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All Journal International Journal of Public Health Science (IJPHS) Jurnal Penelitian Kesehatan Suara Forikes Health Notions Jurnal Kreativitas PKM Journal of Health Sciences Jurnal Ilmiah Tatengkorang Jurnal Ilmiah Kebidanan (The Journal Of Midwifery) Well Being AloHA International Journal of Health Advancement (AIJHA) Global Health Science (GHS) International Journal of Advanced Health Science and Technology Gema Bidan Indonesia (e- Journal). Jurnal Pengabdian dan Pemberdayaan Masyarakat Indonesia Frontiers in Community Service and Empowerment Gema Bidan Indonesia (e-Journal)
Titi Maharrani
Poltekkes Kemenkes Surabaya
Agriculture, Biological Sciences & Forestry Humanities Biochemistry, Genetics & Molecular Biology Computer Science & IT Dentistry Education Electrical & Electronics Engineering Engineering Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Social Sciences Other

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The Effect of Oxytocin Massage on First-Stage Labor Pain Wahyu Abadi Junjung Drajad; Kusumaningtyas, Kharisma; Maharrani, Titi; Alfiah, Siti
Jurnal Ilmiah Kesehatan Vol 18 No 01 (2025): Jurnal Ilmiah Kesehatan (Journal of Health Science) 
Publisher : Universitas Nahdlatul Ulama Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33086/jhs.v18i01.5936

Abstract

Pain during labor results from uterine contractions that cause cervical dilation, often leading to increased anxiety, vasoconstriction, and decreased oxygen levels. These factors can contribute to prolonged labor for the mother and potential hypoxia for the fetus. Effective pain management techniques, such as oxytocin massage, may help alleviate labor pain and improve maternal comfort. This study aimed to analyze the effect of oxytocin massage on first-stage labor pain. This quantitative study employed a pre-experimental one-group pretest-posttest design. The research was conducted at TPMB Afah Fahmi, Surabaya, involving 17 laboring mothers selected through purposive sampling. Pain levels were measured using the Numeric Rating Scale (NRS) ranging from 0 to 10. Data were analyzed using the Paired Sample T-Test. Statistical analysis showed a significant reduction in first-stage labor pain following oxytocin massage, with a p-value of 0.000 (p < 0.05). This indicates a meaningful difference in pain levels before and after the intervention. Oxytocin massage effectively reduces first- stage labor pain, promoting a more comfortable labor experience. Healthcare providers are encouraged to integrate oxytocin massage as a non-pharmacological pain management strategy to support laboring mothers.
AKSI KOMPETENSI BERSAMA DI PANTI ASUHAN YAYASAN PEMELIHARAAN ANAK DAN BAYI PERMATA HATI SURAKARTA Pratiwi Hermiyanti; Wisnu, Nurwening Tyas; Ginarsih, Yuni; Mujayanto; Intiyati, Ani; Yunariyah, Binti; Widyastuti, Dwi Utari; Pratami, Evi; Maharrani, Titi; Mamik; Rokhmalia, Fitri; Husni, Ervi; Windi, Yohanes Kambaru; Sari, Ira Rahayu Tiyar; Istanto, Wisnu; Widarti, Luluk; Sumaningsih, Rahayu; Sulistyowati, Dwi Wahyu Wulan; Kusumaningtyas, Kharisma; Kasiati, Klanting; Setiawan; Sukesi; Rijanto; Triana, Wahyuningsih
Jurnal Ilmiah Tatengkorang Vol 7 No 1 (2023): Jurnal Ilmia Tatengkorang
Publisher : Pusat Penelitian dan Pengabdian Kepada Masyarakat, Politeknik Negeri Nusa Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54484/tkrg.v7i1.558

