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The Relationship Between Food Intake and The Incidence of Chronic Energy Deficiency (CED) In Pregnant-Women of Sugio Public Health Center Lamongan Fitria, Nuraini; Esyuanik, -; Pipitcahyani, Tatarini Ika; Nurwulansari, Fitria
Journal Midwifery Jurusan Kebidanan Politeknik Kesehatan Gorontalo Vol 10, No 2 (2024): Journal Midwifery
Publisher : Politeknik Kesehatan Kementrian Kesehatan Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52365/jm.v10i2.1161

Abstract

Nutrition of pregnant women must be considered, there will be problems for the mother and fetus if maternal nutrition is not provided properly. The purpose of this study was to determine whether there is a relationship between food intake and the incidence of CED in pregnant women.  The sampling method used purposive sampling. The sample of this study was 100 pregnant women. This study was conducted from August 2023 to May 2024. Spearman Rank (Rho) test was used to analyze univariate and bivariate data. The results found a correlation between energy, protein, fat, and carbohydrate intake with a p value of 0.000. This study found that food intake (protein, fat, carbohydrate, and energy) of pregnant women at the Sugio Lamongan Health Center is associated with cases of Chronic Energy Deficiency (CED). 
Pemberdayaan Kader dan Keluarga Berbasis Buku Kesehatan Ibu dan Anak (KIA) sebagai Upaya Pencegahan Komplikasi Kehamilan di Desa Popoh Kecamatan Wonoayu Kabupaten Sidoarjo Sholikah, Siti Mar’atus; Nurwulansari, Fitria; Aini, Elfira Nurul
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 8, No 3 (2025): Volume 8 No 3 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v8i3.17754

Abstract

ABSTRAK Kehamilan resiko tinggi dapat berpengaruh terhadap keadaan ibu dan janin serta berisiko dapat menyebabkan proses persalinan menjadi patologis. kondisi kesehatan ibu hamil berperan penting dalam pencegahan komplikasi kehamilan. Strategi pemerintah untuk mencegah risiko komplikasi kehamilan adalah dengan pendekatan keluarga berbasis Buku KIA sejak masa kehamilan. Pada tahun 2021, AKI 4/100.000 KH. Cakupan Kunjungan Kehamilan (K6) di desa Popoh belum mencapai target 100% yaitu tercapai 33,33%. Komplikasi kehamilan targetnya 15-20%, tercapai 38,89% dan penanganan komplikasi kebidanan tercapai 57,14% dari target 100%. Sedangkan deteksi resiko tinggi kehamilan oleh masyarakat tercapai 5,56% dari target 20%. Tujuan kegiatan ini adalah meningkatkan pengetahuan dan kesadaran masyarakat melalui pemberdayaan kader dan keluarga berbasis buku KIA sebagai upaya pencegahan komplikasi kehamilan di desa Popoh Kecamatan Wonoayu Sidoarjo. Penyuluhan dilaksanakan selama tiga hari diikuti kader 23 orang dan keluarga ibu hamil 18 orang dengan ceramah tanya jawab, pre test dan post test. Hasil kegiatan adalah peningkatan kualitas Kader yaitu peningkatan pengetahuan dengan nilai rata-rata post tes 92%, keterampilan dengan nilai rata-rata 83,53%, dan terbentuknya komitmen bersama dalam mendukung pemanfaatan buku KIA sebagai upaya pencegahan komplikasi kehamilan. Luarannya peningkatan pemahaman dan keterampilan kader serta keluarga, HKI, Modul dan jurnal. Saran: sosialisasi mengenai deteksi dini upaya komplikasi kehamilan pada Kader dan keluarga yang belum mengikuti penyuluhan serta menerapkannya pada lingkungan sekitar terhadap ibu hamil. Kata Kunci: Kader, Keluarga, Pencegahan Komplikasi Kehamilan, Penyuluhan.  ABSTRACT High-risk pregnancies could affect the condition of the mother and fetus and could lead to pathological labor processes. The health condition of pregnant women played an important role in preventing pregnancy complications. The government's strategy to prevent the risk of pregnancy complications was through a family-based approach using the MCH Book from the pregnancy period. In 2021, the MMR was 4/100,000 live births. The coverage of Pregnancy Visits (K6) in Popoh village had not reached the target of 100%, achieving only 33.33%. The target for pregnancy complications was 15-20%, but 38.89% was achieved, and the handling of obstetric complications reached 57.14% of the target of 100%. Meanwhile, the detection of high-risk pregnancies by the community reached 5.56% of the target of 20%. The goal of this activity was to increase community knowledge and awareness through the empowerment of cadres and families based on the MCH book as an effort to prevent pregnancy complications in Popoh village, Wonoayu District, Sidoarjo. The counseling was conducted over three days and was attended by 23 cadres and 18 families of pregnant women with lectures, Question and Answer sessions, pre-tests, and post-tests. The results of the activity included an improvement in the quality of cadres, marked by an increase in knowledge with an average post-test score of 92%, skills with an average score of 83.53%, and the formation of a joint commitment to support the use of the MCH book as an effort to prevent pregnancy complications. The outcomes were an increase in understanding and skills of the cadres and families, intellectual property rights, modules, and journals. Suggestions: socialization regarding the early detection of efforts to prevent pregnancy complications among cadres and families who had not participated in the counseling and applying it to the surrounding environment for pregnant women. Keywords: Cadres, Families, Prevention of Pregnancy Complications, Counseling.
Differences in The Effect of Breast Care and Oketani Massage on Breast Milk Production in Postpartum Mothers Adzillina Alal Mukminin, Siti; Maharrani, Titi; Isfentiani, Dina; Nurwulansari, Fitria
Jurnal Ilmiah Kesehatan Vol 18 No 01 (2025): Jurnal Ilmiah Kesehatan (Journal of Health Science) 
Publisher : Universitas Nahdlatul Ulama Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/jhs.v18i01.5938

