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STUDI QUALITATIF PENYEBAB KEHAMILAN PRANIKAH PADA REMAJA Amrina Nur Rohmah; Risya Secha Primindari; Shinta Alifiana Rahmawati; Dwi Dianita Irawan; Elia Ika Rahmawati; Aris Prastyoningsih
Jurnal Kesehatan Kusuma Husada Vol. 13 No. 2, Juli 2022
Publisher : Universitas Kusuma Husada Surakarta

Kehamilan pranikah pada remaja menjadi sorotan karena menimbulkan dampak yang membahayakan. Berbagai aspek terkena dampak dari kehamilan pranikah pada remaja, diantaranya aspek kesehatan, pendidikan dan ekonomi. Dampak yang muncul dari aspek kesehatan antara lain: beresiko mengalami persalinan pre-term, melahirkan bayi BBLR bahkan kematian neonatal, meningkatkan depresi postpartum selain itu remaja tidak menyelesaikan pendidikan sehingga memiliki tingkat ekonomi rendah. Penelitian ini merupakan penelitian deskriptif kualitatif dengan pendekatan studi naratif. Penelitian ini bertujuan untuk menggali penyebab kehamilan pranikah pada remaja sesuai dengan pengalaman informan. Penelitian ini dilakukan di Balai Pelayanan dan Rehabilitasi Sosial Wanita (BPRSW) Yogyakarta. Pengambilan data dilakukan pada bulan Februari-Mei tahun 2019. Teknik pengambilan sampel dalam penelitian ini menggunakan teknik purposive sampling, sehingga informan yang dipilih untuk penelitian ini disesuaikan dengan tujuan penelitian. Jumlah Informan dalam penelitian ini berjumlah 8 orang. Hasil penelitian tentang penyebab kehamilan pranikah pada remaja di dapati 6 tema yaitu: Pengetahuan tentang kesehatan reproduksi remaja, Sikap remaja terkait hubungan seksual pranikah, Kondisi keluarga, Pengaruh pasangan dalam berpacaran, Pengaruh teman sebaya, Pengaruh lingkungan tempat tinggal. Kesimpulan penelitian tentang penyebab kehamilan remaja dikarenankan kurangnya pengetahuan tentang kesehatan reproduksi dan kurangnya pemahaman remaja akan alat kontrasepsi. Sikap remaja yang memiliki kecenderungan melakukan kegiatan seksual beresiko meningkatkan kejadian kehamilan remaja. Premarital pregnancy in adolescents is in the spotlight because it has a dangerous impact. Various aspects are affected by premarital pregnancy in adolescents, including health, education and economic aspects. The impacts that arise from the health aspect include: the risk of having pre-term delivery, giving birth to LBW babies and even neonatal death, increasing postpartum depression in addition to adolescents who do not complete education so that they have a low economic level. This research is a qualitative descriptive study with a narrative study approach. This study aims to explore the causes of premarital pregnancy in adolescents according to the experience of the informants. This research was conducted at the Women's Social Service and Rehabilitation Center (BPRSW) Yogyakarta. Data collection was carried out in February-May 2019. The sampling technique in this study used a purposive sampling technique, so that the informants selected for this study were adjusted to the research objectives. The number of informants in this study amounted to 8 people. The results of the study on the causes of premarital pregnancy in adolescents found 6 themes, namely: Knowledge of adolescent reproductive health, Adolescent attitudes related to premarital sexual relations, Family conditions, Influence of partners in dating, Influence of peers, Influence of living environment. The conclusion of the research on the causes of teenage pregnancy is due to the lack of knowledge about reproductive health and the lack of understanding of adolescents about contraceptives. The attitude of adolescents who have a tendency to engage in sexual activities is at risk of increasing the incidence of teenage pregnancy.

