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Motivation is the Strongest Influence in Choosing Delivery Place Astuti, Indria
Indonesian Journal of Obstetrics and Gynecology Volume. 1, No. 3, July 2013
Publisher : Indonesian Socety of Obstetrics and Gynecology

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Abstract

Objective: To analyze the factors that correlated with decision to choose the most appropriate delivery place of mothers’ delivery attended by health personnel, in West Bandung District. Method: This was a case-control study with consecutive sampling method on the mothers who gave birth at two health centers: Cikalong Wetan and Cipongkor, West Bandung District. There were two groups of mothers. First, the case group consisted of 52 mothers at non-healthcare facilities. Second, control group consisted of 52 mothers at healthcare facilities. There were sociodemographic (culture, educational), contextual (income, transportation, distance, availability health facilities) and characteristics of needs (counseling, prenatal care, motivation) factors and dependent variable was decision in choosing the place of delivery. The data was analyzed using chi square test to determine the correlation factors, whereas multiple logistic regression was used to determine the strongest correlating factors. Result: The results showed that there were correlation between various factors with the decision selection of delivery place of the mothers by health care in: cultural factor (OR = 23; p < 0.001; CI 95% : 7.99-66.20), educational factor (OR = 4.86; p < 0.001; CI 95% : 1.35- 19.09), income factor (OR = 2.36; p = 0.031; CI 95%: 6.51-57.49), transportation factor (OR = 19.35; p < 0.001; CI 95%: 6.51 to 57.49), distance factor (OR = 3.19, p = 0.007; 95% CI: 1.67-37.69), availability health facilities factor (OR = 7.94, p = 0.007; CI 95% 1.67-37.69 and OR = 3.97; CI 95% : 0.40-39.75), counseling factor (OR = 23, p < 0.001; CI 95%: 7.99-66.20), prenatal care factor (OR = 5.21, p < n0.001; 95%: 2.24-12.12), motivational factor (OR = 196, p < 0.001; CI 95 % : 41.64-922.48). The strongest factor was the motivational factor (OR = 103.33; p < 0.001; CI 95%: 10.00-1065.72). Conclusion: This study concluded that there was correlation between sociodemographic, contextual, and characteristics of needs with the decision in choosing place of delivery that attended by health personnel. Motivation was the strongest factor correlated to the mothers’ decision to deliver at public health center. [Indones J Obstet Gynecol 2013; 1-4:173-8] Keywords: characteristics of demand, contextual, delivery place, socio-demographic
PENGARUH HYPNOBIRTHING TERHADAP TINGKAT NYERI DAN KEMAJUAN PERSALINAN PADA IBU BERSALIN DI BPM KOTA CIMAHI Astuti, Indria; Noviyanti, Noviyanti
The Southeast Asian Journal of Midwifery Vol 1 No 1 (2015): The Southeast Asian Journal of Midwifery
Publisher : Asosiasi Pendidikan Kebidanan Indonesia

