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JKM (Jurnal Kebidanan Malahayati)
Published by Universitas Malahayati
ISSN : 24768944     EISSN : 2579726X     DOI : 10.33024
Core Subject : Health,
Health Professions
Jurnal Kebidanan Malahayati menyediakan platform untuk mempublikasikan bidang kebidanan dan jurnal juga berusaha untuk memajukan kualitas penelitian dengan memperkenalkan atau menguraikan metode baru di bidang kesehatan kebidanan untuk publikasi termasuk kebidanan dan ilmu kesehatan inti. Jurnal ini berisi naskah tentang Ilmu Kesehatan yang meliputi: asuhan Kebidanan, Gizi, Psikologi, kebidanan komunitas, kesehatan Reproduksi, Kesehatan Lansia, Kesehatan Masyarakat
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 971 Documents
 62   63   64   65   66 
The Influence Of Edutainment-Based Education On Nutrition Lactation, Involution Uteri And Lochea Against Increased Knowledge, Attitudes And Behavior Of Puerperal Mothers Karnely, Karnely; Bukhari, Agussalim; Hidayanty, Healthy; Daud, Nurpudji Astuti; Alasiry, Ema
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.v10i8.17170

Abstract

Kembalinya alat-alat reproduksi seperti sebelum hamil membutuhkan kandungan gizi yang cukup bagi ibu. Makanan yang dikonsumsi ibu nifas harus bermutu, bergizi, dan cukup kalori. Dimana makanan yang dikonsumsi berguna untuk melakukan aktifitas, metabolisme, proses memproduksi ASI, sebagai ASI sendiri yang akan dikonsumsi oleh bayi untuk pertumbuhan dan perkembangan bayi, serta mempertahankan tubuh terhadap infeksi. Tujuan penelitian yaitu untuk mencari pengaruh edukasi berbasis edutainment tentang gizi laktasi, involusio uteri dan lokhea terhadap peningkatan pengetahuan, sikap dan perilaku ibu nifas. Metode Penelitian menggunakan Quasi Eksperimen dengan rancangan Non Equivalent Control Group Design. Di dalam desain ini observasi dilakukan sebanyak 2 kali yaitu sebelum dilakukan perlakuan dan sesudah dilakukan perlakuan. Pada kelompok intervensi dan kelompok kontrol masing-masing dilakukan pretest dan post test. Populasi dalam penelitian ini adalah seluruh ibu Nifas yang berada di RSKDIA Pertiwi dan RSKDIA Siti Fatimah Makassar sebanyak 5843 ibu nifas. Berdasarkan dari hasil perhitungan diatas didapatkan jumlah sampel sebesar 47 orang kelompok intervensi di RSKDIA Pertiwi Makassar dan 47 orang kelompok kontrol di RSKDIA Siti Fatimah Makassar dengan menggunakan teknik Purposive Sampling. Hasil penelitian menunjukkan bahwa terdapat pengaruh signifikan antara pengetahuan dengan edukasi berbasis edutainment tentang gizi laktasi, involusi uteri, dan lochea. Hasil penelitian menunjukkan bahwa terdapat pengaruh signifikan antara sikap dengan edukasi berbasis edutainment tentang gizi laktasi, involusi uteri, dan lochea. Hasil penelitian menunjukkan bahwa terdapat pengaruh signifikan antara perilaku dengan edukasi berbasis edutainment tentang gizi laktasi, involusi uteri, dan lochea. Saran kepada bidan yang bertugas di daerah khususnya di RSKDIA Pertiwi Makassar dan RSKDIA Siti Fatimah Makassar agar lebih meningkatkan kinerja serta perhatiannya dalam memberikan informasi tentang gizi laktasi, involusi uteri, dan lochea Kata Kunci : Edukasi, Gizi Laktasi, Involusio Uteri, Lokhea, Pengetahuan, Sikap dan Perilaku. ABSTRACT The return of reproductive organs before pregnancy requires sufficient nutritional content for the mother. The food consumed by the puerperal mother must be of high quality, nutritious, and sufficiently caloric. Where the food consumed is useful for activities, metabolism, and the process of producing breast milk, as its own milk that will be consumed by the baby for the growth and development of the baby, as well as defending the body against infections. The purpose of this study is to find the influence of edutainment-based education on lactation nutrition, uterine and lochia involution on increasing the knowledge, attitudes and behaviors of puerperal mothers. This study used the Quasi-Experimental design method with a Non-Equivalent Control Group Design. In this design, observations are carried out as many as 2 times, namely before treatment and after treatment. In the intervention group and the control group, pre-test and post-test were carried out, respectively. The population in this study was all Puerperal mothers who were at RSKDIA Pertiwi and RSKDIA Siti Fatimah Makassar as many as 5843 puerperal mothers. Based on the results of the calculations above, the number of samples was obtained by 47 intervention groups at RSKDIA Pertiwi Makassar and 47 control groups at RSKDIA Siti Fatimah Makassar using the Purposive Sampling technique. The results showed that there was a significant influence between knowledge and edutainment-based education about lactation nutrition, uterine involution, and lochia. The results showed that there was a significant influence between attitudes and edutainment-based education about lactation nutrition, uterine involution, and lochia. The results showed that there was a significant influence between behavior and edutainment-based education about lactation nutrition, uterine involution, and lochia. It is recommended to midwives who serve in the regions, especially at RSKDIA Pertiwi Makassar and RSKDIA Siti Fatimah Makassar to further improve their performance and attention in providing information about lactation nutrition, uterine involution, and lochia Key Words: Education, Lactation Nutrition, Uterine Involution, Lochia, Knowledge, Attitudes and Behaviors. 
The Effect Of Gym Ball Coaching On Progress Primigravida Mother's Delivery Sari, Ekta Puspita
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.v10i6.15306

