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Sinambela, Megawati
Institusi Kesehatan Deli Husada
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Mother's Anxiety Level With Readiness Before Delivery at PMB Deli Serdang Megawati Sinambela
JURNAL KEBIDANAN KESTRA (JKK) Vol. 5 No. 1 (2022): 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.v5i1.1351

Abstract

Mother's readiness before delivery should be a priority for mothers and health workers in pregnancy services, because it can lead to excessive maternal worry in the face of childbirth. The purpose of this study was to analyze the relationship between the level of maternal anxiety before delivery which took place at the Independent Midwife Practice of Deli Serdang Regency. This study is an explanatory research. The population in this study were pregnant women in the third trimester with a sample of 60 respondents. The results obtained p value = 0.001 <0.05, which means that there is a significant relationship between the level of maternal anxiety and readiness for delivery. Suggestions according to the results of the study are that it is considered necessary to provide education for pregnant women to reduce the level of maternal anxiety before childbirth. As well as motivating mothers to visit health services to get ante-natal services according to standards based on gestational age, especially before delivery, thereby reducing anxiety when facing childbirth.
EDUKASI KESEHATAN UNTUK PEREMPUAN USIA SUBUR SEBAGAI UPAYA DETEKSI DINI KANKER SERVIKS DI SIDOADI, BIRU-BIRU, DELI SERDANG Megawati Sinambela; Meta Rosaulina; Siti Marlina
Jurnal Pengabdian Masyarakat Putri Hijau Vol 3 No 1 (2022): Jurnal Pengabdian Masyarakat Putri Hijau
Publisher : INSTITUT KESEHATAN DELI HUSADA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jpmph.v3i1.1147

Abstract

Cervical cancer can be prevented using early detection. One method of early detection that is suitable for developing countries like Indonesia is to use the Acetic Acid Visual Inspection (IVA) method. Cervical cancer can actually be prevented using primary prevention such as increasing or intensifying outreach activities in the community by adopting a healthy lifestyle, avoiding risk factors for getting cancer. Immunization uses the Human Papillomavirus (HPV) vaccine and follows early recognition of cervical cancer by carrying out pap smears or visual pain using acetic acid (Vetricia Zach, 2018). Currently the scope of cervical cancer detection in Indonesia through pap smears and IVA is still very low low, approximately 5%, whereas the coverage of early detection is effective in inhibiting morbidity and mortality due to cervical cancer, which is 85% (Saslow, et al, 2015). IVA is a screening test for cervical cancer using 3-5% acetic acid in an inspector and can be reviewed exclusively (WHO, 2018). according to the results of the diagnostic test, IVA examination had a sensitivity of 84%, a specificity of 89%, a positive predictive value of 87%, a negative predictive value of 88. for a Pap smear examination, a sensitivity of 55%, a specificity of 90%, a positive predictive value of 84%, a negative predictive value of 69 %, from what will happen earlier, it can be concluded that the IVA examination is faster, it gives high sensitivity results (Septadina, 2015). IVA is a simple and inexpensive screening method so that cervical cancer can be detected early (Rasjidi, 2015).
ANALISIS FAKTOR YANG MEMPENGARUHI ANEMIA PADA IBU HAMIL DI PUSKESMAS PANCUR BATU KECAMATAN PANCUR BATU KABUPATEN DELI SERDANG TAHUN 2018 Tampak Linggom; Jon Piter Sinaga; Megawati Sinambela
Majalah Ilmiah METHODA Vol. 9 No. 3 (2019): Majalah Ilmiah METHODA
Publisher : Universitas Methodist Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46880/methoda.Vol9No3.pp118-124

