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PENYEBAB UNMET NEED KB DARI SUDUT PANDANG BUDAYA MINANGKABAU DI NAGARI LAMBAH KECAMATAN AMPEK ANGKEK KABUPATEN AGAM Fahrunnisa, Fahrunnisa; Meilinda, Agus
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

Unmet need KB adalah wanita yang membutuhkan KB tetapi tidak terpenuhi. Salah satu sasaran program BKKBN 2010-2014 adalah menurunnya angka unmet need dari 9,1 % menjadi 5 % dari jumlah PUS. Penelitian ini ingin mengetahui faktor penyebab unmet need KB dari sudut pandang Budaya Minangkabau di Nagari Lambah Kecamatan Ampek Angkek Kabupaten Agam.Penelitian ini merupakan penelitian kualitatif dengan informan PUS di Nagari Lambah dengan pengambilan sampel yang menggunakan teknik Quota Sampling. Pengumpulan data dilakukan secara in-depth interview kepada PUS dan 4 orang tokoh masyarakat, yaitu: Niniak Mamak, Alim Ulama, Cadiak Pandai, dan Bundo Kanduang.Hasil penelitian menunjukkan bahwa penyebab unmet need KB adalah adanya larangan suami, keinginan terhadap jenis kelamin anak tertentu, dan rumor dan mitos yang negatif terhadap KB. Budaya ini juga berkaitan dengan matrilineal dan harato pusako di Minangkabau. Selain nilai budaya, nilai agama juga ikut mempengaruhi.ABSTRACTUnmet need for family planning (FP) is women that cannot meet their need of contraceptives. Factors to cause unmet need of contreaceptives seen from Minangkabau culture in Nagari Lambah of Ampek Angkek Sub-district of Agam District in 2014 was not yet known.This was a qualitative research. The informants were all couples of reproductive age (PUS) in Nagari Lambah with quote sampling. Data was collected with in-depth interviews to PUS and 4 public figures, namely Niniak Mamak, Alim Ulama, Cadiak Pandai, and Bundo Kanduang.The results showed that the causes of unmet need for FP were prohibition from husband, desire for certain gender of child, and negative myths and rumors about contraception. This culture was related to matriarch and Harato Pusako in Minangkabau. In addition to culture, religion also influenced respondents’ unmet need of FP.
EVALUASI METODE SEVEN JUMP DALAM PEMBELAJARAN TUTORIAL PADA MATA KULIAH ASUHAN KEBIDANAN KEHAMILAN DI PRODI D-III KEBIDANAN BUKITTINGGI POLTEKKES KEMENKES PADANG Yosi Sefrina, Meilinda Agus,
Menara Ilmu Vol 11, No 74 (2017): Vol. XI Jilid 2 No. 74, Januari 2017
Publisher : LPPM Universitas Muhammadiyah Sumatera Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33559/mi.v11i74.1285

Abstract

D-III curriculum in 2011 is a competency based curriculum refers to the law No 20 of 2003 on the education system. Student-centered learning that implement PBL (Problem Based Learning), using seven jump methods. Tutor seven jump applying methods still apply teacher-centered learning in small groups. This research aimed to determine the evaluation methods of seven jump student tutorial discussions Diploma III Midwifery Program of Polytechnic Health Ministry of Padang (in Bukittinggi). This research method is descriptive, explorative non experimental included in qualitative design. The Sample are 84 respondents of first year students of Diploma III Midwifery Program of Polytechnic Health Ministry of Padang (in Bukittinggi). Factors studied are the seven jump in the groups, the reasoning process, self directed learning, and the evaluation of seven jump methods. The result showed that 56% of the seven jump process in the groups is good, 53,6% of the reasoning process of seven jump methods is good, 63,1% of self directed learning is low and 63,1% of the evaluation of seven jump methods is satisfied.The result of the research as an input to the policy makersto plan the training on PBL withseven jump tutorial methods on competence-based curriculum correctly. Key words : seven jump, tutorial, problem-based learning, student centered learning
Pengaruh Perbedaan Kadar Oksitosin Melalui Pemijatan Oksitosin Terhadap Jumlah Perdarahan pada Ibu 2 Jam Postpartum Desi Sarli; Masrul Masrul; Meilinda Agus
Jurnal Kesehatan Andalas Vol 4, No 3 (2015)
Publisher : Fakultas Kedokteran, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jka.v4i3.357