Abstract

Persalinan merupakan proses pengeluaran janin pada kehamilan cukup bulan yaitu sekitar 37-42 minggu dan lahir secara spontan dengan presentasi belakang kepala yang berlangsung selama 18-24 jam tanpa adanya komplikasi. Angka Kematian Ibu (AKI) merupakan salah satu indikator penilaian status kesehatan. Jumlah kematian ibu yang dihimpun dari pencatatan program kesehatan keluarga di Kementrian Kesehatan meningkat setiap tahunnya. Pada tahun 2021 menunjukkan 7.389 kematian di Indonesia. Jumlah ini menunjukkan peningkatan dibandingkan tahun 2020 sebesar 4.627 kematia. Gym ball adalah cara menambah ukuran rongga pelvis dengan menggoyang panggul di atas bola yang sangat efektif membantu merespon rasa sakit dan mengurangi lama persalinan kala I fase aktif. Penelitian ini bertujuan untuk mengetahui Pengaruh bimbingan gym ball terhadap kemajuan persalinan pada ibu primigravida kala I Fase Aktif di PMB Eka Santi Prabekti Tahun 2023. Penelitian ini menggunakan metode kuantitatif dengan desain penelitian pre eksperimental yang menggunakan rancangan intract group comparison. Jumlah Sampel 50 orang ibu bersalin yang dibagi dalam dua kelompok yaitu kelompok yang tidak dilakukan bimbingan gym ball sebanyak 25 orang dan kelompok yang dilakukan bimbingan gym ball 25 orang. Instrumen penelitian berupa lembar observasi dan partograf. Metode pengumpulan data ini menggunakan data primer yang dilakukan pada bulan 05 Juli – 10 September 2023. Hasil penelitian ini menunjukkan bahwa kemajuan persalinan ibu pada kelompok yang tidak dilakukan bimbingan gymball yaitu 424,72 menit, dan pada kelompok yang dilakukan bimbingan gymball yaitu 265,20 menit. Simpulan terdapat pengaruh bimbingan gymball terhadap kemajuan persalinan ibu bersalin primigravida kala I fase aktif dibuktikan dengan Uji-T nilai p-value = 0,000 (p-value < 0,05).  Key words: bimbingan gym ball, ibu bersalin, kemajuan persalinan ABSTRACT Childbirth is the process of expelling a fetus at term pregnancy, which is around 37-42 weeks and is born spontaneously with a posterior presentation that lasts for 18-24 hours without any complications. Maternal Mortality Rate (MMR) is an indicator for assessing health status. The number of maternal deaths collected from family health program records at the Ministry of Health increases every year. In 2021 there were 7,389 deaths in Indonesia. This number shows an increase compared to 2020 of 4,627 deaths. Gym ball is a way to increase the size of the pelvic cavity by shaking the pelvis on the ball which is very effective in helping to respond to pain and reducing the length of labor during the active phase of the first stage.This research aims to determine the effect of gym ball guidance on the progress of labor in primigravida mothers during the first active phase at PMB Eka Santi Prabekti in 2023.This research uses quantitative methods with a pre-experimental research design using an intract group comparison design. The sample size was 50 mothers giving birth who were divided into two groups, namely the group that did not receive gym ball guidance, 25 people and the group that received gym ball guidance, 25 people. The research instruments were observation sheets and partographs. This data collection method uses primary data carried out in the months 05 July – 10 September 2023. The results of this study show that the progress of maternal labor in the group that did not receive gymball guidance was 424.72 minutes, and in the group that received gymball guidance it was 265.20 minutes. minute.The conclusion is that there is an influence of gymball guidance on the progress of labor of primigravida mothers in the first active phase, proven by the T-test with a p-value = 0.000 (p-value < 0.05). Key words: gym ball guidance, mother giving birth, labor progress
The Relationship Between Knowledge And Nutritional Status With The Incidence Of Edema During Pregnancy Hasritawati, Hasritawati; Madeni, Barirah
JKM (Jurnal Kebidanan Malahayati) Vol 10, No 4 (2024): Volume 10,No.4 April 2024
Publisher : Program Studi Kebidanan Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkm.v10i4.14773

