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The Efficacy of Oxytocin Massage on Lactation in Nursing Mothers within the Cidahu Health Center's Jurisdiction, Kuningan Regency Purnamasari, Lina; Tonasih, Tonasih; Suminar, Erni Ratna
Jurnal Medisci Vol 2 No 3 (2024): Vol 2 No 3 December 2024
Publisher : Ann Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62885/medisci.v2i3.608

Background. Breast milk is the ideal food for neonates and serves as the exclusive nutritional source needed by infants during the first months of life. Oxytocin massage is a technique employed to mitigate insufficient breast milk production. Aim. This study aims to investigate and assess the effect of oxytocin massage on increasing breast milk production in nursing women. Methods. This study used a descriptive experimental design featuring pre- and post-test evaluations to determine the effect of oxytocin massage on breast milk supply in nursing mothers. The research will be place at the Cidahu Health Center in Kuningan Regency, West Java Province. The event is planned for June to July 2024, featuring 18 postpartum ladies. Research Results: A majority of responders, comprising 14 persons (77.8%), are aged between 20 and 35 years. A substantial segment, consisting of eight persons (44.4%), has advanced degrees. Furthermore, 11 respondents (61.1%) possess multipara parity, whilst six individuals (33.3%) are employed in the informal sector. The Wilcoxon test produced a significance value of 0.000, which is below 0.05, signifying a substantial alteration in breast milk production pre- and post-oxytocin massage. The credible hypothesis posits that Ha is accepted while Ho is rejected. Conclusion: The predominant demographic of respondents was those aged 20 to 35 years, possessing a collegiate education, exhibiting multipara parity, and engaged in homemaking. A association was observed between oxytocin massage and lactation in postpartum mothers at the Cidahu Health Center in Kuningan Regency, with a significance level of p-value 0.000. Implication: Health workers can provide knowledge related to Oxytocin Massage to the community through counseling and other interesting content and can apply Oxytocin Massage to postpartum mothers.

The Effect of Baby Massage on the Sleep Quality of Babies Aged 3-6 Months with ISPA Suminar, Erni Ratna; Kumalasary, Diyanah; Wahyu, Pesona Riyanti
JKM (Jurnal Kebidanan Malahayati) Vol 11, No 7 (2025): Volume 11, Nomor 7 Juli 2025
Publisher : Program Studi Kebidanan Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkm.v11i7.21647

