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ANALISIS FAKTOR - FAKTOR YANG MEMPENGARUHI IBU HAMIL TERHADAP PEMERIKSAAN ANTENATAL CARE (ANC) SELAMA PANDEMI COVID-19 DI PUSKESMAS TALUN KENAS TAHUN 2020 Megawati Sinambela; Eva Solina
JURNAL KEBIDANAN KESTRA (JKK) Vol 3 No 2 (2021): Jurnal Kebidanan Kestra (JKK)
Publisher : Fakultas Kebidanan Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkk.v3i2.604

Abstract

Pemeriksaan Antenatal Care (ANC) merupakan pemeriksaan dengan tujuan mengoftimalkan kesehatan mental dan fisik ibu hamil untuk menghadapi persalinan, masa nifas, menyusui sampai kembalinya kesehatan reproduksi. Khususnya pada masa pendemi Covid-19 pemeriksaan Antenatal Care (ANC) harus tetap dilaksakan untuk memantau kesehatan ibu dan bayi. Dalam pemeriksaan Antenatal Care (ANC) ini ada faktor yang mempengaruhinya yaitu : umur, pendidikan, pekerjaan, pemgetahuan, dan sikap. Tujuan penelitian ini adalah untuk mengetahui faktor-faktor yang mempengaruhi ibu hamil terhadap pemeriksaan Antenatal Care (ANC) selama pandemi Covid-19 di Puskesmas Talun Kenas Tahun 2020. Jenis penelitian kuantitatif dengan pendekatan cross sectional yang bertujuan untuk menganalisis faktor-faktor yang mempengaruhi antara variabel bebas dan variabel terikat dalam melakukan pemeriksaan Antenatal Care (ANC) selama pandemi Covid-19 di Puskesmas Talun Kenas Tahun 2020. Populasi penelitian ini adalah seluruh ibu hamil TM 3 yang berada di Pusksmas Talun Kenas berjumlah 153 orang, sampel berjumlah 60 orang dengan menggunakan kuesioner. Hasil penelitian didapat variebel yang berpengaruh terhadap pemeriksaan Antenatal Care (ANC) selama pandemi Covid-19 adalah : umur (p value = 0,002), pendidikan (p value = 0,004), pekerjaan (p value = 0,002), pengetahuan ( p value = 0,000), sikap (p value = 0,001). Disarankan kepada responden agar tetap melakukan pemeriksaa Antenatal Care (ANC) selama pandemi Covid-19 dengan mematuhi protokol kesehatan dan bagi tenaga kesehatan agar tetap melakukan pemantauan dan kunjungan rumah ibu hamil
Kesiapsiagaan Rumah Sakit Umum Daerah Haji AbdoelMadjid Batoe Batanghari Jambi Menghadapi Bencana Herlina J. EL- Matury; Shintya Handayani; Megawati Sinambela; Aprilius Simanjuntak; Rahmad Gurusinga
Jurnal Kesehatan Komunitas Vol 7 No 3 (2021): Jurnal Kesehatan Komunitas
Publisher : STIKes Hang Tuah Pekanbaru

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25311/keskom.Vol7.Iss3.1008

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Disasters are events caused by events or a series of events caused by natural or non-natural. During the period from January to May 2021, there were 1,185 disasters that occurred in Indonesia such as floods, tornadoes, landslides, forest and land fires, earthquakes, tidal waves and droughts. This study aimed to analyse the preparedness of the Haji Abdoel Madjid Batang Hari Regional General Hospital (RSUD HAMBA) Jambi (facing disasters and the COVID-19 pandemic). The research method uses a mix method approach, using the Hospital Safety Index (HSI) forms. The HAMBA Hospital included earthquakes, strong winds, fires, and the COVID-19 pandemic. The struktural safety assessment got an index score of 0.69, non-struktural safety was 0.67, and emergency and disaster management safety got an index score of o.63. Overall, HAMBA Hospital received a safety index of 0.67 which was included in the "A" classification which indicates that HAMBA Hospital is ready to face the COVID-19 disaster and pandemic. HAMBA Hospital is expected to strengthen emergency and disaster management, renovation and addition of rooms and facilities must follow applicable hospital building safety standards.
UPAYA PENINGKATAN KEMAMPUAN PENGELOLAAN KECEMASAN PADA IBU HAMIL DALAM KEGIATAN SENAM DI KLINIK BERSALIN KURNIA KEC.MEDAN DENAI, KOTA MEDAN Megawati Sinambela; Rostio Girsang; Herri Novita
Jurnal Pengabdian Masyarakat Putri Hijau Vol 1 No 1 (2020): Jurnal Pengabdian Masyarakat Putri Hijau
Publisher : INSTITUT KESEHATAN DELI HUSADA

