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Barriers and Facilitators to Optimal Midwife Competence in Normal Delivery Care: Perspectives from Community Health Centers in Padang Pariaman, Indonesia Elwitri Silvia; Dewi Asmawati; Wiwi Syaptiani
Sriwijaya Journal of Obstetrics and Gynecology Vol. 3 No. 1 (2025): Sriwijaya Journal of Obstetrics and Gynecology
Publisher : Phlox Institute: Indonesian Medical Research Organization

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59345/sjog.v2i2.169

Introduction: Midwives are essential healthcare providers for maternal and neonatal health, particularly in normal deliveries. Their competence directly affects the health outcomes of both mothers and newborns. This study aimed to identify the barriers and facilitators influencing midwife competence in providing normal delivery care in Community Health Centers (CHCs) in Gasan Gadang, Padang Pariaman, Indonesia. Methods: A cross-sectional study was conducted among 31 midwives in CHCs in Gasan Gadang, Padang Pariaman, Indonesia. Data were collected using questionnaires assessing midwife competence, workload, work environment, and disciplinary adherence. Descriptive statistics, inferential analysis (Chi-square), and multivariate analysis were performed using SPSS v.16. Results: 61.3% of midwives demonstrated good competence in normal delivery care. A significant association was found between workload and competence (p=0.001). No significant association was observed between the work environment and competence (p=0.149) or between disciplinary adherence and competence (p=0.567). Multivariate analysis revealed that workload had the most significant impact on midwife competence. Conclusion: Workload is a significant factor influencing midwife competence in normal delivery care. Interventions aimed at optimizing workload, such as adequate staffing and resource allocation, are crucial for ensuring competent care and positive health outcomes.

Peningkatan Pengetahuan Melalui Edukasi dalam Mengatasi Ketidaknyamanan Selama Masa Kehamilan Arpen, Ratih Septiana; Silvia, Elwitri; Tyas, Dina Ayuning
Journal of Humanity Dedication Vol 2 No 2 (2024): Journal of Humanity Dedication
Publisher : Institut Agama Islam Sumatera Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55062/https://doi.org/10.55062//JABDIMAS.2024.v2i2/734/4

Changes in the system in the mother's body during pregnancy will cause discomfort during pregnancy. Discomfort is a feeling that is unpleasant or unpleasant for the physical and mental condition of pregnant women. Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR). The target for reducing the maternal mortality rate (MMR) and infant mortality rate (IMR) in Indonesia by 2024 is: MMR: 183 per 100,000 live births. From the initial survey at the service location, namely Posyandu, Lamo Village Hall, Baru Padusunan, Pariaman City, there were 9 people. which come. held on Saturday 14 December 2024. This Community Service Activity aims to increase the knowledge of pregnant women by providing education regarding efforts to overcome discomfort. The method of this activity is through direct counseling to pregnant women. This activity is a means to educate pregnant women who are previously gathered and given counseling on how to reduce it. The results of this community service activity showed an increase in knowledge. The implication of this activity is to provide knowledge and understanding of pregnant women by recognizing physiological/natural discomfort so that pregnant women can overcome their own discomfort at home without having to go to a health facility, so that it does not endanger the health of the mother or fetus.

PENGARUH TEKNIK MOZAIK TERHADAP PERKEMBANGAN MOTORIK HALUS PADA ANAK PRASEKOLAH DI WILAYAH KERJA PUSKESMAS KEMANTAN KABUPATEN KERINCI TAHUN 2024 Silvia, Elwitri; Tyas, Dina Ayuning; Suganda, Yohana; Elfianti, Elfianti
Ensiklopedia of Journal Vol 7, No 3 (2025): Vol. 7 No. 3 Edisi 3 April 2025
Publisher : Lembaga Penelitian dan Penerbitan Hasil Penelitian Ensiklopedia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33559/eoj.v7i3.3162

Abstract: According to the World Health Organization (2018: 382) the incidence of developmental delays in the United States is 12% to 16%, in Thailand 24% and in Argentina 22% and in Indonesia itself it ranges from 13% to 18%, there are developmental problems such as motor, language and behavioral delays, autism and hyperactivity increased. The purpose of the study was to determine the effect of mosaic techniques on fine motor development in preschool children in the Kemantan Health Center Work Area, Kerinci Regency in 2024., This study is a quantitative study with a Quasy-Experimental research design, namely with the One Group Pretest-Posttest design approach. The population in this study is The population in this study were all children with developmental delays as many as 17 people from January-June 2024 with a sample of 16 people. This research was conducted in the Kemantan Health Center Work Area. The research time was conducted in September 2024, The results of the study showed that on average most of the 9 (56.3%) respondents with fine motor development began to develop before being given the mosaic technique, on average most of the 12 (75.0%) respondents with fine motor development developed very well after being given the mosaic technique with a p value = 0.001 (p≤0.05), The conclusion of the study shows that there is an effect of the mosaic technique on fine motor development in preschool children in the Kemantan Health Center Work Area, Kerinci Regency in 2024. The researcher's suggestion from the research results is to be able to understand and apply it in daily midwifery practice in improving fine motor development in preschool children. Keywords: Mosaic Technique & Fine Motor Development

