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Fania Nurul Khoirunnisa
Universitas Muhammadiyah Kudus
Humanities Computer Science & IT Economics, Econometrics & Finance Environmental Science Health Professions Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Nursing Public Health Social Sciences Other

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KEBERHASILAN MENYUSUI DAN LAMA PERAWATAN PADA PERSALINAN DENGAN METODE ENHANCED RECOVERY AFTER CAESAREAN SECTION Fania Nurul Khoirunnisa'; Noor Azizah; Noor Fauziati
Jurnal Ilmu Keperawatan dan Kebidanan Vol 14, No 1 (2023): JURNAL ILMU KEPERAWATAN DAN KEBIDANAN
Publisher : Universitas Muhammadiyah Kudus

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26751/jikk.v14i1.1699

Abstract

Latar Belakang :Enhanced Recovery After Caesarean Section (ERACS) merupakan program pemulihan pasca operasi caesar yang dinilai dapat memberikan hasil pemulihan fungsional yang lebih cepat, serta manfaat lainnya seperti meminimalisir terjadinya komplikasi, dan pengurangan waktu rawat inap. Penerapan program ERACS juga dinilai dapat memberikan keuntungan lainnya seperti meningkatkan kualitas perawatan dan menurunkan paparan dan kecanduan opioid. ERACS bertujuan untuk memberikan rasa nyaman pasien dengan pengalaman service excellent serta mempercepat perawatan dan proses pemulihan pasien dengan mengutamakan keselamatan pasienTujuan :Untuk mengetahui keberhasilan menyusui dan lama perawatan pada ibu bersalin dengan metode ERACS.Metode. :Penetian ini merupakan deskriptif analitik korelasi dengan metode pendekatan Cross Sectional. Sampel yang digunakan dalam penelitian ini 41 responden dengan teknik pengambilan sampel dengan metode consecutive sampling dan analisa data dengan Chi-Square.Hasil Penelitian : Terdapat korelasi antara keberhasilan menyusui dengan metode      persalinan ERACS dengan nilai p Value = 0.002 dan terdapat korelasi lama perawatan dengan metode  persalinan ERACS dengan nilai p Value = 0.000Kesimpulan : Terdapat korelasi antara keberhasilan menyusui dan lama perawatan dengan metode persalinan ERACS Kata Kunci: ERACS, Keberhasilan menyusui, Lama Perawatan
APAPUN MASALAH KESEHATAN ANDA, SOLUSI KB NYA ADA DISINI, PART 1. nor asiyah; Fania Nurul Khoirun Nisa
Jurnal ABDIMAS Indonesia Vol 1, No 2 (2019): JURNAL ABDIMAS INDONESIA
Publisher : STIKES Muhammadiyah Kudus

