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Perilaku Sadari (Periksa Payudara Sendiri) pada Mahasiswa Tingkat II Prodi DIII Kebidanan di STIKes Karya Husada Semarang Dyah Ayu Wulandari; Lestari Puji Astuti; Martina Dewi Megasari
Jurnal SMART Kebidanan Vol 3, No 2 (2016): Desember 2016
Publisher : Universitas Karya Husada Semarang

Latar Belakang : SADARI merupakan salah satu langkah deteksi dini untuk menemukan adanya kelainan pada payudara sehingga dengan pemeriksaan payudara sendiri maka kemungkinan adanya perubahan atau kelainan pada payudara diharapkan bisa dideteksi secara dini dan prognosisnya akan lebih baik lagi jika dilakukan pengobatan lebih awal. Tujuan : Mengeksplorasi perilaku SADARI pada mahasiswa tingkat II Prodi D III Kebidanan di STIKES Karya Husada Semarang tentang pengetahuan SADARI, keteraturan pelaksanaan SADARI, teknik melakukan SADARI, hambatan melakukan SADARI. Metode : Penelitian ini menggunakan metode kualitatif dengan pendekatan fenomenologi. Teknik pengumpulan data dengan wawancara mendalam. Jumlah partisipan 3 mahasiswa tingkat II prodi D III Kebidanan yang pernah melakukan SADARI di STIKES Karya Husada Semarang. Hasil : Pengetahuan mahasiswa tentang SADARI sudah baik. Keteraturan mahasiswa dalam melaksanakan SADARI masih belum teratur setiap bulan serta melakukan SADARI ketika mengingatnya saja. Teknik SADARI mahasiswa sudah baik, memeriksa dari payudara sampai ketiak, jika ada kelainan segera memeriksakannya. Hambatan dalam melakukan SADARI yaitu sering lupa, solusi yang dilakukan yaitu membuat pengingat atau agenda. Kata Kunci : Perilaku; SADARI PHENOMENOLOGY STUDY OF BSE (BREAST SELF EXAMINATION) BEHAVIOUR ON STUDENTS LEVEL II OF DIPLOMA III OF MIDWIFERY AT KARYA HUSADA HEALTH SCIENCE COLLEGE SEMARANG ABSTRACT Background : BSE is one of methods early detection to find any abnormalities in the breast so that the breast self examination the possibility of changes or abnormalities in the breast are expected to be detected early and the prognosis would be better if done early treatment. Purpose : To explore the BSE behaviour on students level II of Diploma III of Midwifery at Karya Husada Health Science College Semarang, the regularity of the implementation of the BSE, techniques perform BSE, barriers perform BSE. Method : The research used qualitative method with phenomenological approach. The data collection techniques with in-depth interviews. Number of participants 3 sophomore II Program DIII Midwifery ever perform BSE in STIKES Karya Husada Semarang. Result : The results of in-depth interviews in participants obtained information about Student knowledge about BSE has been good. Regularity of students in conducting BSE is still not regularly perform breast self-exam every month and when remembering it. BSE engineering students has been good, checking of the breast to the armpit, if there is any abnormality checked immediately. Barriers to BSE that is often forgotten, solutions do is make a reminder or agenda. Keywords : Behavior; BSE

Perbedaan Efektifitas Pijat Perineum dan Supercrowning terhadap Derajat Ruptur Perineum pada Ibu Bersalin Primipara Lestari Puji Astuti; Sri Harmiati; Tri Ismu Pujianto
Jurnal SMART Kebidanan Vol 7, No 1 (2020): Juni 2020
Publisher : Universitas Karya Husada Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34310/sjkb.v7i1.343

