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The Connection between Early Mobilization and Wound Healing Time After Sectio Caesarea at Morotai Island Hospital Fitri Priyanti; Anik Sri Purwanti; Widia Shofa Ilmiah
Proceeding International Conference Of Innovation Science, Technology, Education, Children And Health Vol. 5 No. 1 (2025): Proceeding of The International Conference of Inovation, Science, Technology, E
Publisher : Program Studi DIII Rekam Medis dan Informasi Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/icistech.v5i1.174

Abstract

Sectio caesarea (CS) is a common surgical procedure for high-risk deliveries, but one complication that may occur is slow wound healing. This can be influenced by several factors, one of which is early mobilization. Early mobilization improves blood circulation, reduces the risk of thrombosis, and accelerates wound healing. However, many post-CS mothers are hesitant to engage in early mobilization due to pain and discomfort. This study was conducted to investigate the relationship between early mobilization and the duration of wound healing in post-CS mothers at Morotai Island Hospital. An analytical cross-sectional design was used, involving 16 post-CS mothers who were selected using purposive sampling. Data collection was performed through observation, interviews, and a questionnaire, along with an examination of postoperative wound conditions. The Wilcoxon statistical test was used to assess the relationship between early mobilization and wound healing duration. The findings showed that mothers who engaged in early mobilization experienced faster wound healing compared to those who did not. The statistical test revealed a p-value of 0.000 (p < 0.05), indicating a significant relationship between early mobilization and wound healing duration. Early mobilization was shown to be an effective strategy for accelerating post-CS recovery, as mothers who mobilized early had quicker recovery times. Based on these results, it is recommended that early mobilization be integrated into postoperative care plans to improve recovery and prevent complications. Additionally, more intensive education on the benefits of early mobilization should be provided to post-CS mothers. Healthcare providers at Morotai Island Regional Hospital should offer support and motivation to encourage mothers to engage in early mobilization, ultimately aiding in faster recovery.
The Effect of Giving Warm Compresses on Pain in First Stage Inpartu Patients at Kotamobagu Regional Hospital In Novalita; Anik Sri Purwanti; Widia Shofa Ilmiah
Proceeding International Conference Of Innovation Science, Technology, Education, Children And Health Vol. 5 No. 1 (2025): Proceeding of The International Conference of Inovation, Science, Technology, E
Publisher : Program Studi DIII Rekam Medis dan Informasi Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Labor pain in the first stage is one of the main challenges faced by mothers in labor. Effective pain management is essential to improve comfort and smooth the labor process. One of the non-pharmacological methods that can be used is warm compresses, which are believed to be able to reduce pain intensity through muscle relaxation mechanisms and increased blood circulation. This study aims to analyze the effect of giving warm compresses on pain levels in first-stage labor patients at Kotamobagu Regional Hospital. Method: This study used a quantitative method with a quasi-experimental design with a pretest-posttest approach with a control group. The study sample consisted of 16 respondents selected by purposive sampling. Pain measurements were taken before and after giving warm compresses using a numeric pain scale. Data analysis used the chi-square statistical test with a significance level of p <0.05. The results showed that there was a significant effect between giving warm compresses on reducing pain in first-stage labor patients with a p-value of 0.000 (p <0.05). Respondents who received warm compress intervention experienced a greater decrease in pain intensity compared to the group that did not receive the intervention. Giving warm compresses has been proven effective in reducing labor pain in the first stage. Therefore, this method can be recommended as one of the non-pharmacological pain management strategies in health care facilities. It is hoped that health workers, especially midwives, can be more active in implementing the warm compress method as part of labor pain management. In addition, further research with a larger sample size and a stronger research design is needed to strengthen these findings.
Relationship between Success Rate of ARV Tablet Consumption in Pregnant Women with HIV at Ir. Soekarno Regional Hospital, Morotai Island Intan Wulandary; Anik Sri Purwanti; Widia Shofa Ilmiah
Proceeding International Conference Of Innovation Science, Technology, Education, Children And Health Vol. 5 No. 1 (2025): Proceeding of The International Conference of Inovation, Science, Technology, E
Publisher : Program Studi DIII Rekam Medis dan Informasi Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/icistech.v5i1.176