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (322.649 KB) | DOI: 10.36656/jpmph.v1i1.520

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Pregnancy is a period that starts from conception until the birth of the fetus (Widatiningsih 2017). Meanwhile, according to Dahro (2012) pregnancy is defined as a period where there are dramatic changes in both physiological, psychological and adaptation in women. Pregnancy and the puerperium can sometimes lead to psychosis. Anxiety is a state of unpleasant affective feelings accompanied by physical sensations that alert people to impending dangers. Based on the study of Gourount, et al with 133 study subjects pregnant women with gestational age 9-37 weeks showed that anxiety occurs 50% in the first trimester, 71.4% in the second trimester and 80% in the third trimester. Yoga is a combination of body, mind and mental exercises that really help pregnant women flex their joints and calm the mind, especially in the third trimester. Yoga yoga exercises have five aspects, namely physical yoga practice, breathing (pranayama), positions (mudra), meditation and deep relaxation which can be used to get benefits during pregnancy that can help smooth pregnancy and childbirth naturally and healthy (Rusmita, El , 2015). Prenatal yoga has a positive effect on pregnant women, namely reducing stress, anxiety, pain during pregnancy, discomfort and reducing labor pain. Sindhu also stated that one of the benefits of practicing yoga for pregnancy is that it reduces anxiety and mentally prepares the mother for childbirth. According to research by Kyle Davis, et al, which involved 46 pregnant women with symptoms of anxiety, showed that prenatal yoga was a feasible and acceptable intervention for pregnant women who had symptoms of anxiety and depression. Participants also expressed high satisfaction and there were no adverse results (Kemens RI, 2016).
PENATALAKSANAAN MANAJEMEN NYERI PADA PASIEN KANKER DI RSU SEMBIRING DELI TUA Herri Novita Tarigan; Megawati Sinambela
Jurnal Pengabdian Masyarakat Putri Hijau Vol 1 No 1 (2020): Jurnal Pengabdian Masyarakat Putri Hijau
Publisher : INSTITUT KESEHATAN DELI HUSADA

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (454.642 KB) | DOI: 10.36656/jpmph.v1i1.525

Abstract

Cancer is a disease or abnormalities of cells that grow new abnormally, excessively, uncontrollably, and finally can attack and spread to other organs around it. The pain always impairs cancer patients, it will differentially impair cancer patients', from mild, moderate, and severe. The pains can be overcome according to their standard: mild pain with nonpharmacology as an independent area of nursing, moderate pain with non-pharmacological and pharmacological combinations, they are collaborative areas, and severe pain with pharmacology, it is commonly given with medication. Objective of the Study to find the description of pain management towards cancer patients in RSU Sembiring. The design used was descriptive quantitative with cross-sectional approach, the sample size was 124 people. The sampling technique was Cluster-random sampling. The research instrument used was questionnaire sheet, while the analysis used was descriptive statistics to be displayed in the form of frequency distribution. Description of the implementation of pain management scales 1-3 by nurses towards cancer patients in RSU Sembiring quantitatively on medical records shows that the average achievement of 95.16% (Good), quantitatively in the patients shows that the average achievement of 75.8% (Poor). Description of the implementation of pain management towards cancer patients in RSU Sembiring generally shows fair category.
PENYULUHAN COVID-19 DAN PENERAPAN PROTOKOL KESEHATAN DI KALANGAN SEKOLAH Herviani Sari; Firdaus Fahdi; Hengky Frengki Manulang; Herawati Bukit; Stefani Anastasia Sitepu; Erlina Hayati
Jurnal Pengabdian Masyarakat Putri Hijau Vol 1 No 2 (2021): Jurnal Pengabdian Masyarakat Putri Hijau
Publisher : INSTITUT KESEHATAN DELI HUSADA

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (747.323 KB) | DOI: 10.36656/jpmph.v1i2.695

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At the end of 2019, the world was shocked by the emergence of a new virus from Wuhan, China. The virus is known as nCoV (novel corona virus). This virus is a new variant of the corona virus that broke out in 2002 which is known by people as SARS (Severe Acute Respiratory Syndrome). Then this new type of corona virus was known as SARS-CoV-2 and the name of the disease was known as COVID-19. According to reports until March 2020 the SARS-CoV-2 virus has infected 90,308 people in China and the death rate has reached 3,087 people. COVID-19 was detected in Indonesia for the first time in early March 2020. The rate of spread of COVID-19 was very fast within a few months, the number of positive patients with COVID-19 in August 2020 reached 172,053 cases. COVID-19 is very contagious and spreads quickly, so to avoid COVID-19 it is necessary to do 3M (wear a mask, keep your distance and wash your hands). Because it has been months but the plague has not ended, the whole world has begun to take a stand to initiate new policies in people's daily lives. This policy is known as the New Normal Era.
PEMBERIAN AIR KELAPA MUDA UNTUK PENURUNAN NYERI HAID PADA STAF PUSKESMAS HUTABARGOT MANDAILING NATAL Herri Novita Tarigan; Megawati Sinambela
Jurnal Pengabdian Masyarakat Putri Hijau Vol 1 No 4 (2021): Jurnal Pengabdian Masyarakat Putri Hijau
Publisher : INSTITUT KESEHATAN DELI HUSADA

