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Anisak, Siti
Poltekkes Kemenkes Surabaya
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STUDI KASUS PADA PRIMIGRAVIDA TRIMESTER II DENGAN ANEMIA DI PUSKESMAS TONGGUH KABUPATEN BANGKALAN Frescilia, Tasya; Suryaningsih, Suryaningsih; Anisak, Siti
SAKTI BIDADARI (Satuan Bakti Bidan Untuk Negeri) Vol 8 No 1 (2025): Maret 2025
Publisher : Universitas Islam Madura

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31102/bidadari.2025.8.1.41-51

Abstract

Berbagai masalah sering terjadi pada ibu hamil trimester II yaitu anemia, anemia merupakan suatu kondisi dimana jumlah sel darah merah atau konsentrasi hemoglobin didalamnya lebih rendah dari biasanya. Studi kasus ini bertujuan untuk mengetahui tanda dan gejala anemia, faktor resiko pada anemia, dampak anemia serta penatalaksanaan dari anemia. Metode dalam studi kasus ini menggunakan rancangan multiple case design. Adapun subjek studi kasus ini menggunakan dua ibu hamil dengan kriteria yang sama yaitu primigravida trimester II dengan anemia. Studi kasus dilakukan di desa karang duwek kecamatan arosbaya. Metode pengumpulan data dengan wawancara menggunakan kusioner dan dokumentasi buku KIA. Analisa berupa data deskriptif. Hasil studi kasus ini bahwa tanda dan gejala anemia pada kedua responden yaitu sering mengalami mudah Lelah, tekanan darah tidak normal dan pusing. Faktor resiko pada primigravida trimester II yaitu responden 1 tidak didapatkan faktor resiko, sedangkan pada responden 2 yaitu usia. Dampak pada primigravida trimester II dengan anemia tidak didapatkan pada kedua responden. Penatalaksanaan pada primigravida trimester II dengan anemia yaitu kedua responden telah diberikan tablet Fe, akan tetapi pada responden ke 2 tidak teratur dalam mengomsumsi tablet Fe karena merasa malas, serta telah diberikan KIE tentang anemia dan makanan tinggi zat besi. Untuk menurunkan angka kematian ibu dan anak maka diperlukan pencegahan salah satunya terjadinya anemia kehamilan. Pencegahan anemia bisa dilakukan dengan cara mengonsumsi tablet Fe secara teratur dan mengonsumsi makanan kaya zat besi, serta melakukan ANC rutin. Kata kunci: primigravida, anemia, tanda dan gejala, penatalaksanaan. Abstract Various problems often occur in second trimester pregnant women, namely anemia, anemia is a condition where the number of red blood cells or hemoglobin concentration in it is lower than normal. This case study aims to determine the signs and symptoms of anemia, risk factors for anemia, the impact of anemia and the management of anemia.The method in this case study uses a multiple case design. The subjects of this case study used two pregnant women with the same criteria, namely second trimester primigravida with anemia. The case study was conducted in Karang Duwek village, Arosbaya sub-district. Data collection methods with interviews using questionnaires and maternal and child health book documentation. Analysis in the form of descriptive data.The results of this case study that the signs and symptoms of anemia in both respondents are often experiencing easy fatigue, abnormal blood pressure and dizziness. Risk factors in second trimester primigravida, namely respondent 1, were not found risk factors, while in respondent 2, namely age. The impact on second trimester primigravida with anemia was not found in both respondents. Management in second trimester primigravida with anemia is that both respondents have been given Fe tablets, but the 2nd respondent is not regular in taking Fe tablets because she feels lazy, and has been given IEC about anemia and foods high in iron. To reduce maternal and child mortality, prevention is needed, one of which is the occurrence of pregnancy anemia. Prevention of anemia can be done by taking Fe tablets regularly and eating iron-rich foods, and conducting routine antenatal care Keywords: primigravida, anemia, signs and symptoms, management.
THE EFFECT OF USING 3 MONTHLY INJECTION CONTRACEPTION (DEPOPROVERA) ON THE INCIDENCE OF MENOPAUSE Sriwayanti; Deasy Irawati; Siti Anisak; Qurrotu Aini Cesari
Global Ten Public Health and Nursing Journal Vol. 2 No. 3 (2024): September
Publisher : Prodi keperawatan sidoarjo, politeknik kesehatan kemenkes surabaya indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/gtphnj.v2i3.157

