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KARAKTERISTIK GESTASIONAL DAN STANDAR OPERASIONAL PROSEDUR (SOP) IBU BERSALIN DENGAN SECTIO CAESARIA PADA MASA PANDEMI COVID-19 Putu Dian Prima Kusuma Dewi; Lina Anggaraeni Dwijayanti; Kadek Ayu Suarmini; Ni Made Karlina Sumiari Tangkas; Indrie Lutfiana; Dewa Ayu Dian Purnami
JKM (Jurnal Kebidanan Malahayati) Vol 7, No 3 (2021): Vol.7 No.3 Juli 2021
Publisher : Program Studi Kebidanan Fakultas Kedokteran Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkm.v7i3.4461

Abstract

 Background Covid-19 is a disease that can be transmitted through droplets, with signs and symptoms, namely coughing, shortness of breath, hyperthermia and others. The Covid-19 pandemic period is something that really needs to be considered, especially for maternity mothers who will have a caesarean section, by screening a good covid-19 protocol before a caesarean section is carried out.Purpose of this study was to determine the gestational characteristics of mothers giving birth with Sectio Caesaria during the Covid-19 pandemic in the Central Surgical Installation Room (IBS) of the Sanjiwani Hospital, Gianyar.Methods This study uses a mix method design, where quantitative data uses a cross sectional approach to the type of secondary data, namely Medical Records. The qualitative data used in-depth interviews involving the head of the room and the Head of Nursing at the Sanjiwani Hospital consisting of 4 doctors, midwives and nurses. The data were analyzed by univariate analysis with Stata SE 12 software. This study used total sampling in the period March-September 2020 with a total of 102 mothers who gave birth by cesarean section. Results of the study were obtained from 102 respondents with an average age of 29.77 years, with high school education, namely 75 people (70%), 55 people not working (52%), medical indications 82 people (80.39%), complaints of vaginal discharge (KPD) were 33 people (32.35%), positive rapid test 37 people (36.27%), and positive PCR swab results were 33 people (32.35%).Conclusion The policy is that all pregnant women must undergo a rapid test and PCR test before the delivery process is carried outSuggestions The regulation of maternity services during the COVID-19 pandemic is more about screening, namely mandatory rapid tests and PCR tests. Handling with strict health protocol level 3 to break the chain of virus transmission. Key words: Sectio Caesaria, Covid-19, SOP ABSTRAK  Latar Belakang Covid-19 merupakan penyakit yang dapat ditularkan melalui droplet, dengan tanda dan gejala yaitu batuk, sesak, hipertermi dan lain-lain. Masa pandemi Covid-19 merupakan hal yang sangat perlu diperhatikan terutama pada ibu bersalin yang akan dilakukan tindakan sectio caesarea, dengan melakukan skrining protocol covid-19 yang baik sebelum dilakukan tindakansectio caesarea.Tujuan penelitian ini adalah untuk mengetahui karakteristik gestasional pada ibu bersalin dengan Sectio Caesaria pada masa pandemi Covid-19 di Ruang Instalasi Bedah Sentral (IBS) RSUD Sanjiwani Gianyar.Metode Penelitian ini menggunakan rancangan mixmethod, dimana data kuantitatif menggunakan pendekatan cross sectional pada jenis data sekunder yaitu Rekam Medis. Data kualitatif menggunakan wawancara mendalam yang melibatkan kepala ruangan dan Kabag Keperawatan RSUD Sanjiwani yang terdiri dari dokter, bidan dan perawat yang berjumlah 4 orang. Data dianalisis dengan analisis univariat dengan software Stata SE 12.  Penelitian ini menggunakan total sampling pada periode Maret-September 2020 dengan total 102 orang ibu bersalin dengan tindakan SC.      Hasil penelitian didapatkan dari 102 responden rata-rata pada umur 29,77 tahun, berpendidikan SMA yaitu 75  orang (70%), tidak bekerja sebanyak 55 orang  (52%), indikasi medis sebesar 82 orang (80.39%), keluhan keluar air pervaginam (KPD) yaitu 33 orang (32.35%), rapid test positif 37 orang (36.27%), dan hasil swab PCR positif sebanyak 33 orang (32.35%).Kesimpulan Kebijakan yang dilakukan bahwa seluruh ibu hamil wajib dilakukan rapid test dan PCR test sebelum dilakukan proses tindakan persalinanSaran Regulasi layanan ibu bersalin pada masa pandemi COVID 19 ini lebih pada skrining yaitu wajib rapid test dan test PCR. Penanganan dengan protokol kesehatan yang ketat level 3 untuk memutus rantai penularan virus.   Kata Kunci :  Sectio Caesaria, Covid-19, SOP
Pencapaian Triple Eliminasi Pada Ibu Hamil Di Wilayah Puskesmas Banjar Luh Made Ina Krishanty; putu dian prima kusuma dewi; Indrie Lutfiana
NERSMID : Jurnal Keperawatan dan Kebidanan Vol. 5 No. 2 (2022): Oktober
Publisher :

