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All Journal Jurnal Kebidanan Proceedings of the International Conference on Applied Science and Health Jurnal Ilmu Keperawatan dan Kebidanan Prosiding Seminar Nasional Unimus
Lestari Puji Astuti, Lestari Puji
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Humanities Biochemistry, Genetics & Molecular Biology Education Engineering Health Professions Medicine & Pharmacology Nursing Public Health

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TREATMENT MANAGEMENT OF SEXUALLY TRANSMITTED INFECTION AMONG FEMALE SEX WORKERS IN THE SARIREJO LOCALIZATION, SALATIGA, INDONESIA Saputri, Reny Eka; Nurhudhariani, Rose; Astuti, Lestari Puji
Proceedings of the International Conference on Applied Science and Health No 2 (2017)
Publisher : Proceedings of the International Conference on Applied Science and Health

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Abstract

Background: Salatiga Public Health Office stated that sexual infection in 2013 was 1,096 cases. While 1,085 cases were recorded between January until November 2014. The sexually transmitted infection rate in Sidorejo Lor Health Center has increased from 96 in 2013 to 133 cases in 2014. Although the screening program already exists, but in the field cases of sexually transmitted infections are continue to rise. Aims: It aims to explore the efforts of sex workers to the sexually transmitted infection treatment, the way they do their activities without transmitting the infection to the customers, and the supports from the localization manager and medical workers for the treatment management for sexually transmitted infections of the sex workers. Method: This research used qualitative method. The data was obtained through in-depth interview. This study involved 3 women who are positively diagnosed with sexually transmitted infection in the Sarirejo localization, Salatiga, Indonesia. Results: The study highlights that the the sex workers who diagnosed with sexually transmitted infection seeks medical treatment from medical workers. Some drink herbs and wash their vagina with betel. During the treatment, they reduce their sex activity and always use condom. As realised the infection, they receive support from the localization manager and medical workers. Conclusion: From this study, we noted that female sex workers who realized having sexually transmitted infections will look for either medical and traditional treatment. Support from localization manager to managing STIs are reminded to always use condoms and participated the screening by Primary Health Care officers. Regulation issued by the provider and screening participation highlighted the treatment management of sexually transmitted infection among female sex workers in Salatiga, Indonesia. 
EFEKTIVITAS MASSAGE EFFLEURAGE DAN TERAPI MUSIK TERHADAP PENURUNAN TEKANAN DARAH PADA IBU BERSALIN DENGAN PRE EKLAMSI Astuti, Lestari Puji; Zuliah, Zuliah; Pujiyanto, Tri Ismu
Jurnal Ilmu Keperawatan dan Kebidanan Vol 11, No 1 (2020): JURNAL ILMU KEPERAWATAN DAN KEBIDANAN
Publisher : STIKES Muhammadiyah Kudus

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26751/jikk.v11i1.782

Abstract

ABSTRACTBackground: According to the Indonesian Health Demographic Survey (IDHS) in 2017, the direct cause of the maternal mortality rate (MMR) of 30% was preeclampsia. Preeclampsia can be treated pharmacologically and non pharmacologically. Non-pharmacological treatment is a natural treatment including effluerage massage and music therapy.Objective: To identify and analyze differences in blood pressure reduction in pre-eclampsia mothers before and after massage effleurage and music therapy in the Kragan II Puskesmas maternity room.Methods: The study design used the Two Group Post Test With Control Design. Sampling by accidental sampling. Sampling in this study were 40 women with preeclampsia. Test results using the Mann-Whitney test.Results: With effluarge massage the average blood pressure value was 22.0 while in music therapy 19.00 and obtained ρ was 0.002 (<0.05). So Ho refused Ha accepted, which means there are differences in the effectiveness of massage effleurage and music therapy to reduce blood pressure in mothers giving birth with pre-eclampsia in health center II.Conclusion: Massage effleurage is more effective when compared to music therapy in reducing maternal blood pressure. It is expected that health workers to implement an effleurage massage program in women with preeclampsia. Keywords: Massage effleurage, Music Therapy, Preeclampsia 
EFEKTIFITAS RELAKSASI BENSON TERHADAP PENURUNAN NYERI DISMINORE PADA MAHASISWI DI STIKES KARYA HUSADA SEMARANG Astuti, Lestari Puji; Wardhani, Putri Kusuma; Yuliyanti, Arlina
Jurnal Kebidanan VOLUME 10. No. 02, DESEMBER 2018
Publisher : Sekolah Tinggi Ilmu Kesehatan Estu Utomo Boyolali

