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Analisis Kinerja Bidan Puskesmas Pada Pelayanan Antenatal Care Di Wilayah Kerja Dinas Kesehatan Kota Padang Risa Mundari
Jurnal Kesehatan Panca Bhakti Lampung Vol 5 No 2 (2017)
Publisher : LPPM Sikes Panca Bhakti Bandar Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (244.289 KB)

Salah satu upaya pemerintah untuk mempercepat penurunan AKI adalah dengan program antenatal care. Bidan sebagai salah satu pelaksana kegiatan tersebut memiliki peranan penting menghasilkan kualitas pelayanan yang diberikan. Kualitas pelayanan yang baik menjadi salah satu indikator kinerja. Penelitian ini bertujuan untuk menganalisa kinerja bidan pada pelayanan antenatal di wilayah kerja dinas kesehatan kota padang.Jenis penelitian ini adalah penelitian kualitatif dengan pendekatan fenomenologi. Informan dalam penelitian ini adalah bidan yang bekerja di Puskesmas, Bidan koordinator, Kepala Puskesmas dan ibu hamil yang memeriksakan kehamilan di Puskesmas. Teknik pengumpulan data adalah melalui observasi, wawancara mendalam dan studi dokumentasi. Hasil penelitian ini dalam melaksanakan pelayanan ada bagian yang belum dilaksanakan oleh bidan sesuai kompetensi bidan, dalam penerapan pelayanan antenatal sikap bidan dalam memberikan pelayanan belum sesuai dengan standar yang ditetapkan. Sarana dan prasarana masih harus ditingkatkan, bidan memiliki motivasi yang baik untuk belajar dengan mengikuti pelatihan, seminar dan melanjutkan pendidikan. Belum semua bidan melaksanakan antenatal care sesuai dengan SOP dan kebijakan yang telah ditetapkan. Kesimpulan pengetahuan bidan dalam pelayanan antenatal care baik akan tetapi belum diimbangi dengan sikap bidan yang tidak sesuai dengan standar pelayanan yang telah ditetapkan. Bidan memiliki motivasi yang baik dalam meningkatkan pengetahuan tapi belum berdampak pada peningkatan kualitas pelayanan dan belum semua bidan melaksanakan pelayanan sesuai dengan SOP.

Effectiveness Of Perineum Massage In Pregnant Women Primigravida Trimester III To Rubber Of The Birth Road Indah Fitri Agustina; Risa Mundari; Herliana Herliana
JKM (Jurnal Kebidanan Malahayati) Vol 8, No 4 (2022): Volume 8 No.4 October 2022
Publisher : Program Studi Kebidanan Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkm.v8i4.6696

