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Factors Related To Perineal Rupture In Mothers In Labor Jayanti, Christin; Wijayanti, Rina; Kurniasih, Siti
JKM (Jurnal Kebidanan Malahayati) Vol 11, No 1 (2025): Volume 11 No 1 Januari 2025
Publisher : Program Studi Kebidanan Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkm.v11i1.18750

Latar Belakang: Ruptur pada perineum merupakan alasan kedua dari beramal setelah atonia uteri. Komplikasi yang muncul akibat ruptur perineum melibatkan risiko pendarahan , infeksi , dan ketidaknyamanan. Di Indonesia, pada tahun 2017, ditemukan bahwa sebanyak 75% dari ibu yang melahirkan secara pervaginam mengalami ruptur perineum , dari total 1.951 ibu yang mengalami persalinan spontan pervaginam. Tujuan: Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan ruptur perineum. Metode: Penelitian ini menggunakan desain observasional analitik dengan pendekatan penampang. Metode pengambilan contoh yang digunakan adalah total sampling, yang mencakup seluruh ibu yang melahirkan normal dengan mengalami pecahnya perineum di PMB M M Sri Sunaryanti di Jakarta Selatan, dengan jumlah menanggapi sebanyak 30 orang. Pada penlitian ini analisis bivariat di uji dengan uji statistik chi kuadrat. Hasil: Hasil analisis data dengan uji chi square didapatkan tidak ada hubungan usia ibu dengan robekan perineum pada ibu bersalin dengan nilai nilai p 0,065 > 0,05. Kesimpulan: Hasil analisis data dengan uji chi square didapatkan ada hubungan usia ibu dengan robekan perineum pada ibu bersalin dengan nilai nilai p 0,020 < 0,05. Berdasarkan uji statistik chi kuadrat menunjuk p-value = 0,05 tidak dapat diketahui hubungan berat badan lahir bayi dengan robekan perineum pada ibu bersalin dikarenakan bayi yang dilahirkan oleh seluruh contoh adalah bayi dengan berat badan lahir normal. Saran: bagi tempat penelitian perlunya memperhatikan faktor paritas ibu dalam Upaya pencegahan dan penanganan rupture perineum pada saat proses persalinan karena beresiko lebih tinggi mengalami rupture perineum. Kata kunci : rupture perineum, persalinan, usia, paritas, berat bayi lahir ABSTRACT Background : Perineal rupture is the second reason for doing charity after uterine atony. Complications that arise due to perineal rupture involve the risk of bleeding, infection, and discomfort . In Indonesia, in 2017, it was found that as many as 75% of mothers who gave birth vaginally experienced perineal rupture, from a total of 1,951 mothers who experienced spontaneous vaginal delivery . Objective: This study aims to determine the factors associated with perineal rupture. Method: This study used an analytical observational design with a cross-sectional approach . The sampling method used was total sampling, which included all mothers who gave birth normally with perineal rupture at PMB MM Sri Sunaryanti in South Jakarta, with a total of 30 respondents. In this study, bivariate analysis was tested using the chi-square statistical test . Results: The results of data analysis using the chi-square test obtained No There is connection age Mother with perineal tear in mother giving birth with mark p value 0.065 > 0.05. Conclusion: Results of data analysis using the chi square test obtained There is connection age Mother with perineal tear in mother giving birth with mark p- value 0.020 < 0.05. Based on statistical tests chi square pointing p-value = 0.05 no can known connection birth weight baby with perineal tear in mother giving birth because of babies born to all example is baby with normal birth weight . Suggestion : share place study the need notice factor parity Mother in efforts to prevent and treat perineal rupture during the labor process Because at risk more tall experienced perineal rupture. Keywords : perineal rupture , labor , age , parity , weight baby born

Penyuluhan tentang Kelancaran Pengeluaran ASI dengan Pijat Oksitosin Jayanti, Christin; Yulianti, Devi; Habibah, Habibah; Apriyani, Agista
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 8, No 1 (2025): Volume 8 No 1 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v8i1.17869