Abstract

Abstrak Upaya penanganan perdarahan postpartum adalah dengan pemberian oksitosin yang mempunyai peranan penting dalam merangsang kontraksi otot polos uterus sehingga perdarahan dapat teratasi.Hormon oksitosin dapat dihasilkan melalui rangsangan pemijatan oksitosin yang akan mempercepat kerja saraf parasimpatis untuk menyampaikan perintah ke hipotalamus untuk menghasilkan oksitosin. Tujuan penelitian ini adalah untuk mengetahui pengaruh perbedaan kadar oksitosin melalui pemijatan oksitosin terhadap jumlah perdarahan pada ibu 2 jam postpartum. Penelitian menggunakan desain eksperimen. Penelitian ini dilaksanakan ± 6 bulan dengan jumlah sampel 64 orang. Pengolahan data dilakukan dengan komputerisasi. Data disajikan dalam bentuk distribusi frekuensi dan selanjutnya dilakukan uji independen t-test, uji korelasi dan regresi untuk mengetahui pengaruh hubungan kedua variabel. Hasil penelitian perbedaan kadar oksitosin pada ibu 2 jam postpartum pada kelompok intervensi mempunyai rata-rata kadar oksitosin 47.16 pg/ml dengan standar deviasi 17.583 pg/ml,sedangkan kadar oksitosin  pada kelompokkontrol 29.86 pg/ml dengan standar deviasi 17.532 pg/ml dengan nilai p<0,05.Rata-rata jumlah perdarahan pada kelompok intervensi 175.00 ml dengan standar deviasi 48.894 ml,sedangkan jumlah perdarahan  pada kelompok kontrol 247.06 ml dengan standar deviasi 72.093 ml dengan nilai p<0,05. Hasil uji korelasi didapatkan hubungan kadaroksitosin terhadap jumlah perdarahan menunjukkan hubungan sedang (r=0,482). Hasil uji statistik didapatkan ada perbedaan kadar oksitosin terhadap jumlah perdarahan (p<0,05). Terdapat perbedaan yang bermakna antara kadar oksitosin ibu 2 jam postpartum pada kelompok intervensi dan kelompok kontrol.Terdapat perbedaan yang bermaknaantara jumlah perdarahan ibu 2 jam postpartum pada kelompok intervensi dan kelompok kontrol. Semakin tinggi kadar oksitosin maka jumlah perdarahan semakin sedikit.Kata kunci: Pemijatan oksitosin, oksitosin, jumlah perdarahan 2 jam postpartumAbstract Efforts to handling postpartum hemorrhage is to give oxytocin,which it is an important role in oxytocin stimulates uterine smooth muscle contraction, so that bleeding can be resolved.The hormone oxytocin can be generated through the stimulation of oxytocin massage that will accelerate parasympathetic nerves to deliver commands to the hipotalamus to produce oxytocin. The objective of this study was to determine effect of different levels of oxytocin trough massage of oxytocin on the amount of bleeding at 2 hours postpartum. This research use experimental designthat was conducted ± 6 months to 64 people. Data processing was done by computerized. The data presented in the form of a frequency distribution and performed an independen t-test and correlation test and regression to determine the effect ofthe relationship between the two variables. There is differences the levels of oxytocin at 2 hours postpartum in the intervention group had higher median levels of oxytocin 47.16pg/ml with a standard deviation of 17.583pg/ml, whereas the levels ofoxytocin at 2 hours post partum control group 29.86 pg/ml with a standard deviation of 17.532 pg/ml with p<0.05. The average of bleeding in the intervention group was 175.00 ml with a standard deviation of 48.894 ml, while the amount of bleeding at 2 hours postpartum control group 247.06 ml with a standard deviation of 72.093 ml with p<0.05. The results obtained correlation levels of oxytocin relation to 2 hours postpartum hemorrhage showed moderate relationship (r =0.482). The results of statistical tests found differences in the levels of oxytocin on the amount of bleeding at 2 hours postpartum (p<0.05). There is differences between the levels of oxytocin 2 hours pos partum in the intervention group and the group control. There are significant difference between the hemorrhage 2 hours post partum in the intervention group and the group of high levels of oxytocin control. Keywords: massage of oxytocin, oxytocin, amount of bleeding at 2 hours postpartum
Perbedaan Kadar Glukosa Darah Puasa pada Akseptor Suntik Depo Medroksi Progesteron Asetat dengan Akseptor Pil Kombinasi di Puskesmas Lubuk Buaya Padang Tahun 2018 Fafelia Rozyka Meysetri; Joserizal Serudji; Meilinda Agus
Jurnal Kesehatan Andalas Vol 8, No 2 (2019): Online Juni 2019
Publisher : Fakultas Kedokteran, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jka.v8i2.996