Latar Belakang : Tingginya kesenjangan antara prevalensi ISPA dan presepsi orang tua mengenai masalah tidur bayi menggambarkan perlunya perhatian khusus mengenai masalah tidur pada bayi dengan gejala ISPA. Berdasarkan hasil studi pendahuluan yang dilakukan di TPMB Bdn.Sumarni,S.Keb,CHTT melalui data kunjungan pasien bayi usia 3–6 bulan pada bulan Januari– Desember 2023 terdapat 137 bayi usia 3-6 bulan yang berkunjung dan 56 diantaranya mengalami ISPA yang menyebabkan tidur menjadi tidak nyenyak.Tujuan penelitian : Penelitian ini bertujuan untuk mengetahui pengaruh pijat bayi terhadap kualitas tidur bayi usia 3-6 bulan dengan ISPA di TPMB Bdn.Sumarni,S.Keb,CHTT Tahun 2024.Metode penelitian : Dalam penelitian ini peneliti menggunakan metode kuantitatif dengan rancangan Pra-Eksperimental desain dan pendekatan one group pre-test pos-test desain. Sampel dalam penelitian ini yaitu bayi usia 3-6 bulan dengan ISPA berjumlah 30 responden, teknik pengambilan sampel dalam penelitian ini yaitu Accidental Sampling. Teknik anlisa data menggunakan uji T-test.Hasil penelitian yang dilakukan kualitas tidur bayi sebelum diberi pijat 16 responden (53.3%) mayoritas memiliki masalah ringan pada kualitas tidurnya. Setelah diberi pijat 24 responden (80%) mayoritas tidak ada masalah pada kualitas tidurnya. Hasil uji statistik T-test didapatkan yaitu p value = 0.000 (p < 0.05).Kesimpulan : Berdasarkan hasil penelitian dapat diketahui bahwa ada pengaruh pijat bayi terhadap kualitas tidur bayi usia 3-6 bulan dengan ISPA diterima. artinya ada pengaruh yang signifikan pijat bayi terhadap kualitas tidur bayi usia 3-6 bulan dengan ISPA.Saran : Diharapkan bidan dan tenaga kesehatan lain dapat menerapkan pijat bayi sebagai terapi pelengkap pada bayi 3-6 bulan dengan ISPA untuk memperbaiki kualitas tidurnya. Kata Kunci : Pijat Bayi, Kualitas Tidur, ISPA ABSTRACT Background : The high gap between the prevalence of ARI and parents' perceptions regarding infant sleep problems illustrates the need for special attention regarding sleep problems in babies with ARI symptoms. Based on the results of a preliminary study conducted at TPMB Bdn.Sumarni, S.Keb, CHTT through patient visit data for babies aged 3-6 months in JanuaryDecember 2023, there were 137 babies aged 3-6 months who visited and 56 of them experienced ARI which caused sleep becomes restless. The aim of this research was to determine the effect of baby massage on the sleep quality of babies aged 3-6 months with ARI at TPMB Bdn. Sumarni, S. Keb, CHTT in 2024.In this research, researchers used quantitative methods with a preexperimental design and a one group pre-test post-test design approach. The sample in this study was babies aged 3-6 months with ISPA totaling 30 respondents. The sampling technique in this study was Accidental Sampling. The data analysis technique uses the T-test.The results of research conducted on the quality of baby's sleep before being given a massage, 16 respondents (53.3%) the majority had mild problems with the quality of their sleep. After being given a massage, the majority of 24 respondents (80%) had no problems with their sleep quality. The results of the T-test statistical test were p value = 0.000 (p < 0.05).Based on the research results, it can be seen that there is an influence of baby massage on the sleep quality of babies aged 3-6 months with ARI. This means that there is a significant effect of baby massage on the sleep quality of babies aged 3-6 months with ARI. It is hoped that midwives and other health workers can apply baby massage as a complementary therapy for babies 3-6 months with ISPA to improve their sleep quality. Keyword : Baby Massage, Sleep Quality, ARI.

The Effect Of Peer Group Education On The Knowledge And Attitudes Of Adolescents Regarding HIV/AIDS Prevention Nurfita, Nisa Rizki; Suminar, Erni Ratna; Aliah, Nur; Fathiyyatussabillah, Fathiyyatussabillah
JKM (Jurnal Kebidanan Malahayati) Vol 11, No 10 (2025): Volume 11 No 10 Oktober 2025
Publisher : Program Studi Kebidanan Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkm.v11i10.23141