ABSTRAK Pemberian ASI merupakan salah satu cara paling efektif untuk memastikan kesehatan dan kelangsungan hidup anak. World Health Organization (WHO) mengeluarkan standar mengenai pertumbuhan anak yang diterapkan diseluruh belahan dunia. Standar tersebut berisi mengenai pentingnya pemberian ASI tanpa tambahan makanan kepada bayi sejak lahir sampai usia 6 bulan. World Health Organization (WHO) menetapkan target ditahun 2025 sekurang-kurangnya 50% dari jumlah bayi dibawah usia enam bulan diberikan ASI Eksklusif. Akan tetapi, bertentangan dengan target yang diberikan WHO, kurang dari setengah bayi di bawah usia 6 bulan yang mendapatkan ASI Eksklusif. UNICEF dan WHO menyerukan pemerintah dan para mitranya di Indonesia untuk mendukung semua ibu agar dapat menyusui sejak dini, secara eksklusif, dan berkesinambungan (UNICEF, 2022). Penelitian ini bertujuan untuk meningkatkan pengetahuan ibu hamil mengenai kelancaran pengeluaran ASI melalui penyuluhan kesehatan yang dilaksanakan di Puskesmas Kecamatan Menteng pada tanggal 6 Agustus 2024. Kegiatan ini diikuti oleh 15 ibu hamil yang berkunjung ke poli kebidanan. Metode yang digunakan dalam penyuluhan meliputi pretest untuk mengukur pemahaman awal peserta, penyampaian materi menggunakan media PowerPoint, serta sesi diskusi untuk menjawab pertanyaan dan memperdalam pemahaman peserta mengenai teknik pijat oksitosin. Pijat oksitosin dikenal dapat merangsang produksi ASI dan membantu ibu dalam proses menyusui. Hasil evaluasi setelah penyuluhan menunjukkan adanya peningkatan signifikan dalam pengetahuan ibu hamil tentang teknik pijat oksitosin dan manfaatnya untuk kelancaran pengeluaran ASI. Diharapkan, dengan pengetahuan yang lebih baik, ibu hamil dapat lebih siap dan percaya diri dalam memberikan ASI eksklusif kepada bayinya, sehingga dapat mendukung kesehatan dan pertumbuhan optimal anak. Penelitian ini menekankan pentingnya penyuluhan kesehatan yang berkelanjutan untuk meningkatkan kesadaran dan pengetahuan ibu hamil mengenai praktik menyusui yang baik. Kata Kunci: Pijat Oksitosin, ASI Eksklusif, Ibu Hamil, Menyusui ABSTRACT Breastfeeding is one of the most effective ways to ensure the health and survival of children. The World Health Organization (WHO) has issued standards on child growth that are applied throughout the world. These standards contain the importance of providing breast milk without additional food to babies from birth to 6 months of age. The World Health Organization (WHO) has set a target for 2025 that at least 50% of babies under the age of six months will be given exclusive breastfeeding. However, contrary to the target set by WHO, less than half of babies under the age of 6 months are given exclusive breastfeeding. UNICEF and WHO call on the government and its partners in Indonesia to support all mothers to be able to breastfeed early, exclusively, and continuously (UNICEF, 2022). This study aims to increase the knowledge of pregnant women regarding the smooth flow of breast milk through health education carried out at the Menteng District Health Center on August 6, 2024. This activity was attended by 15 pregnant women who visited the obstetrics polyclinic. The methods used in the counseling included a pretest to measure participants' initial understanding, delivery of materials using PowerPoint media, and a discussion session to answer questions and deepen participants' understanding of the oxytocin massage technique. Oxytocin massage is known to stimulate breast milk production and help mothers in the breastfeeding process. The results of the evaluation after the counseling showed a significant increase in pregnant women's knowledge of the oxytocin massage technique and its benefits for smooth breast milk production. It is hoped that with better knowledge, pregnant women can be more prepared and confident in providing exclusive breastfeeding to their babies, so that they can support optimal health and growth of the child. This study emphasizes the importance of ongoing health counseling to increase awareness and knowledge of pregnant women regarding good breastfeeding practices. Keywords: Oxytocin Massage, Exclusive Breastfeeding, Pregnant Women, Breastfeeding

Effectiveness of Pelvic Rocking Exercise on Primary Dysmenorrhea among Midwifery Students Raidanti, Dina; Wahidin, Wahidin; Fathimah, Siti; Jayanti, Christin
Jurnal Bidan Cerdas Vol. 7 No. 2 (2025)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jbc.v7i2.3508

