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PENGARUH DURASI DAN TAHAPAN PELAKSANAAN INISIASI MENYUSU DINI (IMD) TERHADAP KEBERHASILAN PEMBERIAN ASI EKSKLUSIF DALAM 1 BULAN PERTAMA Herli Mastuti, Ni Luh Putu; Sariati, Yuseva; Fathma, Putri
Majalah Kesehatan FKUB Vol 4, No 3 (2017): MAJALAH KESEHATAN FAKULTAS KEDOKTERAN
Publisher : Faculty of Medicine Universitas Brawijaya

Untuk menekan angka kematian bayi maka beberapa tindakan perlu ditingkatkan, seperti pemberian ASI eksklusif. Salah satu indikator yang menunjang keberhasilan pemberian ASI eksklusif adalah dengan memulai menyusu dalam waktu 1 jam setelah lahir atau Inisiasi Menyusu Dini (IMD). Pada penelitian ini ingin dibandingkan pengaruh durasi pelaksanaan IMD dengan tahapan pelaksanaan IMD terhadap keberhasilan pemberian ASI eksklusif dalam 1 bulan pertama di Puskemas Cluwak. Desain penelitian yang digunakan adalah observasional analitik dengan pendekatan studi kohort. Sampel yang digunakan adalah seluruh bayi baru lahir sebanyak 61 bayi. Data berasal dari observasi langsung pelaksanaan IMD dari kelahiran bayi sampai menyusu pertama selesai, dan pemberian ASI eksklusif setiap minggunya selama 1 bulan. Hasil penelitian menunjukkan bahwa keberhasilan pemberian ASI eksklusif dalam 1 bulan pertama dipengaruhi oleh durasi pelaksanaan IMD (p = 0,001), sedangkan tahapan IMD tidak mempengaruhi keberhasilan pemberian ASI (p = 0,114). Penelitian di Puskemas Cluwak ini menyimpulkan bahwa keberhasilan pemberian ASI eksklusif dalam 1 bulan pertama lebih dipengaruhi oleh durasi pelaksanaan IMD daripada tahapan IMD.Â Kata kunci: ASI eksklusif, durasi, tahapan, inisiasi menyusu dini (IMD)

Pengaruh Relaktasi Suplementer Dikombinasikan dengan Pijat Oksitosin dan Aromaterapi Lavender terhadap Peningkatan Berat Badan Bayi di Malang Raya ariani, dewi; Mastuti, Ni Luh Putu Herli; Hastuti, Nur Aini Retno; Lovita, Agnestia Naning Dian
Journal of Issues in Midwifery Vol 1, No 2 (2017)
Publisher : Journal of Issues in Midwifery

Di Indonesia ada banyak ibu yang tidak dapat menyusui bayinya karena berbagai alasan. Berbagai upaya dilakukan agar ibu dapat menyusui bayinya kembali, salah satunya dengan relaktasi suplementer dikombinasikan aromaterapi lavender dan pijat oksitosin. Tujuan penelitian ini adalah mengetahui pengaruh relaktasi suplementer, aromatherapy lavender dan pijat oksitosin terhadap peningkatan berat badan bayi di Malang Raya. Quasi Experiment dengan rancangan penelitian Randomized Post Test Only Control Group Design dilakukan pada ibu yang menginginkan kembali menyusui bayinya dengan usia bayi ≤ 6 bulan. Sampel dibagi dalam 4 kelompok : relaktasi suplementer (kontrol), relaktasi suplementer dan aromaterapi lavender, relaktasi suplementer dan pijat oksitosin, relaktasi suplementer dan kombinasi (aromaterapi lavender + pijat oksitosin). Perlakuan diberikan sejak hari pertama intervensi sampai dinyatakan berhasil melakukan relaktasi. Variabel yang diukur adalah peningkatan berat badan bayi. Hasil analisis pada variable peningkatan berat badan bayi tidak menunjukkan ada beda yang signifikan antar semua kelompok. Kesimpulan dari penelitian ini adalah perlakuan yang memberikan dampak terbaik adalah relaktasi suplementer metode kombinasi. Penelitian ini telah dinyatakan laik etik oleh Komisi Etik Penelitian Fakultas Kedokteran Universitas Brawijaya.

