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Analisis Faktor Hiperbilirubinemia pada Bayi Di RSUD dr. Gunawan Mangunkusumo Rieke Primasdika; Titi Mursiti; Riza Amalia; Sri Setiasih
Midwifery Care Journal Vol 4, No 4 (2023): October 2023
Publisher : Politeknik Kesehatan Kementrian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/micajo.v4i4.10522

Abstract

Hyperbilirubinemia is one of the most common clinical phenomena in newborns, where hyperbilirubinemia occurs in 60% of Neonatus 35 weeks and 80% of Neonatus 35 weeks. Many factors influence hyperbilirubinemia. Hyperbilirubinemia if not handled properly can have serious consequences such as: kernicterus, chore athetoid cerebral palsy, hearing and cognitive impairment. This study aims to analyze the factors associated with the occurrence of hyperbilirubinemia and determine the relationship between breastfeeding, type of childbirth, birth weight, gestational age and asphyxia in infants at RSUD dr.Gunawan Mangunkusumo. This research is an analytical research with a cross sectional design. The sampling technique used total sampling, with a total of 52 infans as the sample size. Univariate data analysis was conducted using frequency distribution and bivariate analysis was performed using the chi-square test. The results of the univariate analysis showed that 65.4% of the infants with breastfeeding were fulfilled, 61.5% of action childbirth, 57.7% of normal birth weight, 53.8% of term gestational and 59.6% of asphyxia. There was a relationship between breastfeeding with a ρ-value of 0.014, there was no relationship with the types of childbirth with a ρ-value of 0.628, there was a relationship between birth weight and a ρ-value of 0.038, there was a relationship between gestational age with a ρ-value of 0.016, there was no relationship between asphyxia and a ρ-value 0.226 with the occurrence of hyperbilirubinemia. It is hoped that health workers will be more proactive in providing motivation and education to postpartum mothers and their families about breastfeeding and signs of hyperbilirubinemia symptoms as an effort to prevent and early detect hyperbilirubinemia
PENINGKATAN PENGETAHUAN TENTANG PELAYANAN KB DIMASA PANDEMI COVID 19 Budi Astyandini; Khobibah Khobibah; Mimi Ruspita; Titik Sapartinah; Ana Sundari; Sri Setiasih; Heny Rosiana; Tri Nurhidayati; Titi Mursiti; Sayidah Sayidah; Alimatul Mahmudah
BINAKES: Jurnal Pengabdian Kesehatan Masyarakat Vol 2 No 2 (2022): Jurnal Binakes
Publisher : Poltekkes Kemenkes Jambi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35910/binakes.v2i2.567

Abstract

ABSTRAKLatar Belakang: Pelayanan KB pada masa pandemic mengalami perubahan yang dilaksanakan sesuai dengan protocol Kesehatan yang diberlakukan oleh pemerintah selama masa Pandemi. Masih banyak masyarakat yang belum memahami prosedur pelayanan akseptor dimas pandemic . Metode: kegiatan ini berlangsung pada tanggal 27 Juni 2020 di Laborat UPP Poltekkes Semarang Kampus Kendal . dimulai dengan kegiatan pre test,lalu pemberian penyuluhan Kesehatan tentang pedoman pelayanan akseptor KB dimasa Pandemi Covid 19 secara luring dilaksanakan oleh seluruh dosen kebidananan bekerjasama dengan PC IBI Kabuapten Kendal, DP2KBP2PA Kendal dan tim pengawal kodim Kabupaten Kendal. Dilanjutkan diskusi pelayanan akseptor dan diakhiri post test.Hasil: pengetahuan akseptor tentang pelayanan KB dimasa pandemic meningkat menjadi baik 75 % Kesimpulan: Penyuluhan Kesehatan yang dilakukan secara langsung dapat meningkatkan pengetahuan akseptor tentang pelayanan KB di masa Pandemi yang akan menurunkan angka kegagalan KB selama masa pandemic covid 19. ABSTRACTBackground: Family planning services during the pandemic underwent changes which were carried out in accordance with the Health protocol imposed by the government during the Pandemic. There are still many people who don't understand the acceptor service procedure during the pandemicMethods: This activity took place on 27 June 2020 at the UPP Poltekkes Semarang Health Laboratory, Kendal Campus. starting with pre-test activities, then providing health education about family planning acceptor service guidelines during the Covid 19 Pandemic offline carried out by all midwifery lecturers in collaboration with PC IBI Kendal Regency, Kendal DP2KBP2PA and the Kendal District Kodim guard team. Followed by a discussion of acceptor services and ended with a post testResults: knowledge of acceptors about family planning services during the pandemic increased to 75%Conclusion: Health counseling that is carried out directly can increase acceptors' knowledge about family planning services during the pandemic which will reduce the number of family planning failures during the covid 19 pandemic.
Hubungan Pengetahuan Ibu Dan Dukungan Suami Terhadap Sikap Relaktasi Sri Setiasih; Nurmalita Sari Susanti; Titi Mursiti; Dhita Aulia Octaviani
Midwifery Care Journal Vol 5, No 1 (2024): January 2024
Publisher : Politeknik Kesehatan Kementrian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/micajo.v5i1.10916

