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Sunarsih Sunarsih
Universitas Malahayati
Biochemistry, Genetics & Molecular Biology Dentistry Environmental Science Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health

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Factors Related To The Back Pain In Pregnant Women In The Third Trimester Martini, Sagung Dwi Rai; Maternity, Dainty; Sunarsih, Sunarsih; Farich, Achmad
JKM (Jurnal Kebidanan Malahayati) Vol 12, No 2 (2026): Volume 12 No 2 Februari 2026
Publisher : Program Studi Kebidanan Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkm.v12i2.7959

Abstract

Nyeri punggung bawah merupakan salah satu gangguan muskuloskeletal yang disebabkan oleh kurangnya aktivitas fisik. Prevalensi nyeri punggung pada ibu hamil di Provinsi Lampung adalah 314.492 jiwa, dan di Kota Bandar Lampung sekitar 90,55%. Angka tertinggi terdapat di Lampung Tengah (94,01%), diikuti Lampung Timur (92,09%), Kota Metro (90,11%), Lampung Utara (88,21%), dan Lampung Barat (83,82%). Faktor-faktor penyebab nyeri punggung pada ibu hamil meliputi usia, paritas, pekerjaan, keteraturan olahraga, pendidikan, punggung, beban fisik, dukungan sosial, BMI, riwayat operasi caesar, indeks cairan amnion, dan depresi. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan nyeri punggung pada ibu hamil trimester ketiga di wilayah kerja Puskesmas Seputih Raman di Kabupaten Lampung Tengah tahun 2022.Penelitian ini merupakan jenis penelitian kuantitatif dengan pendekatan cross-sectional. Populasi penelitian adalah ibu hamil trimester ketiga, berjumlah 87 orang. Pemeriksaan dilakukan di Wilayah Kerja Puskesmas Seputih Raman, Kabupaten Lampung Tengah, dari Juni hingga Juli 2022. Data dikumpulkan menggunakan kuesioner dan dianalisis menggunakan univariat dan bivariat (Chi-Square).Temuan penelitian menunjukkan bahwa responden dengan usia tidak berisiko berjumlah 55 (63,2%), responden dengan paritas tidak berisiko berjumlah 54 (62,1%), responden dengan BMI berisiko berjumlah 45 (51,7%), responden tanpa riwayat operasi caesar berjumlah 69 (79,3%), dan responden dengan nyeri punggung sedang berjumlah 33 (37,9%). Terdapat korelasi antara usia ibu (p-value = 0,013), paritas (p-value = 0,041), BMI (p-value = 0,006) dan riwayat operasi caesar (p-value = 0,004) dengan ibu hamil trimester ketiga yang mengalami nyeri punggung di wilayah kerja Puskesmas Seputih Raman, Kabupaten Lampung Tengah pada tahun 2022. Disarankan agar petugas kesehatan meningkatkan program yang mendukung kesehatan dan pengetahuan ibu hamil tentang keluhan kehamilan yang sering terjadi dan cara mengatasinya, salah satunya dengan memaksimalkan jumlah kelas untuk ibu hamil. Kata kunci: faktor nyeri punggung, ibu hamil trimester ketiga ABSTRACT Low back pain is one of the musculoskeletal disorders induced by insufficient physical activity. The prevalence of back pain during pregnancy in Lampung Province is 314,492 individuals, and Bandar Lampung City is approximately 90.55%. The highest number is in Central Lampung (94.01%), followed by East Lampung (92.09%), Metro City (90.11%), North Lampung (88.21%), and West Lampung (83.82%). Factors causing back pain in pregnant women include age, parity, occupation, regularity of exercise, education, back, physical load, social support, BMI, history of Caesarian, amniotic fluid index, and depression. This research aimed to determine the factors related to back pain in pregnant women in the third semester in the working area of Seputih Raman Health Centre in the Central Lampung Regency in 2022.This was a quantitative study type using a cross-sectional approach. The research population were pregnant women in the third semester, comprised of 87 people. The examination was performed in the Work Area of Seputih Raman Health Centre, Central Lampung Regency, from June to July 2022. The data was collected using a questionnaire and analysed using univariate and bivariate (Chi-Square).  The study's findings revealed that respondents with no risk age were 55 (63.2%), respondents with no risk parity were 54 (62.1%), respondents with BMI at risk were 45 (51.7%), respondents with no history of Caesarian history were 69 (79.3%), and respondents with moderate back pain were 33 (37.9%). There is a correlation between maternal age (p-value = 0,013), parity (p-value = 0,041), BMI (p-value = 0,006) and history of Caesarian (p-value = 0,004) pregnant woman in the third semester with back pain in the working area of Seputih Raman Health Centre, Central Lampung Regency in 2022. It is suggested that health workers improve programs that support the health and knowledge of pregnant women about frequent pregnancy complaints and how to manage them, one of which is to maximise the number of classes for pregnant women Keywords: back pain factors, pregnant women in the third trimester
Faktor-Faktor Yang Mempengaruhi Kesediaan Untuk Melakukan Tes Skrining Pranikah Diantara Calon Pasangan Suami Istri Sunarsih; Neneng Siti Latifah; Ledy Octaviani Iqmy; Maya Sari, Puspita
JURNAL PROTEKSI KESEHATAN Vol 14 No 2 (2025): JPK: Jurnal Proteksi Kesehatan
Publisher : Poltekkes Kemenkes Riau

