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PENGARUH TERAPI PIJAT TERHADAP PENGURANGAN NYERI PERSALINAN KALA I FASE AKTIF PADA IBU BERSALIN (STUDI KASUS DI KOTA BANDUNG) Noviyanti, Noviyanti; Astuti, Indria; Hamdah, N. Melly Nilawati
The Southeast Asian Journal of Midwifery Vol 2 No 1 (2016): The Southeast Asian Journal of Midwifery
Publisher : Asosiasi Pendidikan Kebidanan Indonesia

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Nyeri persalinan merupakan nyeri yang timbul karena adanya kontraksi otot-otot uterus, hipoksia dari otot-otot yang mengalami kontraksi, peregangan serviks pada waktu membuka, iskemia korpus uteri, dan peregangan segmen bawah rahim. Salah satu cara penatalaksanaan nonfarmakologis untuk mengurangi nyeri persalinan adalah dengan endorphin-induced massage. Pijat ini merupakan teknik sentuhan serta pemijatan ringan yang dapat menormalkan denyut jantung dan tekanan darah, serta meningkatkan kondisi rileks dalam tubuh ibu hamil dengan memicu perasaan nyaman melalui permukaan kulit. Teknik ini dapat meningkatkan pelepasan zat oksitosin. Penelitian ini bertujuan untuk mengetahui pengaruh endorphin-induced massage terhadap nyeri persalinan kala I fase aktif pada ibu bersalin.Penelitian menggunakan Pre Experimental Design dengan One Group Pretest-Posttest. Sampel penelitian berjumlah 36 responden dengan teknik pengambilan sampling Accidental. Pengumpulan data adalah melalui wawancara dengan menggunakan kuesioner. Analisis data menggunakan univariat dan bivariat uji t-dependent.Hasil penelitian menunjukan bahwa sebelum dilakukan endorphin-induced massage, 33 (91,7%) responden mengalami skala nyeri berat dan, setelah dilakukan endorphin-induced massage, sebagian besar responden atau 32 orang (88,9%) mengalami nyeri sedang. Hal ini menunjukkan bahwa pijat ini memiliki pengaruh terhadap nyeri persalinan kala I fase aktif dengan p-value <0,05. Endorphin-induced massage disarankan untuk memberikan sebagai intervensi dan asuhan kebidanan pada ibu selama persalinan kala I fase aktif.ABSTRACTLabor pain is pain that arises because of the contraction of the muscles of the uterus, hypoxia of the muscle contraction, stretching of the cervix at the time of dilation, ischemia of the uterine corpus, and stretching of the lower uterine segment. One way to reduce the non-pharmacological management of labor pain is endorphin-induced massage. This massage is done by touching or light massage technique that can normalize heart rate and blood pressure and increase the relaxed conditions in the pregnant womanâs body by triggering a feeling of comfort through the skin surface. This technique can increase the release of oxytocin substance. This study aimed to determine the effect of endorphin-induced massage at the active phase of the first stage of labor of delivering mothers.This research used Pre Experimental Design with one group pretest-posttest. The samples included 36 respondents with accidental sampling technique. The collection of data was through interviews using a questionnaire. Analysis of data used univariate and bivariate by t-dependent test.The results showed that prior to the endorphin-induced massage, 33 (91.7%) of respondents experienced severe pain scale and, after the massage, the majority of respondents or 32 people (88.9%) had moderate pain. This showed that this massage had an influence on labor pain of the active phase of the first stage with a p-value of <0.05. Endorphin-induced massage is suggested to be provided as interventions and midwifery care in the mother during the active phase of the first stage of labor.

GAMBARAN TINGKAT KEJADIAN ANEMIA DAN PERKEMBANGAN BALITA USIA 6 - 60 BULAN Astuti, Endah Puji; Prahesti, Ratna; Andriyani, Ana Dwi
The Southeast Asian Journal of Midwifery Vol 2 No 1 (2016): The Southeast Asian Journal of Midwifery
Publisher : Asosiasi Pendidikan Kebidanan Indonesia