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35872/jurkeb.v10i02.286

Abstract

Lestari Puji Astuti 1) Putri Kusuma Wardhani 2) Arlina Yuliyanti 3)1), 2), 3)Program Studi Sarjana Terapan Kebidanan STIKES Karya Husada SemarangE-mail: tari_rozai@yahoo.co.idABSTRAKLatar belakang: Dismenorea adalah nyeri saat haid yang terasa di perut bagian bawah dan muncul sebelum, selama atau setelah menstruasi. Persentase kejadian dismenorea di Indonesia 55%, namun yang berobat ke pelayanan kesehatan sangatlah sedikit, yaitu hanya 1% - 2%. Upaya untuk mengurangi rasa nyeri melalui cara nonfarmakologis dengan terapi relaksasi ini terus dikembangkan yang salah satunya adalah dengan teknik relaksasi Benson. Tujuan: Mengetahui pengaruh terapi relaksasi Benson terhadap penurunan nyeri dismenore pada mahasiswa D-III Keperawatan tingkat III STIKES Karya Husada Semarang. Metode penelitian: Jenis penelitian ini adalah komparasi dengan pendekatan quasi eksperimen. Populasi dalam penelitian ini semua mahasisiswi perempuan Program studi D-III Keperawatan tingkat II yang berjumlah 44 mahasiswi. Teknik sampling yang digunakan adalah purposive sampling dengan jumlah 40 responden. Hasil penelitian: Hasil peneltiian menunjukkan bahwa tingkat nyeri Dismenore sebelum dilakukan teknik relaksasi Benson sebagian besar adalah kategori nyeri sedang dan setelah dilakukan teknik relaksasi Benson sebagian besar kategori nyeri ringan. Hasil uji statistik ditemukan ada perbedaan nyeri dismenore sebelum dan setelah dilakukan teknik relaksasi Benson pada mahasiswi D III Keperawatan STIKES Karya Husada Semarang dengan dengan uji Wilcoxon diketahui nilai significant difference p = 0,000, < (0,05). Kesimpulan: Ada Pengaruh relaksasi benson terhadap penurunan tingkat nyeri disminore pada mahasiswi DIII Keperawatan Saran: Mahasiswi dapat melakukan terapi relaksi benson untuk penurunan nyeri disminoreKata kunci : Dismenore, Nyeri, Relaksasi BensonTHE EFFECTIVENESS OF BENSON RELAXATION ON DISMINORE PAIN REDUCTION IN STUDENTS IN KARYA HUSADA STIKES SEMARANGABSTRACTBackground: Dysmenorrhoea is pain during menstruation that feels in the lower abdomen and appears before, during or after menstruation. the percentage incidence of dysmenorrhoea in Indonesia 55%, but the treatment to health service is very little, that is only 1% - 2%. Efforts to reduce pain through nonpharmacological means with this relaxation therapy continues to be developed which one of them is with Benson relaxation techniques. Objective: To know the effect of Benson relaxation therapy on dysmenorrhea pain reduction in D-III Nursing student III STIKES Karya Husada Semarang. Research method: This research type is comparation with quasi experiment approach. The population in this study are all female students of the nursing study program II nursing level II which amounted to 44 female students. The sampling technique used is purposive sampling with 40 respondents. Results: The results showed that the rate of dysmenorrhea pain before Benson relaxation technique was mostly moderate pain category and after Benson relaxation technique most of the category of mild pain. The result of statistic test found that there was difference of dysmenorrhea pain before and after Benson relaxation technique on student D III Nursing STIKES Karya Husada Semarang with Wilcoxon test known significant value difference p = 0,000, <(0,05). Conclusion: There is effect of benson relaxation on decrease of disminore pain level in student of DIII Nursing Advice: Student can perform benson relation therapy to decrease pain disminoreKeywords: Dysmenorrhea, Pain, Benson Relaxation
EFEKTIFITAS RELAKSASI HYPNOBIRTHING TERHADAP PENURUNAN TINGKAT NYERI DAN KESTABILAN TEKANAN DARAH PADA PERSALINAN KALA I Astuti, Lestari Puji; Putri, Arista Adityasari; ., Kuminah
Jurnal Kebidanan VOLUME 11. No.01, JUNI 2019
Publisher : Sekolah Tinggi Ilmu Kesehatan Estu Utomo Boyolali

