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PENGETAHUAN DAN KETERAMPILAN BIDAN DALAM PENANGANAN AWAL PREEKLAMSI SEBELUM DAN SESUDAH PELATIHAN Juana Linda Simbolon; Sulastry Pakpahan
Jurnal Reproductive Health Vol 3 No 1 (2018): Jurnal Health Reproductive
Publisher : UNIVERSITAS SARI MUTIARA INDONESIA

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The aim of this study was to determine the differences in the level of knowledge and skills of midwives in the early management of pre-eclampsia in pregnancy

Hypnoprenatal reduces anxiety and stress in high-risk pregnancy in North Tapanuli District Sulastry Pakpahan; Ganda Agustina Hartati Simbolon; Elly Sianturi; Juana Linda Simbolon
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 11, No 2 (2023)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2023.11(2).185-196

Background: High-risk pregnancies can cause more complications for the mother and fetus during pregnancy, childbirth, and the puerperium compared to normal pregnancies. High-risk factors during pregnancy can increase worry and stress, which can influence labor and delivery and are risk factors for postpartum depression. During pregnancy, stress can increase the risk of having a premature, low-birth-weight baby. Hypnoprenatal is an effective communication method to incorporate positive suggestions into the subconscious mind of pregnant women to reduce anxiety and stress during pregnancy. Objectives: to determine the effect of hypnoprenatal intervention on anxiety and stress in high-risk pregnant women in the North Tapanuli District. Methods: This research method used a pre-experimental method with a one group pre-test post-test design. Samples were taken by the purposive sampling method, which, based on the inclusion criteria, obtained as many as 36 high-risk pregnant women who experience anxiety and stress. Hypnoprenatal intervention was carried out for 3 days, twice a day, and then observations and interviews were carried out using the DAS 42 questionnaire. Data analysis used a paired t-test. The results showed that the characteristics of the respondents based on the age of the majority were >35 years (44.7%), secondary education (33.3%), farmer's work (52.8%), primigravidas (17%), high-risk pregnancies (72.7%), and low risk (27.8%).Results : The results of the statistical tests showed differences and decreased levels of anxiety and stress in pregnant women at risk before and after the hypnoprenatal intervention, with a p-value of 0.000 (p<0.05). Conclusions: hypnoprenatal has a significant effect on the level of anxiety and stress among pregnant women at risk. It is recommended that pregnant women use hypnoprenatal techniques to help reduce anxiety and stress during pregnancy, which affects the mother's psychological condition.

Utilization Menu Based on Food Local with Literacy Digital Against Handling Stunting Juana Linda Simbolon; Emilia Silvana Sitompul
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 6, No 2 (2024): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v6i2.21813

Stunting is a condition of growth failure in toddlers that has lifelong impacts on their health, human resources, and economic growth. The results of the Indonesian Nutrition Status Survey (SSGI) show that the prevalence of stunting in Indonesia decreased from 24.4% in 2021 to 21.6% in 2022 . The target prevalence of stunting in Indonesia is 14% by 2024. The incidence of stunting in North Tapanuli is already chronic, with the prevalence of stunting increasing from 26.7% in 2021 to 27.4% in 2022. The selection of animal protein from local food sources with digital literacy is expected to accelerate the reduction of stunting. This study aims to analyze the effect of using a local food-based menu and applying digital literacy to increase the height of stunted children. This type of research is a quasi-experimental study using pre- and post-tests with a control group design in July-September in North Tapanuli Regency to compare the increase in height gain with local food. The sample consisted of 34 stunted children aged 12-60 months. Height measurements were taken every month after three months of intervention. Data were analyzed using a T-test with a 95% confidence level. This study showed that local food-based menus with digital literacy could increase the height of children aged 12-60 months p-value: was 0.014 <0.05. In the control group (without receiving local food-based menu intervention with digital literacy), there was no effect on increasing height p-value 0.125>0.05. The application of a local food-based menu with the use of digital literacy has an effect in increasing the height of children who are stunted, digital literacy can help parents access information, and educate families, through applications and social media so that this research is important, useful to introduce a new approach in handling stunting, namely combining local food with digital literacy. Keyword: Utilization of Local Food, Digital Literacy, Handling Stunting

