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Pengaruh Senam Tera Terhadap Tingkat Kecemasan Ibu Hamil Trimester III Menghadapi Persalinan Lestari, Ayu Fuzi; Yuliana, Yuliana; Amaliyah, Salmah; Putriastuti, Widya; Juaeriah, Ryka
Jurnal Kebidanan Malakbi Vol 5 No 1 (2024): Januari 2024
Publisher : Jurusan Kebidanan Poltekkes Kemenkes Mamuju

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33490/b.v5i1.1079

Abstract

According to WHO (2020) around 10% of pregnant women experience depression and this condition is higher in developing countries, reaching 15.6% during pregnancy and 19.8% after childbirth. Anxiety experienced during pregnancy can have negative consequences for both the mother and the fetus. This unfavorable impact is not only during pregnancy but can also affect the process of childbirth and lactation. There are various kinds of exercise to reduce anxiety, one of which is gymnastics. One type of exercise that is effective for reducing anxiety is tera exercise. Terra gymnastics is a breathing exercise combined with movement and adopted from Tai Chi exercises. All movements in tera exercise can reduce anxiety, stress, and reduce levels of depression. Currently researchers are doing it on pregnant women aiming to control the level of anxiety facing the birth process using movements that are safe for pregnant women, especially breathing technique exercises. The aim of the study was to determine the effect of tera exercise on reducing the anxiety level of pregnant women facing childbirth. The research method used is a true experiment with a pretest-posttest approach without a control group design. The research respondents used a purposive sampling technique by means of random sampling, totaling 30 pregnant women as respondents in the working area of the Batujajar Health Center. Data analysis using univariate and bivariate with Marginal homogeneity test. The results showed that of the 30 respondents before the intervention, there were 27 people (90%) who had moderate anxiety levels and 3 people (10%) had severe anxiety levels. After being given the intervention, 16 people (53.3%) had no symptoms, 12 people (40.0%) had moderate anxiety and 2 people (6.7%) had moderate anxiety, and none of them had severe anxiety (0%). Bivariate analysis obtained the results of p value = 0.000 <0.05, Ho was rejected, it was concluded that there was an effect of intervention on anxiety levels.
Gambaran Pengetahuan Ibu Hamil tentang ASI Ekslusif Sebelum dan Setelah Diberikan Edukasi melalui Video Animasi Putriastuti, Widya; Risa Septiani; Melania Nur Hasanah; Yulia Putri
Journal of Midwifery and Health Science of Sultan Agung Vol. 3 No. 2 (2024): JMHSA
Publisher : Midwifery Department of Sultan Agung Islamic University of Semarang

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Abstract

Menyusui sudah menjadi budaya Indonesia, namun kenyataannya pemberian ASI Eksklusif masih belum terlaksana sepenuhnya dalam upaya meningkatkan perilakunya. Penyebab kurangnya pemberian ASI Eksklusif di Indonesia salah satunya karena masih kurangnya pengetahuan ibu hamil akan pentingnya ASI. Hasil studi pendahuluan dilakukan di PMB K Wilayah Cibeber pada 10 ibu nifas mengenai ASI Eksklusif, 8 ibu nifas menyatakan bahwa menyusui bayinya hingga 4 bulan saja karena ibu bekerja dan 2 ibu nifas memberikan ASI Eksklusif selama 6 bulan. Tujuan dari penelitian ini agar diketahuinya gambaran pengetahuan Ibu hamil terkait ASI eksklusif setelah diberikan edukasi melalui video animasi. Metode Penelitian ini merupakan penelitian deskriptif dengan populasi penelitian yaitu ibu hamil Trimester II dan III pada bulan September 2023 - Januari 2024 di PMB K sebanyak 30 orang dan diberikan intervensi video animasi. Hasil penelitian setelah diberikan edukasi melalui video animasi diperoleh hasil sebanyak 26 ibu hamil berpengetahuan baik (86,7%), 3 ibu hamil berpengetahuan cukup (10,0%) dan hanya 1 orang yang berpengetahuan kurang (3,3%). Simpulan penelitian ini sebagian besar ibu hamil berpengetahuan baik (86,7%). Saran pada penelitian ini adalah diharapkan pelayanan kesehatan lebih giat untuk menambah promosi kesehatan memakai media penyuluhan seperti video animasi agar sasaran lebih tertarik menyimak. (IMRAD/ Introduction, Method, Research, and Discussion). Keywords: pengetahuan,asi eksklusif,video animasi.
ASUHAN KEBIDANAN KOMPREHENSIF PADA NY. ”I” G2P1A0 DENGAN PEMANFAATAN TEKNOLOGI APLIKASI SENAM KEGEL UNTUK MENGURANGI KETIDAKNYAMANAN SERING BUANG AIR KECIL DI PMB “P” KOTA CIMAHI Uswatun Hasanah, Sinta; Putriastuti, Widya; Purwanti; Nurhanifah, Hana
Jurnal Osadhawedyah Vol 3 No 1 (2025): Jurnal Osadhawedyah
Publisher : PT NAFATIMAH GRESIK PUSTAKA