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Abstract

Premarital screening checkup is a series of tests that couples must undergo before getting married. Prospective brides and grooms need to prepare reproductive health for both prospective brides and grooms, so that after marriage they can have good health status in order to produce a quality generation. Objective: To identify the factors that influence the willingness to undergo premarital screening tests among prospective married couples. Quantitative research type with a cross-sectional approach. The population of this study was prospective married couples at the Gayabaru Health Center, Central Lampung Regency, the sample used was 73 respondents with an accidental sampling technique. The study was conducted in May-June 2024. Data collection using questionnaire sheets, bivariate data analysis (chi square). The univariate analysis of 73 respondents showed that 50 respondents (68.5%) had good knowledge, 39 respondents (53.4%) had a positive attitude, and 64 respondents (87.7%) had no family relationship.The bivariate analysis revealed that knowledge (p-value = 0.001), attitude (p-value = 0.001), and family relationship (p-value = 0.025) were statistically significant, as the p-values were less than α = 0.05 (Ha accepted and Ho rejected). There is a relationship between knowledge, attitude and kinship on the willingness to take premarital screening tests.
Faktor-Faktor Yang Mempengaruhi Keikutsertaan Wanita Usia Subur (WUS) Dalam Melakukan Pemeriksaan Inspeksi Visual Asetat (IVA) Test Eka Agustina; Sunarsih Sunarsih; Anggraini Anggraini; Achmad Farich
MIDWIFERY JOURNAL Vol 6, No 1 (2026): Volume 6 No 1 Maret 2026
Publisher : Universitas Malahayati Bandar Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mj.v6i1.12077

