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Pengolahan Rebusan Daun Sirih (REDARIH) sebagai Upaya Menjaga Kebersihan Organ Reproduksi Wanita Anjelaveronika, Anjelaveronika; Kabuhung, Elvine Ivana; Dona, Sismeri
Faedah : Jurnal Hasil Kegiatan Pengabdian Masyarakat Indonesia Vol. 2 No. 4 (2024): Jurnal Hasil Kegiatan Pengabdian Masyarakat Indonesia
Publisher : FKIP, Universitas Palangka Raya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59024/faedah.v2i4.1068

Abstract

Reproductive organs are sensitive organs and require special care. Good care in maintaining the cleanliness of reproductive organs is beneficial in maintaining reproductive health. Maintaining the health of reproductive organs begins with maintaining personal hygiene, including vaginal hygiene which aims to keep the vagina clean, normal, healthy and free from the possibility of diseases including vaginal discharge. The use of boiled betel leaf water for women of childbearing age who experience symptoms of vaginal discharge has almost all had an effect on decreasing. The problems found in Sungai Tabuk Kota Village RT 03 & RT. 04, based on the results of the study, are the low knowledge of women about reproductive health and many women who do not care about the cleanliness of their own reproductive organs. One of the successes of community service activities is teaching the community to make boiled betel leaves by maintaining reproductive hygiene. The implementation of this service is by teaching mothers how to process boiled betel leaves (REDARIH) to maintain reproductive health. The target is all women of productive age to menopause in RT 03 & 04 in Sungai Tabuk Kota Village. The implementation of this program was carried out on Monday, August 19, 2024 at PAUD Ceria RT. 04 Tabuk River, Banjarmasin City at 10:00 WITA – finished. This activity was attended by community leaders, coordinating midwives, village midwives, health workers from the Health Center (program holders), village midwives, integrated health post cadres, mothers of productive age to menopause, mentors and also midwifery students.
PUWA SIAGA: Puding Waluh Sehat Untuk Generasi Atasi Stunting Dona, Sismeri; Irawan, Angga; Hedralita, Akmal Oktavia; Hidayati, Afrina; Dianti, Dianti; Lestari, Pebriyani; Khatimah, Husnul; Sari, Ratna; Irawati, Widya Lasaufa
Majalah Cendekia Mengabdi Vol 3 No 2 (2025): Majalah Cendekia Mengabdi
Publisher : CV. Wadah Publikasi Cendekia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63004/mcm.v3i2.681

Abstract

Pendahuluan: Indonesia menghadapi masalah gizi serius seperti stunting dan obesitas, yang berdampak pada kualitas SDM. Stunting dapat dimulai sejak masa kandungan dan terkait dengan gizi remaja hingga kehamilan. Penanggulangan stunting dilakukan melalui promosi kesehatan dan pemberdayaan masyarakat, dengan fokus pada 1000 hari pertama kelahiran. Labu kuning, kaya akan nutrisi, digunakan sebagai pangan lokal alternatif untuk meningkatkan status gizi anak. Tujuan: Tujuan kegiatan ini adalah meningkatkan pemahaman masyarakat tentang pentingnya asupan gizi untuk mencegah stunting, memperkenalkan makanan bergizi berbasis labu kuning, dan mengedukasi ibu-ibu tentang cara pembuatan Puding Waluh Sehat sebagai makanan tambahan untuk anak-anak. Metode: Sosialisasi tentang gizi melalui penyuluhan interaktif mencakup: konsep 1.000 hari pertama kehidupan, gizi seimbang, pola makan sehat, diskusi kelompok, pengenalan dan pembuatan puding waluh sehat dengan bahan tambahan bergizi, serta edukasi manfaat pangan lokal dalam pencegahan stunting. Hasil: Kegiatan berhasil meningkatkan pemahaman gizi dan pencegahan stunting, mengajak partisipasi ibu-ibu dalam pembuatan Puding Waluh Sehat, serta edukasi tentang manfaat waluh sebagai bahan lokal untuk mencegah stunting. Simpulan: Program PUWA SIAGA meningkatkan pemahaman gizi dan pencegahan stunting, serta partisipasi masyarakat dalam pembuatan Puding Waluh Sehat untuk mengurangi angka stunting.
Effectiveness of warm compresses on the incidence of perineal rupture in phase II labor Selvia; Dona, Sismeri; M. Fajriannor; Handayani, Lisda
Health Sciences International Journal Vol. 3 No. 1: February 2025
Publisher : Ananda - Health & Education Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71357/hsij.v3i1.59