Edukasi Peran Suami dalam Mengurangi Kecemasan Istri Saat Persalinan Endang Sari; Mekar Zenni Radhia; Hanifa Zaini; Rahmatul Ulya; Elwitri Silvia; Rahmi Ramadhan
Nusantara: Jurnal Pengabdian kepada Masyarakat Vol. 5 No. 3 (2025): Agustus : NUSANTARA Jurnal Pengabdian Kepada Masyarakat
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/nusantara.v5i3.6490

Maternal anxiety during the childbirth process is a common psychological condition that can potentially increase the risk of complications, prolong labor, and reduce the likelihood of a positive birthing experience. High anxiety levels in mothers may interfere with the effectiveness of labor, impact maternal and fetal well-being, and lead to increased medical interventions. One of the most important support systems during labor is the presence and active involvement of the husband. The husband’s role is not only limited to being present but also includes providing emotional, physical, and motivational support to the mother. Recognizing the importance of this role, this community service program was designed to enhance husbands’ understanding and skills in supporting their wives during childbirth, thereby helping to reduce maternal anxiety.The program consisted of several stages, including the delivery of structured health education sessions on maternal needs during labor, demonstrations of effective communication techniques, simulations of support during different stages of childbirth, and interactive discussions to address questions and share experiences. Through these activities, participants were encouraged to build empathy, strengthen their knowledge about labor, and develop the confidence to assist their wives effectively. The results of the program indicated a noticeable improvement in the husbands’ awareness of the importance of their role, as well as increased confidence in providing both emotional reassurance and physical assistance. Participants reported feeling better prepared to accompany their wives, manage unexpected situations, and foster a more supportive environment during childbirth. This initiative highlights the significant impact that targeted education and training for husbands can have on maternal psychological well-being, ultimately contributing to safer and more positive birth experiences.

PENGARUH PEMBERIAN EDUKASI TERHADAP PERILAKU PENCEGAHAN STUNTING PADA IBU HAMIL TM I DI WILAYAH KERJA PUSKESMAS LUBUK ALUNG KABUPATEN PADANG PARIAMAN Arpen, Ratih Septiana; Silvia, Elwitri; Asmawati, Dewi
Ensiklopedia of Journal Vol 7, No 4 (2025): Vol. 7 No. 4 Edisi 2 Juli 2025
Publisher : Lembaga Penelitian dan Penerbitan Hasil Penelitian Ensiklopedia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33559/eoj.v7i4.3324

Abstract : Stunting is defined as impaired growth and development of children due to chronic malnutrition during the first thousand days of life. Stunting affects a child's height and can have adverse effects on cognitive development and long-term health. The purpose of this study was to determine the effect of providing education on stunting prevention behavior in pregnant women in the Lubuk Alung Puskesmas Working Area. This research method uses One Group Pretest-Posttest de-edesign, this research will be carried out in December- January 2025 in the working area of the Lubuk Alung Health Center. The population of this study is 27 TM 1 pregnant women. The data in this study was processed using the paired sample t test. Data was collected using questionnaire sheets, Data analysis was carried out univariate and bivariate using paired sample t test. The results showed that the average score of pregnant women's behavior before being given Stunting Prevention Education was <50 and after being given showed an increase in behavior with a score of >50. Based on the results of statistical tests there is an influence before and after being given education is Pvalue = 0.000 (<0.05) The conclusion of this study shows that there is an effect of providing education using leaflets and ppt on the behavior of preventing stunting in pregnant women tm 1 in the working area of the lubuk alung health center. It is recommended for pregnant women to be more active in following the routine examination program suggested by medical personnel and optimizing their healthKeywords: Stunting, Education, Pregnant Women TM I.