Abstract

The low breastfeeding coverage is proven by the high rate of infant stunting in Indonesia. Apart from inadequate implementation of breast care, maternal diet, and psychology also play a role in the limited coverage of exclusive breastfeeding. This research aimed to determine the mother's ability to produce breast milk after breast care and Oketani massage. Dupak Community Health Center was the research location, and a quasi-experimental nonrandomized control group pretest-posttest design was used. Thirty-two postpartum mothers were selected using purposive sampling. Breast milk production observation sheet as a research instrument. Data analysis with Wilcoxon and Mann Withney U. Results: The Mann Withney U test revealed no difference in the effect of breast care and massage on postpartum mothers' ability to produce breast milk, with a p-value of 0.093, meaning that H0 is accepted and H1 is rejected. The Wilcoxon test revealed that postpartum mothers' ability to produce breast milk was influenced by breast care and massage, with a p-value of 0.001. Conclusion: There is no real difference between the effects of Oketani massage and breast care on breast milk supply. It is recommended that more researchers develop new intervention strategies by including characteristics that influence postnatal mothers' ability to produce breast milk
Knowledge and Attitudes of Pregnant Women towards High-Risk Pregnancies Sholikah, Siti Mar’atus; Nurwulansari, Fitria; Aini, Elfira Nurul
Poltekita : Jurnal Ilmu Kesehatan Vol. 17 No. 4 (2024): February
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jik.v17i4.3121

Abstract

High Risk Pregnancies contribute to maternal and infant mortality rates. Risk factors in pregnancy can be screened through antenatal care which one of services is health education to increase knowledge and attitudes towards high-risk pregnancies. This study aims to analyze the relationship of knowledge and attitudes of pregnant women with high risk pregnancy events. This research used cross sectional method with the sample consisted of 82 pregnant women in the working area of Wonoayu Puskesmas in Sidoarjo Regency, taken using a simple random sampling technique. The independent variables are knowledge and attitudes of pregnant women, the dependent variable is the incidence of high-risk pregnancy. Data collection used questionnaires to measure knowledge and attitudes towards high-risk pregnancies, as well as the KSPR checklist for screening high-risk pregnancies. Data analysis using Spearman’s Rho and Chi-Square test with significance level of 0.05.The results showed that less than a portion (39%) of respondents with less knowledge, more than a portion (61%) of respondents with a positive attitude, less than a portion (47.6%) of respondents with low risk pregnancies, there is a relationship of knowledge with the risk of pregnancy events high (p 0.027) and there is a relationship between the attitude of pregnant women with high risk pregnancy events (p 0,000). With the conclusion that knowledge and attitude are significantly related to the incidence of high risk pregnancy. Health workers need to develop intensive education and empower families regarding high-risk pregnancies.
Pengaruh Media Booklet Terhadap Pengetahuan dan Sikap Ibu Hamil tentang Hepatitis B Rasmawati, Atik; Wardani, Novita Eka Kusuma; Nugrahini, Evi Yunita; Nurwulansari, Fitria
Malahayati Nursing Journal Vol 7, No 7 (2025): Volume 7 Nomor 7 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v7i7.20956