Background: Primary dysmenorrhea is one of the most common gynecological problems experienced by women of reproductive age, characterized by spasmodic cramps and lower abdominal pain without pathological abnormalities. This condition negatively affects academic activities, productivity, and quality of life. Pelvic rocking exercise, a simple movement using a gym ball, has been suggested to improve uterine blood flow, reduce uterine muscle contractions, and stimulate endorphin release to decrease pain intensity. This study aimed to evaluate the effectiveness of pelvic rocking exercise on primary dysmenorrhea among undergraduate midwifery students. Methods: A quasi-experimental study with a one-group pretest–posttest design was conducted involving 18 first-year midwifery students experiencing primary dysmenorrhea, selected using accidental sampling. Pain intensity was measured before and after a 15-minute pelvic rocking exercise session and analyzed using the Wilcoxon signed-rank test. Results: The mean pain intensity before the intervention was 5.77 (moderate category), which decreased to 2.44 (mild category) after the intervention. The Wilcoxon test showed a p-value = 0.000 (p < 0.05), indicating a significant reduction in pain intensity. Conclusion: Pelvic rocking exercise was proven effective in reducing primary dysmenorrhea among midwifery students. It can therefore be recommended as a non-pharmacological intervention in managing menstrual pain.

Effectiveness Of Oxytocin Massage On Colostrum Excretion Time In Postpartum Mothers Jayanti, Christin; Yulianti, Devi; Apriyani, Agista; Habibah, Habibah
JKM (Jurnal Kebidanan Malahayati) Vol 10, No 8 (2024): Volume 10,No.8 Agustus 2024
Publisher : Program Studi Kebidanan Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkm.v10i8.16930

Latar belakang. Kolostrum merupakan cairan yang pertama kali disekresikan oleh kelenjar susu, mengandung sisa-sisa jaringan dan bahan sisa yang terkandung dalam alveoli dan saluran kelenjar susu sebelum dan sesudah masa nifas. Manfaat kolostrum untuk bayi antara lain meningkatkan kekebalan tubuh. Oleh karena itu, perlu adanya upaya pengeluaran Kolostrum bagi sebagian ibu nifas. Dalam upaya memproduksi Kolostrum, ada 2 hal yang mempengaruhi produksi yaitu produksi dan pengeluaran. Produksi Kolostrum dipengaruhi oleh hormon prolaktin sedangkan produksinya dipengaruhi oleh hormon oksitosin. Hormon oksitosin akan keluar melalui rangsangan pada puting susu melalui hisapan mulut bayi atau melalui pemijatan pada tulang belakang bayi ibu, dengan melakukan pemijatan pada tulang belakang ibu maka ibu akan merasa tenang, rileks, meningkatkan ambang nyeri dan menyayangi bayinya, sehingga agar hormon oksitosin keluar dan ASI keluar dengan cepat.Metode. Dalam penelitian ini desain penelitian yang digunakan adalah Kuantitatif dengan metode penelitian Quasi Eksperimental, dengan desain Static Group Comparison. Desain ini menggunakan kelompok Eksperimen dan Kontrol. Teknik dalam pengambilan sampel ini adalah Nonprobability Sampling karena tidak memberikan peluang yang sama dari setiap populasi yang diambil, dengan jenis Accidental sampling dimana setiap sampel yang ditemukan diambil dan langsung dijadikan sampel utama.Hasil. Hasil analisis uji bivariat Efektivitas Pijat Oksitosin Terhadap Waktu Keluarnya Kolostrum pada Ibu Nifas dengan uji Chi-Square diperoleh P Value : 0,017 berada dibawah 0,05. Jadi dapat diartikan ada pengaruh pijat xcytosine terhadap waktu pengeluaran kolostrum pada ibu nifas.Kesimpulan. Dari hasil penelitian pijat oksitosin dapat mempercepat waktu pengeluaran kolostrum pada ibu nifas. Kata Kunci: Pijat Oksitosin, Ekskresi Kolostrum ABSTRACT Background. Colostrum is a fluid that is first secreted by the mammary glands, containing tissue debris and residual material contained in the alveoli and ducts of the mammary glands before and after puerperium. The benefits of colostrum for babies include increasing immunity. Therefore, it is necessary to make an effort to remove Colostrum for some postpartum mothers. In efforts to produce Colostrum, there are 2 things that affect production, namely production and expenditure. The production of Colostrum is affected by the hormone prolactin while the production is affected by the hormone oxytocin. The hormone oxytocin will come out through stimulation to the nipple through the baby's mouth suction or through massage on the baby's mother's spine, by doing massage on the mother's spine the mother will feel calm, relaxed, increase the pain threshold and love her baby, so that the hormone oxytocin comes out and breast milk comes out quickly.Method. In this study, the research design used is Quantitative with the Quasi-Experimental research method, with the Static Group Comparison design. This design uses the Experiment and Control groups. The technique in taking this sample is Nonprobability Sampling because it does not provide the same opportunity from each population taken, with the type of Accidental sampling where each sample found is taken and immediately used as the main sample.Result. The results of the analysis of the bivariate test of the Effectiveness of Oxytocin Massage on the Time of Colostrum Excretion in Postpartum Mothers with the Chi-Square test obtained a P Value: 0.017, which is below 0.05. So it can be interpreted that there is an effectiveness of xcytosine massage on the time of Colostrum Excretion in Postpartum Mothers. Conclusion. From the results of research on oxytocin massage can accelerate the time of colostrum excretion in postpartum mothers. Keywords: Oxytocin Massage, Colostrum Excretion