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55173/nersmid.v5i2.134

Abstract

Indonesia has a prevalence rate of these three diseases reaching 0.39% for HIV, 1.7% for Syphilis and 2.5% for Hepatitis B. With the large population of Indonesia, this figure is still included in the high number so more attention is needed to overcome it. This study aims to see the implementation of triple elimination in pregnant women. Research is a descriptive quantitative research with a cohort study and a retrospective approach. This descriptive research was used to examine the incidence of pregnancy at risk at the Banjar I Health Center by utilizing the maternal cohort register in the last 1 (one) year. The results showed that all pregnant women had non-reactive results in cases of STIs, HIV and Syphilis (425) 100%. Gestational characteristics in pregnant women with low risk, healthy reproductive age of 88.34% (303), distance less than 2 years 55.10% (189) with an average age of 38.9 weeks while the high risk group with unhealthy reproductive age of 68.29% (56), distance of more than 2 years 80.49% (66) with an average gestational age of 39.02 weeks. ANC visits in the irregular category with criteria of more than 30 days i.e. on visits 1 to 2 (293: 68.94%), Visits 2 to 3 (294: 69.18%), visits 3 to 4 (287: 67.53%), visits 4 to 5 (253: 59.53%).  The results of this study can be used as input for midwives in order to provide the right IEC and carry out early detection related to HIV disease. Syphilis dna Hepatitis B in every pregnancy .  
Karakteristik Gestasional Dan Klinis Ibu Hamil Dengan Resiko Di Wilayah Kerja Puskesmas Banjar 1 Luh Pariastini; putu dian prima kusuma dewi; Indrie Lutfiana; Lina Anggaraeni Dwijayanti
NERSMID : Jurnal Keperawatan dan Kebidanan Vol. 5 No. 2 (2022): Oktober
Publisher :

