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Hubungan Pengetahuan Ibu Hamil Trimester III tentang Anemia dengan Kepatuhan Konsumsi Tablet Fe di Puskesmas Perawatan Namrole Kec. Namrole Kab Buru Selatan Tahun 2023 Saripina Girsang S; Eva Dona Sinaga; Kamelia Sinaga
Jurnal Ilmu Kesehatan dan Gizi Vol. 2 No. 4 (2024): Oktober: Jurnal Imu Kesehatan dan Gizi
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/jig.v2i4.3224

Abstract

Anemia in pregnancy is known to occur in pregnant women when iron levels in their blood are low. Pregnant women are said to have anemia if their hemoglobin (Hb) level is <11 grams/dl in the first and third trimesters of pregnancy, in contrast to the second trimester hemoglobin (HB) level <10.5 grams/dl. The aim of the research was to determine the relationship between third trimester pregnant women's knowledge about anemia and compliance with consuming Fe tablets at the Namrole Care Health Center in 2023. This research was quantitative in nature with an analytical survey with a cross sectional research design, which was conducted in the Namrole Maluku Health Center Work Area. The population in this study were all 32 pregnant women in the third trimester. The sampling technique used is Total Sampling. Bivariate analysis uses the Chi Square test with a confidence level of 95%. shows that the p value = 0.000 which means less than A = 0.005, so it can be concluded that there is a significant relationship between the knowledge of third trimester pregnant women about anemia and compliance with consuming Fe tablets at the Namrole Nursing Community Health Center, Kec. Medan Johor in 2023.
Pemberdayaan Tenaga Kesehatan dan Kader dalam Pelayanan Kegawatdaruratan Maternal dan Neonatal yang Excellent di Desa Bangun Rejo Kabupaten Deli Serdang Provinsi Sumatera Utara Marta Armita Silaban; Vitalia Hanako Simanjuntak; Eva Dona Sinaga; Sari Simanjuntak; Sarah Sausan
ASPIRASI : Publikasi Hasil Pengabdian dan Kegiatan Masyarakat Vol. 2 No. 3 (2024): Mei : ASPIRASI : Publikasi Hasil Pengabdian dan Kegiatan Masyarakat
Publisher : Asosiasi Periset Bahasa Sastra Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/aspirasi.v2i3.990

Abstract

Neonatal maternal emergencies are a contributing cause of maternal mortality, including hypertension disorders, namely preeclampsia/eclampsia (33.07%), obstetric hemorrhage (27.03%), other obstetric complications 12.04%, infections in pregnancy (6.06%) (Indonesian Ministry of Health, 2019). Maternal mortality and morbidity can actually be reduced or prevented with various improvements in the field of obstetric health services. In Indonesia, obstetric emergency problems occur due to four delays, namely being late in recognizing danger signs and risks, being late in making a decision to seek help, being late in getting transportation to reach a more capable health service facility, and being late in getting help at a referral facility. Bangun Rejo Village is one of the villages in the Tanjung Morawa Community Health Center which has the highest risk of pregnant women compared to other villages. Involvement in decision making regarding referrals is still predominantly obtained from the family, so that family knowledge regarding emergency problems and pregnancy complications experienced by the mother greatly influences the accuracy of decision making to refer/contact a midwife/health worker so that treatment can be obtained more quickly. This activity aims to increase the knowledge of health workers, namely village midwives and cadres, in providing excellent maternal and neonatal emergency services in Bangun Rejo Village. This activity was attended by 9 midwives and 11 cadres from 11 hamlets in Bnagun Rejo Village. The results of this activity were that there was an increase in partners' knowledge before and after the intervention in the "good" category, which increased by 53% and in the "poor" category, which decreased by 53%. The initial pretest score was 45% which increased in the post test to 98%. It is necessary to increase the knowledge and abilities of village midwives and cadres in Bnagun Rejo Village regarding maternal and neonatal emergency services.
Faktor yang Memengaruhi Pemanfaatan Pelayanan Kesehatan dalam Kegawatdaruratan Maternal Neonatal di Desa Bangun Rejo Kabupaten Deli Serdang Provinsi Sumatera Utara Tahun 2024 Marta Armita Silaban; Eva Dona Sinaga; Sari Simanjuntak; Sarah Sausan
Vitalitas Medis : Jurnal Kesehatan dan Kedokteran Vol. 1 No. 2 (2024): April : Vitalitas Medis : Jurnal Kesehatan dan Kedokteran
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/vimed.v1i3.688

