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All Journal Jurnal Ilmu Kebidanan (Journal of Midwivery Science) Jurnal Kebidanan Indonesia Jurnal Ilmiah Maternal Jurnal Ilmu Kebidanan (Journal of Midwivery Science)
Angesti Nugraheni
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Humanities Decision Sciences, Operations Research & Management Education Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Veterinary

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PENINGKATAN PENGETAHUAN DAN MOTIVASI BIDAN DALAM PENATALAKSANAAN PERDARAHAN POSTPARTUM MELALUI PELATIHAN DAN PENDAMPINGAN M.Nur Dewi Kartikasari; Angesti Nugraheni; Siti Munawaroh; Sri Anggarini Parwatiningsih
Jurnal Ilmiah Maternal Vol 1, No 01 (2016): MATERNAL II
Publisher : Sekolah Tinggi Ilmu Kesehatan Mitra Husada Karanganyar

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (281.438 KB) | DOI: 10.54877/maternal.v1i01.608

Abstract

 ABSTRACTUterine atonia is one of the causes of postpartum hemorrhage with 90% of these events can cause death to the mother within 24 hours after birth, thus giving a significant effect on the percentage of maternal mortality. Midwives as a primary care provider on delivery process are required to perform the initial management of emergency cases quickly to prevent complications until death. In the case of Uterine atonia, uterine tamponade with gauze insert an easy way with effectiveness up to 97%. But this gauze tampons cause trauma and infection. The latest updates technique are using balloon tamponade by a condom that filled with fluid. In addition to high effectiveness, the condom catheters reduces the incidence of infection and trauma because the condom material is elastic and sterile. Condom catheter technique is still relatively new and not many midwives who can do it quickly and accurately so that the necessary training and assistance in the management of Uterine atonia midwife current through a condom catheter.Training was held for two days through the stages of lectures and discussions. The lecture was also using audiovisual media in a video recording, and then demonstration directly with one of midwives tried in front of the podium and the last is to provide guidance to midwives one by one to perform the installation of condom catheter and provides tips in order to install skillfully. Participants are midwives in Surakarta and keynote speakers is a obstetrician of Dr Moewardi Hospital which have become national’s speaker for cases - maternal emergency cases.The training activities took place on 24-25 August 2016 at the regional public hospital of Surakarta. Target number of 30 participants received a certificate recognized midwife by IBI. Based on the results obtained by the average pretest knowledge midwife at 77.23 and the mean motivation midwife at 57.96, while after the training and mentoring the results mean knowledge of midwives has risen by 84.00 and the mean motivation midwife at 77.33. The result can be concluded that the training and mentoring enhance the knowledge and motivation of midwives in the management of postpartum hemorrhage with a condom catheter. Keywords: Training and Mentoring, Postpartum Hemorrhage Condom Catheter  ABSTRAKAtonia uteri merupakan salah satu penyebab terjadinya perdarahan postpartum dimana90%  kejadian  ini  dapat  menyebabkan  kematian  pada  ibu  dalam  waktu  24  jam  setelah kelahiran bayi sehingga memberi pengaruh yang signifikan terhadap besarnya persentaseangka kematian ibu. Bidan sebagai tenaga kesehatan pertama yang membantu persalinan pada pelayanan kesehatan primer dituntut dapat melakukan penatalaksanaan awal kasus kegawatdaruratan dengan cepat untuk mencegah komplikasi sampai kematian. Pada kasus atonia uteri, tamponade uterus dengan memasukkan kassa merupakan cara mudah dengan efektivitas hingga 97%. Namun tampon kassa ini menyebabkan trauma dan infeksi. Teknik yang update dan terkini untuk tamponade ini menggunakan balon berupa kondom berisi cairan yang dimasukkan kedalam uterus. Selain efektivitas tinggi, kondom kateter ini mengurangi kejadian infeksi dan trauma karena bahan kondom yang elastis dan juga steril. Teknik kondom kateter ini masih tergolong baru dan belum banyak bidan yang dapat melakukannya dengan cepat dan tepat sehingga diperlukan pelatihan dan pendampingan bidan dalam penatalaksanaan atonia uteri terkini melalui kondom kateter. Pelatihan diselenggarakan selama 2 hari melalui tahapan pemberian materi melalui ceramah dan tanya jawab, pemberian pelatihan dengan media audiovisual berupa rekaman video, lalu demonstrasi secara langsung dan salah satu bidan mencoba didepan podium dan terakhir adalah dengan melakukan pendampingan kepada bidan satu persatu untuk melakukan pemasangan kondom kateter dan memberikan tips agar dapat memasang dengan terampil. Peserta adalah bidan Puskesmas di wilayah Kota Surakarta dengan narasumber yaitu Doter Spesialis Obstetri dan Gynekologi dari RSUD Dr Moewardi Surakarta yang telah menjadi narasumber Nasional untuk kasus – kasus kegawatdaruratan maternal. Kegiatan pelatihan berlangsung pada tanggal 24-25 Agustus 2016 di RSUD Kota Surakarta. Jumlah target sasaran 30 peserta bidan mendapatkan sertifikat yang diakui oleh profesi IBI. Berdasarkan hasil pretest diperoleh rerata pengetahuan bidan sebesar 77.23 dan rerata motivasi bidan sebesar 57.96, sedangkan setelah dilakukan pelatihan dan pendampingan hasil rerata pengetahuan bidan mengalami peningkatan yaitu sebesar 84.00 dan rerata motivasi bidan sebesar 77.33. Hasilnya tersebut dapat disimpulkan bahwa kegiatan pelatihan dan pendampingan meningkatkan pengetahuan dan motivasi bidan dalam penatalaksanaan perdarahan postpartum dengan kondom kateter. Kata kunci: Pelatihan dan Pendampingan, perdarahan postpartum, Kondom Kateter
GAMBARAN PERILAKU BIDAN DALAM KUNJUNGAN NIFAS DI PUSKESMAS JENAR KABUPATEN SRAGEN TAHUN 2012 Angesti Nugraheni; Ayunita Hapsari
Jurnal Kebidanan Indonesia Vol 4, No 1 (2013): JANUARI
Publisher : STIKES Mamba'ul 'Ulum Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (86.34 KB) | DOI: 10.36419/jkebin.v4i1.76