Abstract

Latar Belakang: Gizi ibu hamil perlu mendapat perhatian karena sangat berpengaruh pada perkembangan janin yang dikandungnya. Pada masa kehamilan gizi ibu hamil harus memenuhi kebutuhan gizi untuk dirinya dan untuk pertumbuhan serta perkembangan janin karena gizi janin tergantung pada gizi ibu, sehingga kebutuhan gizi ibu juga harus tetap terpenuhi.Tujuan: Mengetahui ada hubungan pengetahuan dan status gizi dengan kejadian kek pada masa kehamilan di Puskesmas Bebesan.Metode:  Penelitian  dilakukan  penelitian deskritif analitik dengan pendekatan cross sectional.Populasi pada penelitian ini adalah seluruh ibu hamil di Puskesmas Bebesan. Sampel penelitian melibatkan 30 ibu hamil di Puskesmas Bebesan dan eseha sampling accidental sampling. Analisis data pada penelitian ini menggunakan analisis univariat dan bivariat yang menggunakan software SPSS untuk melakukan uji chi square.Hasil: Hasil analisis statistik didapatkan ada hubungan pengetahuan dan status gizi  dengan kejadian kek pada masa kehamilan di Puskesmas Bebesan dengan nilai p = 0,00 < α = 0,05.Kesimpulan: Terdapat hubungan antara positif antara pengetahuan dan status gizi dengan kejadian kek pada masa kehamilan di Puskesmas Bebesan.Saran: Agar tenaga kesehatan memberikan edukasi sehingga meningkatkan pengetahuan ibu hamil dan memperhatikan status gizi ibu hamil. Kata Kunci : Pengetahuan, Status Gizi, Ibu Hamil, Kekurangan Energi Kronis ABSTRACT Background: The nutrition of pregnant women needs attention as it significantly affects the development of the fetus they are carrying. During pregnancy, the nutrition of pregnant women must meet the nutritional needs for themselves and for the growth and development of the fetus because the fetus's nutrition depends on the mother's nutrition, so the mother's nutritional needs must also be met.Purpose:  To determine the relationship between knowledge and nutritional status with the incidence of chronic energy deficiency during pregnancy at Bebesan Health Center.Methods:  The research was conducted using descriptive analytic research with a cross-sectional approach. The population in this study was all pregnant women at Bebesan Health Center. The research sample involved 30 pregnant women at Bebesan Health Center using accidental sampling technique. Data analysis in this study used univariate and bivariate analysis using SPSS software to conduct chi-square tests.Results: The results of the statistical analysis showed a relationship between knowledge and nutritional with the incidence of chronic energy deficiency during pregnancy at Bebesan Health Center with .p value status p = 0.00 < α = 0.05.Conclusion: There is a positive relationship between knowledge and nutritional status with the incidence of chronic energy deficiency during pregnancy at Bebesan Health Center.Suggestions: Health professionals should provide education to improve the knowledge of pregnant women and pay attention to the nutritional status of pregnant women. Keywords: : Knowledge, Nutritional Status, Pregnant Women, Chronic Energy Deficiency 
The Relationship Of Therapeutic Communication With The Level Of Anxiety Of Primigravida Mothers In Facing Labor Septina, Rossi; Adjizah, Nur; Susilowati, Lilik; Nurlelawati, Ella; Rosmiati, Rosmiati; Nasution, Khairil Walid
JKM (Jurnal Kebidanan Malahayati) Vol 10, No 1 (2024): Volume 10, No 1 Januari 2024
Publisher : Program Studi Kebidanan Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkm.v10i1.13691

