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KEJADIAN ANEMIA KEHAMILAN DENGAN LAMA KALA II PERSALINAN DAN PROSES INVOLUSI UTERI Zulfa Rufaida; Sri Wardini Puji Lestari; Ika Yuni Susanti
MIDWINERSLION : Jurnal Kesehatan STIKes Buleleng Vol. 6 No. 1 (2021): Midwinerslion Jurnal Kesehatan STIKes Buleleng
Publisher : STIKes Buleleng

Pendahuluan: Angka kejadian anemia pada kehamilan di seluruh dunia masih cukup tinggi, berkisar 10-20%. Anemia pada kehamilan merupakan kondisi ibu dengan kadar hemoglobin di bawah 11 gr% pada trimester I dan III atau kadar <10,5 gr% pada trimester II. Tujuan dari penelitian ini adalah untuk mengetahui hubungan anemia kehamilan dengan kala II persalinan dan proses involusi uteri di UPT Puskesmas Bangsal Kabupaten Mojokerto. Metode: Jenis penelitian yang digunakan dalam penelitian ini adalah korelasional dengan menggunakan desain cross sectional. Variabel bebasnya adalah anemia pada ibu hamil dan variabel terikatnya adalah persalinan kala II dan proses involusi uteri. Teknik pengambilan sampel yang digunakan adalah simple random sampling dengan populasi 32 responden dan sampel 30 responden. Pengumpulan data dilakukan selama Maret-April 2019 menggunakan instrumen wawancara, checklist, dan observasi Hb. Teknik analisis dilakukan dengan uji kuadrat. Hasil: Hasil penelitian ibu hamil tidak mengalami anemia 19 orang (63,3), ibu hamil stadium II normal sebanyak 23 orang (76,7%) dan ibu nifas mengalami infus uterus normal sebanyak 17 orang (56,7%). Hasil uji statistik eksak Fisher menunjukkan ρ = 0,04 dan α = 0,05 maka dinyatakan ρ <α, sehingga H1 diterima artinya ada hubungan antara anemia kehamilan dengan kala II persalinan, uji statistik eksak Fisher menunjukkan ρ = 0,02 dan α = 0,05 maka dinyatakan ρ <α, sehingga H1 diterima yang berarti ada hubungan antara anemia kehamilan dengan infus uterus postpartum. Hasil uji korelasi dengan uji Korelasi Pearson menunjukkan ada hubungan antara anemia kehamilan dengan masa persalinan sekunder dan involusi uterus dengan nilai ρ = 0,001. Sebagaimana diketahui anemia selama kehamilan mempengaruhi kehamilan, persalinan, dan masa nifas dapat melakukan upaya peningkatan pelayanan selama ANC untuk mencegah anemia.

The INCREASING KNOWLEDGE ABOUT EXCLUSIVE BREAST MILK AND BREASTFEEDING Zulfa Rufaida; Sri Wardini Puji Lestari
MIDWINERSLION : Jurnal Kesehatan STIKes Buleleng Vol. 6 No. 2 (2021): Midwinerslion Jurnal Kesehatan STIKes Buleleng
Publisher : STIKes Buleleng

