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Efektivitas Pemberiaan Jus Jambu Biji Dan Jus Buah Naga Terhadap Peningkatan Hemoglobin Pada Ibu Hamil Dengan Anemia Ringan Di Wilayah Kerja Puskesmas Beringin Raya Kota Bengkulu Tahun 2022 Junaidi, Ellina Afrilia; Mizawati, Afrina; Andriani, Lusi
JURNAL BESUREK JIDAN Vol 2 No 2 (2023): Jurnal Besurek Jidan Jurusan Kebidanan Poltekkes Kemenkes Bengkulu Volume 2 No 2
Publisher : Poltekkes Kemenkes Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33088/jbj.v2i2.282

Abstract

Anemia adalah masalah kesehatan masyarakat global yang serius yang terutama menyerang ibu hamil. WHO memperkirakan bahwa 40% wanita hamil di seluruh dunia menderita anemia. Anemia dalam kehamilan yaitu suatu keadaan kadar hemoglobin kurang dari 11 g/dL pada TM I dan III, atau kurang dari 10,5 g/dL pada TM II. Data BPS Indonesia tahun 2018 anemia pada ibu hamil di Indonesia sebanyak 48,9%. Tujuan dari penelitian ini untuk mengetahui efektivitas pemberian jus jambu biji dan jus buah naga terhadap peningkatan hemoglobin pada ibu hamil dengan anemia ringan di wilayah kerja Puskesmas Beringin Raya Kota Bengkulu tahun 2022. Penelitian ini penelitian kuantitatif dengan metode penelitian Quasi eksperiment yang menggunakan desain Two Group Pretest Posttest. Sampel sebanyak 32 orang ibu hamil yang memenui kriteria inklusi, terdiri dari 16 ibu hamil sebagai kelompok intervensi yang diberikan perlakuan jus jambu biji dan 16 ibu hamil sebagai kelompok kontrol yang diberikan perlakuan jus buah naga. Analisis data menggunkan uji univariat, bivariat uji t Dependen, uji t Independent, multivariat menggunkan ancova. Terdapat perbedaan hemoglobin pada kelompok intervensi jus jambu biji  sebelum 9,956 gr/dl dan setelah 12,00 gr/dl (nilai p= 0,000), pada kelompok kontrol jus buah naga sebelum 9,938 gr/dl dan setelah 11,575 gr/dl (nilai p=0,000). Terdapat pengaruh kenaikan hemoglobin terhadap pemberian jus jambu biji dan jus buah naga pada ibu hamil dengan nilai p value pada dua kelompok yaitu p 0,015. Pada kedua kelompok sama-sama efektif meningkatkan hemoglobin pada ibu hamil. . Pada kelompok intervensi jus jambu biji meannya yaitu 2,044 pada kelompok kontrol jus buah naga meannya yaitu 1,638 dengan beda mean kedua kelompok yaitu 0,406. Maka dapat diketahui jika  jus jambu biji lebih berpengaruh dibandingkan jus buah naga. Penelitian ini menyimpulkan bahwa pemberian jus jambu biji lebih efektif dalam meningkatkan hemoglobin pada ibu hamil dengan nilai Sig = 0,043 dibandinggkan dengan ibu hamil yang diberikan jus buah naga dengan nilai sig = 0,050. Sehingga disarankan untuk ibu hamil agar mengkonsumsi jus jambu biji atau jus buah naag sebagai pengganti vitamin C dalam upaya peningkatan hemoglobin pada ibu hamil.
FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KEJADIAN BERAT BADAN LAHIR RENDAH DI RUMAH SAKIT BHAYANGKARA TK III KOTA BENGKULU TAHUN 2019 Agusmita, Dinda; Destariyani, Elvi; Mizawati, Afrina
Midwifery Journal: Jurnal Kebidanan UM. Mataram Vol 6, No 2 (2021): JULI
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/mj.v6i2.2616

