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PENGARUH KOMUNIKASI PERSUASIF BIDAN TERHADAP PENGAMBILAN KEPUTUSAN IBU DAN KELUARGA YANG MENGALAMI KEHAMILAN RISIKO TINGGI Ai Nur Zannah
Jurnal Medikes (Media Informasi Kesehatan) Vol 7 No 1 (2020): Mei
Publisher : Politeknik Kesehatan Kementerian Kesehatan Banten

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36743/medikes.v7i1.208

Abstract

The coverage of management pregnancy complications in Indonesia tends to increase every year, but not yet comparable to a decrease in maternal morbidity and mortality. This was allegedly due to the increase in the number of high-risk pregnant women each year and because of the delay in referral due to delays in the mother and family in seeking care or deciding on approval of actions when there was a risk of even complications / emergencies. Delayed decision making is assumed due to lack of awareness of the mother and family due to lack of convincing and ineffective health communication carried out by health workers, especially midwives in delivering information about the risks and complications of pregnancy. Effective communication in changing behavior is persuasive communication that can be learned by midwives in order to help convince mothers, families and the community to be aware of the risks so that they can quickly and accurately make decisions for handling / action. This study aims to analyze the effectiveness of midwives' persuasive communication on the decision making of mothers and families experiencing high risk pregnancies. The design of this study uses a quasi-experimental pre-posttest with control groups. Subjects were selected based on inclusion criteria by simple random sampling for the treatment and control group, with a total of 30 midwives in the Jember Regency. Communication is measured by a checklist and decision making of pregnant women viewed from filling out the questionnaire. Data analysis with simple linear regression test to assess the effectiveness of midwife persuasive communication on decision making for pregnant women. The results showed a significant effect of persuasive communication on maternal decision making by 49% (P <0.001). Persuasive communication into an intervention increases the competence of midwives' promotives so that they can help convince mothers, families and the community to be aware of the risks, there is no delay in referrals that cause pain or even maternal death.
DZIKIR CAN REDUCE LABOR PAIN LEVEL Ai Nur Zannah
International Journal of Islamic and Complementary Medicine Vol. 2 No. 1 (2021): International Journal Islamic Medicine
Publisher : International Islamic Medicine Forum

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (278.865 KB) | DOI: 10.55116/IJIM.V1I1.16

Abstract

Labor pain is a physiological condition that began at the first stage of labor (laten and active phase). Pain comes from uterine contractions and cervical dilation in an attempt to pave the way for birth and encourage babies to be born. Experts find pharmacological and non-pharmacological ways to reduce pain in labor, one of them is Dzikir guided by childbirth helper (midwife). The purpose of this study was to analyze the differences of labor pain level on mother in latent phase before and after applying Dzikir. Subjects were 15 accidentally selected mothers in labor latent phase on March - April in PMB ā€œSā€ Puger Jember. The design of this study uses a quasi-experimental one group pre-posttest. Results showed significant decreased pain level of mothers after doing Dzikir significantly (Z=-3,578, p≤0.001). In conclusions, there are differences of labor pain level on mother in latent phase before and after applying Dzikir.
Analysis of Holistic Midwifery Care For Maternal Health Ai Nur Zannah
JURNAL ILMIAH OBSGIN : Jurnal Ilmiah Ilmu Kebidanan & Kandungan P-ISSN : 1979-3340 e-ISSN : 2685-7987 Vol 14 No 4 (2022): EDISI SPESIAL
Publisher : NHM PRESS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36089/job.v14i4.967

Abstract

Maternal health is one of the global health development indicators which is always a challenge for all countries in the world strive to improve health and reduce mortality. Health is a state of complete physical, mental, social and spiritual well-being, so that holistic care is needed to fulfill these circumstances. The purpose of this research is analyzing holistic midwifery care for maternal health. The research design used a cross-sectional quantitative study that is analyzing the relationship between physical, social, mental, and spiritual health status to the holistic health status of the mother. Sampling was carried out by purposive sampling of 51 pregnant women. The analysis used Pearson's correlation test. The research results show 54.25% of pregnant women are in a state of less than average physical health status; 52.94% have less than average social health status; 45.1% have a mental health status of symptoms of anxiety; 41.18% have less than average spiritual health status. The statistical test results show that there is a relationship between physical, social, mental and spiritual health status on the mother's health status holistically. Holistic midwifery care can be carried out starting from assessment to management of early detection and referral and evaluation to optimize health conditions, especially maternal health.
UPAYA PENINGKATAN STATUS GIZI PADA BALITA STUNTING DENGAN PEMERIKSAAN HB DAN MIKROBIOTA SEBAGAI UPAYA IMPLEMENTASI GERAKAN ANTI STUNTING Yuningsih, Yuningsih; Sari, Asri Iman; Zannah, Ai Nur
Jurnal IDAMAN (Induk Pemberdayaan Masyarakat Pedesaan) Vol. 8 No. 1 (2024): Jurnal IDAMAN (Induk Pemberdayaan Masyarakat Pedesaan)
Publisher : Politeknik Kesehatan Kemenkes malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/j.idaman.v8i1.4091

