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Alat Perlindungan Diri Bidan Selama Praktik Mandiri Ditengah Pandemi COVID-19 Handayani, Lisda; Suhartati, Susanti
DINAMIKA KESEHATAN: JURNAL KEBIDANAN DAN KEPERAWATAN Vol 12, No 2 (2021): Dinamika Kesehatan Jurnal Kebidanan dan Keperawatan
Publisher : Universitas Sari Mulia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33859/dksm.v12i2.753

Abstract

Latar Belakang: : COVID-19 telah menjadi tantangan bagi layanan kesehatan sistem kesehatan  dan petugas kesehatan adalah yang paling berisiko tinggi terpapar.  Setiap hari, para ibu bisa datang berkonsultasi soal kandungan atau alat KB ke rumah bidan pagi, siang, malam. Kepatuhan bidan dalam menggunakan APD selama melakukan praktik kebidanan menjadi perisai utama agar bidan dapat terhindar dari penularan COVID-19.Tujuan: penelitian ini adalah mengetahui APD yang digunakan bidan selama  memberikan asuhan kebidanan.Metode: Penelitian ini merupakan penelitian kuantitatif dengan mendeskripsikan hasil penelitian dengan populasi Bidan yang melaksanakan praktik mandiri selama pandemi COVID-19 dengan sampel sebanyak 48 orang dengan menggunakan kuesioner.Hasil:  Berdasarkan hasil penelitian diketahui bahwa hanya ada 10 bidan (20,1%)  yang menggunakan APD secara lengkap saat melakukan asuhan saat rawat jalan seperti pemeriksaan kehamilan, nifas maupun pelayanan kontrasepsi. Sedangkan pada Asuhan persalinan hanya 2 bidan (4,2%) yang menggunakan APD secara lengkap. Penggunaan APD yang tidak lengkap baik pada asuhan rawat jalan maupun asuhan persalinan adalah pada penggunaan penutup kepala, faceshield dan goggles.Simpulan: APD yang digunakan bidan selama pemberian asuhan masih banyak yang belum sesuai dengan panduan yang dikeluarkan oleh kementerian kesehatan selama Pandemi COVID-19 ini sehingga perlu disosialisasikan kembali penggunaan APD yang tepat baik saat pemberian asuhan kehamilan, nifas, keluarga berencana maupun asuhan persalinan. Kata Kunci : APD, Bidan, COVID-19 Midwives Self Protection Equipment During Independent Practice Amid the COVID-19 Pandemic Background: COVID-19 has become a challenge for health care systems and health workers are most at high risk of exposure. Every day, mothers can come to the midwife's house to consult about pregnancy or family planning equipment in the morning, afternoon and evening. Midwives' compliance in using PPE during midwifery practice is the main shield so that midwives can avoid transmission of COVID-19.Purpose: this study was to find out the PPE used by midwives while providing midwifery care.Methods: This research is a quantitative study by describing the results of research with a population of midwives who carried out independent practices during the COVID-19 pandemic with a sample of 48 people using a questionnaire.Results: Based on the results of the study it was found that only 10 midwives (20.1%) used complete PPE when providing outpatient care such as pregnancy, postpartum and contraceptive services. Whereas in delivery care only 2 midwives (4.2%) used complete PPE. Incomplete use of PPE both in outpatient care and delivery care is in the use of head coverings, faceshields and goggles.Conclusion: Many PPE used by midwives while providing care are still not in accordance with the guidelines issued by the ministry of health during the COVID-19 Pandemic, so it is necessary to re-socialize the use of proper PPE both when providing care for pregnancy, childbirth, family planning and delivery care. Keywords: PPE, Midwives, COVID-19Keyword: PPE, midwife, COVID-19
Implementation of the Maternal and Neonatal Tetanus Elimination (MNTE) Program at the Banjarmasin Health Center Suhartati, Susanti; Handayani, Lisda
DINAMIKA KESEHATAN: JURNAL KEBIDANAN DAN KEPERAWATAN Vol 12, No 2 (2021): Dinamika Kesehatan Jurnal Kebidanan dan Keperawatan
Publisher : Universitas Sari Mulia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33859/dksm.v12i2.749

