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HUBUNGAN ANTARA PELAYANAN ASUHAN ANTENATAL DAN FAKTOR RISIKO TERHADAP KEMATIAN PERINATAL DI PUSKESMAS KOTA PALEMBANG Rosmiarti Rosmiarti; Enderia Sari
Masker Medika Vol 1 No 1 (2013): Masker Medika
Publisher : IKesT Muhammadiyah Palembang

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Abstract

Childbirth is one of the factors that influence perinatal mortality. In addition to otherfactors such as the deliveries performed at home with traditional personnel as birthattendants, as well as the mother condition during pregnency are less favorable ( lessnutritional status, complications of pregnancy) and late referral. Service qualitiy is aprerequisite in order to increase the use of service need to be preceded by improvedmedical standards through the efforts of Maternal Perinatal Audit (AMP).This study aims to find out is there any relation between antenatal care services and riskfactors of perinatal death in public Health Centers of Palembang City. This study is aretrospective observation of events that already exist using a case control study usingprimary data obtained from direct interview of the respondents who visited the publichealth center by using a questionnaire, as well as secondary data source that is originatednd medical records of ANC history and outcome of pregnancy and childbirth. The resultsshowed that of 180 respondents, 75% control and 25% of cases, 71.1% receivedunstandarized antenatal care, 80.6% was not risky age, risky parity 56.7%, 68.9% ofhighly educated, and 89,4% do not experience complications in pregnancy and childbirth.The result of logistic regression analysis showed significant effect between the antenatalcare services jointly (simultaneously) on perinatal mortality in the city of palembang in2012, with age variable with complications of pregnancy and childbirth as interactionvariables. Respondents who received antenatal care services that unstandarized to havea risk 3.89 times for infants experiencing perinatal death when compared to respondentswho receive standarized antenatal care services. By knowing the relationship betweenantenatal care services and risk factors of perinatal death, it is recommended thatadequate maternal health practices, the frequency of regular visits, service providersaccording to the standar (ST) remains an effort that should be improved, needs to domore intensive counseling, and need consider improving the quality of antenatal care,especially for pregnant women with high risk and the risk of pregnancy and childbirthcomplications.
PENGARUH DUKUNGAN SUAMI TERHADAP KEPATUHAN AKSEPTOR MELAKUKAN KB SUNTIK 1 BULAN DI BPM YUSIDA EDWARD PALEMBANG TAHUN 2018 Rosmiarti Rosmiarti
Masker Medika Vol 7 No 1 (2019): Masker Medika
Publisher : IKesT Muhammadiyah Palembang

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Abstract

Salah satu faktor yang mempengaruhi kepatuhan akseptor melakukan KB suntik 1 bulan adalah dukungan suami. Seperti dukungan suami dalam bentuk emosional, instrumental dan informasi. Pada dasarnya peran suami dalam Keluarga Berencana (KB) antara lain peserta KB dan mendukung pasangan menggunakan alat kontrasepsi. Tujuan dari penelitian ini adalah untuk mengetahui pengaruh dukungan suami terhadap kepatuhan akseptor melakukan KB suntik 1 bulan. Desain penelitian yang digunakan adalah penelitian kuantitatif yang bersifat survey analitik dengan rancangan survey cross sectional. Populasi penelitian ini adalah seluruh akseptor KB 1 bulan dengan besar sampel 34 akseptor yang diambil secara accidental sampling. Pengumpulan data diperoleh melalui pengisian kuisione dan kartu KB. Hasil analisa univariat di peroleh bahwa responden yang patuh sebanyak 82,4%, responden yang medapat dukungan suami dalam bentuk emosional sebanyak 85,3% responden yang medapat dukungan suami dalam bentuk insrumental sebanyak 85,3% dan responden yang medapat dukungan suami dalam bentuk informasi sebanyak 58,8%. Data yang ditemukan di uji kembali menggunakan uji Chi Square dan hasilnya adalah ρ value = 1.000 untuk dukungan suami emosional, ρ value = 0,205 untuk dukungan suami instrumental dan ρ value = 0,672 untuk dukungan suami informasi, sebagai hasil signifikan yang berarti dukungan suami tidak mempengaruhi kepatuhan akseptor melakukan KB suntik 1 bulan. Kesimpulan dari penelitian ini adalah dukungan suami tidak berpengaruh terhadap kepatuhan akseptor melakukan KB suntik 1 bulan One of the factors that influences the compliance of acceptors conducting monthly contraception injection is husband's support, such as husband's support in the form of emotional, instrumental and information. Basically the role of husbands in family planning (KB) includes family planning participants and couples supports in using contraception. The purpose of this study was to find out the effect of husband's support for the compliance of acceptors conducting monthly contraception injection of family planning. The research design used is quantitative research that is analytical survey with a cross sectional survey design. The population of this study was all monthly contraception acceptors with a sample size of 34 acceptors taken with accidental sampling. Data collection was obtained through filling quizzes and KB cards. The results of univariate analysis showed that respondents who obeyed were 82.4%, respondents who received husband support in emotional form were 85.3%, respondents who received husband support in the instrumental form were 85.3 % and respondents who received husband support in the form of information were 58.8%. Data found in theresearch were retested using the Chi Square test and the result was ρ value = 1,000 for emotional husband support, ρ value = 0.205 for instrumental husband support and ρ value = 0.672 for information on husband's support, as a significant result which means that husband's support does not affect the compliance of acceptors doing mothly contraception injection. The conclusion of this study is that husband's support has no effect on the acceptor's compliance doing contraception injection. Therefore, it is recommended for acceptors to be obedient in doing family planning according to the schedule even without husband's support
Efektifitas Hypnopregnancy Terhadap Peningkatan Kualitas Tidur Ibu Hamil Raden Ayu Aminah Maya; Rosmiarti Rosmiarti
Jurnal Kesehatan Vol 14 No 2 (2021): Jurnal Kesehatan
Publisher : UPPM Poltekkes Kemenkes Ternate

