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HUBUNGAN LINGKAR KEPALA BAYI BARU LAHIR DAN KENAIKAN BERAT BADAN IBU SELAMA HAMIL DENGAN KEJADIANRUPTUR PERINEUM DI BPM “Z” BENGKULUTAHUN 2014 Ratna Dewi
Jurnal Ilmu Kesehatan Masyarakat Vol 13 No 1 (2017)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19184/ikesma.v13i1.7023

Abstract

The incidence of ruptur in Indonesia which is only about 5% of all deliveries in Indonesia. The most important cause of maternal mortality in Indonesia is 40-60% of bleeding, including bleeding because of the birth canal laceration 4-5%. Objective of this study was to determine the relationship head circumference of newborns and maternal weight gain during pregnancy with rupture of the perineum in BPM Z.type of research is analytic with case control study design. The population in this study all mothers who gave birth in BPM "Z" in 2013 which amounted to 160 people, with 32 people taken in the case of total sampling and control as many as 32 people and taken by systematic random sampling. Data collected were analyzed by chi-square test. The results showed, obtained 64 respondents, birth mothers with rupturperineum 32 (50%) occur in mothers who gave birth to the size of head circumference> 34cm (71.9%), and pregnant women who experience weight gain> 12.5 ( 75.0%). Results of analysis for head circumference obtained by the P value 0.003 OR 5.622. The results of the analysis of maternal weight gain obtained P 0.003 OR 5.727. This means that there is a significant relationship between head circumference of newborns and maternal weight gain during pregnancy with ruptur of the perineum. Advised pregnant women need to do a routine check of at least four times during pregnancy, in order to be pursued maternal weight gain is within the normal enhancement. Keywords : Head circumference of newborn, maternal weight gain during pregnancy, Ruptur of the perineum
FAKTOR–FAKTOR YANG BERHUBUNGAN DENGAN PERILAKU SEKSUAL PRANIKAH PADA REMAJA SMP NEGERI 1 TALANG EMPAT KABUPATEN BENGKULU TENGAH TAHUN 2015 Elvi Destariyani; Ratna Dewi
Jurnal Ilmu Kesehatan Masyarakat Vol 11 No 2 (2015)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Jember

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Abstract

Adolescent marked with the unbalance physical and mental growth whih is followed by behaviorally trying something into sex before marriage, they have earned. this avidence with persistence of students in SMPN 1 Talang Empat who do premarital sexual behavior deviations. Purpose of this study was to determinan the factors associated with adolescent premarital sexual behavior. This research uses with cross sectional method with the amountof samples taken by stratified random sampling technique were 105 responder consisting of students of class IX in SMPN 1 Talang Empat. Research was conducted on 22-30 january 2014, data retrieval using questionnaires and analysis of univariate, bivariate, and multivariate. At bivariate analysis found that have significant relations at knowledge( =0,029), family envirovment =0,002), influence of peers ( =0,005), and media exposure ( =0,000) with adolescent premarital sexual bahavior. At multivariate analysis found that information media exposure variable is the most dominant factor influencing adolescent premarital sexual behavior with OR = 8,610. Advice to SMPN 1 Talang Empat besides imposing a ban on the students to bring mobile phones in schools, shuold also routinelyconduct raids handphones (1-2times/month), and the teachers works together with parents in providing information and effective communication in adolescents especially with regard to sexual.Keyword: Knowledge, Family Environment, Influence of Peers, Premarital Sexual Behavior.
FAKTOR YANG BERHUBUNGAN DENGAN PEMILIHAN KONTRASEPSI RASIONAL Ayu Fitrianti; Ratna Dewi; Sri Yanniarti
JURNAL PENELITIAN TERAPAN KESEHATAN Vol 7 No 2 (2020): JURNAL PENELITIAN TERAPAN KESEHATAN
Publisher : Poltekkes Kemenkes Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33088/jptk.v7i2.14

