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KARAKTERISTIK PEMILIHAN METODE KONTRASEPSI JANGKA PANJANG DI KOTA PALEMBANG TAHUN 2020 Sari Wahyuni; Siti Hindun; Elga Mardani; Desy Setiawati
MMJ (Mahakam Midwifery Journal) Vol 6 No 2 (2021): Mahakam Midwifery Journal
Publisher : Politeknik Kesehatan Kementerian Kesehatan Kalimantan Timur

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35963/mmj.v6i2.170

Abstract Short-term contraceptives still dominate the use of contraceptives in Indonesia. Short-term contraception can lead to a high rate of discontinuation of family planning. The results of the 2011 mini-survey using the Long-Term Method of Contraception (MKJP) are still relatively low. Based on data, MKPJ coverage in Indonesia in 2018 was only 17.8%, in South Sumatra 15.76%, in Palembang 11.6%. Predisposing factors can affect the use of MKJP, including age, education level, occupation, and a number of children. This study aims to determine the characteristics of the selection of MKJP on family planning acceptors. This research is a descriptive observational study conducted at Independent Practice Midwives and Maternity Homes in Palembang City from December 2019 to March 2020. The sample in this study amounted to 40 respondents. The tools in this study were in the form of a questionnaire on the characteristics of the respondents, as well as a KB Participant Status Card (K/IV/KB) form to see the methods and types of contraceptives chosen by the respondents. The data analysis that will be carried out is univariate data analysis. Result: Characteristics of family planning acceptors obtained the majority of 72.5% mothers aged 20-35 years, 42.5% high school/high school education, 52.5% working and the majority of children two children as much as 57.5%. In the selection of contraception, 29 mothers (72.5%) did not choose MKJP or continued to use non-MKJP contraception, and only five mothers (12.5%) chose and used/installed MKJP. Keywords: Characteristics, family planning, MKJP Abstrak Penggunaan alat kontrasepsi di Indonesia masih didominasi alat kontrasepsi jangka pendek. Kontrasepsi jangka pendek dapat mengakibatkan angka putus pakai KB cukup tinggi. Hasil mini survei 2011 penggunaan Metode Kontasepsi Jangka Panjang (MKJP) yang relatif masih rendah. Berdasarkan data cakupan MKPJ di Indonesia tahun 2018 hanya 17,8%, di Sumatera Selatan 15,76%, di Palembang 11,6%. Faktor presdisposisi dapat mempengaruhi penggunaan MKJP diantaranya umur, tingkat pendidikan, pekerjaan serta jumlah anak. Penelitian ini bertujuan untuk mengetahui karakteristik pemilihan MKJP pada akseptor KB. Penelitian ini merupakan penelitian deskriptif observasional yang dilaksanakan di Bidan Praktik Mandiri dan Rumah Bersalin Kota Palembang pada bulan Desember 2019 sampai dengan Maret 2020. Sampel dalam penelitian ini berjumlah 40 responden. Alat pada penelitian ini berupa lembar kuesioner karakteristik responden, serta formulir Kartu Status Peserta KB (K/IV/KB) untuk melihat metode dan jenis alat kontrasepsi yang dipilih oleh responden. Analis data yang akan dilakukan adalah analisis data univariat. Hasil : Karakteristik akseptor KB didapatkan mayoritas 72,5% ibu berumur 20-35 tahun, 42,5% berpendidikan SMA/SLTA, 52,5% bekerja dan mayoritas jumlah anak ≤ 2 anak sebanyak 57,5%. Pada pemilihan kontrasepsi didapatkan 29 ibu (72,5%) yang tidak memilih MKJP atau tetap menggunakan kontrasepsi non MKJP dan hanya 5 ibu (12,5%) yang memilih dan menggunakan/memasang MKJP. Kata Kunci : Karakteristik, keluarga Berencana, MKJP