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32763/juke.v14i2.298

Abstract

Latar Belakang: Selama kehamilan, tubuh ibu hamil mengalami perubahan besar yang bias membuat ibu hamil seringkali merasa tidak nyaman, baik itu perubahan fisiologis maupun psikologis. Perubahan ini menimbulkan gejala spesifik sesuai dengan tahapan kehamilan yang terdiri dari tiga trimester. Perubahan psikologis yang sering terjadi pada ibu hamil seperti kecemasan/ stress. Dampak kecemasan yang lain adalah dapat menurunkan kualitas dan kuantitas tidur ibu hamil selama masa kehamilan Terapi non farmakologi yang   dapat dilakukan meliputi relaksasi,guided imagery, progressive   muscle   relaxation,  hipnoterapi dan terapi music klasik. Tujuan: Penelitian ini untuk mengetahui efektifitas hypnopregnancy dalam meningkatkan kualitas tidur ibu. Metode: penelitian ini adalah penelitian quasi eksperiment dengan bentuk rancangan perbandingan kelompok statis (Static Group Comparison) dan menggunakan uji statistik chi square. Data didapatkan dari wawancara melalui lembar observasi langsung dengan instrument The Pittsburgh Sleep Quality Index (PSQI). Sampel penelitian ini berjumlah 30 orang yang terdiri dari kelompok eksperimen dan kontrol. Hasil:uji statistik, diperoleh tingkat signifikansi ρ<0.05 (ρ: 0.009), yang berarti ada pengaruh yang signifikan antara hypnopreganncy terhadap kualitas tidur ibu hamil.Kesimpulan:hypnopregnancy dapat digunakan sebagai salah satu terapi untuk memperbaiki dan meningkatkan kualitas tidur ibu.
HUBUNGAN UMUR DAN PARITAS IBU BERSALIN DENGAN KEJADIAN LASERASI DI RUMAH SAKIT PUSRI PALEMBANG TAHUN 2017 Rosmiarti Rosmiarti; Suci Lestari
Jurnal Delima Harapan Vol 5 No 2 (2018)
Publisher : AKADEMI KEBIDANAN HARAPAN MULYA PONOROGO

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (287.962 KB) | DOI: 10.31935/delima.v5i2.54

