Pintam Ayu Yastirin
Universitas An Nuur

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Perineum massage as the implementation of non-pharmacological method in pregnant women trimester III in efforts to prevent tearing perineum at Toroh Public Health Center I Pintam Ayu Yastirin; Sehmawati Sehmawati
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 9, No 2 (2021)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2021.9(2).111-118

Abstract

Background : Incidence of maternal mortality in Central Java is 64.18% during the puerperium, 25.72% during pregnancy and 10.10% during childbirth. Of the 35 districts / cities in Central Java, Grobogan Regency was recorded as one of the districts with the most MMR (AKI) in 2019, amounting to 36 cases. Emergencies can occur during the puerperium which are often caused by bleeding, infection and pre-eclampsia. cases of bleeding during the puerperium are caused by major risk factors such as uterine atony (70%), lacerations of the birth canal (20%), retained placenta (10 - 20%) and coagulopathy (1%).hemorrhage Post partum due to perineal tearing can be minimized by improving the quality of service both promotive, preventive, curative and rehabilitative. One method of preventing perineal tearing can be done since pregnancy by performing perineal massage. Objectives : The purpose of this study was to determine the effectiveness of perineal massage in third trimester pregnant women as a non-pharmacological method in preventing perineal tears at Toroh I Health Center. Methods : The study used a pre-experimental design with amodel static group comparison, with a sample selected using a purposive sampling technique of 48 pregnant women. The research data used is in the form of primary data and secondary data. The research was analyzed using univariate and bivariate analysis using the test Fisher Exact Probability. Results : The results of the research were univariate analysis of 50% of respondents doing perineal massage, 58% of respondents did not experience perineal rupture, while the bivariate analysis of perineal massage variables and perineal rupture variables showed p-value <0.05 with OR: 18.142 at the 95% confidence level. Conclusions : There is a significant effect between perineal massage on the incidence of perineal rupture at Toroh Public Health Center I.
PEMENUHAN KEBUTUHAN ZAT FITOESTROGEN PADA WANITA USIA MENOPAUSE Wahyu Utami Ekasari; Pintam Ayu Yastirin
JKM (Jurnal Kebidanan Malahayati) Vol 6, No 3 (2020): Volume 6 Nomor 3 Juli 2020
Publisher : Program Studi Kebidanan Fakultas Kedokteran Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkm.v6i3.2677

