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The influence of smart mother classes toward stress, childbirth self-efficacy and birth outcomes Runjati Runjati; Sri Rahayu; Dhita Aulia Octaviani
International Journal of Public Health Science (IJPHS) Vol 11, No 3: September 2022
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v11i3.20756

Coping efforts during pregnancy are significant in influencing better pregnancy and birth outcomes. This study aimed to prove the influence of smart mother classes (SMC) on stress, childbirth self-efficacy (CBSE), and birth outcomes. This research used an experimental design, pre and post-test control group design. The population was all pregnant women at 28-35 weeks of pregnancy in Semarang City, Indonesia. The sample was chosen by cluster random sampling, where 35 health centers in 12 regions were randomized as six regions (n=60) as intervention group (antenatal class and coping skill as smart mother classes) while the other six regions (n=60) as the control group (antenatal class only). Each region runs one class with 10 pregnant women. The groups were treated four times in four weeks. The measurement was before the treatment, fourth week, and at birth. This study used repeated-measures ANOVA. The results showed that the SMC was influenced significantly in reducing stress (p=0.012), and increasing CBSE but not statistically significant (p>0.05). The SMC also had a significant impact on the outcomes of birth (p<0.05), except the time of the first stage of labor (p>0.05). The study suggested a need for the provision of continuity and holistic midwifery care.

FACTORS AFFECTING MOTHER OF CHILDREN UNDER FIVE YEARS OLD’S ACTIVITY TO POSYANDU Syifa Sofia Wibowo; Dhita Aulia Octaviani; Sri Wahyuni
Journal of Applied Health Management and Technology Vol 3, No 3 (2021): July 2021
Publisher : Politeknik Kesehatan Kementerian Kesehatan Semarang

ABSTRACT The 2017 Indonesian Health Profile shows the number of posyandu in Indonesia has 164,867 (56.57%) active posyandu. However, the quantity of posyandu is not in line with the quality of utilization of the posyandu. In 2017 there were only 89,070 (82.6%) toddlers weighed in posyandu from 107,846 toddlers who were there. This amount is far from the target of visiting toddlers in Central Java Province, which is equal to 90%. The purpose of this study was to determine the factors that influence the activity of mothers of children under five to posyandu, including factors of education, employment, age and knowledge of children under five at the posyandu. This research was carried out at the Posyandu in the Pandean Lamper Sub-District of Semarang City in March 2019. This type of research was analytic observational with a cross sectional design. The study population was mothers of children under five (1-5 years). Sampling using proportionate stratified random sampling. The relationship of education and activity of mothers of children under five has a moderate correlation with a value of 0.580 and the relationship between knowledge and activity of mothers of children under five has a strong correlation with a value of 0.675. In the future, it is expected that mothers of toddlers always maintain the activity of posyandu and cadres always provide motivation to mothers to attend the posyandu activities. Conclusion: the longer the mother under five takes the level of education and the higher the knowledge of the mother under five, the higher the activity of the mother of the toddler to the posyandu.

Analisis Penyebab Kematian Maternal Di Kabupaten Garut (Studi Epidemiologi dalam Upaya Menurunkan Kematian Maternal di Provinsi Jawa Barat) Dhita Aulia Octaviani; Farid Husin; Firman F. Wirakusumah; Hadi Susiarno; Hadyana Sukandar; Dadan Susandi
JURNAL KEBIDANAN Vol 9, No 1 (2019): April 2019
Publisher : Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jkb.v9i1.3953

Maternal mortality is still a problem globally and especially occur in developing countries, including Indonesia. The maternal mortality rate is one indicator of the health status of a country. Garut is one part of West Java province with the count of maternal mortality case was 45 deaths in 2015. Most of the causes of maternal death is preventable, ie factors of patients, healthcare workers, facilities, and referral. Recording and reporting of maternal deaths has not to be going well yet, so that intervention can not be set to decrease maternal mortality significantly.Research carried out by sequential explanatary mixed method. The first phase, data collection and analysis is done quantitatively, followed by collection of qualitative data in the second phase which aims to strengthen the results of quantitative research. Quantitative research using cross sectional and qualitative study using in-depth interviews and focus group discussions.The study was conducted in October-November, 2016.Based on the research showed that 96% of maternal deaths occur in Garut regency are preventable maternal deaths that caused by multifactorial, a combination of healthcare workers factors, patient factors, and referral factors. Maternal deaths are also caused by the referral process has been delayed. Besides that, recording and reporting have not been able to run well, with the availability of human resources, but the existing policy has not been adequate.Patient factors such as age, parity, and birth spacing is at risk, as well as negative perceptions of mothers and families to health facilities contributed to preventable maternal deaths. Health workers factor prefer to unqualified health workers in conducting effective communication and counseling. Access, financing, and poor communication between health professionals and patients have contributed to the occurrence of resistance in the referral process.

