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Optimizing the Implementation of Foot Massage as an Effort to Increase Comfort and Reduce Pain After Labor Anuhgera, Diah Evawanna; Nikmah Jalila Ritonga; Saragih, Astri Ulina; Damayanti
JURNAL PENGMAS KESTRA (JPK) Vol. 4 No. 1 (2024): Jurnal Pengmas Kestra (JPK)
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat (LP2M) Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jpk.v4i1.2177

Childbirth is a maternal experience that often results in trauma for the mother. Pain before and after delivery is one of the factors that makes the mother uncomfortable. The mother's discomfort will make the mother stressed and will not make the mother comfortable with her new assignment. Foot massage is one method that can be applied to postpartum mothers to reduce the pain and comfort experienced by most mothers in the early postnatal period. Comfort during postpartum will improve the mother's quality of life. The location of the service activity was at the Nining Independent Midwife Practice, Deli Serdang Regency with a total of 14 participants. The target of this activity is postpartum mothers and mothers' companions during treatment. The activity methods used are lectures, role plays and simulations. The activity was carried out twice, namely on 16 and 23 May 2024. The activity consisted of preparation, implementation and evaluation. The results of this service show that most of the participants were >35 years old, female and had a high school education. There is a change in knowledge regarding optimizing foot massage to reduce pain and comfort after childbirth. Before being given health education, the majority of participants had knowledge, namely less than 78.57% and those who had sufficient knowledge were 21.42%. After being given education, the majority of participants had good knowledge about foot massage (57.14%) and 4 participants (28.57%) had good knowledge about foot massage. The presentation of increased knowledge after being given health education was 78.57%. It is hoped that foot massage education can be optimally implemented for postpartum mothers during the postpartum period so that it can help mothers reduce the pain and discomfort that occurs during the postpartum care period.

Asuhan Kebidanan pada Klien dengan Puting Susu Tenggelam Purba, Yeni Trisna; Friani, Sri Rahma; Marbun, Meyana; Saragih, Astri Ulina; Febiola, Marcelyn
2-TRIK: TUNAS-TUNAS RISET KESEHATAN Vol 13, No 4 (2023): November 2023
Publisher : FORUM ILMIAH KESEHATAN

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/2trik13401

Exclusive breastfeeding is very important, especially for babies aged 0-6 months, so efforts must be made not to hamper it. One of the obstacles to smooth breastfeeding is sinking nipples. The study aimed to describe midwifery care for clients with inverted nipples so that they can maintain breastfeeding for their children. This study was a case report conducted at the Independent Practicing Midwife Hj. Hendrayatni in 2023. The study was carried out using a standard midwifery care management approach involving Mrs. E with the age of 28 years. The study results showed that care had been provided according to standards to clients with the diagnosis: Mrs E, 28 years old G1P0A0 with inverted nipples at 1-14 days of postpartum visits. Through a physical examination, it was found that the mother's nipples had sunk, making it difficult for the baby to breastfeed, making it difficult for the baby to breastfeed. Furthermore, breastfeeding was guided using breastfeeding techniques that are appropriate to the client's condition. It was concluded that midwifery care was successfully carried out according to the client's condition so that breast milk was successfully given to the baby.Keywords: sinking nipple; postpartum mothers; baby ABSTRAK Pemberian ASI eksklusif menjadi hal yang sangat penting, terutama bagi bayi berusia 0-6 bulan, sehingga harus diupayakan tidak terhambat. Salah satu penghambat kelancaran pemberian ASI adalah puting susu tenggelam. Studi bertujuan untuk menggambarkan asuhan kebidanan pada klien dengan puting susu tenggelam agar tetap dapat mempertahankan pemberian ASI kepada anaknya. Studi ini merupakan laporan kasus yang dilakukan di Bidan Praktik Mandiri Hj. Hendrayatni pada tahun 2023. Studi dilakukan dengan pendekatan manajemen asuhan kebidanan sesuai dengan standar dengan melibatkan Ny. E dengan usia 28 tahun. Hasil studi menunjukkan bahwa asuhan telah diberikan sesuai dengan standar kepada klien dengan diagnosis: Ny E usia 28 tahun G1P0A0 dengan puting susu tenggelam pada 1-14 hari kunjungan nifas. Melalui pemeriksaan fisik diperoleh bahwa puting susu ibu tenggelam sehingga menyulitkan bayi untuk menyusui sehingga bayi sulit untuk menyusui. Selanjutnya pemberian ASI dibimbing menggunakan teknik menyusui yang sesuai dengan kondisi klien. Disimpulkan bahwa asuhan kebidanan berhasil dilakukan secara dengan kondisi klien sehingga ASI berhasil berhasil diberikan kepada bayi. Kata kunci: puting susu tenggelam; ibu nifas; bayi

