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Pemberdayaan Kader dalam pelaksananan Kegel Exercise pada ibu Nifas untuk mencegah pendarahan Post Partum di wilayah kerja Puskesmas Lau Baleng mediana mediana sembiring; Nur Azizah; Eva ratna Dewi; Yesica Geovany Sianipar; Kasvi Irmayani; Lydia Rimenda
Prosiding Konferensi Nasional Pengabdian Kepada Masyarakat dan Corporate Social Responsibility (PKM-CSR) Vol 5 (2022): PERAN PERGURUAN TINGGI DAN DUNIA USAHA DALAM AKSELERASI PEMULIHAN DAMPAK PANDEMI
Publisher : Asosiasi Sinergi Pengabdi dan Pemberdaya Indonesia (ASPPI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37695/pkmcsr.v5i0.1610

Abstract

Abstrak Latar Belakang : Di Indonesia laserasi perineum dialami oleh 75% ibu melahirkan pervaginam. Pada tahun 2013 menemukan bahwa dari total 1951 kelahiran spontan pervaginam, 57% ibu mendapat jahitan perineum (28% karena episiotomi dan 29% karena robekan spontan) (Depkes RI, 2013). Dampak terjadinya ruptur perineum antara lain infeksi pada luka jahitan, perdarahan dan nyeri perineum (Manuaba, 2010). Senam kegel merupakan senam untuk menguatkan otot panggul. Masa nifas membutuhkan mobilisasi atau latihan, tertentu yang dapat mempercepat proses involusi. untuk kembali kebentuk sebelum hamil maka akan menyebabkan sub involusi. Penyebab sub involusi uteri yang paling sering adalah tertahannya fragmen plasenta, infeksi, dan perdarahan lanjut (late postpartum haemorrhage). kehamilan, terutama pada otot-otot bagian punggung, dasar panggul, dan perut. TUJUAN pengabdian kepada masyarakat ini untuk memberdayakan kader di wilayah kerja puskesmas wilayah kerja puskesmas lau Baleng Kab. Tanah Karo tersebut, yang berada diposyandu setiap Pustu dan sebagai wadah tempat melatih kader dalam pelaksanaan senam kegel Exercise pada ibu nifas hari pertama samapai ibu post partum hari ke 7 untuk mencehah pendarahan. METODE yang dilakukan dengan 4 tahap yaitu mengkaji keadaan pedesaan partisipatif, pengembangan kelompok, penyusunan rencana dan pelaksanaan kegiatan serta monitoring dan evaluasi partisipatif. Hasil : Berdasarkan permasalahan tersebut, tim pengabdian menawarkan solusi berupa Pelatihan Edukasi Kesehatan ibu post partum atau ibu nifas, hingga terbentuk pola menjaga kesehatan reproduksi pada subjek sasaran. Target luaran kegiatan pengabdian berupa, produk jasa dan publikasi. Luaran jasa berupa paparan materi tahap demi tahap edukasi kesehatan mulai dari pengenalan organ reproduksi, bagaimana organ reproduksi bekerja dalam sistem reproduksi dan hormon yang mempengaruhinya, sampai pada cara menjaga kesehatan dan sistem reproduksi. Keyword : Kegel Exercise: ibu Nifas : pendarahan
The Relationship Of Knowledge Of Public Mothers About Brestfeeding Techniques With The Event Of Blocked Nipples Ingka Kristina Pangaribuan; Diana Sandra Dewi; Fatimah Nasution; Yesica Geovany Sianipar; Lisa Sibarani
Journal of Maternal and Child Health Sciences (JMCHS) Vol 2 No 2 (2022): Journal of Maternal and Child Health Sciences (JMCHS)
Publisher : Poltekkes Kemenkes Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (329.53 KB) | DOI: 10.36086/maternalandchild.v2i2.1412

