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Analisis Kinerja Bidan Puskesmas Pada Pelayanan Antenatal Care Di Wilayah Kerja Dinas Kesehatan Kota Padang Risa Mundari
Jurnal Kesehatan Panca Bhakti Lampung Vol 5 No 2 (2017)
Publisher : LPPM Sikes Panca Bhakti Bandar Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (244.289 KB)

Abstract

Salah satu upaya pemerintah untuk mempercepat penurunan AKI adalah dengan program antenatal care. Bidan sebagai salah satu pelaksana kegiatan tersebut memiliki peranan penting menghasilkan kualitas pelayanan yang diberikan. Kualitas pelayanan yang baik menjadi salah satu indikator kinerja. Penelitian ini bertujuan untuk menganalisa kinerja bidan pada pelayanan antenatal di wilayah kerja dinas kesehatan kota padang.Jenis penelitian ini adalah penelitian kualitatif dengan pendekatan fenomenologi. Informan dalam penelitian ini adalah bidan yang bekerja di Puskesmas, Bidan koordinator, Kepala Puskesmas dan ibu hamil yang memeriksakan kehamilan di Puskesmas. Teknik pengumpulan data adalah melalui observasi, wawancara mendalam dan studi dokumentasi. Hasil penelitian ini dalam melaksanakan pelayanan ada bagian yang belum dilaksanakan oleh bidan sesuai kompetensi bidan, dalam penerapan pelayanan antenatal sikap bidan dalam memberikan pelayanan belum sesuai dengan standar yang ditetapkan. Sarana dan prasarana masih harus ditingkatkan, bidan memiliki motivasi yang baik untuk belajar dengan mengikuti pelatihan, seminar dan melanjutkan pendidikan. Belum semua bidan melaksanakan antenatal care sesuai dengan SOP dan kebijakan yang telah ditetapkan. Kesimpulan pengetahuan bidan dalam pelayanan antenatal care baik akan tetapi belum diimbangi dengan sikap bidan yang tidak sesuai dengan standar pelayanan yang telah ditetapkan. Bidan memiliki motivasi yang baik dalam meningkatkan pengetahuan tapi belum berdampak pada peningkatan kualitas pelayanan dan belum semua bidan melaksanakan pelayanan sesuai dengan SOP.
Pengetahuan Ibu Hamil Tentang Manfaat Asam Folat Selama Kehamilan Risa Mundari
Jurnal Ilmu Gizi Indonesia (JIGZI) Vol 1, No 2 (2020)
Publisher : Universitas Mitra Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57084/jigzi.v1i2.815

Abstract

The nutritional intake of pregnant women is an important factor both for the fulfillment of nutrition for pregnant women or for the growth and development of the fetus in the womb. In fact, it can reduce the risk of chronic disease in children in the future. The body will go through many physical and hormonal changes during pregnancy. The nutritional needs in question are not in terms of meal portions, but more than that, such as micronutrients and macronutrients, to support the health of pregnant women and fetuses. The need for each type of nutrition during pregnancy is certainly different from the nutritional needs when not pregnant. During pregnancy, you need an additional 300 calories, especially in the second and third trimesters. The daily needs of pregnant women are 1000-1200 milligrams of calcium, 600-800 micrograms of folate, and 27 milligrams of iron (Levine et al., 2018).                    Descriptive research method aims to get an accurate picture of a number of characteristics of the problem under study, namely to see the frequency distribution of each variable. The population in this study were all pregnant women who had their pregnancy checked at BPM Sri Rezeki Rawa Laut Bandar Lampung in June - July 2020.                    Samples were taken as many as 94 people using a large sampling technique using accidental sampling technique. The data collection instrument in this study was a questionnaire containing questions about the knowledge of pregnant women about the benefits of folic acid. The data analysis technique that will be used in this research is univariate data analysis.                    The conclusion is that the overall knowledge of pregnant women about folic acid consumption shows that as many as 8 respondents (8.51%) have good knowledge, 37 respondents (39.36%) have sufficient knowledge, and 49 respondents (52.13%) have less knowledge.                    The participation of health workers in every pregnant woman who performs a pregnancy check can be given counseling about the consumption of folic acid so that it can increase the knowledge of the pregnant woman.
Pengetahuan Ibu Hamil tentang Kebutuhan Nutrisi Selama Kehamilan Risa Mundari
Jurnal Ilmu Gizi Indonesia (JIGZI) Vol 3, No 1 (2022)
Publisher : Universitas Mitra Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57084/jigzi.v3i1.838

