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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
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Long Relationship With The Use Of Iud Contraceptive Devices Patological Levory In Iud Kb Accepters Ghazianni, Anantama; Rosmiyati, Rosmiyati; Astriana, Astriana; Ermasari, Anissa
JKM (Jurnal Kebidanan Malahayati) Vol 10, No 11 (2024): Volume 10 No.11 November 2024
Publisher : Program Studi Kebidanan Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkm.v10i11.12345

Abstract

Latar Belakang: Salah satu alat kontrasepsi yang ideal adalah IUD. Alat kontrasepsi IUD merupakan alat kontrasepsi yang mempunyai reversibilitas dan efektivitas yang tinggi yaitu 0,6 – 0,8/100 akseptor KB IUD pada tahun pertama pemakaian yang paling banyak diminati oleh akseptor KB. Efek samping pemasangan IUD adalah keputihan. Keputihan adalah keluarnya cairan selain darah dari saluran vagina yang tidak biasa. Keputihan akibat KB IUD merupakan kondisi yang umum terjadi selama keputihan tidak berbau dan tidak gatal. Namun, jika keputihan tidak segera ditangani, maka akan timbul akibat yang lebih serius, seperti keputihan yang bersifat patologis. Tujuan penelitian ini adalah untuk mengetahui hubungan penggunaan KB IUD jangka panjang dengan keputihan patologis pada akseptor IUD di wilayah kerja UPTD Puskesmas Kebun Tebu Kabupaten Lampung Barat Tahun 2023.Metode penelitian : Jenis penelitian ini adalah kuantitatif dengan desain penelitian menggunakan cross sectional. Populasi dalam penelitian ini adalah seluruh akseptor KB IUD yang berjumlah 102 orang dengan menggunakan teknik pengambilan sampel yaitu total sampling. Analisis data univariat dan bivariat menggunakan uji chi square.Hasil Penelitian: Didapatkan 11 responden (10,8%) dengan durasi penggunaan IUD ≤ 2 bulan mengalami keputihan patologis dan sebanyak 47 responden (46,1%) dengan durasi penggunaan IUD > 2 bulan mengalami keputihan patologis. Hasil uji statistik diperoleh nilai P-value = 0,027 yang berarti terdapat hubungan jangka panjang antara penggunaan kontrasepsi IUD dengan keputihan patologis.Saran: Diharapkan akseptor KB IUD dapat meluangkan waktu untuk melakukan kontrol ulang pasca pemasangan KB IUD dan menjaga kebersihan diri serta tidak menganggap enteng keputihan sebagai efek samping penggunaan alat kontrasepsi. Kata Kunci : Alat Kontrasepsi IUD, Keputihan ABSTRACT Background: One of the ideal contraceptives is the IUD. IUD contraceptives are contraceptives that have high reversibility and effectiveness, namely 0.6 – 0.8/100 IUD KB acceptors in the first year of use which are most in demand by family planning acceptors. The side effects of IUD installation are vaginal discharge. Leucorrhoea is discharge other than blood from the vaginal canal out of the ordinary. Leucorrhoea from IUD contraception is a common condition as long as vaginal discharge does not smell and does not itch. However, if leucorrhoea is not treated immediately, there will be more serious consequences, such as pathological vaginal discharge. The purpose of this study was to determine the relationship between prolonged use of IUD contraception and pathological vaginal discharge in IUD acceptors in the working area of the Kebun Tebu Health Center UPTD, West Lampung Regency in 2023.Research methods: This type of research is quantitative with research design using cross sectional. The population in this study were all IUD family planning acceptors, totaling 102 people using a sampling technique, namely total sampling. Univariate and bivariate data analysis using uji chi square.Research result: It was found that 11 respondents (10.8%) with an IUD usage duration of ≤ 2 months experienced pathological vaginal discharge and as many as 47 respondents (46.1%) with an IUD usage duration of > 2 months experienced pathological vaginal discharge. Statistical test results obtained values P-value = 0.027, which means that there is a long-standing relationship between the use of IUD contraception and pathological vaginal discharge. Suggestion : It is hoped that IUD KB acceptors can take the time to re-control after IUD KB installation and maintain personal hygiene and not take vaginal discharge lightly as a side effect of using contraceptives. Keywords: IUD Contraceptives, Leucorrhoea 
The Effect Of Compliance In The Use Of Clinical Pathway (CP) And Duration Of Care On Cost Efficiency In Patients With Caesarian Section (SC) Habibah, Zahrotul; Purwadhi, Purwadhi; Handayani, Nining
JKM (Jurnal Kebidanan Malahayati) Vol 10, No 12 (2024): Volume 10 No.12 Desember 2024
Publisher : Program Studi Kebidanan Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkm.v10i12.18576