Abstract

Background: Perineal rupture is a common complication during the second stage of labor, particularly among primiparous women, leading to maternal morbidity. Warm compresses have been suggested as an intervention to reduce perineal rupture by promoting muscle relaxation and elasticity. However, their effectiveness remains inconclusive. Objective:   To analyze the effect of warm compress application on the incidence of perineal rupture during the second stage of labor in primiparous women. Method:  This quasi-experimental study employed a pre-test and post-test design involving 10 primiparous women at 18 to 29 years old divided into intervention (n=5) and control (n=5) groups. Warm compresses were applied for 20 minutes during the second stage of labor in the intervention group. Data were collected using partograph sheets and analyzed using descriptive and inferential statistics, with a significance level of p<0.05. Result:  Among the intervention group, 40% experienced no laceration, 20% had first-degree laceration, and 40% had second-degree laceration. In the control group, 40% had no laceration, and 60% suffered second-degree laceration. Statistical analysis showed no significant difference in the incidence of perineal rupture between the groups (p=0.452). Conclusion:  Warm compresses did not significantly reduce the incidence of perineal rupture during the second stage of labor. Further research with a larger sample size and broader variables is recommended to validate these findings.
Breast cancer screening in postpartum mother: A literature review Rahmawati, Dwi; Dona, Sismeri; Mahdiyah, Dede; Budiwinata, Winarta; Widodo, Hariadi
Health Sciences International Journal Vol. 3 No. 1: February 2025
Publisher : Ananda - Health & Education Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71357/hsij.v3i1.61

Abstract

Background: Breast cancer remains a leading cause of morbidity and mortality among women, with early detection playing a critical role in improving outcomes. Postpartum mothers face unique challenges related to breast cancer screening due to physiological changes in breast tissue, lactation, and competing demands of infant care. Objective: This literature review explores breast cancer screening practices in postpartum mothers, identifies barriers and facilitators, and proposes strategies to improve screening uptake during this critical period. Method: A narrative review was conducted by analyzing studies from peer-reviewed journals. Articles were selected based on their relevance to breast cancer screening, postpartum mothers, and early detection methods. The data were synthesized to highlight key findings, identify gaps, and provide actionable insights. Results: Postpartum mothers experience significant barriers to breast cancer screening, including hormonal changes, lactation-related conditions, and limited awareness. Physiological remodeling of breast tissue can obscure early symptoms, delaying diagnosis. Despite these challenges, self-breast examination (BSE) and acupressure are effective techniques for early detection and breast health improvement. Studies show that BSE reduces mortality by up to 20%, while targeted acupressure enhances lactation and breast tissue awareness. Healthcare provider interventions, such as counseling and education during postpartum visits, improve screening adherence. Conclusion: Breast cancer screening during the postpartum period is essential yet underutilized. Tailored education and integrated care approaches are critical to overcoming barriers and enhancing awareness among postpartum mothers. Further research should explore innovative technologies and interventions to optimize early detection in this population.
Identification Of The Physical Health Quality Of Postpartum Mothers With Severe Preeclampsia Arapah, Siti; Dona, Sismeri; Redjeki, Dwi Sogi Sri; Istiqamah, Istiqamah
JKM (Jurnal Kebidanan Malahayati) Vol 10, No 5 (2024): Volume 10,No.5 Mei 2024
Publisher : Program Studi Kebidanan Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkm.v10i5.15012

