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Relationship of Malaria Parasite Density Level in Blood with Apgar Score of Newborn Babies Astutik, Eftyaningrum Dwi Wahyu
Indonesian Journal of Global Health Research Vol 6 No S4 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6iS4.4290

Abstract

Placental malaria is a serious health problem that must be treated immediately. WHO data records that 12 million pregnant women were infected with malaria throughout the world in 2019. Of the pregnant women infected with malaria, it was reported that 40% experienced placental malaria during childbirth. At the national level, it was found that the prevalence of malaria in pregnant women was 525 from the 2018 Basic Health Research results. At the provincial level, the largest contributor was Papua with a total of 2816 cases in 2020. Jayapura Regency was in 4th position with 402 cases of pregnancy malaria. Disturbances in newborn baby oxygenation caused by placental malaria are the main-focus to be resolved immediately so that efforts are made to investigate the level of relationship between the level of placental malaria parasitemia and clinical signs of impaired newborn baby oxygenation (APGAR Score) needs to be developed in order to create a formula for handling and preventing these impacts. Objective: Analyzing the relationship between the level of malaria parasite density in the blood of mothers giving birth and APGAR Score of newborn babies. Method: This research is descriptive correlational research. The total population was 36 mothers with a history of malaria during their pregnancy and research samples were taken with technique Total Sampling. Data were analyzed using a correlation test Rank Spearman with a significance level <0,05. Results: Based on correlation test Rank Spearman sig value is obtained. (2-tailed) as large as 0.00 <0.05 so that there is a significant relationship between the level of malaria parasite density in the blood of the mother giving birth with APGAR Score of newborn babies. The correlation coefficient value between the two variables is -0.658 which is included in the strong correlation category with a negative or inverse correlation direction. The higher the density of malaria parasites in the mother's blood, the lower the APGAR of newborn baby value. Conclusion: Most of the malaria parasite density levels in mothers who gave birth were in the negative category with an average APGAR score for birth defects of 8.47. There is a relationship between the level of density of malaria parasites in the blood of pregnant women and APGAR Score of newborn babies.
Empowerment of Pregnant Women in the Use of Lemongrass Plants as an Effort to Prevent Hypertension in Pregnancy in the Working Area of the Al-Aqsa Mosque Posyandu Sentani in 2023 Astutik, Eftyaningrum Dwi Wahyu; Pratami, Yustika Rahmawati; Handayani, Endah Purwanti; Putri, Harlinda Widia
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 7, No 4 (2024): Volume 7 No 4 2024
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v7i4.14018

Abstract

ABSTRACT Hypertension in pregnancy (HDK) is one of the health problems, especially in the world of obstetrics which is still a top priority to be resolved immediately because it is a direct cause of death in mothers. The purpose of this service is to increase the knowledge of pregnant women in preventing hypertension in pregnancy. The methods used are conducting site surveys, identifying problems, planning activities, managing permits, implementing and evaluating activities. Promotional media given to respondents are banners and leaflets. The results of service activities showed an increase in adolescent knowledge after being given counseling materials related to HIV/AIDS. The conclusion of this community service activity is in the form of efforts to prevent hypertension in pregnancy so that later it can be implemented independently by pregnant women in their respective places. Keywords: Knowledge, Pregnant Women, HDK, Lemongrass Plant
Sosialisasi Pencegahan Stunting pada Masa Kehamilan di Wilayah Kerja Puskesmas Harapan Lestari, Susi; Hasnia, Hasnia; Pratimi, Yustika Rahmawati; Handayani, Endah Purwanti; Putri, Harlinda Widia; Astutik, Eftyaningrum Dwi Wahyu
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 7, No 5 (2024): Volume 7 No 5 2024
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v7i5.13965

