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The Relationship between Mother's Knowledge and Attitudes and Giving Early Complementary Breastfeeding at UPTD Boronadu Health Center South Nias Regency in 2022 Fau, Yentiria; Painem, Painem; Purba, Edy Marjuang; Sari, Febriana; Situmorang, Tetti Seriati; Nainggolan, Anna Waris; Sinaga, Rosmani
Jurnal EduHealth Vol. 13 No. 02 (2022): Jurnal eduHealth, Periode Oktober - December, 2022
Publisher : Sean Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (213.901 KB)

Abstract

Giving complementary breastfeeding too early is one of the inhibiting factors for exclusive breastfeeding. The results of a preliminary survey conducted at the UPTD Health center Boronadu South Nias Regency where interviews were conducted with mothers and it was found that 8 mothers did not know that babies should only be given breast milk until they were 6 months old and they agreed that babies less than 6 months old were given additional food other than breast milk such as bananas, tea, formula milk and other foods. This study aims to determine the relationship between knowledge and attitudes of mothers regarding early complementary breastfeeding at the UPTD Health center Boronadu South Nias Regency in 2022. This study was an analytic observational study with a cross sectional design. The population is all mothers having babies more than 6 months at the UPTD Health center Boronadu South Nias Regency, namely 118. The number of samples based on the sample formula is 48 people. There is a significant relationship between the knowledge (p=0.022) and attitudes (p=0.006) of postpartum mothers and the provision of early complementary breastfeeding in the UPTD Work Area of the Boronadu Health Center in 2022. It is also hoped that health workers at the UPTD Boronadu Health Center will be able to further increase public knowledge regarding complementary breastfeeding and increasing its role in efforts to achieve exclusive breastfeeding through counseling, which can be carried out at village meetings, posyandu and counseling during pregnancy checks.
Hubungan Pengetahuan Ibu Hamil Tentang Anemia dengan Kepatuhan Konsumsi Tablet Fe di BPM Boloni Tanaka Kec. Medan Johor Tahun 2023 Anggriani Silitonga; Khairunnisa Situmorang; Ester Simanullang; Anna Waris Nainggolan
Jurnal Praba : Jurnal Rumpun Kesehatan Umum Vol. 2 No. 2 (2024): Juni : Jurnal Praba : Jurnal Rumpun Kesehatan Umum
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/praba.v2i2.123

Abstract

Insufficient knowledge about anemia has an influence on health behavior, especially when a woman is pregnant, which will result in less than optimal health behavior for pregnant women to prevent pregnancy anemia. Pregnant women who have less knowledge about anemia can result in less consumption of foods containing iron during pregnancy due to their ignorance. Objective: To determine the relationship between pregnant women's knowledge about anemia and compliance with taking Fe tablets. Research population: the population used is the population of all patients at BPM Boloni Tanaka Kec. Medan Johor in 2023 as many as 32 pregnant women. Research Type: The type of research used is an analytical survey with a cross sectional research design. Data collection uses a questionnaire. Data were processed using univariate analysis using descriptive statistics and bivariate analysis using the Chi-square test. The results of the Chi-square test analysis show that the p value = 0.000, which means less than α = 0.05, so it can be concluded that there is a significant relationship between pregnant women's knowledge about anemia and compliance with consuming Fe tablets at BPM Boloni Tanaka District. Medan Johor in 2023.
Effectiveness of Mind–Body–Based Psychoeducation in Strengthening Midwives’ Role and Enhancing Breastfeeding Self-Efficacy Among Postpartum Mothers: A Quasi-Experimental Study Manullang, Rasmi; Tarigan, Imarina; Nainggolan, Anna Waris; Aruan, Lasria Yolivia; Sianipar, Yesica Geovany; Damanik, Lira Agnes Monica; Siahaan, Sastra Amelia
Journal of Applied Nursing and Health Vol. 7 No. 3 (2025): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v7i3.423

