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Kepatuhan Mengonsumsi Suplemen Kalsium Pada Ibu Primipara dan Multipara dengan Kejadian Preeklampsia Nirmala Harahap; Wiwin Nur Fitriani
Jurnal Ilmu Kesehatan Masyarakat Vol 10 No 02 (2021): Jurnal Ilmu Kesehatan Masyarakat
Publisher : Sekolah Tinggi Ilmu Kesehatan Indonesia Maju (STIKIM)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33221/jikm.v10i02.871

Preeklampsia merupakan penyebab tertinggi ke tiga kematian ibu setelah perdarahan dan infeksi. Beberapa penelitian menemukan bahwa suplemen kalsium mampu mengurangi resiko terjadinya preeklampsia. Penelitian ini bertujuan untuk mengetahui hubungan kepatuhan mengonsumsi suplemen kalsium pada ibu primipara dan multipara dengan kejadian preeklampsia di RSU Kota Tangerang Selatan tahun 2020. Jenis Penelitian mengggunakan analitik dengan pendekatan cohort retrosfektif. Sampel dalam penelitian ini adalah ibu bersalin di RSU Kota Tangerang Selatan sebanyak 124 orang. Analisis data menggunakan Uji Mann-Whitney, uji korelasi spearman, dan uji Chi-Square. Hasil penelitian menunjukkan bahwa tidak terdapat perbedaan tingkat kepatuhan mengonsumsi kalsium pada kelompok ibu primipara dan multipara (Pv=0,524). Namun terdapat perbedaan bermakna kepatuhan mengonsumsi kalsium pada kelompok ibu tidak preeklampsia dan preeklampsia (Pv=0,000). Tingkat kepatuhan mengonsumsi kalsium juga berhubungan dengan faktor perancu dalam penelitian ini seperti dukungan keluarga (Pv=0,003), sedangkan variabel lainnya seperti umur (Pv=0,304), kunjungan antenatal care (Pv =0,058), pengetahuan (Pv=0,386), dan peran tenaga kesehatan (Pv=0,198) bukan sebagai perancu. Selain itu kejadian preeklampsia juga terkait dengan variabel perancu yaitu dukungan keluarga (Pv=0,000), sedangkan variabel perancu lainnya seperti umur (Pv=0,143), kunjungan antenatal care (Pv =0,615), pengetahuan (Pv =0,160), dan peran tenaga Kesehatan (Pv=0,152) bukan sebagai perancu.

Determinan Kasus Preeklampsia pada Ibu Bersalin Nirmala Harahap; Irene Florensia Situmeang
Jurnal Ilmu Kesehatan Masyarakat Vol 11 No 04 (2022): Jurnal Ilmu Kesehatan Masyarakat
Publisher : Sekolah Tinggi Ilmu Kesehatan Indonesia Maju (STIKIM)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33221/jikm.v11i04.1526

Preeklampsia merupakan hipertensi yang timbul pada usia kehamilan ≥20 minggu disertai dengan adanya proteinuria. Preeklampsia merupakan penyulit kehamilan yang dapat terjadi pada saat hamil, bersalin dan masa nifas. Preeklampsia merupakan penyebab langsung kematian ibu. Penelitian ini bertujuan untuk mengetahui determinan kasus preeklampsia pada ibu bersalin. Metode penelitian menggunakan kuantitatif dengan desain Cohort retrosfektif. Pengambilan data secara cross sectional dengan pendekatan accidental sampling. Jumlah besaran sampel dalam penelitian ini menggunakan uji hipotesis dua populasi dari lemeshow, S., Hos,er., Klar., and Lwanga sesuai kriteria eksklusi diketahui sebanyak 159 ibu yang memiliki bayi 0-6 bulan. Hasil penelitian ini menunjukkan bahwa terdapat 24,5% responden mengalami preeklampsia, angka ini cukup tinggi menjadi morbiditas ibu. Hasil analisis statistik bivariat menunjukkan terdapat hubungan antara usia ibu (Pv=0,04; OR=2,495), riwayat hipertensi (Pv=0,000; OR=41,043) riwayat preeklamspia (Pv=0,000; OR=59.500), dan konsumsi kalsium (Pv= 0,018; OR=2,613) dengan kasus preeklampsia. Hasil analisis multivariat menunjukkan variabel yang paling dominan mempengaruhi kasus preeklamspia adalah riwayat hipertensi (Exp B=43,557), artinya responden dengan riwayat hipertensi akan berpeluang 43 kali terjadi preeklampsia. Dari hasil tersebut perlu adanya peningkatan edukasi pada ibu hamil mengenai faktor yang berhubungan dengan kejadian preeklampsia dan mampu untuk mengenali gejala-gelaja preeklampsia sehingga ibu hamil dapat melakukan pencegahan.

