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Tetanus Toxsoid Immunization Counseling for Pregnant Women in Mangga Village, Medan Tuntungan District Dwi Ris Hasanah; Nurdiana Manurung
Science Midwifery Vol 9 No 2 (2021): April: Science Midwifery
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar

The purpose of this study was to determine whether pregnant women in Mangga output, Medan Tuntungan sub-district, had received tetanus toxoid immunization, and whether pregnant women had understood the usefulness of the immunization during pregnancy. And the activities carried out are increasing the knowledge of pregnant women about the importance of tetanus toxoid immunization, increasing the knowledge of husbands or families to assist mothers in routine pregnancy check-ups. The results of the research are To achieve the objectives of the above activities, activities were carried out including the delivery of material about the importance of tetanus toxoid immunization during pregnancy for pregnant women, the importance of husband or family support for mothers to visit routine pregnancy check-ups.

HUBUNGAN PENGETAHUAN DAN SIKAP BIDAN TERHADAP PELAKSANAAN INISIASI MENYUSUI DINIHUBUNGAN PENGETAHUAN DAN SIKAP BIDAN DENGAN PELAKSANAAN INISIASI MENYUSU DINI DI PMB WILAYAH KECAMATAN MEDAN TUNTUNGAN TAHUN 2021 Dwi Ris Hasanah; Emelia Apriani Tampubolon; Kristiova Masnita Saragih
Jurnal Kebidanan Vol 2 No 1 (2022): Jurnal Kebidanan (JBd) Juni 2022
Publisher : Poltekkes Kemenkes Maluku

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32695/jbd.v2i1.335

Early Initiation of Breastfeeding (IMD) is the process of a baby suckling immediately after birth, in which the baby is allowed to find the mother's nipple on its own (not thrust into the nipple). Breastfeeding properly and correctly can increase the success of exclusive breastfeeding, the coverage of breastfeeding is to prevent infant mortality, impaired infant development, and prevent hypothermia. The IMD process creates closeness between mother and baby. This study aims to determine the relationship between knowledge and attitudes of midwives on the implementation of Early Breastfeeding Initiation (IMD). The research method used was analytic observational with a cross sectional approach, with a sample of 34 midwives who opened their own practice around Medan Tuntungan District. The results of the analysis showed that of the 34 respondents who had sufficient knowledge as many as 18 people (53%) and the majority carried out IMD as many as 12 people (66.7%). And of the 34 respondents the majority had a negative attitude as many as 27 people (79.5%), and the majority did not carry out IMD as many as 17 people (47%). There is a significant relationship between the knowledge and attitudes of midwives towards the implementation of the IMD, where the better the knowledge, the more motivated the midwife to implement the IMD. With a value of = 0.015. And a negative attitude will cause the midwife not to carry out the IMD with a value of = 0.021. It is hoped that the midwives at BPM, Medan Tuntungan Sub-district in 2021, will further improve the IMD implementation program in the future.

Relationship between Motivation of the Midwife and the Mother's Compliance with Complete Basic Immunization in the Hana Kasih Clinic Hasanah, Dwi Ris; Tampubolon, Emelia
International Journal of Clinical Inventions and Medical Sciences (IJCIMS) Vol 4 No 1: March 2022
Publisher : Lamintang Education and Training Centre, in collaboration with the International Association of Educators, Scientists, Technologists, and Engineers (IA-ESTE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36079/lamintang.ijcims-0401.308

Health problems, especially in children, are the occurrence of several infectious diseases such as Measles, Diphtheria, Pertussis, Tetanus Neonatorum, Tuberculosis, Hepatitis B and Polio which can cause death or disability in children. There are still many mothers who do not take their children to health facilities to get complete basic immunizations. The role of midwives in providing motivation to families, especially mothers about immunization status, is thought to be able to increase maternal compliance to increase the coverage and completeness of basic infant immunization. The research method uses analytic with a cross sectional approach. The population in this study were 112 people and a sample of 53 people. The results showed that the motivation of the midwives according to mostly good was 54.7%, which stated that it was less than 45.3%. Mother's adherence to complete basic immunization for infants in the obedient category was 73.6%, those who did not comply were 26.4%. The motivation of the midwife is related to maternal compliance with complete basic immunization for infants at the Hana Kasih Clinic in 2021, p-value of 0.000 <0.05. It is hoped that midwives will motivate mothers, especially mothers who have babies, to immunize their babies with the 5 (five) basic immunizations required by the government.