Latar Belakang : Remaja merupakan kelompok usia yang rentan terhadap penyebaran HIV/AIDS akibat kurangnya pengetahuan dan masih rendahnya sikap preventif terhadap perilaku berisiko. Data Kementerian Kesehatan menunjukkan bahwa proporsi kasus HIV pada kelompok usia 15–24 tahun masih cukup tinggi. Prevalensi di usia 15–24 tahun pernah mencapai 25% di beberapa wilayah, sehingga dibutuhkan strategi edukasi yang efektif dan relevan dengan karakteristik remaja. Edukasi peer group menjadi salah satu pendekatan yang diharapkan mampu meningkatkan pemahaman dan membentuk sikap positif terhadap pencegahan HIV/AIDS.Tujuan : Mengetahui apakah edukasi peer group meningkatkan pengetahuan dan sikap preventif remaja SMA N 7 Kota Cirebon tentang HIV/AIDS, mengetahui faktor pendukung dan penghambat pelaksanaan edukasi peer group dan mengetahui model pendidikan yang paling efektif diterapkan untuk remaja di wilayah Cirebon.Metode : Penelitian dilakukan dengan quasi-eksperimental dengan kelompok intervensi dan kontrol, serta pendekatan pre-test dan post-test. Sampel diambil secara purposive dari siswa kelas X hingga XII, dengan jumlah masing-masing kelompok 30 siswa. Intervensi dilakukan dalam bentuk edukasi oleh peer educator, yang memberikan materi pencegahan HIV/AIDS selama satu minggu menggunakan modul edukatif yang tervalidasi. Kuesioner penelitian ini telah teruji validitas dan reliabilitasnya.Hasil : Uji Wilcoxon menunjukkan adanya perbedaan signifikan yang bermakna antara pre test dan post test pada kelompok intervensi dengan nilai Z = -4,630 dan p = 0,000 (p < 0,05). Edukasi peer group terbukti efektif dalam meningkatkan pengetahuan siswa tentang HIV/AIDS. Adanya peningkatan sikap positif siswa pada kelompok intervensi setelah diberikan edukasi peer group antara pre test dan post test. Uji Wilcoxon memperlihatkan perbedaan yang signifikan (Z = -4,626; p = 0,000). Faktor pendukung edukasi peer group di sekolah meliputi rasa solidaritas, kebersamaan, motivasi tinggi terkait rasa ingin tahu, keinginan untuk mendengar dan pengembangan diri, berbagi pengalaman dan dukungan dari sekolah. Faktor penghambat yang muncul dari peer group, seperti kesulitan menerima individu yang berbeda, sikap tertutup, munculnya rasa iri antar anggota, adanya persaingan, hingga timbulnya pertentangan atau jarak antar kelompok sebaya. Pendekatan peer group dinilai lebih efektif diterapkan pada remaja karena siswa cenderung percaya diri, lebih terbuka, nyaman, saling memotivasi dan mampu mengembangkan solidaritas ketika berdiskusi dengan teman sebaya.Kesimpulan : Edukasi peer group memiliki pengaruh terhadap peningkatan pengetahuan dan sikap remaja tentang pencegahan HIV/AIDS di SMA Negeri 7 Kota Cirebon. Kata Kunci : HIV AIDS, Pengetahuan, Remaja, Sikap, Teman Sebaya ABSTRACT Background : Adolescents represent an age group that is vulnerable to the spread of HIV/AIDS due to limited knowledge and a low level of preventive attitudes toward risky behaviors. Data from the Ministry of Health indicate that the proportion of HIV cases among individuals aged 15–24 years remains relatively high. The prevalence within this age group has reached up to 25% in several regions, highlighting the need for effective educational strategies that are relevant to adolescent characteristics. Peer group education is considered one of the approaches that may enhance understanding and foster positive attitudes toward HIV/AIDS prevention.Purpose: This study aims to determine whether peer group education improves the knowledge and preventive attitudes of students at SMA Negeri 7 Cirebon regarding HIV/AIDS, to identify supporting and inhibiting factors in the implementation of peer group education, and to determine the most effective educational model to be applied among adolescents in the Cirebon area.Method: This research employed a quasi-experimental design with intervention and control groups, using a pre-test and post-test approach. Samples were purposively selected from students in grades X to XII, with 30 students in each group. The intervention consisted of educational sessions delivered by peer educators, whoprovided HIV/AIDS prevention materials over the course of one week using a validated educational module. The research questionnaire had been tested for validity and reliability.Results: The Wilcoxon test indicated a statistically significant difference between the pre-test and post- test results in the intervention group, with Z = -4.630 and p = 0.000 (p < 0.05). Peer group education was proven to be effective in increasing students’ knowledge about HIV/AIDS. There was also an improvement inpositive attitudes among students in the intervention group after the peer group education, as shown by a significant difference in the Wilcoxon test results (Z = -4.626; p = 0.000). Supporting factors for peer group education in schools included solidarity, togetherness, high motivation driven by curiosity, willingness to listen and develop oneself, sharing experiences, and school support. Inhibitingfactors identified within peer groups included difficulties in accepting individual differences, closed attitudes, feelings of jealousy among members, competition, and the emergence of conflicts or distance between peer groups. The peer group approach was considered more effective for adolescents because students tended to be more confident, open, comfortable, motivated, and capable of developing solidarity when discussing with peers.Conclusion: Peer group education has a significant effect on improving adolescents’ knowledge and attitudes regarding HIV/AIDS prevention at SMA Negeri 7 Cirebon. Keywords : Peer Group, Knowledge, Adolescent Attitude, HIV/AIDS.