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Abstract

Sekitar 90% penyebab kematian ibu adalah komplikasi obstetrik yang terjadi saat persalinan. Salah satu komplikasi obstetrik adalah persalinan yang berlangsung lama yang disebabkan kontraksi uterus yang tidak adekuat. Salah satu upaya mempertahankan kontraksi uterus adalah dengan tehnik hypnobirthing. Penelitian ini bertujuan untuk mengetahui pengaruh hypnobirthing terhadap tingkat nyeri dan kemajuan persalinan.Jenis penelitian yang digunakan adalah True Experiment yang termasuk ke dalam Posttest Only Control Design. Populasi penelitian ini adalah ibu bersalin di salah satu BPM di Kota Cimahi sebanyak 30 responden. Teknik pengambilan sampel dengan menggunakan purposive sampling yang berdasarkan kriteria penelitian. Teknik pengumpulan data dengan menggunakan lembar observasi dan partograf, dan analisis data menggunakan bivariat dengan Uji T-test independent.Hasil analisis yang diperoleh menunjukkan bahwa nilai p tingkat nyeri adalah 0.001, yang artinya bahwa terdapat pengaruh hypnobirthing yang signifikan terhadap penurunan intensitas nyeri dan 0.038, yang artinya bahwa terdapat pengaruh hypnobirthing yang signifikan terhadap kemajuan persalinan.ABSTRACTApproximately 90% of causes of maternal deaths occur during delivery due to obstetric complications. One of the complications is prolonged labor caused by inadequate contractions. One method to maintain the uterine contractions is with hypnobirthing. The objective of this research was to determine the effects of hypnobirthing on the level of pain and the progress of labor.This was a true experiment with a posttest only control design. The population was women delivering at BPM at the Cimahi amounting to 30 respondents. The sampling technique used accidental sampling based on research criteria. Data collection method used observation sheets and partograph. The data were then analyzed using bivariate analysis with T-test independent.The results showed that the p-value obtained was 0.001 and 0.038, respectively, meaning that there was a significant relationship between hypnobirthing and decreased pain intensity and between hypnobirthing and the progress of labor.
PENGARUH TERAPI PIJAT TERHADAP PENGURANGAN NYERI PERSALINAN KALA I FASE AKTIF PADA IBU BERSALIN (STUDI KASUS DI KOTA BANDUNG) Noviyanti, Noviyanti; Astuti, Indria; Hamdah, N. Melly Nilawati
The Southeast Asian Journal of Midwifery Vol 2 No 1 (2016): The Southeast Asian Journal of Midwifery
Publisher : Asosiasi Pendidikan Kebidanan Indonesia

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Abstract

Nyeri persalinan merupakan nyeri yang timbul karena adanya kontraksi otot-otot uterus, hipoksia dari otot-otot yang mengalami kontraksi, peregangan serviks pada waktu membuka, iskemia korpus uteri, dan peregangan segmen bawah rahim. Salah satu cara penatalaksanaan nonfarmakologis untuk mengurangi nyeri persalinan adalah dengan endorphin-induced massage. Pijat ini merupakan teknik sentuhan serta pemijatan ringan yang dapat menormalkan denyut jantung dan tekanan darah, serta meningkatkan kondisi rileks dalam tubuh ibu hamil dengan memicu perasaan nyaman melalui permukaan kulit. Teknik ini dapat meningkatkan pelepasan zat oksitosin. Penelitian ini bertujuan untuk mengetahui pengaruh endorphin-induced massage terhadap nyeri persalinan kala I fase aktif pada ibu bersalin.Penelitian menggunakan Pre Experimental Design dengan One Group Pretest-Posttest. Sampel penelitian berjumlah 36 responden dengan teknik pengambilan sampling Accidental. Pengumpulan data adalah melalui wawancara dengan menggunakan kuesioner. Analisis data menggunakan univariat dan bivariat uji t-dependent.Hasil penelitian menunjukan bahwa sebelum dilakukan endorphin-induced massage, 33 (91,7%) responden mengalami skala nyeri berat dan, setelah dilakukan endorphin-induced massage, sebagian besar responden atau 32 orang (88,9%) mengalami nyeri sedang. Hal ini menunjukkan bahwa pijat ini memiliki pengaruh terhadap nyeri persalinan kala I fase aktif dengan p-value &lt;0,05. Endorphin-induced massage disarankan untuk memberikan sebagai intervensi dan asuhan kebidanan pada ibu selama persalinan kala I fase aktif.ABSTRACTLabor pain is pain that arises because of the contraction of the muscles of the uterus, hypoxia of the muscle contraction, stretching of the cervix at the time of dilation, ischemia of the uterine corpus, and stretching of the lower uterine segment. One way to reduce the non-pharmacological management of labor pain is endorphin-induced massage. This massage is done by touching or light massage technique that can normalize heart rate and blood pressure and increase the relaxed conditions in the pregnant woman’s body by triggering a feeling of comfort through the skin surface. This technique can increase the release of oxytocin substance. This study aimed to determine the effect of endorphin-induced massage at the active phase of the first stage of labor of delivering mothers.This research used Pre Experimental Design with one group pretest-posttest. The samples included 36 respondents with accidental sampling technique. The collection of data was through interviews using a questionnaire. Analysis of data used univariate and bivariate by t-dependent test.The results showed that prior to the endorphin-induced massage, 33 (91.7%) of respondents experienced severe pain scale and, after the massage, the majority of respondents or 32 people (88.9%) had moderate pain. This showed that this massage had an influence on labor pain of the active phase of the first stage with a p-value of &lt;0.05. Endorphin-induced massage is suggested to be provided as interventions and midwifery care in the mother during the active phase of the first stage of labor.
PEMBERDAYAAN WANITA MELALUI PELATIHAN PEMBUATAN KIMCHI PADA IBU RUMAH TANGGA DI BATUJAJAR TIMUR BANDUNG BARAT Perdina Nursidika; Patricia Gita Naully; Indria Astuti
Dharmakarya Vol 9, No 2 (2020): Juni, 2020
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/dharmakarya.v9i2.23280

