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All Journal Jurnal Kreativitas PKM Manuju : Malahayati Nursing Journal JKM (Jurnal Kebidanan Malahayati) Jurnal Perak Malahayati : Pengabdian Kepada Masyarakat ANJANI Journal (Medical Science & Healthcare Studies) Journal of Public Health Concerns JOURNAL OF Mother and Child Health Concerns Midwifery Journal
Rachmawati, Fijri
Universitas Malahayati
Biochemistry, Genetics & Molecular Biology Chemistry Computer Science & IT Decision Sciences, Operations Research & Management Dentistry Energy Health Professions Immunology & microbiology Materials Science & Nanotechnology Medicine & Pharmacology Nursing Public Health Veterinary

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The effect of green coconut water consumption on reducing the intensity of dysmenorrhea in adolescent girls Ana Mariza; Endang Tri Wulandari; Fijri Rachmawati; Nurul Isnaini
THE JOURNAL OF Mother and Child Health  Concerns Vol. 4 No. 9 (2025): December Edition
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mchc.v4i9.1486

Abstract

Background: Dysmenorrhea in adolescent girls occurs due to hormonal imbalances, particularly a decrease in progesterone levels in the blood, resulting in pain during menstruation. The prevalence of dysmenorrhea in Indonesia is 64.25%, and the results of a pre-survey of 15 adolescents girls who had menstruated at SMPN 2 Seputih Banyak on February 17, 2025 showed that 7 (46.7%) of them experienced dysmenorrhea. If left untreated, dysmenorrhea can lead to pathological conditions, potentially increasing mortality rates and contributing to infertility. One of the alternative efforts to alleviate dysmenorrhea is through the consumption of green coconut water. Purpose: to determine the effect of green coconut water consumption on the reduction of dysmenorrhea intensity among adolescent girls. Method: This research employed a quantitative approach using a quasi-experimental method with a pretest-posttest control group design. The population consisted of all eighth-grade female students at SMPN 2 Seputih Banyak, totaling 57 individuals, with a sample of 30 participants. The sample was divided equally into an experimental group (15 participants) and a control group (15 participants), selected using purposive sampling. Data analysis was conducted using the Mann-Whitney test. Results: The results showed a decrease in the average dysmenorrhea pain score in the intervention group from 5.04 before the administration of green coconut water to 1.93 afterward. Meanwhile, in the control group, the average pain score decreased from 5.13 during the pretest to 2.93 in the posttest, despite no intervention being given. Statistical analysis indicated a significant effect of green coconut water consumption on reducing the intensity of dysmenorrhea in adolescent girls, with a p-value of 0.000. Conclusion: Indicated a significant effect of green coconut water consumption on reducing the intensity of dysmenorrhea in adolescent girls. Suggestion: The adolescent girls expected consider green coconut water as a natural alternative for relieving dysmenorrhea.
Promosi Kesehatan Dalam Kesiapan Ibu Menghadapi Persalinan Nurliyani Nurliyani; Fijri Rachmawati; Neneng Siti Lathifah; Ni Kadek Intan Suarniti; Putri Sawitri
Jurnal Perak Malahayati: Pengabdian Kepada Masyarakat Vol 8, No 1 (2026): Volume 8 Nomor 1 Mei 2026
Publisher : Program Studi Kebidanan Fakultas Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jpmpkm.v8i1.25811