Abstract

Background: The puerperium (puerperium) is the period that begins after the placenta comes out and ends when the uterine organs return to their original state (before pregnancy) which lasts for about 6 weeks (Sulistyawati, 2017). Six weeks during the puerperium, a woman's body will experience changes, namely adaptation from the period of pregnancy and childbirth, until it gradually returns to its pre-pregnancy state (Bahiyatun, 2016). During the postpartum period, there is an activity that can bring its own happiness to the mother, namely breastfeeding where the mother feels that she has become a mother so that she can breastfeed her baby with her own breast milk which creates a sense of happiness for the mother herself.Methods: The design of this study used an analytical research design with a cross sectional approach in PMB Nurul Husna, Am.Keb, Sunggal District, Deli Serdang Regency, there are 47 postpartum mothers. The type of sampling used in this study is total sampling where the entire population is the sample in the study as many as 47 postpartum mothers. Results The results of the Chi-Square test are known to be Asymp (2-sided) 0.003 < 0.005, so based on the basis of the decision above, it can be seen that H0 is rejected and Ha is accepted. Then it can be seen that "There is a relationship between knowledge of postpartum mothers about breastfeeding techniques with the incidence of cracked nipples at the Trismalia Laut Dendang Primary Clinic in 2022.
Hubungan Pengetahuan Ibu Hamil Dengan Kejadian Hiperemesis Gravidarum Di Praktek Bidan Fina Sembiring Sari Rejo Kecamatan Medan Polonia Kota Medan Tahun 2022 Sonia Novita Sari; Ariska Fauzianty; Friza Novita Sari Situmorang; Yesica Geovany Sianipar
Jurnal Sains dan Kesehatan Vol. 6 No. 2 (2022): Desember : Jurnal Sains dan Kesehatan (JUSIKA)
Publisher : Universitas Muhamadiyah Manado

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57214/jusika.v6i2.346

Abstract

Hyperemesis gravidarum (HEG) is a condition of persistent vomiting in pregnancy that causes various disturbances in the body's balance such as dehydration, electrolyte disturbances, metabolic and nutritional deficiencies and can even cause death. This study aims to determine the relationship between knowledge of pregnant women and the incidence of hyperemesis gravidarum at Fina Sembiring Midwife Practice Sari Rejo Clinic, Medan Polonia District, Medan City. This research is an analytical quantitative research using a cross sectional design. The population in this study were all pregnant women who made pregnancy visits at the Fina Sembiring Clinic in 2022, totaling 45 pregnant women. The sampling technique is total sampling. Data collection was analyzed by chi-square test. The results of this study indicate that there is a significant relationship between knowledge and the incidence of hyperemesis gravidarum at the Fina Sembiring Clinic with a p value <0.05 (0.002).
Hubungan Mutu Pelayanan KIA (Kehandalan) Dengan Kepuasan Ibu Bersalin Secara Normal Di Puskesmas Lalang Kecamatan Medang Deras Kabupaten Batubara Yesica Geovany Sianipar; Sonia Novita Sari; Ariska Fauzianty; Friza Novita Sari
An-Najat Vol. 1 No. 2 (2023): MEI : An-Najat: Jurnal Ilmu Farmasi dan Kesehatan
Publisher : STIKes Ibnu Sina Ajibarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59841/an-najat.v1i2.192

Abstract

The quality of health services is degree of perfection of health services in accordance with professional standards by using the potential resources available at the public health center. Various efforts have been made by health workers at the Lalang Health Center, Medang Deras District, Batu Bara Regency, such as training for delivery assistance according to Standard Operational Procedures in improving the quality of Maternal and Child Health Services, but there are patient complaints about the quality of Maternal and Child Health Services at the Lalang Health Center, Batu Bara Regency. The purpose of this study was determine the effect of the quality Maternal and Child Health Services on maternal satisfaction in normal delivery at the Lalang Health Center, Medang Deras District, Batu Bara Regency. This research is an analytic study using a cross sectional design, sample of 59 people by simple random sampling. The analysis was carried out in univariate and bivariate with chi square test p-value <0.05. The results of this study indicate that there is a significant relationship between quality Maternal and Child Health Services (reability) on maternal satisfaction in normal delivery at the Lalang Health Center, Medang Deras District, Batu Bara Regency, with a p value <0.05 (0.034).
Hubungan Tingkat Pengetahuan Ibu Terhadap Pemberian Imunisasi DPT Di Puskesmas Labuhan Deli Kecamatan Labuhan Deli Kabupaten Deli Serdang Tahun 2023 Sonia Novita Sari; Rayani Nainggolan; Nopa Isabela Napitupulu; Yesica Geovany Sianipar; Friza Novita Sari Situmorang; Ariska Fauzianty
Jurnal Medika Nusantara Vol. 1 No. 2 (2023): Mei: Jurnal Medika Nusantara
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/medika.v1i2.489