Abstract

Pendahuluan: Di  Indonesia 107.000  ibu  hamil  mengalami  kecemasan  dalam  menghadapi persalinan.  Kecemasan  lebih  banyak  dialami  pada  ibu  hamil Primigravida(Kehamilan pertama) dibandingkan ibu hamil MultigravidaFaktor yang mempengaruhi proses lama persalinan antara lain, faktor power (kekuatan mengedan ibu), passage (jalan lahir), passanger (bayi), psyche (kejiwaan ibu) dan provider (penolong). Salah satu faktor yang berpengaruh terhadaap keselamatan persalinan adalah faktor kecemasan pada saat proses persalinan. Kecemasan dan ketakutan dapat mengakibatkan rasa nyeri yang hebat dan juga dapat mengakibatkan menurunnya kontraksi uterus, sehingga persalinan akan bertambah lama.Tujuan: Tujuan dalam penelitian untuk mengetahui hubungan komunikasi terapeutik dengan tingkat kecemasan ibu primigravida dalam menghadapi persalinan.Metode: Penelitian ini merupakan jenis penelitian analitik dengan desain penelitian cross sectional. populasi adalah seluruh ibu bersalin primigravida di RS TK IV Cijantung Kesdam Jaya Tahun 2023 sebanyak 30 orang. Sampel penelitian ini adalah seluruh ibu hamil primigravida menjelang persalinan di RS TK IV Cijantung Kesdam Jaya pada Bulan Januari dan Februari 2023 sebanyak 30 responden. Teknik pengambilan sampel dalam penelitian ini adalah purposive sampling. Analisis data dengan Chi Square..Hasil Penelitian: tingkat kecemasan ibu primigravida dalam menghadapi persalinan mayoritas tingkat kecemasan responden 43,3%. Dari hasil uji statistik didapatkan nilai P value = 0,000.Kesimpulan: Penelitian ini menunjukan bahwa terdapat hubungan komunikasi terapeutik dengan tingkat kecemasan ibu primigravida dalam menghadapi persalinan.Saran : dari hasil penelitian ini diharapkan pihak rumah sakit dapat meningkatkan pelayanan kesehatan pada ibu bersalin dengan mengelola pelaksanaan komunikasi terapeutik oleh bidan dalam memberikan asuhan pada ibu pada masa persalinan Kata Kunci: Komunikasi, Terapeutik, Kecemasan, Primigravida, Persalinan ABSTRACT Introduction: In Indonesia, 107,000 pregnant women experience anxiety when facing childbirth. Anxiety is experienced more often in Primigravida pregnant women (first pregnancy) than in Multigravida pregnant women Factors that influence the length of the labor process include power factors (mother's pushing strength), passage (birth canal), passanger (baby), psyche (mother's psychology) and provider (helper). One of the factors that influences the safety of childbirth is anxiety during the birth process. Anxiety and fear can cause severe pain and can also result in decreased uterine contractions, so that labor will take longer.Objective: The aim of the research is to determine the relationship between therapeutic communication and the level of anxiety of primigravida mothers in facing childbirth.Method: This research is an analytical type of research with a cross sectional research design. The population is all 30 primigravida mothers giving birth at TK IV Cijantung Kesdam Jaya Hospital in 2023. The sample for this research was all primigravida pregnant women approaching delivery at TK IV Cijantung Kesdam Jaya Hospital in January and February 2023, totaling 30 respondents. The sampling technique in this research is purposive sampling. Data analysis with Chi Square.Results: The anxiety level of primigravida mothers in facing childbirth, the majority of respondents' anxiety level was moderate 43.3%, result tatistical test was found that P value = 0.000.Conclusion: This research shows that there is a relationship between therapeutic communication and the level of anxiety of primigravida mothers in facing childbirth.Suggestion: Further to the results of this research, it is hoped that the hospital will improve health services for birthing mothers by managing the implementation of therapeutic communication by midwives in providing care to mothers during labor. Keywords: Communication, Therapeutic, Anxiety, Primigravida, Childbirth
Estimation Of Fetal Weight Using The Risanto Formula And The Johnson-Thausack Formula Compared To Birth Weight Risyanti, Berty; Julaeha, Nita Elita
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.v10i8.16857

Abstract

Latar Belakang: bagian penting dari asuhan kebidanan adalah mengukur tinggi fundus uteri untuk memastikan perkiraan berat badan bayi. Pengetahuan mengenai perkiraan berat badan janin memungkinkan bidan, untuk mengantisipasi potensi masalah dan menyusun strategi untuk mengatasinyaTujuan: mengetahui perbedaan akurasi antara Rumus Risanto dan Rumus Jhonson Thausack dalam menentukan taksiran berat janin di RS Ibu dan Anak Al Islam BandungMetode:  Desain Penelitian ini adalah Cross Sectional Design, Populasi adalah ibu inpartu kala 1 fase laten yang melahirkan di RS Ibu dan Anak Al Islam periode Mei – Juni 2024 sebanyak 61 orang. Teknik pengambilan sampel menggunakan Total Sampling.Hasil: Terdapat perbedaan yang signifikan antara berat bayi lahir dengan TBJ Risanto (p=0,001) dan berat bayi lahir dengan TBJ Johnson Tohsack (p=0,001). Dari uji yang membandingkan akurasi antara rumus Risanto dan rumus Johnson Thausack didapatkan hasil rata- rata untuk TBJ Risanto sebesar 2824,92 gram dan TBJ Johnson Tohsack sebesar 2614,67 gram, dan sementara berat bayi yang dilahirkan adalah 3084,02 gram.Kesimpulan: Terdapat perbedaan yang signifikan secara statistik antara rumus Risanto dan Johnson Thausack dengan berat bayi lahir yang sebenarnya, rumus Risanto lebih mendekati dengan berat bayi lahir.Saran: Bidan lebih meningkatkan ketelitian dalam pengukuran TFU dan menggunakan rumus Risanto untuk mengukur TBJ sehingga hasil pengukuran dapat digunakan dalam pelayanan kebidanan. Kata Kunci : Taksiran berat Janin, Rumus Risanto, Rumus Johnson Thausack ABSTRACT Background: A crucial aspect of midwifery practice involves assessing the height of the uterine fundus to determine the estimated fetal weight. Understanding this estimated weight enables the midwife to foresee possible complications and develop appropriate strategies to address them.Objective: to evaluate the accuracy disparity between the Risanto Formula and the Johnson Thausack Formula in estimating fetal weight at Al Islam Mother and Child Hospital in Bandung.Methods:  This study employs a Cross-Sectional Design, focusing on a population of 61 mothers in the latent phase of the first stage of labor who delivered at Al Islam Mother and Child Hospital between May and June 2024. The sampling method utilized was total sampling.Results: A notable difference was observed between the birth weight of babies estimated using the Risanto formula (p=0.001) and those estimated using the Johnson Tohsack formula (p=0.001). When comparing the accuracy of these two formulas, the average estimated fetal weight (EFW) using the Risanto formula was 2824.92 grams, while the Johnson Tohsack formula yielded an average EFW of 2614.67 grams. In contrast, the actual average birth weight of the newborns was 3084.02 grams.Conclusion: A statistically significant difference exists between the Risanto and Johnson Thausack formulas when compared to the actual birth weight, with the Risanto formula providing an estimate that is more closely aligned with the actual birth weight.Suggestion: Midwives should enhance the precision of fundal height measurements and apply the Risanto formula to estimate fetal weight, ensuring that the results are reliable for use in midwifery care. Keywords: Estimated Fetal Weight, Risanto Formula, Johnson Thausack Formula
Effectiveness Of Stagen Use On Uterine Involution In Postpartum Women Lestari, Gangsar Indah; Aprilia, Rizka
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.v10i6.15540

