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All Journal JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) JURNAL KEBIDANAN Contagion: Scientific Periodical Journal of Public Health and Coastal Health Journal of Midwifery Jurnal Sains Kesehatan Jurnal Kesehatan Tambusai Dikdimas : Jurnal Pengabdian Kepada Masyarakat Jurnal Penelitian dan Pengabdian Masyarakat Jurnal Besurek Jidan Proceeding of Bengkulu International Conference on Health Indonesian Journal of Research and Service Studies Proceeding Banten International Conference on Health Advancement & Research (BINAR)
Rina Rina
Poltekkes Kemenkes Bengkulu
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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.
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
Efektifitas Quantum Persalinan terhadap Persiapan Fisik dan Psikologis Ibu Hamil Trimester III dalam Menghadapi Persalinan di Kota Bengkulu rina, rina
JURNAL KEBIDANAN Vol. 14 No. 1 (2025): JKDH
Publisher : AKADEMI KEBIDANAN DHARMA HUSADA KEDIRI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35890/jkdh.v14i1.387

Abstract

Latar belakang : Perubahan fisik dan psikologi pada ibu akan terjadi selama kehamilan, akibat adanya tumbuh kembang janin dan persiapan persalinan. Perubahan ini akan membuat ibu hamil rentan dengan kondisi stres, kecemasan serta keluhan lainnya yang berhubungan dengan kesehatan psikologi. Apabila tidak ditangani dengan serius kekhawatiran dan kecemasan pada ibu hamil akan membawa dampak dan pengaruh terhadap fisik dan psikis, baik pada ibu maupun janin. World Health Organization (WHO), sekitar 75-85% dari seluruh wanita hamil akan mengalami komplikasi kehamilan yang sangat berbahaya dan berpotensi mengancam jiwa. Salah satu upaya untuk mempersiapkan fisik dan psikologis yang dihadapi ibu hamil Trimester III adalah dengan Quantum Persalinan. Quantum Persalinan merupakan modifikasi Kelas Ibu Hamil yang bertujuan mempersiapkan diri ibu hamil baik secara fisik maupun psikologis. Tujuan : Mengetahui efektifitas Quantum Persalinanan Terhadap Persiapan Fisik dan Psikologis Ibu Hamil Trimester III dalam Menghadapi Persalinan di Kota Bengkulu Metode : Desain penelitian kuantitatif dengan metode quasi eksperiment, rancangan pretest-postest group design. Sampel diambil secara purposive sampling, terdiri dari 40 ibu hamil trimester III dengan usia kehamilan antara 32 s.d 36 minggu. Intervensi dilaksanakan selama 4 minggu, 1 minggu 1 kali intervensi. Intervensi dengan Promosi kesehatan yang diberikan di Quantum persalinan meliputi materi perubahan-perubahan fisik yang tejadi pada ibu hamil terutama di Trimester III, Relaksasi. Menggunakan kuesioner tingkat pengetahuan dan Hamilton Rating Scale For Anxiety (HARS). Hasil : Ada hubungan Quantum persalinan terhadap persiapan fisik dan psikologis pada ibu hamil trimester III. Nilai Signifikasi p value < 0.05 dengan menggunakan uji Spearman Rank Test. Simpulan : Quantum persalinan lebih efektif dalam meningkatkan pengetahuan ibu tentang Persiapan fisik dan dalam mengurangi kecemasan pada ibu. Upaya persiapan fisik dan psikologis pada ibu hamil juga dipengaruhi oleh peran serta tenaga kesehatan, terutama bidan, ibu hamil perlu beradaptasi dengan keberadaan janin, dirinya sendiri maupun lingkungannya. Kemampuan ibu hamil beradaptasi dapat dibantu oleh tenaga kesehatan yang profesional Saran : Pemberian pelayanan antenatal secara komprehensif merupakan salah satu bentuk dukungan dari tenaga kesehatan, khusunya bidan sebagai ujung tombak kesehatan ibu dan anak di lingkungan masyarakat. Keywords: Persiapan Fisik, Persiapan Psikologis, Ibu Hamil Trimester III ABSTRACT Background: Physical and psychological changes in the mother will occur during pregnancy, due to fetal growth and development and preparation for childbirth. These changes will make pregnant women vulnerable to conditions of stress, anxiety and other complaints related to psychological health. If not handled seriously, worries and anxiety in pregnant women will have an impact and influence on the physical and psychological, both on the mother and the fetus. According to the World Health Organization (WHO), around 75-85% of all pregnant women will experience pregnancy complications that are very dangerous and potentially life-threatening. One of the efforts to prepare physically and psychologically faced by Trimester III pregnant women is with Quantum Labor. Quantum Labor is a modification of the Pregnant Women Class that aims to prepare pregnant women both physically and psychologically. Objective: To determine the effectiveness of Quantum Maternity on the Physical and Psychological Preparation of Third Trimester Pregnant Women in Facing Childbirth in Bengkulu City. Method: Quantitative research design with quasi-experiment method, pretest-postest group design. The sample was taken by purposive sampling, consisting of 40 third trimester pregnant women with gestational age between 32 to 36 weeks. The intervention was carried out for 4 weeks, 1 week 1 time intervention. Intervention with health promotion provided in Quantum labor includes material on physical changes that occur in pregnant women, especially in Trimester III, Relaxation. Using a knowledge level questionnaire and Hamilton Rating Scale For Anxiety (HARS). Results: There is a relationship between Quantum labor on physical and psychological preparation in third trimester pregnant women. Signification value p value <0.05 using the Spearman Rank Test. Conclusion: Quantum labor is more effective in increasing maternal knowledge about physical preparation and in reducing anxiety in mothers. Physical and psychological preparation efforts in pregnant women are also influenced by the participation of health workers, especially midwives, pregnant women need to adapt to the existence of the fetus, themselves and their environment. The ability of pregnant women to adapt can be assisted by professional health workers. Suggestion: Providing comprehensive antenatal care is one form of support from health workers, especially midwives as the spearhead of maternal and child health in the community. Keywords: Physical Preparation, Psychological preparation, Third Trimester Pregnant Women
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 Yorita, Epti; Yanniarti, Sri; Yulinda, Yulinda; Pasaribu, Saur Sariaty; 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.
ANDROID-BASED KEKASIH EDUCATIONAL STRATEGY TO IMPROVE PREGNANT WOMEN’S LITERACY ON EXCLUSIVE BREASTFEEDING Epti Yorita; Rina; Mariati
Proceeding of Banten Internasional Conference on Health Advancement and Research Vol. 1 No. 1 (2026): Proceeding Banten International Conference on Health Advancement & Research (BI
Publisher : Poltekkes Kemenkes Banten