Abstract

ABSTRACT  Background Menopause is a phase of female reproduction characterized by the cessation of menstruation due to decreased production of the hormone estrogen, which begins to occur in the age range of 40-50 years. World Health Organization (WHO) Projection (2014) in 2030 the number of women worldwide entering menopause is estimated at 1.2 billion people, while in 2025 there are an estimated 60 million menopausal women. In 2016, in Indonesia there were 14 million (7.4%) menopausal women and the population of Central Java province in the group of women aged 40-44 years was 1,240,110 million (7.2%), aged 45-49 years was 1,215 .340 million (7.1%) and ages 50-54 totaling 1,126,818 million (6.7%) (Ministry of Health, 2016; BPS Central Java 2016). Signs of menopausal symptoms vary for each woman such as hot flashes, depression, anxiety, and mood instability. One of the needs of menopausal women to overcome the discomfort due to changes that occur by consuming nutrients that contain carbohydrates, proteins, fats, vitamins, minerals and phytoestrogens (Andira, 2010; Melani, 2012).  Purpose to know the respondent's characteristic relationship to the fulfillment of phytoestrogen requirement in menopausal women. Method The type of research used was an analytical survey with a population of 671 people in the menopause age group (ages 45 - 59 years) in Ngembak Village. Samples were taken using a simple random sampling technique of 47 people. The study was conducted from January to December 2019 using primary data from the Food Frequency Form (FFQ) which contained various foods containing phytoestrogens as well as secondary data whose results were analyzed using the Lambda Contingency Coefficient formula. Result Based on the results of research and data analysis, it is known that the variable that has a relationship with the fulfillment of phytoestrogens is the Body Mass Index (BMI) variable. This is indicated by the p-value of 0.458 <0.05. Conclusion Body Mass Index (BMI) is a measure used to assess a person's nutritional status, so that the nutritional needs needed by someone including menopausal women can be identified from the calculation of BMI. Suggestion  In an effort to improve the degree of health of women at menopause including regulating nutrition according to body conditions. This requires full support from partners and health professionals as consultants, so that women at menopause can meet their nutritional needs well.  Keywords: Characteristics of Menopause and Phytoestrogen  ABSTRAK  Latar Belakang Menopause merupakan fase reproduksi perempuan yang ditandai dengan terhentinya menstruasi karena penurunan produksi hormon estrogen, yang mulai terjadi pada rentang usia 40 – 50 tahun. Proyeksi World Health Organization (WHO) (2014) tahun 2030 jumlah wanita di seluruh dunia yang memasuki masa menopause diperkirakan mencapai 1,2 miliar orang, sedangkan pada tahun 2025 diperkirakan terdapat 60 juta wanita menopause. Tahun 2016, Di Indonesia tercatat sebanyak 14 juta (7,4 %) wanita menopause dan jumlah penduduk provinsi Jawa Tengah pada kelompok wanita usia 40-44 tahun sejumlah  1.240.110 juta (7,2%), usia 45-49 tahun sejumlah 1.215.340 juta (7,1%) dan usia 50-54 sejumlah 1.126.818 juta (6,7%)  (Kemenkes, 2016 ; BPS Jawa Tengah 2016). Tanda gejala menopause bervariasi setiap wanita seperti hot flashes, depresi, gelisah, dan mood tidak stabil. Salah satu kebutuhan wanita menopause untuk mengatasi ketidaknyamanan akibat perubahan yang terjadi dengan mengkonsumsi gizi yang mengandung karbohidrat, protein, lemak, vitamin, mineral dan fitoestrogen (Andira, 2010 ; Melani, 2012). Tujuan penelitian mengetahui hubungan karakterisrik responden terhadap pemenuhan kebutuhan fitoestrogen pada wanita menopause.  Metode jenis penelitian Jenis penelitian yang digunakan adalah survai analitik dengan populasi kelompok wanita usia menopause (usia 45 – 59 tahun) sebanyak 671 orang di Desa Ngembak. Sampel diambil menggunakan teknik simple random sampling sebanyak 47 orang.  Penelitian dilaksanakan sepanjang bulan Januari – Desember 2019 dengan menggunakan data primer dari Formulir Food Frequency (FFQ) yang berisi macam-macam makanan yang mengandung fitoestrogen serta data sekunder yang hasilnya dianalisis menggunakan rumus Koefisien Kontingensi Lambda. Hasil penelitian Berdasarkan hasil penelitian dan analisis data diketahui bahwa variabel yang memiliki hubungan dengan pemenuhan fitoestrogen adalah variabel Indeks Massa Tubuh (IMT) Hal tersebut ditunjukkan dengan hasil p-value 0,458 < 0,05.  Kesimpulan  Indeks Massa Tubuh (IMT) merupakan ukuran yang digunakan untuk menilai status gizi seseorang, sehingga kebutuhan gizi yang diperlukan seseorang termasuk wanita menopause dapat diidentifikasi dari perhitungan IMT. Saran Sebagai upaya meningkatkan derajat kesehatan wanita di usia menopause diantaranya dengan mengatur gizi sesuai kondisi tubuh. Hal tersebut membutuhkan dukungan penuh dari pasangan dan tenaga kesehatan selaku konsultan, sehingga para wanita di usia menopause dapat memenuhi kebutuhan gizinya dengan baik.  Kata Kunci : Karakteristik Menopuse dan Fitoestrogen  
The Obedience of woman pregnant in consuming Kalk Dose 1500 mg/day to reduce hypertension In The Trimester III Sehmawati; Pintam Ayu Yastirin
Jurnal Profesi Bidan Indonesia Vol. 1 No. 1 (2021): Jurnal Profesi Bidan Indonesia
Publisher : LPPM AN NUUR

