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Efektifitas Williamâ€™s Flexion Exercise Dengan Kompres Hangat Terhadap Dismenorea Primer di MAN 2 Jember Dewi, Mega Sylviana; Restanty, Dian Aby; Karnasih, I Gusti Ayu
Malang Journal of Midwifery (MAJORY) Vol 2 No 2 (2020): MAJORY
Publisher : Politeknik Kesehatan Kemenkes Malang (State Health Polytechnic of Malang)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (349.989 KB)

The incidence of menstrual pain (dysmenorrhoea) in MAN 2 Jember was 61.6%. This study aims to determine the difference in the effectiveness of William's flexion exercise with warm compresses on primary dysmenorrhoea pain. The research design used a Quasi-Experiment with a non-equivalent pretest-posttest design. The population consisted of 37 female students and the sample taken was a sample that met the inclusion criteria contained in chapter three as many as 34 students, the sample was divided into 2 treatment groups, namely 17 students were treated with William's Flexion exercise and 17 students were treated with warm compresses. This research uses simple random sampling technique. The research instrument used the Standard Operational Procedure and Numeric Rating Scale, with the Wilcoxon match pairs test and the Mann Whitney U test. Wilcoxon test results p-value 0.000, and an error level of 5% (2-sided test), which means that there is a difference in the level of dysmenorrhoea pain before and after being given warm compresses and William's flexion exercise and the results of the Mann Whitney U test obtained Z value = -1.285 with an error rate of 5%, then -1.96 <-1.285 <+1.96, meaning that there is no difference in the effectiveness of William's Flexion Exersice with warm compresses on primary dysmenorrhoea. The two methods are equally effective in reducing primary dysmenorrhoea pain, although there are slight differences. Where a warm compress is better at reducing the pain intensity of primary dysmenorrhoea. Keywords: Warm Compress, William's Flexion Exercise, Primary Dysmenorrhoea

Klasifikasi Tongue Tie Berdasarkan Kadar Billirubin Bayi Baru Lahir Kartikawati, Febriana; Bachri, Syaiful; Karnasih, I Gusti Ayu
Malang Journal of Midwifery (MAJORY) Vol 3 No 1 (2021): MAJORY
Publisher : Politeknik Kesehatan Kemenkes Malang (State Health Polytechnic of Malang)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (254.227 KB)

Tounge tie is a variation of the anatomy of the tongue frenulum, the frenulum being shorter and thicker than normal shape. This incident is experienced in many infants (General & General, 2013). Based on a preliminary study conducted at the Jember Clinic Hospital in August 2019, it was found that 20% of 45 baby births had tongue tie. This study aims to determine the relationship between tongue tie classification and billirubin levels of newborns at the Jember Regency Private Hospital. This type of research is a quantitative study with cross sectional approach. The population of 22 infants aged 0-7 days in January 2020 to April 2020 and obtained a sample of 22 babies using the incidental sampling technique. Data collection instruments using the patient's medical record file. Measuring instruments used are intervals and nominal with Spearman rho analysis using 2 tails significance with a confidence level of 95% (? = 0.050). The results showed a significant value <0.050 (0,000 <0.050) which means that there was a significant relationship between the tongue tie classification variable and the variable billirubin content. For health workers, especially midwives need to improve the ability to identify babies with tongue tie to prevent the increase in billirubin levels in newborns. Keywords: Tongue tie, Tie Classification And Billirubin Levels

Effectiveness of Leininger's Transcultural-based GATHER Counseling Model on Exclusive Breastfeeding I Gusti Ayu Karnasih
Health Notions Vol 5, No 5 (2021): May
Publisher : Humanistic Network for Science and Technology (HNST)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hn50503