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Di Indonesia lebih dari separuh anak bawah lima tahun (balita) mengalami masalah gizi kurang atau malnutrisi. Malnutrisi dapat menyebabkan gangguan pertumbuhan, penurunan fungsi kognitif, psikomotor dan daya tahan tubuh anak, karena pada umumnya anak yang malnutrisi selain kekurangan energi dan protein juga mengalami kekurangan berbagai mikronutrien. Tujuan penelitaian untuk mengetahui gambaran perkembangan balita dan tingkat kejadian anemia pada kelompok tersebut. Jenis penelitian deskriptif dengan pendekatan cross sectional. Populasi penelitian adalah semua balita usia 6 bulan â 5 tahun sebanyak 603 balita. Sampel diambil dengan purposive sampling sebanyak 158 balita. Pengambilan data primer menggunakan penilaian Denver Development Screening Test (DDST) dan Digital Haemoglobin Test. Analisis yang digunakan adalah kendallâs tau. Hasil penelitian menunjukkan bahwa sebanyak 49,4% balita mengalami anemia ringan, dan 69,6% berada dalam perkembangan normal. Mayoritas balita yang mengalami anemia tetap memiliki perkembangan normal.ABSTRACTIn Indonesia, there are more than half of under-five children suffer from malnutrition resulting in growth retardation, the decrease of cognitive function, psychomotor and the immune system of children. These problems occur because children suffering from malnutrition will experience lack of energy and protein as well as the shortage of some important micronutrients. The purpose of the research to know the description of the development of toddlers and the incidence rate of anemia on the group. This was an analytical-correlation research which involved a cross sectional approach. The population of the research included 603 toddlers aged 6 months-5 years old with research samples by 158 toddlers taken by purposive sampling. The primary data were collected using Denver Development Screening Test (DDST) dan Digital Haemoglobin Test. The analysis used Kendallâs tau. The result showed that 49,4% of toddlers suffered from mild anemia, and 69,6% of them had normal development. The majority of toddlers suffering from anemia also had normal development.

PERAN PUSAT INFORMASI DAN KONSELING (PIK-KRR) TERHADAP PERILAKU SEKSUAL BERISIKO PADA SMPN TERPILIH DI JAKARTA SELATAN TAHUN 2016 Andriani, Putri
The Southeast Asian Journal of Midwifery Vol 2 No 1 (2016): The Southeast Asian Journal of Midwifery
Publisher : Asosiasi Pendidikan Kebidanan Indonesia

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Seksualitas adalah salah satu TRIAD kesehatan reproduksi remaja yang perlu penanganan yang serius agar remaja tidak terjerumus kedalam perilaku seksual yang berisiko. Salah satu cara untuk mencegah perilaku seksual berisiko adalah dengan meningkatkan pengetahuan remaja tentang kesehatan reproduksi melalui pendidikan kesehatan reproduksi di sekolah.Penelitian ini adalah studi komparatif dengan menggunakan metode pendekatan cross sectional yang dilakukan di dua SMPN yang telah dan yang belum memiliki fasilitas PIK KRR dengan jumlah sampel 136 orang. Cara pengambilan sampel menggunakan simple random sampling sedangkan analisa data menggunakan uji non parametric Mann Whitneyy.Hasil penelitian menunjukkan bahwa ada perbedaan rata-rata yang signifikan antara sikap terhadap perilaku seksual berisiko (p=0.000) dan tingkat pengetahuan tentang kesehatan reproduksi (p=0.000) antara sekolah yang telah memiliki dan belum memiliki fasilitas PIK KRR. Pada analisis bivariat, terdapat hubungan antara perilaku seksual dengan jenis kelamin, akses media pornografi, sikap pada jenis kelamin, sikap pada relijiusitas, sikap pada akses media pornografi, sikap pada pengaruh teman sebaya dan tingkat pengetahuan pada relijiusitas. Penelitian ini menyimpulkan bahwa tingkat pengetahuan memiliki hubungan yang signifikan dengan perilaku seksual berisiko di kalangan remaja di dua sekolah sebagai tempat penelitian ini.ABSTRACTSexuality among teenagers needs to be directed seriusly into behavior that does not bring any risks. One of the intervention given to adolescent reproductive health concerning sexuality is by providing reproductive education to schools.This was a comparative study using a cross sectional method in two junior high school which had and did not have the Information and Counseling Center of Reproductive Health (PIK-KRR) amounted to 136 samples. Data was analyzed with Mann Whitney test.This research showed that there was a significant difference in attitute in risky sexual behaviour (p=0.000) and knowledge level of health reproduction (p=0.000) between school which had and did not have PIK-KRR. In bivariate analysis, there was a significant difference in gender to risky sexual activity, porn media access to risky sexual activity, gender to attitude of risky sexual behaviour, religiousity to attitude, attitude to porn media access, attitude to peer affect (p=0.004) and religiousity to knowledge level of health reproduction. This study concluded that the level of knowledge had a significant relationship with risky sexual behavior among adolescents at the two study sites.

