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The Effect of Accupressure on Hyperemesis Gravidarum and Birth Delivery Pain in Pregnant Women: A Meta Analysis Fitriana, Alfira; Kristiyanto, Agus; Prasetya, Hanung
Journal of Maternal and Child Health Vol. 6 No. 3 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Background: Nausea and vomiting in pregnancy is a common condition experienced by 50-80% of pregnant women between 6 to 12 weeks of pregnancy. Acupressure stimulation can stimulate and increase blood circulation and vital energy, so as to maintain normal body functions. The purpose of this study was to determine the effect of acupressure on hyperemesis gravidarum and labor pain in pregnant and childbirth women. Subjects and Method: This was a meta-analysis and systematic study. The articles used were obtained from PubMed, Science Direct and Google Scholar. The inclusion criteria used were full text articles with Randomized Control Trial (RCT) design. Research subjects are pregnant women or giving birth. The intervention given was acupressure with the comparison not being given acupressure or fake acupressure, articles published in English and Indonesian. The PICO research problems were as follows: Population= pregnant women and childbirth, Intervention= giving acupressure, Comparison= sham acupressure or without acupressure, Outcome= reduced intensity of nausea and vomiting and labor pain. The study was conducted using an effect size (Standardized Mean Difference). Meta-analysis was carried out using RevMan 5.3 with a random effect model. Results: A total of 20 articles were reviewed in a meta-analysis in this study. Meta-analysis of 9 articles showed acupressure was effective in reducing hyperemesis gravidarum. Pregnant women who received acupressure therapy experienced hyperemesis gravidarum 0.8 units lower than those without acupressure (SMD=-0.84; 95% CI= -1.18 to -0.5; p<0.001). A meta-analysis of 11 articles showed that acupressure was effective in reducing labor pain. Pregnant women who received acupressure therapy experienced labor pain 1.8 units lower than without acupressure (SMD= -1.83; 95% CI= -2.37 to -1.29; p < 0.001). Conclusion: Acupressure can reduce the intensity of nausea and vomiting in pregnant women who experience hyperemesis gravidarum as well as the intensity of labor pain in pregnant women.

PENYULUHAN IBU HAMIL TERHADAP PENURUNAN ANGKA RISIKO TINGGI DALAM KEHAMILAN Stianto, Mitayakuna; Fitriana, Alfira; Fatimah, Siti
Jurnal Perak Malahayati: Pengabdian Kepada Masyarakat Vol 6, No 1 (2024): Volume 6 Nomor 1 Mei 2024
Publisher : Program Studi Kebidanan Fakultas Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jpm.v6i1.15102

Di Indonesia Kategori risiko tinggi berdasarkan data dari Badan Kependudukan dan Keluarga Berencana Nasional (BKKBN) tahun 2020,risiko tinggi tunggal (4 Terlalu) mencapai 22,4% dengan rincian jarak kelahiran <24 bulan sebesar 5,2%, umur ibu 34 tahun sebesar 3,8%, dan jumlah anak yang terlalu banyak (>3 orang) sebesar 9,4%. Di Dusun Banggle, Desa Dapur Kejambon salah satu dusun di Wilayah Puskesmas Tambakrejo dimana tingkat kejadian kehamilan resiko tinggi masih agak tinggi. Sebagian besar ibu hamil yang didata mengalami resiko tinggi dalam kehamilannya, untuk tingkat pengetahuannya juga masih bisa dibilang masih rendah sehingga tingkat kejadiannya tinggi. Luaran wajib adalah publikasi jurnal. Penyuluhan kepada ibu hamil tentang kehamilan resiko tinggi. Sebelum acara penyuluahan, berdasarkan survey dilapangan yaitu tingkat pengetahuan ibu hamil masih rendah, sedangkan setelah dilakukan penyuluhan tingkat pengetahuan ibu hamil meningkat menjadi baik