Pengaruh Pemberian Jus Buah Nangka Matang (Artocapus heterophyllus) Pada Tikus Bunting (Rattus norvegicus strain wistar) Terhadap Kejadian BBLR Pradipta, Dea; Nurdiana, Nurdiana; Mastuti, Ni Luh Putu Herli
Journal of Issues in Midwifery Vol 2, No 3 (2018)
Publisher : Journal of Issues in Midwifery

Menurut Balitbangkes dan Kemenkes RI (2013) di Indonesia persentase kejadian Berat Badan Lahir Rendah (BBLR) pada tahun 2013 mencapai 10,2% dan salah satu penyebabnya yaitu Pola Konsumsi Alkohol Selama Kehamilan. Tingginya kadar glukosa yang ada pada buah nangka matang berpotensi menjadi sumber alkohol. Tujuan dari penelitian ini yaitu untuk melihat adanya efek jus buah nangka matang terhadap kejadian Berat Badan Lahir Rendah (BBLR) pada janin tikus. Desain penelitian ini menggunakan experimental murni dengan rancangan penelitian Post Test Only Control Group Desain. Menggunakan 20 ekor tikus betina bunting jenis Rattus norvegicus strain wistar dan dibagi menjadi 4 kelompok, yaitu; kontrol (P0), Perlakuan 1 (P1) = 0,85 ml/200g BB/hari, Perlakuan 2 (P2) = 1,7 ml/200g BB/hari dan Perlakuan 3 (P3) = 3,4 ml/200g BB/hari). Jus buah nangka diberi selama 19 hari dan pada hari ke-19 tikus bunting dibedah lalu diambil janinnya untuk ditimbang. Didapatkan hasilnya pada kelompok P0 rata-rata berat badan janin tikus 4.18 ± 1.39 gr, kelompok P1 = 3.60 ± 1.15 gr, kelompok P2 = 3.56 ± 0.57 gr, dan pada kelompok P3 = 2.84 ± 1.80 gr. Analisis Oneway Anova didapatkan hasil pvalue = 0,475 (p>0,05) dikatakan penurunan berat badan janin tikus pada kelompok P1, P2 dan P3 tidak berbeda signifikan dengan kelompok P0. Akan tetapi ada kecenderungan penurunan berat badan janin tikus dengan peningkatan dosis jus buah nangka yang diberikan

Pengaruh Ekstrak Etanol Brokoli Terhadap Histologi Tuba Fallopi yang Dipapar MSG Chusyairi, Onnitia Dwi Putri; Nurdiana, Nurdiana; Mastuti, Ni Luh Putu Herli
Journal of Issues in Midwifery Vol 3, No 1 (2019)
Publisher : Journal of Issues in Midwifery

Latar belakang: kebiasaan mengkonsumsi makanan cepat saji di Indonesia mencapai 88%/hari. MSG dapat membahayakan kesehatan, terutama organ reproduksi wanita yang dapat menyebabkan infertilitas. Tujuan: membuktikan adanya pengaruh ekstrak etanol brokoli dalam peningkatan total sel epitel sekretorik dan ketebalan otot polos tuba fallopi yang terpapar MSG. Metode: rancangan penelitian ini yaitu Randomized Post Test Only dengan membandingkan variabel yang diteliti antar kelompok perlakuan. Kelompok dibagi menjadi 5 yaitu: K(-) tidak diberi paparan MSG dan ekstrak etanol brokoli; K(+) diberi paparan MSG 0,7 mg/gBB; P1 (MSG 0,7 mg/gBB +500 mg/kgBB ekstrak etanol brokoli); P2 (MSG 0,7 mg/gBB+1000 mg/kgBB ekstrak etanol brokoli); P3 (MSG 0,7 mg/gBB+2000 mg/kgBB ekstrak etanol brokoli). Pemberian perlakuan dilakukan selama 28 hari. Terminasi dilakukan di hari ke 29 saat tikus dalam fase proestrus, selanjutnya dilakukan pengecatan HE untuk mengetahui gambaran histopatologi tuba fallopi tikus kemudian diamati dengan mikroskop. Hasil: uji ANOVA pada rerata sel epitel sekretorik menghasilkan perbedaan yang bermakna (p= 0,000 atau < 0,05), sedangkan hasil uji HSD membuktikan tidak semua kelompok perlakuan diperoleh perbedaan yang signifikan. Pada jumlah tebal lapisan otot polos menunjukkan bahwa tidak terdapat perbedaan yang bermakna. Simpulan: ekstrak etanol brokoli mampu meningkatkan rerata sel epitel sekretorik dan tebal lapisan otot polos tuba fallopi yang dipapar MSG, meskipun tidak diperoleh perbedaan yang signifikan antar kelompok.

