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Mastitis Pain in Postpartum Mothers Using Plumeria Rubra L Ointment Zakaria, Rabia; Astuti, Siti Choirul Dwi; Agustini, Rahma Dewi; Damiti, Sukmawati A.; Mashar, Harlyanti Muthmai’nnah
Jurnal Kesehatan Masyarakat Vol 19, No 3 (2024)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v19i3.45857

Treatment of mastitis is usually carried out pharmacologically by giving antibiotics, but the content of antibiotics can enter breast milk, so an alternative solution is needed for the problem of using herbal plants. Plumeria rubra L is processed into an ointment so that it is easy to use. The aim of this study was to determine the intensity of postoartum maternal mastitis pain in the use of 5% Plumeria rubra L ointment. The research design is true experiment pre post test control group design. Respondents were divided into 2 groups, namely intervention and control totaling 32 people. The intervention was given by 5% Plumeria rubra L ointment applied to the breasts of postpartum mothers who were given twice a day in the morning and evening for seven days with a size of 5 grams for each using. The result is the intensity of postpartum mastitis pain in the previous control group, most of the percentage was severe pain as much as 66.7% and after most of the presentations, namely moderate pain as much as 60.0%. The intensity of mastitis pain for postpartum mothers before using red frangipani ointment is mostly the percentage, namely severe pain 73.3% and the intensity of mastitis pain for postpartum mothers after using red frangipani ointment, most of the percentages are moderate pain 53.3%. The conclusion obtained is a p value of 0.004 which indicates a significant difference. To reduce mastitis pain, postpartum mothers can use red frangipani ointment for 7 days.

Determinan Pemberian ASI Eksklusif Agustini, Rahma Dewi; Wahyuni, Sri; Buheli, Kartin L.; Suherlin, Ika
Journal Midwifery Jurusan Kebidanan Politeknik Kesehatan Gorontalo Vol 7, No 1 (2021): March
Publisher : Politeknik Kesehatan Kementrian Kesehatan Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52365/jm.v7i1.321

The World Health Organization (WHO) urges all mothers to exclusively breastfeed until their babies are 6 months old. Breastfeeding alone without complementary foods until the age of 6 months has enormous benefits for the development and growth of infants and strengthens the affection between mother and child. However, the amount of exclusive breastfeeding coverage is still low. Data from the Health Service in 2018 only 46% received exclusive breastfeeding even though the national exclusive breastfeeding target was 80%. This study aims to analyze the factors that influence exclusive breastfeeding in the working area of the Puskesmas which was carried out for one month. The crosssectional study design was conducted on 101 mothers with babies between 6 and 12 months who were selected by random sampling. The results of the chi-square analysis showed that there was an influence on age (p=0.001), parity (p=0.000), education (p=0.002), and knowledge (p=0.001). Conclusion: The percentage of failure to give exclusive breastfeeding is still high, with the factors of age, parity, education, and knowledge being very influential, so prevention efforts are needed that must be emphasized to mothers before giving birth.

Sociodemographic Factors Toward Stunting: A Community Based Cross Sectional Study Agustini, Rahma Dewi; Z, Sri Nurlaily; Taidi, Jein Eka Wirahmi; Nurhidayah, Nurhidayah; Rasyid, Puspita Sukmawaty
Journal Midwifery Jurusan Kebidanan Politeknik Kesehatan Gorontalo Vol 9, No 1 (2023): March
Publisher : Politeknik Kesehatan Kementrian Kesehatan Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52365/jm.v9i1.634

Stunting is a malnutrition problem that occurs globally and has long-term impacts on both health and cognitive. There have been no studies related to sociodemographic factors towards stunting in one of the areas with the most stunting rates in Gorontalo. This study aims to provide an overview of the prevalence of stunting and associated factors. This research method is descriptive with a cross-sectional approach in 325 children aged 6-59 months, in 8 villages in Tilango District, Gorontalo Regency. Mothers who met the criteria and came to the posyandu sequentially (consecutive sampling) were given a questionnaire. The prevalence of stunting is 116 (35.7%). Mothers who give birth to children with Birth Length (OR=3.65; 95% CI: 2.261-5.88), Birth Weight (OR:7.3; 95% CI: 3.774-14.238), Exclusive Breastfeeding (OR=3.586; 95% CI: 2.217-5.799, and Complementary Foods (OR=3.586; 95% CI: 2.217-5.799) associating against stunting. The conclusion of this study is that the prevalence of stunting in the Tilango District area is still very high, but only four of the 12 sociodemographic factors studied are associated with stunting. Nutritional status screening, monitoring of weight gain during pregnancy, as well as regular ANC examinations are important for Midwives and pregnant women at every contact, especially in first-level health facilities.

