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Karakteristik Penderita Dakriosistitis di Pusat Mata Nasional Rumah Sakit Mata Cicendo Dahlan, Rinaldi; Boesoirie, M. Kautsar; Boesoirie, Shanti F.; Kartiwa, Angga; Puspitasari, Helda
Majalah Kedokteran Bandung Vol 49, No 4 (2017)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15395/mkb.v49n4.626

Abstract

Infeksi sistem lakrimal yang paling umum adalah dakriosistitis. Infeksi biasanya didahului oleh obstruksi duktus nasolakrimalis dan dapat terjadi pada semua kelompok usia. Tujuan penelitian ini adalah mencari jumlah kasus, karakteristik demografi dan klinis, serta pengelolaan dakriosistitis di RS Mata Cicendo periode 1 Maret 2014 sampai dengan 30 September 2014. Metode yang digunakan, yaitu dengan meninjau secara retrospektif rekam medis penderita dakriosistitis di Rumah Sakit Mata Cicendo Bandung selama periode 1 Maret 2014 sampai dengan 30 September 2014. Jumlah kasus, karakteristik demografi dan klinis, serta manajemen kasus ini ditinjau. Terdapat 13 pasien (13 mata) yang didiagnosis sebagai dakriosistitis. Sebagian besar pasien adalah perempuan. Usia rata-rata adalah 41,3 tahun. Semua kasus adalah unilateral. Infeksi akut adalah dominan dari pada infeksi kronik. Sebelas kasus diterapi dengan obat-obatan dan dua kasus kronik diterapi dengan dacryocystorhinostomy (DCR). Sebagai kesimpulan, terdapat 13 pasien (13 mata) yang didiagnosis sebagai dakriosistitis akut dan kronik. Sebagian besar pasien adalah wanita di usia pertengahan, kasus unilateral, serta penatalaksanaan dengan obat-obatan dan DCR. Kata kunci: Dakriosistitis, karakteristik, penatalaksanaanCharacteristics of Dacryocystitis Patients in National Eye Center of Cicendo Eye HospitalThe most common infection of the lacrimal apparatus is dacryocystitis. Infection is usually preceded by obstruction of the nasolacrimal duct and may occur in any age group.The aim of this study was to discover number of cases, demographic and clinical characteristics, and management of dacryocystitis in Cicendo Eye Hospital during the period of March 1, 2014 to September 30, 2014.Medical records of dacryocystitis patients attending Cicendo Eye Hospital during the period of March 1, 2014 to September 30,2014 were retrospectively reviewed. Number of cases, demographic and clinical characteristics, and the management of these cases were reviewed.There were 13 patients (13 eyes) diagnosed as suffering from dacryocystitis with most of them were female patients (92.31%). The mean age was 41.3 years old. All cases were unilateral. Acute infection was predominant than chronic infection. Eleven cases were treated with medication therapy and two chronic cases were treated with dacryocystorhinostomy (DCR). Hence, there were 13 patients (13 eyes) diagnosed as acute and chronicdacryocystitis. Most of them were  middle age female patients with  unilateral cases and treated with medication therapy and DCR. Key words: Characteristic, dacryocystitis, treatment 
Pengaruh Pelatihan Manajemen Diri terhadap Perilaku Merokok pada Remaja Di SMK Negeri 2 Jember Kecamatan Sumbersari Kabupaten Jember (The Effect of Self-Management Training on Teenager’s Smoking Behavior at SMK Negeri 2 Jember of Sumbersari Sub-District Jember Regency) Helda Puspitasari; Emi Wuri Wuryaningsih; Ahmad Rifai
Pustaka Kesehatan Vol 5 No 1 (2017)
Publisher : UPT Percetakan dan Penerbitan Universitas Jember

