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<![CDATA[PENINGKATAN PENGETAHUAN PERAWAT DAN BIDAN DALAM MENGURANGI INTENSITAS NYERI PERSALINAN ]]>
<![CDATA[Riris Sitorus]]>;
<![CDATA[Grace Erlyn]]>;
<![CDATA[Diah Evawanna Anuhgera]]>;
<![CDATA[Nikmah Jalilah Ritonga]]>;
<![CDATA[Desideria Yosepha Ginting]]>
<![CDATA[ JURNAL PENGMAS KESTRA (JPK) Vol 1 No 2 (2021): Jurnal Pengmas Kestra (JPK) ]]>
Publisher : <![CDATA[Lembaga Penelitian dan Pengabdian Kepada Masyarakat (LP2M) Institut Kesehatan Medistra Lubuk Pakam ]]>
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DOI: 10.35451/jpk.v1i2.728
<![CDATA[Labor pain was a problem that has not received special attention, even though the goal of intrapartum care itself was to reduce pain during labor. It was not uncommon to find that every mother giving birth were very worried about the labor process that would be passed, this can trigger the perception of maternal pain. In addition, there were also mothers who were afraid and couldn’t stand the pain of going through the labor process or opening the birth canal because they feel severe pain during the first stage of labor, this sometimes makes mothers think short and choose the Sectio Cesaria action as one of the best solutions, whereas delivery by Caesarean section has many risks and the postpartum healing process takes longer than those of a normal delivery. Based on the results of the research that has been done, it is found that the reduction of labor pain could be done by using effleurage massage. This technique was quite simple and easy to do as a pain relief for mothers during the active phase of labor. This massage was quite easy to do by health professionals such as midwives, and could also be applied by families or mothers who were in labor by giving gentle, long and continuous strokes. Nurses and midwives must have the ability to manage labor pain management for mothers with the delivery process.The aimed of this activities was to increased nurse and midwife’s knowledge in reduce the labour pain intensity.]]>
<![CDATA[PENYULUHAN KESEHATAN DENGAN METODE BRAINSTORMING DAN SIMULATION GAME TERHADAP PENGETAHUAN REMAJA PEREMPUAN TENTANG MENSTRUASI ]]>
<![CDATA[Novita Br Ginting Munthe]]>;
<![CDATA[Iskandar Markus Sembiring]]>;
<![CDATA[Sri Wulan]]>;
<![CDATA[Rahmad Gurusinga]]>;
<![CDATA[Diah Evawanna Anuhgera]]>
<![CDATA[ JURNAL PENGMAS KESTRA (JPK) Vol 1 No 1 (2021): Jurnal Pengmas Kestra (JPK) ]]>
Publisher : <![CDATA[Lembaga Penelitian dan Pengabdian Kepada Masyarakat (LP2M) Institut Kesehatan Medistra Lubuk Pakam ]]>
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DOI: 10.35451/jpk.v1i1.729
<![CDATA[Menstruation is periodic and cyclical bleeding from the uterus accompanied by the release (desquamation) of the endometrium. Menstrual bleeding is the result of a complex interaction involving the hormonal system with the body's organs, namely the hypothalamus, pituitary, ovaries and uterus. Every woman experiences menstruation with a different cycle. The cause of irregular menstruation is from genetics and from a bad lifestyle. The purpose of this paper is to provide health education between brainstorming methods and simulation games to increase knowledge about menstruation. Participants in the Health education were 66 grade X students at SMA Negeri Beringin. In the implementation of activities using an instrument (questionnaire) to collect data. related to increasing knowledge about menstruation. The conclusion of this activity is that health education using simulation game and brain storming methods can increase adolescent knowledge about menstruation in class X students at SMA Negeri Beringin.]]>
<![CDATA[PENYULUHAN PELAKSANAAN TEKNIK BIRTH BALL TERHADAP KEMAJUAN PERSALINAN PADA IBU HAMIL TRIMESTER III ]]>
<![CDATA[Wilda Wahyuni Siregar]]>;
<![CDATA[Dwi Handayani]]>;
<![CDATA[Damayanti .]]>;
<![CDATA[Diah Evawanna Anuhgera]]>;
<![CDATA[Juni Mariati Simarmata]]>;
<![CDATA[Raisha Octavariny]]>
<![CDATA[ JURNAL PENGMAS KESTRA (JPK) Vol 1 No 2 (2021): Jurnal Pengmas Kestra (JPK) ]]>
Publisher : <![CDATA[Lembaga Penelitian dan Pengabdian Kepada Masyarakat (LP2M) Institut Kesehatan Medistra Lubuk Pakam ]]>
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DOI: 10.35451/jpk.v1i2.761
