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PERBANDINGAN PEMBERIAN TEKNIK SLOW DEEP BREATHING DAN KOMPRES DINGIN TERHADAP INTENSITAS NYERI PASIEN PASCA OPERASIFRAKTUR EKSTREMITAS BAWAH S. Dwi Sulisetyawati; Slamet Evvendi; Wahyu Dwi Agussafutri
Jurnal Ilmiah Maternal Vol 3, No 1 (2019): MATERNAL (Jurnal Ilmiah)
Publisher : Sekolah Tinggi Ilmu Kesehatan Mitra Husada Karanganyar

Abstrak Salah satu masalah utama pada sistem muskuloskeletal adalah fraktur dan bagian tubuh yang paling banyak terkena fraktur adalah ekstremitas bawah. Pembedahan atau operasi merupakan tindakan pengobatan yang dilakukan untuk mengatasi fraktur sehingga akan muncul masalah nyeri pada pasien pasca operasi fraktur. Maka dari itu, perlu dilakukan tindakan relaksasi untuk mengurangi nyeri yang dirasakan. Penelitian ini bertujuan untuk mengetahui perbandingan pemberian teknik slow deep breathing dan kompres dingin terhadap intensitas nyeri pasien pasca operasi fraktur ekstremitas bawah di RS Khusus Bedah Karima Utama Surakarta.Penelitian ini merupakan penelitian kuantitatif dengan desain quasy experimental yang dilakukan di RS Khusus Bedah Karima Utama Surakarta. Teknik pengambilan sampel menggunakan purposive sampling dengan jumlah responden sebanyak 38 responden. Alat ukur yang digunakan adalah lembar observasi, data yang diperoleh diolah menggunakan uji Wilcoxon Sign Rank Test dan uji Mann Withney dengan kemaknaan (α) = 0,005.Hasil analisis menggunakan uji Wilcoxon pada kedua kelompok menunjukan bahwa nilai P value 0,001 0,005, hasil analisis menggunakan uji Mann-Whitney didapatkan nilai P=0.337 (α 0,005), artinya Ha ditolak dan Ho diterima.Kesimpulan dalam penelitian ini adalah tidak ada perbedaan pemberian terapi slow deep breathing dan kompres dingin terhadap intensitas nyeri pada pasien fraktur ekstremitas bawah di RS Khusus Bedah Karima Utama Surakarta, untuk itu rumah sakit diharapkan dapat menerapkan kedua intervensi tersebut untuk meredakan nyeri yang dirasakan pasien. Kata kunci :Slow Deep Breathing, kompres dingin, nyeri, fraktur ekstremitas bawah Comparison between Administration of Slow Deep BreathingTechnique and that Cold Compress on Post-Operative Pain Intensity of Lower Extremity Fracture S.Dwi Sulisetyawati, Slamet Evvendi, Wahyu Dwi Agussafutrisanni_salsabila@yahoo.co.id Abstract One of the main problems in the musculoskeletal system is fracture, and the parts of body which are most exposed to the fracture are lower extremities. Surgery or operation is an intervention to deal with the fracture, and this usually induces post-operative pain.Therefore, relaxation should be done as to reduce the pain. The objective of this research is to investigate the comparison between administration of deep breathing technique and that of cold compress on post-operative pain intensity of the lower extremity fracture patients at Karima Utama Surgical Hospital of Surakarta.This research used the quantitative research with quasi experimental design conducted at Karima Utama Surgical Hospital of Surakarta. Purposive sampling technique was used to determine its samples. They consisted of 38 respondents. The data on the pain intensity were collected with observation sheet. They were then processed by using the Wilcoxon’s Sign Rank Test and the Mann Withney’s Test with the significance value of (α) = 0.005The result of the Wilcoxon’s Test on the two groups shows that the p-value was 0.001 which was less than 0.005, and that of the Mann-Whitney’s Test shows that the p-value was α = 0.337, which was greater than 0.005, meaning that Ha was not verified but Ho was verified. Thus, there was not any difference between the administration of deep breathing technique and that of cold compress on post-operative pain intensity of the lower extremity fracture patients at Karima Utama Surgical Hospital of Surakarta. The hospital is accordingly expected to apply the two interventions to reduce post-operative pain felt by patients. Keywords: Slow Deep Breathing, cold compress, pain, fracture, lower extremities