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Abstract

Smoking has become life among teenagers. Predisposisi factors of smoking behavior among teenage are psychological satisfaction to reduce their stress, peer pressure and try new things in life. One of the efforts to reduce negative effects of smoking habit is counseling through self management. This research aimed to analyze the effect of self-management training on teenager’s smoking behavior at SMK Negeri 2 Jember. The design of research was quasi experiment. The sample size was 15 respondents as control group and 15 respondents as treatment group. The t-test dependent showed the different of teenage smoking behavior before and after self-management training (intervention group p value= 0.000; CI = 95% and control group p value= 0.012; CI = 95%). The t-test independent showed the different about smoking behavior for the intervention group and the control group (p value= 0.000; CI = 95%). Self management technique consist of self monitoring, reinforcement positive, self contracting, and stimulus control. So, it can be concluded that self management training can decrease average by 6.5 cigarettes consumption in two weeks. Nurse is one of health practitioners who can increase their ability to show their role for health services for school by collaborating with educational department especially counseling teacher to implementing teenager’s smoking prevention program.Keywords: Self-management, counseling, smoking behavior, teenage
RELATIONSHIP OF STRESS LEVEL AND SLEEP QUALITY IN NEW STUDENTS IN D3 STUDENTS OF JEMBER UNIVERSITY, PASURUAN CITY CAMPUS Evy Aristawati; R.A. Helda Puspitasari
UNEJ e-Proceeding 2020: Proceeding of The 4th International AgroNursing Conference
Publisher : UPT Penerbitan Universitas Jember

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Abstract

A new student or better known as new student is someone who has just entered the stage / process of gaining knowledge or learning and administratively has just been recorded as having attended a university (Hartaji, 2012). The large number of activities during the initial period of lectures that must be completed triggers new students to pressure themselves to be able to carry out activities properly to fulfill the assigned tasks within 24 hours. This phenomenon causes new students to experience fatigue and the risk of experiencing stress, which affects the quality of their sleep. The purpose of this study was to determine the relationship between stress levels and sleep quality in new students of the D3 study program, Jember University, Pasuruan City Campus. This research design used cross sectional method. The population of this study was 107 people with a sample of 107 people who were taken by total sampling. Statistical test using the Sperman Rank test. The results showed that the stress level of new students was a mild stress level of 52 people (48.4%). The sleep quality of new students was poor sleep quality as many as 54 people (50%). Based on statistical tests, the results obtained p value 0.012 <α 0.05 with a correlation coefficient of 0.226, which means that there is a weak positive relationship between stress levels and sleep quality in new students of D3 study program, Jember University, Pasuruan City Campus. This result was possible because during this pandemic, students had to undergo new learning methods for them, namely online learning models that required them to master IT well. In addition, the number of assignments given by lecturers online takes a lot of time to complete, so that it affects the quality of student sleep. So, the role of nurses as counselors and educators is needed to provide counseling and education about stress management and sleep needs management for new students of the D3 study program, Jember University, Pasuruan City Campus. Keywords: Stress Level, Sleep Quality, new students
SEFT and Academic Stress on Nursing Students in Online Learning During the Covid-19 Pandemic Ayu Dewi Nastiti; Erik Kusuma; R.A. Helda Puspitasari; Dwining Handayani
Jurnal Ilmu Keperawatan Jiwa Vol. 5 No. 1 (2022): Februari 2022
Publisher : Persatuan Perawat Nasional Indonesia (PPNI) Jawa Tengah

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Abstract

The occurrence of the COVID-19 pandemic has made many changes in the education sector which has turned to online learning. Changes in the system trigger the emergence of academic stress on students which will have an impact on their learning achievement . This study aims to determine the effect of the SEFT method on reducing the level of academic stress experienced by students. The research design used in this study was pre-experimental with a one group pre-post test design approach , with 250 research subjects who were active students of the D3 Nursing Study Program, Unej Campus, Pasuruan City. Statistical test results using the Wilcoxon Signed Rank Test with = 0.05 resulting in a significance value of 0.001 which means that there is a difference in scale before and after SEFT therapy. It was concluded that SEFT therapy was considered effective in reducing academic stress on students of the D3 Nursing Study Program, Unej Campus, Pasuruan City.
THE EFFECT OF CHEST PHYSIOTHERAPY ON THE EFFECTIVENESS OF THE AIRWAY AMONG PNEUMONIA PATIENTS AT THE CHILDREN'S ROOM OF BANGIL REGIONAL GENERAL HOSPITAL Erik Kusuma; Ayu Dewi Nastiti; R.A. Helda Puspitasari
UNEJ e-Proceeding 2022: E-Prosiding Kolokium Hasil Penelitian dan Pengabdian kepada Masyarakat
Publisher : UPT Penerbitan Universitas Jember