Abstract

Clinical Pathway (CP) penting untuk mengurangi biaya, lama perawatan serta dapat meningkatkan mutu pelayanan pasien, terutama pada era asuransi Jaminan Kesehatan Nasional (JKN). Tujuan studi ini adalah untuk mengetahui pengaruh angka kepatuhan terhadap CP dan lama perawatan terhadap efisiensi biaya perawatan pasien sectio cesarean (SC). Studi cross sectional menggunakan data primer di RS Edelweiss bulan Juli-September 2024. Tingkat kepatuhan CP berkorelasi positif secara signifikan terhadap GPM (r=0.558, p<0.001), dan lama perawatan berkorelasi secara negatif secara signifikan terhadap GPM (r=-0.467, p<0.001). Hasil analisa regresi linier didapatkan tingkat kepatuhan CP dan lama perawatan secara simultan mempengaruhi GPM (F=10,221, p<0.001). Kepatuhan terhadap penggunaan Clinical Pathway serta pengelolaan lama perawatan memiliki pengaruh yang signifikan terhadap efisiensi biaya pada pasien sectio caesarean (SC). Keunggulan dari penelitian ini yaitu relevansi topik yang diteliti dengan situasi manajemen RS saat ini dan menggunakan metode kuantitatif memungkinkan pengukuran yang objektif terhadap variabel-variabel yang diteliti, seperti biaya, lama perawatan, dan tingkat kepatuhan. Kata Kunci: kepatuhan terhadap clinical pathway, lama perawatan, efisiensi biaya ABSTRACT Clinical Pathways (CP) are crucial for reducing costs and length of stay while improving patient service quality, especially in the era of the National Health Insurance (JKN). This study aims to determine the effect of compliance rates with CP and length of stay on cost efficiency for patients undergoing cesarean section (CS). A cross-sectional study was conducted using primary data at Edelweiss Hospital from July to September 2024. A significant positive correlation was found between CP compliance and GPM (r=0.558, p<0.001), while length of stay had a significant negative correlation with GPM (r=-0.467, p<0.001). Linear regression analysis showed that both CP compliance and length of stay significantly influenced GPM (F=10.221, p<0.001). Compliance with the use of Clinical Pathways and management of length of stay significantly affects cost efficiency for patients undergoing cesarean section (CS) at Edelweiss Hospital Bandung. The excellence of this research is the relevance of the topic studied to the current hospital management situation and uses quantitative methods allowing objective measurements of the variables studied, such as costs, length of treatment, and level of compliance . Keywords: compliance of the use of clinical pathway, length of stay, cost efficiency  American Academy of Pediatrics (AAP), 2023. “Barriers and Facilitators of High-Efficiency Clinical Pathway Implementation in Hospitals.”Anderson, P., & Johnson, R. (2019). Clinical pathways: Are they really cost-saving? BMC Health Services Research , 19(2), 70-80.Anderson, P., & White, D. (2020). Does a longer hospital stay really save money? Journal of Health Services Research & Policy , 25(1), 50-60.Arbey, Muhammad., Purwadhi., Andriani, Rian., 2024. The Influence of the Quality of Outpatient Services of Specialist Doctors on the Satisfaction of BPJS Participant Patients. Case Study at Eko Maulana Ali Hospital, Bangka Regency. Horizon-IMWI RepositoryBai, J., Bai, F., Zhu, H., & Xue, D. (2018). The Perceived and Objectively Measured Effects of Clinical Pathways' Implementation on Medical Care in China . PLOS ONE , 13 (5).Bartlett, K. W., Parente, V. M., Morales, V., Hauser, J., & McLean, H. S. (2017). Improving the Efficiency of Care for Pediatric Patients Hospitalized With Asthma . Hospital Pediatrics, 7 (1), 31–38.Brown, T., & Williams, P. (2019). The relationship between length of stay and hospital costs: A retrospective analysis. Health Economics Review , 9(1), 15-25.Bryan, M.A., Desai, A.D., Wilson, L., Wright, D.R., & Mangione-Smith, R. (2017). Association of bronchiolitis clinical pathway adherence with length of stay and costs . Pediatrics, 139(3).Campbell, H., Hotchkiss, R., Bradshaw, N., & Porteous, M. (2009). Integrated care pathways. BMJ, 316(7125), 133-137.Chen, Y., & Nguyen, T. (2022). A meta-analysis of clinical pathways: Costs and outcomes. Health Economics Review , 12(1), 15-25.Chen, Y., & Nguyen, T. (2022). Length of stay as a determinant of healthcare costs: A meta-analysis. International Journal of Health Economics and Management , 22(1), 25-40.Creswell, J. W. (2014). Research Design: Qualitative, Quantitative, and Mixed Methods Approaches . Sage Publications.De Bleser, L., Depreitere, R., Waele, K., Vanhaecht, K., Vlayen, J., & Sermeus, W. (2006). Defining pathways. Journal of Nursing Management , 14(7), 553-563.Dey, B., Mitra, A., Prakash, K., Basu, A., Ray, S., & Mitra, A. (2013). Effectiveness of Care Pathways in Ideal Hospital Management System: A Review. Indo Global Journal of Pharmaceutical Sciences, 03 (03), 185–191.Eskandari, M., Alizadeh Bahmani, AH, Mardani-Fard, HA et al. Evaluation of factors that influence the length of hospital stay using data mining techniques. BMC Med Inform Decis Mak 22 , 280 (2022). https://doi.org/10.1186/s12911-022-02027-wFirdaus, R., & Nazaruddin, I. (2023). Relationship Between Clinical Pathway and Cost-Effectiveness Research Using Vosviewer: A Bibliometric Study . United International Journa l for Research & Technology , 4(03), 1–8.Firmansyah, Y., Bakhtiar, HS (2022). Implementation of the clinical pathway paradigm in achieving cost-effectiveness in health financing (systematic literature review) . Jurnal Medika Hutama, 3(2), 1855-1876.Fitria, A., Armani, AS, Rochmah, TN, Purwaka, BT, & Pudjirahardjo, WJ (2021). Implementation of Clinical Pathways as an Instrument for Controlling Service Costs: An Action Research Study of BPJS Patients Undergoing Caesarean Section with the INA-CBG Payment System. Silampari Nursing Journal, 4(2), 593–599.Fentiana, N., & Ginting, D. (2020). Hospital Revenue Increase Strategy Based on SWOT Analysis. Scientific Journal