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Abstract

Background: Hypertension in pregnancy occurs around 5-15%, and is one of 3 causes of maternal mortality and morbidity in addition to infection and bleeding. Hypertension in pregnancy can also progress to preeclampsia and eclampsia which can cause maternal and fetal death, Compliance as the level of the patient performs the manner of treatment and behavior suggested by his physician or the other. Obedience is the patient's positive behavior in achieving the goal of therapy. Purpose: To know maternal obedience consumption of calcium dose 1500mg / day to decrease of hypertension. Method: This research is correlative analytics using 32 pregnant women with hypertension. Each responden was given a questionnaire containing about maternity compliance consumption of calcium dose 1500mg / day. Bivariate analysis using the Chi Square test. Results: 23 respondents were found to be obedient to calc intake, 22 respondents experienced a decrease in blood pressure and 1 respondent did not experience a decrease in blood pressure. Of the 9 respondents who did not comply with calc consumption, 7 respondents did not experience a decrease in blood pressure, 2 respondents experienced a decrease in blood pressure. Conclusion: There was a relationship between maternal adherence to the consumption of 1500 mg/day calk to decrease blood pressure in third trimester pregnant women (p = 0.000 or p <0.05)
The Effect Of Giving Lemon Aroma Therapy On Menstrual Pain For Class Xa Students At MAN 02 Kudus Winda Yunyaty Harianja; Pintam Ayu Yastirin
Jurnal Profesi Bidan Indonesia Vol. 1 No. 2 (2021): Jurnal Profesi Bidan Indonesia
Publisher : LPPM AN NUUR

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Abstract

Background: Menstruation is a periodic process that comes every 28030 days. The first menstrual period (menarche) usually begins at the age of 11-15 years. This cycle will continue until menopause, unless pregnancy occurs. Every menstrual period dark colored menstrual blood will be issued every month and lasts 3-8 days. Aroma therapy is a method of relaxation that uses essential oils which in practice are useful for improving one's physical, emotional and spiritual health. This is because therapy using essential oils helps to excite and refresh. The purpose of this study was to determine the effect of giving Lemon Aromatherapy on reducing menstrual pain. Methods: The type of research used is Pre Experiment with the One Group Pretest – Posttest design, which was conducted at MAN 2 Kudus in September 2021 with a sample of 20 students at MAN 2 Kudus. Results: Based on the Wiloxon test, the calculated Z value was 4, 256 with a p-value of 0.000. it can be seen that the p-value <a (0.05), this indicates that there is a significant difference in the intensity of dysmenorrhea pain before and after being given lemon aromatherapy to class XA students at MAN 2 Kudus. Conclusion: There is a change in menstrual pain complaints before and after giving Lemon Aromatherapy
The Relationship Of Mother's Knowledge Level Towards Pregnancy Class With Exclusive Breastfeeding Success Sehmawati; Rosmala Kurnia Dewi; Pintam Ayu Yastirin
Jurnal Profesi Bidan Indonesia Vol. 2 No. 1 (2022): Jurnal Profesi Bidan Indonesia
Publisher : LPPM AN NUUR

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Abstract

Background: Pregnant women class is a study group for pregnant women with a maximum number of 10 participants. In this class, pregnant women will learn together, discuss and share experiences, about maternal and child health (MCH) thoroughly and systematically and can be carried out on a scheduled and continuous basis. Classes for pregnant women are facilitated by midwives/health workers using a class package for pregnant women, which consists of a MCH handbook, flip charts, guidelines for implementing classes for pregnant women, a guide for class facilitators for pregnant women, and exercise books for pregnant women (Kemenkes RI, 2014). Purpose: Knowing the relationship between the level of knowledge of mothers in attending classes for pregnant women with exclusive breastfeeding. Method: The type of research used is analytic with a cross section approach, the sample test used is saturated sampling, with the sample used is 30 breastfeeding mothers. The status test uses the Square test (Chi Square). Results: This research was conducted on 30 respondents with good knowledge of postpartum mothers about the success of breastfeeding, namely 25 people (83.3%), exclusive breastfeeding, namely 23 people (76.7%), value of 0.006 < 0 ,05. Conclusion: A good level of knowledge of postpartum mothers in taking classes for pregnant women on a regular basis will provide the success of breastfeeding mothers in providing exclusive breastfeeding.
IDENTIFICATION OF NUTRITIONAL STATUS IN PRE-ADOLESCENT GROUP IN THE INTEGRATED ISLAMIC ELEMENTARY SCHOOL AL FIRDAUS PURWODADI Pintam Ayu Yastirin; Rosmala Kurnia Dewi
Jurnal Profesi Bidan Indonesia Vol. 2 No. 2 (2022): Jurnal Profesi Bidan Indonesia
Publisher : LPPM AN NUUR

