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GAMBARAN TINGKAT KECEMASAN PADA IBU HAMIL DALAM MENGHADAPI PERSALINAN DI DESA TUALANG TEUNGOH KECAMATAN LANGSA KOTA KABUPATEN KOTA LANGSA TAHUN 2014 Fazdria Fazdria; Meliani Sukmadewi Harahap
Jurnal Kedokteran Syiah Kuala Vol 16, No 1 (2016): Volume 16 Nomor 1 April 2016
Publisher : Universitas Syiah Kuala

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstrak. Latar belakang Persalinan adalah proses yang alamiah, peristiwa normal, namun apabila tidak di kelola dengan tepat dapat terjadi abnormal. Proses persalinan seringkali mengakibatkan aspek-aspek psikologis sehingga menimbulkan berbagai permasalahan psikologis bagi ibu hamil yang salah satunya adalah kecemasan. Jenis penelitian ini adalah bersifat deskritif dengan pendekatan cross sectional. Populasinya adalah seluruh ibu hamil trimester III pada bulan September 2014 di Desa Tualang Teungoh sebanyak 25 orang (total sampling) Hasil penelitian adalah mayoritas responden memiliki tingkat kecemasan sedang dan berat sebanyak 12 responden (48%). Dari 3 (100%) responden berusia 20 tahun memiliki gejala cemas berat dan dari 4 responden berusia 35 tahun mayoritas memiliki gejala cemas sedang dan berat (50%). Kesimpulan mayoritas responden mengalami gejala cemas berat primipara dan grande multipara, sedangkan multipara mengalami gejala cemas sedang. Diharapakan kepada ibu hamil untuk dapat menumbuhkan kesadaran diri dalam melakukan pemeriksaan kehamilan secara teratur dan kepada petugas kesehatan agar lebih bervariatif dalam membantu ibu hamil mendapatkan informasi diantaranya dengan lebih mensosialisasikan manfaat dari kunjungan Ante Natal Care (ANC) dan memberi konseling persalinan.(JKS 2016; 1:6-13)Kata Kunci : Kecemasan ibu hamil + persalinanAbstract. Background Childbirth is a natural process, a normal event, but if not managed properly can occur abnormal. The delivery process often results in psychological aspects that lead to various psychological problems for pregnant women, one of which is anxiety. Type of this research is descriptive with cross sectional approach. The population is around the third trimester pregnant women in September 2014 in the village tramp Teungoh 25 people (total sampling). Results of the study is that the majority of respondents have moderate and severe levels of anxiety were 12 respondents (48%). Of 3 (100%) of respondents aged 20 years have symptoms of severe anxiety and of 4 respondents aged 35 years the majority have moderate to severe anxiety symptoms (50%). Of 5 (100) respondents primiparous and 1 (100%) grande multipara have the symptoms of severe anxiety. Conclusions and Recommendations concluded that the majority of respondents experiencing symptoms of severe anxiety and grande multipara primipara, multipara while experiencing symptoms of anxiety being. Expected to pregnant women in order to raise awareness in the regular antenatal care and the health professionals to be more varied in helping pregnant women get the information over to socialize them with the benefits of a visit Ante Natal Care (ANC) and counseling delivery.(JKS 2016; 1:6-13)Keywords: Anxiety of pregnant women + labor

Comparison of Breast Massage (Oxytocin Massage, Oketani Massage, and Marmet Massage) Against the Smoothness of Breast Milk from the Aspect of Baby's Sleep Frequency Kasad; Meliani Sukmadewi Harahap; Nurdahliana; Noviyanti
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 6 No. 8 (2022): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v6i8.564

Background: The inability to meet breast milk production can be prevented in various ways, one of which is breast massage. The breast massage technique, at a certain point, is able to remove the blockage of blood vessels and energy blockages so that it will facilitate milk production. This study aims to determine the potential of breast massage (oxytocin massage, oketani massage, and marmet massage) to smooth breast milk from the aspect of the baby's sleep frequency. Methods: Study design method experimental with the control group. Samples were Primiparous postpartum mothers who gave birth normally and were divided into three groups, namely oxytocin massage intervention group, marmet massage, oketani massage, and control group. Data were analyzed in univariate, bivariate, and multivariate. Results: Breast massage (oxytocin, marmet and oketani) in primiparous postpartum mothers was effective in increasing the frequency of baby’s sleep. The frequency of the baby’s sleep before Marmet massage was 3.29 hours, and after Marmet massage was 5.29 hours. In the oxytocin massage intervention group, it was known that the average sleep frequency of babies before breast massage was 2.00 hours, and after breast, massage was 3.00 hours. Furthermore, in the Oketani massage intervention group, it was found that the average frequency of the baby’s sleep before breast massage was 2.00 hours, and after breast, massage was 3.00 hours. In the control group, it is known that the average sleep frequency of babies before breast massage is 0.57 hours and after breast massage is 0.71 hours. Conclusion: Oxytocin massage, marmet massage, and oketani massage have been shown to be effective in improving the smoothness of breast milk from the aspect of the baby's sleep frequency.

