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All Journal Jurnal Kebidanan Midwiferia Majalah Kesehatan FKUB Jurnal Ilmiah Bidan Jurnal Ilmiah Kesehatan Media Husada JKM (Jurnal Kebidanan Malahayati) Journal of Midwifery
Indahwati, Lilik
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Education Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Social Sciences Other

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HUBUNGAN TINGKAT AKTIVITAS FISIK SEBELUM PERSALINAN DENGAN DURASI KALA II IBU PRIMIPARA DI FASILITAS KESEHATAN MALANG Pamudita, Risca Rara; Indahwati, Lilik
Jurnal Ilmiah Bidan (JIB) Vol 8 No 2 (2024): Agustust 2024
Publisher : Ikatan Bidan Indonesia (IBI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61720/jib.v8i2.490

Abstract

Maternal Mortality Rate (MMR) is one of the indicators to determine the quality of maternal health services in Indonesia. Obstetric complications are very influential on MMR, including second stage of labor. Physical activity that is carried out regularly can affect the increase in energy, straining power, his, breathing and flexibility of the birth canal so that it can affect the second stage of labor. However, mostly, women reduce physical activity when entering the third trimester of pregnancy. The research method used was observational analysis and cross-sectional approach conducted on 30 primipara mothers with physiological labor at the Malang Regional Health Facility. Rank-spearman statistical analysis was used to determine the meaningful relationship between variables. PPAQ questionnaires and partographs were used to collect research data. The level of physical activity of primipara mothers was categorized into sedentary levels as much as 4 respondents, the mild level is as much as 17 respondents and moderate levels as many as 9 respondents. This study shows that there is a significant relationship between the level of physical activity seven days before delivery and the duration of second stage in primipara mothers. The higher level of seven-day activity tends to shorten the duration of the second period of primipara's labor.
SELF-HYPNOSIS MENURUNKAN KECEMASAN PADA IBU HAMIL Indahwati, Lilik; Yulismaulidya, Farahmita; Putri, Frilya Rachma; Dewi, Mustika; Lestari, Sumi
Majalah Kesehatan Vol. 11 No. 1 (2024): Majalah Kesehatan
Publisher : Faculty of Medicine Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/majalahkesehatan.2024.011.01.3

Abstract

Kecemasan adalah kondisi emosional yang dapat terjadi karena adanya ketidaknyamanan selama kehamilan. Sejumlah penelitian menunjukkan bahwa kecemasan ibu hamil dapat memicu terjadinya hipertensi, BBLR dan mengganggu perkembangan otak janin, sehingga diperlukan upaya untuk mengatasi masalah tersebut. Self-hypnosis adalah hipnosis yang dilakukan secara mandiri oleh ibu hamil. Melalui teknik relaksasi ini, memungkinkan ibu hamil mencapai keadaan pikiran yang tenang dan nyaman sehingga berpengaruh terhadap  kecemasan. Tujuan penelitian ini adalah untuk mengetahui pengaruh self-hypnosis terhadap kecemasan ibu hamil di Klinik Kesehatan Kabupaten Malang. Desain  penelitian adalah pre experimental pre post test design. Semua ibu hamil Trimester II-III yang mengikuti kelas ibu hamil dan memenuhi kriteria inklusi menjadi responden yaitu sejumlah 31 orang. Sampling yang digunakan adalah accidental sampling selama 3 bulan. Uji statistik Wilcoxon menunjukkan P value = 0,000 < 0,05. Hasil ini menggambarkan bahwa self-hypnosis dapat menurunkan tingkat kecemasan ibu hamil. Dengan demikian para tenaga kesehatan dapat melatih ibu hamil untuk melakukan self-hypnosis.     
The Effect of Teleeducation Methods on Level Knowledge and Attitudes about HIV/AIDS Student in Ciasem 1 Public High School Suciyanti, Suciyanti; Indahwati, Lilik; Iffah A., Krisjentha
Jurnal Kebidanan Midwiferia Vol 8 No 2 (2022): Oktober
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21070/midwiferia.v8i2.1661

