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Pengaruh Pijat Perineum terhadap Ruptur Perineum pada Ibu Hamil Trimester III di Klinik Penawar Bidan Yulidina Kabupaten Aceh Tengah Tahun 2022 Katijah Katijah; Mahateara Mahateara; Kismiasih Adethia; Siska Suci Triana Ginting; Lidya Sinuhaji
Jurnal Siti Rufaidah Vol. 1 No. 3 (2023): Jurnal Siti Rufaidah
Publisher : PPNI UNIMMAN

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57214/jasira.v1i3.1

Abstract

Perineal rupture is a common complication of normal delivery, especially in primigravida mothers, which can cause postpartum hemorrhage and increase the risk of maternal morbidity. One non-pharmacological method that can be used to prevent perineal rupture is perineal massage, which functions to soften the pelvic floor muscle tissue and increase the elasticity of the birth canal. This study aims to analyze the effect of perineal massage on the incidence of perineal rupture in third-trimester pregnant women. This type of research is quantitative with a Quasi Experiment design using a post-test only approach with a control group design. The study was conducted at the Penawar Bidan Yulidina Clinic, Central Aceh Regency from April to June 2022 with a sample of 30 third-trimester pregnant women divided into two groups, namely the intervention group and the control group. Data analysis used the Mann Whitney test with a 95% confidence level. The results showed a p-value = 0.020 (p <0.05) which means there is a significant effect of perineal massage on the incidence of perineal rupture. Most mothers in the intervention group did not experience perineal rupture after routine perineal massage. These results indicate that perineal massage is effective in reducing the risk of perineal rupture and can be recommended as a preventive obstetric intervention to prepare pregnant women for a safe and comfortable delivery.
Pengaruh Teknik Effleurage Massage terhadap Nyeri Afterpains Post Partum di Bidan Sulastri di Kecamatan Percut Sei Tuan Kabupaten Deli Serdang Tahun 2022 Susilawatik Susilawatik; Kartika Afrilina Tarigan; Kismiasih Adethia
Jurnal Siti Rufaidah Vol. 1 No. 3 (2023): Jurnal Siti Rufaidah
Publisher : PPNI UNIMMAN

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57214/jasira.v1i3.2

Abstract

Afterpains are a common physiological complaint experienced by mothers during the postpartum period due to uterine contractions that occur after childbirth. This pain can disrupt comfort, inhibit the involution process, and affect the mother's physical and psychological well-being. Non-pharmacological treatment efforts such as the Effleurage Massage technique are an effective alternative because they can increase relaxation and stimulate the release of endorphins that play a role in reducing pain perception. This study aims to determine the effect of the Effleurage Massage technique on the level of afterpains in postpartum mothers at Midwife Sulastri, Percut Sei Tuan District, Deli Serdang Regency in 2022. The research design used was a quasi-experimental design with a one-group pretest-posttest without a control group. The study sample consisted of 45 postpartum mothers selected using the total sampling technique. Data were collected through observations with a numeric pain scale and analyzed using the Wilcoxon Signed Rank Test. The results showed that there was a significant decrease in pain levels after Effleurage Massage with a p value = 0.000 (<0.05). These findings demonstrate that the Effleurage Massage technique is effective in reducing the intensity of postpartum afterpains. Consequently, this massage can be used as a complementary therapy in postpartum midwifery care to increase comfort and accelerate the mother's recovery process.
Pemeriksaan Haemoglobin pada Ibu Hamil Desa Bangun Rejo Kecamatan Tanjung Morawa Kabupaten Deli Serdang Provinsi Sumatera Utara Tahun 2024 Kismiasih Adethia; Retno Wahyuni; Sonia Novita Sari; Nur Azizah; Diah Pitaloka
JURNAL PENGABDIAN MASYARAKAT INDONESIA Vol. 4 No. 1 (2025): Februari: Jurnal Pengabdian Masyarakat Indonesia (JPMI)
Publisher : Politeknik Pratama Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jpmi.v3i2.4215

