Rismahara Lubis
Politeknik Kesehatan Kementerian Kesehatan Medan

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EFEKTIFITAS POSISI PERSALINAN SETENGAH DUDUK DAN MIRING KIRI TERHADAP LAMA PERSALINAN KALA II DI KLINIK BIDAN HELEN TARIGAN KEC. MEDAN SELAYANG DAN KLINIK PRATAMA NIAR KEC. MEDAN AMPLAS TAHUN 2020 Rismahara Lubis; Maulida Rahmah; Kumalasari
COLOSTRUM JURNAL KEBIDANAN Vol. 2 No. 2 (2021): COLOSTRUM JURNAL KEBIDANAN EDISI JUNI 2021
Publisher : Poltekkes Kemenkes Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

In Indonesia the MMR is still high, namely 305/100,000 lives birth (Ministry of Health, 2018) In 2017 out of 34 provinces in Indonesia, North Sumatra was among the 6 provinces with a high MMR (Ministry of Health, 2017). In 2017, the MMR in North Sumatara amounted to 58.18 / 100,000 lives birth while in 2018 the MMR increased by a total of 62.18 / 100,000 lives birth (North Sumatra Health Office, 2018). This study aims to determine the effectiveness of semi fowler and lying on the left position to the duration of second stage labor in Helen Tarigan midwifery clinic of Medan Selayang sub district and Niar midwifery clinic of Medan Amplas sub district in 2020. This type of research was pre-experimental with one shot case study / post-test only design. and sampling by purposive sampling, the sample is third trimester pregnant women who will give birth amounting to 22 people.  Based on the results of the independent t-test, the value of ? (0.01) <? (0.05) means that the position of semi fowler and lying on the left position of labor in maternal is proven to significantly accelerate the length of the second stage of labor. The average length of second stage of labor in the semi fowler position was 33.63 minutes and the average length of second stage of labor in lying on the left position was 26.44 minutes. Thus, the length of the second stage of labor in the lying on the left position was faster than the semi fowler position with a time difference of 7.19 minutes. Therefore, it can be concluded that the position of semi fowler labor and lying on the left position of labor is effective against the duration of the second stage of labor. It is expected that each midwife recommends using lying on the left of delivery position to accelerate the second stage of labor Keywords : Semi Fowler Birth Position, Lying On The Left Delivery Position, Length of Second Stage of Labor
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

Abstract

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

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (443.957 KB) | DOI: 10.36082/gemakes.v1i2.301

Abstract

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

Abstract

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
Penyuluhan Pencegahan Infeksi dan Penyembuhan Luka Perineum Ibu Post Partum dengan Perawatan Menggunakan Gel Daun Sirih Merah 15% di PMB Satiani Aziz Tembung Kecamatan Percut Sei Tuan Kabupaten Deli Serdang Rismahara Lubis; Yusniar Siregar
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 6, No 2 (2023): Volume 6 No 2 Februari 2023
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v6i2.8288

