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Pemberdayaan Keluarga dan Penguatan Peran Kader dalam Identifikasi Resiko Tinggi Maternal dan Neonatal sebagai Upaya Pencegahan Komplikasi di Desa Pucangrejo Shinta Ika Sandhi; Dewi, Desi Wijayanti Eko; Jumiatun; Pujiati Setyaningsih; Shinta Ayu Nani
Jurnal ABDIMAS-HIP Pengabdian Kepada Masyarakat Vol. 6 No. 2 (2025): Jurnal ABDIMAS-HIP Pengabdian Kepada Masyarakat
Publisher : LPPM Akbid Harapan Ibu Pekalongan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37402/abdimaship.vol6.iss2.387

Abstract

Community health cadres play a pivotal role as mediators between primary healthcare facilities and the community, particularly in strengthening preventive health programs. Continuous training is essential to enhance their competencies. Additionally, improving maternal health requires comprehensive education through dedicated maternal classes covering pregnancy management, childbirth, postpartum care, neonatal care, and screening for high-risk conditions. This community service program aimed to strengthen the capacity of health cadres and pregnant women in early detection of high-risk factors to prevent maternal and neonatal complications. Separate training sessions were conducted for 19 cadres and 10 pregnant women, using interactive lectures, participatory discussions, and hands-on practice. Pre- and post-training evaluations demonstrated significant improvement: the proportion of cadres with “good” knowledge increased from 63.2% to 84.2%, while pregnant women improved from 90% to 100%. These findings indicate that cadre training and maternal classes effectively enhance health literacy and strengthen the role of community health cadres at the village level.
Comparison of the Effectiveness of Date Fruit Consumption and Oxytocin Massage on Uterine Involution in Postpartum Shinta Ika Sandhi; Desi Wijayanti Eko Dewi; Shinta Ayu Nani
Window of Health : Jurnal Kesehatan Vol 9 No 1 (January 2026)
Publisher : Fakultas Kesehatan Masyarakat Universitas Muslim Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33096/woh.vi.1270

Abstract

Postpartum hemorrhage remains a major global health problem and a leading cause of maternal mortality. Effective uterine involution, supported by uterine contractions and the hormone oxytocin, plays a crucial role in preventing hemorrhage. In addition to pharmacological methods, oxytocin stimulation can be achieved non-pharmacologically through oxytocin massage and nutritional support, such as the consumption of date fruit. These two interventions operate through distinct yet complementary mechanisms: neuroendocrine stimulation and metabolic nutritional support. This study aimed to compare the effectiveness of date fruit consumption and oxytocin massage on uterine involution among postpartum mothers. A quasi-experimental pre-test–post-test design was used, with 30 postpartum mothers purposively selected and divided into two groups. The first group consumed 100 g of dates daily, while the second group received oxytocin massage once a day, both for seven days. The results showed that the average reduction in uterine fundal height was 10.47 cm in the date consumption group and 8.07 cm in the oxytocin massage group. An independent t-test confirmed that date consumption was more effective than oxytocin massage at accelerating the reduction in uterine fundal height (p=0.01). Although these findings are limited by the small sample size and purposive sampling method, clinically, both interventions show potential as feasible, low-cost, and culturally acceptable supportive strategies in postpartum care, particularly in resource-limited settings. Further studies with larger samples and more rigorous designs are needed to confirm these results.