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Aromaterapi Lemon untuk Mengurangi Mual dan Muntah pada Ibu Hamil: Lemon Aromatherapy to Reduce Nausea and Vomiting in Pregnancy Widayati; Windayanti, Hapsari; Hapitha
Indonesian Journal of Midwifery (IJM) Vol. 7 No. 1 (2024): Maret 2024
Publisher : Universitas Ngudi waluyo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35473/ijm.v7i1.3125

Abstract

The first trimester of pregnancy is when the embryo or fetus is 0–14 weeks old in the body. Nausea and vomiting are natural and common symptoms that occur in the first trimester of pregnancy, often between the 6th and 10th weeks of pregnancy. Nausea usually occurs in the morning, but can also occur at any time, even at night. Lemon aromatherapy contains ingredients that can kill meningococcus and typhoid bacteria, has an antifungal effect, effectively neutralizes unpleasant odors, has anti-anxiety, depressant and stress-relieving effects, and improves and focuses the mind. To find out the differences in nausea and vomiting before and after giving lemon aromatherapy to pregnant women. The research is quantitative research using the Quasi Experiment method with a one group pre-test and post-test design without a control group. The sample used a total sampling of 16 trimester pregnant women. To determine differences in this study, the Wilcoxon test was used because the data was not normally distributed. Testing the normality of the data using the Shapiro-Wilk test showed that the results were not normally distributed. The results of statistical tests using the Wilcoxon test obtained a p value = 0.000 or smaller than the α value (0.05). It was concluded that Ho was rejected, meaning there was a difference in nausea and vomiting between before and after being given lemon aromatepai to pregnant women. Lemon aromatherapy can be used as a treatment that can be used to help reduce nausea and vomiting in pregnant women..   Abstrak Kehamilan trimester pertama adalah kondisi embrio atau janin berada pada usia 0–14 minggu di dalam tubuh. Mual dan muntah merupakan gejala alami dan umum yang terjadi pada trimester pertama kehamilan seringnya pada usia kehamilan antara minggu ke-6 dan ke-10. Mual biasanya terjadi pada pagi hari, namun dapat juga terjadi kapan saja bahkan pada malam hari. Aromaterapi lemon mengandung bahan yang dapat membunuh bakteri meningokokus dan tifus, memiliki efek antijamur, efektif menetralkan bau tak sedap, memiliki efek anticemas, depresan dan penghilang stres, serta meningkatkan dan memfokuskan pikiran. Untuk mengetahui perbedaan mual muntal sebelum dan sesudah pemberian aromaterapi lemon pada ibu hamil. Penelitian merupakan penelitain kuantitaf dengan metode Quasi Experiment dengan rancangan one group pre-test and post-test design tanpa kelompok kontrol. Sampel menggunakan total sampling sebanyak 16 ibu hamil trimester, Untuk mengetahui perbedaan pada penelitian ini menggunakan Uji wilcoxon dikarenakan data berdistribusi tidak normal. Uji normalitas data dengan uji Shapiro-Wilk didapatkan bahwa hasilnya tidak berdistribusi normal. Hasil uji statistik yang menggunakan uji wilcoxon didapatkan nilai p = 0,000 atau lebih kecil dari nilai α (0,05). Disimpulkan bahwa Ho ditolak artinya terdapat perbedaan mual muntah antara sebelum dengan sesudah diberikan aromatepai lemon pada ibu hamil. Aromaterapi lemon  dapat digunakan sebagai salah satu asuhan yang dapat digunakan untuk membantu menurunkan mua muntah pada ibu hamil.
The Influence of the Quantum Learning Teaching Model on Learning Outcomes Moderated by Learning Motivation (Experimental Study at SMAN 1 Lohbener) Via Nurafifah; Mahfud Muziburrohman; Poy Saefullah Zavender; Widayati
International Journal of Health, Economics, and Social Sciences (IJHESS) Vol. 7 No. 1: January 2025
Publisher : Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/ijhess.v7i1.6720