Abstract

ABSTRAK Perkiraan prevalensi balita stunting di tahun 2024 mencapai 16.1% yang masih jauh dari target 14%. Salah satu faktor risiko yang berkontribusi dalam stunting adalah anemia, KEK pada ibu hamil. Dalam rangka percepatan penurunan prevalensi balita stunting, salah satu upaya yang dilakukan adalah melalui peningkatan kualitas pelayanan kesehatan ibu hamil, pemberian penyuluhan terkiat stunting. Data yang cukup tinggi dan masih berada diatas target mengindentifikasikan pemahaman ibu hamil belum maksimal. Pengetahuan memiliki peranan yang penting untuk merubah perilaku ibu dalam menghidari terjadinya stunting. Adapun penyuluhan ini dilakukan selama 4 x di puskesmas harapan dengan metode penyuluhan dan membagikan leaflet, selama penyuluhan peseta antusias dan dapat menjawab pertanyaan dengan benar. Dengan demikian hasil pengabdian ini dapat meningkatkan pengetahuan ibu hamil tentang pencegahan stunting. Diharapkan kepada Puskesmas Harapan untuk melakukan penyuluhan dan menyediakan informasi seperti poster atau media informasi yang lain tentang Kesehatan khususnya tentang pencegahan, tanda-tanda dan penanganan stunting. Kata Kunci: Hamil, Ibu, Pencegahan, Stunting ABSTRACT The estimated prevalence of stunting toddlers in 2024 reaches 16.1%, which is still far from the target of 14%. One of the risk factors that contribute to stunting is anemia, SEZ in pregnant women. In order to accelerate the reduction in the prevalence of stunting toddlers, one of the efforts made is through improving the quality of health services for pregnant women, providing counseling related to stunting. That is quite high and still above the target identifies the understanding of pregnant women is not optimal. Knowledge has an important role to change maternal behavior in avoiding stunting. This counseling was carried out for 4 times at the Harapan Health Center with the method of counseling and distributing leaflets, as long as the counseling peseta was enthusiastic and could answer questions correctly. Thus, the results of this service can increase the knowledge of pregnant women about stunting prevention. It is expected that Puskesmas Harapan will conduct counseling and provide information such as posters or other information media about health, especially about the prevention, signs and handling of stunting. Keywords: Pregnant, Mother, Prevention, Stunting
Khasiat daun sirih hijau dan merah sebagai tanaman khas papua dalam penurunan pembengkakan payudara ibu nifas post sc Hasnia, Hasnia; Nasrianti, Nasrianti; Vitania, Wiwit; Pratami, Yustika Rahmawati; Astutik, Eftyaningrum Dwi Wahyu
Holistik Jurnal Kesehatan Vol. 19 No. 12 (2026): Volume 19 Nomor 12
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i12.1934