Abstract

Penggunaan kontrasepsi suntik depo medroxyprogesterone asetat yang mengandung hormon progesteron memiliki efek terhadap peningkatan kadar glukosa darah. Tujuan penelitian ini adalah menentukan perbedaan kadar glukosa darah puasa antara akseptor suntik depo medroxyprogesteron asetat dan akseptor Pil Kombinasi. Penelitian ini adalah studi observasional dengan desain cross sectional. Penelitian ini dilakukan di Puskesmas Lubuk Buaya Padang dan di Laboratorium Bagian Biokimia Fakultas Kedokteran Universitas Andalas dari bulan September 2018 sampai Januari 2019. Subjek penelitian ini terdiri dari dua kelompok yaitu akseptor suntik depo medroxyprogesteron asetat dan pil kombinasi yang masing-masing terdiri dari 33 sampel. Pemeriksaan kadar glukosa darah puasa dilakukan dengan metode kalorimetrik enzimatik (heksokinase). Data dianalisis menggunakan uji-t dengan nilai p< 0,05 dianggap bermakna secara statistik. Hasilnya didapatkan rerata kadar glukosa darah puasa antara akseptor Suntik Depo Medroxyprogesteron Asetat adalah 109,06 ± 3,54 mg/dl dan akseptor Pil Kombinasi adalah 101,89 ± 3,54 dengan nilai p = 0,158 yang berarti p > 0,05. Simpulan penelitian ini adalah tidak terdapat perbedaan yang bermakna rerata kadar glukosa darah puasa antara akseptor KB suntik depo medroxyprogesteron asetat dengan akseptor pil kombinasi.
Perbedaan Tingkat Kecemasan Ibu Bersalin di Puskesmas dengan di Bidan Praktik Mandiri dan Hubungannya dengan Lama Persalinan Fatihatul Hayati; Rahmatina B. Herman; Meilinda Agus
Jurnal Kesehatan Andalas Vol 6, No 3 (2017)
Publisher : Fakultas Kedokteran, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jka.v6i3.739

Abstract

Kejadian kematian ibu lebih tinggi terjadi pada ibu yang bersalin dengan tindakan dibandingkan pada ibu yang bersalin normal. Rasa cemas yang tidak teratasi juga dapat menyebabkan persalinan berlangsung lebih lama dan harus diakhiri dengan tindakan. Lingkungan bersalin di rumah sakit dapat meningkatkan kecemasan ibu yang berakibat mengganggu kontraksi uterus sehingga tindakan harus dilakukan untuk mempercepat proses persalinan. Tujuan penelitian adalah mengetahui perbedaan tingkat kecemasan ibu bersalin di Puskesmas dan di Bidan Praktik Mandiri serta hubungannya dengan lama persalinan. Desain penelitian adalah crossectional terhadap 74 orang ibu bersalin yang dibagi menjadi dua kelompok yaitu ibu bersalin di Puskesmas dan ibu bersalin di Bidan Praktik Mandiri (BPM) dengan teknik consecutive sampling. Data dianalisis dengan uji t independen dan Chi-square dan hasilnya terdapat perbedaan signifikan dengan nilai p < 0,05 dan terdapat hubungan antara tingkat kecemasan dengan lama persalinan dengan nilai p < 0,05. Simpulan studi ini ialah ada perbedaan signifikan antara tingkat kecemasan ibu bersalin di Puskesmas dan di Bidan Praktik Mandiri, serta ada hubungan antara tingkat kecemasan dan lama persalinan.
Correlation of Calcium Levels With The Strenght of Uterus Contraction on The Active Phase of First Stage Labor Novia Rita Aninora; Joserizal Seridji; Meilinda Agus
Journal of Midwifery Vol 3, No 2 (2018): Published on December 2018
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (292.748 KB) | DOI: 10.25077/jom.3.2.76-83.2018

