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Tablets Added Combination Blood Vitamin C Affects The Increase of Hemoglobin Levels in Pregnant Women in The Work Area of Karang Anyar Health Center, Beringin Sub-district, Deli Serdang District Siregar, Yusniar; Linda, Irma; Lubis, Rismahara
Health Notions Vol 2 No 2 (2018): February 2018
Publisher : Humanistic Network for Science and Technology (Address: Cemara street 25, Ds/Kec Sukorejo, Ponorogo, East Java, Indonesia 63453)

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Anemia in pregnant women has a negative impact on both the mother and the fetus, some of which may occur: in the first trimester (abortion, missed abortion and congenital abnormalities), in the second trimester (antepartum bleeding, premature birth, fetus births with anemia, low birth weight, high-birth delivery, high fatigue), when inpartu (primary and secondary disruption, fatigue, high activity delivery), postpartum (difficult to heal, easy puerperalis febris, uterine involution disturbance, death high mothers resulting from bleeding and puerperal infection). This study aimed to determine the effectiveness of giving tablets added blood combination of vitamin B6 and tablets added blood vitamin C combination to increase hemoglobin levels in pregnant women at Karang Anyar health center, Beringin Sub-district, Deli Serdang District in 2015. This study was a quasy experiment research with pretest postest control group design. In this study used two groups of treatment, namely: group A tablet supplementation combined blood vitamin B6, group B administration of tablets plus blood combination of vitamin C. Samples in this study were 62 trimester pregnant women as many as 62 people divided into 2 groups. Data analysis using t-test. There was a difference of hemoglobin group A with group B with p value 0.273> 0.05 and 0.007 <0.005. Given a significant difference between group A and group B then all pregnant women in consuming tablets plus blood should be accompanied by consumption of vitamin C to help the absorption of iron optimally.

The Effectiveness of Physical Exercise, Prenatal Yoga and Pregnancy Gymnastics in Primigravida on Childbirth Duration Linda, Irma; Lubis, Rismahara; Siregar, Yusniar
Health Notions Vol 1 No 2 (2017): April-June 2017
Publisher : Humanistic Network for Science and Technology (Address: Cemara street 25, Ds/Kec Sukorejo, Ponorogo, East Java, Indonesia 63453)

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One of the physical exercises favored by pregnant women is pregnancy gymnastics. It is a kind of exercise for strengthening and maintaining the elasticity of abdominal wall muscles, ligaments, and basic muscles of pelvis which are related to the process of childbirth. The objective of this research was to find out the effectiveness of physical exercise method between prenatal yoga and pregnancy exercise in primigravida on childbirth duration so that it could provide information which could increase the knowledge of midwives and midwifery students in providing midwifery care for pregnant women in facing the process of childbirth. This quasi experiment study was conducted in July to September 2016. The subjects was 40 pregnant women. The respondents were all primigravida pregnant women of trimester III who had the pregnancy examined in the Practice of Independent Midwife, Medan Johor. T-test was used for statistical analysis. The result of T-test showed that p-value=0.002 which indicated that there was the difference in the effectiveness of physical exercise method between prenatal yoga and pregnancy gymnastics in primigravida on the duration of normal childbirth. Prenatal yoga was more effective than pregnancy gymnastics in shortening the duration of normal childbirth.

KUNJUNGAN ANTENATAL CARE TIDAK SESUAI STANDAR MEMENGARUHI TERJADINYA KOMPLIKASI PERSALINAN DI WILAYAH KERJA PUSKESMAS KARANG ANYAR KECAMATAN BERINGIN KABUPATEN DELI SERDANG TAHUN 2014 Lubis, Rismahara; Siregar, Yusniar
Jurnal Ilmiah PANNMED (Pharmacist, Analyst, Nurse, Nutrition, Midwivery, Environment, Dentist) Vol 10 No 1 (2015): Jurnal Ilmiah PANNMED Periode Mei-Agustus 2015
Publisher : Politeknik Kesehatan Kemetrian Kesehatan Medan