Upaya Peningkatan Pengetahuan Ibu Hamil dalam Pencegahan Stunting Pada Masa Kehamilan Arpen, Ratih Septiana; Silvia, Elwitri; Ulya, Rahmatul; Asmawati, Dewi; Tyas, Dina Ayuning
Jurnal Pengabdian Masyarakat Bangsa Vol. 3 No. 6 (2025): Agustus
Publisher : Amirul Bangun Bangsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59837/jpmba.v3i6.2886

Menurut World Health Organization (WHO), stunting adalah gangguan perkembangan pada anak yang disebabkan oleh gizi buruk, infeksi yang berulang, dan simulasi psikososial yang tidak memadai. Adapun stunting menurut Kementerian Kesehatan adalah anak balita dengan nilai z-scorenya kurang dari -2.00 SD/standar deviasi (stunted) dan kurang dari – 3.00 SD (severely stunted). Status gizi dan kesehatan ibu dan anak sebagai penentu kualitas sumber daya manusia, hal ini dibuktikan dengan adanya status gizi dan kesehatan ibu pada masa pra hamil, saat kehamilannya dan saat menyusui merupakan periode yang sangat kritis. Pemberian Pendidikan kesehatan dalam upaya meningkatkan pengetahuan dapat dilakukan dengan menggunakan alat bantu promosi kesehatan berupa memberikan edukasi penyuluhan. Dari survei awal di lokasi pengabdian yaitu Posyandu Kenanga 9 Kelurahan Padang Sarai Kecematan Koto Tangah Kota Padang yaitu sebanyak 9 orang yang datang. dilakukan pada hari kamis tanggal 10 Juli 2025 Kegiatan Pengabdian. Tujuan Kegiatan pengabdian masyarakat bertujuan untuk meningkatkan pengetahuan ibu tentang pentingnya pencegahan stunting dalam masa kehamilan dilakukan dengan memberikan edukasi memberikan Pendidikan, pengetahuan dan manfaat tentang pencegahan stunting masa kehamilan. Metode kegiatan ini melalui Penyuluhan langsung pada Ibu hamil. Kegiatan ini sebagai sarana untuk mengedukasi ibu hamil sebelumnya dikumpulan dan diberikan penyuluhan. Hasil kegiatan pengabdian masyarakat ini didapatkan adanya peningkatan pengetahuan, Implikasi dari kegiatan ini adalah memberikan pengetahuan dan pemahaman ibu hamil dengan mengenali pengetahuan tentang persiapan pencegahan stunting masa kehamilan.

Perbedaan Kadar 25(OH)D Serum menurut Lama Paparan Sinar Matahari pada Perempuan Remaja Akhir di Kota Padang Silvia, Elwitri
GALENICAL : Jurnal Kedokteran dan Kesehatan Mahasiswa Malikussaleh Vol. 1 No. 2 (2022): GALENICAL : Jurnal Kedokteran dan Kesehatan Mahasiswa Malikussaleh - Agustus 20
Publisher : Program Studi Kedokteran Fakultas Kedokteran Universitas Malikussaleh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29103/jkkmm.v1i2.8224

Penelitian terkini menyatakan vitamin D mempunyai peran dalam kesehatan perempuan. Sumber utama vitamin D berasal dari sinar matahari. Indonesia merupakan negara tropis yang mempunyai kontribusi 90% sebagai sumber vitamin D. Kota Padang dengan penduduk dominan beragama Islam sehingga sebagian besar perempuannya menggunakan hijab dan cenderung melakukan aktivitas didalam ruangan. Penelitian ini bertujuan untuk menganalisis perbedaan kadar 25(OH)D serum menurut lama paparan sinar matahari. Penelitian dilakukan dengan desain cross sectional di Fakultas Kedokteran Universitas Andalas dan UPTD Balai Laboratorium Kesehatan Dinas Kesehatan Provinsi Sumatera Barat. Sampel penelitian adalah 80 orang mahasiswa berumur 17-25 tahun. Penelitian dilakukan dengan teknik wawancara menggunakan kuesioner dan pemeriksaan kadar 25(OH)D serum dengan metode ELISA. Lebih dari separuh subjek penelitian (n=48; 60%) termasuk dalam kategori defisiensi vitamin D (<11 ng/ml). Sepertiga subjek penelitian dengan lama paparan sinar matahari dalam rentang 0,5 - 1 jam/hari yaitu sebanyak 35%. Analisis uji One Way ANOVA didapatkan bahwa terdapat perbedaan kadar 25(OH)D serum yang signifikan pada kelompokm data lama paparan sinar matahari dengan nilai p=0,000 (p<0,05). Diperlukan paparan sinar matahari dengan memajankan wajah, kedua lengan dan tangan selama 25 menit pada pukul 09.00 WIB atau selama 7,5 menit antara pukul 11.00-13.00 WIB atau jika luas permukaan tubuh yang terpapar lebih sedikit maka diperlukan waktu yang lebih banyak agar tercukupinya kebutuhan vitamin D dari sinar matahari terutama pada perempuan remaja akhir yang merupakan calon ibu hamil yang harus memperhatikan status vitamin D agar mendapat luaran kehamilan yang baik, baik bagi ibu maupun janin.