Abstract

Latar Belakang: Masa nifas merupakan masa krusial bagi petugas kesehatan untuk memantau kondisi ibu. Pada masa ini, organ reproduksi mengalami involusi dan kembali ke kondisi sebelum hamil. Namun jika proses involusi uterus gagal maka dapat terjadi subinvolusi uterus. Kegagalan ini dapat disebabkan oleh tertahannya fragmen plasenta, infeksi, atau pendarahan yang terus menerus. Beberapa faktor seperti usia, paritas, senam nifas, inisiasi menyusui dini (IMD), mobilisasi dini, nutrisi, dan penggunaan stagen dapat mempengaruhi dan mempercepat proses involusi. Stagen mengacu pada cara tradisional yang digunakan masyarakat Jawa untuk merawat penampilan fisik wanita pasca melahirkan. Penggunaan stagen selama 40 hari diyakini efektif mengencangkan perut dan membantu involusi rahim.Tujuan: Penelitian ini dilakukan untuk menilai efektivitas penggunaan stagen terhadap involusi uterus pada ibu nifas di TPMB Ponirah Kota Metro Lampung Tahun 2023.Metode: Penelitian dilakukan dengan menggunakan desain penelitian quasi eksperimen dengan pendekatan dua kelompok dan jumlah responden sebanyak 30 orang, yang terbagi menjadi 15 kelompok kontrol dan 15 kelompok intervensi. Analisis data meliputi analisis univariat, bivariat, dan multivariat.Hasil: Hasil penelitian menunjukkan efektivitas penggunaan stagen terhadap involusi uterus pada ibu nifas di TPMB Ponirah Kota Metro tahun 2023 dengan nilai P value sebesar 0,014.Kesimpulan: Terdapat pengaruh penggunaan stagen terhadap tinggi fundus uteri ibu nifasSaran : Wanita pasca melahirkan disarankan menggunakan stagen untuk mempercepat proses pemulihan di masa nifas. Kata Kunci: Stagen, Involusi Uterus, Masa Nifas, Wanita Nifas ABSTRACT Background: The postpartum period is a crucial time for health workers to monitor the mother's condition. During this time, the reproductive organs go through involution, returning to their pre-pregnancy state. However, if the uterine involution process fails, it can lead to uterine subinvolution. This failure can be caused by retained placental fragments, infection, or continued bleeding. Several factors, such as age, parity, postpartum exercises, early breastfeeding initiation (IMD), early mobilization, nutrition, and the use of stagen can influence and accelerate the process of involution. Stagen refers to traditional methods used by the Javanese community to care for postpartum women' physical appearance. The use of stagen for 40 days is believed to be effective in firming the abdomen and aiding in uterine involution.Aim: This study was conducted to assess the effectiveness of stagen use on uterine involution in postpartum women at TPMB Ponirah Metro City, Lampung in 2023.Methods:  The research was conducted using a quasi-experimental research design with a two-group approach and a total of 30 respondents, split into 15 control group and 15 intervention group. Data analysis involved univariate, bivariate, and multivariate analysis.Results: The results showed the effectiveness of using stagen for uterine involution in postpartum women at TPMB Ponirah Metro City in 2023, with a P value of 0.014.Conclusion: There is an effect of stagen use on the uterine fundal height of postpartum womenSuggestion: Postpartum women are advised to use stagen to accelerate the recovery process during the postpartum period. Keywords: Stagen, Uterine involution, Postpartum period, Postpartum women  
Comparison Of The Effectiveness Of Moringa And Spinach Leaf Capsules In Increasing Hemoglobin Levels Among Anemic Pregnant Women In The Third Agustini, Ni Ketut Farida; Sunarsih, Sunarsih; Rachmawati, Fijri; Astriana, Astriana
JKM (Jurnal Kebidanan Malahayati) Vol 10, No 4 (2024): Volume 10,No.4 April 2024
Publisher : Program Studi Kebidanan Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkm.v10i4.14879

