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Faktor-Faktor yang Mempengaruhi Kejadian Hiperemesis Gravidarum pada Ibu Hamil di Puskesmas Pagar Merbau Kabupaten Deli Serdang Provinsi Sumatera Utara Tahun 2023 Nurasiah Nurasiah; Kamelia Sinaga; Imran Saputra Surbakti; Asnita Sinaga; Agustina Susilawati Tumangger
NAJ Nursing Applied Journal Vol. 2 No. 3 (2024): July : Nursing Applied Journal
Publisher : LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/naj.v2i3.585

Abstract

Hyperemesis gravidarum is a condition of excessive nausea and vomiting in pregnant women that is worse than morning sickness, the cause is unknown. Psychological factors can worsen this condition, causing dehydration, weight loss, electrolyte imbalance, and complications such as liver damage and retinal hemorrhage due to increased blood pressure during vomiting. Treatment is done by administering fluids, glucose, electrolytes, and vitamins through an IV. This study aims to analyze the factors that influence the incidence of hyperemesis gravidarum at the Pagar Merbau Health Center, Deli Serdang, in 2023. This study uses a descriptive correlational method with a cross-sectional design to analyze the relationship between independent and dependent variables simultaneously. Data were collected retrospectively from 36 respondents using a purposive sampling technique. The research instruments were questionnaires and observation sheets, while data analysis was carried out using the chi-square statistical test which showed a p value = 0.021. There is a significant relationship between age, knowledge, parity, and multiple pregnancies with the incidence of hyperemesis gravidarum in pregnant women at the Pagar Merbau Health Center, Deli Serdang.
Faktor-Faktor yang Mempengaruhi Kejadian Asfiksia Neonatorum di Puskesmas Pagar Merbau Kec. Pagar Merbau Kab.Deli Serdang Provinsi Sumatera Utara Tahun 2023 Riza Umami; Kamelia Sinaga; Imran Saputra Surbakti; Asnita Sinaga; Riza Novianti
NAJ Nursing Applied Journal Vol. 3 No. 1 (2025): January : Nursing Applied Journal
Publisher : LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/naj.v3i1.586

Abstract

Asphyxia is a condition in which a baby fails to breathe spontaneously and regularly immediately after birth, preventing oxygen intake and carbonic acid removal (Dewi, 2011). It is a pathological change caused by insufficient oxygen in the respiratory air, leading to hypoxia and hypercapnia (Ridha, 2014). Asphyxia can occur at birth (primary asphyxia) or develop later (secondary asphyxia). This study aims to identify factors influencing neonatal asphyxia at the Pagar Merbau Health Center, Deli Serdang Regency, in 2023. The research employs an analytical method with a cross-sectional approach. Data analysis utilized the chi-square statistical test and Fisher’s Exact Test in SPSS to determine the relationship between independent and dependent variables. Results from bivariate analysis using Fisher's Exact Test revealed a p-value of 0.344, indicating no statistically significant relationship between maternal age and neonatal asphyxia at the Pagar Merbau Health Center in 2023. To reduce neonatal asphyxia risk, pregnant women should undergo regular antenatal care using available health facilities to detect complications such as premature birth (<37 weeks), postmature birth (>42 weeks), low birth weight, or premature rupture of membranes. Early detection and appropriate medical intervention can minimize neonatal asphyxia incidence. Healthcare providers must enhance prenatal education and monitoring programs to ensure better maternal and neonatal health outcomes. Strengthening healthcare services and raising awareness among pregnant women about risk factors can contribute significantly to reducing neonatal asphyxia cases.
Pengaruh Relaksasi Pernapasan Terhadap Intensitas Nyeri pada Persalinan Kala I di Puskesmas Pagar Merbau Kec. Pagar Merbau Kab. Deli Serdang Tahun 2023 Siti Hapsah; Kamelia Sinaga; Imran Saputra Surbakti; Asnita Sinaga
NAJ Nursing Applied Journal Vol. 3 No. 1 (2025): January : Nursing Applied Journal
Publisher : LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/naj.v3i1.598

Abstract

Mothers who have difficulty adapting to labor pain can cause uterine contractions to become uncoordinated, which risks prolonging the first phase of labor and disrupting fetal well-being. This study aims to analyze the effect of breathing relaxation techniques on the intensity of labor pain in the first stage at the Pagar Merbau Health Center, Pagar Merbau District, Deli Serdang Regency in 2023. This study used a quantitative method with a One Group Pre-Test Post-Test design. The study population included all mothers giving birth in the period from April to June 2023, with a sample size of 15 respondents. The results showed that before the intervention, there were 2 respondents (13.3%) who experienced mild pain, 6 respondents (40.0%) with moderate pain, and 7 respondents (46.7%) experienced severe pain. After the intervention, the number of respondents with mild pain increased to 8 people (53.3%), moderate pain decreased to 4 people (26.7%), and severe pain decreased to 3 people (20.0%). The results of this study indicate a significant change in the level of pain in mothers giving birth before and after treatment. Therefore, it is expected that midwives at the Pagar Merbau Health Center can optimize the application of breathing relaxation techniques as a method to reduce labor pain, especially in the first phase of labor.
Hubungan Pengetahuan Ibu Hamil Tentang HIV-AIDS dengan Pemanfaatan Pemeriksaan HIV oleh Ibu Hamil di Puskesmas Bintang Kabupaten Aceh Tengah Tahun 2022 Elika Fitri; Nur Azizah; Rosmani Sinaga; Sri Wahyu Nduru; Kamelia Sinaga
NAJ Nursing Applied Journal Vol. 3 No. 2 (2025): April : Nursing Applied Journal
Publisher : LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/naj.v3i2.630

Abstract

HIV/AIDS is an infectious disease that has a serious impact on the immune system and is at high risk in pregnant women. Mother-to-baby transmission of HIV can occur during pregnancy, childbirth, and breastfeeding. HIV screening in pregnant women is important for the prevention of vertical transmission. However, the utilization rate of this test is still low, one of which is due to the lack of knowledge of pregnant women about HIV/AIDS. This study aims to determine the relationship between pregnant women's knowledge about HIV and the use of HIV testing at the Bintang Health Center, Central Aceh Regency in 2022. This study uses an analytical observational design with a cross sectional approach. The research sample amounted to 40 pregnant women who were selected by purposive sampling. Data was collected through questionnaires and analyzed using the Chi-Square test. The results showed that the majority of pregnant women had sufficient knowledge about HIV/AIDS (40%) and most did not do HIV screening (55%). There was a significant relationship between pregnant women's knowledge about HIV and the use of HIV screening (p-value = 0.0001). There is a significant relationship between pregnant women's knowledge about HIV-AIDS and the use of HIV screening by pregnant women at the Bintang Health Center, Central Aceh Regency. Intervention efforts in the form of education and counseling are needed to increase the knowledge of pregnant women to encourage routine HIV testing in an effort to prevent HIV transmission from mother to child.