of Batanghari Jambi University, 20(3), 1008-1012.Garcia, R., & Chen, M. (2020). Assessing the economic impact of prolonged hospital stays on health care systems. Journal of Hospital Medicine , 15(4), 220-230.Ghaferi, A.A., Birkmeyer, J.D., & Dimick, J.B. (2021). The impact of clinical pathways on length of stay and costs in the surgical population. Journal of Surgical Research , 256, 369-376.Grimshaw, J.M., Thomas, R.E., MacLennan, G., Fraser, C., Ramsay, C.R., Vale, L., & Donaldson, C. (2004). Effectiveness and efficiency of guideline dissemination and implementation strategies. Health Technology Assessment, 8(6), iii-iv.Haninditya, Beta., Andayani, Tri Murti., Yasin, Nanang Munif. (2019). Analysis of Compliance in the Implementation of Clinical Pathway for Cesarean Section in a Private Hospital in Yogyakarta. JMPFHertler, A., Chau, S., Khetarpal, R., Bassin, E., Dang, J., Koppel, D. (2020). Utilization of Clinical Pathways Can Reduce Drug Spend Within the Oncology Care Model . JCO Oncology Practice, 16(5), ee456-e463.Horngren, CT, Datar, SM, & Rajan, MV (2012). Cost Accounting: A Managerial Emphasis. Pearson Education.Irwandy, I., & Sjaaf, AC (2018). Impact of National Health Insurance Policy on Hospital Efficiency: Case Study in South Sulawesi Province. Indonesian Public Health Media, Hasanuddin University, 14(4), 360-367.Iroth, JS, Ahmad, RA, & Pinzon, R. (2016). The Impact of Clinical Pathway Implementation on the Cost of Treatment for Acute Ischemic Stroke Patients at Bethesda Hospital, Yogyakarta. Duta Wacana Scientific Medical Journal, 2(1), 267─267.Jackson, T., & Brown, C. (2020). Questioning the benefits of clinical pathways in cost management. Journal of Clinical Outcomes Management , 27(4), 220-230.JAMA Network. (2021). “Interventions to Reduce Hospital Length of Stay in High-Risk Populations: A Systematic Review.”James, E., Rotter, T., & Snow, P. (2011). Evaluating the impact of clinical pathways on patient outcomes and hospital costs in an Australian hospital setting. Journal of Health Services Research & Policy, 16(4), 193-199.Jones, M., & Smith, R. (2021). The impact of clinical pathway compliance on hospital costs: A systematic review. Health Services Research , 56(3), 345-359.Johnson, L., & Green, R. (2020). Impact of length of stay on healthcare costs: a systematic review. Health Services Research , 55(3), 505-520.Kagedan, DJ, Devitt, K.S., Tremblay St-Germain, A., Ramjaun, A., Cleary, S.P., & Wei, A.C. (2017). The economics of recovery after pancreatic surgery: detailed cost minimization analysis of an enhanced recovery program . HPB, 19(11 ), 1026–1033.Kaplan, R. S., & Porter, M. E. (2011). How to solve the cost crisis in health care. Harvard Business Review.Lawal, A.K., Rotter, T., Kinsman, L., Machotta, A., Ronellenfitsch, U., Scott, S.D., Goodridge, D., Plishka, C., & Groot, G. (2016). What is a clinical pathway? Refinement of an operational definition to identify clinical pathway studies for a Cochrane systematic review. BMC Medicine, 14(1), 1─5.Lim, S.C., Doshi, V., Castasus, B., Lim, J.K., & Mamun, K. (2006). Factors causing delay in discharge of elderly patients in an acute care hospital. Annals of the Academy of Medicine, Singapore, 35(1), 27.Lorenzoni, L., & Marino, A. (2017 ). Understanding variations in hospital length of stay and costs: Results of a pilot project. OECD Health Working Papers No. 94, 1–43.Martin, J., & Chen, Y. (2023). Cost implications of clinical pathway adherence in surgical patients. Journal of Surgical Research , 250, 92-100.Martinez, F., & Kim, H. (2021). The impact of clinical pathways on healthcare expenditures: An empirical study. International Journal of Health Services , 51(3), 405-415.McKinsey & Company. (2023). "Clinical Pathways in European Healthcare: Lessons from Germany."MedBridge, 2022. "The Role of Clinical Pathways in Modern Healthcare Settings."MedBridge. (2022). "Clinical Pathways: Leading the Way to Better Outcomes."Miller, A., & Johnson, R. (2022). Cost implications of extended hospital stays for chronic illness management. International Journal of Health Services , 52(3), 340-355.Mustafa, A., Dwitasari, RN, Putra, SS, & Veranita, M., & Purwadhi. (2023). Implementation of Enhanced Recovery After Caesarean Surgery as a Leading Program at Hospital X in Jombang, East Java: A SWOT Analysis. Journal Multilingual , 3(4), 97-109.Neliti, 2019. "Impact of Clinical Pathway on Hospital Costs and Length of Stay."Nugraha, AC, Syaodih, E., Handayani, N., & Andikarya, RO (2023). The effect of health service quality on patient satisfaction and loyalty at Rama Hadi Hospital, Purwakarta . e-Proceedings of the Master of Management, ARS University, 1(1), 95-106.Nurdin, FW, Purwadhi, & Agung, IW (2023). Evaluation of Clinical Pathway Implementation in Pneumonia Cases in the Internal Medicine Inpatient Unit at Risa Sentra Medika Hospital, Mataram with the Integrated Care Pathway Appraisal Tool (ICPAT) Method . Journal of Health Policy and Management, 8(1), 30-38. https://doi.org/10.26911/thejhpm.2023.08.01.04Page, MJ, Moher, D., Bossuyt, PM, Boutron, I., Hoffmann, TC, Mulrow, CD, Shamseer, L., Tetzlaff, JM, Akl, EA, Brennan, SE, Chou, R., Glanville, J., Grimshaw, J.M., Hróbjartsson, A., Lalu, M.M., Li, T., Loder, E.W., Mayo-Wilson, E., Mcdonald, S., … Mckenzie, J.E. (2020). Supplementary Material to: PRISMA 2020 explanation and elaboration: updated guidance and exemplars for reporting systematic reviews . 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Development Of A Preeclampsia Education Model Using Manggarai Regional Language Videos On Knowledge About Preeclampsia Prevention Behavior In Pregnant Women Manggul, Makrina Sedista; Putri Raden, Natalia Damaiyanti; Bandur, Maria Yosefa; Dewi, Imelda Rosniyati
JKM (Jurnal Kebidanan Malahayati) Vol 10, No 11 (2024): Volume 10 No.11 November 2024
Publisher : Program Studi Kebidanan Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkm.v10i11.16359

