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All Journal Journal of Midwifery and Nursing Science Midwifery JOURNAL LA MEDIHEALTICO ANTHOR: Education and Learning Journal Journal of Innovative and Creativity
Elya Rosa Sembiring
Institut Kesehatan Helvetia
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Mix Method Analysis of Factors Affecting Implementation of Antenatal Care (ANC) in Pregnant Women in the Work Area of the Medan Deli Health Center, Medan Deli District, Medan Elya Rosa; Razia Begum Suroyo; Aida Fitria
Journal La Medihealtico Vol. 2 No. 4 (2021): Journal La Medihealtico
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallamedihealtico.v2i4.412

Abstract

workers which includes physical and mental health to get mothers and babies who are healthy during pregnancy, childbirth and postpartum. Data from the Medan Deli Health Center shows that in 2019 the K1 coverage is only (87%) and K4 only (66%), while the target of K1 and K4 coverage is 100% respectively. Many factors are thought to be the cause of not achieving coverage of antenatal care (ANC) implementation. The purpose of this study was to analyze the factors that influence the implementation of ANC in pregnant women. This type of research is a mix method with quantitative and qualitative approaches. The study population was 195 people, with the Slovin formula taken a sample of 66 people. Quantitative analysis was univariate, bivariate using chi-square and multivariate using multiple logistic regression at the 95% confidence level ( = 0.05). The qualitative analysis was analyzed by means of reduction, data display and verification. The results showed the variables that influenced the implementation of antenatal care (ANC) in pregnant women in the work area of ​​the Medan Deli Public Health Center in 2020, namely knowledge p = 0.032, attitude p = 0.018, parity p = 0.008, health services p = 0.016, husband support p = 0.026 and support for health workers p = 0.041. The unrelated variable was job status p = 0.269. The most dominant variable was the health service variable which had a value of Exp (B) = 12.048, meaning that respondents who received health services had 12 times the chance of implementing antenatal care compared to respondents who did not get health services. The conclusion of this research is that the implementation of antenatal care in pregnant women is influenced by knowledge, attitudes, parity, health services, husband support and support from health workers. It is hoped that health workers, especially midwives, will provide good IEC about the implementation of antenatal care to every pregnant woman and carry out more frequent home visit activities and provide advice to the puskesmas to re-attach the standby husband and cooperate with local regional leaders
Factors associated with iron nutrition anemia in mothers pregnant at bunda patimah primary clinic: Anemia In Mothers Pregnant Marlina; Elya Rosa Sembiring
Science Midwifery Vol 10 No 6 (2023): February: Midwifery and Health Sciences
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v10i6.1147

Abstract

Introduction: Pregnancy is the period from conception to the time of birth, counting from the first last menstruation. Based on WHO (World Health Organization) data in 2017, it is estimated that anemia affects 33% of women of reproductive age globally. Objective: The benefit of this research is that pregnant women know the signs of anemia and how to treat it. This study aims to determine the factors associated with the incidence of iron nutrition anemia in pregnant women at the Patimah Primary Clinic in 2020. Method: The research design was an analytic survey with a cross sectional approach. The population in this study were all pregnant women who experienced anemia with anemia, as many as 40 Trimeste III pregnant women at the Primary Clinic Bunda Patimah Medan from December to April 2020 and the sampling technique using the total sampling method. The data obtained by primary data were analyzed by using Chi Square statistical test with p value (0.05). The Result : Based on the results a relationship between knowledge and the incidence of anemia with a p-value of 0.002, there is a relationship between husband's support and the incidence of anemia with a p-value of 0.001, there is a relationship of compliance with taking tablets Fe with anemia incidence with p-value 0.000. Conclusion : It is hoped that health workers at the Mother Patimah Primary Clinic so that this research can be used as a reference for the implementation of treatment and reduce the risk of anemia in pregnant women and as additional knowledge for mothers about factors related to anemia.
The effect of oxytocin massage on increasing breast milk production in breastfeeding mothers: Oxytocin Massage Ramadhani Syafitri Nasution; Yuniati Yuniati; Elya Rosa br Sembiring
Science Midwifery Vol 11 No 2 (2023): June: Midwifery and Health Sciences
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v11i2.1269