Abstract

Contributing factor to uterus contraction mechanism is the imbalance of the extracellular calcium level. When extracellular calcium level is inadequate, response of the myometrium to oxytocin decreased and the calcium influx inter-cell membranes are suppressed, thus inhibit uterine contractions. The aim of this research is to know the correlation between levels of calcium and the strength of uterine contraction in the active phase of first stage labor. This was a cross-sectional analytic correlative study in the Dr. Rasidin Hospital Padang and UPTD Health Laboratory in West Sumatra province, in was conducted from November 1st, 2014 till February 2016. Sampling was takes by using non probability sampling with consecutive sampling. Subjects of this research were the active phase of first stage labor of 62 people. Kolmogorof Smirnov normality test was used to the normality of the data. Pearson correlation test was conducted to examine the correlation between dependent and independent variables. Mean levels of calcium in the the stage I of  labor respondents active phase (8.94 ±0,71), while mean strength of uterine contractions in active phase of first stage labor(56.77±11,84), there was positive correlation (r = 0,62) between the levels of calcium in the strength of uterine contractions (p < 0.05). The conclusion of the study there was a significant correlation between the levels of calcium in the strength of uterine contractions.
Factors Related with the Incidence of Severe Preeclampsia at the Hospital Dr M Djamil Padang Nissa Prima Sari; Bobby Indra Utama; Meilinda Agus
Journal of Midwifery Vol 2, No 2 (2017): Published on December 2017
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (359.762 KB) | DOI: 10.25077/jom.2.2.56-65.2017

Abstract

Preeclampsia is a condition characterized by an increase in maternal blood pressure of at least 140/90 mmHg accompanied by proteinuria and other symptoms that occur after 28 weeks gestation. The incidence of preeclampsia in hospital DR M Djamil Padang reached 33%. The exact cause of preeclampsia remains unknown, but extreme maternal age, nulliparity, history of hypertension are suspected to be the risk factors for this. This study aims to determine the factors related with the incidence of severe preeclampsia in the hospital DR M. Djamil Padang.This was observational analytic study with case control study design. The population is divided into two, the case population (all mothers with severe preeclampsia) and the control population (all mothers with no severe preeclampsia). The sample was 85 people taken by simple random sampling with the comparison between case : control (1:1). Data were taken from the patient's medical records. Data analysis was performed using univariate and bivariate using  Chi square test with  p value < 0,05.The results of this study showed there was a relationship between age (p = 0,001), parity (p = 0,020) and history of hypertension (p = 0,003) with the incidence of severe preeclampsia in the hospital DR M Djamil Padang. While the factor that has no significant relation is multiple pregnancy.Mothers with age <20 years old or ≥35 years old, nulliparity, and having a history of hypertension are more at risk for severe preeclampsia. Therefore it is expected for health workers especially midwives to increase awareness to patients especially for those who at risk of  preeclampsia.
Relationship Of Mother Factors With Low Birth Weight (LBW) Infants Which Are Treated In DR.M. Djamil Central Public Hospital Padang Novela Delfita; Desmiwarti Desmiwarti; Meilinda Agus
Journal of Midwifery Vol 2, No 2 (2017): Published on December 2017
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (384.27 KB) | DOI: 10.25077/jom.2.2.66-73.2017

Abstract

Low Birth Weight (LBW) is an infant born with a weight less than 2500 grams. LBW is one of the causes of the high rate of morbidity and infant mortality, and the low quality of human resources. The occurrence of LBW is related to the condition of the mother during pregnancy. This study was aimed to determine the factors associated with the occurrence of LBW.This was a qualitative study with case control study design. The subject of the study was the mother of the LBW infant being treated at Dr. M. DjamilCentral Public Hospital Padang as many as 36 respondents (cases), and mothers of infants who were treated with other diseases as much as 36 respondents (control) from July to mid September 2017 taken by Consecutive Sampling. Data collection was done by filling out questionnaires, observation of medical record data, and measurement of upper arm circumference. Data were analyzed univariate by using frequency distribution and bivariate using chi square test with the degree of meaning 5% (p-value=<0,05).The result of the analysis showed that there was a correlation between maternal age at risk with LBW infants, there was a relationship of poor mother's nutritional status with LBW infants, there was a parity relationship of primiparous mother with LBW infant, there was a relationship of mother who suffered one or more medical illness with LBW infant, there was no relationship of gestational distance to LBW infants, and there was a tendency for the relationship between gemelli gestation and LBW infants.Maternal age, maternal nutritional status, parity, and maternal medical illness are associated with LBW infants treated in Dr. M. Djamil Padang. Regular and periodic monitoring and examination of pregnancy is important to prevent the baby from being born with LBW.
EDUKASI ASI EKSKLUSIF DAN IMPLEMENTASINYA BAGI IBU HAMIL DI RW 10 KELURAHAN PAMPANGAN XX KOTA PADANG Vauline Basyir; Hudilla Rifa Karmia; Meilinda Agus; Ryskina Fatimah Siregar; Yulia Fauziah Amizuar; Eka Darmayanti Putri Siregar; Rionitara W ikarya; Intan Julianingsih; Sari Surahmi; Rahmi Andrita Yuda; Desmawati Desmawati; Aldina Ayunda Insani; Yusrawati Yusrawati
BULETIN ILMIAH NAGARI MEMBANGUN Vol 4 No 4 (2021)
Publisher : LPPM (Institute for Research and Community Services) Universitas Andalas Padang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/bina.v4i4.409

