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IMPLEMENTASI MEOWS (MATERNAL EARLY OBSTETRIC WARNING SCORE) SEBAGAI PREDIKTOR PERAWATAN PASIEN PREEKLAMPSIA DI ICU (INTENSIVE CARE UNIT) puji astutik, eka; Rosyidah, Rafhani; Cholifah, Siti
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 9 No. 1 (2025): APRIL 2025
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v9i1.42801

Abstract

Pendahuluan Preeklampsia merupakan komplikasi kehamilan yang serius dan sering kali memerlukan perawatan di ICU. Tantangan utama dalam penanganannya adalah mengidentifikasi pasien yang membutuhkan perawatan intensif sejak dini. Maternal Early Obstetric Warning Score (MEOWS) telah digunakan untuk mendeteksi kelainan tanda-tanda vital, tetapi efektivitasnya dalam memprediksi kebutuhan ICU pada pasien preeklampsia masih belum banyak diteliti. Metode: Penelitian ini adalah studi kohort retrospektif analitik yang melibatkan 276 pasien preeklampsia di RSUD R.T. Notopuro Sidoarjo selama periode Juni 2023 hingga Juni 2024. Data yang digunakan merupakan data sekunder dari rekam medis. Analisis dilakukan menggunakan kurva ROC untuk menentukan titik cut-off MEOWS, serta uji sensitivitas, spesifisitas, dan regresi logistik guna mengontrol faktor perancu. Hasil: Dari total pasien yang diteliti, 9,1% memerlukan perawatan di ICU. Analisis menunjukkan bahwa Area Under the ROC Curve (AUC) untuk MEOWS adalah 0,686 (p = 0,001), yang mengindikasikan kemampuan prediksi yang sedang. Titik cut-off optimal ditentukan untuk mencapai keseimbangan terbaik antara sensitivitas dan spesifisitas dalam mendeteksi kebutuhan ICU. Analisis dan Diskusi: MEOWS menunjukkan tingkat akurasi yang cukup dalam mengidentifikasi pasien preeklampsia dengan risiko tinggi memerlukan perawatan intensif. Skor ini dapat digunakan sebagai alat skrining awal untuk membantu tenaga medis dalam pengambilan keputusan terkait perawatan ICU. Namun, diperlukan penelitian lebih lanjut guna meningkatkan akurasi serta validasi eksternal dari skor ini. Kesimpulan: MEOWS dapat digunakan sebagai alat prediksi kebutuhan ICU pada pasien preeklampsia dengan tingkat akurasi yang moderat. Penerapan skor ini berpotensi untuk meningkatkan deteksi dini serta manajemen pasien yang berisiko tinggi.
PENINGKATAN KESADARAN KESEHATAN REPRODUKSI DAN LITERASI DIGITAL BAGI REMAJA PUTRI MELALUI PENDEKATAN PSIKOEDUKATIF KOMUNITAS Rosyidah, Rafhani
DedikasiMU : Journal of Community Service Vol. 7 No. 2 (2025): DedikasiMU Juni
Publisher : Universitas Muhammadiyah Gresik

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30587/dedikasimu.v7i2.9852

Abstract

Remaja putri merupakan kelompok strategis dalam siklus kehidupan masyarakat yang memegang peran penting dalam menciptakan generasi sehat dan berkualitas. Di Desa Tambak Kalisogo, Kecamatan Jabon, Kabupaten Sidoarjo, masih ditemukan tantangan terkait rendahnya literasi kesehatan reproduksi dan pemanfaatan teknologi digital di kalangan remaja. Kondisi ini diperburuk oleh tingginya angka pernikahan dini dan risiko stunting. Oleh karena itu, kegiatan pengabdian ini bertujuan untuk meningkatkan pemahaman remaja putri mengenai kesehatan reproduksi dan literasi digital sebagai bagian dari upaya pencegahan pernikahan dini dan reduksi stunting. Metode yang digunakan adalah pendekatan Community-Based Research (CBR) yang menggabungkan keterlibatan dosen, mahasiswa, dan masyarakat. Kegiatan edukasi dilakukan dalam bentuk psikoedukasi partisipatif, diskusi kelompok, dan simulasi. Evaluasi dilakukan melalui pretest dan posttest yang diberikan kepada 21 peserta pada dua topik utama, yaitu kesehatan reproduksi remaja dan literasi digital. Kegiatan dilaksanakan pada tanggal 8 Mei 2024. Hasil evaluasi menunjukkan adanya peningkatan skor rata-rata pada kedua topik. Nilai rata-rata pretest untuk kesehatan reproduksi adalah 8,29 dan meningkat menjadi 9,10 pada posttest. Pada literasi digital, skor meningkat dari 8,43 menjadi 9,43. Temuan ini menunjukkan bahwa kegiatan edukatif berbasis komunitas yang disampaikan dengan pendekatan interaktif mampu meningkatkan kesadaran dan pemahaman remaja putri terhadap isu-isu penting yang berkaitan dengan kesehatan dan digitalisasi.
Murottal Surah Ar-Rahman and Aromatheraphy Lavender (Lavendula Augustfolia) Inhalation to Decrease Labor Pain on First Stage Active Phase Azizah, Nurul; Rosyidah, Rafhani; Destiana, Evi
Jurnal Midpro Vol. 12 No. 1 (2020): JURNAL MIDPRO
Publisher : Universitas Islam Lamongan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30736/md.v12i1.192