Abstract

The Quantum Learning Learning Model is a learning model that emphasizes the involvement of all aspects, interaction between teachers and students, thus creating a pleasant learning environment. The learning outcomes in class X at SMAN I Lohbener are quite good, but there are some students who still get low learning outcomes. Motivation to learn is al quite good, it's just that every child definitely has a different learning style, this is one of the things that fosters motiva to learn. The aim of this research is to analyze whether there are differences in learning outcomes and learning motivation between classes that we the quantum learning learning model (experimental class) and those that use the discovery learning method (control class). And to analyze whether learning motivation can strengthen or weaken learning outcomes. To find out learning outcomes, they will be tested with objective tests and to find out student motivation to learn, they will be given a questionnaire, and will be supported by documentation to find out the situatic SMAN 1 Lohbener). The results of the research show that there is a sificant difference in the learning outcomes in class And for learning motivation, there is also a significant difference between the posttest lear outcomes between the experimental class and the cool class, namely with a significant value of 0.000. Meanwhile, the Sobel test got a score of 0.716, which indicates that motivation does not moderate learning outcomes.
Efektifitas Hypnoprenatal untuk Mengurangi Kecemasan pada Ibu Hamil: The Effectiveness of Hypnoprenatal to Reduce Anxiety in Pregnant Women Widayati; Wahyu Kristiningrum
Indonesian Journal of Midwifery (IJM) Vol. 7 No. 2 (2024): September 2024
Publisher : Universitas Ngudi waluyo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35473/ijm.v7i2.3490

Abstract

Pregnancy is a physical thing experienced by women. However, there are also pregnant women who experience psychological disorders during pregnancy. The preliminary study conducted found pregnant women who experienced anxiety disorders. This anxiety disorder can later interfere with the development of the fetus that will be born. This study included pseudo-experimental research with a One Group Pre-test and Post-test approach. The population of pregnant women in Pasekan Ambarawa Village amounted to 43 pregnant women, while the respondents were pregnant women who experienced anxiety who came to pregnant classes totaling 16 pregnant women. The research data were analyzed using paired simple t-test. The results obtained that the p value is 0.000, Ho is rejected, which means that there is a difference in anxiety in pregnant women before and after hypnoprenatal so that hypnoprenatal is effective for reducing anxiety in pregnant women.      Abstrak Kehamilan merupakan hal fisilogis yang dialami oleh wanita. Akan tetapi ditemukan juga ibu hamil yang mengalami gangguan psikologis pada masa kehamilan. Studi pendahuluan yang dilakukan ditemukan ibu hamil yang mengalami gangguan kecemasan. Gangguan kecemasan ini nantinya dapat mengganggu perkembangan janin yang akan dilahirkannya. Penelitian ini termasuk penelitian eksperimen semu dengan pendekatan One Group Pre-test dan Post-test. Populasinya ibu hamil yang berada di Desa Pasekan Ambarawa yang berjumlah 43 ibu hamil, sedangkan yang menjadi responden adalah  ibu hamil yang mengalami kecemasan yang datang di kelas hamil berjumlah 16 ibu hamil. Data penelitian di analisis menggunakan paired simpel t-test. Hasil yang diperoleh bahwa nilai p 0,000, Ho ditolak,   yang berarti bahwa ada perbedaan kecemasan pada ibu hamil sebelum dan sesudah dilakukan hypnoprenatal sehingga hypnoprenatal efektif untuk menurunkan kecemasan pada ibu hamil.
Pendidikan Kesehatan Gizi dan Pijat Oksitosin dalam Upaya Mengatasi Produksi ASI pada Ibu Post Partum Wahyu Indah Lestari; Widayati; Masruroh; Ryan Nabela Maha Rani; Nova Oktaviani; Nafa Nofitasari; Anissa Regita; Alya Fernanda Khairani; Vanisa; Eva Desita Sari
INDONESIAN JOURNAL OF COMMUNITY EMPOWERMENT (IJCE) Vol. 6 No. 2 (2024): Indonesian Journal of Community Empowerment November 2024
Publisher : UNIVERSITAS NGUDI WALUYO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35473/ijce.v6i2.3439