Faktor-Faktor Yang Mempengaruhi Ibu Hamil Untuk Memeriksakan Kehamilan Di Bidan Praktek Swasta Arista Silalahi Pematangsiantar Purba, Yeni Trisna; Friani, Sri Rahma; Saragih, Astri Ulina
BEST Journal (Biology Education, Sains and Technology) Vol 7, No 1 (2024): Juni 2024
Publisher : Program Studi Pendidikan Biologi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30743/best.v7i1.9688

Pemeriksaan kehamilan atau pelayanan antenatal merupakan pelayanan yang diterima wanita selama kehamilan dan sangat penting dalam membantu memastikan bahwa ibu dan janin selamat dalam kehamilan dan persalinan. Tujuan penelitian untuk mengetahuai faktor-faktor yang mempengaruhi ibu hamil untuk memeriksakan kehamilan di Bidan Praktek Swasta Arista Silalahi pematangsiantar. Jenis penelitian bersifat deskriptif dengan pendekatan cross sectional, populasi dalam penelitian ini adalah seluruh ibu hamil di Bidan Praktek Swasta Arista Silalahi, teknik pengambilan sampel dengan metode non random yaitu dengan tehnik sampling jenuh dimana semua anggota populasi digunakan sebagai sampel sebanyak 30 orang. Instrument penelitian yang digunakan yaitu lembar kuesioner (20 item). Setelah diperoleh data maka dilakukan pengolahan data. Hasil penelitian berdasarkan faktor pendidikan, mayoritas berpendidikan SMA sebanyak 13 orang (43,4%). Faktor pengetahuan, mayoritas berpengetahuan baik sebanyak 15 orang (50,0%). Faktor jarak tempuh, mayoritas berjarak tempuh + 200 m sebanyak 13 orang (43,3%). Faktor sosial ekonomi mayoritas berpenghasilan Rp.500.000 s/d Rp 1.500.000 sebanyak 16 orang (53,3%). Hasil penelitian diatas, dapat disimpulkan bahwa pendidikan, pengetahuan, jarak tempuh dan sosial ekonomi merupakan faktor-faktor yang mempengaruhi ibu hamil untuk memeriksakan kehamilan. Diharapkan kepada petugas kesehatan agar dapat memberikan informasi atau penyuluhan tentang pemeriksaan kehamilan dan kepada ibu hamil agar lebih rutin memeriksakan kehamilan demi terlaksananya program kesehatan ibu dan anak (KIA).

Faktor-Faktor Yang Mempengaruhi Ibu Hamil Untuk Memeriksakan Kehamilan Di Bidan Praktek Swasta Arista Silalahi Pematangsiantar Purba, Yeni Trisna; Friani, Sri Rahma; Saragih, Astri Ulina
BEST Journal (Biology Education, Sains and Technology) Vol 7, No 1 (2024): Juni 2024
Publisher : Program Studi Pendidikan Biologi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30743/best.v7i1.9688