Abstract

Background Data from the Bandar Lampung City Health Office in 2022 shows the proportion of anemia in pregnant women is 37.25%, namely pregnant women with Hemoglobin levels < 8 gr%/dl is 2.41%, Hb is 8-11gr%/dl is 36.3%. Anemia occurs in pregnant women due to insufficient production of red blood cells by the consumption of nutrients, especially iron. Iron can be obtained by consuming Moringa leaves. Another vegetable that is believed to contain a lot of iron is spinach, especially green spinach. The Purpose of the study was to find out the comparison of the effectiveness of moringa and spinach leaf capsules in increasing Hb levels in third trimester pregnant women with anemia in the Working Area of the Panjang Community Health Center, Bandar Lampung City, in 2023.Methods This study uses a type of quantitative research, with a quasi-experimental design. The population in this study were all pregnant women with their third trimester of gestation who made ANC visits at the Panjang Community Health Center in Bandar Lampung City and experienced anemia with a total of 47 people. A sample of 36 respondents. The data collection technique uses a questionnaire sheet and the data analysis used is the independent t-test.The results showed that the average hemoglobin level in third trimester pregnant women before consuming moringa leaf capsules was 10.46 gr/dl, and in the spinach leaf group was 10.37 gr/dl. The average hemoglobin level in third trimester pregnant women after consuming moringa leaf capsules was 11.87 gr/dl, and in the spinach leaf group was 11.24 gr/dl. Conclusion There is a difference in the effectiveness of moringa and spinach leaf capsules in increasing Hb levels in TM III pregnant women with anemia in the Working Area of the Panjang Community Health Center, Bandar Lampung City, 2023 (p value 0.000). Suggestion It is hoped that health workers can optimize counseling regarding the consumption of moringa leaf capsules to increase hemoglobin levels in third trimester pregnant women with anemia. Keywords: Moringa leaf capsules, spinach leaves, Hb levels
Study Of The History Of Maternal Nutritional Status And Newborn Health On Toddler Nutrition Problems Nenogasu, Yeri Delsia; Juwa, Maria Magdalena Mue
JKM (Jurnal Kebidanan Malahayati) Vol 10, No 1 (2024): Volume 10, No 1 Januari 2024
Publisher : Program Studi Kebidanan Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkm.v10i1.12439

Abstract

Latar Belakang: Masalah Gizi balita menghambat perkembangan kognitif dan mengakibatkan penyakit kronis yang dapat berdampak pada kualitas hidup dikemudian hari. Faktor intrauterine seperti gizi ibu selama hamil, yang berdampak pada berat badan janin. Faktor ektrauterin seperti ASI ekslusif, pola asuh dan sanitasi lingkungan. Prevalensi masalah gizi seperti stunting di Provinsi NTT adalah yang tertinggi di Indonesia.Tujuan: Penelitian ini bertujuan untuk mengatahui dampak langsung dan tidak langsung status gizi ibu dan kesehatan bayi baru lahir terhadap masalah gizi balita. Metode Penelitian: Penelitian ini adalah penelitian analitik korelasional dengan pendekatan metode cross sectional. Kebenaran konsep teori yang dirumuskan diuji menggunakan Structural Equation Modeling (SEM) dengan pendekatan Partial Least Square (PLS) dengan aplikasi smart PLS 3.0.Hasil: Status gizi ibu signifikan memengaruhi kesehatan bayi baru lahir (T-statistic diatas rule of thumb yaitu 2,545). Kesehatan bayi baru lahir berdampak namun tidak signifikan memengaruhi masalah gizi balita (wasting) dengan nilai T-statistic diatas rule of thumb yaitu 1,081. Status gizi ibu berdampak namun tidak signifikan memengaruhi masalah gizi gizi balita (wasting) dengan nilai T-statistic diatas rule of thumb yaitu 0,131.Kesimpulan: Interaksi antara status gizi ibu (IMT dan Lila) berdampak positif 11,9% terhadap kesehatan bayi baru lahir dan secara bersamaan (status gizi ibu dan kesehatan baru lahir) berdampak positif 3% terhadap masalah gizi balita (wasting). Meningkatnya status gizi ibu (IMT dan Lila) sebelum hamil adalah akan meningkatkan kesehatan bayi baru lahir terutama berat badan lahir, panjang badan lahir dan lingkar kepala. Hal ini merupakan langkah penting sebagai upaya untuk mencegah kejadian wasting pada balita.  Kata Kunci: Status gizi ibu, kesehatan bayi baru lahir, wasting ABSTRACT Introduction: Toddler nutrition problems hinder cognitive development and result in chronic diseases that can impact quality of life later in life. Intrauterine factors such as maternal nutrition during pregnancy, have an impact on fetal weight. External factors such as exclusive breastfeeding, parenting, and environmental sanitation. The prevalence of nutritional problems such as stunting in NTT Province is the highest in Indonesia.Purpose: This study aims to determine the direct and indirect impact of maternal nutritional status and newborn health on toddler nutrition problems. Methods: This research is a correlational analytical research with a cross-sectional method approach. The correctness of the formulated theoretical concepts was tested using Structural Equation Modeling (SEM) with a Partial Least Square (PLS) approach with the application of smart PLS 3.0. Results: Maternal nutritional status significantly affected newborn health (T-statistic above rule of thumb of 2.545). Newborn health has an impact but does not significantly affect toddler nutrition problems (wasting) with a T-statistic value above the rule of thumb which is 1.081. Maternal nutritional status has an impact but does not significantly affect the nutritional problems of toddler nutrition (wasting) with a T-statistic value above the rule of thumb, which is 0.131. Conclusion: The interaction between maternal nutritional status (BMI and upper arm circumference) had a positive impact of 11.9% on newborn health and simultaneously (maternal nutritional status and newborn health) had a positive impact of 3% on toddler nutrition problems (wasting). Increasing the nutritional status of mothers (BMI and upper arm circumference) before pregnancy will improve the health of newborns, especially birth weight, birth length, and head circumference. This is an important step in an effort to prevent wasting events in toddlers.  Advice: Conduct regular health checks before pregnancy, including nutritional status checks to identify maternal nutritional problems. Keywords: Maternal nutritional status, newborn health, wasting
The Effect Of Wet Cupping Therapy On Reducing Cholesterol Levels In Menopause Women Dwijayanti, Maulidya; Friscila, Ika; Rahman, Subhannur; Iswandari, Novita Dewi
JKM (Jurnal Kebidanan Malahayati) Vol 10, No 5 (2024): Volume 10,No.5 Mei 2024
Publisher : Program Studi Kebidanan Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkm.v10i5.14788