Abstract

Masyarakat di desa Batujajar Timur memiliki masalah yang cukup kompleks, mulai dari bidang pendidikan, kesehatan, lingkungan hidup, sarana prasarana infrastruktur, ekonomi hingga sosial dan budaya. Namun, permasalahan yang menjadi prioritas adalah permasalahan di bidang ekonomi dan kesehatan. Di desa tersebut masih banyak masyarakat yang miskin dikarenakan kurangnya lapangan pekerjaan. Berdasarkan permasalahan yang telah dijabarkan, diberikan solusi yaitu melakukan pelatihan teknik fermentasi sayur sawi. Sayur sawi dipilih sebagai bahan makanan yang akan difermentasi karena merupakan salah satu komoditas pertanian yang cukup banyak dijumpai di desa Batujajar Timur. Tujuan pengabdian masyarakat ini adalah untuk meningkatkan keterampilan ibu rumah tangga dan meningkatkan perekonomian keluarga. Metode pelaksanaan pengabdian masyarakat ini diawali dengan pengurusan izin dan kerjasama dengan pihak desa Batujajar Timur, persiapan materi; persiapan alat bahan; pembuatan inoculum bakteri; dan fermentasi kimchi. Kegiatan utama yang dilakukan adalah pemberian pre test dan post test; pemberian materi; dan pelaksanaan praktik pembuatan kimchi. Hasil kegiatan pengabdian masyarakat ibu-ibu rumah tangga di Batujajar Timur memiliki kemampuan dan keterampilan dalam teknologi fermentasi kimchi.
Pelatihan Kader Kesehatan untuk Prevensi Penyebaran Penyakit HIV/AIDS pada Ibu Rumah Tangga di Batujajar Timur Bandung Barat Patricia Gita Naully; Perdina Nursidika; Indria Astuti
PengabdianMu: Jurnal Ilmiah Pengabdian kepada Masyarakat Vol 5 No 1 (2019): PengabdianMu: Jurnal Ilmiah Pengabdian kepada Masyarakat
Publisher : Institute for Research and Community Services Universitas Muhammadiyah Palangkaraya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (320.647 KB) | DOI: 10.33084/pengabdianmu.v5i1.974

Abstract

An increasing number of people living with HIV/AIDS among housewives is increasing every time. Providing education to women in terms of reproductive health rights and fighting stigma against people with HIV/AIDS (PLWHA) is the key to prevention. Community service aims to provide training to housewives in the context of prevention of the spread of HIV/AIDS in housewives. The method of community service is done by presenting material in the form of lectures and learning media. Participants are given a pretest and post-test to assess the effectiveness of the training. The results of community service show that all participants can take part in the training and improve in terms of knowledge. All participants will also conduct similar training on other housewives. Conclusion Housewife training activities to prevent the spread of HIV/AIDS can increase understanding of the disease. Further service is expected to be continued with cadres participating in the training, who can provide training to other housewives.
Tele-Konsultasi Kebidanan di Era Pandemi Covid-19, “Gratis: Mari Bertanya: Konsultasi Kesehatan Ibu, Bayi dan Kesehatan Reproduksi Wanita Bersama Bidan Profesional” Indria Astuti; Syara Al-Fajar Shitah; Rani Sumarni
PengabdianMu: Jurnal Ilmiah Pengabdian kepada Masyarakat Vol 7 No 2 (2022): PengabdianMu: Jurnal Ilmiah Pengabdian kepada Masyarakat
Publisher : Institute for Research and Community Services Universitas Muhammadiyah Palangkaraya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33084/pengabdianmu.v7i2.2342