Abstract

Background: Breastfeeding is essential for the healthy growth and development of infants, but it often fails due to a lack of maternal preparation during pregnancy. A common problem is breast engorgement, which has a prevalence of approximately 65-75% among breastfeeding mothers. If left untreated, this condition can lead to complications such as blocked milk ducts, mastitis, and breast abscesses. One local Papuan wisdom to address this problem is the use of green and red betel leaves, which contain compounds such as flavonoids, tannins, and essential oils that have analgesic and anti-inflammatory effects. Purpose: To analyze the efficacy of green and red betel leaves, native to Papua, in reducing breast engorgement in post-cesarean section mothers. Method: A quasi-experimental study with a pretest-posttest control group design. The sample consisted of 20 postpartum mothers experiencing breast engorgement (10 participants in the green betel group and 10 participants in the red betel group) at the Khomba Waliyauw Community Health Center. The intervention consisted of warm betel leaf compresses for 20 minutes twice daily (morning and evening), followed by breast care according to standard operating procedures (SOP). The level of swelling was measured using the Six-Point Swelling Scale (SPES) on days 5, 12, 19, and 26. Results: This study demonstrated a significant effect in reducing breast swelling in both groups (p=0.05). The significance value for the green betel leaf group was 0.007 and for the red betel leaf group 0.004. The effectiveness of red betel leaf compresses was proven to be more effective in reducing swelling than green betel leaf compresses in postpartum women after cesarean section (p-value 0.029 <0.05). The effectiveness of red betel leaf is supported by its higher flavonoid and polyphenol content, which act as antioxidants and pain relievers. By day 26, all participants experienced no swelling, while in the green betel leaf group, the reduction only reached 70%. Conclusion: Both green and red betel leaves are effective in reducing breast engorgement in post-cesarean mothers, but the use of red betel leaves combined with breast care is more effective in reducing breast engorgement than green betel leaves. Suggestion: Health workers can increase education on proper breastfeeding techniques during postpartum visits to prevent early breast engorgement.   Keywords: Efficacy; Green Betel Leaves; Papuan Plants; Post-Cesarean Section; Postpartum Mothers; Reducing Breast Engorgement; Red Betel Leaves.   Pendahuluan: Proses menyusui merupakan hal penting bagi pertumbuhan dan perkembangan bayi yang sehat, sering kali tidak berjalan dengan baik karena kurangnya persiapan ibu saat hamil. Masalah yang sering muncul, seperti pembengkakan payudara (bendungan ASI) yang memiliki prevelensi sekitar 65-75% dikalangan ibu menyusui. Kondisi ini jika tidak segera ditangani, dapat menyebabkan komplikasi, seperti tersumbatnya saluran air susu, mastitis hingga abses payudara. Salah satu kearifan lokal masyarakat Papua untuk mengatasi hal ini adalah penggunaan daun sirih hijau dan merah yang mengandung senyawa, seperti flavonoid, tanin, dan minyak atsiri yang memiliki efek analgetik dan anti-inflamasi. Tujuan: Untuk menganalisis khasiat daun sirih hijau dan merah sebagai tanaman khas papua dalam penurunan pembengkakan payudara ibu nifas post sc. Metode: Penelitian quasy-experimental dengan rancangan pretest-posttest control group design. Sampel terdiri dari 20 ibu nifas mengalami bendungan ASI (10 partisipan kelompok sirih hijau dan 10 partisipan kelompok sirih merah) di Puskesmas Khomba Waliyauw. Intervensi berupa kompres daun sirih yang telah dihangatkan selama 20 menit sebanyak 2 kali sehari (pagi dan sore) diikuti dengan perawatan payudara sesuai dengan SOP. Tingkat pembengkakan diukur menggunakan Six Point Engirgement Scale (SPES) pada hari ke-5,12,19, dan 26. Hasil: Penelitian menunjukkan adanya pengaruh signifikan pada dua kelompok dalam menurunkan pembengkakan payudara (p=0.05). Nilai signifikan pada kelompok daun sirih hijau 0.007 dan kelompok daun sirih merah 0.004. Efektivitas kompres daun sirih merah terbukti lebih efektif menurunkan pembengkakan, dibandingkan kompres daun sirih hijau pada ibu nifas pasca operasi SC (p-value 0.029 < 0.05). Efektivitas sirih merah didukung oleh kandungan flavonoid dan polifenol yang lebih tinggi, berperan sebagai antioksidan dan penghilang rasa nyeri. Pada hari ke-26, seluruh partisipan tidak mengalami pembengkakan, sedangkan pada kelompok daun sirih hijau penurunan hanya mencapai 70%. Simpulan: Jenis daun sirih hijau dan daun sirih merah efektif untuk menurunkan pembengkakan pada payudara ibu nifas pasca SC, tetapi penggunaan daun sirih merah yang disertai perawatan payudara lebih efektif menurunkan pembengkakan payudara dibandingkan daun sirih hijau. Saran: Petugas kesehatan dapat meningkatkan edukasi mengenai teknik menyusui yang benar selama kunjungan masa nifas, sehingga dapat mencegah secara dini kejadian bendungan ASI.   Kata Kunci: Daun Sirih Hijau; Daun Sirih Merah; Ibu Nifas; Khasiat; Penurunan Pembengkakan Payudara; Post SC; Tanaman Khas Papua.