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All Journal Indonesian Journal of Global Health research Jurnal Keperawatan Penamas: Journal of Community Service Journal of Public Health Concerns JOURNAL OF Mother and Child Health Concerns
Astuti, Agnes Dwiana Widi
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Arts Humanities Decision Sciences, Operations Research & Management Education Health Professions Languange, Linguistic, Communication & Media Medicine & Pharmacology Nursing Public Health Other

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HUBUNGAN PENGETAHUAN DAN SIKAP IBU HAMIL TENTANG MASSAGE EFFLEURAGE UNTUK MENGURANGI NYERI PUNGGUNG Wijayati, Therecia; Pramulya, Asmaurina; Kalista, Efrosina Ludovika; Astuti, Agnes Dwiana Widi; Afindaningrum, Rochmanita Sandya
Jurnal Keperawatan Vol. 18 No. 2 (2025): Volume 18, Nomor 2, Juli 2025
Publisher : LPPM Akper Dian Husada Mojokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56586/jk.v18i2.488

Abstract

Selama masa kehamilan terjadi perubahan pada ibu baik fisik maupun psikis secara umun perubahan fisik selama kehamilan seperti perubahan pembentukan organ tubuh dan melemahnya relaksasi otot-otot tubuh. Perubahan ini mempengaruhi hampir semua organ tubuh bagi setiap wanita yang mengalami kehamilan tanpa komplikasi. Sebanyak 68% ibu hamil di Indonesia menderita nyeri punggung dengan intensitas sedang, sedangkan 32% menderita nyeri punggung dengan intensitas ringan. 60%-80% ibu hamil di berbagai wilayah Indonesia melaporkan mengalami sakit punggung selama kehamilan. Hasil Data Statistik Indonesia menyatakan jumlah ibu hamil pertahun 2023 sebanyak 6.439 Jiwa dan terdapat 4.378 (68%) yang mengalami nyeri punggung bagian bawah saat kehamilan. Nyeri punggung bawah biasanya akan meningkat intensitasnya seiring bertambahnya usia kehamilan karena nyeri ini diakibatkan pergeseran pusat gravitasi ibu hamil dari postur tubuhnya. Metode ini menggunakan analitik kuantitatif dengan pendekatan cross sectional dengan sampel 36 responden. Penentuan sampel yaitu nonprobability sampling dengan Teknik accidental sampling, instrument yang digunakan adalah kuesioner dengan analisis data uji statistic Spearman’s Rank. Hasil penelitian menunjukkan bahwa dari 36 responden memiliki tingkat pengetahuan yang cukup sebanyak 20 responden (56%), sikap kurang baik sebanyak 23 responden (64%), nyeri punggung sedang sebanyak 27 responden (75%), hasil uji Spearman’s Rank diperoleh hasil Sig.2 (Tailed) = 0,009 < (α 0,05) untuk pengetahuan dan Sig.2 (Tailed) = 0,667 > (α 0,05) untuk sikap. Kesimpulan penelitian ada hubungan pengetahuan ibu hamil tentang massage effleurage untuk mengurangi nyeri punggung dan tidak ada hubungan sikap ibu hamil tentang massage effleurage untuk mengurangi nyeri punggung.
Knowledge Overview of Thirdtrimester Pregnant Women and Women in Labor about the Rebozo Technique Astuti, Agnes Dwiana Widi; Intanwati, Intanwati; Presty, Marsela Renasari; Yasinta, Animora
Indonesian Journal of Global Health Research Vol 6 No 1 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i1.2654

Abstract

One of the efforts that can be made to reduce pain, prolonged labor (congestion) and prepare the mother for childbirth is through the rebozo technique. The rebozo technique is a non-pharmacological method without the use of drugs to help reduce pain during labor. Objective: To determine the knowledge of third-trimester pregnant women and women giving birth regarding the Rebozo technique. Method: The method used in this research is descriptive method. The researcher's research sampling technique used a total sampling technique. This research was conducted on 12 – 19 May 2023, the sample size was 35 people. The research instrument used a questionnaire. Results: This research used univariate analysis using frequency distribution to provide an overview of the respondents characteristics. Respondents knowledge about the definition of rebozo was 26 (74.3%) respondents had poor knowledge, 29 (82.9%) respondents had moderate knowledge about the benefits of rebozo, 30 (85.7%) respondents had poor knowledge about the rebozo technique, and 29 respondents had poor knowledge about rebozo contraindications ( 82.9%) respondents had moderate knowledge. Then regarding respondents' general knowledge regarding rebozo, 28 (80%) respondents had poor knowledge. Conclusions: Description of the knowledge of third-trimester pregnant women and women giving birth regarding the Rebozo technique at PMB Utin Mulia Pontianak in 2023. Based on the result, it can be concluded that the majority of respondents, namely 28 (80%) respondents, have poor knowledge. The existence of research on rebozo can be used as evaluation material and input for every health care provider as well as further increasing information and learning about rebozo in hospitals, health centers or in private or private clinics.
Peningkatan peran ibu dalam penerapan pijat bayi mandiri sebagai upaya kesehatan dan tumbuh kembang anak Pramulya, Asmaurina; Audina, Marchella; Katharina, Telly; Susanna, Susanna; Astuti, Agnes Dwiana Widi
JOURNAL of Public Health Concerns Vol. 5 No. 11 (2026): JOURNAL of Public Health Concerns
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerja sama dengan: Unit Penelitian dan Pengabdian Kep Akademi Keperawatan Baitul Hikmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/phc.v5i11.2423