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55173/nersmid.v5i2.135

Abstract

High-risk pregnancy is one of the conditions that can indirectly or directly harm the condition of the mother and baby, which can be prevented if the risk in pregnancy is detected early. In reality, pregnant women who are at high risk or low risk rarely make regular antenatal care visits, so the information they have about risky pregnancies and the importance of antenatal visits is still lacking. The schedule of visit examinations for high-risk pregnant women is carried out more regularly and regularly in accordance with the nature of the risk factors that exist in pregnant women and supporting examinations that need to be carried out. This study aims to look at gestational and clinical characteristics in pregnant women at risk. Research is a descriptive quantitative research with a cohort study and a retrospective approach. This descriptive research was used to examine the incidence of pregnancy at risk at the Banjar I Health Center by utilizing the maternal cohort register in the last 1 (one) year. The results showed that the low-risk pregnancy category was 80.7% (343/425) while the high-risk category was 19.29% (82/425). Gestational characteristics in pregnant women with low risk, healthy reproductive age of 88.34% (303), distance of less than 2 years 55.10 % (189) with an average age of 38.9 weeks while the high risk group with an unhealthy reproductive age of 68.29 % (56), distance of more than 2 years 80.49% (66) with an average age of 39.02 weeks. Clinical characteristics in low-risk pregnant women are average weight 58.8 kg, height 159.5 cm, blood pressure 112.56, risk score for pregnant women 2.3 and LILA 27.3 cm. In high-risk pregnant women with an average weight of 60 kg, height 172.2 cm, blood pressure 114.4, risk score of pregnant women 7.3, and LILA 27.9 cm. The results of this study can be used as input for midwives in order to provide the right IEC and carry out early detection in every pregnancy.  
Studi Kombinasi Capaian Uci (Universal Child Imunisation) Pada Masa Pandemi Covid-19 Menggunakan Logic Framework Evaluation Di Kabupaten Buleleng Luh Putu Mylinda Yani; putu dian prima kusuma dewi; Ni Made Karlina Sumiari Tangkas; Lina Anggaraeni Dwijayanti
NERSMID : Jurnal Keperawatan dan Kebidanan Vol. 5 No. 2 (2022): Oktober
Publisher :

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55173/nersmid.v5i2.136

Abstract

In 2020, the Covid-19 pandemic hit the world, precisely in March 2020, the first case of Covid-19 disease was found in Indonesia, which later greatly affected all the life of the Indonesian people. Along with the outbreak of Covid-19 in Indonesia, the government implemented policies in tackling the pandemic by limiting the mobility of the community that also influenced government programs, especially the immunization program in an effort to reach UCI Village. The purpose of the study was to determine the achievements of UCI during the Covid-19 pandemic, which was studied using a logic framework evaluation in Buleleng Regency. This research is a mix method model of concurrent triangulation strategy. This type of research is used to simultaneously obtain data related to UCI's achievements so that it could support quantitative and qualitative data. The results showed that the pandemic did not affect the achievements of UCI villages with the number of UCI villages in Buleleng Regency as many as 147 villages from 148 villages, in which 1 village did not reach UCI not because of the pandemic but because of the cultures of the local community.
Keteraturan Kunjungan Antenatal Care Dengan Pendekatan Kohort Study Di Puskesmas Banjar I Ni Nengah Yunariasih; putu dian prima kusuma dewi; Indrie Lutfiana
NERSMID : Jurnal Keperawatan dan Kebidanan Vol. 5 No. 2 (2022): Oktober
Publisher :

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55173/nersmid.v5i2.137

Abstract

High-risk pregnancy is one of the conditions that can indirectly or directly harm the condition of the mother and baby, which can be prevented if the risk in pregnancy is detected early. In reality, pregnant women who are at high risk or low risk rarely make regular antenatal care visits, so the information they have about risky pregnancies and the importance of antenatal visits is still lacking. The schedule of visit examinations for high-risk pregnant women is carried out more regularly and regularly in accordance with the nature of the risk factors that exist in pregnant women and supporting examinations that need to be carried out. This study aims to look at gestational and clinical characteristics in pregnant women at risk. Research is a descriptive quantitative research with a cohort study and a retrospective approach. This descriptive research was used to examine the incidence of pregnancy at risk at the Banjar I Health Center by utilizing the maternal cohort register in the last 1 (one) year. The results showed that the low-risk pregnancy category was 80.7% (343/425) while the high-risk category was 19.29% (82/425). Gestational characteristics in pregnant women with low risk, healthy reproductive age of 88.34% (303), distance less than 2 years 55.10% (189) with an average age of 38.9 weeks while the high risk group with unhealthy reproductive age of 68.29% (56), distance of more than 2 years 80.49% (66) with an average gestational age of 39.02 weeks. ANC visits in the irregular category with criteria of more than 30 days i.e. on visits 1 to 2 (293: 68.94%), Visits 2 to 3 (294: 69.18%), visits 3 to 4 (287: 67.53%), visits 4 to 5 (253: 59.53%).  The results of this study can be used as input for midwives in order to provide the right IEC and carry out early detection in every pregnancy.
Evaluasi Pelaksanaan Senam Ibu Hamil Di Kelas Ibu Hamil Luh Ersi Tunggal Putri; Ni Made Karlina Sumiari Tangkas; Putu Sukma Megaputri; putu dian prima kusuma dewi
NERSMID : Jurnal Keperawatan dan Kebidanan Vol. 5 No. 2 (2022): Oktober
Publisher :

