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EFEKTIFITAS POSISI MIRING DAN POSISI SETENGAH DUDUK PADA PERSALINAN KALA II UNTUK MENGURANGI TRAUMA DALAM PERSALINAN NORMAL DI RSU. RHIDOS Marlina L Simbolon; Ingka Kristina Pangaribuan; Kamelia Sinaga
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 (177.258 KB) | DOI: 10.33859/dksm.v11i2.639

Abstract

AbstrakLatar Belakang Tingginya angka persalinan section caesarea dipengaruhi banyak hal. Salah satunya adalah trauma persalinan pada ibu dikarenakan waktu persalinan yang cukup lama. Hal tersebut dapat dikarenakan posisi persalinan yang tidak tepat. Sebagian kematian maternal dan perinatal banyak terjadi pada saat persalinan. Salah satu penyebabnya kala II lama (37%) dan asfiksia pada bayi (28%) (Depkes RI, 2009).Tujuan: untuk mengetahui perbedaan posisi persalinan setengah duduk dan miring ke kiri terhadap lamanya kala II di RSU. Rhidos Tahun 2020.Metode: Penelitian ini merupakan penelitian eksperimen statis group comparison,Sampel penelitian semua ibu bersalin primigravida dengan asuhan persalinan normal, dibagi dalam 2 kelompok yaitu kelompok dengan posisi persalinan setengah duduk sebanyak 20 responden dan kelompok posisi persalinan miring kiri sebanyak 20 responden.Analisis data menggunakan analisa univariat disajikan dengan distribusi frekuensi, dan analisis bivariat untuk mengetahui perbedaan lama kala II dengan posisi miring kiri dan posisi semi fowler/setengah duduk dengan menggunakan uji T test independen.Hasil: Dari hasil penelitian didapatkan bahwa kelompok posisi persalinan setengah duduk adalah 87,5 menit, didapatkan nilai p = 0,029 berarti nilai p dari alpha (0,05) dan pada posisi setengah duduk dengan α 0,05 (p-value = 0,029). Dapat disimpulkan bahwa Ho ditolak dan Ha diterima artinya terdapat perbedaan efektifitas posisi miring dan posisi setengah duduk terhadapa kelancaran proses persalinanSimpulan: Posisi Ibu bersalin pada kala II lebih cepat pada posisi setengah duduk dari pada posisi miring. terdapat perbedaan efektivitas posisi miring dan posisi setengah duduk terhadap kelancaran proses melahirkan. Kata Kunci : Lama Kala II, Posisi Setengah Duduk, Posisi Miring KiriTHE EFFECTIVENESS OF TRIAL POSITION AND HALF-SITTING POSITION IN SECOND STAGE LABOR TO REDUCE TRAUMA IN NORMAL DELIVERY IN RSU. RHIDOSAbstractBackground:  The high rate of caesarean section delivery is influenced by many factors. One of them is the trauma of childbirth to the mother due to the long delivery time. This can be due to the incorrect position of the labor. Most of the maternal and perinatal deaths occurred during delivery. One of the causes is the long period II (37%) and asphyxia in infants (28%) (Depkes RI, 2009).Objective: to determine the difference in the position of half-sitting and tilted to the left labor towards the length of the second period in the hospital. Rhidos Year 2020.Methods: This study was a static experimental group comparison study. The sample of this study was all primigravida maternity with normal delivery care, divided into 2 groups, namely a group with a half-sitting position of labor as many as 20 respondents and a group with left oblique labor position as many as 20 respondents.Data analysis used univariate analysis presented with frequency distribution, and bivariate analysis to determine the difference in the length of second stage with left tilt and semi-fowler / half-sitting position using the independent T test.Results: From the results of the study, it was found that the half-sitting labor position group was 87.5 minutes, the value of p = 0.029 meant that the p value of alpha (0.05) and in the half-sitting position with α 0.05 (p-value = 0.029). It can be concluded that Ho is rejected and Ha is accepted, meaning that there is a difference in the effectiveness of the tilted position and the half-sitting position towards the smoothness of the labor process.Conclusion: The position of the mother giving birth in stage II is faster in a half-sitting position than on her side. There are differences in the effectiveness of the tilted position and the half-sitting position on the smoothness of the birthing process.Keywords: Kala II, Half Sitting Position, Left Tilt Position
PERAWATAN TEKNIK AKUPUNKTUR UNTUK PERCEPATAN PENYEMBUHAN LUKA POST PARTUM POST SECTIO CESAREA Siska Suci Ginting; Lisa Putri Damanik; Isyos Sari Sembiring; Kamelia Sinaga; Monica Magdalena; Indah Falina
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 (220.694 KB) | DOI: 10.37695/pkmcsr.v4i0.1210