Abstract

Introduction : The Gedung Rejo Sakti Health Center is one of the sub-district health centers in the Tulang Bawang district with very low IVA examination results, at 29% and lower than in 2021, which was 32%. The aim of the research is to know the factors that influence the participation of women of reproductive age (WUS) in conducting a visual acetate inspection (IVA) test at the Rejo Sakti Health Center, Tulang Bawang Regency in 2023.Methods : This research is a quantitative research with a cross-sectional approach. The population is women of reproductive age at the Gedung Rejo Sakti Health Center in 2023. The sample for this research is part of women of reproductive age at the Gedung Rejo Sakti Health Center in 2023, totaling 357 people. The sampling technique was Stratified Random Sampling and primary data collection was carried out using a questionnaire. Data analysis used the chi square test.Result : The analysis showed that the frequency distribution of WUS who had never done an IVA Test was 269 people (75.4%), WUS with a good level of knowledge were 242 people (67.8%), WUS with higher education level were 245 people (68.6%) ) and WUS who did not receive support from their husbands for the IVA Test were 235 people (65.8%). There is a significant relationship between level of knowledge (P-value = 0.000), level of education (P-value = 0.000) and husband's support (P-value = 0.000) with WUS participation in the IVA Test at the Gedung Rejo Sakti Health Center in 2023. Recommended Health workers can further improve education and outreach to the community through direct counseling to WUS about the importance of detecting cervical cancer with the IVA test. Key Words : IVA test, education, knowledge, husband’s support  ABSTRAK Puskesmas Gedung Rejo Sakti merupakan salah satu puskesmas kecamatan di kabupaten tulang bawang dengan capaian pemeriksaan iva yang masih sangat rendah. yaitu 29% dan lebih rendah bila  dibandingkan dengan capaian tahun 2021 yaitu 32%. Tujuan penelitian diketahui faktor-faktor yang mempengaruhi keikutsertaan wanita usia subur (wus) dalam melakukan pemeriksaan inspeksi visual asetat (iva) test di Puskesmas Gedung Rejo Sakti Kabupaten Tulang Bawang tahun 2023.Jenis penelitian dalam penelitian ini adalah kuantitatif dengan dengan pendekatan Cross sectional.  Populasi adalah keseluruhan wanita usia subur di Puskesmas Gedung Rejo Sakti tahun 2023. Sampel dalam penelitian ini adalah sebagian dari wanita usia subur di Puskesmas Gedung Rejo Sakti tahun 2023 yang berjumlah 357 orang. Teknik pengambilan sampel dilaksanakan secara Stratified Random Sampling dan pengumpulan data primer dilakukan  dengan menggunakan kuesioner. Analisa data yang digunakan menggunakan uji chi square.Hasil analisis didapatkan distribusi frekuensi WUS yang belum pernah melakukan pemeriksaan IVA Test sebanyak 269 orang (75,4), WUS dengan tingkat pengetahuan baik sebanyak 242 orang (67,8%), WUS dengan tingkat pendidikan tinggi sebanyak 245 orang (68,6%) dan WUS yang tidak mendapatkan dukungan suami untuk melakukan pemeriksaan IVA Test sebanyak 235 orang (65,8%). Ada hubungan yang bermakna antara tingkat pengetahuan (P-value = 0,000), tingkat pendidikan (P-value = 0,000) dan dukungan suami (P-value = 0,000) dengan keikutsertaan WUS dalam melakukan pemeriksaan IVA Test di Puskesmas Gedung Rejo Sakti tahun 2023. Petugas kesehatan untuk lebih meningkatkan penyuluhan kepada masyarakat melalui konseling langsung kepada WUS akan pentingnya melakukan deteksi kanker serviks melalui pemeriksaan IVA test. Kata kunci    : Pemeriksaan IVA Test, Pendidikan, Pengetahuan, dukungan suami
Efektifitas Penyuluhan Kesehatan Reproduksi Terhadap Pengetahuan dan Sikap Pasangan Calon Pengantin di Kantor Urusan Agama Kecamatan Way Halim Bandar Lampung Melia Triana; Sunarsih Surnasih; Suharman Suharman; Astriana Astriana
Malahayati Nursing Journal Vol 6, No 5 (2024): Volume 6 Nomor 5 2024
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v6i5.12005