HUBUNGAN PEMBERIAN ASI EKSKLUSIF TERHADAP PENINGKATAN BERAT BADAN BALITA USIA 0-6 BULAN: HUBUNGAN PEMBERIAN ASI EKSKLUSIF TERHADAP PENINGKATAN BERAT BADAN BALITA USIA 0-6 BULAN Fitriana, Alfira; Lianawati, Feni; Rahayu, Yustina
WELL BEING Vol 7 No 1 (2022): Well Being
Publisher : LPPM STIKes Bahrul Ulum Jombang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51898/wb.v7i1.230

An increase in toddler weight is an increase that is quite likely to increase in weight every day. With the increase in toddler weight gain, toddlers should be given breast milk without other complementary foods, for example (PASI) at the age of 0-6 months. The purpose of this study was to determine the relationship of exclusive breastfeeding to the increase in body weight of toddlers aged 0-6 months. the method uses correlational analytics . The population of all mothers who have toddlers aged 0-6 months in Puton Village, Diwek District, Jombang Regency with a sample size of 55 toddlers with total sampling / saturated sample techniques. This study was measured using a questionnaire and analysed using the spearman rank correlation test. The results showed that all respondents experienced weight loss due to lack of breastfeeding, mothers thought that giving breast milk was unusual. From the results of the analysis obtained significant (sig) ρ value = 0.000, with (α) error rate (5% or 0.05) so (ρ < α = 0.05) this means H0 is rejected and H1 is accepted, with R = 0.945 which means there is a relationship between exclusive breastfeeding on increasing body weight of toddlers aged 0-6 months.

DESCRIPTION OF THE KNOWLEDGE OF BREASTFEEDING MOTHERS WHO WORK IN PROVIDING EXCLUSIVE BREASTFEEDING AT BPM UMI SALAMAH PETERONGAN JOMBANG: DESCRIPTION OF THE KNOWLEDGE OF BREASTFEEDING MOTHERS WHO WORK IN PROVIDING EXCLUSIVE BREASTFEEDING AT BPM UMI SALAMAH PETERONGAN JOMBANG Fatimah, Siti; Fatma, Inge Devita; Fitriana, Alfira
WELL BEING Vol 7 No 1 (2022): Well Being
Publisher : LPPM STIKes Bahrul Ulum Jombang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51898/wb.v7i1.231

WHO mengeluarkan standar pertumbuhan anak yang kemudian di terapkan di seluruh dunia isinya adalah menekankan pentingnya ASI sajak pada bayi sejak lahir sampai usia 6 bulan setelah itu barulah bayi mulai di berikan makanan pendamping ASI sambil tetap di susui hingga usianya mencapai 2 tahun. Tujuan dari penelitian ini adalah untuk mengetahui gambaran pengetahuan ibu menyusui yang bekerja dalam pemberian ASI Eksklusif di BPM Umi Salamah Peterongan Jombang. Metode : Desain penelitian yang digunakan adalah deskriptif analitik untuk memperoleh gambaran tentang pengetahuan ibu menyusui yang bekerja dalam memberikan ASI secara eksklusif. Populasi dalam penelitian ini adalah seluruh ibu menyusui yang bekerja yang tinggal di wilayah Peterongan Jombang yang berjumlah 40 responden. Teknik sampling yang digunakan adalah total sampling dan pengumpulan data menggunakan kuisioner untuk selanjutnya di analisis menggunakan distribusi frekuensi. Hasil : Berdasarkan hasil penelitian dari 40 responden hampir setengah dari responden berumur 26–30 tahun (35%), sebanyak 38 responden (95%) yang bekerja, hampir setengah responden ibu menyusui berpendidikan SD (40%), seluruh responden mendapatkan informasi tentang pemberian ASI Eksklusif dan sebagian besar responden berpengetahuan kurang (55%).