Risiko DIsfungksi Seksual pada Perempuan Pemakai Konstrasepsi Depo Medroxy Progesteron Acetate di Puskesmas Basuki Rahmat Palembang Tahun 2011 Siti Hindun; Rosyati Pastuty; Aprilina Aprilina
JPP JURNAL KESEHATAN POLTEKKES PALEMBANG Vol 1 No 11 (2012): Jurnal Kesehatan
Publisher : POLITEKNIK KESEHATAN KEMENKES PALEMBANG

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (350.18 KB)

Sekitar sepertiga perempuan di dunia mengalami gangguan dalam kehidupan seksualnya dan hanya 10% saja yang mencari pertolongan serta mendapat pengobatan, padahal difungsi seksual yang tidak segera di tangani akan berdampak pada kesejahteraan kesehatan reproduksi seorang perempuan. Suntik KB yang mengandung Medroxy Progesterone Acetate (MPA) diduga dapat meningkatkan risiko mengalami disfungsi seksual. Dengan terus meningkatnya peserta KB suntik dan belum diketahuinya prevalensi disfungsi seksual perempuan di Puskesmas Basuki Rahmat Palembang, maka perlu kiranya dilakukan penelitian mengenai masalah tersebut. Penelitian ini bertujuan untuk mengetahui prevalensi disfungsi seksual pada perempuan klien suntik DMPA, besarnya risiko yang dihadapi klien suntik DMPA dibandingkan yang memakai kontrasepsi suntik 1 bulan serta pengaruh umur, paritas, pendidikan, pekerjaan dan lamanya pemakaian kontrasepsi terhadap disfungsi seksual pada perempuan usia subur di Puskesmas Basuki Rahmat Palembang.Penelitian ini menggunakan desain penelitian observasional dengan rancangan studi case-control. Subjek penelitian adalah perempuan klien suntik DMPA sebagai kelompok terpapar dan perempuan yang menggunakan kontrasepsi suntik 1 bulan sebagai kelompok kontrol. Analisa data dilakukan dengan analisis univariabel dengan distribusi frekuensi dan bivariabel dengan uji Chi-square dengan tingkat kemaknaan p<0,05.Hasil dari penelitian didapatkan bahwa dari seluruh responden sebanyak 88,9% mengalami hasrat disorder, 68,9% arousal disorder, 24,4% orgasme disorder dan 55,8% disfungsi seksual. Hasil penelitian menunjukkan bahwa prevalensi klien DMPA dengan disfungsi seksual sebesar 64,4%. Umur dan paritas menunjukkan hubungan yang bermakna dengan disfungsi seksual, sedangkan pendidikan, pekerjaan dan lamanya penggunaan kontrasepsi secara statistik tidak bermakna. Maka dapat disimpulkan bahwa pemakaian kontrasepsi DMPA meningkatkan risiko mengalami disfungsi seksual sebesar 0,73 kali. Umur dan paritas mempengaruhi terjadinya disfungsi seksual dan secara statistik bermakna. Pendidikan, pekerjaan, dan lamanya penggunaan kontrasepsi secara statistik tidak menyebabkan disorder dan disfungsi seksual pada perempuan usia subur di Puskesmas Basuki Rahmat Palembang.

Senam Hamil Pada Primigravida dan Lama Persalinan Exercise During Primigravida Pregnancy and Long Labor Siti Hindun; Murdiningsih Murdiningsih; Aprillia Ayu SY
JPP JURNAL KESEHATAN POLTEKKES PALEMBANG Vol 1 No 14 (2014): Jurnal Kesehatan
Publisher : POLITEKNIK KESEHATAN KEMENKES PALEMBANG

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (49.627 KB)

Exercise during primigravida pregnancy is the one of method to prepare delivery process and further is to prevent maternal death. With pregnancy exercise vascularization of the uterus to the placenta becomes better that ensures the supply of oxygen and nutrients to the fetus sufficient. The objective of this research was to determine the effect of exercise during primigravida pregnancy on long labor in Widiyanti and Az Zahra Maternity Hospital. This was a observasional research. Moreover, the population involve in this research were all primigravida (mother that having first pregnancy) that done exercise pregnancy at Widiyanti and Az Zahra Maternity Hospital. The samples were taken by simple random sampling method. Furthermore, the relationship among variables was analyzed using chi square test . The result is most of women doing pregnancy exercise is 61.5%, the mother had a normal delivery time is equal to 76.9% of pregnant women with younger age (<35 years) of 100%, babies born with enough weight that 95.4%. The results of statistical tests using the chi Square found no significant association between pregnancy exercise with long labor with p values of 0.024 and OR 4.667. Conclusion, exercise pregnancy is not a major factor in determined the long labor, but health promotion by doing pregnancy exercise should be developed because it can prepare physically and psychologically of delivery process and reduce the risk of maternal death.

