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Efektifitas Pemberian Perlakuan Posisi Miring Kiri dan Upright Position terhadap Percepatan Kemajuan Persalinan Kala I Fase Aktif pada Ibu Inpartu Ijabah, Nizzatul; Achyar, Khamidah; Kusuma, Inggar Ratna
Jurnal Riset Kesehatan Masyarakat Vol 3, No 4 (2023): Oktober 2023
Publisher : Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jrkm.2023.18715

Abstract

The World Health Organization (WHO) reports that every day in 2017, around 810 women die from problems or complications of pregnancy and childbirth that are preventable. One of the complications in childbirth is prolonged labor, analysis of data from the World Health Organization shows that in 2017 prolonged labor was the direct cause of labor complications with an incidence of 69,000 or 2.8% of all maternal deaths worldwide. This study aims to determine the effectiveness of giving treatment in the left oblique position and the upright position on the progress of labor in the active phase of the first stage of labor in giving birth mothers. This type of research uses a literature study or literature review with a descriptive research method. This study uses 2 databases, namely PubMed and Google Scholar. The strategy search method for obtaining journals uses the keywords "Effectiveness of Left Oblique Position on Labor Progress" or "Effect of Upright Position on Labor Progress" or "Labor Position Affecting Progress in the First Stage of the Active Phase". Furthermore, a screening of available titles, abstracts and full text was carried out on 1,180 articles and 15 articles were obtained that were suitable for inclusion and exclusion extraction. The results of the study obtained 15 literature that examined the effectiveness of labor positions to accelerate progress during the active phase. The conclusion of this study is that the left side position and the upright position affect the progress of labor in the first active phase of the mother giving birth. 
Hubungan Pengetahuan dan Sikap terhadap Kejadian Keputihan pada Remaja Oktaviani, Meli; Achyar, Khamidah; Kusuma, Inggar Ratna
Jurnal Riset Kesehatan Masyarakat Vol 3, No 2 (2023): April 2023
Publisher : Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jrkm.2023.18810

Abstract

Leucorrhoea is an unusual discharge other than blood from the vaginal canal, whether smelly or not, and accompanied by local itching. Leucorrhoea in adolescents can be caused by poor genital care. Lack of knowledge and attitudes in protecting the female area causes vaginal discharge. Efforts to improve health can be done through health education. This type of research uses a literature study or literature review with a descriptive research method. This study uses 2 databases: PubMed and Google Scholar. The search strategy method for obtaining journals uses the keywords "Relationship of Knowledge and Attitudes towards Leucorrhoea in Adolescents" or "relationship of knowledge and behavior with vaginal discharge. Furthermore, the available abstract and full text titles were screened for 21 articles and 8 suitable articles were obtained. The results of the study obtained 8 literature that examined the relationship between knowledge and attitudes towards vaginal discharge in adolescents. The conclusion of this study is that there is no significant relationship to the vaginal discharge studied. 
Gambaran Pengetahuan Ibu Nifas Tentang Perawatan Tali Pusat Ningtias, Meysifa; Achyar, Khamidah; Kusuma, Inggar Ratna
Jurnal Riset Kesehatan Masyarakat Vol 3, No 2 (2023): April 2023
Publisher : Fakultas Kesehatan Masyarakat, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jrkm.2023.18718