Abstract

Abstract: Low birth weight babies (LBW) is a continuing problem in globally significant public health. Every year, an estimated 2.6 million babies die in the first month of life. Globally 40-60% of infant deaths in the world are caused by LBW and 96.5% of them come from developing countries including Indonesia. The incidence of LBW in Bhayangkara TK III Hospital in Bengkulu City in 2019 was still high (9.6%) compared to Bengkulu City Hospital (5.7%). This research is an observational analytic study with quantitative research using case control design. The number of samples taken in a ratio of 1: 1 using total sampling techniques and systematic random sampling. Univariate analysis, bivariate using chi square test with α = (0.05) and multivariate analysis with multiple logistic regression. The results showed that the variables associated with LBW were gestational age (p-value = 0,000), multiple pregnancy (p-value = 0.000), KPD (p-value = 0,000) and those not related with LBW were maternal age (p-value = 0.323), parity (p-value = 0.459), and PEB / Eclampsia (p-value = 0.082). The hospital is expected to provide information and knowledge to the health workers of Bengkulu City in improving health services for pregnant women, birth mothers and babies.Abstrak: Bayi dengan berat badan lahir rendah (BBLR) merupakan masalah yang terus berlanjut dalam kesehatan masyarakat yang signifikan secara global. Setiap tahun, diperkirakan 2,6 juta bayi meninggal pada bulan pertama kehidupan. Secara global 40-60% dari kematian bayi di dunia disebabkan oleh BBLR dan 96,5% dari mereka berasal dari negara berkembang termasuk Indonesia. Kejadian BBLR di Rumah Sakit Bhayangkara TK III Kota Bengkulu tahun 2019 masih tinggi (9,6%) dibandingkan dengan RSHD Kota Bengkulu (5,7%). Penelitian ini merupakan penelitian observasional analitik dengan jenis penelitian kuantitatif menggunakan desain case control. Jumlah sampel yang diambil dengan perbandingan 1:1 dengan menggunakan teknik total sampling dan sistematyc random sampling. Analisis secara univariat, bivariat menggunakan uji chi square dengan α = (0,05) dan analisis multivariat dengan regresi logistik berganda. Hasil penelitian didapatkan bahwa variabel yang berhubungan dengan BBLR adalah umur kehamilan (p-value=0,000), kehamilan ganda (p-value=0,000), KPD (p-value=0,000) dan yang tidak berhubungan dengan BBLR adalah umur ibu (p-value=0,323), paritas (p-value=0,459), dan PEB/Eklampsia (p-value=0,082). Rumah Sakit diharapkan dapat memberikan informasi dan pengetahuan kepada tenaga kesehatan Kota Bengkulu dalam meningkatkan pelayanan kesehatan terhadap ibu hamil, ibu bersalin dan bayi. 
Anemia-free strategies and antenatal care services in stunting prevention Mizawati, Afrina; Effendi, Nursyirwan; Sulastri, Delmi; Purna, Rozi Sastra
BKM Public Health and Community Medicine Vol 40 No 07 (2024)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v40i07.6806

Abstract

Purpose: The purpose of this study was to evaluate the effectiveness of interventions targeting anemia prevention and antenatal care (ANC) to reduce the risk of stunting in children. Methods: A comprehensive search will be conducted in electronic databases to investigate the impact of anemia prevention strategies on child stunting. Studies will be included if they assess interventions in women focusing on iron supplementation, nutrition counseling, or a combination of both and report child stunting as an outcome measure. Results: Anemia prevention is very effective in improving children's growth outcomes, thus contributing to knowledge and ways of treating anemia in the preconception and antenatal periods to reduce the prevalence of stunting. Conclusion: The importance of comprehensive interventions in improving the health and well-being of future generations. Implementing health policies integrating blood supplementation interventions, nutrition education, and quality antenatal care is highly recommended to create a healthier and more qualified generation.
PEKERJAAN BERHUBUNGAN DENGAN EMISIS GRAVIDARUM PADA IBU HAMIL TRIMESTER I DI WILAYAH KERJA PUSKESMAS JEMBATAN KECIL KOTA BENGKULU Meilanti; Mizawati, Afrina; Yulyana, Nispi
JURNAL BESUREK JIDAN Vol 2 No 1 (2023): Jurnal Besurek Jidan Jurusan Kebidanan Poltekkes Kemenkes Bengkulu Volume 2 No 1
Publisher : Poltekkes Kemenkes Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33088/jbj.v1i1.277

