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Pengaruh Pemberian Rangsangan Puting Susu dengan Pemilinan pada Manajemen Aktif Kala III Terhadap Waktu Kelahiran Plasenta di Kota Surakarta Fresthy Astrika Yunita
Jurnal Kesehatan Kusuma Husada Vol. 1 No. 1, Juli 2010
Publisher : Universitas Kusuma Husada Surakarta

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Abstract

AbstrakPerdarahan merupakan penyebab utama kematian ibu di Indonesia, dan umumnya perdarahan berlangsung setelah, persalinan. Penyebab terbanyak dari perdarahan pasca persalinan tersebut yaitu 50-60% karena kelemahan atau tidak adanya kontraksi uterus. Tidak adanya kontraksi uterus (atonia uteri) juga dapat timbul karena salah penanganan kala III persalinan, sehinggga kelahiran plasenta teijadi lebih lambat dan memperbanyak jumlah perdarahan. Pemberian rangsangan puting susu dengan pemlinan dapat mempengaruhi hipotalamus agar mengeluarkan hormon oksitosin yang akan mempercepat kontraksi uterus sehingga mengurangi perdarahan post partum. Untuk mengetahui pengaruh pemberian rangsangan puting susu dengan pemilinan pada Manajemen Aktif Kala III terhadap waktu kelahiran plasenta. Jenis Penelitian ini adalah Quasi Experiment dengan desain penelitian After Only With Control Design. Penelitian dilaksanakan di Rumah Sakit Daerah (RSD) Kota Surakarta dan BPS Suratini Surakarta. Sampel dalam penelitian ini sejumlah 56 ibu bersalin, 28 orang sebagai kelompok perlakuan dan 28 orang sebagai kelompok kontrol. Pengolahan dan analisa data menggunakan komputer program SPSS dengan jenis One sample t- test. Terdapat pengaruh yang signifikan waktu kelahiran plasenta pada pertolongan persalinan kala III yang menggunakan MAK III dengan pemilinan jika dibandingkan dengan MAK III tanpa pemilinan, perbedaan waktunya 2.582 menit lebih cepat dari kelahiran plasenta yang menggunakan MAK III dengan pemilinan puting susu. Persalinan kala III yang menerapkan Manajemen Aktif Kala III dengan pemilinan menunjukkan pengaruh yang signifikan dimana p< 0.05 ( p 0.00; beda mean; 2.582). Dengan demikian hipotesis dalam penelitian ini adalah ditolak yaitu pemberian rangsangan puting susu pada Manajemen Aktif Kala III dan pemilinan berpengaruh secara signifikan terhadap Waktu kelahiran plasentanya dibandingkan dengan waktu kelahiran plasenta pada Manajemen Aktif Kala III tanpa pemilinan.Kata Kunci: Rangsangan puting susu deng an pemilinan, waktu kelahiran plasentaAbstractBleeding is the first problem that causes the death rate in Indonesia, In generally, bleeding happened after the child birth. The most highest problem of child birth that causes bleeding is 50-60%, it is happened because of the mother weakness or no uterus contractions {atonia uteri}. No uterus contractions happened because of the bad carrying in the third child birth, and the placenta birth happened so slowly, it made the bleedings. To give stimulation nipple can influence hipotalamus to take out ocytocin hormon to increase uterus constraction so that reducing post partum bleeding. The goal of the resarch is to know and to understand the influence to give stimulation nipple with the twine for the third active management of the long term of placenta birth. This research is Quasy Experiment with the research design After Only Control Design, the research held in Rumah Sakit Daerah {RSD} Surakarta and BPS Suratini Surakarta. The sample of experiment research are 56 respondes (mothers) , 28 person as an object and 28 person as a control. The cultivating and analysing the data by using the computer especially SPSS with one sample test. There are the signficant influence of the long term of placenta birth in the third birthing by using The third active Management and the twine of the nipple that compare with the Third active management without twine the nipple, the difference is about 2.582 minutes faster then the placenta birth by using the third active management with twine the nipple.The Child Birth by using the third Active Management with twine the nipple showed the significant influence p<0.05 (p 0.00; mean ; 2.582 ). Base on the data the hypothesis of the research is refused, this is The giving nipple stimulation in the third active management and twine nipple having a significant influence the long term placenta birth with the long term placenta birth in the third active management without twine the nipple.Key words: The stimulation by using the twine of the nipple, the term of placenta birth.
PENGARUH PENYULUHAN TERHADAP TINGKAT PENGETAHUAN WANITA USIA SUBUR TENTANG ALAT KONTRASEPSI DI WILAYAH KERJA PUSKESMAS SANGKRAH KOTA SURAKARTA H Hardiningsih; Agus Eka Nurma Yuneta; Fresthy Astrika Yunita
Jurnal Kesehatan Kusuma Husada Vol. 8 No. 1, Januari 2017
Publisher : Universitas Kusuma Husada Surakarta