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Berdasarkan data Riskesdas 2013 cakupan pemeriksaan kehamilan pertama pada trimester pertama adalah 81,6 % dan frekuensi ANC 1-1-2 atau K4 sebesar 70,4% (Balitbangkes, 2013), sementara berdasarkan data dari Profil Kesehatan Kabupaten Deli Serdang tahun 2012 cakupan kunjungan ibu hamil K1 sebesar 98,16% dan K4 sebesar 95,91%. Cakupan K1 dan K4 di Puskesmas Karang Anyar Kecamatan Beringin Deli Serdang tahun 2012 sebesar 98,56% dari target pencapaian nasional 94% dan K4 95,42% dari target pencapaian nasional sebesar 84%, namun masih ditemukan kematian ibu akibat komplikasi persalinan dan masa nifas. Pada tahun 2013 puskesmas Karang Anyar memiliki jumlah kematian ibu terbanyak dari seluruh puskesmas di Kabupaten Deli Serdang yaitu 3 kasus kematian ibu yang disebabkan Eklampsi 2 kasus dan Infeksi 1 kasus (sumber Dinas Kesehatan Kabupaten Deli Serdang). Penelitian ini bertujuan untuk mengetahui pengaruh kunjungan Antenatal Care dan deteksi risiko kehamilan terhadap komplikasi penolong persalinan di wilayah kerja puskesmas Karang Anyar Kecamatan Beringin Kabupaten Deli Serdang tahun 2014. Penelitian ini merupakan survei analitik dengan pendekatan explanatory research. Dilaksanakan mulai Bulan Mei sampai dengan bulan Agustus Tahun 2014. Populasi dalam penelitian ini adalah seluruh ibu hamil trimester ketiga yang diikuti sampai ibu tersebut melahirkan yang berdomisili di wilayah kerja puskesmas Karang Anyar Kecamatan Beringin Kabupaten Deli Serdang pada bulan Mei 2014 sebanyak 98 orang. Penentuan sampel secara total populasi. Analisis statistik yang digunakan adalah uji statistik chi-square (2), dengan tingkat kemaknaan p<0.05 dan uji regresi logistik ganda. Hasil penelitian menunjukkan 75,5 % responden melakukan kunjungan ANC sesuai dengan standard, 76,5 % responden terdeteksi risiko kehamilan dan 22,4 % responden mengalami komplikasi persalinan. Dari hasil analisis multivariat dengan uji regresi logistik ganda menunjukkan bahwa variabel kunjungan ANC dengan p value 0,001 (p<0,05) dan deteksi resiko kehamilan dengan p value 0,001 (p<0,05) berpengaruh terhadap komplikasi persalinan di wilayah kerja Puskesmas Karang Anyar Kecamatan Beringin Kabupaten Deli Serdang. Variabel yang paling dominan memengaruhi komplikasi persalinan di wilayah kerja Puskesmas Karang Anyar Kecamatan Beringin Kabupaten Deli Serdang adalah variabel kunjungan ANC yaitu pada nilai koefisien regresi exp (B) 78,900. Disarankan kepada Kepada Dinas Kesehatan Kabupaten Deli Serdang untuk merencanakan program pelatihan guna peningkatan kualitas pelayanan antenatal bagi tenaga kesehatan khususnya bidan yang ada di Kabupaten Deli Serdang.

