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PEMBERDAYAAN BIDAN DALAM PENGGUNAAN PARTOGRAF UNTUK DETEKSI DINI PENCEGAHAN SECTIO CAESAREA DI PMB AYU ASTUTI KECAMATAN TALIWANG, SUMBAWA BARAT Liantanty, Firda; Amini, Aulia; Makmun, Indriyani; Rospia, Evi Diliana; Cahyaningtyas, Dwi Kartika; Pamungkas, Catur Esty
Journal of Community Empowerment Vol 4, No 3 (2025): Desember
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jce.v4i3.35386

Abstract

ABSTRAK                                                                                     Partograf merupakan alat yang direkomendasikan oleh WHO untuk digunakan secara rutin pada tahap pertama persalinan guna memantau kemajuan persalinan serta mencegah persalinan lama dan komplikasi. Efektivitas partograf telah dibuktikan melalui penelitian yang melibatkan 35.484 wanita. Meskipun sebagian besar bidan telah mengenal partograf, penggunaannya secara konsisten dan real-time masih rendah. Berdasarkan observasi awal dan wawancara di PMB Ayu Astuti menunjukkan bahwa beberapa bidan menganggap partograf hanya sebagai persyaratan administrasi, bukan sebagai alat klinis untuk pengambilan keputusan. Rendahnya pemanfaatan partograf dipengaruhi oleh kurangnya pengetahuan dan keterampilan bidan dalam membaca serta mengisi partograf sesuai standar, serta keterbatasan waktu dan tenaga karena bidan praktik mandiri umumnya bekerja sendiri. Kegiatan pengabdian kepada masyarakat ini bertujuan meningkatkan kompetensi bidan melalui pemberdayaan dalam penggunaan partograf sebagai upaya deteksi dini dan pencegahan tindakan sectio caesarea. Metode yang digunakan meliputi pre-test, pelatihan dan penyegaran materi, serta post-test dengan soal yang sama. Kegiatan dilaksanakan pada 18 September 2025. Hasil menunjukkan adanya peningkatan keterampilan pengisian partograf dengan rata-rata kenaikan sebesar 20,2%. Mitra menyambut positif kegiatan ini karena membantu memperbarui pengetahuan bidan. Selain meningkatkan keterampilan, kegiatan ini juga berdampak pada sikap, pelaksanaan, dan pengambilan keputusan bidan.Kata kunci: Pemberdayaan; Partograf; Pencegahan; Deteksi Dini; Sectio Caesare. ABSTRACTThe partograph is a tool recommended by WHO for routine use in the first stage of labor to monitor the progress of labor and prevent prolonged labor and complications. The effectiveness of the partograph has been demonstrated through a study involving 35,484 women. Although most midwives are familiar with the partograph, its consistent and real-time use remains low. Based on initial observations and interviews at PMB Ayu Astuti, it was shown that some midwives considered the partograph only as an administrative requirement, not as a clinical tool for decision making. The low utilization of partographs is influenced by the lack of knowledge and skills of midwives in reading and filling out partographs according to standards, as well as limited time and energy because independent midwives generally work alone. This community service activity aims to improve the competence of midwives through empowerment in the use of partographs as an effort to detect early and prevent caesarean sections. The methods used included a pre-test, training and refresher courses, and a post-test using the same questions. The activity was conducted on September 18, 2025. Results showed an improvement in partograph filling skills, with an average increase of 20.2%. Partners welcomed this activity because it helped update midwives' knowledge. In addition to improving skills, this activity also impacted midwives' attitudes, practice, and decision-making.Keywords: Empowerment; Partograph; Prevention; Early Detection; Sectio Caesarea.
INTEGRASI SKRINING GANGGUAN KESEHATAN MENTAL IBU PASCAPERSALINAN DALAM KURIKULUM KEBIDANAN Harahap, Ana Pujianti; Makmun, indriyani; Amini, Aulia; Rospiah, Evi Diliana; Cahyaningtyas, Dwi Kartika; Amilia, Rizkia; Pamungkas, Catur Esty
Journal of Community Empowerment Vol 4, No 3 (2025): Desember
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jce.v4i3.36792