Abstract

Human Immunodeficiency Virus (HIV) infection in pregnant women is a serious concern in efforts to prevent mother-to-child transmission (PMTCT). Regular consumption of Antiretroviral (ARV) tablets is very important to suppress viral load and increase treatment success. However, the level of compliance of pregnant women in consuming ARV is still a challenge in various health facilities, including at RSUD Ir. Soekarno Morotai Island. This study aims to analyze the relationship between the level of success of ARV tablet consumption and pregnant women infected with HIV at RSUD Ir. Soekarno Morotai Island. This study used an analytical design with a cross-sectional approach. The number of respondents was 16 pregnant women with HIV who were registered in the ARV therapy program at RSUD Ir. Soekarno Morotai Island. Data were collected through observation of ARV consumption compliance and interviews using structured questionnaires. Data analysis was carried out using the Wilcoxon test to see the relationship between the success of ARV consumption and maternal health status. The results of the study showed that there was a significant relationship between the level of success of ARV tablet consumption and the health conditions of pregnant women with HIV, with a p-value of 0.001 (<0.05). A total of 15 respondents (93.8%) who were compliant in consuming ARV experienced improvements in health status, while 1 respondent (6.2%) with low compliance showed less than optimal health outcomes. The success of ARV consumption plays an important role in improving the health of pregnant women with HIV, as well as contributing to reducing the risk of HIV transmission from mother to child. Therefore, compliance in consuming ARV needs to be continuously improved through education and support from health workers. Health workers are expected to be more active in providing education and assistance to pregnant women with HIV so that they are more compliant in consuming ARV. In addition, there needs to be a periodic monitoring and evaluation program to ensure the effectiveness of ARV therapy in preventing HIV transmission from mother to child.
The Effect of Nipple Stimulation on The Duration of The Second Stage of Labor at The Motolohu Health Center UPTD, Pohuwato Regency Pingkan JB Walean; Anik Sri Purwanti; Rifzul Maulina
Proceeding International Conference Of Innovation Science, Technology, Education, Children And Health Vol. 5 No. 1 (2025): Proceeding of The International Conference of Inovation, Science, Technology, E
Publisher : Program Studi DIII Rekam Medis dan Informasi Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/icistech.v5i1.177

Abstract

The labor process in pregnant women can take place with varying times, and several factors can affect the duration of labor, one of which is nipple stimulation. Nipple stimulation is known to stimulate the production of oxytocin which helps accelerate uterine contractions and shorten the duration of labor, especially in the second stage. Therefore, this study aims to determine the effect of nipple stimulation on the duration of second stage labor in women giving birth at the Motolohu Health Center UPTD, Pohuwato Regency. This study aims to determine whether nipple stimulation can affect the duration of second stage labor in women giving birth at the Motolohu Health Center UPTD, Pohuwato Regency. This type of research is quantitative research with an experimental design using a pre-test and post-test approach. The study was conducted on 16 respondents who met the inclusion and exclusion criteria. Nipple stimulation was carried out during the active phase of labor to monitor changes in the duration of second stage labor. Data were analyzed using the Wilcoxon test with a significance level of 0.05. The results showed that after nipple stimulation, there was a significant change in the duration of the second stage of labor in mothers in labor. The p value obtained from the Wilcoxon test was 0.000, which indicated that nipple stimulation had a significant effect on reducing the duration of the second stage of labor. Nipple stimulation can shorten the duration of the second stage of labor in mothers in labor at the Motolohu Health Center UPTD, Pohuwato Regency. This shows that nipple stimulation can be used as an alternative to accelerate the labor process safely and effectively. It is hoped that nipple stimulation can be used as one of the non-pharmacological interventions that are routinely carried out in health facilities as an effort to accelerate the labor process. Further research with larger samples and long-term research is also needed to confirm these results
The Relationship Between Lower Back Pain and Functional Activity in Pregnant Women in The 3rd Trimester at The Paguyaman Community Health Center, Gorontalo Regency Susanti Bioto; Anik Sri Purwanti; Rifzul Maulina
Proceeding International Conference Of Innovation Science, Technology, Education, Children And Health Vol. 5 No. 1 (2025): Proceeding of The International Conference of Inovation, Science, Technology, E
Publisher : Program Studi DIII Rekam Medis dan Informasi Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/icistech.v5i1.178

Abstract

Lower back pain is a common complaint often experienced by pregnant women, especially in the third trimester (TM 3). This condition can affect the functional activities of pregnant women, such as the ability to walk, stand, and perform daily activities. This study aims to determine the relationship between lower back pain and its effect on functional activities in TM 3 pregnant women at the Paguyaman Health Center, Gorontalo Regency. This study aims to identify a significant relationship between the level of lower back pain and disorders in the functional activities of TM 3 pregnant women at the Paguyaman Health Center. This study used an analytical design with a cross-sectional approach. The sample used was 30 pregnant women in the third trimester who experienced lower back pain. Data were collected through a questionnaire to measure the level of lower back pain and its effect on functional activities. Data analysis was carried out using the chi-square test, and the p-value obtained was 0.000. The results of the study showed that there was a very significant relationship between lower back pain and functional activity disorders in pregnant women in the 3rd trimester, with a p-value = 0.000 (<0.05), indicating a strong influence between the two. Lower back pain in pregnant women in the 3rd trimester has a significant effect on functional activity disorders in mothers. This indicates the need for more attention to the treatment of lower back pain to improve the quality of life and mobility of pregnant women. It is recommended for medical personnel to provide education on how to manage lower back pain and techniques that can help pregnant women reduce pain and improve the quality of their functional activities. In addition, pregnant women should be given information about safe physical exercise to help reduce pain and improve mobility.
The Effect of Prenatal Massage Therapy on Pregnant Women in the Third Trimester on Back Pain Complaints at Primary Health Care Bulango Karmila Daud; Widia Shofa Ilmiah; Anik Sri Purwanti
Proceeding International Conference Of Innovation Science, Technology, Education, Children And Health Vol. 5 No. 1 (2025): Proceeding of The International Conference of Inovation, Science, Technology, E
Publisher : Program Studi DIII Rekam Medis dan Informasi Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/icistech.v5i1.186

