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Comprehensive Midwifery Care for Mrs. S with the Application of Back Massage at Puskesmas Johan Pahlawan Tiara Fernanda; Fitra Ermila Basri; Nanda Norisa; Satrinawati Satrinawati; Evi Zahara
Oshada Vol. 1 No. 5 (2024): Oshada Journal - October
Publisher : PT. Anagata Sembagi Education

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62872/r53hkq32

Abstract

A mother who has children has breastfeeding problems with a lack of knowledge because she is busy taking care of other children. One of the actions that midwives can take to help maximize breast milk production by increasing the hormone oxytocin in the body. In postpartum mothers. The purpose of this report is to implement comprehensive midwifery care management according to midwifery care standards with the application of back massage during the postpartum period. This report uses the case report method with primary and secondary data collection techniques. Comprehensive obstetric care is provided to Mrs. S starting from 38 weeks of pregnancy, childbirth, postpartum, family planning, neonates and babies at the Johan Pahlawan Health Center in West Aceh Regency from July 22 to September 2, 2024. During pregnancy, it was found that the problem of discomfort was often BAK, after an assessment was carried out that the problem faced by Mrs. S was physiological because there was an emphasis on the bladder and the head had begun to go down under the pelvis. During childbirth, it is normal and there are no complications or complications. In postpartum care, back injection is carried out to facilitate breast milk. Newborn care was not found to be a problem, the baby had received HBO, BCG and polio immunizations and family planning care was given sterile care. Comprehensive midwifery care has an impact on improving maternal and infant health, so it is important to do it in every care. The application of back massage carried out during the postpartum period can provide benefits to breast milk production.
ASUHAN  KEBIDANAN  KOMPREHENSIF PADA IBU R DI PMB DEWI SANDRA KECAMATAN  MEREUBO KABUPATEN ACEH BARAT TAHUN 2025 Fatmi, Fatmi; Norisa, Nanda; Julianti, Rina; Asmanidar, Asmanidar; Putri, Isnaini
EMPIRIS : Jurnal Sains, Teknologi dan Kesehatan Vol. 2 No. 2 (2025): EMPIRIS : Jurnal Sains, Teknologi dan Kesehatan, Juni 2025
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/empiris.v2i2.1420

Abstract

Comprehensive midwifery care is care that is provided continuously from pregnancy, birth, postpartum and newborn. According to the Aceh Health Service report, in 2023 the number of maternal deaths will be 3 people, 1 person caused by heart disease, and 2 people caused by bleeding. This research aims to provide comprehensive midwifery care starting from pregnancy, childbirth, newborn and postpartum periods (including family planning counseling for postpartum mothers). 2) To provide Midwifery Care for Maternity R with SOAP documentation. 3) To provide Newborn Midwifery Care to Mrs. R's baby with SOAP documentation. 4) To provide postpartum care and family planning counseling to Mrs. R with SOAP documentation. The birth process took place normally without complications. In the post partum period, there were no complications or serious problems for Mrs. R. postpartum 7 days. During the care of the new born baby, Mrs. suggestion It is hoped that they can improve their knowledge and skills by studying cases during practice in the form of SOAP management and implementing care according to midwifery service standards that have been determined in accordance with the midwifery authority that has been given to the midwifery profession.
ASUHAN KEBIDANAN KOMPREHENSIF PADA IBU KDI TPMB DEWI SANDRA LUBIS KECAMATAN MEUREBO KABUPATEN ACEH BARATTAHUN 2025 Putri, Purnama; Norisa, Nanda; Zahara, Evi; Asmanidar, Asmanidar; Sulastri, Sulastri
EMPIRIS : Jurnal Sains, Teknologi dan Kesehatan Vol. 2 No. 2 (2025): EMPIRIS : Jurnal Sains, Teknologi dan Kesehatan, Juni 2025
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/empiris.v2i2.1421