Abstract

ABSTRACT Hepatitis B is an infectious disease that can cause liver infection and potentially lead to serious complications, such as liver cirrhosis and liver cancer. Pregnant women infected with hepatitis B have a high risk of transmitting the disease to their babies during pregnancy, labor and delivery and can cause death in both mother and baby. Adequate knowledge about hepatitis B can help pregnant women to take appropriate preventive measures, such as vaccinating their babies against hepatitis B and following antiviral treatment. However, there are still many pregnant women who have insufficient knowledge and attitudes about Hepatitis B. The Surabaya City Government has implemented a program to prevent and control hepatitis B virus in pregnant women, namely infectious and non-communicable disease screening activities in pregnant women, triple elimination examinations and HBIg (Hepatitis B Imuoglobolin) vaccination. This study aims to analyze the effect of booklet media on the knowledge and attitudes of pregnant women about hepatitis B. This research is a quantitative study with a pre-experimental research method with a one group pretest post test approach. Respondents of this study were pregnant women who attended pregnant women's classes with a sample of 97 people. The sampling technique in this study was purposive sampling with data analysis using the Wilcoxon Sign Rank Test. The results of the analysis of the effect of booklet media on the knowledge and attitudes of pregnant women about hepatitis B using the Wilcoxon test, showed that the p-value obtained was 0.000, so the hypothesis was accepted, meaning that there was an effect of booklet media on the knowledge and attitudes of pregnant women about hepatitis B. Based on the description above, it can be concluded that there is an influence of booklet media on the knowledge and attitudes of pregnant women about hepatitis B. Education with booklet media is useful for increasing the knowledge and attitudes of pregnant women about hepatitis B. Mothers' knowledge is good or bad depending on how often they participate in prenatal classes, prenatal care at health facilities, Posyandu activities, and other activities. Keywords: Booklet¸ Hepatitis B, Pregnant Women, Knowledge, Attitude ABSTRAK Hepatitis B merupakan salah satu penyakit menular yang dapat menyebabkan infeksi hati dan berpotensi mengakibatkan komplikasi serius, seperti sirosis hati dan kanker hati. Ibu hamil yang terinfeksi hepatitis B memiliki risiko tinggi untuk menularkan penyakit ini kepada bayinya selama kehamilan, proses persalinan dan bisa menyebabkan kematian pada ibu dan bayi. Pengetahuan yang adekuat tentang hepatitis B dapat membantu ibu hamil untuk mengambil tindakan pencegahan yang tepat, seperti melakukan vaksinasi hepatitis B pada bayinya dan mengikuti pengobatan antivirus. Namun, masih banyak ibu hamil yang memiliki pengetahuan dan sikap yang kurang tentang Hepatitis B. Pemerintah Kota Surabaya sudah melaksanakan program upaya pencegahan dan penanggulangan virus hepatitis B pada ibu hamil yaitu kegiatan skrining penyakit menular dan tidak menular pada ibu hamil, pemeriksaan triple eliminasi dan pemberian vaksinasi HBIg (Hepatitis B Imuoglobolin). Penelitian ini bertujuan untuk menganalisis pengaruh media booklet terhadap pengetahuan dan sikap ibu hamil tentang hepatitis B. Penelitian ini adalah penelitian kuantitatif dengan metode penelitian pra eksperimen dengan pendekatan one group pretest post test. Responden penelitian ini yaitu ibu hamil yang mengikuti kelas ibu hamil dengan sampel berjumlah 97 orang. Teknik pengambilan sampel dalam penelitian ini dengan cara purposive sampling dengan analisa data menggunakan uji Wilcoxon Sign Rank Test. Hasil analisis pengaruh media booklet terhadap pengetahuan dan sikap ibu hamil tentang hepatitis B menggunakan uji Wilcoxon, menunjukkan nilai p-value diperoleh 0,000 maka hipotesis diterima, artinya ada pengaruh media booklet terhadap pengetahuan dan sikap ibu hamil tentang hepatitis B. Berdasarkan uraian di atas dapat disimpulkan bahwa ada pengaruh media booklet terhadap pengetahuan dan sikap ibu hamil tentang hepatitis B. Edukasi dengan media booklet bermanfaat untuk meningkatkan pengetahuan dan sikap ibu hamil tentang hepatitis B. Baik buruknya pengetahuan ibu sesuai dengan seberapa sering mereka mengikuti kegiatan kelas ibu hamil, kontrol kehamilan di fasilitas kesehatan, kegiatan Posyandu dan kegiatan lainnya. Kata Kunci: Booklet, Hepatitis B, Ibu Hamil, Pengetahuan, Sikap