Abstract

Background: Breast milk is the best nutrition for babies and has long-term benefits for both mother and child health. A critical factor in successful breastfeeding is breastfeeding self-efficacy (BSE), a mother's confidence in her ability to breastfeed. Methods: This quasi-experimental study employed a pre-test and post-test design with a control group and purposive sampling. The sample comprised 60 postpartum mothers: 30 in the intervention group and 30 in the control group. The intervention involved using the PIANA application for four weeks. Statistical tests were performed using SPSS 26 for univariate and bivariate data analysis. Outcomes were measured using the Wilcoxon and Mann-Whitney U tests to assess whether psychoeducation could increase postpartum mothers' confidence in breastfeeding. Results: Bivariate analyses of the variables were conducted using statistical tests after the application, namely the Midwife's Role variable (p = 0.023), the Psychoeducation variable (p = 0.032), and the BSE variable (p = 0.012). The results of the bivariate analysis of the three variables showed that the Midwife's Role with BSE psychoeducation positively affected postpartum mothers' confidence in breastfeeding. Conclusion: Psychoeducational applications using a mind-body approach have been shown to improve breastfeeding self-efficacy in postpartum mothers. Optimizing the role of midwives through this medium can serve as an effective, flexible educational tool to support postpartum mothers in achieving breastfeeding success.
Efektivitas Aplikasi TUKKOT ASI Dalam Peningkatan Breastfeeding Self-Efficacy dan Sikap Ibu Hamil Dalam Kesiapan Pemberian ASI Eksklusif di Wilayah Kerja Puskesmas Gunung Tinggi Anna Waris Nainggolan; Imarina Tarigan; Siti Nurmawan Sinaga; Humaida Hanim; Imran Surbakti; Edy Marjuang Purba
Journal of Innovative and Creativity Vol. 6 No. 1 (2026)
Publisher : Fakultas Ilmu Pendidikan Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/joecy.v6i1.8444

Abstract

Exclusive breastfeeding is the most effective public health intervention for reducing infant morbidity, mortality, and the risk of stunting; however, global and national coverage rates remain below established targets, partly due to low breastfeeding self-efficacy and suboptimal maternal attitudes during the antenatal period. This study aimed to analyze the effectiveness of the TUKKOT ASI Application, which is based on the Batak local wisdom of “Mambosuri,” in improving breastfeeding self-efficacy and pregnant women’s attitudes toward readiness for exclusive breastfeeding. A quasi-experimental design with a pretest–posttest control group approach was employed involving 40 third-trimester pregnant women in the working area of Gunung Tinggi Public Health Center in 2025, selected through purposive sampling. The instruments used were the Breastfeeding Self-Efficacy Scale–Short Form (BSES-SF) and a validated attitude questionnaire based on the Theory of Planned Behavior. Data were analyzed using the Wilcoxon test and chi-square test at a significance level of p<0.05. The results showed a significant increase in breastfeeding self-efficacy (mean 10.1±3.7 to 16.8±2.2; p=0.001) and attitudes (mean 5.7±1.4 to 7.9±1.5; p=0.003) following the intervention. Significant associations were found between self-efficacy (p=0.028) and attitudes (p=0.001) with readiness for exclusive breastfeeding. Mothers with higher self-efficacy and positive attitudes were more likely to demonstrate better readiness. It is concluded that the TUKKOT ASI Application is an effective culturally based digital intervention model to enhance pregnant women’s readiness for exclusive breastfeeding and has the potential to be integrated into primary healthcare services.
Pendampingan teknik pijat foxy: inovasi stimulasi oksitosin dan prolaktin untuk keberhasilan menyusui pada ibu nifas Silaban, Marta Armita; Simanjorang, Novita Adriani; Nainggolan, Anna Waris; Yun, Deby Cytia; Lusianti, Juana; Pratiwi, Mutia; Sihombing, Santi Sri Nengsih
SELAPARANG: Jurnal Pengabdian Masyarakat Berkemajuan Vol 10, No 1 (2026): February
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jpmb.v10i1.38126

