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Nurul Azizah
Universitas Muhammadiyah Sidoarjo
Agriculture, Biological Sciences & Forestry Arts Humanities Chemistry Computer Science & IT Earth & Planetary Sciences Economics, Econometrics & Finance Education Energy Environmental Science Health Professions Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Library & Information Science Medicine & Pharmacology Nursing Physics Public Health Social Sciences Other

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Achievements of the K1 & K4 Program with Standard Practices of Pregnancy Services during the Covid-19 Pandemic Nurul Azizah; Rafhani Rosyidah
Jurnal MIDPRO Vol 13, No 1 (2021): JURNAL MIDPRO
Publisher : Universitas Islam Lamongan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30736/md.v13i1.277

Abstract

WHO has designated the Covid-19 (Corona Virus 2019) case as a Pandemic. Covid-19, caused by the coronavirus (SARS-CoV-2), is a new type of respiratory disease (pneumonia) and is contagious. The state has made various efforts to control covid-19, but there are still many infected victims. Pregnant women have changes in their immune system and anatomy, making them susceptible to viral infections. Pregnancy examinations at the hospital will be at risk of transmitting covid-19 to pregnant women, while antenatal care is very important to identify any pregnancy complications. This study aims to identify the K1 and k4 programs' achievements with midwives' practice in standard pregnancy services during the Covid 19 Pandemic, using a questionnaire given to midwives as health service workers. The study design used a cross-sectional with a chi-square statistical test, with 30 midwives as respondents who opened independent practice services during the Covid-19 pandemic. The research instrument used a questionnaire. This study indicates that 70% of midwives have good knowledge but do not implement standard pregnancy care during the pandemic. The analysis results show no relationship between knowledge and standard practice of pregnancy services during the Covid-19 pandemic. Conclusion: Most midwives have good knowledge and do not practice standard pregnancy services during the Covid-19 pandemic. Suggestion. The following research is to identify the achievements of the pregnancy care program during the Covid-19 pandemic. 
Evaluation of Midwifery Service Standards during the Covid-19 Pandemic Nurul Azizah; Rafhani Rosyidah; Ratna Dwi Jayanti
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.v13i2.324

Abstract

During the COVID-19 pandemic, health services became a burden for the community. The number of cases of Covid-19 transmission made people reluctant to come to health facilities. Health workers are encouraged to continue carrying out their roles to adapt and provide optimal service to patients. Likewise, midwives are advised to continue to provide maternal and child health services by complying with health protocols. Based on data reported by the Central IBI in June 2020, 974 of 9,296 PMBs were closed, maternal and child health services were temporarily suspended from PMBs who continued to provide services. Most of them did not offer midwifery services following standard health protocols. This study was conducted to describe the evaluation of midwifery service standards during the COVID-19 pandemic. The research design used a cross-sectional with chi-square statistical test to determine the standard practice of midwifery services during the covid-19 pandemic, which was analyzed descriptively. Sampling with quota sampling, with a total of 30 respondents. The research instrument used a questionnaire. The results of this study indicate that in the implementation of midwifery services according to standard health protocols during the COVID-19 pandemic, most of which were 53% carried out according to pregnancy, 67% of deliveries were not carried out according to health protocols, almost 90% of postpartum & BBL services were carried out accordingly, and 100% of family planning services are carried out according to health protocols. The conclusion is that most midwives carry out standard midwifery services during the covid-19 pandemic
The Effectiveness of Acupressure Hegu LI 4 on Decreasing Labor Pain During Active Phase Rafhani Rosyidah; Nurul Azizah; Widi Arti
JURNAL KEBIDANAN Vol 10, No 2 (2020): Oktober 2020
Publisher : Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jkb.v10i2.5770