ABSTRAKRuptur perineum merupakan robekan pada perineum yang terjadi pada saat bayi lahir secara spontan maupun menggunakan alat atau tindakan. Ruptur perineum pada primipara terjadi karena kondisi perineum kaku, jalan lahir belum pernah dilewati oleh bayi. Upaya pencegahan ruptur perineum bisa dilakukan dengan cara pijat perineum dan supercrowning. Tujuan Penelitian untuk mengetahui perbedaan efektifitas pijat perineum dan supercrowning terhadap derajat ruptur perineum . Jenis penelitian adalah quasi experiment, desain penelitian menggunakan post-test only control group. Populasi Penelitian ini adalah ibu bersalin primipara di UPT Puskesmas Kragan II sebanyak 59 ibu bersalin. Sampel Penelitian ini adalah ibu bersalin primipara sebanyak 36 ibu bersalin dengan accidental sampling. Analisa data menggunakan Mann Whitney untuk melihat adanya perbedaan efektifitas pijat perineum dan supercrowning terhadap derajat ruptur perineum pada ibu bersalin primipara. Hasil penelitian nilai mean rank pada kelompok yang diberikan perlakuan pijat perineum 12,33 dan pada kelompok yang diberikan perlakuan supercrowning 24,67 dan nilai p-value=0,000 (<0,05). Ada perbedaan efektifitas pijat perineum dan supercrowning terhadap derajat ruptur perineum pada ibu bersalin primipara. Pijat perineum lebih efektif mencegah derajat ruptur perineum pada ibu bersalin primipara.Kata kunci: pijat perineum; supercrowning; ruptur perineum. EFFECTIVENESS DISTICNTION OF PERINEUM MASSAGE AND SUPERCROWNING TOWARDS DEGREE OF PERINEUM RUPTURES IN PRIMIPARA MOTHERS ABSTRACTPerineal rupture is a tear in the perineum that occurs when a baby is born spontaneously or uses tools or actions. Perineal ruptur in primipara occurs because of a rigid perineum, the birth canal has never been passed by the baby causing ruptur of the perineum. The efforts to prevent perineal rupture can be done by massaging the perineum and supercrowning. The purpose of this study was to determine the differences in the effectiveness of perineal massage and supercrowning on the level of perineal rupture. The type of research used is quasi experiment. The design of this study used a post-test only control group. The population of this research was 59 primiparous mothers in Kragan II Health Center. The sample of this research was 36 primiparous mothers. Sampling technique in this study used accidental sampling. Data analysis used Mann Whitney to see differences in the effectivness of perineum massage and supercrowning on the level of perineal ruptur in primiparaous mothers. Mean rank in the interventionof perineal massage is 12,33, while in supercrowning group is 24.67 and p-value = 0,000 (<0.05). There is a difference in the effectiveness of perineum massage and supercrowning on the level of perineal rupture in primiparous mothers. From the results of this study the perineum massage is more effective in preventing the level of perineal rupture in primiparous maternal Keywords: perineum massage; supercrowning; perineum rupture

Application Of The WBZ (Warm Belt Zinger) Method To The Intensity Of Labor Pain At The BL 31-32 Meridian Points In PMB Semarang City Lestari Puji Astuti; Poppy Fransisca Amelia; Heny Wijayanti; Sa’adah Mujahidah
Health Notions Vol 4, No 11 (2020): November
Publisher : Humanistic Network for Science and Technology (HNST)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hn41105

The research purposes to find out the effectiveness of WBZ (Warm Belt Zinger) and warm compresses at the meridian points BL 31 and 32 on the intensity of labor pain during. The pain that a woman experiences while entering labor is a physiological process. Labor pain is the most severe thing felt by women throughout their life. Non-pharmacological efforts are needed to reduce labor pain. Types of research was quasi-experiment with pretest-posttest with control design. The sampling technique used was accidental sampling with sample size of 30 people and divided into two groups intervention WBZ n=15 and control (warm compress) n=15. The subjects were the mothers who gave birth in were in the first phase of the active phase (4-10 cm opening). There was differences in first time pain in the maternity before and after the WBZ group (p-value = 0.000). There was a difference in first-time pain in the maternity before and after in the warm compress (p-value = 0.000). Statistical test results WBZ and warm compresses are effective for decrease the pain in first stage labor (p-value = 0.001). WBZ and warm compresses effective to reduce labor pain in the first stage. Keywords: ginger compress; warm compress; meridian points bl 31 and 32; intensity of labor pain

EFEKTIVITAS MASSAGE EFFLEURAGE DAN TERAPI MUSIK TERHADAP PENURUNAN TEKANAN DARAH PADA IBU BERSALIN DENGAN PRE EKLAMSI Lestari Puji Astuti; Zuliah Zuliah; Tri Ismu Pujiyanto
Jurnal Ilmu Keperawatan dan Kebidanan Vol 11, No 1 (2020): JURNAL ILMU KEPERAWATAN DAN KEBIDANAN
Publisher : Universitas Muhammadiyah Kudus

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26751/jikk.v11i1.782

ABSTRACTBackground: According to the Indonesian Health Demographic Survey (IDHS) in 2017, the direct cause of the maternal mortality rate (MMR) of 30% was preeclampsia. Preeclampsia can be treated pharmacologically and non pharmacologically. Non-pharmacological treatment is a natural treatment including effluerage massage and music therapy.Objective: To identify and analyze differences in blood pressure reduction in pre-eclampsia mothers before and after massage effleurage and music therapy in the Kragan II Puskesmas maternity room.Methods: The study design used the Two Group Post Test With Control Design. Sampling by accidental sampling. Sampling in this study were 40 women with preeclampsia. Test results using the Mann-Whitney test.Results: With effluarge massage the average blood pressure value was 22.0 while in music therapy 19.00 and obtained ρ was 0.002 (<0.05). So Ho refused Ha accepted, which means there are differences in the effectiveness of massage effleurage and music therapy to reduce blood pressure in mothers giving birth with pre-eclampsia in health center II.Conclusion: Massage effleurage is more effective when compared to music therapy in reducing maternal blood pressure. It is expected that health workers to implement an effleurage massage program in women with preeclampsia. Keywords: Massage effleurage, Music Therapy, Preeclampsia