Latar belakang : Perdarahan postpartum merupakan penyebab utama kematian maternal di seluruh dunia dengan insiden sebesar 5% sampai 10% dari seluruh persalinan. Di Indonesia angka kejadian perdarahan postpartum sebagai penyumbang utama yaitu sebesar 40%. Penyebab perdarahan postpartum yaitu atonia uteri, retensio plasenta, robekan jalan lahir, sisa plasenta dan gangguan pembekuan darah. Tujuan penelitian untuk menganalisis pengaruh pijat perineum pada ibu hamil primigravida trimester III di wilayah kerja Puskesmas Puspahiang Kabupaten Tasikmalaya.Metode penelitian: Eksperimen semu (Quasy eksperimen ) yaitu kegiatan percobaan yang bertujuan untuk mengetahui suatu gejala atau pengaruh yang ditimbulkan sebagai akibat dari suatu perlakuan tertentu di lakukan pengamatan pada ibu hamil primigravida trimester III sebanyak 30 orang dan dibagi menjadi 2 kelompok, yaitu kelompok eksperimen sebanyak 15 orang yang diberikan perlakuan pijat perineum dan kelompok kontrol sebanyak 15 orang yang tidak diberikan perlakuan pijat perineum.Hasil Penelitian : Ada perbedaan kejadian robekan jalan lahir pada kelompok eksperimen dengan terapi pijat perineum dengan kelompok kontrol tanpa perlakuan pijat perineum denganHasil uji statistic dengan menggunakan uji T diperoleh nilai thitung sebesar 9,466 jika dibandingkan dengan nilai ttabel (1,701) maka nilai thitung lebih besar dari pada ttabel (9,466 > 1,701) yang bermakna ada pengaruh pijat perineum pada ibu hamil primigravida terhadap robekan jalan lahirKesimpulan: Ada pengaruh pijat perineum pada ibu primigravida trimester III yaitu Peningkatan elastisitas perineum akan mencegah kejadian robekan perineum maupun episiotomi Saran: bidan dapat meningkatkan ilmu pengetahuan dan keterampilannya tentang terapi komplemter salah satunya tentang pijat perineum dan terapi lain yang bisa mencegah terjadinya robekan jalan lahir pada saat bersalin baik itu dengan mengikuti pelatihan, workshop sehingga nantinya bisa memberikan pelayanan yang optimal kepada masyarakat. Kata Kunci : Pijat Perineum, Robekan Jalan Lahir ABSTRACT Background: Postpartum hemorrhage is the main cause of maternal death worldwide with an incidence of 5% to 10% of all deliveries. In Indonesia, the incidence of postpartum hemorrhage as the main contributor is 40%. Causes of postpartum hemorrhage are uterine atony, retained placenta, torn birth canal, retained placenta and blood clotting disorders. The purpose of the study was to analyze the effect of perineal massage on third trimester primigravida pregnant women in the working area of Puspahiang Health Center, Tasikmalaya Regency.Research method: Quasi experiment (Quasy experiment) which is an experimental activity that aims to determine a symptom or effect caused as a result of a certain treatment. Observations were made on 30 people in third trimester primigravida pregnant women and divided into 2 groups, namely the experimental group as many as 30 people. 15 people were given perineal massage treatment and the control group was 15 people who were not given perineal massage treatment.Results: There is a difference in the incidence of birth canal tears in the experimental group with perineal massage therapy with the control group without perineal massage treatment. The statistical test results using the T test obtained a tcount value of 9.466 when compared to the ttable value (1.701), the tcount value is greater than ttable (9.466 > 1.701) which means that there is an effect of perineal massage on primigravida pregnant women on birth canal tearsConclusion: There is an effect of perineal massage on third trimester primigravida mothers, namely the increase in perineal elasticity will prevent the incidence of perineal tears and episiotomySuggestion: midwives can improve their knowledge and skills about complementary therapy, one of which is perineal massage and other therapies that can prevent birth canal tears during childbirth either by attending training, workshops so that later they can provide optimal service to the community. Keywords: Primigravida, Perineal Massage, Torn Birth Canal, Trimester III

PENGARUH PEMBERIAN EKSTRAK DAUN KELOR TERHADAP PENINGKATAN PRODUKSI ASI PADA IBU MENYUSUI Risa Mundari; Indah Fitri Agustina; Megawati
Jurnal Kebidanan Besurek Vol. 8 No. 1 (2023): JUNI
Publisher : Program Studi D III Kebidanan Akademi Kesehatan Sapta Bakti Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51851/jkb.v8i1.409

