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THE EFFECTIVENESS OF THE "BOMB" METHOD (BREASTCARE, OXYTOCIN MASSAGE, AND MARMET TECHNIQUE) ON INCREASING BREAST MILK PRODUCTION IN BREASTFEEDING MOMENTS AGE 0-6 MONTHS AT PRAMBON PUBLIC HEALTH CLINIC, NGANJUK DISTRICT Dwi Retno Wati; siti mudrikatin
INTERNATIONAL JOURNAL OF NURSING AND MIDWIFERY SCIENCE (IJNMS) Vol 4 No 3 (2020): VOLUME 4 ISSUE 3 DECEMBER 2020
Publisher : Bina Sehat Press. Departement Research and Community Engagement Bina Sehat PPNI Institute of Health Science, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29082/IJNMS/2020/Vol4/Iss3/312

Abstract

The problem experienced by breastfeeding mothers is that the milk is not released on the first to the third day post partum. As a result, newborns who are supposed to be breastfed early will be delayed and as an alternative are given formula milk. The smoothness of the process of lactation or the production and production of breast milk is influenced by breast care, frequency of breastfeeding, maternal psychology, maternal health, and contraception, as well as breast milk production, which is strongly influenced by physical, psychospiritual, environmental and social. Efforts to stimulate the hormones prolactin and oxytocin can be done with breast care or massage, oxytocin massage, nipple cleansing, early and regular breastfeeding and marmet techniques or milking and massage techniques. The "BOM" method (Breastcare, Oxytocin Massage, and Marmet Technique) is a stimulation to help the production and release of breast milk through breast care, oxytocin massage (massage or stimulation of the spine) and marmet technique (a combination of expressing breast milk and massaging the breasts) ). Mothers breastfeeding babies aged 0-6 months at Public Health Clinic Prambon Nganjuk Regency in a preliminary study of 5 (five) mothers breastfeeding babies aged 0-6 months, do not know how to make a lot of milk production using "BOM" through structured interviews. The research objective was to assess the effectiveness of the BOM (Breastcare, Oxytocin, and Marmet Teachnique) method in increasing breast milk production. This study uses a quasi-experimental method. It was carried out at the Prambon Health Center with a total sample of 60 people and used the Mann Whitney U Test analysis. The results obtained from 60 samples were a p value of 0.000 <0.05, so it can be concluded that there were significant differences between the two groups, where the BOM method (Breastcare, Oxytocin, and Marmet Teachnique) was very effective on breast milk production.
Qualitative Study on HIV/AIDS Prevention in Jombang City siti mudrikatin; Dwi Retno Wati
INTERNATIONAL JOURNAL OF NURSING AND MIDWIFERY SCIENCE (IJNMS) Vol 6 No 3 (2022): VOLUME 6 ISSUE 3 DECEMBER 2022
Publisher : Bina Sehat Press. Departement Research and Community Engagement Bina Sehat PPNI Institute of Health Science, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29082/IJNMS/2022/Vol6/Iss3/410