Abstract

The purpose of this study was to monitor vital signs, to evaluate the origin of bleeding, and to estimate the number of advanced bleeding and to assess muscle tone at palembang pusri hospital by 2017. This research uses analytical survey method using Cross Sectional approach. The sample of this research is taken by Random Sampling.The results of the authors were the distribution of the laceration frequency of births from 285 respondents as much as 16.6 people (556.6%) of the lacerations and those that did not and no laceration was 123 (43.0%). Age as many as 123 (61.8%) who are at risk and not at risk as much as 162 (37.8%). The parity of Pusri Palembang Hospital in 2017 from 285 respondents was 177 (61.9%) with high risk parity and low risk parity of 108 (37.9%). There was no correlation between maternal age and the incidence of laceration of birth canal with chi-square value obtained on education variable p value = 0.000 < 0.05. In the age variable p value = 0.000a < 0.05. On the parity variable p value = 0.000a < 0.05.astatistically, there was no relationship between age and parity with the incidence of laceration of the birth canal
THE IMPLEMENTATION OF GIVING AROMATERAPY LEMONS AND GINGER DRINKS TO REDUCE EMESIS GRAVIDARUM ON PREGNANT WOMEN TRIMESTER I IN BPM YUSIDAH EDWARD PALEMBANG IN 2018 Rosmiarti Asmar; Aminah Maya; Cica Novitasari
Jurnal Delima Harapan Vol 8 No 1 (2021)
Publisher : AKADEMI KEBIDANAN HARAPAN MULYA PONOROGO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31935/delima.v8i1.116

Abstract

Many pregnant women experience emesis gravidarum in the first trimester. Nausea vomiting can be treated with pharmacological and non-pharmacological treatments, one of which is aromatherapy lemon which has an effect on the inhaler, such as calmness and freshness of the body so that it can reduce nausea and vomiting. In addition, ginger drinks also include non-pharmacological drugs, ginger has a fragrant aroma that can refresh the body ,and the oloresin can warm the body so that it can reduce nausea vomiting. The aim of this study is to find out the application of lemon aromatherapy and ginger drinks to reduce emesis gravidarum in pregnant women and to find out the frequency distribution before and after the application of aromatherpy lemon and ginger drinks to reduce emesis gravidarum trimester I. The method of this study was a one group pre-post-test pre-experiment research and used the Wilcooxon test statistic test. This study obtained interviews through direct observation sheets. The results of administration were given to 15 respondents of lemon aromatherapy and 15 respondents of ginger drinks done twice a day for 3 to 7 days. The amount of nausea and vomiting was taken through average value before and after administration of lemon aromatherapy and ginger drinks. The conclusion of this study is that Aromatherapy lemon and ginger drinks were proven to reduce emesis gravidarum in first trimester pregnant women in Yusidah Edward Palembang BPM in 2018. Hopefully there are some researches that related to other kinds of aromatherapy that useful for pregnancy
Upaya Menghadapi Persalinan yang Nyaman dengan Persiapan Spiritual di Wilayah Kerja Puskesmas Pemulutan Kecamatan Pemulutan Ogan Ilir Rosmiarti Asmar
Khidmah Vol 5 No 1 (2023): Khidmah
Publisher : IKesT Muhammadiyah Palembang

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Abstract

Persalinan adalah proses membuka dan menipisnya dinding serviks untuk mengeluarkan hasil konsepsi. Salah satu faktor yang mempengaruhi persalinan adalah psikis ibu yang dalam hal ini erat kaitannya dengan spiritual ibu. Spiritualitas adalah kepercayaan terkait dengan Pencipta Yang Maha Esa. Keyakinan spiritual sangat penting bagi profesional kesehatan karena dapat mempengaruhi kesehatan dan perilaku klien, Doa dan afirmasi positif diyakini dapat menghilangkan energi negatif, melepaskan rasa takut, dan menciptakan keharmonisan dalam bentuk pikiran dan perasaan positif. Hal ini juga membantu bayi untuk dilahirkan dalam suasana yang tenang dan nyaman. Kegiatan pengabdian masyarakat ini bertujuan untuk menambah pengetahuan pada ibu hamil untuk menyiapkan proses persalinan yang nyaman dengan upaya spiritual. Sasaran pengabdian masyarakat ini adalah seluruh ibu hamil yang berkunjung ke Puskesmas Pemulutan Kecamatan Pemulutan. Metode pengabdian masyarakat ini dilakukan dengan diskusi mengenai proses kehamilan, persalinan, persiapan menyusui, praktik relaksasi, afirmasi dan doa ibu hamil yang dilakukan saat penyuluhan. Pada saat persalinan ibu diminta untuk menceritakan penerapan afirmasi dan proses persalinan sesuai dengan afirmasi dan doa yang ibu panjatkan . Penyuluhan kesehatan ini dilakukan selama 30 menit dan dilanjutkan dengan sesi tanya jawab selama 10 menit dalam satu pertemuan kelompok. Hasil pengabdian masyarakat ini didapakan kesimpulan bahwa terjadi peningkatan pengetahuan pada peserta kegiatan setelah mengikuti kegiatan pengabdian masyarakat ini.
Improving Delivery Outcomes with the Application of Murottal Therapy Al-Qur'an on Length of Second Stage of Labor and Apgar Score. Rosmiarti; Tukimin; Khairunnisa Humairoh
Jurnal Inspirasi Kesehatan Vol. 1 No. 2 (2023): Spesial Edisi Khusus (Proceeding)
Publisher : Fakultas Kesehatan IKesT Muhammadiyah Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52523/jika.v1i2.34

