people face to face, which allows each participant to capture other people's reactions directly, both verbally and non-verbally. Effective communication is communication that creates understanding, pleasure, influences attitudes, improves relationships and actions, so that any advice given by the mother or father is not considered a passing thought. This type of research is an analytical survey with a cross sectional design. The research was carried out at SMPN and MTSN in Tambang District with a population of 295 people and a sample of 192 people. sample of 192 people. The results of statistical tests show that the openness aspect (p=0.002) and the empathy aspect (p=0.001) are significant, so it can be concluded that there is an influence of the openness aspect and the empathy aspect on paramarital sexual behavior in adolescents.

Meningkatkan Kualitas Hidup Remaja melalui Terapi Komplementer: Pendekatan Holistik untuk Kesehatan Remaja (Improving Adolescent Quality of Life through Complementary Therapies: A Holistic Approach to Adolescent Health) Siagian, Dewi Sartika; Sidoretno, Wahyu Margi; Ratih, Rini Hariani; Ayuningtyas, Ratih
Indonesia Berdaya Vol 6, No 1 (2025)
Publisher : UKInstitute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47679/ib.20251011

Terapi komplementer menjadi semakin populer di kalangan remaja sebagai cara untuk mengelola berbagai masalah kesehatan. Persepsi remaja tentang penggunaan pengobatan komplementer dan alternatif (CAM) juga telah dieksplorasi dalam studi kualitatif, mengungkapkan bahwa banyak remaja memandang CAM sebagai cara untuk menjaga kesehatan dan kesejahteraan secara keseluruhan. Tujuan Pengabdian ini adalah untuk menambah pengetahuan dan keterampilan remaja tentang terapi komplementer pada remaja. Metode dalam pengabdian ini adalah ceramah tentang terapi komplementer pada remaja dan pelatihan pembuatan jamu kunyit asam. Hasil pengabdian kepada masyarakat ini adalah diketahui bahwa 79,62 % peserta memiliki nilai posttest dengan kategori baik. Kesimpulan: Berdasarkan hasil penyuluhan tentang komplementer remaja, mayoritas remaja memiliki pengetahuan baik.Abstract: Complementary therapies are becoming increasingly popular among adolescents as a way to manage a variety of health problems. Adolescents' perceptions of the use of complementary and alternative medicine (CAM) have also been explored in qualitative studies, revealing that many adolescents view CAM as a way to maintain overall health and well-being. The purpose of this Community Service is to increase adolescents' knowledge and skills about complementary therapies in adolescents. The methods in this community service are lectures on complementary therapies in adolescents and training in making turmeric and tamarind herbal medicine. The results of this community service are that 79.62% of participants have a posttest score in the good category. Conclusion: Based on the results of counseling on adolescent complementary, the majority of adolescents have good knowledge.

OPTIMALISASI KELAS IBU HAMIL UNTUK MENDUKUNG TERWUJUDNYA ASI EKSKLUSIF Siagian, Dewi Sartika; Ratih, Rini Hariani; Ayuningtyas, Ratih; Wardaniati, Isna
EJOIN : Jurnal Pengabdian Masyarakat Vol. 2 No. 3 (2024): EJOIN : Jurnal Pengabdian Masyarakat, Maret 2024
Publisher : LPPM Institut Pendidikan Nusantara Global

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55681/ejoin.v2i3.2539

Cakupan ASI ekslusif di Indonesia pada tahun 2022 tercatat hanya 67,96%, turun dari 69,7% dari tahun 2021, hal tersebut menandakan bahwa perlu adanya dukungan lebih intensif agar cakupan tersebut bisa meningkat. Salah satu upaya yang dapat dilakukan untuk meningkatkan cakupan tersebut adalah dengan memberikan edukasi tentang ASI Eksklusif dan kelas Ibu Hamil yang merupakan kelompok belajar ibu-ibu hamil dengan umur kehamilan antara 20 minggu s/d 32 minggu dengan jumlah peserta maksimal 10 orang. Melalui kelas ibu hamil ini diharapkan pengetahuan dan keterampilan ibu-ibu hamil akan meningkat karena adanya interaksi antara ibu hamil dengan bidan/tenaga kesehatan. Tujuan kegiatan pengabdian ini adalah meningkatkan pengetahuan ibu-ibu hamil tentang ASI Eksklusif dan keterampilan tentang teknik menyusui serta upaya yang dapt dilakukan untuk meningkatkan produksi ASI. Hasil yang didapat dari kegiatan pengabdian ini adalah terdapat peningkatan pengetahuan tentang ASI Eksklusif dan keterampilan dalam teknik menyusui. Diharapkan melalui kelas ibu hamil ini para ibu hamil dapat menimba ilmu terutama untuk meningkatkan derajat kesehatan Ibu dan Anak