Abstract

WHO recommendations in order to achieve optimal growth and development are giving breast milk to babies immediately within 30 minutes after the baby is born, giving only breast milk (ASI) or exclusively breastfeeding from birth until the baby is 6 months old, providing complementary foods for breast milk ( MP-ASI) from when the baby is 6 months old to 24 months or more. Providing nutrition to newborns is done by providing good breast milk, namely exclusive breastfeeding, but sometimes mothers experience difficulties in giving breast milk because they think that the milk has not yet come out and they are still stiff in giving breast milk, especially for young mothers who are giving birth for the first time. Prevention can be done by providing health education about nutrition during breastfeeding and oxytocin massage therapy to increase breast milk production.  Prevention can be done by providing health education about nutrition during breastfeeding and oxytocin massage therapy to increase breast milk production. The results of this community service show that the average knowledge of postpartum mothers has increased, where the average post-test knowledge is greater than the average pre-test score. Therefore, postpartum mothers’ knowledge about nutrition and oxytocin massage has increased.   ABSTRAK Menurut WHO untuk mencapai tumbuh kembang yang optimal yaitu memberikan air susu kepada bayi segera dalam waktu 30 menit setelah bayi lahir, memberikan hanya air susu ibu (ASI) saja atau pemberian ASI secara ekslusif sejak lahir sampai bayi berusia 6 bulan, memberikan makanan pendamping ASI (MP-ASI) sejak bayi berusia 6 bulam sampai dengan 24 bulan atau lebih. Pemberian nutrisi pada bayi baru lahir dilakukan dengan cara pemberian ASI yang baik yaitu ASI Eksklusif, tetapi kadang ibu mengalami kesulitan dalam pemberian ASI karena anggapan ASI belum keluar dan masih kaku dalam pemberian ASI terlebih pada ibu muda yang pertama kali melahirkan. Pencegahan dapat dilakukan dengan diberikan pendidikan kesehatan tentang gizi selama menyusui dan terapi pijat oksitosin untuk meningkatkan produksi ASI. Hasil pengabdian masyarakat ini menunjukkan bahwa rata-rata pengetahuan ibu nifas mengalami peningkatan dimana rata-rata pengetahuan post retsnya lebih besar daripada nilai rata-rata pre test. Oleh karena itu, pengetahuan ibu nifas tentang gizi dan pijat oksitosin mengalami peningkatan.
Asuhan Kebidanan Continuity of Care (COC) pada Ny. S di PKD Bejalen Wilayah Puskesmas Ambarawa Citra Buanasari S; Widayati
Prosiding Seminar Nasional dan CFP Kebidanan Universitas Ngudi Waluyo Vol. 3 No. 2 (2024): Prosiding Seminar Nasional dan Call for Paper Kebidanan Universitas Ngudi Waluy
Publisher : Universitas Ngudi Waluyo

