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All Journal Indonesian Journal of Global Health research Madu : Jurnal Kesehatan Jurnal Keperawatan Florence Nightingale Journal Midwifery Jurusan Kebidanan Politeknik Kesehatan Gorontalo An Idea Health Journal Homes Journal: Hospital Management Studies Journal Karya Kesehatan Siwalima Pasapua Health Journal Indonesian Journal Nursing and Health Care Journal of Evidence-Based Community Health Midwife Care Journal
Ghita, Dwi
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Chemistry Dentistry Education Health Professions Languange, Linguistic, Communication & Media Medicine & Pharmacology Nursing Physics Public Health Veterinary Other

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The Marmet Technique as an Effort to Improve Breast Milk Production in Postpartum Mothers Yuliandini, Astri; Ghita, Dwi; Azis, Reskiawati; Ani, Ani
Karya Kesehatan Siwalima Vol 4, No 2 (2025): September
Publisher : Lembaga Penerbitan Fakultas Kesehatan, Universitas Kristen Indonesia Maluku

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54639/kks.v4i2.1678

Abstract

The Marmet technique, which combines breast expression and massage, is designed to stimulate the breast milk ejection reflex. This method is believed to enhance the smooth flow of breast milk in postpartum mothers, but requires scientific validation. This study aimed to examine the effect of the Marmet technique on breastfeeding smoothness among postpartum mothers in the working area of the Watunohu Health Center, North Kolaka Regency. A quasi-experimental design with a two-group post-test only approach was employed. The study involved 32 postpartum mothers, divided into an intervention group (n=16) and a control group (n=16) through purposive sampling. The intervention group received the Marmet technique according to standard operating procedures (SOP), while the control group did not receive any treatment. Breastfeeding smoothness was assessed using a questionnaire covering eight indicators. Data were analyzed with the Mann-Whitney test, with a significance level set at p 0.05. On the fourth day postpartum, exclusive breastfeeding smoothness was achieved in 62.5% of mothers in the intervention group compared to only 18.8% in the control group. The Mann-Whitney test yielded a p-value of 0.017 (0.05), indicating a statistically significant effect of the Marmet technique. These findings demonstrate that the Marmet technique results in a significant increase in exclusive breastfeeding rates among postpartum mothers. It is recommended that healthcare providers in maternal and child health services adopt this technique as part of routine interventions to promote successful breastfeeding.
HUBUNGAN PENDIDIKAN DENGAN PEMBERIAN IMUNISASI DASAR PADA BAYI DI PMB TUTI AGUSTINA, S.ST. RISKA REVIANA; RIZKI, ANDI MUSTIKA FADILAH; GHITA, DWI; SA’DIAH, AAN
Midwife Care Journal Vol. 1 No. 1 (2024): MICARE (Midwife Care Journal)
Publisher : Universitas Bhakti Asih Tangerang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.65344/micare.v1i1.18

Abstract

Latar Belakang : Imunisasi dasar merupakan pemberian awal imunisasi, sasarannya yaitu bayi baru lahir sampai usia 12 bulan yang meliputi imunisasi hepatitis B, BCG (Bcille, Calmette, Guerin), DPT-HB-Hib, polio dan campak. Imunisasi dasar juga merupakan salah satu upaya agar mencapai kadar ketahanan di atas tahap perlindungan. Salah satu faktor yang berhubungan dengan kelengkapan imunisasi dasar lengkap yaitu pendidikan ibu. Tujuan : Untuk mengetahui faktor pendidikan ibu yang berhubungan dengan kelengkapan imunisasi dasar pada bayi di PMB Tuti Agustina S.ST. tahun 2021. Metode : Jenis penelitian ini adalah deskriptif analitik dengan pendekatan pendekatan cross sectional. Populasi dalam penelitian ini adalah seluruh ibu yang memiliki bayi yang akan diberikan imunisasi lengkap atau sudah lengkap pada periode Maret – Mei 2021 sebanyak 35 orang. Teknik samplingnya adalah total populasi. Hasil : dari hasil penelitian dianalisis menggunakan chi-square diketahui bahwa ada hubungan yang bermakna antara ada hubungan yang bermakna antara pendidikan dengan kelengkapan imunisasi dasar p value = 0,001, ada hubungan yang bermakna antara pekerjaan dengan kelengkapan imunisasi dasar p value = 0,003. Kesimpulan : Hasil penelitian menunjukan bahwa ada hubungan yang bermakna antara pendidikan ibu dengan pendidikan di PMB Tuti Agustina, S.ST. Diharapkan bagi petugas kesehatan khusunya bidan agar dapat lebih meningkatkan pengetahuan ibu khususnya yang memiliki bayi tentang pentingnya imunisasi dasar.
Optimization of Newborn Care to Prevent Postbirth Health Disorders Ghita, Dwi; Suhartini, Suhartini; Mustafa, Sri Resky
Journal of Evidence-Based Community Health Vol. 1 No. 1 (2024): Journal of Evidence-Based Community Health
Publisher : CV. Paperhome Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.1234/s7kfe769