Abstract

Background: 2022 will see an increase in the number of HIV/AIDS cases in Jombang City, ranking it second in East Java with 1388 PLWHA, 20 cases of mother-to-child HIV transmission during childbirth, 12 HIV (+) cases, 8 AIDS cases, and 100 fatalities. The Independent Practice Midwife (BPM) is the linchpin of a healthcare organization that has the potential to grow into a network of expectant mothers. Midwives are qualified to serve as health educators for expectant women who exhibit habits that increase their risk of contracting HIV/AIDS. In a qualitative study in Jombang City, the aim of this study was to determine the program to develop midwives' ability as health educators for expectant mothers in an effort to prevent HIV/AIDS transmission. Method: This study is qualitative and employs an in-depth interviewing methodology. Up to 8 stakeholders served as primary informants, while 2 NGOs and 10 BPM employees served as secondary informants. analysis of data using the content analysis approach. Results: Because national guidelines for preventing HIV transmission from mother to newborn have been popularized, stakeholders have implemented a policy that uses standard technical programs for midwifery practice. Midwives have received training in APN, PI, and STIs, but due to funding restrictions, they have never received training in HIV/AIDS counseling. There is no such thing as BPM; only the central IBI does monitoring and assessment, which is done only through monthly reports. The coordination of NGOs, KPAD Regional Child Protection Commission, Public Health Office, The Indonesian Midwives Association, and BPM in the execution of monitoring and evaluation is insufficient, and only IBI is carried out, unplanned, carried out at any moment if it is going to prolong the practice permit. BPM has not yet received special supervision. Coordination amongst stakeholders during the implementation of supervision is insufficient. In an effort to stop the spread of HIV/AIDS, health education facilities for pregnant women in BPM have been provided with posters, flipcharts, and MCH handbooks. There are four VCT clinics and three PMTCT clinics. Conclusion: Program to improve midwives' abilities as health educators for expectant mothers in an effort to stop the spread of HIV/AIDS at BPM (independent practice midwives) Jombang City. In order to improve coordination between stakeholders (KPAD Regional Child Protection Commission, Public Health Office, and IBI The Indonesian Midwives Association with BPM in monitoring and supervision, train counselors for BPM (independent practice midwives), and have midwives become more motivated to provide IEC and continue to improve professionalism in providing midwifery services, advocacy is required to the Regional/ Legislative Council
Pengaruh Peer Group Disscusion terhadap Peningkatan Pengetahuan Pencegahan Perilaku Seks Bebas Remaja SMA di Magetan Dwi Retno Wati; Lilis Suryani; Siti Mudrikatin
JPKM: Jurnal Profesi Kesehatan Masyarakat Vol 4, No 1: April 2023
Publisher : STIKES Bhakti Husada Mulia Madiun

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47575/jpkm.v4i1.482

Abstract

Penelitian ini bertujuan untuk menganalisis pengaruh peer group discussion terhadap peningkatan pengetahuan remaja tentang pencegahan perilaku seks bebas remaja SMA 1 Karas, Kab. Magetan. Jenis penelitian ini adalah quasy experimen dengan rancangan penelitian one group pretest-posttest design. Sampel penelitian adalah remaja Kelas 11 sejumlah 85 diambil secara proporsional random sampling. Data berdasarkan kuesioner. Analisis statistik inferensial menggunakan uji Wilcoxon Signed Ranks Test didapatkan nilai p=0,011 menunjukan bahwa ada peningkatan pengetahuan pada siswa sebelum dan sesudah diberikan intervensi Peer Group Discussion dalam pencegahan perilaku sex bebas. Hasil penelitian dapat disimpulkan Peer group discussion efektif meningkatkan pengetahuan remaja secara signifikan. Disarankan bagi pihak sekolah perlu adanya pelaksanaan pendidikan kesehatan untuk siswa dengan menerapkan metode peer group discussion sebagai bentuk tindak lanjut dari program pendidikan kesehatan dan untuk remaja dalam meningkatkan pengetahuannya terkait pencegahan perilaku seks bebas dengan mencari berbagai informasi diberbagai media.
ANALISIS FAKTOR DETERMINAN ANEMIA PADA IBU HAMIL DI WILAYAH KERJA PUSKESMAS JATIKALEN KABUPATEN NGANJUK Siti Nur Farida; Dwi Retno Wati
Literasi Kesehatan Husada: Jurnal Informasi Ilmu Kesehatan Vol 7 No 1 (2023): Volume 7 Issue 1, Februari 2023, Literasi Kesehatan Husada: Jurnal Informasi Ilmu
Publisher : Library Unit of the College of Health Science Husada Jombang

