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Pelaksanaan Pendidikan Kesehatan Status Gizi pada Ibu Hamil yang Mengalami Hiperemesis Gravidarum Di BPM Mesrida Eva Ratna Dewi; Ingka Kristina Pangaribuan; Lidya Natalia Br Sinuhaji; Siska Suci Triana Ginting; Eka Purnama Sari; Nur Azizah; Markus Doddy Simanjuntak
Keyboard Jurnal Pengabdian Masyarakat Vol. 1 No. 2 (2024): Keyboard Jurnal Pengabdian Masyarakat
Publisher : Yayasan Grace Berkat Anugerah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69688/keyboard.v1i2.145

Abstract

Menurut WHO hiperemesis gravidarum menyumbang 12,5% dari seluruh kehamilan di seluruh dunia, dengan insiden berkisar dari 0,3% di Swedia hingga 0,5% di California hingga 0% di Kanada hingga 10,8% Permasalahan yang terjadi di BPM Mesrida dari hasil survei di lapangan sekitar 30% ibu mengalami hyperemesis gravidarum sehingga Kesehatan ibu hamil menurun, dan mengalami penurunan berat badan. Kegiatan pengabdian, Metodenya pre dan post Pendidikan Kesehatan, Pelaksanaan berkoordinasi dengan pimpinan klinik, dan mahasiswa dalam pelaksanaan kegiatan ini. Jumlah sasaran pengabdian ini sebanyak 20 orang. Tempat pelaksanaan pengabdian di BPM Mesrida.  Hasil Kegiatan didapatkan hasil Pelaksanaan Pendidikan Kesehatan Status Gizi pada Ibu Hamil yang Mengalami Hiperemesis Gravidarum Di BPM Mesrida saat sebelum dilakukannya Penkes atau Pre-test mayoritas berpengetahuan kurang sebanyak 10 responden (50 %). Sedangkan setelah dilakukan Penkes mayoritas responden berpengetahuan baik sebanyak 11 responden (55%). Dalam pelaksanaan pengadian yang dilakukan masih ada 2 ibu hamil yang tidak memahami terkait dengan status gizi ibu hamil yang mengalami hyperemesis gravidarum, sehingga perlu antisipasi dari pimpinan klinik untuk mengontrol untuk Masalah status gizi ibu hamil tersebut.
Pengaruh Senam Hamil terhadap Nyeri Punggung Pada Ibu Hamil di Puskesmas Tiga Juhar Kecamatan STM Hulu Kabupaten Deli Serdang Tahun 2023 Pinta Br Perangin Angin; Nur Azizah; Khairunisa Khairunisa
The Journal General Health and Pharmaceutical Sciences Research Vol. 3 No. 3 (2025): September :The Journal General Health and Pharmaceutical Sciences Research
Publisher : LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/tjghpsr.v3i3.131

Abstract

Background Low back pain is a common complaint experienced by pregnant women, with a prevalence reaching 50% in the UK and Scandinavia and 70% in Australia. In Indonesia, the number of pregnant women in 2020 was recorded at 5,298,285 people, with 114,392 of them in North Sumatra. Physiological changes in pregnancy such as uterine enlargement, shifting center of gravity, weight gain, and the influence of the hormone relaxin can cause ligament stretching and muscle spasms that trigger back pain. Although the coverage of antenatal visits (K1 and K4) in North Sumatra has reached the national target, many pregnant women still complain of back pain, mainly due to low participation in prenatal classes. One non-pharmacological intervention proven to be beneficial in reducing back pain is prenatal exercise. This study aimed to determine the effect of prenatal exercise on back pain in pregnant women at the Tiga Juhar Community Health Center, STM Hulu District, Deli Serdang Regency in 2023. Method: This study used a pre-experimental design with a One Group Pre-test and Post-test design without a control group. The study sample consisted of 32 pregnant women who met the inclusion criteria. Back pain intensity data were collected before and after the prenatal exercise intervention, then analyzed using the Wilcoxon Signed Rank Test. Results: Before prenatal exercise, the majority of respondents experienced moderate back pain (53.1%). After the intervention, the majority of respondents experienced mild pain (59.4%). The Wilcoxon test results showed a p-value of 0.002 (<0.05), indicating a significant difference between back pain intensity before and after prenatal exercise.Conclusion: Prenatal exercise has been shown to significantly reduce back pain in pregnant women. Therefore, prenatal exercise can be recommended as an effective non-pharmacological intervention to improve maternal comfort during pregnancy.
Efektivitas Aromaterapi Lemon terhadap Penurunan Mual Muntah pada Ibu Hamil Trimester I di Puskesmas Bies Kecamatan.Bies Kabupaten Aceh Tengah Tahun 2022 Kartini Kartini; Nur Azizah; Ester Simanullang; Adelina Sembiring
The Journal General Health and Pharmaceutical Sciences Research Vol. 3 No. 3 (2025): September :The Journal General Health and Pharmaceutical Sciences Research
Publisher : LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/tjghpsr.v3i3.335