Abstract

GAMBARAN PERILAKU BIDAN DALAM KUNJUNGAN NIFAS DI PUSKESMAS JENAR KABUPATEN SRAGEN TAHUN 2012. Diperkirakan bahwa 60% kematian ibu akibat kehamilan terjadi setelah persalinan dan 50% kematian masa nifas terjadi dalam 24 jam pertama. Asuhan masa nifas pada bidan pada setiap kunjungan sangat diperlukan karena merupakan masa kritis baik ibu maupun bayinya. Tujuan penelitian adalah untuk mengetahui gambaran perilaku bidan dalam kunjungan nifas di Puskesmas Jenar Kabupaten Sragen Tahun 2012. Metode penelitian yang digunakan adalah deskriptif dengan pendekatan crosss sectional. Populasi penelitian adalah semua bidan yang bekerja di Puskesmas Jenar pada bulan Juni minggu I-III tahun 2012 yaitu 15 bidan. Sampel yang digunakan adalah purposive sampling yaitu 11 responden. Alat pengumpulan data menggunakan checklist. Analisa datanya menggunakan analisis deskriptif. Dari penelitian diperoleh data responden mayoritas yang melakukan kunjungan nifas berperilaku tidak baik. Berdasarkan karakteristik umur responden mayoritas berusia 31-40 tahun sejumlah 6 responden (54,55%), berdasarkan pendidikan mayoritas responden berpendidikan D3 sejumlah 8 responden (72,73%). Perilaku responden dalam kunjungan nifas mayoritas berperilaku tidak baik, yang meliputi anamnesa sejumlah 9 responden (81,82%), pemeriksaan fisik sejumlah 4 responden (36,36%), dan konseling sejumlah 6 responden (54,55%). Dari hasil penelitian dapat disimpulkan bahwa sebagian besar bidan berperilaku tidak baik dalam melakukan kunjungan nifas di Puskesmas Jenar Kabupaten Sragen. Kata kunci: Perilaku, Bidan, KunjunganNifas
TINGKAT KEPUASAN IBU BERSALIN PENGGUNA JAMPERSAL DALAM ASUHAN PERSALINAN NORMAL DI RSUD KOTA SURAKARTA TAHUN 2012 Angesti Nugraheni; Bakhrul Sifa Insani
Jurnal Kebidanan Indonesia Vol 3, No 2 (2012): JULI
Publisher : STIKES Mamba'ul 'Ulum Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (140.422 KB) | DOI: 10.36419/jkebin.v3i2.69

