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All Journal Jurnal Ners Science Midwifery JUKESHUM: Jurnal Pengabdian Masyarakat Journal of Applied Nursing and Health Excellent Midwifery Journal Prosiding Konferensi Nasional PKM-CSR Window of Midwifery Journal Jurnal Kesehatan LLDIKTI Wilayah 1 Jurnal Vokasi Kesehatan Indonesian Health Issue Jurnal Sains dan Kesehatan Jurnal Masyarakat Madani Indonesia Jurnal Pengabdian Kolaborasi dan Inovasi IPTEKS Jurnal Kabar Masyarakat Jurnal KeFis : Jurnal Kesehatan dan Fisioterapi Jurnal Anestesi: Jurnal Ilmu Kesehatan dan Kedokteran Student Research Journal Nursing Applied Journal Medical Laboratory Journal Jurnal Pengabdian Bidang Kesehatan Jurnal Kesehatan dan Kedokteran Jurnal Medika Husada Inovasi Kesehatan Global Natural: Jurnal Pelaksanaan Pengabdian Bergerak Bersama Masyarakat Journal of Public Health Science (JoPHS) Nusantara Mengabdi kepada Negeri Jurnal Siti Rufaidah
Aritonang, Ribur
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Religion Agriculture, Biological Sciences & Forestry Humanities Biochemistry, Genetics & Molecular Biology Chemistry Computer Science & IT Control & Systems Engineering Dentistry Economics, Econometrics & Finance Education Engineering Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Materials Science & Nanotechnology Medicine & Pharmacology Neuroscience Nursing Physics Public Health Social Sciences Veterinary

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Faktor – Faktor Yang Berkaitan Dengan Pemberian Vitamin A Pada Balita di Posyandu Desa Kelambir Kec. Pantai Labu Kab. Deli Serdang Tahun 2023 Teti Rimenda Samosir; Ribur Sinaga; Zulkarnain Batubara
Calory Journal Medical Laboratory Journal Vol. 1 No. 3 (2023): September : Medical Laboratory Journal
Publisher : LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/caloryjournal.v1i3.103

Abstract

Health problems related to nutrition due to lack of intake of vitamin A obtained from food in the body due to metabolic disorders in the body, especially in toddlers in Kelambir village, Pantai Labu Deli Serdang sub-district, therefore the aim of this research is to analyze the factors related to giving Vitamin A to Toddlers at Posyandu Kelambir Village, Pantai Labu District, Deli Serdang Regency in 2023. This type of research is quantitative with a cross sectional study design. The research was conducted in February-June 2023 with a sample of 31 toddlers using Random Sampling Technique. The population in this study were all mothers with toddlers (6-59 months) who visited the Kelambir Village posyandu February – June 2023. Data collection technique was questionnaire. The data analysis used was univariate and bivariate analysis with the Chi Square test. The research results showed that variables related to giving vitamin A to toddlers were the mother's knowledge variable value (p=0.007) and the toddler's activeness variable in visiting the posyandu value (p=0.018). Meanwhile, the variable that is not related is the role of value cadres (p=0.203). The conclusion is that there is a relationship between maternal knowledge and toddlers' activeness in visiting the posyandu with the provision of Vitamin A to toddlers at the posyandu in Kelambir Village, Pantai Labu District, Deli Serdang Regency in 2023.
Continuity of Midwifery Care for Mrs. C with Breast Engorgement at Deby Cyntya Independent Midwifery Practice: A Case Study Sopi Aribah Bancin; Ribur Sinaga; Marliani Marliani; Kamelia Sinaga; Deby Cyntia
Jurnal Ners Vol. 10 No. 3 (2026): JULI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i3.60992