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Abstract

Maternal health is one of the main focuses of the 2030 Agenda, particularly Sustainable Development Goal (SDG) 3, which aims to reduce the Maternal Mortality Ratio (MMR) to 70 per 100,000 live births. However, Indonesia’s MMR remains high, with many deaths caused by pregnancy and childbirth complications. In 2021, Indonesia recorded 7,389 maternal deaths, a 56.69% increase compared to the previous year. The majority of these deaths were related to COVID-19, hemorrhage, hypertension, and other complications. Data shows that most maternal deaths occurred during the postpartum period (62.27%), followed by the pregnancy period (24.80%) and childbirth (12.93%). Efforts to reduce MMR and the Infant Mortality Rate (IMR) in Indonesia include providing comprehensive and quality midwifery care, from pregnancy checkups and skilled birth attendance to postpartum and newborn care. One of the main programs is Continuity of Care (COC), which ensures the ongoing health services for mothers and babies from preconception to postpartum, with continuous involvement from healthcare workers. In Central Java, the highest maternal mortality rate was recorded in Brebes Regency, while the lowest was in Magelang City. In Semarang Regency, the MMR in 2022 was recorded at 87.60 per 100,000 live births, with the leading causes of maternal death being hemorrhage and hypertension. The implementation of COC at PMB Kusbiyanti, with continuous checkups and home visits, meets the standards to improve the quality of midwifery services. Overall, the implementation of Continuity of Care is expected to be an effective solution in reducing MMR and IMR in Indonesia. This study uses a case study design to evaluate comprehensive midwifery care for Mrs. S, a 30-year-old mother. The care provided covers pregnancy, childbirth, newborn care, postpartum period, and family planning. Data was collected through interviews, observations, physical examinations, and documentation using the Varney approach and SOAP method. The results of the study show that the midwifery care provided to Mrs. S was consistent with the theory, with no gaps found. Antenatal Care (ANC) visits were conducted 8 times, in line with the standards. The childbirth proceeded normally, with a healthy baby and management according to the 60-step APN. The postpartum period and newborn visits were smooth without complications. The patient plans to use the minipill for contraception after discussing it with her partner. Continuity of Care for Mrs. S has been optimally implemented. The provision of comprehensive midwifery care according to theory contributed to the prevention of complications and supported the health of both the mother and the baby.   Abstrak Kesehatan ibu adalah salah satu fokus utama dalam Agenda 2030, khususnya Tujuan 3 SDGs yang menargetkan penurunan Angka Kematian Ibu (AKI) menjadi 70 per 100.000 kelahiran hidup. Namun, AKI di Indonesia masih tinggi, dengan banyak kematian yang disebabkan oleh komplikasi kehamilan dan persalinan. Pada 2021, AKI Indonesia tercatat 7.389 kematian, meningkat 56,69% dibandingkan tahun sebelumnya. Sebagian besar kematian ibu pada tahun 2021 terkait COVID-19, perdarahan, hipertensi, dan komplikasi lainnya. Data menunjukkan bahwa kematian ibu paling banyak terjadi pada masa nifas (62,27%), diikuti oleh masa kehamilan (24,80%) dan persalinan (12,93%). Upaya untuk menurunkan AKI dan Angka Kematian Bayi (AKB) di Indonesia mencakup pemberian asuhan kebidanan komprehensif dan berkualitas, mulai dari pemeriksaan kehamilan, persalinan oleh tenaga terlatih, hingga perawatan pasca persalinan dan bayi baru lahir. Salah satu program utama adalah Continuity of Care (COC), yang memastikan pelayanan kesehatan ibu dan bayi berjalan berkesinambungan dari prakonsepsi hingga pasca persalinan, dengan keterlibatan tenaga kesehatan yang terus menerus. Di Jawa Tengah, angka kematian ibu tertinggi tercatat di Kabupaten Brebes, sedangkan angka terendah di Kota Magelang. Di Kabupaten Semarang, pada tahun 2022, AKI tercatat 87,60 per 100.000 kelahiran hidup, dengan penyebab kematian ibu yang dominan adalah perdarahan dan hipertensi. Pelaksanaan COC di PMB Kusbiyanti, dengan pemeriksaan dan kunjungan rumah secara berkelanjutan, sudah memenuhi standar untuk meningkatkan kualitas pelayanan kebidanan. Secara keseluruhan, implementasi Continuity of Care diharapkan dapat menjadi solusi efektif dalam menurunkan AKI dan AKB di Indonesia. Penelitian ini menggunakan desain studi kasus untuk mengevaluasi asuhan kebidanan secara komprehensif pada Ny. S, seorang ibu berusia 30 tahun. Pelaksanaan asuhan meliputi kehamilan, persalinan, bayi baru lahir, masa nifas, dan keluarga berencana. Data dikumpulkan melalui wawancara, observasi, pemeriksaan fisik, dan dokumentasi menggunakan pendekatan secara varney dan SOAP. Hasil studi menunjukkan bahwa asuhan kebidanan pada Ny. S sesuai dengan teori tanpa ditemukan kesenjangan. Kunjungan ANC dilakukan sebanyak 8 kali sesuai standar. Persalinan berjalan normal, dengan bayi lahir sehat dan penatalaksanaan sesuai 60 langkah APN. Masa nifas dan kunjungan bayi baru lahir berjalan lancar tanpa komplikasi. Pasien merencanakan penggunaan kontrasepsi minipil setelah berdiskusi dengan pasangan.Continuity of Care pada Ny. S telah diterapkan secara optimal. Implementasi asuhan kebidanan komprehensif sesuai teori berkontribusi pada pencegahan komplikasi dan mendukung kesehatan ibu serta bayi. 
Asuhan Kebidanan Continuity of Care (CoC) pada Ny. “IU” Umur 30 Tahun di Branjang, Ungaran Barat, Kab. Semarang Warni; Widayati
Prosiding Seminar Nasional dan CFP Kebidanan Universitas Ngudi Waluyo Vol. 3 No. 2 (2024): Prosiding Seminar Nasional dan Call for Paper Kebidanan Universitas Ngudi Waluy
Publisher : Universitas Ngudi Waluyo

