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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
HUBUNGAN PENGETAHUAN DENGAN SIKAP IBU HAMIL TENTANG UPAYA PENCEGAHAN COVID-19 DI BPM RINI, M.Kes KABUPATEN BATU BARA TAHUN 2021 Nur Azizah; Isyos Sari Sembiring; Rosmani Sinaga; Magdalena Barus; Indra Agussamad
Excellent Midwifery Journal Vol 4, No 2 (2021): EDISI OKTOBER
Publisher : STIKes Mitra Husada Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (477.412 KB) | DOI: 10.55541/emj.v4i2.177

Abstract

Coronavirus merupakan keluarga besar virus yang menyebabkan penyakit pada manusia dan hewan. Pada manusia biasanya menyebabkan penyakit infeksi saluran pernapasan, Virus ini masuk dalam kelompok betacoronavirus, dikatakan Coronavirus karena bentuk virus ini seperti mahkota yang memiliki tonjolan-tonjolan glikoprotein, virus ini mengandung RNA untai tunggal dengan ukuran diameter yang relatif besar sekitar 120-160 nm. Virus ini dapat ditularkan melalui kontak langsung dengan droplet saluran pernapasan orang yang terinfeksi (batuk dan bersin) dan dapat bertahan selama berhari-hari di permukaan benda Penelitian ini bertujuan untuk mengetahui hubungan pengetahuan ibu hamil dengan sikap ibu hamil tentang upaya pencegahan Covid-19 selama hamil di BPM Rini, M.Kes Kabupaten Batu Bara. Jenis penelitian yang digunakan adalah cross sectional study yang bertujuan untuk menemukan ada tidaknya hubungan pengetahuan ibu hamil dengan sikap ibu hamil tentang upaya pencegahan Covid-19 selama hamil. Pengambilan sampel penelitian ini dilakukan secara random sampling sebanyak 30 ibu hamil. Teknik analisis yang digunakan yaitu analisis univariat dan bivariat.  Berdasarkan hasil Hasil penelitian menunjukkan sebagian besar ibu hamil memiliki pengetahuan yang berada pada kategori kurang, dan sebagian besar ibu hamil memiliki sikap yang negatif terhadap upaya pencegahan Covid-19. Berdasarkan hasil penelitian, maka dapat disimpulkan bahwa terdapat hubungan yang signifikan antara pengetahuan dengan sikap ibu hamil tentang upaya pencegahan Covid-19 selama hamil di BPM Rini, M.Kes kabupaten batu bara. Kata Kunci : Pengetahuan, Sikap, Pencegahan Covid-19
PENINGKATAN KUALITAS KESEHATAN IBU DAN ANAK MELALUI PEMANFAATAN BUKU KIA (KESEHATAN IBU DAN ANAK) UNTUK PENCEGAHAN STUNTING Nur Azizah; Isyos Sari Sembiring; Mediyana Sembiring; Asnika Asnika; Rosmani Sinaga; Devita Purnamasari
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 (207.434 KB) | DOI: 10.37695/pkmcsr.v4i0.1347

