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IS THE MULTIPLE MICRONUTRIENTS BETTER TO REDUCE ANEMIA IN PREGNANCY COMPARED TO IRON- FOLATE ACID SUPLEMENTATION? A SYSTEMATIC REVIEW Besmaya, Beniqna Maharani; Runjati, Runjati; Suwondo, Ari; Nurharisah, Siti
Proceedings of the International Conference on Applied Science and Health No 4 (2019)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (516.714 KB)

Background: Prevalence of anemia continues to increase among pregnant women in Indonesia. The micronutrients that are needed to reduce the anemia is still lacking to be accessed by pregnant women. This study aims to analyze the effectiveness of multiple micronutrients (MMN) compared to the iron-folic acid to reduce the incidence of anemia among pregnant women. Methods: Systematic review was used in this study using the electronic databases Google Scholar, Science Direct, and PubMed. The articles included in this study were published in 2009-2018 and were written in English language. Results: In total, 380 papers were identified and six articles were included in this study. Study found that the MMN and iron-folic acid had the same effect in influencing the anemia status among pregnant women. However, the MMN had a potential to increase the average of body weight, to reduce the incidence of low birth weight (LBW) and preterm birth among pregnant women. Conclusions: The effectiveness of multi micronutrients in pregnant women is as good as iron-folic acid in reducing the anemia during pregnancy. Further studies need to be conducted to see the effects of MMN on pregnant women by considering other factors such as maternal nutritional status, gestational age, and duration of supplementation

The Thickness of Endometrium after Given Fennel Seed Extract (Foeniculum Vulgare M.) and Mimba Leaves (Azadirachia Indica Juss): Experimental Study on Female Mice Isnu Kurnia Nugrahaeni; Melyana Nurul Widyawati; Noviyati Rahardjo Putri; Aida Amalia Nur Ramadhian; Beniqna Maharani Besmaya; Diksi Laksmita Dewi
JURNAL KEBIDANAN Vol 12, No 1 (2022): April 2022
Publisher : Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jkb.v12i1.6552

Total Fertility Rate (TFR) in Indonesia is 2.6. It’s above the average TFR in ASEAN countries which is 2.44. This condition shows that Indonesia's population growth is high. The herbal plants as an alternative is a safe method of contraception that can reduce the negative effects of using hormonal contraceptives method. The safe method contraception using herbal plants can reduce the negative effects in using hormonal contraceptives. The aim of this study is to determine the changes in endometrial thickness due to the administration of Foeniculum Vulgare M. and Azadirachia indica Juss extracts. The type of this study is a true experimental design with Post Test Only Control Group Design. The subjects were 15 female mice (mus musculus) which were taken randomly and it divided into 3 groups, there were K- (standard care), K+ (contraceptive pills), and E (fennel seed extract and neem leaves extract with a dose of 7.84: 11.2 mg / 20g BW). The treatment was given for 14 days. On the 15th day, the mice were terminated to measure the thickness of the endometrium. The result of the study were analyzed using the ANOVA test and the post hoc Scheffe test. The results study shown that the administration of fennel seed and neem leaf extract had a significant effect in reducing endometrial thickness (p-value 0.05) so that it was proven to have an anti-fertility effect.

IS THE MULTIPLE MICRONUTRIENTS BETTER TO REDUCE ANEMIA IN PREGNANCY COMPARED TO IRON- FOLATE ACID SUPLEMENTATION? A SYSTEMATIC REVIEW Beniqna Maharani Besmaya; Runjati Runjati; Ari Suwondo; Siti Nurharisah
Proceedings of the International Conference on Applied Science and Health No. 4 (2019)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

Show Abstract | Download Original | Original Source | Check in Google Scholar

Background: Prevalence of anemia continues to increase among pregnant women in Indonesia. The micronutrients that are needed to reduce the anemia is still lacking to be accessed by pregnant women. This study aims to analyze the effectiveness of multiple micronutrients (MMN) compared to the iron-folic acid to reduce the incidence of anemia among pregnant women. Methods: Systematic review was used in this study using the electronic databases Google Scholar, Science Direct, and PubMed. The articles included in this study were published in 2009-2018 and were written in English language. Results: In total, 380 papers were identified and six articles were included in this study. Study found that the MMN and iron-folic acid had the same effect in influencing the anemia status among pregnant women. However, the MMN had a potential to increase the average of body weight, to reduce the incidence of low birth weight (LBW) and preterm birth among pregnant women. Conclusions: The effectiveness of multi micronutrients in pregnant women is as good as iron-folic acid in reducing the anemia during pregnancy. Further studies need to be conducted to see the effects of MMN on pregnant women by considering other factors such as maternal nutritional status, gestational age, and duration of supplementation