Abstract

During pregnancy there will be many changes that will be experienced by the mother starting from the cardiovascular system, hormonal, urogenital to the body's metabolism. Along with changes in the mother's body metabolism, the need for nutrients will increase. This increase is needed for the development and growth of the fetus during pregnancy. The nutritional elements needed by pregnant women are carbohydrates, proteins, fats, vitamins and minerals. Of course the need will be more than when not pregnant. The research design used in this research is descriptive, namely the research design that aims to find a description of the phenomena (including health) that occur in a certain population with the aim of knowing a description of the knowledge of pregnant women about nutritional needs during pregnancy at BPM Nurhasanah Gudang Lelang Teluk Betung Bandar Lampung for the January 2021 period as many as 30 pregnant women. Data collection tools and data collection methods in this study were to provide questionnaires to pregnant women who came to visit the period 1 January to 31 January 2021 to BPM. The content of the Questionnaire consists of questions about the benefits of nutrition in pregnancy, nutritional fulfillment during pregnancy, and about the danger signs of malnutrition in pregnancy.  Based on the results of the study, it can be concluded that the knowledge of pregnant women related to the nutritional needs needed during pregnancy is in the poor category. The assessment was carried out by distributing questionnaires with question components which included: the benefits of nutrition during pregnancy, nutritional fulfillment during pregnancy, the respondent's knowledge of the danger signs of nutritional deficiency and nutritional needs during pregnancy. Characteristics of respondents seen from the level of education, employment status and age of pregnant women. Suggestions in this study are the participation of health workers to assist in nutritional needs during pregnancy and the need for improvement of the support system available at BPM such as leaflets to increase knowledge of pregnant women. Keywords: Knowledge, Pregnant Women, Nutrition
Pengetahuan Ibu Hamil tentang Kebutuhan Nutrisi Selama Kehamilan Risa Mundari
Jurnal Ilmu Gizi Indonesia (JIGZI) Vol 3, No 1 (2022)
Publisher : Universitas Mitra Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57084/jigzi.v3i1.838

Abstract

During pregnancy there will be many changes that will be experienced by the mother starting from the cardiovascular system, hormonal, urogenital to the body's metabolism. Along with changes in the mother's body metabolism, the need for nutrients will increase. This increase is needed for the development and growth of the fetus during pregnancy. The nutritional elements needed by pregnant women are carbohydrates, proteins, fats, vitamins and minerals. Of course the need will be more than when not pregnant. The research design used in this research is descriptive, namely the research design that aims to find a description of the phenomena (including health) that occur in a certain population with the aim of knowing a description of the knowledge of pregnant women about nutritional needs during pregnancy at BPM Nurhasanah Gudang Lelang Teluk Betung Bandar Lampung for the January 2021 period as many as 30 pregnant women. Data collection tools and data collection methods in this study were to provide questionnaires to pregnant women who came to visit the period 1 January to 31 January 2021 to BPM. The content of the Questionnaire consists of questions about the benefits of nutrition in pregnancy, nutritional fulfillment during pregnancy, and about the danger signs of malnutrition in pregnancy.  Based on the results of the study, it can be concluded that the knowledge of pregnant women related to the nutritional needs needed during pregnancy is in the poor category. The assessment was carried out by distributing questionnaires with question components which included: the benefits of nutrition during pregnancy, nutritional fulfillment during pregnancy, the respondent's knowledge of the danger signs of nutritional deficiency and nutritional needs during pregnancy. Characteristics of respondents seen from the level of education, employment status and age of pregnant women. Suggestions in this study are the participation of health workers to assist in nutritional needs during pregnancy and the need for improvement of the support system available at BPM such as leaflets to increase knowledge of pregnant women. Keywords: Knowledge, Pregnant Women, Nutrition
Pengetahuan Ibu Hamil tentang Kebutuhan Nutrisi Selama Kehamilan Risa Mundari
Jurnal Ilmu Gizi Indonesia (JIGZI) Vol 3, No 1 (2022)
Publisher : Universitas Mitra Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57084/jigzi.v3i1.838