Abstract

Delivery by caesarean section can indeed facilitate the delivery process so that many pregnant women prefer to choose this route even though they can actually give birth normally. But in fact, the mortality rate by caesarean section is 40-80 per 100,000 live births. This figure has a 25x greater risk compared to vaginal delivery. The purpose of this service activity is focused on post partum patients with sectio caesarea who often experience disturbances such as frequent numbness, spinal pain, or abdominal pain. The problem is that there is no treatment method for post sectio caesarea postpartum patients so it is necessary to do community service with the aim of knowing the benefits of home care, namely acupuncture in post sectio caesaria post partum patients to accelerate the acceleration of post sectio caesarea wound healing. Respondents in this study consisted of two groups, namely the group that was given acupuncture treatment as many as 16 respondents and the control group without treatment as many as 15 respondents. The method used to analyze the data using the Mann-Whitney test. Wound healing variables were assessed based on the REEDA scale. Acupuncture was carried out for 3 consecutive days to determine the acceleration of post partum wound healing. The results of the analysis are P-Value = 0.001 <sig 0.05, which means that there is an effect of using home care with acupuncture techniques on the acceleration of the post partum wound healing process post sectio caesarea.
EDUKASI PENCEGAHAN COVID-19 PADA ANAK DENGAN PENERAPAN 5 M Marliani Marliani; Isyos Sari Sembiring; Astaria Ginting; Kamelia Sinaga; Devita Purnama Sari; Rosmelina Buulolo; Habib Nabawi
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 (352.758 KB) | DOI: 10.37695/pkmcsr.v4i0.1334

Abstract

Coronavirus Disease 2019 (COVID-19) adalah penyakit menular yang disebabkan oleh Severe Acute Respiratory Syndrome Coronavirus 2 (SARSCoV-2). Kasus positif Covid-19 di Indonesia pada anak semakin meningkat mencapai sekitar 11-12 persen yaitu sekitar 210.000-230.000 kasus. Potensi penularan masif pada kelompok usia anak baik prasekolah maupun usia sekolah dasar perlu sangat diwaspadai dikarenakan anak-anak sangat aktif beraktifitas bersama teman-teman dan sering mengabaikan kebersihan tangan karena itu perlu dilakukan upaya pencegahan secara lebih ketat dengan memberikan edukasi secara langsung tentang pencegahan penularan Covid-19 dengan menerapkan 5 M. Tujuan dari kegiatan pengabdian ini adalah untuk memberikan pengetahuan kepada anak-anak usia 7 -12 tahun tentang 5M (Memakai masker, Mencuci tangan, Menjaga jarak, Menghindari kerumunan dan Mengurangi mobilitas dengan melakukan aktivitas di rumah saja kecuali jika ada hal yang penting atau darurat) yang dapat mengurangi kejadian infeksi virus Covid-19 pada anak-anak. Metode yang digunakan pada kegiatan pengabdian ini adalah memberikan edukasi secara langsung dengan memberikan ceramah tentang penerapan 5M, dilakukan teknik pra-eksperimental dengan one gruop pretest-posttest design. Sebanyak 35 anak usia 7 – 12 tahun terlibat dalam kegiatan ini, pengambilan sampel menggunakan teknik purposive sampling. Analisis data menggunakan uji Wilcoxon dan t berpasangan. Hasil edukasi tentang pencegahan Covid-19 dengan penerapan 5 M berpengaruh terhadap tingkat pengetahuan (p value=0,000), dan sikap (p value=0,002).
ASUHAN KEBIDANAN CONTINUITY OF CARE (COC) PADA NY. D DI KLINIK HAMIDAH NASUTION MEDAN Minati Rahayu Syafitri; Kamelia Sinaga
ABDIMAS Madani Vol 5 No 2 (2023): Jurnal Abdimas Madani
Publisher : LPPM STIKES Madani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36569/abdimas.v5i2.144

