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Amenorhea dan Spotting sebagai Efek Samping Utama Pemakaian Kontrasepsi Suntik DMPA (Depo Medroksi Progesterone Acetat) Arwiyantasari, Wida Rahma; Ardhianingtyas, Nisa; Sari, Rury Narulita
2-TRIK: TUNAS-TUNAS RISET KESEHATAN Vol 14, No 2 (2024): April-Juni 2024
Publisher : FORUM ILMIAH KESEHATAN

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/2trik14201

Abstract

One of the most effective family planning methods is the injectable hormonal contraceptive Depo Medroxy Progesterone Acetat. However, this contraception can cause menstrual disorders as one of the side effects that is often found. This study aimed to describe in detail the side effects in the form of menstrual disorders in family planning acceptors with the injectable contraceptive Depo Medroxy Progesterone Acetat. This research was a quantitative descriptive study, involving 45 family planning acceptors with the Depo Medroxy Progesterone Acetat contraception at the Independent Practice of Midwife Endah Wiendarti, Madiun, who were selected randomly. The variable measured was menstrual disorders, with a questionnaire as the measurement tool used. The collected data was analyzed using descriptive statistical methods in the form of frequencies and proportions and presented in the form of diagrams and tables. The results of the analysis showed that the distribution of menstrual disorders that occurred was: amenorrhea 21 (46.7%), spotting (33.3%), hypomenorrhoea (6.7%), oligomenorrhea (6.7%), polymenorrhea (4.4% ) and menorrhagia (2.2%). Based on the research results, it was concluded that amenorrhea and spotting were the main menstrual disorders experienced by family planning acceptors with injectable contraception at the Medroxy Progesterone Acetate Depo at the Independent Practice of Midwife Endah Wiendarti, Madiun.Keywords: injectable contraception; Depo Medroxy Progesterone Acetate Amenorrhea; amenorrhea; spottingABSTRAK Salah metode keluarga berencana yang paling efektif adalah kontrasepsi hormonal suntik Depo Medroksi Progesterone Acetat. Namun kontrasepsi ini dapat menimbulkan gangguan haid sebagai salah satu efek samping yang sering ditemukan. Penelitian ini bertujuan untuk menggambarkan secara terperinci tentang efek samping berupa gangguan haid pada akseptor keluarga berencana dengan kontrasepsi suntik Depo Medroksi Progesterone Acetat. Penelitian ini merupakan studi deskriptif kuantitatif, yang melibatkan 45 akseptor keluarga berencana dengan kontrasepsi Depo Medroksi Progesterone Acetat di Praktik Mandiri Bidan Endah Wiendarti, Madiun, yang dipilih secara random. Variabel yang diukur adalah gangguan haid, dengan kuesioner sebagai alat pengukuran yang digunakan. Data yang telah terkumpul dianalisis dengan metode statistika deskriptif berupa frekuensi dan proporsi dan disajikan berupa diagram dan tabel. Hasil analisis menunjukkan bahwa distribusi gangguan haid yang terjadi adalah: amenorea 21 (46,7%), spotting (33,3%), hipomenorea (6,7%), oligomenorea (6,7%), polimenorea (4,4%) dan menoragia (2,2%). Berdasarkan hasil penelitian disimpulkan bahwa amenorea dan spotting merupakan gangguan haid utama yang dialami oleh akseptor keluarga berencana dengan kontrasepsi suntik di Depo Medroksi Progesterone Acetat di Praktik Mandiri Bidan Endah Wiendarti, Madiun.Kata kunci: kontrasepsi suntik; Depo Medroksi Progesterone Acetat Amenorea; amenorea; spotting
Praktik Stimulasi Tumbuh Kembang pada Anak Usia Dini Melalui Metode “Sensory Play” Wida Rahma Arwiyantasari; Nisa Ardhianingtyas; Kiky Anggun Sanjaya
Faedah : Jurnal Hasil Kegiatan Pengabdian Masyarakat Indonesia Vol. 2 No. 2 (2024): Jurnal Hasil Kegiatan Pengabdian Masyarakat Indonesia
Publisher : FKIP, Universitas Palangka Raya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59024/faedah.v2i2.739