Abstract

Introduction: Comprehensive midwifery care is care that is provided continuously from pregnancy, childbirth, postpartum and newborns. According to the Aceh Health Service report, in 2023 the number of maternal deaths was 3 people, 1 person was caused by heart disease, and 2 people were caused by bleeding. The number of live births in West Aceh district was 2,643 people and infant deaths were 16 people. Objective: This study aims to provide comprehensive midwifery care from pregnancy, childbirth, newborns and the postpartum period (including family planning counseling for postpartum mothers). Research Method: This study is a case study, carried out with midwifery care documented with SOAP. The subjects of this study were mothers K G1P0A0 aged 30 years starting from 37 weeks 3 days of pregnancy to 9 days postpartum. Data collection techniques were primary data and secondary data. Research results: Based on the results of the research conducted, the results obtained were that the pregnancy process of mother K was normal and no complications were found during the assessment starting from the gestational age of 37 weeks 3 days and the mother was able to adapt to her pregnancy. The labor process took place normally without complications. At the gestational age of 38 weeks 6 days there were no complications or problems in Mother K until 6 hours postpartum. During newborn care, it was found that Mother K's baby was a full-term male and postpartum care was carried out 2 times (including family planning counseling for Mother K) the mother planned to use a 3-month injection of birth control. Conclusion: Comprehensive midwifery care for mother K at TPMB Dewi Sandra Lubis, Meureubo District, West Aceh Regency took place normally. Suggestion: It is expected to improve knowledge and skills by studying cases during practice in the form of SOAP management and implementing care according to the established midwifery service standards in accordance with the authority of midwives that have been given to the midwife profession.
Asuhan kebidanan kehamilan dengan anemia ringan di TPMB Nur Asmah Kabupaten Aceh Barat Ayu, Putri; Zahara, Evi; Julianti, Rina; Norisa, Nanda
Femina: Jurnal Ilmiah Kebidanan Vol. 5 No. 1 (2025): Juni
Publisher : Program Studi D3 Kebidanan Langsa, Polteknik Kesehatan Kemenkes Aceh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30867/femina.v5i1.841

Abstract

Latar Belakang: Anemia pada pada ibu hamil akan meningkatkan risiko komplikasi abortus, persalinan premature, perdarahan antepartum, rentan terserang infeksi, gangguan kontraksi baik primer maupun sekunder, retensio plasenta, luka persalinan yang sukar sembuh, sepsis puerperalis dan gangguan involusi uteri. Sedangkan pada janin dapat menyebabkan gangguan pertumbuhan janin, BBLR, asfiksia perinatal, kelainan kongenital, anemia pada janin hingga kematian janin pada kandungan, panjang badan lahir lebih pendek dan premature. Tujuan: untuk memberikan asuhan kebidanan pada Ny. E dengan anemia ringan. Metode: Rancangan penelitian ini berupa studi kasus dengan pendekatan kualitatif. Subjek penelitian ini adalah Ny. E umur 32 tahun G1P0A0 yang mengalami anemia, penelitian dilakukan selama 10 hari di bulan Januari 2025. Hasil: Hasil penelitian didapatkan bahwa asuhan kebidanan berupa pemberian tablet Fe dan sari kurma dalam jangka waktu 10 hari terbukti dapat meningkatkan kadar Hb pada ibu hingga mencapai batas normal. Kesimpulan: asuhan kebidanan pada kasus anemia ringan dengan pemberian tablet Fe dan sari kurma dapat meningkatkan kadar Hb pada ibu hamil mencapai normal.
