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Analysis of The Management of Early Breastfeeding Initiation in The Era of New Habits from The Mother's Side Trianingsih, Indah; Marlina, Marlina; Wastiani, Ima; Sari, Adinda Juwita
Jurnal Bidan Cerdas Vol. 6 No. 2 (2024)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jbc.v6i2.3521

Abstract

Introduction: Early breastfeeding initiation is vital for newborn health, particularly during the COVID-19 pandemic, which has necessitated new health protocols. This study examines the management of early breastfeeding initiation from the mother's perspective, focusing on their knowledge and attitudes toward adherence to COVID-19 safety measures. Methods: A cross-sectional quantitative study was conducted with 109 mothers giving birth at midwives' independent practices in Bandar Lampung in 2023, using purposive sampling. Data were collected on maternal knowledge, attitudes, and compliance with COVID-19 protocols during early breastfeeding. Frequency distribution and Spearman Rank's Correlation were used for data analysis. Results: Out of 102 respondents, 91.7% demonstrated good knowledge about early breastfeeding initiation, and 90.8% had a positive attitude towards its management. Compliance with COVID-19 protocols was observed in 64.2% of the participants. The Spearman Rank’s Correlation analysis showed a p-value of 0.000, indicating a significant relationship between maternal knowledge and attitudes and the management of early breastfeeding. Conclusion:The findings suggest that better knowledge and positive attitudes among mothers are associated with greater adherence to COVID-19 protocols in early breastfeeding initiation. These factors are crucial for effective breastfeeding practices during the pandemic.
Apgar Score and the Amount of Blood of Mother in Labour in Delayed Cord Clamping Period Marlina, Marlina; Trianingsih, Indah; Sari, Adinda Juwita; Rosmadewi, Rosmadewi
JURNAL INFO KESEHATAN Vol 21 No 2 (2023): JURNAL INFO KESEHATAN
Publisher : Research and Community Service Unit, Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/infokes.Vol21.Iss2.1053

Abstract

A delay in cutting the umbilical cord in infants can increase the Apgar score in infants who experience asphyxia. Besides that, it can prevent postpartum hemorrhage from occurring. Most deaths from postpartum hemorrhage occur during the first 24 hours after delivery. This increase in the Apgar value proves that the longer the delay in the umbilical cord is carried out, even until it doesn't pulsate, the better the baby's body will be, which results in an increase in hemoglobin in the baby's body. The population in this study were all mothers in the 3-4 stage of labor in the city area. Bandar Lampung. The sample is part of the number and characteristics possessed by the population with 120 maternal. It is known the length of time delayed cord Clamping is performed on babies born (<30 seconds) as many as 3 (2.5%) respondents, while umbilical cord clamping is delayed for 30-180 seconds as many as 117 (97.5%) respondents, the Apgar score in newborns in the category of mild asphyxia - not asphyxia as much as 100%, the amount of blood that came out <250 grams was 93 (77.5% ) respondents and the amount of blood that came out 250 grams were 27 (22.5%) respondents. Delayed cord clamping does not increase the incidence of asphyxia and bleeding in laboring mothers, so immediate umbilical cord clamping can be performed by observing the baby's birth condition.
Higher Risk of Preeclampsia Among Overweight and Obese Pregnant Women Compared to Normal BMI Women Kencana, Faradiyan; Prijanti, Ani Retno; Puwosunu, Yuditiya; Dinutanayo, Wimba Widagdo; Sari, Adinda Juwita
Jurnal Kesehatan Vol 16 No 3 (2025): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v16i3.4900