Abstract

The Covid-19 pandemic forces us to do everything from home; this impacts access to maternal, child, and reproductive health services. Recent research has shown that coronavirus infection is similar to HIV, which has a similar gene mutation, which means it can attack human cells 1,000 times stronger than the SARS virus. Therefore, President Jokowi has instructed to carry out activities at home, in which health services are also limited. Many concerns occur in the community, especially among pregnant women, so that even pregnant women cannot access health services and postpartum mothers, infants, and mothers who are family planning acceptors. The latest data from the BKKBN shows a national decline in family planning services from February to March; almost 50% of family planning services in each type of family planning have decreased; one of the factors is the lack of information and education to the public, how to use safe contraception during pregnancy this pandemic. This community service aims to help with problems regarding the difficulty of accessing health services due to the pandemic, and this activity is a form of devotion to the midwifery study program and the profession in the country. Implementing this community service uses internet access and communication tools, both laptops and the internet. The main activity of this community service is to provide online midwifery consultation via text, voice, and video. 100% stated that they were satisfied with the counselor's services provided 90% of clients noted that this online consultation helped solve their problems experienced clients.
Pengaruh Hypnobirthing Terhadap Tingkat Nyeri Dan Kemajuan Persalinan Pada Ibu Bersalin Di Bpm Kota Cimahi Indria Astuti; Noviyanti Noviyanti
SEAJOM: The Southeast Asia Journal of Midwifery Vol 1 No 1 (2015)
Publisher : AIPKIND (Asosiasi Pendidikan Kebidanan Indonesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (178.589 KB) | DOI: 10.36749/seajom.v1i1.57

Abstract

Approximately 90% of causes of maternal deaths occur during delivery due to obstetric complications. One of the complications is prolonged labor caused by inadequate contractions. One method to maintain the uterine contractions is with hypnobirthing. The objective of this research was to determine the effects of hypnobirthing on the level of pain and the progress of labor. This was a true experiment with a posttest only control design. The population was women delivering at BPM at the Cimahi amounting to 30 respondents. The sampling technique used accidental sampling based on research criteria. Data collection method used observation sheets and partograph. The data were then analyzed using bivariate analysis with T-test independent. The results showed that the p-value obtained was 0.001 and 0.038, respectively, meaning that there was a significant relationship between hypnobirthing and decreased pain intensity and between hypnobirthing and the progress of labor.
Pengaruh Buah Naga Merah Terhadap Kadar HB Ibu Hamil Trisemester II dan III di Puskesmas Batujajar Rika Nurhasanah; Indria Astuti
JURNAL KESEHATAN KARTIKA Vol. 14 No. 3 (2019): Jurnal Kesehatan Kartika
Publisher : Faculty of Health Science and Technology, University of Jenderal Achmad Yani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26874/jkkes.v14i3.114

Abstract

Anemia pada ibu hamil merupakan masalah bagi kesehatan ibu. Anaemia dapat menimbulkan komplikasi pada ibu maupun bayi. Salah satu upaya yang dilakukan untuk mencegah terjadinya anemia pada ibu hamil adalah dengan mengkonsumsi buah naga. Penelitian ini bertujuan untuk mengetahui pengaruh buah naga terhadap kadar HB ibu hamil trisemester II dan III. Desain penelitian menggunakan quasi eksperimen dengan rancangan postest only group design. Populasi dalam penelitian adalah ibu haml trisemster II dan III yang berjumlah 30 orang yang terbagi dalam 2 kelompok, yaitu kelompok perlakuan dan kelompok kontrol. Analisis data dilakukan secara univariat dan bivariat dengan Uji T. Hasil penelitian menunjukkan terdapat perbedaan yang signifikan kadar HB ibu yang mengkonsumsi buah naga denga yang tidak mengkonsumsi. Disarankan bagi petugas kesehatan untuk memberikan sosialisasi kepada ibu hamil untuk mengkonsumsi buah naga merah sebagai alternative dalam meningkatkan kadar HB
Implementasi Program Inovasi Posyandu Remaja “Bestie” SMP dan SMA se-Wilayah Kerja UPTD Puskesmas Tumbang Kajamei 2021-2022 Shitah, Syara Al-Fajar; Astuti, Indria
Jurnal Abdimas Kartika Wijayakusuma Vol 5 No 2 (2024): Jurnal Abdimas Kartika Wijayakusuma
Publisher : LPPM Universitas Jenderal Achmad Yani