Abstract

 Latar Belakang: Preeklampsia pada masa nifas didefinisikan sebagai hipertensi yang disertai kelebihan proteinurin yang terjadi pada masa nifas. Tahun 2022 angka kejadian PEB Dinkes Provinsi Kalsel berjumlah 818, sedangkan di RSUD Ulin Banjarmasin tercatat 78 kejadian. Dampak dari preeklampsia tidak hanya hipertensi yang membuat pusing/ nyeri kepala juga menimbulkan rasa mual, muntah, nyeri epigastrium, dan bahkan berpengaruh terhadap fungsi ginjal, jantung dan hati yang merupakan masalah kesehatan fisik.Tujuan: Untuk mengetahui bagaimana kualitas kesehatan fisik ibu nifas dengan PEB.Metode: Penelitian ini merupakan penelitian deskriptif kuantitatif menggunakan studi retrospective. Pengambilan sampel menggunakan metode total sampling sebanyak 78 ibu nifas dengan PEB pada tahun 2022.Hasil: Hasil penelitian tekanan darah ibu nifas dengan PEB dari hari ke-1 hingga hari ke-3 didapati adanya hipertensi pada 25,7% ibu nifas, keluhan sakit kepala, nyeri epigastrium, mual, muntah, sesak napas, bahkan demam. Hasil pemeriksaan laboratorium hari ketiga menunjukkan 3 orang (4%) trombositopenia, 2 orang (3%) trombositosis, 19 orang (24%) mengalami kenaikan nilai SGOT, 6 orang (8%) mengalami kenaikan nilai SGPT, 31 orang (40%) peningkatan nilai LDH di atas normal, 8 orang (10%) peningkatan nilai kreatinin dan 11 orang (14%) peningkatan nilai ureum.Simpulan: Penelitian ini membuktikan bahwa kesehatan fisik ibu nifas dengan PEB sebagian besar masih sehat, namun masih ada beberapa ibu nifas yang kesehatan fisiknya tidak optimal (40%) dikarenakan hipertensi, masalah fisik/ keluhan nyeri kepala, nyeri epigastrium, mual dan muntah, sesak, demam serta peningkatan fungsi organ hati, jantung dan ginjal berdasarkan hasil laboratorium hari ketiga masa nifas.Saran:  Saat merasakan adanya ketidaknyamanan segera melaporkan kepada petugas kesehatan/ bidan agar pemberian asuhan terkait dengan kondisi klinis lebih terarah dan spesifik. Kata Kunci: Ibu Nifas, Kualitas Kesehatan Fisik, Preeklampsia Berat. ABSTRACT Background: Preeclampsia during the postpartum period is defined as hypertension accompanied by excess protein urine that occurs during the postpartum period. In 2022, the number of cases of severe preeclampsia at the South Kalimantan Provincial Health Service will be 818, while at the Ulin Regional Hospital, Banjarmasin, 78 cases will be recorded. The impact of preeclampsia is not only hypertension which causes dizziness/headaches, it also causes nausea, vomiting, epigastric pain, and even affects kidney, heart and liver function which is a physical health problem.Objective: This study aims to determine the quality of physical health of postpartum mothers with severe preeclampsiaMethods: This research is a quantitative descriptive study using a retrospective study. Sampling used a total sampling method of 78 postpartum mothers with severe preeclampsia in 2022Results: The results of research on the blood pressure of postpartum mothers with severe preeclampsia from day 1 to day 3 found hypertension in 25.7% of postpartum mothers, complaints of headaches, epigastric pain, nausea, vomiting, shortness of breath, and even fever. The results of laboratory examinations on the third day showed that 3 people (4%) had thrombocytopenia, 2 people (3%) had thrombocytosis, 19 people (24%) had increased SGOT values, 6 people (8%) had increased SGPT values, 31 people (40%) increased LDH values above normal, 8 people (10%) increased creatinine values and 11 people (14%) increased urea valuesConclusion: This research proves that the physical health of postpartum mothers with severe preeclampsia is mostly still healthy, but there are still some postpartum mothers whose physical health is not optimal (40%) due to hypertension, physical problems/complaints of headaches, epigastric pain, nausea and vomiting, shortness of breath, fever and increased function of the liver, heart and kidneys based on laboratory results on the third day of the postpartum periodSuggestion: When you feel any discomfort, immediately report it to the health worker/midwife so that care related to the clinical condition is more targeted and specific. Keywords: Postpartum Mothers, Quality of Physical Health, Severe Preeclampsia
Identifikasi Self-Efficacy Ibu Bersalin dan Implikasinya terhadap Pengalaman Persalinan Dona, Sismeri; Rahmawati, Dwi
DINAMIKA KESEHATAN: JURNAL KEBIDANAN DAN KEPERAWATAN Vol 14, No 1 (2023): Dinamika Kesehatan: Jurnal Kebidanan dan Keperawatan
Publisher : Universitas Sari Mulia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33859/dksm.v14i1.908