Abstract

ABSTRACT In the scope of reproductive health, maternal health during pregnancy, childbirth and postpartum is the main problem of women's reproductive health. From the health profile of Way Halim Health Center in 2022, 69 (5,6%) pregnant women experienced anemia, 38 (3%) experienced Chronic Energy Deficiency (CHD) and 5 babies were born with low birth weight (LBW). In improving health before pregnancy, preparation of physical, mental and social conditions must be prepared by the bride and groom as a couple who will enter the gates of marriage who really need information about reproductive health, one of which is through reproductive health counseling. This study aims to determine the effectiveness of reproductive health counseling on the knowledge and attitudes of prospective bridal couples at the Religious Affairs Office of Way Halim Bandar Lampung District in 2023. Type of quantitative research with experimental pretest-posttest research design. The sample used was 30 prospective brides using purposive sampling technique. This research was conducted at the KUA of Way Halim District in July 2023. Data collection using questionnaire sheets. Data analysis was univariate and bivariate (wilcoxon test). The results of the study showed that the average knowledge before being given reproductive health counseling was 58,33 and after being given counseling was 83,67 while the attitude of prospective brides before being given counseling was 75,12 and after being given counseling was 86,19. Reproductive health counseling is effective in improving the knowledge and attitudes of prospective bridal couples at the KUA Way Halim sub-district Bandar Lampung in 2023 with a value of (p-value = 0,000). All couples should participate in reproductive health counseling activities for prospective brides to improve knowledge and attitudes about reproductive health. Keywords: Knowledge, Attitude, Reproductive Health Counseling, Bride-To-Be  ABSTRAK Dalam lingkup kesehatan reproduksi, kesehatan ibu selama kehamilan, persalinan dan nifas menjadi masalah utama kesehatan reproduksi perempuan. Dari profil kesehatan Puskesmas Way Halim Tahun 2022 sebanyak 69 (5,6%) ibu hamil mengalami anemia, 38 (3%) mengalami Kekurangan Energi Kronik (KEK) dan 5 bayi lahir dengan berat lahir rendah (BBLR). Dalam peningkatan kesehatan sebelum hamil, persiapan kondisi fisik, mental dan sosial harus dipersiapkan oleh pasangan calon pengantin sebagai pasangan yang akan memasuki gerbang pernikahan yang sangat memerlukan informasi tentang kesehatan reproduksi yaitu salah satunya melalui penyuluhan kesehatan reproduksi. Penelitian ini bertujuan diketahuinya efektifitas penyuluhan kesehatan reproduksi terhadap pengetahuan dan sikap pasangan calon pengantin di Kantor Urusan Agama Kecamatan Way Halim Bandar Lampung Tahun 2023. Jenis penelitian kuantitatif dengan desain penelitian pretest-posttest eksperimen. Sampel yang digunakan sebanyak 30 calon pengantin menggunakan teknik purposive sampling. Penelitian ini telah dilaksanakan di KUA Kecamatan Way Halim bulan Juli 2023. Pengumpulan data menggunakan lembar kuesioner. Analisis data secara univariat dan bivariat (uji Wilcoxon dan paired sampel t-test). Hasil penelitian diketahui rata-rata pengetahuan sebelum diberikan penyuluhan kesehatan reproduksi adalah 58,33 dan setelah diberi penyuluhan adalah 83,67 sedangkan sikap calon pengantin sebelum diberikan penyuluhan adalah 75,12 dan setelah diberi penyuluhan adalah 86,19. Penyuluhan kesehatan reproduksi efektif dalam meningkatkan pengetahuan dan sikap pasangan calon pengantin di KUA kecamatan Way Halim Bandar lampung tahun 2023 dengan nilai (p-value = 0,000). Semua pasangan calon pengantin hendaknya mengikuti kegiatan penyuluhan kesehatan reproduksi bagi calon pengantin untuk meningkatkan pengetahuan dan sikap tentang kesehatan reproduksi. Kata Kunci: Pengetahuan, Sikap, Penyuluhan Kesehatan Reproduksi, Calon Pengantin
Pengaruh Jus Tomat terhadap Kadar Haemoglobin Ibu Hamil Trimester III di Wilayah Kerja Puskesmas Punduh Pedada Eka Ambarwati; Sunarsih Sunarsih; Riyanti Riyanti; Astriana Astriana
Malahayati Nursing Journal Vol 6, No 4 (2024): Volume 6 Nomor 4 2024
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v6i4.11355