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (341.81 KB) | DOI: 10.36656/jpmph.v1i4.720

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Dismenorhoe is a medical condition that occurs to menstruation that can interfere with activity and requires treatment characterized by pain or pain in the abdomen or pelvis . Menstruation is periodic bleeding and cycles from the uterus , accompanied by the release or dedeconstruction of the endometrium that occurs every month regularly in mature and healthy women . The purpose of this study is to find out if there is an " Giving of Young Coconut Water On Decreased Dismenorhoe This type of research uses pre experimental methods and design of one group pretest-Postest .The sample numbered 10 respondents with the same treatment. With Numerical pain measurement scale and Observation Sheet . Univariate and Bivariate analysis using t analysis. The results of this study obtained the results of Pretest 7.40 and Posttest 2.8. So it can be concluded that " there is an effect of young coconut water administration on menstrual pain after and before intervention .
PELAKSANAAN SENAM HAMIL DALAM PENINGKATAN KUALITAS TIDUR PADA IBU HAMIL TRIMESTER III DI PUSKESMAS TALUN KENAS Megawati Sinambela; Herri Novita Tarigan
Jurnal Pengabdian Masyarakat Putri Hijau Vol 1 No 4 (2021): Jurnal Pengabdian Masyarakat Putri Hijau
Publisher : INSTITUT KESEHATAN DELI HUSADA

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (460.515 KB) | DOI: 10.36656/jpmph.v1i4.729

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Pregnancy is a change in physiology that is special for a woman as a prospective mother and is also a dream for every married couple. The birth of a baby in a healthy and perfect condition is a hope in every pregnancy process, where this hope can be fulfilled if the baby is born with sufficient body weight. The purpose of this study was to improve the quality of sleep in third Trimester pregnant women, especially at the Talun Kenas Public Health Center, Deli Serdang Regency. The conclusion of the implementation of pregnancy exercise on improving the quality of sleep in third Trimester pregnant women at the Talun Kenas Public Health Center is that pregnancy exercise is very useful for pregnant women because it can also increase the mother's fitness to prepare for childbirth. The number of participants in the implementation of pregnancy exercise was 18 people at the Talun Kenas Public Health Center. After the implementation of the activity there was an increase in the mother's ability to carry out pregnancy exercises independently.
SIMULASI KESIAPAN PERSALINAN MENURUNKAN KECEMASAN IBU TRIMESTER III DI PRAKTEK MANDIRI BIDAN KASIH IBU Megawati Sinambela; Reysi Tane; Meta Rosaulina
Jurnal Pengabdian Masyarakat Putri Hijau Vol 2 No 2 (2022): Jurnal Pengabdian Masyarakat Putri Hijau
Publisher : INSTITUT KESEHATAN DELI HUSADA

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (359.835 KB) | DOI: 10.36656/jpmph.v2i2.803

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High anxiety faced by mothers in the third trimester when facing the delivery process is a problem that is often faced due to psychological factors that have not received attention from birth attendants. Community service simulating labor readiness reduces maternal anxiety in the third trimester in the independent practice of the midwife of maternal love, in principle reducing the mother's anxiety and fear in facing childbirth so that childbirth will be felt pleasant and the mother has an attitude of readiness in facing childbirth. This activity is in the form of providing education and knowledge about the changes that occur in the third trimester of pregnancy and preparation for childbirth as well as an overview of the process and conditions during labor. The results of this activity from the discussion found that 100% of mothers were aware of the changes that occurred in the third trimester of pregnancy and the stages of labor and some of them already knew how to reduce pain during labor. with a low level of anxiety, which means that mothers in dealing with labor have reduced levels of anxiety or fear.
EDUKASI MASSAGE PUNGGUNG DAN KOMPRES HANGAT PAYUDARA TERHADAP PENINGKATAN KELANCARAN PRODUKSI ASI DI KLINIK WIRNATA KECAMATAN MEDAN SUNGGAL Kristin - Natalia; Vitrilina Hutabarat; Mutiara Dwi Yanti; Stefani Anastasia Sitepu; Megawati Sinambela
Jurnal Pengabdian Masyarakat Putri Hijau Vol 2 No 3 (2022): Jurnal Pengabdian Masyarakat Putri Hijau
Publisher : INSTITUT KESEHATAN DELI HUSADA

