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Efektifitas Kecepatan Pengeluaran Kolostrum Dengan Pijat Oksitosin Dan Perawatan Totok Payudara Pada Ibu Postpartum Di Rumah Sakit Mitra Sejati Medan. Srilina Br Pinem; Lasria Simamora; Herna Rinayanti Manurung; Rosmani Sinaga; Adelina Sembiring
DINAMIKA KESEHATAN: JURNAL KEBIDANAN DAN KEPERAWATAN Vol 11, No 2 (2020): Dinamika Kesehatan Jurnal Kebidanan dan Keperawatan
Publisher : Universitas Sari Mulia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (242.115 KB) | DOI: 10.33859/dksm.v11i2.688

Abstract

Latar Belakang :Penyebab kematian anak di Indonesia adalah dikarenakan faktor nutrisi yaitu gizi kurang. 53% kematiaan bayi diakibatkan karena  diare sebesar 15%. Selain itu diare, pneumonia, campak, malaria dan nutrisi merupakan 70% penyakit Balita. hal ini dapat diturunkan, baik morbiditas dan mortalias. Melalui pemberian kolostrum sedini  mungkin dan pemberian ASI sampai anak berumur 6 bulan. WHO merekomendasikan pemberian ASI pada bayi selama 6 bulan pertama (Asi Eksklusif) dan pemberian makanan pendamping ASI (MP-ASI) setelah umur 6 bulan dengan ibu tetap memberikan ASI sampai anak berumur minimal 6 bulan. Permasalahan dalam penelitian ini adalah tidak lancarnya ASI (ASI awal atau yang disebut dengan kolostrum) yang diakibatkan karena ASI susah keluar yang mengakibatkan orangtua maupun keluarga memberikan susu formula yang tentunya hal ini akan berdampak pada target ketidakberhasilan ASI eksklusifTujuan :mengetahui Efektifitas Kecepatan Pengeluaran Kolostrum Dengan Pijat Oksitosin Dan Perawatan Totok Payudara Pada Ibu Postpartum Di Rumah Sakit Mitra Sejati Medan taahun 2020.Metode: Banyaknya sampel dalam penelitian ini 30 ibu post-partum yang memenuhi kriteria inklusi yang dibagi dalam 2 kelompok yakni 15 responden dengan intervensi, dan 15 lainnya dalam kelompok totok payudara. Uji Perbedaan lama pengeluaran kolostrum pada kelompok pijat oksitosin dan totok payudara dengan menggunakan mann whitney karena data berdistribusi normal.Hasil: Berdasarkan uji mann whitney didapatkan nilai p=0,001 0,005 yang menunjukkan adanya perbedaan lama pengeluaran kolustrum pada kelompok metode pijat oksitosin dan totok payudara.Kesimpulan: metode pijat oksitosin lebih efektif dalam pengeluaran kolustrum terlihat dari nilai mean rank metode pijat oksitosin lebih rendah dibandingkan dengan metode totok payudara.Kata Kunci : Totok Payudara, Pijat Oksitosin, KolostrumBackground: The cause of child mortality in Indonesia is due to nutritional factors, namely malnutrition. 53% of infant deaths resulted from diarrhea at 15%. Apart from that, diarrhea, pneumonia, measles, malaria and nutrition constitute 70% of under-five diseases. it can reduce both morbidity and mortality. By giving colostrum as early as possible and breastfeeding until the child is 6 months old. WHO recommends breastfeeding for babies for the first 6 months (exclusive breastfeeding) and complementary feeding (complementary feeding) after 6 months of age with mothers continuing to breastfeed until the child is at least 6 months old. The problem in this study is that breastfeeding is not smooth (initial breastfeeding or what is known as colostrum) which is caused by difficulty in getting out of milk which results in parents and families giving formula milk, which of course will have an impact on the target of exclusive breastfeeding.Objective: to determine the effectiveness of colostrum dispensing speed with oxytocin massage and breast acupressure treatment for postpartum mothers at Mitra Sejati Hospital in Medan in 2020.Methods: The number of samples in this study was 30 post-partum mothers who met the inclusion criteria divided into 2 groups, namely 15 respondents with intervention, and 15 others in the full breasted group. The difference in the duration of colostrum excretion in the oxytocin massage group and breast acupressure using Mann Whitney was because the data were normally distributed.Results: Based on the Mann Whitney test, the value of p = 0.001 0.005 indicated a difference in the length of colustrum expulsion in the oxytocin massage method group and breast acupressure.Conclusion: the oxytocin massage method is more effective in removing colustrum. It can be seen from the lower mean rank of the oxytocin massage method compared to the breast acupressure method.Keywords: Breast Acupressure, Oxytocin Massage, Colostrum
Pengaruh Pendampingan Terhadap Peningkatan Berat Badan Bayi Dan Keterampilan Ibu Pasca Bersalin Dengan Bblr (Dismatur) Setelah Kelas Perawatan Metode Kanguru Di Rumah Sakit Haji Medan Retno Wahyuni; Isyos Sari Sembiring; Herna Rinayanti Manurung; Marliani Marliani
DINAMIKA KESEHATAN: JURNAL KEBIDANAN DAN KEPERAWATAN Vol 11, No 2 (2020): Dinamika Kesehatan Jurnal Kebidanan dan Keperawatan
Publisher : Universitas Sari Mulia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (180.321 KB) | DOI: 10.33859/dksm.v11i2.691