Abstract

The newborn mortality rate is one of the indicators used to describe the health status of the community. According to the World Health Organization (WHO), in 2015 the infant mortality rate in the world reached 54 per 1000 live births, in developing countries the infant mortality rate was relatively high and very varied, reaching 11-68 per 1000 live births, while in Southeast Asia the IMR reached 39 per 1000 live births, of which 21% are caused by infection (WHO, 2016). The reason is because there is still a lack of knowledge of mothers in caring for newborns, especially for preventing infection of the umbilical cord. This study aims to describe the knowledge of postpartum mothers regarding umbilical cord care in newborns. This type of research is in the form of a literature review with a descriptive method. This literature search is through publications in two databases, namely Pubmed and Google Scholar. The search strategy method for obtaining journals uses the keywords "Umbilical Cord Care" or "Knowledge". Furthermore, from the search results, the researcher found 179 articles using PubMed, and 6,080 using the appropriate Google Scholar based on keywords. After that, a title screening was carried out according to the topic of the literature review, obtained 4,100 articles and obtained 17 articles that met the inclusion criteria and exclusion criteria. The results of the study obtained 17 articles that examined the level of knowledge of mothers about umbilical cord care. The conclusion of this study is that the level of mother's knowledge influences the care of the umbilical cord in order to reduce the incidence of umbilical cord infection. It is hoped that health workers can play an active role in providing education to the public and can improve the quality and quantity of services so that they can detect abnormalities in pregnant women from an early age and increase counseling about umbilical cord care
Status Gizi Pada Wanita Pranikah di Wilayah Kerja Puskesmas Purwojati Nur Azizah, Atika; Achyar, Khamidah
INVOLUSI: Jurnal Ilmu Kebidanan Vol 12 No 2 (2022): Vol 12, No 2 (Juni 2022)
Publisher : Universitas Muhammadiyah Klaten

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61902/involusi.v12i2.429

Abstract

A person's level of health is influenced by several factors including nutritional status. The nutritional status of premarital women for three to six months during the preconception period will determine the condition of the baby being born. The proportion of undernourished status in women of childbearing age mostly occurs at the age of 15-19 years as much as 36.3% from the previous year as much as 46.6% then at the age of 20-24 years as much as 23.3%. The purpose of this study was to describe the nutritional status of premarital women in the Purwojati Health Center Work Area. The research method used with descriptive quantitative research is a cohort approach. The research site is in the Purwojati Health Center Work Area. The research sample was all prospective brides who did health checks at the Purwojati Health Center totaling 360 pre-wedding women. The results showed that the most normal nutritional status at the age of 20-35 years was 253 (70.2%) and high school education was 220 (61.2%). While the nutritional status at the age of <20 years was mostly in the category of undernutrition status as much as 15 (4.2%) with a junior high school education level of 20 respondents (5.6%). The conclusion is that the highest proportion of premarital women's nutritional status is in good nutritional status with the age group 20-35 years and high school education level.
Pengaruh kunjungan nifas terhadap komplikasi masa nifas di wilayah Puskesmas Sokaraja 1 kabupaten Banyumas Achyar, Khamidah; Rofiqoh, Isnaeni
MEDISAINS Vol 14, No 2 (2016)
Publisher : Universitas Muhammadiyah Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30595/medisains.v14i2.1056

Abstract

Latar Belakang: Jumlah kasus kematian ibu di Kabupaten Banyumas sejak tahun 2010-2014 yaitu secara berurut-turut 33 kasus, 35 kasus, 32 kasus, 35 kasus, dan 33 kasus. Penyebabnya yaitu pendarahan, Preeklamsia, dan infeksi. Dilihat dari waktu meninggal,dalam kehamilan 25%, saat persalinan 17% dan saat masa nifas 58%. Kasus kematian ibu nifas di Banyumas terjadi saat 3 hari postpartum. Berdasarkan data Propinsi Jawa Tengah Kabupaten Banyumas merupakan zona merah dalam, target kunjungan nifas (KF) yaitu kurang dari 90%, baru mencapai 82,1%. Tujuan: Penelitian ini bertujuan untuk menganalisis pengaruh kunjungan nifas terhadap komplikasi masa nifas di wilayah Puskesmas Sokaraja 1 Banyumas. Metode: Penelitian ini menggunakan desain analitik observasional dengan pendekatan Crossectional, untuk menganalisis pengaruh antara kunjungan nifas dengan komplikasi masa nifas dengan menggunakan uji chi-square. Populasi dalam penelitian ini adalah ibu nifas yang mendapatkan pelayanan di wilayah Puskesmas Sokaraja 1 Kabupaten Banyumas pada bulan November 2015 sampai dengan Februari 2016 dengan jumlah sampel penelitian 89 ibu nifas. Hasil: Frekuensi kunjungan nifas di wilayah Puskesmas Sokaraja 1 < 4 kali sebanyak 20 orang dan 4 kali sebanyak 69 orang. Kejadian komplikasi masa nifas kunjungan nifas 4 kali terdapat 10 orang dan kunjungan nifas < 4 kali mengalami komplikasi sebanyak 8 orang. Kunjungan nifas dan usia berpengaruh terhadap kejadian komplikasi masa nifas (p=0,012 dan 0,028) sedangkan paritas tidak berpengaruh terhadap komplikasi masa nifas (p=0,920) Kesimpulan: Kunjungan nifas berpengaruh terhadap deteksi dini komplikasi masa nifas Kata kunci: kunjungan nifas, komplikasi nifas
The Effect of Turmeric Tamarind Drink on Menstrual Pain Reduction in Adolescent Girls at SMP Islam Indonesia Siyami, Ana Soraya; Yuliani, Diah Atmarina; Muflihah, Ima Syamrotul; Achyar, Khamidah
Proceedings Series on Health & Medical Sciences Vol. 6 (2025): Proceedings of the 5th International Nursing and Health Sciences Universitas Muhammad
Publisher : UM Purwokerto Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30595/pshms.v6i.1421