Abstract

Pregnancy is a physiological condition that causes physical and psychological changes, one of which is nausea and vomiting (emesis gravidarum), which often occurs in the first trimester. If left untreated, this condition can lead to nutritional disorders, dehydration, weight loss, and impact the health of the mother and fetus. Management can be carried out with pharmacological and non-pharmacological therapies, one of which is lemon aromatherapy, which is known to have a relaxing and refreshing effect and help reduce nausea symptoms. The purpose of this study was to determine the effectiveness of lemon aromatherapy in reducing nausea and vomiting in pregnant women in the first trimester at the Bies Community Health Center, Bies District, Central Aceh Regency in 2022. The study used a quasi-experimental design with a one-group pretest-posttest design for pregnant women in the first trimester. Thirty respondents were selected using a purposive sampling technique. The research instrument used an observation sheet, and data analysis was performed using the Wilcoxon test. The results showed that before the intervention, the majority of respondents experienced severe nausea (53.3%) and moderate vomiting (50%). After receiving lemon aromatherapy, the majority of respondents experienced mild nausea (90%) and mild vomiting (93.3%). The statistical test results showed a p-value of 0.000 (p < 0.05), indicating a significant difference between before and after the intervention. The conclusion of this study is that lemon aromatherapy is effective in reducing nausea and vomiting in pregnant women in the first trimester. Lemon aromatherapy can be recommended as a safe, simple, and easy-to-implement non-pharmacological therapy alternative for treating emesis gravidarum.
Faktor-Faktor Yang Memengaruhi Rendahnya Penggunaan KB IUD di Puskesmas  Gunting Saga Kecamatan Kualuh Selatan Kabupaten  Labuhan Batu Utara Tahun 2023 Leni Br Sarumpaet; Nur Azizah; Lidya Natalia Sinuhaji; Debby Chintya Yun
The Journal General Health and Pharmaceutical Sciences Research Vol. 3 No. 3 (2025): September :The Journal General Health and Pharmaceutical Sciences Research
Publisher : LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/tjghpsr.v3i3.487

Abstract

Background: Stunting is a chronic nutritional problem in children under five years old caused by inadequate nutritional intake and recurrent infections, especially in the First 1000 Days of Life (HPK). Exclusive breastfeeding and maternal nutritional knowledge are key factors that influence the incidence of stunting. Indonesia faces a high prevalence of stunting, which can impact the quality of human resources in the future if not addressed immediately. Objective: This study aims to determine the relationship between maternal nutritional knowledge and the duration of exclusive breastfeeding with the incidence of stunting in infants aged 6–12 months in the working area of ​​Kuala Bangka Health Center, Kualuh Hilir District, North Labuhan Batu Regency in 2021. Method: This study used a case-control design with a sample of 110 respondents (55 cases and 55 controls) selected by purposive sampling. Data were collected through interviews using a structured questionnaire and analyzed using the Chi-Square test. Results: The results showed a significant association between the duration of exclusive breastfeeding and the incidence of stunting (p = 0.002; OR = 4.394; 95% CI = 1.709–11.295), where infants who were not exclusively breastfed had a 4.4 times greater risk of experiencing stunting than infants who received optimal exclusive breastfeeding. However, there was no significant association between maternal nutritional knowledge and the incidence of stunting (p = 0.233). Conclusion: The duration of exclusive breastfeeding was proven to be associated with the incidence of stunting, while maternal knowledge did not show a significant association. Stunting prevention efforts should focus on improving the practice of appropriate and comprehensive exclusive breastfeeding, accompanied by practice-based nutrition education that mothers can apply in childcare.
Hubungan Pengetahuan, Dukungan Keluarga dan Sikap Ibu Hamil terhadap Pemeriksaan Tes Triple Eliminasi di UPTD Puskesmas Pante Raya Kab.Bener Meriah Tahun 2022 Era Adhaini; Nur Azizah
The Journal General Health and Pharmaceutical Sciences Research Vol. 3 No. 3 (2025): September :The Journal General Health and Pharmaceutical Sciences Research
Publisher : LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/tjghpsr.v3i3.512