Abstract

HIV/AIDS is one of the major global health problems. Approximately, 5 percent of all HIV cases are originated from adolescents and around 1.7 million adolescents worldwide are living with HIV in 2019. Adolescents are often less exposed to information related to reproductive health, including HIV/AIDS. The purpose of this study is to determine the effects of the teleeducation method on the level of knowledge and attitudes of adolescents about HIV/AIDS. The research design used in this study was pre-experimental designs with one group pretest-posttest approach. Reproductive health education with the teleeducation method is carried out for 1 day. The data was collected using questionnaires that were distributed before and after the teleeducation was given. The number of respondents that was taken for this study were 78 students who were taken using purposive sampling technique. The results of the non-parametric two-related sample test using the Wilcoxon test in the knowledge analysis showed that the p-value was 0.000 or (p-value < 0.05) and the attitude analysis using the Wilcoxon test found that the p-value was 0.000 or (p-value < 0.05), indicating that there are differences in knowledge and attitudes before and after the teleeducation method was given. It can be concluded from this study that there are effects of the teleeducation method on increasing knowledge and increasing adolescent attitudes about HIV/AIDS.
PENGARUH SELF HYPNOSIS TERHADAP KUALITAS TIDUR IBU HAMIL TRIMESTER III Indahwati, Lilik; Azzahra, Salsabila Syifa; Indrawan, I Wayan Agung
Jurnal Ilmiah Kesehatan Media Husada Vol 12 No 2 (2023): November
Publisher : LPPMK STIKES Widyagama Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33475/jikmh.v12i2.358

Abstract

Pendahuluan: Sebanyak 90% ibu hamil trimester III yang merasakan cemas karena mencemaskan bagaimana fisik anak yang dilahirkannya, perhatian tentang penampilan seseorang, serta adanya perasaan takut untuk melahirkan dan 70% diantaranya merasa bahwa kualitas tidurnya kurang. Dampak dari kurangnya kualitas tidur pada ibu hamil trimester III memengaruhi kondisi ibu ataupun bayi pada masa kehamilan ataupun pada persalinannya nanti. Ibu hamil dengan kualitasi tidur yang buruk dapat menyebabkan komplikasi dalam kehamilan seperti kelahiran prematur, tekanan darah ibu yang meningkat dan dapat membuat proses persalinan menjadi lebih panjang dan berisiko lebih besar untuk dioperasi caesar. Dalam menangani hal tersebut, dapat dilakukan upaya penanganan terapi non farmakologis seperti self hypnosis. Self hypnosis adalah suatu teknik untuk menghipnotis diri sendiri diikuti dengan diterimanya suatu sugesti atau pemikiran tertentu. Tujuan: Untuk mengetahui adanya pengaruh self hypnosis terhadap kualitas tidur ibu hamil trimester III. Metode: Menggunakan desain pre experimental one group pre test post test dengan pendekatan cross sectional. Hasil: Uji analisis statistik yang digunakan adalah uji wilcoxon dan diperoleh hasil p-value = 0,180 (>0,05) yang berarti tidak ada pengaruh antara self hypnosis terhadap kualitas tidur ibu hamil trimester III. Kesimpulan: Tidak ada pengaruh self hypnosis terhadap kualitas tidur ibu hamil trimester III.
Factors Affecting Cadres’ Knowledge and Ability to Identify Breastfeeding Problems in Malang District Wati, Linda Ratna; Indahwati, Lilik; Putri, Rismaina; Jannah, Miftahul; Windari, Era Nurisa; Hanifarizani, Rahma Dian
Journal of Midwifery Vol 9, No 1 (2024): Published on June 2024
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jom.9.1.26-35.2024