Abstract

Menstrual pain in adolescents daughter show sufficient prevalence tall. In European countries, dysmenorrhea happen around 45-97% of women, with prevalence lowest in Bulgaria (8.8%) and highest in Finland (94%). Menstrual pain happen Because excessive amounts of prostaglandins. Content curcumine and anthocyanins in turmeric sour capable reduce release prostaglandins so that can lower painful menstruation in teenagers daughter. This use type study quasy experimental use design nonequivalent ik group design. Population in study This that is all over teenager daughter at Belik Islam Middle School who experienced it painful menstruation totaling 51 with amount sample of 42 teenagers daughter taken using purposive sampling technique. Analysis bivariate using the paired sample t test. This show that happen decline painful menstruation in teenagers daughter where p value = 0.000. The result is p value 0.000 < 0.05 which means there is influence drink turmeric sour to decline painful menstruation in teenagers daughter. There is change scale painful before and after in the control group and group experiments and there are influence drink turmeric sour to decline painful menstruation in teenagers daughter at Belik Islam Middle School.
HUBUNGAN STATUS EKONOMI DAN DUKUNGAN SUAMI DENGAN KEJADIAN DEPRESI POSTPARTUM Ratna Kusuma, Wulan; Achyar, Khamidah
Jurnal Kesehatan Vol 17 No 2 (2024): JURNAL KESEHATAN
Publisher : Universitas Islam Negeri Alauddin Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24252/kesehatan.v17i2.40798

Abstract

Background: The issues postpartum mothers face in Puskesmas II Kembaran's working area are a lack of support, particularly from their husbands, and economic conditions that may not adequately meet their needs. Objective: This study aimed to determine the correlation between economic status, husband's support, and the incidence of postpartum depression in the working area of Puskesmas II Kembaran. Method: This quantitative study employed a Cross-Sectional approach. The total sampling technique was obtained to select 52 postpartum mothers within two weeks of delivery in the working area of Puskesmas II Kembaran. Data were collected using questionnaires and analyzed bivariate through the Chi-Square test. Results: The univariate analysis results revealed that the average age of postpartum mothers was between 20 to 35 years (94.2%), with a High School education level (42.3%), and primarily primiparous mothers (53.8%). Most postpartum mothers obtained a low economic status on average (59.6%) and a high economic status on average (40.4%). About (59.6%) of postpartum mothers received their husband's support, while (40.4%) did not. The incidence of mild postpartum depression in Puskesmas II Kembaran was (51.9%), and (48.1%) of respondents did not experience postpartum depression. The bivariate analysis using the Chi-Square test indicated a correlation between economic status, husband's support, and the incidence of postpartum depression in the working area of Puskesmas II Kembaran, with a P-value of 0.000. Conclusion: There is a correlation between economic status, husband's support, and the incidence of postpartum depression in the working area of Puskesmas II Kembaran. Therefore, economic status and husband's support are crucial for postpartum mothers.
Hubungan Pemberian Makanan Tambahan (PMT) Lokal Dengan Kenaikan Tinggi Badan Pada Balita Stunting Usia 24-59 Bulan Di Wilayah Kerja Puskesmas Jeruklegi Ii Tahun 2024 Kusuma, Mega; Achyar, Khamidah
Jurnal Berita Kesehatan Vol 17 No 1 (2025): Special Edition
Publisher : Sekolah Tinggi Ilmu Kesehatan Gunung Sari