Abstract

ABSTRACT Anemia is a condition where the erythrocyte mass and or circulating Hb mass cannot fulfill its function to provide oxygen to body tissues. In 2022, the number of pregnant women in Punduh Pedada Health Center was 636 and 63.8% with anemia in pregnancy, one of the interventions that can be done is to consume foods with high iron and vitamin C, namely tomatoes that can be made into juice. This study aims to determine the effect of tomato juice on haemoglobin levels of Trimester III pregnant women in the Punduh Pedada Health Center Working Area in 2023. Type of quantitative research with pretest-posttest control group design. The population in this study were all third Trimester pregnant women in the Punduh Pedada Health Center Working Area as many as 68 respondents with a sample of 32 respondents S1ided into 2 groups, namely 16 in the intervention group and 16 in the control group using purposive sampling technique. This study was conducted in the Punduh Pedada Health Center Work Area in April-May 2023. Data collection using observation sheets. Data analysis was univariate and bivariate (t test). The results showed that the average Hb level before given tomato juice and Fe tablets was 10.0 gr/dl and after given tomato juice and Fe tablets was 10,8 gr/dl, while the average Hb level before given Fe tablets was 10.0 gr/dl and after given Fe tablets was 10.5 gr/dl. There is an effect of tomato juice on haemoglobin levels of pregnant women Trimester III with a value (p-value = 0.000). Suggestions for pregnant women can consume tomato juice as an alternative to increase Hb levels during pregnancy. Keywords: Tomato Juice, Hemoglobin Level and Pregnant Women  ABSTRAK Anemia merupakan keadaan dimana masa eritrosit dan atau masa Hb yang beredar tidak dapat memenuhi fungsinya untuk menyediakan oksigen bagi jaringan tubuh. Pada tahun 2022 didapatkan jumlah ibu hamil di Puskesmas Punduh Pedada sebanyak 636 dan 63,8% dengan kondisi anemia dalam kehamilan, salah satu intervensi yang dapat dilakukan adalah mengkonsumsi makanan dengan tinggi zat besi dan vitamin C yaitu tomat yang dapat dibuat jus. Penelitian ini bertujuan diketahui pengaruh jus tomat terhadap kadar haemoglobin ibu hamil Trimester III di Wilayah Kerja Puskesmas Punduh Pedada Tahun 2023. Jenis penelitian kuantitatif desain pretest-posttest control group design. Populasi seluruh ibu hamil trimester III sebanyak 68 responden dengan sampel sebanyak 32 responden dibagi menjadi 2 kelompok yaitu 16 pada kelompok intervensi dan 16 pada kelompok kontrol menggunakan teknik purposive sampling. Penelitian ini telah dilaksanakan di Wilayah Kerja Puskesmas Punduh Pedada pada bulan April-Mei 2023. Pengumpulan data menggunakan lembar observasi. Analisis data secara univariat dan bivariat (t test). Hasil penelitian diketahui rata-rata kadar Hb sebelum diberikan jus tomat dan tablet Fe adalah 10,0 gr/dl dan sesudah diberikan jus tomat dan tablet Fe 10,8 gr/dl, sedangkan rata-rata kadar Hb sebelum diberikan tablet Fe adalah 10,0 gr/dl dan sesudah diberikan tablet Fe adalah 10,5 gr/dl. Ada pengaruh jus tomat terhadap kadar haemoglobin ibu hamil Trimester III dengan nilai (p-value = 0,000). Saran bagi ibu hamil dapat mengkonsumsi jus tomat sebagai alternatif untuk peningkatan kadar Hb selama kehamilan.. Kata Kunci: Jus Tomat, Kadar Hemoglobin dan Ibu Hamil
Pengaruh Daun Jambu Biji terhadap Nyeri Haid (Dysmenorrhea) pada Wanita Usia Subur Eliyana Eliyana; Sunarsih Sunarsih; Rosmiyati Rosmiyati; Ledy Octaviani Iqmy
Malahayati Nursing Journal Vol 7, No 12 (2025): Volume 7 Nomor 12 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v7i12.17836

Abstract

ABSTRACT Dysmenorrhea is a menstrual disorder characterized by pain or cramps in the abdomen. The pain is not only felt in the lower abdomen but can also be experienced in other areas such as the suprapubic region, lower back, thighs, and sides of the abdomen. One way to alleviate dysmenorrhea pain is by consuming guava leaves. The aim of this study is to determine the effectiveness of guava leaves in reducing menstrual pain (dysmenorrhea) in women of reproductive age in Mujimulyo Hamlet, Muara Putih Village, Natar District, South Lampung Regency in 2023.This study is quantitative research with a pre-experimental design using a one-group pretest and posttest approach. The population in this study consisted of women of reproductive age who experienced menstrual pain at BPM Eliyana based on medical records from November 2022 to February 2023, totaling 32 individuals, with a saturated sampling technique where all members of the population were included as the sample. The data were analyzed using the Wilcoxon test. The average dysmenorrhea pain score before administering guava leaves was 7.84, and after administering guava leaves, the average score dropped to 2.46. There is a significant effect of guava leaves in reducing menstrual pain or dysmenorrhea in women of reproductive age, with a p-value of 0.000 0.05. It is recommended that women of reproductive age consume guava leaves as an effort to reduce menstrual pain. Keywords: Dysmenorrhea, Guava Leaves, Women of Childbearing Age  ABSTRAK Disminore adalah gangguan saat menstruasi berupa nyeri atau kram perut. Nyeri bukan hanya dirasakan diperut bagian bawah, tetapi juga dilokasi lain seperti suprapubik, punggung bagian bawah, paha, sisi abdomen. Upaya yang dapat mengatasi nyeri disminore yaitu dengan mengkonsumsi daun jambu biji. Tujuan penelitian ini untuk mengetahui pengaruh efektifitas daun jambu biji terhadap nyeri haid (dysminorrhea) pada wanita usia subur di Dusun Mujimulyo Desa Muara Putih Kecamatan Natar Kabupaten Lampung Selatan Tahun 2023. Jenis penelitian ini adalah kuantitatif dengan rancangan pre experiment dengan pendekatan one group pretest and posttest design. Populasi dalam penelitian ini adalah wanita usia subur yang mengalami nyeri haid di BPM Eliyana berdasarkan data rekam medik pada bulan November 2022-Februari 2023 berjumlah 32 orang dengan menggunakan teknik sampling jenuh dimana semua anggota populasi dijadikan sampel. Analisis data yang digunakan uji wilcoxon. Didapatkan nilai rata-rata nyeri disminore sebelum diberikan daun jambu biji adalah 7,84 dan sesudah diberikan daun jambu biji didapatkan rata-rata 2,46. Ada pengaruh pemberian daun jambu biji terhadap nyeri haid atau disminore pada wanita usia subur dengan nilai p value 0,000 0,05. Diharapkan wanita usia subur dapat mengkonsumsi daun jambu biji sebagai upayamengurangi nyeri haid. Kata Kunci: Desminore, Daun Jambu Biji, Wanita Usia Subur
Konseling Gizi terhadap Pengetahuan Wanita Usia Subur dengan Kekurangan Energi Kronik Ana Mariza; Mei Lidia Utami; Sunarsih Sunarsih; Rosmiyati Rosmiyati
Malahayati Nursing Journal Vol 7, No 7 (2025): Volume 7 Nomor 7 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v7i7.18985

