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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

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.

Efektifitas Hypnobreastfeeding Pada Ibu Menyusui Terhadap Kecukupan Asi Pada Bayi Usia ≤ 3 Bulan Di Praktik Mandiri Bidan Risma Dan Praktik Mandiri Bidan Sri Armila Deli Serdang Tahun 2018 Rismahara Lubis; Yusniar Siregar; Evi Irianti
ANATOMICA MEDICAL JOURNAL | AMJ Vol 3, No 1 (2020)
Publisher : Universitas Muhammadiyah Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30596/anatomica

Some of mothers who experiences of obstacles breastfeeding their babies exclusively for 6 months fully and hypnobreastfeeding is one of solution. The purpose of this study was to determine the effectiveness of hypnobreastfeeding on mothers keep on the adequacy of breast milk in infant ages 3 months at Independent Midwives Practices “Risma” and Independent Midwife Practices “Sri Armila” Deli Serdang in 2018. This research is an experimental Quasi. The sample size is 32 postpartum mothers who exclusively breastfeeding their babies, devided two groups as control and experiment. Data be analized by Kruskal Wallis test with a significance level of 0.05. The result is found significant differences increasing infant weight between control and treatment groups ranging from 1 to 3 ages months. There is a significant difference of urinary frequence between control and treatment group from the first day birthing till 3 months up. Keywords: Hypnobreastfeeding, breastfeeding adequacy, babies aged ≤3months

PELAKSANAAN KEGIATAN HYPNOBREASTFEEDING PADA IBU MENYUSUI YANG MEMPUNYAI BAYI < 3 BULAN DI PRAKTIK MANDIRI BIDAN RISMA DELI SERDANG TAHUN 2019: IMPLEMENTATION OF HYPNOBREASTFEEDING ACTIVITIES IN BREASTFEEDING MOTHERS WHO HAVE BABIES 3 MONTHS IN SELF PRACTICE MIDWIFE RISMA DELI SERDANG IN 2019 Rismahara Lubis; Yusniar Siregar
GEMAKES: Jurnal Pengabdian Kepada Masyarakat Vol. 1 No. 2 (2021): GEMAKES: Jurnal Pengabdian Kepada Masyarakat
Publisher : Politeknik Kesehatan Kemenkes RI Jakarta I

Breast milk is the only perfect and best food for babies, because it contains the nutritional elements needed by babies for infant growth and development in order to achieve optimal baby growth and development. The reality in the field is that there are still many mothers who experience obstacles/constraints to exclusively breastfeed their babies for 6 full months, even though breastfeeding is a natural condition. One solution that can help overcome barriers to exclusive breastfeeding is hypnobreastfeeding. The purpose of this community service is to increase mother's knowledge about exclusive breastfeeding and mother's confidence to be able to meet the adequacy of breastfeeding through Hypnobreastfeeding techniques in infants as an effort to increase milk production and expenditure The methods used in this Community Service activity are lectures, questions and answers, demonstrations and practices carried out by the instructor and assignments carried out by postpartum mothers who gave birth at the Independent Practice Midwife Risma as many as 15 people. The implementation of Hypnobreastfeeding activities is carried out routinely every day 5 (five) times a week by listening to Hypnobreastfeeding audio recordings for ± 30 minutes, carried out independently by the participants. The results obtained provided enormous benefits for the participants, including they felt that the baby was not fussy, slept soundly, urinated more than 6 times a day and the baby's weight increased. From this activity, it can be concluded that through counseling activities, demonstrations of correct breastfeeding methods/techniques and Hypnobreastfeeding, it can increase knowledge, skills and increase production of breast milk production and fulfill breast milk adequacy in mothers who breastfeed babies aged 3 months at the Independent Practice of Midwife Risma.

Gel Daun Sirih Merah (Piper crocatum Ruiz & Pav) 15% Efektif dalam Mempercepat Penyembuhan Luka Perineum pada Tikus Putih Betina (Rattusnorvegicus) Galur Wistar Yusniar Siregar; Rismahara Lubis; Evi Irianti
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 13, No 3 (2022): Juli 2022
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf.v13i3.2219

Perineal wounds if not treated properly can lead to infection. Several ways to treat perineal wounds due to childbirth have been widely studied, one of which is by using herbal plants such as red sirin leaves which are known to have antiseptic and antibacterial effects. The purpose of this study was to analyze the difference in the effectiveness of 15% red betel leaf gel and 10% Povidone Iodine ointment on perineal wound healing in female white wistar rats. This type of research was a true experiment with a posttest only design with a control group. The population in this study were pregnant female white rats with the Wistar strain, which gave birth several times or for the first time and were 10 weeks old. The research sample was calculated using the Federer formula, in order to obtain a minimum sample size of 10 in each group consisting of 3 groups. Data analysis was carried out by ANOVA test, followed by Pos Hoc test. The results showed that the drying of wounds given 15% betel leaf gel was 3 days, while in the group given 10% povidone iodine ointment it was 8 days. The duration of wound healing (based on the unification of wound tissue) for the group given 15% red betel leaf gel was 6 days, while the group given 10% povidone odine ointment was 10 days. The results of statistical tests showed p value <0.05, so there was a difference in the speed of wound healing from the two groups. Furthermore, it was concluded that 15% red betel leaf gel was more effective for wound healing than 10% Povidone Iodine ointment.Keywords: red betel leaf; povidone-iodine; perineal woundABSTRAK Luka perineum jika tidak ditangani dengan baik dapat menyebabkan infeksi. Beberapa cara untuk mengobati luka perineum akibat persalinan telah banyak diteliti, salah satunya adalah dengan menggunakan tanaman herbal seperti daun sirin merah yang diketahui memiliki efek antiseptik dan antibakteri. Tujuan dari penelitian ini adalah untuk menganalisis perbedaan efektivitas 15% gel daun sirih merah dan salep Povidone Iodine 10% pada penyembuhan luka perineal pada tikus wistar putih betina. Jenis penelitian ini adalah eksperimen murni dengan desain posttest only with control group. Populasi dalam penelitian ini adalah tikus putih betina bunting dengan strain Wistar, yang melahirkan beberapa kali atau pertama kali dan berumur ≥10 minggu. Sampel penelitian dihitung menggunakan rumus Federer, sehingga diperoleh ukuran sampel minimal yaitu 10 ekor di setiap kelompok yang terdiri atas 3 kelompok. Analisis data dilakukan dengan uji ANOVA, dilanjutkan dengan tes Pos Hoc. Hasil penelitian menunjukkan bahwa pengeringan luka yang diberi 15% gel daun sirih adalah 3 hari, sedangkan pada kelompok yang diberi salep povidone iodine 10% adalah 8 hari. Lama penyembuhan luka (berdasarkan penyatuan jaringan luka) kemponpok yang diberikan gel daun sirih merah 15% adalah 6 hari, sedangkan kelompok yang diberi salep povidone odine 10% adalah 10 hari. Hasil uji statistik menunjukkan nilai p <0,05, sehingga ada perbedaan kecepatan penyembuhan luka dari kedua kelompok. Selanjutnya disimpulkan bahwa gel daun sirih merah 15% lebih efektif untuk penyembuhan luka daripada salep Povidone Iodine 10%.Kata kunci: daun sirih merah; povidone iodine; luka perineum

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