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Quality of Comprehensive Midwifery Care as A Determinants of The Quality of Life of A Postpartum Mother Susilawati, Dewi; Nilekesuma, Nur Fadjri
JHE (Journal of Health Education) Vol 5 No 2 (2020)
Publisher : Universitas Negeri Semarang cooperate with Association of Indonesian Public Health Experts (Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI))

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/jhe.v5i2.40218

Abstract

Background: One of the strategic efforts to reduce maternal mortality rate (MMR) is through the provision of comprehensive midwifery care. from pregnancy, childbirth to the puerperium. Indicators of success in midwifery care can be seen from the quality of life of postpartum mothers. Preliminary studies in Agam and Pasaman districts show that 50% of post-partum mothers have a poor quality of life. Methods: This analytic descriptive study with a cross-sectional design involved postpartum mother as the subject. The sample of the study was many postpartum mothers who received midwifery services at practicing independent midwives in Pasaman and Agam districts. Samples were taken using the accidental sampling technique within 1 month. A questionnaire for evaluating the quality of life of postpartum women is used as an instrument to measure the quality of life of postpartum mothers. Data were analyzed univariate and bivariate using the chi-square test Results: A total of 75.4% of the research subjects had a good quality of life. There is a relationship between service quality (p= 0.001) and maternal satisfaction (p= 0.001) with the quality of life for postpartum mothers. Conclusion: The better the quality of midwifery services and the level of satisfaction with services, the better the quality of life for postpartum mothers. Therefore, it is recommended that midwives maintain the quality of midwifery care starting from pregnancy, childbirth to childbirth on an ongoing basis (continuity of care).
Quality of Comprehensive Midwifery Care as A Determinants of The Quality of Life of A Postpartum Mother Susilawati, Dewi; Nilekesuma, Nur Fadjri
Journal of Health Education Vol 5 No 2 (2020)
Publisher : Universitas Negeri Semarang cooperate with Association of Indonesian Public Health Experts (Ikatan Ahli Kesehatan Masyarakat Indonesia (IAKMI))

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/jhe.v5i2.40218

Abstract

Background: One of the strategic efforts to reduce maternal mortality rate (MMR) is through the provision of comprehensive midwifery care. from pregnancy, childbirth to the puerperium. Indicators of success in midwifery care can be seen from the quality of life of postpartum mothers. Preliminary studies in Agam and Pasaman districts show that 50% of post-partum mothers have a poor quality of life. Methods: This analytic descriptive study with a cross-sectional design involved postpartum mother as the subject. The sample of the study was many postpartum mothers who received midwifery services at practicing independent midwives in Pasaman and Agam districts. Samples were taken using the accidental sampling technique within 1 month. A questionnaire for evaluating the quality of life of postpartum women is used as an instrument to measure the quality of life of postpartum mothers. Data were analyzed univariate and bivariate using the chi-square test Results: A total of 75.4% of the research subjects had a good quality of life. There is a relationship between service quality (p= 0.001) and maternal satisfaction (p= 0.001) with the quality of life for postpartum mothers. Conclusion: The better the quality of midwifery services and the level of satisfaction with services, the better the quality of life for postpartum mothers. Therefore, it is recommended that midwives maintain the quality of midwifery care starting from pregnancy, childbirth to childbirth on an ongoing basis (continuity of care).
Faktor-Faktor yang berhubungan dengan Pencapaian Kepuasan Layanan Masa Nifas Dewi Susilawati; Nur Fadjri Nilakesuma
Jurnal Ilmiah Universitas Batanghari Jambi Vol 21, No 2 (2021): Juli
Publisher : Universitas Batanghari Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33087/jiubj.v21i2.1470