Abstract

 Latar Belakang Preeklamsia tercatat sebagai penyebab kematian ibu kedua di Indonesia setelah perdarahan maternal. Preeklamsia terjadi pada ibu hamil setelah mencapai usia kehamilan lebih dari 20 minggu yang ditandai dengan hipertensi, proteinuria dan edema. Preeklamsia pada ibu hamil menimbulkan risiko serius bagi ibu dan janin,terutama terjadi pada ibu hamil dengan faktor risiko seperti usia tua,primigravida,jarak kehamilan kurang dari 2 tahun,riwayat preeklamsia sebelumnya,riwayat hipertensi dan kelebihan gizi. Data preeklamsia selama 9 tahun terakhir di di BLUD pada RSUD dr. Ben Mboi Kabupaten Manggarai pada tahun 2014 terdapat 186 kasus, periode Januari-Oktober 2015 tercatat 250 kasus dan pada tahun 2018, RSUD Ben Mboi mencatat 490 kasus preeklamsia pada ibu hamil yang melahirkan atau dirawat. Data ibu hamil DI Puskesmas Kota beresiko preeklamsia hingga Agustus 2023 tercatat sebanyak  165 kasus. Melihat masalah yang ada ditempat penelitian maka team melakukan riset edukasi menggunakan vidio bahasa daerah Manggarai, sehingga diharapkan dapat meningkatkan pengetahuan ibu hamil dalam mengatasi masalah preeklampsi karena mayoritas masyarakat di Kabupaten Manggarai lebih cenderung menggunakan bahasa daerah sebagai bahasa sehari-hari.Tujuan penelitian ini untuk mengetahui efektivitas edukasi menggunakan vidio bahasa daerah Manggarai terhadap  pengetahuan tentang perilaku pencegahan preeklamsia.Metode dalam Penelitian ini menggunakan media video Bahasa daerah Manggarai sebagai sarana pendidikan kesehatan, serta mengumpulkan data pengetahuan tentang perilaku pencegahan preeklamsia melalui kuesioner dan  dilaksanakan di wilayah kerja Puskesmas Kota Kabupaten Manggarai – NTT mulai Oktober  2023 sampai April 2024. Desain yang digunakan adalah eksperimental dengan pendekatan quasi eksperimental dengan rancangan pretest and post test with control group design. Analisa data dilakukan secara univariat dan bivariat. Analisa univariat meliputi distribusi frekuensi karateristik responden, mean dan standar deviasi. Analisis pada penelitian ini diawali dengan uji normalitas data dengan uji Kolmogorov  Smirnov dan didapatkan data berdistribusi normal, selanjutnya uji bivariat menggunakan uji pairet T-test.Hasil Pada kelompok intervensi rerata pengetahuan ibu hamil sebelum diberikan perlakuan sebesar 56,10 dan setelah diberikan edukasi menggunakan vidio bahasa daerah manggarai ada peningkatan pengetahuan sebesar 74,67 dengan selisih mean 29,50. Perbedaan ini bermakna secara statistik dengan nilai nilai p = 0,001 ≤ 0,05.Kesimpulan Edukasi menggunakan video Bahasa daerah Manggarai dapat berpengaruh terhadap pengetahuan ibu hamil tentang perilaku pencegahan preeklampsia ditandai dengan hasil uji statistik menunjukkan nilai  p = 0,001 ≥ 0,05Saran tenaga  kesehatan terutama bidan dapat mempertimbangkan untuk memperluas penggunaan media edukasi berbasis video dalam bahasa daerah untuk meningkatkan pemahaman ibu hamil di daerah-daerah lain yang memiliki bahasa dan budaya yang berbeda. Kata Kunci : Ibu Hamil, Perilaku,Preeklampsia,Vidio    ABSTRACT Background Preeclampsia is recorded as the second cause of maternal death in Indonesia after maternal bleeding. Preeclampsia occurs in pregnant women after reaching a gestational age of more than 20 weeks which is characterized by hypertension, proteinuria and edema. Preeclampsia in pregnant women poses a serious risk to the mother and fetus, especially in pregnant women with risk factors such as old age, primigravida, pregnancy interval of less than 2 years, history of previous preeclampsia, history of hypertension and excess nutrition. Preeclampsia data for the last 9 years at the Regional Public Service Agency (BLUD) of the Dr. Ben Mboi Regional General Hospital (RSUD) Manggarai Regency in 2014 there were 186 cases, the period January-October 2015 recorded 250 cases and in 2018, Ben Mboi Hospital recorded 490 cases of preeclampsia in pregnant women who gave birth or were treated. Data on pregnant women at the City Health Center at risk of preeclampsia until August 2023 recorded 165 cases. Seeing the problems that exist in the research location, the team conducted educational research using Manggarai regional language videos, so that it is expected to increase the knowledge of pregnant women in overcoming preeclampsia problems because the majority of people in Manggarai Regency tend to use regional languages as their daily language.The purpose of this study was to determine the effectiveness of education using Manggarai regional language videos on knowledge about preeclampsia prevention behavior.The method in this study used Manggarai regional language video media as a means of health education, as well as collecting data on knowledge about preeclampsia prevention behavior through questionnaires and was carried out in the work area of the Manggarai Regency City Health Center - NTT from October 2023 to April 2024. The design used was experimental with a quasi-experimental approach with a pretest and post-test with control group design. Data analysis was carried out univariately and bivariately. Univariate analysis includes the frequency distribution of respondent characteristics, mean and standard deviation. The analysis in this study began with a data normality test with the Kolmogorov Smirnov test and obtained normally distributed data, then the bivariate test used the pairet T-test.Results In the intervention group, the average knowledge of pregnant women before being given treatment was 56.10 and after being given education using Manggarai regional language videos, there was an increase in knowledge of 74.67 with a mean difference of 29.50. This difference was statistically significant with a p value = 0.001 ≤ 0.05.Conclusion Education using Manggarai regional language videos can affect pregnant women's knowledge about preeclampsia prevention behavior, indicated by the results of statistical tests showing a p value = 0.001 ≥ 0.05Suggestions for health workers, especially midwives, can consider expanding the use of video-based educational media in regional languages to improve the understanding of pregnant women in other areas that have different languages and cultures. Keywords: Behavior, Preeclampsia,Pregnant Women, Videos. 
The Effect Of Baby Massage On Baby Sleep Fulfillment Widyaningsih, Sari; Selvianti, Dita; Junaidi, Nadia
JKM (Jurnal Kebidanan Malahayati) Vol 10, No 10 (2024): Volume 10 No.10 Oktober 2024
Publisher : Program Studi Kebidanan Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkm.v10i10.17946

