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Early Initiation of Breastfeeding Can Accelerate Uterine Involution in Postpartum Women Epti Yorita; Juita Dian Anggraini; Sri Yanniarti; Rialike Burhan; Rina Rina
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 5, No 3 (2023): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v5i3.17550

Abstract

Maternal Mortality Rate (MMR) in Indonesia is still high with the main causes of pre-eclampsia and postpartum hemorrhage, this occurs due to endometritis, congenital coagulation disorders as well as residual conception products, subinvolution of blood vessels at placental implantation.  Therefore, efforts are needed to increase uterine contractions in the first minute after birth by stimulating the release of the hormone oxytocin so that the uterus contracts adequately with early initiation of breastfeeding (EIB). This study aims to determine the effect of EIB on uterine involution in postpartum mothers in Bengkulu Regency, Bengkulu Province. Design of research is cross sectional with independent variable of EIB, dependent variable of uterine involution. External variables measured include early mobilization, age and parity. The sample in this study were postpartum mothers on day 7, a total of 54 people selected by purposive sampling. The research site was located in Central Bengkulu Regency, Bengkulu Province. Data were analyzed univariate, bivariate with Mann Whitney and multivariate with ancova. There is an effect of EIB with uterine involution p=0.000.  There is no relationship between parity and uterine involution p=0.100. There is a relationship between age and uterine involution p=0.00. There is a relationship between early mobilization and uterine involution p=0.00. EIB is the dominant factor affecting uterine involution in postpartum mothers. EIB is the dominant factor affecting uterine involution. Health care providers should perform EIB within the first hour after the birth of the baby to prevent sub involution in postpartum women. Keywords:  Breastfeeding, Early, Initiation, Involution, Uterine
THE RELATIONSHIP OF PARENTING PATTERNS AND LONG USE OF GADGETS WITH SOCIAL DEVELOPMENT IN PRESCHOOL CHILDREN Ratna Dewi; Luthfianiiq Syahda Kumala; Eliana Eliana; Desi Widiyanti; Rina Rina
Proceeding B-ICON Vol. 1 No. 1 (2022): Proceeding of The 2nd Bengkulu International Conference on Health (B-ICON 2022)
Publisher : Poltekkes Kemenkes Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33088/bicon.v1i1.6

Abstract

Social development in preschool children is needed, because it is the initial key for children to be able to live social life in the future. The social development of children at this age includes showing empathy as seen from the child's willingness to help friends who need help or showing a sense of concern by being involved in playing activities or other activities. Many factors influence the social development of children. These factors include knowledge factors, parenting patterns and duration of gadget use. Based on the results of the preliminary study, the problem of this research is that there is still a high level of social development disorders in pre-school children. This study aims to determine the relationship between parenting patterns and long use of gadgets with social development in preschool children. The design of this study used a cross sectional approach. The population of this study was 5-6 years old and a total of 66 samples were taken using a total sampling technique. Data were analyzed by univariate and bivariate. The results of this study there is a relationship between parenting patterns with social development in preschool children with p = 0.020. There is a relationship between long use of gadgets with social development in preschool children with p = 0.003. The results of the study concluded that parenting patterns and long use of of gadgets are important factors in social development in preschool children. So that parents pay attention to the importance of parenting and limit the use of gadgets in pre-school children.
FACTORS AFFECTING THE LOW IMPLEMENTATION OF STIMULATION DETECTION OF EARLY GROWTH AND DEVELOPMENT INTERVENTIONS (SDIDTK) IN COMMUNITY HEALTH CENTRE IN BENGKULU CITY Mariati Mariati; Anissa Aprilianthy; Elly Wahyuni; Ratna Dewi; Rina Rina
Proceeding B-ICON Vol. 1 No. 1 (2022): Proceeding of The 2nd Bengkulu International Conference on Health (B-ICON 2022)
Publisher : Poltekkes Kemenkes Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33088/bicon.v1i1.46

Abstract

The early intervention detection stimulation program for Stimulation, Detection, and Early Intervention of Growth and Development or Stimulasi, Deteksi dan lntervensi Dini Tumbuh Kembang Anak (SDIDTK) is a comprehensive and quality child development program. SDIDTK success indicator in Bengkulu city is still 70.07%, which is not sufficient to achieve the indicator applied by the Indonesian Ministry of Health, which is 90% of the total population. This study aimed to determine the factors that influence the low implementation of SDIDTK at the Community Health Centre in Bengkulu City. This study used a qualitative research method with in-depth interviews. Informants were the head of the community health centres or Pusat Kesehatan Masyarakat (Puskesmas), coordinator midwives, and midwives who handled the SDIDTK program at the Penurunan, Anggut Atas, and Lingkar Barat Community Health Centre. This study found that the number of health workers in 1 puskesmas was lacking, SDIDTK program holders in 2 Puskesmas had not received training, in 2020, 2 puskesmas did not run integrated healthcare centres or Pos Pelayanan Terpadu (Posyandu) and SDIDTK due to COVID-19. The availability of facilities and infrastructure was quite good, but it had not been used optimally by health workers. There was already a budget from the Health Operational Assistance or Bantuan Operasional Kesehatan (BOK) for health workers' transportation when they visited the field. It is expected that puskesmas will provide opportunities for health workers, especially midwives, to receive training in the implementation of SDIDTK.
Small group classes with pregnancy cadres (kekasih) can improve knowledge and attitudes about exclusive breastfeeding among third-trimester pregnant women on the remote Island of Enggano, Bengkulu Province Epti Yorita; Sri Yanniarti; Yulinda Yulinda; Saur Sariaty Pasaribu; Rina Rina
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol 12, No 1 (2024)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2024.12(1).83-95

