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HUBUNGAN DUKUNGAN SUAMI DENGAN KETEPATAN ANTENATAL CARE DI DESA BAGI KABUPATEN MADIUN Sari, Rury Narulita; Kusparlina, Eny Pemilu
Bidan Prada: Jurnal Publikasi Kebidanan Akbid YLPP Purwokerto 2017: PROSIDING SEMINAR NASIONAL DAN PRESENTASI HASIL-HASIL PENELITIAN SERTA PENGABDIAN MASYARAKAT B
Publisher : Bidan Prada: Jurnal Publikasi Kebidanan Akbid YLPP Purwokerto

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Abstract

Correlation of the husband support and the accuracy of antenatal care in Desa Bagi Kabupaten Madiun. Antenatal care (ANC) is preventive efforts of obstetric health programs for output optimization of maternal and neonatal through series of activities routine monitoring of pregnancy. Support husband has big hand in maternal health status during pregnancy, labor, until her chilbirth. This research objective is to know the extent of the supprt husband against his wife’s pregnancy in making a visit ANC so hopefully pregnant women can make a visit antenatal care routinely. The research type was an observational analytic with cross sectional approach. The research population was a 3rd trimester pregnant women in Desa Bagi Kabupaten Madiun, samples taken by simple random sampling as many as 41 people. With the data collection techniques was using questionnaire and item statement 12 question and documentation study results of book ANC’s visit. Data analyzing was using the uji chi square with dk=1, Ho rejected if X2 count > X2 table with α = 0,05 (3,841). The result of the research is there is a significant correlation of the husband support to the timeliness of the visit schedule antenatal care in pregnant women trimester III in Desa Bagi Kecamatan/ Kabupaten Madiun.Keywords : support husband, pregnancy, antenatal car
PENGARUH PIJAT OKSITOSIN TERHADAP LAMA PENGELUARAN KOLOSTRUM PADA IBU POST SECTIO CAESARIA DI RSUD KOTA MADIUN ., Sundari; Sari, Rury Narulita
Bidan Prada: Jurnal Publikasi Kebidanan Akbid YLPP Purwokerto 2017: PROSIDING SEMINAR NASIONAL DAN PRESENTASI HASIL-HASIL PENELITIAN SERTA PENGABDIAN MASYARAKAT B
Publisher : Bidan Prada: Jurnal Publikasi Kebidanan Akbid YLPP Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (304.047 KB)

Abstract

Mother Caesaria post section (SC) is often difficult to breastfeed. If the baby does not suck the nipple and a half hours after childbirth, hormone oxytocin and prolactin down so that the milk out on the third day or so. The impact is not smooth spending and milk production can cause problems in the mother and baby. Thus, businesses need to stimulate prolactin and oxytocin one with massage oxytocin. The purpose of this study to determine the effect of oxytocin massage the mother's colostrum spending long post Caesaria section in RSUD Kota Madiun. Type of analytical research quasy Experiment with the draft "posttest only control group design". Population 48 mothers post SC, a large sample of 42 people with purposive sampling techniques are divided into 2 groups, 21 people do massage oksitosun and 21 people do not do. The instrument uses an observation sheet. The results were tested by t-test. Spending long colostrum experimental group 26 respondents. It is known there are 19 people (73,1%) secrete colostrum quickly. Whereas in 7 others (26,9%) slow. While the control group 26 respondents there were 21 (80,8%) secrete colostrum slow. While in 5 others (19,2%) quickly in removing the colostrum. Based on the analysis of statistical test, p = 0.00 <0.05, which means that Ho refused and Ha accepted or was significant effect of oxytocin on the long massage expenditure kolostrum with 0.540 correlation coefficient indicates that the closeness the relationship between the two variables. The conclusion is massage effect of oxytocin on maternal colostrum spending long post Caesaria section in hospitals Madiun. Suggestions for RS, massage can be applied to the mother oxytocin post Sectio Caesaria. Besides mother Caesaria post section can also apply massage oxytocin independently. Keywords: Oxytocin Massage, Colostrum, Sectio Caesaria
HUBUNGAN DUKUNGAN SUAMI DENGAN KETEPATAN ANTENATAL CARE DI DESA BAGI KABUPATEN MADIUN Rury Narulita Sari; Eny Pemilu Kusparlina
GLOBAL HEALTH SCIENCE Vol 2, No 3 (2017): september 2017
Publisher : Communication and Social Dinamics (CSD)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (667.733 KB) | DOI: 10.33846/ghs.v2i3.144