Abstract

Menopause is the end of the last menstrual cycle but certainty is only obtained if a woman has not had her menstrual cycle for at least 12 months, in addition menopause occurs on average between the ages of 45-55 years. However, in terms of age, there are still mothers who experience late menopause who previously used the 3-month depoprovera injection contraceptive. This study aims to determine the effect of the use of the 3-month depoprovera injection contraceptive on the incidence of menopause in the Demangan Village study group. The design of this study is analytical. The population used were mothers aged 45-55 years who had previously used 3-month depoprovera injection contraception for > 2 years. The independent variable is the use of 3-month depoprovera injection contraception, the dependent variable is menopause . The population was 15 mothers. Data collection used a questionnaire. Tested using the fisher's exact test with a significance level of 0.05. The results of the study on 15 mothers in table 4.6, those who experienced late menopause were 9 mothers (60%), normal menopause was 6 mothers (40%). Based on the fisher's exact test , the probability value (0.01) was smaller than the significance level value (0.05) so it was rejected and accepted. In conclusion, there is an effect of the use of 3-month depoprovera injection contraception on the incidence of menopause . To improve the health status of women, midwives are expected to emphasize more on the side effects of 3-month depoprovera injection contraception in providing HE.
Komunikasi Dan Kepuasan Pasien Pada Pelayanan Kebidanan Saat Pandemi Di Puskesmas Socah Rodiyatun Rodiyatun; Siti Anisak; Vera Yuliana Sukma
Jurnal Penelitian Kesehatan SUARA FORIKES 2022
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf.v13i0.1612

Abstract

The Covid-19 pandemic has an impact on all aspects of life, especially in the health care system. Health protocols in suppressing decline have changed the communication patterns of health workers and patients. Communication is one of the factors that is often considered as the source of conflict that triggers patient dissatisfaction with the health service. The purpose of this study was to analyze the relationship of midwife communication skills with patient satisfaction levels during the pandemic. The type of research is analytics, with a cross-sectional design. Variable dependent is communication skills and independent variable is the level of satisfaction. The population is new patients in The Mother and Child Division at Socah community health center, with the criteria of 25 - 35 years old. The type of sampling used probability sampling, with systematic sampling techniques based on the register of visits in October 2020, the number of samples as many as 216 people. Data collection using questionnaires. The results of data collection consist of an overview of the research site, general data, and special data. In variable Satisfaction, Level is Satisfied as much as 65.43%, Quite Satisfied as much as 19.75% and Less Satisfied as much as 14.82%. Rank Spearman test results obtained ρ
Faktor Predisposisi Perilaku Ibu dalam Pemberian ASI Ekslusif Siti Anisak; Ellyati Farida; Rodiyatun Rodiyatun
Jurnal Kebidanan Vol 12 No 1 (2022): Jurnal Kebidanan Edisi Maret 2022
Publisher : ITSKES Insan Cendekia Medika Jombang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35874/jib.v12i1.1009