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55173/nersmid.v5i2.138

Abstract

Exercise for pregnant women in the class for pregnant women is one of the health programs that is expected to play a role in reducing maternal morbidity and mortality. This study aims to evaluate the implementation of exercise for pregnant women in the class of pregnant women in Sambangan Village, the working area of ​​the Sukasada I Health Center. This research methode used a qualitative type of research conducted with in-depth interviews, observation and document review. The informants in this study were 10 people including the Head of the Puskesmas, the KIA Program Holder, the person in charge of the pregnancy exercise program, the facilitator and six pregnant women. The results of the study indicate that the input aspects of HR planning, infrastructure facilities, targets, and their allocation have been well structured and carried out according to the guidelines. In the aspect of the process of implementing pregnancy exercise, it has been carried out according to a predetermined schedule. In the output aspect, it is known that the average attendance of pregnant women in each activity is 80%, a monitoring and evaluation process has been carried out with the results and has not involved the health office in the monitoring process, the monitoring results are reported in the form of a quarterly activity report. In the short-term outcome aspect, this pregnancy exercise provides benefits for increasing physical and mental health for pregnant women. In the aspect of medium-term outcome, the percentage of normal deliveries and the presentation of disorders or complications experienced by pregnant women and childbirth were found to be below the national data. In the aspect of long-term outcomes in the last 5 years, there were no cases of maternal death in Sambangn Village, Sukasada I Health Center Working Area.
Deteksi Dini Stunting di TK Negeri Surapati Lina Anggaraeni Dwijayanti; Ketut Putra Sedana; Putu Sukma Megaputri; Putu Dian Prima Kusuma Dewi; Ni Made Raningsih
Jurnal Peduli Masyarakat Vol 3 No 1 (2021): Jurnal Peduli Masyarakat, Maret 2021
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jpm.v3i1.351

Abstract

Stunting merupakan masalah yang sangat penting untuk segera ditanggulangi. Prevalensi stunting saat ini masih diatas dari target WHO. Sehingga hal inilah yang memerlukan sebuah pengabdian masyarakat terkait dengan deteksi dini stunting di TK Negeri Surapati Buleleng. Tujuan dari pengabdian ini adalah melakukan deteksi dini stunting pada anak TK sehingga penanganan lebih dini dapat dilakukan. Metode dari pengabdian masyarakat adalah tahap perencanaan, pelaksanaan, monitoring dan evaluasi. Sasaran dari pelaksanaan pengabdian ini adalah seluruh siswa di TK Negeri Surapati Buleleng sejumlah 64 siswa. Pelaksanaan ini dibantu oleh berbagai pihak meliputi Kepala Sekolah, Guru dan mahasiswa untuk melaksanakan pengabdian masyarakat selama rentang waktu bulan Agustus-Desember 2019. Deteksi ini dilakukan secara berkala untuk menilai tinggi badan dan berat badan. Hasil dari pengabdian menemukan bahwa rata-rata berat badan dan tinggi badan meningkat secara signifikan selama waktu pengabdian dilakukan. Walaupun nilainya tidak besar. Kesimpulannya adalah pengabdian masyarakat yang dilakukan berhasil untuk meningkatkan rata-rata berat dan tinggi badan siswa TK Negeri Surapati Buleleng.
STUDI EKSPLORASI IMPLEMENTASI POSYANDU BALITA PADA MASA PANDEMI COVID 19 DI WILAYAH KERJA PUSKESMAS SERIRIT 2 Gusti Ayu Darmiti; Ni Ketut Ayu Wulandari; Putu Dian Prima Kusuma Dewi
PROSIDING SIMPOSIUM KESEHATAN NASIONAL Vol. 1 No. 1 (2022): Simposium Kesehatan Nasional
Publisher : LPPM STIKES BULELENG