HUBUNGAN STATUS PEKERJAAN DAN PENGETAHUAN IBU TENTANG POSYANDU BALITA DENGAN KEPATUHAN KUNJUNGAN POSYANDU DI POSYANDU BALITA SINGOSARI KELURAHAN BANYUANYAR SURAKARTA TAHUN 2018 Christiani Bumi Pangesti; Wahyu Dwi Agussafutri
Jurnal Kebidanan Indonesia Vol 10, No 2 (2019): JULI
Publisher : STIKES Mamba'ul 'Ulum Surakarta

Latar belakang : Posyandu merupakan salah satu bentuk Upaya Kesehatan Bersumberdaya Masyarakat (UKBM) yang dikelola dari, oleh, untuk, dan bersama masyarakat, guna memberdayakan masyarakat dan memberikan kemudahan kepada masyarakat dalam memperoleh pelayanan kesehatan dasar. Dampak yang dialami balita apabila ibu tidak aktif dalam kegiatan penimbangan di Posyandu antara lain tidak mendapat penyuluhan kesehatan, tidak mendapat vitamin A, ibu balita tidak mengetahui pertumbuhan dan perkembangan berat badan balita, ibu balita tidak mendapatkan pemberian dan penyuluhan tentang makanan tambahan (PMT). Hal tersebut yang memicu munculnya permasalahan gizi pada balita yang akan berdampak sangat fatal yaitu dapat menyebabkan kematian. Fenomena yang terjadi saat ini adalah berdasarkan studi pendahuluan, tidak semua ibu patuh untuk berkunjung keposyandu setiap bulannya. Tujuan penelitian ini untuk mengetahui hubungan status pekerjaan dan pengetahuan ibu tentang posyandu dengan kepatuhan kunjungan posyandu balita. Metode : Penelitian ini menggunakan survey analitik dengan rancangan Cross Sectional. Pengambilan sampel dilakukan secara aksidental sampling dengan analisis data regresi logistic ganda. Hasil : Uji Wald dijelaskan terdapat hubungan antara status pekerjaan dengan kepatuhan kunjungan ke Posyandu Balita dan secara statistik signifikan (p = 0,022). Ada hubungan antara pengetahuan ibu tentang Posyandu dengan kepatuhan kunjungan ke Posyandu Balita dan secara statistik signifikan (p = 0,010). Simpulan : Ada hubungan antara status pekerjaan dan pengetahuan ibu tentang Posyandu balita dengan kepatuhan kunjungan Posyandu di Posyandu balita Singosari Kelurahan Banyuanyar Surakarta tahun 2018

EFEKTIVITAS PRENATAL YOGA TERHADAP KECEMASAN DAN KELUHAN FISIK IBU HAMIL TRIMESTER II hutari puji astuti; Wahyu Dwi Agussafutri
Jurnal Ilmu Kebidanan Vol 10 No 2 (2021): Al-Insyirah Midwifery: Jurnal Ilmu Kebidanan (Journal of Midwifery Sciences)
Publisher : STIKes Al-Insyirah Pekanbaru

A pregnant woman often experiences many changes, both physical changes and psychological changes. This condition will always cause a feeling of physical discomfort to the pregnant woman, coupled with an image of the delivery process, how the baby is and the condition of the baby after birth. Such images are common in pregnant women who are about to undergo labor. Conditions like that can cause feelings of anxiety in pregnant women, especially in women who are pregnant for the first time (primigravida). The goal of prenatal yoga is to prepare pregnant women physically, mentally and spiritually for childbirth. With careful preparation, the mother will be more confident and gain confidence in going through labor smoothly and comfortably. This study aims to determine the effectiveness of prenatal yoga on anxiety and physical complaints of second trimester pregnant women at PMB Wulan Mardikaningtyas Singopuran Kartasura Sukoharjo. The research method used is this research is a type of quantitative research with the type of pre-experimental research using one group pre and posttest research design, namely research that uses only one group of subjects, measurements are carried out before and after treatment. This research was conducted at PMB Wulan Mardikaningtyas Singopuran Kartasura Sukoharjo by providing a questionnaire about anxiety and physical complaints during pregnancy in the second trimester. Then pregnant women are given physical treatment in the form of prenatal Yoga once a week for one month. Univariate analysis performed the frequency distribution and Wilcoxon test and Mann Whitney test with α = 0.05 and CI95%. The results of this study are that there is a significant relationship between prenatal yoga and the anxiety of trimester II pregnant women as evidenced by a probability value (p) 0.042 <0.05 and there is a significant relationship between prenatal yoga and complaints of pregnant women in trimester II as evidenced by the probability value ( p) 0.015 <0.05.