Abstract

ASI adalah makanan terbaik yang mengandung nutrisi terlengkap dan sangat dibutuhkan dalam periode awal kehidupan. Perilaku tidak memberikan ASI Ekslusif pada bayi akan berdampak panjang bagi kesehatan anak selanjutnya. Perilaku kesehatan menurut Lawrence Green dipengaruhi oleh tiga faktor yakni faktor predisposisi, faktor pemungkin serta faktor penguat. Tujuan penelitian yakni menganalisis faktor predisposisi yang mempengaruhi perilaku ibu dalam pemberian ASI Ekslusif di wilayah Puskesmas Bangkalan dengan desain penelitian Cross-sectional, populasinya adalah ibu yang mempunyai bayi usia 7 sampai 12 bulan. Sampel diambil dengan tehnik Cluster Random Sampling. Kriteria inklusinya adalah ibu yang mempunyai bayi usia 7 sampai 12 bulan, bersedia menjadi responden dan bertempat tinggal di kecamatan Bangkalan. Sedangkan kriteria eksklusinya adalah ibu yang tidak bersedia menjadi responden. Selanjutnya dilakukan pengumpulan data dan pengisian kuisioner. Data yang terkumpul dianalisa dengan uji Chi Square dan regresi logistik. Faktor predisposisi yang berpengaruh terhadap perilaku pemberian ASI ekslusif adalah faktor umur, pendidikan, budaya, pengetahuan dan sikap. diperlukan dukungan suami dan peran ayah sebagai penjabaran budaya patriarki untuk peningkatan perilaku pemberian ASI ekslusif di masyarakat madura.
Case Report Pada Primigravida Trimester III dengan Letak Lintang dan Anemia Ringan di Wilayah Puskesmas Tongguh Sofia Sarira; Wayanti, Sri; Anisak, Siti; Suryaningsih
Jurnal Mahasiswa Kesehatan Vol. 7 No. 1 (2025): OKTOBER 2025
Publisher : Universitas Kadiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30737/jumakes.v7i1.6832

Abstract

Anemia pada masa kehamilan merupakan salah satu masalah kesehatan yang sering dijumpai dengan angka kejadian yang cukup tinggi, termasuk di Jawa Timur (10,58%) dan Bangkalan (9,07%). Kondisi ini berpotensi meningkatkan risiko komplikasi pada ibu maupun janin, terutama bila disertai kelainan posisi janin. Laporan kasus ini bertujuan menggambarkan asuhan kebidanan pada ibu primigravida trimester III dengan janin posisi lintang dan anemia ringan di wilayah kerja Puskesmas Tongguh. Penelitian menggunakan metode deskriptif dengan pendekatan studi kasus. Subjek penelitian adalah ibu hamil G1P0A0 usia kehamilan 33–34 minggu dengan kadar Hb 10,2 g/dL. Data dikumpulkan melalui wawancara, pemeriksaan fisik, serta dokumentasi SOAP, kemudian dilakukan asuhan kebidanan dalam tiga kali kunjungan. Hasil kunjungan pertama menunjukkan keluhan nyeri perut bawah dengan pemeriksaan janin posisi lintang dan Hb 10,2 g/dL. Pada kunjungan kedua, keluhan nyeri masih dirasakan dan disertai edema pada tungkai bawah. Kunjungan ketiga menunjukkan peningkatan kadar Hb menjadi 11,3 g/dL meskipun nyeri semakin terasa. Intervensi yang diberikan meliputi edukasi keteraturan konsumsi tablet Fe, anjuran pola makan bergizi, latihan posisi sujud untuk membantu perbaikan letak janin, serta anjuran posisi tidur yang nyaman. Disimpulkan bahwa pendampingan secara berkesinambungan dapat meningkatkan kadar Hb dan mendukung kesehatan ibu serta janin, meskipun posisi lintang tetap memerlukan pemantauan intensif.
Case Report pada Primigravida Trimester II dengan Masalah Kurang Energi Kronik (KEK) di Wilayah Kerja Puskesmas Kamal Kabupaten Bangkalan Leonita Krisantie Putri, Angel; Wayanti, Sri; Anisak, Siti
Sinar : Jurnal Kebidanan Vol 8 No 1 (2026): Vol 08 No.1 Maret 2026
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/sinar.v8i1.28541