Objective: to analyze the effectiveness of Leininger’s Transcultural-based GATHER (Greet, Ask, Tell, Help, Explain, and Return/refer) Counseling Model for exclusive breastfeeding. Methods: The experimental research was conducted with the post-test only control group design. The sample size of control group and treatment group were 38 people. The sampling technique is a simple random sampling technique. The treatment group were third stage III pregnant women with a gestational age of 36-37 weeks and at the second day postpartum. Data were collected using questionnaires and observations of 76 breastfeeding mothers in Jember Regency, then analyzed using Mann Whitney-U test. Results: The results showed that postpartum mothers who were given Leininger's Transcultural-based GATHER Counseling Model showed a higher percentage of exclusive breastfeeding (81.1%) than postpartum mothers who were not given counseling (21.6%). The results of hypothesis testing showed p-value of 0.000, meaning that the hypothesis was accepted so that it could be said that exclusive breastfeeding for mothers who were given counseling was higher than those who were not given Leininger's Transcultural-based GATHER Counseling Model and it was effective in increasing milk production. Conclusion: Leininger's Transcultural-based GATHER Counseling Model is effective in increasing exclusive breastfeeding, this model facilitates understanding and management of the factors that cause problems, breastfeeding. Keywords: exclusive breastfeeding; GATHER counseling model; Leininger’s transcultural model

THE DIFFERENCES DECLINE BREAST ENGORGEMENT CONDUCTED CONVENTIONAL METHODS (BREAST MASSAGE) WITH HERB YEAST-KATU Susilawati Susilawati; I Gusti Ayu Karnasih; M. Wildan
UNEJ e-Proceeding Proceeding of 1st International Conference on Medicine and Health Sciences (ICMHS)
Publisher : UPT Penerbitan Universitas Jember

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In the nation's development, improving thequality of human beings should be initiated asearly as possible that early on that since I was ababy, one factor that plays an important role inimproving the quality of human beings arebreastfeeding (breast milk). Breastfeeding aspossible is an important activity in themaintenance of children and the preparation offuture generations in the future. It is estimatedthat 80% of mothers who gave birth were able toproduce milk in sufficient quantities for thepurposes of the baby in full without extra foodduring the first six months, women with poornutrition can produce enough milk without anyadditional food during the first three months(Depkes, 2009)Many studies have examined the benefits ofbreastfeeding exclusively in terms of loweringinfant mortality, lower infant morbidity, optimizepartumbuhan baby, helping the development ofchildren's intelligence, and help extend thedistance of the pregnancy for the mother. InIndonesia, the Ministry of Health of the Republicof Indonesia through community nutritionimprovement program has been targetingcoverage of 6 months of exclusive breastfeedingat 80% (Depkes, 2009). However, this figure isvery difficult to achieve even the prevalence ofexclusive breastfeeding trends from year to yearcontinues to decline. According to (WHO, 2002)Five out of ten women (50%) who arebreastfeeding, when the late breast-feeding theirbabies breast milk there will be a dam, so a lot ofthe milk glands swollen that contain milk that hasnot been issued (Sarwono, 2002)Breast swelling is the buildup of breast milk in thebreast caused by breast milk is not excluded tothe maximum , causing stasis breast milk. Stasisso that the mother's milk stored inside the breast(Manuaba , 2008)Occlusion of breast milk can cause breast painand during feeding and can increase bodytemperature. Handling the dam breast milk isdone by conventional treatments is throughmassaging the breast to remove the dam , butmassage is rarely implemented due cause painMadurese communities have a culture in thetreatment of breast engorgement is to provideherb Katu and yeast . Giving herb Katu and yeastbecome mothers suckle choice because it servesto free breast swelling and provide comfort to thebreast when compressing . It can also reducebreast pain and cold.The content of papaverine ( Soka , 2003) and thecontent of antipyretic and analgesic ( Lee , 1996)in the leaf valve reduce pain and heat as a resultof engorgement. While the yeast fermentationprocess heat effects . Effect of heat yeaststimulates vasodilatation of blood vessels andducts that facilitate the ducts.PurposeAnalyze the Difference Between Breastengorgement Decrease Breast Caremassage(conventional) And The given Herb Katu-YeastAnalyzing the differences decrease breastengorgement given conventional treatment andwere given the herb Katu-YeastIdentifying decline in women after breast swellingdo massage treatments ( conventional)Identifying decrease breast engorgement inmothers after the Katu - given herb leaves YeastAnalyzing the difference in the reduction in breastswelling performed with massage treatments (conventional ) and given Herb Katu-YeastBenefitDevelopment of Science and Technology obstetriccare, especially maternal and child healthinterventions with local culture basedImproving the quality of obstetric care, especiallyin the care duringchildbirthHelping mothers breastfeed in addressing thebreast engorgement, using local cultural wisdom