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Abstract

Abstrak Indonesia menghadapi masalah yang besar yaitu pertumbuhan penduduk yang cepat. Sebagai upaya meningkatkan derajat kehidupan bangsa, maka Indonesia membangun ekonomi dan keluarga berencana secara bersamaan karena keduanya seperti dua sisi mata uang, hal itu dilakukan agar hasil pembangunan dapat bermakna. Menurut Malthus, pertumbuhan sumber daya alam seperti deret hitung, sedangkan pertumbuhan manusia mengikuti deret ukur, sehingga suatu saat sumber daya alam tidak akan mampu mencukupi kebutuhan manusia. Saat ini hal itu sudah mulai menjadi kenyataan, sehingga setiap keluarga harus memperhatikan dan merencanakan jumlah keluarga sesuai yang diinginkan. Indonesia berhasil menurunkan angka kelahirannya secara bermakna. Masyarakat dapat menerima hampir semua metode medis tehnik keluarga berencana yang dicanangkan oleh pemerintah. Metode keluarga berencana meliputi kontrasepsi pil kombinasi dan suntik 1 bulan, Mini pil progesterone, suntik 3 bulan DMPA dan suntik 2 bulan NET-EN, Implan, Alat kontrasepsi dalam Rahim (IUD), Kondom dan KB Permanen. Adapun masalah kesehatan yang dibahas di part 1 meliputi: Usia, Paritas, Nifas dan Menyusui. Sedangkan penyakit lain yang akan dibahas dipertemuan berikutnya ada Infeksi, kangker, Epitel serviks Neoplasma, Perdarahan Vagina, Penyakit radang panggul, Infeksi menular seksual, HIV/AIDS, Merokok, Hipertensi, Trombofeblitis Vena/Varises, Penyakit Jantung, Sakit Kepala, Diabetes Milletus (Kencing Manis) Penyakit Liver, Interaksi Obat dan Obesitas serta Fibroid Uteri. Kata Kunci : Masalah Kesehatan, Solusi KBnya. Abstrac Indonesia faces a big problem, namely rapid population growth. To improve the standard of living of the nation, Indonesia is building an economy and family planning simultaneously because they are like two sides of a coin so that the results of development can be meaningful. According to Malthus, the growth of natural resources is like an arithmetic progression, while human growth follows a geometric progression so that one-day natural resources will not be able to meet human needs. Now, this has started to become a reality, so every family must pay attention and plan the number of families as desired. Indonesia has succeeded in reducing its birth rate significantly. The public can accept almost all medical methods of family planning techniques announced by the government. Family planning methods include the combined pill and 1-month injection, Mini progesterone pill, DMPA 3-month injection and 2-month NET-EN injection, implants, intrauterine device (IUD), condoms, and permanent family planning. The health problems discussed in part 1 include Age, Parity, Postpartum, and Breastfeeding. While other diseases that will be discussed at the next meeting are infection, cancer, cervical epithelial neoplasm, vaginal bleeding, pelvic inflammatory disease, sexually transmitted infections, HIV/AIDS, smoking, hypertension, venous thrombophlebitis/varicose veins, heart disease, headaches, diabetes mellitus (Diabetes) Liver Disease, Drug Interactions and Obesity, and Uterine Fibroids. Keywords: Health Problem, Contraceptive Solution.
EDUKASI PEMANFAATAN TANAMAN HERBAL SEBAGAI STRATEGI PENCEGAHAN DBD DAN STUNTING DI DESA CENDONO KABUPATEN KUDUS Mu'adzah Mu'adzah; Avira Budianita; Hasriyani Hasriyani; Arief Adi Saputro; Fania Nurul Khoirunnisa
Jurnal ABDIMAS Indonesia Vol 4, No 2 (2022): JURNAL ABDIMAS INDONESIA
Publisher : STIKES Muhammadiyah Kudus

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Abstract

Desa Cendono Kecamatan Dawe Kabupaten Kudus merupakan salah satu desa di wilayah Kecamatan Dawe Kabupaten Kudus. Permasalahan kesehatan di Desa Cendono tidak jauh beda dengan permasalahan kesehatan Nasional, suhu yang tropis menyebabkan banyaknya kasus DBD. Selain itu kasus stunting yang tak kunjung usai, sudah menjadi perhatian nasional, idak terkecuali di kabupaten Kudus. Indonesia merupakan wilayah yang kaya akan tanaman, tidak terkecuali tanaman yang dapat dimanfaatkan untuk kesehatan, seperti tanman herbal. Dalam upaya memberikan kesadaran dalam memelihara kesehatan serta lingkungan, dilakukan edukasi tanaman herbal sebagai strategi pencegahan DBD dan stunting di Desa Cendono Kabupaten Kudus. Dimana setelah dilakukan edukasi pengetahuan masyarakat di Desa Cendono bertambah dan mampu untuk menerapkan ilmu yang diperoleh.
UPAYA PENINGKATAN KUALITAS KESEHATAN IBU DAN BAYI MELALUI PENDEKATAN DAN EDUKASI GIZI Fania Nurul Khoirunnisa; Durrotun Munafiah; Nor Asiyah
Jurnal ABDIMAS Indonesia Vol 4, No 1 (2022): JURNAL ABDIMAS INDONESIA
Publisher : STIKES Muhammadiyah Kudus