Abstract

Abstract comprehensive midwifery care (continuity of care/COC) can optimize the detection of high maternal and neonatal risks. The aim of this care is to provide midwifery care for pregnant women, childbirth, postpartum, neonates and family planning at the Hamidah Nasution Clinic using a midwifery management approach. This type of research is a case study (case study). Guidelines for observation, interviews and documentation studies in the form of Midwifery Care starting from pregnancy, childbirth, postpartum, newborn and family planning. The results of the care given to Mrs. D 25 years old G1P0A0 starting from pregnancy, childbirth, postpartum, newborn and family planning. Runs smoothly and mother and baby are normal. Based on the results of the continuity of care midwifery care that had been carried out on Mrs. It is hoped that clients can apply the counseling that has been given during midwifery care so that the condition of the mother and baby remains good and can prevent complications and death. Keywords: Pregnancy, Maternity, Postpartum, Newborn, Family Planning
Pengaruh Inisiasi Menyusu Dini Terhadap Pemberhentian Perdarahan Post Partum Di Puskesmas Tiganderket Kec. Tiganderket Kab. Karo Tahun 2023 Natalina Perangin angina; Kamelia Sinaga; Imran Saputra Surbakti
Jurnal Ilmu Kesehatan dan Gizi Vol. 1 No. 4 (2023): Oktober: Jurnal Imu Kesehatan dan Gizi
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jikg.v1i4.2154

Abstract

Mortality and morbidity in pregnant women is a serious problem for the world. The causes of maternal death are quite complex problems, which can be classified based on reproductive factors, obstetric complications, health services and economics. The government program, namely early initiation of breastfeeding or breastfeeding after giving birth for the first time, can provide many benefits for babies and mothers so that maternal and infant mortality rates can be reduced with the early initiation of breastfeeding program. This study aims to determine the effect of early initiation of breastfeeding on stopping post partum bleeding at the Tiganderket District Health Center. Tiganderket, Karo Regency. This type of research is quantitative research using a pre-designed experiment with a statistical comparison group approach / control group design only post test, and analyzed using an independent t test. Data collection uses primary and secondary data. The respondents of this research were 16 mothers who gave birth at the Tiganderket District Health Center. Tiganderket, Karo Regency The results of this study show that the average number of fourth stage blood deliveries between mothers who were given early breastfeeding initiation and mothers who were not given early breastfeeding initiation was obtained where p=0.000 so p<0.005, then Ho was rejected and Ha was accepted ..The conclusion is that there is an effect of early initiation of breastfeeding on stopping post partum bleeding at the Tiganderket District Health Center. Tiganderket, Kab. Karo in 2023
Faktor-Faktor Pemberian Kolostrum Pada Ibu Post Partum Di Puskesmas Kabanjahe Kab. Karo Tahun 2023 Henny Marlina Situmeang; Kamelia Sinaga; Imran Saputra Surbakti
Jurnal Ilmu Kesehatan dan Gizi Vol. 1 No. 4 (2023): Oktober: Jurnal Imu Kesehatan dan Gizi
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jikg.v1i4.2155

