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Analisis Perilaku Kesehatan dan Faktor Resiko Kejadian Preeklampsia Pada Ibu Hamil di Poliklinik Obstetri Gynekologi RSUD Kabupaten Kediri Arti, Fitri Yuni; Wijayati, Wahyu; Ivantarina, Dintya
Journal of Issues in Midwifery Vol 1, No 3 (2017)
Publisher : Journal of Issues in Midwifery

Preeklampsia berhubungan dengan perubahan patologis yang signifikan dari pembuluh darah ibu dan janin serta plasenta. Tujuan penelitian ini untuk mengetahui perilaku kesehatan dan faktor-faktor resiko yang mempengaruhi kejadian preeklampsia pada ibu hamil di Poliklinik Obstetri Gynekologi RSUD Kabupaten Kediri. Desain penelitian yang digunakan yaitu deskriptif analitik dengan pendekatan cross sectional. Penelitian ini dilakukan pada bulan Juni-Agustus 2017 di Poliklinik Obstetri Gynekologi RSUD Kabupaten Kediri. Populasi dalam penelitian ini adalah semua ibu yang datang memeriksakan kehamilannya di Poliklinik Obstetri Gynekologi RSUD Kabupaten Kediri dengan jumlah sampel yang didapat yaitu 181 ibu hamil secara random sampling. Data dianalisis secara univariate, bivariate dengan uji chi kuadrat dan multivariate dengan uji regresi logistik berganda. Hasil penelitian menunjukkan ada hubungan kenaikan berat badan (p=0,005) dan riwayat medis (p=0,022) terhadap kejadian preeklampsia. Hasil analisis multivariat menunjukkan faktor paling dominan terhadap kejadian preeklampsia adalah kenaikan berat badan (p=0,007). Perilaku kesehatan dan faktor resiko yang mempengaruhi terhadap kejadian preeklampsia pada ibu hamil yaitu kenaikan berat badan ibu selama hamil dan riwayat medis yang diderita oleh ibu sebelum hamil.

Characteristics of Mothers Which Affect The Low Coverage of Comprehensive Postpartum Service In The Working Area of Community Health Center of Kayen Kidul in Kediri Regency From January to August 2019 Dintya Ivantarina; Lina Ratnawati
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 7, No 3 (2019): NOVEMBER 2019
Publisher : Alma Ata University Press

The utilization of postpartum maternal services in a complete manner in several regions still has not reached the target that has set by the government. Some factors that affect the coverage of comprehensive postpartum service is mother characteristics. The purpose of this research is to determine the characteristics of mothers who affect the low coverage of comprehensive postpartum service in the working area of Community Health Center of Kayen Kidul in Kediri Regency from January to August year 2019. This research was conducted in September 2019 in the working area of Kayen Kidul Community Health Center of in Kediri Regency. The design of the research used is analytical observational with a case control approach. The sampling techniques used are random sampling clusters. The samples in this study were mothers who had finished their postpartum period (more than 6 weeks to 9 months after giving birth). Independent variables are characteristic of mothers while dependent variables are coverage of the comprehensive postpartum service. Collection of data using data collection sheets with structured interview techniques and medical records in the form of maternal and child health books. Then the data is processed and analyzed univariate, bivariate and multivariate. Statistical results of bivariate statistics showed that the work (P = 0.023), pregnancy complications (P = 0.026), labor complications (P = 0.03) and the type of childbirth (P = 0.01) have an influence on the low coverage of comprehensive postpartum service. Multivariate statistical test results using binomial logistic regression obtained results in the omnibus table having P = 0.006 (P<0.05) which means the model is worth analysed. The significance value in the Hosmer and Lemeshow Test table of 0.074 (p>0.05) has the meaning of acceptable models and hypothesis testing can be performed. The value of Nagelkerke R Square 0.278 means the characteristic mother of age (P = 0.047) and the type of childbirth (P = 0.037) has an effect of 27.8% on the low coverage of the comprehensive postpartum service. The public health policy program should aim to improve the coverage of the comprehensive postpartum service by observing the characteristics of mothers in the region, namely the characteristics of maternal age and type of delivery