Abstract

During pregnancy there will be many changes that will be experienced by the mother starting from the cardiovascular system, hormonal, urogenital to the body's metabolism. Along with changes in the mother's body metabolism, the need for nutrients will increase. This increase is needed for the development and growth of the fetus during pregnancy. The nutritional elements needed by pregnant women are carbohydrates, proteins, fats, vitamins and minerals. Of course the need will be more than when not pregnant. The research design used in this research is descriptive, namely the research design that aims to find a description of the phenomena (including health) that occur in a certain population with the aim of knowing a description of the knowledge of pregnant women about nutritional needs during pregnancy at BPM Nurhasanah Gudang Lelang Teluk Betung Bandar Lampung for the January 2021 period as many as 30 pregnant women. Data collection tools and data collection methods in this study were to provide questionnaires to pregnant women who came to visit the period 1 January to 31 January 2021 to BPM. The content of the Questionnaire consists of questions about the benefits of nutrition in pregnancy, nutritional fulfillment during pregnancy, and about the danger signs of malnutrition in pregnancy.  Based on the results of the study, it can be concluded that the knowledge of pregnant women related to the nutritional needs needed during pregnancy is in the poor category. The assessment was carried out by distributing questionnaires with question components which included: the benefits of nutrition during pregnancy, nutritional fulfillment during pregnancy, the respondent's knowledge of the danger signs of nutritional deficiency and nutritional needs during pregnancy. Characteristics of respondents seen from the level of education, employment status and age of pregnant women. Suggestions in this study are the participation of health workers to assist in nutritional needs during pregnancy and the need for improvement of the support system available at BPM such as leaflets to increase knowledge of pregnant women. Keywords: Knowledge, Pregnant Women, Nutrition
MENGURANGI KETIDAKNYAMANAN NYERI PINGGANG PADA IBU HAMIL TRIMESTER III: STUDI KASUS Rahayu, Maimunah; Fitria, Rahmah; Mundari, Risa
Jurnal Ilmu Kedokteran dan Kesehatan Vol 10, No 12 (2023): Volume 10 Nomor 12
Publisher : Prodi Kedokteran Fakultas Kedokteran Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jikk.v10i12.12643

Abstract

Abstrak: Mengurangi Ketidaknyamanan Nyeri Pinggang pada Ibu Hamil Trimester III: Studi Kasus. Nyeri pinggang adalah hal yang fisiologis terjadi dalam masa kehamilan dikarenakan kondisi fisik dan hormonal yang mengalami perubahan serta merupakan salah satu ketidaknyamanan dalam kehamilan yang dapat terjadi dalam setiap trimester dan paling sering terjadi pada trimester akhir kehamilan. Studi kasus ini bertujuan untuk memberikan asuhan kebidanan pada ibu hamil trimester III dalam upaya menangani keluhan nyeri pinggang. Desain penelitian menggunakan desain deskriptif dengan pendekatan studi kasus. Penelitian ini dilakukan dari 22 Februari-18 Maret 2023. Subyek penelitian adalah Ny. A umur 23 tahun. Instrumen yang digunakan yaitu alat pemeriksaan fisik dan format pengkajian. Penelitian ini menggunakan data primer. Subyek kasus telah dimintai informed consent untuk mengikuti penelitian. Dari data pengkajian didapatkan ibu mengatakan mulai dari usia kehamilannya 24 minggu sudah sering merasakan nyeri pada bagian pinggang sampai dengan trimester III kehamilannya saat ini. Asuhan  kebidanan yang diberikan berupa cara mengatasi nyeri pinggang yang dirasakan dengan merubah posisi saat tidur, jalan pagi, prenatal yoga dan pemberian kalsium. Penatalaksaaan yang diberikan berhasil untuk mengatasi nyeri pinggang pada ibu hamil setelah dievaluasi selama 3 minggu. Merubah posisi saat tidur, jalan pagi, prenatal yoga dan pemberian kalsium dapat mengurangi ketidaknyamanan nyeri pinggang pada ibu hamil trimester III. Petugas kesehatan diharapkan mampu dalam memberikan asuhan dalam upaya mengurangi nyeri pinggang selama kehamilan.
Relationship between Breastfeeding Position and Events Chafed Nipples Mundari, Risa; Ayu Ningsih, Dewi; Lidia Sari, Nirma; Fatriani, Rully
Jurnal MIDPRO Vol 15 No 2 (2023): JURNAL MIDPRO
Publisher : Universitas Islam Lamongan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30736/md.v15i2.695

