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Persiapan Uji Kompetensi Bidan sebagai Exit Exam Rahmah Fitria; Joserizal Serudji; Lisma Evareny
Jurnal Ilmiah Universitas Batanghari Jambi Vol 19, No 1 (2019): Februari
Publisher : Universitas Batanghari Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (625.053 KB) | DOI: 10.33087/jiubj.v19i1.590

Abstract

The objective of this study was to improve the quality of midwives in Indonesia through National midwife examination to answer the internal and global challenges of health higher education. Accreditation of tertiary education and the passing rate of low midwife's competency test with low minimum standard values can not answer the challenges. Researcher want to see how the phenomenon of midwife's competency test that is focused on the preparation. This research used qualitative design with a phenomenological approach. Data collection is taken through informants related to in-depth interviews, observation and document studies. Taking informants using the snowball sampling technique. The process of data analysis refers to the constant comparative method. The research shows that national midwife examination is currently not yet as the exit exam. The participant's preparation was problem resolved training and did try out. The school is contributed in early introduce the type of questions to students, tutoring, facilitation of try out and making questions but have not been carried out optimally and directed. Organizing national committees, preparation of questions, funding sources and preparation for the implementation of examinations are in accordance with the guidelines. Retaker is a problem that must be sought by all relevant parties regarding the issue of guidance and who is responsible. To answer the existing problems, it is better for national midwife examination to start as an exit exam and do “sit together” to discuss the development efforts of national midwife examination in Indonesia, including the problem of retaker.
Perbedaan Kadar Hemoglobin dan Hematokrit Bayi Baru Lahir Akibat Perbedaan Waktu Penjepitan Tali Pusat Nuriah Arma; Yanwirasti Ariadi; Lisma Evareny
Jurnal Kesehatan Andalas Vol 5, No 1 (2016)
Publisher : Fakultas Kedokteran, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jka.v5i1.448

Abstract

AbstrakBayi baru lahir memiliki 80 ml darah dari plasenta pada 1 menit setelah kelahiran dan 100 ml pada 3 menit setelah lahir, volume ini akan memasok 40-50 mg/kg ekstra besi untuk memiliki 75 mg/kg besi tubuh bayi yang cukup bulan yang dapat mencegah kekurangan zat besi pada tahun pertama kehidupan. Oleh karena itu pemotongan tali pusat yang terlalu cepat setelah persalinan akan mengurangi kandungan besi sekitar 15-30%, sedangkan bila ditunda 3 menit dapat menambah volume sel darah merah sekitar 58%. Tujuan penelitian ini adalah untuk membuktikan adanya perbedaan kadar Hb (hemoglobin) dan Ht (hematokrit) akibat perbedaan waktu penjepitan tali pusat. Penelitian ini dilakukan di tempat Bidan Praktek Mandiri Kota Padang. Jenis penelitian eksperimental dengan post-test only controll group design. Pengambilan sampel secara consecutive sampling sampai tercapai jumlah 36 bayi yang terbagi atas 18 bayi baru lahir pada tiap kelompok. Data dianalisis dengan uji t. Hasil penelitian didapatkan rerata kadar Hb dan Ht pada kelompok penjepitan 3 menit setelah lahir lebih tinggi daripada penjepitan 1 menit. Terdapat perbedaan kadar Hb yang bermakna antara kelompok penjepitan 3 menit setelah lahir daripada 1 menit dengan nilai P=0,004.  Ada terdapat perbedaan Ht yang bermakna antara kelompok penjepitan 3 menit dan 1 menit dengan nilai P=0,001. Kesimpulan penelitian ini ialah kadar Hb dan Ht lebih baik pada penjepitan tali pusat ditunda 3 menit setelah lahir dibandingkan dengan penjepitan 1 menit setelah lahir.Kata kunci: hemoglobin, hematokrit, penjepitan tali pusat AbstractThe newborns contain 80 ml of blood from the placenta in 1 minute after birth and 100 ml in 3 minute after birth. This volume supply 40 to 50 mg/kg of extra iron to have 75 mg/kg of body iron baby full-term that can prevent iron deficiency in the first year of life. Therefore, cutting the umbilical cord too soon after birth will reduce the iron of content about 15 to 30%, whereas when delayed 3 minute its can increase the volume red blood cells about 58%. The objective of this study was to prove the difference of hemoglobin and hematocrit level between 3 minutes and 1 minute cord clamping.  Experimental research was conducted with post-test only control group design of 36 newborns. Data were analyzed by t-test. The result of this study showed that the mean of hemoglobin and hematocrit level in 3 minutes of clamp are higher  than 1 minute of clamp.There was a significant difference of hemoglobin level between 3 minutes cord clamping group and 1 minute cord clamping group with p value is 0.004. There was also a significant difference of hematocrit level between 3 minutes cord clamping group and 1 minute cord clamping group with p value is 0.001. The conclusion is the hemoglobin and hematocrit level are better in cord clamping delayed in 3 minutes after birth than clamping in 1 minute after birth. Keywords: hemoglobin, hematocrit, cord clamping
Pengaruh Masase pada Punggung Terhadap Intensitas Nyeri Kala I Fase Laten Persalinan Normal Melalui Peningkatan Kadar Endorfin Yeni Aryani; Masrul Masrul; Lisma Evareny
Jurnal Kesehatan Andalas Vol 4, No 1 (2015)
Publisher : Fakultas Kedokteran, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jka.v4i1.193