PENYULUHAN TENTANG DISMENORE (NYERI SAAT MENSTRUASI) DAN UPAYA MENANGGULAGINYA DENGAN MINUM AIR KELAPA HIJAU PADA REMAJA PUTRI DI DESA REJOMULYO KEC. JATI AGUNG LAMPUNG SELATAN Rita Zahara; Beniqna Maharani Besmaya; Nurhayati; Santi Yuniarti; Satria Siswihipni
EZRA SCIENCE BULLETIN Vol. 2 No. 1 (2024): January-June 2024
Publisher : Kirana Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58526/ezrasciencebulletin.v2i1.93

Pengabdian Masyarakat yang berupa pengabdian pelatihan digital marketing bertujuan untuk meningkatkan efisiensi UMKM yang ada di Desa Sukoharjo 1, Pringsewu. Sosialisasi ini bisa menjadi bekal bagi UMKM Cincau untuk menambah pengetahuan terkait digital marketing. Sosialisasi tersebut berkaitan dengan kemasan serta pemasaran hasil produk cincau. Metode yang digunakan adalah pendekatan ini menekankan kepada inventaris asset yang terdapat didalam masyarakat yang dipandang dapat mendukung kegiatan pemberdayaan masyarakat di Desa Sukaharjo 1, Pringsewu.

Pengabdian Masyarakat Safari Kb Implan dan Iud di Desa Taman Sari UPTD Puskesmas Rawat Inap Ketapang Kabupaten Lampung Selatan Melisa, Shindi Kristanti; Farida, Ida; Karlina, Neli; Naliyasari, Refi; Zaitun, Zaitun; Besmaya, Beniqna Maharani
Jurnal Pengabdian Kesehatan Vol 7, No 3 (2024): Jurnal Pengabdian Kesehatan
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat (LPPM) STIKES Cendekia Utama Kudus

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31596/jpk.v7i3.490

Penggunaan kontrasepsi jangka panjang seperti IUD dan Implan dinilai jauh lebih efektif dalam menekan angka kelahiran, namun pengguanaannya masih sangat rendah. Keikutsertaan Wanita Usia Subur (WUS) dalam penggunaan MKJP dipengaruhi oleh beberapa faktor seperti usia, pendidikan, paritas, dukungan keluarga, kelengkapan pelayanan. Selain itu, pengetahuan tentang alat/cara KB merupakan hal yang penting dimiliki oleh pasangan usia subur sebagai bahan pertimbangan sebelum menggunakan kontrasepsi. Hasil penelitian yang dilakukan oleh Dewiyanti, (2020), menunjukkan terjadinya peningkatan pengetahuan pasangan usia subur tentang pengunaan alat kontrasepsi sebesar 67,4% setelah mendapatkan penyuluhan KB. Penyuluhan juga dapat meningkatkan pengetahuan Wanita Usia Subur (WUS) tentang KB IUD. Penyuluhan Stase KB dan Kespro ini berupa 2 kegiatan yaitu penyuluhan dan safari KB IUD dan Implan. Metode: pendidikan kesehatan yang digunakan yaitu ceramah dan tanya jawab serta pemasangan alat kontrasepsi IUD dan Implant. Tujuan : Kegiatan penyuluhan ini adalah diharapkan dapat membuka wawasan dan menumbuhkan minat Pasangan Usia Subur (PUS) dalam mengambil keputusan untuk bergabung dalam pengunaan alat kontrasepsi jangka panjang khusunya IUD dan Implat. Peserta kegiatan ini yaitu pasangan usia subur di Desa Taman sari Kecamatan Ketapang lampung Selatan. Hasil : Kegiatan penyuluhan stase KB dan Kespro ini dilaksanakan pada tanggal 12 Januari 2024 di desa Taman Sari Wilayah Kerja Puskesmas Ketapang Lampung Selatan. Setelah mengikuti kegiatan ini, ibu yang dilakukan pemasangan Implant sebanyak 19 orang dan IUD 1 orang