EFFECTS OF BIRTHBALL RELAXATION ALTERNATIVES AND AROMA THERAPY ON THE PROGRESS AND SATISFACTION OF LABOR IN THE DISTRICT NORTH TAPANULI IN 2023 simbolon, juana linda
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 8, No 4: Desember 2023
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30604/jika.v8i4.2448

Giving birth is the highest expression of female sexuality, using the same hormones (oxytocin, prolactin, and endorphin. Childbirth and sex are interrelated, and how she experiences the birthing process. Midwives must understand beneficial and detrimental actions during the birthing process, such as reducing negative emotional reactions, and physical reactions mother to pain so that efforts to create physical and emotional comfort are needed. WHO emphasizes patient satisfaction as a means of secondary prevention of maternal death by preventing and reducing the impact of the birth process. The aim of this research was to analyze the effect of birth ball exercises and aroma therapy on maternal progress and satisfaction in labor. This type of research was experimental pre and post-test with a control group design. The sample size in this study was 34 mothers in labor consisting of 17 mothers in the intervention group and 17 mothers in the control group. Analysis using parametric analysis test T-test. Test with degrees of 95% confidence. The results of this study show that there is a difference in the length of time for the first stage in the control and intervention groups, p-value 0.02 0.05. The results of this study show that the intervention group generally felt satisfied with their delivery. In developing midwifery care, we can provide birth ball exercises and orange aroma therapy to speed up the first stage and as a non-pharmacological therapy option that supports pharmacological therapy for mothers in labor.

PENGARUH HYPNOBIRTHING TERHADAP TINGKAT KECEMASAN IBU INPARTU KALA I DI PUSKESMAS SARULLA KECAMATAN PAHAE JAE Silvana Sitompul, Emilia; Linda Simbolon, Juana; Rismawaty Nainggolan, Dimpu
Jurnal Kesehatan Tambusai Vol. 5 No. 2 (2024): JUNI 2024
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v5i2.29247

Latar belakang: Ibu primipara biasanya mengalami rasa kecemasan yang tinggi dalam menghadapi proses persalinan, hal tersebut dapat mempengaruhi kekuatan kontraksi ibu untuk mendorong janin keluar selama proses persalinan. Persalinan dapat berjalan lancar jika ibu mampu menyelaraskan antara pernafasan dengan kontraksi uterus yang dirasakan, hal tersebut dapat dilakukan jika ibu dalam kondisi yang rileks. Aplikasi hipnosis dalam obstetri saat ini menjadi trend, khususnya dalam merencanakan persalinan yang fisiologis tanpa disertai gangguan psikologis seperti cemas yang berlebihan. Tujuan: Penelitian ini bertujuan untuk mengetahui Pengaruh Hypnobirthing Terhadap Tingkat Kecemasan Ibu Inpartu Kala I di Puskesmas Sarulla Kecamatan Pahae Jae Kabupaten Tapanuli Utara Tahun 2022. Metode: Experiment semu (quasi experiment) yang menggunakan desain posttest only control group design untuk membandingkan ibu yang diberi Hypnobirthing dengan yang tidak diberi hypnobirthing. Jumlah sampel seluruhnya dalam penelitian ini sebanyak 20 Ibu inpartu yang dibagi dalam 2 kelompok, yaitu 10 Ibu inpartu dengan Hypnobirthing dan 10 Ibu inpartu tanpa menggunakan Hypnobirthing. Penelitian dilakukan di Puskesmas Sarulla Kecamatan Pahae Jae Kabupaten Tapanuli Utara bulan Januari-Desember 2022. Pengambilan sampel menggunakan purposive sampel. Analisis data: menggunakan analisis univariat, bivariat dengan menggunakan uji T Test. Hasil: Uji T Paired SPSS dapat disimpulkan bahwa nilai korelasi antara 2 variabel tersebut yaitu 0,973 artinya hubungan kuat dan positif. Dan nilai Sig tingkat signifikansi hubungan dengan hasil 0,000 yang artinya signifikan pada level 0,01 ada perbedan tingkat kecemasan perlakuan dengan hypnotherapy dan tanpa hypnotherapy. Saran: dalam menangani nyeri persalinan hendaknya menggunakan tekhnik hypnobirthing karena sangat efektif dalam menangani nyeri persalinan, penerapan tekhnik hypnobirthing ini harus dilakukan bertahap atau diajarkan dalam kelas-kelas ibu hamil, dan minimal diajarkan 2 minggu sebelum ibu bersalin maka hasilnya akan efektif.