Abstract

Latar belakang : Pemenuhan tidur yang baik sangat penting bagi semua orang dalam meningkatkan kesehatan fisik dan mental. Karena tidur yang nyenyak sangat penting bagi pertumbuhan terutama bagi bayi, Saat tidur pertumbuhan otak bayi mencapai puncaknya. salah satu terapi non farmakologi untuk mengatasi masalah tidur bayi adalah Baby massage. Tujuan : mengetahui Pengaruh Baby Massage Terhadap Pemenuhan Tidur Bayi Di PMB “S” Wilayah Kerja Puskesmas Sukamerindu Kota Bengkulu. Metode : Jenis penelitian ini adalah Quasy Eksperimen dengan rancangan one group pretest-posttest design. Populasi penelitian adalah bayi usia 3-6 bulan. Sampel penelitian 30 bayi usia 3-6 bulan, secara total sampling. Variable independent baby massage dan variable dependent pemenuhan tidur bayi usia 3-6 bulan. Instrument penelitian menggunakan SOP dan Lembar kuesioner. Hasil penelitian : menunjukkan pemenuhan tidur bayi Usia 3-6 bulan sebelum diberikan baby massage hampir dari setengahnya kurang yaitu sebanyak 21 responden (70,0%) dan pemenuhan tidur bayi  baik usia 3-6 bulan setelah diberikan baby massage sebagian besar sebanyak 26 responden (78,7%). Uji statistik T test dan Wilcoxon menunjukkan bahwa nilai signifikan p value = 0,00 < (0,05). Kesimpulan : ada Pengaruh Baby Massage Terhadap Pemenuhan Tidur Bayi Di PMB “S” Wilayah Kerja Puskesmas Sukamerindu Kota Bengkulu. Saran:Diharapkan penelitian ini dapat dijadikan masukan pada praktek mandiri bidan supaya melakukan sosialisasi tentang pentingnya pijat bayi agar ibu dapat melakukan intervensi secara mandiri di rumah. Kata kunci : Baby massage, pemenuhan tidur bayi usia 3-6 bulan ABSTRACT Background: Getting good sleep is very important for everyone in improving physical and mental health. Because sound sleep is very important for growth, especially for babies, when sleeping, baby's brain growth reaches its peak. One of the non-pharmacological therapies to overcome baby sleep problems is baby massage. Objective: to determine the effect of baby massage on the fulfillment of baby sleep in the PMB "S" work area of the Sukamerindu Health Center, Bengkulu City. Method: This type of research is a Quasy Experiment with a one group pretest-posttest design. The research population was babies aged 3-6 months. The research sample was 30 babies aged 3-6 months, in total sampling. The independent variable baby massage and the dependent variable are sleep fulfillment for babies aged 3-6 months. The research instrument uses SOPs and questionnaire sheets. Research results: showed that almost half of the sleep fulfillment for babies aged 3-6 months before being given baby massage was less, namely 21 respondents (70.0%) and the majority of sleep fulfillment for babies aged 3-6 months after being given baby massage was 26 respondents ( 78.7%). The T test and Wilcoxon statistical tests show that the significant value is p value = 0.00 < (0.05). Conclusion: There is an influence of baby massage on the fulfillment of baby sleep in the PMB "S" work area of the Sukamerindu Health Center, Bengkulu City.Suggestion: It is hoped that this research can be used as input for the independent practice of midwives to socialize the importance of baby massage so that mothers can intervene independently at home. Keywords : Baby massage, providing sleep for babies aged 3-6 months
Efficacy Comparison Of Borneo Dayak Onion And Green Betel Leaf Decoctions In Accelerating Perineal Wound Healing Friscila, Ika; Rizali, Muhammad; Wijaksono, M. Arief
JKM (Jurnal Kebidanan Malahayati) Vol 10, No 12 (2024): Volume 10 No.12 Desember 2024
Publisher : Program Studi Kebidanan Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkm.v10i12.17789

Abstract

Latar Belakang: Masa pemulihan organ-organ reproduksi wanita yang mengalami perubahan selama kehamilan dan persalinan. Robekan pada perineum sering terjadi pada semua persalinan pertama. Hal ini mengakibatkan diperlukan perawatan yang intensif untuk mempercepat proses penyembuhan dan mencegah komplikasi infeksi yang dapat diakibatkan karena keterlambatan.Tujuan: Mengetahui perbedaan efektivitas antara penggunaan air rebusan umbi bawang dayak dengan air rebusan daun sirih hijau terhadap penyembuhan luka perineum pada ibu nifasMetode:  Metode penelitian menggunakan pendekatan kuantitatif. Desain quasi experimental dengan menggunakan model nonequivalent control group design. Sampel penelitian adalah 30 responden ibu nifas. Pengumpulan data menggunakan lembar observasi skala REEDA. Uji bivariat menggunakan mann whitney.Hasil: Berdasarkan analisis data bivariat didapatkan bahwa nilai p-value sebesar 0,045 yang bermakna kurang dari 0,05 sehingga hasil penelitian ini adalah adanya perbedaan perbedaan efektifitas air rebusan umbi bawang dayak dengan daun sirih hijau terhadap penyembuhan luka perineum.Kesimpulan: Bahwa alternatif lain yang dapat digunakan untuk membantu penyembuhan luka perineum pasca persalinan adalah menggunakan umbi bawang Dayak.Saran: Diharapkan dapat membantu ibu nifas dalam menggunakan obat herbal dalam merawat luka perineum. Bisa dilakukan penelitian lebih lanjut tentang kombinasi air rebusan umbi bawang dayak yang digabungkan dengan daun sirih hijau. Kata Kunci : Air Rebusan, Daun Sirih Hijau, Penyembuhan Luka Perineum, Umbi Bawang Dayak ABSTRACT Background: The recovery period of female reproductive organs that undergo changes during pregnancy and childbirth. Tears in the perineum often occur in all first deliveries. This results in the need for intensive care to speed up the healing process and prevent infectious complications that can result from delays.Purpose:  To find out the difference in efficacy of Borneo Dayak onion decoction and green betel leaf decoction in promoting perineal wound healing in postpartum women.Methods:  The research method uses a quantitative approach. Quasi-experimental design using a nonequivalent control group design model. The research sample was 30 postpartum mothers. Data collection used the REEDA scale observation sheet. The bivariate test used Mann Whitney.Results: Based on the bivariate data analysis, it was found that the p-value was 0.045, which is less than 0.05, so the results of this study are that there are differences in the effectiveness of boiled water from Dayak onion bulbs and green betel leaves on healing perineal wounds.Conclusion: Another alternative that can be used to help heal perineal wounds after childbirth is to use Dayak onion bulbs.Suggestions; It is expected to help postpartum mothers in using herbal medicine to treat perineal wounds. Further research can be done on the combination of boiled water from Dayak onion bulbs combined with green betel leaves. Keywords:    Boiled Water, Green Betel Leaves, Healing Perineum Wounds, Dayak Onion Bulbs
The Effect Of Yoga On Reducing Anxiety Levels In The Menstrual Cycle Of Adolescent Females : A Literature Review Setyoputri, Zahrotun Nisa’; Oktavia, Lina
JKM (Jurnal Kebidanan Malahayati) Vol 11, No 1 (2025): Volume 11 No 1 Januari 2025
Publisher : Program Studi Kebidanan Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkm.v11i1.18716

