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All Journal Prosiding Seminar Nasional dan Call For Paper Kebidanan Universitas Ngudi Waluyo
Siswati
Universitas Ngudi Waluyo
Health Professions

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Efektivitas Pendidikan Kesehatan Gizi Ibu Nifas dan pijat Oksitosin terhadap Peningkatan Pengetahuan Ibu Post Partum Siswati; Martinha Pinto; Vistra Veftisia
Prosiding Seminar Nasional dan CFP Kebidanan Universitas Ngudi Waluyo Vol. 1 No. 2 (2022): Prosiding Seminar Nasional dan Call for Paper Kebidanan Universitas Ngudi Waluy
Publisher : Universitas Ngudi Waluyo

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Abstract

The postpartum period is considered a safe period because the baby has already been born. However, health problems are still common, including substandard breastfeeding, engorgement, mastitis, breast abscesses and sore nipples. From the data we get the problem that often arises is the substandard milk production. This is closely related to the lack of fulfillment of nutrition in postpartum mothers and the lack of knowledge about how to overcome this. Prevention can be done by providing health education to post partum mothers about the nutrition of postpartum mothers and complementary therapy in the form of oxytocin massage which can be done by health workers and it is better if it is done by the husband. The obstacle that is often faced is that there is still a tradition of abstinence from eating, namely postpartum mothers are not allowed to consume foods that are high in protein because according to the assumption of society if mothers eat foods high in protein it can cause the milk of postpartum mothers to become fishy and trigger vomiting in their babies. The husband's role is very important here in carrying out his role in making decisions and knowledge for postpartum mothers about this is also very important to facilitate milk production. In relation to this problem, the community service program provides a solution to increase post partum mothers' knowledge about postpartum mother nutrition and oxytocin massage. This activity was carried out to 16 post partum mothers who we visited one by one at their homes and began with an assessment of the knowledge of post partum mothers with a pre test related to postpartum mother nutrition and oxytocin massage then providing health education/counseling about postpartum mother nutrition and oxytocin massage. After that, a post test was carried out and the result was an increase in mother's knowledge after being given health education. Abstrak Masa nifas dianggap sebagai masa yang aman karena bayi sudah lahir. Namun, masih sering ditemui masalah kesehatan diantaranya ASI kurang lancar, engorgement, mastitis, abses payudara dan juga putting lecet. Dari data yang kami dapatkan permasalahan yang sering timbul yakni produksi ASI yang kurang lancar. Hal ini berkaitan erat dengan kurangnya pemenuhan gizi pada ibu nifas dan kurangnya pengetahuan tentang cara mengatasi hal tersebut. Pencegahan dapat dilakukan dengan memberikan pendidikan kesehatan kepada ibu post partum tentang gizi ibu nifas dan terapi komplementer berupa pijat oksitosin yang bisa dilakukan tenaga kesehatan dan lebih baiknya bila dialakukan oleh suami. Kendala yang sering dihadapi adalah masih adanya tradisi pantang makan yaitu ibu nifas tidak diperbolehkan mengkonsumsi makanan yang tinggi protein karena menurut asumsi masyarakat bila ibu makan- makanan tinggi protein bisa menyebabkan ASI ibu nifas menjadi amis dan memicu muntah pada bayinya. Peran suami sangat penting disini dalam menjalankan perannya dalam mengambil keputusan dan pengetahuan bagi ibu nifas tentang hal tersebut juga sangat penting guna memperlancar produksi ASI. Berkaitan dengan masalah tersebut, program pengabdian masyarakat memberikan solusi untuk meningkatkan pengetahuan ibu post partum tentang gizi ibu nifas dan pijat oksitosin. Kegiatan ini dilakukan pada 16 ibu post partum yang kita datangi satu per satu dirumahnya dan diawali dengan penilaian pengetahuan ibu post partum dengan pre test yang berkaitan dengan gizi ibu nifas dan pijat oksitosin kemudian memberikan pendidikan kesehatan/ penyuluhan tentang gizi ibu nifas dan pijat oksitosin. Setelah itu dilakukan post test dan didapatkan hasil adanya peningkatan pengetahuan ibu setelah diberikan pendidikan kesehatan.
Asuhan Kebidanan Komprehensif Ny. S Usia 22 Tahun G1P0A0, di Wilayah Kerja Puskesmas Kaliwungu Kecamatan Kaliwungu Siswati; Moneca Diah Listiyaningsih
Prosiding Seminar Nasional dan CFP Kebidanan Universitas Ngudi Waluyo Vol. 4 No. 2 (2025): Prosiding Seminar Nasional dan Call for Paper Kebidanan Universitas Ngudi Waluy
Publisher : Universitas Ngudi Waluyo