Abstract

Problems during breastfeeding are caused by breastfeeding mothers' low knowledge about the breastfeeding process. The aim of the study to provide midwifery care to postpartum mothers on the 14th day by providing the correct breastfeeding position at PMB NH Bandar Lampung City. The design of educational needs about research used is descriptive with a case study approach. This case study research was conducted from April 4 2023 to April 5 2023. The subject of this research was Mrs. T Postpartum day 14.  Implementation of continuing midwifery care for Mrs. T is carried out in accordance with midwifery service standards. The midwifery care provided by the researchers was the correct breastfeeding technique or the correct breastfeeding position to prevent chafed nipples. From the study it was found that postpartum mothers experience sore nipple discomfort, the authors have made a diagnosis and made a plan, Mrs. T was given management according to the mother's complaints, namely by treating chafed nipples and breastfeeding techniques properly and correctly. This is in accordance with the needs of the mother and midwifery care standards. Care is evaluated and documented in accordance with midwifery care for postpartum mothers using the SOAP method according to Varney's mindset. It is recommended for PMB to be able to prepare health education media such as leaflets, posters related to the discomfort of chafed nipples in postpartum mothers, so that patients 
HUBUNGAN KEJADIAN PREEKLAMPSIA DENGAN KEJADIAN ASFIKSIA NEONATORUM DI RSUD WATES KULON PROGO Mundari, Risa; admin, admin
Jurnal Kesehatan Vol 1 No 2 (2017): Jurnal Kesehatan September 2017
Publisher : Akbid Wirabuana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55919/jk.v2i1.20

Abstract

Kematian ibu di Indonesia terbanyak disebabkan oleh komplikasi obstetrik (90%) yaitu perdarahan (30,77%), Infeksi (22,5%), preeklamsi dan eklamsi (25,18%), lain-lain (11,55%). Padapreeklampsia dapat menyebabkan perubahan pada plasenta dimana menurunnya aliran darah keplasenta mengakibatkan gangguan fungsi plasenta. Pada preeklamsi yang agak lama pertumbuhanjanin terganggu, sedangkan pada preeklamsi yang lebih pendek bisa terjadi gawat janin sampaikematian karena kekurangan oksigen (hipoksia) dan pada persalinan bahaya ini makin besar,postpartum bayi sering menunjukkan tanda asfiksia neonatorum karena hipoksia intrauterin.Mengetahui hubungan kejadian preeklampsia dengan kejadian asfiksia neonatorum di RSUD Watestahun 2011. Jenis penelitian observasional analitik dengan desain historikal kohort. Variabel bebaskejadian preeklampsia dan variabel terikat kejadian asfiksia neonatorum. Populasi keseluruhan ibubersalin di RSUD Wates mulai bulan Januari 2009 sampai dengan Desember 2010. Besar sampeladalah 130 subjek terpapar (preeklampsia) dan 130 subjek tidak terpapar (tidak preeklampsia). Analisadata menggunakan Chi Square, persentase, dan risiko relatif.Hasil penelitian menunjukkan ada hubungan antara kejadian preeklampsia dengan kejadianasfiksia neonatorum dengan nilai p = 0,040. Angka kejadian asfiksia neonatorum pada ibu preeklamsisebanyak 45 orang (35%), sedangkan angka kejadian asfiksia neonatorum pada ibu tidak preeklamsisebanyak 30 orang (23%). Pada nilai Risiko Relatif (RR) yang didapat sebesar 1,7 dengan CI 95%(1.023-3.043). Kesimpulan Ada hubungan antara kejadian preeklampsia dengan kejadian asfiksianeonatorum. Ibu dengan preeklampsia memiliki risiko 1,7 kali lebih besar dibanding dengan yangtidak menderita preeklampsia untuk melahirkan bayi dengan asfiksia neonatorum.
PENGETAHUAN IBU HAMIL TENTANG PEMANFAATAN BUKU KESEHATAN IBU DAN ANAK Mundari, Risa
MIDWIFERY JOURNAL Vol 1, No 4 (2021): Volume 1 Nomor 4, Desember 2021
Publisher : Universitas Malahayati Bandar Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mj.v1i4.5678