Kepatuhan Mengonsumsi Suplemen Kalsium Pada Ibu Primipara dan Multipara dengan Kejadian Preeklampsia Nirmala Harahap; Wiwin Nur Fitriani
Jurnal Ilmu Kesehatan Masyarakat Vol 10 No 02 (2021): Jurnal Ilmu Kesehatan Masyarakat
Publisher : UIMA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33221/jikm.v10i02.871

Preeklampsia merupakan penyebab tertinggi ke tiga kematian ibu setelah perdarahan dan infeksi. Beberapa penelitian menemukan bahwa suplemen kalsium mampu mengurangi resiko terjadinya preeklampsia. Penelitian ini bertujuan untuk mengetahui hubungan kepatuhan mengonsumsi suplemen kalsium pada ibu primipara dan multipara dengan kejadian preeklampsia di RSU Kota Tangerang Selatan tahun 2020. Jenis Penelitian mengggunakan analitik dengan pendekatan cohort retrosfektif. Sampel dalam penelitian ini adalah ibu bersalin di RSU Kota Tangerang Selatan sebanyak 124 orang. Analisis data menggunakan Uji Mann-Whitney, uji korelasi spearman, dan uji Chi-Square. Hasil penelitian menunjukkan bahwa tidak terdapat perbedaan tingkat kepatuhan mengonsumsi kalsium pada kelompok ibu primipara dan multipara (Pv=0,524). Namun terdapat perbedaan bermakna kepatuhan mengonsumsi kalsium pada kelompok ibu tidak preeklampsia dan preeklampsia (Pv=0,000). Tingkat kepatuhan mengonsumsi kalsium juga berhubungan dengan faktor perancu dalam penelitian ini seperti dukungan keluarga (Pv=0,003), sedangkan variabel lainnya seperti umur (Pv=0,304), kunjungan antenatal care (Pv =0,058), pengetahuan (Pv=0,386), dan peran tenaga kesehatan (Pv=0,198) bukan sebagai perancu. Selain itu kejadian preeklampsia juga terkait dengan variabel perancu yaitu dukungan keluarga (Pv=0,000), sedangkan variabel perancu lainnya seperti umur (Pv=0,143), kunjungan antenatal care (Pv =0,615), pengetahuan (Pv =0,160), dan peran tenaga Kesehatan (Pv=0,152) bukan sebagai perancu.

Determinan Kasus Preeklampsia pada Ibu Bersalin Nirmala Harahap; Irene Florensia Situmeang
Jurnal Ilmu Kesehatan Masyarakat Vol 11 No 04 (2022): Jurnal Ilmu Kesehatan Masyarakat
Publisher : UIMA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33221/jikm.v11i04.1526