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PENINGKATAN KUALITAS KESEHATAN IBU DAN ANAK MELALUI PEMANFAATAN BUKU KIA (KESEHATAN IBU DAN ANAK) UNTUK PENCEGAHAN STUNTING Nur Azizah1, Isyos Sari Sembiring2, Eva Ratna Dewi3, Devita Purnama sari4, wita nancy5, 1,2STIKes Mitra Husada Medan 3,4STIKes Mitra Husada Medan 5,6STIKes Mitra Husada Medan azizahlubis243@gmail.com, sari.sembiring9@gmail.com ,evaratna.dewi87@gmail.com, devitapurnamasari129@gmail.com, witanancy328@gmail.com. Abstrak Stunting merupakan sebuah masalah kurang gizi kronis yang disebabkan oleh kurangnya asupan gizi dalam waktu yang cukup lama, hal ini menyebabkan adanya gangguan di masa yang akan datang yakni mengalami kesulitan dalam mencapai perkembangan fisik dan kognitif yang optimal. Ketidakpahaman ibu yang memiliki balita terhadap informasi yang didapatkan tentang pertumbuhan dan perkembangan balita sehingga menyebabkan balita mengalami stunting Upaya meningkatkan kelangsungan dan kualitas hidup ibu dan anak dengan pendekatan promotif dan preventif dengan memanfaatkan buku KIA sebagai informasi tentang ibu dan anak sehingga memudahkan ibu untuk dapat memahami kondisi kesehatan bayinya secara mandiri dan meningkatkan praktik keluarga dan masyarakat dalam mememilihara/ merawat kesehatan. Tujuan Pengabdian masyarakat ini dilakukan kepada masyarakat untuk meningkatkan kualitas kemampuan ibu balita dalam memanfaatkan buku KIA . Hasil kegiatan program pengabdian masyarakat yang telah dilakukan menunjukkan dengan Metode Penyuluhan dan membagikan kuesioner untuk menilai pengetahuan sebelum (pre-test) dan sesudah (post-test) diberikan penyuluhan. Hasil Hasil Pengabdian Kepada Masyarakat menunjukkan bahwa terjadi peningkatan pengetahuan tentang pemanfaatan buku KIA, setelah dilakukan penyuluhan sehingga ibu hamil dapat memahami isi dari buku KIA . Kata Kunci : Kualitas kesehatan, pemanfaatan Buku KIA, Pencegahan stunting
PENERAPAN PROGRAM ISI PIRINGKU UNTUK MENCEGAH STUNTING PADA BALITA DI PUSKESMAS KOKONAO DISTRIK MIMIKA BARAT KABUPATEN MIMIKA TAHUN 2022 Rosmani Sinaga; Riyanti Tampubolon; Rosmala dewi; Endang Susanti; Yuli Andarina; Sukriyah Sukriyah; Sri Nikmah
Prosiding Konferensi Nasional Pengabdian Kepada Masyarakat dan Corporate Social Responsibility (PKM-CSR) Vol 5 (2022): PERAN PERGURUAN TINGGI DAN DUNIA USAHA DALAM AKSELERASI PEMULIHAN DAMPAK PANDEMI
Publisher : Asosiasi Sinergi Pengabdi dan Pemberdaya Indonesia (ASPPI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37695/pkmcsr.v5i0.1834

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Edukasi Gizi “Isi Piringku” penting bagi balita untuk menerapkan pola makan sehat dan kebutuhan nutrisi harian serta mencegah stunting. Salah satu faktor yang mempengaruhi gizi balita adalah pengetahuan gizi. dalam pemberian gizi seimbang dalam gerakan mencegah stunting pada balita dalam upaya promosi kesehatan dapat dilakukan melalui pendekatan pendidikan dengan media promosi. Media promosi dijadikan alat bantu untuk mengatasi keterbatasan pengalaman yang dimiliki ibu balita dan menjadi pedoman bagi masyarakat dalam merubah perilaku kearah gizi seimbang. Metode yang digunakan dalam kegiatan ini terdiri dari 3 yaitu tahap persiapan, pelaksanaan dan evaluasi, dimulai dengan mengumpulkan peserta yaitu ibu yang memiliki balita. Hasil ditemukan sebelumnya ibu yang memiliki balita menyajikan makanan bergizi, namun jenis dan jumlah tidak sesuai dengan isi piringku. setelah dilaksanakannya kegiatan, penyediaan makan pada balita sudah disesuaikan dengan kebutuhan gizinya, sebagian besar ibu sudah mengaplikasikan isi piringku setiap kali makan (siang dan malam). Kesimpulan : dengan memberikan edukasi pada ibu yang memiliki balita tentang gizi seimbang dan program isi piringku mpemahaman ibu mengenai gizi seimbang dan program isi piringku menjadi lebih baik.
Hubungan Pengetahuan Dan Sikap Ibu Hamil Dengan Kunjungan Antenatal Care Di BPM Sukianti Kec. Sinaboi Kab. Rokan Hilir Tahun 2023 Amalia Fajrika; Khairunnisa Situmorang; Rosmani Sinaga; Anna Waris Nainggolan
Journal Innovation In Education Vol. 1 No. 4 (2023): Desember: Journal Innovation in Education (INOVED)
Publisher : STIKes Ibnu Sina Ajibarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59841/inoved.v1i4.646

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The service provided to women during pregnancy is ANC services. The aim of this ANC examination is to reduce the number of deaths and morbidity rates in pregnant women. This study aims to determine the relationship between knowledge and attitudes of pregnant women with antenatal care visits at BPM Sukianti Kec. Sinaboi District. Rokan Hilir 2023. This type of research is an analytical survey with a cross-sectional research design. The population is a total sampling, namely all pregnant women in BPM Sukianti District. Sinaboi District. Rokan Hilir in 2023 as many as 30 people. The data analysis technique uses chi square. The results obtained in this study were mostly good knowledge with 18 people attending antenatal care visits (60%) and positive attitudes of pregnant women with 18 people completing antenatal care visits (60%). Based on the results of the chi square test, there is a relationship between pregnant women's knowledge and antenatal care visits with a P value = 0.002 < 0.05, there is a relationship between pregnant women's attitudes and antenatal care visits with a P value = 0.008 < 0.05. The conclusion is that there is a relationship between knowledge and attitudes of pregnant women and antenatal care visits. It is recommended that pregnant women provide antenatal care services according to standards and in a complete manner so that they can reduce the Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR) in Indonesia.
Edukasi Kompres Hangat Terhadap Penurunan Nyeri Persalinan Kala I Fase Aktif di PMB Pera Simalingkar B Medan Tuntungan Tahun 2023 Imran Saputra Surbakti; Kamelia Sinaga; Rumondang Sitorus; Asnita Sinaga; Agustina Tumanggor; Rosmani Sinaga
jurnal ABDIMAS Indonesia Vol. 1 No. 4 (2023): Desember : Jurnal ABDIMAS Indonesia
Publisher : STIKes Ibnu Sina Ajibarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59841/jurai.v1i4.992