Abstract

Newborn babies (BBL) are babies aged 0 to 28 days who are able to develop with full adaptation from intrauterine to extrauterine life. Newborn babies are very vulnerable to health problems and must receive optimal care or midwife services. Apart from receiving care for newborns, the need for optimal early detection, prevention of complications and neonatal emergencies in accordance with midwifery management as a standard for health workers must also be carried out. Outreach activities regarding optimizing care for newborns in increasing the knowledge of midwives, mothers and the community regarding health problems that babies can experience after birth into the world. This is closely related to neonatal emergencies. The target of this PKM activity is to know and understand the positive impacts associated with providing optimal care for newborns
The Nutritional Status Conseling of Toddler in The Practice of Midewife Independent Siti Rahayu, S.Tr.Keb Reviana, Riska; Ghita, Dwi; Rizki, Andi Mustika Fadillah
Journal of Evidence-Based Community Health Vol. 1 No. 1 (2024): Journal of Evidence-Based Community Health
Publisher : CV. Paperhome Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.1234/1tf66h11

Abstract

Good nutrition is needed in their early life. The first five years of life play a major role in physical development and brain development, so good nutrition is very important at this age. Toddler age is the age group that most often experiences malnutrition. Malnutrition in toddlers can have an unavoidable negative impact, where the worst manifestations can cause death. The purpose of this activity is to provide knowledge about nutrition in toddlers so that the community can be motivated to improve nutrition in toddlers. The implementation method used lectures, discussions, and questions and answers. The results of this activity obtained that residents who attended the counseling event understood and understood about nutrition in toddlers, managing food and types of food that contain nutrition in toddlers. The evaluation and impact of this activity are mothers who have toddlers in the area of PMB Siti Rahayu, S.Tr.Keb (± 30 people), the process is carried out by looking at the participants' responses through questions asked or feedback given in the discussion.
Introduction to handling danger signs of pregnancy in pregnant women in an effort to reduce maternal mortality cases at the Plamboyan IV Posyandu Suhartini, Suhartini; Ani, Ani; Ghita, Dwi; Eppang, Yudiarsi
Journal of Evidence-Based Community Health Vol. 1 No. 2 (2024): Journal of Evidence-Based Community Health
Publisher : CV. Paperhome Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.1234/97k97a56

Abstract

Prevention of maternal mortality is one of the most important goals of maternal and neonatal services. The Maternal Mortality Rate (MMR) is one of the important indicators of public health. The causes are bleeding, hypertension in pregnancy, infection, abortion and prolonged labor. The results of the activity show that mothers and families are active in participating in counseling and the results of health examinations still find pregnant women in the high-risk category. Until now, the maternal mortality rate (MMR nashi is around 305 per 100,000 live births, the target of 183 per 100,000 live births in 2023 has not been achieved. Likewise, babies and toddlers still have to be saved from death.
Efektivitas Pemberian Air Kelapa Muda (Hijau) Terhadap Lama Kala Ii Pada Ibu Intranatal Saleng, Hasriani; Ghita, Dwi; Sampara, Nurqalbi; K, Rahayu Eryanti
Madu : Jurnal Kesehatan Vol 12, No 1 (2023): Juni 2023
Publisher : Program Studi DIV Kebidanan Fakultas Ilmu Kesehatan Universitas Muhammadiyah Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31314/mjk.12.1.92-97.2023

