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The Effect Of Using Pilamil (Pita Lila Pregnant Women) On The Incidence Of Chronic Energy Deficiency In Pregnant Women Putriana, Yeyen; Putri, Aaliyah Asti; Risneni, Risneni
JKM (Jurnal Kebidanan Malahayati) Vol 11, No 4 (2025): Volume 11 No 4, April 2025
Publisher : Program Studi Kebidanan Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkm.v11i4.20207

Latar Belakang : Jumlah kasus kekurangan energi kronik (KEK) yang terjadi pada ibu hamil di Indonesia masih tinggi (17,3%) sehubungan dengan tujuan Sustainable Development Goals (SDGs) yang mana harus 5% di tahun 2030. Tidak hanya itu penurunan hanya sebesar 6,9% dari Tahun 2013-2018. Berdasarkan Riskesdas 2018, kejadian KEK di Provinsi Lampung sebesar 13,6% mendekati rerata kejadian KEK di Indonesia. Ini menunjukkan perlunya upaya percepatan untuk menurunkan kejadian KEK yang terjadi pada ibu hamil di Provinsi lampung khususnya diseluruh Provinsi di Indonesia. Langkah screening KEK di Indonesia menggunakan pengukuran LILA, yang dilakukan oleh profesional kesehatan menggunakan pita LILA.Tujuan : Penelitian ini adalah untuk mengetahui efektifitas penggunaan PILAMIL (Pita LILA Ibu Hamil) terhadap kenaikan lingkaran lila pada ibu hamil yang mengalami KEK di PMB Nini Suniarti, Panjang, Kota Bandar Lampung.Metode Penelitian : Jenis penelitian yang digunakan adalah penelitian kuantitatif dengan pendekatan rancangan satu kelompok praperlakuan dan pascaperlakuan (One-group pretest-posttest design) pada distribusi frekuensi pemahaman, penggunaan dan kebermanfaatan terhadap seluruh ibu hamil. Alat ukur digunakan dalam penelitian ini adalah PILAMIL (Pita LILA Ibu Hamil), SOP/Daftar Tilik dan kusioner. Jenis pengambilan data adalah data primer dengan sampel 38 responden. Analisis data univariat dan bivariat dengan uji statistik Mann-Whitney dengan Uji Normalitas Shapiro Wilk.Hasil : Penelitian menunjukkan sebagian besar responden mengalami peningkatan hasil pengukuran LILA saat setelah diberikan intervensi oleh peneliti. Hasil uji statistik menggunakan Mann-Whitney menunjukkan signifikansi p-value 0.046 < 0.05. artinya terdapat pengaruh yang signifikan terhadap penggunaan PILAMIL secara independent oleh ibu hamil. Kesimpulan ; terdapat efektifitas penggunaan PILAMIL terhadap kejadian KEK pada ibu hamil secara independent. Saran : PILAMIL dapat digunakan oleh ibu hamil KEK sebagai alat untuk memantau kenaikan lila secara independen Katakunci : KEK, Ibu Hamil, PILAMIL (PITA LILA untuk Ibu Hamil) ABSTRACT Background: The number of cases of chronic energy deficiency (CED) that occur in pregnant women in Indonesia is still high (17.3%) in relation to the Sustainable Development Goals (SDGs) which must be 5% in 2030. Not only that, the decrease was only 6.9% from 2013-2018. Based on Riskesdas 2018, the incidence of CED in Lampung Province was 13.6% approaching the average incidence of CED in Indonesia. This shows the need for accelerated efforts to reduce the incidence of CED that occurs in pregnant women in Lampung Province, especially in all provinces in Indonesia. The CED screening steps in Indonesia use LILA measurements, which are carried out by health professionals using LILA bands.Objective: This study was to determine the effectiveness of using PILAMIL (Pregnant Women's LILA Tape) on increasing the lila circle in pregnant women experiencing KEK at PMB Nini Suniarti, Panjang, Bandar Lampung City.Research Methods: The type of research used is quantitative research with a one-group pre-treatment and post-treatment design approach (One-group pretest-posttest design) on the frequency distribution of understanding, use and benefits for all pregnant women. The measuring instruments used in this study were PILAMIL (Pregnant Women's LILA Tape), SOP/Checklist and questionnaire. The type of data collection is primary data with a sample of 38 respondents. Univariate and bivariate data analysis with the Mann-Whitney statistical test with the Shapiro Wilk Normality Test.Results: The study showed that most respondents experienced an increase in LILA measurement results after being given intervention by the researcher. The results of the statistical test using Mann-Whitney showed a significance of p-value 0.046 < 0.05. This means that there is a significant influence on the use of PILAMIL independently by pregnant women.. Conclusion: There is effectiveness in using PILAMIL against the incidence of KEK in pregnant women independently.Suggestion: PILAMIL can be used by pregnant women with KEK as a tool to monitor the increase in blood pressure independently. Keywords: KEK, Pregnant Women, PILAMIL (PITA LILA for Pregnant Women)

