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FACTORS AFFECTING NEWBORN WEIGHT Eka Rati Astuti; Harlen Yunita
GEMA KESEHATAN Vol. 14 No. 2 (2022): Desember 2022
Publisher : POLTEKKES KEMENKES JAYAPURA

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Abstract

The nutritional status and health of the baby can be described, one of which is the weight at birth. In addition, the incidence that occurs in infants during gestation and its association with various factors, including parity, maternal age, hemoglobin level, gestational interval, pregnancy examination, upper arm circumference, socioeconomic environment, and disease during pregnancy. This study aims to analyze the factors that affect newborn weight in Kedurang District, South Bengkulu Regency, in 2020. This study used an analytical observational method with a retrospective cohort study design. The population used is 57 people, namely pregnant women with data on hemoglobin levels in the third trimester and delivery data in Kedurang District. All population members are used as research subjects (total sampling). Data analysis used chi-square and linear regression. There were 57 respondents; 80.7% were of no-risk age, 45.6% had low education, 56.2% were multigravida, and 54.8% had anemia. As many as 28.1% of infants born with low birth weight have the most significant risk factors anemia (54.8%), primigravida (40.5%), primary education (28.6%), and age at risk (19.1% ). The results showed an influence between the mother's age and the newborn's weight (p=0.001) with an OR value of 1.1. In addition, there is an effect between education and newborn weight (p = 0.009) with an OR value of 13. There is also an effect between parity and newborn weight (p = 0.003) with an OR value of 11.4. In addition, there was an effect between the mother's Hb value and the newborn's weight (p=0.004), with an OR value of 10.6. Based on the OR value, sequentially, the factors that affect the newborn's weight are education, parity, Hb value, and maternal age. Keywords: Anemia, Low birth weight babies, Hb level, Parity, Mother's age
Derajat Anemia pada Kehamilan dengan Kejadian Asfiksia Bayi Baru Lahir Astuti, Eka Rati; Yunita, Herlen
Journal Midwifery Jurusan Kebidanan Politeknik Kesehatan Gorontalo Vol 6, No 1 (2020): March
Publisher : Politeknik Kesehatan Kementrian Kesehatan Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52365/jm.v6i1.305

Abstract

The exchange of oxygen in the blood is influenced by red blood cells. If there is interference in pregnant women can cause anemia. Anemia in pregnancy results in fetal hypoxia. Hypoxia in the fetus can cause asphyxia in the newborn. The purpose of this study was to analyze the relationship between the degree of anemia and the incidence of asphyxia in newborns at the Sumatra Island Regional General Hospital. The research design used was case-control with analytical survey techniques. Sampling was done by random sampling technique on 80 respondents. The study was conducted for one month. Data were analyzed using the chi-square test. The results showed that asphyxiated babies were born to mothers with moderate levels of anemia, while mothers with mild anemia gave birth to non-asphyxiated babies. The results of the chi-square obtained = 0,000 < 0,005, meaning that the hypothesis is accepted. It was concluded that there was a significant relationship between the degree of anemia and the incidence of asphyxia in newborns at the Sumatra Island Regional General Hospital.
PENGGUNAAN KB JANGKA PANJANG UNTUK MEMPERSIAPKAN PERSALINAN YANG BERKUALITAS Eka Rati Astuti; Magdalena Martha Tompunuh; Fatmawati Ibrahim
JMM (Jurnal Masyarakat Mandiri) Vol 8, No 1 (2024): Februari
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jmm.v8i1.21063