Abstract

Antenatal care (ANC) adalah upaya preventif program pelayanan kesehatan obstetri untuk optimalisasi luaran maternal dan neonatal melalui serangkaian kegiatan pemantauan rutin kehamilan. Dukungan suami mempunyai andil besar dalam status kesehatan ibu selama masa kehamilan, persalinan, hingga nifasnya. Penelitian ini bertujuan untuk mengetahui sejauh mana dukungan suami terhadap kehamilan istrinya dalam melakukan kunjungan ANC sehingga diharapkan ibu hamil dapat melaksanakan kunjungan antenatal care secara rutin. Jenis penelitian adalah analitik observasional dengan pendekatan cross sectional. Populasi penelitian adalah ibu hamil trimester III di Desa Bagi Kabupaten Madiun, sampel diambil dengan simple random sampling yaitu sebanyak 41 orang. Teknik pengumpulan data menggunakan kuesioner dengan item pertanyaan 12 soal dan hasil studi dokumen buku kunjungan ANC. Analisis data menggunakan uji chi square dengan dk=1, Ho ditolak jika X2 hitung > X2 tabel dengan ????= 0,05 (3,841). Hasil penelitian: ada hubungan yang signifikan antara dukungan suami dengan ketepatan jadwal kunjungan antenatal care pada ibu hamil trimester III di Desa Bagi Kecamatan/ Kabupaten Madiun. Kata Kunci: Dukungan suami, Antenatal care
PENGARUH PIJAT OKSITOSIN TERHADAP LAMA PENGELUARAN KOLOSTRUM PADA IBU POST SECTIO CAESARIA DI RSUD KOTA MADIUN Sundari Sundari; Rury Narulita Sari
GLOBAL HEALTH SCIENCE Vol 2, No 3 (2017): september 2017
Publisher : Communication and Social Dinamics (CSD)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (511.351 KB) | DOI: 10.33846/ghs.v2i3.148

Abstract

Ibu Post Sectio Caesaria (SC) seringkali sulit menyusui bayinya. Apabila bayi tidak menghisap puting susu setengah jam setelah bersalin, hormon oksitosin dan prolaktin turun sehingga ASI baru keluar di hari ketiga atau lebih. Dampak tidak lancarnya pengeluaran dan produksi ASI bisa bisa menimbulkan masalah baik pada ibu maupun bayi. Maka, perlu usaha merangsang hormon prolaktin dan oksitosin salah satunya dengan treatmen pijat oksitosin.Tujuan penelitian ini adalah untuk mengetahui pengaruh pijat oksitosin terhadap lama pengeluaran kolostrum ibu post SC di RSUD Kota Madiun. Jenis penelitian analitik quasy experiment dengan rancangan “post test only control group design”. Populasi 60 ibu post SC, besar sampel 52 ibu post SC dengan teknik purposive sampling dibagi 2 kelompok, 26 orang dilakuan pijat oksitosin dan 26 orang tidak dilakukan pijat oksitosin. Instrumen menggunakan lembar observasi. Data yang diperoleh dianalisis dengan uji dengan t-test. Lama pengeluaran kolostrum kelompok eksperimen 26 responden. Diketahui terdapat 19 orang (73,1%) mengeluarkan kolostrum secara cepat sedangkan pada 7 orang lainnya (26,9%) lambat. Sedangkan kelompok kontrol 26 responden terdapat 21 orang (80,8%) mengeluarkan kolostrum lambat. Sedangkan pada 5 orang lainnya (19,2%) cepat dalam mengeluarkan kolostrum. Berdasarkan analisis uji statistik, nilai p= 0,00
Aspek Sosial Budaya Kesehatan Kehamilan di Indonesia : Literature Review: Aspek Sosial Budaya Kesehatan Kehamilan di Indonesia : Literatur Review Arwiyantasari, Wida Rahma; Rury Narulita Sari; Widya Lusi Arisona; Kiky Anggun Sanjaya
Jurnal Midwifery Vol 6 No 1 (2024): FEBRUARY
Publisher : Prodi Kebidanan Universitas Islam Negeri Alauddin Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24252/jmw.v6i1.44144