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

Abstract

Introduction: Anemia of pregnancy is a national problem faced by the Indonesian government because it shows the value of the socio-economic welfare of the community and affects the quality of human resources. Apart from that, anemia in pregnant women can be said to be "potential danger to mother and child". Objective: The purpose of this study was to determine the factors that influence anemia in pregnant women at the Jatikalen Public Health Center, Nganjuk Regency in 2022. Methods: This type of research is quantitative analytic with a cross sectional research design (cross-sectional). The study population was 341 pregnant women with a sample size of 79 taken by proportional random sampling. Independent variables are age, education, occupation, parity, gestational age, frequency of ANC, compliance with blood supplement consumption and knowledge, Dependent Variable of Pregnancy Anemia. Primary data based on a questionnaire and secondary data about Hb taken from the MCH handbook. Data analysis with descriptive analysis and inferential statistics Ordinal Regression. Results: Based on the results of the Ordinal Regression test analysis, data obtained from age, education, occupation, parity, gestational age, adherence to consumption of blood-added tablets and knowledge have an effect on the incidence of anemia in pregnant women. ANC frequency data does not affect the incidence of anemia in pregnant women. Conclusion: The results of the study can be concluded that simultaneously the factors that influence anemia include age, education, occupation, parity, gestational age, adherence to taking blood-added tablets, knowledge and there is no effect of ANC frequency on anemia in pregnancy. It is recommended for the Puskesmas to improve the monitoring of health workers for early detection of risk factors for anemia and for pregnant women it is recommended to consume the correct blood-added tablets.
Review of Decreased IL-6 Levels in SOPK-Insulin Resistant Rats fed a Low Carb High Protein Diet Hany Puspita Aryani; Dwi Retno Wati; Sugiyanta Sugiyanta
Adi Husada Nursing Journal Vol 9 No 2 (2023): Adi Husada Nursing Journal
Publisher : STIKES Adi Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37036/ahnj.v9i2.496

Abstract

Polycystic ovary syndrome with insulin resistance (SOPK-RI) is caused among endocrine disorders with an incidence rate of 5-10% that occurs in women of reproductive age. Characteristics of polycystic ovary syndrome are found anovulation, hyperandrogens, polycystic ovarii and impaired insulin sensitivity involving proinflammatory increases in several inflammatory cytokines including interleukin-6 (IL-6). Increased inflammatory cytokines in women with SOPK-RI found health problems there is fat accumulation in adipocyte tissue such as in an obese person, metabolic syndrome and type 2 diabetes. The purpose of this study was to determine the effect of a low-carbohydrate high-protein diet on changes in IL-6 levels in SOPK-RI model mice. Laboratory experimental research, namely post test only control group design. Consisting of three groups, namely, the negative control group (K-) as a normal group did not get treatment; The positive control group (K+) of the SOPK-insulin resistance model mice were given standard feed, and the treatment group (P) of the SOPK-insulin resistance model mice were given a low-carbohydrate high-protein diet (CTR) with a composition of 40% carbohydrate and 30% protein. The study lasted for 48 days, using serum ELISA examination on IL-6 levels. The average results of IL-6 levels, namely the K- = 0.358 group, K+ = 0.387 and P = 0.442 and obtained different IL-6 levels of significance value p = 0.002 with a low-carbohydrate high-protein diet in SOPK - RI rats showed a significant difference (p < 0.05) between the control group and the treatment group. Significantly reduced IL-6 levels in SOPK-RI model mice. A low-carb, high-protein diet may be considered as a dietary modality in women with SOPK-insulin resistance. Further research is needed to better determine the other modulators involved in this mechanism in more detail.
Hubungan Paritas Dengan Berat Badan Lahir Rendah (BBLR) Elis Fatmawati; Dwi Retno Wati
IJMT : Indonesian Journal of Midwifery Today Vol 1 No 1 (2021)
Publisher : Universitas Muhammadiyah Gresik