Effectiveness Of Ginger Aromatherapy On Nausea And Vomiting In Pregnant Women As A Preventive Effort Against Stunting : An Experimental Study Suminar, Erni Ratna; Nurfita, Nisa Rizki; Nurhasanah, Nurhasanah; Aliah, Nur; Fathiyyatussabillah, Fathiyyatussabillah
JKM (Jurnal Kebidanan Malahayati) Vol 11, No 10 (2025): Volume 11 No 10 Oktober 2025
Publisher : Program Studi Kebidanan Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkm.v11i10.23139

Latar Belakang : Mual muntah merupakan salah satu ketidaknyamanan yang dialami oleh ibu hamil pada trimester pertama. Di Indonesia jumlah ibu hamil trimester 1 yang melakukan kunjungan K1 sebanyak 4.873.441 ibu hamil dan sekitar 2.436.721 ibu hamil atau sekitar 50% ibu mengalami mual muntah pada kehamilan. Dampak dari mual muntah sangat berpengaruh terhadap penambahan berat badan saat hamil, hal tersebut berhubungan dengan jumlah asupan makanan yang akan diterima janin. Penambahan berat badan dan status gizi ibu hamil berhubungan dengan kejadian stunting. Tujuan penelitian : Penelitian ini bertujuan untuk mengetahui Efektivitas Aromaterapi Jahe Terhadap Mual Muntah Pada Ibu Hamil dalam Upaya Pencegahan Stunting di Wilayah Harjamukti Kota Cirebon.Metode penelitian : Dalam penelitian ini metode yang digunakan adalah Pre eksperimen one group pretest posttest design dengan pengambilan sampel purposiv sampling dan analisis uji Wilcoxon Signed Ranks Test. Populasi pada penelitian ini yaitu ibu hamil di wilayah Harjamukti Kota Cirebon sebanyak 162. Dengan jumlah sample 44 orang.Hasil penelitian Skor mual muntah sebelum diberikan aromaterapi jahe sebanyak 24 orang ibu hamil (55%) mengalami mual muntah sedang dengan rentang skor 8-11, sehingga setelah diberikan aromaterapi jahe menjadi menurun sebanyak 23 orang ibu hamil (52%) mengalami mual muntah ringan dengan rentang skor 4-7. Didapat nilai Sig. (2-tailed) = 0.000 dengan nilai α = 0,05.Kesimpulan : Berdasarkan hasil penelitian dapat diketahui bahwa ada pengaruh pemberian aromaterapi jahe terhadap skor mual muntah pada ibu hamil di wilayah Harjamukti Kota Cirebon ada pengaruh efektifitas aromaterapi.Saran : Diharapkan bidan dan tenaga kesehatan lain dapat menerapkan aromaterapi jahe dalam menangani mual muntah pada ibu hamil sebagai terapi non farmakologi dalam pencegahan stunting. Kata Kunci : Mual, Muntah, Ibu Hamil, Aromaterapi Jahe ABSTRACT Background : Nausea and vomiting are among the most common discomforts experienced by pregnant women during the first trimester. In Indonesia, the number of first-trimester pregnant women attending their first antenatal visit (K1) is 4,873,441, and approximately 2,436,721 (around 50%) of them experience nausea and vomiting during pregnancy. Nausea and vomiting can significantly affect maternal weight gain during pregnancy, which is closely related to the amount of nutritional intake received by the fetus. Maternal weight gain and nutritional status are strongly associated with the incidence of stunting. This study aimed to determine the effectiveness of ginger aromatherapy in reducing nausea and vomiting among pregnant women as a strategy to prevent stunting in the Harjamukti area, Cirebon City.In this research, This study employed a pre-experimental design with a one-group pretest-posttest approach. The sampling technique used was purposive sampling, and data were analyzed using the Wilcoxon Signed Ranks Test. The study population consisted of 162 pregnant women in the Harjamukti area of Cirebon City, with a total sample of 44 respondents.. The results of research, Before the administration of ginger aromatherapy, 24 pregnant women (55%) experienced moderate nausea and vomiting with a score range of 8–11. After the intervention, the number decreased, with 23 pregnant women (52%) experiencing mild nausea and vomiting with a score range of 4–7. Statistical analysis showed a significance value of Sig. (2-tailed) = 0.000 with α = 0.05.The findings indicate that ginger aromatherapy has a significant effect on reducing nausea and vomiting scores among pregnant women in the Harjamukti area, Cirebon City. This demonstrates the effectiveness of ginger aromatherapy as a complementary intervention. Midwives and other healthcare providers are encouraged to implement ginger aromatherapy as a non-pharmacological approach to manage nausea and vomiting in pregnant women, thereby contributing to stunting prevention efforts. Keyword : Nausea, Vomiting, Pregnant Women, Ginger Aromatherapy