Abstract

Pendahuluan: Masa kehamilan trimester akhir merupakan periode penting yang membutuhkan kesiapan fisik dan psikologis ibu dalam menghadapi persalinan. Kurangnya pengetahuan tentang tanda-tanda persalinan, seperti kontraksi efektif, keluarnya lendir bercampur darah, pecahnya ketuban, serta perbedaan dengan kontraksi palsu, dapat menyebabkan keterlambatan dalam mengambil keputusan untuk mencari pertolongan. Selain itu, ketidakmampuan ibu dalam mengelola nyeri saat pembukaan sering menimbulkan kecemasan yang berlebihan dan dapat mempengaruhi proses persalinan. Di sisi lain, kurangnya pemahaman mengenai tanda bahaya kehamilan, seperti perdarahan, penurunan gerakan janin, dan gejala preeklamsia, berisiko meningkatkan kejadian komplikasi pada ibu dan janin. Oleh karena itu, diperlukan upaya Promosi Kesehatan berupa Penyuluhan untuk meningkatkan pengetahuan dan kesiapan ibu hamil dalam menghadapi persalinan secara aman.Tujuan: Kegiatan ini bertujuan untuk meningkatkan pengetahuan ibu hamil tentang tanda-tanda persalinan, teknik pengendalian nyeri, dan tanda bahaya pada kehamilan trimester akhir.Bahan dan Metode: Kegiatan Promosi Kesehatan dilaksanakan dalam bentuk penyuluhan tatap muka langsung , kegiatan diawali dengan persiapan pembuatan leaflet, banner, dan penyusunan materi penyuluhan oleh Tim penyuluh. peserta penyuluhan adalah ibu hamil di PMB Bidan Wirahayu, dengan jumlah peserta 16 ibu hamil. Kegiatan ini dilaksanakan di PMB Bidan Wirahayu, pada tanggal 28 April 2026 dengan menggunakan metode pemaparan materi dan diskusi interaktif. Evaluasi kegiatan dilakukan melalui pengambilan data nilai pengetahuan peserta terkait Pentingnya Mengetahui Tanda-Tanda Persalinan, Manajemen Nyeri, dan Tanda Bahaya pada Kehamilan TM 3, baik sebelum maupun sesudah penyuluhan.Hasil: Peserta penyuluhan berjumlah 16 ibu hamil di PMB Bidan Wirahayu. Sebelum penyuluhan, mayoritas memiliki pengetahuan kategori sedang (62,5%). Setelah penyuluhan, terjadi peningkatan dimana sebagian besar peserta memiliki pengetahuan kategori baik (93,8%). Hal ini menunjukkan adanya peningkatan pemahaman ibu hamil terkait tanda-tanda persalinan, manajemen nyeri, dan tanda bahaya kehamilan..Kesimpulan: Kegiatan penyuluhan kesehatan di PMB Bidan Wirahayu efektif dalam meningkatkan pengetahuan ibu hamil mengenai tanda-tanda persalinan, manajemen nyeri saat pembukaan, serta tanda bahaya kehamilan trimester ketiga, yang ditunjukkan dengan peningkatan kategori pengetahuan dari sedang menjadi baik setelah penyuluhan.Saran: Diharapkan kegiatan promosi kesehatan dapat dilakukan secara rutin dan berkelanjutan guna meningkatkan kesiapan ibu hamil dalam menghadapi persalinan serta menurunkan risiko komplikasi.Kata Kunci:Tanda Tanda Persalinan, Manajemen Nyeri, Tanda Bahaya Kehamilan Tm 3
Effect of birth plan education on anxiety levels among third-trimester pregnant women prior to childbirth: A one-group pretest–posttest study Heni Fauziah; Fijri Rachmawati; Neneng Siti Lathifah
THE JOURNAL OF Mother and Child Health  Concerns Vol. 5 No. 4 (2026): July Edition 2026
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mchc.v5i4.3835