<![CDATA[In the first stage of labor, pain is a physiological factor with the cervical dilatation process, uterine muscle hypoxia when it contracts, stretching of the lower uterine segment. Birth ball counseling activities can be carried out to pregnant women in the third trimester. The purpose of this community service is to help relieve the pain and anxiety of the first stage of labor. This can be done in order to maintain and reduce anxiety and stress in third trimester pregnant women. Birth ball can be done with caca sitting on the birth ball, leaning on the ball by kneeling, leaning on the bed with a birth ball. The implementation of this community service lasted for 2 days at the Hamidah Pratama Clinic. This activity begins with checking blood pressure, followed by education about birth balls, the benefits of birth balls, how to use birth balls, along with the provision of leaflets about birth balls, demonstrations on the implementation of birth ball therapy and leaflets on how to use them. . The organizers of the activity also conducted discussions and asked questions to pregnant women in the third trimester related to the implementation of the birth ball which had been socialized. the implementation of counseling conducted on 32 third trimester pregnant women, all respondents experienced a decrease in anxiety and stress and pain in the waist and back and they also already knew that with this technique at the time of delivery it would speed up the first stage process so that the pain experienced would be shorter.]]>
<![CDATA[EDUCATION ON THE UTILIZATION OF MORINGA LEAVES DECIL IN INCREASING BREAST MILK PRODUCTION: EDUCATION ON THE UTILIZATION OF MORINGA LEAVES DECIL IN INCREASING BREAST MILK PRODUCTION ]]>
<![CDATA[Anuhgera, Diah Evawanna]]>;
<![CDATA[Ritonga, Nikmah Jalilah]]>;
<![CDATA[Sitorus, Riris]]>;
<![CDATA[Simarmata, Juni Mariati]]>;
<![CDATA[Handayani, Dwi]]>
<![CDATA[ JURNAL PENGMAS KESTRA (JPK) Vol. 2 No. 2 (2022): Jurnal Pengmas Kestra (JPK) ]]>
Publisher : <![CDATA[Lembaga Penelitian dan Pengabdian Kepada Masyarakat (LP2M) Institut Kesehatan Medistra Lubuk Pakam ]]>
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DOI: 10.35451/jpk.v2i2.1440
<![CDATA[thing in the growth and development of babies. Education that utilizes natural plants and has benefits for mothers and babies can be given to the community to help practice increasing breast milk through consumption of Moringa leaves. The aim of this education is to help mothers use Moringa oleifera leaves as a natural ingredient to increase breast milk. The target for this service is breastfeeding mothers using Leaflet media, video tutorials and Moringa leaves. The methods used are lecture, discussion, and PLA (Participatory Learning and Action) methods. The desired output is to increase education in breastfeeding by increasing milk production by consuming Moringa leaves by 20%. Implementation of dedication is given by doing a pretest and posttest. The results of the implementation showed that the average pretest score was 56.4, the posttest average score after education was 79, the average increase in score was 22.6. This shows that education can increase the utilization of Moringa leaves to increase breast milk production by 40%.]]>
<![CDATA[Education of Ginger Drink and Accupresure as Theraphy to Relieving Primary Dismenorrhea ]]>
<![CDATA[Anuhgera, Diah Evawanna]]>;
<![CDATA[Nikmah Jalila Ritonga]]>;
<![CDATA[Sitorus, Riris]]>
<![CDATA[ JURNAL PENGMAS KESTRA (JPK) Vol. 3 No. 1 (2023): Jurnal Pengmas Kestra (JPK) ]]>
Publisher : <![CDATA[Lembaga Penelitian dan Pengabdian Kepada Masyarakat (LP2M) Institut Kesehatan Medistra Lubuk Pakam ]]>
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DOI: 10.35451/jpk.v3i1.1742
<![CDATA[Pain that comes with primary dysmenorrhea during menstruation often interferes with daily activities. Many dysmenorrhea sufferers do not understand how to control the pain that comes and many also use analgesic drugs in each menstrual period. Consumption of red ginger drinks and acupressure can reduce menstrual pain during primary dysmenorrhea. Provision of health education by utilizing non-pharmacological therapies, namely red ginger powder drink and acupressure for women of childbearing age can empower women to manage menstrual pain which will always be there every month. The purpose of this community service is to increase the knowledge and understanding of women of childbearing age in dealing with primary dysmenorrhea. The activity was carried out at the student dormitory of the Nutrition Study Program, Faculty of Public Health Medistra Institute of Health Lubuk Pakam. The partners in this dedication were 45 students in the first semester of the Nutrition Study Program, Faculty of Public Health, Medistra Institut of Health Lubuk Pakam. Implementation of activities begins with planning, implementation and evaluation. The educational method used is lectures and demonstrations with data collection starting from the pretest and posttest. The results of education in this activity before it was carried out the average of respondents who had good knowledge was 31.12% and after education it increased to 95.55 respondents who had good knowledge. The education implementation was going well, the respondents seemed to listen well and actively asked questions during the question and answer session. Health education is one of the activities that can increase the level of knowledge in women of childbearing age regarding the management of primary dysmenorrhea consuming red ginger drinks and doing acupressure during menstrual periods.]]>