Early Detection And Monitoring Of Hypertension Of Pregnant And Public Women With The Smartphone-Based Application "E-Demos" (Early Detection Of Hypertension Monitoring) In Soropia District Hikmandayani, Hikmandayani; Kartini, Kartini; Farming, Farming; Nurhidayah, Nurhidayah; Agustini, Rahma Dewi
Journal Midwifery Jurusan Kebidanan Politeknik Kesehatan Gorontalo Vol 11, No 1 (2025): Jurnal Midwifery
Publisher : Politeknik Kesehatan Kementrian Kesehatan Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52365/jm.v11i1.1380

Maternal Mortality Rate (MMR) reflects the risks faced by mothers during pregnancy and childbirth, which are influenced by the mother's nutritional status, socio-economic conditions, unfavorable conditions before pregnancy, the incidence of various complications during pregnancy and birth, the availability and use of health service facilities including perinatal services. and obstetrics. Monitoring pregnancy conditions is very important. High levels of maternal mortality caused by complications during pregnancy, childbirth and postpartum can be detected to prevent death and disability. According to the INAHS Consensus, in 2020. So there is a need for action to change through accelerating early detection of hypertension risk factors independently with digitalization.Early detection of hypertension is one of the screening tools designed for ordinary people, especially pregnant women and postpartum mothers in this digital era. Accelerating early detection with digitalization can be done by the public with the help of a simple Android-based application called e-Demos (Early Detection and Hypertension Monitoring). The aim of this research is to create a model for the development of health technology in the medical world using the Android Studio application on a smartphone, to determine the effectiveness of the "E-Demos" application instrumentation in detecting and monitoring hypertension in pregnant and postpartum women. This type of research is experimental research with an approach quasi-experimental (quasi-experiment) with non-equivalent control group design. This research uses methods and Android application development to obtain data digitally. Research and Development is a process or steps to develop a new product.

PEMBERDAYAAN KADER DAN IBU HAMIL DALAM PENCEGAHAN STUNTING MELALUI PROGRAM KOMITMEN MEMBERI ASI EKSKLUSIF Agustini, Rahma Dewi; Nurhidayah, Nurhidayah; Wahyudi, Nanda
JMM (Jurnal Masyarakat Mandiri) Vol 9, No 2 (2025): April
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jmm.v9i2.29172

Abstrak: Stunting merupakan kondisi balita yang memiliki tinggi badan kurang jika dibandingkan umur. Kecamatan Tilango memiliki angka stunting yang cukup tinggi (16.4% tahun 2022), serta ASI eksklusif yang rendah (51.7%). Pengabmas ini bertujuan untuk meningkatkan pengetahuan dan keterampilan ibu hamil dan kader kesehatan dalma melakukan perawatan payudara, teknik menyusui yang benar, serta keterampilan penyimpanan ASI dengan baik. Pengabmas dilakukan dengan metode penyuluhan, demonstrasi perawatan payudara, teknik menyusui yang benar, cara menyimpan serta meningkatkan produksi ASI, dan melakukan komitmen bersama untuk memberikan ASI secara eksklusif (KOMASIF). Mitra yang terlibat adalah kader kesehatan Desa Tabumela 5 orang dan ibu hamil 10 orang. Evaluasi dilakukan melalui pretest, posttest sebanyak 10 pertanyaan serta observasi. Hasil: terjadi peningkatkan nilai rata-rata pengetahuan kader pre-test ke post-test 37,28%, peningkatan pengetahuan ibu hamil pre-test ke post-test adalah 39,03%, peningkatan keterampilan perawatan payudara 41,06%. Kader kesehatan dan ibu hamil dapat melakukan perawatan payudara, teknik menyusui yang benar, keterampilan penyimpanan ASI dengan baik, serta telah terlaksana program KOMASIF.Abstract: Stunting is a condition in which toddlers are less than their age. Tilango District has a fairly high stunting rate (16.4% in 2022), as well as low exclusive breastfeeding (51.7%). This community service aims to ensure optimal fulfillment of children's nutrition and provide exclusive breastfeeding to prevent stunting. Community service is carried out using counseling methods, breast care demonstrations, correct breastfeeding techniques, how to store and increase breast milk production, and making a joint commitment to provide exclusive breastfeeding (KOMASIF). The partners involved are 5 health cadres Tabumela and 10 pregnant women. Evaluation through pretest, posttest and observation. Results: there was an increase in the average value of cadre knowledge from pre-test to post-test 37.28%, an increase in pregnant women's knowledge from pre-test to post-test was 39.03%, an increase in breast care skills of 41.06%. Health cadres and pregnant women can carry out breast care, correct breastfeeding techniques, breast milk storage skills properly, and the KOMASIF program has been implemented.