Abstract

Anemia is the most common nutritional problem in Indonesia and in the world. Anemia is a condition where red cells are insufficient to meet the body's physiological needs. Basically, anemia is a condition where there is a decrease in hemoglobin, hematocrit and erythrocyte count below normal values. The process of this activity starts from the preparation, implementation and evaluation stages. The result was that the participants were 23 pregnant mothers who lived in Bangun Rejo Village. During the implementation, the mothers' hemoglobin levels were checked after which they were given education about anemia in pregnancy. The conclusion of this service is that 19 pregnant women (82.6%) did not experience anemia and 4 people (17.4%) experienced mild anemia and after the examination, pregnant women were given education about anemia in pregnant women. It is hoped that pregnant women will pay more attention to the condition of their pregnancy and eat food that contains good nutrition for pregnant women and have their condition checked regularly.
Hubungan Sosial Budaya dan Pengetahuan Terhadap Minat Ibu dalam Penggunaan Alat Kontrasepsi Jangka Panjang (MKJP) di Wilayah Kerja UPTD Puskesmas Singkil Tahun 2024 Kismiasih Adethia; Annisa Silvia; Retno Wahyuni; Diah Pitaloka; Sonia Novita Sari; Yasrida Nadeak
Antigen : Jurnal Kesehatan Masyarakat dan Ilmu Gizi Vol. 2 No. 3 (2024): Agustus : Antigen: Jurnal Kesehatan Masyarakat dan Ilmu Gizi
Publisher : LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/antigen.v2i3.337

Abstract

The Long-Term Contraceptive Method (MKJP) is a contraceptive that can be used for a long period of time, more than two years, effectively and efficiently for the purpose of spacing births for more than three years or terminating pregnancies in PUS who no longer want to have more children. Family planning devices/drugs/methods that include MKJP are IUD/IUD, Implant, MOP and MOW. In Aceh Province, especially Aceh Singkil, the number of couples of childbearing age (PUS) is 17,625 pairs. The most widely used contraceptive method is PIL contraception, while 216 (1.2%) use MKJP IUD contraception and 481 (2.7%) use implant contraception. The aim of this research is to analyze the socio-cultural relationship and knowledge towards mothers' interest in using long-acting contraceptives (MKJP) in the Singkil Community Health Center UPTD Work Area in 2024. This research is quantitative with a cross-sectional research design conducted in the Singkil Community Health Center UPTD Work Area. . The population in this study was 46 women of childbearing age. The sampling technique used is Total Sampling. The instrument used was a questionnaire and bivariate analysis using the Chi Square test. In conclusion, the p-value was obtained: 0.00<0.05, which means there is a socio-cultural and knowledge relationship with mothers' interest in using long-term contraceptive devices (MKJP) in the Singkil Community Health Center UPTD Work Area in 2024.
Continuity of Care in the Management of Moderate Anemia During Pregnancy: A Case Study Rahmah Rahmah; Kamelia Sinaga; Kismiasih Adethia; Sarfina Br Sembiring; Sri Muliana Putri Bakara
Jurnal Ners Vol. 10 No. 3 (2026): JULI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i3.60824

Abstract

Comments for the Editor Dear Editor, We are pleased to submit our manuscript entitled "Continuity of Care in the Management of Moderate Iron Deficiency Anemia During Pregnancy: A Case Study" for consideration for publication in Jurnal Ners. This manuscript presents a case study describing the implementation of comprehensive Continuity of Care in the management of moderate iron deficiency anemia during pregnancy. The study highlights the contribution of continuous, woman-centered midwifery care from pregnancy through childbirth, postpartum, newborn, and family planning services in improving maternal hemoglobin levels and supporting favorable maternal and neonatal outcomes. We believe that the findings provide practical insights for nurses, midwives, and other healthcare professionals involved in maternal health services. We confirm that this manuscript is original, has not been published previously, and is not under consideration for publication elsewhere. All authors have approved the final version of the manuscript and declare that there are no conflicts of interest related to this study. Thank you for your time and consideration. We appreciate the opportunity to have our manuscript evaluated for publication in Jurnal Ners. Sincerely, The Authors
Effectiveness of a Positive Deviance–Based Educational Intervention on Children’s Self-Esteem for Bullying Prevention: A Quasi-Experimental Study Wahyuni, Retno; Marliani, Marliani; Lusiatun, Lusiatun; Japar, Abdul; Pangaribuan, Ingka Kristina; Manurung, Herna Rinayanti; Adethia, Kismiasih; Fathahilah, Bunga Dwi; Sinaga, Intan Putri; Dalimunthe, Juwita Rantika
Journal of Applied Nursing and Health Vol. 8 No. 1 (2026): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v8i1.520