Tinjauan Hukum Pengobatan Tradisional Komplementer Tenaga Kesehatan Di Fasilitas Pelayanan Kesehatan Panggabean, Hetty; Riyanto, Ontran Sumantri; Simbolon, Juana Linda
Innovative: Journal Of Social Science Research Vol. 4 No. 3 (2024): Innovative: Journal Of Social Science Research
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/innovative.v4i3.11482

Hasil Riskesda menunjukkan layanan kesehatan tradisional 31,4%, memanfaatkan ramuan 48%, buatan sendiri 31,8%, olah pikir 1,9% dan keterampilan energi 2,1%. Penelitian bertujuan untuk pelaksanaan dan prosedur perizinan tradisional komplementer tenaga kesehatan di fasilitas pelayanan kesehatan. Menggunakan penelitian kualitatif jenis yuridis normatif dengan data sekunder melalui pengkajian bahan pustaka seperti teori hukum, literature, kamus hukum dan peraturan perundang-undangan. Teknik pengumpulan data adalah studi kepustakaan menelusuri dan menelaah data, dikumpulkan, diidentifikasi dan diinventarisasi. Hasil penelitian, pelaksanaan terapi tradisonal komplementer dilakukan tenaga kesehatan dengan pendidikan tradisional komplementer profesi dan vokasi di Griya Sehat dan praktik mandiri. Rumah sakit/puskesmas penyelenggara jika tidak ada tenaga kesehatan tradisional komplementer dilakukan dokter, dokter gigi dan tenaga kesehatan lain yang memiliki kompetensi sama. Tenaga kesehatan tradisional komplementer bekerja dan membuka praktik mandiri memiliki STRTKT. Izin praktik mandiri (SIPTKT) diperoleh dari Dinas Kesehatan Kabupaten/Kota.

Tinjauan Hukum Pengobatan Tradisional Komplementer Tenaga Kesehatan Di Fasilitas Pelayanan Kebidanan Panggabean, Hetty; Riyanto, Ontran Sumantri; Simbolon, Juana Linda
Innovative: Journal Of Social Science Research Vol. 4 No. 3 (2024): Innovative: Journal Of Social Science Research (Special Issue)
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/innovative.v4i3.11567

Hasil Riskesda menunjukkan layanan kesehatan tradisional 31,4%, memanfaatkan ramuan 48%, buatan sendiri 31,8%, olah pikir 1,9% dan keterampilan energi 2,1%. Penelitian bertujuan untuk pelaksanaan dan prosedur perizinan tradisional komplementer tenaga kesehatan di fasilitas pelayanan kesehatan. Menggunakan penelitian kualitatif jenis yuridis normatif dengan data sekunder melalui pengkajian bahan pustaka seperti teori hukum, literature, kamus hukum dan peraturan perundang-undangan. Teknik pengumpulan data adalah studi kepustakaan menelusuri dan menelaah data, dikumpulkan, diidentifikasi dan diinventarisasi. Hasil penelitian, pelaksanaan terapi tradisonal komplementer dilakukan tenaga kesehatan dengan pendidikan tradisional komplementer profesi dan vokasi di Griya Sehat dan praktik mandiri. Rumah sakit/puskesmas penyelenggara jika tidak ada tenaga kesehatan tradisional komplementer dilakukan dokter, dokter gigi dan tenaga kesehatan lain yang memiliki kompetensi sama. Tenaga kesehatan tradisional komplementer bekerja dan membuka praktik mandiri memiliki STRTKT. Izin praktik mandiri (SIPTKT) diperoleh dari Dinas Kesehatan Kabupaten/Kota.