Abstract

Back pain is one of the most common complaints experienced by pregnant women, especially during the third trimester of pregnancy. This discomfort is generally caused by physiological and biomechanical changes in the body, such as an increase in body weight, a shift in the center of gravity, and hormonal changes that affect muscle and joint flexibility. If not managed properly, back pain can reduce mobility, interfere with daily activities, and impact the quality of life of pregnant women. One safe and non-pharmacological method to reduce back pain is prenatal massage therapy. This study aimed to determine the effect of prenatal massage on reducing back pain among pregnant women in the third trimester at Primary Health Care (PHC) Bulango. This research used a pre-experimental design with a one-group pretest–posttest approach. The sample consisted of 30 pregnant women in their third trimester who were selected through purposive sampling. Data collection was carried out using observation and interviews with a numerical pain rating scale administered before and after the prenatal massage intervention. The massage sessions were performed following standardized prenatal massage procedures focusing on the lower back area. Data were analyzed using the paired t-test with the assistance of SPSS software. The results showed a statistically significant difference in back pain scores before and after the intervention, with a p-value of 0.000 (p < 0.05). This finding indicates that prenatal massage effectively reduces back pain in third-trimester pregnant women. Based on these results, prenatal massage can be recommended as a safe, non-invasive, and beneficial complementary therapy to improve maternal comfort during pregnancy. Incorporating prenatal massage into routine antenatal care could enhance the overall well-being and quality of life of expectant mothers.
Relationship between CED Status, Pregnant Women and LBW with Stunting Incidence in Toddlers at Dolodou Health Center, West Dumoga District Millennia Mokoginta; Widia Shofa Ilmiah; Anik Sri Purwanti
Proceeding International Conference Of Innovation Science, Technology, Education, Children And Health Vol. 5 No. 1 (2025): Proceeding of The International Conference of Inovation, Science, Technology, E
Publisher : Program Studi DIII Rekam Medis dan Informasi Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/icistech.v5i1.187

Abstract

Stunting is a medical condition that significantly affects children's growth and development, resulting in long-term impacts on physical health, cognitive abilities, and productivity in adulthood. The problem often begins during pregnancy and early life, when nutrition and health care play a critical role in determining a child's developmental trajectory. This study aimed to analyze the relationship between the prevalence of stunting among toddlers in the operational area of the Dolodou Health Center UPTD and two key maternal and perinatal factors: chronic energy deficiency (CED) in pregnant mothers and low birth weight (LBW). A cross-sectional design was applied using a quantitative research approach. The study population consisted of all mothers with toddlers in the Dolodou Health Center area, and 31 respondents were recruited using a total sampling technique. Data were collected using structured questionnaires to gather information on maternal nutrition history, pregnancy conditions, and child anthropometric measurements. Chi-square statistical analysis was used to examine the relationships between variables. The results revealed a significant association between stunting and maternal CED status (p = 0.024), indicating that children born to mothers with chronic energy deficiency were at a higher risk of experiencing stunting. Additionally, children with a history of LBW were found to be more likely to suffer from stunting compared to those with normal birth weight. These findings underscore the importance of preventive measures during pregnancy, including nutritional monitoring, dietary supplementation, and health education to prevent both CED and LBW. In conclusion, addressing maternal nutritional health before and during pregnancy, along with continuous monitoring of child growth, is crucial to reducing stunting prevalence. Collaborative efforts between health workers, families, and the community are essential to ensure adequate nutrition and promote healthy development in children.
The Impact of Maternal Age on the Incidence of Low Birth Weight in Newborns Chrisye Rani Kuheba; Rifzul Maulina; Anik Sri Purwanti
Proceeding International Conference Of Innovation Science, Technology, Education, Children And Health Vol. 5 No. 1 (2025): Proceeding of The International Conference of Inovation, Science, Technology, E
Publisher : Program Studi DIII Rekam Medis dan Informasi Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/icistech.v5i1.216