Abstract

Background: Anxiety during the third trimester of pregnancy is a common psychological condition that may adversely affect maternal and fetal outcomes, including prolonged labor, increased obstetric complications, and negative birth experiences. Birth Plan education is a woman-centered educational intervention designed to improve childbirth preparedness, enhance communication with healthcare providers, and reduce maternal anxiety. Purpose: To examine the effect of Birth Plan education on anxiety levels among third-trimester pregnant women prior to childbirth. Method: A pre-experimental study with a one-group pretest–posttest design was conducted among 30 third-trimester pregnant women at the Independent Midwifery Practice (PMB) of Febi Yulistia, Bandar Lampung, Indonesia, between April and May 2025. Participants were recruited using total sampling. Anxiety levels were assessed before and after a 45-minute Birth Plan education session using the Hamilton Anxiety Rating Scale (HARS). Data were analyzed using the Wilcoxon signed-rank test with a significance level of p < 0.05. Results: Before the intervention, the majority of participants experienced moderate anxiety (53.3%), with a mean anxiety score of 18.73 ± 4.36. Following Birth Plan education, most participants reported no anxiety (60.0%), and the mean anxiety score significantly decreased to 11.67 ± 4.55. The Wilcoxon signed-rank test demonstrated a statistically significant reduction in anxiety levels after the intervention (p < 0.001). Conclusion: Birth Plan education effectively reduced anxiety levels among third-trimester pregnant women. Integrating Birth Plan education into routine antenatal care may enhance maternal psychological preparedness for childbirth and contribute to improving maternal health outcomes.
The Effect Of Consumption Of Moringa Leaf Extract On Increasing Breast Milk Production In Post Partum Women Eka Ovayanti; Astriana Astriana; Fijri Rachmawati; Susilawati Susilawati
JKM (Jurnal Kebidanan Malahayati) Vol 12, No 07 (2026): Volume 12 Nomor 7 Juli 2026
Publisher : Program Studi Kebidanan Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkm.v12i07.12002

Abstract

Latar Belakang: Produksi ASI yang sedikit dan tidak lancar dapat membuat bayi mendapat nutrisi yang kurang optimal. Hal ini dipengaruhi oleh nutrisi ibu. Salah satu nutrisi yang dapat dikonsumsi ibu yaitu tanaman kelor karena mengandung senyawa fitosterol yang berfungsi meningkatkan dan memperlancar produksi ASI (efek laktogogum). Cakupan ASI eksklusif berdasarkan hasil data yang didapatkan dari Kesgazi Puskesmas Pakuan Aji pada persalinan tahun 2022 yaitu hanya mencapai 45,5% dari standar pelayanan minimal kabupaten sebesar 50%.Tujuan: Tujuan penelitian untuk mengetahui pengaruh konsumsi ekstrak daun kelor terhadap peningkatkan produksi ASI pada ibu post partum di Wilayah Kerja Puskemas Pakuan Aji Lampung Timur tahun 2023.Metode: Jenis penelitian ini adalah kuantitatif, rancangan penelitian Quasi Eksperimental dengan pendekatan post test only with control group design. Populasi pada penelitian ini adalah seluruh ibu post partum di wilayah kerja Puskesmas Pakuan Aji sebanyak 53 orang. Teknik sampel yang digunakan purposive sample dengan jumlah responden sebanyak 32 orang (16 kelompok kontrol dan 16 kelompok intervensi). Analisis