Abstract

TINGKAT KEPUASAN IBU BERSALIN PENGGUNA JAMPERSAL DALAM ASUHAN PERSALINAN NORMAL DI RSUD KOTA SURAKARTA TAHUN 2012. Angka Kematian ibu masih cukup tinggi dibandingkan dengan negara ASEAN lainnya, salah satunya adalah akibat cakupan persalinan oleh bidan yang cenderung menurun, maka dari itu pemerintah menetapkan kebijakan yaitu jaminan persalinan. Dengan adanya kebijakan tersebut tempat pelayanan kesehatan juga harus tetap menjaga mutu pelayanan, yang dapat dilihat dari kepuasan ibu bersalin. Tujuan penelitian: Mengetahui tingkat kepuasan ibu bersalin pengguna jampersal dalam asuhan persalinan normal di RSUD Kota Surakarta. Metode penelitian: Menggunakan metode deskriptif dengan pendekatan cross sectional dengan variabel tunggal. Alat pengumpulan data menggunakan kuesioner. Populasi dalam penelitian ini adalah semua ibu bersalin pengguna jampersal di RSUD Kota Surakarta tahun 2012 sebanyak 46 ibu, teknik pengambilan sampel menggunakan accidental sampling yaitu sebanyak 33 ibu. Analisis data menggunakan rumus kepuasan dari Imbalo S. Pohan. Hasil penelitian: Tingkat kepuasan ibu bersalin pengguna jampersal dalam asuhan persalinan normal di RSUD Kota Surakarta pada minggu pertama sampai minggu ketiga bulan Juni adalah sebesar 77,63%. Sedangkan tingkat kepuasan berdasarkan dimensi kepuasan adalah pada dimensi reliability sebesar 79%, pada responsiveness sebesar 64%, pada assurance sebesar 59%, pada empathy sebesar 63% dan pada tangibles sebesar 66%. Ibu bersalin pengguna jampersal di RSUD Kota Surakarta berdasarkan karakteristiknya adalah sebagian besar berumur 21– 25 tahun sebanyak 9 orang (27,27%), sebagian besar pendidikannya adalah SMA sebanyak 12 orang (36,36%) dan sebagian besar penghasilannya dibawah UMR kotamadya Surakarta tahun 2012 sebanyak 23 orang (69,69%). Simpulan: Tingkat kepuasan ibu bersalin pengguna jampersal di RSUD Kota Surakarta sebesar 77,63%. Kata kunci : Kepuasan, Ibu bersalin normal, Jampersal
PENERAPAN ASUHAN KEBIDANAN BERKESINAMBUNGAN PADA PEREMPUAN DALAM ASUHAN KEBIDANAN NY. S UMUR 25 TAHUN DI PUSKESMAS TAWANGMANGU KARANGANYAR Nindi Oktavia; Luluk Fajria Maulida; Angesti Nugraheni
Jurnal Ilmu Kebidanan (Journal of Midwivery Science) Vol. 13 No. 1 (2025): Jurnal Ilmu Kebidanan (Journal of Midwifery Science)
Publisher : Jurnal Ilmu Kebidanan (Journal of Midwivery Science)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36307/g21dn552