Abstract

Childbirth is a moment full of stress that causes pain, fear, and anxiety. Acupressure Hegu LI 4 is one of the techniques to reduce pain during labor. Objective of the study was to identify the difference in pain on first stage active phase of labor in acupressure Hegu LI 4 group and control group. Samples were obtained through consecutive sampling technique from parturient which fulfill inclusion criteria. The study was a quasy experiment design. Data analysis used mean and deviation standard for univariate analysis, Independent Sample T Test for bivariable analysis, and linier regretion for multivariable analysis. Mean of decrease of pain labor in aromatheraphy group was higher than control group. The mean decrease in pain score in the intervention group was 3.03 ± 0.669 while the mean reduction in pain in the control group was 2.07 ± 0.740. The average difference from the Independent Sample T Test obtained significant results with P values 0.001 and 95% C.I. -1,331 - (-0,602). Analysis of external variables that affect the decrease in labor pain scores is anxiety with P value = 0.020. The results of this study are expected to be the basis of studies in the field of midwifery, especially labor on effective methods to reduce labor pain in a non-pharmacological manner.
Reducing Labor Pain Intensity within First Stage Active Phase through Hegu LI 4 Acupressure and Quranic Recital Method Nurul Azizah; Rafhani Rosyidah; Hanik Mahfudloh
Jurnal Ners Vol. 15 No. 2 (2020): OCTOBER 2020
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v15i2.20556

Abstract

Introduction: Labor pain is one of the greatest pains experienced by a woman in their life. The purpose of this study was to examine the effectiveness of acupressure and Quranic recital on labor pain reduction.Methods: The study design uses quasi-experiment with comparison between pretest and posttest on non-equivalent control group. Samples were as many as 30 laboring mothers in each group, totaling 60 samples who had been chosen through consecutive sampling technique. The labor pain was assessed through the NRS (Numeric Rating Scale) then analyzed univariately with mean and standard deviation, followed by independent T-sample statistical test such as bivariate analysis.Results: The average pain reduction score in the Hegu LI 4 acupressure group was higher than the Quranic recital of Surah Ar-Rahman group. The acupressure group average pain reduction was 3.03 ± 0.718 while the Quranic recital group was 2.57 ± 1.006. The difference in the average score of independent T-test was significant with the P < 0.007 and 95% C.I. -0.919-( -0.015)Conclusion: Hegu LI 4 acupressure and Quranic recital of Surah Ar-Rahman treatments were promising and may be utilized to reduce labor pain intensity within labor’s first stage active phase. Hegu LI 4 acupressure group   had a greater reduction in labor pain intensity than the Quranic recital of Surah Ar-Rahman group. This study suggests that Hegu LI 4 can be utilized to reduce labor pain as a non-pharmacological therapy.
Delivery Mode On Myopic Women (Literature Review) Ratna Dwi Jayanti; Noor Syafaatin Udhma; Euvanggelia Dwilda Ferdinandus; Ivon Diah Wittiarika; Nurul Azizah
Jurnal KESANS : Kesehatan dan Sains Vol 1 No 7 (2022): KESANS : International Journal of Health and Science
Publisher : Rifa'Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54543/kesans.v1i7.79

Abstract

Hormonal changes and hemodynamic changes in pregnancy cause an increase in blood volume and water retention which causes a thickening of the cornea of ??the eye and affects blood flow in the eye. This condition is thought to trigger temporary myopia or worsen myopia that occurred before pregnancy. This will have an impact on the choice of delivery method because pushing in the second stage of labor can increase the risk of retinal detachment. The aim of the study was to determine the method of delivery in patients with myopia, using a meta-analysis. The results showed that obstetrics and gynecology specialists, as well as ophthalmologists, recommended instrumental delivery or cesarean section for women with myopia citing concerns that vaginal delivery would increase the risk of detachment. In addition, the impact of labor on the ocular system was found to be not so significant. While the method of delivery in women with myopia, it was found that most of the vaginal deliveries were spot-on.
PKM Kader Desa Praktek Pijat Punggung pada Ibu Nifas untuk Memperlancar ASI Nurul Azizah; Audrey Gracelia Riwu
Jurnal Abadimas Adi Buana Vol 4 No 2 (2021): Jurnal Abadimas Adi Buana
Publisher : LPPM Universitas PGRI Adi Buana Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36456/abadimas.v4.i2.a2755