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Abstract

Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR) remain crucial indicators for assessing the quality of healthcare services. According to the 2022 data from the Indonesian Ministry of Health, the MMR was 207 per 100,000 live births, while the IMR was 22 per 1,000 live births, both still above the national targets. The main causes of maternal death include hemorrhage, preeclampsia/eclampsia, infection, prolonged labor, and postpartum complications. Infant mortality is influenced by prematurity, asphyxia, infection, and congenital anomalies. Efforts to reduce MMR and IMR are implemented through the Safe Motherhood program and the Continuity of Care (CoC) approach, which provides integrated midwifery services from pregnancy, labor, postpartum, newborn care, to family planning. Comprehensive and continuous care contributes to early risk detection, complication prevention, and improved maternal and neonatal health. This study employed a descriptive case study method on Mrs. S, 22 years old, P1A0, who received comprehensive midwifery care at Puskesmas Kaliwungu. The care included pregnancy assessment, labor monitoring, postpartum care, newborn care, and family planning counseling. Interventions followed standard protocols, including ANC examination, normal labor management, physiological newborn care, breastfeeding education, and postpartum family planning. All stages of care—from pregnancy, labor, postpartum, newborn care, to family planning—proceeded physiologically without complications. The mother demonstrated good understanding of pregnancy warning signs, labor preparation, postpartum self-care, exclusive breastfeeding, and newborn care. She chose postpartum contraception (3-month injectable) according to her condition. The newborn adapted well and showed normal growth and development. Comprehensive Continuity of Care (CoC) midwifery services are effective in early risk detection, increasing maternal knowledge, supporting maternal and neonatal health, and optimizing breastfeeding and maternal comfort. Continuous implementation of CoC services is crucial to support efforts in reducing MMR and IMR. Abstrak Angka Kematian Ibu (AKI) dan Angka Kematian Bayi (AKB) masih menjadi indikator penting dalam menilai kualitas pelayanan kesehatan. Berdasarkan data Kemenkes Indonesia tahun 2022, AKI tercatat sebesar 207 per 100.000 kelahiran hidup, sedangkan AKB sebesar 22 per 1.000 kelahiran hidup, masih di atas target Renstra. Penyebab kematian ibu umumnya meliputi perdarahan, preeklamsia/eklamsia, infeksi, partus lama, dan komplikasi nifas, sementara kematian bayi dipengaruhi oleh prematuritas, asfiksia, infeksi, dan kelainan bawaan. Upaya penurunan AKI dan AKB dilakukan melalui program Safe Motherhood dan penerapan Continuity of Care (CoC), yaitu pelayanan kebidanan berkesinambungan mulai kehamilan, persalinan, nifas, bayi baru lahir hingga keluarga berencana. Pelayanan yang komprehensif dan terintegrasi berkontribusi dalam deteksi dini risiko, pencegahan komplikasi, serta peningkatan kesehatan ibu dan bayi. Penelitian ini menggunakan metode studi kasus deskriptif pada Ny. S, usia 22 tahun, P1A0, yang menerima asuhan kebidanan komprehensif di Puskesmas Kaliwungu. Asuhan meliputi pengkajian kehamilan, pemantauan persalinan, perawatan nifas, perawatan bayi baru lahir, dan konseling keluarga berencana. Tindakan yang diberikan sesuai standar, antara lain pemeriksaan ANC, manajemen persalinan normal, perawatan bayi baru lahir fisiologis, edukasi menyusui, serta konseling dan pemberian KB pasca persalinan. Seluruh proses asuhan berlangsung fisiologis tanpa komplikasi. Ibu menunjukkan pemahaman yang baik mengenai tanda bahaya kehamilan, persiapan persalinan, perawatan diri masa nifas, pemberian ASI eksklusif, dan perawatan bayi. Pemberian KB pasca persalinan dipilih sesuai kondisi ibu (KB suntik 3 bulan). Bayi baru lahir menunjukkan adaptasi yang baik dan tumbuh kembang normal. Asuhan kebidanan berkesinambungan (CoC) terbukti efektif dalam mendeteksi dini risiko, meningkatkan pengetahuan ibu, mendukung kesehatan maternal dan neonatal, serta membantu optimalisasi pemberian ASI dan kenyamanan ibu. Penerapan layanan CoC secara komprehensif perlu terus dilakukan untuk mendukung penurunan AKI dan AKB.
Co-Authors Martinha Pinto Moneca Diah Listiyaningsih Veftisia, Vistra