Effectiveness of Breastfeeding Assistance Model for Pregnant Women, Maternity Women, and Breastfeeding Mothers in West Tulang Bawang Regency in 2023 Indrasari, Nelly; Mugiati, Mugiati; Risneni, Risneni; Berliana, Eva; Nurlaila, Nurlaila
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 10, No 1 (2025): March
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30604/jika.v10i1.2980

Breast milk is the gold standard baby food, breast milk is proven to have advantages that cannot be replaced by any food and drink, because breast milk contains the most appropriate, complete nutrients, and always adjusts to the needs of babies at any time. The gold standard of infant food begins with IMD, followed by exclusive breastfeeding for 6 (six) months (Munzia, 2013).Only 3.7% of infants in Indonesia are breastfed within the first 1 hour after birth. Breastfeeding is recognized as one of the most powerful influences on child survival, growth, and development. Exclusive breastfeeding can reduce the mortality rate of children under five by about 20%. Early initiation of breastfeeding will also greatly help achieve MDGs goal number four of reducing child mortality, as early breastfeeding within the first hour after delivery will reduce newborn mortality. The failure of mothers to breastfeed their babies until six months of age is actually only one problem, which is that mothers do not fully understand the correct way to breastfeed, including techniques and ways to obtain breast milk, especially when they have to work. Understanding IMD and exclusive breastfeeding is a very important issue. IMD and exclusive breastfeeding are possible if individuals, families, health workers and communities understand the meaning, benefits and goals of IMD and exclusive breastfeeding (Munzia, 2013).The results of the 2018 Basic Health Research stated that the exclusive breastfeeding rate for 6-month-old babies in Lampung Province only reached 37.3% of the target of 60%. Meanwhile, in West Tulang Bawang District, the achievement of exclusive breastfeeding was 29.1% of the target of 60%, the achievement of IMD 1 hour 1.8% and IMD 1 hour 39.6% which should be done in all newborns (Riskesdas, 2018).The purpose of the study was to determine the application of the Breastfeeding Model in pregnant women, delivery mothers, and postpartum breastfeeding mothers in West TulangBawang Regency in 2023. This research method uses quasi experiment with pretest-posttest group design. The intervention provided is assistance to pregnant women, laboring women and postpartum breastfeeding mothers who are willing to be assisted and in accordance with the inclusion and exclusion criteria. Before providing assistance, health cadres were trained and provided with knowledge about breastfeeding by the research team in accordance with the research design that had been prepared. The breastfeeding preparation assistance process for pregnant women was carried out during mother's class or according to the free time of pregnant women. The IMD and breastfeeding preparation assistance process was carried out at the place where the mother gave birth for approximately 120 minutes until the end of the postpartum period.The mentoring process is carried out for approximately 6 months by applying the breastfeeding model that has been obtained from the first year of research with a research instrument in the form of a Pocket Book that adapts to the conditions of the respondents. Furthermore, the alternative methods of mentoring will be outlined in a guidebook for pregnant women mentoring models. The population in this study were all pregnant women, laboring mothers, and postpartum breastfeeding mothers in the work area of the West Tulang Bawang District Health Office in 2023. The sample of this study were 30 pregnant women, 30 mothers in labor and 30 postpartum breastfeeding mothers at the Puskesmas in the working area of the West Tulang Bawang District Health Office in 2023 with a total of 90 people. This research is planned to be published in Scientific Journals and Accredited Proceedings, become teaching materials and will be registered as Intellectual Property Rights (IPR). The Technology Readiness Level (TKT) of this research is at level 3 with readiness at this stage at level 2-3.

The Relationship Between Age And Husband'S Support With Mother'S Anxiety In Childbirth Putriana, Yeyen; Sela, Sela; Risneni, Risneni; Marlina, Marlina
JKM (Jurnal Kebidanan Malahayati) Vol 11, No 7 (2025): Volume 11, Nomor 7 Juli 2025
Publisher : Program Studi Kebidanan Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkm.v11i7.21565