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Abstract

Kehamilan adalah proses alami di mana telur yang dibuahi berkembang menjadi janin selama 38-40 minggu. Pada masa kehamilan, terutama trimester III, sering dijumpai ketidaknyamanan yang bisa terjadi secara fisiologis maupun patologis. Pemberian asuhan kebidanan komprehensif dilakukan untuk mendukung kesehatan, mencegah komplikasi, mendeteksi masalah dini, dan memberikan pendidikan kesehatan pada ibu hamil, khususnya yang mengalami keluhan sering buang air kecil akibat tekanan janin pada kandung kemih. Metode pada penelitian ini menggunakan pendekatan studi kasus.  Pengumpulan data pada penelitian ini melalui wawancara dan observasi. Subjek penelitian pada asuhan kebidanan ini adalah Ny. “I” G2P1A0 usia kehamilan 36 minggu dengan keluhan sering buang air kecil. Hasil penelitian menunjukkan bahwa senam kegel dengan aplikasi dilakukan tiga kali sehari selama 13 hari dan konseling mengenai pengaturan minum di malam hari, berhasil mengurangi keluhan sering buang air kecil dan membuat ibu merasa lebih nyaman. Pada masa persalinan, ibu dirujuk karena oligohidramnion, dan pada masa nifas diberikan pendidikan kesehatan mengenai perawatan luka pasca operasi. Kesimpulan studi kasus ini adalah bahwa asuhan yang diberikan selama kehamilan, persalinan, nifas, dan bayi baru lahir pada Ny. “I” sesuai teori dan efektif mengatasi ketidaknyamanan. Diharapkan asuhan kebidanan komprehensif ini dapat diaplikasikan terutama pada ibu hamil yang sering buang air kecil, serta pemanfaatan aplikasi senam kegel dapat dilakukan oleh setiap ibu hamil sebagai sarana edukasi yang dapat dimanfaatkan kapan saja dan di mana saja.
ASUHAN KEBIDANAN KOMPREHENSIF PADA NY. “M” G2P1AO DENGAN PEMANFAATAN VIDIO KOMPRES AIR HANGAT JAHE UNTUK MENGURANGI KETIDAKNYAMANAN NYERI PUNGGUNG DI PMB “N” TAHUN 2024 Rahma, Siti Yulianti; Putriastuti, Widya; Rosmawati, Nia
Jurnal Osadhawedyah Vol 3 No 2 (2025): Jurnal Osadhawedyah | Mei - Juli 2025
Publisher : PT NAFATIMAH GRESIK PUSTAKA

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Abstract

Nyeri Punggung pada ibu hamil merupakan salah satu ketidaknyamanan yang sering terjadi terutama pada ibu hamil trimester III dan dapat diatasi dengan melakukan kompres air hangat jahe. Menurut survei yang dilakukan di Praktek Mandiri Bidan “N” didapati hasil sebanyak 30% ibu hamil mengalami nyeri punggung, 16% mengeluh sering buang air kecil, 19% mengeluh kaki bengkak, 14% sulit tidur, dan keluhan lainnya sebanyak 11%, serta ibu hamil yang tidak memiliki keluhan sebanyak 10%. Penelitian ini bertujuan untuk mengetahui pengaruh intensitas nyeri setelah pemberian kompres air hangat jahe pada ibu hamil yang mengeluh nyeri punggung. Metode penelitian yang digunakan adalah studi kasus dengan melakukan pengkajian sampai memberikan asuhan. Subjek penelitian dalam studi kasus ini adalah Ny.”M” yang mengalami nyeri punggung dan diberikan intervensi kompres air hangat jahe. Asuhan kompres air hangat jahe pada punggung pasien dilakukan selama ± 2 minggu yang diberikan secara rutin dengan frekuensi dua kali dalam sehari dengan durasi ±15 menit. Dalam studi kasus ini pasien juga dibekali media edukasi dan panduan dalam melakukan kompres air hangat jahe berupa vidio animasi mengenai tata cara membuat air hangat jahe dan tata cara melakukan kompres air hangat jahe. Kesimpulan studi kasus ini yaitu setelah dilakukan pemberian kompres air hangat jahe pada punggung, pasien merasa lebih rileks dan intensitas nyeri berkurang. Diharapkan kompres air hangat jahe ini dapat diaplikasikan terutama pada ibu hamil dengan keluhan nyeri punggung.
THE INFLUENCE OF IMPLEMENTING THE HEALTH PROMOTION MODEL VIA TELEHEALTH E-BOOKLET ON HIV/AIDS KNOWLEDGE IN ADOLESCENTS Ambarsari, Wulan Novika; Putriastuti, Widya; Oktavia, Neng Vera
Journal of Maternity Care and Reproductive Health Vol 8, No 1 (2025): Journal of Maternity Care Reproductive Health
Publisher : Ikatan Perawat Maternitas Indonesia Provinsi Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36780/jmcrh.v8i1.12322