Abstract

Abstrak Rendahnya cakupan ASI eksklusif sering kali disebabkan oleh persepsi ibu mengenai ketidak cukupan produksi ASI, yang berisiko pada pertumbuhan bayi dan peningkatan angka stunting. Kegiatan pengabdian masyarakat ini bertujuan untuk mengimplementasikan inovasi "Foxy Massage", yaitu kombinasi pijat oksitosin dengan penggunaan Foxy Oil (minyak berbahan adas/Foeniculum vulgare) untuk meningkatkan produksi ASI secara mandiri. Metode pelaksanaan dilakukan melalui pendampingan intensif selama 14 hari kepada 30 ibu nifas beserta keluarga di wilayah kerja Puskesmas Tanjung Morawa. Tahapan kegiatan meliputi edukasi mekanisme laktasi, serta demonstrasi teknik pijat oksitosin bagi suami/keluarga sebagai pendukung utama. Hasil kegiatan menunjukkan peningkatan signifikan pada keterampilan keluarga dalam melakukan intervensi secara mandiri. Secara klinis, terdapat peningkatan volume ASI yang diikuti dengan frekuensi popok basah bayi yang ideal (6-8 kali sehari). Inovasi ini terbukti aman, ekonomis, dan efektif dalam merangsang hormon prolaktin dan oksitosin. Simpulan dari pengabdian ini adalah pemberdayaan keluarga melalui teknik Foxy Massage dapat menjadi strategi aplikatif dalam mendukung keberhasilan ASI eksklusif dan percepatan penurunan angka stunting di tingkat komunitas. Kata kunci: ASI eksklusif; foxy oil; pijat oksitosin; pemberdayaan keluarga; stunting Abstract Low rates of exclusive breastfeeding are often triggered by maternal perceptions of insufficient milk supply, which poses a risk to infant growth and increases stunting rates. This community service program aims to implement the "Foxy Massage" innovation, a combination of oxytocin massage and the use of Foxy Oil (fennel-based oil/Foeniculum vulgare) to independently increase breast milk production. The program was conducted through intensive mentoring over one month for 30 postpartum mothers and their families in the Tanjung Morawa Health Center working area. The activities included education on lactation mechanisms, training in Foxy Oil production, and demonstrations of oxytocin massage techniques for husbands and families as primary support systems. The results showed a significant improvement in the families' skills to perform the intervention independently. Clinically, there was an increase in breast milk volume, followed by an ideal frequency of infant wet diapers (6-8 times per day) and a stable upward trend in infant weight gain. This innovation proved to be safe, economical, and effective in stimulating prolactin and oxytocin hormones. In conclusion, empowering families through the Foxy Massage technique serves as an applicable strategy to support exclusive breastfeeding success and accelerate the reduction of stunting at the community level. Keywords: exclusive breastfeeding; family empowerment; foxy oil; oxytocin massage; stunting.
FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KECEMASAN IBU POSTPARTUM PADA MASA PERSALINAN DI RSU VINA ESTETIKA MEDAN TAHUN 2023 Devi Erlitna; Anna Waris Nainggolan; Imarina Tarigan
JURNAL ILMIAH KESEHATAN MASYARAKAT DAN SOSIAL Vol. 2 No. 3 (2024): Agustus : JURNAL ILMIAH KESEHATAN MASYARAKAT DAN SOSIAL
Publisher : CV. ALIM'SPUBLISHING

