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PENINGKATAN KESIAPAN PERSALINAN MELALUI EDUKASI MANDIRI BAGI IBU HAMIL TRIMESTER KETIGA DI PMB SHINTA KOTA MEDAN PROVINSI SUMATERA UTARA TAHUN 2025: PENINGKATAN KESIAPAN PERSALINAN MELALUI EDUKASI MANDIRI BAGI IBU HAMIL TRIMESTER KETIGA DI PMB SHINTA KOTA MEDAN PROVINSI SUMATERA UTARA TAHUN 2025 Marta Armita Silaban; Yasrida Nadeak; Novita Andriani Br.Manjorang; Damayanty S; Eva Dona Sinaga
Jurnal Pengabdian Vol. 4 No. 2 (2025): Juli-Desember
Publisher : Bengkulu Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58222/jp.v4i2.1399

Abstract

Preparing for childbirth is one of the most important strategies to reduce the risk of complications for both mother and baby. However, many pregnant women, especially those in their third trimester, do not fully understand the signs of labor, how to deliver a baby, and how to prepare for referrals. Pregnant women about to give birth often experience anxiety due to their inability to cope with the discomfort caused by the mental and physical changes that occur during pregnancy. This community service program aims to improve the readiness of pregnant women in their third trimester for childbirth through independent learning based on educational e-books. This community service activity took place at PMB Shinta, Medan Johor District, Medan City, involving thirty-two expectant mothers. Activities included small group discussions, counseling, distribution of e-books, and prenatal and postnatal examinations for evaluation. The results of this community service program indicated that participants now have a better understanding and are prepared for the labor process. Pregnant women can gain the basic knowledge needed before giving birth through this e-book. The goal of this community service initiative is to improve the readiness of pregnant women in their third trimester for childbirth through independent learning based on educational e-books.
Hubungan Pengetahuan dan Sikap Ibu dengan Pemberian Asi Eksklusif di Klinik Bersalin Evie Kec Babalan Kabupaten Langkat Tahun 2022 Damayanty S; Marta Armita Silaban; Ika Damayanti Sipayung; Ade Rachmat Yudianto
Jurnal Ilmiah Kedokteran dan Kesehatan Vol. 1 No. 1 (2022): Januari: Jurnal Ilmiah Kedokteran dan Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/klinik.v1i1.1979

Abstract

According to WHO data (2016), the coverage of exclusive breastfeeding worldwide was only around 36% during the 2007-2014 period. The achievement of exclusive breastfeeding in Indonesia in 2016 was 54%, but again decreased in 2017 to only 35% (Ministry of Health RI, 2017). In accordance with Health Law No. 36 of 2009 article 128 paragraph 1 states that every baby has the right to get exclusive breastfeeding from birth for six months except for medical indications and in paragraph (2) it says "during breastfeeding, the family, government, government regions and communities must fully support the baby by providing time and public facilities. Furthermore, in article 200 paragraph 1 it is stated "Everyone who deliberately obstructs the exclusive breastfeeding program as stated in article 128 is subject to imprisonment for 1 year and a maximum fine of Rp. 100,000,000 (one hundred million rupiah). The type of research used is an analytical survey. Analytic survey is research that tries to explore how and why the phenomenon occurs. Then analyze the dynamics of the correlation between phenomena, both between risk factors and effect factors. Test results The results of the chi square statistical test at a confidence level of 0.05 obtained a p value = 0.004 <0.05, then H0 was rejected and Ha was accepted. So it can be concluded that there is a significant relationship between knowledge and exclusive breastfeeding at the Evie Childbirth Clinic Langkat district in 2022. The results of the chi-square statistical test at the 0.05 confidence level obtained a p value = 0.003 <0.05, Ha was accepted. So that it can be concluded that there is a significant relationship between knowledge and exclusive breastfeeding at the Evie Childhood Clinic in Langkat Regency in 2022.
Faktor-faktor yang Memengaruhi Kejadian Preeklampsia di RS Bhayangkara Polda Riau Provinsi Riau Tahun 2024 Damayanty S; Ufi Alfianingsih; Erin Padilla Siregar; Novita Andriani Br. Manjorang; Ika Damayanti Sipayung; Ade Rachmat Yudiyanto
Jurnal Ilmiah Kedokteran dan Kesehatan Vol. 4 No. 1 (2025): Januari : Jurnal Ilmiah Kedokteran dan Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/klinik.v4i1.3984