Abstract

The implementation of exclusive breastfeeding for infants from 0 to 6 months old has been recommended by WHO since 2002, but the implementation of exclusive breastfeeding is still relatively low. According to Indonesian health data, the  exclusive breastfeeding rate in Central Java province is only 67.4%,  still lower than the national target of 71.58%  This is a reference for regional authorities, especially health workers in Central Java, to evaluate and develop strategic plans to promote exclusive breastfeeding. One solution to increasing breast milk production is to react. Re-breastfeeding is an attempt to breastfeed again after a long period of cessation of breastfeeding. The purpose of this study was to determine the relationship between mothers' knowledge and husbands' support on attitudes toward breastfeeding. This study was performed in the working area of the Lerep Medical Center using a horizontal method. The study population included mothers who did not exclusively breastfeed their infants and whose infants were 0 to 6 months old. The sampling technique was to sample a total  of 71 respondents. Research results  using the chi-square test show that there is an association between the mother's knowledge and her husband's support with rebirth attitudes with p-value = 0.001.
The Effect Of Aloe Vera Compress On Reducing Body Temperature In Children With Fever After Pentavalent Dpt Immunization Setiasih, Sri; Setiasih, Sito; Yuliani, Diki Retno
JKM (Jurnal Kebidanan Malahayati) Vol 11, No 10 (2025): Volume 11 No 10 Oktober 2025
Publisher : Program Studi Kebidanan Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkm.v11i10.22951

Abstract

Background: The incidence of Adverse Events Following Immunization (KIPI) at Kalibagor Public Health Center from January to October 2022 reached 10 cases, distributed across eight villages in Kalibagor Subdistrict. All cases were managed properly without resulting in permanent physical disability. The most common AEFI was fever in children following DPT-Pentavalent immunization. Efforts to reduce fever after DPT-Pentavalent immunization include pharmacological and non-pharmacological therapies. One of the non-pharmacological interventions is compress therapy, which can be independently applied by nurses or parents. Compresses do not necessarily require warm water; an alternative method is aloe vera compress. Aloe vera compress works through conduction, as the water content in aloe vera gel absorbs body heat, transferring heat from the child’s body into the aloe vera. Conduction occurs between the aloe vera and surrounding tissues, including blood vessels, thereby lowering body temperature. The cooled blood then circulates throughout the body, continuing the conduction process until the body temperature decreases.Objective: To analyze the effect of aloe vera compresses on reducing body temperature in children experiencing fever after DPT-Pentavalent immunization, to describe body temperature before and after aloe vera compress application, and to examine the significance of the intervention on temperature reduction.Methods: This study employed a quantitative approach with a quasi-experimental design using a one-group pretest–posttest method. Body temperature was measured twice, before and after aloe vera compress application. The study population consisted of all infants aged 2–4 months in January 2023 who received DPT-Pentavalent immunization in Kaliori Village, Kalibagor Public Health Center, Banyumas Regency. In April 2023, there were 32 infants aged 2–4 months, all of whom were included as the research sample. Research instruments included a digital thermometer, informed consent forms, observation sheets, and standard operating procedures (SOPs) for aloe vera compress application.Results: Prior to aloe vera compress application, all infants developed fever (temperature >37.5°C) after DPT-Pentavalent immunization. Following the intervention, most infants (20 infants; 62.5%) returned to normal body temperature, while 12 infants (37.5%) still had fever. The Kolmogorov–Smirnov normality test showed a significance value of 0.000, indicating non-normal data distribution (p < 0.05). Therefore, the Wilcoxon signed-rank test was applied, yielding a p-value of 0.0001 (p < 0.005). This result indicates a significant difference in body temperature before and after aloe vera compress application.Conclusion: Aloe vera compress application significantly reduces body temperature in children with fever following DPT-Pentavalent immunization. 
Analisis Faktor Hiperbilirubinemia pada Bayi Di RSUD dr. Gunawan Mangunkusumo Primasdika, Rieke; Mursiti, Titi; Amalia, Riza; Setiasih, Sri
Midwifery Care Journal Vol. 4 No. 4 (2023): October 2023
Publisher : Politeknik Kesehatan Kementrian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/micajo.v4i4.10522