Abstract

Background In an effort to reduce the incidence of neonatal tetanus, Indonesia has carried out various strategies, namely by implementing safe and clean assistance, high and even coverage of TT techniques, and administering neonatal tetanus surveillance. One of the scopes of routine TT training is the implementation of the Maternal and Neonatal Tetanus Elimination (MNTE) program. The Maternal and Neonatal Tetanus Elimination Program (MNTE) is implemented by all Puskesmas as the first service for the use of Tetanus Toxoid. Objective Describe the causes of low TT coverage at the Banjarmasin City Health Center and describe the obstacles faced in the process of implementing the Maternal and Neonatal Tetanus Elimination (MNTE) program in Banjarmasin. Method This research is a quantitative descriptive study using Cross Sectional. With Acidental Sampling with a total of 150 respondents consisting of pregnant women and 25 midwives at the Banjarmasin Health Center. Results From 150 pregnant women respondents, there are still 28 people or 18.7% of pregnant women who have never been able to use TT, there are only 6 pregnant women or 4% of pregnant women with TT 4 status and there are 54 pregnant women or 36% of women. pregnant with TT 1 status. A total of 78 people or 52% have less knowledge of TT techniques. As many as 88 people or 58.6% have a negative attitude towards TT, as much as 59.4% of pregnant women stated that the role of officers is still lacking in explaining the TT technique. Service documentation is only centered on service providers, documentation is not clearly accessible or readable by service recipients. low parity need more effort in utilizing TT. Lack of information and knowledge causes there are still pregnant women with negative attitudes towards exercise. Conclusion MNTE services at the Banjarmasin Health Center require increased promotion efforts, and media documentation that can be owned by women of childbearing age to find out TT and can fulfill TT status up to TT 5. Keywords Immunization TT, Tetanus, MNTE
Implementasi Program Antisipasi Defisiensi Gizi Dalam Kehamilan (ANDIKA) Pada ANC Terintergrasi Di Puskesmas Kota Banjarmasin Suhartati, Susanti; Handayani, Lisda
DINAMIKA KESEHATAN: JURNAL KEBIDANAN DAN KEPERAWATAN Vol 13, No 2 (2022): Dinamika Kesehatan: Jurnal Kebidanan dan Keperawatan
Publisher : Universitas Sari Mulia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33859/dksm.v13i2.880

Abstract

Latar Belakang:Masalah gizi pada ibu hamil masih merupakan masalah Kesehatan yang perlu mendapat perhatian khusus. Berbagai dampak dapat terjadi akibat dari masalah gizi pada ibu hamil seperti anemia dalam kehamilan, masalah dan proses pertumbuhan janin yang akan dilahirkan. Komplikasi yang dapat terjadi adalah keguguran, bayi lahir mati, kematian neonatal, cacat bawaan, anemia ibu dan pada bayi, dan bayi lahir dengan berat badan lahir rendah (BBLR).Tujuan : Mengetahu bagaimana pelaksanaan program Antisipasi Defisiensi Gizi dalam Kehamilan (ANDIKA) di Puskesmas Kota Banjarmasin.Metode: Penelitian deskriptif dengan desain potong lintang yang dilakukan di Puskesmas Banjarmasin dari bulan Agustus-November 2022. Sebanyak 150 ibu hamil dipilih secara accidental sampling. Data dikumpulkan dengan kuesioner dan dianalisis secara deskriptif.Hasil: dari 130 responden sebesar 11,5% ibu hamil mengalami KEK dan 22,3% ibu hamil mengalami anemia. 100% ibu hamil dengan KEK telah mendapatkan PMT dan telah mendapatkan penjelasan tentang cara mengkomsi. Sebesar 95,4% ibu hamil di puskemas telah mendapatkan tablet Fe namun kurang dalam penjelaskan tentang cara meminum tablet Fe sebesar 23%, tidak menjelaskan efek samping tablet Fe sebesar 19%.Kesimpulan: Perlu peningkatan KIE dan Pemantauan pemberian PMT dan Fe pada ibu hamil dalam mengoptimalkan pencegahan defisiensi Gizi pada ibu hamil di Puskesmas Banjarmasin.Implementation of the Anticipation of Nutritional Deficiencies in Pregnancy (ANDIKA) Program at Integrated ANC at the Banjarmasin City Health CenterBackground:Nutritional problems in pregnant women are still a health problem that needs special attention. Various impacts can occur as a result of nutritional problems in pregnant women such as anemia in pregnancy, problems and the growth process of the fetus to be born. Complications that can occur are miscarriage, stillbirth, neonatal death, birth defects, maternal and infant anemia, and babies born with low birth weight (LBW).Objective: To find out how the Anticipation of Nutrition Deficiency in Pregnancy (ANDIKA) program is implemented at the Banjarmasin City Health Center.Method: A descriptive study with a cross-sectional design conducted at the Banjarmasin Health Center from August to November 2022. A total of 150 pregnant women were selected by accidental sampling. Data were collected by questionnaire and analyzed descriptively.Results: out of 130 respondents, 11.5% of pregnant women had CED and 22.3% of pregnant women had anemia. 100% of pregnant women with CED have received PMT and have received an explanation on how to consume. 95.4% of pregnant women at the health center received Fe tablets but lacked explanation on how to take Fe tablets by 23%, did not explain the side effects of Fe tablets by 19%.Conclusion: It is necessary to increase KIE and monitoring the provision of PMT and Fe to pregnant women in optimizing the prevention of nutritional deficiencies in pregnant women at the Banjarmasin Health Center.
The effectiveness of using warm compresses and birthing balls on the anxiety level of the active phase of the first stage of labor Palimbo, Adriana; Anisa, Fadhiyah Noor; Handayani, Lisda; Hasanah, Uswatun
Health Sciences International Journal Vol. 1 No. 1: August 2023
Publisher : Ananda - Health & Education Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71357/hsij.v1i1.3