PENGARUH INISIASI MENYUSU DINI TERHADAP KEBERHASILAN ASI EKSKUSIF: THE EFFECT OF EARLY BREASTFEEDING INITIATION ON THE SUCCESS OF EXCLUSIVE BREASTFEEDING Stianto, Mitayakuna; Fitriana, Alfira; Fatma, Inge Devita; Bachtiar, Ayu Mayhesa Gumilang Rizki
WELL BEING Vol 9 No 1 (2024): Well Being
Publisher : LPPM STIKes Bahrul Ulum Jombang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51898/wb.v9i1.249

Introduction: Early initiation of breastfeeding (IMD) is the process of breastfeeding the baby immediately after birth, where the baby is allowed to find the mother's nipple alone (not offered the nipple). IMD will greatly assist in the continuation of exclusive breastfeeding. The success factor is also strongly influenced by the attitude, knowledge and motivation of the midwife/doctor of the labor helper. The failure factor in the implementation of IMD is influenced by several factors, among others, the birth mother faces many obstacles to perform IMD on the baby who is born at the place of delivery, the lack of support provided by the family, as well as the number of mothers who have not been equipped with sufficient knowledge about the benefits of IMD implementation. Objective: to determine the effect of early breastfeeding initiation on the success of exclusive breastfeeding. Methods: literature review was conducted based on issues, methodology, similarities and research proposals. Results: Of the 10 studies used, 1 of them used analytic methods and 6 others used cross sectional methods and 3 others used case control. Conclusion: IMD affects the success of exclusive breastfeeding.

Factors Affecting Nutritional Status Of Toddler Under The Red Line At Tambakrejo Health Center, Jombang District, Jombang District Stianto, Mitayakuna; Fitriana , Alfira; Rahayu , Yustina
Innovative: Journal Of Social Science Research Vol. 3 No. 2 (2023): Innovative: Journal Of Social Science Research
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/innovative.v3i2.8665

Health and nutrition problems are often encountered during childhood, especially the toddler period (ages 1-5 years) which can be manifested as toddlers with BGM (BawahGarisMerah) on the KMS (KartuMenujuSehat), if the toddler is below the red line on the KMS toddler is malnourished, this is known from toddlers who are weighed at the Posyandu. The purpose of this study was to determine the factors that influence nutritional status in toddlers under the red line at Puskesmas Tambakrejo Jombang District Jombang Regency. This study used descriptive research methods using questionnaires and interviews. Data obtained by distributing questionnaires to 14 respondents with total sampling technique, the research was conducted on 06 to 13 March 2023. The results showed that the factors affecting nutritional status in toddlers below the red line are food factors, namely the lack of consumption of food ingredients that contain balanced nutrition and the lack of balance between the four sub-factors in it. The results showed that the most dominant factors that caused the occurrence of toddlers with BGM were food factors and economic factors. It is expected for respondents to be able to provide food with the type of food and the number of meals in accordance with the nutritional adequacy of 1-3 years of age per day in food according to household size (URT). In order to give time and attention to their children and also check their children in the nutrition department because most of their children are the type of children who are difficult to accept food.

FAKTOR RESIKO KEJADIAN KETUBAN PECAH DINI PADA KEHAMILAN: LITERATURE REVIEW Alfira fitriana; Siti Fatimah; Mitayakuna Stianto; Melinda Damayanti
Jurnal Insan Cendekia Vol 10 No 1 (2023): Jurnal Insan Cendekia
Publisher : STIKES Insan Cendekia Medika Jombang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35874/jic.v10i1.1137