data yang digunakan yaitu analisa univariat dan bivariat dengan uji T independen.Hasil: Rata-rata jumlah ASI pada kelompok kontrol sebelum intervensi sebanyak 19,238 dan sesudah intervensi sebanyak 23,369 ml. Rata-rata jumlah ASI pada kelompok intervensi sebelum intervensi sebanyak 19,913 dan sesudah intervensi sebanyak 26,594 ml.Kesimpulan: Hasil uji t Independen mendapatkan p-value 0,000 yang berarti ada pengaruh konsumsi ekstrak daun kelor terhadap peningkatan produksi ASI di Wilayah Kerja Puskemas Pakuan Aji Lampung Timur tahun 2023.Saran: Diharapkan dengan dilakukan penelitian ini dapat meningkatkan pengetahuan dan kesadaran bagi ibu dalam meningkatkan kualitas ASI ekslusif dan meningkatkan produksi ASI dengan ekstrak daun kelor. Kata Kunci: Produksi ASI, Ibu Nifas, Ekstrak Daun Kelor ABSTRACT Background: Production of breast milk that is small and not smooth can make the baby get less than optimal nutrition. This is influenced by the mother's nutrition. One of the nutrients that can be consumed by mothers is the Moringa plant because it contains phytosterol compounds which function to increase and facilitate milk production (lactogogum effect). Exclusive breastfeeding coverage based on the results of data obtained from Kesgazi Pakuan Aji Public Health Center at delivery in 2022, namely only reaching 45.5% of the district minimum service standards of 50%.Purpose: The aim of the study was to determine the effect of consuming Moringa leaf extract on increasing breast milk production in post partum mothers in the Working Area of the Pakuan Aji Public Health Center, East Lampung, in 2023.Methods: This type of research is quantitative, a quasi-experimental with a post test only with control group design. The population in this study were all post partum mothers in the working area of Pakuan Aji Public Health Center, totaling 53 post partum mothers. The sample technique used was a purposive sample with a total of 32 post partum mothers divided into 16 control groups and 16 intervention groups. The data analysis used was univariate and bivariate analysis with the independen T test.Results: The mean of amount of breast milk in the control group before the intervention was 19,238 and after the intervention was 23,369 ml. The mean of amount of breast milk in the intervention group before the intervention was 19,913 and after the intervention was 26,594 ml.Conclusion: Independent t test obtained p-value 0.000 α (0.05), which means that there was an effect of consumtion of Moringa leaf extract on increasing of breast milk production in the Pakuan Aji Public Health Center East Lampung in 2023.Suggestions: It is hoped that this research can increase knowledge and awareness for mothers in improving the quality of exclusive breastfeeding and increasing breast milk production with Moringa leaf extract. Keywords: Breast Milk Production, Postpartum Mothers, Moringa Leaf Extract
The Effect Of Aloe Vera Compresses On Breast Swelling In Postpartum Mothers In The Working Area Of The Pakuan Aji East Lampung Health Center Nursiah Nursiah; Astriana Astriana; Fijri Rachmawati; Susilawati Susilawati
JKM (Jurnal Kebidanan Malahayati) Vol 12, No 07 (2026): Volume 12 Nomor 7 Juli 2026
Publisher : Program Studi Kebidanan Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkm.v12i07.11917