Abstract

Preeclampsia is a pregnancy complication characterized by hypertension and proteinuria, affecting 2–8% of pregnancies worldwide, with a prevalence of 24% in Indonesia. Its etiology remains unclear due to its complex, multifactorial nature, and several factors, such as age, obesity, pre-existing conditions, and multiple pregnancies, may influence its occurrence. This study aims to investigate the relationship between body mass index (BMI) and preeclampsia in pregnant women. An analytical observational study was conducted using purposive sampling, involving 18 participants in each group. Secondary data were obtained from medical records at Rumah Sakit Cipto Mangunkusumo, Rumah Sakit Budi Kemuliaan, and Puskesmas Senen. Statistical analysis was performed using the Chi-square test. Results show that 17 respondents (47.2%) with overweight or obesity had preeclampsia, whereas 8 respondents (22.2%) with normal BMI did not. The Chi-square test indicated a significant association between BMI and preeclampsia (p=0.007). Higher BMI is significantly associated with preeclampsia. Maintaining a healthy BMI during pregnancy may reduce the risk of this condition. 
Hubungan Riwayat Kekurangan Energi Kronis (KEK) Ibu Hamil dengan Kejadian Stunting Balita Marlina Marlina; Putu Rangga Dewi Dasi; Indah Trianingsih; Adinda Juwita Sari
THE JOURNAL OF Mother and Child Health  Concerns Vol. 4 No. 3 (2025): February Edition 2025
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.v4i3.804

Abstract

Background: Cases of pregnant women experiencing SEZ, which increases the risk of low birth weight and stunting, are still found in East Lampung District. Purpose: To determine the relationship between the history of chronic energy deficiency (CED) in pregnant women and the incidence of stunting in children under five. Method: Correlation analytic study with cross-sectional design. The population in this study were all mothers who had toddlers aged 0-59 months in 2023 totaling 1030 recorded in medical records (secondary data) with a research sample of 100 respondents. The independent variable in this study is the history of maternal SEZ when pregnant and the independent variable is stunitng in toddlers aged 0-59 months. The sampling technique used was proportional random sampling technique. Data collection tools in the form of a checklist. Data analysis used univariate with percentage, bivariate with Chi Square. Results: The study showed that toddlers who were stunted were 21% and mothers who had a history of SEZ were 26%. Conclusion: The results of statistical tests can be concluded that there is a highly significant relationship between the history of SEZ in pregnant women and the incidence of stunting in toddlers with a p-value of 0.000 with an OR of 22,080. Suggestion: Researchers suggest conducting more in-depth longitudinal studies to evaluate the effectiveness of long-term nutrition interventions and examining other factors such as socioeconomics, access to health services, and environmental factors that influence SEZ and stunting. The development of new intervention models that are more effective in accordance with local conditions is also needed to address nutrition problems more comprehensively. Keywords: Community Health Center; Health Center; Nutrition Problem. Pendahuluan: Kasus ibu hamil yang mengalami KEK, yang meningkatkan risiko bayi lahir dengan berat rendah dan stunting masih ditemukan di Kabupaten Lampung Timur. Tujuan: Untuk mengetahui hubungan antara riwayat kekurangan energi kronis (KEK) pada ibu hamil dengan kejadian stunting pada balita. Metode: Penelitian analitik korelasi dengan rancangan cross-sectional. Populasi dalam penelitian ini adalah seluruh ibu yang memiliki balita usia 0-59 bulan tahun 2023 berjumlah 1030 yang tercatat dalam rekam medik (data sekunder) dengan sampel penelitian ada 100 responden. Variabel independen dalam penelitian ini riwayat KEK ibu ketika hamil dan variabel independennya stunitng pada balita usia 0-59 bulan . Teknik sampling yang digunakan adalah teknik porposional random sampling. Alat pengumpulan data berupa ceklist. Analisis data yang digunakan univariat dengan persentase, bivariat dengan Chi Square. Hasil: Penelitian terlihat bahwa balita yang mengalami stunting sebanyak 21% dan ibu yang mengalami Riwayat KEK sebanyak 26%. Simpulan: Hasil uji statistik dapat disimpulkan adanya hubungan yang sangat signifikan antara hubungan Riwayat KEK pada ibu hamil dengan kejadian stunting pada balita dengan p-value 0.000 dengan OR 22.080. Saran: Peneliti menyarankan untuk melakukan studi longitudinal yang lebih mendalam untuk mengevaluasi efektivitas intervensi gizi jangka panjang dan meneliti faktor-faktor lain seperti sosioekonomi, akses layanan kesehatan, dan faktor lingkungan yang mempengaruhi KEK dan stunting. Pengembangan model intervensi baru yang lebih efektif sesuai dengan kondisi lokal juga diperlukan untuk menangani masalah gizi secara lebih komprehensif.