Pemberian Ekstrak Daun Kelor terhadap Peningkatan Kadar Hemoglobin pada Remaja Putri Putus Sekolah Usia 12 â€“ 18 Tahun Yulianti Anwar; Veni Hadju; Samrichar R; Andi Alimuddin Unde; Andi Nilawati Usman; Ni Luh Putu Herli Mastuti
Jurnal Kesehatan Manarang Vol 6 No 2 (2020): Desember 2020
Publisher : Politeknik Kesehatan Kemenkes Mamuju

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33490/jkm.v6i2.292

Teenage girls are prospective mothers who will give birth to the nation's next generation. Anemia among teenage girls causes the risk of giving birth to low birth weight babies (LBW) so that it has an impact on the optimal quality of life (bleeding, infection, abortion, low birth weight, premature, and defects congenital). Moringa leaves contain high amounts of vitamin A, vitamin C, vitamin B, calcium, potassium, iron, and protein which are easily digested and assimilated by the human body. Moringa oleifera based supplements have an impact on pregnant women and prevent adverse pregnancy outcomes. The purpose of this study was to determine the effect of Moringa leaves extract on increasing hemoglobin levels in teenage girls who drop out of school. This quantitative research was true experimental with the design used was the Randomized Controlled Double-Blind Pre-Posttest by looking after 2 months intervention of giving Moringa leaves extract to teenage girls dropping out of school. The sample criteria used based on the inclusion criteria were obtained as many as 30 teenage girls who dropped out of school which was divided into 15 interventions or given extract moringa leaves a dose of 2x1 with a content of 1000 mg and 15 controls or given TTD with a dose of 2x1 with a content of 1000 mg. The analysis used univariate analysis and bivariate analysis. Then the data collected in this study was processed analytically with a Paired T-test and Independent T-Test. The results showed the difference in hemoglobin levels between the intervention group (p = 0.000) and the control group(p = 0.011). The feeding of Moringa leaves extract capsules had the effect of increasing hemoglobin levels after 2 months of intervention.

Pendayagunaan Guru Sekolah Luar Biasa Idayu Malang dalam Deteksi Dini Gangguan Bicara dan Bahasa pada Anak Nurdiana Nurdiana; Ni Luh Putu Herli Mastuti; Astri Proborini; Yuseva Sariati
Journal of Dedicators Community Vol 5, No 2 (2021)
Publisher : Universitas Islam Nahdlatul Ulama Jepara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34001/jdc.v5i2.1418

The increase prevalence of speech and language disorders, which greatly affects the quality of life of a child. The role of educational institutions, especially teachers, is needed in early detection of these disorders. Early detection abilities must be based on the ability to understand a child's speech and language development. Community Service Activities are carried out at the Idayu 2 Malang Special School, by providing training to teachers on speech and language development and early detection methods. The method used is the provision of material followed by an examination of the students status growth ad development. There was an increase in the teacher's ability after the activity was carried out, which was marked by an increase in the average pretest and postest results: 61.15 to 86.54. On examination of the student's growth status, the nutritional status of the majority of students was found to be good nutrition (61%), but the short stature rate was also quite large (49%). The condition of children with special needs with physical limitations greatly affects their growth and development, so that the role of the environment is needed for optimal development, including parents and educational institutions.

Faktor-Faktor Penyebab Remaja Putus Sekolah Usia 12 - 18 Tahun di Polobangkeng Utara, Kabupaten Takalar Yulianti Anwar; Veni Hadju; Samrichard Rambulangi; Ni Luh Putu Herli Mastuti
Jurnal Kebidanan Malakbi Vol 3 No 2 (2022): Agustus 2022
Publisher : Jurusan Kebidanan Poltekkes Kemenkes Mamuju

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33490/b.v3i2.690

Dropout is a predicate given to former students who are unable to complete a level of education and unable to continue their studies to the next level of education. This study determines the factors that cause adolescents to drop out of school. This study is qualitative descriptive research with the type of field research. Data collection techniques are by conducting observations, interviews, and documentation. Meanwhile, to determine the informants using the purposive sampling technique, in this case, the researchers chose informants, namely teenagers who dropped out of school, aged 12-18 years, parents of teenagers, and the local government. The analysis used is an interactive model of data analysis technique that includes three paths specifically, data reduction, data presentation, and conclusion drawing. The results showed that the factors that caused teenagers to drop out of school were economic problems, low learning abilities, adolescent associations, and student attitudes towards teachers.