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30587/ijmt.v1i1.3419

Abstract

One of the indicators that determine a country's health status is the high and low number of the Infant Mortality Rate (IMR). Meanwhile, the incidence of Low Birth Weight (LBW) is one of the main determining factors that contribute to the Infant Mortality Rate (IMR). Many factors cause an increase in the number of IMR, one of which is parity. This study aims to determine the relationship between parity and low birth weight (LBW) in Cendrawasih Dobo Hospital, Aru Islands Regency.This study uses analytical research with a "retrospective" research design. The dependent variable is parity and the independent variable is LBW. The population in this study were all mothers who had LBW in Cendrawasih Dobo Hospital, Aru Islands Regency in 2020 as many as 42 mothers with LBW babies. Sampling using a total sampling technique. The study was conducted from July 1 to August 31, 2020, using secondary data, and analyzed using the Spearman Ranks statistical test.The results showed that almost half of the primiparous mothers gave birth to LBW babies, namely 15 babies (35.7%) and most of the multipara mothers gave birth to 22 LBW babies (52.4%). Based on the results of statistical tests using Spearman Rho with = 0.05) the value of count (0.470) > r table (0.257) then H1 is accepted, H0 is rejected, this means that there is a parity relationship with low birth weight (LBW).There were that not only high parity has the potential for LBW births, but even low parity has the potential to occur LBW births considering that there are many factors that can influence it, not only in terms of maternal parity. Health agencies can make efforts to prevent the occurrence of LBW by improving the quality of health services.
HUBUNGAN PENGGUNAAN KONTRASEPSI SUNTIK 3 BULAN DEPO MEDROKSI PROGESTERON ACETATE (DMPA) TERHADAP PENINGKATAN BERAT BADAN PADA AKSEPTOR KB De Yesus, Aljira Kristina; Wati, Dwi Retno; Suryani, Lilis
PRIMA WIYATA HEALTH Vol 5 No 2 (2024): Prima Wiyata Health, Juli 2024
Publisher : LPPM STIKES HUSADA JOMBANG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.60050/pwh.v5i2.76

Abstract

Hormonal contraceptives injectable three months Depo Medroxy Progestrerone Acetate (DMPA) is one of the contraceptive methods that are widely used have good effectiveness but also have side effects such as menstrual disorders form bleeding spotting amenorrhea outside menstrual cycle addition there is an increase body weight on the use of DMPA contraceptives. This type research analytic correlation with cross sectional approach population in this study all acceptors injection family planning three months in TPMB NY”S” Jabon Village Jombang Regency 40 people and the sample partly acceptor injection family planning many as 32 people sampling using sampling probability sampling technique by means simple random sampling and using checklist sheet The results showed that respondents who increased BB injection KB three months were almost all 26 respondents (80.2%), while respondents who did not increase BB using KB injection three months were 6 respondents (18.8%). The results of the analysis using Chi-Square Test with α 0.05. it was found that ρ = 0.002 < 0.05 which means that there a relationship between the use of injectable contraceptives three months Depo Medroksi Progesterone Acetate (DMPA) to increase body weight in family planning acceptors in TPMB NY “S” Jabon Village, Jombang Regency. The solution of the above problems involve midwives as health workers who must conduct counseling explain to family planning acceptors about weight gain that occurs after use is recommended adjust diet if excessive weight or can be recommended other contraceptives.
Analisis dan Tindak Lanjut Hasil Asesmen Diagnostik Kognitif Mata Pelajaran Ilmu Pengetahuan Alam Forniawan, Ary; Wati, Dwi Retno
Al Jahiz Vol 4 No 2 (2023): Al Jahiz: Journal of Biology Education Research, July-December 2023
Publisher : Fakultas Tarbiyah dan Ilmu Keguruan IAIN Metro, Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32332/al-jahiz.v4i2.7962