Abstract

ABSTRAK                                                                                     Gangguan kesehatan mental pada ibu pascapersalinan merupakan masalah penting yang perlu dideteksi sejak dini, namun integrasinya dalam kurikulum kebidanan masih terbatas. Pengabdian ini bertujuan meningkatkan pemahaman dan keterampilan dosen kebidanan dalam mengintegrasikan skrining kesehatan mental ibu pascapersalinan ke dalam mata kuliah Asuhan Kebidanan Nifas dan Menyusui, sehingga mahasiswa mampu melakukan deteksi dini sesuai kompetensi bidan. Metode pelaksanaan meliputi sosialisasi melalui presentasi, ceramah interaktif, dan sesi tanya jawab, serta workshop berbasis simulasi pasien dan kerja kelompok. Mitra kegiatan terdiri dari 10 dosen dan 1 laboran kebidanan yang diadakan pada bulan November tahun 2025. Evaluasi dilakukan melalui observasi keterampilan praktik dan partisipasi aktif dalam diskusi, serta umpan balik akhir mengenai kesiapan mengajarkan skrining kepada mahasiswa. Hasil pengabdian menunjukkan peningkatan keterampilan praktik peserta sebesar 85% dan peningkatan pemahaman konsep skrining sebesar 90%, diikuti kesiapan seluruh peserta untuk mengimplementasikan materi dalam pembelajaran. Pengabdian ini membuktikan efektivitas metode sosialisasi dan workshop dalam membekali dosen kebidanan dengan kompetensi skrining kesehatan mental ibu pascapersalinan secara sistematis.Kata kunci: Integrasi; Kesehatan Mental; Pascapersalinan; Skrining. ABSTRACTMental health disorders in postpartum mothers are a significant issue that needs early detection, but their integration into the midwifery curriculum is still limited. This service aims to improve the understanding and skills of midwifery lecturers in integrating postpartum maternal mental health screening into the Postpartum and Breastfeeding Midwifery Care course, so that students are able to perform early detection according to the competencies of midwives. The implementation methods include socialisation through presentations, interactive lectures, and question-and-answer sessions, as well as simulation-based patient workshops and group work. The activity partners consist of 10 lecturers and 1 midwifery laboratory technician, and the event will be held in November 2025. Evaluation was conducted thru observation of practical skills and active participation in discussions, as well as final feedback on the students' readiness to teach screening. The service results showed an 85% increase in participants' practical skills and a 90% increase in their understanding of screening concepts, followed by all participants' readiness to implement the material in their teaching. This service proves the effectiveness of socialization methods and workshops in equipping midwifery lecturers with the competence to systematically screen postpartum maternal mental health. Keywords: Integration; Mental Health; Postpartum; Screening.
Midwives' readiness for handling postpartum Perinatal Mental Health (PMH) disorders: a mixed-methods study Harahap, Ana Pujianti; Amini, Aulia; Setyowati, Dina Lusiana; Basrowi, Ray Wagiu; Yuliana, Roma
Jurnal Kebidanan dan Keperawatan Aisyiyah Vol. 21 No. 2 (2025): Desember
Publisher : Universitas Aisyiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31101/jkk.4086

Abstract

Perinatal mental health (PMH) disorders affect 15.6–37% of postpartum women, yet midwives report low confidence in detection and management due to inadequate training and protocols. This study evaluated midwives' readiness to handle postpartum PMH disorders in community health centers. A convergent parallel mixed-methods design was used in eight Mataram City health centers (December 2023–January 2024). Quantitatively, 102 purposively sampled midwives completed validated questionnaires on sociodemographics, screening practices, and PMH handling, analyzed via chi-square tests. Qualitatively, thematic analysis of in-depth interviews with six informants (managers, midwives, and mental health nurses) explored referral experiences using N-Vivo. Most midwives (86.27%) did not handle PMH appropriately. The implementation of PMH data assessment (37.25%), screening (37.26%), and classification (22.56%) was low. Handling PMH significance association with screening (p=0.001, OR 14.31), classification (p=0.001, OR 23.22), and data assessment (p=0.009, OR 9.43). Age, education, experience, and training were not associated. Themes emphasized referral collaboration with family consent, consultation with mental health nurses/doctors, and hospitalization for the most serious cases. Midwives are not yet sufficiently prepared to address the perinatal mental health (PMH) needs of postnatal women. Poor screening uptake is a consequence of the absence of protocols and time limitations, and this highlights requirements for training and standardized pathways. Referral dependence is compensatory but inconsistent, mirroring global appeals for inter-professional approaches. Targeted PMH training and referral protocols are crucial in order to assist the development of midwives' skills to provide prompt care and reduce maternal-infant risk. Interventions should be tested in longitudinal studies across a variety of Indonesian contexts.