Latar belakang : Pemberian ASI eksklusif di dunia baru berkisar 38 %. Di Indonesia sekitar 42%, di provinsi Jawa Barat sebanyak 78,59% dan di Kabupaten Ciamis sebanyak 78,59%. Proses pemberian air susu ibu (ASI) bisa mengalami hambatan dengan alasan produksi ASI berhenti. Produksi ASI dipengaruhi oleh makanan, penggunaan alat kontrasepsi, perawatan payudara, pola istirahat, faktor isapan anak atau frekuensi penyusuan, berat lahir bayi, umur kehamilan saat melahirkan, ketenangan jiwa dan fikiran, anatomis payudara, faktor fisiologi, konsumsi rokok dan alkohol. Salah satu terapi komplementer dari jenis tanaman yang bisa diberikan untuk meningkatkan produksi ASI yaitu daun kelor, dimana hampir seluruh bagian dari daun kelor dapat dimanfaatkan. Metode penelitian: Jenis penelitian adalah kuantitatif dengan desain quasi experiment dengan rancangan pre and post-test group design. Jumlah sampel dalam penelitian ini 20 ibu menyusui di wilayah UPTD Puskesmas Cimaragas Kabupaten Ciamis. Tekhnik sampling yang digunakan adalah purvosive sampling. Hasil Penelitian : Hasil uji statistic dengan menggunakan uji T Dependent diperoleh nilai thitung sebesar 6,155 jika dibandingkan dengan nilai ttabel (1,542) maka nilai thitung lebih besar dari pada ttabel (6,155 > 1,542), maka H0 ditolak. Kesimpulan: A Ada pengaruh pemberian ekstrak daun kelor terhadap peningkatan produksi ASI pada ibu menyusui di wilayah UPTD Puskesmas Cimaragas Kabupaten Ciamis. Saran: bidan dapat meningkatkan ilmu pengetahuan dan keterampilannya tentang terapi komplemter salah satunya tentang manfaat dari terapi komplementer di wilayah kabupaten Ciamis baik itu dengan mengikuti pelatihan, workshop sehingga nantinya bisa memberikan pelayanan yang optimal kepada masyarakat.

Pengetahuan Ibu Hamil Tentang Manfaat Asam Folat Selama Kehamilan Risa Mundari
Jurnal Ilmu Gizi Indonesia (JIGZI) Vol 1, No 2 (2020)
Publisher : Universitas Mitra Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57084/jigzi.v1i2.815

The nutritional intake of pregnant women is an important factor both for the fulfillment of nutrition for pregnant women or for the growth and development of the fetus in the womb. In fact, it can reduce the risk of chronic disease in children in the future. The body will go through many physical and hormonal changes during pregnancy. The nutritional needs in question are not in terms of meal portions, but more than that, such as micronutrients and macronutrients, to support the health of pregnant women and fetuses. The need for each type of nutrition during pregnancy is certainly different from the nutritional needs when not pregnant. During pregnancy, you need an additional 300 calories, especially in the second and third trimesters. The daily needs of pregnant women are 1000-1200 milligrams of calcium, 600-800 micrograms of folate, and 27 milligrams of iron (Levine et al., 2018). Descriptive research method aims to get an accurate picture of a number of characteristics of the problem under study, namely to see the frequency distribution of each variable. The population in this study were all pregnant women who had their pregnancy checked at BPM Sri Rezeki Rawa Laut Bandar Lampung in June - July 2020. Samples were taken as many as 94 people using a large sampling technique using accidental sampling technique. The data collection instrument in this study was a questionnaire containing questions about the knowledge of pregnant women about the benefits of folic acid. The data analysis technique that will be used in this research is univariate data analysis. The conclusion is that the overall knowledge of pregnant women about folic acid consumption shows that as many as 8 respondents (8.51%) have good knowledge, 37 respondents (39.36%) have sufficient knowledge, and 49 respondents (52.13%) have less knowledge. The participation of health workers in every pregnant woman who performs a pregnancy check can be given counseling about the consumption of folic acid so that it can increase the knowledge of the pregnant woman.

Pengetahuan Ibu Hamil tentang Kebutuhan Nutrisi Selama Kehamilan Risa Mundari
Jurnal Ilmu Gizi Indonesia (JIGZI) Vol 3, No 1 (2022)
Publisher : Universitas Mitra Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57084/jigzi.v3i1.838