The Efforts to increase the use of breast milk (ASI) have been agreed globally. WHO and UNICEF with the Innocenti Declaration (September 1990) and the Summit for children (September 1991) determined that in order to achieve optimal maternal and child health status, all women should be able to only breastfeed until the baby is 4-6 months old (exclusively breastfeeding), give complementary foods to breast milk (MP-ASI) on time and continue to breastfeed until the child is 2 years old. The purpose of this community service is to increase mother's knowledge about exclusive breastfeeding and improve correct breastfeeding skills. The methods used are lecture, discussion, role play and mentoring methods. The targets are third trimester pregnant women and breastfeeding mothers with babies aged 6 months in Pagerngumbuk Village, Kec. Wonoayu Kab. Sidoarjo, the implementation of activities in March - August 2018, The analytical method used is frequency distribution. The results obtained, as many as 20 counseling participants with the results of the means pre test value of 44.5 and post test of 74.75, the result is a significant increase in knowledge of 0.000 with a value of t = - 27.840, and 95% CI between - 31.02 - -26.71 meaning that the effect is strong because it does not pass the number 1; giving treatment can increase 2-3 times knowledge compared to not given. Meanwhile, for breastfeeding assistance, the number of participants was 20 respondents. The counseling participants were enthusiastic about the material presented, active participants in discussion activities with evidence of question feedback, and during role play activities participants actively followed the movements taught by the presenter. There was an increase in knowledge of pregnant women in the third trimester and breastfeeding mothers with babies aged 6 months about exclusive breastfeeding and breastfeeding techniques. Health workers always provide information about exclusive breastfeeding and breastfeeding techniques to pregnant women in the third trimester and breastfeeding mothers with babies aged 6 months with continuity. Efforts to increase the use of breast milk (ASI) have been agreed globally. WHO and UNICEF with the Innocenti Declaration (September 1990) and the Summit for children (September 1991) determined that in order to achieve optimal maternal and child health status, all women should be able to only breastfeed until the baby is 4-6 months old (exclusively breastfeeding), give complementary foods to breast milk (MP-ASI) on time and continue to breastfeed until the child is 2 years old. The purpose of this community service is to increase mother's knowledge about exclusive breastfeeding and improve correct breastfeeding skills. The methods used are lecture, discussion, role play and mentoring methods. The targets are third trimester pregnant women and breastfeeding mothers with babies aged 6 months in Pagerngumbuk Village, Kec. Wonoayu Kab. Sidoarjo, the implementation of activities in March - August 2018, The analytical method used is frequency distribution. The results obtained, as many as 20 counseling participants with the results of the means pre test value of 44.5 and post test of 74.75, the result is a significant increase in knowledge of 0.000 with a value of t = - 27.840, and 95% CI between - 31.02 - -26.71 meaning that the effect is strong because it does not pass the number 1; giving treatment can increase 2-3 times knowledge compared to not given. Meanwhile, for breastfeeding assistance, the number of participants was 20 respondents. The counseling participants were enthusiastic about the material presented, active participants in discussion activities with evidence of question feedback, and during role play activities participants actively followed the movements taught by the presenter. There was an increase in knowledge of pregnant women in the third trimester and breastfeeding mothers with babies aged 6 months about exclusive breastfeeding and breastfeeding techniques. Health workers always provide information about exclusive breastfeeding and breastfeeding techniques to pregnant women in the third trimester and breastfeeding mothers with babies aged 6 months with continuity.

POLA TIDUR DENGAN TEKANAN DARAH PADA IBU HAMIL TRIMESTER III DI BPM NY. E DESA BENDUNGANJATI KECAMATAN PACET KABUPATEN MOJOKERTO Zulfa Rufaida; Sri Wardini Puji Lestari; Ika Yuni Susanti
Hospital Majapahit (JURNAL ILMIAH KESEHATAN POLITEKNIK KESEHATAN MAJAPAHIT MOJOKERTO) Vol 10 No 1 (2018): Hospital Majapahit
Publisher : LPPM Sekolah Tinggi Ilmu Kesehatan Majapahit Mojokerto

Pregnant women with sleep disorders may have an impact on the fetus. The babies born to depressed mothers from sleep disturbances during pregnancy have less time to sleep. This condition can cause depression and stress that affect the fetus it contains so that mild stress and has increased heart rate. In case of severe stress for a long time will result in the fetus becomes hyperactive. This study aims to determine sleep patterns with blood pressure in pregnant women trimester 3. This research used cross sectional study design. The variables studied were sleep pattern as independent variable and blood pressure as dependent variable. The population is the third trimester pregnant woman in BPM Ny. E Desa Bendunganjati Pacet Mojokerto as many as 30 people. Sampling conducted non Probability Sampling by using sampling saturated / total sampling counted 30 people. Data retrieval by retrieving primary data. The data have been analyzed using Chi-square test with α: 0.05.The results of this study showed that 30 respondents most of the trimester pregnant women had an abnormal sleep pattern of 17 respondents (56.7%), and almost half with normal sleep pattern of 13 respondents (43.3%). Almost all respondents had normal blood pressure as many as 23 respondents (76.7%), and a small percentage of respondents had hypertension as many as 7 respondents (23.3%). Based on chi square test found result 2 cell Frequency of expectation that is <5 then another test that is test kolmogorov smirnov result 0.001 which means <0,05 so there is relation between sleep pattern with blood pressure in pregnant mother trimester 3. Normal sleep patterns are averaged for 8 hours per day, causing normal maternal blood pressure on average about 120/80 mmHg and most expectant maternal sleeping patterns are an average of sleep for 6 hours resulting in a small part of the mother pregnant hypertension with an average blood pressure of 150/100 mmHg. For that pregnant women should really maintain sleep patterns. In the hope of health workers, especially midwives provide counseling and counseling about the importance of good sleep patterns and healthy lifestyle that will provide a good impact on mother and fetus.

