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HUBUNGAN PARITAS DAN RIWAYAT SC DENGAN KEJADIAN PLACENTA PREVIA DI RSUD ARIFIN ACHMAD PEKANBARU Anita, Wan
Jurnal Endurance Vol 2, No 1 (2017): Jurnal Endurance: Kajian Ilmiah Problema Kesehatan
Publisher : Lembaga Layanan Pendidikan Tinggi (LLDIKTI) Wilayah X

The Causes of maternal mortality rate (MMR) major was bleeding, bleeding that common in pregnant women one of which was placenta previa. Placenta previa is abnormal placental location, that is the lower uterine segment that partially or completely cover the opening of the birth canal. The purpose of this study to determine the relationship of parity and history of sectio cesarea (SC) with placenta previa in women giving birth at the Camar room I Arifin Achmad Pekanbaru. The design of this research was quantitative analytical with cross sectional approach. Samples were mothers who have placenta previa in 2013 which amounted to 135 cases. The sampling technique was total sampling. The analysis analysis using chi square test. The results showed respondents with parity 1 and> 3 amounted to 76 (56.3%) and the 2-3 parity totaled 59 people (43.7%). The history of SC in this study was the majority do not have a history of SC representing 84 people (62.2%) and history of SC amounted to 51 people (37.8%). This research obtained the results that respondents with placenta previa amounted to 91 (67.4%), and low-lying placenta amounted to 44 (32.6%). There is a relationship of parity 1 and> 3 on the incidence of placenta previa (p value = 0.034) and there is no history of SC relationship with the incidence of placenta previa (p value = 0.052). From the research results could be recommended to decrease the incidence of placenta previa is expected to health workers to provide information about the importance of planning a safe pregnancy and pregnant women for always to check the development of their pregnancy.Penyebab angka kematian ibu (AKI) yang utama adalah perdarahan, dimana perdarahan yang sering terjadi pada ibu hamil salah satunya adalah plasenta previa. Tujuan penelitian ini untuk mengetahui hubungan paritas dan riwayat sectio cesarea (SC) dengan kejadian plasenta previa pada ibu bersalin di ruang Camar I RSUD Arifin Achmad Pekanbaru. Desain penelitian adalah analitik kuantitatif dengan pendekatan cross sectional. Sampel adalah Â ibu bersalin yang mengalami plasenta previa tahun 2013 yang berjumlah 135 kasus. Teknik pengambilan sampel ini total sampling, dengan uji chi square. Hasil penelitian menunjukkan responden yang mempunyai paritas 1 dan > dari 3 berjumlah 76 orang (56,3%) dan paritas 2-3 berjumlah 59 orang (43,7%). Riwayat SC pada penelitian ini mayoritas tidak mempunyai riwayat SC berjumlah 84 orang (62,2%) dan ada riwayat SC berjumlah 51 orang (37,8%). Penelitian ini mendapatkan hasil bahwa responden dengan placenta previa berjumlah 91 orang (67,4%), dan placenta letak rendah berjumlah 44 orang (32,6%). Terdapat hubungan paritas 1 dan >3 terhadap kejadian placenta previa (p value = 0,034) dan tidak terdapat hubungan ada riwayat SC dengan kejadian placenta previa (p value = 0,052). Kepada petugas kesehatan untuk memberikan informasi tentang pentingnya merencanakan kehamilan dan Â selalu memeriksakan kehamilannya.

METODE PEMBELAJARAN DOKUMENTASI PARTOGRAF DALAM ASUHAN KEBIDANAN PADA PERSALINAN Anita, Wan
Jurnal Endurance Vol 1, No 3 (2016): Jurnal Endurance: Kajian Ilmiah Problema Kesehatan
Publisher : Lembaga Layanan Pendidikan Tinggi (LLDIKTI) Wilayah X