ASUHAN KEBIDANAN PADA IBU U DENGAN MOBILISASI PERSALINAN Rausina, Rausina; Yushida, Yushida; Nanda Norisa; Evi Zahara
Journal of Innovation Research and Knowledge Vol. 5 No. 2: Juli 2025
Publisher : Bajang Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Pendahuluan:Mobilisasi merupakan salah satu cara untuk mengatasi partus lama, mengurangi rasa nyeri dan mempercepat proses persalinan karena dengan berjalan, berdiri ataupun jongkok membantu proses turunnya bagian terendah janin sehingga mempercepat proses persalinan.mobilisasi dini dan beraktivitas segera mungkin setelah istirahat beberapa jam dan beranjak dari tempat tidur ibu(untuk persalinan normal).Mobilisasi dini (early mobilization) merupakan prosedur supaya secepat mungkin untuk membimbing ibu post partum bangun dari tempat tidur dan melatih ibu secepat mungkin untuk berjalan. Tujuan:Penelitian ini memberikan asuhan kebidanan pada ibu U untuk mengajarkan cara mobilisasi dini pada ibu U secara mandiri dengan langkah-langkah yaitu berjalan-jalan ,melalukan miring kanan dan kiri dan berjongkok. Metode penelitian: penelitian ini merupakan studi kasus dengan pendekatan deskriptif kualitatif. Penelitian dilakukan dengan mengekplorasi dan memberikan asuhan kebidanan secara komprehensif kepada Ibu U G1P0A0 mulai dari kehamilan trimester III sampai dengan nifas. Hasil penelitian: Asuhan kebidanan secara komprehensif pada Ibu U sudah dilakukan mulai dari kehamilan sampai dengan nifas. pada asuhan kehamilan trimester 3 berdasarkan hasil anamnesa di dapatkan ibu mengalami mobilisasi dini menunjukkan setelah di ajarkan melakukan mobilisasi dini , ibu post partus lama sudah bisa miring ,duduk,dan berjalan-jalan.langkah-langkah mobilisasi dini sudah di lakukan sesuai dengan prosedur. Saran dan Kesimpulan : Mobilisasi dini (early mobilization) merupakan prosedur supaya secepat mungkin untuk membimbing ibu post partum bangun dari tempat tidur dan melatih ibu secepat mungkin untuk berjalan. Mobilisasi dini merupakan aktivitas yang harus segera dilakukan ibu setelah melahirkan dengan beranjak dari tempat tidur. Ibu setelah melahirkan disarankan untuk menjalankan latihan-latihan tertentu demi memulihkan kembali jaringan otot genetalia, melaksanakan aktifitas fisik lebih mempengaruhi kebutuhan otot kebutuhan oksigen agar melancarkan aliran darah contohnya otot rahim, kontraksi uterus semakin baik, proses pengeluaran lochea lanjar sehingga berpengaruh kepada uterus yang menjadi kecil.
ASUHAN KEBIDANAN PADA IBU R TENTANG PENTINGNYA ASUHAN KEBIDANAN KOMPREHENSIF UNTUK MENCEGAH NYERI DAN INFEKSI PERINEUM PADA IBU POST PARTUM DI TPMB DEWI SANDRA LUBIS DI KECAMATAN MEUREUBO KABUPATEN ACEH BARAT TAHUN 2025 Has, Neng Vivi Marlena; Asmanidar, Asmanidar; Norisa, Nanda; julianti, Rina
SINERGI : Jurnal Riset Ilmiah Vol. 2 No. 7 (2025): SINERGI : Jurnal Riset Ilmiah, Juli 2025
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/sinergi.v2i7.1479