Relationship of Adolescent Women's Knowledge about Reproductive Health to Adolescent Pregnancy in Kelurahan Baru Ladang Bambu Lubis, Suriati; Hasanah, Dwi Ris
International Journal of Clinical Inventions and Medical Sciences (IJCIMS) Vol 5 No 2: September 2023
Publisher : Lamintang Education and Training Centre, in collaboration with the International Association of Educators, Scientists, Technologists, and Engineers (IA-ESTE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36079/lamintang.ijcims-0502.503

Adolescence comes from the Latin "adolesscere" which means 12-24 years. According to the Indonesian Ministry of Health, adolescents are aged between 10-19 years and have not been married. According to BKKBN is 10-19 years. Teenage pregnancies can face the disgrace of getting pregnant without marriage, feeling guilty about an abortion, or increasing anxiety as the pregnancy gets older. This study aims to determine the relationship between knowledge of Adolescent Women about Reproductive Health and Adolescent Pregnancy. The research methodology in this study is descriptive analytic research with a cross sectional approach. The sample in this study was using accidental sampling as many as 30 people. Based on the results of research on 30 adolescents in the Baru Ladang Baru Village who lacked knowledge as many as 16 people, 53.3% and teenagers who had experienced pregnancy/abortion as many as 6.6%. It can be concluded in this study that there is a relationship between adolescent knowledge about reproductive health and adolescent pregnancy, which means that the lower the knowledge of adolescents, the higher the adolescent pregnancy rate.

Hubungan Pengetahuan Bidan Praktek Swasta Dengan Pelaksanaan Inisiasi Menyusu Dini Di Wilayah Kerja Puskesmas Tanjung Morawa Anggraini, Desi; Hasanah, Dwi Ris
DINAMIKA KESEHATAN: JURNAL KEBIDANAN DAN KEPERAWATAN Vol 13, No 1 (2022): Dinamika Kesehatan: jurnal Kebidanan dan Keperawatan
Publisher : Universitas Sari Mulia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33859/dksm.v13i1.939

Latar Belakang:Inisiasi menyusu dini (early initiation) atau permulaan menyusu dini adalah bayi mulai menyusu sendiri segera setelah lahir. Inisiasi menyusu dini sangat bermanfaat bagi bayi dan bagi ibu, yaitu dapat menurunkan angka kematian bayi, selain itu dapat menghentikan perdarahan pasca persalinan dengan lebih cepat dan mempercepat terlepasnya placenta.Tujuan: untuk mengidentifikasi hubungan pengetahuan bidan praktek swasta dengan pelaksanaan inisiasi menyusu dini di Wilayah Kerja Puskesmas Tanjung Morawa Tahun 2022.Metode:Desain penelitian yang digunakan adalah secara analitik dengan pendekatan cross secsional. Jumlah sampel sebanyak 52 orang dengan metode pengambilan sampel total sampling. Penelitian dilakukan di Wilayah Kerja Puskesmas Tanjung Morawa Tahun 2022. Analisis data dengan uji chi square. Instrumen dalam penelitian ini berupa kuesioner yang berisi data demografi, 10 pertanyaan pengetahuan, dan 10 pernyataan pelaksanaan.Hasil: sebagian besar responden memiliki pengetahuan baik sebanyak 34 responden (65,4%), dan memiliki pengetahuan yang kurang baik sebanyak 18 responden (3,6%). Responden yang memiliki pelaksanaan baik sebanyak 46 responden (88,5%), dan memiliki pelaksanaan yang kurang baik sebanyak 6 responden (11,5%). Dari hasil penelitian di dapatkan nilai p=0,400, hal ini menunjukkan bahwa tidak ada hubungan yang signifikan antara pengetahuan bidan praktek swasta dengan pelaksanaan inisiasi menyusu dini, karena dari 34 responden yang memiliki pengetahuan baik, 31 responden (59,7%) diantaranya memiliki pelaksanaan yang baik dan 3 responden (5,7%) memiliki pelaksanaan yang kurang baik. Sedangkan dari 18 responden yang memiliki pengetahuan kurang baik, 15 responden (28,8%) diantaranya memiliki pelaksanaan yang baik dan 3 responden (5,7%) memiliki pelaksanaan yang kurang baik.Kesimpulan: Tidak terdapat hubungan yang signifikan antara pengetahuan bidan praktik swasta dengan pelaksanaan inisiasi menyusu dini, dengan nilai p sebesar 0,400. Background: Early initiation of breastfeeding is when a baby starts to feed itself immediately after birth. Early initiation of breastfeeding is very beneficial for the baby and for the mother, which can reduce infant mortality, besides that it can stop postpartum bleeding more quickly and accelerate the detachment of the placenta.Objective: to identify the relationship between the knowledge of private practice midwives with the implementation of early breastfeeding initiation in the Tanjung Morawa Health Center Working Area in 2022.Methods: The research design used was analytic with a cross-sectional approach. The number of samples was 52 people with a total sampling method. The research was conducted in the Tanjung Morawa Health Center Working Area in 2022. Data analysis with chi square test. The instrument in this study was a questionnaire containing demographic data, 10 knowledge questions, and 10 implementation statements.Results: most respondents had good knowledge as many as 34 respondents (65.4%), and had poor knowledge as many as 18 respondents (3.6%). Respondents who had good implementation were 46 respondents (88.5%), and had poor implementation as many as 6 respondents (11.5%). From the results of the study obtained a value of p = 0.400, this indicates that there is no significant relationship between the knowledge of private practice midwives with the implementation of early breastfeeding initiation, because of the 34 respondents who had good knowledge, 31 respondents (59.7%) of them had good implementation and 3 respondents (5.7%) had poor implementation. Meanwhile, of the 18 respondents who had poor knowledge, 15 respondents (28.8%) of them had good implementation and 3 respondents (5.7%) had poor implementation.Conclusion: There is no significant relationship between the knowledge of private practice midwives and the implementation of early breastfeeding initiation, with a p value of 0.400.