During pregnancy there will be many changes that will be experienced by the mother starting from the cardiovascular system, hormonal, urogenital to the body's metabolism. Along with changes in the mother's body metabolism, the need for nutrients will increase. This increase is needed for the development and growth of the fetus during pregnancy. The nutritional elements needed by pregnant women are carbohydrates, proteins, fats, vitamins and minerals. Of course the need will be more than when not pregnant. The research design used in this research is descriptive, namely the research design that aims to find a description of the phenomena (including health) that occur in a certain population with the aim of knowing a description of the knowledge of pregnant women about nutritional needs during pregnancy at BPM Nurhasanah Gudang Lelang Teluk Betung Bandar Lampung for the January 2021 period as many as 30 pregnant women. Data collection tools and data collection methods in this study were to provide questionnaires to pregnant women who came to visit the period 1 January to 31 January 2021 to BPM. The content of the Questionnaire consists of questions about the benefits of nutrition in pregnancy, nutritional fulfillment during pregnancy, and about the danger signs of malnutrition in pregnancy. Based on the results of the study, it can be concluded that the knowledge of pregnant women related to the nutritional needs needed during pregnancy is in the poor category. The assessment was carried out by distributing questionnaires with question components which included: the benefits of nutrition during pregnancy, nutritional fulfillment during pregnancy, the respondent's knowledge of the danger signs of nutritional deficiency and nutritional needs during pregnancy. Characteristics of respondents seen from the level of education, employment status and age of pregnant women. Suggestions in this study are the participation of health workers to assist in nutritional needs during pregnancy and the need for improvement of the support system available at BPM such as leaflets to increase knowledge of pregnant women. Keywords: Knowledge, Pregnant Women, Nutrition

Pengetahuan Ibu Hamil tentang Kebutuhan Nutrisi Selama Kehamilan Risa Mundari
Jurnal Ilmu Gizi Indonesia (JIGZI) Vol 3, No 1 (2022)
Publisher : Universitas Mitra Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57084/jigzi.v3i1.838

During pregnancy there will be many changes that will be experienced by the mother starting from the cardiovascular system, hormonal, urogenital to the body's metabolism. Along with changes in the mother's body metabolism, the need for nutrients will increase. This increase is needed for the development and growth of the fetus during pregnancy. The nutritional elements needed by pregnant women are carbohydrates, proteins, fats, vitamins and minerals. Of course the need will be more than when not pregnant. The research design used in this research is descriptive, namely the research design that aims to find a description of the phenomena (including health) that occur in a certain population with the aim of knowing a description of the knowledge of pregnant women about nutritional needs during pregnancy at BPM Nurhasanah Gudang Lelang Teluk Betung Bandar Lampung for the January 2021 period as many as 30 pregnant women. Data collection tools and data collection methods in this study were to provide questionnaires to pregnant women who came to visit the period 1 January to 31 January 2021 to BPM. The content of the Questionnaire consists of questions about the benefits of nutrition in pregnancy, nutritional fulfillment during pregnancy, and about the danger signs of malnutrition in pregnancy. Based on the results of the study, it can be concluded that the knowledge of pregnant women related to the nutritional needs needed during pregnancy is in the poor category. The assessment was carried out by distributing questionnaires with question components which included: the benefits of nutrition during pregnancy, nutritional fulfillment during pregnancy, the respondent's knowledge of the danger signs of nutritional deficiency and nutritional needs during pregnancy. Characteristics of respondents seen from the level of education, employment status and age of pregnant women. Suggestions in this study are the participation of health workers to assist in nutritional needs during pregnancy and the need for improvement of the support system available at BPM such as leaflets to increase knowledge of pregnant women. Keywords: Knowledge, Pregnant Women, Nutrition

Pengetahuan Ibu Hamil tentang Kebutuhan Nutrisi Selama Kehamilan Risa Mundari
Jurnal Ilmu Gizi Indonesia (JIGZI) Vol 3, No 1 (2022)
Publisher : Universitas Mitra Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57084/jigzi.v3i1.838