Abstract

Background:Toddler growth and development require a balance between nutrition and sensory stimulation, yet many parents focus solely on macronutrients. A lack of tactile stimulation, such as infant massage, risks inhibiting the optimization of brain synapses. In the community, the problem is exacerbated by mothers' reliance on traditional birth attendants or traditional massage therapists, which limits access to self-care due to the time and cost of these services. Purpose: To provide mothers with practical knowledge and skills in safely and correctly performing infant massage as a means of promoting healthy child development. Method: This community service activity was conducted in Kasromego Village, Beduai District, Sanggau Regency, West Kalimantan Province on Thursday, November 13, 2025. Ten mothers with infants participated. The educational intervention involved a lecture method supported by PowerPoint presentations and leaflets. The activity continued with a discussion and a live demonstration of how to properly perform infant massage. Evaluation of the activity involved observation and mentoring, with respondents directly practicing infant massage simulations on their infants. Descriptive analysis was conducted to assess the respondents' level of knowledge during the activity. Results: Data showed that 80.0% of respondents were housewives, 8 (80.0%) were only junior high school graduates. Most of the respondents' babies were second children (70.0%), and the majority of respondents' babies, 60.0%, were between 8 and 9 months old. There was an increase in mothers' knowledge and confidence in performing infant massage independently. Most participants were able to perform simulation practices directly on their babies. Conclusion: Community service activities, including education, training, and mentoring regarding proper infant massage, were very effective in increasing mothers' knowledge and confidence in performing infant massage independently. This activity also increased mothers' awareness that massaging their babies by their own mothers will influence the emotional or psychological connection between mother and baby and help the child grow and develop optimally according to their age. Suggestion: It is hoped that relevant health institutions will conduct educational and training activities on proper infant massage routinely and in a wider area, so that the health benefits of independent families can translate into optimal child health and development for the wider community. Keywords: Child development; Infant massage; Maternal empowerment; Sensory stimulation Pendahuluan: Tumbuh kembang balita menuntut keseimbangan antara nutrisi dan stimulasi sensorik, namun banyak orang tua hanya fokus pada gizi makro. Kurangnya stimulasi taktil, seperti pijat bayi, berisiko menghambat optimalisasi sinapsis otak. Di masyarakat, masalah diperburuk oleh ketergantungan ibu pada dukun bayi atau pijat tradisional, yang membatasi akses penanganan mandiri karena bergantung pada waktu dan biaya layanan tersebut. Tujuan: Untuk memberikan pengetahuan dan keterampilan praktis pada ibu dalam melakukan stimulasi secara aman dan benar sebagai upaya kesehatan tumbuh kembang anak. Metode: Kegiatan pengabdian kepada masyarakat ini dilaksanakan di Desa Kasromego, Kecamatan Beduai, Kabupaten Sanggau, Provinsi Kalimantan Barat pada hari Kamis 13 November 2025. Melibatkan 10 orang ibu yang memiliki bayi sebagai responden. Intervensi edukasi melalui metode ceramah yang dibantu dengan media powerpoint dan leaflet. Kegiatan dilanjutkan dengan diskusi dan memberikan praktik demonstrasi secara langsung kepada ibu mengenai cara melakukan pijat bayi dengan baik dan benar. Evaluasi kegiatan dengan pendekatan observasi dan pendampingan, dimana responden melakukan praktik simulasi pijat bayi kepada bayi nya secara langsung. Analisa deskriptif dilakukan sebagai penilaian tingkat pengetahuan responden selama mengikuti kegiatan. Hasil: Mendapatkan data bahwa sebesar 80.0% responden memiliki status pekerjaan sebagai IRT, sebanyak 8 orang (80.0%) hanya lulusan SMP, Sebagian besar bayi responden adalah anak ke 2 (70.0%) dan mayoritas usia bayi responden yaitu sebesar 60.0% berada di usia 8-9 bulan. Terdapat peningkatan pengetahuan serta kepercayaan diri para ibu dalam melakukan pijat bayi secara mandiri. Sebagian besar peserta dapat melakukan praktik simulasi secara langsung pada bayinya. Simpulan: Kegiatan pengabdian berupa edukasi, pelatihan dan pendampingan kepada masyarakat mengenai memijat bayi dengan baik dan benar, sangat efektif dalam meningkatkan pengetahuan serta kepercayaan diri para ibu dalam melakukan pijat bayi secara mandiri. Kegiatan ini juga memberikan peningkatan kesadaran para ibu bahwa pemijatan terhadap bayi oleh ibunya sendiri akan memberikan pengaruh terhadap hubungan batin atau hubungan kejiwaan antara ibu dengan bayi serta menjaga anak untuk dapat tumbuh dan berkembang secara optimal sesuai umurnya. Saran: Diharapkan lembaga kesehatan terkait, untuk kegiatan edukasi dan pelatihan mengenai pijat bayi dengan baik dan benar dapat dilakukan secara rutin dan wilayah yang lebih luas, sehingga manfaat kesehatan keluarga mandiri dapat mewujudkan kesehatan tumbuh kembang anak yang optimal kepada msyarakat yang lebih luas.
Edukasi makanan bergizi dan seimbang untuk cegah anemia dalam kehamilan di Kelurahan Sungai Bangkong, Pontianak, Kalimantan Barat Presty, Marsela Renasari; Astuti, Agnes Dwiana Widi; Fadlilah, Siti; Intanwati, Intanwati
Penamas: Journal of Community Service Vol. 6 No. 1 (2026): Penamas: Journal of Community Service
Publisher : Nur Science Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53088/penamas.v6i1.2892