Abstract

Background: Labor accompanied by pain reaches 90% of events; however, in developed countries, around 7-14% give birth without pain. Several attempts were made through non-pharmacological methods, including warm compresses and a birthing ball, to reduce anxiety into the active phase of the first stage of labor. Objective: This study aims to analyse the effectiveness of warm compresses and birthing balls on the anxiety scale of women in labor during the active phase I. Methods: This quasi-experimental study involved 30 primiparous women and multiparas with a gestational age of 36-40 weeks in the third trimester. Maternity mothers were divided into two groups. The first group obtained warm compresses, while the second group received warm compresses and birthing balls. The Hamilton Anxiety Rating Scale (HARS) was used before and after the intervention to measure labor pain. Results: The independent t-test showed that warm compresses combined with the birthing ball were more effective in reducing anxiety levels than just warm compresses (p-value 0.030<0.05). The average score of respondents' anxiety after being given a warm compress was 48.60, and the average score of respondents' anxiety after being given a warm compress and birthing ball was 42.87. Conclusion: The non-pharmacological method of using warm compresses with the birthing ball considerably reduces women's anxiety level in labor in the first active phase compared to only the single method of wUsarm compresses.
Effectiveness of warm compresses on the incidence of perineal rupture in phase II labor Selvia; Dona, Sismeri; M. Fajriannor; Handayani, Lisda
Health Sciences International Journal Vol. 3 No. 1: February 2025
Publisher : Ananda - Health & Education Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71357/hsij.v3i1.59

Abstract

Background: Perineal rupture is a common complication during the second stage of labor, particularly among primiparous women, leading to maternal morbidity. Warm compresses have been suggested as an intervention to reduce perineal rupture by promoting muscle relaxation and elasticity. However, their effectiveness remains inconclusive. Objective:   To analyze the effect of warm compress application on the incidence of perineal rupture during the second stage of labor in primiparous women. Method:  This quasi-experimental study employed a pre-test and post-test design involving 10 primiparous women at 18 to 29 years old divided into intervention (n=5) and control (n=5) groups. Warm compresses were applied for 20 minutes during the second stage of labor in the intervention group. Data were collected using partograph sheets and analyzed using descriptive and inferential statistics, with a significance level of p<0.05. Result:  Among the intervention group, 40% experienced no laceration, 20% had first-degree laceration, and 40% had second-degree laceration. In the control group, 40% had no laceration, and 60% suffered second-degree laceration. Statistical analysis showed no significant difference in the incidence of perineal rupture between the groups (p=0.452). Conclusion:  Warm compresses did not significantly reduce the incidence of perineal rupture during the second stage of labor. Further research with a larger sample size and broader variables is recommended to validate these findings.
Studi Deskriptif Luaran Persalinan Dari Ibu Hamil Dengan Positif Hepatitis B Di Puskesmas Muara Teweh Raudah, Normila; Handayani, Lisda; Anisa, Fadhiyah Noor; Palimbo, Adriana
Sains Medisina Vol 3 No 6 (2025): Sains Medisina
Publisher : CV. Wadah Publikasi Cendekia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63004/snsmed.v3i6.809