Evaluasi Pelaksanaan Program Deteksi Dini Kanker Serviks dengan Metode Inspeksi Visual Asam Asetat (IVA) dan Deteksi Dini Kanker Payudara dengan Metode Clinical Breast Examination (CBE) Rizky Amelia; Ulva Nurul Fajriyah; Dhita Aulia Octaviani
JURNAL KEBIDANAN Vol 9, No 1 (2019): April 2019
Publisher : Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jkb.v9i1.3956

Cancer is the number two cause of death in the world. 10 types of cancer in Indonesia, breast cancer ranks first (21.69%) followed by cervical cancer (17%). To prevent the disease, The Government launched an early detection program of cervical cancer with Visual Acetic Acid Inspection Method and early detection of breast cancer by Clinical Breast Examination. The region of Central Java especially Semarang Regency from 159.621 women of childbearing age only 771 (0.44%) examined. Therefore need to be evaluated as measured on the basis of indicators of inputs, process, outputs.The researche aims to evaluated the implementation of early detection program of cervical cancer with Visual Acetic Acid Inspection Method and early detection of breast cancer with Clinical Breast Examination Method at Public Health Centreworking areas of Semarang Regency. This research was evaluated of the program, namely the formative evaluation. The research design used descriptive analytics using Mixed Method Sequential Explanatory which there Sequential Mixed Method. The results of this research showed that from the input components, that was 100% of Health Centreworking areas of Semarang Regency has excellent value. On the process components rated 88.5% very good, 11.5% good. On the component Output there were 15.4% Public Health Centre very good, 7.7% good, 26.9% enough, 46.2% less, and 3.8% very less.The research concluded was that inputs of the programs that rated very good not necessarily produce outputs very good as well, it was influenced by the rated of process. Therefore, suggestions for the implementation of the program in order to further improve the socialization and advocated, the implementation was done more regularly so that the motivation of the people will be increase, and than conducting periodic monitoring.

PERBANDINGAN EFEKTIVITAS PEMBERIAN REBUSAN JAHE MERAH DAN DAUN MINT DENGAN JERUK NIPIS DAN MADU TERHADAP MUAL MUNTAH PADA IBU HAMIL TRIMESTER I DI PUSKESMAS WAEPANA, NGADA, NTT Ursula Orcena Mau Soa; Rizky Amelia; Dhita Aulia Octaviani
JURNAL KEBIDANAN Vol 8, No 2 (2018): Oktober (2018)
Publisher : Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jkb.v8i2.3745

Nausea and vomiting is a normal experienced by 50-80% of first trimester pregnant women. Pregnant women condition is very vulnerable on drugs, so the pregnant women should usecomplementary therapies to reduce nausea and vomiting. Red ginger and mint leaves with lime and honey is herbal medicine can be used by first trimester pregnant women to reduce nausea and vomiting. This research intended to determine the effectiveness comparison of red ginger decoction and mint leaves with lime and honey to nausea and vomiting on first trimester pregnant women.Quasi-Experiment method was used, two groups of pre-test and post-test design for this research. The sample in this research wasto 22 respondence of women at the first trimester pregnancy. Purposive Sampling was used for sampling. The data analysis used Mann-Whitney and Wilcoxon test. Based on the research result, the mean value on red ginger and mint before and after was 3.55 and 3.09, and the mean value of lime and honey before and after was 3.35 and 2.09, with p-value of (0.004) α (0.05) and Z count value: -3.014. It means that there was difference between red ginger and mint leaves with lime and honey in reducing nausea and vomiting on first trimester pregnant women at Waepana Community Health Center, Ngada Regency, East Nusa Tenggara. With giving boiled ginger and mint more effective.From the research results, it was expected that health workers need to provide health education to pregnant women about non-pharmacological methods to overcome nausea and vomiting which is by providing red ginger decoction and mint leaves with lime and honey at home.