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35872/jurkeb.v11i01.332

Abstract

Lestari Puji Astuti1), Arista Adityasari Putri2),, Kuminah 3)1), 3) Program Studi SarjanaTerapan Kebidanan STIKes Karya Husada Semarang(2) Program Studi S1 Keperawatan STIKes Karya Husada SemarangE-mail: tari.stikeskh@gmail.comABSTRAKLatar Belakang : Nyeri selama persalinan menyebabkan penderitaan dan stres serta peningkatan tekanan darah, peningkatan denyut nadi, pernafasan, keringat, diameter pupil dan meningkatkan ketegangan otot. Tujuan penelitian ini adalah mengetahui efektifitas relaksasi hypnobirthing terhadap tingkat nyeri dan tekanan darah pada persalinan kala I: Metode penelitian menggunakan quasi eksperimental design rancangan post test only control group. Sampel sebanyak 34 ibu bersalin dengan 17 kelompok perlakuan dan 17 kelompok kontrol pengambilan sampel dengan teknik Accidental Sampling. Analisis menggunakan Mann-Whitney Test. Hasil: Persalinan kala I dilakukan relaksasi hypnobirthing memiliki tingkat nyeri terendah 0 dan tertinggi 3, memiliki tekanan darah systole terendah 105mmHg tertinggi 127,9mmHg, dan diastole terendah 70mmHg tertinggi 90mmHg. Ibu bersalin pada kala I tidak dilakukan relaksasi hypnobirthing sebagian besar mengalami tingkat nyeri terendah 0 dan tertinggi 6, memiliki tekanan darah systole terendah 110mmHg, tertinggi 145mmHg dan diastole terendah 80mmHg, tertinggi 90mmHg. Kesimpulan:Relaksasi hypnobirting efektif terhadap penurunan tingkat nyeri pada persalinan kala I (p value 0,001 < 0,05) dan efektif  terhadap kestabilan tekanan darah pada persalinan kala I (p value systole 0,014 < 0,05dan p-valuediastole 0,000<0,05). Saran : bidan diharapkan meningkatkan kualitas asuhan pada ibu bersalin dengan kemampuan hypnobirting yang terbukti efektif dalam pengurangan nyeri persalinan dan menjaga kestabilan tekanan daran ibu bersalin.Kata Kunci: Relaksasi hypnobirthing, nyeri, tekanan darahTHE EFFECTIVENESS OF HYPNOBIRTHING RELAXATION ON DECREASE IN PAIN AND BLOOD PRESSURE STABILITY ON LABOR INABSTRACTBackground: Pain during chilbirth cause suffering and stress as well as increased blood pressure, increased pulse, respiration, sweat, pupil diameter and increased muscle tension. The purpose of This research was knowing the effectiveness of hypnobirthing relaxation to level of pain and blood pressure on first stage of birthing. Research Method : Research method used quosi experimental  design with post test only with control group. Samples were 34 maternal mother, taking sample with technique Accidental Sampling. Analysis used Mann-Whitney Test Results: The first stage of birthing did hypnobirthing relaxation have level pain lowest 0 and highest 3, have blood pressure the lowest systole was 105mmHg, the highest was 127.9mmHg, and the lowest diastole was 70mmHg, the highest was 90mmHg. The first stage of birthing did not do hypnobirthing relaxation most of the level pain lowest 0 and the highest 6, have blood  pressure the lowest systole was 110mmHg, the highest was 145mmHg and the lowest was 80mmHg, the highest was 90mmHg. Conclusion: hypnobirthing effective to reduce of pain in first stage of labor at the Gunungwungkal District Health Centre (p-value 0.0 01 <0.05) and effective to maintain of bood pressure in normal condition during first stage of labor at Gunungwungkal District Health Centre (p-value systole 0.0 14 <0.05 and p-value diastole 0,000 <0.05). Suggest : midwives are expected to improve the quality of care for mothers with hypnobirting abilities that are proven effective in reducing labor pain and maintaining stable blood pressure from the mother. Keywords: Blood pressure, hypnobirthing relaxation, pain
PERAN BIDAN DALAM MENOLONG PERSALINAN SELAMA PANDEMI COVID-19 DI PONED PUSKESMAS KETANGGUNGAN KABUPATEN BREBES Astuti, Lestari Puji; Sri Agustina, Prita Khoirotunnisa; Rahayu, Hermeksi
Jurnal Kebidanan VOLUME 13. NO.01, JUNI 2021
Publisher : Sekolah Tinggi Ilmu Kesehatan Estu Utomo Boyolali