Abstract

Breastfeeding is a scientific process, but mothers often fail or stop breastfeeding prematurely. Breast milk is a white liquid produced by the mother's breast glands through the breastfeeding process. For mothers who breastfeed, smooth milk is very important to meet the needs of the baby. This study aims to determine the effect of oxytocin massage on increasing milk production for breastfeeding mothers at the Siti Kholijah HSB Medan Pratama Clinic in 2022. This type of research is a quasi-experimental technique (Quasi Experiment) with pretest and posttest without control group, namely a research design using observation before and after experiment. The research location was at the Siti Kholijah Hsb Medan Pratama Clinic on Jl. Marelan I West IV Market, Waterfall Village, Medan Marelan District. The population in this study were 15 people and a sample of 15 people in breastfeeding mothers. Data were analyzed using the T test. The results showed that the statistical test using the T test, the calculation results obtained p value = 0.000 <0.05, meaning that there is a difference before being given treatment and after being given treatment. The conclusion in this study is for health workers in the Waterfall sub-district to hold counseling which aims to increase public knowledge, especially about oxytocin massage, which can increase milk production and provide exclusive breastfeeding.
The effect of giving cherry leaves boiled water (muntingia calabura l) on the healing of perineal wounds in postpartum mothers at the Dorara Primary Clinic, Sunggal Kanan Village, Deli Serdang Regency Maulidanita, Riska; Br.Sembiring, Elya Rosa
Journal of Midwifery and Nursing Vol. 6 No. 1 (2024): January: Health Science
Publisher : Institute Of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/jmn.v6i1.4379

Abstract

Perineal tears often occur in normal labor, whose normal healing occurs 6-7 days postpartum. Improper handling of perineal wounds can cause infection, so it will increase the number of pain in the mother. The purpose of the study was to determine the effect of giving Kersen leaf boiled water (Muntingia calabura L) on the healing of perineal wounds in postpartum mothers.This study used quantitative data analysis and quasi-experimental research design with two groups, namely the control group and the intervention group. The study population was 10 postpartum mothers who gave birth starting from week 3 in July – week 2 in August at Pratama Dorara Clinic. The results showed that the intervention group given boiled water kersen leaves showed rapid wound healing as much as 5 (100.0%), and the control group showed normal wound healing as much as 4 (80%), and slow wound healing as much as 1 (20%). The results of the Wilcoxon Test obtained p value = 0.034 < 0.05 so that there is an effect of giving kersen leaf boiled water on perineal wound healing in postpartum mothers. The conclusion of the study is the effect of giving kersen leaf boiled water on the healing of perineal wounds in postpartum mothers at the Dorara Pratama Clinic, Sunggal Kanan Village, Deli Serdang Regency in 2023. It is recommended that puerperal mothers wash perineal wounds with water boiled cherry leaves to speed up the healing process of perineal wounds.
Pengaruh Pemberian Sari Kurma Dan Madu Untuk Meningkatkan Kadar Hemoglobin Pada Ibu Hamil Trimester Iii Di Puskesmas Sambirejo Binjai Tahun 2025 Debby Pratiwi; Elya Rosa Br. Sembiring; Marlina Marlina
Journal of Innovative and Creativity Vol. 6 No. 1 (2026)
Publisher : Fakultas Ilmu Pendidikan Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/joecy.v6i1.7018