PENGARUH HYPNOSIS TERHADAP TINGKAT KECEMASAN IBU HAMIL NULLIPARA TRIWULAN III DALAM PERSIAPAN MENGHADAPI PERSALINAN Triyani, Sugeng; Fatimah, Fatimah; Aisyah, Aisyah
The Southeast Asian Journal of Midwifery Vol 2 No 1 (2016): The Southeast Asian Journal of Midwifery
Publisher : Asosiasi Pendidikan Kebidanan Indonesia

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Kemampuan adaptasi ibu hamil terhadap persiapan persalinan sangat penting. Jika ibu tidak dapat beradaptasi maka selama proses persalinan biasanya ibu akan mengalami kecemasan dan akan memberikan respon melawan atau menghindar (fight or flight) yang dipicu oleh melimpahnya hormon katekolamin serta dipicu oleh adanya ketakutan dan bentuk distres lainnya. Penelitian ini menggunakan metode kuasi eksperimen dengan rancangan non randomized pretest potest equivalent group design, tanpa intervensi pada kelompok pembanding. Angket kecemasan HARS (Hamilton Ancienty Rating Scale) digunakan untuk mengukur tingkat kecemasan antara ibu hamil yang diberi terapi hypnosis dengan ibu hamil yang tidak diberi terapi hypnosis. Hasil penelitian menunjukkan ada perbedaan yang bermakna antara rata-rata tingkat kecemasan pada sampel kasus dengan tingkat kecemasan dengan sampel kontrol (Standar Deviasi sebesar 6,004). Terdapat pengaruh yang bermakna pada kelompok yang menggunakan terapi hypnosis dengan rata-rata penurunan kecemasan sebesar 21,550 poin dengan nilai p value < 0,001. Oleh karena itu, hipnosis berpengaruh dalam menurunkan tingkat kecemasan ibu nullipara di triwulan IIIABSTRACTAdaptability of pregnant women toward labor preparation is very important. If the mother cannot adapt during the process of labor, usually she will experience anxiety and will give a response of fight or flight triggered by the abundance of Catecholamines hormones and by the presence of fear and other forms of distress. This research used a quasi experiment method with non randomized pretest potest equivalent group design, without intervention on the comparison group. The quetionnaire of Hamilton Ancienty Rating Scale was used to measure the level of anxiety among pregnant women given hypnosis therapy with pregnant women not given the hypnosis therapy. The results showed that there was a significant difference in the mean level of anxiety between cases and controls (SD of 6,004). There was a significant influence on the group that used hypnosis therapy with a mean decrease in anxiety by 21.550 poin with a p value of < 0.001. Therefore, hypnosis is effective in reducing anxiety among nulliparous women in the third quarter of pregnancy.

DETERMINAN PEMANFAATAN BUKU KESEHATAN IBU DAN ANAK (KIA) OLEH IBU HAMIL DI PUSKESMAS WANAKERTA KABUPATEN KARAWANG TAHUN 2015 Farida, Nita
The Southeast Asian Journal of Midwifery Vol 2 No 1 (2016): The Southeast Asian Journal of Midwifery
Publisher : Asosiasi Pendidikan Kebidanan Indonesia

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Buku KIA diharapkan dapat meningkatkan partisipasi masyarakat dalam mengontrol kesehatan ibu. Hasil capaian cakupan buku KIA sampai bulan Desember 2014 dari Dinkes Karawang menunjukkan bahwa cakupan Buku KIA yang sebesar 63,49% dan cakupan K1 yang sebesar 93,37% menunjukkan perbedaan yang seharusnya adalah sama karena buku KIA diberikan pertama kali saat ibu periksa hamil. Penelitian ini bertujuan untuk memperoleh gambaran pemanfaatan Buku KIA oleh ibu hamil dan faktor-faktor yang berhubungan dengan pemanfaatan Buku KIA pada ibu hamil di wilayah kerja Puskesmas Wanakerta, Kabupaten Karawang tahun 2015. Rancangan penelitian ini adalah Cross Sectional. Populasi pada penelitian ini adalah ibu hamil yang memeriksakan kehamilannya ke Puskesmas Wanakerta dan sampelnya adalah sebagian ibu hamil yang sudah mempunyai buku KIA, dan datang memeriksakan kehamilannya di Puskesmas Wanakerta pada bulan Juni 2015. Hasil penelitian ini menunjukkan bahwa variabel yang berhubungan dengan pemanfaatan buku KIA dalam penelitian ini adalah pendidikan, sikap, dukungan tenaga kesehatan, dukungan kader kesehatan, dan dukungan keluarga. Sementara itu, umur, paritas, dan sosial ekonomi tidak berhubungan dengan pemanfaatan buku KIA oleh ibu hamil.ABSTRACTMCH handbook is expected to increase community participation in controlling maternal health. Results of the coverage achievement of this handbook until December 2014 from Kerawang Health Office amounted to 63.49% and the coverage of V1 was 93.37% and this indicates a difference in which in fact both coverages should be the same as the MCH handbook is given when mothers check their pregnancy for the first time. This study aimed to obtain the utilization of MCH Handbook by pregnant women and factors associated with the utilization of MCH handbook in pregnant women in Wanakerta health center, Karawang regency in 2015. The study design was cross-sectional. The population in this study were all pregnant women at Wanakerta health center who did checkups and the sample was part of pregnant women who already had the MCH handbook, and came to checkups at Wanakerta health center in June 2015. The results of this study showed that the variables associated with the use of MCH handbook in this study were education, attitudes, support for health personnel, health cadre support, and family support. Meanwhile, age, parity, and socioeconomy were not related to the utilization of MCH handbook by pregnant women.