Abstract

 According to World Health Organization (WHO) and UNICEF data, exclusive breastfeeding coverage in infants under 6 months is 41% and is targeted to reach 70% by 2030 (2021 in Global Breastfeeding Scorecard, 2021). Child growth standards applied around the world according to WHO emphasize breastfeeding from birth to 6 months of age (exclusive breastfeeding). After that the baby starts to be given complementary foods until the age reaches 2 years and continues to breastfeed. The purpose of this study was to determine the effect of aloe vera compress (Aloe Vera) on breast swelling in postpartum mothers in the Pakuan Aji Health Center Working Area, East Lampung in 2023.This type of quantitative research with quasy experimental with pre test and post test design approach.This research was conducted at Pakuan Aji Health Center Work Area of East Lampung.The number of samples in this study were 16 respondents of postpartum mothers. The analysis in the study used univariate and bivariate analysis with the T-test technique.The results of the mean value of the incidence of breast swelling in breast milk dams before aloe vera compresses in the Pakuan Aji Health Center Working Area in East Lampung in 2023 mean 5.19, SD 0.750. The results of the mean value of the incidence of breast swelling in breast milk dams after aloe vera compresses (aloe vera) mean 2.38, SD 0.885. Conclusion The results of the P value of 0.000 which means that Ha is accepted, which means that there is an effect of aloe vera compresses on breast milk dams in postpartum women in the Pakuan Aji Health Center Working Area, East Lampung in 2023. With this research, it is hoped that respondents will be able to apply therapy in the form of aloe vera compresses to reduce breast swelling in postpartum women if they later find the same cases and problems outside of this study. Keywords : aloe vera, breast milk dam, postpartum period ABSTRAK Menurut data Organisasi Kesehatan Dunia (WHO) dan UNICEF, cakupan pemberian ASI eksklusif pada bayi di bawah 6 bulan adalah 41% dan ditargetkan mencapai 70% pada tahun 2030 (2021 dalam Global Breastfeeding Scorecard, 2021). Standar pertumbuhan anak yang diterapkan di seluruh dunia menurut WHO menekankan pemberian ASI sejak lahir hingga usia 6 bulan (pemberian ASI eksklusif). Setelah itu bayi mulai diberi makanan pendamping hingga usia 2 tahun dan dilanjutkan dengan pemberian ASI. Tujuan penelitian ini adalah untuk mengetahui pengaruh kompres lidah buaya (Aloe Vera) terhadap pembengkakan payudara pada ibu pascapersalinan di Puskesmas Pakuan Aji, Lampung Timur pada tahun 2023.Jenis penelitian ini adalah penelitian kuantitatif dengan eksperimen semu dengan pendekatan desain pre-test dan post-test. Penelitian ini dilakukan di Puskesmas Pakuan Aji, Lampung Timur. Jumlah sampel dalam penelitian ini adalah 16 responden ibu pascapersalinan. Analisis dalam penelitian ini menggunakan analisis univariat dan bivariat dengan teknik uji-T.Hasil nilai rata-rata kejadian pembengkakan payudara pada ASI sebelum kompres lidah buaya di Puskesmas Pakuan Aji, Lampung Timur tahun 2023 adalah 5,19, SD 0,750. Hasil nilai rata-rata kejadian pembengkakan payudara pada ASI setelah kompres lidah buaya adalah 2,38, SD 0,885. Kesimpulan: Hasil nilai P 0,000 berarti Ha diterima, yang berarti terdapat pengaruh kompres lidah buaya terhadap ASI pada ibu pascapersalinan di Puskesmas Pakuan Aji, Lampung Timur tahun 2023. Dengan penelitian ini, diharapkan responden dapat menerapkan terapi berupa kompres lidah buaya untuk mengurangi pembengkakan payudara pada ibu pascapersalinan jika di kemudian hari menemukan kasus dan masalah serupa di luar penelitian ini. Kata kunci: lidah buaya, ASI, pascapersalinan
Co-Authors Afriani, Nasita Afrita, Rini Agustin, Feni Nia Agustini, Ni Ketut Farida Anggisa, Dea Yudha Anggraini Anggraini Anisa Ermasari Apdola, Zikrina Aryati Sumarlinda Aslam, Fatmawati Astriana Astriana, Astriana Desy Supiantari Devi Kurnia Sari Dhesi Ari Astuti, Dhesi Ari Eka Novianti, Eka Eka Ovayanti Endang Tri Wulandari Ermasari, Anissa Ervianasari, Nita Evrianasari, Nita Farich, Achmad Fratama, Aldy Hartati Hartati Heni Fauziah Hevi, Hevi Idayani, Tri Indah Dyrahani Kurniasari, Devi Lala Putriyaza Lathifah, Neneng Siti Lolita Sary Mariyah, Nur Mariza, Ana Minarsih, Revi Mufdlilah, Mufdlilah Neneng Siti Lathifah Ni Kadek Intan Suarniti Ni Komang Hindi Triana Novi Adnyani, Ni Komang Ayu Nurliani Nurliani Nurliyani Nurliyani Nursiah Nursiah Nurul Isnaini Oktaria, Dyanis Putri Sawitri Putri, Miranda Putri, Ratna Dewi Putu Candrawati Rahayu Rahayu Rosita Afriyanti Rosmiyati Rosmiyati Sunarsih Sunarsih Sunarsih Sunarsih Supriati, Supriati Susilawati Susilawati Yuli Yantina Yusmaniar, Erma Yuviska, Ika Ate Yuviska, Ike Ate