Complete Midwifery Care In Very High-Risk Pregnancy Dintya Ivantarina; Dwi Yuliawati; Fitri Yuniarti; Wulan Anggraini
Science Midwifery Vol 10 No 1, October (2021): Science Midwifery
Publisher : Institute of Computer Science (IOCS)

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A very high-risk pregnancy is a risk group for pregnant women with the highest number of maternal and neonatal deaths. One way that can be carried out to prevent maternal and infant complications is to provide complete midwifery care. The purpose of this case study is to provide complete midwifery care to Mrs. "W" from pregnancy to family planning. The research design used is a case study with the research subject of Mrs. ”W”. Methods of collecting data through interviews, observation, and documentation studies. The results of midwifery care for Mrs. ”W” found data during pregnancy classified as very high-risk pregnancy with a Poedji Rochjati score of 14 (anemia, height < 145 cm, and a history of childbirth with infusion). Problems during pregnancy are the lack of adequate nutrition and optimal rest as well as the discomfort of swollen legs and back pain. During labour, the diagnosis of premature rupture of membranes was obtained. In the puerperium, the problem of suture wound pain was found. During the newborn period, jaundice was diagnosed. During family planning, the mother chose 3 months of injectable contraception. Management was given according to the diagnosis and problems found from the time of pregnancy to family planning. Complete midwifery care can increase the effectiveness of health care for the mother as a whole so that it does not endanger the mother and baby and increase patient satisfaction in getting midwifery services.

Deteksi Dini Kehamilan Risiko Tinggi Melalui Edukasi dan Skrining Pada Ibu Hamil di Masa Pandemi Covid-19 Fitri Yuniarti; Lina Ratnawati; Dintya Ivantarina
Jurnal Pengabdian kepada Masyarakat Nusantara Vol. 3 No. 1 (2022): Jurnal Pengabdian kepada Masyarakat Nusantara (JPkMN)
Publisher : Cv. Utility Project Solution

Pandemi Covid-19 telah membuat kebijakan penundaan sementara pemeriksaan kehamilan rutin, posyandu dan kelas ibu hamil. Permasalahan tersebut juga terjadi di desa Darungan dengan ditutupnya beberapa layanan kehamilan menyebabkan penurunan jumlah kunjungan ibu hamil sehingga tidak mendapatkan pendidikan dan pelayanan kehamilan yang berpengaruh tingginya kasus komplikasi kebidanan yang terjadi. Oleh karena itu perlu dilaksanakan deteksi dini kehamilan risiko tinggi melalui edukasi dan skrining pada ibu hamil di masa pandemi Covid-19. Kegiatan dilaksanakan sejak tanggal 9 Mei – 11 Juni 2022 yang diawali dari kegiatan perencanaan sampai dengan evaluasi. Jumlah peserta 21 ibu hamil yang ada di desa Darungan. Metode pelaksanaan berupa edukasi pengenalan tanda-tanda bahaya kehamilan dengan metode ceramah, tanya jawab dan diskusi dengan evaluasi menggunakan kuesioner pretest dan posttest. Skrining kehamilan risiko tinggi dengan KSPR dan sosialisasi program layanan kehamilan yang ada di masyarakat. Hasil pemberian edukasi didapatkan adanya peningkatan pengetahuan tentang tanda-tanda bahaya kehamilan pada ibu hamil sedangkan hasil skrining kehamilan menunjukkan terdapat peserta dengan kehamilan risiko tinggi dan sangat tinggi. Diakhiri dengan pengaktifan kembali kegiatan kelas ibu hamil dan posyandu sebagai upaya pelaksanaan deteksi kehamilan risiko tinggi pada ibu hamil di masyarakat.