Abstract

Immunization is an effort to provide immunity to infants and children by injecting vaccines into the body so that the body makes a substance to prevent certain diseases. This study aims to determine the relationship between the mother's level of knowledge and the provision of DPT immunization at the Labuhan Deli Health Center, Labuhan Deli District, Deli Serdang Regency. This research is an analytical quantitative research using a cross sectional design. The population in this study were mothers who had babies aged 6-12 months, namely 42 respondents at the Labuhan Deli Health Center, Labuhan Deli District, Deli Serdang Regency in 2023. The sampling technique was total sampling. Data collection was analyzed by chi-square test. The results of this study indicate that there is a significant relationship between the mother's knowledge level and the administration of DPT immunization at the Labuhan Deli Health Center, Labuhan Deli District, Deli Serdang Regency, with a p value <0.05 (0.009).
The Relationship Of Knowledge Of Public Mothers About Brestfeeding Techniques With The Event Of Blocked Nipples Pangaribuan, Ingka Kristina; Sandra Dewi, Diana; Nasution, Fatimah; Geovany Sianipar, Yesica; Sibarani, Lisa
Journal of Maternal and Child Health Sciences (JMCHS) Vol 2 No 2 (2022): Journal of Maternal and Child Health Sciences (JMCHS)
Publisher : Poltekkes Kemenkes Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36086/maternalandchild.v2i2.1412

Abstract

Background: The puerperium (puerperium) is the period that begins after the placenta comes out and ends when the uterine organs return to their original state (before pregnancy) which lasts for about 6 weeks (Sulistyawati, 2017). Six weeks during the puerperium, a woman's body will experience changes, namely adaptation from the period of pregnancy and childbirth, until it gradually returns to its pre-pregnancy state (Bahiyatun, 2016). During the postpartum period, there is an activity that can bring its own happiness to the mother, namely breastfeeding where the mother feels that she has become a mother so that she can breastfeed her baby with her own breast milk which creates a sense of happiness for the mother herself.Methods: The design of this study used an analytical research design with a cross sectional approach in PMB Nurul Husna, Am.Keb, Sunggal District, Deli Serdang Regency, there are 47 postpartum mothers. The type of sampling used in this study is total sampling where the entire population is the sample in the study as many as 47 postpartum mothers. Results The results of the Chi-Square test are known to be Asymp (2-sided) 0.003 < 0.005, so based on the basis of the decision above, it can be seen that H0 is rejected and Ha is accepted. Then it can be seen that "There is a relationship between knowledge of postpartum mothers about breastfeeding techniques with the incidence of cracked nipples at the Trismalia Laut Dendang Primary Clinic in 2022.
Edukasi Kesehatan Tentang Fluor Albus (Keputihan) Pada Ibu Hamil Dengan Service Excellent Education Di PMB Shinta Medan Polonia Tahun 2024 Friza Novita Sari Situmorang; Yesica Geovany Sianipar; Rismalia Tarigan; Marshinta Sirait; Nadya Nabila; Irma Wati
Ekspresi : Publikasi Kegiatan Pengabdian Indonesia Vol. 1 No. 1 (2024): Publikasi Kegiatan Pengabdian Indonesia
Publisher : Asosiasi Seni Desain dan Komunikasi Visual Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/ekspresi.v1i1.93

Abstract

Fluorus albus (vaginal discharge) is white fluid that comes out of the sexual canal in excess. Fluorus albus is a vaginal fluid, not blood. During pregnancy, vaginal discharge increases in quantity. According to the World Health Organization (WHO), recommendations in America that reproductive health problems include 31.6% of pregnant women experiencing vaginal discharge (fluor albus) caused by the fungus Candida albican. In Indonesia, the problem of vaginal discharge is increasing, with more than 75% of women experiencing vaginal discharge due to the humid temperature in Indonesia, making them easily infected. candida albicans fungus, parasites such as pinworms or germs (trichomonas vaginalis) (WHO, 2019). According to data from the 2019 North Sumatra Province Health Profile, there were 648,829 pregnant women in 2019, 1,566 cases of pregnant women experiencing vaginal discharge, in the city of Medan in 2019 there were 855,281 people and 45% had experienced vaginal discharge (North Sumatra Health Profile, 2020) . Method: This activity begins with the preparation, implementation and evaluation stages. Results: 15 participants in this activity were pregnant women who visited PMB Shinta in Medan Polonia, Medan City. In its implementation, it was explained that the genital organ problem that pregnant women often experience, especially in the third trimester, is fluoride albus (vaginal discharge). The types of vaginal discharge also need to be understood as well as the treatment and therapy that needs to be given to pregnant women in preventing and treating cases of Fluor Albus. Conclusion: The results obtained from this community service activity are an increase in knowledge about preventing vaginal discharge and the treatment that will be carried out if complications occur. Pregnant women who experience vaginal discharge will pose a risk to the health and growth and development of their fetus later. The risk of vaginal discharge before and after was an increase of 15% for the good level of knowledge, and 27% for the sufficient level, and at the level of poor knowledge it decreased by 40%. With this change in the level of knowledge and strengthening understanding of Fluor Albus, it is hoped that pregnant women will be more aware of the conditions of their pregnancy, especially in maintaining personal hygiene which will result in disruption of fetal growth and development. Conclusion: The results obtained from this community service activity are an increase in knowledge about preventing vaginal discharge and the treatment that will be carried out if complications occur. Pregnant women who experience vaginal discharge will pose a risk to the health and growth and development of their fetus later. The risk of vaginal discharge before and after was 15% increased for the good level of knowledge, and 27% for the sufficient level, and for the poor knowledge level it decreased by 40%.
Faktor-Faktor Yang Berhubungan dengan Penyembuhan Luka Post Sectio Caesarea di RS Efarina Kota Berastagi Yesica Geovany Sianipar; Agustina Br Padang; Magdalena Br Barus; Hariati Br Purba; Sodiria Zega; Esra E Sinaga
Quantum Wellness : Jurnal Ilmu Kesehatan Vol. 2 No. 1 (2025): Maret : Quantum Wellness : Jurnal Ilmu Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/quwell.v2i1.1349