Kecemasan pada ibu bersalin adalah salah satu masalah kesehatan mental yang dialami oleh ibu bersalin, kecemasan pada ibu bersalin dipengaruhi oleh beberapa faktor yaitu cemas sebagai akibat dari nyeri persalinan, keadaan fisik ibu, riwayat pemeriksaan kehamilan,kurangnya pengetahuan tentang proses persalinan, kurangnya dukungan dari suami/keluarga, dan usia. Diwilayah panjang, didapatkan ibu inpartu yang mengalami kegelisahan, terlihat tidak tenang, dan mengalami nyeri yang paling banyak terdapat di PMB Wirahayu S.Tr.Keb.Tujuan penelitian ini untuk mengetahui hubungan Usia dan Dukungan suami dengan kecemasan pada ibu bersalin di PMB Wirahayu S.Tr.Keb wilayah panjang, kota Bandar Lampung tahun 2024.Metode penelitian ini merupakan penelitian survei analitik dengan rancangan Cross sectional, total populasi dalam penelitian ini yaitu 60 responden ibu bersalin data yang diambil adalah data primer yang di ambil secara langsung, alat pengumpulan data yaitu kuisioner. Analisis mengunakan uji rank Spearman. Hasil didapatkan tidak ada hubungan antara usia dengan kecemasan ibu bersalin PMB Wirahayu S.Tr.Keb wilayah panjang, kota Bandar lampung tahun 2024 karena P-Value 0,861 > 0,05. Dan terdapat hubungan antara Dukungan suami dengan Kecemasan pada ibu bersalin di PMB Wirahayu S.Tr.Keb wilayah panjang, kota Bandar lampung tahun 2024 dengan P-Value 0,035 < 0,05. Kesimpulan penelitian yaitu tidak ada hubungan usia dengan kecemasan ibu bersalin, dan ada hubungan antara dukungan suami dengan kecemasan pada ibu bersalin. Saran peningkatan dukungan suami melalui kegiatan kelas ibu hamil di klinik-klinik bersalin . Kata Kunci : Bersalin, Usia, Dukungan Suami ABSTRACT Anxiety in mothers in labor is one of the mental health problems experienced by mothers in labor, anxiety in mothers in labor is influenced by several factors, namely anxiety as a result of labor pain, the mother's physical condition, history of pregnancy examinations, lack of knowledge about the labor process, lack of support from husband/family, and age. In the Panjang area, it was found that mothers in labor who experienced anxiety, looked restless, and experienced pain were the most common in PMB Wirahayu S.Tr.Keb.The purpose of this study was to determine the relationship between age and husband's support with anxiety in mothers giving birth at PMB Wirahayu S.Tr.Keb, Panjang area, Bandar Lampung city in 2024.This research method is an analytical survey research with a Cross sectional design, the total population in this study is 60 respondents of mothers giving birth, the data taken is primary data taken directly, the data collection tool is a questionnaire. The analysis uses the Spearman rank test.giving birth at PMB Wirahayu S.Tr.Keb Panjang area, Bandar Lampung city in 2024 because P-Value 0.861 > 0.05. And there is a relationship between Husband's Support and Anxiety in mothers giving birth at PMB Wirahayu S.Tr.Keb Panjang area, Bandar Lampung city in 2024 with P-Value 0.035 < 0.05. The conclusion of the study is that there is no relationship between age and anxiety in mothers giving birth, and there is a relationship between husband's support and anxiety in mothers giving birth. Keywords : Childbirth, Age, Husband's Support

Exploration of Contextual Factors Affecting the Effectiveness of E-Kescatin Application Utilization: A Qualitative Study in Pringsewu Regency Indrasari, Nelly; Risneni, Risneni; Aliyanto, Warjidin; Nurlaila, Nurlaila; Berliana , Eva; Marlina, Marlina
Jurnal Kesehatan Vol 16 No 2 (2025): Jurnal Kesehatan
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v16i2.5108

The E-Kescatin application was developed as an innovation in premarital health services to support stunting prevention efforts through a digital approach. However, the effectiveness of utilization of this application still shows variations between regions and is not optimal at the implementation level. This study aims to explore the contextual factors that influence the effectiveness of the E-Kescatin application utilization in Pringsewu District, Lampung Province. The research used a qualitative approach with an exploratory study design. Informants were selected purposively, consisting of midwives, brides-to-be, Health Office officers, and MCH program managers. Data collection was conducted through in-depth interviews and focus group discussions. Data analysis was done thematically with an interpretative approach. The results identified five main themes that influence the effectiveness of app utilization, namely: (1) accessibility of technology and digital infrastructure; (2) digital competence of health workers; (3) perceived benefits from the user side; (4) policy and regulatory support at the local level; and (5) cross-sector integration in the implementation of premarital services. It is concluded that the effectiveness of E-Kescatin application utilization is influenced by contextual factors that include technical, social, and institutional aspects. Therefore, improving the success of application implementation requires a collaborative and adaptive approach to local conditions. The findings of this study provide a significant contribution to strengthening digital transformation policies in the field of reproductive health.

