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Journal : Midwinerslion : Jurnal Kesehatan STIKes Buleleng

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

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (206.249 KB) | DOI: 10.52073/midwinerslion.v6i1.211

Abstract

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

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (316.345 KB) | DOI: 10.52073/midwinerslion.v6i2.243

Abstract

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.