Abstract

Background: Continuity of Care (CoC) is a comprehensive midwifery care model that provides continuous services from pregnancy, childbirth, postpartum, neonatal care, to family planning. Breast engorgement is one of the most common postpartum problems that may interfere with breastfeeding and reduce maternal comfort if not managed appropriately. Objective: This study aimed to describe the implementation of Continuity of Midwifery Care for Mrs. C with breast engorgement at Deby Cyntya Independent Midwifery Practice in 2026. Methods: This study employed a descriptive case study design using the Continuity of Care approach. Midwifery care was provided comprehensively from pregnancy, labor, postpartum, newborn care, to family planning services. Data were collected through interviews, physical examinations, observations, documentation, and review of medical records. Data analysis was conducted descriptively by comparing the findings with current evidence-based midwifery practices. Results: The implementation of Continuity of Midwifery Care was carried out comprehensively according to the standards of midwifery care. During the postpartum period, Mrs. C experienced breast engorgement, which was managed through breastfeeding education, correct breastfeeding techniques, breast care, warm compresses, oxytocin massage, and family support. Following the interventions, the mother's condition improved, breast engorgement decreased, breastfeeding became more effective, and no complications were identified throughout the continuity of care. Conclusion: Comprehensive Continuity of Midwifery Care contributes to the early detection and appropriate management of breast engorgement, promotes successful breastfeeding, and improves maternal and neonatal health outcomes during the postpartum period.
Comparison of Labor Duration by Parity Among Mothers at Rizki Clinic, Medan Tembung District Ribur Sinaga; Sari Khowajan Tondang; Eva Ratna Dewi; Marliani; Ali Imran Sirait; Dyanti SR Butarbutar
Jurnal Kesehatan dan Kedokteran Vol. 5 No. 1 (2026): Februari: Jurnal Kesehatan dan Kedokteran
Publisher : Asosiasi Dosen Muda Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56127/jukeke.v5i1.2599

Abstract

Prolonged labor remains an important clinical issue because it can increase maternal fatigue and the risk of complications during delivery. Parity is known to influence the progress of labor, yet stage-specific evidence comparing primiparous and multiparous mothers in primary care settings is still limited. Understanding these differences is essential to improve intrapartum monitoring and maternal support. Objective: This study aimed to compare labor duration between primiparous and multiparous mothers at Rizki Clinic, Medan Tembung District, and to identify which stages of labor contribute most to the observed differences. Method: This study employed a quantitative observational analytic approach with a cross-sectional design conducted from April to July 2024. The sample consisted of 30 mothers (15 primiparous and 15 multiparous) selected using predetermined inclusion and exclusion criteria. Data on labor duration were obtained through direct observation and medical records. Descriptive analysis and the Mann–Whitney U test were used to examine differences between groups. Findings: The overall mean labor duration was longer in primiparous mothers (10.60 hours) compared with multiparous mothers (5.13 hours). Stage-specific analysis showed a significant difference in the first stage (Kala I), with primiparous mothers averaging 10.24 hours (7–11 hours 30 minutes) and multiparous mothers 6.5 hours (4–8 hours 45 minutes) (p = .000). No statistically significant differences were found in the second stage (mean 19 vs 15 minutes; p = .065) or the third stage (mean 10 vs 7 minutes; p = .086). Implications: The findings highlight the importance of focused monitoring and supportive care during the first stage of labor, particularly for primiparous mothers, to reduce anxiety and prevent prolonged labor. The results can inform clinical practice in primary care settings to improve labor management strategies. Originality/Value: This study provides stage-based comparative evidence on labor duration using clinic-level data, offering practical insight into parity-related differences and contributing to improved intrapartum care planning.
Pemberdayaan Ibu Hamil dalam Pencegahan Kekurangan Energi Kronik (KEK) melalui Edukasi Kesehatan di BPM Deby Cintya Yun Eva Ratna Dewi; Ribur Sinaga; Nur Azizah; Ali Imran Sirait; Intan Aulia Zahra
Jurnal Masyarakat Madani Indonesia Vol. 5 No. 1 (2026): Februari
Publisher : Alesha Media Digital