Effect of Increased Corticosterone Levels Due to Chronic Stress on Body Weight Changes in Rattus norvegicus Risya Secha Primindari; Amrina Nur Rohmah; Dwi Dianita Irawan
MAGNA MEDIKA: Berkala Ilmiah Kedokteran dan Kesehatan Vol 9, No 2 (2022): August
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/magnamed.9.2.2022.80-88

Background: Stressors in everyday life cannot be predicted in various forms; if individuals cannot cope with exposure to stress, it causes chronic conditions. Corticosterone is a biomarker associated with chronic adaptation. Weight loss is associated with an increase in glucocorticoid hormones due to stress which affects the burning of brown fat so that calories are burned.Objective: Analyze the effect of increasing serum corticosterone levels due to chronic stress on changes in body weight of Rattus novergicus.Methods: Samples were 34 Rattus norvegicus which were divided into 2 groups, control and stress treatment using the Chronic Unpredictable Mild Stress (CUMS) method. Serum corticosterone levels were detected by ELISA examination and body weight changes were monitored twice, before and after CUMS was given.Results: Corticosterone in the treatment group was higher (72.84 ± 64.03) than the control group (23.29 ± 8.42). Changes in body weight of the control group (14.62 ± 4.98) were heavier than the treatment group (-10.33 ± 11.24). Statistical test p=0.000 (p <0.05).Conclusion: chronic stress increases corticosterone hormone levels in Rattus novergicus serum and increased levels of corticosterone hormone can reduce body weight.

Antimicrobial Effects of Annona squamosa Leaf Extract on Staphylococcus aureus Growth: An In Vitro Study Dwi Dianita Irawan; Amrina Nur Rohmah; Elia Ika Rahmawati; Risya Secha Primindari; Shinta Alifiana Rahmawati
Jurnal Bidan Cerdas Vol. 5 No. 2 (2023)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jbc.v5i2.2167

Introduction: Mastitis is inflammation of the breast tissue due to infection with the Staphylococcus aureus bacteria causing local infections. It takes the natural ingredient Annona squamosal extract as an antimicrobial. Purpose: to determine the effectiveness of Annona squamosa leaf extract on the inhibition and killing power of Staphylococcus. Method: Experimental laboratory research with antibacterial activity test. Tube dilution method by incorporating bacteria and extracts with concentrations of 20%, 22.5%, 25%, 27.5%, 30%, and 32.5% and then measuring the MIC. The diffusion method is carried out by planting bacteria in a Nutrient Agar Plate and then giving the extract with 6 concentrations to calculate the MBC. Results: The results of the One-Way ANOVA test obtained a significance value of (p<0.001), indicating that changes in the concentration of Annona squamosa made a significant difference to Staphylococcus. The correlation test showed a significant p-value of (p<0.001), which means that there was a significant relationship between the administration of extract and the number of Staphylococcus. Conclusion: Annona squamosa leaf extract is able to significantly inhibit the growth of Staphylococcus bacteria and the higher the concentration of Annona squamosa leaf extract, the fewer the number of bacterial colonies that grow.

PENGARUH PEMBERIAN BOOKLET TERHADAP PENGETAHUAN DAN SIKAP EARLY ADOLESCENT TENTANG MENARCHE Amrina Nur Rohmah; Dwi Dianita Irawan; Elia Ika Rahmawati; Risya Secha Primindari; Shinta Alifiana Rahmawati
Journal of Midwifery and Health Administration Research Vol 3 No 2 (2023): DESEMBER
Publisher : Lembaga Penelitian & Pengabdian Masyarakat Sekolah Tinggi Ilmu KesehatanBrebes

