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Continuum of Care as An Effort to Reduce Stunting Events in Karawang District Siti Sopiatun; Sri Maryati
Jurnal Ilmu dan Teknologi Kesehatan Vol 7 No 2 (2020): Maret 2020
Publisher : Poltekkes Kemenkes Jakarta III

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (373.299 KB) | DOI: 10.32668/jitek.v7i2.250

Abstract

Stunting is a condition of failure to thrive in children under five years due to chronic malnutrition so that the child is too short for his age. Malnutrition appears when the baby is in the womb and the early period after the baby is born. The purpose of this study is how the Continuum of Care Program is implemented, analyze cross-sectoral, and cross-program support in nutritional surveillance to prevent and manage stunting. The study design used a cross-sectional survey approach. The results of research from 6 Puskesmas working areas showed the highest number in Puskesmas Lemah Duhur with an incidence of stunting 81%, had a continuum of ineffective stunting treatments with an average of 63.84 and less available treatment centers with an average of 63.75. There are obstacles in sending information that occurs from the Puskesmas to posyandu cadres related to stunting. The range of treatments in providing effective care and place of care has the most significant impact on maternal health, the health of newborns, and children related to the incidence of stunting in each region. Collaboration and cross-sector programs are needed in stunting prevention by the government.
PERBANDINGAN TEKNIK PEMERAHAN ASI TANGAN DENGAN MANUAL BREAST PUMP TERHADAP KENYAMANAN IBU DAN KUALITAS ASI Siti Sopiatun; Heda Melinda N Natapawira; Meita Dhamayanti
JOMIS (Journal of Midwifery Science) Vol 4 No 2 (2020): JOMIS (Journal Of Midwifery Science)
Publisher : LPPM Universitas Abdurrab

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36341/jomis.v4i2.1322

Abstract

The scope of exclusive breastfeeding is low caused by many factors, one of which is a working mother. The government supports the program of exclusive breastfeeding for mothers by promoting breastfeeding by expressed breast milk. Expressed breast milk can be done by hand and manual tools such as pump. Expressed breast milk can be influenced by mother’s experience and the pain at the time of expressing breast milk, this can lead to a sense of comfort. The differences in expressing techniques might lead to contamination of different bacteria and fungi. the purpose of this research is to analyze the differences in hand milking techniques and manual breast pump on the comfort of the mother and the quality of breast milk This was an observational study with cross sectional approach and conductive in Taman Sari district, Bandung. The samples were 35 mothers who fulfilled the inclusion and exclusion criteria. Mann Whitney, Wilcoxon and McNemar were used in examining mothers’ comfort and breast milk quality. The result of of comfort score showed 65.6 in hand expressed and 59.5 has in manual breast pump. There were several significant differences in expressing techniques to mothers’comfort (p = 0.046). Hand expressing were contaminated by yeast (60%), total mesophilic bacteria (20%), and enterobacter (17.1%). Manual breast pump was contaminated by yeast (80%), total mesophilic bacteria (8.6%), and enterobacter (20%). Breast milk quality in hand expressed was better than the manual breast pump (p = 0.032). It was concluded that hand expressed more comfortable and had better quality breast milk than manual breast pump techniques.
ANALISIS FAKTOR YANG MEMPENGARUHI PENGETAHUAN PADA KADER POSYANDU TENTANG PREEKLAMSIA DI PUSKESMAS KERTAMUKTI TAHUN 2020 siti sopiatun
Journal of Midwifery and Health Science of Sultan Agung Vol. 2 No. 1 (2023): JMHSA
Publisher : Midwifery Department of Sultan Agung Islamic University of Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/jmhsa.v2i1.36

Abstract

Preeklamsia (PE) adalah gangguan multisistem dan merupakan penyebab utama morbiditas dan mortalitas ibu dan perinatal. Prevalensi kejadian hipertensi selama kehamilan di Indonesia tahun 2020 sebesar 33,3%  dan menjadi penyebab tertinggi dibandingkan perdarahan obstetri yaitu sebesar 28,86%. Pencegahan preeklamsia pada individu yang berisiko tinggi dapat mencegah kematian ibu dan kesakitan ibu dan janin.. Menerapkan peningkatan pengetahuan pada kader posyandu sangat membantu bidan desa dalam pencegahan terjadinya preeklamsi. Tujuan penelitian ini adalah untuk mengetahui hubungan faktor – faktor yang mempengaruhi pengetahuan kader pada preeklamsi di PKM Kutamukti Ka. Karawang tahun 2020. Penelitian ini menggunakan desain kuantitatif dengan pendekatan crosssectional, jumlah sample 32 org kader di PKM kutamukti Kab. Karawang. Terdapat hubungan yang bermakna antara pengalaman menjadi kader dalam pengetahuan baik dengan P Value < 0,005. Sementara faktor – faktor yang lain kurang bermakna. Kesimpulan penelitian ini adalah meningkatkan pengetahuan kader di pengaruhi oleh faktor – faktor individu  sehingga perlu pemantapan lebih baik lagi dalam memberikan penjelasan kepada kader dalam melakukan peningkatan pengetahuan kader
EARLY DETECTION RISK FACTORS OF PREECLAMPSIA: SCOPING REVIEW Siti Sopiatun; Asri C. Adisasmita
Muhammadiyah International Public Health and Medicine Proceeding Vol. 4 No. 1 (2024): PROCEEDING MUHAMMADIYAH INTERNATIONAL PUBLIC HEALTH AND MEDICINE CONFERENCE - F
Publisher : Fakultas Kesehatan Masyarakat Universitas Muhammadiyah Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61811/miphmp.v4i1.627