Pemeriksaan kehamilan atau pelayanan antenatal merupakan pelayanan yang diterima wanita selama kehamilan dan sangat penting dalam membantu memastikan bahwa ibu dan janin selamat dalam kehamilan dan persalinan. Tujuan penelitian untuk mengetahuai faktor-faktor yang mempengaruhi ibu hamil untuk memeriksakan kehamilan di Bidan Praktek Swasta Arista Silalahi pematangsiantar. Jenis penelitian bersifat deskriptif dengan pendekatan cross sectional, populasi dalam penelitian ini adalah seluruh ibu hamil di Bidan Praktek Swasta Arista Silalahi, teknik pengambilan sampel dengan metode non random yaitu dengan tehnik sampling jenuh dimana semua anggota populasi digunakan sebagai sampel sebanyak 30 orang. Instrument penelitian yang digunakan yaitu lembar kuesioner (20 item). Setelah diperoleh data maka dilakukan pengolahan data. Hasil penelitian berdasarkan faktor pendidikan, mayoritas berpendidikan SMA sebanyak 13 orang (43,4%). Faktor pengetahuan, mayoritas berpengetahuan baik sebanyak 15 orang (50,0%). Faktor jarak tempuh, mayoritas berjarak tempuh + 200 m sebanyak 13 orang (43,3%). Faktor sosial ekonomi mayoritas berpenghasilan Rp.500.000 s/d Rp 1.500.000 sebanyak 16 orang (53,3%). Hasil penelitian diatas, dapat disimpulkan bahwa pendidikan, pengetahuan, jarak tempuh dan sosial ekonomi merupakan faktor-faktor yang mempengaruhi ibu hamil untuk memeriksakan kehamilan. Diharapkan kepada petugas kesehatan agar dapat memberikan informasi atau penyuluhan tentang pemeriksaan kehamilan dan kepada ibu hamil agar lebih rutin memeriksakan kehamilan demi terlaksananya program kesehatan ibu dan anak (KIA).

The Effect Giving Banana (Musa Paradisiaca Normalis) Blossoms On Smooth Breastfeeding For Post-Partum Mothers At Cahaya Clinic, Lubuk Pakam Regency In 2024 Saragih, Astri Ulina; Sunengsih; Yulanda, Risky; Prisilya, Popy; Sinaga, Andini
JURNAL KEBIDANAN KESTRA (JKK) Vol. 7 No. 1 (2024): Jurnal Kebidanan Kestra (JKK)
Publisher : Fakultas Kebidanan Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkk.v7i1.2298

Introduction: Banana blossom s a type of plant that contains lactagogum which has the potential to stimulate the hormones oxytocin and prolactin such as alkaloids, polyphenols, steroids, flavonoids and other substances which are most effective n ncreasing and facilitating production. Objective: To determine the smooth daily volume of breast milk n post partum mothers before giving banana blossoms and to determine the smooth daily volume of breast milk n post partum mothers after giving banana blossoms. Method: This research uses a quantitative research design with a one group pretest-posttest design model, that s, before t s carried out, observations are made on the sample and after treatment, observations are made again. The data collection technique was carried out using an ncidental sampling technique. Results: Based on the probability of the test results listed n the table, t can be seen that the resulting probability s 0.000. This means that the probability < level of significance (? = 0.05), so that Ha s accepted and H0 s rejected. Thus, t can be stated that there s a significant difference between the smoothness of post-partum mothers’ breast milk before giving banana blossoms (Pretest) and the smoothness of post-partum mothers’ breast milk after giving banana blossoms (Posttest). Conclusion: So t can be said that there s an nfluence of giving banana (Musa Paradisiaca Normalis) blossoms on Smooth breastfeeding for post-partum mothers at Cahaya Clinic, Lubuk Pakam Regency in 2024.