Abstract

Monitoring the growth and development of a child can begin from conception and will continue until adulthood, this process is mutually continuous and continuous. The development of language skills, creativity, emotional awareness, and intelligence is an important phase in a child's growth and development and is the cornerstone of subsequent development. This study aims to evaluate the ability of early childhood to improve gross motor and fine motor development skills through sensory play activities. The method of delivering information using the media of story books (fairy tales), sensory game tools that previously the children were given directions one example of simulation, then the children were directed to do independently. the results of normative identification of children's growth and development, it can be seen that from the value (5-1) range always to never, overall participants play with the highest frequency in the range is always on the cognitive and social interaction, the second position in fine & gross motor skills, and third in terms of language development and problem solving skills. The highest score level after the game, cognitive development is very significant children are very enthusiastic to follow the game conducted in groups. This activity will be better if done on an ongoing basis because it is very beneficial for early childhood development.
Edukasi Gizi Bayi Berbasis Pangan Lokal pada Ibu Menyusui Wida Rahma Arwiyantasari; Rury Narulita Sari; Siti Nur Fadillah
Protein : Jurnal Ilmu Keperawatan dan Kebidanan.  Vol. 2 No. 3 (2024): Juli : Protein: Jurnal Ilmu Keperawatan dan Kebidanan
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/protein.v2i3.460

Abstract

In the health sector, the government plans to reduce stunting rates by 40% in 2025. This goal has been stated in the Infant and Young Child Feeding (IYCA) program. In practice, mothers make mistakes in feeding their children influencing the nutritional status of the children resulting in an inability to fulfill the child’s nutrition needs. This condition occurred due to a lack of knowledge and information during the IYCF period. This study aims to provide knowledge to mothers about the importance of complementary feeding made from local food ingredients. This case study analyzed the growth development and nutritional status of an 11-month-old baby. Subjective examination showed that the mother felt that her baby's nutritional status was lacking so she came to the clinic to have her baby checked. Objective examinations of the baby's weight and height were performed. The mother received local food-based nutritional counseling. Midwives provided education about the importance of complementary feeding made from local food ingredients and provided support to mothers to continue breastfeeding their babies. The midwives also provided cooking recipes and nutritional content of food made from local food ingredients to the mother so she could independently practice it.
Edukasi Kesetahan Tentang Perubahan Psikologis Pada Ibu Hamil Trimester 1 Ardhianingtyas, Nisa; Wida Rahma Arwiyantasari
Jurnal Pengabdian Masyarakat Mandira Cendikia Vol. 3 No. 12 (2024)
Publisher : YAYASAN PENDIDIKAN MANDIRA CENDIKIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70570/jpkmmc.v3i12.1544

Abstract

Trimester pertama sering mengalami perubahan psikologis, termasuk perasaan cemas, takut, dan suasana hati yang labil. Hal ini dapat disebabkan oleh banyak hal, termasuk menyesuaikan diri dengan peran baru sebagai calon ibu, kekhawatiran tentang kondisi kehamilan yang tidak pasti, atau masalah kesehatan janin. Artikel ini membahas tentang peningkatan pengetahuan ibu hamil tentang psikologis kehamilan. Metode : kegiatan ini dilaksanakan di PMB Endah Wiedarti, SST dengan responden sejumlah 17 orang. Kegiatan dilakukan mulai dari proses persiapan, pelaksanaan dan evaluasi, dimana pelaksanaan dengan pemberian edukasi kesehatan tentang perubahan psikologis ibu hamil yang sebelumnya dilakukan pre-test dan post-test setelah pemberian materi. Hasil : dari hasil pre-test dan post-test menunjukkan adanya peningkatan pengetahuan responden. Responden dengan pengetahuan baik meningkat hingga 53%. Pembelajaran terjadi melalui pemahaman dan pemrosesan informasi baru. Setelah informasi diberikan, seseorang meningkatkan wawasan mereka dengan mengintegrasikan informasi baru ke dalam pengetahuan sebelumnya
MENINGKATKAN KUALITAS KEHAMILAN DENGAN PRENATAL YOGA: PENGABDIAN MASYARAKAT UNTUK IBU HAMIL DI KOMUNITAS Wida, Wida Rahma A
Jurnal Pengabdian Kepada Masyarakat Mulia Madani Yogyakarta Vol. 3 No. 1 (2025): DIMASLIA JURNAL PENGABDIAN MASYARAKAT MULIA MADANI YOGYAKARTA
Publisher : Jurnal Pengabdian Kepada Masyarakat Mulia Madani Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

