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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
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
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
FAKTOR-FAKTOR YANG MEMENGARUHI TINGKAT PENGETAHUAN IBU HAMIL TENTANG PENCEGAHAN STUNTING : FAKTOR-FAKTOR YANG MEMENGARUHI TINGKAT PENGETAHUAN IBU HAMIL TENTANG PENCEGAHAN STUNTING Epti yorita; Rati Rosita; Rina Rina; Desi Widiyanti; Rolita Efriani
JURNAL BESUREK JIDAN Vol 5 No 1 (2026): Jurnal Besurek Jidan Jurusan Kebidanan Poltekkes Kemenkes Bengkulu Volume 5 No 1
Publisher : Poltekkes Kemenkes Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33088/jbj.v5i1.1321

Abstract

Permasalahan: Penurunan angka stunting menjadi 14% merupakan salah satu program prioritas pemerintah, namun angka stunting di Indonesia masih tinggi yaitu 19%, di Provinsi Bnegkulu 18% termasuk di Kota Bnegkulu. Stunting memberikan dampak jangka panjang berupa gangguan perkembangan kognitif, penurunan produktivitas, serta rendahnya capaian akademik anak. Faktor penyebabnya beragam, mulai dari kondisi lahir, status gizi, karakteristik ibu seperti usia kehamilan, paritas, serta pengetahuan ibu dalam pola asuh anak/terbukti meningkatkan risiko stunting. Tujuan Penelitian: mengetahui faktor-faktor yang mempengaruhi pengetahuan ibu hamil tentang pencegahan stunting. Metode Penelitian: desain penelitian cross sectional   dengan sampel ibu hamil di wilayah Puskesmas Sidomulyo, Jalan Gedang, dan Kampung Bali berjumlah 78 orang yang dipilih secara purposive sampling. Data dianalisis secara univariat, bi variat dengan chi square dan multi variat dengan regresi logistic. Hasil: ada hubungan pendidikan, paritas dengan pengetahuan ibu hamil tentang pencegahan stunting nilai p=0.00. Tidak ada hubungan Usia dengan pengetahauan ibu hamil nilai p=0.1. Kesimpulan: Ada hubungan pendidikan, paritas dengan pengetahuan ibu hamil tentang pencegahan stunting. Pemberi pelayanan kesehatn harus menekankan focus edukasi pada kelompok risiko tinggi dan factor demografi sebagai Upaya pencegahan stunting yang dimulai pada masa kehamilan.