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PENGUATAN PELAYANAN KESEHATAN IBU HAMIL MELALUI PEMERIKSAAN KEHAMILAN TERPADU DAN EDUKASI KESEHATAN BERKELANJUTAN Septi Indah Permata Sari; Yanti Yanti; Elly Susilawati; Dewi Septiana
EBIMA : Jurnal Edukasi Bidan di Masyarakat Vol 7 No 1 (2026): Ebima: Jurnal Edukasi Bidan di Masyarakat
Publisher : Jurusan Kebidanan Poltekkes Kemenkes Riau

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Abstract

Kehamilan merupakan periode penting yang memerlukan pemantauan kesehatan secara berkesinambungan untuk memastikan kesejahteraan ibu dan janin. Kurangnya pemanfaatan pelayanan antenatal, rendahnya aktivitas fisik selama kehamilan, serta keterbatasan pengetahuan ibu hamil mengenai perubahan fisiologis, tanda bahaya kehamilan, dan persiapan persalinan dapat meningkatkan risiko terjadinya komplikasi kehamilan dan persalinan. Oleh karena itu, diperlukan upaya promotif dan preventif melalui kegiatan pengabdian kepada masyarakat yang terintegrasi dan berkelanjutan. Kegiatan pengabdian kepada masyarakat ini bertujuan untuk memperkuat pelayanan kesehatan ibu hamil melalui pemeriksaan kehamilan terpadu, pelaksanaan senam hamil, dan edukasi kesehatan berkelanjutan. Sasaran kegiatan adalah ibu hamil di wilayah kerja Puskesmas Umbansari kota Pekanbaru. Metode pelaksanaan meliputi pemeriksaan kesehatan ibu hamil yang mencakup pengukuran tekanan darah, berat badan, tinggi fundus uteri, deteksi dini faktor risiko kehamilan, serta pemeriksaan penunjang sederhana. Selain itu, dilakukan senam hamil untuk meningkatkan kebugaran fisik dan kesiapan menghadapi persalinan, serta penyuluhan kesehatan mengenai gizi selama kehamilan, tanda bahaya kehamilan, persiapan persalinan, dan perawatan masa nifas. Kegiatan Pengabdian ini dilaksanakan pada 12 ibu hamil, dengan hasil rata-rata pengetahuan ibu hamil meingkat dari yang awalnya rata-rata 60 menjadi 82,5 dengan nilai post test terandah 70 dan tertinggi 100, artinya ada peningkatan pengetahuan ibu hamil mengenai kesehatan kehamilan, meningkatnya kesadaran untuk melakukan pemeriksaan kehamilan secara rutin, serta meningkatnya partisipasi ibu hamil dalam aktivitas fisik yang aman melalui senam hamil. Peserta juga menunjukkan antusiasme yang tinggi selama kegiatan berlangsung dan aktif berdiskusi terkait permasalahan yang dihadapi selama kehamilan.Kegiatan ini dapat menjadi salah satu strategi dalam meningkatkan kualitas pelayanan kesehatan maternal melalui pendekatan promotif, preventif, dan pemberdayaan masyarakat. Diharapkan kegiatan serupa dapat dilaksanakan secara berkelanjutan dengan melibatkan berbagai pemangku kepentingan guna mendukung terwujudnya kehamilan yang sehat, persalinan yang aman, serta peningkatan derajat kesehatan ibu dan bayi. Kata Kunci : ibu hamil, pemeriksaan kehamilan terpadu, edukasi kesehatan, pelayanan kesehatan maternal. Kepustakaan : 16 (2012-2019)
Peran Dukungan Sosial dan Penyesuaian Spiritual Ibu terhadap Tingkat Kecemasan Ibu Hamil Risiko Tinggi Elly Susilawati; Yanti Yanti; Nora Veri; Ririn Widyastuti
Faletehan Health Journal Vol 13 No 02 (2026): Faletehan Health Journal, Juli 2026
Publisher : Universitas Faletehan