Abstract

Perineal rupture is a tear that occurs in the perineum during labour. Perineal rupture occurs in almost all first deliveries and is not uncommon is subsequent deliveries. The occurrence of perineal rupture is caused by maternal factors (parity, birth spacing and babys weight), improrer delivery leadership, history of delivery. Forceps extraction, vacuum extraction, device trauma and episiotomy. Perineal rupture occurs in almost all first deliveries and is not uncommon in subsequent deliveries. This case study describes how perineal rupture occurs and its healing process in Mrs. R, a 29 year old primipara. Effort to handle or treat perineal wounds in this case are carried out by teaching how to do proper wound care, maintaining personal hygiene and providing education to increase client knowledge. Midwifery care provided can help clients accelerate the healing of perineal wounds. Comprehensive midwifery care regarding posrpartum care needs to be carried out from the time of pregnancy until later in the puerperium. Thus, the client can prevent and deal with problem that occur independently so that there are not infections or complications during the the puerperium.
Socio-cultural analysis and maternal behavior towards the stunting phenomenon in the Samatiga Community Health Center work area Julianti, Rina; Norisa, Nanda; Basri, Fitra Ermila; Asmanidar, Asmanidar
Science Midwifery Vol 13 No 4 (2025): October: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v13i4.2084

Abstract

Stunting is a growth disorder characterized by toddlers that results in delayed growth that is not in accordance with the standards. Data from the Indonesian Nutritional Status Survey (SSGI) of the Ministry of Health shows that out of 34 provinces in Indonesia, Aceh Province ranked 3rd in stunting rates in 2021 and 5th in 2022 at 31.2%. Based on electronic data from the Community-Based Nutrition Reporting and Recording (e-PPGBM) obtained from 2023, West Aceh Regency with a target of 14,848 toddlers with stunting cases amounted to 352 toddlers with stunting, with Samatiga District dominating stunting cases reaching 44 toddlers (31.8%). The purpose of this study was to analyze the socio-cultural and maternal behavior towards stunting in the Samatiga Community Health Center Working Area. The study was conducted from April to July 2025. Descriptive Analysis Research with a sample of 44 toddlers experiencing stunting, data collection was carried out using questionnaires and interviews. Based on the results of socio-cultural research in the good category (pregnancy 63.6% and postpartum 88.7%) and maternal behavior (there is drinking coffee/tea 11.3%; good parenting patterns 68.2%; exclusive breastfeeding 11.3%; appropriate complementary feeding 72.7% and complete immunization 22.7%). The need for awareness of mothers and health workers to provide education on factors that cause stunting in children.
Penerapan meditasi dan afirmasi positif untuk menurunkan kecemasan dan keluhan ibu hamil di Kecamatan Meureubo Zahara, Evi; Ramli, Nurlaili; Norisa, Nanda
Jurnal PADE: Pengabdian & Edukasi Vol 7, No 2 (2025): Oktober
Publisher : Politeknik Kesehatan Kemenkes Aceh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30867/pade.v7i2.2572

Abstract

During pregnancy, physical and psychological changes occur, causing discomfort for the mother, which can then impact the well-being of the fetus. Therefore, management efforts are needed to minimize the impacts that occur. Meditation and positive affirmations can be an alternative, one of the non-pharmacological therapies claimed to have a positive effect on the physical and psychological health of the mother and are beneficial for the health of the fetus, such as reducing excessive anxiety and pain. The implementation of meditation and positive affirmations in community service aims to provide information and empower mothers during pregnancy to improve health. This activity is carried out in three stages. The first stage is a pre-test, the second stage is the delivery of material and practice of meditation and positive affirmations, and the third stage is a post-test. The results show a difference in the level of knowledge and complaints with a p-value of 0,000 for each variable. There is a difference in the level of anxiety of the target group compared between the pre-test and post-test. With a p-value of 0,001. It can be concluded that the application of meditation and positive affirmations is effective in increasing knowledge, reducing complaints, and reducing the level of anxiety of pregnant women.
Hubungan Faktor Maternal dengan Status Gizi Anak Usia 6-23 Bulan di Wilayah Kerja Puskesmas Ingin Jaya Kabupaten Aceh Besar Usrina, Nora; Norisa, Nanda; Zahara, Evi; Raisah, Putri
MAHESA : Malahayati Health Student Journal Vol 4, No 2 (2024): Volume 4 Nomor 2 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i2.12133