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5281/zenodo.11044443

Pada masa remaja khususnya remaja putri akan mengalami perubahan fisik yang pesat sebagai tanda biologis dari kematang fisik. Menarche adalah dimulainya menstruasi pertama bagi remaja perempuan, Jika pengetahuan dan persepsi remaja putri tentang menstruasi rendah, hal itu dapat berdampak negatif pada reaksi mereka saat menstruasi pertama, yang dapat menyebabkan masalah seperti bingung, rasa takut, gangguan konsentrasi, mudah tersinggung, gelisah, suka tidur, sakit kepala, kembung, dan depresi. Sehingga dibutuhkan suatu metode untuk meningkatkan pengetahuan dan sikap remaja tentang menarche. Penelitian ini merupakan penelitian kuantitatif dengan dengan menggunakan metode pre-eksperimental. penelitian ini bertujuan untuk mengetahui pengaruh pemberian video edukasi terhadap pengetahuan dan sikap remaja awal (early adolescent) tentang menarche menggunakan media booklet. Penelitian ini dilakukan di MI Muhammadiyah 1 Lopang Lamongan. Populasi pada penelitian ini adalah seluruh siswi kelas IV, V dan VI yang berjumlah 20 siswi. Teknik sampling yang digunakan dalam penelitian ini adalah total sampling. Proses penelitian dilakukan dengan cara memberikan kuisioner kepada siswi sebagai data awal penelitian (pretest) kemudian memberikan video edukasi selama 20 menit yang dilanjutkan diskusi, kemudian diakhir kegiatan siswi akan diminta untuk mengisi kuisioner lagi yang akan digunakan sebagai data akhir (posttest). Setelah data penelitian dikumpulkan, data akan dianalisis menggunakan SPSS dengan menggunakan uji Wilcoxon. Hasil Uji Willcoxon didapatkan hasil p value 0,000 (p<0,05) sehingga dapat disimpulkan ada perbedaan antara tingkat pengetahuan dan sikap sebelum pemberian intervensi dan sesudah pemberian intervensi. Kesimpulan Pemberian Booklet mampu meningkatkan pengetahuan dan sikap pada Early Adolescent tentang Menarche.

The Incident of Sibling Rivalry on Child with Mother Breastfeeding During Pregnancy Rahmawati, Shinta Alifiana; Dewi, Lukyta Pratika; Rohmah, Amrina Nur; Primindari, Risya Secha; Rahmawati, Elia Ika; Irawan, Dwi Dianita
Jurnal Midpro Vol. 14 No. 1 (2022): JURNAL MIDPRO
Publisher : Universitas Islam Lamongan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30736/md.v14i1.346

The interval of pregnancy needs to be considered for parents in planning pregnancy. Close proximity of births can trigger neglect of the first child physically and psychologically, which can cause jealousy due to the unpreparedness of sharing affection by their parents. If parents cannot share their attention properly, it will cause jealousy in their younger siblings which can lead to competition between siblings or commonly called sibling rivalry. This research is interesting and different from previous research because the informants are children with mothers who are pregnant or mothers who are breastfeeding. The purpose of the study was to determine the incidence of sibling rivalry in children with breastfeeding during pregnancy in the Gunem Public Health Center, Rembang Regency. This research uses a qualitative study using a phenomenological approach. This study uses a qualitative study with in-depth interviews and observations. The findings from this study showed that from six informants, 4 children experienced sibling rivalry and only 2 children did not experience sibling rivalry. The majority of mothers choose to stop breastfeeding their older children. Sibling rivalry by children like children wants to be tries to prevent the mother from breastfeeding her sister, tries to attract the mother's attention and does not allow the mother to carry her sister, even the child does not hesitate to pinch and hit his sister if the older sister feels neglected.

PENINGKATAN KESADARAN REPRODUKSI REMAJA MELALUI PROGRAM ‘KAYA DARO’ DALAM PEMBENTUKAN KELOMPOK KADER SEBAYA DI MA MUHAMMADIYAH 9 AL MIZAN LAMONGAN Primindari, Risya Secha; Irawan, Dwi Dianita; Rohmah, Amrina Nur
Health Care : Journal of Community Service Vol. 2 No. 1 (2024)
Publisher : Rena Cipta Mandiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62354/healthcare.v2i1.8