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58294/jbk.v17i1.264

Abstract

Data WHO tahun 2022 menyebutkan bahwa 21,2% atau sekitar 148.1 juta balita usia dibawah 5 tahun di dunia mengalami stunting. Indonesia menduduki peringkat ketiga diantara negara-negara di Asia dengan angka stunting sebesar 21.6%. Prevalensi angka stunting di Jawa Tengah masih terbilang tinggi, yakni berada diangka 24,5%. Kabupaten Cilacap menempati urutan kesembilan stunting dengan presentase 18.5%  diantaranya terdapat 125 balita stunting di Wilayah kerja Puskesmas Jeruklegi II. Penelitian ini bertujuan untuk menganalisis hubungan Pemberian Makanan Tambahan (PMT) lokal dengan kenaikan tinggi badan pada balita stunting usia 24-59 bulan di Wilayah Kerja Puskesmas Jeruklegi II. Penelitian ini merupakan penelitian korelasional dengan menggunakan desain retrospektif dengan tipe cross sectional. Jumlah populasi dalam penelitian ini sebanyak 124 balita stunting. Teknik pengambilan sampel dalam penelitian ini menggunakan purposive sampling dan diperoleh 54 responden yang memenuhi kriteria inklusi dan eksklusi. Instrumen dalam penelitian ini menggunakan lembar cheklist. Data yang digunakan dalam penelitian ini menggunakan data sekunder yang berasal dari rekam medik Puskesmas Jeruklegi II di melalui aplikasi EPPBGM. Analisa data dilakukan dengan menggunakan uji korelasi chi square dengan taraf signifikan 95%. Hasil uji statistik chi square diperoleh nilai p-value 0,000< 0,05 dengan demikian dapat disimpulkan bahwa terdapat hubungan Pemberian Makanan Tambahan (PMT) lokal dengan kenaikan tinggi badan pada balita stunting usia 24-59 bulan di Wilayah Kerja Puskesmas Jeruklegi II, sehingga dapat disimpulkan bahwa ada hubungan antara Pemberian Makanan Tambahan (PMT) lokal dengan kenaikan tinggi badan pada balita stunting usia 24-59 bulan di Wilayah Kerja Puskesmas Jeruklegi II
Association Between Dmpa Use Duration And Weight Gain In Indonesian Contraceptive Acceptors Astuti, Undi; Achyar, Khamidah
JKM (Jurnal Kebidanan Malahayati) Vol 11, No 7 (2025): Volume 11, Nomor 7 Juli 2025
Publisher : Program Studi Kebidanan Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkm.v11i7.21427