Pendahuluan : Ketuban Pecah Dini (KPD) merupakan kondisi pecahnya selaput pada ketuban sebelum tahap bersalin. KPD tetap menjadi disease of materi dikarenakan belum dimengerti penyebab yang pasti, tetapi terdapat beberapa keadaan internal/ eksternal nan dicurigai berkaitan pada KPD. Pemicu internal penyebab pada KPD meliputi paritas, umur ibu, inkompetensi serviks, polihidramnion maupun presentasi pada janin. Komplikasi penyebab KPD yaitu terinefeksi pada persalinan maupun nifas, partus yang lama, tindakan operatikf obstetric mengalami peningkatan. Di Dunia angka terjadinya KPD mencapai 1,.3%. Pada kondisi stabil 8-10% wanita hamil aterm mengalami KPD. Tujuan : Untuk mengetahui faktor risiko terjadinya ketuban pecah dini pada kehamilan. Subjek dan Metode : Pengamatan tersebut merupakan pembelajaran literatur dari bermacam artikel jurnal internasional dan nasional. Pencarian artikel menggunakan database: PubMed, dan Google Scholar. Metode ini bertujuan dalam penambahan untuk memahami tentang topik yang dibahas dengan cara topik pembahasan dirangkum. Metode tersebut bisa memberi informasi realita/ analisis serta tinjuan literature memberi rangkuman publik yang baik maupun relevan selanjutnya pembandingan hasil yang disajikan pada artikel. Hasil : dari 10 artikel nasional maupun internasional didapatkan bahwa faktor resiko terjadinya KPD diantaranya adalah paritas, riwayat KPD, usia ibu, jarak kehamilan, anemia, status pekerjaan, infeksi, paparan asap dan perilaku merokok. Dan ada beberapa artikel yang di dapat bahwa faktor yang tidak berhubungan dengan KPD diantaranya kehamilan kembar,riwayat keturunan, status keguguran, letak janin, pembesaran uterus, umur kehamilan, dan DKP. Kesimpulan : Faktor penyebab KPD yang paling banyak di sebabkan karena paritas, riwayat KPD, usia ibu, jarak kehamilan, status pekerjaan, anemia, infeksi

Peningkatan Pengetahuan Melalui Edukasi Pada Ibu Hamil Tentang Pentingnya Suplemen Zat Besi dan Asam Folat di Desa Dapur Kejambon Kabupaten Jombang Alfira Fitriana
Jurnal Abdi Medika Vol 3 No 1 (2023): Jurnal Abdi Medika Mei 2023
Publisher : INSTITUT TEKNOLOGI SAINS DAN KESEHATAN INSAN CENDEKIA MEDIKA JOMBANG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35874/jam.v3i1.1183

Anemia adalah salah satu penyebab Angka Kematian Ibu (AKI) di Indonesia. Penyebab dari anemia pada ibu hamil adalah karena kekurangan zat besi. Oleh karena itu ibu hamil wajib mengkonsumsi suplemen zat besi dan asam folat 90 tablet selama kehamilan untuk mengurangi angka kejadian anemia. Untuk meningkatkan kerutinan ibu dalam mengkonsumsinya maka perlu dilakukan pemberian edukasi kepada ibu hamil tentang pentingnya suplemen zat besi dan asam folat secara teratur. Tujuan dari kegiatan ini adalah untuk meningkatkan pengetahuan ibu tentang pentingnya suplemen zat besi dan asam folat. Metode yang digunakan adalah penyuluhan dengan pre test dan post test menggunakan kuisioner tentang suplemen zat besi dan asam folat. Pesertanya adalah 18 ibu hamil di desa Dapur Kejambon Jombang. Waktu kegiatan pengabdian masyarakat adalah pada bulan Januari 2023. Hasil kegiatan ini adalah hasil pre test sebelum dilakukan penyuluhan diketahui bahwa sebagian besar ibu hamil mempunyai tingkat pengetahuan tentang suplemen zat besi dan asam folat yang kurang yaitu sebanyak 12 dari 18 ibu hamil (66.67 %). Sedangkan hasil post test setelah diberikan edukasi sebagian besar ibu hamil mempunyai tingkat pengetahuan tentang suplemen zat besi dan asam folat yang Baik yaitu sebanyak 15 dari 18 ibu hamil (83.33%). Dapat disimpulkan bahwa setelah diberikan edukasi terjadi peningkatan pengetahuan ibu hamil tentang pentingnya supplement zat besi dan asam folat selama kehamilan sehingga diharapkan ibu lebih rutin untuk mengkonsumsi supplement zat besi dan asam folat selama kehamilannya.

