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Intervention of Kusuma Milk-Shake Drink on Cervical Dilatation and Duration of Labor: Experience from Bengkulu, Indonesia Dwie Yunita Baska; Elly Elly Wahyuni; Nispi Yulyana
Althea Medical Journal Vol 10, No 1 (2023)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15850/amj.v10n1.2824

Abstract

Background: Labor processes require energy consumption regulated by a complex nervous system and hormonal response. Thus, the intensity of maternal nutritional intake since pregnancy should be highly considered for physiological delivery. Nutrients that are high in energy and provide fast-decomposing glucose intake should be chosen by the mothers. Kusuma is a kind of drink made from dates, milk, and honey. This study aimed to analyze the effect of Kusuma milk-shake drink implementations on cervical dilatation and duration of labor.Methods: An experimental study was conducted by post-test only with a controlled group design, including 34 mothers with term pregnancy, which was intervention groups and controls. A completely randomized design in two different places was conducted. Data were analyzed using Shapiro-wilk, independent sample T-test, and Mann-Whitney. Results: There was a significant effect of Kusuma milk-shake implementation on cervical dilatation (p=0.000). The dilatation process was found to be 5.5 times faster, and the duration of labor (p=0.000) was observed to be 9.7 hours faster than the control group.Conclusions: Implementation of the Kusuma milk-shake has a significant effect on the acceleration of cervical dilation and the duration of labor. This research is expected to improve the quality of midwifery services as an effort to realize the concept of a Continuum of Obstetric Care.
The Importance of Using Bra Breast Care (BBC) to Overcome Nipple Problems in Postpartum Mothers in Praktik Mandiri Bidan (PMB) Elly Wahyuni; Lusi Andriani; Epti Yorita; Sri Yanniarti
DIKDIMAS : Jurnal Pengabdian Kepada Masyarakat Vol. 1 No. 3 (2022): DIKDIMAS : JURNAL PENGABDIAN KEPADA MASYARAKAT  VOL 1 NO 3 DECEMBER 2022
Publisher : CV Media Inti Teknologi

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (632.633 KB) | DOI: 10.58723/dikdimas.v1i3.46

Abstract

Mother's Milk is the best food for newborns and is the only healthy food that babies need in the first months of life. Breastfeeding has many benefits for both mother and baby. One of the obstacles to breastfeeding is problems with the mother's breasts because it gives difficulties for the baby to breastfeed, including flat, sunken and blistered nipples.Research conducted by Jannah, et al (2018) thatthe duration of successful breastfeeding in the intervention group given the BBC was a minimum of 3 and a maximum of 6 days, while in the control group given a nipple puller it was longer, namely a minimum of 6 days and a maximum of 22 days. The statistical test results showed that there was a significant difference in the mean duration of successful breastfeeding in mothers with inverted nipples given the BBC modification with a p=0.00, the mean difference being 9.4. This means that the use of the BBC modification can accelerate the success of breastfeeding in mothers with inverted nipples 9.4 times compared to mothers with nipple puller intervention. This community service activity method uses an approach to increasing knowledge, skills through webinar zoom meetings and training. The results of filling out the pre and post test questionnaires showed that the average pretest value was 66, 76 to 85.44 with an increase in knowledge of 21.86%. In conclusion, there is an increase in the knowledge and skills of alumni to produce BBC which can be seen in the video on the process of making the BBC and there is an additional type of service at PMB, namely BBC marketing. It is recommended that PMB and alumni open businesses and have an entrepreneurial spirit so that they can create job opportunities for other alumni and provide services to breastfeeding mothers who have problems with flat, sunken and chafed nipples.
Efforts to Increase Knowledge Through Health Education on Breast Self-Examination Skills in Women of Childbearing Age in Sumber Jaya Village, Kampung Melayu District, Bengkulu City in 2022 Nispi Yulyana; Elly Wahyuni; Wewet Savitri; Suci Solihat
DIKDIMAS : Jurnal Pengabdian Kepada Masyarakat Vol. 1 No. 3 (2022): DIKDIMAS : JURNAL PENGABDIAN KEPADA MASYARAKAT  VOL 1 NO 3 DECEMBER 2022
Publisher : CV Media Inti Teknologi

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1305.11 KB) | DOI: 10.58723/dikdimas.v1i3.47

Abstract

Data from the Bengkulu Provincial Health Office, Bengkulu Province is included in 10 provinces that have low coverage in clinical breast examination (SADANIS) and IVA examinations below 5%, Based on data from the Bengkulu City Health Office in 2020 of 62,160 WUS SADANIS examinations and IVA tests only 1967 person.The working area of ​​the Padang Serai Health Center, Kampung Melayu Subdistrict, is the highest area that has the highest incidence of suspicion and tumors or breast lumps in Bengkulu City. The working area of ​​the Padang Serai Health Center, Kampung Melayu Subdistrict, has 3 sub-districts, namely Sumber Jaya sub-district, Padang Serai sub-district and Teluk Sepang sub-district. The Padang Serai Health Center Working Area, Kampung Melayu District has 3,356 WUS, of which 331 people were examined.For suspicious data12 people had breast cancer and 13 people had tumors or breast lumps. The incidence of breast cancer is in Sumber Jaya Village.Adolescent reproductive health problems in Indonesia do not receive enough attention because knowledge about early detection and breast self-care skills have not been socialized properly. Because of that, there is a need for awareness and participation from various related agencies to be able to provide knowledge as early as possible about the importance of early detection of breast cancer and breast self-care skills. This can be done in real terms through counseling efforts. In this community service activity there will be socialization, counseling, mentoring and group formation using the peer group method at WUS in Sumber Jaya Village, Kampung Melayu District.