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Abstract

Abstrak Masa postpartum merupakan masa yang dimulai sejak plasenta lahir sampai semua organ reproduksi kembali seperti semula dimana selama masa tersebut diperlukan pemantauan terhadap ibu. Penanganan yang kurang baik selama masa postpartum dapat menimbulkan berbagai masalah. Status gizi yang baik dan seimbang sangat dibutuhkan untuk mempercepat pemulihan kesehatan ibu post partum dimana membantu proses metabolisme, pemeliharaan dan berperan dalam pembentukan jaringan baru serta memengaruhi kualitas ASI (Air Susu Ibu). Menilai pentingnya nutrisi pada masa postpartum bagi ibu dan bayi maka edukasi tentang gizi perlu disampaikan kepada ibu nifas sebagai salah satu bagian dari asuhan komprehensif. Dalam memberikan asuhan, Bidan hendaknya mampu memberikan asuhan secara komprehensif, antara lain melalui layanan kebidanan dengan pendekatan continuity of care. Konsep ini sangat penting diterapkan untuk mengatasi masalah kesehatan pada masa reproduksi, masa kehamilan, persalinan dan masa nifas (pascapersalinan). Edukasi gizi sebagai bagian dari asuhan komprehensif masa nifas dan menyusui merupakan upaya promotif sekaligus preventif sehingga ibu dapat menerapkan pemenuhan kebutuhan nutrisi sesuai kebutuhannya Kata Kunci: Kesehatan Ibu dan Bayi, Edukasi, Gizi Abstract Postpartum period is the period that starts from the birth of the placenta until all reproductive organs return to normal, during which time monitoring of the mother is required. Poor handling during the postpartum period can cause various problems. A good and balanced nutritional status is needed to accelerate the recovery of post partum maternal health which helps the metabolic process, maintenance and plays a role in the formation of new tissues and affects the quality of breast milk (Mother's Milk). Assessing the importance of nutrition in the postpartum period for mothers and babies, education about nutrition needs to be conveyed to postpartum mothers as part of comprehensive care. In providing care, midwives should be able to provide comprehensive care, including through midwifery services with a continuity of care approach. This concept is very important to be applied to overcome health problems during the reproductive period, during pregnancy, childbirth and the puerperium (post-partum). Nutrition education as part of comprehensive care during the puerperium and breastfeeding is a promotive as well as preventive effort so that mothers can implement the fulfillment of nutritional needs according to their needs. Keywords: Maternal and Infant Health, Education, Nutrition
Implementasi Menu Sehat Anti Anemia untuk Remaja Panti Asuhan Aisyiyah Kudus Purbowati; Septiani; Fania Nurul Khoirunnisa; Maya Eka Mutiara; Sabila Rizqy Fauziah; Zhahira Haura Nasywa
INDONESIAN JOURNAL OF COMMUNITY EMPOWERMENT (IJCE) Vol. 6 No. 2 (2024): Indonesian Journal of Community Empowerment November 2024
Publisher : UNIVERSITAS NGUDI WALUYO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35473/ijce.v6i2.3278

Abstract

Adolescent girls are susceptible to anemia. This is because the body experiences rapid growth, high physical activity and menstruation begins so that the body requires a high intake of nutrients, especially protein and iron. If iron needs are not met it can cause anemia. The Aisyiyah Kudus Orphanage accommodates 43 teenage girls aged 10-19 years. Daily food intake is provided by the orphanage which organizes food on a self-managed basis, with a 7 day menu cycle with 3 meal times. However, the menu provided is less balanced, especially the breakfast menu which does not contain vegetables and lacks animal side dishes. Limited budget and cooking power, as well as children's appetites that don't like vegetables, are factors causing the presentation of this menu. Training on preparing healthy menus for managers and youth anemia education for children in orphanages is carried out to improve the skills of managers in preparing healthy menus, serving them practically, and in accordance with the budget, as well as increasing teenagers' understanding of anemia and how to prevent it, so that they can consume healthy food menus that orphanage provided. The methods used are lectures, discussions and demonstrations. Activities were carried out for two days in the Aisyiyah Kudus Orphanage Hall. After participating in the activity, the participants' level of knowledge about anemia increased. Apart from that, there has also been an increase in managers' skills in preparing menus and making processed animal side dishes. It is necessary to monitor and evaluate the implementation of the new menu that has been prepared and its acceptance by orphanage youth. ABSTRAK Remaja perempuan rentan mengalami anemia. Hal tersebut karena tubuh remaja mengalami pertumbuhan pesat, aktivitas fisik tinggi dan mulai terjadi mestruasi sehingga tubuh membutuhkan asupan zat gizi terutama protein dan zat besi yang tinggi. Jika kebutuhan zat besi tidak terpenuhi dapat menyebabkan anemia. Panti Asuhan Aisyiyah Kudus menampung 43 remaja putri yang berusia 10-19 tahun. Asupan makan sehari-hari disediakan oleh panti asuhan yang melakukan penyelenggaraan makanan secara swakelola, siklus menu 7 hari 3 kali waktu makan. Akan tetapi menu yang disediakan kurang seimbang terutama menu makan pagi yang tidak ada sayur dan kurang lauk hewani. Keterbatasan anggaran dan tenaga masak, serta selera makan anak tidak suka sayur menjadi faktor penyebab penyajian menu tersebut. Pelatihan penyusunan menu sehat untuk pengelola dan edukasi anemia remaja untuk anak panti asuhan dilakukan meningkatkan ketrampilan pengelola dalam menyusun menu sehat, praktis penyajiannya, dan sesuai dengan anggaran belanja, serta juga meningkatkan pemahaman remaja tentang anemia dan cara mencegahnya, sehingga dapat mengkonsumsi menu makanan sehat yang disediakan panti asuhan. Metode yang digunakan yaitu ceramah, diskusi, dan demostrasi. Kegiatan dilaksanakan selama dua hari di Aula Panti Asuhan Aisyiyah Kudus. Setelah mengikuti kegiatan, tingkat pengetahuan peserta tentang anemia meningkat. Selain itu juga terjadi peningkatan ketrampilan pengelola dalam menyusun menu dan membuat olahan lauk hewani. Perlu dilakukan monitoring dan evaluasi penerapan menu baru yang telah disusun dan daya terima oleh remaja panti.
Kejadian Berat Badan Lahir Rendah (BBLR) berdasarkan Faktor Prediktor Usia Kehamilan Dan Status Gizi Ibu Fania Nurul Khoirunnisa'; Indah Puspitasari; Indah Yulianti; Ana Zumrotun Nisak; Dewi Sartika Siagian
Midwifery Care Journal Vol 5, No 3 (2024): July 2024
Publisher : Politeknik Kesehatan Kementrian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/micajo.v5i3.11597