PERAN DAN FUNGSI BIDAN DALAM PELAKSANAAN INFORMED CONSENT PADA KEGAWAT DARURATAN OBSTETRI DI PUSKESMAS Lestari Puji Astuti; Dita Wasthu Prasida; Putri Kusuma Wardhani
Jurnal Kebidanan VOLUME 09.No.02 DESEMBER 2017
Publisher : Sekolah Tinggi Ilmu Kesehatan Estu Utomo Boyolali

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35872/jurkeb.v9i02.313

ABSTRAKLatarÂ belakang : Penyebab langsung kematian ibu antara lain komplikasi pada kehamilan, persalinan, dan nifas yaitu perdarahan (30-35%), eklamsi (28,76%), infeksi (20-25%), gestosis (15-17%) (Sarwono Prawiroraharjo.2008) Perdarahan dan eklamsi merupakan kasus kegawatdaruratan yang memerlukan tindakan bidan secara cepat dan tanggap. Masalah muncul ketika tindakan yang diambil memiliki risiko yang cukup besar, sehingga mengharuskan bidan untuk meminta persetujuan tindakan medis (informed consent). Tujuan : Mengeksplorasi persepsi bidan tentang peran dan fungsi bidan sebagai pelaksana, pengelola, pendidik dan penelitiÂ pada tindakan kegawatdaruratan. Metode Penelitian : Penelitian ini menggunakan metode kualitatif. Teknik pengumpulan data dengan wawancara mendalam. Jumlah informan adalah 3 Bidan yang bekerja di Puskesmas wilayah Dinas Kesehatan Kota Semarang. Hasil: Hasil wawancara mendalam pada informan didapatkan informasi tentang Persepsi bidan dalam pengertian informed consent yaitu persetujuan dalam melakukan tindakan kegawatdaruratan, peran dan fungsi bidan sebagai pelaksana khusunya melaksanakan tugas mandiri, peran dan fungsi bidan sebagai pengelola dalam mengembangkan pelayanan kesehatan ibu dan anak, peran dan fungsi bidan sebagai pendidik dengan mewujudkan sebagai role model untuk anak didik, peran dan fungsi bidan sebagai peneliti baik secara langsung atau tidak langsung melalui identifikasi. Saran :Â untuk bidan agar memahami peran dan dan fungsinya sebagaiÂ bidan di puskesmas, bagi puskesmas memaksimalkan tenaga kesehatannya khusunya bidan.Â Kata kunci : informed consent, peran dan fungsi bidanDaftar Pustaka: 24Â (2008-2015)Â ROLE AND FUNCTION OF THE MIDWIFE IN THE IMPLEMENTATION OF THE INFORMED CONSENT IN HEALTH EMERGENCIES OBSTETRIC COMMUNITY HEALTH CENTERSÂ ABSTRACTBackground: The immediate causes of maternal mortality include complications in pregnancy, childbirth, and puerperal bleeding (30-35%), eclampsy (28.76%), infection (20-25%), gestosis (15-17%). (Sarwono Prawiroraharjo.2008) Bleeding and eclampsia is an emergency case that requires fast and responsive midwife action. Problems arise when actions taken have substantial risks, requiring the midwife to seek informed consent. Objective: To explore midwives' perceptions of the role and function of midwives as implementers, managers, educators and researchers on emergency measures. Research Method: This research uses qualitative method. Data collection techniques with in-depth interviews. Number of informants is 3 Midwives who work in PUskesmas area Health Department of Semarang City. Result: The result of in-depth interview on informant obtained information about midwives perception in the sense of informed consent that is approval in performing emergency action, role and function of midwife as executor especially carry out independent duty, role and function of midwife as manager in developing mother and child health service, function of midwife as educator by realizing as role model for student, role and function of midwife as researcher either directly or indirectly through identification. Suggestion: for midwife to understand role and function as midwife in puskesmas, for community Health centers maximize health worker especially midwife.Keywords: informed consent, role and function of midwife

MANFAAT TEKNIK REBOZO TERHADAP KEMAJUAN PERSALINAN Durrotun Munafiah; Lestari Puji Astuti; Mike Mitrasari Parada; Maria Rosa Mictica Demu
Midwifery Care Journal Vol 1, No 3 (2020): April 2020
Publisher : Politeknik Kesehatan Kementrian Kesehatan Semarang