Abstract

Hyperbilirubinemia is one of the most common clinical phenomena in newborns, where hyperbilirubinemia occurs in 60% of Neonatus >35 weeks and 80% of Neonatus <35 weeks. Many factors influence hyperbilirubinemia. Hyperbilirubinemia if not handled properly can have serious consequences such as: kernicterus, chore athetoid cerebral palsy, hearing and cognitive impairment. This study aims to analyze the factors associated with the occurrence of hyperbilirubinemia and determine the relationship between breastfeeding, type of childbirth, birth weight, gestational age and asphyxia in infants at RSUD dr.Gunawan Mangunkusumo. This research is an analytical research with a cross sectional design. The sampling technique used total sampling, with a total of 52 infans as the sample size. Univariate data analysis was conducted using frequency distribution and bivariate analysis was performed using the chi-square test. The results of the univariate analysis showed that 65.4% of the infants with breastfeeding were fulfilled, 61.5% of action childbirth, 57.7% of normal birth weight, 53.8% of term gestational and 59.6% of asphyxia. There was a relationship between breastfeeding with a ρ-value of 0.014, there was no relationship with the types of childbirth with a ρ-value of 0.628, there was a relationship between birth weight and a ρ-value of 0.038, there was a relationship between gestational age with a ρ-value of 0.016, there was no relationship between asphyxia and a ρ-value 0.226 with the occurrence of hyperbilirubinemia. It is hoped that health workers will be more proactive in providing motivation and education to postpartum mothers and their families about breastfeeding and signs of hyperbilirubinemia symptoms as an effort to prevent and early detect hyperbilirubinemia
Hubungan Pengetahuan Ibu Dan Dukungan Suami Terhadap Sikap Relaktasi Setiasih, Sri; Susanti, Nurmalita Sari; Mursiti, Titi; Octaviani, Dhita Aulia
Midwifery Care Journal Vol. 5 No. 1 (2024): January 2024
Publisher : Politeknik Kesehatan Kementrian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/micajo.v5i1.10916

Abstract

The implementation of exclusive breastfeeding for infants from 0 to 6 months old has been recommended by WHO since 2002, but the implementation of exclusive breastfeeding is still relatively low. According to Indonesian health data, the  exclusive breastfeeding rate in Central Java province is only 67.4%,  still lower than the national target of 71.58%  This is a reference for regional authorities, especially health workers in Central Java, to evaluate and develop strategic plans to promote exclusive breastfeeding. One solution to increasing breast milk production is to react. Re-breastfeeding is an attempt to breastfeed again after a long period of cessation of breastfeeding. The purpose of this study was to determine the relationship between mothers' knowledge and husbands' support on attitudes toward breastfeeding. This study was performed in the working area of the Lerep Medical Center using a horizontal method. The study population included mothers who did not exclusively breastfeed their infants and whose infants were 0 to 6 months old. The sampling technique was to sample a total  of 71 respondents. Research results  using the chi-square test show that there is an association between the mother's knowledge and her husband's support with rebirth attitudes with p-value = 0.001.
Pelayanan Kesehatan Pada Korban Banjir Sebagai Upaya Rehabilitasi Pasca Bencana Khobibah, Khobibah; Rosiana, Heny; Ruspita, Mimi; Sapartinah, Titik; Astyandini, Budi; Setiasih, Sri; Sundari, Ana; Isharyanti, Septalia
Jurnal LINK Vol 19 No 2 (2023): NOVEMBER 2023
Publisher : Pusat Penelitian dan Pengabdian kepada Masyarakat, Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/link.v19i2.9137