Abstract

Introduction: The second stage of labor is called the expulsion period, starting when the opening of the cervix is complete (10 cm) and ending with the birth of the baby with his force and straining the fetus is pushed out until birth. Childbirth is a stress response that the body responds to. Anxiety in pregnant women is caused by psychosocial factors such as the need for security and comfort. Al-Qur'an stimulants can generate delta waves of 63.11% with reduced anxiety in the mother making the muscles more relaxed and the mother can go through labor easily so there are no cases of prolonged labor and can improve the welfare of the fetus. Method: This type of research is a quasi-experimental study that aims to determine the increase in labor outcomes by applying the Murottal Al-Quran to the Length of the Second Stage of Labor and the APGAR Score. While the research design used was a pre- experimental design with a posttest only with a control group design to measure the effect of murottal QS. Ar-Rahman in the experimental group by comparing it with the control group. The population in this study were all mothers giving birth during the first active phase at the Ar-Rahmah Indaralaya Maternity Clinic in Palembang. Results: There were 66 respondents (55.5%) who applied Murottal Al-Quran with a duration of 2 under 1 hour, while 53 respondents (44.5%) did not apply Murottal Al-Quran with a duration of 2 under 1 hour. Respondents who applied Murottal Al-Quran in the absence of asphyxia were 64 people (66%) while respondents who did not apply Murottal Al-Quran in the absence of perineal rupture were 33 people (34%). Discussion: There was a difference in the length of stage II between the intervention group and the control group after the application of Murottal Al- Qur'an and there were differences in APGAR scores between the intervention group and the control group after the application of Murottal Al-Qur'an.
Manfaat Massage Effluarge dalam Mengurangi Nyeri Punggung pada Ibu Hamil Trimester III: Sebuah Tinjauan Asuhan Kebidanan Komprehensif Rosmiarti , Rosmiarti
Ners Akademika Vol. 2 No. 2 (2024): Juni
Publisher : Penerbit Goodwood

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35912/nersakademika.v2i2.3414

Abstract

Latar belakang: Pada trimester III kehamilan, banyak ibu hamil mengalami nyeri punggung yang dapat memengaruhi kualitas hidup dan kesejahteraan ibu dan janin. Nyeri punggung pada ibu hamil sering kali disebabkan oleh perubahan fisiologis dan peningkatan beban postural akibat pertumbuhan janin. Dalam konteks ini, penggunaan teknik massage effluarge telah menjadi perhatian dalam mengelola nyeri punggung pada ibu hamil. Massage effluarge adalah metode pijat ringan yang dapat membantu mengurangi ketegangan otot, meningkatkan sirkulasi darah, dan memberikan rasa nyaman pada ibu hamil. Tujuan: Menggambarkan praktik terbaik dalam penerapan massage effluarge untuk mengurangi nyeri punggung pada ibu hamil trimester II di Praktik Mandiri Bidan (PMB) Fauziah Hatta Tahun 2023. Metode: tinjauan ini melibatkan pencarian sistematis dan selektif dalam basis data medis seperti PubMed, Google Scholar, dan Cochrane Library, dengan menggunakan kombinasi kata kunci yang relevan. Artikel-artikel yang relevan diseleksi berdasarkan kriteria inklusi dan eksklusi yang telah ditetapkan. Data dari artikel yang terpilih diekstraksi dan disintesis untuk mengevaluasi efektivitas massage effluarge dalam mengurangi nyeri punggung pada ibu hamil trimester III. Teknik pengumpulan data melalui wawancara(anamnesis), pemeriksaan fisik menggunakan form SOAP, Pre dan postest, di ukur menggunakan Numeric Rating Scale (NRS). Hasil: Asuhan kebidanan yang dilakukan secara komprehensif menunjukkan peningkatan signifikan pada kesejahteraan ibu. Selama periode kunjungan selama satu kali seminggu selama 4 minggu, terlihat penurunan nyeri punggung dari skor awal 6 menjadi 3. Penerapan prenatal massage effluarge selama 15-20 menit terbukti efektif dalam mengurangi nyeri punggung pada ibu hamil trimester III. Kesimpulan: Teknik massage effluarge menawarkan pendekatan non-farmakologis yang efektif dan aman untuk mengatasi masalah nyeri punggung pada ibu hamil. Dengan mengurangi ketidaknyamanan dan meningkatkan kesejahteraan ibu hamil, massage effluarge dapat menjadi komponen yang berharga dalam perawatan prenatal
Asuhan Kebidanan Komprehensif pada Ny “N” dengan Penerapan Kompres Dingin untuk Mengurangi Nyeri Persalinan Kala 1 Fase Aktif Rosmiarti, Rosmiarti; Salsabila, Dhea Putri
Ners Akademika Vol. 2 No. 2 (2024): Juni
Publisher : Penerbit Goodwood

