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STUDY KASUS PADA IBU HAMIL PRIMIGRAVIDA TRIMESTER 1 DENGAN ANEMIA DI WILAYAH KERJA PUSKESMAS KLAMPIS KABUPATEN BANGKALAN Amalia, Yashinta Shafa; Esyuananik, Esyuananik; 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.2025.8.1.1-10

Abstract

Anemia merupakan permasalahan kesehatan masyarakat global yang dapat meningkatkan angka kesakitan serta kematian pada ibu dan bayi. Sesuai standar Kesehatan ibu hamil harus memiliki kadar hb Ibu >11 gr/dl. Dampak yang terjadi pada ibu anemia trimester 1 yaitu abortus, penurunan berat badan dan hyperemesis gravidarum. Tujuan studi kasus untuk menggambarkan faktor risiko, masalah dan penatalaksanaan anemia pada ibu hamil primigravida trimester 1. Metode studi kasus menggunakan multiple case design, dengan subjek studi kasus dua ibu hamil primigravida trimester 1 yang mengalami anemia ringan, studi kasus dilaksanakan di wilayah kerja Puskesmas Klampis pada bulan April – Mei 2024. Data dikumpulan dengan wawancara menggunakan kuesioner dan studi dokumentasi dan selanjutnya di analisa menggunakan deskriptif kualitatif Hasil studi kasus menunjukkan faktor risiko yang mempunyai peranan pada kejadian anemia ringan yaitu status gizi, kecukupan konsumsi tablet Fe, penyakit infeksi, usia, pengetahuan, dan Ekonomi. Masalah yang dirasakan kedua responden yaitu mual dan kelelahan dan penatalaksanaan yang didapatkan yaitu pemberian fe. Kesimpulan, status gizi, kecukupan konsumsi tablet Fe, penyakit infeksi, usia, ekonomi dan pengetahuan memiliki peranan pada terjadinya anemia, sedangkan masalah yaitu sering kelelahan dan mual, serta penatalaksanaan yaitu pemberian tablet fe serta responden belum mendapatkan konseling mengenai makanan tinggi zat besi dan makanan bergizi seimbang. Saran, upaya mencegah anemia responden harus teratur dalam mengkonsumsi tablet Fe dan diberikan konseling mengenai makanan yang tinggi zat besi dan makanan bergizi seimbang.
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.
Combining Prenatal Yoga and Self-Hypnosis as Effective Intervention to Reduce Blood Pressure of Pre-Eclampsia Pregnant Women Anisak, Siti; Irawati, Deasy; Wayanti, Sri
Journal of Ners and Midwifery Vol 12 No 2 (2025)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v12i2.ART.p150-160

Abstract

Pre-eclampsia (PE) is a significant cause of maternal and fetal morbidity and mortality. PE requires intervention to prevent it from developing into severe pre-eclampsia or eclampsia. One of the non-pharmacological therapies for PE that has not been widely used is prenatal yoga and self-hypnosis. This research aimed to determine the effect of combining prenatal yoga and self-hypnosis on decreasing blood pressure in pregnant women with PE. The method was quasi-experimental, with a pretest-posttest and a control group design. The population was all pregnant women with PE in 5 health centers in Bangkalan district from May to August 2024. The sampling technique used simple random sampling with the Federer formula, with a total sample of 32 people, 16 in each group. The research instruments used calibrated digital tension meters and SOPs for prenatal yoga and self-hypnosis. The results of the Wilcoxon analysis test showed that prenatal yoga and self-hypnosis effectively reduced blood pressure in pregnant women with pre-eclampsia with a p-value of 0.000 (p <0.05). Yoga and self-hypnosis are effective in lowering blood pressure by increasing the physical, mental, and spiritual strength of the mother in dealing with pregnancy with PE.