Preeklampsia merupakan hipertensi yang timbul pada usia kehamilan ≥20 minggu disertai dengan adanya proteinuria. Preeklampsia merupakan penyulit kehamilan yang dapat terjadi pada saat hamil, bersalin dan masa nifas. Preeklampsia merupakan penyebab langsung kematian ibu. Penelitian ini bertujuan untuk mengetahui determinan kasus preeklampsia pada ibu bersalin. Metode penelitian menggunakan kuantitatif dengan desain Cohort retrosfektif. Pengambilan data secara cross sectional dengan pendekatan accidental sampling. Jumlah besaran sampel dalam penelitian ini menggunakan uji hipotesis dua populasi dari lemeshow, S., Hos,er., Klar., and Lwanga sesuai kriteria eksklusi diketahui sebanyak 159 ibu yang memiliki bayi 0-6 bulan. Hasil penelitian ini menunjukkan bahwa terdapat 24,5% responden mengalami preeklampsia, angka ini cukup tinggi menjadi morbiditas ibu. Hasil analisis statistik bivariat menunjukkan terdapat hubungan antara usia ibu (Pv=0,04; OR=2,495), riwayat hipertensi (Pv=0,000; OR=41,043) riwayat preeklamspia (Pv=0,000; OR=59.500), dan konsumsi kalsium (Pv= 0,018; OR=2,613) dengan kasus preeklampsia. Hasil analisis multivariat menunjukkan variabel yang paling dominan mempengaruhi kasus preeklamspia adalah riwayat hipertensi (Exp B=43,557), artinya responden dengan riwayat hipertensi akan berpeluang 43 kali terjadi preeklampsia. Dari hasil tersebut perlu adanya peningkatan edukasi pada ibu hamil mengenai faktor yang berhubungan dengan kejadian preeklampsia dan mampu untuk mengenali gejala-gelaja preeklampsia sehingga ibu hamil dapat melakukan pencegahan.

Hubungan Motivasi Dan Sikap Dengan Deteksi Dini Kanker Serviks Menggunakan Iva Test Pada Wanita Usia Subur Di Tpmb Bidan Herni Pamulang Tangerang Selatan Nirmala Harahap
Indonesian Journal of Midwifery Scientific Vol 2 No 1 (2023): Indonesian Journal of Midwifery Scientific
Publisher : Politeknik Karya Husada

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Background: cancer or malignancy that occurs in the cervix. Efforts that have been made to control cervical cancer cases are by increasing the early detection, discovery and follow-up of cancer. So that it is expected to improve the quality of life of sufferers and reduce cervical cancer mortality. One of them is by carrying out an IVA examination (Visual Inspection with Acetic Acid) or a pap smear. Purpose: this study aims to determine the relationship between motivation and attitude with early detection of cervical cancer using the IVA test in women of childbearing age at PMB Midwife Herni Pamulang, South Tangerang in 2022. Methodology: The type of research used in this study was an analytic study with a cross-sectional design. . The sampling technique was carried out by accidental sampling technique. Results: there is a relationship between motivation and early detection of cervical cancer with a P-value of 0.000 and there is a relationship between attitude and early detection of cervical cancer with a P-value of 0.000. Conclusions and Suggestions: There is a variable description of Early Detection of Cervical Cancer with IVA Test on negative motivation and no complaints of 33.7% and there is a relationship between motivation and attitude and Early Detection of Cervical Cancer with IVA Test ρ=0.000. Suggestion: For TPMB Midwives Herni: There needs to be a breakthrough to increase the motivation and attitude of the community so that they are willing to carry out early detection of cervical cancer before complaints occur.

Faktor – Faktor Yang Berhubungan Dengan Kejadian Preeklampsia Pada Ibu Hamil Di Rumah Sakit Citra Medika Depok Tahun 2023 Livinia Tiara Putri; Nirmala Harahap; Nur Handayani
Indonesian Journal of Midwifery Scientific Vol 3 No 2 (2024): Indonesian Journal of Midwifery Scientific
Publisher : Politeknik Karya Husada