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Warm water compresses given to a woman's lower back in the area where the fetal head presses on the spine will reduce pain, heat will increase circulation to the area thereby correcting tissue anoxia caused by pressure. This study aims to determine the effect of warm compresses on reducing labor pain during the first active phase. This type of research is Quasi experiment, which is research that is used to determine whether or not there are consequences of "something" imposed on the subject being studied by looking for the effect of certain treatments on others under controlled conditions. A sample is a portion taken from all objects studied and is considered to represent the entire population. The sample in this study was 20 people in one intervention group. The sampling technique was Purposive Sampling, namely taking samples according to the criteria determined by the researcher. Data collection techniques use questionnaire sheets and respondent observation sheets. The data analysis technique uses the Independent T test. Statistical testing uses parametric analysis with the significance of the test results determined based on the p value <0.05. Based on the statistical test results, it is known that the p value is 0.001<0.05 which means that there is an influence on the intensity of pain before and after administration. Warm Compress. This research means that there is a significant relationship between the effect of warm compresses on reducing labor pain during the first active phase at PMB Pera Simalingkar B Medan Tuntungan in 2023
HUBUNGAN PARITAS DAN DUKUNGAN SUAMI DENGAN PENGGUNAAN ALAT KONTRASEPSI INTRA UTERINE DEVIDE (IUD) DI KLINIK PRATAMA HANNA KASIH TAHUN 2020 Netty Herawaty Br Sembiring; Febriana Sari; Rosmani Sinaga
JURNAL RISET RUMPUN ILMU KESEHATAN Vol. 1 No. 2 (2022): Oktober: Jurnal Riset Rumpun Ilmu Kesehatan
Publisher : Pusat riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (106.662 KB) | DOI: 10.55606/jurrikes.v1i2.434

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Based on data from Indonesia's Health Profile in 2016, Indonesia has a population of 258,704,986 people. Indonesia still ranks fourth with the largest population in the world after America, India and China. The total population of Indonesia in 2019 is estimated at 268,074,565 people, consisting of 117,674,363 urban residents and 150,400,202 rural residents. One of the programs to reduce population growth in realizing a family planning program (KB). The results of the prevalence of family planning in Indonesia based on the 2015 Fertile Age Couples Monitoring Survey reached 65.4% with the IUD method, which is still very low (4.7%). This study aims to determine the relationship between parity and husband's support with the use of IUDs at the Hanna Kasih Primary Clinic in 2020. The population in this study were acceptors who currently use IUD KB and have used IUD KB but now choose other types of family planning. The number of samples in this study were taken by total sampling, amounting to 30 people. The results obtained in this study from 30 respondents the majority were Scundipara, namely 11 (36.7%) respondents. Based on husband's support, the majority received positive husband support, namely 22 (73.3%). Based on the bivariate analysis, there is a significant relationship between parity and husband's support with the use of IUD contraceptives at the Pratama Hana Kasih clinic in 2020, with p value for parity <0.05 (p = 0.015) and for husband support with p value <0.05. (p = 0.000). It is hoped that the head of the Pratama Clinique Hanna Kasih will continue to provide support in the selection of the IUD contraceptive and the husband will continue to provide positive support for the wife to continue to use the IUD contraceptive device.
TANGGUH BENCANA MELALUI RENCANA KONTINGENSI DAN BANTUAN SOSIAL PADA KELOMPOK RENTAN DENGAN SERVICE EXELLENT DI WILAYAH KERJA PUSKESMAS KAMPUNG BARU KOTA MEDAN TAHUN 2024 Lasria Simamora; Rosmani Sinaga; Sonia Novita Sari; Erin Padilah; Nurmalina Hutahaean; Ika Damayanti Sipayung; Damayanty S; Jusnita; Khairani Munthe; Endang Panjaitan
PAKDEMAS : Jurnal Pengabdian Kepada Masyarakat Vol 4 No 1 (2024): Desember
Publisher : Fakultas Pertanian