Abstract

Peran kader sangat penting untuk membantu sosialisasi kegiatan untuk meningkatkan status kesehatan masyarakat, pemerintah kabupaten Sidoarjo berkomitmen meningkatkan status gizi dan ASI eksklusif dengan menetapkan perda nomor 1 tahun 2016, diharapkan seluruh masyarakat mendukung perda tersebut. Di desa Sambibulu juga mendukung tercapainya Asi eksklusif, Kader Desa Durung Bedug Candi Sidoarjo aktif dalam kegiatan dimasyarakat untuk mendukung pembentukan UKBM (upaya kesehatan berbasis masyarakat) selain posyandu terbentuk juga kelompok pundukung ASI (KP ASI) untuk membantu tercapainya ASI eksklusif. Berdasarkan survey yang telah dilakukan oleh tim pengusul pada kader didapatkan hasil bahwa cakupan ASI eksklusif masih rendah yakni 56% dari target 80% dan salah satu penyebabnya yakni karena produksi ASI kurang. Kegitaan KP ASI yang sudah berjalan namun belum terdapat upaya untuk membantu meningkatkan produksi ASI. Kader belum pernah mendapatkan pengetahuan tentang upaya untuk meningkatkan produksi ASI. Berdasarkan permasalahan tersebut tim pengusul menawarkan solusi untuk membantu mengatasi kurangnya pengetahuan dan keterampilan kader dalam meningkatkan produksi ASI. Salah satu upaya yang ditawarkan oleh tim pengusul adalah memberikan sebuah pelatihan dan pendampingan praktek pijat punggung pada kader untuk membantu meningkatkan produksi ASI. Kader Desa Durung Bedug Candi Sidoarjo termasuk kader yang mempunyai loyalitas tinggi dan aktif, sehingga tim pengusul lebih mudah untuk memberikan pelatihan dan pendampingan tentang praktek pijat punggung untuk meningkatkan produksi ASI, yang nantinya diinformasikan kepada masyarakat sebagai upaya untuk meningkatkan produksi ASI dan masyarakat dapat melakukan pijat punggung secara mandiri.
MASA REMAJA DAN PENGETAHUAN KESEHATAN REPRODUKSI SANTRI PUTRI PONDOK PESANTREN AL-HAMDANIYAH Nurul Azizah; Rafhani Rosyidah; Dwi Nastiti
Jurnal Penamas Adi Buana Vol 4 No 1 (2020): Jurnal Penamas Adi Buana
Publisher : LPPM Universitas PGRI Adi Buana Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36456/penamas.vol4.no1.a2414

Abstract

Berdasarkan hasil survey di Pondok putri pesantren Al-Hamdaniyah meunjukkan seluruh santri putri merupakan kategori remaja, namun dipondok pesantren para santri putri tidak pernah mendapatkan pendidikan dan pengetahuan tentang perkembangan remaja dan kesehatan reproduksi, sehingga para santri belum mengetahui bagaimana perubahan yang dialamai remaja baik secara fisik maupun psikologis, dan tidak dapat mengenali jika terdapat penyakit atau kelianan pada organ reproduksinya. Berdasarkan pernyataan tersebut maka pada tanggal 10 maret 2020 dilaksanaan workshop dan penyuluhan tentang kesehatan reproduksi remaja, yang mengupas tentang perkembangan remaja dan berbagai masalah yang terjadi pada remaja, termasuk antisipasi dan bahaya penggunaan NAPZA, serta bahaya pergaulan bebas remaja. Kemudian dilanjutkan dengan pemberian edukasi penyuluhan tentang kesehtan reproduksi remaja wanita, mulai dari pengenalan organ reproduksi, perubahan yang terjadi pada organ reproduksi remaja wanita, serta pengenalan kelainan dan masalah kesehatan reproduksi remaja wanita. Hasil kegiatan program kemitraan masyarakat terhadap santri pondok pesantren Al-Hamdaniyah ini sangat penting bagi kelansungan hidup sehat para santri, agar para santri dapat menimba ilmu dengan kondisi yang baik, dan dapat menjalani hidup sehat
The Role of Anemia in Pregnancy in the Incidence of Post Partum Hemorrhage in Maternal Maternity at the Hospital in Sidoarjo, Indonesia Mukarromatul Khoiroh; Nurul Azizah
Indonesian Journal of Cultural and Community Development Vol 2 (2019): March
Publisher : Universitas Muhammadiyah Sidoarjo

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (14.923 KB) | DOI: 10.21070/ijccd2019685