Abstract

The increasing cases of HIV/AIDS in the productive age in Southeast Asia require Indonesia to increase prevention of the spread and transmission of HIV. Adolescents are the productive age group that is most vulnerable to HIV/AIDS infection, and the incidence of this disease is increasing among this demographic group, based on the data results at the Batujajar Health Center, cumulatively in 2023 there were 9 cases of HIV. One of the HIV sufferers was a teenager so it is important to implement the health promotion model to increase knowledge of sexuality in adolescence and prevent risky behavior through the use of technological developments such as the use of telehealth e-booklet. This research aims to determine the effect of implementing the health promotion model via telehealth e-booklets on HIV/AIDS awareness in adolescents. This research is quantitative research with a pre-experimental design method with a one-group pretest-posttest type using the marginal homogeneity test, resulting in a p-value (0.000) a (0.05), and total participant are 34 students who are class XI of SMK Dharma Bhakti Indonesia, with the total sampling method. The research instrument used the HIV/AIDS knowledge instrument was adopted from the adolescent knowledge questionnaire about HIV/AIDS developed by Budiman and Riyanto which consisted of 20 questions, and health promotion through telehealth e-booklet consisting of 11 sheets. This result it can be concluded that there is an influence of implementing the health promotion model via telehealth e-booklets on knowledge of HIV/AIDS in adolescents. It is hoped that this research can become the basis for implementing increased health promotion by health agencies for adolescents and especially the wider community considering the very significant results of the study.  
THE DESCRIPTION OF ANXIETY SCORES IN POSTPARTUM MOTHERS DURING THE BREASTFEEDING PROCESS AFTER BEING EDUCATED WITH VIDEO AND MATERNAL AND CHILD HEALTH BOOK (MCH) Putriastuti, Widya; Febriani, Susanti; Nurlina, Entang Lina
Jurnal Kesehatan Budi Luhur : Jurnal Ilmu-Ilmu Kesehatan Masyarakat, Keperawatan, dan Kebidanan Vol. 18 No. 1 (2025): January 2025
Publisher : STIKes Budi Luhur Cimahi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62817/jkbl.v18i1.374

Abstract

Anxiety is a common issue experienced by postpartum mothers, and it can interfere with the lactation process. During the postpartum adaptation period, many mothers face psychological challenges, including heightened anxiety. This emotional state can disrupt the hormonal regulation of prolactin and oxytocin—two key hormones responsible for breast milk production—thereby slowing the milk release and making breastfeeding more difficult. A preliminary observation conducted at Independent Midwifery Practice (IMP) Purwanti involving five postpartum mothers found that three mothers who experienced mild anxiety had delayed milk production, while the two mothers without anxiety had faster milk flow. This study aimed to assess changes in anxiety levels among postpartum mothers after receiving breastfeeding education through two different methods: animated videos and the Maternal and Child Health (MCH) book. The descriptive-analytic study was conducted from February to April 2023, involving all postpartum mothers on day five at IMP Purwanti, totaling 32 participants. The participants were divided equally into two intervention groups. Group one received health education via animated videos, while group two received education through the MCH book, with 16 mothers in each group. The results showed that in the animated video group, all 16 mothers (100.0%) reported no anxiety after the intervention. In the MCH book group, 15 mothers (93.8%) reported no anxiety, and only 1 mother (6.3%) experienced mild anxiety. None experienced severe anxiety. These findings suggest that both animated videos and MCH books are effective educational tools for reducing postpartum anxiety. Health services should consider integrating innovative educational strategies into routine postpartum care. Keywords: Postpartum anxiety, Breastfeeding education video, Maternal and child health book  
Comprehensive Midwifery Care For Mrs. “Y” G3P2A0 Through The Use Of Perineal Massage Video To Prevent Perineal Laceration At Melong Asih Community Health Center Nabilah, Naifah; Putriastuti, Widya; Fatonah, Sofa; Maryati, Sri
Indonesian Health Journal Vol. 4 No. 3 (2025): Indonesian Health Journal
Publisher : Riviera Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58344/ihj.v4i3.741

Abstract

Vaginal delivery is often accompanied by anatomical changes in the perineum, one of which is perineal laceration, experienced by approximately 85% of women who give birth spontaneously. This laceration can affect the mother's recovery and quality of life during the postpartum period. Perineal massage can help prevent tears by increasing the elasticity of perineal tissue, preparing it for stretching during childbirth, and reducing the risk of tears. This study aims to provide comprehensive care using perineal massage techniques from pregnancy to prevent perineal lacerations. The method used is descriptive with a case study approach, data collection through interviews and physical examinations. The study subject was Mrs. "Y" G3P2A0, who received perineal massage from 36 weeks of pregnancy until childbirth. The results showed that perineal elasticity improved from the rigid category to the elastic category after regular perineal massage for 4 weeks prior to childbirth, with a frequency of 5 times per week. During childbirth, a contraction timer was used to monitor progress. During the postpartum period, mothers complained of sore nipples and were given breastfeeding techniques. Perineal massage had a significant effect in preventing perineal lacerations with a frequency of 5 times a week for 4 weeks before delivery. Perineal massage increased tissue elasticity, improved blood circulation, and trained relaxation during labor. Success is supported by the mother's compliance and proper massage technique. This care is expected to be applied to pregnant women up to the postpartum period.