Abstract

Stunting, a type of malnutrition that begins in the womb until the first two years of life and is worsened by recurrent infectious diseases after birth. Children in tropical countries experience more worm infections which can cause blood loss through the digestive tract due to the number of bad microbiota in the digestive tract. Cumulatively, bad microbiota can cause malnutrition and blood loss which results in decreased body resistance and causes problems with children's growth and development. The aim of this community service is to examine the presence of gastrointestinal microbiota and HB which is associated with nutritional status in stunted toddlers. The method/stage of the activity is a screening examination starting with anamnese and physical examination, then Hb and feces examinations are carried out on stunted toddlers in the Kaliwates Health Center area, Kebonagung village. The number of stunted toddlers targeted was 17 aged 24 – 60 months out of 30 children whose parents were willing to have their Hb and feces checked. The result of this community service is that the number of bad microbiota is greater than the good microbiota in stunted toddlers and in this condition the Hb levels also decrease. Conclusion: Shifts in the composition of toddlers' intestinal bacteria have been associated with an increase in the number of gastrointestinal infections which resulted in a decrease in Hb levels in stunted toddlers.
The Relationship Between the Physical Health of Pregnant Women and The Social Economy Iman Sari, Asri; Zannah, Ai Nur; Yuningsih, Yuningsih
Jurnal MID-Z (MIDWIFERI ZIGOT) Vol 6 No 2 (2023): NOVEMBER
Publisher : Universitas Islam Jember

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56013/jurnalmidz.v6i2.2370

Abstract

Midwives provide continuous and plenary midwifery services, focusing on aspects of prevention, promotion based on partnerships and community empowerment together with other health workers to always be ready to serve. Pregnant women need holistic care to meet basic needs, not only biological needs with the 10T examination but also psychological, social, cultural and spiritual examinations with a holistic examination covering the mother's physical, psychological, social and even spiritual condition. . The instrument in this study was a questionnaire consisting of questionnaires on social and economic factors as well as measurements of general maternal data such as weight, height and other routine measurements for pregnant women. After a statistical test was carried out using the Spearman rank correlation, it was found that the p-value was -0.073 with a significant level of 0.566, which means that the variable physical status of pregnant women seen from BMI and socio-economic status of the mother has a fairly strong but not significant relationship in the opposite direction. Not only social and economic factors that affect the welfare of pregnant women. Routine holistic care is needed for pregnant women to monitor quality pregnancies.
Hubungan Perkembangan Balita Dengan Perilaku Dan Emosional Di Wilayah Puskesmas Kaliwates Jember Sari, Asri Iman; Zannah, Ai Nur; Yuningsih, Yuningsih
ARTERI : Jurnal Ilmu Kesehatan Vol 5 No 2 (2024): Februari
Publisher : Puslitbang Sinergis Asa Professional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37148/arteri.v5i2.281

Abstract

The Indonesian Ministry of Health stated that around 400,000 toddlers in Indonesia suffer from developmental disorders. Based on Riskesdas 2013 data, the prevalence of stunting is 37.2%. Development can be assessed using motor skills, social and emotional skills, language skills, and cognitive skills. Children have the right to receive attention in the process of growth and development so as to achieve a good quality of life, to achieve a good future for the nation. The aim of this study was to analyze the relationship between the developmental status of stunting toddlers and their behavior and emotions at the Kaliwates Health Center, Jember district. The population of this study were 70 toddlers who came to posyandu in the Kaliwates Health Center, Jember Regency, and the sample was taken by total sampling. Measurement of growth and development of toddlers using the book Stimulation, Detection and Early Intervention of Growth and Development (SDIDTK). The research showed that 39 toddlers developed according to their age and 31 toddlers experienced developmental delays and required follow-up. Behavioral and emotional toddlers showed that 3 toddlers did not experience behavioral and emotional problems, while 67 toddlers experienced problems. The statistical test used the contingency coefficient and obtained a p-value of 0.047 with a significant level of 5%. It can be concluded that there is a relationship between the development of stunting toddlers with their behavior and emotions.
Hubungan Mikrobiota Saluran Cerna dengan Kadar Hb dan Status Gizi Anak Di Puskesmas Kaliwates Yuningsih, Yuningsih; Zannah, Ai Nur; Sari, Asri Iman; Handayani, Ririn
ARTERI : Jurnal Ilmu Kesehatan Vol 5 No 3 (2024): Mei
Publisher : Puslitbang Sinergis Asa Professional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37148/arteri.v5i3.376

Abstract

The issue of nutritional status, particularly stunting in children, is a global concern that requires serious attention. This research aims to investigate the relationship between gut microbiota and hemoglobin (HB) levels and nutritional status in children at the Kaliwates Health Center. This type of research includes observational analytics with a cross-sectional study design. Sampling was done by purposive sampling, resulting in 19 respondents who met the inclusion criteria. The analysis of this study includes univariate and bivariate analysis with statistical tests using Chi Square. The research instruments used were digital Hb tests and laboratory feces examinations. The results of the univariate analysis using the Chi Square test showed that the majority of children's gut microbiota was abnormal (89.5%), while the majority of HB levels were normal (42.1%) and the majority of nutritional status was in the short category (47.4%). The bivariate analysis results of the relationship between microbiota and Hb levels showed a p-value of 0.215 (p-value>0.05), while the bivariate analysis results of the relationship between microbiota and nutritional status showed a p-value of 0.000 (p-value<0.05). The conclusion of this study is that there is no relationship between gut microbiota and Hb levels, but there is a significant relationship between gut microbiota and nutritional status.children's nutritional status, including the role of the microbiota in digestion and absorption of nutrients.