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58222/pakdemas.v4i1.387

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Disaster contingency plans and social assistance are plans that contain efforts to deal with the threat of disaster. This plan is part of the Disaster Emergency Management Plan (RPKB) and can be turned into a Disaster Emergency Operation Plan (RODB) when a disaster emergency occurs. Recurrent flooding incidents in the working area of ​​the Kampung Baru Community Health Center are of particular concern. This requires the community to have adequate disaster management skills, especially vulnerable groups. Therefore, Community Service for Disaster Resilience through contingency plans for vulnerable groups in the Working Area of ​​the Kampung Baru Community Health Center, Medan City, North Sumatra Province needs to be carried out. This service is carried out through preparation, implementation and evaluation methods. Participants consisted of 40 people from vulnerable groups. This activity was held on campus Jl. Brigadier General Katamso Gg. Lamp I Below Ward XVI Medan City. The results of the service showed that at the pretest, all participants did not know about disaster response, and at the posttest, 15 participants (46.9%) experienced an increase in their knowledge to be good and sufficient..
Analisis Mutu Layanan Kesehatan (Tangible, Realibility) Terhadap Tingkat Kepuasan Kunjungan Ibu Hamil TM I Di Puskesmas Labuhan Deli Kecamatan Labuhan Deli Kabupaten Deli Serdang Tahun 2023 Sonia Novita Sari; Noni Handayani Br Tarigan; Nur Azizah; Rosmani Sinaga
Jurnal Ventilator Vol. 1 No. 2 (2023): Juni : Jurnal Ventilator
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/ventilator.v1i2.523

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Antenatal care is care or care provided to pregnant women before birth, which is useful for facilitating healthy and positive outcomes for pregnant women. Perfect health services have an impact on the quality of service that gives satisfaction to everyone. This study aims to determine the relationship between the quality of health services (tangible, reliability) to the level of satisfaction of the visit of TM I pregnant women at the Labuhan Deli Health Center, Labuhan Deli District, Deli Serdang Regency. This research is an analytical quantitative research using a cross sectional design. The population in this study were all TM I pregnant women who visited the Labuhan Deli Health Center, namely 56 respondents at the Labuhan Deli Health Center, Labuhan Deli District, Deli Serdang Regency in 2023. The sampling technique was accidental sampling. Data collection was analyzed by chi-square test. The results of this study indicate that there is a correlation between the satisfaction of pregnant women at the Labuhan Deli Health Center, Labuhan Deli District, Deli Serdang Regency in 2023 based on the tangible dimension (physical evidence), and there is no relationship between the level of satisfaction of pregnant women at the Labuhan Deli Health Center, Labuhan Deli District, Deli Serdang Regency in 2023 based on dimension of realibility (reliability).
Pengaruh Senam Hamil Terhadap Penurunan Nyeri Punggung Bawah Pada Ibu Hamil TM III di Praktek Mandiri Bidan Novia Br Karo Kec. Sunggal Kab. Deli Serdang Tahun 2023 Yenni Fransiska B; Nur Azizah; Rosmani Sinaga
Jurnal Siti Rufaidah Vol. 2 No. 4 (2024): Jurnal Siti Rufaidah
Publisher : PPNI UNIMMAN

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57214/jasira.v2i4.169

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Background: Lower back pain is common in pregnant women, especially in the third trimester, due to physiological changes such as weight gain, shifts in the body’s center of gravity, and ligament relaxation. Prenatal exercise is a non-pharmacological method that improves flexibility, strengthens muscles, and enhances posture, reducing lower back pain. However, its implementation remains limited due to a lack of education and supporting facilities. Objective: This study evaluates the effect of prenatal exercise on lower back pain reduction in third-trimester pregnant women at the Independent Practice of Midwife Novia Br Karo, Sunggal District, Deli Serdang Regency. Method: A pre-experimental design with a one-group pretest-posttest approach was used. The study included 32 third-trimester pregnant women experiencing lower back pain. Prenatal exercise was provided, and pain levels were measured before and after using an observation sheet. Results: Before the intervention, most respondents (53.1%) reported moderate pain. After prenatal exercise, the majority (59.4%) experienced reduced pain in the mild category. The Wilcoxon test yielded a Z value of -3.122 with p = 0.002 (p < 0.05), indicating a significant effect of prenatal exercise in reducing lower back pain. Conclusion: Prenatal exercise effectively reduces lower back pain intensity in third-trimester pregnant women. It should be promoted as a non-pharmacological intervention for pregnancy-related back pain and incorporated into maternal health programs.