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UPAYA PENINGKATAN PENGETAHUAN IBU HAMIL TENTANG TANDA BAHAYA KEHAMILAN DALAM MENGHADAPI PROSES PERSALINAN YANG AMAN: Efforts To Improve The Knowledge Of Pregnant Women About The Dangers Of Pregnancy In Facing Safe Labor Processes Ririn Handayani
Jurnal Pengabdian Masyarakat Kesehatan Vol. 6 No. 2 (2020): JPM | September 2020
Publisher : LPPM - STIKES Pemkab Jombang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33023/jpm.v6i2.615

Abstract

Upaya penurunan AKI membutuhkan aksi pada beragam level. Selain posyandu, kelas ibu hamil juga dianggap sebagai kelas yang paling efektif untuk meningkatkan pengetahuan ibu hamil dalam mengenali risiko dan tanda bahaya selama masa kehamilan serta sebagai sarana penting untuk merubah sikap dan perilaku ibu hamil. Dengan adanya kelas ibu hamil ini diharapkan seluruh ibu hamil dapat memiliki kemampuan melakukan deteksi dini tanda bahaya kehamilan sehingga ibu hamil dapat dengan nyaman melakukan proses persalinan tanpa ada kekhawatiran terhadap proses persalinan yang dihadapi dan secara tidak langsung dapat menurunkan angka kematian ibu. Salah satu faktor resiko yang juga menyumbang tingginya angka kematian ibu adalah persalinan yang ditolong oleh dukun dan ibu hamil dengan resiko tinggi. Hasil wawancara dengan bidan penanggung jawab di Desa Suco didapatkan informasi bahwa dalam satu tahun terahir terdapat ibu hamil yang melahirkan didukun tanpa pengawasan oleh tenaga kesehatan atau bidan. Beberapa ibu cenderung menarik diri dari petugas kesehatan dikarenakan faktor sosial ekonomi dan ketidaktahuan dari ibu hamil tentang tanda bahaya pada kehamilan dan saat proses persalinan. Desa Suco ini merupakan desa yang berada di wilayah kerja Puskesmas Mumbulsari Kabupaten Jember. Kelas ibu hamil merupakan kelompok khusus ibu hamil yang rutin diselenggarakan di Desa Suco. Melalui kegiatan tersebut, peneliti ingin memberikan pendidikan kesehatan kepada masyarakat khususnya ibu hamil tentang deteksi dini tanda bahaya dalam kehamilan dalam rangka persiapan proses persalinan yang aman dan sebagai upaya untuk menurunkan angka kematian ibu.
Gambaran Status Gizi Balita Pada Masa Pandemi Covid-19 Di Wilayah Kerja Puskesmas Kaliwates Ririn Handayani
PROFESSIONAL HEALTH JOURNAL Vol 3 No 2 (2022)
Publisher : Pusat Penelitian dan Pengabdian Masyarakat (PPPM) STIKES Banyuwangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54832/phj.v3i2.223

Abstract

Indonesia is one of the countries with the highest child mortality rate due to Covid-19 which is 2.5 percent. One of the causes of the high child mortality rate is the low level of child health examinations, the status of children with congenital disorders and children with poor nutritional status. Increasing immunity needs to be done to prevent morbidity in children. One of them is by eating balanced nutrition, maintaining health protocols, wearing masks and avoiding crowds. The purpose of this study was to identify the nutritional status of toddlers during the Covid-19 pandemic. Research of methods is descriptive, cross sectional approach. Subjects in this study were all toddlers in Posyandu Aster 11 and 15 as much 91 children. Methods of collecting data by measuring TB and BB. Measurement results analyzed using a table of categories of nutritional status of toddlers to WHO. Data analysis used the frequency distribution. Analysis result were based on TB/U (45% in the very short category, 9% short, 46%). ), analysis based on BB/TB (2% with very thin category, 3% thin, 65% normal, 30% fat). Research conclution that most of toddlers have good nutritional status, although there are toddlers of poor nutritional status and there are toddlers with category of very short (stunting).
Determinan Perilaku Ibu Hamil dalam Melakukan Pemeriksaan Kehamilan pada Masa Pandemi Covid-19 Melati Puspita Sari; Ririn Handayani
Jurnal MID-Z (MIDWIFERI ZIGOT) Vol 5 No 1 (2022): MAY
Publisher : Universitas Islam Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56013/jurnalmidz.v5i1.1372