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Abstract

The maternal mortality rate (MMR) in Indonesia is still relatively high when compared to other ASEAN countries. So that Health Education Institutions, both Public Higher Education and Private Higher Education, through the OSOC (One Student One Client) programme which can later be increased to OTOC (One Team One Commonity). The OSOC (One Student One Client) programme is an ongoing mentoring programme from pregnancy to 42 days postpartum. This research method is descriptive research which is a case study. The results showed that pregnancy midwifery care in Mrs IU had no abnormal complaints. Midwifery care of labour in Ny.IU went well, because Ny.IU experienced a postterm pregnancy, the care provided was to make a referral to the hospital. By.Ny.IU midwifery care found no complications and there was no gap between theory and practice. Postpartum midwifery care, during the visit no complications were found, the client applied complementary oxytocin massage therapy to facilitate breastfeeding and there were no gaps between theory and practice. Family planning midwifery care, the client has used MOW birth control. It is expected that health workers continue to play an active role in providing quality midwifery services to patients, especially in maternal midwifery care from pregnancy to the postpartum period by adhering to midwifery service standards, always developing their knowledge and being more applicable and in accordance with patient circumstances so as to reduce the increase in MMR and IMR in Indonesia.   Abstrak Angka kematian ibu (AKI) di Indonesia masih tergolong tinggi apabila dibandingkan dengan negara – negara ASEAN lainnya. Sehingga Institusi Pendidikan Kesehatan baik Pendidikan Tinggi Negri mapun Pendidikan Tinggi Swasta, melalui program OSOC (One Student One Client) yang nantinya dapat ditingkatkan menjadi OTOC (One Tim One Commonity). Program OSOC (One Student One Client) merupakan program pendampingan secara berkelanjutan sejak hamil hingga 42 hari masa nifas. Metode penelitian ini berjenis penelitian deskriptif yang merupakan studi kasus. Lokasi pengambilan studi kasus di lakukan di PMB Warni yang berada di wilayah Branjang, Kec. Ungaran Barat, Kab. Semarang. Pengambilan studi Kasus di mulai sejak bulan Juli sampai September 2024. Hasil penelitian menunjukkan bahwa asuhan kebidanan kehamilan pada Ny.IU tidak terdapat keluhan yang bersifat abnormal. Asuhan kebidanan persalinan pada Ny.IU berjalan dengan baik, dikarenakan Ny.IU mengalami kehamilan postterm, maka asuhan yang diberikan yaitu dengan melakukan rujukan ke RS. Pada asuhan kebidanan By.Ny.IU tidak ditemukan komplikasi dan tidak terdapat kesenjangan antara teori dan praktek. Asuhan kebidanan nifas, selama kunjungan tidak ditemukan komplikasi-komplikasi, klien menerapkan terapi komplementer pijat oksitosin untuk memperlancar ASI  dan tidak ada kesenjagan antara teori dan praktek. Asuhan kebidanan keluarga berencana, klien sudah menggunakan KB MOW. Diharapkan tenaga kesehatan terus berperan aktif dalam memberikan pelayanan kebidanan yang berkualitas kepada pasien terutama dalam asuhan kebidanan ibu dari mulai hamil sampai dengan masa nifas dengan tetap berpegang pada standar pelayanan kebidanan senantiasa mengembangkan ilmu yang dimiliki serta lebih aplikatif dan sesuai dengan keadaan pasien sehingga dapat mengurangi terjadinya peningkatan AKI dan AKB di Indonesia. 
Asuhan Kebidanan Continuity of Care (COC) pada Ny.E G2P1A0 Umur 30th di TPMB Ruliyah Ruliyah; Widayati
Prosiding Seminar Nasional dan CFP Kebidanan Universitas Ngudi Waluyo Vol. 3 No. 2 (2024): Prosiding Seminar Nasional dan Call for Paper Kebidanan Universitas Ngudi Waluy
Publisher : Universitas Ngudi Waluyo

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Article History Submitted, Accepted, Published,  Continuity of care (CoC) is a service that is achieved when there is an ongoing relationship between a woman and a midwife. Continuing care relates to the quality of service over time which requires a continuous relationship between patients and health professionals. Obstetric services should be provided from preconception, early pregnancy, during all trimesters, birth and delivery up to the first six weeks postpartum which can reduce numbers Maternal and infant mortality affects the health status of a nation. The aim of providing comprehensive midwifery care to Mrs E (Continuity of Care) includes pregnancy, labor, postpartum, newborns and neonates up to family planning. In this research method, the author used a data collection method, namely using interviews, observation with primary and secondary data through the KIA Book, physical examination and this research began in February - August2024, the research instrument used SOAP. Based on the results of a comprehensive case study (Continuity of Care) on Mrs E from pregnancy, labor, postpartum, newborns and neonates, it was found that Mrs. E, 30 years old, G2P1A0, 39 weeks of gestation, no problems were found, gave birth to Mrs. E was carried out at Puri Asih General Hospital. The postpartum period was normal, there was no bleeding, uterine contractions were good, lochea rubra, perineal abrasions, the mother received vitamin A. In the newborn the results of the anthropometric examination were normal. Mrs. E decided to use contraceptive injections for 3 months.   Abstrak Continuity of care (CoC) adalah pelayanan yang dicapai ketika terjalin hubungan yang terus-menerus antara seorang wanita dan bidan. Asuhan yang berkelanjutan berkaitan dengan kualitas pelayanan dari waktu kewaktu yang membutuhkan hubungan terus menerus antara pasien dengan tenaga profesional kesehatan. Layanan kebidanan harus disediakan mulai prakonsepsi, awal kehamilan, selama semua trimester, kelahiran dan melahirkan sampai enam mingggu pertama postpartum yang dapat menurunkan Angka Kematian Ibu dan bayi untuk derajat kesehatan suatu bangsa. Tujuan memberikan asuhan kebidanan Pada Ny E secara Komperehensif (Continuity Of Care) meliputi masa kehamilan, masa persalinan, nifas, bayi baru lahir dan neonatus sampai KB. Metode dalam penelitian ini penulis menggunakan metode pengumpulan data yaitu menggunakan wawancara, observasi dengan data primer dan sekunder melalui Buku KIA, pemeriksaan fisik serta penelitian ini dimulai sejak bulan Februari – Agustus 2024 instrumen penelitian menggunakan SOAP. Berdasarkan hasil studi kasus secara Komperehensif (Continuity Of Care) pada Ny E dari kehamilan, masa persalinan, nifas, bayi baru lahir dan neonatus didapatkan Ny. E usia 30 Tahun G2P1A0 usia kehamilan 39 minggu tidak ditemukan masalah, Persalinan pada Ny. E dilakukan di Rumah Sakit Umum Puri Asih. Masa nifas berlangsung normal tidak ada pendarahan, kontraksi uterus baik, lochea rubra, luka lecet perinium, ibu mendapatkan vitamin A. Pada bayi baru lahir hasil pemeriksaan antropometri normal. Ny. E memutuskan menggunakan KB Suntik 3 bulan.   
Asuhan Kebidanan Continuity of Care pada Ny “D” Usia 31 Tahun di PMB Ambarwati Ambarwati Rukmini; Widayati
Prosiding Seminar Nasional dan CFP Kebidanan Universitas Ngudi Waluyo Vol. 3 No. 2 (2024): Prosiding Seminar Nasional dan Call for Paper Kebidanan Universitas Ngudi Waluy
Publisher : Universitas Ngudi Waluyo