Abstract

Latar Belakang: Setiap bulan perempuan berusia 12–49 tahun (WUS), tidak sedang hamil dan belum menopause mengalami menstruasi. Pada saat menstruasi masalah yang dialami banyak wanita adalah rasa tidak nyaman atau rasa nyeri. Perubahan fungsi sistem syaraf otonom selama fase luteal menstruasi berhubungan dengan gejala psikosomatik pada fase menstruasi. Alternatif preventif untuk meningkatkan kesehatan perempuan adalah dengan melakukan yoga. Yoga memberikan manfaat pada kesehatan fisik dan mental melalui pengaturan sumbu HPA (Hipothalamus Pitutari Adrenal) dan System Syaraf Simpatis, meningkatkan aktifitas parasimpatis, menurunkan tekanan darah menurunkan stress dan tingkat kecemasan. Gerakan-gerakan fisik dari yoga merangsang, menguatkan tubuh serta meningkatkan sirkulasi darah. Organ-organ panggul, otot-otot perineal dan panggul menjadi lebih sehat, mendapatkan asupan oksigen, sehingga vaskularisasi menuju organ reproduksi menjadi optimal.Tujuan: Mengetahui pengaruh Yoga terhadap penurunan tingkat kecemasan pada siklus menstruasi remaja putri.Metode:  Desain penelitian ini menggunakan systematic literature review yang bersumber dari EBSCO, ProQuest,  Science  Direct  and  PubMed dengan jangka waktu terbit 10 tahun..Hasil: penelitian ini menemukan bahwa yoga dapat menurunkan tingkat kecemasan pada siklus menstruasi remaja putri.Kesimpulan: Yoga mempunyai pengaruh yang efektif terhadap penurunan tingkat kecemasan pada siklus menstruasi remaja putri.Saran: Pemberian treatment yoga dapat direkomendasikan    sebagai     tindakan     non farmakologi  dan  terapi  komplementer  untuk menurunkan  tingkat  kecemasan dengan   biaya   yang   murah,   resiko   sedikit, manfaatnya lebih besar dan efektif serta sangat sesuai     untuk     remaja     perempuan     yang menginginkan aktivitas ringan dan mudah. Kata Kunci : Menstruasi; Remaja Putri; Tingkat Kecemasan; Yoga ABSTRACT Background: Every month women aged 12–49 years (WUS), not pregnant and not yet menopausal experience menstruation. During menstruation, the problem experienced by many women is discomfort or pain. Changes in the function of the autonomic nervous system during the luteal phase of menstruation are related to psychosomatic symptoms during the menstrual phase. A preventive alternative to improve women's health is to do yoga. Yoga provides benefits to physical and mental health through regulation of the HPA axis (Hypothalamus Pituitary Adrenal) and the Sympathetic Nervous System, increasing parasympathetic activity, lowering blood pressure, reducing stress and anxiety levels. The physical movements of yoga stimulate, strengthen the body and improve blood circulation. The pelvic organs, perineal and pelvic muscles become healthier, get oxygen intake, so that vascularization to the reproductive organs becomes optimal.Purpose:  To determine the effect of Yoga on reducing anxiety levels in the menstrual cycle of adolescent girls .Methods:  This research design uses a systematic literature review sourced from EBSCO, ProQuest, Science Direct and PubMed with a publication period of 10 years.Results: This study found that yoga can reduce anxiety levels in the menstrual cycle of adolescent girls .Conclusion: Yoga has an effective influence on reducing anxiety levels in the menstrual cycle of adolescent girls.Suggestions: Yoga treatment can be recommended as a non-pharmacological action and complementary therapy to reduce anxiety levels at a low cost, with minimal risk, greater benefits and effectiveness and is very suitable for adolescent girls who want light and easy activities . Keywords: : Adolescent Girls; Anxiety Level; Menstruation; Yoga 
The Relationship Between The History Of Exclusive Breastfeeding And The History Of Complementary Feeding Of Breast Milk (MP-ASI) To The Incidence Of Stunting Patimah, Siti
JKM (Jurnal Kebidanan Malahayati) Vol 10, No 11 (2024): Volume 10 No.11 November 2024
Publisher : Program Studi Kebidanan Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkm.v10i11.18186

Abstract

Latar Belakang: Stunting merupakan salah satu masalah gizi yang berdampak buruk pada kualitas hidup anak. Saat ini, ada sekitar 162 juta anak balita yang mengalami stunting. Berdasarkan data Kementerian Kesehatan tahun 2021 pada tahun 2018 sebesar 30,8% dan pada tahun 2019 Provinsi Bangka Belitung prevalensinya sebesar 4,3%, pada tahun 2020 sebesar 3,3% sedangkan pada tahun 2021 naik menjadi 5,9%.Tujuan: Mengetahui faktor-faktor terkait kejadian stunting di Wilayah Kerja Puskesmas Bakam tahun 2022Metode: Penelitian ini merupakan penelitian observasional dengan desain penelitian case control, Sampel yang dibutuhkan adalah 59 sampel kelompok kontrol dan kelompok kasus sehingga total sampel yang dibutuhkan adalah 118 balita, Tes statistik menggunakan uji Chi Square.Hasil: Hasil uji Chi Square menunjukkan hubungan yang bermakna antara pemberian ASI eksklusif dan kejadian stunting (P-Value 0,002). Hasil uji Chi Square menunjukkan hubungan yang bermakna antara MP-ASI dengan kejadian stunting (P-Value 0,014), jika dari semua variabel P-value adalah 0,05, maka H0 ditolak, yang berarti bahwa terdapat hubungan yang bermakna antara variabel independen dan variabel dependen.Kesimpulan: Ada hubungan yang signifikan antara riwayat ASI eksklusif,  dan  riwayat MP-ASI terhadap kejadian stunting.Saran: Untuk mencegah kejadian stunting yaitu  dapat memaksimalkan pemberian ASI eksklusif dan pemberian  MP-ASI yang berkualitas yaitu memenuhi menu seimbang seperti ( karbohidrat, protein hewani dan nabati, lemak, sayur, buah dan ASI/susu). Kata Kunci: Stunting, ASI Ekslusif, MP-ASI ABSTRACT Background: Stunting is one of the nutritional problems that has a bad impact on children's quality of life. Currently, there are around 162 million children under five years old who are stunted. Based on data from the Ministry of Health in 2021 in 2018 it was 30.8% and in 2019 Bangka Belitung Province the prevalence was 4.3%, in 2020 it was 3.3% while in 2021 it rose to 5.9%.Purpose:  Knowing the factors related to the incidence of stunting in the Bakam Health Center Work Area in 2022Methods:  This study is an observational research with a case control research design, The samples needed are 59 samples  control group and case group so that the total sample needed is 118 toddlers, Test statistic used Chi Square test.Results: The results of the Chi Square test showed a significant relationship between exclusive breastfeeding and stunting incidence (P-Value 0.002). The results of the Chi Square test showed a meaningful relationship between MP-ASI and stunting incidence (P-Value 0.014), if of all the variables the P-value is 0.05, then H0 is rejected, which means that there is a meaningful relationship between the independent variable and the dependent variable.Conclusion: There is a significant relationship between exclusive breastfeeding and MP-ASI on stunting incidenceSuggestions; To prevent stunting events, it is possible to maximize exclusive breastfeeding and the provision of quality MP-ASI, namely fulfilling a balanced menu such as (carbohydrates, animal and vegetable proteins, fats, vegetables, fruits and breast milk). Keywords: : Stunting, Exclusive Breastfeeding, MP-ASI
The Influence Of Prenatal Yoga On Reducing Anxiety Intensity During Trimester III Pregnancy Watini, Watini; Astriana, Astriana; Susilawati, Susilawati; Kurniasari, Devi
JKM (Jurnal Kebidanan Malahayati) Vol 10, No 12 (2024): Volume 10 No.12 Desember 2024
Publisher : Program Studi Kebidanan Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkm.v10i12.11929

