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Vibration Stimulation to Increase Milk Production in Puerperal Mothers Raraswati, Rhela Panji; Wijayanti, Krisdiana; Hendriyani, Heni
JURNAL INFO KESEHATAN Vol 22 No 2 (2024): JURNAL INFO KESEHATAN
Publisher : Research and Community Service Unit, Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/infokes.Vol22.Iss2.1488

Abstract

Breast milk is the best food for babies, but insufficient production can hinder breastfeeding. Many mothers face challenges with milk production, preventing optimal breastfeeding. This study aims to innovate and develop a vibration-based electric massage device to enhance breast milk production and analyze its effectiveness based on baby weight indicators. The research employs a quantitative method with a Quasi-Experimental design, divided into an intervention group and a control group. A random sampling technique selected 46 respondents, split evenly between the two groups. The intervention group received breast care using the vibration-based device, while the control group received standard breast care for 14 days. Breast care was administered twice daily for 2-3 minutes. Baby weight was measured at 14, 21, and 28 days. Tools to measure energy intake, protein intake, and fluid intake utilized food recall, and breastfeeding frequency was measured by a scale. Psychological status was assessed using the DASS questionnaire. Data analysis included Repeated Measure ANOVA and Independent Simple T-Test. Results indicated a significant difference in breast milk production based on baby weight between the intervention and control groups (p=0.000). The mean weight difference between the groups was 200.21 grams, favoring the intervention group. Increased breast milk production was not influenced by confounding variables such as energy intake, protein intake, fluid intake, breastfeeding frequency, and psychological status. In conclusion, the developed vibration-based electric massage device effectively increased breast milk production, evidenced by significant weight gain in babies within the intervention group compared to the control group (p=0.000). 
Effectiveness of Hae-Band in Measuring Hb Levels in Postpartum Hemorrhage Risk Monitoring Meidita, Dinda Dian; Wijayanti, Krisdiana; Hendriyani, Heni
JURNAL INFO KESEHATAN Vol 22 No 2 (2024): JURNAL INFO KESEHATAN
Publisher : Research and Community Service Unit, Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/infokes.Vol22.Iss2.1489

Abstract

Postpartum hemorrhage is the main cause of high morbidity in the world (75%). Until now, efforts to early detect the risk of postpartum hemorrhage have still not been maximized. Sensor-based smartband can be the development of non-invasive methods in an effort to early detection of declining Hb levels in monitoring the risk of bleeding with practical, fast, precise, accurate, and practical. This research aims to determine the effectiveness of developing and analyzing the effectiveness of the "Hae-band" smartband in monitoring the risk of postpartum hemorrhage. The research method used is Research and Development (R&D), a quasi-experimental one-group pretest-posttest design using a nonequivalent dependent variable. The sampling technique in this research uses non-probability sampling with purposive sampling type. Respondents were selected by purposive sampling with a sample of 35 respondents maternity up to 6 hours postpartum to measure Hb levels and analyze the average levels of Hb and declining levels of HB Hae-band, HB meter POCT and visual estimation of blood loss volume compared with HB meter POCT (gold standard). Data analysis using the descriptive test, validation test, Paired T-Test, Independent T-Test, and multiple linear regression. The research results show that the Hae-band has been developed and is feasible as a measure of Hb levels which has a sensitivity of truth tool as much as 70.0% and can detect a decrease in Hb levels as much as 63.9% (p=0.000) more partially effective than visual estimation (0.24%) Smartband can detect Hb levels with good results compared to the gold standard of blood tests with a difference of 0.324 g/dL (p.0.113) with an average Hb levels at 6 hours PP at 11.19 g/dL compared to the average POCT 11.34 g/dL. This research concludes that Hae-band is more effective in detecting postpartum hemorrhage risk than visual estimation. It is hoped that further research can develop a more modern design where the sensor is more comfortable to use for long periods and has an alternative way of reading the sensor other than on the wrist. Improving accuracy, sensitivity, and higher battery power by improving the type of design, sensor, and wave type to be more suitable for measuring Hb levels can also be developed considering the efficiency of maternal monitoring and recording in the era of digitalization in early detection of bleeding risk.               
TERAPI GEL DAUN JAMBU BIJI UNTUK TRAUMA PUTING: EVALUASI NTS DAN IL-6 PADA IBU NIFAS Husna, Dewi Asmaul; Wijayanti, Krisdiana; Susanto, Edy; Suwondo, Ari; Supriyana, Supriyana
Media Penelitian dan Pengembangan Kesehatan Vol. 35 No. 2 (2025): MEDIA PENELITIAN DAN PENGEMBANGAN KESEHATAN
Publisher : Poltekkes Kemenkes Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34011/jmp2k.v35i2.2805