Abstract

ABSTRACT The incidence of chronic energy deficiency (CED) in developing countries such as Bangladesh, India, Thailand, Indonesia, Myanmar, and Sri Lanka ranges from 15% to 47%, indicated by a Body Mass Index (BMI) of less than 18.5%. According to WHO (2018), CED among women of reproductive age (WRA) is one of the causes of 20 million or 15-20% of infants experiencing nutritional problems, such as low birth weight (LBW). A preliminary study conducted in the Bangun Rejo area found that there are still women of reproductive age who appear thin or underweight. The general objective of this study was to determine the effect of nutritional counseling on the knowledge of women of reproductive age with chronic energy deficiency in the working area of Bangun Rejo Primary Health Care, Bangun Rejo District, Central Lampung Regency. The research design used was a One-Group Pretest-Posttest Design, with an experimental type of research and a Pre-Experimental Design form using primary data. The population of WRA with CED in the working area of Bangun Rejo Primary Health Care was 94 people. The research was conducted in July 2024 with 30 respondents, and data collection was carried out using a questionnaire, followed by analysis using a paired t-test in SPSS.Results: The study results showed that the average knowledge level of respondents before receiving nutritional counseling was 50.17. After receiving nutritional counseling, the average knowledge level increased to 82.50. There was a significant effect of nutritional counseling on the knowledge of women of reproductive age with chronic energy deficiency in the working area of Bangun Rejo Primary Health Care, Bangun Rejo District, Central Lampung Regency, with a p-value of 0.000. The conclusion drawn is that there was an increase in the knowledge level before and after counseling, with an average increase of 32.33. It is recommended that respondents continue to improve their knowledge by attending youth health post to further enhance their understanding of CED and health in other adolescents. Keywords: Nutrition, CED, Knowledge, WRA    ABSTRAK Kejadian kekurangan energi kronik di Negara-negara berkembang seperti Bangladesh, india, Thailand, Indonesia, Myanmar, dan Srilangka adalah 15%-47% yaitu dengan BMI 18,5%. WHO (2018) mengatakan KEK pada WUS menjadi salah satu penyebab dari 20 juta atau 15-20% bayi mengalami masalah gizi, seperti berat badan lahir rendah (BBLR). Hasil studi pendahuluan di wilayah Bangunrejo masih didapati wanita usia subur yang terlihat kurus atau memiliki berat badan yang rendah.  Tujuan penelitian untuk mengetahui Pengaruh konseling gizi Terhadap Pengetahuan Pada Wanita Usia Subur Dengan Kekurangan Energi Kronik  di Wilayah Kerja Puskesmas bangunrejo Kecamatan Bangunrejo Kabupaten Lampung Tengah. Metode Penelitian: Desain penelitian dilakukan secara One Group Pretest-Posttest Design dengan jenis penelitian eksperimen dengan bentuk Pre-Experimental Designs menggunakan data primer. Populasi WUS KEK yang ada diwilayah kerja puskesmas Bangunrejo yaitu 94 orang, penelitian Dilakukan pada bulan Juli 2024 terhadap 30 orang responden dengan pengumpulan data menggunakan kuesioner kemudian dianalisa dengan uji paired t-test menggunakan SPSS. Hasil penelitian didapatkan tingkat pengetahuan responden sebelum diberi konseling gizi  rata-rata 50,17, Tingkat pengetahuan setelah diberi konseling gizi Tingkat pengetahuan responden rata-rata naik menjadi 82,50, Ada Pengaruh konseling gizi Terhadap Pengetahuan Pada Wanita Usia Subur Dengan Kekurangan Energi Kronik  di Wilayah Kerja Puskesmas bangunrejo Kecamatan Bangunrejo Kabupaten Lampung Tengah dengan p value 0,000. Diikuti kesimpulan: Ada kenaikan Tingkat pengetahuan sebelum dan setelah dengan rata-rata sebesar 32,33. Diharapkan bagi responden untuk terus meningkatkan pengetahuannyan dengan cara mengikuti posyandu remaja agar semakin tahu tentang Pengetahuan KEK dan Kesehatan pada remaja lainnya. Kata Kunci: Gizi, KEK, Pengetahuan, WUS
The Association Between Age and Parity with the Incidence of Cervical Cancer: A Case-Control Study Susilawati Susilawati; Nasywa Ardelia Putri; Ana Mariza; Sunarsih Sunarsih
Jurnal Bidan Cerdas Vol. 7 No. 3 (2025)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jbc.v7i3.4285