Abstract

Latar belakang; Kehamilan merupakan pengalaman yang sangat ingin dirasakan oleh setiap wanita yang sudah berkeluarga dan kebanyakan wanita mengalami perubahan psikologis dan emosi. Beban psikologis yang dialami ibu hamil pada masa prenatal trimester III lebih banyak terjadi pada ibu primigravida dalam menjelang persalinannya salah satunya yaitu kecemasan yang lebih banyak terjadi pada masa prenatal trimester III. Anemia defisien pada ibu dapat mempengaruhi pertumbuhan dan perkembangan janin/bayi saat kehamilan maupun setelahnya. Untuk mencegah anemia pada ibu hamil dapat dilakukan dengan cara nonfarmakologi yaitu dengan pemberian sari kurma dan madu. Tujuan; Tujuan penelitian untuk mengetahui pengaruh pemberian sari kurma dan madu terhadap peningkatan kadar hemoglobin pada ibu hamil trimester III di Puskesmas Sambirejo Kecamatan Binjai Tahun 2025. Metode; Metode penelitian bersifat Pra-eksperimental dengan pendekatan Two Group Pretest-Posttest. Populasi penelitian ibu hamil trimester III yang mengalami anemia ≤ 10 gr% sebanyak 146 responden. Teknik pengambilan sampel menggunakan porposive sampling yaitu 20 responden terdiri dari 10 kelompok intervensi dan 10 kelompok kontrol. Analisis data menggunakan analisis univariat dan bivariat. Hasil; Hasil penelitian menunjukkan mayoritas ibu hamil trimester III yang mengalami anemia kelompok intervensi pada Pretest sebanyak 6 responden anemia sedamg dan Posttest sebanyak 6 responden dengan anemia ringan, sedangkan kelompok kontrol pada Pretest sebanyak 4 responden anemia ringan dan Posttest sebanyak 7 responden normal. Hasil uji Mann-Whitnye Test menunjukkan nilai p-value = 0,000 < 0,05. Kesimpulan; Kesimpulan penelitian ada pengaruh pemberian sari kurma dan madu pada kelompok intervensi maupun kelompok kontrol terhadap peningkatan kadar hemoglobin pada ibu hamil trimester III di Puskesmas Sambirejo Kecamatan Binjai Tahun 2025.
Pengaruh Pemberian Jus DAKEPE (Daun Kelor dan Buah Pepaya) terhadap Peningkatan Hemoglobin pada Remaja Putri di SMA Sinar Husni Kabupaten Deli Serdang May Frinsiska Siahaan; Elya Rosa Br. Sembiring; Novy Ramini Harahap; Siti Nurhaliza
ANTHOR: Education and Learning Journal Vol 5 No 3 (2026): Anthor 2026
Publisher : Institut Teknologi Pendidikan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/anthor.v5i3.500

Abstract

Anemia adalah keadaan dimana jumlah sel darah merah atau konsentrasi hemoglobin (Hb) berada di bawah normal, dan akibatnya merusak kemampuan sel darah merah untuk mengangkut oksigen ke seluruh tubuh. Prevalensi anemia pada remaja putri (usia 15–24 tahun) mengalami peningkatan signifikan.Sekitar 32% hingga 48% remaja putri mengalami anemia, Prevalensi Anemia pada remaja putri di Sumatera utara, khususnya Kabupaten Deli serdang mencapai sekitar 30–32 %. Daun kelor memiliki kandungan zat besi dan vitamin cukup tinggi sedangkan buah papaya mengandung Vitamin C yang cukup tinggi. Kandungan vitamin C, betakaroten, likopen, dan vitamin E dalam daun kelor dan pepaya berfungsi sebagai antioksidan yang dapat meningkatkan kadar hemoglobin pada remaja putri. Tujuan penelitian ini untuk mengetahui Pengaruh Pemberian Jus Dakepe (Daun kelor dan Buah pepaya) terhadap Peningkatan Hemoglobin pada Remaja putri di Sma Sinar Husni Kabupaten Deli Serdang. Penelitian ini menggunakan rancangan One Group Pre and Post test design. Populasi dalam penelitian ini adalah semua remaja putri kelas X,Kelas XI dan Kelas XII di Sekolah Menengah Atas Sinar Husni pada Tahun Ajaran 2024/2025 yaitu sebanyak 107 orang siswi. Dengan teknik pengambilan sample purposive sampling sebanyak 84 responden. Hasil penelitian terdapat pengaruh pemberian Jus Daun Kelor Dan Buah Pepaya Terhadap Peningkatan Hemoglobin Pada Remaja Putri di SMA Sinar Husni Kabupaten Deli Serdang Tahun 2025 dengan hasil uji statistik dengan T-Test menunjukkan bahwa nilai P-Value = 0,000. Saran dalam penelitian ini diharapkan untuk mengadakan program edukasi gizi untuk siswa, khususnya remaja putri, terkait pentingnya asupan zat besi dan vitamin C dalam mencegah anemia.
Hubungan Pengetahuan Ibu Tentang Imunisasi dengan Kelengkapan Imunisasi Balita di Desa Lae Bangun Kecamatan Suro Makmur Kabupaten Aceh Singkil Elya Rosa Br. Sembiring; May Frinsiska Siahaan; Aida Fitria; Eva Nurseptiana; Marlina Marlina; Sri Wahyuni
ANTHOR: Education and Learning Journal Vol 5 No 3 (2026): Anthor 2026
Publisher : Institut Teknologi Pendidikan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/anthor.v5i3.501