Pengetahuan remaja masih terbatas tentang Kesehatan reproduksi di berbagai negara, termasuk di Indonesia. Berdasarkan survey di MA Muhammadiyah 9 AL-MIZAN Lamongan pada siswa kelas 11 didapatkan bahwa 71% pengetahuan kurang memadai dan 29% pengetahuan memadai tentang cara merawat organ reproduksi, anemia, IMS, kehamilan remaja dan permasalahan seksualitas. Dibutuhkan program KAYA DARO yaitu pembentukan kader sebaya pada remaja yang fokus pada kesehatan reproduksi. Tujuanya adalah Peningkatan pengetahuan tentang Kesehatan reproduksi. Tahapan pelaksanaan kegiatan meliputi audiensi, identifikasi permasalahan, penetapan kegiatan, persiapan kegiatan, pembentukan kader dan pemberian materi kepada kader, penyuluhan dari kader ke remaja dan evaluasi. Materi yang diberikan meliputi personal hygiene. Kehamilan remaja, permasalahan seksualitas, infeksi menular seksual. Hasil evaluasi menunjukan bahwa kegiatan pengabdian dapat membentuk kader sebaya dan meningkatkan pengetahuan remaja MA Muhammadiyah 9 Al Mizan Lamongan tentang Kesehatan reproduksi.

In vivo study: black cumin extract (Nigella sativa) on antral follicle diameter and granulosa cell layer thickness as an effort to prevent infertility Amalia, Amirul; Primindari, Risya Secha; Irawan, Dwi Dianita
MEDISAINS Vol 22, No 2 (2024)
Publisher : Universitas Muhammadiyah Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30595/medisains.v22i2.23251

Background: Infertility is a health problem that affects approximately 10-15% of couples trying to achieve pregnancy worldwide. Various studies have shown that Nigella sativa (N. Sativa) has many health benefits, including reproductive health. However, studies examining the effectiveness of N. Sativa in preventing folliculogenesis disorders have never been reported.Purpose: This study aims to determine the benefits of administering N. Sativa in preventing folliculogenesis disorders as measured by the diameter of the antral follicles and the thickness of the granulosa cell layer.Methods: This research design uses an experiment with a randomized posttest-only controlled group design approach. There were 27 experimental animals (mice) divided into three groups, namely the negative control group (9 animals) and the positive control group (9 animals), as well as the treatment group (9 animals). The positive control group was exposed to two cigarettes of cigarette smoke per day. The treatment group was exposed to cigarette smoke and N. Sativa 300 mg/KgBW/day for 28 days. After that, the mice were sacrificed to take their ovaries. Then, the ovarian organ samples were stained with Hematoxylin-eosin and examined for the diameter of the antral follicles and the thickness of the granulosa cell layer in the antral follicles with photo slides at 400x magnification in 5 fields of view, statistical analysis using the Independent T-test.Results: There were significant differences in antral follicle diameter and granulosa cell thickness in mice exposed to cigarette smoke and N. Sativa. Administration of N. Sativa extract can increase granulosa cell thickness through estrogenic function. Administration of N. Sativa extract showed estrogenic activity by increasing serum estradiol levels. N. Sativa heterotrophic activity cannot be separated from the flavonoid and phenolic compounds contained in N. Sativa, which have been proven to have high estrogenic activity.Conclusion: N. Sativa extract is efficacious in improving the diameter of antral follicles and the thickness of granulosa cells caused by exposure to cigarettes.

THE EFFECTIVENESS OF FIVE-FINGER HYPNOSIS THERAPY IN REDUCING ANXIETY IN INTRA UTERINE DEVICE TYPE ACCEPTORS Asmara, Dewi Windy; Primindari, Risya Secha; Amalia, Amirul; Sulistiyowati, Sulistiyowati
INTERNATIONAL JOURNAL OF NURSING AND MIDWIFERY SCIENCE (IJNMS) Vol 8 No 3 (2024): VOLUME 8 ISSUE 3 DECEMBER 2024
Publisher : Departement Research and Community Engagement Bina Sehat PPNI Institute of Health Science, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29082/IJNMS/2024/Vol8/Iss3/610

IUD insertion is associated with high levels of nervousness in most people,and anxiety and fear can cause discomfort during IUD insertion. Relaxationtechniques are non-pharmacological techniques used to reduce anxiety andpain by tensing the muscles. Not many have applied the five-finger hypnosisrelaxation technique to reduce pain in both hospitals and health institutions asa learning medium. The purpose of this study was to determine the effect offive-finger hypnosis therapy on the anxiety of prospective IUD acceptors. Thisstudy's research design is pre-experimental research with a research approachusing one group pre-test and post-test. The sample in this study is 30 new IUDacceptors at the Muhammadiyah Hospital in Gresik, which is the criteria. TheWilcoxon statistical test results showed a p-value of 0.000. These resultsindicate a significant difference in anxiety levels before and after theintervention. The five-finger hypnosis intervention reduces the level of anxietyin new IUD acceptors.