Implementation Of Interprofessional- Colaboration (IPC) In The Community Health Center Regarding Exclusive Breastfeeding On Mothers' Knowledge, Attitudes And Exclusive Breastfeeding Achievements Putriana, Yeyen; Pranajaya, R; Risneni, Risneni
JKM (Jurnal Kebidanan Malahayati) Vol 11, No 9 (2025): Volume 11 Nomor 9 September 2025
Publisher : Program Studi Kebidanan Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkm.v11i9.22559

Pemberian ASI eklusif dan menyusu selama minimal 2 tahun membutuhkan pengetahuan dan sikap yang positif bagi ibu. Puskesmas sebagai bagian dari pemerintah berkewajiban untuk meningkatkan capaian ASI melalui salah satunya kegiatan kelas ibu. Kelas ibu dapat dimanfaatkan untuk menerapkan interprofesional colaborasi (IPC) antara bidan, petugas imunisasi dan gizi untuk memberikan pendampingan selama menyusui.Tujuan penelitian ini untuk mengetahui efektifitas penerapan IPC bagian KIA, Imunisasi dan Gizi tentang asi eklusif terhadap pengetahuan, sikap dan capaian asi eklusif di Puskesmas Kemiling Kota Bandar Lampung tahun 2024 .Metode penelitian ini merupakan penelitian quasi eksperimen dengan one group pre dan post test. Populasi penelitian seluruh ibu menyusui yang datang ke Puskesmas Kemiling. Sampel diambil dengan menggunakan purposive sampling dan menggunakan kriteria eklusi dan inklusi. Hasil perhitungan rumus Lemeshow didapatkan 30 responden. Alat ukur yang digunakan adalah kuesioner. Media pendampingan menggunakan booklet . Analisi data menggunakan analisis univariat dan bivariat uji T dependen.Hasil penelitian di dapatkan terdapat peningkatan pengetahuan ibu sebelum dan setelah intervensi dengan V palue 0,0001 terdapat peningkatan sikap ibu sebelum dan setelah intervensi dengan V- palue 0,0002, terdapat peningkatan cakupan asi eklusif sebesar 93%. Kesimpulan penerapan IPC untuk meningkatkan pengetahuan, sikap dan capaian asi eklusif . Saran kepada Puskesmas secara kontinue memberikan pendampingan di kelas ibu untuk meningkatkan cakupan asi dan menyusu selama 2 tahun . Kata Kunci ; ASI eklusif, Capaian, IPC, Pengetahuan, Sikap, ABSTRACT Exclusive breastfeeding and breastfeeding for at least two years require knowledge and a positive attitude from mothers. Community health centers, as part of the government, are obligated to improve breastfeeding outcomes through activities such as mothers' classes. These classes can be used to implement interprofessional collaboration (IPC) between midwives, immunization officers, and nutritionists to provide support during breastfeeding.The purpose of this study was to determine the effectiveness of the implementation of the IPC section of KIA, Immunization and Nutrition regarding exclusive breastfeeding on knowledge, attitudes and achievements of exclusive breastfeeding at the Kemiling Community Health Center, Bandar Lampung City in 2024.This research method is a quasi-experimental study with one group pre- and post-test. The study population was all breastfeeding mothers who came to the Kemiling Community Health Center. The sample was taken using purposive sampling and using exclusion and inclusion criteria. The results of the Lemeshow formula calculation obtained 30 respondents. The measurement instrument used was a questionnaire. The mentoring media used a booklet. Data analysis used univariate and bivariate analysis of the dependent T test.The results of the study showed an increase in maternal knowledge before and after intervention with V-palue 0.0001, there was an increase in maternal attitudes before and after intervention with V-palue 0.0002, there was an increase in exclusive breastfeeding coverage by 93%. The conclusion of the application of IPC to improve knowledge, attitudes and achievements of exclusive breastfeeding. Suggestions to the Community Health Center continuously provide assistance in mother's classes to increase the coverage of breast milk and breastfeeding for 2 years. Keywords: Exclusive breastfeeding, Achievement, IPC, Knowledge, Attitude

Pengaruh Pemberian Buah Kurma Pada Ibu Hamil Terhadap Onset Laktasi Di Pmb Di Wilayah Kerja Puskesmas Segala Mider Kota Bandar Lampung Putriana, Yeyen; Risneni, Risneni; Pingkan AY, Davila
MIDWIFERY JOURNAL Vol 2, No 4 (2022): Volume 2 Nomor 4, Desember 2022
Publisher : Universitas Malahayati Bandar Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mj.v2i4.8623

