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OPTIMALISASI KESEHATAN IBU NIFAS DENGAN SENAM NIFAS Qoyimah, Ilmiatus; Ilmiatus
ABDIMASNU: Jurnal Pengabdian kepada Masyarakat Vol 3 No 1 (2023): ABDIMASNU
Publisher : Institut Ilmu Kesehatan Nahdlatul Ulama Tuban

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47710/acb3f162

Abstract

The puerperium begins when the placenta is born and ends when the uterine organs return to pre-pregnancy. Postpartum mothers will experience many physical and psychological changes. Postpartum gymnastics is one way to help the mother recover soon, it aims to expedite the process of uterine involution, is beneficial in terms of beauty, restores health, and improves muscle tension after pregnancy. Internal and external factors influence the implementation of postpartum exercise. The formulation of the problem is in the form of limited knowledge and skills about postpartum exercise in the working area of the Talagasari Health Center, Karawang Regency, due to the absence of socialization and guidance regarding postpartum exercise. The purpose of the service is to increase knowledge and skills about postpartum exercise for postpartum mothers using modules and video media so that it helps in carrying out postpartum exercises independently and as an additional program for pregnant women's classes. The service method in the socialization and guidance of postpartum gymnastics uses question-and-answer lectures, discussions, simulations, and practice of postpartum gymnastics, accompanied by pre-tests and post-tests. The activity was carried out for three months in the homes of 185 respondents. The results of this socialization activity and postpartum exercise guidance have implications in the form of increasing the knowledge of postpartum mothers up to 9.28. Activities have provided benefits in the form of increased knowledge and skills about postpartum exercise for all respondents. The conclusion is that postpartum exercise socialization and guidance activities have implications in the form of increasing knowledge and ability to carry out postpartum exercise movements independently using postpartum exercise modules and videos. Furthermore, the health center can continue the postpartum exercise activities in the postnatal care material in the class program for pregnant women.
Empowerment of Anemic Pregnant Women through the Provision of Iron Tablets and Ambon Bananas to Increase Hemoglobin Levels in Mondokan, Tuban Regency qoyimah, ilmiatus; Nur Cholila; Purnama Sari, Dwi Kurnia
ABDIMASNU: Jurnal Pengabdian kepada Masyarakat Vol 4 No 3 (2024): ABDIMASNU
Publisher : Institut Ilmu Kesehatan Nahdlatul Ulama Tuban

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47710/abdimasnu.v4i3.544

Abstract

Anemia in pregnant women is a significant public health issue, especially in rural areas like Mondokan, Tuban Regency, where access to quality healthcare and nutrition may be limited. This community service program aimed to improve hemoglobin levels in anemic pregnant women through the combination of iron tablets (Fe) and Ambon bananas, a locally available food rich in iron, potassium, and vitamin C. The program involved socialization, nutritional education, and the regular provision of iron supplements and Ambon bananas to pregnant women in the third trimester. Hemoglobin levels were measured before and after the intervention to assess the impact. Results showed a significant increase in hemoglobin levels, with 80% of participants showing improvements, averaging an increase of 1.5 g/dL. In addition, knowledge of anemia and nutrition improved markedly among participants, and the community’s engagement was high, with over 85% of women attending group support sessions. The use of Ambon bananas also contributed to local economic development, as it promoted the use of locally sourced agricultural products. This program demonstrates the potential for combining local resources and nutritional interventions to address anemia, with positive health outcomes for both pregnant women and the broader community. The findings suggest that this approach can be replicated in other regions facing similar challenges.
Socializing The Benefits Of Telemedicine In Maternity Nursing To Pregnant Women And Healthcare Workers In Tuban Regency Qoyimah, Ilmiatus; Safaah, Nurus; Ilmiatus
ABDIMASNU: Jurnal Pengabdian kepada Masyarakat Vol 5 No 2 (2025): ABDIMASNU
Publisher : Institut Ilmu Kesehatan Nahdlatul Ulama Tuban