EFEKTIVITAS SENAM HAID DALAM MENGURANGI INTENSITAS NYERI HAID PADA MAHASISWI PRODI DIII KEBIDANAN STIKES KUSUMA HUSADA SURAKARTA Wahyu Dwi Agussafutri; Ika Budi Wijayanti
Jurnal Kesehatan Kusuma Husada Vol. 7 No. 2, Juli 2016
Publisher : Universitas Kusuma Husada Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (179.34 KB)

ABSTRAKDismenore adalah salah satu isu penting dalam kesehatan reproduksi perempuan, hal ini ditandaidengan nyeri saat menstruasi yang menyebabkan banyak siswa yang tidak masuk sekolah, belajarkonsentrasi adalah kerugian, dan kegiatan sosial terganggu. Beberapa wanita yang pingsan karenatidak bisa menahan rasa sakit dismenore dan yang lainnya merasa mual apalagi sampai muntah. nyerihaid adalah gejala tidak penyakit, tapi nyeri haid yang ekstrim membebankan para wanita beristirahatdan meninggalkan pekerjaan atau kegiatan sehari-hari selama beberapa jam atau hari. Penelitianini bertujuan untuk mengetahui efektivitas latihan menstruasi untuk mengurangi intensitas nyeri haiddi Prodi DIII Kebidanan mahasiswa STIKes Kusuma Husada Surakarta . Jenis penelitian adalaheksperimental analitik dengan Acak Terkendali Trial (RCT) desain. Sampel penelitian adalah 30 orang.efektivitas latihan menstruasi untuk mengurangi nyeri haid diuji dengan uji Wilcoxon. Hasil penelitianmenunjukkan bahwa ada efektivitas latihan menstruasi untuk mengurangi nyeri haid (p <0,001). Inimenunjukkan efektivitas yang signifikan statistik untuk mengurangi intensitas nyeri haid. Kesimpulanpenelitian adalah latihan menstruasi memiliki efektivitas yang signifikan untuk mengurangi intensitasnyeri haid pada wanita.Kata kunci: intensitas, nyeri, haid, senamABSTRACTDysmenorrhea is one of the important issues in reproductive health of women ,it is characterized by painwhen menstruation that causes many students are absent from school, concentration learning are loss,and social activities are disrupted. Some of the women are faint because they can not endure the painof dysmenorrhea and the others feel nauseous moreover until vomit. Menstrual pain is a symptom not adesease, but the extreme menstrual pain imposes the women take a rest and leave the work or daily activityfor many hours or days. This study is aimed to know the effectiveness of menstrual exercise to reduce theintensity of menstrual pain at Prodi DIII Midwifery student of STIKES Kusuma Husada Surakarta. Thekind of this study is analytic experimental with Randomized Controlled Trial (RCT) design. The sampleof this study is 30 people. effectiveness of menstrual exercise to reduce menstrual pain was tested withWilcoxon test . The results showed that there was effectiveness of menstrual exercise to reduce menstrualpain (p <0.001). It showed a statistical significant effectiveness for reducing the intensity of menstrualpain. The conclusion of this study is the menstrual exercise has significant effectiveness to reduce theintensity of menstrual pain in womenKeywords: exercise, intensity, dymenorrhea, menstrual

PERBEDAAN INTENSITAS NYERI HAID ANTARA KONSUMSI KUNYIT ASAM DAN KOMPRES HANGAT PADA MAHASISWI STIKES KUSUMA HUSADA SURAKARTA Wahyu Dwi Agussafutri
Jurnal Kesehatan Kusuma Husada Vol. 8 No. 1, Januari 2017
Publisher : Universitas Kusuma Husada Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (646.574 KB)