Abstract

Abstrak: Penggunaan Metode Kontrasepsi Jangka Panjang (MKJP) sebagai kontrasepsi efektif untuk menurunkan angka TFR masih jauh di bawah angka penggunaan non MKJP. Penggunaan KB jangka pendek lebih berisiko besar terjadinya kehamilan karena ketidaktepatan waktu dalam menggunakan alat kontrasepsi sesuai jadwal dibandingkan dengan penggunaan KB jangka panjang yang jangka waktunya relatif lama. Pengabdian ini dilakukan dengan tujuan untuk meningkatkan pengetahuan tentang MKJP pada ibu hamil dan keluarganya. Metode yang digunakan adalah penyuluhan kepada 34 orang ibu hamil di Puskesmas Kota Selatan. Evaluasi dilakukan dengan menggunakan pretest dan posttest. Hasil dari pengabdian yaitu penyuluhan berjalan dengan baik dan terdapat peningkatan pengetahuan tentang MKJP menjadi 64,28% yang dapat dilihat dari peningkatan dari hasil pretest dan posttest.Abstract: The use of LongTerm Contraceptive Methods (MKJP) as an effective contraceptive to reduce the TFR rate is still far below the rate of non-MKJP use. The use of short-term contraception has a greater risk of pregnancy due to the inaccuracy of using contraceptives according to schedule compared to the use of long-term contraception which has a relatively long period of time. This service is carried out with the aim of increasing knowledge about MKJP among pregnant women and their families. The method used was counseling to 34 pregnant women. Evaluation is carried out using pretest and posttest. The results of the service, namely counseling, went well and there was an increase in knowledge about MKJP to 64.28% which can be seen from the increase in the pretest and posttest results. 
PELATIHAN KADER, IBU PKK, DAN PERANGKAT KELURAHAN TENTANG PEMBUATAN STIK KULIT SINGKONG SEBAGAI INOVASI PENCEGAHAN STUNTING DI KELURAHAN DEMBE I DAN LEKOBALO KECAMATAN KOTA BARAT KOTA GORONTALO Magdalena M. Tompunuh; Nanda Wahyudi; Eka Rati Astuti; Liean Ntau
JMM (Jurnal Masyarakat Mandiri) Vol 8, No 1 (2024): Februari
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jmm.v8i1.20128

Abstract

Abstrak: Angka stunting di Puskesmas Pilolodaa sebanyak 64 kasus pada tahun 2021. Penyebab utama dari stunting karena kurangnya asupan gizi pada ibu hamil. Karena semakin bertambahnya usia kehamilan semakin tinggi kebutuhan asupan gizi yang dibutuhkan ibu hamil. Salah satu makanan yang memiliki nilai gizi yang tinggi adalah singkong. Singkong (Manihot esculenta Crantz) merupakan tanaman yang tumbuh di daerah tropis seperti di Provinsi Gorontalo dan mudah didapatkan. Tujuan pengabdian masyarakat ini yaitu meningkatkan pengetahuan mengenai pertumbuhan dan perkembangan balita serta cara pembuatan stik kulit singkong. Metode: berupa penyuluhan dan demonstrasi serta pendampingan tentang pembuatan stik kulit singkong untuk mencegah balita stunting kepada 20 sasaran mitra (kader kesehatan, ibu PKK dan perangkat kelurahan Dembe I dan Lekobalo), serta akan dilakukan pretest dan post test untuk menilai pengetahuan sasaran mitra mengenai pertumbuhan dan perkembangan balita serta cara pembuatan stik kulit singkong. Pengabdian masyarakat dikatakan berhasil jika terjadi peningkatan pengetahuan ≥40%. Hasil: terjadi peningkatan 55% pengetahun Kader, Ibu PKK dan Perangkat Kelurahan Dember I dan Lekobalo setelah diberikan penyuluhan mengenai pertumbuhan dan perkembangan balita serta cara pembuatan stik kulit singkong.Abstract: The stunting rate at the Pilolodaa Community Health Center is 64 cases in 2021. The main cause of stunting is lack of nutritional intake in pregnant women. Because the increasing gestational age, the higher the nutritional intake required by pregnant women. One food that has high nutritional value is cassava. Cassava (Manihot esculenta Crantz) is a plant that grows in tropical areas such as Gorontalo Province and is easy to obtain. Until now, people have not been able to utilize cassava optimally, even though in reality there are many parts of cassava that can be processed into snacks, such as: cassava meat, leaves, and the most rarely processed is the skin because it is considered waste from the cassava plant. The aim of this community service is a form of higher education tridharma in the form of training cadres, PKK mothers and village officials on making cassava skin sticks to prevent stunting in toddlers. Training methods in the form of counseling and demonstrations as well as mentoring target partners. The results showed an increase in the knowledge of PKK cadres, women and village officials after being given counseling regarding the growth and development of toddlers and how to make cassava skin sticks.
Factors that Influence the Satisfaction of Health Service Recipients in Hospitals: Systematic Literature Review Eka Rati Astuti
Care : Jurnal Ilmiah Ilmu Kesehatan Vol 12, No 2 (2024): EDITION JULY 2024
Publisher : Universitas Tribhuwana Tunggadewi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33366/jc.v12i2.5947