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59024/jikas.v2i3.734

Abstract

Excessive fear, anxiety, stress or anger can cause slow labor progress. Feelings of tiredness, fear and hopelessness are the result of pre-labor or a prolonged latent phase. Women who are not supported emotionally, or have had difficulties in previous births, can feel anxious and afraid to face labor, resulting in labor without significant progress and labor that is very painful. Age that is too young and too old, too much parity and knowledge is suspected to increase anxiety in mothers. The aim of this research is to determine the factors related to postpartum maternal anxiety during childbirth at RSU Vina Estetica Medan in 2023. This type of research is analytical observational with cross-sectional. The population in this study was all postpartum mothers who gave birth at RSU Vina Estetica Medan for the January-April 2023 period, namely 116 people. The sample taken based on the Slovin formula was 54 people. Data analysis was carried out using statistical tests using chi-square, to see the relationship between the independent variable and the dependent variable. The results of the research show that there is a relationship between age and knowledge of postpartum mothers and anxiety during labor at RSU Vina Estetica Medan in 2023. There is no relationship between parity and anxiety of postpartum mothers during labor. It is recommended that health workers at RSU Vina Estetica Medan provide regular counseling to mothers about childbirth starting at the beginning of the pregnancy check-up, in order to reduce postpartum maternal anxiety..
HUBUNGAN KOMPRES HANGAT DENGAN INTENSITAS NYERI PADA IBU NIFAS DENGAN BENDUNGAN ASI DI KLINIK PRATAMA SAM KAMPUNG BARU MEDAN MAIMUN Desi Yolanda Ginting; Anna Waris Nainggolan; Nova Marianti Purba; Edy marjuang Purba
JURNAL ILMIAH KESEHATAN MASYARAKAT DAN SOSIAL Vol. 2 No. 3 (2024): Agustus : JURNAL ILMIAH KESEHATAN MASYARAKAT DAN SOSIAL
Publisher : CV. ALIM'SPUBLISHING

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59024/jikas.v2i3.859

Abstract

Breast milk production can be influenced by two factors, namely production and expenditure. Use a warm compress, namely warm water which is then compressed onto the breasts using a towel. Not infrequently non-medical therapy as above is often applied to postpartum mothers whose breast milk has not yet come in, of course first by conducting training with the puskesmas coordinator midwife, to improve maximum service. The research was carried out by determining the initial level of pain intensity (pretest) before giving a warm compress and then continuing with measuring the pain intensity (posttest) after giving a warm compress. The results of the Independent sample t test showed P Value = 0.001, meaning p < 0.05, stating that there is a relationship between warm compresses and pain intensity in mothers with breast milk dams at the Pratama SAM Kampung Baru Clinic, Medan Maimun in 2023. Other research on the effectiveness of compresses Varney said that warm compresses are considered the right action to relieve pain, and for some women who experience problems with breast milk, it is known that using warm compresses alternately can provide a feeling of comfort. Apart from that, the intense pain when there is a blockage in the breast means that mothers tend to choose the easiest method, one of which is a warm compress.
Pelatihan Kader Terpadu Untuk Meningkatkan Keterampilan Dan Pengetahuan Tentang Asi Eksklusif Di Desa Sembahe Baru Kabupaten Deli Serdang Edy Marjuang Purba; Laurena Ginting; Saut Purba; Dermawan; Anna Waris Nainggolan
Jurnal Pengabdian Masyarakat Sapangambei Manoktok Hitei Vol. 4 No. 2 (2024): Jurnal Pengabdian Masyarakat SAPANGAMBEI MANOKTOK HITEI
Publisher : Universitas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36985/80gzw866

