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STUDY MIXED METHODS PPNMSS (PERCEIVED PRENATAL MATERNAL STRESS SCALE) TERHADAP TINGKAT STRES IBU REMAJA DENGAN KTD (KEHAMILAN TIDAK DIINGINKAN) Gultom, Risatantry; Br Sebayang, Wellina; Sitanggang, Hotmauli
Jurnal Ilmiah Kebidanan Imelda Vol. 10 No. 2 (2024): Jurnal Ilmiah Kebidanan Imelda
Publisher : Program Studi S1 & DIII-Kebidanan Universitas Imelda Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52943/jikebi.v10i2.1754

Abstract

Teenage pregnancy is a global phenomenon with well-known causes and serious health, social and economic impacts. Globally, the Adolescent Birth Rate (ABR) is decreasing, but the rate of change is uneven across regions. Adolescent mothers (aged 10–19 years) face a higher risk of eclampsia, puerperal endometritis, and systemic infections than women aged 20–24 years, and infants of adolescent mothers face a higher risk of low birth weight, preterm birth, and neonatal emergencies. The purpose of this study was to analyze and explore the stress levels of adolescent mothers with PPNMSS in unintended pregnancies. The research method used was a mixed method with a Sequential Explanatory Design approach. The sample in this study was 45 adolescent pregnant women and those who were used as qualitative research informants were adolescent pregnant women who experienced severe stress. This study used a purposive sampling technique. Data collection using the PPNMSS questionnaire and in-depth interviews. Data analysis was carried out using univariate tests with the aim of describing the characteristics of informants and the stress levels of pregnant women. In the bivariate test with the chi square test through SPSS version 25 aims to see what is related to the stress level of pregnant women who are teenagers. While qualitative analysis can be done after finding pregnant teenage mothers with the highest scores who experience stress during pregnancy. The analysis used with thematic analysis with Nvivo 12 Plus software starting from data collection, data reduction, data display, verification and confirmation of conclusions (conclusion drawing and verification). The results of the study showed that pregnant women who were teenagers were mostly 19 years old (33.0%), the majority of junior high school education (42.0%), the majority of teenage mothers did not work (80.0%) and the majority experienced severe stress (29.0%). Based on the Pearson chi-square value (0.001; 0.024; 0.029) showed a relationship between age, education and work with the stress level of pregnant women who were teenagers. The research theme consists of factors causing Unwanted Pregnancy (KTD), coping strategies for Unwanted Pregnancy, the impact of Unwanted Pregnancy. Conclusion: High stress on unwanted pregnancy and high desire among adolescent couples to have abortion, highlight the need for coping strategies and information support from health workers, especially through social media promotion.
The Negative Impact of Teen Pregnancy: Scoping Review BR. Sitanggang, Hotmauli; Gultom, Risatantry; Simamora, Debora Lestari; Rambe, Nova Linda
COVID-19 : Journal of Health, Medical Records and Pharmacy Vol. 1 No. 02 (2024): COVID-19 : Journal of Health, Medical Records and Pharmacy
Publisher : CV. Devitara

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

Abstract

Adolescent pregnancy has now become a widespread problem that occurs in various countries, both in developing and developed countries. Adolescent pregnancy can have a negative impact on the health of the teenager itself and is one of the causes of the high maternal mortality rate. This study aims to find out the literature related to the negative impact of teenage pregnancy. The review uses methods that are compliant with the PRISMA Sc-R Guidelines, the focus of the review is determined by keywords, inclusion and exclusion criteria, the search for articles uses relevant databases, and the selection process is described in the PRISMA flowchart. Of the 450 articles selected according to the inclusion and exclusion criteria, 10 articles were reviewed in this study, five themes were found, namely: Anemia in pregnancy, Premature birth and BBLR, Preeclampsia/eclampsia, Psychological disorders and neonatal maternal death. Adolescent pregnancy has a significant negative impact on maternal health and causes death for both mother and baby.
GWANCANA (Women's Movement to Prevent Anemia) in Improving Adolescent Health Independence at PAB 8 Middle School Sampali Medan: GWANCANA (Gerakan Wanita Cegah Anemia) Dalam Peningkatan Kemandirian Kesehatan Remaja di SMP PAB 8 Sampali Medan Warnelis Sinaga, Elvalini; Gultom, Risatantry; Samgryce Siagian, Hartika; Christy, Johanna; Veronika, Ida; Priscillia, Prilly
Jukeshum: Jurnal Pengabdian Masyarakat Vol. 5 No. 1 (2025): Edisi Januari 2025
Publisher : Universitas Haji Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51771/jukeshum.v5i1.1200