Abstract

Low birth weight (LBW) contributes about 60-80% of neonatal mortality. Factors such as gestational age and maternal nutritional status are among of the causes of LBW. Reducing infant mortality rate (IMR) is an essential indicator of a country’s success in improving public health. The aim of this study was to investigate the occurrence of LBW based on gestational age and maternal nutritional status at PKU Muhammadiyah Tegal hospital. This study was analytical and retrospective approach. The study population includes all mothers who gave birth at PKU Muhammadiyah Tegal hospital in July 2023 on 41 respondents. Data collection involves secondary data and statistically analyzed using chi square test. Result of the study found that from the respondents, 21 (51.2%) experienced preterm births (37 weeks), while 22 (53.7%) were diagnosed with Chronic Energy Deficiency (CED) with Mid-Upper Arm Circumference (MUAC) 23.5 cm. LBW occurred in 28 cases (68.3%). Chi-square analysis revealed a significant correlation between gestational age and LBW at Muhammadiyah Tegal PKU Hospital (p-value=0.010, OR: 7.773). Similarly, LBW occurrence based on maternal nutritional status also exhibited a significant relationship (p-value=0.004, OR: 15.000), indicating that pregnant women with CED have a 15 times higher risk of experiencing LBW compared to non-CED pregnant women
Edukasi Melalui Konten Media Sosial Terhadap Sikap dan Pemahaman Ibu tentang ASI Eksklusif Nurun Nandifah; Fania Khoirunnisa; Dwi Astuti; Dyah Ayu Utari
Midwifery Care Journal Vol 6, No 2 (2025): April 2025
Publisher : Politeknik Kesehatan Kementrian Kesehatan Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/micajo.v6i2.12552

Abstract

 Breast milk is the first source of food for babies that is obtained directly from the mother. The mother's understanding and demeanor play a really imperative part within the success of exclusive breastfeeding, so the foremost endeavors made within the community are to supply early instruction to moms and families so they can get it the significance of exclusive breastfeeding. To extend mothers' information around it, curiously and enlightening instructive media is required. Breastfeeding education can be done using various media, one of which is video media which is distributed on social media. This research aims to analyze the influence of breastfeeding education through social media content on mothers' attitudes and understanding regarding exclusive breastfeeding. This exploration for exploratory decisions through pre-test and post-test. The population was mothers who had children aged 0-3 months at the Children's Polyclinic at PKU Muhammadiyah Mayong Hospital, totaling 40 patients. The sample used in this research was 36 respondents. If the data is not normal, then use the Wilcoxon test and if it is normally distributed then use the paired t test. The research results explained that there was an influence of breastfeeding education through social media content on attitudes regarding exclusive breastfeeding (0.000) and understanding of breastfeeding (0.000).
Effect of Early Mobilization on Intestinal Peristaltic Recovery As Prevention of Paralytic Ileus in Post Cesarean Section Patients khoirunnisa, fania; Muna, Nailil; Tristanti, Ika; Rahmawati, Ashri; Purbowati
Journal of Epidemiology and Public Health Vol. 10 No. 3 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2025.10.03.07

