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Sitompul, Emilia Silvana
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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

Abstract

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

Abstract

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

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
The Effect of Hypnobreastfeeding on Milk Production in Stunting Prevention Efforts in North Tapanuli District Sitompul, Emilia Silvana; Simbolon, Juana Linda
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.
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.
Co-Authors Juana Linda Simbolon Marni Siregar Panggabean, Hetty W. A