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Despite existing health policies and breastfeeding support programmes, the coverage of exclusive breastfeeding in several areas of Bengkulu City remains low. Contributing factors include pre-lactation feeding, cultural influences, limited knowledge and inadequate access to reliable information. Therefore, a health education strategy that provides continuous access to information for pregnant women is needed to improve literacy about exclusive breastfeeding during pregnancy, using the Android-based KEKASIH digital education programme. This quasi-experimental study involved 70 women in their third trimester of pregnancy, who were divided into two groups: an intervention group, who received exclusive breastfeeding education through the KEKASIH Android application; and a control group, who received conventional antenatal education. Exclusive breastfeeding literacy was measured before and after the intervention using a structured questionnaire. The results showed a significant increase in literacy in both groups. However, the intervention group demonstrated a greater average increase (mean difference: 4.49; p = 0.00) than the control group (mean difference: 3.91; p = 0.00). While there was no significant difference in effectiveness between the two methods based on the Mann-Whitney test (p = 0.15), digital education demonstrated a greater improvement in breastfeeding literacy. These findings suggest that the KEKASIH Android application can be used as an effective strategy for improving breastfeeding literacy among pregnant women.
Penyuluhan Kepada Anak Sekolah Terkait Perilaku Hidup Bersih Dan Sehat (PHBS) Pada Siswi Madrasah Ibtidaiyah Negeri (MIN) 1 Kota Bengkulu Tahun 2025 Ade Zayu Cempaka Sari; Reny Suryanti; Rina Rina; Rolita Efriani; Ade Febryanti; Dira Irnameria; Reysa Pradifta
Jurnal Penelitian dan Pengabdian Masyarakat Vol. 4 No. 2 (2026): May 2026
Publisher : Yayasan Pondok Pesantren Sunan Bonang Tuban

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61231/br5jyw39

Abstract

Clean and Healthy Living Behavior (PHBS) is a crucial effort in preventing disease and improving quality of life. Elementary school children are vulnerable to various diseases due to a lack of awareness regarding personal hygiene and health practices. This community service activity aimed to increase the knowledge of 5th-grade students at MIN 1 Bengkulu City through PHBS education. The methods included pretests, lectures using PowerPoint and demonstrations, and posttests to assess knowledge improvement. Data analysis using the Chi-Square test showed a significant increase in knowledge (p=0.001), indicating a meaningful difference before and after education. These findings demonstrate that PHBS education effectively improves students’ understanding of maintaining cleanliness and personal health. This activity is expected to foster sustainable healthy behaviors in school and family environments
Effect of an android-based KEKASIH class on breastfeeding knowledge, attitudes, and breastfeeding self-efficacy among pregnant women in Bengkulu City Epti Yorita; Rina; Mariati; Rolita Efriani; Sri Yanniarti
JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) Vol. 14 No. 2 (2026)
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/jnki.2026.14(2).276-290