Knowledge Affects the Participation of Women of Reproductive Age in the Use of Long-Term Contraceptive Methods Wuri Widi Astuti; Anik Soelistyowati; Dintya Ivantarina
Science Midwifery Vol 10 No 5 (2022): December: Science Midwifery
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v10i5.1015

The trend of acceptors of family planning in Indonesia so far shows less use of long-term contraceptive methods compared to short-term contraceptive methods. This may be due to limited knowledge or information obtained by women of childbearing age couples, so the aim of this study was to determine the relationship between knowledge and participation of women of childbearing age in the use of long-term contraceptive methods. This type of correlation analytic research was a cross-sectional approach that was carried out in May-2012. June 2022. The research population was all female couples of childbearing age who used active contraception in the Petiken hamlet, Petiken village, Driyorejo Gresik District, totaling 345 women with a total sample of 182 women who met the inclusion criteria through simple random sampling. The data collection method was carried out directly with a research instrument in the form of a questionnaire. Data were analyzed using the Chi-Square statistical test. The results showed that knowledge influenced the participation of women of childbearing age in the use of long-term contraceptive methods (P = 0.000). Knowledge is a very important domain in the formation of one's actions so that a good level of knowledge will determine behavior in the use of long-term contraceptive methods.

Literature Review: Komplikasi Maternal dan Neonatal Akibat Persalinan Macet Fitri Yuniarti; Dintya Ivantarina
SEHATMAS: Jurnal Ilmiah Kesehatan Masyarakat Vol. 1 No. 3 (2022): Juli 2022
Publisher : Yayasan Literasi Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55123/sehatmas.v1i3.658

Obstructed labor significantly occur in developing countries including Indonesia, contributing to maternal and neonatal health. The burden of obstructed labor and adverse fetomaternal outcomes appears to remain high and is a common challenge. One of them is caused by delays in making decisions regarding referral approval due to lack of information about complications that occur in maternal and neonatal. Therefore, identification of the outcomes of obstructed labor that occurs in maternal and neonatal is very important with the aim of knowing the maternal and neonatal complications resulting from obstructed labor. The method used is a literature study using an online database, namely Pubmed and Google Scholar based on inclusion criteria. The results of this study obtained 13 articles showing maternal complications due to obstructed labor, namely uterine rupture, postpartum hemorrhage, anemia, shock, sepsis, blood transfusion, hysterectomy, bladder rupture and injury, fistula, perineal and cervical lacerations, pelvic floor sequelae, musculoskeletal disorders, genitourinary, postpartum depression and death while fetal complications were sepsis, asphyxia, respiratory distress, meconium aspiration syndrome, seizures, jaundice, stillbirth, perinatal and neonatal death. Prevention of obstructed labor is carried out through a multidisciplinary approach aimed in the short term to identify high-risk cases since pregnancy. In the long term, improving education and better health from health workers for mothers and families related to maternal and neonatal complications due to evidence-based obstructed labor so as not to hesitate in making decisions regarding approval of referral actions so that cases of obstructed labor can be handled on time and do not cause dangerous complications. for mother and baby.

Knowledge Affects the Participation of Women of Reproductive Age in the Use of Long-Term Contraceptive Methods Wuri Widi Astuti; Anik Soelistyowati; Dintya Ivantarina
Jurnal EduHealth Vol. 13 No. 02 (2022): Jurnal eduHealth, Periode Oktober - December, 2022
Publisher : Sean Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (271.213 KB)

The trend of acceptors of family planning in Indonesia so far shows less use of long-term contraceptive methods compared to short-term contraceptive methods. This may be due to limited knowledge or information obtained by women of childbearing age couples, so the aim of this study was to determine the relationship between knowledge and participation of women of childbearing age in the use of long-term contraceptive methods. This type of correlation analytic research was a cross-sectional approach that was carried out in May-2012. June 2022. The research population was all female couples of childbearing age who used active contraception in the Petiken hamlet, Petiken village, Driyorejo Gresik District, totaling 345 women with a total sample of 182 women who met the inclusion criteria through simple random sampling. The data collection method was carried out directly with a research instrument in the form of a questionnaire. Data were analyzed using the Chi-Square statistical test. The results showed that knowledge influenced the participation of women of childbearing age in the use of long-term contraceptive methods (P = 0.000). Knowledge is a very important domain in the formation of one's actions so that a good level of knowledge will determine behavior in the use of long-term contraceptive methods.