PERBEDAAN PERKEMBANGAN MOTORIK BAYI PASCA PEMBERIAN STIMULASI PIJATAN DAN BERENANG Aryunani, Aryunani; Wilianarti, Pipit Festi
The Southeast Asian Journal of Midwifery Vol 2 No 1 (2016): The Southeast Asian Journal of Midwifery
Publisher : Asosiasi Pendidikan Kebidanan Indonesia

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Gangguan pertumbuhan perkembangan pada balita akan berakibat pada penurunan pembentukan sikap dan perilaku anak pada masa selanjutnya. Gangguan ini dapat dicegah dengan memberikan stimulasi perkembangan.Desain penelitian ini adalah Quasy Eksperimental Design dengan jenis rancangan Non Equivalent Control Group. Penelitian ini dilaksanakan selama 4 bulan di Bidan Praktik Mandiri di Kelurahan Sidotopo Kec Semampir Surabaya Utara dengan sampel bayi usia 6 sampai 12 bulan. Teknik Pengambilan sampel menggunakan consecutive sampling Pengumpulan data dilakukan melalui observasi dengan menggunakan lembar observasi. Teknik analisis data menggunakan uji Wilcoxon test untuk melihat perbedaan motorik kasar sebelum dan sesudah perlakuan. Hasil penelitian menemukan bahwa 40% bayi mengalami peningkatan 1-2 segmen perkembangan motorik dan 60% bayi mengalami peningkatan perkembangan 3-4 segmen.ABSTRACTDevelopmental growth disorders in children under five will result in a decrease in the formation of attitudes and behavior of children in the future. These disorders can be prevented by stimulating development. This study used a quasy experimental design. This research was carried out for 4 months in Privately Practising Midwives in Sidotopo village of Semampir sub-district of North Surabaya with a sample of infants aged 6 to 12 months. Data sampling used consecutive sampling collected through observation using the observation sheet. Data were analyzed using Wilcoxon test to see the difference in gross motor before and after treatment in the treatment group. In the treatment group 40% infant experienced an increase of 1-2 segment of motor development and 60% had an increase of 3-4 segments.

PERUBAHAN PSIKOLOGIS PADA IBU HAMIL TRIMESTER III Rustikayanti, R Nety; Kartika, Ira; Herawati, Yanti
The Southeast Asian Journal of Midwifery Vol 2 No 1 (2016): The Southeast Asian Journal of Midwifery
Publisher : Asosiasi Pendidikan Kebidanan Indonesia

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Seorang wanita pada periode kehamilan akan mengalami perubahan baik fisik maupun psikologis. Perubahan ini berdampak terhadap pemenuhan kebutuhan dasar termasuk seksualitas. Penelitian ini bertujuan untuk menggambarkan perubahan psikologis ibu hamil. Penelitian menggunakan rancangan cross sectional dengan populasi ibu hamil trimester 3 yang memeriksakan kehamilannya di bulan Mei 2015 sebanyak 183 pasangan. Teknik sampling menggunakan accidental sampling dan jumlah sampel terpilih adalah 46 pasangan. Instrumen yang digunakan berupa kuesioner Perubahan Psikologis dan Index of Sexual Satisfaction (ISS). Analisis data menggunakan Chi-square test. Hasil penelitian menunjukkan bahwa sebanyak 54.3% responden mengalami perubahan psikologis positifABSTRACTA woman on the gestation period will experience both physical and psychological changes. These changes have an impact on the fulfillment of basic needs, including sexuality. Changes in pregnant womenâs perceived psychology can result in decreased sexual desire of the women. This study aimed to describe the relationship of psychological changes of pregnant women with the husbandâs sexual satisfaction level. The study used cross sectional design with a population of third trimester pregnant women who did checkups in May 2015 as many as 183 couples. Sampling technique used accidental sampling and sample size was 46 couples. The instrument used was a questionnaire and Psychological Changes Index of Sexual Satisfaction (ISS). Data analysis used Chi-square test. The results showed that as many as 54.3% of respondents experienced a positive psychological change. Conclusion of the study is that the more positive physiological changes in pregnant women will result in higher sexual satisfaction of her husband.