Tablets Added Combination Blood Vitamin C Affects The Increase of Hemoglobin Levels in Pregnant Women in The Work Area of Karang Anyar Health Center, Beringin Sub-district, Deli Serdang District Yusniar Siregar; Rismahara Lubis; Irma Linda
Health Notions Vol 2, No 2 (2018): February
Publisher : Humanistic Network for Science and Technology (HNST)

Anemia in pregnant women has a negative impact on both the mother and the fetus, some of which may occur: in the first trimester (abortion, missed abortion and congenital abnormalities), in the second trimester (antepartum bleeding, premature birth, fetus births with anemia, low birth weight, high-birth delivery, high fatigue), when inpartu (primary and secondary disruption, fatigue, high activity delivery), postpartum (difficult to heal, easy puerperalis febris, uterine involution disturbance, death high mothers resulting from bleeding and puerperal infection). This study aimed to determine the effectiveness of giving tablets added blood combination of vitamin B6 and tablets added blood vitamin C combination to increase hemoglobin levels in pregnant women at Karang Anyar health center, Beringin Sub-district, Deli Serdang District in 2015. This study was a quasy experiment research with pretest postest control group design. In this study used two groups of treatment, namely: group A tablet supplementation combined blood vitamin B6, group B administration of tablets plus blood combination of vitamin C. Samples in this study were 62 trimester pregnant women as many as 62 people divided into 2 groups. Data analysis using t-test. There was a difference of hemoglobin group A with group B with p value 0.273> 0.05 and 0.007 <0.005. Given a significant difference between group A and group B then all pregnant women in consuming tablets plus blood should be accompanied by consumption of vitamin C to help the absorption of iron optimally. Keywords: Hemoglobin levels, Pregnant women

The Effectiveness of Physical Exercise, Prenatal Yoga and Pregnancy Gymnastics in Primigravida on Childbirth Duration Irma Linda; Rismahara Lubis; Yusniar Siregar
Health Notions Vol 1, No 2 (2017): April-June
Publisher : Humanistic Network for Science and Technology (HNST)

One of the physical exercises favored by pregnant women is pregnancy gymnastics. It is a kind of exercise for strengthening and maintaining the elasticity of abdominal wall muscles, ligaments, and basic muscles of pelvis which are related to the process of childbirth. The objective of this research was to find out the effectiveness of physical exercise method between prenatal yoga and pregnancy exercise in primigravida on childbirth duration so that it could provide information which could increase the knowledge of midwives and midwifery students in providing midwifery care for pregnant women in facing the process of childbirth. This quasi experiment study was conducted in July to September 2016. The subjects was 40 pregnant women. The respondents were all primigravida pregnant women of trimester III who had the pregnancy examined in the Practice of Independent Midwife, Medan Johor. T-test was used for statistical analysis. The result of T-test showed that p-value=0.002 which indicated that there was the difference in the effectiveness of physical exercise method between prenatal yoga and pregnancy gymnastics in primigravida on the duration of normal childbirth. Prenatal yoga was more effective than pregnancy gymnastics in shortening the duration of normal childbirth. Keywords: Prenatal yoga, Pregnancy gymnastics, Childbirth

EFEKTIFITAS PEMBERIAN SIMPLISIA DAUN KATUK TERHADAP PRODUKSI ASI PADA IBU POST PARTUM Raden Roro Hatati Surjantini; Rismahara Lubis; Betty Mangkuji
2-TRIK: TUNAS-TUNAS RISET KESEHATAN Vol 8, No 2 (2018): MEI 2018
Publisher : FORUM ILMIAH KESEHATAN

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Menyusui adalah hadiah sangat berharga yang dapat diberikan oleh seorang ibu pada bayinya. Menurut World Health Organization (WHO) menganjurkan agar wanita hamil dan ibu yang post partum diberi tahu tentang manfaat dan keunggulan Air Susu Ibu (ASI), terutama karena ASI memberikan gizi terbaik untuk bayi serta perlindungan terhadap penyakit. Menurut renstra tahun 2016 secara nasional target pemberian ASI ekslusif 80% belum mencapai target. Tujuan penelitian untuk mengetahui efektifitas pemberian simplisia daun katuk terhadap produksi ASI pada ibu post partum di Praktik Mandiri Bidan Afriana, Am.Keb Tahun 2017. Jenis penelitian ini adalah Quasi Experiment dengan rancangan Non-Equevalent Control Group pretest postest. Tehnik pengambilan sampel purposive sampling terhadap 12 kelompok intervensi dan 12 kelompok kontrol ibu post partum di Praktik Mandiri Bidan Afriana Am.Keb pada akhir bulan April sampai Juni dengan pemberian simplisia daun katuk diminum 2x1 hari selama 15 hari. Analisa data dengan menggunakan uji independent t test. Hasil penelitian menunjukkan perbedaan yang bermakna pada kelompok intervensi pemberian simplisia daun katuk p=0,021