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Maternal and infant mortality rates are one of the indicators to measure the health status of a country. Early detection activities to overcome morbidity and The death of mothers, babies and toddlers can be done by implementing continuous care or Continuity Of Care (COC) which starts from pregnancy, childbirth, postpartum, newborns, to family planning. The purpose of this study is to provide midwifery care to Mrs. D comprehensively and continuously starting from pregnancy, childbirth, postpartum, neonates and family planning. The type of descriptive research used is a case study. The research instrument uses a descriptive approach method and is documented in the form of SOAP. In this care, the author collects data through interviews, observations, physical examinations, supporting examinations, documentation studies and bibliography studies. This study was conducted in March-September 2024. From the results of the provision of pregnancy care, problems were found, namely the mother experiencing nausea, vomiting and back pain, given warm ginger water care to reduce nausea and vomiting and the gymball method to reduce pain. During labor, the mother was given gymball method care to speed up the duration of the first stage and reduce labor pain. During postpartum care, the mother said that her breast milk production was low and was given oxytocin massage care. During newborn care, all were obtained within normal limits. While in the care of Mrs. D's family planning using contraceptive injections after the baby was born, it is expected that health workers will always provide education to improve mothers' knowledge in dealing with pregnancy to family planning.   Abstrak Angka kematian ibu dan bayi merupakan salah satu indikator untuk mengukur derajat kesehatan bagi suatu negara. Kegiatan upaya deteksi dini untuk mengatasi kesakitan maupun kematian baik ibu, bayi dan balita tersebut dapat dilakukan dengan salah satunya yaitu implementasi asuhan berkelanjutan atau Continuity Of Care (COC) yang dimulai dari masa kehamilan, persalinan, nifas, bayi baru lahir, sampai dengan KB. Tujuan penelitian ini mampu memberikan asuhan kebidanan pada Ny. D secara komprehensif dan berkesinambungan mulai dari kehamilan, bersalin, nifas, neonatus dan KB. jenis penelitian deskriptif yang digunakan adalah studi kasus (case study), Instrumen penelitian menggunakan metode pendekatan yang bersifat deskriptif dan didokumentasikan dalam bentuk SOAP. Dalam asuhan ini, penulis mengumpulkan data melalui wawancara, observasi, pemeriksaan fisik, pemeriksaan penunjang, studi dokumentasi dan studi daftar pustaka. Penelitian ini dilakukan pada bulan Maret-September 2024. Dari hasil pemberian asuhan kehamilan ditemukan masalah yaitu ibu mengalami mual muntah dan nyeri punggung, diberikan asuhan air jahe hangat untuk mengurangi mual muntah dan metode gymball untuk mengurangi nyeri. Pada saat persalinan ibu diberikan asuhan metode gymball untuk mempercepat lama kala I dan mengurangi nyeri persalinan. Pada asuhan nifas ibu mengatakan produksi ASI sedikit dan diberikan asuhan pijat oksitosin. Pada asuhan bayi baru lahir didapatkan semua dalam batas normal. Sedangkan pada asuhan KB Ny. D menggunakan KB suntik setelah bayi lahir, Diharapkan untuk tenaga kesehatan selalu melakukan edukasi untuk meningkatkan pengetahuan ibu dalam mengahadapi kehamilan sampai KB.   
Asuhan Kebidanan Continuity of Care (COC) Normal pada Ny. R G2P1A0 Umur 28 Tahun di Puskesmas Lerep Cicilia Suwarti; Widayati
Prosiding Seminar Nasional dan CFP Kebidanan Universitas Ngudi Waluyo Vol. 3 No. 2 (2024): Prosiding Seminar Nasional dan Call for Paper Kebidanan Universitas Ngudi Waluy
Publisher : Universitas Ngudi Waluyo