Abstract

Every country, especially Indonesia, has a diverse culture, especially the socio-cultural aspects of pregnancy health. The results of health ethnographic research conducted in 2012 in 12 ethnicities in Indonesia show that health culture affects maternal and child health problems that are very concerning, one of which is during pregnancy. This study uses secondary data, namely collecting national literature through the Google Scholar database. There are 5 representative literature according to the topic, namely the socio-cultural aspects of pregnancy from various tribes in Indonesia (Java, Dayak, Baduy, and Kampung Pulau Seberang). It can be concluded that traditions from the socio-cultural aspect are very influential in pregnancy health practices, where some pregnant women still carry out the culture, especially in coastal and rural areas that are thick with traditional customs.
Determinan Ekonomi Terhadap Keikutsertaan Program Jaminan Kesehatan Nasional (JKN) Di Kota Madiun Tahun 2023 Anindita Hasniati Rahmah; Rury Narulita Sari; Yuli Kusumawati; Widya Kaharani Putri; Nurul Fatimah
Jurnal Rumpun Ilmu Kesehatan Vol. 3 No. 3 (2023): November: Jurnal Rumpun Ilmu Kesehatan
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jrik.v3i3.2688

Abstract

National Health Insurance (JKN) is a priority for low- and middle-income countries as a way to increase access to health services and reduce the financial burden on health care. The special objective is to analyze the relationship between income and participation in the National Health Insurance (JKN). The 30 respondents, 19 (63.3) respondents were female and 11 (26.7) were male. And aged > 45 years old a total of 15 (50.0) and < 45 years old (50.0). And almost all 23 respondents (69.7) earned < 2,190,206 in each month and as many as 7 respondents with an income of > 2,190,206 in each month. There is a significant positive relationship between the level of opinion and participation in the National Health Insurance program, where the higher the income, the more people participate in the National Health Insurance program. Comprehensive and comparable estimates of health spending across countries are critical to achieving national and international health goals. If there is more health care, the amount of premium that will be issued will also be a lot. Premium increases in the health insurance sector are an uphill task for policymakers to form balanced policies that can provide affordable health care while maintaining survival
Inisiasi Menyusu Dini Berdampak Positif Terhadap Pelepasan Plasenta pada Persalinan Kala III Sari, Rury Narulita; Ardhianingtyas, Nisa; Arwiyantasari, Wida Rahma; Nugroho, Setyo Mahanani
2-TRIK: TUNAS-TUNAS RISET KESEHATAN Vol 13, No 4 (2023): November 2023
Publisher : FORUM ILMIAH KESEHATAN