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (419.86 KB)

Abstract

Posyandu merupakan lembaga kemasyarakatan yang tumbuh dan berkembang melalui prinsip dari, oleh dan untuk masyarakat. Tujuan dari program posyandu adalah meningkatkan peran serta masyarakat untuk mengembangkan kegiatan kesehatan dan kegiatan-kegiatan lain yang menunjang peningkatan kemampuan hidup sehat. Tujuan penelitian ini adalah mengetahui pemanfaatan posyandu Desa Asem Dusun Kalanganyar di Masa Pandemi Covid-19 Di Wilayah Kerja Puskesmas Seririt II. Jenis penelitian ini adalah deskriptif kuantitatif yang dilaksanakan di Posyandu Desa Asem Banjar Kalanganyar. Pengumpulan data menggunakan tehnik wawancara dengan pedoman kuisioner dengan jumlah sampel 48 orang. Dari hasil penelitian didapatkan pemanfaatan posyandu baik 8 orang(16,67%) dan pemanfaatan posyandu kurang 40 orang (83,33%). Kesimpulan penelitian ini adalah masih rendahnya pemanfaatan posyandu Desa Asem Wilayah Kerja Puskesmas Seririt II. Diharapkan bagi petugas terkait agar lebih meningkatkan informasi yang terkait tentang pemanfaatan posyandu bagi orang tua, khususnya Ibu balita tentang penting nya posyandu.
HUBUNGAN PENGETAHUAN DAN SIKAP IBU TERHADAP PENGGUNAAN ALAT KONTRASEPSI DALAM RAHIM (AKDR) DI DESA PANJI KECAMATAN SUKASADA Luh Eka Sri Adnyani; Putu Sukma Megaputri; Ni Made Karlina Sumiari Tangkas; Putu Dian Prima Kusuma Dewi
PROSIDING SIMPOSIUM KESEHATAN NASIONAL Vol. 1 No. 1 (2022): Simposium Kesehatan Nasional
Publisher : LPPM STIKES BULELENG

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (594.172 KB)

Abstract

AKDR merupakan alat kontrasepsi dengan efektifitas yang tinggi dengan kejadian drop out yang rendah. Tujuan penelitian ini adalah untuk mengetahui hubungan pengetahuan dan sikap ibu terhadap penggunaan AKDR di Desa Panji. Jenis penelitian ini adalah penelitian analitik dengan desain Cross Sectional. Pengumpulan data menggunakan instrumen berupa kuesioner dengan teknik purposive sampling dengan jumlah sampel 93 orang. Berdasarkan uji korelasi Rank Spearman didapatkan nilai p<0,000, dengan nilai koefisien kearah positif. Terdapat hubungan pengetahuan dan sikap ibu terhadap penggunaan AKDR di Desa Panji. Diharapkan peran petugas kesehatan agar meningkatkan edukasi tentang manfaat menggunakan kontrasepsi AKDR kepada masyarakat
HUBUNGAN BERAT BADAN LAHIR DAN PEMBERIAN ASI EKSKLUSIF DENGAN STATUS GIZI BAYI DI PUSKESMAS SERIRIT II Luh Megayani; Ni Ketut Ayu Wulandari; Putu Dian Prima Kusuma Dewi
PROSIDING SIMPOSIUM KESEHATAN NASIONAL Vol. 1 No. 1 (2022): Simposium Kesehatan Nasional
Publisher : LPPM STIKES BULELENG