Abstract

Panti Asuhan merupakan tempat pemeliharaan bagi anak dan bayi yang sengaja diserahkan dikarenakan orang tua mengalami kesulitan ekonomi atau bahkan tanpa orang tua. Yayasan Pemeliharaan Anak dan Bayi (YPAB) Permata Hati adalah salah satu Panti Asuhan yang memelihara anak dan bayi yang membutuhkan perlindungan dan pendidikan di Kota Surakarta. Pada masa pandemic covid-19, layanan kesehatan bagi anak dan bayi di YPAB Permata Hati jarang mendapatkan kunjungan dan pemeriksaan. Tujuan pengabdian masyarakat ini untuk membantu pelayanan kesehatan bagi anak dan bayi di YPAB Permata Hati Kota Surakarta dalam memantau pertumbuhan dan perkembangan serta status gizi. Metode pelaksanaan yang dilakukan berupa pemeriksaan tumbuh kembang anak dan status gizi, penyuluhan Perilaku Hidup Bersih dan Sehat, serta penyuluhan cara menyikat gigi yang benar. Hasil pemeriksaan status gizi dan tumbuh kembang anak dan bayi di YPAB Permata Hati Kota Surakarta terdapat 30 persen termasuk kurus dan 1 orang anak termasuk suspek perkembangan Denver II (lingkar kepala termasuk mikro). Penyuluhan Perilaku Hidup Bersih dan Sehat dan cara sikat gigi yang benar diikuti secara antusias oleh anak-anak YPAB Permata Hati Kota Surakarta Orphanages are places of care for children and babies who are handed over due to parents who are experiencing economic difficulties or even without parents. The Permata Hati Child and Infant Care Foundation (YPAB) is one of the orphanages that care for children and babies who need protection and education in the city of Surakarta. During the Covid-19 pandemic, health services for children and infants at YPAB Permata Hati rarely received visits and checks. The purpose of this community service is to help provide health services for children and infants at YPAB Permata Hati Surakarta City in monitoring growth and development as well as nutritional status. The implementation method used is in the form of examining children's growth and development and nutritional status, counseling on Clean and Healthy Behavior, as well as counseling on how to brush their teeth properly. The results of examinations on the nutritional status and development of children and infants at YPAB Permata Hati, Surakarta, found that 30 percent were underweight and 1 person was suspected of developing Denver II (head circumference including micro). Counseling on Clean and Healthy Behavior and how to brush your teeth was enthusiastically followed by YPAB Permata Hati Surakarta children
PERBEDAAN KECEMASAN PADA IBU BERSALIN DENGAN PERSALINAN NORMAL DAN SECTIO CAESAREA: PERBEDAAN KECEMASAN PADA IBU BERSALIN DENGAN PERSALINAN NORMAL DAN SECTIO CAESAREA Nuzula, Firdausi; Kasiati, K.; Maharrani, Titi
WELL BEING Vol 6 No 2 (2021): Well Being
Publisher : LPPM STIKes Bahrul Ulum Jombang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51898/wb.v6i2.137

Abstract

Background: Due to the painful nature of childbirth and its maternal and neonatal complications, the woman needs support in this phase of their life. The anxiety felt by women before caesarean delivery caused psychological problems, the increased of surgical pain therefore increased the need for pain relief, and prolong hospitalization. This study aimed to investigate the difference of anxiety in intrapartum mothers with normal and sectio caesarea. Subjects and Method: A cross sectional study was conducted at Haji hospital, Surabaya, East Java, Indonesia. A sample of 34 intrapartum mothers was selected by consecutive sampling. The dependent variable was anxiety. The independent variables were normal and section cesarea birth delivery. The data were collected by questionnaire and analyzed by independent t test. Results: There was no difference of anxiety in intrapartum mothers with normal birth delivery (Mean= 56.82; SD= 15.02) and mother those with section cesarea (Mean= 58.19; SD= 12.02). Conclusion: There is no difference of anxiety in intrapartum mothers with normal birth delivery and mother those with section cesarea.
Family Education in Increasing Exclusive Breastfeeding Coverage In Lakarsantri District Surabaya Pratami, Evi; S, Rekawati; Isfentiani, Dina; Sukesi, Sukesi; Kasiati, Kasiati; Purwanti, Dwi; Evi Yunita Nugrahini; Pipitcahyani, Tatarini Ika; Titi Maharrani; Novita Eka Kusuma Wardhani
Frontiers in Community Service and Empowerment Vol. 4 No. 2 (2025): June
Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ficse.v4i2.95

Abstract

Breast milk is the best food for babies and always disseminated by the government and health workers. Regulations explains that every baby has the right to get exclusive breast milk from birth for 6 (six) months. There are 34.64% of mothers in Lakarsantri Subdistrict, Surabaya who do not provide exclusive breastfeeding to their babies. There are many reasons given, including breast milk does not come out, the baby does not want to breastfeed and the mother works. Community service activities in the form of education on exclusive breastfeeding mothers and families. This community service activity aims to increase the commitment of mothers and families in exclusive breastfeeding. The counseling material includes the definition of exclusive breastfeeding, how to breastfeed, how to store breast milk properly and efforts to increase breast milk production. The participants were mothers and families with infants and toddlers. The number of participants was around 20 people. The media used were leaflets and demonstrations on how to pump breast milk. The results of the activity were able to increase the community's knowledge of the definition, how to store breast milk, factors that affect breast milk and the correct way to express breast milk.
Penguatan Peran Kader melalui Peningkatan Kompetensi Manajemen Laktasi Berbasis Teknologi E-Modul di Desa Pagerngumbuk Kabupaten Sidoarjo Pramudianti, Domas Nurchandra; Maharrani, Titi; Nugrahini, Evi Yunita
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 8, No 12 (2025): Volume 8 No 12 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v8i12.22660