Partograf adalah alat pemantauan persalinan normal dan juga sebagai alat pengambilan keputusan klinis, karena dengan adanya partograf maka persalinan yang tidak normal akan dapat dievaluasi. Dalam pelaksanaan pembelajaran terdapat beragam metode pembelajaran yang dapat digunakan untuk Student Center Learning (SCL) baik dikelas, laboratorium maupun klinik. Tujuan literature review ini juga untuk melihat sejauh mana topik dokumentasi asuhan pada persalinan khususnya metode pembelajaran untuk meningkatkan ketrampilan mahasiswa dalam melakukan dokumentasi telah diteliti. Metode Penelitian ini merupakan systematic review. Metode pembelajaran yang digunakan dalam penelitian antara lain metode studi kasus, demonstrasi, multimedia, case based learning, simulasi, latihan, small group discussion, penuntun belajar jobsheet, peer tutoring serta kooperatif type STAD. Hasil literature review ini menunjukkan terjadi pengaruh metode pembelajaran terhadap ketrampilan dokumentasi asuhan kebidanan pada persalinan. Metode pembelajaran dengan cara studi kasus, simulasi, small group discussion, demonstrasi, tutor dengan teman sebaya dan kooperatif type STAD lebih berpengaruh dalam meningkatkan ketrampilan mahasiswa dalam membuat dokumentasi partograf. Dosen sebagai tenaga pendidik profesional sebaiknya mempertimbangkan metode pembelajaran yang dapat digunakan dalam mempelajari materi yang disesuaikan dengan tujuan materi yang ingin disampaikan untuk meningkatkan ketrampilan mahasiswa dalam dokumentasi asuhan pada persalinan (partograf).Â Partograph is normal delivery and monitoring tools as well as clinical decision-making tool, because with the partograf the normal delivery will not be evaluated. In the implementation of learning, there are various methods that can be used for the Student Center Learning (SCL) either in class, laboratory and klinik. Literature review is also to see how far the topic of care documentation on labor, especially learning methods to improve the skills of the students in doing the documentation has been investigated. The learning method used in the study include the case study method, demonstrations, multimedia, case based learning, simulations, exercises, small group discussions, study guides jobsheet, peer tutoring and cooperative STAD type. The results of this literature review showed an influence on the teaching methods of documentation skills of midwifery care during labor. The learning method by means of case studies, simulations, small group discussions, demonstrations, tutors with peers and cooperative type STAD more influential in improving student skills in making partograf documentation. Lecturers as professional educators should consider learning methods that can be used in learning the material adapted to the purpose of material to be conveyed to improve the skills of students in care documentation at delivery (partograf).

RELATIONS DIETARY AND GENDER WITH NUTRITIONAL STATUS OF CHILDREN IN SDN 43 KOTA PEKANBARU Anita, Wan
Jurnal Endurance Vol 3, No 2 (2018): Jurnal Endurance: Kajian Ilmiah Problema Kesehatan
Publisher : Lembaga Layanan Pendidikan Tinggi (LLDIKTI) Wilayah X

Nutritional status is the state of the body as a result of food consumption and the use of nutrients. Differentiated between malnutrition status, less, good and more.Status malnutrition, less or more will occur nutritional disorders. Factors that affect the fulfillment of nutritional needs of school children are age, physical activity, attitudes toward food and do not like nutritious foods. The purpose of the study to determine the relationship between diet and sex with nutritional status of children. The research design is a quantitative analitical with cross sectional approach. The research was conducted in SDN 43 Kota Pekanbaru The sample of this research is elementary school children of Class IV, V and VI which amounted to 131 respondents. Data collection using questionnaires and nutritional status based on IMT / U standard. There is relationship between diet with child nutrition status with p value = 0,00 and relationship between sex with child nutritional status with p value = 0,038. Expected increase in health promotion activities, especially the importance of diet and nutritional needs are good in improving the nutritional status of school children through counseling. Provide counseling about the importance of nutritional needs in girls by changing behavior patterns in consuming food.Status gizi adalah keadaan tubuh sebagai akibat konsumsi makanan dan penggunaan zat-zat gizi. Dibedakan antara status gizi buruk, kurang, baik dan lebih.Status gizi buruk, kurang maupun lebih akan terjadi gangguan gizi. Faktor yang mempengaruhi pemenuhan kebutuhan gizi anak sekolah adalah usia, aktifitas fisik, sikap terhadap makanan dan tidak suka makanan-makanan bergizi. Tujuan penelitian untuk mengetahui hubungan pola makan dan jenis kelamin dengan status gizi anak. Desain penelitian adalah analitik kuantitatif dengan pendekatan cross sectional. Penelitian dilakukan di SDN 43 Kota PekanbaruÂ Sampel penelitian adalah anak SD Kelas IV, V dan VI yang berjumlah 131 responden. Pengumpulan data menggunakan kuisioner danÂ status gizi berdasarkan standar IMT/U. Terdapat hubungan antara pola makan dengan status gizi anak dengan p value =0,00 dan hubungan antara jenis kelamin dengan status gizi anak dengan p value =0,038. Diharapkan peningkatan kegiatan promosi kesehatan terutama pentingnya pola makan dan kebutuhan gizi yang baik dalam meningkatkan status gizi anak sekolah melalui penyuluhan. Memberikan penyuluhan tentang pentingnya kebutuhan nutrisi pada anak perempuan dengan merubah pola perilaku dalam mengkonsumsi makanan.

