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Faktor yang Memengaruhi Pemanfaatan Pelayanan Kesehatan dalam Kegawatdaruratan Maternal Neonatal di Desa Bangun Rejo Kabupaten Deli Serdang Provinsi Sumatera Utara Tahun 2024 Marta Armita Silaban; Eva Dona Sinaga; Sari Simanjuntak; Sarah Sausan
Vitalitas Medis : Jurnal Kesehatan dan Kedokteran Vol. 1 No. 2 (2024): April : Vitalitas Medis : Jurnal Kesehatan dan Kedokteran
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/vimed.v1i3.688

Abstract

Utilization of Emergency Maternal and Newborn Health Services is one of the important factors in determining the level of health which is particularly relevant to health problems and community development. The purpose of this study was to determine the factors that influence the utilization of health services in maternal and newborn emergencies in Bangun Rejo Village, Tanjung Morawa District, Deli Serdang Regency, North Sumatra Province in 2024. This type of research is an analytical survey with a cross-sectional approach. Utilization of Health Services in maternal and newborn emergencies is the dependent variable in this study, while the independent variables include access to health services, attitudes of health workers and BPJS membership in Bangun Rejo Village, Tanjung Morawa District, Deli Serdang Regency in 2024. The sampling technique was carried out using simple random sampling. The head of the family was the sample in this study. The sampling technique was carried out randomly from 476 Heads of Families in Bangun Rejo Village to 99 respondents. Data analysis used univariate and bivariate analysis with a confidence level of 95% (α = 0.05). The results of the chi-square test showed that there was a relationship between access to health services and the use of maternal neonatal emergency health services (p=0.04), there was no relationship between the attitude of health workers and the use of emergency health services (p=0.227), there was a relationship between BPJS membership and the use of maternal neonatal emergency health services (p=0.002).
Faktor – Faktor yang Berkaitan dengan Pemberian Vitamin A pada Balita di Posyandu Wilayah Kerja Puskemas Aek Parombunan Kota Sibolga Provinsi Sumatera Utara Tahun 2024 Irayanti Manalu; Zulkarnain Batubara; Marta Armita Silaban; Rosmega Rosmega
Antigen : Jurnal Kesehatan Masyarakat dan Ilmu Gizi Vol. 2 No. 4 (2024): Antigen: Jurnal Kesehatan Masyarakat dan Ilmu Gizi
Publisher : LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/antigen.v2i4.482

Abstract

Health problems related to nutrition due to lack of intake of vitamin A obtained from food in the body due to metabolic disorders in the body, especially in toddlers in Aek Parombunan Posyandu Sibolga city, therefore the aim of this research is to analyze the factors related to giving Vitamin A to Toddlers at posyandu in Aek Parombunan, Sibolga City, North Sumatera Province in 2024. This type of research is quantitative with a cross sectional study design. The research was conducted in February-June 2024 with a sample of 32 toddlers using Random Sampling Technique. The population in this study were all mothers with toddlers (6-59 months) who visited the Kelambir Village posyandu February – June 2024. Data collection technique was questionnaire. The data analysis used was univariate and bivariate analysis with the Chi Square test. The research results showed that variables related to giving vitamin A to toddlers were the mother's knowledge variable value (p=0.006) and the toddler's activeness variable in visiting the posyandu value (p=0.018). Meanwhile, the variable that is not related is the role of value cadres (p=0.201). The conclusion is that there is a relationship between maternal knowledge and toddlers' activeness in visiting the posyandu with the provision of Vitamin A to toddlers at the posyandu in Aek Parombunan, Sibolga City, North Sumatera Province in 2024.
Pengaruh Pijat Oksitosin terhadap Kelancaran Produksi Asi pada Ibu Post Partum di Klinik Lidya Kabupaten Deli Serdang Tarida Irmayani Marbun; Marta Armita Silaban
Vitalitas Medis : Jurnal Kesehatan dan Kedokteran Vol. 2 No. 2 (2025): Vitalitas Medis : Jurnal Kesehatan dan Kedokteran
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/vimed.v2i2.1491