PEMBERIAN AROMATERAPI MINYAK PEPPERMINT SECARA INHALASI BERPENGARUH TERHADAP PENURUNAN MUAL MUNTAH PADA IBU HAMIL DI PMB LINDA SILALAHI PANCUR BATU TAHUN 2019 Rismahara Lubis; Sonya Evita; Yusniar Siregar
COLOSTRUM : Jurnal Kebidanan Vol. 1 No. 1 (2019): Desember 2019
Publisher : Poltekkes Kemenkes Medan

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Feelings of nausea and vomiting are one of the discomforts that are often found in pregnancy and which usually occur early in pregnancy. The handling of vomiting and nausea can be done through non-pharmacological therapy in the form of peppermint oil inhaled aromatherapy that is noninstructive, non-invasive, inexpensive, effective and has no side effects. This study aims to determine the effect of peppermint oil inhaled aromatherapy on decreasing the nausea and vomiting in pregnant women at the private clinic of Linda Silalahi Pancur Batu. This research is a pre-experimental study designed with one group pretest posttest designs examining 15 pregnant women as samples obtained through purposive sampling techniques. Then the data were analyzed by the Wilcoxon Sign Rank Test and based on the results of the study it was found that before the inhalation of the peppermint oil aromatherapy, majority of the pregnant women experienced moderate nausea, 12 people (80%), but after the aromatherapy majority of pregnant women did not experience nausea vomiting, 12 people (80%). It was also found that differences in the mean scores of nausea and vomiting of pregnant women before and after inhalation of peppermint oil aromatherapy were 6.13. Through the Wilcoxon Sign Rank Test obtained p value of 0.001, which means that there is an effect aromatherapy to decrease nausea and vomiting in pregnant women at private clinic of Linda Silalahi Pancur Batu. Pregnant women who experience nausea and vomiting can use peppermint oil inhaled aromatherapy to reduce the use of pharmacological therapy.

HUBUNGAN PEMBERIAN ASI EKSKLUSIF DENGAN PENURUNAN STUNTING PADA ANAK USIA 6-23 BULAN DI DESA SOSOR LONTUNG, KECAMATAN SIEMPAT NEMPU, KABUPATEN DAIRI TAHUN 2019 Evanata Lina Sinaga; Rismahara Lubis; Yusniar Siregar; Evi Irianti
COLOSTRUM : Jurnal Kebidanan Vol. 1 No. 1 (2019): Desember 2019
Publisher : Poltekkes Kemenkes Medan

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Stunting is a condition of failure to thrive in children under five due to chronic malnutrition. One cause of stunting is poor parenting patterns such as feeding in the first 2 years after birth. Exclusive breastfeeding is the best nutrition a baby receives in the first 6 months of life. The purpose of this study was to determine the relationship of exclusive breastfeeding with the decrease of stunting in children aged 6-23 months in Sosor Lontung Village, Siempat Nempu District, Dairi Regency. This study used a cross-sectional study design. The sample of this research was children aged 6-23 months as many as 39 people. Data collection was carried out by interview and measurement of children's length / height. Univariate and bivariate data analysis used Chi Square test with ?-value <0.05. Based on the bivariate analysis showed that there was a significant relationship between exclusive breastfeeding and the incidence of stunting with ?-value 0.037. The results showed the percentage of stunting in children aged 6-23 months was greater in children who were not given exclusive breastfeeding (50%) than those who received exclusive breastfeeding (17.65%). The results of bivariate analysis showed that there was a significant relationship between exclusive breastfeeding and the incidence of stunting with a value-value of 0.037. That is, exclusive breastfeeding can reduce the risk of stunting is getting smaller. It is hoped that all babies will receive exclusive breastfeeding so that the baby can grow optimally.