During pregnancy there will be many changes that will be experienced by the mother starting from the cardiovascular system, hormonal, urogenital to the body's metabolism. Along with changes in the mother's body metabolism, the need for nutrients will increase. This increase is needed for the development and growth of the fetus during pregnancy. The nutritional elements needed by pregnant women are carbohydrates, proteins, fats, vitamins and minerals. Of course the need will be more than when not pregnant. The research design used in this research is descriptive, namely the research design that aims to find a description of the phenomena (including health) that occur in a certain population with the aim of knowing a description of the knowledge of pregnant women about nutritional needs during pregnancy at BPM Nurhasanah Gudang Lelang Teluk Betung Bandar Lampung for the January 2021 period as many as 30 pregnant women. Data collection tools and data collection methods in this study were to provide questionnaires to pregnant women who came to visit the period 1 January to 31 January 2021 to BPM. The content of the Questionnaire consists of questions about the benefits of nutrition in pregnancy, nutritional fulfillment during pregnancy, and about the danger signs of malnutrition in pregnancy. Based on the results of the study, it can be concluded that the knowledge of pregnant women related to the nutritional needs needed during pregnancy is in the poor category. The assessment was carried out by distributing questionnaires with question components which included: the benefits of nutrition during pregnancy, nutritional fulfillment during pregnancy, the respondent's knowledge of the danger signs of nutritional deficiency and nutritional needs during pregnancy. Characteristics of respondents seen from the level of education, employment status and age of pregnant women. Suggestions in this study are the participation of health workers to assist in nutritional needs during pregnancy and the need for improvement of the support system available at BPM such as leaflets to increase knowledge of pregnant women. Keywords: Knowledge, Pregnant Women, Nutrition

MENGURANGI KETIDAKNYAMANAN NYERI PINGGANG PADA IBU HAMIL TRIMESTER III: STUDI KASUS Rahayu, Maimunah; Fitria, Rahmah; Mundari, Risa
Jurnal Ilmu Kedokteran dan Kesehatan Vol 10, No 12 (2023): Volume 10 Nomor 12
Publisher : Prodi Kedokteran Fakultas Kedokteran Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jikk.v10i12.12643

Abstrak: Mengurangi Ketidaknyamanan Nyeri Pinggang pada Ibu Hamil Trimester III: Studi Kasus. Nyeri pinggang adalah hal yang fisiologis terjadi dalam masa kehamilan dikarenakan kondisi fisik dan hormonal yang mengalami perubahan serta merupakan salah satu ketidaknyamanan dalam kehamilan yang dapat terjadi dalam setiap trimester dan paling sering terjadi pada trimester akhir kehamilan. Studi kasus ini bertujuan untuk memberikan asuhan kebidanan pada ibu hamil trimester III dalam upaya menangani keluhan nyeri pinggang. Desain penelitian menggunakan desain deskriptif dengan pendekatan studi kasus. Penelitian ini dilakukan dari 22 Februari-18 Maret 2023. Subyek penelitian adalah Ny. A umur 23 tahun. Instrumen yang digunakan yaitu alat pemeriksaan fisik dan format pengkajian. Penelitian ini menggunakan data primer. Subyek kasus telah dimintai informed consent untuk mengikuti penelitian. Dari data pengkajian didapatkan ibu mengatakan mulai dari usia kehamilannya 24 minggu sudah sering merasakan nyeri pada bagian pinggang sampai dengan trimester III kehamilannya saat ini. Asuhan kebidanan yang diberikan berupa cara mengatasi nyeri pinggang yang dirasakan dengan merubah posisi saat tidur, jalan pagi, prenatal yoga dan pemberian kalsium. Penatalaksaaan yang diberikan berhasil untuk mengatasi nyeri pinggang pada ibu hamil setelah dievaluasi selama 3 minggu. Merubah posisi saat tidur, jalan pagi, prenatal yoga dan pemberian kalsium dapat mengurangi ketidaknyamanan nyeri pinggang pada ibu hamil trimester III. Petugas kesehatan diharapkan mampu dalam memberikan asuhan dalam upaya mengurangi nyeri pinggang selama kehamilan.