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/2trik13403

Abstract

In Indonesia, early initiation of breastfeeding is only carried out by 4% of mothers giving birth. Finding a hospital that is willing to initiate early breastfeeding is also an obstacle. Not all health workers and health facilities understand and are willing to carry out this program. So research was needed that aimed to analyze early initiation of breastfeeding on placental release in mothers in the third stage of labor. Researchers implemented a cross-sectional study, involving 37 mothers giving birth at the Maddiri Midwife Practice, Ny. Sisfitriyah, Madiun, selected using simple random sampling technique. Data was collected through direct observation, then analyzed using the independent samples t-test. The results of the analysis showed that the average length of placental release for mothers who initiated early breastfeeding was 7.9 minutes; meanwhile, for mothers who did not initiate early breastfeeding, it was 18 minutes. The t-count value was 9.853, while the t-table was 2.2065. So it was interpreted that there was a significant length of placental detachment between mothers who carried out and did not carry out early initiation of breastfeeding with a higher speed in mothers who carry out early initiation of breastfeeding. Thus, it could be concluded that early initiation of breastfeeding can accelerate the release of the placenta in parturient mothers.Keywords: early initiation of breastfeeding; detachment of the placenta; third stage of labor ABSTRAK Di Inonesia, inisiasi menyusu dini baru dilakukan oleh 4% ibu melahirkan. Mencari rumah sakit yang bersedia melakukan inisiasi menyusu dini juga menjadi salah satu kendala. Belum semua tenaga kesehatan dan fasilitas kesehatan yang sudah memahami dan mau melakukan program tersebut. Maka diperlukan penelitian yang bertujuan untuk menganalisis inisiasi menyusu dini terhadap pelepasan plasen pada ibu bersalin kala III. Peneliti menerapkan studi cross-sectional, yang melibatkan 37 ibu bersalin di Praktik Madiri Bidan Ny. Sisfitriyah, Madiun, yang dipilih dengan teknik simple random sampling.  Data dikumpulkan melalui observasi langsung, lalu dianalisis menggunakan independent samples t-test. Hasil analisis menunjukkan bahwa rerata lama pelepasan plasenta ibu yang melaksanakan inisiasi menyusu dini adalah 7,9 menit; sedangka pada ibu yang tidak melaksanakan inisiasi menyusu dini adalah 18 menit. Nilai t-hitung adalah 9,853, sedangkan t-tabel adalah 2,2065. Maka ditafsirkan bahwa ada lama pelepasan plasenta secara signifikan antara ibu yang melaksanakan dan tidak melaksanakan inisiasi menyusu dini dengan kecepatan lebih tinggi pada ibu yang melaksanakan inisiasi menyusu dini. Dengan demikian dapat disimpulkan bahwa inisiasi menyusu dini dapat mempercepat pelepasan plasenta pada ibu bersalin.Kata kunci: inisiasi menyusu dini; pelepasan plasenta; kala III persalinan
Urgensi untuk Membangun Sikap Positif Ibu Nifas dalam Pemberian Kolostrum pada Bayi Baru Lahir Sari, Rury Narulita; Hardika, Mufida Dian; Sundari, Sundari; Ulfa, Maria
2-TRIK: TUNAS-TUNAS RISET KESEHATAN Vol 13, No 3 (2023): Agustus 2023
Publisher : FORUM ILMIAH KESEHATAN

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/2trik13303

Abstract

Colostrum, the first breast milk that comes out, contains immune substances and has high nutritional value, but there are still postpartum mothers who do not have a positive attitude towards the use of colostrum. So research was needed that aimed to describe the characteristics of postpartum mothers' attitudes regarding giving colostrum to newborn babies. Researchers used descriptive research, involving 32 postpartum mothers at the Independent Practice of Midwife Ny. Sudarsih, Winongo, Madiun. Data regarding the attitudes of postpartum mothers was obtained using an instrument in the form of a questionnaire which was also equipped with questions about the characteristics of the respondents. The data that had been collected was then analyzed using descriptive statistical methods in the form of frequency and percentage diagrams and tables. From the results of the analysis, it was found that the largest age group was 20-35 years (68.75%), the largest parity group was 2 or more children (53.12%), the most education was secondary level (46.88%), the largest occupation was as a housewife (56.25%). Meanwhile, the distribution of attitudes is positive = 65.62%, neutral = 12.5% and negative attitudes = 21.88%. Furthermore, it could be interpreted that there are still many postpartum mothers who did not have a positive attitude towards the use of colostrum, namely 3438%. It was concluded that the attitude of postpartum mothers regarding the use of colostrum still needs to be developed.Keywords: colostrum; postpartum; attitude ABSTRAK Kolostrum sebagai air susu ibu yang keluar pertama kali mengandung zat kekebalan serta bernilai gizi tinggi, namun masih ada ibu nifas yang belum bersikap positif terhadap pemanfaatan kolostrum. Maka diperlukan penelitian yang bertujuan untuk mendeskripsikan karakteristik sikap ibu nifas tentang pemberian kolostrum pada bayi baru lahir. Peneliti menggunakan jenis penelitian deskriptif, yang melibatkan 32 ibu nifas di Praktik Mandiri Bidan Ny. Sudarsih, Winongo, Madiun. Data tentang sikap ibu nifas diperoleh dengan menggunakan instrumen berupa kuesioner yang juga dilengkapi dengan pertanyaan tentang karakteristik responden. Data yang telah dikumpulkan selanjutnya dianalisis menggunakan metode statistika deskriptif berupa diagram dan tabel frekuensi dan persentase. Dari hasil analisis didapatkan bahwa kelompok umur terbanyak adalah 20-35 tahun (68,75%), kelompok paritas terbanyak adalah 2 anak atau lebih (53,12%), pendidikan terbanyak adalah level menengah (46,88%), pekerjaan terbanyak adalah sebagai ibu rumah tangga (56,25%). Sementara itu, distribusi sikap adalah positif = 65,62%, netral = 12,5% dan sikap negatif = 21,88%. Selanjutnya dapat diinterpretasikan bahwa masih banyak ibu nifas yang belum bersikap positif terhadap pemanfaatan kolostrum yaitu 3438%. Disimpulkan bahwa sikap ibu nifas tentang pemanfaatan kolostrum masih perlu dibangun.Kata kunci: kolostrum; nifas; sikap
Perilaku Positif Bidan dalam Pelaksanaan Inisiasi Menyusu Dini di Puskesmas Bangunsari, Madiun Hardika, Mufida Dian; Sari, Rury Narulita; Ardhianingtyas, Nisa Ardhianingtyas; Susilo, Hayun Manudyaning
2-TRIK: TUNAS-TUNAS RISET KESEHATAN Vol 15, No 1 (2025): Januari-Maret 2025
Publisher : FORUM ILMIAH KESEHATAN