Abstract

Background:Breastfeeding is expected to help achieve SDGs goal 3, target 2, which is to reduce neonatal mortality to at least 12 per 1,000 live births in all countries by 2030 and stop unnecessary deaths of newborns and children under five. Encouraging healthy breastfeeding is essential to prevent more than 820,000 deaths of children under five each year. Oxytocin massage has been shown to increase the sensation of relaxation, improve sleep quality and comfort, reduce pain and tension, and help increase prolactin and oxytocin levels, which in turn increase breast milk production. Research Method:The research design used the Pre Experimental Design method, namely with the form of a One Group pretest and posttest design without a control group. This study used purposive sampling, with a sample size of 22 respondents. Data analysis used univariate and bivariate. Result:This study showed that the value before oxytocin massage was 16.14 and after oxytocin massage the mean was 27.73. The conclusion of the study shows that the results of the experimental test have a significant value with a p value of 0.000 <0.05. This shows that there is a significant gap in breast milk production between before and after oxytocin massage. Suggestion: It is hoped that midwives at the Lidya Clinic can use this study as input to support increased breast milk production in mothers, especially those in the postpartum period.
Karakteristik Ibu Hamil dengan Insidensi Plasenta Previa pada Ibu Hamil di RSU HKBP Balige Kabupaten Toba Sifra Sopia Sinaga; Marta Armita Silaban
Vitalitas Medis : Jurnal Kesehatan dan Kedokteran Vol. 2 No. 2 (2025): Vitalitas Medis : Jurnal Kesehatan dan Kedokteran
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/vimed.v2i2.1502

Abstract

Background: According to data from the World Health Organization (WHO, 2023), antepartum hemorrhage, especially placenta previa, accounts for 15% to 20% of maternal deaths. Placenta In addition, previa accounts for 3% of all maternal deaths in Indonesia due to bleeding. Abnormal implantation of placental tissue above the endocervical os is a characteristic of placenta previa. Parity, age, endometrial hypoplasia, tumors, slow luteal response, endometrial abnormalities, history of cesarean section, curettage, multiple pregnancies, and history of placenta previa in previous pregnancies are some of the factors that can increase the risk of placenta previa. Research Objective: This is to determine the characteristics of pregnant women with the incidence of placenta previa in pregnant women at the HKBP Balige Hospital in 2024. Research Method: This is analytical with a cross-sectional design. The sampling technique uses total sampling with a sample size of 45 people. The entire data processing and analysis process uses the SPSS application. Research Results: The characteristics of pregnant women were obtained as follows: the majority of the age at risk (<20 and >35 years) as much as 55.6%; the majority of parity >3 as much as 53.3%, the majority of Ever CS as much as 60%. Results: statistical tests showed a significant correlation with the characteristics of pregnant women with age (p = 0.007), parity (p = 0.031) and history of CS (p = 0.001). Suggestion: It is expected to facilitate health workers in increasing knowledge and skills through training in maternal and neonatal emergency services as an effort to prevent complications in the mother and fetus.
Determinan Faktor Kejadian Anemia Pada Ibu Hamil Di Klinik Bersalin Suriani Kecamatan Medan Johor Kelurahan Kwala Bekala Provinsi Sumatera Utara Tahun 2025 Sitorus, Damayanty; Marta Armita Silaban; Ade Rachmat Yudiyanto; Erin Padilla Siregar; Sri Rezeki; Hazizah Sabilah Siagian
Jurnal Vokasi Kesehatan Vol 4 No 2 (2025)
Publisher : Gayaku Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58222/juvokes.v4i2.1401

Abstract

Anemia ditandai dengan kadar hemoglobin (Hb) darah di bawah normal. Fungsi jaringan dapat terganggu akibat kekurangan oksigen. Misalnya, gejala seperti kesulitan berkonsentrasi dan kurangnya kebugaran untuk melakukan aktivitas dapat disebabkan oleh kekurangan oksigen di otak dan otot. Penelitian yang digunakan adalah kuantitatif. Proses penemuan pengetahuan kuantitatif mencakup survei retrospektif yang menggunakan data numerik untuk menilai informasi tentang apa yang dicari. Sampel pada penelitian ini adalah 54 orang ibu hamil yang terkena anemia dengan keriteria inklusi dan eksklusi. Dari hasi uji chi Square terhadap usia ibu nilai p value 0,016 (p < α=0,05), Dari hasi uji chi Square terhadap paritas ibu nilai p value 0,032 (p < α=0,05), Dari hasi uji chi Square terhadap Paritas nilai p value 0,017 (p < α=0,05), Dari hasi uji chi Square terhadap Paritas nilai p value 0,003 (p < α=0,05). Kesimpulan ddiapatkan bahwa kejadian anemia pada ibu hamil dipengaruhi oleh beberapa faktor determinan utama yaitu terdapat pada ibu yang mengalami KEK