Edukasi tentang Manfaat Konsumsi Rutin Tablet FE dan Vitamin C Dalam Mencegah Anemia Ginanjar, Riza; Jayanti, Christin; Insani, Citra; Pebriani, Avina; Awali, Fikri Rizky
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 8, No 7 (2025): Volume 8 No 7 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v8i7.20003

ABSTRAK Prevalensi anemia mencapai 32% di kalangan remaja, anemia merupakan masalah kesehatan yang signifikan di Indonesia. Di STIKes RSPAD Gatot Soebroto, penyuluhan kesehatan diperlukan untuk meningkatkan pengetahuan mahasiswa tentang pencegahan anemia melalui konsumsi tablet besi dan vitamin C. Pretest dan posttest untuk mengukur pemahaman awal, konsumsi tablet besi dan vitamin C, dan sesi diskusi untuk menilai pemahaman peserta adalah semua metode yang digunakan. Diikuti oleh seratus peserta, evaluasi sebelum kegiatan menunjukkan bahwa banyak siswa belum tahu cara mencegah anemia, dan evaluasi setelah kegiatan menunjukkan bahwa sebagian besar peserta melakukannya dengan baik. Diharapkan bahwa pelatihan ini dapat dilakukan secara berkala untuk meningkatkan pengetahuan remaja tentang cara mencegah anemia dan meningkatkan konsumsi suplemen. Orang-orang di Amerika Serikat yang tidak sedang hamil disarankan untuk minum TTD dengan dosis 1 tablet setiap minggu sepanjang tahun. Batas nilai anemia ringan adalah 11.0 hingga 11.9 g/dL, anemia sedang adalah 8.0 hingga 10.9 g/dL, dan anemia berat adalah di bawah 8.0 g/dL. Kata Kunci: Anemia, Tablet Fe, vitamin C ABSTRACT The prevalence of anemia reaches 32% among adolescents, making anemia a significant health issue in Indonesia. At STIKes RSPAD Gatot Soebroto, health education is needed to increase students' knowledge about anemia prevention through the consumption of iron tablets and vitamin C. Pretest and posttest to measure initial understanding, consumption of iron tablets and vitamin C, and discussion sessions to assess participants' understanding are all methods used. Followed by one hundred participants, the pre-activity evaluation showed that many students did not know how to prevent anemia, and the post-activity evaluation showed that most participants did well. It is hoped that this training can be conducted periodically to enhance teenagers' knowledge about how to prevent anemia and increase supplement consumption. People in the United States who are not pregnant are advised to take TTD at a dose of 1 tablet per week throughout the year. The threshold for mild anemia is 11.0 to 11.9 g/dL, moderate anemia is 8.0 to 10.9 g/dL, and severe anemia is below 8.0 g/dL.Keywords: Anemia, Fe Tablets, Vitamin C

The Relationship Between Husband's Support and the Intensity of First Stage Labor Pain at the Midwife Umi TPMB, Bekasi jayanti, christin; Apriyance, Yesha
JOURNAL EDUCATIONAL OF NURSING(JEN) Vol 8, No 1 (2025): Journal Educational of Nursing (JEN)
Publisher : STIKes RSPAD RSPAD Gatot Soebroto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37430/jen.v8i1.254

Increasing education for married couples about the importance of husband support during labor. And providing prenatal counseling programs that involve husbands, so that they are more emotionally and physically prepared to accompany mothers during labor.

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