Abstract

One of the measuring tools for midwifery services is said to be of quality if a midwifery service can satisfy the client according to the level of satisfaction. Client satisfaction is influenced by internal factors and external factors. Internal factors come from the client himself (age, education, pregnancy distance, parity, and occupation) and external factors such as actions given by health workers. Client satisfaction is not only the responsibility of top management but has become the culture and commitment of all employees. The lower the quality of health services, the lower the level of patient satisfaction. The purpose of the study was to determine the factors associated with the achievement of postpartum service satisfaction. This type of research is an analytic description with a cross-sectional design. The sample of this study was postpartum mothers who received services from pregnancy to childbirth by midwives at Independent Practice Midwives (PMB) in Agam and Pasaman Regencies. The sampling technique was using accidental sampling with a period of 1 month, namely from July 1 to July 31, 2020, as many as 69 postpartum mothers. The data is processed by computer. Analysis of the data using the Chi-Square test. The results showed that the factors associated with postpartum service satisfaction were age, education level and service quality. Meanwhile, for parity and work factors, there is no relationship with postpartum service satisfaction. This study concludes that the variables associated with postpartum service satisfaction are age, education level and service quality, while parity and workers have no relationship with the respondent's level of satisfaction with the services they provide.
Individual Factors Associated With Dietary Practices During Pregnancy Dewi Susilawati; Nur Fadjri Nilakesuma
Jurnal MIDPRO Vol 13, No 2 (2021): JURNAL MIDPRO
Publisher : Universitas Islam Lamongan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30736/md.v13i2.313

Abstract

During pregnancy, nutrition is very important for the health of the mother and baby. Many impacts that occur if pregnant women experience nutritional deficiencies such as anemia, Protein Energy Deficiency, Low Birth Weight Babies and nutritional deficiencies can also affect the type of delivery. The incidence of anemia in pregnant women is 11.2%, pregnant women who experience KEK are 9.3%, while infants with low birth weight are 1.8%. One of the efforts to reduce nutritional deficiencies of pregnant women is to improve the quality of the mother's diet during pregnancy by practicing a good diet. Many factors influence the dietary practice of pregnant women, one of which is the socio-demographic of pregnant women. Objective: to determine individual factors (age, parity, education, pregnancy spacing) that are related to dietary practices during pregnancy. Methods: descriptive-analytical research type with cross-sectional design. The sample of this study was pregnant women who visited the Independent Practicing Midwife in Padang City in July - August 2021 as many as 100 pregnant women. Data processing by editing, coding, entry, tabulating, and cleaning. This study was analyzed by a chi-square test. Results: Individual factors related to dietary practice were age (P-Value 0.037), parity (P-Value 0.030), and education (P-value 0.017) while there was no relationship between pregnancy interval and dietary practice during pregnancy (P-value 0.661). Conclusions and Suggestions: there is a relationship between age, parity, and education with the dietary practices of pregnant women, therefore pregnant women should often consult and seek information related to good dietary practices during pregnancy so that nutritional deficiencies during pregnancy can be prevented.
Mengawal Tumbuh Kembang Balita dengan Optimalisasi Stimulasi Perkembangan Masa Usia Dini di Masa Pandemi Covid-19 Dian Furwasyih; Dewi Susilawati; Rahmayeni Supri; Reca Yolandha
Jurnal ABDIMAS-HIP Pengabdian Kepada Masyarakat Vol 2 No 2 (2021): Jurnal ABDIMAS-HIP Pengabdian Kepada Masyarakat
Publisher : LPPM Akbid Harapan Ibu Pekalongan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (159.033 KB) | DOI: 10.37402/abdimaship.vol2.iss2.148

Abstract

Monitoring of growth and development is an activity to detect early growth irregularities (malnutrition or poor nutritional status, short children), developmental deviations (late speaking), and mental emotional disorders (impaired concentration and hyperactivity). The rapid growth and development in the first 1,000 days of life makes monitoring of child development very important at this age. The first 1,000 days of life are counted from the time of conception in the mother's womb until the child is 2 years old. In children aged 2 years, the height has reached half of the adult's height and the brain development has reached 80% of the adult brain. Since March 2020, Indonesia has been hit by the COVID-19 pandemic. This resulted in the temporary suspension of posyandu activities in various regions in Indonesia. Fears of a pandemic condition make parents afraid to bring toddlers to clinics and puskesmas. One of the easiest steps for mothers and caregivers to take to stimulate the growth and development of toddlers at home is baby massage. Solutions and targets The outputs offered in this activity are growth and development stimulation education, infant massage demonstrations, and assistance to mothers of toddlers for infant massage for 2x a month. The output targets are publication of articles in the journal Community Service, print media publications, and increasing community empowerment and strengthening knowledge and developing community habits in healthy behavior
The Level of Knowledge and Support of Husband With Exclusive Breastfeeding at Padang dewi susilawati
Journal of Midwifery Vol 4, No 1 (2019): Published on June 2019
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jom.4.1.15-25.2019