Abstract

Cakupan ASI eksklusif sebagai salah satu indicator Kesehatan bayi di Desa Sembahe Baru masih cukup rendah (< 70%). Tidak tercapainya cakupan pemberian ASI ekslusif dipengaruhi beberapa faktor dan salah satu yang utama adalah kurangnya dukungan yang diberikan oleh kader desa. Berdasarkan hasil wawancara yang dilakukan diketahui kader yang tidak mau dan mampu memberikan dukungan disebabkan karena mereka belum pernah mendapatkan pelatihan tentang ASI eksklusif. Tujan kegiatan pengabdian ini adalah untuk meningkatkan keterampilan dan pengetahuan kader dalam melakukan edukasi tentang ASI eksklusif kepada ibu baru melahirkan dan ibu sedang  menyusui < 6 bulan melalui pelatihan kader Terpadu. Pelatihan dilakukan sebanyak tiga kali  pada bulan Juli yang bertempat di Balai Desa Sembahe Baru dan diikuti oleh sebanyak 15 orang kader. Hasil kegiatan pengadian diperoleh bahwa sebagian besar kader berusia 31 - 40 tahun yaitu sebanyak 8 orang (53,3%), sebagian besar kader memiliki tingkat pendidikan SMA  yaitu sebanyak 12  orang (80,0%), sebagian besar kader mengabdi lebih >2 tahun sebagai kader  yaitu sebanyak 10  orang (66,7%). Skor keterampilan kader sebelum pelatihan (4,33) meningkat setelah pelatihan (6,20). Dengan uji wilcoxon  diketahui bahwa ada pengaruh pelatihan yang telah dilakukan terhadap peningkatan keterampilan kader dengan nilai p-value = 0,008. Skor pengetahuan  kader sebelum pelatihan (5,93) meningkat setelah pelatihan (8,13). Dengan uji wilcoxon  diketahui bahwa ada pengaruh pelatihan yang telah dilakukan terhadap peningkatan pengatahuan kader tentang ASI eksklusif  dengan nilai p-value=0,004. Disarankan kepada pemerintah Desa Sembahe Baru untuk tetap memonitoring kegiatan kader dalam melakukan edukasi ASI ekslusif kepada ibu baru melahirkan dan ibu sedang menyusui <6 bulan sehingga mereka memiliki komitmen yang tinggi dalam memberikan ASI eksklusif
Faktor-faktor yang Memengaruhi Kejadian Bayi Berat Lahir Rendah di RS Sapta Medika Kecamatan Air Putih Kabupaten Batu Bara Provinsi Sumatera Utara Tahun 2024 Sulistiawati Sulistiawati; Damayanty S; Anna Waris Nainggolan; Nuraisyah Nuraisyah; Ade Rachmat Yudiyanto
The Journal General Health and Pharmaceutical Sciences Research Vol. 2 No. 2 (2024): June : The Journal General Health and Pharmaceutical Sciences Research
Publisher : LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/tjghpsr.v2i2.380

Abstract

Background​ Background LBW is still a concern for public health throughout the world and is associated with a number of short-term and long-term problems. More than 20 million births each year are estimated to be LBW, accounting for 15% to 20% of all births globally. In poor countries, the LBW birth rate is 16.5%, while in industrial countries it is 7%. Babies with low birth weight (LBW) may experience a number of problems and complications at birth. Metabolic problems, especially hypothermia, may appear in the short term. Method The research used is quantitative, information about what you want to know is examined using numerical data through a retrospective survey. Conducting a retrospective survey is one method of collecting historical data. This research uses a cross-sectional strategy. The sample for this in-depth research was all 60 mothers who gave birth at Sapta Medika Hospital. Analysis data using univariate and bivariate analysis. From the results of statistical tests it was found that p.value = 0.004 and α = 0.05, where the value of P.value (0.004) < α (0.05), so it can be concluded that there is a relationship between maternal age and the incidence of low birth weight (LBW) babies. ). Where the P value (0.019) < α (0.005), so it can be concluded that there is a relationship between maternal parity and the incidence of low birth weight (LBW) babies. Where the P.value (0.001) < α (0.05), so it can be concluded that there is a relationship between maternal nutritional status and the incidence of low birth weight (LBW) babies.     
Pengaruh Kelas Ibu Hamil Terhadap Kecemasan Pada Ibu Primigravida Di Desa Parmonangan Kabupaten Samosir Rinse Waty Haloho; Nopalina Suyanti Damanik; Parningotan Simanjuntak; Anna Waris Nainggolan
NAJ Nursing Applied Journal Vol. 2 No. 1 (2024): January : Nursing Applied Journal
Publisher : LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/naj.v2i1.213