Penerapan Hypnobirthing Persalinan Normal yang Menyenangkan di Kelas Ibu Hamil PMB Elshadai Sitompul, Emilia Silvana; Simbolon, Juana Linda
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 7, No 5 (2024): Volume 7 No 5 2024
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v7i5.12377

ABSTRAK Ibu trimester III terutama ibu primigravida biasanya mengalami rasa kecemasan yang tinggi dalam menghadapi proses persalinan, hal tersebut dapat mempengaruhi kekuatan kontraksi ibu untuk mendorong janin keluar selama proses persalinan. Persalinan dapat berjalan lancar jika ibu mampu menyelaraskan antara pernafasan dengan kontraksi uterus yang dirasakan, hal tersebut dapat dilakukan jika ibu dalam kondisi yang rileks. Aplikasi hipnosis dalam obstetri saat ini menjadi trend, khususnya dalam merencanakan persalinan yang fisiologis tanpa disertai gangguan psikologis seperti cemas yang berlebihan. Kecemasan dan ketakutan dapat berdampak pada timbulnya rasa nyeri yang hebat dan berakibat menurunnya kontraksi uterus, sehingga persalinan bertambah lama. Mengurangi kecemasan ibu hamil saat melahirkan dengan terapi Hypnobirthing, mempersiapkan persalinan normal yang menyenangkan. Mendata ibu hamil trimester III di PMB Elshadai, selanjutnya menyusun jadwal pelaksanaan, melakukan pretest tentang Hypnobirthing, pemaparan materi, sosialisasi Hypnobirthing, memulai sesi Hypnobirthing sesi pertama dan diakhir sesi diberikan tugas membuat afirmasi positif tentang kehamilan dan persalinan, melakukan posttest tentang Hypnobirthing dan memberikan tehnik labor dance dan comfort tehnik. Setelah dilaksanakan pelatihan tingkat pengetahuan ibu meningkat menjadi tingkat pengetahuan baik 24 orang (80%), Cukup 6 orang (20%). Mayoritas ibu sudah dapat melakukan persiapan Hypnobirthing Persalinan Normal yang Menyenangkan Kata Kunci: Hypnobirthing, Cemas Menghadapi Persalinan, Kelas Antenatal ABSTRACT Third trimester mothers, especially primigravida mothers, usually experience high anxiety in the face of labor, this can affect the strength of maternal contractions to push the fetus out during labor. Labor can run smoothly if the mother is able to harmonize between breathing and uterine contractions that are felt, this can be done if the mother is in a relaxed condition. The application of hypnosis in obstetrics is currently a trend, especially in planning physiological labor without psychological disorders such as excessive anxiety. Anxiety and fear can have an impact on the onset of severe pain and result in decreased uterine contractions, so that labor takes longer. Reducing anxiety of pregnant women during childbirth with Hypnobirthing therapy, preparing for pleasant normal labor. Activity Implementation. Registering third trimester pregnant women at PMB Elshadai, then compiling an implementation schedule, conducting pretests about Hypnobirthing, material exposure, socialization of Hypnobirthing, starting the first Hypnobirthing session and at the end of the session given the task of making positive affirmations about pregnancy and childbirth, conducting posttests about Hypnobirthing and providing labor dance techniques and comfort techniques. After the training the level of knowledge of mothers increased to a good level of knowledge 24 people (80%), sufficient 6 people (20%). The majority of mothers can already do Hypnobirthing preparation for Pleasant Normal Labor. Keywords: Hypnobirthing, Labor Anxiety, Antenatal Class

Edukasi Pendampingan Pentingnya ASI Ekslusif dan MP-ASI Dalam Mencegah Stunting Sitompul, Emilia Silvana; Simbolon, Juana Linda
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 8, No 7 (2025): Volume 8 No 7 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v8i7.20244