Abstract

Childbirth is a natural process and causes pain, but many mothers can not resist the pain because it is influenced by stress. The study using non-phamacological pain relief therapy with aromatherapy which is believed to reduce pain and the aims to compare between murotal Al-Qur'an Surat Ar-rahman therapy and inhalation of lavender aromatherapy to reduce the intensity of labor pain when first active phase.The research design used Quasi Experimental with Non-equivalent Control Group Design method and using pretest - posttest. The population of the first phase active labor mothers in RB Nuril Masrukha Candi Sidoarjo. The technique sampling used Consecutive sampling. Data collected by observing 2 groups of labor mothers: 30 respondents listened to surah Ar-Rahman murottal and 30 respondents inhaled Lavender Aromatherapy. In both of groups, the pretest was given before treatment, then posttest was done after treatment using observation sheet assessment of pain scale with behavioral observation (FLACC behavioral scale). Data analysis using Independent Sample T-Test with a significance level α = 0.05. The results showed that the difference in pain score reduction in lavender aromatherapy inhalation was 3.26 ± 0.25, whereas in the murottal group of the Ar-Rahman Surah mean decrease in pain score was 2.62 ± 0.057 with P value <0.001, that showed a significant relationship.The conclusion is inhalation of aromatherapy lavender (Lavendula Augustfolia) and murottal surah Ar-Rahman can reduce intensity of labor pain during the first active phase, but inhalation group of aromatherapy lavender has a greater pain reduction score than murottal surah Ar-Rahman group.  
The Effectiveness of Acupressure for 3-Month Birth Control Acceptors Who Complaint of Menometrorrhagia Winarti, Sri; Mukhodim Faridah Hanum, Sri; Rosyidah, Rafhani
Jurnal Midpro Vol. 17 No. 1 (2025): JURNAL MIDPRO
Publisher : Universitas Islam Lamongan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30736/md.v17i1.814

Abstract

The use of hormonal contraception, such as 3-month injectable birth control, is often associated with side effects of menstrual disorders, one of which is menometrorrhagia. Untreated menometrorrhagia can affect the quality of life of birth control acceptors. This study aims to evaluate the effectiveness of acupressure therapy in 3-month contraceptive injection acceptors who experience complaints of menometrorrhagia. The research used an experimental method with a posttest-only non-equivalent control group design. The sample consisted of 23 acceptors of 3-month contraceptive injections who were divided into two intervention groups: Intervention 1 (reducing complaints from moderate to mild) and Intervention 2 (reducing complaints from mild to very mild or cured). The intervention was carried out for 7 days, focusing on the SP6, LI4, LV3, CV3 and CV4 acupressure points with a duration of 15–20 seconds per point. The results of statistical analysis showed that the average rating of menometrorrhagia complaints in the Intervention 1 group (14.23) was higher than Intervention 2 (9.10) with a significant value (p = 0.029). This shows that there is a significant difference between the two intervention groups, where Intervention 1 is more effective in reducing complaints of menometrorrhagia. These findings indicate that acupressure therapy is an effective method and can be applied as a non-pharmacological alternative to treat menometrorrhagia in 3-month contraceptive injection acceptors.    
Exclusive Breastfeeding, Nutritional Status, and Diarrhea Incidence among Toddlers: Menyusui Eksklusif, Status Gizi, dan Insidensi Diare pada Balita Jannah, Raudhatul Rayhannatil; Purwanti, Yanik; Rosyidah, Rafhani; Widowaty, Hesty
Indonesian Journal on Health Science and Medicine Vol. 2 No. 2 (2025): Oktober
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/ijhsm.v2i2.280