Factors Influencing The Implementation Of “Isi Piringku” Complementary Feeding For Infants Aged 6–23 Months In The Prevention Of Stunting Aliah, Nur; Suminar, Erni Ratna; Nurfita, Nisa Rizki; Nurani, Siti; Fadila, Zahra
JKM (Jurnal Kebidanan Malahayati) Vol 11, No 10 (2025): Volume 11 No 10 Oktober 2025
Publisher : Program Studi Kebidanan Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkm.v11i10.23097

Latar Belakang: Stunting merupakan gangguan pertumbuhan dan perkembangan anak akibat kekurangan gizi kronis dan infeksi berulang, yang ditandai dengan panjang atau tinggi badan anak berada di bawah standar. Stunting disebabkan oleh asupan gizi yang kurang dalam waktu cukup lama akibat pemberian makanan yang tidak sesuai dengan kebutuhan gizi. Stunting berpotensi memperlambat perkembangan otak, dengan dampak jangka panjang berupa keterbelakangan mental, rendahnya kemampuan belajar, dan risiko serangan penyakit kronis. Pemberian MPASI isi piringku pada bayi 6-23 bulan dapat menjadi jalan keluar untuk mengatasi stunting jika diaplikasikan sesuai dengan pedoman yang benar. Tujuan penelitian: Tujuan dari penelitian ini untuk mengetahui faktor-faktor apa saja yang dapat mempengaruhi dalam pemberian MPASI isi piringku pada bayi 6-23 bulan. Metode penelitian: Metode penelitian yang digunakan adalah metode analitik korelasi dengan pendekatan cross-sectional dan pengambilan sampel dengan accidental sampling. Populasi pada penelitian ini adalah seluruh ibu yang memiliki bayi 6-23 bulan di Wilayah Kecamatan Harjamukti Kota Cirebon sebanyak 346 orang, dengan jumlah sampel 114 orang.Hasil analisis data dengan uji chi square didapatkan hasil terdapat hubungan yang signifikan antara pengetahuan, jumlah anak, pendapatan keluarga dan media informasi dengan pemberian MPASI isi piringku. p-value pengetahuan (0,000), jumlah anak (0,008), pendapatan keluarga (0,000) dan media informasi (0,000).Kesimpulan: Hasil penelitian menunjukkan bahwa pemberian MPASI sesuai pedoman isi piringku pada ibu dengan bayi usia 6–23 bulan dipengaruhi oleh beberapa faktor, antara lain jumlah anak (paritas), pendapatan keluarga, paparan media informasi, serta pengetahuan ibu. Saran: Diharapkan agar tenaga kesehatan dan kader posyandu meningkatkan edukasi gizi kepada ibu melalui penyuluhan maupun media informasi yang mudah dipahami. Kata Kunci : Faktor-Faktor; MPASI; Isi Piringku; Bayi; Stunting. ABSTRACT Background: Stunting is a growth and developmental disorder in children caused by chronic malnutrition and recurrent infections, characterized by a child’s length or height being below the standard. Stunting occurs due to prolonged inadequate nutritional intake resulting from the provision of food that does not meet nutritional requirements. It has the potential to hinder brain development, with long-term consequences such as cognitive delays, low learning capacity, and an increased risk of chronic diseases. The implementation of complementary feeding based on the “Isi Piringku” guidelines for infants aged 6–23 months can serve as an effective strategy to prevent stunting when applied appropriately.The objective of this study is to identify the factors that influence the implementation of complementary feeding based on the “Isi Piringku” guidelines among mothers with infants aged 6–23 months.The research employed a correlational analytic method with a cross-sectional approach, and the sampling technique used was accidental sampling. The study population consisted of all mothers with infants aged 6–23 months in the Harjamukti District, Cirebon City, totaling 346 individuals, with a sample size of 114 respondents.The results of data analysis using the Chi-square test showed a significant relationship between knowledge, number of children, family income, and information media with the practice of complementary feeding based on the “Isi Piringku” guidelines. The p-values were as follows: knowledge (0.000), number of children (0.008), family income (0.000), and information media (0.000).Conclusion: The results of the study indicate that the implementation of complementary feeding in accordance with the “Isi Piringku” (My Plate) guidelines among mothers with infants aged 6–23 months is influenced by several factors, including the number of children (parity), family income, exposure to information media, and maternal knowledge.Suggestion: It is recommended that healthcare workers and posyandu (community health post) cadres enhance nutrition education for mothers through counseling sessions and easily understandable information media. Keyword : Factors; MPASI; Isi Piringku; Baby; Stunting.