Peran Pusat Informasi Dan Konseling (PIK-KRR) Terhadap Perilaku Seksual Berisiko Pada Smpn Terpilih Di Jakarta Selatan Tahun 2016 Putri Andriani
SEAJOM: The Southeast Asia Journal of Midwifery Vol 2 No 1 (2016)
Publisher : AIPKIND (Asosiasi Pendidikan Kebidanan Indonesia)

Sexuality among teenagers needs to be directed seriusly into behavior that does not bring any risks. One of the intervention given to adolescent reproductive health concerning sexuality is by providing reproductive education to schools. This was a comparative study using a cross sectional method in two junior high school which had and did not have the Information and Counseling Center of Reproductive Health (PIK-KRR) amounted to 136 samples. Data was analyzed with Mann Whitney test.This research showed that there was a significant difference in attitute in risky sexual behaviour (p=0.000) and knowledge level of health reproduction (p=0.000) between school which had and did not have PIK-KRR. In bivariate analysis, there was a significant difference in gender to risky sexual activity, porn media access to risky sexual activity, gender to attitude of risky sexual behaviour, religiousity to attitude, attitude to porn media access, attitude to peer affect (p=0.004) and religiousity to knowledge level of health reproduction. This study concluded that the level of knowledge had a significant relationship with risky sexual behavior among adolescents at the two study sites.

Gambaran Tingkat Kejadian Anemia Dan Perkembangan Balita Usia 6 - 60 Bulan Endah Puji Astuti; Ratna Prahesti; Ana Dwi Andriyani
SEAJOM: The Southeast Asia Journal of Midwifery Vol 2 No 1 (2016)
Publisher : AIPKIND (Asosiasi Pendidikan Kebidanan Indonesia)

In Indonesia, there are more than half of under-five children suffer from malnutrition resulting in growth retardation, the decrease of cognitive function, psychomotor and the immune system of children. These problems occur because children suffering from malnutrition will experience lack of energy and protein as well as the shortage of some important micronutrients. The purpose of the research to know the description of the development of toddlers and the incidence rate of anemia on the group. This was an analytical- correlation research which involved a cross sectional approach. The population of the research included 603 toddlers aged 6 months-5 years old with research samples by 158 toddlers taken by purposive sampling. The primary data were collected using Denver Development Screening Test (DDST) dan Digital Haemoglobin Test. The analysis used Kendall’s tau. The result showed that 49,4% of toddlers suffered from mild anemia, and 69,6% of them had normal development. The majority of toddlers suffering from anemia also had normal development.

Peran Pusat Informasi Dan Konseling (PIK-KRR) Terhadap Perilaku Seksual Berisiko Pada Smpn Terpilih Di Jakarta Selatan Tahun 2016 Putri Andriani
SEAJOM: The Southeast Asia Journal of Midwifery Vol 2 No 1 (2016)
Publisher : AIPKIND (Asosiasi Pendidikan Kebidanan Indonesia)

Sexuality among teenagers needs to be directed seriusly into behavior that does not bring any risks. One of the intervention given to adolescent reproductive health concerning sexuality is by providing reproductive education to schools. This was a comparative study using a cross sectional method in two junior high school which had and did not have the Information and Counseling Center of Reproductive Health (PIK-KRR) amounted to 136 samples. Data was analyzed with Mann Whitney test. This research showed that there was a significant difference in attitute in risky sexual behaviour (p=0.000) and knowledge level of health reproduction (p=0.000) between school which had and did not have PIK-KRR. In bivariate analysis, there was a significant difference in gender to risky sexual activity, porn media access to risky sexual activity, gender to attitude of risky sexual behaviour, religiousity to attitude, attitude to porn media access, attitude to peer affect (p=0.004) and religiousity to knowledge level of health reproduction. This study concluded that the level of knowledge had a significant relationship with risky sexual behavior among adolescents at the two study sites.

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