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/2trik15105

Abstract

The early breastfeeding initiation program is one of the efforts to reduce the risk of infant death. The behavior of midwives related to the above program is very necessary as support. Therefore, research was needed which aimed to determine the behavior of midwives in implementing IMD at the Bangunsari Community Health Center, Madiun in terms of knowledge, attitudes and practice. Researchers implemented a descriptive study involving all midwives (25 people) who had been trained in early breastfeeding initiation. The variables studied were the behavior of midwives in implementing early breastfeeding initiation, including knowledge, attitudes and practices. To measure knowledge and attitudes, a closed and structured questionnaire was used, while to measure the practice of early initiation of breastfeeding, observations were made when midwives assisted in childbirth. Next, the measurement results were analyzed descriptively in the form of frequencies and proportions. The results of the analysis showed that the largest proportion of knowledge level was very good (68%); the largest proportion of attitudes was positive (76%); while the largest proportion of early breastfeeding initiation practices was good (44%). Thus, it could be concluded that the midwives at the Bangunsari Community Health Center, Madiun have behaved positively or supported the early breastfeeding initiation program.Keywords: early initiation of breastfeeding; midwife; knowledge; attitude, practice ABSTRAK Program inisiasi menyusui dini merupakan salah satu upaya dalam rangka mengurangi resiko terjadinya kematian pada bayi. Perilaku bidan terkait dengan program di atas sangat diperlukan sebagai pendukung. Oleh karena itu, diperlukan penelitian yang bertujuan untuk mengetahui perilaku bidan dalam pelaksanaan IMD di Puskesmas Bangunsari, Madiun dalam aspek pengetahuan, sikap maupun praktik. Peneliti menerapkan studi deskriptif yang melibatkan seluruh bidan (25 orang) yang sudah dilatih tentang inisiasi menyusu dini. Variabel yang diteliti adalah perilaku bidan dalam pelaksanaan inisiasi menyusu dini, meliputi pengetahuan, sikap dan praktik. Untuk mengukur pengetahuan dan sikap digunakan kuesioner tertutup dan terstruktur, sedangkan untuk mengukur praktik inisiasi menyusu dini dilakukan observasi pada saat bidan menolong persalinan. Selanjutnya hasil pengukuran dianalisis secara deskriptif berupa frekuensi dan proporsi. Hasil analisis menunjukkan bahwa proporsi tingkat pengetahuan terbesar adalah sangat baik (68%); proporsi terbesar untuk sikap adalah positif sebanyak (76%); sedangkan proporsi terbesar untuk praktik inisiasi menyusu dini adalah baik (44%). Dengan demikian dapat disimpulkan bahwa bidan di Puskesmas Bangunsari, Madiun telah berperilaku positif atau mendukung program inisiasi menyusu dini.Kata kunci: inisasi menyusu dini; bidan; pengetahuan; sikap, praktik
Amenorhea dan Spotting sebagai Efek Samping Utama Pemakaian Kontrasepsi Suntik DMPA (Depo Medroksi Progesterone Acetat) Arwiyantasari, Wida Rahma; Ardhianingtyas, Nisa; Sari, Rury Narulita
2-TRIK: TUNAS-TUNAS RISET KESEHATAN Vol 14, No 2 (2024): April-Juni 2024
Publisher : FORUM ILMIAH KESEHATAN

