Rismahara Lubis
Politeknik Kesehatan Kementerian Kesehatan Medan

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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
Antimicrobial Effectiveness Test of Ethanol Extract of Red Betel (Piper crocatum Ruiz And Pav) Rismahara Lubis; Dodoh Khodijah; Adhisty Nurpermatasari
Jurnal FARMASIMED (JFM) Vol 8 No 1 (2025): Jurnal Farmasimed (JFM)
Publisher : Fakultas Farmasi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/22z4xd23

Abstract

Background: Red betel leaf (Piper crocatum Ruiz & Pav) is a traditional medicinal plant that contains active compounds such as flavonoids, alkaloids, tannins, saponins, and essential oils that have potential as antimicrobials. Objective: This study aims to determine the effectiveness of ethanol extract of red betel against microbial growth. Methods: The research was conducted experimentally using the disc diffusion method on agar media with concentrations of 80%, 90% and 100%. The dependent variable was microbial inhibition. Several antibiotics and antifungals were used as positive controls, while distilled water was used as negative control. Results: The results showed that the average inhibition zone against Staphylococcus aureus at concentrations of 80%, 90% and 100% were 26,96 mm, 28,69 mm and 30,1 mm respectively with a positive control of tetracycline of 28.1 mm. In Escherichia coli it was 12,66 mm, 14,13 mm and 15,17 mm respectively with positive control of amoxicillin of 22.16 mm. Pseudomonas aeruginosa produced inhibition zones of 12,7 mm, 14,5 mm and 15,78 mm respectively with a positive control of chloramphenicol of 6.95 mm. In Klebsiella pneumoniae it was 13,47 mm, 14,81 mm and 16,05 mm respectively with ampicillin positive control of 6,22 mm. On Candida albicans, the zones of inhibition were 9,77 mm, 11,26 mm and 12,32 mm, respectively, with a positive control of ketoconazole of 29.95 mm. The zones of inhibition of antibiotics and comparative antifungals varied, some producing larger diameters than the extract, while others were lower. The negative control showed no inhibitory activity. Conclusion: It was concluded that the ethanol extract of red betel was able to inhibit some microbial growth according to the Indonesian Pharmacopoeia VI Edition standard of 14-16 mm.
HUBUNGAN PENGETAHUAN DAN SIKAP IBU HAMIL TENTANG PEMERIKSAAN HIV DAN SIFILIS DI PUSKESMAS MEDAN JOHOR TAHUN 2025 Putri Inda Aulia; Suryani; Rismahara Lubis; Dodoh Khodijah
Jurnal Ilmiah PANNMED (Pharmacist, Analyst, Nurse, Nutrition, Midwivery, Environment, Dentist) Vol. 20 No. 2 (2025): Jurnal Ilmiah PANNMED Periode Mei - Agustus 2025
Publisher : Poltekkes Kemenkes Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36911/pannmed.v20i2.2291

Abstract

HIV and Syphilis are still hot issues in society, especially among pregnant women who are very susceptible to sexually transmitted infections (IMS), especially HIV and Syphilis. The prevalence rate in Indonesia for HIV and Syphilis reaches 0,39%. HIV reaches 1,7% and Syphilis reaches 2,5% in pregnant women. This is due to the lack of knowledge and insight about HIV and Syphilis, which causes negative attitudes such as fear and unwillingness to undergo HIV and Syphilis examinations because they feel unimportant. This study aims to determine the relationship between knowledge and attitudes of pregnant women with HIV and Syphilis examinations. This study uses a quantitative method with a cross-sectonal research design. This type of research is quantitative analytic. The number of respondents was 50 pregnant women in TM 1 or Tm 3 who underwent pregnancy examinations at the Medan Johor Health Center, which used the Total Sampling technique. Data were obtained using quetionnaires and laboratory test. The results of the study showed that out of 50 respondents, 30 respondents were in the category of good knowledge about HIV and Syphilis. Meanwhile, 39 respondents had a positive attitude toward HIV and Syphilis examinations and 11 respondents had a negative attitude and one respondent whose test results were positive. The results of the statistical test using Chi- Square showed a significance result of p = 0,304 (p > 0,05), so it can be concluded that there is no relationship between the knowledge and attitudes of pregnant women with HIV and Syphilis examinations
PEMBERIAN AROMATERAPI MINYAK PEPPERMINT SECARA INHALASI BERPENGARUH TERHADAP PENURUNAN MUAL MUNTAH PADA IBU HAMIL DI PMB LINDA SILALAHI PANCUR BATU TAHUN 2019 Lubis, Rismahara; Evita, Sonya; Siregar, Yusniar
Colostrum Jurnal Kebidanan Vol. 1 No. 1 (2019): Desember 2019
Publisher : Poltekkes Kemenkes Medan

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Abstract

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 Sinaga, Evanata Lina; Lubis, Rismahara; Siregar, Yusniar; Irianti, Evi
Colostrum Jurnal Kebidanan Vol. 1 No. 1 (2019): Desember 2019
Publisher : Poltekkes Kemenkes Medan