Abstract

Pendahuluan: Berdasarkan data SIHEPI 2020 jumlah ibu hamil yang positif hepatitis B di Kabupaten Barito Utara sebanyak 45 orang dari 1.724 orang ibu hamil yang melakukan skrining hepatitis B. Ibu hamil dengan positif hepatitis B dapat menyebabkan terjadinya berat badan lahir rendah yang berdampak pada pertumbuhan yang lambat, gangguan mental dan fisik pada tumbuh kembangnya. Risiko lain yang dapat terjadi pada ibu hamil dengan hepatitis B positif adalah dapat mengalami abortus, persalinan prematur, perdarahan dan asfiksia. Tujuan: Mengetahui gambaran luaran persalinan dari ibu hamil dengan positif hepatitis B di Puskesmas Muara Teweh. Metode: Jenis dan rancangan dalam penelitian ini menggunakan pendekatan penelitian kuantitatif dengan metode deskriptif. Data penelitian diperoleh dari lembar ceklist yang bersumber dari data rekam medis ibu pasca bersalin dengan riwayat hepatitis B tahun 2021-2022 sebanyak 29 orang. Data dianalisis secara univariat dalam bentuk tabel distribusi frekuensi dari masing-masing variabel. Hasil: Penelitian ini menghasilkan data penelitian, yaitu luaran persalinan berdasarkan usia kehamilan, kejadian Abortus terjadi pada 2 orang(6,9%). Berat badan lahir rendah (BBLR) 1 orang (3,4%). Jenis persalinan Per abdominal terjadi pada 5 orang (17,2%). kejadian Asfiksia 2 orang (6,9%). Perdarahan pasca salin 1 orang(3,4%). Simpulan: Luaran persalinan dari ibu hamil dengan positif hepatitis B di Puskesmas Muara Teweh adalah Abortus, berat badan lahir rendah, jenis persalinan per abdominal, asfiksia dan perdarahan.
Korelasi Jenis Persalinan dengan Ikterus Neonatorum di RSUd dr. H. Moch. Ansari Saleh Banjarmasin: Correlation of Type of Labor with Neonatorum Jaundice at dr. H. Moch. Ansari Saleh Banjarmasin Diyanti, Diyanti; Hestiyana, Nita; Handayani, Lisda; Haryanto, Ika Avriliana
Jurnal Surya Medika (JSM) Vol. 10 No. 3 (2024): Jurnal Surya Medika (JSM)
Publisher : Institute for Research and Community Services Universitas Muhammadiyah Palangkaraya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33084/jsm.v10i3.9009

Abstract

Angka kematian bayi di indonesia cukup tinggi yaitu sebanyak 6.700 bayi meninggal dalam minggu pertama kehidupan. Salah satu penyebabnya karena ikterus, ikterus terjadi pada 3% (3,6 juta) dari 120 juta bayi baru lahir. Faktor tersering terjadinya ikterus adalah BBLR dan prematuritas. Faktor selanjutnya jenis persalinan pada bayi baru lahir. Pada jenis persalinan tindakan seperti sectio caeserea, vakum ekstraksi dan forcep ektraksi mengalami Ikterus sebesar 68,4% dan pervaginam sebesar 46,3%. Menganalisa hubungan antara jenis persalinan dengan Ikterus Neonatorum di RSUD Dr. H. Moch Ansari saleh Banjarmasin. Penelitian ini menggunakan desain kuantitatif dengan jenis penelitian cross sectional. Data diambil adalah data sekunder dari rekam medik dengan populasi 320 bayi menggunakan teknik total sampling serta dianalisis dengan uji Chi-square. Pada ibu yang melahirkan dengan persalinan tindakan mengalami ikterus neonatorum sebanyak 143 bayi (44,7%) sedangkan pada ibu yang melahirkan dengan persalinan pervaginam mengalami ikterus neonatorum sebanyak 102 bayi (31,8%). Berdasarkan analisa uji hipotesis secara bivariat menunjukkan nilai p = 0,000 yang berarti ada hubungan jenis persalinan dengan kejadian ikterus neonatorum. Ada hubungan jenis persalinan dengan ikterus neonatorum di RSUD Dr. H. Moch Ansari Saleh Banjarmasin.