Abstract

A great and intelligent generation began during a child's golden period, as early stimulation and nutrition had a significant impact on brain development. During the early breastfeeding phase, approximately 34–94% of women experienced nipple trauma, which potentially reduced breastfeeding continuity. One non-pharmacological therapy alternative was the use of guava leaf gel, which was more practical and easy to apply. This study aimed to evaluate the effects of guava leaf gel on nipple trauma healing. The research was conducted at Midwife's Independent Practice Bidan Eka Setyowati, S.Tr.Keb, in Semarang from October to November 2024, using a quasi-experimental pretest-posttest design with a control group. The research sample consisted of a total of 30 postpartum mothers who experienced nipple fissures, selected through purposive sampling. Inclusion criteria consisted of postpartum mothers with healthy, single-born babies who breastfed and experienced grade 2 nipple trauma, while exclusion criteria included mothers with inverted nipples and babies with tongue-tie conditions. The intervention group received breast milk and guava leaf gel applications three times daily for five days, while the control group received only breast milk. Healing was measured using the Nipple Trauma Score (NTS). Data analysis used the Friedman and Wilcoxon tests. The average NTS in the control group was 1.60, while in the intervention group, it was 0.40. Statistical analysis showed a p-value of 0.000 (p<0.05), indicating a significant difference between pre- and post-intervention NTS scores in both groups. It was concluded that guava leaf gel effectively accelerated nipple trauma healing.
UPAYA PENCEGAHAN STUNTING MELALUI E-KLAS BAPAK PEDULI STUNTING Purnanti, Katrin Dwi; -, Marsum; Wijayanti, Krisdiana; -, Walin
Jurnal Sains Kebidanan Vol. 6 No. 2 (2024): NOVEMBER 2024
Publisher : POLTEKKES KEMENKES SEMARANG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jsk.v6i2.11357

Abstract

Indonesia menghadapi tantangan gizi yang kompleks yang dikenal dengan triple beban, meliputi gizi kurang, defisiensi mikronutrein, dan gizi lebih. Stunting atau gizi buruk pada balita menjadi salah satu isu kritis yang menuntut solusi inovatif dan partisipasi aktif dari semua pihak, termasuk bapak dalam keluarga. Stunting tidak hanya mencerminkan masalah gizi, tetapi juga berkaitan erat dengan faktor-faktor lingkungan dan sanitasi yang kurang memadai. Peneliti telah mengembangkan sebuah inovasi melalui E-kelas Bapak Peduli Stunting dirancang khusus untuk melibatkan para bapak sebagai agen perubahan dalam upaya pencegahan stunting. Tujuan penelitian ini mengetahui efektifitas  E-kelas bapak peduli stunting dengan pendekatan sanitasi dan lingkungan terhadap upaya pencegahan stunting pada balita. Metode penelitian quasy experimental dengan pretest posttest with control group design, terdiri dari 2 kelompok. Populasi yaitu Bapak yang memiliki balita usia 2-36 bulan di wilayah kerja Puskesmas Baturaden 2 Kabupaten Banyumas, dengan jumlah sampel 33 responden setiap kelompok. Intervensi e-kelas bapak peduli stunting dengan kelas WA selama 3 minggu. Analisis Bivariate mengunakan Wilcoxon. Hasil penelitian menunjukkan terdapat pengaruh E-Klass bapak peduli stunting terhadap pengetahuan bapak (p=0,02), dan perilaku bapak (p<0,001). Kegiatan E-Klass bapak peduli stunting dengan pendekatan sanitasi dan lingkungan selama 3 minggu efektif sebagai upaya pencegahan balita stunting.
STUNTING PREVENTION "SMART GUIDANCE MODULE AND REAL ACTION" IN CADRES, ADOLESCENTS, PREMARRIED AND PREGNANT WOMEN Krisdiana Wijayanti; Sri Wahyuni; Rafika Fajrin; Heny Rosiana; Yuwono Setiadi
Wealth Community Empowerment Vol. 2 No. 2: July 2025
Publisher : Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/welcomejournal.v2i2.12929