Pengaruh Pemberian Zat Besi (FE) terhadap Peningkatan Kadar Hematokrit pada Ibu Hamil yang mengalami Anemia di RSIA X Pekanbaru Tahun 2015 Ratih, Rini Hariani
Journal of Ners and Midwifery Vol 5 No 1 (2018)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v5i1.ART.p034-038

Zat besi adalah mineral yang dibutuhkan untuk membentuk sel darah merah (hemoglobin). Ibu hamil dengan keluhan lemah, pucat, mudah pingsan, dengan tekanan darah dalam batas normal, perlu dicurigai anemia defisiensi besi. Guna memastikan seorang ibu menderita anemia atau tidak, maka dilakukan pemeriksaan kadar hemoglobin dan pemeriksaan hematokrit. Tujuan penelitian ini untuk mengetahui pengaruh pemberian zat besi (Fe) terhadap peningkatan kadar hematokrit pada ibu hamil yang anemia. Jenis penelitian yang digunakan adalah kuantitatif dengan desain penelitian quansi experiment (eksperimen semu). Penelitian dilakukan di RSIA X Pekanbaru pada bulan Maret 2015. Populasi dalam penelitian ini adalah seluruh pasien ibu hamil yang dating ke RSIA X Pekanbaru. Sampel yang diteliti adalah darah pasien ibu hamil sebelum dan sesudah pemberian tablet zat besi (Fe) yang melakukan pemeriksaan di laboratorium RSIA X Pekanbaru sebanyak 30 responden. Setelah dilakukan uji statistik dengan SPSS 21,0 menggunakan uji t maka didapatkan P = 0.000, dimana P lebih kecil dari 0.05 berarti Ho ditolak Ha diterima, artinya ada perbedaan yang signifikan antara hasil pemeriksaan pengaruh pemberiaan Fe sebelum dan sesudah terhadap peningkatan kadar hematokrit pada ibu hamil di RSIA X Pekanbaru. Diharapkan kepada petugas kesehatan untuk melakukan penyuluhan kepada masyarakat tentang pentingnya memerik- sakan kehamilan khususnya pemeriksaan hematokrit dan mengkonsumsi suplemen zat besi (Fe) pada ibu hamil yang Anemia.

The Correlation of Caffeine and Fizzy Drink Consumption and Bone Mineral Density in Women Fertilizer Age in Pekanbaru City Ratih, Rini Hariani; Yusmaharani, Yusmaharani; Nurmaliza, Nurmaliza
Journal of Ners and Midwifery Vol 9 No 1 (2022)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v9i1.ART.p074-078

Osteoporosis is defined as a decrease in bone mass and is characterized by an increased risk of fracture due to bone fragility. Prevention of low bone density can be done by optimizing the formation of bone mass at the time of growth, namely the age of 20-35 years. Research on osteoporosis in Jakarta in 2011 on subjects aged 20-25 years, stated that 6.3% had osteoporosis and 51.1% had osteopenia (pre-osteoporosis). The aim of the study was to identify the correlation of caffeine and soft drinks consumption toward bone mineral density status in women of childbearing age. This study was a quantitative analytic study, with a cross sectional research design. The sample was women of childbearing age who were in the work area of Tampan District as many as 399 people. The Chi-Square test showed the effect of caffeine consumption and soft drinks on the status of bone mineral density in women of childbearing age with a P value of 0.000 < Alpha 0.05 with a large OR of 24,330 (95% CI: 10,174- 58.182), meaning that respondents who consumed caffeine and soft drinks were 24 times more likely to suffer from osteoporosis. It is expected for women to avoid risk factors that can cause a decrease in bone mineral density and perform early detection of osteoporosis before the age of 30 years.