Background :Lactation onset is the onset period for enhancing milk until milk production for the first time or the mother's perception of when her milk comes out that is characterized by a hard, heavy, swollen breast until milk or colostrum comes out that lasts 72 hours after delivery. Date Palm is one of the fruits that contain Galacktogogue which can be used as a breast milk booster. It can enhance milk production and prevent late-onset of lactation when date palms can be consumed by pregnant women regularly.Objective : The aim of this study is to determine the differences in lactation onset among mothers who ate date palm and did not eat date palm in Segalamider Public Health Center, Bandar Lampung City 2021. Methode :The type of this research is a Quasy Experiment Design with Non-Equivalent Control Group Design approach. Methode : The population of this study is all pregnant women in the PMB working area of Segalamider Public Health Center whose pregnancy age was ≥ 36 weeks, while the sample of this study was divided into two types, such as; the control and the treatment group. Result : Based on the results of the statistical test, there is an effect of giving date palm on the onset of lactation in the PMB of the Segalamider Public Health Center in Bandar Lampung City as evidenced by the Sig (2-tailed) value of 0.001 <0.05, it can be concluded that H_0 is rejected and H_a is accepted. It indicates that there is an effect of giving date palm on the onset of lactation in the PMB of the Segalamider Public Health Center, Bandar Lampung City. The conclusion of this study is giving date palm to pregnant women is proven to be effective in preventing late-onset of lactation. Suggestion :For this reason, mothers are advised to consume date palm regularly as an alternative to prevent late-onset of lactation. Keywords : Date Palm, Pregnant, ASI, Onset, Lactation ABSTRAK Latar Belakang : Onset laktasi adalah masa permulaan untuk memperbanyak air susu sampai air susu keluar pertama kali atau persepsi ibu kapan air susunya keluar yang ditandai dengan payudara terasa keras, berat, bengkak sampai air susu atau kolostrum keluar yang berlangsung dalam 72 jam setelah persalinan. Keterlambatan dalam onset laktasi dapat menyebabkan bayi diberikan susu formula akibat nya gagal tasi eklusif. Buah Kurma merupakan buah yang mengandung Galacktogogue yang dapat dijadikan sebagai ASI booster dan mencegah terjadinya keterlambatan onset laktasi. Tujuan: dari penelitian ini adalah untuk mengetahui perbedaan onset laktasi pada ibu yang mengonsumsi buah kurma dan tidak mengonsumsi buah kurma di PMB Wilayah Kerja Puskesmas Segalamider Kota Bandar Lampung tahun 2021Metode : Jenis penelitian ini adalah Quasy Eksperiment Design dengan pendekatan Non Equivalent Control Group Design. Populasi penelitian ini adalah seluruh ibu hamil yang ada di PMB Wilayah Kerja Puskesmas Segalamider yang usia kehamilanya ≥ 36 minggu sedangkan sampel dari penelitian ini dibagi dua yaitu kelompok kontrol dan kelompok perlakuan. Data yang diambil berupa data primer dan analisa data yang digunakan adalah analisa univariat dengan mencari nilai rata-rata, median, minimum, maksimum dan analisa bivariat menggunakan uji T-test Independent yang sebelumnya dilakukan uji normalitas dan uji homogenitas.Hasil : dari penelitian ini yaitu, kelompok ibu hamil yang mengonsumsi buah kurma memiliki rata-rata waktu onset laktasi 3,575 jam dan kelompok ibu hamil yang tidak mengonsumsi buah kurma memiliki rata-rata waktu onset laktasi 6,225 jam dan dibuktikan dengan hasil nilai Sig (2-tailed) 0,001 < 0,05 bahwa ditolak dan diterima dan terdapat perbedaan waktu rata-rata onset laktasi pada kelompok yang diberikan dan tidak diberikan buah kurma, sehingga ada pengaruh pemberian buah kurma terhadap onset laktasi di PMB Wilayah Kerja Puskesmas Segalamider Kota Bandar Lampung. Kesimpulan terdapat pengaruh pemberian buah kurma terhadap onset laktasiSaran Berdasarkan hasil penelitian ini diharapkan ibu hamil mengonsumsi buah kurma untuk mencegah terjadinya keterlambatan onset laktasi. Kata Kunci : Kurma, Hamil, ASI, Onset, Laktasi,

Dukungan Suami Berhubungan Dengan Ketercapaian Asi Eklsusif Putriana, Yeyen; Risneni, Risneni
MIDWIFERY JOURNAL Vol 2, No 1 (2022): Volume 2 nomor 1, Maret 2022
Publisher : Universitas Malahayati Bandar Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mj.v2i1.6413