Abstract

Background: Bullying is a critical school issue rooted in low self-esteem, which serves as a major vulnerability factor for children. This study aims to analyze the role of Positive Deviance (PD) education in improving children’s self-esteem as a bullying prevention strategy. Methods: A quantitative quasi-experimental pretest–posttest control group design was employed. The population consisted of grade VI students at SD Negeri 101893 Bangun Rejo, with a total sample of 58 students, divided into an experimental (n=29) and a control (n=29) group. Sampling involved identifying "positive deviants"—children who successfully overcame bullying risks—to develop the PD education module. Variables measured included knowledge, self-esteem (SE), and Positive Deviance Bullying behavior (PB) as dependent variables, collected via validated instruments. Ethical clearance was ensured throughout the procedure, and data were analyzed using Paired and Independent t-tests. Results: Most respondents were aged 11–12 years, and the experimental group had a higher proportion of females (65.5%). The experimental group showed significant improvements in knowledge (p=0.0001), self-esteem (p=0.043), and behavior (p=0.034). Independent t-test results confirmed significant differences between the experimental and control groups for knowledge (p=0.013), self-esteem (p=0.037), and behavior (p=0.024), indicating the intervention's effectiveness. Conclusion: Positive Deviance education effectively enhances children’s self-esteem, providing a vital psychological foundation for bullying prevention. It is recommended that future programs adopt a whole-school approach involving teachers and parents to support long-term behavioral change and sustainability.
The Relationship Between Mothers’ Knowledge and Attitudes Toward Measles–Rubella (MR) Immunization in Children Aged 24 Months Sri Maryani; Kismi Asih Adethia; Eka Falentina Tarigan; Ovita Sari Cantika
Health Dynamics Vol 2, No 12 (2025): December 2025
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd21203

Abstract

Introduction: Measles and rubella are infectious diseases that can affect anyone. According to the World Health Organization, in 2017 an estimated 110,000 children under five years of age died globally due to measles. This study aimed to analyze the relationship between mothers’ knowledge and attitudes toward the administration of Measles–Rubella (MR) immunization in children aged 24 months. Methods: This study employed an observational analytic design. The research was conducted at Sidomulyo Primary Health Center, Tungkal Ilir District, in May 2023. The study sample consisted of a portion of children aged two years and above, with a total sample size of 161 respondents. The sampling technique used was simple random sampling. Results: The results showed that, based on knowledge, the majority of respondents had good knowledge, accounting for 104 respondents (64.6%). Based on attitude, most respondents demonstrated a positive attitude, totaling 99 respondents (61.5%). Bivariate analysis indicated that the majority of respondents with good knowledge also had a positive attitude toward MR immunization, with 80 respondents (49.7%). The chi-square test results showed a p-value of 0.000 (p < 0.05). Conclusion: The study concluded that there is a significant relationship between mothers’ knowledge and attitudes toward the administration of Measles–Rubella (MR) immunization in children aged 24 months. It is recommended that the head of the primary health center pay attention to children who have not received MR immunization and implement outreach approaches to ensure that all children receive MR immunization.
Factors Influencing Mothers in Providing Vitamin A Capsules to Toddlers Latifa Khoiriah; Kismi Asih Adethia; Eka Falentina Tarigan; Rohmiati Tumangger
Health Dynamics Vol 2, No 11 (2025): November 2025
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd21102