Peningkatan Pengetahuan Melalui Edukasi dalam Mengatasi Ketidaknyamanan Selama Masa Kehamilan Arpen, Ratih Septiana; Silvia, Elwitri; Tyas, Dina Ayuning
Journal of Humanity Dedication Vol. 2 No. 2 (2024): Journal of Humanity Dedication
Publisher : Institut Agama Islam Sumatera Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55062/https://doi.org/10.55062//JABDIMAS.2024.v2i2/734/4

Changes in the system in the mother's body during pregnancy will cause discomfort during pregnancy. Discomfort is a feeling that is unpleasant or unpleasant for the physical and mental condition of pregnant women. Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR). The target for reducing the maternal mortality rate (MMR) and infant mortality rate (IMR) in Indonesia by 2024 is: MMR: 183 per 100,000 live births. From the initial survey at the service location, namely Posyandu, Lamo Village Hall, Baru Padusunan, Pariaman City, there were 9 people. which come. held on Saturday 14 December 2024. This Community Service Activity aims to increase the knowledge of pregnant women by providing education regarding efforts to overcome discomfort. The method of this activity is through direct counseling to pregnant women. This activity is a means to educate pregnant women who are previously gathered and given counseling on how to reduce it. The results of this community service activity showed an increase in knowledge. The implication of this activity is to provide knowledge and understanding of pregnant women by recognizing physiological/natural discomfort so that pregnant women can overcome their own discomfort at home without having to go to a health facility, so that it does not endanger the health of the mother or fetus.

Edukasi Pentingnya Menghadapi Psikologi Ibu Terhadap Kesiapan Fisik Dan Mental Ibu Dalam Mempersiapkan Persalinan Pada Ibu Hamil Trimester III Septiana Arpen, Ratih; Afnas, Nur Hidayah; Silvia, Elwitri; Ulya, Rahmatul
Jurnal Pengabdian Masyarakat Vol. 1 No. 2 (2024): Jurnal Pengabdian Masyarakat
Publisher : Universitas Sumatera Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59963/2023.v1i2/316/5/juramas

Psychological preparation One thing that mothers must prepare before giving birth is to avoid panic and fear and be calm, so that pregnant women can go through the birthing period well and be more prepared and ask for support from the people closest to them. Mothers who are not ready to face childbirth are one of the factors causing maternal mortality (MMR). Many efforts have been made to support efforts to reduce MMR, one of which is by preparing for childbirth starting during pregnancy. From the initial survey at the service location, namely Poskeskel Pakan Kurai Bukitinggi, several problems were found, especially the problems of pregnant women, one of which was the problem of dealing with maternal psychology regarding the physical and mental readiness of mothers in preparing for childbirth in the third trimester of pregnant women from 11 pregnant women who were accompanied by health cadres. Of the 6 pregnant women, in discussions with pregnant women, several problems were raised, one of which was the problem of pregnant women's lack of knowledge about how to prepare for the birthing process. At the activity stage, there will be introduction, education provided directly to pregnant women, guidance and outreach to pregnant women. Evaluation is carried out by providing questions and answers. The results of this activity are the provision of education and the existence of leaflets which are directly read by pregnant women. There is an increase in mothers' knowledge about pregnancy preparation which includes dealing with maternal psychology regarding physical and mental readiness in preparing for childbirth. With increased knowledge, a positive attitude will be formed from pregnant women to prepare for childbirth.

Edukasi Tentang Keteraturan Kunjungan Antenatal Care Suganda, Yohana; Gusmadewi, Gusmadewi; Radhia, Mekar Zenni; Silvia, Elwitri; Zaini, Hanifa; Sari, Endang
Jurnal Pengabdian Masyarakat Vol. 1 No. 1 (2023): Jurnal Pengabdian Masyarakat
Publisher : Universitas Sumatera Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59963/2023.v1i1/329/5/juramas

Antenatal care aims to see how the fetus grows and develops and aims to improve the welfare of the mother and fetus. WHO's efforts to reduce the number of high-risk pregnancies include routine examinations for all pregnant women, as well as follow-up examinations for mothers with moderate comorbidities and complications, obstetric and neonatal examinations for women with severe comorbidities and complications. Yeoh et al, (2016) stated that as many as 26% of women with high-risk pregnancies never had an Antenatal Care examination or visit. while 80% of pregnant women experience no complications, and carry out regular Antenatal Care visits according to the recommended re-visit schedule. Pregnant women who do not regularly carry out prenatal checks will have a risk of experiencing pregnancy complications such as chorioamnionitis, placental abruption and a 10x greater risk of giving birth to a baby with a low birth weight, a 12x greater risk of fetal death and a 10x greater risk of maternal death

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