Pelatihan Senam Hamil pada Ibu Hamil di RT03/RW01 Desa Labuhan Tangga Hilir Kecamatan Rokan Hilir Herlina, Sara; Siagian, Dewi Sartika; Qomariah, Siti; Sartika, Wiwi; Ratih, Rini Hariani; liza, Nurma
Indonesia Berdaya Vol 2, No 2: July 2021
Publisher : UKInstitute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47679/ib.202181

During pregnancy, the mother experiences physical and psychological/emotional changes in the pregnant woman. During pregnancy, emotions easily fluctuate and rise, which occurs due to hormonal changes. As for the anxiety before childbirth, pregnant women will appear statements and images of whether they can give birth normally, how to push, whether something will happen during childbirth, or whether the baby is born safely, will increasingly appear in the mother's mind, this condition can cause further anxiety and tension to form a feedback cycle that can increase overall emotional intensity. To break the cycle of anxiety, pregnancy exercise as a prenatal service is an alternative therapy that can be given to pregnant women. The purpose of this service is to increase the knowledge of mothers and do structured pregnancy exercises. The method in this service is pregnancy exercise counselling and pregnancy exercise training. The result of this community service is that it is known that 60% of participants have a pretest score of less than 65 about pregnancy exercise and after an explanation, 80% of the participants get a score of more than 65. The results of pregnancy exercise training, the majority of mothers did pregnancy exercises at home and there was a reduction in low back and back pain as much as 66.6%. Conclusion: Based on the results of pregnancy exercise counselling, there was an increase in knowledge seen from the pre and post-test scores, namely from 40% to 80% and pregnant women also did pregnancy exercises at home and there was a reduction in pain as much as 66.6%. Abstrak: Selama kehamilan, ibu mengalami perubahan fisik dan kejiwaan/emosi ibu hamil. Pada masa kehamilan, emosi mudah turun dan naik, yang terjadi akibat perubahan hormon. Adapun kecemasan menjelang pesalinan ibu hamil akan muncul pernyataan dan bayangan apakah dapat melahirkan normal, cara mengejan, apakah akan terjadi sesuatu saat melahirkan, atau apakah bayi lahir selamat, akan semakin muncul dalam benak ibu, kondisi ini dapat menyebabkan kecemasan dan ketegangan lebih lanjut sehingga membentuk suatu siklus umpan balik yang dapat meningkatkan intensitas emosional secara keseluruhan. Untuk memutuskan siklus kecemasan tersebut, maka senam hamil sebagai salah satu pelayanan prenatal, merupakan suatu alternatif terapi yang dapat diberikan pada ibu hamil. Tujaun Pengabdian ini adalah untuk menambah pengetahuan ibu dan melakukan senam hamil yang terstruktur. Metode dalam pengabdian ini adalah ceramah senam hamil dan pelatihan senam hamil. Hasil pengabdian kepada masyarakat ini adalah diketahui bahwa 60% peserta memiliki nilai pretest kurang dari 65 tentang senam hamiln dan setelah dilakukan penjelasan sebanyak 80% peserta mendapatkan nilai lebih dari 65. Hasil pelatihan senam hamil mayoritas ibu melakukan senam hamil dirumah dan terjadi pengurangan nyeri pinggang dan punggung sebanyak 66,6%. Kesimpulan: Berdasarkan hasil penyuluhan senam hamil terjadi peningkatan pengetahuan dilihat dari nilai pre dan post tes yaitu dari 40% menjedi 80% dan ibu hamil juga melakukan senam hamil dirumah dan terjadi pengurangan nyeri sebanyak 66,6%.

AIR REBUSAN CENGKEH UNTUK MENGURANGI FREKUENSI MUAL DAN MUNTAH PADA IBU HAMIL TRIMESTER AWAL Nurmaliza, Nurmaliza; Yusmaharani, Yusmaharani; Ratih, Rini Hariani
MIDWIFERY JOURNAL Vol 1, No 2 (2021): Vol.1 No.2 Juni 2021
Publisher : Universitas Malahayati Bandar Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mj.v1i2.4450