KETERATURAN PENIMBANGAN DENGAN PERTUMBUHAN ANAK BALITA Ika Yuni Susanti; Sri Wardini Puji Lestari; Zulfa Rufaida
Hospital Majapahit (JURNAL ILMIAH KESEHATAN POLITEKNIK KESEHATAN MAJAPAHIT MOJOKERTO) Vol 10 No 2 (2018): Hospital Majapahit
Publisher : LPPM Sekolah Tinggi Ilmu Kesehatan Majapahit Mojokerto

Weighing the activities carried out in posyandu each once a month which aims to monitor the growth of infants and early detection of growth disorders. To achieve a small family, happy and sejahteraa undertaken by the family with the community with guidance from local health officials. This study aims to determine the relationship with the growth of infants weighing regularity in the Village District Gayaman, Mojoanyar, Mojokerto. The design used was an observational analytic type "Cross Sectional", with a sample of 63 mothers and young children who come to posyandu where the researchers used a technique of sampling proportions (proportional sample). Data was then incorporated in the cross tabulations are calculated using a statistical test of"Chi-Square". Based on the results obtained from 63 respondents over half of respondents do not regularly weighing as many as 40 respondents (63.47%) and less than half the growth of children under five underweight were 24 respondents (38.09%). So that the calculation of the relationship with the growth of infants =aweighing regularity performed with chi-square test with df = 3 and 0.05 obtained by calculating the X2 X2 = 14.05, while table = 7.815 The mean count X2> X2 table that is Ho refused and Ha accepted that there is a relationship with the growth of infants weighing regularity. Weighing regularity associated with the growth due to the regular weighing of the growth will be increasingly monitored, and if there is a disturbance of growth will soon be given the appropriate intervention. And vice versa if the weighing is done the irregular growth of the disturbance would not be detected early. The results of this study can be concluded that the order can affect the growth of infants weighing. So the mother came to posyandu regularly then the observed growth of these infants. Thus the effort to improve the regularity of such judgments necessary to improve the provision of counseling because of the high knowledge will foster a heightened awareness as well.

POLA MESTRUASI DENGAN ANEMIA PADA REMAJA PUTRI DI KLINIK AULIA HUSADA, JETIS, MOJOKETO Sri Wardini Puji Lestari; Zulfa Rufaida; Ika Yuni Susanti
Hospital Majapahit (JURNAL ILMIAH KESEHATAN POLITEKNIK KESEHATAN MAJAPAHIT MOJOKERTO) Vol 10 No 2 (2018): Hospital Majapahit
Publisher : LPPM Sekolah Tinggi Ilmu Kesehatan Majapahit Mojokerto

Teen anemia caused by lack of iron intake also occurs due to increased iron requirement in the body such as menstruation. The abnormal pattern of mestruation causes too much blood to come out. This study aims to determine the relationship of menstrual pattern with anemia in young women.. Research design used was a correlational research. Using cross-sectional design. Variable independent menstrual patterns in adolescent girls and the dependent variable anemia in adolescent girls. Sampling technique used was simple random sampling with a population sample of 115 respondents and the amount of 73 respondents. Data were collected during April 1-31 May 2018 the instruments used interviews, checklist and Hb observation. Analysis Technique with square test. The results of research from 73 respondents known 45 respondents (61.7%) experienced abnormal menstrual pattern, 41 (56.2%) had anemia. The result of chi square test shows that ρ = 0,002 <ρ = 0,05 and X2count = 9,409 bigger than X2table. = 7,984. 95% CI does not pass the number 1 is 0.03 - 0.06. Thus, it can be concluded that H0 rejected and H1 accepted means there is a relationship of menstrual pattern with anemia in adolescent daughter. And teenage daughter who experience menstrual pattern disorder risk 3-6 times have anemia. As it is known that menstrual irregularity causes too much blood to come out can cause anemia. So Teenagers can make prevention efforts to keep the nutritional intake of adolescents every day and drink tablet fe at the time of menstruation.