Abstract

Anemia is one of the most common global health problems, spreadwide and it affects 56 million women in the world, and two thirds of them are in Asia. In the world, there is 34% of pregnant women with anemia where 75% are in developing countries. In Indonesia, 63.5% of pregnant women with anemia and around 62.3% are iron deficiency anemia. Based on the data found in Pancur Batu Health Center, Pancur Batu Subdistrict, Deli Serdang District, there were 314 pregnant women with anemia in 2017. The purpose of the research was to analyze the factors that influence anemia in pregnant women in Pancur Batu Health Center, Deli Serdang District in 2018. This research was observational analytic with crosectional design. The sample consisted of all anemia pregnant women who came to have a pregnancy check up while conducting the research as many as 65 people. Data were analyzed by using chi square test and multiple logistic regressions. From the results of multivariate analysis, birth distance p = 0.006 PR was obtained; 13,259; 95% CI (2,108-83,385), Fe tablet consumption p = 0,007 PR; 16,969 95% CI (2,137-134,762), folate intake p = 0,011; PR 19,219 95% CI (1,991-185,526). From the results of multivariate analysis, the most dominant variable influencing the incidence of anemia in pregnant women is folate intake p = p = 0.011; PR 19,219 95% CI (1,991-185,526) it means that pregnant women who lack folate intake estimate the risk of 19 times suffering from anemia compared to pregnant women who get good folate intake. It is recommended that puskesmas officers conduct counseling for pregnant women about consumption or the level of nutritional intake of pregnant women related to the intake of folate, protein, fat and kabohidrat. Pukesmas officers are expected to increase public knowledge through health counseling and family counseling related to age appropriate for pregnancy, regulate birth spacing and improve community health status especially pregnant women because pregnant women need more nutritional intake because it can help government programs to reduce maternal mortality.
PENYULUHAN TENTANG MANFAAT MENGKONSUMSI JUS NANAS DALAM MEMINIMALISIR NYERI HAID PADA REMAJA PUTRI DI SMP YP SINGOSARI DELI TUA   Sitepu, Marlen Sadrina; Sinambela, Megawati
Jurnal Pengabdian Masyarakat Putri Hijau Vol 4 No 1 (2023): Jurnal Pengabdian Masyarakat Putri Hijau
Publisher : INSTITUT KESEHATAN DELI HUSADA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jpmph.v4i1.1651

Abstract

Dismenore diartikan sebagai gangguan ginekologi yang sering terjadi saat menstruasi pada wanita, diklasifikasikan sebagai dismenore primer dan sekunder. Abdomen Pubica/hypogastric merupakan bagian yang mengalami nyeri. Tujuan dalam penelitian ini adalah untuk mengetahui pengaruh pemberian jus nanas (Ananas comosus) terhadap tingkat nyeri haid pada remaja putri. Adapun alternatif yang digunakan untuk meminimalisirkan nyeri haid pada remaja putri ialah dengan memanfaatkan nanas. Nanas mengandung kalori, lemak, protein, karbohidrat, serat, vitamin C, mangan, vitamin B6, vitamin A, vitamin K, zinc dan kalsium. Kegiatan ini dilakukan untuk memberikan informasi dan edukasi mengenau manfaat jus nanas dalam meminimalisir nyeri haid pada remaja putri.
PENGARUH TEKNIK RELAKSASI FINGER HOLD TERHADAP INTENSITAS NYERI PADA PASIEN POST OPERASI SECTIO CAESAREA DI RUANG BERSALIN RSU LATERSIA BINJAI Sinambela, Megawati; Tamba, Vera Wati
JURNAL ILMIAH DHDT - KEBIDANAN Vol 6 No 2 (2024): JURNAL PENELITIAN KEBIDANAN & KESPRO
Publisher : Fakultas Kebidanan Institut Kesehatan Deli Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jpk2r.v6i2.1700

Abstract

Sectio Caesarea is a way of giving birth to a fetus by making an incision in the uterine wall through the front wall of the abdomen. WHO in 2016 set the average standard for sectio caesarea in a country to be 5-15% per 1000 births in the world. Latin America and the Caribbean region contributed the highest caesarean method rates, namely 40.5%, followed by Europe 25%, Great Britain 20%, Asia 19.2%, Africa 7.3%, Indonesia 15.3% above the standard issued by WHO. At Latersia Hospital, the number of sectio caesarea deliveries in 2022 was 1058 cases. The purpose of this study was to identify the effect of the finger hold relaxation technique on pain intensity in postoperative sectio caesarea patients in the delivery room of RSU Latersiain 2023.This research is a quantitative research with a quasi-experimental research design with a one group pretest- posttest design without a control group. The sampling technique uses probability sampling which is taken by purposive sampling with a total sample of 46 respondents.The results of the wilcoxon showed that there was an effect of the finger hold relaxation technique on reducing pain intensity in postoperative sectio caesarea patients (p value = 0.000 <0.05). Most of the respondents had a moderate pain scale before the finger hold relaxation technique was carried out, and most had a mild pain scale after the finger hold relaxation technique was carried out, so it can be concluded that the finger hold relaxation technique is effective for reducing pain in postoperative sectio caesarea patients in the delivery room of RSU Latersia2023.
Factors influence the severity of premenopause syndrome Sinambela, Megawati; Hariati, Hariati; Susanti, Dewi; Sirait, Reni Aprinawaty
MEDISAINS Vol 22, No 2 (2024)
Publisher : Universitas Muhammadiyah Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30595/medisains.v22i2.23123