Abstract

One of the challenges in hospital health services is patient dissatisfaction. Patient satisfaction relates to their feelings about the health services received compared to their expectations. Improving the quality of hospital services is crucial for enhancing patient satisfaction.This study aims to find out the factors that can influence the satisfaction of health service recipients in hospitals. The literature review method was used for journals related to client satisfaction factors and health services in hospitals limited to the years 2019-2024. This research method includes 7 international journals, 4 international journals indexed by Scopus, and 5 national journals, 4 journals certified by Sinta (S3:1 S4: 3). Based on the results of the review, it was found that satisfaction with health services in hospitals was influenced by the following factors: physical evidence (2 journals), reliability (2 journals), responsiveness (2 journals), health insurance (2 journals), empathy (2 journals), religion (1 journal), respondent satisfaction (1 journal), assessment of health services (1 journal), health services (1 journal), limiting the number of patients (1 journal), and standard prevention (1 journal). In conclusion, factors that influence the satisfaction of health service recipients in hospitals include physicality, reliability, responsiveness, health insurance, and empathy.
TINJAUAN LITERATUR: PENATALAKSANAAN HIPERTENSI PADA IBU HAMIL Eka Rati Astuti; Juli Gladis Claudia
Jambura Journal of Health Sciences and Research Vol 6, No 2 (2024): APRIL: JAMBURA JOURNAL OF HEALTH SCIENCES AND RESEARCH
Publisher : Universitas Negeri Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35971/jjhsr.v6i2.24067

Abstract

Hipertensi kehamilan adalah suatu keadaan dimana tekanan darah sistolik 140 mmHg atau lebih, tekanan darah diastolik 90 mmHg atau lebih, tekanan darah sistolik 30 mmHg atau lebih, atau tekanan darah diastolik meningkat 15 mmHg atau lebih. Nilai di atas garis dasar diukur dalam dua kondisi dengan rentang 6 jam. Kebaruan dari penelitian ini adalah menyelidiki tinjauan literatur “Pengobatan Hipertensi pada Wanita Hamil.” Tujuan penelitian ini adalah untuk mengetahui pengobatan hipertensi pada ibu hamil. Metode: literatur berasal dari 1 jurnal internasional terindeks Scopus, 7 jurnal nasional terakreditasi Sinta 3-4, 4 jurnal nasional terakreditasi Sinta 5, dan 4 jurnal nasional terakreditasi Sinta 2. Pada tahap pencarian jurnal diambil dari Google Cendekia. Artikel-artikel tersebut berasal dari tahun 2018 hingga 2022 dan menggunakan kata kunci sebagai berikut: hipertensi, ibu hamil, dan penatalaksanaan. Hasil penelitian yang dipublikasikan di beberapa jurnal menunjukkan bahwa pengobatan hipertensi pada ibu hamil dapat dibagi menjadi empat bidang: farmakoterapi hipertensi (5 jurnal), pengobatan hipertensi nonfarmakologis (9 jurnal), dan penatalaksanaan hipertensi dengan non-farmakologis. pengobatan farmakologi (1 jurnal) dan SMBP (Kemitraan Usaha Mobilitas Sosial) (1 jurnal). Kesimpulan penelitian ini adalah pengobatan hipertensi pada ibu hamil terdiri dari empat pengobatan yaitu terapi obat hipertensi, pengobatan dengan terapi non obat, pengobatan tanpa obat, dan pengobatan hipertensi dengan SMBP (Corporate Partnership for Social).
SOSIALISASI GERAKAN IBU SADAR STUNTING BERBASIS DEMONSTRASI PEMBERIAN MPASI PADA BAYI BALITA Magdalena Martha Tompunuh; Eka Rati Astuti; Fatmawati Ibrahim
JMM (Jurnal Masyarakat Mandiri) Vol 8, No 6 (2024): Desember
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jmm.v8i6.26681

