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KAMELIA SINAGA
STIKES MITRA HUSADA MEDAN
Agriculture, Biological Sciences & Forestry Humanities Biochemistry, Genetics & Molecular Biology Control & Systems Engineering Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Education Engineering Environmental Science Health Professions Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary

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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.
Continuity of Care in the Management of Moderate Anemia During Pregnancy: A Case Study Rahmah Rahmah; Kamelia Sinaga; Kismiasih Adethia; Sarfina Br Sembiring; Sri Muliana Putri Bakara
Jurnal Ners Vol. 10 No. 3 (2026): JULI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i3.60824

Abstract

Comments for the Editor Dear Editor, We are pleased to submit our manuscript entitled "Continuity of Care in the Management of Moderate Iron Deficiency Anemia During Pregnancy: A Case Study" for consideration for publication in Jurnal Ners. This manuscript presents a case study describing the implementation of comprehensive Continuity of Care in the management of moderate iron deficiency anemia during pregnancy. The study highlights the contribution of continuous, woman-centered midwifery care from pregnancy through childbirth, postpartum, newborn, and family planning services in improving maternal hemoglobin levels and supporting favorable maternal and neonatal outcomes. We believe that the findings provide practical insights for nurses, midwives, and other healthcare professionals involved in maternal health services. We confirm that this manuscript is original, has not been published previously, and is not under consideration for publication elsewhere. All authors have approved the final version of the manuscript and declare that there are no conflicts of interest related to this study. Thank you for your time and consideration. We appreciate the opportunity to have our manuscript evaluated for publication in Jurnal Ners. Sincerely, The Authors
Continuity of Midwifery Care for Mrs. C with Breast Engorgement at Deby Cyntya Independent Midwifery Practice: A Case Study Sopi Aribah Bancin; Ribur Sinaga; Marliani Marliani; Kamelia Sinaga; Deby Cyntia
Jurnal Ners Vol. 10 No. 3 (2026): JULI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i3.60992

Abstract

Background: Continuity of Care (CoC) is a comprehensive midwifery care model that provides continuous services from pregnancy, childbirth, postpartum, neonatal care, to family planning. Breast engorgement is one of the most common postpartum problems that may interfere with breastfeeding and reduce maternal comfort if not managed appropriately. Objective: This study aimed to describe the implementation of Continuity of Midwifery Care for Mrs. C with breast engorgement at Deby Cyntya Independent Midwifery Practice in 2026. Methods: This study employed a descriptive case study design using the Continuity of Care approach. Midwifery care was provided comprehensively from pregnancy, labor, postpartum, newborn care, to family planning services. Data were collected through interviews, physical examinations, observations, documentation, and review of medical records. Data analysis was conducted descriptively by comparing the findings with current evidence-based midwifery practices. Results: The implementation of Continuity of Midwifery Care was carried out comprehensively according to the standards of midwifery care. During the postpartum period, Mrs. C experienced breast engorgement, which was managed through breastfeeding education, correct breastfeeding techniques, breast care, warm compresses, oxytocin massage, and family support. Following the interventions, the mother's condition improved, breast engorgement decreased, breastfeeding became more effective, and no complications were identified throughout the continuity of care. Conclusion: Comprehensive Continuity of Midwifery Care contributes to the early detection and appropriate management of breast engorgement, promotes successful breastfeeding, and improves maternal and neonatal health outcomes during the postpartum period.
Analisis Faktor Penentu Minat Wanita Usia Subur (WUS) Dalam Melakukan Pemeriksaan IVA Di Klinik Pratama Sarfina Kecamatan Medan Polonia Kota Medan Tahun 2026 Asnita Sinaga; Siska Suci Triana Ginting; Kamelia Sinaga; Rolasnih Lilista Simbolon; Nova Christiana Sianturi
Barongko: Jurnal Ilmu Kesehatan Vol. 4 No. 3 (2026): Barongko : Jurnal Ilmu Kesehatan (Juli)
Publisher : Asosiasi Guru dan Dosen Seluruh Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59585/bajik.v4i3.1378