TECHNIQUES OF PAIN REDUCTION IN THE NORMAL LABOR PROCESS : SYSTEMATIC REVIEW Anita, Wan
Jurnal Endurance Vol 2, No 3 (2017): Jurnal Endurance: Kajian Ilmiah Problema Kesehatan
Publisher : Lembaga Layanan Pendidikan Tinggi (LLDIKTI) Wilayah X

Pain during labor is a physiological condition commonly experienced by most maternity mothers. Labor pain is a subjective experience caused by uterine muscle ischemia, withdrawal and traction of uterine ligaments, ovarian traction, fallopian tubes and lower uterine distension, pelvic floor muscles and perineum. The pain in labor arises from psychic responses and physical reflexes. The purpose of this Systematic review is to look at effective methods for reducing pain in the labor process so that it can be used as an alternative method of reducing pain in patients who will give birth. This review systematic review of the published artike through google scholar site with 17 journals reviewed. In an effort to reduce labor pain there are various methods that can be used in providing midwifery care in the process of childbirth. Based on this systematic review it can be concluded that many methods of pain reduction that can be used in reducing labor pain are counter pressure and abdominal lifting, hypnobirthing, religious and murottal music, classical music and local music, relaxation, compress, warm ginger drink, acupressur , TENS, account and aromatherapy.

Edukasi Kesehatan pada Ibu Hamil tentang Persiapan Rujukan Persalinan dengan Komplikasi Wan Anita; Lita Nafratilova; Santi Agustina; Elsa Hayatun Najmi; Julia Elna
Poltekita: Jurnal Pengabdian Masyarakat Vol. 3 No. 3 (2022): Juli - September
Publisher : Pusat Penelitian & Pengabdian Masyarakat Poltekkes Kemenkes Palu

The birth planning program and the prevention of childbirth complications are programmed by the government, as one of the efforts to reduce maternal and infant mortality rates due to the high number of complications, especially in childbirth. This requires careful preparation that can be done by the mother and family such as preparing blood donors and so on. This community service aims to provide knowledge to pregnant women about preparing for delivery referrals when they encounter cases of childbirth complications. This community service method is carried out with lectures and discussions. The results of the activity were the results of filling out the pre-test questionnaire, where 83.7% of participants with less knowledge and 8.3% with high knowledge. The results of observations after the post test showed an increase in participants' knowledge to a high of 91.7%. The conclusion is that the education about preparation for referral for delivery with complications can be understood by the participants. It is hoped that pregnant women and their families can prepare for delivery as early as possible so that if cases of complications are found, they can be immediately referred to the referrals that have been prepared. ABSTRAK Program Perencanaan persalinan dan pencegahan komplikasi persalinan yang diprogramkan oleh pemerintah, sebagai salah satu upaya penurunan angka kematian ibu dan bayi dikarenakan masih tingginya kasus komplikasi terutama pada persalinan. Hal ini membutuhkan persiapan yang matang yang dapat dilakukan oleh ibu dan keluarga seperti persiapan pendonor darah dan sebagainya. Pengabdian masyarakat ini bertujuan untuk memberikan pengetahuan kepada ibu hamil tentang persiapan rujukan persalinan apabila menemui kasus komplikasi persalinan. Metode pengabdian masyarakat ini dilakukan dengan ceramah dan diskusi. Hasil kegiatan hasil dari pengisian kuisioner pre test, dimana 83,7% peserta dengan pengetahuan kurang dan 8,3% dengan pengetahuan tinggi. Hasil pengamatan setelah dilakukan post test terjadi peningkatan pengetahuan peserta menjadi tinggi sejumlah 91,7%. Kesimpulannya bahwa penyuluhan tentang persiapan rujukan persalinan dengan komplikasi dapat dimengerti oleh peserta. Diharapkan ibu hamil dan keluarga dapat mempersiapkan persalinan sedini mungkin sehingga apabila kasus komplikasi ditemukan dapat segera dirujuk dengan rujukan yang telah dipersiapkan.