Comparison of Breast Massage (Oxytocin Massage, Oketani Massage, and Marmet Massage) Against the Smoothness of Breast Milk from the Aspect of Baby's Sleep Frequency Kasad; Meliani Sukmadewi Harahap; Nurdahliana; Noviyanti
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 6 No. 8 (2022): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v6i8.564

Background: The inability to meet breast milk production can be prevented in various ways, one of which is breast massage. The breast massage technique, at a certain point, is able to remove the blockage of blood vessels and energy blockages so that it will facilitate milk production. This study aims to determine the potential of breast massage (oxytocin massage, oketani massage, and marmet massage) to smooth breast milk from the aspect of the baby's sleep frequency. Methods: Study design method experimental with the control group. Samples were Primiparous postpartum mothers who gave birth normally and were divided into three groups, namely oxytocin massage intervention group, marmet massage, oketani massage, and control group. Data were analyzed in univariate, bivariate, and multivariate. Results: Breast massage (oxytocin, marmet and oketani) in primiparous postpartum mothers was effective in increasing the frequency of baby’s sleep. The frequency of the baby’s sleep before Marmet massage was 3.29 hours, and after Marmet massage was 5.29 hours. In the oxytocin massage intervention group, it was known that the average sleep frequency of babies before breast massage was 2.00 hours, and after breast, massage was 3.00 hours. Furthermore, in the Oketani massage intervention group, it was found that the average frequency of the baby’s sleep before breast massage was 2.00 hours, and after breast, massage was 3.00 hours. In the control group, it is known that the average sleep frequency of babies before breast massage is 0.57 hours and after breast massage is 0.71 hours. Conclusion: Oxytocin massage, marmet massage, and oketani massage have been shown to be effective in improving the smoothness of breast milk from the aspect of the baby's sleep frequency.

EFEKTIVITAS DARK CHOCOLATE DAN WORTEL DALAM MENURUNKAN INTENSITAS DISMINOREA PRIMER Rosvita Dewi Siregar; Nora Veri; Meliani Sukmadewi Harahap; Alchalidi Alchalidi; Nora Usrina
JKM (Jurnal Kebidanan Malahayati) Vol 7, No 4 (2021): Vol.7 No.4 Oktober 2021
Publisher : Program Studi Kebidanan Fakultas Kedokteran Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkm.v7i4.4418

