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All Journal Jurnal Penelitian Kesehatan Suara Forikes Health Notions Jurnal Kesehatan 2-TRIK: TUNAS-TUNAS RISET KESEHATAN AloHA International Journal of Health Advancement (AIJHA) Global Health Science (GHS) International Journal of Advanced Health Science and Technology Health Community Engagement Health Dynamics Indonesian Journal of Community Empowerment Borneo Nursing Journal
Nuryani, Nuryani
Department Of Midwifery, Poltekkes Kemenkes Surabaya
Agriculture, Biological Sciences & Forestry Humanities Biochemistry, Genetics & Molecular Biology Dentistry Education Electrical & Electronics Engineering Environmental Science Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health

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Perbaikan Kadar Hemoglobin Pada Ibu Hamil Anemia Dengan KEK Dan ANC Tidak Adekuat Nur Khoirin Diah Kumalasari; Nana Usnawati; Nuryani; Suparji
Borneo Nursing Journal (BNJ) Vol. 8 No. 2b (2026)
Publisher : Akademi Keperawatan Yarsi Samarinda

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61878/bnj.v8i2b.1244

Abstract

Kekurangan Energi Kronis (KEK), anemia, dan antenatal care (ANC) yang tidak adekuat dapat meningkatkan risiko komplikasi pada ibu dan janin, terutama apabila baru terdeteksi pada trimester III. Laporan kasus ini bertujuan menggambarkan perubahan kondisi ibu hamil setelah asuhan kebidanan komprehensif. Subjek adalah Ny. “N”, 34 tahun, G3P2A0, usia kehamilan 35 minggu, dengan LILA 21 cm, hemoglobin 9,40 g/dL, keluhan pusing dan mudah lelah, serta riwayat ANC yang baru dimulai pada trimester III. Asuhan dilakukan di wilayah kerja PMB Ny. “I”, Kabupaten Magetan, pada 2–14 Maret 2026 menggunakan pendekatan SOAP. Intervensi meliputi edukasi gizi, peningkatan frekuensi makan, tablet Fe 2 kali sehari, Multiple Micronutrient Supplementation (MMS) 1 kali sehari, PMT, sari kacang hijau 2 × 250 mL per hari, pemantauan berat badan, LILA, tanda vital, dan kesejahteraan janin. Setelah 13 hari, kadar hemoglobin meningkat menjadi 11,0 g/dL, berat badan naik dari 51,70 kg menjadi 53,20 kg, serta keluhan berkurang. LILA tetap 21 cm sehingga KEK belum teratasi. Asuhan komprehensif menunjukkan respons klinis yang baik terhadap anemia, tetapi perbaikan tersebut tidak dapat dikaitkan dengan satu intervensi karena seluruh tindakan diberikan secara bersamaan dan masa pemantauan singkat. Pemantauan nutrisi dan ANC berkelanjutan tetap diperlukan.
The Efficacy Of Couples’ Classes In Increasing Breastmilk Expression And In Preventing Breast Engorgement Amid The Pandemic Ayesha Hendriana Ngestiningrum; Nuryani Nuryani
Health Notions Vol 9, No 9 (2025): September
Publisher : Humanistic Network for Science and Technology (HNST)

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Abstract

There are still obstacles to practicing exclusive breastfeeding. Issues often arise due to a lack of couples’ knowledge. A couple’s class during pregnancy can be a solution to this. This research aims to analyze the effectiveness of a couple’s class in increasing breastmilk expression and in preventing breast engorgement. This was a quasi-experiment with post-tests and a control group design. The population consists of pregnant women in the third trimester and their husbands who live in one house and who are willing to be examined. The number of samples of each group is 25 people that were chosen through the simple random sampling technique. Intervention groups participated in an online couple class and direct guidance once in the first week of giving birth and twice more during the neonatal period. Breastmilk expression and breast engorgement prevention were measured using a checklist. The exclusive breastfeeding in the first month was analyzed using a chi-square examination. The researcher analyzed the difference in breast engorgement between the control group and the treated group using chi-square. There were differences in exclusive breastfeeding between the two groups in the first month with a significance value of  0.034. There was a difference in breast engorgement prevention between the two groups with a significance value of 0.017. The couple’s classes were effective in increasing breastmilk expression and in preventing breast engorgement. The online classes were quite effective and efficient during the Covid-19 pandemic.
Co-Authors Agung Suharto Astin Nur Hanifah Astuti Setiyani, Astuti Ayesha H.N, Nurwening T.W. Ayesha Hendriana Ngestiningrum Ayesha Ngestiningrum Galuh Nirmala Handayani, Tinuk Esti Herlina, Tutiek Heru Santoso Wahito Nugroho Nana Usnawati Ngestiningrum, Ayesha Hendriana Nur Khoirin Diah Kumalasari nurlailis saadah Nurlailis Sa’adah Nurweningtyas Nurweningtyas Purwanto, Triana Septianti Rahayu Sumaningsih Ruli Agustina Santosa, Budi Joko Sulikah, Sulikah Sumasto, Hery Sunarto, Sunarto Suparji Suparji Surtinah, N Susi Ahmawati Teta Puji Rahayu Tinuk Esti Handyani Titin Wulandari Triana Septianti Wella Nur Hidayah Wisnu, Nurwening Tyas