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26874/jakw.v5i2.405

Abstract

Tantangan yang dihadapi oleh para remaja berasal dari diri mereka sendiri (biopsychosocial factors) dan lingkungan (environmental factors). Dengan kondisi tersebut, remaja perlu memiliki kemampuan untuk menghadapinya. Apabila mereka tidak memiliki kemampuan maka akan timbul berbagai permasalahan di antaranya masalah kesehatan. Tujuan dari kegiatan ini adalah membentuk posyandu remaja agar menjadi sarana edukasi kesehatan dan pencegahan penyakit. Metode pelaksanaan posyandu remaja mengusung konsep fleksibilitas, melihat kondisi lapangan, peserta dan aksesibilitas kegiatan. Kegiatan Posyandu Remaja ini dibagi menjadi 5 kali pertemuan yang dilaksanakan pada September 2022 sampai Desember 2022. Hasil kegiatan menunjukkan terdapat peningkatan pengetahuan sebelum dan setelah pretest, peningkatan kehadiran dari pertemuan 1 dan 2, serta remaja dengan anemia sebanyak 9 orang yang mengalami anemia, dengan rentang Hb antara 8,8 – 11,9 g/dL dan setelah diberikan intervensi, terdapat peningkatan kadar Hb. Kegiatan ini berhasil dilaksanakan dengan terbentuknya posyandu remaja dan kader posyandu remaja, serta terpantaunya kondisi status gizi dan anemia pada remaja putri. Kegiatan yang terbentuk ini dilakukan secara rutin satu tahun 2 kali dengan pemberian edukasi dan informasi kepada remaja, pemeriksaan status gizi remaja, pemantauan anemia, penyakit menular dan tidak menular, pemantauan pemberian tablet tambah darah (TTD) pada remaja serta konsultasi remaja.
Factors associated with the practice of early complementary feeding and its impact on the nutritional status of infants aged 7 to 23 months Rika Nurhasanah; Achmad Fauzi; Indria Astuti
Malahayati International Journal of Nursing and Health Science Vol. 7 No. 10 (2024): Volume 7 Number 10
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v7i10.586

Abstract

Background: Proper complementary feeding plays a crucial role in influencing an infant's nutritional status. Key factors to consider when introducing complementary foods include the starting age, the consistency and texture of the food, the portion size, and the frequency of feeding. Purpose: To identify factors related to the practice of early complementary feeding and their impact on the nutritional status of infants aged 7 to 23 months. Method: A quantitative analytical research with a cross sectional design. Respondent were selected using purposive sampling and the Slovin formula, resulting in 51 respondent from Sipayung Village. Univariate statistical analysis was conducted, including chi square test. Results: The chi-square test revealed a significant relationship between nutritional status and factors such as the age of feeding onset (p=0.015), consistency of delivery (p=0.006), portion size (p=0.000), and feeding frequency (p=0.000). In the "good nutrition" category, the majority were in alignment with the recommended feeding guidelines: 41 (87.2%) for age of onset, 40 (88.9%) for consistency of delivery, 40 (90.0%) for portion size, and 41 (91.1%) for feeding frequency. On the other hand, malnutrition was more common in those not following the appropriate guidelines: 3 (75.0%) for age of onset, 4 (66.7%) for consistency of delivery, 5 (71.4%) for portion size, and 5 (83.3%) for feeding frequency. Conclusion: A significant relationship exists between the practice of providing complementary breastfeeding and factors such as the age of onset of feeding, consistency of delivery, quantity of food, and feeding frequency.