Abstract

Latar Belakang: Kanker serviks merupakan salah satu penyebab utama kematian pada perempuan yang dapat dicegah melalui deteksi dini menggunakan metode Inspeksi Visual dengan Asam Asetat (IVA). Rendahnya minat wanita usia subur (WUS) dalam melakukan pemeriksaan IVA diduga dipengaruhi oleh beberapa faktor, antara lain pengetahuan, sikap, dukungan suami, dukungan tenaga kesehatan, dan akses pelayanan kesehatan. Tujuan: Penelitian ini bertujuan untuk menganalisis hubungan antara pengetahuan, sikap, dukungan suami, dukungan tenaga kesehatan, dan akses pelayanan kesehatan dengan minat wanita usia subur (WUS) dalam melakukan pemeriksaan IVA di Klinik Pratama Sarfina Kecamatan Medan Polonia Kota Medan Tahun 2026. Metode: Penelitian ini menggunakan desain penelitian kuantitatif analitik observasional dengan pendekatan cross-sectional. Penelitian dilaksanakan di Klinik Pratama Sarfina Kecamatan Medan Polonia Kota Medan dengan jumlah sampel sebanyak 92 wanita usia subur yang dipilih menggunakan teknik accidental sampling. Data dikumpulkan menggunakan kuesioner dan dianalisis secara univariat serta bivariat menggunakan uji Chi-Square dengan tingkat kemaknaan α = 0,05. Hasil: Hasil uji Chi-Square menunjukkan terdapat hubungan yang signifikan antara pengetahuan dengan minat melakukan pemeriksaan IVA (p = 0,005), sikap dengan minat melakukan pemeriksaan IVA (p = 0,000), dukungan suami dengan minat melakukan pemeriksaan IVA (p = 0,000), dukungan tenaga kesehatan dengan minat melakukan pemeriksaan IVA (p = 0,000), serta akses pelayanan kesehatan dengan minat melakukan pemeriksaan IVA (p = 0,000). Kesimpulan: Pengetahuan, sikap, dukungan suami, dukungan tenaga kesehatan, dan akses pelayanan kesehatan memiliki hubungan yang signifikan dengan minat wanita usia subur dalam melakukan pemeriksaan IVA di Klinik Pratama Sarfina Kecamatan Medan Polonia Kota Medan Tahun 2026.
A Continuity of Care Approach in Managing Grade II Hyperemesis Gravidarum During Pregnancy: A Case Study at an Independent Midwifery Practice in North Sumatra, Indonesia Deli Putriani Nasution; Ribur Sinaga; Riska Susanti Pasaribu; Kamelia Sinaga; Desna Elfita
Jurnal Ners Vol. 10 No. 3 (2026): JULI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i3.61142

Abstract

Background: Continuity of Midwifery Care (CoMC) is a woman-centered approach that provides integrated and continuous care throughout pregnancy, childbirth, the postpartum period, newborn care, and family planning. Hyperemesis gravidarum is a severe pregnancy-related condition characterized by persistent nausea and vomiting that may lead to dehydration, nutritional deficiencies, and adverse maternal and fetal outcomes if not appropriately managed. Objective: This study aimed to describe the implementation of Continuity of Midwifery Care for a pregnant woman diagnosed with Grade II hyperemesis gravidarum at an independent midwifery practice in Medan, North Sumatra, Indonesia. Methods: A descriptive case study design was employed. Comprehensive midwifery care was provided using the seven-step Helen Varney midwifery management framework and documented through the Subjective, Objective, Assessment, and Plan (SOAP) approach. The continuity of care covered antenatal care, labor and delivery, postpartum care, newborn care, and family planning services. Results: The client was diagnosed with Grade II hyperemesis gravidarum at 20 weeks of gestation and received comprehensive antenatal management through four antenatal care visits. The pregnancy progressed without major complications following appropriate midwifery interventions. The client delivered a healthy female infant through spontaneous vaginal birth on February 8, 2026. During the postpartum period, both mother and newborn remained in good health, breastfeeding was successfully established, and the mother selected the Lactational Amenorrhea Method (LAM) as postpartum contraception. No significant maternal or neonatal complications were identified throughout the continuum of care. Conclusion: The implementation of Continuity of Midwifery Care contributed to optimal maternal and neonatal outcomes in this case of Grade II hyperemesis gravidarum. The care provided was consistent with established midwifery management principles, and no discrepancies were identified between theoretical guidelines and clinical practice. This case highlights the importance of continuous, comprehensive, and individualized midwifery care in improving maternal and newborn health outcomes.
Continuous Midwifery Care (Continuity Of Care) For A Pregnant Woman With Grade Ii Hyperemesis Gravidarum: A Case Study At An Independent Midwifery Practice In Medan Amplas, North Sumatra, Indonesia, 2026 Abel Amanda; Rosmani Sinaga; Ribur Sinaga; Kamelia Sinaga; Juniarsih Juniarsih
Jurnal Ners Vol. 10 No. 3 (2026): JULI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i3.61296