Abstract

Abstract: Based on the 2017 IDHS, contraceptive use in Indonesia is (64%) including modern contraceptive methods (57%) and traditional contraceptive methods (6%). The aim of this study was to find out the factors related to the selection of rational contraception in the Jalan Gedang Community Health Center Area. This type of research was analytical with a quantitative approach using a cross sectional design. Sampling was done by accidental sampling technique, which amounted to 91 where the sample in the study were all family planning acceptors in the Jalan Gedang Community Health Center in Bengkulu City.This study used Chi square statistical test with computerized system significance level p <0.05 where the results of the study stated that the variables related to the selection of rational contraception were knowledge p = 0.048 and acceptor attitudes p = 0.015, while unrelated variables were husband's support p = 0.981, the role of health workers p = 0.166, and information sources p = 0.078. The factor most associated with the choice of rational contraception is the attitude of the acceptor with the Exp value (B) = 4,275.Health services are expected to provide counseling and motivation especially the attitude of acceptors to the selection of contraception in order to build awareness that rational contraceptive choices are the right choice, and increase knowledge by disseminating information through counseling, so that knowledge of family planning acceptors can increase.Keywords: Rational, knowledge, husband's support, the role of health workers, acceptors' attitudes, information sources
EFEKTIVITAS PIJAT PERINEUM DAN SENAM HAMIL TERHADAP KEJADIAN RUPTUR PERINEUM Andari Septi Kumala Dewi; Reka Lagora Marsofeliy; Ratna Dewi
JURNAL PENELITIAN TERAPAN KESEHATAN Vol 7 No 1 (2020): JURNAL PENELITIAN TERAPAN KESEHATAN
Publisher : Poltekkes Kemenkes Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33088/jptk.v7i1.124

Abstract

Robekan perineum merupakan suatu hal yang sering terjadi oleh setiap ibu bersalin dengan melakukan senam hamil dan pijat perineum selama hamil akan menjaga kekuatan panggul sekaligus menjaga kelenturan otot-otot perineum. Tujuan penelitian ini adalah untuk mengetahui perbedaan efektifitas pijat perinium dan senam hamil terhadap kejadian ruptur perinium di BPM Wilayah Kerja Puskesmas Curup Tahun 2017. Penelitian menggunakan metode Quasi Eksperimen dengan post test only group design dan teknik pengambilan sampel menggunakan consecutive sampling, jumlah sampel didapatkan 20 responden yang terdiri dari 10 kelompok intervensi pijat perinium dan 10 kelompok intervensi senam hamil. Penelitian ini dilakukan di BPM Wilayah Kerja Puskesmas Curup pada bulan Desember 2017-Februari 2018. Analisis perbedaan efektifitas menggunakan Independent Sample t-Test. Hasil penelitian ini menunjukkan rata-rata respon kejadian ruptur perinuum pada kelompok intervensi pijat perinium adalah 0,700. Sedangkan rata-rata kejadian ruptur pada kelompok intervensi senam hamil adalah 1,500. Hasil analisis bivariat menunjukkan ada perbedaan efektifitas pijat perinium dengan senam hamil terhadap kejadian perinium sebesar (p=0,046), dapat disimpulkan pijat perineum lebih efektif dalam menurunkan kejadian ruptur perinium daripada intervensi senam hamil.Diharapkan bagi Puskesmas khususnya bidan dalam memberikan pelayanan pada ibu hamil perlu mensosialisasikan manfaat dan cara pijat perineum dan senam hamil yang dimulai sejak kehamilan 35 minggu sampai menjelang persalinan.
Penatalaksanaan Dismenore Primer pada Remaja dengan Pemberian Jus Wortel dan Air Kelapa Hijau Ratna Dewi; Widia Petasari; Sri Yanniarti
JURNAL KESEHATAN REPRODUKSI Vol 9, No 3 (2022)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.76888