DETEKSI DINI DAN PENCEGAHAN MASTITIS PADA IBU MENYUSUI MELALUI PEMANFAATAN BUNGA KAMBOJA MERAH Astuti, Siti Choirul Dwi; Olii, Nancy; Agustini, Rahma Dewi
JMM (Jurnal Masyarakat Mandiri) Vol 8, No 5 (2024): Oktober
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jmm.v8i5.26399

Abstrak: Penyakit radang payudara seperti mastitis menjadi penyebab penyapihan dan pemberian ASI tidak sesuai dengan rekomendasi hingga usia 6 bulan. Salah satu desa dengan target capaian ASI eksklusif dibawah target yang ditetapkan oleh Kementerian Kesehatan sehingga diperlukan upaya pencegahan dan penanganan mastitis dengan memanfaatkan bunga kamboja merah. Pemanfaatan bunga kamboja merah diolah menjadi salep. Tujuan kegiatan ini untuk meningkatkan pengetahuan budidaya kamboja merah pada petani 5 orang, meningkatkan ketrampilan 6 orang kader dalam memanfaatkan kamboja merah, meningkatkan pengetahuan 5 orang ibu pemberdayaan kesejahteraan keluarg tentang mastitis dan meningkatkan ketrampilan 20 orang ibu menyusui dalam perawatan payudara. Metode pemberian buku budidaya kamboja merah pada petani, pelatihan cara pembuatan salep kamboja merah pada kader, penyuluhan deteksi dini mastitis pada ibu pemberdayaan kesejahteraan keluarga dan perawatan payudara pada ibu menyusui. Hasilnya peningkatan produktifitas kamboja merah dari 20% menjadi 80%, peningkatan ketrampilan pembuatan salep kamboja merah dari 0% baik menjadi 100% baik, peningkatan pengetahuan deteksi dini mastitis dari 0% baik menjadi 100% baik dan peningkatan ketrampilan perawatan payudara dari 0% baik menjadi 100% baik. Selama 3 bulan dilakukan monitoring kegiatan sekali seminggu. Luaran kegiatan selama monitoring tidak terjadi mastitis pada ibu menyusui.Abstract: Inflammatory breast diseases such as mastitis are the causes of weaning and breastfeeding not following recommendations until the age of 6 months. One of the villages with a target of achieving exclusive breastfeeding is below the target set by the Ministry of Health, so efforts are needed to prevent and treat mastitis by using red Cambodian flowers. The use of red Cambodian flowers is processed into ointment. The purpose of this activity is to increase the knowledge of red frangipani cultivation in 5 farmers, improve the skills of 6 cadres in utilizing red frangipani, increase the knowledge of 5 mothers of outgoing welfare empowerment about mastitis and improve the skills of 20 breastfeeding mothers in breast care. Methods of giving red frangipani cultivation books to farmers, training on how to make red frangipani ointment to cadres, counselling on early detection of mastitis in mothers, empowerment of family welfare, and breast care for breastfeeding mothers. The results were an increase in red frangipani productivity from 20% to 80%, an increase in red frangipani ointment-making skills from 0% good to 100% good, an increase in mastitis early detection knowledge from 0% good to 100% good and an increase in breast care skills from 0% good to 100% good. For 3 months, activities are monitored once a week. Activity outcomes during monitoring did not occur mastitis in breastfeeding mothers.

Stunting Among Children Aged 6-59 Months in Gorontalo, Indonesia Z, Sri Nurlaily; Agustini, Rahma Dewi; Nurhidayah
Jurnal Kesehatan Masyarakat Vol. 20 No. 3 (2025)
Publisher : Universitas Negeri Semarang in collaboration with Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI Tingkat Pusat) and Jejaring Nasional Pendidikan Kesehatan (JNPK)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v20i3.13539

Stunting remains a significant public health challenge in Indonesia, particularly among children aged 6-59 months. Stunting, defined as low height-for-age, results from chronic undernutrition during the most critical periods of growth and development. This study aims to analyze the sociodemographic and socio-cultural factors associated with stunting in Gorontalo, Indonesia, to inform targeted interventions. A cross-sectional study was conducted with 325 children aged 6-59 months, selected consecutively. Data were collected using a structured questionnaire covering seven sociodemographic and two sociocultural factors, alongside the Individual Dietary Diversity Score (IDDS) questionnaire. Bivariate analysis was performed using Chi-Square tests, while multivariate analysis employed Logistic Regression to identify significant predictors of stunting. The prevalence of stunting among the sample was 35.7%. Bivariate analysis identified Birth Length, Birth Weight, Family Income, Exclusive Breastfeeding, Complementary Foods, Food Diversity, and Parenting as factors associated with stunting. Multivariate analysis revealed that Birth Length (OR=0.377; 95% CI: 0.188-0.754), Birth Weight (OR=0.231; 95% CI: 0.095-0.561), Exclusive Breastfeeding (OR=0.307; 95% CI: 0.164-0.575), and Food Diversity (OR=0.064; 95% CI: 0.033-0.123) were significant protective factors against stunting. Conversely, Family Income and Education were identified as confounding factors. The findings underscore the critical importance of the first 1000 days of life in preventing stunting. Efforts should improve maternal nutrition to ensure optimal birth weight and length, promote exclusive breastfeeding, and enhance dietary diversity among young children. Addressing these factors can significantly reduce the prevalence of stunting and improve child health outcomes in Gorontalo.

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