Pengaruh Kompres Daun Kubis Terhadap Bendungan ASI Pada Ibu Nifas Menyusui Di Wilayah Kerja Puskesmas Sribawono Kabupaten Lampung Timur Maisyaro, Maisyaro; Besmaya, Beniqna Maharani; Ifayanti, Hikmah; Veronica, Septika Yani
Innovative: Journal Of Social Science Research Vol. 5 No. 1 (2025): Innovative: Journal Of Social Science Research
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/innovative.v5i1.17608

Bendungan ASI merupakan masalah yang sering dihadapi ibu nifas, yang ditandai dengan pembengkakan dan rasa nyeri pada payudara akibat penumpukan ASI. Di Indonesia, kejadian bendungan ASI cukup tinggi, dengan 24,8%. Di Provinsi Lampung tahun 2022 sebanyak 23.870 ibu nifas mengalami bendungan ASI dari 91.398 ibu nifas. Berdasarkan survei di Puskesmas Sribawono, 37,7% ibu nifas mengalami bendungan ASI, dan penanganan kompres daun kubis belum diterapkan. Tujuan penelitian untuk mengetahui pengaruh kompres daun kubis terhadap bendungan ASI pada ibu nifas menyusui. Metode penelitian kuantitatif pre eksperiment onegroup pre-posttest design. Populasi penelitian seluruh ibu nifas yang mengalami bendungan ASI, purposive sampling didapatkan 40 ibu nifas. Hasil penelitian rata-rata skala bendungan ASI sebelum intervensi 4,80 (kategori sedang) dan setelah intervensi 1,95 (kategori ringan), ada pengaruh kompres daun kubis terhadap bendungan ASI pada ibu nifas menyusui (p-value 0,000 <0,05).

PENGARUH KOMPRES DAUN KUBIS (BRASSICA OLERACEA) UNTUK MENGATASI BENDUNGAN ASI PADA IBU NIFAS Anggriani, Yunita; Andri Kariny, Elsy Juni; Besmaya, Beniqna Maharani; C. Hardiyanti Rukmana
Jurnal Medicare Vol. 4 No. 3: JULY 2025
Publisher : Rena Cipta Mandiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62354/jurnalmedicare.v4i3.225

Breast engorgement occurs due to obstruction of venous and lymphatic flow, leading to impaired milk drainage and increased pressure in the milk ducts and alveoli. One alternative to manage breast engorgement is the application of cabbage leaf compresses. This study aims to examine the effect of cabbage leaf compresses (Brassica oleracea) on reducing breast swelling and pain in postpartum mothers with breast engorgement. This research employed a quantitative method with a pre-experimental design (one group pretest-posttest) involving 33 respondents experiencing breast engorgement. Data were analyzed using the Wilcoxon test. The results showed a reduction in the average swelling score from 4.06 to 2.06 and a decrease in pain score from 3.58 to 2.94 after the intervention (p-value = 0.000). Cabbage leaf compresses were effective in reducing breast swelling and pain in postpartum mothers with breast engorgement. This method can be recommended as a non-pharmacological alternative in midwifery care.

Efektivitas terapi gym ball sebagai solusi nyeri punggung bawah di trimester akhir kehamilan Rohila, Titin; Besmaya, Beniqna Maharani; Fara, Yetty Dwi; Agustina, Rika; Ayu, Juwita Jesri
Jurnal SAGO Gizi dan Kesehatan Vol 6, No 2 (2025): Agustus
Publisher : Poltekkes Kemenkes Aceh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30867/gikes.v6i2.2256

Background: Lower back pain is a common issue during pregnancy, especially in the third trimester, affecting approximately 50%-80% of pregnant women. This discomfort can arise from excessive bending, prolonged walking without rest, and frequent heavy lifting.Objective: This study aims to determine the effect of gym ball therapy on lower back pain among third-trimester pregnant women at Posyandu Desa Pardasuka, under the jurisdiction of Puskesmas Katibung, South Lampung Regency.Methods: The study used a pre-experimental method with a one-group pretest-posttest design. It was conducted in July 2024 at Posyandu Desa Pardasuka, involving a population of all third-trimester pregnant women (15 individuals), selected through purposive sampling. Data collection consisted of several stages, starting with a pre-test where the researcher obtained research permissions, provided informed consent, and measured the intensity of lower back pain using a Numerical Rating Scale (NRS).Results: The results showed that the average lower back pain score among third-trimester pregnant women before gym ball therapy was 5,60, with a standard deviation (SD) of 0,507. After the therapy, the average score significantly decreased to 2,93, with an SD of 0,258. Statistical analysis using the t-test indicated a significant reduction in pain, with a p-value of 0,000 (p < 0,05). This demonstrates that gym ball therapy is effective in reducing lower back pain in third-trimester pregnant women.Conclusion: Gym ball therapy is effective in reducing lower back pain among third-trimester pregnant women. Pregnant women are encouraged to perform this therapy regularly under the guidance of healthcare professionals.