Abstract

Latar Belakang: Self-efficacy merupakan faktor psikologis yang penting dalam menghadapi tantangan dan situasi hidup tertentu, termasuk dalam konteks ibu bersalin. Penelitian ini bertujuan untuk mengidentifikasi tingkat self-efficacy ibu bersalin serta menganalisis dampaknya terhadap pengalaman persalinan dan pemulihan pasca persalinan.Metode: Jenis penelitian yang digunakan dalam penelitian ini adalah penelitian deskriptif kuantitatif. Dalam penelitian ini akan melihat kondisi nyata self efficacy ibu bersalin, Pengambilan data dalam penelitian ini menggunakan kuesioner dengan populasinya  adalah ibu bersalin primigravida sampel diambil dengan cara concecutive sampling sebanyak 24 responden, Setelah data terkumpul akan dianalisis dengan rumus uji rata-rata  dan pengalaman melahirkan di analisis menggunakan Alfa CronbachHasil: Hasil penelitian menunjukkan bahwa rerata skor nilai tingkat self efficacy adalah 55,075 atau 78,68% dari maksimal skore dengan standar deviasi 7,15. Total nilai terendah adalah 35 sedangkan total nilai tertinggi adalah 70. Mayoritas responden memiliki total nilai antara 53,48 hingga 56,66 dan pengalaman melahirkan didapatkan bahwa Alpha Cronbach adalah ≥ 0,70 untuk semua sub skala (Kapasitas Sendiri 0,73, Persepsi Keamanan 0,75 dan Dukungan Profesional 0,73) kecuali Partisipasi (0,40).Simpulan: Self efficacy ibu bersalin dengan Penyebaran berada pada kategori normal, sedangkan implikasi terhadap pengalaman persalinan yang paling tinggi pada skala persepsi keamaan yang dirasakan ibu. Identification of Mother's Self-Efficacy in Maternity and Its Implications for Childbirth Experience Background: Self-efficacy is an important psychological factor in coping with certain challenges and life situations, including in the context of motherhood. The aim of this study is to determine the level of self-efficacy of new mothers and to analyse its impact on the experience of childbirth and postpartum recovery.Methods: The type of research used in this study is quantitative descriptive research. In this study will look at the real conditions of self-efficacy of maternity mothers, data collection in this study using a questionnaire with the population is primigravida maternity mothers, the sample is taken by consecutive sampling as many as 24 respondents, After the data is collected, it will be analyzed by the average test formula and the birth experience is analyzed using Alfa Cronbach.Results: The results showed that the mean score of self-efficacy level was 55.075 or 78.68% of the maximum score with a standard deviation of 7.15. The lowest total score was 35 and the highest total score was 70. The majority of respondents had a total score between 53.48 and 56.66.Childbirth experience showed that Cronbach's alpha was ≥ 0.70 for all subscales (own ability 0.73, perceived safety 0.75 and professional support 0.73) except participation (0.40).Conclusion: Self-efficacy of labouring mothers with dispersal is in the normal category, while the implications for the highest labour experience on the scale of perceived safety perceived by the mother.Keywords: Identification, labouring mother, self-efficacy, labour experience 
Mother knowledge of lactation massage at PMB Rahmiyati Rahayu, Linda Putri; Rahmawati, Dwi; Rahman, Subhannur; Dona, Sismeri
Health Sciences International Journal Vol. 4 No. 1: February 2026
Publisher : Ananda - Health & Education Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71357/hsij.v4i1.86