Abstract

AbstrakNyeri saat persalinan merupakan proses yang fisiologis. Sebanyak 12% - 67% wanita merasa khawatir dengan nyeri yang akan dialami saat persalinan. Salah satu upaya untuk mengurangi nyeri persalinan adalah dengan masase. Tujuan Penelitian ini untuk mengetahui pengaruh masase pada punggung terhadap intensitas nyeri kala I fase laten persalinan normal melaui peningkatan kadar endorfin. Ini merupakan suatu penelitian experimental dengan post test only control group design yang dibagi atas kelompok perlakuan yang melakukan masase pada punggung dan kelompok kontrol yang tidak masase. Intensitas nyeri dinilai dengan kuisioner dan kadar endorfin diukur dengan human beta endorfin Elisa Kit. Data dianalisis menggunakan uji t-test independent dan korelasi Spearmen. Hasil penelitian ini ditemukan ibu bersalin yang dimasase memiliki intensitas nyeri lebih rendah 29.62 point dari pada yang tidak dimasase nilai p=0.001, ada pengaruh masase terhadap intensitas nyeri kala I persalinan normal. Ibu bersalin yang dimasase memiliki endorfin lebih tinggi dari pada yang tidak dimasase sebesar 142.82 pcg/mlnilai p=0.001 ada pengaruh masase terhadap kadar endorfin ibu bersalin normal. Ada korelasi kadar endorfin dengan penurunan intensitas nyeri dengan nilai r= 0,795 dan nilai p=0.001. Kesimpulan penelitian ini adalah masase pada punggung berpengaruh terhadap intensitas nyeri dan kadar endorfin ibu bersalin kala I fase laten persalinan normal serta kadar endorfin berkorelasi dengan intensitas nyeri kala I fase laten persalinan normal.Kata kunci: masase pada punggung, intensitas nyeri, kadar endorfin.AbstractPain in delivery is a physiological process. About 12% - 67% of women feel the pain during delivery. One of the ways to reduce pain during delivery process is to massage mother’s back. The objective of this research was to determine the effect of massage on the back to the pain intensity in normal delivery based on the level of endorphin. This study was an experimental study with post test only control group design by massaging mother’s back in normal delivery process of primiparous phase I for 30 minutes. Data collection was done for three months. The subject were choosen randomly block with 52 respondents. Data processing was done based on the Independent t-test and Spearmen Correlation. The results of this study shows that mothers who have massage on the back before delivery process, feel lower pain intensity in 29.62 points than those who do not have massage. The result of statistical test was p =0.001, so, the massage reduces the pain intensity. Mothers who have massage, get their endorphin increased as much as 142.82 PCG/ml compared to mothers who did not have massage. There was a correlation between the increase of endorphin level with the reduction of pain intensity. The result of statistical test shows that there is a strong correlation between the endorphin level with pain intensity with a value,r=0.795andp=0.001. It can be conluded that massage on the back can reduce pain intensity in normal delivery and increase the leve lof endorphin. Furthemore, there is a strong correlation between the increase of endorphin level with pain intensity in normal delivery. It is recommended that massage on the back can be done regularly in every normal delivery. Keywords: massage on the back, pain intensity, level of endorphin
Pengaruh Senam Nifas terhadap Penurunan Tinggi Fundus Uteri pada Ibu Post Partum di RSUP DR. M. Djamil Padang Nurniati Tianastia Rullynil; Ermawati Ermawati; Lisma Evareny
Jurnal Kesehatan Andalas Vol 3, No 3 (2014)
Publisher : Fakultas Kedokteran, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jka.v3i3.111