EFEKTIFITAS PEMBERIAN PERMEN JAHE TERHADAP MUAL MUNTAH PADA IBU HAMIL DI KLINIK KHAIRUNIDA SUNGGAL TAHUN 2018 Ani Nurdiana; Betty Mangkuji; Rismahara Lubis
COLOSTRUM : Jurnal Kebidanan Vol. 1 No. 1 (2019): Desember 2019
Publisher : Poltekkes Kemenkes Medan

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Pregnancy causes a lot of change in the mother’s body, so there are various kinds of physiological discomfort in the mother such as nause and vomiting, usually mild and controlable. This condition sometimes stops in the first trimester, but its effect may lead to nutritional disorder, dehydration, weakness, weight loss, and electrolyte imbalances. If not treated, it will worsen into Hyperemesis Gravidarum This study aimed to determine the effectiveness og ginger candy in reducing the frecuency of nause and vomiting in first trimester pregnant women in the Khairunida clinik with experimental Quasy design and tested by One Group Pretest Postest. About 15 samples were obtained through purposive sampling technique and the data were taken using the T-dependent test. Through the study, it was found that the frequency of nausea and vomiting before being given intervation was 10,93 and after being given intervation was 3,33 with an average decrease by 7,60. Through the statistical test, it was obtained the p value <(0.05) so that this study concluded that administration of ginger candy was effective in reduring nausea and vomiting in first trimester pregnant women. Further researchers are expected toreduce the use of non-pharmacological drugs to overcome nausea and vomiting in first trimester pregnant women and collaborate with the pharmacy department to facilitate the process of making good qualityy ginger candy.

HUBUNGAN AKSES DAN MOTIVASI IBU DENGAN PEMBERIAN IMUNISASI DASAR PADA BAYI 0-11 BULAN DI DESA LUMBAN TORUAN WILAYAH KERJA PUSKESMAS KENTARA KECAMATAN LAEPARIRA KABUPATEN DAIRI TAHUN 2019 lidya marbun; Rismahara lubis; Arihta Sembiring
COLOSTRUM : Jurnal Kebidanan Vol. 1 No. 2 (2020): Edisi Juni 2020
Publisher : Poltekkes Kemenkes Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36911/colostrum.v1i2.686

Basic immunization is given to prevent various diseases, including hepatitis B, tuberculosis, diphtheria, pertussis, tetanus, polio and measles. Based on the data found, basic immunization coverage is still below the target. The condition was caused by the family not allowing and immunization service places far from their homes. This study aims to determine the relationship between access and motivation of mothers with basic immunization for infants aged 0-11 months in Lumban Toruan Village, Kentara Health Center, Dairi District, 2019. This type of research is analytic with cross sectional design. The population in this study were all mothers with babies aged 0-11 months who visited the Posyandu in Lumban Toruan village as many as 34 people. The sample used is total population. The data used are primary and secondary data, instruments used in questionnaires, data analysis using statistical tests, namely Chi-Square test with ? <0.05. The results showed that there was a relationship between access and basic immunization for infants aged 0-11 months in Lumban Toruan Village, Kentara Health Center Work Area, Dairi Regency in 2019, with a value of ? = 0.001 (<0.05). There is a relationship between maternal motivation and basic immunization for infants aged 0-11 months in Lumban Toruan Village, Kentara Health Center Work Area, Dairi Regency in 2019, with a value of ? = 0.001 (<0.05). It is hoped that health workers in Lumban Toruan Village will improve information or counseling about the importance of basic immunization and make home visits for mothers with 011 months infants who have difficult access to improve the health status of infants.

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