Abstract

Background: Cervical cancer is one of the leading causes of mortality among women worldwide and ranks second in Indonesia after breast cancer. Data from Dr. H. Abdul Moeloek General Hospital in 2024 recorded 255 hospitalized patients diagnosed with cervical cancer, equivalent to approximately 0.57% of total visits. Risk factors associated with cervical cancer incidence include age and parity, which may influence susceptibility to persistent HPV infection and cervical cell changes. Methods: This study employed a quantitative case-control design. The study population consisted of all 255 inpatients diagnosed with cervical cancer in 2024. A total of 192 respondents were selected using random sampling, comprising 96 cases (with cervical cancer) and 96 controls (without cervical cancer). Data were analyzed using univariate and bivariate methods with the Chi-Square test. Results: The Chi Square test results show a significant relationship between age and cervical cancer incidence (p=0.001; OR=44.922), as well as a relationship between parity and cervical cancer incidence (p=0.001; OR=103.400). Women who are older and have higher parity are at greater risk of developing cervical cancer than those who are at lower risk. Conclusion: There is a significant association between age <20/>35 years and grandmultiparity with the incidence of cervical cancer. Women of reproductive age are advised to increase their awareness of early detection through regular IVA (Visual Inspection with Acetic Acid) or Pap smear examinations at least every 3 years. Health workers are expected to strengthen health promotion programs on healthy reproductive age and safe number of births in order to reduce the incidence of cervical cancer.
Relationship between motivation of Women of Reproductive Age (WRA) and husband's support with participation in visual inspection with acetic acid examination of WRA Kiki Andari; Sunarsih Sunarsih; Anggraini Anggraini; Nita Evrianasari
THE JOURNAL OF Mother and Child Health  Concerns Vol. 4 No. 9 (2025): December Edition
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mchc.v4i9.1494

Abstract

Background: Visual Inspection Test with Acetic Acid (VIA Test) is a cervical cancer screening method using a 3-5% acetic acid solution on the cervix. The impact that arises if women do not conduct early detection of cervical cancer is usually cervical cancer detected at an advanced stage. Many factors are associated with the participation of mothers to participate in the VIA test, including factors influenced by motivation and husband support. Purpose: The purpose of this study was to determine the relationship between WRA motivation and husband support with the participation of Visual Inspection with Acetic Acid (VIA Test) examination in WRA. Method: Quantitative research type case control study design. The population of this study were all women of childbearing age in the Blambangan Pagar Health Center Working Area of North Lampung Regency in 2025, with a total of 2436 women of childbearing age aged 30-50 years with a sample of 55 respondents using proportional sampling method. Data collection using questionnaire sheets, univariate and bivariate data analysis (chi square). Results: The results of univariate research showed that of the 55 respondents where the respondents had performed VIA examination as many as 11 (20.0%) and respondents never participated in conducting VIA examination as many as 44 (80.0%), respondents with strong motivation as many as 15 (27.3%) and respondents with weak motivation as many as 40 (72.7%), and respondents with husband support as many as 21 (38.2%) and respondents with no husband support as many as 34 (61.8%). Conclusion: The bivariate test found that there was a relationship between motivation (p-value = 0.001) and husband support (p-value = 0.014) with the participation of VIA examination in WRA. Suggestion: Suggestions for husbands to be able to seek information in various media such as print media, electronic media about VIA examination, and from health workers can provide counseling about the benefits of VIA examination so that it can motivate mothers to do VIA examination.
The effect of lavender aromatherapy on primary dysmenorrhea in female students Ana Mariza; Livia Nizaranuki; Sunarsih Sunarsih; Nurul Isnaini
THE JOURNAL OF Mother and Child Health  Concerns Vol. 4 No. 8 (2025): November Edition
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mchc.v4i8.1821