Pelatihan dan Pendampingan Kader dalam Penerapan Program Perencanaan Persalinan dan Pencegahan Komplikasi (P4k) pada Ibu Hamil di Wilayah Kerja Puskesmas Pembina Palembang Murdiningsih Murdiningsih; Rohaya Rohaya; Siti Hindun; Nurul Komariah
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 6, No 1 (2023): Volume 6 No 1 Januari 2023
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v6i1.8223

ABSTRAK Program Perencanaan Persalinan dan Pencegahan Komplikasi (P4K) merupakan salah-satu upaya pemerintah untuk menurunkan angka kesakitan dan Angka Kematian Ibu (AKI) di Indonesia. Para kader memainkan peran kunci dalam mendukung ibu hamil dengan harapan dapat menurunkan angka kematian ibu.Kader belum memiliki pengetahuan yang baik. Meningkatkan pengetahuan dan keterampilan kader tentang P4K Pelatihan dan Pendampingan kader yang dilakukan pada 29 orang peserta di Puskesmas Pembina Palembang. Kader di beri pretest kemudian diberikan pelatihan dan pendampingan selanjutnya dinilai lagi pengetahuannya dengan post test. Pengetahuan kader meningkat setelah diberikan pelatihan dan pendampingan. Sebelumnya terdapat 4 orang (13,79%) yang berpengetahuan baik meningkat menjadi 23 orang (79,3%). Pelaksanaan pelatihan dan pendampingan efektif untuk meningkatkan pengetahuan kader tentang P4K. Kata Kunci: P4K, Kader, Pengetahuan, Pelatihan, Pendampingan ABSTRACT The Maternity Planning and Complications Prevention (P4K) program is one of the government's efforts to reduce morbidity and maternal mortality (MMR) in Indonesia. Cadres play a key role in supporting pregnant women with the hope of reducing maternal mortality. Cadres do not yet have good knowledge to increase cadres' knowledge and skills about P4K Training and mentoring of cadres conducted on 29 participants at Pembina Palembang Health Center. Cadres were given a pretest and then given training and assistance, then their knowledge was assessed again with a post test. Knowledge of cadres increased after being given training and mentoring. Previously there were 4 people (13.79%) who had good knowledge, increasing to 23 people (79.3%). Implementation of training and mentoring is effective to increase cadre knowledge about P4K. Keywords: P4K, Cadre, Knowledge, Training, Mentoring

Effect of Diaphragm Breathing Exercise on Reducing Anxiety Level of Pregnant Women Rosyati Pastuty; eliza dora; siti hindun
Journal of Maternal and Child Health Sciences (JMCHS) Vol 1 No 2 (2021): Journal of Maternal and Child Health Science (JMCHS)
Publisher : Poltekkes Kemenkes Palembang

Background: Anxiety is one of the emotional disorders in pregnant women that commonly occurs in the third trimester. As many as 28.7% of anxiety occurred in pregnant women before the delivery process. Anxiety increased 1.7 times delivery with Sectio Caesarea. One of the non-pharmacological treatments that can overcome the anxiety of pregnant women is diaphragmatic breathing exercises. The purpose of the study was to determine the effectiveness of diaphragmatic breathing exercises on the anxiety of third trimester pregnant women in Palembang City. Methods: the type of research used is pre-experimental with one group pre-test post-test design. The research sample was 38 respondents in the third trimester of pregnancy. The statistical test used to be the Wilcoxon test with a 95% confidence level. Results: The analysis showed that the anxiety level of pregnant women in the third trimester decreased after doing the Diaphragm Breathing Exercise. The results of the Wilcoxon statistical test showed that there was an effect of the intervention of Diaphragm Breathing Exercise on the anxiety of pregnant women in the third trimester (p-value 0.001 0.05). Conclusion: Diaphragm Breathing Exercises can reduce the anxiety level of pregnant women in the third trimester.