Abstract

ABSTRAK Kader Kesehatan memiliki peran strategis dalam mendampingi ibu hamil, ibu menyusui, dan keluarga melalui edukasi, pemantauan, serta pemberian dukungan terkait manajemen laktasi. Akan tetapi, kemampuan kader dalam memberikan informasi dan pendampingan yang tepat masih bervariasi, dipengaruhi oleh keterbatasan sumber daya, media pembelajaran, dan akses terhadap informasi yang akurat. Kegiatan Program Kemitraan Masyarakat “Penguatan Peran Kader melalui Peningkatan Kompetensi Manajemen Laktasi Berbasis Teknologi E-Modul di Desa Pagerngumbuk Kabupaten Sidoarjo” dilaksanakan di Desa Pagerngumbuk, Kecamatan Wonoayu Kabupaten Sidoarjo. Di Desa Pagerngumbuk terdapat 30 kader. Permasalahan yang dihadapi para kader adalah belum berkembangnya pengetahuan kader kesehatan tentang manajemen laktasi berbasis teknologi e modul. Kegiatan ini untuk mengatasi permasalahan kader dalam memberikan edukasi tentang manajemen laktasi kepada para ibu menyusui dan ibu hamil melalui penggunaan media teknologi e modul. Tujuan dari PKM ini adalah meningkatkan kemampuan kader kesehatan dalam memberikan edukasi tentang manajemen laktasi berbasis teknologi e modul kepada ibu menyusui dan ibu hamil di wilayah desa Pagerngumbuk Kabupaten Sidoarjo. Kegiatan pelatihan dilaksanakan selama 2 kali pertemuan pada tanggal 6-7 Agustus 2025. Hasil evaluasi rerata pengetahuan peserta tentang manajemen laktasi berbasis teknologi e modul didapatkan hasil rerata pretest sebesar 60 dan postest 92 dan hasil rerata postest demonstrasi edukasi manajemen laktasi menggunakan teknologi e modul memiliki nilai Baik yaitu 87. Diharapkan kader kesehatan dapat membagikan informasi kepada ibu hamil dan ibu menyusui tentang manajemen laktasi menggunakan media e modul. Kata Kunci: Peran Kader, Manajemen Laktasi, Teknologi E-Modul  ABSTRACT Health cadres have a strategic role in assisting pregnant women, breastfeeding mothers, and families through education, monitoring, and providing support related to lactation management. However, the ability of cadres to provide appropriate assistance varies, influenced by limited resources, learning media, and access to accurate information. The Community Partnership Program activity "Strengthening the Role of Cadres through Improving Competence in Lactation Management Based on E-Module Technology in Pagerngumbuk Village, Sidoarjo Regency" was carried out in Pagerngumbuk Village, Wonoayu District, Sidoarjo Regency. In Pagerngumbuk Village, there are 30 cadres. The problem faced by the cadres is the lack of development of knowledge of health cadres about lactation management based on e-module technology. This activity aims to address the problem of cadres in providing education about lactation management to breastfeeding mothers and pregnant women through the use of e-module technology media. The purpose of this PKM is to improve the ability of health cadres in providing education about lactation management based on e-module technology to breastfeeding mothers and pregnant women in the Pagerngumbuk village area, Sidoarjo Regency. The activity was carried out during 2 training meetings on August 6-7, 2025. The results of the evaluation of the average knowledge of participants about lactation management based on e-module technology obtained an average pretest result of 60 and a posttest of 92 and the average posttest result of freezing lactation management education using e-module technology had a Good value of 87. Health cadres can share information with pregnant and breastfeeding mothers about lactation management using e-module media. Keywords: Cadre Role, Lactation Management, E-Module Technology
The Relationship Between Picky Eating and The Nutritional Status of Pre-School Children Indah Cahyaningrum; Hery Sumasto; Titi Maharrani; Novita Eka Kusuma
Jurnal Ilmiah Kebidanan (The Journal Of Midwifery) Vol. 12 No. 1 (2024)
Publisher : Midwifery Department, Poltekkes Kemenkes Denpasar, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jik.v12i1.3290