GERAKAN PENINGKATAN PENGETAHUAN DAN KESIAPAN MELAKUKAN IVA TEST MELALUI PENYULUHAN DAN PEMANFAATAN BUKU SAKU SEBAGAI UPAYA DETEKSI DINI KANKER SERVIKS DI KLINIK ARSY MEDIKA KABUPATEN CIREBON Musfiroh, Sri; Suminar, Erni Ratna; Rahmatika, Siti Difta
Community Development Journal : Jurnal Pengabdian Masyarakat Vol. 5 No. 2 (2024): Volume 5 No. 2 Tahun 2024
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/cdj.v5i2.26889

Kanker serviks adalah salah satu masalah kesehatan terkemuka bagi wanita di seluruh dunia. Kanker serviks menduduki urutan kedua dari penyakit kanker yang menyerang wanita di dunia dan urutan pertama untuk wanita di negara sedang berkembang. Pencegahan dalam pengendalian kanker secara nasional adalah dengan deteksi dini dan skrining yang dapat menurunkan angka kematian karena ditemukan stadium yang lebih awal. Hal ini juga didukung oleh Peirson yang mengadakan penelitian dengan hasil bahwa skrining kanker serviks menawarkan manfaat dan berhubungan dengan penurunan kejadian kanker serviks invasif dan kematian kanker serviks. Inspeksi Visual Asetat (IVA) merupakan salah satu metode deteksi dini kanker serviks yang sama populer dengan pap smear. Faktor yang dapat mempengaruhi seseorang untuk melakukan IVA antara lain pengetahuan, sikap, akses informasi dan dukungan suami atau keluarga. Tujuan pengabdian masyarakat ini untuk mengetahui kesiapan dan tingkat pengetahuan Wanita Usia Subur (WUS) dalam melakukan pemeriksaan IVA Test serta melakukan penyuluhan pemanfaatan penggunaan buku saku terhadap kesiapan melakukan IVA Test. Hasil kegiatan menunjukkan tingkat pengetahuan mitra mengenai kanker serviks dan IVA Test mengalami peningkatan. Hal ini dapat dilihat dalam kegiatan pretest dan postest yang dilakukan sebelum dan sesudah baik itu kegiatan penyuluhan maupun pelatihan, analisis data menunjukkan ada nilai korelasi yang positif yang mengindikasikan terdapat peningkatan tingkat pengetahuan peserta sebelum dan sesudah penyuluhan.

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