Abstract

Utilization of Emergency Maternal and Newborn Health Services is one of the important factors in determining the level of health which is particularly relevant to health problems and community development. The purpose of this study was to determine the factors that influence the utilization of health services in maternal and newborn emergencies in Bangun Rejo Village, Tanjung Morawa District, Deli Serdang Regency, North Sumatra Province in 2024. This type of research is an analytical survey with a cross-sectional approach. Utilization of Health Services in maternal and newborn emergencies is the dependent variable in this study, while the independent variables include access to health services, attitudes of health workers and BPJS membership in Bangun Rejo Village, Tanjung Morawa District, Deli Serdang Regency in 2024. The sampling technique was carried out using simple random sampling. The head of the family was the sample in this study. The sampling technique was carried out randomly from 476 Heads of Families in Bangun Rejo Village to 99 respondents. Data analysis used univariate and bivariate analysis with a confidence level of 95% (α = 0.05). The results of the chi-square test showed that there was a relationship between access to health services and the use of maternal neonatal emergency health services (p=0.04), there was no relationship between the attitude of health workers and the use of emergency health services (p=0.227), there was a relationship between BPJS membership and the use of maternal neonatal emergency health services (p=0.002).
Pengaruh Pijat Oksitosin Terhadap Kelancaran Produksi ASI pada Ibu Bersalin di Klinik Afisya Kabupaten Deli Serdang Provinsi Sumatera Utara Tahun 2025 Marta A. Silaban; Eva Dona Sinaga; Novita A. Manjorang; Ade Rachmat; Henny Saragi; Sri Aisyah
Corona: Jurnal Ilmu Kesehatan Umum, Psikolog, Keperawatan dan Kebidanan Vol. 3 No. 1 (2025): Maret : Corona: Jurnal Ilmu Kesehatan Umum, Psikolog, Keperawatan dan Kebidanan
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/corona.v3i1.1115

Abstract

It is hoped that breastfeeding can help achieve SDGs goal 3, target 2, namely efforts to reduce the neonatal mortality rate to at least 12 per 1000 live births in all countries by 2030 and stop unnecessary deaths of newborns and toddlers. Encouraging healthy breastfeeding is so important that it can prevent more than 820,000 deaths of children under five every year. Oxytocin massage has been shown to increase the sensation of relaxation, improve sleep quality and comfort, reduce pain and tension, and help increase prolactin and oxytocin levels, which in turn increases breast milk production.The research design uses the Pre Experimental Design method, namely in the form of a One Group pretest and posttest design without a control group. This research used purposive sampling, with a total sample of 22 respondents. Univariate and bivariate data analysis. The results of this study showed that the value before the oxytocin massage was a mean of 16.14 and after the oxytocin massage the mean was 27.73. The conclusion of this research shows that the results of the experimental test have a significant value with a p value = 0.000 <0.05. This proves that there is a significant difference in breast milk production between before and after oxytocin massage. It is recommended that midwives at the Afisya clinic use this research as input in efforts to increase breast milk production in post partum mothers.
A IMPROVING DELIVERY READINESS THROUGH INDEPENDENT EDUCATION FOR PREGNANT WOMEN IN THE THIRD TRIMESTER AT PMB SHINTA, MEDAN CITY, NORTH SUMATRA PROVINCE IN 2025: Maternal and Child Health Silaban, Marta Armita; Yasrida Nadeak; Novita Andriani Br.Manjorang; Damayanty S; Eva Dona Sinaga
Jurnal Pengabdian Vol. 4 No. 2 (2025): Juli-Desember
Publisher : Bengkulu Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58222/jp.v4i2.1399

Abstract

Preparing for childbirth is one of the most important strategies to reduce the risk of complications for both mother and baby. However, many pregnant women, especially those in their third trimester, do not fully understand the signs of labor, how to deliver a baby, and how to prepare for referrals. Pregnant women about to give birth often experience anxiety due to their inability to cope with the discomfort caused by the mental and physical changes that occur during pregnancy. This community service program aims to improve the readiness of pregnant women in their third trimester for childbirth through independent learning based on educational e-books. This community service activity took place at PMB Shinta, Medan Johor District, Medan City, involving thirty-two expectant mothers. Activities included small group discussions, counseling, distribution of e-books, and prenatal and postnatal examinations for evaluation. The results of this community service program indicated that participants now have a better understanding and are prepared for the labor process. Pregnant women can gain the basic knowledge needed before giving birth through this e-book. The goal of this community service initiative is to improve the readiness of pregnant women in their third trimester for childbirth through independent learning based on educational e-books.
Efektivitas Metode BOM (Breastcare, Oxytocin Massage, Marmet Technique) Terhadap Produksi ASI Pada Ibu Postpartum Di RSUD Morwali Br.Manjorang, Novita Andriani; Anna Waris Nainggolan; Marta Armita Br. Silaban; Eka Purnamasari; Eva Dona Sinaga
Jurnal Vokasi Kesehatan Vol 4 No 2 (2025)
Publisher : Gayaku Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58222/juvokes.v4i2.1397