Abstract

Indonesia adalah salah satu kawasan rawan bencana banjir, hal ini ditinjau dari karakteristik geografis dan geologis wilayah. Banjir merupakan bencana yang bersifat hidrometeorologis yang kejadiannya sering terjadi di Indonesia Bencana Banjir terjadi di Dusun Karanggantung, Desa Sojomerto Kecamatan Gemuh, Kabupaten Kendal akibat curah hujan yang tinggi. Hal ini menimbulkan dampak pada masyarakat termasuk ibu hamil, anak -anak dan perempuan. Kegiatan pengabdian ini merupakan rehabilitasi pasca bencana dengan melakukan pelayanan kesehatan yang diberikan kepada Ibu hamil, anak balita dan Wanita Usia Subur (WUS). Bencana tersebut memberikan dampak pada korban kelompok rentan Ibu dan anak, sehingga memerlukan penanganan dan pemulihan baik secara fisik maupun psikis. Metode yang dilakukan dengan pendampingan melalui pemeriksaan dan penyuluhan pada ibu hamil, bermain dengan alat permainan edukatif, edukasi cara cuci tangan yang benar pada anak – anak dan pelayanan kontrasepsi pada wanita usia subur.
Duta Gemitasi (Gemar Minum Tablet Besi) Pada Remaja Dalam Pencegahan Stunting Setiasih, Sri; Mursiti, Titi; Sundari, Ana
Jurnal Perak Malahayati: Pengabdian Kepada Masyarakat Vol 7, No 2 (2025): Volume 7 Nomor 2 November 2025
Publisher : Program Studi Kebidanan Fakultas Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jpmpkm.v7i2.23406

Abstract

Pendahuluan: program Gerakan Minum Tablet Fe Serentak di Kabupaten Kendal hanya dilakukan 1 bulan sekali tersebut tidak berjalan dengan baik di sekolah masing – masing. Sesuai dengan anjuran Kementerian Kesehatan upaya yang dapat dilakukan adalah dengan mempersiapkan sejak dini dengan di mulai dari remaja yang sehat, tidak mengalami anemia dengan menganjurkan remaja putri untuk mengonsumsi tablet tambah darah selama menstruasi dan dilanjutkan satu tablet per minggu selama satu tahun, minimal remaja mengonsumsi tablet tambah darah sebanyak 48 tablet per tahun. Penyiapan SDM berkualitas unggul bisa dimulai sejak usia dini, sejak dalam kandungan, bahkan dapat ditarik lebih jauh saat masih remaja. Memanfaatkan kaderisasi atau pendidikan oleh teman sebaya, diharapkan pengetahuan tentang pentingnya konsumsi tablet Fe seperti investasi pada diri kita di masa depan untuk menjadi keluarga sehat. sehingga pendampingan kepada remaja putri melalui edukasi dan pembentukan Duta GEMITASI (Gerakan Minum Tablet Besi) untuk menjadi pendamping dan pengawas remaja minum tablet Fe bagi teman sebaya.Tujuan: terbentuknya duta remaja siaga untuk bisa mempromosikan atau mengarahkan remaja – remaja di minum tablet Fe (Besi). Remaja ini nantinya akan menjadi kader bagi teman sebaya di lingkungan Kelurahan Bandengan untuk terus memberikan kaderisasi tentang pentingnya minum Tablet Fe dalam rangka mencegah stuntingMetode: penyuluhan kepada para remaja dan kader serta membentuk Remaja Siaga. Sasaran pengabdian adalah kader kesehatan dan remaja di kelurahan Bandengan. Mulai dari persiapan, yaitu perizinan dan koordinasi, pelaksanaan dengan metode edukasi dan praktik lapangan, serta monitoring dan evaluasi dengan cara membuat video praktik edukasi minum tablet Fe dengan teman sebayaHasil: Kegiatan ini diikuti oleh 20 remaja dari perwakilan 5 RW yang menjadi sasaran utama program, dengan rangkaian acara yang terdiri atas pretest, pemberian edukasi kesehatan, sesi diskusi interaktif, post test, dan praktik lapangan. Kemudian untuk remaja wanita dibagikan juga tablet Fe agar diharapkan bisa menjadi teladan dan menyebarkan informasi tentang manfaat Tablet Fe.  Kesimpulan: Kegiatan PkM Duta GEMITASI berhasil meningkatkan pengetahuan dan kesadaran remaja tentang pentingnya konsumsi tablet Fe secara rutin sebagai langkah pencegahan anemia dan stunting, serta menunjukkan bahwa pendekatan peer education efektif dalam membangun kebiasaan sehat di kalangan remaja.
Peer Group Remaja Siaga: Mencegah Pernikahan Dini, Menurunkan Stunting Menuju Kelurahan Bandarharjo Bebas Stunting Ariyanti, Ida; Ngadiyono, Drs.; Setiasih, Sri; Prastika, Dewi Andang
Jurnal Perak Malahayati: Pengabdian Kepada Masyarakat Vol 7, No 2 (2025): Volume 7 Nomor 2 November 2025
Publisher : Program Studi Kebidanan Fakultas Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jpmpkm.v7i2.23411

