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STUDY MIXED METHODS PPNMSS (PERCEIVED PRENATAL MATERNAL STRESS SCALE) TERHADAP TINGKAT STRES IBU REMAJA DENGAN KTD (KEHAMILAN TIDAK DIINGINKAN) Risatantry Gultom; Wellina Br Sebayang; Hotmauli Sitanggang
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.
Experience of First-Time Mothers in Caring for Premature Babies at Imelda Indonesian Workers Hospital Medan in 2025 Risatantry Gultom; Ervina Agustin; Agus Mutiara Situmeang; Siti Nurjannah Pasaribu; Silpianna Pane
Benih : Journal of Midwifery Vol. 5 No. 02 (2026): Benih : Journal of Midwifery
Publisher : Cattleya Darmaya Fortuna

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54209/benih.v5i02.628

Abstract

Background: Premature birth is a significant global and national health issue causing substantial psychological distress in primiparous mothers. Their lack of experience and the challenging NICU environment exacerbate maternal anxiety and self-distrust. This study aims to explore the experiences of primiparous mothers in caring for premature infants at Imelda Pekerja Indonesia Hospital, Medan. Objective: To explore the experiences of primiparous mothers in caring for premature infants at Imelda Pekerja Indonesia Hospital, Medan, including their level of knowledge and readiness, pregnancy and delivery history, psychological status, and family and healthcare professional support. Methods: A descriptive qualitative study with a phenomenological approach was employed. A sample of 7 primiparous mothers was selected through purposive sampling. Data were collected via semi-structured interviews and analyzed thematically. Validity was maintained through member checking and source triangulation. Results: Five main themes and thirteen subthemes were identified: (1) Mother's Knowledge and Readiness Level (lack of knowledge, readiness to care, care practices, role transformation); (2) Pregnancy and Delivery History (ANC non-compliance, complications, signs of prematurity); (3) Psychological Status (psychological changes, coping mechanisms); (4) Support (family, husband, healthcare professionals); and (5) Mother's Hopes (healthy baby). Primiparous mothers faced significant challenges but demonstrated strong adaptation due to comprehensive support. Conclusion: Primiparous mothers experience emotional and knowledge complexities in caring for premature infants but show resilience and adaptation. Support from family, husbands, and healthcare professionals is crucial in this process, shaping hopes for the baby's optimal health. Recommendations include enhancing education, psychosocial support, and a more supportive care environment.
PEMBERIAN EDUKASI DAMPAK PERGAULAN BEBAS PADA REMAJA Risatantry Gultom; Elvalini Warnelis Sinaga; Dewi Novitasari; Mutya Syahara; Rodiah Sitompul; Aini Dinasih; Wahyuni Ritonga; Kartika Eulan Sari; Nazwa Marisqa; Dita Nabila Putri
Jurnal Pengabdian Kolaborasi dan Inovasi IPTEKS Vol. 4 No. 1 (2026): Februari
Publisher : CV. Alina

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59407/jpki2.v4i1.3573

Abstract

Pergaulan bebas yang dilakukan oleh remaja biasanya bagian dari pelampiasan emosi atau rasa kecewa yang dialami kepada orang terdekat ataupun keluarga. Adapun beberapa macam pergaulan bebas yang dilakukan oleh remaja seperti penyalah gunaan narkoba, seks bebas, mabuk, dan kenakalan remaja lainnya. Pergaulan bebas juga mencakup berbagai aktivitas, yang berkaitan dengan hubungan seksual tanpa komitmen resmi atau ikatan pernikahan, penggunaan narkona dan alkohol. Kota Medan merupakan kota terbesar ketiga di Indonesia, dengan jumlah populasi anak muda pada tahun 2022 mencapai 598.366 jiwa. Dari jumlah tersebut, 9.050 kasus penyakit menular seksual tercatat pada tahun 2022, yang menunjukkan peningkatan dibandingkan tahun 2017 yang tercatat 8.997 kasus. Kondisi ini terjadi karena kurangnya pemahamanterhadap remaja mengenai penyakit menular seksual serta minimnya sosialisasi dari dinas kesehatan terkait topik pergaulan bebas pada remaja tersebut kepada kalangan muda di Kota Medan. Akibat rendahnya pengetahuan dan pemahaman tentang penyakit seksual, banyak remaja yang menunjukkan ketidak pedulian terhadap pergaulannya, yang berujung pada tingginya angka hubungan seks bebas dan pergaulan bebas, yang pada akhirnya menyebabkan meningkatnya kasus penyakit menular seksual di kalangan mereka (Rahma Aulia et al., n.d.).Metode penyuluhan menggunakan media leaflet, kuisioner pre-post, dan tanya jawab. Metode ini adalah dengan cara pengambilan sempel dengan pervosif sempel. Sedangkan pengambilan data dilakukan dengan metode tanya jawab antar penyaji dan siswa. Berdasarkan hasil evaluasi yang kami dapat, pemahaman siswa/siswi terkait dampak pergaulan bebas pada remaja mengalami peningkatan