Pemberdayaan Kelompok Teman Sebaya: Edukasi Penggunaan Terapi Komplementer Untuk Mengurangi Dismenorea Primer Estin Gita Maringga; Dintya Ivantarina
Jurnal ABDINUS : Jurnal Pengabdian Nusantara Vol 7 No 1 (2023): Volume 7 Nomor 1 Tahun 2023
Publisher : Universitas Nusantara PGRI Kediri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29407/ja.v7i1.17334

Primary dysmenorrhea is an uncomfortable sensation centered in the lower abdomen. One of the therapies to overcome primary dysmenorrhea is complementary therapy. The results of the initial survey at MAN 4 Kediri obtained information that most experienced primary dysmenorrhea with mild to severe pain intensity and lack of information from health workers regarding the use of complementary therapies to reduce primary dysmenorrhea. The purpose of this community service activity is to form a peer group at MAN 4 Kediri in order to provide education and early treatment to young women who experience primary dysmenorrhea. The stages of implementing the activities include: the formation of a peer group; health education about the concept of dysmenorrhea and its management as well as demonstrations of the use of warm compress therapy and relaxation techniques. Evaluation is in the form of knowledge and ability assessment. Follow-up activities in the form of peer group assistance. The results of this activity showed that after being given education about the concept and management of dysmenorrhea, there was an increase in knowledge and being able to practice the use of warm compresses and long breath distraction techniques when experiencing primary dysmenorrhea. This community service activity is expected to empower the group of young women at MAN 4 Kediri to educate their peers about the concept of dysmenorrhea and complementary therapies that are safe for health, effective, and efficient to be applied daily.

Program timun emas (tingkatkan imunitas balita melalui pemanfaatan empon-empon sebagai camilan sehat) di masa pandemi Covid-19 Dintya Ivantarina; Fitri Yuniarti
Transformasi: Jurnal Pengabdian Masyarakat Vol. 18 No. 2 (2022): Transformasi Desember
Publisher : LP2M Universitas Islam Negeri Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20414/transformasi.v18i2.5139

[Bahasa]: Balita termasuk kelompok usia rentan tertular Covid-19 yang cenderung mengalami kondisi kegawatan penyakit tertentu karena sistem kekebalan yang belum matang. Kasus Covid-19 pada balita di Indonesia terus mengalami kenaikan disertai dengan penambahan jumlah kematian pada balita. Hasil pendataan dan analisa situasi di wilayah kerja PMB Rima Rachmawati Kota Kediri menunjukkan terjadinya peningkatan jumlah kunjungan balita sakit usia 2-4 tahun selama pandemi Covid-19. Penyebabnya adalah selama dilakukan pembatasan aktivitas fisik balita di luar rumah membuat ibu memberikan makanan ringan yang dibeli dari luar. Di sisi lain ibu balita kurang mengetahui nutrisi berbahan alam sebagai peningkat imunitas tubuh dan belum memaksimalkan taman herbal di sekitar pemukiman sebagai bahan dasar pengolahan makanan untuk balita. Berdasarkan permasalahan tersebut maka dibentuk Program Timun Emas (Tingkatkan Imunitas Balita Melalui Pemanfaatan Empon-Empon Sebagai Camilan Sehat) di masa pandemi Covid-19 dengan tujuan memberikan edukasi dan pelatihan mengenai konsep nutrisi dan pemanfaatan empon-empon sebagai camilan sehat dalam meningkatkan imunitas balita pada kelompok ibu yang memiliki balita usia 2-4 tahun. Metode yang digunakan dalam pengabdian kepada masyarakat ini adalah sosialisasi, edukasi, dan pelatihan yang meliputi tahap perencanaan, persiapan, pelaksanaan (sosialisasi, edukasi secara daring melalui WAG dengan media video dan e-booklet, pelatihan secara daring melalui WAG dengan media e-booklet dan kegiatan luring dengan metode demonstrasi), dan evaluasi (pengetahuan dengan pretest dan postest dan keterampilan dengan ceklist). Hasil program pengabdian kepada masyarakat ini dapat meningkatkan pengetahuan dan keterampilan kelompok ibu yang memiliki balita usia 2-4 tahun mengenai nutrisi dan pemanfaatan empon-empon sebagai camilan sehat dalam meningkatkan imunitas balita. Program Timun Emas dapat digunakan sebagai salah satu alternatif dalam membantu meningkatkan kesehatan balita selama pandemi Covid-19. Kata Kunci: empon-empon, camilan sehat, imunitas balita, pandemi Covid-19 [English]: Toddlers belong to the age group vulnerable to contracting Covid-19, which tends to experience certain disease conditions due to an immature immune system. Toddlers Covid-19 cases in Indonesia have increased with the addition of the number of deaths in toddlers. The data collection and situation analysis results in PMB Rima Rachmawati Kediri City showed an increase in sick toddlers in the 2-4 year age group during the Covid-19 pandemic. The reason was that their mothers provided snacks bought outside the home during the restricted physical activity of toddlers. On the other hand, there is still a need for knowledge among mothers of toddlers about nutrition made from nature as an immune booster and they need to be maximizing herbal gardens around the settlement as a basic ingredient for food processing for toddlers. Based on these problems, the Timun Emas program was formed during the Covid-19 pandemic to provide education and training on nutritional concepts and use Empon-Empon as a healthy snack to increase toddler immunity in the group of mothers who have toddlers aged 2-4 years. The method used in this community service program was socialization, education, and training which includes planning, preparation, and implementation (socialization, online education through WAG with video media and e-booklets, online training through WAG with e-booklet media and offline activities with demonstration methods), and evaluation (knowledge with pretest and post-test and skills with checklist). The results show that this program can increase the knowledge and skills of groups of mothers who have toddlers aged 2-4 years regarding nutrition and the use of empon-empon as a healthy snack in boosting toddler immunity. Thus the Timun Emas Program can be used as an alternative to help toddler health improvement during the Covid pandemic -19. Keywords: empon-empon, healthy snacks, toddler immunity, Covid-19 pandemic