Abstract

Colostrum is also a thick viscous fluid with a yellowish color that is yellower compared to mature milk. Colostrum is the first fluid secreted by the breast glands, containing tissue debris and residual material found in the alveoli and ducts of the breast glands before and after the puerperium. The IMD approach currently recommended is the breast crawl method (crawling looking for the breast) after the baby The baby is immediately placed in the mother's stomach and left to crawl to find the mother's nipple herself and finally sucks it without help. Many post-natal mothers do not give breast milk or colostrum to their babies. This is due to many factors. One of them is ignorance, making mothers neglect the importance of giving breast milk to babies. Apart from that, most mothers don't understand how colostrum is very beneficial for babies. Research to determine the factors associated with giving colostrum to post partum mothers is very necessary, so that future efforts can be made to ensure that all newborn babies are given colostrum. This study aims to analyze the factors of giving colostrum to post partum mothers at the Kabanjahe District Health Center. Karo. The type of research used in this research is analytical with a cross sectional design. There were 29 research respondents. By collecting secondary and primary data. From the results of statistical tests using Chi-Square, it shows that p = 0.005, which means Ho is accepted (p value < 0.05), so it can be concluded that there is a significant relationship between the knowledge category and colostrum provision. From the results of statistical tests using Chi-Square, it shows that p = 0.005, which means Ho is accepted (p value < 0.05), so it can be concluded that there is a significant relationship between the role categories of health workers in providing colostrum. At the Kabanjahe district health center. Karo in 2023.
Hubungan Pengetahuan Ibu Hamil Trimester III tentang Anemia dengan Kepatuhan Konsumsi Tablet Fe di Puskesmas Perawatan Namrole Kec. Namrole Kab Buru Selatan Tahun 2023 Saripina Girsang S; Eva Dona Sinaga; Kamelia Sinaga
Jurnal Ilmu Kesehatan dan Gizi Vol. 2 No. 4 (2024): Oktober: Jurnal Imu Kesehatan dan Gizi
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jig.v2i4.3224

Abstract

Anemia in pregnancy is known to occur in pregnant women when iron levels in their blood are low. Pregnant women are said to have anemia if their hemoglobin (Hb) level is <11 grams/dl in the first and third trimesters of pregnancy, in contrast to the second trimester hemoglobin (HB) level <10.5 grams/dl. The aim of the research was to determine the relationship between third trimester pregnant women's knowledge about anemia and compliance with consuming Fe tablets at the Namrole Care Health Center in 2023. This research was quantitative in nature with an analytical survey with a cross sectional research design, which was conducted in the Namrole Maluku Health Center Work Area. The population in this study were all 32 pregnant women in the third trimester. The sampling technique used is Total Sampling. Bivariate analysis uses the Chi Square test with a confidence level of 95%. shows that the p value = 0.000 which means less than A = 0.005, so it can be concluded that there is a significant relationship between the knowledge of third trimester pregnant women about anemia and compliance with consuming Fe tablets at the Namrole Nursing Community Health Center, Kec. Medan Johor in 2023.
Pengaruh Terapi Birthball terhadap Kemajuan Persalinan Kala I pada Ibu Bersalin di Pustu Bangun Rejo Kecamatan Tanjung Morawa Kabupaten Deli Serdang Provinsi Sumatera Utara Tahun 2024 Ribur Sinaga; Fitri Handayani; Nopalina Suyanti Damanik; Rumondang Sitorus; Nur Azizah; Kamelia Sinaga
Jurnal Sains dan Kesehatan Vol. 8 No. 1 (2024): Juni : Jurnal Sains dan Kesehatan (JUSIKA)
Publisher : Universitas Muhamadiyah Manado

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57214/jusika.v8i1.549

Abstract

Birthball or birth ball can be used by mothers in the first stage of labor which is useful for helping the progress of labor. The advantages of using a birthball are that it can increase blood flow to the uterus, placenta and baby, and can increase the pelvic outlet, provide comfort for the knees and ankles, provide counter-pressure on the perineum and thighs, work with gravity that pushes the baby down so that it accelerates the process of opening and lowering the baby's head and the labor process can take place physiologically. This study aims to determine the Effect of Birthball Therapy on the Progress of Labor in the First Stage of Labor in Mothers in Bangun Rejo Health Center, Tanjung Morawa District, Deli Serdang Regency, North Sumatra Province. The research design used is the Quasy Experiment Method (Experiment). By using the Two Group Design design, in this study the population was all mothers in labor as many as 20 people using the Mann-Whitney Test. The results of the study using the Man Whitney test to see the comparison between the intervention group and the control group obtained a sig value of 0.029 or <0.05 with a z table value of 2.189. So H0 is rejected and Ha is accepted, which means that there is an effect of birthball on the progress of the first stage in mothers who are given birthball therapy and those who are not given birthball therapy at Pustu Bangun Rejo, Tanjung Morawa District, Deli Serdang Regency, North Sumatra Province. It is hoped that the research site will become a forum and facilitator for mothers in labor in facing a comfortable and enjoyable labor process in going through a shorter first stage.
Faktor-Faktor Yang Mempengaruhi Kejadian Hiperemesis Gravidarum Pada Ibu Hamil Di Puskesmas Kabanjahe Kab. Karo Tahun 2023 Serinaenti Br Meliala; Kamelia Sinaga; Imran Saputra Surbakti; Agustina Susilawati Tumangger
NAJ : Nursing Applied Journal Vol. 1 No. 4 (2023): October : Nursing Applied Journal
Publisher : LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/naj.v1i4.80