Abstract

The number of maternal deaths based on documentation of the family health program at the Ministry of Health, Indonesia had 4,627 deaths in 2020. This figure increased compared to 2019 which amounted to 4,221 deaths. Based on the cause, most maternal deaths in 2020 occurred due to bleeding (1,330 cases), pregnancy-related hypertension (1,110 cases), and circulatory system disorders (230 cases). Preeclampsia is associated with risk factors, including age; women over 40 are more likely to experience preeclampsia, as are mothers who are pregnant with many children. Using quantitative, using numerical data through retrospective surveys with cross-sectional studies. The population of all mothers who experienced preeclampsia in 2023-2024 amounted to 60 people, the research sample Total Sampling 60. The results of statistical tests showed that p.value = 0.004 and α = 0.05, where the value of P.value (0.004) <α (0.05), so it can be concluded that there is a relationship between maternal age and the incidence of Preeclampsia. The results of statistical tests showed that p.value = 0.019 and α = 0.005, where the value of P.value (0.019) <α (0.005), so it can be concluded that there is a relationship between maternal parity and the incidence of Preeclampsia. Based on the results of the statistical test, it was found that p.value = 0.000 and α = 0.05, where the value of P.value (0.000) < α (0.05), so it can be concluded that there is a relationship between maternal nutritional status and the incidence of preeclampsia. The results of the statistical test showed that p.value = 0.120 and α = 0.05, where the value of P.value (0.120) < α (0.05), so it can be concluded that there is no relationship between maternal gestational age and the incidence of preeclampsia.
Strategi Pencegahan dan Manajemen Bendungan ASI pada Ibu Postpartum: A Systematic Literature Review Riyandini Simanjuntak; Damayanty S; Henny Rista; Ermawati Br. Sinulingga; Siska Wulandari Telaumbanua
Jurnal Ners Vol. 10 No. 3 (2026): JULI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i3.60822

Abstract

Bendungan ASI (breast engorgement) merupakan salah satu masalah laktasi yang sering dialami ibu pada masa postpartum dan dapat menghambat keberhasilan pemberian Air Susu Ibu (ASI) eksklusif. Kondisi ini ditandai dengan pembengkakan payudara, nyeri, dan peningkatan tekanan pada jaringan payudara akibat akumulasi ASI, kongesti vaskular, dan edema. Apabila tidak ditangani secara tepat, bendungan ASI dapat menyebabkan kesulitan menyusui, mastitis, bahkan penghentian pemberian ASI lebih awal. Penelitian ini bertujuan untuk mengidentifikasi serta menganalisis berbagai strategi pencegahan dan manajemen bendungan ASI pada ibu postpartum berdasarkan bukti ilmiah terkini. Penelitian menggunakan metode Systematic Literature Review dengan mengacu pada pedoman Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020. Penelusuran literatur dilakukan melalui basis data PubMed, Scopus, ScienceDirect, SpringerLink, Wiley Online Library, dan Google Scholar terhadap artikel yang dipublikasikan pada periode 2016–2026. Artikel dipilih berdasarkan kriteria inklusi dan eksklusi, kemudian dianalisis menggunakan metode narrative synthesis. Hasil kajian menunjukkan bahwa strategi pencegahan yang paling efektif meliputi pelaksanaan inisiasi menyusu dini, pemberian ASI sesuai kebutuhan bayi (on demand), perbaikan teknik pelekatan bayi, serta edukasi laktasi sejak masa kehamilan hingga postpartum. Sementara itu, strategi manajemen yang banyak direkomendasikan meliputi teknik Reverse Pressure Softening (RPS), pijat payudara terapeutik, kompres dingin setelah menyusui, pengeluaran ASI secara manual apabila diperlukan, serta pendampingan oleh tenaga kesehatan. Secara keseluruhan, pendekatan berbasis bukti yang mengutamakan optimalisasi proses laktasi dan edukasi ibu terbukti mampu mengurangi bendungan ASI serta mendukung keberhasilan pemberian ASI eksklusif.