ASUHAN KEBIDANAN BERKELANJUTAN PADA NY. NA G1P0A0 DENGAN BIRT BALL DAN PIJAT BAYI Fitriyani, Dwi; Ifayanti, Hikmah; Gustiara, Lidia Harsa; Yuliani; Besmaya, Beniqna Maharani; Sulistiawati, Yuni
Jurnal Kesehatan Tambusai Vol. 5 No. 3 (2024): SEPTEMBER 2024
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v5i3.31835

Continuity of Care (CoC) dalam kebidanan merupakan pendekatan penting untuk memastikan kualitas pelayanan kesehatan ibu dan bayi. Penelitian ini bertujuan untuk mengevaluasi efektivitas terapi komplementer, khususnya penggunaan birth ball untuk manajemen nyeri persalinan dan pijat bayi untuk perawatan neonatal, pada kasus Ny. NA, seorang primigravida. Penelitian ini menggunakan metode studi kasus, dengan mengamati proses persalinan dan perawatan neonatal secara mendalam. Data dikumpulkan melalui wawancara, observasi, dan pengukuran tingkat nyeri menggunakan skala Visual Analog Scale (VAS). Hasil penelitian menunjukkan bahwa penggunaan birth ball efektif dalam mengurangi nyeri persalinan. Ny. NA melaporkan penurunan skala nyeri dari level 8 menjadi 6 setelah 30 menit menggunakan birth ball. Gerakan mengayun dan memutar pinggul dengan birth ball membantu relaksasi otot panggul dan mengalihkan perhatian dari nyeri. Selain itu, pijat bayi yang dilakukan oleh Ny. NA di bawah bimbingan bidan memberikan manfaat signifikan dalam perawatan neonatal. Pijat bayi dilakukan selama 15 menit setiap hari pada minggu pertama kehidupan bayi. Observasi menunjukkan peningkatan kualitas tidur, stabilitas berat badan, dan kesejahteraan bayi. Ny. NA juga melaporkan peningkatan rasa percaya diri dalam merawat bayinya. Kesimpulannya, Continuity of Care dengan terapi komplementer seperti birth ball dan pijat bayi memberikan manfaat signifikan dalam manajemen nyeri persalinan dan meningkatkan kualitas perawatan neonatal.

Dragon fruit intervention for increasing hemoglobin level on pregnant woment in Sumber Agung Village Qurniasih, Nila; Besmaya, Beniqna Maharani; Komalasari, Komalasari; Candrasari, Kirana; Primadevi, Inggit
Science Midwifery Vol 12 No 1 (2024): April: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v12i1.1394

Background: Iron Deficiency Anemia is a condition the hemoglobin level less of 11gr%. The global pravalence of anemia in pregnancy is estimated to be approximattely 41,8%. In Indonesia the pravalences anemia reach of 48,9%, and 84,6% beetween occurs in the 15-24 year age group, and in the sumber agung village the number of anemia in 2023 reach of 4 cases. Anemia Assosiated with risk of low birth weight, preterm labor, abortus, postpartum haemorrage and Fetal maternal neonatal death. The Purpose of study is to investigated of Dragon fruit juice within increased level of the hemoglobin in woman’s pregnant in the working area at Sumber Agung Village. Method’s: The study design use quantitative observasional research design, involved 14 participant woman anemia in pregnant, in the each of them comsumed ferosus sulfate and Dragon fruit. The data analyse by descriptive level of hemoglobin before and after intervention. The result showed the mean of level of hemoglobin in woman anemia increased up to 1,4 gr/dl, within seven days intervention. The Conclussion The combination of ferosus sulfate and dragon fruit, describe for increasing level of hemoglobin at woman anemia in pregnancies. Suggestion: Dragon fruid could be an alternative intervention to prevent of anemia in pregnancies.

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