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Abstract

  ABSTRAK Keluarga Berencana (KB) adalah suatu program yang dicanangkan Pemerintah dalam upaya peningkatan kepedulian dan peran serta masyarakat melalui Pendewasaan Usia Perkawinan (PUP), pengaturan kelahiran, pembinaan ketahanan keluarga, peningkatan kesejahteraan keluarga kecil, bahagia dan sejahtera. Ada berbagai macam alat kontrasepsi dan yang paling banyak diminati adalah suntik. Hal ini disebabkan kurangnya pengetahuan para wanita tentang macam-macam alat kontrasepsi. Penyuluhan merupakan salah satu cara untuk meningkatkan pengetahuan tentang alat kontrasepsi. Tujuan penelitian untuk mengetahui pengaruh penyuluhan terhadap tingkat pengetahuan wanita usia subur tentang alat kontrasepsi di wilayah kerja Puskesmas Sangkrah Kota Surakarta. Metode penelitian menggunakan desain pre-eksperimental one group pre test and post test design dalam satu kelompok. Sampel adalah wanita usia subur di wilayah kerja Puskesmas Sangkrah dan teknik pengambilan sampel dengan purposive sampling. Hasil penelitian berdasarkan analisis data uji t didapatkan hasil nilai p = 0,000 < á = 0,05. Kesimpulan penelitian yaitu ada pengaruh penyuluhan terhadap tingkat pengetahuan wanita usia subur tentang alat kontrasepsi.   Kata kunci : penyuluhan, wanita usia subur, alat kontrasepsi       ABSTRACT Family Planning is a program launched by the government in an effort to increase awareness and public participation under Maturation Age Marriage (MAM), birth control, fostering family resilience, improving the welfare of small family, happy and prosperous. There are different kinds of contraceptives and the most preferred is a syringe. This is due to lack of knowledge of women about the various contraceptives. Counseling is one way to improve knowledge about contraceptives. The aim of research to determine the effect of extension of the level of knowledge of women of childbearing age about contraception in Puskesmas Sangkrah Surakarta. The research method using pre-experimental design with one group pre test and post test design in one group, the sample was women of childbearing age in Puskesmas Sangkrah and sampling techniques with purposive sampling. The results based on the analysis of the t test data showed the value of p = 0.000 <á = 0.05. The conclusion of research is no influence of illumination on the level of knowledge of women of childbearing age about contraception.   Keywords: counseling, women of childbearing age, contraception
Relationship of Breastfeeding on Infant Development in Surakarta sari, Ropita; Fatsena, Rizka Adela; Parwatiningsih, Sri Anggarini; Megasari, Anis Laela; Kartikasari, M. Nur Dewi; Yunita, Fresthy Astrika; Hardiningsih, Hardiningsih; Hutomo, Cahyaning Setyo
Journal of Maternal and Child Health Vol. 8 No. 5 (2023)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejmch.2023.08.05.10

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Background: Breast milk is the healthiest diet for newborns since it has the best immune system of any food, has a wealth of advantages, and contains the right combination and amount of nutrients to promote an infant's growth and development, especially between the ages of 0 and 6 months. This study aimed to determine the impact of breastfeeding on infant’s development in Surakarta. Subjects and Method: This was a retrospective cross-sectional study conducted at Community Health Centre in Surakarta, Central Java on March to August 2020. A total sample of 56 infants were selected for this study. The dependent variable was infant development. The independent variable was exclusive breastfeeding. The data collected by questionnaire. The data were analyzed by Chi-Square. Results: Infants who are exclusive breastfeeding have a 25.50 times chance of developing better com­par­ed to infants who are not exclusive breast­feeding, and this is statistically significant (OR= 25.50; 95% CI= 1.14 to 572.30; p <0.001). Infant with exclusive breast­feeding had a better commu­nication and social interaction at 6 months, and better cognition, communication, and social interaction at 12 months. Conclusion: The development of infants' psychological, linguistic, fine motor, and gross motor skills can be improved by exclusive breastfeeding. Keywords: breastfeeding, development, infants. Correspondence: Ropitasari. D-3 Midwifery Study Program of Vocational School, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java.  Phone: 082220023585. Email : ropita.uns@gmail.com
IMPLEMENTATION OF PRACTICAL E-LEARNING MODEL ON K.A.P (PSYCOMOTOR AFFECTIVE COGNITIVE) IN MIDWIFE STUDENTS IN THE ERA OF THE COVID-19 PANDEMIC Kartikasari, M Nur Dewi; Parwatiningsih, Sri Anggarini; Hardiningsih, Hardiningsih; Fatsena, Rizka Adela; Yunita, Fresthy Astrika; Ropitasari, Ropitasari; Hutomo, Cahyaning Setyo; Megasari, Anis Laela; Khuzaiyah, Siti
Placentum: Jurnal Ilmiah Kesehatan dan Aplikasinya Vol 11, No 1 (2023): February
Publisher : Program Studi Kebidanan Fakultas Kedokteran Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20961/placentum.v11i1.70148