Abstract

ANC or antenatal care can be interpreted the service of the mummy and fetus during pregnancy. Through pregnancy check, various advice and education related to gestation and preparation for birth can be given to mothers as early as possible. At this time of the Covid-19 pandemic, there were some who closed their PMB but 72% were still actively providing services by referring to the health protocols that had been established so as to prevent transmission, especially to pregnant women. This research including an analytical survey research. The population taken at PMB Ny. M Tamansari Village, Mumbulsari District with the amount of 3rd trimester expectant mother who came for a pregnancy checkup in April-July 2021 to the tune of 40 expectant mother, with technique sampling is total sampling. The research results obtained that was used Chi Square analysis represented that P value <0.05 was a significant relationship between the behavior of expectant mother doing ANC with Age, Education, Knowledge, Attitudes, Husband's Support and Health Facilities, the unrelated variable was the mother’s occupation. Present condition does not a barrier of expectant mother from pregnancy check-ups.
Status Gizi Calon Pengantin Wanita Yuni Handayani; Ririn Handayani
Oksitosin : Jurnal Ilmiah Kebidanan Vol. 10 No. 1 (2023): OKSITOSIN : Jurnal Ilmiah Kebidanan
Publisher : Prodi D III Kebidanan Fakultas Ilmu Kesehatan Universitas Ibrahimy

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35316/oksitosin.v10i1.2287

Abstract

The nutritional health status of the prospective bride is a description of the physical well-being of the prospective bride on the fulfillment of nutritional needs in the body. The nutrition of the bride-to-be can have an effect on reproductive health to prepare for reproduction from preconception, pregnancy, delivery and post-delivery. The purpose of this study was to describe the nutritional status of the prospective bride in the KUA Kaliwates Region. This research used descriptive method. The population in this study was 47 respondents, the sampling technique used total sampling. The results of the study were obtained from direct examination of respondents regarding the status of the prospective bride, for the examination including measurements of Height, Weight and LILA. The results showed that all respondents in the reproductive age vulnerable (100%), the nutritional status according to the LILA measurement, most (63.8%) of normal nutritional status, blood pressure examination of 25 people (53.2%) in the susceptible normal. Examination of Upper Arm Circumference in partly 39 people (83%) in a normal assessment, Glucose examination in partly a bride-to-be of 47 people (100%) in a normal assessment.
PENTINGNYA PEMENUHAN GIZI PADA BAYI DAN BALITA PADA MASA PANDEMI COVID-19 Ririn Handayani; Yuningsih yuningsih; Laila Karimatu Zalika
Jurnal IDAMAN (Induk Pemberdayaan Masyarakat Pedesaan) Vol 5 No 2 (2021): Jurnal IDAMAN (Induk Pemberdayaan Masyarakat Pedesaan)
Publisher : Politeknik Kesehatan Kemenkes malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/j.idaman.v(5)i(2)y(2021).page:123-127

Abstract

The high rate of child mortality due to Covid-19 can be triggered by several factors, namely low examination rates, many children have congenital diseases and suffer from poor nutrition, and delayed treatment. One of the steps that need to be taken to make this condition worse is to maintain immunity in children, among others, by eating foods with balanced nutrition, maintaining health protocols and maintaining health. The purpose of this activity is as a preventive effort in order to reduce the mortality rate of infants and toddlers with Covid-19 through increasing immunity through adequate balanced nutrition. This Community Service activity was carried out at Posyandu Aster 11 and 15 Tegal Besar Village in the Kaliwates Health Center. Target in this activity is all mothers who have babies and toddlers. The results of Community Service activities showed that the nutritional status of infants and toddlers based on BB/U obtained 4 toddlers (4percent) in the category of poor nutritional status, 16 toddlers (18percent) with the category of poor nutritional status, 70 toddlers (77percent) in the good nutrition category, 1 toddler (1percent) with more nutritional status category. From the data above, it is hoped that this Community Service activity can increase the knowledge of mothers about the importance of fulfilling nutrition for infants and toddlers so that mothers are able to improve the nutritional status of children with the hope that body immunity will increase and be able to reduce morbidity and mortality rates in infants and toddlers, especially due to the Covid-19 virus.
Hubungan Pola Asuh Orang Tua Dengan Perkembangan Anak Usia Pra Sekolah (3-5) Tahun Di Taman Kanak - Kanak Baiturohman Desa Pondok Waluh Kabupaten Jember Ernawati Anggraeni; Ririn Handayani; Melati Puspita Sari; Yuni Handayani
Jurnal Medika Nusantara Vol. 1 No. 3 (2023): Agustus : Jurnal Medika Nusantara
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/medika.v1i3.447