Abstract

 ABSTRAKBackground: Menurut WHO tahun 2018 bahwa angka kejadian dismenore di dunia ini sangat besar. Dismenore dapat dikurangi dengan tindakan farmakologi dan non-farmakologi. Salah satu pengobatan non-farmakologi untuk mengurangi dismenore  menggunakan jus wortel dan air kelapa hijau. Objective: Penelitian ini bertujuan untuk mengetahui perbandingan pemberian jus wortel dan air kelapa hijau terhadap penurunan skala nyeri dismenore primer pada remaja putri di SMPN 02 Kota Bengkulu. Method: Desain penelitian quasi eksperiment dengan rancangan penelitian two group pretest-posttest. Pengambilan sampel dilakukan secara proportional random sampling dengan jumlah masing-masing kelompok sebanyak 13 responden. Penelitian ini menggunakan instrument penelitian berupa lembar pengukuran skala nyeri NRS (numeric rating scale). Analisis data berupa analisis univariat dan bivariat. Results and Discussion: Hasil Penelitian menunjukan terdapat penurunan skala nyeri setelah diberikan jur wortel dan air kelapa hijau. Tidak ada perbedan antara pemerian jus wortel  dan  air kelapa hijau terhadap penurunan skala  nyeri  dengan p value 0.740 >0,05. Conclusion: Penatalaksanaan dismenore pada remaja yang mengalami dismenore dapat mengkonsumsi jus wortel atau air kepala hijau secara rutin pada saat mulai mentsruasi.Keyword: Jus wortel; air kelapa hijau; dismenore  
UPAYA PENINGKATAN PENGETAHUAN DAN KETERAMPILAN IBU YANG MEMPUNYAI BALITA MELALUI PEMBERDAYAAN KADER TENTANG FEEDING PRACTICE DALAM RANGKA PENATALAKSANAAN DAN PENCEGAHAN STUNSTING DI KABUPATEN SELUMA TAHUN 2022 Afrina Mizawati; Rialike Burhan; Ratna Dewi; Lela Hartini; Mariati Mariati; Ayu Pravita Sari
JURNAL PENGABDIAN MANDIRI Vol. 2 No. 1: Januari 2023
Publisher : Bajang Institute

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Abstract

Stunting merupakan masalah gizi kronis pada balita yang ditandai dengan tinggi badan yang lebih pendek dibandingkan dengan anak seusianya dimana di Kabupaten Seluma pada tahun 2020 mencapai 933 balita sehingga perlu dilakukan penatalaksanaan dan pecegahan. Salah satunya dengan edukasi tentang Feeding practice (praktik pemberian makan) pada ibu yang mempunyai Balita dengan memberdayakan kader posyandu di desa Air Petai dan desa Padang Kuas. Hasil kegiatan ini menghasilkan komitmen dukungan dari semua pihak yakni Camat, Kepala Puskesmas, Kepala desa, Bidan koordinator, Bidan Desa, Tokoh Masyarakat dan kader serta ibu Balita. Hasil akhir diperoleh adanya peningkatkan pengetahuan dan keterampilan kader dan Ibu Balita tentang feeding practice dalam penatalaksanaan stunting dan praktek membuat PMT untuk balita dengan pangan berbasis lokal. Diharapkan pihak mitra untuk melanjutkan kegiatan dimana kader dan ibu Balita yang untuk memberikan informasi hasil kegiatan kepada ibu balita lain dan atau calon ibu.
PEMBERDAYAAN KADER SEBAGAI UPAYA MENINGKATKAN PENGETAHUAN DAN SIKAP KELOMPOK BINA KELUARGA REMAJA TENTANG PENDEWASAAN USIA PERKAWINAN Epti Yorita; Diah Eka Nugraheni; Sri Yanniarti; Wewet Savitri; Ratna Dewi
JMM (Jurnal Masyarakat Mandiri) Vol 7, No 6 (2023): Desember
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jmm.v7i6.17734