Abstract

Latar Belakang: Menopause merupakan salah satu tahapan yang akan dilewati oleh seorang wanita, hal ini ditandai dengan terhentinya menstruasi secara permanen. Sebagian besar wanita menopause mengalami kenaikan kadar kolesterol dikarenakan penurunan fungsi tubuh, salah satunya penurunan hormon estrogen yang memiliki peran sebagai pengatur kadar kolesterol. Kadar kolesterol yang tinggi dapat berdampak pada timbulnya penyakit kardiovaskular. Data dari Dinas Kesehatan Kota Banjarmasin di tahun 2022 menyatakan sebanyak 856 orang wanita usia 45 keatas mengalami penyakit kardiovaskular.Tujuan: Menganalisis pengaruh terapi bekam basah terhadap penurunan kadar kolesterol pada wanita usia menopause.Metode: Penelitian ini menggunakan rancangan pre eksperiment dengan desain One Group Pretest Posttest. Pengambilan sampel ini dengan teknik purposive sampling. Jumlah sampel 30 wanita menopause dengan kadar kolesterol tinggi (> 200 mg/dL). Data penelitian ini diambil dengan menggunakan lembar observasi kadar kolesterol sebelum dan sesudah diberikan terapi bekam basah. Kemudian data dianalisis dengan menggunakan uji Wilcoxon.Hasil: Kadar kolesterol sebelum diberikan terapi bekam basah mayoritas adalah kategori tinggi 100% dan setelah diberikan terapi bekam basah mayoritas kadar kolesterol turun menjadi normal sebesar 80%. Analisis bivariat berdasarkan uji Wilcoxon diperoleh nilai Pvalue sebesar 0,000 (< 0,05) sehingga H1 diterima.Kesimpulan: Terdapat pengaruh terapi bekam basah terhadap kadar kolesterol pada wanita usia menopause.Saran: Diharapkan masyarakat khususnya wanita menopause mengetahui secara umum manfaat yang dihasilkan oleh terapi bekam basah dan bisa menjadi terapi alternatif untuk penurunan kadar kolesterol dalam tubuh.Kata Kunci: Bekam Basah, Kolesterol, Menopause ABSTRACT Background: Menopause is one of the stages that a woman will go through, it is characterized by the permanent cessation of menstruation. Most menopausal women experience an increase in cholesterol levels due to a decrease in body function, one of which is a decrease in the hormone estrogen which has a role as a regulator of cholesterol levels. High cholesterol levels can have an impact on the onset of cardiovascular disease. Data from the Banjarmasin City Health Office in 2022 stated that as many as 856 women aged 45 and over experienced cardiovascular disease.Purpose: Analyzing the effect of wet cupping therapy on lowering cholesterol levels in women of menopausal age.Methods: This study used a pre-experiment design with a One Group Pretest Posttest design. Sampling was done using purposive sampling technique. The sample size was 30 menopausal women with high cholesterol levels (> 200 mg/dL). This research data was taken using an observation sheet of cholesterol levels before and after being given wet cupping therapy. Then the data were analyzed using the Wilcoxon test.Results: Cholesterol levels before being given wet cupping therapy the majority were 100% high category and after being given wet cupping therapy the majority of cholesterol levels dropped to normal by 80%. Bivariate analysis based on the Wilcoxon test obtained a Pvalue of 0.000 (<0.05) so that H1 is accepted.Conclusion: There is an effect of wet cupping therapy on cholesterol levels in women of menopausal age.Suggestion: It is hoped that the community, especially menopausal women, will know in general the benefits produced by wet cupping therapy and can be an alternative therapy for lowering cholesterol levels in the body.Keywords: Wet Cupping, Cholesterol, Menopause 
Level Of Pregnant Women's Knowledge And Behavior On Breast Self-Examination (Sadari) And Its Relationship With Early Detection Of Breast Cancer Syamsiah, Siti; Lubis, Rosmaway; Rafika, Rafika
JKM (Jurnal Kebidanan Malahayati) Vol 10, No 3 (2024): Volume 10,No.3 Maret 2024
Publisher : Program Studi Kebidanan Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkm.v10i3.14591

