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All Journal Jurnal Masyarakat Indonesia Jurnal Kesehatan dan Kedokteran Journal of Public Health Science (JoPHS)
Butarbutar, Dyanti SR
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Chemical Engineering, Chemistry & Bioengineering Civil Engineering, Building, Construction & Architecture Computer Science & IT Control & Systems Engineering Education Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

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THE RELATIONSHIP BETWEEN PREGNANT WOMEN'S KNOWLEDGE ABOUT PREGNANCY NUTRITION AND THE INCIDENCE OF CHRONIC ENERGY DEFICIENCY (CED) IN PREGNANT WOMEN AT THE TIMBAAN VILLAGE HEALTH POST, BANDAR DISTRICT, SIMALUNGUN REGENCY, NORTH SUMATRA PROVINCE IN 2024 Hutabarat, Dewi Sartika; Saragih, Fitri Lestari; Putri Bakara, Sri Muliana; Butarbutar, Dyanti SR
Journal of Public Health Science Vol. 2 No. 2 (2025): Juni
Publisher : Yayasan Nuraini Ibrahim Mandiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70248/jophs.v2i2.2949

Abstract

Background: The most common nutritional disorder experienced by pregnant women is Chronic Energy Deficiency (CED). CED in pregnant women is a condition of insufficient energy and protein intake during pregnancy that can cause health problems for the mother and fetus. Pregnancy is not a disease, but a normal and natural phenomenon. Pregnant women with Chronic Energy Deficiency (CED) are pregnant women at risk of CED, which is characterized by a mid-upper arm circumference (MUAC) of less than 23.5 cm. Nutritional problems in pregnant women, especially Chronic Energy Deficiency (CED), are a public health problem that affects the health of mothers and fetuses. One factor influencing the incidence of CED is pregnant women's knowledge of nutrition during pregnancy. This study aims to determine the relationship between pregnant women's knowledge of pregnancy nutrition and the incidence of CED at the Timbaan Village Health Post, Bandar District, Simalungun Regency, North Sumatra Province in 2024. Methods: This study was quantitative with a cross-sectional approach. The population was all pregnant women visiting the Timbaan Village Health Post, and a sample of 40 respondents was drawn using a total sampling technique. Data were collected through a questionnaire to determine the level of knowledge of pregnant women and to measure nutritional status using the Mid-Upper Arm Circumference (MUAC). Data were analyzed using univariate and bivariate methods using the chi-square test with a 95% confidence level. Results: The results of the study showed that most pregnant women had insufficient knowledge (57.5%), and most experienced CED (55%). The chi-square test results showed a significant relationship between pregnant women's knowledge of pregnancy nutrition and the incidence of CED (p-value = 0.012 < 0.05). Conclusion: The conclusion of this study is that there is a significant relationship between pregnant women's knowledge of pregnancy nutrition and the incidence of Chronic Energy Deficiency (CED). It is hoped that health workers can improve nutrition education and counseling for pregnant women to prevent CED.
Socratic Leaflet Education to Improve Couples’ Knowledge on Long-Term Contraceptive Selection Hutabarat, Dewi Sartika; Tambun, Mastaida; Bakara, Srimuliana Putri; Butarbutar, Dyanti SR; Subroto, Edi; Aufa, Ka'sil
Jurnal Kesehatan dan Kedokteran Vol. 5 No. 1 (2026): Februari: Jurnal Kesehatan dan Kedokteran
Publisher : Asosiasi Dosen Muda Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56127/jukeke.v5i1.2596

Abstract

The high maternal mortality rate associated with frequent childbirth remains a significant public health issue, partly due to limited knowledge among couples of reproductive age about long-term contraception. The 2024 Indonesian Demographic and Health Survey reported that only 24.6% of respondents used long-term contraceptive methods. Low uptake is often linked to insufficient understanding and persistent myths in the community, indicating the need for interactive educational approaches. Objective: This study aims to analyze the effect of the Socratic method delivered through leaflets on improving the knowledge of couples of reproductive age in selecting Long-Term Contraceptive Methods (LTCM) at the Pematang Cengal Community Health Center. Methodology: The study employed a quantitative approach with a quasi-experimental one-group pre-test–post-test design. The population consisted of all couples of reproductive age within the health center’s service area, with 120 respondents selected through purposive sampling. Data were collected by measuring knowledge levels before and after the educational intervention and analyzed using the Wilcoxon Signed Rank Test. Findings: The results showed a statistically significant increase in the average knowledge scores after the Socratic-based education with leaflets (p-value < 0.05). Prior to the intervention, most respondents were categorized as having poor knowledge; afterward, the majority shifted to the good knowledge category. Implications: These findings suggest that interactive education using the Socratic method combined with leaflet media can serve as an effective strategy in primary healthcare settings to correct misconceptions, enhance understanding, and support informed decision-making regarding long-term contraception. Originality/Value: The originality of this study lies in the application of the Socratic method in LTCM education at the primary healthcare level, integrated with leaflet support, which promotes critical thinking about the effectiveness and safety of long-term contraception compared to conventional one-way education.
Comparison of Labor Duration by Parity Among Mothers at Rizki Clinic, Medan Tembung District Ribur Sinaga; Sari Khowajan Tondang; Eva Ratna Dewi; Marliani; Ali Imran Sirait; Butarbutar, Dyanti SR
Jurnal Kesehatan dan Kedokteran Vol. 5 No. 1 (2026): Februari: Jurnal Kesehatan dan Kedokteran
Publisher : Asosiasi Dosen Muda Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56127/jukeke.v5i1.2599

