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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.
The Impact of Work Experience, Knowledge, and Motivation on Cadre Performance in Stunting Prevention in Malang District Rifzul Maulina; Anik Sri Purwanti; Dian Pitaloka Priasmoro
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.v5i1.223

Abstract

Stunting is a critical issue that can be addressed through various interventions, one of which involves the active participation of community cadres. This study aimed to assess the role of knowledge and motivation as mediating factors between the duration of service as a cadre and their performance in the stunting prevention program at the Tajinan and Wagir Health Centers. The research used an analytic observational study design with a cross-sectional approach. The study population consisted of 608 cadres across two health centers, and a sample of 125 cadres from each health center was selected using proportional cluster random sampling. To analyze the data, an Independent Sample T-Test was used to compare the duration of service as a cadre, knowledge, motivation, and performance between the two health centers. Path analysis was conducted to explore the impact of the duration of service as a cadre on performance, mediated by knowledge and motivation. The results indicated that there were significant differences in the knowledge and performance of the cadres, while the duration of service and motivation did not show significant differences between the two health centers. Path analysis revealed that knowledge and motivation were not significant mediators in the relationship between the duration of service and cadre performance. Furthermore, the length of time as a cadre did not significantly impact performance in either health center. However, motivation emerged as the most influential factor, with a substantial effect on the performance of the cadres in both health centers. Based on these findings, it is recommended that stunting prevention programs focus on enhancing the motivation of cadres to improve their performance, rather than solely relying on the duration of their service or their knowledge levels.
The Relationship Between Pregnant Women With Kek and The Birth of Lbw Babies in The Work Area of Bere-Bere Community Health Center Asriani M. Djauhar; 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.v5i1.227

Abstract

Background: Low Birth Weight (LBW) is one of the indicators of infant health that is greatly influenced by the nutritional status of the mother during pregnancy. Pregnant women with poor nutritional status have a higher risk of giving birth to babies with low birth weight. This study was conducted to examine the relationship between the nutritional status of pregnant women and the incidence of LBW in the work area of bere-bere community health center  work area. Objective: This study aims to determine the relationship between the nutritional status of pregnant women and the incidence of LBW at the work area of bere-bere community health center  in 2023. Method: This study used an observational analytical design with a cross-sectional approach. The number of respondents was 16 pregnant women selected through a purposive sampling technique. Data were collected by measuring nutritional status using Body Mass Index (BMI) before pregnancy and collecting medical record data on the baby's birth weight. Statistical analysis was performed using the Chi-Square test with a significance level of 0.05. Results: Based on the results of the analysis, it was found that out of 16 respondents, 6 pregnant women (37.5%) with poor nutritional status gave birth to babies with LBW, while 10 pregnant women (62.5%) with normal nutritional status gave birth to babies with normal weight. The results of the statistical test showed a p-value of 0.000 (p < 0.05), which indicated a significant relationship between the nutritional status of pregnant women and the incidence of LBW. Conclusion: There is a significant relationship between the nutritional status of pregnant women and the incidence of LBW. Pregnant women with poor nutritional status have a higher risk of giving birth to babies with LBW. Suggestion: It is recommended that health workers at the work area of bere-bere community health center  be more active in providing education and monitoring the nutritional status of pregnant women through nutritional counseling and regular pregnancy check-ups. Nutrition intervention programs also need to be strengthened to prevent the incidence of LBW
The Relationship Between Knowledge, Attitudes Of Pregnant Women And Husband's Support For Antenatal Care Examinations At The Leo Leo Health Center Cece Indrawati; 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.v5i1.228

Abstract

Generally, pregnancy develops normally until delivery, but some pregnancies can be at risk in certain circumstances so that pregnancy checks (antenatal care) are needed. Some pregnant women do not do ANC (K1 and K4) allegedly due to lack of husband's support, lack of knowledge and negative attitudes about ANC. To determine the effect of husband's support, knowledge, and attitudes of pregnant women on Antenatal Care Visits. This type of research is an analytical survey with a Cross Sectional approach. The research was conducted at the Leo Leo Health Center, with the research time in Desember 2024. The population in this study were all pregnant women in the third trimester of the Leo Leo Health Center, namely 38 people and all of them were used as samples (total population). Data were analyzed univariately, bivariately with the chi-square test, and multivariately using multiple logistic regression tests at a 95% confidence level (=0.05). The study showed that the majority of ANC visits by pregnant women were not up to standard (52.6%), those up to standard (47.4%). Pregnant women's ANC visits at the Leo Leo Health Center were influenced by husband's support (p = 0.033), and knowledge (p = 0.004), while attitude had no effect (p = 0.156). The knowledge variable was the most dominant variable influencing ANC visits. Pregnant women with good knowledge were 13.7 times more likely to make ANC visits according to standards compared to pregnant women with less knowledge. The probability of pregnant women making ANC visits according to standards was 90.99% if husband's support was good and mother's knowledge was good. Husband's Support and Pregnant Women's Knowledge influenced ANC Visits at the Leo Leo Health Center. Gather pregnant women and husbands or families to provide counseling on the importance of ANC Visits and remind pregnant women and husbands to always read the KIA Book so that they know the importance of ANC Visits