Abstract

Background: One of the efforts developed by the Indonesian Ministry of Health in order to reduce morbidity, high risk, maternal and neonatal mortality is to seek empowerment of families and communities through the use of Maternal and Child Health (KIA) books. The Maternal and Child Health Book (KIA) is a notebook and information on maternal and child health consisting of several health cards and a collection of various KIA counseling materials. The KIA handbook is very useful for mothers and their families because they can provide complete information about maternal and child health, identify high risks of pregnancy and know when and what types of services can be obtained at health care facilities. In addition, the KIA Handbook is a tool for early detection of disorders or problems in maternal and child health, a communication and counseling tool with important information for mothers and the community regarding services, maternal and child health, including referrals and packages (standards) of KIA services, nutrition, immunization, and child development.Purpose:  The general purpose of this study was to describe the knowledge of pregnant women about Maternal and Child Health books at the Kampung Sawah Health CenterMethods:  In this study, the author uses a descriptive method, namely the research design aims to describe certain variables. The sample in this study were all pregnant women who visited the puskesmas during the study, totaling 50 pregnant women. This research was carried out for 1 month which was carried out in November 2021. The data analysis used in this study was univariate data analysis.Results knowledge of pregnant women about the content, purpose and benefits of the MCH handbook and is still in the sufficient category as many as 20 people (40%) of the 50 respondents.Conclusion: Almost half of the knowledge of pregnant women about the meaning, content, benefits and objectives of the MCH handbook is still in the sufficient category, namely (40.00%)Suggestions; Provide complete and clear explanations and information in understanding and implementing the MCH Handbook through illustrated brochures so that it is easy for mothers to understand and practice.Keywords: KIA Book, Pregnant Mother, Knowledge, Benefit      Abstrak Latar Belakang : Salah satu upaya yang dikembangkan Kementerian Kesehatan RI dalam rangka menurunkan angka kesakitan, risiko tinggi, kematian ibu dan bayi baru lahir adalah mengupayakan pemberdayaan keluarga dan masyarakat melalui pemanfaatan buku Kesehatan Ibu dan Anak (KIA). Buku Kesehatan Ibu dan Anak (KIA) merupakan buku catatan dan informasi kesehatan ibu dan anak yang terdiri dari beberapa kartu sehat dan kumpulan berbagai materi penyuluhan KIA. Buku KIA sangat bermanfaat bagi ibu dan keluarganya karena dapat memberikan informasi yang lengkap tentang kesehatan ibu dan anak, mengidentifikasi risiko tinggi kehamilan dan mengetahui kapan dan jenis pelayanan apa yang dapat diperoleh di fasilitas pelayanan kesehatan. Selain itu, Buku KIA merupakan alat deteksi dini gangguan atau masalah kesehatan ibu dan anak, alat komunikasi dan konseling dengan informasi penting bagi ibu dan masyarakat mengenai pelayanan, kesehatan ibu dan anak, termasuk rujukan dan paket (standar) pelayanan KIA, gizi, imunisasi, dan tumbuh kembang anak.Purpose:  Tujuan umum penelitian ini adalah untuk mendeskripsikan pengetahuan ibu hamil tentang buku Kesehatan Ibu dan Anak di Puskesmas Kampung SawahMetode:  Dalam penelitian ini, penulis menggunakan metode deskriptif, yaitu desain penelitian yang bertujuan untuk mendeskripsikan variabel tertentu. Sampel dalam penelitian ini adalah seluruh ibu hamil yang berkunjung ke puskesmas selama penelitian yang berjumlah 50 ibu hamil. Penelitian ini dilaksanakan selama 1 bulan yang dilaksanakan pada bulan November 2021. Analisis data yang digunakan dalam penelitian ini adalah analisis data univariat.Hasil:  pengetahuan ibu hamil tentang isi, tujuan dan manfaat buku KIA masuk dalam kategori cukup sebanyak 20 orang (40%) dari 50 responden.Kesimpulan : : Hampir separuh dari ibu hamil masuk dalam katagori cukup  yaitu 40% dari 50 responden tentang pengetahuan ibu hamil tersebut tentang pengertian, isi, manfaat serta tujuan dari buku KIA  itu sendiri Saran ; Memberikan penjelasan dan informasi yang lengkap dan jelas dari nakes dalam memahami apa itu Buku KIA melalui brosur bergambar sehingga mudah dipahami dan dipraktekkan oleh ibu Keywords: Buku KIA, Pengetahuan, Ibu Hamil, Manfaat.