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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

Abstract

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
MENUJU IBU HAMIL SEHAT: EDUKASI DAN PENDAMPINGAN BERBASIS PANGAN LOKAL UNTUK PENCEGAHAN ANEMIA Panggabean, Hetty Wirawanti; Simbolon, Juana Linda
JMM (Jurnal Masyarakat Mandiri) Vol 9, No 5 (2025): Oktober
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jmm.v9i5.34449

Abstract

Abstrak: Secara global, prevalensi anemia pada kehamilan meningkat 29,9%. Diperkirakan di dunia 41,8% ibu hamil dan 30,2% tidak hamil menderita anemia. WHO memperkirakan anemia ibu hamil 14% di negara maju dan 51% di negara berkembang. Indonesia 84,6% anemia ibu hamil umur 15-24 tahun. Desa Jamburnauli 30 ibu hamil 2 anemia. Pengabdian ini meningkatkan pengetahuan dan keterampilan ibu hamil tentang pangan lokal, cara memilih, mengolah pangan lokal. Metodo kegiatan Pra Kegiatan, Persiapan, Pelaksanaan tahap pertama pretest, pemeriksaan HB, penyuluhan tentang anemia dan pangan lokal, demonstrasi cara memilih, menyajikan dan mengolah. Tahap kedua pendampingan cara memilih, menyajikan dan mengolah, Evaluasi mengisi posttest. Mitra kegiatan Desa Jamburnauli Kecamatan Tarutung, responden 30 orang, evaluasi pre dan posttest. Hasil posttest peningkatan pengetahuan mayoritas berpengetahuan baik 27 orang (90%), peningkatan HB ibu hamil HB 9,8gr% menjadi 11,2gr% dan HB 10,4gr% menjadi 12,7gr%.Abstract: Globally, prevalence of anaemia in pregnancy increased by 29.9%. It is estimated that in the world 41.8% of pregnant women and 30.2% of non-pregnant women suffer from anaemia. WHO estimates that anaemia of pregnant women is 14% in developed countries and 51% in developing countries. Indonesia 84.6% of pregnant women aged 15-24 years are anaemic. Jamburnauli village 30 pregnant women 2 are anaemic. This service increases the knowledge and skills of pregnant women about local food, how to choose, process local food. Metodo activities Pre-activity, Preparation, Implementation of the first stage pretest, HB examination, counselling on anaemia and local food, demonstration of how to choose, serve and process. Second stage of assistance on how to choose, serve and process, Evaluation of filling posttest. Activity partners Jamburnauli Village Tarutung District, 30 respondents, pre and posttest evaluation. Posttest results increased knowledge of the majority of 27 people (90%), increased HB pregnant women HB 9.8gr% to 11.2gr% and HB 10.4gr% to 12.7gr%.
The Effect Of Alternative Relaxation Aromatherapy On Labour Pain Hetty A Panggabean; Juana Linda Simbolon; Emilia Silvana Sitompul
Journal of Innovative and Creativity Vol. 5 No. 2 (2025)
Publisher : Fakultas Ilmu Pendidikan Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/joecy.v5i2.949

Abstract

Childbirth is a natural process and every mother has the right to receive safe and satisfactory services. Pain, anxiety and fatigue accumulate during labor, causing increased release of catecholamine and steroid hormones that result in decreased uterine contractions, reduced blood flow and oxygen to the uterus, resulting in uterine ischemia which results in increased pain impulses. Midwives need to develop strategies in this regard. Lemon aromatherapy contains limonene compounds that can inhibit the prostaglandin system. The scent of lemon can stimulate endorphins that function as pain relievers and make mothers happy. This study aimed to examine the impact was to analyze the effect of aromatherapy on labor pain with experimental pre and post test and control group design research types. The number of samples in this study was 34 mothers in labor consisting of 17 intervention groups and 17 control groups. This study used the Mann-Whitney test to analyze with a 95% confidence level. The results of this study showed a significant difference in pain levels in mothers who received aromatherapy and did not receive aromatherapy: p value 0.006 <0.05. Conclusion: There is an effect of aromatherapy on the level of pain in the first stage of labor in the active phase. Suggestion: Providing lemon aromatherapy to mothers in labor can be an option to reduce pain levels. This can also develop non-pharmacological therapeutic midwifery care.
Kemitraan Bidan dan Ibu Hamil dalam Pencegahan Covid-19 Simbolon, Juana Linda; Sitompul, Emilia Silvana; Siregar, Marni
Jurnal Pemberdayaan Masyarakat Vol 6 No 1 (2021): Mei
Publisher : Direktorat Penelitian dan Pengabdian kepada Masyarakat (DPPM)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21067/jpm.v6i1.5115