Abstract

ABSTRAK Sebagian besar ibu bersalin mengalami robekan pada perineum yang mengakibatkan perdarahan, oleh karena itu diperlukan penjahitan pada perineum. Lama penyembuhan luka jahitan perineum akan berlangsung 7 – 10 hari dan tidak lebih dari 14 hari. Perawatan luka perineum pada ibu setelah melahirkan saat ini lebih banyak menggunakan povidon iodine 10%. Permasalahan dilingkungan mitra berdasarkan hasil survey awal, ibu post partum belum mengetahui perawatan perineum dapat menggunakan gel daun sirih merah 15%. Tujuan Pengabdian masyarakat ini adalah meningkatkan pengetahuan Meningkatkan pengetahuan ibu postpartum tentang pencegahan infeksi dan   penyembuhan luka perineum dengan perawatan menggunakan gel daun sirih merah 15%, Ibu Postpartum  bersedia merawat luka perineumnya menggunakan gel daun sirih merah 15% dengan benar. Kegiatan Pengabdian masyarakat berupa penilaian pengetahuan   ibu nifas tentang perawatan perineum  sebelum   dan   sesudah   diberikan penyuluhan serta demonstrasi cara perawatan robekan perineum dengan gel sirih merah 15% dan melakukan perawatan robekan perineum dengan menggunakan gel sirih merah 15% 2 kali sehari sesuai prosedur yang telah ditetapkan. Hasil pengabdian masyarakat diperoleh terdapat peningkatan pengetahuan ibu nifas menjadi 75% dalam kategori baik dan percepatan penyembuhan robekan perineum 80% luka perineum sembuh dalam waktu < 5 hari. Penyuluhan bermanfaat meningkatkan pengetahuan ibu dan pemberian gel sirih merah 15% untuk perawatan robekan perineum mempercepat penyembuhan luka perineum ibu nifas. Dari hasil yang diperoleh maka diperlukan tindak lanjut pengabdian masyarakat pada sasaran dan wilayah yang lebih besar. Kata Kunci: Gel Sirih Merah 15%, Luka Perineum, Ibu Nifas  ABSTRACT Most of the women who gave birth experienced a tear in the perineum which resulted in bleeding, therefore, suturing the perineum was needed. The healing time of perineal sutures will last 7-10 days and no more than 14 days. Treatment of perineal wounds in mothers after childbirth currently uses 10% povidone iodine. Problems in the partner environment based on the results of the initial survey, post partum mothers do not know that perineal care can use 15% red betel leaf gel. The purpose of this community service is to increase knowledge. To increase knowledge of postpartum mothers about preventing infection and healing perineal wounds by using 15% red betel leaf gel, postpartum mothers are willing to properly treat their perineal wounds using 15% red betel leaf gel. Community service activities in the form of assessing postpartum mother's knowledge about perineal care before and after being given counseling and demonstrations on how to treat perineal tears with 15% red betel gel and treating perineal tears using 15% red betel gel 2 times a day according to established procedures. The results of community service obtained that there was an increase in knowledge of postpartum mothers to 75% in the good category and acceleration of perineal tear healing 80% of perineal wounds healed within < 5 days. Counseling is useful in increasing mother's knowledge and giving 15% red betel gel for the treatment of perineal tears to accelerate the healing of postpartum mothers' perineal wounds. From the results obtained, it is necessary to follow up on community service on larger targets and areas. Keywords: Red Betel Gel 15%, Perineal Wound, Postpartum Mother
Preconception Health Education is Provided to Healthy Childbearing Couples in The Preconception Phase Irma Linda; Elisabeth Surbakti; Rismahara Lubis; Cecep Triwibowo
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 6, No 2 (2024): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v6i2.20410

Abstract

Several biological, behavioral, and social preventative strategies can improve the chances of having a healthy baby during pregnancy. Preconception health care spans the entire reproductive life cycle. Early preconception counseling should attempt to improve both women's and men's sexual and reproductive health. It should begin with early instruction on healthy lifestyle behaviors, safe sex, and pregnancy planning for childbearing couples. This research aims to develop preconception health education for family-based childbearing age couples planning a healthy pregnancy in Deli Serdang district. The Equivalent Time Series Samples approach was employed in this  study as a quasi-experimental approach. The total sample size was 90 couples of reproductive age.  The analysis in this study was carried out descriptively to see the characteristics of each variable studied and to measure the effect of providing health education during the preconception period on the knowledge and perception of Couples of Childbearing Age about preconception health using a paired sample T test. The intervention provided is health education about preconception health provided to couples of childbearing age. The implementation of the research has received approval from the Health Research Ethics Committee of the Medan Health Polytechnic with the number: 01.25.174 /KEPK/POLTEKKES KEMENKES MEDAN 2023. There is a difference in the average variable knowledge of couples of childbearing age at pretest and posttest with an increase of 5, 2778, and there is also an increase in the perception variable with an increase of 0.8889, and the results of statistical tests using the Paired Samples Test obtained show differences in respondents' knowledge and perceptions before and after the intervention.  Family-based preconception health education has been effective in raising the awareness and attitudes of childbearing couples regarding the planning and preparation of a healthy pregnancy as well as in motivating them to seek a check-up at a health care facility.  Keywords:  Health Behavior, Health Services, Preconception Care, Pregnancy