Abstract

Latar Belakang:Salah satu penyebab utama kesakitan dan kematian bayi yaitu bayi dengan berat lahir rendah atau berat badan lahir rendah (BBLR). Berdasarkan Riskesdas 2007 bahwa komplikasi yang menjadi penyebab kematian terbanyak pada bayi yaitu asfiksia, berat bayi lahir rendah (BBLR) serta infeksi pada bayi. Data World Health Organization (WHO) memperlihatkan sekitar 20 juta bayi berat lahir rendah (BBLR) lahir setiap tahunnya yang dapat disebabkan oleh kelahiran sebelum waktunya (prematur) maupun perkembangan janin terhambat saat dalam kandungan. Prevalensi BBLR di Indonesia berkisar antara 2 hingga 17,2% dan menyumbang 29,2% AKN.Tujuan untuk mengetahui pengaruh pendampingan pada ibu pasca bersalin dengan BBLR terhadap peningkatan berat bada bayi dan keterampila ibu dalam melakukan Perawatan Metode Kanguru setelah kelas perawatan metode kanguru di Rumah Sakit Haji Medan.Metode: Quasi eksperiment, non equivalent control design, menggunakan responden ibu pasca bersalin dengan BBLR (dismature), sampel sejumlah 38 orang berdasarkan minimal sampel eksperimen. Penentuan sampel di masing-masing lokasi ditentukan berdasarkan consecutive sampling. Instrumen yang digunakan untuk mengetahui peningkatan keterampilan adalan SOP PMK. Data yang di peroleh kemudian di analisis menggunakan uji Wilcoxon Signed Rank Test dan uji Mann Whitney dengan taraf signifikan 0,05.Hasil: menunjukkan terdapat perbedaan bermakna peningkatan keterampilan ibu pasca bersalin dengan BBLR (dismature) dalam melakukan PMK di rumah antara kelompok pendampingan dan tanpa pendampingan (p-value 0,000).Simpulan: Terdapat perbedaan yang signifikan atau bermakna selisih antara kelompok pendampingan dan tanpa pendampingan pada ibu pasca bersalin dengan BBLR (dismature) di rumah setelah kelas perawatan metode kanguruKata kunci : Keterampilan, pendampingan, ibu pasca bersalin, BBLR, PMKAbstractBackground: One of the main causes of morbidity and mortality is infants with low birth weight or low birth weight (LBW). Based on Riskesdas 2007, the complications that cause the most death in infants are asphyxia, low birth weight (LBW) and infections in infants. Data from the World Health Organization (WHO) shows that around 20 million low birth weight (LBW) babies are born each year which can be caused by premature births or stunted fetal development while in the womb. The prevalence of LBW in Indonesia ranges from 2 to 17.2% and accounts for 29.2% of the AKN.The aim was to determine the effect of postpartum assistance with LBW mothers on the increase in baby weight and maternal skills in performing Kangaroo Method care after kangaroo method care class at Haji Hospital Medan.Methods: Quasi-experimental, non-equivalent control design, using respondents from postpartum mothers with LBW (dismature), a sample of 38 people based on a minimum experimental sample. The samples at each location were determined based on consecutive sampling. The instrument used to determine the improvement of skills was the PMK SOP. The data obtained were then analyzed using the Wilcoxon Signed Rank Test and the Mann Whitney test with a significant level of 0.05.Results: showed that there was a significant difference in improving the skills of postpartum mothers with low birth weight (dismature) in doing PMK at home between the mentored and unaccompanied groups (p-value 0,000).Conclusion: There is a significant or significant difference between the assisted and unattended groups of postpartum mothers with LBW (dismature) at home after the kangaroo care classKeywords: skills, mentoring, postpartum mothers, low birth weight, PMK
KONSELING MENGGUNAKAN MODUL SEBAGAI MEDIA EDUKASI TERHADAP TINGKAT KECEMASAN IBU NIFAS PADA MASA PANDEMI COVID-19 Febriana Sari; Herna Rinayanti Manurung; Evi Rosida Sihombing
Prosiding Konferensi Nasional Pengabdian Kepada Masyarakat dan Corporate Social Responsibility (PKM-CSR) Vol 4 (2021): Peran Perguruan Tinggi dan Dunia Usaha dalam Mewujudkan Pemulihan dan Resiliensi Masya
Publisher : Asosiasi Sinergi Pengabdi dan Pemberdaya Indonesia (ASPPI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (211.323 KB) | DOI: 10.37695/pkmcsr.v4i0.1237