Abstract

COVID-19, a disease that is currently endemic in almost all over the world. COVID-19 affects anyone, including pregnant women and children. The role of midwives in maternal and child health services: ANC service providers are the highest in Indonesia (82.4%). The challenge of midwifery services during the Covid-19 pandemic: knowledge of mothers and families related to COVID-19 about the dangers of COVID-19 in pregnant women can be a motivation for screening or preventing COVID-19. The aim of the service is to increase knowledge through training midwives and pregnant women about the prevention of COVID-19 and to increase partnerships between midwives and pregnant women through training to be able to socialize the importance of preventing COVID-19 to pregnant women. The method used was conducting pre-tests for midwives and pregnant women, training for midwives on the prevention of COVID-19 in pregnant women, counseling by midwives on prevention of COVID-19, and conducting post-tests. The results obtained by pre test, the majority of midwives' knowledge was moderate, while the majority of pregnant women had less knowledge. After being given training, the results of the post test increased the majority of midwives' knowledge was high and the knowledge of pregnant women was high.
Memantau Tumbuh Kembang Balita Masa Pandemi Covid-19 dengan Aplikasi Primaku di Wilayah Kerja Puskesmas Sitadatada Sitompul, Emilia Silvana; Simbolon, Juana Linda; Panggabean, Hetty W. A
Jurnal Pemberdayaan Masyarakat Vol 7 No 2 (2022): November
Publisher : Direktorat Penelitian dan Pengabdian kepada Masyarakat (DPPM)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21067/jpm.v7i2.6693

Abstract

Fetus in the womb until the child is 2 years old is a very important period in the growth and development of children. Good and adequate nutrition, good health status, proper parenting and proper stimulation during this period will help children to grow up healthy and able to achieve their optimal abilities so that they can contribute better. In the community, the Covid-19 pandemic has caused parents to limit themselves from visiting hospitals, Puskesmas, Posyandu, etc. Primaku is an application that makes it easier for parents to monitor children's growth and development on a regular and ongoing basis and this application is recommended by IDAI. Mothers who have toddlers in monitoring the growth of their children's development in home by applying the Primaku Application. The method of implementing the activity is to record data on mothers who have toddlers in the working area of the Sitadatada Health Center from an initial survey of stabilization and determination of locations and facilities and breastfeeding of matent materials. Implementation of service with pre-test training and post-test/evaluation. The results of the majority of ash are already skilled in using the Primaku application to detect the growth and development of Toddlers.
PEMBERDAYAAN ANAK REMAJA DALAM PENCEGAHAN KEHAMILAN USIA DINI DI SMA SWASTA SANTA MARIA TARUTUNG Marni Siregar; Juana Linda Simbolon; Emilia Silvana Sitompul
JURNAL PENGABDIAN KEPADA MASYARAKAT BIDANG KESEHATAN Vol 2, No 2 (2020): OKTOBER 2020
Publisher : Universitas Ubudiyah Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Abstract Santa Maria Private High School, Tarutung Subdistrict, is a favorite SMA in North Tapanuli Regency where the location is located in an area that is easily accessible from other areas in North Tapanuli Regency. The large number of students and inadequate parental control because many are boarding can also result in susceptibility to premarital sexual behavior. The risk factors for adolescent sexual activity are lack of parental supervision and low environmental supervision so that boarding students are at risk of various forms of sexual activity.Prevent early pregnancy by providing information to adolescents to empower them to build values and skills that enable them to make responsible decisions to become sexually healthy adults. Counseling for adolescents about sex education is the most likely, especially to students in schools. Factors that influence adolescent sexual behavior include academic perspectives where adolescents with low achievement and low aspiration stages tend to be more likely to have sexual activity than adolescents with good performance in school so that by providing health education for all students both with low achievement and good achievement. understand the impact of premarital sex. Keywords: early pregnancy, empowerment, teenager
An Analysis of Stunting Determinants in North Tapanuli Regency Emilia Silvana Sitompul; Juana Linda Simbolon; Marni Siregar
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 8, No 1 (2026): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v8i1.27890

Abstract

There has been a decline in stunting prevalence nationally in the last two years, requiring a more specific analysis of local determinants to optimize interventions at the regional level, especially in areas with geographical characteristics such as North Tapanuli Regency. This study aims to analyze the effect of nutritional intake, environmental sanitation, immunization status, and medical history on the incidence of stunting in toddlers. This quantitative study with a cross-sectional design involved 71 stunted toddler respondents in four working areas of the Community Health Center in North Tapanuli Regency. The data were analyzed using the Chi-Square test for bivariate analysis and Path Analysis to see the direct and indirect effects. The path analysis results showed that nutritional intake (0.365), sanitation (0.146), and immunization status (0.141) had a significant direct effect on stunting. Nutritional intake was the most dominant determining factor (p=0.010). Conversely, medical history (p=0.485) did not show a significant relationship and did not play a strong mediating role in this model. Nutritional intake is a key factor in determining the severity of stunting. Intervention strategies should focus on meeting the specific nutritional needs of toddlers in addition to improving sanitation and basic immunization coverageKeywords: Stunting, Nutritional Intake, Infectious Diseases, Sanitation, Immunization 
UPAYA PENURUNAN STUNTING MELALUI GERAKAN DAPUR SEHAT BERBASIS PANGAN LOKAL, PEMERIKSAAN ANTROPOMETRI ANAK USIA 0-59 BULAN DI DESA SITOMPUL KECAMATAN SIATAS BARITA TAHUN 2024 Ganda Agustina Hartati Simbolon; Sulastry Pakpahan; Juana Linda Simbolon
Community Development Journal : Jurnal Pengabdian Masyarakat Vol. 6 No. 3 (2025): Volume 6 No 3 Tahun 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/cdj.v6i3.46230