Abstract

Faktor yang dapat menyebabkan masalah pada tingkat keparahan pasien emesis gravidarum antara lain faktor predisposisi yaitu paritas, usia ibu, mola hidatidosa kehamilan ganda; faktor organik yaitu alergi, perubahan metabolik akibat hamil dan resistensi ibu menurun; faktor psikologi yaitu rumah tangga retak, kehilangan pekerjaan, takut terhadap kehamilan dan persalinan (Maryunani, 2016). Penelitian ini menggunakan rancangan penelitian cross sectional. Menurut (Notoatmodjo, 2018), survey cross sectional ialah suatu penelitian untuk mempelajari dinamika korelasi antara faktor-faktor risiko dengan efek, dengan cara pendekatan, observasi atau pengumpulan data sekaligus pada suatu saat (point time approach).Hasil penelitian diketahui bahwa sebanyak 55 orang responden hamil berada pada usia tidak beresiko dan sebanyak 5 orang responden ibu hamil berada pada usia hamil dengan resiko tinggi. Pada tabel distribusi frekuensi pekerjaan diatas didapatkan informasi bahwa sebanyak 19 orang tidak bekerja sedangkan 41 orang bekerja, dan didapatkan informasi bahwa sebanyak 31 orang dengan status kehamilan primigravida sedangkan 29 orang dengan status paritas multigravida. Hasil penelitian ini dimanfaatkan pihak puskesmas dan praktik klinik bidan dalam pencegahan dan penanggulangan terhadap emesis gravidarum pada ibu hamil trimester I.
Genetic Factors Causing the Prevalence of Anemia in Young Girls and Stunting in Toddlers: A Systematic Literature Review Mizawati, Afrina; Effendi, Nursyirwan; Sulastri, Delmi; Purna, Rozi Sastra
Jurnal Penelitian Pendidikan IPA Vol 9 No 9 (2023): September
Publisher : Postgraduate, University of Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jppipa.v9i9.4822

Abstract

The prevalence of anemia in adolescents at the national level is still considered quite high. Several factors are associated with the incidence of anemia in female adolescents, namely energy intake, protein intake, iron intake, vitamin C intake, tea or coffee drinking habits, investment in worms, knowledge, education and type of parental occupation, family income, and menstrual patterns as well as genetics. Stunting is also still a problem in Indonesia due to insufficient nutritional intake for quite a long time. Stunting occurs when the fetus is still in the womb and only appears when the child is two years old. anemia caused by malnutrition at an early age increases infant and child mortality. anemia in young women and also stunting in children is very dangerous. Where the purpose of research is to explain Genetic Factors Causing the Prevalence of Anemia in Young Girls and Stunting in Toddlers. A review is conducted on the state-of-the-art methods using the preferred reporting items for reviews and meta-analyses (PRISMA) guidelines. We review literature from several publications and analyze genetic factors that cause the prevalence of anemia in young women. The prevalence of anemia among young women is also caused by genetic factors. Young women tend to experience anemia because during this period they experience growth and development. The risk of anemia increases with physiological shifts such as menstrual periods. To prevent anemia, the government has planned a program for the Prevention and Control of Iron Nutrition Anemia in women of childbearing age which aims to reduce the prevalence of iron deficiency anemia in high school and junior high school students.
The Effect of Red Spinach Juice + Fe Tablets on Increased Hemoglobin Levels in Pregnant Women Mariati; Mizawati, Afrina; Maigoda, Tonny C
Jurnal Penelitian Pendidikan IPA Vol 9 No 12 (2023): December
Publisher : Postgraduate, University of Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jppipa.v9i12.5085

Abstract

Anemia during pregnancy is one of the most common abnormalities in pregnant women in Indonesia. The prevalence of anemia in pregnant women in Indonesia is 48.9%. The iron supplementation program is an effort that has been made by the Indonesian government to prevent anemia. To determine the effect of giving red spinach juice on increasing hemoglobin levels in third-trimester pregnant women. This type of research uses quantitative methods with quasi-experimental research with the two-group approach. The experimental group consumed red spinach juice + Fe tablets and the control group only drank Fe tablets. The results showed that there was an effect of giving red spinach juice + Fe tablets to increasing hemoglobin levels and there was a difference in increasing hemoglobin levels in the group given red spinach juice + Fe tablets and Fe tablets only. There is a relationship between parity and an increase in hemoglobin levels, but there is no relationship between age and education and an increase in hemoglobin levels. Intervention and parity variables were the most influential variables in increasing the hemoglobin level of pregnant women in PMB Bengkulu City. Results: There is an effect of giving red spinach juice + Fe tablets to the increase in hemoglobin levels of pregnant women.
Prevention of Early Marriage Through the Formation of Information and Counseling Center Groups (Pik R) Junior High School 7 Sidoluhur Village Sukaraja Subdistrict Seluma District Destariyani, Elvi; Hartini, Lela; Rialike, Rialike; Mizawati, Afrina
DIKDIMAS : Jurnal Pengabdian Kepada Masyarakat Vol. 2 No. 1 (2023): DIKDIMAS : JURNAL PENGABDIAN KEPADA MASYARAKAT  VOL 2 NO 1 APRIL 2023
Publisher : Asosiasi Profesi Multimedia Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58723/dikdimas.v2i1.57