Abstract

Background: Adolescence is marked by the maturation of reproductive organs, including menstruation, which is often accompanied by dysmenorrhea. In Indonesia, the prevalence of dysmenorrhea reaches 55%, and in Lampung it is recorded at 54.9%. Dysmenorrhea impacts activities, learning concentration, and even school attendance. At SMPN 1 Batu Ketulis, 81.2% of female students who visited the health center complained of menstrual pain. Pharmacological interventions such as analgesics have side effects. Non-pharmacological efforts such as lavender aromatherapy are considered effective, safe, and easy. Lavender contains linalool and linalyl acetate, which have relaxant properties. Purpose: to determine the effect of lavender aromatherapy on primary dysmenorrhea in female students. Method: This type of quantitative research uses a pre-experimental research design with a one-group pretest-posttest design. The population of this research isall female students at SMPN 1 Batu Ketulis, West Lampung Regency who experience menstrual pain a total of 86 female students were sampled with 30 respondents using purposive sampling techniques. Data collection used observation sheets, and data analysis was performed using univariate and bivariate methods (Wilcoxon test). Results: The results of this study showed that the average dysmenorrhea in female students before being given lavender aromatherapy was 4.43 and after being given lavender aromatherapy was 1.13. Conclusion: From the results obtained, there was a decrease of around 3.33 so that it can be interpreted that there was a significant effect of giving lavender aromatherapy on primary dysmenorrhea in female students. Suggestion: Suggestions are expected for adolescents to use lavender aromatherapy in reducing menstrual pain
Co-Authors Achmad Farich Ana Mariza Anggraini Anggraini Anggraini Anggraini Anggraini Anggraini Ani Mustika Anisa Ermasari Aryati Sumarlinda Aryawati, Wayan Astriana Astriana, Astriana Dainty Maternity Dewi Yulia Sari Dewi Yuliasari Eka Agustina Eka Ambarwati Eliyana Eliyana Eni Farida Ernawati Ernawati Evayanti, Yulistiana Evrianasari, Nita Farich, Achmad Hermawan, Dessy Indri Retno Palupi Iqmy, Ledy Octaviani Juistira Safitri Jumaida Jumaida Khoidar Amirus Kiki Andari Kiswari Kiswari Lamtioma Lamtioma Lathifah, Neneng Siti Lestari, Senya Venta Lhatifah, Neneng Siti Livia Nizaranuki Lolita Sary Maria Ulfa, Ade Mariza, Ana Martini, Sagung Dwi Rai Maternity, Dainty Maya Indria Prantini Maya Sari, Puspita Mei Lidia Utami Melani Komara Sari Melia Triana Merinda Sari Monica, Enjelina Nana Kristina Nasywa Ardelia Putri Neneng Siti Latifah Neneng Siti Latifah Neneng Siti Lhatifah Ni Ketut Septriana Damayanti Ni Putu Eka Budi Sulistiyawati Nita Andriani Nita Evriana Sari Nita Evrianasari Nurilyani, Nurliyani Nurliani Nurliani Nurliyani Nurliyani Nurul Isnaini Nurul Isnaini Pusparini, Tyas Septiana Putri, Chindy Anggita Putu Candrawati Rachmawati, Fijri Ragillia Elvina Safitri Rahmawati, Yesi Reza Fadhilla Riski Novita Ratna Risma Ayu Perdana Rismawati Rismawati Riyanti Riyanti Rosmiyati Rosmiyati Rosmiyati Rosmiyati Rosmiyati Rosmiyati Rosmiyati Rosmiyati Sari, Cindy Ertika Sartiah Sartiah Sosilowati, Endah Suharman Suharman Sukmadewi, Niluh Putu Ayu Suri Gusmiyanti Fitriyah Susilawati Susilawati Susilawati Susilawati Susilawati, Susilawati Syamraini Silda Tri Hartati Tuti Puspita Sari Utami, Vida Wira Verra Andriani Vilma Ajijul Jana Yanti Rukmana Sari Yuli Yantina Yuviska, Ike Ate Zarma, Zarma