Abstract

Background: Exclusive breastfeeding coverage remains suboptimal in many regions in Indonesia, including Bengkulu City. This is related to several factors, such as pre-lacteal feeding practices, limited maternal knowledge, inadequate family support, and cultural influences. Strengthening breastfeeding education during pregnancy is essential to improve maternal preparedness and support successful exclusive breastfeeding. Objectives: This study aimed to examine the effect of an Android-based KEKASIH Class educational program on breastfeeding knowledge, attitudes, and breastfeeding self-efficacy among pregnant women. Methods: A quasi-experimental study with a non-equivalent control group design was conducted among 70 third-trimester pregnant women in Bengkulu City. Participants were selected using purposive sampling and divided into an intervention group and a control group. The intervention group received breastfeeding education through the Android-based KEKASIH Class application, while the control group received conventional education through antenatal classes. Data were analyzed using univariate analysis and non-parametric tests, including the Wilcoxon signed-rank test and the Mann–Whitney U test. Results: The results showed significant improvements in breastfeeding knowledge, attitudes, and breastfeeding self-efficacy in both groups after the intervention (p < 0.05).There was no statistically significant difference between the intervention and control groups (p > 0.05), indicating that both educational approaches were effective in improving maternal readiness for breastfeeding. Conclusions: The findings demonstrate that both the Android-based KEKASIH Class and conventional antenatal education can effectively improve breastfeeding knowledge, attitudes, and breastfeeding self-efficacy among pregnant women. Digital health education can therefore be considered an alternative strategy to support breastfeeding promotion programs.
Improvement of Breastfeeding Efficacy Through Small Group Education of Cadres with Pregnant Women Epti Yorita; Sri Yanniarti; Yulinda Yulinda; Rina Rina; Rialike Burhan
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 5, No 4 (2023): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v5i4.18015

Abstract

WHO recommends that every infant should be exclusively breastfed, but until now the coverage of exclusive breastfeeding is still low due to factors such as knowledge, breastfeeding efficacy, family support, lactation problems, and barriers in the health care system. This study aims to determine the effectiveness of Small group education of cadres with pregnant women on breastfeeding efficacy among third trimester pregnant women on Enggano Island. The research design was a quasi-experimental pre-test and post-test with a control group. The treathird trimesterent group was pregnant women who received Small group education of cadres with pregnant women while the control group was pregnant women who received conventional education. The study was conducted at Enggano Health Centre from January to November 2023 with a sample of 50 pregnant women in the third trimester of pregnancy from 25-36 weeks of age, selected by purposive sampling. The research instruments were modules and leaflets on exclusive breastfeeding, developed through a needs assessment, while breastfeeding efficacy was measured using the Breastfeeding Self-efficacy Scale-Short Form (BSES-SF). Data were analysed univariate, bivariate with wilcoxon and multivariate with spearman rank test. The results showed that there was an effect of Small group education of cadres with pregnant women class education on breastfeeding effectiveness with p=0.00 mean difference of 19.56. There was an effect of conventional class education on breastfeeding effectiveness in the control group with p=0.46 mean difference of 1.12. The class was more effective in improving breastfeeding practices among pregnant women with p=0.00 mean difference of 47.26. Class and education level were the most dominant factors in improving breastfeeding efficiency among pregnant women. The conclusion of this study is that the small group education of cadre with pregnant women is effective in improving breastfeeding efficacy in pregnant women in the third trimester. Keywords: Breastfeeding, Education, Efficacy, Small Group
Co-Authors Ade Febryanti ADE ZAYU CEMPAKA SARI Agung Riyadi Anggun Fadillah Anissa Aprilianthy Desi Widiyanti Efriani, Rolita Eliana Eliana Elly Wahyuni Epti Yorita Epti Yorita, Hertya Rowdhatul Jannah ICE AMELIA Irnameria, Dira Juita Dian Anggraini Lela Hartini Lusi Andriani Luthfianiiq Syahda Kumala Mariati Mariati Mariati Mariati Mariati Rati Rosita Ratna Dewi Ratna Dewi Reny Suryanti Reysa Pradifta Rialike Burhan ROLITA EFRIANI Rolita Efriani Saur Sariaty Sri Yanniarti Sri Yanniarti Susilo Damarini Vindiasari, Dita Welly Ayunda Dwi Pratiwi Yanniarti, Sri Yorita, Epti Yulinda, Yulinda