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47710/abdimasnu.v5i2.698

Abstract

Telemedicine has become a vital tool in delivering healthcare services, particularly in rural areas with limited access. This study aims to socialize the benefits of telemedicine to pregnant women and healthcare workers in Tuban Regency, focusing on its potential in maternity care. A socialization program was conducted with 50 participants, including 20 healthcare workers and 30 pregnant women. The program included presentations, demonstrations, and practical training on telemedicine use for maternity care. Knowledge and usage were evaluated before and after the program through surveys. The socialization resulted in a significant knowledge increase, with 80% of pregnant women and 90% of healthcare workers reporting improved understanding of telemedicine. Furthermore, 65% of pregnant women and 75% of healthcare workers began utilizing telemedicine for consultations. However, 28% of participants faced technical challenges, such as internet connectivity and device limitations. Additionally, 72% of participants expressed interest in further training. The program successfully enhanced knowledge and confidence in using telemedicine. Despite technical barriers, adoption rates were encouraging, underscoring the need for ongoing training and enhanced digital infrastructure to facilitate the broader adoption of telemedicine in rural healthcare. Socializing telemedicine in Tuban has proven effective in raising awareness and encouraging adoption. However, addressing technical barriers and providing ongoing education are essential for maximizing its impact on maternity care.
Promoting Mental Health among Postpartum Mothers through Mindfulness Practice in Tuban Regency Qoyimah, Ilmiatus; Safaah, Nurus
Jurnal Ilmiah Pengabdian Masyarakat Bidang Kesehatan (Abdigermas) Vol. 3 No. 3 (2025): Jurnal Ilmiah Pengabdian Kepada Masyarakat Bidang Kesehatan (Abdigermas)
Publisher : CV Media Inti Teknologi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58723/abdigermas.v3i3.510

Abstract

Postpartum mothers often experience psychological challenges such as stress, anxiety, and feelings of inadequacy, which may be intensified by the pervasive influence of social media. This community service program aimed to enhance the mental health of postpartum mothers in Tuban Regency through the application of mindfulness practices. The program employed a participatory approach involving posyandu cadres and village midwives, with a purposive sample of 30 postpartum mothers attending four weekly mindfulness sessions. Each session consisted of psychoeducation on mental health, guided mindfulness exercises, and group discussions, supported by daily home practice using audio recordings. Monitoring was conducted via a WhatsApp group, and evaluations were carried out using pre- and post-assessments with the DASS-21 instrument and participant feedback surveys. The results showed notable improvement in mental health outcomes: moderate stress decreased from 40% to 15%, mild anxiety from 30% to 10%, and mild depression from 10% to 3%, while normal conditions increased from 20% to 72%. Participants reported greater calmness, self-awareness, and emotional stability. In conclusion, mindfulness practice was found to be an effective and practical approach to improving the mental health of postpartum mothers, with strong potential for integration into community health services.
Development and validation of the maternal role adaptation system model (MRASM) to improve breastfeeding success Safaah, Nurus; Munir, Miftahul; Qonitun, Umu; Qoyimah, Ilmiatus; Wijayanti, Erna Eka
Jurnal Ners Vol. 20 No. 4 (2025): VOLUME 20 ISSUE 4 (NOVEMBER 2025)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v20i4.77929

Abstract

Introduction: The success of breastfeeding is a critical indicator of comprehensive adaptation during the maternal transition. Existing theoretical models address maternal adaptation separately, resulting in a lack of integration in predicting breastfeeding success. This research aimed to develop and validate the Maternal Role Adaptation System Model (MRASM) using Structural Equation Modeling. Methods: A cross-sectional study was conducted with 150 postpartum women recruited through purposive sampling from five community health centers in East Java, Indonesia. Eight latent constructs measured using validated instruments: focal stimuli (breast pain, fatigue, nutrition), contextual stimuli (spousal and healthcare support, information access, economic status), residual stimuli (social norms, cultural values, beliefs), coping mechanisms, emotional responses, self-concept, role function, and breastfeeding success. Data were analyzed using Structural Equation Modeling with Partial Least Squares (SEM-PLS) via Smart-PLS 4.0. Results: The MRASM demonstrated excellent psychometric properties (Cronbach's α > 0.678, composite reliability > 0.802, AVE > 0.508). Environmental stimuli (focal, contextual, and residual) significantly influenced maternal coping mechanisms, which in turn affected emotional responses, self-concept, and role function. Emotional responses (β = 0.356, p = 0.001) and self-concept (β = 0.268, p<0.001) are the strongest predictors of breastfeeding success, explaining 26.7% of outcome variance. These findings provide healthcare professionals with specific intervention targets: managing physical symptoms, enhancing coping resources, and supporting maternal emotional well-being and self-efficacy. Conclusions: MRASM integrates Roy's and Mercer's models to address postpartum adaptation holistically, providing healthcare professionals with an evidence-based framework to support maternal role transition and breastfeeding success.