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Abstract

Pregnancy can be a source of happiness and has the potential to cause anxiety for women. In Indonesia it is estimated that there were around 373,000 pregnant women experiencing anxiety. This study was to evaluate the effectiveness of family support and spiritual adaptation of high-risk pregnant mothers in reducing the level of anxiety. This study was conducted from March to October 2025 at a Health Center and a midwifery clinic in Pekanbaru, Indonesia, applying quantitative design with a descriptive analytical approach. The sample consisted of 120 high-risk pregnant women in the first, second, and third trimesters who made antenatal visits. Data were collected through interviews using questionnaires and analyzed by univariate analysis and Chi-Square test. The results showed that 48.3% of respondents were included in the category of high-risk pregnancies based on Poedji Rochjati's score. Most respondents had normal levels of anxiety (78.3%), good social support (79.2%), and high spiritual adaptation (75%). The majority of respondents received social support both (66.7%) and had high spiritual adaptation (70.8%) indicating normal levels of anxiety. In addition, most of the respondents in the low-risk category (32.5%) also had normal anxiety. The analysis showed a relationship between spiritual adaptation and the level of anxiety of pregnant women. Social support and spiritual adaptation play an important role in maintaining the psychological condition of high-risk pregnant women.
The Relationship Between Cardiovascular Disease in Pregnancy and Fetomaternal Outcomes at Arifin Achmad Regional General Hospital Mazzaya Zalia Ramadhani; Yanti; Lailiyana; Elly Susilawati
JURNAL IBU DAN ANAK Vol 14 No 1 (2026): Jurnal Ibu dan Anak Volume 14 Nomor 1 Tahun 2026
Publisher : Poltekkes Kemenkes Riau Under Health Ministry Republik Indonesia

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Abstract

Cardiovascular disease during pregnancy contributing to high rates of maternal and neonatal morbidity and mortality. In Indonesia, cardiovascular disease complications account for approximately 30% of maternal deaths, while about 34% of infants born to mothers with cardiovascular disease experience neonatal complications. This study aimed to determine the association between cardiovascular disease in pregnancy and fetomaternal outcomes. This quantitative study employed an analytical retrospective design using medical record data from January 2024 to December 2025. The sample consisted of 301 respondents selected via total sampling. Data were analyzed Chi-Square test with a 95% confidence level (α=0.05). The results revealed a significant association between cardiovascular disease in pregnancy and the incidence of LBW (p=0.000; OR=3.557), preterm birth (p=0.011; OR=1.899), asphyxia (p=0.010; OR=1.941), and fetal distress (p=0.001; OR=2.738); however, no significant association was found with IUFD (p=0.702). Therefore, it is recommended that Arifin Achmad Hospital enhance early detection, optimize antenatal monitoring, and implement multidisciplinary management to prevent maternal and neonatal complications.
The Effect of Abdominal Lifting on Pain and Duration of the First Stage of Labor Elly Susilawati; Septi Indah Permata Sari; Yanti Yanti
Journal of Maternal and Child Health Sciences (JMCHS) Vol 6 No 1 (2026): Journal Of Maternal And Child Health Sciences
Publisher : Poltekkes Kemenkes Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36086/maternalandchild.v6i1.3889

Abstract

A safe delivery does not necessarily mean it is pain-free, as pain is a natural part of the birthing process. Most women are aware that labor is almost always accompanied by pain, but not all are optimally prepared to deal with it. This study was conducted to determine the effect of abdominal lifting on labor pain and duration of the first stage of labor. It was conducted from March to April 2022 at PMB Dince Safrina, Pekanbaru City. The type of research used is pre-experimental with a One Group Pretest–Posttest Design approach. The number of samples involved in this research was 23 respondents at PMB Dince Safrina, Pekanbaru City. The average pretest labor pain was 6.35 and the posttest labor pain was 2.61 with an average difference of 3.74, which means that there was a decrease in the labor pain score before and after being givenabdominal lifting massage Abdominal lifting massage has an effect on reducing labor pain in mothers giving birth in the first stageAbdominal Lifting, Duration Of The first stage, Labor, Pain