Abstract

Abstrak: Stunting pada bayi dan balita, yang merupakan kondisi di mana balita memiliki tinggi badan yang lebih rendah dari normal karena kekurangan gizi kronis dalam 1000 hari pertama kehidupan. Dampak stunting mencakup masalah metabolisme, infeksi, perkembangan saraf, dan sosial-ekonomi yang merugikan, pencegahan stunting dapat dilakukan melalui intervensi farmakologi dan non farmakologi, seperti pemberian makanan tambahan pendamping ASI. Tujuan pengabdian masyarakat yaitu meningkatkan pengetahuan pada ibu hamil dan ibu yang memiliki bayi balita dalam pengelolaan MPASI. Metode pelaksanaan yang digunakan adalah metode ceramah dan demonstrasi. Beberapa mitra yang terlibat yaitu kepala puskesmas, bidan koordinator, kader, dan pendamping ibu yang memiliki bayi balita. Jumlah yang mengikuti yaitu 25 orang. Evaluasi kegiatan pengabdian pada masyarakat dilakukan dalam pemberian pre test dan post test. Terdapat peningkatan hasil pretest dan posttest yang telah dicapai yaitu ada 23 (92%) ibu yang memiliki bayi dan balita berpengetahuan baik dan 2 (8%) ibu yang memiliki bayi dan balita dalam kategori kurang baik.Abstract: Stunting in infants and toddlers, which is a condition in which toddlers have a lower than normal height due to chronic malnutrition in the first 1000 days of life. The impacts of stunting include metabolic problems, infections, neurodevelopment, and adverse socio-economic conditions, stunting prevention can be done through pharmacological and non-pharmacological interventions, such as providing additional complementary foods to breast milk. The purpose of community service is to increase knowledge in pregnant women and mothers who have toddlers in the management of MPASI. The implementation method used is the lecture and demonstration method. Several partners involved are the head of the health center, the coordinating midwife, cadres, and companions for mothers who have toddlers. The number of participants was 18 people. Evaluation of community service activities was carried out by providing pre-tests and post-tests. There was an increase in the pretest and posttest results that had been achieved, namely that there were 23 (92%) mothers who had babies and toddlers with good knowledge and 2 (8%) mothers who had babies and toddlers in the less good category.
PERILAKU CERDAS DALAM PENGENDALIAN HIPERTENSI PADA IBU HAMIL Eka Rati Astuti; Magdalena Martha Tompunuh; Desak Made Yulianti; Selvi Mohamad; Siti Muslimah Manto; Faradela Anwar; Tiara Putri Samadi
JMM (Jurnal Masyarakat Mandiri) Vol 9, No 1 (2025): Februari
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jmm.v9i1.28168