ABSTRAK Nyeri haid merupakan suatu gejala dan bukan suatu penyakit, hal ini timbul karena kontraksi disritmik miometrium yang menyebabkan otot menegang, tidak hanya terjadi pada otot perut, tetapi juga pada otot penunjang lain yang terdapat di bagian punggung bawah, pinggang, panggul, dan paha hingga betis. Dismenore menyebabkan banyak siswa yang absen dari sekolah, kehilangan konsentrasi belajar, dan aktivitas sosialnya terganggu. Beberapa wanita sampai pingsan karena tidak bisa menahan rasa nyeri akibat dismenore, ada yang merasa sangat mual bahkan sampai muntah. Penelitian bertujuan untuk mengetahui perbedaan intensitas nyeri haid antara penatalaksanaan konsumsi kunyit asam, dan kompres hangat pada mahasiswi STIKes Kusuma Husada Surakarta.Jenis penelitian adalah analitik eksperimental dengan desain Randomized Controlled Trial (RCT). Didapatkan sampel sejumlah 60 orang, 30 orang kelompok konsumsi kunyit asam dan 30 orang kelompok kompres hangat. perbedaan penatalaksanaan nyeri haid antara 2 kelompok tersebut diuji menggunakan Mann Whitney test.Hasil penelitian menunjukkan bahwa tidak ada perbedaan intensitas nyeri haid antara penatalaksanaan konsumsi kunyit asam, dan kompres hangat (p=0.743). keduanya efektif untuk mengurangi intensitas nyeri haid.Kesimpulan penelitian adalah konsumsi kunyit asam, dan kompres hangat dapat digunakan untuk mengurangi intensitas nyeri haid pada perempuan, dengan efektivitas yang sebanding. Â Kata kunci: intensitas nyeri haid, konsumsi kunyit asam, kompres hangat. Â Â ABSTRACT Menstrual pain is a symptom not a disease, it appears because dysrhythmia myometrium contraction causing tighten the muscles. They are not only occur in the abdominal muscles, but also on the other supporting muscles located on the lower back, hips, pelvis, and thigh to calf. Dysmenorrhea causes many students are absent from school, concentration learning are loss, and social activities are disrupted. Some of the women are faint because they can not endure the pain of dysmenorrhea and the others feel nauseous moreover until vomit. The study is aimed to determine the difference of menstrual pain intensity between consumption of turmeric acid and warm compresses at student of STIKes Kusuma Husada Surakarta. The kind of the study is analytic experimental with Randomized Controlled Trial (RCT) design. The sample of the study is 60 people; 30 people of turmeric acid consumer and 30 peoples of warm compresses. Differences in the effectiveness of the management of menstrual pain between the two groups were tested with Mann Whitney test . The results showed that there was no difference between the effectiveness of turmeric acid consumption and warm compresses (p=0.743). Both of the treatment effective to reduce the menstrual pain intensity. The conclusion of the study is the consumption of turmeric acid, and warm compresses have significant effectiveness to reduce the intensity of menstrual pain in women. Â Keywords: menstrual pain intensity, turmeric acid consumption, warm compresses.

Efektifitas Kangaroo Mother Care (KMC) terhadap Perubahan Suhu dan Berat Badan BBLR di RSUD Pandan Arang Wahyu Dwi Agussafutri; Eni Rumiyati; Yunita Wulandari
Sistem Informasi Vol 13 No 1 (2022): Jurnal Photon
Publisher : LPPM Universitas Muhammadiyah Riau

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37859/jp.v13i1.3691

Low birth weight babies (LBW) are more often problematic because of difficulty maintaining body temperature due to a lack of subcutaneous fat, a large skin surface area to body weight ratio, and reduced heat production due to insufficient brown fat. One of the treatments for LBW is the Kanggoro Mother Care (KMC) method, in which the baby gets warmth and is closer to the mother. The purpose of this study was to determine the effectiveness of implementation (KMC) on changes in body temperature and body weight of LBW. This type of research is quasy experiment. The experimental group in this study there was 1 group that was given an intervention of KMC management, where the body temperature and weight of the baby would be measured before and after the intervention. The data analysis method used is the Wilcoxon test. The results of the statistical test showed that before and after the implementation of KMC, the p value for temperature changes was 0.001 and the p value for weight gain in LBW was 0.022. The conclusion of this study is that KMC is effective against changes in temperature and weight of LBW infants.