Abstract

Prolonged labor is a risk factor for maternal and infant mortality. Labor progresses through four phases, with stage II being the second to last. The administration of young (green) coconut water to intranasal women was investigated to see if it would increase the duration of the second stage. This study aimed to determine whether consuming young coconut water during labor can reduce the length of stage II in intrapartum women. A Quasi-Experimental design with a post-test-only control group was used for this investigation. Thirty-four residents of RSIA Puskesmas bara-baraya were randomly selected and divided into two groups: those given young coconut water and those given a placebo. Of the total 34 respondents, it was determined by Independent T-Test analysis that 16 (47.1%) of the Old Stage II intervention group experienced fast, and 1 (2.9%) experienced slow. In contrast, among those who took the control group survey, the fastest response time was 2.9%, and the slowest was 47.1%. Giving young (green) coconut water to laboring mothers is effective in increasing intranasal maternal strength in long-stage II labor, so it is recommended for health workers to further improve care for laboring mothers by making contractions (labor) effective in non-pharmacological ways.
Analisis Faktor Risiko Kematian Neonatal pada Era Pasca-Pandemi di Indonesia Tahun 2025 Ghita, Dwi; Yuliandini, Astri; Riska Reviana
Midwife Care Journal Vol.2 No.2 (Nov 2025)
Publisher : Universitas Bhakti Asih Tangerang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.65344/micare.v2i2.157

Abstract

Kematian neonatal masih menjadi tantangan kesehatan masyarakat yang signifikan di Indonesia, terutama pada era pasca-pandemi yang membawa perubahan besar terhadap sistem pelayanan kesehatan ibu dan anak. Penelitian ini bertujuan untuk menganalisis faktor-faktor risiko utama yang berkontribusi terhadap kematian neonatal pada tahun 2025 dengan menggunakan desain observasional analitik pendekatan cross-sectional. Penelitian dilaksanakan pada beberapa rumah sakit daerah dan puskesmas di Indonesia selama Januari hingga September 2025 dengan total sampel 500 bayi yang dipilih menggunakan teknik purposive sampling. Data diperoleh melalui rekam medis, register persalinan, serta catatan layanan neonatal, yang mencakup variabel maternal, neonatal, dan akses layanan kesehatan. Hasil penelitian menunjukkan bahwa proporsi bayi dengan berat badan lahir rendah mencapai 32%, sedangkan 27% mengalami gangguan pernapasan pada awal kehidupan. Selain itu, 24% ibu tercatat mengalami infeksi selama kehamilan, dan 30% persalinan dilakukan tanpa kehadiran tenaga kesehatan terlatih. Analisis regresi logistik mengungkapkan bahwa faktor risiko paling signifikan terhadap kematian neonatal adalah berat badan lahir rendah (OR = 4,21), gangguan pernapasan (OR = 3,74), infeksi maternal (OR = 2,89), tidak dilakukan inisiasi menyusu dini (OR = 2,42), serta rendahnya akses pelayanan kesehatan (OR = 2,11). Temuan ini menegaskan bahwa risiko kematian neonatal sangat dipengaruhi oleh kondisi biologis bayi, kesehatan maternal, serta kualitas layanan kesehatan yang diterima sebelum, saat, dan sesudah persalinan. Penelitian ini menekankan pentingnya penguatan layanan antenatal, peningkatan kapasitas tenaga kesehatan, optimalisasi praktik perawatan neonatal, serta perluasan akses layanan kesehatan berkualitas sebagai strategi kunci untuk menurunkan angka kematian neonatal di Indonesia pada era pasca-pandemi.
Co-Authors Andi Mustika Fadillah Rizki Andi Sulfikar Andi Sulfikar ani ani Azis, Reskiawati Ekayanti, Ekayanti Eppang, Yudiarsi H, Hasrida J, Jusmawati K, Rahayu Eryanti Marina Marina Mustafa, Sri Resky Nurhidaya Nurhidaya Restika, Indah Reviana, Riska RISKA REVIANA Riska Reviana RIZKI, ANDI MUSTIKA FADILAH Saleng, Hasriani Sampara, Nurqalbi SA’DIAH, AAN SITI MARYAM Suhartini Suhartini Sukrang Sukrang, Sukrang Talib, Safitria Aini Umi Kalsum Yuliandini, Astri Yunita, Yunita Carolina