Abstract

Kecemasan dan depresi selama kehamilan merupakan permasalahan yang signifikan di masyarakat karena prevalensinya yang tinggi. Berdasarkan data survei yang diperoleh di Klinik Utama Serdang, Lampung Selatan, terdapat total 132 ibu hamil, dengan rincian 41 orang pada trimester I, 57 orang pada trimester II, dan 50 orang pada trimester III, semuanya menjalani pemeriksaan kehamilan (ANC). ) pemeriksaan tiga bulan terakhir pada bulan Mei sampai Juli 2023. Tujuan penelitian ini adalah menggunakan prenatal yoga untuk menurunkan intensitas kecemasan pada kehamilan trimester III di Klinik Utama Serdang, Lampung Selatan pada tahun 2023.Penelitian ini menggunakan pendekatan kuantitatif dan dilaksanakan pada bulan Mei 2023 di Klinik Utama Serdang, Lampung Selatan. Desain yang digunakan adalah Quasi-Experimental dengan desain one-group pretest-posttest dan teknik purposive sampling. Populasinya adalah ibu hamil trimester III yang mengalami kecemasan, dan jumlah sampel sebanyak 34 ibu hamil. Uji-t sampel berpasangan digunakan untuk analisis.Hasil penelitian menunjukkan rata-rata intensitas kecemasan sebelum terapi yoga sebesar 23,47 dan setelah terapi yoga sebesar 13,27. Nilai p yang dihasilkan adalah 0,000. Kesimpulannya adalah hasil yang signifikan menunjukkan penerimaan hipotesis alternatif (Ha) dan penolakan hipotesis nol (Ho) yang berarti terdapat pengaruh Prenatal Yoga dalam menurunkan intensitas kecemasan pada kehamilan trimester III di Serdang Utama. Klinik, Lampung Selatan pada tahun 2023. Disarankan untuk meningkatkan pengetahuan dan pemahaman mengenai manajemen kecemasan pada ibu hamil dan meminimalkan komplikasi pada persalinan selanjutnya. Kata Kunci : kecemasan, kehamilan, prenatal yoga ABSTRACT Anxiety and depression during pregnancy are significant issues in society due to their high prevalence. Based on survey data obtained at Serdang Main Clinic, South Lampung, there were a total of 132 pregnant mothers, with 41 in the first trimester, 57 in the second trimester, and 50 in the third trimester, all of whom underwent antenatal care (ANC) check-ups in the last three months from May to July 2023. The aim of this study is to use prenatal yoga to reduce anxiety intensity during the third trimester of pregnancy at Serdang Main Clinic, South Lampung in 2023.This research employed a quantitative approach and was conducted in May 2023 at Serdang Main Clinic, South Lampung. A Quasi-Experimental design was used with a one-group pretest-posttest design and purposive sampling technique. The population consisted of third-trimester pregnant mothers with anxiety, and the sample size was 34 pregnant mothers. The paired sample t-test was used for analysis.The results showed that the average anxiety intensity before yoga therapy was 23.47, and after yoga therapy, it was 13.27. The resulting p-value was 0.000. The conclusion is that the significant result indicates the acceptance of the alternative hypothesis (Ha) and the rejection of the null hypothesis (Ho), which means there is an influence of Prenatal Yoga in reducing anxiety intensity during the third trimester of pregnancy at Serdang Main Clinic, South Lampung in 2023. It is recommended to enhance knowledge and understanding regarding anxiety management in pregnant mothers and to minimize complications during future deliveries. Keywords: anxiety, pregnancy, prenatal yoga  
Health Education Using Video Media On Female Adolescents' Knowledge And Attitude About Premarital Sexual Behavior Astuti, Ni Made Marnita; Evayanti, Yulistiana; Isnaini, Nurul
JKM (Jurnal Kebidanan Malahayati) Vol 10, No 11 (2024): Volume 10 No.11 November 2024
Publisher : Program Studi Kebidanan Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkm.v10i11.7895