Abstract

AbstrakPerdarahan merupakan penyebab utama kesakitan dan kematian ibu pada masa nifas, dimana 50%-60% karena kegagalan miometrium berkontraksi secara sempurna. Salah satu asuhan untuk memaksimalkan kontraksi uterus pada masa nifas adalah dengan melaksanakan senam nifas, guna mempercepat proses involusi uteri. Tujuan penelitian ini adalah untuk mengetahui pengaruh senam nifas terhadap penurunan tinggi fundus uteri (TFU) pada ibu post partum. Penelitian ini merupakan studi eksperimental dengan Post Test Only Control Group Design. Alat yang digunakan dalam penelitian berupa kaliper pelvimetri. Diberikan perlakuan senam nifas pada kelompok intervensi dan tidak senam nifas pada kelompok kontrol, kemudian dilakukan pengukuran tinggi fundus uteri hari ke-1, hari ke-3 dan hari ke-6. Data dianalisa menggunakan Uji General Linier Model (GLM). Rerata TFU hari ke-1 pada kelompok intervensi 12,37±0,72 dan 12,42±0,54 pada kelompok kontrol. Rerata TFU hari ke-3 pada kelompok intervensi 9,00±0,94 dan 9,87±0,75 pada kelompok kontrol. Sedangkan rerata TFU hari ke-6 pada kelompok intervensi 5,72±0,88 dan 7,37±0,68 pada kelompok kontrol. Terdapat perbedaan yang signifikan penurunan tinggi fundus uteri antara kedua kelompok pada hari ke-3 (p=0,00) dan hari ke 6 (p=0,00). Dari hasil penelitian dapat disimpulkan bahwa senam nifas berpengaruh terhadap penurunan tinggi fundus uteri. Penurunan tinggi fundus uteri pada kelompok intervensi lebih turun dibanding kelompok kontrol.Kata kunci: senam nifas, tinggi fundus uteri, post partumAbstractHemorrhage is a major cause of maternal morbidity and mortality in the puerperium, about 50%-60% of hemorrhage occurs due to failure of myometrium to contract completely. One care to maximaze uterine contraction during the puerperium is by implementing parturition gymnastics in order to accelarate the process of uterine involution. The purpose of this study was to determine the effect of parturition gymnastics on a decreasing of fundal height of maternal postpartum.This was experimental study with Post Test Only Control Group Design. The tool used in this study was pelvimetry caliper. Parturition gymnastics was given to intervention group but the control group did not treated with parturition gymnastics, then fundal height was measured on the first day, third day, and sixth day. Data were analyzed by using General Linear Model (GLM) test. Mean of fundal height on the first day on the intervention group was 12.37±0.72 and 12.42±0.54 on the control group. Mean of fundal height on the third day was 9.00±0.94 on the intervention group and 9.87±0.75 on the control group. Meanwhile, mean of fundal height on the sixth day on the intervention group was 5.72±0.88 and 7.37±0.68 on the control group. There was significant decrease of fundal height between the two groups on the third day 3 at (p=0.00) and the sixth day at (p=0.00). From the research results, it can be concluded that parturition gymnastic has an effect on the decreasing of fundal height. The decline of fundal height on the intervention group is more decreasing than that of on the control
Belief Model (Hbm) of Via on Childbearing Women in Lubuk Buaya Primary Health Centre in 2017 Harridhil Silmi; Andi Friadi; Lisma Evareny
Journal of Midwifery Vol 2, No 1 (2017): Published on June 2017
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (393.104 KB) | DOI: 10.25077/jom.2.1.35-44.2017

Abstract

Cervical Cancer is the cancer with the second highest rate in Indonesian women and Awareness of childbearing women to Visual Inspection with Acetic Acid (VIA) is still low so often cause death in women. This study aims to determine the Health Beliefs Model (HBM) of VIA on childbearing women in Lubuk Buaya primary health centre 2017.This study was an analytic observational study with cross sectional design, conducted from August - Sept 2017 took 98 respondents as the sample. Data were collected by using questionnaire. Data analysis was performed by using univariate and bivariate.The results showed that there was a significant relationship between education (p=0,001), perceived susceptibility (p=0,000), perceived seriousness (p=0,000), health motivation (p=0,000),  perceived benefits (p=0,000), and perceived barriers (p=0,000), with action cervical cancer early detection with VIA methods. There is a relationship between education, perceived susceptibility, perceived seriousness, health motivation perceived benefits, and perceived barriers to early detection of cervical cancer action with VIA methods on childbearing women in Padang Pasir primary health centre 2017. Suggested to Lubuk Buaya primary health centre to increase further dissemination and health promotion of cervical cancer early detection with VIA method through counseling about the importance of early detection with VIA method.
The Relationship Between The Level of Maternal Knowledge, Maternal Employment Status and Family Support With Exclusive Breastfeeding in The Working Area of The Air Dingin Health Center of Padang City in 2018 Dian Hidayah Putri; Masrul Masrul; Lisma Evareny
Journal of Midwifery Vol 3, No 2 (2018): Published on December 2018
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (653.836 KB) | DOI: 10.25077/jom.3.2.161-175.2018