Abstract

Background: The outbreak of the corona virus (Covid-19) poses challenges for educational institutions, especially those based on clinical practice skills. E-learning is one of the best solutions for distance learning to protect students and teaching staff from the transmission of the Covid-19 virus. The DIII Midwifery Study Program curriculum consists of 40% theory and 60% practice. The study program manager determines practical learning using learning videos. The purpose of this study was to determine the effect of the practical e-learning model on K.A.P (Affective Psychomotor Cognitive) in midwifery students in the era of the Covid-19 pandemic.Methods: This reseach was a cross-sectional conducted on May-July, 2021. Cognitive assessment used multiple choice questions (MCQ), affective assessment used a self-assessment scale questionnaire that was valid and reliable (0.877> 0.235), Student psychomotor assessment was carried out using Skills checklist assessment sheet.Result: The results showed the significance value of each variable (0.001 <0.05) which means that there is an influence of the practical e-learning model on the cognitive, affective and psychomotor domains of students in the course of maternity midwifery care.Conclusion: There is an effect of practical e-learning model on the cognitive, affective, and psychomotor domains of the students after the practical of e-learning model
Factors Influencing Maternal Participation in Posyandu Activities in Sangkrah, Surakarta: An Analysis of Socio-Demographic Determinants Puriastuti, Emma Anastya; Hardiningsih, Hardiningsih; Satia Pratiwi, Dyah Krisnawati; Yunita, Fresthy Astrika
Placentum: Jurnal Ilmiah Kesehatan dan Aplikasinya Vol 13, No 2 (2025): August
Publisher : Program Studi Kebidanan Fakultas Kedokteran Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20961/placentum.v13i2.93954

Abstract

Stunting remains a critical public health issue globally, particularly in Indonesia, where efforts to reduce its prevalence are ongoing. Posyandu (Integrated Service Posts) play a pivotal role in monitoring and preventing malnutrition among children. This cross-sectional study aimed to analyze the factors influencing maternal participation in Posyandu activities in the Sangkrah region of Surakarta, an area with unique socio-economic and cultural characteristics. Data were collected from 156 mothers with children under five years old using structured questionnaires and analyzed using SPSS. The findings indicated that younger mothers (
Edukasi Pencegahan Sindroma Metabolik sebagai Upaya Peningkatan Derajat Kesehatan Masyarakat Munawaroh, Siti; Yunita, Fresthy Astrika; Nurliyani BR, Ririn; Ashma, Aisya Nailatul; Savitri, Annisa Rizki; Al-Shoud, Auliya Abdullah; Fauziyyanti, Dea; Shalihah, Farah; Aziz, Imrom Maulana; Annisa, Kavita Shafa; ‘Izuddin, Muhammad; Irawan, Nurul Anira; Afifah, Rosati; Nurintan Silalahi, Tania Jesika; Amalia Hasna, Zahra Roidah; Bella, Fatasya Salsa; Purwanti, Elisa Desi; Qisthi Fatmawati, Dyah Ayu; Haniifah, Dzakiyyatul; Susanti, Eka Nurulita
Smart Society Empowerment Journal Vol 3, No 1 (2023): Maret
Publisher : Faculty of Medicine, Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20961/ssej.v3i1.71251

Abstract

Pendahuluan: Sindrom metabolik merupakan penyakit yang banyak bermunculan dikehidupan yang semakin modern saat ini. Hal ini sangat dipengaruhi oleh gaya hidup dan pola makan. Tingginya angka kesakitan sindroma metabolik memerlukan tindakan pencegahan agar tidak semakin bertambah banyak. Selain itu diperlukan juga pemahaman dan penanganan sindrom metabolik agar komplikasi yang muncul akibat penyakit ini bisa diminimalisir.Tujuan pengabdian kepada masyarakat adalah memberikan penyuluhan kesehatan sesuai permasalahan kesehatan yang dihadapi kepada masyarakat di dukuh Klipan, Desa Tohudan, Colomadu, Kabupaten Karanganyar.Metode: Pengabdian masyarakat dimulai dengan melakukan penilaian kesehatan keluarga di wilayah Klipan. Hasil penilaian masalah kesehatan yang ada kemudian dianalisis untuk menentukan topik edukasi kesehatan yang bisa bermanfaat besar bagi masyarakat di wilayah tersebut. Setalah topik penyuluhan ditetapkan maka dibuatlah media penyuluhan dan koordinasi pelaksanaan kegiatan penyuluhan.Hasil dan pembahasan: permasalahan utama yang dihadapi oleh 18 keluarga yang tinggal di Klipan adalah sindrom metabolik. Penyuluhan diberikan kepada 20 peserta. Kegiatan berjalan dengan lancar mendapatkan kesan yang baik dari masyarakat.Kesimpulan: Kegiatan edukasi kesehatan dengan topik sindrom metabolik sudah tepat dilakukan sesuai dengan hasil penilaian kesehatan keluarga di Klipan, Tohudan, Colomadu, Karanganyar.