Abstract

Background: Breast milk is the ideal nutrient to support the growth and development of the baby. The government strives to increase exclusive breastfeeding, one of which is through the empowerment of cadres, so intensive efforts are needed to optimize the role of cadres in supporting exclusive breastfeeding. Objectives: This study aims to analyze factors related to the knowledge and ability of cadres in identifying breastfeeding problems. Methods: The research design used observational analytic with a cross-sectional approach. A total of 46 posyandu cadres in the Malang Regency area were involved in this research. Bivariate analysis using Spearman’s correlation with SPSS software version 26 and multivariate using path analysis with Smartpls software version 3. Results: The cadres' knowledge related to breast milk and breastfeeding is mostly sufficient (65.22%). The ability of cadres to identify the breastfeeding problems the most in the category is sufficient (63.04%). The pathway analysis showed that the factors that influenced knowledge were education (r=0.488) and breastfeeding experience (r=0.336), but age had a negative effect (r=-0.267). Factors that influenced the ability to identify breastfeeding problems were breastfeeding experience (r=0.542) and breastfeeding training history (r=0.469). Conclusions: Education and age are important factors in the recruitment of cadres, in addition, information and practices related to breast milk and breastfeeding obtained through experience and training are also needed to support exclusive breastfeeding.
The Relationship Between Physical Activity 7 Days Before Delivery And The Duration Of Active Phase Of First Stage Labor In Primipara Mothers Jundyah, Nazhifa Zalfa; Indahwati, Lilik; Rahayu, Indriati Dwi; Nurseta, Tatit
JKM (Jurnal Kebidanan Malahayati) Vol 11, No 4 (2025): Volume 11 No 4, April 2025
Publisher : Program Studi Kebidanan Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkm.v11i4.19867

Abstract

Latar belakang: Persalinan yang berlangsung terlalu lama dapat meningkatkan risiko komplikasi bagi ibu dan janin, namun risiko tersebut dapat diminimalkan melalui aktivitas fisik yang dapat mempengaruhi kemampuan aerobik dan kardiorespirasi tubuh, yang mengakibatkan peningkatan maksimal asupan oksigen maksimum yang selanjutnya dapat meningkatkan pasokan energi. Pasokan energi ini penting untuk mendukung kontraksi otot miometrium selama persalinan, terutama pada tahap awal. Tujuan: Penelitian ini bertujuan untuk mengetahui hubungan aktivitas fisik dengan durasi persalinan kala I fase aktif pada ibu primipara. Metode: Penelitian menggunakan jenis penelitian observasional dengan pendekatan cross-sectional pada 30 ibu primipara di fasilitas kesehatan Malang. Hasil: Pengambilan data dilakukan dengan pengisian kuesioner PPAQ (Pregnancy Physical Activity Questionnaire) dan dianalisis menggunakan uji rank spearman. Hasil uji analisis diperoleh p = 0,049 (p < 0,05) yang berarti ada hubungan aktivitas fisik 7 hari sebelum persalinan terhadap durasi persalinan kala I fase aktif pada ibu primipara di Fasilitas Kesehatan Malang. Kesimpulan: Kesimpulan yang didapat yaitu semakin tinggi kategori aktivitas fisik 7 hari sebelum persalinan, maka durasi kecepatan persalinan kala I fase aktif semakin meningkat. Kata kunci: Aktifitas fisik, durasi persalinan kala I fase aktif, primipara. ABSTRACT Background: Prolonged labor can increase the risk of complications for the mother and fetus, but these risks can be minimized through physical activity that can affect the body's aerobic and cardiorespiratory capabilities, resulting in an increase in maximum maximum oxygen intake which can further increase energy supply. This energy supply is important to support myometrial muscle contractions during labor, especially in the early stages. Objective: This study aims to determine the relationship between physical activity and the duration of labor in active phase I in primiparous mothers. Methods: The study used observational research with a cross-sectional approach on 30 primiparous mothers in Malang health facilities. Results: Data were collected by filling out the PPAQ (Pregnancy Physical Activity Questionnaire) questionnaire and analyzed using the spearman rank test. The results of the analysis test obtained p = 0.049 (p < 0.05) which means that there is a relationship between physical activity 7 days before delivery on the duration of labor in active phase I in primiparous mothers in Malang Health Facility. Conclusion: The conclusion obtained is that the higher the category of physical activity 7 days before labor, the duration of the active phase I labor speed increases. Keywords: Physical activity, duration of active phase I labor, primipara.  
Co-Authors Azzahra, Salsabila Syifa Hanifarizani, Rahma Dian I Wayan Agung Indrawan Iffah A., Krisjentha Indriati Dwi Rahayu jundyah, nazhifa zalfa Miftahul Jannah Mustika Dewi Pamudita, Risca Rara Putri, Frilya Rachma Rismaina Putri Suciyanti, Suciyanti Sumi Lestari Tatit Nurseta Wati, Linda Ratna Windari, Era Nurisa Yulismaulidya, Farahmita