Anxiety Against Covid-19 With A Planning Family Acceptor Visit Kiki Lesdianti; Ira Kusumawaty; Siti Hindun; Desy Setiawati; Aprillia Ayu SY
Journal of Maternal and Child Health Sciences (JMCHS) Vol 2 No 2 (2022): Journal of Maternal and Child Health Sciences (JMCHS)
Publisher : Poltekkes Kemenkes Palembang

The pandemic Covid-19 caused a decrease in the number of family planning acceptors in Indonesia and particularly in Palembang which will have an impact on pregnancy rates were rising and the Baby Boom phenomenon occurred in Indonesia. Purpose: This study aims to analyze anxiety during Covid-19 in family planning acceptors and analyze the relationship between anxiety and Covid-19 with family planning acceptor visits at the Palembang City Health Center in 2021. Method: The research design used is correlation analytic with a cross-sectional design. The sampling technique in this study used a purposive sampling technique (Non-Probability ). The sample of this study amounted to 104 respondents from 140 populations. Data collection was carried out in the working area of the Ariodillah Health Center and the Pembina City of Palembang by using direct questionnaires and online questionnaires using Google Forms This research was conducted on 17 May – 03 June 2021. The data analysis used was the non-linear regression test. Result: sig values 0.832 > probability of 0,05 it is stated that no relationship exists significant between Anxiety against Covid 19 to visiting family planning acceptors. Based on the comparison of the t arithmetic value of 0.213 < t table value of 1.663, it can be concluded that H1 or the first hypothesis is rejected. This means that there is no relationship between anxiety about COVID-19 and the visit of family planning acceptors at the Palembang City Health Center. Conclusion: There is no significant relationship between anxiety about Covid-19 and the visit of family planning acceptors at the Palembang City Health Center.

Relaksasi Self Hipnosis Terhadap Kecemasan Ibu hamil Siti Hindun; Nesi Novita; Sulastri Sulastri
Journal of Complementary in Health Vol 1 No 1 (2021): Journal of Complementary in Health (JCoHealth)
Publisher : Pusat Unggulan IPTEK, Poltekkes Kemenkes Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36086/jch.v1i1.1113

Background: The pregnancy phase there are various kinds of pregnancy problems, one of which is the psychological problem of pregnancy in the form of anxiety. Anxiety can cause negative reactions to pregnant women's conditions such as bleeding, excruciating pain, fear and even the cause of maternal and fetal mortality. Currently many researchers who find a variety of methods that can reduce anxiety non-pharmacologically, namely with the help of self-hypnosisrelaxation. Relaxation of self hypnosis is a suggestion that comes from oneself in the form of short words / sentences or thoughts that can make the mind peaceful by stimulating the increase in the work of parasympathetic nerves and inhibiting the work of the sympathetic nerve, so that the hormone cause of anxiety can be reduced. Purpose: This study aims to find out the effect of self hypnosis relaxation techniques on the anxiety levels of pregnant women in BPM Lismarini and BPM Kustirah Palembang in 2018. Method: This study is a quantitative study that uses pre-experimental methods with one group pretest posttest design research design, samples in this study are pregnant women primigravida trimester III who experience anxiety with a large sample of 30 respondents. Sampling in this study used puposive sampling. Results: Data processing results with Wilcoxon statistical test obtained ρ -value of 0.000 (< α 0.05) which means there is a meaningful difference between the level of anxiety before and after being given self hypnosisrelaxationtechniques, so there is an influence between before and after self hypnosis relaxation on the anxiety levels of pregnant women in BPM Palembang City in 2018. Advice: To overcome anxiety, it is expected that midwives can provide safe methods to pregnant women, one of which is self hypnosisrelaxationtechniques.

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