Abstract

Maternal mortality in Indonesia is still dominated by three main causes of death:bleeding, hypertension in pregnancy, and infection. One high MMR may be due to complications in labor, including SC. Complications that can occur after caesarean section surgery are infections, called postoperative morbidities. The purpose of this study to determine the Factors Associated With Healing Post SC Injury At Efarina Berastagi Hospital. This research type is analytic survey research with cross sectional. The data used is using chis-quare test. The population are 36 peoples and the total sample of 36 peoples. From result of research indicate that from result of Chi-square statistic test at 95% confidence level with α = 0,05, obtained by Asymp. Sig age (0. 001), nutrition (0.041), and early mobilization (0.035) <α (0.05). The conclusion of the study is the relationship of age, nutrition and early mobilization with SC with Post Injury Healing at Efarina Berastagi Hospital in 2023. It is suggested to the hospital to further improve the quality of health service and the managerial of the house more emphasize the implementation of early mobilization for SC mother to avoid infection and to accelerate the recovery of cesarean section injection, and to nurses and midwives to provide and monitoring of the implementation of early mobilization more intensively and to observe nutritional status of post SC mother to accelerate wound healing.
KELAS EDUKASI TENTANG ABDOMINAL STRETCHING EXERCISE TERHADAP PENURUNAN NYERI DISMENORE PADA MAHASISWI MITRA HUSADA MEDAN Damanik, Lisa Putri Utami; Sari, Febriana; Adethia, Kismiasih; Pitaloka, Diah; Barus, Magdalena; Sianipar, Yesica Geovany; Tobing, Nadya Elsany L
Jurnal Pengabdian Kolaborasi dan Inovasi IPTEKS Vol. 3 No. 1 (2025): Februari
Publisher : CV. Alina

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59407/jpki2.v3i1.1990

Abstract

Kegiatan pengabdian ini bertujuan untuk mengukur pengaruh abdominal stretching exercise terhadap penurunan nyeri dismenore pada mahasiswi STIKes Mitra Husada Medan pada tahun 2022. Pengabdian dilakukan pada 60 orang mahasiswi, dengan 40 di antaranya mengalami dismenore. Sampel yang memenuhi kriteria inklusi dan eksklusi dipilih menggunakan teknik purposive sampling, yang dibagi menjadi dua kelompok, yaitu kelompok eksperimen yang mengikuti abdominal stretching exercise dan kelompok kontrol yang tidak diberikan perlakuan tersebut. Pengumpulan data dilakukan melalui observasi langsung sebelum dan sesudah perlakuan dengan menggunakan pretest dan posttest. Hasil pengabdian menunjukkan penurunan yang signifikan pada intensitas nyeri dismenore di kelompok eksperimen setelah melakukan abdominal stretching exercise, sementara kelompok kontrol tidak menunjukkan perubahan signifikan. Edukasi mengenai dismenore, teknik abdominal stretching, serta manfaatnya terhadap peningkatan kenyamanan selama menstruasi juga disampaikan selama kegiatan. Sebagian besar peserta melaporkan penurunan nyeri, peningkatan kualitas tidur, dan rasa percaya diri yang lebih tinggi dalam mengelola nyeri menstruasi. Berdasarkan hasil ini, dapat disimpulkan bahwa abdominal stretching exercise efektif dalam mengurangi nyeri dismenore pada mahasiswi STIKes Mitra Husada Medan dan bisa dijadikan alternatif pengelolaan nyeri secara alami dan aman. Ke depan, program ini diharapkan dapat terus dilaksanakan untuk meningkatkan kualitas kesehatan reproduksi perempuan. Kata Kunci: Abdominal Stretching Exercise, Penurunan Nyeri Dismenore, Mahasiswi, Kesehatan Reproduksi, STIKes Mitra Husada Medan, Pengelolaan Nyeri Menstruasi
IMPLEMENTASI SELF MONITORING IRON SUPLEMENTATION CARD YANG SERVICE EXCELLENT PADA IBU HAMIL UNTUK PEMANTAUAN KEPATUHAN KONSUMSI TABLET TAMBAH DARAH PADA IBU HAMIL DI DESA BANGUN REJO KECAMATAN TANJUNG MORAWA KABUPATEN DELI SERDANG PROVINSI SUMATERA UTAR Fauzianty, Ariska; Friza Novita Sari; Yesica Geovany Sianipar; Sonia Novita Sari; Rasmi Manullang; Nova Isabella Mariance Br Napitupulu
Jurnal Pengabdian Vol. 4 No. 2 (2025): Juli-Desember
Publisher : Bengkulu Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58222/jp.v4i2.1402