Abstract

Background: Chronic Energy Deficiency (CED) is a condition caused by inadequate intake of energy and protein, resulting in insufficient nutritional fulfillment for the body. Nutritional adequacy in pregnant women is indicated by a Mid-Upper Arm Circumference (MUAC) >23.5 cm or a Body Mass Index (BMI) >18.5 kg/m². Continuous monitoring and comprehensive midwifery care are essential for early detection and management of potential complications. Purpose: This study aimed to identify subjective and objective findings, analyze data, provide appropriate care, and evaluate outcomes for a pregnant woman with CED. Methods:  This research employed a case study design focusing on a single patient, Mrs. “W”, G1P0A0, at 28–29 weeks of gestation, diagnosed with CED. The care process consisted of three home visits conducted in Banyu Ajuh Village during June 2025. Inclusion criteria included primigravida in the second trimester with CED, aged 20–35 years, free from infectious diseases, able to communicate, and literate. Data were obtained through anamnesis, physical examination, review of the Maternal and Child Health (MCH) handbook, data analysis, midwifery management, and evaluation. Results: During the first visit, the patient was diagnosed with CED, presented with fatigue, and had a MUAC below 23.5 cm. The care included nutritional counseling, iron and multiple micronutrient supplementation, and education on pregnancy danger signs. Although weight gain was observed, CED persisted. Fatigue resolved by the second visit, and back pain experienced afterward subsided during the third visit. Conclusion: Midwifery care was provided according to appropriate standards. Despite several discomforts, they were effectively managed. Midwives are advised to continue integrated antenatal care, provide nutritional support, ensure compliance with iron supplementation, and encourage regular check-ups, particularly for women with a history of CED
CASE STUDY OF PREGNANT WOMEN WITH CHRONIC ENERGY DEFICIENCY IN THE WORK AREA OF BURNEH COMMUNITY HEALTH CENTER, BANGKALAN REGENCY: CASE STUDY OF PREGNANT WOMEN WITH CHRONIC ENERGY DEFICIENCY IN THE WORK AREA OF BURNEH COMMUNITY HEALTH CENTER, BANGKALAN REGENCY Marsyanda Riskia Tristiana; Anis Nurlaili, S.SiT,M.Keb; Siti Anisak, S.Keb., Bd., M.Keb
Fetus : Journal of Midwifery Vol. 3 No. 1 (2025): June
Publisher : LPPM Universitas dr. Soebandi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36858/fejom.v1i2.32

Abstract

Pregnant women with chronic energy deficiency (CED) can be identified by a mid-upper arm circumference (MUAC) of ≤ 23.5 cm. This case study aims to identify risk factors (age, education, nutritional intake, parity, occupation, and family income), problems encountered by pregnant women with CED (FUL and LBW), and efforts made by pregnant women to manage CED. The incidence of CED at the Burneh Community Health Center in 2023 was 27 (3.1%) out of a total of 855 pregnant women.   This case study used a multiple case design with two respondents meeting the same criteria: pregnant women with a mid-upper arm circumference (MUAC) of ≤ 23.5 cm. The study was conducted in the Burneh Community Health Center's work area from March to April 2024. Data collection tools included interviews, observation, and documentation. Respondents were from Langkap and Binoh villages.   The case study results revealed that both respondents shared a risk factor, namely infectious diseases (gastritis). Respondents 1 and 2 both had FUL and LBW inappropriate for gestational age. Both respondents regularly took iron tablets. Respondent 1 regularly attended prenatal classes, while respondent 2 never attended.   CED in pregnant women can be prevented if mothers adhere to a nutritious diet and regularly take iron tablets. It is hoped that mothers will increase their nutritional needs to ensure they have sufficient nutrients for both themselves and their fetus.   Keywords: pregnant women, CED, risk factors, TFU and TBJ
The Effect of Combination of Prenatal Yoga and Self Hypnosis on Anxiety Level of Pregnant Women with Preeclampsia Deasy Irawati; Ali Madinah Irawati; Siti Anisak
International Journal of Advanced Health Science and Technology Vol. 3 No. 3 (2023): June
Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ijahst.v3i3.239