The birth process is to help and encourage safe and healthy births for mothers and babies, so that the roles and responsibilities of health workers are needed to anticipate and overcome the complications that occur in labor. Prolong labor is one of the factors that influence maternal mortality. The result of the Survey on 2015 is Maternal Mortality Rate (MMR) is 305 per 100,000 live births in Indonesia. The rebozo technique is a non-pharmacological method that makes the muscles of the pelvis more relaxed and gives the pelvic space more space and open so that it helps accelerate the opening of the cervix and help descending of the fetal head, so that can help shorten the time of delivery. The aim of the study was determined the differences in the effectiveness of the rebozo technique on cervical dilatation and descend of the fetal head in active phase of first stage in labor mothers. Methodology of this study was Quasy experimental design. It take pre-post test on one group design. Population and sample were 20 primigravidas mothers in active phase of the first stage of labor. Sampling technique used accidental sampling. The result of this study that there was effectiveness of rebozo technique on opening of the cervix during the active phase with p-value 0.012. Conclusion is there was an effectiveness of the rebozo technique for descending of fetal head in the active phase of the first stage of maternal delivery with p-value 0.028

THE EFFECT OF SPIRITUAL EMOTIONAL FREEDOM TECHNIQUE (SEFT) ON ANXIETY DURING THE ACTIVE PHASE I LABOR Lestari Puji Astuti; Ikha Siswiyanti; Sonhaji Sonhaji
Jurnal Riset Kesehatan Vol 11, No 1 (2022): MAY 2022
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jrk.v11i1.8468

Anxiety often occurs in maternity mothers and not being treated will have an impact on the mother's physical and psychological. As many as 9% of mothers who experience anxiety will increase pain and result in a long labor process. Therefore, it is necessary to take action by the midwife to control anxiety so that the delivery process runs smoothly. SEFT is a psycho-religious therapy that can reduce maternal anxiety without causing side effects. To determine the effect of SEFT on anxiety in maternity mothers during the active phase I. This is pre-experimental research with one group pre-post-test design. This study used purposive sampling. The statistical test used the dependent t-test. The average anxiety score before SEFT therapy was 24.44, with a minimum score was 20 and a maximum score was 29. The average anxiety score after SEFT therapy was 19.06, with a minimum score was 14 and a maximum score was 25. The results of the dependent t-test showed a p-value 0.000 (0.05) which means that there is a difference in the average anxiety score before and after the application of SEFT. There is an effect of the Spiritual Emotional Freedom Technique (SEFT) on reducing maternal anxiety scores during the Active Phase I in the Dempet Health Center Work Area. The application of SEFT can increase the relaxation that can be obtained from conditions of solemnity, sincerity, resignation, confidence, and gratitude so that mothers can produce responses that can reduce anxiety during the delivery process.

TREATMENT MANAGEMENT OF SEXUALLY TRANSMITTED INFECTION AMONG FEMALE SEX WORKERS IN THE SARIREJO LOCALIZATION, SALATIGA, INDONESIA Reny Eka Saputri; Rose Nurhudhariani; Lestari Puji Astuti
Proceedings of the International Conference on Applied Science and Health No. 2 (2017)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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

Background: Salatiga Public Health Office stated that sexual infection in 2013 was 1,096 cases. While 1,085 cases were recorded between January until November 2014. The sexually transmitted infection rate in Sidorejo Lor Health Center has increased from 96 in 2013 to 133 cases in 2014. Although the screening program already exists, but in the field cases of sexually transmitted infections are continue to rise. Aims: It aims to explore the efforts of sex workers to the sexually transmitted infection treatment, the way they do their activities without transmitting the infection to the customers, and the supports from the localization manager and medical workers for the treatment management for sexually transmitted infections of the sex workers. Method: This research used qualitative method. The data was obtained through in-depth interview. This study involved 3 women who are positively diagnosed with sexually transmitted infection in the Sarirejo localization, Salatiga, Indonesia. Results: The study highlights that the the sex workers who diagnosed with sexually transmitted infection seeks medical treatment from medical workers. Some drink herbs and wash their vagina with betel. During the treatment, they reduce their sex activity and always use condom. As realised the infection, they receive support from the localization manager and medical workers. Conclusion: From this study, we noted that female sex workers who realized having sexually transmitted infections will look for either medical and traditional treatment. Support from localization manager to managing STIs are reminded to always use condoms and participated the screening by Primary Health Care officers. Regulation issued by the provider and screening participation highlighted the treatment management of sexually transmitted infection among female sex workers in Salatiga, Indonesia.

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