Effect of Guava Juice and Papaya Juice on Increasing the Hemoglobin Levels among Pregnant Women Sri Yati; Rizky Amelia; Dhita Aulia Octaviani; Maya Erisna
International Journal of Nursing and Health Services (IJNHS) Vol. 3 No. 6 (2020): International Journal of Nursing and Health Services (IJNHS)
Publisher : Alta Dharma Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35654/ijnhs.v3i6.347

Anemia is a significant public health problem with a prevalence of about 2 billion around the world. Consuming the iron (Fe) tablets or foods containing iron were strategies for preventing iron deficiency. Vitamin C or ascorbic acid can increase iron absorption 4-fold, and an amount of 200 mg will increase iron absorption by at least 30%. Guava (Psidium Guajava) and papaya (Carica Papaya Linn) are examples of fruits that contain lots of ascorbic acids. The study aimed to investigate red guava juice and papaya juice on hemoglobin levels in pregnant women. This study applied the pre-experimental research with two groups, pre-test and post-test, without the control group. Thirty pregnant women were divided into two groups, such as group 1 received the Guava (n=15), and group 2 received the papaya (n=15). A paired T-test was used to test the mean value of pre-test and post-test within the group. An Independent t-test was done to determine the difference between groups. This study showed an increase in hemoglobin after two weeks of guava juice and papaya juice supplementation. However, the Independent t-test showed no significant difference between the two groups with a value of 0.617 (p >0.05). Both supplementations of 200 ml/day red guava juice and papaya juice with iron tablets for 14 weeks are equally effective in increasing hemoglobin levels in second and third-trimester pregnant women

The Effect of Green Bean Extract To Increase of Pregnant Women's Upper Arm Circumference in The Primary Health Care Center of Gubug I Grobogan Regency Siti Nur Khasanah; Dhita Aulia Octaviani; Intan Nugraheni
Journal of Midwifery Science: Basic and Applied Research Vol 2, No 2 (2020): Oktober 2020
Publisher : Prodi DIII Kebidanan Blora Poltekkes Kemenkes Semarang

Chronic energy deficiency (KEK) is a nutritional problem caused by lack of food intake in a long time. Based on the Basic Health Research (Riskesdas) in 2018 in Indonesia containing pregnant women with Chronic Energy Deficiency reaching 17.3%. This shows that there are still quite a lot of pregnant women who are malnourished in Indonesia. One of local foodstuffs that can be an alternative to meet the nutrition of pregnant women with mung beans. Mung beans are rich in macro, micro nutrients, vitamins B1, B2, amino acids, folic acid, protein, carbohydrates, Ca and phosphorus. This study discusses how to increase mungbean extract to increase upper arm circumference in pregnant women Energy Deficiency in the working area of the Public Health Center Gubug 1. This study was a study of one group with pre and post tests. The population of this study is pregnant women with Chronic Energy Deficiency according to inclusion criteria. The sampling technique is to use a purposive sampling technique. Giving mung bean extract is done for 30 days. The study showed the results of the measurement of the circumference of the upper arm before training (pre test) with after administration (post test) after being involved using paired t-test obtained p value (0.001) α (0.05). Means there is a significant difference between the circumference of the upper arm before the treatment round. From the research that is expected from health workers need to educate pregnant women for nutritious food, so pregnant women do not need Chronic Energy Deficiency. Nutritious food sources can be obtained from the environment around pregnant women and are easily available at affordable prices. Keywords: Mung bean extract; Chronic Energy Deficiency; Upper Arm Circumference

The Effect of Health Education on Menstruation with Audiovisual Media on Anxiety Levels in Facing Menarche in Elementary School Students 1 and 2 Ngadimulyo Siti Rohana; Dhita Aulia Octaviani; Heny Rosiana
Journal of Midwifery Science: Basic and Applied Research Vol 4, No 2 (2022): Oktober 2022
Publisher : Prodi DIII Kebidanan Blora Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jomisbar.v4i2.9830