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35872/jurkeb.v13i01.422

Abstract

ABSTRAKLatar belakang: Survey di PONED Puskesmas Ketanggungan, hasil bulan Maret sampai Nopember 2020, 6 ibu bersalin dari 296 ibu bersalin yang rapid test dinyatakan reaktif. Bidan mempunyai resiko tinggi karena harus kontak langsung dengan pasien. Tujuan : Untuk mengeksplorasi tentang peran bidan dalam menolong persalinan selama pandemi Covid-19 di PONED Puskesmas Ketanggungan Metode: Jenis penelitian kualitatif dengan pendekatan fenomenologis, tehnik analisis deskriptif dilaksanakan dari September 2020 sampai Februari 2021. partisipan 4 orang dan 2 triangulasi sumber. Hasil: bidan sebagai pelaksana yaitu pemeriksaan swab rapid kepada pasien, persalinan menggunakan APD level 2 dan protokol kesehatan sesuai standar. bidan sebagai pengelola adalah  mengelola pelayanan persalinan dan pembagian tugas dalam tim. bidan sebagai pendidik yaitu  memberikan edukasi dan informasi menjaga protokol kesehatan, pemeriksaan swab rapid sebelum dilakukan tindakan, pendamping yang hanya 1 orang persalinan. bidan sebagai peneliti adalah memastikan status pasien terpapar Covid  atau tidak, mendata ibu bersalin terpapar Covid, merencanakan asuhan dan melakukan asuhan, mendokumentasikannya, merencanakan tindak lanjutnya. Kesimpulan : Pelaksanaan peran bidan sebagai pelaksana, pengelola, pendidik dan peneliti berjalan secara maksimal, hambatan bisa diatasi sehingga bisa melaksanakan peran secara mandiri: Saran: masukan kepada bidan untuk mengoptimalkan perannya dalam menolong persalinan selama pandemi Covid-19.Kata kunci: Peran Bidan;  Persalinan; Pandemi Covid 19THE ROLE OF MIDWIVES IN HELPING CHILDBIRTH DURING THE COVID 19 PANDEMIC IN NEONATAL OBSTETRIC SERVICES EMERGENCY BASIC, KETANGGUNGAN COMMUNITY HEALTH CENTER, BREBES DISTRICTABSTRACTBackground: The survey at the PONED of the Keanggungan Health Center, the results from March to November 2020, 6 maternity mothers out of 296 maternity mothers whose rapid tests were declared reactive. Midwives have a high risk because they have direct contact with patients. Objective: To explore the role of midwives in assisting childbirth during the Covid-19 pandemic at PONED Puskesmas Ketanggungan Method: This type of qualitative research with a phenomenological approach, descriptive analysis technique was carried out from September 2020 to February 2021. 4 participants and 2 triangulation of sources. Results: midwives as implementers, namely rapid swab examinations for patients, deliveries using level 2 PPE and health protocols according to standards. the midwife as the manager is managing the delivery service and the division of tasks in the team. midwives as educators, namely providing education and information on maintaining health protocols, rapid swab checks before taking action, only 1 assistant giving birth. The midwife as a researcher is to ensure the patient's status is exposed to Covid or not, to record maternal exposure to Covid, to plan care and provide care, to document it, to plan follow-up actions. Conclusion: Implementation of the role of midwives as implementers, managers, educators and researchers runs optimally, obstacles can be overcome so that they can carry out their roles independently: Suggestion: input to midwives to optimize their role in helping childbirth during the Covid-19 pandemic.Keywords: Role of Midwives; Labor; Covid 19 pandemic 
The Manajemen nyeri persalinan dengan belt ball: MANAGEMENT OF LABOR PAIN WITH BELT BALL Astuti, Lestari Puji; Gunarmi, Gunarmi; Dedi, Blacius
Jurnal Kebidanan VOLUME 14, NO.02 DESEMBER 2022
Publisher : Sekolah Tinggi Ilmu Kesehatan Estu Utomo Boyolali