Abstract

Low birth weight (LBW) is a significant public health problem, with varying prevalence across countries. According to data from the World Health Organization (WHO), approximately 15% of all births worldwide are LBW babies. LBW can be caused by various factors, including maternal health conditions, nutritional status, and environmental factors. One factor that is often overlooked is maternal age during pregnancy. This study aims to explore the relationship between maternal age and the incidence of LBW. Research This study used an observational design with a cross-sectional approach. The sample consisted of 200 pregnant women who gave birth at the Hospital in 2024. Data were collected through medical record data tracing, which included maternal age, infant birth weight, and other risk factors. Statistical analysis was performed using the chi-square test to determine the relationship between maternal age variables and LBW. Results: The results of the analysis showed that 32% of the total babies born had LBW. From the age group under 20 years, the prevalence of LBW reached 15%, while in the age group over 35 years it reached 9%. After conducting the Spearman test in the Halsil test, the significant relationship between maternal age and the incidence of LBW was p (Sig) 0.02 (<0.05). Public health programs should focus more on education and intervention for pregnant women, especially those in their teens and the elderly. This is important to reduce the number of LBW and improve maternal and infant health. In the future, further research is needed to explore other factors that may affect LBW.
Effectiveness of Finger Hold Relaxation Technique on Pain in Mothers Who Have Sex 640-645 Etni Yeyem Sumaila; Rifzul Maulina; Anik Sri Purwanti
Proceeding International Conference Of Innovation Science, Technology, Education, Children And Health Vol. 5 No. 1 (2025): Proceeding of The International Conference of Inovation, Science, Technology, E
Publisher : Program Studi DIII Rekam Medis dan Informasi Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/icistech.v5i1.218

Abstract

Post-cesarean section (CS) pain is a common issue faced by postpartum mothers, significantly affecting their recovery process and overall well-being. Effective pain management is crucial to enhance recovery and improve quality of life. One promising non-pharmacological approach gaining attention is the finger hold relaxation technique, which has been shown to alleviate various forms of pain. This study aimed to assess the effectiveness of the finger hold relaxation technique in reducing post-CS pain. A quasi-experimental design was used with two groups: an intervention group that received the finger hold relaxation technique and a control group that did not receive the intervention. The study involved 60 post-CS mothers, randomly divided into the two groups. Pain levels were measured before and after the intervention using the Numeric Rating Scale (NRS). Data analysis was performed using the Mann-Whitney U test. Results indicated a significant decrease in pain levels in the intervention group compared to the control group (p < 0.05). The average pain score in the intervention group before the intervention was 7.5, which decreased to 4.2 after the intervention. In contrast, the control group exhibited relatively stable pain scores, with an average of 7.3 before the intervention and 6.9 after. The Mann-Whitney U test confirmed a significant difference, with a p-value of 0.01, indicating that the finger hold relaxation technique had a significant effect on reducing post-CS pain. In conclusion, the finger hold relaxation technique is effective in reducing pain in post-CS mothers. It is recommended that this technique be incorporated into post-operative care programs to enhance maternal comfort and facilitate faster recovery.
The Connection between Pregnancy Spacing and the Occurrence of Stunting in Children : An In-Depth Analysis of Contributing Factors Hetty Johana Sulung; Rifzul Maulina; Anik Sri Purwanti
Proceeding International Conference Of Innovation Science, Technology, Education, Children And Health Vol. 5 No. 1 (2025): Proceeding of The International Conference of Inovation, Science, Technology, E
Publisher : Program Studi DIII Rekam Medis dan Informasi Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/icistech.v5i1.222

Abstract

Stunting is a serious nutritional problem in Indonesia, affecting the growth and development of children under five years of age. Non-ideal pregnancy spacing is one of the factors that can contribute to stunting, as closely spaced pregnancies can lead to inadequate maternal nutrition, which affects the child’s development. This study aims to analyze the relationship between pregnancy spacing and the incidence of stunting in children under five. The research design employed is observational analytic with a case-control approach. Data collection was conducted from February to October 2024, focusing on children with stunting and children with normal growth as control cases. The case-control study involved a total sample size of 60 children, with 30 stunted children as cases and 30 non-stunted children as controls. The control cases were selected using simple random sampling to ensure unbiased representation. The primary analysis technique used was the chi-square test to examine the relationship between pregnancy spacing and the incidence of stunting. The results indicated that children born with a pregnancy spacing of less than 24 months had a 1.5 times higher risk of experiencing stunting compared to those born with a pregnancy spacing of more than 24 months. Statistical analysis using the chi-square test yielded a significant p-value of 0.002 (< 0.05), which confirms a strong association between short pregnancy spacing and stunting. This study concludes that insufficient pregnancy spacing is a significant factor contributing to the incidence of stunting in children under five. Therefore, it is recommended that public health campaigns and education programs on family planning and reproductive health be strengthened to reduce the risk of stunting in Indonesia. Such initiatives will help prevent future generations from experiencing the negative effects of inadequate growth and development.