Abstract

Corona Virus Disease 2019 (COVID-19) adalah penyakit yang sedang mewabah hampir diseluruh penjuru dunia pada saat ini. Kebijakan program nasional dalam masa nifas dan menyusui merupakan suatu hal yang sangat penting dalam kesejahteraan ibu nifas dan bayinya seperti menilai kesehatan ibu dan bayi, melakukan pencegahan terhadap kemungkinan masalah kesehatan, mendeteksi adanya komplikasi penyakit terhadap ibu nifas dan bayinya, beberapa komponen essensial dalam asuhan kebidanan pada ibu selama masa nifas. Dampak negatif mungkin lebih besar di antara ibu nifas yang mengalami peningkatan stres karena mengkhawatirkan bayi mereka. Konseling menggunakan modul bertujuan dapat menjadi edukasi pada ibu nifas terkait kecemasannya terhadap pandemi covid-19 melalui metode konseling. Kegiatan dilaksanakan UPT Puskesmas Kecamatan Sumbul Pegagan Kabupaten Dairi Provinsi Sumatera Utara. Pada studi awal dilakukan sebelum kegiatan ditemukannya masih banyak ibu nifas mengalami kecemasan. Kecemasan yang di tunjukkan oleh ibu nifas yang diwawancarai, membutuhkan suatu cara yakni memberikan pendidikan kesehatan melalui konseling dengan media modul yang bertujuan untuk peningkatan pemahaman upaya pencegahan Covid-19 pada ibu nifas dan menyusui sehingga mengurangi kecemasan ibu nifas selama pandemi COVID-19. Dari kegiatan pengabdian masyarakat ini didapati adanya peningkatan pengetahuan dan pemahaman ibu nifas dalam upaya pencegahan dan penurunan kecemasan karena COVID-19. Selanjutnya perlu adanya pemantauan lebih lanjut atas perubahan perilaku setelah dilakukan konseling ini.
Factors Affecting The Knowledge Of Pregnant Women In The Third Trimester About Red Ginger Drinks As a Pain Reliever For First Stage Of Labor in The Active Phase Of The Regional General Hospital Of Perdagangan, Simalungun Regency In 2024 Srilina Br Pinem; Murni Sari Dewi; Herna Rinayanti Manurung; Dyanti Butar-Butar; Adelina Sembiring; Rumondang Sitorus; Ester Simanulang
International Journal of Health and Medicine Vol. 2 No. 2 (2025): April : International Journal of Health and Medicine
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/ijhm.v2i2.313