DETEKSI DINI TUMBUH KEMBANG ANAK BALITA DALAM UPAYA PENCEGAHAN DAN PERCEPATAN PENURUNAN STUNTING DI DESA SUMBERTEBU KECAMATAN BANGSAL KABUPATEN MOJOKERTO Ika Yuni Susanti; Dyah Siwi Hety; Zulfa Rufaida; Sari Priyanti; Sri Wardini Puji Lestari
JURNAL PENGABDIAN MASYARAKAT KESEHATAN (ABDIMAKES) Vol 5 No 1 (2025): FEBRUARI
Publisher : Jurnal Pengabdian Masyarakat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55316/amk.v5i1.1104

The problem of stunting in toddlers is still a health problem, especially in developing countries. One of the efforts that can be made to reduce the incidence rate is increasing parental knowledge about stunting, namely how to prevent and treat and improve the nutrition of toddlers so that their growth and development can be maximized. The community service activities carried out aim to prevent stunting through early detection of growth and development and improving the nutritional status of toddlers. The activities were carried out by a team of lecturers from the Midwifery Professional Education Study Program, Majapahit Health College in Sumbertebu Village, Bangsal District, Mojokerto Regency. The activity uses lecture, simulation and role-playing methods and conducts growth and development checks on toddlers from September to November 2024. The results of community service activities have been attended by 53 mothers and toddlers, a significant increase in knowledge of 64% was obtained and in toddlers who underwent growth and development checks by measuring height, weighing and early detection with the Pre-Screening Questionnaire for Development (KPSP) it was concluded that there were no toddlers who were heading towards stunting or experiencing developmental delays. Health education can increase participants' knowledge in understanding the material and are willing to actively come routinely to participate in posyandu activities and know the schedule for growth and development checks properly. This activity is expected to increase mothers' knowledge about the implementation of early detection of growth and development in efforts to handle stunting, so as to prevent growth and development delays in toddlers

COUNTERPRESSURE DENGAN SKALA NYERI PERSALINAN IBU INPARTU KALA I (FASE AKTIF) DI KABUPATEN MOJOKERTO Zulfa Rufaida; Sri Wardini; Dyah Permatasari
Jurnal Kebidanan Vol 8 No 1 (2018): Jurnal Kebidanan
Publisher : ITSKES Insan Cendekia Medika Jombang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35874/jib.v16i1.396

Ibu inpartu Kala I mengalami nyeri persalinan. Suatu penelitian menunjukkan bahwa wanita inpartu yang dapat masase selama 20 menit setiap jam selama fase aktif persalinan, lebih tenang dan lebih terbebas dari nyeri. Maka penting bagi bidan dapat memberikan intervensi tertentu dalam persalinan. Teknik counterpressure merupakan salah satu tindakan nonfarmakologis yang dapat menurunkan nyeri persalinan. Tujuan penelitian ini mengetahui pengaruh teknik counterpressure terhadap skala nyeri persalinan Kala I (fase aktif).Rancang penelitian menggunakan quasi experiment. Desain yang dipakai adalah pretest – posttest non equivalent control group design. Teknik sampling yang digunakan adalah consecituive sampling. Populasinya semua Ibu inpartu Kala I (fase aktif) di wilayah Kabupaten Mojokerto (Klinik Rahma Kartika dan Klinik Aulia Husada). Besar sampel dihitung dengan rumus, didapatkan hasil 15 responden untuk masing – masing kelompok. Variabel independet adalah teknik counterpressure dan variabel terikat adalah nyeri persalinan. Analisis data menggunakan independent sample t test dengan kemaknaan klinis digunakan Δ mean dengan confidence interval 95% dengan nilai P < 0,05.Uji t didapatkan hasil nilai signifikan 0.000, uji Mann Whitney signifikan pada nilai 0.031 dengan Confidence Interval (CI) 95% antara 1.14 – 26.41 tidak melewati angka 1 yang artinya ada pengaruh pemberian counterpressure dalam menurunkan nyeri persalinan kala I fase aktif. Faktor risiko dengan melihat nilai Odd ratio 5.5 artinya ibu inpartu kala I fase aktif yang tidak diberi counterpressure berisiko 5.5 kali mengalami nyeri dibanding ibu yang diberikan.Menurut Pasongli, dkk (2014), dengan pemberian masase teknik counterpressure dapat menutup gerbang pesan nyeri yang akan dihantarkan menuju medulla spinalis dan otak, selain itu tekanan kuat pada teknik ini dapat mengaktifkan senyawa endrophine yang berada di sinaps sel-sel saraf tulang belakang dan otak, sehingga transmisi dari pesan nyeri dapat dihambat dan menyebabkan status penurunan sensasi nyeri.Hasil dari penelitian ini diharapkan dapat menjadi acuan dalam upaya memberikan asuhan kebidanan untuk mengatasi nyeri persalinan

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