Abstract

Pendahuluan: Stunting masih menjadi salah satu permasalahan kesehatan masyarakat dengan prevalensi yang tinggi di Indonesia. Kondisi ini merupakan masalah gizi kronis yang berawal sejak masa kehamilan hingga usia dua tahun, dan dapat berdampak pada pertumbuhan fisik serta perkembangan kognitif anak. Di Kelurahan Bandarharjo, angka stunting cukup memprihatinkan dan erat kaitannya dengan masih tingginya angka pernikahan dini pada remaja. Pernikahan pada usia muda menyebabkan kehamilan berisiko tinggi yang berkontribusi pada lahirnya bayi dengan status gizi buruk, sehingga memperparah kejadian stunting.Tujuan: Kegiatan pengabdian kepada masyarakat ini bertujuan untuk meningkatkan pemahaman dan kesadaran remaja mengenai bahaya pernikahan dini serta kaitannya dengan kejadian stunting, sekaligus membangun jejaring peer group remaja yang berperan sebagai agen perubahan di lingkungannya.Metode: Program dilaksanakan melalui beberapa tahapan, yaitu identifikasi masalah kesehatan remaja di Kelurahan Bandarharjo, penyusunan materi edukasi kesehatan reproduksi, koordinasi dengan perangkat desa dan karang taruna, pelaksanaan kegiatan berupa edukasi langsung kepada remaja, pembagian buku saku ber-ISBN sebagai panduan praktis, serta pembentukan peer group remaja siaga di tiap RW. Selanjutnya dilakukan monitoring dan evaluasi untuk menilai efektivitas peer group dalam menjalankan peran edukasi sebaya terkait pencegahan pernikahan dini dan stunting.Hasil: Kegiatan menghasilkan terbentuknya peer group remaja siaga cegah pernikahan dini di seluruh RW di Kelurahan Bandarharjo. Selain itu, disusun buku saku ber-ISBN sebagai media edukasi yang dapat digunakan secara berkelanjutan, baik dalam bentuk cetak maupun digital. Hasil monitoring menunjukkan peningkatan pengetahuan dan kesadaran remaja mengenai risiko pernikahan dini dan stunting, serta adanya komitmen remaja untuk menjadi pelopor pencegahan di lingkungannya.Kesimpulan: Peer group terbukti efektif sebagai media edukasi sebaya dalam menyampaikan pesan kesehatan, khususnya dalam upaya mencegah pernikahan dini dan menurunkan risiko stunting di masyarakat.