HUBUNGAN PENGETAHUAN IBU HAMIL TENTANG FAKTOR RESIKO ASFIKSIA PADA NEOANTUS DENGAN PERENCANAAN RUJUKAN PERSALINAN Wan Anita; Lita Nafratilova; Ayu Sri Pratiwi; Susi Susanti; Devi Septiani
JOMIS (Journal of Midwifery Science) Vol 6 No 2 (2022): JOMIS (Journal Of Midwifery Science)
Publisher : LPPM Universitas Abdurrab

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36341/jomis.v6i2.2510

Asphyxia is a condition in which the baby cannot breathe, thus reducing O2 and increasing CO2 which is bad. Risk factors for the incidence of asphyxia are maternal factors such as his disorder, presence of antepartum bleeding, maternal age less than 20 years or more than 35 years, primiparous and grande multiparous, low socioeconomic, preeclampsia and his disorders. Infant factors, namely respiratory depression due to anesthesia or analgesic drugs given to the mother, intracranial bleeding, congenital abnormalities, premature, postmature, location abnormalities, twins, shoulder dystocia, vacuum extraction, forceps, amniotic fluid mixed with meconium. Placental factors include umbilical cord twisting, short umbilical cord, umbilical cord knot, and umbilical cord prolapse. The purpose of this study was to determine the relationship between knowledge of pregnant women about risk factors for newborn asphyxia with delivery referral planning. This type of research is quantitative analytic with a cross sectional research design. This research was conducted at Puskesmas RI Sidomulyo with a research instrument in the form of a questionnaire. The results showed a relationship between mother's knowledge of risk factors for newborn asphyxia and delivery referral planning with p value = 0.007. This study is expected for midwives in providing midwifery services to pregnant women to provide knowledge about the risk factors for newborn asphyxia so that pregnant women can make a labor referral plan if during the delivery process they experience the risk of newborn asphyxia and the knowledge of pregnant women about risk factors for infant asphyxia. newborns so that they can plan a delivery referral if an emergency case is found in a newborn.

PENDIDIKAN KESEHATAN PERIKSA PAYUDARA SENDIRI (SADARI) Rummy Islami Zalni; Wan Anita; Qori Armiza Septia
Martabe : Jurnal Pengabdian Kepada Masyarakat Vol 6, No 3 (2023): MARTABE : JURNAL PENGABDIAN MASYARAKAT
Publisher : Universitas Muhammadiyah Tapanuli Selatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31604/jpm.v6i3.783-789

Ancaman penyakit bagi masyarakat di dunia adalah penyakit kanker. Kanker payudara salah satu nya penyakit kanker yang mengkhawatirkan wanita. Pemerintah Indonesia memprioritaskan penanganan penyakit kanker payudara ini dengan tidak mengabaikan penanganan penyakit kanker jenis lainnya. Upaya pendeteksian dari kanker payudara salah satunya dengan melakukan pemeriksaan payudara sendiri (SADARI). Pemeriksaan SADARI ini paling tepat dilakukan secara rutin minimal dilakukan setiap bulan sekali tepatnya pada hari ke 7-10 setelah menstruasi karena pada saat ini payudara terasa lunak. Tujuan sadari secara rutin adalah untuk merasakan dan mengenal lekuk-lekuk payudara, sehingga jika terjadi perubahan dapat segera terdeteksi. Berdasarkan permasalahan yang ditemukan, metode yang digunakan dalam kegiatan pengabdian ini dengan metode: 1) Penyuluhan mengenai pemeriksaan payudara sendiri (SADARI), 2) Demonstrasi pemeriksaan SADARI. Kegiatan Pengabdian yang dilaksanakan dengan acara tatap muka dan penyuluhan mengenai Pendidikan Kesehatan Mengenai Pemeriksaan Payudara Sendiri (Sadari) di RT 002 wilayah kerja puskesmas Garuda sesuai dengan perencanaan dan terlaksana dengan baik. Kegiatan dilakukan secara tatap muka dengan metode ceramah (penyuluhan). Penyuluhan ini dilaksanakan pada hari Sabtu, 20 Juli 2022 dari pukul 15.00 s/d 18.00 WIB. Peserta kegiatan sebanyak 23 peserta. Lokasi pelaksanaan pengabdian di RT 002 wilayah kerja puskesmas Garuda. Hasil pelaksanaan kegiatan menunjukkan hasil nilai pre test sebanyak 70% peserta benar dalam menjawab soal pre test yang disebarkan. Sedangkan hasil post test menunjukkan peningkatan menjadi 90% peserta menjawab benar, sehingga dapat disimpulkan bahwa kegiatan ini berhasil dilaksanakan.