Abstract

Indonesia is currently facing a "double burden of malnutrition" or double nutritional problems where on the one hand it still has to work hard to overcome the problem of malnutrition, one of which is stunting, while on the other hand the problem of excess nutrition is starting to creep up which leads to an increase in cases of non-communicable diseases (NCDs) in the adult group. The objectives to be achieved in this activity are: Identifying the knowledge of adolescents, pre-marital, and identifying the knowledge of pregnant women about preventing stunting in toddlers, providing knowledge of pregnant women about preventing stunting in toddlers. The solution provided in dealing with these problems is by providing assistance in providing education as a guide for cadres, pregnant women, adolescents and pre-marital in preventing stunting using the Smart Guidance Module and Real Action. The smart guidance module in this community service is compiled as a reference in carrying out real actions to prevent stunting through real action. The methods of this community service are lectures, discussions, and direct practice. The results of community service obtained an average target knowledge, namely cadres, pregnant women, adolescents and pre-marital, increased. It is hoped that after community service, all parties can work together in stunting convergence
Efektivitas Nanopartikel Bayam Merah (Amaranthus Tricolor L.) Terhadap Kadar Hormon Prolaktin dan Produksi Asi Pada Ibu Menyusui Nawang Setyoningrum; Krisdiana Wijayanti; Arwani Arwani
Jurnal Ners Vol. 10 No. 2 (2026): APRIL 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i2.55830

Abstract

Exclusive breastfeeding period is a vulnerable period for breast milk (ASI) sufficiency to meet infant nutritional needs. Red spinach (Amaranthus tricolor L.) contains galactagogue compounds that have the potential to increase breast milk production by increasing prolactin levels. Objective: To determine the effectiveness of red spinach (Amaranthus tricolor L.) nanoparticles on prolactin levels and breast milk production in breastfeeding mothers. Method: This study employed a quasi-experimental design with a pretest–posttest control group design. The sample consisted of 32 breastfeeding mothers divided into two groups, with 16 participants in the intervention group and 16 in the control group, recruited from Mangunsari Primary Health Center and a private midwifery clinic (BPM Ibu Alam), as well as Sidorejo Kidul Primary Health Center, Salatiga. The intervention group received red spinach nanoparticles at a dose of 250 mg for 14 days, while the control group received breastfeeding education. Breast milk production was assessed indirectly using infant weight gain, whereas prolactin hormone levels were measured using the ELISA method. Data were analyzed using the Wilcoxon test, Paired Sample T Test, Mann–Whitney test, Repeated Measures ANOVA, and Independent t-test. Results: Administration of red spinach nanoparticles significantly increased prolactin levels in the intervention group (p = 0.013), whereas no significant change was observed in the control group (p = 0.955). Infant weight gain occurred in both the intervention and control groups (p<0.000); however, no statistically significant difference was found between the two groups. Conclusion: Red spinach nanoparticles at a dose of 250 mg administered for 14 days were effective in increasing prolactin levels in breastfeeding mothers. This intervention has the potential to support breast milk production, as indicated by infant weight gain, although no significant difference was observed compared to the control group
Pelatihan Pembuatan Instan Daun Pepaya sebagai ASI Booster Krisdiana Wijayanti; Murti Ani; Novita Ika Wardani; Aulia Fatmayanti
Jurnal ABDIMAS-HIP Pengabdian Kepada Masyarakat Vol. 1 No. 2 (2020): Jurnal ABDIMAS-HIP Pengabdian Kepada Masyarakat
Publisher : LPPM Akbid Harapan Ibu Pekalongan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37402/abdimaship.vol1.iss2.99