PROGRAM INOVASI GERAKAN “BERINISIATIF (BERIKAN HANYA ASI EKSKLUSIF)” SEBAGAI UPAYA MEWUJUDKAN GENERASI EMAS BERKUALITAS Brivian Florentis Yustanta; Dintya Ivantarina
Prosiding SPIKesNas : Seminar Publikasi Ilmiah Kesehatan Nasional Vol. 1 No. 2 (2022): SPIKesNas - November 2022
Publisher : STIKES dan AKZI Karya Husada Kediri

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All the essential nutrients required for survival, growth, development and immunological, antimicrobial, and anti-inflammatory factors in infants are obtained from breast milk during the first six months of life. However, the problem of not achieving exclusive breastfeeding coverage is still a major problem in infants beside the increase in infant mortality in the first six months of life. This is also a problem at the Mojoagung Health Center, especially in Dukuhdimoro village regarding the achievement of exclusive breastfeeding coverage from January - March 2022 which still does not meet the target of (-) 16.79%. This is due to the lack of knowledge of mothers since pregnancy and socialization from health cadres about exclusive breastfeeding. These problems require community service activities in the form of an innovation program in the form of the "Berinisiatif (Give Only Exclusive Breastfeeding)" movement through education and socialization of exclusive breastfeeding as an effort to create a quality golden generation. The activity will be carried out from June 20 to 30, 2022 starting from the planning stage to the evaluation stage. The number of participants was 30 consisting of pregnant and lactating women and health cadres in Dukuhdimoro Village, Mojoagung District, Jombang Regency. The implementation method was in the form of education and socialization about exclusive breastfeeding with lectures, questions and answers, and discussions. The evaluation used pretest and posttest questionnaires. The results of providing education showed an increase in participants regarding exclusive breastfeeding compared to before being given education. After providing education to the participants, it was continued with the socialization activity of the “Berinisiatif” movement. The results of the socialization of this program later that pregnant and lactating mothers as the main actors in exclusive breastfeeding can succeed in the government's program in realizing a quality golden generation through optimizing nutritional needs in the first 1000 days of an infant's life.

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