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 Background: As many as 46 million people (17%) of the total population of productive age in Indonesia are in the adolescent age group (10-19 years), with a classification of 48% female adolescents and 52% male adolescents. In Indonesia, the prevalence of nutritional status based on BMI/U in the population aged 5-12 years is 2.4% very thin, 6.8% thin, 10.8% fat and 9.2% obese. While the prevalence of nutritional status based on height / age, 6.7% very short and 16.9% short. Purpose: describe the nutritional status of the pre-adolescent group. Method: The research design uses a cross-sectional study, through physical examination and documentation studies. The research sample was conducted using a random sampling technique of 50 students, and analyzed using descriptive analysis. Results: The research results revealed that 58% of the 50 student samples were female, and based on the results of examination of weight and height, the prevalence of nutritional status of the 50 student samples, the majority of 82% had good nutritional status. Conclusion: Gender is an internal factor that determines nutritional needs, so there is a relationship between gender and nutritional status. In standard anthropometric assessment of children's nutritional status based on BMI/U at the age of   5 to 18 years is used to determine the categories of malnutrition, undernutrition, good   nutrition, over nutrition and obesity 
THE EFFECT OF BABY MASSAGE ON BODY WEIGHT IN LBW BABIESAT PERMATA BUNDA PURWODADI HOSPITAL Rosmala Kurnia Dewi; Anggita Septyani Permatasari; Pintam Ayu Yastirin
Jurnal Profesi Bidan Indonesia Vol. 3 No. 2 (2023): Jurnal Profesi Bidan Indonesia
Publisher : LPPM AN NUUR

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Background: BBLR cases are often associated with prematurity as the cause. There are many forms of intervention in handling BBLR babies, one of which is providing intervention aimed at optimizing the baby's growth and development, one of which is providing additional stimulation which includes touch and massage. Purpose: Analyze the differences in giving massage treatment to BBLR babies. Method: Quasi experimental research design, one-group pretest posttest design. The population in this study was BBLR at Permata Bunda Hospital. The total sample was 12 respondents using the total sampling technique. Results: The results of the research show that the p value is 0.000 < α 0.05, which indicates that Ho is rejected, which means significant weight gain before and after baby massage. Conclusion: The results of the baby massage treatment showed that there was a significant increase in body weight before and after the baby massage.
DAMPAK KESEHATAN IBU PADA KEHAMILAN REMAJA Pintam Ayu Yastirin; Rizki Sahara; Sehmawati
Jurnal Profesi Bidan Indonesia Vol. 4 No. 2 (2024): Jurnal Profesi Bidan Indonesia
Publisher : LPPM AN NUUR

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 Background: UNICEF noted that Indonesia is ranked 8th highest with an absolute number of child brides of 1,459,000 cases. Nationally, there are 11.2% of girls who marry under the age of 18, and 0.5% of these girls marry when they are 15 years old. Pregnant women aged 15-19 years are at greater risk of death. The risk of death during pregnancy or childbirth in women aged 10-14 years is 5 times greater and 2 times greater in women aged 15-19 years compared to women aged 20-25 years. Purpose: describe the health impacts on adolescent pregnancy in the Puskesmas Kedungjati. Method: The research method used is a descriptive survey research method, with a retrospective approach. The sample used was 43 respondents. The data was processed and analyzed using descriptive analysis to determine the frequency distribution of each variable. Results: The results of the identification of health impacts on mothers that occur due to teenage pregnancy at the Kedungjati Health Center include anemia 30.2%, bleeding 7%, preeclampsia / eclampsia 4.70%, and prolonged labor 44.2%. Results : The results of the identification of health impacts on mothers that occur due to teenage pregnancy at the Kedungjati Health Center include anemia 30.2%, bleeding 7%, preeclampsia / eclampsia 4.70%, and prolonged labor 44.2%. Conclusion : The risk of pregnancy in adolescents can increase maternal mortality, so it can be prevented by increasing the age of marriage