Abstract

Abstrak: Pernikahan usia muda masih tinggi, menyebabkan kehamilan usia muda yang berrisiko komplikasi kehamilan, persalinan, Ibu usia muda berisiko mengalami kematian pada saat hamil dan bersalin. Pendidikan, sosial ekonomi, teman sebaya, tidak menjadi beban orang tua, dorongan orang tua karena malu anak sudah hamil diluar nikah merupakan faktor yang berkontribusi terhadap kejadian pernikahan dini. Diperlukan pendidikan berbasis keluarga melalui kelompok Bina Keluarga Remaja untuk meningkatkan pengetahuan dan sikap tentang pendewasaan usia perkawinan. Kegiatan Pengabdian masyarakat ini bertujuan meningkatkan pengetahuan, sikap dan ketrampilan kader sebagai pendamping Kelompok BKR dengan tahapan sosialisasi, pembentukan kelompok BKR dan pelatihan kader. Mitra terdiri dari mitra sasaran utama kader, kelompok BKR, dan mitra kegiatan yaitu petugas Puskesmas, Petugas PLKB, kepala desa dan camat berjumlah 56 orang. Tempat pelaksanaan Desa Padang Kuas dan Kuti Agung Kecamatan Sukaraja Kabupaten Seluma. Evaluasi menggunakan kuesioner dan observasi untuk mengukur pengetahuan, sikap dan ketrampilan kader sebagai pendamping kelompok BKR. Hasil kegiatan ada peningkatan pengetahuan kader dari rerata skor 12.50 meningkat menjadi 17.7. Terjadi peningkatan rerata sikap kader dari skor 34.60 menjadi 52.30 setelah pelatihan. Kemampuan kader dalam melakukan penyuluhan pada kelompok BKR 93.75% baik. Terjadi peningkatan pengetahuan kelompok BKR dari rerata skor 8.6 menjadi 13.53 dan peningkatan rerata skor sikap dari 27.96 menjadi 35.90.Abstract: Early marriage is still high, resulting in young pregnancies that are at risk of complications during pregnancy and childbirth, young mothers are at risk of dying during pregnancy and childbirth. Education, socioeconomics, peers, not being a burden to parents, parental encouragement due to embarrassment that their child is pregnant outside of marriage are factors that contribute to the incidence of early marriage. Family-based education through the Bina Keluarga Remaja group is needed to improve knowledge and attitudes about maturing at the age of marriage. This community service activity aims to improve the knowledge, attitudes, and skills of cadres as BKR group facilitators through the stages of socialization, BKR group formation, and cadre training. Partners consisted of the main target partners of cadres, BKR groups and activity partners, namely Puskesmas Officers, PLKB Officers, Village Heads and Subdistrict Heads, totaling 56 people. Place of implementation Padang Kuas village and Kuti Agung Sukaraja subdistrict, Seluma Regency. Evaluation using questionnaires and observation to measure the knowledge, attitudes and skills of cadres as BKR group assistants. As a result of the activity, the knowledge of the cadres increased from an average score of 12.50 to 17.7. The average attitude of cadres increased from 34.60 to 52.30 after the training. The ability of cadres to conduct counseling in BKR groups is 93.75% good. There was an increase in the knowledge of the BKR group from an average score of 8.6 to 13.53 and an increase in the average score of attitudes from 27.96 to 35.90.
THE RELATIONSHIP OF PARENTING PATTERNS AND LONG USE OF GADGETS WITH SOCIAL DEVELOPMENT IN PRESCHOOL CHILDREN Ratna Dewi; Luthfianiiq Syahda Kumala; Eliana Eliana; Desi Widiyanti; Rina Rina
Proceeding B-ICON Vol. 1 No. 1 (2022): Proceeding of The 2nd Bengkulu International Conference on Health (B-ICON 2022)
Publisher : Poltekkes Kemenkes Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33088/bicon.v1i1.6