ABSTRAK Stunting merupakan program prioritas nasional salah satu permasalahan gizi utama pada balita di Indonesia yang belum teratasi. Prevalensi stunting mengalami kenaikan pada usia 6 bulan ke 12 bulan & 24 bulan. Ini menunjukkan bahwa anak usia tersebut tidak mendapatkan intervensi yang mencukupi. Intervensi harus fokus pada 1000 Hari Pertama Kehidupan (HPK) untuk mencegah terjadinya stunting, seperti : pemberian ASI dan makanan pendamping ASI yang bergizi seimbang dan tepat. Strategi upaya dan pendekatan pada penanganan stunting berbagai intervensi pada hal-hal yang mempunyai daya ungkit tinggi untuk mempercepat penurunan stunting, perlu dilakukan khususnya dalam enam bulan pertama kehidupan. Masalah stunting perlu mendapatkan penanganan yang serius karena berpengaruhterhadap pertumbuhan balita. Mengedukasi dan pendampingan pentingnya ASI Eksklusif dan MP-ASI dalam mencegah stunting. Metode community development, melibatkan ibu secara langsung sebagai subjek dan objek kegiatan dan sebagai penerima manfaat langsung. Kegiatan ini dilakukan di Posyandu yang ada di Kecamatan Pahae Jae, Kabupaten Tapanuli Utara dengan jumlah peserta 98. Pada kegiatan ini 80,6 % ibu memperoleh edukasi dan pendampingan pentingnya ASI Eksklusif dan MP-ASI dalam mencegah stunting. Ibu sudah baik memahami pentingnya ASI Ekslusif dan MP-ASI, setelah diberikan Edukasi pemahaman ibu terlihat pada keaktifannya berdiskusi dan memecahkan masalah. Kata Kunci: Edukasi, ASI Eksklusif, MP-ASI, Stunting ABSTRACT Stunting is a national priority programme and one of the main nutritional problems in children under five in Indonesia that has not been resolved. The prevalence of stunting increases from 6 months to 12 months & 24 months of age. This indicates that these children are not receiving adequate interventions. Interventions should focus on the first 1000 days of life to prevent stunting, such as breastfeeding and complementary foods that are nutritionally balanced and appropriate. Strategic efforts and approaches to handling stunting various interventions on things that have high leverage to accelerate stunting reduction, need to be done especially in the first six months of life. The problem of stunting needs to be handled seriously because it affects the growth of toddlers. To educate and assist the importance of exclusive breastfeeding and complementary feeding in preventing stunting. Community development method, involving mothers directly as subjects and objects of activities and as direct beneficiaries. This activity was carried out at Posyandu in Pahae Jae Sub-district, North Tapanuli Regency with 98 participants. In this activity 80,6 % of mothers received education and assistance on the importance of exclusive breastfeeding and complementary feeding in preventing stunting. Mothers have a good understanding of the importance of exclusive breastfeeding and complementary feeding, after being given education, their understanding is seen in their activity in discussing and solving problems. Keywords: Education, Exclusive Breastfeeding, Complementary Feeding, Stunting

Latihan Relaksasi Birthball dan Aroma Therapy pada Ibu Hamil Sitompul, Emilia Silvana; Simbolon, Juana Linda
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 7, No 12 (2024): Volume 7 No 12 (2024)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v7i12.16955