Relationship between Breastfeeding Position and Events Chafed Nipples Mundari, Risa; Ayu Ningsih, Dewi; Lidia Sari, Nirma; Fatriani, Rully
Jurnal MIDPRO Vol 15 No 2 (2023): JURNAL MIDPRO
Publisher : Universitas Islam Lamongan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30736/md.v15i2.695

Problems during breastfeeding are caused by breastfeeding mothers' low knowledge about the breastfeeding process. The aim of the study to provide midwifery care to postpartum mothers on the 14th day by providing the correct breastfeeding position at PMB NH Bandar Lampung City. The design of educational needs about research used is descriptive with a case study approach. This case study research was conducted from April 4 2023 to April 5 2023. The subject of this research was Mrs. T Postpartum day 14. Implementation of continuing midwifery care for Mrs. T is carried out in accordance with midwifery service standards. The midwifery care provided by the researchers was the correct breastfeeding technique or the correct breastfeeding position to prevent chafed nipples. From the study it was found that postpartum mothers experience sore nipple discomfort, the authors have made a diagnosis and made a plan, Mrs. T was given management according to the mother's complaints, namely by treating chafed nipples and breastfeeding techniques properly and correctly. This is in accordance with the needs of the mother and midwifery care standards. Care is evaluated and documented in accordance with midwifery care for postpartum mothers using the SOAP method according to Varney's mindset. It is recommended for PMB to be able to prepare health education media such as leaflets, posters related to the discomfort of chafed nipples in postpartum mothers, so that patients

HUBUNGAN KEJADIAN PREEKLAMPSIA DENGAN KEJADIAN ASFIKSIA NEONATORUM DI RSUD WATES KULON PROGO Mundari, Risa; admin, admin
Jurnal Kesehatan Vol 1 No 2 (2017): Jurnal Kesehatan September 2017
Publisher : Akbid Wirabuana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55919/jk.v2i1.20

Kematian ibu di Indonesia terbanyak disebabkan oleh komplikasi obstetrik (90%) yaitu perdarahan (30,77%), Infeksi (22,5%), preeklamsi dan eklamsi (25,18%), lain-lain (11,55%). Padapreeklampsia dapat menyebabkan perubahan pada plasenta dimana menurunnya aliran darah keplasenta mengakibatkan gangguan fungsi plasenta. Pada preeklamsi yang agak lama pertumbuhanjanin terganggu, sedangkan pada preeklamsi yang lebih pendek bisa terjadi gawat janin sampaikematian karena kekurangan oksigen (hipoksia) dan pada persalinan bahaya ini makin besar,postpartum bayi sering menunjukkan tanda asfiksia neonatorum karena hipoksia intrauterin.Mengetahui hubungan kejadian preeklampsia dengan kejadian asfiksia neonatorum di RSUD Watestahun 2011. Jenis penelitian observasional analitik dengan desain historikal kohort. Variabel bebaskejadian preeklampsia dan variabel terikat kejadian asfiksia neonatorum. Populasi keseluruhan ibubersalin di RSUD Wates mulai bulan Januari 2009 sampai dengan Desember 2010. Besar sampeladalah 130 subjek terpapar (preeklampsia) dan 130 subjek tidak terpapar (tidak preeklampsia). Analisadata menggunakan Chi Square, persentase, dan risiko relatif.Hasil penelitian menunjukkan ada hubungan antara kejadian preeklampsia dengan kejadianasfiksia neonatorum dengan nilai p = 0,040. Angka kejadian asfiksia neonatorum pada ibu preeklamsisebanyak 45 orang (35%), sedangkan angka kejadian asfiksia neonatorum pada ibu tidak preeklamsisebanyak 30 orang (23%). Pada nilai Risiko Relatif (RR) yang didapat sebesar 1,7 dengan CI 95%(1.023-3.043). Kesimpulan Ada hubungan antara kejadian preeklampsia dengan kejadian asfiksianeonatorum. Ibu dengan preeklampsia memiliki risiko 1,7 kali lebih besar dibanding dengan yangtidak menderita preeklampsia untuk melahirkan bayi dengan asfiksia neonatorum.

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