Hubungan Dukungan Suami dalam Pemberian ASI eksklusif, Literature Review Dwija Sistha Aprilia Firdaus; I Gusti Ayu Karnasih; Dian Aby Restanty
ARTERI : Jurnal Ilmu Kesehatan Vol 3 No 2 (2022): Februari
Publisher : Puslitbang Sinergis Asa Professional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37148/arteri.v3i2.226

According to Basic Health Research in 2014-2018, the achievement of exclusive breastfeeding in East Java is still below the target set by the Ministry of Health of the Republic of Indonesia. The lack of exclusive breastfeeding given by the mother can be caused by so many factors, one of them is the lack of support that mothers get from their environment, especially from their husband. This study was held to determine the correlation of husband's support in exclusive breastfeeding. Articles were collected through Google and PubMed using “Father’s role and exclusive breastfeeding”, and “Husband’s role in exclusive breastfeeding” as the keywords. Screening towards the articles was based on PEOS frameworks, which consist of 2 international articles and 7 national articles. From those articles, 4 articles have been accredited by SCOPUS, ISI, and ARJUNA. The analysis showed that there is a significant correlation of husband support in exclusive breastfeeding. Husband's support can give a significant effect on exclusive breastfeeding. From the analysis that has been done, 66.7% of the journal articles stated that there is a relationship between husband's support in exclusive breastfeeding, and the rest of them (33.3%) stated that there is no relationship between husband's support in exclusive breastfeeding.

PENGARUH COUPLE COUNSELLING ASI PADA IBU HAMIL TRIMESTER III TERHADAP PEMBERIAN ASI EKSKLUSIF 2 MINGGU DI WILAYAH KERJA PUSKESMAS KEMUNINGSARI KABUPATEN JEMBER Aulia Baiduri; I Gusti Ayu Karnasih
GLOBAL HEALTH SCIENCE Vol 3, No 3 (2018): September 2018
Publisher : Communication and Social Dinamics (CSD)

Cakupan ASI eksklusif pada bayi-bayi di dunia masih rendah, termasuk di Indonesia. Penyebab rendahnya cakupan ASI eksklusif karena kurangnya pengetahuan dan dukungan pada ibu untuk memberikan ASI eksklusif. Dukungan dan pengetahuan ini dapat diperoleh dengan memberikan konseling ASI kepada ibu dan suami yang bisa disebut couple counseling. Oleh sebab itu peneliti ingin menganalisis pengaruh couple counseling ASI pada ibu hamil trimester III terhadap pemberian ASI eksklusif 2 minggu. Penelitian ini merupakan pre eksperimen dengan desain penelitian “Post Test Only Control Group Desain”. Populasi penelitian ini adalah ibu hamil trimester III dengan jumlah sampel sebanyak 32 orang yang dibagi dalam kelompok ibu yang diberikan couple counseling dengan ibu yang tidak diberikan couple counseling. Dari hasil penelitian di dapatkan bahwa ibu hamil yang diberikan couple counseling memberikan ASI eksklusif sebanyak 81,25 % sedangkan pada kelompok kontrol yang tidak diberikan couple counseling ASI sebanyak 43,75 % yang memberikan ASI eksklusif. Berdasarkan hasil uji statistik chi square di dapatkan p = 0,028 dengan α = 0,05. Maka dapat disimpulkan bahwa couple counseling berpengaruh terhadap pemberian ASI eksklusif. Hal ini disebabkan couple counseling dapat meningkatkan komunikasi yang baik antara ibu dan suami sehingga timbul interaksi selama proses couple counseling yang dapat memudahkan penerimaan informasi sehingga ibu dan suami mempunyai sudut padang yang sama dan keputusan yang sama. Maka dari itu, tenaga kesehatan utamanya bidan dapat menerapkan metode couple counseling ini untuk meningkatkan pemberian ASI eksklusif secara optimal. Kata kunci: Couple counseling, ASI eksklusif