ABSTRAK Latar Belakang : Kehidupan seorang wanita terdapat fase penting yaitu kehamilan yang memerlukan perhatian khusus terhadap kesehatan fisik dan mental sehingga dapat mempengaruhi kesejahteraan ibu dan janin. Keluhan psikologis seperti kecemasan dan stress juga sering ditemui pada ibu hamil, di berbagai negara. Ketidaknyamanan ini tidak hanya mempengaruhi kesejahteraan ibu, tetapi juga dapat berdampak pada perkembangan janin dan proses persalinan. Praktik prenatal yoga terbukti menjadi pendekatan efektif mengurangi gejala fisik dan psikologis selama kehamilan (Miller & Thompson, 2023). Tujuan : Kegiatan pengabdian masyarakat dengan tema prenatal yoga diharapkan dapat memberikan dampak positif terhadap pengurangan ketidaknyamanan fisik dan kecemasan psikologis pada ibu hamil. Metode : Metode kegiatan pelaksanaan pengabdian masyarakat ini dilaksanakan pada bulan November 2024 dengan lokasi di Griya Sehat Bunda Madiun, dengan target sasaran 5 ibu hamil trimester III.Tahapan pelaksanaan dipandu oleh instruktur yoga professional dibantu dnegan tenaga medis lainnya. Kesimpulan : Kegiatan pengabdian masyarakat dengan tema prenatal yoga memberikan dampak positif terhadap pengurangan ketidaknyamanan fisik dan kecemasan psikologis pada ibu hamil. Dengan hasil yang menjanjikan, kegiatan ini dapat diintegrasikan sebagai salah satu alternatif intervensi untuk mendukung kesehatan ibu hamil.
The Influence Of Health Beliefs On Preventive Actions Against Pregnancy Complications: A Health Belief Model Approach Wida Rahma, Wida; Sundari, Sundari; Ardhianingtyas, Nisa; Frameswari, Fara; Sanjaya, Kiky Anggun
Journal of Midwifery and Reproduction Vol. 8 No. 2 (2025)
Publisher : UMBanjarmasin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35747/jmr.v8i2.1172

Abstract

Until now, the MMR in Indonesia has not met the set target, with a maternal mortality rate of 305 per 100,000 live births in 2015. Meanwhile, the target to be achieved is 183 per 100,000 live births by 2024 (Kemenkes RI, 2021). The data regarding maternal mortality cases in Madiun Regency, which have continued to increase in the last two years, are very worrying. The purpose of this study was to determine the perception of seriousness, barriers, vulnerability and benefits with the prevention of pregnancy complications. This research method uses correlational quantitative research, the sample amounted to 30 pregnant women. The results showed that the four variables were statistically tested and significant with a Nagelkerke R2 value of 81%, meaning that the four independent variables (perceived seriousness, perceived barriers, perceived vulnerability and perceived benefits) were able to explain the pregnancy examination by 81.5% and the remaining 18.5% was explained by other factors outside the research model. The conclusion of this study is that perceptions of seriousness, barriers, vulnerability and benefits affect the prevention of pregnancy complications.
The Effect Of The Health Belief Model Approach On The Prevention Of Human Immunodeficiency Virus/Acquired Immunodeficiency Syndrome In Pregnant Women Wida Rahma Arwiyantasari; Budi Laksana
STRADA : Jurnal Ilmiah Kesehatan Vol. 9 No. 2 (2020): November
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/sjik.v9i2.403

Abstract

East Java Province is in the top five in which the population is infected with HIV and it is dominated by men. This will worsen the condition of women if infected with pregnant women, so that the pregnant women are also affected by HIV/AIDS infection. The objective of this study was to analyze the effect of the Health Belief Model approach on the prevention of HIV/AIDS in pregnant women in Madiun City. This type of research was an observational analytic study. The sampling technique used total sampling. The sample size was 80 pregnant women in Madiun City who carried out HIV/AIDS testing. The data collection tool used a questionnaire. The data analysis used Chi-Square and Multiple Logistic Regression analysis. There was a statistically significant effect. Perceived severity, perceived barriers, perceived vulnerability, and perceived benefits affect pregnant women in preventing HIV/AIDS
Prenatal Yoga as an Effort to Maintain Mental Health of Pregnant Women Sari, Rury Narulita; Ardhianingtyas, Nisa; Arwiyantasari, Wida Rahma; Indriani, Lutfiah
Health Dynamics Vol 2, No 5 (2025): May 2025
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd20506