Abstract

ABSTRACT Cases of malnutrition are currently still a serious problem in Indonesia, where they often occur in children under five years of age. If malnutrition is not addressed, it will have negative impacts on children under five. The impacts that occur include death and chronic infections. The nutritional status of children under five is influenced by socio-economic conditions, including maternal education, maternal occupation, number of children, knowledge and overall economic conditions of parents. To determine the relationship between maternal factors and the nutritional status of children aged 6-23 months in the working area of the Want Jaya Community Health Center, Aceh Besar Regency. This research uses a quantitative type of research with a cross sectional approach. The subjects in this research were mothers who had toddlers aged 6-23 months who were in the working area of the Want Jaya Community Health Center, Aceh Besar Regency. This research will be carried out for 6 months starting in April - September 2023. The research location will be carried out in the working area of the Want Jaya Community Health Center, Aceh Besar Regency. The instrument used in this research was a questionnaire, each variable containing 15 - 25 statement items. Data were analyzed using the chi-square test with a p value ≥ 0.05. There is a significant relationship between the mother's education level and the nutritional status of children aged 6-23 months (p<0.05). There is no significant relationship between monthly family income, mother's employment, mother's knowledge of parenting styles, and number of children in the family with the nutritional status of children aged 6-23 months (p>0.05). There is a relationship between maternal education level and the nutritional status of children aged 6-23 months. There is no relationship between monthly family income, mother's employment, mother's knowledge of parenting styles, and number of children in the family with the nutritional status of children aged 6-23 months. Keywords: Maternal Factors, Malnutrition, Toddlers  ABSTRAK Kasus gizi buruk saat ini masih menjadi permasalahan serius di Indonesia dimana seringkali terjadi pada kelompok anak usia di bawah lima tahun. Kejadian gizi buruk apabila tidak diatasi akan menyebabkan dampak yang buruk bagi balita. Dampak yang terjadi antara lain kematian dan infeksi kronis. Status gizi anak balita salah satunya dipengaruhi oleh faktor kondisi sosial ekonomi, antara lain pendidikan ibu, pekerjaan ibu, jumlah anak, pengetahuan serta kondisi ekonomi orang tua secara keseluruhan. Untuk mengetahui hubungan faktor maternal dengan status gizi anak usia 6-23 bulan di wilayah kerja Puskesmas Ingin Jaya Kabupaten Aceh Besar. Penelitian ini menggunakan jenis penelitian kuantitatif dengan pendekatan cross sectional. Subjek dalam penelitian ini yaitu ibu yang mempunyai balita berusia 6-23 bulan yang berada di wilayah kerja Puskesmas Ingin Jaya Kabupaten Aceh Besar. Penelitian ini akan dilaksanakan selama 6 bulan dimulai pada bulan April - September 2023. Lokasi penelitian dilaksanakan di wilayah kerja Puskesmas Ingin Jaya Kabupaten Aceh Besar. Instrumen yang digunakan pada penelitian ini adalah satu buah kuisioner, masing-masing variabel berisi 15 – 25 item pernyataan. Data dianalisis menggunakan uji chi-square dengan nilai p ≥ 0.05. Ada hubungan secara signifikan antara tingkat pendidikan ibu dengan status gizi anak usia 6-23 bulan (p<0.05). Tidak ada hubungan secara signifikan antara pendapatan keluarga per bulan, pekerjaan ibu, pengetahuan pola asuh ibu, dan jumlah anak dalam keluarga dengan status gizi anak usia 6-23 bulan (p>0.05). Ada hubungan tingkat pendidikan ibu dengan status gizi anak usia 6-23 bulan. Tidak ada hubungan antara pendapatan keluarga per bulan, pekerjaan ibu, pengetahuan pola asuh ibu, dan jumlah anak dalam keluarga dengan status gizi anak usia 6-23 bulan. Kata Kunci: Faktor Maternal, Gizi Buruk, Balita
ASUHAN KEBIDANAN PADA BAYI IBU Z DENGAN PENERAPAN TEKNIK OVER YOUR SHOULDER UNTUK MENGATASI GUMOH  TAHUN 2025 Rahmi, Liza; Asmanidar, Asmanidar; Norisa, Nanda; Zahara, Evi
SINERGI : Jurnal Riset Ilmiah Vol. 2 No. 6 (2025): SINERGI : Jurnal Riset Ilmiah, Juni 2025
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/sinergi.v2i6.1319

Abstract

Introduction: Spitting up (Regurgitation) is a common problem in infants, especially infants aged 0-3 months, and in Indonesia 25% of infants experience spitting up more than 4 times a day in the first month. Spitting up often occurs in infants after breastfeeding, and as the baby gets older, it is estimated that the incidence of spitting up will decrease, namely 8-10% in infants aged 9-12 months and 5% in infants aged 18 months, efforts that can be made to overcome spitting up or regurgitation in infants are using the Over Your Shoulder technique. Objective: This study aims to provide comprehensive midwifery care, especially for infants of mother Z who experience spitting up or regurgitation after breastfeeding using the Over Your Shoulder technique. Research Method: This study is a case study with a qualitative descriptive approach. This study was conducted by exploring and providing comprehensive midwifery care to infants of mother Z starting from 3 days after delivery with complications of spitting up using the Over Your Shoulder technique. Research results: Comprehensive midwifery care for mother Z's baby has been carried out starting from 3 days after delivery based on the results of the anamesa, it was found that the baby often experienced spit up some time after the baby was breastfed. So that the Over Your Shoulder technique was applied for 5-10 minutes, after which the baby burped, and visits were made 2 times. The care provided was to apply the Over Your Shoulder technique to mother Z's baby after spit up could be resolved properly. Conclusion: Midwifery care for mother Z's baby was carried out using the Over Your Shoulder technique, namely placing the baby on the mother's shoulder or chest and then patting the baby's back until he burps. The results of midwifery care carried out using this technique showed that there was no regurgitation in mother Z's baby during monitoring, so it can be concluded that the Over Your Shoulder technique has proven effective and there is no gap between theory and practice.