Abstract

Pengabdian kepada masyarakat Kementerian Kesehatan Poltekkes Medan Prodi D-III Kebidanan Tapanuli Utara dilakukan dalam bentuk edukasi dan pelatihan pengolahan bahan pangan untuk pencegahan stunting disertai dengan pemberian makanan pendamping ASI dan makanan tambahan bagi bayi usia 6-59 bulan. Sasaran kegiatan pengabdian adalah Ibu hamil, Ibu yang memiliki bayi usia 0-59 bulan, serta Kader Posyandu di Desa Sitompul berjumlah 30 orang. Tujuan Pengabdian Kepada Masyarakat ini adalah untuk mewujudkan pengabdian kepada masyarakat untuk meningkatkan pengetahuan masyarakat dalam upaya pencegahan stunting dengan memanfaatkan bahan pangan lokal untuk memenuhi kebutuhan gizi keluarga. Stunting adalah gangguan pertumbuhan pada balita yang disebabkan oleh kekurangan nutrisi yang berkelanjutan, sehingga tinggi badan anak tidak sesuai dengan usianya berdasarkan indeks tinggi badan dibanding umur dengan z-score yang memiliki batas (z-score) yang kurang dari standar deviasi -2. Stunting dapat mengakibatkan gangguan perkembangan fisik yang tidak dapat diperbaiki pada anak, yang mengakibatkan penurunan kemampuan kognitif dan motorik anak serta peningkatan kerentanan untuk menderita penyakit infeksi. Pengukuran antropometri tubuh dilakukan untuk menentukan stunting pada anak. Anak di atas dua tahun diukur tingginya menurut umur. Antropometri digunakan untuk mengukur pertumbuhan tinggi badan dan berat badan. Kegiatan ini bertujuan untuk memberikan pengetahuan kepada Keluarga Beresiko Stunting tentang makanan yang sehat dan seimbang, dengan memberdayaan potensi lokal yang ada, diperoleh dengan mudah dengan harga yang lebih murah namun memenuhi kriteria makananan yang sehat dan bergizi seimbang. Kegiatan ini disebut dengan gerakan dapur sehat, dilaksanakan setiap minggu selama 3 bulan sehingga peserta dapat mengolah dan menyajikan makanan sehat yang diberikan kepada bayi seperti bubur yang berasal dari labu dan ubi , kue bolu dengan tepung yang berasal dari daun kelor, abon dari kacang kedele, nugget dari ikan lele., Kegiatan ini diantaranya dihadiri oleh Keluarga Beresiko stunting yang memiliki anak usia 0-59 bulan.
The Effect of Hypnobreastfeeding on Milk Production in Stunting Prevention Efforts in North Tapanuli District Emilia Silvana Sitompul; Juana Linda Simbolon
Jurnal Penelitian Pendidikan IPA Vol 9 No 10 (2023): October
Publisher : Postgraduate, University of Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jppipa.v9i10.5311

Abstract

Indonesia is still facing nutrition problems that affect the quality of human resources. The problem of malnutrition is still quite high in Indonesia, especially the problem of stunting. Stunting can occur as a result of malnutrition, especially during 1000 HPK. The Lancet Breastfeeding 2016 states that breastfeeding can reduce infant mortality due to infection by 88%, besides that breastfeeding also contributes to reducing the risk of stunting in the future. Hypnobreastfeeding helps mothers ensure that they can continue to breastfeed, at least exclusively for the first six months. To prevent stunting, optimizing breastfeeding with Hypnobreastfeeding can reduce stunting rates in the North Tapanuli Regency so that the Sustainable Development Goals (SDGs) target in 2025 can be achieved by a 40% reduction. The study aims to determine the difference in prolactin hormone levels before and after the application of hypnobreastfeeding in breastfeeding mothers. The research was a quasi-experiment using pre and Post-tests with a control group design. The sampling technique used purposive sampling on postpartum mothers with a total sample of 30 people. This research was conducted in July-November. Statistical tests using the Wilcoxon test.  To determine the difference in prolactin levels before and after hypnobreasfeeding, the p-value = 0.02, so that the p-value <0.05 can be concluded that there is a difference in prolactin hormone levels before and after the application of hypnobreastfeeding in nursing mothers. Based on the results of the study, hypnobreastfeeding can be an intervention for breastfeeding mothers to succeed in exclusive breastfeeding.