Abstract

World breastfeeding coverage according to Indonesia is 55.7%, this coverage is still below the target of 80%. Factors The causes of low exclusive breastfeeding in Indonesia include factors of knowledge and support of the husband.This study was analytical with a design cross-sectional carried out in the Aia Pacah Sub-districts Air Dingin Health Center on June 21 -1 July 2018. Samples in this study were all husbands who had 6-12 months infants, a total sampling technique of 46 people. The data used were primary data which the instrument filled out the questionnaire directly by the respondents, the data was processed by editing, coding, entry, cleaning, and processing and analyzed using univariate and bivariate analysis with statistical test chi-square. The results of the study found that statistical tests using Chi-Square with a significance level of 95%, the p-value <0.005 is 0.004, p value> 0.05, which is 0.705. The conclusion of this research is that there is a relationship between the level of knowledge with exclusive breastfeeding and there is no relationship between husband's support and exclusive breastfeeding.
Edukasi Bounding Attachment dalam Upaya Menciptakan Hubungan Ibu dan Anak setelah Melahirkan Dewi Susilawati; Nur Fadjri Nilakesuma; Novria Hesti; Yeni Gea; Nur Salsabila W S; Ramadhany Hafsah Qonita; Armein Syahid
PengabdianMu: Jurnal Ilmiah Pengabdian kepada Masyarakat Vol 6 No 6 (2021): PengabdianMu: Jurnal Ilmiah Pengabdian kepada Masyarakat
Publisher : Institute for Research and Community Services Universitas Muhammadiyah Palangkaraya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33084/pengabdianmu.v6i6.2241

Abstract

The Indonesian Demographic and Health Survey results in 2017 showed that the MMR was 305/100,000 births and the IMR in Indonesia was 24/100,000 live births. One way to overcome MMR and IMR is to implement bounding attachments. There are various ways to do bounding attachments, including Early Initiation of Breastfeeding and exclusive breastfeeding. The achievement of Exclusive Breastfeeding in the Working Area of ​​the Air Cold Health Center is 66.5%, still far from the government's target of 80%. Independent Practice Midwife Silvia Nova Sari is one of the PMBs in the working area of ​​the Air Cold Health Center, Balai Gadang Village, Koto Tangah District, Padang City. Based on interviews with breastfeeding mothers at PMB Silvia Nova Sari, it was found that most mothers did not know about bounding attachments and how to create them. Likewise with PMB owners, that as health workers, not all mothers get bounding attachment education to pregnant women. Activities carried out include health promotion by providing information and education to pregnant women and their families with a Focus Group Discussion approach on creating bounding attachments between mothers and babies, which was held on 30 September-1 October 2020. Each stage was attended by five pregnant women with due observance of health protocols. The result of bounding attachment education for pregnant women is that almost all mothers experience an increase in knowledge about bounding attachment, seen from the questionnaire results given before and after education.
FAKTOR - FAKTOR YANG BERHUBUNGAN DENGAN INDEKS PRESTASI KUMULATIF MAHASISWA TINGKAT I DAN II DIII KEBIDANAN STIKes MERCUBAKTIJAYA PADANG TAHUN 2018 Dewi Susilawati; Eka Putri Prima Sari; Nur Fadjri Nilakesuma
Jurnal Kesehatan Panca Bhakti Lampung Vol 6 No 2 (2018): JKPBL Vol VI No. 2 2018
Publisher : LPPM Sikes Panca Bhakti Bandar Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (290.62 KB) | DOI: 10.47218/jkpbl.v6i2.46