Efektifitas William’s Flexion Exercise Dengan Kompres Hangat Terhadap Dismenorea Primer di MAN 2 Jember Mega Sylviana Dewi; Dian Aby Restanty; I Gusti Ayu Karnasih
Malang Journal of Midwifery (MAJORY) Vol 2 No 2 (2020): MAJORY
Publisher : Poltekkes Kemenkes Malang & IBI Ranting Pendidikan Kota Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/majory.v2i2.1606

The incidence of menstrual pain (dysmenorrhoea) in MAN 2 Jember was 61.6%. This study aims to determine the difference in the effectiveness of William's flexion exercise with warm compresses on primary dysmenorrhoea pain. The research design used a Quasi-Experiment with a non-equivalent pretest-posttest design. The population consisted of 37 female students and the sample taken was a sample that met the inclusion criteria contained in chapter three as many as 34 students, the sample was divided into 2 treatment groups, namely 17 students were treated with William's Flexion exercise and 17 students were treated with warm compresses. This research uses simple random sampling technique. The research instrument used the Standard Operational Procedure and Numeric Rating Scale, with the Wilcoxon match pairs test and the Mann Whitney U test. Wilcoxon test results p-value 0.000, and an error level of 5% (2-sided test), which means that there is a difference in the level of dysmenorrhoea pain before and after being given warm compresses and William's flexion exercise and the results of the Mann Whitney U test obtained Z value = -1.285 with an error rate of 5%, then -1.96 <-1.285 <+1.96, meaning that there is no difference in the effectiveness of William's Flexion Exersice with warm compresses on primary dysmenorrhoea. The two methods are equally effective in reducing primary dysmenorrhoea pain, although there are slight differences. Where a warm compress is better at reducing the pain intensity of primary dysmenorrhoea. Keywords: Warm Compress, William's Flexion Exercise, Primary Dysmenorrhoea

Klasifikasi Tongue Tie Berdasarkan Kadar Billirubin Bayi Baru Lahir Febriana Kartikawati; Syaiful Bachri; I Gusti Ayu Karnasih
Malang Journal of Midwifery (MAJORY) Vol 3 No 1 (2021): MAJORY
Publisher : Poltekkes Kemenkes Malang & IBI Ranting Pendidikan Kota Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/majory.v3i1.1795

Tounge tie is a variation of the anatomy of the tongue frenulum, the frenulum being shorter and thicker than normal shape. This incident is experienced in many infants (General & General, 2013). Based on a preliminary study conducted at the Jember Clinic Hospital in August 2019, it was found that 20% of 45 baby births had tongue tie. This study aims to determine the relationship between tongue tie classification and billirubin levels of newborns at the Jember Regency Private Hospital. This type of research is a quantitative study with cross sectional approach. The population of 22 infants aged 0-7 days in January 2020 to April 2020 and obtained a sample of 22 babies using the incidental sampling technique. Data collection instruments using the patient's medical record file. Measuring instruments used are intervals and nominal with Spearman rho analysis using 2 tails significance with a confidence level of 95% (? = 0.050). The results showed a significant value <0.050 (0,000 <0.050) which means that there was a significant relationship between the tongue tie classification variable and the variable billirubin content. For health workers, especially midwives need to improve the ability to identify babies with tongue tie to prevent the increase in billirubin levels in newborns. Keywords: Tongue tie, Tie Classification And Billirubin Levels