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (414.675 KB)

Abstract

Gizi sangat berperan dalam tumbuh kembang anak. Status Gizi anak yang baik akan mempengaruhi pertumbuhan dan perkembangan anak khususnya pada 1000 hari pertama kelahiran. Tujuan penelitian ini adalah menganalisis hubungan status gizi dan pemberian ASI Eksklusif terhadap Status gizi bayi. Jenis penelitian ini adalah oservasional analitik dengan menggunakan rancangan penelitian cross sectional dengan jumlah sampel yang didapatkan sebanyak 80 responden. Teknik sampling yang dilakukan dengan purposive. Instrumen penelitian menggunakan kuesioner. Hasil penelitian menunjukkan bahwa terdapat hubungan yang signifikan secara statistic antara berat badan lahir (rho 0,25) dan pemberian ASI Eksklusif (0,41) dengan status gizi bayi. Kesimpulannya bahwa status gizi memiliki kekuatan hubungan rendah sampai sedang dengan berat badan lahir dan Riwayat pemberian ASI eksklusif.
Co-Authors a Puspa Ningrum, Kadek Agustina Agus Windu Yasa Bukian, Putu Antariksawan, I Wayan Ari Pertama Watiningsih Ari Pertama Watiningsih Ari Pertama Watiningsih Pertama Watiningsih Bukian, Putu Agus Windu Yasa Cindy Meilinda Sari Desak Ketut Sugiartini Desak Ketut Sugiartini Desak Ketut Sugiartni Dewa Ayu Dian Purnami Dewi Aprelia Meriyani Dwi Lestari Dwijayanti, Lina Anggaraeni Gede Budi Widiarta Gede Ivan Kresnayana Gusti Ayu Darmiti Gusti Putu Candra Heri, Mochamad I Dewa Ayu Rismayanti I Gede Agus Sastra Wijaya I Made Sundayana I Made Sundayana I Wayan Sujana Indrie Lutfiana Kadek Agustina Puspa Ningrum Kadek Ayu Suarmini Kadek Ayu Suarmini Kadek Ayu Suarmini Kadek Indah Novi Lestari Kadek Nadia Sintia Dewi Kadek Yudi Aryawan Ketut Putra Sedana Komang Ayu Sri Utami Luh Ayu Dianiati Luh Ayu Purnami Luh Eka Sri Adnyani Luh Ersi Tunggal Putri Luh Made Ina Krishanty Luh Mariyoni Luh Megayani Luh Pariastini Luh Putu Desy Puspaningrat Luh Putu Mylinda Yani Luh Putu Sri Artadi Luh Yenny Armayanti Luh Yuki Restiana Sari Made Nila Yuwinda Sari Megaputri, Putu Sukma Megaputri, Putu Sukma Ni Ketut Ayu Wulandari Ni Komang Emi Wahyuni Ni Luh Putu Ayu Ariantini Ni Luh Seri Astuti Ni Made Dwi Yunica Astriani Ni Made Karlina Sumiari Tangkas Ni Made Karlina Sumiari Tangkas Ni Made Karlina Sumiari Tangkas Ni Made Raningsih Ni Nengah Yunariasih Ni Nyoman Siarni Ni Putu Ayu Purnama Sari Ni Putu Ika Novita Gunawan Pratama, Agus Ari Putu Agus Windu Yasa Bukian Putu Agus Yasa Windu Bukian Putu Juli Asmari Putu Monna Frisca Widiastini Putu Sukma Megaputri Putu Sukma Megaputri Putu Sukma Megaputri Sugiartini, Desak Ketut Sumiari Tangkas, Ni Made Karlina Sundayana, I Made Tangkas, Ni Made Karlina Sumiari Widiarta, Made Bayu Oka Yopita Triguno