Abstract

Background: The majority of cesarean section deliveries use spinal anesthesia which can have an effect on the deterioration of the gastrointestinal system so that intestinal peristalsis becomes slow. Slow intestinal peristaltic function leads to difficulty defecation and prolongs the day of treatment, in some cases can increase the risk of paralytic ileus. To prevent the risk of complications, intervention can be carried out in postoperative cesarean section patients with early mobilization. This study aims to determine the effect of early mobilization on intestinal peristaltic recovery in post- cesarean section patients. Subjects and Method: This was a quasy experiment conducted at Islamic Hospital in Demak, Central Java, from July to December 2024. A sample of 58 post-cesarean section mothers was selected using purposive sampling and divided into two groups. Assessment of intestinal peristaltic variables through auscultation examination with a stethoscope and early mobilization using observation sheet instruments. Intestinal peristaltic recovery between two groups were examined logistic regression. Results: There was a difference in intestinal peristaltic recovery in post- cesarean section patients between the intervention group and the control group (p=0.000) with the mean value of intestinal peristalsis in the intervention group of 25.45 (SD=6.07) and in the control group of 11.38 (SD=7.69). Patients who were given early mobilization had a 4.48 times faster chance of recovery of intestinal peristalsis. Conclusion: Early mobilization had a positive impact on the recovery of intestinal peristaltic (p<0.05). Health workers should not only provide education, but also assistance in the implement-tation of early mobilization, especially in the first 24 hours post- cesarean section.Keywords: early mobilization, intestinal peristaltics, post cesarean section.
Implementation of Early Initiation of Breastfeeding (IMD) under Government Regulation No. 33 of 2012 and Its Relation to Lactation Onset in Postpartum Mothers at Nahdlatul Ulama Islamic Hospital, Demak: A Legal Analysis Azizati Warda, Ulfa; Nurul Khoirunnisa, Fania; Kulsum, Ummi
Jurnal Meta-Yuridis Vol 8, No 2 (2025)
Publisher : fakultas hukum universitas PGRI Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26877/m-y.v8i2.24387

Abstract

Father Presence and Adolescent Attitudes toward Sexual Behavior Pusparatri, Edita; Rahmawati, Ashri Maulida; Jauhar, Muhamad; Khoirunnisa, Fania Nurul
Journal of Bionursing Vol 7 No 2 (2025): Journal of Bionursing
Publisher : Fakultas Ilmu-ilmu Kesehatan Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.job.2025.7.2.16358

Abstract

The presence of fathers in children's lives, especially during adolescence, is one of the protective factors that can prevent children from risky behavior, including negative adolescent attitudes towards sexual behavior. This study aims to measure the relationship between father's presence and adolescents' attitudes towards sexual behavior. The research design used descriptive correlation with a cross sectional approach. The study was conducted at a high school in Kudus Regency in 2024. The research sample was 96 students through purposive sampling technique. The research instrument used the Father Presence Questionnaire (FPQ) and the adolescent attitude towards sexual behavior questionnaire which had been valid and reliable. Data analysis using chi square test. The results showed that the majority of adolescents had a positive attitude towards sexual behavior (56.3%). In addition, the majority of adolescents who had high father presence also showed positive attitudes towards sexual behavior (61.1%). However, there was no significant relationship between father's presence and adolescents' attitude towards sexual behavior (p = 0.276). Father's presence in childcare needs to be increased to achieve a good mental health condition in adolescents. Future research is expected to evaluate interventions that can improve the role of fathers in parenting adolescents.
Co-Authors Ana Zumrotun Nisak Arief Adi Saputro Avira Budianita Ayu Asiyatul Karomah Azizati Warda, Ulfa Dewi Sartika Siagian Diah Andriani Kusumastuti Diah Andriani Kusumastuti, Diah Andriani Durrotun Munafiah Dwi Astuti Dyah Ayu Utari Hasriyani Hasriyani Ika Tristanti Indah Puspitasari Indah Risnawati Indah Risnawati Indah Yulianti Indanah Irawati Indrianingrum Khoirur Rohmah Maya Eka Mutiara Mu&#039;adzah Mu&#039;adzah Muhamad Jauhar Nailil Muna Nasriyah Nasriyah Noor Azizah Noor Fauziati Nor Asiyah Noviana Ika Nurun Nandifah Purbowati Pusparatri, Edita Rahmawati, Ashri Rahmawati, Ashri Maulida Rizka Himawan rusnoto rusnoto Sabila Rizqy Fauziah septiani Tristanti, Ika Tristanti, Ika Ummi Kulsum Zhahira Haura Nasywa