Pelatihan Pengisian Kartu Skor Poedji Rochjati pada Ibu Hamil dalam Deteksi Dini Risiko Tinggi Kehamilan Wan Anita; Ayu Sri Pratwi; Rummy Islami Zalni; Elsa Hayatun Najmi; Julia Elna
Poltekita: Jurnal Pengabdian Masyarakat Vol. 4 No. 2 (2023): April-Juni
Publisher : Pusat Penelitian & Pengabdian Masyarakat Poltekkes Kemenkes Palu

Maternal mortality in Indonesia is still high where maternal mortality can be prevented. Various complications that arise during pregnancy, childbirth and postpartum can be detected as early as possible so that delays in complications can be reduced. The Poedji Rochjati Score Card (KSPR) is an effort to detect early complications in mothers as well as evidence of recording and reporting by midwives in finding complications cases. The purpose of the service is to provide skills for pregnant women in detecting the condition of pregnant women as early as possible through filling out the Poedji Rochjati Score Card. The court activity was attended by 10 pregnant women who were held at the Muda Setia Poskesdes, Bandar Sei Kijang District, Pelalawan Regency. The results of the service show the ability of pregnant women to carry out early detection through filling out the KSPR as many as 3 pregnant women. that training for pregnant women in using the Poedji Rochjati Scorecard is very necessary, because with pregnant women knowing every development of pregnancy every month, pregnant women become more concerned about the possible risks of pregnancy that might arise and immediately have their pregnancies checked by health workers. It is hoped that health workers, especially midwives, will be able to provide ongoing counseling to increase the knowledge of pregnant women in early detection of pregnancy risks through KSPR so that mothers can recognize earlier the risks of pregnancy that are being experienced so that pregnant women immediately check their pregnancies.

Efektivitas managemen nyeri persalinan non farmakologi dengan Deep Back Massage Wan Anita; Lita Nafratilova; Rummy Islami Zalni
Jurnal SAGO Gizi dan Kesehatan Vol 4, No 2 (2023): Juni
Publisher : Politeknik Kesehatan Kemenkes Aceh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30867/gikes.v4i2.1080

Background: The birth process will be experienced by every pregnant woman. The labor process will cause pain caused by contractions that give the effect of pain which is called labor pain. Many factors influence the response to labor pain, including parity. Pain that is felt during labor can have an effect in terms of psychology, suffering, fear, and anxiety as well as the effect on the fetus to be born. Various efforts have been made to reduce labor pain, one of which is massage..Objectives: The research objective was to determine the effectiveness of labor pain management using deep back massage techniques.Methods: The method used in this study was experimental with a one group pretest-posttest design approach that focused on pain management with massage during labour. The sample of this study were 10 mothers giving birth with 4-6 openings. The research instrument used was a questionnaire containing age, gravid, history of miscarriage and Numerical Rating Scale (NRS) pain scale. This research was conducted at Ernita Midwife Independent Practice. The time for conducting the research was carried out in November-December 2021. Pain measurements were carried out before deep back massage was given and after deep back massage was given. The research instrument used was a questionnaire and data were collected by interview. Statistical test using the Wilcoxon Signed Ranks Test.Results: The results of the study describe the level of pain felt by mothers in labor before massage, the majority of severe pain is controlled by 7 respondents (70%) and the majority of labor pain after massage is mild pain by 7 respondents (70%). Massage techniques are effective in reducing pain. The results found that the average labor pain scale before being given a massage was 8.4 and decreased after being given a massage to 2.8. The act of massage for women in labor is effective in reducing labor pain. The results of the statistical test showed a significance, p <0.05.Conclusion: Effective deep back massage techniques performed on birthing mothers provide a reduction in labor pain and are highly recommended for health workers or midwives as birth attendants who can provide deep back massage for birthing mothers.

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