Education on Exclusive Breastfeeding to Breastfeeding Mothers in the Pustu Sugiharjo Dusun II Village Batang Kuis Saragih, Astri Ulina; Ginting, Desideria Yosepha
JURNAL PENGMAS KESTRA (JPK) Vol. 4 No. 2 (2024): Jurnal Pengmas Kestra (JPK)
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat (LP2M) Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jpk.v4i2.2402

Exclusive breastfeeding plays a crucial role in the health of mothers and infants. Providing exclusive breastfeeding for the first six months of an infant's life can reduce the risk of child mortality and protect mothers from various diseases, including breast cancer. Despite its clear benefits, the global rate of exclusive breastfeeding remains low, with less than 40% of infants receiving exclusive breast milk. Factors such as maternal health issues, breast pain, and social stigma around breastfeeding in public often act as barriers. Method this program was implemented through a series of educational activities, including lectures, discussions, and Q&A sessions, emphasizing the importance of breast milk for the health of both mothers and infants. The outreach was attended by 20 breastfeeding mothers and took place on Friday, November 15, 2024, lasting 1 hour and 45 minutes. The program aims to encourage more mothers to adopt healthy breastfeeding practices. With ongoing support and guidance, it is hoped that awareness of the benefits of exclusive breastfeeding will increase, positively impacting the health of mothers, infants, and families. The program also highlights the importance of collaboration among healthcare providers, the government, and the community to create an environment that supports exclusive breastfeeding. As a result of this activity, breastfeeding mothers gained information and education about the importance of exclusive breastfeeding and how to implement it during the first six months after birth, particularly in the Sugiharjo Dusun II, under the jurisdiction of Pustu Desa Sugiharjo Batang Kuis.

The Influence of Prenatal Classes on Anxiety in Primigravida Mothers Saragih, Astri Ulina; Yessy Arisman; Ulfa Khomania Aulia; Risky Yulanda
JURNAL KEBIDANAN KESTRA (JKK) Vol. 7 No. 2 (2025): Jurnal Kebidanan Kestra (JKK)
Publisher : Fakultas Kebidanan Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkk.v7i2.2659

Psychological conditions such as anxiety in pregnant women can have a significant impact on the health of the mother and fetus. One of the methods that can be used to minimize this level of anxiety is by providing education through Prenatal class activities. This study aims to evaluate the effect of participation in Prenatal classes on the level of anxiety in mothers with their first pregnancy. The method used in this study is quantitative with a quasi-experimental design using a non-equivalent control group design. The population in this study included all mothers with their first pregnancy in the Lubuk Pakam Health Center working area, totaling 46 people, with a sample size of 30 people selected by purposive sampling. Data analysis was carried out using the Wilcoxon test with a significance level of 0.05. The test results stated that in the experimental group the p-value was 0.000, while in the control group it was 0.041. Based on these results, it can be concluded that involvement in the pregnant mother class has an impact on reducing the level of anxiety in mothers with their first pregnancy in the area.

Health Education and Uric Acid Examination for the Elderly in Region IV Pasar 0, Working Area of Lubuk Pakam Health Saragih, Astri Ulina; Ginting, Desideria Yosepha; Turnip, Meria; Yulanda, Risky; Natalia, Santa
JURNAL PENGMAS KESTRA (JPK) Vol. 5 No. 1 (2025): Jurnal Pengmas Kestra (JPK)
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat (LP2M) Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jm2ak778

Hyperuricemia, or elevated uric acid levels in the blood, is a common condition among the elderly and may lead to gout arthritis, a painful inflammatory joint disease. This condition is closely related to other degenerative diseases such as hypertension, diabetes mellitus, metabolic syndrome, and cardiovascular disorders. Global data indicate that the prevalence of gout in the elderly reaches 2,505.4 per 100,000 people, making it a significant public health concern. In Indonesia, the prevalence of hyperuricemia in the elderly varies by region, with some reporting up to 18.6%. In Deli Serdang Regency, specifically in Namorih Village, Pancur Batu Subdistrict, a study found that 42.5% of elderly individuals had elevated uric acid levels .This community service aimed to increase awareness and knowledge among the elderly about the prevention and management of hyperuricemia through health education. The method used was an interactive educational session that included lectures and discussions. The activity took place on Apr22, 2025, in Region IV under the working area of Lubuk Pakam Health Center, involving 20 elderly participants.The results showed a significant increase in participants' understanding regarding healthy lifestyle choices, including low-purine diets, regular physical activity, and the importance of regular uric acid screening. Active engagement during discussions demonstrated the participants' enthusiasm to apply the knowledge in their daily routines. .In conclusion, health education using lecture and discussion methods proved effective in enhancing elderly awareness regarding hyperuricemia prevention and control. Similar activities are recommended to be conducted regularly in other regions to improve elderly quality of life .