Abstract

Abstrak: Secara global, 80% kematian ibu hamil yang tergolong dalam penyebab kematian ibu secara langsung, yaitu disebabkan karena terjadinya komplikasi seperti pendarahan (25%) biasanya pendarahan pasca persalinan, hipertensi pada ibu hamil (12%), partus macet (8%), aborsi (13%) dan karena sebab lainnya (7%). Meningkatnya kejadian hipertensi dipengaruhi beberapa faktor risiko yaitu jenis kelamin, adanya riwayat tekanan darah tinggi dalam keluarga, obesitas, kurang olah raga, mengkonsumsi garam berlebih, stress dan kebiasaan hidup seperti merokok dan minum minuman beralkohol. Kegiatan ini bertujuan untuk meningkatkan pengetahuan ibu hamil tentang perilaku cerdas dalam pengendalian hipertensi pada ibu hamil. Metode yang digunakan ceramah dan tanya jawab, sasaran pengabdian ini adalah ibu hamil berjumlah 30 ibu hamil. Evaluasi kegiatan dilakukan dengan pretest dan posttest. Hasil yang didapatkan terdapat peningkatan pengetahuan pada ibu hamil sebanyak 28 orang (94%) tentang pencegahan hipertensi setelah diberikan penyuluhan tentang perilaku CERDAS dalam pengendalian hipertensi pada ibu hamil.Abstract: Globally, 80% of maternal deaths are directly attributable to complications such as haemorrhage (25%), usually post-partum haemorrhage, hypertension in pregnant women (12%), obstructed labour (8%), abortion (13%) and other causes (7%). The increasing incidence of hypertension is influenced by several risk factors, namely gender, family history of high blood pressure, obesity, lack of exercise, excessive salt consumption, stress and life habits such as smoking and drinking alcoholic beverages. This activity aims to increase the knowledge of pregnant women about smart behaviour in controlling hypertension in pregnant women. The method used was lecture and question and answer, the target of this service was 30 pregnant women. Evaluation of activities is carried out using pretests and posttests. The results obtained were an increase in knowledge in pregnant women as many as 28 people (94%) about the prevention of hypertension after being given counseling on SMART behaviour in controlling hypertension in pregnant women.
SKRINING DIABETES MELITUS GESTASIONAL MELALUI PEMERIKSAAN GLUKOSA DARAH PADA IBU HAMIL Nancy Olii; Eka Rati Astuti; Magdalena M Tompunuh; Fatmawati Ibrahim; Yusni Podungge; Endah Yulianingsih; Imran Temenggung; Putri Anjarwati; Putri Adinda Mahmud; Rahmatiya Malipi
JMM (Jurnal Masyarakat Mandiri) Vol 8, No 2 (2024): April
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jmm.v8i2.21327