Pengaruh penggunaan media sosial terhadap kesehatan mental remaja: Literature review Rahmawati, Shinta Alifiana; Rohmah, Amrina Nur; Irawan, Dwi Dianita; Rahmawati, Elia Ika; Primindari, Risya Secha
Jurnal Riset Kebidanan Indonesia Vol 8, No 2 (2024): Desember
Publisher : AIPKEMA (Asosiasi Institusi Pendidikan Kebidanan Muhammadiyah-'Aisyiyah Indonesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32536/jrki.v8i2.285

Latar belakang: Di era digital saat ini, media sosial telah menjadi bagian integral dalam kehidupan sehari-hari. Penggunaannya membawa berbagai dampak, baik positif maupun negatif. Salah satu dampak yang paling mendapat perhatian adalah pengaruh media sosial terhadap kesehatan mental remaja. Tujuan penelitian: Mengetahui pengaruh penggunaan media sosial terhadap kesehatan mental remaja. Metode: Artikel-artikel dalam penelitian ini diperoleh dari database ScienceDirect dan PubMed menggunakan PRISMA Flow Chart. Metode sintesis yang digunakan adalah modifikasi PEOS (Population, Exposure, Objectives, Study design). Pemilihan artikel dilakukan berdasarkan publikasi yang diterbitkan antara tahun 2019 hingga 2023, menghasilkan 10 artikel yang terpilih setelah melalui proses seleksi dari keseluruhan jurnal yang ada. Hasil: Hasil telaah menunjukkan adanya hubungan atau korelasi antara penggunaan media sosial dan kesehatan mental remaja. Temuan ini mengindikasikan bahwa durasi penggunaan, jenis aplikasi yang digunakan serta frekuensinya memiliki pengaruh terhadap dampak negatif yang ditimbulkan pada remaja. Simpulan: Adanya hubungan signifikan antara penggunaan media sosial dan kesehatan mental pada remaja.

THE EFFECTIVENESS OF FIVE-FINGER HYPNOSIS THERAPY IN REDUCING ANXIETY IN INTRA UTERINE DEVICE TYPE ACCEPTORS Asmara, Dewi Windy; Primindari, Risya Secha; Amalia, Amirul; Sulistiyowati, Sulistiyowati
INTERNATIONAL JOURNAL OF NURSING AND MIDWIFERY SCIENCE (IJNMS) Vol. 8 No. 3 (2024): VOLUME 8 ISSUE 3 DECEMBER 2024
Publisher : Departement Research and Community Engagement Bina Sehat PPNI Institute of Health Science, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29082/IJNMS/2024/Vol8/Iss3/610

IUD insertion is associated with high levels of nervousness in most people,and anxiety and fear can cause discomfort during IUD insertion. Relaxationtechniques are non-pharmacological techniques used to reduce anxiety andpain by tensing the muscles. Not many have applied the five-finger hypnosisrelaxation technique to reduce pain in both hospitals and health institutions asa learning medium. The purpose of this study was to determine the effect offive-finger hypnosis therapy on the anxiety of prospective IUD acceptors. Thisstudy's research design is pre-experimental research with a research approachusing one group pre-test and post-test. The sample in this study is 30 new IUDacceptors at the Muhammadiyah Hospital in Gresik, which is the criteria. TheWilcoxon statistical test results showed a p-value of 0.000. These resultsindicate a significant difference in anxiety levels before and after theintervention. The five-finger hypnosis intervention reduces the level of anxietyin new IUD acceptors.

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