Abstract

Pregnancy and childbirth are natural processes, but they are not without risks. Health conditions, mental status and lifestyle can lead to complications, one of which is Preeclampsia. Pregnant women with preeclampsia have high anxiety in facing childbirth, due to the great risks that will be faced by themselves and the baby who is born. An effective way to overcome anxiety is by doing physical exercise, such as prenatal yoga and self-hypnosis. The purpose of the study was to explain the effect of the combination of prenatal yoga and self-hypnosis on the anxiety level of pregnant women with Preeclampsia. Method: Quasi-experimental research, pretest-posttest with control group design. The study population was all pregnant women with Preeclampsia who visited Anna Medika Madura Hospital as many as 40 people, the sample size was 20 people each for the treatment group and control group. Sampling with consecutive sampling. Research instruments Anxiety of each group was measured before and after the intervention, using the State-Trait Anxiety Inventory (STAI) questionnaire. Statistical analysis Wilcoxon Signed Rank Test and Mann Whitney U Test. Results: There is an effect of the combination of prenatal yoga and self-hypnosis on anxiety levels before and after treatment, (ρ: 0.000) and there is a significant difference in momentary anxiety levels between the treatment group and the control group (ρ: 0.000). Discussion: It can be concluded that Prenatal Yoga Gymnastics and Self Hypnosis are very useful in reducing anxiety experienced by pregnant women with Preeclampsia. Movement and relaxation in prenatal yoga exercises can increase the activity of the para-sympathetic nervous system and GABA. It is recommended to provide training programmes in ANC services on methods of reducing anxiety with alternative therapies Prenatal Yoga and Self Hypnosis.
Pemberdayaan Kader Kesehatan dan Ibu Hamil dalam Deteksi serta Pencegahan Anemia di Desa Karang Duwak, Bangkalan: Empowerment of Health Cadres and Pregnant Women in the Detection and Prevention of Anemia in Karang Duwak Village, Bangkalan Siti Anisak; Sri Wayanti; Deasy Irawati
Jurnal Pengabdian dan Pengembangan Masyarakat Indonesia Vol. 5 No. 1 (2026)
Publisher : Media Publikasi Cendekia Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56303/jppmi.v5i1.1110

Abstract

Kegiatan pengabdian masyarakat dengan tema “Pemberdayaan Kader Kesehatan dan Ibu Hamil dalam Deteksi dan Pencegahan Anemia' dilatarbelakangi oleh tingginya angka prevalensi anemia di kalangan ibu hamil di Desa Karang Duwak Bangkalan, yang merupakan salah satu desa binaan Poltekkes Kemenkes Surabaya. Rendahnya pengetahuan kader kesehatan dan ibu hamil tentang anemia mengakibatkan rendahnya kepatuhan dalam konsumsi tablet zat besi. Tujuan pengabdian ini adalah untuk meningkatkan pengetahuan kader kesehatan dan ibu hamil mengenai anemia serta memberikan pendampingan kepada kader dalam edukasi kepada ibu hamil. Metode pengabdian mencakup persiapan pelatihan, pelaksanaan pelatihan yang dimulai dengan pretest, pemberian materi, demonstrasi edukasi oleh pengabdi, simulasi edukasi oleh kader dan posttest. Tahapan selanjutnya adalah kegiatan pemeriksaan kadar hemoglobin (Hb) pada ibu hamil oleh pengabdi dan dilanjutkan dengan pendampingan kader dalam edukasi kepada ibu hamil. Tapahan terakhir adalah inisiasi pembentukan grup komunikasi sebagai bentuk keberlanjutan program ini. Luaran kegiatan pengabdian ini meliputi peningkatan rata-rata pengetahuan kader kesehatan sebesar 33,31%, dari 53,35% menjadi 86,66% setelah mengikuti pelatihan. Pengetahuan ibu hamil tentang anemia juga mengalami peningkatan sebesar 26,66%. Hasil pemeriksaan kadar Hb menunjukkan bahwa 60% ibu hamil menderita anemia, dengan rincian 13,33% kategori sedang dan 46,67% kategori ringan. Temuan ini mendorong terbentuknya jejaring komunikasi antara kader kesehatan, ibu hamil dan tenaga kesehatan, sehingga tercipta sistem pendampingan yang lebih terstruktur. Hal tersebut mencerminkan keberhasilan program pengabdian dalam meningkatkan keterlibatan masyarakat serta memperkuat upaya penanganan anemia pada ibu hamil.
CASE REPORT ON A POSTNATAL MOTHER WITH PERINEAL WOUND PAIN AND LACTATION DISORDERS IN THE WORKING AREA OF THE AROSBAYA COMMUNITY HEALTH CENTER, BANGKALAN REGENCY Nadia Fardiana Isnaini Lestari; Deasy Irawati; Siti Anisak; Sri Wayanti
Multidiciplinary Output Research For Actual and International Issue (MORFAI) Vol. 6 No. 2 (2026): Multidiciplinary Output Research For Actual and International Issue
Publisher : RADJA PUBLIKA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5281/zenodo.19238061