Abstract

Prolonged labor remains an important clinical issue because it can increase maternal fatigue and the risk of complications during delivery. Parity is known to influence the progress of labor, yet stage-specific evidence comparing primiparous and multiparous mothers in primary care settings is still limited. Understanding these differences is essential to improve intrapartum monitoring and maternal support. Objective: This study aimed to compare labor duration between primiparous and multiparous mothers at Rizki Clinic, Medan Tembung District, and to identify which stages of labor contribute most to the observed differences. Method: This study employed a quantitative observational analytic approach with a cross-sectional design conducted from April to July 2024. The sample consisted of 30 mothers (15 primiparous and 15 multiparous) selected using predetermined inclusion and exclusion criteria. Data on labor duration were obtained through direct observation and medical records. Descriptive analysis and the Mann–Whitney U test were used to examine differences between groups. Findings: The overall mean labor duration was longer in primiparous mothers (10.60 hours) compared with multiparous mothers (5.13 hours). Stage-specific analysis showed a significant difference in the first stage (Kala I), with primiparous mothers averaging 10.24 hours (7–11 hours 30 minutes) and multiparous mothers 6.5 hours (4–8 hours 45 minutes) (p = .000). No statistically significant differences were found in the second stage (mean 19 vs 15 minutes; p = .065) or the third stage (mean 10 vs 7 minutes; p = .086). Implications: The findings highlight the importance of focused monitoring and supportive care during the first stage of labor, particularly for primiparous mothers, to reduce anxiety and prevent prolonged labor. The results can inform clinical practice in primary care settings to improve labor management strategies. Originality/Value: This study provides stage-based comparative evidence on labor duration using clinic-level data, offering practical insight into parity-related differences and contributing to improved intrapartum care planning.
Peningkatan Pengetahuan Ibu Tentang Pencegahan Stunting Dan Edukasi Gizi Keluarga Di Desa Bangun Rejo Tahun 2025 Sinaga, Asnita; Butarbutar, Dyanti SR; Sianturi, Nova Christiana; Sari, Dessy Ratna; Yun, Deby Chyntia; Ginting, Astaria Br
Jurnal Masyarakat Indonesia (Jumas) Vol. 4 No. 03 (2025): Jurnal Masyarakat Indonesia (Jumas)
Publisher : Cattleya Darmaya Fortuna

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54209/jumas.v4i03.348

Abstract

Stunting is a chronic nutritional problem that affects physical growth, cognitive development, and the quality of human resources in the future. Limited maternal knowledge regarding stunting prevention and family nutrition management is one of the major risk factors contributing to stunting among children under five. This community service program aimed to improve mothers’ knowledge of stunting prevention and family nutrition education in Bangun Rejo Village, Tanjung Morawa District, Deli Serdang Regency, North Sumatra Province. The program employed a participatory-educative approach using a pre-test and post-test design involving 67 mothers of under-five children. The intervention included interactive counseling sessions, visual and digital educational media, practical simulations of preparing nutritious meals, and the empowerment of selected mothers as nutrition information agents. The results indicated a significant increase in participants’ knowledge levels; prior to the intervention, 52.2% of participants were categorized as having low knowledge, while after the intervention, 67.2% were categorized as having good knowledge. In addition to improved knowledge, positive changes in attitudes and motivation were observed, particularly in implementing balanced nutrition practices and routine child health monitoring. These findings suggest that a participatory approach is effective in enhancing maternal nutrition literacy and can serve as a community-based intervention model to support stunting reduction programs at the village level.
Co-Authors Ali Imran Sirait Aritonang, Ribur Aufa, Ka'sil Bakara, Srimuliana Putri Edi Subroto Eva Ratna Dewi Ginting, Astaria Br Hutabarat, Dewi Sartika Marliani Saragih, Fitri Lestari Sari Khowajan Tondang Sianturi, Nova Christiana SINAGA, ASNITA Sri Muliana Putri Bakara Tambun, Mastaida Yun, Deby Chyntia