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59025/s65vac84

Abstract

Ibu hamil merupakan kelompok yang rentan terhadap masalah gizi, terutama Defisiensi Energi Kronis, yang dapat berdampak buruk pada kesehatan ibu dan janin, termasuk peningkatan risiko komplikasi kehamilan, stunting, dan berat badan lahir rendah. Meskipun berbagai upaya telah dilakukan untuk meningkatkan gizi, masalah Defisiensi Energi Kronis masih kurang diteliti di BPM Deby Cyntia Yun, yang menunjukkan bahwa program pencegahan dan promosi tidak selalu efektif dalam memenuhi kebutuhan masyarakat umum. Situasi ini dipengaruhi oleh beberapa faktor, termasuk status sosial ekonomi keluarga, paritas, dan tingkat keparahan penyakit menular.Kegiatan pengabdian kepada masyarakat ini dilaksanakan dengan pendekatan edukatif dan partisipatif yang bertujuan meningkatkan pengetahuan dan kesadaran ibu hamil dalam pencegahan KEK. Sasaran kegiatan adalah 20 ibu hamil yang aktif melakukan pemeriksaan kehamilan di BPM Deby Cyntia Yun. Metode pelaksanaan meliputi tahapan identifikasi masalah, pemberian edukasi gizi dan kesehatan, serta evaluasi kegiatan. Identifikasi awal dilakukan melalui wawancara terstruktur dan kuesioner sederhana untuk menggali karakteristik dan faktor risiko KEK. Hasil evaluasi pengetahuan ibu hamil sebelum dan sesudah kegiatan edukasi di BPM Deby Cyntia Yun menunjukkan peningkatan yang signifikan. Pada pretest, mayoritas ibu hamil memiliki pengetahuan kurang (85%), sedangkan cukup 10% dan baik 5%. Setelah diberikan edukasi, jumlah ibu hamil dengan pengetahuan baik meningkat menjadi 80%, cukup 5%, dan yang kurang menurun menjadi 15%. Temuan ini menunjukkan bahwa edukasi kesehatan yang dilakukan secara partisipatif mampu meningkatkan pemahaman ibu hamil mengenai pencegahan Kekurangan Energi Kronik (KEK), sekaligus mendorong kesadaran dan kesiapan mereka dalam menerapkan perilaku gizi sehat selama kehamilan. Kegiatan ini menghasilkan pemetaan awal faktor risiko KEK yang dapat digunakan sebagai dasar tindak lanjut program kesehatan ibu secara berkelanjutan dengan melibatkan tenaga kesehatan setempat
A Continuity of Care Approach in Managing Grade II Hyperemesis Gravidarum During Pregnancy: A Case Study at an Independent Midwifery Practice in North Sumatra, Indonesia Deli Putriani Nasution; Ribur Sinaga; Riska Susanti Pasaribu; Kamelia Sinaga; Desna Elfita
Jurnal Ners Vol. 10 No. 3 (2026): JULI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i3.61142