Abstract

Hyperemesis gravidarum is characterized by severe and persistent nausea and vomiting during pregnancy, which may lead to fluid and electrolyte imbalance and adversely affect maternal and fetal health if not managed appropriately. Continuity of Midwifery Care (CoMC) is a comprehensive and continuous care approach that aims to ensure optimal maternal and neonatal health outcomes throughout pregnancy, childbirth, the postpartum period, neonatal care, and family planning. Objective this case study aimed to implement Continuity of Midwifery Care for a pregnant woman with Grade II hyperemesis gravidarum at an independent midwifery practice in Medan Amplas, North Sumatra, Indonesia. Methods a descriptive case study design was employed using Helen Varney’s seven-step midwifery management approach and SOAP documentation. Data were collected through interviews, direct observation, physical examination, and review of clinical documentation. Results the participant was a 22-year-old primigravida (G1P0A0) at 26 weeks of gestation who presented with excessive nausea and vomiting occurring approximately eight times daily, accompanied by weakness, dizziness, weight loss, hypotension (90/70 mmHg), sunken eyes, and pale lips. These clinical findings supported the diagnosis of Grade II hyperemesis gravidarum. Continuous midwifery care, including comprehensive assessment, health education, nutritional counseling, symptom management, and regular follow-up, resulted in improvement of maternal condition throughout pregnancy and continuity of care until the postpartum and family planning periods. Conclusion the implementation of Continuity of Midwifery Care effectively improved maternal monitoring and the quality of healthcare services for women with Grade II hyperemesis gravidarum. This approach facilitated comprehensive, continuous, and individualized care throughout the maternal continuum. ring pregnancy, which may lead to fluid and electrolyte imbalance and adversely affect maternal and fetal health if not managed appropriately. Continuity of Midwifery Care (CoMC) is a comprehensive and continuous care approach that aims to ensure optimal maternal and neonatal health outcomes throughout pregnancy, childbirth, the postpartum period, neonatal care, and family planning. Objective: This case study aimed to implement Continuity of Midwifery Care for a pregnant woman with Grade II hyperemesis gravidarum at an independent midwifery practice in Medan Amplas, North Sumatra, Indonesia. Methods: A descriptive case study design was employed using Helen Varney’s seven-step midwifery management approach and SOAP documentation. Data were collected through interviews, direct observation, physical examination, and review of clinical documentation. Results: The participant was a 22-year-old primigravida (G1P0A0) at 26 weeks of gestation who presented with excessive nausea and vomiting occurring approximately eight times daily, accompanied by weakness, dizziness, weight loss, hypotension (90/70 mmHg), sunken eyes, and pale lips. These clinical findings supported the diagnosis of Grade II hyperemesis gravidarum. Continuous midwifery care, including comprehensive assessment, health education, nutritional counseling, symptom management, and regular follow-up, resulted in improvement of maternal condition throughout pregnancy and continuity of care until the postpartum and family planning periods. Conclusion: The implementation of Continuity of Midwifery Care effectively improved maternal monitoring and the quality of healthcare services for women with Grade II hyperemesis gravidarum. This approach facilitated comprehensive, continuous, and individualized care throughout the maternal continuum.
PENINGKATAN PENGETAHUAN CALON PENGANTIN MELALUI EDUKASI KESIAPAN PRANIKAH DAN SKRINING KESEHATAN DI KECAMATAN MEDAN JOHOR Delima Manik; Asi Esterina Sarumpaet; Ayumi Asti Azzahra; Retno Wahyuni; Emma Dosriamaya Noni Br Simanjuntak; Kamelia Sinaga
Jurnal Pengabdian Kolaborasi dan Inovasi IPTEKS Vol. 4 No. 1 (2026): Februari
Publisher : CV. Alina