Analysis of the Relationship between Knowledge of Adolescent Girls and Cervical Cancer Prevention Efforts in Class X of Dharma Bakti Private High School, Tanah Jawa, Simalungun Regency Saragih, Astri Ulina; Purba, Yeni Trisna; Halawa, Lidwina Priskahati
International Journal of Public Health Excellence (IJPHE) Vol. 1 No. 2 (2022): January-May
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v1i2.1518

Cervical cancer is the most common gynecological disease. It's a disease feared by all women because it's the leading cause of death among women in developing countries, including Indonesia. From the results of the study on the relationship between the knowledge of young women and efforts to prevent cervical cancer in Class X of Dharma Bakti Private High School, Tanah Jawa, Simalungun Regency, the following conclusions can be drawn: Young women in Class X of Dharma Bakti Private High School, Tanah Jawa, Simalungun Regency have good knowledge, this is indicated by the frequency distribution of the level of knowledge of young women about cervical cancer, 39 respondents (78%) who know the causes, methods of transmission, symptoms, development, examination, treatment, and efforts to prevent cervical cancer, while the level of knowledge of young women who are not good about efforts to prevent cervical cancer is 11 respondents (22%). Young women in Class X of Dharma Bakti Private High School, Tanah Jawa, Simalungun Regency are able to know how to prevent cervical cancer, this is indicated by 42 respondents (84%) trying to stay away from the causes of cervical cancer and are able to prevent it, but there are still 8 respondents (16%) who do not know the efforts to prevent cervical cancer. The level of knowledge of young women with efforts to prevent cervical cancer in Class X of Dharma Bakti Private High School, Tanah Jawa, Simalungun Regency has a significant relationship where there is a chi square test result, namely ρ <0.05 (0.01).

Penguatan Peran Kader Kesehatan dalam Penatalaksanaan Pencegahan Stunting Di Posyandu Balita Wilayah Kerja Puskesmas Sidamanik Tahun 2023 Saragih, Astri Ulina; Romaulina Pakpahan; May Linda Kristina
Jurnal Abdimas Mutiara Vol. 5 No. 2 (2024): JURNAL ABDIMAS MUTIARA
Publisher : Universitas Sari Mutiara Indonesia

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

Stunting merupakan masalah gizi kronis yang berdampak jangka panjang terhadap tumbuh kembang anak, terutama pada 1000 Hari Pertama Kehidupan (HPK). Pencegahan stunting membutuhkan peran aktif berbagai pihak, khususnya kader kesehatan sebagai ujung tombak pelayanan di Posyandu. Kegiatan pengabdian kepada masyarakat ini bertujuan untuk memperkuat kapasitas kader kesehatan dalam penatalaksanaan pencegahan stunting di wilayah kerja Puskesmas Sidamanik. Metode pelaksanaan kegiatan dilakukan melalui edukasi, pelatihan, dan pendampingan kader dalam hal pemantauan pertumbuhan balita, pemberian edukasi gizi, serta penguatan pencatatan dan pelaporan. Hasil kegiatan menunjukkan adanya peningkatan pengetahuan dan keterampilan kader dalam mengenali tanda-tanda risiko stunting dan memberikan edukasi yang tepat kepada masyarakat. Kegiatan ini juga meningkatkan motivasi kader dalam menjalankan tugasnya secara berkelanjutan. Diperlukan dukungan lintas sektor serta pelatihan lanjutan agar kader dapat lebih optimal dalam mencegah stunting di tingkat masyarakat.

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