EFEKTIVITAS PRENATAL YOGA TERHADAP KECEMASAN DAN KELUHAN FISIK IBU HAMIL TRIMESTER II hutari puji astuti; Wahyu Dwi Agussafutri
Jurnal Ilmu Kebidanan Vol 10 No 2 (2021): Al-Insyirah Midwifery: Jurnal Ilmu Kebidanan (Journal of Midwifery Sciences)
Publisher : Institut Kesehatan dan Teknologi Al Insyirah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35328/kebidanan.v10i2.1062

A pregnant woman often experiences many changes, both physical changes and psychological changes. This condition will always cause a feeling of physical discomfort to the pregnant woman, coupled with an image of the delivery process, how the baby is and the condition of the baby after birth. Such images are common in pregnant women who are about to undergo labor. Conditions like that can cause feelings of anxiety in pregnant women, especially in women who are pregnant for the first time (primigravida). The goal of prenatal yoga is to prepare pregnant women physically, mentally and spiritually for childbirth. With careful preparation, the mother will be more confident and gain confidence in going through labor smoothly and comfortably. This study aims to determine the effectiveness of prenatal yoga on anxiety and physical complaints of second trimester pregnant women at PMB Wulan Mardikaningtyas Singopuran Kartasura Sukoharjo. The research method used is this research is a type of quantitative research with the type of pre-experimental research using one group pre and posttest research design, namely research that uses only one group of subjects, measurements are carried out before and after treatment. This research was conducted at PMB Wulan Mardikaningtyas Singopuran Kartasura Sukoharjo by providing a questionnaire about anxiety and physical complaints during pregnancy in the second trimester. Then pregnant women are given physical treatment in the form of prenatal Yoga once a week for one month. Univariate analysis performed the frequency distribution and Wilcoxon test and Mann Whitney test with α = 0.05 and CI95%. The results of this study are that there is a significant relationship between prenatal yoga and the anxiety of trimester II pregnant women as evidenced by a probability value (p) 0.042 <0.05 and there is a significant relationship between prenatal yoga and complaints of pregnant women in trimester II as evidenced by the probability value ( p) 0.015 <0.05.

Upaya Peningkatan Pengetahuan Ibu Hamil Tentang Pengurangan Rasa Nyeri dan Kecemasan Saat Persalinan dengan Effleurage dan Endorphin Massage Pangesti, Christiani Bumi; Wahyu Dwi Agussafutri
INDONESIAN JOURNAL OF COMMUNITY EMPOWERMENT (IJCE) Vol. 5 No. 2 (2023): Indonesian Journal of Community Empowerment November 2023
Publisher : UNIVERSITAS NGUDI WALUYO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35473/ijce.v5i2.2620

Mother giving birth who experience pain will feel anxious, especially when the opening process takes a long time and the baby is not born. The effleurage massage technique is anon pharmacological therapy that can help reduce pain. Endorphin massage is a light massage therapy that can stimulate the body to release endorphin compunds which can help relieve pain and create a feeling of comfort, so that it can overcaome anxiety during the birth process. The goal, after efforts to increase knowledge, is hoped that TM III pregnant women will be able to increase their knowledge in dealing with pain and anxiety during childbirth. Implementation method with lectures and demonstration. The media used are booklets and simulated patienst.The result of the evaluation by conducting a post test on pregnant women in the Pregnancy Class at the Gambirsari Health Center showed that an average of 90% pregnant women had good knowledge about how to reduce pain and anxiety during childbirth. Conclusion: The activity was carried out smooty and received a good response from the participants. Participants can learn about how to reduce pain an anxiety during labor by doing effleurage and endorphin massage. ABSTRAK Ibu bersalin yang mengalami nyeri sebagian besar akan merasa cemas, apalagi proses pembukaan yang lama dan bayi tidak kunjung lahir. Teknik effleurage massage adalah salah satu terapi non farmakologis yang dapat membantu pengurangan rasa nyeri. Endorphin massage merupakan terapi pemijatan ringan yang dapat merangsang tubuh untuk melepaskan senyawa endorphin yang bisa membantu pereda rasa sakit dan menimbulkan rasa nyaman, sehingga dapat mengatasi rasa cemas pada saat proses persalinan. Tujuan setelah dilakukan upaya peningkatan pengetahuan diharapkan ibu hamil TM III diharapkan dapat meningkatkan pengetahuan dalam mengatasi nyeri dan kecemasan saat persalinan nanti. Metode pelaksanaan dengan ceramah dan demonstrasi. Media yang digunakan yaitu booklet dan pasien simulasi. Hasil evaluasi dengan melakukan post test kepada ibu hamil di Kelas Ibu Hamil Puskesmas Gambirsari menunjukkan hasil rata-rata 90% ibu hamil mempunyai pengetahuan yang baik tentang cara mengurangi rasa nyeri dan kecemasan saat persalinan nanti. Kesimpulan kegiatan terlaksana dengan lancar dan mendapatkan respon baik oleh peserta. Peserta dapat mengetahui tentang cara mengurangi rasa nyeri dan kecemasan saat persalinan dengan melakukan effluarage dan endorphin massage.