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35872/jurkeb.v14i02.553

Abstract

Survey pendahuluan di Wilayah Kerja Puskesmas Leyangan, didapatkan data jumlah persalinan pada tahun 2019 sebanyak 439 persalinan, terdiri dari persalinan normal sebanyak 312 orang (71%). Dari 312 persalinan, semuanya mengalami nyeri persalinan khususnya kala 1 fase aktif. Jumlah persalinan pada tahun 2020 sebanyak 398 persalinan, terdiri dari persalinan normal sebanyak 279 orang (70,1%). Dari 279 persalinan, semuanya mengalami nyeri persalinan khususnya kala 1 fase aktif. Salah satu efek dari nyeri adalah partus tak maju, terdapat kasus partus tak maju tahun 2019 sebanyak 5 kasus (1,1%). Kasus partus tak maju tahun 2020 sebanyak 7 kasus (1,7%). Untuk mengetahui pengaruh pijat counter pressure dengan belt ball (sabuk bola tennis) terhadap nyeri persalinan kala I fase aktif. Jenis penelitian quasy experiment. Desain penelitian menggunakan one group pretest posttest design. Populasi adalah seluruh ibu bersalin sebanyak 53 orang. Sampel adalah ibu bersalin sebanyak 18 orang. Teknik pengambilan sampel adalah purposive sampling. Alat ukur menggunakan Numeric Rating Scale (NRS). Uji statistik menggunaan uji Wilcoxon. Nyeri persalinan sebelum diberikan pijat counter pressure dengan belt ball (sabuk bola tennis) didapatkan median 8. Nyeri persalinan sesudah diberikan pijat counter pressure dengan belt ball (sabuk bola tennis) didapatkan median 5. Dalam manajemen persalinan menggunakan belt ball , ada pengaruh pijat counter pressure dengan belt ball (sabuk bola tennis) terhadap nyeri persalinan kala 1 fase aktif. Puskesmas Leyangan diharapkan memberikan Natural Basic Therapy (NBT) salah satunya pijat counter pressure dengan belt ball untuk mengurangi nyeri kala I fase aktif. Kata Kunci : Pijat Counter Pressure; Sabuk Bola Tennis; Nyeri Persalinan Kala I Fase Aktif
EFEKTIFITAS COUNTERPRESSURE DAN MASSAGE EFFLEURAGE TERHADAP NYERI PERSALINAN KALA 1 FASE AKTIF DI RS SANTA MARIA PEMALANG Astuti, Lestari Puji; Awallia, Rany; Ulya, Fitria Hikmatul
Prosiding Seminar Nasional Unimus Vol 7 (2024): Transformasi Teknologi Menuju Indonesia Sehat dan Pencapaian Sustainable Development G
Publisher : Universitas Muhammadiyah Semarang