Abstract

Background: Vitamin A is an essential micronutrient required by the body. According to the World Health Organization (WHO) in 2014, approximately 250 million preschool-aged children experience vitamin A deficiency. This study aimed to determine the factors influencing mothers in providing vitamin A capsules to toddlers. Methods: This research employed an analytical observational study with a cross-sectional design. The study was conducted at Sidomulyo Public Health Center, Banyuasin Regency, in May 2023. The sample consisted of 51 mothers with toddlers. Results: The cross-tabulation results between attitude and the provision of vitamin A capsules showed that the majority of mothers who provided vitamin A capsules had a positive attitude, totaling 23 respondents (45.1%). The chi-square test results indicated a p-value of 0.003 (<0.05). The cross-tabulation results between behavior and the provision of vitamin A capsules showed that the majority of mothers who provided vitamin A capsules to toddlers had good behavior, totaling 26 respondents (51.0%). The chi-square test results indicated a p-value of 0.001 (<0.05). Conclusion: There was a significant association between maternal attitude and behavior and the provision of vitamin A capsules to toddlers. It is recommended that the head of Sidomulyo Public Health Center pay greater attention to factors influencing mothers in providing vitamin A capsules to toddlers by using the findings of this study as a reference.
Efektivitas Edukasi Menggunakan Media Leaflet Terhadap Pencegahan Anemia Pada Calon Pengantin: Sebuah Tinjauan Literatur Erna Wati Sinaga; Kismiasih Adethia; Novita Sari; Jerniah Wati Gea; Thessa Sri Luwiana
Jurnal Ners Vol. 10 No. 4 (2026)
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i4.61411

Abstract

Anemia merupakan salah satu masalah kesehatan masyarakat yang masih memiliki prevalensi tinggi di Indonesia, terutama pada wanita usia subur, termasuk calon pengantin. Kondisi ini dapat meningkatkan risiko komplikasi selama kehamilan, persalinan, bayi berat lahir rendah, hingga stunting. Salah satu upaya preventif yang dapat dilakukan adalah melalui edukasi kesehatan menggunakan media leaflet. Penelitian ini bertujuan untuk menganalisis efektivitas edukasi menggunakan media leaflet terhadap pencegahan anemia pada calon pengantin melalui kajian berbagai hasil penelitian yang telah dipublikasikan. Penelitian ini menggunakan metode literature review dengan mengacu pada pedoman Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020. Penelusuran literatur dilakukan melalui basis data Google Scholar, PubMed, ScienceDirect, dan Garuda menggunakan kata kunci yang relevan. Artikel yang dipilih merupakan penelitian yang dipublikasikan pada tahun 2021–2026 sesuai dengan kriteria inklusi dan eksklusi. Sebanyak 10 artikel yang memenuhi kriteria dianalisis secara deskriptif menggunakan pendekatan narrative synthesis. Hasil kajian menunjukkan bahwa seluruh penelitian melaporkan adanya peningkatan pengetahuan mengenai anemia setelah pemberian edukasi menggunakan media leaflet. Selain meningkatkan pengetahuan, media leaflet juga berpengaruh terhadap perubahan sikap, peningkatan kepatuhan mengonsumsi tablet tambah darah, serta perilaku pencegahan anemia. Dibandingkan beberapa media edukasi lainnya, leaflet tetap menjadi media yang efektif karena mudah dipahami, biaya relatif murah, mudah didistribusikan, serta dapat dibaca berulang kali. Meskipun demikian, penelitian yang secara khusus mengkaji efektivitas leaflet pada calon pengantin masih terbatas sehingga diperlukan penelitian lanjutan. Dengan demikian, media leaflet dapat direkomendasikan sebagai salah satu media promosi kesehatan dalam pelayanan kesehatan pranikah untuk mendukung pencegahan anemia dan meningkatkan kesiapan kesehatan reproduksi calon pengantin.
Asuhan Kebidanan Berkelanjutan (Continuity of Care) pada Ibu Nifas Ny. N dengan Bendungan ASI di Praktik Mandiri Bidan Desna Elfita Medan Denai Kota Medan Provinsi Sumatera Utara Tahun 2026 Shinta Olivia Hia; Siska Suci Triana Ginting; Kismiasih Adethia; Nur Azizah; Desna Elfita
Jurnal Ners Vol. 10 No. 4 (2026)
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i4.62197