Abstract

Background: Continuity of Midwifery Care (CoMC) is a woman-centered approach that provides integrated and continuous care throughout pregnancy, childbirth, the postpartum period, newborn care, and family planning. Hyperemesis gravidarum is a severe pregnancy-related condition characterized by persistent nausea and vomiting that may lead to dehydration, nutritional deficiencies, and adverse maternal and fetal outcomes if not appropriately managed. Objective: This study aimed to describe the implementation of Continuity of Midwifery Care for a pregnant woman diagnosed with Grade II hyperemesis gravidarum at an independent midwifery practice in Medan, North Sumatra, Indonesia. Methods: A descriptive case study design was employed. Comprehensive midwifery care was provided using the seven-step Helen Varney midwifery management framework and documented through the Subjective, Objective, Assessment, and Plan (SOAP) approach. The continuity of care covered antenatal care, labor and delivery, postpartum care, newborn care, and family planning services. Results: The client was diagnosed with Grade II hyperemesis gravidarum at 20 weeks of gestation and received comprehensive antenatal management through four antenatal care visits. The pregnancy progressed without major complications following appropriate midwifery interventions. The client delivered a healthy female infant through spontaneous vaginal birth on February 8, 2026. During the postpartum period, both mother and newborn remained in good health, breastfeeding was successfully established, and the mother selected the Lactational Amenorrhea Method (LAM) as postpartum contraception. No significant maternal or neonatal complications were identified throughout the continuum of care. Conclusion: The implementation of Continuity of Midwifery Care contributed to optimal maternal and neonatal outcomes in this case of Grade II hyperemesis gravidarum. The care provided was consistent with established midwifery management principles, and no discrepancies were identified between theoretical guidelines and clinical practice. This case highlights the importance of continuous, comprehensive, and individualized midwifery care in improving maternal and newborn health outcomes.
Continuous Midwifery Care (Continuity Of Care) For A Pregnant Woman With Grade Ii Hyperemesis Gravidarum: A Case Study At An Independent Midwifery Practice In Medan Amplas, North Sumatra, Indonesia, 2026 Abel Amanda; Rosmani Sinaga; Ribur Sinaga; Kamelia Sinaga; Juniarsih Juniarsih
Jurnal Ners Vol. 10 No. 3 (2026): JULI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i3.61296