Abstract

Background: Pregnancy brings both happiness and anxiety, as well as discomfort due to physical and psychological changes. As the pregnancy progresses, the discomfort increases, one of which is caused by the enlargement of the uterus leading to back pain. Excessive anxiety can affect mental health and may trigger depression during pregnancy. Prenatal yoga is one of the efforts that can be undertaken to overcome anxiety and discomfort in pregnant women. Prenatal yoga can help mothers feel more relaxed, thereby reducing anxiety. This study aims to explore in depth the effectiveness of implementing prenatal yoga in maintaining the mental health of pregnant women in the third trimester. Methods: Qualitative research methods with a phenomenological approach were used. The study was conducted at PMB Bd. Endah Wiendarti, SST Madiun in January 2025. The key informants were 10 pregnant women in the third trimester who participated in prenatal yoga, and the additional informants were midwives and companions of the pregnant women. Data collection techniques included in-depth interviews. Data analysis was carried out by categorizing data, presenting data, and drawing conclusions. Results: The results of the study show that prenatal yoga can maintain mental health, including helping mothers feel more relaxed, less anxious, and more prepared for childbirth. Conclusions: The conclusion of this study is that implementing prenatal yoga is beneficial in maintaining the mental health of pregnant women in the third trimester, helping them to be better prepared for childbirth. It is necessary to provide information about prenatal yoga from the beginning of pregnancy so that mothers can participate at the appropriate time to reduce discomfort in the third trimester.
Pemberdayaan Ibu Hamil Melalui Pendidikan Kesehatan Untuk Mencegah Komplikasi Kehamilan Wida Rahma Arwiyantasari; Rury Narulita Sari; Nisa Ardhianingtyas; Mufida Dian Hardika; Elita Chobibatul Uma; Kiky Anggun Sanjaya
Jurnal Pengabdian Masyarakat Mandira Cendikia Vol. 4 No. 6 (2025)
Publisher : YAYASAN PENDIDIKAN MANDIRA CENDIKIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70570/jpkmmc.v4i6.1704

Abstract

Kekurangan zat besi, bersama dengan penyakit malaria dan cacing tambang, adalah penyebab utama anemia selama kehamilan. kekurangan mikronutrien seperti asam folat, vitamin A, dan vitamin B12 Selama bertahun-tahun, Organisasi Kesehatan Dunia (WHO) telah merekomendasikan pemberian suplemen zat besi kepada ibu hamil, khususnya di negara berpenghasilan tinggi dan rendah. Tujuan dari kegiatan pengabdian masyarakat ini adalah untuk meningkatkan kesehatan ibu hamil melalui kegiatan penapisan (skrining), yang mencakup pemeriksaan kehamilan, pemeriksaan kadar hemoglobin (Hb), dan pemeriksaan kadar protein dan glukosa dalam urine, serta pendidikan kesehatan tentang anemia dan kekurangan energi kalori (KEK). Program ini telah dilaksanakan bekerja sama dengan PMB Atika Kabupaten Madiun, yang juga akan melibatkan bidan PMB. Pelaksanaan diikuti oleh 5 peserta ibu hamil, diawali dengan kegiatan pre test, pemeriksaan kehamilan dan laboratorium kemudian penyuluhan dan konseling. Dengan pengabdian masyarakat yang dilaksanakan oleh dosen Kebidanan Universitas Muhammadiyah Madiun beserta mahasiswa, diharapkan dapat membantu program pemerintah dalam pelaksanaan program kesehatan, terutama  meningkatkan pengetahuan ibu hamil tentang cara mencegah kehamilan.
Edukasi Pencegahan Kanker Serviks Dengan Deteksi Dini IVA (Inspeksi Visual Asam Asetat) Mufida Dian Hardika; Nisa Ardhianingtyas; Sundari; Wida Rahma Arwiyantasari; Fara Frameswari; Elita Chobi Batul Uma
Jurnal Pengabdian Masyarakat Mandira Cendikia Vol. 4 No. 7 (2025)
Publisher : YAYASAN PENDIDIKAN MANDIRA CENDIKIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70570/jpkmmc.v4i7.1724

Abstract

Kanker serviks masih menjadi salah satu penyebab utama kematian pada perempuan di Indonesia, yang sebagian besar disebabkan oleh keterlambatan dalam penanganan akibat kurangnya pengetahuan akan deteksi dini. Pemeriksaan IVA (Inspeksi Visual dengan Asam Asetat) merupakan metode skrining yang sederhana, terjangkau, dan cukup efektif untuk mengenali gejala awal kanker serviks, khususnya di komunitas dengan akses terbatas terhadap fasilitas kesehatan lanjutan. Kegiatan pengabdian ini bertujuan untuk memberikan edukasi komprehensif mengenai upaya pencegahan kanker serviks melalui pendekatan promotif dan preventif berbasis IVA. Penyuluhan dilakukan kepada perempuan usia produktif dengan metode interaktif yang mencakup penyampaian materi, diskusi kelompok, serta simulasi prosedur pemeriksaan secara umum. Hasil pelaksanaan menunjukkan adanya peningkatan pemahaman peserta mengenai pentingnya skrining rutin, pengenalan gejala awal, serta langkah-langkah pencegahan yang dapat dilakukan secara mandiri. Program ini diharapkan mampu menumbuhkan kesadaran masyarakat terhadap pentingnya deteksi dini dan menjadi bagian dari strategi pemberdayaan perempuan dalam menjaga kesehatan reproduksi mereka secara berkelanjutan