Abstract

Imunisasi merupakan upaya pencegahan primer yang efektif dalam menurunkan angka kematian bayi dan balita. Faktor penghambat pelaksanaan imunisasi dasar yaitu pemahaman masyarakat terutama orang tua yang masih kurang tentang imunisasi. Penelitian ini bertujuan untuk mengetahui hubungan pengtahuan ibu tentang imunisasi dengan kelengkapan imunisasi balita. Metode penelitian ini bersifat survey analitik dengan pendekatan cross sectional, pengumpulan data dengan menggunakan kuesioner, populasi penelitian adalah semua yang memiliki balita usia 1-4 tahun di Desa Lae Bangun Kecamatan Suro Makmur tahun 2025 sebanyak 62 orang. Teknik pengambilan sampel dalam penelitian ini secara total sampling. Teknik analisa data menggunakan univariat dan bivariat dengan uji chi-square. Kesimpulan : ada hubungan pengetahuan ibu tentang imunisasi dengan kelengkapan imunisasi balita di Desa Lae Bangun Kecamatan Suro Makmur Kabupaten Aceh Singkil tahun 2025. Disarankan kepada ibu yang memiliki balita untuk mencari informasi dari sumber terpercaya mengenai imunisasi dasar lengkap dan manfaatnya bagi kesehatan anak dan berpartisipasi aktif dalam kegiatan posyandu serta mengikuti jadwal imunisasi sesuai rekomendasi pemerintah.
Efektivitas Konsumsi Gyoza dengan Kombinasi Daun Kelor dan Ayam terhadap Kadar Hemoglobin pada Wanita Usia Subur di Dusun Baru Jayadesa Jentera Stabat Tahun 2026 Marlina Marlina; Yulida Effendi Nasution; Afifa Naura Harahap; Debby Pratiwi; Elya Rosa Br. Sembiring; Helsa Eghianinta
ANTHOR: Education and Learning Journal Vol 5 No 3 (2026): Anthor 2026
Publisher : Institut Teknologi Pendidikan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/anthor.v5i3.502

Abstract

Anemia defisiensi besi masih menjadi masalah kesehatan utama, terutama pada wanita usia subur (WUS) yang rentan mengalami penurunan kadar hemoglobin akibat pola konsumsi zat gizi, khususnya sayuran dan protein yang kurang optimal. Berdasarkan data WHO (2022), prevalensi anemia pada WUS di Indonesia mencapai 31,2%. Tujuan dari penelitian ini adalah untuk mengetahui efektivitas konsumsi gyoza dengan kombinasi daun kelor dan ayam terhadap kadar hemoglobin pada wanita usia subur di Dusun Baru Jaya Desa Jentera Stabat tahun 2026. Desain penelitian ini adalah pre-eksperimental dengan pendekatan one group pretest-posttest. Penelitian dilaksanakan pada November 2025 hingga april 2026. Sampel berjumlah 20 WUS yang mengalami anemia, dipilih secara Purposive Sampling. Analisis data menggunakan uji Wilcoxon Signed test. Hasil uji statistik menunjukkan p-value 0,001 < 0,05, yang berarti terdapat pengaruh signifikan konsumsi gyoza dengan kombinasi daun kelor dan ayam terhadap kadar hemoglobin pada wanita usia subur. Kesimpulan: Konsumsi gyoza kombinasi daun kelor dan ayam efektif meningkatkan kadar hemoglobin pada WUS. Disarankan agar WUS rutin mengonsumsi olahan tersebut dan tenaga Kesehatan Bersama masyarakat mengaplikasikannya melalui program puskesmas dan posyandu sebagai upaya mencegah anemia.
Co-Authors Afifa Naura Harahap Aida Fitria Debby Pratiwi Eva Nurseptiana Helsa Eghianinta Marlina Marlina Marlina Marlina Marlina Marlina Marlina Marlina Maulidanita, Riska May Frinsiska Siahaan Novy Ramini Harahap pratiwi, Debby Ramadhani Syafitri Nasution Razia Begum Suroyo Siti Nurhaliza Sri Wahyuni Yulida Effendi Nasution Yuniati Yuniati