Abstract

Background: Perineal rupture is a common complication in vaginal delivery that can increase the risk of postpartum hemorrhage, infection, and maternal death. One of the factors that contribute to the occurrence of perineal rupture is the baby's birth weight. Babies with a birth weight ≥4000 grams can cause greater pressure on the mother's birth canal, increasing the possibility of perineal tissue tears. In Indonesia, 75% of mothers who give birth vaginally experience perineal lacerations, and postpartum hemorrhage is still the main cause of 40% of maternal deaths. Purpose: This study aims to determine the relationship between birth weight and the incidence of perineal rupture in normal deliveries at the Independent Midwife Practice of Lusi Marbun, Simalungun Regency in 2022. Method: This study used an observational analytical design with a case-control approach. A sample of 30 mothers giving birth was selected using the total sampling method. Data were analyzed using the Chi-square test to determine the relationship between birth weight and perineal rupture. Results: The study showed that the majority of infants had a birth weight <4000 grams (63.3%), and the majority of mothers experienced second-degree perineal rupture (70%). Bivariate analysis showed a significant relationship between birth weight and the incidence of perineal rupture (p-value = 0.000). Conclusion: There is a significant relationship between birth weight and the incidence of perineal rupture. The greater the infant's birth weight, the higher the risk of perineal rupture in the mother during labor. It is important for health workers to detect fetal weight early, provide nutritional education during pregnancy, and optimally prepare for labor to minimize the risk of complications.
Hubungan BMI dan Protein Urine terhadap Hipertensi Ibu Hamil Trimester III di Klinik Marlianti Aceh Lia Andriani; Nur Azizah
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.v3i2.600

Abstract

Background: Hypertension in pregnant women in the third trimester is a serious health problem that can have a negative impact on the mother and fetus. The main contributing risk factors are Body Mass Index (BMI) and urine protein levels. This study aims to analyze the relationship between BMI and urine protein to the incidence of hypertension in pregnant women in the third trimester at the Marlianti Clinic, East Aceh.Methods: An analytical observational study with a cross-sectional design. The sample was pregnant women in the third trimester who underwent pregnancy check-ups. Data were collected through BMI measurements and urine protein examinations, then analyzed using bivariate tests.Results: Of the 48 pregnant women with hypertension, 81.3% had a BMI ≥25 compared to 41.7% in the control group. The analysis showed a significant relationship between obesity and hypertension (p < 0.001, OR = 6.0; 95% CI: 2.407-15.291). In addition, 70.8% of mothers with hypertension had positive urine protein compared to 33.3% in the control group (p = 0.001, OR = 4.8; 95% CI: 2.046-11.531).Conclusion: BMI and urine protein levels are significantly associated with hypertension in pregnant women in the third trimester. Monitoring BMI and urine protein is important for the prevention and early treatment of gestational hypertension.
Hubungan Berat Badan Lahir dengan Ruptur Perineum Persalinan Normal di Praktek Bidan Mandiri Lusi Marbun Kab. Simalungun Tahun 2022 Debora Debora; Nur Azizah; Rosmani Sinaga; Marlina Simbolon; Junida Laia
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.v3i2.628