Abstract

Background: Exclusive breastfeeding (EBF) is crucial for infant health, yet coverage in Banjarmasin, Indonesia, remains below national targets. Lactation massage is an effective technique to address common breastfeeding problems, but its success may be hindered by inadequate maternal knowledge. Objective: This study aimed to describe the knowledge of postpartum mothers regarding lactation massage at an independent midwifery practice (PMB Rahmiyati) in Banjarmasin. Method: A quantitative descriptive study with a survey approach was conducted. The sample comprised 35 postpartum mothers recruited using total sampling. Data were collected using a validated and reliable questionnaire on lactation massage knowledge, adopted from Putri (2022). Knowledge scores were categorized as good (76-100%), fair (56-75%), or poor (≤55%). Data were analyzed using descriptive statistics (frequency and percentage). Results: The study found that 20 respondents (57.1%) had good knowledge of lactation massage. However, a substantial combined proportion of 42.9% had either fair (20.0%) or poor (22.9%) knowledge. This knowledge gap existed despite the majority of mothers being in the optimal reproductive age (85.7%), having a senior high school education (91.4%), and being unemployed (68.6%). Conclusion: While more than half of the mothers demonstrated good knowledge, a significant portion still lacks adequate understanding of lactation massage. These findings underscore the urgent need for continuous, structured educational interventions by health workers to empower all mothers, particularly in utilizing effective lactation management strategies.
Correlation of pregnancy classes on knowledge and attitudes about childbirth preparation at Puskesmas Terminal Banjarmasin Karmila, Sari; Palimbo, Adriana; Lestari, Yayuk Puji; Dona, Sismeri; Jannah, Raudhatul
Health Sciences International Journal Vol. 4 No. 1: February 2026
Publisher : Ananda - Health & Education Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.71357/hsij.v4i1.92

Abstract

Background: Maternal mortality remains a critical public health concern in Indonesia. Pregnancy classes are a strategic intervention to enhance maternal knowledge and attitudes towards childbirth preparation, yet participation rates and their impact require further investigation, particularly at the primary healthcare level. Objective: This study aimed to analyze the correlation between participation in pregnancy classes and the level of knowledge and attitudes regarding childbirth preparation among pregnant women at the Terminal Banjarmasin Community Health Centre. Method: An analytical cross-sectional study with a correlational design was conducted from May to July 2025. A total population sample of 34 pregnant women registered in the classes was enrolled. Data were collected using an attendance sheet and a validated questionnaire on knowledge (20 Guttman-scale items) and attitudes (18 Likert-scale items). Data analysis employed Fisher's Exact Test to determine the relationship between attendance (categorized as optimal [≥4 sessions] or suboptimal [<4 sessions]) and knowledge/attitude levels, with a significance level of α=0.05. Results: The majority of participants (70.6%) had suboptimal attendance. Half (50%) had insufficient knowledge and 55.9% held a negative attitude. A statistically significant correlation was found between optimal class attendance and higher knowledge levels (p < 0.001) and more positive attitudes (p < 0.001). All participants with optimal attendance had sufficient/good knowledge and positive attitudes. Conclusion: Optimal participation in pregnancy classes is significantly correlated with improved knowledge and positive attitudes towards childbirth preparation. Program strategies should shift focus from mere enrolment to ensuring consistent attendance and completion to maximize educational outcomes and contribute to safer childbirth practices.
The Relation of Pregnant Women's Class Participation and Childbirth Preparation in Third-Trimester Pregnant Women Meliyanti, Selvi; Hidayah, Nurul; Dona, Sismeri; Maolinda, Winda
Jurnal Publikasi Kesehatan Masyarakat Indonesia Vol 11, No 2 (2024): Jurnal Publikasi Kesehatan Masyarakat Indonesia
Publisher : Lambung Mangkurat University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/jpkmi.v11i2.19099

Abstract

The maternal mortality rate remains high both globally and in Indonesia. Approximately 75% of these deaths are due to complications during pregnancy and childbirth. Therefore, childbirth preparation is essential. Active participation in pregnant women's class activities at least four times during pregnancy is recommended. However, class participation at the Long Kali Community Health Center is still low, with only 53% attendance. This research aims to determine the relationship between active participation in pregnant women's classes and preparation for childbirth among third-trimester pregnant women in the Long Kali Community Health Center's working area. The research method used is descriptive analytics with a cross-sectional approach. The research population consisted of all third-trimester pregnant women who participated in pregnant women's class activities, with a sample size of 33. A questionnaire was used as the instrument for data collection. Data were analyzed using the Chi-square test. The results showed that the majority of respondents were aged 20-35 years (72.7%), had low education levels (48.5%), were not employed (81.8%), had multiparous parity (51.5%), actively participated in class activities (63.6%), and were prepared for childbirth (57.6%). The statistical test results showed a p-value of 0.001, indicating a significant relationship between active participation in pregnant women's classes and childbirth preparation among third-trimester pregnant women in the Long Kali Community Health Center's working area.