Abstract

Social development in preschool children is needed, because it is the initial key for children to be able to live social life in the future. The social development of children at this age includes showing empathy as seen from the child's willingness to help friends who need help or showing a sense of concern by being involved in playing activities or other activities. Many factors influence the social development of children. These factors include knowledge factors, parenting patterns and duration of gadget use. Based on the results of the preliminary study, the problem of this research is that there is still a high level of social development disorders in pre-school children. This study aims to determine the relationship between parenting patterns and long use of gadgets with social development in preschool children. The design of this study used a cross sectional approach. The population of this study was 5-6 years old and a total of 66 samples were taken using a total sampling technique. Data were analyzed by univariate and bivariate. The results of this study there is a relationship between parenting patterns with social development in preschool children with p = 0.020. There is a relationship between long use of gadgets with social development in preschool children with p = 0.003. The results of the study concluded that parenting patterns and long use of of gadgets are important factors in social development in preschool children. So that parents pay attention to the importance of parenting and limit the use of gadgets in pre-school children.
FACTORS AFFECTING THE LOW IMPLEMENTATION OF STIMULATION DETECTION OF EARLY GROWTH AND DEVELOPMENT INTERVENTIONS (SDIDTK) IN COMMUNITY HEALTH CENTRE IN BENGKULU CITY Mariati Mariati; Anissa Aprilianthy; Elly Wahyuni; Ratna Dewi; Rina Rina
Proceeding B-ICON Vol. 1 No. 1 (2022): Proceeding of The 2nd Bengkulu International Conference on Health (B-ICON 2022)
Publisher : Poltekkes Kemenkes Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33088/bicon.v1i1.46

Abstract

The early intervention detection stimulation program for Stimulation, Detection, and Early Intervention of Growth and Development or Stimulasi, Deteksi dan lntervensi Dini Tumbuh Kembang Anak (SDIDTK) is a comprehensive and quality child development program. SDIDTK success indicator in Bengkulu city is still 70.07%, which is not sufficient to achieve the indicator applied by the Indonesian Ministry of Health, which is 90% of the total population. This study aimed to determine the factors that influence the low implementation of SDIDTK at the Community Health Centre in Bengkulu City. This study used a qualitative research method with in-depth interviews. Informants were the head of the community health centres or Pusat Kesehatan Masyarakat (Puskesmas), coordinator midwives, and midwives who handled the SDIDTK program at the Penurunan, Anggut Atas, and Lingkar Barat Community Health Centre. This study found that the number of health workers in 1 puskesmas was lacking, SDIDTK program holders in 2 Puskesmas had not received training, in 2020, 2 puskesmas did not run integrated healthcare centres or Pos Pelayanan Terpadu (Posyandu) and SDIDTK due to COVID-19. The availability of facilities and infrastructure was quite good, but it had not been used optimally by health workers. There was already a budget from the Health Operational Assistance or Bantuan Operasional Kesehatan (BOK) for health workers' transportation when they visited the field. It is expected that puskesmas will provide opportunities for health workers, especially midwives, to receive training in the implementation of SDIDTK.
THE RELATIONSHIP BETWEEN KNOWLEDGE ABOUT ANEMIA AND THE CLASSIFICATION OF ANEMIA IN ADOLESCENT GIRLS AT SMAN 2 BENGKULU CITY IN 2023 Suci Sholihat; Bela Eka Avrini; Elly Wahyuni; Yuniarti Yuniarti; Ratna Dewi
Proceeding B-ICON Vol. 2 No. 1 (2023): Proceeding of The 3rd Bengkulu International Conference on Health (B-ICON 2023)
Publisher : Poltekkes Kemenkes Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33088/bicon.v2i1.137

Abstract

Anemia is a condition in which the number of red blood cells or the concentration of hemoglobin in them is lower than usual. The global prevalence of anemia in women aged 15-49 years is 29.9%. In 2019, Indonesia ranks 5th (22.331%) of the World Health Organization (WHO, 2021). This study aims to determine the relationship between knowledge and compliance of consumption of blood-added tablets on the incidence of anemia in SMA Negeri 2 Kota Bengkulu. The research design used quantitative research methods with a cross sectional approach. The population in the study was class X students at SMA Negeri 2 Kota Bengkulu totaling 246 people with a sample of 39 people and for sampling in this study were students who had anemia or Hemoglobin < 12 g / dl. Data analysis in research using Chi-Square test. The results of the study found that there was a significant relationship between knowledge about anemia and the classification of anemia in adolescent girls aimed at p-value = 0.003. So there is a relationship between knowledge about anemia and the classification of anemia in adolescent girls at SMA Negeri 2 Kota Bengkulu. It is expected that related health services, researchers, institutions and research sites can conduct counseling/education/health education in order to increase knowledge and compliance with the consumption of blood-added tablets.