Abstract

Hyperemesis gravidarum is excessive nausea and vomiting during pregnancy. This dangerous vomiting is differentiated from the normal morning sickness commonly experienced by pregnant women because its intensity exceeds normal vomiting and lasts during the first trimester of pregnancy. One complication as a direct result of pregnancy is hyperemesis gravidarum, where this complication can be detected and prevented regularly during pregnancy. Nausea and vomiting occur in 60-80% of Primigravida and 40-60% of Multigravida. In one in 1000 pregnancies these symptoms become more severe. This feeling of nausea is caused by increased levels of the hormones estrogen and hCG (human chorionic gonadotrophin) in the serum. The physiological influence of this increase in hormones is not clear, perhaps due to the central nervous system or insufficient gastric emptying. This hyperemesis can cause dehydration and hunger, the cause of which is unknown. Psychological factors can trigger or worsen vomiting. Weight loss and dehydration. Dehydration can cause changes in electrolyte levels in the blood so that the blood becomes too acidic. If vomiting continues, liver damage can occur. Another complication is bleeding in the retina caused by increased blood pressure when the sufferer vomits. Patients are treated and receive fluids, glucose, electrolytes and vitamins via IV. The general aim of this research is to find out what factors influence the incidence of hyperemesis gravidarum at the Kabanjahe District Health Center. Karo 2023. The type of research used is descriptive correlational with a cross sectional research design. The total population used was 36 people using purposive sampling technique. In collecting secondary and primary data. From the results of statistical tests using Chi-Square, it is known that the p-value is 0.021, so it can be concluded that there is a statistically significant relationship between maternal age and the incidence of hyperemesis gravidarum in pregnant women at the Kabanjahe District Health Center. Karo in 2023.
Pengaruh Kompres Hangat Terhadap Penurunan Nyeri Persalinan Kala I Fase Aktif Di RSUD Dr.Tengku Mansyur Kota Tanjung Balai Tahun 2023 Maysarah Nasution; Kamelia Sinaga; Azri Yani; Ribur Sinaga; Imran Saputra Surbakti
NAJ : Nursing Applied Journal Vol. 1 No. 4 (2023): October : Nursing Applied Journal
Publisher : LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/naj.v1i4.183

Abstract

The scope of implementation of lactation management starts from the pregnancy period, after delivery, and the baby's breastfeeding period. Lactation is the entire breastfeeding process starting from the production of breast milk to the process of the baby sucking and swallowing the breast milk. Babies who are exclusively breastfed have good perinatal growth and reduce obesity. Breastfeeding a baby on demand can increase levels of the hormone oxytocin in a mother's body postpartum and avoid the risk of swelling or dams/blockages in the nipple ducts during the lactation period (Sutanto, 2018). This research aims to analyze the relationship between postpartum mothers' knowledge about breast care and the smooth production of breast milk in Hospital Tengku Mansyur tanjung balai city Regency in 2023. This research is correlational with a cross sectional approach and bivariate data analysis is data analysis used in research to determine the relationship or influence of variables independent (independent) with a dependent (dependent) variable using Chi Square analysis with a significant p-value (0.05) (Hardani, 2020) Based on the research results. Based on the results of statistical tests using Chi-Square, it was obtained with a p value of 0.001 that there was a relationship between the knowledge of postpartum mothers regarding breast care and the smooth production of breast milk in Hospital Tengku Mansyur tanjung balai city Regency in 2023.This means that there is a relationship between the knowledge of postpartum mothers about breast care and the smooth production of breast milk in Hospital Tengku Mansyur tanjung balai city Regency in 2023