Abstract

Dietary status is condition of the body as a result of the retention of basic supplements. Based on actualities within the field, there are still numerous children who encounter ailing health. One of the components that impacts a child's dietary status is the propensity of being a picky eater. This investigate points to decide the relationship between picky eating and the dietary status of children Hasyim Asyari. The sort of investigate utilized is an expository overview with a cross sectional investigate plan. The test comprised of 53 pre-school children who met the consideration criteria. Inspecting utilized straightforward irregular testing. the subordinate variable is dietary status and the autonomous variable is picky eating. Information collection incorporates measuring dietary status utilizing weight/height charts and determining picky eating employing a survey. The information gotten was at that point analyzed utilizing the chi square test. The comes about of this consider appear that there's a relationship between picky eating and the wholesome status of pre-school children. It can be concluded that the more a child encounters picky eating, the lower wholesome status. It is trusted that future inquire about can relate dietary status to other characteristics or utilize distinctive measuring apparatuses of picky eating.
Differences in Labor Pain in the First Stage of the Active Phase Before and After Being Given Rebozo Shake The Apple Tree at TPMB Afah Fahmi, Surabaya City Area Evi Agustina; Titi Maharrani; Nana Usnawati; Kharisma Kusumaningtyas
Jurnal Ilmiah Kebidanan (The Journal Of Midwifery) Vol. 12 No. 1 (2024)
Publisher : Midwifery Department, Poltekkes Kemenkes Denpasar, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jik.v12i1.3295

Abstract

Childbirth pain is a physical stimulus due to uterine contractions, dilatation and effacement of the cervix, as well as the descent of the fetus into the birth canal. The aim of the research was to determine the difference in labor pain during the first active phase before and after being given Rebozo shake the apple tree. Pre-experimental research design with a one group pretest posttest research design. A sample 35 women giving birth during the first active phase at TPMB Afah Fahmi using purposive sampling. The independent variable is rebozo shake the apple tree treatment. The dependent variable is pain during the first active phase. Using the Wong-Baker pain scale instrument. Wilcoxon signed rank test data analysis. The research results have a p-value of 0.000. So, there is a difference in labor pain during the first active phase before and after intervention is given. The rebozo shake the apple tree method can reduce labor pain during the first active phase. In conclusion, Rebozo shake the apple tree can reduce labor pain during the first active phase. It is recommended that this method be applied to reduce labor pain. However, further research needs to optimize pain assessment using other measuring scales.
Pengaruh Pemberian Afirmasi Positif Melalui Media Audiovisual Terhadap Tingkat Kecemasan Ibu Bersalin Kala I Shinta Fina Setiyani; Titi Maharrani; K. Kasiati; Triana Septianti Purwanto
Jurnal Ilmiah Kebidanan (The Journal Of Midwifery) Vol. 12 No. 2 (2024)
Publisher : Midwifery Department, Poltekkes Kemenkes Denpasar, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jik.v12i2.3298

Abstract

Maternity anxiety results in decreased blood flow to the uterus resulting in prolonged labor. Indonesian data shows that 107,000,000 mothers feel anxious before giving birth or 28.7%. Positive sentences spoken repeatedly are positive affirmations used to reduce anxiety. The research aims to determine the effect of giving positive affirmations through audiovisual media on the anxiety level of mothers in the first stage of labor. This type ofresearch is Quasi-Experimental pretest posttest control group. Sample of 32 mothers giving birth. The independent variable is giving positive affirmations through audiovisual media, the dependent variable is the anxiety level of mothers in the first stage of labor. The measurement of anxiety levels uses the Zung Self-Rating Anxiety Scale questionnaire. Wilcoxon Signed Ranked Test and Mann Whitney U Test for data analysis. The result of the p-value is 0.001, there is an effect of giving positive affirmations through audiovisual media on the anxiety level of mothers in the first stage of labor. Giving positive affirmations is given when the mother is not having contractions so that it is effective. Future researchers are expected to evaluate the research methodology by providing different treatment to the control group.
Application of The Tri Core Breastfeeding Model Using Audiovisual-Based E-Modules to Increase The Motivation Of Working Mothers in Exclusive Breastfeeding in The Working Area of The Wonoayu Sidoarjo Health Center Domas Nurchandra Pramudianti; Titi Maharrani; Evi Yunita Nugrahini; Aida Amaliya; Mohammad Hamiduzzaman
International Journal of Advanced Health Science and Technology Vol. 4 No. 3 (2024): June
Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ijahst.v4i3.316