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Abstract

Maternal mortality rate (MMR) in Indonesia is still relatively high when compared to other ASEAN countries. So that health education institutions both State Higher Education and Private Higher Education, through the OSOC (One Student One Client) program which can later be upgraded to OTOC (One Team One Commonity). The OSOC (One Student One Client) Program is an ongoing mentoring program from pregnancy to 42 days of the puerperium. This research method is a type of descriptive research which is a case study. The results showed that obstetric care of pregnancy in Ny.There are no abnormal complaints. Birth obstetric care in Ny.It went well for Mrs. R had a atterm pregnancy,  and she decides go to hospital so the care given was by making a referral to the hospital. On obstetric care By.Mrs.R found no complications and there is no gap between theory and practice. Puerperal midwifery care, during the visit there were no complications, the client applied exclusive breastfeeding and there was no gap between theory and practice. Family planning obstetric care, clients are already using injectable birth control. It is expected that health workers continue to play an active role in providing quality obstetric services to patients, especially in maternal midwifery care from pregnancy to the puerperium by adhering to the standard of midwifery services by constantly developing their knowledge and being more applicable and in accordance with the patient's condition so as to reduce the increase in AKI and AKB in Indonesia.   Abstrak Angka kematian ibu (AKI) di Indonesia masih tergolong tinggi apabila dibandingkan dengan negara – negara ASEAN lainnya. Sehingga Institusi Pendidikan Kesehatan baik Pendidikan Tinggi Negri mapun Pendidikan Tinggi Swasta, melalui program OSOC (One Student One Client) yang nantinya dapat ditingkatkan menjadi OTOC (One Tim One Commonity). Program OSOC (One Student One Client) merupakan program pendampingan secara berkelanjutan sejak hamil hingga 42 hari masa nifas. Metode penelitian ini berjenis penelitian deskriptif yang merupakan studi kasus. Hasil penelitian menunjukkan bahwa asuhan kebidanan kehamilan pada Ny.R tidak terdapat keluhan yang bersifat abnormal. Asuhan kebidanan persalinan pada Ny.R berjalan dengan baik, dikarenakan Ny.R mengalami kehamilan atterm, dan memutuskan pergi ke Rumah Sakit, maka asuhan yang diberikan yaitu dengan melakukan rujukan ke RS. Pada asuhan kebidanan By.Ny.R tidak ditemukan komplikasi dan tidak terdapat kesenjangan antara teori dan praktek. Asuhan kebidanan nifas, selama kunjungan tidak ditemukan komplikasi-komplikasi, klien menerapkan ASI Eksklusif  dan tidak ada kesenjagan antara teori dan praktek. Asuhan kebidanan keluarga berencana, klien sudah menggunakan KB Suntik. Diharapkan tenaga kesehatan terus berperan aktif dalam memberikan pelayanan kebidanan yang berkualitas kepada pasien terutama dalam asuhan kebidanan ibu dari mulai hamil sampai dengan masa nifas dengan tetap berpegang pada standar pelayanan kebidanan senantiasa mengembangkan ilmu yang dimiliki serta lebih aplikatif dan sesuai dengan keadaan pasien sehingga dapat mengurangi terjadinya peningkatan AKI dan AKB di Indonesia.   
Asuhan Kebidanan Continuity of Care (COC) pada Ny”Y” Umur 30 Tahun di PMB Sri Sulastri Sulastri, Sri; Widayati
Prosiding Seminar Nasional dan CFP Kebidanan Universitas Ngudi Waluyo Vol. 3 No. 2 (2024): Prosiding Seminar Nasional dan Call for Paper Kebidanan Universitas Ngudi Waluy
Publisher : Universitas Ngudi Waluyo