Abstract

Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR) are key indicators in assessing maternal and child health as well as the quality of midwifery services. In Tawangmangu District, no cases of maternal mortality were found, but the infant mortality rate was recorded at eight cases. Efforts to reduce MMR and IMR include providing continuous midwifery care (continuity of care). This study aims to implement continuous midwifery care from pregnancy to contraceptive decision-making using a holistic midwifery management approach based on evidence-based practice. This study employs a case study method with Mrs. S, a 25-year-old woman, and her baby as research subjects. Data collection was conducted through primary data, including interviews and direct examinations, secondary data from medical records, and literature studies to support the analysis. Throughout the study, a total of 13 visits were conducted, consisting of three visits during pregnancy, one visit during labor, three visits for newborn care, four visits during the postpartum period, and two visits for contraceptive decision-making. From pregnancy to contraceptive selection, both the mother and baby remained in a normal physiological condition without complications. However, during labor, a pathological condition was observed in the form of retained placenta, where the placenta had not been delivered within 30 minutes after childbirth. To address this issue, manual placenta removal was performed, and uterotonic injection was administered to stimulate uterine contractions. The evaluation of these interventions showed positive results, as the placenta was successfully expelled, bleeding stopped, and uterine contractions proceeded optimally. The findings of this study indicate that continuous midwifery care, from pregnancy to contraceptive decision-making, proceeded normally. Therefore, midwives are expected to continue implementing professional midwifery management at every stage of care. Furthermore, midwives should maintain and enhance their competencies to provide services in accordance with standards, ensuring optimal maternal and infant health.
PENERAPAN ASUHAN KEBIDANAN BERKESINAMBUNGAN PADA PEREMPUAN DALAM ASUHAN KEBIDANAN NY. S UMUR 25 TAHUN DI PUSKESMAS TAWANGMANGU KARANGANYAR Nindi Oktavia; Luluk Fajria Maulida; Angesti Nugraheni
Jurnal Ilmu Kebidanan (Journal of Midwivery Science) Vol. 13 No. 1 (2025): Jurnal Ilmu Kebidanan (Journal of Midwifery Science)
Publisher : Jurnal Ilmu Kebidanan (Journal of Midwivery Science)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36307/g21dn552

Abstract

Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR) are key indicators in assessing maternal and child health as well as the quality of midwifery services. In Tawangmangu District, no cases of maternal mortality were found, but the infant mortality rate was recorded at eight cases. Efforts to reduce MMR and IMR include providing continuous midwifery care (continuity of care). This study aims to implement continuous midwifery care from pregnancy to contraceptive decision-making using a holistic midwifery management approach based on evidence-based practice. This study employs a case study method with Mrs. S, a 25-year-old woman, and her baby as research subjects. Data collection was conducted through primary data, including interviews and direct examinations, secondary data from medical records, and literature studies to support the analysis. Throughout the study, a total of 13 visits were conducted, consisting of three visits during pregnancy, one visit during labor, three visits for newborn care, four visits during the postpartum period, and two visits for contraceptive decision-making. From pregnancy to contraceptive selection, both the mother and baby remained in a normal physiological condition without complications. However, during labor, a pathological condition was observed in the form of retained placenta, where the placenta had not been delivered within 30 minutes after childbirth. To address this issue, manual placenta removal was performed, and uterotonic injection was administered to stimulate uterine contractions. The evaluation of these interventions showed positive results, as the placenta was successfully expelled, bleeding stopped, and uterine contractions proceeded optimally. The findings of this study indicate that continuous midwifery care, from pregnancy to contraceptive decision-making, proceeded normally. Therefore, midwives are expected to continue implementing professional midwifery management at every stage of care. Furthermore, midwives should maintain and enhance their competencies to provide services in accordance with standards, ensuring optimal maternal and infant health.
Co-Authors Ayunita Hapsari Bakhrul Sifa Insani Erindra Budi Cahyanto Erindra Budi Cahyanto Hafi Nurinasari Hendri Hermawan Adinugraha Luluk Fajria Maulida M.Nur Dewi Kartikasari Mujahidatul Musfiroh Nindi Oktavia Siti Munawaroh Soetrisno Soetrisno Sri Anggarini Parwatiningsih Sri Mulyani Sukamto, Ika Sumiyarsi