Hubungan Faktor-Faktor Penyebab Kecemasan Dengan Tingkat Kecemasan Suami Menghadapi Istri Yang Bersalin Spontan Di Klinik Sehati Medan Tahun 2023 Hasanah, Dwi Ris; Fitri, Sari Rahma
DINAMIKA KESEHATAN: JURNAL KEBIDANAN DAN KEPERAWATAN Vol 14, No 2 (2023): Dinamika Kesehatan: Jurnal Kebidanan dan Keperawatan
Publisher : Universitas Sari Mulia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33859/dksm.v14i2.981

Latar Belakang: Suami merasa cemas sewaktu mendampingi istri yang bersalin yang dipengaruhi oleh beberapa faktor yang dihubungkan dengan tingkat kecemasan.Tujuan: untuk mengetahui hubungan faktor-faktor kecemasan dengan tingkat kecemasan suami Menghadapi istri yang melahirkan secara spontan.Metode: penelitian ini menggunakan desain penelitian analitik dengan penedekatan cross sectional. Pengambilan sampel dengan menggunakan accidentalsampling. penelitian ini dilakukan di Klinik Sehati Medan.Hasil: mayoritas responden umur 31-35 tahun sebanyak 25 orang (48,1%), mayoritas pendidikan SMA 32 orang (61,5%), mayoritas responden berpenghasilan Rp. 1000.000,00-Rp. 2000.000,00 sebanyak 29 orang (55,8%). pada faktor keselamatan istri dan janin mayoritas ada pengaruh 40 orang (76,1%), faktor harapan jenis kelamin mayoritas berpengaruh 27 orang (51,9%), pada faktor tanggung jawab finansial tidak ada pengaruh 28 orang (53,8%) dan pada faktor anak lahir cacat ada pengaruh 31 orang (59,6%). Analisis data digunakan uji chi square.Kesimpulan: ada hubungan faktor keselamatan istri dan janin dengan tingkat kecemasan (p=0,04), ada hubungan faktor harapan jenis kelamin dengan tingkat kecemasan (p= 0,025), tidak ada hubungan faktor tanggung jawab finansial dengan tingkat kecemasan (p= 0,254), ada hubungan faktor anak lahir cacat dengan tingkat kecemasan (p=0,004). Dari hasil penelitian ini diketahui ada 3 faktor yang berhubungan dengan tingkat kecemasan suami Relationship between Factors Causing Anxiety and Husband's Anxiety Level Facing Wife in Spontaneous Delivery At Sehati Clinic Medan in 2023 Background: Husbands feel anxious when accompanying their wives in labor which is influenced by several factors associated with anxiety levels.Objective: to determine the relationship between anxiety factors and the level of anxiety of husbands Facing wives who give birth spontaneously.Methods: This study used an analytic research design with a cross sectional approach. Sampling using accidentalsampling. this research was conducted at the Sehati Clinic Medan.Results: the majority of respondents aged 31-35 years as many as 25 people (48.1%), the majority of high school education 32 people (61.5%), the majority of respondents earn Rp. 1000,000.00-Rp. 2000,000.00 as many as 29 people (55.8%). on the safety factor of the wife and fetus the majority there is an influence of 40 people (76.1%), the factor of gender expectations the majority influences 27 people (51.9%), on the factor of financial responsibility there is no influence 28 people (53.8%) and on the factor of birth defects there is an influence 31 people (59.6%). Data analysis used chi square test.Conclusion: there is a relationship between the safety factor of wife and fetus with anxiety level (p=0.04), there is a relationship between gender expectation factor with anxiety level (p=0.025), there is no relationship between financial responsibility factor with anxiety level (p=0.254), there is a relationship between birth defect factor with anxiety level (p=0.004). From the results of this study, it is known that there are 3 factors associated with the husband's anxiety level.