Abstract

Children in the pre-school period need to achieve developments that include; motor, social and language skills. Early childhood education will help in achieving this development. This study aims to determine the relationship between parenting style and the development of 3-5 year old preschool children in Baiturohman Kindergarten, Pondok Waluh Village, Jember Regency. The design of this study was Correlational Analysis with a population of 40 children and parents at Baiturohmah Kindergarten, Kencong Village, Jember Regency. The sample used in this study were 40 respondents taken by the Total Sampling method, the measuring instrument in this study used a questionnaire and KPSP, Spearman rank correlation test. The results of this study are that two variables obtained a p value of 0.001 which means <0.05 which indicates that H0 is rejected and Ha is accepted, meaning that there is a relationship between parenting parents and the development of 3-5 year old preschool children in Baiturohmah Kindergarten, Pondok Waluh Village, Jember Regency . Therefore, parents need to choose the right parenting style so that the child's development is optimal.
Ekstrak Teh Hijau Meningkatkan Ekspresi ER-alfa pada Endometrium dan Tuba Falopi Tikus Betina Yang Dipapar Sipermetrin Ririn Handayani
Jurnal Kebidanan Vol 7, No 2 (2018): August 2018
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (464.975 KB) | DOI: 10.26714/jk.7.2.2018.103-110

Abstract

Infertilitas banyak terjadi pada wanita karena gangguan sistem reproduksi yang bisa disebabkan oleh pestisida (sipermentrin). Paparan sipermetrin dapat memberi dampak pada otak yang menyebabkan kerusakan hipotalamus melalui proses stres oksidatif. Kemudian dapat mempengaruhi sekresi dari GnRH, LH dan FSH pada proses umpan balik hormon endogen. Sehingga akan mempengaruhi proses folikulogenesis dan menghasilkan estrogen sedikit. Estrogen ini  akan menstimulasi pertumbuhan sel jika berikatan dengan reseptornya (ER-α). Teh hijau dengan kandungan antioksidan yang tinggi mampu menghambat radikal bebas. Jenis flavonol dari teh hijau umumnya dikenal sebagai catechin yaitu EGCG. EGCG bekerja sama dengan antioksidan endogen untuk melindungi tubuh dari reaksi stres oksidatif. Tujuan dari penelitian ini untuk membuktikan pemberian ekstrak teh hijau dapat meningkatkan ekspresi ER-α pada endometrium dan tuba falopi tikus betina yang dipapar sipermetrin. Penelitian ini merupakan penelitian eksperimental. Proses ekstraksi dengan metode maserasi. Pemeriksaan ekpresi ER-α dengan metode imunohistokimia (IHK). Data dianalisis menggunakan uji Rank Spearman. Hasil uji statistik didapatkan nilai korelasi 0,776 untuk ekspresi ER-α pada endometrium dan 0,718 untuk ekspresi ER-α pada tuba falopi. Berdasarkan hasil penelitian dapat disimpulkan bahwa ada hubungan positif searah dan cukup kuat antara pemberian ekstrak teh hijau dengan ekspresi ER-α pada endometrium dan tuba falopi. Semakin tinggi dosis yang diberikan semakin tinggi ekspresi yang dihasilkan
P3 (Pendidikan, Pelatihan Dan Pembinaan) Melalui “GURAH” Gubuk Rempah Sebagai Upaya Peningkatan Keterampilan Pada Karang Taruna Shinta Mayasari; Ina Martina; Stivaniyanti Atmanegara; Rizki Fitrianingtyas; Ai Nur Zannah; Ayu Tri Agustin; Hendra Dwi Cahyono; Ririn Handayani; Budiana Anggun Yunitasari; Cahya Putri Jalil; Zulkarnaen Permana Putra
Prosiding Seminar Nasional Pengabdian Masyarakat Vol. 1 (2023): Prosiding Seminar Nasional Pengabdian Masyarakat
Publisher : CV. Dharma Samakta Edukhatulistiwa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61142/psnpm.v1.37