Menarche is the first menstruation which is a sign that a teenage girl has reached the maturity of her sexual function. Anxiety is influenced by several factors, one of which is knowledge, with ignorance of information it can cause anxiety. Health education with audiovisual media involves the senses of sight and hearing to receive the information provided, so that it will be more easily accepted. The purpose of this study was to determine the effect of health education on menstruation on the level of anxiety in dealing with menarche in students of SD Negeri 1 and 2 Ngadimulyo. This research was a quantitative research, used the one-group pre-post test design method. The research population was 38 female students, with the sample collection technique used non-random sampling technique, namely the total sample of 38 respondents. Anxiety measuring instrument used in this study using the ZSAS questionnaire. The results showed that the level of anxiety before the intervention there were 26 (68.4%) respondents experienced mild anxiety and 12 (31.6%) respondents experienced moderate anxiety, while after being given the intervention there were 36 (94.7%) respondents experienced mild anxiety and 2(5.3%) respondents experienced moderate anxiety, and the results of the Wilcoxon statistical test obtained a p-value of 0.000 or 0.5, which means that there is an effect of health education about menstruation on the level of anxiety in dealing with menarche in students of SD Negeri 1 and 2 Ngadimulyo. It is hoping that the existence of health education about menstruation through school business activities can increase the readiness of students in facing menarche.

The Effect of Health Education With Playing Card Media on The Level of Students’s Knowledge About Vulva Hygiene Dhita Aulia Octaviani; Adelia Rahma Anggraeni; Heny Rosiana
JURNAL KEBIDANAN Vol 13, No 2 (2023): Oktober 2023
Publisher : Politeknik Kesehatan Kementerian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jkb.v13i2.9664

Indonesia's humid and hot climate makes the body sweat excessively so that the pH of the vagina increases and facilitates the growth of bacteria in the vagina. So it takes enough knowledge for students to be able to care for the vagina to avoid reproductive health problems. Health information on vulva hygiene in boarding schools is very rare. Improving students' knowledge can be done by providing health education using educational game media. The purpose of this study was to find out the effect of health education with card game media on the level of knowledge of vulva hygiene in students. This research was conducted at Askhabul Kahfi Islamic Boarding School from March until May 2021. This research included a pre-experimental design using one group pretest and posttest. The sample in this research was a grade IX junior high school student aged 14-16 years old (57 students). Sampling techniques used purposive sampling technique and data analysis used Wilcoxon Signed Rank Test. The results of the research that the average score of knowledge of the students before and after giving health education using card game media is 60.61 and 81.58. There was an average increase of before and after giving health education 20.97. The results of this research indicated that there was an influence between health education about vulva hygiene and card games on the knowledge level of students at the Askhabul Kahfi Islamic Boarding School with the Asymp.Sig value of 0.000 0.05. The benefit of this research for students of Askhabul Kahfi Islamic Boarding School will understand the material, will not underestimate the importance of vulva hygiene, and will do proper vulva hygiene after getting health education given by the researcher through card games.

Hubungan Pengetahuan Ibu Dan Dukungan Suami Terhadap Sikap Relaktasi Sri Setiasih; Nurmalita Sari Susanti; Titi Mursiti; Dhita Aulia Octaviani
Midwifery Care Journal Vol 5, No 1 (2024): January 2024
Publisher : Politeknik Kesehatan Kementrian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/micajo.v5i1.10916

The implementation of exclusive breastfeeding for infants from 0 to 6 months old has been recommended by WHO since 2002, but the implementation of exclusive breastfeeding is still relatively low. According to Indonesian health data, the exclusive breastfeeding rate in Central Java province is only 67.4%, still lower than the national target of 71.58% This is a reference for regional authorities, especially health workers in Central Java, to evaluate and develop strategic plans to promote exclusive breastfeeding. One solution to increasing breast milk production is to react. Re-breastfeeding is an attempt to breastfeed again after a long period of cessation of breastfeeding. The purpose of this study was to determine the relationship between mothers' knowledge and husbands' support on attitudes toward breastfeeding. This study was performed in the working area of the Lerep Medical Center using a horizontal method. The study population included mothers who did not exclusively breastfeed their infants and whose infants were 0 to 6 months old. The sampling technique was to sample a total of 71 respondents. Research results using the chi-square test show that there is an association between the mother's knowledge and her husband's support with rebirth attitudes with p-value = 0.001.

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