Abstract

Preeclampsia (PE) is a multisystem disorder affecting 2%-5% of pregnancies and remains a leading contributor to maternal and perinatal morbidity and mortality, particularly in cases of early onset. The disorder, commonly emerging around the 20th week of gestation, has a prevalence of approximately 14.1% and is a frequent pregnancy complication. This scoping review aims to examine recent studies on the early detection of pre-eclampsia risk factors. Articles published between 2016 and 2021 were sourced from databases such as PubMed, Google Scholar, Scopus, and Science Direct. Nine studies met the inclusion criteria. These studies explore prediction models for gestational hypertension and preeclampsia, with three focusing on symptoms, signs, laboratory tests, biomarkers, and other associated risk factors. One study highlights family history, obesity, chronic illness, anemia, and lack of ANC visits as contributing factors. Two articles address the management of preeclampsia through initiatives like the PRE-EMPT (Eclampsia Monitoring, Prevention, and Treatment), while others emphasize community-level interventions and healthcare provider education (CLIP). Effective early detection models are essential to reduce preeclampsia incidence and prevent maternal and fetal mortality.
Peningkatan Pemahaman Dan Pengetahuan Terhadap Faktor Resiko Preeklamsi Di Puskesmas Kertamukti Kabupaten Karawang Siti Sopiatun; Yuliana Sari, Nina; Rizki Ariani, Desy
Jurnal Adiguna Pengabdian Masyarakat Vol 1 No 2 (2025): Jurnal Adiguna Pengabdian Masyarakat Januari 2025
Publisher : Universitas Bhakti Kencana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70410/japm.v1i2.26

Abstract

Permasalahan mitra dan solusi: Preeklampsia merupakan penyebab utama kematian pada ibu hamil. Data Dinas Kesehatan tahun 2023 menunjukkan bahwa kejadian ibu hamil yang mengalami preeklamsi tersebar di seluruh 50 wilayah kerja puskesmas di Kabupaten Karawang. Jumlah kejadian preeklamsia sebesar 1.791 orang, Jumlah kasus PEB (Pre Eklampsia Berat) di wilayah kerja Puskesmas Kertamukti adalah 43 kasus (2,4%) tanpa kematian. permasalahan yang ada adalah belum adanya deteksi faktor risiko preeklampsia oleh Kader posyandu sebagai langkah penurunan kasus preeklampsia. Solusi yang tepat yaitu meningkatkan pengetahuan dan pemahaman Kader tentang preeklampsia melalui deteksi dini secara mandiri oleh Kader. Tujuan pemberdayaan Kader melalui peningkatan pemahaman dan pengetahuan Kader terhadap faktor risiko preeklampsia. Metode yang digunakan Participatory Action Research (PAR) untuk mengembangkan pemahaman Kader Posyandu tentang deteksi faktor risiko preeklampsia. Hasil Pre test yang tertinggi setelah dilakukan upaya peningkatan pengetahuan yaitu pengetahuan cukup dan sikap positif sebesar 53% dan 33 % sedangkan hasil Post Test yang tertinggi terdapat pada pengetahuan baik dan sikap positif sebesar 70%  dan 73%. Dengan karakteristik berpendidikan rendah sebanyak 83,3% dan berpengalaman  < 1-5 thn sebanyak 86,7 %. Melalui strategi pemberdayaan kader dalam upaya peningkatan deteksi faktor risiko preeklampsia dapat meningkatkan rata-rata pengetahuan Kader tentang preeklampsia sebanyak 34%.
Pengetahuan Kader Tentang Faktor Risiko Preeklampsia Siti Sopiatun; Desy Rizki Ariani; Rifka Alindawati
Indonesian Health Issue Vol. 4 No. 2 (2025): AGUSTUS
Publisher : Indonesian Journal Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47134/inhis.v4i2.84

Abstract

Background Preeclampsia is the leading cause of maternal death in Indonesia at 37.1%. Preeclampsia is prevalent in 50 health center work areas in Karawang Regency. The number of preeclampsia cases is 17.52% of 8285 high-risk pregnant women. Failure to identify and manage cases based on risk factors also contributes to maternal death due to preeclampsia. The objective of this study is to enhance cadres' understanding of preeclampsia by enhancing their capacity to identify risk factors for preeclampsia at the Kertamukti Health Center. Aim: This study aims to explore the knowledge of cadres about the risk factors for preeclampsia. Method: This study uses a qualitative approach by conducting FGD (Focus Group Discussion). There were two discussion groups, each consisting of 12 cadres. Purposive Sampling Technique. The informants are Posyandu cadres and have been categorized in the FGD group. The analysis uses an analysis theme by creating keywords and matrices.  Result: Cadres do not know other names for preeclampsia and are still unfamiliar with the term. Cadres only know the term high blood pressure. so they do not understand the risk factors for preeclampsia. Conclusion: The study focuses on two major themes: the knowledge of preeclampsia and the collaboration between midwives and cadres. The term preeclampsia is still widely unknown and not understood by cadres.