Abstract

Abstrak: Diabetes Melitus Gestasional (DMG) adalah kondisi dimana ibu hamil yang sebelumnya tidak pernah didiagnosa menderita diabetes melitus mengalami kesulitan dalam mengolah glukosa, menyebabkan peningkatan kadar glukosa dalam darah selama kehamilan. DMG menjadi salah satu faktor yang dapat memengaruhi Angka Kematian Ibu (AKI) karena jika tidak diatasi sejak awal, dapat menimbulkan komplikasi yang berdampak pada kesehatan ibu dan bayi. Tujuan pengabmas ini adalah untuk meningkatkan soft skill mitra dalam mendeteksi DMG pada tahap awal melalui pengujian kadar glukosa darah saat puasa pada ibu hamil di Kota Gorontalo. Kegiatan ini melibatkan 25 ibu hamil sebagai responden, dimana pengumpulan data dilakukan melalui pengujian kadar glukosa darah saat puasa menggunakan strip test. Pelaksanaan pengabmas yaitu pemeriksaan glukosa darah saat ibu hamil datang kemudian memberikan air gula kepada ibu hamil dan diukur kembali 2 jam setelahnya. Evaluasi yaitu dengan mengukur glukosa darah sebelum dan setelah diberikan air gula. Hasil pemeriksaan glukosa darah pada ibu hamil menjadi normal meningkat 12%. Hasilnya menunjukkan bahwa seluruh ibu hamil yang menjadi responden memiliki kadar glukosa darah dalam batas normal yaitu <126mg/dl.Abstract: Gestational Diabetes Mellitus (GDM) is a condition where pregnant women who have not previously been diagnosed with diabetes mellitus experience difficulty processing glucose, causing an increase in blood glucose levels during pregnancy. GDM is one of the factors that can influence the Maternal Mortality Rate (MMR) because if it is not treated early, it can cause complications that have an impact on the health of the mother and baby. The aim of this community service is to improve partners' hard skills in detecting GDM at an early stage by testing blood glucose levels during fasting in pregnant women in Gorontalo City. This activity involved 25 pregnant women as respondents, where data collection was carried out by testing blood glucose levels while fasting using test strips. The implementation of community service is checking blood glucose when the pregnant woman arrives, then giving the pregnant woman sugar water and measuring it again 2 hours later. Evaluation is by measuring blood glucose before and after being given sugar water. The results of blood glucose examinations in pregnant women became normal, increasing by 12%. The results showed that all pregnant women who were respondents had blood glucose levels within normal limits, namely <126mg/dl.  
PEMBERDAYAAN KADER KESEHATAN DENGAN PENDAMPINGAN KELUARGA DALAM PENANGANAN HIPERTENSI DAN DETEKSI DINI KOMPLIKASI KEHAMILAN Eka Rati Astuti; Hasnawatty Surya Porouw; Rina Sulisthia Arbie
JMM (Jurnal Masyarakat Mandiri) Vol 8, No 6 (2024): Desember
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jmm.v8i6.26710

Abstract

Abstrak: Kejadian kasus kebidanan di Kota Timur merupakan kasus yang memerlukan perhatian khusus dalam penyelenggaraan pelayanan kebidanan. Kasus kebidanan yang mengancam jiwa memerlukan perhatian dari banyak pihak. Tujuan pengabmas yaitu meningkatkan keterampilan kader kesehatan dengan mendampingi keluarga dalam mendeteksi dan mengelola hipertensi dengan langkah CERDAS. Metode pengabmas yaitu demonstrasi dan praktik. Mitra yaitu kader posyandu sebanyak 5 orang dan sasaran seabanyak 15 orang keluarga ibu hamil. Evaluasi dilakukan dengan hasil selisih pretest dan posttest serta evaluasi keterampilan kader dalam pendampingan keluarga dalam penanganan hipertensi dan deteksi dini komplikasi kehamilan. Hasil yang telah dicapai adalah kader mampu mendampingi keluarga dalam penanganan hipertensi dan deteksi dini komplikasi kehamilan. Sebelum mengikuti demonstrasi, kader memiliki keterampilan kategori cukup (100%) pada pendampingan keluarga dalam mendeteksi dini komplikasi kehamilan. Setelah mengikuti demonstrasi, kader memiliki keterampilan kategori baik (60%) dan sangat baik (40%) pada pendampingan keluarga dalam mendeteksi dini komplikasi kehamilan.Abstract: The occurrence of obstetric cases at the Kota Timur is a case that requires special attention in the implementation of obstetric services. Life-threatening obstetric cases require attention from many parties. The purpose of community service is to improve the skills of health cadres by assisting families in detecting and managing hypertension with CERDAS steps. The community service method is demonstration and practice. Partners are 5 Posyandu cadres and targets of 15 families of pregnant women. Evaluation is carried out with the results of the difference between pretest and posttest and evaluation of cadre skills in assisting families in handling hypertension and early detection of pregnancy complications. The results that have been achieved are that cadres are able to assist families in handling hypertension and early detection of pregnancy complications. Before participating in the demonstration, cadres had sufficient category skills (100%) in assisting families in early detection of pregnancy complications. After participating in the demonstration, cadres had good category skills (60%) and very good (40%) in assisting families in early detection of pregnancy complications.