Abstract

Postpartum hemorrhage is bleeding that occurs after the birth of the baby, placenta, and 2 hours after the placenta is born. One of the causes is anemia. Research in 2015, 60% of 100 mothers giving birth at RSIA Kirana Taman Sidoarjo experienced postpartum hemorrhage. The aim of the study was to determine the relationship of anemia in pregnancy with the incidence of postpartum hemorrhage in labor mothers. The study design used an analytical survey with a retrospective method. The population of 206 maternity mothers was taken with simple random sampling technique as many as 136 samples in August 2017. Data were analyzed by Chi Square statistical test with 0.05. The results showed that postpartum hemorrhage was more experienced by mothers with anemia (66.7%) than those without anemia (26.2%). While those who did not experience postpartum hemorrhage were more experienced by mothers who were not anemic (73.8%) than those who were anemic (33.3%). Chi square test results (p=0.000 <0.05), which means there is a relationship of anemia in pregnancy with the incidence of postpartum hemorrhage in labor mothers. Conclusions of the study were the relationship of anemia in pregnancy with the incidence of postpartum hemorrhage in labor mothers. It is expected that midwives and doctors conduct early detection of anemia so that appropriate care can be carried out.
PHBS SANTRI DAN APLIKASI UKS PONDOK PESANTREN AL-HAMDANIYAH BUDURAN SIWALAN PANJI SIDAORJO Nurul Azizah; Jamilatur Rohmah; Miftahul Mushlih; Paramitha Amelia Kusumawardani
Jurnal Pengabdian Masyarakat Dalam Kesehatan Vol. 2 No. 1 (2020): APRIL 2020
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpmk.v2i1.19583

Abstract

Pendahuluan: Berdasarkan survey di Pondok pesantren Al-Hamdaniyah kami menemukan santri yang sakit terbaring dikamar hanya beralaskan kain dan selimut. Kondisi ini sangat tidak nyaman karena 1 kamar berisi 10 anak dengan berbagai macam aktivitas yang dapat menimbulkan kegaduhan sehingga dapat mempengaruhi istirahat santri yang sakit. Selain itu dapat dibilang berbahaya karena penyakit kemungkinan dapat menularkan pada santri di sekelilingnya. Di pondok tidak ada UKS dan kader kesehatan sehingga yang sakit kadang tidak terurus. Santri pondok pesantren Al-Hamdaniyah tidak pernah mendapatkan pendidikan tentang pola hidup bersih dan sehat di lingkungan pondok pesantren.Metode: Kegiatan pengabdian masyarakat dilakukan pada tanggal 11 Maret 2020 dilaksanaan workshop dan penyuluhan tentang perilaku hidup bersih dan sehat baik secara individu maupun di lingkungan pondok pesantren, kemudian dilanjutkan dengan bimbingan serta pembentukan kader kesehatan, kemudian dilanjutkan dengan pengadaan UKS (Usaha Kesehatan Sekolah) yang akan dimanfaatkan bagi santri yang sedang sakit untuk istirahat atau sekedar cek kesehatan dan melakukan perawatan sakit ringan. Beberapa santri juga akan kami bentuk untuk menjadi kader kesehatan, agar dapat mengenali tanda gejala awal adanya kesakitan sebelum di periksakan kepada tenaga medis, dan dapat melakukan perawatan mandiri setelah santri berobat hingga santri dapat sembuh dengan baikHasil: kegitan seminar PHBS di lingkungan pondok pesantren berlangsung lancar, dan para santri terlihat antusias mengikuti acara hingga selesai. Pembinaan kader kesehatan telah dilakukan, dan para calon kader kesehatan dapat mengkuti pembinaan dengan baik. Tersedianya UKS baru yang dapat menjadi fasilitas tambahan dan bermanfaat bagi santri.Kesimpulan: Program pengabdian masyarakat ini telah dilaksanakan. Dan menghasilkan sebuah perubahan sesuai dengan target luaran, yakni pengetahuan tentang PHBS individu dan lingkungan pondok pesantren, terbentunya kader kesehatan untuk menjalankan kegiatan UKS, terwujudnya UKS di pondok pesantren Al-Hamdaniyah.
BACK MASSAGE MENGGUNAKAN CLARY SAGE (SALVIA SCLAREA) ESENSIAL OIL DAN SENAM NIFAS TERHADAP PERCEPATAN INVOLUSI UTERI POST PARTUM Nurul Azizah
JKM (Jurnal Kebidanan Malahayati) Vol 6, No 4 (2020): Volume 6 Nomor 4 Oktober 2020
Publisher : Program Studi Kebidanan Fakultas Kedokteran Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkm.v6i4.3329