Abstract

Background: Premenopause syndrome triggers more severe physical and psychological problems and the emergence of various diseases. The limited research on the factors causing the severity of Premenopause syndrome has resulted in a lack of efforts to address the causative factors. Purpose: This study aims to explore factors that influence the severity of premenopause syndrome.Method: This is an analytic observational study with a cross-sectional design. Eighty-eight women aged 40-45 years were included in this study. The knowledge, attitude, age of menarche, use of hormonal contraceptives, and symptoms of premenopause syndrome observed in this study—data analysis using chi-square and multiple logistic regression.Results: Factors that influence the severity of premenopause syndrome are knowledge, attitude, age of menarche, and use of hormonal contraceptives (p<0.001). Knowledge is the most dominant factor (Exp(B) = 25.983; p<0.05)Conclusion: These results underscore the importance of increasing the knowledge of premenopause women to reduce the severity.
Midwifery assessment and interventions protocol for adolescent pregnancy: a Delphi method approach Susanti, Dewi; Yuda, Rahmi Andrita; Handayani, Sri; Sirait, Reni Aprinawaty; Sinambela, Megawati; Yusefni, Elda
MEDISAINS Vol 22, No 2 (2024)
Publisher : Universitas Muhammadiyah Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30595/medisains.v22i2.23317

Abstract

Background: Adolescence pregnancy poses risks for both mothers and infants, often due to insufficient prenatal care resulting from societal stigmatization and lack of awareness. Around 16 million adolescents aged 15-19 years in the world give birth each year; in Indonesia, the first pregnant women aged <20 years are 45.10%, while in West Sumatra, it is 33.7%. To address this issue, integrated programs and midwifery care have been implemented. However, providing such care to adolescent mothers comes with its own set of challenges.Purpose:  This study aims to conduct a midwifery assessment and intervention protocol for adolescent pregnancy.Method: Qualitative approach The Delphi method involved two rounds of evaluation, with twenty-one participants who were independent practice midwives, six midwives involved in the mother and child health program, and nine midwifery lecturers from accredited educational institutions A (excellent). Participants had at least five years of clinical experience and were selected using purposive non-probability sampling. Participants evaluated statements related to midwifery care during the Delphi process. The validity of these statements was determined by participants providing a minimum score of 3, and the Content Validity Ratio (CVR) was calculated. Statements with a CVR greater than 0.8 were considered valid.Results: Based on expert consensus, important assessments for adolescent pregnant women include addressing issues of gender equality and domestic violence, reproductive and sexual health, risks associated with smoking and substance abuse, maintaining a healthy pregnancy, and adequately preparing for labor and parenthood.Conclusion: Midwifery management and midwifery information were deemed valid dimensions of midwifery care; relational care had one invalid item.
The Influence of Health Education with Video Media on Stunting Prevention on Mothers' Knowledge Sitorus, Rotua Sumihar; Sirait, Reni Aprinawaty; Sinambela, Megawati
Jurnal Keperawatan Priority Vol. 8 No. 1 (2025)
Publisher : Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jukep.v8i1.6299

Abstract

Stunting is a chronic malnutrition condition experienced by a person since pregnancy and early childhood, failure to thrive in children (Stunting) is a challenge in the development of a quality Indonesian society. This study aims to determine the effect of health education with video media on preventing stunting. This study is a quantitative study with a quasi-experimental method. The study was conducted in the work area of the Laut Tador Health Center, Batu Bara Regency in January 2024. The population in this study were all stunted babies totaling 171 people, a sample of 47 respondents was obtained. The results of the study showed that out of 47 respondents, aged 25-30 years (61.3%) and 31-35 years (38.3%). Based on education with Senior High School education (53.2%), Elementary School education (6.4%), Junior High School education (8.5%), and Diploma/Bachelor education (31.9%), while based on occupation with jobs as IRT (Housewife) (53.2%), employees (25.5%), and teachers (21.3%). The results of the paired sample test obtained an average value before and after counseling of 13.085 with a standard deviation of 17.306 with a t value of -5.183. The significance value of the p-value is 0.000 (<0.05), so it can be concluded that there is an influence of providing video media on respondents' knowledge in preventing stunting before and after.
PEMBERDAYAAN IBU HAMIL DETEKSI DINI ANEMIA DAN PENCENGAHANNYA. Sinambela, Megawati
Jurnal Pengabdian Masyarakat Putri Hijau Vol 5 No 3 (2025): Jurnal Pengabdian Masyarakat Putri Hijau (JPMPH)
Publisher : INSTITUT KESEHATAN DELI HUSADA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jpmph.v5i3.2474