Abstract

RT 5/RW 12 di Kelurahan Gebang Jember dengan sebutan Linkungan New Puri Cempaka membawai kegiatan Karang Taruna vakum selama empat tahun tanpa ada kegiatan yang menunjang dan belum pernah mendapatkan edukasi,dan pelatihan secara eksternal. Observasi, wawancara dan survey dilakukan di lokasi pengabdian untuk menggali permasalahan yang terjadi di lingkungan tersebut. Beberapa permasalahan yang ditemukan diantaranya adalah vakumnya kegiatan mitra (karang taruna) selama tiga tahun. Permasalahan mitra diantaranya adalah tidak adanya penyuluh yang memberikan edukasi, dan keterlibatan dalam kegiatan di lingkungan tersebut. Mitra terdiri dari sekumpulan mahasiswa tingkat Sarjana, SMA, SMP dan mayoritas remaja yang putus sekolah. Remaja   yang   putus   sekolah   tidak   memiliki   minat   untuk menjadi produktif karena keterbatasan Sumber Daya Manusia Unggul di lingkungan tersebut. Remaja yang putus sekolah terjerumus dalam kegiatan yang kurang baik hingga masalah pidana   karena   perekonomian   yang   menurun.   Generasi penerus bangsa yang kurang baik dalam mitra ini membuat kami berusaha menuntaskan permasalahan tersebut. Tujuan kegiatan PMP ini adalah memberikan solusi kepada mitra dengan memberikan pendidikan/edukasi, memberikan pelatihan untuk meningkatkan keterampilan mitra. Pemateri memberikan dasar dan pelatihan terkait pembuatan produk dari  rempah,  urgensi  halal  produk rempah,  dan kewirausahaan.  Karang  Taruna  dibina  oleh  tim  PMP  untuk lebih terampil dalam membuat produk. Selanjutnya, karang taruna bersama warga RT 5/RW 12 menanam rempah dilahan fasum area GURAH (Gubuk Rempah). Gurah dibangun untuk menunjang kegiatan produksi rempah dalam pembuatan produk berkelanjutan. Mitra diberikan pre-test dan post-test terkait tema peningkatan keterampilan. Hasil dari kegiatan PMP ini adalah meningkatnya keterampilan karang taruna menjadi lebih terampil dari sebelumnya dengan nilai peningkatan menjadi 49,5%.
The Description of Lipid Profile on Injectable DMPA Contraception Acceptors in Public Health Center Banjarsengon, Jember District Ririn Handayani; Rizki Fitrianingtyas
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.p043-048

Abstract

Injectable DMPA contraception can cause changes in lipoprotein metabolism. Changes in fat metabolism occur because of the hormonal influence of progesterone, causing disruption of the balance of lipid profiles in the body. The change in serum lipid profile (trgliseride, total cholesterol, HDL and LDL) in long-term use of DMPA is a risk factor for atherosclerosis and cardiovascular disease. The purpose of this study was to look at the description of the lipid profile at 3 months injection acceptors. The design of the study was descriptive. The population in this study was 76, the number of samples that met the inclusion and exclusion criteria in this study was 30. Examination of the lipid profile was carried out with an enzymatic colorimetric (cholesterol oxidase method / CHOD PAP). The results of lipid profile examination showed that 13.33% had high cholesterol levels, 3.33% had high triglyceride levels, 13.33% had high HDL levels, 20% had high LDL levels and 3.33% have very high LDL levels. The conclusion of this study was long term use of DMPA injection contraception could cause changes in the lipid profile, so it is recommended for acceptors who want to use contraception in the long term to use MKJP as an option so as not to affect the fat profile in the body.
Hematology Profile of Pregnant Women in Trimester III with Covid-19 Ririn Handayani; Ernawati Anggareni; Nazmi Kamila
Journal of Ners and Midwifery Vol 9 No 3 (2022)
Publisher : STIKes Patria Husada Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26699/jnk.v9i3.ART.p321-327

Abstract

Women pregnant  classified  as  vulnerable  groups  because  of  changes  in  body  physiology  and  immune  response  mechanisms  in  their  bodies.  SARS-CoV-2  infection  in  pregnancy  stimulates  an  increase  in  the  expression  of  proinflammatory  cytokines,  namely  IL-6,  IL-12,  IL-1β, dan IFNγ which  can  damage  lung  organs.  The  purpose  of  this  study  was  to  look  at  the  hematological  profile  of  pregnant  women  with  COVID-19,  especially  in  the  third  trimester  as  an  effort  to  detect  the  severity  of  the  infection  experienced  by  the  mother.  This  study  was  a  quantitative  descriptive  study  with  a  retrospective  design  using  secondary  data  from  medical  records.  This  study  was  carried  out  at  dr.  Soebandi  Hospital  Jember,  medical  record  data  were  taken  from  January to  December  2021.  The  subjects  of  study  were  pregnant  women  in  the  third  trimester  with  COVID-19.  The  sampling  technique    total  sampling.  Method  of  analysis  in  this  study  used  a  frequency  distribution.  Results  of  the  study  showed  that  100%  of  pregnant  women  with  COVID-19  had  symptoms  of  cough,  runny  nose,  fever  and  shortness  of  breath.  Results  of  the  mother's  hematological  examination  showed  an  increase  in  leukocytes  (48%)  and  a  decrease  in  lymphocytes  (92%),  most  of  the  mothers  had  anemia  (76%),  there  was  a  decrease  in  platelets  (8%)  and  an  increase  in  platelets  (20%). In conclusion, they had  the  same  symptoms  as  patients  in  general,  including  cough,  runny  nose,  fever  to  shortness  of  breath,  an  increase  in  leukocytes  and  a  decrease  in  lymphocytes,  most  of  the  mothers  also  experience  anemia and  changes  to  abnormal  maternal  platelets  occur.