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World Health Organization reported 56 million babies, 34 million babies are not exclusively breastfed. Previous studies have shown 80% of them came from developing countries. The achievement of exclusive breastfeeding in Indonesia based on Indonesia Health Profile (2017) is 55.7% and decreased 54.0% in 2018. West Sumatera reached exclusive breastfeeding target 66.7% in 2017, but lower than Indonesia average target 80%. Babies are not exclusively breastfed are susceptible to morbidity and mortality. Exclusive breastfeeding has a role in preventing LBW, stunting, and reducing the risk of obesity and chronic disease. The lack of mother’s knowledge associated with the practice of exclusive breastfeeding Aims, to determine the knowledge in RW 10 Pampangan Nan XX Village. The assessment of knowledge about exclusive breastfeeding and overview of its implementation. The metode of this event was intervention an education exclusive brestfeeding for 14 pregnant women in RW 10, pampangan XX. Respondent was gave education on Whatsapp and Youtube. Data collection was got by questioners and interviews. The data was processed analyzed, after that was defined priority problems and made action of plans. Result, 78.6% of mothers knew about exclusive breastfeeding but only 43% implemented it. The causes of problem were incorrect about knowledge and techniques breastfeeding. The results of this study were submitted to the puskesmas and stakeholderfor advocacy. Hope that health promotif concerning axclusive breastfedding will increase, through of online and creative medias, by the same token will be escaleting sectoral collaboration as support.
Deteksi Dini Kehamilan Risiko Tinggi di Wilayah Kerja Puskesmas Pegambiran Kota Padang Tahun 2022 Yusrawati Yusrawati; Desmawati Desmawati; Arni Amir; Joserizal Serudji; Vaulinne Basyir; Defrin Defrin; Hudilla Rifa Karmia; Aldina Ayunda Insani Ayunda; Miranie Safaringga; Lisma Evareny; Meilinda Agus
JDISTIRA - Jurnal Pengabdian Inovasi dan Teknologi Kepada Masyarakat Vol. 3 No. 1 (2023)
Publisher : Yayasan Rahmatan Fidunya Wal Akhirah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58794/jdt.v3i1.429

Abstract

Angka Kematian Ibu (AKI) Indonesia secara Nasional tahun 2017 dan 2019 tidak mengalami perubahan yaitu 305 per-100.000 kelahiran hidup. Menurut data Rakernas 2019, ibu hamil meninggal akibat komplikasi kebidanan yang tidak ditangani dengan baik dan tepat waktu, 15% mengalami komplikasi, dan 85% normal. Penyebab utama kematian ibu akibat hipertensi (33,07%), perdarahan obstetrik (27,03%), komplikasi non-obstetrik (15,7%), komplikasi obstetrik lainnya (12,04%), infeksi pada kehamilan (6,06%), dan penyebab lainnya (4,81%). Kelainan saat kehamilan akan berpengaruh terhadap pertumbuhan dan perkembangan janin. Akibatnya, janin mengalami gangguan hingga pertumbuhan dan perkembangan nantinya saat lahir dan masa lima tahunnya (balita). Tindakan promotif dan preventif agar masalah ini teratasi sangatlah penting. Salah satunya kolaborasi Bidan dan dokter kandungan melakukan tindakan promotif dan preventif khususnya pada deteksi dini kehamilan risiko tinggi. Kegiatan dilakukan pada ibu hamil di wilayah kerja Puskesmas Pegambiran, meliputi pemeriksaan tanda-tanda vital, penyuluhan nutrisi ibu hamil dan tanda bahaya pada kehamilan serta Pemeriksaan USG. Didapatkan hasil 3,8% ibu hamil dengan plasenta previa, 3,8% ibu hamil dengan fetal distress, dan terdapat peningkatan pengetahuan ibu hamil terkait nutrisi dan tanda bahaya pada kehamilan. Ibu hamil dengan risiko tinggi pada kehamilan dilakukan rujukan ke fasilitas lebih lengkap. Diharapkan adanya pendampingan dan selalu menggalakkan kebiasaan untuk nutrisi seimbang dan selalu melakukan pemeriksaan (antenatal care).