Background: Dysminorrhea will get worse if accompanied by an unstable psychological condition. One of the causes of dysmenorrhea is hormonal factors where there is a hormonal imbalance. Pain during menstruation occurs due to high levels of prostaglandin hormones that make the uterine muscles contract. In Indonesia, the incidence of type dysmenorrhea primary is about 54.89% while the rest sufferers with secondary dysmenorrhea. Non-pharmacological therapy for dysmenorrhea is highly recommended, one of which are dark chocolate and carrots.Purpose: To determine the effectiveness of the combination of dark chocholate and carrots in reducing the intensity of dysminorrhea.Methods: This type of research uses a quasi-experimental design with a pretest-post-test control group design with a sample of 28 respondents experiencing primary dysmenorrhea. Pain intensity was measured by Numeric Rating Scale (NRS). Data collection was carried out during the pre-test, namely during menstruation in the first cycle and post-test data collection was carried out in the second cycle or after 30 days of treatment and assessed on the 31st day or the first menstruation in the following month. The statistical test used is Paired sample t-test.Results: The administration of dark chocholate, carrots and a combination of the two was able to reduce the intensity of primary dysminorrhea with a glossy p-value ≤ 0.05.Conclusion: Consumption of dark chocholate, carrots and a combination of both can reduce the intensity of primary dysmenorrhea. Suggestion for adolescents with primary dysmenorrhea to use non-pharmacologic therapy to reduce pain intensity such as carrots and dark chocholate in order to avoid the side effects of pharmacological drugs. Further research is needed in vitro on the mechanism of the combination of carrots and dark chocholate in reducing the intensity of dysmenorrhea Keywords : Dark Chocholate, Carrot, Dysminorea Intensity, adolescents ABSTRAK Latar Belakang : Disminorea akan bertambah parah apabila disertai dengan kondisi psikis yang labil. Salah satu penyebab dismenorea adalah faktor hormonal dimana adanya ketidakseimbangan hormonal. Nyeri ketika menstruasi tersebut timbul akibat tingginya hormon prostaglandin yang membuat otot rahim berkontraksi. Di Indonesia angka kejadian dismenorea tipe primer adalah sekitar 54,89% sedangkan sisanya penderita dengan dismenorea sekunder. Terapi disminorea secara non farmakologi sangat diabjurkan salahs satunya adalah dark chocholate dan wortel.Tujuan Penelitian : Untuk mengetahui efektivitas kombinasi dark chocholate dan wortel dalam menurunkan intensitas disminorea.Metode Penelitian : Jenis penelitian ini menggunakan quasi eksperiment dengan desain pretest- post test control group design dengan sampel adalah responden yang mengalami disminorea primer sebanyak 28 orang. Intensitas nyeri diukur dengan Numeric Rating Scale (NRS). Pengambilan data dilakukan pada saat pre-test yaitu saat haid pada siklus pertama dan pengambilan data post-test dilakukan pada siklus kedua atau saat setelah dilakukannya perlakuan selama 30 hari dan dinilai pada hari ke 31 atau pertama haid di bulan berikutnya. Uji statistik yang digunakan adalah Paired sample t-tes.Hasil Penelitian : Pemberian dark chocholate, wortel dan kombinasi keduanya mampu menurunkan intensitas disminorea primer dengan nilap p-value ≤ 0,05.Kesimpulan : Pemberian dark chocholate, wortel dan kombinasi keduanya mampu menurunkan intensitas disminorea primer.Sarankan pada remaja yang mengalami disminorea primer untuk menggunakan terapi non faramakologis untuk mengurangi intensitas nyeri seperti wortel dan dark chocholate agar terhindar dari efek samping obat-obatan farmakologi. Diperlukan penelitian lebih lanjut secara in vitro tentang mekanisme kombinasi wortel dan dark chocholate dalam menurunkan intensitas disminorea. Kata Kunci : Dark Chocholate, Wortel, Intensitas Disminorea, Remaja Putri

Relationship between Chronic Energy Deficiency and Compliance with Taking Fe Tablets with the Incidence of Anemia in Pregnant Women at Kuala Simpang City Health Center Aceh Tamiang Lina; Arbaiyah; Meliani Sukmadewi Harahap
Science Midwifery Vol 10 No 4 (2022): October: Science Midwifery
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v10i4.759

Anemia is the biggest public health problem in the world, especially for the reproductive age group. The World Health Organization (WHO), which estimates that 40% of the causes of maternal death in developing countries are related to anemia due to iron deficiency infection. Based on the results of the Basic Health Research (Riskesdas) in 2018, the prevalence of anemia in pregnant women in Indonesia in 2018 was 37.1%, at the Kuala Simpang City Health Center, namely pregnant women in 2018 as many as 338 people. This study aims to determine the relationship between chronic energy deficiency and adherence to consuming Fe tablets with the incidence of anemia in pregnant women. The design of this study used an analytic type with a cross sectional design. This study uses primary data that is processed univariately. The data are presented in the form of frequency distribution tables, cross tables and narratives. The instrument used in this research is a questionnaire which was developed based on the research variables. The number of samples in this study were 56 respondents using the Proportional Stratified Random Sampling technique. The results of this study showed that the majority did not experience anemia as many as 31 (55.4%) respondents. This study concludes that there is a relationship between chronic energy deficiency p-value 0.000 (p<0.05) and adherence to taking tablets with a p-value of 0.000 (p<0.05) with the incidence of anemia in pregnant women. Pregnant women must apply a good diet during pregnancy so that nutrients and nutritional needs during pregnancy can be met and regularly consume Fe tablets.