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Factors Associated with the Incidence of Preeclampsia in Pregnant Women at Citra Medika Hospital, Depok in 2023. Preeclampsia is a group of symptoms that arise in pregnant, delivering, and postpartum women, characterized by hypertension, edema, and proteinuria. These symptoms typically appear from 20 weeks of pregnancy until the first week after delivery. Objective: This study aims to determine the factors associated with the incidence of preeclampsia in pregnant women at Citra Medika Hospital, Depok in 2023. Methodology: This study is an analytical descriptive research utilizing secondary data. The research design adopted is "Cross-Sectional". The sampling technique employed in this research is the total sampling technique. Results: The bivariate analysis revealed a significant relationship between parity (0.033<0.05) and a history of diabetes mellitus (0.008<0.05) with the incidence of preeclampsia. However, there was no significant relationship found between maternal age (0.238>0.05), history of hypertension (0.069>0.05), and history of preeclampsia (0.739>0.05) in relation to the incidence of preeclampsia. Conclusions and Recommendations: This study concludes that there is a correlation between parity, and a history of diabetes mellitus, whereas no significant relationship was found between age, history of hypertension, and history of preeclampsia in relation to the incidence of preeclampsia among pregnant women at Citra Medika Hospital, Depok in 2023. It is recommended that the general public, especially pregnant women, enhance their knowledge about preeclampsia to mitigate and prevent the adverse impacts associated with this condition.

Hubungan Usia, Paritas Dan Riwayat Abortus Dengan Kejadian Abortus Pada Ibu Hamil Di Rumah Sakit Ibu Dan Anak Bunda Jakarta Tahun 2021 - 2022 Yutra Rinawati; Nirmala Harahap; Agnomelsya Bangaran
Indonesian Journal of Midwifery Scientific Vol 3 No 1 (2024): Indonesian Journal of Midwifery Scientific
Publisher : Politeknik Karya Husada

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It is estimated that 20-25% of all pregnant women will have symptoms of bleeding or threat of abortion in the first trimester and 50% will end in abortion. More than 80% occur at a gestational age of less than 14 weeks. To determine the relationship between age, parity and history of abortion with the incidence of abortion in pregnant women at the Jakarta Mother and Child Hospital which occurred in the period 2021 to 2022. The type of research used is quantitative analysis with the research design used is a retrospective cohort with a cross-sectional approach sectional. The research population was pregnant women who visited RSIA Bunda Jakarta for the period 2021, totaling 6,425 people and 2022, totaling 5,772 people. The results of the chi-square test showed a relationship between the research variables obtained by age with a p-value of 0.001 (p <0.05), parity with a p-value of 0.428 (p >0.05), and history of abortion p-value of 0.009 (p < 0.05). Accompanied by the OR results for each variable, age OR 2.405 CI=1.026-5.640, parity OR 1.400 CI= 0.608-3.223 and history of abortion OR 3.368 CI=1.333-8.512. There is a relationship between age and history of abortion and the incidence of abortion and there is no relationship between parity and the incidence of abortion in pregnant women. For this reason, it can be an input in policy planning and find the best way to prevent, handle and minimize the number of pregnant women who experience abortions.

Perbandingan Antara Pemberian Rebusan Daun Sirih Dan Daun Binahong Terhadap Keputihan Pada Wanita Usia Subur Di Wilayah Kelurahan Serua Ciputat Tangerang Selatan Tahun 2023 Diana Awardi; Agnomelsya Bangaran; Nirmala Harahap
Indonesian Journal of Midwifery Scientific Vol 3 No 2 (2024): Indonesian Journal of Midwifery Scientific
Publisher : Politeknik Karya Husada

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Leucorrhoea is a condition in which a woman experiences fluor albusthat is not normal. This can be experienced by all ages and is caused by various factors. There are two categories of vaginal discharge, namely physiological fluor albusand pathological vaginal discharge. To find out the comparison between betel leaf decoction and binahong leaves on fluor albusin women of childbearing age in the Serua Ciputat sub-district, South Tangerang, in 2023. This type of research is quasi-experimental research. The design uses two groups pre test and post test. The sampling technique used in this study used a purposive sampling technique. Based on the results of the Wilcoxon Test, there was a significant effect between the use of boiled betel leaves and binahong leaves on the incidence of fluor albusin women of childbearing age in the Serua Ciputat Village, South Tangerang where p<0.05. There is a relationship between giving boiled betel leaves and binahong leaves to fluor albus in women of childbearing age in the Serua Ciputat Subdistrict, South Tangerang in 2023. Respondents are expected to continue to increase knowledge about fluor albus and maintain the cleanliness of the genital organs to avoid unwanted fluor albus. normal. For future researchers, it is hoped that the results of this study can become a data base for conducting further research.