Abstract

One of the nutritional problems faced by adolescents is anemia. Anemia is defined as a decrease in blood hemoglobin (Hb) levels below normal values for age and gender. Common Hb values are <13.5 g/dL in adult men and <11.5 g/dL in adult women. Several factors that influence adolescents to experience anemia are unhealthy eating patterns, limited sources of knowledge and skills, lack of commitment from the school, and lack of student understanding of the dangers of anemia. The implementation of the GWANCANA program is to increase the independence of adolescent girls in preventing anemia by utilizing and reactivating the School Health Unit by forming a women's movement to prevent anemia. The target of community service counseling is adolescent girls at SMP PAB 8 SAMPALI Junior High School, Jl. Pasar Hitam No.69, Percut Sei Tuan District, Deli Serdang Regency, Sumatra Province, this aims to increase the independence of adolescent girls in preventing anemia by utilizing and reactivating the School Health Unit by forming a women's movement to prevent anemia (GWANCANA). Respondents from the counseling activities were all 124 young women. The method used was to measure knowledge first to see the increase in knowledge before and after the counseling was carried out using several media such as: questionnaires, posters, ppt and leaflets to attract the attention of female students of SMP PAB 8 SAMPALI. The knowledge of young women where the average previous knowledge value was 45.2 and after being given counseling increased to 89.1 This women's movement to prevent anemia plays a very important role in increasing the independence of young women in improving their health.
GEMAR CETING (Healthy and Nutritious Food Movement Prevents Wasting) in School-Age Children at Public Elementary School 104209 Saentis: GEMAR CETING (Gerakan Makanan Sehat dan Bergizi Mencegah Wasting) Pada Anak Usia Sekolah di SD Negeri 104209 Saentis Manurung, Sarida; Gultom, Risatantry; Magdalena T Bolon, Christina; Melati, Puput; BR. Sebayang, Wellina
Jukeshum: Jurnal Pengabdian Masyarakat Vol. 5 No. 1 (2025): Edisi Januari 2025
Publisher : Universitas Haji Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51771/jukeshum.v5i1.1207

Abstract

Nutritional problems are a global health problem that occurs almost all over the world. The impact of malnutrition will inhibit the growth process in children such as stunting and wasting, which results in a level of intelligence that is not optimal and is more susceptible to disease due to an imperfect immune system. The GEMAR CETING activity (healthy and nutritious food movement to prevent wasting) for school children is a form of health promotion activity with an educational method through counseling. From the results of observations, the problem of wasting also occurred at SD Negeri 104209 Saentis, where more than 40 out of 352 children were found to have a thin body posture, weight far below the standard growth curve or weight based on height. The purpose of this service is to increase knowledge for teachers and students about healthy and nutritious food in daily meals and the dangers of consuming unhealthy foods. The results of this service found 4 problems, namely low knowledge about wasting, not eating breakfast, unhealthy snacks and low knowledge related to child growth and development. In this service, GEMAR CETING was held by providing education to children through interesting educational videos about wasting, the importance of breakfast, healthy food and assessing child growth and development. Health promotion media is also provided to parents and teachers through leaflets and posters in the school environment. Based on the education that has been provided through educational videos, it shows that the percentage of questionnaire results on knowledge of 4 educational topics from 52.5% increased to 84.6%. The conclusion in this service is the importance of teacher involvement in detecting child growth and development and also monitoring children's snacks. Institutional support is very important in improving health promotion about healthy food and wasting.