Abstract

Labor pain during the first stage of active phase is visceral, arising from uterine contractions and cervical dilation, processed through sympathetic efferent nerve fibers. One therapy that can be used to reduce this pain is the administration of red ginger extract, which is known to have the highest oleoresin content compared to other types of ginger. This study aims to assess the factors influencing the knowledge of third-trimester pregnant women about the benefits of red ginger drink as a pain reliever during the first stage of active labor at the RSUD Daerah Perdagangan. The study used an analytic cross-sectional design involving 66 respondents who met specific inclusion and exclusion criteria. The results showed that education, age, received information, and culture influenced pregnant women’s knowledge about the benefits of red ginger. Based on statistical tests, it was found that education, age, information, and culture have a significant impact on the level of knowledge among pregnant women. This study is expected to contribute to increasing pregnant women’s knowledge of alternative pain relief methods using red ginger and to enrich awareness of the importance of health information during pregnancy.
Pendampingan Suami Berpengaruh dalam Mengurangi Kecemasan Ibu Primigravida Kala I di PMB Pariawati Fitria Fitria; Retno Wahyuni; Herna Rinayanti Manurung; Lidya Natalia Sinuhaji; Febriana Sari; Asnita Sinaga
Jurnal Sains dan Kesehatan Vol. 6 No. 2 (2022): Desember : Jurnal Sains dan Kesehatan (JUSIKA)
Publisher : Universitas Muhamadiyah Manado

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57214/jusika.v6i2.743

Abstract

Childbirth is a physiological process experienced by mothers of childbearing age, giving birth to a baby is a process that is eagerly awaited by husband and wife couples, apart from that, when facing childbirth a mother will feel anxious and worried (I. Kuswanti & Melina, 2019a) Family health program recording at the Ministry of Health in 2020, the number of maternal deaths showed 4,627 deaths in Indonesia and this has increased compared to 2019 which was 4,221 deaths. , and seen based on the causes and the majority of them, there are 1,330 cases of bleeding, 1,110 cases of hypertension in pregnancy, and 230 cases of circulatory system disorders. The research that I have carried out is a type of Quantitative research. According to (Sujarweni, 2020) in the book Research Methodology defines quantitative research as a process of discovering knowledge that uses data in the form of numbers as a tool for analyzing information about what is known. In this research, the researcher used a questionnaire sheet. Based on the preliminary survey data that I had conducted at PMB Pariawati Tinggi Cliff, that there were mothers who were in labor who were anxious when they were about to give birth, the researcher was interested in taking the title of the effect of husband's assistance on reducing anxiety in the birth process of primigravida mothers in the first stage at PMB Pariawati Tebing Tinggi. And after I conducted research at PMB Pariawati Tebing Tinggi in 2022 which lasted around 3 months and I got 35 mothers who Primigravida who is about to give birth experiences anxiety.
Pengaruh Mobilisasi Dini Pasien Post Sectio Caesarea Terhadap Gangguan Mobilitas Fisik Di Puskesmas Danau Paris Kabupaten Aceh Singkil Tahun 2024 Lisa Putri Utami Damanik; Afni Veronika Tambunan; Herna Rinayanti Manurung; Siti Nurmawan Sinaga; Zulkarnain Batu Bara; Magdalena Barus
Inovasi Kesehatan Global Vol. 1 No. 2 (2024): Mei : Inovasi Kesehatan Global
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/ikg.v1i3.718

Abstract

Background: Sectio Caesarea (SC) is a surgical procedure to deliver a fetus by making an incision to open the abdominal wall and uterine wall or a hysterotomy to remove the fetus in the mother's womb. In recent years, normal delivery has been considered a difficult way of giving birth and tends to be dangerous for the mother and her baby. The use of Caesarean section is increasing globally, and now accounts for > 1 in 5 (21%) of all births. This number is predicted to continue to increase, almost a third (29%) of all births are estimated to be carried out via sectio in 2030. Method: This type of research is quantitative with a quasi-experimental approach. The research was conducted at the Lake Paris Health Center, Aceh Singkil Regency in 2024. The research population was all post partum mothers with cesarean sections at the Lake Paris Health Center, Aceh Singkil Regency, namely 30 people. The sampling technique used was simple random sampling. The data analysis used was univariate analysis and bivariate analysis, the analysis used was the Non-Parametric Test (Man-Whitney) with α = 0.05. Results: The results of the study showed that before the intervention was carried out, there were 3 respondents experiencing mild pain (10.0%), 14 respondents experienced Moderate pain (46.7%), and 13 respondents experienced severe pain (43.3%). After the intervention, 2 experienced no pain (6.7%), 13 experienced mild pain (43.3%), 2 experienced moderate pain (6.7%), 13 experienced severe pain (43.3%). Conclusion: The results of statistical tests obtained P value = 0.000 < 0.05, meaning that there was a significant difference before and after giving early mobilization treatment to mothers post cesarean section at the Lake Paris Health Center, Aceh Singkil Regency in 2024