Abstract

Hyperemesis gravidarum is characterized by severe and persistent nausea and vomiting during pregnancy, which may lead to fluid and electrolyte imbalance and adversely affect maternal and fetal health if not managed appropriately. Continuity of Midwifery Care (CoMC) is a comprehensive and continuous care approach that aims to ensure optimal maternal and neonatal health outcomes throughout pregnancy, childbirth, the postpartum period, neonatal care, and family planning. Objective this case study aimed to implement Continuity of Midwifery Care for a pregnant woman with Grade II hyperemesis gravidarum at an independent midwifery practice in Medan Amplas, North Sumatra, Indonesia. Methods a descriptive case study design was employed using Helen Varney’s seven-step midwifery management approach and SOAP documentation. Data were collected through interviews, direct observation, physical examination, and review of clinical documentation. Results the participant was a 22-year-old primigravida (G1P0A0) at 26 weeks of gestation who presented with excessive nausea and vomiting occurring approximately eight times daily, accompanied by weakness, dizziness, weight loss, hypotension (90/70 mmHg), sunken eyes, and pale lips. These clinical findings supported the diagnosis of Grade II hyperemesis gravidarum. Continuous midwifery care, including comprehensive assessment, health education, nutritional counseling, symptom management, and regular follow-up, resulted in improvement of maternal condition throughout pregnancy and continuity of care until the postpartum and family planning periods. Conclusion the implementation of Continuity of Midwifery Care effectively improved maternal monitoring and the quality of healthcare services for women with Grade II hyperemesis gravidarum. This approach facilitated comprehensive, continuous, and individualized care throughout the maternal continuum. ring pregnancy, which may lead to fluid and electrolyte imbalance and adversely affect maternal and fetal health if not managed appropriately. Continuity of Midwifery Care (CoMC) is a comprehensive and continuous care approach that aims to ensure optimal maternal and neonatal health outcomes throughout pregnancy, childbirth, the postpartum period, neonatal care, and family planning. Objective: This case study aimed to implement Continuity of Midwifery Care for a pregnant woman with Grade II hyperemesis gravidarum at an independent midwifery practice in Medan Amplas, North Sumatra, Indonesia. Methods: A descriptive case study design was employed using Helen Varney’s seven-step midwifery management approach and SOAP documentation. Data were collected through interviews, direct observation, physical examination, and review of clinical documentation. Results: The participant was a 22-year-old primigravida (G1P0A0) at 26 weeks of gestation who presented with excessive nausea and vomiting occurring approximately eight times daily, accompanied by weakness, dizziness, weight loss, hypotension (90/70 mmHg), sunken eyes, and pale lips. These clinical findings supported the diagnosis of Grade II hyperemesis gravidarum. Continuous midwifery care, including comprehensive assessment, health education, nutritional counseling, symptom management, and regular follow-up, resulted in improvement of maternal condition throughout pregnancy and continuity of care until the postpartum and family planning periods. Conclusion: The implementation of Continuity of Midwifery Care effectively improved maternal monitoring and the quality of healthcare services for women with Grade II hyperemesis gravidarum. This approach facilitated comprehensive, continuous, and individualized care throughout the maternal continuum.
Co-Authors Abel Amanda Adelia Syintana Adi Yusuf Muttaqien Ali Imran Sirait Amelia Erawaty Siregar Anna Waris Nainggolan Asnita Sinaga Astaria Br Ginting Astaria Br. Ginting Astaria Ginting Azri Yani Bancin, Sopi Aribah Berutu, Imel Butar Butar, Dyanti SR Cut Karlina Damanaik , Nopalina Suryanti Damanik, Nopalina Damanik, Nopalina Suyanti Deby Cyntia Deby Cyntia Yun Deli Putriani Nasution Deltis, Clara Desna Elfita Devita Purnama Sari Dewi, Eva Ratna Dina Afriani Dyanti SR Butarbutar Edy Marjuang Elsa Dela Vista Marbun Elvis Simanjuntak Ernamari Ernamari Ertilida, Yusnita Eva Ratna Dewi Eva Ratna dewi Febriana Sari, Febriana Fitri Handayani Fitri Muliani Kristina Gulo Flora Sinaga Ginting, Astaria Br Gulo, Marpiani Heny Rista Humaida Humaida Imarina Tarigan Imarina Tarigan Imran Saputra Surbakti Imran Saputra Surbakti Intan Aulia Zahra Isa Bella Simanjuntak Juliana Munthe Juniarsih Juniarsih Jusrita Sari Kamelia Sinaga KAMELIA SINAGA Lia Nurpiani Lisdayanti Simanjuntak Lubis, Resma Dewi Lusiatun Magdalena Barus Manalu, Veronika Manurung, Basaria Manurung, Herna Rinayanti Maria Magdalena Markus Doddy Markus Doddy Simanjuntak Marliani Marliani Marliani Marliani Marliani Maulidya Khairani Maysarah Nasution Merrygrace Simanjuntak Miftasari, Kiki Muttaqien, Adi Yusuf Natalia, Febi Nopalina S Damanik Nopalina Suyanti Damanik Nopalina Suyanti Damanik Nova Isabella Napitupu Nur Azizah Nur Azizah Lubis Nurmalina Hutahaean Pangaribuan, Ingka Kristina Parningotan Simanjuntak PARNINGOTAN SIMANJUNTAK Pasaribu, Novalita Eudia Pasaribu, Riska Susanti Pinem, Srilina Plora Novita Febrina Sinaga Purba, Edy Marjuang Purnamasari, Eka Ridesman Rini Puspa Sari Riska Susanti Pasaribu Rohhasianti Sagala Rumondang Sitorus Rumondang Sitorus Sagala, Rohhasianti Sari Khowajan Tondang Satrimi, Satrimi seh malem Septimeliani Sihaloho Sihombing, Putri Aprilia Silaban, Nurmala SIMANJUNTAK, PARNINGOTAN SINAGA, KAMELIA SINAGA, PLORA NOVITA FEBRINA SINAGA, ROSMANI Sinaga, Siti Nurmawan Sinuhaji, Lidya Natalia Br Siska Suci Ginting Sitorus , Rumondang Situmorang, Friza Novita Sari Sobriyah Sobriyah Sobriyah Sobriyah Sonia Novita Sari Sopi Aribah Bancin Sri Muliana Putri Bakara Srilina Br Pinem Surbakti, Imran Saputra Syahputri, Asry Febrina Teti Rimenda Samosir Tobing, Rati Aksari Lumban Vitalia Hanako Murni Simanjuntak Yannti, Yuli Yesica Geovani Sianipar Yun, Deby Cyntia Zulkarnain Batubara