Background :Breastfeeding is a natural and lengthy process compared to childbirth. Breastfeeding has many factors that support its success during the period of exclusive breastfeeding and 2 years. The failure of exclusive breastfeeding is mostly caused by the mother's lack of knowledge and the absence of family support, especially husbands and in-laws or biological mothers. It is not yet known how the husband's support affects the achievement of exclusive breastfeeding for 6 months. Purpose: This study aims to determine the relationship of husband's support for breastfeeding mothers to the achievement of exclusive breastfeeding in 6 months.Method: The study used a quasi eksperimen research design. The research will be conducted at Kemiling Public Health Center Bandar Lampung in september 2021. The research subjects are breastfeeding mothers with babies aged 6-12 months. The sample size uses the purposive sampling formula. Data analysis used bivariate analysis with Spearman correlation test.Results: the prevalence of exclusive breastfeeding is 30%. Most husbands support exclusive giving (80%) compared to husbands who do not support (20%). Spearmen correlation test results show that there is no significant relationship between support and exclusive breastfeeding. Conclusions :Mothers who received support from their husbands had a greater proportion of exclusive breastfeeding compared to those who did not receive support, although there was no statistically significant relationshipSuuggestion : it is necessary to have a group of fathers who support breastfeeding to provide moral and emotional technical information support Keywordd : exlusive breastfeeding, husband suport ABSTRAK Latar belakang : Menyusui adalah proses alami dan lama dibandingkan dengan proses persalinan. Menyusui mempunyai banyak factor yang menunjang keberhasilannya selama periode asi eklusif dan 2 tahun. Kegagalan ASI ekslusif banyak disebabkan oleh kurangnya pengetahuan ibu dan tidak ada adanya dukungan keluarga terutama suami dan mertua atau ibu kandung. Belum diketahui bagaimanakah pengaruh dukungan suami dengan capaian asi eklusif selama 6 bulan .Tujuan : Penelitian ini bertujuan untuk mengetahui hubungan dukungan suami terhadap ibu menyusui terhadap capaian asi esklusif dalam 6 bulan .Metode : Penelitian menggunakan rancangan penelitian cross sectinal. Penelitian dilaksanakan di puskesmas Kemiling Bandar Lampung pada bulan februari 2022. Subyek penelitian adalah ibu menyusui dengan usia bayi 6. Besar sampel menggunakan rumus purposive sampling. Analisa data menggunakan analisa secara bivariat dengan uji korelasi Spearman.Hasil: penelitian mendapatkan sebagian besar suami mendukung pemberian si eklusif (80%) dibandingkan dengan suami yang tidak mendukung (20%). Hasil ujikorelasi spearmen menunjukkan tidak terdapat hubungan yang signifikan antara dukungan dengan pemberian asi eklusif.Kesimpulan : Ibu yang mendapat dukungan dari suami memiliki proporsi yang lebih besar memberi asi eklusif dibandingkan dengan tidak mendapatan dukungan meskipun secara statistik tidak hubungan secara signifikan.Saran : perlu dibentuk kelompok ayah pendukung asi guna memberikan imformasi, tehnik, moral maupun emosional Kata kunci : asi ekslusif, dukungan suami.

Improving Mother’s Knowledge in Early Detection of Pregnancy and Childbirth Complication Elmeida, Ika Fitria; Purwaningsih, Dewi; Risneni, Risneni; Suja, Monica Dara Delia
Jurnal Ilmiah Pengabdian Masyarakat Bidang Kesehatan (Abdigermas) Vol. 1 No. 3 (2023): Jurnal Ilmiah Pengabdian Masyarakat Bidang Kesehatan (Abdigermas)
Publisher : CV Media Inti Teknologi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58723/abdigermas.v1i3.95

Pregnancy and childbirth complications and high risks, which are estimated to occur in 15–20% of pregnant women, are not all detected early. For those detected, not all of them have been handled in a timely and adequate manner. In one of the provinces in Indonesia, namely Lampung, there are still many women giving birth at home. Research results in the form of population-based information about birth complications in mothers must rely on reporting about mothers' experiences through interviews. The Community Health Center has carried out health promotion activities both periodically and incidentally about the health of mothers and babies. However, it is very unfortunate that people do not really understand the danger signs and how to detect early labor, so treatment is still too late. The targets for this activity were 30 pregnant and breastfeeding mothers who came to Posyandu. The types of activities carried out include providing education about recognizing the danger signs of pregnancy and childbirth and using the IKA-LIN booklet as an instrument for detecting childbirth complications. All community service participants were given a pre-test, followed by a presentation regarding the danger signs of pregnancy, after which booklets were given to all participants, and the final stage was the post-test. The final session also included questions and answers regarding the mother's experience during childbirth. There was an increase in mothers' knowledge based on the results of the pre-test and post-test.

Analysis Of Factors Related To The Incident Of Chronic Energy Deficiency (CED) In Pregnant Women Sulistianingrum, Lely; Octaviana, Amrina; Risneni, Risneni; Delia Suja, Monica Dara
JKM (Jurnal Kebidanan Malahayati) Vol 10, No 8 (2024): Volume 10,No.8 Agustus 2024
Publisher : Program Studi Kebidanan Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkm.v10i8.16928