Abstract

The scope of exclusive breastfeeding has not met the set targets. One of the benefits of papaya leaves is ASI Booster (ASI booster), because it can increase milk production and protein levels. The purpose of this community service activity is to improve knowledge and skills about ASI and the technique of instant papaya leaves. The design is the pre test and post test level of knowledge and skills. The material is delivered by lecture and demonstration methods. The evaluation was carried out after the practice of instant making of papaya leaves by carrying out a post test and evaluating the establishment of a banner on the description of instant papaya leaf products and their benefits as ASI smoothers and meeting forums in the village to check information desemination. Community service activities were conducted in 3 meetings. The first meeting was the delivery of material about ASI, ASI smoothing, the benefits of papaya leaves, the technique of instant papaya leaves. The second meeting was the training of instant papaya leaves in the Semarang Department of Health's Health Polytechnic Department, which was attended by 3 cadres of Karangjati Village. The third meeting was carried out to socialize and practice the instant making of papaya leaves in Karangjati Village to the people of Karangjati village. The participants who participated in the community service activities were 30 residents of Karangjati Village, Blora Based on the paired t-test, the Sig. (2-tailed) knowledge of 0,000 (<0,05) and skills of 0,000 (<0,05), then there is the effect of training on instant making of papaya leaves as breast milk booster to the level of knowledge and skills.This community service provides many benefits for participants, namely for cadres and community members. The real form is the increasing knowledge of breast milk and ASI smoothers with the instant making of papaya leaves.
Pendampingan dan Pelatihan Media Buku Saku oleh Kader Sebagai Motivator Keberhasilan Pemberian ASI Eksklusif pada Ibu Rumah Tangga Anjar Astuti; Krisdiana Wijayanti; Emi Murniati; Herlina Tri Damailina
Jurnal Ilmiah Pangabdhi Vol 6, No 2: Oktober 2020
Publisher : Universitas Trunodjoyo Madura

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21107/pangabdhi.v6i2.7561

Abstract

Cakupan pemberian ASI Eksklusif di Indonesia masih rendah, diantaranya disebabkan rendahnya pengetahuan ibu dan kurangnya kesadaran. Peran kader dalam kesehatan yaitu sebagai pelaku penggerakan masyarakat dalam peningkatan kesehatan ibu bayi. Masalah yang dialami kader yaitu kurangnya pengetahuan dan cara untuk melakukan monitoring pemberian ASI Eksklusif pada ibu menyusui. Media buku saku sebagai  motivator  keberhasilan pemberian  ASI pada ibu rumah tangga dan dapat digunakan untuk  meningkatkan pengetahuan kader.  Tujuan pengabmas ini adalah untuk meningkatkan pengetahuan kader serta dapat digunakan untuk memonitoring pemberian ASI secara Ekslusif. Sasaran pada pengabdian  masyarakat ini adalah ibu kader di Desa Sidomulyo yang berjumlah 37 orang. Pelaksanaan pengabdian masyarakat di lakukan di desa Sidomulyo. Kegiatan yang dilakukan adalah melakukan pelatihan dan pendampingan kepada para kader dalam penggunaan buku saku sebanyak 2x pertemuan serta pembentukan kader sang motivator ASI Eksklusif. Evaluasi dilakukan pada hari ke-2 pengabmas dengan tes pengetahuan dan praktek melakukan monitoring pemberian ASI Eksklusif. Monitoring pengabmas dilakukan setiap bulan selama 3 bulan saat posyandu. Hasil : uji paired t-test menunjukkan bahwa ada perbedaan pengetahuan sebelum dan sesudah pelatihan dengan nilai signifikan p=0.000 (p kurang dari 0.05) dan ada perbedaan ketrampilan kader sebelum dan sesudah pelatihan p=0.000 (p kurang dari 0.05). Simpulan : Ada peningkatan pengetahuan dan ketrampilan kader dalam memonitoring pemberian ASI Eksklusif. Saran: kegiatan pengabmas bisa dilaksanakan secara kontinue agar kader dapat memberikan kontribusi langsung kepada masyarakat dalam memotivasi ibu untuk menyusui secara Eksklusif dan memonitoring pemberian ASI Eksklusif  sehingga ibu menyusui sukses memberikan ASI Eksklusif kepada bayinya.