Abstract

In order to reduce infant morbidity and mortality, UNICEFand WHO recommend exclusive breastfeeding for six monthsbecause ASI has many health benefits for babies and containsall the nutrients needed by baby. The lowest coverage ofexclusive breastfeeding in Padang City is in the working areaof Puskesmas Air Dingin. The purpose of this study was todetermine the relationship between the level of maternalknowledge, maternal employment status and family supportwith exclusive breastfeeding in the working area of the AirDingin Health Center. Analytic research withdesign was cross sectionalconductedin the working area of Air Dingin Health Center from June2018 to July 2018. The sample in this study were mothers whohad infants aged> 6-12 months as many as 56 people. Mothersas respondents were interviewed directly using a questionnaire.Data analysis was univariate and bivariate usinganalysis chisquare(p5 0.05).The results showed that the percentage of exclusivebreastfeeding was 51.8%. Theanalysis results chi-squareshowed that the p value between exclusive breastfeeding andthe level of maternal knowledge (p = 0.010), maternalemployment status (p = 1,000), and family support (p = 0.021). There was a significant relationship between the level ofmother's knowledge and family support with exclusivebreastfeeding, while the mother's employment status did nothave a significant relationship with exclusive breastfeeding. Itis hoped that mothers can maintain and improve exclusivebreastfeeding.
The Relation Between Husband Support with Exclusive Breastfeeding in Baby Age 6-12 Months in Air Dingin Health Center Nurul Fitri; Yuniar Lestari; Lisma Evareny
Journal of Midwifery Vol 2, No 2 (2017): Published on December 2017
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (334.971 KB) | DOI: 10.25077/jom.2.2.74-81.2017

Abstract

Exclusive breastfeeding is one of ways to maintain a good growth and development for the baby. Exclusive breastfeeding in Indonesia is the right for every baby which is regulated in government regulations, but the coverage of exclusive breastfeeding is still low in some areas. The lowest exclusive breastfeeding coverage in Padang is in the working area of Air Dingin health center. The aims of this study is to determine the relationship between husbands support with exclusive breastfeeding in Air Dingin public health center.This study was a quantitative study with cross sectional design conducted at Air Dingin health centerfrom Marchto December 2017. Subject of this studywere mothers who had 6-12 month babies whichwere106 people. Data was collected by using questionnaires and guided interviews. Data analysis was performed using univariate and bivariate using chi square test with  p-value ≤  0,05.The results showed 76,4% of mothers did not provide exclusive breastfeeding for their babies and 59,4% of mothers did not get support from their husbands.Bivariate analysis showed  that there was a relationship between husband support with exclusive breastfeeding with p-value=0.000.There was a relationship between husband support with providing exclusive breastfeeding for the babies. Because of the importance of husbands role, husbands must be the target for exclusive breastfeeding counseling.Therefore, husbands can also be active to find the information and participate in the success of exclusive breastfeeding for the babies.
DUKUNGAN KELUARGA DAN KESIAPAN IBU DENGAN TINGKAT KECEMASAN IBU HAMIL MENJELANG PERSALINAN Lisma Evareny; Khadijah Ramadani Lubis; Laila Rahmi
Menara Medika Vol 4, No 2 (2022): VOL 4 NO 2 MARET 2022
Publisher : Menara Medika