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Abstract

Pneumonia is inflammation of the lungs that results in increased production of secretions. If it is not balanced with the individual's ability to excrete secretions, it will interfere with the effectiveness of the airway. This study aim to determine the effect of chest physiotherapy on the effectiveness of the airway in children with pneumonia. A quasi-experimental design was adopted for the study. Purposive sampling technique was adopted to select 18 samples for the study, 9 samples each for the experimental (chest physiotherapy) and control (SOP) groups. The effects were assessed using airway effectiveness observation sheet. The data obtained were analyzed by means of a dependent and independent T-test.The study showed that there were a significant in the mean of airway effectiveness score before and after the procedure in both groups (p 0.007 <0.05). However, in experimental group the decrease of airway effectiveness scores were more significant. The results of the independent T-test obtained p 0.04 (<0.05) so that it was concluded that there was an effect of chest physiotherapy on the effectiveness of the airway in children with pneumonia in the Children's Room at Bangil Hospital. Chest physiotherapy, which combines postural drainage, vibration and percussion techniques, is useful for treating airway clearance disorders in children who have not been able to cough effectively. In practice, chest physiotherapy can be combined with other technique according to the Standard Operating Procedure (SOP) applied by the hospital.Keywords: Chest Physiotherapy, Effectiveness of the Airway, Pneumonia
EFFORTS TO PREVENT THE RESPREAD OF COVID-19 THROUGH COMPLIANCE WITH THE USE OF PROTECTIVE EQUIPMENT (PPE) ON PREGNANT WOMEN IN MOJOPARON R.A. Helda Puspitasari; Dwining Handayani; Ayu Dewi Nastiti; Erik Kusuma
UNEJ e-Proceeding 2022: E-Prosiding Kolokium Hasil Penelitian dan Pengabdian kepada Masyarakat
Publisher : UPT Penerbitan Universitas Jember

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Abstract

The covid-19 outbreak has occurred all over the world and has claimed lives since early 2020 until it was declared sloping in May 2022, but in early June 2022 there was an increase in daily confirmed cases of Covid-19. By blocking the gust of virus particles into the surrounding air, masks keep the virus from spreading. Proper hand hygiene can prevent respiratory and digestive diseases. Pregnant women are made a vulnerable group at risk of being infected with Covid-19 due to physiological changes during pregnancy. Cases of pregnant women reported in 2021 with the criteria for suspect, probable and even confirmed Covid-19 have increased (Dinkes, 2022). pregnant women are one of the groups who are not given the Covid-19 vaccination, do not include pregnant women in the target 4 recipients of the Covid-19 vaccination. Therefore, the thing that can be done is to optimize efforts to prevent Covid-19 in pregnant women, to prevent mortality in mothers and babies. Based on the results of a survey conducted after this outreach activity, the compliance of respondents in the obedient category was 55% and the non-compliance category was 45%. The description of anxiety based on education with the highest frequency is respondents with high school education as many as 25 respondents (33.3%). The description of anxiety based on work with the highest frequency is respondents who work as IRT as many as 27 respondents (36.0%). This is possible because of the mother's educational background. Keywords: prevention, prevention of coid-19, compliance, PPE, pregnant women
Sosialisasi Sadari Sebagai Langkah Awal Pencegahan Kanker Payudara R.A. Helda Puspitasari; Ayu Dewi Nastiti; Erik Kusuma; Dwining Handayani; Evy Aristawati
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 5, No 5 (2022): Volume 5 No 5 Mei 2022
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v5i5.5724