Abstract

Salah satu penyebab utama kegagalan pemberian ASI eksklusif, yang dapat berdampak pada tumbuh kembang bayi, adalah rendahnya suplai ASI pascapersalinan. Hormon prolaktin dan oksitosin, yang penting untuk produksi dan pengeluaran ASI, distimulasi oleh kombinasi perawatan yang dikenal sebagai teknik BOM (Perawatan Payudara, Pijat Oksitosin, dan Teknik Marmet). Tujuan penelitian ini adalah untuk mengevaluasi seberapa besar pengaruh teknik BOM terhadap kemampuan ibu pascapersalinan untuk memproduksi ASI di Rumah Sakit Umum Morowali. Penelitian ini menggunakan metode kelompok kontrol pretes-postes dan pendekatan kuantitatif dengan desain kuasi-eksperimental. Ibu pascapersalinan dibagi menjadi kelompok intervensi dan kelompok kontrol untuk sampel. Selama jangka waktu yang telah ditentukan, teknik BOM diberikan kepada kelompok intervensi, sementara kelompok kontrol tidak diberikan terapi apa pun. Lembar observasi digunakan untuk menilai jumlah ASI yang diproduksi sebelum dan sesudah operasi. Berdasarkan hasil, kelompok intervensi menghasilkan ASI yang signifikan lebih banyak daripada kelompok kontrol (p < 0,05). Hal ini menunjukkan bahwa teknik BOM efektif untuk meningkatkan produksi ASI ibu pascapersalinan. Teknik BOM telah terbukti berhasil meningkatkan dan meningkatkan produksi ASI. Untuk mendukung pemberian ASI yang efektif, intervensi ini disarankan sebagai komponen program perawatan pascapersalinan.
Pengaruh Suntik 3 Bulan Terhadap Peningkatan Berat Badan di Balai Penyuluhan KB Desa Parpaudangan Tahun 2023 Theresia Rina Novia Sinaga; Rumondang Sitorus; Eva Dona Sinaga
OBAT: Jurnal Riset Ilmu Farmasi dan Kesehatan Vol. 2 No. 6 (2024): November : OBAT: Jurnal Riset Ilmu Farmasi dan Kesehatan
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/obat.v2i6.857

Abstract

The still high population growth is one of the polemics that occurs in Indonesia, so that Indonesia is still called a developing country. Therefore, the government's effort to suppress population growth is by establishing the Family Planning Family Planning program. The aim of this research is to analyze the effect of 3-month birth control injections on increasing body weight at the Family Planning Extension Center in Parpaudangan Village, North Labuhan Batu in 2023. This research is quantitative with a case control research design carried out at the Parpaudangan Family Planning Extension Center. The population in this study was 35 mothers who came to visit the family planning extension center. The sampling technique used was purposive sampling. In this research, the instruments used were primary data and secondary data as well as bivariate analysis using the Chi Square test with a confidence level of 95%. In conclusion, the statistical test results show an OR (Odds Ratio) of 2.310 with calculated X2 (2.089) < X2 Table (3.841) or p (0.148) > α (0.050) and CI (0.872; 6.118). The results of this research show that 3-month contraceptive injections are not a significant factor as the main cause of weight gain, but acceptors of 3-month contraceptive injections are likely to experience weight gain 2 times greater than non-acceptors of 3-month contraceptives, at the Parpaudangan village family planning extension center in 2023 .
Penguatan Kapasitas Kader Melalui Revitalisasi Posyandu dalam Upaya Peningkatan Layanan Kesehatan di Puskesmas Mutiara Kabupaten Asahan Eva Dona Sinaga; Ali Imran Sirait; Marta Armita Silaban; Sella Pratiwi
Panggung Kebaikan : Jurnal Pengabdian Sosial Vol. 2 No. 4 (2025): November: Panggung Kebaikan : Jurnal Pengabdian Sosial
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/panggungkebaikan.v2i4.2526

Abstract

Posyandu, as a form of community-based health efforts, plays a crucial role in improving maternal and child health. However, its implementation in the Mutiara Community Health Center (Puskesmas Mutiara) in Asahan Regency still faces various challenges, such as low cadre capacity, suboptimal service quality, and limited community participation. This community service activity aims to strengthen cadre capacity through Posyandu revitalization as an effort to improve the quality of basic health services. A total of 63 Posyandu cadres participated in the activities, which were implemented through counseling, education, and coaching using revised service standard guidelines. This program was implemented through four stages: preparation, implementation, analysis of results, and evaluation. Improvement in cadre knowledge was measured using pretests and posttests. The results of the activity showed a significant increase in the level of knowledge of cadres, as seen in the change in assessment categories from the majority being in the "poor" category during the pretest to "sufficient" and "good" in the posttest. This indicates that the education and coaching provided were effective in improving cadres' understanding and skills. Increasing cadre capacity is expected to improve the quality of Posyandu services, increase public trust, and support efforts to reduce morbidity and mortality in the Mutiara Community Health Center's work area. Cross-sector collaboration and ongoing mentoring are needed to maintain the sustainability of Posyandu revitalization.