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/2trik14201

Abstract

One of the most effective family planning methods is the injectable hormonal contraceptive Depo Medroxy Progesterone Acetat. However, this contraception can cause menstrual disorders as one of the side effects that is often found. This study aimed to describe in detail the side effects in the form of menstrual disorders in family planning acceptors with the injectable contraceptive Depo Medroxy Progesterone Acetat. This research was a quantitative descriptive study, involving 45 family planning acceptors with the Depo Medroxy Progesterone Acetat contraception at the Independent Practice of Midwife Endah Wiendarti, Madiun, who were selected randomly. The variable measured was menstrual disorders, with a questionnaire as the measurement tool used. The collected data was analyzed using descriptive statistical methods in the form of frequencies and proportions and presented in the form of diagrams and tables. The results of the analysis showed that the distribution of menstrual disorders that occurred was: amenorrhea 21 (46.7%), spotting (33.3%), hypomenorrhoea (6.7%), oligomenorrhea (6.7%), polymenorrhea (4.4% ) and menorrhagia (2.2%). Based on the research results, it was concluded that amenorrhea and spotting were the main menstrual disorders experienced by family planning acceptors with injectable contraception at the Medroxy Progesterone Acetate Depo at the Independent Practice of Midwife Endah Wiendarti, Madiun.Keywords: injectable contraception; Depo Medroxy Progesterone Acetate Amenorrhea; amenorrhea; spottingABSTRAK Salah metode keluarga berencana yang paling efektif adalah kontrasepsi hormonal suntik Depo Medroksi Progesterone Acetat. Namun kontrasepsi ini dapat menimbulkan gangguan haid sebagai salah satu efek samping yang sering ditemukan. Penelitian ini bertujuan untuk menggambarkan secara terperinci tentang efek samping berupa gangguan haid pada akseptor keluarga berencana dengan kontrasepsi suntik Depo Medroksi Progesterone Acetat. Penelitian ini merupakan studi deskriptif kuantitatif, yang melibatkan 45 akseptor keluarga berencana dengan kontrasepsi Depo Medroksi Progesterone Acetat di Praktik Mandiri Bidan Endah Wiendarti, Madiun, yang dipilih secara random. Variabel yang diukur adalah gangguan haid, dengan kuesioner sebagai alat pengukuran yang digunakan. Data yang telah terkumpul dianalisis dengan metode statistika deskriptif berupa frekuensi dan proporsi dan disajikan berupa diagram dan tabel. Hasil analisis menunjukkan bahwa distribusi gangguan haid yang terjadi adalah: amenorea 21 (46,7%), spotting (33,3%), hipomenorea (6,7%), oligomenorea (6,7%), polimenorea (4,4%) dan menoragia (2,2%). Berdasarkan hasil penelitian disimpulkan bahwa amenorea dan spotting merupakan gangguan haid utama yang dialami oleh akseptor keluarga berencana dengan kontrasepsi suntik di Depo Medroksi Progesterone Acetat di Praktik Mandiri Bidan Endah Wiendarti, Madiun.Kata kunci: kontrasepsi suntik; Depo Medroksi Progesterone Acetat Amenorea; amenorea; spotting