Abstract

Women who married under the age of 16 in Seluma Regency, Bengkulu Province in 2019 with a percentage of 19.49%. The high rate of child marriage causes various health problems including mothers having a 35%-55% high risk of giving birth to babies with low birth weight (LBW).The method of implementing community service activities by forming a group of Youth Information and Counseling Centers (PIK R) SMP 7 Sidoluhur Village, Sukaraja District and continued with counseling on preventing early marriage. The activity was attended by 25 students of SMPN 7 Sidoluhur Village. The activity was carried out in collaboration with BKKBN Bengkulu Province. The results of the activity showed that students' knowledge about early marriage before the intervention was 40% poor, 52% sufficient and 8% good, and after the formation of PIK-R and counseling the level of knowledge was 72% sufficient and 28% good. It is expected that the BKKBN can foster PIK-R activities to increase students' knowledge and awareness of their reproductive health to reduce the incidence of early marriage.
The Effectiveness of Rosella Flowers to the Changes of Hemoglobin Levels of Third Trimester Pregnant Women in The Area of The RatuAgung Community Health Center in 2020 Afrina Mizawati; Rifi Wulandari
Journal of Ners and Midwifery Vol 8 No 1 (2021)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v8i1.ART.p038-042

Abstract

Anemia during pregnancy is one of the most common disorders in pregnant women in Indonesia. The Government has made efforts to overcome this problem, however, the rate of anemic mothers remains high. Rosella (Hibiscus Sabdariffa) is considered able to increase the hemoglobin levels in pregnant mothers. To analyze the effect of Rosella flower on the increase of Hemoglobin level in pregnant women receiving Fe tablet. This study was a quasy experiment with pretest-posttest control group design conducted in January 2020 in the working area of Ratu Agung Community Health Center. Thirty-two participants were selected using accidental sampling, which assigned in the experiment and control group. All samples were pregnant women in the third trimester and receiving iron tablets. Independent t-test and paired t-test were used for data analysis. The paired t-test obtained a p-value of 0.00 (<0.05), indicated that there was an increase of hemoglobin levels in both experiment and control group. The mean increase of hemoglobin levels in the control group was 0.59 gr and in the experiment group was 1.11. The hemoglobin levels in the experiment group were higher than the levels in the control group. The independent t-test obtained a p-value of 0.241 (> 0.05) indicating that there wasn't a significant difference of mean of hemoglobin levels between the control group and the treatment group. The consumption of rosella combined with Fe tablet showed a significant increase of hemoglobin levels compared of pregnant women. Therefore,
Herbal Rujak Soup Accelerates Uterine Involution On Postpartum Mothers Mariati Mariati; Afrina Mizawati; Ferly Yorenza
Journal of Ners and Midwifery Vol 10 No 1 (2023)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v10i1.ART.p025-031

Abstract

According to the World Health Organization (WHO) in 2021, the highest mothers’ mortality rate cases occurred in Africa with 525 deaths per 100,000 live births and the lowest was in Europe with 13 deaths per 100,000 live births. The most common cause of mothers mortality rate in Indonesia in 2019 was caused by several cases such as bleeding (30.32%). Uterine atony occurs due to failure of uterine contractions to control bleeding after delivery, causing uterine subinvolution. This process is known as uterine involution. The herbal composition of rujak soup is useful for preventing blood clots due to a compound called gingerol in ginger. The type of research used in this study was a quasi-experiment with a two-group post-test design. The population in this study was postpartum mothers from the first day to the tenth day of postpartum at PMB F Bengkulu City as many as 117 people with a sample of 30 respondents. The statistical test used was the Independent T-test. The results of this study indicate that the average acceleration of uterine involution on the seventh day is known that in the herbal soup rujak group is 4.73 and the uterine involution acceleration in the palm juice group is 5.40 with a mean difference between the herbal kuah rujak group and the date palm juice group. 0.67. There was an effect between the group of herbal ingredients of rujak sauce and the palm juice group on the TFU on day 7 with a p value = 0.038 and a mean difference of 0.67. This proves that the herbal rujak soup accelerates uterine involution more. It is hoped that the PMB of the Telaga Dewa Working Area will continue to promote complementary medicine with herbal ingredients to reduce the use of chemical drugs and help deal with problems during the postpartum period