ABSTRAK Persalinan merupakan proses membuka dan menipisnya serviks dan janin turun kedalam jalan lahir dan berakhir dengan pengeluaran bayi yang cukup bulan atau hampir cukup bulan atau dapat hidup diluar kandungan. Ketidaknyaman melahirkan adalah sesuatu yang normal, tubuh telah beradaptasi dengan kehamilan memaksa lingkungan sekitarnya untuk berubah posisi agar dapat lahir. Masalah yang paling sering muncul pada ibu bersalin adalah nyeri persalinan. Apabila masalah nyeri tidak di atasi akan menimbulkan kecemasan, ketakutan serta stress pada ibu yang akan meningkatkan lagi intensitas nyeri yang dirasakan. Nyeri selama proses persalinan yang disertai dengan ketakutan akan memperlambat proses persalinan. Ibu hamil rentan mengalami ketegangan psikologis selama kehamilan akibat ketidaknyamanan yang dirasakan oleh perubahan fisik dan psikologis. Tujuan dari kegiatan ini untuk mengajarkan latihan tehnik relaksasi birthball dan aromatherapy dalam upaya membangkitkan kemampuan ibu hamil dan membantu ibu hamil mengurangi nyeri dan kecemasan menghadapi persalinan. Peserta pengabdian kepada masyarakat adalah ibu hamil trimester III di wilayah kerja Puskesmas Situmeang Habinsaran tanpa komplikasi. Pelaksanaan Kegiatan ini diawali dengan anamnesa dan menentukan usia kehamilan trimester III dan dilanjutkan pengisian persetujuan menjadi responden dan mengisi Pretest. Selanjutnya memberikan materi tentang Relaksasi Birthball dan Aroma Therapy, kemudian dilanjutkan dengan latihan penggunaan gymbal masing-masing ibu hamil dilatih bagaimana menggunakan Relaksasi Birthball dan Aroma Therapy serta diskusi tanya jawab. Sebelum kegiatan berakhir, untuk mengetahui tingkat pengetahuan Ibu hamil setelah diberikan penyuluhan maka dilanjutkan dengan post test. Hasil didapat tingkat pengetahuan ibu hamil sebelum pelatihan pengetahuan Ibu dengan tingkat pengetahuan kurang 21 orang (70%), tingkat pengetahuan cukup 4 orang (13,3%) sedangkan yang berpengetahuan baik hanya 5 orang (16,7%). Setelah dilaksanakan pelatihan tingkat pengetahuan ibu meningkat menjadi tingkat pengetahuan baik 25 orang (83,3%), Cukup 5 orang (16,7%). Setelah dilaksanakan penyuluhan dan pelatihan tentang Latihan Relaksasi Birthball dan Aroma Therapy pada Ibu Hamil di Puskesmas Situmeang Habinsaran Kecamatan Sipoholon, pengetahuan Ibu meningkat. Kegiatan menjadi positif awalnya tidak tahu menjadi tahu dan semangat latihan menyiapkan proses persalinan nantinya . Kata Kunci: Relaksasi, Birthball, Aroma TherapyABSTRACT Labour is the process of opening and thinning of the cervix and the fetus descending into the birth canal and ends with the expulsion of a baby who is full term or almost full term or can live outside the womb. The discomfort of childbirth is normal, the body has adapted to pregnancy forcing the surrounding environment to change position in order to be born. The problem that most often arises in women in labour is labour pain. If the problem of pain is not addressed, it will cause anxiety, fear and stress in the mother which will increase the intensity of the pain felt. Pain during labour accompanied by fear will slow down the labour process. Pregnant women are prone to psychological tension during pregnancy due to the discomfort felt by physical and psychological changes. The purpose of this activity is to teach the practice of birthball relaxation techniques and aromatherapy in an effort to raise the ability of pregnant women and help pregnant women reduce pain and anxiety facing childbirth. Community service participants are third trimester pregnant women in the working area of Puskesmas Situmeang Habinsaran without complications. The implementation of this activity begins with anamnesa and determining the age of third trimester pregnancy and continued with filling out the consent to become a respondent and filling out the Pretest. Furthermore, providing material about Birthball Relaxation and Aroma Therapy, then continued with the practice of using gymbal each pregnant woman was trained on how to use Birthball Relaxation and Aroma Therapy and question and answer discussions. Before the activity ended, to determine the level of knowledge of pregnant women after being given counselling, it was continued with a post test. The results showed that the level of knowledge of pregnant women before the training was 21 people (70%) with poor knowledge, 4 people (13.3%) with sufficient knowledge, while only 5 people (16.7%) with good knowledge. After the training, the level of maternal knowledge increased to a good level of knowledge 25 people (83.3%), 5 people (16.7%). After the counselling and training on Birthball Relaxation Exercise and Aroma Therapy for Pregnant Women at the Situmeang Habinsaran Health Centre, Sipoholon District, the mother's knowledge increased. Activities become positive initially did not know to know and the spirit of training to prepare for the labour process later. Keywords: Relaxation, Birthball, Aroma Therapy

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