PENGARUH PEMBERIAN JUS JAMBU BIJI MERAH TERHADAP ANEMIA DALAM KEHAMILAN Fitriana, Alfira; Stianto, Mitayakuna; Fatimah, Siti; Fatma, Inge Devita; Santika, Tifani Hani
Jurnal Kesehatan Tambusai Vol. 6 No. 2 (2025): JUNI 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v6i2.44122

Tujuan penelitian ini adalah untuk mengetahui pengaruh pemberian jus jambu biji merah dan tablet Fe terhadap peningkatan kadar Hb pada ibu hamil trimester II dan III yang mengalami anemia. Penelitian ini menggunakan quasi-experiment dengan model pre-test dan post-test dengan kontrol group. Populasi adalah seluruh ibu hamil trimester II dan III yang mengalami anemia. Pengambilan sampel menggunakan total sampling sebanyak 56 responden yang sesuai dengan kriteria inklusi dan eksklusi yang dibagi menjadi 28 kelompok eksperimen dan 28 kelompok kontrol. Pengumpulan data dilakukan dengan mengukur kadar Hb sebelum dan Setelah dilakukannya pemberian jus jambu biji dengan tablet fe sebanyak 250ml/hari selama 14 hari pada kelompok eksperimen dan mengukur kadar Hb sebelum dan setelah dilakukannya pemberian tablet Fe saja selama 14 hari pada kelompok kontrol. Hasil analisis menggunakan uji t dependent menunjukkan bahwa terdapat perbedaan signifikan kadar hemoglobin (Hb) sebelum dan sesudah pemberian tablet Fe dan jus jambu biji merah pada ibu hamil di Puskesmas Tambakrejo Jombang. Hasil analisis rata-rata Hb pada ibu hamil kelompok intervensi sebelum diberikan jus jambu biji merah dan tablet Fe sebesar 10.39 gr/dl dan sesudah diberikan jus jambu biji merah plus tablet Fe sebesar 11.67 gr/dl. Sedangkan rata-rata Hb pada ibu hamil kelompok kontrol sebelum diberikan tablet Fe sebesar 10.45 gr/dl dan sesudah diberikan tablet Fe sebesar 11.31 gr/dl. Analisis bivariat didapatkan nilai p-value 0.000 (p<0.05). Dapat disimpulkan bahwa ada pengaruh yang signifikan antara konsumsi jus jambu biji merah dan tablet Fe terhadap peningkatan kadar Hb ibu hamil trimester II dan III yang mengalami anemia di wilayah kerja Puskesmas Tambekrejo Kabupaten Jombang.

FAKTOR RESIKO PREEKLAMSIA PADA IBU HAMIL: LITERATURE REVIEW: FAKTOR RESIKO PREEKLAMSIA PADA IBU HAMIL: LITERATURE REVIEW Stianto, Mitayakuna; fitriana, Alfira; Fatimah, Siti
WELL BEING Vol 7 No 1 (2022): Well Being
Publisher : LPPM STIKes Bahrul Ulum Jombang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51898/wb.v7i1.153

Background: The maternal mortality rate in Indonesia in 2020 reached 462 per 100,000 live births. Preeclampsia is some specific symptoms that only appear during pregnancy at 20 weeks of gestation (except for trophoblastic problems), these symptoms include hypertension accompanied by the presence of protein in the urine. The impact of preeclampsia on pregnant women can cause a decrease in consciousness, if preeclampsia is severe it can be accompanied by seizures. The purpose of this study is to determine the risk factors that influence the occurrence of preeclampsia. Subjects and Methods: This was a literature reviews study. The articles used were obtained from PubMed, and Google Scholar. Several passwords were used: "pregnant women" OR "mothers in labor" AND preeclampsia OR eclampsia OR eclampsia AND "risk factors" OR "risk factors" This method aims to increase understanding of the topics discussed by summarizing the topics to be discussed. This method provides insight into new facts/analyses as well as a literature review providing a summary of good and relevant publications that are further compared with the results that have been presented in the article. Results: of 11 articles that met the inclusion and exclusion criteria, 8 articles with a case-control study design, 2 cross-sectional articles, and 1 retrospective cohort study article. Conclusion: Risk triggers that have a relationship with the incidence of preeclampsia include the age of pregnant women at risk for nulliparity, primigravida, economic factors, previous history of preeclampsia, parity, level, education, use of ANC, gestational period, BMI before pregnancy, history of abortion, history of hormonal contraceptive use, Heredity, Multiple pregnancies, Medical history (chronic hypertension, diabetes, kidney disease, and obesity), Hypertension, Diabetes, Obesity

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