Abstract

The tri core breastfeeding model is a health education model for breastfeeding mothers that includes three main aspects: lactation education, self-efficacy or increased confidence in breastfeeding mothers, and support from the surrounding environment. The importance of increasing self-confidence when breastfeeding, especially in working mothers, is something that needs to be considered. The government's efforts to increase exclusive breastfeeding coverage are contained in Government Regulation No.33/2012 on breastfeeding. This study aims to analyze the application of tri core breastfeeding models using audiovisual-based e-modules to increase the motivation of working mothers in exclusive breastfeeding. This study used a quasy experiment method with a non-equivalent control group design. The intervention group (18 people) used e-modules, while the control group used e-leaflets (18 people). The results of this study obtained ρvalue 0.000 < α = 0.05. It can be concluded that there is a significant difference between the use of audiovisual-based e-module media and e-leaflets on increasing motivation for exclusive breastfeeding in working mothers. Data analysis in this study used marginal homogeneity test and mann whitney test. The application of tri core breastfeeding models using audiovisual-based e-modules is expected to be able to increase exclusive breastfeeding coverage in working mothers.
Social Psychological and Cultural Resilience in Its Influence on Exclusive Breastfeeding Behavior Mohammad Dwinanda Junaedi; Titi Maharrani; Fatimah Zahra; Shawn Walker
International Journal of Advanced Health Science and Technology Vol. 4 No. 3 (2024): June
Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ijahst.v4i3.348

Abstract

ABSTRACT Mother's milk (ASI) is the best food for babies that cannot be replaced by anything. Breastfeeding has been proven to be beneficial for both the baby and the mother. However, the coverage rate for achieving exclusive breastfeeding is still far below the target. This research aims to determine the influence of social psychological and socio-cultural resilience on exclusive breastfeeding behavior. This research is an analytical study with a cross sectional design. The sample in this study was 108 postpartum mothers taken using a simple random sampling technique. The independent variables in this research are social psychological and socio-cultural resilience, while the dependent variable is the behavior of postpartum mothers in providing exclusive breastfeeding. Data collection in this study used a questionnaire and was analyzed bivariately using the Chi Square and Fisher Exact Tests, while multivariate analysis used the Logistic Regression Test. The results of analysis using the Chi Square and/or Fisher Exact tests showed a p value > 0.05 for all indicators of social psychological resilience, which means that there are no indicators in this dimension that have an influence on exclusive breastfeeding. Meanwhile, for the socio-cultural resilience variable, the result was a p value of 0.014 or p value <0.05 on the social care indicator, which means that social care has a significant influence on exclusive breastfeeding. So it can be concluded that social psychological resilience has no effect on exclusive breastfeeding, while socio-cultural resilience influences exclusive breastfeeding on indicators of social concern.
Co-Authors Abdul Latip Adzillina Alal Mukminin, Siti Aida Amaliya Aldri Frinaldi Alfiah, Siti Ani Intiyati Ani Media Harumi Aris Handayani Astuti Setiyani Astuti Setiyani, Astuti Binti Yunariyah, Binti Cahyaning Dianti Kartika Dewi Domas Nurchandra Pramudianti Dwi Wahyu Wulan Dwi Wahyu Wulan Sulistyowati Eka Aquarista Wulansari Ervi Husni, Ervi Evi Agustina Evi Pratami Evi Yunita Nugrahini Evi Yunita Nugrahini Farida Ayu Munika Irianty Fatimah Zahra Firdausi Nuzula Fitria Nurwulansari Ginarsih, Yuni Hermiyanti, Pratiwi Hilyatul Adeliyah Ilmiyati Amalia Indah Cahyaningrum Ira Rahayu Tiyar Sari Isfentiani, Dina Istanto, Wisnu Kasiati Kasiati, ., Kasiati, Kasiati, Klanting Kharisma Kusumaningtyas Khomsa Etik Romdani Luluk Widarti, Luluk M. Dwinanda Junaedi Mafatihul Inayah Mamik Mohammad Hamiduzzaman Mujayanto Nana Usnawati Novita Eka Kusuma Novita Eka Kusuma Wardhani Purwanti, Dwi Purwanto, Triana Septianti Rijanto Rokhmalia, Fitri S, Rekawati Setiawan Shawn Walker Shinta Fina Setiyani Siti Alfiah Siti Mar&#039;atus Sholikah Siti Mar’atus Sholikah Sriami Sriami Sriami, Sriami Sukesi . Sulistyowati, Dwi Wahyu Wulan Sumaningsih, Rahayu Sumasto, Hery Susilaningrum, Rekawati Tatarini Ika Pipitcahyani THERESIA PRATIWI SUYANTI Triana, Wahyuningsih Uswatun Khasanah Wahyu Abadi Junjung Drajad Widyastuti, Dwi Utari Windi, Yohanes Kambaru Wisnu, Nurwening Tyas Zarinah Binti Abdul Aziz