Edukasi Gizi Seimbang Pada Ibu Hamil Di Praktik Mandiri: Balanced Nutrition Education For Pregnant Women At The Independent Practice tifani, Tifani Hadi Tri Wahyuni; Dwi ris Hasanah; Nurdiana Manurung; Bakara, Rizky Andriani; Emelia Apriani Tampubolon; Br Sianturi, Marta Imelda; Ristiani, Ristiani; Kahi, Yumiati Mbang
Jurnal Abdi Keperawatan dan Kedokteran Vol 4 No 2 (2025): Jurnal Abdi Kesehatan dan Kedokteran
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/jakk.v4i2.108

Nutritional problems among pregnant women remain a major public health concern in Indonesia, particularly related to anemia, low birth weight (LBW), and stunting. One of the main contributing factors is the lack of knowledge among pregnant women about the importance of consuming a balanced diet during pregnancy. This community service activity aimed to increase pregnant women’s knowledge regarding balanced nutrition through a participatory, direct educational approach. The activity was conducted in May 2025 at the Independent Midwife Practice of Deby Cyntia Yun, Medan City, involving 30 pregnant women from various trimesters. The methods used included interactive lectures, group discussions, practical menu planning simulations, and evaluations through pre- and post-tests. The results showed an increase in knowledge scores from an average of 63% to 83%, indicating a 20% improvement. Participants responded very positively, with 93% reporting increased confidence in choosing healthy foods and 100% expressing interest in participating in similar future activities. The clinic partner also welcomed the program and suggested its regular implementation. This activity demonstrates that a communicative, contextual, and practical educational approach to balanced nutrition is effective in enhancing pregnant women’s understanding. It is hoped that similar programs can be replicated in other healthcare facilities and contribute to stunting prevention and the improvement of maternal and child health quality in the community.

Analysis of Risk Factors of ISPA on Improving Mothers' Ability to Self-Care of ISPA in Toddlers at Simalingkar Health Center Hasanah, Dwi Ris; Ristika Julianty Singarimbun
Benih : Journal of Midwifery Vol. 4 No. 02 (2025): Benih : Journal of Midwifery
Publisher : Cattleya Darmaya Fortuna

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54209/benih.v5i01.508

In Indonesia, Acute Respiratory Infection (ARI) is one of the causes of 4 million deaths in children under five. ISPA is also often on the list of the 10 most common diseases at the Simalingkar Health Center. The mortality rate of ISPA in Indonesia is still very high and morbidity because ISPA in Indonesia per year ranges from 10%-20% of the population under five. Acute Respiratory Tract Infection (ISPA) is an inflammatory process caused by viruses, bacteria, atypical (microplasma), aspiration of foreign substances involving one or all parts of the respiratory tract, a condition in which disease germs successfully attack the body tools used to breathe, namely through the nose, hair, esophagus, throat, throat to the lungs and lasts no more than 14 days. The etiology of ISPA consists of more than 300 types of bacteria, viruses and riketsia. The bacteria that cause ISPA include the genus Streptococci, Staphylococci, Pneumococcus, Haemofillus, Bordetelia and Corinebacterium. The viruses that cause ISPA include Myxoviruses, Adnoviruses, Coronaviruses, Pikornaviruses, Mycoplasma, Herpesviruses and others. In addition to being caused by viruses and bacteria, ISPA is also caused by microplasma or aspiration of foreign substances involving one or all parts of the respiratory tract. Studies in various countries show that in developing countries Streptococus pneumonia and Haemofillus influenza are bacteria that are always found in two-thirds of the isolation results, namely 73.9% of lung aspirates and 69.1% of the isolation results from blood specimens. Meanwhile, in developed countries, adult pneumonia in children is generally caused by a virus. ISPA can be transmitted through saliva, sneezing, and breathing air that contains germs that are inhaled by healthy people into their respiratory tract. ISPA that continues to become pneumonia often occurs in children, especially if there is malnutrition and combined with unhygienic environmental conditions. Germs of ISPA disease are transmitted from the patient to others through the air of breathing or the spitting of the sufferer. In principle, the ISPA germs in the air are sucked in by the new host and enter the entire respiratory tract. From the respiratory tract, germs spread throughout the body if the infected person is vulnerable, then he will be affected by ISPA.

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