Abstract

Background : In Sidoarjo Regency, cases increased annually, with 65,813 cases recorded in 2021. Exclusive breastfeeding and adequate nutrition are crucial protective factors.Knowledge Gap: Previous studies identified various risk factors, yet limited evidence exists on their combined association in local community settings.Aim: This study examined the relationship between exclusive breastfeeding history and nutritional status with diarrhea incidence among toddlers in the Candi Sidoarjo Health Center area.Methods: A cross-sectional study was conducted on 45 mothers with toddlers aged 6–59 months using random sampling. Data were collected via questionnaires and anthropometric measurements, analyzed with chi-square tests.Results: Among toddlers, 60% received exclusive breastfeeding and 68.9% had normal nutritional status. Diarrhea incidence in the past three months was 55.6%. Chi-square analysis showed significant associations between exclusive breastfeeding (p=0.014) and nutritional status (p=0.037) with diarrhea occurrence.Novelty: The findings highlight how breastfeeding practices and nutritional adequacy collectively reduce diarrhea risk in community-level settings.Implications: Strengthening maternal awareness and nutrition interventions may lower diarrhea incidence and improve child health outcomes in similar populations. Highlights: Exclusive breastfeeding reduces diarrhea in toddlers Nutritional status significantly linked to diarrhea incidence Community-based evidence from Sidoarjo Keywords: Exclusive Breastfeeding, Nutritional Status, Diarrhea, Toddlers, Sidoarjo
Adolescent Posyandu Visits, Diet, Nutritional Status, and Anemia in Penatarsewu: Kunjungan Posyandu Remaja, Pola Makan, Status Gizi, dan Anemia di Penatarsewu Khotimah, Devi Husnul; Cholifah, Cholifah; Rosyidah, Rafhani; Hanum, Sri Mukhodim Faridah
Indonesian Journal on Health Science and Medicine Vol. 2 No. 2 (2025): Oktober
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/ijhsm.v2i2.282

Abstract

Background : In Sidoarjo, anemia prevalence among adolescent girls increased from 32.9% in 2020 to 51.6% in 2023, raising concerns about nutrition and preventive health service utilization.Knowledge gap: Although diet, nutritional status, and adolescent Posyandu visits are considered determinants of anemia, the consistency of their relationship is unclear.Aim: This study investigated the relationship between adolescent Posyandu visits, diet, and nutritional status with anemia incidence in Penatarsewu Village.Results: Using a cross-sectional design with total sampling of 32 respondents, hemoglobin levels, BMI, and dietary patterns were assessed. Fisher’s exact test showed no significant relationship between Posyandu visits (p=0.338), diet (p=0.581), or nutritional status (p=0.198) with anemia incidence.Novelty: Unlike many prior studies linking nutrition to anemia, this study reveals that these factors may not directly correlate with anemia in this population.Implications: Other variables, including menstruation, chronic illness, socioeconomic, and environmental factors, should be explored in future studies with larger samples to strengthen anemia prevention strategies. Highlights: Adolescent anemia remains high in Sidoarjo. No significant link between diet, nutrition, visits, and anemia. Broader factors must be considered for anemia prevention. Keywords: Anemia, Adolescent Girls, Posyandu Visits, Diet, Nutritional Status
ASUHAN KEBIDANAN CONTINUITY OF CARE DI PMB EVA SAFITRI, CANDI SIDOARJO Syu'bah, Afinatus; Rosyidah, Rafhani
Health Sciences Journal Vol. 8 No. 2 (2024): OKTOBER
Publisher : Universitas Muhammadiyah Ponorogo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24269/hsj.v8i2.2768

Abstract

In East Java, especially in Sidoarjo District, the maternal mortality rate in 2022 was 68.90 per 100,000 live births. This figure increased when compared to the realization in 2021, which was 59.69 per 100,000 live births. The highest maternal mortality rate is in the Candi Health Center working area, this occurs because the risk screening carried out on pregnant women is not optimal, including the competence of health workers in handling maternal emergencies and back referrals. Data collection techniques based on subjective and objective data obtained through interviews and direct physical examination. Total midwifery care in pregnancy was 2x because the mother had entered the third trimester, delivery 1x visit, postpartum period 2x visits, LBW 2x visits and family planning 1x visit. At the first visit of pregnancy the mother complained of tightness that was not accompanied by pain, at the second visit the mother complained of lower abdominal pain. In labor care, the mother came with an opening of 4cm with intact amniotic fluid, the baby was born at 13.30 WIB, the delivery process went normally in accordance with the standards of Normal Labor Care (APN). In the postpartum period, the first visit was carried out 6 hours postpartum with maternal complaints of suture wound pain and breast milk still coming out a little, at the second visit the postpartum period was found that breast milk production had increased. The mother has chosen to use IUD contraception which according to the client is a practical long-term contraception because it does not need to be remembered every day. This Continuity Of Care midwifery care takes place physiologically and there is no gap between theory and case.
Turmeric Herbal Remedies Significantly Reduce Dysmenorrhea in Indonesian Adolescents: Obat Herbal Kunyit Secara Signifikan Kurangi Dismenore pada Remaja Indonesia Gita, Prigi Dewi; Kusumawardani, Paramitha Amelia; Hanum, Sri Mukhodim Farida; Rosyidah, Rafhani
Indonesian Journal of Law and Economics Review Vol. 19 No. 3 (2024): August
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/ijler.v19i3.1195