Abstract

ABSTRAK Penyakit kanker merupakan salah satu penyebab kematian utama di seluruh dunia. Salah satu penyakit kanker yang lebih banyak terjadi pada wanita adalah kanker payudara yaitu tumor ganas yang tumbuh didalam jaringan payudara yang meliputi kelenjar susu, saluran susu, jaringan lemak maupun jaringan ikat pada payudara. Menurut World Health Organization, di Indonesia angka kematian yang disebabkan oleh kanker payudara menempati urutan ke-10 setelah kanker paru, sedangkan berdasarkan Riset Kesehatan Dasar, prevalensi tumor/kanker di Indonesia adalah 1,4 per 1000 penduduk atau sekitar 330.000 orang. Tujuan dilakukannya pemberdayaan masyarakat pada petani perkebunan teh dalam rangka untuk pencegahan awal kanker payudara pada wanita. Pemberdayaan dilakukan dengan cara menyebarkan pengetahuan melalui praktek SADARI dalam rangka pencegahan awal penyakit kanker payudara. Berdasarkan hasil pra survey yang dilakukan sebelum kegiatan pelatihan ini, pengetahuan ibu tentang buku SADARI: rendah (75%), cukup (15%), tinggi (10%). Setelah edukasi didapatkan adanya peningkatan yang cukup signifikan dari pengetahuan ibu: rendah(10%), cukup 15%), baik ( 75%). Kata Kunci: Sadari, Pencegahan, Kanker Payudara ABSTRACT Cancer is one of the leading causes of death worldwide. One of the most common cancers in women is breast cancer, which is a malignant tumor that grows in the breast tissue, which includes the mammary glands, milk ducts, fatty tissue and connective tissue in the breast. According to the World Health Organization, in Indonesia the death rate caused by breast cancer ranks 10th after lung cancer, while based on Basic Health Research, the prevalence of tumor/cancer in Indonesia is 1.4 per 1000 population or about 330,000 people. The purpose of doing community empowerment on tea plantation farmers in order to prevent early breast cancer in women. Empowerment is done by spreading knowledge through the practice of BSE in the context of early prevention of breast cancer. Based on the results of the pre-survey conducted before this training activity, mothers' knowledge of BSE books: low (75%), sufficient (15%), high (10%). After education, it was found that there was a significant increase in maternal knowledge: low (10%), sufficient 15%), good (75%). Keywords: Awareness, Prevention, Breast Cancer
Pemanfaatan Kawasan Rumah Pangan Lestari (KRPL) dalam Mengurangi Kejadian Stunting yang Berwawasan Agronursing di Kawasan Pesisir Desa Watuprapat Kecamatan Nguling Kabupaten Pasuruan Dwining Handayani; Erik Kusuma; R.A Helda Puspitasari; Ayu Dewi Nastiti
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 5, No 4 (2022): Volume 5 No 4 April 2022
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v5i4.5392