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59407/jpki2.v4i1.3575

Abstract

Latar Belakang: Kesiapan kesehatan pranikah merupakan faktor determinan dalam mencegah komplikasi kehamilan dan memutus rantai stunting. Banyak calon pengantin (catin) yang melakukan pemeriksaan kesehatan hanya sebagai formalitas administratif tanpa memahami esensi klinisnya. Tujuan: Kegiatan pengabdian masyarakat ini bertujuan untuk meningkatkan pengetahuan dan kesadaran calon pengantin mengenai kesiapan fisik, mental, dan gizi melalui edukasi serta skrining kesehatan langsung. Metode: Kegiatan dilaksanakan di KUA Kecamatan Medan Johor dengan melibatkan 30 pasangan catin (60 responden). Metode yang digunakan adalah ceramah interaktif menggunakan media leaflet, diskusi, serta skrining kesehatan (pengukuran antropometri dan tekanan darah). Evaluasi dilakukan menggunakan kuesioner pre-test dan post-test yang dianalisis secara deskriptif. Hasil: Terdapat peningkatan nilai rata-rata pengetahuan peserta secara signifikan dari 62,5 menjadi 88,4 setelah intervensi. Hasil skrining menunjukkan 16,6% catin wanita berisiko Kurang Energi Kronis (KEK) berdasarkan ukuran LiLA < 23,5 cm. Seluruh peserta mendapatkan edukasi gizi prekonsepsi dan jadwal imunisasi Tetanus Toxoid (TT). Simpulan: Edukasi dan skrining pranikah efektif meningkatkan literasi kesehatan catin. Sinergi antara akademisi dan KUA sangat diperlukan untuk memastikan setiap calon pengantin memiliki kesiapan optimal sebelum memasuki masa kehamilan.
Co-Authors Abel Amanda Ade Rachmat Yudiyanto Agustina Susilawati Tumangger Aritonang, Ribur Asi Esterina Sarumpaet Asnita Sinaga Ayumi Asti Azzahra Deby Cyntia Deli Putriani Nasution Delima Manik Desi Yuliana Desna Elfita Devita Purnama Elika Fitri Emma Dosriamaya Noni Br Simanjuntak Gita Yanti Simamora Halmah Julianti Imran Saputra Surbakti Imran Surbakti Imran Surbakti Juniarsih Juniarsih Kismiasih Adethia Lia Nurpiani Linda Linda Lister Pasaribu Marliani Marliani Ninsah M Putri Sembiring Nopalina S Damanik Nova Christiana Sianturi Nur Azizah Lubis Nurasiah Nurasiah PARNINGOTAN SIMANJUNTAK Putri Andriani Rahmah Rahmah Retno Wahyuni Rikawati Ginting Riska Susanti Pasaribu Rismalia Tarigan Riza Novianti Riza Umami Rolasnih Lilista Simbolon Rumondang Rumondang Sitorus Sarfina Br Sembiring Simanullang, Ester SINAGA, ROSMANI Siska Suci Triana Ginting Siti Hapsah Sopi Aribah Bancin Sri Muliana Putri Bakara Sri Wahyu Nduru Srilina Br Pinem Veronica Veronica Yemina Siadari Yulita Liana Lubis