Latar Belakang : Kurang energi kronis (KEK) pada kehamilan merupakan masalah gizi di Indonesia. Kontribusi dan terjadinya KEK pada ibu hamil akan memengaruhi tumbuh kembang janin. Ibu hamil dengan masalah gizi dan kesehatan berdampak terhadap kesehatan dan keselamatan ibu dan bayi serta kualitas bayi yang dilahirkan. Prevalensi risiko KEK di kota Bandar Lampung pada wanita hamil sebesar 17,36% dan wanita tidak hamil 17,02%. Salah satu puskesmas di Kota Bandar Lampung yakni Puskesmas Way Kandis di tahun 2022, terdapat ibu hamil dengan KEK sebanyak 48 ibu hamil.Tujuan : Menganalisis faktor yang berhubungan dengan kejadian KEK pada ibu hamil di wilayah Puskesmas Way Kandis Kota Bandar Lampung.Metode : Penelitian ini dilakukan dengan pendekatan cross sectional, dengan sampel ibu hamil KEK di Wilayah Puskesmas Korpri. Analisis statistik yang akan digunakan dalam penelitian ini adalah uji chi-square.Hasil : hasil penelitian menunjukkan bahwa variabel yang paling berhubungan dengan kejadian KEK yaitu ibu hamil dengan Paritas > 2 anak dengan nilai p 0,001<0,05, kemudian ibu hamil dengan gizi kurang nilai p 0,001<0,05, dan ibu hamil dengan infeksi penyakit, nilai p 0,004 <0,05. Untuk variabel yang tidak berhubungan adalah umur, jarak kelahiran, serta usia kehamilan.Kesimpulan : variabel yang paling berhubungan dengan kejadian KEK yaitu ibu hamil dengan Paritas > 2 anak dengan nilai p 0,001<0,05.Saran : Pentingnya pendidikan kesehatan mengenai asupan gizi pada ibu hamil dalam mencegah terjadinya kejadian Kurang Energi Kronis (KEK) pada ibu hamil, dapat memengaruhi tumbuh kembang janin, sehingga dapat mencegah terjadinya komplikasi pada saat persalinan. Kata kunci : Ibu hamil, KEK, malnutrisi ABSTRACT Background: Chronic energy deficiency (CED) in pregnancy is a nutritional problem in Indonesia. The contribution and occurrence of CED in pregnant women will affect the growth and development of the fetus. Pregnant women with nutritional and health problems have an impact on the health and safety of the mother and baby, as well as the quality of the baby born. The prevalence of CED risk in the city of Bandar Lampung in pregnant women is 17.36% and in non-pregnant women is 17.02%. One of the community health centers in Bandar Lampung City is the Community Health Center Way Kandis. In 2022, there were 48 pregnant women with CED.Objective: To analyze factors related to the incidence of CED in pregnant women in the Way Kandis Community Health Center area, Bandar Lampung City.Method: This research was conducted using a cross-sectional approach with a sample of KEK pregnant women in the Korpri Community Health Center area. The statistical analysis that will be used in this research is the chi-square test.Results: The results of the study show that the variables most related to the incidence of CED are pregnant women with parity > 2 children with a p value of 0.001<0.05, then pregnant women with malnutrition with a p value of 0.001<0.05, and pregnant women with infectious diseases. with a p value of 0.004<0.05. Unrelated variables are age, birth interval, and gestational age.Conclusion: The variable most related to the incidence of CED is pregnant women with parity > 2 children, with a p value of 0.001 <0.05.Suggestion: The importance of health education regarding nutritional intake for pregnant women in preventing the occurrence of chronic energy deficiency (KEK) in pregnant women can affect the growth and development of the fetus so that it can prevent complications during childbirth. Keywords: pregnant women, KEK, malnutrition

The effectiveness of implementing Interprofessional Collaboration (IPC) in Community Health Centers regarding exclusive breastfeeding on knowledge, attitudes of mothers and achievements of exclusive breastfeeding Putriana, Yeyen; Risneni, Risneni; Pranajaya, R; Indrasari, Nelly
JKM (Jurnal Kebidanan Malahayati) Vol 10, No 6 (2024): Volume 10,No.6 Juni 2024
Publisher : Program Studi Kebidanan Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkm.v10i6.15623