Abstract

ABSTRAK Stunting merupakan masalah gizi kronis yang disebabkan oleh multi factorial dan bersifat antar generasi. Di Indonesia masyarakat sering menganggap tumbuh pendek sebagai factor keturunan. Persepsi yang salah dimasyarakat membuat masalah ini tidak mudah diturunkan dan membutuhkan upaya besar dari pemerintah dan berbagai sektor terkait. Pendidikan dan pengetahuan ibu yang rendah juga berpengaruh besar terhadap kejadian stunting pada balita. Prevalensi stunting di Kabupaten Pasuruan dipengaruhi oleh jumlah balita stunting yang ada di setiap desa, salah satu desa yang angka prevalensi stunting masih tinggi adalah desa Watuprapat, dimana jumlah balita yang mengalami stunting sebanyak 21 balita dan merupakan salah satu desa yang termasuk fokus penanganan stunting di Kabupaten Pasuruan.  Tujuan dari edukasi kepada kader kesehatan dan guru PAUD diharapkan dapat menambah wawasan dan kemampuan dalam mencegah dan mengurangi stunting dengan memanfaatkan hasil pekarangan di sekitar rumah dalam menambah nilai gizi pada balita. Adapun kegiatan yang dilakukan berupa penyuluhan tentang pemahaman umum stunting, penyebab terjadinya stunting, ciri-ciri penderita stunting dan cara pencegahannya  menggunakan leaflet dan demonstrasi membuat lauk berupa nugget dari daun kelor dan udang. Terdapat peningkatan pengetahuan kader tentang stunting dan kemampuan mengolah bahan makanan dari hasil pekarangan di rumah dengan hasil rendah 10%, cukup 10% dan baik 80%. Hasil penyuluhan ini diharapkan dapat disosialisasikan kepada masyarakat dalam upaya mencegah dan mengurangi kejadian stunting di desa Watuprapat kecamatan Nguling Kabupaten pasuruan. Kata Kunci : Stunting, KRPL, Balita   ABSTRACT Stunting is a chronic nutritional problem caused by multi-factorial and intergenerational. In Indonesia, people often consider growing short as a hereditary factor. The wrong perception in the community makes this problem not easy to solve and requires great efforts from the government and various related sectors. Mother's low education and knowledge also has a big influence on the incidence of stunting in toddlers. The prevalence of stunting in Pasuruan Regency is influenced by the number of stunting toddlers in each village, one of the villages where the stunting prevalence rate is still high is Watuprapat village, where the number of toddlers experiencing stunting is 21 toddlers and is one of the villages that includes the focus of stunting handling in the District Pasuruan. The purpose of education for health cadres and PAUD teachers is expected to be able to add insight and abilities in preventing and reducing stunting by utilizing the results of the yard around the house in increasing nutritional value for toddlers. The activities carried out were in the form of counseling on general understanding of stunting, the causes of stunting, the characteristics of stunting sufferers and how to prevent it using leaflets and demonstrations of making side dishes in the form of nuggets from Moringa leaves and shrimp. There is an increase in the knowledge of cadres about stunting and the ability to process food ingredients from the results of the yard at home with low yields of 10%, 10% sufficient and 80% good. The results of this counseling are expected to be socialized to the community in an effort to prevent and reduce stunting rates in Watuprapat village, Nguling sub-district, Pasuruan Regency. Keywords: Stunting, KRPL, Toddler
Pemberdayaan Kader Posyandu Lansia dalam Upaya Pencegahan Hipertensi dan Komplikasinya Ayu Dewi Nastiti; Erik Kusuma; R.A Helda Puspitasari
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 5, No 1 (2022): Volume 5 No 1 Januari 2022
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v5i1.5280

Abstract

ABSTRAKHipertensi di Indonesia memerlukan perhatian yang serius karena merupakan penyebab kematian nomor 3 setelah stroke dan tuberculosis. Seiring dengan semakin meningkatnya angka penderita hipertensi di Indonesia, pemerintah merumuskan berbagai kebijakan pelayanan kesehatan untuk lansia agar derajat dan mutu kesehatan lansia penderita hipertensi dapat meningkat. Salah satunya yaitu dengan mencanangkan pelayanan kesehatan pada lansia melalui beberapa jenjang. Pelayanan di tingkat masyarakat dilakukan oleh Posyandu Lansia. Uraian situasi di atas merupakan dasar mengapa perlu dilakukan pemberdayaan kader posyandu lansia untuk pencegahan hipertensi dan komplikasinya di Kecamatan Purwosari Kabupaten Pasuruan. Bentuk kegiatan pengabdian masyarakat ini berupa pemberian edukasi tentang hipertensi dan komplikasinya serta, memberikan pelatihan pemerikasaan tekanan darah bagi kader. Subjek dalam kegiatan ini adalah seluruh kader kesehatan di wilayah Kecamatan Purwosari. Lokasi ini dipilih mengingat kasus hipertensi di wilayah ini masih cukup tinggi. Kegiatan pengabdian ini mendapatkan sambutan hangat dari peserta. Hal ini terbukti dengan banyaknya peserta yang aktif dalam diskusi dan mengajukan pertanyaan. Setelah sesi diskusi pemateri malakukan post test secara lisan kepada peserta, dalam post test yang dilakukan 100% peserta mampu menjawab pertanyaan yang disampaikan oleh pemateri dengan benar. Kesimpulan yang bisa ditarik dari kegiatan ini seluruh peserta cukup aktif dalam kegiatan ini dan tidak meninggalkan tempat sampai acara selesai. Upaya peningkatan pengetahuan  masyarakat tentang penyakit hipertensi dapat lebih maksimal setelah diadakan kegiatan ini diukur dengan hasil apersepsi dan evaluasi. Kata Kunci: Pemberdayaan, Kader, Hipertensi ABSTRACTHypertension in Indonesia requires serious attention because it is the 3rd cause of death after stroke and tuberculosis In line with the increasing number of hypertension sufferers in Indonesia, the government has formulated various health service policies for the elderly so that the degree and quality of health of elderly people with hypertension can increase. One of them is by implementing health services for the elderly through several levels. Services at the community level are provided by the Elderly Posyandu. The description of the situation above was the basis of why it is necessary to empower elderly Posyandu cadres for the prevention of hypertension and its complications in Purwosari District, Pasuruan Regency. The form of this community service activity was in the form of providing education about hypertension and its complications as well as providing training in blood pressure checks for cadres. The subjects in this activity were all Health Cadres in the Purwosari District area. This location was chosen considering that there were still many cases of hypertension in this region. This service activity received a warm welcome from the participants. This is evidenced by the large number of participants who are active in the discussion and asking questions. After the discussion session the speaker performs a post test orally to the participants, in the post test 100% participants were able to answer the questions presented by the speaker correctly. The conclusion that can be drawn from this activity was that all participants were quite active in this activity and do not leave the venue until the event was over. Efforts to increase public knowledge about hypertension can be maximized after this activity was measured by the results of apperception and evaluation. Keywords: Empowerment, Cadres, Hypertension   
Edukasi Buku KIA dan Peningkatan Koping Ibu Menghadapi Masa Kehamilan Pada Masa Pandemi Covid-19 R.A Helda Puspitasari; Dwining Handayani; Erik Kusuma; Ayu Dewi Nastiti; Evy Aristawati
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Volume 4 Nomor 6 Desember 2021
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v4i6.4487