Abstract

Anemia pada ibu hamil merupakan salah satu masalah kesehatan masyarakat yang serius di Indonesia, dengan preval_ensi mencapai 48,9% menurut RISKESDAS 2018. Kondisi ini dapat menimbulkan dampak buruk baik bagi ibu maupun janin, seperti keguguran, persalinan prematur, dan berat badan lahir rendah. Kegiatan Pengabdian Kepada Masyarakat (PKM) ini bertujuan untuk meningkatkan pengetahuan ibu hamil mengenai deteksi dini dan pencegahan anemia melalui edukasi dan pemberdayaan di Dusun II, Desa Sidodadi, Kecamatan Biru-Biru, Kabupaten Deli Serdang. Metode pelaksanaan kegiatan berupa penyuluhan langsung dengan pendekatan ceramah interaktif, diskusi, serta pemeriksaan tekanan darah peserta. Hasil kegiatan menunjukkan antusiasme dan partisipasi aktif dari 26 ibu hamil yang hadir. eval_uasi pasca-kegiatan memperlihatkan peningkatan pemahaman peserta mengenai pentingnya konsumsi zat besi, suplemen TTD, serta pemeriksaan hemoglobin secara berkala. Kesimpulannya, pemberdayaan melalui edukasi terbukti efektif dalam meningkatkan kesadaran ibu hamil terhadap bahaya anemia dan pentingnya pencegahan secara dini. Disarankan agar kegiatan serupa dilakukan secara berkelanjutan dengan dukungan lintas sektor.
HUBUNGAN MONITORING DAN EVALUASI DENGAN KUALITAS PELAYANAN DI PUSKESMAS SEI SUKA-BATUBARA Melati, Melati; Revida, Erika; Sinambela, Megawati
Jurnal Inovasi Kesehatan Masyarakat Vol 1 No 1 (2019): Jurnal Inovasi Kesehatan Masyarakat
Publisher : Fakultas Kesehatan Masyarakat, Institut Kesehatan Deli Husada Deli Tua

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36656/jikm.v1i1.189

Abstract

The development of various types of health services makes the quality of health services in public health centers easily overlooked. In the framework of quality control to have accreditation standards, it is necessary to implement a quality program that includes monitoring evaluation activities.This study aims to analyze the relationship between the planning, implementation and reporting stages of monitoring evaluation with service quality at Sei Suka Public Health Center, Batu Bara District in 2019. The study was analytic survey research with a cross sectional approach. The sample in the study was 36 employees of the Sei Suka Public Health Center, and using non probability sampling with total sampling techniques and 36 patients at the Sei Suka Public Health Center with purposive sampling technique. Data analysis was univariate, bivariate with Spearman Rank correlation test and multivariate with multiple linear regression test at 95% confidence level, α = 5%. The results of the study showed that the planning phase activities were good, the implementation phase was not good and the reporting phase was not good. Service quality was still low. There was a relationship between the planning, implementation and reporting stages of monitoring evaluation with service quality. The implementation phase of monitoring evaluation was the most related variable to service quality in Sei Suka Public Health Center, Batu Bara District in 2019.The planning phase must be carried out by involving stakeholder and the health professionals involved. The implementation phase of monitoring evaluation must be carried out based on the planning phase that had been made, carried out on time and regularly periodically. The results of the reporting phase of monitoring evaluation must be socialized and communicated with all employees and service units involved.
Co-Authors Afrilius Simanjuntak Alwi, Fahrizal Andani Barus Aprilius Simanjuntak Ariescha, Putri Ayu Yessy Batubara, Saiful Br Bukit, Herawati Devi Riana Sagala Dewi Susanti Dewi Susanti Eka Sri Wahyuni Elda Yusefni Emmenita Carina Erdiwan Erdiwan Erika Revida Erlina Hayati Erni Aisyah Hasibuan Eva Solina Evi Erianty Hasibuan FAHDI, FIRDAUS Fridessia Ardiani Handayani, Sri Hariati Hariati Hasian, Muhammad Tsawaby Hengky Frengki Manulang Herlina H Herlina J. EL- Matury Herri Novita Herri Novita Br Tarigan Herviani Sari Hien Thi Nguyen Hutabarat, Vitrilina Jon Piter Sinaga Jon Piter Sinaga Kristin Natalia Maria Hermita Manik Mery Silvia Harahap Nur Mala Sari Nurwijayanti Raden Mohamad Herdian Bhakti Rahmad Gurusinga Rahmi Andrita Yuda Rahmi, Nurfadhilah Reisy Tane Reka Novrina Reysi Tane Rini Debora Silalahi Ripai si regar Rosaulina, Meta Rostio Girsang Rotua Sumihar Sitorus Shintya Handayani Shujen Chen Sirait, Reni Aprinawaty Siregar, GF Gustina Sitepu, Marlen Sadrina Sitepu, Stefani Anastasia Siti Marlina Tamba, Vera Wati Tampak Linggom Tasnim tio ranti sari br sembiring Victor Trismanjaya Hulu Winingsih Frihafni