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Abstract

Berdasarkan data dari Maternal Perinatal Death Notification (MPDN), sistem pencatatan kematian ibuKementerian Kesehatan, jumlah kematian tahun 2022 mencapai 4.005 dan tahun 2023 meningkat menjadi4.129. Januari-November 2023 ibu bersalin sebanyak 1615 orang. Jumlah ibu bersalin normal 384 orang, SC 1.362 orang, dengan kejadian BSC 304 orang, Peb 179 orang, KPD 123 orang, PTM 85 orang, serotinus 84 orang, sungsang 72 orang, fetal distres 54 orang, gagal induksi 43 orang, obliq 51 orang danoligohidramnion 24 orang. Penelitian ini bertujuan untuk mengetahui efektifitas counterpressure danmassage effleurage terhadap nyeri persalinan pada ibu bersalin kala 1 fase aktif. Jenis penelitian ini adalahkuantitatif dengan desain penelitian Quasi Experiment (Pre Post Test). Populasi adalah seluruh ibu yangbersalin di RS Santa Maria Pemalang. Sampel dalam penelitian berjumlah 36 orang menggunakan teknikaccidental sampling. Variabel independen counterpressure dan massage effleurage, variabel dependenadalah nyeri. Intrumen penelitian SOP dan NRS. Analisa data menggunakan mengunakan uji  Manwhitney.Hasil  uji statistik diperoleh p-value 0,139> (α) 0,05 sehingga Ho diterima. Kesimpulan dari penelitian iniyaitu tidak terdapat perbedaan efektifitas counterpresure dan massage effleurage  untuk mengurangi nyeripada ibu bersalin kala I fase aktif di RS Santa Maria Pemalang.Kata kunci: counterpresure, Massage Effleurage, Nyeri, Persalinan
PENGARUH RUBING MASSAGE TERHADAP INTENSITAS NYERI PERSALINAN KALA I DI RUANG RAMASINTA RSJD AMINO GONDOHUTOMO Astuti, Lestari Puji; Rachmawati, Dita Suci; Munafiah, Durrotun
Jurnal Kebidanan VOLUME 17, NO.01 JUNI 2025
Publisher : Sekolah Tinggi Ilmu Kesehatan Estu Utomo Boyolali

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35872/jurkeb.v17i01.847

Abstract

Abstrak : Pendahuluan : Tingginya angka kejadian partus lama di RSJD Amino Gondohutomo sebanyak 25 % dari seluruh jumlah persalinan, menyebabkan bertambahnya angka kejadian persalinan patologi. Salah satu faktior penyebab kejadian partus lama adalah respon koping nyeri persalinan pada ibu yang kurang. Rubing Massage merupakan salah satu teknik managemen nyeri non farmakologi untuk meningkatkan koping respon ibu terhadap nyeri persalinan Tujuan : Untuk mengetahui pengaruh rubing massage terhadap nyeri persalinan Metode : Penelitian ini merupakan penelitian pre eksperimen dengan metode one group pretest posttest design. Populasi ibu bersalin kala 1 fase aktif di RSJD Amino Gondohutomo dengan jumlah 36 ibu bersalin yang memenuhi kriteria inklusi dengan teknik accidental sampling berjumlah 36 sampel ibu bersalin. Hasil : Dari data penelitian didapatkan hasil dari 36 responden ibu bersalin dengan rata-rata skala nyeri sebelum intervensi adalah 6 dengan standar deviasi 1,934, dan rata – rata skala nyeri setelah intervensi adalah 3 dengan standar deviasi 1, 317. Hail uji Wilcoxon test dan diapatkan hasil p < 0,0001 dimana hipotesis diterima yang berarti ada pengaruh Rubing Massage terhadap intensitas nyeri diruang ramasinta RSJD Amino Gondohutomo. Kata Kunci : Rubing Massage, Intensitas Nyeri Persalinan
Co-Authors ., Kuminah Awallia, Rany Dedi, Blacius Gunarmi Gunarmi, Gunarmi Hermeksi Rahayu Munafiah, Durrotun Putri, Arista Adityasari Rachmawati, Dita Suci Rose Nurhudhariani, Rose Saputri, Reny Eka Sri Agustina, Prita Khoirotunnisa Tri Ismu Pujiyanto ulya, Fitria hikmatul Wardhani, Putri Kusuma Yuliyanti, Arlina Zuliah, Zuliah