Abstract

Factors that influence anxiety in pregnant women include lack of family support, financial adequacy, stress from the environment, high frequency of nausea and vomiting (physical health factors of pregnant women), attitudes towards pregnancy and ability to control pregnancy, good adjustment process to pregnancy. physically and psychosocially, as well as information about frightening birth experiences from the environment. (Andriana, 2016) This research aims to determine the influence of the class of pregnant women on anxiety among primigravida mothers in Parmonangan Village, Samosir Regency in 2023. This research uses a quantitative research design using correlational research and a cross-sectional approach, the population and sample size are primigravida mothers with a gestational age of 8-37 weeks in Parmonangan Village, Samosir Regency, namely 40 people using the total sampling method in April-June 2023. Analysis uses the Chi Square test for significance and if the p-value is > 0.05. Based on the results of the Chi Square statistical test research, the p value = 0.001, so p > 0.05, means H0 is rejected and Ha is accepted. This means that there is a relationship between the class of pregnant women and primigravida anxiety at the Tanjung Pura District Hospital, Langkat Regency based on Spearman's rho calculations with ᾳ = 0.05, a p value of 0.010 is obtained because the p value < ᾳ means that the test results are statistically significant, or reject Ho. described that pregnant women who attended classes for pregnant women had mild levels of anxiety. It is hoped that this will provide information about the implementation of pregnancy classes for primigravida mothers in reducing anxiety about their pregnancy
Co-Authors Ade Rachmat Yudiyanto Amalia Fajrika Anggriani Silitonga Aritonang, Ribur Aruan, Lasria Yolivia Astaria Br Ginting Astaria Br. Ginting Batubara, Zulkarnain Br. Hutahaean, Hanna Novelia R Br.Manjorang, Novita Andriani Caca Pratiwi Damanik, Lira Agnes Monica Damanik, Nopalina Suyanti Damayanty S Deby Cyntia Yun Dermawan Dermawan Desi Yolanda Ginting Devi Erlitna Edi Subroto Edy Marjuang Purba Efitasari, Yuni Eka Purnama Sari Eka Purnamasari Elida Berta Tarigan Erin Padilla Siregar Ernamari, Ernamari Eva Dona Sinaga Fau, Yentiria Febriana Sari, Febriana Flora Sinaga Friza N. S Situmorang ginting, laurena Habeahan, Nia Haslim, Syahrin Sakinah Hulzanah, Mifta Humaida Hanim Imarina Tarigan Imarina Tarigan Imran Surbakti Iqra Manisah Jasica Pratini Jitasari Tarigan Sibero Juliana Munthe Kanaya Yori Damanik Karl Fritzs Pasaribu Khairiyah Khairiyah Khairunnisa Situmorang Kurnia, Oni Laurena Ginting Lidya Natalia Br Sinuhaji Lisa Putri Damanik Lusianti, Juana Lusiatun Lusiatun Lusiatun, Lusiatun Magdalena Barus magdalena Barus Manisah, Iqrah Manullang, Rasmi Mariatun Mariatun Melpa Agripa S Nadeak, Yasrida Nopalina Suyanti Damanik Nopalina Suyanti Damanik Nopalina Suyanti Damanik Nova Marianti Purba Nuraisyah Nuraisyah Oni Kurnia Painem, Painem Pardosi, Krisdayanti PARNINGOTAN SIMANJUNTAK Parningotan Simanjuntak Parningotan Simanjuntak Pratini, Jasica Pratiwi, Mutia Purba, Edy Marjuang Rasmi Manullang Ridesman Ridesman Rinse Waty Haloho Riska Susanti Pasaribu Ritonga, Yesika Riyanni, Vivi S, Damayanti Sarma Lumbanraja SAUT PURBA Saut Purba Sembiring, Ice Kerisdayanti Siadari, Yemima Siahaan, Sastra Amelia Sihombing, Santi Sri Nengsih Silaban, Marta Armita Silalahi, Feronika Simamora, Lasria Simanjorang, Novita Adriani Simanjuntak, Lisdayanti Simanullang, Ester SINAGA, ROSMANI Sinaga, Siti Nurmawan Siska Gustika Siti Nurmawan Sinaga Situmorang, Friza N. S Situmorang, Friza Novita Sari situmorang, tetti seriati Situngkir, Monica Sonia Novita Sari Sri Indrayani Sri Rezeki Srilina Br Pinem Sulistiawati Sulistiawati Tarigan, Imarina tetti seriati situmorang Tuljannah, Zahara Turipah Turipah Vivi Riyanni Yasrida Nadeak Yatty Destani Sandy Yemima Siadari Yesica Geovany Sianipar Yun, Deby Cytia Zulkarnain Batubara