<![CDATA[Empowering Mothers in Preventing Post Partum Depression Through Giving Meridian Accupoint Masssage ]]>
<![CDATA[Anuhgera, Diah Evawanna]]>;
<![CDATA[Nikmah Jalila Ritonga]]>;
<![CDATA[Sitorus, Riris]]>
<![CDATA[ JURNAL PENGMAS KESTRA (JPK) Vol. 3 No. 2 (2023): Jurnal Pengmas Kestra (JPK) ]]>
Publisher : <![CDATA[Lembaga Penelitian dan Pengabdian Kepada Masyarakat (LP2M) Institut Kesehatan Medistra Lubuk Pakam ]]>
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DOI: 10.35451/jpk.v3i2.1982
<![CDATA[Post partum depression is a serious disorder that occurs during the post partum period and can disrupt the activities of the mother and baby for a long period of time. One strategy to prevent post partum depression is by giving meridian accupoint massage. This intervention can be given during the normal postpartum period starting on the first day. Prevention is the best action that can reduce the mother's risk of developing post partum depression. The aim of this service community is to help pregnant women and post partum mothers empower themselves by knowing how to prevent post partum depression through meridian accupoint massage intervention. The target of this research was pregnant women and post partum mothers who were at the Nining Pelawati Lubuk Pakam Clinic, totaling 27 participants. The activity method was carried out twice by giving a pre-test, lecture, question and answer and role play and continued with the post-test by filling in a questionnaire. Evaluations were carried out on mothers by conducting interviews regarding their understanding of preventing postnatal depression. The results achieved in this activity are that people gain knowledge about postnatal depression. There was a change in the value of understanding knowledge before being given education, 8.85 and after being given health education, it became 15.6. It is hoped that this service activity will provide benefits to mothers in carrying out meridian accupoint massage interventions to prevent post partum depression. Midwives can apply meridian accupoint massage as a form of preventing post partum depression during the post partum period.]]>
<![CDATA[Optimizing the Implementation of Foot Massage as an Effort to Increase Comfort and Reduce Pain After Labor ]]>
<![CDATA[Anuhgera, Diah Evawanna]]>;
<![CDATA[Nikmah Jalila Ritonga]]>;
<![CDATA[Saragih, Astri Ulina]]>;
<![CDATA[Damayanti]]>
<![CDATA[ JURNAL PENGMAS KESTRA (JPK) Vol. 4 No. 1 (2024): Jurnal Pengmas Kestra (JPK) ]]>
Publisher : <![CDATA[Lembaga Penelitian dan Pengabdian Kepada Masyarakat (LP2M) Institut Kesehatan Medistra Lubuk Pakam ]]>
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DOI: 10.35451/jpk.v4i1.2177
<![CDATA[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.]]>
<![CDATA[Providing Education and Breastfeeding Assistance in Efforts to Increase Exclusive Breastfeeding ]]>
<![CDATA[Anuhgera, Diah Evawanna]]>;
<![CDATA[Jalilah, Nikmah]]>
<![CDATA[ JURNAL PENGMAS KESTRA (JPK) Vol. 4 No. 2 (2024): Jurnal Pengmas Kestra (JPK) ]]>
Publisher : <![CDATA[Lembaga Penelitian dan Pengabdian Kepada Masyarakat (LP2M) Institut Kesehatan Medistra Lubuk Pakam ]]>
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DOI: 10.35451/jpk.v4i2.2396
<![CDATA[Breastfeeding is important for growth and development, especially in the first 6 months. Exclusive breastfeeding has the benefit of protecting against gastrointestinal, respiratory, chronic diseases and helping cognitive development. The practice of exclusive breastfeeding requires knowledge, skills and confidence in breastfeeding. Breastfeeding assistance is one of the actions that midwives can provide to mothers in helping and supporting the success of breastfeeding. The purpose of this service is to provide increased knowledge to breastfeeding mothers through education and breastfeeding assistance in theory and correct skills in increasing the provision of exclusive breastfeeding.. The methods used are lectures and demonstrations. The target of this activity is postpartum mothers from day 1 to day 4 who gave birth at the Kasih Ibu Pratama Clinic, a total of 19 postpartum mothers. Evaluation of the activity was carried out by providing pre- and post-test questionnaires and assessing the mother's skills in breastfeeding. The results of this activity are an increase in knowledge, attitudes and beliefs about breastfeeding in mothers after being given breastfeeding assistance. It is expected that midwives can maximize breastfeeding support classes for pregnant women as a planning for the future breastfeeding process and for breastfeeding mothers to guide mothers in good and consistent breastfeeding practices in achieving exclusive breastfeeding.]]>