Background : Pregnancy is a physiological and natural process. The process of pregnancy can affect the condition of the body as a whole, such as the occurrence of physiological changes in organ systems, changes that occur in pregnant women due to an imbalance in the work of the hormones estrogen and progestergen. This imbalance produces placental HCG or (Human Chorionic Gonadotropine) which causes pregnant women to feel nausea and vomiting. In Primigravida nausea and vomiting occurs in 60-80% of pregnant women and 40-60% occurs in multigravida. This is due to differences in hormonal changes in each pregnant woman so that not all pregnant women experience nausea and vomiting. Nausea experienced during pregnancy can be overcome by using complementary therapies with easily available ingredients such as cloves. The content of astringent oil in cloves can overcome digestive problems such as nausea and vomiting.Purpose : The purpose of this study was to determine the effect of clove boiled water to reduce the frequency of nausea and vomiting in early trimester pregnant women at BPM Siti Juleha.Methode : The research design used is a pre-experiment which is one group pretest-posttest. The population in this study were pregnant women in the 1st trimester or early trimester, the samples were taken using a purposive sampling technique, namely taking samples only according to the research criteria such as experiencing nausea and vomiting more than 3 times a day, pregnant in the early trimester, not taking anti-nausea drugs with the number of samples as many as 32 pregnant women. To see the effect of giving clove water with reducing the frequency of nausea and vomiting, Bivariate analysis was used with paired t-test.Result : The results of this study indicate that there is a change in the frequency of vomiting malpractices of respondents who before the intervention experienced nausea and vomiting on average 7 times a day, after being given the clove boiled water intervention the average frequency of nausea and vomiting decreased to 3.8 times a day with a value of 3.8 times a day. Pvalue = 0.000. The results of this study can be concluded that clove boiled water has an effect on reducing the frequency of nausea and vomiting in early trimester pregnant women.Conclusion : There is an effect of giving cloves boiled water to reduce the frequency of nausea and vomiting in early trimester pregnant women at BPM Stiti Juleha with P value = 0.000. The researcher hopes that respondents can increase their knowledge about the benefits of clove boiled water to reduce complaints of nausea and vomiting in early pregnancy. Kata Kunci : clove Boiled, nauseous and vomit, pregnant in the early trimester ABSTRAK Latar Belakang : Masa Kehamilan adalah suatu proses yang fisiologis dan alamiah. Proses kehamilan dapat mempengaruhi kondisi tubuh secara keseluruhan seperti terjadinya perubahan fisiologis pada sistem organ, perubahan yang terjadi pada perempuan hamil karena ketidakseimbangan kerja hormon estrogen dan progestrogen. Ketidakseimbangan ini menghasilkan HCG plasenta atau (Human Chorionic Gonadotropine) yang menyebabakan Wanita hamil merasakan mual dan muntah. Pada Primigravida mual muntah terjadi pada 60 – 80 % ibu hamil dan 40 – 60 % terjadi pada multigravida. Hal ini disebabkan perbedaan perubahan hormon pada setiap perempuan hamil sehingga tidak semua perempuan hamil mengalami mual dan muntah. Rasa mual yang dialami selama kehamilan bisa diatasi dengan menggunakan terapi komplementer dengan bahan yang mudah didapatkan seperti cengkeh, Kandungan minyak astrisi pada cengkeh dapat mengatasi masalah pencernaan seperti mual dan muntah.Tujuan : Tujuan penelitian ini adaah untuk mengetahui pengaruh air rebusan cengkeh untuk mengurangi frekuensi mual dan muntah pad ibu hamil trimester awal di BPM Siti Juleha.Metode : Design penelitian yang digunakan adalah Pra-eksperimen yang bersifat one grup pretest-postest. Populasi pada penelitian ini adalah ibu hamil trimester 1 atau trimester awal, sampel yang diambil menggunakan Teknik purposive sampling yaitu mengambil sampe hanya sesuai kriteria penelitian seperti mengalami mual dan muntah lebih dari 3 kali dalam sehari, hamil trimester awal, tidak sedang mengkonsumsi obat anti mual dengan jumlah sampel sebanyak 32 orang ibu hamil. Untuk melihat pengaruh pemberian air cengkeh denganpengurangan frekuensi mual dan muntah menggunakan analisis Bivariat yang dilakukan dengan uji paired t-test.Hasil : Hasil penelitian ini menunjukkan adanya perubahan frekuensi mal muntah responden yang sebelum diberikan intervensi rata-rata responden mengalami mual dan muntah sebanyak 7 kali sehari, setelah diberikan intervensi air rebusan cengkeh rata-rata frekuensi mual dan muntah menurun menjadi 3,8 kali dalam sehari dengan nilai P= 0,000. Hasil penelitian ini dapat disimpulkan bahwa air rebusan cengkeh memberikan pengaruh terhadap penurunan frekuensi mual dan muntah pada ibu hamil trimester awal.Kesimpulan : Terdapat pengaruh pemberian air rebusan cengkeh terhadap penurunan frekuensi mual dan muntah ibu hamil trimester awal di BPM Stiti Juleha dengan nilai P=0,000. Harapan peneliti yaitu agar responden dapat menambah pengetahuannya tentang manfaat air rebusan cengkeh untuk mengurangi keluhan mual dan muntah pada awal kehamilan. Kata Kunci : Air Rebusan Cengkeh, Mual dan Muntah, Hamil Trimester Awal

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