Pembelajaran kelas ibu hamil terhadap pengetahuan dan sikap ibu tentang pencegahan anemia dan Kurang Energi Kronis (KEK) Meliani Sukmadewi Harahap; Lina Lina; Nora Veri; Fazdria Fazdria; Susi Arli; Nurhayati Nurhayati
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.v4i2.1176

Background: Pathological conditions during pregnancy and until childbirth are important to pay attention to. One form of education is through pregnant women, which is a form of prenatal education that can increase their knowledge, attitude change, and positive behavior of pregnant women about anemia and Chronic Energy Deficiency (CED). Thus, every mother can conduct pregnancy and childbirth examinations for the health workers. The aim was to reduce maternal and child mortality rates.Objectives: This study aimed to measure the effect of pregnant women's class learning on their knowledge and attitudes about anemia and CED prevention. Methods: The study was a quasi-experiment using the one-group pretest-posttest design approach, with a sample size of 55 pregnant women taken randomly. The study was conducted from June to July 2019 at the Banda Mulia Aceh Tamiang Health Center. Data collection of knowledge and attitudes was conducted using direct interview techniques and questionnaire instruments. Statistical analyses were performed using a Dependent T-test with a significance level of 95%.Results: After the intervention, most of the pregnant women had good knowledge (61,8%) and positive attitudes (87,3%). There was an effect of class learning for pregnant women on knowledge (p= 0,042) and attitudes (p= 0,038) regarding the prevention of anemia and chronic energy deficiency (CED).Conclusion: Classroom learning for pregnant women improves their knowledge and attitudes regarding the prevention of anemia and chronic energy deficiency.

The effect of the family empowerment model on the ability to managing diet and increasing hemoglobin in pregnant women Kasad Kasad; Keumalahayati Keumalahayati; Azwarni Azwarni; Meliani Sukmadewi Harahap; Alfian Helmi
AcTion: Aceh Nutrition Journal Vol 8, No 4 (2023): December
Publisher : Department of Nutrition at the Health Polytechnic of Aceh, Ministry of Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30867/action.v8i4.1327

Anemia often occurs due to iron deficiency because, in pregnant women, there is a doubling of an iron requirement to meet the mother's needs in preventing blood loss during childbirth and fetal growth. Therefore, anemia in pregnant women must be prevented so that the fetus can grow and develop properly. This study aimed to determine the effect of the family empowerment model on the ability to manage diet and increase hemoglobin (Hb) levels in pregnant women with anemia. The research design was quasi-experimental, conducted at the Langsa Baro Health Center work area in 2018. The sample comprised 30 pregnant women divided into two groups, namely 15 women who received intervention and 15 who did not. Sampling was performed using the purposive sampling technique, and data were collected through direct interview techniques with questionnaire instruments. Data processing was performed by statistical analysis using a Paired T-test test with a significance level of 95% CI. The results showed differences in Hb levels, knowledge, and attitudes before and after family empowerment (p <0,05). In conclusion, there was a significant effect on the ability to manage diet and increase hemoglobin (Hb) levels in pregnant women with anemia.

The Impact of Science-Based Education on Colostrum Provision Behavior Among Postpartum Mothers: A Case Study in Aceh Province, Indonesia Idawati Idawati; Yuliana Yuliana; Meliani Sukmadewi Harahap; Nurlaely Nurlaely
Jurnal Penelitian Pendidikan IPA Vol 11 No 5 (2025): May
Publisher : Postgraduate, University of Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/jppipa.v11i5.10998

Maternal and toddler health issues are one of the main indicators of a nation's health; one way to reduce infant mortality is to provide the best food, namely breast milk (ASI), especially colostrum. Colostrum is the first milk from a yellowish liquid produced several days after birth. This study aimed to determine the effect of science education for postpartum mothers on providing colostrum to infants in the obstetrics room of Tgk. Chik Ditiro Regional Hospital, Aceh Pidie Regency. The methodology of this study is quantitative research with an analytical research design and a cross-sectional approach. The sample of this study was 30 mothers who gave birth in the obstetrics room. The research instrument used was a questionnaire/direct interview with respondents. Data were analyzed univariately and bivariate using the chi-square test. The study's results showed a relationship between knowledge, attitudes, practices, or actions and maternal behavior in terms of providing colostrum. Science education for postpartum mothers is very important to improve mothers' understanding of the importance of colostrum for babies. Based on several previous studies, it was found that science education in the form of counseling can significantly increase the knowledge and tendency of mothers to provide colostrum to their babies after birth. The study highlights the value of targeted science-based education in maternal health literacy, supporting science education integration into community health practices

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