<![CDATA[The Effect of Foot Massage on Comfort and Pain Intensity After Vaginal Delivery ]]>
<![CDATA[Anuhgera, Diah Evawanna]]>;
<![CDATA[Nikmah Jalila Ritonga]]>;
<![CDATA[Damayanti]]>
<![CDATA[ JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 6 No. 2 (2024): Jurnal Keperawatan dan Fisioterapi (JKF) ]]>
Publisher : <![CDATA[Fakultas Keperawatan dan Fisioterapi Institut Kesehatan Medistra Lubuk Pakam ]]>
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DOI: 10.35451/jkf.v6i2.2079
<![CDATA[Childbirth is a mother's subjective experience that is very memorable in her life. It is important to maintain maternal comfort so that the process of adapting to motherhood can run well. Pain during postpartum is one of the factors that prevents mothers from having difficulty adapting during the postpartum period, especially in primapara mothers. A pharmacological method that can be given to increase comfort and reduce the intensity of pain is foot massage. The aim of this study was to determine the effect of foot massage on the comfort and intensity of maternal pain after vaginal delivery during the postpartum period. This type of quasi-experimental research sample consisted of 38 respondents and the sampling technique used simple random sampling. This research was conducted at the Independent Early Midwife Practice in Lubuk Pakam. Respondents consisted of 2 groups, namely the intervention group and the control group. The instruments used were questionnaires, Visual Analog Scale (VAS), Post Partum Comfort Scale (PCS). Data analysis used chi-square/Fisher's exact test, independent-samples t test and one-way analysis of variance (ANOVA). The mean maternal comfort score in the intervention group was higher than the control group (143.45 ± 8.96, 119.00 ± 14.65, respectively) with a value of p = 0.000. The mean pain score in the intervention group was lower than the control group (1.36 ± 1.22, 4.95 ± 2.27) and the p value = 0.000. Foot massage is effective in increasing comfort and reducing the intensity of pain after vaginal delivery. The increase in maternal comfort after intervention was 18.34% and the reduction in pain intensity after vaginal delivery was 73%. In this way, midwives can apply foot massage to every mother after vaginal delivery.]]>
<![CDATA[The Effect of Progressive Muscle Relaxation on Low Back Pain And Anxiety in Primiparas ]]>
<![CDATA[Anuhgera, Diah Evawanna]]>;
<![CDATA[Jalilah, Nikma]]>;
<![CDATA[Sitorus, Riris]]>;
<![CDATA[Dwi Handayani]]>;
<![CDATA[Debi Dinha Octora]]>
<![CDATA[ JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 7 No. 2 (2025): Jurnal Keperawatan dan Fisioterapi (JKF) ]]>
Publisher : <![CDATA[Fakultas Keperawatan dan Fisioterapi Institut Kesehatan Medistra Lubuk Pakam ]]>
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DOI: 10.35451/jkf.v7i2.2379
<![CDATA[Pregnancy changes that result in looseness and instability of joints in the third trimester of pregnancy often cause lower back pain in mothers. This certainly disturbs the mother's discomfort and causes anxiety. Progressive muscle relaxation is a combination of deep breathing and progressive muscle relaxation techniques by stretching and relaxing the muscles systematically. The purpose of this study was to analyze the effect of progressive muscle relaxation on lower back pain and anxiety in primigravida pregnancies. This study used all experiments with a pretest-posttest controlled group design for primigravida pregnant women with a gestational age of 28-36 weeks at the Misriah Galang Clinic as many as 28 respondents. The sampling technique used was simple random sampling. There were two groups in this study, namely the intervention group with progressive muscle relaxation and the control group. The research instruments used were VAS (Visual Analog Scale), Hamilton Anxiety Rating Scale (HARS) and questionnaires. Data analysis used was the dependent t-test and independent t-test to measure pain intensity and the Wilcoxon test with Mann Whitney to measure anxiety. There was a difference in the intensity of pain and anxiety before and after the progressive muscle relaxation intervention with a value of p = 0.001 and 0.004. The percentage of pain reduction after the intervention was 45.71%. There was a difference in the average pain and anxiety after the intervention between the control and intervention groups with a value of p = 0.000; p = 0.002. Progressive muscle relaxation has been proven effective in reducing the intensity of lower back pain and anxiety. Obstetric practitioners can apply this method to pregnant women who experience lower back pain and anxiety. The progressive muscle relaxation method can be used as material in Complementary Therapy in Pregnancy to develop obstetric science.]]>