Abstract

The postpartum period is a crucial recovery phase for mothers, often complicated by perineal pain due to tears or episiotomy. This pain can restrict movement, hinder daily activities, and disrupt lactation patterns. This case report describes midwifery care for a postpartum mother with grade II perineal lacerations and lactation issues. Data were collected through interviews, observations, documentation, and physical examinations. Pain was assessed using the Numeric Rating Scale (NRS) and Visual Analog Scale (VAS), while lactation patterns were evaluated based on frequency, duration, and breastfeeding techniques. The subject was a P1A0 mother on the third day postpartum. Interventions included personal hygiene education, nutrition, sitting position, early mobilization, warm compresses, lavender aromatherapy, and support for optimal lactation. Results showed that during the first visit, the mother experienced moderate to severe pain and limited mobility. However, after three visits, pain intensity decreased significantly, mobility improved, and the mother’s self-care knowledge enhanced. Lactation patterns were smooth, wounds healed without infection, and uterine involution was normal. Daily activities resumed without hindrance. This midwifery care effectively reduced perineal pain, improved lactation, and enhanced the mother’s self-care understanding. Support through education, family involvement, and safe, non-pharmacological interventions helped the mother navigate postpartum recovery without complications.
Co-Authors ., Rodiyatun A.A. Ketut Agung Cahyawan W Aihan Diva Meylika Johanzah Aisyah Aisyah Alya Wida Sabrina Amalia, Yashinta Shafa Animmunifah Anis Nur Laili Anis Nur Laili Anis Nurlaili Anis Nurlaili, S.SiT,M.Keb Ardelia Zaien Deasy Irawati Dike Febri Ristianti Ellyati Farida Esyuananik Farida, Ellyati Frescilia, Tasya Hendrina Prasistya Maharani Hidayat Sujuti Irawati, Deasy Kalsumy, Umi Karyono Mintaroem Laili, Anis Nur Leonita Krisantie Putri, Angel Madinah, Ali Marsyanda Riskia Tristiana Mudinillah, Adam Nadia Fardiana Isnaini Lestari Neysa Naurah Rahmawati nurlailis saadah Nurshabrina, Rhenata Qurrotu Aini Cesari Rahardjo, Sutio Risma Ayu Wulandari Rodiyatun Rodiyatun RODIYATUN RODIYATUN Selvi Marcellia Sofia Sarira Sri Wayanti Sri Wayanti Sri Wayanti Sri Wayanti Sri Wayanti, Sri Sriwayanti suryaningsih Suryaningsih Suryaningsih Suryaningsih Suryaningsih Sutrisno Sutrisno tasya frescilia syafitri wahid Tatit Nurseta Tatit Nurseta Uswatun Khasanah Vera Yuliana Sukma Wayanti, Sri