Abstract

Development index can be seen from human resources. The three main factors that can be determinants are education, health, and economy. These factors are related to the nutritional status of the community. Because children who get adequate food from the womb (well-nourished status) will grow and develop optimally according to their age and have a good life expectancy. In addition to nutritional factors, successful learning and academic achievement of students are also affected by anemia. There are other factors that influence learning achievement, including parents' attention, learning facilities, learning time, motivation, intelligence, interests, teacher teaching skills and so on. The purpose of this study was to determine whether there was an effect of nutritional status, anemia, psychosocial with the cumulative grade index of students grade I and II DIII Midwifery MERCUBAKTIJAYA Padang STIKES in 2018. This research was conducted on 22 February to 30 April 2018 at MERCUBAKTIJAYA STIKES Padang, with a sample of 39 students of Midwifery DIII study program with Stratified Random Sampling technique. This study was analyzed by chi-square test. The results of this study are that there is a relationship between nutritional status, anemia and student cumulative performance index where the P value is 0.008 and 0.026. There is no relationship between Psychosocial and achievement indices for students at grade I and II of DIII Midwifery Program at STIKES MERCUBAKTIJAYA Padang. The conclusion of this study are that there is a relationship between nutritional status, anemia and student cumulative performance index and no relationship between Psychosocial and achievement indices for students at grade I and II. The suggestion of this research is that students are expected to maintain their nutritional quality and require cooperation between the education and parents in maintaining supervision over the mental condition of students.
GAMBARAN KEJADIAN POST PARTUM BLUES PADA IBU NIFAS DI KELURAHAN NANGGALO WILAYAH KERJA PUSKESMAS NANGGALO PADANG TAHUN 2018 Risnawati Risnawati; Dewi Susilawati
Jurnal Kesehatan Panca Bhakti Lampung Vol 6 No 2 (2018): JKPBL Vol VI No. 2 2018
Publisher : LPPM Sikes Panca Bhakti Bandar Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (215.207 KB) | DOI: 10.47218/jkpbl.v6i2.50

Abstract

Postpartum blues is categorized as a mild mental disorder syndrome. Therefore, this disorder is often ignored and often even considers as a side effect of fatigue, so it is not diagnosed and not handled as it should. Finally, it can be a problem that is inciting, unpleasant, and can make uncomfortable feelings for the woman who experienced it. It is estimated that 50-70% of mothers give birth to the early symptoms of the emergence of postpartum blues, although these symptoms can disappear slowly due to the process of good adaptation and support from sufficient families. This study aims to determine the incidence of post partum blues in postpartum mothers.The type of research used is descriptive. The data collected is primary data. The population in this study were all post partum mothers on days 3 - 42 in Nanggalo Village, the working area of the Nanggalo City Health Center in Padang in June was 19 people. This research was carried out on July 2018. Data processing was done through the stages of editing, coding, entry, tabulating and cleaning which were carried out computerized. While the data analysis using univariate uses frequency distribution.Based on the results of the study found that 15.8% of respondents had a risky age, 89.5% had a low education, 73.7% of respondents did not work, 63.3% of respondents had multigravida parity and 52.6% of respondents did not experience post partum blues. Based on the results of the study found that of the 19 respondents it can be concluded as follows: more than half of the respondents had an age that was not at risk, had low education, did not work, had multigravida parity and did not experience the incidence of postpartum blues. To be expected for health workers related to postpartum maternal health should increasingly pay attention to the psychological adaptation of postpartum mothers. Keywords: Post partum blues, postpartum
Studi Kasus: Asuhan Kebidanan Pada Ibu Hamil Trimester III Dengan Menggunakan Kartu Skor Poedji Rochjati Nur Fadjri Nilakesuma; Dewi Susilawati; Kiki Safitri
SEAJOM: The Southeast Asia Journal of Midwifery Vol 5 No 2 (2019)
Publisher : AIPKIND (Asosiasi Pendidikan Kebidanan Indonesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (366.24 KB) | DOI: 10.36749/seajom.v5i2.72

Abstract

The continuing midwifery care aims to provide quality in the mothers throughout the pregnancy and post-childbirth. One of his strategies is to detect possible onset of maternal and fetal complications. One of the tools that can be used is the use of Rochjati Poedji scorers to do the risk that may happen to the mother.. The purpose of research is to know the process of obstetrics and gynaecology by using the transmission of Rohjati score filtering instrument. Research is a descriptive study with the draft case study.. Data is collected through interviews, observations, physical examinations and support checks. The number of respondents was 1 with a THIRD trimester of pregnancy. The tools used include the assessment format, Pudji Rochyati scorers, antenatal sets, and the KIA books used for counseling. As long as the interaction is conducted, respondents experience physiological discomfort that is common with the III-trimester pregnant women and the risk filtering result indicates that the respondent is in a low risk category.