Abstract

Latar Belakang: Kontrasepsi suntik DMPA (Depo Medroxyprogesterone Acetate) merupakan salah satu metode keluarga berencana yang paling banyak digunakan di Indonesia. Meskipun efektif dan praktis, DMPA sering dikaitkan dengan efek samping berupa kenaikan berat badan, yang dapat memengaruhi kepatuhan dan kenyamanan pengguna.Tujuan: Penelitian ini bertujuan untuk mengetahui hubungan antara lama penggunaan KB suntik DMPA dengan peningkatan berat badan pada akseptor di PMB Undi Astuti tahun 2025.Metode: Penelitian ini menggunakan pendekatan kuantitatif dengan desain cross-sectional. Sampel terdiri dari 76 akseptor DMPA yang dipilih secara purposive dari total 187 pengguna yang mengalami peningkatan berat badan. Data sekunder dikumpulkan dari rekam medis dan dianalisis menggunakan uji korelasi Spearman Rank dengan tingkat signifikansi 5%.Hasil: Mayoritas responden mengalami kenaikan berat badan sebesar 1–5 kg (76,32%), sementara 23,68% mengalami kenaikan lebih dari 5 kg. Analisis statistik menunjukkan adanya hubungan yang signifikan antara durasi penggunaan DMPA dengan peningkatan berat badan (p = 0,001).Simpulan: Semakin lama penggunaan DMPA, semakin besar kemungkinan terjadi peningkatan berat badan. Oleh karena itu, edukasi mengenai efek samping dan pemantauan rutin berat badan penting dilakukan untuk menjaga kesehatan akseptor.Saran: Petugas kesehatan perlu memberikan konseling yang komprehensif dan menyarankan strategi pencegahan kenaikan berat badan bagi pengguna DMPA. Penelitian lanjutan disarankan melibatkan jumlah responden yang lebih besar serta mempertimbangkan variabel gaya hidup. Kata Kunci: DMPA, kontrasepsi suntik, peningkatan berat badan, lama penggunaan, kesehatan reproduksi. ABSTRACT Background: Depo Medroxyprogesterone Acetate (DMPA) injectable contraception is one of the most widely used family planning methods in Indonesia. Although effective and convenient, DMPA is frequently associated with weight gain, a side effect that may affect user compliance and satisfaction.Objective: This study aims to examine the relationship between the duration of DMPA use and weight gain among contraceptive acceptors at PMB Undi Astuti in 2025.Methods: A quantitative, cross-sectional research design was employed. A total of 76 DMPA users who experienced weight gain were selected purposively from 187 eligible records. Secondary data were obtained from medical files and analyzed using the Spearman rank correlation test with a 5% significance level.Results: The majority of participants (76.32%) gained between 1 and 5 kilograms, while 23.68% experienced weight gain exceeding 5 kilograms. Statistical analysis revealed a significant relationship between the duration of DMPA use and the extent of weight gain (p = 0.001).Conclusion: Prolonged use of DMPA increases the likelihood of weight gain. Therefore, it is essential to provide education on potential side effects and to implement regular weight monitoring to support the health of contraceptive users.Suggestions: Healthcare providers should offer comprehensive counseling and recommend preventive strategies to manage weight gain in DMPA users. Future studies are encouraged to include larger samples and consider lifestyle-related variables. Keywords: DMPA, injectable contraception, weight gain, duration of use, reproductive health. 
GAMBARAN KUALITAS HIDUP PADA WANITA MENOPAUSE DI WILAYAH KERJA PUSKESMAS PURWOKERTO BARAT Nurfitri, Diah; Achyar, Khamidah
Midwifery Journal: Jurnal Kebidanan UM. Mataram Vol 10, No 2 (2025): Juli
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/mj.v10i2.10692

Abstract

Abstract: Women going through menopause often experience physical and psychological changes that can affect their quality of life. If these changes are positive, their lives tend to move toward a state of well-being. The purpose of this study was to determine the quality of life of women going through menopause. The method used was descriptive with a cross-sectional approach. The sampling technique was proportionate stratified random sampling with 94 respondents. Data analysis used frequency distribution tests. The results showed that nearly all respondents (86.2%) had a high quality of life during menopause. However, physical complaints such as joint/muscle pain and difficulty sleeping were common, as well as sexual issues due to hormonal changes. The importance of regular physical activity was emphasized to enhance well-being and quality of life. Conclusion: Menopausal women in the Purwokerto Barat Health Center service area have a high quality of life.Abstrak: Wanita menopause banyak mengalami perubahan fisik dan psikis yang dapat mempengaruhi kualitas hidupnya. Apabila baik maka kehidupannya mengarah kepada keadaan sejahtera. Tujuan penelitian ini adalah Mengetahui gambaran kualitas hidup pada wanita menopause. Metode yangdiguakan adalah Deskriptif dengan pendekatan cross sectional. Teknik pengambilan sampel proportionate stratified random sampling dengan 94 responden. Analisis data menggunakan uji distribusi frekuensi. Hasilnya Hampir semua responden penelitian (86.2%) memiliki kualitas hidup tinggi di masa menopause. Meskipun demikian, keluhan fisik seperti nyeri sendi/otot dan sulit tidur umum terjadi, serta masalah seksual akibat penurunan hormon. Pentingnya aktivitas fisik teratur ditekankan untuk meningkatkan kesejahteraan dan kualitas hidup. Kesimpulan: Wanita menopause di Wilayah Kerja Puskesmas Purwokerto Barat memiliki kualitas hidup yang tinggi.