Abstract

Proses pembelajaran yang mengabaikan perbedaan pengetahuan awal peserta didik tidak membuat peserta didik merdeka dalam belajar. Guru harus memahami kelebihan dan kelemahan setiap peserta didik untuk menentukan tindak lanjut yang tepat. Penelitian ini bertujuan untuk menganalisis hasil dan tindak lanjut dari hasil asesmen serta menganalisis efektivitas pemberian asesmen diagnostik kognitif pada peningkatan pengetahuan peserta didik kelas IV SD Islam Daarul Hasanah pada mata pelajaran ilmu pengetahuan alam dan sosial materi tumbuhan. Metode penelitian kualititatif dengan pendekatan penelitian deskriptif. Subjek Penelitian guru mata pelajaran ilmu pengetahuan alam dan sosial serta peserta didik. Objek penelitian asesmen diagnostik kognitif. Teknik pengumpulan data dilakukan dengan wawancara, observasi dan dokumentasi. Hasil penelitian menunjukkan asesmen diagnostik kognitif yang dilakukan memiliki validitas dan reliabilitas yang tinggi. Namun, tingkat kesukaran 60% soal masih dikategorikan mudah dan daya beda soal masih rendah. Tindak lanjut hasil asesmen digunakan guru untuk merancang pembelajaran yang disesuaikan dengan tingkat pemahaman setiap individu peserta didik. Guru memberikan pengayaan pada peserta didik dengan pemahaman awal di atas rata-rata kelas dan pendampingan pada peserta didik dengan pemahaman awal di bawah rata-rata kelas. Asesmen diagnostik kognitif efektif meningkatkan pengetahuan peserta didik sebesar 12%.
The Effectiveness Of Video Education Media Via Whatsapp Group On The Knowledge Of Mothers Of Toddler Ages 0-6 Months About Stunting Gusfianti, Elsa; Wati, Dwi Retno; Suryani, Lilis; A’yun, Sofa Qurrata
Jurnal Medika Cendikia Vol 11 No 02 (2024): Jurnal Medika Cendikia
Publisher : Karsa Husada Health Institute Garut

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33482/jmc.v11i02.255

Abstract

Stunting is a condition where a toddler has less length or height compared to his age. One of the causal factors is knowledge. This research aims to determine the effectiveness of educational video media via WhatsApp groups on the knowledge of mothers of toddlers aged 0 - 6 months about stunting. This type of research uses a quasi-experiment with a research design using one group pretest-posttest. Sample selection used a random sampling technique with a sample size of 40 people. Data collection was carried out using a questionnaire. Statistical tests non-parametric tests used the Wilcoxon test. The research results obtained before the respondents received stunting education, the sample had sufficient knowledge as many as nine people (22.5%) and 31 people (77.5%) had insufficient knowledge, whereas after the respondents received the stunting education video via WhatsApp group the sample had good knowledge as many as 40 people (100%). The results of the Wilcoxon test obtained a p value of 0.000, meaning that there was a significant increase in respondents' knowledge after the stunting educational video was conducted using WhatsApp. It is hoped that parents of toddlers will prefer to seek information by discussing with health workers via WhatsApp.
PENINGKATAN PENGETAHUAN TENTANG ANEMIA DAN KEPATUHAN MINUM TABLET TAMBAH DARAH DENGAN MELALUI PROMOSI KESEHATAN DAN GERAKAN MINUM TABLET TAMBAH DARAH BERSAMA MELALUI MEDIA GRUP WHATSAPP DI SMPN 1 KARANGREJO Suryani, Lilis; Wati, Dwi Retno; Sumini, Gempi Tri; Sari, Wahyu Anjas
Jurnal Medika Cendikia Vol 11 No 02 (2024): Jurnal Medika Cendikia
Publisher : Karsa Husada Health Institute Garut

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33482/jmc.v11i02.256

Abstract

The prevalence of anemia in teenagers in East Java in 2018 was 50-60%. Anemia can be caused by various things, including iron deficiency, vitamin B12 deficiency, folic acid deficiency, infectious diseases, congenital factors and bleeding. The Indonesian government is intensifying its anemia prevention and management program in adolescent girls and women of childbearing age (WUS) by prioritizing the provision of one blood supplement tablet every week to reduce the prevalence of anemia in adolescent girls and WUS by 2025. This research aims to determine the effectiveness of health promotion and a movement to take blood supplement tablets together through WhatsApp Group media to increase knowledge about anemia and compliance with consuming blood supplement tablets among young women at SMPN 1 Karangrejo. This research is included in pre-experimental research using one group pretest and posttest by carrying out a pretest before giving treatment and then doing a posttest after giving treatment. The sample for this research was 92 young women at SMPN 1 Karangrejo. The research results obtained a p value = 0.000 (? 0.05), so it was concluded that there was a difference in the level of knowledge about anemia and compliance with taking blood supplement tablets between before and after being given health promotion and the movement to take blood supplement tablets together via WhatsApp Group, which means health promotion and the movement to take blood-enhancing tablets together via WhatsApp Group is effective in increasing knowledge about anemia among young women at SMPN 1 Karangrejo