Faktor-Faktor yang Berhubungan dengan Keberhasilan Pemberian ASI Eksklusif Lina Herlina; Nirmala Harahap; Sobar
Indonesian Journal of Midwifery Scientific Vol 4 No 1 (2025): Indonesian Journal of Midwifery Scientific
Publisher : Politeknik Karya Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58467/ijms.v4i1.174

Exclusive breastfeeding is one of the most important efforts in improving infant and maternal health, but its implementation still faces various challenges that are influenced by a number of factors. Support from health workers, the role of husbands, and exposure to formula milk promotions are aspects that potentially affect the success of exclusive breastfeeding, especially at the local community level. This study aims to identify the factors that influence the success of exclusive breastfeeding among breastfeeding mothers in TPMB Susi Primayanti, A.Md. Keb Pandak Village, Baturaden District, Banyumas Regency, Central Java. The method used was descriptive analytic design with a cross-sectional approach, involving 82 respondents selected through purposive sampling technique. Data were collected through questionnaires that included variables of health worker support, husband support, exposure to formula milk promotion, age, and mother's education. Univariate analysis showed that 47.6% of respondents exclusively breastfed, while 52.4% did not. Bivariate analysis showed a significant relationship between health worker support (p = 0.00), husband support (p = 0.00), exposure to formula milk promotion (p = 0.04), age (p = 0.002), and maternal education (p = 0.004) to the success of exclusive breastfeeding. This study concluded that support from health workers and husbands plays an important role in increasing the success of exclusive breastfeeding. The findings are expected to be a reference for health workers and government policies in improving the exclusive breastfeeding program in Indonesia.

Hubungan Pengetahuan, Sikap Dan Dukungan Keluarga Dengan Perilaku Hidup Bersih Dan Sehat Pada Remaja Di SMK Kesehatan Aras Depok Tahun 2024 Indriani Adam; Eka Bati Widyaningsih; Nirmala Harahap
Indonesian Journal of Midwifery Scientific Vol 4 No 1 (2025): Indonesian Journal of Midwifery Scientific
Publisher : Politeknik Karya Husada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58467/ijms.v4i1.179

The Correlation of Knowledge, Attitude, and Family Support with Clean and Healthy Living Behavior in Adolescents at SMK Kesehatan Aras Depok in 2024. Health is a state where our bodies are free from disease, as well as a state of well-being in ourselves both mental, physical, and social conditions. Based on the data above, the researcher conducted a preliminary study at SMK Aras where the results of interviews with several SMK children said that there were still fewer who implemented clean and healthy living behaviors. One of the objectives of this study was to determine the relationship between knowledge, attitudes and family support with clean and healthy living behavior in adolescents. This type of research is quantitative, survey type of research with descriptive, and analytic research. This research design is crossectional. The research sample taken was adolescent students who attended SMK Kesehatan Aras Depok in 2024 with a total of 84 people. The data used is primary data. Data collection methods used in a study are observation (closed and open), interviews, and questionnaires. Based on the results of the study, it was found that most of the respondents who had an unfavorable attitude had poor clean and healthy living behavior as many as 29 respondents (72.5%). This research is in line with Finni's research in 2019 where there is a significant relationship between attitude and clean and healthy living behavior (PHBS) of students expressed through the odds ratio = 6.750, which means that students who have a good attitude have a 6 times chance of doing good clean and healthy living behavior in everyday life.

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