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35912/nersakademika.v2i2.3415

Abstract

Purpose: The purpose of the study was to analyze the effect of the remote preceptor model on clinical practice learning on improving lecturer performance. The research design used quasi-experimental (The pre-test-post-test control group design). Method: The subjects of the study were taken by purposive sampling, namely 67 lecturers from midwifery institutions. Data were analyzed using descriptive and inferential statistics, namely the Chi Square test, Wilcoxon test and Mann Whitney test, Logistic Regression test. Results: There was a difference in the assessment of lecturer performance in the treatment group after being given a remote preceptor model compared to the control group with a mean difference of 10.98 (p <0.05). The remote preceptor model in clinical practice learning improved lecturer performance 9 times to be better (OR 8.681 (IK95%; 2.884 - 26.129)). The increase in lecturer work occurred because there was effectiveness in the lecturer's time and energy so that they were able to carry out other tasks according to the Tri Dharma of higher education. Limitation: Only one case (Mrs. “N”) was included so the results cannot be generalized to a wider population. Research with a larger sample will provide more representative data. Contribution: The findings from this article may impact obstetric practice by offering additional methods that can be used to improve patient comfort during the active phase of labor.
Efektifitas Hypnopregnancy terhadap Peningkatan Kualitas Tidur Ibu Hamil Aminah Maya; Rosmiarti Rosmiarti
Jurnal Kesehatan Vol. 14 No. 2 (2021): Jurnal Kesehatan
Publisher : UPPM Poltekkes Kemenkes Ternate

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32763/03razq70

Abstract

Latar Belakang: Selama kehamilan, tubuh ibu hamil mengalami perubahan besar yang biasmembuat ibu hamil seringkali merasa tidak nyaman, baik itu perubahan fisiologis maupunpsikologis. Perubahan ini menimbulkan gejala spesifik sesuai dengan tahapan kehamilan yang terdiridari tiga trimester. Perubahan psikologis yang sering terjadi pada ibu hamil seperti kecemasan/ stress.Dampak kecemasan yang lain adalah dapat menurunkan kualitas dan kuantitas tidur ibu hamil selamamasa kehamilan Terapi non farmakologi yang dapat dilakukan meliputi relaksasi,guided imageryprogressive muscle relaxation, hipnoterapi dan terapi music klasik. Tujuan: Penelitian ini untukmengetahui efektifitas hypnopregnancy dalam meningkatkan kualitas tidur ibu. Metode: penelitianini adalah penelitian quasi eksperiment dengan bentuk rancangan perbandingan kelompok statis(Static Group Comparison) dan menggunakan uji statistik chi square. Data didapatkan dari wawancara melalui lembar observasi langsung dengan instrument The Pittsburgh Sleep QualityIndex (PSQI). Sampel penelitian ini berjumlah 30 orang yang terdiri dari kelompok eksperimen dankontrol. Hasil:uji statistik, diperoleh tingkat signifikansi ρ<0.05 (ρ: 0.009), yang berarti adapengaruh yang signifikan antara hypnopreganncy terhadap kualitas tidur ibu hamil.Kesimpulan:hypnopregnancy dapat digunakan sebagai salah satu terapi untuk memperbaikidan meningkatkan kualitas tidur ibu.