Abstract

Pregnancy is a physiological process that leads to various changes in a woman’s body, including physical, psychological, and social adjustments. During this period, the body requires increased nutritional intake to support maternal health and fetal development. One of the essential nutrients is iron, which plays a crucial role in the formation of red blood cells, ensures adequate oxygen transport, supports fetal growth, and prepares the mother for potential blood loss during childbirth. Pregnant women are at risk of developing anemia if their iron requirements are not adequately met. Anemia is a condition that can negatively affect maternal health and increase the risk of complications such as preterm birth and low birth weight. This activity aimed to provide education on the importance of a balanced, nutritious diet to prevent anemia during pregnancy. Data collection revealed that 38 pregnant women with anemia resided in Sungai Bangkong Village, of whom 11 participated in the educational session held at Alianyang Public Health Center on January 28, 2026. The program included pretest and posttest assessments, delivery of material through lectures and discussions, and demonstrations of nutritious meal preparation. The T-test results indicated a significant increase in knowledge.
Effectiveness of oxytocin massage on breast milk production in postpartum mothers Lina, Anastasia; Pramulya, Asmaurina; Kalista, Efrosina Ludovika; Astuti, Agnes Dwiana Widi; Sera, Anjelina; Firmatary, Odilya
THE JOURNAL OF Mother and Child Health  Concerns Vol. 5 No. 1 (2026): April Edition 2026
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mchc.v5i1.3118

Abstract

Background: The postpartum period is a crucial period in a mother's life after childbirth, as it involves significant physical and emotional recovery. One of the main causes of postpartum morbidity is breastfeeding problems due to low milk production. Based on the 2023 Indonesian Health Profile from the Ministry of Health, only around 65.5% of mothers successfully breastfeed exclusively for the first six months. Breastfeeding is considered the best method to provide necessary nutrition, which has benefits not only for the mother's health but also for the optimal growth and development of the child. Oxytocin massage therapy is a massage that aims to stimulate the hormone oxytocin. This technique is effective in increasing milk production and release, providing relaxation, reducing stress, and increasing the bond between mother and baby. Purpose: To identify breast milk production in postpartum mothers using oxytocin massage. Method: This experimental study used a post-test control group design. The population was 36 postpartum mothers within 3 hours of delivery. Through purposive sampling, 24 postpartum mothers were selected as respondents, divided into 12 in the intervention group and 12 in the control group. The measurement instrument used was an observation questionnaire on breast milk production, which measured the newborn's urine volume over a 24-hour period (normally 6-8 times a day). A urine volume of 30-50 mg was categorized as good and a urine volume of less than 29 mg was ≥ inadequate. The intervention consisted of oxytocin massage given to postpartum mothers 3 hours postpartum, every morning and evening, for 3 days. Data were analyzed using the Wilcoxon test to determine the effect of oxytocin massage on breast milk production. Results: The average age of respondents was 27.63 years with a standard deviation of ±4.29 years with the majority of respondents being in the 26-30 years age range of 45.8%. Most of the respondents' education level was junior high school, namely 41.7%, and the majority of respondents had a job status as a housewife, namely 62.5%. Based on the Wilcoxon test, pValue=0.02 was obtained, where for the intervention group, those classified as less were 16.7% and those in the good category were 83.3%. While for the control group, those classified as less were 66.7% and those in the good category were 33.3%. Conclusion: Oxytocin massage intervention has an effect on increasing breast milk production in postpartum mothers. Oxytocin massage has been proven effective in increasing breast milk production and shows a significant difference in breast milk volume after oxytocin massage, where breast milk production increases to a greater or smoother flow, thereby ensuring adequate breast milk supply for the baby. Suggestion: It is recommended that health facilities or community cadres educate the public regarding the understanding and benefits of oxytocin massage. This increased public knowledge will contribute to the implementation of early nutritional adequacy programs for toddlers as an effort to prevent stunting.
Co-Authors Afindaningrum, Rochmanita Sandya Audina, Marchella Firmatary, Odilya Intanwati, Intanwati Kalista, Efrosina Ludovika Katharina, Telly Lina, Anastasia Pramulya, Asmaurina presty, marsela renasari Sera, Anjelina Siti Fadlilah Susanna Susanna Wijayati, Therecia Yasinta, Animora