Abstract

Asuhan Kebidanan Berkelanjutan (Continuity of Care) merupakan pelayanan komprehensif yang diberikan sejak masa kehamilan, persalinan, nifas, bayi baru lahir, hingga keluarga berencana. Masa nifas kerap dihadapkan pada gangguan klinis berupa bendungan ASI yang, apabila tidak ditangani, dapat berkembang menjadi mastitis dan menghambat keberhasilan pemberian ASI eksklusif. Tujuan melaksanakan asuhan kebidanan berkelanjutan pada Ny. N dengan fokus pada pemantauan ibu dan bayi serta penatalaksanaan bendungan ASI melalui pendekatan manajemen kebidanan tujuh langkah Helen Varney dan pendokumentasian SOAP. Metode studi kasus dengan pendekatan deskriptif kualitatif pada Ny. N usia 32 tahun G2P1A0 di Praktik Mandiri Bidan Desna Elfita, Kecamatan Medan Denai, Kota Medan, sejak 23 November 2025 sampai 1 Maret 2026. Pengumpulan data dilakukan melalui wawancara, observasi, pemeriksaan fisik, dan studi dokumentasi buku KIA, kemudian dianalisis secara deskriptif kualitatif. Hasil pelaksanaan Continuity of Care berjalan optimal. Pada kunjungan nifas kedua (hari ke-6) ditemukan bendungan ASI dengan payudara bengkak, nyeri, puting lecet, dan pengeluaran ASI tidak lancar. Intervensi berupa edukasi teknik menyusui, perawatan payudara (breast care), pijat oksitosin, kompres, serta menyusui on demand terbukti efektif mengatasi bendungan ASI. Pada akhir masa pendampingan ibu memilih Metode Amenore Laktasi (MAL) sebagai kontrasepsi. Simpulan penerapan manajemen tujuh langkah Helen Varney secara berkelanjutan efektif dalam memberikan pelayanan komprehensif, mendukung deteksi dini komplikasi, mengatasi bendungan ASI, serta berkontribusi terhadap upaya penurunan Angka Kematian Ibu dan Angka Kematian Bayi.
Co-Authors Ade Rachmat Ani Kurniati Anike Lisberianti Sihomhombing Annisa Silvia Arte Tifa, Rezeki Syofiani Asnita Sinaga Barus, magdalena Dalimunthe, Juwita Rantika Damanik, Lisa Putri Damanik, Lisa Putri Utami Debby Chyntia Yun Debby Cintya Yun Debby Mayang Sari Desna Elfita Diah Pitaloka Diah Pitaloka Tarigan Eka Falentina Tarigan Elis Noviana Elni Arizona Hutagaol Emiya Agustina Surbakti Erna Wati Sinaga Ernamari Ernamari Evi Safitri Fathahilah, Bunga Dwi Febriana Sari Febriana Sari, Febriana Grace Adelia Putri Herna Rinayanti Manurung Indri Heni Damanik Ingka Kristina Pangaribuan Inryani M.E Marpaung Japar, Abdul Jenni Novita Simbolon Jerniah Wati Gea KAMELIA SINAGA Kartika Afrilina Tarigan Katijah Katijah Latifa Khoiriah Lenny Marlina, Lenny Lidya Sinuhaji Lidyawati Surbakti Lisa Putri Damanik Lisa Putri Utami Lisa Putri Utami Damanik Lusiatun Lusiatun Lusiatun, Lusiatun Mahateara Mahateara Manurung, Herna Rinayanti Maria Magdalena Sinaga Marliani Marliani Mesrida Simarmata Meviani Putri Ngarap Muliana Harahap Ninsah Mandala Putri Novita Sari Nur Azizah Nur Azizah Nur Azizah Lubis Oktaviani Oni Kurnia Ovita Sari Cantika Pangaribuan, Ingka Kristina Pinem, Srilina Pitaloka, Diah Pitalola, Diah Putri Yani Siahaan Rahmah Rahmah RETNO WAHYUNI Retno Wahyuni Rime Listia Tarigan Rohmiati Tumangger Sarfina Br Sembiring Sembiring, Mediana Shinta Olivia Hia Sinaga, Intan Putri SINAGA, ROSMANI Siska Suci Triana Ginting Siska Suci Triana Ginting Siti Nurmawan Sinaga Sonia Novita Sari Sri Maryani Sri Muliana Putri Bakara Sukarni Susilawatik Susilawatik Thessa Sri Luwiana Tia Erviani Tobing, Nadia Elsani L Tobing, Nadya Elsany L Utami, Lisa Putri Wahyuni, Retno Yasrida Nadeak Yesica Geovany Sianipar