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Abstract

The maternal mortality rate in Semarang Regency in 2017 increased compared to 2016. Semarang Regency government programmes in 2017 involving health workers, especially midwives, to reduce maternal and infant mortality rates included the implementation of the Maternal and Infant Mortality Meeting (M3) programme from the village to the district level, early detection of pregnant women through the Childbirth Planning and Complication Prevention (P4K) programme and integrated Antenatal Care (ANC). This is continuous with the programme carried out by Indonesian health education institutions, namely the OSOC (One Student One Client) programme, namely continuous assistance from pregnancy to 42 days of postpartum period. Based on these reviews, the authors conducted midwifery care entitled ‘Midwifery Care in Continuity of Care (CoC) on Mrs Y aged 30 years at PMB Sri Sulastri’. The method used is descriptive research method and case study research type. The location of the case study was taken at PMB Sri Sulastri which started from June-August 2024. The subject used was a pregnant woman Mrs Y whose gestational age began in the third trimester, then care was provided in childbirth, postpartum, LBW, up to family planning. The data collection techniques such as: Interview, Physical Examination, and Observation. Assessment of Mrs Y aged 30 years G2P1A0 pregnant 34 weeks and 37 weeks 2 days, normal, no complaints. In obstetric care in the delivery mother, a referral was made to the RSGS because from the examination notes at the doctor it was known that there was a twist of the central talli. Mrs Y's baby was born spontaneously vaginally on 2 July 2024 at 07.00 WIB, female gender. The baby was born immediately crying, reddish skin, and active movement. The baby weighed 3000 grams, 51 cm long, no abnormalities or birth trauma. At KN1 and KN2 from the assessment there were no complaints, all normal. In the postpartum period, monitoring was carried out 1 day post partum and 6 days post partum, during monitoring no complaints were found and all were normal. In family planning care, the mother chose to use implantable family planning. It is hoped that the midwifery care that has been provided can increase the knowledge and experience of both clients and midwives. The family can also be expected to help meet the needs of the mother, provide psychological support, carry out the roles and functions of the family to maintain the health of mothers and children.   Abstrak Angka Kematian Ibu di Kabupaten Semarang Tahun 2017 mengalami peningkatan bila dibandingkan Tahun 2016. Program pemerintahan Kabupaten Semarang Tahun 2017 dengan melibatkan tenaga kesehatan khusunya bidan untuk menekan Angka Kematian Ibu dan Angka Kematian Bayi antara lain dengan melaksanakan Program Maternal and Infant Mortality Meeting (M3) dari tingkat desa sampai tingkat kabupaten, upaya deteksi dini ibu hamil dengan Program Perencanaan Persalinan dan Pencegahan Komplikasi (P4K) dan Antenatal Care (ANC) terintegrasi. Hal ini berkesinambungan dengan program yang dilakukan oleh institusi pendidikan kesehatan indonesia yaitu dengan dilakukannya program OSOC (One Student One Client) yaitu pendampingan secara berkelanjutan dari hamil hingga 42 hari masa nifas. Berdasarkan ulasan tersebut penulis melakukan asuhan kebidanan yang berjudul “Asuhan Kebidanan Secara Continuity Of Care (CoC) Pada Ny. Y umur 30 Tahun di PMB Sri Sulastri”. Metode yang digunakan adalah metode penelitian deskriptif dan jenis penelitian studi penelaahan kasus (Case Study). Lokasi pengambilan studi kasus dilakukan di PMB Sri Sulastri yang dimulai dari Juni-Agustus 2024. Subjek yang digunakan adalah seorang ibu hamil Ny. Y yang usia kehamilannya mulai trimester III, kemudian dilakukan asuhan pada persalinan, nifas, BBL, sampai dengan KB. Adapun teknik pengumpulan data seperti : Interview, Pemeriksaan Fisik, dan Observasi. Pengkajian pada Ny. Y usia 30 tahun G2P1A0 hamil 34 minggu dan 37 minggu 2 hari, normal, tidak ada keluhan. Pada asuhan kebidanan pada ibu bersalin dilakukan rujukan ke RSGS dikarenakan dari catatan pemeriksaan di dokter diketahui bahwa terdapat lilitan talli pusat. Bayi Ny. Y lahir spontan pervaginam pada tanggal 2 Juli 2024 pukul 07.00 WIB, jenis kelamin perempuan. Bayi lahir langsung menangis, kulit kemerahan, dan gerak aktif. Berat badan bayi 3000 gram, Panjang badan 51 cm, tidak ada kelaiana ataupun trauma lahir. Pada KN1 dan KN2 dari pengkajian tidak ada keluhan, semua normal. Pada masa nifas dilakukan pemantauan 1 hari post partum dan 6 hari post partum, selama pemantauan tidak ditemukan keluhan dan semua normal. Pada asuhan KB, ibu memilih menggunkan KB implant. Diharapkan asuhan kebidanan yang telah diberikan dapat menambah pengetahuan dan pengalaman baik klien maupun bidan. Keluarga juga dapat diharapkan dapat membantu memenuhi kebutuhan ibu, memberikan dukungan psikologis, menjalankan peran dan fungsi keluarga untuk tetap mempertahankan kesehatan ibu dan anak.