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31869/mm.v4i2.3156

Abstract

Kecemasan muncul sebagai rasa takut yang intens atau panik. Jika dibiarkan dapat berlanjut memicu beberapa komplikasi seperti kala 1 memanjang, ibu kehilangan tenaga (power) bahkan partus macet. Tujuan dari penelitian ini adalah untuk mengetahui bagaimana hubungan dukungan keluarga dan kesiapan ibu dengan tingkat kecemasan ibu hamil menjelang persalinan. Jenis penelitian yang digunakan adalah penelitian kuantitatif dengan pendekatan cross-sectional, dilakukan di wilayah kerja salah satu puskesmas di Kota Padang. Populasi penelitian ini adalah ibu hamil TM II dan III. Jumlah sampel penelitian ini sebanyak 40 subjek. Pengambilan sampel dengan teknik Simple Random sampling. Metode pengumpulan data menggunakan kuesioner. Hasil penelitian Hasil penelitian ini menunjukkan presentasi ibu hamil mendapat dukungan keluarga kurang mengalami kecemasan berat sebanyak 20% dengan nilai p =,0.001 Selanjutnya didapatkan ibu dengan kesiapan kurang mengalami kecemasan berat 15% dengan nilai p= 0,001. Maka dapat disimpulkan Terdapat hubungan dukungan keluarga dan kesiapan ibu dengan tingkat kecemasan ibu hamil menjelang persalinan di wilayah kerja Puskesmas Andalas.  Oleh karena itu diharapkan semua ibu hamil mendapatkan dukungan keluarga untuk mengurangi kecemasan dalam menghadapi persalinan
EDUKASI IBU HAMIL DALAM UPAYA MENINGKATKAN DERAJAT KESEHATAN MASYARAKAT DI KELURAHAN PAMPANGAN NAN XX KECAMATAN LUBUK BEGALUNG KOTA PADANG Joserizal Serudji; Lisma Evareny; Iria Ningsih Busri; Izmi Fadhillah Nasution; Novy Ratnasari Sinulingga; Rani Ashari; Salma Afriliza; Yusmalia Hidayati; Yolanda Syahdia; Yusrawati Yusrawati; Desmawati Desmawati; Aldina Ayunda Insani; Vaulinne Basyir; Hudila Rifa Karmila
BULETIN ILMIAH NAGARI MEMBANGUN Vol 6 No 1 (2023)
Publisher : LPPM (Institute for Research and Community Services) Universitas Andalas Padang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/bina.v5i2.413

Abstract

The target of SDGs in 2030 in the 3rd goal is to reduce the Maternal Mortality Rate to below 70 per 100,000 live births, reduce the Neonatal Mortality Rate (AKN) to 12 per 1000 live births and the Infant Mortality Rateto 25 per 1000 live birth. Goal 5 of the SDGs seeks to achieve gender equality, empowering women, including child women. The purpose of this activity is to create a complete understanding in all sectors regarding maternal health services during pregnancy, childbirth, postpartum with preventive and promotive efforts through community assistance efforts on the health and welfare of pregnant women. The method used is providing education to husbands and the community about assisting pregnant women. This activity was carried out in Pampangan Nan XX Village, RW 05 (RT 01 - RT 04), Lubuk Begalung District. The samples in this activity were all husbands, community leaders (TOMA) and religious leaders (TOGA). Based on data collection and interviews, it was found that the community participation was still low in assisting mothers during pregnancy (56%). Implementation is carried out by developing innovations in providing education and health promotion to the community in an effort to improve Community Based Health Business (UKBM). Education is provided in the form of videos and pre-test questions sent via whatsapp group to husbands and the community containing material about efforts to assist pregnant women. The evaluation was carried out by giving post-test questions, the results obtained that all husbands and the community (100%) already had good knowledge about maternal assistance during pregnancy.
DETEKSI DINI STUNTING PADA BAYI DAN BALITA DI WILAYAH KERJA PUSKESMAS PEGAMBIRAN KOTA PADANG Yusrawati Yusrawati; Desmawati Desmawati; Arni Amir; Joserizal Serudji; Vaulinne Basyir; Hudilla Rifa Karmia; Aldina Ayunda Insani; Miranie Safaringga; Lisma Evareny
BULETIN ILMIAH NAGARI MEMBANGUN Vol 5 No 3 (2022)
Publisher : LPPM (Institute for Research and Community Services) Universitas Andalas Padang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/bina.v5i3.367

Abstract

Nutritional status has a significant influence on the growth and development of children. Poor nutrition during the first 1000 days of life (HPK) can reduce the risk of disease, one of which is stunting, as well as the risk of death, which is around 13% (WHO, 2009). In 2018 the percentages of very short and short toddlers aged 0-59 months were 11.5% and 19.3%, respectively. The magnitude of the risk of stunting for infants and toddlers, it is necessary to hold early detection of stunting as an effort to help increase knowledge that is implemented in monitoring activities for growth and development of infants and toddlers that are more optimal. The activity was carried out on November 18, 2021 with 20 mothers who have babies and toddlers. This group was given counseling, physical examination and early detection of growth and development using the KPSP questionnaire. The results showed that 6.25% of underweight infants and 6.25% of obese infants, 44% of infants and toddlers in the short category, 6% very short, 81% of exclusive breastfeeding, 6% of infants with deviations (smooth motion, socialization and independence) and 6 % of dubious results (rough motion). It is hoped that husbands, families and the community will monitor the growth and development of infants and toddlers to prevent stunting and other growth and development disorders. Health workers should always promote balanced nutrition programs and other stuntin prevention efforts since the preparation for pregnancy (preconception).