Abstract

Rupture of the perineum is one of the common complications in vaginal delivery that can increase the risk of postpartum hemorrhage, infection, and maternal death. One of the factors that contribute to the occurrence of perineal rupture is the baby's birth weight. Babies with a birth weight of ≥4000 grams can cause greater pressure on the mother's birth canal, increasing the likelihood of tearing of perineal tissue. In Indonesia, 75% of mothers who give birth vaginally experience perineal lacerations, and postpartum bleeding is still the leading cause of 40% of maternal deaths. This study aims to determine the relationship between infant birth weight and the incidence of perineal rupture in normal childbirth at the Lusi Marbun Independent Midwife Practice, Simalungun Regency in 2022.This study uses an observational analytical design with a case control approach. A sample of 30 maternity mothers was selected using the total sampling method. The data were analyzed using the Chi-square test to determine the relationship between birth weight and perineal rupture. The results showed that the majority of babies had a birth weight of <4000 grams (63.3%) and the majority of mothers experienced a second degree perineal rupture (70%). The results of bivariate analysis showed that there was a significant relationship between birth weight and the incidence of perineal rupture (p-value = 0.000). There is a significant relationship between birth weight and the incidence of perineal rupture. The greater the baby's weight, the higher the risk of perineal rupture in the mother during childbirth. It is important for health workers to carry out early detection of fetal weight, provide nutrition education during pregnancy, and prepare for the delivery process optimally to minimize the risk of complications.
Hubungan Perilaku Ibu Hamil Terhadap Pemanfaatan Pemeriksaan Triple Eliminasi di Puskesmas Kuala Bangka Kabupaten Labuhan Batu Utara Tahun 2022 Leni Sinaga; Nur Azizah; Lidya Natalia Sinuhaji; Rosmani Sinaga; Deby Chuntya Yun; Marsa Adelia
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.v3i2.629

Abstract

Mother-to-child transmission of HIV, Syphilis, and Hepatitis B remains a public health challenge. Transmission can occur during pregnancy, childbirth, and breastfeeding. To reduce the rate of transmission, the Ministry of Health of the Republic of Indonesia launched the Triple Elimination program through screening pregnant women in integrated antenatal services. However, the use of this examination is influenced by the behavior of pregnant women, including knowledge, attitudes, and actions. To find out the relationship between the knowledge, attitudes, and actions of pregnant women with the use of Triple Elimination examinations at the Kuala Bangka Health Center, North Labuhan Batu Regency in 2022. This study is an analytical observational study with a cross sectional design. The sample consisted of 35 pregnant women who visited the Kuala Bangka Health Center. Data was collected through questionnaires and analyzed using the chi-square test. Most of the respondents had good knowledge (45.7%), positive attitudes (74.3%), and good actions (45.7%). There was a significant relationship between knowledge (p=0.007), attitudes (p=0.003), and actions (p=0.007) with the use of Triple Elimination examinations. Knowledge, attitudes, and actions of pregnant women have a significant relationship with the use of Triple Elimination examinations. Increased education and support in antenatal services is needed to support the success of the mother-to-child elimination program of HIV, Syphilis, and Hepatitis B.
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.
Pengaruh Terapi Akupresure Terhadap Hyperemesis Gravidarum pada Ibu Hamil Trimester I di Puskesmas Kuala Bangka Kab. Labuhan Baru Utara Tahun 2022 Nilan Sari; Nur Azizah; Lidya Natalia Sinuhaji; Rosmani Sinaga; Junida Laia
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.v3i2.631

Abstract

Pregnancy is a physiological process that is accompanied by various changes, including hormonal changes that can cause nausea and vomiting (emesis gravidarum). One of the non-pharmacological interventions that can be used to manage these symptoms is acupressure therapy. This study aims to determine the effect of acupressure therapy on reducing symptoms of hyperemesis gravidarum in pregnant women in the first trimester at the Kuala Bangka Health Center, North Labuhan Batu Regency in 2022. This study uses a pre-experimental design with a pre-post one group design approach. The sample consisted of 20 pregnant women in the first trimester who experienced symptoms of hyperemesis gravidarum. The acupressure intervention was carried out for 3 days at PC6 and ST36 points. Measurements of nausea and vomiting levels were carried out before and after the intervention using a standard measurement scale. The results of the analysis showed that there was a decrease in the average rate of nausea and vomiting by 0.90000 after acupressure therapy was performed. The paired t-test showed a p-value of 0.000 (<0.05) and a calculated t-value of 7.285 > table 1.729, which means that there is a significant effect of acupressure therapy on reducing the symptoms of hyperemesis gravidarum. Acupressure therapy is effective in reducing the rate of nausea and vomiting in pregnant women in the first trimester.