Abstract

Background: One of the government programs that focuses on the first 1000 days of life is exclusive breastfeeding for infants aged 0-6 months, but there is often a failure of exclusive breastfeeding at the age of 0-3 days due to pre-lactal feeding, so education during pregnancy is needed to improve the knowledge and attitudes of pregnant women through KEKASIH (Small Group of Cadres with Pregnant Women) classes. Objectives: This study aims to determine the effectiveness of KEKASIH classes on knowledge and attitudes of pregnant women trimester III in remote areas of Enggano Island, Bengkulu Province in 2023.Methods: Quasi-experimental research design with pre- and post-test and control group. Intervention in the form of KEKASIH class, which is a modified class for pregnant women divided into small groups with cadres as facilitators. Independent variables were KEKASIH class, dependent variables were knowledge and attitude. External variables are age, parity, education, distance of pregnancy, employment. The sample was trimester III pregnant women a total of 50 people consisting of the treatrimesterent group is pregnant women in KEKASIH class, the control group is pregnant women who receive conventional health promotion.Results:The results of the study showed that there was a difference in the mean knowledge score before and after exclusive breastfeeding education through KEKASIH class from 27.36 to 49.04, p=0.00. There is no difference in the mean attitude score before and after exclusive breastfeeding education in the control group from 28.16 to 28.96 p=0.00.Conclusions: KEKASIH Class is more effective in improving mothers' knowledge and attitudes about exclusive breastfeeding with a value of p=00. Educational factors affect mothers' knowledge, but gestational distance and parity affect mothers' attitudes about exclusive breastfeeding.
Pengaruh Kombinasi Stimulasi Pijat bayi dan Esensial Oil Lavender Terhadap Motorik Kasar dan Motorik Halus Pada Bayi Usia 3-12 Bulan di Kota Bengkulu Rina Rina; Elly Wahyuni; Mike Rositarini
JURNAL KEBIDANAN Vol. 13 No. 01 (2024): Jurnal Kebidanan Dharma Husada
Publisher : AKADEMI KEBIDANAN DHARMA HUSADA KEDIRI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35890/jkdh.v13i01.309

Abstract

Background: The growth and development period of infants needs special attention because the process is very fast. There are still toddlers who experience gross motor and fine motor disorders. World Health Organization (WHO) 2016 globally states that around 20-40% of infants aged 0-2 years experience problems with delays in the development process, 5-25% of toddlers who experience gross motor and fine motor disorders. The impact of delays in infant gross motor development causes a decrease in creativity in the adaptation period while the impact of delays in fine motor development causes obstacles in the child's learning process. Efforts that can be made in optimizing the growth and development of fine motor and gross motor in infants in addition to nutrition provided by the mother and one of the other ways needs stimulation. The combination of stimulation of baby massage and lavender essential oil is one of the stimulations to improve gross motor and fine motor in infants aged 3-12 months. Objective: Proving the effect of a combination of baby massage stimulation and lavender essential oil on improving gross motor and fine motor in infants aged 3-12 months. Methods: Pre-experimental quantitative research design with one group pretest-postest design. Sample 40 infants aged 3-12 months. Analysis used to assess the effect on the improvement of gross motor and fine motor in 2 PMB using t test. Results: Hypothesis testing in this study using the Wilcoxon test. Obtained a probability value (p value) of (p value) 0.02 or < 0.05, which means that there is a combined effect of baby massage stimulation and lavender essential oil on improving gross motor and fine motor in infants aged 3-12 months. The intervention was given for 4 weeks, twice a week the intervention was given a combination of baby massage and lavender essential oil, then an evaluation was carried out using the Pre-Developmental Screening Questionnaire (KPSP), consisting of 10 assessment items, starting from gross motor, fine motor, socialization and independence assessments. as well as speech and language skills. Conclusion: The combination of baby massage stimulation and lavender essential oil has an effect on improving gross motor and fine motor in infants aged 3-12 months. Suggestion: parents who have babies are expected to routinely provide baby massage stimulation.
Factors Affecting Exclusive Breastfeeding in the Working Area of the Sawah Lebar Health Center, Bengkulu City Welly Ayunda Dwi Pratiwi; Epti Yorita,; Desi Widiyanti; Rina Rina; Rialike Burhan
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 6, No 1 (2024): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v6i1.19229

Abstract

Breast milk is the best food for babies because it can build antibodies from an early age. Exclusively breastfeeding babies with additional food from birth to 6 months of age can prevent infectious diseases such as otiris media, diarrhea and acute respiratory infections. In Indonesia, the achievement of exclusive breastfeeding is still low due to various factors related to socio-demographics. Low access to relevant information about exclusive breastfeeding is also the cause of mothers' low knowledge about the benefits of exclusively breastfeeding their babies. Apart from that, adequate support from family and health workers also influences exclusive breastfeeding. This research aims to determine the relationship between socio-economics, family support and support from health workers on exclusive breastfeeding for babies 0-6 months in the Sawah Lebar Community Health Center area, Bengkulu City. Cross sectional research design with a sample of 98 babies aged 6-12 months selected using proportional random sampling technique. Data were analyzed univariately using a frequency distribution table, bivariately using chi square and multi variately using logistic regression. The results of the study found that there was a relationship between economic status and exclusive breastfeeding, p=0.00, there was a relationship between family support and exclusive breastfeeding, p=0.00, and there was a relationship between support from health workers and exclusive breastfeeding, p=0.00. Multivariate test results found that economic status was the most dominant factor influencing exclusive breastfeeding with a value of p=0.00. It is recommended for health workers to provide exclusive breastfeeding education in structured groups, the intervention given must take into account working mothers from middle to upper economic groups and involve family members.Keywords:  Exclusive breastfeeding, economy, family, officers