Effect of infused lemon water (citrus limon) on Newborn Baby Weight (BBL) in pregnant rats (rattus norvegicus) exposed to electric cigarette vapor Rahmawati Nurul Fadilah; Nurdiana Nurdiana; Ni Luh Putu Herli Mastuti
Science Midwifery Vol 12 No 3 (2024): August: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v12i3.1637

The electric cigarettes are said safe for health, in fact there are toxic substances, carcinogens, and unstable nicotine, it is suspected to cause low birth weight in pregnant women who are exposed to electric cigarette. Nicotine in electric cigarette is free radicals, so to ward off free radicals is required antioxidant. Infused lemon contains antioxidants that are higher than lime and are believed to resist free radicals from electric cigarettes. The purpose of research to determine the influence of infused lemon water in preventing low birth weight in pregnant rats (Rattus novergicus) exposed by electric cigarettes. The study used 30 pregnant rats, divided into 5 groups; Negative control (KN), positive control (KP), Treatment (P1), Treatment (P2), Treatment (P3). Using electric cigarette liquid 9 mg, and the difference in the weight of lemon in the making of infused water (P (1): 25g, P (2): 50g, P (3): 100g lemon + 100ml water). The treatment is given on day 1 ovulation to day 18, sacrificed on the 19th day ovulation then calculated the average weight of the baby. The average weight baby KN: 5.502g, KP: 2.821g, P (1): 4.301g, P (2): 4.888g, P (3): 5.435g. The result of One-way ANOVA indicates there is a significant difference in the treatment group with the value P=0,000 (P<0.05). The KP group differs significantly from KN. Group P (1,2,3) is significantly different from KP. The KN group is significantly different from P (1), but does not differ significantly from P (2, 3). The group P (1) differs significantly with P (3). Infused lemon juice can prevent the occurrence of low birth weight in the child of the pregnant rats that’s exposed by electric cigarettes especially in group P (3).

Paramedic Mental Workload in Pandemic Covid-19 Era Arifianto, Dedy; Fitriasari, Nikma; Mastuti, Ni Luh Putu Herli
Jurnal Kedokteran Brawijaya Vol. 33 Supplement 1 (2024)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2024.033.01.1s

The number of Covid-19 patients hospitalized continues to increase in line with the increase in Covid-19 cases in Indonesia. The increasing number of Covid-19 patients in hospitals is increasing the workload of paramedics. High workloads will cause saturation and fatigue. In addition, an increase in the number of Covid-19 patients increases anxiety and depression will be infected when treating patients. Paramedics should also use personal protective equipment during shift guards which causes dehydration and discomfort. This situation can degrade the quality of service to patients. The study aims to measure the mental workload of paramedics by NASA-TLX (National Aeronautics and Space Administration Task Load Index) method and find out the factors that affect mental workload levels. This research is a quantitative research with a cross sectional approach. The research was conducted at Hospital X type C in Malang Regency in October 2020. The samples used were all 100 Hospital X paramedics. Research instruments in the form of questionnaires shared through Google Form. Data analysis is done with descriptive analysis and Chi-Square analysis with p value <0.05. The results found paramedics had a low mental workload of 1%, a moderate mental load of 3%, a high mental workload of 47%, and a very high mental workload of 49%. The Chi-Square test results found that age factors had an effect on the mental workload level of paramedics.

Faktor-Faktor Penyebab Remaja Putus Sekolah Usia 12 - 18 Tahun di Polobangkeng Utara, Kabupaten Takalar Anwar, Yulianti; Hadju, Veni; Rambulangi, Samrichard; Mastuti, Nih Luh Putu Herli
Jurnal Kebidanan Malakbi Vol 3 No 2 (2022): Agustus 2022
Publisher : Jurusan Kebidanan Poltekkes Kemenkes Mamuju

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33490/b.v3i2.690

Dropout is a predicate given to former students who are unable to complete a level of education and unable to continue their studies to the next level of education. This study determines the factors that cause adolescents to drop out of school. This study is qualitative descriptive research with the type of field research. Data collection techniques are by conducting observations, interviews, and documentation. Meanwhile, to determine the informants using the purposive sampling technique, in this case, the researchers chose informants, namely teenagers who dropped out of school, aged 12-18 years, parents of teenagers, and the local government. The analysis used is an interactive model of data analysis technique that includes three paths specifically, data reduction, data presentation, and conclusion drawing. The results showed that the factors that caused teenagers to drop out of school were economic problems, low learning abilities, adolescent associations, and student attitudes towards teachers.

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