Permasalahan kesehatan ibu dan anak saat ini yang menjadi fokus program pemerintah adalah masalah stunting. Stunting adalah suatu kondisi gagal tumbuh pada anak balita . Angka kejadian stunting di Indonesia pada tahun 2021 masih berada di 24,4 % (Pusdatin, 2021). Banyak faktor yang berhubungan dengan kejadian stunting. Salah satunya adalah pemberian asi eklusif pada bayi 0-6 bulan. Asi ekslusif adalah dibutuhkan oleh bayi karena sangat penting untuk pertumbuhan dan perkembangan bayi (S Novianita, 2022). Bayi yang mendapatkan asi eklusif mempunyai risiko lebih rendah terjadinya stunting (Sumiyati 2022)Pemberian ASI ekslusif telah diprogram oleh pemerintah sejak tahun 2012 namun keberhasilan untuk pencapaian asi ekslusif berjalan lambat. Pada tahun 2021 pencapaian asi eklusif baru mencapai 71,58% untuk negara Indonesia, dan khusus untuk propinsi Lampung asi eklusif mencapai 74,93% pada tahun 2021 (Badan Pusat Statistik, 2022) . Usaha untuk mencapai target pencapaian asi eklsusif banyak program pemerintah yang dilaksanakan di Puskesmas salah satunya dengan memberikan penyuluhan-penyuluhan kepada ibu hamil di kelas ibu hamil . Akan tetapi penyuluhan penyuluhan tersebut hanya terbatas pada bagian KIA . Setelah bayi lahir dan seterusnya ibu jarang berkontak dengan KIA untuk konsultasi permasalahan seputar asi setelah bayi lahir. Ibu dan bayi banyak berkontak dengan petugas kesehatan di puskesmas hanya untuk mendapatkan suntikan imunisasi dasar. Akibatnya terjadi kegagalan pemberian asi ekslusif pada bayi karena adanya permasalahan-permasalahan yang tidak teratasi dalam masa menyusui. Idealnya adanya kerjasama antara bagian profesional dari bagian imunisasi ke bagian KIA agar dapat merujuk ibu dan bayi yang mengalami permasalahan seputar asi (asi sedikit, putting susu lecet dan sebagainya)Tujuan penelitian ini adalah untuk mengetahui pengaruh penerapan interprofesional colaboration practice terhadap capaian asi ekslusif. Metode Desain penelitian ini adalah kuasi eksperimen dengan rancangan one group pretest dan posttest. Populasi penelitian adalah ibu menyusui dengan usia bayi 1 bulan. Besar sample ditentukan dengan purposive random sampling. Intervensi berupa edukasi dan pendampingan tentang asi eklusif. Data dianalisis menggunakan univarat dan bivariat chi quadratHasil : terdapat peningkatan pengetahuan dan sikap ibu sebelum dan setelah mengikuti IPC dan terdapat hubungan antara pengetahuan dan sikap terhadap capaian asi eklusivKesimpulan : IPC bagian KIA dan Imunisasi dapat meningkatkan pengetahuan, sikap dan capain asi eklusivSaran : puskesmas dapat menerapkan IPC antara bagian KIA dan Imunisasi untuk meningkatkan capaian asi eklusisiv Abstrac Background: The current maternal and child health problem that is the focus of government programs is stunting. Stunting is a condition of failure to thrive in children under five. The incidence of stunting in Indonesia in 2021 will still be at 24.4% (RI, 2020). Many factors are related to the incidence of stunting. One of them is exclusive breastfeedingg for babies 0-6 months. Exclusive breast milk is needed by babies because it is very important for the baby's growth and development (Novianita et al., 2022). Baby who receive exclusive breast milk have a lower risk of stunting (Arsin & Syafar, 2020).Exclusive breastfeeding has been programmed by the government since 2012, but success in achieving exclusive breastfeeding has been slow. In 2021, the achievement of exclusive breast milk will only reach 71.58% for Indonesia, and specifically for Lampung province, exclusive breast milk will reach 74.93% in 2021 (Statistik, 2023) one way is by providing counseling to pregnant women in pregnancy classes. However, this outreach is only limited to the KIA section. After the baby is born and so on, mothers rarely contact MCH to consult on issues regarding breast milk after the baby is born. Mothers and babies have a lot of contact with health workers at community health centers just to get basic immunization injections. As a result, there is failure to provide exclusive breastfeeding to babies due to problems that are not resolved during breastfeeding. Ideally, there should be collaboration between professional sections from the immunization section and the MCH section so that they can refer mothers and babies who experience problems related to breast milk (little breast milk, sore nipples and so on).Purpose : of this research is to determine the effect of implementing interprofessional collaboration practice on the achievement of exclusive breastfeeding.Methods: The design of this research is a quasi-experiment with a one group pretest and posttest design. The research population was breastfeeding mothers with babies aged 1 month. The sample size was determined by purposive random sampling. Intervention in the form of education and assistance regarding exclusive breastfeeding. Data were analyzed using univariate and bivariate chi quadratResults: there is an increase in knowledge and attitude of mothers before and after following IPC and there is a relationship between knowledge and attitude towards access to exclusive breastfeedingConclusion : Kia section IPC and immunization at community health centers influence the achievement of exclusive breastfeeding Suggestion : Community health centers can implement IPC between the MCH and Immunization departments to increase the achievement of exclusive breastfeeding. Key word[U1] [U2] : IPC, Maternal and Child Health, Immunization, exclusive breastfeeding [U1]Add minimal 3 maksimal 5 [U2]Pisaahkan latar belakang,tujuan,metode,kesimpulan,saranTambahkan abstrak bhs indonesia

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