Abstract

Latar Belakang: Remaja yang tidak memiliki pengetahuan yang memadai mempunyai peluang untuk melakukan hubungan seks pranikah. Terdapat 25% remaja usia 15 tahun pernah melakukan hubungan seksual yang mengakibatkan penyakit menular seksual dan kehamilan yang tidak diinginkan. Hasil pra survei menunjukkan 6 siswi mengalami kehamilan yang tidak diinginkan dan 2 siswi berhenti sekolah karena menikah. Upaya yang dapat dilakukan untuk meningkatkan pengetahuan dan sikap remaja adalah dengan memberikan pendidikan kesehatan melalui media video.Tujuan: Untuk mengetahui pengaruh pendidikan kesehatan menggunakan media video terhadap pengetahuan dan sikap remaja putri tentang perilaku seksual pranikah di MTS Negeri 2 Lampung Timur Tahun 2022.Metode: Penelitian ini merupakan penelitian kuantitatif dengan desain pre-eksperimental dan one-group pretest-posttest design. Populasi dalam penelitian ini adalah siswi kelas VII MTS Negeri 2 Lampung Timur yang berjumlah 95 orang. Teknik pengambilan sampel yang digunakan dalam penelitian ini adalah total sampling. Analisis data menggunakan ANOVA satu arah.Hasil: Rerata skor pengetahuan siswi pada pretest adalah 8,41, 3 jam setelah mendapat pendidikan kesehatan adalah 12,6, dan 3 hari setelah mendapat pendidikan kesehatan adalah 10,94. Sedangkan nilai rata-rata sikap siswi pada pretest sebesar 31,51, 3 jam setelah mendapat pendidikan kesehatan sebesar 44,48, dan 3 hari setelah mendapat pendidikan kesehatan sebesar 40,66. Hasil uji one way ANOVA diperoleh p-value 0,000<0,05.Kesimpulan: Terdapat pengaruh pendidikan kesehatan menggunakan media video terhadap pengetahuan dan sikap remaja putri tentang perilaku seksual pranikah di MTS Negeri 2 Lampung Timur Tahun 2022. Kata Kunci : Pendidikan kesehatan, video, pengetahuan, sikap, seks bebas ABSTRACT Background: Adolescents who do not have adequate knowledge have the probability to have premarital sex. There are 25% of adolescents aged 15 years who have had sexual intercourse which resulted in sexually transmitted diseases and unwanted pregnancies. The results of the pre-survey showed that 6 female students experienced unwanted pregnancies and 2 students quit school due to marriage. Efforts that can be made to increase adolescents’ knowledge and attitude are to provide health education using video media.Purpose: To determine the effect of health education using video media on female adolescents’ knowledge and attitude about premarital sexual behavior at MTS Negeri 2 Lampung Timur in 2022.Methods: This study is a quantitative study with pre-experimental designs and one-group pretest-posttest designs. The population in this study were 95 female students in seventh grade at MTS Negeri 2 Lampung  Timur. The sampling technique used in this study was total sampling. The data analysis used one-way ANOVA.Results: Mean score of female students’ knowledge at the pretest was 8.41, 3 hours after getting health education was 12.6, and 3 days after getting health education was 10.94. Whilst, the mean score of female students’ attitude at the pretest was 31.51, 3 hours after getting health education was 44.48, and 3 days after getting health education was 40.66. The results of the one-way ANOVA test obtained the p-value of 0.000 <0.05.Conclution: There was an effect of health education using video media on female adolescents’ knowledge and attitude about premarital sexual behavior at MTS Negeri 2 Lampung Timur in 2022. Keywords : Health education, video, knowledge, attitude, free sex
Observation Of The Growth And Development Of Stunted Toddlers Lisni, Lisni; Fitriani, Aida; Wahyuni, Yenni Fitri; Mawarni, Serlis; Us, Hafsah; Friscila, Ika
JKM (Jurnal Kebidanan Malahayati) Vol 10, No 12 (2024): Volume 10 No.12 Desember 2024
Publisher : Program Studi Kebidanan Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkm.v10i12.17345

Abstract

Latar Belakang: Anak dengan keadaan stunting memiliki aktivitas motorik yang rendah, perkembangan motorik dan mental yang terlambat dan kemampuan kognitif yang terhambat. Keterlambatan tumbuh kembang anak sangat membahayakan jika terjadi pada periode emas atau golden periode, dimana pada masa tersebut anak sedang mengalami pertumbuhan pesat yang menjadi bekal ketika remaja dan dewasa.Tujuan: memberikan hasil observasi tumbuh kembang balita stunting di wilayah kerja Puskesmas Bebesen Kabupaten Aceh Tengah.Metode:  penelitian kuantitatif deskriptif dengan desain cross sectional. Sampel sebanyak 33 anak menggunakan Teknik purposive sampling.Hasil: Hasil penelitian yang dilakukan pada 33 anak di wilayah kerja Puskesmas Bebesen, dari aspek rasio berat badan/usia, dominan anak dalam kondisi normal. Dari aspek tinggi badan/usia, dominan dalam kondisi "Sangat Pendek" dan "Pendek". Dari aspek berat badan/tinggi badan dominan dalam kondisi "Gizi Baik". Hasil observasi DDST II pada keseluruhan sampel, baik dari sisi personal sosial, motorik kasar, bahasa, dan motorik halus, semua dominan mengalami keterlambatan. Kesimpulan: Bahwa anak dengan stunting mengalami keterlambatan tumbuh kembang baik dari sisi personal sosial, motorik kasar, bahasa, dan motorik halus.Saran: Pencegahan kejadian stunting lebih tepat dilakukan untuk menghindari keterlambatan tumbuh kembang pada anak yang dapat membahayakan. Kata Kunci : Stunting, Tumbuh Kembang, Observasi, Balita ABSTRACT Background: Children with stunting have low motor activity, delayed motor and mental development and inhibited cognitive abilities. Delayed growth and development of children is very dangerous if it occurs during the golden period, where at that time the child is experiencing rapid growth which becomes provisions for adolescence and adulthood.Purpose:  To provide the results of observations of the growth and development of stunted toddlers in the work area of the Bebesen Health Center, Central Aceh Regency.Methods:  Descriptive quantitative research with a cross-sectional design. A sample of 33 children using the purposive sampling technique.Results: The results of the study conducted on 33 children in the work area of the Bebesen Health Center, from the aspect of the weight/age ratio, the dominant children are in normal condition. From the aspect of height/age, the dominant ones are in the "Very Short" and "Short" conditions. From the aspect of weight/height, the dominant ones are in the "Good Nutrition" condition. The results of the DDST II observations on the entire sample, both in terms of personal social, gross motor, language, and fine motor, all are predominantly delayed.Conclusion: Children with stunting experience delayed growth and development in terms of personal social, gross motor skills, language, and fine motor skills.Suggestions; Prevention of stunting is more appropriate to avoid delayed growth and development in children that can be dangerous. Keywords: : Stunting, Growth and Development, Observation, Toddler 

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