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Abstract

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 Nurdiana, Ani; Mangkuji, Betty; Lubis, Rismahara
Colostrum Jurnal Kebidanan Vol. 1 No. 1 (2019): Desember 2019
Publisher : Poltekkes Kemenkes Medan

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Abstract

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.
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 Lubis, Rismahara; Rahmah, Maulida; Kumalasari
Colostrum Jurnal Kebidanan Vol. 2 No. 2 (2021): Juni 2021
Publisher : Poltekkes Kemenkes Medan

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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
KONSUMSI AIR KELAPA TERHADAP PENURUNAN NYERI HAID (DISMENORE) PADA REMAJA PUTRI Anlistaeni, Dita; Khodijah, Dodoh; Lubis, Rismahara
Journal of Midwifery Science and Women's Health Vol. 6 No. 1 (2025): JMSWH
Publisher : Jurusan Kebidanan Poltekkes Kemenkes Jakarta I

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36082/jmswh.v6i1.2504

Abstract

Data World Health Organization (WHO) tahun 2020 menyatakan kejadian wanita yang mengalami dismenore sebesar 1.769.425 jiwa (90%). Di Indonesia sendiri angka kejadian dismenore pada wanita berusia 14-19 tahun sebesar 64,25%. Data Survei Demografi dan Kesehatan Indonesia (SDKI) prevalensi kejadian dismenore di Deli Serdang tahun 2022 mencapai 60-70%. Penelitian ini bertujuan untuk mengetahui “Pengaruh konsumsi air kelapa terhadap penurunan nyeri haid ( dismenore ) pada remaja putri di SMPN 1 Galang”. Penelitian ini menggunakan metode kuantitatif dengan desain penelitian berupa quasi eksperimen dengan rancangan two group pretest-posttest design. Pengambilan sampel menggunakan teknik purposive sampling sebanyak 36 responden yang dibagi menjadi 2 kelompok yaitu kelompok perlakuan dan kontrol. Kelompok perlakuan adalah remaja putri kelas VIII yang diberikan air kelapa dengan dosis 200 ml sedangkan kelompok kontrol adalah remaja putri kelas VIII yang diberikan air kelapa dengan dosis 250 ml. Instrumen penelitian menggunakan skala nyeri Numeric Rating Scale (NRS). Analisis data terdiri dari analisis univariat dan bivariat. Uji statistik yang digunakan yaitu uji normalitas Shapiro Wilk dan Independent Sample T Test. Hasil uji statistik diperoleh nilai ? = 0,295 yang menunjukkan adanya pengaruh konsumsi air kelapa terhadap penurunan nyeri dismenore. Dapat disimpulkan bahwa air kelapa dapat menurunkan rasa nyeri dismenore dan peneliti merekomendasikan pada remaja putri yang mengalami nyeri dismenore untuk mengonsumsi air kelapa pada saat menstruasi.
PENDIDIKAN KESEHATAN MENGGUNAKAN BUKU SAKU DIGITAL TERHADAP PENGETAHUAN TENTANG MENSTRUAL HYGIENE Nisa, Khaira; Khodijah, Dodoh; Lubis, Rismahara
Journal of Midwifery Science and Women's Health Vol. 6 No. 1 (2025): JMSWH
Publisher : Jurusan Kebidanan Poltekkes Kemenkes Jakarta I

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36082/jmswh.v6i1.2505

Abstract

Pengetahuan yang buruk terhadap menstrual hygiene yang tidak aman memiliki dampak klinis yang cukup besar bagi anak remaja putri dan keturunan pada masa depan. Untuk meningkatkan pengetahuan terhadap menstrual hygiene diperlukan adanya pendidikan kesehatan yang bersifat inovatif dan menarik. Menstrual hygiene merupakan hal penting dalam kesehatan organ reproduksi, dengan berperilaku hygiene yang baik, seorang remaja putri akan terhindar dari mikroorganisme seperti bakteri, jamur, dan virus yang dapat mengganggu fungsi organ reproduksi. Penelitian ini untuk menganalisis pengaruh pendidikan kesehatan menggunakan buku saku digital terhadap pengetahuan menstrual hygiene di SMPN 1 Galang. Jenis penelitian menggunakan pre ekperimental design dengan pendekatan menggunakan teknik one group pretest posttest design. Jumlah populasi 47 siswi, jumlah sampel 47 responden kelas VIII-2, VIII-3, VIII-4. Teknik pengambilan sampel total sampling dengan menggunakan nonprobability sampling. Data dikumpulkan menggunakan lembar kuesioner dan analisis univariat dan bivariat dengan uji Wilcoxon Rank. Hasil penelitian ini menunjukkan 34 (72,3%) siswi bermayoritas usia 14 tahun, dimana 16 (34,0%) diantaranya mengalami menarche pada usia 11 tahun. Sebagian besar siswi memiliki tingkat pengetahuan menstrual hygiene yang baik 39 (83,0%). Pada penelitian ini hasil uji wilcoxon rank dengan ? = 0,05 diperoleh nilai p-value <,001. Hal ini berarti Ho ditolak dan Ha diterima yaitu adanya perubahan signifikan dalam pengetahuan tentang menstrual hygiene setelah diberikan pendidikan kesehatan menggunakan buku saku digital.