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (391.054 KB) | DOI: 10.36656/jpmph.v2i3.903

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Menyusui adalah anugerah yang diberikan Tuhan kepada wanita. Karena ASI merupakan nutrisi terbaik untuk bayi, terutama pada usia 0-6 bulan. Dengan pemberian ASI eksklusif, ibu harus mendapatkan makanan yang bergizi dan berprotein karena akan mempengaruhi ASInya. Tujuan penelitian ini adalah untuk mengetahui perbedaan efektivitas pijat punggung dan kompres hangat payudara untuk meningkatkan kelancaran produksi ASI di Klinik Wirnata Kecamatan Medan Sunggal. Penelitian ini menggunakan Pre and Post Test Control Two Group Desigh yaitu untuk mengetahui perbedaan efektivitas pijat punggung dan kompres hangat payudara sebelum dan sesudah diberikan. Populasi dalam penelitian ini adalah 20 responden dan semuanya dijadikan sampel penelitian. Dalam penelitian ini menggunakan Uji McNemar. Hasil edukasi menunjukkan bahwa terdapat perbedaan efektivitas pijat punggung terhadap peningkatan kelancaran produksi ASI di Klinik Wirnata Kecamatan Medan Sunggal dengan p-value = 0,008 < (0,05) dan kompres hangat payudara terhadap peningkatan kelancaran ASI produksi di Klinik Wirnata Kecamatan Medan Sunggal dengan nilai p-value = 0,016 < (0,05). Kesimpulan dari penelitian ini adalah terdapat perbedaan efektivitas pijat punggung dan kompres hangat payudara terhadap peningkatan kelancaran produksi ASI di Klinik Wirnata Kecamatan Medan Sunggal. Disarankan kepada Klinik Wirnata untuk dijadikan referensi tentang manfaat pijat punggung dan kompres hangat payudara untuk meningkatkan kelancaran produksi ASI.
PENGARUH KOMBINASI HYPNOBREASTFEEDING DAN PIJAT OKSITOSIN TERHADAP PRODUKSI ASI IBU POST PARTUM DI KLINIK PRATAMA FITRI ASIH DESA SIGARA GARA KECAMATAN PATUMBAK KABUPATEN DELI SERDANG TAHUN 2020 Eka Sri Wahyuni, Megawati Sinambela, Sriyati
JURNAL PIONIR Vol 6, No 2 (2020): Juli
Publisher : Universitas Asahan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36294/pionir.v7i3.1386

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Latar Belakang : Kebutuhan nutrisi sejak usia dini dapat dicapai melalui pemberian Air Susu Ibu (ASI) Esklusif yang merupakan nutrisi bayi sejak lahir sampai 6 bulan tanpa memberikan makanan/minuman pendamping. Kurangnya produksi ASI adalah salah satu alasan para ibu untuk memberi susu formula pada bayinya. Penyebab rendahnya pemberian ASI Ekslusif adalah produksi ASI hari pertama sampai hari ketiga postpartum dikarenakan kurangnya rangsangan hormone oksitosin dan prolaktin yang berperan dalam kelancaran produksi ASI yang menyebabkan ASI tidak segera keluar serta perasaan cemas ibu saat menghadapi persalinan yang menyebabkan hormone oksitosin menurun sehingga produksi ASI terganggu. Untuk pengeluaran ASI yang cukup dibutuhkan upaya non farmokologis berupa pijat oksitosin dan hypnobreastfeeding.Penelitian ini bertujuan untuk menguji efek kombinasi Hypnobreastfeeding dan Pijat Oksitosin Terhadap Produksi ASI Ibu Postpartum. Penelitian ini menggunakan metode eksperimen semu (quasi eksperimen) dengan rancangan post-test only group desain. Populasi adalah ibu postpartum hari pertama sampai hari ketiga dengan jumlah sampel 11 eksperimen dan 11 kontrol. Data dianalisis menggunakan uji Regresi Linear. Hasil : ada peningkatan yang signifikan dari produksi ASI pada kelompok eksperimen dan kontrol dengan p value 0,000 (<0,05). Kesimpulan : Terjadi peningkatan sekresi ASI yang bermakna pada ibu postpartum setelah diberi kombinasi hypnobreastfeeding dan pijat oksitosin.Kata Kunci : Hypnobreastfeeding, Pijat Oksitosin, Produksi ASI.