Edukasi Manfaat KMC (Kangaroo Mother Care) untuk Perawatan Bayi Sehari-Hari Wahyu Dwi Agussafutri; Christiani Bumi Pangesti
INDONESIAN JOURNAL OF COMMUNITY EMPOWERMENT (IJCE) Vol. 6 No. 1 (2024): Indonesian Journal of Community Empowerment Mei 2024
Publisher : UNIVERSITAS NGUDI WALUYO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35473/ijce.v6i1.3131

The initiation of bonding attachment between mother and baby in Low Birth Weight (LBW) Babies is delayed, this is due to the separation between mother and LBW baby during incubator care. Therefore, treatment is needed as an alternative to dealing with LBW problems, one of alternativfe is the Kangaroo Mother Care (KMC) method. The KMC method improves the emotional relationship between mother and baby (bounding attachment), prevents hypothermia, stabilizes body temperature, heart rate and breathing rate of the baby, increases growth and body weight, reduces stress on the baby and mother and increases the mother's breast milk production. The aim of this community service is that after carrying out KMC (Kangaroo Mother Care) education for daily baby care, it is hoped that mothers with babies will be able to apply KMC. The method for implementing this community service is by providing health education and demonstrations regarding KMC. After conducting health education regarding KMC in the working area of the Gambirsari Community Health Center, mothers with babies and toddlers can practice KMC and use KMC as an alternative in daily baby care. The conclusion of this activity is that KMC is effective for daily baby care and mothers are able to apply it for daily baby care. ABSTRAK Inisiasi pembentukan ikatan (bounding attachment) antara ibu dan bayi pada Bayi Berat Lahir Rendah (BBLR) menjadi tertunda, hal ini dikarenakan pemisahan antara ibu dan bayi BBLR selama dilakukan perawatan inkubator. Oleh karena itu dibutuhkan perawatan yang menjadi alternatif untuk menangani masalah BBLR, salah satunya adalah dengan cara Kangaroo Mother Care (KMC). Metode KMC meningkatkan hubungan emosi ibu dan bayi (bounding attachment), mencegah terjadinya hipotermi, menstabilkan suhu tubuh, laju denyut jantung dan pernafasan bayi, meningkatkan pertumbuhan dan berat badan, mengurangi stress pada bayi dan ibu dan meningkatkan produksi ASI ibu. Tujuan dari pengabdian masyarakat ini adalah setelah dilakukan Edukasi KMC (Kangaroo Mother Care) untuk perawatan bayi sehari-hari diharapkan ibu-ibu yang mempunyai bayi dapat menerapkan KMC. Metode pelaksanaan pengabdian masyarakat ini adalah dengan cara memberikan pendidikan kesehatan dan demonstrasi mengenai KMC. Setelah dilakukan pendidikan kesehatan mengenai KMC di wilayah kerja Puskesmas Gambirsari ibu-ibu yang mempunyai bayi dan balita dapat mempraktikkan KMC dan menjadikan KMC sebagai alternatif dalam perawatan bayi sehari-hari. Kesimpulan dari kegiatan ini adalah KMC efektif untuk perawatan bayi sehari-hari dan ibu-ibu mampu untuk menerapkan untuk perawatan bayi sehari-hari

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