Abstract

ABSTRAK Ibu hamil dan bayi dikategorikan sebagai kelompok yang rentan dalam pandemi virus corona yang mewabah di sekitar 230 negara seluruh dunia, sehingga dalam proses kehamilan ibu juga merasakan kehawatiran yang berlebih karena kurang paham tentang kehamilan dan takut akan kondisi bayi yang ada di kandugannya. Tujuan dari kegiatan ini untuk meningkatkan pengetahuan ibu tentang buku KIA dan meningkatkan koping ibu dalam menghadapi masa kehamilan pada masa pandemic covid-. Kegiatan ini dilakukan di Klinik Asyifa Kabupaten Pasuruan. Kegiatan ini diawali dengan memberikan pertanyaan seputar pengetahuan ibu dalam menghadapi masa kehamilan dan mengenai langkah ibu dalam mengahdapi permasalahn kehamilan yang dihadapi. Dilanjutkan dengan memberikan materi menggunakan leaflet dan BUKU KIA. Semua ibu antusias dalam mengikuti kegiatan ini terlihat dari banyaknya pertanyaan yang mereka ajukan. Kegiatan ini efektif dilakukan dalam peningkatan pengetahuan ibu dan peningkatan koping ibu dimana terlihat adanya peningkatan pengetahuan dan koping ibu sebelum dan sesudah mendapatkan penyuluhan yang terlihat dari koesioner pre dan post test. Kegiatan ini merupakan langkah awal untuk meningkatkan pemahaman ibu mengenai masa kehamilan serta peningkatan koping ibu. Kata Kunci: Edukasi, Buku KIA, Koping, Ibu Hamil  ABSTRACT Pregnant women and babies are categorized as a vulnerable group in the corona virus pandemic which is endemic in around 230 countries around the world, so that in the process of pregnancy, mothers also feel excessive anxiety due to lack of understanding about pregnancy and fear of the condition of the baby in their womb. The purpose of this activity is to increase mother's knowledge through education on MCH books in dealing with pregnancy and improve maternal coping in dealing with pregnancy during the COVID-19 pandemic. This activity was carried out at the Asyifa Clinic. This activity begins by asking questions about the mother's knowledge in dealing with pregnancy and about the mother's steps in dealing with pregnancy problems. Followed by providing materials using leaflets and MCH BOOK. All mothers were enthusiastic in participating in this activity as seen from the many questions they asked. This activity was effectively carried out in increasing maternal knowledge and increasing maternal coping where it was seen that there was an increase in maternal knowledge before and after receiving counseling as seen from the pre and post test questionnaires and increased maternal coping.. Keywords: Knowledge, MCH Handbook, Coping, Pregnant Women