Abstract

ABSTRACT Anemia during pregnancy remains a significant public health issue with a high prevalence in Indonesia. One of the primary efforts to prevent anemia is through the consumption of iron supplementation tablets (Tablet Tambah Darah/TTD). However, adherence among pregnant women to TTD consumption remains low due to insufficient monitoring and suboptimal support from healthcare services. This community engagement activity aimed to improve TTD adherence among pregnant women through the implementation of a self-monitoring card combined with a patient-centered excellent service approach by healthcare workers. The activity was conducted in Bangun Rejo Village, Tanjung Morawa Subdistrict, Deli Serdang Regency, involving 15 pregnant women in their second and third trimesters. The intervention consisted of educational sessions, distribution of TTD self-monitoring cards, and support from community health cadres. Evaluation was carried out using a pre–post test design, observation of card usage, and structured interviews. There was a significant improvement in TTD adherence, with the proportion of pregnant women consuming ≥6 tablets per week increasing from 33% to 83% after the intervention. The self-monitoring card proved effective in enhancing awareness and engagement of both mothers and their families. The implementation of excellent service also contributed to increased satisfaction with maternal health services. In conclusion, the combination of a self-monitoring card and excellent healthcare service is proven to be effective in improving TTD adherence among pregnant women. This intervention is recommended for broader implementation as part of anemia prevention efforts in maternal health programs. KEYWORDS Self Monitoring; Iron Supplementation Card; Excellent Service; Compliance; Blood Supplement Tablets ABSTRAK Anemia pada kehamilan masih menjadi masalah kesehatan masyarakat dengan prevalensi yang tinggi di Indonesia. Salah satu upaya pencegahan anemia adalah melalui konsumsi Tablet Tambah Darah (TTD). Namun, kepatuhan ibu hamil dalam mengonsumsi TTD masih rendah akibat kurangnya pemantauan dan dukungan pelayanan yang optimal. Kegiatan ini bertujuan untuk meningkatkan kepatuhan konsumsi TTD pada ibu hamil melalui implementasi kartu pemantauan mandiri yang dikombinasikan dengan pendekatan pelayanan prima dari tenaga kesehatan. Kegiatan dilaksanakan di Desa Bangun Rejo, Kecamatan Tanjung Morawa, Kabupaten Deli Serdang dengan melibatkan 15 ibu hamil trimester II dan III. Intervensi dilakukan dalam bentuk edukasi, distribusi kartu pemantauan konsumsi TTD, pendampingan kader. Evaluasi dilakukan melalui pre–post test, observasi penggunaan kartu, dan wawancara terstruktur. Terdapat peningkatan signifikan dalam kepatuhan konsumsi TTD, dari 33% menjadi 83% ibu hamil yang mengonsumsi ≥6 tablet per minggu setelah intervensi. Penggunaan kartu pemantauan efektif dalam membangun kesadaran dan keterlibatan ibu serta keluarga. Pelayanan prima yang diterapkan juga meningkatkan kepuasan ibu terhadap layanan kesehatan. Kombinasi kartu pemantauan mandiri dan pelayanan prima terbukti efektif dalam meningkatkan kepatuhan konsumsi TTD pada ibu hamil. Intervensi ini direkomendasikan untuk diterapkan secara lebih luas dalam upaya pencegahan anemia kehamilan. KATA KUNCI Kartu Suplementasi Zat Besi; Kepatuhan; Pelayanan Prima; Pemantauan Mandiri; Tablet Tambah Darah