Abstract

Latar Belakang : Data menurut WHO dari tahun 2019 sebanyak 58,256 kasus atau 16,7% dari total 348.809 dan di tahun 2020 sebanyak 396.914 kasus kanker, adanya peningkatan data kanker payudara di Indonesia dari tahun 2018 sebanyak 1,79 per 1.000 penduduk dan di tahun 2019 sebanyak 42,1 per 100.000 penduduk dan di tahun 2020 sebanyak 65.858 kasus kanker atau 30,8 per 10.000 penduduk yang terkena kanker payudara. adanya permasalahan mengenai ibu belum menyadari pentingnya melakukan SADARI karena kurangnya infromasi mengenai SADARI, sebanyak 95% ibu hamil yang baru pertama kali mendengar tentang SADARI.Tujuan : Mengetahui hubungan tingkat pengetahuan ibu hamil tentang SADARI dengan perilaku SADARI sebagai deteksi dini kanker payudaraMetodologi : Metodologi penelitian menggunakan Observasional Analitik, sample menggunakan Total Sampling sebanyak 40 ibu hamil. Instrumen yang digunakan adalah kuesioner dan Analisa bivariat menggunakan Uji Chi – SquareHasil Penelitian : Diketahui bahwa ibu hamil dengan kategori pengetahuan kurang baik sebanyak 21 (52,5%). ibu hamil yang memiliki perilaku kurang sebanyak 23 (57,5%), Hasil analisa bivariat menunjukan bahwa jumlah responden yang memiliki pengetahuan kurang baik dan memiliki perilaku kurang dengan jumlah sebanyak 14 orang (66,7%).Kesimpulan : Ada hubungan yang signifikan antara tingkat pengetahuan ibu hamil dengan perilaku SADARI sebagai deteksi dini kanker payudara. ditunjukan dengan uji korelasi chi square didapatkan nilai hasil Asymp sig (2 side) p-value yaitu 0,001 yang diartikan kurang dari 0,005, Ho ditolak Ha diterimaSaran : Pada ibu hamil diharapkan lebih meingkatkan lagi kepeduliannya terhadap kesehatan dan diharapkan lebih di tingkatkan lagi pengetahuan mengenai SADARI dan kanker payudara. Kata Kunci : SADARI (Pemeriksaan Payudara Sendiri), Ibu hamil, Deteksi dini ABSTRACT Background: Data according to WHO from 2019 was 58,256 cases or 16.7% of the total 348,809 and in 2020 there were 396,914 cancer cases and an increase in breast cancer data in Indonesia from 2018 there was 1.79 per 1,000 population, in 2019 there was 42.1 per 100,000 population and in 2020 there was 65,858 cases of cancer or 30.8 per 10,000 population affected by breast cancer. and there a problem about the mother that hasn’t realized the importance of doing BSE, lack information BSE,Objective: To determine the relationship between the level of knowledge of pregnant women about BSE and BSE behavior as an early detection ofMethodology: The research methodology used was an Analytical Observation, the sample was total sampling of 40 pregnant women. The instrument used was questionnaire and bivariate analysis using the Chi - Square testResults: It is known that the behavior of pregnant women with poor knowledge category was 21 (52.5%). results of the bivariate analysis showed that the number of respondents who had poor knowledge and had less knowledge were 14 people (66.7%).Conclusion: There was a significant relationship between the level of knowledge of pregnant women with BSE behavior as an early detection of breast cancer. by chi square correlation test, the result value of Asymp sig (2 sides) p-value is 0.001. Ho is rejected and Ha is accepted.Suggestion: Pregnant women are expected to increase their awareness of health and are expected to increase their knowledge about BSE and breast cancer. Keywords: BSE (Breast Self-Examination), Pregnant women, Early detection 

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