Abstract

General background: Dysmenorrhea, or menstrual pain, is a condition that disrupts adolescents' daily activities, with prevalence ranging from 16.8% to 81%. It is commonly managed through pharmacological and non-pharmacological approaches. Specific background: High school students frequently experience dysmenorrhea, which can interfere with their school performance and well-being. Various non-pharmacological methods, such as herbal remedies and thermal therapies, have been proposed to alleviate symptoms. Knowledge gap: Despite the prevalence of dysmenorrhea, limited research focuses on the effectiveness of non-pharmacological interventions among high school students in Indonesia. Aims: This study aims to describe the severity of dysmenorrhea and the methods of pharmacological and non-pharmacological management among female students of SMA Dharma Wanita 1 Gedangan. Results: This quantitative descriptive study, involving 46 tenth-grade students, revealed that 67.4% of respondents experienced mild dysmenorrhea. Among non-pharmacological treatments, 69.6% consumed turmeric herbal remedies, 15.2% used warm compresses, and 10.9% applied warming lotions. Novelty: The study highlights that all non-pharmacological methods effectively reduced the severity of dysmenorrhea among the students, with turmeric herbal remedies being the most popular choice. Implications: These findings suggest the need for collaboration between healthcare professionals, educational authorities, and schools to provide health education on dysmenorrhea management for female adolescents. Highlights: Prevalence: 67.4% of students had mild dysmenorrhea. Treatment: 69.6% used turmeric herbal remedies for pain relief. Recommendation: Promote school-healthcare collaboration for dysmenorrhea management education. Keywords: Dysmenorrhea, non-pharmacological management, high school students, turmeric herbal remedy, menstrual pain relief
Midwifery Care for Pregnant Women with Low Back Pain Discomfort in the Maternity Home: Asuhan Kebidanan Pada Ibu Hamil dengan Ketidaknyaman Low Back Pain di Rumah Bersalin Tjondro, Lidya Agustin; Hanum, Sri Mukhodim Faridah; Rosyidah, Rafhani
Indonesian Journal of Innovation Studies Vol. 10 (2020): April
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1007.426 KB) | DOI: 10.21070/ijins.v10i.505

Abstract

Third trimester pregnancy is a pregnancy that occurs at a vulnerable gestational age from the 28th to the 40th week. ANC visits to pregnant women aim to improve the quality of life of pregnant women to detect the risk of pregnancy as early as possible in the third trimester. Sometimes there are complaints of physical changes felt by pregnant women, such as lower back pain that causes pregnant women to be disturbed. This case study was conducted at the Eva Candi Sidoarjo Maternity Home and Clinic from 04 to 09 January 2020. Midwifery care was carried out through interviews and documentation using the SOAP method. Midwifery care was implemented and went well without any complications. In the documentation results, there is no discrepancy between the results of the examination and the theory.
Management of Maternity with Back Pain Discomfort at the Clinic: Tatalaksana Ibu Bersalin Dengan Ketidaknyamanan Nyeri Punggung di Klinik Hidayah, Widya Awwalul; Cholifah, Cholifah; Rosyidah, Rafhani
Indonesian Journal of Innovation Studies Vol. 11 (2020): July
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1487.1 KB) | DOI: 10.21070/ijins.v11i1.508

Abstract

Relaxation techniques are one of the natural techniques used to treat pain, especially during childbirth. The purpose of this study was to determine the difference between mothers who used breathing or relaxation techniques. The population of this study was all mothers born at BPM Nuril Masrukah Candi Sidoarjo, 2020. Data were collected through interviews with patients. The results of the data examination showed that the active phase I labor pain was 4-10 cm. During the first stage and the second stage, the labor pain did not occur normally, so the man whiney test was used to analyze it. The results of the study showed that the difference in the meaning of labor pain at the time of complete opening was 4-10cm (0.016), while the difference in the meaning of labor pain in the first stage was 0.001, while the study found that the difference was not significant (in the treatment group and the control group, birth pain radiated to the back at an opening more than 4-10 cm). The results showed that relaxation techniques can reduce labor pain radiating to the back and the length of labor in the first stage of the active phase.