Abstract

ABSTRACT Background Failed process involution uterus puerperal can cause bleeding. Back Massage and postpartum gymnastics can stimulate hormone oxytocin causes uterine contractions.Purpose identify Comparison of Back Massage and Postpartum Gymnastics on Involuntary Uterine in Post Partum. Method research design used quasi experimental with post test only non equivalent control group design. Samplings using quota sampling 90 respondents divided into 3 groups. Bivariable analysis using repeated measurement with clinical significance used mean 95% interval with P<0.05, multivariable analysis using linear regression. Result shows a significant difference of uterine involution in each group, overall mean -1.700 (95% CI:-2,26 - (-1,37) with P<0.05, back massage group using Clary-sage essential oil compared to gymnastics postpartum group. Back massage group using Clary-sage essential oil (salvia sclarea) showed faster processes of uterine involution than post-partum gymnastics group. Multivariable analysis showed value of P<0.05 with regression coefficient of back massage 0.835 (CI-0.799-1.091), suggesting significantly greater association of uterine involution in back massage intervention group after controlled by parity variables and maternal age, with adjusted values R2 0.621, it means reduction in fundal uteri level 62,1% in a day.Conclusion is mothers who received back massage using Clary-sage essential oil experienced faster uterine involutions compared with other groups of postpartum Suggestion Further research is needed in order to identify the effect of back using Clary sage essential oil on uterine involution of oxytocin hormone levels through venous blood tests before and after intervention, so as to identify with certainty the effect of back massage using Clary sage essential oil accurately in increasing hormone concentrations. oxytocin in the blood. Keywords : Back Massage, Postpartum  Gymnastics, Involution uterus ABSTRAK Latar Belakang Involusi uteri masa nifas gagal mengakibatkan perdarahan. Back Massage dan senam nifas merangsang hormon oksitosin memicu kontraksi uterus. Tujuan mengidentifikasi Perbandingan Back Massage dan Senam Nifas terhadap Involusi Uteri.Metode penelitian menggunakan quasi eksperimental with post test only non equivalent control group design, pengambilan sampel dengan quota sampling sampel sebanyak 90 responden dibagi 3 kelompok. Analisis bivariabel menggunakan repeated measurement dengan kemaknaan klinis mean dan cofidence interval 95% dengan nilai P<0,05, analisis multivariabel menggunakan regresi linier. Analisis bivariabel menunjukkan terdapat perbedaaan involusi uteri pada masing-masing kelompok, Δoverall mean -1.700(95% CI:-2,26-(-1,37) dengan nilai p<0.05 yakni kelompok back massage menggunakan minyak esensial Clary sage menunjukkan involusi uteri lebih cepat dibandingkan dengan kelompok senam nifas secara signifikan.Hasil analisis multivariabel menunjukkan nilai p<0,05 dengan koefisien regresi  pijat punggung sebesar 0,835 (CI-0,799-1,091). Adanya hubungan yang bermakna bahwa involusi uteri lebih cepat pada kelompok intervensi pijat punggung setelah dikontrol dengan variabel paritas dan umur ibu, dengan nilai adjusted R2  sebesar 0,621, yakni penurunan tinggi fundus uteri mencapai 62,1% perhari.Kesimpulan dari penelitian ini Ibu yang mendapatkan intervensi pijat punggung menggunakan minyak esensial Clary sage mengalami involusi uteri lebih cepat dibandingkan dengan kelompok lain.Saran Perlu dilakukan penelitian lanjutan agar dapat mengidentifikasi pengaruh back menggunakan minyak esensial Clary sage terhadap involusi uteri terhadap kadar hormon oksitosin melalui pemeriksaan darah vena sebelum dan sesudah dilakukan intervensi, sehingga dapat mengidentifikasi secara pasti pengaruh pijat punggung menggunakan minyak esensial Clary sage secara akurat dalam meningkatkan kosentrasi hormon oksitosin dalam darah. Kata kunci : Back Massage, Senam Nifas, Involusi uterus 
Co-Authors Audrey Gracelia Riwu Dwi Nastiti Ferdinandus, Euvanggelia Dwilda Hanik Mahfudloh Ivon Diah Wittiarika Jamilahtur Rohamah Jamilatur Rohmah Jayanti, Ratna Dwi Miftahul Mushlih Mukarromatul Khoiroh Noor Syafaatin Udhma Paramitha Amelia Kusumawardani Paramtha Amelia Kusumawardani Rafhani Rosyidah Widi Arti