PERUBAHAN KECEMASAN PASIEN PRA OPERASI SECTIO CAESAREA DENGAN PEMBERIAN KOMUNIKASITERAPEUTIK METODE HELPING RELATIONSHIP DI RUMAH SAKIT BINA SEHAT TAHUN 2018 Sheila sela Setianing; I Gusti Ayu Karnasih; Ratna Suparwati; Yuniasih Purwaningrum
Jurnal Pendidikan Kesehatan Vol 8 No 1 (2019): Jurnal Pendidikan Kesehatan
Publisher : Poltekkes Kemenkes Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/jpk.v8i1.466

Anxiety can be experienced by a person on the face of sugery, as well as mother who will undergo section caesaria surgery. Anxiety can increase blood preasure and the baby heart rate increases, so that anesthesia procedures can be delayed and can also impact on the prosess of sugery performed. One way to reduce anxiety is giving therapeutic communication. The purpose of this study to determined the decrease on the level of anxiety in mothers who will undergo section caesaria surgery, before and after done giving therapeutic communication.The search design One group pre test and post test. The population of this study were all mothers who would undergo section caesaria surgery electievy with 32 mothers in Bina Sehat Hospital. The sampling by technical Accidental Sampling. The result of previous research done giving therapeutic communication, which experienced mild anxiety as much 9,4 percent moderate anxiety as much 40,6 percent and severe anxiety 50 percent, where as after therapeutic communication method helping relationship done, who does not experience anxiety as much 3,1 percent, mild anxiety 46,9 percent, moderate anxiety 43,7 percent and severe anxiety 6,3 percent. Accoding tho wiloxon sign test, alpha is smaller than 0,05 get resuth Z count is greater than Z table. A mothers anxiety during surgery can be redused by giving therapeutic because there is emphaty, honesty, openness and positive attitude that midwive have in order mother to remainclam comfortable while undergo surgery

Hubungan Riwayat Asi Ekslusif Dengan Kejadian Stunting Pada Balita di Desa Gugut Kecamatan Rambipuji Kabupaten Jember Nuril Fadillah; I Gusti Ayu Karnasih; Eni Subiastutik
Innovative: Journal Of Social Science Research Vol. 3 No. 4 (2023): 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.v3i4.2671

Stunting merupakan gangguan pertumbuhan yang ditunjukkan adanya ketidaksesuaian tinggi badan dengan usia. Gangguan tersebut dapat mempengaruhi kemampuan kognitif dan motorik anak. Penyebab stunting diantaranya faktor pola pemberian makan, penyakit infeksi, berat badan lahir, panjang badan lahir dan riwayat ASI ekslusif. Prevalensi stunting di Desa Gugut Kecamatan Rambipuji dari data Puskesmas Rambipuji Bulan Agustus Tahun 2022 sebanyak 92 balita. Tujuan penelitian ini untuk mengetahui hubungan riwayat ASI eksklusif dengan kejadian stunting pada balita di Desa Gugut Kecamatan Rambipuji Kabupaten Jember. Desain penelitian analitik dengan pendekatan cross sectional. Populasi adalah balita usia 12-59 bulan sebanyak 320 dengan sampel 177, teknik sampling Cluster Random Sampling. Instrumen yang digunakan kuisioner, Mikrotoice, Infantometer, lembar tabel z-score. Balita stunting 89 (50,3%), tidak stunting 88 (49,7%), ASI ekslusif 63 (35,6%) dan tidak ASI ekslusif 88 (49,7%). hasil uji statistic chi-square didapatkan nilai p-value sebesar (0,000) < α (0,05), artinya ada hubungan riwayat ASI ekslusif dengan Kejadian Stunting di Desa Gugut.

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